Pub Date : 2007-04-01DOI: 10.1177/1533210107302778
Sangeeta Sharma, S. Joshi, S. Khushwaha, K. Bala
Patients suffering from chronic diseases like epilepsy often use complementary and alternative medicine (CAM) as first-line treatment because of myths, superstitions, and stigma attached to the disease. The present study reports on 108 patients with epilepsy presenting to an allopathic hospital with uncontrolled seizures, status epilepticus, or drug toxicity. Blood samples of these patients taking unlabeled pills from a CAM provider specializing in the treatment of epilepsy contained prescription antiepileptic drugs (AEDs) such as carbamazepine, phenytoin, valproic acid, and phenobarbitone. Serum samples in all but 5 patients demonstrated presence of one or more AEDs. Most of the patients had serum levels of these AEDs either in the subtherapeutic or in the supratherapeutic range. The authors alert clinicians that the patients resorting to “safe” or “natural” CAM may end up receiving modern prescription medicines from unauthorized CAM providers in toxic or subtherapeutic doses.
{"title":"Quackery Masquerading as Complementary and Alternative Medicine (CAM) in Patients With Epilepsy","authors":"Sangeeta Sharma, S. Joshi, S. Khushwaha, K. Bala","doi":"10.1177/1533210107302778","DOIUrl":"https://doi.org/10.1177/1533210107302778","url":null,"abstract":"Patients suffering from chronic diseases like epilepsy often use complementary and alternative medicine (CAM) as first-line treatment because of myths, superstitions, and stigma attached to the disease. The present study reports on 108 patients with epilepsy presenting to an allopathic hospital with uncontrolled seizures, status epilepticus, or drug toxicity. Blood samples of these patients taking unlabeled pills from a CAM provider specializing in the treatment of epilepsy contained prescription antiepileptic drugs (AEDs) such as carbamazepine, phenytoin, valproic acid, and phenobarbitone. Serum samples in all but 5 patients demonstrated presence of one or more AEDs. Most of the patients had serum levels of these AEDs either in the subtherapeutic or in the supratherapeutic range. The authors alert clinicians that the patients resorting to “safe” or “natural” CAM may end up receiving modern prescription medicines from unauthorized CAM providers in toxic or subtherapeutic doses.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"34 1","pages":"139 - 143"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78067547","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}
Pub Date : 2007-01-01DOI: 10.1177/1533210107302397
M. L. Morrison
The use of animals in the promotion or improvement of health is long-standing, yet this complementary healing modality is not widely integrated into mainstream health care. This article describes the history of animals in therapeutic healing, defines animal-assisted interventions (AAIs), and reviews current research. Indications and contraindications for use with patients and clients and issues of safety, cost, reimbursement, and certification are discussed. AAIs result in statistically significant health benefits with improvements in blood pressure, heart rate, and salivary immunoglobulin A levels and in depression, anxiety, perceived quality of health, and loneliness. Although some studies are weak in experimental design, overall research reveals multiple indications with few contraindications for use of AAIs. Adherence to safety and pursuit of certifications helps ensure the success of AAIs. For the continued support and expansion of AAIs, further research is needed into the mechanism of action, settings, characteristics and species of animals, illness conditions, and client populations.
{"title":"Health Benefits of Animal-Assisted Interventions","authors":"M. L. Morrison","doi":"10.1177/1533210107302397","DOIUrl":"https://doi.org/10.1177/1533210107302397","url":null,"abstract":"The use of animals in the promotion or improvement of health is long-standing, yet this complementary healing modality is not widely integrated into mainstream health care. This article describes the history of animals in therapeutic healing, defines animal-assisted interventions (AAIs), and reviews current research. Indications and contraindications for use with patients and clients and issues of safety, cost, reimbursement, and certification are discussed. AAIs result in statistically significant health benefits with improvements in blood pressure, heart rate, and salivary immunoglobulin A levels and in depression, anxiety, perceived quality of health, and loneliness. Although some studies are weak in experimental design, overall research reveals multiple indications with few contraindications for use of AAIs. Adherence to safety and pursuit of certifications helps ensure the success of AAIs. For the continued support and expansion of AAIs, further research is needed into the mechanism of action, settings, characteristics and species of animals, illness conditions, and client populations.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"84 1","pages":"51 - 62"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74565088","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}
Pub Date : 2007-01-01DOI: 10.1177/1533210107300705
R. Halberstein, L. Desantis, Alicia Sirkin, Vivian Padron-Fajardo, Maria M. Ojeda-Vaz
Bach® Original Flower Essence (BFE) Rescue® Remedy, a modality used since 1930 but not yet thoroughly investigated scientifically, was evaluated for the reduction of acute situational stress. A double-blind clinical trial comparing a standard dosage of BFE Rescue Remedy against a placebo of identical appearance was conducted in a sample of 111 individuals aged 18 to 49, randomized into treatment (n = 53) and control (n = 58) groups. The Spielberger State-Trait Anxiety Inventory (STAI) was administered before and after the use of Rescue Remedy or placebo. Downward trends in anxiety level measurements were discovered in both the treatment (Rescue Remedy) and control (placebo) groups. Statistical analyses indicated that only the high-state anxiety treatment subgroup demonstrated a statistically significant difference between pretest and posttest scores. The results suggest that BFE Rescue Remedy may be effective in reducing high levels of situational anxiety.
