International Journal of Surgery Case Reports最新文献

{"title":"Duodenal Brunner's gland hamartoma resected using laparoscopic and endoscopic cooperative surgery: A case report.","authors":"Shota Sato, Tetsuro Kawazoe, Yasushi Tanaka, Mitsuhiko Ota, Eiji Oki, Tomoharu Yoshizumi","doi":"10.1016/j.ijscr.2024.110617","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110617","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Brunner's gland hamartoma is a rare benign duodenal tumor. Resection is recommended for large or symptomatic lesions, but conventional pancreaticoduodenectomy and other procedures can be overly invasive for the lesion. We report a case of Brunner's gland hamartoma resected using laparoscopic and endoscopic cooperative surgery (LECS).</p><p><strong>Case presentation: </strong>A 51-year-old woman was referred to our hospital with an asymptomatic duodenal tumor that had increased in size. A submucosal tumor was found on the anterior wall of the duodenal bulb during a detailed examination, and surgery was performed because the tumor was large (2 cm). In order to optimally resect the tumor, duodenal LECS (D-LECS) was selected. The resection line was determined while checking the base of the lesion with an intraoperative endoscope, and after the lesion was resected, the mucosal defect was closed using laparoscopic manipulation. Histopathological evaluation revealed Brunner's gland hyperplasia and mixed smooth muscle bundles, and the lesion was diagnosed as a Brunner's gland hamartoma. The surgery was completed without any problems, and the patient made a full recovery after the surgery with no complications such as stenosis, and no recurrence was observed.</p><p><strong>Clinical discussion: </strong>With D-LECS, the lesion can be resected without excess or deficiency, and the incision can be sutured with minimal invasiveness. D-LECS is an effective method as a treatment option for Brunner's gland hamartoma.</p><p><strong>Conclusion: </strong>We herein report a case of Brunner's gland hamartoma treated safely with a minimally invasive surgical technique: D-LECS.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110617"},"PeriodicalIF":0.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682793","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":"Catastrophic outcome following misidentification of bowel anatomy during Hartmann's reversal: A case report and technical considerations.","authors":"Asim M Almughamsi","doi":"10.1016/j.ijscr.2024.110633","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110633","url":null,"abstract":"<p><strong>Background: </strong>Reversal of Hartmann's procedure is a complex surgery with potential complications. This case report describes a rare and severe complication following an attempted reversal.</p><p><strong>Case presentation: </strong>A 53-year-old male who had undergone a Hartmann's procedure for non-metastatic sigmoid colon cancer presented with bowel obstruction 10 days after attempted reversal surgery at another hospital. Imaging studies suggested an entero-colic fistula. Emergency laparotomy revealed dense adhesions and multiple bowel injuries. The procedure was terminated, and controlled fistulae were created.</p><p><strong>Management and outcome: </strong>The patient required two months of intensive care. A subsequent surgery excised the fistulae and restored intestinal continuity, leaving the patient with an end colostomy and approximately 120 cm of ileum.</p><p><strong>Conclusion: </strong>This case highlights the potential risks of Hartmann's reversal and emphasizes the importance of proper patient selection, timing, and surgical expertise. It underscores the need for thorough preoperative evaluation and preparation when attempting such complex surgeries.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110633"},"PeriodicalIF":0.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740916","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":"Chondroid syringoma on the nasal wing: A case report in a 22-year-old male.","authors":"Bakri Roumi Jamal, Lana Sabbagh, Aya Asfari, Julie Khayat, Alaa Alzakri, Silva Ishkhanian","doi":"10.1016/j.ijscr.2024.110618","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110618","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Chondroid syringoma also referred to as a mixed tumor, is a benign and rare tumor originating from apocrine or eccrine sweat glands; it predominantly affects middle-aged men. While fine-needle aspiration cytology can aid in diagnosis, histological confirmation remains essential due to the potential for misdiagnosis.</p><p><strong>Case presentation: </strong>A-22-year-old male who presented with a solitary, slow-growing, painless, erythematous nodule on the right nasal wing that had been present for 1 year, which was misdiagnosed as an epidermal cyst. an excisional biopsy was performed and showed in histological examination foci of myxoid to cartilaginous lakes associated with glandular structures.</p><p><strong>Clinical discussion: </strong>Chondroid syringoma characterized by mesenchymal and epithelial components. Typically presenting as a painless nodule on the head and neck, CS can be misdiagnosed due to overlapping features with other lesions. Diagnosis involves fine-needle aspiration cytology and histological confirmation. The primary treatment is surgical excision.