Fukushima Journal of Medical Science最新文献

{"title":"Clinical course and background of nasopharyngeal antibiotic-resistant bacteria carriers among preschool children hospitalized for lower respiratory tract infection.","authors":"Aya Takeyama,&nbsp;Kenta Suzuki,&nbsp;Masaki Ito,&nbsp;Masatoki Sato,&nbsp;Koichi Hashimoto,&nbsp;Masahiko Katayose,&nbsp;Mitsuaki Hosoya","doi":"10.5387/fms.2021-07","DOIUrl":"https://doi.org/10.5387/fms.2021-07","url":null,"abstract":"<p><p>AbstractWe investigated the nasopharyngeal microbiota in preschool patients hospitalized with lower respiratory tract infection to clarify the relationships between culturable nasopharyngeal bacteria and prognosis. From 2016 to 2018, nasopharyngeal culture was performed on inpatients under 6 years of age with a lower respiratory tract infection. Among the 1,056 study patients, 1,046 provided nasopharyngeal samples that yielded positive cultures, yielding 1,676 isolated strains. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis, were isolated in 25%, 27%, and 31% of the samples, respectively, and were the major causes of respiratory tract infection in these children. The only factor associated with the isolation of antibiotic-resistant strains from the nasopharynx was daycare attendance, which did not affect clinical severity, such as duration of fever and hospitalization. This study demonstrated that resistant bacteria in the nasopharynx did not affect the severity of lower respiratory tract infection and supports the use of narrow-spectrum antimicrobial agents in accordance with published guidelines when initiating therapy for pediatric patients with community-acquired pneumonia.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"143-149"},"PeriodicalIF":0.8,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/4e/2185-4610-67-143.PMC8784195.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39643348","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":"First trimester heterotopic pregnancy with shock treated laparoscopically, followed by uneventful term pregnancy and normal birth.","authors":"Shinji Nomura,&nbsp;Hyo Kyozuka,&nbsp;Toki Jin,&nbsp;Mimori Fujimori,&nbsp;Daisuke Suzuki,&nbsp;Kenichi Sato,&nbsp;Takashi Imamura,&nbsp;Yasuhisa Nomura","doi":"10.5387/fms.2021-14","DOIUrl":"https://doi.org/10.5387/fms.2021-14","url":null,"abstract":"<p><p>Heterotopic pregnancy (HP), a coexistence of intrauterine and ectopic pregnancies, is extremely rare. Although there have been many reports of maternal outcomes in pregnant women with HP, they have not described fetal neurodevelopmental outcomes and survival. A 30-year-old Japanese woman in early gestation who had undergone two previous cesarean deliveries was transferred to our hospital with vital signs of shock. HP was confirmed by ultrasonography and laparoscopic surgery, and right salpingectomy was performed. At term, a 2,875 g neonate was delivered via cesarean section without any complications.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"168-171"},"PeriodicalIF":0.8,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/21/2185-4610-67-168.PMC8784197.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39570365","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":"Development of a self-administered questionnaire for the screening of cervical myelopathy. Part 2, investigation of its characteristics in surgical cases.","authors":"Hiroshi Kobayashi,&nbsp;Koji Otani,&nbsp;Junichi Handa,&nbsp;Kinshi Kato,&nbsp;Kazuyuki Watanabe,&nbsp;Takuya Nikaido,&nbsp;Shoji Yabuki,&nbsp;Shin-Ichi Konno","doi":"10.5387/fms.2021-03","DOIUrl":"https://doi.org/10.5387/fms.2021-03","url":null,"abstract":"<p><strong>Background: </strong>Our previous report described the development of a self-administered questionnaire to screen patients for cervical myelopathy (SQC). For clinical application, the characteristics of the SQC should be verified.</p><p><strong>Methods: </strong>Participants comprised 129 patients (94 men, 35 women) with cervical myelopathy who underwent operative treatment. SQC score was calculated before surgery and patients were divided into a positive group (score ≥6) and negative group (score <6). Sex, age, pathologies of cervical myelopathy, Japanese Orthopaedic Association (JOA) score, 10-s grip-and-release test (10-s test), grip strength, number of levels decompressed, most cranial level of damage, and presence of diabetes mellitus (DM) were compared between groups.</p><p><strong>Results: </strong>The sensitivity was 89.9% with 116 positive cases and 13 negative cases (10.1%). JOA score was significantly higher and 10-s test and grip strength significantly better in the negative group than in the positive group. No significant differences in sex, age, pathologies of cervical myelopathy, number of spinal levels decompressed, most rostral level of damage, or presence of DM were seen between groups.