Journal of Family Medicine and Primary Care最新文献

{"title":"A participatory evaluation of an intergenerational project on the lives of the older adults in rural central India using the most significant change approach.","authors":"Rutuja S Kolhe, Manashri Bhuyar, Abhishek Raut, Arjunkumar Jakasania, Anuj Mundra, Radhika Sharma, Amey Dhatrak, P V Bahulekar, Chetna H Maliye, Subodh Gupta","doi":"10.4103/jfmpc.jfmpc_1655_24","DOIUrl":"10.4103/jfmpc.jfmpc_1655_24","url":null,"abstract":"<p><strong>Introduction: </strong>Intergenerational engagement programs aim to foster meaningful interactions between older adults and younger generations by using community resources and participation. These interventions strive to create age-integrated families and communities sustainably, emphasizing the valuable contributions older adults can make to the growth and development of children and adolescents.</p><p><strong>Methods: </strong>This study, part of the 'Sahjeevan: Chaitanya natyanche' project in 18 villages of Wardha district, India, adopted a participatory qualitative approach using the Most Significant Change (MSC) method. Stakeholders, including panchayat members, master trainers, peer trainers, and Anganwadi workers, participated in identifying significant community changes. Initially, ten stories highlighting changes resulting from the interventions were collected and categorized into three domains: individual, family, and community-level changes. A selection rubric was developed to assess the significance of these stories. Subsequently, a selection committee panel evaluated and selected the five most significant stories of change.</p><p><strong>Results: </strong>The selected stories provided comprehensive insights into the key areas where the project activities positively influenced beneficiaries' lives. These narratives offered an in-depth understanding of both beneficiaries' and stakeholders' perspectives on the project's implementation and impact.</p><p><strong>Conclusion: </strong>The participatory approach proved effective in capturing meaningful narratives of intergenerational engagement. The process facilitated reflection and dialogue among community members, highlighting how older adults contributed to the growth and learning of younger generations. This engagement fostered stronger intergenerational bonds, reinforcing the project's vision of building age-integrated communities where mutual learning and support thrive within the Indian context.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3474-3480"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212465","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":"Local wound care and circumstances of animal bite reported by attendees of a rabies vaccination clinic in Kolkata.","authors":"Sourav Kumar Ghosh, Tapobrata Guha Ray","doi":"10.4103/jfmpc.jfmpc_1762_24","DOIUrl":"10.4103/jfmpc.jfmpc_1762_24","url":null,"abstract":"<p><strong>Background: </strong>Rabies remains a significant public health challenge, particularly in developing countries like India, where it is primarily transmitted through animal bites, predominantly from dogs. Effective wound management following bites is critical for reducing rabies transmission. However, studies indicate that proper wound care practices are often neglected, leading to increased incidence rates.</p><p><strong>Objectives: </strong>This study aimed to evaluate the wound care measures adopted by individuals attending a rabies vaccination clinic and to assess the relationship between these practices and participants' sociodemographic characteristics.</p><p><strong>Materials and methods: </strong>An observational, descriptive, cross-sectional study was conducted in a rabies vaccination clinic of Kolkata, over 3 months (July 2024 to September 2024). The calculated sample size of 322 participants was selected using systematic random sampling technique. Data were collected through a pretested, validated interviewer-administered questionnaire, focusing on sociodemographic characteristics and wound care practices, particularly the timing and methods of wound washing.</p><p><strong>Results: </strong>Of the 322 participants, 69.57% were aged 20-59 years, with 32.92% being female and 92.24% residing in urban areas. Unprovoked bites constituted 54.66% of total bites. Although 90.68% reported washing their wounds post-bite, only 10.87% adhered to the recommended practice of washing for at least 15 min with soap and under running water. Notably, sociodemographic characteristics showed no significant association with wound washing practices.</p><p><strong>Conclusion: </strong>Despite the awareness of wound washing, improper practices persist, highlighting a need for targeted educational programs to enhance awareness about optimal wound care following animal bites. Public health initiatives should focus on improving awareness across all demographics to effectively mitigate rabies transmission.