Pub Date : 2013-07-01DOI: 10.13172/2052-0077-2-5-637
Umesh Jethwani, G. Singh, R. Mohil, R. Saroha, J. Chouhan, N. Bansal
Introduction Gall bladder perforation is a rare but life threatening complication of acute cholecystitis with or without stones and is associated with increased morbidity and mortality due to late diagnosis. The late diagnosis is attributed to the fact that most of them are present with the same symptoms as in an uncomplicated acute cholecystitis. Most of them are identified and confirmed by laparotomy as preoperative diagnosis is very rare,that is, on computed tomography scan and ultrasound. We are reporting two cases of gall bladder perforation. Case report The first case was a 70-year-old man who was presented to the emergency department with complaints of pain in the abdomen for 7 days and obstipation for 3 days. The second case was a 58-year-old man who was presented to the emergency department with complaints of pain in the abdomen for 1 week and obstipation for 2 days. Conclusion Gall bladder perforation is a fatal and life threatening complication of acute cholecystitis so early diagnosis is the key, as delay will result in the increase of mortality and morbidity.
{"title":"Gall bladder perforation: report of two cases","authors":"Umesh Jethwani, G. Singh, R. Mohil, R. Saroha, J. Chouhan, N. Bansal","doi":"10.13172/2052-0077-2-5-637","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-637","url":null,"abstract":"Introduction Gall bladder perforation is a rare but life threatening complication of acute cholecystitis with or without stones and is associated with increased morbidity and mortality due to late diagnosis. The late diagnosis is attributed to the fact that most of them are present with the same symptoms as in an uncomplicated acute cholecystitis. Most of them are identified and confirmed by laparotomy as preoperative diagnosis is very rare,that is, on computed tomography scan and ultrasound. We are reporting two cases of gall bladder perforation. Case report The first case was a 70-year-old man who was presented to the emergency department with complaints of pain in the abdomen for 7 days and obstipation for 3 days. The second case was a 58-year-old man who was presented to the emergency department with complaints of pain in the abdomen for 1 week and obstipation for 2 days. Conclusion Gall bladder perforation is a fatal and life threatening complication of acute cholecystitis so early diagnosis is the key, as delay will result in the increase of mortality and morbidity.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79470793","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-638
A. Benatar, A. Vorsselmans
Introduction Congenital cardiac right ventricular diverticula are transmural localised protrusions, within the free wall of the ventricles. These diverticula are infrequently diagnosed during the foetal period, and because of their rarity, their natural history remains unclear. We present a case of a prenatal diagnosis of right ventricular diverticulum at 26 weeks gestation associated with an irregular rhythm of ventricular bigeminy. Case report We present a case of a 32-yearold G1P1, who was referred at 26 weeks gestation on account of an abnormal rhythm and four-chamber view on a routine screening. Foetal echocardiography showed a large right ventricular outpouching (RVO) of 11 × 9 mm, with unrestricted flow, across a large orifice and situated along the lateral free wall, just beneath the tricuspid valve. Conclusion Foetal RVO are rare congenital malformations that need to be considered, when an extra chamber is visualised in the routine four-chamber view, in the assessment of foetal arrhythmia or presence of a pericardial effusion.
