Medical Journal of Western Black Sea最新文献

{"title":"Warburg Mikro Sendromu ile İlişkili TBC1D20 Geninde Yeni Bir Mutasyon","authors":"Ayça Kocaağa, Sevgi Yimenicioğlu","doi":"10.29058/mjwbs.1024327","DOIUrl":"https://doi.org/10.29058/mjwbs.1024327","url":null,"abstract":"Amaç: Warburg mikro sendromu (WARBM) RAB3GAP1, RAB3GAP2, RAB18 ve TBC1D20 genlerindeki \u0000mutasyonlara bağlı olarak nadir görülen otozomal resesif bir hastalıktır. Sendrom mikrosefali, konjenital \u0000katarakt ve mikrokornea gibi oküler bulgular, ağır entellektüel gerilik ve hipogonadizm ile karakterizedir. \u0000Olgu: Takipleri sırasında WARBM tanısı konulan 3 yaşında bir erkek çocuğu sunuyoruz. Hastanın \u0000genetik analiz sonuçları, TBC1D20 geninde ekzon 3’te patojenik ve WARBM 4 fenotipi ile korele olan \u0000bir homozigot mutasyonu (c.259_260delinsCAC; p. Lys87HisfsTer42) ortaya çıkardı. Ebeveynlerin \u0000mutasyonu heterozigot olarak taşıdığı gösterildi. \u0000Sonuç: WES analizi WARBM’li akraba bir Türk ailesinde TBC1D20 geninde muhtemel patojenik yeni \u0000bir mutasyon (c.259_260delinsCAC) gösterdi ve WARBM tanısını koymamızı sağladı.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114251381","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 Prevalence of Azygos Lobe Incidentally Detected on Lung X-ray in Male Police Vocational School Students: A Cross-sectional Study","authors":"M. Tosun, Hasan Ölmez","doi":"10.29058/mjwbs.1106162","DOIUrl":"https://doi.org/10.29058/mjwbs.1106162","url":null,"abstract":"Aim: Azygos lobe (AL) is a rare congenital anomaly that is usually located at the apex of the right lung. It \u0000is mostly asymptomatic and does not require special treatment. However, it should be kept in mind in the \u0000differential diagnosis of lung lesions and its presence should be determined before thoracic operations. \u0000In this study, it was aimed to evaluate the prevalence of AL in a sample of male police vocational high \u0000school students. \u0000Material and Methods: 1623 male police vocational high school students who applied to Erzincan \u0000Binali Yildirim University Faculty of Medicine Chest Diseases Polyclinic between October 1, 2020 and \u0000October 31, 2021 were included in our study. The presence of AL was investigated in the posteroanterior \u0000chest X-ray of the students and the prevalence was calculated. In addition, the regional distribution \u0000of the students according to their place of birth, and other chest deformities detected in the physical \u0000examinations were determined and their relationship with the frequency of AL was investigated. Results: The mean age of 1623 students included in the study was 25.6±2.4. AL was detected in 29 people and the prevalence of AL \u0000was calculated as 1.8%. Although 21 (72.4%) of 29 students with AL were students from the Black Sea and Eastern Anatolia regions, no \u0000significant difference was found between the regions(p=0.101). The most common other chest deformity was pectus excavatum. However, \u0000no significant relationship was found between the frequency of AL and the presence of other chest deformities. (p=0.057). \u0000Conclusion: In our study, AL was detected at a higher rate compared to the prevalence studies performed with thorax CT in our country. At \u0000the same time, it was seen that AL could be detected easily with PA X-ray.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126755952","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":"Somali Mogadişu Hastanesinde Hepatit C Virüsü Enfeksiyonunun İzlenmesinde Dolaylı Biyobelirteçlerin Değeri","authors":"Öznur Sari","doi":"10.29058/mjwbs.1100914","DOIUrl":"https://doi.org/10.29058/mjwbs.1100914","url":null,"abstract":"Amaç: Somali Mogadişu Hastanesi’ne başvuran Hepatit C virüsü enfeksiyonu [anti-HCV (+)] \u0000olan hastaların laboratuvar testlerinde, karaciğer hastalığının ilerlemesini öngören Sınıf II fibrozis \u0000belirteçlerinin değerini ve trombosit parametrelerindeki değişiklikleri araştırmayı amaçladık. \u0000Gereç ve Yöntemler: Hastanemizde muayene edilen 18 yaş üstü tüm hastalar çalışmaya dahil edildi. \u0000CBC ve hastalardan alınan biyokimyasal ölçüm sonuçları eşliğinde, dolaylı karaciğer fibrozu (Sınıf II) \u0000belirteçleri AAR (AST/ALT oranı), APRI (AST/Plt oran indeksi) ve FIB-4 indeksi (Yaş (yıl) x AST (U/L) ) \u0000/ [Platelet sayısı (109 / L)] x (ALT) 1/2 (U / L)], MPV/Platelet