Journal of Medical - Clinical Research & Reviews最新文献

{"title":"Bacterial Vaginoses caused by Gardnerella vaginalis at Thiès Regional Hospital: Study of Clinic-Biological Aspects","authors":"R. Diagne, B. Ngom, T. Lawson, M. Thiam, N. Moussa, M. Mbodji, R. Ka, A. Niang, H. Sarr, B. Dieye, A. Sow","doi":"10.33425/2639-944x.1251","DOIUrl":"https://doi.org/10.33425/2639-944x.1251","url":null,"abstract":"Introduction: Bacterial vaginosis is a frequent infection among women. The aim of this study is to make an evaluation of the prevalence of infections caused by Gardnerella vaginalis among women who underwent vaginal tests in the laboratory of Biology of Thies Regional hospital... Our study intends to elucidate and define the characteristics of vaginal exudate in this condition, but also to evaluate the diagnostic criteria in force at the laboratory level. Materials and Methods: It is about a retro-prospective study over two years between July 31st 2017 and July 31st 2019 among women from whom vaginal samples were taken. Our study population concerned all female outpatients or hospitalized consultants at the Regional hospital of Thiès during the study period. The secretions are collected at the level of the vaginal walls or at the level of the posterior fornix with a sterile swab, trying to bring back as much secretion as possible. Macroscopic and microscopic examinations and the identification of the germs involved were carried out. Results: Out of a total of 2376 vaginal samples, we observed a frequency of 25.5% of vaginosis caused by Gardnerella vaginalis.70.72% presented with white-haired leuchorrhoea, 35.69% presented with fetid leuchorrhea.Very rare leukocytes were found in 74.34% and 24.51% with cervicitis associated with vaginosis. Conclusion: Vaginosis caused by Gardnerella vaginalis is a frequent condition especially among women of childbearing age. It can lead to severe gynecological and obstetric complications. For better management, strengthening laboratory diagnosis is necessary.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128235586","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":"Promoting Family Health for Prediabetes Persons: Project Report","authors":"Saovakon Virasiri, Thanya Mangmeesri, Patcharapon Janejiwit","doi":"10.33425/2639-944x.1247","DOIUrl":"https://doi.org/10.33425/2639-944x.1247","url":null,"abstract":"Family health promotion is the most important goal of family nursing practice, Especially, in the present day which family has inappropriate living pattern that can impact on family members getting sick both body and mind. Thus, professional nurse and health personnel should have knowledge and skill of promoting family health. Application the related family theories and concepts should be analyzed based on each family context. Especially, family should involve as the health owner with awareness and accepting actual health risk situation. Families need to set their goal and cooperating within family system that can help them to be success. As project report presented in this paper, it could reflect the process of increasing family awareness, right perception, and accepting to have prediabetes person in family, and then they had developed their competency of health promotion to solve their problem that could help the persons free from diabetes. However, some families could not modify new health pattern and lifestyle with consistently, including lacking commitment and fatigue from working. Thus, nurses and health care personnel should strengthen family motivation and morale continuously. In addition, family nurse and health care team should develop new knowledge and skills from lesson learned both success and unsuccessful cases to increase understanding and developing more knowledge, including, effective interventions for achieving health outcomes.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"204 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122459391","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":"Agarose and Wax Tissue-Mimicking Phantom for Dynamic Magnetic Resonance Imaging of the Liver","authors":"Muntaser S. Ahmad, Osama Makhamrah, N. Suardi, A. Shukri, N. A. Razak, Hjouj Mohammad","doi":"10.33425/2639-944x.1250","DOIUrl":"https://doi.org/10.33425/2639-944x.1250","url":null,"abstract":"Objectives: Polymer phantoms can be used to simulate the properties of tissues or organs such as the liver during magnetic resonance imaging (MRI). Although there are reports of simulated liver phantoms with hepatocellular carcinoma (HCC); no studies have documented the simulating of the typical dynamic pattern. Aim: The present study aimed to investigate properties of developed phantoms with respect to the stability, including chemical, mechanical, electrical, as well as MRI properties (T1- and T2- signal intensities), in addition to simulating HCC in a dynamic way. Methods: In this study, liver parenchyma of size 23 ×18 ×13 cm was simulated using three different agarose-wax samples (agarose at concentrations of 2.5 wt%, 4.5 wt%, and 6.0 wt%) mixed with a fixed wax concentration of 2.6 wt%.. HCC samples were fabricated using polyurethane and glycerol