Adnan Innab, Fatima Aldawood, Naif Omar Abdali, Osama Kallas Arishi, Abdullah Mansi Alomary
{"title":"The Influence of Satisfaction with E-Learning on the Psychological State of Nursing Students","authors":"Adnan Innab, Fatima Aldawood, Naif Omar Abdali, Osama Kallas Arishi, Abdullah Mansi Alomary","doi":"10.1155/2023/7173412","DOIUrl":"https://doi.org/10.1155/2023/7173412","url":null,"abstract":"Aim. The education system has transitioned from traditional learning to e-learning. Earlier, researchers tested the feasibility of e-learning for nursing students. However, whether satisfaction with e-learning affects students’ mental health remains unknown. This study aimed to determine the influence of satisfaction with e-learning on mental health (stress, anxiety, and depression) among undergraduate nursing students. Methods. This study design was cross-sectional, correlational, and descriptive. Data were collected between April and December 2022 from local nursing colleges in 13 regions in Saudi Arabia. A convenience sampling method was employed to recruit undergraduate nursing students. One hundred forty-four students responded to the online questionnaire. Results. Nursing students demonstrated moderate levels of anxiety (M = 9.89 (SD = 4.28)), stress (M = 10.40 (SD = 4.05)), and depression (M = 9.64 (SD = 4.38)). The average satisfaction with e-learning score was 2.79 (SD = 0.85), indicating that students’ satisfaction was low. Strong and positive correlations existed between anxiety and stress (r = 0.787, \u0000 \u0000 p\u0000 \u0000 <\u0000 0.001\u0000 \u0000 ) and depression (r = 0.867, \u0000 \u0000 p\u0000 \u0000 <\u0000 0.001\u0000 \u0000 ). However, anxiety, stress, and depression were not correlated with satisfaction. Female participants demonstrated more significant anxiety (M = 11.0, SD = 3.55), stress (M = 11.3, SD = 3.5), and depressive symptoms (M = 10.9, SD = 3.6) than their male counterparts. Stress significantly and indirectly affected depression through anxiety (B = 0.580, \u0000 \u0000 p\u0000 \u0000 <\u0000 0.001\u0000 \u0000 , 95% CI 0.449 to 0.719). The proportion of mediation (\u0000 \u0000 \u0000 \u0000 P\u0000 \u0000 \u0000 M\u0000 \u0000 \u0000 =\u0000 0\u0000 \u0000 .\u0000 697\u0000 \u0000 ) indicated that 69.7% of the total stress effect on depression was because of the indirect impact of anxiety, acting as a partial mediation. Conclusions. This study emphasized providing mental health services for nursing students. Conducting qualitative research will help achieve knowledge of nursing students’ mental health status.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48499114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Filip Grbovic, M. Åling, L. Strömberg, M. Mazaheri
{"title":"Assessing the Alignment of Short-Term Assessment of Risk and Treatability (START) with NANDA-I Taxonomy in Forensic Care Settings","authors":"Filip Grbovic, M. Åling, L. Strömberg, M. Mazaheri","doi":"10.1155/2023/8073893","DOIUrl":"https://doi.org/10.1155/2023/8073893","url":null,"abstract":"Purpose. To investigate the alignment of START with NANDA-I in forensic psychiatric care. Design. A quantitative design was chosen to compare the START instrument with the NANDA-I taxonomy and analyze their alignment. Each item of the START was attempted to be matched with potentially relevant NANDA-I diagnoses, and the matched diagnoses were extracted and presented. Findings. The study demonstrated a strong alignment between START coding and NANDA-I diagnoses, with 99% of the START diagnoses finding a match within NANDA-I. These results support the use of NANDA-I in forensic psychiatric care, which facilitate providing comprehensive care and avoiding sole focus on psychiatric problems. Practice Implications. It is recommended to use a structured nursing taxonomy, such as NANDA-I, in forensic psychiatric care.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47792192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asmaa S Mohamed, Hosam M Ahmad, Ahmed A Abdelrahman, Usama F Aly, Khaled A Khaled
{"title":"Therapeutic Impacts of Hyperbaric Oxygen Therapy and Risperidone on Children with Autism: A Clinical Trial.","authors":"Asmaa S Mohamed, Hosam M Ahmad, Ahmed A Abdelrahman, Usama F Aly, Khaled A Khaled","doi":"10.32598/bcn.2021.3122.1","DOIUrl":"10.32598/bcn.2021.3122.1","url":null,"abstract":"<p><strong>Introduction: </strong>In this research, we investigated any possible effect of receiving hyperbaric oxygen therapy (HBOT) or risperidone on the core symptoms of autism in children diagnosed with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>This study was a randomized, controlled clinical trial in Minia and Assiut University hospitals in Egypt with three parallel groups. One hundred and eighty children with autism, aged 5-8 years were divided into three equal groups (n=60). Group 1 (G1) received 40 sessions of HBOT within two months, group 2 (G2) received risperidone (dose: 0.25 mg per day in children weighing less than 20 kg and 0.5 mg per day in cases weighing more) for six months, and group 3 (G3) as the control group, received a placebo for six months. The assessment was done using childhood autism rating scale (CARS) and autism treatment evaluation checklist (ATEC) at the beginning of the study (baseline) and after one year.