Bulletin of emergency and trauma最新文献

{"title":"Association Between Serum Albumin Levels and Clinical Outcomes in Burn Patients: A Single-center Retrospective Analysis.","authors":"Maryam Ramezanian, Parissa Bagheri Toolaroud, Cyrus Emiralavi, Mohaya Farzin, Mohammadreza Mobayen, Moein Moghaddam Ahmadi, Mohammad Tolouei, Siamak Rimaz, Mehdi Karimian, Hojat Eftekhari, Kiana Baghi, Ali Shabbak","doi":"10.30476/beat.2025.102250.1506","DOIUrl":"https://doi.org/10.30476/beat.2025.102250.1506","url":null,"abstract":"<p><strong>Objectives: </strong>Severe burns often result in significant intravascular albumin loss, leading to hypoalbuminemia. This study aimed to evaluate the association between serum albumin levels and clinical outcomes in burn patients.</p><p><strong>Methods: </strong>A retrospective, single-center study was conducted at Velayat Hospital (Rasht, Iran), including burn patients aged ≥16 years, who were admitted between April 2019 and March 2020. Serum albumin levels were recorded on day 1, day 7, and at discharge. The main variables analyzed included albumin levels, length of hospital stay, skin graft rate, need for mechanical ventilation, and mortality.</p><p><strong>Results: </strong>Among the 74 patients included in the study, 14 (18.9%) died, while 60 (81.1%) survived. The mean serum albumin levels on days 1, 7, and at discharge were significantly higher in survivors (3.09±0.22, 3.12±0.23, and 3.18±0.28 g/dL, respectively) than non-survivors (2.22±0.29, 2.74±0.29, and 2.07±0.69 g/dL, respectively) at all time points (<i>p</i><0.001). The serum albumin level measured on day 1 was significantly lower in patients who required mechanical ventilation than in those who did not (2.86±0.47 vs.3.09±0.13, <i>p</i>=0.03). Additionally, a significant inverse relationship was observed between serum albumin levels and both total body surface area burned (TBSA) and graft extent (day 1: r_s=-0.76, day 7: r_s=-0.74, discharge: r_s=-0.62; <i>p</i><0.001 for TBSA; and day 1: r_s=-0.59, day 7: r_s=-0.58, discharge: r_s=-0.50; <i>p</i><0.001 for graft extent).</p><p><strong>Conclusion: </strong>Hypoalbuminemia was associated with poor clinical outcomes in patients with severe burns. Serum albumin levels might serve as a specific marker of burn severity and a predictor of mortality.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979209","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":"Respiratory and Pulmonary Allergic Emergencies in Dental and Periodontal Surgery: A Systematic Review of Identification, Management, and Prevention Strategies.","authors":"Maryam Kazem Pour, Fariba Shokri, Babak Fozooni Moqadam, Mehdi Shokri","doi":"10.30476/beat.2025.106326.1592","DOIUrl":"10.30476/beat.2025.106326.1592","url":null,"abstract":"<p><strong>Objective: </strong>Allergic respiratory and pulmonary emergencies, though uncommon, represent a potentially lethal risk in dentistry, and anaphylaxis is the cause of a significant percentage of perioperative allergic reactions. If left uncorrected, it increases the mortality rate.</p><p><strong>Methods: </strong>Systematic review according to PRISMA guidelines with a literature search in PubMed, Scopus, Web of Science, Cochrane Library, and Embase (2000-2025). 47 studies were considered for analyzing allergens, treatment protocols, and preventive interventions. Data synthesis and extraction were conducted, and study quality was assessed using standardized tools.</p><p><strong>Results: </strong>Local anesthetics (such as lidocaine), latex, antiseptics (such as chlorhexidine), and dental materials (such as methacrylates) were identified by the review to be the most common allergens responsible for respiratory allergic emergencies. IgE-mediated reactions (such as anaphylaxis) were demarcated from non-IgE-mediated reactions, and epinephrine was revealed to be the drug of choice for first-line use in anaphylaxis. Preoperative allergy screening, premedications, and material substitution were proven to be preventive measures. Reasonable gaps in the training and preparedness of dental personnel to manage allergic emergencies were identified.</p><p><strong>Conclusion: </strong>Even though there are effective emergency protocols available, widespread implementation of universally standardized response procedures, mandatory simulation training, and enhanced preoperative risk assessment is overdue if patient safety is to evolve.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"127-139"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205703","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":"Comment on \"Comparative Analysis of 'Trauma and Injury Severity Scores' and 'Madras Head Injury Prognostic Scale' in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran\".","authors":"Mohammadreza Rahmanian, Abolfazl Shahedi","doi":"10.30476/beat.2025.108588.1631","DOIUrl":"10.30476/beat.2025.108588.1631","url":null,"abstract":"","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"231-233"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562866","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":"The impact of Albumin Administration on Mortality and Resuscitation Volume in Burn Resuscitation: A Systematic Review and Meta-Analysis.","authors":"Aditya Wardhana, Nadya Farhana, Putri Fernizi Harfah, Sheila Oklia","doi":"10.30476/beat.2025.107914.1620","DOIUrl":"10.30476/beat.2025.107914.1620","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to evaluate the impact of albumin administration on mortality and total resuscitation volume in burn patients.</p><p><strong>Methods: </strong>We systematically searched ScienceDirect, Cochrane, PubMed, MEDLINE, Scopus, and ProQuest in June 2025 using the terms \"Burns,\" \"Resuscitation,\" and \"Albumin.