International Journal of Emergency Medicine最新文献

{"title":"Clinical features and prognostic predictors for patients admitted to trauma intensive care unit due to fall from height in South Xinjiang.","authors":"Yong Chen, Wenwen Li, Xiaohong Wang, Qifu Zhong, Alimujiang Abudurexiti, Qinye Qiu, Jianwei Li, Junyang Luo","doi":"10.1186/s12245-025-00959-4","DOIUrl":"https://doi.org/10.1186/s12245-025-00959-4","url":null,"abstract":"","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"142"},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784201","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":"Epidemiological characteristics of elderly population receiving pre-hospital emergency care after road traffic injuries in Punjab, Pakistan.","authors":"Kantesh Kumar, Sheza Hassan, Muhammad Bazil Musharraf, Komal Abdul Rahim, Sijal Akhtar Sheikh, Huba Atiq, Muhammad Waqas Ahmed, Rameez-Ur-Rehman Siddiqui, Rizwan Naseer, Shahnaz Akhter, Yasir Shafiq, Junaid Razzak","doi":"10.1186/s12245-025-00898-0","DOIUrl":"10.1186/s12245-025-00898-0","url":null,"abstract":"<p><strong>Background: </strong>Every year, 1.3 million lives are lost to road traffic injuries (RTIs). 90% of these deaths disproportionately occur in Lower-Middle Income Countries (LMICs). Due to frailty and reduced physiological resilience, elderly populations are at higher risk of RTIs and poor outcomes, versus younger populations. Further, according to the World Health Organization (WHO), the global elderly population will double by 2050, indicating that this group will be at an even higher risk of RTIS.</p><p><strong>Objectives: </strong>Our study aims to utilize Emergency Medical Services (EMS) data to better understand the trends, types, injuries, patient characteristics, and outcomes of RTIs involving the elderly, ultimately contributing to more targeted and effective road safety policies and interventions.</p><p><strong>Methods: </strong>We analyzed secondary EMS data during 2022 and 2023 from the Emergency Services Department (Rescue 1122) in the province of Punjab, Pakistan. RTI data in patients aged ≥ 65 years was extracted from the database for age, gender, education, response time, injury type, RTI victim type, location of injury, and victim outcome. Multivariable analysis was carried out using multiple logistic regression to obtain an adjusted odds ratio with a 95% confidence interval for on-scene mortality.</p><p><strong>Results: </strong>From 4.2 million EMS activations, data on 34,345 RTIs in elderly patients was analyzed. Patients had a mean age of 70.12 years, and 77% (26,608) were males. The most common injury type was soft tissue injury (24,166; 70.36%), followed by limb injury (5,126; 14.9%), and head injury (2,590; 7.5%). Most victims suffered injuries as passengers (11,396; 37.2%). The mean response time was 7.19 minutes, and the on-scene mortality rate was 1.3% (443). The odds of on-scene mortality increased with increasing response time (AOR: 1.05, CI: 1.04-1.07), while an increase in the degree of urbanization was associated with decreasing odds of on-scene mortality (AOR: 0.99, CI: 0.98-0.99). Head injuries (OR: 24.49, CI: 20.11-29.93) and pedestrian injuries (Adjusted OR: 1.40, CI: 1.06-1.84) were strongly associated with on-scene mortality.</p><p><strong>Conclusion: </strong>Our study revealed that head and pedestrian injuries emerged as key factors for on-scene mortality in elderly patients of Punjab, Pakistan. These findings necessitate targeted interventions to encourage a rapid pre-hospital response to lower on-scene mortality rates.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"140"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness and safety of vernakalant vs flecainide for cardioversion of atrial fibrillation in the emergency department: the VERITA study.","authors":"Giuseppe Dominijanni, Antonio F Caballero-Bermejo, Ana Sainz-Herrero, Álvaro Pineda-Torcuato, Rosa Capilla-Pueyo, Belén Ruiz-Antorán","doi":"10.1186/s12245-025-00951-y","DOIUrl":"10.1186/s12245-025-00951-y","url":null,"abstract":"<p><strong>Background: </strong>Vernakalant is authorized in several countries, except in the U.S., where the FDA denied its commercialization due to safety concerns, generating debate about its use.</p><p><strong>Objective: </strong>To compare the effectiveness and safety of intravenous (iv) vernakalant and iv flecainide in the conversion of atrial fibrillation (AF) to sinus rhythm (SR) in a hospital emergency department (ED).</p><p><strong>Design, settings and participants: </strong>A retrospective observational study was conducted, including all AF episodes treated with vernakalant or iv flecainide in the ED between January 2012 and December 2022. Clinical characteristics of each episode were analyzed following routine clinical practice.