{"title":"Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity.","authors":"Gokhan Nur, Emrah Caylak, Pinar Aksu Kilicle, Safak Sandayuk, Ozlem Onen Celebi","doi":"10.1515/med-2022-0603","DOIUrl":"https://doi.org/10.1515/med-2022-0603","url":null,"abstract":"<p><p>Pesticides, which adversely affect the critical metabolic processes of organisms, disrupt the physiological balance by specifically targeting enzymes and may lead to such consequences that may lead to death. It provides benefits in agricultural activities. The p53 protein antagonizes bcl-2, an anti-apoptotic protein character, and induces apoptosis by causing mitochondrial membrane permeability. This study aims to show the effect of acetamiprid, which is an insecticide from the neonicotinoid class, on bcl-2 and p53 immunoreactivity, which has an important place in the apoptotic mechanism in kidney tissue. A total of four groups including control and three experimental groups (the acetamiprid was administered 5, 10, and 15 mg kg<sup>-1</sup>) were formed in the study. After acetamiprid was administered via gavage for 14 days, the kidney tissues taken from the mice, which were sacrificed by cervical dislocation, were fixed in 10% formaldehyde solution for histological and immunohistochemical analyses, and as a result of routine tissue follow-up, the sections were blocked in paraffin and stained with haematoxylin-eosin and immunostaining. The histopathological examinations revealed that while the kidney tissue had a normal structure in the control group, degeneration in the distal and proximal tubules, glomerular degeneration, increase in the capsular area, glomerular atrophy, and haemorrhage were determined in the acetamiprid groups at increasing severity and frequency depending on the dose of the applied substance. In the kidney tissue, Bcl-2 and p53 immunoreactivity was observed in glomerular cells, sinusoidal epithelium, and proximal and distal tubule cells. The acetamiprid caused pathological changes in the kidneys in the dose range used. This effect also affects the expression of bcl-2 and p53 genes, which are biomarkers in the apoptotic mechanism. As acetamiprid accumulates in tissues, it increases the expression of p53 from cell death receptors, while suppressing the anti-apoptotic bcl-2 expression.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1788-1796"},"PeriodicalIF":2.1,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9679552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40546080","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}
Da-Hua Liu, Gui-Min Wen, Chang-Liang Song, Li-Jun Ji, Pu Xia
{"title":"Amino acid profiles in the tissue and serum of patients with liver cancer.","authors":"Da-Hua Liu, Gui-Min Wen, Chang-Liang Song, Li-Jun Ji, Pu Xia","doi":"10.1515/med-2022-0589","DOIUrl":"https://doi.org/10.1515/med-2022-0589","url":null,"abstract":"<p><p>Most patients with liver cancer were found late and lost the chance of surgery. Liquid biopsy can monitor the risk of tumor recurrence and metastasis, quickly evaluate the curative effect of tumor treatment, and is conducive to early screening and auxiliary diagnosis of high-risk groups. Amino acid (AA) profiling has been used to the diagnosis and the prognosis for cancers. However, little was known about the profiles of AA of liver cancer. In this study, we used tRNA in Cancer database to analyze the AA levels in liver cancer tissues. Blood samples of patients with liver cancer were collected and analyzed using the automatic AA analyzer. We found that valine, isoleucine, and leucine were decreased significantly both in the plasma and the tumor tissues of patients with liver cancer. However, upregulation of methionine was observed in tissues and plasma of patients with liver cancer. Interestingly, tyrosine, and phenylalanine were decreased in tumor tissue but increased in the plasma of patients with liver cancer. This is the first report provided an overview of AA profile in both plasma and tissue for patients with liver cancer. AA levels can be used as diagnostic and prognostic markers of patients with liver cancer.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1797-1802"},"PeriodicalIF":2.1,"publicationDate":"2022-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40723026","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}
Emiliano Petrucci, Vincenza Cofini, Barbara Pizzi, Marco Cascella, Gioele Marrocco, Gianmaria Ceccaroni, Stefano Necozione, Alessandro Vittori, Franco Marinangeli
