Saudi Journal for Health Sciences最新文献

{"title":"Acute promyelocytic leukemia with acute perforating appendicitis: A rare occurrence of medical and surgical emergency","authors":"M. Momin, Gutha Reddy, Manisegran Manivasagan, Abhijeet Ingle, Rahul Rathore, Ravikant Jakkani","doi":"10.4103/sjhs.sjhs_49_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_49_23","url":null,"abstract":"Acute promyelocytic leukemia (APML) is a rare subtype of acute myeloid leukemia characterized by the predominance of atypical promyelocytes. Acute perforating appendicitis with atypical promyelocytic infiltration of the appendix is exceptionally rare. The presence of a dual emergency complicates diagnosis, management, and survival. A 31-year-old female presented to the emergency department with a 2-week history of fever with chills, diffuse abdominal pain, and vomiting, followed by swelling and pain in the left lower limb, loose stools, and generalized weakness. Hematological findings and abdominal imaging showed APML and acute perforative appendicitis, respectively. She had an emergency laparoscopic appendectomy, which revealed atypical promyelocytic infiltration with perforative appendicitis on histological examination. Despite aggressive treatment, she died as a result of APML-related complications such as disseminated intravascular coagulation, hemorrhages, and shock. This case highlighted the importance of using an early multidisciplinary approach to diagnose and treat these fatal emergencies as promptly as possible.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"2014 1","pages":"242 - 245"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344382","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":"Impact of the coronavirus disease 2019 pandemic on neurosurgical patients in Taif city, Saudi Arabia","authors":"Adnan A. Mubaraki, Amgad Matter, Rahaf Alalawi, Raghad Alhulayfi, Lamees Al-Towariqi, Ghaida M Alghamdi","doi":"10.4103/sjhs.sjhs_94_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_94_23","url":null,"abstract":"Background: During the coronavirus disease 2019 (COVID-19) pandemic, the healthcare systems were obligated to work at more than maximum capacity for time due to the high transmission rate and incidence of newly infected cases. During the pandemic, all priority was given to COVID-19 cases, as the pandemic stream may exceed the health-care system's available resources, affecting many other patients, including those with neurosurgical disorders. Aim: This study was designed to assess how COVID-19 affected neurosurgical patients. Materials and Methods: A retrospective study included all patients who were admitted to the neurosurgical department at King Abdulaziz Specialist Hospital, King Faisal Medical Complex, and Al-Hada Armed Forces Hospital during the COVID-19 pandemic. The data were collected in 5 months (April–August 2022) from the records of accessible patients. Results: A total of 777 neurosurgical patients were included 474 (61%) patients were male and 303 (39%) were female. The mean age of the patients was 41.2 ± 13.9 years old. A total of 481 (61.9%) patients were admitted before the pandemic, and 120 (15.4%) were admitted during the lockdown, 176 (22.7%) were admitted after the lockdown. The patient's length of stay ranged from 1 day to more than 1 year, where 307 (39.5%) stayed for 1 week, and only 87 (11.2%) stayed for more than 2 weeks. 338 (70.7%) cases were Priority 1A emergencies, 17.8% improved, 52 (6.7%) remained stationary, while 7 (0.9%) showed clinical deterioration, and 15 (1.9%) died. Conclusion: According to the results of this study, both the admission rate for cases and the clinical outcome for neurosurgical patients were adversely affected by the COVID-19 pandemic. Compared to nonurgent cases, urgently admitted cases showed greater improvement.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"27 1","pages":"216 - 221"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347037","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":"Reference for normal measurements of psoas muscle among the adult population in Saudi Arabia","authors":"Mohammad Wazzan","doi":"10.4103/sjhs.sjhs_122_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_122_23","url":null,"abstract":"Background: Psoas muscle measurements and values are generally used to diagnose sarcopenia and evaluate health and well-being. These tests can provide valuable and objective methods to assess patient tolerance to treatments including major surgery, chemotherapy, and physiotherapy. Aim: In this study, we validated the normal measurements and values of the psoas muscle in the adult population of Saudi Arabia. Settings and Design: This study included a retrospective analysis of computerized tomography (CT) studies of 500 adult patients over 18 years of age without any known medical illnesses. Methods: The surface areas and volumes of the psoas muscles on both sides were measured separately on each CT scan in squared centimeters and cubic centimeters (cm3), respectively. The normalized total psoas area (NTPA) was calculated as the total (right and left) psoas area in mm2 normalized to the patient height in meters (m). Statistical Analysis: All statistical analyses were performed using SPSS version 23.0 software (IBM SPSS, Chicago, IL, USA). The Student's t-test was used to evaluate measurement differences between males and females. One-way analysis of variance was used to determine measurement differences due to age. P < 0.001 was considered statistically significant. Results: The psoas