{"title":"Usefulness of Red Filter & Light for Early Detection of Convergence Insufficiency","authors":"Takanori Kobayashi, Makiko Yuizumi, H. Kakizaki","doi":"10.4263/JORTHOPTIC.35.171","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.171","url":null,"abstract":"輻湊近点の測定は、通常、調節視標を使う場合が多い。しかし、red filter & light(以下、RF & L)で測定することにより、調節視標に比べて、輻湊近点の延長を早期に発見することが出来る。症例は初診時5歳4か月の女児で屈折性弱視を主訴に受診した。初診3か月後、矯正で視力は改善した。その時の輻湊近点は、調節視標では正常範囲内であったが、RF & Lでは延長が見られた。そこで家庭での輻湊訓練を指示したが施行されず、輻湊近点は調節視標で延長し、さらに近見、遠見は間歇性外斜視へ移行した。その後、輻湊訓練を行った結果、輻湊近点の延長はなくなり、近見、遠見とも外斜位に改善した。輻湊近点の延長を早期に発見し、早期に治療を開始するためには、RF & Lによる測定は有用である。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128574507","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 : 2006-08-31DOI: 10.4263/JORTHOPTIC.35.77
K. Fujiike, Y. Yamaguchi, Maki Matsumaru, T. Katsuta, Noriko Murai, M. Henmi, K. Ohnuma, K. Ohno, T. Noda
We report a 42-year-old woman with acute-onset monocular multiplopia in a vertical direction. The corneal topography showed irregular corneal aberrations and the wavefront sensor showed both corneal and total-ocular higher-order aberrations. However, when the corneal aberrations were corrected with a hard contact lens (HCL), the patient reported even more marked subjective multiplopia, which suggested that the distorted vision was caused by the presumed irregular aberrations in the crystalline lens. The results of wavefront analysis of the eye with the HCL did not coincide well with the patients subjective report of vertical multiplopia, which suggested that the lens aberrations seemed to be too complex for the algorithm of the sensing procedure to analyze. Simulated retinal images obtained using the point spread function (PSF) analyzer showed multiple images vertically, which were more clearly depicted in the eye with the HCL, and which coincided precisely with the patients subjective complaint. We speculated that distortion of the shape of the crystalline lens occurred early during the aging process. Retinal-image simulation using the PSF analyzer is clinically useful to estimate the quality of vision even in eyes with highly complicated aberrations that are beyond the measurable range of the wavefront sensor.
{"title":"Retinal image simulation by PSF analyzer on the eye with higher-order aberrations due to the crystalline lens","authors":"K. Fujiike, Y. Yamaguchi, Maki Matsumaru, T. Katsuta, Noriko Murai, M. Henmi, K. Ohnuma, K. Ohno, T. Noda","doi":"10.4263/JORTHOPTIC.35.77","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.77","url":null,"abstract":"We report a 42-year-old woman with acute-onset monocular multiplopia in a vertical direction. The corneal topography showed irregular corneal aberrations and the wavefront sensor showed both corneal and total-ocular higher-order aberrations. However, when the corneal aberrations were corrected with a hard contact lens (HCL), the patient reported even more marked subjective multiplopia, which suggested that the distorted vision was caused by the presumed irregular aberrations in the crystalline lens. The results of wavefront analysis of the eye with the HCL did not coincide well with the patients subjective report of vertical multiplopia, which suggested that the lens aberrations seemed to be too complex for the algorithm of the sensing procedure to analyze. Simulated retinal images obtained using the point spread function (PSF) analyzer showed multiple images vertically, which were more clearly depicted in the eye with the HCL, and which coincided precisely with the patients subjective complaint. We speculated that distortion of the shape of the crystalline lens occurred early during the aging process. Retinal-image simulation using the PSF analyzer is clinically useful to estimate the quality of vision even in eyes with highly complicated aberrations that are beyond the measurable range of the wavefront sensor.","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134190030","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 investigation of amblyopic patients detected no abnormalities in 3-years-old health check program","authors":"Masako Ube, Masako Shibuya, R. Kudo, Toshiro Mori","doi":"10.4263/JORTHOPTIC.35.189","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.189","url":null,"abstract":"3歳児健診を受診したにもかかわらず視力異常を指摘されず、後に弱視治療が必要とされた症例につき、3歳児健診をすり抜けてしまった原因を検討した。対象は平成12年1月～平成15年5月までに、岩手県立一戸病院、同中央病院を受診し、弱視治療を必要とした15例24眼で、年齢分布は4～11歳であった。これらの症例の、初診時年齢、弱視の種類、眼科受診の動機、初診時視力、調節麻痺下屈折度、視力予後につき調査した。その結果、弱視の種類は、屈折異常弱視が9例18眼、不同視弱視が6例6眼であった。学校健診と就学時健診で視力不良を指摘され受診したものが15名中10名であった。