{"title":"Effectiveness of Video-assisted Distraction Therapy on Childrens Pain Perceptions during Peripheral Venous Cannulation.","authors":"Menuka Bhandari, Munawatee Rai, Puja Gartaula","doi":"10.33314/jnhrc.v22i02.5380","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.5380","url":null,"abstract":"<p><strong>Background: </strong>Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply several interventions to achieve optimal results. The current study aimed to discover the Effectiveness of Video-assisted Distraction Therapy on Children’s Pain Perceptions during Peripheral Venous Cannulation in Pediatric Wards of Biratnagar, Nepal.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted at Pediatric Wards of different hospitals in Biratnagar. Data collection was done from Feb 27, 2023, to April 28, 2023. Non-probability purposive sampling technique was adopted in selecting the desired sample size. Data was collected through an interview questionnaire and a standard observational checklist, the FLACC pain rating scale. The experimental group received video-assisted distraction therapy as an intervention, while the control group received routine intravenous care from the nurses.</p><p><strong>Results: </strong>There is a significant difference between the pain perception score in the experimental and control group during peripheral venous cannulation (p= <0.001) during and after two minutes of cannulation. Similarly, the level of pain was also different in both groups, 42.5% of children in the experimental group perceived moderate pain, 37.5% perceived mild pain and 20% reported severe pain whereas 92.5% of respondents perceived severe pain and only 7.5% perceived moderate pain during peripheral venous cannulation.</p><p><strong>Conclusions: </strong>Video-assisted Distraction Therapy was very efficient at distracting children from their pain during intravenous cannulation.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"274-281"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687163","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":"Risk Factors for Primary Postpartum Hemorrhage in Vaginal Delivery.","authors":"Subash Rai, Ganesh Dangal, Ekta Jaiswal","doi":"10.33314/jnhrc.v22i02.5384","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.5384","url":null,"abstract":"<p><strong>Background: </strong>Postpartum hemorrhage is an emergency, condition encountered in obstetric cases. It is an acute life-threatening situation and needs an immediate and rapid management. Postpartum hemorrhage is leading cause of maternal mortality and morbidity worldwide, with more commonly affecting women of developing countries. Accurate assessment of blood loss, identification of risk factors and timely recognition of postpartum hemorrhage remain major challenge in obstetrics. Different risk factors like hypertensive disorder in pregnancy, antepartum hemorrhage, anemia, big baby, polyhydramnios, multiple pregnancy, obesity, augmented/prolonged labor are risk factors for primary postpartum hemorrhage. The objective of this study was to identify the various risk factors associated with primary postpartum hemorrhage, in Paropakar Maternity and Women’s Hospital (PMWH), which is biggest institute in country for holding records of maximum number of deliveries.</p><p><strong>Methods: </strong>A cross sectional study was conducted over a period of 3 months between March 2023 to May 2023 on 72 patients. Women with term pregnancy who experienced primary PPH were analyzed for different risk factors. Similarly, incidence of postpartum hemorrhage according to age, parity, gestational age, types of labor, types of vaginal delivery and causes of postpartum hemorrhage were studied. The results were then analyzed.</p><p><strong>Results: </strong>The incidence of primary PPH during the study was 3%. Majority of cases of PPH were in age group of 20-24 (44.4%), followed by age group (25-29). Most of cases (50%) were of gravidity 2 to 3, followed by primigravida (45.8%). There was equal distribution of PPH in gestation age (37-39+6) WOG to (40-41+6) WOG. There were no risk factors associated with occurrence of PPH in 56%. Hypertensive disorder of pregnancy, anemia, APH, multiple pregnancy, fetal macrosomia, polyhydramnios and obesity are associated risk factors for PPH. Among risk factors associated with PPH, hypertensive disorder of pregnancy was most common risk factors (40.6%), followed by maternal anemia (25%), multiple pregnancy (12.5%), APH (6.3%) fetal macrosomia (6.3%), maternal obesity (6.3%), polyhydramnios (3.1%). PPH was more common in augmented labor (43%), followed by induced labor (29.2%) and spontaneous labor (27.8%). In this study most women ( 72.2%) experienced blood loss of 500-1000 ml. And most common cause of PPH was atony (83.3%) followed by genital tract injury (14%) and retained tissues (2.7%).