muscle values of male participants were significantly higher than those of females. The volumes, surface areas, and NTPAs of the psoas muscles were correlated with patient age and sex. Muscle mass decreased with age, especially after the fifth decade of life, and the highest measurement was observed in the fourth decade of life. The mean psoas muscle surface areas at the lumbar vertebra 4 (L4) level measured 14.0 ± 3.4 cm2 and 7.5 ± 2.2 cm2 in the male and female populations, respectively. Furthermore, the mean psoas muscle volumes measured 436.0 ± 140.2 cm3 and 219.1 ± 73.1 cm3 in the male and female populations, respectively. Finally, the total NTPAs measured 995.1 ± 302.9 mm2/m2 and 667.0 ± 538.5 mm2/m2 in the male and female populations, respectively. Conclusion: This study established psoas muscle reference values suitable for defining sarcopenia in the Saudi Arabian population. Our study results suggest that application of these research methods to determine psoas muscle values may enable assessment of future health-care outcomes for individuals. Moreover, the results may be utilized in a unique and constructive way to predict tolerance of patient populations to therapeutic interventions including surgery, cancer treatment, and rehabilitation services.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"47 1","pages":"222 - 226"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344552","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":"Epithelioid extragastrointestinal stromal tumor in the pelvic cavity: A rare case at a rare location","authors":"Divvay Vishvam, Sana Ahuja, S. Zaheer, Sunil Ranga","doi":"10.4103/sjhs.sjhs_115_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_115_23","url":null,"abstract":"Extraintestinal gastrointestinal stromal tumors (EGISTs) are rare stromal tumors involving mesentery, omentum, and retroperitoneum. EGISTs of the pelvic cavity are extremely uncommon, and till date, no case of pure epithelioid type arising from the pelvic cavity has been reported. They pose a diagnostic pitfall as they may mimic ovarian malignancy. We present a unique case of an epithelioid extraintestinal stromal tumor arising from the pelvic cavity. A 43-43-year-old woman presented with complaints of abdominal pain and menstrual irregularities. Ultrasound examination revealed a large well-defined hypoechoic mass in the right pelvic cavity with a possible site of origin from the right ovary. A total hysterectomy with bilateral salpingo-oophorectomy was done. Histopathological examination revealed an encapsulated tumor comprising predominantly of nests and lobules of epithelioid cells with round-to-oval nuclei, vesicular chromatin, and moderate amount of eosinophilic to clear cytoplasm. Mitotic activity was brisk along with focal areas of necrosis. On immunohistochemistry, tumor cells were diffusely and strongly positive for DOG1 and CD117. They were negative for smooth muscle actin, vimentin, S-100, and HMB-45. Based on these findings, a final diagnosis of the high-grade GIST epithelioid variant was made. It is crucial to make the correct preoperative diagnosis of GIST, since these patients may benefit from neoadjuvant imatinib, especially in case of large tumor size.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"1 1","pages":"238 - 241"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346237","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":"Tonsillitis prevalence, diagnosis, and treatment among patients at Al-Baha Region, Saudi Arabia","authors":"Rawan Alghamdi, Rajab A. Alzahrani, A. Alzahrani, F. Alghamdi, Mohammad Albanghali, S. Mir, Shaia Rajab Almalki","doi":"10.4103/sjhs.sjhs_128_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_128_23","url":null,"abstract":"Background: Tonsillitis is considered one of the most otolaryngological diseases affecting children and adults. Tonsillectomy is one of the common surgical procedures mostly with children and in cases of chronic tonsillitis or recurrent tonsillitis. Aims: The objective of this study was to examine the incidence of tonsillitis, along with its methods of diagnosis and treatment, among patients residing in the Al-Baha region of Saudi Arabia. Settings and Design: A retrospective observational cross-sectional analysis of tonsillitis patients who attended the pediatric, emergency room, adult surgery, and ear, nose, and throat clinics at a hospital in Al-Baha, Saudi Arabia, from January 2019 to January 2023. Subjects and Methods: This research used purposive sampling. Covered examining data acquired and analyzed 348 tonsillitis-related throat swabs and blood samples. Statistical Analysis Used: Data were statistically analyzed using the Statistical Package for the Social Sciences software version 20.0 IBM (Armonk, New York, USA). Results: A total of 348 patients diagnosed with tonsillitis were examined. Males had tonsillitis more than females (n = 208, 60% and n = 140, 40%, respectively). The most frequent bacteria isolated were Streptococcus pyogenes group A beta-hemolytic, Staphylococcus aureus, methicillin-resistant S. aureus, and Klebsiella pneumoniae (n = 68, 19.5%; n = 24, 6.9%; n = 12, 3.4%; and n = 12, 3.4%, respectively). Conclusions: Tonsillitis is an oral and public disease affecting both children and adults in Al-Baha region. The emphasis should be on enhancing the public health system to reduce tonsillitis and its consequences via effective awareness efforts. Hospitals may also be urged to develop unique criteria for tonsillitis swabs in order to reduce contamination and improve diagnosing the etiology of bacterial tonsillitis.