Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.22
Kornilov A. V., Kuncevich M. V., Alexeev D. S., Kornilova Z. V., Zemko V. Yu.
The study included 88 patients with vertebral infection (nonspecific spinal osteomyelitis – M46.3, spinal epidural abscess – G06.1), of which 24 (27.3%) had diabetes. If the patient had impaired glucose metabolism, the lethality increased by 3.9 times. A key factor in the development of severe neurological deficit in patients with vertebral infection was the combination of epiduritis and diabetes. With the help of cluster analysis, it was found that the highest mortality (45%) is observed in patients who, in addition to the inflammatory focus in the spine, had diabetes, coronary heart disease and nephropathy.
{"title":"THE PROBLEM OF DIABETES IN THE TREATMENT OF VERTEBRAL INFECTION","authors":"Kornilov A. V., Kuncevich M. V., Alexeev D. S., Kornilova Z. V., Zemko V. Yu.","doi":"10.51922/2074-5044.2023.1.22","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.22","url":null,"abstract":"The study included 88 patients with vertebral infection (nonspecific spinal osteomyelitis – M46.3, spinal epidural abscess – G06.1), of which 24 (27.3%) had diabetes. If the patient had impaired glucose metabolism, the lethality increased by 3.9 times. A key factor in the development of severe neurological deficit in patients with vertebral infection was the combination of epiduritis and diabetes. With the help of cluster analysis, it was found that the highest mortality (45%) is observed in patients who, in addition to the inflammatory focus in the spine, had diabetes, coronary heart disease and nephropathy.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856789","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.1.66
Alqatawneh Mohammad Ali, Zhuk E. V., Bespalchuk P. I., Malets V.
The article provides a comparative analysis of the functional results of total knee arthroplasty and knee postoperative stability in the Sagittal plane in 124 patients (22 men and 102 women) suffering from gonarthrosis, aged 51 to 83 years (average 69.8 years), operated on with using a standard technique (n = 62) or using a computer navigation system (n = 62), observed for 6 to 36 months. from the time of surgery. The use of the navigation system made it possible in some cases to perform more accurate resection in the sagittal plane of the femur and tibia (9,6% of cases of deviations from the sagittal plane versus 25,8 % in the control group), as well as to achieve the optimal range of motion after arthroplasty: 124,8±1,7 versus 127±4,7 (p < 0.05).
{"title":"SAGITTAL STABILITY OF THE KNEE JOINT AFTER TOTAL ARTHROPLASTY USING A COMPUTER NAVIGATION SYSTEM","authors":"Alqatawneh Mohammad Ali, Zhuk E. V., Bespalchuk P. I., Malets V.","doi":"10.51922/2074-5044.2023.1.66","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.66","url":null,"abstract":"The article provides a comparative analysis of the functional results of total knee arthroplasty and knee postoperative stability in the Sagittal plane in 124 patients (22 men and 102 women) suffering from gonarthrosis, aged 51 to 83 years (average 69.8 years), operated on with using a standard technique (n = 62) or using a computer navigation system (n = 62), observed for 6 to 36 months. from the time of surgery. The use of the navigation system made it possible in some cases to perform more accurate resection in the sagittal plane of the femur and tibia (9,6% of cases of deviations from the sagittal plane versus 25,8 % in the control group), as well as to achieve the optimal range of motion after arthroplasty: 124,8±1,7 versus 127±4,7 (p < 0.05).","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857270","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.1.79
Bova A. A., Gromova Y. M., Metelsky S. M.
Arterial hypertension and diabetes mellitus – established large risk factors for cardiovascular diseases associated with atherosclerosis – are among the most common comorbidities in patients with coronavirus infection. Each of the pathologies, and especially their combination increases the cardiovascular risk, and in case of SARS-Cov-2 infection, the risk of severe course of infection and mortality. The article discusses the mechanisms of mutual burden of coronavirus infection, arterial hypertension and diabetes mellitus, provides a new concept of activating the immune system in hypertension, considers modern approaches to antihypertensive therapy in patients with diabetes mellitus.
