Pan African Medical Journal最新文献

{"title":"Retraction: \"Sudden transient blindness following ureteroscopy: an uncommon complication of a common procedure (a case report) (Pan African Medical Journal. 2024;47:201. doi: 10.11604/pamj.2024.47.201.42952)\".","authors":"","doi":"10.11604/pamj.2024.48.167.43984","DOIUrl":"10.11604/pamj.2024.48.167.43984","url":null,"abstract":"<p><p>[This retracts the article DOI: 10.11604/pamj.2024.47.201.42952.].</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401625","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":"Tuberculous otomastoiditis in children complicated by homolateral sigmoid sinus thrombosis: a case report.","authors":"Fadoua Ouzidan, Najib Benmansour, Mohammed Ridal, Mohamed Noureddine El Amine El Alami","doi":"10.11604/pamj.2024.48.100.44240","DOIUrl":"10.11604/pamj.2024.48.100.44240","url":null,"abstract":"<p><p>Tuberculosis is a major public health problem in Morocco and most of the developing countries but tuberculous otomastoiditis is quite rare. Here we report a case where a seven-year-old patient had chronic right otomastoiditis and retro-auricular fistula, whose specificity is its persistence after prolonged unsuccessful medical and surgical therapy for more than 2 months, and its complication by homolateral sigmoid sinus thrombosis. Computed Tomography (CT) scan of temporal bones showed complete destruction of right mastoid cells and a hypodense complement in the right middle ear. A right drainage through the retro auricular fistula with mastoid bone biopsy confirmed the tuberculous otomastoiditis diagnosis. The clinical and radiological outcome was favorable after anti-tuberculosis treatment for 6 months. Tuberculosis otomastoiditis is well described in the literature. However, its very low incidence often impedes consideration when faced with these latent infections. This is more so the case when concomitant pulmonary symptoms are absent. Thus, the importance of such publications is a reminder to think beyond the frequent diagnosis and prevent serious complications due to delayed treatment.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569697","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":"Associations of anaemia with blood pressure in women of reproductive age: a cross-sectional study in Johannesburg, South Africa.","authors":"Xolisa Nxele, Elizabeth Symington","doi":"10.11604/pamj.2024.48.99.43763","DOIUrl":"10.11604/pamj.2024.48.99.43763","url":null,"abstract":"<p><strong>Introduction: </strong>South Africa has approximately 8.45 million adults living with human immunodeficiency virus (HIV) with women being higher at risk. Anaemia is proportional to HIV severity and a predictor for cardiovascular disease. In this study, we aimed to determine associations between anaemia, HIV, and blood pressure among women of childbearing age in Roodepoort, a suburb within the city of Johannesburg.</p><p><strong>Methods: </strong>in this cross-sectional study premenopausal women were recruited from a primary healthcare facility, Johannesburg. Socio-demographics, lifestyle behaviours, and medical history, including HIV status, were collected. Anthropometrical measurements and blood pressure (BP) were obtained, and venous blood was drawn to determine hemoglobin (Hb) concentration. Multiple and logistic regression analyses were performed to determine the association between hemoglobin (Hb), HIV and blood pressure (BP).</p><p><strong>Results: </strong>of 228 women, 72% were pregnant and 22% HIV positive. Pregnant women had lower BP (SPB: 104 ± 11 vs 115 ± 11 mmHg, p<0.001; diastolic BP (DBP): 68 ± 8 vs 80±10 mmHg, p<0.001) compared to non-pregnant women. Hb levels were lower among HIV positive compared to HIV negative participants (11.4 ± 1.6 vs 12.1 ± 1.4 g/dL, p=0.010). More HIV positive women were classified as anaemic (37% vs 16%, p=0.003). In unadjusted multiple linear models, Hb concentration was associated with systolic blood pressure (SBP) (β 1.20 (95% CI, 0.28, 2.33), p=0.013) and DBP (β 1.94 (95% CI, 1.08,2.80) p<0.001), and in unadjusted logistic regression models, women with anaemia had increased odds for hypertension (OR 1.18 (95% CI, 1.20, 2.80), p=0.006). However, in both cases, significance was lost when adjusting for covariates.</p><p><strong>Conclusion: </strong>the results suggest anaemia may be a risk factor for hypertension and should be investigated in larger, homogenous samples.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569378","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":"Practice of COVID-19 prevention measures and its factors in long-distance truck drivers of Tigray.","authors":"Aregawi Gebreyesus, Asqual Gebreslase","doi":"10.11604/pamj.2024.48.96.40378","DOIUrl":"10.11604/pamj.2024.48.96.40378","url":null,"abstract":"<p><strong>Introduction: </strong>long-distance truck drivers are a population group that moves in and out of a country and can meet with different individuals and can easily expose to COVID-19. Therefore, this study aimed to assess the level of practice and associated factors towards COVID-19 prevention measures in long-distance truck drivers of Tigray.