EAS Journal of Anaesthesiology and Critical Care最新文献

{"title":"Special Pattern and Distribution Land Suitability for Moringa (Moringa Oleifera) in Kupang District","authors":"Marthen Makaborang, Frans Umbu Datta, M. M. Kleden, N.G.A Mulyantini","doi":"10.36349/easjacc.2023.v05i04.003","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i04.003","url":null,"abstract":"The Kupang Regency in East Nusa Tenggara, Indonesia, experiences 8-9 dry months annually and relies heavily on agricultural and livestock activities, integral to its population. Moringa cultivation for livestock feed is interconnected with these activities. To assess the spatial suitability of moringa plantations, a descriptive study utilized GIS software and overlay methods, incorporating elevation, slope, annual rainfall, temperature data, and land use maps. After excluding forested, residential, and other areas, Kupang Regency's total land area was 288,497 ha. Of this, 114,239 ha were found highly suitable, 138,040 ha moderately suitable, and 36,218 ha unsuitable for moringa cultivation. East Kupang Subdistrict ranked highest in suitable land (16,232 ha), followed by Takari (11,932 ha), Sulamu (9,281 ha), and West Kupang (8,208 ha). Conversely, Fatuleu Tengah (27 ha), Amfoang Tengah (96 ha), and Amfoang Selatan (409 ha) had the least very suitable land. Similarly, Takari (18,279 ha), West Fatuleu (15,784 ha), Fatuleu (14,194 ha), West Amarasi (10,620 ha), and South Amfoang (10,130 ha) excelled in moderately suitable land. In contrast, South Semau (246 ha), East Kupang (434 ha), and Central Kupang (960 ha) had the smallest moderately suitable areas. Unsuitable land for moringa, like South Amfoang (10,270 ha) and Amfoang Tengah (8,932 ha), were prominent. This research aids in identifying optimal locations for moringa cultivation, aligning farming practices with the region's agricultural needs.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131247148","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 Effect of Intracuff Low Dose Alkalinized Lidocaine With and Without Dexamethasone on Extubation Response: A Prospective, Double-Blind, Randomized Control Trial","authors":"D. A, A. Hd, Shaji Mathew, L. Shenoy, M. Rao","doi":"10.36349/easjacc.2023.v05i04.001","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i04.001","url":null,"abstract":"Background: Intubation with a cuffed endotracheal tube is the gold standard for securing a definitive airway. Bucking over the tube during extubation can result in a potentially dangerous hemodynamic response. Tracheal tube cuff can be used as a reservoir for drugs to blunt this response. Lidocaine, a local anesthetic can achieve this by anesthetizing the airway. Dexamethasone has been known to potentiate the effect of lidocaine and has an intrinsic anti-inflammatory property. Methods: A prospective double-blind randomized control trial was conducted in a tertiary hospital for patients undergoing elective surgeries under general anesthesia requiring endotracheal intubation. Sixty patients were randomized equally into one of three groups. Cuff was inflated with saline (Group-S), 40 mg alkalinized lidocaine (Group-L), 40 mg alkalinized lidocaine with 8 mg dexamethasone (Group-LD). Heart rate, blood pressure and bucking were recorded during extubation, and post-operative sore throat were assessed. Results: All groups were comparable with regard to demographics, quantity of drug instilled in the cuff, duration of extubation and baseline hemodynamics. Group-L had the lowest incidence of hemodynamic changes during extubation, even lower than Group-LD. (p=0.020). Group-L and Group-LD had a lower incidence of bucking when compared to placebo (p<0.001). Both Group-L and Group-LD revealed a lower grade of sore throat in the early post-operative period. Conclusion: Instilling endotracheal tube cuff with 40 mg alkalinized significantly blunts hemodynamic response and bucking during extubation, and sore throat in the early post-operative period compared to placebo. Addition of 8 mg dexamethasone does not improve hemodynamic extubation response.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115149704","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 Rare Case of Placenta Increta Case Report","authors":"R. Rashmi, Reshmi Reshmi","doi":"10.36349/easjacc.2023.v05i03.003","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i03.003","url":null,"abstract":"The placenta can invade the myometrium up to varied levels leading to morbid adhesions of the placenta. This can present as acute abdomen and rarely with hemoperitoneum which is highlighted in this case.