{"title":"An Epidemiological Investigation on Patients with Non-traumatic Subarachnoid Hemorrhage from 2010 to 2020.","authors":"Seyed Reza Ahmadi Koupaei, Maliheh Ziaee, Humain Baharvahdat, Zahra Ahmadi, Morteza Talebi Deluee, Behrang Rezvani Kakhki, Mohammad Salehi Kareshk, Elnaz Vafadar Moradi","doi":"10.30476/BEAT.2024.101708.1495","DOIUrl":"https://doi.org/10.30476/BEAT.2024.101708.1495","url":null,"abstract":"<p><strong>Objective: </strong>Subarachnoid hemorrhage (SAH) is still considered a life-threatening medical condition with a high mortality rate, particularly in developing countries. Thus, the present study aimed to investigate the angiographic findings of non-traumatic or spontaneous SAH.</p><p><strong>Methods: </strong>This retrospective cohort study included 642 health records of patients with non-traumatic SAH over a 10-year period, from 2010 to 2020. The required data, including demographic information, aneurysm type, size, location, disease severity classification, and secondary complications, were extracted.</p><p><strong>Results: </strong>The study included 642 patients, with 262 (40.8%) being male. The mean age of the participants was 54.72±13.51 years. The most prevalent type of aneurysm was saccular (89.1%), while serpentine (0.2%) and dissecting saccular (0.2%) aneurysms had the least prevalence. The most frequently involved arteries were the anterior communicating artery (ACoA; 38%), internal carotid artery (ICA; 27.6%), and middle cerebral artery (MCA; 13.4%). There was a significant correlation between sex and aneurysms occurring at ACoA and ICA (<i>p</i>< 0.0001), and ACoA - A1 (<i>p=</i>0.02). Patient age and sex were also significantly correlated with one another (<i>p</i><0.0001). There was no statistically significant correlation between sex, aneurysm size, Glasgow coma scale (GCS), and modified Rankin scale (MRS).</p><p><strong>Conclusion: </strong>Based on our findings, the presence of aneurysms at ACoA, ACoA - A1, and ICA should be thoroughly ruled out in patients with severe headaches of sudden onset, particularly male patients of younger ages.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 1","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847911","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":"Comparing the Efficiency of Laryngeal Mask Airway and Endotracheal Tube Insertion in Airway Management in Patients Planning for Elective Orthopedic Surgery under General Anesthesia: A Randomized Clinical Trial.","authors":"Mehrdad Malekshoar, Pourya Adibi, Hashem Jarineshin, Ehsan Tavassoli, Navid Kalani, Tayyebeh Zarei, Mehrdad Sayadinia, Majid Vatankhah","doi":"10.30476/beat.2024.102372.1509","DOIUrl":"10.30476/beat.2024.102372.1509","url":null,"abstract":"<p><strong>Objectives: </strong>The present study compared respiratory parameters between the two methods of airway establishment, ETT and LMA, for patients scheduled for orthopedic surgery with general anesthesia.</p><p><strong>Methods: </strong>This randomized double-blinded clinical trial was conducted on patients scheduled for elective orthopedic surgery under general anesthesia, in Bandar Abbas, Iran, from January 2021 to December 2021. Using a random allocation table, the study participants were randomly divided into two groups, to employ either ETT (n=48) or LMA insertion (n=48). The study's ultimate goal was to assess the respiratory parameters in 1, 3, 5, 10, and 15 minutes following intubation.</p><p><strong>Results: </strong>At all-time points, the average of peak airway pressure (P peak) and P plateau parameters in the ETT group was much higher than the EMA group (<i>p</i><0.001 in all comparisons). The value of dynamic lung compliance in the LMA group was significantly higher than the ETT group in all considered time periods (<i>p</i><0.001 in all comparisons). The upward trend in the value of this index was significant only in the LMA group (<i>p</i>=0.030). There were no significant differences in arterial oxygen saturation and end-tidal carbon dioxide levels between the two groups (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>In terms of arterial oxygen saturation stability and at the same time providing respiratory dynamic compliance, the LMA device outperformed the ETT.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 3","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399473","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":"Economic Burden of Trauma-Related Injuries in Iran in 2019.","authors":"Pirhossein Kolivand, Peyman Saberian, Peyman Namdar, Fereshte Karimi, Soheila Rajaie, Mehdi Raadabadi, Samad Azari","doi":"10.30476/beat.2024.102266.1507","DOIUrl":"10.30476/beat.2024.102266.1507","url":null,"abstract":"<p><strong>Objective: </strong>Trauma-related injuries are the leading cause of death and disability in the active population, with devastating economic, health, and social consequences for nations. TThis study aimed to assess the economic burden of injuries in Iran.