</p><p><strong>Methods: </strong>this is a cross-sectional study conducted on 350 long-distance truck drivers recruited by systematic random sampling in the Mekelle entry point from July 5^th to July 20^th 2020. Variables with a p-value ≤0.30 in the bivariate regression analysis were entered into the final model of logistic regression to recognize factors. All associations with the practice of COVID-19 prevention were tested for statistical significance with alpha set at the 0.05 level.</p><p><strong>Results: </strong>around 293 (83.7%) with a 95% CI of (79.7-87.6%) of the long-distance truck drivers who participated in this study had good practice towards COVID-19 prevention measures. Having a previous test for COVID-19 is positively significantly associated with good practice towards COVID-19 prevention methods. However, individuals who had a history of COVID-19-like symptoms in the last four months and who have non-communicable diseases are 78% and 84% of the time less likely to practice COVID-19 prevention measures respectively.</p><p><strong>Conclusion: </strong>based on this study, the practice of COVID-19 prevention measures among the long-distance truck drivers of Tigray was very good. The results of this study suggest that more emphasis should be placed on drivers who have non-communicable diseases and providing COVID-19-like symptoms to the drivers.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569686","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":"Determinants of mortality among neonates admitted to neonatal intensive care unit at public hospitals, in the Somali region, eastern Ethiopia: unmatched case-control study.","authors":"Zemenu Shiferaw Yadita, Elias Balcha, Semehal Haile Yohannes, Liyew Mekonen Ayehubizu","doi":"10.11604/pamj.2024.48.97.34341","DOIUrl":"10.11604/pamj.2024.48.97.34341","url":null,"abstract":"<p><strong>Introduction: </strong>neonatal death is a global issue in both developed and developing countries. Evidence on determinants of neonatal mortality is scarce, particularly in the pastoralist and agro-pastoralist areas of Ethiopia, including the Somali region. This study aimed to identify the determinants of mortality among neonates admitted to neonatal intensive care units at selected public hospitals, in the Somali region, eastern Ethiopia.</p><p><strong>Methods: </strong>an unmatched case-control study design was employed from January 1^st-30^th, 2020. The total sample size was 312 neonates (156 cases and 156 controls) who were admitted to the neonatal intensive care unit from January 2018 to December 30^th, 2019. A simple random sampling technique was used to select neonates. The data were collected by a structured checklist. Data entry and analysis were done by EpiData version 4.6 and SPSS version 23, respectively. Binary logistic regression using bivariate and multivariable analysis was done to identify determinants. Odds ratios were computed at 95% CI and a P value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>a total of 310 neonates with complete medical charts (155 cases and 155 control) were included in the study. Lack of antenatal care (AOR 4.71; 95%CI: 1.41-15.75), rural residence (AOR=8.38; 95%CI: 2.22-31.69), premature rupture of membrane (AOR=4.29; 95%CI: 1.21-15.19), five-minutes APGAR score below-seven (AOR=9.87; 95%CI: 2.30-42.33), prenatal asphyxia (AOR=14.71; 95%CI: 2.79-77.33) and length of hospital stay ≤3 days (AOR=15.09; 95%CI: 2.89-78.62) were significantly associated with neonatal mortality.</p><p><strong>Conclusion: </strong>this study identifies rural residence, lack of antenatal care, premature rupture of membranes, low APGAR scores, prenatal asphyxia, and short hospital stays as determinants. Hence, improving access to basic health services such as antenatal care and early screening for pregnant mothers and newborns is critical. By prioritizing these interventions, healthcare systems can effectively work towards reducing neonatal mortality rates, ultimately improving the health outcomes of infants and their mothers.