Ventricular fibrillation is one of the known complications of pericardiectomy in veterinary medicine. We present a case of ventricular fibrillation occurring during thoracoscopic pericardiectomy in a 2‐year‐old St. Bernard dog. Despite prompt recognition, immediate resuscitation efforts‐based chest compressions and mechanical ventilation, drug administration and defibrillation (external using 200 J, using 50 J internally subsequently), the dog died. The suspected cause of ventricular fibrillation was related to the use of an electrosurgical device. The challenges encountered during resuscitation and possible reasons for the delayed success of defibrillation are discussed in this report. Electrical safety and the implications during thoracoscopy underscore the importance of the development and the mechanisms underlying ventricular fibrillation during thoracoscopic pericardiectomy.
{"title":"Ventricular fibrillation during thoracoscopic pericardiectomy in a St. Bernard dog","authors":"Larissa Irina Mattei, Marc Barandun, Isabelle Iff","doi":"10.1002/vrc2.974","DOIUrl":"https://doi.org/10.1002/vrc2.974","url":null,"abstract":"Ventricular fibrillation is one of the known complications of pericardiectomy in veterinary medicine. We present a case of ventricular fibrillation occurring during thoracoscopic pericardiectomy in a 2‐year‐old St. Bernard dog. Despite prompt recognition, immediate resuscitation efforts‐based chest compressions and mechanical ventilation, drug administration and defibrillation (external using 200 J, using 50 J internally subsequently), the dog died. The suspected cause of ventricular fibrillation was related to the use of an electrosurgical device. The challenges encountered during resuscitation and possible reasons for the delayed success of defibrillation are discussed in this report. Electrical safety and the implications during thoracoscopy underscore the importance of the development and the mechanisms underlying ventricular fibrillation during thoracoscopic pericardiectomy.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"9 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188517","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}
A 3‐year‐old, female, spayed, mixed breed dog developed progressive dyspnoea after exposure to waterproofing shoe spray. The dog developed severe hypoxaemia and hypercapnia, and was subsequently diagnosed with veterinary acute respiratory distress syndrome secondary to chemical pneumonitis. Mechanical ventilation was initiated due to respiratory compromise. Severe hypercapnia persisted despite aggressive treatment. Unfortunately, the patient experienced cardiopulmonary arrest non‐responsive to cardiopulmonary resuscitation. A postmortem examination was performed, revealing pulmonary haemorrhage, hyaline membrane formation and necrosis. These findings are supportive of a diagnosis of chemical pneumonitis secondary to inhalation of waterproofing shoe spray, resulting in acute respiratory distress syndrome.
{"title":"Chemical pneumonitis secondary to inhaled waterproofing shoe spray in a canine","authors":"Bailey Teitge, Kristen Marshall, Julie Schildt","doi":"10.1002/vrc2.979","DOIUrl":"https://doi.org/10.1002/vrc2.979","url":null,"abstract":"A 3‐year‐old, female, spayed, mixed breed dog developed progressive dyspnoea after exposure to waterproofing shoe spray. The dog developed severe hypoxaemia and hypercapnia, and was subsequently diagnosed with veterinary acute respiratory distress syndrome secondary to chemical pneumonitis. Mechanical ventilation was initiated due to respiratory compromise. Severe hypercapnia persisted despite aggressive treatment. Unfortunately, the patient experienced cardiopulmonary arrest non‐responsive to cardiopulmonary resuscitation. A postmortem examination was performed, revealing pulmonary haemorrhage, hyaline membrane formation and necrosis. These findings are supportive of a diagnosis of chemical pneumonitis secondary to inhalation of waterproofing shoe spray, resulting in acute respiratory distress syndrome.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"33 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188515","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}
Ana Maria Boncea, Anca Cristea, Anna Sophie Ramsauer, Claudiu Gal, Marian Taulescu
A 2‐year‐old, female labrador retriever developed multiple pruritic perianal viral epidermal plaques and squamous cell carcinomas in situ. Molecular tests confirmed the infection with canine papilloma virus type 1. Electrochemotherapy was chosen as a first‐line treatment, and proved beneficial.
