Journal of Chitwan Medical College最新文献_第6页

ADHERENCE TO ANTICOAGULANT THERAPY AND ITS AWARENESS AMONG CARDIAC PATIENTS ATTENDING CARDIAC OPD OF CHITWAN MEDICAL COLLEGE TEACHING HOSPITAL, CHITWAN 赤湾医学院附属医院心内科心脏病患者抗凝治疗依从性及知晓率

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1193

D. Khanal, S. Chapagain, Soni Kc, Sadikshya Neupanae

{"title":"ADHERENCE TO ANTICOAGULANT THERAPY AND ITS AWARENESS AMONG CARDIAC PATIENTS ATTENDING CARDIAC OPD OF CHITWAN MEDICAL COLLEGE TEACHING HOSPITAL, CHITWAN","authors":"D. Khanal, S. Chapagain, Soni Kc, Sadikshya Neupanae","doi":"10.54530/jcmc.1193","DOIUrl":"https://doi.org/10.54530/jcmc.1193","url":null,"abstract":"Background: Oral Anti-coagulant is widely used for the prevention and treatment of cardiac and thromboembolic diseases. As oral anticoagulant is a narrow therapeutic index medicine, it requires close monitoring to achieve effectiveness of anticoagulants therapy. Therefore, this study was conducted to assess adherence to anticoagulant therapy and its awareness among cardiac patients attending cardiac OPD of Chitwan Medical College Teaching Hospital, Chitwan.\u0000Methods: A descriptive cross-sectional study design was carried out among 91 cardiac patients attending cardiac OPD of Chitwan Medical College Teaching Hospital sample was selected by using Consecutive sampling technique. Data was collected using structured interview schedule. General medication adherence scale and self-prepared structured questionnaire of awareness of anticoagulant therapy was used. Data was analyzed in SPSS version 20 by using descriptive and inferential statistics.\u0000Results: Out of 91 respondents 42.9% of the respondents had partial adherence while 33.0% had good adherence. Only 6% of the respondents had high adherence, 7.7% and 9.9% of the respondents had poor and low respectively. Regarding awareness of anticoagulant therapy 63.7% of the respondents had inadequate level of awareness. There was statistically significant relationship between level of awareness with educational status (0.02), having insurance (0.05) and drug duration (0.05).\u0000Conclusions: Based on this finding respondent’s awareness was found to be low on the risk effects of alcohol intake, drugs and food interaction and self-limiting of injurious activities and most identified reason for non-adherence is discontinue due to feeling well, adverse effect and progression of disease. So, clinician and nurse should design an effective instructional program about anticoagulant therapy by highlighting those limited area thus to enhance adherence and prevent life threatening complications.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121412720","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}

引用次数: 0

EFFECTS OF HEALTH EDUCATIONAL INTERVENTION ON KNOWLEDGE TOWARDS NON-COMMUNICABLE DISEASES AND ITS RISK FACTORS AMONG STUDENTS OF A SELECTED SCHOOL OF CHITWAN 健康教育干预对chitwan选定学校学生非传染性疾病及其风险因素知识的影响