{"title":"Pain in critically ill COVID-19 patients: An Italian retrospective study.","authors":"Emiliano Petrucci, Vincenza Cofini, Barbara Pizzi, Marco Cascella, Gioele Marrocco, Gianmaria Ceccaroni, Stefano Necozione, Alessandro Vittori, Franco Marinangeli","doi":"10.1515/med-2022-0600","DOIUrl":"https://doi.org/10.1515/med-2022-0600","url":null,"abstract":"<p><p>We retrospectively analyzed the data from patients admitted to the intensive care unit (ICU) of the Hospital of L'Aquila during the first and second waves of pandemic to identify pain related to COVID-19. Pain was evaluated by using the Numerical Rating Scale, and the assessment for neuropathic disturbances of pain was performed with von Frey's hair and Lindblom tests. Pain increased significantly during hospitalization (from 48% at hospital admission to 94.3% at ICU discharge). Female patients were affected by somatic pain in 32.8% of the cases and by somatic pain and pain with neuropathic features (NFs) in 23.5% of the cases, during the ICU stay. Somatic pain and pain with NFs affected more frequently patients with cardiological and respiratory comorbidities. Patients treated with continuous positive airway pressure via helmet had a higher frequency of somatic pain and pain with neuropathic disturbances (84 and 74%, respectively). The frequency of somatic pain and pain with neuropathic disturbances was lower in patients sedated with propofol combined with ketamine. Females have been associated with a higher risk of somatic pain and pain with NFs. Patients with cardiological and respiratory comorbidities undergoing noninvasive ventilation had higher levels of pain. As conclusion, ketamine may reduce the promotion or the worsening of pain in COVID-19 patients.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1803-1810"},"PeriodicalIF":2.1,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40723027","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":"HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells.","authors":"Yuyan Wang, Jinfeng Wang, Anqi Zhao, Xin Huang, Xin Zhang","doi":"10.1515/med-2022-0578","DOIUrl":"https://doi.org/10.1515/med-2022-0578","url":null,"abstract":"<p><p>Cervical cancer is the fourth most common cancer and the fourth leading cause of cancer death in women. Human papillomavirus (HPV16) E6/E7 heterogenous expression in C33A cells increased the mRNA and protein levels of KIF2A, while siRNA deletion of endogenous E6/E7 reduced the mRNA and protein levels of KIF2A in SiHa cells. KIF2A promoted cell migration and invasion, and regulated the expression of epithelial-mesenchymal transition-related proteins in C33A and SiHa cells. The exogenous expression of E6/E7 in C33A cells increased the phosphorylation of Akt, ERK, and JNK. However, Akt (API-2) and ERK (PD98059) inhibitors had no effect on the increase in KIF2A expression induced by E6/E7, while JNK inhibitors (JNK-IN-8 and SP600125) blocked the increase in KIF2A expression induced by E6/E7. The exogenous expression of E6/E7 increased the levels of transcription factor c-Jun, which is the classic substrate of JNK. Knockdown of c-Jun reduced the increase in KIF2A expression induced by E6/E7. In summary, KIF2A plays a key role in the motility and metastasis of cervical cancer. HPV16 E6/E7 can increase the levels of transcription factor c-Jun by activating the JNK signal, thereby up-regulating the transcriptional expression of KIF2A.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1780-1787"},"PeriodicalIF":2.1,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9663933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40723028","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":"Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas.","authors":"Yujiao Li, Chaosu Hu","doi":"10.1515/med-2022-0568","DOIUrl":"https://doi.org/10.1515/med-2022-0568","url":null,"abstract":"<p><p>The objective of this study was to assess the impact of marital status on tonsil squamous cell carcinomas (TSCCs) prognosis and to analyze whether the impact is correlated with gender, age, and race. We examined the clinicopathological variables using Chi-squared tests and evaluated the association between survival and different variables using the methods of Kaplan-Meier. Univariate and multivariate analyses were performed to determine the effects of each variable on survival. A total of 10,720 patients were analyzed. The rate of being married was higher among Asian or Caucasian, and this rate decreased with higher tumor stage. While both married male and female survivors benefit from their marital status, we found a differential in cancer-specific survival based on gender, with males benefitting more than females (<i>p</i> < 0.05). The same results were found in overall survival. Subgroup analysis shows that the protective effect of marriage was consistent in all patients except for N3 groups (all, <i>p</i> < 0.05). While there are survival benefits for married patients with TSCCs, married/partnered males may benefit more than females. Age, race, and gender could affect the correlation between marital status and survival.