{"title":"Evaluation of the Factors Influencing the Use of Contraceptives and Family Planning Methods Among Youths in Calabar Metropolis, Nigeria","authors":"","doi":"10.33140/jgrm.06.02.06","DOIUrl":"https://doi.org/10.33140/jgrm.06.02.06","url":null,"abstract":"Background: The rapid increase in the proportion of sexually active adolescents is exposing large numbers of youths to the risk of unwanted pregnancies and sexually transmitted diseases including HIV/AIDS. This is because the knowledge of contraceptive and family planning methods use in Nigeria is low, resulting in serious reproductive health problems such as unwanted pregnancies, unsafe induced abortion, high rate of vesico - vaginal fistula, (VVF) high maternal mortality rates, sexually transmitted infections (STIs), HIV/AIDS and above all, increase in population in both rural and urban areas. The main thrust of this study was to evaluate the factors influencing the use of contraceptives and family planning methods among youths in Calabar Metropolis of Cross River State, Nigeria. Methods: This was a cross-sectional study. The study population were all youths between the ages of 15-30years in Calabar Metropolis. Non-probability sampling involving purposive and simple random sampling technique were adopted in the selection of two hundred and forty (240) respondents. The data for this study were obtained primarily through the questionnaire and personal interviews. The quantitative and descriptive approaches were adopted. The data were analyzed using frequency tables and percentage distribution. Results: The findings of the study showed that religious barriers, cultural barriers and educational status/level of awareness of the youths greatly influenced their knowledge and use of contraceptives and family planning methods. Conclusion: The study revealed that the adolescents of Calabar Metropolis had knowledge of the use of contraceptives and other family planning methods, but this did not translate to actual practice due to some factors such as religious barriers, cultural barriers as well as their educational status/level of awareness. It was therefore concluded that religious and cultural barriers which impede the use of contraceptives and family planning methods by youths should be modernized to imbibe the concept of proper use of contraceptive to protect them from preventable diseases like HIV/AIDS, sexually transmitted diseases as well as guide against unwanted pregnancies and promote child spacing.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124531845","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":"Knowledge on Obstetric Fistula and Related factors in Women of Reproductive age in the Southeastern Zone of Tigray, Ethiopia, 2020, Crosses sectional Study","authors":"","doi":"10.33140/jgrm.06.03.03","DOIUrl":"https://doi.org/10.33140/jgrm.06.03.03","url":null,"abstract":"Background: Around one million girls and women worldwide are currently living with fistula. Fewer than 20,000 women are treated with obstetric fistula each year. Lack of Knowledgeon obstetric fistula is a common obstacle to seeking fistula treatment. Objectives: To determine knowledge on obstetric fistula and its associated factors among reproductive age women in south eastern zone of Tigray, 2020. Methods:A cross-sectional community-based Study was conducted in the southeastern zone of Tigray. A multilevel sampling technique was implemented to select the total number of participants. Two districts were randomly selected and from these districts 14 kebels were randomly selected and the calculated sample size (605) was allocated proportionally to each selected kebele. Data were collected in face-to-face interview using a structured questionnaire from February 26th to March 24th, 2020 after ensuring that all ethical requirements were met. The collected data were entered into Epidata version 4.2 and then exported to SPSS version 20 for analysis. Bivariate and multivariate analyzes were used to examine the relationship. Odds ratios with 95% confidence intervals and P values < 0.05 were used to determine statistical association. Result:Overall, about 42.15% of the respondents had a good knowledge of obstetric fistulas. The frequently mentioned risk factors, symptoms and preventive mechanisms of obstetric fistulas were female genital mutilation (78.7%), urinary incontinence (77.5%) and avoidance of early marriage and pregnancy (79.8%).The major determinant factors identified to knowledge on obstetric fistula were, level of education(above secondary) [AOR (95%CI=2.7(1.189-6.24)], having history of modern family planning use [AOR (95%CI=2.22(1.14-4.34)], institutional delivery (for the index child)[AOR (95%CI=2.3(1.1-4.99)] and prior information about obstetric fistula[AOR (95%CI=6.1(2.65-14.1)]. Conclusion:In this study majority of reproductive age women in the study area had poor Knowledge regarding obstetric fistula. Several interventions like health education and information should be implemented to enhance the Knowledge of the community towards obstetric fistula.