Surgery in practice and science最新文献

{"title":"Ten year analysis of missed injuries at a major trauma centre in South Africa","authors":"Howard Wain ,&nbsp;Damian L Clarke ,&nbsp;Shelley Wall ,&nbsp;Wanda Bekker ,&nbsp;Victor Kong ,&nbsp;John L Bruce","doi":"10.1016/j.sipas.2023.100169","DOIUrl":"10.1016/j.sipas.2023.100169","url":null,"abstract":"<div><h3>Introduction</h3><p>This analysis retrospectively reviews a tertiary trauma service's experience with missed injuries over a decade.</p></div><div><h3>Methods</h3><p>The Pietermaritzburg Metropolitan Trauma Service (PMTS) has accumulated electronic data on all admissions since 2012. This data informs the monthly morbidity and mortality conference, where adverse events are discussed. Records of all missed injuries were reviewed.</p></div><div><h3>Results</h3><p>During the study period there were 17 254 individual patient admissions and 4 624 surgical procedures. A total of 159 missed injuries were identified. Ninety-six were injuries missed on investigation; 60 were missed on CT, 27 missed on x-ray, 1 on blood test, and 8 occurred during an unknown investigation. Thirty-nine injuries were missed during surgery; including thirteen colonic, five small bowel, five gastric, four duodenal, three vascular and three diaphragmatic injuries. Twenty-four injuries were missed on initial assessment, the majority of which were soft tissue injuries. Intraoperative missed injuries resulted in the greatest morbidity.</p></div><div><h3>Conclusion</h3><p>Missed injuries remain a problem in modern trauma care. Injuries missed during initial clinical assessment and on imaging must be excluded by detailed secondary surveys and in depth review of all imaging. Injuries missed at operation carry greater morbidity than those missed outside the operating room. Ongoing vigilance is necessary to reduce the incidence of these injuries.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100169"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43680339","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}

{"title":"Allocating deceased donors using local vs. imported renal allografts: Logistics are more important than distance","authors":"Mahmoudreza Moein,&nbsp;Praise E. Njoku Austin,&nbsp;Rauf Shahbazov,&nbsp;Matthew Hanlon,&nbsp;Alex Almonte,&nbsp;Oleh Pankewycz,&nbsp;Mark R. Laftavi,&nbsp;Reza F. Saidi","doi":"10.1016/j.sipas.2023.100175","DOIUrl":"10.1016/j.sipas.2023.100175","url":null,"abstract":"<div><h3>Background</h3><p>The deceased donor kidney allocation system (KAS) aims to optimize and equalize organ access for candidates nationwide and facilitate organ matching for candidates who are harder to match due to biological reasons. In March 2021, UNOS implanted a new allocation of KT based on distance from the donor hospitals. A distance within 250 nautical miles will receive additional proximity points to access KT.</p></div><div><h3>Material and Method</h3><p>This retrospective single-center study assessed the Cold ischemic time (CIT) and Delayed graft function (DGF) in allograft kidneys from January 2014 to December 2020. We studied 221 import KT, compared the outcomes to locally procured KT (<em>n</em> = 160), and finally compared the patients and graft survival rates in 1-year and 5-years.</p></div><div><h3>Results</h3><p>Donor and recipient demographics were similar in both groups. Induction and maintenance immunosuppression was similar in both groups. CIT was significantly higher in the imported group (27.6 vs. 15.9 h, <em>p</em>&lt; 0.0001). However, distance did not impact CIT significantly (R²= 0.07) in the imported KTs. Distance also did not impact the rate of DGF in both groups (imported 21% vs. 22%, <em>p</em> = 0.74). Patient and graft survivals were similar in the imported vs. local group.</p></div><div><h3>Conclusions</h3><p>We conclude that distance alone does not correlate with CIT and DGF and it is not a great single predictable factor for the outcomes. There are many logistical factors and OPO factors that have a significant impact on CIT and DGF occurrence, which should be considered, and the new UNOS allocation changes can help in terms of equal distribution of available allografts.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100175"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43694074","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}

