Journal of public health dentistry最新文献

{"title":"Starch intake and changes in dental caries among adults: A longitudinal study in Finland.","authors":"F H Jangda, A L Suominen, A Lundqvist, S Männistö, A Golkari, E Bernabé","doi":"10.1111/jphd.12650","DOIUrl":"https://doi.org/10.1111/jphd.12650","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between starch intake (amount and type) and changes in dental caries among adults over 11 years.</p><p><strong>Methods: </strong>Data from 1679 adults, aged 30 years and over, who participated in three consecutive surveys in Finland were pooled for analysis. Participants completed a validated semi-structured 128-item food frequency questionnaire at baseline, from which total starch intake (g/day and % energy intake) and the intake (g/day) of seven food groups high in starch (potatoes, potato products, roots and tubers, refined grains, pasta, wholegrains, and legumes) were estimated. Dental caries was determined during clinical examinations and summarized using the DMFT score, which was treated as a repeated outcome. The association between baseline starch intake and 11-year-change in DMFT score was tested in linear mixed-effects models adjusted for sociodemographic factors, behaviors, sugar intake, and health status.</p><p><strong>Results: </strong>The mean DMFT score was 21.9 (95%CI: 21.6, 22.2) in 2000 (baseline), increasing by 0.47 (95% CI: 0.38, 0.56) in 2004/05, and additionally by 0.33 (95%CI: 0.20, 0.45) in 2011. Total starch intake was not associated with change in DMFT. This finding was similar irrespective of how starch intake was expressed (g/day or %EI). Of the seven food groups evaluated, only the intake of pasta was inversely associated with the DMFT score at baseline, but not with the change in DMFT over time.</p><p><strong>Conclusion: </strong>Neither the amount nor the type of starch intake was associated with changes in dental caries over 11 years among Finnish adults.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645306","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":"The effect of water filter pitchers on the mineral concentration of tap water.","authors":"Loai Wadea Hazzazi, Armando E Soto-Rojas, E Angeles Martinez-Mier, Hani M Nassar, George J Eckert, Frank Lippert","doi":"10.1111/jphd.12649","DOIUrl":"https://doi.org/10.1111/jphd.12649","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effect of water filter pitchers on the concentration of different minerals in tap water.</p><p><strong>Methods: </strong>Nine water filter pitchers (A-I) were chosen based on consumer preferences and Amazon reviews. Each filter was tested for its ability to modify the concentrations of fluoride, calcium, magnesium, potassium, and sodium in tap water. Tap water samples were collected before and after filtration, at various intervals (1, 5, 10, 30, 50, 75, and 100 L) during filtration, and analyzed using an ion-specific electrode (fluoride) and atomic absorption spectrometry (other minerals). Statistical analyses were conducted to compare filtered and unfiltered water mineral concentrations.</p><p><strong>Results: </strong>Water filter pitcher effect: Filters F (p < 0.001) and G (p = 0.030) decreased fluoride concentrations. All filters except I (p = 0.235) and H (p = 0.717) decreased calcium concentrations (p < 0.01). Filters E (p = 0.018), D (p = 0.014), and G (p = 0.010) decreased magnesium concentrations. Filters I (p = 0.028) and D (p = 0.009) increased potassium concentrations. Filter A (p = 0.002) increased sodium concentrations, while C (p = 0.034) decreased sodium concentrations. Effect of filter aging: All filters affected mineral concentrations over time but to varying extents. Filter G had the most pronounced effect on reducing mineral concentrations compared to all others. No filter was able to completely remove fluoride from tap water, contrary to the claims made by three manufacturers.</p><p><strong>Conclusions: </strong>The present study highlighted that water filter pitchers vary greatly in their ability to affect mineral concentrations in tap water during their use. Further research is needed to develop more effective water treatment solutions.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592203","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":"Dietary questions in caries risk assessment and their relationship to caries.","authors":"Casey Delaney, John Warren, Oscar A Rysavy, Teresa Marshall","doi":"10.1111/jphd.12647","DOIUrl":"https://doi.org/10.1111/jphd.12647","url":null,"abstract":"<p><strong>Objective: </strong>This retrospective chart review evaluated the relationship between specific dietary questions used in caries risk assessment and planned restorative treatment among patients attending a dental school's clinic.</p><p><strong>Methods: </strong>Records for 6,218 adult patients attending the University of Iowa College of Dentistry who completed caries risk assessments and comprehensive oral examinations during 2018-2019 were included. The number of planned caries restorative treatments were compared between groups based on responses to specific dietary questions on the caries risk assessment. Analyses included chi-square and Wilcoxon rank-sum tests and logistic regression for factors associated with caries treatments.