Breastfeeding Medicine最新文献

{"title":"Mothers' Satisfaction with Breastfeeding Assistance from International Board Certified Lactation Consultants: An Integrative Review.","authors":"Anita Lugo, Jennifer Dean Durning, Kimberly K Trout, Diane L Spatz","doi":"10.1177/15568253251412394","DOIUrl":"https://doi.org/10.1177/15568253251412394","url":null,"abstract":"<p><strong>Introduction: </strong>Use of International Board Certified Lactation Consultants (IBCLCs) is associated with higher breastfeeding rates. However, little is known regarding mothers' perceptions of satisfaction with IBCLC encounters.</p><p><strong>Methods: </strong>Database and ancestry searches resulted in 511 reports published between 2000 and 2025 about qualitative research conducted in the United States. Forty-one articles progressed to full review, and six articles satisfied all inclusion criteria for this integrative review.</p><p><strong>Results: </strong>All research teams used the descriptive qualitative design to analyze data collected between 4 weeks and 8 months postpartum across a diverse representation of U.S. mothers. The body of evidence reveals that the assistance received from IBCLCs is multifaceted, because various aspects play crucial roles in ensuring that mothers feel supported.</p><p><strong>Discussion: </strong>Findings highlight the importance of IBCLCs' practical expertise, hand in hand with their reassuring support. Mothers perceived satisfaction with consultation when the IBCLC offered sufficient time, provided encouragement, demonstrated knowledge, addressed their concerns, showed empathy for their struggles, and shared information that empowered them to breastfeed their infants with confidence.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":"21 4","pages":"243-249"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Effects of Maternal Cannabis Use on Human Milk Macronutrient Composition: The Lactation and Cannabis (LAC) Study.","authors":"Irma Castro-Navarro, Janet E Williams, Léa Dussurget, Haley Richardson, Anna Berim, David R Gang, Elizabeth A Holdsworth, Beatrice Caffé, Caroline Smith, Celestina Barbosa-Leiker, Olivia Brooks, Mark A McGuire, Courtney L Meehan, Michelle K McGuire","doi":"10.1177/15568253251407688","DOIUrl":"10.1177/15568253251407688","url":null,"abstract":"<p><strong>Background: </strong>Cannabis use has increased among reproductive-aged women, including those who are breastfeeding. However, aside from the appearance of cannabinoids in milk, almost nothing is known about how cannabis use might affect human milk composition. This study explored the short-term effects of maternal cannabis use on milk macronutrient content.</p><p><strong>Methods: </strong>Breastfeeding women who used cannabis (cases, <i>n</i> = 20) were matched by body mass index and time postpartum with breastfeeding women who did not use cannabis (controls, <i>n</i> = 19). After abstaining from cannabis use for ≥12 hours, cases collected a baseline milk sample, used cannabis as desired, and collected additional samples 30-≤40 minutes, 1-<2 hours, 2-<4 hours, 4-<6 hours, and 8-<12 hours after use. Controls collected milk at matched time points. Delta-9-tetrahydrocannabinol (Δ⁹-THC) and lipid concentrations were quantified in all samples, and fatty acids, lactose, and protein concentrations were quantified in baseline, 1-2 hours, and 8-12 hours samples.</p><p><strong>Results: </strong>There were no differences between controls and cases in the concentration of any macronutrient at baseline. After cannabis use, concentrations of lipids and 10 of the 39 identified fatty acids were lower in milk from cases compared to controls. Milk lactose levels increased over time in controls but not in cases. Protein levels were not different between groups at any timepoint. In milk produced by cases, Δ⁹-THC levels were positively correlated with lipids and negatively correlated with lactose.</p><p><strong>Conclusion: </strong>Cannabis use may transiently influence lipid, fatty acid, and lactose concentrations, highlighting the need for further research to understand the physiology of these alterations.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"193-201"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145853985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The \"Birth\" of ABM.","authors":"Julie Ware, Anne Eglash","doi":"10.1177/15568253261421551","DOIUrl":"10.1177/15568253261421551","url":null,"abstract":"","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"229-230"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exclusive Breastfeeding in Early Infancy Is Associated with Lower Ultra-Processed Food Consumption in Toddlers.","authors":"Camila Zancheta, Mario Aldana, Natalia Rebolledo, Camila Corvalan","doi":"10.1177/15568253251408039","DOIUrl":"10.1177/15568253251408039","url":null,"abstract":"<p><strong>Introduction: </strong>Ultra-processed foods (UPFs) are increasingly present in children's diets; however, little is known about how early feeding practices influence UPF consumption in childhood. We aimed to evaluate the association between infant feeding during the first 4 months of life (breastfeeding vs. infant formula) and UPF consumption in toddlers.