Perinatologia y Reproduccion Humana最新文献_第3页

El minihemocultivo como herramienta diagnóstica en sepsis neonatal 微型血液培养作为新生儿败血症的诊断工具

Perinatologia y Reproduccion Humana Pub Date : 2018-06-01 DOI: 10.1016/j.rprh.2018.06.005

G. del Rey-Pineda , D. Villanueva-García , G. García-Elorriaga

{"title":"El minihemocultivo como herramienta diagnóstica en sepsis neonatal","authors":"G. del Rey-Pineda , D. Villanueva-García , G. García-Elorriaga","doi":"10.1016/j.rprh.2018.06.005","DOIUrl":"10.1016/j.rprh.2018.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>To design a blood micro-culture using 200 to 300μl of blood and compare it with the reference BACTEC peds plus/FTM BD<sup>®</sup> blood culture.</p></div><div><h3>Methods</h3><p>Two batches of HEM-1 and HIM-3 blood micro-cultures, with different composition were prepared. They were quality controlled in the same way as that carried out in the BACTEC, which is the automated reference blood culture. A total of 98 samples taken from Neonatal Intensive Care Unit (NICU) patients with probable sepsis were studied and stratified into two groups. The first 48 samples that were inoculated into HIM-1 and BACTEC paediatric plates, and the second 50 samples in HIM-3 and in paediatric BACTEC plates.</p></div><div><h3>Results</h3><p>The microorganisms grown in HIM-1 and HIM-3 included: <em>E. coli, K. pneumoniae, P. aeruginosa</em>, and <em>Enterococcus</em> spp up to 10<sup>2</sup> CFU/ml (which is the minimum recovery concentration of the reference blood culture). Micro-blood cultures did not improve the growth of <em>S. epidermidis</em>, <em>S. aureus</em> and <em>S. pneumoniae</em> of 10<sup>2</sup> CFU/ml. For Gram negatives, a sensitivity of 80%, specificity of 96%, positive predictive value (PPV) of 80%, and negative predictive value (NPV) of 96%, were obtained.</p></div><div><h3>Conclusions</h3><p>HIM-1 and HIM-3 are adequate for the diagnosis of early neonatal sepsis in developing countries, mainly by Gram negative, but not for late sepsis, mainly by staphylococci. Compared to BACTEC they save a lot of blood sample.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 2","pages":"Pages 60-64"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.06.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42653158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Neurodesarrollo en trillizos a los 2 años de vida de acuerdo al método de embarazo 根据怀孕方法，三胞胎2岁时的神经发育

Perinatologia y Reproduccion Humana Pub Date : 2018-06-01 DOI: 10.1016/j.rprh.2018.04.006

M.A. Guido Campuzano , L.A. Fernández Carrocera , T. Sandoval Hernández , M.P. Conde Reyes , R. Jiménez Quirós , M.P. Ibarra Reyes , C. Martínez Cruz

{"title":"Neurodesarrollo en trillizos a los 2 años de vida de acuerdo al método de embarazo","authors":"M.A. Guido Campuzano , L.A. Fernández Carrocera , T. Sandoval Hernández , M.P. Conde Reyes , R. Jiménez Quirós , M.P. Ibarra Reyes , C. Martínez Cruz","doi":"10.1016/j.rprh.2018.04.006","DOIUrl":"10.1016/j.rprh.2018.04.006","url":null,"abstract":"<div><h3>Background</h3><p>Multiple pregnancies, prematurity, low birth weight and intrauterine growth restriction are important risk factors for adverse neurodevelopmental throughout the world.</p></div><div><h3>Material and methods</h3><p>An observational, retrospective, and analytical study was conducted on a cohort of triplets born by different pregnancy methods. They were assessed using the Mayo Clinic neurological assessment, neurobehavioural evaluation, Bayley psychomotor assessment, human communication, and hearing and language at 2 years of life.</p></div><div><h3>Results</h3><p>A total of 82 sets of triplets were included in the analysis. In the neurological examination at two years, behavioural problems stand out, being 10.6% for spontaneous pregnancies. In the neurobehavioural assessment, 16% presented with a mild delay, 3.4% moderate, and severe delay only in 0.8%. The percentage for hearing loss in general was low, being superficial in one patient, with mild hearing loss in one, and another with profound hearing loss. The language for the entire sample was at a mean of 21.2 months. For the Bayley scale, the mean mental index was 83.6, and for the psychomotor index it was 82.7.</p></div><div><h3>Conclusions</h3><p>There were no statistical differences in relation to neurodevelopment and pregnancy methods. The only differences were found in the Bayley assessment for those born by ovulation inducers. The results of neurodevelopment in general were favourable. Cerebral palsy only occurred in 1.2%, with behavioural problems predominating in 6.8%.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 2","pages":"Pages 78-84"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.04.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tamizaje neonatal de hipotiroidismo congénito, análisis de la evidencia actual y propuesta de tamizaje para la población mexicana 新生儿先天性甲状腺功能减退筛查，当前证据分析和墨西哥人口筛查建议

