World Family Medicine Journal /Middle East Journal of Family Medicine最新文献

{"title":"Collagen-Based Grafts and Autologous Dura Replacement in Patients with Dura Abnormalities: A Retrospective Comparative Evaluation","authors":"Zahra Mannan Waheed, S. Firdous, F. Butt, Sana Afzal Khan, Chinonso Ndubuisi, Abrar Hussain","doi":"10.5742/mewfm.2023.95256069","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256069","url":null,"abstract":"Introduction: Accidental spinal anomalies of the spinal dura mater are the source of cerebrospinal fluid (CSF) leakage. Typically, dura abnormalities are identified in 3 percent of endoscopic lumbar discectomy cases. Objective: The purpose of the current research was to evaluate the results of autologous dura replacement versus collagen-based grafts in individuals with dura deformities. Methods: The Institute of Neurosurgery at Liaquat National Hospital Karachi undertook this randomized evaluation to identify the most effective therapy for dura mater defects. Employing non-probability random selection, 82 cases among both sexes were selected. Participants were divided randomly into two subgroups i.e. Group 1A received an autologous graft for dura restoration, whereas Group 2B received a semi-synthetic dura replacement. A skilled surgeon led a medical team of six people who completed the entire process. Results: The operation duration for semi-synthetic collagen was significantly reduced. There was a 40 minute variation in total time spent by the two groups. Autologous grafts showed ideal tightness and better flexibility and fair workability on the other hand semi-synthetic collagen showed better tightness and workability and ideal flexibility. Postoperative hospital stays were seen to be 26 + 2.5 hours in Group 1A whereas they were 23 + 2.5 hours for Group B. Conclusion: According to the aforementioned findings, an accessible, secure, and efficient substitution for an autologous graft for dura restoration in dura abnormalities is the use of a semi-synthetic collagen substitute. Keywords: semi-synthetic collagen substitute, cerebrospinal fluid, dura abnormalities, autologous graft.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85876706","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}

{"title":"Relationship between Parenting Styles and Temper Tantrums of Bahraini Children aged 24-48 months old at Primary Care, Kingdom of Bahrain","authors":"Basem Abbas Ahmed Al Ubaidi, Noora Salah Jasim Selaibeekh, Amina Ahmed Busaibea, Amer J. Almarabheh","doi":"10.5742/mewfm.2023.95256123","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256123","url":null,"abstract":"Background: Temper tantrums are episodic, unmodulated displays of intense emotional distress, often characterized by outbursts of anger, and may involve aggressive or destructive behaviour. These episodes can be effectively managed through the application of evidence-based parenting strategies that are tailored to a child’s individual needs and developmental stage. Objective: This study aimed to determine the relationship between parenting styles and the temper tantrums of children aged 2-4 years old at primary care in the Kingdom of Bahrain. Research Method: For this research a cross-sectional, descriptive study design was employed, and a non-probability convenience sampling method was utilized to recruit a sample of 400 participants, that included 8 health centres located in Bahrain (Muharraq, BBK Hidd, Jidhafs, Sitra, Hamad Kanoo, Yousef Abdulrahman Engineer, Mohammed Jassim Kanoo, and Sh. Jaber Al Ahmed Al Sabah HCs), for a duration of 3 months (May 2022 to July 2022). The analysis technique employed was the chi-square test, a statistical method that is used to examine the association between two categorical variables. Results: The findings of this study demonstrated that more than half of the participating children exhibited temper tantrums that lasted more than 30 minutes and showed that approximately less than one-third (31%) of the children experienced weekly or daily tantrums: however, half of the parents reported that moderate tantrums were exhibited by their youngsters. The most frequently reported tantrum behaviour was “crying”, followed by “screaming” or “shouting”. A child’s request for an item or activity was the most frequent cause, and most tantrums occurred when their parents denied this request. Children threw temper tantrums most frequently in their homes or cars. Parents’ most common strategy for stopping a child’s tantrums was speaking soothingly, with spanking being the least common. The results indicated that permissive parenting styles were associated with a higher frequency of temper tantrums than authoritative parenting styles. Conclusion: The results highlight significant aspects of tantrums, such as the duration, as children managed to maintain a tantrum episode for more than seven minutes on average. Tantrum behaviours, reasons, locations, context, and parents’ strategies to control tantrums were emphasized as significant for developing proper interventions. The findings highlight the importance of parental styles in the development of children and the need for further investigation in this area. Keywords: children aged 2-4 years old, parenting style, temper tantrum.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88284249","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}

