Pub Date : 2022-07-15DOI: 10.12809/ajgg-2021-497-cr
C. Kwok, Y. Chan
A 68-year-old woman with a history of Parkinson disease was admitted for Escherichia coli urinary tract infection and physical deconditioning. She was subsequently found to have a history of rheumatoid arthritis and iatrogenic Cushing syndrome with adrenal insufficiency. The patient developed high fever, fluctuating blood pressure, hypertonia, progressive confusion, and recurrent generalised tonic-clonic seizures. She was kept nil by mouth, and levodopa was withheld for 2 days. Blood test showed elevated creatine kinase level. Diagnosis of parkinsonism hyperpyrexia syndrome was made after consultation with neurologists, and levodopa was resumed. However, her condition did not improve and she later died. This case highlights the precipitating factors of parkinsonism hyperpyrexia syndrome and the importance of early recognition of the disease. Care must be taken in avoiding sudden withdrawal of levodopa in patients with Parkinson disease.
{"title":"Delayed diagnosis of parkinsonism hyperpyrexia syndrome resulting in death: a case report","authors":"C. Kwok, Y. Chan","doi":"10.12809/ajgg-2021-497-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-497-cr","url":null,"abstract":"A 68-year-old woman with a history of Parkinson disease was admitted for Escherichia coli urinary tract infection and physical deconditioning. She was subsequently found to have a history of rheumatoid arthritis and iatrogenic Cushing syndrome with adrenal insufficiency. The patient developed high fever, fluctuating blood pressure, hypertonia, progressive confusion, and recurrent generalised tonic-clonic seizures. She was kept nil by mouth, and levodopa was withheld for 2 days. Blood test showed elevated creatine kinase level. Diagnosis of parkinsonism hyperpyrexia syndrome was made after consultation with neurologists, and levodopa was resumed. However, her condition did not improve and she later died. This case highlights the precipitating factors of parkinsonism hyperpyrexia syndrome and the importance of early recognition of the disease. Care must be taken in avoiding sudden withdrawal of levodopa in patients with Parkinson disease.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43167477","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 : 2022-07-15DOI: 10.12809/ajgg-2021-501-cr
Zay Yar Aung, Kumar Sheetanshu, Shan‐Xian Lee, C. Chen
We report a case of calciphylaxis of the fingers in a 75-year-old woman with end-stage renal disease. She was on haemodialysis and had diabetes mellitus, hypertension, ischaemic heart disease, and hypothyroidism. She presented with progressive blackish discoloration of the fingertips of both hands. Calciphylaxis is caused by arterial calcification with consequent tissue necrosis and gangrene. It commonly occurs in patients with chronic kidney disease undergoing haemodialysis. Treatment involves modifying risk factors, wound care, cinacalcet, and sodium thiosulfate in addition to haemodialysis.
{"title":"Calciphylaxis of the fingers: a case report","authors":"Zay Yar Aung, Kumar Sheetanshu, Shan‐Xian Lee, C. Chen","doi":"10.12809/ajgg-2021-501-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-501-cr","url":null,"abstract":"We report a case of calciphylaxis of the fingers in a 75-year-old woman with end-stage renal disease. She was on haemodialysis and had diabetes mellitus, hypertension, ischaemic heart disease, and hypothyroidism. She presented with progressive blackish discoloration of the fingertips of both hands. Calciphylaxis is caused by arterial calcification with consequent tissue necrosis and gangrene. It commonly occurs in patients with chronic kidney disease undergoing haemodialysis. Treatment involves modifying risk factors, wound care, cinacalcet, and sodium thiosulfate in addition to haemodialysis.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43405164","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 : 2022-07-15DOI: 10.12809/ajgg-2022-529-oa
Doris KY Miu
Introduction. Pain and frailty are common geriatric syndromes and can lead to adverse health outcomes. This study aims to examine the association between pain and frailty in community-dwelling older adults in Hong Kong and to suggest a patient-centred intervention for frail older people with pain. Methods: Community-dwelling older adults aged ≥ 65 years were invited to attend a health check programme. Characteristics of pain were recorded, including the presence of pain, the total number of pain sites, the highest pain intensity, and the frequency of pain. The 5-item FRAIL scale was used to screen frailty. The Lawton instrumental activity of daily living (IADL) scale was used to assess independence. Handgrip strength of the dominant hand and walking speed for 6 meters were measured. Results: Of 445 older adults who attended the health check programme, 265 women and 64 men (mean age, 75 years) agreed to participate and were included for analysis. Of them, 123 (37.4%) reported persistent pain, 116 (35.5%) reported sporadic pain, and 90 (27.4%) reported no pain. Participants were classified as frail (n=47, 14.3%), prefrail (n=200, 60.8%), or robust (n=82, 24.9%). Comparing the combined frail and prefrail group with the robust group, frailty was independently associated with age (odds ratios [OR]=1.053, p=0.007), Lawton IADL (OR=0.602, p=0.004), and sporadic pain (OR=2.072, p=0.031), after adjusting for walking speed and handgrip strength. Conclusion: The prevalence of frailty is high among community-dwelling older adults in Hong Kong. Age, IADL, and sporadic pain are independently associated with frailty; only pain is amenable. Pain management may help prevent progression to frailty in older people.
