Wiadomosci lekarskie最新文献

{"title":"Quality of life in patients with chronic slow-transit constipation according to the PAC-QOL scale one year after surgical treatment: comparison with preoperative data and reference values.","authors":"Ivan M Leshchyshyn, Leonid Yu Markulan, Olga I Okhotska, Yaroslav M Susak, Pavlo L Byk","doi":"10.36740/WLek/203846","DOIUrl":"https://doi.org/10.36740/WLek/203846","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To assess the impact of surgical treatment on quality of life in patients with chronic slow transit constipation according to the PAC-QOL scale one year after surgery.</p><p><strong>Patients and methods: </strong>Materials and Methods: PAC-QOL scores were studied in 107 patients with chronic slow-transit constipation (main group) before and one year after total colectomy (57), subtotal colectomy (29) and colectomy with low rectal resection (21). 70 patients were included into the reference group. Open surgery was performed in 70 (65.4%) patients, while laparoscopic access - in 37 (34.6%) patients.</p><p><strong>Results: </strong>Results: Despite the long-term conservative treatment PAC-QOL scores for all subscales significantly exceeded the reference values in all patients before surgery (all p<0,05). After surgery PAC-QOL scores decreased to reference values and were statistically lower than preoperative values (all p<0.01): physical component - from 2.78±0.52 to 1.01±0.32; psychological component - from 1.90±0.48 to 0.83±0.41; warries and concerns - from 1.99±0.31 to 0.72±0.34; the satisfaction component - from 2.35±0.60 to 0.84±0.47; total PAC-QOL score - from 2.14±0.23 to 0.82±0.35.</p><p><strong>Conclusion: </strong>Conclusions: Surgical treatment - total or subtotal colectomy in patients with chronic slow-transit constipation resistant to conservative treatment provides a significant reduction of all PAC-QOL scores to reference values and provides full social and functional adaptation.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"726-734"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080313","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":"Changes in morphological and immunohistochemical parameters of tumors during neoadjuvant hormone therapy in postmenopausal patients with luminal type of breast cancer.","authors":"Yevhen S Hotko, Diana Stryzhak, Svyatoslav V Zhero, Viktor Ya Ihnatko","doi":"10.36740/WLek/203842","DOIUrl":"https://doi.org/10.36740/WLek/203842","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Breast cancer (BC) remains the most common malignant disease among women in Ukraine and worldwide. The indication for neoadjuvant hormone therapy (NAHT) is HR+/HER2- breast cancer of stage II-III. However, there are currently insufficient data on its impact on the IHC biological characteristics of tumors and clinical outcomes.</p><p><strong>Patients and methods: </strong>Materials and Methods: The study was conducted at the Uzhhorod Treatment and Diagnostic Oncology Center during 2015-2023. At the diagnostic stage, morphological verification and IHC profile were determined based on trephine biopsy material. The study included 28 patients with HR+/HER2- BC, aged from 38 to 75 years old. All patients were prescribed NAHT with the use of aromatase inhibitors for 6.10±2.23 months. The expression levels of ER, PR, Ki-67, category G were assessed before and after NAHT using histological and IHC analyses.</p><p><strong>Results: </strong>Results: After NAHT, we observed a decrease in Ki-67 levels from 25.31% to 10.25%, ER expression levels from 97% to 84%, and PR expression levels from 87% to 11%. There were changes in category G: G1 was observed in 45.83% of patients, G2 in 54.17%. The staging of BC also decreased. A moderate degree of curative tumor pathomorphosis was achieved in 76.47% of patients, and complete regression (pCR) in 5.88%.</p><p><strong>Conclusion: </strong>Conclusions: Neoadjuvant hormone therapy demonstrated high efficacy in the treatment of patients with luminal HR+/HER2- BC of stage II-III. In most cases, it was possible to reduce the proliferative activity of the tumor, which was accompanied by a decrease in tumor staging. This made it possible to perform organpreserving surgeries in 60.71%, which confirms the feasibility of using NAHT as an alternative to chemotherapy in certain groups of patients.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"710-716"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080916","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":"Pathomorphological features of systemic manifestations of severe acute pancreatitis complicated by abdominal compartment syndrome.","authors":"Olexii I Dronov, Inna O Kovalska, Ivanna A Shchyhel, Tetiana P Shevchyk, Vitaliy R Balyak, Vadym O Kostiukevich","doi":"10.36740/WLek/203878","DOIUrl":"https://doi.org/10.36740/WLek/203878","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To classify systemic pathomorphologic changes in severe acute pancreatitis (SAP) and to identify histologic features associated with abdominal compartment syndrome (ACS).</p><p><strong>Patients and methods: </strong>Materials and Methods: The retrospective cohort examination of 53 patients with SAP, who died due to progressive organ failure. Microscopic specimens of the heart, lungs, liver, kidneys and intestines have been reviewed, divided by the proposed four levels of pathological changes and comparable between the two groups, depending on the presence of AСS (25 and 28 patients).