</p><p><strong>Results: </strong>About 20% of subjects needed caries treatment, and regression analyses found that younger age, having unstructured meals, drinking sugared beverages daily, and drinking them for more than 30 min were significantly (p < 0.01) associated with having caries.</p><p><strong>Conclusions: </strong>Specific and focused questions on dietary practices are strongly associated with caries, and may be useful in improving caries risk assessments.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396365","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":"The relationships between unmet social needs, oral health measures, and dental service utilization in a pediatric population.","authors":"Alison Riley, Millie Dolce, Jin Peng, Paul Casamassimo, Homa Amini","doi":"10.1111/jphd.12646","DOIUrl":"https://doi.org/10.1111/jphd.12646","url":null,"abstract":"<p><strong>Objectives: </strong>Social Determinants of Health (SDoH) have been linked to health, including oral health and oral health behaviors. Objectives of this retrospective records review were to evaluate the relationships between self-reported unmet social needs and (1) oral health measures and (2) dental service utilization in a pediatric population at a hospital-based dental clinic.</p><p><strong>Methods: </strong>Children 2-5 years of age whose families had completed a SDoH survey and who had an encounter with one United States (U.S.) urban children's hospital dental clinic within 6 months (± 3 months) of the survey date were included. A chart review was performed, and information was collected about the child's (1) oral health (e.g., plaque level, presence of caries) and (2) dental service utilization (e.g., no-show rates, number of dental surgeries). The data of patients with one or more parental/caretaker-reported unmet social needs were compared with that of patients with no unmet social needs.</p><p><strong>Results: </strong>Inclusion criteria were met by 2646 children. Those with unmet social needs had significantly higher no-show rates at scheduled appointments than those without unmet social needs (p-value <0.001). Patients who identified as African/Black were more likely to report unmet social needs. There was no statistically significant difference in oral health measures of patients with or without unmet social needs.</p><p><strong>Conclusions: </strong>Children in this population demonstrated varying associations between unmet social needs, health measures, and health behaviors, suggesting a likely complicated association between unmet social needs and health.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378745","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":"Rising trend of dentist-prescribed antibiotics in Brazil: 2011-2021.","authors":"Alex Junio Silva Cruz, Maria Auxiliadora Parreiras Martins, Victor Santos Batista, Jacqueline Silva Santos, Thiago Rezende Dos Santos, Lia Silva de Castilho, Woosung Sohn, Mauro Henrique Nogueira Guimarães Abreu","doi":"10.1111/jphd.12645","DOIUrl":"https://doi.org/10.1111/jphd.12645","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the trends in antibiotic prescribing by dental practitioners and to investigate the relationship between these trends and some factors of public oral health services in Minas Gerais (MG), Brazil.</p><p><strong>Methods: </strong>This was a time-series analysis of antibiotics prescribed by dental practitioners between January 2011 and December 2021. The outcome variables were number of defined daily doses (DDD) and DDD/1000 population/year in a sample of cities in MG. Covariates were public oral healthcare factors, such as coverage, estimates of dental procedures, and frequency of dental pain. Linear time-series regression models were used to examine trends and the influence of covariates on antibiotic prescribing.</p><p><strong>Results: </strong>Overall, the number of prescriptions increased by 334.69% between 2011 and 2021, with amoxicillin being the most commonly prescribed drug (78.53%). The number of DDD for all antibiotics increased from 17,147.13 to 77,346.67 and the average DDD/1000 inhabitants/year was 126.66 (SD: 130.28). The linear time-series regression model showed that for each one-year increase, the average log DDD/1000 inhabitants increased by 0.35 (standard error = 0.07, p < 0.001). No covariates were found to be associated with the outcome.</p><p><strong>Conclusions: </strong>In Minas Gerais, Brazil, a significant upward trend was observed in the number of prescriptions and the number of DDD of antibiotics prescribed by dental practitioners. No influence of factors related to public oral healthcare services on the outcome was observed, thereby emphasizing the need for further research on factors influencing medication use in dental practice.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373890","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":"Associations between longitudinal fluoride intakes from birth to age 23 and multi-row detector computed tomography bone densitometry outcomes at age 23.","authors":"Gurjot Kaur Bhatia, Steven M Levy, John J Warren, Oscar A Rysavy, Punam K Saha, Xiaoliu Zhang, Erliang Zeng","doi":"10.1111/jphd.12643","DOIUrl":"https://doi.org/10.1111/jphd.12643","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the relationships between longitudinal fluoride intakes and bone densitometry outcomes in young adults.