{"title":"Foetal right ventricular outpouching associated with ventricular bigeminy","authors":"A. Benatar, A. Vorsselmans","doi":"10.13172/2052-0077-2-6-638","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-638","url":null,"abstract":"Introduction Congenital cardiac right ventricular diverticula are transmural localised protrusions, within the free wall of the ventricles. These diverticula are infrequently diagnosed during the foetal period, and because of their rarity, their natural history remains unclear. We present a case of a prenatal diagnosis of right ventricular diverticulum at 26 weeks gestation associated with an irregular rhythm of ventricular bigeminy. Case report We present a case of a 32-yearold G1P1, who was referred at 26 weeks gestation on account of an abnormal rhythm and four-chamber view on a routine screening. Foetal echocardiography showed a large right ventricular outpouching (RVO) of 11 × 9 mm, with unrestricted flow, across a large orifice and situated along the lateral free wall, just beneath the tricuspid valve. Conclusion Foetal RVO are rare congenital malformations that need to be considered, when an extra chamber is visualised in the routine four-chamber view, in the assessment of foetal arrhythmia or presence of a pericardial effusion.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90995302","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-640
Umesh Jethwani, G. Singh, V. Kandwal, R. Saroha, J. Chouhan, N. Bansal, R. Verma
biliary stricture have been reported in the English literature 1–11 , and only one case from the Middle East. The more common benign causes of biliary stenosis are postoperative cicatricial stenosis and complications of chronic pancreatitis, duodenal papillitis and congenital biliary dilatation. The main symptoms of tuberculosis biliary stricture including jaundice and weight loss are usually indistinguishable from those of other diseases such as cholangiocarcinoma. Although the presence of past history or chest X-ray changes of tuberculosis may raise the suspicion of this aetiology, most of the reported cases are diagnosed based on surgical pathology. We report a rare cause of common bile duct (CBD) stricture in tuberculosis of the biliary
{"title":"Tuberculosis of biliary tract: a rare cause of common bile duct stricture","authors":"Umesh Jethwani, G. Singh, V. Kandwal, R. Saroha, J. Chouhan, N. Bansal, R. Verma","doi":"10.13172/2052-0077-2-6-640","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-640","url":null,"abstract":"biliary stricture have been reported in the English literature 1–11 , and only one case from the Middle East. The more common benign causes of biliary stenosis are postoperative cicatricial stenosis and complications of chronic pancreatitis, duodenal papillitis and congenital biliary dilatation. The main symptoms of tuberculosis biliary stricture including jaundice and weight loss are usually indistinguishable from those of other diseases such as cholangiocarcinoma. Although the presence of past history or chest X-ray changes of tuberculosis may raise the suspicion of this aetiology, most of the reported cases are diagnosed based on surgical pathology. We report a rare cause of common bile duct (CBD) stricture in tuberculosis of the biliary","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89634316","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-643
Sharmila Aristotle, S. Sundarapandian, C. Felicia
Introduction Variations in the iliopsoas muscle complex certainly have some clinical importance. Because these variations are usually associated with unusual femoral nerve formation, here we report a case of variation in the iliacus muscle combined with variation in the femoral nerve. Case report Variation in the iliacus muscle combined with variation in the femoral nerve was observed while performing a routine dissection of a 65-year-old male cadaver in the Department of Anatomy, SRM Medical College. The accessory iliacus muscle originated from iliac crest and inserted to the lesser trochanter of femur along with psoas major. This muscle variant was found to split the femoral nerve into medial and lateral slips. Conclusion The existence of this muscle variation along with nerve variation may increase the chances of nerve compression. Hence, detailed knowledge of these variations has immense importance in various pelvic and pelvifemoral surgeries.
{"title":"Accessory iliacus muscle with splitting of the femoral nerve: a case report","authors":"Sharmila Aristotle, S. Sundarapandian, C. Felicia","doi":"10.13172/2052-0077-2-6-643","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-643","url":null,"abstract":"Introduction Variations in the iliopsoas muscle complex certainly have some clinical importance. Because these variations are usually associated with unusual femoral nerve formation, here we report a case of variation in the iliacus muscle combined with variation in the femoral nerve. Case report Variation in the iliacus muscle combined with variation in the femoral nerve was observed while performing a routine dissection of a 65-year-old male cadaver in the Department of Anatomy, SRM Medical College. The accessory iliacus muscle originated from iliac crest and inserted to the lesser trochanter of femur along with psoas major. This muscle variant was found to split the femoral nerve into medial and lateral slips. Conclusion The existence of this muscle variation along with nerve variation may increase the chances of nerve compression. Hence, detailed knowledge of these variations has immense importance in various pelvic and pelvifemoral surgeries.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75219529","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-642
N. Kumar, J. Al-Kandari
{"title":"Silicone sleeve adherent to the retina: An unusual intraocular foreign body","authors":"N. Kumar, J. Al-Kandari","doi":"10.13172/2052-0077-2-6-642","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-642","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89892556","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-644
C. Katsetos, M. Kontoyannis, A. Koumousidis, N. Petroyannis, A. Davies
{"title":"Schistosomiasis of the abdominal cavity and infertility: a case report","authors":"C. Katsetos, M. Kontoyannis, A. Koumousidis, N. Petroyannis, A. Davies","doi":"10.13172/2052-0077-2-6-644","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-644","url":null,"abstract":"","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85742406","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 : 2013-07-01DOI: 10.13172/2052-0077-2-5-635
S. Soni, Tuhin Ghulyani, A. Saxena, Nk Saraswat
Introduction There are a variety of anatomical variations which can be observed during dissection, diagnosis and surgical procedures. These variations are equally important from a clinical as well as an academic point of view. This report discusses the additional head of the biceps branchii. Case report We noticed the third head of biceps brachii during dissection; the head was arising from the fascia covering the brachialis muscle and getting inserted on the radial tuberosity after merging with the long and short heads of biceps. Conclusion The supernumerary head may have both positive and negative effects. Clinical significance lies in the fact that this additional head may cause compression of musculocutaneous nerve, median nerve and brachial artery, which are in close relation with it and produce compression symptoms.