{"title":"CORRECTION OF CARDIOVASCULAR RISK FACTORS IN PATIENTS WITH ARTERIAL HYPERTENSION AND DIABETES MELLITUS IN A TIME OF COVID-19 PANDEMIC","authors":"Bova A. A., Gromova Y. M., Metelsky S. M.","doi":"10.51922/2074-5044.2023.1.79","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.79","url":null,"abstract":"Arterial hypertension and diabetes mellitus – established large risk factors for cardiovascular diseases associated with atherosclerosis – are among the most common comorbidities in patients with coronavirus infection. Each of the pathologies, and especially their combination increases the cardiovascular risk, and in case of SARS-Cov-2 infection, the risk of severe course of infection and mortality. The article discusses the mechanisms of mutual burden of coronavirus infection, arterial hypertension and diabetes mellitus, provides a new concept of activating the immune system in hypertension, considers modern approaches to antihypertensive therapy in patients with diabetes mellitus.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857385","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.102
Mazanik A. V.
The epidemiological data and modern ideas concerning the pathogenesis of acute biliary pancreatitis are presented. Acute pancreatitis of biliary etiology is a widespread pathology with the lethality rate of 2–7%, and at a severe course – 17–39%. The leading pathogenetic mechanism of acute pancreatitis of biliary etiology is pancreaticobiliary ductal hypertesion. During the conservative treatment the relapse rate of acute biliary pancreatitis reaches 90% with the lethality rate up to 31%. The only risk factor of the relapse development is refusal to perform cholecystectomy after the first attack of acute biliary pancreatitis to the patients whose condition permitted to survive the intervention.
{"title":"ACUTE PANCREATITIS OF BILIARY ETIOLOGY. Report 1. EPIDEMIOLOGY AND CURRENT VIEWS ON PATHOGENESIS","authors":"Mazanik A. V.","doi":"10.51922/2074-5044.2023.2.102","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.102","url":null,"abstract":"The epidemiological data and modern ideas concerning the pathogenesis of acute biliary pancreatitis are presented. Acute pancreatitis of biliary etiology is a widespread pathology with the lethality rate of 2–7%, and at a severe course – 17–39%. The leading pathogenetic mechanism of acute pancreatitis of biliary etiology is pancreaticobiliary ductal hypertesion. During the conservative treatment the relapse rate of acute biliary pancreatitis reaches 90% with the lethality rate up to 31%. The only risk factor of the relapse development is refusal to perform cholecystectomy after the first attack of acute biliary pancreatitis to the patients whose condition permitted to survive the intervention.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857576","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.137
Ishutin O. S., Trunov R. V., Kraseva N. V.
The article presents the main historical milestones associated with the formation of the hospital in 1943, its location during combat work during the Great Patriotic War and medical activity in the post-war years. The management staff of the hospital, medical and service personnel of the institution for the period from 1943 to 2014 are presented.
{"title":"THE HISTORY OF THE BELARUSIAN MILITARY HOSPITAL BUSINESS ON THE EXAMPLE OF THE SNOVSKY № 2 MILITARY HOSPITAL OF THE BORDER SERVICE OF THE REPUBLIC OF BELARUS (In connection with the 80th anniversary of the formation)","authors":"Ishutin O. S., Trunov R. V., Kraseva N. V.","doi":"10.51922/2074-5044.2023.2.137","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.137","url":null,"abstract":"The article presents the main historical milestones associated with the formation of the hospital in 1943, its location during combat work during the Great Patriotic War and medical activity in the post-war years. The management staff of the hospital, medical and service personnel of the institution for the period from 1943 to 2014 are presented.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858034","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.15
Vasilev D. V., Kolendo P. G., Belyaev P. N., Sichinava N. I., Ramkov A. G.
{"title":"EXPERIENCE IN THE APPLICATION OF COMBINED BONE CAVITY PLASTY IN CHRONIC FIREARM POSTTRAUMATIC OSTEOMYELITIS OF THE FEMOR BONE","authors":"Vasilev D. V., Kolendo P. G., Belyaev P. N., Sichinava N. I., Ramkov A. G.","doi":"10.51922/2074-5044.2023.2.15","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.15","url":null,"abstract":"","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858928","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.1.53
Kochуna E. V., Zatoloka P. A.
Today the development of 3D technologies, the spread and improvement of 3D printers, as well as the development and application of new printing materials have contributed to the widespread introduction of 3D printing in medicine. There are many options for using 3D technologies, however, one of the most commonly used areas is preoperative planning. Modern imaging techniques are an important component of the preoperative stage in surgical practice. Using a personalized 3D model the surgeon in detail works out on it the optimal surgical approach, the most important stages of the upcoming operation, taking into account the individual anatomical features of the structure of the area of interest. The realism and practical significance of the operation on a 3D model is achieved due to the complete identity of the area of surgical interest with the patient's organs on a 1:1 scale. The purpose of this review was to present up-to-date information on the possibilities and prospects of using 3D printing in planning surgical interventions in otorhinolaryngology, using 3D modeling technologies in teaching students at the Department of Ear, Nose and Throat Diseases of Belarusian State Medical University. Thus, the prospects for 3D technologies are very large-scale, and they will undoubtedly become one of the most dynamic areas in medicine in the future.