</p><p><strong>Conclusion: </strong>Chondroid syringoma has distinctive histological characteristics, which include myxoid to cartilaginous components alongside glandular structures, these features are essential for accurate differentiation from other neoplasms. Surgical excision with an adequate margin of normal tissue is the recommended treatment approach to ensure complete removal and minimize recurrence.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110618"},"PeriodicalIF":0.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682779","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":"Cysts and hematomas in the spine: Rare Entities.","authors":"Ali Msheik, Anthony Khoury, Anna-Marina Nakhl, Elie Fahed, Philippe Younes","doi":"10.1016/j.ijscr.2024.110632","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110632","url":null,"abstract":"<p><strong>Introduction: </strong>Intervertebral discs are part of the vertebral column and are considered the pads that help in cushioning and flexibility. These discs consist of nucleus pulposus, annulus fibrosus, and cartilage end plate and their major functions include spinal motion and loading. However, they are prone to numerous pathologies such as intradiscal hematoma and discal cyst formation that may significantly alter the biomechanics of the spine and hence the quality of life of the patient. This case report aims to shed light on these rare pathologies.</p><p><strong>Case presentation: </strong>The following is a report on two cases demonstrating the difficulties in managing patients with intradiscal hematoma and discal cysts. Both cases are non-traumatic. The first case includes a 23-year-old male patient with right-sided lumbosacral pain unresponsive to conservative measures diagnosed with intradiscal hematoma using MRI. The second case concerns a 21-year-old male with left lumbar cruralgia following a motor vehicle accident. Conservative management at the onset helped to give a short time relief and when it relapsed it led to the diagnosis of an extradural compressive cyst that called for surgery.</p><p><strong>Discussion: </strong>An intradiscal hematoma provokes severe pain increasing with intraspinal pressure. Discal cysts, which are more frequent in young people, most likely manifest clinical signs of disc herniations. The pathophysiological theories may include the presence of hematomas or a gradual degenerative process due to mechanical stress. An MRI scan is essential for correct diagnosis and developing a proper treatment strategy for both diseases. The management of the condition includes medical treatment, physical therapy, injections, and surgical procedures for chronic cases.</p><p><strong>Conclusion: </strong>The diagnosis and management of intervertebral disc pathology is quite challenging. The first case presents the deficiency of minimizing conservative approach in the management of intradiscal hematomas while the second case demonstrates the propensity for symptom reappearance in discal cysts and therefore the effectiveness of surgical management. MRI and other forms of imaging are vital in the diagnosis of the disease and in planning treatment. Science has embarked on the exploration of the exact causes of these diseases to enhance the lives of patients and the efficiency of the management of such illnesses.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110632"},"PeriodicalIF":0.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711565","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":"Inguinal swelling unveiling biphasic synovial sarcoma: A case report.","authors":"Faten Limaiem, Mohamed Hajri, Neirouz Kammoun, Taher Laabidi, Zied Hadrich, Nidhameddine Kchir","doi":"10.1016/j.ijscr.2024.110630","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110630","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Synovial sarcoma is a high-grade soft tissue sarcoma primarily affecting teenagers and young adults. Inguinal region involvement is rare, making diagnosis and treatment challenging.</p><p><strong>Case presentation: </strong>A 35-year-old Tunisian man presented with a progressively enlarging right inguinal swelling. Imaging revealed a mass behind the inguinal ligament, confirmed as biphasic synovial sarcoma through biopsy. The patient underwent successful surgery with clear resection margins. Histopathological examination revealed a biphasic sarcoma with spindle cell and glandular components, supporting the diagnosis of synovial sarcoma. Following surgery, the patient received adjuvant radiotherapy. Regular outpatient follow-up is being conducted to monitor progress.</p><p><strong>Clinical discussion: </strong>Synovial sarcoma is characterized by slow growth and local invasiveness, with potential for metastasis. It typically presents as a solid mass that can compress nearby structures such as blood vessels. Imaging studies offer valuable insights into tumor location, size, invasiveness, and potential metastases. Local tumor staging relies on MRI, while distant metastases are detected using chest CT or bone scans. Diagnosis is confirmed through histopathological examination and immunohistochemical analysis.</p><p><strong>Conclusions: </strong>This case report highlights a rare presentation of inguinal synovial sarcoma and emphasizes the importance of individualized multimodal therapy in its management.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110630"},"PeriodicalIF":0.