初診時裸眼視力は、0.5未満が24眼中17眼(70.8%)で、調節麻痺下の屈折度は中等度から高度の遠視性乱視が最も多く、次に混合乱視が多かった。裸眼視力0.5以上は7眼(29.2%)で、中等度以下の遠視性乱視あるいは混合乱視であった。乱視の種類は、直乱視が24眼中22眼で、乱視度数が-2D以上を有しているものが多かった。視力予後は、15例中13例で矯正1.0以上が得られた。3歳児健診で視力異常を指摘されなかった原因は、屈折異常や弱視の種類より、システム自体の問題と考えられた。他覚的屈折検査の導入や視力検査方法の検討で、3歳児健診を更に有意義なものにする必要があると思われた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129317512","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":"Two successful cases, which changed diagnosis from organic amblyopia to functional amblyopia","authors":"Fukumi Ikeda, Hiroko Endou, H. Chuman, N. Nao‐i","doi":"10.4263/JORTHOPTIC.35.155","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.155","url":null,"abstract":"器質弱視と近医にて診断された症例に対し、遮閉療法が有効であった2症例を経験したので報告する。症例1は、9歳の女児(初診時4歳)。3歳児健診で視力不良を指摘され近医を受診した。両眼の視神経炎と診断され、ステロイド加療をされたが視力改善せず、当科を受診した。初診時矯正視力は、右眼(0.08)、左眼(0.7)。両眼底に乳頭腫脹を認めるも、偽性うっ血乳頭と考えた。調節麻痺下の屈折検査にて、右眼+7.0D、左眼+3.0Dの遠視を認めた。完全矯正と健眼遮閉を開始した結果、矯正視力は、右眼(1.0)、左眼(1.0)と改善した。症例2は、6歳の女児(初診時4歳)。吐気や嘔吐が頻回にあり、脳神経外科にてMRIを施行し、左眼窩部腫瘍を指摘された。視覚の精査目的にて当科を受診した。初診時視力は、右眼1.2(n.c.)、左眼0.4(n.c.)で、RAPD陰性であった。調節麻痺下の屈折検査で、左眼に+1.5Dの遠視を認めたため、完全矯正と健眼遮閉を開始したところ、右眼1.5(n.c.)、左眼(1.5)と改善した。偽性うっ血乳頭は視力予後が良好であることや、眼窩腫瘍にも関わらずRAPDが陰性であったことから、視力不良の原因は屈折異常にあると考え、弱視治療を行い、視力が向上した。このように、器質的疾患による、機能的弱視かを判断するにあたり、神経眼科的知識が有用で、積極的な弱視治療を行うことは重要であると考えられた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122874009","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 : 2006-08-31DOI: 10.4263/JORTHOPTIC.35.19
C. Pritchard
For the treatment of intermittent exotropia, conventional thinking assigns sensory treatment to the orthoptist and motor treatment to the ophthalmologist. However, upon close examination of this line of thinking as discussed in this paper, one can see that the margins are blurred. It is the orthoptist that provides the measurements that are used by the surgeon to determine the surgical procedure and the amount of surgery. Clearly, the orthoptist is involved in the surgical decision-making process. We therefore have not only an opportunity but an obligation to our patients to expand our involvement by applying measurement strategies that provide the surgeon with the best information about the size of deviation and to do more research in this area. We also must expand our thinking to investigate features that might help predict response to standard surgery, enabling the surgeon to augment the procedure or the amount of surgery to improve surgical outcome when particular features are present pre-operatively. We cannot assume that it is random chance that the exact same surgical procedure for patients with the exact same measurements can result in a cure for some but to overcorrection or under-correction in others. Orthoptic research can help identify reasons for this variation in response to surgery. Orthoptists have been tremendously successful in devising methods for non-surgical management of intermittent exotropia that include techniques for breaking suppression and building fusional convergence. Our role should not be limited, however, to treatment of the sensory anomalies of intermittent exotropia, but rather should include application of our knowledge, skills and research abilities to surgical planning for treatment of the motor component of intermittent exotropia. By expanding the involvement of orthoptists, the orthoptist/ophthalmologist team will be better able to cure intermittent exotropia. In the meantime, however, as we strive toward improving cure rates, we can be encouraged by the knowledge that treatment "failure" does not necessarily equate with patient dissatisfaction. In a review of charts of 69 consecutive patients in my practice that had surgery for intermittent exotropia, some also treated with orthoptics, 39 were not cured and were considered treatment failures at their most recent visit with failure defined as intermittent or constant tropia of any size or a phoria greater than 8? at distance or near. In spite of being categorized as treatment failures, sixty-two percent of those 39 patients were happy with their outcome, unaware of any manifest deviation and asymptomatic. Therefore, obtaining a cure is not necessarily a requirement for patient satisfaction. As orthoptists we can have pride in our past
