Pub Date : 2020-10-15DOI: 10.5005/jp-journals-10057-0094
D. Jethava, Sudhir Sachdev, Aman Malawat, Shubhra Gupta, Khayyam Moin
Background and aim: Direct laryngoscopy, tracheal intubation, and extubation contribute to augmentation in heart rate and blood pressure. This can precipitate serious complications in patients with coronary artery disease, intracranial neuropathology, or reactive airways. Attenuation of hemodynamic stress response to laryngoscopy, intubation, and extubation is essential for better anesthetic outcome. The aim of this study was to evaluate the effect of oral pregabalin as premedication in attenuation of hemodynamic stress response to laryngoscopy, intubation, and extubation. Materials and methods: This prospective randomized double-blinded placebo controlled study was conducted with 60 patients of American Society of Anesthesiologists (ASA) physical status class I/II, undergoing elective laparoscopic cholecystectomy. Patients were allocated randomly into two groups receiving either oral placebo or oral pregabalin 150 mg, 120 minutes before induction of anesthesia. Hemodynamic parameters such as heart rate, systolic, diastolic, and mean blood pressures were compared at various time points. Results: Pregabalin showed a significant attenuation of hemodynamic stress response to laryngoscopy, tracheal intubation, and extubation compared with that of placebo. The pregabalin premedicated patients remained hemodynamically stable perioperatively without any significant side effects. Conclusion: Pregabalin is effective in attenuating hemodynamic stress response to laryngoscopy, tracheal intubation, and extubation.
{"title":"Role of Oral Pregabalin as Premedication in Attenuation of Hemodynamic Responses to Laryngoscopy, Intubation, and Extubation in Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Clinical Trial","authors":"D. Jethava, Sudhir Sachdev, Aman Malawat, Shubhra Gupta, Khayyam Moin","doi":"10.5005/jp-journals-10057-0094","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0094","url":null,"abstract":"Background and aim: Direct laryngoscopy, tracheal intubation, and extubation contribute to augmentation in heart rate and blood pressure. This can precipitate serious complications in patients with coronary artery disease, intracranial neuropathology, or reactive airways. Attenuation of hemodynamic stress response to laryngoscopy, intubation, and extubation is essential for better anesthetic outcome. The aim of this study was to evaluate the effect of oral pregabalin as premedication in attenuation of hemodynamic stress response to laryngoscopy, intubation, and extubation. Materials and methods: This prospective randomized double-blinded placebo controlled study was conducted with 60 patients of American Society of Anesthesiologists (ASA) physical status class I/II, undergoing elective laparoscopic cholecystectomy. Patients were allocated randomly into two groups receiving either oral placebo or oral pregabalin 150 mg, 120 minutes before induction of anesthesia. Hemodynamic parameters such as heart rate, systolic, diastolic, and mean blood pressures were compared at various time points. Results: Pregabalin showed a significant attenuation of hemodynamic stress response to laryngoscopy, tracheal intubation, and extubation compared with that of placebo. The pregabalin premedicated patients remained hemodynamically stable perioperatively without any significant side effects. Conclusion: Pregabalin is effective in attenuating hemodynamic stress response to laryngoscopy, tracheal intubation, and extubation.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85140300","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0107
H. Mishra, P. Agarwal, S. Rahi, M. C. Baberwal
{"title":"A Case Report of Hydrops Fetalis with Cystic Hygroma","authors":"H. Mishra, P. Agarwal, S. Rahi, M. C. Baberwal","doi":"10.5005/jp-journals-10057-0107","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0107","url":null,"abstract":"","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"45 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72593612","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0103
U. Sharma, Umang Juneja, S. Garg
A high degree of suspicion and an ectopic conscious clinician is required for diagnosis of ectopic pregnancy. Only when you suspect it, a detailed history of the patient and a meticulous examination will reveal the presence of an ectopic pregnancy, which can then be confirmed by the appropriate bedside investigations. The cases of ectopic pregnancy where the diagnosis is delayed or, which are misdiagnosed, carry a high morbidity and mortality, as the morbidity and mortality associated with ectopic pregnancy is directly related to the length of time required for diagnosis. We report three such cases of ectopic pregnancy where the diagnosis was delayed due to variable and unpredictable presentations, in whom the initial history and examination was missed as the presence of ectopic pregnancy was not suspected by the presentation.
