Avicenna Journal of Medicine最新文献

{"title":"Serum Vitamin D Levels in Autoimmune and Non-Autoimmune Hypothyroidism: A Retrospective Study from Jordan.","authors":"Hadeel Alqurieny, Mohammad Al-Slehat, Karam Bdour, Roa'a Abedel Razaq Abu Lail, Abdel Qader Abu-Salih, Zaid Iyad Mohammad Aldebei, Mohammad Al-Bdour, Rula Al Shimi, Asmaa Quraan, Abdel Razaq Al Yasin, Fadi Ayyash","doi":"10.1055/s-0045-1811590","DOIUrl":"10.1055/s-0045-1811590","url":null,"abstract":"<p><strong>Background: </strong>Vitamin D is a steroid hormone primarily produced in the skin. In Jordan, vitamin D deficiency is widespread among the population. This study aims to compare serum vitamin D levels between patients with autoimmune and non-autoimmune hypothyroidism.</p><p><strong>Methods: </strong>A retrospective observational study was conducted at the Jordanian Royal Medical Services in Jordan from January 2023 to November 2024. Data were gathered from the patient's medical records, including age, gender, vitamin D level, thyroid-stimulating hormone (TSH) value, free thyroxine (FT4) level, anti-thyroid peroxidase, and anti-thyroglobulin levels.</p><p><strong>Results: </strong>A total of 150 patients were included, aged 5 to 76 years, with a mean age of 39.2 years. The mean vitamin D level was 17.9 ng/mL, indicating widespread deficiency. There was no significant difference in vitamin D levels between patients with autoimmune and non-autoimmune hypothyroidism ( <i>p</i>  = 0.860), suggesting that vitamin D levels are independent of autoimmune hypothyroidism status. Additionally, there was no significant relationship between vitamin D levels and TSH ( <i>ρ</i>  = -0.119, <i>p</i>  = 0.148) or FT4 (ρ = 0.128, <i>p</i>  = 0.123). Age showed a modest negative correlation with TSH levels ( <i>ρ</i>  = -0.067, <i>p</i>  = 0.416) and a positive but nonsignificant correlation with FT4 levels ( <i>ρ</i>  = 0.024, <i>p</i>  = 0.775).</p><p><strong>Conclusion: </strong>Serum vitamin D levels do not significantly differ between patients with autoimmune and non-autoimmune hypothyroidism, nor do they correlate with TSH levels. Further studies are needed to evaluate vitamin D status in these patient groups.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"116-122"},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reforming Graduate Medical Education in Syria: A Strategic Framework for Post-Conflict Recovery.","authors":"Oase Sbei, Amjad Rass, Abd Arrahman Alomar, Ahmed Muhbeddine, Abdulghani Sankari","doi":"10.1055/s-0045-1811693","DOIUrl":"10.1055/s-0045-1811693","url":null,"abstract":"<p><strong>Background: </strong>More than a decade of armed conflict has devastated Syria's healthcare system, severely disrupting graduate medical education (GME) across the country. Damage to teaching hospitals, displacement of faculty, and fragmented oversight have contributed to deteriorating educational standards and a growing physician shortage. As Syria transitions into a post-conflict recovery phase, reforming its GME system is a national and global priority.</p><p><strong>Objective: </strong>This white paper aims to evaluate the current state of GME in Syria and propose a strategic framework for rebuilding a standardized, sustainable, and internationally aligned system through stakeholder engagement, data collection, and comparative analysis.</p><p><strong>Methods: </strong>In February 2025, the Syrian American Medical Society (SAMS) conducted workshops in Damascus and Aleppo involving over 45 stakeholders, including teaching hospital directors, medical educators, and diaspora physicians. A pre-workshop survey assessed program structure, oversight, curricula, evaluation methods, and infrastructure across 21 institutions. Workshop discussions were informed by a Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis and global best practices from countries including Jordan, Saudi Arabia, and the United States.</p><p><strong>Results: </strong>Findings revealed wide variability in program oversight, clinical training quality, evaluation standards, and faculty support. Only 57% of institutions reported having formal curricula, while 81% conducted some form of trainee evaluation. Common challenges included inadequate financial support, lack of standardized accreditation, insufficient faculty development, and limited research access. Recommendations from the workshops included the creation of a national accreditation council, modernization of curricula, investment in faculty training, development of centers of excellence, and integration of online education and 25 continuing medical education.