Revista Espanola de Anestesiologia y Reanimacion最新文献

{"title":"Riesgo de dolor crónico posquirúrgico según el modelo predictivo preoperatorio GENDOLCAT: aplicación en un hospital universitario","authors":"C. Morales Viveros,&nbsp;O. Comps Vicente,&nbsp;L. Moltó García,&nbsp;J.R. Castaño Asins,&nbsp;L. Aguilera Cuchillo,&nbsp;A. Montes Pérez","doi":"10.1016/j.redar.2026.502137","DOIUrl":"10.1016/j.redar.2026.502137","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic post-surgical pain (CPSP) affects 17% of patients undergoing surgery, and identifying those at risk is essential. In this analysis, we used the GENDOLCAT scale to evaluate the risk of CPSP (rCPSP) in patients scheduled for surgery and characterise those with rDCPQ ≥ 30%.</div></div><div><h3>Materials and methods</h3><div>We included patients scheduled for surgery in whom the rCPSP was calculated during the preoperative assessment using the GENDOLCAT scale, which includes the following variables: age, type of surgery, preoperative pain at the surgical site, preoperative pain in other areas of the body, and the physical and mental dimensions of the SF-12.</div></div><div><h3>Results</h3><div>We calculated the rCPSP of 589 patients who were divided into 4 groups according to the aggressiveness of their surgery. Four risk groups were defined: ≤10%; &gt;10%-20%; &gt;20%-30%; and ≥30%; the latter being high risk. A total of 22.8% (n=134) had an rDCPQ ≥ 30%; the mean age was 48.9±12.9; preoperative pain at the surgical site was 4.8±3.5 (VNS) and 5.3±2.9 (VNS) beyond the surgical site; the SF-12 physical and mental dimension scores were 34.7±10.6 and 41.6±12.4, respectively. Of this group, 34% (n=46) underwent minimally aggressive procedures.</div></div><div><h3>Conclusions</h3><div>A high proportion of patients scheduled for surgery have a high risk of DCPQ, although many undergo minimally aggressive procedures. This shows the importance of using a systematic method to determine the risk of DCPQ in all surgical patients.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502137"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646832","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":"Retraction notice to “Bloqueo en el plano del músculo erector de la columna frente a anestesia local infiltrativa para discectomía endoscópica percutánea transforaminal: ensayo controlado aleatorizado prospectivo” Volume 70, Issue 10, December 2023, Pages 552-560","authors":"M. Barsa,&nbsp;O. Filyk","doi":"10.1016/j.redar.2026.502200","DOIUrl":"10.1016/j.redar.2026.502200","url":null,"abstract":"<div><div>This article has been retracted: please see Elsevier Policy on Article Withdrawal (<span><span>https://www.elsevier.com/about/policies/article-withdrawal</span><svg><path></path></svg></span>). This article has been retracted due to non-compliance with the journal's clinical trial registration policy. In accordance with international editorial standards, clinical trials must be prospectively registered in a public database before enrollment of the first participant. Although the study received Ethics Committee approval, the trial registration was completed after data collection had finished. This retraction is based solely on regulatory and editorial policy requirements and does not reflect concerns regarding the scientific or ethical quality of the research.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502200"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646828","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":"¿Puede un antibiótico provocar un síndrome coronario agudo? Síndrome de Kounis inducido por alergia intraoperatoria a amoxicilina: un caso clínico","authors":"M. Bernaola,&nbsp;A. Gago,&nbsp;A. Umpiérrez,&nbsp;E. López-Soberón,&nbsp;N.G. Kounis","doi":"10.1016/j.redar.2026.502035","DOIUrl":"10.1016/j.redar.2026.502035","url":null,"abstract":"<div><div>Kounis syndrome (KS) is an acute coronary syndrome triggered by mast cell degranulation in response to allergic or hypersensitivity reactions. Drug-induced KS, particularly due to antibiotics like amoxicillin, represents a severe and potentially life-threatening condition. This review aims to analyze the pathophysiology, clinical manifestations, diagnostic approaches, and management strategies of KS induced by amoxicillin allergy, with a focus on recent literature and emerging therapeutic insights.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502035"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646830","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":"Intensidad del soporte hemodinámico intraoperatorio como marcador de complejidad perioperatoria y utilización de recursos hospitalarios en cirugía no cardiaca","authors":"A. Guevara Tirado","doi":"10.1016/j.redar.2026.502164","DOIUrl":"10.1016/j.redar.2026.502164","url":null,"abstract":"<div><h3>Introduction</h3><div>The intensity of intraoperative hemodynamic support may reflect perioperative physiological complexity and be associated with increased hospital resource utilization.