{"title":"Healing With Bach® Flower Essences: Testing a Complementary Therapy","authors":"R. Halberstein, L. Desantis, Alicia Sirkin, Vivian Padron-Fajardo, Maria M. Ojeda-Vaz","doi":"10.1177/1533210107300705","DOIUrl":"https://doi.org/10.1177/1533210107300705","url":null,"abstract":"Bach® Original Flower Essence (BFE) Rescue® Remedy, a modality used since 1930 but not yet thoroughly investigated scientifically, was evaluated for the reduction of acute situational stress. A double-blind clinical trial comparing a standard dosage of BFE Rescue Remedy against a placebo of identical appearance was conducted in a sample of 111 individuals aged 18 to 49, randomized into treatment (n = 53) and control (n = 58) groups. The Spielberger State-Trait Anxiety Inventory (STAI) was administered before and after the use of Rescue Remedy or placebo. Downward trends in anxiety level measurements were discovered in both the treatment (Rescue Remedy) and control (placebo) groups. Statistical analyses indicated that only the high-state anxiety treatment subgroup demonstrated a statistically significant difference between pretest and posttest scores. The results suggest that BFE Rescue Remedy may be effective in reducing high levels of situational anxiety.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"69 1","pages":"14 - 3"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76413276","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}
Pub Date : 2007-01-01DOI: 10.1177/1533210106297791
M. Goldner
This summary reviews the Summer 2006 newsletter of the National Center for Complementary and Alternative Medicine (NCCAM) (Volume 13, Number 2). It provides highlights from the North American Research Conference on Complementary and Integrative Medicine, discusses probiotics (also known as “friendly bacteria”), and introduces data from the 2002 National Health Interview Survey. It also addresses several NCCAM-funded studies on adolescent usage of CAM, black cohosh, turmeric, and vitamins C and E. This newsletter also discusses a new collaboration with China, as well as a variety of new resources, such as three new NCCAM publications that examine herbs, Tai Chi, and online medical sources (in Spanish). Finally, this issue introduces several new members.
{"title":"Cam At the NIH","authors":"M. Goldner","doi":"10.1177/1533210106297791","DOIUrl":"https://doi.org/10.1177/1533210106297791","url":null,"abstract":"This summary reviews the Summer 2006 newsletter of the National Center for Complementary and Alternative Medicine (NCCAM) (Volume 13, Number 2). It provides highlights from the North American Research Conference on Complementary and Integrative Medicine, discusses probiotics (also known as “friendly bacteria”), and introduces data from the 2002 National Health Interview Survey. It also addresses several NCCAM-funded studies on adolescent usage of CAM, black cohosh, turmeric, and vitamins C and E. This newsletter also discusses a new collaboration with China, as well as a variety of new resources, such as three new NCCAM publications that examine herbs, Tai Chi, and online medical sources (in Spanish). Finally, this issue introduces several new members.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"14 1","pages":"78 - 80"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81996071","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}
Pub Date : 2007-01-01DOI: 10.1177/1533210107302439
M. Cameron
Research projects collapse for a variety of reasons: for example, recruitment problems, sloppy designs, low power, or poor data management. This confessional tale reports on a failed study of the use of exercise and manual therapies for rheumatoid arthritis, solidly established in a quantitative paradigm. This research was an attempt to investigate whether adding a course of manual therapy or water exercise to existing care regimens influenced quality-of-life domains such as mobility, dexterity, and pain in people with rheumatoid arthritis. The study collapsed. The author reports her reflections on the research process and what happens to researchers and participants when studies go awry. This case addresses issues of the personal investments of the researcher, the ethical treatment of participants, the anxieties and pressures of completing a PhD, and the lack of visibility of studies with nonsignificant findings.
