G Basile, L Bianco Prevot, A Ciccarelli, L P Tronconi, V Bolcato
{"title":"EN: Medico-legal evaluation of a claim for Dupuytren's disease treatment: indication for surgery based on best evidence.","authors":"G Basile, L Bianco Prevot, A Ciccarelli, L P Tronconi, V Bolcato","doi":"10.7417/CT.2024.5138","DOIUrl":"10.7417/CT.2024.5138","url":null,"abstract":"<p><strong>Background: </strong>Dupuytren's disease (DD) is a chronic and progressive fibroproliferative disease consisting of the progressive pathological fibrosis of the palmar fascia leading to permanent flexion and deficit of extension, with marked deformity and severe disability. Among treatment options, conservative and infiltrative therapies, physiotherapy, or surgery, with less invasive surgical options, are reported. The therapeutic planning, shared with the patient, must consider the severity of the disease, surgical risks, the functional, aesthetic, and occupational consequences, and the risk of recurrence.</p><p><strong>Case report: </strong>We describe a complicated clinical case that led her to a claim for compensation under presumed medical professional liability profiles. A female patient, 32-years-old, suffering from early symptomatic DD in the left non-dominant hand, underwent to palmar fasciotomy complicated by severe paraesthesia. In the re-surgery, vascular and nerve injury was found, leading to permanent disabling sequelae.</p><p><strong>Discussion: </strong>The early stage of DD, although symptomatic, without previous medical or infiltrative therapy, in a young subject with insulin-dependent diabetes and a high risk of recurrence contraindicated the surgical approach, especially palmar fasciotomy, according to the best evidence. The vascular-nervous lesion in the hand palm indicated a censurable surgical execution technique. The technical consultation ascertained the causal relationship between impairments and surgical malpractice, followed by compensation.</p><p><strong>Conclusion: </strong>The analysis of this case highlights the value of informed clinical practice to provide optimal care and mitigate the risks associated with the management of DD. The choice of possible treatment options must be tailored to the patient in accordance with the best evidence.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 5","pages":"333-336"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479869","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}
M Di Meglio, P Giunta, M Rechichi, A Trofa, G Galantuomo, N Galantuomo, S Palmieri, L Pacente, M Salducci
{"title":"Treatment of progressive myopia with 0.01% Atropine in children and adolescents: an Italian 4-year follow-up study.","authors":"M Di Meglio, P Giunta, M Rechichi, A Trofa, G Galantuomo, N Galantuomo, S Palmieri, L Pacente, M Salducci","doi":"10.7417/CT.2024.5129","DOIUrl":"10.7417/CT.2024.5129","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effectiveness of atropine 0.01% in slowing the progression of myopia in young patients.</p><p><strong>Methods: </strong>2,387 patients with progressive myopia (more than -0.50 spherical diopters ‹D› increased in the last year) were enrolled. They received, every evening, one drop of atropine 0.01% in each eye. Refraction was then measured at baseline (T0) and once a year (T1, T2, T3, T4) for a 4-years follow-up period, and compared with a non-treated control group.</p><p><strong>Results: </strong>A reduction in the myopic progression was observed in the treated group respect to the control one. The average spherical refraction after 4 years increased by 27.06% in the treated group versus 241% of the control one. The difference in spherical increase between the two groups respect to time 0 was appreciable already at the first control, (T1 -T0, -0.21D vs. -1D) and continued to increase for all the 4-years follow-up period (T2-T0, -0.38D vs. -1.91D;T3-T0, -0.52D vs. -2.74D; T4-T0, -0.73D vs. -3.63D, respectively). It was always significant (P<0.01). Compared to the previous year, the average spherical increase was quite stable in the two groups (0.17 vs. 0.87, respectively). No significant tachyphylaxis or adverse effects were observed throughout the examination period.</p><p><strong>Conclusions: </strong>0.01% atropine was effective in slowing the progression of myopia in the treated group vs. control one. The clinical effect was noticeable already from the first control, and continued for all the observation period. The results of this study agree with those already reported in literature, and confirm the validity of this treatment.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 5","pages":"265-270"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479887","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}
K G Prarthana, P Suja, A K Nayanatara, S Adarsh, U Chaitra
