Trends in Anaesthesia and Critical Care最新文献

{"title":"Optimizing tracheostomy anesthesia: A comparative study of nerve blocks","authors":"Tarek I. Ismail ,&nbsp;Rabab S.S. Mahrous ,&nbsp;Ahmed A. Bedewy","doi":"10.1016/j.tacc.2025.101541","DOIUrl":"10.1016/j.tacc.2025.101541","url":null,"abstract":"<div><h3>Background</h3><div>Tracheostomy is increasingly performed as a planned procedure for a wide range of indications. While superficial cervical plexus block (SCPB) is widely used as regional anesthesia for tracheostomy, its limitation in suppressing laryngeal reflexes may lead to discomfort and complications. Combining bilateral SCPB with bilateral superior laryngeal nerve block (SLNB) could potentially improve patient outcomes by reducing airway reflexes.</div></div><div><h3>Objective</h3><div>This study aimed to compare the effectiveness of bilateral SCPB alone versus bilateral SCPB combined with bilateral SLNB in sedated patients undergoing surgical tracheostomy.</div></div><div><h3>Methods</h3><div>A double-blind, randomized controlled trial was conducted at Alexandria University Hospital. A total of 120 adult patients, both intubated and non-intubated, requiring elective tracheostomy was randomly allocated into two groups: Group 1 received an ultrasound-guided bilateral SCPB alone, while Group 2 received a combination of ultrasound-guided bilateral SCPB and bilateral SLNB. The primary outcome was the incidence of intraoperative coughing and laryngospasm. Secondary outcomes included postoperative pain, cumulative analgesic requirements, time to first analgesic request, postoperative complications and patients’ satisfaction.</div></div><div><h3>Results</h3><div>Group 2 (SCPB + SLNB) demonstrated a significantly lower occurrence of coughing and laryngospasm compared to Group 1 (p &lt; 0.05). No significant difference was observed in postoperative pain intensity between the two groups. Additionally, postoperative complications and patients’ satisfaction were comparable between both groups, with no significant differences noted.</div></div><div><h3>Conclusion</h3><div>The addition of bilateral SLNB to SCPB significantly suppresses airway-related reflexes during tracheostomy.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"61 ","pages":"Article 101541"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548042","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":"Effectiveness of dipyrone (metamizole) in postoperative analgesia: A systematic review and meta-analysis","authors":"Mariana Luz ,&nbsp;Selma Alves Valente do Amaral Lopes ,&nbsp;Bruna Brandao Barreto ,&nbsp;Jamine da Silva Vieira ,&nbsp;Julia Tavares-Pereira ,&nbsp;Luisa Pereira Novaes ,&nbsp;Dimitri Gusmao-Flores","doi":"10.1016/j.tacc.2025.101540","DOIUrl":"10.1016/j.tacc.2025.101540","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative pain requires effective management. This study reviews the effectiveness and safety of dipyrone/metamizole for postoperative pain management in adults and children.</div></div><div><h3>Materials and methods</h3><div>The online databases Medline, OVID, Embase, and LILACS were searched in November 2024 for randomized controlled trials comparing dipyrone/metamizole with other drugs or placebo in postoperative settings. Outcomes included immediate postoperative pain scores and opioid consumption (Oral Morphine Equivalence, OME) in the first 24 h.</div></div><div><h3>Results</h3><div>Thirty studies were included. In adult patients, no significant OME differences were found between dipyrone and NSAIDs (2.1 mg; 95%CI -3.4 to 7.7), paracetamol (−1.3 mg; 95%CI -5.9 to 3.3), or placebo (−2.7 mg; 95%CI -9.2 to 3.8). In the ICU study, dipyrone showed lower OME than paracetamol (−9.9 mg; 95%CI -18.2 to −1.6). In pediatric studies, there were no differences in OME between dipyrone and paracetamol (0 mg; 95%CI -0.1 to 0.1) or placebo (−0.1 mg; 95%CI -0.3 to 0.2). No significant side effects were reported.</div></div><div><h3>Conclusion</h3><div>Dipyrone is as effective as other non-opioid analgesics commonly used for postoperative analgesia, and more effective than paracetamol in ICU patients. The reviewed studies indicate that its use is safe, and therefore it should be considered as an option for multimodal analgesia in pain management guidelines.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"61 ","pages":"Article 101540"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535233","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":"Characteristics and outcome of critical care patients undergoing tracheostomy in a medical intensive care setting: A retrospective single center analysis of 1570 procedures in 12 years","authors":"Tim Schroeder,&nbsp;Jens Nee,&nbsp;Sarah Kamel,&nbsp;Christian Storm,&nbsp;Carl Hinrichs,&nbsp;Florian Marcy ,&nbsp;Bettina Schueler","doi":"10.1016/j.tacc.2025.101519","DOIUrl":"10.1016/j.tacc.2025.101519","url":null,"abstract":"<div><div>Tracheostomy is often indicated for patients requiring prolonged ventilation, as it can facilitate weaning from the ventilator, reduce work of breathing and allow cessation of sedation. Optimal timing and mode of tracheostomy is still under debate.