Journal of Family Medicine and Primary Care最新文献

{"title":"Obesity as a risk factor for COVID-19 breakthrough infection among the fully vaccinated urban population of South Gujarat - A retrospective cohort study.","authors":"Mayank Jha, Pratham Kholwadwala, Vatsal Kalariya, Mamta Rani, Jayant Patel, Hitesh Shah, Rushikesh Shukla","doi":"10.4103/jfmpc.jfmpc_1127_24","DOIUrl":"10.4103/jfmpc.jfmpc_1127_24","url":null,"abstract":"<p><strong>Background and objectives: </strong>There is more possibility of COVID-19 among obese people; hence, research into how well vaccinations work in this population should be focused. More scientific studies are required to document the effect of body mass index (BMI) on the usefulness of the adenovirus vector vaccine as reviews are lacking. This study was done to see the association between obesity with COVID-19 infections due to poor vaccine response among them.</p><p><strong>Methods: </strong>A cohort of fully vaccinated individuals of a city in western India were contacted, and a retrospective cohort study was conducted. An average of 400-425 participants among the obese group (exposed) and an average of 400-425 participants among the nonobese group were taken. Data on sociodemographic details, vaccination status, height and weight for BMI calculation, COVID-19 infection status, and its clinical features were collected using predesign, pretested, semistructured questionnaires. Societies were randomly selected from eight different zones of the city, and all the eligible individuals of the society available at the time of survey were interviewed. Data entry and analysis were done using Microsoft excel, Open Epi, Quantpsy, and SPSS-16 software. Relative risk and odds ratios were calculated in open epi software.</p><p><strong>Results: </strong>The ratio of obese to nonobese individuals was 1:1. Accordingly, 409 obese and 409 nonobese participants were recruited. The mean age of participants was 41.3 ± 14.9 years. As high as 144 (17.6%) of respondents were having history of previous infection before vaccination, and around 42 (5.1%) respondents of the overall study population were infected after the first dose of vaccination. The total count of people for infections before receiving a single dose of vaccination irrespective of body status was reported to be 144 (17.6%) out of a total of 818 candidates.</p><p><strong>Interpretation and conclusions: </strong>We can conclude that not only obesity is a risk factor but also it increases the severity of COVID-19 infection.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"382-389"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study of lipid profile peculiarities and atherogenic index of plasma in patients younger than fifty years of age with newly diagnosed rheumatoid arthritis.","authors":"Varsha R Bhatt, Kavita K Krishna, Vishal Asrani, Rajat Chauhan","doi":"10.4103/jfmpc.jfmpc_260_24","DOIUrl":"10.4103/jfmpc.jfmpc_260_24","url":null,"abstract":"<p><strong>Context: </strong>Cardiovascular disease (CVD) is an important cause of mortality in rheumatoid arthritis (RA).</p><p><strong>Aims: </strong>Evaluation of lipid profile and atherogenic index of plasma (AIP) in newly diagnosed DMARD naïve patients of RA younger than 50 years of age, and its comparison with age- and sex-matched healthy controls.</p><p><strong>Settings and design: </strong>Cross-sectional comparative study.</p><p><strong>Methods and material: </strong>48 patients aged 18 to 50 years fulfilling the ACR/EULAR criteria for RA, not yet on DMARD or steroids and 51 healthy controls were included. Disease activity was assessed, and lipid profile was estimated: total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), triglycerides (TG) and very low-density lipoprotein (VLDL). Atherogenic index of plasma (AIP) was calculated using a standard formula.</p><p><strong>Statistical analysis used: </strong>Independent sample t-tests were used to determine the statistical significance of mean values between the case and control groups. Pearson's correlation test was used to correlate various components of the lipid profile and the atherogenic index with DAS28-ESR.</p><p><strong>Results: </strong>Significantly reduced levels of HDL (39.31 ± 6.52 mg/dl) were found in patients with RA as compared to the healthy controls. Serum TG was significantly higher in the cases (138.35 ± 39.23 mg/dl). TC level was significantly elevated in the cases. Mean atherogenic index in cases was significantly higher (0.17 + 0.14) in some cases. Only a weak correlation was found between lipid profile components and DAS28-ESR.</p><p><strong>Conclusions: </strong>Serum HDL level was significantly lower, and TC, TG levels and AIP were significantly higher in younger patients of early DMARD naïve RA pointing to a higher CV risk.