</div></div><div><h3>Objective</h3><div>To evaluate the use of intraoperative hemodynamic support and the intensity of such support as markers of perioperative complexity and hospital resource utilization.</div></div><div><h3>Materials and method</h3><div>Analytical study using a secondary database with perioperative information from patients undergoing noncardiac surgery (n<!--> <!-->=<!--> <!-->6,246). The main exposure was intraoperative hemodynamic support, analyzed both dichotomously and through a continuous index of intraoperative hemodynamic support intensity. Outcomes included admission to the intensive care unit (ICU) and hospital length of stay. Multivariable logistic and negative binomial regression models were used, adjusted for relevant clinical and surgical variables, including interaction analyses.</div></div><div><h3>Results</h3><div>Intraoperative hemodynamic support was not independently associated with ICU admission (OR: 1.09; 95%<!--> <!-->CI: 0.93-1.28). In contrast, ASA score (OR: 2.89 per point), surgical duration, age, and emergency surgery showed significant associations. Intraoperative hemodynamic support was associated with a longer hospital length of stay (IRR: 1.06; 95%<!--> <!-->CI: 1.02-1.09), an effect that was more pronounced in prolonged procedures. The continuous index of intraoperative hemodynamic support intensity showed a strong association with longer hospital stays (IRR: 1.37; 95%<!--> <!-->CI: 1.34-1.40).</div></div><div><h3>Conclusions</h3><div>Greater intraoperative hemodynamic support intensity was associated with longer hospital length of stay, particularly in prolonged surgeries, serving as a marker of perioperative complexity and hospital resource utilization.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502164"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647587","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":"El bloqueo paravertebral torácico ecoguiado temprano reduce la neuralgia postherpética y mejora los resultados funcionales en el herpes zóster agudo: ensayo clínico aleatorizado","authors":"A.O. Mahmoud Abdallah,&nbsp;M.M. Abdelrady,&nbsp;H. Omar Mahmoud,&nbsp;M.A. Mohamed Hasan Eisa","doi":"10.1016/j.redar.2026.502176","DOIUrl":"10.1016/j.redar.2026.502176","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Acute herpes zoster is associated with severe neuropathic pain and a high risk of developing postherpetic neuralgia (PHN), which significantly impairs quality of life and functional status. Ultrasound-guided thoracic paravertebral block (TPVB) has emerged as a promising regional analgesic technique for managing acute herpes zoster pain and potentially preventing PHN. This study aimed to evaluate the efficacy of ultrasound-guided TPVB with local anesthetic and corticosteroid in reducing pain intensity, improving functional and quality-of-life outcomes, and decreasing the incidence of PHN.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In this prospective, randomized, controlled clinical trial, 100 patients with acute thoracic herpes zoster (rash duration ≤14 days, Numerical Rating Scale [NRS] ≥4) were randomly assigned to either a control group receiving standard medical therapy or an intervention group receiving standard therapy plus ultrasound-guided TPVB using 0.25% bupivacaine and 40&lt;!--&gt; &lt;!--&gt;mg methylprednisolone. The block was performed at 48-hour intervals for 3&lt;!--&gt; &lt;!--&gt;sessions. The primary outcome was PHN at 90 days (3 months). Six-month incidence was evaluated as a secondary outcome. Secondary outcomes included pain intensity (NRS), quality of life assessed by the Short Form-36 (SF-36), sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI), functional disability assessed by the Pain Disability Index (PDI), neuropathic pain assessed by the Douleur Neuropathique 4 (DN4) questionnaire, rescue analgesic consumption, sensory examination findings, patient satisfaction, and adverse events.