Brazilian Journal of Clinical Medicine and Review最新文献

{"title":"Prevalência e Factores Associados à Ingestão Inadequada de Frutas e Vegetais na Província do Bengo","authors":"Vizé Preciosa J. Cupessala, Humberto Morais, Mauer Alexandre da Ascensão Gonçalves","doi":"10.52600/2965-0968.bjcmr.2023.1.suppl.2.17","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.suppl.2.17","url":null,"abstract":"Introdução e objetivos: Em todo o mundo, a baixa ingestão de frutas e vegetais contribui significativamente para grande incidência de doenças, incluindo as doenças cardiovasculares. A Organização Mundial da Saúde recomenda uma ingestão de um mínimo de 400g ou cinco porções de frutas e vegetais por dia para a prevenção de doenças crónicas, como doença cardíaca, diabetes e obesidade. O presente estudo tem como objetivo investigar a prevalência e factores associados à ingestão inadequada de frutas e vegetais, numa amostra de angolanos adultos que participaram do estudo CardioBengo.Metodologia: Um estudo observacional analítico transversal de base comunitária foi realizado no Município do Dande, na Província do Bengo, em Angola entre Setembro de 2013 e Março de 2014. Esta pesquisa constitui uma linha de base mais ampla sobre factores de risco cardiovascular, usando a metodologia proposta pelo manual WHO-STEPS to Chronic Disease Risk Factor. Variáveis sociodemográficas, comportamentais e clínicas foram colhidas e análise de regressão foi usada para estabelecer a associação entre as variáveis e o consumo de frutas e vegetais.Resultados: A amostra total incluiu 2161 indivíduos com idades compreendidas entre 18 a 64 anos, na qual 64.1% eram mulheres. A escolaridade de 57.2% dos participantes foi menor que o ensino médio e somente 6.6% frequentavam o ensino superior. 61.7% vivia maritalmente, 48.3% tinha rendimento inferior a 150 USD, 21% eram hipertensos, 17.6% tinha hipercolesterolemia, 10.4% tinha hiperglicemia, 8.7% eram obesos e 32.3% tinha obesidade abdominal. Cerca de 38.8% tinha hábitos etílicos, enquanto 6.8% era tabagista. A prevalência de consumo insuficiente de frutas e vegetais na amostra foi de 86.2%. Verificou-se que o sexo feminino, o baixo nível de escolaridade e faixa etária dos 20-29 anos foram associados à ingestão inadequada de frutas e vegetais (p = 0.010, p = 0.001 e p = 0.006, respectivamente).Conclusão: Não houve associação entre o consumo de frutas e vegetais e os factores de risco cardiovascular, foi identificada uma prevalência de consumo de frutas e vegetais muito abaixo das recomendações actuais. Os factores de risco identificados podem servir como estratégia local para aumentar o seu consumo.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135197801","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":"Nadar Contra o Tempo - a Propósito de um Caso Clínico","authors":"Juanilson De Miranda, Víctor Selombo, Filipe Luco, Joaquim Gouveia, Letícia Janota, Yara Juanga, Carlos Catraio","doi":"10.52600/2965-0968.bjcmr.2023.1.suppl.2.30","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.suppl.2.30","url":null,"abstract":"O tamponamento cardíaco é uma emergência cardíaca que pode ser fatal, quando não diagnosticado rapidamente e tratado imediatamente. Definido como o acúmulo de líquido pericardico que ocasiona uma elevação da pressão intrapericardica, restringindo o enchimento cardíaco e reduzindo o débito cardíaco. Relatamos o caso de um doente de 31 anos de idade, com factor de risco cardiovascular: hábitos tabágicos (fumador de Cannabis), admitido no departamento de cardiologia do HMP/IS, com quadro clínico de mais ou menos 6 dias de evolução caracterizado por: Sensação febril início gradual sem predomínio de horário, mal estar geral e dor abdominal difusa. Cerca de 24hs antes do internamento evoluiu com dispneia aos moderados e pequenos esforços. Exame físico de positivo: Agitado, polipneico, com ingurgitamento jugular bilateral, refluxo hepatojugular. Hipotenso (TA 80/50 mmHg), taquicárdico (FC 115bpm), Tons cardíacos hipofonéticos, Pulso paradoxal, extremidade frias. Exames realizados: Hg:10.4g/dl; Hto: 31.8, Pla:486.000, TGO: 423mg/dl; TGP:233.1U/L. ECG: Ritmo sinusal, FC: 139 bpm, com alternância eléctrica. RX do Tórax PA : Aumento importante do indice cardiotorácico. Ecocardiograma transtorácico: Derrame pericárdico severo com fibrina (“swinging heart”). Realizou-se pericardiocentese com saída de 500 ml de líquido amarelo citrino, feitos os seguintes estudos: Gene expert (-); Citoquímico: Citose: 70 cels/mm3, Predomínio: Leuc- 82%, N-18%, pandy: 32,5, Rivalta (++), ADA 44 U/l, CA19-9 128,58. Deixou-se dreno, com saída continua de líquido pericardico. O ecocadiograma transtoracico evolutivo revelou derrame pericardico de moderado a severo volume. Solicitou-se a avaliação do cirurgião cardiotoracico que decidiu realizar janela pericárdica e biópsia do pericardio (aguarda resultado). Colocou-se como hipóteses diagnósticas: Status pós tamponamento cardíaco; derrame pericárdico de etiologia tuberculosa versus neoplásica. Avaliado por infecciologia que decidiu iniciar terapêutica antibacilar de segunda linha com Etambutol, Levofloxacina, Prednisolona e Rifampicina por apresentar elevação significativa da função hepática. Actualmente doente com evolução satisfatória do quadro clínico, mantém tratamento com antibacilares com fármacos da primeira linha após redução dos marcadores de função hepática. Realizou-se Ecocardiograma transtoracico evolutivo que mostrou fina lâmina de derrame pericardico.