Turk psikiyatri dergisi = Turkish journal of psychiatry最新文献

{"title":"Group Therapies for Gender Minority Stress: Systematic Review and Affirmative Cognitive Behavioral Group Therapy Process Presentation","authors":"Koray Başar, Halil Pak, K Can Eren","doi":"10.5080/u27670","DOIUrl":"10.5080/u27670","url":null,"abstract":"<p><p>Gender minority stress refers to the form of stress experienced by individuals who identify as trans or within the spectrum of gender diversity due to discriminatory discourses and actions in society. This type of stress can negatively affect both mental and physical health and may even result in the loss of one's most fundamental right—the right to life. Therefore, it is crucial for professionals to remain sensitive to gender minority stress when working clinically with this population. This article aims to raise awareness among mental health professionals about gender minority stress and to provide a practical example of an intervention in this area. To this end, group therapy models addressing gender minority stress were reviewed through a systematic literature search. In addition, the experiences of eight individuals who participated in a group therapy designed and facilitated by the authors using an affirmative cognitive behavioral approach were shared. The findings indicate that the most prominent intervention models in the literature targeting gender minority stress are based on cognitive behavioral group therapy. Furthermore, it was observed that members who participated in the group therapy developed psychosocial empowerment through gaining awareness, solidarity, and cognitive and behavioral skills related to self-regulation.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"427-439"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260330","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":"Association Between Sirtuin 1 (SIRT1) Gene Polymorphisms and Suicide Attempts in Schizophrenia: An Exploratory Study.","authors":"Ekrem Furkan Uçak, Memduha Aydin, Nadir Koçak","doi":"10.5080/u27771","DOIUrl":"10.5080/u27771","url":null,"abstract":"<p><strong>Objective: </strong>Schizophrenia is a neuropsychiatric disorder with a high risk of suicide, arising from the interplay between genetic predisposition and environmental factors. The Sirtuin 1 (SIRT1) gene, an NAD⁺- dependent deacetylase, is involved in cellular stress response, apoptosis, and mitochondrial functions, as well as neuroprotection and circadian rhythm regulation. SIRT1 is thought to influence neurobiological mechanisms related to cognitive and affective regulation. This study aimed to investigate the association between specific SIRT1 gene polymorphisms and suicide attempts in patients with schizophrenia.</p><p><strong>Methods: </strong>This cross-sectional, observational genetic association study included only a case group comprising 100 patients diagnosed with schizophrenia. Targeted sequencing of the SIRT1 gene, encompassing all coding exons and their exon-intron junctions, was performed. Based on minor allele frequency and technical quality criteria, 10 single nucleotide polymorphisms (SNPs) were selected for further analysis. Linkage disequilibrium (LD) assessment, haplotype structure, and genetic modeling were conducted using the SHEsis software platform.</p><p><strong>Results: </strong>The rs10997870 GG genotype (p=0.017) and the rs7896005 AA genotype (p=0.033) were associated with suicide attempts, whereas the rs2236318 A allele (p=0.015) and the rs41299232 GG genotype (p=0.027) were found to be protective. The C-T-A-G haplotype (p=0.005) was associated with an increased risk, while the G-A-G-T haplotype (p=0.032) showed a protective effect.</p><p><strong>Conclusion: </strong>Certain polymorphisms and haplotypes within the SIRT1 gene may be associated with suicide risk among patients with schizophrenia. These findings point to the potential role of genetic profiling in identifying high-risk individuals. Further large-scale studies are warranted to increase the generalizability of the findings and to elucidate the underlying mechanisms in greater detail.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260575","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 Prevalence and Determinants of Mental Health Problems in Lebanon: A Meta-Analytic Study of 3957 Healthcare Workers.","authors":"Maher Ghandour, Najwa El Gerges, Nancy Zeaiter","doi":"10.5080/u27427","DOIUrl":"10.5080/u27427","url":null,"abstract":"<p><strong>Objective: </strong>Healthcare workers are continuously exposed to challenging environments, making them liable for poor mental health. The COVID-19 pandemic exacerbated this problem, however available data in Lebanon is scarce. We conducted this investigation to provide comprehensive evidence on the mental health of Lebanese healthcare workers.