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"2013 1","pages":"227 - 234"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346355","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":"Tuberculosis of the scalp in a 13-year-old child: A common entity at an uncommon location – A rare case report","authors":"Mohammad Hassan, Saqib Ahmed, Saifullah Khalid, Kafil Akhtar, Mahboob Hasan","doi":"10.4103/sjhs.sjhs_135_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_135_23","url":null,"abstract":"Tuberculosis (TB) caused by Mycobacterium tuberculosis manifests as pulmonary and extrapulmonary forms with cutaneous TB being rare and TB of scalp even rarer. We report the case of a 13-year-old girl who was admitted with a 4-week history of painful swelling and ulcer on the scalp and occasional cough. She had a history of falling on the head 6 months ago. On physical examination, the ulcer measured 6 cm in diameter and was tender with a yellowish-white crust. Contrast-enhanced computed tomography of the head showed a well-defined hypodense peripherally enhancing lesion overlying the left parietal bone with the destruction of the underlying bone. A clinical diagnosis of frontal bone osteomyelitis was made. Abscess drainage was done with excision of the lesion which on histopathological examination showed abundant necrosis with few ill defined epithelioid cell granulomas, langhans type of giant cells, and chronic inflammatory infiltrates. Ziehl–Neelsen staining for acid-fast bacilli was negative, whereas molecular testing by GeneXpert Rifampicin Assay was positive for M. tuberculosis. Thus, a diagnosis of tubercular osteomyelitis was made. Our patient was prescribed four drugs antitubercular regimen for 1 year. On follow-up after 6 months, she is doing fine without any signs and symptoms of the disease. TB should always be kept in mind as the differential diagnosis keeping its varied presentation and high prevalence in our country.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"48 1","pages":"235 - 237"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344245","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":"Student nurses' experiences of their first clinical placement in intensive care unit: A descriptive phenomenology study","authors":"Maria D Costa, Bherlyn Leccio, S. Unissa, Hanaa Al-Shezawi","doi":"10.4103/sjhs.sjhs_76_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_76_23","url":null,"abstract":"Background: Technical complexity of patient care and the critical environment at the intensive care unit (ICU) provides a favorable setting for acquiring complicated and comprehensive skills among nursing students. Aims: The current research aims to explore the nursing students' experiences of their first clinical placement in the ICU and identify the factors that facilitate or hinder their learning. Settings and Design: A study using a qualitative descriptive phenomenological approach was conducted in one of the Oman College of Health Sciences branches. Materials and Methods: A purposive sampling technique was used to recruit 12 Year II students enrolled in the Adult Health Nursing practicum course for in-depth face-to-face interviews. The data were collected in July 2020 following approval of the Ethical Review Board. Statistical Analysis Used: All the interviews were transcribed verbatim and analyzed using Colaizzi's descriptive phenomenological method. Results: The study results revealed three themes with several subthemes under each. The “experience,” “challenges,” and “the facilitating and hindering factors for learning” were the themes that emerged from the data analysis. Conclusions: Overall, students showed unfavorable responses toward the ICU experience. In addition, the unsupportive interaction with ICU staff contributed significantly to the overall impression. Therefore, strategies to enhance communication and interaction with the ICU staff are essential for a positive ICU learning experience, as students rely on the ICU staff for patient-specific information beyond their academic needs. Therefore, curriculum designers must consider these experiences to facilitate a positive experience in future clinical placements.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"11 1","pages":"195 - 200"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345959","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 model of medical students' engagement in quality assurance system at educational program level in Saudi Arabia","authors":"Mona Amer, Nader Mohamed, D. Nemenqani","doi":"10.4103/sjhs.sjhs_77_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_77_23","url":null,"abstract":"Background: Active involvement of students as partners in quality processes at the college is promising in ensuring the quality of the medical school and creating a quality culture for a proper accreditation system. Aim: The aim of this study was to explore a model of undergraduate medical students' perception and understanding of quality assurance (QA) in higher education and identify the challenges and empowerment factors for student involvement in Saudi Arabia. Setting and Design: For this purpose, students were involved as official members with the quality team at Saudi medical college. They were included in different tasks and initiatives related to QA, including a peer orientation initiative, through which they became responsible for orienting their colleagues regarding the quality principles and accreditation standards. Methods: