Urogynecology (Hagerstown, Md.)最新文献

{"title":"Age and Perioperative Outcomes Following Minimally Invasive Sacrocolpopexy.","authors":"Samantha Erin Neal, Sarah Ashmore, Jinxuan Shi, Wei Tang, Tara Samsel, Margaret G Mueller, Kimberly Kenton","doi":"10.1097/SPV.0000000000001859","DOIUrl":"10.1097/SPV.0000000000001859","url":null,"abstract":"<p><strong>Importance: </strong>Literature surrounding the effect of age on perioperative outcomes following minimally invasive sacrocolpopexy (MI-SCP) is limited and conflicting.</p><p><strong>Objective: </strong>The objective of this study was to determine the effect of age on postoperative complications following MI-SCP, utilizing a large, national database.</p><p><strong>Study design: </strong>This was a retrospective cohort study using the 2014-2021 American College of Surgeons National Surgical Quality Improvement Program database to determine the effect of age on postoperative complications following MI-SCP. Women undergoing robotic and laparoscopic sacrocolpopexy for prolapse were included, and surgical procedures were identified using Current Procedural Terminology codes. Our primary outcome was the 30-day postoperative complication rate. Women were stratified into 2 cohorts: (1) 65 years or older and (2) younger than 65 years. Standard group comparisons were performed. A multivariable logistic regression was completed to determine if age affected the postoperative complication rate after accounting for other variables.</p><p><strong>Results: </strong>A total of 6,794 women underwent MI-SCP; 3,726 (54.8%) were younger than 65 years, and 3,068 (45.2%) were 65 years or older. Overall, the 30-day postoperative complication rate following MI-SCP was 5.02%, and women 65 years or older were less likely to experience a postoperative complication compared with women younger than 65 years (3.98% vs 5.88%, P <0.001). In logistic regression, age younger than 65 years was associated with increased odds of 30-day postoperative complications (adjusted odds ratio [aOR], 1.56; 95% CI, 1.22-2.00). Class 3 obesity (aOR, 1.87) and longer length of stay (aOR, 1.13) were also associated with increased odds of postoperative complications.</p><p><strong>Conclusions: </strong>Our findings suggest that age 65 years or older is not associated with increased postoperative complications following MI-SCP.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1287-1296"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Interstitial Cystitis Content on TikTok: A Cross-sectional Analysis.","authors":"Haley N Fitzgerald, Coralee Toal, Kristiana B McLarty, Jenny Wu, Jocelyn J Fitzgerald","doi":"10.1097/SPV.0000000000001837","DOIUrl":"10.1097/SPV.0000000000001837","url":null,"abstract":"<p><strong>Importance: </strong>Interstitial cystitis/bladder pain syndrome (IC/BPS) is a common, stigmatizing, and poorly understood condition. With more people turning to TikTok for health information, it is important to assess the quality of IC/BPS-related content on this platform, which has not been studied to date.</p><p><strong>Objectives: </strong>The objectives of this study were to evaluate how IC/BPS is discussed on TikTok, assess the quality of the information provided, and determine the utility of these videos as patient education tools.</p><p><strong>Study design: </strong>We conducted a cross-sectional, content analysis study using a web scraping software to identify the top 100 most-played TikTok videos under 4 IC/BPS-related hashtags. A codebook was developed to document video qualities and content. The DISCERN scale was applied to evaluate health information quality, and the Patient Education Materials Assessment Tool (PEMAT) was used to evaluate understandability/actionability.</p><p><strong>Results: </strong>The top 100 videos had a median of 71,400 plays, 116 comments, and 9 seconds duration. Half were created by patients, and half by health care workers. Most shared personal experiences with neutral or negative tones. More videos demonstrated distrust in health care than trust. Two thirds mentioned symptoms, and nearly half mentioned treatments. Videos scored poorly on the DISCERN scale and the Actionability PEMAT, but highly on the Understandability PEMAT.</p><p><strong>Conclusions: </strong>TikTok is a platform where patients actively engage with IC/BPS-related content. While videos are widely accessible and understandable, they often lack high-quality and actionable information. Clinicians should consider further engaging with TikTok to improve the accuracy, quality, and utility of educational content on IC/BPS.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1181-1189"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Floor Myofascial Pain With Palpation and Lower Urinary Tract Symptoms.","authors":"Melanie R Meister, Colleen M Fitzgerald, Kimberly A Kenton, Lisa K Low, Emily S Lukacz, Gerald McGwin, Alayne D Markland, Diane K Newman, Sara Putnam, Siobhan Sutcliffe, Jerry L Lowder","doi":"10.1097/SPV.0000000000001854","DOIUrl":"10.1097/SPV.0000000000001854","url":null,"abstract":"<p><strong>Importance: </strong>In women with pelvic floor disorders, pelvic floor myofascial pain with palpation is associated with lower urinary tract symptoms, but the prevalence in community-dwelling women is unknown.