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682727","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":"Management challenges of a giant retroperitoneal liposarcoma: A case report and review of the literature.","authors":"Alex Mremi, Godwin Silas Macheku, Adam Pastory Mondea, Adnan Sadiq, Lobulu Vincent Mesarieki","doi":"10.1016/j.ijscr.2024.110629","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110629","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Atypical lipomatous tumor/well differentiated liposarcoma (ATL/WDL) is an intermediate, locally aggressive malignant mesenchymal neoplasm composed either entirely or in part of a mature adipocytic proliferation showing significant variation in cell size and at least focal nuclear atypia in both adipocytes and stromal cells. Symptoms related to these tumors depend on the anatomic site.</p><p><strong>Case presentation: </strong>A 61-year-old female presented with a long-standing worsening abdominal distension. Her vital signs and blood workup tests were within normal ranges. CT scans revealed a gigantic soft tissue mass occupying the entire abdominal cavity, displacing visceral organs. An en block surgical resection was attempted. Histopathology report confirmed the diagnosis of ALT/WDL, incompletely excised. Postoperative period was uneventful. To date, a year of close follow-up has passed; she remains disease-free.</p><p><strong>Clinical discussion: </strong>The most important prognostic factor includes anatomic location and tumor size. These tumors do not metastasize unless they dedifferentiate, which is associated with significantly shorter overall survival. Subcutaneous or intramuscular tumors may recur but typically do not dedifferentiate or metastasize. The risk of dedifferentiation is directly related to location and duration of growth. Wide local excision with negative margins is curative. The efficacy and safety of further therapeutic choices, such as chemotherapy and radiotherapy, are still controversial.</p><p><strong>Conclusion: </strong>As clinicians, it is important that we have a thorough understanding of the clinico-pathology, diagnosis, treatment, and prognosis of this tumor. Regular follow-up is important after treatment due to the risk of recurrence.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110629"},"PeriodicalIF":0.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682730","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":"Non-melanoma skin cancer in the context of albinism with an associated facial nerve palsy.","authors":"Zilefac Brian Ngokwe, Ntep Ntep David Bienvenue, Nokam Kamdem Stephane, Kouamou Tchiekou Audrey, Bengondo Messanga Charles","doi":"10.1016/j.ijscr.2024.110628","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110628","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Albinism, or the loss of pigment formation by otherwise healthy melanocytes, is quite common in Sub-Saharan Africa and is most likely caused by consanguinity. The sun's ultraviolet (UV) radiation and albinism have been both related to non-melanoma skin cancer (NMSC). Non-melanoma skin cancer (NMSC) and melanoma are the two main types of skin cancer. NMSC accounts for the large majority of all skin cancers, they are located in parts of the body that are chronically exposed to sunlight, such as the head, face, neck, and dorsum of the hand.</p><p><strong>Case presentation: </strong>We present a case of NMSC in a female person with albinism (PWA) presenting with a left facial ulceration and right facial deviation accompanied by intense pain.</p><p><strong>Clinical discussion: </strong>The face is home to several vital structures including the facial nerve, which when affected by a tumoral aetiology, albeit uncommon could lead to facial nerve palsy having consequences such as facial appearance changes with potential negative psychosocial effects adding to the weight of the tumour.</p><p><strong>Conclusion: </strong>Increase awareness of NMSCs and its risk factors, as well early diagnosis and treatment is of the essence and can help reduce morbidity and mortality.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110628"},"PeriodicalIF":0.6,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689359","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":"Non-traumatic true superficial temporal artery aneurysm. A rare condition with precise pathological features.","authors":"Isam Alrahbi, Mohammed Alsibani, Nabila Aljulandani","doi":"10.1016/j.ijscr.2024.110574","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110574","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Non-Traumatic True superficial temporal artery (STA) aneurysm is a very rare condition. Only around 63 cases have been reported in the literature up to date [1]. Unfortunately, most of published cases lack proper pathological description. Moreover, researchers found that 12.5 % of true STA aneurysms were associated with risk of co-existing other sites' vascular lesions [2,3]. In this paper, we are going to describe case of Non-traumatic true STA aneurysm and illustrate detailed pathological description.</p><p><strong>Case scenario: </strong>A 31-year-old man presented with a painless lump over the left temporal region of one year's duration. The lump was 2 × 2 cm expansile and pulsated. Doppler ultrasound confirmed the diagnosis of STA aneurysm and 3D CT angiography used to rule out other vascular lesions. Aneurysmectomy was performed. Histologic examination revealed three layer of the arterial wall.