{"title":"Intermittent Exotropia: Perspectives on Management","authors":"C. Pritchard","doi":"10.4263/JORTHOPTIC.35.19","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.19","url":null,"abstract":"For the treatment of intermittent exotropia, conventional thinking assigns sensory treatment to the orthoptist and motor treatment to the ophthalmologist. However, upon close examination of this line of thinking as discussed in this paper, one can see that the margins are blurred. It is the orthoptist that provides the measurements that are used by the surgeon to determine the surgical procedure and the amount of surgery. Clearly, the orthoptist is involved in the surgical decision-making process. We therefore have not only an opportunity but an obligation to our patients to expand our involvement by applying measurement strategies that provide the surgeon with the best information about the size of deviation and to do more research in this area. We also must expand our thinking to investigate features that might help predict response to standard surgery, enabling the surgeon to augment the procedure or the amount of surgery to improve surgical outcome when particular features are present pre-operatively. We cannot assume that it is random chance that the exact same surgical procedure for patients with the exact same measurements can result in a cure for some but to overcorrection or under-correction in others. Orthoptic research can help identify reasons for this variation in response to surgery. Orthoptists have been tremendously successful in devising methods for non-surgical management of intermittent exotropia that include techniques for breaking suppression and building fusional convergence. Our role should not be limited, however, to treatment of the sensory anomalies of intermittent exotropia, but rather should include application of our knowledge, skills and research abilities to surgical planning for treatment of the motor component of intermittent exotropia. By expanding the involvement of orthoptists, the orthoptist/ophthalmologist team will be better able to cure intermittent exotropia. In the meantime, however, as we strive toward improving cure rates, we can be encouraged by the knowledge that treatment \"failure\" does not necessarily equate with patient dissatisfaction. In a review of charts of 69 consecutive patients in my practice that had surgery for intermittent exotropia, some also treated with orthoptics, 39 were not cured and were considered treatment failures at their most recent visit with failure defined as intermittent or constant tropia of any size or a phoria greater than 8? at distance or near. In spite of being categorized as treatment failures, sixty-two percent of those 39 patients were happy with their outcome, unaware of any manifest deviation and asymptomatic. Therefore, obtaining a cure is not necessarily a requirement for patient satisfaction. As orthoptists we can have pride in our past","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"229 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131485625","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":"Relation of Client Satisfaction and Binocular vision with MultiviewEX(L)","authors":"E. Makino, H. Makino, Y. Nawa","doi":"10.4263/JORTHOPTIC.35.165","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.165","url":null,"abstract":"遠近両用コンタクトレンズにおける視覚への影響を知るために、立体視機能の測定、更に患者満足度アンケート調査を行い分析した。対象は、2004年5月以降に当院を受診し、遠近両用コンタクトレンズを処方された22名。方法は、22名に対し屈折値、視力、HCL装用年数、立体視機能をTitmus Stereo Testにて測定した。その後、遠近両用コンタクトレンズを処方した患者に対し、了解を得てCSQ(Client Satisfaction Questionnaire)-8を使用し、患者満足度の調査を行った。結果は、マルチビューEX(L)装用における視力の平均値については、遠見は(1.2)、近見は(0.9)となった。検眼レンズ又は近用眼鏡におけるTST・立体視機能が良好であれば遠近両用コンタクトレンズを装用しても良好な満足度を維持することが出来た。立体視機能の平均値は、検眼レンズに於いては51.8sec、マルチビューEX(L)64.5secであった。また、調査8項目の合計スコアの平均は、23.7であり、ほぼ満足が得られている。また、スコアのピークは21であった。視力だけではなく立体視機能TST50～60sec以上であれば、より満足度の得られる処方が可能となるのではないかと考えられる。以上の結果より、CSQ-8Jは十分な内的一貫性と一定の基準関連妥当性を示し、更に、これを使用して学術的に信頼できる患者満足度測定が出来ていると考えられた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122386322","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":"Psychogenic visual disturbance in a case following treatment for anisometropic amblyopia","authors":"Yui Hyodo, C. Usui, Maki Nakagawa, Takao Hayashi","doi":"10.4263/JORTHOPTIC.35.107","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.107","url":null,"abstract":"症例は、10歳の男児。近医にて遠視性不同視弱視に対し長期間健眼遮閉を行っていたが、弱視眼の視力が向上せず、さらに健眼視力も低下してきたため当科受診となった。精査の結果、器質的疾患を認めず、らせん状視野を呈したことから心因性視覚障害と診断した。遮閉を中止したところ、健眼視力のみならず弱視眼視力も向上し、両眼とも矯正視力は1.2に改善した。弱視訓練の一つである健眼遮閉が、患児に精神的ストレスを与えることは周知のことであるが、心因性視覚障害を引き起こすと弱視眼に対する訓練効果の判断を見誤る可能性がある。弱視訓練による心因性視覚障害を予防するためには患児の精神面に対する管理を十分に行い、不必要に長期間の弱視訓練を行わないように注意する必要があると思われた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128347533","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 : 2006-08-31DOI: 10.4263/JORTHOPTIC.35.99
M. Shimizu, Keiko Nakamura, Okumura Tomohito, Fumiko Sawa, Mieko Hamamura, Remiko Inaizumi, Ayumi Tsutsui, Toshihiro Minami, Tomohiko Etomi, J. Sugasawa
