Journal of Chittagong Medical College Teachers' Association最新文献

{"title":"Comparison of Disability Indices by Multidimensional Health Assessment Questionnaire and Short Form 36 in Patients of Rheumatoid Arthritis With or Without Fibromyalgia","authors":"Md Habib Hassan, Md Shahab Uddin, Md. Abdur Razzak, Anupam Barua","doi":"10.3329/jcmcta.v31i1.64741","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.64741","url":null,"abstract":"Background: Rheumatoid Arthritis (RA) is a chronic disabling and deforming autoimmune disease which presents frequently with articular and extra articular features.Fibromyalgia (FM) has been reported in significant number with RA cases. FM has negative impact on health status, functional capacity, and quality of life. Aim of this study is to assess disability indices Multi-Dimensional Health Assessment Questionnaire (MD HAQ) and Short Form 36 (SF-36) in patient of RA with FM in comparison to RA without FM. \u0000Materials and methods: Total 50 patients of RA were enrolled from the Medicine and Physical Medicine Department of Chittagong Medical College Hospital. After clinical evaluation, MDHAQ and SF-36 questionnaires were applied to every patient. Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) Rheumatoid Factor (RF) were measured to assess disease activity of RA. FM and RA were diagnosed by American College of Rheumatology Joint count criteria. \u0000Results: Meanage was 51.20 (±8.44) years with male to female ratio 1:1.6.Out of 50 RA patients, 11(22%) were classified having FM predominantly in female.Mean (±SD) Disease Activity Score 28 (DAS 28) were significantly higher in patients with RA and FM (5.74±1.09) than in patients with RA only (4.51±1.41). Median MDHAQ scores were significantly higher in patients with RA and FM than the RA patients without FM. SF-36 scores for quality of life in all aspects is significantly worse in RA patients with FM compared to RAwithout FM. \u0000Conclusions: RA with FMPatients are found to have worse scores on the MDHAQ and SF-36 than RA alone. \u0000JCMCTA 2019 ; 31 (1) : 4-8","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"179 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77000642","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":"Role of Proximal Femoral Nail Antirotation in Management of Unstable Intertrochanteric Fracture of Femur","authors":"C. Das, Md Mizanur Rahman Chowdhury, Mohammad Qausarul Matin, Md Somirul Islam, Md.Kamal Uddin, Md. Abdur Rahman","doi":"10.3329/jcmcta.v31i1.65878","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65878","url":null,"abstract":"Background: The aim of this study is to evaluate the management of intertrochanteric fracture of the femur using Proximal Femoral Nail Antirotation (PFNA). \u0000Materials and methods: Sixty patients of unstable pertrochanteric fractures were treated by closed reduction and internal fixation by proximal femoral nail antirotation from July 2015 to June 2017. Four patients were lost to follow-ups. The remaining 56 patients were followed for a mean period of 2 years. The results were evaluated by assessing the patients regarding their clinical and functional outcome at follow up as per kyle’s criteria \u0000Results: Peroperative failure to proximal head neck blade fixation (n-1) jamming of nail (n=2) and post operative lateral migration of head neck blade (n=1) and fracture related infection (n=1) were complications observed. End results were excellent in 46.34%, good in 36.58%, fair is 14.64% and poor in 2.43%. \u0000Conclusion: Proximal Femoral Nail Antirotation (PFNA) is the biomechanically and biologically suitable implant for the management of intertrochanteric fracture of the femur. \u0000JCMCTA 2020 ; 31 (1) : 64-70","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73514669","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":"Biliary Ascariasis: Overall Perspective of Management","authors":"Md. Saiful Hoque, T. A. Chowdhury, Salauddin Mohammed Ali Haider, Sabrina Akhter Qurashi, S. Nath","doi":"10.3329/jcmcta.v31i1.65282","DOIUrl":"https://doi.org/10.3329/jcmcta.v31i1.65282","url":null,"abstract":"Background: One of the common cause of admission in surgical ward with acute abdomen in Asian subcontinent is Biliary Ascariasis.The causative agent, Ascarias lumbricoides is distributed throughout the tropics & subtropics & mostly prevent is developing country due to unhygienic livelihood. This study deals with management of Biliary Ascariasis demonstrating the effectiveness of only conservative management in acute condition. \u0000Materials and methods: This was an analytical study where 47 patients diagnosed as a case of Biliary Ascariasis were observed & managed accordingly. Complete history, diagnostic tool, complication of Ascarisis & treatment modality were analysed. \u0000Result: Here we documented 47 patients throughout the period October-2018 to September -2019 age limit is 13 yrs to 70 yers. Out of which female patient was 78.72% where male was 21.27%. Among female patient 10.63% were pregnant at the time of presentation. 