</p><p><strong>Methods: </strong>This prospective study included 186 exclusively breastfed and 284 exclusively formula-fed infants recruited in Santiago, Chile. At the age of 2 years, dietary intake was assessed through 24-hour recall. The caloric contribution of UPF was estimated using the Nova food classification. Associations were evaluated using fractional probit regression models adjusted for potential confounders, including child, maternal, and household characteristics.</p><p><strong>Results: </strong>UPFs contributed 44.6% of the caloric intake of toddlers. The caloric proportion of UPFs in formula-fed children was 51.0% compared with 35.5% in breastfed children. After adjustment, formula-fed children had a 15.4 percentage point higher mean UPF intake (95% CI: 12.0-19.6; <i>p</i> < 0.001), mainly due to the higher intake of UPF dairy products. Around half of the breastfed children continued to receive breast milk at 2 years, accounting for 15% of the total energy intake of this group. Compared with breastfed children, formula-fed children consumed more infant or follow-up formula (11.0% vs. 6.8%, <i>p</i> = 0.002) and milk-based drinks (23.1% vs. 15.3%, <i>p</i> < 0.001) at 2 years.</p><p><strong>Conclusions: </strong>Exclusive breastfeeding in early infancy was associated with lower UPF consumption in toddlerhood. These findings support breastfeeding promotion as a strategy to reduce early exposure to UPFs and foster healthier eating habits during childhood.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"217-224"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145853872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding and Developmental Outcomes in Infants with Prenatal Cannabis Exposure: A Retrospective Cohort Study.","authors":"Nichole Nidey, Jennifer M McAllister, Mishka Terplan, Laura R Kair","doi":"10.1177/15568253251409805","DOIUrl":"10.1177/15568253251409805","url":null,"abstract":"<p><strong>Background: </strong>Human milk is critical for maternal-infant health, yet concerns about cannabis exposure through milk may discourage breastfeeding. We examined the relationship between breastfeeding and developmental outcomes among infants with prenatal cannabis exposure.</p><p><strong>Methods: </strong>We used a regional perinatal data repository from an academic hospital system with universal maternal urine drug testing. Breastfeeding status was obtained from birth certificates. Developmental delay was identified through ICD-9/10 billing codes for delayed milestones or speech disorders. Infants whose mother tested positive for cannabis at delivery were included. Descriptive statistics compared demographic characteristics by breastfeeding status, and logistic regression estimated the odds of developmental delay.</p><p><strong>Results: </strong>Among 1,520 infants born from 2013 to 2019 with a maternal positive drug test for cannabis at delivery, 818 (54%) were not breastfed, and 702 (46%) were breastfed. In unadjusted analysis, not breastfeeding was associated with increased odds of developmental delay (OR: 1.32, 95% CI: 1.00-1.76). After adjusting for maternal tobacco use, prematurity, and birth year, this association was no longer statistically significant (OR: 1.24, 95% CI: 0.93-1.67).</p><p><strong>Conclusion: </strong>In this study, developmental outcomes did not differ by breastfeeding status among infants with prenatal cannabis exposure. These findings support current guidance from professional organizations that cannabis use is not a contradiction to breastfeeding. Further research with larger sample sizes and detailed longitudinal data is needed to better assess the potential protective role of breastfeeding against developmental delay and safety in the context of maternal cannabis use.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"225-228"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Oral Colostrum Administration Duration on Clinical Outcomes in Preterm Infants: A Randomized Controlled Trial.","authors":"Elif Ceren Oruc, Kiymet Celık, Sema Arayici, Hakan Ongun","doi":"10.1177/15568253251407971","DOIUrl":"10.1177/15568253251407971","url":null,"abstract":"<p><strong>Objective: </strong>Oral colostrum administration (OCA) for neonates is easy, simple, and safe. Previous studies have reported that OCA decreases the incidence of necrotizing enterocolitis (NEC) and late-onset sepsis (LOS) in preterm infants. However, the optimal duration of OCA has not been established. This study aimed to investigate the effect of OCA for different durations on the incidence of NEC (stage ≥2) and other morbidities.</p><p><strong>Methods: </strong>This randomized controlled study recruited premature infants born before 32 weeks of gestation. The infants were categorized into the following three groups: noncolostrum group, did not receive OCA; short-term colostrum group, received oral colostrum for 3 days; and extended colostrum group, received oral colostrum for 10 days. For additional analyses, the infants were also classified into two broader categories: colostrum (combining short-term and extended groups) and noncolostrum groups.