China CDC Weekly最新文献

{"title":"Investigation on the Management for Patients with Echinococcosis Treated with Albendazole - Three PLADs, China, 2019.","authors":"Min Qin,&nbsp;Liying Wang,&nbsp;Ying Wang,&nbsp;Xu Wang,&nbsp;Jiaxi Lei,&nbsp;Xixi Cheng,&nbsp;Yu Feng,&nbsp;Yanyan Hou,&nbsp;Qian Wang,&nbsp;Chuizhao Xue,&nbsp;Laurent Gavotte,&nbsp;Roger Frutos","doi":"10.46234/ccdcw2023.083","DOIUrl":"https://doi.org/10.46234/ccdcw2023.083","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>In China, patients with echinococcosis receive complimentary healthcare services, such as medical treatment, diagnostic examinations, and follow-up care. Despite this, no studies have been conducted to assess the quality of patient management to date.</p><p><strong>What is added by this report?: </strong>This study reviewed the medical records of 899 patients who underwent albendazole treatment across 10 endemic counties. Out of 634 evaluable patient files, the proportion of patients with a ratio of actual follow-up and reexamination times to theoretical follow-up and reexamination times ≥0.8 were both low (21.92% and 23.19%, respectively).</p><p><strong>What are the implications for public health practices?: </strong>This study identified weaknesses and specific issues in patient management and proposed feasible recommendations to enhance patient file documentation, follow-up, and reexamination.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 20","pages":"437-441"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/60/ccdcw-5-20-437.PMC10236642.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582720","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":"Impact of Influenza and Pneumococcal Polysaccharide Vaccination on Economic Burden from Acute Exacerbations of Chronic Obstructive Pulmonary Disease - Hebei Province, China, November 2018 to November 2020.","authors":"Yan Li,&nbsp;Pingshu Zhang,&nbsp;Zhijie An,&nbsp;Ying Ma,&nbsp;Yamin Wang,&nbsp;Liye Wang,&nbsp;Yunqiu Liu,&nbsp;Xiaodong Yuan,&nbsp;Keli Li,&nbsp;Zundong Yin,&nbsp;Huaqing Wang","doi":"10.46234/ccdcw2023.086","DOIUrl":"https://doi.org/10.46234/ccdcw2023.086","url":null,"abstract":"<p><strong>What is already known on this topic?: </strong>Chronic obstructive pulmonary disease (COPD) exacerbations increase household economic burden, but there is limited evidence from prospective cohort studies in China about the impact of vaccination on economic burden.</p><p><strong>What is added by this report?: </strong>This study demonstrated the economic burden of COPD exacerbations, pneumonia, and hospitalization in COPD patients in China is substantial. Influenza vaccine and 23-valent pneumococcal polysaccharide vaccine (PPSV23), separately or together, were significantly associated with decreased economic burden.</p><p><strong>What are the implications for public health practice?: </strong>Our study supports evidence on recommendations that COPD patients in China are offered both influenza vaccine and PPSV23.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 20","pages":"452-458"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/f2/ccdcw-5-20-452.PMC10236643.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582722","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":"Genomic Analysis and Antimicrobial Resistance of <i>Campylobacter jejuni</i> Isolated from Diarrheal Patients - Beijing Municipality, China, 2019-2021.","authors":"Daitao Zhang,&nbsp;Xin Zhang,&nbsp;Bing Lyu,&nbsp;Yi Tian,&nbsp;Ying Huang,&nbsp;Changying Lin,&nbsp;Hanqiu Yan,&nbsp;Lei Jia,&nbsp;Mei Qu,&nbsp;Quanyi Wang","doi":"10.46234/ccdcw2023.080","DOIUrl":"https://doi.org/10.46234/ccdcw2023.080","url":null,"abstract":"<p><strong>Introduction: </strong><i>Campylobacter jejuni <i>(</i>C. jejuni</i>) is the leading cause of human bacterial gastroenteritis worldwide and has a major impact on global public health. The objective of the present study was to conduct whole genome sequencing (WGS) to determine the genetic diversity, virulence factors, and determinants of antimicrobial resistance of <i>C. jejuni</i> during a 3-year surveillance period in Beijing, China.</p><p><strong>Methods: </strong>A total of 184 clinical isolates were obtained from sentinel hospital surveillance between 2019 and 2021. Antimicrobial susceptibility testing was conducted using the agar dilution method. WGS was employed to characterize the 184 <i>C. jejuni</i> strains.</p><p><strong>Results: </strong>Multilocus sequence typing analysis revealed high genetic diversity among the 184 <i>C. jejuni</i> strains, identifying 71 sequence types (STs) and 19 clonal complexes (CCs). The most prevalent ST was ST760 (6.5%), and the most common CC was CC21 (24.5%), consisting of 11 STs. High resistance rates were observed for ciprofloxacin (76.6%), nalidixic acid (76.1%), and tetracycline (71.2%). A total of 77 <i>C. jejuni</i> isolates (41.8%) exhibited multidrug resistance with 43 resistance patterns. Virulome analysis disclosed the differential distribution of virulence factors related to adherence, colonization, chemotaxis, as well as lipo-oligosaccharide and capsular polysaccharide biosynthesis. Resistome analysis demonstrated widespread resistance to quinolones and tetracycline, but low rates of macrolides resistance. The phylogeny, based on whole genome single nucleotide polymorphisms, indicated a high degree of clonality and grouped the <i>C. jejuni</i> strains into six clades. Closely related isolates that were part of a genetic cluster mostly shared a homogenous clonal complex.