Journal of the International Association of Providers of AIDS Care最新文献

{"title":"Stress and Coping During an HIV Cure-Related Trial with an Analytical Treatment Interruption: A Qualitative Assessment of the Experiences of Young Women in Durban, South Africa.","authors":"Ali Ahmed, Miranda Hill, Krista L Dong, Mzwakhe Wiseman Ngcobo, Ayanda Zulu, Ntombifuthi Langa, Luyanda Maphalala, Vanessa Pillay, Maud Mthembu, Whitney Tran, Rachel Lau, Jamila K Stockman, Thumbi Ndung'u, Karine Dubé","doi":"10.1177/23259582261423985","DOIUrl":"10.1177/23259582261423985","url":null,"abstract":"<p><p>IntroductionYoung women in sub-Saharan Africa bear a disproportionate HIV burden yet rarely participate in cure-related studies. Analytical treatment interruptions (ATI), used to assess sustained control off therapy, raise clinical, ethical, and psychosocial concerns.MethodsWe conducted a longitudinal qualitative study within a Phase 2A ATI trial (NCT05281510) at the FRESH site in Durban, South Africa. Nineteen women living with HIV (median age 26) completed in-depth interviews at 4 timepoints. We applied framework analysis informed by the Lazarus-Folkman stress and coping model.ResultsParticipants enrolled to contribute to science, reduce pill burden, and due to trust in the clinical team. They anticipated viral rebound, resistance, stigma, and partner transmission. Over time, many reported improved emotional well-being, using meaning-based strategies (pride in contribution) and problem-focused strategies (self-monitoring, condom negotiation). Burdens included stigma, selective disclosure, partner resistance, frequent visits, and blood draws. Benefits included increased HIV literacy, self-management, and comfort with procedures.ConclusionATI-inclusive clinical trials can be acceptable when designs include clear and ongoing education, strong confidentiality protections, mental health and peer support, partner-inclusive risk reductions, and flexible scheduling with practical supports to minimize participation burden and potential psychosocial harms.Clinical trial registrationNCT05281510.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261423985"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12905108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146180656","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":"Ending AIDS by 2030 Requires Reaching People in Conflict, Displacement, and Fragile Health Systems.","authors":"Hassan Abdullahi Dahie","doi":"10.1177/23259582261479901","DOIUrl":"https://doi.org/10.1177/23259582261479901","url":null,"abstract":"<p><p>Plain Language SummaryHIV care works best when people can continue testing, treatment, follow-up, and support without interruption. However, people affected by conflict, displacement, migration, and fragile health systems often face serious barriers to HIV services. When people are forced to move, they may lose access to clinics, medicines, health records, laboratory tests, and trusted health workers. This can interrupt antiretroviral treatment, delay viral load monitoring, and increase the risk that people living with HIV are left behind. This letter argues that the global goal of ending AIDS by 2030 should not be measured only by national averages or overall treatment targets. It should also ask whether refugees, internally displaced persons, migrants, mobile populations, and people living in insecure areas can continue HIV prevention, treatment, and care. The letter proposes that countries and donors should include crisis-affected populations in HIV plans, provide emergency antiretroviral medicine refills, use portable health records, strengthen cross-border referrals, pre-position HIV supplies in high-risk areas, and support community-led services. Ending AIDS should mean that people are not excluded from care because they live through conflict, displacement, or health-system disruption.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261479901"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13473760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760754","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":"Family Relationships, Resilience, and Quality of Life in People Living with HIV and Their Family Members: An Actor-Partner Interdependence Mediation Model.","authors":"Cuihong Huang, Fanghui Shi, Xueying Yang, Shuaifeng Liu, Yuejiao Zhou, Xiaoming Li","doi":"10.1177/23259582261440323","DOIUrl":"10.1177/23259582261440323","url":null,"abstract":"<p><p>ObjectivesTo explore the association between family relationships and quality of life (QoL), and the mediating role of resilience among people living with HIV (PLWH) and their family members (FMs).MethodsBaseline data were drawn from an ongoing study in Guangxi, China, including 783 PLWH-FM dyads. The