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Patients in the TPVB group demonstrated significantly lower pain scores compared with the control group at all follow-up time points from 48 h to 6 months (&lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.05). The incidence of PHN at 90 days was significantly reduced in the TPVB group compared with the control group (16% vs. 34%, &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.037). The TPVB group also showed significant improvements in quality of life (SF-36), sleep quality (PSQI), and functional disability (PDI) at 3 and 6 months (&lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.05). Neuropathic pain scores (DN4) were significantly lower at 1, 3, and 6 months, and rescue analgesic consumption was significantly reduced during the first month of follow-up (&lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.05). Patient satisfaction scores were significantly higher in the TPVB group (&lt;em&gt;P&lt;/em&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;0.033). No serious block-related complications were observed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Early ultrasound-guided thoracic paravertebral block using local anaesthetic and corticosteroid is an effective and safe adjunctive therapy for acute thoracic herpes zoster. This intervention provides superior pain control, significantly reduces the incidence of postherpetic neuralgia, and improves functional status, sleep quality, and overall qua","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502176"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646826","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":"Interacción de stent esofágico-tubo endotraqueal en una fístula traqueoesofágica: una complicación rara","authors":"I. Durmus,&nbsp;M. Bulun Yediyildiz","doi":"10.1016/j.redar.2026.502036","DOIUrl":"10.1016/j.redar.2026.502036","url":null,"abstract":"<div><div>Tracheoesophageal fistula (TEF) is a life-threatening complication that may develop following prolonged intubation. Consequently, the importance of early diagnosis and intervention cannot be overstated. In the presence of TEF, orotracheal intubation (OTI) must be performed with the utmost caution. In patients with post-intubation respiratory failure or gastric distension, it is important to consider the risk of the endotracheal tube (ETT) penetrating the esophagus through the TEF.</div><div>We describe the case of a 57-year-old female patient with a history of prolonged intubation. The ETT entered the esophagus through the TEF and abutted an esophageal stent that had been placed after the TEF diagnosis, resulting in respiratory failure. The patient improved following endoscopic evaluation and intervention.</div><div>This case illustrates a rare complication that can occur during intubation in patients with TEF.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502036"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646827","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":"Estudio de la dispersión de la tinción tras la inyección ecoguiada en el nervio femoral y en el canal aductor proximal y distal: estudio en cadáveres","authors":"S. Diwan,&nbsp;P. Mane,&nbsp;A. Gupta,&nbsp;T.S. Gugapriya,&nbsp;P.R. Jadhao,&nbsp;B. Balasubramanian","doi":"10.1016/j.redar.2026.502162","DOIUrl":"10.1016/j.redar.2026.502162","url":null,"abstract":"<div><h3>Background</h3><div>Total knee arthroplasty (TKA) is associated with significant postoperative pain. Regional analgesic techniques targeting femoral nerve (FN) and adductor canal (AC) are commonly employed; however, uncertainty persists regarding optimal injection site within the AC. Cadaveric investigations provide anatomical insights into injectate spread patterns, but their interpretation requires caution when extrapolating to clinical practice.</div></div><div><h3>Methods</h3><div>Twelve thighs from six embalmed human cadavers underwent ultrasound-guided injections of different-colored dyes, with equal volumes administered at three predefined locations: FN, proximal AC, and distal AC. Subsequent anatomical dissections were performed to assess nerve staining patterns. Injection sites and volumes were standardized to allow for comparative anatomical evaluation.</div></div><div><h3>Results</h3><div>Femoral-level injections stained the femoral nerve and its major branches. Proximal AC injections consistently stained both the saphenous nerve and nerve to vastus medialis, whereas distal canal injections predominantly stained the saphenous nerve with only variable distal obturator involvement. The vaso-adductor membrane stained consistently after proximal canal injection. No sciatic nerve staining was observed.</div></div><div><h3>Conclusion</h3><div>Equal-volume dye injections at the FN, proximal AC, and distal AC demonstrate distinct patterns of neural staining. Proximal AC injections resulted in consistent staining of both SN and NVM, whereas distal injections predominantly involved SN. These findings provide anatomical relevance regarding adductor canal block techniques but do not imply clinical superiority of any technique. Clinical correlation is required before extrapolating these observations to clinical practice.