4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.097

{"title":"The effects of perioperative low-dose magnesium sulfate infusion on postoperative pain in lumbar surgery","authors":"","doi":"10.22514/sv.2023.097","DOIUrl":"https://doi.org/10.22514/sv.2023.097","url":null,"abstract":"This paper aimed at evaluating the effect of low-dose perioperative magnesium sulfate (MgSO4) on postoperative pain in lumbar surgery. Sixty adult patients were included in this randomized controlled double-blind study. After intubation, an infusion of MgSO4 (10 mg/kg/h) and isotonic saline 0.9% (10 mg/kg/h) were administered in groups M and C, respectively. Heart rate and mean arterial pressure were recorded before and during surgery. Serum magnesium levels were recorded before and after the surgery. Perioperative remifentanil consumption and extubation time were recorded. In the post-anesthesia care room (PACU), Agitation-sedation with Richmond Agitation-Sedation Scale (RASS), the pain was evaluated with Visual Analogue Scale (VAS) and recorded at the baseline, at 5th, 10th, 15th and 30th minutes. Patients were transferred to surgical ward with intravenous patient-controlled analgesia (PCA) for postoperative analgesia and received diclofenac sodium for rescue analgesia if VAS >4. Postoperative VAS scores at 2nd, 4th, 6th and 24th hours, opioid consumption after 4 and 24 hours and rescue analgesic consumption for postoperative 24 h were recorded. In the PACU, RASS scores were statistically lower in group M than in group C (p = 0.001), and VAS scores were statistically lower at all measurement times in group M than in group C. In the surgical ward, VAS Scores were statistically lower in Group M at the 6th and 24th hours than in group C (p = 0.015, p = 0.009, respectively). The need for post-operative rescue analgesic was statistically lower in Group M (p < 0.001). The side effect incidence of both groups was similar. Our findings suggest that perioperative low-dose (10 mg/kg/h) MgSO4 infusion reduces early post-op agitation, VAS scores and the need for analgesics up to 24 hours postoperatively. Low dose MgSO4 infusion can be effectively applied for pain management in patients undergoing lumbar surgery.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135106285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of volume-controlled and pressure-controlled ventilation modes on cerebral oximetry in laparoscopic cholecystectomy: a randomized controlled trial 容量控制和压力控制通气模式对腹腔镜胆囊切除术脑血氧测定的影响:一项随机对照试验

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.098

{"title":"Effect of volume-controlled and pressure-controlled ventilation modes on cerebral oximetry in laparoscopic cholecystectomy: a randomized controlled trial","authors":"","doi":"10.22514/sv.2023.098","DOIUrl":"https://doi.org/10.22514/sv.2023.098","url":null,"abstract":"This study aimed to compare the effect of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) modes on cerebral oximetry during laparoscopic cholecystectomy using near-infrared spectroscopy (NIRS). Seventy patients who underwent elective laparoscopic cholecystectomy were randomized to receive either VCV (group V) or PCV (group P). Demographic and operative data (anesthesia, surgery and insufflation durations) were recorded. The primary outcome was the NIRS value, while the secondary outcomes were peripheral oxygen saturation (SpO2), blood gas parameters and peak and plateau pressures in mechanical ventilation. Measurements were conducted at the start of anesthesia (T0), end of intubation (T1), 5 min after insufflation (T2), just before desufflation (T3), and 5 min after desufflation (T4). Both groups were comparable in terms of age, sex, body mass index, intraoperative time, anesthesia and insufflation durations. The average NIRS right T1–T2–T3 and left T2–T3 values were significantly higher in group P than in group V (p = 0.030, p = 0.001, p = 0.001, p = 0.006 and p = 0.002 respectively). In contrast, the mean peak and mean plateau pressures in group P at T1, T2 and T4 were significantly lower than those in group V (p = 0.003, p = 0.001, p < 0.001, p = 0.011, p = 0.001 and p < 0.001 respectively).The PCV mode allows better cerebral oxygenation than VCV while maintaining lower peak pressure and plateau pressures.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135107523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An early presentation of neurogenic pulmonary edema in acute subarachnoid hemorrhage 急性蛛网膜下腔出血中神经源性肺水肿的早期表现

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.101

引用次数: 0

Community's knowledge and attitude of pre-operative fasting in kingdom of Saudi Arabia, 2022 2022年沙特阿拉伯王国社区对术前禁食的知识和态度

