{"title":"Evaluation of the Effectiveness, Safety, and Patient Satisfaction of Artificial Intelligence-Based Patient Education and Counseling for Both Recipients and Donors in the Preoperative and Postoperative Phases of Organ Transplantation.","authors":"Veysel Umman, Busra Tosun, Abdulkerim Uygur, Sukru Emre","doi":"10.1016/j.transproceed.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.07.001","url":null,"abstract":"<p><strong>Introduction: </strong>Effective patient education is critical in organ transplantation, particularly for living donor groups, where informed decision-making impacts both donors and recipients. AI-driven solutions, such as OpenAI's ChatGPT, can enhance education by providing real-time responses. This study assessed the effectiveness, safety, and satisfaction of an AI-supported patient education system integrated with WhatsApp and a Customer Relationship Management (CRM) system.</p><p><strong>Methods: </strong>A prospective observational study was conducted at our transplant center between October 1, 2023, and July 31, 2024. Eligible participants included adults (18-65 years) who were either recipients or living donor candidates for kidney and liver transplantation. AI-generated responses were retrospectively evaluated by transplant physicians for accuracy and safety using a 5-point Likert scale. Patient satisfaction was assessed using the validated Turkish Short Assessment of Patient Satisfaction (SAPS) form.</p><p><strong>Results: </strong>A total of 196 patients submitted 1281 questions, categorized into nine thematic groups. The most common inquiries pertained to post-transplant social life and work resumption (25.2%). AI responses demonstrated high safety (92% scoring ≥4) and accuracy (80% scoring ≥4). The highest accuracy was for surgical technique-related questions (4.7/5), while general questions had the lowest (4.2/5). Patient satisfaction was overwhelmingly positive, with 99.5% expressing satisfaction.</p><p><strong>Conclusion: </strong>The AI-supported system provided accurate and safe preoperative and postoperative education for transplant patients, demonstrating high satisfaction. AI integration into clinical workflows presents a promising advancement, though challenges related to accuracy and ethics remain. Future research should explore AI's role in image recognition and triage to optimize transplant patient care.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796598","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":"Biliary Complications and Management After Liver Transplantation.","authors":"Tufan Egeli, Ibrahim Kemal Astarcioglu, Tarkan Unek, Mucahit Ozbilgin, Cihan Agalar, Aytac Gulcu, Mesut Akarsu, Nilay Danis, Aylin Bacakoglu, Berkay Sakaoglu, Emre Karadeniz, Huseyin Astarcioglu, Sedat Karademir","doi":"10.1016/j.transproceed.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.07.002","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the incidence, causes, and treatment methods of biliary complications (BC) following liver transplantation (LT).</p><p><strong>Patients and methods: </strong>Patients who underwent LT between February 1997 and 2024 were identified. Cases with BC were determined. Patients aged 18 years and older were classified as adults. Patients who experienced mortality within the first postoperative week or had spontaneous regression of bile drainage were excluded. The study aimed to evaluate the incidence and types of BC, complications associations between recipient/donor characteristics, graft type, steatosis, cold ischemia time (CIT), number of bile ducts, donor hepatectomy technique, and type of biliary reconstruction. Additionally, treatment methods, morbidity, and mortality rates were analyzed.</p><p><strong>Results: </strong>A total of 590 patients were included in the study. BC occurred in 49 patients (8.2%). In the multivariate analysis including all patients, living donor LT and prolonged CIT were identified as risk factors for the development of BC (P ≤ .001 and P ≤ .001, respectively). In the multivariate analysis conducted exclusively on cases who underwent LT due to cirrhosis, the factors associated with the development of BC were identified as living donor transplantation (P = .001), prolonged CIT (P ≤ .001), and viral etiology (P = .046). Complications were managed using endoscopic and interventional radiologic techniques. Mortality due to BC occurred in 19 (38.7%) of the cases.</p><p><strong>Conclusion: </strong>BC are still a significant challenge in LT. Identifying and avoiding causative factors and strict selection criteria may substantially reduce the incidence of BC. Effective treatment can be achieved through a multidisciplinary approach in most cases.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762925","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 Portal Vein Variants on the Margin of Error in Graft Volume Calculation in Living Donor Right Lobe Liver Transplantation.","authors":"Feyza Sönmez Topcu, Veysel Ersan, Emrah Şahin, Adem Tunçer, Hasret Ayyıldız Civan, Abuzer Dirican, Bülent Ünal","doi":"10.1016/j.transproceed.2025.06.017","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.06.017","url":null,"abstract":"<p><strong>Background: </strong>Selecting the appropriate graft for living donor liver transplantation requires accurate calculation of estimated graft volume.