Indian Journal of Applied Basic Medical Sciences最新文献

{"title":"Ultrasound Guided Popliteal Nerve Block For Various Ankle & Foot Surgeries","authors":"Dipti Anandani, Manisha S. Kapdi, Bhakti Rajani","doi":"10.48165/ijabms.2021.233704","DOIUrl":"https://doi.org/10.48165/ijabms.2021.233704","url":null,"abstract":"Background: Ankle& foot surgeries are very common surgeries in various age groups like young & geriatric as well as in patients with comorbidities. Popliteal nerve block is one of multimodal Anaesthesia & analgesia for same. we have used ultrasound guided block to prevent complications &precise volume at a site for improving Characteristics of block. Aims of study: To study the technique of giving popliteal nerve blocks with ultrasonographic guidance and evaluate it in terms of: No of attempts, Time required for sensory and motor blockade, Quality of Intra operative analgesia, Duration for post-operative analgesia, Supplementation required in form of sedo analgesia/general anaesthesia & Complications encountered. Methods: We performed ultrasonography guided popliteal nerve block in 60 adult patients of ASA grade I/II/III undergoing foot and ankle surgeries. The volume of drug used was 20ml consisting of Lignocaine (1.5%) 10ml and Bupivacaine (0.5%) 10ml; Results: The mean time taken to conduct the block was 4.3±1.4 mins. The mean time taken for sensory onset was 3.8±1.1 mins. The mean time taken for motor onset was 7.0± 1.4 mins. The mean time taken for completing the surgery was 39.2±5.0 mins. The mean time taken for complete motor regression was 143.8±13.5 mins. The mean time taken for complete sensory regression was 184.8± 16.8 mins. The patients first complained of pain at the mean time of 239±22.4 mins. The patients have stable haemodynamic parameters: pulse rate, SBP, DBP throughout the operation. Failure of block was seen in 4 patients where supplementation in the form of Injection Midazolam 1mg IV and Injection Fentanyl 50microgm IV was given in 2 patients and general anaesthesia was given in 2 patients. No other neurological complications were noticed in our study. Conclusion: ultrasound guided Popliteal nerve block is safe& effective block for various ankle &foot surgeries.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"46 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128732108","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":"MANAGEMENT OF SPONTANEOUS PNEUMOTHORAX IN ER OF A TERTIARY CARE HOSPITAL – AN OBSERVATIONAL STUDY","authors":"Rakesh A Avaiya, Harsha D Makwana, R. Joshi, A. Thakor","doi":"10.26860/ijabms.2020.22/b.35.4","DOIUrl":"https://doi.org/10.26860/ijabms.2020.22/b.35.4","url":null,"abstract":"","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128263258","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 comparison of dexmedetomidine versus midazolam – Fentanyl for sedoanalgesia and stable hemodynamic parameters, during colonoscopy under Monitored Anesthesia Care. (MAC)","authors":"Shweta Patel and Manisha kapdi","doi":"10.48165/ijabms.2021.23116","DOIUrl":"https://doi.org/10.48165/ijabms.2021.23116","url":null,"abstract":"Background:colonoscopy is routinely done under local anesthesia but it is stressful. Nowadays concept of conscious sedation or monitored Anesthesia care with mild sedoanalgesia is getting popular.Aim& Objective:The aim of our study was to compare the effects of dexmedetomidine versus midazolam Fentanyl combination on perioperative hemodynamics, sedation, pain, satisfaction and recovery scores during colonoscopy. Study design: Randomized comparative observational studyMaterial and methods:A total of 60 adult patients of ASA grade l/ll were included in the study. Patients were randomly allocated to two groups.In Group A Midazolam 0.02 mg/ kg and fentanyl citrate 1 mcg/ kg were administered intravenously followed by 0.5 ml/ kg/ hr. of Normal saline.In Group B An initial loading dose of 1 mcg/ kg dexmedetomidine was administered intravenously in 10 min to cases before the procedure and followed by continuous infusion dose of 0.5 mcg/ kg /hr.Incremental dose of 1 mcg/ kg fentanyl citrate was administered intravenously immediately before the procedure. Peripheral oxygen saturation (SpO2), mean arterial pressure (MAP), heart rate (HR), Ramsay Sedation Scale (RSS), Numeric Rating Scale (NRS) scores and colonoscopist satisfaction scores of the cases were recorded.Results:Although statistically significant values were not detected between the two groups with regard to mean arterial pressure.In Group I heart rates were higher and Spo2 scores were lower in a statistically significant manner. When the groups were compared with regard to RSS, the RSS scores of Group A at the 10th and 15th minutes were significantly lower than Group B. There was no statistically significant difference between the two groups when compared with regard to NRS scores. Satisfaction scores were significantly lower in Group B.Conclusion:Dexmedetomidine provides more efficient hemodynamic stability, higher Ramsay sedation scale scores, higher satisfaction scores and lower NRS score. So dexmedetomidine can be used safely as a sedoanalgesic agent.