</p><p><strong>Conclusions: </strong>In many cases, PPH can’t be predicted fully as many cases of PPH occur without vivid risk factors, as in this study 56% women experiencing PPH had no associated antenatal risk factors. Antenatal risk factors like hypertensive disorder of pregnancy, maternal anemia, twin pregnancy, APH, macrosomia, obesity are common risk factors for PPH. Similarly induced and augmented labor and instrumental delive","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"311-315"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687301","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":"Mini-thoracotomy Approach for Heart Surgery in Tertiary Care Hospital of Nepal.","authors":"Anil Bhattarai, Sangam Shah, Kamal Ranabhat, Swati Chand, Sangharsha Thapa, Prabhat Khakural","doi":"10.33314/jnhrc.v22i02.4784","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.4784","url":null,"abstract":"<p><strong>Background: </strong>The usual surgical technique for heart surgery has been median sternotomy, which provides excellent exposure of all cardiac structures and facilitates the establishment of cardiopulmonary bypass with central cannulation. A number of alternative surgical techniques, including the right anterolateral thoracotomy, posterolateral thoracotomy, and partial sternotomy, have been suggested. We want to share our experience with right anterior mini-thoracotomy versus right axillary mini-thoracotomy for closing an atrial septal defect.</p><p><strong>Methods: </strong>The study was a retrospective cross-sectional study conducted in a hospital. The study comprised patients with atrial septal defect admitted to Green City Hospital in Kathmandu, Nepal. From May 2016 until September 2021. Data was extracted to MS excel sheet, and then transported to the STATA version 17 for analysis. First, we computed descriptive analysis which included calculation of frequency, percentage, mean and median for presentation of socio-demographic variables. Continuous data were tested for normality using Shapiro-Wilk test.</p><p><strong>Results: </strong>A total of 25 patient were included in the study with median age 26 years (20-32). The median aortic cross clamp time was 25 minutes ranging 20-35 min. The median duration of cardiopulmonary bypass time ranging from 31to 161 minutes. The median time of Ax was 25 minutes and 26 minutes for right anterior mini-thoracotomy and right axillary mini-thoracotomy respectively. The median duration of hospital stay was 4 days ranging from 3-4 days. Nearly 36% study participants were associated with abnormal body mass index. (Either under nutrition or over nutritional status).</p><p><strong>Conclusions: </strong>There were no significant differences between the duration of intensive care unit and hospital stays, aortic cross clamp time, and complications between the two groups. However, the possibility of less blood loss during surgery and of cosmetic appearance in axillary incision is of special importance.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"430-436"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687187","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":"Degenerated Subserosal Uterine Leiomyoma Mimicking Carcinoma Ovary.","authors":"Bijay Kumar Ranabhat, Ganesh Dangal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Uterine leiomyomas are the most common entities encountered in routine gynaecological practice. They are usually easily identifiable on routine imaging. However, there is increasing difficulty with diagnosing leiomyoma following hyaline degeneration as it might mimic ovarian pathology. A stepwise and a multidisciplinary approach in management of these cases is preferred to achieve optimal results. We report a case of 40-year-old female presented to outpatient department with radiological diagnosis of complex adnexal mass and Ca-125 value 122 U/ml. Physical examination and radiological investigations suggested giant abdominopelvic mass, probably aggressive uterine or ovarian tumor preoperatively. Postoperative findings revealed hyaline degeneration of fibroid arising from anterior wall of uterus. Keywords: Degeneration; ovarian tumor; uterine leiomyoma.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"454-456"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687161","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}
Kabita Dhami, Nisha Kumari Shah, Pammi Shah, Nyamika K C, Khushi Pokhrel, Mamta K C
{"title":"Perception of female nurse towards its male nurse co-worker.","authors":"Kabita Dhami, Nisha Kumari Shah, Pammi Shah, Nyamika K C, Khushi Pokhrel, Mamta K C","doi":"10.33314/jnhrc.v22i02.5379","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.5379","url":null,"abstract":"<p><strong>Background: </strong>Caring is a universally accepted concept attributed to the nursing profession despite its many nebulous and elusive interpretations. Nursing is seen primarily as a feminine occupation, people get surprised when they see and hear about a male nurse. It is one of the few professions where women outnumber men greatly as it deals with care and nurture. This study aims to assess the female nurse attitude at male nurses in Nepal.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Biratnagar, Morang from the month of March to May 2023. Ethical clearance was obtained from IRC of Nobel Medical College Teaching Hospital, Biratnagar. Web-based computerized data were collected among 200 female nurses using whats app and Messenger. Data were collected using the Likert scale (AMnQ), which is a standardized 5-point Likert scale that assesses female nurses’ attitudes toward male nurses. SPSS V 23 was used to analyze the data using descriptive and inferential statistical techniques.