</p><p><strong>Results: </strong>The mean total CARS and ATEC scores significantly decreased (improved) by varying degrees in the three groups after a year of follow-up compared to the baseline scores, but the best results were found in G1, G2, and G3, respectively.</p><p><strong>Conclusion: </strong>Using HBOT or risperidone is effective in treating the core symptoms of autism in children diagnosed with autism spectrum disorder, but using HBOT gives better results than risperidone therapy.</p><p><strong>Highlights: </strong>Non-pharmacologic therapy can be used for the treatment of the core symptoms of autism.Both hyperbaric oxygen therapy and risperidone reduce the core symptoms of autism.Hyperbaric oxygen therapy gives better effects than risperidone in reducing the core symptoms of autism.</p><p><strong>Plain language summary: </strong>Since the long-term use of drug therapy in children with autism leads to the occurrence of side effects in addition to the difficulty in complying with the drugs for long-term use, efforts have begun to use non-traditional alternative treatments, such as hyperbaric oxygen therapy. The current study assessed the therapeutic effect of hyperbaric oxygen therapy and risperidone on the core symptoms of autism. The results revealed that both hyperbaric oxygen therapy and risperidone reduced the core symptoms of autism, but hyperbaric oxygen therapy gave better therapeutic results than risperidone.</p>","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"36 2 1","pages":"501-510"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85444687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Yoo, M. Yun, In-Soo Lee, Hyeyoung Kim, Sang-Gyun Roh, Boas Yu
{"title":"Effects of an On-Campus Meditation Course on Depression, Anxiety, Stress, and Sleep Quality among South Korean Paramedic Students","authors":"Y. Yoo, M. Yun, In-Soo Lee, Hyeyoung Kim, Sang-Gyun Roh, Boas Yu","doi":"10.1155/2023/3003004","DOIUrl":"https://doi.org/10.1155/2023/3003004","url":null,"abstract":"Background. Paramedic students frequently face various stressful and challenging situations as they work in emergency medical settings. Currently, research studies on utilizing meditation courses as a part of the curriculum to improve the mental health of paramedic students in Korea are lacking. Methods. For this quasiexperimental study, a nonequivalent group pretest and post-test research design was used. The study sample comprised 55 paramedic students from two similar-sized universities in different locations: 27 in the experimental group and 28 in the control group. The experimental group participated in an eight-week meditation course, while the control group did not receive any interventions during the same time period. Results. The results indicated that compared with the control group, the experimental group had significantly decreased anxiety (\u0000 \u0000 p\u0000 =\u0000 0.047\u0000 \u0000 ) and stress levels (\u0000 \u0000 p\u0000 =\u0000 0.044\u0000 \u0000 ) and improved sleep quality (\u0000 \u0000 p\u0000 =\u0000 0.041\u0000 \u0000 ). The change in depression levels did not significantly differ between the groups (\u0000 \u0000 p\u0000 =\u0000 0.419\u0000 \u0000 ). Conclusions. The inclusion of a meditation course within college curriculums for paramedic students is feasible and may benefit students in terms of stress, anxiety, and sleep quality.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47597798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Moloud Farmahini Farahani, Kimia Jaberi, Zahra Purfarzad
{"title":"Workplace Spirituality, Compassion Satisfaction, Burnout, and Secondary Traumatic Stress: A Cross-Sectional Study in Iranian Nurses","authors":"Moloud Farmahini Farahani, Kimia Jaberi, Zahra Purfarzad","doi":"10.1155/2023/7685791","DOIUrl":"https://doi.org/10.1155/2023/7685791","url":null,"abstract":"Purpose. This study aimed to (1) assess the levels and associations of workplace spirituality (WPS), compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) among Iranian nurses; and (2) identify the impact of WPS components on CS, BO, and STS while controlling for demographic variables. Design and Methods. In this descriptive, cross‐sectional, and correlational study, 295 nurses were selected via proportionate stratified sampling from five hospitals affiliated with the Arak University of Medical Sciences in Iran from June 2022 to December 2022. The scale of workplace spirituality and Professional Quality of Life version 5 (ProQOL-5) were used for data collection. Data were analyzed using SPSS24 and descriptive and inferential statistics (Pearson correlation coefficient and multiple regression). Findings. The mean scores of WPS, CS, BO, and STS were 63.27, 36.55, 27.31, and 29.58, respectively. The highest percentages of nurses reported moderate CS, BO, and STS levels, reaching rates