{"title":"Pain and frailty among community-dwelling older people in Hong Kong","authors":"Doris KY Miu","doi":"10.12809/ajgg-2022-529-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2022-529-oa","url":null,"abstract":"Introduction. Pain and frailty are common geriatric syndromes and can lead to adverse health outcomes. This study aims to examine the association between pain and frailty in community-dwelling older adults in Hong Kong and to suggest a patient-centred intervention for frail older people with pain. Methods: Community-dwelling older adults aged ≥ 65 years were invited to attend a health check programme. Characteristics of pain were recorded, including the presence of pain, the total number of pain sites, the highest pain intensity, and the frequency of pain. The 5-item FRAIL scale was used to screen frailty. The Lawton instrumental activity of daily living (IADL) scale was used to assess independence. Handgrip strength of the dominant hand and walking speed for 6 meters were measured. Results: Of 445 older adults who attended the health check programme, 265 women and 64 men (mean age, 75 years) agreed to participate and were included for analysis. Of them, 123 (37.4%) reported persistent pain, 116 (35.5%) reported sporadic pain, and 90 (27.4%) reported no pain. Participants were classified as frail (n=47, 14.3%), prefrail (n=200, 60.8%), or robust (n=82, 24.9%). Comparing the combined frail and prefrail group with the robust group, frailty was independently associated with age (odds ratios [OR]=1.053, p=0.007), Lawton IADL (OR=0.602, p=0.004), and sporadic pain (OR=2.072, p=0.031), after adjusting for walking speed and handgrip strength. Conclusion: The prevalence of frailty is high among community-dwelling older adults in Hong Kong. Age, IADL, and sporadic pain are independently associated with frailty; only pain is amenable. Pain management may help prevent progression to frailty in older people.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42512392","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 : 2022-07-15DOI: 10.12809/ajgg-2021-490-oa
J. Dai, Sibgat Saleheen, Anita Ko, Ishrat Jahan, N. Braidy, D. Chan
Background. Inpatient falls complicate and lengthen hospital admissions for older adults. Cognitive impairment is a risk factor for falls. Current fall prevention education is ineffective for people with cognitive impairment. We aimed to investigate whether an educational video is a better mode of delivery than verbal education for individuals with cognitive impairment in terms of recall and fall prevention. Methods: In a randomised controlled trial, patients were assigned at random to receive fall prevention education either verbally or through an educational video. The co-primary outcomes were recall at 1 day and number of falls. Results: Of 21 and 31 participants assigned to receive video education (intervention) and verbal education (active comparator), respectively, 19 and 31 completed the study, respectively. The percentage of participants who recalled the fall prevention message was significantly higher in the intervention group than in the active comparator group (31.5% [6/19] vs 9.7% [3/31], p=0.03). There was no significant difference in the fall rate between groups. Conclusion: Fall prevention education delivered using a video may be better retained by individuals with cognitive impairment when compared with the standard practice of verbal fall prevention education. Larger studies are needed to confirm our findings.
