London journal of primary care最新文献

{"title":"New ways of working; delivering better care for people with long-term conditions.","authors":"Victoria Tzortziou Brown, Irem Patel, Nicola Thomas, James Tomlinson, Rachel Roberts, Hugh Rayner, Neil Ashman, Sally Hull","doi":"10.1080/17571472.2017.1361619","DOIUrl":"10.1080/17571472.2017.1361619","url":null,"abstract":"<p><strong>Background: </strong>The cost-effectiveness of the traditional outpatient model for specialist care provision is increasingly being questioned in view of the changing patient needs, workforce challenges and technological advances.</p><p><strong>Setting: </strong>This report summarises two RCGP London events showcasing new ways of delivering care for long-term conditions.</p><p><strong>Questions: </strong>What are the alternative approaches to the traditional outpatient model and do they have common themes? What are the challenges and opportunities of these new models of care?</p><p><strong>Methods: </strong>Presentation of examples of new ways of long-term condition care delivery and round-table facilitative discussion and reflection on the challenges and solutions around service re-design and implementation, the commissioning and funding of new models of care, the facilitation of system-wide learning and the collection of data for evaluation.</p><p><strong>Results: </strong>Different ways of delivering care for people with Chronic Kidney Disease (CKD) and Chronic Obstructive Pulmonary Disease (COPD) were presented. Most of the interventions included virtual clinics (during which patient care was reviewed by a specialist remotely without the need for a face-to-face consultation), improved communication between primary and secondary care clinicians, an element of referral triage/prioritisation, the use of trigger tools to identify people at risk of deterioration, patient education and a multi-disciplinary approach.</p><p><strong>Discussion-conclusions: </strong>Different models to the traditional outpatient long-term condition care are feasible and can result in improvements in the quality of care and staff satisfaction. However, such initiatives require careful planning, close collaboration between health care professionals and allocation of appropriate resources and training within primary care. There is also a need for systematic evaluation of such pilots to assess their cost-effectiveness and their acceptability to clinicians and patients. This requires systematic collection of population level data, agreement on the key outcomes for evaluation and a commitment of all stakeholders to sharing learning and resources to enable continuous improvement.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 5","pages":"60-68"},"PeriodicalIF":0.0,"publicationDate":"2017-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35556886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting and child mental health.","authors":"Rachael Ryan, Christine O'Farrelly, Paul Ramchandani","doi":"10.1080/17571472.2017.1361630","DOIUrl":"10.1080/17571472.2017.1361630","url":null,"abstract":"<p><p>This paper reviews parenting programmes and their effectiveness with families of young children and highlights additional resources for primary care practitioners. Typically, 30% of GP consultations concern child behaviour problems and established behaviour problems can have lasting effects on children's life chances. These problems can be identified in infancy and toddlerhood.Parenting is a key risk factor in their development and maintenance, yet is also amenable to change. In this paper we consider six parenting programmes that are widely evaluated and/or available in the U.K. and their evidence base . These include two NICE recommended parenting programmes (<i>Incredible Years</i> and <i>Triple P</i>), which offer tiered and flexible parenting programmes; predominantly for parents of school-age children. We also review <i>Parent-</i><i>Infant Psychotherapy</i>, which is typically for parents of younger children. Fourth is <i>Family Nurse Partnership</i>, an intensive programme to support young, first-time mothers. Finally we consider, video feedback programmes which use video to focus in detail on parents' interactions with their children, including <i>Video Feedback to Promote Positive Parenting</i> and <i>Video Interactive Guidance.</i> These interventions demonstrate the range of approaches which are being used to intervene early in children's lives to try to prevent the development of enduring behavioural problems.</p><p><strong>Why this matters to me: </strong>It is becoming increasingly clear that the origins of many mental health problems lie in childhood. Family factors, including the quality of care that parents provide for their children, can make a huge difference to children's early life pathways, for better or for worse. Understanding how best to intervene to support parents is a key challenge. In this article, we critically review the most widely used parenting programmes for parents of young children. It is imperative that we judge these early interventions to high standards so that we are offering children the best start in life.</p><p><strong>Key message: </strong>Parenting programmes offer a means to intercept behaviour problems in early childhood before they become established.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 6","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2017-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35595060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of multisystemic therapy in youths aged 10-17 with severe antisocial behaviour and emotional disorders: systematic review.","authors":"Jia Xuan Tan, Maria Lourdes Restrepo Fajardo","doi":"10.1080/17571472.2017.1362713","DOIUrl":"10.1080/17571472.2017.1362713","url":null,"abstract":"<p><strong>Background: </strong>Antisocial behaviour and conduct disorders are the most common behavioural and mental health problems in children and young people globally. An efficacious intervention is needed to manage these antisocial behaviours that have costly consequences. Multisystemic Therapy (MST), an intensive home-based intervention for youths with psychosocial and behavioural problems, is recommended under National Institute for Health and Clinical Excellence guidelines for conduct disorder. However, reviews on the efficacy of MST are mixed.