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131930779","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":"Intraoperative Complications Related to Anesthesia for Laparoscopic Sleeve Gastrectomy at Essos Hospital Center (Cameroon)","authors":"Nga Nomo Serge Vivier, K. A, Binyom Pr, Binam C, I. C, D. D, Ngouatna S, J. B, Ze Minkande J","doi":"10.36349/easjacc.2023.v05i03.004","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i03.004","url":null,"abstract":"Background: Obesity is defined as an abnormal or excessive accumulation of body fat that may impair health. Body mass index expressed (BMI) in kg/m2 is a simple measure of weight for height used to estimate obesity in adults. For adults, the World Health Organization defines obesity when the body mass index is greater than or equal to 30. Africa is faced with the growing problem of obesity and overweight, due to new habits food and new lifestyles. Obesity surgery has come to impose itself in our environment as a mechanical and metabolic aid to fight against this scourge which has become a public health problem. It is in this perspective that we proposed to study the intraoperative complications Related to Anesthesia for laparoscopic sleeve gastrectomy at Essos Hospital Center. Patients and Methods: This was a descriptive, retrospective and analytical study that took place over a period of 3 years, from January 2017 to December 2019, in the anesthesiology department of the Essos hospital center. All the files of the obese patients who underwent laparoscopic sleeve gastrectomy during the above-mentioned period were included in the study. The variables studied were: socio-demographic data, intraoperative anesthetic complications. The results obtained were subjected to univariate and bivariate analysis using the CSPRO and SPSS software. Results: A non-probability convenience sampling allowed us to obtain 16 patients. The age group that was mostly represented was those 36 to 55 years (81%). The sex ratio was 0.1. A body mass index > 40 kg/m2 of body surface area was found in 38% of cases (morbid obesity). Arterial hypertension was the comorbidity frequently associated with obesity (37.5%). The surgery was long, > 6 hours in all cases. The main anesthetic intraoperative complications were difficult intubation (62.5%), arterial hypotension (43.7%) and hypothermia (75%). Conclusion: Obesity is a public health problem in sub-Saharan Africa, which remains neglected. ........","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124945287","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 Case Report of Parasitic Bladder Infestation in Woman with Abnormal Uterine Bleeding","authors":"Yuvarani Yuvarani, Logeswari Logeswari, R. Thakur","doi":"10.36349/easjacc.2023.v05i03.002","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i03.002","url":null,"abstract":"Detection of urinary parasites is a relatively rare and incidental finding. Chronic parasitic infections lead to a state of chronic inflammation and cytokine release which is also a risk for tumor cell development. It also causes anemia which makes a patient susceptible to infections and further morbidity. In this case, a woman presented with AUB-L with recurrent urticarial lesions leading to lichen simplex complex and severe anemia and patient on cystoscopic examination showed parasitic infestation of bladder.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114470924","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":"Nosocomial Infections in the Intensive Care Unit of Saint Louis Regional Hospital: Status Report and Prognostic Factors of Mortality","authors":"M. Diedhiou, N. Sarr, A. Dièye, S. Lo, E. Ba, D. Barboza, A. Dia, N. M. Dia, M. L. Fall","doi":"10.36349/easjacc.2023.v05i03.001","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i03.001","url":null,"abstract":"Introduction: Nosocomial infection or infection associated with care is a serious concern in intensive care units. It is a serious infection because of its frequency, incidence and additional cost. The objective of the study was to determine the epidemiological, clinical, therapeutic and evolutionary aspects of nosocomial infections in the intensive care unit of the regional hospital of Saint Louis. Materials and Methods: A one year retrospective, descriptive and analytical study of all cases of nosocomial infections found during the study period. We analyzed anamnestic, clinical, therapeutic, evolutionary and prognostic data. Results: 28 cases of nosocomial infections out of 243 hospitalized patients, an incidence of nosocomial infection of 11.5%. The mean age of the patients was 37.57 years with a standard deviation of 20.5 years. The reasons for admission were altered consciousness (28.5%), postoperative follow-up (21.4%), and acute respiratory failure (14.2%). Invasive procedures were represented by bladder catheterization (100%), central venous catheterization (64%), oro-tracheal intubation (39.2%), hemodynamic support (28.5%), extra-renal purification and parenteral nutritional support in respectively 10.7% and 7%. Pneumonia acquired under mechanical ventilation represented 28.5% of the infections identified, bacteremia 21%, urinary and neuro-meningeal infections 18% each and surgical site infections 14%. The germs identified were gram-negative bacilli (75%) (8 pseudomonas and 13 enterobacteria), gram-positive cocci in 25% of cases (5 staphylococci aureus Meti S and 2 staphylococci Meti R). The rate of microbial resistance was 35.7%. The average length of hospitalization was 16 days (Extreme = 60 -3 days). The mortality rate was 35%. Discussion/Conclusion: Nosocomial infections in the ICU are frequent and are associated with high morbidity and mortality. Effective preventive measures are the key to improve the prognosis.