</p><p><strong>Methods: </strong>Data were analyzed from the Iowa Fluoride Study and Iowa Bone Development Study, which followed 1,882 infants from birth in 1992. Daily fluoride intakes were assessed using detailed questionnaires sent every 1.5-6 months, and multi-row detector computed tomography (MDCT) scans of distal tibia were obtained from 330 participants aged 23 years. Sex-specific bivariate and multivariable associations with MDCT outcomes were examined using linear regression. Because of the multiple statistical analyses being conducted, p-values < 0.01 were considered statistically significant.</p><p><strong>Results: </strong>In fully adjusted analyses, no statistically significant (p < 0.01) or suggestive (0.01 < p < 0.05) associations were found between period-specific or cumulative fluoride intake and bone measures for either sex, although there were suggestive positive relationships in unadjusted analyses.</p><p><strong>Conclusions: </strong>Longitudinal fluoride intakes had little association with bone measures at age 23. As there were no adverse effects from fluoride intake on bone health in young adults, results support the continued use of fluorides, particularly community water fluoridation is the most cost-effective method of dental caries prevention.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147218","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":"Bridging oral health and nutrition: Assessing produce prescription programs in pediatric dental clinics serving low-income communities.","authors":"Zachary L Houser, Elizabeth Lyden, Claire C Koukol, Courtney A Parks","doi":"10.1111/jphd.12642","DOIUrl":"https://doi.org/10.1111/jphd.12642","url":null,"abstract":"<p><strong>Objectives: </strong>This study assesses the needs and feasibility of conducting a produce prescription (produce Rx) program in a pediatric dental clinic setting serving low-income patients.</p><p><strong>Methods: </strong>We conducted a cross-sectional quantitative survey examining several household characteristics including demographics, benefits received, fruit and vegetable intake patterns, food security, feasibility of a produce Rx program, and respondents' answers to questions based on social cognitive theory constructs. The survey was administered at the University of Nebraska Medical Center (UNMC) pediatric dental clinic, a pediatric dental residency clinical training site. One hundred adult respondents with low income completed a 36-item questionnaire during their child's dental appointment.</p><p><strong>Results: </strong>Almost half of respondents reported experiencing food insecurity (45%). Respondents who were food insecure experienced higher levels of nutrition insecurity (p = 0.012), less confidence in choosing fruits and vegetables (FVs) (p = 0.026), difficulty in purchasing FVs in their neighborhood (p = 0.012), and more concern that FVs cost too much (p < 0.001) when compared to respondents who were food secure. Notwithstanding the barriers they face, almost all respondents reported that they eat FVs because of health benefits (95%) and to set a good example for their family (91%). Additionally, most respondents expressed an interest in produce Rx programs (80%) and nutrition education activities (81%).</p><p><strong>Conclusions: </strong>This study demonstrated the potential for produce Rx program uptake in a pediatric dental clinic setting through positive caregiver-reported need and interest. Future studies should explore how produce Rx programs can be adapted most effectively in this novel setting.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121448","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":"Parental perceptions of an oral health promotion program in early childhood education and care settings: A qualitative study.","authors":"Lauren Suzanne Heller, Rashmi Pithavadian, Sowbhagya Micheal, Navira Chandio, Prathyusha Sanagavarapu, Jinal Parmar, Susan Cartwright, Linda Slack-Smith, Amit Arora","doi":"10.1111/jphd.12641","DOIUrl":"https://doi.org/10.1111/jphd.12641","url":null,"abstract":"<p><strong>Objectives: </strong>Early Childhood Caries is a global health problem. The Bright Smiles Bright Futures (BSBF) program seeks to equip educators, children, and parents with skills and knowledge about oral health promotion habits early in life. The aim of this study was to examine parental perceptions of the BSBF program and identify key facilitators and barriers for its implementation.</p><p><strong>Methods: </strong>Twelve mothers of children who participated in the BSBF program in five Early Childhood Education and Care (ECEC) settings in NSW, Australia were recruited in this qualitative study. Data were collected via focus groups and interviews, transcribed verbatim and coded to categorize for inductive thematic analysis.</p><p><strong>Results: </strong>Five major themes emerged: Promoters of the BSBF oral health program, barriers to the BSBF oral health program implementation and participation, online resources, impact of the BSBF oral health program, and strategies for enhancing the BSBF oral health program. While participants reported that the program encouraged their children's toothbrushing, they found issues with the program's materials, ECEC center attendance, and communication about the oral health program with their children. The program improved message retention, attitudes, routines, and family perceptions toward oral health. Participants recommended oral health literacy, changed delivery formats, increased dental access, and inclusion of interactive elements to enhance the program.