Mymensingh medical journal : MMJ最新文献

{"title":"Comparative Study of Lateral K-Wire and Crossed K-wires Fixation for the Management of Gartland Type III Closed Supracondylar Humeral Fracture.","authors":"A Hossain, A N M Hasnat, M M Rahman, S P Shimul, S Hossain, M J Al Mahmud, M M Monir, S I Abdullah, L Mia, N Jahan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Supracondylar humerus fractures are one of the most common fractures in the pediatric age group. Displaced fractures are treated by closed reduction and percutaneous Kirschner-wire (K-wire) fixation in a standard situation. Cross K-wire and lateral K-wires are the commonest configurations used for closed fixation. The present study aims to evaluate the difference between the two configurations in terms of surgical technique, functional outcome, radiological outcome and complications. To assess the radiographic and functional results of lateral and crossed pinning in children with a diagnosed case of Gartland type III supracondylar humeral fractures. After the inclusion and exclusion criteria were met, a quasi-experimental study was conducted at the National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR) between July 2022 and June 2024. Immediately after admission, a detailed neurovascular examination was done. The elbow's anteroposterior and lateral radiographs were obtained and the type of fracture was recorded. The parent or guardian provided written, informed consent. Then, 40 patients were treated with the Lateral K-wire fixation (Group A) and another 40 patients with the Cross K-wire fixation (Group B) . Patients in Groups A and B had mean ages of 7.2±2.25 and 7.9±1.16 years, respectively. This difference was not found to be of statistical significance. Majorities of the patients were male in both groups and non-dominant hands were involved in both groups. The most common form of injury in both groups was trauma to the elbow during playing (42.5% in Group A and 77.5% in Group B). More operative time needed in Group B than Group A but it was not statistically significant. 7.5% iatrogenic ulnar nerve injuries occurred with cross K-wire fixation group. As per the Flynn criteria, 14 patients in Group A had excellent results, 20 patients had good results, 5 patients had fair result and 1 patient has poor result. In Group B, 10 patients had excellent results, 25 patients had good results and 5 patients had fair results. No patients in Group B had poor result. Both lateral and cross K-wire fixation are similarly effective techniques for stabilizing supracondylar humerus fractures with comparable functional, radiological and aesthetic results.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 3","pages":"695-702"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355176","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":"Study of Serum Calcium and Magnesium Levels during Third Trimester of Pregnancy in Bangladesh.","authors":"S Farzana, M R Hoque, A R Paul, K R Saha, N S Suny, S A Mitu, M Y Mili, A T Jenea, K Diluara, F R Momo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pregnancy is a physiological process of a developing fetus within the maternal body during which women encounter various internal physiological changes. During the third trimester of pregnancy, physiological changes can influence mineral metabolism, particularly calcium and magnesium, leading to altered serum level. This study aimed to assess serum calcium and magnesium level in women during the third trimester of pregnancy and compare them with level observed in healthy non-pregnant controls. This cross-sectional study was conducted in the Department of Biochemistry at Mymensingh Medical College, in collaboration with the Department of Gynecology and Obstetrics, Mymensingh Medical College Hospital, Bangladesh from January 2022 to December 2022. Participants were chosen through purposive, non-random sampling according to defined inclusion and exclusion criteria. The study included a total of 150 participants, comprising 75 third-trimester pregnant women as the case group and 75 apparently healthy non-pregnant women as the control group. Serum calcium and magnesium concentrations were measured using validated colorimetric methods and are reported as mean±SD. Statistical analyses were carried out using SPSS version 26.0 for Windows. Student's unpaired t-test was used to assess the statistical significance of differences between the groups. The study found that pregnant women in the third trimester exhibited significantly decreased serum calcium level (8.32±0.66 mg/dl vs. 9.19±0.53 mg/dl, p<0.001) and serum magnesium level (1.64±0.22 mg/dl vs. 1.94±0.17 mg/dl, p<0.001) compared to non-pregnant controls. Monitoring these minerals may play a crucial role in preventing maternal complications and promoting optimal fetal development.