</p><p><strong>Results: </strong>In this study, more than half (55.0%) of the nurses have low-level attitudes toward male nurses. Furthermore, nearly half (48.5%) disagree nursing is suitable only for females, More than one-third (36.5%) disagree nursing is considered a low-level occupation for males, half of them (50%) strongly disagree male and female nurses both are equally required in the nursing profession and (35%) agrees people do not prefer to send males for the nursing profession.</p><p><strong>Conclusions: </strong>Thus the study concludes that majority of the female nurses have low attitude towards male nurses. Therefore, it can be considered as an initiation for having a conversation regarding making gender equality in nursing and creating awareness about the roles and their importance in this profession. Keywords Attitude; female nurse; male nurse.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"258-263"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687265","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":"Capacity Building at Nepal Health Research Council for Ethical Research.","authors":"Ramesh Kant Adhikari, Namita Ghimire, Pramod Joshi","doi":"10.33314/jnhrc.v22i02.5376","DOIUrl":"10.33314/jnhrc.v22i02.5376","url":null,"abstract":"<p><p>N/A.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"i-iv"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687193","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 Thoracoscopic Bullectomy in Treatment of Pneumothorax.","authors":"Pratima Gautam, Ranjan Sapkota, Suraj Shrestha, Prakash Mainali","doi":"10.33314/jnhrc.v22i02.4477","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.4477","url":null,"abstract":"<p><strong>Background: </strong>In pneumothorax patients requiring surgery for various indications, thoracotomy was the traditional approach until the advent of video-assisted thoracoscopic surgery. In the last decade, role of thoracoscopy in the surgical management of pneumothorax has been consolidated and established. In this study, we aim to report our experience of thoracoscopy in the surgical management of pneumothorax.</p><p><strong>Methods: </strong>A descriptive review of prospectively maintained data on all the patients undergoing thoracoscopic bullectomy for pneumothorax was done.</p><p><strong>Result: </strong>Over the period of 9 years, a total of 120 patients underwent thoracoscopic bullectomy. Among them, 95 entered final analysis. Most common age group was 21-40 years, with male predominance (80%); most common diagnosis was primary pneumothorax (67%), first episode (74%), and on the right (65%) side; commonest symptom was shortness of breath (84%) of a median duration of 7 days. A chest tube was placed in 96% of patients before the operation. Commonest radiological finding was multiple bullae (45%) in the apical region (71%). Majority of patients underwent surgery via 3 ports, and a single bulla in the apical region was the most common intraoperative finding. Among the postoperative complications which occurred in 17%, an air leak was present in 9%. The median intensive care stay was 23 hours, the median chest tube duration was 3 days, and the median hospital stay was 9 days.</p><p><strong>Conclusions: </strong>Thoracoscopy can be used as a safe, feasible, and effective procedure in patients presenting with pneumothorax with minimal postoperative complications.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"226-230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686938","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":"Comparison of Surgical Outcomes Following Percutaneous Pedicle Screw Fixation and Traditional Open Pedicle Screw Fixation for Thoracolumbar Fractures Without Neurological Deficit.","authors":"Kumar Paudel, Somraj Lamichhane, Rajiv Jha","doi":"10.33314/jnhrc.v22i02.5206","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.5206","url":null,"abstract":"<p><strong>Background: </strong>Traumatic thoracolumbar fractures are frequently encountered in blunt trauma patients. The Open pedicle screw fixation has been proven to be effective in stabilizing fractures, deformity correction, early mobilization and improving long term quality of life of patients with thoracolumbar fracture. Percutaneous pedicle screw fixation is a minimally invasive approach that minimizes the tissue injury, enhances early recovery and facilitates rehabilitation program.</p><p><strong>Objectives: </strong>To compare the surgical outcomes of percutaneous versus open pedicle screw fixation for thoracolumbar fractures without neurological deficit. Single center, Prospective, Comparative study Methods: A total of 34 patients with thoracolumbar fractures with intact neurology were treated with either percutaneous or open pedicle screw fixation between February 1st 2023 to March 1st 2024 at the National trauma center , Kathmandu. There were 17 patients in each group. The perioperative clinical and radiological parameters were collected using a preformed pro forma. Postoperatively follow-up was conducted at post op day 1, during discharge and 3 months. The clinical and radiological outcomes of percutaneous and open pedicle screw fixation were analyzed and compared.