</div></div><div><h3>Objective</h3><div>To evaluate the technique, timing, and clinical outcomes of tracheostomy in a large single-center cohort of medical intensive care unit (ICU) patients.</div></div><div><h3>Methods</h3><div>A retrospective cohort analysis was conducted on consecutive patients undergoing tracheostomy between 2006 and 2018 in a medical ICU. Patients received either a percutaneous dilatational tracheostomy or surgical tracheostomy. Data collected included patient demographics, APACHE-II scores, ICU mortality, duration of mechanical ventilation, length of ICU stays, tracheostomy technique, and timing of tracheostomy relative to intubation and initiation of mechanical ventilation.</div></div><div><h3>Results</h3><div>A total of 1570 tracheostomies were analyzed, comprising 1323 (84.2 %) dilatational tracheostomies and 247 (15.8 %) surgical tracheostomies. The type of tracheostomy did not significantly affect length of stays or length of mechanical ventilation. Subgroup analysis based on tracheostomy timing revealed that early tracheostomy (&lt;7 days post-intubation) was associated with shorter length of mechanical ventilation (p &lt; 0.001), reduced length of stays (p &lt; 0.001), and lower mortality (p = 0.01). Multivariate regression analysis identified early tracheostomy as an independent predictor of reduced mortality, while tracheostomy type had no significant effect on mortality outcomes.</div></div><div><h3>Conclusion</h3><div>Early tracheostomy, within seven days of intubation, was associated with improved survival, shorter length of mechanical ventilation, and reduced ICU stays, independent of the tracheostomy technique in our retrospective cohort in medical ICU patients.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101519"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143153849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in laryngeal mask ventilation: Case of a vocal cord polyp","authors":"Sangrà-Puig M,&nbsp;Tena B,&nbsp;Bergé R,&nbsp;Barranco de Santiago A,&nbsp;Garavito L,&nbsp;Magaldi M","doi":"10.1016/j.tacc.2025.101517","DOIUrl":"10.1016/j.tacc.2025.101517","url":null,"abstract":"<div><div>The most frequent causes of airway obstruction during the use of laryngeal mask airway (LMA) devices are related to a superficial plane of anesthesia or misposition. However, uncommon causes must also be considered. This case report presents a patient scheduled for elective surgery, encountering unexpected difficulties during airway management due to a previously undiagnosed giant vocal cord polyp. The steps for managing a difficult airway were followed correctly finally leading to awakening the patient to prevent a potentially dangerous “can't intubate, can't ventilate” scenario.</div><div>This case emphasizes the importance of thorough preoperative airway assessment, early recognition of airway difficulties and the strategic use of awake intubation techniques in complex airway management situations.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101517"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143153845","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":"Incision depth in surgical airway management using computed tomography of the neck to minimize complications","authors":"Jungwan Yoo ,&nbsp;Sungwoo Choi ,&nbsp;Sangun Nah ,&nbsp;Young Soon Cho ,&nbsp;Jae wook Lee ,&nbsp;Sangsoo Han","doi":"10.1016/j.tacc.2025.101518","DOIUrl":"10.1016/j.tacc.2025.101518","url":null,"abstract":"<div><h3>Background</h3><div>Swift and accurate airway management is crucial in the emergency department. Failure to secure the airway in hypoxic individuals can lead to severe outcomes, including brain damage or death. When a difficult airway is anticipated or intubation fails, alternatives such as cricothyroidotomy or tracheostomy must be considered, taking into account patient characteristics.</div></div><div><h3>Aim</h3><div>Analysis of the relationship between patient's characteristics and the depth of the cricothyroid membrane (CTM) and tracheostomy sites (TSs).</div></div><div><h3>Methods</h3><div>We conducted a retrospective cross-sectional study of patients who underwent neck CT scans in the emergency department and 475 patients were included. The shortest distance from the skin to the innermost surface of the CTM (CTM depth) was measured in the sagittal view of the CT. For tracheostomy, depths were measured from the skin at the cricoid cartilage (1–2 cm below) to the membranes between the second and third tracheal rings (TS1) and between the third and fourth rings (TS2). Patient characteristics, including age, sex, height, and weight, were recorded to assess correlations with depth through multiple linear regression analysis.</div></div><div><h3>Results</h3><div>The average CTM depth was 10.87 ± 3.93 mm, while the depths at TS1 and TS2 were 12.38 ± 4.72 mm and 14.75 ± 6.30 mm, respectively. Significant correlations were found between patient age, body mass index, sex, and the depths of the CTM and TSs 1 and 2. Older age and increased obesity were associated with greater depths, particularly at TS2. Notably, females exhibited greater depths at CTM and TS1 than males, with no significant differences at TS2.