</p><p><strong>Conclusions: </strong>The present study emphasizes the rising resistance to quinolones and tetracycline, as well as the virulence potential and diverse genotypes identified among <i>C. jejuni</i> strains isolated from diarrheal patients in Beijing.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 19","pages":"424-433"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/04/ccdcw-5-19-424.PMC10235816.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584061","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":"Survey on Immunization Services for Children with Medical Conditions - China, 2022.","authors":"Yong Huang,&nbsp;Yudan Song,&nbsp;Junhong Li,&nbsp;Yamin Wang,&nbsp;Xiang Zeng,&nbsp;Chao Ma,&nbsp;Zundong Yin","doi":"10.46234/ccdcw2023.079","DOIUrl":"https://doi.org/10.46234/ccdcw2023.079","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Children with medical conditions frequently experience under-immunization. Ensuring high-quality immunization services is crucial for enhancing vaccination coverage levels; nevertheless, the state of immunization service provision for children with medical conditions in China remains unclear.</p><p><strong>What is added by this report?: </strong>Immunization support for children with medical conditions in China demonstrates considerable variability and may be inadequate. Primary obstacles to the provision of immunization services include an absence of comprehensive vaccination recommendations and assessment guidelines for specific medical conditions, as well as inconsistencies among vaccine recommendations, package inserts, and expert consensus statements pertaining to the vaccination of children with medical conditions.</p><p><strong>What are the implications for public health practice?: </strong>The examination of provincial practices in providing immunization services for children with medical conditions, as well as understanding the barriers faced by National Immunization Program providers in administering vaccinations, can contribute to the improvement of immunization services for this population in China.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 19","pages":"419-423"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/f4/ccdcw-5-19-419.PMC10235818.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575830","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":"Atlas of Classified Disability in China: Spatial Statistics and Pattern.","authors":"Ruitai Shao","doi":"10.46234/ccdcw2023.081","DOIUrl":"https://doi.org/10.46234/ccdcw2023.081","url":null,"abstract":"Disability, stemming from heredity, chronic illness or injury, constitutes a global public health concern, a human rights matter, and a significant obstacle for social development. In recent years, China has acknowledged the significance of disability prevention and control as an integral aspect of its health strategy, aiming to enhance the overall quality of life for its citizens. However, the evolving landscape of disability epidemiology remains inadequately understood, which substantially hinders precise prevention and control strategies and the optimization of resource distribution. Consequently, there is an urgent necessity for research that provides solid scientific evidence to effectively address this pressing issue. Professors Xiaoying Zheng and Jinfeng Wang, along with their respective teams, have been extensively involved in epidemiological research on population health and disability. Specifically, they have cooperated across disciplines to investigate the spatial prevalence patterns of disability in China over the past few years. The comprehensive results from their research are presented in the 2023 monograph titled “The Atlas of Classified Disability in China: Spatial Statistics and Pattern,” published by China Science Publishing & Media Ltd (1). This pioneering publication, organized into three sections — introduction, sequence map, and disability spectrum — represents the world’s first inquiry into the incidence, distribution, and pattern atlas of disability within a national population. As an individual involved in non-communicable disease management at the World Health Organization headquarters, I highly endorse this book for its significant contributions in the following areas: First, this monograph employs an interdisciplinary approach, combining medical and spatial attribution studies from traditional epidemiology and spatial epidemiology. This innovative method transcends the limitations of conventional analysis. The team identifies multiplicative