</p><p><strong>Aim: </strong>To review randomised controlled trials (RCTs) reporting efficacy of MST among youths presenting with antisocial behaviour and emotional disorder respectively.</p><p><strong>Method: </strong>A systematic map term to subject heading search was conducted in PsycINFO, Embase, and Ovid Medline databases for articles up to November 2015. RCTs comparing MST vs.treatment as usual (TAU) in youths presenting with antisocial behaviour and emotional disorder were included.</p><p><strong>Results: </strong>12 RCTs (<i>n</i> = 1425) reported efficacy of MST vs. TAU in youths presenting with antisocial behaviour and emotional disorder. Clinically significant treatment effects of MST showed a reduction of antisocial behaviour which includes delinquency. MST, vs. psychiatric hospitalisation, was associated with a reduction of suicidal attempts in youths presenting with psychiatric emergencies. 4 studies showed that MST was less costly than TAU in the short term, with further analysis required for long-term cost-effectiveness.</p><p><strong>Conclusion: </strong>MST is an efficacious intervention for severe antisocial behaviours in reduction of delinquency and should be included in clinical practices. MST was shown to have a positive effect on emotional disorder but further research is needed to evaluate the efficacy of MST with emotional disorder. Further analysis is required to assess the services utilized for long-term cost effectiveness.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 6","pages":"95-103"},"PeriodicalIF":0.0,"publicationDate":"2017-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35595059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to LJPC issue 9.4. July/August 2017.","authors":"Paul Thomas","doi":"10.1080/17571472.2017.1347140","DOIUrl":"https://doi.org/10.1080/17571472.2017.1347140","url":null,"abstract":"This Issue of LJPC shows how writing, painting, the arts and stories can reveal different, complementary aspects of health. Together they can build up rich pictures that are invisible to any one expression and different from the insights gained from facts and statistics about diseases. They can do more than reveal aspects of health; they can improve it. Claire Brash interviewed Stephen Bergman, Professor of medical humanities at New York University. He wrote the novel ‘The House of God’ under the name Samuel Shem. This book sold over 3 million copies, and exposed the connection between values, good relationships and healing. ‘What led you to write the House of God?’ she asked. ‘Outrage’ he answered. ‘What made you undertake this interview, Claire?’ Her reply: ‘Around 80% of medical students with mental health issues feel under-supported’. That sounds like a good reason to highlight non-medical aspects of health. Malcolm Torry makes the case for a ‘spiritual assessment’ to be undertaken to help understand a patient as a whole person. Different belief systems lead to different expectations that lead to different interpretations of what health means to them. Primary care practitioners must be aware of these nuances and handle them sensitively. Michael Druquer describes ways that the novels, paintings and music can bear witness to the human condition and help to see dynamic, social aspects of health, beyond (and as well as) their diseases. Francesco Carelli describes how the paintings of Francis Bacon from the 1940s ‘bore witness to the shattered psychology of the time’, another example of how we can see different aspects of health through the arts than through statistics of diagnostic categories. Finally, we say goodbye to Elizabeth June Horder. She is well known as the wife of John Horder, one of the greatest GPs of all time. But she was her own person. A force to be reckoned with. She was herself a pioneer GP and beautiful in every way. Take the time to read her account of general practice before and after the NHS began. Search the LJPC website with the name ‘Horder’ and you will see her paper ‘Recollections of general practice’; read this and then read John’s autobiography to see those days in colour, beyond the statistics. As well as reminding us that great people attract great people, Elizabeth and John reveal the origins of the principles of quality general practice that we still value today. Quality general practice improves the health of families and communities as well as treating the diseases of individuals. They explain why generalism really matters, in health care and in other public services. We must remember this in these dangerous days when faced by those who want to turn our precious NHS into a machine where specialists and superspecialists help us to see diseases more and more, and people less and less.","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 4","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2017-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1347140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35324652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elizabeth June Horder 1920–2017","authors":"P. Thomas, H. Barr, G. Yudkin","doi":"10.1080/17571472.2017.1339501","DOIUrl":"https://doi.org/10.1080/17571472.2017.1339501","url":null,"abstract":"Elizabeth to her colleagues; June to her family and friends; she touched the lives of so many with her gentleness and piercing intellect. She was the eldest of three daughters of Maurice and Dorothy Wilson, living in Stocksfield and Northumberland. Following the early death of her father, the family moved