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1223

K. Adhikari, D. Tiwari, B. Sharma, Amrit Ghimire, G. Dhakal, G. Khanal, Fuleshwar Manadal

{"title":"EFFECTS OF HEALTH EDUCATIONAL INTERVENTION ON KNOWLEDGE TOWARDS NON-COMMUNICABLE DISEASES AND ITS RISK FACTORS AMONG STUDENTS OF A SELECTED SCHOOL OF CHITWAN","authors":"K. Adhikari, D. Tiwari, B. Sharma, Amrit Ghimire, G. Dhakal, G. Khanal, Fuleshwar Manadal","doi":"10.54530/jcmc.1223","DOIUrl":"https://doi.org/10.54530/jcmc.1223","url":null,"abstract":"Background: There is rising prevalence of non-communicable diseases (NCDs) and associated mortality in developing and moderately developed countries. Nepal is currently moving in a transition from infectious diseases to NCDs. In Nepal, NCDs are the leading causes of death with two thirds (66%) of death attributable to NCDs. The aim of the study was to assess the effects of the health educational intervention on knowledge towards NCDs and its’ risk factors among school students.\u0000Methods: This study is quasi experimental pre-test-post-test design conducted among the plus-two students of a selected school of Chitwan. All the plus-two students studying at Sunrise school were enrolled for the study. Complete enumeration technique was used for selecting study units. A “one-hour educational intervention package” was administered by researcher themselves with NCDs and NCD risk factors related information. Pretested, self-constructed, structured questionnaire was administered 20-minute prior the intervention and immediately after the intervention. Both descriptive and inferential statistics were computed at 5% level of significance\u0000Results: Median knowledge score was 9 out of total 25 in pretest and it increased to 19 after intervention. The change in the score was significantly different in pre and posttest (p<0.001). Pre-test and post test scores were almost similar in both male and female except in pre-test in total knowledge score.\u0000Conclusions: One-hour educational class room package was found effective to improve the NCD related knowledge of plus two students in study area.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132495621","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}

引用次数: 0

BURDEN AND COPING STRATEGIES AMONG CAREGIVERS OF MENTALLY ILL PATIENTS ADMITTED IN TEACHING HOSPITAL 教学医院精神病人照顾者负担及应对策略

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1211

Ramesh Subba, H. Subba, Sarita Nepal, Amrit Ghimire

{"title":"BURDEN AND COPING STRATEGIES AMONG CAREGIVERS OF MENTALLY ILL PATIENTS ADMITTED IN TEACHING HOSPITAL","authors":"Ramesh Subba, H. Subba, Sarita Nepal, Amrit Ghimire","doi":"10.54530/jcmc.1211","DOIUrl":"https://doi.org/10.54530/jcmc.1211","url":null,"abstract":"Background: The family member is an important support system in the care of patient with chronic mental illness. The caregivers experience from a number of significant stresses and burden and need concern from the mental health professionals. The objective of the study was to assess the extent of burden and coping strategies among caregivers of mentally-ill patients.\u0000Methods: Descriptive cross-sectional study design was used among 102 caregivers of mentally ill patients admitted in Psychiatric ward of Chitwan Medical College, Teaching Hospital. Non-probability consecutive sampling technique was used to select the sample. Ethical approval was taken from the Institutional Review Committee. Data were collected from 27 January 2020 to 29 May 2020 using a structured interview schedule and record review. Data was analyzed using Statistical Package for Social Sciences version 20 and analyzed by using descriptive statistics and inferential statistics.\u0000Results: Among 102 caregivers, it was found that 47.1% caregivers perceived moderate to severe burden, 41.2% of the caregivers experienced mild to moderate and 11.8% experienced minimal burden. The highest median percentage of caregivers reported financial burden (50%) where 41.66% reported burden in the relationship. The most frequently used strategies were use of informational support (62.5%), venting (62.5%), positive reframing (62.5%), acceptance (62.5%), and religion (62.5%).\u0000Conclusions: The highest percentage of caregivers experienced moderate to severe burden. So, mental health professionals should develop training programs that include counseling to support both patients and family caregivers to reduce the family burden and improving coping skills.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131627600","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}

引用次数: 0

EVALUATION OF SERUM VITAMIN B12 LEVELS IN TYPE 2 DIABETES MELLITUS PATIENT ON METFORMIN THERAPY ATTENDING A TERTIARY CARE HOSPITAL 三级医院二甲双胍治疗2型糖尿病患者血清维生素b12水平的评价