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.04.003

C.M. Flores-Robles , I.A. Coronado-Zarco , C. Ortega-González , G. Arreola Ramírez , E. Reyes-Muñoz

{"title":"Tamizaje neonatal de hipotiroidismo congénito, análisis de la evidencia actual y propuesta de tamizaje para la población mexicana","authors":"C.M. Flores-Robles , I.A. Coronado-Zarco , C. Ortega-González , G. Arreola Ramírez , E. Reyes-Muñoz","doi":"10.1016/j.rprh.2018.04.003","DOIUrl":"10.1016/j.rprh.2018.04.003","url":null,"abstract":"<div><p>In recent years, the incidence of congenital hypothyroidism has almost doubled; this is attributed to the increased number of premature births and multiple pregnancies, changes in the design of current neonatal screening programmes, and to the improvement in available laboratory techniques, which have allowed the detection of subtle forms of the disease.</p><p>Screening strategies vary according to the objectives of each programme and in recent decades, there has been controversy about: a) the ideal method of detection: TSH (thyrotropin), thyroxine (T4) or simultaneous T4 and TSH, b) the usefulness of the decrease in TSH cut-off in whole blood recently implemented and c) the need for re-screening among premature newborns with low birth weight, Down syndrome, and other high-risk populations.</p><p>Although the benefit of early treatment of severe cases of congenital hypothyroidism to prevent mental retardation is clear, most of the new cases detected with the new strategies are mild, such as transient and persistent neonatal hyperthyrotropinaemia, for which the usefulness of treatment in neurocognitive development has not been proven in randomized clinical trials. The objective of this article is to make a screening proposal in the Mexican population based on the current available evidence and to establish future research areas that help to resolve these controversies.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 1","pages":"Pages 43-52"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55288373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Evaluación de las pacientes con problemas de fertilidad, factores asociados a la resolución del embarazo e importancia del tamizaje del hipotiroidismo congénito: diversidad y amplitud del campo de la Perinatología 生育问题患者的评估，与妊娠解决相关的因素和先天性甲状腺功能减退筛查的重要性:围产期领域的多样性和广度

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.06.001

Enrique Reyes Muñoz

引用次数: 0

Manejo del dolor en el recién nacido postoperado de hernia inguinal con analgesia inmediata al finalizar la cirugía 新生儿腹股沟疝术后疼痛管理，手术结束后立即镇痛

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.04.005

O.G. Ramires , F.J. Flores Murrieta , L.A. Fernández Carrocera

{"title":"Manejo del dolor en el recién nacido postoperado de hernia inguinal con analgesia inmediata al finalizar la cirugía","authors":"O.G. Ramires , F.J. Flores Murrieta , L.A. Fernández Carrocera","doi":"10.1016/j.rprh.2018.04.005","DOIUrl":"10.1016/j.rprh.2018.04.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The control of post-operative pain in the patient is essential to reduce the clinical and metabolic response that is generated secondary to stress.</p></div><div><h3>Objective</h3><p>To determine if the administration of analgesia at the end of surgery increases the time of presentation of the pain using the CRIES scale in post-operated bilateral inguinal hernia newborns.</p></div><div><h3>Methods</h3><p>A randomised double-blind clinical trial was conducted from November 2002 to August 2003, on premature newborn with corrected gestational age of ≥37weeks. In all cases Regional anaesthesia with caudal block was used in all cases. At the end of the surgery, the patients were randomly assigned for analgesia at the end of the surgery. The drug used was nalbuphine at a dose of 100μg/Kg.</p></div><div><h3>Results</h3><p>The gestational age at the time of surgery was 37.3weeks. A value equal to or greater than 4 on the CRIES scale in the first assessment was observed in the study group at 219minutes, while that in the control group was 147minutes (<em>P</em>    <.001).</p></div><div><h3>Conclusions</h3><p>The period of well-being observed in the group of patients who were administered analgesia immediately at the end of the surgery was 531minutes for an analgesic drug demand, being more than double the time in the control group.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 1","pages":"Pages 33-38"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41861347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstetrician's attitudes about delivery through cesarean section: A study in hospitals at Mexico City 产科医生对剖宫产的态度:墨西哥城医院的一项研究