100% patient present with biliary colic, 57.44% had associated nausea & vomiting 38.99% patient present as a case of cholecystitis. Cholangitis developed was 8.5% patient, 8.5% had obstructive jaundices, 4.2% developed liver abscess, 6.38% pancreatitis, 10.63% got cholelithiasis & 8.51% develop chololadocholithiasis &/ or hepaticolithiasis. USG & CBC was advised for all patient as standard diagnostic tool. During conservative treatment endoscopy was advised to all, only 63.82% was able to do this & successful extraction of worm was possible in 26.02%.70% improved by conservative treatment & ERCP required in 10.63%.Surgery for exploring CBD was done in 1 patient (2.1%). 34.02% patient had H/O recurrent attack. 17.02% patient underwent previous endoscopic procedure & 8.51% ERCP procedure. Before discharge review USG found in 68.08% patient with evidence of clear CBD & then discharged with advice of taking Antihelmintic therapy in 2 months interval. \u0000Conclusion: Maintenance of hygienic & regular anthelmintic therapy is all prevention of occurance & complication. only conservative management with or without minimal invasive endoscopic retrieval of worm is very much effective for improvement of symptoms. \u0000JCMCTA 2019 ; 31 (1) : 9-12","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"185 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76651637","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":"Outcome of Conventional Linear Versus Purse String Skin Closure of Intestinal Stoma Reversal","authors":"Faisal Mostafa, Md. Nur Hossain Bhuiyan, Sreekanta Chandra Banik, Sadia Akter, Mohammad Ahsanul Abedin, Syed Md Muhsin","doi":"10.3329/jcmcta.v33i1.66917","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.66917","url":null,"abstract":"Background: Stoma closure is one of the most frequently performed surgery. The common complications are surgical site infection (SSI) and poor scar cosmesis. Compared to the conventional linear closure, the pursestring closure technique is expected to have less wound infection, smaller size scar and good patient satisfaction. The aim of this study is to evaluate the feasibility of PSC of stoma site at a tertiary hospital and comparing it with LC of stoma. \u0000Materials and methods: This study was performed in the Department of General Surgery, Chittagong Medical College Hospital for a period of one year with a sample size of 72. About 36 subjects were enrolled in each group, Group-A (Linear closure) and Group-B (Purse string closure). Each patient of both group were observed for wound infection, post-operative pain, scar formation, patient satisfaction, and length of post-operative hospital stay. \u0000Results: The level of pain according to VAS score was 4 in 36 (100.0%) in Group A and 6(16.7%) in Group B. One third (33.3%) patients had wound infection in Group A and 4(11.1%) in Group B.  The mean duration of hospital stay was 9.72±3.46 days in Group A and 7.97±2.46 days in Group B which is statistically significant (p<0.05). The mean patient satisfaction score was 17.75±1.59 in Group A and 22.12±0.73 in Group B which is statistically significant (p<0.05). The mean patient scar assessment scale was 42.47±0.99 in Group A and 35.88±2.81 in Group B which is statistically significant (p<0.05). The mean observer scar assessment scale was 41.97±1.28 in Group A and 36.22±2.73 in Group B which is statistically significant (p<0.05). \u0000Conclusion: Purse-string skin closure for stoma reversal had significantly less incidence of surgical wound infection, improved the scar outcome, good patient satisfaction, reduce complications and better cosmesis. \u0000JCMCTA 2022 ; 33 (1) : 25-28","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74032456","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":"Endoscopic Adenoidectomy with Microdebrider Versus Conventional Adenoidectomy","authors":"S. Das, P. Dutta, T. Sen","doi":"10.3329/jcmcta.v33i1.67264","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67264","url":null,"abstract":"Background: Adenoidectomy is one of the most common surgical procedures performed in children in Bangladesh. Though conventional curettage is highly popular as it has the advantage of being cost effective and continues to be a commonly used method especially in developing countries but Microdebrider has opened the new horizon in this arena. To compare conventional curettage adenoidectomy and endoscopic-assisted powered adenoidectomy using a microdebrider. \u0000Materials and methods: This is randomized single blinded comparative study, which was performed in the Medical Center Hospital, Chattogram from August 2019 to July 2020. A total of 60 patients were randomly divided into two groups. Group I underwent conventional curettage adenoidectomy while Group II underwent endoscopic- assisted powered adenoidectomy. Duration of surgery, amount of intra-operative bleeding, adequateness of removal and damage to the adjacent structures were assessed and compared between two groups. All patients were followed for 12 months. Statistical analysis was done using statistical software