{"title":"Association of Serum progesterone level, Peak Expiratory Flow Rate and obesity in healthy young women.","authors":"K G Prarthana, P Suja, A K Nayanatara, S Adarsh, U Chaitra","doi":"10.7417/CT.2024.5132","DOIUrl":"10.7417/CT.2024.5132","url":null,"abstract":"<p><strong>Purpose: </strong>Obesity is one of the lifestyle disorders which is slowly and steadily extending throughout the world. Women especially are showing an upward shift in Body mass index (BMI) in this modern era. Obesity in females has been associated with various risk factors. Less studies have been explored on the influence of BMI on different parameters of menstrual cycle The purpose of the study was to determine the influence of BMI on different parameters of the menstrual cycle.</p><p><strong>Methods: </strong>A total of 50 healthy female volunteers with regular menstrual cycle were selected after prior consent, and among them based on the body mass index, 32 females were categorized into obese group based on the BMI. Menstrual cycle history was monitored for 3 months for confirming regularity. Serum Progesterone and Peak expiratory flow rate (PEFR) were recorded.</p><p><strong>Results: </strong>Progesterone levels were very highly significant in the luteal phase when compared to early follicular and ovulatory phase. The PEFR value in luteal phase was higher when compared to early follicular and ovulatory phase which was statistically highly significant. Positive correlation between progesterone and PEFR was observed in the luteal phase, but it was not statistically significant. Positive correlation between BMI and PEFR was also observed.</p><p><strong>Conclusion: </strong>The study reveals significant hormonal and respiratory changes throughout the menstrual cycle. Progesterone levels and PEFR are markedly higher in the luteal phase, while BMI positively correlates with PEFR. A significant negative correlation exists between Waist Hip ratio (WHR) in the luteal phase. Further studies are needed to explore the underlying mechanisms driving the correlations between progesterone, respiratory parameters, BMI, and WHR in more diverse population.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 5","pages":"287-290"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479865","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}
L De Paola, F Spadazzi, M Ottaviani, L Pellegrini, M Imbriani, G Delogu, M Arcangeli, R La Russa
{"title":"Gender Gap in academic medicine: a narrative review and the Italian forensic context.","authors":"L De Paola, F Spadazzi, M Ottaviani, L Pellegrini, M Imbriani, G Delogu, M Arcangeli, R La Russa","doi":"10.7417/CT.2024.5093","DOIUrl":"10.7417/CT.2024.5093","url":null,"abstract":"<p><strong>Background: </strong>Gender gap is a neologism that identifies the disparity between social and professional conditions experienced by females compared to males. The disparity increases as one ascends the academic hierarchy. In recent years, the debate has expanded, and more options have been planned for the elimination of the current gender gap.</p><p><strong>Methods: </strong>This research was conducted by examining the landscape of the gender gap, particularly in the academic forensic medicine field. Our analysis involved reviewing papers published between 2006 and 2024, identified through electronic database searches (PubMed). The search terms used were: \"gender gap\" AND \"academic\" AND \"medicine\" AND \"leadership.\" In total, we analyzed 85 papers. Additionally, we examined data from forensic medicine residency programs.</p><p><strong>Conclusions: </strong>The representation of women in medicine is well-known. Despite the increasing number of women in leadership positions in medicine, they still lag significantly behind men. These data highlight a situation that could be seen as grounds for an accusation of \"academic abuse\". In the Italian forensic residency programs, less than 20% are led by women, and among these, not all hold the rank of full professor. Although a certain rebalancing is already underway, the gap is still significant. There are already regulations obliging local authorities to promote gender equality in councils, companies, and institutions under their jurisdiction. It would be desirable to consider minimum quotas for female participation in university competitions. This would be a first step toward eliminating the gender gap in academic and forensic medical fields.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 1(4)","pages":"92-96"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762382","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}
F Cordasco, M A Sacco, S Gualtieri, P Tarzia, G Pulpito, I Aquila
{"title":"New perspectives of forensic pathology through machine learning approach on autopsy data: a pilot study.","authors":"F Cordasco, M A Sacco, S Gualtieri, P Tarzia, G Pulpito, I Aquila","doi":"10.7417/CT.2024.5078","DOIUrl":"10.7417/CT.2024.5078","url":null,"abstract":"<p><strong>Background: </strong>The analysis, interpretation and storage of information is entrusted to the individual expert, who bases his judgments on the knowledge resulting from the experience. The aim of this experimental study is to analyse and introduce a new line of research applicable to forensic pathology, based on the use of artificial intelligence techniques as a possible tool for data collection and analysis.</p><p><strong>Methods: </strong>The sample analysed is represented by judicial autop-sies performed at the University of Catanzaro from 01/01/2020 to 31/12/2021. For each case were performed: study of medical records; autopsy; histological examinations; toxicological analysis of blood samples. Continuous variables were presented as means ± standard deviations, and categorical variables were expressed as percentages. A random forest regression model was conducted, as a machine learning approach, to estimate the importance of individual solid organ weight variables in predicting cause of death.</p><p><strong>Conclusions: </strong>This study aimed to evaluate autopsy data to aid in the description and study of forensic cases, using a machine learning approach. To date, this study appears to be the first to evaluate the weight of organs in predicting a cause of death. Artificial intelligence techniques are an optimal solution in solving forensic dilemmas. The results of this study demonstrate that routine data can be submitted using machine learning techniques in order to identify key elements of procedures that provide more information in relation to the predic-tion of cause of death.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 1(4)","pages":"23-27"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762390","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}