actor-partner interdependence mediation model examined how individuals' family relationships/cohesion affect their own (actor effects) and their partners' QoL (partner effects), and the mediating role of resilience.ResultsA significant actor-direct effect was observed for FMs' family relationships on their own mental QoL (<i>β</i> = 0.136, <i>P</i> < 0.001), while no such effect was found for PLWH. Resilience functioned as a mediator between PLWH's family cohesion and PLWH's QoL (physical: <i>β</i> = 0.109, mental: <i>β</i> = 0.089, <i>P</i> < 0.001) and between FMs' family relationships and FMs' QoL (physical: <i>β</i> = 0.062, mental: <i>β</i> = 0.075, <i>P</i> < 0.001). Regarding partner effects, FMs' resilience mediated the association between PLWH's family cohesion and FMs' QoL (physical: <i>β</i> = 0.036, mental: <i>β</i> = 0.044, <i>P</i> < 0.01).ConclusionFindings underscore that future interventions should target the family as a unit to strengthen family ties and improve the cross-dyadic role of resilience, particularly that of FMs.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261440323"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628114","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":"Factors Associated With Viral Load Suppression Among Adults on Dolutegravir and Efavirenz: A Cross-Sectional Study in Papua, Indonesia.","authors":"Elfride Irawati Sianturi, Meidianti Modokh, Sitti Nurdjaja Soltief, Elmiawati Latifah, Andre Anusta Barus","doi":"10.1177/23259582261469420","DOIUrl":"10.1177/23259582261469420","url":null,"abstract":"<p><p>PurposeThis study aimed to investigate factors associated with viral load (VL) suppression among adults on Dolutegravir (DTG) and Efavirenz EFV)-based regimens antiretroviral therapy (ART) in Papua, Indonesia.MethodsA cross-sectional study was conducted in a referral hospital, Papua Province.ResultsA total of 300 PLWH had either EFV-based regimens (50%) or DTG-based regimens (50%) equally. The majority PLWH had unsuppressed VL (70%). The multivariate analysis among PLWH with EFV-based regimens showed that having TB (AOR = 5.74; 95% CI = 2.30-14.31) was significantly associated with unsuppressed VL. Being better quality of mental health (MCS) (AOR=0.95; 95% CI =0.92-0.99) decreased the likelihood of unsuppressed VL. Moreover, those with DTG-based regimens TB (AOR = 2.60; 95% CI = 1.06-6.37) was significantly associated with unsuppressed VL. Being better quality of MCS (AOR=0.97; 95% CI =0.94-1.00), and those with high necessity of ART (AOR = 0.83; 95% CI = 0.72-0.95) decreased likelihood of unsuppressed VL.ConclusionsThere is a need to raise awareness about increasing the number of PLWH with VL suppression, particularly those with DTG-based regimens. This study suggests that during the launch of new ART, healthcare providers must be educated to increase their knowledge of the new therapy.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261469420"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471506","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":"Determinants of Adoption, Implementation, Reach, and Sustainability of PrEP Services in a Sexual Health Clinic in Canada: A Qualitative Analysis Using CFIR and REAIM.","authors":"Emma Nagy, Beatriz Alvarado, Miriam Kamotho, Nicole Szumlanski, Tianxiu Hugh Guan, Jorge Martinez-Cajas","doi":"10.1177/23259582261458932","DOIUrl":"10.1177/23259582261458932","url":null,"abstract":"<p><p>BackgroundSexual health clinics are promising settings for HIV pre-exposure prophylaxis (PrEP), yet implementation in mixed urban-rural regions remains underexplored. This study evaluated the implementation of a PrEP clinic in a mid-sized Ontario region within a public health setting, including adoption, implementation model, reach, perceived effectiveness, and key determinants.MethodsGuided by RE-AIM and the Consolidated Framework for Implementation Research (CFIR), we conducted an evaluation using process-mapping and interviews with staff (n = 7) and clients (n = 5).ResultsAdoption and implementation were supported by strong leadership, organizational culture, provider knowledge, and perceptions of PrEP as effective and simple. The clinic demonstrated high fidelity, sustained service delivery, and meaningful client engagement. However, reach remained uneven, with the program primarily serving insured populations. Medication costs, poverty, stigma, and geographic barriers limited equitable access.ConclusionsSexual health clinics can sustainably deliver PrEP, but equitable scale-up requires structural reforms, diversified delivery models, and stronger community partnerships.