MALT lymphoma constitutes one half of all orbital malignancies. Ocular adnexal lymphoma of MALT-type (OAML) may affect critical structures in the orbit and can become therapeutic challenge. Surgery, radiotherapy or chemotherapy, alone or in combined modalities can be used as treatment options based on the individual patient variables as well as the site, stage and surgical accessibility of the OAML. This case confirms that radiosurgery with CyberKnife is an effective and safe therapeutic option in patients with OALM reducing the collateral damage to a minimal rate.
{"title":"Radiosugery with CyberKnife in Primary Orbital MALT Lymphoma: A Case Report","authors":"Vasko Graklanov, Popov Veselin, Grudeva-Popova Janet","doi":"10.37421/2165-7920.2021.11.1448","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1448","url":null,"abstract":"MALT lymphoma constitutes one half of all orbital malignancies. Ocular adnexal lymphoma of MALT-type (OAML) may affect critical structures in the orbit and can become therapeutic challenge. Surgery, radiotherapy or chemotherapy, alone or in combined modalities can be used as treatment options based on the individual patient variables as well as the site, stage and surgical accessibility of the OAML. This case confirms that radiosurgery with CyberKnife is an effective and safe therapeutic option in patients with OALM reducing the collateral damage to a minimal rate.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049328","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1460
B. Thaker, S. Bhardwaj, Kailash Singh Thaker
Nasal tuberculosis is a rare clinical entity even in areas with high incidence of tuberculosis. Due to its rarity and no specific clinical presentation its timely diagnosis as well as proper management often gets delayed. Therefore here we report a case of primary nasal tuberculosis in a 40-year-old male presented with nasal obstruction, epistaxis and recurrent cold since past 2 years. This case report would further emphasize that Nasal tuberculosis should always be kept as one of the differential diagnosis in chronic nasal symptoms and in granulomatous lesions of the nose; so that patient may be given appropriate and timely treatment.
{"title":"A Case of Primary Nasal Tuberculosis in 40-Year-Old Man","authors":"B. Thaker, S. Bhardwaj, Kailash Singh Thaker","doi":"10.37421/2165-7920.2021.11.1460","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1460","url":null,"abstract":"Nasal tuberculosis is a rare clinical entity even in areas with high incidence of tuberculosis. Due to its rarity and no specific clinical presentation its timely diagnosis as well as proper management often gets delayed. Therefore here we report a case of primary nasal tuberculosis in a 40-year-old male presented with nasal obstruction, epistaxis and recurrent cold since past 2 years. This case report would further emphasize that Nasal tuberculosis should always be kept as one of the differential diagnosis in chronic nasal symptoms and in granulomatous lesions of the nose; so that patient may be given appropriate and timely treatment.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"44 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049642","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1464
Sayooj Sebastian, J. Jose, Leya P. Babu
Transverse myelitis is an uncommon neurological condition characterized by the inflammation of the spinal cord causing destruction to the myelin sheath. Acquired immunodeficiency syndrome can be a risk factor for this unusual disease. In later stages of AIDS, HIV myelopathy can be presented with diminished CD4 counts. We report the case of a 47-year-old male patient with H/O HIV and Hypertension presented with the complaints of asymmetrical limb weakness, followed by involuntary bowel and bladder habits, decreased bladder sensation, and intermittent fever. At the time of admission, the patient was found to have features of myelopathy and after various modalities of evaluation the patient was initiated on the treatment for the same. Being a rare case, this case report has great importance. Also, treatment of multiple diseases with multiple drug therapy remains a major challenge for physicians.
{"title":"Transverse Myelitis in HIV Patient: A Case Report","authors":"Sayooj Sebastian, J. Jose, Leya P. Babu","doi":"10.37421/2165-7920.2021.11.1464","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1464","url":null,"abstract":"Transverse myelitis is an uncommon neurological condition characterized by the inflammation of the spinal cord causing destruction to the myelin sheath. Acquired immunodeficiency syndrome can be a risk factor for this unusual disease. In later stages of AIDS, HIV myelopathy can be presented with diminished CD4 counts. We report the case of a 47-year-old male patient with H/O HIV and Hypertension presented with the complaints of asymmetrical limb weakness, followed by involuntary bowel and bladder habits, decreased bladder sensation, and intermittent fever. At the time of admission, the patient was found to have features of myelopathy and after various modalities of evaluation the patient was initiated on the treatment for the same. Being a rare case, this case report has great importance. Also, treatment of multiple diseases with multiple drug therapy remains a major challenge for physicians.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049777","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1454
Noorhayati Binti Mohamad Nadzir, P. Raman, S. PremalaDevi, Khairul Husnaini Mohd Khalid
Miller Fisher Syndrome (MFS) is a rare inflammatory peripheral neuropathy where the diagnosis is made based on the clinical triad of ophthalmoplegia, ataxia, and areflexia. It is considered a variant of Guillain-Barre Syndrome (GBS) and associated with antiGQ1b IgG positive serology. Reports on cerebellar ataxia and supranuclear gaze palsy in MFS suggested an additional involvement of the central nervous system, encompassing Bickerstaff's Brainstem Encephalitis (BBE) spectrum.
