Bulletin of emergency and trauma最新文献_第2页

Comparative Analysis of "Trauma and Injury Severity Scores" and "Madras Head Injury Prognostic Scale" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran. 伊朗Sabzevar Shahid Beheshti医院急诊科“创伤及损伤严重程度评分”与“马德拉斯颅脑损伤预后量表”评估颅脑损伤预后的比较分析

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104632.1554

Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji

{"title":"Comparative Analysis of \"Trauma and Injury Severity Scores\" and \"Madras Head Injury Prognostic Scale\" in Assessing Head Trauma Prognosis in the Emergency Department of Shahid Beheshti Hospital, Sabzevar, Iran.","authors":"Marjan Hamidnezhad, Mozhgan Ansari, Tahura Afshari Saleh, Samira Foji","doi":"10.30476/beat.2025.104632.1554","DOIUrl":"10.30476/beat.2025.104632.1554","url":null,"abstract":"Objectives: This study aimed to compare the effectiveness of Trauma and Injury Severity Scores (TRISS) and Madras Head Injury Prognostic Scale (MHIPS) in assessing the prognosis of head trauma patients in the emergency department.Methods: In this descriptive-analytical (predictive) study, 140 head trauma patients admitted to the emergency department of Shahid Beheshti Hospital (Sabzevar, Iran), were included from January to November 2023. Participants were selected via convenience sampling method and based on the inclusion criteria. Data were collected using a demographic questionnaire, the TRISS, and the MHIPS scale, and analyzed using Stata software (version 17).Results: The mean age of the injured patients was 39.72±19.86 years, and 102 (73%) patients were male. For intensive care unit (ICU) hospitalization prediction, the MHIPS tool showed a sensitivity of 92%, specificity of 86%, positive predictive value (PPV) of 60%, and negative predictive value (NPV) of 98%. For mortality prediction, the MHIPS tool had a sensitivity of 89%, specificity of 86%, PPV of 27%, and NPV of 99% in predicting death. The TRISS tool demonstrated a sensitivity of 81%, a specificity of 96%, a PPV of 81%, and an NPV of 95% for ICU hospitalization, and a sensitivity of 75%, specificity of 87%, PPV of 26%, and NPV of 98% for mortality. No significant difference was observed between TRISS and MHIPS in predicting the probability of ICU admission and mortality (p=0.797).Conclusion: Both TRISS and MHIPS demonstrated satisfactory predictive value for head trauma outcomes, with neither tool being superior to the other.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673954","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}

引用次数: 0

Prognostic Value of Lactate Levels in Trauma Patients' Outcomes in Emergency Department. 乳酸水平对急诊科创伤患者预后的预测价值。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.103125.1519

Sayyed Majid Sadrzadeh, Vahid Talebzadeh, Seyed Mohammad Mousavi, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi, Hamideh Feiz Disfani

{"title":"Prognostic Value of Lactate Levels in Trauma Patients' Outcomes in Emergency Department.","authors":"Sayyed Majid Sadrzadeh, Vahid Talebzadeh, Seyed Mohammad Mousavi, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi, Hamideh Feiz Disfani","doi":"10.30476/beat.2025.103125.1519","DOIUrl":"https://doi.org/10.30476/beat.2025.103125.1519","url":null,"abstract":"Objectives: This study aimed to investigate the prognostic role of lactate clearance in predicting outcomes among trauma patients admitted to the emergency department.Methods: This retrospective cohort study was conducted on patients referred to the Emergency Department. Serum lactate levels were measured at admission and 2 hours later. The patients were followed up for 72 hours to assess outcomes, including discharge, hospitalization in other wards, and mortality.Results: The results showed a significant difference between the mean age, Glasgow Coma Scale (GCS), systolic blood pressure (SBP), pulse rate (PR), and oxygen saturation (O2 Sat) of the trauma patients in relation to mortality prognosis (p<0.05). Additionally, significant differences were found in primary lactate, lactate levels two hours post-admission, and lactate clearance levels based on the patient's prognosis (p<0.01). Multivariate logistic regression analysis revealed that lactate clearance was associated with a reduced mortality rate among trauma patients (OR=0.907, p<0.05).Conclusion: The findings of this study showed that lactate clearance, as an independent predictive factor, was associated with poorer prognosis and increased mortality rates in trauma patients.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976885","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}

