The Journal of Sylhet Women’s Medical College最新文献

{"title":"Anatomical Variation of Sternal Angle and Body: a Cross sectional study","authors":"Das A","doi":"10.47648/jswmc2024v14-02-103","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-103","url":null,"abstract":"Background: The sternum is one of the important skeletal components ofthoracic case that frequently has congenital defects, and researchers routinely use variances to ascertain an individual's age and sex. Additionally, it helps the physician with biopsy procedures as well as therapy. The objective of this study was to evaluate the morphological characteristics of sternal body and sternal angle in both sexes.\u0000\u0000Method: This cross-sectional stuywas carried out at the Department of Anatomy, Sylhet MAG Osmani Medical College. For this purpose, 100 dried ossified sternums of unknown sex had been collected. The sample was collected in compliance with the inclusion and exclusion criteria. Discriminant function analysis was used to determine the sex of each sternum (DFA). Study variables were the maximum length of sternal body, maximum breadth of sternal body, thickness of the sternal body and sternal angle. Variables were measured using a vernier caliper and documented in a pre-designed data sheet.\u0000\u0000Result: The mean length of the body of sternum was 93.84±23.31 mm in male and 82.84±14.8 mm in female. The mean width of the body of the sternum was 35.3±10.83 mm in male and 29.22±9.65 mm in female. The thickness of the body of the sternum is 19.86±9.91 mm in males and 16.12±7.39 mm in females. Analysis revealed that length of body sternum, width of body of sternum and thickness of body of sternum were higher in male than female which was statistically significant (p<0.05).The mean angle of sternum was 148.29±8.240 degrees in males and 149.32±9.690degrees in females, respectively. The difference was statistically not significant (p<0.05).\u0000\u0000Conclusion: In females, the maximum sternal length, maximum sternal breadth, and maximum sternal thickness were all significantly lower.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"150 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708565","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 between Palonosetron and Ondansetron in Prevention of Chemotherapy Induced Nausea Vomiting","authors":"Tanni TA","doi":"10.47648/jswmc2024v14-02-108","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-108","url":null,"abstract":"Background: Chemotherapy induced nausea and vomiting (CINV) is the commonest and the most incapacitating experience of thepatient undergoing cancer chemotherapy. Poorly controlled CINV sometimes make patients to refuse further treatment. This study aimed to compare the efficacy and safety of Palonosetron and Ondansetron in preventing CINV during cancer chemotherapy.\u0000\u0000Methods:This randomized controlled trial was conducted in the Department of Pharmacology and Therapeutics of Sylhet MAG Osmani Medical College from January 2021 to December 2021. There were 190patients enrolled initially; 14 patients from both groups withdraw themselves. Finally, 91 patients of Palonosetron and 85 patients of Ondansetron treated were recruited. The Palonosetron group were treated with Palonosetron at 0.25 mg and the Ondansetron group were treated with Ondansetron 8.0 mg intravenously, 30min before chemotherapy. After that Palonosetron 0.5 mg single time and Ondansetron 8.0 mg orally three times a day were given and total follow-up period was seven days. Episode of nausea and vomiting graded according to the guideline “Common Terminology Criteria for Adverse Events (CTCAE)”, version 4.0, which was published by the US Department of Health and Human Services (National Institute of Health and National Cancer Institute).\u0000\u0000Result: The groups were matched for the age (p = 0.263), gender (p = 0.630), body weight (p = 0.846),site of malignancy (p = 0.375), and drugsused for chemotherapeutic (p = 0.301) in both study groups. Palonosetron treated patients experienced significant lower episode of nausea in day-1 (p = <0.001) and day-2 (p = 0.025), and in case vomiting in day-1 (p = 0.026) compared to Ondansetron. Significantly higher number of patients of Palonosetron compared to Ondansetron treated group showed complete response in both acute phase (p = 0.026), delayed phase (p = 0.036) and finally in overall phase (p = 0.014). Only four patients experienced with treatment failure in Ondansetron treated group. Observed adverse effects were in low intensity and not caused to stop the treatment procedure.\u0000\u0000Conclusion: Palonosetron was found to be more efficacious and well tolerated in preventing acute, delayed and overall phase of chemotherapy induced nausea and vomiting in this study.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"17 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700281","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":"Clinical, Biochemical, Serological, Virological and Sonological Profile of Newly Diagnosed Patients of Chronic Hepatitis B Virus Infection – 422 Cases","authors":"Saha M","doi":"10.47648/jswmc2024v14-02-110","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-110","url":null,"abstract":"Introduction: This retrospective study was done to see biochemical, serological and sonological status of newly diagnosed hepatitis B virus infected patients.