</p><p><strong>Conclusions: </strong>Screening for cervical myelopathy using SQC had a high sensitivity of 89.9%. However, SQC should be used with caution because it may miss mild cervical myelopathy with low JOA scores.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"102-106"},"PeriodicalIF":0.8,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/54/2185-4610-67-102.PMC8784193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39540320","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":"Secular changes in bone mineral density of adult Japanese women from 1995 to 2013.","authors":"Hiroaki Watanabe, Yasuko Minagawa, Ichiro Suzuki, Kaori Kitamura, Yumi Watanabe, Keiko Kabasawa, Kseniia Platonova, Aya Hinata, Kazutoshi Nakamura","doi":"10.5387/fms.2021-10","DOIUrl":"10.5387/fms.2021-10","url":null,"abstract":"<p><strong>Introduction: </strong>Secular changes in hip fracture incidence have been reported in the last few decades in Japan, but whether long-term bone mineral density (BMD) is also changing is unclear. This study aimed to determine whether BMD of Japanese women has changed over time.</p><p><strong>Methods: </strong>Subjects were 10,649 adult women who underwent BMD measurement in a health check-up population in Niigata, Japan, between 1995 and 2013. BMD of the distal, non-dominant forearm was measured by dual-energy X-ray absorptiometry. Demographic information and BMI were also obtained. Secular trends were determined by linear regression analysis.</p><p><strong>Results: </strong>BMD of subjects in their 40's decreased significantly in the age-adjusted model (P for trend=0.0162), but not in the age- and BMI-adjusted model (P for trend=0.2171). BMD of subjects in their 50's decreased marginally in the age-adjusted model (P for trend=0.0535), but not in the age- and BMI-adjusted model (P for trend=0.6601). BMDs of subjects in their 30's and 60's did not significantly change, while BMIs of subjects in their 40's-60's decreased significantly.</p><p><strong>Conclusions: </strong>A secular decrease in BMD, partly attributed to decreases in BMI, was observed in middle-aged Japanese women from 1995 to 2013. Measures to help maintain suitable BMI will be necessary to prevent a decrease in BMD among women.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"128-134"},"PeriodicalIF":0.7,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/0e/2185-4610-67-128.PMC8784192.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596501","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":"Association between participation in sports club activities and decision-making preferences in end-of-life treatment among Japanese elderly people:a cross-sectional study.","authors":"Hideaki Kasuga,&nbsp;Shota Endo,&nbsp;Yusuke Masuishi,&nbsp;Tomoo Hidaka,&nbsp;Takeyasu Kakamu,&nbsp;Keiko Saito,&nbsp;Koichi Abe,&nbsp;Tetsuhito Fukushima","doi":"10.5387/fms.2021-16","DOIUrl":"https://doi.org/10.5387/fms.2021-16","url":null,"abstract":"<p><strong>Introduction: </strong>Decision-making regarding treatment at the end-of-life stage is an important issue for the elderly and their families. Such decision-making may be influenced by activities that promote communication and physical health. The purpose of this study was to examine the association between participation in sports club activities and decision-making regarding life-prolonging treatment among the general community-dwelling Japanese elderly.</p><p><strong>Methods: </strong>In this cross-sectional study, which used stratified random sampling, 1,603 elderly people aged 65 years or older as of January 2016, living in Fukushima prefecture, Japan were enrolled. Data was collected by a self-completed questionnaire (effective response rate: 53.4%). The association of sports club activity participation with a preference for accepting or declining life-prolonging treatment was analyzed by multinomial logistic regression analysis.</p><p><strong>Results: </strong>Of those participating in sports club activities, the results revealed an odds ratios of 1.812 for participants declining life-prolonging treatment (95% CI=1.325 to 2.477) and 1.948 for those who preferred life-prolonging treatment (95% CI=1.160 to 3.271).</p><p><strong>Conclusions: </strong>The present study suggests that participation in sports club activities is associated with articulating decisions about life-prolonging treatment in end-of-life care. Consideration of patient involvement in daily activities in non-medical settings may enhance decision-making for end-of-life care planning.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"135-142"},"PeriodicalIF":0.8,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/d1/2185-4610-67-135.PMC8784194.