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3327-3331"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212698","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":"Actinomyces causing psoas abscess: Case report of a peculiar forgotten disease.","authors":"Sweta Singh, Niraj K Srivastava, Sana Islahi, Shefali Gupta","doi":"10.4103/jfmpc.jfmpc_2061_24","DOIUrl":"10.4103/jfmpc.jfmpc_2061_24","url":null,"abstract":"<p><p>Actinomycosis is a very peculiar suppurative and fibrosing infection prevalent in the developing countries. Diagnosis of actinomycosis is a challenging and lengthy process because of the vague clinical signs and lack of proper tests in the routine laboratories. Here, we present a very intriguing case of an adult male presenting to the surgery outpatient department (OPD) with a gluteal mass and flank tenderness. The case was investigated with full work up and later, finally diagnosed as a case of psoas abscess due to actinomycetes. Early diagnosis and prompt initiation of the chemotherapy in such rare cases will not only negate the deleterious effects of this disease but will also improve the quality of life of the patient. This case report can prove to be an essential guide and aid to the primary care physicians in diagnosing this relatively uncommon pathogen and early intervention in the form of chemotherapy as well as referral to higher centres will prove to be highly beneficial for the patient.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3582-3585"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212723","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":"Letter to editor: Study of pattern of lipid profile amongst type 2 diabetic patients of two major tribal populations of Tripura.","authors":"Shailendra K Singh, Vanshika Singh","doi":"10.4103/jfmpc.jfmpc_33_25","DOIUrl":"10.4103/jfmpc.jfmpc_33_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3612"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212740","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":"Marchiafava-Bignami disease: A rare entity in chronic alcoholic with a poor prognosis.","authors":"Parth Jani, Pankaj Akholkar, Devarshi Shukla, Meet Kachhadia, Hitesh Kumar","doi":"10.4103/jfmpc.jfmpc_1988_24","DOIUrl":"10.4103/jfmpc.jfmpc_1988_24","url":null,"abstract":"<p><p>Marchiafava-Bignami disease (MBD) is a rare neurological disorder characterized by demyelination and necrosis of the corpus callosum, often seen in people with alcohol use disorder, and chronic malnutrition leads to hypovitaminosis (vitamin B1 deficiency), decreased synthesis of neurotransmitters, failure to synthesize glutamine, and decreased myelin synthesis, leading to decreased self-defense against oxidative stress. This case report describes a 32-year-old man with a complex medical history, including alcohol dependence, who presented with neurological symptoms such as altered sensorium and convulsion. Diagnostic imaging via magnetic resonance imaging (MRI) confirmed MBD. Given the patient's nutritional status, treatment focused on parenteral B vitamin supplementation, particularly thiamine and other B vitamins, which are critical for neurological function. The patient showed no significant improvement in neurological symptoms following vitamin therapy, which highlights a poor prognosis in chronic alcoholism.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3571-3574"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212770","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":"Clinico-radiological profile, risk factors, aetiology and prognosis in patients with acute cerebrovascular accident at a district hospital in North-East India.","authors":"J Lalramchhuanga, Shubham T Dharmale, Lalrothuama, Zothantluanga","doi":"10.4103/jfmpc.jfmpc_1886_24","DOIUrl":"10.4103/jfmpc.jfmpc_1886_24","url":null,"abstract":"<p><strong>Background: </strong>Stroke is ultimately the result of several insults to the brain and cardiovascular systems, as has been repeatedly demonstrated. These risk factors influence the type and severity of cerebrovascular accidents (CVAs), as well as the timing of strokes. Due to significant variations in lifestyle among inhabitants of different communities and regions within the Indian population, the risk factors also differ. This study aims to examine the clinico-radiological profile, risk factors, aetiology and prognosis in patients with acute CVAs.</p><p><strong>Methods: </strong>A cross-sectional study was conducted for 18 months in the Department of General Medicine, Civil Hospital, Aizawl. The sample included 109 patients with acute CVAs confirmed by radiological imaging and clinical examinations, who were admitted to the hospital from September 2022. The type of stroke, site, extent of lesion, associated anomalies and prognosis of the patients were recorded using a predesigned questionnaire. Descriptive statistics in the form of frequency, percentage, mean, standard deviation and inferential statistics in the form of Chi-square test were used.</p><p><strong>Results: </strong>The mean age of the study participants was 61.67 ± 16.18 years. Forty-two participants were female and 67 participants were male. The ischaemic type of CVA (77.1%) was more than the haemorrhagic type of CVA (22.9%). The middle cerebral artery alone was the commonest site of lesion (68.8%). Complete recovery was observed in 32.1% of the participants, 56.9% had partial recovery and 11% unfortunately died. Complete recovery was observed more in participants with ischaemic type of CVA (35.7%) than haemorrhagic type of CVA (20%) and this was statistically significant (<i>P</i> < 0.05). History of seizures, smoking, alcohol intake, hypertension, diabetes mellitus and coronary artery disease were significantly associated with poorer prognosis.