</p><p><strong>Outcomes measure and analysis: </strong>The primary outcome was the percentage of episodes achieving conversion to sinus rhythm during the emergency department stay. Secondary outcomes included clinical evolution, emergency department re-presentations, and outpatient cardiology consultations recorded over a 6-month period. Subgroup analyses evaluated the effectiveness of vernakalant and flecainide by age, sex, treatment timing, heart failure history, previous atrial fibrillation episodes, AF type, and CHADS-VAS score.</p><p><strong>Main findings: </strong>A total of 289 patients and 414 AF episodes were included, with 151 treated with flecainide and 263 with vernakalant. The median age was 62 years, and 57.5% were male. Vernakalant converted 76.4% of episodes to SR during the ED stay, compared to 69.5% with flecainide (p = 0.124). AF recurrence at six months was lower in the vernakalant group (20.1% vs. 29.1%; p = 0.043), with fewer ED visits for recurrent AF (0.24 vs. 0.48; p = 0.001). Vernakalant was more effective in early treatment (< 12 h after symptom onset) (82.2% vs. 70.7%; p = 0.014) and in AF with rapid ventricular response (78.1% vs. 68.0%; p = 0.044). Both drugs were well tolerated, although flecainide was associated with higher rates of bradycardia, dizziness, and hypotension.</p><p><strong>Conclusions: </strong>Vernakalant and flecainide demonstrated similar effectiveness and safety; however, vernakalant showed superior effectiveness in early treatment, faster conversion to SR, lower AF recurrence rates, and fewer ED visits within six months.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"141"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare cause of acute upper airway obstruction: a case report.","authors":"Jane Harding, Csaba Dioszeghy","doi":"10.1186/s12245-025-00908-1","DOIUrl":"10.1186/s12245-025-00908-1","url":null,"abstract":"","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"139"},"PeriodicalIF":2.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosing acute lower respiratory tract infections in out-of-hours services during the COVID-19 pandemic.","authors":"Bent Håkan Lindberg, Beatriz González López-Valcárcel, Jonas K Olsen, Malene Plejdrup Hansen, Jesper Lykkegaard, Carl Llor, Lina Jaruseviciene, Bruno Pascale, Maria-Nefeli Karkana, Ana García-Sangenís, Anna Kowalczyk, Ingrid Rebnord","doi":"10.1186/s12245-025-00942-z","DOIUrl":"10.1186/s12245-025-00942-z","url":null,"abstract":"<p><strong>Background: </strong>Acute lower respiratory tract infections (LRTIs) commonly lead people to seek out-of-hours primary care. Symptoms of lower respiratory tract infections overlap, and access to definite diagnostic tools is lacking in most out-of-hours settings. Distinguishing between different LRTIs is vital to ensure appropriate antibiotic prescribing. The study aimed to identify which clinical factors have guided out-of-hours physicians in distinguishing LRTIs in the late phase of the COVID-19 pandemic.</p><p><strong>Methods: </strong>Out-of-hours physicians from France, Greece, Lithuania, Poland, and Spain registered pre-defined clinical information about all cases suspected of an RTI on an A4-paper Audit Project Odense chart from January to March 2022. Two multivariable logistic regressions were performed to analyse which clinical factors the physicians used to distinguish between pneumonia and other LRTIs.</p><p><strong>Results: </strong>A total of 1,222 cases of either pneumonia, acute bronchitis/bronchiolitis, common cold/influenza, or COVID-19 were registered by 86 participating physicians. Fever and cough were the most common symptoms reported. The pneumonia diagnosis was associated with abnormal lung auscultation (odds ratio (OR) 11.41, 95% confidence interval (CI) 4.14-31.45), poor general condition (OR 5.96, CI 2.43-14.60), tachypnoea (OR 2.55, CI 1.38-4.73), and a combination of fever and cough (OR 11.10, CI 2.87-42.97).</p><p><strong>Conclusion: </strong>During the late COVID-19 pandemic, out-of-hours physicians' registered information about the patients' clinical condition, respiratory rate assessment, and lung auscultation evaluation were associated with diagnosing pneumonia, among other LRTIs.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"138"},"PeriodicalIF":2.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telepsychiatry in the emergency department: a pilot study on remote psychiatric assessment in the Netherlands.","authors":"Jorn Eerhard, Heleen van 't Oever, Cherryl V S van Alst, Rosa L A de Vries, Dieuwke Douma-den Hamer, Sander Manders, Carine J M Doggen, Gert-Jan Mauritz","doi":"10.1186/s12245-025-00948-7","DOIUrl":"10.1186/s12245-025-00948-7","url":null,"abstract":"<p><strong>Background: </strong>Emergency Departments (EDs) increasingly manage patients in acute psychiatric crisis, often facing delays due to limited on-site psychiatric specialists. Telepsychiatry offers a potential solution, but its feasibility and acceptance in Dutch EDs remain underexplored. This pilot study aimed to assess the feasibility, technical aspects, and acceptance of telepsychiatry consultations in a Dutch ED setting.