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 3","pages":"751-755"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355332","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":"Assessment of Blood Pressure and Glycated Hemoglobin in Obese and Non-obese Male.","authors":"E A Ardi, N Khatun, A Nessa, F Wahed, U H Khanom, R Jahan, M Jakaria, R Afrose","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obesity is a chronic, progressive, relapsing and treatable multifactorial, neurobehavioral disease and leads to adverse effects on health. The leading basis of obesity is long term energy inequality between consumed calories and expended calories. Excess adiposity contributes to alterations in vascular function and blood pressure regulation, increasing the likelihood of developing hypertension. The objective of this study was to assess the blood pressure and glycated hemoglobin in obese and non-obese male. This cross-sectional type of observational study was carried out in the Department of Physiology in co-operation with the outpatient Department of Medicine units of Mymensingh Medical College Hospital, Mymensingh to assess the blood pressure and glycated hemoglobin in obese and non-obese male from January 2024 to December 2024. A total number of 200 male subjects were included in this study among them 100 were adult obese male and 100 were healthy non obese males. The data was analyzed using SPSS software, version 29.0. To see the significant differences between groups, we used the unpaired Students 't' test and shared results as mean ±SD. Laboratory analysis of serum glycated hemoglobin was done. The mean±SD of glycated hemoglobin of adult non obese group and adult obese group were 5.44±0.579 and 6.64±0.505% respectively. In adult obese group, glycated hemoglobin was increased in comparison to non obese adult group. In this study, glycated hemoglobin was statistically highly significant (p<0.001) in study group in comparison to control group. Routine monitoring of glycated hemoglobin is recommended to prevent obesity related complications to promote healthy life.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 3","pages":"703-706"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354944","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":"Distal Motor Latency in Amyotrophic Lateral Sclerosis: A Robust and Reliable Prognostic Marker.","authors":"S H Siddik, M B A Miah, S K M Alam, T S Sumaiya, D Debnath, S M A Haque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An electrophysiological test is routinely done to confirm Amyotrophic Lateral Sclerosis (ALS) and rule out differentials. Distal Motor Latency (DML) is a simple electrophysiological measure that is always done in a primary setting. It can be used as an excellent prognostic marker for ALS so that we can know ALS better and formulate precise management plans. This longitudinal study was conducted in the Neurology Department of Bangladesh Medical University (BMU), Dhaka, Bangladesh from April 2022 to October 2023. In this study a total of 34 subjects, 17 ALS patients with normal DML and 17 ALS patients with prolonged DML, were enrolled. Severity was assessed by the ALS functional rating scale-revised (ALSFRS-R). The study's endpoints were determined as death during this 6-month follow-up or reaching an advanced stage (ALSFRS-R <20). Then, an electrophysiological test was used to measure DML in all four commonly tested nerves. ALSFRS-R was significantly reduced (p<0.025) at 6 months in ALS patients with prolonged DML than normal DML. It was found that having a higher odd (p<0.012, OR=20.718), prolonged DML had a significant impact on the outcome of ALS patients than that of normal DML. In multivariate analysis, lower ALSFRS-R at diagnosis (B= -0.124, p<0.001, HR=0.883) and prolonged DML (B=1.412, p<0.031, HR=4.104) were associated with poor outcomes. ALS patients with prolonged DML also had a poorer prognosis than patients with normal DML (log-rank test, p<0.045). In this study, patients with prolonged DML had a significant functional decline, rapid disease progression and poor prognosis than patients with normal DML. So, prolonged DML can be used as a robust prognostic marker for patients with ALS.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 3","pages":"924-931"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355217","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":"Outcomes of the Use of Plastinated Specimens among Medical Undergraduate Students of Bangladesh in Anatomy Education.","authors":"S A Yousof, N F Amin, K S Tasnim, T Rahim, S M A Haque, A A Jewel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preservation techniques are an essential part of anatomy to preserve specimens. Various types of methods are used worldwide along decades. Among them plastination is a popular method that is very effective to overcome the drawbacks of embalming procedures. Although some research shows some advantages of plastinated specimens, nevertheless embalmed specimens are commonly used in Bangladesh as teaching-learning and assessment tools. In this cross-sectional analytical study some plastinated specimens were made and taught to the students along with the embalmed specimens at Bangladesh Medical University (BMU), Bangladesh, from March 2021 to February 2022. After teaching, the OSPE based on comparative between plastinated and embalmed specimens were distributed to the 1st phase MBBS students. Their feedback were collected, then compared and statistically analyzed. This part of the research was cross-sectional analytical in nature.