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"407 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115995535","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":"Post-Intubation Tracheal Stenosis: Multicenter Study from 2010 to 2022","authors":"Mamadou Diawo Bah, Diop/Ndoye M, Outsouta Gn, G. I, Diaw M, L. Pa, Traoré Mm, Ndiaye Pi, Diouf E","doi":"10.36349/easjacc.2023.v05i04.002","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i04.002","url":null,"abstract":"Objective: To study the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of post-intubation tracheal stenosis occurring in patients admitted to intensive care units. Patients and methods: This is a multicenter, retrospective and descriptive study conducted from November 1, 2010 to June 1, 2022 in 7 intensive care units and 3 ENT departments. From medical records, we collected epidemiological data (frequency, age, sex), medical history, data relating to tracheal intubation (indication, duration, inflation pressure of the intubation tube balloon), data on post-intubation (PI) tracheal stenosis (symptoms and time to onset), paraclinical data, treatment and evolution modalities. The data collected were expressed as averages with their standard deviation. Results: During the study period, 19 patients presented with PI tracheal stenosis. The frequency ranged from 0.03% to 0.1%. The average age of the patients was 25.7 years 11.07 14-38 years. Patients had been intubated in a traumatic context in 47.37% of cases. The average duration of ventilatory support was 10.37 days  03.03 4-15 days No intubation tube cuff pressure monitoring was done for any patient. Dyspnea was the main telltale sign. Its average time to onset was 33.21  days 12.07 1h-3months. Endoscopically, the average degree of tracheal stenosis was 72.63% 50-99% . Therapeutically, in intensive care, 5 patients (26.31%) who presented with acute respiratory failure underwent a life-saving surgical tracheostomy. Curative surgery resulted in a tracheal resection-anastomosis (73.68%) and enlargement tracheoplasty (26.32%). The outcome was favorable for 9 patients (47.37%). The recurrence of the stenosis after curative surgery was observed in 31.58% of cases. Death occured in 3 patients (15.79%). Conclusion: Over-inflation of the intubation tube cuff is the leading cause of PI tracheal stenosis. Prevention is based on the systematic monitoring of its inflation pressure.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123285995","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":"Knowledges and Attitudes of Health Workers on Antibiotic Prophylaxis in a Surgical Environment in Niamey","authors":"Nanzir Sanoussi M, G. M, Ali Ml, Chaïbou Ms, D. H, S. A","doi":"10.36349/easjacc.2023.v05i02.004","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i02.004","url":null,"abstract":"Objectives: To study antibiotic prophylaxis in Niamey. Patients and Methods: A cross-sectional multicenter study conducted in five hospitals in Niamey over a period of four months from 16th June, to 15th, October, 2021. The study included anaesthetists, anaesthesia nurses, surgeons, surgeon nurses and surgical unit supervisor, who agreed to complete the survey supports. The variables studied were: age, profession, experience of practitioners, knowledges of surgery requiring antibiotic prophylaxis and duration, choice and prescription of antibiotics, need for post degree training. Results: Were been included 146 practitioners: 53 anaesthesia nurses, 31 surgeons, 30 surgeons nurses, 22 surgical unit supervisor and 10 anaesthetists. Their average age of practitioners was 40.85 years, ranging from 24 to 59 years. The study found that preventing infection was the goal of antibiotic prophylaxis for 91.78% of practitioners. Surgeries requiring antibiotic prophylaxis were clean and contaminated surgeries according to 64.38% and 56.84% of staff, respectively. The prescriber of antibiotic prophylaxis should be the anaesthetist according to 61.64% of respondents. The antibiotic should be administered 30 minutes before the incision for 56.85% of practitioners. Ceftriaxone was the most proposed antibiotic in 43.15%. Eighty-three percent of staff had not received after degree training on antibiotic prophylaxis. Conclusion: this study reveals the inadequacies of surgical antibiotic prophylaxis in Niamey hospitals. The difficulties are related to the unavailability of recommended antibiotics, the lack of protocol and the lack of training.