Medycyna pracy最新文献

{"title":"[Dehydration in elderly: causes, prophylaxis and treatment].","authors":"Michał Wróbel, Ireneusz Skawina, Grażyna Białek, Ewa Wróbel, Edyta Chamioło-Sołtysik, Maciej Hamoud","doi":"10.13075/mp.5893.01718","DOIUrl":"https://doi.org/10.13075/mp.5893.01718","url":null,"abstract":"<p><p>Dehydration is common among older adults. A narrative literature review was conducted to determine the current state of knowledge regarding the symptoms, prevention, and early treatment of dehydration. Fifty-three full-text articles from the years 2015-2025 were selected for the final analysis. The most common cause of dehydration in older people is insufficient fluid intake. Dehydration can also be a symptom of diseases common in older adults, including urinary tract infections, pneumonia and other febrile illnesses, as well as diabetes. In addition to medical causes, dehydration can result from a lack of knowledge regarding the importance of adequate fluid intake, lifestyle habits, and economic factors. Dehydration is primarily diagnosed through a medical interview and physical examination. Objective methods of diagnosis include serum osmolality, the serum urea-to-creatinine ratio, serum sodium concentration, haematocrit, urine specific gravity, and methods utilising bioimpedance, as well as devices such as smartwatches or wristbands. Consequences of dehydration can include delirium, renal failure, and cardiovascular diseases (stroke, transient ischaemic attack, myocardial infarction, and thrombosis etc.). The most important element of a dehydration prevention strategy is educating patients and their caregivers about the importance of proper hydration, early recognition and treatment of dehydration. Med Pr Work Health Saf. 2026;77(4).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198598","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":"[The right of older persons to consent to healthcare services: selected legal issues].","authors":"Damian Mikulski, Paweł Wróblewski, Ireneusz Skawina","doi":"10.13075/mp.5893.01732","DOIUrl":"https://doi.org/10.13075/mp.5893.01732","url":null,"abstract":"<p><p>This review examines the legal validity of consent to healthcare services given by older patients, with particular emphasis on cognitive impairment, the patient's actual capacity to make healthcare decisions, and the protection of patient autonomy in the decision-making process. The study is based on a narrative literature review combined with a doctrinal legal analysis of Polish statutory provisions, case law, and literature in medical law, geriatrics, cognitive psychology, and bioethics. The analysis indicates that reaching 60 years of age does not create a separate legal regime for consent to healthcare services and must not be equated with lack of decision-making capacity. The decisive factor is the patient's actual ability, assessed individually, contextually, and proportionately, to understand relevant information, relate it to their own health situation, appreciate the consequences of the proposed course of action, and make and communicate a voluntary decision. Particular attention is paid to patients who are not legally incapacitated and therefore formally retain their decision-making rights, but who, due to dementia, delirium, memory impairment, disturbances of consciousness, aphasia, depression, multimorbidity, or drug-related cognitive disturbances, may in specific circumstances lack sufficient actual capacity to make healthcare decisions. The article discusses practical implications for healthcare professionals in planned procedures and emergencies, conservative treatment, pharmacotherapy, diagnostic tests, and nursing or physiotherapy activities. It explains the legal significance of statutory representatives, guardianship courts, and statutory exceptions, as well as the limited role of informal carers and close relatives, who may support communication and help identify the patient's preferences but generally do not substitute patient consent. The conclusions emphasise the need to avoid ageism, adapt communication to the patient's cognitive and perceptual abilities, document the information process and assessment of understanding, and develop instruments enabling representation of the patient's prior will, including medical powers of attorney and registered powers of attorney. Med Pr Work Health Saf. 2026;77(4).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140161","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":"Working conditions, burnout and nurses' decision to quit the job: a cross-sectional study.","authors":"Sylwia Kocur, Izabela Marcelina Sowińska, Klaudia Dubis, Zuzanna Sroka, Marta Ewa Kasper, Iwona Malinowska-Lipień","doi":"10.13075/mp.5893.01699","DOIUrl":"https://doi.org/10.13075/mp.5893.01699","url":null,"abstract":"<p><strong>Background: </strong>The intention to quit the job among the nursing staff is becoming an increasingly common phenomenon, which is significantly influenced by burnout. Chronic psychophysical strain, excessive working hours, low remuneration and unfavourable working environment conditions lead to increasing fatigue, frustration and decreased professional commitment. As a result, burnout not only increases staff turnover, but also negatively affects the quality of patient care and their safety. The aim of the study was to assess the relationship between working conditions and burnout and nurses' decision to resign from work.</p><p><strong>Material and methods: </strong>A descriptive cross-sectional survey design was employed. The study group consisted of 212 male and female nurses employed in medical facilities in various regions of Poland. The study was conducted February-May 2024 using the <i>Maslach Burnout Inventory</i>, the <i>Practice Environment Scale of the Nursing Work Index</i> and an original questionnaire.