</p><p><strong>Methods: </strong>In this systematic review, we analyzed 3957 workers reported in 15 cross-sectional studies (10 during and five before the pandemic), identified after searching four databases. Examined mental health problems included depression, anxiety, stress, posttraumatic stress disorder (PTSD), and poor sleep quality. STATA software was used to pool the prevalence across studies. Subgroup analyses were performed based on the pandemic status, severity of mental health problems, and healthcare worker type. Gender and marital status were analyzed as potential risk factors. The methodological quality of all included studies was good as per the National Institute of Health risk of bias tool.</p><p><strong>Results: </strong>Anxiety, depression, stress, PTSD, insomnia, and poor sleep quality were reported in 50%, 52%, 50%, 35%, 45%, and 41% of the population, respectively. Most cases had mild anxiety (40%), mild depression (45%), but severe stress (27%). Depression and anxiety were highest among pharmacists (69% and 56%) and nurses (49% and 45%), respectively. Compared to the pre-pandemic period, depression (36% vs. 62%) and anxiety (30% vs. 56%) rates were higher during the pandemic, while stress levels were lower (62% vs. 45%). Both gender and marital status were insignificant predictors of depression, anxiety, stress, or PTSD.</p><p><strong>Conclusions: </strong>Depression, anxiety, posttraumatic stress, insomnia, and poor sleep quality are experienced by approximately one in every two Lebanese healthcare workers. The rate of depression and anxiety almost doubled during the pandemic with higher rates among pharmacists and nurses than physicians and residents. Both gender and marital status were deemed insignificant predictors of reported mental health problems.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260384","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":"A Psychopathological Reading of the Blood Sweat Phenomenon and Religious Stigmas: The Case of Blessed Elena Aiello.","authors":"Francisco Pérez-Fernández, María Peñaranda-Ortega","doi":"10.5080/u27342","DOIUrl":"10.5080/u27342","url":null,"abstract":"<p><p>Around 300 cases of stigma have been described since the 13th century. Hematidrosis, hemolacria, bloody otorrhea, vicarious menstruation, and Gardner-Diamond syndrome are dermatological manifestations that are also observed in cases of stigma. This paper presents the disconcerting circumstances in the life of the Blessed Elena Aiello. From 1923 until her death, she suffered severe hematidrosis blood sweating on her forehead, hands, feet and knees, just as stigmata appear at the crucifixion of Jesus Christ. Stigmas, in Christian tradition, are marks corresponding to those left on Christ's body by the torture and the Crucifixion, it's said that are impressed on the person body by divine favor. These episodes, among the few recognised as authentic by the Catholic Church would appear each Friday in Lent, particularly on Good Friday. In this unique case study, doctors Fabrizio and Turano performed a medical study where the origin of the sores was unclear. Neurologist and psychiatrist Vincenzo Bianchi, on assessing the case, raised the possibility of simulation or mere suggestion on the part of the patient.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260510","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":"Remıssıon And Follow-Up In Bıpolar Depressıon Wıth Accelerated Intermıttent Theta Burst Stımulatıon Protocol.","authors":"Sercan Sivlim, Hayri Can Özden, A Elif Anil Yağcioğlu, Ş Can Gürel","doi":"10.5080/u27553","DOIUrl":"10.5080/u27553","url":null,"abstract":"<p><p>Transcranial Magnetic Stimulation (TMS) is used in the treatment of many mental illnesses, as well as for research in mental illnesses (Altınbaş et al. 2007, Yıldız et al. 2015). Intermittent Theta Burst Stimulation (iTBS) is a treatment protocol that is applied with 10 - 20 Hz and has a similar effect to Repetitive Transcranial Magnetic Stimulation (rTMS) (Blumberger et al. 2018). The FDA approved the standard iTBS protocol in 2018 to treat treatment-resistant depression.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260406","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":"Reliability and Validity Study of a Culturally Adapted Turkish Version of the Assessment of Identity Development in Adolescence (AIDA.","authors":"Zeynep Tüzün, Füsun Çetin Çuhadaroğlu, Devrim Akdemir, Dilşad Foto Özdemir, Ece Ataman Temizel, Neslihan Gökçe Yazgili Kahveci, Kirstin Goth","doi":"10.5080/u27397","DOIUrl":"10.5080/u27397","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to adapt the Assessment of Identity Development in Adolescence (AIDA), which is used to distinguish healthy identity development from identity diffusion in terms of impaired personality functioning, into Turkish and to examine its psychometric properties.