Ghana medical journal最新文献

{"title":"Self-medication with antibiotics among out-patient attendants at Madina Polyclinic prior to medical consultation.","authors":"Adelaide A Asante, Delia A Bandoh, Ernest Kenu","doi":"10.4314/gmj.v57i4.8","DOIUrl":"10.4314/gmj.v57i4.8","url":null,"abstract":"<p><strong>Objectives: </strong>The study aimed to determine the prevalence of self-medication with antibiotics among attendants of the Out-patient Department (OPD) at Madina Polyclinic before seeking medical consultation and associated factors.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>The study was conducted at Madina Polyclinic.</p><p><strong>Participants: </strong>The study involved 319 general OPD attendants aged 18 years and above accessing healthcare services at the Madina Polyclinic between May and June 2019.</p><p><strong>Main outcome measures: </strong>The prevalence of antibiotic self-medication and the factors associated with this practice.</p><p><strong>Results: </strong>From the study, 46.4% (95% CI 40.8%- 52.0%) had self-medicated with antibiotics before presenting for medical consultation at the hospital. Less than half of the respondents (44.5%) had adequate knowledge about the use of antibiotics. Having a tertiary level of education was significantly associated with self-medication (aOR= 8.09, 95% CI 2.31-28.4, p = 0.001), whilst adequate knowledge on the use of antibiotics reduced the odds of self-medication by 53% (aOR= 0.47, 95% CI 0.23- 0.66, p<0.001). The level of education modified the relationship between knowledge and self-medication with antibiotics.</p><p><strong>Conclusion: </strong>The practice of antibiotic self-medication is rife among OPD attendants. Therefore, adequate public education on the use of antibiotics and the effects of using them inappropriately must be done. The Antimicrobial Resistance (AMR) policy ought to be reinforced and made known to all, especially among the pharmacies that dispense antibiotics indiscriminately.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 4","pages":"308-315"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494740","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":"Scimitar syndrome in a four-month-old infant.","authors":"Frank Owusu-Sekyere, Victoria M Adabayeri, Efua Otoo, Claudia Adja-Sai, Akosua M Boateng","doi":"10.4314/gmj.v57i4.9","DOIUrl":"10.4314/gmj.v57i4.9","url":null,"abstract":"<p><p>The Scimitar syndrome or pulmonary venolobar syndrome is a rare, complex and variable congenital anomaly of cardiopulmonary development characterised by an abnormal right-sided pulmonary venous drainage in the inferior vena cava, malformation of the right lung, abnormal arterial supply and sometimes cardiac malformations. These serious anomalies notwithstanding, their presentation is varied, ranging from asymptomatic to severe symptoms, particularly in the neonatal and early infantile period. Some symptomatic cases are misdiagnosed as recurrent lower respiratory tract infections or as heart failure, missing the underlying congenital anomaly. Considering associated serious complications such as pulmonary hypertension and a high mortality rate, accurate and timely diagnosis is mandatory. This requires a high index of suspicion, not only by clinicians but also by radiologists who encounter suggestive chest radiographs in asymptomatic children. Still, the classic radiological finding for which the condition is named is seen in only about 50% of all cases and only 10% in affected infants. We highlight this case to heighten clinicians' and radiologists' suspicions about Scimitar syndrome.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 4","pages":"316-320"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494778","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":"Relationship between anaemia, hypoalbuminaemia, and dietary lifestyle of the older adults attending a primary care clinic in Nigeria.","authors":"Abdulgafar L Olawumi, Bukar A Grema, Abdullahi K Suleiman, Godpower C Michael, Zainab A Umar, Abiso A Mohammed, Ahmad I Rufai, Mahmud B Mahmud, Hauwa A Muhammad","doi":"10.4314/gmj.v57i4.7","DOIUrl":"10.4314/gmj.v57i4.7","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the prevalence and severity of anaemia and assess the relationship between dietary lifestyle, hypoalbuminaemia, and anaemia of older persons.</p><p><strong>Design: </strong>A cross-sectional hospital-based study.</p><p><strong>Setting: </strong>This study was conducted in the General Outpatient Clinic, the primary care unit of Aminu Kano Teaching Hospital in Kano, Nigeria.