引用次数: 0

Shetty Test Challenges Ottawa Ankle Rules in Detecting Foot and Ankle Fractures: A Prospective Comparative Study. 谢蒂测试挑战渥太华踝关节规则在检测足部和踝关节骨折：一项前瞻性比较研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104975.1557

Konstantinos G Makiev, Ioannis S Vasios, Anthimos Keskinis, Reichan Molla Moustafa, Georgios Petkidis, Athanasios Ververidis, Konstantinos Tilkeridis, Efthymios Iliopoulos

{"title":"Shetty Test Challenges Ottawa Ankle Rules in Detecting Foot and Ankle Fractures: A Prospective Comparative Study.","authors":"Konstantinos G Makiev, Ioannis S Vasios, Anthimos Keskinis, Reichan Molla Moustafa, Georgios Petkidis, Athanasios Ververidis, Konstantinos Tilkeridis, Efthymios Iliopoulos","doi":"10.30476/beat.2025.104975.1557","DOIUrl":"https://doi.org/10.30476/beat.2025.104975.1557","url":null,"abstract":"Objectives: Ankle joint injuries are among the most common orthopedic injuries and are associated with significant healthcare costs. To reduce unnecessary radiographic screening, diagnostic tools such as the widely accepted Ottawa Ankle Rules (OARs) have been developed. However, the accuracy of OARs in excluding fractures remains uncertain. Recently, a new diagnostic test, the Shetty Test (ST), has been introduced. This prospective comparative study aimed to evaluate the diagnostic accuracy of the \"ST\" in comparison to the \"OARs\" for detecting ankle and foot fractures.Methods: A total of 112 consecutive adult patients (>18 years old) were included in the study. They were presented to the Emergency Department of a University Hospital in Alexandroupolis due to an ankle or foot injury. Data were collected over 6 months, from November 2022 to May 2023.Results: The sensitivity of the ST was 68.4%, specificity was 76.3%, positive predictive value (PPV) was 37.1%, and negative predictive value (NPV) was 92.2%. For the OARs, sensitivity was 94.7%, specificity was 15%, PPV was 18.5%, and NPV was 93.3%. When at least one of the tests was positive, the sensitivity and NPV increased to 100%.Conclusion: The ST was found to be reliable; however, it did not outperform the OARs in this study. Nevertheless, when used in conjunction, the two tests significantly improved sensitivity and the NPV. Due to its simplicity and reproducibility, the ST could be a valuable tool in daily clinical practice, particularly for non-orthopedic emergency department personnel.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966268","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}

引用次数: 0

Genetic Alterations in War-Related Post-Traumatic Stress Disorder: A Systematic Review. 与战争有关的创伤后应激障碍的基因改变：系统综述。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105114.1560

Amir Hossein Rajabi, Samaneh Zafarabadi, Kimia Jazi, Maryam Moghbel Baerz, Omid Bahrami, Gelareh Azarinoush, Pardis Habibi, Negar Azami, Shahram Paydar

{"title":"Genetic Alterations in War-Related Post-Traumatic Stress Disorder: A Systematic Review.","authors":"Amir Hossein Rajabi, Samaneh Zafarabadi, Kimia Jazi, Maryam Moghbel Baerz, Omid Bahrami, Gelareh Azarinoush, Pardis Habibi, Negar Azami, Shahram Paydar","doi":"10.30476/beat.2025.105114.1560","DOIUrl":"https://doi.org/10.30476/beat.2025.105114.1560","url":null,"abstract":"Objectives: This systematic review explored gene expression and DNA methylation patterns to identify key pathways and molecular targets associated with post-traumatic stress disorder (PTSD), particularly its war-related subtype.Methods: A comprehensive search of PubMed, Scopus, and Web of Science was conducted using keywords related to PTSD, gene expression, and DNA methylation. Studies published between 2000 to 2024 involving adult military personnel with confirmed PTSD based on the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) criteria were included. Animal studies, psychological interventions, and pharmacological research were excluded. Only cross-sectional, case-control, or cohort studies utilizing blood, saliva, or brain tissue samples were considered. Data from 28 studies were extracted using a predefined framework, focusing on population characteristics, study design, and identified hub genes.Results: Key findings revealed the upregulation of immune-related genes (e.g., CCL4, NF-κB) and hypomethylation of inflammation-related genes. Downregulation of neurodevelopmental genes, such as Brain-Derived Neurotropic Factor (BDNF) and Down syndrome cell adhesion molecule (DSCAM), highlighted disruptions in synaptic plasticity. The identified pathways suggested potential biomarkers and therapeutic targets for precision medicine approaches.Conclusion: This review highlighted the role of gene expression alterations in war-related PTSD. The identified genes might serve as candidates for personalized therapies. Further research is required to validate these findings and develop targeted interventions.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984146","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}

