Iraqi National journal of Medicine最新文献

{"title":"Frequency of Isolation and Antibiotic Resistance Patterns of Bacterial Isolates from Wound Infections, National Cancer Institute, Wad-Medani, Sudan, 2021","authors":"Omer Abu Elhasan Mohammed, Abbakar Dawod, A. Mirghani, .. M. Alkarsani, A. Dafalla, Tajouj Saif Eldin Mohammed, S. Taha, Omer, Saif-Eldin, Elhaj, Abuagla, Gadallah","doi":"10.37319/iqnjm.4.1.11","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.11","url":null,"abstract":"Background: Disturbance of skin integrity (wound) provides a suitable environment for the growth and multiplication of bacteria. The emerging occurrence and spread of multidrug-resistant microbial pathogens present a significant challenge in providing effective health care and is, therefore, a worldwide medical issue.\u0000Aim: The current study reports on the occurrence of possible pathogens associated with wound infections at National Cancer Institute, Wad Madani, Sudan.\u0000Methodology: This was a cross-sectional descriptive, hospital-based study including 100 patients with wounds suspected to be infected. Suspicion was dependent on the inability of wounds to heal properly. A structured questionnaire was given to the subjects to acquire demographic information (age, gender, marital status) and the history of antibiotics administration. Wound swabs were collected and processed according to standard procedure and isolated bacteria were tested for their antimicrobial susceptibilities through the disc diffusion technique according to the CLSI guidelines.\u0000Results: Morphological identification revealed that the percentage of gram-positive cocci among the isolates was: S. Aureus (66%), and Streptococci (34%). On the other hand, gram-negative bacilli included the following: E coli (48.1%), Proteus vulgaris (19%), Proteus mirabilis (14%), Klebsiella species (9%), Pseudomonas species (5%) and other bacterial species (4%). Most bacterial isolates exhibited a high rate of resistance to cephalosporin generations (Cefixime (69%), Cefuroxime (49%), Cefotaxime (32%), Ceftriaxone (29%), Cefepime (20%)). The majority of bacterial isolates were sensitive to Meropenem (resistance rate 3%). The antibiogram results of the other antibiotics were as follows: Ciprofloxacin (18%), Gentamicin (16%).\u0000Conclusion: S. Aureus was the most prevalent bacteria among the isolates with a percentage of 66%. The highest rate of resistance was observed among cephalosporin generations, mainly Cefixime and Cefuroxime with resistance rate of 69% and 49%, respectively.\u0000 \u0000 \u0000 ","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115977185","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":"One Year of COVID-19 Infection in Iraq and EMR Countries","authors":"O. Habib, Zahra Essa","doi":"10.37319/iqnjm.4.1.10","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.10","url":null,"abstract":"Background : COVID-19 pandemic affected the world for the last 20 months (January 2020-August 2021. It was troublesome, devestating in terms of cases, deaths and socioeconomic consequences and unpredictable in behaviour. \u0000Objectives : To document comparative profile of the COVID -19 in Iraq and other Eastern Mediterranean Countries in terms of time trend and three epidemiological parameters ( incidence, case fatality and mortality rates). \u0000Methods :  A record-based prospective study. Data were checked daily throughout the study period from February 21, 2020 through February 23, 2021. The targeted numbers were recorded on an excel sheet or word table and updated daily over the specified period. The data covered the period from the onset of the pandemic in various countries. Data included the daily new cases of COVID-19 reported by various government agencies and Ministries of Health in the region supported by two private websites. The multiple sources used assured cross-matching of reported figures and a very high degree of consistency was achieved.   \u0000Results: The annual incidence rate, case fatality ratio and cause specific mortality rate in Iraq were  17,636.8 per million, 1.97% and 347.3 per million in that order.  These three rates were very variable among various Eastern Mediterranean Countries.    \u0000Conclusion : Iraq and other Countries in the region were harshly struck by COVID-19. Extensive variation in the major epidemiological parameters were documented. The pandemic    uncovered major defects in the health care systems and still awaiting a hope to contain this unpredictable event.","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127499586","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":"Prevalence of Hyponatremia in Patients Admitted to the Oncology Teaching Hospital","authors":"S. Jasim, Zaineb Faisal, Huda A. Rasheed","doi":"10.37319/iqnjm.4.1.5","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.5","url":null,"abstract":"Background: Hyponatremia is a commonly occurring electrolyte disturbance among hospitalized patients, and many studies suggest that individual serum sodium levels may have a prognostic role in assessing probability of mortality.\u0000Aim of the study: Determination of hyponatremia prevalence in patients admitted to the Oncology Teaching Hospital.