</p><p><strong>Objectives: </strong>Our study describes the prevalence of pelvic pain with palpation in community-dwelling women and its association with bladder health and symptoms.</p><p><strong>Study design: </strong>A subset of adult women from a large population-based, regionally representative cohort across 8 geographic regions of the United States was examined for pain with palpation of the obturator internus and levator ani muscles. Participants were not excluded on the basis of pain or urinary symptoms at baseline. Bladder health and urinary symptoms were measured using validated questionnaires. Linear and Poisson regression were used to examine associations between baseline pain and changes in bladder health and symptoms at follow-up.</p><p><strong>Results: </strong>Of 502 participants, 56% had pain (46% mild [1-3/10], 8% moderate [4-6/10], 2% severe [7-10]; mean 1.1±1.6) on examination. At baseline, higher pain scores were associated with worse bladder function (β, -1.4, CI, -2.6, -0.1), and greater urinary symptoms (β, 0.4, CI, 0.1, 0.8). Baseline pain on palpation was associated with the development of new bothersome urinary symptoms (β, 1.1, CI, 1.0, 1.2) and painful urinary symptoms (β, 1.2, CI, 1.0, 1.3) over 1-2 years.</p><p><strong>Conclusion: </strong>Pain with palpation of the pelvic floor musculature is common in community-dwelling women and is significantly associated with urinary symptoms at baseline and with new-onset urinary symptoms over time. Pelvic muscle pain with palpation may be important to consider in the assessment of factors associated with urinary symptoms and as a precursor to bladder pain.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1241-1250"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Pain Management in Urogynecology: A Review.","authors":"Abhishek A Sripad, Marcella G Willis-Gray, Jennifer M Wu","doi":"10.1097/SPV.0000000000001901","DOIUrl":"10.1097/SPV.0000000000001901","url":null,"abstract":"<p><p>Postoperative pain after pelvic reconstructive surgery is inseparably tied to care quality, patient experience, and demands on the health care system. Pelvic reconstructive surgeons have considerably advanced our knowledge of postoperative pain after procedures and of perioperative interventions to address postoperative pain. This narrative aims to provide helpful information to surgeons as we continue to prioritize patient-centric outcomes, lower costs, and the risks of long-term opioid use. In this review, we present an overview of pain processing pathways. Then we discuss the natural history of pain after urogynecologic surgical procedures, followed by a review of the existing literature on interventions and systems to reduce postoperative pain. We also highlight considerations for future research. While public health and epidemiologic considerations are critical in the context of opioid burden, these are beyond the scope of this review.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1148-1157"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of AI-Generated Surgical Decision Aids for Pelvic Floor Disorders.","authors":"Carolyn S Chen, Taylor Brueseke, Carly Crowder, Olivia H Chang","doi":"10.1097/SPV.0000000000001856","DOIUrl":"10.1097/SPV.0000000000001856","url":null,"abstract":"<p><strong>Importance: </strong>Decision aid tools are well-utilized resources in shared decision making for the treatment of pelvic floor disorders. With the improvement of large language models like ChatGPT, prior studies have started evaluating whether artificial intelligence can be used to create patient education materials. As treatment of pelvic floor disorders can be complicated and specific to individuals, we assessed the use of ChatGPT for patient decision making.</p><p><strong>Objective: </strong>Our objective was to evaluate the understandability, reliability, accuracy, and readability of ChatGPT-generated decision aid tools for urogynecology surgical procedures.</p><p><strong>Study design: </strong>In this cross-sectional study, 6 questions comparing 2 treatment options for common urogynecological conditions were developed by 6 urogynecologists and entered into ChatGPT to create decision aid tools. Patients and physicians evaluated understandability using a Patient Education Materials Assessment Tool. Physicians also evaluated reliability using a modified DISCERN (mDISCERN) instrument and accuracy using a 5-point Likert scale. Readability was evaluated using the Flesch-Kincaid Reading Ease score. Analysis of all scores was descriptive.</p><p><strong>Results: </strong>All decision aid tools received high patient and physician understandability. The tools had fair reliability with an average mDISCERN score of 26. Accuracy was <4 (unfavorable) on 2 of the decision aid tools, and the reading level required to read them was high overall.