of various diameters (0.5, 1.0, and 2.0 cm). Results: The results showed that the agarose-wax sample with a concentration of 2.5 wt% was the most stable sample among the other samples (P-value, 0.468) in mechanical and T1 and T2 intensities. It was also noted that the sample at the concentration of 4.5 wt% had the closest density value to human liver with a difference of 7.88%. Moreover, the agarose-wax sample at a concentration of 2.5 wt% had the closest compressibility and conductivity values, and T1-relaxation time compared to the human liver. However, the largest changes in relaxation times were observed in the fifth week of all samples (P-value = 0.047). The typical enhancement pattern for a simulated HCC of a minimum size, which can be measured with MRI, was 1.0 cm, using a body coil, and 0.5 cm using a head coil. Conclusions: The chemical, electrical density, compressive strength, density, and MR imaging properties of the phantom were measured and compared to those of the human body.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125865746","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":"Predictors of Duration of Phenobarbitone Therapy in Seizures of Neonates with Hypoxic-Ischemic Encephalopathy","authors":"Shelim Rumana, Ferdous Jannatul, Mahbuba Sharmin, Jahan Ismat","doi":"10.33425/2639-944x.1249","DOIUrl":"https://doi.org/10.33425/2639-944x.1249","url":null,"abstract":"Objective: Perinatal asphyxia with hypoxic-ischemic encephalopathy associated with seizures is one of the leading cause of neonatal mortality and morbidity in Bangladesh. Phenobarbitone remains the drug of choice in treatment of neonatal seizures. This study was conducted to determine the predictors of duration of Phenobarbitone therapy in seizures of neonates with Hypoxic-Ischemic Encephalopathy (HIE). Methodology: The study was conducted in Neonatal Intensive Care Unit (NICU) of East West Medical College Hospital from 1st february 2016 to 31st january 2017 on fifty neonates with HIE and seizures. The dose and duration of phenobarbitone therapy for initial control of seizure was noted. Total duration of phenobarbitone therapy after control of seizure to prevent further recurrences was also noted. Follow up was given up to 3 months of age to see any recurrence of seizures. Results: Out of the 50 neonates,25 cases (50%) responded well within 24 hours. Mean duration of phenobarbitone therapy after initial control of seizure was 4.70 ± 2.93days and Mean total duration of therapy was 6.89 ± 3.58 days in cases who responded well within 24 hours.. 3 (6%) cases had recurrence of seizures. The recurrence cases required more than 72 hours for initial control of seizure (p 0.006) and had poor primitive reflexes and activity after initial control of seizure (p 0.0002). Mean duration of phenobarbitone therapy after initial control of seizures was 6.33 ± 6.11 days and Mean total duration of phenobarbitone therapy was also longer 9.67 ± 7.37 days. Conclusion: Neonates who have good initial response and have better reflexes required short duration of phenobarbitone therapy. It should be discontinued soon after control of seizure. Neonates with HIE III, those requiring more than 72 hours for initial response and poor reflexes after initial control of seizure may require longer duration of phenobarbitone therapy (more than 7 days) to prevent recurrence of seizures. Thus, judicious use of phenobarbitone will minimize the unnecessary non-specific treatment.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115937576","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":"The Presence of Ageism Among Slovenian Adolescents Surveyed About Dementia-Related Knowledge","authors":"Brina Felc, Z. Felc","doi":"10.33425/2639-944x.1248","DOIUrl":"https://doi.org/10.33425/2639-944x.1248","url":null,"abstract":"Objectives: Due to the significant increase in the number of people aged over 65, both dementia and ageism are on the rise in Slovenia. Without data on knowledge of dementia and the occurrence of ageism towards old people among adolescents, it is difficult to introduce measures to reduce and prevent them. Aim: To asses dementia-related knowledge with a focus on comparison between female and male adolescents and whether any stereotype about the elderly is expressed among them. Methods: 1128 students (aged 14 -19) from non-health related secondary schools in Slovenia completed the survey. In the questionnaire with twenty claims of dementia, one contained stereotype: »Impaired memory is normal part of getting old«. Results: Responses to claims of dementia ranged from 4 to 20 points, with participants responding to an average of 71.5% of claims correctly (M = 14.30; SD = 2.56). Girls showed better knowledge of dementia than boys (M = 14.63; SD = 2.36 vs. M = 13.63; SD = 2.82; p<0.05). Suprisingly, with the stereotypical and discriminatory claim: »Impaired memory is normal part of getting old« as many as 86.0 % of girls and 81.9 % of boys (p>0.05) agreed. Conclusions: Dementia-related knowledge is satisfactory, but lower in male than female adolescents. The research results point to the need of introducing gender-specific formal and non-formal education on dementia. Furthermore, the results of our study show that most adolescents of both genders already think stereotypically about the elderlies, which can lead to ageism. The area should be researched further.