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122497258","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":"Study of role of autologous versus homologous cartilage ossicular reconstruction","authors":"Alpesh V. Patel, Payal R. Vadher, P. Patel, Vaishali N. Asodiya","doi":"10.48165/IJABMS.2021.23120","DOIUrl":"https://doi.org/10.48165/IJABMS.2021.23120","url":null,"abstract":"Background: Chronic otitis media with ossicular discontinuity is most commonly faced otological condition which causes conductive hearing loss. It presents mostly with ear discharge and decreased hearing. The use of cartilage graft material in ossiculoplasty markedly improve the result in hearing. In this study we have used autologous (tragal/conchal) cartilage or homologous (septal) cartilage for ossiculoplasty and temporalis fascia graft for tympanoplasty.Aims: Aim of the study was to compare and analyze the outcome of ossiculoplasty using autologous conchal/tragal cartilage and homologous septal cartilage in terms of hearing results and graft uptake rates. Materials and method: The study was conducted in E.N.T. Department at S.C.L. Hospital, NHLMMC Ahmedabad. 50 patients were randomly selected and divided in 2 groups. 25 patients underwent homologous and 25 patients underwent autologous cartilage reconstruction. All patients underwent detailed ENT examination followed by audiological and radiological assessment of temporal bone, and those patients with evidence of ossicular erosion were subjected to ossiculoplasty with autologous cartilage and homologous cartilage randomly. Results: Majority of the patients have central perforation and retraction pockets in middle ear pathology in both groups. Overall graft taken up rate was 96% in autologous while 92% in homologous ossiculoplasty. Our study shows hearing improvement up to 20-25 dB in 80% and 88% in autologous and homologous ossiculoplasty. Conclusion: Both autologous and homologous cartilage have excellent outcomes and gives equivalent results irrespective of age or sex of the patient or middle ear pathology. In both the groups hearing improvement is similar. Subjective hearing is also improved. No post-op complications like wound infection, facial palsy, dead ear have occurred in either case.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126557129","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 Comparative Study Of Lateral Anal Sphincterotomy Versus Transfissure Sphincterotomy In Cases Of Fissure In Ano","authors":"S. Patel, N. Patel","doi":"10.48165/ijabms.2021.233703","DOIUrl":"https://doi.org/10.48165/ijabms.2021.233703","url":null,"abstract":"OBJECTIVE The present study is designed to compare the effect of two most commonly used surgical procedure for anal fissure: Lateral Anal Sphincterotomy and Trans fissure Sphincterotomy with regards to fissure healing time, pain reduction, cessation of bleeding per rectum post operatively as well as the complications like flatus and feces incontinence post operatively in both surgical procedures. METHODOLOGY This hospital based prospective cohort study was undertaken at GCS hospital Ahmedabad (tertiary care hospital) from March 2019 to December 2019. 50 patients were enrolled in the study from which 25 patients were randomly assigned to lateral anal sphincterotomy group and 25 were assigned to trans fissure sphincterotomy group. RESULTS Our study establishes that although there is no statistically significant difference in pain alleviation and relief from bleeding per rectum post operatively in anal fissure between the Lateral Anal Sphincterotomy and Trans fissure Sphincterotomy, yet the fissure healing is earlier in Lateral Anal Sphincterotomy than in Trans fissure Sphincterotomy. There is also slight predominance of flatus incontinence rate in Trans fissure Sphincterotomy group as compared to Lateral Anal Sphincterotomy. CONCLUSION Thus, we can conclude from over all study that the lateral anal sphincterotomy is far better than the trans fissure sphincterotomy for the treatment of the fissure in ano by looking at various perspectives in areas of postoperative outcome.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127570933","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 A Rare Case Report: Supernumerary Testis","authors":"Parth Patel","doi":"10.48165/ijabms.2021.23130","DOIUrl":"https://doi.org/10.48165/ijabms.2021.23130","url":null,"abstract":"Introduction: Poly-orchidism is a rare congenital anomaly with less than 100 cases reported in the world literature. As many theories have an etiology regarding poly-orchidism but still exact etiology is not clear. But majority patient presents with painless scrotal/groin swelling. In rare presentation it may present with an indirect hernia, varicocele, hydrocele, epididymitis, mal-descended testis. The majority have tri-orchidism and the supernumerary testis is most frequently found on the left side.Aims: This is a study of rare case report of tri-orchidism of 3 yr. male child present with absent left side testis. On exploration found that two testes were with the vas having distally 2 limbs draining both testis in the 'Y' fashion.Result: In case of this tri-orchidism ideally plan of management is various. If investigation vise testis found atrophied or non-functional then plan of management should be orchidectomy. In this case as clinically both the testis appeared normal both the testis was placed in the left scrotum and orchidopexy was done Conclusion: Poly-orchidism may be a rare genitourinary abnormality and its management is still controversial. The management will depend upon the location, size and anatomical organization of the testicular drainage system and the age of the patient.