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"154-159"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety culture: Insights from a cross-sectional study among healthcare professionals.","authors":"Vijay K Tadia, Neelam Kotwal, Rahul S Jalaunia","doi":"10.4103/jfmpc.jfmpc_904_24","DOIUrl":"10.4103/jfmpc.jfmpc_904_24","url":null,"abstract":"<p><strong>Introduction: </strong>The classical definition of patient safety given by the IOM is, \"the prevention of harm to patients.\" To expect error less performance from human beings working in a complex, highly challenging, and stressful health care environment is unrealistic. The emphasis must be on fostering a culture of safety that involves multiple stakeholders including healthcare workers, healthcare organizations, and patients.</p><p><strong>Aim: </strong>To assess the culture of patient safety among healthcare professionals.</p><p><strong>Settings and design: </strong>A descriptive cross-sectional study was conducted using a pre-validated survey instrument in a tertiary care pediatric hospital.</p><p><strong>Methods and material: </strong>The data were collected over a period of 1 month (from 4^th January 2022 to 5^th February 2022) using pre-validated questionnaire based on \"Surveys on Patient Safety Culture™ (SOPS™) Hospital Survey Version 2.0 (SOPS Hospital Survey 2.0)\". Both web-based and paper-based questionnaire forms were distributed among the health care workers.</p><p><strong>Results: </strong>Totally, 61% of the respondents had average positive response to patient safety, 75% positive response about communication of patient safety error and 74% about teamwork in crisis. A total of 74% responded that supervisors or clinical leaders support them in pursuit of patient safety, 73% about proper handovers. About 69% mentioned about a culture of organizational learning and continuous improvement, 59% reported any patient safety event, 49% believed in support from Hospital management and 42% believed that if a patient safety error is reported it is responded to positively by the seniors by taking corrective measures.</p><p><strong>Conclusions: </strong>The study presented with a plethora of outcomes that can be used for promoting safe healthcare. A policy for continuous improvement should be implemented to ensure the culture of safe and sustainable patient care.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"90-96"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality and mental health among medical students in Imphal, Manipur: A cross-sectional study.","authors":"Jalina Laishram, Sandra Fernandez, Pangambam A Devi, Mani R Bhowmick, Roshnee Heigrujam, Hanjabam S Devi","doi":"10.4103/jfmpc.jfmpc_1160_24","DOIUrl":"10.4103/jfmpc.jfmpc_1160_24","url":null,"abstract":"<p><strong>Background: </strong>Sleep and mental health are deeply interlinked, with poor sleep quality, a common issue among medical students, having a profound impact on their mental well-being.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among medical students in a tertiary care hospital in Imphal, Manipur. Data were collected using a self-administered questionnaire consisting of the Pittsburgh Sleep Quality Index (PSQI) and Depression Anxiety Stress Scale (DASS-21). Descriptive statistics, Chi-square test, and Pearson correlation test were applied, and <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 425 respondents took part in the study, including 268 undergraduate and 157 postgraduate students. Most participants, 236 (55.5%) had poor sleep quality. Among the participants, 168 (39.5%) had depression, 167 (39.3%) had anxiety, and 95 (22.4%) had stress. Poor sleep quality was significantly associated with academic year among undergraduate students (<i>P</i> = 0.005), increased total screentime per day (<i>P</i> = 0.024), and increased screentime before sleep (<i>P</i> = 0.007). Depression, anxiety, and stress were significantly associated with younger age (<i>P</i> = 0.001), the undergraduate course being pursued (<i>P</i> = 0.001, 0.003, and 0.001), and increased screen time before sleep (<i>P</i> = 0.021, 0.046, and 0.039). Depression, anxiety and stress scores had a significant positive correlation with the global PSQI score.</p><p><strong>Conclusion: </strong>More than half of the participants experienced poor sleep quality, with four out of ten experiencing depression or anxiety, and two out of ten experiencing stress. Hence, medical institutes must implement sleep hygiene education and screen time reduction initiatives to enhance students' sleep quality and overall well-being.