A questionnaire (pre-and post) was used to evaluate the peer orientation initiative. Furthermore, another questionnaire was directed to the quality team of students to evaluate their experience. Statistical Analysis: Done using an independent t-test to measure the efficiency of the student's peer orientation program through comparing pre- and postquestionnaire results. Results: A significant increase in knowledge and improved attitude toward quality and accreditation process at the college was detected after attending the peer orientation program. Students of the quality team recognized the importance of their active engagement and found themselves having voices and able to make changes they confirmed that transparency of QA activities and continuous communication with faculty members and program leaders in regular meetings enhance student's self-perception, impact their future employment skills, and establish a quality culture in Saudi Arabia. Conclusion: The experience should be generalized and disseminated to other health profession education programs with similar students' populations with adequate rewards and resources.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"231 1","pages":"201 - 208"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344738","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 plasma D-dimer level for prognosis, disease progression, and survival in solid malignancies","authors":"Rucha Kalwaghe, Pravinkumar Ghongade, Anupama Gupta","doi":"10.4103/sjhs.sjhs_90_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_90_23","url":null,"abstract":"Background: D-dimer is a fibrin degradation product (FDP), a small protein fragment present in the blood after a blood clot is degraded by fibrinolysis. Aim: To evaluate the association of D-dimer level with prognosis, disease progression and survival of patients in cases of solid malignancies. Setting and Design: Analytical cross sectional study conducted from February 2021 to February 2023. Materials and Methods: Data regarding 100 solid malignancy cases including their preintervention D-dimer levels and its value at follow up, grading, TNM [Tumor size (T), node (N), and metastases (M)] staging of tumor, disease progression and patient status were recorded. Statistical Analysis: Kaplan–Meier curve and Log Rank. Results: Amplified D-dimer level was noted in 85% cancer cases. 76.3% of oral cancer, 82% of breast cancer, 100% cases of digestive tract and ovarian cancer were presented with high D-dimer level. D-dimer in T1 + T2 stage was statistically lower than the D-dimer level of T3 + T4 stage. (χ2 = 5.40, P = 0.002). Comparison of Lymph node in N0 versus N1 + N2 stage (χ2 = 5.82, P = 0.0001) as well as no metastases stage (Mo) versus M1 stages (χ2 = 3.02, P = 0.003) of solid malignancies had significant difference in D-dimer level. D-dimer increased significantly and linearly with recurrence and advancement of solid malignancy. Dead patient had higher D-dimer than alive patients (t = 3.75, P = 0.0001). Increased D-dimer was associated with elevated mortality (P = 0.023, odd ratio = 3.73, survival coefficient = 1.31 with standard error = 0.578). Conclusion: D-dimer is a promising prognostic biomarker which can predict poor clinical outcomes in cancer patients, cancer recurrence, progression, metastases, poor survival.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"201 1","pages":"209 - 215"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345381","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":"Artificial intelligence and skull imaging advancements in forensic identification","authors":"E. Zain-Alabdeen, Doaa Felemban","doi":"10.4103/sjhs.sjhs_124_23","DOIUrl":"https://doi.org/10.4103/sjhs.sjhs_124_23","url":null,"abstract":"Managing the massive losses associated with large-scale disasters requires significant resources. The unexpected violence of these events generally remains a matter of casualties that urgently need to be identified in a reliable and cost-effective manner. To overcome these difficulties, many researchers have attempted to develop automated methods; moreover, a few recent research have investigated the applicability of artificial intelligence (AI)-based methods using skull, dental, and maxillofacial forensic imaging. In this review, we speculate on the advancement and potential of AI in Dental and Maxillofacial imaging that can help simplify person or victim identification and speed up the process with good accuracy. Using a few prefix search phrases, an online literature search was conducted (AI, Forensic, Skull, Dental, Imaging, Radiology) to identify papers about the advancement of AI in forensic dentistry in all kinds of radiographs, including two-dimensional (2D) and three-dimensional (3D) radiographs, cone beam computed tomography (CT) and CT. Most of the studies reported that automated methods of human identification based on 2D and 3D Dental and Skull radiographs using a convolutional neural network showed to assist in the fast and accurate identification by expertise evaluating a lot of images and quickly coming up with potential matches for identification. We advocate the application of AI techniques in the identification of individuals. However, there is a need to continue research with emphasis to validate models in skull identification.","PeriodicalId":32639,"journal":{"name":"Saudi Journal for Health Sciences","volume":"25 1","pages":"171 - 177"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346874","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}