</p><p><strong>Results: </strong>Results: When comparing in two groups the levels of lesions of each studied organ, according to given levels of change, a statistically significant difference between groups in the level of kidney and intestine lesions (P <0.05, Mann-Whitney U-Test) was obtained. The changes in moderate and severe levels were significantly dominating in the microscopic specimens of the kidneys and intestines of group A compared to group B (p <0.001).</p><p><strong>Conclusion: </strong>Conclusions: Histopathological changes in the examined organs of patients who died from severe acute pancreatitis complicated by abdominal compartment syndrome were characterized by more pronounced ischemic and inflammatory damage in the kidneys and intestines. The variability of extrapancreatic pathological changes in SAP patients depended on intra-abdominal pressure levels. Monitoring and timely correction of intra-abdominal hypertension aimed at preventing ACS in SAP patients may influence disease progression and treatment outcomes.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 4","pages":"760-767"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081050","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":"Characterization of cadets' psychophysical health in war conditions.","authors":"Zoriana R Kisil, Oksana M Voluiko, Vasyl I Osodlo, Serhii O Harkavets, Halyna V Katolyk, Liliia V Pylypenko, Ivan M Okhrimenko","doi":"10.36740/WLek/209496","DOIUrl":"https://doi.org/10.36740/WLek/209496","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the investigate the impact of various types of motor activity training sessions on the mental and physical health of cadets during their wartime training.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research, conducted during 2023-2024, involved 203 cadets from the 1st to 4th training years (male). There were five groups of cadets engaged in various sports and motor activities. Research methods included bibliosemantic, psycho-diagnostic, medical and biological, and mathematical statistics methods.</p><p><strong>Results: </strong>Results: In the groups of cadets who systematically practiced the chosen sport during training (groups 1-4), mental and physical health indicators at the end of the research were better than in the cadets who practiced according to the current method of motor activity (group 5). The levels of stress resilience, nervous and emotional tension, reactive anxiety, emotional state, body mass index, vital index, strength index, and Robinson's index were significantly (p ≤ 0.05-0.001) better in groups 1-4 compared to group 5. Instead, no significant difference was found between the indicators of groups 1-4 (p > 0.05). The most important effect of different types of motor activity was found in the indicators of the emotional state, cardiovascular and respiratory systems of cadets.</p><p><strong>Conclusion: </strong>Conclusions: This suggests that conscious training in any motor activity is effective in reducing stress, nervous tension, and anxiety, while restoring emotional balance and improving physical health indicators in cadets during wartime training.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 8","pages":"1447-1454"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275911","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 students' body response to physical exertions based on quantitative criteria of resistance.","authors":"Oleksandr A Arkhypov, Andrii M Laichuk, Pavlo P Tkachenko, Olena V Otravenko, Oksana V Khurtenko, Olena V Otroshko, Serhii Yu Redko","doi":"10.36740/WLek/209504","DOIUrl":"https://doi.org/10.36740/WLek/209504","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the biomechanical indicators of the statokinesiogram to assess coordination-related stability (balance) criteria in students before and after physical exertion.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research, which was conducted in 2024-2025, involved 30 male students of the 1st-2nd academic years of the main medical group. Methods: analysis and generalization of literary sources, method of computerized stabilography (statokinesiometry), methods of mathematical statistics. The complicated Romberg stance assessed students' balance.</p><p><strong>Results: </strong>Results: The biomechanical indicators of the statokinesiogram were investigated to assess the criteria of students' stability before and after physical exertion during physical education training sessions. Students demonstrate stable statokinesiogram indicators with a significantly unchanged ellipse area of the COM oscillations before and after exertion (SEllS - 3606 and 4004 mm2; α > 5 %). The leading role of proprioceptive, amplitude-frequency characteristics of the body's COM oscillations in balance control has been proven.</p><p><strong>Conclusion: </strong>Conclusions: It has been established that maintaining balance by a student is a dynamic phenomenon that requires continuous body movement, which is the result of the interaction of vestibular and visual analyzers, joint and muscle proprioception, central and peripheral nervous systems. The cause of body mass center fluctuations is respiratory movements, blood circulation, as well as the functional state of the central nervous system and receptor apparatus. The effectiveness of the stabilography method for assessing the coordination criteria of stability (balance) of students before and after physical exertion has been proven. The results obtained indicate that physical exercises have a positive effect on improving the indicators of students' stability (balance).