\" Studies were included if they investigated albumin as part of burn resuscitation in adult patients and reported on mortality and total resuscitation volume. Pediatric studies, studies using albumin for other purposes, and those using other colloids were excluded. Reviewers independently extracted data on study characteristics, patient demographics, and outcomes. The risk of bias was assessed using RoB 2 for RCTs and ROBINS-I for non-randomized studies (NRCTs). Pooled analyses were performed using Review Manager 9.3.0, applying random-effects models.</p><p><strong>Results: </strong>Eleven of the 7,365 identified articles were included. Albumin administration did not significantly affect mortality (OR=1.19 [0.62-2.28], <i>p</i>=0.57) or total resuscitation volume (OR=0.69 [-0.93-2.31], <i>p</i>=0.34). However, albumin use was associated with a reduced incidence of sepsis (OR=1.18 [1.02-1.38], <i>p</i>=0.03) and ARDS (OR=2.64 [1.43-4.86], <i>p</i>=0.02).</p><p><strong>Conclusion: </strong>The administration of albumin did not significantly impact mortality or resuscitation volume in burn patients. While there is some evidence of potential benefits in reducing complications, this is limited by heterogeneity, underscoring the need for further high-quality RCTs.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"203-214"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562873","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":"Self-Inflicted Cut-Throat Injuries in Psychiatric Patients During the COVID-19 Pandemic: A Report of Two Rare Cases.","authors":"Anurag Kumar, Khan Abdul, Anil Kumar, Majid Anwer, Sanjay Kumar, Deepak Kumar, Rekha Kumari","doi":"10.30476/beat.2025.105222.1563","DOIUrl":"10.30476/beat.2025.105222.1563","url":null,"abstract":"<p><p>Suicidal cut-throat injuries are rare in Indian society, as reported by the National Crime Records Bureau (NCRB). However, during the COVID-19 pandemic, a significant rise in unemployment among Indian youth led to increased psychological distress and depression, contributing to a surge in suicide cases, including those presenting with cutthroat injuries in emergency departments. This study reported two distinct cases of suicidal cutthroat injuries, both involving young individuals who were unemployed during the pandemic and suffered from underlying psychiatric disorders. Both patients presented with severe neck injuries, requiring immediate and complex intervention. Their conditions were further complicated by the psychological trauma associated with their mental health disorders. The management of these cases required a multidisciplinary approach, involving emergency medical care, surgical intervention, and psychiatric support. Both patients received prompt attention and stabilization, followed by psychological counseling and long-term psychiatric care. Their recovery was closely monitored, with a focus on addressing the root causes of their distress. These cases highlighted the increasing incidence of suicidal cutthroat injuries during the COVID-19 pandemic and emphasized the need for a comprehensive, multidisciplinary approach to managing both the physical and psychological aspects of such critical situations. This report underscored greater attention to mental health, particularly among the unemployed youth during crises.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673958","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":"Prevalence and Risk Factors of Dental Trauma in Pediatrics and Adolescents: A Retrospective Study in Ilam, Iran.","authors":"Fahimeh Feili, Mohamadali Roozegar, Aminollah Vasigh","doi":"10.30476/beat.2025.105911.1576","DOIUrl":"10.30476/beat.2025.105911.1576","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the prevalence of dental trauma (DT) in pediatrics and adolescents in Ilam.</p><p><strong>Methods: </strong>This retrospective study was conducted in Ilam (Iran) on a group of pediatric and adolescent patients with DT between 2017 and 2021. The researchers reviewed patient records from hospital-based specialty clinics providing DT treatment. Using a predefined checklist, they extracted the relevant data from the patients' medical files.</p><p><strong>Results: </strong>In this study, 246 pediatrics and adolescents were examined, including 144 (58.5%) boys and 102 (41.5%) girls. Regarding age distribution, 104 (42.3%) patients were in the pediatric age group (mean age: 7.1±3.2 years) and 142 (57.7%) were adolescents (14.8±5.1 years). A significant relationship was found between place of occurrence with sex (OR=0.77; 95% CI=0.64-0.93; <i>p</i>=0.008) and age group (OR=0.73; 95% CI=0.6-0.89; <i>p</i>=0.002). Additionally, the type of trauma showed a significant association with sex (OR=1.24; 95% CI=1.08-1.43; <i>p</i>=0.002), while the treatment provided was significantly associated with school type (OR=0.79; 95% CI=0.65-0.96; <i>p</i>=0.02). In addition, there was no significant relationship between the demographic variables and dental injury-related factors (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>The present study found a higher prevalence of DT in boys than in girls. However, this trend reversed in the adolescent age group. In addition, public schools had a higher rate of DT, which influenced the types of treatments provided.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205644","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":"Factors Influencing Traffic Accidents Among the Elderly in Northern Iran: A Qualitative Content Analysis.","authors":"Nima Faghirpour, Enayatollah Homaie Rad, Leila Kouchakinejad, Zahra Mohtasham-Amiri","doi":"10.30476/beat.2025.104342.1547","DOIUrl":"10.30476/beat.2025.104342.1547","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to explore experts' perspectives on the factors contributing to accidents involving the elderly in Guilan, Iran.