package SPSS v 22.0. Data were represented as mean ± SD. Continuous variables were compared using the were using the t test while nonparametric data were compared using Mann-Whitney U test. The c2 test was used to compare the nominal data. A p value <0.05 was considered statistically significant. Ethical directives from the Managing Body of Medical Centre Hospital, Chattogram for this study was obtained. \u0000Results: in our study, we observed approximately almost three times more mean blood loss and total operating time in the endoscopic-assisted powered procedure compared to the conventional technique (149 and 56 ml, respectively, 63 and 27 min, respectively). Nine (30%) cases in group I had more than 50% residual adenoid tissue while 20 – 50% of residual adenoid tissue was documented among 7 patients (23%). Postoperative pain was found to be significantly higher in group I compared to group II. In both groups, recovery time ranged from 24-48 hour with a mean of 33.6 hour in group I and 36 hour for group II. 23 patients (77%) in group I presented with residual disease in the 3 months follow up period, where number of patients with the exact instance in group II was 0. \u0000Conclusion: Endoscopic assisted adenoidectomy may appear more handy over conventional curettage. But precise peri-operative care and awareness are required to attain the successful outcomes. \u0000JCMCTA 2022 ; 33 (1) : 88-92","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"60 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72454204","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":"Achieving Professional Standard in Health Care : A Long Way to Go for Health Care in Developing Countries","authors":"Md. Ridwanur Rahman","doi":"10.3329/jcmcta.v33i1.67611","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67611","url":null,"abstract":"Abstract not available \u0000JCMCTA 2022 ; 33 (1) : 1-3","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89153910","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":"Gender Difference in Palatal Rugae Patterns Among Adult Bengali Population in Chattogram","authors":"Sarah Fatima Sumaiya, M. Ashrafuzzaman, T. Begum, M. E. Mahmud, Baishakhi Bhowmik, Urmila Chowdhury, Mohammed Morshed Alam","doi":"10.3329/jcmcta.v33i1.67226","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67226","url":null,"abstract":"Background: The anatomical fold on the front portion of the hard palate is known as the palatal rugae. They are distinct and do not change during life, making them perfect for use as an identification tool when other options are unavailable. The aim of our study is to determine gender differences in palatal rugae pattern among the Bengali population in Chattogram of Bangladesh. \u0000Materials and methods: A total of 200 Bengali male (100) and female (100) populations aged 18 years and above were studied. The data was assessed based on the Thomas and Kotze classification. The student's t-test was used to compare all quantitative data. \u0000Results: Curved and straight type palatal rugae were significantly higher (p < 0.05, p < 0.001 respectively) in males than females. Wavy and circular type palatal rugae were higher in females than males and the difference was significant (p < 0.001, p < 0.05 respectively). The female exhibited a higher converging palatal rugae p > 0.05. The male exhibited a higher diverging palatal rugae p < 0.001. \u0000Conclusion: The Bengali population of Chattogram has a distinctive pattern and sexual diversity of palatal rugae. That can be used to reliably identify subjects and gender differences in the Bengali population. \u0000JCMCTA 2022 ; 33 (1) : 82-87","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83359141","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":"The Pattern of In-patient Referral in the Psychiatry Department of a Tertiary Care Hospital in Bangladesh","authors":"Panchanan Acharjee, Rakibul Hasan, Sajjad Mohammad Yusuff, Maria Fátima, Shinjan Shaha, Faisal Chowdhury, Sarah Binte Kibria","doi":"10.3329/jcmcta.v33i1.67284","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67284","url":null,"abstract":"Background: A referral system allows patients to have optimal care. This study aimed to provide the current referral pattern in the context of a tertiary care hospital in the periphery of Bangladesh.   \u0000Materials and methods: This retrospective observational study was conducted from January to December 2020 at the Psychiatry Department of Chittagong Medical College Hospital using data from the referral book. 428 cases were analyzed using SPSS-26, and shown in frequency distribution.     \u0000Results: Majority responders were male (53%) and from the 21 to 30 age group (31%). Patients referred to Psychiatry Department were more (66.7%) than referred from. Among 27 departments, internal medicine was the highest in referral in both instances (31.1% and 9.6%), followed by neurology (5.8% and 5.1%). The majority of patients (29.4%) had Schizophrenia Spectrum and Other Psychotic Disorder, followed by Bipolar and Related Disorder (25.4 %). Frequently, the name of psychiatric diagnosis was mentioned wrongly by other departments. In majority of cases, other disciplines did not mention a clinical diagnosis in the referral note. \u0000Conclusions: Proper awareness regarding referral pattern may aware physicians about the importance of referral to psychiatry, resulting in better patient care. \u0000JCMCTA 2022 ; 33 (1) : 103-111","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80814231","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":"Risk Factor Stratification in Patient with Recurrent Stroke in Bangladesh","authors":"F. Ahmed, Md Durul Hoda, Md. Abdur Rashid, M. Badiuzzaman, A. Hossain, Mohammad Refatul Islam, M. Hossain","doi":"10.3329/jcmcta.v33i1.67233","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67233","url":null,"abstract":"Background: Stroke is a non communicable disease of increasing importance. Stroke is a major cause of death and disability in the world. Individual who suffered from stroke are at high risk of suffering recurrent stroke. So it is important to establish the risk factor for secondary prevention. The aim of this study is to find out the association of risk factor of recurrent stroke and it helps to take steps to reduce recurrent stroke.\u0000Materials and methods: This is a cross sectional observational case control study was conducted at Dhaka Medical College Hospital during 1st January to 31 December 2011. Definition was followed by WHO stroke manual.  \u0000Results: In this study two leading risk factors were found hypertension and smoking respectively 78% and 72%. Among risk factors others were diabetes 56%, dyslipidemia 24%, cardiac diseases (AF, IHD, Valvular heart disease) 22%, Mean age of patient 61.09. Ischemic stroke found in 68% and haemorrhagic in 32% of patient.\u0000Conclusion: The common risk factors of stroke are also attributed to risk factor of stroke. Noncompliance to drug and life style modification also important cause of recurrent stroke.\u0000JCMCTA 2022 ; 33 (1) : 93-96","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79305315","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":"Neonatal Outcome of 100 Cases of Term Pregnancy Having Meconium Stained Liquor in a Tertiary Level Hospital","authors":"Nusrat Sultana Azmi, B. Nasrin","doi":"10.3329/jcmcta.v33i1.66911","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.66911","url":null,"abstract":"Background : Presence of meconium in amniotic fluid is potentially a serious sign of fetal compromise and associated with an increased perinatal mortality and morbidities.Meconium stained amniotic fluid is considered a harbinger of fetal compromise because of its direct correlation with fetal distress and increased likelihood of aspiration of meconium with resultant deleterious effects on the neonatal lung. The purpose of the study was to find the neonatal outcome of pregnancy associated with meconium staining amniotic fluid. Outcome variable were birth weight, Apgar score, admission in NICU, neonatal complications, neonatal mortality and morbidity. \u0000Materials and methods : The present prospective  observational study was conducted in the Department of Obstetrics and Gynaecology in Bangabandhu Sheikh Mujib Medical University, Dhaka and Dhaka Medical College Hospital. A total of 100 pregnant women admitted in the labour ward with meconium stained liquor were the study population. \u0000Results : Nearly three-quarter (72%) of the patients were between 20 – 30 years followed by 17.2% more than 30 years and 10.8% below 20 years old. Over half (52.2%) of the neonates needed resuscitation and 58.7% had to be admitted in ICU. More than 90% of the neonates had normal birth weight and only 9.7% were of low birth weight. Over half (51.1%) of the neonates developed meconium aspirate syndrome and 10.5% respiratory distress syndrome. Neonatal jaundice and neonatal sepsis were observed in 5.4%, 4.3% neonates respectively. Ten neonates (10.5%) died early in the neonatal life, while 1(1.1%) was still-born. low APGAR score (< 7) at 1 and 5 minutes of birth was found in 63.6% and 53% of the cases respectively with thick meconium stained amniotic fluid as opposed to 26.3% and 17.7% of the cases respectively having thin meconium stained amniotic fluid (p = 0.002 and p = 0.014 respectively). Thick meconium tend to be associated with meconium aspiration syndrome (p < 0.001). Neonates needing immediate resuscitation and admission in ICU was staggeringly higher in the former group than those in the latter group (p < 0.001). The incidence of perinatal death was significantly higher in patients with thick meconium stained fluid than that in patients with thin meconium (p = 0.029). \u0000Conclusion : The study concluded that meconium stained amniotic fluid is associated with low APGAR score, higher incidence of MAS, ICU admission and perinatal death and their severity depends on the concentration of meconium. \u0000JCMCTA 2022 ; 33 (1) : 15-20","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84469327","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}