</p><p><strong>Methods: </strong>In this study, the economic impact of trauma in Iran in 2019 was estimated using a prevalence-based approach. The prevalence was estimated based on available statistics in Iran and the GBD website. Direct medical expenditures were calculated using a top-down approach. The cost of lost production due to injuries and premature death was also estimated using the DALY value. Microsoft Excel 2019 and Stata software version 13.0 were used for the analysis.</p><p><strong>Results: </strong>In Iran, approximately 16,500,000 individuals were estimated to have sustained injuries in a single year. The average direct medical expenses for each trauma patient were around $226. Fractures contributed to 39% of the financial impact of trauma. The overall economic burden of trauma in Iran was calculated to be $10,214,403,423. Approximately 66% of this economic burden was attributed to lost productivity and premature death resulting from trauma, while direct medical costs made up 34%.</p><p><strong>Conclusion: </strong>The economic burden of trauma in Iran is expected to significantly rise in the future. It may be necessary to enhance awareness of injury-related mortality and disability, improve therapies, and expand evidence-based interventions to reduce the economic impact of injuries.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 2","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119038","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}
Seyed Mostafa Mirakbari, Amir Mohammad Kazemifar, Abbas Allami, Ameneh Barikani
{"title":"Pattern of Traumatic Injuries in Patients with Tramadol Poisoning: A Cross-Sectional Study in a Tertiary Care Hospital.","authors":"Seyed Mostafa Mirakbari, Amir Mohammad Kazemifar, Abbas Allami, Ameneh Barikani","doi":"10.30476/BEAT.2024.101078.1484","DOIUrl":"https://doi.org/10.30476/BEAT.2024.101078.1484","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the incidence and pattern of tramadol-induced seizures and injuries in patients admitted to the hospital.</p><p><strong>Methods: </strong>The cross-sectional study included 300 patients with alleged tramadol intoxication. Demographic information, tramadol dosage and duration of abuse, co-existing illicit drug abuse, hospital stay length, and occurrence of seizures and trauma (type and site of injuries) were collected. Different statistical tests, including the Mann-Whitney U-test, Pearson's Chi-square test, and Student's t-test, were conducted to compare the patients with and without seizures, trauma, and co-ingestion of illicit drugs. The analysis was performed using SPSS software (version 21.0). A <i>p</i> value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The average patient's age was 24.66±5.64 years, with males comprising 84.3% of the sample. The mean tramadol dose and duration of abuse were 1339.3±1310.2 mg and 2.43±1.35 years, respectively. Seizures were observed in 66% of patients, with men having a higher incidence (69.6% vs. 46.8%; <i>p</i>=0.004). Trauma was reported in 23% of patients, accounting for 35.4% of seizure cases. All trauma patients had experienced seizures, with the head and neck being the most prevalent injury sites (55.1%), typically presenting as abrasions (55.9%). Patients with seizures and trauma had an average hospital stay of 1.73±0.94 days, which was significantly longer.</p><p><strong>Conclusion: </strong>Trauma occurs in more than one-third of tramadol-induced seizures, highlighting the need to perform physical examinations to detect and localize injuries. Tramadol-associated traumas prolonged hospitalization times and thus required prompt attention to prevent further injuries during pre-hospital handling and transferring to hospitals.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874496","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":"The Effect of Sevoflurane and Propofol on the Status of Renal Complications in Traumatic Injury Patients Following Laminectomy Surgery.","authors":"Hassan Reza Mohammadi, Ali Erfani, Hosein Karimiyarandy, Amilooah Vasigh, Sohrab Sadeghi, Mohamadali Roozegar","doi":"10.30476/beat.2024.103200.1523","DOIUrl":"10.30476/beat.2024.103200.1523","url":null,"abstract":"<p><strong>Objectives: </strong>Laminectomy is one of the most prevalent back surgeries. Considering the importance of controlling and minimizing surgical complications, this study was conducted to determine the effect of Sevoflurane and Propofol on the state of renal complications in patients undergoing laminectomy surgery.</p><p><strong>Methods: </strong>This clinical trial was conducted in Ilam (Iran). The study used a double-blind random sampling procedure, and the patients were divided into three groups receiving Sevoflurane (n=25), Propofol (n=25), and the combination of Sevoflurane and Propofol (n=25). The research tool included a checklist of demographic characteristics as well as a clinical examination. Kidney complications were diagnosed based on history, clinical examinations, and laboratory test results. The obtained data were analyzed using SPSS software.