{"title":"Meticulous History and Examination: Still Remains the Backbone of Diagnosis","authors":"U. Sharma, Umang Juneja, S. Garg","doi":"10.5005/jp-journals-10057-0103","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0103","url":null,"abstract":"A high degree of suspicion and an ectopic conscious clinician is required for diagnosis of ectopic pregnancy. Only when you suspect it, a detailed history of the patient and a meticulous examination will reveal the presence of an ectopic pregnancy, which can then be confirmed by the appropriate bedside investigations. The cases of ectopic pregnancy where the diagnosis is delayed or, which are misdiagnosed, carry a high morbidity and mortality, as the morbidity and mortality associated with ectopic pregnancy is directly related to the length of time required for diagnosis. We report three such cases of ectopic pregnancy where the diagnosis was delayed due to variable and unpredictable presentations, in whom the initial history and examination was missed as the presence of ectopic pregnancy was not suspected by the presentation.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73153366","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0106
Ruchika Tiwari, V. Singh, V. Jamdade, K. Jay, Y. Sharma
Head and neck trauma is a challenging case for a maxillofacial surgeon because not only preinjury anatomy needs to be achieved but also esthetic has to be improved. Management of such patients is quite challenging and also requires a frequent multidisciplinary team intervention. One of the cause of such trauma is unprotected driving or high-velocity collision. 1 Pan-facial trauma not only disrupts normal facial anatomy but also hinders normal functions like vision (dystopia, diplopia, enophthalmos), respiration (airway) and olfactory senses, mastication and natural occlusion and intercuspation, deglutition, and overall asthetic of the patient. Restoring and rehabilitation of preinjury contour of facial skeleton in such patient of trauma requires artistic work of the operating maxillofacial surgeon. The treatment modality in case of trauma is open reduction and internal fixation (ORIF) under general anesthesia (GA). Various approaches have been suggested to achieve near normal anatomy. Past research suggested “top to bottom” or “bottom to top” along with “outward to inward” or “inward to outward,” The main aim being restoring horizontal and vertical facial pillars.
{"title":"Unusual Severe Superolateral Dislocation of Right Condyle Associated with Sagittal Split of Articular Eminence in Pan-facial Trauma Managed with Inverted L-plate: A Case Report","authors":"Ruchika Tiwari, V. Singh, V. Jamdade, K. Jay, Y. Sharma","doi":"10.5005/jp-journals-10057-0106","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0106","url":null,"abstract":"Head and neck trauma is a challenging case for a maxillofacial surgeon because not only preinjury anatomy needs to be achieved but also esthetic has to be improved. Management of such patients is quite challenging and also requires a frequent multidisciplinary team intervention. One of the cause of such trauma is unprotected driving or high-velocity collision. 1 Pan-facial trauma not only disrupts normal facial anatomy but also hinders normal functions like vision (dystopia, diplopia, enophthalmos), respiration (airway) and olfactory senses, mastication and natural occlusion and intercuspation, deglutition, and overall asthetic of the patient. Restoring and rehabilitation of preinjury contour of facial skeleton in such patient of trauma requires artistic work of the operating maxillofacial surgeon. The treatment modality in case of trauma is open reduction and internal fixation (ORIF) under general anesthesia (GA). Various approaches have been suggested to achieve near normal anatomy. Past research suggested “top to bottom” or “bottom to top” along with “outward to inward” or “inward to outward,” The main aim being restoring horizontal and vertical facial pillars.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85708043","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0105
Harshdeep Dhaliwal, Vikram Sharma, A. Jamdade, S. Yadav, Divya Rana
Oral signs and symptoms most of the times indicate a local disease and can be treated with dental treatment; however, sometimes it can be an indication of any underlying severe disease. Acute myeloid leukemia is one such grave hematological malignancy with a very short lifespan if undiagnosed and left untreated, which shows oral signs as the first clinical manifestations of the disease. This is a case report where oral findings lead to diagnosis of acute myeloid leukemia in a 55-year-old female.
