Pub Date : 2018-01-01DOI: 10.4172/2155-6148.1000852
Deepti Ahuja, G. Gupta, N. Gupta, S. Bharti
{"title":"Guedel's Airway for Awake LMA Extubation: An Innovative Technique","authors":"Deepti Ahuja, G. Gupta, N. Gupta, S. Bharti","doi":"10.4172/2155-6148.1000852","DOIUrl":"https://doi.org/10.4172/2155-6148.1000852","url":null,"abstract":"","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90081980","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 : 2018-01-01DOI: 10.4172/2155-6148.1000855
D. Bisri, Z. Arifin, I. S. Redjeki, T. Bisri
Glasglow Coma Scale (GCS) is the most frequently used clinical scoring for traumatic brain injury patients. The lower the GCS score is, the higher the morbidity and mortality. Neuroinflammation is one of the mechanisms of secondary brain injury. Selective cyclooxygenase (sCOX-2) inhibitors are drugs commonly used in postoperative pain which also possesses an anti-inflammatory effect. The aim of this study is to determine the role of sCOX-2 inhibitors as inflammatory process inhibitor in patients with head injury through the measurement of IL-1β and GCS score. This is a double blind randomized controlled study involving patients with moderate head injuries who underwent surgery in Dr. Hasan Sadikin General Hospital Bandung Indonesia from December 2013 to December 2015. After obtaining approval from the Research Ethics Committee of the Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, samples were divided randomly into 5 groups consisting of 6 patients: control group, COX2-group I (with a single dose of sCOX-2 inhibitor), COX2-group II (with two separate doses of sCOX-2 inhibitor), COX2-group III (with three separate doses of sCOX-2 inhibitor), and COX2-group IV (with four separate doses of sCOX-2 inhibitor four times). All patients received a standard therapy as recommended by the Traumatic Brain Foundation in 2007 as well as having their GCS, blood pressure, pulse rate, respiratory rate, oxygen saturation, temperature and blood sugar monitored preand post-operatively. Data were then analyzed using Paired Sample T-test and One-Way Anova statistical tests with a p-value of <0.05 considered as statistically significant. Results showed that there was a very significant improvement in GCS score in COX2-group II, III, IV with p values of 0.003, 0.002, and 0.001, respectively. No significant difference was found in IL-1β between COX2-1, COX2-II, COX2-III and control group (p<0.05), but IL-1β increased significantly in group COX2-IV (p=0.043). It is concluded that sCOX-2 inhibitor has a brain protective effect by improving the GCS score in patients with moderate head injury.
{"title":"Effect of Selective COX-2 Inhibitor on IL-1β and Glasgow Coma Scale (GCS) Score in Moderate Traumatic Brain Injury Patients","authors":"D. Bisri, Z. Arifin, I. S. Redjeki, T. Bisri","doi":"10.4172/2155-6148.1000855","DOIUrl":"https://doi.org/10.4172/2155-6148.1000855","url":null,"abstract":"Glasglow Coma Scale (GCS) is the most frequently used clinical scoring for traumatic brain injury patients. The lower the GCS score is, the higher the morbidity and mortality. Neuroinflammation is one of the mechanisms of secondary brain injury. Selective cyclooxygenase (sCOX-2) inhibitors are drugs commonly used in postoperative pain which also possesses an anti-inflammatory effect. The aim of this study is to determine the role of sCOX-2 inhibitors as inflammatory process inhibitor in patients with head injury through the measurement of IL-1β and GCS score. This is a double blind randomized controlled study involving patients with moderate head injuries who underwent surgery in Dr. Hasan Sadikin General Hospital Bandung Indonesia from December 2013 to December 2015. After obtaining approval from the Research Ethics Committee of the Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, samples were divided randomly into 5 groups consisting of 6 patients: control group, COX2-group I (with a single dose of sCOX-2 inhibitor), COX2-group II (with two separate doses of sCOX-2 inhibitor), COX2-group III (with three separate doses of sCOX-2 inhibitor), and COX2-group IV (with four separate doses of sCOX-2 inhibitor four times). All patients received a standard therapy as recommended by the Traumatic Brain Foundation in 2007 as well as having their GCS, blood pressure, pulse rate, respiratory rate, oxygen saturation, temperature and blood sugar monitored preand post-operatively. Data were then analyzed using Paired Sample T-test and One-Way Anova statistical tests with a p-value of <0.05 considered as statistically significant. Results showed that there was a very significant improvement in GCS score in COX2-group II, III, IV with p values of 0.003, 0.002, and 0.001, respectively. No significant difference was found in IL-1β between COX2-1, COX2-II, COX2-III and control group (p<0.05), but IL-1β increased significantly in group COX2-IV (p=0.043). It is concluded that sCOX-2 inhibitor has a brain protective effect by improving the GCS score in patients with moderate head injury.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90210906","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 : 2018-01-01DOI: 10.4172/2155-6148.1000815
Arun Kumar, S. Suchetha
Objective: To evaluate the intubating conditions with rocuronium at 0.6 mg/kg (2*ED 95) and 0.9 mg/kg (3*ED 95) at 60 s using the timing principle. Methods: 60 patients were divided into 2 groups of 30 each. Group A received 0.9 mg/kg and group B received 0.6 mg/kg of rocuronium. Intubation was done at 60 s. The Train of four monitoring was done at the adductor pollicis muscle. The TOF count at intubation and time to loss of TOF were noted and compared. Results: Intubating conditions were excellent 13 (65%) in group A compared to 9 (45%) in group B. The TOF count at intubation was not statistically significant (p=0.677) between the groups whereas time to loss of TOF (p=0.03) were significant between the groups. Conclusion: Clinically acceptable intubating conditions were found in both groups but the conditions were better with group A in comparision with group B.