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198285","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":"Analysis of the Effect of Manual Therapy on Pain, Functional-ity, and Quality of Life: An Integrative Review","authors":"José Evaldo Gonçalves Lopes-Júnior, Carlos Alberto Braga, Maresa Lemos Santos, Mariana Sousa Silva, Tais Cristina Santos Torres, Denise Gonçalves Moura Pinheiro, Eduardo de Almeida e Neves, E. S. O. Vanderlei","doi":"10.52600/2965-0968.bjcmr.2023.1.4.31-35","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.4.31-35","url":null,"abstract":"Manual therapy is one of the tools in physical therapy that involves the application of hands-on techniques to the patient's body with the aim of promoting the return of normal function to their systems. To analyze the effect of manual therapy on pain, functionality, and quality of life. This is an integrative literature review. To do this, a search was conducted in national and international scientific databases, including Portuguese and English language databases such as Pubmed, PEDro, Scielo, and Google Scholar, during the data collection period from January to June 2022. Initially, 151 potentially eligible studies were identified to participate in the review, and 5 articles were included in the final sample for full-text reading and data extraction. According to the results obtained in this integrative literature review, manual therapy has proven efficacy in addressing pain, functionality, and quality of life.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114120832","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":"Physiotherapy Intervention in Elderly Immobility Syndrome: Narrative Review","authors":"José Evaldo Gonçalves Lopes-Júnior, Gecilane de Jesus Dourado de Sousa Gomes, José Jario da Silva Vieira-Filho, Luciano Bruno Osorio Terceiro, Denise Gonçalves Moura Pinheiro, Eduardo de Almeida e Neves, E. S. O. Vanderlei","doi":"10.52600/2965-0968.bjcmr.2024.2.1.3-5","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2024.2.1.3-5","url":null,"abstract":"With aging, several physiological changes occur in the elderly, including a decrease in muscle mass, bone density, and balance, which increase the risk of falls. As the elderly population continues to grow, the role of the physiotherapist becomes indispensable in promoting the autonomy and independence of these individuals. This study presents a narrative review on the physiotherapist's role in preventing immobility syndrome in the elderly. Immobility syndrome primarily affects the musculoskeletal system, leading to functional limitations that impact posture transfer and bed-to-chair mobility, hindering daily activities, altering gait patterns, and reducing the activity of certain systems. The implementation of early rehabilitation protocols within the first 48 hours of intervention can be applied to improve mobilization and prevent the onset of immobility syndrome. As the elderly population expands, the proactive involvement of physiotherapists in preventing and managing immobility-related issues becomes crucial. This not only enhances the quality of life for older individuals but also reduces the burden on healthcare systems. Overall, physiotherapy plays a vital role in mitigating the negative effects of immobility in the elderly, promoting their well-being, and maintaining their functional independence.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122158560","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":"Effects of Pulmonary Rehabilitation in Patients with Idiopathic Pulmonary Fibrosis: Integrative Review","authors":"Ana Beatriz Silva Araújo, Eziel Vieira da Silva, Maria Aurilene Sousa Farias, Widney Farias Ximenes, Amanda Souza Araújo, José Evaldo Gonçalves Lopes-Junior, Cesario Rui Callou-Filho, Juliana Pinto Montenegro","doi":"10.52600/2965-0968.bjcmr.2024.2.1.6-11","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2024.2.1.6-11","url":null,"abstract":"Idiopathic Pulmonary Fibrosis (IPF) is a chronic lung condition characterized by progressive scarring of lung tissue, primarily affecting individuals aged 60 to 70, with a higher prevalence among men and smokers. It carries a poor prognosis, with an average life expectancy of up to 5 