Med Phoenix最新文献

{"title":"Histopathological Findings in Postmenopausal Bleeding","authors":"A. Lakhey, Anamika Priyadarsinee, Samikchya Regmi, S. Acharya","doi":"10.3126/medphoenix.v8i1.56924","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56924","url":null,"abstract":"Introduction: Postmenopausal bleeding is commonly considered a significant and alarming indicator of genital diseases. The term \"postmenopausal bleeding\" typically refers to uterine bleeding. Since it is a sign of many different etiologies and has a strong correlation with malignancy and conditions with substantial morbidity and mortality, prompt identification and treatment are desired for postmenopausal bleeding.\u0000Materials and Methods: It is a retrospective cross-sectional observational study carried out in the pathology division of KIST Medical College and Hospital, Lalitpur, Nepal. From July 2017 to July 2022, 270 endometrial and endocervical biopsy samples with a history of postmenopausal bleeding were included. Following microscopic analysis, frequencies of histological findings in various age groups were generated. To determine whether the difference was significant, chi-square and proportions were used; the cutoff value was set at p 0.05.\u0000Results: On average, the patients were 51.9 years old, plus or minus 6.6 years. Of the 270 samples included, 222 (82.2%) were endometrial biopsies, and the remaining samples were cervical biopsies. Endometrial hyperplasia was the most common histological finding overall, occurring in 67 (24.8%) of the patients. With a mean age of 65.33 years, endometrial and cervical cancer patients were between the ages of 51 and 79. Endometrial and cervical carcinomas were together present in 31 (11.48%) of the patients. Leiomyoma was one discovery; others included endometritis, adenomyosis, endometrial polyps, hormonal deviations, and disordered proliferative endometrium. Endometrial hyperplasia was discovered in 20 patients over the age of 50 and 47 patients under the age of 50; this finding is statistically significant at a p-value of 0.05.\u0000Conclusion: In postmenopausal bleeding, benign diseases predominated, but the proportion of endometrial and cervical cancers and pre-malignant disorders was rather high. Our study demonstrates the significance of the endometrial sample, particularly in peri/postmenopausal women who have atypical uterine bleeding.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114790585","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":"Study of Hemoglobin and Calcium Phosphorus Product in Patients with Chronic Kidney Disease","authors":"Suprita Gupta, Sunita Kumari Gupta, S. Marasini, S. Sah, A. Jha, N. Yadav","doi":"10.3126/medphoenix.v8i1.56928","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56928","url":null,"abstract":"Introduction: Kidneys play a vital role in the metabolism of minerals such as calcium and phosphorous. Moreover, kidney is involved in the production of erythropoietin hormone.The bone marrow suppression may occur in Chronic Kidney Disease (CKD) patients. Reduced hemoglobin and increased calcium phosphorous product concentration is also common in CKD patients.The current study is aimed to find out the impact of CKD in calcium phosphorous product and hemoglobin level in Nepalese population. \u0000Materials And Methods: One hundred consecutive diagnosed cases of CKDpatients were enrolled retrospectively for the study. Calcium, phosphorous, urea, creatinine and other biochemical parameters were measured in fully automated biochemistry analyzer and hemoglobin was measured using hematology analyzer (Beckman Coulter DxH500 Automated Hematology analyzer). \u0000Results: The current study revealed the hemoglobin and calcium phosphorous product in CKD patients.The Calcium Phosphorous Product (CaP) of 69 subjects were having less than <40mg2/dL2 and remaining 31 were having ≥ 40mg2/dL2. The negative correlation of calcium phosphorous product was seen with calcium (r= -0.478, p-value = 0.000) and sodium (r=-0.309, p-value=0.002) whereas positive correlation of calcium phosphorous product was seen with urea (r= 0.559, p-value=0.000) andCreatinine (r=0.353, p-value = 0.000). The creatinine was negatively correlated with the hemoglobin concentration (r= -0.320, p-value = 0.001). \u0000Conclusion: Calcium phosphate product can be fluctuated in chronic kidney disease patients along with the decrement of hemoglobin concentration. The serum calcium phosphorous product measurement can assist to rule out the severity of chronic kidney disease.