</p><p><strong>Methods: </strong>This two-phase observational pilot study was conducted at a large hospital ED in the Netherlands. During a three-month baseline-phase (Aug-Oct 2024), eligible adult patients received standard in-person psychiatric consultations. In the subsequent three-month pilot-phase (Nov 2024-Jan 2025), patients were evaluated via secure video consultation with a remote psychiatrist. To assess feasibility and technical execution, lead times, including consult request and consult start time, time until disposition decision and ED length of stay, were recorded. To further evaluate technical execution and acceptance, patients and ED staff were asked to complete satisfaction questionnaires, after each telepsychiatry consult.</p><p><strong>Results: </strong>Eleven patients were included during the baseline-phase and 17 during the pilot-phase. All telepsychiatry consultations were completed successfully, with only minor technical issues. Patient satisfaction was high, and psychiatrists and ED staff rated the consultations as effective and efficient. Furthermore, mean time from consult request to disposition decision was about an hour less during the telepsychiatry phase (approximately 45 vs. 106 min in the baseline phase).</p><p><strong>Conclusion: </strong>Telepsychiatry in the ED appears feasible, technically reliable, and well accepted by both patients and ED staff. This pilot study supports further exploration of telepsychiatry as a tool to enhance emergency psychiatric care delivery in the Netherlands.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"137"},"PeriodicalIF":2.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators for interaction in cardiopulmonary resuscitation teams: a qualitative study.","authors":"Abdolhosein Emami Sigaroudi, Nazila Javadi-Pashaki, Mohammad Ali Cheraghi, Yadolah Shirvani","doi":"10.1186/s12245-025-00955-8","DOIUrl":"10.1186/s12245-025-00955-8","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiac arrest is a life-threatening emergency whose outcome depends on immediate interventions, known as cardiopulmonary resuscitation (CPR). The quality of these interventions hinges on the performance and communication of the resuscitation team. Therefore, this study aimed to explore factors affecting interactions among CPR team members.</p><p><strong>Methods: </strong>This qualitative study employed a content analysis approach conducted in Iran over a 12-month period from December 2023 to December 2024. The study population included all CPR team members at academic medical centers. Researchers used purposive sampling and continued recruitment until data saturation. Data collection involved conducting in-depth, semi-structured interviews; all data were analyzed using MAXQDA software (version 20).</p><p><strong>Results: </strong>Data analysis revealed one main category entitled \"The Complexity of Cardiopulmonary Resuscitation Interactions,\" along with 5 general categories and 11 subcategories: \"Consensus in Resuscitation\" (including \"Pre-resuscitation Coordination\" and \"Post-resuscitation Debriefing\"), \"Communication Clarity\" (comprising \"Regular Communication\" and \"Irregular Communication\"), \"Interaction in Team Rotation\" (with \"Normal Rotation\" and \"Abnormal Rotation\"), \"Personal Conflicts\" (featuring \"Pre-Resuscitation Conflicts\" and \"Intra-Resuscitation Conflicts\"), and \"Team Leadership Style\" (encompassing \"Autocratic Leadership,\" \"Laissez-faire Leadership,\" and \"Participatory Leadership\").</p><p><strong>Conclusion: </strong>The results demonstrated that CPR team interactions were influenced by multiple factors. Through careful planning to enhance facilitating factors - including consensus in resuscitation, regular communication, normal rotation, and participatory leadership - while addressing inhibiting factors - such as irregular communication, personal conflicts, abnormal rotation, and autocratic leadership - we can optimize team interactions to improve CPR outcomes.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"134"},"PeriodicalIF":2.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting a novel emergency triage tool to a resource-limited hospital in Nepal.","authors":"Yael Weiner, Claire Therriault, Tina Duwal, Samjhana Basnet, Roshana Shrestha, Sanu Krishna Shrestha","doi":"10.1186/s12245-025-00961-w","DOIUrl":"10.1186/s12245-025-00961-w","url":null,"abstract":"<p><strong>Background: </strong>Effective triage is critical for prioritizing emergency care. However, many low- and middle-income countries lack standardized triage systems. Nepal has been working to introduce the WHO's Interagency Integrated Triage Tool (IITT) into emergency departments nationwide. Still, successful implementation requires context-specific adaptations to address operational realities and resource constraints.