Pub Date : 2025-11-01DOI: 10.1016/j.anpede.2025.504020
Raquel Sánchez Jiménez , Alicia Utrera Ramos , Ibán Plaza Nieto , María del Mar Sánchez Gutiérrez
{"title":"Adolescent with persistent pain in the right calf","authors":"Raquel Sánchez Jiménez , Alicia Utrera Ramos , Ibán Plaza Nieto , María del Mar Sánchez Gutiérrez","doi":"10.1016/j.anpede.2025.504020","DOIUrl":"10.1016/j.anpede.2025.504020","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504020"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145433338","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.503944
María Asunción Martínez-Brocca , Virginia Bellido , Roque Cardona-Hernandez , Luis Castaño , Ignacio Conget , Alberto Fernández , Ana Lucía Gómez Gila , Isabel Leiva-Gea , Dídac Mauricio
Type 1 diabetes (T1DM) is an autoimmune disease whose late diagnosis can lead to serious complications such as diabetic ketoacidosis, especially in children. The presence of specific autoantibodies allows for the identification of a presymptomatic phase, opening the door to screening strategies targeting populations at high genetic risk, such as first-degree relatives. This document presents the consensus recommendations of the Spanish Diabetes Society (SED), the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Paediatric Endocrinology (SEEP) on the screening, staging and monitoring of T1DM in preclinical stages. Early identification of the disease will enable a personalised approach to be established, promote health education and, eventually, consider therapeutic interventions that may delay progression to the symptomatic phase. This consensus seeks to establish a common framework for clinical action based on the available evidence, with clear recommendations for its proper implementation.
{"title":"Executive summary. Screening, staging and follow-up of type 1 diabetes in preclinical stages: consensus of the scientific societies SED, SEEN and SEEP","authors":"María Asunción Martínez-Brocca , Virginia Bellido , Roque Cardona-Hernandez , Luis Castaño , Ignacio Conget , Alberto Fernández , Ana Lucía Gómez Gila , Isabel Leiva-Gea , Dídac Mauricio","doi":"10.1016/j.anpede.2025.503944","DOIUrl":"10.1016/j.anpede.2025.503944","url":null,"abstract":"<div><div>Type 1 diabetes (T1DM) is an autoimmune disease whose late diagnosis can lead to serious complications such as diabetic ketoacidosis, especially in children. The presence of specific autoantibodies allows for the identification of a presymptomatic phase, opening the door to screening strategies targeting populations at high genetic risk, such as first-degree relatives. This document presents the consensus recommendations of the Spanish Diabetes Society (SED), the Spanish Society of Endocrinology and Nutrition (SEEN) and the Spanish Society of Paediatric Endocrinology (SEEP) on the screening, staging and monitoring of T1DM in preclinical stages. Early identification of the disease will enable a personalised approach to be established, promote health education and, eventually, consider therapeutic interventions that may delay progression to the symptomatic phase. This consensus seeks to establish a common framework for clinical action based on the available evidence, with clear recommendations for its proper implementation.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 503944"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537590","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.504023
Viviana Paola Muñoz Cabrera , Javier Arredondo Montero
{"title":"Beneath the bruise: The importance of clinical suspicion in pediatric inguinoscrotal trauma","authors":"Viviana Paola Muñoz Cabrera , Javier Arredondo Montero","doi":"10.1016/j.anpede.2025.504023","DOIUrl":"10.1016/j.anpede.2025.504023","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504023"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282072","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.504024
Carlos Ochoa Sangrador , Carmen Villaizán Pérez , Alberto García-Salido , Pablo del Villar Guerra , Francisco Hijano Bandera , Javier González de Dios , Equipo Editorial de Continuum
Introduction
According to the Global Pediatric Education Consortium (GPEC), paediatricians need to acquire and maintain a set of competencies in their daily practice. Continuum, the online training platform of the Spanish Association of Pediatrics, has developed training activities to explore and achieve these competencies.
Methods
Cross-sectional study of the training activities delivered on Continuum over eleven years and the competencies assigned to each of them. The period 2013–2024 was analysed through a descriptive analysis of competency coverage.
Results
A total of 12 048 GPEC competencies were assigned to 1118 training activities, with an average of 10.8 competencies per activity. Of the 8509 competencies available in the Continuum competency matrix, 5718 were addressed at least once. This amounts to 67.2% of the total (95% confidence interval [CI], 66.2 %–68.2%). Each competency was assigned an average of 2.11 times (95% CI, 2.07–2.15). There was considerable heterogeneity in the coverage by area of competence. We ought to highlight the high coverage (>90%) for the areas of “Professionalism”, “Patient Safety and Quality Improvement”, “Musculoskeletal Disorders”, “Allergy”, “Dermatology” and “Nutrition” and the low coverage (<10%) for “Self-Leadership and Practice Management” and “Gynecology”.