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"96 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133349110","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 Anesthesia on D-Dimer Concentration in Patients under Going Surgery Associated with High Risk for Pulmonary Embolism","authors":"Dr. Md. Tariquzzaman, Dr. Mustaq Ahmmed, Dr. Mohammad Mahbub-Ul Haque, Dr. Mohammed Mohiuddin Shoman, Dr. Mohammad Shahinoor, Dr. Nargis Sultana, Dr. Bedoura Sharmin","doi":"10.36349/easjacc.2023.v05i02.003","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i02.003","url":null,"abstract":"Background: Pulmonary embolism (PE) is a blood clot that blocks and stops blood flow to an artery in the lung. It (PE) is a common and often fatal complication of venous thromboembolic disease (VTE). Pulmonary embolism (PE) is the third leading cause of cardiovascular-related death and is responsible for the hospitalization of a huge number of patients yearly. D-dimer concentration is a diagnostic marker of pulmonary embolism (PE). Aim of the study: This study aimed to assess the impact of anesthesia on D-dimer concentration in patients undergoing surgery associated with high risk for pulmonary embolism. Methods: This prospective observational study was conducted in the Department of Anesthesia & ICU, Mugda Medical College Hospital, Dhaka, Bangladesh during the period from January 2022 to December 2022. In total 57 patients undergoing surgery associated with a high risk for pulmonary embolism were enrolled in this study as study subjects. In this study, we examined the changes imparted by anaesthesia surgery on the end-tidal CO2/O2 compared with the D-dimer. Blood samples were immediately analyzed for fibrinogen and D-dimer concentrations. Breath samples were obtained from 1 min of spontaneous tidal breaths delivered via mouthpiece while the patientst breathed room air. Results: In this study, the mean transoperative value changes of respiratory rate (breaths/min), pulse rate (beats/min), systolic blood pressure (mmHg), SaO2 (%, room air) and minute ventilation (ml/min) were found as 0.23, 11.2, 15.33, 2.05 and 779.42 respectively. The pre-operative mean D-dimer 1042.57 ±202.47 ng/ml had been significantly increased to 1277.58 ±211.28 ng ml postoperatively, where the p-value was found as <0.001. On the other hand, the pre-operative mean End-tidal CO2 ⁄ O2, 0.3 ±0.02 had been decreased to 0.3 ±0.01 (Not significant). But the mean fibrinogen (mg/dl) had increased significantly (p<0.001). Conclusion: As per the findings of this study we can conclude that the stress ...","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123667855","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":"Drug Management of Direct Oral Anticoagulants for an Urgent Invasive Procedure: Contribution of Thoracic Ultrasound - Case Report","authors":"M. Diedhiou, N. Sarr, A. Dièye, E. Ba, A. Niang, S. Beye, ML Fall","doi":"10.36349/easjacc.2023.v05i02.002","DOIUrl":"https://doi.org/10.36349/easjacc.2023.v05i02.002","url":null,"abstract":"Introduction: Direct oral anticoagulants (DOA) are recent drugs prescribed for their anticoagulant properties. When an invasive procedure is planned for a patient under DOA, the challenge for the anaesthetist is to assess the risk of bleeding and thromboembolism secondary to the medication withdrawal. In certain situations, ultrasound, with its advantages of guidance and location, is an important tool that can reduce the peri-procedural bleeding risk. Method: We illustrate this problem with this clinical case. Observation: This is an 18-year-old female patient with a history of recent deep vein thrombosis treated with direct oral anticoagulants in an underlying pulmonary tuberculosis condition under treatment; received in the intensive care unit for management of respiratory distress due to a hydro-pneumothorax confirmed on pleuropulmonary ultrasound. Amain this urgent indication for thoracic drainage, the patient benefited from a decision by the referral team to withdraw the DOAs for 3 days, a relay with curative LMWH, an exsufflation of the pneumothorax and an evacuation puncture of the effusion under ultrasound guidance and location. Chest drainage was performed successfully and uneventfully after 3 days of DOA withdrawal. Conclusion: When an invasive procedure has to be performed in the emergency department or when the thromboembolic risk is very high, validated strategies for the peri-procedural management of DOAs have not been the subject of consensus. Our case-report highlighted the value of thoracic ultrasound in the intensive care unit, which facilitates the performance of minimally traumatic procedures in the emergency department. This tool allows to postpone a procedure of bleeding risk while promoting good drug management.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"259 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117043354","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}