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A Case of Surgical Treatment for a Large Pulmonary Artery Aneurysm with a Quadricuspid Pulmonary Valve. 肺动脉四尖瓣大动脉瘤的外科治疗一例。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69160
Kei Morioka, Yosuke Kuroko, Sachiko Kadowaki, Junko Kobayashi, Yasuhiro Kotani, Shingo Kasahara
{"title":"A Case of Surgical Treatment for a Large Pulmonary Artery Aneurysm with a Quadricuspid Pulmonary Valve.","authors":"Kei Morioka, Yosuke Kuroko, Sachiko Kadowaki, Junko Kobayashi, Yasuhiro Kotani, Shingo Kasahara","doi":"10.18926/AMO/69160","DOIUrl":"https://doi.org/10.18926/AMO/69160","url":null,"abstract":"<p><p>A 65-year-old man was referred to our hospital for the annual assessment of the diameter and dilation of a pulmonary artery (PA) aneurysm. He had a small ventricular septal defect (VSD) that had closed naturally. Echocardiography revealed a dilated main PA, mild pulmonary regurgitation and no VSD. Computed tomography confirmed the dilation of the main PA (66.7×47.8 mm), right PA (37.1×32.9 mm), and left PA (36.7×34.0 mm). The patient underwent pulmonary artery replacement using a prosthetic vascular graft. A quadricuspid pulmonary valve was identified intraoperatively. Early surgical intervention could help to prevent rupture and dissection of PA aneurysms.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"317-320"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938422","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
A Study of Periprosthetic Femoral Stem Fractures in Hip Arthroplasty for Femoral Neck Fracture. 股骨颈骨折置换术中假体周围股骨干骨折的研究。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69150
Yoshiaki Miyake, Toru Takagi, Taizo Konishiike
{"title":"A Study of Periprosthetic Femoral Stem Fractures in Hip Arthroplasty for Femoral Neck Fracture.","authors":"Yoshiaki Miyake, Toru Takagi, Taizo Konishiike","doi":"10.18926/AMO/69150","DOIUrl":"https://doi.org/10.18926/AMO/69150","url":null,"abstract":"<p><p>This study investigated the risk factors for bone fragility and perioperative periprosthetic femoral stem fractures in patients undergoing hip arthroplasty for femoral neck fractures. The records of 215 patients (42 male, 173 female; mean age, 84.4 years) were analyzed to assess correlations among periprosthetic fracture rates and sex, age, body mass index (BMI), Dorr classification, femoral stem fixation type (cemented/cementless), and bone mineral density (BMD) of the contralateral proximal femur. The overall prevalence of perioperative periprosthetic fractures was 4.7%. All patients with periprosthetic fractures were female, and all but one were ≥ 80 years of age. Fracture rates were higher in patients with lower BMI, although this difference was not significant. The fracture rates were 0%, 4.7%, and 7.9% for Dorr types A, B, and C, respectively, and 0% and 5.3% for patients who received cemented and cementless stems, respectively. The findings indicated that female patients, those of advanced age, those with lower BMI, and those with Dorr type C had lower BMDs. Although BMD was significantly lower in patients who received cemented stems compared to those who received cementless stems, no fractures were observed in the former group, suggesting that the use of cemented stems is safe for this high-risk population.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"253-259"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938459","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
Organ Donation after Extracorporeal Cardiopulmonary Resuscitation: Clinical and Ethical Perspectives. 体外心肺复苏后器官捐献：临床和伦理观点。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69147
Tetsuya Yumoto, Hiromichi Naito, Takashi Hongo, Takafumi Obara, Yoshinori Kosaki, Kohei Ageta, Tsuyoshi Nojima, Kohei Tsukahara, Atsunori Nakao