</p><p><strong>Clinical discussion: </strong>Pulsatile swelling over the temporal region is the common presentation of Non-Traumatic True STA. Further evaluation by 3D CT angiography is crucial to rule out other sites' aneurysms. In untreated NT STA there will be 1.6 % risk of hemorrhagic rupture [1].</p><p><strong>Conclusion: </strong>To the best of our knowledge, this is one of few case reports with detailed histologically finding verified true (spontaneous) STA aneurysm. This case report sought to raise the awareness for proper evaluation of head swelling along with management interventions and follow up.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110574"},"PeriodicalIF":0.6,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693719","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":"Burkitt's lymphoma with multi-organ involvement.","authors":"Mohadeseh Karimi, Seyed Abdollah Mousavi","doi":"10.1016/j.ijscr.2024.110619","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110619","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Burkitt's lymphoma (BL) is an aggressive and rapidly growing B-cell non-Hodgkin lymphoma (NHL) with high rates of extranodal involvement. Primary gastrointestinal lymphomas represent a rare entity with less than 2 % of small intestinal malignancies.</p><p><strong>Case presentation: </strong>The patient was a 34-year-old man known case of sickle cell trait, presented with abdominal pain, anorexia, nausea, vomiting, constipation, and weight loss of 5 kg during three weeks. The vital signs were within normal ranges. His physical examination revealed abdominal tenderness on the right lower quadrant. Abdominal CT scan showed severe abdominopelvic ascites with ileocecal mass and nodular thickening of the parietal peritoneum. The patient underwent a cecum mass with peritoneal mass resection and appendectomy. In histopathology, Burkitt's lymphoma with peritoneal, omentum, and appendix involvement was diagnosed. For further evaluation, the patient underwent a bone marrow trephine biopsy that was involved. Finally, the patient was diagnosed with Burkitt's lymphoma with multi-organ involvement.</p><p><strong>Clinical discussion: </strong>Patients with sporadic BL often present with advanced-stage disease due to the short doubling time of the tumor. In histopathology, the lymph node architecture effaces completely with starry sky appearance. The GI wall thickening and lumen Stenosis are common in cases with gastrointestinal Lymphoma.</p><p><strong>Conclusion: </strong>We report a rare case of BL with multi-organs involvement such as cecum, appendix, peritoneum, omentum, and bone marrow. This case report highlights the importance of clinicopathologic correlation in the diagnosis of BL in daily practice.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110619"},"PeriodicalIF":0.6,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695812","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":"Nanocarbon localization and 68Ga-DOTA-NOC scan in the diagnosis and management of neuroendocrine tumors (NETs): A case report.","authors":"Ke Wang, Chengshuai Si, Peng Shao, Yuepeng Cao, Jin Zhang, Liu Yang","doi":"10.1016/j.ijscr.2024.110624","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110624","url":null,"abstract":"<p><strong>Introduction: </strong>Reports of rectal neuroendocrine tumor (R-NET) are relatively rare. There is a lack of experience in how to accurately locate and resect metastatic lateral lymph nodes.</p><p><strong>Case presentation: </strong>We present a challenging case. The patient was diagnosed with rectal neuroendocrine tumor. After endoscopic submucosal dissection (ESD), this patient came to hospital for reexamination. The imaging results indicated the presence of left lateral lymph node metastasis, so total mesorectal excision (TME) plus lateral lymph node dissection(LLND) was performed. One year later, PET-CT was reexamined again, using a contrast agent targeted at somatostatin receptor. The result showed residual metastatic lymph nodes. We used nanocarbon combined with coil to accurately locate the metastatic lymph nodes and finally successfully resected the lymph node. The patient recovered and was discharged 5 days after the operation.</p><p><strong>Discussion: </strong>Surgery is the most effective method for treating rectal neuroendocrine tumors. However, it is still challenging to accurately detect and locate metastatic lymph nodes after surgery. 68Ga-DOTA-NOC is a special contrast agent that targets somatostatin receptors, and somatostatin receptors are highly expressed in NETs. Using it can clearly trace whether the lateral lymph nodes are metastasized. Nanocarbon localization has been used for the localization of various tumors. We combined it with coils and effectively located the metastatic lymph nodes. This localization method has great potential.</p><p><strong>Conclusion: </strong>Surgical resection is the most effective way to treat rectal neuroendocrine tumors. Nanocarbon combined with coils can effectively locate metastatic lymph nodes, which is helpful for accurate resection later. And 68Ga-DOTA-NOC can assist in detection of metastatic lymph nodes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110624"},"PeriodicalIF":0.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677288","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}