</p><p><strong>Method: </strong>The sample consisted of 846 participants. The school sample consists of 778 adolescents from schools covering three different socioeconomic levels. The clinical sample consisted of 68 adolescents who were evaluated at Hacettepe University Department of Child and Adolescent Psychiatry and Mental Health and the Division of Adolescent Medicine. All participants completed the Offer Self-İmage Scales (OSIQ) and the AIDA Turkish. DSM-IV-based clinical interview, Scale For Affective Disorders and Schizophrenia For Kids-Present and Lifetime Version (K-SADS-PL), and DSM-III-R Structured Clinical Interview For Axis II Disorders (SCID-II) were applied to the clinical sample.</p><p><strong>Results: </strong>Exploratory factor analysis showed that the phenotypical factor structure of the AIDA Turkish was similar to the original. The Cronbach&rsquo;s alpha internal consistency coefficient is 0.93 on the total scale, 0.83 and 0.90 on the two primary subscales, and between 0.65 and 0.80 on the subscale level. AIDA Turkish total score identity diffusion was found to significantly distinguish the clinical sample with diagnosed personality disorders from the school sample, with a large effect size (d = 0.9) between the school sample and a clinical sample with diagnosed personality disorders. Receiver operating characteristic analysis yielded a clinical cut-off score of 107 (95% CI: 0.66&ndash;0.86, p &lt;0.001) providing 81% sensitivity and 84% specificity.</p><p><strong>Conclusion: </strong>AIDA Turkish is a valid and reliable tool to evaluate identity development and detect pathological identity diffusion.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"605-614"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852127","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":"COVID-19 and Mania: A Case with a One-year Follow UP.","authors":"Hamdi Yilmaz","doi":"10.5080/u27284","DOIUrl":"10.5080/u27284","url":null,"abstract":"<p><p>COVID-19 may affect central nervous system. The symptoms related to the CNS may occur through the direct neuroinvasion of the virus, inflammation, autoimmunity, psychosocial stressors and treatment side effects. COVID-19 can increase the severity of existing mental illnesses and also trigger the onset of a new mental illness. In this case report, we present a 52-year-old male patient with no previous psychiatric history as well as no family history of mental illness. The patient's manic symptoms began while he was hospitalized due to severe COVID-19 pneumonia. The patient, who self-discharged himself from the hospital was brought to the emergency department involuntarily by his relatives 14 days later and was admitted to the psychiatry service. In this case report, possible etiological factors were discussed and the treatment course during the hospitalization and one year follow-up were presented. Our aim is to contribute to the literature by discussing possible etiological factors and management of mania that started during the treatment of COVID-19. COVID-19 can affect the central nervous system and be associated with psychiatric symptoms. Keywords: COVID-19, Mania, Bipolar Disorder, Central Nervous System.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260571","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":"Psychometric Properties of the Turkish Version of the Reflective Functioning Questionnaire in Men on Probation for Substance Use and a Healthy Control Group.","authors":"Seval Birdal Altun, Patrick Luyten, Vahap Karabulut, Cüneyt Evren, Stephan Bongard","doi":"10.5080/u27424","DOIUrl":"10.5080/u27424","url":null,"abstract":"<p><strong>Objective: </strong>Mentalization is defined as the capacity to reflect on one&rsquo;s own mental state and the mental states of others. The primary aim of this study is to translate the Reflective Functioning Questionnaire (RFQ), which measures mentalization, into Turkish and evaluate its psychometric properties. In addition, reflective capacities of male adults on probation due to substance use were investigated and compared with the control group.</p><p><strong>Methods: </strong>The questionnaire was translated into Turkish using a forward-backward-forward method and administered to 219 adults with no prior psychiatric history, as well as 205 substance-using male adults. Participants also completed a battery of self-report questionnaires measuring empathy, mindfulness, theory of mind, alexithymia, and impulsivity. Additionally, the substance-using group completed the Drug Use Disorders Identification Test to assess the severity of their drug use.</p><p><strong>Results: </strong>The results indicate configural invariance of the original twofactor structure of the RFQ across the Turkish-speaking healthy control group and substance-using male adults, as well as satisfactory reliability and construct validity for the two subscales. The reflective functioning scores of the substance-using group were not significantly different from those of the control group.