</p><p><strong>Purpose: </strong>To investigate the error rate in graft volume calculation in the preoperative evaluation of donor liver and the contribution of donor portal vein type to the error margin.</p><p><strong>Material and methods: </strong>The study included 197 right lobe liver donors. Estimated graft volume calculations based on preoperative radiological images of donors were retrospectively reviewed. Demographic data of the donors and liver portal vein type were recorded. The proportional differences between the weight of the right lobe graft removed during transplantation and the estimated volume were calculated separately according to the portal vein groups. The margin of error in the estimated graft volume measurement and the effect of portal vein type were statistically evaluated.</p><p><strong>Results: </strong>Considering all donors, estimated preoperative volume was calculated to be 6.877% higher than actual graft weight on average. Preoperative estimated graft volume was on average 5.746% higher for Type 1, 8.311% higher for Type 2, and finally 17.883% higher for Type 3 portal vein variant. It was shown that, as the portal vein anatomy in the donor becomes more complex, the negatively proportional difference in preoperative volume estimation increases.</p><p><strong>Conclusion: </strong>Volume estimation showed a negative proportional difference for all three variants of the portal vein. Especially, the presence of a Type 3 portal vein in the liver graft may cause more errors in preoperative graft volume calculation.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755472","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}
Necattin Fırat, Alper Karacan, Emrah Akın, Fatih Altıntoprak, Fehmi Çelebi, Salih Salihi, Enes M Kocatürk, İbrahim F Küçük, Hamad Dheir
{"title":"Comparison of Double Renal Artery Anastomosis With Single Renal Artery Anastomosis in Kidney Transplant Recipients; Is There Any Effect on Graft Function?","authors":"Necattin Fırat, Alper Karacan, Emrah Akın, Fatih Altıntoprak, Fehmi Çelebi, Salih Salihi, Enes M Kocatürk, İbrahim F Küçük, Hamad Dheir","doi":"10.1016/j.transproceed.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.07.003","url":null,"abstract":"<p><strong>Objective: </strong>Vascular anatomical variations in the graft are evaluated regarding the number of arteries, early branching, and venous drainage. The aim of this study was to compare the outcomes of patients who underwent double renal artery anastomosis and single renal artery anastomosis in LDKT.</p><p><strong>Methods: </strong>Between April 2019 and December 2023, LDKT cases were retrospectively evaluated in our center. A control group was formed from patients who underwent single renal artery anastomosis with similar characteristics to those who underwent double renal artery anastomosis. Demographic characteristics, graft function tests, routine blood and urine tests, postoperative artery resistivity index (ARI) and pulsatile index (PI) values, post-transplant complications, length of hospitalization, and control parameters at the last follow-up were evaluated.</p><p><strong>Results: </strong>174 living donor kidney transplants were performed during the defined period. The study group consisted of 20 patients (DRA group) who underwent double renal artery anastomosis, and the control group (SRA group) consisted of 33 patients who underwent single renal artery anastomosis. There was no significant difference between the demographic characteristics of the donors and recipients (P > .05). Postop and current ARI and PI values were also similar between the 2 groups (P > .05). However, the albumin/creatinine ratio in spot urine was significantly higher in DRA group compared to SRA group (P = .039).</p><p><strong>Conclusion: </strong>Multiple vessel anastomoses are inevitably performed because of the variations seen in renal arteries. Even if the artery diameter is small, with good surgical technique, similar results can be achieved to anastomoses in single artery grafts.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736482","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":"Monitoring CD3(+) T Cells in Kidney Transplantation and Immunosuppression Adequacy.","authors":"Kemal Eyvaz, Arif Aslaner, Arif Ata Kiravkazli","doi":"10.1016/j.transproceed.2025.06.016","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.06.016","url":null,"abstract":"<p><strong>Background: </strong>Monitoring CD3(+) T-cell counts in kidney transplant recipients can provide valuable insights into immunosuppressive therapy effectiveness. This study aimed to evaluate the use of CD3(+) T-cell levels as biomarkers for immunosuppression adequacy and to assess their predictive value for acute rejection post-transplantation.</p><p><strong>Methods: </strong>A retrospective review was conducted involving 130 kidney transplant recipients who received induction therapy with antithymocyte globulin (ATG). CD3(+) T-cell percentages and absolute counts were measured using flow cytometry on postoperative day 5. Immunosuppression was maintained with tacrolimus, initiated upon clinical indicators of graft function recovery.