to Switzerland, Edinburgh, then Oxford. She met John Horder while studying in Paris and their relationship began in Oxford where they were both students. They married in 1940, when she was nineteen. June was a model team-player, always there when the situation required, then melting into the background when things were under control. She would notice everything and everyone, remember your personal details, enquire about the needs of others, and quietly work ‘offstage’ to help you to perform well. She was always generous in her hospitality and made you feel that you really mattered. She had a great love of music and gardening and this showed in the way she carried herself – in harmony with the world. She enjoyed lively and challenging conversation, and spoke with humour and wisdom. You could not help but listen to every word, and then fall under her spell. And remember her with great affection. She was an inspirational trainer, demonstrating care, compassion, conscientiousness and personalised care. She earned the love of all her patients from whatever stratum of society they came. She was an early exponent of multidisciplinary team-working, totally valuing the roles of health visitors, geriatric visitors and social workers as well as encouraging practice nurses before others had even dreamt of them. There were two Doctor Horders. John, June’s husband, is internationally known as the father of modern-day broad-visioned primary care. June matched John in every way. They were the best team imaginable. As well as shaping healthcare history in their 72 years of life together, they brought up four children, seven grandchildren and two great grandchildren. Together they inspired a generation. Reflecting in this Journal [1] on her career in General Practice, Elizabeth recalled being appointed in 1946 as Assistant GP to Dr. James Wigg in Kentish Town to augment his singleton practice working with a ‘panel’ of about 2000 insured patients from his home. She was an unwavering supporter of the NHS, as well as a caring and compassionate doctor. With like-minded colleagues she developed a multi-professional team to care for a socially and racially diverse population, while maintaining, as far as was possible, personal lists of patients. You can read more about Elizabeth and those pioneering days in John’s autobiography, serialised in this journal [2]. Elizabeth June was exciting, caring, inspiring and beautiful to the end. She referred rarely to her contribution to healthcare evolution; still less, mindful of its sensitivity, to her longstanding voluntary work in ‘retirement’ with Child Line and Victims of Torture. We miss you. A memorial to celebrate her memo","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 1","pages":"57 - 57"},"PeriodicalIF":0.0,"publicationDate":"2017-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1339501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49260874","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":"Three ways for art to stimulate the mind.","authors":"Michael Drucquer","doi":"10.1080/17571472.2017.1333590","DOIUrl":"https://doi.org/10.1080/17571472.2017.1333590","url":null,"abstract":"<p><p>The relevance of the arts to medical practice is not always immediately apparent. Here, three examples are given from literature, visual arts and music which demonstrate links not normally found in medical texts.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 4","pages":"54-55"},"PeriodicalIF":0.0,"publicationDate":"2017-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1333590","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35324656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency department attendances and GP patient satisfaction.","authors":"Keith Hurst,&nbsp;Deirdre Kelley-Patterson,&nbsp;Andy Knapton","doi":"10.1080/17571472.2017.1333616","DOIUrl":"https://doi.org/10.1080/17571472.2017.1333616","url":null,"abstract":"<p><strong>Background: </strong>Despite invaluable national data, reasons for the relentless rise in England's emergency department (ED) attendances remain elusive.</p><p><strong>Setting: </strong>All EDs and general practices in England.</p><p><strong>Question: </strong>Are rising ED attendances related to general practice patient satisfaction, i.e. if patients are unable to get a convenient appointment with their general practitioner (GP), then do they attend their local ED for diagnosis, treatment and care instead?</p><p><strong>Method: </strong>GP patient satisfaction and ED attendance data were extracted from national data warehouses and organised into two groups: (i) England clinical commissioning group (CCG) areas and (ii) a London CCG subset. Data from London CCGs were compared with CCGs outside London.</p><p><strong>Results: </strong>ED attendances were strongly correlated with GP patient satisfaction data in non-London CCGs, e.g. if patients said they had difficulty obtaining a convenient appointment at their general practice, then local ED attendances increased. Associations were repeated when other GP perception data were explored, e.g. if patients were satisfied with GPs and practice nurses, then they were less likely to attend their local EDs. However, these associations were not found in the London CCG subset despite lower satisfaction with London GP services.</p><p><strong>Discussion and conclusions: </strong>Although our study generates valuable insights into ED attendances, the reasons why London general practice patient and ED attendance data don't show the same associations found outside London warrants further study. Diverting patients from EDs to primary care services may not be straight forward as many would like to believe.