</p><p><strong>Conclusion: </strong>Patients with CVA with underlying co-morbidities such as diabetes mellitus, hypertension, smoking, alcohol intake and history of seizures have a poorer prognosis, and hence concerted efforts are required to curb all these factors.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3389-3393"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212782","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":"Variation in cardiovascular risk marker profile in treated diabetes mellitus patients with different body composition.","authors":"Aratrika Sau, Nivedita Nanda, Jayaprakash Sahoo, S Velkumary","doi":"10.4103/jfmpc.jfmpc_1084_24","DOIUrl":"10.4103/jfmpc.jfmpc_1084_24","url":null,"abstract":"<p><strong>Background: </strong>Despite treatment, patients with type 2 diabetes mellitus (T2D) are at risk of cardiovascular disease (CVD). Obesity is a separate risk factor of insulin resistance and CVD. The adipokine adipsin links adiposity, insulin resistance and inflammation. Heart type fatty acid binding protein (FABP3) protects against metabolic syndrome. Previously, the link between adipsin and FABP3 with body composition in diabetes patients on treatment has not been addressed. Therefore, in the present study, we have compared the levels of FABP3, adipsin, and their association with inflammation and body composition in T2D patients with high and normal BMI based on the Asian criteria of obesity.</p><p><strong>Materials and methods: </strong>Adipsin and FABP3 were estimated by ELISA. Body composition was digitally recorded in Department of Physiology. Comparison was done by one-way-ANOVA against healthy controls.</p><p><strong>Results: </strong>Adipsin and TNF α were significantly increased, while FABP3 was decreased in high BMI T2D than healthy control. Normal BMI T2D had significant central obesity which explains their higher adipsin level.</p><p><strong>Conclusion: </strong>T2D patients exhibit different CVD risk profile linked to different levels markers such as adipsin and FABP3. This is explained better by the difference in body fat distribution compared to BMI alone. The treatment should target improvement based on new markers and body composition.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3193-3198"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212812","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":"The double burden of malnutrition and its impact on academic achievement and cognitive function in students of rural India.","authors":"Tinni Chaudhuri, Abhijit Pandit, Puja Kumari, Adiba Faisal, Joyeta Ghosh, Sudrita Roy Choudhury, Samarpita Koner","doi":"10.4103/jfmpc.jfmpc_406_25","DOIUrl":"10.4103/jfmpc.jfmpc_406_25","url":null,"abstract":"<p><strong>Background: </strong>The study explores the interrelationship between nutritional status, cognitive function (IQ), and academic performance in rural primary school children, recognizing these as critical and interconnected health parameters.</p><p><strong>Objectives: </strong>To investigate the relationship among nutritional condition, cognitive ability, and academic outcomes in children aged 6-8 years in rural Jharkhand, India.</p><p><strong>Methods: </strong>A total of 560 children (280 boys and 280 girls), aged between 6 and 8 years, from four rural primary schools in Jharkhand, were included in the study. Nutritional condition was assessed using Body Mass Index (BMI), and cognitive function was evaluated using the Raven Progressive Matrices test.</p><p><strong>Results: </strong>A high rate of malnutrition was observed: 28.03% of children were undernourished and 28.75% were severely malnourished, with a higher prevalence among boys. Additionally, 4.47% of the children were found to be overweight or obese, indicating a growing double burden of malnutrition in rural areas. A positive association was found between BMI and IQ score (r = 0.41, P ≤ 0.01), indicating that better nutritional status is linked with improved cognitive function. Alarmingly, 50.71% of the children were categorized as \"intelligently impaired\" based on IQ scores, with only 3.22% scoring in the above-average range. Logistic regression revealed strong associations between academic performance and IQ categories, emphasizing the key role of cognitive function in educational outcomes.</p><p><strong>Conclusion: </strong>The study highlights the intricate relationship between malnutrition, cognitive development, and academic performance. It underscores the urgent need for integrated interventions targeting both under- and over-nutrition, while prioritizing cognitive enhancement and educational support in resource-constrained rural settings.