</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 8","pages":"1511-1521"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275947","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":"Peculiarities of stress manifestation in women under war conditions and measures for its prevention.","authors":"Grygoriy P Griban, Olha S Zablotska, Lesia M Vysochan, Liliana I Khimchuk, Larysa A Semenovska, Oxana I Hevko, Anna V Chepeliuk","doi":"10.36740/WLek/209508","DOIUrl":"https://doi.org/10.36740/WLek/209508","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the peculiarities of stress manifestation in women under war conditions and to substantiate a set of measures for its prevention.</p><p><strong>Patients and methods: </strong>Materials and Methods: The research, which was conducted from 2022 to 2024, involved 157 women of different ages (from 18 to 70). Research methods were bibliosemantic, medical and sociological, statistical, system analysis, and logical generalization.</p><p><strong>Results: </strong>Results: The peculiarities of stress manifestation in women under war conditions have been investigated. It has been found that 42.0 % of women are constantly in a state of fatigue and exhaustion and assess their stress as maximum. A persistent negative emotional state is experienced by 72.6 % of women, and the inability to experience positive emotions - 52.8 %. More than 70.0 % of the respondents say they do not know how to cope independently with stressful conditions. A set of preventive measures to overcome stress has been proposed and practical recommendations for preventing stress among women have been developed.</p><p><strong>Conclusion: </strong>Conclusions: Effective stress prevention measures include reducing the likelihood of stressors through self-realization, developing knowledge of the value of health, raising awareness of danger, determining one's life strategy, providing timely psychological assistance, learning to cope with stress using anti-stress techniques, and monitoring and adjusting one's reactions to stress. The developed practical recommendations can be used in awareness-raising activities by public health professionals to prevent stress in women under martial law.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 8","pages":"1554-1560"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276010","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":"Mothers' lived experiences of autistic adults' challenges, community support gaps, and pathways to independence - A phenomenological study.","authors":"Hend Abdu Alnajjar, Amal Ibrahim Khalil, Neama Yousef Hantira","doi":"10.36740/WLek/208190","DOIUrl":"https://doi.org/10.36740/WLek/208190","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To investigate the obstacles encountered by Saudi mothers with adult autistic children in promoting autonomy and meaningful relationships. Additionally, it aimed to assess the available community resources and assistance for these mothers, as well as gather their recommendations for enhancing support systems.</p><p><strong>Patients and methods: </strong>Materials and Methods: A phenomenological study design was used among 17 autistic mothers who were conveniently selected. The Focus group discussion guide included four open-ended questions to define mothers' challenges, as well as their coping and adaptation strategies for autistic adults' independent lives.</p><p><strong>Results: </strong>Results: The thematic analysis highlighted six main themes and their subthemes. The subjects' response themes started with autism detection among children and went behind challenges and adaptation and coping mechanisms to create an independent living approach for autistic adults.</p><p><strong>Conclusion: </strong>Conclusions: Mothers emphasized the need for comprehensive support systems, including early intervention, specialized resources, and trained caregiver. In addition, community engagement, acceptance and comprehensive family support are crucial.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 8","pages":"1476-1487"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276017","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":"Aerobic skin microbiota study in patients with paratraumatic eczema developed as a result of combat injuries.","authors":"Svitlana Dzhoraieva, Yanina Kutasevych, Oksana Sokol, Valentina Honcharenko, Hanna Kondakova, Iryna Oliinyk, Olha Oliinyk","doi":"10.36740/WLek/197131","DOIUrl":"10.36740/WLek/197131","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To establish taxonomic composition, population level and microecological indicators of the \"macroorganism-microbiota\" ecosystem by determining the expression levels of individual pathogenicity factors of microorganisms isolated from the skin areas of patients with paratraumatic eczema developed as a result of combat injuries.</p><p><strong>Patients and methods: </strong>Materials and Methods: Studied microbiologically eczematous lesions content in 54 military men to determine the qualitative and quantitative composition of microbiocenosis to analyze the taxonomic composition, population-species level, microecological indicators and expression levels of individual pathogenicity factors.