International Medical Case Reports Journal最新文献

{"title":"A Rare Case of Ischemic Stroke Secondary to Polycythemia with Rapid Resolution After Phlebotomy.","authors":"Adan Abdi Hassan, Mohamed Jayte, Feisal Dahir Kahie, Abishir Mohamud Hirsi","doi":"10.2147/IMCRJ.S538180","DOIUrl":"10.2147/IMCRJ.S538180","url":null,"abstract":"<p><strong>Introduction: </strong>Ischemic stroke secondary to polycythemia is a rare but serious complication, particularly in young adults. Early recognition and intervention can lead to rapid neurological recovery.</p><p><strong>Case presentation: </strong>A 21-year-old male from Western Uganda presented with sudden-onset right-sided hemiparesis and slurred speech. He had no prior history of thromboembolic events but reported chronic headaches and fatigue. Physical examination revealed facial asymmetry, right-sided weakness (power 3/5), and hyperviscosity signs. Laboratory tests confirmed polycythemia (Hb: 22 g/dL, Hct: 68%). Brain CT showed an acute left middle cerebral artery (MCA) infarct.</p><p><strong>Management: </strong>Emergency phlebotomy (500 mL) was performed, followed by hydration and low-dose aspirin. The patient showed significant improvement within 48 hours, with near-complete resolution of symptoms at one-week follow-up.</p><p><strong>Conclusion: </strong>Polycythemia-induced stroke, though rare, should be considered in young patients with unexplained thromboembolic events. Phlebotomy remains a rapid and effective treatment, especially in resource-limited settings.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1231-1235"},"PeriodicalIF":0.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148960","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":"Actinomycosis of the Gallbladder in a Young Diabetic Woman with Acute Lithiasis Cholecystitis: A Case Report and Review of the Literature.","authors":"Mojgan Akbarzadeh-Jahromi, Seyed Mohammad Kazem Tadayyon, Sahar Asadi, Neda Soleimani, Sahand Mohammadzadeh, Hossein Afrakhteh","doi":"10.2147/IMCRJ.S544642","DOIUrl":"10.2147/IMCRJ.S544642","url":null,"abstract":"<p><strong>Introduction: </strong>Actinomycosis is a rare, chronic bacterial infection caused by the genus Actinomyces. The cervicofacial form is most common, while gallbladder involvement is exceptionally uncommon, with fewer than 50 cases reported in the literature.</p><p><strong>Case report: </strong>A 21-year-old diabetic woman presented with one day of nausea, vomiting, and persistent right upper quadrant abdominal pain. Ultrasonography and computed tomography scan revealed an enlarged gallbladder with biliary sludge and a single gallstone. A preoperative diagnosis of acute cholecystitis was made, and cholecystectomy was performed. Histopathological examination confirmed acute cholecystitis and demonstrated numerous filamentous, gram-positive bacteria, consistent with actinomycosis. Following 6 months of penicillin therapy, the patient remains well with no clinical or radiological evidence of recurrence.</p><p><strong>Conclusion: </strong>This case underscores the importance of routine histopathological evaluation of gallbladder specimens. Although rare, gallbladder actinomycosis should be considered in the differential diagnosis of gallbladder disease, particularly in immunocompromised individuals.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1225-1230"},"PeriodicalIF":0.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12452965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130775","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":"Metronomic Chemotherapy in the Treatment of Infantile Parotid Hemangioma - A Case Report.","authors":"Asadbek Dadaboev, Malikakhon Shukurova, Makhmudjon Madrakhimov, Sedigheh Shakib Kotamjani","doi":"10.2147/IMCRJ.S534276","DOIUrl":"10.2147/IMCRJ.S534276","url":null,"abstract":"<p><strong>Background: </strong>Infantile hemangiomas (IH) are the most common tumors in infancy and childhood. They are characterized by a fast proliferation phase followed by gradual involution. While most IHs follow a predictable course, those involving the parotid gland pose unique diagnostic and therapeutic challenges due to their location and potential for functional impairment. This case illustrates an unusual example of unilateral parotid hemangioma with prolonged growth, requiring alternative management strategies.</p><p><strong>Case presentation: </strong>A two-month-old girl presented with a large unilateral parotid hemangioma, first noted on the 15th day of life, which had been rapidly increasing in size. Oral propranolol was initially prescribed, but treatment was not started by the parents, and the patient was lost to follow-up. At 3.5 months of age, the patient underwent an unplanned cosmetic surgical excision at a rural hospital, which resulted in facial nerve paresis and functional facial asymmetry. She re-presented at 7 months with a markedly enlarged lesion. Propranolol (3 mg/kg/day) was reinitiated; however, despite dose escalation, the hemangioma remained unresponsive. Systemic corticosteroids (prednisolone, 1-3 mg/kg/day) at 8 months were added, but the lesion continued to progress. At 9 months of age, metronomic chemotherapy with vinblastine (1 mg/m² IV every 3 days) and cyclophosphamide (50 mg/m² orally for 10 days) was introduced under clinical supervision. This combination resulted in significant tumor regression, as confirmed by serial imaging and clinical examination.