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1773-1779"},"PeriodicalIF":2.1,"publicationDate":"2022-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9658004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40723029","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":"HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway.","authors":"Lifeng Jiang, Qixian Yang","doi":"10.1515/med-2022-0558","DOIUrl":"https://doi.org/10.1515/med-2022-0558","url":null,"abstract":"<p><p>Esophageal cancer (EC) is an extremely aggressive malignant tumor. Homeobox A10 (HOXA10) is highly expressed and plays an important role in a variety of tumors. However, the function of HOXA10 in EC remains unclear. In this study, HOXA10 was observed to highly express in EC tissues and cells. Interestingly, the CCK-8 assay, flow cytometry, and colony formation assay confirmed that overexpression of HOXA10 promoted proliferation and suppressed cell apoptosis in EC cells. More importantly, the western blot assay indicated that the phosphorylation levels of ERK and p38 were elevated in EC cells overexpressed HOXA10, indicating that overexpression of HOXA10 activated p38/ERK signaling pathway in EC cells. These findings concluded that HOXA10 aggravated EC progression via activating p38/ERK signaling pathway, providing a potential therapeutic target for EC.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1750-1759"},"PeriodicalIF":2.1,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40699697","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}
Yan Gong, Yi Luo, Zhilai Chen, Ying Sui, Yansong Zheng
{"title":"Longitudinal analysis of factors related to <i>Helicobacter pylori</i> infection in Chinese adults.","authors":"Yan Gong, Yi Luo, Zhilai Chen, Ying Sui, Yansong Zheng","doi":"10.1515/med-2022-0564","DOIUrl":"https://doi.org/10.1515/med-2022-0564","url":null,"abstract":"<p><p>This research aimed to analyze lifestyle-related factors which influence <i>Helicobacter pylori</i> (<i>Hp</i>) infection and outcomes in Chinese adults. A single-center, retrospective study was performed from January 2012 to December 2020. Self-administered questionnaires were used to collect relevant lifestyle information, and the <sup>13</sup>C-urea breath test was used to diagnose active <i>Hp</i> infection. A total of 18,211 subjects were enrolled in the study, of which 5,511 were females (30.26%). Subjects were studied longitudinally for up to five follow-up visits. At baseline, gastric <i>Hp</i> test was negative in 10,670 subjects (58.59%) and positive in 7,541 subjects (41.41%). Males exhibited a significantly higher <i>Hp</i> infection rate than females (38.56% vs 2.65%, respectively; <i>χ</i> <sup>2</sup> = 26.45, <i>P</i> < 0.001). Throughout the course of follow-up, <i>Hp</i> positive rates in the subjects decreased ( <math> <msubsup><mrow><mi>χ</mi></mrow> <mrow><mtext>trend</mtext></mrow> <mrow><mn>2</mn></mrow> </msubsup> </math> = 666.04, <i>P</i> < 0.001). Among the subjects with baseline negative results, 3-6% changed from negative to positive during follow-up. In contrast, among those with baseline positive results, >70% remained positive, and 21-26% changed from positive to negative. However, only 22-27% of <i>Hp</i>-infected subjects received pharmacotherapy. The results indicate the prevalence of <i>Hp</i> infection is high in the Chinese population. That additional effort is required to prevent and control <i>Hp</i> infection.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1742-1749"},"PeriodicalIF":2.1,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40699700","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}
Giovanni Cochetti, Alessio Paladini, Graziano Felici, Angelica Tancredi, Valerio Cellini, Michele Del Zingaro, Ettore Mearini
{"title":"Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature.","authors":"Giovanni Cochetti, Alessio Paladini, Graziano Felici, Angelica Tancredi, Valerio Cellini, Michele Del Zingaro, Ettore Mearini","doi":"10.1515/med-2022-0577","DOIUrl":"https://doi.org/10.1515/med-2022-0577","url":null,"abstract":"<p><p>Pubovesical fistula (PVF) is a rare complication of radical treatments for prostate cancer (PCa), especially when a multimodal approach is performed. We present a case of PVF with extensive communication between the bladder and the pubic bones, and lymph node metastases of PCa treated by cystectomy and salvage lymphadenectomy. We describe a case of a 65-year old male patient who, after radical prostatectomy and adjuvant radiation therapy, suffered from suprapubic and perineal pain, ambulation difficulties and recurrent urinary tract infections. Cystoscopy, cystography and contrast-enhanced magnetic resonance imaging diagnosed a PVF. Choline positron emission tomography/computed tomography scan demonstrated PCa lymph node metastases. After the failure of conservative treatment, open radical cystectomy with ureterocutaneostomy diversion and salvage lymphadenectomy were performed with resolution of symptoms. At 3-month follow-up, the pelvic and perineal pain was completely regressed and 1-year later the patient was still asymptomatic. This clinical case shows efficacy and safety of combined salvage lymphadenectomy and cystectomy with urinary diversion for the treatment of late PCa node metastasis and PVF.