Conclusions
In the period under study, the Continuum platform enabled the attainment of more than two-thirds of the competencies required for pediatric practice as established by the GPEC. We identified asymmetries between knowledge areas. These should be considered to prioritize access to underrepresented competencies.
{"title":"ContinuumAEP and the acquisition of competencies in Pediatrics","authors":"Carlos Ochoa Sangrador , Carmen Villaizán Pérez , Alberto García-Salido , Pablo del Villar Guerra , Francisco Hijano Bandera , Javier González de Dios , Equipo Editorial de Continuum","doi":"10.1016/j.anpede.2025.504024","DOIUrl":"10.1016/j.anpede.2025.504024","url":null,"abstract":"<div><h3>Introduction</h3><div>According to the Global Pediatric Education Consortium (GPEC), paediatricians need to acquire and maintain a set of competencies in their daily practice. <em>Continuum</em>, the online training platform of the Spanish Association of Pediatrics, has developed training activities to explore and achieve these competencies.</div></div><div><h3>Methods</h3><div>Cross-sectional study of the training activities delivered on Continuum over eleven years and the competencies assigned to each of them. The period 2013–2024 was analysed through a descriptive analysis of competency coverage.</div></div><div><h3>Results</h3><div>A total of 12 048 GPEC competencies were assigned to 1118 training activities, with an average of 10.8 competencies per activity. Of the 8509 competencies available in the Continuum competency matrix, 5718 were addressed at least once. This amounts to 67.2% of the total (95% confidence interval [CI], 66.2 %–68.2%). Each competency was assigned an average of 2.11 times (95% CI, 2.07–2.15). There was considerable heterogeneity in the coverage by area of competence. We ought to highlight the high coverage (>90%) for the areas of “Professionalism”, “Patient Safety and Quality Improvement”, “Musculoskeletal Disorders”, “Allergy”, “Dermatology” and “Nutrition” and the low coverage (<10%) for “Self-Leadership and Practice Management” and “Gynecology”.</div></div><div><h3>Conclusions</h3><div>In the period under study, the <em>Continuum</em> platform enabled the attainment of more than two-thirds of the competencies required for pediatric practice as established by the GPEC. We identified asymmetries between knowledge areas. These should be considered to prioritize access to underrepresented competencies.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504024"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454220","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.504012
María José Peláez Cantero , Iñigo Noriega Echevarría , Juan Pablo García-Iñiguez , Felipe Verjano Sánchez , Ester Barrios Miras , Inés del Río Pastoriza , María Jesús Alijas Merillas , Francisco Moreno Madrid , Isolina Riaño Galán , José Antonio Salinas Sanz , en representación del Comité de Bioética de la Asociación Española de Pediatría
Objective
To determine the prevalence of compassion satisfaction (CS), secondary traumatic stress (STS) and job exhaustion or burnout (BO) in medical professionals specialized in pediatrics at the national level in Spain and determine which demographic and work-related factors affect their development.
Methods
We conducted a cross-sectional study in pediatricians by means of questionnaires sent by the Spanish Association of Pediatrics (AEP) to its members, which were completed online and anonymously. We collected data on demographic variables, professional category (medical intern/resident [MIR] in pediatrics or pediatrician), main care setting and type of employment, specific field within pediatrics, main field of work, duration of work experience in general and time in current position. Care settings were further categorized into three groups: out-of-hospital, low-volume hospital and high-volume hospital (neonatology, intensive care, palliative care, oncology and emergency care). Participants completed the Spanish adaptation of the Professional Quality of Life Scale (ProQOL) version 5 (Escala de Calidad de Vida Profesional) to assess three domains—CS, STS and BO—in relation to the past 30 days.
Results
We obtained a total of 1112 responses from pediatricians. Female respondents amounted to 78.9% of the sample. The distribution by care setting was 35.6% primary care, 34.9% low-volume hospital settings and 29.5% high-volume hospital settings. Most participants scored in the midrange of the three subscales of the ProQOL questionnaire: compassion satisfaction 60.7% (95% CI, 57.8−63.5), burnout 88.8% (95% CI, 86.8−90.5) and secondary traumatic stress 77.2% (95% CI, 74.7−79.6). Women scored significantly higher in the compassion fatigue subscales (BO and STS), while older age was associated with a linear increase in CS and an exponential decrease in STS. Permanent staff scored higher in CS and lower in BO and STS. We found a higher CS score in association with high-load hospital specialties and a higher BO score in association with low-load hospital specialties.