\u0000Method: A six-month cross-sectional study of hyponatremia prevalence was conducted in the Oncology ward in Medical City. The patients (105) who were admitted for more than three days with different types of malignancies and causes of admission were investigated for serum sodium, blood urea, random blood sugar, and urinary sodium (single measurement). These results were compared to the sodium levels of control of non-cancer individuals (135) selected using the same exclusion criteria.\u0000Results: The prevalence of hyponatremia in the admitted patients was 43.7%, whereas it was 0.73% in the control group.\u0000Conclusion: The prevalence of hyponatremia in Oncology Teaching Hospital, Medical City ward, was higher than that reported in previous studies (conducted in international cancer centers); hypoosmolar hyponatremia prevalence is almost similar to that stated in previous studies.","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"1 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131437992","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":"Case Report: Neck Swelling and Hearing Loss in a 12 Year Old Girl in Basrah, Iraq: The Diagnosis of Pseudo-Pendred Syndrome is Established","authors":"Haider K Saeed, Mohammed Al-Hamadani","doi":"10.37319/iqnjm.4.1.2","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.2","url":null,"abstract":"Background: Pseudo-Pendred syndrome (PPS) is a genetic disorder inherited as an autosomal recessive disorder. PPS is characterized by the presence of hypothyroid goiter combined with mild to moderate form of SNHL, not presentable at birth, with no obvious inner ear malformation. This is the major difference from Pendred syndrome in which the SNHL is congenital, severe to profound in nature, and associated with inner ear malformation, mostly enlarged vestibular aqueduct. The main etiology of PPS is thought to be formation of autoantibodies against the thyroid tissue and the cochlea. \u0000Case report: Our reported case is a 12-year-old girl who presented goiter, hypothyroidism, and hearing loss. Examination and hormonal and radiological investigations confirmed the hypothyroid goiter. The result of the thyroid antibody test was positive (TPO test = 174 IUmL). Audiological assessment and the CT scan of the temporal bone confirmed mild SNHL with no inner ear malformations. The patient received treatment in the form of thyroid supplement and hearing aid. On a side note, there are no other affected siblings in her family. \u0000Conclusion: The Pseudo-Pendred syndrome is a congenital condition characterized by the presence of hypothyroid goiter with mild SNHL and normal inner ear structures. Despite the fact that no genetic analysis had been done to confirm the diagnosis of PPS, all the clinical, hormonal, immunological, audiological, and radiological assessments indicate PPS in our case. Furthermore, the main cause of the goiter and hearing loss is thought to be of autoimmune etiology. \u0000 ","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130127158","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":"Medical Investigation and Clinical Changes in the Early Phases of Post Burn Adult Inpatients as Indicators for Prompt Infection Diagnosis, in the Hospital for Burn and Plastic Surgery, Sulaimanyah, Iraq","authors":"Dana Abdilkarim","doi":"10.37319/iqnjm.4.1.1","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.1","url":null,"abstract":"Background: Burn injury is one of the leading causes of morbidity and mortality worldwide. Burn related hospital acquired infections is one of the major problems in the management of these injuries.\u0000Aim of the study: To elaborate on the early laboratory and microbial culture changes in adult burn inpatients, and to make use of subtle changes in the laboratory investigations, to predict and detect infections in burn victims, in its early phases.\u0000Patients and Methods: A Clinical observational study included a random sample of one hundred adult burn inpatients from Sulaymaniyah Burn Hospital, admitted from April 2019 to January 2021, retrospectively and prospectively followed up during the course of the study.\u0000Results: thirty one (31%) patients were male and 69% were female, all patients were adults and aged ≥18 years. 51 % of them had mix II-III degree burns, while 38% second and 11% third degree burns. Hematocrit decreased, total WBC count increased while platelet in most of the patients was normal. Blood urea was increased, Serum creatinine levels were normal in most of the patient in first three weeks of their admission. Eleven patients  (11%) died. Whereas 36% of the patients who died had Total Body Surface Area burn of more than 60%, while 72% of them had II and III degree burns. Also 90% of the patients had infections, majority of the isolate results were Gram-negative bacteria (66.8%), and (33.2%) were Gram-positive. Pseudomonas aeruginosa (32.5%) was the most common gram negative. The Staphylococcus aureus (33.2%) was the gram positive organism recovered. While 66.6% of patients had fever during the first week, 55.5% of patients had fever in second week. Most of the patients, who had fever, were infected with S.aureus and Pseudomonas aeruginosa throughout the second week post burn.