oranı, APRI = [(kişi AST/AST referans üst \u0000limiti) x Trombosit (103 /ml) x 100] hesaplandı. \u0000Bulgular: Çalışmamıza medyan yaşı 51 (32-67) yıl olan 1.605 (%55.6) erkek ve 1.282 (%44.4) kadın \u0000olmak üzere toplam 2.887 hasta dahil edildi. Erkeklerde anti-HCV pozitiflik oranı kadınlara göre 1,5 kat \u0000daha yüksek bulundu. Karaciğer hasarının dolaylı belirteçleri olan APRI, MPV / Plt R ve RPR düzeyleri, \u0000anti-HCV (+) olan hastalarda kontrol grubuna göre daha yüksek bulundu (p","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125904839","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":"A Lipoid Pneumonia After Machine Oil Ingestion: A Rare Case Report","authors":"Nurten Aysan, Celal Satıcı, Burcu Arpınar Yiğitbaş, A. Erinc, Gizem Köybaşı, F. Koşar","doi":"10.29058/mjwbs.1018261","DOIUrl":"https://doi.org/10.29058/mjwbs.1018261","url":null,"abstract":"Aim: Lipoid pneumonia is a clinical and radiological disease that occurs after aspiration of oil-based \u0000fluid into the lung. In this case, it is aimed to present a case of exogenous lipoid pneumonia due to \u0000accidental machine oil ingestion as a cause of unresolved pneumonia. \u0000Case: A 62-year-old male patient presented to the chest disease polyclinic for control because of the \u0000aspiration of the machine oil 20 days ago. It was learned that antibiotics were started on an outpatient \u0000with a preliminary diagnosis of pneumonia, but there was no radiological improvement. He had a history \u0000of benign prostatic hyperplasia and hypothyroidism. In addition, 38% polymorphous core leukocytes, \u000027% lymphocytes, 29% alveolar macrophages were detected in the bronchoalveolar lavage sample. \u0000Methylprednisolone 32 mg/day peroral was started, with the diagnosis of lipoid pneumonia. After \u0000treatment, he had radiological improvement in the control chest X-ray and was followed up as an \u0000outpatient. \u0000Conclusion: The diagnosis of lipoid pneumonia can be missed because of its clinical and radiological \u0000confusion with other pneumonia types. In conclusion, the patient’s anamnesis, clinic and imaging should \u0000be carefully evaluated and followed up while making the differential diagnosis of non-healing pneumonia.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115018553","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":"Intravitreal Aflibercept Application in Patients with Type 1 Choroidal Neovascular Membrane Resistant to Ranibizumab Treatment Results","authors":"I. M. Torun, Erkan Duman, Nursel Melda Yenerel","doi":"10.29058/mjwbs.1022336","DOIUrl":"https://doi.org/10.29058/mjwbs.1022336","url":null,"abstract":"Amaç: Ranibizumab tedavisine dirençli tip 1 koroidal neovasküler membranlı olgularda intravitreal \u0000aflibercept tedavisinin etkinliğini araştırmak. \u0000Gereç ve Yöntemler: Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Göz Kliniği’ne Aralık 2012- \u0000Ocak 2016 tarihleri arasında başvurup, neovasküler tip yaşa bağlı makula dejenerasyonu (YBMD) \u0000tanısı alan, optik koherens tomografi (OKT) ve fundus floresein anjiografi (FFA) ile tip 1 koroidal \u0000neovasküler membranı (KNV) olduğu tespit edilen 22 hastanın 24 gözü geriye dönük olarak incelendi. \u0000Olguların ilk başvurularındaki ve ranibizumab tedavisi sonrasındaki en iyi düzeltilmiş görme keskinlikleri \u0000(EİDGK), fundus muayene bulguları ve OKT ile yapılan makula kalınlığı ölçümleri kaydedildi. İntravitreal \u0000aflibercept tedavisinin etkinliğini değerlendirmek için tedavi öncesi ve sonrasındaki EİDGK’leri, ortalama \u0000enjeksiyon sayıları ve ortalama makula kalınlıkları istatistiksel olarak karşılaştırıldı. İstatistiksel analizler \u0000için NCSS (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) programı kullanıldı. \u0000Çalışma verileri değerlendirilirken tanımlayıcı istatistiksel metodların (Ortalama, Standart Sapma, \u0000Medyan, Frekans, Oran, Minimum, Maksimum) yanı sıra; niceliksel verilerin karşılaştırılmasında normal \u0000dağılım göstermeyen parametrelerin iki grup karşılaştırmalarında ise Mann Whitney U testi kullanıldı. \u0000Normal dağılım göstermeyen üç ve üzeri grupların karşılaştırmalarında ise Kruskal Wallis test kullanıldı. \u0000Normal dağılım göstermeyen parametrelerin grup içi karşılaştırmalarında ise Wilcoxon Signed Ranks \u0000test kullanıldı. Anlamlılık p0,05). \u0000Sonuç: Çalışmamızda ranibizumab tedavisine dirençli neovasküler YBMD’nin intravitreal aflibercept \u0000enjeksiyonu ile tedavisinde anatomik iyileşme sağlandı. Retinadaki sıvı lokasyonunun, PED \u0000mevcudiyetinin, tedaviye dirençli vakalarda aflibercept etkinliğinde belirleyici faktör olmayabileceği \u0000düşünüldü.