Miller Fisher综合征(MFS)是一种罕见的炎性周围神经病变,其诊断基于眼麻痹、共济失调和反射性松弛的临床三联征。它被认为是格林-巴利综合征(GBS)的一种变体,与抗gq1b IgG血清学阳性相关。关于MFS患者小脑共济失调和核上凝视性麻痹的报道表明,中枢神经系统还受影响,包括比克斯塔夫脑干脑炎(BBE)谱。
{"title":"Miller Fisher Syndrome Variant: The Incomplete Triad","authors":"Noorhayati Binti Mohamad Nadzir, P. Raman, S. PremalaDevi, Khairul Husnaini Mohd Khalid","doi":"10.37421/2165-7920.2021.11.1454","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1454","url":null,"abstract":"Miller Fisher Syndrome (MFS) is a rare inflammatory peripheral neuropathy where the diagnosis is made based on the clinical triad of ophthalmoplegia, ataxia, and areflexia. It is considered a variant of Guillain-Barre Syndrome (GBS) and associated with antiGQ1b IgG positive serology. Reports on cerebellar ataxia and supranuclear gaze palsy in MFS suggested an additional involvement of the central nervous system, encompassing Bickerstaff's Brainstem Encephalitis (BBE) spectrum.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049905","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1468
Sidra Ahmed
Placenta accreta is an obstetrical complication that can result in life threatening hemorrhage if not managed with adequate care and cause high maternal morbidity. Caesarean hysterectomy is an effective method to control intra-operative bleeding; however, we present a case of placenta accreta that was diagnosed intra-operatively in our secondary set-up hospital. Owing to the lack of multidisciplinary team, bleeding was temporarily controlled by tying a tourniquet using a Foley’s catheter around the lower uterine segment with the tourniquet left in-situ and patient was shifted to a tertiary care hospital. This novel tourniquet technique bought time to transport the patient, arrange for a multidisciplinary team needed for this patient’s management, and reduce hemorrhage which directly determined maternal outcome.
{"title":"A Novel Tourniquet Technique to Reduce Hemorrhage in Placenta Accreta and Allow Transportation of Patient to Tertiary Care Hospital","authors":"Sidra Ahmed","doi":"10.37421/2165-7920.2021.11.1468","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1468","url":null,"abstract":"Placenta accreta is an obstetrical complication that can result in life threatening hemorrhage if not managed with adequate care and cause high maternal morbidity. Caesarean hysterectomy is an effective method to control intra-operative bleeding; however, we present a case of placenta accreta that was diagnosed intra-operatively in our secondary set-up hospital. Owing to the lack of multidisciplinary team, bleeding was temporarily controlled by tying a tourniquet using a Foley’s catheter around the lower uterine segment with the tourniquet left in-situ and patient was shifted to a tertiary care hospital. This novel tourniquet technique bought time to transport the patient, arrange for a multidisciplinary team needed for this patient’s management, and reduce hemorrhage which directly determined maternal outcome.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049990","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1471
I. Hussain
{"title":"Primary Prevention of Cardiovascular Disease","authors":"I. Hussain","doi":"10.37421/2165-7920.2021.11.1471","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1471","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049605","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1473
Angela Behera
{"title":"Immunological Components of Vaccination","authors":"Angela Behera","doi":"10.37421/2165-7920.2021.11.1473","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1473","url":null,"abstract":"","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049666","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1453
A. Gaboura, Z. Safty, A. Das, T. Gleeson, B. Carey, D. Honan, S. Babu
Group A Streptococcus (GAS) puerperal sepsis is still one of the significant causes of morbidity and mortality, despite the dramatic advancements in knowledge, prevention, and sepsis treatment since the days of Zimmerman. The incidence of GAS infections is variable. However, it is around 3-4 cases per 100,000 population every year in developed countries. It would be higher in developing countries. GAS Puerperal sepsis is the infection of the genital tract between membranes' rupture and the 42nd day postpartum, according to the WHO. We present the case of a 36-yearold Para 2, who came with fever and severe abdominal pain three days after vaginal delivery and progressed to septic shock. Differential diagnosis of complex appendicitis or Right Ovarian vessel thrombosis made. A Laparotomy confirmed Right Ovarian Vein Thrombosis, for which a Right Salpingo-Oophorectomy performed. Blood cultures established GAS infection. The woman made an uneventful recovery following aggressive antibiotic therapy and care in the Intensive Care Unit. The baby received antibiotics. She was discharged home on day 11, in good condition. One of the rarest complications of GAS Puerperal Sepsis is Ovarian Vein Thrombosis. Aggressive IV fluids and antibiotics therapy, as well as surgical intervention, is the mainstay of treatment. Multidisciplinary input is important.