{"title":"Timing of pediatric pyloromyotomy on hospital length of stay","authors":"Faraz N. Longi ,&nbsp;Audra J. Reiter ,&nbsp;Shiv Patel ,&nbsp;Grant Zhao ,&nbsp;Charesa Smith ,&nbsp;Seth D. Goldstein ,&nbsp;Timothy B. Lautz ,&nbsp;Mehul V. Raval","doi":"10.1016/j.sipas.2023.100177","DOIUrl":"10.1016/j.sipas.2023.100177","url":null,"abstract":"<div><h3>Introduction</h3><p>Pyloromyotomy timing is predicated upon correction of electrolyte abnormalities. Among infants who presented with normal electrolytes, we hypothesized that pyloromyotomy the evening of presentation, rather than waiting until morning, would confer shorter length of stay (LOS).</p></div><div><h3>Methods</h3><p>This single-center retrospective cohort study included patients who underwent pyloromyotomy from 2012 to 2021. Exposure was time of operation with nighttime considered between the times of 17:00 and 06:59 and daytime between 07:00 and 16:59. A 2:1 daytime to nighttime match was performed among patients who presented with normal electrolytes with Fisher's Exact and Student's <em>t</em>-test for comparisons.</p></div><div><h3>Results</h3><p>Of 520 patients, 15 (3%) underwent pyloromyotomy overnight and were matched to 30 daytime patients. There were no differences in median age (33 days (interquartile range [IQR] 29–44) vs 32 days (IQR 25–44)), male sex (15 (100%) vs 28 (93.3%), or history of prematurity (0 (0%) vs 2 (6.7%)) for nighttime compared to daytime, respectively. Operative outcomes including conversion to open, duodenal perforation, incomplete myotomy, or surgical site infection did not differ between the groups. While the nighttime group had a significantly shorter time from presentation to operating room (OR) than the daytime group (5.3 vs 15.9 h), there were no significant differences in total LOS (45.7 vs 57.3 h, <em>p</em> = 0.13).</p></div><div><h3>Conclusion</h3><p>For infants with hypertrophic pyloric stenosis who present with normal electrolytes, it is safe to offer operation same-day or following a night of hydration. There was no evidence of improved hospital utilization for patients undergoing pyloromyotomy the night of presentation.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100177"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43905321","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}

{"title":"Social vulnerability is associated with more stomas after surgery for uncomplicated diverticulitis","authors":"Jorge G. Zarate Rodriguez,&nbsp;William C. Chapman Jr.,&nbsp;Dominic E. Sanford,&nbsp;Chet W. Hammill,&nbsp;Paul E. Wise,&nbsp;Radhika K. Smith,&nbsp;Sean C. Glasgow,&nbsp;Matthew L. Silviera","doi":"10.1016/j.sipas.2023.100167","DOIUrl":"10.1016/j.sipas.2023.100167","url":null,"abstract":"<div><h3>Background</h3><p>Previous research has demonstrated disparities in surgical management of diverticulitis based on various patient characteristics, including race. Recent investigation suggests environmental factors may also play a prominent role in patient outcomes. The Center for Disease Control and Prevention's Social Vulnerability Index (SVI) is emerging as a useful tool for studying this effect and may better characterize social determinants of health among colorectal pathology.</p></div><div><h3>Methods</h3><p>This was a retrospective review of patients in the Healthcare Cost and Utilization Project Florida State Inpatient Database (2006–2014), matched by ZIP code to their corresponding SVI. Patients admitted through the emergency department with a primary diagnosis of diverticulitis were included. The rate of stoma creation amongst patients undergoing non-elective surgery for uncomplicated diverticulitis was compared by SVI.</p></div><div><h3>Results</h3><p>Of the 4,212 patients in this study who underwent colectomy, 2,310 (54.8%) received a stoma. Compared to those with low vulnerability, highly vulnerable patients were more likely to receive a stoma (<em>p</em> = 0.014). In multivariable logistic analysis, increasing vulnerability was independently associated with increased odds of stoma creation (OR 1.08, <em>p</em>&lt;0.001). Female sex (OR 0.86, <em>p</em> = 0.027), nonwhite race (OR 0.63, <em>p</em>&lt;0.001), and minimally invasive surgical approach (OR 0.41, <em>p</em>&lt;0.001) were associated with decreased odds of stoma creation.</p></div><div><h3>Conclusions</h3><p>High social vulnerability was associated with stoma creation amongst patients who underwent non-elective surgery for uncomplicated diverticulitis. Contrarily, nonwhite race was associated with decreased rate of stoma creation, highlighting the importance of using more comprehensive metrics of patient vulnerability such as SVI, rather than race, in disparities research.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100167"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41525046","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}

{"title":"Complex mitral valve anatomy and open issues in transcatheter mitral valve replacement","authors":"Haroon Zafar ,&nbsp;Sajjad Soleimani ,&nbsp;Masooma Ijaz ,&nbsp;Junaid Zafar ,&nbsp;Faisal Sharif","doi":"10.1016/j.sipas.2023.100182","DOIUrl":"10.1016/j.sipas.2023.100182","url":null,"abstract":"<div><p>Higher and prohibitive mitral valve disease surgical scenarios are preferred cases for transcatheter mitral valve replacement as they offer unrelenting mitral valve regurgitation reduction. This review entails medical technologies that are evolving bioprosthetic devices for mitral valve repair and replacement purposes. Transcatheter mitral valve replacement is compared with transcatheter aortic valve implantation based on the etiology and driving factors. Leading anchoring systems to place and fix the mitral valve prosthesis in left atrium/ventricle annulus are discussed. Furthermore, accessing modalities to stretch to the mitral valve including transapical, trans- aorta and transseptal are included along with the associated key challenges.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100182"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46260607","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}