{"title":"The Effect of Online Learning on the Psychological State of Medical Students during Covid-19 at a public Saudi University","authors":"Khalid A. Bin Abdulrahman, Hamad N Alhamlan, Yazeed Mohammed Alqraini, Yousef Ibrahim Alhoshan, Abdulrahman Hassan Shuraym, Faisal Abdulaziz Alkanhal","doi":"10.5742/mewfm.2023.95256040","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256040","url":null,"abstract":"Background: Coronavirus (COVID-19) is a pandemic infectious disease that caused a global health problem. Many countries suffered from this virus including impoverished and developed countries. Several studies have shown that COVID-19 affected the mental state of undergraduate medical students. This study aims to show the impact of online learning on the psychological state of medical students at Imam Mohammad Ibn Saud Islamic University (IMSIU) in Riyadh. Methods: Cross-sectional, online survey. A 16- item questionnaire was designed and distributed to all medical students of IMSIU through emails and social media groups. Five-point Likert questions were used, ranging from strongly agree to strongly disagree. Result: Out of 400 who participated in the study, 317 (79%) completed the survey; the majority were male (64.7%). The mental state was worsened in 143 (46.5%) students. At the same time, 77 (25%) felt psychologically improved and 97 (32%) students did not notice any change in their mental health. Conclusion: The results show an effect on the mental state of the medical students during the quarantine measures imposed during the COVID-19 pandemic. Keywords: Online learning, psychological well-being, COVID-19 pandemic, medical students, Saudi Arabia","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"178 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89001183","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}

{"title":"Screening the risk of eating disorders among adolescents in primary care centres in Makkah, Saudi Arabia","authors":"N. Hariri","doi":"10.5742/mewfm.2023.95256020","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256020","url":null,"abstract":"Background: Obesity significantly affects daily activities and contributes to countless diseases and comorbidities that can drastically alter an individual’s life. This study aims to measure the awareness of the indications and complications of sleeve gastrectomy in Riyadh, Saudi Arabia. Methods: This study was cross-sectional, and participants completed an online self-administered questionnaire on sleeve gastrectomy in Riyadh through Google Forms. Data were entered into Microsoft Excel 2013 and statistically analyzed using SPSS software. Results: The total number of respondents assigned is 1,700. Among these individuals, women outnumbered males with a percentage of (67.4%) versus (23.6%). The majority of respondents held a bachelor’s degree (64.0%). The majority of participants are familiar with the complications associated with sleeve gastrectomy (43.9%). However, 33.1% of the participants are unaware of the complications related to sleeve gastrectomy surgery. As a result, the study has a favorable attitude among the target populations, as the majority are well aware of the surgery. Conclusion: According to our findings, the study population is moderately aware of the indications and complications. However, to ensure that our community has a significant level of knowledge about complications, we must raise social awareness about the indications and complications of sleeve gastrectomy. Keywords: Sleeve surgery, obesity, gastrectomy, complications, Saudi Arabia.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76735522","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}

{"title":"Physical and Emotional Domestic Violence Knowledge among Jazan University Female Students","authors":"Mona H El Mahdy, Sarah El-Reffaey, S. Mahmoud, A. Abdelmola, A. Alfaifi, Fatimah H Dallak, Anwar jafar Alnass, Roaa Shaikhain, M. O. Gharawi, A. Hozaimi, H. Sahl, Nada Mohammed Makein","doi":"10.5742/mewfm.2023.952561826","DOIUrl":"https://doi.org/10.5742/mewfm.2023.952561826","url":null,"abstract":"Domestic violence against females is one of the most important social problems negatively affecting health psychologically and physically. This study aims to estimate the prevalence of violence against female students at Jazan University, Saudi Arabia, and identify their knowledge and response towards emotional and physical domestic violence. Method of study: It is a descriptive cross-sectional, observational type of epidemiologic study conducted on 450 female students at 3 Faculties, female sections, Jazan University, for eight weeks. The data was collected using an Arabic questionnaire containing 35 questions and analyzed by SPSS Program. Results: 25.6% of the female students in the studied sample were exposed to domestic violence at some point. The emotional type is the most prevalent (18.3%), followed by the physical type (16.9%). Arts faculties showed the highest rate of domestic violence (11.3%), followed by health faculties (9.3%), and the science faculties exhibited the lowest rates (4.9%). Most participants (15.78%) believed that male power in Jazan society allows them to emotionally abuse women, while 15.33% thought that physical violence against womenis mainly caused by men’s abuse of drugs and alcohol. 94.5% of the participants believed that violence against women has a negative impact on children and teenagers, and 86.5% supposed that the most significant psychological effects of violence against women are loss of self-confidence, frustration, and depression. Conclusion: Domestic violence against females is prevalent in the Jazan community, with various socio-demographic and economic determinants influencing its occurrence. The most prevalent type is emotional domestic violence. Arts faculties showed the highest rating of domestic violence, then health faculties, and the least, science faculties. Recommendations: Increase community awareness about domestic violence. Religious leaders sustain the greatest responsibility to increase awareness according to the rules of the Islamic religion. Key words: Knowledge, physical and emotional domestic violence, Jazan University female students","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81509594","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}