{"title":"Ovarian Vein Thrombosis Complicating Puerperal Group andlsquo;Aandrsquo; Streptococcal Sepsis","authors":"A. Gaboura, Z. Safty, A. Das, T. Gleeson, B. Carey, D. Honan, S. Babu","doi":"10.37421/2165-7920.2021.11.1453","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1453","url":null,"abstract":"Group A Streptococcus (GAS) puerperal sepsis is still one of the significant causes of morbidity and mortality, despite the dramatic advancements in knowledge, prevention, and sepsis treatment since the days of Zimmerman. The incidence of GAS infections is variable. However, it is around 3-4 cases per 100,000 population every year in developed countries. It would be higher in developing countries. GAS Puerperal sepsis is the infection of the genital tract between membranes' rupture and the 42nd day postpartum, according to the WHO. We present the case of a 36-yearold Para 2, who came with fever and severe abdominal pain three days after vaginal delivery and progressed to septic shock. Differential diagnosis of complex appendicitis or Right Ovarian vessel thrombosis made. A Laparotomy confirmed Right Ovarian Vein Thrombosis, for which a Right Salpingo-Oophorectomy performed. Blood cultures established GAS infection. The woman made an uneventful recovery following aggressive antibiotic therapy and care in the Intensive Care Unit. The baby received antibiotics. She was discharged home on day 11, in good condition. One of the rarest complications of GAS Puerperal Sepsis is Ovarian Vein Thrombosis. Aggressive IV fluids and antibiotics therapy, as well as surgical intervention, is the mainstay of treatment. Multidisciplinary input is important.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049890","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1455
Taghreed Albalawi, P. Gergi, A. Alotaibi
Background: Appendicular Endometriosis represents less than 1% of all pelvic endometriosis cases. It manifests with pain in right iliac fossa and bear resemblance to acute appendicitis. Definitive diagnosis is possible only after histopathological examination of excised appendix. Case presentation: We report a rare case of Appendicular Endometriosis (AE) in a 38 years old non-married female, otherwise healthy, came to emergency room with less than 24 hours lower abdominal pain associated with nausea but no vomiting. All other systemic review was unremarkable. Patient has no positive medical or surgical history. Blood investigations were normal and abdominal ultrasound US showed edematous wall thickening of the appendix with 12 mm distended lumen. Laparoscopic appendicectomy was performed with incidental finding of blood-tinged fluid in the pelvis and multiple prominent fibroids of the uterus, the appendix was inflamed, and appendectomy done. Postoperative recovery course was uneventful. The final histopathological examination confirmed endometriosis of appendix. Conclusion: AE is a rare entity and almost always diagnosed after histopathological examination. it should be included in the differential diagnosis of acute abdominal pain, especially when women of childbearing age present with clinical symptoms of acute appendicitis.