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121473676","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":"Liver Function Test Parameters in Hypothyroid Patients Visiting Tertiary Care Center of Western Nepal: A Cross-Sectional Study","authors":"B. Tamang, Krishnadatt Harijan, B. R. Pokhrel, Manoj Karki, Jharana Shrestha, N. Gautam, Binit Kumar Sharma, T. Yadav, S. Sah","doi":"10.3126/medphoenix.v8i1.56927","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56927","url":null,"abstract":"Introduction: Due to the complicated interactions between the thyroid gland and liver, thyroid hormone dysfunction may affect the liver function tests, and could be of clinical importance. We aimed to compare the hepatic function parameters between hypothyroid and euthyroid patients visiting tertiary care center of western Nepal. \u0000Materials and Methods: This hospital-based cross-sectional study was conducted among 113 hypothyroid and 111 euthyroid patients. After consent, thyroid function and liver function parameters were analyzed using automated analyzers. Mann-Whitney U test, Spearman’s correlation, and multiple linear regression analysis were performed for analysis. A p-value of <0.05 was considered statistically significant. \u0000Results: Among hypothyroid group, the majority were subclinical hypothyroid (n=74, 65.49%) and the rest (n = 39, 34.51%) were overt hypothyroid. The serum bilirubin and liver enzymes levels were significantly higher in hypothyroid compared to euthyroid. The serum albumin levels were significantly lower in the hypothyroid group. Serum liver enzymes and bilirubin levels were correlated negatively and positively with the thyroid hormones (fT3, fT4) and TSH levels, respectively. \u0000Conclusion: Patients with hypothyroidism and euthyroid patients had significantly different liver function test results. Although serum albumin was lower in the hypothyroid group, serum bilirubin and liver enzymes were higher.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123462322","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":"Clinical Profile of Acute Gastroenteritis in Children at a Tertiary Centre","authors":"A. Jha, Sweta Shah, B. Das, Subash Kumar Das","doi":"10.3126/medphoenix.v8i1.56907","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56907","url":null,"abstract":"Introduction: Acute gastroenteritis accounts for millions of deaths each year in young children, mostly in developing communities. diarrhoea, vomiting and fever are the most common presenting symptoms. The aim of the study was to describe the clinical profile of Acute Gastroenteritis in children at National Medical College and Teaching Hospital, Birgunj\u0000Materials and Methods: This descriptive cross-sectional study was carried out in pediatric ward and Intensive Care Unit at National Medical College and Teaching Hospital, Birgunj, Nepal for 6 months (November 2021 to April 2021). Ethical clearance and informed written consent were taken for the study.\u0000Results: Among 138 cases enrolled in the study, most common symptoms were diarrhoea, vomiting and fever. Signs of some dehydration was seen in 39.1% of the cases whereas 4.4% cases had signs of severe dehydration. Oral rehydration Solution (ORS) was mainstay of treatment along with zinc and probiotics. Antibiotics was used in 52.2% cases. Among all the cases, 75.4% cases and their caretakers did not routinely wash their hands.\u0000Conclusions: Diarrhoea, vomiting and fever are the most common symptoms in acute gastroenteritis. Use of ORS and zinc is recommended for the management in acute gastroenteritis in children. Antibiotic therapy should be used judiciously in the management of acute gastroenteritis. Increase awareness among the public about proper hand washing and hygiene can significantly reduce the incidence of diarrhoea and other infectious diseases in children.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128476258","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":"Perioperative Haemorrhage in Transurethral Resection of Prostate: Impact of 5 Alpha Reductase Inhibitors in the Reduction of Perioperative Blood Loss","authors":"M. Ahamad, Jonesh Tiwari, Emran Ansari, M. Joshi","doi":"10.3126/medphoenix.v8i1.56873","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56873","url":null,"abstract":"Introduction: Benign prostatic hyperplasia (BPH) is an age dependent disorder characterized by hyperplasic changes in the tissue resulting in enlargement of the prostate that may lead to difficultly in micturition or impairment in the flow of urine from the bladder. Medical treatment is the primary option for the patient with mild to moderate voiding symptoms which consists of alpha blockers and 5-alpha reductase inhibitors either as mono-therapy or in combination therapy.\u0000Materials and Methods: A observational cross-sectional study was conducted in a teaching hospital. Total sixty-four patients were selected from hospital records. Group-A received Alpha blocker along with Dutasteride while group-B received Alpha blockers only as a primary medical treatment two weeks prior to transurethral resection of prostate for benign prostatic hyperplasia. Patients were followed up after 24 hours of surgery in which hematocrit levels were estimated. Blood loss was calculated by recording pre-operative and post-operative (after 24 hours) hematocrit level. Data were tabulated and analyzed by SPSS v25. Comparison of two groups’ Group A Alpha-blocker with Dutasteride and Group B with Alpha-blocker only was done by applying independent sample t-test. A p-value ≤0.05 was taken as significant.\u0000Results: A total of 64 patients were enrolled for this study. Patients were divided into two groups i.e. Group-A (TURP with Alpha-blocker &Dutasteride) and Group-B (TURP with Alpha-blocker). Mean age of group-A patients was 66.4±7.5 years and 66.5±7.2 years in group-B. Mean blood loss of group-A patients was 158.3±131.1 ml and 311.5±150.7 ml in group-B with a p-value of 0.000054, which is statistically significant.