{"title":"Successful treatment of perianal canine papillomavirus type‐1‐associated viral epidermal plaques and squamous cell carcinoma in situ by electrochemotherapy","authors":"Ana Maria Boncea, Anca Cristea, Anna Sophie Ramsauer, Claudiu Gal, Marian Taulescu","doi":"10.1002/vrc2.971","DOIUrl":"https://doi.org/10.1002/vrc2.971","url":null,"abstract":"A 2‐year‐old, female labrador retriever developed multiple pruritic perianal viral epidermal plaques and squamous cell carcinomas in situ. Molecular tests confirmed the infection with canine papilloma virus type 1. Electrochemotherapy was chosen as a first‐line treatment, and proved beneficial.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188518","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}
Franziska Bergmann, Frida Westgren, Annika Elmén, Marcel Lee
An 11‐month‐old, entire, male greyhound dog was presented with a 2‐day history of vomiting, lethargy and abdominal pain. An abdominal ultrasound and a computed tomography study were performed revealing images compatible with isolated gall bladder torsion. Surgery confirmed a twisted floating gall bladder, and a cholecystectomy was performed. The dog recovered without any complications. Gall bladder torsion is a rare but potentially life‐threatening condition in veterinary medicine, and a prompt diagnosis preoperatively is valuable. This is the first reported case of preoperative diagnosis of isolated gall bladder torsion by diagnostic imaging in veterinary medicine.
{"title":"Isolated gall bladder torsion in a juvenile greyhound dog","authors":"Franziska Bergmann, Frida Westgren, Annika Elmén, Marcel Lee","doi":"10.1002/vrc2.978","DOIUrl":"https://doi.org/10.1002/vrc2.978","url":null,"abstract":"An 11‐month‐old, entire, male greyhound dog was presented with a 2‐day history of vomiting, lethargy and abdominal pain. An abdominal ultrasound and a computed tomography study were performed revealing images compatible with isolated gall bladder torsion. Surgery confirmed a twisted floating gall bladder, and a cholecystectomy was performed. The dog recovered without any complications. Gall bladder torsion is a rare but potentially life‐threatening condition in veterinary medicine, and a prompt diagnosis preoperatively is valuable. This is the first reported case of preoperative diagnosis of isolated gall bladder torsion by diagnostic imaging in veterinary medicine.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188514","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}
An 8‐year‐old, female, neutered small Munsterlander presented with multiple ulcerative lesions. Some of these wounds had undermined violaceous borders, indicating lesions of pyoderma gangrenosum. Furthermore, a multicentric lymphoma was identified. The administration of chemotherapy and both systemic and topical immunosuppressive treatments resulted in the complete remission of all symptoms for approximately 6 months. However, the dog had to be euthanased due to a possible recurrence of both diseases, characterised by the reappearance of comparable skin lesions, swollen lymph nodes in the peripheral areas and a decline in overall health.
{"title":"Neutrophilic dermatosis resembling pyoderma gangrenosum in a dog with multicentric lymphoma","authors":"Anja Lange, Ursula Mayer, Neoklis Apostolopoulos","doi":"10.1002/vrc2.970","DOIUrl":"https://doi.org/10.1002/vrc2.970","url":null,"abstract":"An 8‐year‐old, female, neutered small Munsterlander presented with multiple ulcerative lesions. Some of these wounds had undermined violaceous borders, indicating lesions of pyoderma gangrenosum. Furthermore, a multicentric lymphoma was identified. The administration of chemotherapy and both systemic and topical immunosuppressive treatments resulted in the complete remission of all symptoms for approximately 6 months. However, the dog had to be euthanased due to a possible recurrence of both diseases, characterised by the reappearance of comparable skin lesions, swollen lymph nodes in the peripheral areas and a decline in overall health.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"17 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188546","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}
A dog presented 24 hours following vehicular trauma. The dog presented in hypovolaemic shock and developed a progressive haemoperitoneum and anaemia over the following 2 days. Initial ultrasonography was concerning for a splenic mass, suspected to be a haematoma. The dog developed a waxing and waning fever despite broad‐spectrum antimicrobials, intermittent anorexia and abdominal pain. Exploratory celiotomy 10 days following trauma revealed a sterile splenic abscess, with complete resolution of clinical signs following splenectomy. Histopathology yielded a diagnosis of a sterile necropurulent abscess with no bacterial growth. This report suggests that a splenic abscess should be considered in post‐trauma patients with a fever, leukocytosis or abdominal pain.