{"title":"When Research Goes Pear-Shaped: Report and Reflections on a Failed Study of Exercise and Manual Therapies for Rheumatoid Arthritis","authors":"M. Cameron","doi":"10.1177/1533210107302439","DOIUrl":"https://doi.org/10.1177/1533210107302439","url":null,"abstract":"Research projects collapse for a variety of reasons: for example, recruitment problems, sloppy designs, low power, or poor data management. This confessional tale reports on a failed study of the use of exercise and manual therapies for rheumatoid arthritis, solidly established in a quantitative paradigm. This research was an attempt to investigate whether adding a course of manual therapy or water exercise to existing care regimens influenced quality-of-life domains such as mobility, dexterity, and pain in people with rheumatoid arthritis. The study collapsed. The author reports her reflections on the research process and what happens to researchers and participants when studies go awry. This case addresses issues of the personal investments of the researcher, the ethical treatment of participants, the anxieties and pressures of completing a PhD, and the lack of visibility of studies with nonsignificant findings.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"5 1","pages":"63 - 77"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80320071","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}
Pub Date : 2007-01-01DOI: 10.1177/1533210107301834
Amanda Reiman
The possible medicinal uses of cannabis are growing, yet research on how patients use medical cannabis facility services remains scarce. This article reports on the Cannabis Care Study, in which 130 medical cannabis patients at seven facilities in the San Francisco Bay Area were surveyed to gather information about demographics, personal health practices, health outcomes, service use, and satisfaction with medical cannabis facilities. The study was modeled after Andersen's Behavioral Model of Health Services Use. Results show that patients tend to be males older than 35, identify with multiple ethnicities, and report variable symptom duration and current health status. Nearly half the sample reported substituting cannabis for alcohol and illegal drugs; 74% reported substituting it for prescription drugs. Satisfaction did not differ across study sites and was significantly higher than nationally reported satisfaction with health care. Implications for the medical cannabis community and the greater system of health and social care are discussed.
{"title":"Medical Cannabis Patients: Patient Profiles and Health Care Utilization Patterns","authors":"Amanda Reiman","doi":"10.1177/1533210107301834","DOIUrl":"https://doi.org/10.1177/1533210107301834","url":null,"abstract":"The possible medicinal uses of cannabis are growing, yet research on how patients use medical cannabis facility services remains scarce. This article reports on the Cannabis Care Study, in which 130 medical cannabis patients at seven facilities in the San Francisco Bay Area were surveyed to gather information about demographics, personal health practices, health outcomes, service use, and satisfaction with medical cannabis facilities. The study was modeled after Andersen's Behavioral Model of Health Services Use. Results show that patients tend to be males older than 35, identify with multiple ethnicities, and report variable symptom duration and current health status. Nearly half the sample reported substituting cannabis for alcohol and illegal drugs; 74% reported substituting it for prescription drugs. Satisfaction did not differ across study sites and was significantly higher than nationally reported satisfaction with health care. Implications for the medical cannabis community and the greater system of health and social care are discussed.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"39 1","pages":"31 - 50"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85721959","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}
Pub Date : 2007-01-01DOI: 10.1177/1533210107301740
E. Garland
Stress-related illness presents an ever-increasing burden to society, and thus has become the target of numerous complementary and integrative medicine interventions. One such clinical intervention, mindfulness meditation, has gained eminence for its demonstrated efficacy in reducing stress and improving health outcomes. Despite its prominence, little is known about the mechanics through which it exerts its treatment effects. This article details the therapeutic mechanisms of mindfulness with a novel causal model of stress, metacognition, and coping. Mindfulness is hypothesized to bolster coping processes by augmenting positive reappraisal, mitigating catastrophizing, and engendering self-transcendence. Reviews of stress and mindfulness are then framed by the perspective of second-order cybernetics, a transdisciplinary conceptual framework which builds on extant theory by highlighting the recursion between the individual and their environment.
{"title":"The Meaning of Mindfulness: A Second-Order Cybernetics of Stress, Metacognition, and Coping","authors":"E. Garland","doi":"10.1177/1533210107301740","DOIUrl":"https://doi.org/10.1177/1533210107301740","url":null,"abstract":"Stress-related illness presents an ever-increasing burden to society, and thus has become the target of numerous complementary and integrative medicine interventions. One such clinical intervention, mindfulness meditation, has gained eminence for its demonstrated efficacy in reducing stress and improving health outcomes. Despite its prominence, little is known about the mechanics through which it exerts its treatment effects. This article details the therapeutic mechanisms of mindfulness with a novel causal model of stress, metacognition, and coping. Mindfulness is hypothesized to bolster coping processes by augmenting positive reappraisal, mitigating catastrophizing, and engendering self-transcendence. Reviews of stress and mindfulness are then framed by the perspective of second-order cybernetics, a transdisciplinary conceptual framework which builds on extant theory by highlighting the recursion between the individual and their environment.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"64 1","pages":"15 - 30"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84336055","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}
Pub Date : 2006-04-01DOI: 10.1177/1533210106292461
Ronny A Bell, Jeanette M Stafford, Thomas A Arcury, Beverly M Snively, Shannon L Smith, Joseph G Grzywacz, Sara A Quandt
Complementary and alternative medicine (CAM) is a growing form of self-care and is related to other healthy behaviors. This study examines the relationship between CAM use and diabetes self-management. A survey of rural older African American, Native American, and White adults with diabetes was conducted. Data were collected on diabetes self-management domains and general and diabetes-specific CAM use. Some associations were observed, particularly for CAM use and following a healthy eating plan. CAM is part of the health maintenance strategy of rural older adults with diabetes. Further research should examine the health trajectory associated with CAM use in this population.
