Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.144
O. M. Saad, A. Sharaf, W. Allam, M. S. E. Shorbagy
{"title":"Clinical evaluation of Deep Anterior Lamellar Keratoplasty (DALK)","authors":"O. M. Saad, A. Sharaf, W. Allam, M. S. E. Shorbagy","doi":"10.33545/26638266.2023.v5.i1b.144","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.144","url":null,"abstract":"","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76362257","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i2a.159
Maha Yehia El-Sharaky, Omnia Osama El-Marakby, Alaa Amer El-Dorghamy, Mohamad Mostafa Kamal El-Saadany
Background: Diabetic individuals provide a specific problem because to their propensity for the premature development of cataracts. The objective of this research is to examine the association among characteristics after phacoemulsification in diabetic individuals, and postoperative central corneal thickness (CCT), alterations in density of corneal endothelial cell using specular microscopy. Methods: This research was carried out on a cohort of forty individuals who had uncomplicated phacoemulsification surgery for the purpose of cataract extraction. The research design was prospective, selective non-randomized and interventional. The participants were allocated into two groups of equal size. In Group one, individuals with complex cataracts received a successful phacoemulsification procedure without any complications. Group two composed of non-diabetic individuals who received phacoemulsification for the treatment of senile cataract without any complications.Results: In both non-diabetic and diabetic individuals, the preoperative corneal thickness (CCT) exhibited a positive association with the coefficient of variation (CV) and a negative association with endothelial cell count (ECC). Diabetic subjects had a negative correlation with CCT while healthy subjects had a favorable one. One and three months after surgery, CCT was negatively correlated with ECC and HEX and positively correlated with CV in the diabetes group. The logarithm of minimum angle of resolution (log MAR) of best-corrected visual acuity (BCVA) exhibited a positive correlation with central CCT at the one-month postoperative mark, and a negative correlation at the three-month postoperative mark. In the non-diabetic group, there was a positive association observed among BCVA and CCT when expressed in log form. Conversely, a negative correlation was found among CV and CCT. The correlation among CCT and HEX was shown to be positive at the three-month stage of postoperative and negative at the first-month stage of postoperative. There was a positive correlation observed among CCT and ECC during the first-month postoperative period. However, at the three-month postoperative period, a negative correlation was found between CCT and ECC.Conclusions: There is an important variance of corneal endothelial loss after phacoemulsification between non-diabetic and diabetic population. Diabetic individuals demonstrated significantly more endothelial damage after phacoemulsification.
{"title":"Correlation between postoperative central corneal thickness and endothelial changes after cataract surgery by phacoemulsification in diabetic patients","authors":"Maha Yehia El-Sharaky, Omnia Osama El-Marakby, Alaa Amer El-Dorghamy, Mohamad Mostafa Kamal El-Saadany","doi":"10.33545/26638266.2023.v5.i2a.159","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i2a.159","url":null,"abstract":"Background: Diabetic individuals provide a specific problem because to their propensity for the premature development of cataracts. The objective of this research is to examine the association among characteristics after phacoemulsification in diabetic individuals, and postoperative central corneal thickness (CCT), alterations in density of corneal endothelial cell using specular microscopy. Methods: This research was carried out on a cohort of forty individuals who had uncomplicated phacoemulsification surgery for the purpose of cataract extraction. The research design was prospective, selective non-randomized and interventional. The participants were allocated into two groups of equal size. In Group one, individuals with complex cataracts received a successful phacoemulsification procedure without any complications. Group two composed of non-diabetic individuals who received phacoemulsification for the treatment of senile cataract without any complications.Results: In both non-diabetic and diabetic individuals, the preoperative corneal thickness (CCT) exhibited a positive association with the coefficient of variation (CV) and a negative association with endothelial cell count (ECC). Diabetic subjects had a negative correlation with CCT while healthy subjects had a favorable one. One and three months after surgery, CCT was negatively correlated with ECC and HEX and positively correlated with CV in the diabetes group. The logarithm of minimum angle of resolution (log MAR) of best-corrected visual acuity (BCVA) exhibited a positive correlation with central CCT at the one-month postoperative mark, and a negative correlation at the three-month postoperative mark. In the non-diabetic group, there was a positive association observed among BCVA and CCT when expressed in log form. Conversely, a negative correlation was found among CV and CCT. The correlation among CCT and HEX was shown to be positive at the three-month stage of postoperative and negative at the first-month stage of postoperative. There was a positive correlation observed among CCT and ECC during the first-month postoperative period. However, at the three-month postoperative period, a negative correlation was found between CCT and ECC.Conclusions: There is an important variance of corneal endothelial loss after phacoemulsification between non-diabetic and diabetic population. Diabetic individuals demonstrated significantly more endothelial damage after phacoemulsification.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136258875","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1a.127
