The aim of this work is to assess anthropometric parameters of the Roma newborns in Virovitica-Podravina County and compare them with the values for the non-Roma group. This retrospective investigation includes 204 Roma and 408 non-Roma newborns, born at the maternity ward of the Virovitica General Hospital in the period from 1991 to 2010. Various parameters, such as birth weight and length, head perimeter, as well as the ponderal index and percentile values of birth weight, were assessed. Roma newborns have, on average, 321.7 g smaller weight, 1.3 cm smaller length and 0.7 cm smaller head perimeter at birth, compared to non-Roma newborns. The ponderal index was found to be 0.06 less for Roma newborns, with higher frequency of hypothrophic newborns, according to the percentile values of the birth weight. The differences in anthropometric parameter values of Roma and non-Roma newborns may be due to the ethnic identity, but also due to the impact of the surroundings and the lifestyle of the population itself. Assessed data could provide a better understanding to, and political direction for the improvement of the reproductive, as well as the overall health of the Roma population.
{"title":"Anthropometric differences of Roma and Non-roma newborns in Virovitica-Podravina County","authors":"Jadranko Šegregur","doi":"10.13112/pc.2022.12","DOIUrl":"https://doi.org/10.13112/pc.2022.12","url":null,"abstract":"The aim of this work is to assess anthropometric parameters of the Roma newborns in Virovitica-Podravina County and compare them with the values for the non-Roma group. This retrospective investigation includes 204 Roma and 408 non-Roma newborns, born at the maternity ward of the Virovitica General Hospital in the period from 1991 to 2010. Various parameters, such as birth weight and length, head perimeter, as well as the ponderal index and percentile values of birth weight, were assessed. Roma newborns have, on average, 321.7 g smaller weight, 1.3 cm smaller length and 0.7 cm smaller head perimeter at birth, compared to non-Roma newborns. The ponderal index was found to be 0.06 less for Roma newborns, with higher frequency of hypothrophic newborns, according to the percentile values of the birth weight. The differences in anthropometric parameter values of Roma and non-Roma newborns may be due to the ethnic identity, but also due to the impact of the surroundings and the lifestyle of the population itself. Assessed data could provide a better understanding to, and political direction for the improvement of the reproductive, as well as the overall health of the Roma population.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49125365","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}
Tenosynovial giant cell tumor (TGCT) is a rare, benign monoarticular disease that affects the synovial lining of joint, tendon or bursa. We distinguish two forms of the disease, localized and diffuse forms, both of which are histologically identical. The incidence rate of the localized form of TGCT (LTGCT) is 10 cases per million people, of which about 5% of all cases occur in the ankle. We present a rare case of LTGCT in the anterior part of the ankle in an adolescent, which was manifested by swelling and occasional pain, especially during sports activities. On the magnetic resonance imaging (MRI) a heterogeneously structured, well encapsulated tumor was visible in the anterior part of the ankle. In addition to the painless swelling in the anterior part of the ankle, the physical examination revealed a deficit of dorsiflexion of the foot. The operation was performed arthroscopically but the tumor could not be removed in a single piece due to its size, so it was removed in multiple pieces. Histopathological analysis confirmed that the tumor was TGCT. During the two-year follow-up period, the patient did not have problems with the operated ankle and no recurrence of the disease was observed on control MRIs. TGCT should be considered as a possible differential diagnosis, especially when pain and swelling of the ankle occur without injury. Arthroscopic surgery is a safe and effective method of treatment if it is performed by an experienced surgeon backed by a welltrained team. The choice of the type of surgical treatment should be determined depending on the anatomical position of the formation in the joint and the surgeon’s assessment and preference.
