Medical Science Pulse最新文献

{"title":"Pain coping strategies and their effectiveness in managing and reducing pain in patients after planned surgical procedures: an observational study","authors":"Angelina Sztramkowska, Elżbieta Szlenk-Czyczerska","doi":"10.5604/01.3001.0053.9705","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9705","url":null,"abstract":"Background: It is well known that postoperative pain control is very important because it prevents the negative effects of untreated pain and reduces the development of postoperative complications. The experience of postoperative pain and the choice of coping strategies after surgery are very different and individual. Therefore, staff must take a more individualized approach to pain management to optimize postoperative pain relief.Aim of the study: The main objective of this study was to evaluate pain management strategies and their effectiveness in managing and reducing pain in patients after planned surgical procedures.Material and Methods: The observational study was conducted at EuroMediCare St. Roch Specialized Hospital in Ozimek in the Department of General Surgery from November 2019 to February 2020. The study included 100 patients after elective surgical procedures. The study used the Pain Coping Strategies Questionnaire, the Numerical Pain Rating Scale, and a questionnaire created by the author independently.Results: Analysis revealed that the patient's age affects pain coping strategies scores (p = 0.035). Place of residence influenced the use of strategies of ignoring experience (p = 0.031) and increased behavioural activity (p = 0.014). There was a correlation between pain management and the use of diverting attention (r = 0.236; p = 0.018), ignoring experiences (r = 0.386; p = 0.000), declaration of coping (r = 0.384; p = 0.000), increased behavioural activity (r = 0.335; p = 0.001) and between ability to reduce pain and the use of strategies to ignoring experiences (r = 0.325; p = 0.001), declaration of coping (r = 0.244; p = 0.014) and increased behavioural activity (r = 0.271; p = 0.006). It was observed that the use of catastrophising strategies affected the ability to control (r = - 0.273; p = 0.006) and reduce pain (r = - 0.265; p = 0.008).Conclusions: Age and place of residence should be taken into account when planning analgesic therapy for post-surgery patients, as those over 60 years of age were less likely to use a declared pain management strategy, and patients living in small towns and rural areas were significantly less likely to manage and reduce pain. The use of catastrophising strategy determined a lower ability to control and reduce pain.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"116 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135541458","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":"Benzo(a)pyrene - an air pollutant harmful to health in European countries","authors":"Adam Jasiura, Mateusz Gorzel, Konrad Warchoł, Wiktoria Lipczyńska, Wiktoria Lipczyńska, Wiktoria Lipczyńska","doi":"10.5604/01.3001.0053.9255","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9255","url":null,"abstract":"Background: Benzo(a)pyrenes are organic compounds from the polycyclic aromatic hydrocarbons group known for their carcinogenic properties. Benzo(a)pyrenes are formed as a result of incomplete combustion of organic matter, such as biomass or fossil fuel.Aim of the study: To investigate whether respiratory diseases and malignant neoplasm-related deaths correlate to air concentrations of benzo(a)pyrene in European countries.Material and methods: Publicly available data were obtained regarding benzo(a)pyrene concentration from the EUROSTAT database, as well as territorial division in accordance with NUTS 2. Diseases were defined according to ICD-10.Results: There is a positive correlation of medium effect (r = 0.442; p < 0.001) between the annual average concentration of benzo(a)pyrene and deaths due to malignant neoplasms, with the strongest correlation being malignant bladder neoplasms (r = 0.502; p < 0.001). There is a positive correlation of a moderately weak effect (r = 0.221; p = 0.002) between the annual average concentration of benzo(a)pyrene and deaths due to respiratory diseases, with the strongest correlation for pneumonia of various etiologies, which is a positive correlation of a medium effect (r = 0.496; p < 0.001). Linear regression models showed that reducing the concentration of benzo(a)pyrene by 1 ng/m3 will reduce the frequency of deaths due to malignant laryngeal neoplasms by 0.816 per 1000 residents, malignant bladder neoplasms by 1.41 per 1000 residents, and deaths due to pneumonia by 11.26 per 1000 residents.Conclusions: We have found that benzo(a)pyrene concentration has a moderate correlation with death due to respiratory diseases and malignant neoplasms. More in-depth studies regarding other factors, e.g. the age of the patient are needed.