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3315-3321"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212873","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":"Preconception care knowledge and factors associated with preconception care utilization among married women in South-Eastern community of India: A cohort study.","authors":"Dharitri Swain, Jasmina Begum, Swayam Pragyan Parida, Somyaranjan Senapati","doi":"10.4103/jfmpc.jfmpc_1724_24","DOIUrl":"10.4103/jfmpc.jfmpc_1724_24","url":null,"abstract":"<p><strong>Background: </strong>Preconception care (PCC) is a series of biomedical, mental, and psychosocial health services provided to women and a couple before pregnancy and throughout subsequent pregnancies for desired outcomes. various unfavourable pregnancy outcomes continue to be a major health issue in India. PCC services used by mothers have the ability to prevent a great deal of negative consequences. In the Indian healthcare system, the use of this service and its contributing factors are not well understood. Therefore, this study was conducted to assess the utilization and determinants of PCC among recently delivered mothers and barriers of its underutilization.</p><p><strong>Methods: </strong>A community-based retrospective cohort study was conducted among 391 recently delivered mothers in Khordha district, Odisha, South-Eastern community of India. A two-stage sampling technique was being used to select the desired sample. Data were collected by using a pretested interview schedule and structured questionnaire which included sociodemographic variables, knowledge on preconception health and factors associated with preconception health service utilization. Data were entered using Epi-data version 1.4.4.0 and exported to SPSS version 20 for analysis (IBM Corporation, New York, USA). Bivariate and multiple logistic regressions were applied to identify candidate and predictor variables, respectively.</p><p><strong>Results: </strong>This study revealed that, 59 (15.1%) mothers had used at least one component of the World Health Organization (WHO) package of PCC services before their previous pregnancy, whereas none of them received all ten selected items of WHO package of PCC services. The most commonly used component of PCC in this study was folic acid supplementation, and the least used was utilization of psychological health. Mothers' knowledge on PCC (adjusted odds ratio [AOR]: 24.0; 95% confidence interval [CI]: 12.37, 46.65), husbands having higher education and better employment (AOR: 20.22; 95% CI: 0.80, 510.83), (AOR: 5.31; 95% CI: 0.05, 528.17) respectively, history of adverse birth outcomes (AOR: 0.82; 95% CI: 0.28,0.23), history of preexisting health problems (AOR: 1.31; 95% CI: 1.18, 1.52), husband/partner support (AOR: 2.59;95% CI; 0.70, 9.60) were significantly associated with PCC service utilization.</p><p><strong>Conclusions: </strong>The utilization of WHO-recommended PCC service packages in the present study area was found to be very poor. Health professionals and stakeholders will be trained and improve PCC practice by integrating PCC service with existing MNCH service. In addition, maternal awareness need to be focused for enhancing PCC utilization for preventing adverse pregnancy outcome.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3412-3420"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212883","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":"Nicotine dependence and stage of change among adult tobacco users in a coastal region of southern India.","authors":"Vandita Pahwa, Ranjitha S Shetty, Asha Kamath, Suma Nair","doi":"10.4103/jfmpc.jfmpc_1819_24","DOIUrl":"10.4103/jfmpc.jfmpc_1819_24","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco consumption in the world has grown in an epidemic proportion, thus posing a significant health challenge to the world. Almost half of the people who use tobacco die due to its harmful effects. Tobacco is also one of the four main risk factors for preventable chronic diseases.</p><p><strong>Material and methods: </strong>A community-based cross-sectional study was carried out among 2033 individuals aged ≥18 years. A questionnaire was administered to collect sociodemographic characteristics, patterns of tobacco use, level of nicotine dependence, and the stage of change to quit tobacco.</p><p><strong>Results: </strong>Of the total participants, nearly 32% were ever users of tobacco, of which 27.2% were current users. Current smokers were 5.8% and smokeless tobacco users were 23.02%. On Fagerstrom questionnaire, half of the chewers (49.4%) were highly or very dependent as compared to smokers (20.1%). On assessing readiness to quit tobacco, it was found that most of them (43.9%) were in the pre-contemplation stage, followed by stages of contemplation (32.4%), preparation (21.1%), action, and maintenance (1.3% each).</p><p><strong>Conclusion: </strong>Tobacco consumption in the region remains high, with smokeless tobacco being more prevalent than smoking. Dependence levels among smokeless tobacco users surpass those of smokers. Additionally, a significant portion of users show no intention of quitting in the near future, highlighting the urgent need for targeted and customized intervention programs tailored to address the specific needs of this population.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3462-3468"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212941","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}