of 76.3%, 80%, and 86.1%, respectively. The Pearson correlation coefficient showed that CS had a negative relationship with BO and STS. There was a direct correlation between BO and STS. Participants who reported higher levels of WPS had higher CS and lower BO scores. Results of multiple regression analyses indicate that the model of WPS components and control variables explains 42.7, 34, and 8.6 percent of the variance of CS, BO, and STS, respectively. Higher “meaningful work” is associated with higher CS and lower BO and STS among nurses. Participants higher in “sense of community” had higher CS scores. Higher “alignment with organizational values” is associated with higher STS. Practice Implications. According to the study results, it is possible to provide a suitable platform for improving nurses’ professional quality of life by strengthening workplace spirituality.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46664300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations between Nonrestorative Sleep, Perceived Stress, Resilience, and Emotional Distress in Freshmen Students: A Latent Profile Analysis and Moderated Mediation Model","authors":"Shuhan Li, Yuan Liao, Xiaona Wu, Xiaoxiao Mei, Yihao Zeng, Jiahua Wu, Zengjie Ye","doi":"10.1155/2023/8168838","DOIUrl":"https://doi.org/10.1155/2023/8168838","url":null,"abstract":"Objective. This study aims to explore the mediation role of perceived stress between nonrestorative sleep (NRS) and emotional distress, as well as the moderation role of resilience among NRS, perceived stress, and emotional distress in university students. Method. We recruited 851 students from the Be Resilient to Nursing Career program (BRNC, registration number: NFYKDX002) in June 2022. Nonrestorative sleep scale (NRSS), 10-item perceived stress scale (PSS-10), 10-item Kessler psychological distress scale (K10), and 10-item Connor–Davidson resilience scale (CD-RISC-10) were administered through a paper questionnaire. Latent profile analysis and moderated mediation analysis were performed. Results. Three profiles of perceived stress were identified: high ability-low stress (24.5%), middle ability-high stress (65.0%), and low ability-middle stress (10.5%). The mediation role of perceived stress between NRS and emotional distress was significant (SE = 0.025; 95% confidence interval = −0.369, −0.269). The moderation role of resilience among NRS, perceived stress, and emotional distress was not significant. Conclusion. Heterogeneity exists in freshmen students’ perceived stress. Perceived stress plays a significant mediating role between NRS and emotional distress, while resilience cannot significantly moderate the associations among NRS, perceived stress, and emotional distress. The trial is registered with ChiCTR2000038693.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"1 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41592348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Online News Media Portrayal of ADHD on the Websites of BBC and CNN International during the COVID-19 Pandemic","authors":"Alev Yücel","doi":"10.1155/2023/4338593","DOIUrl":"https://doi.org/10.1155/2023/4338593","url":null,"abstract":"Purpose. Individuals with attention deficit and hyperactivity disorder (ADHD) have experienced exacerbated symptoms and negative effects during the pandemic on both physical and mental health. However, the leading global news websites did not cover the vulnerabilities and special needs of individuals with ADHD in the context of the neurodiversity approach. I argue that both cnn.com and bbc.com did not incorporate the neurodiversity approach aiming to increase acceptance and inclusion of the differences without viewing them as deficits. Methods. The present study explores online news media portrayal of ADHD during the COVID-19 pandemic through content analysis between March 2020 and October 2022. The news articles mentioning ADHD (64 from bbc.com and 56 from cnn.com) were analyzed. Results. Findings show that ADHD was dominantly framed as a medical issue, far from the neurodiversity perspective. Only 13 news articles among 64 (approximately 20%) on bbc.com and 4 among 56 (less than 10%) on cnn.com incorporated the neurodiversity approach that would benefit both individuals with ADHD and the whole society during the pandemic. Practice Implications. The findings show a need for more awareness of neurodiversity in the news media and a broader coverage of ADHD-related neurodiversity during the pandemic.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45547780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nerea De-la-Morena-Perez, I. Corral-Liria, Javier Sanchez-Alfonso, R. Becerro-de-Bengoa-Vallejo, M. Losa-Iglesias, Raquel Jiménez-Fernández