引用次数: 0

Challenges in Managing Patients During Biological Emergencies in the Iranian Health System: A Qualitative Study. 伊朗卫生系统在生物紧急情况下管理患者的挑战：一项定性研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105076.1559

Zoya Hadinejad, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Hamidreza Khankeh

{"title":"Challenges in Managing Patients During Biological Emergencies in the Iranian Health System: A Qualitative Study.","authors":"Zoya Hadinejad, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Hamidreza Khankeh","doi":"10.30476/beat.2025.105076.1559","DOIUrl":"10.30476/beat.2025.105076.1559","url":null,"abstract":"Objectives: This qualitative study aimed to identify the key challenges associated with managing patients affected by biological emergencies in Iran.Methods: This study was part of grounded theory research using the constant comparative analysis method proposed by Corbin (2014). Data were gathered through semi-structured interviews with 25 individuals with expertise or experience in managing biological emergencies. Purposive sampling, followed by theoretical sampling, was employed until theoretical saturation was reached. Data collection was conducted between April and November 2023, and MAXQDA software (2020) was used for data analysis.Results: After several rounds of data analysis and summarization, considering similarities and differences, four main categories and 14 subcategories were identified. The main categories included: 1) lack of a comprehensive risk communication strategy, 2) inefficiencies in patient flow mismanagement, 3) systemic political and governance challenges, and 4) deficiencies in resource allocation and utilization.Conclusion: This study highlighted the challenges faced by Iran's Healthcare system in managing affected individuals in biological emergencies. Key issues included mismanagement of patient flow and systemic inefficiencies. Addressing these challenges is essential for enhancing the effectiveness and sustainability of Iran's Healthcare system. Further research is recommended to provide practical strategies for managing biological emergencies in the future.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"105-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673952","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}

引用次数: 0

Clinical Outcomes of Chevron Osteotomy with Tension Band Wiring for Distal Humerus Fractures: A Prospective Study. 张力带钢丝雪佛龙截骨治疗肱骨远端骨折的临床效果：一项前瞻性研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105478.1565

Aliasghar Kousari, Amir Mehrvar, Seiied Hossein Heidari, Soroush Rezaei Garjaei

{"title":"Clinical Outcomes of Chevron Osteotomy with Tension Band Wiring for Distal Humerus Fractures: A Prospective Study.","authors":"Aliasghar Kousari, Amir Mehrvar, Seiied Hossein Heidari, Soroush Rezaei Garjaei","doi":"10.30476/beat.2025.105478.1565","DOIUrl":"10.30476/beat.2025.105478.1565","url":null,"abstract":"Objectives: Chevron osteotomy could be fixed using various techniques, each yielding different outcomes. This study aimed to determine the complications and outcomes caused by Chevron osteotomy fixed with tension band wire in distal humeral fractures.Methods: In this prospective study, patients with distal intra-articular humerus fractures treated by Chevron osteotomy at Shahid Rajaei and Shahid Chamran Hospitals (Shiraz, Iran) from October 2018 to October 2023 were enrolled. Osteotomy fusion was evaluated radiographically using the Picture Archiving and Communication System (PACS). Additional complications were assessed during periodic patient follow-ups.Results: The study included 60 patients with a mean age of 44.6±18.14 years, including 23 (38.3%) women. All cases demonstrated complete union of the olecranon osteotomy, with no cases of infection or fixation failure. In three cases, the applied pins and wires were removed. Hardware-related irritation was observed in 22 patients (36.7%).Conclusion: The tension band wiring (TBW) method demonstrated acceptable clinical outcomes. Despite frequent hardwire irritation, this technique achieved high rates of bony union. However, future comparative studies evaluating multiple fixation techniques within a single center are warranted.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"147-152"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205666","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}

引用次数: 0

A Commentary on Emergency Department Staff Performance versus Patient Preferences in Breaking Bad News. 突发坏消息中急诊科员工绩效与患者偏好的对比研究

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106325.1591

Mohammad Farhadi, Mohammadjavad Entezari

引用次数: 0

Predictive Factors Influencing Helmet Usage Among Motorcyclists: A Study at the Largest Trauma Center in Southern Iran. 影响摩托车手头盔使用的预测因素：伊朗南部最大的创伤中心的一项研究