</p><p><strong>Results: </strong>The majority of the respondents were women (92.92%), who were more willing to leave their jobs (87.78%) than men. Only 5.19% of respondents would recommend their workplace to other nurses as a good place to work. In the group of nurses intending to leave their jobs, over half (77.78%) of respondents negatively assessed their hospital as a place of work. Employees with the intention to leave their jobs achieved a significantly higher mean (M) value of the total burnout score (M = 58.96), p < 0.001.</p><p><strong>Conclusions: </strong>Nurses planning to quit their job rated their work environment worse, especially in terms of cooperation, support from the supervisor and management, and showed higher levels of burnout and emotional exhaustion. Better working conditions and good relationships with coworkers were associated with lower levels of burnout and higher job satisfaction. Med Pr Work Health Saf. 2026;77(6).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140215","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":"[The significance of vitamin D for well-being and the prevention of selected diseases in elderly people: a narrative review].","authors":"Aldona Molęda, Marzena Majchrowska, Aleksandra Kuzan","doi":"10.13075/mp.5893.01736","DOIUrl":"https://doi.org/10.13075/mp.5893.01736","url":null,"abstract":"<p><p>As civilization progress, the number of older people is constantly growing. Furthermore, they suffer a higher burden of comorbidity and polipharmacy, which has a significant impact on the overall well-being of people in this age group. Elderly people are at risk of vitamin D deficiency, which is necessary for the proper functioning of the human body by regulating the calcium-phosphate metabolism. The presented studies indicate the importance of adequate levels of 25-hydroxyvitamin D [25(OH)D] in the prevention of bone fractures. Literature analysis also indicates an increased risk of cardiovascular diseases and hypertension in subjects with significant vitamin D deficiencies. Promising are also the results showing the antiproliferative effect of vitamin D on cells of certain cancers. The study aims to identify the importance of maintaining proper levels of 25(OH)D in the blood serum of elderly people through an appropriate diet, sun exposure, and supplementation. Med Pr Work Health Saf. 2026;77(4).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077325","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":"[Assessment of early myocardial ischemic areas in elderly people with anxiety disorders based on short SATRO-ECG recordings: a pilot study].","authors":"Anna Janocha, Małgorzata Sobieszczańska, Robert Skalik, Dariusz Kałka","doi":"10.13075/mp.5893.01727","DOIUrl":"https://doi.org/10.13075/mp.5893.01727","url":null,"abstract":"<p><strong>Background: </strong>Identification of stable ischemic heart disease (IHD) in older people may be problematic due to the high incidence of atypical symptoms and problematic interpretation of additional tests. Diagnostic difficulties are also caused by multimorbidities, including anxiety disorders. The aim of the study was to assess the impact of anxiety reactions on the incidence of IHD in elderly people and early identification of local ischemic changes using a non-standard method that employs a computer program to analyze a traditional electrocardiogram (SATRO-ECG).</p><p><strong>Material and methods: </strong>The study group I comprised 50 subjects aged mean ± standard deviation (M±SD) 63.5±2.29 years, presenting generalized anxiety disorders (GAD), and 50 healthy volunteers aged M±SD 62.94±2.3 years, constituting a reference group II. In all study subjects SATRO-ECG, based on the single fibres heart electric activity model was used to evaluate the electrocardiograms. Moreover, all persons, after medical history taking, were subjected to physical examination.</p><p><strong>Results: </strong>Ischemic electrical heart activity occurred significantly more frequently in group I than group II (84% vs. 20%, p < 0.001). In group I, pathological values of quantitative parameters instantaneous stimulation (V_p) and instantaneous potential (V_ch) (<40%) were recorded in relation to the anterior wall of the left ventricle. As to the remaining walls, all parameters of group I reached a borderline value of 42-48%. In group I, comparing to group II, the value of the total electrical activity (<i>całkowita aktywność elektryczna</i> - CAŁ) (CAŁ I:II 43±14% vs. 70±12%) was also significantly lower (p < 0.001), with a significantly higher (p < 0.001) number of signs (-) on the ellipse. It should be noted that the analysis of traditional ECG recordings did not reveal any repolarization disorders.</p><p><strong>Conclusions: </strong>A significant impact of anxiety on the incidence of stable IHD in patients with GAD was noted. The analysis of SATRO-ECG measurements increases a diagnostic accuracy in detecting myocardial ischemic changes that are not possible to assess in the traditional way, and therefore may enable stratification of IHD, while increasing the usefulness of the standard ECG. Med Pr Work Health Saf. 2026;77(4).