</p><p><strong>Participants: </strong>A total of 378 patients aged ≥ 60 years who presented to the General Out-patient Clinic.</p><p><strong>Main outcome measures: </strong>Prevalence and severity of anaemia, relationship between anaemia and hypoalbuminaemia, and dietary lifestyle of the participants.</p><p><strong>Results: </strong>A total of 348 respondents completed the study. The mean age of respondents was 67.83 ±7.53 years, with female (60.9%) predominance. The prevalence of anaemia and hypoalbuminaemia were 42.2% and 17.8%, respectively. Hypoalbuminaemia (β=0.335, 95%CI=0.131-0.229, <i>P</i><0.001), long duration of comorbidities (β= -0.179, 95%CI= -0.165-0.047, <i>P</i><0.001), one full meal/day (β=0.130, 95%CI=0.224-1.879, <i>P</i>=0.013), and low monthly income (β=0.122, 95%CI=0.179-1.543, <i>P</i>=0.026) were the predictors of anaemia among the older persons in this study.</p><p><strong>Conclusion: </strong>This study revealed a high prevalence of anaemia among older adults. The identified predictors, such as hypoalbuminaemia, long duration of comorbidities, reduced food intake and low monthly income, will be useful in developing guidelines and strategies for managing the condition in primary care settings and other similar sites.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 4","pages":"300-307"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494739","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":"A three-year review of lung cancer patient characteristics in a tertiary hospital.","authors":"Jane S Afriyie-Mensah, Ernest Kwarteng, John Tetteh, Hafi Gbadamosi, Mary-Ann Dadzie, Yaw Boakye Mensah, Ekow Entsua-Mensah","doi":"10.4314/gmj.v57i3.2","DOIUrl":"10.4314/gmj.v57i3.2","url":null,"abstract":"<p><strong>Objective: </strong>The study sought to determine clinical characteristics and histologic subtypes of a cohort of lung cancer patients in a tertiary facility.</p><p><strong>Design: </strong>Retrospective review of the medical records of histology-confirmed lung cancer cases at the respiratory clinic over a 3-year period.</p><p><strong>Setting: </strong>Respiratory Clinic, Korle-Bu Teaching Hospital, Accra, Ghana.</p><p><strong>Participants: </strong>All adult patients with histologically diagnosed lung cancer were enrolled.</p><p><strong>Main outcome measures: </strong>Lung cancer histological types.</p><p><strong>Results: </strong>The proportion of lung cancer cases was 12.4%. The majority were women (57.8%) and the mean age at diagnosis was 55.8±16.0 years. The patients were predominantly non-smokers (61%). Common symptoms were chronic cough and chest pain. More than two-thirds of the cases presented in clinical stages III and IV with the predominant histological subtype being adenocarcinoma in smokers and non-smokers. Genetic testing for epidermal growth factor receptor (EGFR) and Anaplastic Lymphoma kinase (ALK) mutations were largely absent.</p><p><strong>Conclusions: </strong>The majority of lung cancer patients presented late with advanced disease. Adenocarcinoma was the predominant histological subtype in a predominantly non-smoking population, with an increased prevalence among women less than 60 years. This should encourage testing for genetic mutations to improve patient survival.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"167-174"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494662","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":"Postnatal foot length in the estimation of gestational age in relation to intrauterine growth pattern among Nigerian neonates.","authors":"Opeyemi T Kuponiyi, Tinuade A Ogunlesi","doi":"10.4314/gmj.v57i3.11","DOIUrl":"10.4314/gmj.v57i3.11","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the relationship between postnatal foot lengths and estimated gestational age (EGA) in relation to intrauterine growth patterns determined at birth among Nigerian neonates.</p><p><strong>Design: </strong>Hospital-based, cross-sectional.</p><p><strong>Setting: </strong>Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.</p><p><strong>Participants: </strong>260 neonates with EGA 30- 42 weeks within 48 hours of life.</p><p><strong>Interventions: </strong>Postnatal foot lengths (FL) were measured with Vernier digital calliper in millimetres. The intra-uterine growth pattern was determined using the Lubchenco chart. Pearson correlation and regression analysis tests were performed.</p><p><strong>Main outcome measures: </strong>Postnatal foot length in relation to Intra-Uterine Growth Pattern.