\u0000Conclusion: Patients on Dutasteride have less perioperative bleeding during transurethral resection of prostate for benign prostatic hyperplasia.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116734409","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":"Bacteriological Flora of Acute Otitis Externa","authors":"A. K.C., B. Shrestha, S. Madhup, M. Neupane","doi":"10.3126/medphoenix.v8i1.56841","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56841","url":null,"abstract":"Introduction: Acute otitis externa refers to inflammation of external auditory meatus skin usually due to infectious etiology. Bacterial etiology of the entity has been established by various studies; however, the predominant causative pathogen has been identified as either Pseudomonas aeruginosa or Staphylococcus aureus. This study aimed to identify the aerobic bacteria responsible for this condition at our centre, and their antimicrobial susceptibility. \u0000Methods: 102 patients presenting to our Outpatient Department with acute otitis externa over a period of 1 year (5th April, 2021 - 4th April, 2022) underwent collection of external auditory canal swabs for aerobic bacteriological profile, followed by antimicrobial susceptibility for the recovered isolates. \u0000Results: The commonest isolate was Staphylococcus aureus (61.8%), followed by Pseudomonas aeruginosa (21.6%). Methicillin-Resistant Staphylococcus aureus (MRSA) was recorded at an alarming rate of 15.7%. \u0000Conclusion: Culture and Sensitivity testing in cases of Acute otitis externa helps to modify the treatment regimen in cases not responding to the usual therapy.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"171 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133674813","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":"Evaluation of Ring Enhancing Lesions in the Patient Undergoing Brain CT Scan","authors":"S. Shah, A. Jha, Md. Kalim Akthar, Dambar Sah, Rajan Kumar Mahato, Chandan Chaurasiya, R. Jha, A. Thakur, Trayush Adhikari","doi":"10.3126/medphoenix.v8i1.54401","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.54401","url":null,"abstract":"Introduction: Ring enhancing lesions in CT of the brain can be caused by different pathological conditions. The common lesions being some granulomas, primary brain tumors, abscess etc. CT remains essential for the investigation of ring enhancing lesions of brain.\u0000Materials and methods: A cross-sectional study was performed on a total of 60 patients undergoing brain CT scans and found to have ring enhancing lesion(s) on contrast administration.\u0000 Results: The result of the study revealed that ring enhancing lesions was more common in man than women (34 out of 60 patients; 56.7%) The overall male to female ratio was 1.3:1. The age of the patients ranged from 7 to 77 years with peak incidence of lesion was found in >40 years of age comprising 28 patients (46.7%) followed by 21 to 30 age groups constituting 12 patients (20%). Single ring enhancing lesions were most common lesions comprising about 49 cases (81.67%). Neurocysticercosis (NCC) was the most common cause of ring enhancing lesions of brain comprising about 38 patients (63.3%) followed by glioblastoma multiforme (GBM) comprising about 9 patients (15%).\u0000Conclusion: CT plays an important role in the diagnosis of ring enhancing lesion and their causes. Neurocysticercosis (NCC) was the most common cause of ring enhancing lesions followed by glioblastoma multiforme (GBM).","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"13 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124305077","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":"Reasons and Pattern of Demand for Root Canal Treatment Among Patients Attending A Tertiary Care Center of Madhesh Province: A Descriptive Cross-Sectional Study","authors":"Md. Asdaq Hussain Asdaq, S. Naz, H. Singh, Abanish Singh, Merazul Haque, Harish Shah, Mashal Mazhar, Samina Khatoon","doi":"10.3126/medphoenix.v8i1.56874","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.56874","url":null,"abstract":"Introduction: Root canal treatment (RCT) for permanent teeth involves the use of biologically acceptable chemical and mechanical treatment of the root canal system to promote healing and repair of the peri radicular tissues. The aim of the study was to analyze the reasons and pattern of demand for root canal treatment among patients attending a tertiary care center of Madhesh Province, Nepal. \u0000Materials and Methods: This was a descriptive cross-sectional study of patients who received root canal treatment in the Department of Conservative Dentistry and Endodontics, National Medical College, Birgunj, Nepal between September 2022 and February 2023.The demographic and clinical data of patients were recorded and statistical analysis was performed using SPSS version 24. Association between the variables was analyzed by Fischer exact tests. P-value<0.05 was considered as statistically significant. \u0000Results: 206 patients who received root canal treatment participated in this study. More mandibular teeth (53.9%) were root-treated compared to maxillary teeth (46.1%). The first molars constituted the most prevalent root-treated teeth (43.7%), followed by the second molars (26.7%) and the central incisors (10.7%). The most common chief complaint was pain (66%) and caries (75.7%) was the most frequently encountered pathology. The association of age category and dental arch with the type of root-treated teeth was statistically significant (p < 0.001 and p <0.004 respectively). \u0000Conclusion: Irreversible pulpitis caused by caries was the predominant indication for root canal treatment, with pain being the most common presenting complaint. The demand for treatment was higher in females and among patients within 21-40 years age category. More teeth from the mandibular arch were root-treated while the first molar was the most frequently treated tooth.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127342396","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":"Role of Ultrasonography in The Diagnosis of Knee Joint Lesions","authors":"Vandana Mourya, Mukesh Prasad Kushwaha, Dambar Sah, S. Shah, Kaushal K Singh","doi":"10.3126/medphoenix.v8i1.53622","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.53622","url":null,"abstract":"Introduction: Ultrasound can provide clinically useful information on a wide range of pathologic conditions affecting components of the knee joint, including the tendons, ligaments, muscles, synovial space, articular cartilage, nerves and surrounding soft tissues. The advantages of ultrasound include low cost, portability, real-time assessment, and facilitated side-by-side comparisons. The aim of the study was to study the various pathological conditions of painful knee joint by using ultrasound for early diagnosis and prompt therapeutic approach and to evaluate the osteoarthritic changes in the painful knee joint by ultrasound.\u0000Materials and Methods: This is a prospective observational study conducted in the Department of Radiology and Orthopedics& trauma surgery, National Medical College & teaching hospital, Birgunj, Parsa, Nepal for the 6 months duration, patients presented with knee joint pathology including swelling, and pain.Patients included in this study was above 20 years with unilateral (single) knee joint pain. With ethical clearance from the Institutional Review Committee of National Medical College and after obtaining the informed consent of the patient, prospective observational study was conducted.\u0000All ultrasound assessments were performed using the same machine with a 9 MHz linear transducer of GE Logiq P7 USG machine. A30–45-degree flexion of the knees was standardized by using the same wedge for all ultrasound assessments.\u0000Results: This study included 40 symptomatic patients with knee joints pain included in this study. In 40 patients 19 were females (47.5%) and 21 males (52.5%), with ages ranged from 20 to 70 years. Ultrasound findings showed joint effusions in 25 (62.5 %)  as most common finding in painful knees,synovial thickening in 17 (42.5 %) knees, Synovitis in 14 (35.0%)  and tendinopathy seen in only 1 (2.5%) knee joint pain. Osteoarthritis such as narrow joint space in 4 (10%) knees, marginal osteophytes in 4 (10%) knees, loose bodies in 3 (7.5%) knees, Baker’s cyst in 1 (2.5%) knee.  Most common involved age group is 51-60 years with 17 cases followed by 41-50 years in 11 cases.\u0000Conclusion: Ultrasound is a simple and reproducible technique for the assessment of knee joint effusion, synovial changes and osteoarthritis related changes.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130831197","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":"Measurement of Normal Portal Vein Diameter by Ultrasound","authors":"A. Jha, S. Shah, Dambar Sah, Md. Kalim Akthar, Rajan Kumar Mahato, Bikranta Rimal, Chandan Chaurasiya, R. Jha, A. Thakur, Trayush Adhikari","doi":"10.3126/medphoenix.v8i1.53187","DOIUrl":"https://doi.org/10.3126/medphoenix.v8i1.53187","url":null,"abstract":"Introduction: Measurement of the diameter of the portal vein may be particularly important in detecting and evaluating patients with portal hypertension as well as some other clinical disorders.This study is aimed at determining the mean portal vein diameter based on age, gender and anthropometric variables.\u0000Materials and Methods: A cross-sectional study was performed on a total of 195 apparently healthy individuals with overnight fasting and normal ultrasonographic findings of the liver. Portal vein diameter was measured and correlated with age, height, weight and BMI of the participants.\u0000Results: The mean portal vein diameter was 9.57 ± 0.66mm for both sexes. The mean value for males was 9.71 ± 0.67mm, and 9.46±0.64mm among females. There was a positive correlation between the PV diameter and age, height, weight and body mass index (P≤ 0.05).\u0000Conclusion: The measurement of the portal vein diameter using sonography is an important cornerstone for diagnosing patients with portal hypertension and also has a reasonable degree of accuracy.","PeriodicalId":123544,"journal":{"name":"Med Phoenix","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134263723","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}