{"title":"Oral Cavity “A Window to Systemic Illness”: A Case Report of Gingival Enlargement Secondary to Acute Leukemia","authors":"Harshdeep Dhaliwal, Vikram Sharma, A. Jamdade, S. Yadav, Divya Rana","doi":"10.5005/jp-journals-10057-0105","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0105","url":null,"abstract":"Oral signs and symptoms most of the times indicate a local disease and can be treated with dental treatment; however, sometimes it can be an indication of any underlying severe disease. Acute myeloid leukemia is one such grave hematological malignancy with a very short lifespan if undiagnosed and left untreated, which shows oral signs as the first clinical manifestations of the disease. This is a case report where oral findings lead to diagnosis of acute myeloid leukemia in a 55-year-old female.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78326798","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0095
A. Prasad, Deepak Raisingani, Harshit Srivastava, Anubha Sejra, N. Mittal, Garima Udawat
Root canal treatment, or endodontic treatment, is a procedure frequently done to debride, disinfect, and remove residual microorganisms found in infected root canals of teeth. Certain chemicals have been found to be effective in disinfecting the root canal system with different success rates. Sodium hypochlorite (NaOCl) is a common irrigation solution and disinfectant used in root canal treatment. It has strong antibacterial and tissue-dissolving properties. Although it is a potential irrigant, but severe complications can occur when it comes into contact with soft tissue especially due to its cytotoxic features, some of which are life-threatening. This case report documents successful management after accidental extrusion of NaOCl into the periapical area and explains precautionary management protocols for such cases.
{"title":"Management of Sodium Hypochlorite Accident: A Case Report","authors":"A. Prasad, Deepak Raisingani, Harshit Srivastava, Anubha Sejra, N. Mittal, Garima Udawat","doi":"10.5005/jp-journals-10057-0095","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0095","url":null,"abstract":"Root canal treatment, or endodontic treatment, is a procedure frequently done to debride, disinfect, and remove residual microorganisms found in infected root canals of teeth. Certain chemicals have been found to be effective in disinfecting the root canal system with different success rates. Sodium hypochlorite (NaOCl) is a common irrigation solution and disinfectant used in root canal treatment. It has strong antibacterial and tissue-dissolving properties. Although it is a potential irrigant, but severe complications can occur when it comes into contact with soft tissue especially due to its cytotoxic features, some of which are life-threatening. This case report documents successful management after accidental extrusion of NaOCl into the periapical area and explains precautionary management protocols for such cases.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76307034","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}
Resorption is the combination of either physiological or pathological factors that results in the loss of dentin, cementum, and the alveolar bone of tooth structure due to the action of polynuclear giant cells. The most frequent causative factor for resorption is local factors, notably excessive pressure and inflammatory process. Different types of resorption have been classified depending upon its etiology and site, and different treatment regimens have been proposed based on the type of resorption present. External apical root resorption is usually pathological. The case in this article demonstrates external root resorption managed with nonsurgical root canal therapy with the use intracanal medicament of calcium hydroxide, with 1 month follow-up revealing arrest of resorption. Subsequent follow-up at 6 months shows complete repair of periradicular and furcation area.
{"title":"Endodontic Management of External Apical Root Resorption: A Case Report","authors":"Prachi Mittal, A. Prasad, Deepak Raisingani, Harshit Srivastava, Nikita Sarraf, Akansha Jharwal","doi":"10.5005/jp-journals-10057-0101","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0101","url":null,"abstract":"Resorption is the combination of either physiological or pathological factors that results in the loss of dentin, cementum, and the alveolar bone of tooth structure due to the action of polynuclear giant cells. The most frequent causative factor for resorption is local factors, notably excessive pressure and inflammatory process. Different types of resorption have been classified depending upon its etiology and site, and different treatment regimens have been proposed based on the type of resorption present. External apical root resorption is usually pathological. The case in this article demonstrates external root resorption managed with nonsurgical root canal therapy with the use intracanal medicament of calcium hydroxide, with 1 month follow-up revealing arrest of resorption. Subsequent follow-up at 6 months shows complete repair of periradicular and furcation area.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88333990","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0096
Swati Sharma, M. Meena, Ashishkumar T Yadav, Amrita Kumari, M. Bansal, Karan H Asrani, Akanksha Gaud
Tongue-tie or ankyloglossia is a rare congenital anomaly. It is a short, thick, and fibrosed lingual frenulum which causes restriction in function of the tongue and also in speech. Tongue is an accessory organ, and it helps in deglutition, mastication, and speech. Tongue-tie also causes lingual recession of the teeth. So, it is necessary to treat at the right time. In this case, the patient has a lingual tongue-tie which has been treated by using a diode laser.
