{"title":"Outbreak of respiratory syncytial virus infection during COVID-19 strict control: An implication in pediatrics","authors":"B. Joob, V. Wiwanitkit","doi":"10.4103/jms.jms_52_21","DOIUrl":"https://doi.org/10.4103/jms.jms_52_21","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"47 - 47"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47102904","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}
Sarcomatoid urothelial carcinomas (SUCs) are characterized by intimately mixed malignant epithelial and malignant mesenchymal components. We present a case of a multifocal SUC in the left pelvicalyceal system of the kidney and the left ureter. SUC although rare should be included in the differential diagnosis of multifocal tumors of the renal pelvis and ureter. Immunohistochemistry is essential to confirm the diagnosis and rule out other differentials including pure sarcoma, sarcomatoid variant of renal cell carcinoma, and pseudosarcomatous mesenchymal proliferation.
{"title":"Multifocal sarcomatoid urothelial carcinoma of the renal pelvicalyceal system and ureter: A diagnostic dilemma","authors":"A. Nangia, S. Sehgal","doi":"10.4103/jms.jms_103_20","DOIUrl":"https://doi.org/10.4103/jms.jms_103_20","url":null,"abstract":"Sarcomatoid urothelial carcinomas (SUCs) are characterized by intimately mixed malignant epithelial and malignant mesenchymal components. We present a case of a multifocal SUC in the left pelvicalyceal system of the kidney and the left ureter. SUC although rare should be included in the differential diagnosis of multifocal tumors of the renal pelvis and ureter. Immunohistochemistry is essential to confirm the diagnosis and rule out other differentials including pure sarcoma, sarcomatoid variant of renal cell carcinoma, and pseudosarcomatous mesenchymal proliferation.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"76 - 79"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49082797","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}
Puja Ganguly, P. Halder, P. Chakraborty, K. Mandal
The term “crossed testicular ectopia” (CTE) means the deviation from the normal path of descent resulting in unilaterality of both testes. The condition is mostly detected incidentally during repair of inguinal hernia or laparoscopic evaluation of impalpable undescended testis. Preoperative identification of this anomaly is feasible during the clinicoradiological evaluation of the genito-urinary abnormalities. Orchiopexy (transeptal/extraperitoneal transposition/laparoscopy-assisted) is the mode of surgical management. We present here two cases of CTE where laparoscopy-assisted trans-inguinal orchiopexy was done.
{"title":"Crossed testicular ectopia: A report of two cases","authors":"Puja Ganguly, P. Halder, P. Chakraborty, K. Mandal","doi":"10.4103/jms.jms_40_21","DOIUrl":"https://doi.org/10.4103/jms.jms_40_21","url":null,"abstract":"The term “crossed testicular ectopia” (CTE) means the deviation from the normal path of descent resulting in unilaterality of both testes. The condition is mostly detected incidentally during repair of inguinal hernia or laparoscopic evaluation of impalpable undescended testis. Preoperative identification of this anomaly is feasible during the clinicoradiological evaluation of the genito-urinary abnormalities. Orchiopexy (transeptal/extraperitoneal transposition/laparoscopy-assisted) is the mode of surgical management. We present here two cases of CTE where laparoscopy-assisted trans-inguinal orchiopexy was done.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"80 - 82"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41536243","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}
Context: De Quervain's disease tenosynovitis is a painful inflammation of tendons on the side of the wrist at the base of the thumb. The most common cause is chronic overuse. It can be self-limited and may resolve without intervention. For those individuals with persistent symptoms, nonsurgical modalities such as rest, massage, cold and heat application, splinting, physical therapy, systemic anti-inflammatory drugs, and corticosteroid injections have been tried with variable success. Aims: The aim of this study was conducted to compare the efficacy of thumb abduction orthosis with local methylprednisolone acetate injection for the management of De Quervain's tenosynovitis. Settings and Design: A randomized controlled study was conducted from September 2017 to August 2019, in the Physical Medicine and Rehabilitation Department of a tertiary hospital in Imphal, Manipur. Subjects and Methods: In Group 1, thumb abduction orthosis was applied, and in Group 2, injection methylprednisolone acetate was given in the first dorsal compartment. Treatment effectiveness was measured by visual analog Scale (VAS) for pain and Quick disabilities score of the Arm, Shoulder, and Hand (quick DASH) for functional assessment. Follow-up assessment was done at 1 month, 3 months, and 6 months. Statistical Analysis: Chi-square test, independent t-test, and paired t-test were used for analysis. Results: Out of the total 60 patients, 51 patients were females and 9 were males. There was a significant improvement in both mean VAS scores and Quick DASH scores in both the groups. At 1-month of follow-up, VAS and Quick DASH score in control group significantly improved compared to study group (P < 0.05). However, there was no statistically significant differences between the two groups at 3 months and 6 months follow-up period (P > 0.05). Conclusions: Although methylprednisolone acetate injection has an excellent outcome, thumb abduction orthosis can be an alternative treatment option for De Quervain's disease.