</p><p><strong>Results: </strong>Among monitored patients, the median CD3(+) T-cell percentage was 48%, and median absolute count was 0.14 × 10⁹/L. Acute rejection occurred in 9.9% of recipients. Higher CD3(+) T-cell values significantly correlated with acute rejection (64.0% vs 47.5%, p = .011; absolute count 0.28 vs 0.13 × 10⁹/L, p = .032). ROC analysis identified optimal predictive thresholds: 54% for CD3(+) percentage (sensitivity 85.7%, specificity 73.4%) and 0.21 × 10⁹/L for absolute count (sensitivity 85.7%, specificity 75.0%).</p><p><strong>Conclusions: </strong>CD3(+) T-cell monitoring effectively guides individualized immunosuppressive strategies, significantly predicting acute rejection risks and optimizing graft outcomes.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669246","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":"Outcomes of Liver Transplantation Among Patients Diagnosed With Acute-on-Chronic Liver Failure: A Single-Center Experience.","authors":"Yoshitaka Saegusa, Masahiro Ohira, Naruhiko Honmyo, Ryosuke Nakano, Hiroshi Sakai, Seiichi Shimizu, Shintaro Kuroda, Hiroyuki Tahara, Kentaro Ide, Tsuyoshi Kobayashi, Yuka Tanaka, Hideki Ohdan","doi":"10.1016/j.transproceed.2025.06.015","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.06.015","url":null,"abstract":"<p><strong>Background: </strong>Acute-on-chronic liver failure (ACLF) describes the rapid deterioration of liver function triggered by factors including alcohol consumption, infection(s), and exacerbation(s) of chronic liver disease, and is characterized by a persistent \"cytokine storm.\" While liver transplantation is the most effective treatment, comprehensive data regarding patient outcomes are limited.</p><p><strong>Methods: </strong>Clinical data from 187 patients, who underwent liver transplantation (excluding re-transplantations and acute liver failure) between 2009 and 2023, were analyzed in accordance with Japan's ACLF diagnostic criteria. Immunological analysis included a mixed lymphocyte reaction with carboxyfluorescein succinimidyl ester staining (CFSE-MLR).</p><p><strong>Results: </strong>Among 171 patients, 13 had ACLF (grade 0, n = 6; grade 2, n = 5; grade 3, n = 2), and 158 had non-ACLF. Five-year survival rates for the ACLF and non-ACLF groups were similar regardless of ACLF severity. Patients with ACLF had higher preoperative Model for End-stage Liver Disease (ie, \"MELD\") scores and Child-Pugh scores, and higher rates of dialysis, renal dysfunction, and respiratory failure (P < .05). The graft rejection rate was higher in the ACLF group than that in the non-ACLF group, and the CFSE-MLR assay revealed significantly elevated CD8-positive T cell responses to donor antigens in the first week post-transplantation.</p><p><strong>Conclusion: </strong>Patients with ACLF achieved favorable postoperative outcomes despite poor preoperative conditions. High mortality rates among patients with ACLF on transplant waitlists emphasize the importance of timely transplantation. The increased anti-donor immune response after transplantation suggests a role for the underlying cytokine storm and underscores the need for careful postoperative management.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669247","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":"Effectiveness of Variceal Band Application in Preventing Bile Leakage Associated With Trans-Cystic Feeding Catheter in Living-Donor Liver Transplantation.","authors":"Adem Tuncer, Canan Dilay Dirican, Emrah Sahin, Veysel Ersan, Feyza Sönmez Topcu, Hasret Ayyıldız Civan, Bülent Unal, Abuzer Dirican","doi":"10.1016/j.transproceed.2025.06.014","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.06.014","url":null,"abstract":"<p><strong>Objective: </strong>Despite advancements in surgical techniques, biliary complications remain a significant concern in liver transplantation. This study evaluated the effectiveness of applying a variceal band to the cystic duct stump in preventing bile leakage in patients with a trans-cystic feeding catheter.</p><p><strong>Methods: </strong>The medical records of 328 liver transplant recipients between April 2022 and June 2024 were retrospectively reviewed. A total of 170 patients with trans-cystic external catheters were included in the study. Of these, 116 patients underwent variceal band application to the cystic duct stump, while 54 did not. The 2 groups were compared regarding demographic characteristics, graft weight, number of bile ducts, presence of bile leakage, and MELD scores.</p><p><strong>Results: </strong>Among the 170 patients who underwent living-donor liver transplantation (LDLT), 58.8% were male, and 41.2% were female. Graft weight was significantly higher in the group with the variceal band application (p < .05). Bile leakage from the cystic duct stump occurred in 2 patients in the group without variceal banding, whereas no bile leakage was observed in the variceal band group. These 2 cases were successfully treated with percutaneous catheter placement under radiologic guidance.</p><p><strong>Conclusion: </strong>The variceal band application is an effective and promising method for reducing bile leakage in LDLT patients utilizing a trans-cystic feeding catheter. However, multicenter studies with larger patient cohorts are necessary to more definitively assess the safety and efficacy of this technique.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661497","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}