years. Pulmonary Rehabilitation (PR) is a comprehensive intervention involving detailed patient assessments and tailored therapies aimed at improving physical and emotional well-being, promoting long-term health-promoting behaviors. To assess the effectiveness of PR in IPF patients, an integrative review study was conducted, focusing on articles published from 2010 to 2020. Results showed improvements in exercise tolerance, functional capacity, and quality of life. While the Six-Minute Walk Test (6MWT) produced mixed results, most patients demonstrated gains. Interventions ranged from physical training alone to combined exercise and educational support programs, lasting 6 to 12 weeks, conducted 2-3 times weekly. Despite noted improvements during the intervention, sustaining gains remains a challenge, highlighting the need for further research to refine PR protocols tailored to IPF patients' specific needs.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135499143","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":"Muskuloskeletal Injuries in CrossFit Practitioners: An Integrative Review","authors":"E. S. O. Vanderlei, Antônio Leonardo Freitas dos Santos, Nicholas Dias Carvalho, Nieryson Dias Carvalho, Eduardo de Almeida e Neves, José Evaldo Gonçalves Lopes-Júnior","doi":"10.52600/2965-0968.bjcmr.2023.1.4.25-30","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.4.25-30","url":null,"abstract":"\u0000\u0000\u0000In recent years, high-intensity training methods like CrossFit® have gained popularity in Brazil's fitness scene. However, these exercises, if done improperly, can lead to musculoskeletal injuries, particularly in the shoulder. This study examines shoulder injuries among CrossFit® enthusiasts through an integrative review. Using databases like Scielo, Lilacs, Medline, PubMed, and Google Scholar, research from August 2021 to June 2022 was reviewed using keywords like Shoulder joint, High-Intensity Interval Training, and Injuries. Articles in Portuguese from the past five years were included, excluding duplicates and those unrelated to the research theme. After applying these criteria, 10 articles were suitable for the review. Findings showed that among CrossFit® practitioners, the shoulder was more prone to injuries than other areas like the lumbar spine, wrist, or knee. The review identified that overloading the shoulder due to intense exercises, especially Olympic weightlifting, and gymnastics, was the primary cause of these injuries.\u0000\u0000\u0000\u0000 ","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132903091","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 adverse reactions to the use of contrast agents in diagnostic imaging exams: a narrative review","authors":"Aline Lima, Diocelio Filho, Regina Paula Soares Diego","doi":"10.52600/2965-0968.bjcmr.2023.1.4.17-24","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.4.17-24","url":null,"abstract":"Contrast media are medicinal solutions enhancing diagnostic radiology's imaging quality by distinguishing anatomical structures. These widely used exams involve pharmaceutical agents, yet adverse reactions can arise. This study targets primary risks and adverse reactions tied to major contrast media in radiology. It assesses current concepts and protocols to minimize these reactions. Techniques for contrast-enhanced images demand element-based substances: iodinated, barium-based, and gadolinium-based contrasts. Adherence to manufacturer's guidelines and implementing prevention and adverse reaction procedures is vital. This study includes angiography, urography, transit studies, CT scans, and MRI as key contrast-enhanced exams. Employing a qualitative approach, it conducts a literature review. Neglecting risk assessment and safe administration can cause substantial disruptions due to adverse reactions. Protocols like desensitization and life support from a skilled medical team, alongside established protocols, reduce patient fatality risks.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125136131","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":"Principais causas da resistência das mulheres na prevenção do câncer do colo de útero: revisão narrativa","authors":"Sara Elainny Soares Paiva, Rafael Tavares Silveira Silva, Andressa de Sousa Barros, Maurilio de Freitas Sousa Sobrinho, Yaskara Letícia Duarte Trajano, Liz Marine Souza Sampaio, Pollyane Pascale Paiva Oliveira, Luã Carlos de Souza Souza","doi":"10.52600/2965-0968.bjcmr.2023.1.4.9-16","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.4.9-16","url":null,"abstract":"A mensuração da qualidade dos cuidados de enfermagem é fundamental para o planejamento, organização e avaliação das atividades. Para isso, é necessário elaborar instrumentos que possibilitem avaliar de forma sistemática os níveis de qualidade dos cuidados prestados. Os indicadores de