{"title":"Efficacy of thumb abduction orthosis versus local methylprednisolone acetate injection in De Quervain's tenosynovitis: A randomized controlled trial","authors":"R. Das, N. Bimol, D. Deb, S. Meethal, Y. Singh","doi":"10.4103/jms.jms_125_20","DOIUrl":"https://doi.org/10.4103/jms.jms_125_20","url":null,"abstract":"Context: De Quervain's disease tenosynovitis is a painful inflammation of tendons on the side of the wrist at the base of the thumb. The most common cause is chronic overuse. It can be self-limited and may resolve without intervention. For those individuals with persistent symptoms, nonsurgical modalities such as rest, massage, cold and heat application, splinting, physical therapy, systemic anti-inflammatory drugs, and corticosteroid injections have been tried with variable success. Aims: The aim of this study was conducted to compare the efficacy of thumb abduction orthosis with local methylprednisolone acetate injection for the management of De Quervain's tenosynovitis. Settings and Design: A randomized controlled study was conducted from September 2017 to August 2019, in the Physical Medicine and Rehabilitation Department of a tertiary hospital in Imphal, Manipur. Subjects and Methods: In Group 1, thumb abduction orthosis was applied, and in Group 2, injection methylprednisolone acetate was given in the first dorsal compartment. Treatment effectiveness was measured by visual analog Scale (VAS) for pain and Quick disabilities score of the Arm, Shoulder, and Hand (quick DASH) for functional assessment. Follow-up assessment was done at 1 month, 3 months, and 6 months. Statistical Analysis: Chi-square test, independent t-test, and paired t-test were used for analysis. Results: Out of the total 60 patients, 51 patients were females and 9 were males. There was a significant improvement in both mean VAS scores and Quick DASH scores in both the groups. At 1-month of follow-up, VAS and Quick DASH score in control group significantly improved compared to study group (P < 0.05). However, there was no statistically significant differences between the two groups at 3 months and 6 months follow-up period (P > 0.05). Conclusions: Although methylprednisolone acetate injection has an excellent outcome, thumb abduction orthosis can be an alternative treatment option for De Quervain's disease.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"35 - 39"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42510178","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":"Safety of COVID-19 vaccine in the patient with history of drug allergy: An issue to be monitored","authors":"P. Sookaromdee, V. Wiwanitkit","doi":"10.4103/jms.jms_55_21","DOIUrl":"https://doi.org/10.4103/jms.jms_55_21","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"46 - 46"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45537325","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}
N. Devi, K. Devi, K. Singh Akoijam, P. Devi, L. Singh
Fungal arthritis is a rare condition, often missed and underreported. Among all Candida species, Candida parapsilosis is a rare cause. A 66-year-old male with a history of arthritis on and off for the past 3 years and treated symptomatically presented with acute pain and swelling of the left knee joint for 1 week. Synovial fluid examination revealed yeast-like structures and fungal culture showed growth of Candida spp. VITEK 2 compact identified it as Candida famata but matrix-assisted laser desorption ionization–time of flight mass spectrometry assay confirmed it as C. parapsilosis. This is a rare case of nonalbicans candida arthritis, especially in this part of the country.