{"title":"MODERN POSSIBILITIES AND DIRECTIONS OF USING 3D-MODELING IN OTORHINOLARYNGOLOGY","authors":"Kochуna E. V., Zatoloka P. A.","doi":"10.51922/2074-5044.2023.1.53","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.53","url":null,"abstract":"Today the development of 3D technologies, the spread and improvement of 3D printers, as well as the development and application of new printing materials have contributed to the widespread introduction of 3D printing in medicine. There are many options for using 3D technologies, however, one of the most commonly used areas is preoperative planning. Modern imaging techniques are an important component of the preoperative stage in surgical practice. Using a personalized 3D model the surgeon in detail works out on it the optimal surgical approach, the most important stages of the upcoming operation, taking into account the individual anatomical features of the structure of the area of interest. The realism and practical significance of the operation on a 3D model is achieved due to the complete identity of the area of surgical interest with the patient's organs on a 1:1 scale. The purpose of this review was to present up-to-date information on the possibilities and prospects of using 3D printing in planning surgical interventions in otorhinolaryngology, using 3D modeling technologies in teaching students at the Department of Ear, Nose and Throat Diseases of Belarusian State Medical University. Thus, the prospects for 3D technologies are very large-scale, and they will undoubtedly become one of the most dynamic areas in medicine in the future.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857036","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.126
Litvinchik А., Sipovich Y., Fedorov К., Trukhan А.
Purpose: to asses and to analyze early and long-term results of the hand reconstructions of the extensive soft tissue defects with posterior interosseous flap of the patients with hand injuries. Objective: find out whether this type of operation is optimal for the reconstruction of soft tissue defects of the hand; improve the quality of life of patients with soft tissue defects of the hand Materials and methods: the results of reconstruction of soft tissue defects of the hands with the posterior intercostal flap of the forearm in 6 patients (5 men and 1 woman) aged 31 to 67 years were analysed. In all 6 cases, reconstruction of the posterior interosseus flap was performed during the phased treatment of the patient with severe post-traumatic defects in the soft tissues of the hand. In all 6 cases, the reconstruction of soft tissue defects of the hands was combined with complex traumatic and orthopedic operations (autocost plasty with a cortical-spongiotic graft, removal or resection of one of the rays of the hand with the formalion of narrow – fingered hand, osteosynthesis and rheosynthesis by spokes, microscrews and microplates, necrectomy and amputations). Preoperative preparations included ultrasound Doppler of the forearm with visualization of posterior interosseus vessels. In all cases, reconstructive operations were performed using binocular optics with an increase of 30–35 times. In the postoperative period, the condition of vascularization of flaps was monitored by thermal imaging. Results: the flaps has taken root in all 6 cases. Postoperative complication in the form of marginal flap necrosis in it’s local venosus insufficiency was determined in one patient, which indicates the variability of vascular anatomy of the flap. Conclusion: 1 year after operation, all patients were satisfied with the function of the hand the aesthetic appearance of the hand and donor area on the forearm. Survey Disabilities of the Arm, Shoulders, and Hand (DASH) was used to assess postoperative results in all patients after 1 year.