</p><p><strong>Conclusion: </strong>Reforming Syria's GME system requires coordinated, multilevel efforts to implement competency-based education, establish independent regulatory bodies, and align training programs with global standards. The phased framework presented here offers actionable steps to rebuild Syria's medical education infrastructure and train a resilient health workforce capable of addressing both national and regional healthcare needs.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"123-130"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicine in the Mother Tongue: Navigating Linguistic Realities in Syrian Education.","authors":"Hany Habib, M-Nasan Abdul Baki","doi":"10.1055/s-0045-1811692","DOIUrl":"10.1055/s-0045-1811692","url":null,"abstract":"","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"136-137"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Steady-State Lactate Dehydrogenase Levels and Sickle Cell Complications: A Systematic Review.","authors":"Sagad O O Mohamed, Amged Mohammed, Fatima S K Salih, Hozifa A M Elgadal, Ayman A A Elsamany, Mohamed S K Salih, Huda M A Mustafa, Israa Elawad, Mona G A Ahmedkaroum, Safaa G A Saeed, Rowa E A Ibrahim, Esraa A Mohamedien, Aya A H Babiker, Esraa T Suliman, Eman O E Mohamed","doi":"10.1055/s-0045-1811706","DOIUrl":"10.1055/s-0045-1811706","url":null,"abstract":"<p><p>Sickle cell disease (SCD) is a hereditary hemoglobin disorder characterized by vaso-occlusion and chronic hemolysis, leading to severe complications. Finding cost-effective and reliable biomarkers for predicting disease severity and identifying high-risk patients remains challenging, especially in resource-limited settings. This systematic review evaluates the association between lactate dehydrogenase (LDH) levels measured during clinical steady-state and various complications of SCD to assess its prognostic value. A systematic literature search, adhering to PRISMA guidelines, was conducted across Medline/PubMed, Web of Science, Embase, and ScienceDirect. Eligible studies included all observational studies examining the relationship between LDH levels and subsequent SCD complications. The statistical analyses were performed to calculate the pooled standardized mean difference (SMD) and its 95% confidence interval (CI). A total of 34 studies were included, highlighting significant associations between elevated LDH levels and various SCD-related complications. These included pulmonary arterial hypertension (SMD = 0.454, 95% CI: 0.032-0.875, <i>p</i>  = 0.035), stroke risk through transcranial Doppler velocities (SMD = 0.651, 95% CI: 0.459-0.843, <i>p</i>  < 0.001), and kidney involvement (SMD = 0.399, 95% CI: 0.014-0.785, <i>p</i>  = 0.042). This systematic review reveals a consistent association between elevated steady-state LDH levels and major complications of SCD. The findings suggest a potential role for LDH as a readily available biomarker for SCD severity, underlining its potential for inclusion in clinical assessments of SCD severity, risk stratification, and tailored interventions for high-risk patients.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"100-108"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative Blended Learning Curriculum in Noninvasive Ventilation for Pulmonary and Critical Care Fellows.","authors":"Asil Daoud, Cassondra Cramer-Bour, Divya Venkat, Abdulghani Sankari","doi":"10.1055/s-0045-1811702","DOIUrl":"10.1055/s-0045-1811702","url":null,"abstract":"<p><strong>Introduction: </strong>There is a lack of a standardized curriculum for the appropriate use of noninvasive ventilation (NIV), which is readily accessible. Management of NIV is a core competency for physicians training in pulmonary and critical care medicine (PCCM). We present a blended model of instruction that was highly successful in our pilot program.</p><p><strong>Methods: </strong>The curriculum targeted eight first-year PCCM fellows to assess knowledge and confidence in key competencies of NIV management. After a baseline assessment, fellows engaged in both hands-on instruction and traditional didactics in NIV. Following, fellows were encouraged to use the e-learning modules for enhanced instruction. The modules were designed to cover all major aspects of NIV management and with unique interactive patient cases for both inpatient and outpatient uses of NIV.</p><p><strong>Results: </strong>Eight first-year PCCM fellows completed the training and responded to the posttest assessment 4 weeks later. The average multiple-choice questions (MCQs) score increased from 13.5 ± 3.2 (54.0%) to 18.4 ± 1.6 (73.6%) and was significant ( <i>p</i>  = 0.004). A Likert assessment of learner confidence also showed significant improvement across several key competency domains.</p><p><strong>Conclusion: </strong>This curriculum represents a successful and novel approach to NIV education, a critical but challenging core competency in pulmonary medicine for physicians training in PCCM.