\u0000Conclusion and recommendations; Many laboratories and microbial parameter changes occur in the early phases of post burning, of which Leukocytosis can be a good predictor for infection in burns, especially when it happens in the second week and beyond. Yet it cannot distinguish gram negative from gram positive bacterial infections. To detect any change in the back ground laboratory parameters, as soon as they happen, infections in burns can be detected or suspected","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114631997","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":"Higher Prevalence of Diabetes Mellitus Among Patient with Nonarteritic Ischemic Optic Neuropathy","authors":"A. Almaliky, H. Mansoor, M. Alabbood","doi":"10.37319/iqnjm.4.1.3","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.3","url":null,"abstract":"Background: The association of diabetes mellitus, nighttime blood pressure dipping and nonarteritic ischemic optic neuropathy is inconclusive. There has been no study to test this association among Arab Patients. \u0000Objectives: This study aims to test the association between diabetes mellitus, nighttime blood pressure dipping and nonarteritic ischemic optic neuropathy among cohort of patients from Basrah, Southern Iraq. \u0000Methods: This was a cross-sectional study on patients with nonarteritic ischemic optic neuropathy conducted at the ophthalmology clinic at Faiha Teaching Hospital in 2018. Patients with nonarteritic ischemic optic neuropathy were screened for diabetes mellitus. Ambulatory blood pressure monitor was attached to some of the participants for 24 hours. Nighttime blood pressure dipping was classified into 4 categories:  normal, blunted, severe and reverse. \u0000Results: A total of 74 patients with nonarteritic ischemic optic neuropathy were included. Females constituted 64.9 % of the cases. Forty patients (53.3%) were found to have diabetes mellitus. While 41 participants (55.5 %) were hypertensive. Nocturnal dipping of blood pressure was measured in 38 patients. Only 6 (15.7%) of them had severe dipping. \u0000Conclusions: There may be an association between diabetes mellitus but not nighttime blood pressure dipping with nonarteritic ischemic optic neuropathy. \u0000  \u0000 ","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129580571","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":"Perioperative Risk Factors & Outcome After Pancreatico-Duodenectomy (Whipple Procedure)","authors":"Mustafa Fakhir, Issam Mardan, A. Dawood","doi":"10.37319/iqnjm.4.1.8","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.8","url":null,"abstract":"Background: Periampullary cancers have poor prognosis, mainly due to late diagnosis. Although pancreaticoduodenectomy is considered the only possible curative option for these cancers, it is associated with high morbidity and mortality.\u0000Aim: To identify the risk factors associated with postoperative morbidity and mortality.\u0000Patients and Methods: Data were prospectively collected from the 44 patients who underwent pancreaticoduodenectomy for periampullary cancers in Al-Sader Teaching Hospital, Basrah, Iraq, from June 2017 to June 2020. These variables were reviewed according to developing postoperative morbidity and mortality. The statistical analysis was done using SPSS version 23 and the chi-squared or Fisher’s exact (FE) test. Any level of significance below 0.05 was considered statistically significant.\u0000Results: Increased age and the presence of preoperative co-morbidities are independent predictors of developing postoperative morbidity and mortality. The most common postoperative complications leading to mortality are pulmonary embolisms and pancreatic leaks.\u0000Conclusion: Improvement in the management of comorbidities and perioperative care are essential in decreasing postoperative morbidity and mortality.","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121511357","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":"Complications of Endoscopic Sinus Surgery: A Case Series Study from Mosul City","authors":"Sahira Ahmed, A. Mohammed","doi":"10.37319/iqnjm.4.1.9","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.9","url":null,"abstract":"Background: Patients undergoing endoscopic sinus surgery may develop complications because of the sinuses’ proximity to the orbit and skull base. Endoscopic sinus surgery is done for patients with chronic rhinosinusitis with polyps (CRSwNP), chronic rhinosinusitis without polyps (CRSsNP) not responding to the medical treatment, and antrochoanal polyps.\u0000Objectives: The present study aims to evaluate the complications of functional endoscopic sinus surgery (FESS) in Mosul city.\u0000Methods: A case series study of 70 patients of different age groups who underwent functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis with polyps (CRSwNP), chronic rhinosinusitis without polyps (CRSsNP), and antrochoanal polyps at Al-Jamhoory Teaching Hospital, Mosul, Iraq, for the period from October 2011 to August 2012.\u0000Results: The age of patients ranged from 11 to 65 years, with a mean of 33.1 years.\u0000Thirty-four patients (48.57%) were male, and 36 patients were female (51.43%). Minor complications were observed in 25.71% of our patients. No major complications occurred.