{"title":"Prevalence and characteristics of Nocturnal Enuresis (NE) in affected children aged 5-18 years in Saudi Arabia","authors":"Saleh Mohamed Alrajihi, H. Alshajarah, Reem R Alhijri, Alaa AlQurashi, Abdulaziz A Subyani, A. A. Alqarni, N. Alrashada","doi":"10.5742/mewfm.2023.95256067","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256067","url":null,"abstract":"Background: Nocturnal enuresis (NE) is involuntary urination that happens while you’re asleep after a certain age when you should be able to control your bladder at night. Depending on when the condition first appears, enuresis is divided into primary and secondary categories. Families shouldn’t be concerned about it, but we must be mindful of the effects it may have on the family and the child. This study aims to determine the prevalence and to reveal the characteristics of Nocturnal Enuresis (NE) in affected children aged 5-18 years in Saudi Arabia. Materials and Methods: A cross-sectional descriptive study was carried out among 458 Saudi parents/caregivers, whose children were aged from 5 to 18 years. It was conducted during the period from July 2022 to November 2022. An electronic questionnaire was designed using a Google form distributed among parents/caregivers in Saudi Arabia. Ethical approval was obtained from KFMC. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 26. Results: 75% of children suffering from NE were males and 51.9% had an age 10 years with a mean age of 8.78± 3 years. In this study 34% of the children with NE experienced 2-4 bouts of bedwetting, per week. The most common procedure done for management was Behavioral Stimulation Therapy (75.9%) and 55.6% reported improvement of the child after the intervention. Male children, and those with an age <10 years had a significantly higher percentage of daily NE (p=<0.05). Children who were circumcised and those who drink a lot of water or any other beverage had a significantly higher percentage of having daily NE (p=<0.05). At the same time, children who had UTI had a significantly higher percentage of having daily NE (p=<0.05). Conclusion: NE occurs among children in various Saudi Arabian regions. Male gender, aged 5 to 10 and suffering from weakness of bladder muscles, chronic constipation, worry and depression was associated with NE and UTI. Families and caregivers utilize effective therapies such as alarm and behavioral stimulation, however, they do not look for medical assistance. Keywords: Nocturnal Enuresis, Children, Characters, Prevalence","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83483479","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}

{"title":"Role of glucagon-like peptide-1 analogues in weight management","authors":"Bilal Hasan Chaudhry, L. AlMarsomi","doi":"10.5742/mewfm.2023.95256110","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256110","url":null,"abstract":"Obesity is a growing concern in all parts of the world. It carries major health concerns which are in turn translated into financial costs. Alongside patient education and guidance, both surgical and pharmacological methods are being employed to control weight. A major breakthrough in this regard has been introduction of glucagon-like peptide-1 analogues (GLP-1), which have now been approved for use in weight management(1). Key words: weight management, glucagon-like peptide-1 analogues,","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77649788","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}