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 5","pages":"69-72"},"PeriodicalIF":0.0,"publicationDate":"2017-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1333616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35556887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An interview with Samuel Shem, author of 'The House of God'.","authors":"Claire Brash","doi":"10.1080/17571472.2017.1317424","DOIUrl":"https://doi.org/10.1080/17571472.2017.1317424","url":null,"abstract":"<p><p>Dr Stephen Bergman, Professor of medical humanities at New York University, writes under the name Samuel Shem. He is an acclaimed author of several novels, plays and textbooks, and his work has been translated into several languages -'The House of God' his first novel has sold over 3 million copies. His work exposes the potential moral challenges of the medical workplace and the connection between values, good relationships and healing. In 2015 he visited the UK for medical humanities academic tour which included keynote talks at the RCGP 2015 Annual Conference and at the Royal Society of Medicine. Claire Brash interviewed him at the Royal Society of Medicine.</p>","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 4","pages":"46-48"},"PeriodicalIF":0.0,"publicationDate":"2017-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1317424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35324654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Francis Bacon and his invisible rooms: human emotions so felt but not so easily seen.","authors":"Francesco Carelli","doi":"10.1080/17571472.2017.1325013","DOIUrl":"https://doi.org/10.1080/17571472.2017.1325013","url":null,"abstract":"Francis Bacon: Invisible Rooms (Tate Liverpool 18 May – 18 September 2016) is the first dedicated exhibition to survey an underexplored yet significant element of Bacon’s work, an artist internationally regarded as Britain’s greatest painter of the last century and the biggest one after Turner. This exhibition helps in the re-assessment of his works in the light of the new research that has emerged since the revelation of his studio and its contents following the artist’s death. Many of his main works feature an architectural, ghost-like framing device around his subjects. He used a cubic or elliptic cage around the figures depicted to create his dramatic compositions. These imaginary chambers are a way to emphasise the isolation of there presented figures so bringing attention to their psychological condition; just placing the sitters in ‘invisible rooms’ guides to focus attention towards the complex human emotions that are felt but can’t be seen [1]. Francis Bacon: Invisible Rooms traces the development of this architectural structure throughout his career. First indications of room-spaces were in early works including Crucifixion 1933 (Murderme Collection) and Three Studies for Figures at the Base of a Crucifixion c. 1944 (Tate). The 1950s saw further work on this theme, including Man in Blue IV 1954 (Mumok, Austria) and Chimpanzee 1955 (Staatsgalerie Stuttgart) which then led through to the 1980s, Untitled (Kneeling Figure) c. 1982 (Private Collection). This motif was progressively developed from initial experiments on paper till theatrical spaces, described by French philosopher Gilles Deleuze, Francis Bacon: The Logic of Sensation, interpreted as one of the defining forces of his work. His paintings of the 1940s bore witness to the shattered psychology of the time and shot him to a prominence that hardly diminished over the next fifty years. He captured sexuality, violence and isolation in his unflinching depictions of the anxieties of the modern condition. Bacon’s philosophy underlines the fact that man is simply another animal in a godless world, subject to the same natural urges of violence, lust and fear that are physically evident in the body. As a consequence, Bacon’s output was dominated by the human body. His way of portraying body was unique in the history of painting, usually in isolation, at moments of extreme tension or even pain, distorted like figures from a fantastical nightmare, indicating the isolation of human life without God just as an animal. He reveals the frailty of the human figure and the scream or cry that expresses repressed and violent anxieties. In one painting Study for a portrait (1952) we see the distorted human figure where we recognise the famous crying nurse on the steps depicted in Eisenstein’s movie ‘Potemkin battleship’ with broken glasses indicating the human shattered vision on a number of levels. Bacon said ‘I like Freud very much because I like the way of explaining things between conscious and unco","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 4","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2017-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1325013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35324657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating integrated models of care.","authors":"Paul Thomas","doi":"10.1080/17571472.2017.1317406","DOIUrl":"https://doi.org/10.1080/17571472.2017.1317406","url":null,"abstract":"• Morton et al. examined the records of their practice patients who attended Emergency Departments in a twelve month period. Only 25% saw their GP before attending and 95% of these needed specialist interventions. On the other hand 75% of patients self-referred and only 33% of these required specialist intervention. • Cox et al. provide the first ever analysis of Specialist Palliative Care (SPC) services in London. All 50 SPC services provided data. This revealed that SPC service across London is still below the minimum service level set by NICE in 2004, including out of hours service. Also, SPC services see mostly cancer patients and there may be unmet need for SPC amongst the non-cancer population. Also in this Issue:","PeriodicalId":89823,"journal":{"name":"London journal of primary care","volume":"9 3","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2017-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17571472.2017.1317406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35024568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}