{"title":"Experiences of Women Diagnosed with Borderline Personality Disorder: Perception of Motherhood, Social, Health, and Construction of Gender","authors":"Nerea De-la-Morena-Perez, I. Corral-Liria, Javier Sanchez-Alfonso, R. Becerro-de-Bengoa-Vallejo, M. Losa-Iglesias, Raquel Jiménez-Fernández","doi":"10.1155/2023/5345101","DOIUrl":"https://doi.org/10.1155/2023/5345101","url":null,"abstract":"Purpose. To explore the experiences of women diagnosed with borderline personality disorder (BPD) from a holistic perspective, incorporating their experiences in the social and health fields and their perception of motherhood, and to analyse the influence of the social construction of gender. Design and Methods. Qualitative study with a hermeneutic phenomenological design. Eight women with a diagnosis of borderline personality disorder participated in the in-depth interviews. Findings. The trauma, stigma, and difficulty associated with motherhood and being a woman are determinants in the experience of symptoms and the recovery from them. Practical Implications. The findings offer keys to improving the quality of women’s nursing care and the treatment they are provided according to gender factors.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48610915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Mahfoud, J. El Ahdab, Sami Helwe, Michael Topalian, C. Tarabay, Karim Rifi, G. Haddad, S. Obeid, S. Hallit
{"title":"The Indirect Effect of Depression between Nightmares and Well-Being in Lebanese Patients with Schizophrenia","authors":"Daniel Mahfoud, J. El Ahdab, Sami Helwe, Michael Topalian, C. Tarabay, Karim Rifi, G. Haddad, S. Obeid, S. Hallit","doi":"10.1155/2023/5511158","DOIUrl":"https://doi.org/10.1155/2023/5511158","url":null,"abstract":"Background. Because nightmares seem to be associated with depression in schizophrenia, detecting them early in therapeutic practice might be critical to ensuring effective avoidance of the development of depressive symptomatology. This helps promote well-being and improve the patient’s quality of life and illness prognosis. Therefore, the aim of this study was to examine the indirect effect of depression between nightmares and well-being in a Lebanese sample of patients with schizophrenia. Method. This monocentric cross-sectional study, conducted in July 2022, enrolled patients with chronic schizophrenia admitted to the Psychiatric Hospital of the Cross. Data were collected from a total of 148 participants through face-to-face interviews. The questionnaire included a nightmares measure, PSYRATS, Calgary depression scale for schizophrenia, PTSD checklist for DSM-5, the digit span subset, and WHO-5Well-Being Index. Results. The presence of nightmares was significantly associated with more depression, whereas higher depression was significantly associated with lower well-being. It is noteworthy that the presence of nightmares was not directly associated with well-being. Conclusion. Nightmares lead indirectly to lower well-being in schizophrenia patients, with depression serving as a mediating factor in this association. This suggests that interventions aiming at improving dream content may also have a beneficial effect in reducing depression in schizophrenia leading therefore to better well-being of the patients.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48545628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Mishina, J. Berg, Veera Vainila, Mikko Korte, M. Lahti
{"title":"Safety Incidents in Psychiatric Inpatient Care: A Qualitative Content Analysis of Safety Incident Reports","authors":"K. Mishina, J. Berg, Veera Vainila, Mikko Korte, M. Lahti","doi":"10.1155/2023/3159566","DOIUrl":"https://doi.org/10.1155/2023/3159566","url":null,"abstract":"Introduction. Safety is an essential factor in patient recovery, occupational well-being, and a well-functioning care environment. To identify and understand potential safety risks, information from safety incidents is needed. Aim. To describe safety incidents that occurred on psychiatric inpatient wards. Method. A retrospective register study. The data were collected from a web-based incident reporting database (HaiPro) from six Finnish psychiatric inpatient wards. The incident reports (N = 76) were analysed with descriptive statistics and inductive content analyses. Results. The incidents were verbally or physically aggressive situations, rule violations, or challenges in the ward’s basic activities. The incidents resulted in consequences for patients, personnel, and the wards with varying severity. Some of the incidents could have possibly been prevented with simple, practical measures, such as sharing information, being prepared for safety practices, and having comprehensively planned care. Discussion. Safety incidents cause fear and challenges and could partly be prevented with multiprofessional and multilevel cooperation. Implications for Practice. Preventative actions include multidisciplinary and ward-specific education for safety practices, ensuring resources and not having too many patients on the ward. Multiprofessional communication and mutual understanding, including patient participation, are central. Wards should be designed or renovated so that safe environments can be guaranteed.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"1 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64793453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}