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"276-282"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Subarachnoid block in active burn injury\": A case report of anesthetic challenges and considerations.","authors":"Rutuja Gohad, Sudha S Jain, Shubham Rahane, Dushyant Bawiskar","doi":"10.4103/jfmpc.jfmpc_1245_24","DOIUrl":"10.4103/jfmpc.jfmpc_1245_24","url":null,"abstract":"<p><p>Anesthetists pose different challenges in burn cases associated with polytrauma. Here, we present a case of a 35-year-old male electrician with an electric burn and a fall from height who sustained major chest trauma (hemothorax, pneumothorax, emphysema, and multiple rib fracture, and bilateral femur fracture). The collocated burn over the spinal region posed the challenge to administering a subarachnoid block, which was overcome with a paramedian approach anesthesia. The surgical outcome was good, and the patient was stable post-surgery. The paramedian approach provides an excellent alternative to the midline approach for spinal anesthesia. It should be considered in burn patients where it is impossible for the patient to flex, where the intervertebral space is very low, or when there is a burn present over the spinal region. Ultimately, early therapy and mobility goals, two essential components of burn care and rehabilitation, can be achieved with the use of paramedian regional anesthesia.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"502-505"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of asymptomatic fungal infections in COVID-19 positive and COVID-19 negative pneumonia: A comprehensive epidemiological analysis.","authors":"Dheerendra Kumar Mishra, Pramod Kushwaha, Pooja Gangwar, Ajeet Singh, Umesh Pratap Singh","doi":"10.4103/jfmpc.jfmpc_2033_23","DOIUrl":"10.4103/jfmpc.jfmpc_2033_23","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has underscored the impact of secondary fungal infections on patient outcomes. This single-center study explores asymptomatic fungal infections in COVID-19-positive and COVID-19-negative pneumonia cases, elucidating the intricate relationship between viral respiratory illnesses and fungal co-infections.</p><p><strong>Methods: </strong>Conducted at a single center, this cross-sectional study examines the prevalence, risk factors, and clinical implications of asymptomatic fungal infections in patients with COVID-19-positive and COVID-19-negative pneumonia. Various demographic, clinical, and laboratory parameters were analyzed.</p><p><strong>Results: </strong>Fungal infections were significantly more prevalent in COVID-19 positive pneumonia cases (60%) compared to COVID-19 negative pneumonia cases (36%), with a notable <i>P</i> value of 0.016309. Furthermore, COVID-19-positive patients exhibited distinct clinical characteristics, including increased use of remdesivir (94%), higher rates of invasive mechanical ventilation (36%), and a prolonged hospital stay (14.29 days).</p><p><strong>Conclusion: </strong>This study sheds light on the heightened vulnerability to asymptomatic fungal infections in COVID-19-positive pneumonia cases. Understanding these infections prevalence and their associated factors is crucial for comprehensive patient care and may influence treatment strategies, emphasizing the need for targeted interventions in viral respiratory illnesses.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"401-405"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of autonomic function in diabetics and yoga practitioners using Ewing's battery.","authors":"Tasneem Amadawala, Charushila Rukadikar, Dileep Deshpande","doi":"10.4103/jfmpc.jfmpc_749_24","DOIUrl":"10.4103/jfmpc.jfmpc_749_24","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels. It significantly increases the risk of cardiovascular diseases and autonomic neuropathy. Yoga has been shown to improve autonomic function and glycemic control in diabetic patients.</p><p><strong>Objective: </strong>To compare the autonomic nervous system (ANS) function between diabetic patients and regular yoga practitioners using Ewing's battery tests.</p><p><strong>Methods: </strong>This cross-sectional study included 270 participants, divided into two groups: 135 diabetics (Group I) and 135 yoga practitioners (Group II). Participants' height, weight, and BMI were measured. ANS function was assessed using Ewing's battery tests, which included heart rate (HR) and blood pressure (BP) responses to various stimuli. Statistical analysis was performed using SPSS, with significance set at <i>P</i> ≤ 0.05.</p><p><strong>Results: </strong>Diabetic participants showed lower HR responses to standing from a supine posture, the Valsalva maneuver, and slow deep breathing, indicating impaired parasympathetic function. They also exhibited higher BP responses to the cold pressor test, sustained handgrip, and standing, reflecting sympathetic overactivity. In contrast, yoga practitioners demonstrated better autonomic function with higher HR responses and lower BP responses in these tests. The findings suggest that yoga promotes parasympathetic dominance and reduces sympathetic overactivity.