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261458932"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148218312","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":"Prevalence and Predictors of Dyslipidemia and Diabetes Mellitus Among cART-Treated HIV Patients in Western Ethiopia: A Cross-Sectional Study.","authors":"Nano Debele Gadisa, Mekdes Alem Baye, Halima Abdulkadir Hussein, Abebe Edao Nagesso, Mintewab Hussein, Afework Habtamu Aseme, Bezawit Fekadu, Demeke Jabesa Aga, Guta Tuna Edao, Gutama Diriba Tucho, Mikias Shitaw Tadese, Mitiku Deresa, Gobena Dedefo Dekebo, Mistire Wolde Gebre, Samuel Kinde Birru","doi":"10.1177/23259582261452325","DOIUrl":"10.1177/23259582261452325","url":null,"abstract":"<p><p>BackgroundCombination of antiretroviral therapy (cART) has improved the life expectancy of HIV patients. Yet, it can also increase the risk of metabolic dysfunction, including dyslipidemia and diabetes mellitus (DM). Despite this, local data on the prevalence and risk factors for dyslipidemia and DM are limited. In addition, prognostic tools for regular monitoring and thereby the early detection of metabolic dysfunction have yet to be validated among cART-treated patients.MethodsA hospital-based cross-sectional study was conducted at Nekemte Specialized Hospital (Western Ethiopia) from February to April 2025. A total of 176 cART-treated HIV patients were purposively selected for the study. Socio-demographic, anthropometric, and metabolic parameters were assessed, and their associations with dyslipidemia and DM were evaluated using univariate (bivariate) and multivariable regression analyses. The predictive performances of lipid index-based prognostic tools were assessed using receiver operating characteristic curve analysis.ResultsDyslipidemia and previously undiagnosed DM were observed among 54.5% and 9.7% of participants, respectively. Significant risk factors included family history of DM (AOR = 4.5), frequent alcohol use (AOR = 5.2), age greater than 40 years (AOR = 3.4), sedentary lifestyle (AOR = 5.6), frequent consumption of traditional spiced milk butter (AOR = 5.2), elevated TyG-WC (AOR = 6.7), and high VAI (AOR = 8.7). TyG-WC had the highest predictive performance for dyslipidemia (AUC = 0.795) with an optimal cutoff of 434.1, followed by TyG-BMI (cutoff 128.5), LAP (cutoff 34.5), and VAI (cutoff 1.91).ConclusionDyslipidemia and undiagnosed diabetes remain highly prevalent among cART-treated HIV patients compared to the general population. In addition to commonly recognized risk factors, frequent consumption of a high-fat, carbohydrate-restricted diet like Nitter kibbeh may influence metabolic outcomes in this sub-population, highlighting the need for further research. Lipid indices, particularly TyG-WC, appear to be feasible tools for routine monitoring and early prediction of metabolic dysfunction. Revising population-specific thresholds could further improve early detection in this group.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261452325"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360913","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":"When Geosocial Apps Outpace Sexual Health Prevention Systems.","authors":"Aaron A Funa, Renz Alvin E Gabay","doi":"10.1177/23259582261451294","DOIUrl":"10.1177/23259582261451294","url":null,"abstract":"","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261451294"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147930756","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 Healthcare Workers' Understanding of PLHIV's Rights Based on the Framework of HIV and AIDS Act 2017 in India.","authors":"Shivangi Das, Asmita Patnaik, Kalolini D Samant, Subhakanta Sahu, Hrushikesh Das, Mili Roopchand Sahay, Jitendriya Amrit Pritam, Sneha Pattanayak, Debkumar Pal, Sonu Hangma Subba, Binod Kumar Patro, Abhisek Mishra, Baijayantimala Mishra, Arvind Kumar Singh","doi":"10.1177/23259582261488593","DOIUrl":"https://doi.org/10.1177/23259582261488593","url":null,"abstract":"<p><p>BackgroundThe HIV and AIDS (Prevention and Control) Act 2017, implemented in 2018, is a central legislation that aims to prevent and control the spread of HIV and AIDS while protecting the legal and human rights of people living with HIV (PLHIV), as well as the rights of healthcare workers (HCWs). However, evidence on HCWs' knowledge, attitude and practices (KAP) related to the Act and rights of PLHIV remains limited in Eastern India. This study aimed to assess the KAP of HCWs regarding the rights of PLHIV as mandated under the Act.MethodsA hospital-based cross-sectional study was conducted during a one-day sensitization workshop on the HIV and AIDS (Prevention and Control) Act, 2017 in March 2024. All registered participants aged 20 years or more (doctors, nurses, laboratory technicians, counsellors and hospital attendants) were included (N = 170). Data were collected using a