{"title":"Early sterile splenic abscess following vehicular trauma in a dog","authors":"Courtney D. O'Connor, Rebecca Flores","doi":"10.1002/vrc2.925","DOIUrl":"https://doi.org/10.1002/vrc2.925","url":null,"abstract":"A dog presented 24 hours following vehicular trauma. The dog presented in hypovolaemic shock and developed a progressive haemoperitoneum and anaemia over the following 2 days. Initial ultrasonography was concerning for a splenic mass, suspected to be a haematoma. The dog developed a waxing and waning fever despite broad‐spectrum antimicrobials, intermittent anorexia and abdominal pain. Exploratory celiotomy 10 days following trauma revealed a sterile splenic abscess, with complete resolution of clinical signs following splenectomy. Histopathology yielded a diagnosis of a sterile necropurulent abscess with no bacterial growth. This report suggests that a splenic abscess should be considered in post‐trauma patients with a fever, leukocytosis or abdominal pain.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"23 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188519","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}
Uterine intussusception is defined as the uterus telescoping onto itself. This condition has been rarely described in animals, and when it occurs, is often associated with post‐partum or pregnant animals. This case report describes the diagnosis and treatment of a uterine horn intussusception in a 1‐year 7‐month‐old, female, entire nulliparous pet rat (Rattus norvegicus). The rat presented for a 1‐day history of sanguineous vaginal discharge. An exploratory laparotomy was performed, and the rat was diagnosed with a firm, off‐white approximately 1 cm cervical mass and a left uterine horn intussusception. An ovariohysterectomy was performed for therapeutic and diagnostic purposes, and the mass was diagnosed as a benign endometrial stromal polyp on histopathology. Ten days post‐operative, the surgical incision developed a bacterial infection, which resolved with a course of amoxicillin/clavulanic acid. No further post‐operative complications occurred. The rat continues to do well 10 months after surgery.
{"title":"Uterine intussusception in a pet rat (Rattus norvegicus)","authors":"Alexandra Berry, Izidora Sladakovic","doi":"10.1002/vrc2.977","DOIUrl":"https://doi.org/10.1002/vrc2.977","url":null,"abstract":"Uterine intussusception is defined as the uterus telescoping onto itself. This condition has been rarely described in animals, and when it occurs, is often associated with post‐partum or pregnant animals. This case report describes the diagnosis and treatment of a uterine horn intussusception in a 1‐year 7‐month‐old, female, entire nulliparous pet rat (<jats:italic>Rattus norvegicus</jats:italic>). The rat presented for a 1‐day history of sanguineous vaginal discharge. An exploratory laparotomy was performed, and the rat was diagnosed with a firm, off‐white approximately 1 cm cervical mass and a left uterine horn intussusception. An ovariohysterectomy was performed for therapeutic and diagnostic purposes, and the mass was diagnosed as a benign endometrial stromal polyp on histopathology. Ten days post‐operative, the surgical incision developed a bacterial infection, which resolved with a course of amoxicillin/clavulanic acid. No further post‐operative complications occurred. The rat continues to do well 10 months after surgery.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"2 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188516","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}
This study presents data collected from 41 captive white‐bellied spider monkey (Ateles belzebuth) immobilisations conducted between 2022 and 2024. The anaesthetic protocol employed consisted of dexmedetomidine (0.04 mg/kg), ketamine (5 mg/kg) and midazolam (0.25 mg/kg), with supplementary intramuscular doses dexmedetomidine (0.02 mg/kg) and ketamine (2.5 mg/kg) administered as needed. The protocol demonstrated fast and efficient induction times, with no reported complications, indicating its safety and efficacy. During immobilisation, all animals were placed in dorsal recumbency, with monitored physiological parameters including heart rate, respiratory rate, temperature, SpO2 and capillary refill rate. Additionally, blood samples were collected for haematology and biochemistry analysis. The dose of atipamezole administered was 10 times that of dexmedetomidine. Data on time to recumbency, duration of immobilisation, recovery times and post‐antagonist drug administration recovery were recorded. Moreover, details regarding the type of restraint and pre‐anaesthetic activity level were included in the analysis.
{"title":"Utilisation of dexmedetomidine, ketamine and midazolam for immobilisation and health assessment of captive white‐bellied spider monkeys (Ateles belzebuth) in the Amazon rainforest of Iquitos, Peru","authors":"Edmundo Parada, Heather Schwartz, Aaron Yiu Lam, Oliver Baca‐Montero, Liesel Laubscher","doi":"10.1002/vrc2.972","DOIUrl":"https://doi.org/10.1002/vrc2.972","url":null,"abstract":"This study presents data collected from 41 captive white‐bellied spider monkey <jats:italic>(Ateles belzebuth)</jats:italic> immobilisations conducted between 2022 and 2024. The anaesthetic protocol employed consisted of dexmedetomidine (0.04 mg/kg), ketamine (5 mg/kg) and midazolam (0.25 mg/kg), with supplementary intramuscular doses dexmedetomidine (0.02 mg/kg) and ketamine (2.5 mg/kg) administered as needed. The protocol demonstrated fast and efficient induction times, with no reported complications, indicating its safety and efficacy. During immobilisation, all animals were placed in dorsal recumbency, with monitored physiological parameters including heart rate, respiratory rate, temperature, SpO<jats:sub>2</jats:sub> and capillary refill rate. Additionally, blood samples were collected for haematology and biochemistry analysis. The dose of atipamezole administered was 10 times that of dexmedetomidine. Data on time to recumbency, duration of immobilisation, recovery times and post‐antagonist drug administration recovery were recorded. Moreover, details regarding the type of restraint and pre‐anaesthetic activity level were included in the analysis.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"6 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188544","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}
Anri Celliers, Paolo Pazzi, Emily Mitchell, Antionette Lensink, Nonkululeko Raseasala
A 5‐year‐old, neutered male Labrador retriever was presented for poor hair regrowth following clipping, lethargy, exercise intolerance, polyphagia, polydipsia, polyuria and heat‐seeking behaviour. A bradyarrhythmia due to a second‐degree atrioventricular block and poor cardiac contractility was found. On abdominal ultrasound, a left adrenal mass was detected, and a functional progesterone‐secreting tumour was diagnosed and confirmed on histopathology and electron microscopy. After the initiation of inodilator drug therapy and adrenalectomy with a subsequent decline in progesterone concentrations, the clinical signs resolved. The dog was represented 2 years later with similar clinical signs. The dog's progesterone concentrations were again elevated, and a metastatic liver mass was detected on abdominal ultrasound examination and computed tomography scan. After liver lobectomy, the diagnosis was confirmed on histopathology, the clinical signs resolved, and progesterone concentrations normalised. This report describes the presentation of a dog with progesterone‐secreting adrenocortical neoplasia and late metastasis.
