Pub Date : 2019-04-04DOI: 10.20418/JRCD.VOL4NO1.369
P. Podolec
In this issue, readers can find a review paper entitled “Superior vena cava syndrome associated with implantable cardiac devices procedures (RCDD code: VI-2A-5)”. In the title of this review, readers will find a new code from the upcoming ”Clinical classification of rare cardiac arrhythmogenic and conduction disorders, and rare arrhythmias” which is a part of ”Clinical classification of rare cardiovascular diseases and disorders”[1]. The authors, from the Medical University of Warsaw, discuss pathogenesis, aetiology, morbidity, risk factors for superior vena cava syndrome, its diagnostics and treatment.
{"title":"Rare diseases and disorders and rare cardiovascular complications","authors":"P. Podolec","doi":"10.20418/JRCD.VOL4NO1.369","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.369","url":null,"abstract":"In this issue, readers can find a review paper entitled “Superior vena cava syndrome associated with implantable cardiac devices procedures (RCDD code: VI-2A-5)”. In the title of this review, readers will find a new code from the upcoming ”Clinical classification of rare cardiac arrhythmogenic and conduction disorders, and rare arrhythmias” which is a part of ”Clinical classification of rare cardiovascular diseases and disorders”[1]. The authors, from the Medical University of Warsaw, discuss pathogenesis, aetiology, morbidity, risk factors for superior vena cava syndrome, its diagnostics and treatment.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87637326","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 : 2019-03-29DOI: 10.20418/JRCD.VOL4NO1.346
Adam Gębka, R. Rajtar-Salwa, M. Jastrzębski, P. Petkow-Dimitrow
We present the case of a young patient with significant left ventricular hypertrophy as a common representation of the hypertrophic cardiomyopathy (HCM) phenotype. The clinical presentation and diagnostic route of the disease (despite negative genotype), which can be found in everyday cardiology practice, are shown. Despite the presence of guidelines on this topic, each clinical case is demanding, especially during qualification for invasive procedures. Limited data about the periprocedural risk of catheter ablation and success rate in HCM makes physician decisions for this type of patient challenging. The importance of informed consent and how the patient’s decisions affet further progress are also shown. JRCD 2018; 4 (1): 18-21.
{"title":"Hypertrophic cardiomyopathy – symptomatic atrial fibrillation in a patient at high risk of sudden cardiac death (RCD code: V-2A.2)","authors":"Adam Gębka, R. Rajtar-Salwa, M. Jastrzębski, P. Petkow-Dimitrow","doi":"10.20418/JRCD.VOL4NO1.346","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.346","url":null,"abstract":"We present the case of a young patient with significant left ventricular hypertrophy as a common representation of the hypertrophic cardiomyopathy (HCM) phenotype. The clinical presentation and diagnostic route of the disease (despite negative genotype), which can be found in everyday cardiology practice, are shown. Despite the presence of guidelines on this topic, each clinical case is demanding, especially during qualification for invasive procedures. Limited data about the periprocedural risk of catheter ablation and success rate in HCM makes physician decisions for this type of patient challenging. The importance of informed consent and how the patient’s decisions affet further progress are also shown. JRCD 2018; 4 (1): 18-21.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82297920","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 : 2019-03-29DOI: 10.20418/JRCD.VOL4NO1.354
J. Chmiel, P. Loska, A. Brzychczy, P. Iwaszczuk, J. Krzywoń, Katarzyna Zbierska-Rubinkiewicz, T. Kwiatkowski, J. Krzywoń, Jakub Giliavas, M. Trystuła
Paragangliomas (PGLs) are a group of rare, slow-growing tumours which are found between the base of the skull and the pelvis. The tumour may be asymptomatic, although a lump on the neck, cranial nerve palsy, or neck pain may be present. The treatment of choice is surgical resection. We present the cases of 7 patients (6 females) diagnosed with 9 PGLs of the carotid body (carotid body tumours – CBTs). These include: one case with known genetic burden, one of an advanced bilateral and recurrent tumour, and one with a malignant tumour. All presented CBTs were surgically removed. The size of a tumour correlates with postoperative complications. Resection of the largest lesion was associated with persistent left recurrent laryngeal, hypoglossal, and partial facial nerve paralysis. Other complications included single cranial nerve palsy and temporary Horner syndrome. JRCD 2018; 4 (1): 9-14.