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"28 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135365732","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":"Does yoga training relate to health-promoting modifications of anthropometric indicators of overweight and quality of life in young women? Preliminary observations.","authors":"Joanna Lewandowska, Gabriela Kołodyńska, Maciej Zalewski, Felicja Fink-Lwow, Waldemar Andrzejewski","doi":"10.5604/01.3001.0053.9520","DOIUrl":"https://doi.org/10.5604/01.3001.0053.9520","url":null,"abstract":"Background: Overweight and obesity are global civilization problems affecting all age groups, including in Poland. The prevalence of excessive body weight among young women in 2022, according to the Central Statistical Office (GUS), was 20%. Overweight leads to numerous complications and increases the risk of chronic diseases. There is also a confirmed link between obesity and low self-acceptance, leading to a decrease in quality of life, especially among women. Health-promoting modifications of lifestyle, including physical activity and diet, play a crucial role in the prevention and treatment of obesity. Regular physical activity like yoga is also associated with improved quality of life, particularly in the psychological domain. Aim of the study: The aim of this study was to assess the changes in anthropometric indicators of body weight (BMI, WC, WHR) and quality of life (SF-36) after 8 weeks of yoga training, conducted 3 times a week, with each session lasting 45 minutes.Material and methods: The study included 27 women with an average age of 31.48 years 10.98, who were not undergoing any medical therapy or engaging in other physical training, and were not pregnant. The participants did not make any changes to their diet during the study. The obtained results were subjected to statistical analysis using IBM SPSS Statistics 24. The normal distribution of variables was assessed using the Kolmogorov-Smirnov test, and the difference between variables was analyzed using either the Student's t-test or the Wilcoxon test. The relationships between variables were examined using the Spearman's rank correlation test.Results: The analysis of the obtained results showed that in the study group, the conducted yoga training led to a statistically significant increase in the level of quality of life in all domains (PCS, MCS, PF, RP, BP, GH, VT, SF, MH). There were no statistically significant changes observed in BMI, WC, and WHR before and after the training, which may be attributed to the small sample size and requires further research.Conclusion: Based on the preliminary results, it can be inferred that an 8-week yoga training may be recommended as a method to improve the quality of life in women.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135823281","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 the Effectiveness of Selected Physiotherapy Methods in the Treatment of Tennis Elbow Syndrome: a case report","authors":"Paweł Jerzy Piątek, Jan Błaszczyk","doi":"10.5604/01.3001.0053.8998","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8998","url":null,"abstract":"Background: Tennis elbow is a common ailment with which patients present to the physiotherapy office. It is characterized by pain in the area of the attachment of the tendons of the extensor muscles of the wrist to the lateral epicondyle of the humerus and the proximal part of the extensor muscles of the wrist, reduced grip strength and limited function of the upper limb. The condition can result from trauma, but in most cases it is the result of overload, with factors such as degeneration and relative ischemia, repetitive grasping movements, scar tissue and contracture playing a role. In this case, there is a diagnosis including history, functional tests and palpation of structures within the lateral epicondyle of the humerus.Aim of the study: To compare and evaluate the effectiveness of selected physiotherapy methods used in the treatment of tendinopathy of the lateral epicondyle region of the humerus Case report: Medical cases of four men aged 40-55 years complaining of pain in the lateral epicondyle region of the humerus are presented. Palpation examination, functional tests and symptoms indicated that we were dealing with \"tennis elbow syndrome.\" Treatment included low-energy laser ultrasound, low-frequency magnetic field, radial shock wave, nitrogen vapor cryotherapy, deep transverse massage (DTM) according to Cyriax.Conclusions: Among the selected physiotherapeutic methods, radial shock wave therapy and deep transverse massage according to Cyriax showed the greatest effectiveness.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136276946","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":"Resilience index and mental stress of nursing staff working in intensive care units during the SARS-CoV-2 coronavirus pandemic","authors":"Daria Januszek, Ewa Kobos, Beata Dziedzic","doi":"10.5604/01.3001.0053.8890","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8890","url":null,"abstract":"Background. Resilience, or mental toughness, is the ability to effectively cope in challenging circumstances. High resilience levels allow for faster adaptation in extreme situations. Aim of the study. An assessment of resilience, mental stress, and self-reported work environment among nursing staff in intensive care units (ICUs) during the SARS-CoV-2 pandemic. Material and methods. The study involved 102 nursing staff working in ICUs. Data collection used the Resilience Coping Scale (RCS-25), Meister’s psychological strain scale, and an original work environment self-assessment scale. Results. The overall mean score of the respondents on the resilience scale was 74.11 points out of a possible 100, while they scored an average of 24.36 points out of 50 on the mental stress scale. Staff working in hospitals converted into infectious disease sites (p = 0.000) or in infectious hospitals with a third level of referral (p = 0.012) assessed their working environment significantly better in the context of the coronavirus disease 19 (COVID-19) pandemic. Medical staff who worked longer at their current workplace, those with longer seniority in the profession, and those who were older scored higher in the resilience areas. The younger the respondent, the more mentally stressed they were in general (rho= -0.200), in non-specific areas (rho= -0.217), and in monotony (rho= -0.211). Those who did not feel well equipped with personal protective equipment showed lower resilience. Conclusions. Respondents were characterized by average resilience and second-level mental stress, while those with higher resilience suffered lower mental stress. We recommend organizing training to strengthen mental toughness, the identification of resilience factors, and the assessment of mental stress in the work environment in the context of the ongoing pandemic. The data obtained could be used to adjust working conditions during the next pandemic. Keywords: nurse, intensive care unit, resilience, mental stress, mental strain, COVID-19.