{"title":"Burnout in the female surgical trainee; is it time to consider a more global approach to tackle this issue?","authors":"Quratulain Sabih ,&nbsp;Helen Cappuccino ,&nbsp;Stephen Edge ,&nbsp;Kazuaki Takabe ,&nbsp;Jessica Young","doi":"10.1016/j.sipas.2023.100162","DOIUrl":"https://doi.org/10.1016/j.sipas.2023.100162","url":null,"abstract":"<div><p>Workplace related burnout is rampant in medicine. Prevalence is even higher in surgical specialties, higher during various stages of training, and higher still in females in these specialties. There has been a concerted effort by various deliberative bodies to institute policies to combat this. Efforts at institutional levels as well as community levels are encouraged. Some guidelines about techniques individuals can use have been reviewed recently in literature, i.e., resilience training, actively seeking mentorship, advocating for time for self-care, attention to medical needs etc. However, most of the published literature tackles different singular aspects of burnout. For female surgical trainees, we propose a comprehensive approach to tackling burnout. This paper outlines the various causes and the solutions currently in practice and hopes to act as a guide for female surgeons at various stages of their professional lives.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100162"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49855911","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}

{"title":"Contemporary management of blunt colonic injuries – Experience from a level one trauma centre in New Zealand","authors":"Jeffrey Tan ,&nbsp;Nat Joe ,&nbsp;Victor Kong ,&nbsp;Damian Clarke ,&nbsp;Jonathan Ko ,&nbsp;Janet Amey ,&nbsp;Bronwyn Denize ,&nbsp;Gina Marsden ,&nbsp;Damien Ah Yen ,&nbsp;Grant Christey","doi":"10.1016/j.sipas.2023.100179","DOIUrl":"https://doi.org/10.1016/j.sipas.2023.100179","url":null,"abstract":"<div><h3>Introduction</h3><p>Blunt colonic injury (BCI) is relatively rare, and literature on the topic is sparse. This study reviews our contemporary experience in its management at a level-one trauma centre in New Zealand.</p></div><div><h3>Materials and Methods</h3><p>This was a retrospective study (January 2012 to December 2020) that included all patients who sustained a BCI managed at Waikato Hospital, New Zealand.</p></div><div><h3>Results</h3><p>Of the total of 1181 patients with blunt abdominal trauma, 69 (6%) of them sustained a BCI (49% male, mean age: 36 years). 78 separate colonic injuries were identified in the 69 cases. The most commonly injured segment was the ascending colon 49% (38/78). Eighty percent (55/69) underwent a CT scan, with only 16 showing definite evidence of a colonic injury. AAST Grade 1 was the most common (81%). Fifteen patients underwent damage control surgery. All 11 grade 1 injuries were repaired primarily, whilst the other four grade 4 and 5 colonic injuries were resected, with 3 having a subsequent stoma formation and one delayed anastomosis. There were four mortalities. Patients who had negative or equivocal admission CT findings for colonic injury had delays to the operating theatre and had poorer outcomes.</p></div><div><h3>Conclusion</h3><p>BCI is rare but is associated with a prolonged hospital stay. The treatment of BCI is similar to that of penetrating colonic injury. CT appeared inaccurate in many cases.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100179"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49856015","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}

{"title":"A new technique for the laparoscopic treatment of simple hepatic cysts","authors":"Cinzia Bizzoca ,&nbsp;Felicia Fiore ,&nbsp;Fabrizio Aquilino ,&nbsp;Salvatore Fedele ,&nbsp;Maria Di Salvo ,&nbsp;Giuseppe Lucarelli ,&nbsp;Leonardo Vincenti","doi":"10.1016/j.sipas.2023.100171","DOIUrl":"10.1016/j.sipas.2023.100171","url":null,"abstract":"<div><h3>Background</h3><p>Simple hepatic cysts are commonly detected in the general population, both solitary and associated with Adult Dominant Polycystic Kidney Disease (ADPKD). Laparoscopic fenestration is a surgical option adopted as first-line treatment and to treat complications. The techniques reported in the literature are associated with cyst recurrence in up to 41% of cases.</p></div><div><h3>Methods</h3><p>From 2012 to May 2021, 19 symptomatic patients diagnosed with simple HCs underwent an innovative technique for laparoscopic fenestration, which includes simultaneous ethanol injection into the residual cavity. The median follow up was 57 (range 4-116) months. We retrospectively analysed symptomatic relief obtained in the short and long term as primary outcome. We also evaluated the postoperative outcome, recurrence and re-intervention rates.</p></div><div><h3>Results</h3><p>11 patients (of 19) were female (58 %), with a median age of 58 (range 31-78) years. Most patients (17 of 19) experienced relief of symptoms after intervention (89,5 %). Radiological recurrence occurred in 21% of patients; nevertheless, only one patient, affected by ADPKD, experienced clinical relapse with abdominal discomfort. No patient needed reintervention. There was no major morbidity (Clavien-Dindo III-IV) nor 90-day mortality. The technique allowed early removal of abdominal drainage (median 2.5 days).</p></div><div><h3>Conclusions</h3><p>Laparoscopic fenestration of a simple hepatic cyst, with simultaneous ethanol injection, combines the advantages of the laparoscopic approach with those of injecting sclerosing agent. The described technique is associated with symptomatic relief and a favourable outcome in the postoperative period, as well as with good long term results.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100171"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43912750","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}