{"title":"Carotid body paragangliomas – clinical variety and management (RCD code: I-O)","authors":"J. Chmiel, P. Loska, A. Brzychczy, P. Iwaszczuk, J. Krzywoń, Katarzyna Zbierska-Rubinkiewicz, T. Kwiatkowski, J. Krzywoń, Jakub Giliavas, M. Trystuła","doi":"10.20418/JRCD.VOL4NO1.354","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.354","url":null,"abstract":"Paragangliomas (PGLs) are a group of rare, slow-growing tumours which are found between the base of the skull and the pelvis. The tumour may be asymptomatic, although a lump on the neck, cranial nerve palsy, or neck pain may be present. The treatment of choice is surgical resection. We present the cases of 7 patients (6 females) diagnosed with 9 PGLs of the carotid body (carotid body tumours – CBTs). These include: one case with known genetic burden, one of an advanced bilateral and recurrent tumour, and one with a malignant tumour. All presented CBTs were surgically removed. The size of a tumour correlates with postoperative complications. Resection of the largest lesion was associated with persistent left recurrent laryngeal, hypoglossal, and partial facial nerve paralysis. Other complications included single cranial nerve palsy and temporary Horner syndrome. JRCD 2018; 4 (1): 9-14.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79567507","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 : 2019-03-29DOI: 10.20418/JRCD.VOL4NO1.365
J. Sulicka-Grodzicka, M. Strach, K. Okoń, W. Wojciechowski, M. Korkosz
Increased incidence of lymphomas in patients with rheumatoid arthritis has been reported and may be associated with several factors, including genetic factors, chronic inflammation, and immunosuppressive treatment. Intravascular large cell lymphoma (ILCL) is a rare subtype of large cell lymphoma with undetectable lymphoma cells in peripheral blood and without any extravascular localisation. Diag- nosis is often delayed because bone marrow, spleen, and cerebrovascular fluid may not be involved and there are no specific laboratory studies for intravascular large cell lymphoma. We report the case of a 63-year-old woman with a 10-year history of seropositive rheumatoid arthritis and intravascular large cell lymphoma recognised at autopsy. The patient presented with progressive central nervous system-related symptoms mimicking vasculitis without lymphadenopathy or bone marrow involvement. Malignant lymphoproliferative disorders should be considered in RA patients with varying clinical presentation, even in the absence of lymphadenopathy and bone marrow involvement. JRCD 2018; 4 (1): 15-17.
{"title":"Intravascular large cell lymphoma mimicking central nervous system vasculitis in a patient with rheumatoid arthritis (RCD code: VI-2C.2)","authors":"J. Sulicka-Grodzicka, M. Strach, K. Okoń, W. Wojciechowski, M. Korkosz","doi":"10.20418/JRCD.VOL4NO1.365","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.365","url":null,"abstract":"Increased incidence of lymphomas in patients with rheumatoid arthritis has been reported and may be associated with several factors, including genetic factors, chronic inflammation, and immunosuppressive treatment. Intravascular large cell lymphoma (ILCL) is a rare subtype of large cell lymphoma with undetectable lymphoma cells in peripheral blood and without any extravascular localisation. Diag- nosis is often delayed because bone marrow, spleen, and cerebrovascular fluid may not be involved and there are no specific laboratory studies for intravascular large cell lymphoma. We report the case of a 63-year-old woman with a 10-year history of seropositive rheumatoid arthritis and intravascular large cell lymphoma recognised at autopsy. The patient presented with progressive central nervous system-related symptoms mimicking vasculitis without lymphadenopathy or bone marrow involvement. Malignant lymphoproliferative disorders should be considered in RA patients with varying clinical presentation, even in the absence of lymphadenopathy and bone marrow involvement. JRCD 2018; 4 (1): 15-17.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87632299","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 : 2019-03-29DOI: 10.20418/JRCD.VOL4NO1.341
M. Hrebenyk, Roman Komorovsky, Taras Bidovanets
Primary hyperaldosteronism (PH) is a frequently overlooked cause of secondary hypertension mostly due to an aldosterone-producing adrenal adenoma. We report the case of a 48-year-old female who presented with recurrent episodes of polymorphic ventricular tachycardia before an aldosterone-producing adrenal adenoma was diagnosed. Although her past medical history was remarkable for poorly-controlled hypertension since age 30, she had never been examined for secondary causes. The patient underwent adrenalectomy resulting in stabilisation of her clinical condition, although residual hypertension remained. Causes of atypical presentation and diagnostic pitfalls are discussed. JRCD 2018; 4 (1): 26-30.