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077352","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":"[Return to work after treatment for a ruptured intracranial aneurysms: a literature review].","authors":"Tomasz Borusiński, Michał Krakowiak","doi":"10.13075/mp.5893.01715","DOIUrl":"https://doi.org/10.13075/mp.5893.01715","url":null,"abstract":"<p><p>Rupture of a cerebral aneurysm and the resulting subarachnoid hemorrhage often lead to early and long-term neurological deficits. These impairments significantly limit daily functioning and hinder return to work. The ability and timing of return to work after interventional treatment depend on multiple clinical and individual factors. The aim of the study was to review evidence on return to work among patients following surgical and endovascular treatment of ruptured cerebral aneurysms. The review included 27 publications from 1999-2025 on return to work after aneurysmal subarachnoid hemorrhage. The findings indicate that neurological outcomes, severity of persistent symptoms, age, and mental health are the main factors determining return to work. Type of occupation also play a significant role. Systematic monitoring of return-to-work outcomes after treatment of ruptured cerebral aneurysms appears to be an important component of treatment evaluation. It may facilitate identification of barriers that hinder the return to work and support the development of more targeted and effective therapeutic interventions. Med Pr Work Health Saf. 2026;77(6).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077338","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":"Accessibility of museum facilities for older adults in the context of contemporary architectural solutions: a case study of 3 museums in Cairo.","authors":"Dorota Wojtowicz-Jankowska","doi":"10.13075/mp.5893.01742","DOIUrl":"https://doi.org/10.13075/mp.5893.01742","url":null,"abstract":"<p><strong>Background: </strong>Contemporary societies are aging rapidly, which influences the design of public spaces, including museums. The growing number of older people among cultural audiences necessitates taking their needs and limitations into account when shaping architecture and organizing exhibitions. Key factors in the transformations observed in these facilities include the clarity of the visitor route, the quality of lighting, acoustics.</p><p><strong>Material and methods: </strong>The study is comparative in nature and concerns the development of museum architecture in Cairo, with particular emphasis on architectural, technological, and functional solutions adapted to the needs of older adults. The analysis includes 3 prestigious museums - the Egyptian Museum, the National Museum of Egyptian Civilization, and the Grand Egyptian Museum - presenting unique archaeological collections. The research method considers spatial analysis with a focus on visitors aged >60 years, whose number is increasing.</p><p><strong>Results: </strong>For older visitors, solutions that support intuitive orientation and reduce cognitive fatigue are essential. Clear signage, logical spatial organization, and the possibility of choosing individual routes are of key importance. It is also crucial to design circulation paths to eliminate feelings of chaos and disorientation. The analysis also considers factors such as confusion, information overload, and anxiety in crowded spaces.</p><p><strong>Conclusions: </strong>Contemporary museums are becoming inclusive spaces that respond to the needs of diverse audiences, including older adults. This group is likely to represent the future of many institutions, including museums, as their primary visitors. Therefore, architectural solutions are not only innovative forms but also comfort-oriented approaches aimed at creating welcoming environments. Enhancing visitor comfort by reducing fatigue and using diverse means of communication may encourage engagement with museums and their collections. This is linked both to the development of technologies supporting ambitious architectural projects and to the creation of comfortable environments for the increasingly significant group of seniors, influencing museum design directions and the development of cultural tourism. Med Pr Work Health Saf. 2026;77(4).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077391","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":"[The role of employment in mitigating loneliness among older adults].","authors":"Katarzyna Domosławska-Żylińska, Agnieszka Wasiluk, Magdalena Łopatek, Dominik Olejniczak","doi":"10.13075/mp.5893.01735","DOIUrl":"https://doi.org/10.13075/mp.5893.01735","url":null,"abstract":"<p><strong>Background: </strong>The increasing proportion of older adults in the population, along with changes in their occupational engagement, has made loneliness a growing concern across Europe. Due to the unclear relationship between work and loneliness, this study aimed to examine the association between occupational activity and loneliness among adults aged ≥60 years, considering factors that may influence this relationship.</p><p><strong>Material and methods: </strong>The study was conducted among 1090 respondents aged ≥60 years in September-November 2025 using computer-assisted telephone interviews (CATI). Loneliness was assessed using the <i>Revised UCLA Loneliness Scale</i> (R-UCLA), and life satisfaction was measured with the <i>World Health Organization Quality of Life - Brief Version</i> (WHOQOL-BREF) questionnaire. Participants were categorized into 3 groups: occupationally and socially active, socially active but not occupationally active, and neither occupationally nor socially active. Logistic regression (odds ratio, 95% CI) was applied to identify factors associated with occupational activity, Mann-Whitney U tests were used for comparisons between working and non-working participants, and Kruskal-Wallis tests were employed for analyses across the 3 activity profiles.</p><p><strong>Results: </strong>Engagement in occupational activity among adults aged ≥60 years was limited (17.2%). It was most common among individuals aged 60-69 years, who have higher education, are more satisfied with their lives, but are also divorced, rate their mental health more poorly, and are in a more difficult financial situation (p < 0.05). Non-working participants exhibited significantly higher loneliness, lower social connectedness, and poorer quality of life (p < 0.001). Occupationally active individuals showed the highest quality of life and lowest loneliness, whereas those inactive both socially and professionally displayed the lowest quality of life and highest loneliness levels.