Pub Date : 2023-12-01Epub Date: 2023-07-19DOI: 10.1016/j.aan.2023.06.003
Ryan Perlman, Kevin Tsai, Jessie Lo
Anesthesia for patients with life-threatening injuries is an essential part of post-accident care. Unfortunately, there is variability in trauma anesthesia care and numerous nonstandardized methods of working with patients remain. Uncertainty exists as to when and how best to intubate trauma patients, the use of vasopressors, and the appropriate management of severe traumatic brain injury. Some physicians recommend prehospital rapid sequence intubation, whereas others use bag-mask ventilation at lower pressures with no cricoid pressure and early transport to a trauma center. Overall, the absence of uniformity in trauma anesthesia care underlines the need for continued study and dialogue to define best practices and optimize patient outcomes.
{"title":"Trauma Anesthesiology Perioperative Management Update.","authors":"Ryan Perlman, Kevin Tsai, Jessie Lo","doi":"10.1016/j.aan.2023.06.003","DOIUrl":"10.1016/j.aan.2023.06.003","url":null,"abstract":"<p><p>Anesthesia for patients with life-threatening injuries is an essential part of post-accident care. Unfortunately, there is variability in trauma anesthesia care and numerous nonstandardized methods of working with patients remain. Uncertainty exists as to when and how best to intubate trauma patients, the use of vasopressors, and the appropriate management of severe traumatic brain injury. Some physicians recommend prehospital rapid sequence intubation, whereas others use bag-mask ventilation at lower pressures with no cricoid pressure and early transport to a trauma center. Overall, the absence of uniformity in trauma anesthesia care underlines the need for continued study and dialogue to define best practices and optimize patient outcomes.</p>","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"1 1","pages":"143-162"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89442803","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":"Arte Médico. Leonardo Da Vinci: dibujos anatómicos","authors":"Mario Melguizo-Bermúdez","doi":"10.56684/ammd/2023.2.19","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.19","url":null,"abstract":"","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75074780","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}
Based on three thesis papers with their respective authors and dates, we take a panoramic look at the surgical developments in Antioquia and its capital, Medellin, at the end of the 19th century and the beginning of the 20th century. We recall the names of the leading surgeons, the most frequent surgical interventions, asepsis and antisepsis practices, anesthesia with chloroform, surgical instruments and dressings, resuscitation with brandy and caffeine, criticisms regarding certain surgeries, and the successes and failures in surgical matters. In addition, we explore the lessons learned and statistical data.
{"title":"Crónica sobre la cirugía en Antioquia. Segunda entrega","authors":"Tiberio Álvarez-Echeverri","doi":"10.56684/ammd/2023.2.20","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.20","url":null,"abstract":"Based on three thesis papers with their respective authors and dates, we take a panoramic look at the surgical developments in Antioquia and its capital, Medellin, at the end of the 19th century and the beginning of the 20th century. We recall the names of the leading surgeons, the most frequent surgical interventions, asepsis and antisepsis practices, anesthesia with chloroform, surgical instruments and dressings, resuscitation with brandy and caffeine, criticisms regarding certain surgeries, and the successes and failures in surgical matters. In addition, we explore the lessons learned and statistical data.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84490437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article is based on a compilation of the long and esteemed career of doctors from the Quevedo family, all descendants of their main precursor, Dr. José Ignacio Quevedo Amaya. There are seven, and now it can be said eight, generations of family representatives motivated by the same vocation of service, whose results have extended almost worldwide. They have stood out for their intellectual abilities, their commitment to staying updated, and their broad and generous approach to serving human beings who suffer from pain, illness, and physical and/or spiritual suffering. While it is true that modern medicine is not the same as it was in the 19th century, the essence of being a doctor will always be related to an individual vocation and a profound ethics that must be fulfilled completely, despite the passing of time and the emergence of new generations or changes. There are three keywords that all doctors descended from Dr. Quevedo inherit, in order to perform successfully, with competence and dedication to our patients, who are and will always be our reason for being: kindness, wisdom, and respect. With these guidelines, principles, and life examples, the path traced from the beginning by the one whom his peers and contemporaries did not hesitate to call the “priest of charity” and the “father of medicine in Antioquia” will never be lost.
