Scholars journal of applied medical sciences最新文献

{"title":"The Antimicrobial Resistance of Staphylococcus Haemolyticus Isolated from Patients in Taif, Saudi Arabia","authors":"Khalid Atiah Alharthi, Anas S Dablool, Mohammad M Sarhan, Abdulmoghni Eidah, Fayez Saeed Bahwerth, Saad Alghamdi","doi":"10.36347/sjams.2023.v11i11.004","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i11.004","url":null,"abstract":"Background: The spread of antibiotic-resistance genes in ecosystems has led to the emergence of antibiotic- resistant bacteria, leading to various antibiotic-resistant diseases worldwide. Materials and methods: This study aimed to characterize mute-drug resistant Staphylococci isolates from urine and wounds. We obtained 400 bacterial isolates that were tested for their pathogenicity through cultivation on blood agar, Vitek instrument was used for characterization of different antibiotic sensitivity, while PCR was used to detect the resistance gene. Excel and SPSS were used to analyze the data. All samples were obtained after institutional ethics review and participant's-consents Result: Of 400 160=40% females, 60%=240 were males) isolates were carried out from. Out of 1640 twenty-one were beta-hemolysis almost of them were described as extensive Multi-drug resistant isolates were 4(21) as they resist 10 antibiotics, 1(21) resist nine antibiotics, 7(21) resist eight antibiotics, 3(21) against seven, 2(21) six antibiotics, 2(21) resist five antibiotics,1(21) resist four antibiotic and 1(21) resist two antibiotics. These twenty-one were positive in mecA gene amplification through PCR technique but negative for the Vancomycin resistance gene. Conclusion: There are high mecA genes among clinical isolates in our study further studies with a high sample size Staphylococcus haemolyticous is recommended.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"66 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135545799","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":"An Assessment of Student's Perception of Learning Anatomy and Virtual Tools among Bangladeshi Medical Undergraduates","authors":"Afshan Jesmin Alim, Lubna Shirin, Mohammed Shahjahan Kabir","doi":"10.36347/sjams.2023.v11i11.006","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i11.006","url":null,"abstract":"Introduction: The rapid advancement of virtual tools in medical education has led to a debate on the most effective methods for teaching anatomy to medical students. This study aimed to assess the perceptions of first-year medical students in Bangladesh regarding traditional cadaveric and modern virtual methods in anatomy education. Methods: This cross-sectional descriptive and analytical study was conducted among 110 first-year medical students from two medical colleges in Dhaka, Bangladesh. A pre-tested, open-ended questionnaire was administered to collect data on demographic characteristics, student preferences in anatomy learning, and their level of agreement on the use of traditional and virtual methods. Non-parametric statistical tests were performed to evaluate score differences between teaching methods. Result: The study revealed a strong preference for a blended approach, integrating both cadaveric and virtual methods. Cadaveric methods were predominantly favored for tasks requiring a deep understanding of anatomical structures (76.36%), while virtual methods were preferred for understanding the anatomical basis of functional consequences (60.91%). A significant number of students strongly agreed that cadaveric dissection is vital in anatomy learning (29.09%). Conclusion: The study suggests that both traditional cadaveric and modern virtual methods have unique strengths and weaknesses in anatomy education. A blended approach, integrating both methods, could offer the most comprehensive learning experience for students. The findings have implications for curriculum designers, educators, and policymakers in medical education.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"66 S5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135545797","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":"Seroprevalence of Viral Hepatitis C on Donations of Blood at Moulay Ismail Military Hospital in Meknes","authors":"Bouchra El Maliki, Rabii Elbahraouy, Morad Belaouni, Mohammed Sbiti, Mohammed Er-rami, Mustapha Cheguri, Lhoussain Louzi, Khalid Lahmadi","doi":"10.36347/sjams.2023.v11i11.002","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i11.002","url":null,"abstract":"Introduction: Hepatitis C is an infection with hepatocellular tropism, transmitted by the hepatitis C virus via fecal-oral, parenteral or mother-to-child transmission. Her active chronic carriage may be the cause of cirrhosis. Objective: The purpose of this study was to determine the seroprevalence of HCV in blood donations collected at the Moulay Ismail military hospital in Meknes in order to protect the recipients. Material and Methods: This is a retrospective study of 8639 military blood donors. All donors have gone through a pre-screening stage involving an anamnesis and pre-donation clinical examination associated with a biological screening performed by the 4th generation recombinant ELISA and confirmed on the Abott Architect system. Result: The study is focused on 8639 blood donors, mostly male, with extreme ages of 18 to 56 years. We found an HCV seroprevalence of 0.17%. No case of co-infection has been recorded. Discussion and conclusion: The HCV seroprevalence rate in our series remains relatively low in comparison with the data of the literature, this could be related to the campaigns of sensitization, to the exposure of the preventive measures for the military population as well as to the success of the pre-selection stage at Moulay Ismail hospital in Meknes.