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"131-135"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical Challenges and Current Opportunities of Artificial Intelligence in Cardiology.","authors":"Mohammed A R Chamsi-Pasha, Hassan Chamsi-Pasha","doi":"10.1055/s-0045-1809879","DOIUrl":"10.1055/s-0045-1809879","url":null,"abstract":"<p><p>Artificial intelligence (AI) has great potential in diagnosing, managing, and predicting cardiovascular diseases through imaging, clinical decision support, remote monitoring, and optimizing treatment strategies. AI in cardiology brings unique ethical issues that need careful examination and resolution. There are several ethical concerns, including privacy, bias, trust, accountability, and responsibility. AI systems handle large quantities of data, which can present privacy and security risks if hacked or exploited illegally. AI models may exhibit biases due to limited or nonrepresentative training data sets, impacting their reliability. ChatGPT shows potential in cardiology for patient education, clinician support, and research facilitation. However, its use in direct patient care is limited due to concerns regarding accuracy, ethical issues, and the necessity for human oversight. AI's responsible development and application in cardiology hinges on thorough evaluation, regulatory compliance, and ethical oversight to ensure safety and effectiveness. The collaboration of health care professionals, data scientists, ethicists, researchers, and policymakers is essential for the advancement of AI in cardiology and the resolution of its associated challenges. Collaboration is mandatory to ensure AI tools improve patient care while upholding the highest medical standards. The incorporation of AI into cardiology offers significant potential for the coming years. With its extensive data sets and strong evidence-based guidelines, cardiology is ideally suited to using this technology.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"95-99"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety of Biological Agents in Giant Cell Arteritis: An Updated Meta-Analysis.","authors":"Abdul Haseeb, Fabiha Athar, Hussain Abbas, Najia Sadiq, Faiza Naz, Erum Siddiqui, Osaid Ahmed, Umer Wamiq, Syed Ahmed Abbas Wasi, Hafsa Shuja, Bilal Aheed, Muhammad Ashir Shafique, Amna Sohail","doi":"10.1055/s-0045-1809621","DOIUrl":"10.1055/s-0045-1809621","url":null,"abstract":"<p><strong>Background: </strong>Giant cell arteritis (GCA), impacting individuals over 50, causes vision loss, headaches, and jaw pain due to inflammation from proinflammatory cytokines and growth factors. Standard treatment involves glucocorticoids, with tocilizumab and tumor necrosis factor (TNF) inhibitors currently being studied.</p><p><strong>Method: </strong>This meta-analysis, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-analysis of Observational Studies in Epidemiology guidelines, included adult GCA patients treated with biological agents. The search covered PubMed, Medline, Embase, and Scopus until October 2023, excluding nonhuman, pediatric, non-English, and nonrandomized studies. Data were analyzed using Review Manager 5.4, with random effects models calculating odds ratios (ORs) and 95% confidence intervals (CIs).</p><p><strong>Result: </strong>A meta-analysis of 11 studies ( <i>n</i>  = 924) demonstrated higher remission rates with biological agents (OR = 2.58, 95% CI: 1.17-5.71; <i>p</i>  = 0.02; <i>I</i> ² = 70%), especially tocilizumab (OR = 4.30, 95% CI: 1.22-15.21; <i>p</i>  = 0.02). Nonsignificant trends favored biological agents for relapse rates (OR = 0.52, 95% CI: 0.26-1.05; <i>p</i>  = 0.07) and control for adverse effects (OR = 0.70, 95% CI: 0.49-1.02; <i>p</i>  = 0.07). However, TNF inhibitors were linked to increased infection rates (OR = 2.41, 95% CI: 1.17-4.96; <i>p</i>  = 0.02).</p><p><strong>Conclusion: </strong>Tocilizumab effectively induces remission in GCA patients, while abatacept and TNF inhibitors offer minimal benefits with increased infection risks, according to this meta-analysis. Treatment decisions should consider these factors, and larger studies are necessary to evaluate the safety and efficacy of biological agents in managing GCA.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 2","pages":"64-73"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Acute Poisonings in Northwestern Syria: A One-Year Study.","authors":"Wasim Zakaria, Ahmad Hmaideh, Ahmad Musa Alaaraj, Nour Alsabah Aldan, Mohammad Alabdullah, Mohammed Raafat Alali, Abdalhameed Abdallah, Qusai Rashwani","doi":"10.1055/s-0045-1809706","DOIUrl":"10.1055/s-0045-1809706","url":null,"abstract":"<p><strong>Background: </strong>Acute poisoning is a significant public health concern, leading to numerous emergency admissions globally. In northwestern Syria, understanding poisoning epidemiology is essential for targeted prevention efforts. This study examines the causes and demographic characteristics of poisoning cases in the region.