</p><p><strong>Conclusion: </strong>Regular yoga practice significantly improves autonomic function in individuals, including those with diabetes. These results support the incorporation of yoga as a complementary therapy in diabetes management to enhance cardiovascular health and reduce autonomic dysfunction.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"121-125"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infertility and risk of ovarian cancer: A systematic review and meta analysis.","authors":"Indra Sambasivam, H Gladius Jennifer, Saravanan Chinnaiyan","doi":"10.4103/jfmpc.jfmpc_227_24","DOIUrl":"10.4103/jfmpc.jfmpc_227_24","url":null,"abstract":"<p><p>Post-modernization has increased infertility globally. Infertility can cause ovarian, breast, and endometrial cancers. Recent studies have shown that a substantial proportion of couples undergoing infertility treatment develop cancer. However, existing studies yielded inconsistent results. Therefore, we conducted a meta-analysis to determine whether infertility increases the risk of ovarian cancer. Our systematic review and meta-analysis intended to identify the association between ovarian cancer and infertility based on the existing research. In accordance with PRISMA guidelines, this review contains studies on infertility and ovarian cancer as an outcome measure among ovarian cancer groups and those not having cancer. Two authors independently retrieved the articles through electronic databases such as PubMed and Scopus. This review includes 25 studies published worldwide between 2001 and 2022. This systematic review has been registered with the International Prospective Registry of Systematic Reviews (PROSPERO) (CRD CRD42021288860). The systematic review included 25 articles, while the meta-analysis included four. In total, data from 84,49,557 participants in 25 studies were extracted (21 cohort studies and 4 case-control studies). The global prevalence of ovarian cancer among women with a history of infertility was 0.5%. The calculated OR of developing ovarian cancer as a result of infertility was 1.35 (95% CI: 0.92-1.97). The pooled odds ratio of developing ovarian cancer as a result of infertility drug use was 0.93 (95% CI: 0.94-2.46). Pooled effect was shown to be stable and reliable by cumulative meta-analysis. The current meta-analysis showed that women who used infertility drugs had a higher risk of developing OC than those having a history of infertility.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"15-21"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights on youth sports: Key issues.","authors":"Abhimanyu Vasudeva, Nishat Ahmed Sheikh","doi":"10.4103/jfmpc.jfmpc_1386_24","DOIUrl":"10.4103/jfmpc.jfmpc_1386_24","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"508"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health profile assessment of school children of Jodhpur District of Rajasthan.","authors":"Shazia Shafi, Pankaja Raghav, K H Naveen, Yachana Chowdhary, Ashish Pundhir","doi":"10.4103/jfmpc.jfmpc_681_24","DOIUrl":"10.4103/jfmpc.jfmpc_681_24","url":null,"abstract":"<p><strong>Background: </strong>The health and nutritional status of young children is an index of national investment within the development of its future manpower. There is a limited data available on health profile among adolescents in India. Thus, this study was undertaken with the target of assessing the nutritional status and morbidity pattern of school children Jodhpur district of Rajasthan. The objectives of this study were to assess the health profile including general physical examination, anthropometric measurements, morbidity pattern and addiction among school-going children of Jodhpur.</p><p><strong>Material and methods: </strong>A school-based observational cross-sectional study was carried out among the nearby schools pertaining to our urban and rural health centres associated with the Department of Community Medicine and Family Medicine, AIIMS Jodhpur.</p><p><strong>Result: </strong>A total of 525 school children participated in the study. On general physical examination, it was observed that the majority (4.1%) of the school children from rural area were seen with 'flag sign' in comparison with those in urban region. Fluorosis was observed in the majority (60.2%) in rural schools in comparison with urban and this was found to be statistically significant (<i>P</i> = 0.000). The majority (21, 0.04%) of them were suffering from hearing loss, among them (13,61.9%) were from rural area in comparison with (08, 38.1%) in urban and this difference was found to be statistically significant. (0.000*). Anaemia was observed in (210, 40.0%) of the school children.</p><p><strong>Conclusion: </strong>The study brings out the need for intensified and targeted school health awareness programmes for school-going children and utilization of various services.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 1","pages":"70-77"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}