M A Sacco, P Tarzia, L Tarda, R La Russa, F Cordasco, I Aquila
{"title":"The artificial intelligence in autopsy and crime scene analysis.","authors":"M A Sacco, P Tarzia, L Tarda, R La Russa, F Cordasco, I Aquila","doi":"10.7417/CT.2024.5114","DOIUrl":"10.7417/CT.2024.5114","url":null,"abstract":"<p><strong>Background: </strong>In the evolving field of forensic medicine, artificial intelligence (AI) technologies may revolutionize traditional autopsy practices by enhancing the precision and efficiency of postmortem examinations.</p><p><strong>Methods: </strong>A review of the literature was carried out on the Pub-med and Scopus search engines by inserting the keywords \"artificial intelligence\" AND \"forensic\" AND (\"autopsy\" OR \"crime scene management\" OR \"forensic odontology\" OR \"post mortem interval\" OR \"forensic anthropology\" OR \"forensic sciences\"). The works that analyzed the applications of artificial intelligence in the forensic and autopsy field were analyzed.</p><p><strong>Conclusion: </strong>The results showed the application of different forms of artificial intelligence such as machine learning, deep learning, robotics, artificial neural networks. Various applications are therefore possible in the autopsy field including forensic identification, analysis of radiological data through Virtopsy, estimation of the weapon used through analysis of firearm damage with ballistics, estimation of the Post-Mortem Interval (PMI), forensic toxicology. AI's potential to aid in the precise identification of causes of death, estimation of postmortem intervals. With forensic pathologists facing the constant challenge of making accurate diagnoses under pressure, AI applications can offer much-needed support by reducing subjective judgment and the inherent human error due to fatigue. Therefore, the integration of AI into autopsies, while promising in terms of efficiency and accuracy, demands a careful balance between technological advancement and ethical responsibility to ensure trust and integrity in forensic practices.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 2(4)","pages":"192-195"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890791","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}
C Benassi, L Cozzolino, A Falletta, C V Di Francesco, M B Casali
{"title":"The patients' perspective: cut off points for satisfaction in pharmacological therapy and surgical outcomes.","authors":"C Benassi, L Cozzolino, A Falletta, C V Di Francesco, M B Casali","doi":"10.7417/CT.2024.5119","DOIUrl":"10.7417/CT.2024.5119","url":null,"abstract":"<p><strong>Background: </strong>This article presents the results of a pilot study investigating patients' satisfaction thresholds for pharmacological outcomes versus surgical outcomes.</p><p><strong>Materials and methods.: </strong>A total of 150 participants were presented with two hypothetical scenarios depicting either pharmacological therapy or surgical interventions. Each scenario described a potential outcome, from a 10% clinical improvement (value 10) to a 100% clinical improvement (value 100) and asked participants to indicate the satisfactory level they would find acceptable.</p><p><strong>Conclusions: </strong>The results revealed distinct patterns in satisfaction thresholds between the two treatment modalities. Between the 150 participants, 52,7% were male and 47,3% female. We also identified a total of 28,8% whom were healthcare workers. Overall, the results for the pharmacological therapy outcomes observed a mean of 60,88 with a standard deviation of 22,77, a median of 60 and a mode of 70; while for the surgical outcomes the mean was 67,81 with a standard deviation of 23,03, the median 85 and the mode 80. We also observed that for the pharmacological therapy outcomes healthcare workers had a lower satisfactory cut off compared to non-healthcare workers. Another interesting finding was that for pharmacological therapy outcomes individuals under 50 y/o had a higher satisfactory cut off compared to individuals over 50 y/o, while for the surgical outcomes we got opposite results. Overall, the findings of this pilot study, even if limited, demonstrated higher minimum satisfaction expectations for surgical outcomes compared to pharmacological therapy outcomes. Specifically, participants tended to require more favorable results and outcomes from surgical interventions to meet their minimum satisfaction criteria.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 2(4)","pages":"209-212"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890805","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}
M C Verrina, P Tarzia, M A Sacco, R Raffaele, P Ricci, I Aquila