{"title":"Historias de una vocación. Una familia al servicio de la salud","authors":"Christian Cock-Hernández","doi":"10.56684/ammd/2023.2.24","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.24","url":null,"abstract":"This article is based on a compilation of the long and esteemed career of doctors from the Quevedo family, all descendants of their main precursor, Dr. José Ignacio Quevedo Amaya. There are seven, and now it can be said eight, generations of family representatives motivated by the same vocation of service, whose results have extended almost worldwide. They have stood out for their intellectual abilities, their commitment to staying updated, and their broad and generous approach to serving human beings who suffer from pain, illness, and physical and/or spiritual suffering. While it is true that modern medicine is not the same as it was in the 19th century, the essence of being a doctor will always be related to an individual vocation and a profound ethics that must be fulfilled completely, despite the passing of time and the emergence of new generations or changes. There are three keywords that all doctors descended from Dr. Quevedo inherit, in order to perform successfully, with competence and dedication to our patients, who are and will always be our reason for being: kindness, wisdom, and respect. With these guidelines, principles, and life examples, the path traced from the beginning by the one whom his peers and contemporaries did not hesitate to call the “priest of charity” and the “father of medicine in Antioquia” will never be lost.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136249291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article provides an overview of the process of bone mass development and acquisition, starting from gestation until reaching peak bone mass, as well as the presence of certain disorders. Bone mass formation has been studied at various stages of development, from pregnancy, childhood, adolescence, and adulthood, where the greatest increase occurs to achieve peak bone mass. The increase in bone mass begins during the gestation process as a period of high fetal calcium demand and continues from birth through childhood and infancy, experiencing its maximum growth during adolescence until reaching the peak of bone mass in adulthood, around 20-30 years of age. Approximately 70% of bone mass is inherited from parents, while the remaining percentage is acquired through the processes of gestation, development, and growth, where environmental factors, nutrition, exercise, avoidance of toxic substances, and maintaining overall health contribute to achieving the highest concentration of bone mass. This becomes a reserve to respond to bone loss that typically starts around the age of 40, with the greatest loss during the transition to menopause and later, at a slower rate, during old age.
{"title":"Formación y adquisición de la masa ósea. Un compromiso del Ginecoobstetra en un programa interdisciplinario","authors":"Fabio Sánchez-Escobar","doi":"10.56684/ammd/2023.2.23","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.23","url":null,"abstract":"This article provides an overview of the process of bone mass development and acquisition, starting from gestation until reaching peak bone mass, as well as the presence of certain disorders. Bone mass formation has been studied at various stages of development, from pregnancy, childhood, adolescence, and adulthood, where the greatest increase occurs to achieve peak bone mass. The increase in bone mass begins during the gestation process as a period of high fetal calcium demand and continues from birth through childhood and infancy, experiencing its maximum growth during adolescence until reaching the peak of bone mass in adulthood, around 20-30 years of age. Approximately 70% of bone mass is inherited from parents, while the remaining percentage is acquired through the processes of gestation, development, and growth, where environmental factors, nutrition, exercise, avoidance of toxic substances, and maintaining overall health contribute to achieving the highest concentration of bone mass. This becomes a reserve to respond to bone loss that typically starts around the age of 40, with the greatest loss during the transition to menopause and later, at a slower rate, during old age.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"208 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81535332","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}
25 years ago, we started in Antioquia the campaign “No more blind from diabetes”. This campaign was possible due to the collaboration of the Hospital San Vicente Fundación, Antioquia University, the Ophthalmology programs of Pontificia Bolivariana University and CES University. This campaign is held annually around November 14. In 2022 we commemorated version No. 25. Results: We have evaluated approximately 15,000 patients to the present time, an average of 600 per year. Among all these patients 50% attend for the first time each year, 70% are females and 80% are type 2 diabetics. We found a prevalence of diabetic retinopathy (DR) of 15.5% and 64% of these patients are females. These patients have been diagnosed with diabetes for about 12 years and they have shown poor metabolic control of their diabetes with an average glycosylated Hemoglobin A1C (HbA1C) of 11.2% (normal range below 5.7%). The stage of the retinopathy showed that 70% of the patients had the non-proliferative form. We found that 1 out of 3 patients presented with severe visual loss due to severe non-proliferative retinopathy and macular edema. The main etiology of chronic vision loss in diabetic patients is diabetic macular edema found in 22% of the patients and the majority were females with type 2 diabetes over 60 years of age with an average HbA1C of 10%. Conclusions: This is the largest screening and ongoing test for DR done in Colombia, South America. This study focuses on the most vulnerable population and the results provide relevant information about the epidemiology of this disease. The results generate awareness about early diagnosis, medical care of its complications, education of the population, and the proper guidance for their treatment and rehabilitation.