{"title":"POSTERIOR INTEROSSEOUS FLAP IN RECONSTRUCTION SOFT TISSUE DEFECTS OF THE HAND","authors":"Litvinchik А., Sipovich Y., Fedorov К., Trukhan А.","doi":"10.51922/2074-5044.2023.2.126","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.126","url":null,"abstract":"Purpose: to asses and to analyze early and long-term results of the hand reconstructions of the extensive soft tissue defects with posterior interosseous flap of the patients with hand injuries. Objective: find out whether this type of operation is optimal for the reconstruction of soft tissue defects of the hand; improve the quality of life of patients with soft tissue defects of the hand Materials and methods: the results of reconstruction of soft tissue defects of the hands with the posterior intercostal flap of the forearm in 6 patients (5 men and 1 woman) aged 31 to 67 years were analysed. In all 6 cases, reconstruction of the posterior interosseus flap was performed during the phased treatment of the patient with severe post-traumatic defects in the soft tissues of the hand. In all 6 cases, the reconstruction of soft tissue defects of the hands was combined with complex traumatic and orthopedic operations (autocost plasty with a cortical-spongiotic graft, removal or resection of one of the rays of the hand with the formalion of narrow – fingered hand, osteosynthesis and rheosynthesis by spokes, microscrews and microplates, necrectomy and amputations). Preoperative preparations included ultrasound Doppler of the forearm with visualization of posterior interosseus vessels. In all cases, reconstructive operations were performed using binocular optics with an increase of 30–35 times. In the postoperative period, the condition of vascularization of flaps was monitored by thermal imaging. Results: the flaps has taken root in all 6 cases. Postoperative complication in the form of marginal flap necrosis in it’s local venosus insufficiency was determined in one patient, which indicates the variability of vascular anatomy of the flap. Conclusion: 1 year after operation, all patients were satisfied with the function of the hand the aesthetic appearance of the hand and donor area on the forearm. Survey Disabilities of the Arm, Shoulders, and Hand (DASH) was used to assess postoperative results in all patients after 1 year.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858291","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.17
Filonov V. P., Krasilnikov A. A., Dolgin A. S.
The article is about the fact that 15 years ago Belarusian scientists created an antiseptic drug for prevention and treatment of wound infection on the basis of polyhexamethylene biguanide –- "Mukosanin", and nowadays the use of such medications has become a worldwide trend in wound infection.
{"title":"THE USE OF ANTISEPTICS BASED ON POLYHEXAMETHYLENE BIGUANIDE FOR THE TREATMENT OF WOUND INFECTION","authors":"Filonov V. P., Krasilnikov A. A., Dolgin A. S.","doi":"10.51922/2074-5044.2023.2.17","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.17","url":null,"abstract":"The article is about the fact that 15 years ago Belarusian scientists created an antiseptic drug for prevention and treatment of wound infection on the basis of polyhexamethylene biguanide –- \"Mukosanin\", and nowadays the use of such medications has become a worldwide trend in wound infection.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858837","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.22
Uryvaev A. M., Bova A. A., Nagornov I. V., Ermolkevich R. F.
The special military operation of the Russian Federation in Ukraine has led to an increased possibility of using nuclear weapons. The use of nuclear weapons during the bombing of the Japanese cities of Hiroshima and Nagasaki in August 1945 led to severe injuries and death of thousands of people, burns, mechanical trauma. Ionizing radiation lesions were new and specific, causing significant difficulties in the diagnosis and management of this pathology. Since then, there have been a number of accidents at nuclear power plants, the largest of which were the accidents at the Chernobyl and the Fukushima. During this time, the concepts of acute and chronic radiation syndromes were introduced into medical practice, and methods for treating these diseases were developed. Today, in connection with the threat of the use of a “dirty bomb” in Ukraine, as well as with the increasing likelihood of using tactical nuclear weapons, there was a need to form certain skills and concepts of actions in case of injuries from ionizing radiation among doctors and paramedical personnel.
{"title":"MODERN APPROACHES TO THE DIAGNOSIS AND ASSISTANCE IN ACUTE RADIATION INJURIES IN REGIONAL MILITARY CONFLICTS","authors":"Uryvaev A. M., Bova A. A., Nagornov I. V., Ermolkevich R. F.","doi":"10.51922/2074-5044.2023.2.22","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.22","url":null,"abstract":"The special military operation of the Russian Federation in Ukraine has led to an increased possibility of using nuclear weapons. The use of nuclear weapons during the bombing of the Japanese cities of Hiroshima and Nagasaki in August 1945 led to severe injuries and death of thousands of people, burns, mechanical trauma. Ionizing radiation lesions were new and specific, causing significant difficulties in the diagnosis and management of this pathology. Since then, there have been a number of accidents at nuclear power plants, the largest of which were the accidents at the Chernobyl and the Fukushima. During this time, the concepts of acute and chronic radiation syndromes were introduced into medical practice, and methods for treating these diseases were developed. Today, in connection with the threat of the use of a “dirty bomb” in Ukraine, as well as with the increasing likelihood of using tactical nuclear weapons, there was a need to form certain skills and concepts of actions in case of injuries from ionizing radiation among doctors and paramedical personnel.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859124","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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