İbrahim Furkan Küçük, Necattin Fırat, Fatih Altıntoprak, Merve Yeşilsancak, Enes Malik Kocatürk, Hamad Dheir, Salih Salihi, Emrah Akın, Fehmi Çelebi
{"title":"Mid-Term Results of Renal Function in Living Kidney Donors in a Single Center.","authors":"İbrahim Furkan Küçük, Necattin Fırat, Fatih Altıntoprak, Merve Yeşilsancak, Enes Malik Kocatürk, Hamad Dheir, Salih Salihi, Emrah Akın, Fehmi Çelebi","doi":"10.1016/j.transproceed.2025.06.011","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.06.011","url":null,"abstract":"<p><strong>Objective: </strong>Living donor nephrectomy (LDN) has been described as a safe operation with low morbidity and mortality rates. The aim of the study was to evaluate the differences between preoperative and postoperative renal functions in LDN and to identify risk factors predicting possible long-term persistent renal dysfunction.</p><p><strong>Methods: </strong>Donors who underwent LDN operations in our center between April 2019 and January 2023 were evaluated retrospectively. Demographic characteristics, renal function tests, routine blood and urine tests, post-transplant complications, ultrasonographic kidney size measurement, and control parameters 1 year after the operation were compared. Factors affecting renal function at 1-year postdonation were analyzed.</p><p><strong>Results: </strong>A total of 110 who met the inclusion criteria were included. Fifty-eight donors (52.7%) were male, and the mean age was 46.54 ± 12.18 years. During follow-up, kidney size of donors increased significantly 1 year after nephrectomy (109.38 ± 9.70 vs 115.65 ± 11.58 mm, P = .001), and estimated glomerular filtration ratio (e-GFR) values were decreased significantly (107.83 ± 13.72 vs 75.68 ± 17.14 mL/min/1.73 m², P < .001). The urine protein creatinine ratio (PCR) was found to be significantly increased (157.6 ± 89.6 vs 206.6 ± 147.2 g/g, P = .001). Although within normal values, there was a significant increase in serum creatinine levels (P < .001), thyroid stimulating hormone (TSH) (P = .050), and serum potassium (P < .001) levels in one year after donation. The increase rates in serum creatinine after 1 year of follow-up were more significant in male gender and in individuals over 50 years of age (P = .016 and P = .006, respectively).</p><p><strong>Conclusion: </strong>Although renal dysfunction may occur when well-selected donors remain with a single kidney after LDN, long-term outcomes are safe and may carry tolerable minor risks.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perioperative Severe Complications Can Cause Pancreatic Graft Failure and Mortality in Pancreas Transplantation.","authors":"Takahisa Hiramitsu, Tomoki Himeno, Yuki Shimamoto, Yuki Hasegawa, Kenta Futamura, Manabu Okada, Toshihiro Ichimori, Yoshihiko Watarai, Shunji Narumi","doi":"10.1016/j.transproceed.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.transproceed.2025.05.009","url":null,"abstract":"<p><strong>Background: </strong>Pancreas transplantation (PTx) is a radical treatment for type 1 diabetes, frequently associated with complications. Herein, we examined the impact of severe perioperative complications on pancreatic graft and recipient survival.</p><p><strong>Methods: </strong>Between January 2010 and December 2024, 40 patients with type 1 diabetes underwent PTx: 35 underwent simultaneous PTx and kidney transplantation, and 5 underwent PTx after kidney transplantation. Pancreatic graft and recipient survival rates were compared between recipients with and without severe perioperative complications defined by grades more severe than grade Ⅱ in the Clavien-Dindo classification, using the Kaplan-Meier survival curve and log-rank tests.</p><p><strong>Results: </strong>Although severe perioperative complications were identified in 12 recipients (30.0%), no perioperative mortality was observed. Pancreatic graft failure and mortality occurred in 4 (33.3%) and 3 (25.0%) recipients, respectively, along with severe perioperative complications. In contrast, in recipients without severe perioperative complications, pancreatic graft failure and mortality occurred in 3 (10.7%) and 1 (3.6%) recipients, respectively. Pancreatic graft failure and recipient mortality were significantly higher in recipients with severe perioperative complications than in those without severe perioperative complications (P = .024 and P = .017, respectively).</p><p><strong>Conclusion: </strong>Severe perioperative complications can result in pancreatic graft failure and mortality. Appropriate surgical interventions are required to prevent severe perioperative complications.</p>","PeriodicalId":94258,"journal":{"name":"Transplantation proceedings","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295590","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}