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135486769","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":"Spiral dissection of the left coronary artery as a rare and serious complication of coronary angiography: a case report","authors":"Michał Wesołowski, Joanna Cudzik-Dziurzyńska, Aleksandra Błaszczyk, Marcin Sadowski","doi":"10.5604/01.3001.0053.8710","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8710","url":null,"abstract":"Background: Iatrogenic spiral dissection of the coronary artery is a rare but serious complication of Coronary angiography (CA). CA is a standard imaging method, which is considered as a safe and commonly used.Aim of the study: To demonstrate a rare complication of CA that significantly changed the patient’s outcome.Material and methods: A retrospective review of the procedure and the patient’s follow-up has been performed.Case report: A 56-year-old woman with type two atrial septal defect complicated by heart failure (HF), complaining of a gradual HF worsening and two episodes of syncope was admitted for preoperative assessment. Prior to cardiac surgery an elective CA revealed no stenoses in coronary arteries, however it was complicated by the spiral dissection of the left main coronary artery continuing towards the left anterior descending artery. Immediate percutaneous coronary angioplasty was performed with a good acute angiographic and clinical result. Subsequently, the patient developed a periprocedural inferolateral myocardial infarction and cardiac arrest due to pulseless electrical activity. Cardiopulmonary resuscitation was ineffective.Conclusion: The take home message of the case presented is that even a relatively safe procedure may be complicated and that less invasive imaging modalities should be considered prior to CA.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41441698","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":"Overprotective mother or Munchausen syndrome by proxy? Characteristics of the disease based on a literature review","authors":"Barbara Rusinowska, Małgorzata Satora, Balbina Tybulczuk, Zofia Romanek, Martyna Sękowska, Zuzanna Pyrka","doi":"10.5604/01.3001.0053.8075","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8075","url":null,"abstract":"Background: Munchausen syndrome by proxy (MSBP), first described by Meadow in 1977, is a mental disorder in which the caregiver or parent (usually the mother) causes the child to become ill to attract attention. The disease most often affects women, with sufferers usually appearing very caring and involved in the treatment. However, they harm the child, leading to physical and mental damage and sometimes death. The caregiver fabricates disease symptoms and will report false symptoms in the child or directly cause the disease. Moreover, they agree to diagnostic procedures and numerous medical interventions and deny the cause of the disease, and after separation from the caregiver, the child’s condition improves. Aim of the study: The purpose of this review is to present a characterization of MSBP, taking into account its diagnostic difficulties, treatment methods, and consequences for the child. Material and methods: All relevant publications were retrieved from the PubMed and Google Scholar databases, with keywords including “Munchausen syndrome by proxy” (PubMed – 780 results; Google Scholar – 10500 results), “Munchausen syndrome by proxy diagnosis” (PubMed – 612 results; Google Scholar – 7940 results), and “Munchausen syndrome by proxy treatment” (PubMed – 301 results; Google Scholar – 8210 results), with 53 papers selected. Half of the studies had been published in the last five years.Results: The main MSBP diagnostic difficulties include the low age of the victims and the frequent changes of treatment centers, which often worsen the child’s condition. According to some scientists, MSBP psychotherapy treatment may produce the expected results for the patient and child. Children can die or develop future mental and physical problems as a result of their parent’s disorder.Conclusions: MSBP is a disease that is usually severe and difficult to diagnose and treat, and to which children fall victim. In order to diagnose MSBP, attending physician vigilance is essential.