{"title":"Comparision of Intubating Conditions at 60 Seconds with Different Doses of Rocuronium Using the Timing Principle","authors":"Arun Kumar, S. Suchetha","doi":"10.4172/2155-6148.1000815","DOIUrl":"https://doi.org/10.4172/2155-6148.1000815","url":null,"abstract":"Objective: To evaluate the intubating conditions with rocuronium at 0.6 mg/kg (2*ED 95) and 0.9 mg/kg (3*ED 95) at 60 s using the timing principle. Methods: 60 patients were divided into 2 groups of 30 each. Group A received 0.9 mg/kg and group B received 0.6 mg/kg of rocuronium. Intubation was done at 60 s. The Train of four monitoring was done at the adductor pollicis muscle. The TOF count at intubation and time to loss of TOF were noted and compared. Results: Intubating conditions were excellent 13 (65%) in group A compared to 9 (45%) in group B. The TOF count at intubation was not statistically significant (p=0.677) between the groups whereas time to loss of TOF (p=0.03) were significant between the groups. Conclusion: Clinically acceptable intubating conditions were found in both groups but the conditions were better with group A in comparision with group B.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"17 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73239326","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 : 2018-01-01DOI: 10.4172/2155-6148.1000862
Yue Yin
{"title":"Effect of Different Doses of Dexmedetomidine Combined With Desflurane on Recovery of Protective Airway Reflexes","authors":"Yue Yin","doi":"10.4172/2155-6148.1000862","DOIUrl":"https://doi.org/10.4172/2155-6148.1000862","url":null,"abstract":"","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84618575","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 : 2018-01-01DOI: 10.4172/2155-6148.1000868
K. Hailegebriel, A. Tolera, T. Marama
Background: Mask ventilation is the primary technique of ventilation before insertion of any airway device. Difficulties in mask ventilation have been associated with serious complications, such as death or hypoxic brain damage. If the anesthetist can predict which patients are likely to prove difficult to ventilate, he/she may reduce the risks of anesthesia considerably. The study was aimed to assess the incidence of and predictive values of anatomical parameters for difficult mask ventilation among patients who underwent elective surgeries at Wolaita Sodo University teaching and referral Hospital and Sodo Christian Hospital. Methods: Institutional based cross sectional study was conducted from July 1 to August 30, 2017 in two hospitals of wolaita zone. The study was conducted on 278 patients of which 101 (36.3%) were males and 177 (63.7%) were females. Patient demographics, incidence and predictive values of anatomical parameters for difficult mask ventilation were studied among elective patients who took general anesthesia. Result: The incidence of difficult mask ventilation (grade III) was 2.2%; whereas, impossible mask ventilation (grade IV) was 0.4%. Highest percent of difficult mask ventilation (grade III) was occurred in patients with obstructive sleep apnea, BMI˃26 kg/m2 and Mandibular Protrusion Class C. Conclusion: Modified Mallampatti class III and IV and Mandibular protrusion class B and C are highly accurate parameters with high specificity, negative predictive value and positive predictive value to predict difficult mask ventilation.