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596502","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":"Long-term results of modified bentall procedures: 18-year experience of the flanged technique.","authors":"Takashi Igarashi,&nbsp;Hirono Satokawa,&nbsp;Yoichi Sato,&nbsp;Shinya Takase,&nbsp;Hiroki Wakamatsu,&nbsp;Yuki Seto,&nbsp;Hiroyuki Kurosawa,&nbsp;Masumi Iwai-Takano,&nbsp;Tsuyoshi Fujimiya,&nbsp;Hiroharu Shinjo,&nbsp;Keiichi Ishida,&nbsp;Hitoshi Yokoyama","doi":"10.5387/fms.2021-06","DOIUrl":"https://doi.org/10.5387/fms.2021-06","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the early and late outcomes of the modified Bentall procedure with the flanged technique.</p><p><strong>Methods: </strong>We reviewed the medical records of 63 patients who had undergone root replacement by the modified Bentall procedure at our institute between January 2001 and December 2018. In most cases, we adopted a composite graft constructed with a mechanical valve or bioprosthesis and a Dacron graft by the flanged technique. Since 2011, we have used Valsalva grafts.</p><p><strong>Results: </strong>Mean age 57 ± 16 years, range 16-80, male 43 cases. The mean follow-up was 75 ± 56 months (range 0-216). Through April 1, 2020, we could follow up on 61 cases (97%) within a six-month period. Hospital mortality was 7.9% (4.8% in elective cases). In late follow-up, eight deaths were observed. In the bio-Bentall group (n=26), no deaths or major adverse valve-related events (MARVEs) occurred. In the mechanical Bentall group (n=37), seven cases of MARVEs, including two cerebral hemorrhages and one cerebral embolism, were observed. All patients were free from MARVEs at 5 years post procedure in the bio-Bentall group, and 93.8% and 76.8% were event-free at 5 years and 10 years, respectively, in the mechanical Bentall group.</p><p><strong>Conclusions: </strong>The 18-year results of the modified Bentall procedure were acceptable, providing excellent outcomes in the bio-Bentall group. The flanged technique enabled the use of a larger prosthesis, which may have resulted in good durability with the bio-Bentall procedure.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"119-127"},"PeriodicalIF":0.8,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/04/2185-4610-67-119.PMC8784198.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596500","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":"Esophageal thermal injury in catheter ablation of atrial fibrillation.","authors":"Takashi Kaneshiro,&nbsp;Yasuchika Takeishi","doi":"10.5387/fms.2021-23","DOIUrl":"https://doi.org/10.5387/fms.2021-23","url":null,"abstract":"<p><p>Pulmonary vein isolation is an established method for the catheter ablation of atrial fibrillation. Esophageal thermal injuries, such as esophageal erosion, ulceration and periesophageal nerve injury leading to gastric hypomotility, are important complications associated with pulmonary vein isolation. In this review article, we describe the mechanisms, characteristics and the predictors of esophageal thermal injury associated with pulmonary vein isolation.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 3","pages":"95-101"},"PeriodicalIF":0.8,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/db/2185-4610-67-095.PMC8784191.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39643350","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":"Perinatal diagnosis of a fetus with an unbalanced translocation 46,XY,der(10)t(6;10)(p22;q26.1) with multiple malformations:a case report and literature review.","authors":"Makiho Ishibashi,&nbsp;Takafumi Watanabe,&nbsp;Hyo Kyozuka,&nbsp;Akiko Yamaguchi,&nbsp;Kenichi Sato,&nbsp;Maki Sato,&nbsp;Hayato Go,&nbsp;Keiya Fujimori","doi":"10.5387/fms.2020-28","DOIUrl":"https://doi.org/10.5387/fms.2020-28","url":null,"abstract":"<p><p>The phenotype of an unbalanced translocation is characterized by the dosage effects of the affected genes in the translocated chromosome. We present the case of a fetus with a paternally derived unbalanced 46,XY,der(10)t(6;10)(p22;q26.1) translocation, detected following growth retardation and cardiac malformation. In trisomy 6p and 10q26 monosomy, external surface malformations, including characteristic facial abnormalities, and neurological or higher effects have been reported. Developmental delay and hypotonia are reported in ≤ 80% of cases of 10q monosomy. Herein, low birth weight, cephalic abnormalities including microcephaly, low-set ears and a high arched palate, ambiguous genitalia including scrotal hypoplasia and cryptorchidism, and congenital heart defects, including ventricular septal defect and pulmonary atresia, were observed. Neurological impact was not evaluated due to neonatal death. The mortality rate and frequency of low birth weight in such translocations has been seldom reported. In this case, severe cardiac malformation and low birth weight may have caused early neonatal death. Whilst Trisomy 6 is associated with low birth weight and perinatal death, few studies have reported these outcomes in 10q26 deletion syndrome. Our findings therefore contribute to the evidence base regarding unbalanced translocations and may improve the clinical management of such patients.