</p><p><strong>Methods: </strong>The study was conducted over 1 year (July 1, 2022-July 1, 2023) at six northwestern Syrian hospitals supported by humanitarian organizations. The study gathered information from patients aged 14 years and above who suffered from poisoning during the study period.</p><p><strong>Results: </strong>Poisoning cases totaled 172 throughout the study period. Majority of patients were females aged between 14 and 24 (76.7 and 55.2%, respectively), most of them were married (65.1%). Most of the patients identified as housewives among the total patient population (52.9%) and had primary or middle school education. A large majority of the population (77.3%) were smokers while most poisoning incidents (77.3%) were reported in rural camps and villages. The study found oral ingestion as the most common route of poisoning at 88.4% and intentional poisonings made up 86% of all cases. The most prevalent toxic agents causing poisoning cases were drugs, 61.6%, with organophosphorus compounds ranking second, 14.5%. The symptom of vomiting appeared most often during acute poisoning cases (48.8%). The administration of specific antidotes took place in 11.6% of patients who needed hospital admission for 94.8% of these cases. The patients stayed in the hospital for an average duration of 33.1 hours. A total of 76.7% of patients achieved full recovery and 7.6% succumbed to their injuries.</p><p><strong>Conclusion: </strong>Acute poisoning presents as a major health problem across northwestern Syria mostly affecting young married females who live in rural regions. The unusually high number of cases of purposeful poisoning emphasizes the requirement for both psychiatric support and educational programs for the public.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 3","pages":"109-115"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness and Attitude of First Aid Seizures Management among Medical Undergraduate Students, Tobruk University, Libya.","authors":"Zinelabedin Mohamed, Aisha A J Marajie, Nahla B S Najem, Nooralhuda G M Elmarimy, Heba M A Abdulmoula, Mohammad Amin Aly El-Din","doi":"10.1055/s-0045-1809427","DOIUrl":"10.1055/s-0045-1809427","url":null,"abstract":"<p><strong>Background: </strong>Adequate knowledge of first aid for seizures is crucial for medical students, who will eventually be responsible for managing epilepsy patients. The aim of the study was to assess the awareness and attitudes of medical undergraduate students at Tobruk University regarding first aid seizure management.</p><p><strong>Methods: </strong>A cross-sectional study was initiated in July 2023 using an online questionnaire that was prevalidated. The questionnaire gathered data on sociodemographic features, a knowledge of seizures and epilepsy, first aid practices, and attitudes toward epilepsy among 317 medical undergraduate students.</p><p><strong>Results: </strong>While 72.9% of students correctly identified a seizure, there were different beliefs about causes, such as some that attributed seizures to supernatural causes (14.2%). There were also deficiencies seen in the knowledge of epilepsy management that included antiepileptic drug treatment duration. It was alarming that 41.6% of students thought that the insertion of some objects into the mouth of a person having a seizure was first aid, which is a well-known hazardous approach. Only 23.6% were correct in the answers that involved the placement of the person in a semiprone position to prevent choking.</p><p><strong>Conclusion: </strong>The study at Tobruk University revealed significant knowledge gaps among medical students about seizure management, with 72.9% correctly identifying a seizure's basic definition, but 41.6% incorrectly believing that inserting objects into a seizing person's mouth is helpful, and only 23.6% knowing the correct first aid position. Students also demonstrated misconceptions about epilepsy causes, including supernatural beliefs, highlighting an urgent need for targeted educational interventions to improve understanding and prepare future health care professionals.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 2","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Research Fellow Position: A Gateway to U.S. Residency.","authors":"M-Nasan Abdul Baki, Hany Habib","doi":"10.1055/s-0045-1809411","DOIUrl":"10.1055/s-0045-1809411","url":null,"abstract":"","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"15 2","pages":"94"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}