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.106

{"title":"Community's knowledge and attitude of pre-operative fasting in kingdom of Saudi Arabia, 2022","authors":"","doi":"10.22514/sv.2023.106","DOIUrl":"https://doi.org/10.22514/sv.2023.106","url":null,"abstract":"To reduce the risk of pulmonary aspiration, fasting before general anesthesia is essential. Studies reported that despite that traditional “NPO (nothing by mouth) after midnight” regulations are being liberalized, noncompliance with NPO status is still a threat to patient safety and may result in delays of elective surgical procedures, reduce the efficiency of ambulatory surgery setting, and compromise patient safety. This study aimed to assess the community’s knowledge of preoperative fasting, as well as their attitudes toward preoperative fasting in Saudi Arabia.This is a cross-sectional study conducted among the Saudi general population. A self-administered questionnaire was distributed among the targeted population using an online surgery. The questionnaire includes socio-demographic data (i.e., age, gender, education, etc.) and a 12-item questionnaire to measure the knowledge and attitude toward preoperative fasting. The result of 4257 participants was recruited, 67.2% were females and 39.3% were aged between 18 to 24 years old. The prevalence of participants who had surgery that required anesthesia was 48.9%. The overall mean knowledge score was 4.80 (standard deviation (SD) 2.36) out of 12 points. 60.1% were considered poor knowledge, 38.3% were moderate and only 1.6% were considered good knowledge levels. Factors associated with increased knowledge were being older in age, female gender, living in Northern Region, and having undergone surgery that required anesthesia. The level of knowledge among the general population regarding the importance of fasting before the surgery was inadequate. Older females who were living in the Northern Region and who previously received general anesthesia during their previous operation were more likely to demonstrate better knowledge about preoperative fasting as compared to the rest of the groups. More research is needed to determine the level of und","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135509236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Should lactate levels be combined with rapid emergency medicine scores (REMS) to predict outcomes of patients with dyspnea 乳酸水平是否应该与快速急救医学评分(REMS)相结合来预测呼吸困难患者的预后

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.024

{"title":"Should lactate levels be combined with rapid emergency medicine scores (REMS) to predict outcomes of patients with dyspnea","authors":"","doi":"10.22514/sv.2023.024","DOIUrl":"https://doi.org/10.22514/sv.2023.024","url":null,"abstract":"This study analyzes the effectiveness of adding lactate levels to the Rapid Emergency Medicine Score (REMS) scoring system to better predict short-term mortality and outcomes in patients over 40 years of age who present to the emergency department (ED) with dyspnea. This prospective observational study recruited all consecutive patients with shortness of breath as their chief complaint. Patients were evaluated using REMS and categorized in the ED as low-, intermediate-, or high-risk. In-hospital outcomes and the survival rates of the patients were recorded. The patients’ REMS points and lactate levels were analyzed together to elicit the REMS+L scores used to predict mortality and outcomes. A total of 1044 patients were included in the study. The majority (64.8%, n = 677) of the patients received diagnoses related to the respiratory system, 9.9% (n = 103) with the cardiovascular system, and 25.3% (n = 264) with nonspecific diagnoses. A total of 31% (n = 324) of the patients were hospitalized, while the majority (78%, n = 253) were admitted to an intensive care unit. A total of 104 (10%) died within 28 days, with 23 of those deaths (2.2%) occurring within 2 days. The diagnostic accuracies of lactate, REMS, and REMS+L values were calculated using receiver operating characteristics (ROC) analysis and revealed that the REMS+L score (p < 0.001) was more accurate than the lactate measurements (p < 0.001) and REMS score (p < 0.001) in predicting short-term mortality. The REMS+L score (p < 0.001) was superior to the REMS (p < 0.001) and lactate values (p < 0.001) in predicting mortality. Adding lactate measurements to REMS in patients over 40 years of age who present to the ED with shortness of breath appeared to yield more accurate estimates than using REMS and lactate values alone when determining two-day mortality.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"178 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135585519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Impact of COVID-19 pandemic on bystander CPR in patient with OHCA: a registry-based before and after study in Daegu, Korea COVID-19大流行对OHCA患者旁观者心肺复苏的影响:韩国大邱基于登记的前后研究