Conclusions
The surveyed sample of Spanish pediatricians showed significant levels of compassion fatigue and secondary traumatic stress, with greater impact among younger and less experienced professionals, temporary workers and female doctors, highlighting the need for further study and targeted educational interventions.
目的：了解西班牙全国儿科医学专业人员同情满意度（CS）、继发性创伤应激（STS）和工作倦怠（BO）的患病率，并确定哪些人口统计学和工作相关因素影响其发展。方法：我们通过西班牙儿科协会（AEP）向其成员发送的在线匿名问卷，对儿科医生进行了横断面研究。我们收集了人口统计变量、专业类别（儿科医学实习生/住院医师或儿科医生）、主要护理环境和就业类型、儿科特定领域、主要工作领域、一般工作经验持续时间和当前职位时间的数据。护理环境进一步分为三组：院外、小容量医院和大容量医院（新生儿科、重症监护室、姑息治疗、肿瘤科和急诊）。参与者完成了西班牙语版的职业生活质量量表（ProQOL）第5版（Escala de Calidad de Vida Professional），以评估过去30天的三个领域- cs， STS和bo。结果：我们共获得了1112份儿科医生的回复。女性受访者占样本的78.9%。按护理环境分布为35.6%的初级保健、34.9%的小容量医院和29.5%的大容量医院。大多数参与者在ProQOL问卷的三个分量表中得分处于中间位置：同情满意度60.7% (95% CI, 57.8-63.5)，倦怠88.8% (95% CI, 86.8-90.5)，继发性创伤应激77.2% （95% CI, 74.7-79.6）。女性在同情疲劳亚量表（BO和STS）上得分显著较高，而年龄越大，CS呈线性增加，STS呈指数下降。长期雇员在社会服务方面得分较高，而在社会服务及社会服务方面得分较低。我们发现高负荷医院专科有较高的CS评分，低负荷医院专科有较高的BO评分。结论：西班牙儿科医生的同情疲劳和继发性创伤应激水平显著，在年轻和经验不足的专业人员、临时工和女医生中影响更大，需要进一步研究和有针对性的教育干预。
{"title":"Compassion satisfaction, secondary traumatic stress and burnout: quality of working life in the field of pediatrics in Spain","authors":"María José Peláez Cantero , Iñigo Noriega Echevarría , Juan Pablo García-Iñiguez , Felipe Verjano Sánchez , Ester Barrios Miras , Inés del Río Pastoriza , María Jesús Alijas Merillas , Francisco Moreno Madrid , Isolina Riaño Galán , José Antonio Salinas Sanz , en representación del Comité de Bioética de la Asociación Española de Pediatría","doi":"10.1016/j.anpede.2025.504012","DOIUrl":"10.1016/j.anpede.2025.504012","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prevalence of compassion satisfaction (CS), secondary traumatic stress (STS) and job exhaustion or burnout (BO) in medical professionals specialized in pediatrics at the national level in Spain and determine which demographic and work-related factors affect their development.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study in pediatricians by means of questionnaires sent by the Spanish Association of Pediatrics (AEP) to its members, which were completed online and anonymously. We collected data on demographic variables, professional category (medical intern/resident [MIR] in pediatrics or pediatrician), main care setting and type of employment, specific field within pediatrics, main field of work, duration of work experience in general and time in current position. Care settings were further categorized into three groups: out-of-hospital, low-volume hospital and high-volume hospital (neonatology, intensive care, palliative care, oncology and emergency care). Participants completed the Spanish adaptation of the Professional Quality of Life Scale (ProQOL) version 5 (<em>Escala de Calidad de Vida Profesional</em>) to assess three domains—CS, STS and BO—in relation to the past 30 days.</div></div><div><h3>Results</h3><div>We obtained a total of 1112 responses from pediatricians. Female respondents amounted to 78.9% of the sample. The distribution by care setting was 35.6% primary care, 34.9% low-volume hospital settings and 29.5% high-volume hospital settings. Most participants scored in the midrange of the three subscales of the ProQOL questionnaire: compassion satisfaction 60.7% (95% CI, 57.8−63.5), burnout 88.8% (95% CI, 86.8−90.5) and secondary traumatic stress 77.2% (95% CI, 74.7−79.6). Women scored significantly higher in the compassion fatigue subscales (BO and STS), while older age was associated with a linear increase in CS and an exponential decrease in STS. Permanent staff scored higher in CS and lower in BO and STS. We found a higher CS score in association with high-load hospital specialties and a higher BO score in association with low-load hospital specialties.</div></div><div><h3>Conclusions</h3><div>The surveyed sample of Spanish pediatricians showed significant levels of compassion fatigue and secondary traumatic stress, with greater impact among younger and less experienced professionals, temporary workers and female doctors, highlighting the need for further study and targeted educational interventions.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504012"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508357","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.503999
Laia Brunet-Garcia , Flavio Zuccarino , Juan Manuel Carretero Bellon
{"title":"Left pulmonary artery sling in a pediatric cohort: A single-center 20-year experience","authors":"Laia Brunet-Garcia , Flavio Zuccarino , Juan Manuel Carretero Bellon","doi":"10.1016/j.anpede.2025.503999","DOIUrl":"10.1016/j.anpede.2025.503999","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 503999"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282120","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.504015