{"title":"Complementary and Alternative Medicine Use and Diabetes Self-Management Among Rural Older Adults.","authors":"Ronny A Bell, Jeanette M Stafford, Thomas A Arcury, Beverly M Snively, Shannon L Smith, Joseph G Grzywacz, Sara A Quandt","doi":"10.1177/1533210106292461","DOIUrl":"https://doi.org/10.1177/1533210106292461","url":null,"abstract":"<p><p>Complementary and alternative medicine (CAM) is a growing form of self-care and is related to other healthy behaviors. This study examines the relationship between CAM use and diabetes self-management. A survey of rural older African American, Native American, and White adults with diabetes was conducted. Data were collected on diabetes self-management domains and general and diabetes-specific CAM use. Some associations were observed, particularly for CAM use and following a healthy eating plan. CAM is part of the health maintenance strategy of rural older adults with diabetes. Further research should examine the health trajectory associated with CAM use in this population.</p>","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"11 2","pages":"95-106"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1533210106292461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28402707","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}
Pub Date : 2006-04-01DOI: 10.1177/1533210106292560
M. Goldner
This summary reviews the spring 2006 newsletter of the National Center for Complementary and Alternative Medicine (NCCAM; Volume 13, Number 1). It addresses several NCCAM-funded studies on complementary and alternative medicine (CAM) treatments for osteoarthritis, insulin resistance, enlargement of the prostate, chronic lower back pain, and age-related mental decline. This newsletter also discusses three new NCCAM publications that examine meditation, Reiki, and dandelions, as well as two new lectures on spirituality and integrative medicine. Finally, this issue introduces several new NCCAM fellows and members.
{"title":"Complementary and Alternative Medicine at the NIH","authors":"M. Goldner","doi":"10.1177/1533210106292560","DOIUrl":"https://doi.org/10.1177/1533210106292560","url":null,"abstract":"This summary reviews the spring 2006 newsletter of the National Center for Complementary and Alternative Medicine (NCCAM; Volume 13, Number 1). It addresses several NCCAM-funded studies on complementary and alternative medicine (CAM) treatments for osteoarthritis, insulin resistance, enlargement of the prostate, chronic lower back pain, and age-related mental decline. This newsletter also discusses three new NCCAM publications that examine meditation, Reiki, and dandelions, as well as two new lectures on spirituality and integrative medicine. Finally, this issue introduces several new NCCAM fellows and members.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"58 1","pages":"123 - 124"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87726704","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}
Pub Date : 2006-04-01DOI: 10.1177/1533210106292467
H. Baer
This article examines the drive for legitimation on the part of osteopathy and chiropractic in Australia. A brief history is presented of the development of these two manual medical systems down under, their respective drives for statutory registration and public funding of their training institutions (all of which are embedded in public universities), and their respective niches within the context of the Australian dominative medical system. Ironically, although osteopathy is politically strong in both the United States, where it has evolved in osteopathic medicine and a parallel medical system to biomedicine, and in Britain, where it remains primarily a manual medical system, chiropractic over time became politically stronger than osteopathy in Australia. The author argues that although chiropractic and osteopathy remain distinct and related systems in Australia, from the perspective of the Australian state, they essentially are one and the same.
{"title":"The Drive for Legitimation by Osteopathy and Chiropractic in Australia: Between Heterodoxy and Orthodoxy","authors":"H. Baer","doi":"10.1177/1533210106292467","DOIUrl":"https://doi.org/10.1177/1533210106292467","url":null,"abstract":"This article examines the drive for legitimation on the part of osteopathy and chiropractic in Australia. A brief history is presented of the development of these two manual medical systems down under, their respective drives for statutory registration and public funding of their training institutions (all of which are embedded in public universities), and their respective niches within the context of the Australian dominative medical system. Ironically, although osteopathy is politically strong in both the United States, where it has evolved in osteopathic medicine and a parallel medical system to biomedicine, and in Britain, where it remains primarily a manual medical system, chiropractic over time became politically stronger than osteopathy in Australia. The author argues that although chiropractic and osteopathy remain distinct and related systems in Australia, from the perspective of the Australian state, they essentially are one and the same.","PeriodicalId":10611,"journal":{"name":"Complementary Health Practice Review","volume":"30 1","pages":"77 - 94"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89612477","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}
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