</p><p><strong>Results: </strong>Results: The results indicate that most eczematized areas are contaminated with S.aureus (48.1% ) with the highest level of quantitative dominance. The rate of quantitative dominance of other strains is significantly lower: S.epidermidis - 2.56 times, S.haemolyticus - 4.56 times, S.pyogenes - 5.86 times, E.faecalis and K.pneumoniae - 20.56 times. When determining the sensitivity of S. aureus clinical strains to antibacterial drugs, we established high levels of sensitivity to mupirocin, fusidic acid, and oxazolidinones - 95.1%, 90.2%, and 87.8%, respectively. Moreover, S. aureus dominated among the strains with a high ability to form biofilms - 68.2%, with an average ability - S epidermidis, 28.8%.</p><p><strong>Conclusion: </strong>Conclusions: S.aureus is the leading pathogen in the infectious-allergic process with paratraumatic eczema according to the constancy index of each taxon, frequency of manifestation, Margalef's species richness index, Whittaker's species diversity, the value of Simpson's and Berger-Parter's species dominance indices, as well as the population level of each taxon, the coefficient of quantitative dominance and the coefficient of significance. We should consider this fact when prescribing therapy.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536732","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":"Extrinsic black staining of teeth: a review.","authors":"Inessa I Yakubova, Volodymyr Ostrianko, Yurii Skrypnyk, Roman Volovodovskiy","doi":"10.36740/WLek/197130","DOIUrl":"10.36740/WLek/197130","url":null,"abstract":"<p><strong>Objective: </strong>Aim: Discovering of the prevalence, causes and consequences of the Extrinsic black staining(EBS) of teeth in pediatric population.</p><p><strong>Patients and methods: </strong>Materials and Methods: Upon completion of the scientific search, the review included 47 scientific articles from the electronic databases, reference lists of articles, and selected textbooks in the time interval from 1976 to 2023.</p><p><strong>Conclusion: </strong>Conclusions: The results show that EBS is a possible protective factor against early childhood caries. Dental plaque and gut microbiome may be related to EBS in the temporary dentition. The literature suggests a decreased caries prevalence in the presence of EBS which associated with low incidence of caries in children. The nature of the black pigmentation is suggested to be a form of bacterial plaque with an insoluble ferric salt. Tabaco smoke, food and antibiotics that can be also a risk factors for EBS. There are some clinical and localization features that dentist have to pay attention for. Many diseases of various systems and organs are directly related to black plaque. With this review, we wanted to encourage dentists to identify the problem in childhood and collaborate in a multidisciplinary team to improve treatment efficiency and speed up the selection of the right tactics for the most person-centered approach to avoid worsening the problem in adulthood.</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"210-215"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537523","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":"Gender dimorphism of neurodynamic and cognitive functions of sub-elite and elite athletes (on the example of sports acrobatics).","authors":"Nataliia Veronika Bachynska, Dmytro Anisimov, Oleksandr Zhuravel, Dmytro Kaznacheiev, Vadym Fursa, Nataliia Martynova, Liudmyla Lysenko","doi":"10.36740/WLek/197138","DOIUrl":"10.36740/WLek/197138","url":null,"abstract":"<p><strong>Objective: </strong>Aim: To evaluate the impact of a specific acrobatic load on the neurodynamic and cognitive functions of acrobats, as well as to study how these functions change depending on the gender, age and level of sports qualification of athletes (sub-elite and elite athletes).</p><p><strong>Patients and methods: </strong>Materials and Methods: Athletes specializing in pair and group acrobatics, of two age categories: 1. Sub-elite - athletes of puberty age, which included: girls (n=32), average age 13.96±1.02 years; boys (n=36), average age 14.88±2.32 years. 2. Youth acrobats (elite athletes): girls (n=30), average age 19.36±2.86 years; young men (n=34), average age 20.38±2.89. The computer program \"Diagnost-1\" was used in researches.</p><p><strong>Results: </strong>Results: In female acrobats, the latency period of simple visual-motor information, the latent period of the visual-motor reaction to choosing two out of three stimuli are statistically different from those of young acrobats. Boys acrobats are faster in terms of functional mobility of nervous processes than girls in both age categories (at p<0.05). A greater amount of processed information was found in acrobat boys than in adolescent girls. According to the indicators of cognitive characteristics features of sexual dimorphism between acrobats of different age categories were revealed due to different information processing strategies taking into account sexual characteristics.</p><p><strong>Conclusion: </strong>Conclusions: Boys-acrobats of puberty and adolescence showed more effective processing of simple and complex visual-motor information compared to girls-acrobats of the same age categories. The indicators of neurodynamic and cognitive functions of young acrobats are better than those of pubescent athletes and different by gender (p<0.05).</p>","PeriodicalId":23643,"journal":{"name":"Wiadomosci lekarskie","volume":"78 1","pages":"61-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537531","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}