</p><p><strong>Methods: </strong>This qualitative study employed conventional content analysis with an inductive approach in 2024. Fourteen experts from Guilan (Iran) were purposefully selected. Data were collected through individual face-to-face interviews using a semi-structured interview guide containing open-ended questions, which was developed through an expert panel discussion. All stages of data analysis were performed manually following the Graneheim and Lundman's approach.</p><p><strong>Results: </strong>Three main categories, 10 subcategories, and 29 key codes were identified. The \"Individual Factors\" category had six subcategories: physical abilities, psychological factors, traffic literacy, cultural attitudes, and Individual needs. The \"Environmental Factors\" had two subcategories: road and traffic infrastructure, and weather conditions. The \"Policy-making\" category consisted of three sub-categories: transportation safety, healthcare system, and public education.</p><p><strong>Conclusion: </strong>To reduce damages from elderly-related accidents, preventive measures should focus on improving health services, enhancing traffic education, and addressing specific behavioral and cultural factors. Additionally, enhancing infrastructure, designing age-appropriate vehicles, and implementing targeted policies could significantly mitigate accident risks among this population.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"90-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673955","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":"Comparative Analysis of \"Trauma and Injury Severity Scores\" and \"Madras Head Injury Prognostic Scale\" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran.","authors":"Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji","doi":"10.30476/beat.2025.104632.1554","DOIUrl":"10.30476/beat.2025.104632.1554","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.</p><p><strong>Methods: </strong>In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).</p><p><strong>Results: </strong>The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (<i>p</i>=0.797).</p><p><strong>Conclusion: </strong>Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673954","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":"Application of Silver Diamine Fluoride in Dental Trauma: A Case Series Study.","authors":"Mridula Goswami, Vashi Narula, Babita Jangra","doi":"10.30476/beat.2025.103986.1541","DOIUrl":"10.30476/beat.2025.103986.1541","url":null,"abstract":"<p><strong>Objective: </strong>Dental injury is a significant issue in children due to their immature physical, cognitive, and physiological development. These factors often result in heightened fear and behavioral challenges during their first visit following trauma, which can compromise the quality of treatment and lead to a poor prognosis for the affected tooth. Silver Diamine Fluoride (SDF), a colorless solution approved by the US FDA for treating dental hypersensitivity and caries, offers a simple, painless, and non-invasive treatment option. Its application involves a paint-on technique with a powerful fluoride formulation, making it an ideal choice for the initial management of enamel and dentin fractures in primary teeth, particularly in uncooperative young children.</p><p><strong>Case description: </strong>This case series described four cases in which SDF was successfully used as the primary treatment for Ellis Class IX anterior tooth trauma in very young children with negative behavior responses in the dental setting. The procedure required minimal armamentarium and was well-tolerated by all patients.</p><p><strong>Conclusion: </strong>In each case, the use of SDF yielded successful and satisfactory outcomes, with a favorable prognosis for the affected teeth. Additionally, the treatment contributed to a positive shift in the children's attitudes toward dental care.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977033","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":"Prognostic Value of Lactate Levels in Trauma Patients' Outcomes in Emergency Department.","authors":"Sayyed Majid Sadrzadeh, Vahid Talebzadeh, Seyed Mohammad Mousavi, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi, Hamideh Feiz Disfani","doi":"10.30476/beat.2025.103125.1519","DOIUrl":"https://doi.org/10.30476/beat.2025.103125.1519","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the prognostic role of lactate clearance in predicting outcomes among trauma patients admitted to the emergency department.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted on patients referred to the Emergency Department. Serum lactate levels were measured at admission and 2 hours later. The patients were followed up for 72 hours to assess outcomes, including discharge, hospitalization in other wards, and mortality.</p><p><strong>Results: </strong>The results showed a significant difference between the mean age, Glasgow Coma Scale (GCS), systolic blood pressure (SBP), pulse rate (PR), and oxygen saturation (O₂ Sat) of the trauma patients in relation to mortality prognosis (<i>p</i><0.05). Additionally, significant differences were found in primary lactate, lactate levels two hours post-admission, and lactate clearance levels based on the patient's prognosis (<i>p</i><0.01). Multivariate logistic regression analysis revealed that lactate clearance was associated with a reduced mortality rate among trauma patients (OR=0.907, <i>p</i><0.05).</p><p><strong>Conclusion: </strong>The findings of this study showed that lactate clearance, as an independent predictive factor, was associated with poorer prognosis and increased mortality rates in trauma patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976885","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}