{"title":"Video-based fall prevention education for cognitively impaired inpatients: a pilot study","authors":"J. Dai, Sibgat Saleheen, Anita Ko, Ishrat Jahan, N. Braidy, D. Chan","doi":"10.12809/ajgg-2021-490-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2021-490-oa","url":null,"abstract":"Background. Inpatient falls complicate and lengthen hospital admissions for older adults. Cognitive impairment is a risk factor for falls. Current fall prevention education is ineffective for people with cognitive impairment. We aimed to investigate whether an educational video is a better mode of delivery than verbal education for individuals with cognitive impairment in terms of recall and fall prevention. Methods: In a randomised controlled trial, patients were assigned at random to receive fall prevention education either verbally or through an educational video. The co-primary outcomes were recall at 1 day and number of falls. Results: Of 21 and 31 participants assigned to receive video education (intervention) and verbal education (active comparator), respectively, 19 and 31 completed the study, respectively. The percentage of participants who recalled the fall prevention message was significantly higher in the intervention group than in the active comparator group (31.5% [6/19] vs 9.7% [3/31], p=0.03). There was no significant difference in the fall rate between groups. Conclusion: Fall prevention education delivered using a video may be better retained by individuals with cognitive impairment when compared with the standard practice of verbal fall prevention education. Larger studies are needed to confirm our findings.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45785677","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 : 2022-07-15DOI: 10.12809/ajgg-2021-487-cr
Trishpal Kaur Dhaliwal, B. H. Rosario
We report a case of delayed neuropsychological sequelae manifesting as cognitive impairment and parkinsonism in a 72-year-old woman who attempted suicide by carbon monoxide poisoning 20 years earlier. was admitted after a fall-related traumatic brain injury resulting in bilateral sub-dural haemorrhages and seizures. She had hypertension, hyperlipidaemia, and depression. She had undergone mastectomy for right breast cancer 20 years earlier. She needed assistance in all instrumental activities of daily living (IADLs) and most basic ADLs. She had deficits in all six of the neurocognitive domains, with severe executive dysfunction, impaired language with paucity of spontaneous speech, and impaired memory and attention for 10 years. She was apathetic with low mood. Notably, in her early 50s, she had attempted suicide by CO poisoning and required mechanical ventilation for 10 days, after which her cognitive and functional deficits developed. Examination revealed features of parkinsonism with hypomimia, bilateral cogwheeling and lead-pipe rigidity of the upper limbs, generalised bradykinesia, and slow gait with decreased arm swing. Her abbreviated mental test score was 8/10. Her mini-mental state examination score was 22/30, with impairments in orientation and visuospatial tasks and unimpaired three-item recall. Her Geriatric Depression scale score was 11/15. She had vitamin B12 deficiency (<111 pmol/L) [normal range, 145-637 pmol/L) and was administered vitamin B12 replacement. Test results of and profiles, thyroid
{"title":"Cognitive impairment and parkinsonism as a manifestation of delayed neuropsychological sequelae after carbon monoxide poisoning: a case report","authors":"Trishpal Kaur Dhaliwal, B. H. Rosario","doi":"10.12809/ajgg-2021-487-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-487-cr","url":null,"abstract":"We report a case of delayed neuropsychological sequelae manifesting as cognitive impairment and parkinsonism in a 72-year-old woman who attempted suicide by carbon monoxide poisoning 20 years earlier. was admitted after a fall-related traumatic brain injury resulting in bilateral sub-dural haemorrhages and seizures. She had hypertension, hyperlipidaemia, and depression. She had undergone mastectomy for right breast cancer 20 years earlier. She needed assistance in all instrumental activities of daily living (IADLs) and most basic ADLs. She had deficits in all six of the neurocognitive domains, with severe executive dysfunction, impaired language with paucity of spontaneous speech, and impaired memory and attention for 10 years. She was apathetic with low mood. Notably, in her early 50s, she had attempted suicide by CO poisoning and required mechanical ventilation for 10 days, after which her cognitive and functional deficits developed. Examination revealed features of parkinsonism with hypomimia, bilateral cogwheeling and lead-pipe rigidity of the upper limbs, generalised bradykinesia, and slow gait with decreased arm swing. Her abbreviated mental test score was 8/10. Her mini-mental state examination score was 22/30, with impairments in orientation and visuospatial tasks and unimpaired three-item recall. Her Geriatric Depression scale score was 11/15. She had vitamin B12 deficiency (<111 pmol/L) [normal range, 145-637 pmol/L) and was administered vitamin B12 replacement. Test results of and profiles, thyroid","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47965651","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 : 2021-12-17DOI: 10.12809/ajgg-2020-446-oa
Peggy Pp Cheng, Iris FK Lee
Background. Nasogastric tubes (NGT) are frequently used in geriatric settings and verification of NGT placement is important for patient safety. This study aimed to ascertain the accuracy of carbon dioxide (CO2) colourimeter in the verification of NGT and to estimate the reduction in patient waiting time for resumption of NGT feeding in the general care setting. Methods. Doubtful NGT placements were obtained from patients in three medical extended wards in a public hospital in Hong Kong. Doubtful NGT placements were verified using both X-ray imaging and CO2 colourimeter. The sensitivity and specificity of CO2 colourimeter were evaluated using X-ray imaging as the gold standard. The patient waiting time for resumption of NGT feeding were estimated by recording the time required for completion of X-ray imaging verification. Results. There were 26 patients in the study with a mean age of 74.07 years (SD = 16.33). Fifteen (57.7%) of them were male. The final sample consisted of 71 doubtful NGT placement and none of them was misplaced. The specificity of CO2 colourimeter was 98.6%, while the sensitivity was unable to determine. The patient waiting time required for X-ray imaging verification ranged from 51 to 1095 minutes (mean = 380.75 min., SD = 179.51). Conclusions. CO2 colourimeter has high specificity in verification of doubtful NGT placement. Replacing X-ray imaging with CO2 colourimetry verification may speed up resumption of NGT feeding.