{"title":"The term 'biceps brachii': a misnomer?","authors":"S. Soni, Tuhin Ghulyani, A. Saxena, Nk Saraswat","doi":"10.13172/2052-0077-2-5-635","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-635","url":null,"abstract":"Introduction There are a variety of anatomical variations which can be observed during dissection, diagnosis and surgical procedures. These variations are equally important from a clinical as well as an academic point of view. This report discusses the additional head of the biceps branchii. Case report We noticed the third head of biceps brachii during dissection; the head was arising from the fascia covering the brachialis muscle and getting inserted on the radial tuberosity after merging with the long and short heads of biceps. Conclusion The supernumerary head may have both positive and negative effects. Clinical significance lies in the fact that this additional head may cause compression of musculocutaneous nerve, median nerve and brachial artery, which are in close relation with it and produce compression symptoms.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"334 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85427292","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-639
I. Wani, I. Muzafar, I. Bakshi, N. Khan, M. Thoker
Introduction Gastrointestinal stromal tumour is a rare mesenchymal tumour of the gastrointestinal tract. The stomach and small intestine are the favoured sites for these tumours. Pre-operative diagnosis is difficult on clinical basis for such tumours and only a detailed histopathological examination of specimen reveals its true nature. The aim of this research study was to examine abdominal gastrointestinal stromal tumour in a general surgery ward. Materials and methods A retrospective case review study of patients, who had a diagnosis of the abdominal gastrointestinal stromal tumour, was performed. Clinical presentation, operative findings and a follow-up was recorded for these patients. Recurrence and development of a new tumour was recorded during the follow-up. Results Twelve patients, who had an abdominal gastrointestinal stromal tumour, were examined. There were nine male patients and three female patients. Eight patients were diagnosed with an abdominal mass, one patient had peritonitis, one patient had an upper gastrointestinal bleeding, one patient had rectal bleeding and one patient was diagnosed with an intestinal obstruction. All the patients had exploratory laparotomy and postoperative imatinib was given to them. Conclusion Gastrointestinal stromal tumour in the abdomen is a rare cancer. These tumours have variable clinical behaviour, with abdominal mass being the common symptom. Surgical resection with negative margin is the preferred modality of treatment for gastrointestinal stromal tumour.
{"title":"Abdominal gastrointestinal stromal tumours: a study of twelve patients","authors":"I. Wani, I. Muzafar, I. Bakshi, N. Khan, M. Thoker","doi":"10.13172/2052-0077-2-6-639","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-639","url":null,"abstract":"Introduction Gastrointestinal stromal tumour is a rare mesenchymal tumour of the gastrointestinal tract. The stomach and small intestine are the favoured sites for these tumours. Pre-operative diagnosis is difficult on clinical basis for such tumours and only a detailed histopathological examination of specimen reveals its true nature. The aim of this research study was to examine abdominal gastrointestinal stromal tumour in a general surgery ward. Materials and methods A retrospective case review study of patients, who had a diagnosis of the abdominal gastrointestinal stromal tumour, was performed. Clinical presentation, operative findings and a follow-up was recorded for these patients. Recurrence and development of a new tumour was recorded during the follow-up. Results Twelve patients, who had an abdominal gastrointestinal stromal tumour, were examined. There were nine male patients and three female patients. Eight patients were diagnosed with an abdominal mass, one patient had peritonitis, one patient had an upper gastrointestinal bleeding, one patient had rectal bleeding and one patient was diagnosed with an intestinal obstruction. All the patients had exploratory laparotomy and postoperative imatinib was given to them. Conclusion Gastrointestinal stromal tumour in the abdomen is a rare cancer. These tumours have variable clinical behaviour, with abdominal mass being the common symptom. Surgical resection with negative margin is the preferred modality of treatment for gastrointestinal stromal tumour.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88631268","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 : 2013-07-01DOI: 10.13172/2052-0077-2-6-641
Jyoti Sangwan, D. Juyal, Vikrant Negi, M. Singh, N. Sharma
Abstract Introduction Rhinocerebral mucormycosis is the most serious, rapidly progresmortality rate of 70%–100% if not treated adequately and most commonly manifests itself in the setting of poorly controlled diabetes mel-litus especially with ketoacidosis. Rapid progression and high mortal-ity necessitate prompt recognition and aggressive treatment to increase survival rate. We present a case of rapidly pro-gressive rhinocerebral mucormycosis in a 17-year-old girl with ketoaci-dotic type 1 diabetes mellitus. The case exemplifies the therapeutic challenges encountered in a rural resource constrained setting. Case report A 17-year-old girl was brought to the emergency department of our hospi-tal with the complaint of breathing difficulty for the last three days. On admission she was febrile (39.1°C), had facial puffiness, marked left-sided hemifacial oedema, periorbital oedema, unilateral mucopurulent rhinorrhea, had acidotic breath and difficulty in breathing. On physi-cal examination, nasal wall and the upper lip showed necrotic lesions (more so) on the left side, also necrotic mucosal lesions in the oral and nasal cavity were evident.