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 3","pages":"856-862"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355213","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":"Relationship of Anti-thyroid Peroxidase Antibody with Recurrent Pregnancy Loss in Euthyroid Women.","authors":"R Sultana, F Hossain, M Nahar, A Jamil, U Salma, B Malaker, N Nasrin, S S Islam, M Sultana, K Nigar, S Nahar, T T Mirza","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recurrent pregnancy loss is a common issue in Obstetrics&Gynaecology practice. Thyroid autoimmunity has been associated with pregnancy loss. Thyroid peroxidase antibodies (TPO-Ab) is the most common antithyroid autoantibodies observed in women with recurrent pregnancy loss history. Although the precise mechanisms of the TPO-Ab's role in recurrent pregnancy loss are not fully understood. The study was aimed to assess the relationship of Anti-TPO antibody with recurrent pregnancy loss. This cross-sectional comparative study was conducted in the Department of Obstetrics and Gynecology at Mymensingh Medical College Hospital, Bangladesh, during the period from March 2023 to August 2024. A total of 100 euthyroid women with or without history of recurrent pregnancy loss were included in the study based on inclusion and exclusion criteria. They were divided into two groups, 50 patients with history of recurrent pregnancy loss (RPL) group and 50 patients without history of recurrent pregnancy loss group as (Non RPL). The serum Anti-TPO antibody level was compared between RPL group and non-RPL group. The Statistical Package for Social Science (SPSS) v.23.0 was used for statistical analysis. In this study, maximum patients belonged to age group 21-30 years in both groups, the mean age was found 28.9±5.8 years in RPL group and 27.5±4.9 years in non-RPL group. There were no significant differences regarding age, occupational status, educational status, monthly income and BMI between two groups. In RPL group, majority 41(82.0%) had no children and in non-RPL group all patients had one or more children, that was significant between two groups (p<0.05). Positive anti-TPO antibody (≥100 u/ml) was significantly higher in RPL group than non-RPL group (68.0% vs. 8.0%), odds ratio of 24.43 with 95% CI (7.49-79.68). Thus, it can be concluded that positive anti-TPO antibody was significantly higher in patients with recurrent pregnancy loss than without history of pregnancy loss. Screening of anti-thyroid peroxidase antibody is may be considered in recurrent pregnancy loss cases.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"412-419"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583428","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":"Profile of Respiratory Tract Aspergillus Infection among Clinically Suspected Pulmonary Tuberculosis Cases in a Tertiary Care Hospital.","authors":"T Rahat, S Afroz, C R Naheen, U I J Sani, S B Haider, A K Nazrul","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary aspergillosis has clinical characteristics which are very similar to tuberculosis and are responsible for significant morbidity and mortality worldwide. The objective of the study was to isolate and identify Aspergillus species from sputum samples from clinically suspected pulmonary tuberculosis cases. A cross-sectional study was conducted from January 2021 to December 2021 in the Department of Microbiology of Sir Salimullah Medical College, Dhaka, Bangladesh. A total of 176 sputum samples were collected from clinically suspected pulmonary tuberculosis patients. Mycobacterium tuberculosis was detected by Gene Xpert from the sputum sample. Aspergillus was identified by KOH mount microscopy and culture on Sabouraud's chloramphenicol agar media with Gentamicin. Species identification of Aspergillus was done by colony characteristics and lactophenol cotton blue staining using direct microscopy. In this study, out of 176 sputum samples, Mycobacterium tuberculosis was detected by Gene Xpert in 28(15.91%) sputum samples. Aspergillus fumigatus 12(50%) was the commonest isolated species, followed by Aspergillus niger 7(29.17%). The frequency of Mycobacterium tuberculosis co-infection with Aspergillus was 7(25.0%) while the frequency of Aspergillus infection among patients with suspected tuberculosis was 24(13.64%). Respiratory tract Aspergillus infection can coexist with pulmonary tuberculosis. Mycological investigation of all clinically suspected pulmonary tuberculosis patients should be advocated before starting treatment which ultimately helps the treatment and management of the patient.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"562-568"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583429","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":"Learning Preferences of Undergraduate Medical Students in Different Phases of MBBS Course: A Cross Sectional Study Using VARK Questionnaire.","authors":"A Karmakar, M Sinharay, D Karmakar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>VARK questionnaire (Visual, Aural, Reading/ writing and Kinesthetic) is a simple tool to assess learning styles of individuals that may be a single modality or any combination of them. Knowing the learning preferences is important as it helps design useful teaching methods for changing mindset of students. The objectives of the study were to assess the learning preferences of MBBS students of all the four academic years i.e. Phase one to Phase three part 2 and to determine whether their preferences vary across genders, academic years, teaching medium or teaching board in their schools. In this cross-sectional study conducted at a Medical College in West Bengal, India, MBBS students were interviewed with a printed VARK questionnaire. Tabulated answers were sent to the VARK team (VARK-LEARN.COM) for analysis. On reception of the analyzed individual results, statistical analysis was done. Total 504 students from the four academic years comprising 307 boys (61%) and 197 girls (39%) were included in the study. VARK Type Two (28%) were most liked followed by K (17.5%), AK (14.3%), VAK (12.7%), A (9.5%), VARK transition (4.4%) etc. When grouped preference was assessed, students mostly liked Quadmodal style closely followed by Unimodal style. There was no significant difference of learning preferences across genders, academic years, teaching medium in school and board of education in school. The study reveals that most of the students use more than one modality for learning and a major share of them prefer to learn with hands on experience.