</p><p><strong>Results: </strong>In this study, the patient's mean age in the Propofol group was 52.4±5.6, the Sevoflurane group was 50.8±2.5, and Sevoflurane plus Propofol group was 53.5±3.4. The Sevoflurane plus Propofol group had the highest rate of urinary retention (n=7, 28%). In addition, there was no difference between laboratory results of creatinine and urinary retention in the studied groups (P>0.05). Besides, the comparison of the mean of renal laboratory indicators in the research patients indicated that the level of serum creatinine, and cystatin C of the patients had no significant change.</p><p><strong>Conclusion: </strong>There was no significant difference between the complications in the three groups. Therefore, all three drugs can be administered to patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 4","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853010","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":"Effect of Intranasal Remifentanil versus Lidocaine on Facilitation of Laryngeal Mask Airway Insertion and Cardiovascular Response: A Double-blind Clinical Trial Study.","authors":"Hamidreza Shetabi, Hossein Mahjobipoor, Mona Bahmani","doi":"10.30476/BEAT.2024.100861.1480","DOIUrl":"https://doi.org/10.30476/BEAT.2024.100861.1480","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess and compare the effects of intranasal administration of lidocaine and remifentanil on the condition of LMA insertion and cardiovascular response.</p><p><strong>Methods: </strong>From March 2019 to March 2020, this double-blind randomized clinical trial study was conducted on 60 patients, who underwent general anesthesia with LMA insertion at Faiz Hospital, Isfahan, Iran. After induction of anesthesia and before placing the laryngeal mask, the first group received remifentanil 1 μg/Kg, the second group received lidocaine 2% 1 mg/Kg, and the third group received normal saline with the same volume intranasally. The conditions of LMA insertion and hemodynamic changes that occurred during its insertion were investigated.</p><p><strong>Results: </strong>In terms of demographics characteristics (<i>p</i>>0.05), success in placing the LMA on the first try (<i>p</i>=0.73), number of attempts to insert LMA (<i>p</i>=0.61), performance of LMA (<i>p</i>=0.73), need for additional propofol (<i>p</i>=0.53), frequency of gagging (<i>p</i>=0.53), cough (<i>p</i>=0.15) p), and laryngospasm (<i>p</i>=0.99) did not differ significantly. In the remifentanil group, the cardiovascular response to LMA injection was less than that of the lidocaine group. Moreover, both groups were lower than the saline group, but no significant difference was observed.</p><p><strong>Conclusion: </strong>In facilitating LMA insertion, the effect of intranasal remifentanil was comparable to intranasal lidocaine. Intranasal remifentanil was somewhat more effective than intranasal lidocaine in weakening the cardiovascular response to LMA insertion, but it did not outperform lidocaine.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850724","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":"Demographic Assessment of Burn Injuries in Iranian Patients.","authors":"Mehran Kouchek, Kamran Aghakhani, Mostafa Dahmardehei, Azadeh Memarian","doi":"10.30476/BEAT.2024.99775.1456","DOIUrl":"https://doi.org/10.30476/BEAT.2024.99775.1456","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the demographic characteristics and factors influencing burn injuries, primarily in low socioeconomic societies where such incidents are prevalent due to factors such as illiteracy and poverty.</p><p><strong>Methods: </strong>This cross-sectional study included all burn patients admitted to Shahid Motahari Hospital in Tehran, Iran. Demographic data such as age, sex, occupation, education level, and residence as well as detailed information about the burn incidents such as date, time, location, number of people present at the scene, and referral place was collected. Additionally, comprehensive burn details such as cause, extent, severity, previous history, and need for hospitalization directly at the emergency department were documented.</p><p><strong>Results: </strong>The study included 2213 patients (mean age 34.98±19.41 years; range 1-96), with a men predominance (60.6%). The majority of burns (64.4%) occurred at home, primarily due to accidents (99.6%), with boiling water being the most common cause (39.2%). The most frequent burns were second-degree burns (91.8%), with an average injured body area of 6.31±6.67%. There were significant correlations between burn severity and demographic factors such as age, sex, occupation, cause of burn, hospital admission, outcome, and length of stay. Remarkably, the extent of burns was negatively correlated with the distance to the hospital, while positively correlated with the length of hospital stay.</p><p><strong>Conclusion: </strong>Burn injuries were significantly influenced by demographic factors. Enhancing treatment facilities and reducing the time and distance to medical care could be crucial in high-risk cases.