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.03.012

A. Vallejos Parás , S. Espino y Sosa , L. Jaimes Betancourt , C. Zepeda Tena , D.A. Cabrera Gaytán , L. Arriaga Nieto , G. Valle Alvarado , M. López Cevantes , L. Durán Arenas

{"title":"Obstetrician's attitudes about delivery through cesarean section: A study in hospitals at Mexico City","authors":"A. Vallejos Parás , S. Espino y Sosa , L. Jaimes Betancourt , C. Zepeda Tena , D.A. Cabrera Gaytán , L. Arriaga Nieto , G. Valle Alvarado , M. López Cevantes , L. Durán Arenas","doi":"10.1016/j.rprh.2018.03.012","DOIUrl":"10.1016/j.rprh.2018.03.012","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the attitudes of medical obstetrician-gynecologists (Ob-Gyn) and its association with the cesarean section rate.</p></div><div><h3>Material and methods</h3><p>We performed a cross-sectional multicenter survey research, 197 Ob-Gyn were surveyed from eight hospitals, between November 2010 and May 2011. Data analysis included descriptive statistics on the general characteristics of Ob-Gyn, We used the <em>χ</em><sup>2</sup> test for bivariate analyses of categorical variables and logistic regression models to associate Ob-Gyn attitudes and percentage of births by cesarean section.</p></div><div><h3>Results</h3><p>The percentage of cesarean sections births expressed by Ob-Gyn surveyed was 59.2%. Ob-Gyn expressed a preference to delivery by cesarean section in 33.5%, 60.9% of the Ob-Gyn considered themselves skillful when attending cesarean deliveries compared against vaginal delivery. Thirty five percent of Ob-Gyn has scheduled a cesarean section for convenience, while 83.8% of Ob-Gyn said that women prefer cesarean births. In the regression model five variables are significantly associated with the Ob-Gyn that perform 30% or more of their cesarean deliveries, among these include: perception that vaginal are safer procedures than cesarean deliveries and that women have right to choose the type of delivery, whether vaginal or cesarean, with an OR=4.7 and 7.5 respectively.</p></div><div><h3>Conclusions</h3><p>We have shown that attitudes of Ob-Gyn who are associated with cesarean section rate. These attitudes could be related with the increase of the cesarean births.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 1","pages":"Pages 19-26"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.03.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47866867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Relación entre factores psicosociales y el Índice de Función Sexual Femenina en población rural de la comuna de Teno, Región del Maule 莫尔地区Teno公社农村人口心理社会因素与女性性功能指数的关系

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.03.014

G. Bustos B., R. Pérez V

{"title":"Relación entre factores psicosociales y el Índice de Función Sexual Femenina en población rural de la comuna de Teno, Región del Maule","authors":"G. Bustos B., R. Pérez V","doi":"10.1016/j.rprh.2018.03.014","DOIUrl":"10.1016/j.rprh.2018.03.014","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the Female Sexual Dysfunction Index and its relationship with biopsychosocial factors in Teno's female population from June 2014 to January 2015.</p></div><div><h3>Methodology</h3><p>Transversal, analytical and quantitative, non- experimental study of female users who attended gynaecological or family planning clinics in CESFAM Morza, Teno. Simple random sampling. In this study, The Graffar Scales, Rosenberg, Smilkstein, partner violence questionnaire and Rosen et al., were used to assess socioeconomic status, self-esteem, family functionality, type of conjugal violence and sexual function. The data was analyzed through Infostat software, 2015 version. A variance analysis (ANOVA) and a nonparametric variance analysis were performed using the Kruskal-Wallis test, considering a significance level of α=.05.</p></div><div><h3>Results</h3><p>305 women were studied. A (25.6<u>+</u>7.12) FSDI score was obtained. A 41.6% rate of sexual dysfunction and a 37% rate of desire disorder were observed in the women. Twelve point one percent of the women showed excitation difficulties, 9.5% lubrication problems, 63.3% orgasm disorder, 13.4% problems regarding sexual satisfaction, and 11.4% dyspareunia. The FSDI varied when it was related to self-esteem, couple violence, socioeconomic status and family structure.</p></div><div><h3>Conclusions</h3><p>There is a correlation between the FSDI and the biopsychosocial variables studied. Low self-esteem, overweight and obesity, family dysfunction and couple violence (physical, psychological and sexual) determine sexual dysfunction.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 1","pages":"Pages 9-18"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.03.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45147598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Utilidad de los biomarcadores séricos involucrados en la fisiopatología de la preeclampsia como predictores tempranos de diagnóstico 参与子痫前期病理生理学的血清生物标志物作为早期诊断预测因子的有效性