</p><p><strong>Results: </strong>The mean postnatal FL had a strong positive correlation with the EGA from 30 through 42 weeks (r = 0.855, p < 0.001). The overall mean foot length for preterm neonates was 65.44 (6.92) mm, while that of term neonates was 77.92 (4.24) mm. The linear regression equation was generated as: EGA = 9.43 + (0.37 × FL), p < 0.001. The EGA as measured by FL had the highest positive correlation with Small for Gestational Age (SGA) intra-uterine-growth pattern, followed by Appropriate for Gestational Age (AGA) and least by Large for Gestational Age (LGA) respectively (r = 0.936> 0.861 > 0.666).</p><p><strong>Conclusion: </strong>The postnatal foot length correlated well with estimated gestational age, and the correlation was best among SGA infants.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"234-240"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494670","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":"Reducing the risks of nuclear war-the role of health professionals.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Kirsten Bibbins-Domingo, Marcel Gm Olde Rikkert, Peng Gong, Andy Haines, Ira Helfand, Richard Horton, Bob Mash, Arun Mitra, Carlos Monteiro, Elena N Naumova, Eric J Rubin, Tilman Ruff, Peush Sahni, James Tumwine, Paul Yonga, Chris Zielinski","doi":"10.4314/gmj.v57i3.1","DOIUrl":"10.4314/gmj.v57i3.1","url":null,"abstract":"","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"165-166"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494672","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":"Socio-demographic characteristics and dietary pattern of community-dwelling adults in Abia State, Nigeria.","authors":"Patricia O Ukegbu, Beulah Ortutu, Uche P Chinaza, Alice Ojwang","doi":"10.4314/gmj.v57i3.12","DOIUrl":"10.4314/gmj.v57i3.12","url":null,"abstract":"<p><strong>Objective: </strong>Identification of dietary patterns and their association with socio-demographic factors.</p><p><strong>Design: </strong>Community-based cross-sectional study design.</p><p><strong>Setting: </strong>Urban and rural communities in Abia State, Nigeria.</p><p><strong>Participants: </strong>Eight hundred and sixty-eight (868) male and female adults aged 20 to 59 years.</p><p><strong>Methods: </strong>Identification of Dietary patterns (DP) by Principal Component Analysis (PCA) based on the consumption of 10 food groups, assessed using a 7-day qualitative food frequency questionnaire. Bivariate and multivariate logistic regression analyses evaluated the association between identified patterns and socio-economic factors.</p><p><strong>Results: </strong>Two dietary patterns 'traditional and convenience DPs were identified, explaining 52% of the total variance. The traditional DP was loaded with starchy staples, vegetable soups/sauces, and animal proteins. The convenience DP was characterised by high factor loading of processed cereals, carbonated drinks and alcoholic beverages. Larger households (>3) had lower odds of adhering to high traditional DP [AOR =0.633; 95% CI (0.429-0.934); p = 0.021]. Females [AOR =1.586; 95% CI (1.104-2.279); p = 0.013] and middle-aged adults (AOR = 1.750; 95% CI (1.075-2.848);p = 0.024] were more likely to adhere to the convenience DP, whereas, the odds of adhering to the convenience pattern was lower among adults residing in rural areas [AOR =0.3161.586; 95% CI (0.219-0.456); p = 0.001].</p><p><strong>Conclusion: </strong>Socio-economic variables (age, gender, household size and place of residence) were associated with dietary patterns among community dwellers in Nigeria.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"241-249"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494732","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":"Public perception, knowledge and factors influencing COVID-19 vaccine acceptability.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.4314/gmj.v57i3.14","DOIUrl":"10.4314/gmj.v57i3.14","url":null,"abstract":"","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"256"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494671","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":"Lack of consensus in inter-laboratory haematology results in selected laboratories in the southern and northern zones of Ghana.","authors":"Ibrahim B Halidu, Amos X Gafa, Samuel D K Blanney, Benjamin T Barimah, David Akan-Enge, Joseph Boachie, Kate A Kontor, Patrick Adu","doi":"10.4314/gmj.v57i3.8","DOIUrl":"10.4314/gmj.v57i3.8","url":null,"abstract":"<p><strong>Objective: </strong>To assess the inter-laboratory comparability and intra-assay reproducibility of full blood count (FBC) results.