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 2","pages":"83-88"},"PeriodicalIF":0.8,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/1d/2185-4610-67-083.PMC8460283.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38986847","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":"Total transferrin in cerebrospinal fluid is a novel biomarker for spontaneous intracranial hypotension.","authors":"Junko Iijima,&nbsp;Kyoka Hoshi,&nbsp;Hiromi Ito,&nbsp;Mayumi Kanno,&nbsp;Yuta Murakami,&nbsp;Koichi Takahashi,&nbsp;Kana Matsumoto,&nbsp;Yoshiki Yamaguchi,&nbsp;Madoka Nakajima,&nbsp;Masakazu Miyajima,&nbsp;Hajime Arai,&nbsp;Mitsuyasu Kanai,&nbsp;Shinobu Kitazume,&nbsp;Takashi Honda,&nbsp;Yasuhiro Hashimoto","doi":"10.5387/fms.2020-19","DOIUrl":"https://doi.org/10.5387/fms.2020-19","url":null,"abstract":"<p><p>Spontaneous intracranial hypotension (SIH) is caused by cerebrospinal fluid (CSF) leakage. Patients with SIH experience postural headaches, nausea, etc., due to CSF hypovolemia. Imaging studies and clinical examinations, such as radioisotope (RI) scintigraphy, are useful for diagnosing SIH. However, 20-30% of patients do not show typical morphology and clinical test results. We previously reported that CSF contains transferrin (Tf) isoforms:\"brain-type\" Tf derived from the choroid plexus and \"serum-type\" Tf derived from blood. We showed that both isoforms increased in the CSF of patients with SIH by Western blotting. In the present study, we demonstrate that conventional ELISA for quantifying total Tf is useful for diagnosing SIH more accurately than Western blotting. In addition, SIH with chronic subdural hematoma (CSDH) was also accurately diagnosed.　Total Tf in the CSF can serve as a useful biomarker for diagnosing SIH with or without CSDH.</p>","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 2","pages":"64-70"},"PeriodicalIF":0.8,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5a/6d/2185-4610-67-064.PMC8460282.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39295936","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":"Psychosocial support for the examinees and their families during the secondary confirmatory examination:Analyses of support records at first visit.","authors":"Noriko Setou,&nbsp;Satoru Suzuki,&nbsp;Takashi Matsuzuka,&nbsp;Manabu Iwadate,&nbsp;Masaharu Maeda,&nbsp;Yuko Namekata,&nbsp;Fusae Yoshida,&nbsp;Kayoko Oshima,&nbsp;Tetsuya Ohira,&nbsp;Seiji Yasumura,&nbsp;Hitoshi Ohto,&nbsp;Kenji Kamiya,&nbsp;Susumu Yokoya,&nbsp;Hiroki Shimura","doi":"10.5387/fms.2021-01","DOIUrl":"https://doi.org/10.5387/fms.2021-01","url":null,"abstract":"Abstract Background and Purpose The Thyroid Ultrasound Examination (TUE) program is conducted as part of the Fukushima Health Management Survey. Following the established criteria, examinees are called in for a secondary confirmation examination, which may induce high anxiety related to a thyroid cancer for both the examinees and their families. Therefore, Fukushima Medical University created the Thyroid Support Team to reduce anxiety. The purpose of this study is to analyze the psychosocial support for examinees and their families through two types of records, and to clarify the current issues and determine future directions of support. Materials and methods We analyzed 223 records of support for the first visit of examinees who attended the secondary confirmatory examination, conducted at Fukushima Medical University from September 2018 to March 2019. Results During the first visit, frequent topics and questions brought up by the examinees and their families were about the “Thyroid Ultrasound Examination (TUE) program” and “Examination findings”. The Thyroid Support Team members assisted them by “Responding to questions”, “Confirming the doctor’s explanation” and “Providing information”. The percentage of people with high anxiety decreased in both examinees and their family members after the examination. The level of anxiety was lower among those who had already taken the secondary confirmatory examination. Family members’ anxiety was significantly higher than that of the examinees, and anxiety levels were highly correlated between examinees and their families. Conclusion The psychosocial support for examinees and their families was important in reducing their anxiety. Currently there are changes in social conditions and various opinions concerning the TUE. Thus, careful explanation and the need for decision-making supports for the examinees and their families increased. Also, we should take into account the aging of the examinees and expanding the available psychosocial support.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 2","pages":"53-63"},"PeriodicalIF":0.8,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/5a/2185-4610-67-053.PMC8460285.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39295937","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}