{"title":"The Predictive Values of Anatomical Parameters for Difficult Mask Ventilation in Patients who Underwent Elective Surgeries in Wolaita Sodo Town Hospitals, 2017","authors":"K. Hailegebriel, A. Tolera, T. Marama","doi":"10.4172/2155-6148.1000868","DOIUrl":"https://doi.org/10.4172/2155-6148.1000868","url":null,"abstract":"Background: Mask ventilation is the primary technique of ventilation before insertion of any airway device. Difficulties in mask ventilation have been associated with serious complications, such as death or hypoxic brain damage. If the anesthetist can predict which patients are likely to prove difficult to ventilate, he/she may reduce the risks of anesthesia considerably. The study was aimed to assess the incidence of and predictive values of anatomical parameters for difficult mask ventilation among patients who underwent elective surgeries at Wolaita Sodo University teaching and referral Hospital and Sodo Christian Hospital. Methods: Institutional based cross sectional study was conducted from July 1 to August 30, 2017 in two hospitals of wolaita zone. The study was conducted on 278 patients of which 101 (36.3%) were males and 177 (63.7%) were females. Patient demographics, incidence and predictive values of anatomical parameters for difficult mask ventilation were studied among elective patients who took general anesthesia. Result: The incidence of difficult mask ventilation (grade III) was 2.2%; whereas, impossible mask ventilation (grade IV) was 0.4%. Highest percent of difficult mask ventilation (grade III) was occurred in patients with obstructive sleep apnea, BMI˃26 kg/m2 and Mandibular Protrusion Class C. Conclusion: Modified Mallampatti class III and IV and Mandibular protrusion class B and C are highly accurate parameters with high specificity, negative predictive value and positive predictive value to predict difficult mask ventilation.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"193 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79736108","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 : 2018-01-01DOI: 10.4172/2155-6148.1000839
Ye Wang, Zhenggang Guo
{"title":"A Case of Airway Management for Endotracheal Tumor Resection","authors":"Ye Wang, Zhenggang Guo","doi":"10.4172/2155-6148.1000839","DOIUrl":"https://doi.org/10.4172/2155-6148.1000839","url":null,"abstract":"","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"12 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83436740","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 : 2018-01-01DOI: 10.4172/2155-6148.1000819
E. Ibrahim, Hala M Koptan
Objectives: The present study was carried out to investigate the beneficial effects of high dose omeprazole versus standard low dose as a prophylaxis against upper GIT bleeding in high risk critically ill patients. Methods: A hundred and ten high risk critically ill patients were divided into two groups, fifty-five patients each. Group A received intravenous (IV) omeprazole 40 mg bolus dose once daily followed by normal saline infusion. Group B received IV bolus of 80 mg omeprazole followed by 8 mg/h infusion. The treatment was for the whole period of ICU stay. Early morning gastric pH, residual gastric volume, signs of significant upper GIT bleeding, ICU stay Hb, number of ICU days without ventilator, ICU stay hemoglobin (Hb), number of red cell units transfused in ICU, ICU stay, and numbers of ICU survivors were recorded. Results: Gastric pH was higher in group B compared to group A (p<0.05). The number of patients developed significant upper GIT bleeding were significantly higher in group A. Group A had lower ICU Hb levels and used significant higher number of RBC units. ICU stay was significantly higher in group A compared to group B (p=0.02). There were no statistical differences regarding the number of ICU days without ventilator and ICU survivors between both groups (P<0.05). Conclusions: High dose PPI continuous infusion can reduce the incidence of upper GIT bleeding in high risk critically ill patients. High dose PPI can reduce ICU stay with no effect on ICU survivor rate.
{"title":"The Effectiveness of Standard Single Dose Omeprazole vs. High Dose Continuous Infusion in High-risk Critically Ill Patients","authors":"E. Ibrahim, Hala M Koptan","doi":"10.4172/2155-6148.1000819","DOIUrl":"https://doi.org/10.4172/2155-6148.1000819","url":null,"abstract":"Objectives: The present study was carried out to investigate the beneficial effects of high dose omeprazole versus standard low dose as a prophylaxis against upper GIT bleeding in high risk critically ill patients. Methods: A hundred and ten high risk critically ill patients were divided into two groups, fifty-five patients each. Group A received intravenous (IV) omeprazole 40 mg bolus dose once daily followed by normal saline infusion. Group B received IV bolus of 80 mg omeprazole followed by 8 mg/h infusion. The treatment was for the whole period of ICU stay. Early morning gastric pH, residual gastric volume, signs of significant upper GIT bleeding, ICU stay Hb, number of ICU days without ventilator, ICU stay hemoglobin (Hb), number of red cell units transfused in ICU, ICU stay, and numbers of ICU survivors were recorded. Results: Gastric pH was higher in group B compared to group A (p<0.05). The number of patients developed significant upper GIT bleeding were significantly higher in group A. Group A had lower ICU Hb levels and used significant higher number of RBC units. ICU stay was significantly higher in group A compared to group B (p=0.02). There were no statistical differences regarding the number of ICU days without ventilator and ICU survivors between both groups (P<0.05). Conclusions: High dose PPI continuous infusion can reduce the incidence of upper GIT bleeding in high risk critically ill patients. High dose PPI can reduce ICU stay with no effect on ICU survivor rate.","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"1 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76016224","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 : 2018-01-01DOI: 10.4172/2155-6148.1000866