</p><p><strong>Conclusions: </strong>ChatGPT-generated decision aid tools for urogynecology surgical counseling have high patient understandability, emphasizing their potential for being well-received by patients deciding on treatment. However, approximately 30% of the topics require improvements to accuracy, while all tools could benefit from improved reliability and readability.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1259-1265"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Separating Procedures From Problems: Smart Use of Modifier 25 in Urogynecologic Care.","authors":"Jason Cruff, Ashley Carroll","doi":"10.1097/SPV.0000000000001911","DOIUrl":"10.1097/SPV.0000000000001911","url":null,"abstract":"","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1145-1147"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methods for a Community-Engaged Randomized Trial for Urgency Incontinence.","authors":"Vivian W Sung, Holly E Richter, Emily S Lukacz, Tatiana V D Sanses, Mary Baker, Cyndie Lawrence-Dever, Tao Liu, Peter C Jeppson","doi":"10.1097/SPV.0000000000001857","DOIUrl":"10.1097/SPV.0000000000001857","url":null,"abstract":"<p><strong>Importance: </strong>Beta-agonist medication and onabotulinumtoxinA injections are commonly used for the treatment of urgency urinary incontinence (UUI); however, there are limited comparative efficacy data to inform best practice. We describe the design and rationale for the Beta-Agonist versus ONA Trial for Urgency Urinary Incontinence (BEST), which was developed in partnership with engaged patients, stakeholders, and communities.</p><p><strong>Objectives: </strong>The primary objective is to compare treatment efficacy, as measured by coprimary endpoints symptom severity and treatment satisfaction at 3 months. Secondary objectives include comparisons of quality of life, global improvement, cognitive and sexual function, complications, and to describe barriers to UUI treatment.</p><p><strong>Study design: </strong>BEST is a multisite, single-blinded, randomized trial of beta-agonist versus onabotulinumtoxinA in female participants with UUI. Patient eligibility, primary and secondary outcome measures, and substantive changes in trial design through engagement with patients, stakeholders, and communities are described. Four hundred thirty-two participants will provide 80% power to detect a 15% difference in both coprimary outcomes of treatment satisfaction and symptom severity between treatment arms at a split alpha=0.025, allowing for 20% attrition. Linear mixed-effects models following the intention-to-treat principle are planned.</p><p><strong>Results: </strong>Participant enrollment began in July 2023 across 5 clinical sites. As of January 6, 2026, 396 of 432 participants (92%) have been randomized, 324 (82% of randomized) have reached the primary 3-month outcome with a 98.7% retention rate for completion of the coprimary outcomes, and 213 (54% of randomized) have reached the 12-month outcome with 94% retention rate.</p><p><strong>Conclusions: </strong>The BEST design was substantively informed by patient and stakeholder input and will provide patient-important comparative efficacy data for beta-agonist versus onabotulinumtoxinA for UUI.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1274-1286"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally Invasive Sacrocolpopexy-Which Patients Are Likely to Stay Overnight?","authors":"Shane Skibba, Jessica Savoni, Courtney Poston, Alina Hassan, Eric Hurtado","doi":"10.1097/SPV.0000000000001836","DOIUrl":"10.1097/SPV.0000000000001836","url":null,"abstract":"<p><strong>Importance: </strong>Minimally invasive sacrocolpopexy (MISC) is a highly successful surgical procedure for pelvic organ prolapse. In today's health care setting, cost is an important issue with savings from same-day discharge (SDD) versus observation/admission (O/A).</p><p><strong>Objective: </strong>The purpose of this study was to determine risk factors for O/A versus SDD in patients undergoing MISC.</p><p><strong>Study design: </strong>A retrospective cohort study was performed from 2018 to 2023 on patients undergoing MISC within the Cleveland Clinic system. The primary outcome was to determine risk factors for O/A with a secondary analysis for postoperative differences. Univariate analysis assessed the association between the patients' characteristics and discharge time. The χ 2 or Fisher exact test was used for categorical factors, and the Wilcoxon rank-sum test was applied for continuous factors. Multivariate logistic regression with backward elimination was conducted to determine the independent factors for discharge. A P value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Out of 798 patients, 537 had SDD and 261 had O/A after MISC. Multivariable logistic regression revealed the following as independent factors for O/A: race as \"other,\" late surgical start time, increased operative time, higher first and last pain score, and higher American Society of Anesthesiologists classification. Postoperatively, O/A was associated with higher rates of unplanned office and emergency department visits, more office messages, and fewer catheters at discharge.