</p><p><strong>Conclusion: </strong>This case reflects the challenges of managing IHs that do not respond to standard treatment guidelines. Early surgical intervention is contraindicated when other alternative medical treatment methods are available. Otherwise, it might result in significant complications, highlighting the importance of conservative management and adherence to treatment protocols. Metronomic chemotherapy has shown to be a useful option for patients who do not respond to standard beta-blockers and corticosteroids.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1215-1223"},"PeriodicalIF":0.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113199","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 Challenging Approach: Iris Neovascularization and Vitreous Hemorrhage 40 Years after Treatment of Retinal Giant Tear Detachment.","authors":"Ingrid Kreissig, Stefan Mennel","doi":"10.2147/IMCRJ.S548958","DOIUrl":"10.2147/IMCRJ.S548958","url":null,"abstract":"<p><strong>Background: </strong>Iris neovascularization and vitreous hemorrhages are typical sequels of ischemic retinopathies. Here, we report about a patient who developed marked iris neovascularization without signs of posterior retinal ischemia.</p><p><strong>Case presentation: </strong>A 56-year-old patient developed marked iris neovascularization after surgery for rhegmatogenous retinal detachment due to a giant retinal tear had been performed 40 years earlier. With repeatedly applied intravitreal injections of an anti-VEGF drug being unsuccessful, anterior retinal cryocoagulations with deep indentation by the cryoprobe to somehow touch and coagulate the detached anterior flap of giant tear were carried out. Subsequently, the vitreous hemorrhage cleared without any further intervention, and iris neovascularization subsided. Retinal fluorescein angiogram did not reveal signs of ischemia of the attached central retina.</p><p><strong>Conclusion: </strong>Marked iris neovascularization can disappear after applying peripheral retinal cryocoagulation and laser coagulation. It may lead to the question whether neovascular AMD, potentially associated with macular ischemia, might theoretically be addressable by ablative procedures of the peripheral retina.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1211-1214"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113229","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":"Striking Oral Manifestation of Primary Herpetic Gingivostomatitis: A Case Report and Review of Human Herpesvirus Infections.","authors":"Anisa Insyafiana, Nanan Nur'aeny","doi":"10.2147/IMCRJ.S536101","DOIUrl":"10.2147/IMCRJ.S536101","url":null,"abstract":"<p><strong>Background: </strong>Human Herpesvirus (HHV) is a double-stranded DNA virus with a size of 120 to 260 nm. HHV is divided into three subclassifications including herpesvirus alpha, herpesvirus beta, herpesvirus gamma. The HHV group could infect the human body including the orofacial area with mild to severe symptoms. This case report will discuss the diagnostic approach by recognizing the characteristics of each HHV group infection.</p><p><strong>Case presentation: </strong>A 23-year-old male patient with complaints of mouth ulcers since 7 day, accompanied by pain when swallowing which was preceded by a fever. Extraoral examination showed vesicles, measuring 5 mm, multiple on the upper and lower lips. Intraoral examination showed multiple ulcers, measuring 5 mm on the left buccal mucosa, tongue, and gingiva accompanied by enlargement of the anterior gingiva and palatine rugae. The diagnosis was Primary Herpetic Gingivostomatitis, with herpangina considered as a differential diagnosis.</p><p><strong>Case management: </strong>Treatment included acyclovir tablets, nystatin suspension, multivitamins, petroleum jelly, and oral hygiene and dietary instructions. There was improvement in the vesicles on the lips and ulcers on the buccal mucosa, tongue, and gingiva within one week, though white plaque remained on the dorsum of the tongue.</p><p><strong>Conclusion: </strong>Characteristics of oral manifestations caused by HHV infection include symptoms of fever, vesicles, multiple ulcers measuring less than 1 cm, and gingival enlargement as the basis for establishing a diagnosis of Primary Herpetic Gingivostomatitis related to herpesvirus alpha infection, although ulcers also appear in herpesvirus beta and herpesvirus gamma but usually the ulcers will persist for more than two weeks with a relatively larger size, not accompanied by vesicles, and no gingival enlargement.