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 1","pages":"26-34"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854243","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":"Ten-year Causes of Cerebral Venous Sinus Thrombosis in Patients Referred to Ghaem Hospital from 2009 to 2019.","authors":"Elham Pishbin, Maryam Ziyaei, Elnaz Vafadar Moradi, Mohsen Foroughipour, Rahim Javadzadeh, Mahdi Foroughian","doi":"10.30476/BEAT.2024.100510.1472","DOIUrl":"https://doi.org/10.30476/BEAT.2024.100510.1472","url":null,"abstract":"<p><strong>Objective: </strong>Cerebral Venous Sinus Thrombosis (CVST), a complex and infrequent cerebrovascular disorder characterized by the formation of clots within the cerebral venous sinuses, occurs as a result of multiple risk factors and casualties, and its epidemiological picture should be investigated.</p><p><strong>Methods: </strong>This descriptive study was conducted retrospectively on patients with a final diagnosis of cerebral vein thrombosis, who were referred to the emergency room of Ghaem Hospital (Mashhad, Iran) between 2009 and 2019. The study included all patients with cerebral vein thrombosis who were older than 18 years. Clinical symptoms and causes were documented and contrasted according to demographics.</p><p><strong>Results: </strong>During the 10 years of this study, 749 cases of cerebral vein thrombosis were observed, with women accounting for the majority (72.8%). The most prevalent symptom was headache (554 cases; 74.0%), followed by seizures (23.1%), blurred vision (16.0%), nausea (7.5%), vomiting (6.9%), double nose (4.9%), and dizziness (3.3%). There was no significant difference in the frequency of symptoms between the two genders (<i>p</i><0.05). The most commonly identified risk factors were OCP (110 cases; 14.7%), followed by infection (103 cases; 13.8%), malignancies (78 cases; 10.4%), and fasting (15 cases; 2.0%). There was no significant difference in risk factors between the two genders, with the exception that all cases of fasting were in women, and the differences were significant (<i>p</i>=0.015). The most common site of involvement according to Magnetic Resonance Venography (MRV) was the upper sagittal sinus (427 cases; 57.0%). There was no significant difference in terms of the site of the conflict between the two genders (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>The findings of the present study showed that deep vein thrombosis occurred mainly in women and manifested itself mostly as a headache. Moreover, the upper sagittal sinus was the most common site of involvement.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 1","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853570","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":"Impact of Oropharyngeal Stimulation during Laryngeal Mask Insertion on Cardiovascular Response in adult patients. A Double-blind Clinical Trial Study.","authors":"Hamidreza Shetabi, Zahra Naserzadeh","doi":"10.30476/BEAT.2024.101902.1499","DOIUrl":"10.30476/BEAT.2024.101902.1499","url":null,"abstract":"<p><strong>Objective: </strong>Laryngeal mask airway (LMA) insertion has been found to reduce cardiovascular responses when compared to laryngoscopy and intubation. This research aimed to examine the impact of various techniques employed for LMA insertion on cardiovascular response.</p><p><strong>Methods: </strong>This randomized, double-blind clinical trial included 90 elective surgery candidates divided into three groups of 30. All patients underwent similar anesthesia. The LMA was inserted using the classical technique, 180° rotation technique, and face-to-face triple maneuver technique (FFTMT). The cardiovascular responses, the success rate of LMA placement, and other outcomes were documented and compared among the three methods.</p><p><strong>Results: </strong>The study revealed that the blood pressure of patients 10 minutes after LMA insertion using the rotational technique was higher than the standard technique (<i>p</i>=0.019). The pulse rate in the third (<i>p</i>=0.044, <i>p</i>=0.024) and fifth minutes (<i>p</i>=0.028, <i>p</i>=0.048) following the insertion of LMA demonstrated higher values when utilizing the FFTMT than the standard and rotational technique groups, respectively. Moreover, the incidence of sore throat following surgery in the FTFTM group was slightly greater than that observed with the standard and rotation techniques (<i>p</i>=0.389 and <i>p</i>=0.688, respectively).</p><p><strong>Conclusion: </strong>The findings of the present investigation indicated that implementing the classic technique for LMA placement resulted in a more consistent blood pressure (BP) and pulse rate (PR) response than the 180° rotation and FFTMT. Furthermore, the classical method exhibited a marginally lower success rate in terms of LMA insertion than the alternative methods.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 2","pages":"58-66"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119040","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}