</p><p><strong>Results: </strong>In this study, 138 infants (46 in each group) were recruited. The incidence rates of NEC in the noncolostrum, short-term colostrum, and extended colostrum groups were 10.9% (<i>n</i> = 5), 4.3% (<i>n</i> = 2), and 0% (<i>n</i> = 0), respectively. Infants in the groups receiving colostrum exhibited a decreased incidence of NEC, although the difference was not significant when analyzed according to duration (OR: 0.19; 95% CI: 0.11-0.0.32, <i>p</i> = 0.057). Compared with the noncolostrum group, infants in the colostrum group achieved full enteral feeding earlier, had a shorter antibiotic duration, and exhibited lower rates of LOS (<i>p</i> = 0.004, <i>p</i> < 0.001, <i>p</i> = 0.004, respectively). The extended colostrum group exhibited the highest exclusive breastfeeding rate at discharge (<i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>OCA improved feeding tolerance and reduced LOS in preterm infants. Although the effect on NEC was not significant, extended administration enhanced exclusive breastfeeding rates at discharge.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"209-216"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145853450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational and Racial Disparities in Breastfeeding: Associations with Work Status, Social Support, and Stress.","authors":"Britney P Smart, Margaret S Butler, J'Vian Ferguson, William Grobman, Chuhan Wu, Hy Simhan, Pathik Wadhwa, Claudia Buss, Ann E B Borders, Lauren S Keenan-Devlin","doi":"10.1177/15568253261415896","DOIUrl":"https://doi.org/10.1177/15568253261415896","url":null,"abstract":"<p><strong>Objective: </strong>Addressing the need to further characterize socioeconomic status (SES) to understand its influence on breastfeeding, we sought to identify patterns of breastfeeding at discharge by both race and educational attainment, as well as whether social support, stress, and employment status mediated these patterns.</p><p><strong>Methods: </strong>This secondary analysis of the Measurement of Maternal Stress Study included 636 pregnant individuals who were surveyed on perceived stress, social support, and hours worked outside the home in their second and third trimesters. Race was categorized as white or People of Color (POC) (Black or Latine), and educational attainment was categorized as low-SES (less than high school), mod-SES (high school and some college), or high-SES (college degree or more). Infant feeding at discharge was abstracted from medical records. Logistic regressions tested associations between race, SES, and race/SES with any breastmilk feedings.</p><p><strong>Results: </strong>In adjusted models we observed that low-SES POC had the lowest odds (adjusted odds ratio (OR): 0.10, 95% Confidence Interval (CI): 0.04, 0.23) of breast milk feeding at discharge when compared with high-SES white participants, and higher SES was associated with greater odds of breast milk feeding in all racial/ethnic groups. In adjusted models, working more hours and increased social support were not associated with greater odds of breast milk feeding. Perceived stress was not associated with breast milk feeding in unadjusted or adjusted models.</p><p><strong>Conclusions: </strong>Breastfeeding initiation rates were driven by both educational attainment and race/ethnicity. Social support, stress, and employment status did not explain differences in breastfeeding outcomes. Our results highlight the importance of considering the combined effect of race/ethnicity and SES in strategies to achieve breastfeeding equity.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":"21 3","pages":"186-192"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Combining LATCH and Bristol Breastfeeding Assessment Scales in Predicting Exclusive Breastfeeding.","authors":"Birgul Livaoglu Say, Fatma Erva Kaya, Halil Ugur Hatipoglu","doi":"10.1177/15568253251404483","DOIUrl":"10.1177/15568253251404483","url":null,"abstract":"<p><strong>Background: </strong>Early identification of breastfeeding difficulties is crucial for targeted interventions. However, the comparative effectiveness of these assessment tools remains unclear.</p><p><strong>Objective: </strong>To compare the predictive validity of the LATCH and Bristol Breastfeeding Assessment Tool (BBAT) scores measured at 24 hours and day 7 postpartum for exclusive breastfeeding at 42 days and to evaluate their combined predictive performance.</p><p><strong>Methods: </strong>This prospective cohort study included 157 mother-infant dyads (September 2024-March 2025) at a university hospital in Turkey. LATCH and BBAT scores were assessed at 24 hours and on day 7 postpartum. The primary outcome was exclusive breastfeeding at 42 days. Receiver operating characteristic (ROC) analysis was used to determine the optimal cut-off values and predictive performance.</p><p><strong>Results: </strong>The rate of exclusive breastfeeding (EBF) was 83.4% (n = 132) in the first 24 hours and 68.8% (n = 108) on day 42 of life. The LATCH score in the first week showed the highest specificity for predicting EBF on day 42. (cut-off value ≥10: area under the curve [AUC] 0.671 (95% CI: 0.582-0.760; <i>p</i> < 0.001), sensitivity 55.6%, specificity 72.3%, false positive rate 27.7%). A multiple ROC analysis was conducted to determine which of the four scores was better at predicting EBF on the 42nd day. The cutoff values were 8 for the first-week Bristol score alone, 10 for the first-week LATCH score, 5 for the first 24-hour Bristol score, and 7 for the first 24-hour LATCH score.