{"title":"En Antioquia no más ciegos por Diabetes. Veinticinco años en prevención de la ceguera","authors":"J. D. Bravo-Acosta","doi":"10.56684/ammd/2023.2.22","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.22","url":null,"abstract":"25 years ago, we started in Antioquia the campaign “No more blind from diabetes”. This campaign was possible due to the collaboration of the Hospital San Vicente Fundación, Antioquia University, the Ophthalmology programs of Pontificia Bolivariana University and CES University. This campaign is held annually around November 14. In 2022 we commemorated version No. 25. Results: We have evaluated approximately 15,000 patients to the present time, an average of 600 per year. Among all these patients 50% attend for the first time each year, 70% are females and 80% are type 2 diabetics. We found a prevalence of diabetic retinopathy (DR) of 15.5% and 64% of these patients are females. These patients have been diagnosed with diabetes for about 12 years and they have shown poor metabolic control of their diabetes with an average glycosylated Hemoglobin A1C (HbA1C) of 11.2% (normal range below 5.7%). The stage of the retinopathy showed that 70% of the patients had the non-proliferative form. We found that 1 out of 3 patients presented with severe visual loss due to severe non-proliferative retinopathy and macular edema. The main etiology of chronic vision loss in diabetic patients is diabetic macular edema found in 22% of the patients and the majority were females with type 2 diabetes over 60 years of age with an average HbA1C of 10%. Conclusions: This is the largest screening and ongoing test for DR done in Colombia, South America. This study focuses on the most vulnerable population and the results provide relevant information about the epidemiology of this disease. The results generate awareness about early diagnosis, medical care of its complications, education of the population, and the proper guidance for their treatment and rehabilitation.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79253037","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":"Editorial. Rafael Elejalde Salazar","authors":"Mario Melguizo-Bermúdez","doi":"10.56684/ammd/2023.2.18","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.18","url":null,"abstract":"","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"28 Spec No 1 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76050530","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}
Medical photographs leave traces that mark a path through the historical journey of medicine, encompassing both technical and scientific advances. Thus, it is possible to transcend from a photographic image to a memory image. This article, presents a brief overview, based on some photographs, of what has been the practice of medicine in Antioquia, its anatomical practices on cadavers, as well as surgical practices, during the late 19th and early 20th centuries. Furthermore, the photographs from that era provide evidence of the utility doctors found in documenting visible signs of disease or as part of their research.
{"title":"La fotografía como vestigio de una historia de la medicina","authors":"D. P. Díaz-Hernández","doi":"10.56684/ammd/2023.2.21","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.21","url":null,"abstract":"Medical photographs leave traces that mark a path through the historical journey of medicine, encompassing both technical and scientific advances. Thus, it is possible to transcend from a photographic image to a memory image. This article, presents a brief overview, based on some photographs, of what has been the practice of medicine in Antioquia, its anatomical practices on cadavers, as well as surgical practices, during the late 19th and early 20th centuries. Furthermore, the photographs from that era provide evidence of the utility doctors found in documenting visible signs of disease or as part of their research.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"&NA; 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83457835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A hundred years after Andres Posada Arango’s departure, his life is recognized, which, in some way, is part of that of all the doctors graduated from the Antioquia Medical Schools; He was one of the pioneers in the creation of the first School of Medicine in this region and one of its first professors. Through his writings you can discover his great interest in medicine, natural sciences, anthropology and history. His scientific spirit allowed him to recognize in hookworm the etiology of a disease known in the region as the Tun-tun; identify the origin and characteristics of the poison used by the Indians in the Choco; study the aborigines that inhabited the Antioquia territories and deserve that a plant bear its name Posadaea Sphaerocarpa, to transcend time as part of the characters who left their mark on universal history. The 148 publications in national and international journals and being a member of 18 national and international scientific Academies and Societies are the best presentation of the legacy left by this doctor and naturalist from Antioquia.