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1148

M. Ghimire, Sundar Pandey, Deepak Aryal, Pooja Shah, Binita Soti, S. Thapa, S. Shrestha

{"title":"EVALUATION OF SERUM VITAMIN B12 LEVELS IN TYPE 2 DIABETES MELLITUS PATIENT ON METFORMIN THERAPY ATTENDING A TERTIARY CARE HOSPITAL","authors":"M. Ghimire, Sundar Pandey, Deepak Aryal, Pooja Shah, Binita Soti, S. Thapa, S. Shrestha","doi":"10.54530/jcmc.1148","DOIUrl":"https://doi.org/10.54530/jcmc.1148","url":null,"abstract":"Background: Metformin for type 2 diabetes mellitus has more beneficial effect with few side effects like vitamin B12 deficiency. So, this study aimed to determine the level of vitamin B12 in patients with type 2 diabetes mellitus using metformin and its association with dose and duration of metformin use.\u0000Methods: This was descriptive, cross-sectional, hospital-based study. A total of 128 diabetic patients using metformin for more than 6 months were enrolled. After taking informed consent, considering exclusion criteria, level of serum B12 were quantified by chemiluminescent enzyme immunoassay. Vitamin B12 level <300pg/dl as inadequate and ≥300pg/dl as adequate; metformin 1000mg as low dose; more than 1000mg as high dose were considered. Also, metformin used 1000mg /day taken as constant and comparing it with duration of > 10 years with duration of > 10 years. Data were entered in Microsoft Excel 2013 and analyzed on SPSS V25.\u0000Results: Our study results 62.5% had adequate (>300pmol/l) and 37.5% had inadequate (≤300pmol/l) vitamin B12 level in patients with type 2 diabetes using metformin. Level of vitamin B12 deficiency was statistically associated with increasing dose of metformin used (p<0.001) and long term used of metformin used (p<019).\u0000Conclusions: This study concluded that there is prevalence of deficiency of Vit B12 level in type 2 diabetes mellitus patients using metformin. Also, this deficiency level depends on use of dose of metformin.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129019185","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}

引用次数: 0

ACUTE ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION IN A YOUNG PATIENT WITH IGA NEPHROPATHY: A RARE CASE REPORT 1例年轻iga肾病患者急性st段抬高型心肌梗死:罕见病例报告

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1228

A. Hussain, Shyan Raj Regmi, B. Dhital, S. Thapa, Tirth Dhungana, S. Shrestha

引用次数: 0

STRESS AND COPING STRATEGIES AMONG POLICE PERSONNEL AT SELECTED POLICE STATIONS IN KATHMANDU VALLEY 加德满都谷地某些警察局警察人员的压力和应对策略

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1154

Sagun Lohala, Mamata Sharma

{"title":"STRESS AND COPING STRATEGIES AMONG POLICE PERSONNEL AT SELECTED POLICE STATIONS IN KATHMANDU VALLEY","authors":"Sagun Lohala, Mamata Sharma","doi":"10.54530/jcmc.1154","DOIUrl":"https://doi.org/10.54530/jcmc.1154","url":null,"abstract":"Background: Police work is one of the highly stressful job as police personnel continuously face stressful situation at work. This study intended to assess the stress and coping strategies among police personnel in the selected police stations of Kathmandu Valley.\u0000Methods: A descriptive, cross-sectional study was conducted in selected police stations of Kathmandu valley from 28th July 2019 AD to 24th August 2019 AD. Non-probability consecutive sampling technique was adopted for selecting 198 police personnel. Structured self-administered questionnaire, Police Stress Questionnaire and Brief COPE scale were used as to measure stress and coping strategies. Descriptive statistics was used to analyse collected data. Chi- square test was used to determine the association between variables.\u0000Results: Among 198 police personnel, 56.1% had high level of operational stress and 45.0% had high level of organizational stress. There was significant association between age and organizational stress (p =.003). Duration of work was significantly associated with levels of operational and organizational stress (p=< .001). Positive reframing coping strategies are the most rated coping strategy (72.66%).\u0000Conclusions: Study concluded that more than half of police officers experience significant levels of organizational and operational stress. They employ problem-focused coping techniques more frequently than other coping mechanisms. There is a strong correlation between stress and coping mechanisms. Therefore, the appointing authority must prioritize the mental health of police officers and encourage the adoption of problem-focused coping mechanisms.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122706553","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}