M. M. Mazrou, A. Selima, W. Allam, A. Sharaf
Background: Phacoemulsification surgery is performed in a limited space, therefore, anatomy and procedural parameters, such as sufficient anterior chamber depth (ACD), are essential for protecting endothelial cells during surgery from mechanical and heat damage. Specular microscope is a useful non-contact investigational technique that photographs the human corneal endothelium. Methods: This a prospective comparative cohort non-randomized study included sixty eyes of phacoemulsification cataract surgery were collected from the outpatient clinics of Tanta University Hospitals and were admitted to Ophthalmology Department. Cases were divided into three groups according to ACD. All cases were subjected to: history taking, examination [visual acuity (VA), slit lamp examination, ACD measurement using IOL master
{"title":"Corneal endothelial cell changes after phacoemulsification cataract surgery in eyes with different anterior chamber depth: A specular microscopy study","authors":"M. M. Mazrou, A. Selima, W. Allam, A. Sharaf","doi":"10.33545/26638266.2023.v5.i1a.127","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1a.127","url":null,"abstract":"Background: Phacoemulsification surgery is performed in a limited space, therefore, anatomy and procedural parameters, such as sufficient anterior chamber depth (ACD), are essential for protecting endothelial cells during surgery from mechanical and heat damage. Specular microscope is a useful non-contact investigational technique that photographs the human corneal endothelium. Methods: This a prospective comparative cohort non-randomized study included sixty eyes of phacoemulsification cataract surgery were collected from the outpatient clinics of Tanta University Hospitals and were admitted to Ophthalmology Department. Cases were divided into three groups according to ACD. All cases were subjected to: history taking, examination [visual acuity (VA), slit lamp examination, ACD measurement using IOL master","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73821788","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i2b.162
Nesma Mohammed Hassan, Ahmed Lotfy Ali, El-Sayed Samir Arafa, Heba Mohamed Shafik
Background: Consecutive exotropia (XT) is a manifest exotropia that develops either spontaneously or after surgical treatment in a patient that formerly had esotropia. The aim of this work was for assessment of the clinical characteristics of consecutive exotropia and evaluation of the results of surgery. Methods: This prospective cohort study was carried out on 30 patients with established diagnosis of consecutive exotropia after surgery for esotropia with deviation angle >10 PD Who met with the inclusion criteria, aged from 3 years to 25 years. Follow up of patients was done in the postoperative period for 6 months. Results: There were not statistically significant regarding preoperative angle, age of surgery for esotropia, limited adduction and different types of surgical procedure used. There was statically significant relation between period between surgery of ET & consecutive XT (P=0.003), post cyclorefraction (p
{"title":"Clinical characteristics and surgical outcome in patient with consecutive exotropia","authors":"Nesma Mohammed Hassan, Ahmed Lotfy Ali, El-Sayed Samir Arafa, Heba Mohamed Shafik","doi":"10.33545/26638266.2023.v5.i2b.162","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i2b.162","url":null,"abstract":"Background: Consecutive exotropia (XT) is a manifest exotropia that develops either spontaneously or after surgical treatment in a patient that formerly had esotropia. The aim of this work was for assessment of the clinical characteristics of consecutive exotropia and evaluation of the results of surgery. Methods: This prospective cohort study was carried out on 30 patients with established diagnosis of consecutive exotropia after surgery for esotropia with deviation angle >10 PD Who met with the inclusion criteria, aged from 3 years to 25 years. Follow up of patients was done in the postoperative period for 6 months. Results: There were not statistically significant regarding preoperative angle, age of surgery for esotropia, limited adduction and different types of surgical procedure used. There was statically significant relation between period between surgery of ET & consecutive XT (P=0.003), post cyclorefraction (p","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135660053","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.141
Suchita Singh, Prabha Sonwani, Namrata Paicro
Thyroid-associated Ophthalmopathy (TAO) is an ocular condition that frequently manifests with thyroid disfunction, and is the most common extrathyroidal manifestation of Graves’ disease. It involves an organ specific autoimmune reaction that can affect the thyroid gland, orbital and periorbital tissue. The condition primarily affects women and it is the commonest cause of unilateral and bilateral axial proptosis in young and middle -aged adults. The clinical presentation may vary from mild disease to severe irreversible sight threatening complications. Here we report a case of 35-years old female who presented to our OPD with complaints of protrusion of both eye, diminution of vision in both eye, pain, redness and unable to move eye in the last 2 months. She was known case of hyperthyroidism in the last one year and on regular antihyperthyroid medication.