{"title":"A Case Report on Appendicular Endometriosis","authors":"Taghreed Albalawi, P. Gergi, A. Alotaibi","doi":"10.37421/2165-7920.2021.11.1455","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1455","url":null,"abstract":"Background: Appendicular Endometriosis represents less than 1% of all pelvic endometriosis cases. It manifests with pain in right iliac fossa and bear resemblance to acute appendicitis. Definitive diagnosis is possible only after histopathological examination of excised appendix. Case presentation: We report a rare case of Appendicular Endometriosis (AE) in a 38 years old non-married female, otherwise healthy, came to emergency room with less than 24 hours lower abdominal pain associated with nausea but no vomiting. All other systemic review was unremarkable. Patient has no positive medical or surgical history. Blood investigations were normal and abdominal ultrasound US showed edematous wall thickening of the appendix with 12 mm distended lumen. Laparoscopic appendicectomy was performed with incidental finding of blood-tinged fluid in the pelvis and multiple prominent fibroids of the uterus, the appendix was inflamed, and appendectomy done. Postoperative recovery course was uneventful. The final histopathological examination confirmed endometriosis of appendix. Conclusion: AE is a rare entity and almost always diagnosed after histopathological examination. it should be included in the differential diagnosis of acute abdominal pain, especially when women of childbearing age present with clinical symptoms of acute appendicitis.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"28 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049976","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 : 2021-01-01DOI: 10.37421/2165-7920.2021.11.1451
Katie Pizzolato, A. Matos, J. Turgeon, ni Bardolia
Purpose: Falls, a common cause of injuries and hospitalizations, are observed more commonly as age increases. Several factors may potentiate a fall including vision impairment, muscle weakness, and medications. Among those, medication use is a modifiable risk factor that pharmacists can address to lower the risk for falls and falls-related injuries. Fall-risk-increasing drugs are associated with adverse drug events such as sedation, dizziness, impaired coordination, and orthostatic hypotension. The purpose of this case report is to present mitigation strategies a clinical pharmacist provided after a medication review that identified a fall-risk-increasing drug and multi-drug interactions, to which its resultant intervention reduced the risk for falls and improved patient safety. Case: A 63-year-old male who suffered a recent fall in his home received a targeted fall assessment medication review by a clinical pharmacist. Upon review, the clinical pharmacist identified hydroxyzine as a fall-risk-increasing drug and identified drug-drug interactions with simvastatin and fluoxetine that could increase the risk for hydroxyzine-related adverse drug events. Additionally, other fall-risk-increasing drugs (e.g., clonazepam, meclizine, fluoxetine) were present, each involved in one or more drug-drug interactions. As a first step, the clinical pharmacist recommended to discontinue the hydroxyzine to lower his risk for a future fall and fall-related injury. Conclusion: This case demonstrates an example of a clinical pharmacist’s interventions that resulted in a reduction of falls risk, along with the improvement of patient safety.
{"title":"Pharmacist-Led Medication Review Identifies and Mitigates Fall-Risk-Increasing Drugs and Multi-Drug Interactions","authors":"Katie Pizzolato, A. Matos, J. Turgeon, ni Bardolia","doi":"10.37421/2165-7920.2021.11.1451","DOIUrl":"https://doi.org/10.37421/2165-7920.2021.11.1451","url":null,"abstract":"Purpose: Falls, a common cause of injuries and hospitalizations, are observed more commonly as age increases. Several factors may potentiate a fall including vision impairment, muscle weakness, and medications. Among those, medication use is a modifiable risk factor that pharmacists can address to lower the risk for falls and falls-related injuries. Fall-risk-increasing drugs are associated with adverse drug events such as sedation, dizziness, impaired coordination, and orthostatic hypotension. The purpose of this case report is to present mitigation strategies a clinical pharmacist provided after a medication review that identified a fall-risk-increasing drug and multi-drug interactions, to which its resultant intervention reduced the risk for falls and improved patient safety. Case: A 63-year-old male who suffered a recent fall in his home received a targeted fall assessment medication review by a clinical pharmacist. Upon review, the clinical pharmacist identified hydroxyzine as a fall-risk-increasing drug and identified drug-drug interactions with simvastatin and fluoxetine that could increase the risk for hydroxyzine-related adverse drug events. Additionally, other fall-risk-increasing drugs (e.g., clonazepam, meclizine, fluoxetine) were present, each involved in one or more drug-drug interactions. As a first step, the clinical pharmacist recommended to discontinue the hydroxyzine to lower his risk for a future fall and fall-related injury. Conclusion: This case demonstrates an example of a clinical pharmacist’s interventions that resulted in a reduction of falls risk, along with the improvement of patient safety.","PeriodicalId":73664,"journal":{"name":"Journal of clinical case reports","volume":"11 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70049411","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}