interactions and linear relationships while pioneering the spatial nonlinear attribution and generalized interaction metric geographic detector model. By incorporating data from the national sample survey on disabled persons and relevant open-source materials, the team has generated the world’s first country-level disability subtype spectrum for the entire population’s lifespan, using data from 734 sampled counties in China. Through rigorous cross-checking, they have established a threeway distribution of disability levels at the county level, providing a comprehensive representation of disability levels, distribution, and pattern track pedigrees with optimal precision. Furthermore, building on previous research regarding gestational age developmental disorders, the team has advanced innovative research in the field of population health across the life course. This work has become a critical foundation for the trinity of “gestational age-aging process-old age” scientific identifica","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 19","pages":"434-435"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/15/ccdcw-5-19-434.PMC10235817.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577442","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":"Pregnancy Loss in Relation to the Risks of Female-Specific Cancers in a Population-Based Cohort and Mendelian Randomization Study - China, 2004-2017.","authors":"Yongle Zhan, Yawen Wang, Yimin Qu, Lin Zhang, Xuan Liu, Ruiyi Liu, Peng Xue, Jiaxu Wang, Dongxu Qin, Hexin Yue, Canqing Yu, Jun Lyu, Yu Guo, Zhengming Chen, Yu Jiang, Liming Li, China Kadoorie Biobank Collaborative Group","doi":"10.46234/ccdcw2023.078","DOIUrl":"10.46234/ccdcw2023.078","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Limited evidence exists regarding the relationship between pregnancy loss and female-specific cancers within the Chinese population from prospective cohort studies.</p><p><strong>What is added by this report?: </strong>Terminations were associated with a 13% lower risk of endometrial cancer, whereas stillbirths were related to an 18% higher risk of cervical cancer. Rural residents with a history of pregnancy loss experienced a 19% and 38% increased risk of breast and cervical cancers, respectively, compared to their urban counterparts. Moreover, a positive graded relationship between live births and pregnancy loss on cervical cancer was observed.</p><p><strong>What are the implications for public health practice?: </strong>This study has significant implications for identifying women at an increased risk for breast and genital cancers and contributes to the development of effective public health strategies for female cancer prevention. Future research on reproductive history, particularly in rural areas, should be given priority in efforts to improve female cancer screening and early detection.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 19","pages":"413-418"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/21/ccdcw-5-19-413.PMC10235819.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584058","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 Associated Factors of SARS-CoV-2 Reinfection by Omicron Variant - Guangdong Province, China, December 2022 to January 2023.","authors":"Chunsheng Cai,&nbsp;Yihong Li,&nbsp;Ting Hu,&nbsp;Rongwei Liang,&nbsp;Kaibin Wang,&nbsp;Congrui Guo,&nbsp;Yan Li,&nbsp;Meng Zhang,&nbsp;Min Kang","doi":"10.46234/ccdcw2023.075","DOIUrl":"https://doi.org/10.46234/ccdcw2023.075","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reinfection by variants is being reported commonly and has caused waves of epidemic in many countries. Because of dynamic zero policy, the SARS-CoV-2 reinfection was less reported in China.</p><p><strong>What is added by this report?: </strong>SARS-CoV-2 reinfections were observed in Guangdong Province between December 2022 and January 2023. This study estimated that the reinfection incidence was 50.0% for the original strain primary infections, 35.2% for the Alpha or Delta variants, and 18.4% for the Omicron variant; The reinfection incidence within 3-6 months after primary infection by Omicron variant was 4.0%. Besides, 96.2% reinfection cases were symptomatic while only 7.7% sought medical attention.</p><p><strong>What are the implications for public health practice?: </strong>These findings suggest a reduced likelihood of an Omicron-driven epidemic resurgence in the short term but emphasize the importance of maintaining vigilant surveillance of emerging SARS-CoV-2 variants and conducting population-based antibody level surveys to inform response preparedness.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 18","pages":"391-396"},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/ed/ccdcw-5-18-391.PMC10184471.