qualidade e desempenho são uma maneira efetiva de avaliar a eficiência da gestão e a qualidade do cuidado. O objetivo deste estudo foi evidenciar a necessidade de auditar os serviços de enfermagem e definir os conceitos de auditoria, acreditação hospitalar e indicadores, além de apresentar os principais indicadores de qualidade e desempenho que podem ser aplicados aos serviços de enfermagem. Os indicadores propostos incluem indicadores de processo, que estão relacionados à execução de tarefas diárias pela equipe de enfermagem, indicadores de estrutura, que abrangem os recursos físicos, humanos, materiais e financeiros necessários para a assistência; e indicadores de resultado, que correspondem ao produto da assistência prestada. O acompanhamento e análise desses indicadores são fundamentais para a melhoria dos processos de enfermagem nas instituições hospitalares, uma vez que se constituem em pontos críticos dos processos relacionados à assistência.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"8 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131691766","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":"Nursing Care in Humanized Reception of Patient-Family in Coping with COVID-19: an integrative review","authors":"Ana C. Mendes, Karolayne Gomes Pereira, Lara Caetano Magalhães, Ligiana de Sousa, José Evaldo Gonçalves Lopes-Júnior, Cesário Rui Callou-Filho, Juliana Pinto Montenegro, Amanda Sousa Araújo, Samuel Ramalho Torres Maia","doi":"10.52600/2965-0968.bjcmr.2023.1.4.3-8","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.4.3-8","url":null,"abstract":"The pandemic has highlighted that humanization and care must be inseparable. The abrupt change in the global health landscape underscored the fundamental importance of empathetic human action, extending beyond healthcare equipment. Machines cannot replace the nurse-patient relationship in the pandemic context; thus, the theme of humanization in healthcare becomes crucial for care practices. From this perspective, the aim was to emphasize the importance of nursing care in providing humanized support to patients and their families in the face of COVID-19. This research is of a bibliographic nature. Cross-references were made using the following keywords: \"Humanization of Care\"; \"Nursing\"; \"Communication\"; \"Pandemic\"; \"Covid-19\"; and \"Patients,\" in the LILACS, BVS, SciELO, and SANARE databases. Six articles were selected. The results revealed that the humanization of care was essential for establishing a bond of trust and empathy between the healthcare professional and the patient, making the care effective and transcending beyond the biological dimension. It addressed the patient's physical, mental, and emotional needs.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124358501","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":"Development of a physiotherapy rehabilitation protocol for promoting cognitive health in elderly individuals","authors":"Denise Gonçalves Moura Pinheiro, Deysiane Ferreira Silva, Elisamara Silva da Cunha, Francisca Regiane da Silva Sousa, Larissa Nogueira de Sousa, Rayssa Rocha Rodrigues, Juliana Pinto Montenegro, Cesário Rui Callou-Filho, José Evaldo Gonçalves Lopes-Júnior","doi":"10.52600/2965-0968.bjcmr.2023.1.3.58-67","DOIUrl":"https://doi.org/10.52600/2965-0968.bjcmr.2023.1.3.58-67","url":null,"abstract":"The global population in developed countries is increasing, especially in the age group of 80 years or older, leading to an increase in demand for health services. With aging, there is a decrease in brain activity, which can lead to a reduction in reflexes and sensitivity, changes in attention, and the development of Mild Cognitive Impairment (MCI). Physiotherapy plays a crucial role in maintaining and recovering a healthy and active lifestyle, seeking aging with greater functional independence, and delaying the progression of cognitive decline. Therefore, the present study aimed to develop a physiotherapy protocol for cognitive rehabilitation in the elderly based on a literature review. The protocol can optimize occupational performance and delay the conversion of dementia in elderly people with MCI. In the multidisciplinary team, the physiotherapist can conduct individual or group strategies and interventions with elderly individuals with normal cognitive function, aiming to improve performance in mnemonic tasks and daily activities that require greater cognitive attention. Protocols serve as guides for professionals, leading them to the desired path, and focus on observation and evaluation, aiming at significant contributions to institutions, elderly people, and their families.","PeriodicalId":176982,"journal":{"name":"Brazilian Journal of Clinical Medicine and Review","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124987643","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}