</div></div><div><h3>Conclusions</h3><div>These findings offer valuable insights for anticipating incision depth during urgent surgical airway procedures, potentially minimizing complications and improving treatment outcomes.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101518"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143153848","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":"Recent advances in the development of invasive ventilator liberation","authors":"Hui Liu ,&nbsp;Xiaoyi Liu ,&nbsp;Jiangxia Pan ,&nbsp;Rui Zhou ,&nbsp;Hui Ran ,&nbsp;Lili Chen","doi":"10.1016/j.tacc.2025.101521","DOIUrl":"10.1016/j.tacc.2025.101521","url":null,"abstract":"<div><div>Invasive ventilation is a critical respiratory support technology in the intensive care unit (ICU). Increasing evidence suggests that early liberation from invasive ventilation can benefit patients. However, further research is needed to establish optimal criteria for invasive ventilator liberation programs, including the ideal screening frequency, appropriate techniques and duration of spontaneous breathing trials (SBT), evaluation of airway extubation readiness, and decision-making regarding extubation. The management of the invasive ventilator liberation process should encompass feasibility screening for SBTs, conducting SBTs, evaluating SBT outcomes, assessing airway extubation readiness, performing extubation itself, identifying high-risk factors associated with weaning failure, and developing clinical strategies. Additionally, a patient-centered assessment of the risks and consequences of extubation failure may serve as crucial measures to enhance the success rate of invasive ventilator liberation. Therefore, we conduct a detailed review of the related studies on invasive mechanical ventilation weaning to determine the best invasive ventilator liberation strategy.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101521"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143153847","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 sonographic hyomental distance ratio and thyromental height as predictors of difficult intubation","authors":"Parul Sood ,&nbsp;Richa Saroa ,&nbsp;Sanjeev Palta ,&nbsp;Puja Saxena ,&nbsp;Ravneet Kaur Gill","doi":"10.1016/j.tacc.2025.101520","DOIUrl":"10.1016/j.tacc.2025.101520","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative airway assessment has always been dynamic to quantify a single parameter that identifies difficult airway reliably and therefore newer modalities are introduced, researched and compared amongst themselves. Thyromental height (TMH) and hyomental distance ratio (HMDR) have been recently developed and validated as good diagnostic tools for difficult airway prediction. However, they have not been compared with respect to each other as to define the superiority amongst the two and thus present trial was designed to assess the same.</div></div><div><h3>Method</h3><div>400 patients &gt;18 years of age undergoing elective surgery under general anaesthesia were enrolled in the study. In addition to the standard airway parameter assessment, preoperative TMH and sonographic HMDR was also recorded which was correlated with Cormack Lehane (CL) grade and percentage of glottic opening (POGO) score of laryngoscopy to grade a difficult airway.</div></div><div><h3>Results</h3><div>HMDR (83 %) was found to be more accurate in predicting difficult intubation than TMH (56.5 %). Though the sensitivity of TMH (70.83 %) and HMDR (68 %) were comparable, HMDR (84.66 %) was found to be more specific than TMH (54.83 %) for a difficult airway prediction. The cut off values for HMDR and TMH for predicting difficult intubation, derived from the present study from the ROC curves and AUC was found to be 1.26 and 5.05 cm respectively.</div></div><div><h3>Conclusions</h3><div>HMDR outstrips TMH with a good sensitivity and specificity for difficult airway prediction. In conclusion, we recommend the use of sonographically derived HMDR as a reliable airway assessment parameter to predict a difficult airway.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101520"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403259","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":"Video laryngoscopy for obstetric airway management: A narrative review","authors":"Fernanda S.L. Oliveira,&nbsp;Fabricio B. Zasso,&nbsp;Kevin S. Chen,&nbsp;Kong Eric You-Ten,&nbsp;Naveed Siddiqui","doi":"10.1016/j.tacc.2025.101522","DOIUrl":"10.1016/j.tacc.2025.101522","url":null,"abstract":"<div><div>The obstetric population has an increased risk of difficult airways due to changes, with a mortality rate of 1 death per 90 failed intubations. Recently guidelines for difficult airway management have recognized and recommended video laryngoscopy devices in difficult airway cases. Although there has been a substantial number of publications on video laryngoscopy, there is a lack of literature to help establish its use for managing obstetric airways. Therefore, we conducted a narrative review to evaluate the performance and efficacy of video laryngoscopy in obstetric patients. A literature review was performed on papers published until November 2024, studying adult patients who underwent obstetric procedures under general anesthesia. Improved glottis visualization, increased success rate in patients with predicted difficult airways, and rescue of a failed direct laryngoscopy attempt are advantages of video laryngoscopy. There are conflicting results regarding video laryngoscopy being superior to direct laryngoscopy regarding first-attempt success and time to intubation. Additionally, we discussed different types of video laryngoscope blades and video laryngoscopy with training in the obstetric population. Our review's findings are consistent with the current guidelines that recommend video laryngoscopes should be available for every obstetric general anesthesia, summed to the need for larger studies in this population.