Indian Journal of Public Health Research & Development最新文献

{"title":"Chest X Ray and C-reactive Protein as Diagnostic Modalities for Monitoring Complications of Mild to Moderate COVID-19 Infections: Experience from a Dedicated COVID Hospital, Kolkata","authors":"Soumyasarathi Mondal, Arup Chakraborty, Ria Mukherjee, Adwitiya Das","doi":"10.37506/wnnykq89","DOIUrl":"https://doi.org/10.37506/wnnykq89","url":null,"abstract":"Introduction: SARS-COV-2 has created havoc during 2019-2021. Diagnosis and managing complications needed both laboratory investigations and imaging modalities.Aims and objectives: To find out the association between socio-demographic and clinical profiles of the studysubjects with their different laboratory investigations and imaging modalities and to compare normal investigations with their gold-standard variants.Materials and Methods: During the first wave of COVID-19, a descriptive, observational, and cross-sectionalstudy was carried out on 120 consecutive samples of mild to moderate COVID patients using a conveniencesampling technique in a COVID indoor ward of Medical College, Kolkata. The semi-structured data collectionform used in the study was predesigned, pretested, face and content validated. SPSS version 25 and Microsoft Excel version 19 was used for data analysis after coding. Ethical approval was taken. (Ref No. MC/KOL/IEC/ Non-Spon/842/11/2020).Results: Old age, uncontrolled diabetes and hypertension, presence of symptoms especially shortness of breath is significantly associated with low levels of SpO2, elevated C reactive protein (CRP) and D-dimer, abnormal Chest X-ray (CXR) and CT Thorax. A Kappa analysis suggested CRP and CXR can also be done instead of D-dimer and CT Thorax respectively, in a COVID patient for monitoring complications.Conclusion: CRP and CXR are cost-effective alternatives and can be used as diagnostic modalities for monitoring of complications of mild to moderate COVID-19 infections.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research & Development","volume":"40 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735856","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":"An Observational Study on Port-site Infection and its Management in Patients Undergoing Laparoscopic Cholecystectomy","authors":"Kamalika Ghosh, Sandip Kumar Ghosh, Priyabrata Shit, Ajay Halder","doi":"10.37506/swn10t56","DOIUrl":"https://doi.org/10.37506/swn10t56","url":null,"abstract":"Background: With increasing number of performed laparoscopic cholecystectomies, there is an increasing number ,of port site infection, although it occurs infrequently, but it has significant influence on overall outcomes of laparoscopic cholecystectomy. The aims of the present study was to identify the causative organism involved in port-site infection (PSI) and its management and outcome after laparoscopic cholecystectomy objectives and to evaluate causative organism involved in port site infection after laparoscopic cholecystectomy.Materials & Methods: Patients who underwent laparoscopic cholecystectomy and now presenting with PSIin General Surgery OPD and Emergency of Burdwan Medical College and Hospital. Thorough clinical historytaking followed by swabs was taken for culture and sensitivity in all patients who developed port site infection after laparoscopic cholecystectomy. Tissue samples were taken for detection of mycobacterium tuberculosis by CBNAAT. All patients were followed up for 6 months post operatively. Incidence of PSI in relation to gender, pre-operative diagnosis, spillage, relation with different port sites and the type of microorganism associated was evaluated and compared with previous study.Results: In the present study 90 patients who underwent laparoscopic cholecystectomy, 19 patients reported port site infection after surgery, whereas the remaining 71 patients had uneventful post operative period. Out of the 19 infected 7 were male [25% of total male cases] and 12 were female [19% of total female cases]. Cases of port site infection were 21% of total cases. Conclusion: The incidence of PSI was higher in cases of acutely inflamed GB, biliary spillage, open port creation, avoidance of endo-bag, and in comorbidities. They were managed with either antibiotics, dressing or surgical exploration.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research & Development","volume":"10 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross Sectional Study on Arch Index among Adolescent Females with Different Body Mass Index Strata","authors":"Veena Lakshmi.P, Sumana.R, P. Praveena","doi":"10.37506/10n52v58","DOIUrl":"https://doi.org/10.37506/10n52v58","url":null,"abstract":"Females in adolescent age have their own way of walking pattern which is unique. Congenital variations are more common in the foot region. Adolescent foot morphology is dependent on gender, genetic, environmental and lifestyle factors. The present study is evidence for analysis of Arch Index within different body mass index strata among adolescent females. The body mass index is classified as underweight (< 18.49), normal weight (18.5-24.9,) overweight (25 – 29.9) and obese (>30). In current study, statistical analysis of Arch Index between the four Body mass index groups by ANOVA was done. High statistical significance (p value < .001) of Arch Index(right),Arch Index(left) between the four BMI groups were identified. The understanding of the pedographic parameters will be informative to anatomists, orthopaedicians, and orthoses manufacturers.