{"title":"Organ Donation after Extracorporeal Cardiopulmonary Resuscitation: Clinical and Ethical Perspectives.","authors":"Tetsuya Yumoto, Hiromichi Naito, Takashi Hongo, Takafumi Obara, Yoshinori Kosaki, Kohei Ageta, Tsuyoshi Nojima, Kohei Tsukahara, Atsunori Nakao","doi":"10.18926/AMO/69147","DOIUrl":"https://doi.org/10.18926/AMO/69147","url":null,"abstract":"<p><p>Extracorporeal cardiopulmonary resuscitation (ECPR) has evolved into a life-saving therapy for select cardiac arrest patients, yet a growing body of evidence suggests it also holds promise as a bridge to organ donation in non-survivors. This review explores the clinical outcomes, ethical complexities, and evolving policies surrounding organ donation after ECPR. We summarize recent international and Japanese data demonstrating favorable graft function from ECPR donors, with the exception of lung transplantation. The ethical challenges - particularly those involving brain death determination on extracorporeal membrane oxygenation and adherence to the dead donor rule - are discussed in the context of Japan's recent regulatory reforms. Additionally, we highlight the importance of structured end-of-life communication through multidisciplinary team meetings in facilitating ethically sound transitions from rescue efforts to donation pathways. Moving forward, improvements in donor management, standardized legal frameworks, and public and professional education are essential to optimizing the life-saving and life-giving potential of ECPR.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"221-229"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938385","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
Bloodstream Infections Caused by Gram-Negative Bacteria in Geriatric Patients: Epidemiology, Antimicrobial Resistance and The Factors Affecting Mortality. 老年患者革兰氏阴性菌引起的血流感染：流行病学、抗菌素耐药性及影响死亡率的因素
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69148
M Enes Kardan, Ilknur Erdem, Emre Yildiz, Nuri Kiraz, Aliye Çelikkol
{"title":"Bloodstream Infections Caused by Gram-Negative Bacteria in Geriatric Patients: Epidemiology, Antimicrobial Resistance and The Factors Affecting Mortality.","authors":"M Enes Kardan, Ilknur Erdem, Emre Yildiz, Nuri Kiraz, Aliye Çelikkol","doi":"10.18926/AMO/69148","DOIUrl":"https://doi.org/10.18926/AMO/69148","url":null,"abstract":"<p><p>Bloodstream infections (BSIs) are an important cause of morbidity and mortality in geriatric patients. We retrospectively analyzed the cases of geriatric patients who developed BSIs due to gram-negative bacteria in order to evaluate the epidemiology, antimicrobial resistance, and the factors affecting mortality. The cases of 110 patients aged ≥ 65 years admitted to our hospital between January 1, 2017, and December 31, 2022 were assessed; 70 (63.6%) of the BSIs were healthcare-associated BSIs. The urinary system was the most common detectable source of infection at 43.6%. The most frequently isolated bacteria were Escherichia coli, Pseudomonas aeruginosa, and Klebsiella pneumoniae, in that order. Carbapenem resistance was detected in 17 patients (15.5%), and extended-spectrum beta-lactamase (ESBL) production from Enterobacterales family members was detected in 37 (51.4%) patients. Multivariate analysis revealed that (i) the probability of mortality in the patients with total bilirubin was increased by approx. sixfold and (ii) the likelihood of mortality for those with a Pitt bacteremia score (PBS) ≥ 4 points was approx. 17 times higher. PBS and simplified qPitt scores can help predict mortality and manage geriatric patients. There is a significant increase in mortality among patients with procalcitonin (PCT) levels at ≥ 2 nm/ml.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"231-242"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938400","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
Effectiveness of Pallidal Stimulation for Dystonic Storm and Subsequent Ssevere Posterior Reversible Encephalopathy Syndrome in a Patient with GNAO1 Variant. 白癜风刺激治疗GNAO1变异患者肌张力障碍风暴和随后的严重后部可逆性脑病综合征的有效性
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69156
Koji Kawai, Tatsuya Sasaki, Shun Tanimoto, Tomoya Saijo, Susumu Sasada, Tomoyuki Akiyama, Takuya Hiraide, Hirotomo Saitsu, Shota Tanaka
{"title":"Effectiveness of Pallidal Stimulation for Dystonic Storm and Subsequent Ssevere Posterior Reversible Encephalopathy Syndrome in a Patient with GNAO1 Variant.","authors":"Koji Kawai, Tatsuya Sasaki, Shun Tanimoto, Tomoya Saijo, Susumu Sasada, Tomoyuki Akiyama, Takuya Hiraide, Hirotomo Saitsu, Shota Tanaka","doi":"10.18926/AMO/69156","DOIUrl":"https://doi.org/10.18926/AMO/69156","url":null,"abstract":"<p><p>GNAO1 variant affects primarily the brain and neurodevelopment, leading to a range of motor disorders including seizures beginning in infancy and involuntary movements such as dyskinesia and dystonia. Our patient, a 15-year-old Japanese female, began exhibiting involuntary movements at age 4. A de novo missense mutation (NM_020988.3: c.228C>G, NP_066268.1: p.(Asn76Lys)) in the GNAO1 gene was identified when the patient was 15, and during the same year she developed influenza pneumonia, accompanied by dystonic storm. She required intensive care with mechanical ventilation and underwent a tracheostomy. She also developed posterior reversible encephalopathy syndrome. Globus pallidal stimulation was administered, leading to an improvement in the dystonic storm. Early consideration of globus pallidal stimulation is recommended when treating difficult-to-manage dystonic storms.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"293-297"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938452","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