{"title":"Localized tenosynovial gigantocellular tumor of the ankle in an adolescent: case report and literature review","authors":"D. Dimnjaković, Tin Karakaš, I. Bojanić","doi":"10.13112/pc.2022.15","DOIUrl":"https://doi.org/10.13112/pc.2022.15","url":null,"abstract":"Tenosynovial giant cell tumor (TGCT) is a rare, benign monoarticular disease that affects the synovial lining of joint, tendon or bursa. We distinguish two forms of the disease, localized and diffuse forms, both of which are histologically identical. The incidence rate of the localized form of TGCT (LTGCT) is 10 cases per million people, of which about 5% of all cases occur in the ankle. We present a rare case of LTGCT in the anterior part of the ankle in an adolescent, which was manifested by swelling and occasional pain, especially during sports activities. On the magnetic resonance imaging (MRI) a heterogeneously structured, well encapsulated tumor was visible in the anterior part of the ankle. In addition to the painless swelling in the anterior part of the ankle, the physical examination revealed a deficit of dorsiflexion of the foot. The operation was performed arthroscopically but the tumor could not be removed in a single piece due to its size, so it was removed in multiple pieces. Histopathological analysis confirmed that the tumor was TGCT. During the two-year follow-up period, the patient did not have problems with the operated ankle and no recurrence of the disease was observed on control MRIs. TGCT should be considered as a possible differential diagnosis, especially when pain and swelling of the ankle occur without injury. Arthroscopic surgery is a safe and effective method of treatment if it is performed by an experienced surgeon backed by a welltrained team. The choice of the type of surgical treatment should be determined depending on the anatomical position of the formation in the joint and the surgeon’s assessment and preference.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44759342","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}
Purpose: Presentation of surgical treatment of a girl with type IV radial longitudinal deficiency and type IV thumb hypoplasia as well as review of the most relevant literature published in the previous 25 years. Methods: The treatment consisted of placement of an external fixator and subsequent distraction in the radioulnar and proximodistal axis as the initial procedure followed by radialization according to Buck-Gramcko around the 2nd birthday, 10 weeks after the primary procedure. The last step of the treatment was a pollicization of the index finger performed before the 4th birthday. Results: The surgical treatment resulted with a very favorable outcome – a clinically stable wrist, radiologically well aligned carpus over the ulna and an index pollicised in such a manner that enables adequate opposition to the other fingers. Conclusion: A review of literature in the last 25 years shows that radialization of the ulna with a preceding distraction offers benefits over centralization alone. Distraction of the wrist protects the distal ulnar growth plate and thus promotes growth. Soft tissue release with a bilobar flap can also provide a good outcome as wells as a microvascular joint transfer from the 2nd toe whereas the latter requires advanced microsurgical skills.
{"title":"Staged reconstruction of radial longitudinal deficiency and thumb aplasia – case report and a review of the literature","authors":"","doi":"10.13112/pc.2022.13","DOIUrl":"https://doi.org/10.13112/pc.2022.13","url":null,"abstract":"Purpose: Presentation of surgical treatment of a girl with type IV radial longitudinal deficiency and type IV thumb hypoplasia as well as review of the most relevant literature published in the previous 25 years. Methods: The treatment consisted of placement of an external fixator and subsequent distraction in the radioulnar and proximodistal axis as the initial procedure followed by radialization according to Buck-Gramcko around the 2nd birthday, 10 weeks after the primary procedure. The last step of the treatment was a pollicization of the index finger performed before the 4th birthday. Results: The surgical treatment resulted with a very favorable outcome – a clinically stable wrist, radiologically well aligned carpus over the ulna and an index pollicised in such a manner that enables adequate opposition to the other fingers. Conclusion: A review of literature in the last 25 years shows that radialization of the ulna with a preceding distraction offers benefits over centralization alone. Distraction of the wrist protects the distal ulnar growth plate and thus promotes growth. Soft tissue release with a bilobar flap can also provide a good outcome as wells as a microvascular joint transfer from the 2nd toe whereas the latter requires advanced microsurgical skills.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42973261","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}
The Gross Motor Function Measure-88 (GMFM-88) is a standardized observational instrument measuring gross motor function for children with cerebral palsy and Down syndrome. Clinicians in Croatia have been showing a growing interest in GMFM-88. However, only the English version of the measure was available, which possessed a barrier for its use in Croatia. The aim of this study was to translate the GMFM-88 test from English into Croatian and adapt it for use in clinical practice in Croatia. In this study, we followed the first five steps of the Sousa & Rojjanasrirat (2010) guideline for translation and adaptation. First, two authors independently did “forward” translation; a translation of the score sheet from English into Croatian. Then, the third author performed “backward” translation, which was checked and revised by the measure’s author. The pre-final version of the translated measure was tested through cognitive debriefing with seven clinicians. Participants pointed out the importance of the consistent use of terms and provided suggestions for improvement, such as changed word order or shortening of the translated items. Seventy two of 88 items were changed. With this study, we have initiated the adaptation of the GMFM-88 to Croatian. The next steps for fully validated GMFM-88 in the Croatian language is to do psychometric testing with children with cerebral palsy and Down syndrome in Croatia.