{"title":"Primary hyperaldosteronism presenting as recurrent polymorphic ventricular tachycardia (RCDD code: VI-2)","authors":"M. Hrebenyk, Roman Komorovsky, Taras Bidovanets","doi":"10.20418/JRCD.VOL4NO1.341","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.341","url":null,"abstract":"Primary hyperaldosteronism (PH) is a frequently overlooked cause of secondary hypertension mostly due to an aldosterone-producing adrenal adenoma. We report the case of a 48-year-old female who presented with recurrent episodes of polymorphic ventricular tachycardia before an aldosterone-producing adrenal adenoma was diagnosed. Although her past medical history was remarkable for poorly-controlled hypertension since age 30, she had never been examined for secondary causes. The patient underwent adrenalectomy resulting in stabilisation of her clinical condition, although residual hypertension remained. Causes of atypical presentation and diagnostic pitfalls are discussed. JRCD 2018; 4 (1): 26-30.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78148831","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 : 2019-03-12DOI: 10.20418/JRCD.VOL4NO1.349
Szymon Jonik, Łukasz Januszkiewicz
INTRODUCTION: Superior vena cava (SVC) syndrome is a rare clinical disorder associated with obstructing venous outflow through the SVC. Although the most common cause is mediastinal tumors, the growing number of implantable cardiac devices procedures has resulted in more patients with SVC syndrome of non‐malignant etiology. DISCUSSION: It has been shown repeatedly that the use of cardiac implantable electronic devices (CIEDs) improves the quality of life of patients with symptomatic arrhythmias and reduces the mortality of patients at risk of sudden cardiac death, but the risk of complications also exists. CONCLUSION: The most common finding in patients with cardiac devices is asymptomatic venous thrombosis, but serious complications, including SVC obstruction should always be considered. The rapid identification of clinical symptoms and the implementation of appropriate measures are a key to preventing the morbidity and mortality of the patients. JRCD 2018; 4 (1): 5-8.
{"title":"Superior vena cava syndrome associated with implantable cardiac devices procedures (RCD code: VIII)","authors":"Szymon Jonik, Łukasz Januszkiewicz","doi":"10.20418/JRCD.VOL4NO1.349","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.349","url":null,"abstract":"INTRODUCTION: Superior vena cava (SVC) syndrome is a rare clinical disorder associated with obstructing venous outflow through the SVC. Although the most common cause is mediastinal tumors, the growing number of implantable cardiac devices procedures has resulted in more patients with SVC syndrome of non‐malignant etiology. DISCUSSION: It has been shown repeatedly that the use of cardiac implantable electronic devices (CIEDs) improves the quality of life of patients with symptomatic arrhythmias and reduces the mortality of patients at risk of sudden cardiac death, but the risk of complications also exists. CONCLUSION: The most common finding in patients with cardiac devices is asymptomatic venous thrombosis, but serious complications, including SVC obstruction should always be considered. The rapid identification of clinical symptoms and the implementation of appropriate measures are a key to preventing the morbidity and mortality of the patients. JRCD 2018; 4 (1): 5-8.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"122 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89018751","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 : 2019-03-12DOI: 10.20418/JRCD.VOL4NO1.353
A. Szyszkowska, M. Giaro, P. Lisowski, R. Maciąg, A. Lisowska
May‐Thurner Syndrome is a rare vascular disease in which the right common iliac artery compresses the left common iliac vein. It occurs 5 times more often in women than in men, usually in their 20s and 40s. Patients suffer from deep vein thrombosis, post‐thrombotic syndrome, and pulmonary embolism. They usually present with swelling of the left leg, chronic leg pain, skin colour changes, tingling and/or numbness of the affected limb, varicosities, phlebitis, and venous stasis ulcers. Available diagnostic tests include venous duplex ultrasound, computed tomography, magnetic resonance imaging, venography, and intravascular ultrasound. Endovascular therapy, including angioplasty, stenting, and catheter‐directed thrombolysis is the current mainstay of treatment. Long‐term anticoagulation and elastic compression stockings are used to prevent recurrent blood clot formation and decrease the risk of post‐thrombotic syndrome. Thrombophilia screening is essential, as it would aid in the decision‐making process regarding continuation of anticoagulant therapy. We present the case of a 38‐year‐old woman in her fourth pregnancy, presenting with persistent left leg oedema and recurrent deep vein thrombosis, eventually diagnosed with May‐Thurner Syndrome. JRCD 2018; 4 (1): 22-25.