\u0000Conclusion: Although functional endoscopic sinus surgery (FESS) is an effective and minimally invasive technique, intraoperative and postoperative complications can still arise. Fortunately, complications are mostly minor, but patients should be informed about these complications. We recommend further studies on complications of endoscopic sinus surgery with more patients and a longer follow-up period.","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132065412","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 Electronic-Clinic Services in Basrah, Southern Iraq, During the COVID-19 Era: A Descriptive Study","authors":"Basim Al-Hijaj, Wael Alshihaby, Mohamed Abdulzahra, Luay H. Alwan, Sadik Hassan","doi":"10.37319/iqnjm.4.1.12","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.12","url":null,"abstract":"Background: Few studies have attempted to evaluate the organizational impact of telemedicine and the associated process changes that affect the way that it is used and accepted.\u0000Objective: To evaluate the degree of satisfaction of both the doctors who participated in electronic clinics and the patients who benefitted from it by inquiring about suggestions for optimization.\u0000Method: An online survey was conducted in which both the patients and the doctors were blinded; the link for the inquiry was sent to them without any recognizable names attached by a personnel from outside the research group. Responses were gathered and analyzed, and relevant graphs and tables were constructed using Microsoft Excel.\u0000Results: A total of 277 patient responses were analyzed. The most common platform for obtaining information about the electronic clinics was social media. It was observed that 77.7% of the respondents were satisfied with e-clinic, 85.5% found the service easy, 75.1% felt it was trustful, and 50.5% found the time available to be adequate. Among the respondents, 83.4% intend to resort to electronic counseling in the future. Most of the doctors who participated in e-clinics were pediatricians (25%), followed by otorhinolaryngiologists (22%). Most doctors enrolled in the service because they wanted to help the people (41.8%). WhatsApp (58.2%), Facebook (44.8%), and phone calls (40.3%) were the most common platforms for consultation. Among the doctors, 53.7% responded that the experience was successful, 43.3% recommended continuing the service throughout the course of the pandemic, and 53.7% recommended continuing even after the pandemic comes to an end.\u0000Conclusions: Evaluation of the clinical service via the electronic survey revealed a spectrum of satisfactory responses from both the patients and the doctors who participated, and suggestions for technical optimizations and for the continuation of the service even beyond the pandemic were received.","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125269528","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":"COVID-19 Vaccine–Related Misinformation in The Iraqi Community","authors":"A. Al-Rubaye, D. Abdulwahid, Abbas Ejbary, Laith Al-rubaye, Aymen Albadran","doi":"10.37319/iqnjm.4.1.13","DOIUrl":"https://doi.org/10.37319/iqnjm.4.1.13","url":null,"abstract":"Background: The recent coronavirus (SARS-CoV-2) pandemic has created a serious public health concern worldwide. Shortly after the successful mapping of the genome sequence of SARS-CoV-2 and the declaration of the pandemic by the World Health Organization (WHO) in early 2020, scientists and pharmaceutical companies raced against time in efforts to develop vaccines. As of the 18th of February 2021, the WHO had approved at least seven different vaccines to be rolled out worldwide. However, despite the seriousness of the pandemic and its rapid spread, Iraqi society still refrains from taking vaccines against the disease. Although there is an increase in vaccination with the availability of coronavirus vaccines in Iraq, the rate remains below the level required to achieve herd immunity in Iraqi society soon.\u0000Objectives: To assess the spread of COVID-19 vaccine related misinformation in the Iraqi community.\u0000Methods: A cross-sectional study based on an internet survey that contained a 14-item questionnaire to assess public knowledge related to the COVID-19 vaccine.\u0000Results: A total of 1066 participants completed the survey questionnaire. The study showed a high level of COVID-19 vaccine–related misinformation in the Iraqi community. Individuals who are unemployed with low education levels and living in rural areas, those who did not take the vaccine, and those who were unwilling to advise others to take the vaccine had significantly increased the level of COVID-19 vaccine–related misinformation. In addition, this study found that the most common sources of information among participants were websites and social media.\u0000Conclusions: COVID-19 vaccine–related misinformation is widely spread. This aspect must be considered in any planned public measure that aims to control the pandemic.","PeriodicalId":333401,"journal":{"name":"Iraqi National journal of Medicine","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122760863","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}