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134481257","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":"Risk Factors Associated with Breast Cancer-Related Lymphedema: A Systematic Review and Meta-Analysis","authors":"","doi":"10.33140/jgrm.06.03.04","DOIUrl":"https://doi.org/10.33140/jgrm.06.03.04","url":null,"abstract":"Background: Lymphedema is a chronic, progressive condition that commonly occurs after treatment for breast cancer. Therefore, this study aimed to assess the incidence and risk factors of breast cancer-related lymphedema (BCRL). Methods: PubMed, Web of Science, Embase, MEDLINE, CNKl, Wang Fang DATA, Vip Database, and SinoMed were searched from January 2000 to January 2022. Risk of bias was assessed using the Newcastle-Ottawa Scale. Estimates of pooled incidence and risk factors estimates were calculated with 95% confidence intervals (CI), with sub-group analyses according to country, study design, population characteristics, the definition of lymphedema, and risk of bias. Heterogeneity was measured using I2 and publication bias was analyzed by funnel plot. Results: 34 studies comprising 23,988 participants were included in this study, with a follow-up period ranging from 1 to 10.2 years. The estimated pooled cumulative incidence at 1,2,3,5 years post-operative for patients respectively was 20%, 17%, 18% and 23%. Factors like: stage III cancer (RR: 1.34; 95% Cl: 1.17-1.52), age≥50 (RR: 1.47; 95% Cl: 1.23-1.76), BMI ≥25 (RR: 2.09; 95% Cl: 1.85-2.36), ALND (RR: 2.72; 95% Cl: 1.89-3.92), axillary radiotherapy (RR: 2.19; 95% Cl: 1.64-2.92), Neo-adjuvant chemotherapy (RR: 1.61; 95% Cl: 1.08-2.39), adjuvant taxane-based chemotherapy (RR: 1.65; 95% Cl: 1.25-2.19) and postoperative wound complications (RR: 1.66; 95% Cl: 1.13- 2.43) were significantly associated with BCRL. Conclusions: Our analyses suggest that BCRL risk is significantly associated with cancer stage, age, BMI, ALND, radiotherapy, chemotherapy, and postoperative wound complications.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125170548","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":"The Effectiveness of Acupuncture in The Treatment of Post COVID-19 Condition: A Retrospective Study","authors":"","doi":"10.33140/jgrm.06.03.02","DOIUrl":"https://doi.org/10.33140/jgrm.06.03.02","url":null,"abstract":"Objective: To demonstrate the effectiveness and safety of acupuncture in the treatment of post COVID-19 condition (also called long COVID) in 85 cases in eastern Canada. Method: The condition of 85 patients with long COVID was analyzed retrospectively based on their clinical symptoms, diagnosis and classification. 85 cases were divided into 4 categories according to the main symptoms. The number and percentage of clinical symptoms were shortness of breath and general fatigue (35 cases, 41%); body pain (26 cases, 31%); brain fog (17 cases, 20%); and irregular menstrual cycle (7 cases, 8%). 85 patients received acupuncture weekly for 8 to 12 consecutive weeks (from June 2020 to Dec 2021), to tonify lung and kidney qi and strengthen spleen and stomach qi. The acupuncture points used were on the meridians of lung, kidney, spleen, stomach, bladder, the Ren (Conception) and the Du (Governing). Results: Of the 85 patients, 72 cases were clinically cured, and 13 cases were ineffective. The rate of overall effectiveness was 85%. Conclusions: Acupuncture restored the healthy functioning of the lungs, kidney, spleen and brain; significantly decreased the symptoms of post COVID-19 condition; improved the patient's physical condition and quality of life; and enabled patients to go back to work.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133872703","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":"Sexual And Reproductive Health Service Utilization Among High School Students in Assosa Zone: Western Ethiopia, 2021.","authors":"","doi":"10.33140/jgrm.06.02.05","DOIUrl":"https://doi.org/10.33140/jgrm.06.02.05","url":null,"abstract":"Background: Sexual and reproductive health service is basic human rights; youths are entitled to, and service providers and planners should understand this right of the adolescent to access SRH information and services to have an informed decision. Objective: This study was aimed to determine utilization level of sexual and reproductive health service and associated factors among high school students in Assosa Zone, Western Ethiopia. Methods: Quantitative cross-sectional study was carried out among selected students from randomly selected section (stratum). Total of 400 samples were proportionally allocated for the stratum and eligible students in were interviewed. Pretested and structured questionnaires were employed before actual data collection. The collected data was interred into Epidata version 3.1 and analysed using SPSS version 25 software. Results: At least 32% of students utilized one of sexual and reproductive health services in the past six months. Counselling services was the major (69.2%) service utilized and Private clinic was the major 73% place of sexual and reproductive health service utilized. Discussion with mother, knowledge, peer education and having pocket money was factors significantly associated with utilization of sexual and reproductive health services. Conclusion: Mean value of sexual and reproductive health service utilization among youth students in the past six months was 32%. Utilization of sexual and reproductive health service was affected by accessibility and service confidential should be interventional areas.