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569569","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":"Differentials in lifestyle practices and determinants among hypertensive adults from three geopolitical zones in Nigeria.","authors":"Mobolaji Modinat Salawu, Justice Enosetale Erakhaiwu, Eniola Adetola Bamgboye, Rabiu Ibrahim Jalo, Okechukwu Samuel Ogah, Oyediran Emmanuel Oyewole, Joshua Odunayo Akinyemi, Mahmoud Umar Sani, Ikeoluwapo Oyeneye Ajayi","doi":"10.11604/pamj.2024.48.98.40776","DOIUrl":"10.11604/pamj.2024.48.98.40776","url":null,"abstract":"<p><strong>Introduction: </strong>hypertension is a major public health problem globally. The occurrence has been associated with unhealthy lifestyles (such as high salt consumption, physical inactivity, excessive intake of alcohol and unhealthy diet), which are very critical for hypertension control. The study was conducted to assess the lifestyle practices and their determinants among adults with hypertension in Nigeria.</p><p><strong>Methods: </strong>data on 762 adults living with hypertension were extracted from a cross-sectional survey conducted across three States (Abia, Kano and Oyo States) in Nigeria. A semi-structured pre-tested, interviewer-administered questionnaire was used for data collection. Knowledge of lifestyle practices was categorized into good and poor at 25^th percentile cut-off point. Overall lifestyle practice was grouped into healthy and unhealthy practices. Healthy lifestyle practice was defined as score of four and above while unhealthy lifestyle practice was defined as score of three and below; in all the 7 specific domains of lifestyle practices assessed (maximum obtainable was 7). The cut off was chosen based on 90% sensitivity from the Receiver Operating Curve (ROC) distribution of the scores. Data was summarized using descriptive statistics, Chi-square test and binary logistic regression were used to explore associations and determine predictors of lifestyle practices. Level of significance was set at 5%.</p><p><strong>Results: </strong>the mean age of the respondents was 55.4±16.3 years. About one-quarter of the respondents (24.3%) had good knowledge of lifestyle practices. Overall, 11.8% of respondents were engaged in good lifestyle practices. Independent predictors of good lifestyle practices were earning monthly income of N30,000 and above [AOR=1.58; 95% CI (1.03-2.42)], being a farmer [AOR=1.09; 95% CI (0.55-2.18)] and artisan [AOR=1.50; 95% CI (0.70-3.14)].</p><p><strong>Conclusion: </strong>the poor knowledge of lifestyle practices and engagement among adults with hypertension found in this study underscore the need to emphasize integrating lifestyle education for effective management of hypertension.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569662","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":"Awareness and openness to the use of PrEP among a nationally representative sample of South African adults.","authors":"Lungile Nkosi, Queen Dooshima Mmem, Tina Ngufan Tsafa, Joy Ngodoo Gwar, Israel Terungwa Agaku","doi":"10.11604/pamj.2024.48.95.34137","DOIUrl":"10.11604/pamj.2024.48.95.34137","url":null,"abstract":"<p><strong>Introduction: </strong>South Africa adopted for pre-exposure prophylaxis (PrEP) in 2016, becoming the first African country to do so. Yet to date, uptake has been underwhelming, only about 165,000 South Africans were reported to be on PrEP in mid-2021. Lack of awareness has been cited as a contributory factor for the low uptake, but this has never been examined using a nationally representative sample.</p><p><strong>Methods: </strong>we investigated this among a national sample of HIV seronegative adults. Data were from the 2017/2018 South African National HIV Prevalence, Incidence, Behaviour and Communication Survey. Awareness and openness to using PrEP were self-reported. Weighted percentages were calculated overall and by demographic characteristics.</p><p><strong>Results: </strong>overall, only 3.2% of seronegative adults spontaneously reported PrEP as a way of preventing HIV. Overall, 69.6% were open to using PrEP, from 58.2% in Western Cape, to 78.5% Northern Cape. Openness was highest among the youngest age group (18-29 years, 78.3%) and lowest among the oldest (60+ years, 45.6%). Striking racial differences were observed with openness among Black Africans (75.4%) being 2.5 times higher than Whites (29.0%). Among women, openness was 64.7% among those currently pregnant, 80.4% among those pregnant in the past two years but not now, and 67.8% among those who were not pregnant in the past two years (χ(2)=134.2, p<0.001). Among males, openness was higher among those circumcised (75.6%) than uncircumcised (64.5%).</p><p><strong>Conclusion: </strong>planning for broad-scale implementation of PrEP within the South African context could build on knowledge gained from recent implementation and scale-up of relevant biomedical interventions (e.g. ART, voluntary medical male circumcision, and family planning).