</p><p><strong>Discussion: </strong>This study demonstrates the reliability and validity of the Turkish version of the RFQ. Despite no significant differences in RF scores between the groups, the findings highlight the significance of further exploring reflective functioning in individuals with substance use.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"383-394"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260419","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":"Reliability and Validity of the Newly Developed Hacettepe-Computer Based Theory of Mind (Hacettepe-CBToM) Battery.","authors":"Müge Kademli, Banu Cangöz Tavat","doi":"10.5080/u27454","DOIUrl":"10.5080/u27454","url":null,"abstract":"<p><strong>Objective: </strong>With the rise in popularity of the theory of mind (ToM), defined as the ability to understand that others&rsquo; beliefs, desires, and intentions may differ from one&rsquo;s own, numerous tools have been developed since the 1990s. However, the use of disparate tasks to measure the same construct, the lack of a standardized task battery, and the inadequate validity/reliability of existing TOM measures have contributed to inconsistent research findings. This study developed the HACETTEPE-Computer Based Theory of Mind Battery (HACETTEPE CBToM), which utilizes three-dimensional colored animations, focuses on social interactions, and integrates cognitive/ affective dimensions. Comprehensive validity and reliability studies were conducted.</p><p><strong>Method: </strong>The validity and reliability studies of the battery, which consists of eight scenarios (four second-order false belief tasks: two cognitive/ two affective, and four irony tasks: two cognitive/two affective), were carried out with 214 healthy adults aged 18-36.</p><p><strong>Results: </strong>Construct validity was evaluated through confirmatory factor analysis, and the fit indices indicated an excellent model fit [&chi;2(19, N=214) =26.14, p&gt;0.05, &chi;2/df=1.38, RMSEA=0.042, SRMR=0.05, GFI=0.97, AGFI=0.95, CFI=0.98, TLI(NNFI)=0.97]. For criterion validity, a positive and significant correlation was found between the scores of the HACETTEPE-CBToM Battery and the Dokuz Eyl&uuml;l Theory of Mind Scale (r=0.32, p&lt;0.05). The inter-rater reliability and internal consistency coefficients were r=0.94 and r=0.72, respectively.</p><p><strong>Conclusion: </strong>The HACETTEPE-CBToM Battery is a culturally appropriate, ecologically valid, and psychometrically robust tool for detailed assessment of ToM.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"353-363"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260422","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":"Brief Affect and Emotion Recognition Test: Development of an Original and Culture-Specific Measurement Tool.","authors":"Elvin Doğutepe, Emel Erdoğan Bakar, Caner Incekaş, Sirel Karakaş","doi":"10.5080/u27600","DOIUrl":"10.5080/u27600","url":null,"abstract":"<p><strong>Objective: </strong>Culture plays a prominent role in recognition and rating of emotions. This study aims to develop a standardized measurement tool specific to T&uuml;rkiye for assessing affect and recognizing emotions. The tool is designed to be brief and practical for use as a bedside test in clinical settings.</p><p><strong>Methods: </strong>Data were collected from 610 university students (psychology majors). The scale consisted of 500 black-and-white photographs taken under standard conditions by a professional photographer, depicting seven emotions (anxiety, fear, anger, joy, surprise, disgust, and sadness). Through four selection/elimination stages, the initial 500 photographs were reduced to 22. Expert opinions were gathered to assess the content validity of the test. Item reliability was assessed using the test-retest method, and the reliability coefficient was calculated using the Gwet AC1 technique. Following these stages, the final 20 photographs formed the Brief Affect and Emotion Recognition Test (BAET).</p><p><strong>Results: </strong>The normative emotion recognition percentages for the 20 items ranged between 42.2% and 95.6%. Normative affect intensity scores ranged from 2.3 to 4.8. The Gwet AC1 reliability coefficient of the BAET was calculated as 73.2.</p><p><strong>Conclusion: </strong>In this study, a culture-specific test was developed to measure affect and emotion recognition processes, and its content validity and reliability were assessed. The findings indicate that the Brief Affect and Emotion Recognition Test (BAET) is a valid and reliable measurement tool, introducing a brief and practical test to the field.</p>","PeriodicalId":94262,"journal":{"name":"Turk psikiyatri dergisi = Turkish journal of psychiatry","volume":"36 ","pages":"59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260573","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}