\u0000\u0000Material and methods: Consecutive newly detected patients of chronic hepatitis B were included. Their epidemiological, clinical, biochemical, serological and sonographic findings were recorded. Data were analysed using (SPSS version20). Mean and percentage were calculated for continuous and categorical data respectively. Chi-square test was done and P value > 0.05 was taken as significant.\u0000\u0000Result: Total 422 patients, age from 11 to 75 years (mean 33.4) were included. Of them 317 (75.1%) and 105 (24.9%) were male and female respectively. Of them 320 (75.8%) were from rural areas, 253 (60.0%) were poor. Among them 216(51.18%) were detected during medical checkup for foreign job. And 173 (40.88%) had history saloon shave. In this series 144 (34.12%) patients were below 25 years and 216(51.18%) patients were within 26 to 45 years age group . ALT of patients varied from 10 iu/dl to 715 iu /dl (mean 51.63±48.40). Around50.5 % (n=213) had ALT within normal range (up to 40 iu/dl). HBeAg was positive in 97 (23.4%) patients. Hepatitis DNA (PCR) was not detectable in 135(32%) patients while it was above 100,000 copies / dl in 107(24.4%) patients. In this study 175 (53.84%) of patients with HBeAg negative had normal ALT and 83(61.48%) of patients with undetectable HBV DNA had normal ALT. Sonological examination was normal in 221 (%). Chronic liver disease, Hepatocellular carcinoma, ascites, fatty liver disease were detected in 60, 06(1.4%), 14 & 75 cases respectively. In this series, significant difference was found in DNA level (P= 0.029), hypertension status (P=0.013), ALT levels (P=0.00) and HBeAg status (P=0.000)in between sexes. HBeAg also varied significantly with ALT levels (P=0.011). ALT level also varied significantly between sexes (p= 0.00).\u0000\u0000Conclusion: Newly detected asymptomatic or symptomatic patients of chronic hepatitis B virus infected patients may have significant biochemical and serological viral activity requiring antiviral treatment. So mass screening and early detection of disease activity may improve outcome.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"48 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702501","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":"Knowledge and Prevalence of Hypertension among Pregnant Women attending in People’s Hospital, Chattogram","authors":"Farahnaj S","doi":"10.47648/jswmc2024v14-02-98","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-98","url":null,"abstract":"Introduction: Hypertensive disorders in pregnancy is one of the major causes of maternal and neonatal morbidity, mortality, premature birth, intrauterine growth retardation (IUGR), and low birth weight and solely maternal mortality is account for 10-15% of maternal deaths in developing countries. This study aimed to find prevalence of pregnancy induced hypertension among pregnant women in People’s Hospital Chattogram.\u0000\u0000Methods: A descriptive cross-sectional study was conducted in Peoples’s Hospital for six months from July 2023 to December 2023.A semi structured questionnaire was used to capture demographic data, obstetric history and on PIH status. 100 pregnant women who fulfilled the inclusion criteria were selected by convenience sampling technique. Face to face interview was done to collect socio-demographic and obstetric data. Statistical Package for Social Sciences version 20 was used for data analysis.\u0000\u0000Results: Majority (65%) of the women ranges from 18-25 years of age. The prevalence of Pregnancy Induced Hypertension (PIH) was found 7%. 38% of them passed SSC, 63% were housewives , 37% came from middle class, 45% from nuclear family. History of hypertension, LUCS, abortion and stillbirth were found 5 (5%), 15(15%), 7 (7%) and 7(7%) respectively. 7% of the women under study were found to hypertensive who had anemia, oedema, oliguria, vertigo and insomnia.\u0000\u0000Conclusion: The prevalence of hypertension is 7% which is most usual. Worldwide the ranges vary from 5-8%. The study reveals that among the patients with PIH- most are Primi. Age varies form 18-25 years. They are of low socio economic status and poorly educated.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"95 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695709","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":"Rational Use of Proton Pump Inhibitors among Patients Admitted in a Tertiary Care Hospital","authors":"Hezbullah M","doi":"10.47648/jswmc2024v14-02-101","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-101","url":null,"abstract":"Background: The prevalent usage of proton pump inhibitors (PPIs) is a testament to the effectiveness of this class of medications, but it also introduces risk associated with inappropriate prescriptive and consumptive practices. Because of the negative effect of incorrect usage and overdose of PPIs, it is very important for physicians to only prescribe these drugs when needed. However, recent studies showed some concerns about long-term PPIs consumption. The rational prescription of medications is vital to ensuring the optimal use of medical resources, providing effective therapy and minimizing adverse drug reactions.