{"title":"Candida parapsilosis: A rare cause of arthritis and its successful treatment with oral fluconazole","authors":"N. Devi, K. Devi, K. Singh Akoijam, P. Devi, L. Singh","doi":"10.4103/jms.jms_77_21","DOIUrl":"https://doi.org/10.4103/jms.jms_77_21","url":null,"abstract":"Fungal arthritis is a rare condition, often missed and underreported. Among all Candida species, Candida parapsilosis is a rare cause. A 66-year-old male with a history of arthritis on and off for the past 3 years and treated symptomatically presented with acute pain and swelling of the left knee joint for 1 week. Synovial fluid examination revealed yeast-like structures and fungal culture showed growth of Candida spp. VITEK 2 compact identified it as Candida famata but matrix-assisted laser desorption ionization–time of flight mass spectrometry assay confirmed it as C. parapsilosis. This is a rare case of nonalbicans candida arthritis, especially in this part of the country.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"42 - 44"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45760285","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":"New COVID-19 vaccines and new COVID-19 variants: A long way for COVID-19 containment?","authors":"Rujittika Mungmungpuntipantip, V. Wiwanitkit","doi":"10.4103/jms.jms_31_21","DOIUrl":"https://doi.org/10.4103/jms.jms_31_21","url":null,"abstract":"","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"45 - 45"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47547828","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}
Shuchi Jain, N. Agrawal, V. Tilak, Ekhlak Mohammad, D. Dash, Madhu Jain
Background: Platelet function disorder (PFD) is turning out to be a major cause of heavy menstrual bleeding (HMB) in women. One should suspect for this entity and should look for it in all girls who have this issue since menarche to impart proper management. Objectives: This study was carried out to find the incidence of PFD in Patients with HMB referred to our tertiary care teaching hospital. Materials and Methods: Platelet aggregation in response to ristocetin-induced platelet aggregation (RIPA), Adrenaline, adenosine diphosphate, and Collagen was studied in 50 women with HMB and in the equal number of age-matched healthy women. Bleeding time and Platelet count were also measured. Results: Glanzmann's thrombasthenia (GT) was detected in 5 and Bernard Soulier Syndrome (BSS) in 2 women with HMB. Macrothrombocytopenia was observed in BSS. RIPA was also significantly reduced in BSS but normal in GT. Coagulopathies should always be doubted in the presence of significant anemia. One should carry out the Platelet function studies when screening parameters like prothrombin time, partial thromboplastin time, von Willebrand factor , and factor VIII activity level are normal. Normal platelet count and morphology in addition suggest functional defects in platelets which can be detected by various aggregation studies, electron microscopy, flow cytometry, and thromboelastography. Conclusion: The clinicians treating women with HMB should be aware of PFD as an important etiology and the platelet function should be studied in all women with HMB in a phase-wise manner in order not to miss the diagnosis and also to make it more cost-effective.
{"title":"Platelet function disorder in women with heavy menstrual bleeding in Eastern Uttar Pradesh","authors":"Shuchi Jain, N. Agrawal, V. Tilak, Ekhlak Mohammad, D. Dash, Madhu Jain","doi":"10.4103/jms.jms_53_21","DOIUrl":"https://doi.org/10.4103/jms.jms_53_21","url":null,"abstract":"Background: Platelet function disorder (PFD) is turning out to be a major cause of heavy menstrual bleeding (HMB) in women. One should suspect for this entity and should look for it in all girls who have this issue since menarche to impart proper management. Objectives: This study was carried out to find the incidence of PFD in Patients with HMB referred to our tertiary care teaching hospital. Materials and Methods: Platelet aggregation in response to ristocetin-induced platelet aggregation (RIPA), Adrenaline, adenosine diphosphate, and Collagen was studied in 50 women with HMB and in the equal number of age-matched healthy women. Bleeding time and Platelet count were also measured. Results: Glanzmann's thrombasthenia (GT) was detected in 5 and Bernard Soulier Syndrome (BSS) in 2 women with HMB. Macrothrombocytopenia was observed in BSS. RIPA was also significantly reduced in BSS but normal in GT. Coagulopathies should always be doubted in the presence of significant anemia. One should carry out the Platelet function studies when screening parameters like prothrombin time, partial thromboplastin time, von Willebrand factor , and factor VIII activity level are normal. Normal platelet count and morphology in addition suggest functional defects in platelets which can be detected by various aggregation studies, electron microscopy, flow cytometry, and thromboelastography. Conclusion: The clinicians treating women with HMB should be aware of PFD as an important etiology and the platelet function should be studied in all women with HMB in a phase-wise manner in order not to miss the diagnosis and also to make it more cost-effective.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"24 - 29"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48859568","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}
Background: During the 2 months of February and March 2019, more than 10 Thai university students were official reported to have committed suicide, which may impact on others' suicidality. Aims: This study aims to examine media and other factors influenced suicidal ideation among Thai university students, during the crisis of suicidal height in March–April 2019. Methods: The study was of a retrospective and cross-sectional design. Patients, who were university students and accessed the psychiatric outpatient clinic in March–April 2019, were recruited. Data collected by the hospital's databased system included patient profiles, perceptions of media influencing suicidality, and the Thai version of the suicide screening test. Results: Of the 68 participants, most participants were female (75.0%). They mostly stated that they were at a high risk of suicide (35.0%); whereas those who reported that the media influenced them were shown to have 3.5 times, higher risk of suicide (P = 0.012). Moreover, the moderate risk of suicide was statistically significantly associated with media, while other variables did not associate with suicidal risk (P = 0.03). Conclusion: During the crisis of copycat suicides, among Thai university students; most of whom were psychiatric outpatients, were at high risk for suicide. In addition, those who reported that the media had influenced them demonstrated a higher risk of suicide. Moreover, those who were at moderate risk for suicide were significantly associated with media.