David Andina Martínez , Esther Fernández Mozo , Rocio Trincado Lamuño , Jose Antonio Alonso-Cadenas , en nombre del Grupo de Trabajo sobre el Impacto de la profilaxis universal del Virus Respiratorio Sincitial en España
{"title":"In response to the article «Reluctance of parents to immunize their children with nirsevimab»","authors":"David Andina Martínez , Esther Fernández Mozo , Rocio Trincado Lamuño , Jose Antonio Alonso-Cadenas , en nombre del Grupo de Trabajo sobre el Impacto de la profilaxis universal del Virus Respiratorio Sincitial en España","doi":"10.1016/j.anpede.2025.504015","DOIUrl":"10.1016/j.anpede.2025.504015","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504015"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145411016","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.503899
Damià Heine Suñer, Víctor José Asensio, Laura Torres Juan
The development of genomic technologies has transformed pediatric practice, enabling significant advances in the diagnosis of genetic diseases, 70% of which manifest during childhood. Genomic variants, ranging from single-nucleotide changes to large chromosomal rearrangements, are responsible for many pediatric conditions, and their detection relies on the appropriate selection of technologies. Methods such as karyotyping, MLPA, microarrays, Sanger sequencing, and next-generation sequencing (NGS) have increased diagnostic capacity, although, on average, a definitive diagnosis is currently made in only 27% of pediatric cases. Gene panels and exome, genome, and RNA sequencing offer varying diagnostic yields depending on clinical complexity, with rates that may be as high as 75% in specific cohorts. Additionally, emerging technologies such as long-read sequencing and optical genome mapping have proven useful in identifying complex structural variants and repetitive genomic regions. The integration of comprehensive clinical phenotyping and tools like the Human Phenotype Ontology (HPO) standard vocabulary optimizes genetic variant prioritization and enhances diagnostic accuracy. This article reviews the capabilities, limitations and clinical applications of currently available genomic techniques, highlighting their differences, advantages and disadvantages as well as implications for diagnostics in pediatrics.
{"title":"New genomic technologies and their application in pediatric care","authors":"Damià Heine Suñer, Víctor José Asensio, Laura Torres Juan","doi":"10.1016/j.anpede.2025.503899","DOIUrl":"10.1016/j.anpede.2025.503899","url":null,"abstract":"<div><div>The development of genomic technologies has transformed pediatric practice, enabling significant advances in the diagnosis of genetic diseases, 70% of which manifest during childhood. Genomic variants, ranging from single-nucleotide changes to large chromosomal rearrangements, are responsible for many pediatric conditions, and their detection relies on the appropriate selection of technologies. Methods such as karyotyping, MLPA, microarrays, Sanger sequencing, and next-generation sequencing (NGS) have increased diagnostic capacity, although, on average, a definitive diagnosis is currently made in only 27% of pediatric cases. Gene panels and exome, genome, and RNA sequencing offer varying diagnostic yields depending on clinical complexity, with rates that may be as high as 75% in specific cohorts. Additionally, emerging technologies such as long-read sequencing and optical genome mapping have proven useful in identifying complex structural variants and repetitive genomic regions. The integration of comprehensive clinical phenotyping and tools like the Human Phenotype Ontology (HPO) standard vocabulary optimizes genetic variant prioritization and enhances diagnostic accuracy. This article reviews the capabilities, limitations and clinical applications of currently available genomic techniques, highlighting their differences, advantages and disadvantages as well as implications for diagnostics in pediatrics.</div></div>","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 503899"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537591","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 : 2025-11-01DOI: 10.1016/j.anpede.2025.504021
Ramy Álvaro Hamaui Akkad, Carolina Vizcaíno Díaz
{"title":"Nystagmus as a manifestation of epileptic seizures in a neonate with an SCN3A gene alteration","authors":"Ramy Álvaro Hamaui Akkad, Carolina Vizcaíno Díaz","doi":"10.1016/j.anpede.2025.504021","DOIUrl":"10.1016/j.anpede.2025.504021","url":null,"abstract":"","PeriodicalId":93868,"journal":{"name":"Anales de pediatria","volume":"103 5","pages":"Article 504021"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454245","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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