pre-tested, semi-structured, self-administered questionnaire covering baseline attributes and 11 knowledge, 11 attitude and 22 practice items. Each correct response was scored as one and incorrect response was scored as 'zero'; domain scores were dichotomized at 50% into good or poor knowledge and practice and positive or negative attitude. Data were analysed in SPSS v26.0 using descriptive statistics, chi-square tests and binary logistic regression.ResultsOf the 170 HCWs, 70 (41.2%) participants had ever heard of the HIV and AIDS (Prevention and Control) Act 2017, and 65 (38.2%) demonstrated good knowledge. Positive attitude towards PLHIV was observed in 169 (99.4%) participants, and good practices were reported by 138 (81.2%). Participants without prior experience of working with PLHIV had significantly lower odds of good knowledge (AOR = 0.40; 95% CI: 0.21-0.77) and good practices (AOR = 0.25; 95% CI: 0.10-0.64).ConclusionDespite positive attitudes, significant gaps exist in HCW's knowledge of the Act, necessitating systematic sensitization and periodic refresher training of HCWs on Act for stigma-free care to PLHIV.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261488593"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977189","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":"A Cross-Sectional Analysis of Randomized Survey Modality to Assess Impact of Survey Modality on Demographic, Behavioral, and Psychosocial Measures among Men Who Have Sex with Men in Kenya.","authors":"Joseph Nzioka, Patriciah Wambua, Fredrick Otieno, Joshua Kimani, Rhoda Kabuti, Felix Ochieng, Richard Gichuki, Mary Wanjiru, Monica Okumu, Lyle McKinnon, Supriya D Mehta","doi":"10.1177/23259582261434295","DOIUrl":"10.1177/23259582261434295","url":null,"abstract":"<p><p>ObjectivesWe assessed whether survey mode influenced reporting of sexual behaviors and psychosocial factors among men who have sex with men (MSM) in Kenya.MethodsIn cross-sectional analysis of baseline data from 493 MSM in Kisumu and Nairobi enrolled in a prospective cohort study, participants were randomized 1:1 to Computer-Assisted Personal Interview (CAPI) or Audio Computer-Assisted Self-Interview (ACASI). We compared responses across survey modes using Poisson regression with robust variance, adjusting for socio-demographics.ResultsIn both sites, CAPI users more frequently reported sex with a female partner. In Kisumu, CAPI users were less likely to report receptive anal intercourse. In Nairobi, CAPI users were less likely to report food insecurity, transactional sex, and STI symptoms.ConclusionWhile most responses were similar across modes, ACASI prompted higher reporting of sensitive behaviors, highlighting added value for capturing stigmatized and sensitive information. Offering both methods may enhance data quality and respect participant preferences.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261434295"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816767","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":"Pattern of Oral Sexual Behaviour and Oral Health Among People Living With HIV/AIDS in Ibadan, Nigeria.","authors":"Adekunle Daniel, Akinyele Adisa, Yusuf Bello, Deborah Oke, Yinan Zheng, Moses Adewumi, Jun Wang, Olusola Ibrahim, Timothy Olukunle Aladelusi, Dickens Attah, Dare Aladeokin, Margaret Okoeguale, Eugene Ayeni, Isaac Adewole, Robert Murphy, Imran Morhason-Bello, Lifang Hou","doi":"10.1177/23259582261471841","DOIUrl":"10.1177/23259582261471841","url":null,"abstract":"<p><p>BackgroundThis study examined the relationship between oral health and oral sexual behaviour among people living with HIV/AIDS (PLWHA) in Ibadan, Nigeria.MethodsThis was cross-sectional analysis of baseline screening data collected as part of the Epigenetics of Oral HPV and Associated Oral/Oropharyngeal Cancer Study in PLWHA. Information on socio-demographics, lifestyle, oral health practices, oral sexual behaviour, and HPV awareness was collected. Oral sexual behaviour (giving or receiving) was the outcome variable. Chi-square or Fisher's exact tests, and multivariable logistic regression were used to identify associated factors.ResultsOverall, the prevalence of oral sexual behaviour was 15.9%, with higher prevalence in males (33.3%) than females (8.7%). Smoking increased the odds of oral sexual behaviour among males and females, while other associated factors differed by the sex of participants.ConclusionOral sexual behaviour is common among PLWHA in Nigeria. Integration of oral health and behavioural risk assessment into HIV care may reduce HPV transmission.</p>","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"25 ","pages":"23259582261471841"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592401","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}