{"title":"). Andrés Posada Arango. El científico, el naturista, el médico, el historiador","authors":"D. P. Díaz-Hernández","doi":"10.56684/ammd/2023.2.26","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.26","url":null,"abstract":"A hundred years after Andres Posada Arango’s departure, his life is recognized, which, in some way, is part of that of all the doctors graduated from the Antioquia Medical Schools; He was one of the pioneers in the creation of the first School of Medicine in this region and one of its first professors. Through his writings you can discover his great interest in medicine, natural sciences, anthropology and history. His scientific spirit allowed him to recognize in hookworm the etiology of a disease known in the region as the Tun-tun; identify the origin and characteristics of the poison used by the Indians in the Choco; study the aborigines that inhabited the Antioquia territories and deserve that a plant bear its name Posadaea Sphaerocarpa, to transcend time as part of the characters who left their mark on universal history. The 148 publications in national and international journals and being a member of 18 national and international scientific Academies and Societies are the best presentation of the legacy left by this doctor and naturalist from Antioquia.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87603992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article reviews the personal, academic, and political life of Adela Cortina. Emphasis is placed on the creation of the Valencia Group, composed of philosophers from the University of Valencia (Spain) and the University of Castellón, which is a city that is not part of the Autonomous Community of Valencia. They have dedicated themselves to the study of ethics in all its aspects through conferences, publications, interviews, and articles for philosophy magazines in Spain. Adela Cortina’s contributions are very important regarding the anthropological principles of ethics and their practical application. Cortina begins with the recognition of the other or alterity, in order to understand the foundations of ethics that promote the dignity of all human beings, as Hegel had proposed. In 2007, she published the book “The Cordial Reason,” where she argues that “reason” must be complemented with elements of the “heart,” such as emotions and feelings, to better understand the anthropological basis of ethics. In 2017, she published “The Ethics of Compassionate Reason,” in the classical sense of the term, meaning “to suffer with the other” and, if possible, to help them. She mentions that she sought the opinion of Jürgen Habermas, who agreed with her. Her latest contribution to the problem of global poverty is an article on “post-poverty,” in which she recalls that in September 2015, the UN, with 193 signatory countries, committed to ending poverty and hunger by the year 2030. She argues that the ultra-rich should be taxed at a rate of 5% to achieve this.
本文回顾了阿德拉·科尔蒂娜的个人、学术和政治生活。重点放在瓦伦西亚小组的创建上，由瓦伦西亚大学(西班牙)和Castellón大学的哲学家组成，这是一个不属于瓦伦西亚自治区的城市。他们通过会议、出版物、访谈和为西班牙哲学杂志撰写文章，致力于伦理学的各个方面的研究。Adela Cortina的贡献对于伦理学的人类学原则及其实际应用非常重要。科尔蒂娜从承认他者或另类开始，为了理解伦理的基础，促进所有人的尊严，正如黑格尔所提出的。2007年，她出版了《亲切的理由》(the亲切的Reason)一书，在书中她认为，为了更好地理解伦理学的人类学基础，“理性”必须与情感和感觉等“心”元素相辅相成。2017年，她出版了《富有同情心的理性伦理》(The Ethics of Compassionate Reason)，这是该术语的经典含义，意思是“与他人一起受苦”，如果可能的话，帮助他们。她提到她征求了j根·哈贝马斯的意见，哈贝马斯同意她的观点。她对全球贫困问题的最新贡献是一篇关于“后贫困”的文章，她在文章中回忆说，2015年9月，有193个签署国的联合国承诺到2030年消除贫困和饥饿。她认为，为了实现这一目标，应该对超级富豪征收5%的税。
{"title":"Ética en la filosofía de Adela Cortina","authors":"Fernando Londoño-Martínez","doi":"10.56684/ammd/2023.2.25","DOIUrl":"https://doi.org/10.56684/ammd/2023.2.25","url":null,"abstract":"This article reviews the personal, academic, and political life of Adela Cortina. Emphasis is placed on the creation of the Valencia Group, composed of philosophers from the University of Valencia (Spain) and the University of Castellón, which is a city that is not part of the Autonomous Community of Valencia. They have dedicated themselves to the study of ethics in all its aspects through conferences, publications, interviews, and articles for philosophy magazines in Spain. Adela Cortina’s contributions are very important regarding the anthropological principles of ethics and their practical application. Cortina begins with the recognition of the other or alterity, in order to understand the foundations of ethics that promote the dignity of all human beings, as Hegel had proposed. In 2007, she published the book “The Cordial Reason,” where she argues that “reason” must be complemented with elements of the “heart,” such as emotions and feelings, to better understand the anthropological basis of ethics. In 2017, she published “The Ethics of Compassionate Reason,” in the classical sense of the term, meaning “to suffer with the other” and, if possible, to help them. She mentions that she sought the opinion of Jürgen Habermas, who agreed with her. Her latest contribution to the problem of global poverty is an article on “post-poverty,” in which she recalls that in September 2015, the UN, with 193 signatory countries, committed to ending poverty and hunger by the year 2030. She argues that the ultra-rich should be taxed at a rate of 5% to achieve this.","PeriodicalId":40725,"journal":{"name":"Anales de la Facultad de Medicina-Universidad de la Republica Uruguay","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82267415","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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