A Rare Presentation of Pneumonic-Type Adenocarcinoma Hidden behind Empyema. 一罕见的藏在脓胸后面的肺型腺癌。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69158
Satoru Senoo, Eito Niman, Ryoko Tsuji, Kohei Takata, Shunsuke Matsumori, Fumika Murano, Yuka Sugisaki, Hiroki Omori, Akihiko Taniguchi, Rika Omote, Eiki Ichihara, Kenji Takahashi, Toshiaki Okada
{"title":"A Rare Presentation of Pneumonic-Type Adenocarcinoma Hidden behind Empyema.","authors":"Satoru Senoo, Eito Niman, Ryoko Tsuji, Kohei Takata, Shunsuke Matsumori, Fumika Murano, Yuka Sugisaki, Hiroki Omori, Akihiko Taniguchi, Rika Omote, Eiki Ichihara, Kenji Takahashi, Toshiaki Okada","doi":"10.18926/AMO/69158","DOIUrl":"https://doi.org/10.18926/AMO/69158","url":null,"abstract":"<p><p>Pneumonic-type adenocarcinoma (P-ADC) can closely mimic pneumonia. We report a P-ADC initially diagnosed as pneumonia which developed into a pulmonary abscess and empyema. A 50-year-old Japanese male diagnosed with pneumonia, pulmonary abscess, and empyema was administered antibiotics and a chest tube for drainage, which improved his symptoms and blood test results. However, chest computed tomography showed an enlarged infiltrative shadow. The patient underwent bronchoscopy and was diagnosed with an adenocarcinoma. This case highlights the importance of considering P-ADC in differential diagnoses when a pneumonia-like shadow enlarges post-empyema treatment. Diagnostic and clinical tests, e.g., bronchoscopy, should be performed in such cases.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"305-309"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938444","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
Outcome of Decompression Surgery Following Rapid Neurological Deterioration in Patients with Spinal Cord Injury Without Radiographic Evidence of Trauma (SCIWORET). 无放射学创伤证据的脊髓损伤患者神经功能迅速恶化后减压手术的结果。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69151
Yuichi Hirata, Chiaki Sugahara, Susumu Sasada, Hayato Miyake, Takayuki Nagase, Takao Yasuhara, Shota Tanaka
{"title":"Outcome of Decompression Surgery Following Rapid Neurological Deterioration in Patients with Spinal Cord Injury Without Radiographic Evidence of Trauma (SCIWORET).","authors":"Yuichi Hirata, Chiaki Sugahara, Susumu Sasada, Hayato Miyake, Takayuki Nagase, Takao Yasuhara, Shota Tanaka","doi":"10.18926/AMO/69151","DOIUrl":"https://doi.org/10.18926/AMO/69151","url":null,"abstract":"<p><p>Cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL) increase the likelihood of spinal cord injury without radiographic evidence of trauma (SCIWORET). Opinions regarding the optimal timing for surgery in such cases vary, however. We retrospectively investigated the demographics and outcomes of patients with SCIWORET who underwent surgery shortly after experiencing rapid neurological deterioration, and we matched patients who underwent standby surgery for CSM or OPLL. Although the optimal timing of surgery for SCIWORET remains unclear, our findings suggest that early stage surgery for SCIWORET may yield favorable neurological improvements.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"261-267"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938457","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
The Work Productivity of Cancer-survivor and Non-cancer-survivor Workers. 癌症幸存者和非癌症幸存者的工作效率。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69149
Mika Kamano, Kanae Kanda, Nlandu Roger Ngatu, Akitsu Murakami, Yusuke Yamadori, Tomohiro Hirao