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1715-1723"},"PeriodicalIF":2.1,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40699699","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}
Li-Ping Su, Min Ji, Li Liu, Wei Sang, Jing Xue, Bo Wang, Hong-Wei Pu, Wei Zhang
{"title":"The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients.","authors":"Li-Ping Su, Min Ji, Li Liu, Wei Sang, Jing Xue, Bo Wang, Hong-Wei Pu, Wei Zhang","doi":"10.1515/med-2022-0585","DOIUrl":"https://doi.org/10.1515/med-2022-0585","url":null,"abstract":"<p><p><i>ASAP3</i> is involved in a variety of biological activities, including cancer progression in humans. In adult glioma, we explore the effects of <i>ASAP3</i> and <i>NOTCH3</i> and their relationships on prognosis. The Oncomine, TIMER, and Gene Expression Profiling Interactive Analysis databases were used to investigate <i>ASAP3</i> expression. Immunohistochemistry was used to assess the levels of <i>ASAP3</i> and <i>NOTCH3</i> expressions. The effects of <i>ASAP3</i> and <i>NOTCH3</i> on prognosis were assessed using survival analysis. The results revealed that the amount of <i>ASAP3</i> mRNA in gliomas was much higher than in normal tissue (<i>P</i> < 0.01). Glioma patients with high <i>ASAP3</i> mRNA expression had a worse overall survival and progression-free survival. <i>ASAP3</i> overexpression is directly associated with the NOTCH signaling system. Immunohistochemistry revealed that <i>ASAP3</i> and <i>NOTCH3</i> were overexpressed in glioblastomas (GBMs). <i>ASAP3</i> expression was associated with age, recurrence, tumor resection, postoperative chemoradiotherapy, World Health Organization (WHO) grade, and <i>Ki-67</i> expression. <i>ASAP3</i> expression was related to the isocitrate dehydrogenase-1 mutation in low-grade glioma. Gender, local recurrence, tumor resection, postoperative radio-chemotherapy, WHO grade, recurrence, and <i>ATRX</i> expression were all associated with <i>NOTCH3</i> expression. <i>ASAP3</i> was shown to be positively associated with <i>NOTCH3</i> (<i>r</i> = 0.337, <i>P</i> = 0.000). Therefore, <i>ASAP3</i> and <i>NOTCH3</i> as oncogene factors have the potential to be prognostic biomarkers and therapeutic targets in adult glioma.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1724-1741"},"PeriodicalIF":2.1,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9623729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40466123","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}
Paweł Radkowski, Bartosz Kędziora, Justyna Dawidowska-Fidrych
{"title":"Trismus during tracheal extubation as a complication of general anaesthesia - A case report.","authors":"Paweł Radkowski, Bartosz Kędziora, Justyna Dawidowska-Fidrych","doi":"10.1515/med-2022-0573","DOIUrl":"https://doi.org/10.1515/med-2022-0573","url":null,"abstract":"<p><p>Tracheal extubation is a risky phase of anaesthesia. Most complications that occur when an endotracheal tube is removed are of minor nature, but those that require critical action can end in serious complications or even death. Patient - A 55-year-old woman was admitted for elective transabdominal hysterectomy and adnexal procedures. Anaesthesia - Standard monitoring. For induction, we used fentanyl, propofol, and rocuronium. The maintenance phase of anaesthesia was without complications. After extubation, the patient presented with severe trismus and mask ventilation was unsuccessful (cannot ventilate) - It was not until 200 mg of succinylcholine was administered that the masseter muscle spasm subsided. Extubation is a process that must always be planned. A routine approach and lack of a contingency plan is responsible for a number of complications related to the period of patient awakening and associated with the removal of the endotracheal tube. Trismus, in response to extubation, is a phenomenon not described in the literature in non-high risk patients.</p>","PeriodicalId":520729,"journal":{"name":"Open medicine (Warsaw, Poland)","volume":" ","pages":"1712-1714"},"PeriodicalIF":2.1,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40466124","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}