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of the Serum Paraoxonase (PON1) Activity and the Concentration of Parameters of Lipid Profile after 3 Months of Statin Therapy","authors":"Sharmistha Chatterjee, Biswajit Majumder, Prajwal Kumar Sinha, Indranil Chakraborty","doi":"10.37506/hm9qbz10","DOIUrl":"https://doi.org/10.37506/hm9qbz10","url":null,"abstract":"Background: Human serum paraoxonase (PON1) residing on HDL can prevent the oxidation of low densitylipoprotein (LDL), the initiating factor in atherosclerosis. Statins are commonly used to treat dyslipidemia,aknown risk factor for coronary artery disease (CAD).The aim of the studyis to evaluate the alterations in theconcentrationof PON1 along with that of other parameters of lipid profile in patients of CAD before and after 3 months of statin therapy.Materials and Methods: The study included 30 new patients who were put on statin therapy following thediagnosis of acute coronary syndrome. The activity of PON1 (units-IU/L) and the concentration of lipid profileparameters (units-mg/dl) were estimated before starting statin therapy and again after three months. Patients with co-morbidities like diabetes, kidney disease, liver disease and other cardiac diseases of infectious aetiology were excluded.Results and Analysis: As expected, both PON1 and HDL have increased after 3 months. There was a statistically significant increase in both PON1 (p<0.05)and HDL (p<0.001) and a decrease (p <0.05, also statistically significant)in LDL after 3 months of statin therapy.Conclusion: This knowledge may be exploited in the follow up CAD patients. The increase in PONI and thesimilar increase in HDL after 3 months of statin therapy may be exploited in the follow-up of cardiac patients.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"151 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740947","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":"Clinical Characteristics of COVID-19 Patients and Risk Factors for Shortness of Breath: A Cross-Sectional Study in Bangladesh","authors":"Muhammad Zakaria","doi":"10.37506/rgmsk980","DOIUrl":"https://doi.org/10.37506/rgmsk980","url":null,"abstract":"Background: Exploring the clinical characteristics, and risk factors for severe complications among COVID-19-positive patients has been helpful in identifying the most vulnerable communities to which public healthpractitioners should pay special attention. This study aimed to evaluate the clinical characteristics of COVID-19 patients, and risk factors for shortness of breath among COVID-19-positive patients in Chattogram, Bangladesh.Materials and Methods: Data were collected using a structured and facilitator-administered questionnaire among the COVID-19-positive patients (N = 408). Multivariate logistic regression analysis was performed to explore the predictors of outcome variables. Data were analyzed using IBM SPSS version 24.0.Results: It was revealed that at least one comorbidity was found among about half of the study participants,while the most prevalent symptoms of COVID-19 patients consisted of fever, cough, loss of taste, loss of smell, fatigue, and sore pain. In addition, Azithromycin is a more common treatment in our country. The multivariate logistic regression displays the COVID-19 patients aged more than 50 years (AOR = 2.05, 95% CI: 1.13-3.71) and respondents with cardiovascular disease (AOR = 4.60, 95% CI: 1.51-8.58) and the second wave of the coronapandemic (AOR = 1.78, 95% CI: 1.06-2.99) were reported as a risk factor for having shortness of breath among the virus-infected people.Conclusion: The findings explored an empirical and practical basis for exploring the risk factors for severecomplications of COVID-19 patients. Furthermore, evidence from this study might play a key role in providingpolicymakers with research-based evidence in their continuous effort to prevent the COVID-19 pandemic.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"47 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735785","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":"Practise of Self-Monitoring of Blood Glucose Among Pregnant Women with Gestational Diabetes Mellitus Attending a Tertiary Care Hospital in Lucknow, Uttar Pradesh","authors":"Mallicka, Neha Shukla","doi":"10.37506/ddfygr07","DOIUrl":"https://doi.org/10.37506/ddfygr07","url":null,"abstract":"Background: Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance of varying degree diagnosed first time during the pregnancy. Blood glucose values revert to the normal level soon after the delivery. But the women carry a lifetime risk of getting overt diabetes within 5 years. The management of GDM mainly comprises of medical nutrition therapy, exercise, weight management and Self-Monitoring of Blood Glucose (SMBG). Among all the management components, SMBG is the mostly neglected especially among pregnant women with GDM.Overall, the practise of SMBG in developing nation like India is not up to the mark. Aim: The aim of the present study was to determine the practice of SMBG amongst the pregnant women with GDM. The study was conducted in the antenatal OPD of Queen Mary’s Hospital KGMU, Lucknow, Uttar Pradesh. Methodology: It was a quasi experimentalstudy on 188 pregnant women with GDM managed on life style intervention. Statistical analysis:Descriptive statistics in the form of frequencies and percentages were used to analyse the sociodemographicfactors. ANOVA was applied to compare the mean score between the two groups. Result: The overall adherence to the SMBG practice was found to be very low among the study participants. No significant difference was observed between the two groups. Conclusion: Patient empowerment and imparting proper information regarding SMBG may be helpful in managing the GDM with better maternal and foetal outcomes.