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9491732","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 Infection of Healthcare Workers and the Reinfection of Patients by Omicron Variant - Jiangsu Province, China, December 2022 to January 2023.","authors":"Chuanmeng Zhang,&nbsp;Ting Guo,&nbsp;Lei Zhang,&nbsp;Aiqin Gu,&nbsp;Jun Ye,&nbsp;Mei Lin,&nbsp;Ming Chu,&nbsp;Fengcai Zhu,&nbsp;Li Zhu","doi":"10.46234/ccdcw2023.074","DOIUrl":"https://doi.org/10.46234/ccdcw2023.074","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>Healthcare workers (HCWs) and previously infected patients (PIPs) may experience a wave of epidemic following the modification of the country's coronavirus disease (COVID)-zero policy in China.</p><p><strong>What is added by this report?: </strong>As of early January 2023, the initial wave of the COVID-19 pandemic among HCWs had effectively subsided, with no statistically significant differences observed in infection rates compared to those of their co-occupants. The proportion of reinfections among PIPs was relatively low, particularly in those with recent infections.</p><p><strong>What are the implications for public health practice?: </strong>Medical and health services have resumed normal operations. For patients who have recently experienced severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, appropriate relaxation of policies may be considered.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 18","pages":"402-406"},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/90/ccdcw-5-18-402.PMC10184469.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488772","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":"Timing and Magnitude of the Second Wave of the COVID-19 Omicron Variant - 189 Countries and Territories, November 2021 to February 2023.","authors":"Beidi Niu,&nbsp;Shuyi Ji,&nbsp;Shi Zhao,&nbsp;Hao Lei","doi":"10.46234/ccdcw2023.076","DOIUrl":"https://doi.org/10.46234/ccdcw2023.076","url":null,"abstract":"<p><strong>What is already known about this topic?: </strong>The first nationwide wave of coronavirus disease 2019 (COVID-19), driven by the Omicron variant, has largely subsided. However, subsequent epidemic waves are inevitable due to waning immunity and the ongoing evolution of the severe acute respiratory syndrome coronavirus 2.</p><p><strong>What is added by this report?: </strong>Insights gleaned from other nations offer guidance regarding the timing and scale of potential subsequent waves of COVID-19 in China.</p><p><strong>What are the implications for public health practice?: </strong>Understanding the timing and magnitude of subsequent waves of COVID-19 in China is crucial for forecasting and mitigating the spread of the infection.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 18","pages":"397-401"},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/08/1e/ccdcw-5-18-397.PMC10184472.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488773","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":"Collective and Individual Assessment of the Risk of Death from COVID-19 for the Elderly, 2020-2022.","authors":"Chaobao Zhang,&nbsp;Hongzhi Wang,&nbsp;Zilu Wen,&nbsp;Zhijun Bao,&nbsp;Xiangqi Li","doi":"10.46234/ccdcw2023.077","DOIUrl":"https://doi.org/10.46234/ccdcw2023.077","url":null,"abstract":"<p><strong>Introduction: </strong>Coronavirus disease 2019 (COVID-19) has had profound disruptions worldwide. For a population or individual, it is critical to assess the risk of death for making preventative decisions.</p><p><strong>Methods: </strong>In this study, clinical data from approximately 100 million cases were statistically analyzed. A software and an online assessment tool were developed in Python to evaluate the risk of mortality.</p><p><strong>Results: </strong>Our analysis revealed that 76.51% of COVID-19-related fatalities occurred among individuals aged over 65 years, with frailty-associated deaths accounting for more than 80% of these cases. Furthermore, over 80% of the reported deaths involved unvaccinated individuals. A notable overlap was observed between aging and frailty-associated deaths, both of which were connected to underlying health conditions. For those with at least two comorbidities, the proportion of frailty and the proportion of COVID-19-related death were both close to 75 percent. Subsequently, we established a formula to calculate the number of deaths, which was validated using data from twenty countries and regions. Using this formula, we developed and verified an intelligent software designed to predict the death risk for a given population. To facilitate rapid risk screening on an individual level, we also introduced a six-question online assessment tool.</p><p><strong>Conclusions: </strong>This study examined the impact of underlying diseases, frailty, age, and vaccination history on COVID-19-related mortality, resulting in a sophisticated software and a user-friendly online scale to assess mortality risk. These tools offer valuable assistance in informed decision-making.</p>","PeriodicalId":9867,"journal":{"name":"China CDC Weekly","volume":"5 18","pages":"407-412"},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/c8/ccdcw-5-18-407.PMC10184470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9488771","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}