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"649-654"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583309","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":"Asphyxial Death of Hanging.","authors":"I Monsoora, S Mahmmud, M Mollika","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper only for the intention of achieving the freight and measure the real story of suicidal behavior in rural area of Banglidsh. Hanging or self suspension is a form of ligature strangulation where the pressure is produced by the weight of the body. This study driven in the rural area but the risk factors might be very different in urban Bangladesh. The objective of this study was to find out socio-demographic characteristics of victim common age, sex, ligature materials used by victim and post mortem findings. This retrospective cross sectional study was done in Rajshahi Medical College mortuary during the period of January 2017 to January 2018. During this period data was collected from 2776 cases of medico-legal autopsies by purposive sampling. A total of 2776 medico-legal autopsies were analyzed of which 110(3.96%) were death due to hanging. Out of this cases maximum 43(39.09%) death due to hanging where the age group of was between 21-30 years. Majority of this cases 57(51.81%) were observed in females. Majority 38(34.54%) of victims had used Dopatta(orna) as a ligature material. Cyanosis in the fingertips of nail beds was the common 42(38.18%) findings in most cases of asphyxial death of hanging. Here typical hanging found more in 62(56.36%) cases, complete hanging in 71(64.54%) cases, death more in rural area 70(63.63%), death in SSC level 38(34.54%), 43(39.09%) death more in lower economic people and suicide more in the marital discord is 32(29.09%). Self suspension or suicidal hanging occurred in most cases within the young age group ranging from 21-30 years which was executed in this study. So awareness at the level of all family and community should be increased to cide should also be investigated for this stoppage.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"535-539"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583270","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":"Does Vitamin D₃ Supplementation Improve Exercise Tolerance of D₃ Deficient Chronic Obstructive Lung Disease Patients? - A Randomized Controlled Trial.","authors":"S Hassan, T Ali, K S Bennoor, A Hossain, M Rahman, M A S Khan, M B Mahmud","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Newer functional aspects of vitamin D₃ have been revealed in tissue and organs other than bones. In several studies, vitamin D₃ supplementation showed significant improvement in exercise tolerance in various co-morbid patients but precise connection is not clear, in Chronic Obstructive Pulmonary Disease (COPD) patients. This study aimed to evaluate the effects of vitamin D₃ supplementation on exercise tolerance in D₃ deficient patients with COPD. A double-blinded randomized controlled trial was carried out on 40 D₃ deficient [serum 25(OH)D <30 ng/ml], male, smoker (>4 pack years), stable COPD (post-bronchodilator FEV1/FVC <0.70) patients (age 40 to 80 years) and randomly allocated as study (n=20) and control (n=20). Their baseline exercise tolerance [6 minute walk distance (6MWD), dyspneic score, fatigue score] variables were measured. Then oral capsules of D₃ [80,000IU/week for 13 weeks, followed by 40,000 IU per one to six weeks for further 13 weeks, according to serum 25(OH)D and calcium] and placebo were provided to 'Study' and 'Control' patients, respectively, for consecutive 26 weeks. Additionally, all patients of both groups were also advised to have sunlight exposure (within 11am to 4pm) at least for 5 to15 minutes daily. On 26th week of follow-up, all the exercise tolerance variables were again measured. Results were expressed as mean±SD and percentage. The data were statistically analyzed by SPSS (Version 16.0), using independent sample 't'-test and paired Student's 't-test, where p≤0.05 level was accepted as significant. Statistically significant improvement was observed in 6MWD (p<0.05), dyspneic score (p<0.001) and fatigue score (p<0.001) in our D₃ supplemented patients than those with a placebo after 26 weeks of follow-up. This study reveals that Vitamin D₃ supplementation can improve exercise tolerance but not ventilatory variables in D₃ deficient stable patients of COPD.</p>","PeriodicalId":94148,"journal":{"name":"Mymensingh medical journal : MMJ","volume":"35 2","pages":"472-479"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583341","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}