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"60 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140739412","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":"Clinical Profile and Outcome of Neonates Admitted in Intensive Care Unit: A Cross Sectional Study in District Hospital","authors":"Usha Rani S, Ashoka C, Soundarya Venkateshan, Swetha R, Riyaz ahmed","doi":"10.37506/af7k6c68","DOIUrl":"https://doi.org/10.37506/af7k6c68","url":null,"abstract":"Neonatal period, which is the first 28 days of an infant’s life, is the most crucial and vulnerable period. A remarkable decline in mortality rates during neonatal period for the past two decades is due to the advances of obstetric practice in term of medical screening and surveillance and increased neonatal specialization. However, respiratory tract disorders, along with sepsis and other types of infection, are the major causes of neonatal morbidities and mortalities. Hence, this study is aimed to bridge these gaps and provide inputs to the program implementers to design necessary interventions that could contribute to the reduction of neonatal morbidity and mortality.Aims: To determine the clinical profile and neonatal outcome admitted to NICU in district hospitalObjectives: 1. To determine the socio demographic factors associated with neonatal outcome 2. To determine the obstetric profile associated with neonatal outcome.Methods: This hospital based retrospective study was conducted in the NICU of Tumakuru district hospital from Jan to March 2023. Records of all the admitted neonates were reviewed. The details were collected based on a structured questionnaire prepared in English. This contained information regarding obstetric and antenatal care (ANC), gestational age at birth, birth weight, sex, APGAR score, age at admission, admission diagnosis, neonatal outcomes and other related details. The data collected was entered in Microsoft excel (MS Excel) and quantitative variables was analysed by mean and qualitative variable by proportion by epi in go 3.4.3. Chi square was used to find out the association between the neonatal outcome and other variables. P value <0.05 was considered significant. \u0000Results: A total of 120 neonates were admitted during the study period. 47 (39.1%) mothers of the neonates were aged 21-25years and followed by 34 (28.3%) mothers in the age of 26-30 years. Association between neonatal outcome and socio demographic components was not statistically significant but definitely outcome was better with the good socio demographic profile. Regarding ANC follow up, 119 (99.1%) mothers had attended at leastone prenatal visit and majority 100 (80%) were having ANC check-up at government hospital. The most commoncauses of neonatal mortality were respiratory distress syndrome 4(3.33%), followed by low birth weight 4(3.33%), and preterm 3(2.5%).Conclusion: Inspite of improved technology and facilities available still the neonatal outcome is worst. These all are preventable causes of neonatal mortality and morbidities which has to be taken care bygiving due importance to its predictors. Maternal and environmental factors has to be taken care and dealt.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"160 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740199","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":"Comparison of Endotracheal Tube Cuff Pressure change between Supine prone and Supine – Knee Chest Position in Lumbar Disc Surgery","authors":"Arun Kumar Mandi, Priyabrata Shit, Jisnu Nayak, Sukanta Sen","doi":"10.37506/9rk1js42","DOIUrl":"https://doi.org/10.37506/9rk1js42","url":null,"abstract":" Background: In rare instances, massive over inflation of the cuff may lead to acute complications such as tracheal bleeding or rupture. This may be associated with post-operative complications like sore throat hoarseness of voice. The purpose of this study was to evaluate the ETT cuff pressure changes between supine to prone and supine to knee chest position in lumber disc surgery. Materials & Methods: Sixty patients, aged between 18 to 60 years of either sex, belonging to American Society of Anaesthesiology (ASA) physical status I to II undergoing elective lumbar disc surgery under general anaesthesia either in prone position or in knee-chest position were considered for this study. The patients were randomly allocated into two groups of 30 patients each. Group “p” was undergone operation in prone position and group “k” undergone operation in knee-chest position. The patients were connected to standard monitoring system such as non-invasive blood pressure (NIBP), electrocardiogram (ECG), pulse oxymeter, and capnometer. All patients were pre-medicated with inj. glycopyrrolate 0.2 mg and inj. fentanyl 2µg/kg iv 5-6 minutes before induction of anaesthesia and were pre-oxygenated with 100% oxygen for atleast 3 minutes. All the patients were induced with inj. propofol 2.5 mg/kg i.v. followed by inj. rocuronium at a dose of 1.2 mg/kg for facilitating tracheal intubation with reinforced ETT. The ETT size selected for men and women were 8.0-8.5 mm ID and 7.0- 7.5 mm ID (Mallinckrodt) respectively. Results: Group k patients showed higher cuff pressure change from 25 to 39.97cm of H2O compared to group p from 25 to 30.47 cm of H2O after change of position only. There was statistically significant different found between groups Sore throat was found significantly higher in group k compared to group p (20% vs 16.67%). Conclusion: The cuff pressure of the endotracheal tube should be monitored and managed properly after the position change from supine to prone and prone to knee chest position.