引用次数: 0

SARS-COV-2 WITH PROBABLE ANTI-NMDA RECEPTOR ENCEPHALITIS WITH MIS-C: A CASE REPORT Sars-cov-2合并可能的抗nmda受体脑炎伴misc 1例报告

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.706

Ismail Ejaz Ali, S. Adhikari, B. P. Manandhar, A. Jha

引用次数: 0

MORPHOLOGIC CHARACTERISTICS AND FUNCTION OF RIGHT VENTRICLE IN PATIENTS WITH ISOLATED RIGHT BUNDLE BRANCH BLOCK 孤立性右束支传导阻滞患者右心室形态学特征及功能

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1153

S. Murtuza, S. Regmi, B. Dhital, S. Thapa, P. Gurung, A. Khan, Sagar Thapa

{"title":"MORPHOLOGIC CHARACTERISTICS AND FUNCTION OF RIGHT VENTRICLE IN PATIENTS WITH ISOLATED RIGHT BUNDLE BRANCH BLOCK","authors":"S. Murtuza, S. Regmi, B. Dhital, S. Thapa, P. Gurung, A. Khan, Sagar Thapa","doi":"10.54530/jcmc.1153","DOIUrl":"https://doi.org/10.54530/jcmc.1153","url":null,"abstract":"Background: The prevalence of right bundle branch block (RBBB) is estimated in 0.2 to 1.3% of healthy people. RBBB had independent association with decreased right ventricle (RV) function, which is considered as predictor of adverse cardiovascular outcomes. The aim of this study is to evaluate RV structure and function in patients with isolated RBBB (without structural heart disease) using two-dimensional echocardiography.\u0000Methods: A cross-sectional study conducted at Chitwan Medical College, Bharatpur from 1st January 2022 to 30th June 2022. Consecutive adult patients aged ≥18 years with isolated RBBB classified into complete RBBB (CRBBB) and Incomplete RBBB (IRBBB) based on electrocardiographic findings. The echocardiographic evaluation was done to assess RV dimension and function.\u0000Results: A total of 52 patients with isolated RBBB were included with mean age of the study population was 45.3 ± 9.3 years, (28 ,53.8%) had CRBBB, whereas the remaining (24, 46.2%) had IRBBB. Among the parameters used to assess RV function; mean RV-Fractional area change (P<0.001), Tricuspid annular plane systolic excursion(P<0.02) and Pulsed Doppler peak velocity at the lateral annulus RV(P<0.001) were significantly lower, while Pulsed Doppler myocardial performance index(P<0.001) was significantly high in CRBBB group as compared to IRBBB group. Similarly, Right atrium and RV dimensional parameters were significant higher in CRBBB compared to IRBBB group.\u0000Conclusions: Isolated RBBB is not as benign as it was considered and has deteriorating effect on RV morphology and function. Therefore, patients with Isolated RBBB need follow-up with passing age and more attention toward RV structural and functional analysis.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114858652","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}

引用次数: 0

KNOWLEDGE, ATTITUDE, PRACTICE AND STIGMA REGARDING COVID-19 AMONG PEOPLE OF KARNALI PROVINCE, NEPAL 尼泊尔卡纳利省民众对COVID-19的知识、态度、做法和耻辱感

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1168

N. Lama, K. Amgain, Niresh Thapa, Bishal Pokhrel, P. P. Panta, Pratima Neupane, Sushma Kafle, Shreejana K.C., S. Budhathoki