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127720642","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":"The Effectiveness of Autologous Platelet-Rich Plasma PRP In the Therapy of Infertile Women with Poor Ovarian Reserve POR, A Retrospective Chart-Review Study","authors":"","doi":"10.33140/jgrm.06.02.02","DOIUrl":"https://doi.org/10.33140/jgrm.06.02.02","url":null,"abstract":"Platelet-rich plasma (PRP), also known as autologous platelet gel, is “autologous blood with concentrations of platelets above baseline levels, which contains at least seven growth factors”. plasma rich in growth factors (PRGF), and platelet concentrate (PC), is a high concentration of autologous platelets suspended in a small volume of plasma after centrifugation [1]. More than 800 types of protein molecules, cytokines, hormones, and chemo-attractants are carried by the platelets [2]. When platelets get activated, numerous biologically active proteins that stimulate cell proliferation, growth, and differentiation are released. Activated platelets also release various types of growth factors like platelet-derived growth factor (PDGF), transforming growth factor β (TGF-β), fibroblast growth factor (FGF), epidermal growth factor (EGF), insulin-like growth factor (IGF-1), and hepatocyte growth factor (HGF) [3] Table 1.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131169645","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":"Knowledge, Attitude, And Practice Towards Cervical Cancer Screening Among HIV Positive Women in Addis Ababa, Ethiopia","authors":"","doi":"10.33140/jgrm.06.02.03","DOIUrl":"https://doi.org/10.33140/jgrm.06.02.03","url":null,"abstract":"Background: A higher prevalence of pre-cancerous and invasive cervical cancer among HIV positive population compared to their HIV negative cohorts have been documented. Ethiopia is among the world countries with high HIV/AIDS and cervical cancer prevalence. The screening practice is opportunistic and its coverage is very low. Objectives: To determine the knowledge, attitude and practice towards cervical cancer and its screening among HIV positive patients in Addis Ababa. Methods: A facility based cross-sectional study was conducted among 415 HIV positive women at selected ART centers in Addis Ababa. Descriptive statistics was used to summarize the data. A two-tailed t-test was used to compare the difference for the means. Crude and adjusted odds ratios were used to measure the strength of associations between independent and outcome variables. Result: The mean age of the participants was 38.6 ± 10.6 years. Ninety-six percent of the participants heard about cervical cancer but only 18.2% of the participants were reported to have good knowledge about cervical cancer and its screening. Fifty-four percent of the subjects had positive attitude towards cervical cancer screening and 49.4% the participants were screened at least once. Age above 30 years (AOR=3.41,95%CI 1.52-7.63), first-hand information about cervical cancer from health workers (AOR=1.85,95%CI 1.11-3.07), and print media (AOR=15.36,95%CI 1.82-129.56), and having positive attitude towards cervical cancer screening (AOR=3.98,95%CI 2.34-6.78) were significantly associated with the screening practice. Conclusion: The poor knowledge and low uptake of the screening practice among these vulnerable segments of the population, especially in the referral centers will emphasize the existence of serious loophole in the prevention and management of this deadly but preventable cancer. We inspire all stakeholders engaged in the care of women living with HIV/AIDS to explore for the alternative strategies to improve the knowledge and uptake of the screening practice.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130285621","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":"Relationship Between Breast Size and Breast Cancer, A Case-Control Study","authors":"","doi":"10.33140/jgrm.06.02.01","DOIUrl":"https://doi.org/10.33140/jgrm.06.02.01","url":null,"abstract":"Background: Breast cancer is the most frequent cancer in the world, as well as the most common cancer in women. Gender, age, estrogen, family history, gene mutation, and an unhealthy lifestyle are all factors that can increase the risk of cancer. Because there haven't been many research looking into the effect of breast size on cancer, the goal of this study was to look into the link between breast size and the development of breast cancer. Purpose: Evaluation of breast size in patient with breast cancer and its comparison with healthy people referred to the breast clinic of comprehensive cancer control center in the years 2021 to 2022. Method: Many people were referred to the breast clinic of the Comprehensive Cancer Control Center between 2021 and 2022 for this case-control study, and 180 women were chosen by convenience sampling. The diameter of the breasts, the circumference of the nipple, the difference between these measurements, and the cup size were all measured and compared. Results: The average age of the cases was 39.61 years, while the average age of the controls was 38.52 years. The case group's mean nipple circumference was 100.99, while the control groups was 98.04; the difference between the two groups was not significant. The case group's mean breast circumference was 88.99, while the control groups was 86.11. There was no discernible difference. The case group's mean size difference was 12.00, while the control groups was 11.93; the difference between the two groups was not significant. Discussion and conclusion: Finally, there was no statistically significant difference between the case and control groups when four separate variables based on breast size were examined (breast