{"title":"Rhinocerebral mucormycosis with therapeutic challenges encountered in a rural resource constrained setting","authors":"Jyoti Sangwan, D. Juyal, Vikrant Negi, M. Singh, N. Sharma","doi":"10.13172/2052-0077-2-6-641","DOIUrl":"https://doi.org/10.13172/2052-0077-2-6-641","url":null,"abstract":"Abstract Introduction Rhinocerebral mucormycosis is the most serious, rapidly progresmortality rate of 70%–100% if not treated adequately and most commonly manifests itself in the setting of poorly controlled diabetes mel-litus especially with ketoacidosis. Rapid progression and high mortal-ity necessitate prompt recognition and aggressive treatment to increase survival rate. We present a case of rapidly pro-gressive rhinocerebral mucormycosis in a 17-year-old girl with ketoaci-dotic type 1 diabetes mellitus. The case exemplifies the therapeutic challenges encountered in a rural resource constrained setting. Case report A 17-year-old girl was brought to the emergency department of our hospi-tal with the complaint of breathing difficulty for the last three days. On admission she was febrile (39.1°C), had facial puffiness, marked left-sided hemifacial oedema, periorbital oedema, unilateral mucopurulent rhinorrhea, had acidotic breath and difficulty in breathing. On physi-cal examination, nasal wall and the upper lip showed necrotic lesions (more so) on the left side, also necrotic mucosal lesions in the oral and nasal cavity were evident.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87482082","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 : 2013-06-21DOI: 10.13172/2052-0077-2-5-633
S. Nayak, B. George, Snigdha Mishra, L. Ashwini, S. Marpalli
Introduction: Abnormal peritoneal folds are often found in the abdomen. They may cause serious problems like obstruction of the intestine. This report discusses a case of an omento-cystic peritoneal fold in a male cadaver. Case report: We report an omento-cystic peritoneal fold seen in an adult male cadaver. The fold extended upwards from the right end of the greater omentum to the gallbladder. It enclosed the gallbladder completely. The gallbladder was slightly larger than its normal size. The quadrate lobe was rudimentary and was represented as a small bar of hepatic tissue between the gallbladder and the fissure for ligamentum teres. Conclusion: The knowledge of this variation may be of importance during radiological diagnosis, liver transplant surgery and laparoscopic cholecystectomy.
{"title":"Omento-cystic peritoneal fold and rudimentary quadrate lobe: a case report","authors":"S. Nayak, B. George, Snigdha Mishra, L. Ashwini, S. Marpalli","doi":"10.13172/2052-0077-2-5-633","DOIUrl":"https://doi.org/10.13172/2052-0077-2-5-633","url":null,"abstract":"Introduction: Abnormal peritoneal folds are often found in the abdomen. They may cause serious problems like obstruction of the intestine. This report discusses a case of an omento-cystic peritoneal fold in a male cadaver. \u0000Case report: We report an omento-cystic peritoneal fold seen in an adult male cadaver. The fold extended upwards from the right end of the greater omentum to the gallbladder. It enclosed the gallbladder completely. The gallbladder was slightly larger than its normal size. The quadrate lobe was rudimentary and was represented as a small bar of hepatic tissue between the gallbladder and the fissure for ligamentum teres. \u0000Conclusion: The knowledge of this variation may be of importance during radiological diagnosis, liver transplant surgery and laparoscopic cholecystectomy.","PeriodicalId":19393,"journal":{"name":"OA Case Reports","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89013666","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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