</p><p><strong>Conclusions: </strong>In this study, several factors were associated with O/A versus SDD with MISC. Awareness of these factors may help with counseling patients, setting expectations, and arranging surgical schedules to maximize SDD and decrease costs. Further studies are needed to quantify costs and patient satisfaction.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":"1173-1180"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty-Day Incidence and Risk Factors for Lower Urinary Tract Fistula After Hysterectomy.","authors":"Sonia Bhandari Randhawa, Donald D McIntire, Maria E Florian-Rodriguez","doi":"10.1097/SPV.0000000000001934","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001934","url":null,"abstract":"<p><strong>Importance: </strong>Lower urinary tract (LUT) fistulas are rare but morbid complications after hysterectomy. Contemporary population-level data on incidence and risk factors are limited.</p><p><strong>Objective: </strong>The objective of this study was to determine the incidence and risk factors for lower urinary tract fistulas within 30 days after hysterectomy using a national surgical database.</p><p><strong>Study design: </strong>This was a retrospective cohort study using hysterectomy-targeted files from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) from 2014 to 2020. Women undergoing hysterectomy who developed a LUT fistula were identified. The incidence of LUT fistula was determined. Univariate analysis assessed putative risk factors, and stepwise logistic regression identified independent predictors.</p><p><strong>Results: </strong>Between 2014 and 2020, 226,398 hysterectomy cases were identified. The incidence of LUT fistula was 0.1% (n=222), including 106 ureterovaginal, 107 vesicovaginal, and 9 combined LUT fistulas. The mean age of patients who developed a LUT fistula was 48.6±10.6 years compared with 50.7±13.0 years for those who did not (P=0.005). Among patients who underwent hysterectomy for malignancy, the LUT fistula incidence was 0.14% (n=74). Wound classification and gynecologic malignancy were significant risk factors (P<0.001). Postoperative ureteral obstruction was strongly associated with LUT fistula development (P<0.001). Among fistula cases, 3.7% of patients (n=8) developed progressive renal insufficiency. Bleeding disorders, subspecialty type, immunosuppressive therapy, smoking, and dialysis were not associated with LUT fistula development.</p><p><strong>Conclusions: </strong>The incidence of LUT fistula after hysterectomy was lower than previously reported (0.1%-4%), likely because data were limited to 30 days postoperatively. LUT fistula rates decreased over the study period, which may reflect improvements in surgical technique and perioperative detection practices.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sacrospinous Hysteropexy Versus Vaginal Hysterectomy: Long-term Outcomes.","authors":"Carola Medina Garrido, Lidia de la Cruz Cea, María Olavarrieta Bernardino, Alejandra Cano","doi":"10.1097/SPV.0000000000001935","DOIUrl":"https://doi.org/10.1097/SPV.0000000000001935","url":null,"abstract":"<p><strong>Importance: </strong>Uterine-preserving surgery is an increasingly popular alternative to the traditional use of hysterectomy with vaginal vault suspension to treat pelvic organ prolapse with native tissue. However, comparative evidence remains limited.</p><p><strong>Objective: </strong>This study aimed to compare the long-term recurrence rates of symptomatic apical pelvic organ prolapse treated with vaginal hysterectomy versus sacrospinous hysteropexy.</p><p><strong>Study design: </strong>A retrospective, single-center, cohort study was conducted from 2011 to 2024, including 100 women with symptomatic primary pelvic organ prolapse (Pelvic Organ Prolapse Quantification stage ≥2) who underwent native-tissue repair through either vaginal hysterectomy (n = 51) or sacrospinous hysteropexy (n = 49). The primary endpoint was prolapse recurrence, defined as a composite of subjective vaginal bulge symptoms and/or surgical retreatment.</p><p><strong>Results: </strong>The average follow-up was 100.1 months for the hysterectomy group and 51.8 months for the hysteropexy group. Prolapse recurrence occurred in 33% of the total sample: 10 patients (19.6%) in the hysterectomy group versus 23 patients (46.9%) in the hysteropexy group (P = 0.007). Kaplan-Meier analysis showed that hysteropexy had a significantly higher and earlier rate of recurrence compared with hysterectomy. In the multivariable Cox model, hysteropexy still showed a higher risk of recurrence (hazard ratio, 5.37; 95% CI, 2.28-12.65; P < 0.001).</p><p><strong>Conclusions: </strong>Sacrospinous hysteropexy showed a significantly higher rate and an earlier onset of recurrence compared with conventional vaginal hysterectomy. While uterine-preserving surgery is a growing trend, caution is warranted when counseling patients regarding its long-term durability relative to hysterectomy in native-tissue repairs.</p>","PeriodicalId":75288,"journal":{"name":"Urogynecology (Hagerstown, Md.)","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}