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"31 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135725747","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":"Depression in Working Professionals – A Systematic Review of the Literature","authors":"Shriya Das","doi":"10.36347/sjams.2023.v11i11.001","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i11.001","url":null,"abstract":"Introduction: Workplace depression is a debilitating public health issue with far-reaching impacts on employees, employers, and organizations. Depression among working professionals is on the rise, and is a direct and indirect threat to the overall health and well-being of the employees, the productivity of the organizations, and the economic progress of the nations as a whole. This systematic review synthesizes evidence from the existing literature regarding workplace depression and the factors implicated in the development of depression in this population. Methods: The author conducted a search on electronic research databases including PubMed/MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar, without language restrictions. The studies published within the last 20 years were screened based on the title and abstract. The data extraction of the eligible studies included measures of mental health symptoms, screening (If included), work-related adverse outcomes, work-related satisfaction outcomes, quality of life, help- seeking behavior, risk factors, protective factors, and non-work-related factors. The health risk factors or health- related behaviors associated with workplace depression include overweight or obesity, daily tobacco or cigarette smoking, sleep duration, alcohol consumption, low physical activity, diagnosis of diabetes mellitus, diagnosis of other chronic conditions, and overall poor health status. Results: The development of depression in working professionals is a complex and multifaceted interplay of personal, work-related, and health risk factors of varying degrees. The personal risk factors comprise age, gender, having a partner at home, being a family caregiver, diagnosis of a chronic illness, having children at home, history of recurrent depression, low education level, widowed or divorced status, and history of diabetes mellitus. The workplace factors include role conflict, procedural injustice, .....","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"32 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135725864","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 Status of Patients with Type 2 Diabetes Patients at the Time of the Diagnosis","authors":"Rumana Ferdous, Sumayra Jhumu, Humayra Rumu, Md. Mamunur Rahman, Mohammad Rashedul Islam Akand","doi":"10.36347/sjams.2023.v11i10.016","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.016","url":null,"abstract":"Background: Since patients with type 2diabetes are frequently misdiagnosed, provided inappropriate management, or poorly controlled, it is important to comprehend the wide range of clinical signs and symptoms associated with diabetes. Therefore, this study evaluated the overall clinical manifestations of patients with type 2 diabetes patients at the time of the diagnosis. Methods: This cross-sectional analytical study, conducted from January 2019 to December 2019, was a collaborative effort between the Department of Physiology at Rajshahi Medical College and Diabetic Association Hospital in Rajshahi. The primary aim was to investigate diabetes mellitus (DM) among patients presenting clinical symptoms suggestive of DM at the hospital's outpatient department (OPD). Following initial assessment, patients underwent an oral glucose tolerance test (OGTT) for definitive diagnosis. Once DM was confirmed, subjects were meticulously screened based on specific inclusion and exclusion criteria. Study group A comprised 80 diabetic subjects, while study group B included an equal number of age- and sex-matched non-diabetic subjects, drawn from hospital staff, patients' relatives, and volunteers, resulting in 80 participants in each group. Results: The study findings showed that overall mean age of the respondents were 52.61±7.70 years and majority were female. In DM2 group among all, a little higher of 4/5th (85%) of the respondents were non smoker and 4/5th (80%) were non tobacco user. Among the respondents only 4 of them were alcoholic. In DM group, the mean SBP was 128.88 mm HG with SD of 10.93 and the mean DBP was 78.25 with SD of 10.70. Plus, according to the measured systolic blood pressure 39 of the respondents belonged to normal, 95 showed prehypertensive and 26 showed hypertensive systolic blood pressure were found DM2 group. Besides that, high level of serum creatinine and serum uric level are seen in DM2 group comparing