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101522"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372719","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":"Identifying and analyzing extremely productive authors in intensive care medicine: A scientometric analysis","authors":"Francesco Zarantonello ,&nbsp;Nicolò Sella ,&nbsp;Alessandro De Cassai ,&nbsp;Giulia Aviani Fulvio ,&nbsp;Annalisa Boscolo ,&nbsp;Tommaso Pettenuzzo ,&nbsp;Giulia Mormando ,&nbsp;Paolo Navalesi","doi":"10.1016/j.tacc.2024.101515","DOIUrl":"10.1016/j.tacc.2024.101515","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical progress relies heavily on research, however, recent years have seen distortions in this process due to the “publish or perish” model. This model is further amplified by team science, leading to inflated author counts and metrics. Recently the rise of hyperprolific (HA) and almost hyperprolific (AHA) authors has been highlighted in the global literature scenario, but data on intensive care medicine (ICM) is lacking. This study aims to investigate HA and AHA authors in ICM and the impact of COVID-19 pandemic on publication rates.</div></div><div><h3>Material and methods</h3><div>We identified authors publishing in ICM journals indexed by Scopus from 2019 to 2023, retrieving their Scopus IDs, publication details, and gender. HA were defined as authors who published at least 73 articles per year, while AHA as authors who published more than 60. The effect of COVID-19 literature was assessed by excluding COVID-related articles from the dataset.</div></div><div><h3>Results</h3><div>We identified 42860 articles in ICM journals, involving 186150 unique authors with a median of 5 publications per author. Only 248 (0.1 %) were extremely productive, with 131 being hyperprolific (HA). Removing COVID-19 papers significantly reduced HA and AHA counts by up to 40 %. Extremely productive authors were predominantly male (91.5 %) and globally distributed, primarily from Europe, Asia, and the Americas.</div></div><div><h3>Conclusions</h3><div>Hyperprolific authors in ICM represent a very small minority. These authors are typically related to ICM, male, senior researchers with a global distribution, who publish high-quality research through a significant research network.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"60 ","pages":"Article 101515"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143153846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative review of psilocybin, an important psychoactive substance with potential peri-anesthetic implications","authors":"George L. Tewfik ,&nbsp;Adejuyigbe Adaralegbe ,&nbsp;Sangel Gomez ,&nbsp;Rania Aziz ,&nbsp;Faraz Chaudhry ,&nbsp;Daniel Rodriguez-Correa ,&nbsp;Dorisanne O. Adaralegbe","doi":"10.1016/j.tacc.2024.101514","DOIUrl":"10.1016/j.tacc.2024.101514","url":null,"abstract":"<div><div>Psilocybin is a psychedelic substance with history of use for religious, medicinal and hallucinogenic purposes. The purpose of this review is to assess its past use, and its role both broadly in medicine and specifically in anesthesiology. Studies have shown benefits for chronic pain management, demonstrating utility in conditions including headaches and fibromyalgia, and psychiatric disturbances such as depression and anxiety. It has a high safety prof0ile, with a large disparity between a physiologic dose and that required to cause overdose symptoms. Its structure allows it to function as a serotonin receptor agonist, affecting the wiring of the brain and leading to possible anti-inflammatory effects. Perioperative management by anesthesia professionals should include a thorough pre-anesthetic exam to assess for usage and associated symptoms, as well as targeted testing. Intoxication requires supportive care, while overdose and withdrawal symptoms may require management of one's airway, circulation or appropriate medication. Patients should be monitored through the perioperative period, for psychologic symptoms that may necessitate modifications to the physical environment or pharmaceutical interventions. Rates of usage of psilocybin may increase if removed from Schedule I by the FDA based upon therapeutic uses for chronic pain and psychological disorders, amongst other conditions.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"59 ","pages":"Article 101514"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168842","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}