May - Thurner综合征是一种罕见的血管疾病,患者的右髂总动脉压迫左髂总静脉。女性的发病率是男性的5倍,通常发生在20多岁和40多岁。患者患有深静脉血栓、血栓后综合征和肺栓塞。他们通常表现为左腿肿胀、慢性腿痛、皮肤颜色改变、受累肢体刺痛和/或麻木、静脉曲张、静脉炎和静脉淤积溃疡。可用的诊断测试包括静脉双工超声、计算机断层扫描、磁共振成像、静脉造影和血管内超声。血管内治疗,包括血管成形术、支架植入和导管定向溶栓是目前的主要治疗方法。长期抗凝和弹性压缩袜用于防止血栓形成和降低血栓后综合征的风险。血栓病筛查是必不可少的,因为它将有助于抗凝治疗继续的决策过程。我们报告了一位38岁的第四次怀孕女性,表现为持续的左腿水肿和复发性深静脉血栓形成,最终被诊断为May - Thurner综合征。JRCD 2018;4(1): 22-25。
{"title":"May-Thurner Syndrome – Diagnostic and therapeutic dilemmas (RCD code: I-1D.2)","authors":"A. Szyszkowska, M. Giaro, P. Lisowski, R. Maciąg, A. Lisowska","doi":"10.20418/JRCD.VOL4NO1.353","DOIUrl":"https://doi.org/10.20418/JRCD.VOL4NO1.353","url":null,"abstract":"May‐Thurner Syndrome is a rare vascular disease in which the right common iliac artery compresses the left common iliac vein. It occurs 5 times more often in women than in men, usually in their 20s and 40s. Patients suffer from deep vein thrombosis, post‐thrombotic syndrome, and pulmonary embolism. They usually present with swelling of the left leg, chronic leg pain, skin colour changes, tingling and/or numbness of the affected limb, varicosities, phlebitis, and venous stasis ulcers. Available diagnostic tests include venous duplex ultrasound, computed tomography, magnetic resonance imaging, venography, and intravascular ultrasound. Endovascular therapy, including angioplasty, stenting, and catheter‐directed thrombolysis is the current mainstay of treatment. Long‐term anticoagulation and elastic compression stockings are used to prevent recurrent blood clot formation and decrease the risk of post‐thrombotic syndrome. Thrombophilia screening is essential, as it would aid in the decision‐making process regarding continuation of anticoagulant therapy. We present the case of a 38‐year‐old woman in her fourth pregnancy, presenting with persistent left leg oedema and recurrent deep vein thrombosis, eventually diagnosed with May‐Thurner Syndrome. JRCD 2018; 4 (1): 22-25.","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"352 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76594577","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 : 2019-03-05DOI: 10.20418/JRCD.VOL3NO8.366
A. Przybylski
{"title":"Classification of rare cardiovascular diseases and disorders: challenges in categorisation of different diseases","authors":"A. Przybylski","doi":"10.20418/JRCD.VOL3NO8.366","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO8.366","url":null,"abstract":"","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85252788","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 : 2019-03-05DOI: 10.20418/JRCD.VOL3NO8.367
P. Podolec
{"title":"More on the 2018 update of “Clinical classification of rare cardiovascular diseases and disorders”","authors":"P. Podolec","doi":"10.20418/JRCD.VOL3NO8.367","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO8.367","url":null,"abstract":"","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76609218","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 : 2019-03-01DOI: 10.20418/JRCD.VOL3NO8.339
Joanna M. Łukasik, K. Jagielska, N. Pikuła
Research into the spirituality/religiosity of patients is considered as an important area of study, together with studies of quality of life (QoL).The purpose of this article was to recognise if and how the category of spirituality/religiosity is regarded from a QoL perspective. To reach this goal, a review of Polish research in various fields of social sciences (psychology, sociology, pedagogy) was conducted. The scope of these studies was determined and indicators of spirituality/religiosity were explored from the viewpoint of various theories with special emphasis on those relating to the QoL. JRCD 2018; 3 (8): 259–265
{"title":"Spirituality/religiosity of man from the perspective of quality of life – a review of Polish research in social studies","authors":"Joanna M. Łukasik, K. Jagielska, N. Pikuła","doi":"10.20418/JRCD.VOL3NO8.339","DOIUrl":"https://doi.org/10.20418/JRCD.VOL3NO8.339","url":null,"abstract":"Research into the spirituality/religiosity of patients is considered as an important area of study, together with studies of quality of life (QoL).The purpose of this article was to recognise if and how the category of spirituality/religiosity is regarded from a QoL perspective. To reach this goal, a review of Polish research in various fields of social sciences (psychology, sociology, pedagogy) was conducted. The scope of these studies was determined and indicators of spirituality/religiosity were explored from the viewpoint of various theories with special emphasis on those relating to the QoL. JRCD 2018; 3 (8): 259–265","PeriodicalId":37488,"journal":{"name":"Journal of Rare Cardiovascular Diseases","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85127861","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}