{"title":"Translation and adaptation of the Gross Motor Function Measure-88 to the Croatian language","authors":"Dunja Husnjak, Hrvoje Gudlin, M. Novak-Pavlic","doi":"10.13112/pc.2022.11","DOIUrl":"https://doi.org/10.13112/pc.2022.11","url":null,"abstract":"The Gross Motor Function Measure-88 (GMFM-88) is a standardized observational instrument measuring gross motor function for children with cerebral palsy and Down syndrome. Clinicians in Croatia have been showing a growing interest in GMFM-88. However, only the English version of the measure was available, which possessed a barrier for its use in Croatia. The aim of this study was to translate the GMFM-88 test from English into Croatian and adapt it for use in clinical practice in Croatia. In this study, we followed the first five steps of the Sousa & Rojjanasrirat (2010) guideline for translation and adaptation. First, two authors independently did “forward” translation; a translation of the score sheet from English into Croatian. Then, the third author performed “backward” translation, which was checked and revised by the measure’s author. The pre-final version of the translated measure was tested through cognitive debriefing with seven clinicians. Participants pointed out the importance of the consistent use of terms and provided suggestions for improvement, such as changed word order or shortening of the translated items. Seventy two of 88 items were changed. With this study, we have initiated the adaptation of the GMFM-88 to Croatian. The next steps for fully validated GMFM-88 in the Croatian language is to do psychometric testing with children with cerebral palsy and Down syndrome in Croatia.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49647461","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}
P. Bukovec, Izabela Kranjčec, S. Gašparov, H. Živić
Cervical lymphadenopathy in children is often the reason to seek medical attention. According to the literature, 90% of children aged 4-9 years has cervical lymphadenopathy, mainly caused by acute infections, that is treated in the out-of-hospital setting. In a small, but significant number of cases, cervical lymphadenopathy is caused by malignancy and wide range of other clinical entities, that require more detailed clinical approach. Three patients with non-infectous unilateral cervical lymphadenopathy are presented; adolescent boy with unicentric Castleman disease, young adult with progressive transformation of germinal centers, and an infant with viral parotitis mistaken for cervical lymphadenopathy. Unicentric Castleman disease was diagnosed by pathohistological assesment of excised lymph node to a 14-year-old boy after 7 months of persistent cervical lymphadenopathy, and close follow-up was suggested as no disease progression was verified by PETCT. Histopathological-clinical diagnosis of progressive transformation of germinal centers was established in an adolescent with 3-month history of lymphadenopathy, after extensive radiological and infectious assesment. Chronic reccurent course of the disease was once again confirmed, as this patient awaits his third extirpation in the last year. Viral parotitis is one of the conditions that can mimic cervical lymphadenopathy as showed with the third presented patient – a 6-month-old male infant with the submandibular swelling lasting for three days. This article emphasises the importance of a detailed history taking and clinical assesment, but is also a reminder of a less often, noninfectious causes of lymphadenopathy in children, where systematic approach is the key to a correct diagnosis and treatment.
{"title":"Non-infectious unilateral cervical lymphadenopathy in children - a case report","authors":"P. Bukovec, Izabela Kranjčec, S. Gašparov, H. Živić","doi":"10.13112/pc.2022.14","DOIUrl":"https://doi.org/10.13112/pc.2022.14","url":null,"abstract":"Cervical lymphadenopathy in children is often the reason to seek medical attention. According to the literature, 90% of children aged 4-9 years has cervical lymphadenopathy, mainly caused by acute infections, that is treated in the out-of-hospital setting. In a small, but significant number of cases, cervical lymphadenopathy is caused by malignancy and wide range of other clinical entities, that require more detailed clinical approach. Three patients with non-infectous unilateral cervical lymphadenopathy are presented; adolescent boy with unicentric Castleman disease, young adult with progressive transformation of germinal centers, and an infant with viral parotitis mistaken for cervical lymphadenopathy. Unicentric Castleman disease was diagnosed by pathohistological assesment of excised lymph node to a 14-year-old boy after 7 months of persistent cervical lymphadenopathy, and close follow-up was suggested as no disease progression was verified by PETCT. Histopathological-clinical diagnosis of progressive transformation of germinal centers was established in an adolescent with 3-month history of lymphadenopathy, after extensive radiological and infectious assesment. Chronic reccurent course of the disease was once again confirmed, as this patient awaits his third extirpation in the last year. Viral parotitis is one of the conditions that can mimic cervical lymphadenopathy as showed with the third presented patient – a 6-month-old male infant with the submandibular swelling lasting for three days. This article emphasises the importance of a detailed history taking and clinical assesment, but is also a reminder of a less often, noninfectious causes of lymphadenopathy in children, where systematic approach is the key to a correct diagnosis and treatment.","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48842752","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}