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127934212","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":"To Compare 0.25% Ropivacaine And 0.25% Bupivacaine In Tap Block For Postoperative Analgesia In Patients Undergoing Abdominal Surgeries.","authors":"V. Desai, Jagruti R. Satasia, Khushboo H. Desai, Mitali G. Patel, Devyani D Solanki","doi":"10.48165/ijabms.2021.233705","DOIUrl":"https://doi.org/10.48165/ijabms.2021.233705","url":null,"abstract":"INTRODUCTION Pain has been defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage.1 Pain is the most dreaded problem which a person fears after any surgery. The transversus abdominis plane (TAP) block is an anaesthesia technique that provides analgesia to the parietal peritoneum as well as the skin and muscles of the anterior abdominal wall.4 Since the thoracolumbar nerves originating from the T6 to L1 spinal roots run into this plane and supply sensory nerves to the anterolateral abdominal wall5, the local anaesthetic spread in this plane can block the neural afferents and provide analgesia to the anterolateral abdominal wall. AIM AND OBJECTIVES Aim of study was to compare 0.25% Ropivacaine and 0.25% Bupivacaine in TAP block for postoperative analgesia in patients undergoing Abdominal Surgeries. The following parameters were compared: A. To study the effectiveness of transverses abdominis plane block for post-operative analgesia in Abdominal Surgeries. B. To compare the duration of analgesia and its effectiveness conferred by 0.25% Ropivacaine and 0.25% Bupivacaine. C. Total requirement of rescue analgesia. D. To watch for occurrence of side effects, if any MATERIALS AND METHODS A comparative clinical study was carried out on 60 adult patients belonging to ASA grade I or II, scheduled for elective Abdominal Surgeries. All patients were administered spinal anaesthesia with bupivacaine heavy 0.5%, 2.0-4.0 ml with 25 G spinal needle at L2-L3 or L3-L4 vertebral interspace. The patients were randomly allocated in two groups and study drug was injected at the end of surgery according to the group. The volume of administered drug kept constant (20 ml). Group I: Patients received TAP BLOCK on each side with 10ml 0.25% Ropivacaine. Group II: Patients received TAP BLOCK on each side with 10ml 0.25% Bupivacaine. CONCLUSION Transversus Abdominis Plane Block (TAP Block) provides better postoperative analgesia in various abdominal surgeries. 0.25% ropivacaine and 0.25% bupivacaine are equally effective in TAP block and provides effective postoperative analgesia but ropivacaine group shown longer duration of action compared to bupivacaine which was statistically significant without causing any increased adverse effects.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"54 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114016794","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":"Comparison Of Fentanyl And Clonidine In Attenuation Of Haemodynamic Response To Laryngoscopy And Endotracheal Intubation","authors":"V. Shah, Jyotsana Sirohi, Gargi M. Bhavsar, Devanshi Shah","doi":"10.48165/ijabms.2021.23118","DOIUrl":"https://doi.org/10.48165/ijabms.2021.23118","url":null,"abstract":"Background: Laryngoscopy and endotracheal intubation has led to provision of safer anaesthesia due to better control of airway and ventilation. It is associated with reflex sympathetic stimulation resulting in an increase in heart-rate and blood-pressure, which is known as pressor response to laryngoscopy and intubation.Various drugs have been used to avoid this pressor response. This study was aimed to assess the effects of IV Fentanyl and IV Clonidine on pressor responses occurring due to laryngoscopy and intubation in normotensive patients posted for a planned surgical procedure under general anaesthesia.Methods: Approval from the institutional ethical committee was taken for the study. We conducted this study in 60 patients belonging to ASA grade I and II, of 18 to 65 years of age, of either sex, scheduled for planned surgical procedures under general anaesthesia.Patients were randomly allocated into 2 groups; the study drug was injected IV slowly 10 mins before induction.Group-F: received Inj Fentanyl 2mcg/kgGroup-C: received Inj. Clonidine 2mcg/kgObservations were noted in terms of heart-rate, systolic-BP, diastolic-BP, mean-BP and spO2.Results: We observed that Clonidine pre-treatment provided better blunting of stress response duringlaryngoscopy and intubation without causing clinically significant sedation, respiratory depression, bradycardiaor hypotension compare to Fentanyl.Conclusion:We came to a conclusion that Clonidine provided better response compare to Fenatanyl in obliterating the rise in heart-rate and blood pressure on laryngoscopy and intubation.