{"title":"A case of thyroid associated ophthalmopathy","authors":"Suchita Singh, Prabha Sonwani, Namrata Paicro","doi":"10.33545/26638266.2023.v5.i1b.141","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.141","url":null,"abstract":"Thyroid-associated Ophthalmopathy (TAO) is an ocular condition that frequently manifests with thyroid disfunction, and is the most common extrathyroidal manifestation of Graves’ disease. It involves an organ specific autoimmune reaction that can affect the thyroid gland, orbital and periorbital tissue. The condition primarily affects women and it is the commonest cause of unilateral and bilateral axial proptosis in young and middle -aged adults. The clinical presentation may vary from mild disease to severe irreversible sight threatening complications. Here we report a case of 35-years old female who presented to our OPD with complaints of protrusion of both eye, diminution of vision in both eye, pain, redness and unable to move eye in the last 2 months. She was known case of hyperthyroidism in the last one year and on regular antihyperthyroid medication.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89852730","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.143
Dr. Ankita Raj, Dr. Shri Kant, Dr. Garima Rai, Dr. Rajeev Kumar Nayak
{"title":"Spectrum of orbital injuries with special reference to road traffic accidents","authors":"Dr. Ankita Raj, Dr. Shri Kant, Dr. Garima Rai, Dr. Rajeev Kumar Nayak","doi":"10.33545/26638266.2023.v5.i1b.143","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.143","url":null,"abstract":"","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78077697","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1a.140
Dr. Rashi Gupta, Dr. Pritish Gupta
{"title":"A cross sectional study to clinically evaluate the retina of COVID-19 patients in a tertiary care Government designated COVID hospital","authors":"Dr. Rashi Gupta, Dr. Pritish Gupta","doi":"10.33545/26638266.2023.v5.i1a.140","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1a.140","url":null,"abstract":"","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74341798","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i2a.155
Ahmed Mohammed Sameh El-Shorbagy, Waleed Abd ElHady Allam, Gamal Mohamed El Maghraby, Osama El-Saied Shalaby, Adel Abdou Selima
In corneal ulcers, amniotic membrane (AM) is utilised for supporting damaged tissues, shield and protect deficiencies from further deterioration or breakdown from external influences and encourage re-cellularization of the cornea. Anti-fibrotic, anti-inflammatory, and anti-angiogenic effects, as well as an antimicrobial impact and the encouragement of epithelial and stromal repair are some of the qualities possessed by amniotic membrane. Surgical grafting to the ocular surface, non-surgical patching with a carriage device, amniotic membrane extract eye drops (AMEED), amniotic membrane with umbilical cord blood, and amniotic membrane with placental fluid are certain uses and techniques for utilising AM in corneal ulcers and corneal epithelial deficiencies.