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47422291","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":"Quality of life and self-efficacy among parents of children after transplantation: a pilot study","authors":"Beata Dziedzic, Ewa Karnas, E. Kobos, Ł. Czyżewski","doi":"10.5604/01.3001.0053.8637","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8637","url":null,"abstract":"Background: Organ transplantation often proves to be the only way to save a young patient’s life. However, it is associated with a long-term stay in the hospital and the need to change the lifestyle of not only the patients but also their entire family. This largely affects the child’s family situation as well as the relationships between their relatives. Therefore, it is important to determine the factors that have the greatest impact on the quality of life (QoL) of the parents after transplantation and their self-efficacy assessment. This will facilitate providing parents in need with help and showing them support.Aim of the study: This research aimed to assess the QoL and self-efficacy among parents of children after organ transplantation, as well as the correlation between QoL and self-efficacy. Material and methods: The study was conducted using a shortened version of the Quality of Life Questionnaire (WHOQOL BREF), the Satisfaction with Life Scale (SWLS), and the General Self-Efficacy Scale (GSES), as well as a self-designed questionnaire. The research group consisted of 54 people, of which 49 questionnaires were subject to statistical analysis. Results: The sten score for the level of satisfaction with life in the research group was 5.88. QoL in the physical and mental domains was on average (M = 12.93 and M = 13.04, respectively), and in the social and environmental domains (M = 16.40 and M = 15.09, respectively). The sten score for the level of self-efficacy assessed by the respondents was 7.09. A relationship between the level of perceived self-efficacy and QoL was observed.Conclusions: This study indicates an average level of satisfaction with life, average to high results in terms of QoL, and a fairly high level of self-efficacy, which had an impact on the QoL of parents of children after transplantation.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42643743","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":"Planned place of birth and its relationship to emotions and fear in Polish women during the COVID-19 pandemic","authors":"Aleksandra Damentko, Olivia Damra, Klaudia Dąbrowska, Iwona Kiersnowska, G. Bączek","doi":"10.5604/01.3001.0053.8606","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8606","url":null,"abstract":"Background: The COVID-19 pandemic, which started in December 2019, significantly changed the lives of people worldwide. A group particularly affected by the SARS-CoV-2 virus were women who experienced pregnancy and childbirth during the pandemic, many of whom began to look for an alternative to the hospital as a safe place for delivery.Aim of the study: To examine how the COVID-19 pandemic affected the choice of place of delivery and whether fear and emotions were determinants of this choice.Materials and methods: This study was conducted on a group of 123 postpartum women who completed an online survey during the COVID-19 pandemic in 2020–2021. The research tools used were a custom-designed questionnaire that recorded the place of birth and feelings related to the thought of giving birth, and the Generalized Anxiety Questionnaire (GAD-7).Results: Among women who experienced a hospital birth during the pandemic, many of them would now choose to give birth at home, while women who gave birth at home tended not to want to change their decision. Overall, women who gave birth at home and women who gave birth in a hospital did not differ in their levels of perceived generalized anxiety (n = 123, p = 0.439). However, their feelings did differ when it came to a fear of giving birth without the support of a husband. Fear of childbirth without a husband’s support was correlated with generalized anxiety only in women who gave birth at home (rho = 0.674, p = 0.016).Conclusions: Generalized anxiety affected women who gave birth at home and in the hospital. This anxiety was associated with a fear of giving birth without the support of a husband/partner. Women who would not have decided to give birth at home before the pandemic tended to choose home as a place of delivery during the pandemic.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46279736","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":"Analysis of menus in selected daycare centers in the Opole province: an observational study","authors":"Łukasz Biłos, D. Matuszek, E. Polańczyk, Żaneta Grzywacz, E. Berest","doi":"10.5604/01.3001.0053.8590","DOIUrl":"https://doi.org/10.5604/01.3001.0053.8590","url":null,"abstract":"Background: In the first years of a child’s life, eating habits and preferences are formed. The main influence on the nutrition of a child between 13 and 36 months of age is the people who take care of him. The nursery is also responsible for providing children with adequate food.Aim of the study: This study aimed to analyze the menus of children aged 1 to 3 in selected daycare facilities in the Opolskie Voivodeship.Material and methods: The analysis concerned 10-day menus obtained from 8 different regional institutions looking after children aged 1–3 years. The analysis was based on a comparison of menus with the current nutritional standards and evaluated in terms of quantity.Results: The results showed an excess of protein (388%) and sodium (529%) intake and insufficient coverage of the requirements for vitamin D (6.5%), calcium (87%), and iron (83%).Conclusions: The analysis of the menus showed a number of irregularities in the nutrition of children aged 1–3 staying in care and educational institutions. This analysis revealed the weak points of nursery diets.","PeriodicalId":32604,"journal":{"name":"Medical Science Pulse","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42712513","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}