{"title":"Forensic aspects analyzed in a case series of femicides.","authors":"M C Verrina, P Tarzia, M A Sacco, R Raffaele, P Ricci, I Aquila","doi":"10.7417/CT.2024.5111","DOIUrl":"https://doi.org/10.7417/CT.2024.5111","url":null,"abstract":"<p><strong>Background: </strong>Gender-based violence against women and its lethal outcome, femicide, represent important issues around the world. Although governments have passed specific laws, official data on gender-related violence and femicide are often absent and/or incomplete, difficult to access, rarely updated, contested and underestimated due to stigma, victim blaming or issues of legal interpretation. Femicide is an intentional killing in which a woman is murdered by an individual for misogyny and gender-related reasons. The most common type is in fact intimate femicide, which occurs when the murdered woman and the aggressor have an intimate, family, cohabitation or similar relationship.</p><p><strong>Case series: </strong>We analyzed 15 cases of femicide for which crime scene investigation and autopsy were carried out. For each case, a psychological autopsy was carried out and the means used to determine the individual's death were analysed. The circumstances in which the murder occurred were also examined.</p><p><strong>Discussion: </strong>Overkilling was evidenced in all cases analyzed. Over-killing in forensic medicine is known as a specific type of homicide in which the number of injuries inflicted far exceeds the number of injuries required to kill the victim. Therefore, the medico-legal management of the cases examined is complicated due to the multiple lesions present on the corpse on the victims which make difficult: 1) the reconstruction of the dynamics of the crime 2) the number of blows inflicted 3) the analysis of the fatal blow 4) the imputability of the offender.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 2(4)","pages":"180-182"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890786","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}
G Rotter, C Raffino, G Burrascano, E Ventura Spagnolo, G Baldino, A Asmundo
{"title":"The Role of Bloodstain Pattern Analysis (BPA) in Reconstructing the Dynamics of Forensic Cases.","authors":"G Rotter, C Raffino, G Burrascano, E Ventura Spagnolo, G Baldino, A Asmundo","doi":"10.7417/CT.2024.5099","DOIUrl":"https://doi.org/10.7417/CT.2024.5099","url":null,"abstract":"<p><strong>Background: </strong>Bloodstain Pattern Analysis (BPA) is a forensic scientific discipline used to resolve criminal events. By studying the size, shape, and distribution of the bloodstains that constitute one or more bloodstain patterns, it is possible to determine the physical events responsible for their creation, as well as the positions and movements of the victim and, in cases of homicide, the perpetrator during the act.</p><p><strong>Materials and methods: </strong>BPA analysis was applied as a support in the reconstruction of the event dynamics in four forensic cases, in addition to the data collected during on-site inspections and instrumental investigations including PMCT, autopsies, histological, and toxicological analyses. Particularly laborious was its application in a case involving a decomposed body. In all cases, a thorough photographic analysis of the bloodstains found on the clothing worn as well as in the areas surrounding the location of the corpse was conducted.</p><p><strong>Conclusions: </strong>The combination of investigations, together with the data derived from the application of BPA, allowed events to be attributed to: homicide by blunt force trauma; homicide-suicide using a bladed weapon; homicide using firearms; unplanned complex suicide. The analysis of the cases presented highlights the importance of a multidisciplinary approach through the use of additional instrumental and specialist investigations such as the study of bloodstains present at the crime scene for the reconstruction of criminal events.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 2(4)","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890806","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}
M A Sacco, S Gualtieri, P Tarzia, M C Verrina, P Coscarelli, I Aquila
{"title":"The impact of climate change on the crime scene and forensic sciences.","authors":"M A Sacco, S Gualtieri, P Tarzia, M C Verrina, P Coscarelli, I Aquila","doi":"10.7417/CT.2024.5098","DOIUrl":"https://doi.org/10.7417/CT.2024.5098","url":null,"abstract":"<p><strong>Background: </strong>Climate change causes great impact on ambient temperatures. In forensic pathology, temperature has always been an important variable to determine numerous thanatodiagnostic and thanatochronological parameters, as crucial elements to make scientifically valid forensic conclusions. The aim of this work is to describe the impact that climate change is having on the forensic science and crime scene analysis.</p><p><strong>Materials and methods: </strong>A literature review was carried out on the search engines Pubmed, Scopus and Google Scholar. The keywords \"climate change\" AND \"forensic\" were used.</p><p><strong>Conclusion: </strong>Climate change is having a significant impact on forensic science in several areas. Among these it is necessary to consider: 1) global warming and crime scenes: high temperature of the planet causes frequent extreme meteorological events in multiple periods of the year; 2) Relationship between climate and PMI (Post Mortem Interval): Temperature influences the rapidity of putrefaction; 3) Relationship between climate and fauna: global warming is influencing the geographical distribution of animal species, with real migrations of species. Fauna has a decisive impact in the forensic field (as in the case of entomology) creating new models of animal-cadaver interaction; 4) Relationship between climate and forensic botany: Climate change influences the flowering and fruiting times of plants, impacting knowledge on botany used in the forensic field. It is essential to adopt prevention measures to address the emerging challenges.</p>","PeriodicalId":50686,"journal":{"name":"Clinica Terapeutica","volume":"175 Suppl 1(4)","pages":"121-124"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762348","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}