healthy group. Conclusion: This study ...........","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"135 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135931675","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":"Technical and Therapeutic Results of the NLPC in the Treatment of Kidney Stones: Experience of the Urology Department of Military Instruction Hospital Mohammed V of Rabat: About 738 Cases","authors":"El Bahri Abdessamad, Jamali Mounir, Hamdoun Laarbi, Lamghari Aziz, Boukhlifi Youness, Louardi Nabil, Alami Mohammed, Ameur Ahmed","doi":"10.36347/sjams.2023.v11i10.015","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.015","url":null,"abstract":"Introduction: Percutaneous nephrolithotomy (PNLT) is a minimally invasive surgical technique for the treatment of large kidney stones. The aim of this study was to determine the place of NLPC in the treatment of renal lithiasis. Materials and Methods: In this retrospective study, we present our experience 738 cas de néphrolithotomie percutanée réalisés chez 646 patients dans le service d'urologie de l'hôpital militaire d'instruction Mohammed V de Rabat entre Janvier 2004 et décembre 2022. Results: There were 387 males and 259 females, the mean age of our patients was 46.1 years (11 - 70) with a sex ratio of 1.58. The lithiasis was pyloric in 322 cases (49.6%), inferior calcific in 189 cases (29%) and coralliform in 73 cases (11%). The therapeutic efficacy of NLPC was assessed at one and three months. 67.7% of our patients were stone free. The main complications we encountered were haemorrhage (36 cases). Conclusion: NLPC has become the treatment of choice for pyelic, calcific and pyelocalcific calculi unresponsive to LEC. It has supplanted open surgery. Technological innovation and the ingenuity of urologists have improved efficacy and reduced morbidity.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"47 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136106674","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":"Spontaneous Coronary Dissection: Practical Management about 3 Cases","authors":"M. A. Bouraghda, S. Zighoud, M. A. Bouzid, Y. Bououdina, W. Takdemt","doi":"10.36347/sjams.2023.v11i10.014","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.014","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is an acute coronary event related to the development of a hematoma in the media, leading to separation of the intima or intima-media complex from the underlying vessel, thus compressing the true lumen, causing ischemia and myocardial infarction. It usually occurs in middle-aged women with few or no cardiovascular risk factors. Coronary angiography can make the diagnosis in most cases, and endocoronary imaging is reserved for ambiguous cases. There is currently no randomized controlled trial comparing the different management strategies for spontaneous coronary dissections (conservative approach, coronary revascularization strategies including percutaneous coronary intervention and coronary artery bypass grafting). Current practice is therefore based on case observations and registries on clinical experience and on extrapolation (when applicable) of guidelines for the treatment of acute coronary syndrome.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"140 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136157276","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":"Cervix uterine Cancer with Axillary and Neck Lymph Node Metastasis: An Unusual Finding","authors":"Alice Wendpanga Sorgho, C. El Alouani, M Khouchani, S.I.R Soulama, F.E. Hazmiri, A. Ismail, H. Rais, H. Fennane, Y. Msougar","doi":"10.36347/sjams.2023.v11i10.012","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.012","url":null,"abstract":"Background: Cervix uterii cancer is the fourth most common female malignancy. It commonly spreads by direct extension or lymphatic dissemination within the pelvis into the regional lymph nodes. Distant lymph node metastasis remains exeptionnal. To our knowledge, synchronous cervical and axillary lymph node metastasis from cervix cancer have never been reported. Here we report a case of cervical and axillary lymph node metastasis from cervix uterii cancer. Case presentation: A 51-year-old woman diagnosed with cervix uterii cancer and treated with cocomitant chemoradiotherapy, presented 8 months after the initial diagnosis multiple round masses located at the left side of her neck. F-18 FDG PET/CT revealed pathological axillary and neck lymph nodes. Histopathology and immunohistochemistry confirmed the metastatic nature of the lymph nodes. the patient underwent lymph node dissection before undergoing chemotherapy, followed by radiotherapy to the affected cervical and axillary lymph nodes. Conclusions: Metastases from the uterine cervix to the neck lymph nodes are extremely uncommon. Lymphatic drainage and the lymph node jump phenomenon can explain the possible mode of cervical cancer tumor cell spread to the neck area. The mechanism of axillary lymph node metastasis from cervix uterii cancer can be explained by the communication between neck lymph nodes and axillary lymph nodes due to the alteration of the centripetal flow causing a retrograd spread. Distant lymph node metastasis in cervix uterii cancer are associated