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1187-1193"},"PeriodicalIF":0.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080635","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":"Horner's Syndrome as a Complication After Anterior Cervical Discectomy and Fusion (ACDF) Surgery.","authors":"Boris Cehov, Kamilla Truong, Jeppe Damgren Vesterager, Jens Jakob Riis, Carsten Reidies Bjarkam","doi":"10.2147/IMCRJ.S544466","DOIUrl":"10.2147/IMCRJ.S544466","url":null,"abstract":"<p><p>We report a case of Horner's syndrome occurring after C5-C6 level anterior discectomy and fusion, with an initially subtle clinical presentation, but a clear and rapid deterioration with right sided ptosis and miosis, over a short period.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1183-1185"},"PeriodicalIF":0.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075297","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":"Clinical Perspective on Midgut Nonrotation in Adults: A Clinical Case Report and Review of the Literature.","authors":"Sameer Kumar Majety, Nafisa Alam, Nayeem Omar, Ayushi Rusia, Prabath Vihari Teegala, Gopichand Muppana","doi":"10.2147/IMCRJ.S528520","DOIUrl":"10.2147/IMCRJ.S528520","url":null,"abstract":"<p><strong>Objective: </strong>To present a case of intestinal nonrotation in a 26-year-old Indian male and conduct a detailed review of 16 additional cases from the PubMed database.</p><p><strong>Case presentation: </strong>A 26-year-old male presented with acute right lower quadrant abdominal pain and vomiting. He had a similar episode seven years prior that self-resolved. Physical examination revealed generalized abdominal tenderness, guarding, and mild distention. Imaging studies, including abdominal ultrasound and CECT, confirmed midgut volvulus due to nonrotation. The patient underwent exploratory laparotomy and Ladd's procedure, leading to an uneventful recovery and discharge on postoperative day seven.</p><p><strong>Material and methods: </strong>A comprehensive PubMed search was conducted for case reports on midgut nonrotation in adults. 15 relevant cases were selected, and including the present case, 16 cases were reviewed.</p><p><strong>Results: </strong>The mean age at presentation was 55.19 years (range: 26-86), with a slight male predominance (56.2%). The most common symptoms were acute abdominal pain (50%) and vomiting (31.25%). Notably, 50% of cases were identified incidentally during evaluations for unrelated conditions or procedures. CT scans confirmed diagnoses in 87.5% of cases. Positional anomalies included right-sided small bowel and left-sided colon in 37.5% and reversed SMA/SMV relationships in 33%. Ladd's procedure was performed in 25% of cases.</p><p><strong>Conclusion: </strong>Midgut nonrotation, resulting from abnormal embryonic bowel rotation, can occur at any age, more commonly in males. It may present as a surgical emergency due to bowel obstruction and volvulus or remain asymptomatic throughout life. CT imaging and surgical intervention, particularly Ladd's procedure, are effective management strategies. The frequent incidental discovery of cases suggests that asymptomatic nonrotation may be more prevalent than clinically recognized.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1195-1204"},"PeriodicalIF":0.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075320","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":"The Role of Adding Intravitreal Dexamethasone Implant to the Standard Management of Serpiginous Choroiditis for Achieving Rapid Remission: A Case Report.","authors":"Almoayad M Makrami, Yazeed J Alhaqbani, Dhoha M Alhamad, Talaat J Hamdi, Abdulaziz S Khoshaim","doi":"10.2147/IMCRJ.S536828","DOIUrl":"10.2147/IMCRJ.S536828","url":null,"abstract":"<p><strong>Background: </strong>This case highlights the potential of combining intravitreal dexamethasone implants as first line of management with reduced dose of systemic steroid therapy to achieve rapid remission in acute serpiginous choroiditis. To prevent systemic adverse effects and obtain rapid control of serpiginous lesions, as necessary in the case presented, local therapy using a dexamethasone intravitreal implant may be considered as a complement to systemic treatment.</p><p><strong>Case presentation: </strong>A 42 year old woman with steadily declining vision in her right eye for the previous four months presented to the emergency department. On the Snellen chart, the best-corrected visual acuity was 20/28 in the left eye and 20/100 in the right eye. The intraocular pressure (IOP) of the right and left eyes was 15 and 16 mmHg, respectively. Anterior segment examination was unremarkable. Fundus examination of the right eye revealed a gray finger-like lesion with an active border. The left eye showed a small yellowish-finger-like lesion involving the nasal macula. Disruption in the ellipsoid zone in the right eye and the parafoveal region in the left eye was demonstrated using optical coherence tomography (OCT). Fundus fluorescein angiography revealed bilateral, finger-like