\u0000\u0000Methods: This observational study was conducted in the department of Pharmacology and therapeutics, Sylhet M.A.G. Osmani medical college, Sylhet, in collaboration with the department of Medicine, Surgery, Gastroenterology, Obstetrics and gynaecology, Sylhet M.A.G. Osmani medical college hospital, Sylhet, from July 2022 to June 2023. The sample size for this study was 600. Usage of PPIs was considered to be appropriate on the basis NICE guidelines and recommendations by Scarpignato et al. (2016) committees on behalf of three Italian scientific societies.\u0000\u0000Result: For 600 PPIs prescriptions, total 705 case sheets were reviewed. The mean age of the study patients was 42.94±17.16 years. Female were found more 359(59.8%) than male 241(40.2%). Out of 600 patients, based on the indications of PPI usage, 287 (47.8%) of prescriptions were found appropriate, whereas inappropriate prescriptions were found in 313 (52.2%) cases. Out of 287 patients who were prescribed PPIs in an appropriate indication, 175 (61%) patients were given PPIs in an appropriate dose, whereas inappropriate dose was found in 112 (39%) of patients. Again, among 175 patients who were prescribed PPIs for appropriate dose, 24 (13.7%) patients were given PPIs in an appropriate frequency, whereas inappropriate frequency was found in 151 (86.3%) of patients. Finally, 24/600 (4%) patients were prescribed in an appropriate indication with an appropriate dose and frequency, whereas inappropriate prescription were found in 576/600 (96%) patients. PPIs were used as prophylaxis for NSAIDs in highest number 147(51.2%) of patients. Oral was the most common 348(58%) route of prescribing PPIs. Omeprazole was the highest 577(96.2%) prescribed PPIs.\u0000\u0000Conclusion: Based on this study result, it could be concluded that in most of the patients PPIs prescriptions were not following appropriate indications, dose and frequency recommended by reference guidelines. Like any other drugs, PPIs should be prescribed for a clear indication, the minimum dose needed for the expected effect and medication halted when no longer necessary upon re-evaluation.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"68 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697868","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":"Hemoptysis as a Presentation of Covid-19 Pneumonia: A case report from Peshawar","authors":"Gul S","doi":"10.47648/jswmc2024v14-02-20","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-20","url":null,"abstract":"","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"5 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698894","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":"Navigating the COVID-19 Pandemic with DPLD: Insights from a Case Report for Healthcare Providers","authors":"Salam MU","doi":"10.47648/jswmc2024v14-02-21","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-21","url":null,"abstract":"The COVID-19 pandemic brought significant challenges to global healthcare systems, particularly for individuals with underlying health conditions. This article reports a case of a 65-year-old man with a medical history of diabetes mellitus, hypertension, and diffuse parenchymal lung disease (DPLD), who succumbed to severe COVID-19 infection. He presented to the Medicine inpatient of a tertiary care hospital, with fever and extreme lethargy during the second wave of the COVID-19 pandemic early in 2021. Upon presentation, his oxygen saturation (SPO2) was 31%. High-resolution computed tomography (HRCT) chest findings revealed extensive ground glass opacity, and his nasal swabs tested positive for COVID-19 via reverse transcription-polymerase chain reaction (RT-PCR). He was diagnosed with type 1 respiratory failure and was subsequently admitted to the intensive care unit (ICU), where his condition rapidly deteriorated and he passed away.This case highlights the heightened vulnerability of individuals with pre-existing comorbidities to severe COVID-19 complications and thus intensifies the importance of early recognition and intervention in such high-risk populations.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"53 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691172","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 Sensitivity Pattern of Uropathogens towards Oral Antibiotics among Children with Urinary Tract Infection","authors":"Das AC","doi":"10.47648/jswmc2024v14-02-97","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-97","url":null,"abstract":"Background: Urinary tract infection (UTI) is common in paediatric age group. Because of extensive and injudicious use of oral antibiotics, uropathogens show increasing resistance to these drugs. The objective of the study was to identify the susceptibility pattern of uropathogens towards oral antibiotics among children suffering from UTI who were admitted to the paediatric ward at Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet.\u0000\u0000Materials and methods: This cross-sectional study was carried out among 100 children aged 2 months to 12 years, who had a confirmed diagnosis of UTI based on urine culture reports and was admitted to the paediatric department of Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet. The study period was 1st January 2018 to 31st December 2019.\u0000\u0000Results: The mean age of the patients was 46.48±38.58 months. Males were 34% and females were 66% and the male-female ratio was 1:1.9. The common presenting complaints of UTI cases were fever (67%), dysuria or crying during micturition (53%), abdominal pain (42%), an increased frequency of micturition (30%), and nausea and vomiting (26%). The most common isolated organism was E. coli (61%), followed by Klebsiella species (31%). Nitrofurantoin was the drug that the isolated organisms were most sensitive to, followed by levofloxacin and ciprofloxacin. The isolated organisms were highly resistant to cephalexin, amoxicillin, cephradine, cefaclor, cefixime, azithromycin, and co-trimoxazole.\u0000\u0000Conclusion: Uropathogens are mostly sensitive to nitrofurantoin, levofloxacin, and ciprofloxacin. These drugs may be used to empirically treat UTI in children, if necessary. Judicial antibiotic use should be practised to prevent the development of antibiotic resistance.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"52 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716174","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":"Information and Safety Precautions on Air Pollution for Adult Respiratory Patients in Tertiary Hospital","authors":"Abbas MG","doi":"10.47648/jswmc2024v14-02-111","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-111","url":null,"abstract":"Background: Bangladesh faces escalating air pollution due to urbanization, industrialization, deforestation, and rising energy consumption. This jeopardizes public health, leading to respiratory problems and heightened risks of infections, causing a surge in hospital admissions, deaths, and associated economic burdens.\u0000\u0000Method: This was a cross-sectional study to assess the level of knowledge and protective practices regarding air pollution among adult respiratory disease patients who attended the medicine OPD of the National Institute of Diseases of the Chest & Hospital (NIDCH) from January 1, 2023, to December 31, 2023.\u0000\u0000Result: The mean age of the 361 respondents was 37.90±13.77 years and more than half (53.5%) of them were in the age group 21-40 years. About one-third (32.1%) received higher secondary and above education. Almost one-fourth (23.5%) of respondents’ income was between 15000, and personal monthly income was not applicable for more than (56.5%) of respondents. About three-fourths (73.7%) of patients were married, two-thirds (67.3%) belonged to a nuclear family and about half (54.6%) of participants belonged to a member of 1-4 persons. The majority (95.3%) of respondents were Muslim and about two-thirds (67.3%) belonged to the nuclear family. About two-thirds (67%) of patients had poor knowledge and one-third (33%) had average knowledge regarding air pollution. All the respondents had poor protective practices against air pollution.\u0000\u0000Conclusion: The study's insights will guide future efforts to raise awareness among adult respiratory patients about air pollution risks, respiratory health effects, and protective measures. Empowering these patients not only safeguards their health but also promotes environmental responsibility for cleaner air in the community.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"126 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695140","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":"Bacteriological Profile and Antibiogram of Lower Respiratory Tract Infection (LRTI) in a Tertiary Teaching Hospital of Bangladesh","authors":"Talha KA","doi":"10.47648/jswmc2024v14-02-102","DOIUrl":"https://doi.org/10.47648/jswmc2024v14-02-102","url":null,"abstract":"Introduction: Lower respiratory tract infection (LRTI) is one of the common infectious diseases in the world especially in the developing countries. This causes a large financial burden to healthcare system too.\u0000\u0000Methodology: This was a cross-sectional descriptive study to find out the infection patter and antibiogram of sputum of LRTI patients. Study place was Sylhet Women’s Medical College Hospital. Study period was 6 months. Sample size 684.\u0000\u0000Results: This positive samples were 60.4% of all the samples. Male and female percentage were 61.1% and 38.9% respectively. The age of the nearly half (49.56%) of the participants were 60 years or above. Commonest isolated Gram-positive bacteria was Staphylococcus aureus (37.87%) and commonest Gram-negative bacteria was Klbsiellaspp (23.39%). Commonest sensitive antibiotics were Piperacillin & Tazobactam (93.86%), Imipenem (93.71%) and Meropenem (90.64%).\u0000\u0000Conclusion: Use of proper antibiotic is essential to prevent antibiotic resistance. Institutional and regional antibiogram can help in decision making for selecting empirical antibiotic.","PeriodicalId":407803,"journal":{"name":"The Journal of Sylhet Women’s Medical College","volume":"13 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701397","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}