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"29 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738896","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":"Evaluation of the Impact of Screen Time and Parental Play on Children with an Autism Spectrum Disorder in Comparison with Normal Children","authors":"Fidal Hastro P, Mukkala Prajwala","doi":"10.37506/qg6ktv49","DOIUrl":"https://doi.org/10.37506/qg6ktv49","url":null,"abstract":"Background: There is a decremental trend seen in parental play in recent times, and there is a mounting trend in screen exposure in children. This changing trend in parental play and screen time exposure may affect child social and communication domains.Objective: To assess the impact of screen time and parental play in children with autism spectrum disorder.Methodology: This is a comparative cross sectional study with a sample of 60 children. Thirty children of age group 2-6 years diagnosed with Autism Spectrum Disorder as per DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) attending child guidance Clinic, Government Hospital for Mental care were included in the study.The Parental Play Questionnaire assessed parental play in children. The Digital Screen Exposure Questionnaire(DSEQ) evaluated child screen time exposure. The severity of ASD was assessed by using the CARS scale.Results: Out of thirty samples with Autism spectrum disorder (ASD), 60% of children had moderate ASD, while 20% accounted for mild and severe ASD. Nearly 53.3% of ASD children had a frequency of watching smartphones more than 5 times a week with an average duration of more than 2 hours a day. In contrast, in normal children, only 6.7% have such frequency and an average time of watching smartphones less than 1 hour, significant with a p-value of <0.001. Among the ASD group, 80% of children had active physical parent-child play frequency of less than twice a week. In normal children, about 60% had a frequency of parent-child play several times daily.(p-value <0.001). About 66.7% of ASD children never had to pretend play, and 30% had pretend play once a week.Conclusion: The result showed significantly higher screen time exposure and lack of parental play in childrenwith ASD than in normal children. The need of this digital era is mounting concern about reducing screen time exposure and increasing parental play in childhood.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"155 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740345","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 Environmental Health Risk Analysis regarding Hepatitis A Transmission among Street Food Vendor in Indonesia","authors":"Isa Ma’rufi, Erwin Nur Rif’ah, Ristya Widi Endah Sari, Farida Wahyuning Tyias, Zarah Puspitaningtyas, Sugeng Winarso, Dewi Rokhmah, Khaidar Ali","doi":"10.37506/m4v7s010","DOIUrl":"https://doi.org/10.37506/m4v7s010","url":null,"abstract":"This study aimed to conduct hazard identification and risk assessment for the transmission of hepatitis A among street food vendors (SFVs), whereas risk management was generated. This observational analytic study was conducted in Jember Regency - Indonesia. Cluster random sampling was employed, wherein five distinct locus were selected representing SFVs in campus area and local market area. A total of 100 SFVs in Jember participated in this study. Data was collected using a questionnaire. The risk assessment was measured by multiplying the likelihood and consequence. Additionally, the data was subjected to descriptive analysis. This study found the identification of hazards among SFVs was found inadequate sanitation facilities, poor food processing practice (improper handling of raw ,- cooked ingredients, and poor food serving), limited availability of clean water,substandard building and layout were observed as potential hazards for the transmission of hepatitis A. The risk assessment found inadequate sanitation facilities (18 point), negative attitude (18 point), poor quality assurance (16 point), and food contamination (14 point) have high scores. The risk management including: a) location and building: providing specific location, and maintaining cleanliness of the furniture and equipment on a regular basis, b) sanitation facility: provision of sanitary waste bin, communal toilet and wastewater drainage system; fly control measures, and using piped water supply, c) food processing: increasing food handler personal hygiene, and standard food handling process.In conclusion, the risk of Hepatitis A transmission among street vendors remains high and poses a threat in Jember, indicating the need for health education for the street vendors. Additionally, the author recommends policymakers to implement regular monitoring or inspection of the food quality and the necessity of providing clean water facilities or other fundamental facilities to SFVs.","PeriodicalId":302882,"journal":{"name":"Indian Journal of Public Health Research &amp; Development","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735997","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}