{"title":"Tongue-tie Management: A Case Report","authors":"Swati Sharma, M. Meena, Ashishkumar T Yadav, Amrita Kumari, M. Bansal, Karan H Asrani, Akanksha Gaud","doi":"10.5005/jp-journals-10057-0096","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0096","url":null,"abstract":"Tongue-tie or ankyloglossia is a rare congenital anomaly. It is a short, thick, and fibrosed lingual frenulum which causes restriction in function of the tongue and also in speech. Tongue is an accessory organ, and it helps in deglutition, mastication, and speech. Tongue-tie also causes lingual recession of the teeth. So, it is necessary to treat at the right time. In this case, the patient has a lingual tongue-tie which has been treated by using a diode laser.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87210281","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0100
Ruchika Tiwari, V. Singh, P. Agarwal, G. Thanvi, Vandita Chaurasia
Arteriovenous malformation (AVM) is a congenital disorder of the veins and arteries that makeup the vascular system. This report presents a case of AVM in the body and ramus region of left side of mandible in a 22-year-old male. The case presents with diffuse swelling present on left region of the body and ramus area of mandible since 8 months. Malformation was diagnosed with the help of detailed patient history, clinical evaluation, radiographs, and computed tomography (CT) scans. The definitive diagnosis was made by CT angiography. Later hemimandibulectomy with simultaneous reconstruction by a titanium plate was done.
{"title":"A Rare Case of Arteriovenous Malformation of Mandible: A Case Report","authors":"Ruchika Tiwari, V. Singh, P. Agarwal, G. Thanvi, Vandita Chaurasia","doi":"10.5005/jp-journals-10057-0100","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0100","url":null,"abstract":"Arteriovenous malformation (AVM) is a congenital disorder of the veins and arteries that makeup the vascular system. This report presents a case of AVM in the body and ramus region of left side of mandible in a 22-year-old male. The case presents with diffuse swelling present on left region of the body and ramus area of mandible since 8 months. Malformation was diagnosed with the help of detailed patient history, clinical evaluation, radiographs, and computed tomography (CT) scans. The definitive diagnosis was made by CT angiography. Later hemimandibulectomy with simultaneous reconstruction by a titanium plate was done.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84805503","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 : 2020-10-15DOI: 10.5005/jp-journals-10057-0098
Vipasha Yogi, Sanjoy Baruah, P. Vyas, K. Sharma
These are case series with six patients who presented unusual neck swelling. Worldwide, the most common swelling in the neck region is a enlargement of cervical lymph nodes. Each country has a different etiology and geographical distribution for cervical lymphadenopathy. Tuberculosis, metastatic cancers, and lymphomas are the commonest causes. However, in clinical practice, we encounter rare neck swelling. Such swellings are due to their less common and unusual presentation, and its clinical diagnosis is rarely attained. In such cases, proper diagnosis and management are required to attain the desired results. Materials and methods: In our tertiary healthcare center, we encountered such case in ENT OPD. Five cases were evaluated in this article along with their management. Such rare causes of neck swellings are therapeutically challenging, as they cause diagnostic dilemmas. Results: Histopathology and immunohistochemistry were the mainstay of diagnosis, and surgery was curative in most cases.
{"title":"Unusual Swelling in the Head and Neck Region","authors":"Vipasha Yogi, Sanjoy Baruah, P. Vyas, K. Sharma","doi":"10.5005/jp-journals-10057-0098","DOIUrl":"https://doi.org/10.5005/jp-journals-10057-0098","url":null,"abstract":"These are case series with six patients who presented unusual neck swelling. Worldwide, the most common swelling in the neck region is a enlargement of cervical lymph nodes. Each country has a different etiology and geographical distribution for cervical lymphadenopathy. Tuberculosis, metastatic cancers, and lymphomas are the commonest causes. However, in clinical practice, we encounter rare neck swelling. Such swellings are due to their less common and unusual presentation, and its clinical diagnosis is rarely attained. In such cases, proper diagnosis and management are required to attain the desired results. Materials and methods: In our tertiary healthcare center, we encountered such case in ENT OPD. Five cases were evaluated in this article along with their management. Such rare causes of neck swellings are therapeutically challenging, as they cause diagnostic dilemmas. Results: Histopathology and immunohistochemistry were the mainstay of diagnosis, and surgery was curative in most cases.","PeriodicalId":16223,"journal":{"name":"Journal of Mahatma Gandhi University of Medical Sciences and Technology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75535169","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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