Breastfeeding is undoubtedly the best food for newborns and infants. In the process of breastfeeding, the child establishes the foundations of attachment, on which he will build the foundations of all subsequent relationships. Breastfeeding has health benefits for the mother. The invitation to participate in this research was answered by a small number of men in terms of gender, and doctors in terms of profession. The results of the research show in general scarce participation of health professionals in education about breastfeeding (frequently/regularly less than 20%). Counseling parents on exclusive and complete breastfeeding is often contrary to UNICEF/WHO guidelines. The worst responses of healthcare workers on the scale of attitudes are regarding breastfeeding in a public place, acceptance of breastfeeding as a fundamental human relationship and the role of the father in supporting the breastfeeding mother. On the scale of knowledge, the worst responses are regarding knowledge of the legal regulation of public advertising of breast milk substitutes, stopping breastfeeding when the mother is febrile or taking some medication, the importance of rooming in and the need to stop breastfeeding when the child starts nursery/kindergarten. Breastfeeding education for future healthcare workers during their education should be improved. In working with healthcare professionals who are already employed, work should be done to raise awareness of the obligation to provide information about breastfeeding in accordance with WHO/UNICEF recommendations. Parents who have already decided to breastfeed their child have the right to continuous support during the entire period of breastfeeding. To achieve the goals of the WHO/UNICEF in 2030, only positive developments in the health system will not be enough, but at the level of the entire society
{"title":"Behavior, attitudes and knowledge of healthcare workers about breastfeeding","authors":"M. Čatipović, Z. Puharić, Lorena Golić","doi":"10.13112/pc.2022.10","DOIUrl":"https://doi.org/10.13112/pc.2022.10","url":null,"abstract":"Breastfeeding is undoubtedly the best food for newborns and infants. In the process of breastfeeding, the child establishes the foundations of attachment, on which he will build the foundations of all subsequent relationships. Breastfeeding has health benefits for the mother. The invitation to participate in this research was answered by a small number of men in terms of gender, and doctors in terms of profession. The results of the research show in general scarce participation of health professionals in education about breastfeeding (frequently/regularly less than 20%). Counseling parents on exclusive and complete breastfeeding is often contrary to UNICEF/WHO guidelines. The worst responses of healthcare workers on the scale of attitudes are regarding breastfeeding in a public place, acceptance of breastfeeding as a fundamental human relationship and the role of the father in supporting the breastfeeding mother. On the scale of knowledge, the worst responses are regarding knowledge of the legal regulation of public advertising of breast milk substitutes, stopping breastfeeding when the mother is febrile or taking some medication, the importance of rooming in and the need to stop breastfeeding when the child starts nursery/kindergarten. Breastfeeding education for future healthcare workers during their education should be improved. In working with healthcare professionals who are already employed, work should be done to raise awareness of the obligation to provide information about breastfeeding in accordance with WHO/UNICEF recommendations. Parents who have already decided to breastfeed their child have the right to continuous support during the entire period of breastfeeding. To achieve the goals of the WHO/UNICEF in 2030, only positive developments in the health system will not be enough, but at the level of the entire society","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49392903","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}
Blaženka Kljaić Bukvić, Irena Ivković Jureković, M. Navratil, M. Rogulj, D. Bandić, J. Kelečić, Silvije Šegulja, D. Richter
{"title":"From phenotype to biological treatment of severe asthma","authors":"Blaženka Kljaić Bukvić, Irena Ivković Jureković, M. Navratil, M. Rogulj, D. Bandić, J. Kelečić, Silvije Šegulja, D. Richter","doi":"10.13112/pc.2022.4","DOIUrl":"https://doi.org/10.13112/pc.2022.4","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46379299","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}
I. Topalušić, Irena Ivković Jureković, A. Stipić Marković, B. Jakus
{"title":"https://www.paedcro.com/en/2125-from-phenotype-to-biological-treatment-of-severe-asthma","authors":"I. Topalušić, Irena Ivković Jureković, A. Stipić Marković, B. Jakus","doi":"10.13112/pc.2022.5","DOIUrl":"https://doi.org/10.13112/pc.2022.5","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47346654","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}
Blaženka Kljaić Bukvić, Irena Ivković Jureković, M. Navratil, M. Rogulj, D. Bandić, J. Kelečić, Silvije Šegulja, D. Richter
{"title":"The approach to a child with severe asthma","authors":"Blaženka Kljaić Bukvić, Irena Ivković Jureković, M. Navratil, M. Rogulj, D. Bandić, J. Kelečić, Silvije Šegulja, D. Richter","doi":"10.13112/pc.2022.3","DOIUrl":"https://doi.org/10.13112/pc.2022.3","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42803974","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}
H. Jednačak, I. Pašalić, Barbara Vukić, Sara Dejanović Bekić, M. Pavlovic
{"title":"Differences Between the Two Most Common Forms of Neurofibromatosis and the Importance of their Exact Diagnosis- a case report","authors":"H. Jednačak, I. Pašalić, Barbara Vukić, Sara Dejanović Bekić, M. Pavlovic","doi":"10.13112/pc.2022.7","DOIUrl":"https://doi.org/10.13112/pc.2022.7","url":null,"abstract":"","PeriodicalId":49715,"journal":{"name":"Paediatria Croatica","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42458779","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}