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129161017","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 Study Of Spectrum Of Findings Of Magnetic Resonance Imaging In Ankle Joint Pathologies","authors":"Ravina S. Chavda and Dipti A. Shah","doi":"10.48165/ijabms.2021.23114","DOIUrl":"https://doi.org/10.48165/ijabms.2021.23114","url":null,"abstract":"Aims & Objectives: This study is being carried out to describe various MRI features in the pathologies of ankle joint. Trauma to the ankle joint is a significant cause of morbidity in the young & active individuals especially amongst labourer’s, road traffic accident patients and athletes. A correct diagnosis regarding traumatic/ non traumatic ankle joint pathologies is essential for early operative as well as non-operative treatment. Magnetic resonance imaging (MRI) has now been accepted as the best modality for non-invasive evaluation of ankle pathologies. This study was undertaken to study different pathologies of ankle joint and its incidence by MR imaging.MATERIALS AND METHODS:A total of 50 cases of clinically suspected & diagnosed of having any pathology of ankle joint by MR imaging of the ankle, at the department of Radiodiagnosis, AMC MET Medical college, L.G hospital, Maninagar, Ahmedabad. Study was performed between December 2018 to December 2019. MRI was carried out on SIEMENS 1.5 T MAGNETOM_ESSENZA machineResults:Of the total50 patients evaluated, most common pathology of ankle joint being anterior talofibular ligament tear & tenosynovitis,20(40%) cases of each, followed by stress fractures 17(34%) & contusions 16(32%). Associated findings include joint collection, marrow edema &soft tissue changes.Interpretation and Conclusions:From these observations, it is found that MRI is an excellent, noninvasive, radiation free imaging modality with multiplanar capabilities and better soft tissue delineation. It can accurately detect, localize and characterize various ligamentous, tendinous, bony & soft tissue pathologies related to ankle joint and thereby guiding in further management of the patient.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117060047","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":"Hemolytic Disease of the New-born Due to Anti-c Isoimmunization: A Case Report","authors":"L. Aravinth, M. Gajjar, Tarak Patel, N. Bhatnagar, Sangita Shah, Sujata Tripathi","doi":"10.48165/ijabms.2021.23128","DOIUrl":"https://doi.org/10.48165/ijabms.2021.23128","url":null,"abstract":"Introduction:The Rhesus (Rh) blood group system is one of the complex blood group systems in humans. The Rh system plays important role in transfusion and clinical applications. The Rh antibodies are being the main cause ofHemolytic Disease of Newborn (HDN). Anti-D is the most common cause of severe HDN [1], but it does not mean other Rh antibodies won’t cause HDN. The second common cause of severe HDN is Anti-cantibodies [2] which might miss during the routine screening of antenatal patients. Here we are discussing a case of HDN caused by Anti-c antibody isoimmunization. The relative ability of antigen to cause clinically significant HDN has been the focus of debate [3].Material and Method:The blood grouping was done for both mother and newborn in QWALYS 3 (DIAGAST) and confirmed with gold standard test tube method. Direct and Indirect Antiglobulin Test was done with polyspecific column agglutination card (BIORAD). The Antibody screening was done with 3- cell panel (BIORAD) and Antibody identification was done with 11-cell panel (BIORAD).Results:The blood group of mothers is “O” positive and the blood group of newborns is confirmed as “O” positive. The newborn got DAT Grade 4 positive. The mother sample is tested for IAT which gave Grade 3 positive. The antibody screening shows positive and antibody identification shows the presence of Anti-c antibody in the mother’s serum.Discussion:The newborn had severe hemolytic anemia in which the cause was found to be Anti-c antibody. Though the antibody is severe next to Anti- D, still it produces very severe hemolytic disease. Among all severe HDN Anti-c antibodies cause 8.5% of cases [5].Conclusion:The newborn is treated with double volume exchange transfusion with same blood group [5] and discharged after 10 days. The case report shows the importance of implementation of protocols for screening irregular antibodies to avoid perinatal mortality.","PeriodicalId":354981,"journal":{"name":"Indian Journal of Applied Basic Medical Sciences","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116598694","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}