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121123189","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 by RT-PCR of the Nasopharyngal Carriage Rate of SARS-CoV-2 Among Travelers Leaving the Country (Senegal)","authors":"D. R, Niane M, N. M., A. Sow, A. Diop, F. Samba, O. Johnson, Coura Suzanne Ndione, F. Sane","doi":"10.33425/2639-944x.1252","DOIUrl":"https://doi.org/10.33425/2639-944x.1252","url":null,"abstract":"Introduction: The new SARS-CoV-2 coronavirus, discovered at the end of 2019, led to a pandemic as early as March 2020, affecting all areas of life, and travelers were not spared. The objective of this work was to estimate the frequency of nasopharyngeal carriage of SARS-CoV-2 by RT-PCR in travelers leaving the country (Senegal) and to determine the factors associated with this carriage. Materials and Methods: This was a cross-sectional study conducted at the National Public Health Laboratory (LNSP) of Thiès from December 2020 to February 2021. It included 500 travelers selected by the convenience non- random sampling method. Demographic and clinical data were collected using a standardized form. The RT-PCR test was performed using nasopharyngeal samples. Results: 480 patients were declared asymptomatic. The RT-PCR positivity rate was 6% overall. The majority of patients came from the Thiès region (80%).The average age of the patients was 39 years old. The majority of patients (60%) were male. 2% of travelers had at least one medical comorbidity (diabetes, asthma and / or obesity). The most frequent clinical signs were cold 10% and cough 3.3%. Conclusion: Our results showed a low proportion of COVID-19 positive travelers. These patients were mainly elderly, male and asymptomatic.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125028387","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":"The Impact of COVID-19 on Human Service Agencies in Houston, Texas: A Preliminary Assessment and Emerging Opportunities","authors":"Larry E. Hill, A. Coronado, E. Ogunjimi","doi":"10.33425/2639-944x.1244","DOIUrl":"https://doi.org/10.33425/2639-944x.1244","url":null,"abstract":"The COVID-19 pandemic changed the socio-economic fabric of communities around the world. To determine the emerging needs of human service agencies our research team conducted agency assessments within the greater Houston metropolis. A convenience sample of agencies (n=17) currently providing social work internship placements was surveyed between April 2021 and July 2021. Results revealed emerging needs that schools of social work should consider during the COVID-19 response. Some include the need for interdisciplinary intern teams, technology training for social workers, dual degrees, and macro-level skills. We recommend enhancing university-community partnerships to meet the emerging humanitarian and workforce needs of the community.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126165320","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":"Is The Risk of Thromboembolic Disease and Bleeding Adequately Evaluated in Patients with Glioblastoma? A Review of The Topic","authors":"Iris Violeta de la Rocha Vedia, Joselyn Sanchez","doi":"10.33425/2639-944x.1242","DOIUrl":"https://doi.org/10.33425/2639-944x.1242","url":null,"abstract":"Introduction: Glioblastoma multiforme (GBM) is the most frequent malignant brain tumor, with an aggressive course and a short life expectancy despite standard treatment (chemotherapy and radiotherapy). The possibility of the development of thrombotic events (VTE) with this type of cancer is frequent. Objective: To determine the risk of presenting VTE and haemorrhagic events in patients affected by GBM. Methods: Observational retrospective study of patients with GBM diagnosis at the General University Hospital of Ciudad Real between 2012 and 2015. The demographic characteristics of patients were studied, predictive models were compared, and a survival analysis was performed. Results: 77 patients were studied, 42 (55.3%) / 34 (44.7%), men and women respectively, with an average age of 66.42 years. 13 (16.9%) presented VTE; of which 10 (61.54%) in the form of deep venous thrombosis (DVT), 3 (23.08%) pulmonary embolism (PE) and 2 (15.38%) mixed events. The quality of life according to the performance status ECOG scale at the moment of diagnosis was 1 in 42 (15.38%) patients, and at the time of VTE, 5 (41.7%) had a value of 2, and 4 (33.3.3 %) registered 3. In the group that developed VTE according to the predictive model of risk for thrombosis in Khorana 5 (38.5%) had low risk and 8 (61.5%) intermediate; on the ASCO 2013 modified scale 5 (38.5%) had an Intermediate risk and 8 (61.5%) high. With a median, 1 year follow-up, 64 (84.2%) patients died, with an average time after the diagnosis of 279.09 days (216.6-341.6) (SE 31,8). 