{"title":"Necrotising soft tissue infection in the present era: an analysis of clinicopathological features and predictors of mortality","authors":"Dr Alok Anshu ,&nbsp;Dr Surjeet Dwivedi ,&nbsp;Dr M Murali ,&nbsp;Dr Harsha MP","doi":"10.1016/j.sipas.2023.100163","DOIUrl":"https://doi.org/10.1016/j.sipas.2023.100163","url":null,"abstract":"<div><h3>Background</h3><p>Necrotizing soft tissue infections (NSTI) and non-NSTI are frequently difficult to distinguish based on symptoms, signs, and investigations. High morbidity related to it can only be avoided by early detection and treatment.</p></div><div><h3>Aim</h3><p>This study examined demographic, clinicopathological, NSTI prognosis, and mortality factors.</p></div><div><h3>Methodology</h3><p>80 NSTI patients were retrospectively studied. Clinicopathological profile, surgical management, histological report, and LRINEC score were included. Mortality predictions were evaluated between survivors and non-survivors.</p></div><div><h3>Results</h3><p>73.8 percent of patients were male and the mean age was 55.4±9.6 years. Nonsurvivors averaged 11.88±0.72 LRINEC scores. Non-survivor CRP averaged 236.5±48.5 mg/l. Gp A Hemolytic Streptococci were most frequent (37.8 percent ). Diabetes was a significant mortality predictor. Total mortality was 20%.</p></div><div><h3>Conclusion</h3><p>NSTI remains a major killer. High mortality is linked to age, diabetes, higher blood creatinine, MODS, and delayed surgery.” and proceed accordingly.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100163"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49856014","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}

{"title":"De Novo coupled use of central-vein isolation and tubeless treatment in laparoscopic adrenalectomy","authors":"Baisheng Xu ,&nbsp;FenGui Leng ,&nbsp;Bin Fu ,&nbsp;Yanying Jiang ,&nbsp;Feng Wang ,&nbsp;Jianmiao Hu ,&nbsp;Hongbing Gao ,&nbsp;Xu Leng ,&nbsp;Caizhi Liao","doi":"10.1016/j.sipas.2023.100164","DOIUrl":"https://doi.org/10.1016/j.sipas.2023.100164","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the combined uses of central vein isolation-based laparoscopic technique and tubeless cardiovascular interventional technique (CVIT) in laparoscopic adrenalectomy.</p></div><div><h3>Methods</h3><p>31 subject patients with adrenal tumors were recruited and treated from January 2020 to November 2021. Regarding tumor size, the average transverse diameter of the adrenal tumor was (2.2 ± 1.0) cm and the average longitudinal diameter of the tumor was (3.1 ± 1.5) cm, respectively. All subject patients were operated on through the abdominal approach. The \"central vein isolation\" based laparoscopic technique was adopted to complete the operation. No drainage tube was placed in the patients. For this study, selected performance parameters, including the operation time, intraoperative bleeding, postoperative hospital stays, and postoperative complications were recorded and analyzed.</p></div><div><h3>Results</h3><p>All the tumors were removed laparoscopically without any conversion to open surgery. All 31 recruited subjects were treated successfully with preservation of adrenocortical function. The mean operation time was 30 min (range from 25 to 63 min); the mean amount of intraoperative bleeding was approximately 3 mL (ranges from 0 to 10 mL); the mean postoperative hospital stay was 3 days (range from 2 to 6 days). Of note, no complications were recorded, such as adjacent organ injury, large vessel injury, infection, and secondary bleeding that occurred during and after the operation.</p></div><div><h3>Conclusion</h3><p>The combined use of central-vein isolation laparoscopic technique and tubeless treatment ensures a facile, safe, and robust laparoscopic adrenalectomy operation in clinical practice.</p></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"13 ","pages":"Article 100164"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49856052","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}