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502162"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647583","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":"Programas de recuperación intensificada en medicina perioperatoria: de la implantación a una atención inteligente guiada por datos","authors":"J.M. Ramírez,&nbsp;O. Ljungqvist","doi":"10.1016/j.redar.2026.502173","DOIUrl":"10.1016/j.redar.2026.502173","url":null,"abstract":"","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502173"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646825","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":"Vía RICA (Recuperación Intensificada de Cirugía del Adulto). Actualización 2026: Resumen ejecutivo","authors":"J.M. Ramírez-Rodríguez,&nbsp;P.M. Ruiz-López,&nbsp;J.M. Estrada-Lorenzo,&nbsp;A. Abad-Gurumeta,&nbsp;V. Bebia,&nbsp;R. Martín-Gil Parra,&nbsp;M.T. Fernández-Martín,&nbsp;B. Ugarte-Sierra,&nbsp;G. Bonaldo,&nbsp;M.J. Ocón-Bretón,&nbsp;I. Montllor-Ramoneda,&nbsp;N. Bouzó-Molina,&nbsp;A. Ribed-Sánchez,&nbsp;A. Giménez-Manzorro,&nbsp;J.A. García-Erce,&nbsp;D. Arnal-Velasco,&nbsp;H. Guadalajara-Labajo,&nbsp;J.V. Lorente-Olazábal,&nbsp;M.A. Gómez-Ríos,&nbsp;C. Ojeda-Thies,&nbsp;A. Arroyo-Sebastián","doi":"10.1016/j.redar.2026.502168","DOIUrl":"10.1016/j.redar.2026.502168","url":null,"abstract":"<div><div>The objective of the Continuous Update Project of the RICA Pathway (Enhanced Recovery After Surgery in Adults) is to maintain updated and consensual recommendations based on scientific evidence, facilitating their implementation and evaluation. The project was developed between November 2021 and October 2025, focusing on elective major surgery in adults. Evidence was evaluated using the GRADE methodology, with reviews in PubMed, Embase, and the Cochrane Library, including systematic reviews, meta-analyses, randomized clinical trials, consensus guidelines, and multicenter studies. The project was structured into a coordinating group, a consulting group, and various reviewing groups, and the recommendations were evaluated and accepted by consensus.</div><div>103 recommendations were approved, compared to 135 in the 2021 edition. 83% of these presented high or moderate evidence, and 78% had a strong grade of recommendation in favor. The recommendations were grouped into sets of measures (“bundles”) to improve their applicability.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502168"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148646831","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":"Manejo de la anemia preoperatoria en cáncer colorrectal y análisis de las estrategias perioperatorias Patient Blood Management","authors":"A. Bernardo Chávez,&nbsp;N. Bakhshaliyeva,&nbsp;A. Planas Roca,&nbsp;E. Alday Muñoz","doi":"10.1016/j.redar.2026.502174","DOIUrl":"10.1016/j.redar.2026.502174","url":null,"abstract":"<div><h3>Introduction and endpoints</h3><div>Preoperative anaemia is a common finding in patients with colorectal cancer (CRC) and is significantly associated with morbidity and mortality. Patient Blood Management Programs (PBM) have been developed to improve patient outcomes. This study aimed to evaluate the effectiveness of the Outpatient Blood Management Program (OBMP) in a tertiary hospital in Spain. The primary endpoint was to determine the percentage of patients who recover from anaemia after treatment at the OBMP. Additionally, correlations between preoperative anaemia, administered treatments, and surgical waiting times were analyzed.</div></div><div><h3>Methods</h3><div>A retrospective observational study was conducted including 537 patients who underwent surgical intervention for CRC. Demographic data, haemoglobin values at three time points (inclusion on the surgical waiting list, preoperative, and postoperative), as well as the time intervals between inclusion on the waiting list and the performance of surgery, were collected.</div></div><div><h3>Results</h3><div>The prevalence of anaemia was 43.3% at the time of inclusion on the surgical waiting list. Of the total anaemic patients, 42% received specific treatment. Treatment at the OBMP was associated with a higher recovery rate (37%) and a more significant increase in haemoglobin (1.35<!--> <!-->g/dl IC_95% [0.7-2.1] vs. 0.4<!--> <!-->g/dl IC_95% [0-1.6]). Preoperative anaemia was associated with longer surgical waiting times, higher incidence of transfusions, higher prevalence of postoperative anaemia, and prolonged hospital stays.</div></div><div><h3>Conclusion</h3><div>The OBMP offers an opportunity to improve the management of anaemia in patients undergoing surgery for CRC; however, it requires interdisciplinary coordination to minimize its impact on surgical waiting times.</div></div>","PeriodicalId":46479,"journal":{"name":"Revista Espanola de Anestesiologia y Reanimacion","volume":"73 7","pages":"Article 502174"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647589","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}