{"title":"KNOWLEDGE, ATTITUDE, PRACTICE AND STIGMA REGARDING COVID-19 AMONG PEOPLE OF KARNALI PROVINCE, NEPAL","authors":"N. Lama, K. Amgain, Niresh Thapa, Bishal Pokhrel, P. P. Panta, Pratima Neupane, Sushma Kafle, Shreejana K.C., S. Budhathoki","doi":"10.54530/jcmc.1168","DOIUrl":"https://doi.org/10.54530/jcmc.1168","url":null,"abstract":"Background: The Human Coronaviruses (HCoVs), the neglected inconsequential pathogens have emerged from animal to man and man to man as a global epidemic with alarming morbidity and mortality in 21st century and Nepal did not remain sacred. It was important to rapidly assess the knowledge, attitude, practice and stigma regarding COVID-19 among people of Karnali Province where large number of labor migrants and villagers have entered the district during pandemic.\u0000Methods: An analytical cross-sectional study was done using structured questionnaire among 500 participants from Jumla and Mugu districts of Karnali Province. Descriptive and inferential statistical analysis were done. Ethical principles were followed throughout the study.\u0000Results: Among 500 participants, only 46.4% had good knowledge, 50.0% had positive attitude and 33.2% had good preventive practices regarding COVID-19. About one third (30%) participants sensed discriminatory behavior in community. Knowledge and attitude had statistically significant association with preventive practices against pandemic.\u0000Conclusions: More than half of the people of Karnali Province had poor knowledge, negative attitude and poor preventive practices regarding COVID-19. The determining factors for this situation were age, marital status, ethnicity, education, occupation and travel history. Hence, it is crucial to improve knowledge and attitude which will ultimately enhance preventive practices. Likewise, it is of utmost importance to address social stigma related to such epidemic, a serious public health issue prevalent in Karnali Province.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126573344","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}

引用次数: 0

DIAGNOSTIC YIELD OF FIBEROPTIC BRONCHOSCOPY IN A TERTIARY CENTER 三级中心纤维支气管镜的诊断率

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.667

Niraj Puri, S. Adhikari, S. Gurung, S. Patel, P. Wagley, B. Thakur, M. Devkota

{"title":"DIAGNOSTIC YIELD OF FIBEROPTIC BRONCHOSCOPY IN A TERTIARY CENTER","authors":"Niraj Puri, S. Adhikari, S. Gurung, S. Patel, P. Wagley, B. Thakur, M. Devkota","doi":"10.54530/jcmc.667","DOIUrl":"https://doi.org/10.54530/jcmc.667","url":null,"abstract":"Background: Fiberoptic Bronchoscopy is a valuable tool in current respiratory medicine. This study was aimed to evaluate the diagnostic yield of Fiberoptic Bronchoscopy using a wider diameter bronchoscope.\u0000Methods: This was a hospital based cross-sectional study carried out in BP Koirala Memorial Cancer Hospital from January 2021 to March 2021. Consecutive sampling technique was used where 150 patients were enrolled in the study. Data entry and descriptive analysis were done in IBM SPSS version 20.0. Point estimate at 95% confidence interval was calculated along with frequency and descriptive statistics.\u0000Results: The overall yield from the wider Fiberoptic Bronchoscope was 70.07% which was slightly higher compared to literature results from conventional bronchoscopy. Lung mass on CT scan was the most common indication for bronchoscopy and upper lobe bronchus was the most common site for biopsy. Bronchial wash yield was highest for Squamous cell carcinoma with 22.78% followed by Pulmonary Tuberculosis with 21.5%. Endobronchial biopsy yield was highest for Squamous cell carcinoma with 41.21% followed by Adenocarcinoma with 31.42%. Temporary hypoxia and mild bleeding were common but life-threatening complications were rare.\u0000Conclusions: Overall findings of our study confirm that the diagnostic yield of Fiberoptic Bronchoscopy is high, particularly when a larger diameter bronchoscope is used which can facilitate wider biopsy forceps for larger tissue sampling.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124934684","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}

引用次数: 0