</p><p><strong>Results: </strong>This study included 24(70.6%) males and 10(29.4%) females. The mean age was 40.73 ±15.44 years. There was a statistically significant difference between percutaneous and open pedicle screw with regard to intraoperative blood loss, fluoroscopy time, operative duration, deambulation day and overall hospital stay (p<0.05). Overall, there was a statistically significant improvement in overall pain perception at discharge and three month follow up in both groups. The kyphosis correction in percutaneous group was similar to open pedicle screw fixation technique (mean cobbs angle correction of 4.7 degree).</p><p><strong>Conclusions: </strong>The percutaneous approach has several advantages over the open pedicle screw fixation with regard to less intraoperative blood loss, less postoperative pain, early deambulation, no was a statistically complications and shorter hospital stay Keywords: Open pedicle screw; percutaneous pedicle screw fixation; thoracolumbar fracture.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"391-396"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687091","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 and Endoscopic Management in Patients with Choledocholithiasis.","authors":"Manoj Lamsal, Anurag Jha, Brindeswari Kafle, Rabin Hamal, Tshering Wangdi Sherpa, Pradip Kumar Kafle, Tulsi Ram Bhattarai, Mohan Bhusal, Dinesh Koirala, Rahul Pathak","doi":"10.33314/jnhrc.v22i02.5390","DOIUrl":"10.33314/jnhrc.v22i02.5390","url":null,"abstract":"<p><strong>Background: </strong>Common bile duct stones is a common medical problem that are usually seen in association with gallstone disease. Endoscopic management of Common bile duct stones involves doing Endoscopic retrograde cholangiography for bile duct clearance which is the primary therapeutic modality of choice. This prospective study was done to identify the clinical characteristics and outcome of patients presenting with Common bile duct stones undergoing Endoscopic retrograde cholangiography.</p><p><strong>Methods: </strong>A prospective observational study was conducted on all patients undergoing Endoscopic retrograde cholangiography in department of Gastroenterology, Tribhuvan University Teaching Hospital, for management of diagnosed or suspected choledocholithiasis from April 2023 to March 2024. Patient demographics, clinical characteristics, Endoscopic retrograde cholangiography findings and post procedure outcome data were collected and analysed.</p><p><strong>Results: </strong>A total of 110 patients (61.8% male and 38.2% female) were included in the final analysis. Successful clearance of Common bile duct was obtained in 76.4% patients with overall adverse events of 18% related to the procedure. Among patients undergoing the procedure, 16.4% couldn’t be managed with Endoscopic retrograde cholangiography and were referred for surgical management.</p><p><strong>Conclusions: </strong>Endoscopic management in form of Endoscopic retrograde cholangiography is a safe and effective method to manage patients with Common bile duct stones.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"397-401"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687198","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":"Assessment of fluoride level in drinking water sources in Sudurpaschim Province, Nepal.","authors":"Naresh Prasad Joshi, Jagadish Joshi, Abanish Singh","doi":"10.33314/jnhrc.v22i02.5042","DOIUrl":"https://doi.org/10.33314/jnhrc.v22i02.5042","url":null,"abstract":"<p><strong>Background: </strong>Fluoride, a naturally occurring element found in varying concentrations in water, confers preventive effects in dental caries around a concentration of 1 ppm. The study aimed to assess the level of fluoride in drinking water sources in the Sudurpashchim Province of Nepal.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from April to July 2023 with water samples from natural, municipal, and packaged sources collected in polypropylene plastic bottles from all 9 districts of the province. Three samples from each district's two most populous municipalities (one urban and one rural municipality) were taken. Water samples from the only sub-metropolitan city in the province (Dhangadhi) were also included. Fifty-seven samples were sent to a Nepal Standard-certified lab in Kathmandu for fluoride estimation using the American Public Health Association-approved method. Data were entered in Microsoft Excel and analysed using the Statistical Package for Social Sciences v 22. A p-value less than 0.05 was taken as significant.</p><p><strong>Results: </strong>Most of the water samples had fluoride levels below 0.1 ppm. The highest fluoride concentration was seen in a sample from a hand pump in the rural municipality of Kanchanpur (0.9 ppm). No significant differences were observed between water samples according to different water sources, geographical regions, or categories of water resources.</p><p><strong>Conclusions: </strong>Fluoride concentration in water sources of Sudurpashchim is well below the recommended level for caries protection. Measures should be taken to ascertain people get adequate fluoride as needed.</p>","PeriodicalId":16380,"journal":{"name":"Journal of Nepal Health Research Council","volume":"22 2","pages":"330-335"},"PeriodicalIF":0.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687246","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}