{"title":"Amniotic membrane use for resistant infectious and non-infectious corneal ulcer","authors":"Ahmed Mohammed Sameh El-Shorbagy, Waleed Abd ElHady Allam, Gamal Mohamed El Maghraby, Osama El-Saied Shalaby, Adel Abdou Selima","doi":"10.33545/26638266.2023.v5.i2a.155","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i2a.155","url":null,"abstract":"In corneal ulcers, amniotic membrane (AM) is utilised for supporting damaged tissues, shield and protect deficiencies from further deterioration or breakdown from external influences and encourage re-cellularization of the cornea. Anti-fibrotic, anti-inflammatory, and anti-angiogenic effects, as well as an antimicrobial impact and the encouragement of epithelial and stromal repair are some of the qualities possessed by amniotic membrane. Surgical grafting to the ocular surface, non-surgical patching with a carriage device, amniotic membrane extract eye drops (AMEED), amniotic membrane with umbilical cord blood, and amniotic membrane with placental fluid are certain uses and techniques for utilising AM in corneal ulcers and corneal epithelial deficiencies.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135840085","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.148
Osama Mohamed Saad, Amr Fawzy Sharaf, Waleed Abd Elhady Allam, Mohamed Sameh EL Shorbagy
Background:Keratoconus is a progressive, non-inflammatory corneal ectasia with central thinning. The aim of this work was to evaluate intra and post-operative complications and final visual outcome of deep anterior lamellar keratoplasty (DALK).Methods: This prospective cohort interventional study was carried out on 20 patients aged from 20 to 65 years old with superficial corneal stromal opacities based on clinical examination and AS-OCT (anterior segment optical coherence tomography), advanced keratoconus with central corneal thickness below 400 microns or the presence of scarring in the visual axis. Results: Descemet's membrane (DM) perforation was encountered in 7 eyes attempted DALK (35%). Early epithelial defect happened in 13eyes post operatively mostly due to surgical manipulation of the grafts, 2 of them (10%) continue to the 3 months post operatively. Five eyes developed DM folds, three eyes (15%) developed Urrets-Zavalia syndrome, one eye 5% developed anterior cortical cataract, four eyes (20%) had interface haze. Best corrected visual acuity (BCVA) was affected in one case and improved in all cases with 85% of eyes achieved 0.5 or more after one year postoperative. Double anterior chamber (AC) was found in five eyes (25%). two eyes were successfully managed with single air injection.one eye needed DM Endothelial Keratoplasty. The mean recipient bed thickness was 42.850±8.869 um. Average K decreased significantly postoperatively. A low myopia was encountered at 6 months postoperatively. Conclusions: DALK led to reasonable postoperative visual and refractive outcome, patient age, peripheral descemet's fold, failed pneumatic dissection has no significant impact on postoperative visual acuity. Risk of DM detachment, interface haze and double AC and hemorrhage during trephination are the main complications.
{"title":"Clinical evaluation of Deep Anterior Lamellar Keratoplasty (DALK)","authors":"Osama Mohamed Saad, Amr Fawzy Sharaf, Waleed Abd Elhady Allam, Mohamed Sameh EL Shorbagy","doi":"10.33545/26638266.2023.v5.i1b.148","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.148","url":null,"abstract":"Background:Keratoconus is a progressive, non-inflammatory corneal ectasia with central thinning. The aim of this work was to evaluate intra and post-operative complications and final visual outcome of deep anterior lamellar keratoplasty (DALK).Methods: This prospective cohort interventional study was carried out on 20 patients aged from 20 to 65 years old with superficial corneal stromal opacities based on clinical examination and AS-OCT (anterior segment optical coherence tomography), advanced keratoconus with central corneal thickness below 400 microns or the presence of scarring in the visual axis. Results: Descemet's membrane (DM) perforation was encountered in 7 eyes attempted DALK (35%). Early epithelial defect happened in 13eyes post operatively mostly due to surgical manipulation of the grafts, 2 of them (10%) continue to the 3 months post operatively. Five eyes developed DM folds, three eyes (15%) developed Urrets-Zavalia syndrome, one eye 5% developed anterior cortical cataract, four eyes (20%) had interface haze. Best corrected visual acuity (BCVA) was affected in one case and improved in all cases with 85% of eyes achieved 0.5 or more after one year postoperative. Double anterior chamber (AC) was found in five eyes (25%). two eyes were successfully managed with single air injection.one eye needed DM Endothelial Keratoplasty. The mean recipient bed thickness was 42.850±8.869 um. Average K decreased significantly postoperatively. A low myopia was encountered at 6 months postoperatively. Conclusions: DALK led to reasonable postoperative visual and refractive outcome, patient age, peripheral descemet's fold, failed pneumatic dissection has no significant impact on postoperative visual acuity. Risk of DM detachment, interface haze and double AC and hemorrhage during trephination are the main complications.","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136028674","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}
Pub Date : 2023-01-01DOI: 10.33545/26638266.2023.v5.i1b.145
Sara Fathallah Barakat Hegazy, Ahmed Fekry Almaria, A. Ghoneim, Tarek Ragaiey Hussien
{"title":"Optical Coherence Tomography Angiography (OCTA) of optic disc in primary angle closure glaucoma","authors":"Sara Fathallah Barakat Hegazy, Ahmed Fekry Almaria, A. Ghoneim, Tarek Ragaiey Hussien","doi":"10.33545/26638266.2023.v5.i1b.145","DOIUrl":"https://doi.org/10.33545/26638266.2023.v5.i1b.145","url":null,"abstract":"","PeriodicalId":14021,"journal":{"name":"International Journal of Medical Ophthalmology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76547775","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}