</p><p><strong>Objective: </strong>This study aimed to collaboratively adapt the IITT for use in the Dhulikhel Hospital Emergency Department by incorporating frontline staff insights to develop a feasible, sustainable triage workflow.</p><p><strong>Methods: </strong>Five focus groups composed of doctors, nurses, and paramedics were conducted. Through semi-structured discussions, we explored staff perceptions of areas for improvement in the existing triage processes. Participants then generated site-specific workflow models through iterative brainstorming sessions, progressively refining the design into a final consensus-based model.</p><p><strong>Results: </strong>Participants, representing over 80% of clinical staff, identified key barriers to effective triage, including inconsistent communication, unclear handoff responsibilities, and insufficient training. The final triage workflow addressed many critical challenges raised in discussion sessions, provided a standardized and customized triage process, and resulted in high reported confidence in its utility.</p><p><strong>Conclusion: </strong>This study demonstrates the value of a bottom-up, staff-centered approach to triage system development and implementation. Our focus group design offers a practical, replicable framework for low-resource emergency departments seeking to implement the IITT or similar protocols into their ED operations. Future efforts should focus on validating the workflow's impact on patient outcomes and triage efficiency and investing in thorough and longitudinal training to support sustained adoption.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"136"},"PeriodicalIF":2.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of contrast enhanced computed tomography abdomen in the evaluation of elderly patients presenting to the emergency with acute abdomen- prospective observational study.","authors":"Takshak Shankar, Nagasubramanyam Vempalli, Parvathy Sasidharan, Konda Sireesha, Salva Ameena, Amrita Paul, Parina Tejpal, Devinder Kumar Lalotra, Aditya Sushant Mahalle","doi":"10.1186/s12245-025-00950-z","DOIUrl":"10.1186/s12245-025-00950-z","url":null,"abstract":"<p><strong>Background: </strong>India's elderly population is rapidly growing, with 149 million people aged 60 years and above in 2022, projected to double to 347 million by 2050. Diagnosing older adults with acute abdomen in the emergency is challenging due to atypical presentations and poorer outcomes. While Contrast Enhanced Computed Tomography (CECT) of the abdomen is the imaging test of choice, administration of radiocontrast agents may prove to be a hurdle. Thus, in this prospective observational study, we assessed the utility of CECT abdomen and pelvis in the evaluation of abdominal pain among geriatric patients presenting to the emergency department.</p><p><strong>Results: </strong>This study included 100 patients with a median age of 67 years. Although abdomino-pelvic CECT did not lead to a statistically significant change in diagnosis, it did help identify previously missed life-threatening conditions in some patients. The treatment plan was significantly altered following the CECT scan. While there was no statistically significant change in the overall disposition plan before and after the scan, a considerable proportion of patients (~ 73.7%) initially planned for discharge required admission after undergoing CECT.</p><p><strong>Conclusion: </strong>This study underscores the pivotal role of CECT of the abdomen and pelvis in evaluating geriatric patients presenting to the Emergency Department with acute abdominal symptoms.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"135"},"PeriodicalIF":2.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute unilateral visual loss as a first presentation of mixed phenotype acute leukaemia.","authors":"Chelsea Tse Woon Ong, Huiling Huang, Choon Peng Jeremy Wee","doi":"10.1186/s12245-025-00938-9","DOIUrl":"10.1186/s12245-025-00938-9","url":null,"abstract":"<p><p>Central retinal artery occlusion is typically a thromboembolic phenomenon associated with atherosclerotic disease. This case presentation describes a rare case of CRAO in a young male secondary to hyperviscosity syndrome as a first symptom ofMixed Phenotype Acute Leukaemia. It is imperative for emergency physicians to recognise an atypical presentation of painless vision loss and evaluate such patients thoroughly, ensuring timely and vision sparing interventions.</p>","PeriodicalId":13967,"journal":{"name":"International Journal of Emergency Medicine","volume":"18 1","pages":"133"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}