{"title":"Cockroach Allergy: Is It Common in Jeddah City? A retrospective study","authors":"M. M. S. Tayeb","doi":"10.5742/mewfm.2023.95256028","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256028","url":null,"abstract":"Background: Cockroaches are a common indoor cause of allergic diseases. However, cockroaches are underestimated as a trigger. Objective: To find which allergic diseases are associated with cockroach sensitization in Jeddah city. Methods: This is a retrospective paper completed in 2021. The sample group of this paper involved 192 allergic patients with high levels of specific allergy testing (sIgE) to cockroaches. The data for this paper is from a private centre specialising in allergies in Jeddah, Saudi Arabia. The in vitro tests used were indirect immunoassay tests for the most common indoor allergens. Clinical diagnosis of allergic diseases were also collected. Results were collected via special sheets and tables were extracted. Results: The sample group for this paper was 192 allergic patients. Patients of middle ages are the most likely to experience sensitisation to cockroaches as follow: 56 between 30-40 years (29.1%) and 36 between 40-50 years (18.8%). The commonest indoor allergens associated with cockroach sensitisation are mites, cats and mould: dermatophagoides pteronyssinus as 109 (56.8%), dermatophagoides farinae as 114 (59.4%), cat as 89 (46.4%) and alternaria as 86 (44.8%). The commonest allergic diseases associated with cockroach sensitisation are allergic rhinosinusitis as 74 (38%), atopic dermatitis as 52 (27%) and asthma as 42 (21.8%). Cockroach sensitisation is mostly of mild severity (under class 2); however, this must be linked to clinical allergic symptoms. Conclusion: Cockroach sensitisation is most common in the middle aged population(30-50 years). Cockroach sensitisation is commonly associated with other indoor allergens sensitisation (respectively: mites, cats, and alternaria). The commonest allergic diseases associated with cockroach sensitisation are allergic rhinosinusitis, atopic dermatitis, and asthma. Cockroach sensitisation is of mild severity in most of cases (under class 2); however, this must be correlated to a clinical allergic diagnosis. Keywords: allergic diseases, asthma, allergic rhinitis, atopic dermatitis, atopy, cockroach sensitization, cockroach allergy","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85635950","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}

{"title":"Dermatologic Manifestations in Vitamin B12 Deficiency: A Review","authors":"Aktharuz Zaman, Muhammad Ali Qureshi","doi":"10.5742/mewfm.2023.95256204","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256204","url":null,"abstract":"Vitamin B12, also known as cobalamin, is a water-soluble vitamin primarily obtained from animal-based foods. It is crucial for hematopoietic cell formation, with methylcobalamin and adenosylcobalamin being its active forms. The metabolic process involves stomach release, binding to proteins, and absorption in the ileum with intrinsic factor. The liver stores B12, but deficiency can occur due to dietary, absorption, transportation, or metabolic issues. Causes of low B12 levels include dietary choices, gastrointestinal diseases, and medications likemetformin. Dermatological changes associated with deficiency, such as hyperpigmentation, can occur, possibly due to decreased glutathione and increased melanin production. Vitamin B12 deficiency has a wide range of symptoms, from asymptomatic to severe neurological impairments, but its dermatologic effects have been under-represented in literature.” Keywords: Vitamin B12 deficiency, dermatologic manifestations","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135448578","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}

{"title":"Prevalence and ultrasound features of polycystic ovaries in young females examined by pelvic ultrasound in primary health care in Qatar. Electronic Medical record-based study","authors":"Tamer F. Ali, Abdelwahed Abougazia","doi":"10.5742/mewfm.2023.95256106","DOIUrl":"https://doi.org/10.5742/mewfm.2023.95256106","url":null,"abstract":"Background and study aim: PCOS is a common recognized, heterogeneous disorder affecting women throughout their lifetime and it shows an excess production of androgens hor¬mone, ovulatory dysfunction and polycystic changes of the ovaries which can be seen by ultrasonography. Ultrasound is the first imaging modality widely used in pelvic imaging. It is a non-invasive, rapid, painless, and safe imaging technique with no radiation. The aim of this study is to estimate the prevalence and ultrasound features of PCOS among young females. Patients and Methods: A Multi-center retrospective descriptive electronic record-based study for all subjects with a valid ultrasound of the ovaries done in PHCC health centers from 1 January 2021 to 31 December 2021. The available pelvic ultrasound images were assessed for presence of PCOS sonographic criteria. Prevalence of PCO was calculated. The sonographic features of PCO were described. Results: The current study showed prevalence of PCO among young female with age ranging from 15 to 35 years, to be 6.85% with the majority of cases being bilateral. While unilateral cases were more in the right ovary. Cases with PCO peripheral follicular arrangement were found to be the highest described sonographic finding in PCO cases. Conclusion: Ultrasound plays a major role in PCO diagnosis. The assessment of the ovaries has been greatly improved by sonographic diagnostic criteria of PCO. In addition to demonstration of ovarian size, ultrasonography can evaluate the characteristic patterns of follicles distribution and ovarian stromal changes. Key Words: Prevalence, PCO, US, Pelvis, Qatar.","PeriodicalId":23895,"journal":{"name":"World Family Medicine Journal /Middle East Journal of Family Medicine","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74075873","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}