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116219238","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":"Sentinel Lymph Node Detection Using A Dual-Dedector Gamma Probe Device and Simultaneous Indocyanine Green and Colloid Substance: First Experience in Turkey","authors":"Rabiye Uslu Erdemir, G. Karadeniz Cakmak","doi":"10.29058/mjwbs.1081024","DOIUrl":"https://doi.org/10.29058/mjwbs.1081024","url":null,"abstract":"Amaç: Meme kanserinde sentinel lenf nodu(SLN) biyopsisisinde indosiyanin yeşili(ICG) ile yapılan \u0000floresan tespiti yeni uygulanan bir yöntemdir. Bu çalışmada erken evre meme kanserinin aksiller \u0000evrelemesi için SLN’nin belirlenmesinde, ICG ve radyokolloid maddenin birlikteliğinin yararlılığını \u0000göstermek ve ilk deneyimlerimizi paylaşmak istedik. \u0000Gereç ve Yöntemler: Çalışmamızda erken evre meme kanserli 15 hasta yer aldı. SLN tespitinde, Gama \u0000ve Floresan ışınlarının dedeksiyonu için tasarlanmış İntraoperatif Cerrahi Gama Prob cihazı kullanıldı. \u0000Hastalara cerrahi öncesi nükleer tıp bölümünde radyokolloid madde ve genel anestezi sonrası ICG \u0000verildi. Sonra çift dedektörlü gama probla önce ICG, ardından radyokolloid tutulumu izlenen lenf nodları \u0000eksize edildi. Tek başına ICG, tek başına radyokolloid ve ikisinin birlikte tutulumu olan SLN sayıları kayıt \u0000altına alındı. Ameliyat esnasında çıkarılan SLN frozen incelemesi metastatik olarak bildirilen olgularda \u0000aksiller lenf nodu diseksiyonu yapıldı. \u0000Bulgular: Hastaların yaş ortalaması 56 (32-82) idi. 14 hastada ICG ve radyokolloid, 1 hastada ise sadece \u0000radyokolloidle SLN tespiti yapıldı. Eksize edilen ortanca SLN sayısı ICG ile 4, radyokolloidle ise \u00003 hesaplandı. SLN tespit etme oranı ICG ile %93.3, radyokolloid ile %100 olarak bulundu. Hastaların \u0000%26.6 da SLN’de metastaz saptandı. Metastatik lenf nodu tespit etme oranı ICG ile %28.5, radyokolloid \u0000ile %26.6 bulundu. Lenf nodu metastazı olan 4 hastaya aksiller diseksiyon yapıldı ve sentinel dışındaki \u0000lenf nodlarında metastaz görülmedi. Ameliyat sırasında ve sonrasında yöntemlere bağlı komplikasyon \u0000görülmedi. \u0000Sonuç: Sınırlı tecrübemize göre ülkemizde ilk olarak kliniğimizde kullanılmaya başlanan çift dedektörlü \u0000gama prob ile eş zamanlı tespit edilme avantajına sahip olan ICG ve radyokolloid madde rehberliğinde \u0000yapılan SLN biyopsisi teknik olarak uygulanabilir ve metastatik sentinel lenf nodunun doğru olarak \u0000tespitinde yararlı görülmektedir.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133972813","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 Relationship Between Pulse Pressure and Hypervolemia in Hemodialysis Patients","authors":"S. Evirgen, A. Yildiz","doi":"10.29058/mjwbs.951357","DOIUrl":"https://doi.org/10.29058/mjwbs.951357","url":null,"abstract":"Aim: Hypervolemia is a common problem in hemodialysis (HD) patients. Because reaching to optimal dry weight (DW) is difficult. Chronic volume overload causes left ventricular hypertrophy. Therefore, risk of cardiovascular events is very high. High pulse pressure is an indicator of aortic stiffness, an independent risk factor for cardiovascular mortality. Pulse pressure has a strong correlation with systolic blood pressure and thus with myocardial infarction in hypertensive HD patients. Aim of this study is to investigate the relationship between pulse pressure (PP) and hypervolemia. Material and Methods: Seventy (28 male (40%), 42 (60%) female) chronic HD patients with an average of age 48 ± 12 were enrolled. All patients underwent HD 3 times weekly were included. Fluid status [Total Body Water (TBW), ECW and Intracellular Water (ICW) values] was assessed twice (beginning and end of the HD) in HD patients with the body composition monitor (BCM). And blood pressure was measured simultaneously. Before and after hemodialysis, the weight of the patients was measured and recorded. Results: At the beginning of HD, Extracellular Water (ECW) / body weight (BW) (%) was associated systolic blood pressure (SBP) and PP measured simultaneously (P=0.021, P=0.057 respectively). There was no association between diastolic blood pressure with hypervolemia and PP. Conclusion: If patients have hypervolemia especially in the interdialitic period, they have prolonged exposition to cardiovascular risk factors, because hypervolemia is corralated with SBP and PP as well. Both of them are strongly associated with cardiovascular events. Removal of adequate fluid to obtain optimal dry weight causes decrease of systolic and pulse pressure proportionally.