</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569543","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":"Combined free flap of muscle-sparing <i>latissimus dorsi</i> and serratus anterior in the repair of child's traumatic foot injury: a case report.","authors":"Thomas Albert, Stéphane Guero, Clément Deranque, Pascal Rousseau","doi":"10.11604/pamj.2024.48.91.43952","DOIUrl":"10.11604/pamj.2024.48.91.43952","url":null,"abstract":"<p><p>Multi-tissue injuries to the foot are common in the pediatric population. Microsurgical repairs are part of the therapeutic arsenal in pediatric reconstructive surgery. We report the case of a 4-year-old boy involved in a lawnmower accident resulting in complete amputation of the hallux, soft tissue damage, and exposure of the calcaneus and first metatarsal. A combined free flap repair using muscle-sparing latissimus dorsi and serratus anterior was performed. The patient was reviewed at 3 months and 1 year with radio-clinical and podoscopic examination. Weight bearing on the foot and on the flap was completely restored without skin fragility. Aesthetics were assessed using a numerical scale and foot function using the American Orthopaedic Foot and Ankle Society (AOFAS) and Foot and Ankle Outcome Score (FAOS) scores. The results of these scores were good, with a clear improvement at 1 year. Repair of the traumatic foot in children requires a robust surgical strategy to restore function and aesthetics to this complex organ. Our combined free flap of muscle-sparing latissimus dorsi and serratus anterioris are the only ones described in the literature. It appears to be a reliable treatment option, with no morbidity and good functional results.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569560","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":"Factors associated with trachoma in persistently endemic setting in Southern Ethiopia: a community-based cross-sectional study.","authors":"Dawit Seyum Buda, Naomi Lorrain Nkoane, Thinavhuyo Netangaheni","doi":"10.11604/pamj.2024.48.93.43242","DOIUrl":"10.11604/pamj.2024.48.93.43242","url":null,"abstract":"<p><strong>Introduction: </strong>in Ethiopia, despite implementing decades-long surgery, antibiotics, facial cleanliness, and environmental improvement interventions, commonly known as the SAFE strategies, persistence and recrudescence of trachoma are common. There is limited evidence that explained the reasons. This study assesses factors associated with trachoma in persistently endemic settings.</p><p><strong>Methods: </strong>using a World Health Organization (WHO)-endorsed Global Trachoma Mapping Methodology, a two-stage cluster sampling technique was applied to select 1538 study respondents from 52 clusters. Data was collected using ODK and analysed using SPSS 28. A total of 1522 respondents were enrolled.</p><p><strong>Results: </strong>the mean age of the respondents was 33.4 and 50.5% of the respondents were females. About 32.3% (CI 30%, 34%) of the households reported the presence of at least one member of the family having one or more symptoms of trachoma. Being from poorer household (AOR=1.36, 95% CI: 1.0,1.75), presence of a household member who did not receive optimum treatment (AOR=2.8, 95% CI: 1.5, 5.2), and less than 3 doses of treatment (AOR=1.94, 95% CI: 1.32, 2.86) and presence of children ever not treated (AOR= 2.5, 95% CI: 1.5, 4.2) are associated with increased risk of manifesting symptoms of trachoma. In contrast, having optimally treated members of household (AOR=11.2,95% CI: 6.5, 19.3) and face washing with soap (AOR=0.59, 95% CI 36, 0.97) were preventive.</p><p><strong>Conclusion: </strong>trachoma is a persistent problem in the study districts. Generally, persistent, and recrudescent districts are characterised by segments of population missing optimum treatment as well as poor sanitation and hygiene practices. Our evidence supports the importance of adhering to optimal treatment guidelines, leaving no one behind, and the need for adequate treatment coverage.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569681","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":"Small bowel perforation with ingestion of a fish bone: case report.","authors":"Maissa Jallali, Hanen Zenati, Asma Korbi, Mohamed Ali Chaouch, Sadok Ben Jabra, Ibtissem Korbi, Faouzi Noomen","doi":"10.11604/pamj.2024.48.94.42796","DOIUrl":"10.11604/pamj.2024.48.94.42796","url":null,"abstract":"<p><p>The perforation of the gastrointestinal tract caused by fish bone is rare, with a percentage rate of 1%. Surgical intervention is necessary in less than 1% of cases. We report a case of a 55-year-old male patient who was admitted for a rectus sheath abscess caused by perforation of the small bowel by a fish bone. He was treated surgically. Diagnosing perforation secondary to fish bone ingestion poses challenges due to its presentation.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569690","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}