{"title":"The Work Productivity of Cancer-survivor and Non-cancer-survivor Workers.","authors":"Mika Kamano, Kanae Kanda, Nlandu Roger Ngatu, Akitsu Murakami, Yusuke Yamadori, Tomohiro Hirao","doi":"10.18926/AMO/69149","DOIUrl":"https://doi.org/10.18926/AMO/69149","url":null,"abstract":"<p><p>We investigated the work productivity levels of employed cancer survivors and non-cancer-survivor workers by conducting a cross-sectional study in Japan between February and March 2019, using an online survey. A total of 561 employed individuals aged 20-64 years were analyzed. Work productivity was assessed using the Work Productivity and Activity Impairment-General Health questionnaire which evaluates absenteeism, presenteeism, and overall work productivity loss. The questionnaire responses demonstrated that the cancer survivors within 1 year of diagnosis had significantly higher absenteeism compared to the non-cancer workers (p=0.048). Although presenteeism and overall work productivity loss were also higher in the non-cancer-survivor group, the differences were not significant. Cancer survivors within 1 year of diagnosis exhibited higher absenteeism, but their work productivity appeared to recover to levels comparable to those of the non-cancer workers over time. These findings may contribute to workplace policies supporting cancer survivors' return to work.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"243-251"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938394","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
Pulmonary Calcium Phosphate Cement Embolism After Percutaneous Vertebroplasty for Thoracic Vertebrae Fractures. 胸椎骨折经皮椎体成形术后肺磷酸钙水泥栓塞。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-08-01 DOI: 10.18926/AMO/69157
Ruibin Feng, Bikang Zhu, Danyun Wei, Dingjiao Zhu, Cairu Chen
{"title":"Pulmonary Calcium Phosphate Cement Embolism After Percutaneous Vertebroplasty for Thoracic Vertebrae Fractures.","authors":"Ruibin Feng, Bikang Zhu, Danyun Wei, Dingjiao Zhu, Cairu Chen","doi":"10.18926/AMO/69157","DOIUrl":"https://doi.org/10.18926/AMO/69157","url":null,"abstract":"<p><p>Pulmonary cement embolism (PCE) is a rare but severe complication following percutaneous vertebroplasty (PVP). Calcium phosphate cement (CPC) has emerged as an alternative to traditional materials for vertebral augmentation. There appear to be no established guidelines for managing symptomatic PCE, and there is scarce literature on CPC embolisms. This is a first report of a case of pulmonary CPC embolism following PVP. The patient, a 63-year-old Chinese female, was administered anticoagulant treatment and achieved a satisfactory outcome. Her case highlights the severe potential morbidity associated with CPC leakage and emphasizes the efficacy of anticoagulant treatment for managing pulmonary CPC embolisms.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 4","pages":"299-303"},"PeriodicalIF":0.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938431","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
A Case of Aniline Poisoning Manifesting as Cyanosis with Unknown Cause. 苯胺中毒表现为不明原因的发绀1例。
IF 0.6 4区 医学
Acta medica Okayama Pub Date : 2025-06-01 DOI: 10.18926/AMO/68729
Kenichi Taguchi, Kazuya Nishii, Sakura Hata, Shoichi Kuyama, Shoichi Tanaka
{"title":"A Case of Aniline Poisoning Manifesting as Cyanosis with Unknown Cause.","authors":"Kenichi Taguchi, Kazuya Nishii, Sakura Hata, Shoichi Kuyama, Shoichi Tanaka","doi":"10.18926/AMO/68729","DOIUrl":"https://doi.org/10.18926/AMO/68729","url":null,"abstract":"<p><p>A 38-year-old man was brought to the hospital for emergency treatment of cyanosis. The patient exhibited generalized cyanosis and impaired consciousness despite adequate oxygen therapy. Arterial blood was black, and arterial blood gas analysis revealed an abnormally high methemoglobin level of 67.8%. We later interviewed his colleagues regarding his exposure to aniline while working at the factory and diagnosed him with methemoglobinemia due to aniline poisoning. The patient was administered methylene blue (MB) after being transferred to another hospital, where this treatment was available, resulting in an improvement in symptoms. Although rare, methemoglobinemia is serious. A good understanding of the circumstances at disease onset, characteristic findings, and abnormal values of methemoglobinemia is important. In addition, MB is an important therapeutic for the treatment of methemoglobinemia; if MB is not available at a particular hospital, transfer of the patient to a hospital that stocks MB should be considered.</p>","PeriodicalId":7017,"journal":{"name":"Acta medica Okayama","volume":"79 3","pages":"209-212"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504378","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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