{"title":"Colourimetric capnometry to verify nasogastric tube placement in patients at risk of mal-placement","authors":"Peggy Pp Cheng, Iris FK Lee","doi":"10.12809/ajgg-2020-446-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-446-oa","url":null,"abstract":"Background. Nasogastric tubes (NGT) are frequently used in geriatric settings and verification of NGT placement is important for patient safety. This study aimed to ascertain the accuracy of carbon dioxide (CO2) colourimeter in the verification of NGT and to estimate the reduction in patient waiting time for resumption of NGT feeding in the general care setting. Methods. Doubtful NGT placements were obtained from patients in three medical extended wards in a public hospital in Hong Kong. Doubtful NGT placements were verified using both X-ray imaging and CO2 colourimeter. The sensitivity and specificity of CO2 colourimeter were evaluated using X-ray imaging as the gold standard. The patient waiting time for resumption of NGT feeding were estimated by recording the time required for completion of X-ray imaging verification. Results. There were 26 patients in the study with a mean age of 74.07 years (SD = 16.33). Fifteen (57.7%) of them were male. The final sample consisted of 71 doubtful NGT placement and none of them was misplaced. The specificity of CO2 colourimeter was 98.6%, while the sensitivity was unable to determine. The patient waiting time required for X-ray imaging verification ranged from 51 to 1095 minutes (mean = 380.75 min., SD = 179.51). Conclusions. CO2 colourimeter has high specificity in verification of doubtful NGT placement. Replacing X-ray imaging with CO2 colourimetry verification may speed up resumption of NGT feeding.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44760071","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}
Assessment and prevention of frailty and sarcopenia are of particular importance during the COVID-19 pandemic. Since 2020, the pandemic has been a new risk factor for frailty and sarcopenia. Feeding problems are common among older patients who had a stroke, advanced dementia, neurologic degenerative diseases (parkinsonism), or sarcopenic dysphagia.3 Although careful hand feeding is implemented in some geriatric units, nasogastric tube feeding is common in Hong Kong, particularly in residential care homes. Rehabilitation has beneficial effects on motor and swallowing function, activities of daily living, and quality of life in patients with Parkinson disease.7,8 Pilates exercise seems to be useful to improve balance and motor function of patients with Parkinson disease.
{"title":"Editorial","authors":"J. Luk","doi":"10.12809/ajgg-v16n2-ed","DOIUrl":"https://doi.org/10.12809/ajgg-v16n2-ed","url":null,"abstract":"Assessment and prevention of frailty and sarcopenia are of particular importance during the COVID-19 pandemic. Since 2020, the pandemic has been a new risk factor for frailty and sarcopenia. Feeding problems are common among older patients who had a stroke, advanced dementia, neurologic degenerative diseases (parkinsonism), or sarcopenic dysphagia.3 Although careful hand feeding is implemented in some geriatric units, nasogastric tube feeding is common in Hong Kong, particularly in residential care homes. Rehabilitation has beneficial effects on motor and swallowing function, activities of daily living, and quality of life in patients with Parkinson disease.7,8 Pilates exercise seems to be useful to improve balance and motor function of patients with Parkinson disease.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49124991","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 : 2021-12-17DOI: 10.12809/ajgg-2020-440-cr
Ccd Leung, Wy Chu, CF Ko
{"title":"Statin-induced immune-mediated necrotising myopathy: a case report","authors":"Ccd Leung, Wy Chu, CF Ko","doi":"10.12809/ajgg-2020-440-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2020-440-cr","url":null,"abstract":"","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45124175","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 : 2021-12-17DOI: 10.12809/ajgg-2020-431-cr
Tanya Joy Zapata Quicho, C. Chen
Older adults are at increased risk of developing hypomagnesaemia secondary to chronic use of proton pump inhibitors. We report a 73-yearold woman who presented with acute functional decline, recurrent falls, and cognitive impairment likely owing to unrecognised persistent hypomagnesaemia secondary to use of proton pump inhibitors.
{"title":"Proton pump inhibitor–induced hypomagnesaemia leading to recurrent falls and delirium: a case report","authors":"Tanya Joy Zapata Quicho, C. Chen","doi":"10.12809/ajgg-2020-431-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2020-431-cr","url":null,"abstract":"Older adults are at increased risk of developing hypomagnesaemia secondary to chronic use of proton pump inhibitors. We report a 73-yearold woman who presented with acute functional decline, recurrent falls, and cognitive impairment likely owing to unrecognised persistent hypomagnesaemia secondary to use of proton pump inhibitors.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48170394","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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