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.116

{"title":"Impact of COVID-19 pandemic on bystander CPR in patient with OHCA: a registry-based before and after study in Daegu, Korea","authors":"","doi":"10.22514/sv.2023.116","DOIUrl":"https://doi.org/10.22514/sv.2023.116","url":null,"abstract":"Bystander cardiopulmonary resuscitation (BCPR) is a significant factor in the chain of survival; however, various potential barriers are observed. We aimed to identify the impact of the coronavirus disease 2019 (COVID-19) pandemic on BCPR. This retrospective observational study used Daegu out-of-hospital cardiac arrest (OHCA) registry data of patients aged over 18 years with cardiac etiology in Daegu, Korea from 18 February 2019 to 17 February 2021. We divided BCPR into self-led (SBCPR) and dispatcher-assisted BCPR (DACPR). To determine changes in the effect of BCPR on OHCA outcomes from the COVID-19 pandemic, we performed multivariable logistic regression analyses by BCPR type. Furthermore, we performed the Wald test to identify differences in logistic regression analysis results between the two periods. A total of 1680 OHCAs were included (before-pandemic, 804; during pandemic, 876). The BCPR rate was not different between the two periods (DACPR, 43.9% vs. 42.0%; SBCPR, 18.7% vs. 18.4; p = 0.643). SBCPR showed effectiveness for OHCA outcomes before the pandemic (adjusted odds ratio (aOR), 2.59; 95% confidence interval (CI), 1.09–6.18 for survival to hospital discharge; aOR, 2.58; 95% CI, 1.03–6.46 for favorable neurological outcomes); however, it disappeared after the pandemic (aOR, 1.88; 95% CI, 0.88–4.00 for survival to hospital discharge; aOR, 1.67; 95% CI, 0.69–4.05 for favorable neurological outcomes). However, no statistical difference was observed in the Wald test (survival to hospital discharge, p = 0.586; favorable neurologic outcomes, p = 0.504). A decreasing trend in the effect of SBCPR on OHCA outcomes was observed during the COVID-19 pandemic; however, no statistically significant difference was observed compared with that before the pandemic.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135705318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in drug poisoning of youth patients after the deregulation of over the counter drug sales 放宽非处方药销售管制后青年患者药物中毒的趋势

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.078

{"title":"Trends in drug poisoning of youth patients after the deregulation of over the counter drug sales","authors":"","doi":"10.22514/sv.2023.078","DOIUrl":"https://doi.org/10.22514/sv.2023.078","url":null,"abstract":"Since 15 November 2012, the South Korean government amended the law to make some medicines available at 24-hour convenient stores that had previously been sold at pharmacies only. The aim of this study was to evaluate the impact of this legislation on drug poisoning in youth patients, who may be affected by increased access. This study retrospectively analyzed data registered in the Emergency Department-based Injury In-depth Surveillance (EDIIS) database from January 2007 to December 2018. Patients aged 15 to 24 years old were selected to analyze the incidence and outcomes of acetaminophen (AAP) poisoning in youth patientsBefore the deregulation of over-the-counter (OTC) medication sales, 1994 youth patients visited the emergency department (ED) from 2007–2012. By contrast, 5440 youth visited the ED from 2013–2018 after deregulation. In particular, there were 263 (13.2%) and 820 (15.1%) cases of AAP poisoning intentionally before and after deregulation, respectively, which was not significantly different (p = 0.085). However, the number of patients who were admitted to the general ward (GW) due to AAP poisoning significantly increased from 93 (35.4%) to 339 (41.3%) (p = 0.041). Furthermore, the number of patients who were admitted to the intensive care unit (ICU) after ingesting AAP significantly increased from 9 (3.4%) to 93 (11.3%) (p < 0.001).There was no significant difference in intentional AAP poisoning ratios following the deregulation of OTC drug sales; however, GW and ICU admission rates significantly increased. This study demonstrated that there is positive relationship between intentional AAP poisoning and severity in youth patients after the deregulation legislation.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136218169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency airway management with the gum elastic bougie outside of the operating room: a narrative review 急诊气道管理与牙龈弹性鼓包手术室外:叙述性回顾

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.074

{"title":"Emergency airway management with the gum elastic bougie outside of the operating room: a narrative review","authors":"","doi":"10.22514/sv.2023.074","DOIUrl":"https://doi.org/10.22514/sv.2023.074","url":null,"abstract":"The ongoing coronavirus 2019 (COVID-19) pandemic has increased the need for healthcare professionals to perform emergency endotracheal intubation (ETI) in patients with COVID-19-related respiratory failure outside of the operating room. Difficult airways and severe airway-related adverse events occur much more frequently in such settings due to limited time and resources as well as the patient’s reduced physiological reserve. The gum elastic bougie (GEB) intubation tube is an inexpensive, simple, and readily transportable aid to intubation, but its effectiveness in emergency airway management has not been comprehensively evaluated in recent years. Here, we performed a literature review and have updated the available evidence on the utility of GEB in emergency airway management. After a systematic MEDLINE search, we identified 36 relevant reports that compared GEB with alternative airway management approaches in a variety of real-world and simulated settings. In most studies, GEB increased the first-pass ETI success rate and decreased the force applied on the tongue and incisors during laryngoscopy. GEB also increased the speed, safety, and reliability of emergency cricothyrotomy. Conflicting results were obtained in studies examining GEB use for ETI during cardiopulmonary resuscitation, and other special circumstances such as selective lung ventilation, the presence of vomitus, and the use of personal protective equipment. These results suggest that GEB use could be expanded beyond difficult airways and rescue after failed ETI attempts, but further studies will be necessary to determine the utility of GEB under special conditions. Because fatal airway-related adverse events can in part be attributed to limited accessibility of proper airway management equipment, devices such as GEB may increase successful outcomes, especially under the overwhelmingly challenging conditions imposed by the COVID-19 pandemic.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135949779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intravenous magnesium sulphate for treatment of pediatric migraine: case series 静脉注射硫酸镁治疗小儿偏头痛:病例系列