</p><p><strong>Conclusions: </strong>The findings from this study provide insight to improve parents' experiences and engagement in oral health promotion. This can help to raise awareness of the importance of child oral health among policymakers, healthcare professionals, and the public to inform public health policy discussions.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116608","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":"Initial development of the Sugar-Sweetened Fruit Drink Questionnaire for examining beliefs, knowledge, and behaviors in an intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.","authors":"Todd C Edwards, Cameron L Randall, Courtney M Hill, Scarlett Hopkins, Eliza Orr, Stephanie Cruz, Jeffrey Lee, Lloyd Mancl, Donald L Chi","doi":"10.1111/jphd.12639","DOIUrl":"https://doi.org/10.1111/jphd.12639","url":null,"abstract":"<p><strong>Objective: </strong>Alaska Native children may be at increased risk for dental caries because of added sugar intake from sugar-sweetened fruit drinks. This study describes development of a questionnaire to (a) assess Alaska Native caregivers' beliefs, knowledge, and behaviors regarding sugar-sweetened fruit drinks, and (b) describe behavior changes within a community-based intervention.</p><p><strong>Methods: </strong>Questionnaire development was conducted in three phases with Yup'ik Alaska Native caregivers in Southwest Alaska: (1) initial selection and adaptation of questionnaire items; (2) cognitive testing; and (3) data collection. The Sugar-Sweetened Fruit Drink Questionnaire (SFDQ) contains 31 culturally-tailored items across six areas: beliefs/values, environment/skills, knowledge, motivation, self-efficacy, and behaviors.</p><p><strong>Results: </strong>Eighty-one percent of caregivers gave their children sugar-sweetened fruit drinks. Motivations included: what they grew up with (52%), few other options (46%), makes child happy (46%), healthier than soda (45%), and others in community drink them (42%). On average, 93% of caregivers believed drinking a lot of sugar-sweetened fruit drinks leads to cavities in children and caregivers agreed (mean 4.1 on 5-point scale, 5 = strongly agree) it is important to limit sugar-sweetened fruit drinks. Among a sub-sample of respondents (n = 20), we found low to moderate temporal stability in some SFDQ items over a 10-14 day period, indicating respondent ambivalence and/or uncertainty.</p><p><strong>Conclusions: </strong>Using community-based participatory research methods, we developed a culturally tailored exploratory questionnaire that will be used to describe changes in caregiver knowledge, beliefs, attitudes, self-efficacy, and behavior within a planned intervention to reduce sugar-sweetened fruit drink intake in Alaska Native children.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074865","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":"Teledentistry utilization by oral health professionals and policy considerations: A mixed methods case study.","authors":"Kelly Schroeder, Morgan Santoro, Eric P Tranby, Lisa Heaton, Sharity Ludwig, Paige Martin, Sarah E Raskin","doi":"10.1111/jphd.12640","DOIUrl":"https://doi.org/10.1111/jphd.12640","url":null,"abstract":"<p><strong>Objectives: </strong>To examine variations in the delivery of teledentistry after the COVID-19 pandemic and to explore oral health professionals' utilization of various teledentistry modes of delivery.</p><p><strong>Methods: </strong>In this mixed methods case study, we collected teledentistry claims data from patient electronic health records (n = 78,756) encompassing various types of teledentistry utilization in clinical settings and through community outreach from a Dental Support Organization (DSO) in Oregon from January 2021 to November 2022. We analyzed the patient demographic and claims data using descriptive statistics and logistic regression analyses to identify patterns of teledentistry service delivery. Qualitatively, we conducted virtual interviews (n = 13) through Microsoft Teams with oral health professionals about their experiences with teledentistry utilization. We used inductive and deductive coding to code individual transcripts and identify common themes among provider experiences.</p><p><strong>Results: </strong>Out of the 78,756 electronic health record claims for teledentistry, 75.7% used synchronous audio, 13.4% used synchronous video, and 10.9% used asynchronous teledentistry methods. We observed a 8.6% increase in synchronous audio teledentistry utilization at the end of the study period, compared with a 4.2% increase in synchronous video and a 4.4% decrease in asynchronous teledentistry. Oral health professionals interviewed reported choosing the type of teledentistry delivery based on patient and provider access to the virtual teledentistry platform.</p><p><strong>Conclusion: </strong>Oral health professionals' knowledge of and experiences with teledentistry need to be considered when developing policy and best practices for the use of teledentistry for patient care.</p>","PeriodicalId":94108,"journal":{"name":"Journal of public health dentistry","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142006199","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}