circumference, nipple circumference, difference between variables 1 and 2, cup size).","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131752746","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":"Prevalence and Patterns of Male Infertility in Massawa Hospital; Eritrea: CrossSectional Study; 2020","authors":"","doi":"10.33140/jgrm.06.02.04","DOIUrl":"https://doi.org/10.33140/jgrm.06.02.04","url":null,"abstract":"Background: Semen analysis is the first step to identify male factor infertility. World Health Organization estimates that male factor accounts for 50% of couple sub-fertility. The objective of this study was to determine the prevalence and patterns of the male factor infertility in patients visiting Massawa Hospital with infertility complaints. Methods: Patient’s medical records and hospital laboratory register were used to retrieve semen analysis results of patients who did from June 2018 to June 2020 in Massawa Hospital. Ethical approval was obtained from the Ministry of Health Research and Ethical Review Committee. Confidentiality of patient’s records was kept secured and data was analyzed as aggregates. Results were presented in frequency, tables and p value < 0.05 was considered significant. Results: A total of 112 patient’s data were analyzed with 49.1% aged between 20 to 30 years. The prevalence of male factor infertility in these patients was found to be 42% and 79.5% of them had a primary type of infertility. Of the analyzed data; 63 (56.3%), 72 (64.3%) and 70 (62.5%) had sperm count < 15million sperms/ml, sperm motility < 40 % and morphology of < 60% respectively. Fifteen (13.4%) patients had a semen volume of < 1.5ml/ejaculate, out of which 13(86.7%) had a primary type of infertility. Moreover; 72 (64.3%) patients had a total sperm count/ejaculate of < 39 million and 59 (82%) of these had a primary type of infertility. In addition; 50.8% and 50% of patients aged 20 to 30 years had a sperm count < 15 million/ml and sperm motility of < 40% respectively. Conclusion: The prevalence of male factor infertility was almost similar to other studies and primary infertility was common in the patients. Most patients had lower sperm count and sperm motility compared to other studies. And, majority of patients with abnormal sperm results were aged between 20 to 30 years. Further prospective research to determine the risk factors and prevalence of infertility, and introducing assisted reproductive technology in Eritrea are highly recommended.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"12 25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129568582","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":"Understanding The Comorbidities That Increase the Cardiovascular Risk in The Gynecologic Population of Our Hospital","authors":"","doi":"10.33140/jgrm.06.01.06","DOIUrl":"https://doi.org/10.33140/jgrm.06.01.06","url":null,"abstract":"Introduction: Obesity, diabetes mellitus (DM2), high blood pressure (HBP) and dyslipidemia are widely recognized factors of increased cardiovascular risk. Objective: The primary objective of our study was to determine the prevalence of obesity, DM2, HBP and dyslipidemia in our hospital population The secondary objective was to compare the above-mentioned risk factors between premenopausal (preM) and postmenopausal (postM) populations. Materials And Methods: A descriptive, retrospective and cross-sectional study was conducted in 1,143 women aged 25 to 65 years domiciled in the Metropolitan Area of Buenos Aires (AMBA, for its acronym in Spanish), who participated in the \"Campaign for the prevention of cervical cancer and early detection of breast cancer” carried out in 2020 by the Gynecology Service of Hospital de Clínicas \"José de San Martín\", University of Buenos Aires (UBA). A survey was conducted to collect epidemiological data from patients. Blood pressure, weight and height measurements were performed in addition to the gynecological examination. The prevalence of different risk factors was estimated and compared according to the reproductive status using Fisher´s test. Results: The body mass index (BMI) of 1138 patients out of a total population of 1143 patients was obtained. The average BMI was 28.66 Kg/m2; 37.17% of the patients had obesity (35.13% in premenopausal women [preM] versus 40.73% in postmenopausal women [postM]). Among a total of 1128 patients, the prevalence of DM2 was 4.08% (2.23% in preM versus 7.26% in postM). Among 1130 patients, 12.48% had HBP (5.87% in preM versus 23.85% in postM) and among 1131 women,2.47% reported dyslipidemia (1.26% in preM versus 4.57% in postM). When comparing the populations according to the menopausal status, a significant increase was found in the prevalence of obesity (p 0.03), DM2 (p <0.001), HBP (p <0.001) and dyslipidemia (p <0.001) in postmenopausal women. Conclusions: We observed lower prevalence rates ofDM2 and HBP than in the general population. This may be attributed to the fact that the information was self-reported by patients and not confirmed by clinical examinations. However, we are surprised at the high prevalence of obesity in our population. All cardiovascular risk factors were statistically more prevalent in postmenopausal than in premenopausal women.","PeriodicalId":278014,"journal":{"name":"Journal of Gynecology & Reproductive Medicine","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122498932","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}