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124900010","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":"Travma Sonrası Stres Bozukluğu ve Özgül Fobi Tedavisinde Göz Hareketleri İle Duyarsızlaştırma ve Yeniden İşlemleme (EMDR): Olgu Sunumları","authors":"Sibel KAHRAMAN GİRGEÇ, Vildan ÇAKIR KARDEŞ, Özge Saraçlı, Nuray Atasoy, Levent Atik","doi":"10.29058/mjwbs.890723","DOIUrl":"https://doi.org/10.29058/mjwbs.890723","url":null,"abstract":"hem de özgül fobide, EMDR diğer kullanılabilir. ABSTRACT In this article, two cases that were handled with eye movement desensitization and reprocessing (EMDR) method are presented. The first of the cases was a female patient who was exposed to sexual abuse when she was nine years old, was followed up with a diagnosis of post-traumatic stress disorder (PTSD) and depression 29 years after the event, and whose functionality was significantly affected for the last two years. The other case is a female patient who has a phobia of flying, ferry, taking the elevator and therefore cannot visit abroad, cannot travel on a ferry tour on holidays, cannot enjoy any of the holidays she has done with fear and anxiety that she will experience something bad or faint. In both cases in which EMDR was applied in the treatment, it was observed that the patients responded to the treatment and that there was significant improvement in functionality during the therapy process and follow-up. As a result, EMDR can be used as an alternative to other treatment methods, even as the first treatment option, in both PTSD and specific phobia.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129610399","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":"Yaşlanmada Beyin Sağlığı ve B Vitamini","authors":"A. Hamamcioğlu, Eylül Karabaş","doi":"10.29058/mjwbs.871573","DOIUrl":"https://doi.org/10.29058/mjwbs.871573","url":null,"abstract":"","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124575365","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 of Patient Characteristics and Pandemic Management in the First Three Months of the COVID-19 Pandemic at the","authors":"İlker Yılmam, Savas Gegin","doi":"10.29058/mjwbs.945220","DOIUrl":"https://doi.org/10.29058/mjwbs.945220","url":null,"abstract":"Aim: To evaluate the hospitalization process of suspect COVID-19 patients in Samsun Training and Research Hospital, to evaluate the clinical characteristics of the patients, the treatment process, and the success of the treatment. Material and Methods: The data from 284 suspected COVID-19 patients who were admitted to COVID-19 clinic at Samsun Training and Research Hospital between 18 March 2020 and 29 May 2020 were analyzed. Results: 284 suspect COVID-19 patients were evaluated. The age range of the patients was 18-95 and the mean age was 53. Average hospitalization days were 7.14. A definite diagnosis of COVID-19 was made in 33 patients (11.6%) due to reverse transcription polymerase chain reaction (RT-PCR) positivity. Although the RT-PCR test of 35 patients was negative, these patients were evaluated as COVID-19 with high clinical probability because of the ground glass opacities in harmony with COVID-19 in CT (Computed Tomography). There were no radiological findings in 10 of our RT-PCR positive patients. The patients mostly presented with complaints of cough and fever. 68 (23.9%) of 284 patients we followed were evaluated as COVID-19. Conclusion: The number of unnecessary hospitalizations was high due to the fact that clinical complaints were the main criteria for admission to the hospital. Yet, no CT finding was observed in about 1/3 of the RT-PCR positive patients. Clinical and radiological improvement was achieved in most of the patients using the treatments in hand.","PeriodicalId":309460,"journal":{"name":"Medical Journal of Western Black Sea","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125638619","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}