I. Gratz, Vinay Kudur, Francis Spitz, S. Jean, I. Allen, Julia E. Seaman, E. Deal
Background: The primary objective of the study was to compare central venous pressure (CVP) measured invasively to one measured non-invasively (NICVP) by monitoring upper arm blood flow changes in response to externally applied circumferential pressure to the upper arm veins. Methods: The NICVP monitor (NeuMeDx®) employs impedance plethysmography using 4 electrodes and a blood pressure cuff to determine a person's CVP. Three invasively measured CVP pressure measurements were compared to the NICVP taken during the same time period after induction of anesthesia in 29 patients. Results: Data from both methods were normally distributed and, in paired tests, were not significantly different (p=0.255). Over 95% of the values were within 3.0 mmHg of each other, the threshold estimate for clinical equivalence. The two measurements were highly correlated (r=0.657) and a Bland-Altman analysis showed good agreement. Conclusions: The non-invasive device was accurate and able to mirror the invasive CVP in our study population. Trial registration: #03705299, Clinical trials.gov
{"title":"Comparison of Invasive vs. Noninvasive CVP Monitoring in Patients Undergoing Major Intra-Abdominal Surgery: A Prospective Comparative Pilot Study","authors":"I. Gratz, Vinay Kudur, Francis Spitz, S. Jean, I. Allen, Julia E. Seaman, E. Deal","doi":"10.4172/2155-6148.1000866","DOIUrl":"https://doi.org/10.4172/2155-6148.1000866","url":null,"abstract":"Background: The primary objective of the study was to compare central venous pressure (CVP) measured invasively to one measured non-invasively (NICVP) by monitoring upper arm blood flow changes in response to externally applied circumferential pressure to the upper arm veins. Methods: The NICVP monitor (NeuMeDx®) employs impedance plethysmography using 4 electrodes and a blood pressure cuff to determine a person's CVP. Three invasively measured CVP pressure measurements were compared to the NICVP taken during the same time period after induction of anesthesia in 29 patients. Results: Data from both methods were normally distributed and, in paired tests, were not significantly different (p=0.255). Over 95% of the values were within 3.0 mmHg of each other, the threshold estimate for clinical equivalence. The two measurements were highly correlated (r=0.657) and a Bland-Altman analysis showed good agreement. Conclusions: The non-invasive device was accurate and able to mirror the invasive CVP in our study population. Trial registration: #03705299, Clinical trials.gov","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"234 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76109824","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 : 2018-01-01DOI: 10.4172/2155-6148.1000844
C. Miranda, C. Mexêdo, C. Cavaleiro, H. Machado
{"title":"Flexible Fiberoptic Intubation in Difficult Airway: A Retrospective Evaluation in a Portuguese University Hospital","authors":"C. Miranda, C. Mexêdo, C. Cavaleiro, H. Machado","doi":"10.4172/2155-6148.1000844","DOIUrl":"https://doi.org/10.4172/2155-6148.1000844","url":null,"abstract":"","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"688 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80124257","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 : 2018-01-01DOI: 10.4172/2155-6148.1000832
Wasimul Hoda, Priodarshi Roychoudhury, Abhishek Kumar, S. Bharti
A lot of emphasis is put on the technique of epidural insertion but however technique of catheter fixation is often neglected [2]. Ideally, the fixation method should be safe, non-invasive and cost-effective and maintain the sterility of the catheter. Correct catheter fixation goes a long way in preventing catheter migration and infection which ensures a safe epidural analgesia without complications [2].
{"title":"Epidural Catheter Fixation and Care-A Novel Technique","authors":"Wasimul Hoda, Priodarshi Roychoudhury, Abhishek Kumar, S. Bharti","doi":"10.4172/2155-6148.1000832","DOIUrl":"https://doi.org/10.4172/2155-6148.1000832","url":null,"abstract":"A lot of emphasis is put on the technique of epidural insertion but however technique of catheter fixation is often neglected [2]. Ideally, the fixation method should be safe, non-invasive and cost-effective and maintain the sterility of the catheter. Correct catheter fixation goes a long way in preventing catheter migration and infection which ensures a safe epidural analgesia without complications [2].","PeriodicalId":15000,"journal":{"name":"Journal of Anesthesia and Clinical Research","volume":"47 10 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77286102","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}
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