2 (2.6%) of the patients presented a greater haemorrhagic event and 7 (7.9%) cerebral haemorrhage, of which 4 (44.4%) had prophylactic Low molecular weight heparins (LMWHs). In the survival analysis of Kaplan Meyer, patients who received prophylactic treatment with LMWHs had a higher survival rate with an average of 298.5 days compared to 239.3 of those who did not (p> 0.05). There were no significant variables in the multivariate analysis for thrombotic or haemorrhagic events. Conclusion and Discussion: The demographic and clinical characteristics of our patients were similar to those reported in other international publications. The predictive scale of Khorana was not validated in our study, in contrast, the modified ASCO 2013 scale was closer to our results. The creation of a precise predictive model would help to delineate the benefit of prophylactic anticoagulation in high-risk patients. Long-term prophylaxis with LMWHs has demonstrated a reduction of thrombotic events without significantly increasing the fatal haemorrhagic episodes, also demonstrating greater long-term survival, independent of thrombotic events. Randomized prospective studies are needed to demonstrate its benefits.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114813508","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":"Thulium Fiber Laser Lithotripsy in COVID Positive Patients","authors":"A. Alansari, H. Kamkoum, Maged Alrayashi, Hossameldin Alnawsara, Bela Tallai, Tawiz Gul, Shukri Alfalahi, M. Abdelkareem, M. Ebrahim, O. Aboumarzouk, M. Salah","doi":"10.33425/2639-944x.1246","DOIUrl":"https://doi.org/10.33425/2639-944x.1246","url":null,"abstract":"Background: Thulium fiber laser technology has been shown to provide more power through a small fiber to enable faster stone fragmentation. In the Covid era, positive patients were postponed for a few weeks before any surgery to ensure their safety. However, with complete ureteric obstruction with large stones, delayed ureteroscopy and stone fragmentation could potentially compromise renal function. We aim to evaluate the Thulium Fiber Laser outcome as an alternative to holmium YAG laser as intracorporeal lithotripter in Covid-19 positive patients. Methods: From March-July 2020, during the peak of the corona outbreak, 11 COVID-19 positive patients were admitted through the emergency department with obstructing ureteric stones underwent urgent JJ stent insertion 2 weeks later from the initial surgery a definitive treatment offered. Results: The average age was 36+-11.7 years, all-male, all fit and healthy despite their Covid-19 status. The average stone size was 11+-3.1 mm with a volume of 395.8+-280 mm3 . The Hounsfield unit measurement was 1033.3+-57.7. Seven underwent short general anesthesia and 4 had spinal anesthesia. The average laser duration was of 593.9+-357.5 seconds, and the average stone ablation speed was 0.66+-0.19 mm3 /Sec. The overall stone- free rate was 90.9%. All 11 patients were discharged safely on the same day with only 1 patient readmitted with steinstrasse and underwent urgent ureteroscopy. None of our patients developed late complications. Conclusion: Using the Thulium laser technology allows for a quick and safe alternative to Holmium for fragmenting ureteric stones with a high stone-free rate.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131320199","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":"Effect of Promoter Region Sequence Variations in Relation to Antibiotic Resistance of Methicillin- Resistant Staphylococcus Aureus","authors":"F. Habib, Dipa Roy, Momotaj Nity, A. S. Chaity, A. Haque","doi":"10.33425/2639-944x.1243","DOIUrl":"https://doi.org/10.33425/2639-944x.1243","url":null,"abstract":"Multidrug resistant bacterial strains are one of the concerns of healthcare sector. Among these, Methicillin- resistant Staphylococcus aureus (MRSA) is one of the major hospitals acquired multidrug resistant strains. MRSA shows it is resistant against methicillin and other penicillin like antibiotics by producing PBP2a (penicillin binding protein 2a) which is encoded by its mecA gene. In this process mecR1 and mecI gene act as regulator of mecA gene. The aim of this study is to identify sequence variance located in mecA, mecR1 and mecI promoter region and the effect of those changes in relation to pathogenicity of these MRSA strains. In this current research, work wound infections samples were collected from 90 patients who were infected during post-surgical mamagement. Samples were collected from Rajshahi Medical college hospital, Bangladesh. In antibiotic sensitivity test, MRSA was found 100% sensitive against only Choramphenicol and Bacitracin. It also shows partial resistance against Amikacin, Impenem, Doxycycline, Gentamycin and Neomycin. In HRM, analysis six types of genotypes (TT, AA, CC, GG, GA and CT) were identified in mecA, mecR1 and mecI genes. Two types of mutation (T>C and G>A) were found in current study. This HRM analysis was further correlate with antibiotic sensitivity test in terms of antibiotic resistance and sequence variance.","PeriodicalId":232854,"journal":{"name":"Journal of Medical - Clinical Research & Reviews","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125783237","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}