{"title":"Media and suicidality during the surge of Thai student suicides in 2019: A hospital-based study","authors":"Chonnakarn Jatchavala, Suchawadee Pongthanawisut","doi":"10.4103/jms.jms_29_21","DOIUrl":"https://doi.org/10.4103/jms.jms_29_21","url":null,"abstract":"Background: During the 2 months of February and March 2019, more than 10 Thai university students were official reported to have committed suicide, which may impact on others' suicidality. Aims: This study aims to examine media and other factors influenced suicidal ideation among Thai university students, during the crisis of suicidal height in March–April 2019. Methods: The study was of a retrospective and cross-sectional design. Patients, who were university students and accessed the psychiatric outpatient clinic in March–April 2019, were recruited. Data collected by the hospital's databased system included patient profiles, perceptions of media influencing suicidality, and the Thai version of the suicide screening test. Results: Of the 68 participants, most participants were female (75.0%). They mostly stated that they were at a high risk of suicide (35.0%); whereas those who reported that the media influenced them were shown to have 3.5 times, higher risk of suicide (P = 0.012). Moreover, the moderate risk of suicide was statistically significantly associated with media, while other variables did not associate with suicidal risk (P = 0.03). Conclusion: During the crisis of copycat suicides, among Thai university students; most of whom were psychiatric outpatients, were at high risk for suicide. In addition, those who reported that the media had influenced them demonstrated a higher risk of suicide. Moreover, those who were at moderate risk for suicide were significantly associated with media.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"7 - 12"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48682460","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}
S. Konjengbam, Madhubala Phurailatpam, J. Laishram, V. Loukrakpam, Pooja Akoijam, Sushma Khuraijam
Introduction: Various measures have been adopted to control the rapid spread of the ongoing COVID-19 epidemic in the state. Adherence to control measures by the population is influenced by their knowledge, attitudes, and practices (KAP) toward COVID-19. Objective: The objective of this study was to determine KAP toward COVID-19 among the general public of Manipur. Methods: A semi-structured questionnaire was used to interview the study participants. The demographics and KAP of the participants were investigated. Chi-square test and t-test were used for statistical analysis. Results: Out of the total participants (n = 398), 240 (60.3%) were female. One hundred and seventeen (29.4%) participants have adequate knowledge regarding COVID-19. The number of participants who have adequate knowledge was significantly more among males, those residing in plain districts, those residing in rural areas, and among those who studied up to graduate and above. The study also showed that attitude toward practicing more hand hygiene during infectious disease outbreaks was significantly associated with residence, education, religion, and occupation. A significant association was also observed between the preventive practices and knowledge, gender, district, residence, and education. Conclusion: Nearly one-third of the participants have good knowledge and positive attitude. However, when coming to practice, a little more than one-tenth of the study participants practiced preventive behaviors all the time. Knowledge on COVID-19 and practice of preventive behaviors were significantly associated with gender, district, residence, education, and occupation. The results of this study can help to identify the specific target groups with low KAP with well-planned, tailored strategies.
{"title":"Knowledge, attitude, and practice toward COVID-19 among the general public in Manipur: A cross-sectional survey","authors":"S. Konjengbam, Madhubala Phurailatpam, J. Laishram, V. Loukrakpam, Pooja Akoijam, Sushma Khuraijam","doi":"10.4103/jms.jms_71_21","DOIUrl":"https://doi.org/10.4103/jms.jms_71_21","url":null,"abstract":"Introduction: Various measures have been adopted to control the rapid spread of the ongoing COVID-19 epidemic in the state. Adherence to control measures by the population is influenced by their knowledge, attitudes, and practices (KAP) toward COVID-19. Objective: The objective of this study was to determine KAP toward COVID-19 among the general public of Manipur. Methods: A semi-structured questionnaire was used to interview the study participants. The demographics and KAP of the participants were investigated. Chi-square test and t-test were used for statistical analysis. Results: Out of the total participants (n = 398), 240 (60.3%) were female. One hundred and seventeen (29.4%) participants have adequate knowledge regarding COVID-19. The number of participants who have adequate knowledge was significantly more among males, those residing in plain districts, those residing in rural areas, and among those who studied up to graduate and above. The study also showed that attitude toward practicing more hand hygiene during infectious disease outbreaks was significantly associated with residence, education, religion, and occupation. A significant association was also observed between the preventive practices and knowledge, gender, district, residence, and education. Conclusion: Nearly one-third of the participants have good knowledge and positive attitude. However, when coming to practice, a little more than one-tenth of the study participants practiced preventive behaviors all the time. Knowledge on COVID-19 and practice of preventive behaviors were significantly associated with gender, district, residence, education, and occupation. The results of this study can help to identify the specific target groups with low KAP with well-planned, tailored strategies.","PeriodicalId":39636,"journal":{"name":"JMS - Journal of Medical Society","volume":"35 1","pages":"18 - 23"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45667037","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}