</p><p><strong>Conclusions: </strong>Occupational activity may reduce loneliness and enhance quality of life among older adults, highlighting the importance of systemic and institutional support. There is a need to develop and expand access to age-friendly and flexible employment opportunities for seniors to promote active and healthy aging. Med Pr Work Health Saf. 2026;77(5).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077369","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":"Universal design and the quality of residential architecture for people with limited mobility: case study.","authors":"Andrzej Dudziński, Przemysław Nowakowski","doi":"10.13075/mp.5893.01729","DOIUrl":"https://doi.org/10.13075/mp.5893.01729","url":null,"abstract":"<p><strong>Background: </strong>Housing conditions of elderly people in Poland, along with the increasing economic stratification of society, are quite diverse. Statistics show that senior citizens mostly live in dwellings built before the political and economic transformations of the 1990s. Many buildings from that period do not meet current construction law requirements. An analysis of the current developer market indicates that contemporary residential developments also insufficiently address the real needs of people with disabilities. Despite changing legal regulations and growing social awareness, individuals with various health limitations that increase with age still face numerous barriers in everyday life, including architectural ones.</p><p><strong>Material and methods: </strong>The article presents the results of research involving a literature review, housing inventory, application of analytical and comparative methods, interpretation of collected data, and their synthesis. The study identifies typical cases of inadequate - by contemporary standards - architectural solutions in existing multi-family residential buildings, in the context of current legal regulations and principles of universal design. The article includes case studies of apartments from different time periods, with particular emphasis on newer developments.</p><p><strong>Results: </strong>The presented examples demonstrate that residential buildings are still not sufficiently adapted to the needs of people with disabilities, including the elderly. Selected current building regulations are discussed, along with housing projects implemented based on these regulations that nevertheless fail to meet users' needs. Based on the conducted research and the authors' design experience, solutions are proposed that could improve housing quality in relation to the needs of diverse users.</p><p><strong>Conclusions: </strong>There is a need to further specify regulations regarding the adaptation of buildings to the needs of elderly people and others with disabilities. At the same time, the growing population of seniors should become an attractive target group for developers constructing housing in accordance with market principles. Med Pr Work Health Saf. 2026;77(4).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077315","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":"The role of attitudes toward safety in driving behaviour: testing the mediation of intentional and unintentional driver errors.","authors":"Patrycja Basińska, Aleksandra Błachnio","doi":"10.13075/mp.5893.01683","DOIUrl":"https://doi.org/10.13075/mp.5893.01683","url":null,"abstract":"<p><strong>Background: </strong>The aim of the study was to examine whether attitudes toward safety are statistically associated with the relationship between HEXACO (honesty-humility, emotionality, extraversion, agreeableness, conscientiousness, openness to experience) personality traits and Reason's classification of driving behaviours, and whether this pattern differs between intentional and unintentional behaviours.</p><p><strong>Material and methods: </strong>The study involved 76 women and 122 men who drive passenger vehicles as part of their professional duties. The HEXACO <i>Personality Inventory-Revised</i> was used to measure personality traits, the <i>Driving Behaviour Questionnaire</i> to assess driving behaviours, the<i> Safety Attitudes Questionnaire</i> to measure attitudes toward safety, and a demographic survey.</p><p><strong>Results: </strong>Statistically significant indirect effects via attitudes toward safety were found between emotionality, extraversion, conscientiousness, and openness to experience and violations. For honesty-humility and agreeableness, both indirect effects via attitudes toward safety and direct effects on violations were observed. No significant indirect effects via attitudes toward safety were found for mistakes, lapses, or inexperience.</p><p><strong>Conclusions: </strong>The findings suggest that attitudes toward safety may be more closely related to intentional violations than to unintentional driving behaviours. At the same time, the absence of indirect effects for mistakes, lapses, and inexperience, together with the presence of some direct associations with HEXACO traits, suggests that additional cognitive or self-regulatory mechanisms may be involved. Given the cross-sectional design, the results should be interpreted as correlational and require further verification in longitudinal and multi-method research. Med Pr Work Health. 2026;77(6).</p>","PeriodicalId":101460,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077335","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}