with a poor prognosis.","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"66 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136317868","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":"Prevalence of Skin Cancer in Chronic Arsenicosis in Chittagong Medical College Hospital, Bangladesh","authors":"Mansurul Alam, Saroj Kanti Singh Hazari, A.S.M. Towhidul Alam, Saima Alam, Khohinur Nahar Chowdhury, Tafikur Nahar, Aymn Jahangir Selim","doi":"10.36347/sjams.2023.v11i10.011","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.011","url":null,"abstract":"A descriptive study was done in the Department of Dermatology and Venereology; Chittagong Medical College Hospital, Chittagong, during the period of July 2004 to June 2008, to find out the prevalence of skin cancer among various skin manifestations of chronic arsenicosis. All suspected patients of chronic arsenicosis coming from endemic zones of Bangladesh were the study population. A total number of 234 patients of chronic arsenicosis were included in this study. The patients were diagnosed by physical examination and by estimation of arsenic level of scalp hair. The majority of the patients came from Noakhali, Chitagong, Feni, Laxmipur, Comilla and Chandpur districts. The mean age of the patients was 27.80 years ± 10.22 SD (Range: 12-70 years). About 70% patients were around 30 years of age. The male & female ratio was 1.9: 1. Most of them came from average socio-economic status. About 28.6 % patients were students, while about 25% patients were daily labour. 94 % patients used tube well as drinking water source. 12.8o patients had family history of chronic arsenicosis and about 19% patients took alternative medicines (homeopathic /kobirajee) for treatment of the same or other illness. The cent percent patients presented with hypo and hipermelanosis (rain drop pigmentation), while 90,6 % patients were with hyperkeratosis in palms and soles. The measurement of arsenic in scalp hair was done. The mean arsenic level of scalp hair was found to be 2.63 1.39 SD (range: 2.0 - 17.6 mg/kg). Skin biopsy for histopathology was done for suspected patients and skin lesions of 21.4% patients were detected as arsenical keratosis. Among the total patients, 6 (six) patients were found to develop skin cancers (2.6 %). Among them, 3 patients developed Squamous Cell Carcinoma (SCC), 1 patient developed Basal Cell Carcinoma (BCC), while Bowen's disease and Melanoma was found in I patient each. Regarding treatment response, about 48% patients showed good response with topical ........","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"21 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136317864","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":"Efficacy and Safety of Nifedipine as a Tocolytic Drug for the Treatment of Preterm Labour: Comparison with Levosalbutamol","authors":"Mousumee Mondal, Rehana Parven, Mst. Marzina Khatun, Sharifa Begum, Shadia Sharmin Sultana","doi":"10.36347/sjams.2023.v11i10.013","DOIUrl":"https://doi.org/10.36347/sjams.2023.v11i10.013","url":null,"abstract":"Background: The rising prevalence of preterm birth is a significant public health concern. This study aimed to assess the efficacy and safety of the calcium channel blocker Nifedipine compared to the β2 agonist Levosalbutamol for inhibiting uterine contractions in early preterm labor, with a focus on maternal side effects and perinatal outcomes. Methods: A randomized clinical trial was conducted at Rajshahi Medical College Hospital over one year, involving pregnant women experiencing early preterm labor (24-36 weeks gestation, regular uterine contractions, cervical dilation 1-3 cm). a total N=66 patients were randomly assigned to receive either Nifedipine (Experimental group) or Levosalbutamol (Control group). Primary maternal outcomes included tocolysis, time to tocolysis, prolongation of pregnancy by ≥2 days, and delivery at term. Secondary perinatal outcomes included birth asphyxia, perinatal mortality, and the need for emergency NICU admission. Secondary maternal outcomes included side effects such as headache, hypotension, nausea/vomiting, and tachycardia. Results: Over 90% of patients in the Nifedipine group achieved tocolysis compared to 72.7% in the Levosalbutamol group (p = 0.054). Nifedipine achieved significantly faster tocolysis (8.7 hours vs. 29.3 hours, p < 0.001). The Experimental group showed higher rates of arresting preterm labor for ≥2 days and lower rates of preterm delivery. Maternal side effects were lower for headache but higher for hypotension and nausea/vomiting in the Nifedipine group. Tachycardia occurred in the Control group but not the Experimental group. Both groups had low rates of birth asphyxia. Perinatal mortality was lower in the Experimental group, and NICU admission was less frequent. Conclusion: Nifedipine demonstrated superior efficacy over Levosalbutamol in terms of tocolysis, time to tocolysis, prolongation of pregnancy, delivery at term, with fewer maternal side effects and improved perinatal outcomes in pregnant women .....","PeriodicalId":471520,"journal":{"name":"Scholars journal of applied medical sciences","volume":"45 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136317861","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}