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.114

{"title":"Intravenous magnesium sulphate for treatment of pediatric migraine: case series","authors":"","doi":"10.22514/sv.2023.114","DOIUrl":"https://doi.org/10.22514/sv.2023.114","url":null,"abstract":"Magnesium therapy may reduce migraine in children by reducing cortical spread depression and activation of the trigeminovascular complex. It is being used increasingly in Emergency Departments for migraine so we report a case series of children with migraine treated with intravenous (IV) magnesium sulphate. Electronic records were used to identify cases of migraine at our institution from May 2012 to September 2013. Patient records were reviewed to identify those with accurate migraine diagnoses and treatment with IV magnesium sulphate. 18 encounters were identified regarding 9 children. There was a good clinical response in 16 of these encounters and an average time to response of 2.3 hours. Discharge from the Emergency Department (ED) occurred in 10 of the 12 encounters where patients were administered IV magnesium sulphate in ED. Why should an Emergency Physician be aware of this? When oral non-steroidal anti-inflammatories and triptans aren’t successful for Emergency presentations of migraine there are a range of therapeutic options with limited evidence. Some of those options have well known risks, for example extra-pyramidal side effects with prochlorperazine and excessive sedation with propofol. Intravenous magnesium sulphate has a good safety profile, minimal side effects and is familiar to most medical and nursing staff. It is a good option as the infusion is brief and the clinical response is timely.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"233 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135507338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cardiopulmonary resuscitation: difficulty in maintaining sufficient compression depth at the appropriate rate 心肺复苏:难以以适当的速度维持足够的按压深度

4区医学

Signa Vitae Pub Date : 2023-01-01 DOI: 10.22514/sv.2023.104

{"title":"Cardiopulmonary resuscitation: difficulty in maintaining sufficient compression depth at the appropriate rate","authors":"","doi":"10.22514/sv.2023.104","DOIUrl":"https://doi.org/10.22514/sv.2023.104","url":null,"abstract":"Over the last 50 years, the recommended chest compression for cardiopulmonary resuscitation (CPR) has become faster and deeper, but maintaining deep compressions may be difficult at higher rates. Our study aimed to determine whether adequate compression (chest compression at an appropriate depth and rate) is being performed in emergency departments (ED). We also investigated the effect of adequate compression performance on the return of spontaneous circulation (ROSC). This prospective observational study was conducted at the EDs of two urban academic medical centers. We included adult patients (age ≥18 years) with cardiac arrest who underwent CPR in the ED between May and November 2020. We excluded patients with cardiac arrest related to trauma, repeated arrest except the first, and those for whom a monitor-defibrillator (ZOLL X-series) was not used. The following data were obtained from the monitor-defibrillator devices: compression depth, rate, chest compression fraction, CPR time, and percentage of compressions at the recommended rate and, at the recommended depth, at over and below rates, and depth, and at the appropriate depth and rate. Our study included 50 patients, from whom 441 chest compression sequences were obtained and analyzed. The mean compression depth, rate, and fraction were 6.48 ± 0.87 cm, 117 ± 5/min, 92.1 ± 3.70%, respectively. As the compression rate increased, the depth decreased, and most compressions were over-depth. Adequate compression (appropriate depth at recommended rate) was observed in 97 of the 441 compression sequences (21.9%). Below-depth and below-rate percentages were higher in the deceased group than that in the ROSC group (9.7 ± 15.2% vs. 3.3 ± 3.5%, p = 0.27; 2.7 ± 2.6% vs. 1.2± 0.9%, p = 0.06). The global ratio of chest compression showed low compliance with the recommended rate and depth, even when performed by skilled ED staff.","PeriodicalId":49522,"journal":{"name":"Signa Vitae","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135507668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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