Background: Recently, mildly developmental disorder, including attention deficit hyperactive disorder (ADHD) and learning disorder (LD), has been increasingly closed up. Visual perceptual training is provided for them at Osaka medical college LD center. In this study, we report that the department of ophthalmology started associating with the center in order to discuss children suspected that ocular disease cause developmental delay in visual perception. Subject and methods: 22 children (16 males and 6 females) with mildly developmental disorders served as the subjects. The subjects received examinations and treatments if ocular disease was found at the Department of Ophthalmology, Osaka Medical College. Result: Average IQs of the subjects were 88.7 for verbal IQ and 78.4 for performance IQ on WISC-III. The results indicate that they tend to have visual-motor development delay and be weak in visual tasks. Ocular disease of the subjects, which may influence developmental delay of visual perceptual, include 12 of consistent and intermittent exotropia (8 convergence insufficiency), two exotropia, a superior oblique palsy, two congenital nystagmus, 14 refractive errors needed lens prescriptions. Three of them received amblyopia treatments, three received strabismus surgeries. Conclusion: It is difficult to differentiate if developmental delay of visual perception caused by ocular disease or general developmental delay, even though many of children with mildly developmental disorder have visual perceptual problems. The results indicate that mildly developmental disorders with visual perceptual problems tend to have ocular deviation and refractive error which should be treated. Cooperation among department of ophthalmology, pediatrics, and facilities that provide child developmental care is needed.
{"title":"Ocular disease in mildly developmental disorders","authors":"M. Shimizu, Keiko Nakamura, Okumura Tomohito, Fumiko Sawa, Mieko Hamamura, Remiko Inaizumi, Ayumi Tsutsui, Toshihiro Minami, Tomohiko Etomi, J. Sugasawa","doi":"10.4263/JORTHOPTIC.35.99","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.99","url":null,"abstract":"Background: Recently, mildly developmental disorder, including attention deficit hyperactive disorder (ADHD) and learning disorder (LD), has been increasingly closed up. Visual perceptual training is provided for them at Osaka medical college LD center. In this study, we report that the department of ophthalmology started associating with the center in order to discuss children suspected that ocular disease cause developmental delay in visual perception. Subject and methods: 22 children (16 males and 6 females) with mildly developmental disorders served as the subjects. The subjects received examinations and treatments if ocular disease was found at the Department of Ophthalmology, Osaka Medical College. Result: Average IQs of the subjects were 88.7 for verbal IQ and 78.4 for performance IQ on WISC-III. The results indicate that they tend to have visual-motor development delay and be weak in visual tasks. Ocular disease of the subjects, which may influence developmental delay of visual perceptual, include 12 of consistent and intermittent exotropia (8 convergence insufficiency), two exotropia, a superior oblique palsy, two congenital nystagmus, 14 refractive errors needed lens prescriptions. Three of them received amblyopia treatments, three received strabismus surgeries. Conclusion: It is difficult to differentiate if developmental delay of visual perception caused by ocular disease or general developmental delay, even though many of children with mildly developmental disorder have visual perceptual problems. The results indicate that mildly developmental disorders with visual perceptual problems tend to have ocular deviation and refractive error which should be treated. Cooperation among department of ophthalmology, pediatrics, and facilities that provide child developmental care is needed.","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131627700","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 : 2006-08-31DOI: 10.4263/JORTHOPTIC.35.33
K. Ohnuma, K. Kobayashi, T. Noda
{"title":"Point Spread Function Analyzer","authors":"K. Ohnuma, K. Kobayashi, T. Noda","doi":"10.4263/JORTHOPTIC.35.33","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.35.33","url":null,"abstract":"","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114492021","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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