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106268.1585

Mahnaz Yadollahi, Farshid Farbodan, Maryam Zamani, Shahram Bolandparvaz

{"title":"Predictive Factors Influencing Helmet Usage Among Motorcyclists: A Study at the Largest Trauma Center in Southern Iran.","authors":"Mahnaz Yadollahi, Farshid Farbodan, Maryam Zamani, Shahram Bolandparvaz","doi":"10.30476/beat.2025.106268.1585","DOIUrl":"10.30476/beat.2025.106268.1585","url":null,"abstract":"Objectives: This study aimed to identify factors influencing helmet usage behavior among motorcyclists.Methods: A cross-sectional study of injured motorcyclists was conducted at Shahid Rajaee Hospital (Shiraz, Iran), using the convenience sampling method. Data were collected via a structured medical form, and logistic regression with the \"Backward\" technique was applied to identify risk factors associated with helmet use.Results: Among 147 patients, 139 (94.55%) were un-helmeted, and 8 (5.45%) were helmeted. The mean age of helmeted riders was 41.46±17.44 years, compared to 29.21±12.23 years for un-helmeted riders. After data balancing, key predictors of helmet use included riding before noon (OR=10.164, 95% CI [4.543, 22.738]), crashes in urban areas (OR=21.740, 95% CI [5.535, 85.383]), absence of head/neck injuries (OR=4.549, 95% CI [2.075, 9.970]), absence of facial injuries (OR=5.108, 95% CI [1.587, 8.694]).Conclusion: These findings could assist policymakers in understanding helmet usage behavior and increasing helmet usage rates. They also support evidence-based strategies to reduce traffic crashes. Addressing helmet-related discomfort and enhancing public awareness of helmet benefits could significantly reduce motorcycle-related trauma.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673957","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}

引用次数: 0

Commentary on Boswellia and Ginger for Memory Dysfunction in Mild TBI. 乳香姜对轻度创伤性脑损伤患者记忆功能障碍的研究进展。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106323.1590

Mohammad Farhadi

引用次数: 0

Survival and Associated Risk Factors in Mechanically Ventilated Burn Patients: A Cross-Sectional Study. 机械通气烧伤患者的生存及相关危险因素：一项横断面研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104399.1549

Siamak Rimaz, Vahideh Abdi, Cyrus Emir Alavi, Sanaz Masoumi, Mahsa Sadeghi, Mohammadreza Mobayen, Parissa Bagheri

{"title":"Survival and Associated Risk Factors in Mechanically Ventilated Burn Patients: A Cross-Sectional Study.","authors":"Siamak Rimaz, Vahideh Abdi, Cyrus Emir Alavi, Sanaz Masoumi, Mahsa Sadeghi, Mohammadreza Mobayen, Parissa Bagheri","doi":"10.30476/beat.2025.104399.1549","DOIUrl":"10.30476/beat.2025.104399.1549","url":null,"abstract":"Objectives: This study aimed to determine the survival rate and identify associated risk factors in mechanically ventilated (MV) burn patients.Methods: This cross-sectional analytical study was conducted at Velayat Hospital, a burn and plastic surgery referral center affiliated with Guilan University of Medical Sciences, between March 2011, and September 2020. Data were retrieved from electronic medical records and analyzed using SPSS software (version 24.0). Patients discharged alive or lost to follow-up were treated as censored observations in a time-to-event analysis.Results: The mean age of survivors was 19.03±30.21 years, compared to 42.54±19.30 years in the non-survivors. Men comprised 78.9% (n=30) of survivors and 64.9% (n=155) of non-survivors. The mean intensive care unit (ICU) survival time was 18.33±1.36 days (median=12±1.24 days). There were significant differences between survivor and non-survivor groups in terms of age, length of stay, presence of comorbidities, inhalation injury, sepsis, acute respiratory distress syndrome (ARDS), and acute kidney injury (AKI) (p<0.05). The Kaplan-Meier analysis demonstrated a significant difference in survival probability between MV and non-MV groups (p=0.028), with a higher survival probability observed in non-MV patients.Conclusion: Age, length of stay, renal failure, ARDS, and sepsis were associated with increased mortality risk in MV burn patients. While these findings highlighted critical prognostic factors, causal inferences require further investigation through longitudinal or interventional studies to guide targeted therapeutic strategies.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673959","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}

引用次数: 0