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.04.002

K. Camacho-Méndez , E. Ventura-Arizmendi , A. Zárate , M. Hernández-Valencia

引用次数: 2

Relationship between follicular fluid and serum anti-Mullerian hormone levels and pregnancy rate in ART cycles ART周期中卵泡液和血清抗苗勒管激素水平与妊娠率的关系

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.03.001

M. Zargar , M. Najafian , Z. Zamanpour

{"title":"Relationship between follicular fluid and serum anti-Mullerian hormone levels and pregnancy rate in ART cycles","authors":"M. Zargar , M. Najafian , Z. Zamanpour","doi":"10.1016/j.rprh.2018.03.001","DOIUrl":"10.1016/j.rprh.2018.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study is aimed at determining the serum and follicular fluid level of anti-Mullerian hormone, its quality, and relationship between anti-Mullerian hormone level with assisted reproductive technology (ART) success rates.</p></div><div><h3>Method</h3><p>In 50 infertile patients who underwent the ART cycle, follicular fluid and serum levels of anti-Mullerian hormone were measured on oocyte retrieval day. Patients were then divided into two groups of fertile and non-fertile.</p></div><div><h3>Results</h3><p>Pregnancy test result was positive in 13 and negative in 37 patients. Serum and follicular fluid level of anti-Mullerian hormone was higher among the first group than the second group (<em>P</em>  <!-->0.05). Mean follicular fluid level of anti-Mullerian hormone was 5.12 and 4.23 among the first and second groups, respectively. Mean serum anti-Mullerian hormone level was 1.76 in the first group and 1.49 in the second group.</p></div><div><h3>Conclusions</h3><p>Higher level of anti-Mullerian hormone in serum and follicular fluid has a significantly positive correlation with the success rate in ART cycles and oocyte quality; therefore, anti-Mullerian hormone can be a positive predictor of ART success cycles.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 1","pages":"Pages 3-8"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42449555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Recién nacidos vivos con defectos del tubo neural en el Instituto Nacional de Perinatología de la Ciudad de México. Características demográficas y epidemiológicas 在墨西哥国立围产期研究所有神经管缺陷的活新生儿。人口统计学和流行病学特征

Perinatologia y Reproduccion Humana Pub Date : 2018-03-01 DOI: 10.1016/j.rprh.2018.04.001

R. Jiménez-Guerra , I.A. Coronado-Zarco , R. Zamora-Escudero , P.K. García-May , G. Yescas-Buendía , L.A. González-Gómez , L.M. Arroyo-Cabrales , M.O.L. Echániz-Avilés , C. Valencia-Contreras , M.I. Ayala-Hernández

{"title":"Recién nacidos vivos con defectos del tubo neural en el Instituto Nacional de Perinatología de la Ciudad de México. Características demográficas y epidemiológicas","authors":"R. Jiménez-Guerra , I.A. Coronado-Zarco , R. Zamora-Escudero , P.K. García-May , G. Yescas-Buendía , L.A. González-Gómez , L.M. Arroyo-Cabrales , M.O.L. Echániz-Avilés , C. Valencia-Contreras , M.I. Ayala-Hernández","doi":"10.1016/j.rprh.2018.04.001","DOIUrl":"10.1016/j.rprh.2018.04.001","url":null,"abstract":"<div><h3>Introduction</h3><p>After congenital hydrocephalus, spinal dysraphisms represent the second cause of neurosurgical consultation within the National Institute of Perinatology ‘Isidro Espinosa de los Reyes’ in Mexico City (INPer). The objective of the present study is to establish the demographic and epidemiological characteristics of live newborns with neural tube defects, during the past year.</p></div><div><h3>Material and methods</h3><p>We carried out a descriptive, observational, retrospective study, including all live births within the Institute and diagnosis at discharge of cranial and/or spinal neural tube defects. The analysis is presented with descriptive statistics, using frequency tables, medians and ranges.</p></div><div><h3>Results</h3><p>Fifteen live births with neural tube closure defects were recorded, of which 3 had more than one defect other than the Chiari malformation, and 80% presented hydrocephalus. All the mothers reported adequate intake of folate. There was no history of relatives with dysraphisms or maternal consumption of anti epileptic drugs. One patient with a closed defect developed fistula and infectious ventriculitis as a surgical complication.</p></div><div><h3>Conclusion</h3><p>The number of cases attended in the INPer, due to neural tube defects, tripled compared to the previous year. The post natal care provided showed fewer complications than those reported in the literature, specifically infectious complications, due to timely multidisciplinary care and possibly due to the surgical closure of all open neural tube defects within the first 24h.</p></div>","PeriodicalId":32275,"journal":{"name":"Perinatologia y Reproduccion Humana","volume":"32 1","pages":"Pages 27-32"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rprh.2018.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43718804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2