</p><p><strong>Conclusions: </strong>Combined early assessment using LATCH and BBAT scores provides a superior prediction of EBF at 42 days compared with single indicators. The implementation of systematic screening using these tools may facilitate targeted lactation support for at-risk dyads.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"202-208"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145755277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Magnesium Sulfate in the Treatment of Maternal Postpartum Hypertension on Breastfeeding: An Integrative Review.","authors":"Holiday H Solly, Rebecca R S Clark, Diane L Spatz","doi":"10.1177/15568253261415867","DOIUrl":"10.1177/15568253261415867","url":null,"abstract":"<p><strong>Background: </strong>Magnesium sulfate is widely prescribed postpartum for seizure prophylaxis in women with preeclampsia and other hypertensive disorders of pregnancy, yet its potential effects on lactation outcomes remain underexplored.</p><p><strong>Objectives: </strong>To evaluate and synthesize the current evidence on how postpartum magnesium sulfate therapy affects lactation outcomes, including breastfeeding initiation, exclusivity, duration, pumping habits, and secretory activation (SA).</p><p><strong>Methods: </strong>This integrative review followed PRISMA guidelines and Whittemore and Knafl's framework. Literature was obtained from five databases without date restrictions. A total of 11 studies met the inclusion criteria. Methodological quality was evaluated using the Joanna Briggs Institute tools and Melnyk and Fineout-Overholt's hierarchy of evidence.</p><p><strong>Results: </strong>Data were synthesized from 11 studies published between 1993 and 2023, encompassing 2,842 participants across diverse hospital settings. Findings indicate that extended postpartum magnesium sulfate administration is associated with delayed breastfeeding initiation, delayed maternal perception of SA, and greater reliance on milk expression. Most researchers did not report maternal side effects or quantitatively measure the frequency of breastfeeding or pumping. Studies reported hospital policies that restricted rooming-in and breastfeeding during magnesium infusion.</p><p><strong>Conclusions: </strong>Postpartum magnesium sulfate administration is associated with delays in lactation initiation, missing the evidence-based critical window for frequent early milk removal. However, studies in this review rarely examine maternal side effects or feeding frequency in detail. Future research should use standardized definitions, document both frequency and mode of milk removal, evaluate objective measures of SA, evaluate maternal experience, and hospital policies.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"171-185"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146028317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Reduced Light Color Temperature after Cesarean Section on the Tranquility, Breastfeeding Motivation, and Psychological Well-Being of Postpartum Mothers: A Randomized Controlled Trial.","authors":"Emine Yıldırım, Filiz Polat","doi":"10.1177/15568253251393705","DOIUrl":"10.1177/15568253251393705","url":null,"abstract":"<p><strong>Background: </strong>Mothers in the early postpartum period may be negatively affected from the properties of light stimuli in the environment.</p><p><strong>Aim: </strong>The aim of the study is to determine the effect of reduced (medium warm white) light color temperature after cesarean section on the tranquility, breastfeeding motivation, and psychological well-being of postpartum mothers.</p><p><strong>Methods: </strong>This study was conducted as randomized-controlled experimental research with 80 mothers in their postpartum period between 07.05.2025 and 03.07.2025. The data were collected using a Personal Information Form, the Tranquility Scale (TS), the Psychological Well-being Scale (PWBS), and the Primipara Breastfeeding Motivation Scale. The mothers in the intervention group were exposed to dimmed room light between the first 12 and 24 hours of the postpartum period.</p><p><strong>Results: </strong>When the intervention and control groups were compared, a significant difference was found between the posttest TS and PWBS mean scores in the intervention group (<i>p</i> < 0.05). The difference between the posttest mean scores of the mothers in the intervention and control groups on the value ascribed to breastfeeding, expectation of success, self-effectiveness, and perceived midwife support subscales of the PBMS was found to be significant (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>A positive effect of reduced light color temperature after cesarean section on the tranquility, breastfeeding motivation, and psychological well-being of postpartum mothers was found.</p>","PeriodicalId":9142,"journal":{"name":"Breastfeeding Medicine","volume":" ","pages":"144-151"},"PeriodicalIF":1.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}