branching lesions were seen on fundus fluorescein angiography (FFA). Fundus Autofluorescence (FAF) showed hypoautofluorescence lesions with hyper-autofluorescence edges. Both eyes were diagnosed with active serpiginous choroiditis, after excluding any active infections through blood work-up. The patient was started oral prednisolone 0.5 mg/kg tapering; however, because the patient would be traveling for three weeks, the systemic oral steroid with an intravitreal dexamethasone implant in each eye. After nine days, there was noticeable improvement in the visual acuity of the right eye with normal intraocular pressure. OCT showed minimal restoration of the ellipsoid zone in the right eye, with resolved inflammatory material in both eyes (Figure 1). After starting Azathioprine, disease activity was suppressed for six months without relapsing.</p><p><strong>Conclusion: </strong>This case raises a question about the benefit of combined therapy for quick vision restoration, inhibiting further destruction of outer retinal layers during the management of acute attack and reduction of overall systemic steroids dose together with its complications versus the risk of local steroids administration and cost-effectiveness. Additional research is required to validate this finding.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1205-1210"},"PeriodicalIF":0.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075335","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":"Salted Fish and Their Impact on Oral Health: A Risk for Lichen Planus.","authors":"Gita Pamela, Wahyu Hidayat, Tenny Setiani Dewi, Astrid Widhowaty Santoso","doi":"10.2147/IMCRJ.S538218","DOIUrl":"10.2147/IMCRJ.S538218","url":null,"abstract":"<p><strong>Background: </strong>Oral Lichen Planus (OLP) is a chronic inflammatory autoimmune disease of oral mucosa that decreases a patient's quality of life because of the inconvenience and pain. Etiology OLP is still unknown but related to T-cell mediated disease. OLP is also related to allergic reaction or hypersensitivity. Nitrosamine commonly found in processed foods, like salted fish, contains nitrite and nitrate compound known to cause chronic irritation and inflammation in oral mucosa.</p><p><strong>Purpose: </strong>This case report analyzes correlation between OLP and salted fish consumption.</p><p><strong>Case presentation: </strong>A 41-year-old woman presented with complaints of a painful oral ulcer and redness persisting for six months, with symptoms worsening during eating and speaking. The pain typically intensified following the consumption of salted fish. Intraoral examination revealed multiple reticular white plaques, along with diffuse erosive and ulcerative lesions on the oral mucosa. The patient was diagnosed with reticular, erosive, and ulcerative types of OLP.</p><p><strong>Case management: </strong>Treatment for the ulcers are antiseptic mouthwash and topical corticosteroid, and also multivitamin to increase patient's health.</p><p><strong>Conclusion: </strong>Nitrosamine and Formalin that contained in salted fish may be the risk factors of OLP. Eliminating risk factors is necessary to increased successful rate in treatment and prevent OLP's recurrency.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1175-1181"},"PeriodicalIF":0.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069601","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":"Balanitis Circumscripta Plasmacellularis in a Young Circumcised Male: A Case Report.","authors":"Omer A Alsulaiman, Ahmed A Alsaati, Nasser Mohammed Alsaif, Khalid M Al-Husain, Fatma A Al-Jindan, Bader N Algamdi","doi":"10.2147/IMCRJ.S546576","DOIUrl":"10.2147/IMCRJ.S546576","url":null,"abstract":"<p><p>A 22-year-old incarcerated Saudi man presented with a 2-day history of painful vesicles on the shaft of his circumcised penis that were unrelated to drug use, trauma, exposure to ill persons, or sexual intercourse. Initial laboratory tests were normal, and the patient was initially diagnosed with herpes simplex infection. Due to nonadherence to the initial antiviral treatment, the lesions progressed, leading to a revised diagnosis of chancroid. Subsequent testing ruled out sexually transmitted infections and revealed methicillin-resistant Staphylococcus aureus in the culture of the purulent exudate. Histopathology confirmed balanitis circumscripta plasmacellularis (BCP, zoon's balanitis). The lesion responded well to topical betamethasone, with marked clinical improvement over 2 months. This case highlights that although rare, BCP should be considered in circumcised patients with non-venereal genital lesions. Additionally, it underscores that early histopathological confirmation is essential to avoid misdiagnosis and inappropriate treatment.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1167-1173"},"PeriodicalIF":0.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12430237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064572","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}