</p><p><strong>Design: </strong>Exploratory cross-sectional study.</p><p><strong>Setting: </strong>Three and two selected medical laboratories in the northern and southern zones, respectively.</p><p><strong>Participants: </strong>Forty-nine individuals per zone; 16 type 2 diabetes mellitus, 16 with HbAS haemoglobin type and 17 normal samples.</p><p><strong>Intervention: </strong>Each sample was run eleven times through the analysers in the participating laboratories to evaluate intra-laboratory reproducibility and comparability of FBC results.</p><p><strong>Main outcome measure: </strong>Intra-laboratory reproducibility was evaluated using %coefficient variation (%CV). Interlaboratory comparisons were assessed through t-test or One-Way ANOVA for two-sample and three-sample tests. All statistical testing was undertaken using the two-tailed assumption.</p><p><strong>Result: </strong>Statistically significantly different haemoglobin levels were estimated in both northern and southern zones (mean difference 0.00 g/dL to 3.75 g/dL vs 0.18 g/dL to 1.92 g/dL respectively). Also, total WBC counts significantly differed across laboratories in both northern and southern zones (mean difference 0.15 ×10⁹/L - 3.86 ×10⁹/L vs 0.02 ×10⁹/L to 1.39 ×10⁹/L respectively). Furthermore, platelet counts significantly differed across the participating laboratories in the northern and southern zones (mean difference 0.40 ×10⁹/L to 299.76 ×10⁹/L vs 5.7 ×10⁹/L to 76.9 ×10⁹/L respectively). Moreover, there was evidence of non-reproducibility of results within the respective laboratories in each zone as the respective %CV were outside the acceptable limits.</p><p><strong>Conclusion: </strong>The intra-laboratory non-reproducibility and inter-laboratory non-comparability of FBC results highlight the need to establish a national quality assessment scheme to harmonise laboratory practices nationwide.</p><p><strong>Funding: </strong>This study was funded by the University of Cape Coast Individual-Led Research Support Grant (RSG-INDI-CoHAS-2019-107).</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"210-217"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494668","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":"Plasma concentration of fucosyltransferase 7 is not associated with the number of clinically overt vaso-occlusive events in sickle cell disease.","authors":"Iheanyi E Okpala, Onyinye E Eze, Chinedu A Ezekekwu, Ifeyinwa D Nnakenyi, Gladys U Ilechukwu, Chinedu O Akpa, Emmanuel I Nwani, Collins J Maduka, Ikechukwu O Anigbogu, Ebele D Muoghalu, Ngozi I Ugwu, Ifeoma C Ajuba, John C Aneke, Helen C Okoye, Charles C Nonyelu, Augustine N Duru","doi":"10.4314/gmj.v57i3.6","DOIUrl":"10.4314/gmj.v57i3.6","url":null,"abstract":"<p><strong>Objective: </strong>To determine if the number of vaso-occlusive events in SCD relates to plasma concentration of fucosyltransferase 7 (FUT7), which catalyses the synthesis of selectin ligands.</p><p><strong>Design: </strong>A prospective, analytical study.</p><p><strong>Setting: </strong>Haematology and Chemical Pathology Departments of tertiary healthcare centres.</p><p><strong>Participants: </strong>Steady state HbSS individuals aged 13-45 years, 20 had 3 or more vaso-occlusive crises that required hospital admission in the previous year (with or without complications of SCD); 17 other HbSS persons had 0-1 vaso-occlusive crisis that required hospital admission in the previous year and no disease complications.</p><p><strong>Intervention: </strong>Steady-state plasma concentrations of FUT7 measured by ELISA were compared between SCD patients who had one vaso-occlusive crisis requiring hospital treatment in the previous year but no disease complications and those who had >3 crises with or without complications.</p><p><strong>Main outcome measures: </strong>Plasma level of FUT7and the number of vaso-occlusive events in each HbSS patient.</p><p><strong>Results: </strong>Mean + standard deviation plasma concentration of FUT7 was 8.6 + 2.7 ng/ml in patients with >3 vasoocclusive crises in the previous year and 7.3 + 1.7 ng/ml in those with 0-1 crisis and no complications; independent sample t-test, p > 0.05, not significantly different.</p><p><strong>Conclusion: </strong>Plasma concentration of fucosyltransferase7 is not associated with the number of vaso-occlusive events in sickle cell disease.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"198-203"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494669","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}