{"title":"Subdiagnostic Cushing's syndrome in a Labrador retriever diagnosed with progesterone‐secreting adrenocortical neoplasia and late liver metastasis","authors":"Anri Celliers, Paolo Pazzi, Emily Mitchell, Antionette Lensink, Nonkululeko Raseasala","doi":"10.1002/vrc2.976","DOIUrl":"https://doi.org/10.1002/vrc2.976","url":null,"abstract":"A 5‐year‐old, neutered male Labrador retriever was presented for poor hair regrowth following clipping, lethargy, exercise intolerance, polyphagia, polydipsia, polyuria and heat‐seeking behaviour. A bradyarrhythmia due to a second‐degree atrioventricular block and poor cardiac contractility was found. On abdominal ultrasound, a left adrenal mass was detected, and a functional progesterone‐secreting tumour was diagnosed and confirmed on histopathology and electron microscopy. After the initiation of inodilator drug therapy and adrenalectomy with a subsequent decline in progesterone concentrations, the clinical signs resolved. The dog was represented 2 years later with similar clinical signs. The dog's progesterone concentrations were again elevated, and a metastatic liver mass was detected on abdominal ultrasound examination and computed tomography scan. After liver lobectomy, the diagnosis was confirmed on histopathology, the clinical signs resolved, and progesterone concentrations normalised. This report describes the presentation of a dog with progesterone‐secreting adrenocortical neoplasia and late metastasis.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"393 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188543","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}
A 1‐year‐old, female, spayed, mixed breed dog presented for lethargy, ataxia and possible ingestion of amlodipine. Based on clinical signs, history and clinicopathological findings, a diagnosis of amlodipine toxicosis was made. The patient's clinical signs and bloodwork derangements were refractory to traditional medical management for calcium channel blocker toxicosis, but a significant improvement was made after initiation of hyperinsulinemia‐euglycaemia therapy. The dog survived and made a full recovery. The use of hyperinsulinemia‐euglycaemia therapy for amlodipine toxicosis has not previously been reported in dogs. Hyperinsulinemia‐euglycaemia therapy can be used for treatment of hypotension as well as other clinical signs associated with calcium channel blocker toxicosis. The use of hyperinsulinemia‐euglycaemia therapy should be considered for amlodipine toxicosis in dogs.
{"title":"The use of hyperinsulinemia‐euglycaemia therapy in the treatment of amlodipine overdose in a dog","authors":"Connor Ellis, Adesola Odunayo","doi":"10.1002/vrc2.955","DOIUrl":"https://doi.org/10.1002/vrc2.955","url":null,"abstract":"A 1‐year‐old, female, spayed, mixed breed dog presented for lethargy, ataxia and possible ingestion of amlodipine. Based on clinical signs, history and clinicopathological findings, a diagnosis of amlodipine toxicosis was made. The patient's clinical signs and bloodwork derangements were refractory to traditional medical management for calcium channel blocker toxicosis, but a significant improvement was made after initiation of hyperinsulinemia‐euglycaemia therapy. The dog survived and made a full recovery. The use of hyperinsulinemia‐euglycaemia therapy for amlodipine toxicosis has not previously been reported in dogs. Hyperinsulinemia‐euglycaemia therapy can be used for treatment of hypotension as well as other clinical signs associated with calcium channel blocker toxicosis. The use of hyperinsulinemia‐euglycaemia therapy should be considered for amlodipine toxicosis in dogs.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188545","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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