Journal of Holistic Nursing and Midwifery最新文献

{"title":"Job Burnout and Its Related Factors Among Surgical Technologists","authors":"Sara Mohammadi, Sedigheh Hanani, F. Amiri, Nimamali Azadi, N. Kamali","doi":"10.32598/jhnm.32.1.2167","DOIUrl":"https://doi.org/10.32598/jhnm.32.1.2167","url":null,"abstract":"Introduction: Job burnout is a long-term response to job-related emotional and interpersonal stressors. These stressors are associated with individual, interpersonal, and organizational factors. Objective: This study aimed to determine the degree of burnout and its related factors among surgical technologists. Materials and Methods: This analytical cross-sectional study was conducted in hospitals affiliated with the Iran University of Medical Sciences. A total of 125 surgical technologists were recruited by stratified sampling method. The study data were collected using a demographic questionnaire and Maslach Burnout Inventory (MBI) and then analyzed by the independent t-test, 1-way analysis of variance, and multiple linear regression with a simultaneous model. Results: More than half of the participants (52%) were in the age group of fewer than 30 years. The Mean±SD scores of job burnout in terms of intensity and frequency were 47. 88±17.5 and 47. 95±17.42, respectively. The mean job burnout scores of the majority of surgical technologists in dimensions of emotional exhaustion (intensity), depersonalization (intensity and frequency), and reduced personal accomplishment (intensity and frequency) were at a low level, but it was at a moderate level in the dimension of emotional exhaustion (frequency) among more than half of them. Through a multiple regression, the identified predictors of job burnout (frequency) were education level (β=9.377, 95%CI; 1.618-17.136, P<0.05) and work experience (β=-21.091, 95%CI; -38.201- -3.980, P<0.05). Meanwhile, education level (β=8.320, 95%CI; 0.568- 16.073, P<0.05), work experience (β=-30.976, 95%CI; -54.715 - -7.236, P<0.05), and hours of night shifts per month (β=-10.660, 95%CI; -18.205- -3.115, P=0.01) predicted job burnout (intensity). Conclusion: The job burnout of more than half of surgical technologists in the dimension of emotional exhaustion (frequency) was at a moderate level. Novice workers and operating room BScs suffered more from job burnout than those with an Associate degree and experienced workers. In this regard, healthcare and planner providers must pay attention to operating room BScs, especially novice workers.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49234734","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 Acceptance and Commitment-Based Therapy on the Immune Function and Activity Limitations in Patients With Irritable Bowel Syndrome","authors":"Sepideh Shakernejad, J. Khalatbari, M. Alilou","doi":"10.32598/jhnm.31.4.2166","DOIUrl":"https://doi.org/10.32598/jhnm.31.4.2166","url":null,"abstract":"Introduction: Irritable bowel syndrome is the most common, costly, and disabling dysfunction of the gastrointestinal tract. Mental disorders can be one of the main factors in the onset, continuation, or exacerbation of gastrointestinal signs and symptoms in people with this syndrome. Commitment and acceptance therapy is a mixture of four approaches of awareness, acceptance, commitment, and behavior change, and its overall goal is to achieve psychological flexibility to move towards thought-based behavior. This treatment focuses less on reducing symptoms and more on improving the quality of life. Objective: This study aimed to determine the effectiveness of acceptance and commitment-based therapy on the immune function and activity limitations in patients with irritable bowel syndrome. Materials and Methods: This study was a quasi-experimental research with a pre-test, post-test design and a control group. Thirty patients with irritable bowel syndrome were randomly selected from those referred to a hospital clinic in Tabriz City, Iran. They were randomly divided into the intervention and control groups (15 in each group). The intervention group received acceptance and commitment group therapy for 8 sessions, while the control group did not receive any intervention. Both groups were assessed before and after the intervention, and in the follow-up phase using the activity limitations subscale of quality of life questionnaires (to measure activity limitations) and stool calprotectin test to assess safety performance. Data analysis was performed using descriptive statistics indices (mean and standard deviation) and analysis of variance with repeated measures, Bonferroni test, and analysis of covariance to test the study hypotheses. Results: The Mean±SD age of the intervention group was 34.53±18.38 years, and the Mean±SD age of the control group was 42.80±17.97 years. The significance levels of Levene’s and the Shapiro-Wilk test for all variables were greater than 0.05. Based on the results, the Mean±SD score of the activity limitations variable in the intervention group was 7.53±4.24 in the pre-test, 17.66±3.41 in the post test, and 17.26±3.65 in the follow-up. According to the results, activity limitations (P=0.027) and safety performance (P=0.034) were significantly different before and after the intervention. Conclusion: The present study’s findings show that acceptance and commitment-based therapy can play an influential role in improving patients’ immune function and promoting their activity limitations. Therefore, this treatment is recommended as a complementary therapy in patients with irritable bowel syndrome.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47964715","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":"Effect of Spiritual Care on Death Anxiety and Self-esteem in Patients With Multiple Sclerosis","authors":"A. Akbari, E. Sadeghian, K. Oshvandi, Naser Kamyari, Danial Shadi","doi":"10.32598/jhnm.31.4.2086","DOIUrl":"https://doi.org/10.32598/jhnm.31.4.2086","url":null,"abstract":"Introduction: Death anxiety and low self-esteem are major problems in patients with Multiple Sclerosis (MS). Spiritual interventions, along with other nursing interventions, can restore the balance between body and soul. Objective: This study aimed to determine the effect of the spiritual care program on death anxiety and self-esteem in MS patients. Materials and Methods: In this clinical trial, 60 patients with MS were randomly assigned into the intervention (n=30) and control (n=30) groups. The intervention group received spiritual care program in four sessions. Templer death anxiety and Rosenberg self-esteem scale were completed by samples before and after the intervention. Data analysis was performed using the independent t test, Chi-square, and Fisher exact tests. The significance level is considered less than 0.05. Results: The Mean±SD ages of the intervention and control group samples were 32.8±6.39 and 35.1±8.35 years, respectively. The Mean±SD scores of death anxiety in the control group 12.27±0.85 and the intervention group 11.8±0.88 before the intervention were not significantly different. After the intervention, the difference between the Mean±SD scores of the control group 12.10±0.61 and the interventional group 8.13±0.71 was statistically significant (P=0.001). The Mean±SD scores of self-esteem in the control group 14.63±1.51 and the interventional group 15.5±1.5 before the intervention were not significantly different. The difference between the Mean±SD scores of self-esteem in the control group 14.67±1.9 and the interventional group 18.03±1.85 was significant after the intervention (P=0.001). The results of ANCOVA demonstrated a significant difference between the control and intervention groups in terms of death anxiety (F=6.41, P=0.014, partial Eta2=0.101) and self-esteem (F=13.079, P=0.001, partial Eta2=0.187) of MS patients. Conclusion: Since spiritual care intervention in patients with MS reduced their death anxiety and increased their self-esteem, this simple and low-cost care program can be recommended for those suffering from this disease.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42706556","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 Effects of Improving Emotional Intelligence on Death Anxiety in Older Adults","authors":"Akram Baghdadi, M. Aghajani, Z. Sadat, N. Ajorpaz","doi":"10.32598/jhnm.31.4.2120","DOIUrl":"https://doi.org/10.32598/jhnm.31.4.2120","url":null,"abstract":"Introduction: Death anxiety is one of the main elements in mental health in older adults. Objective: This study aimed to determine the effects of improving emotional intelligence on death anxiety in older adults in Kashan City, Iran. Materials and Methods: This quasi-experimental study was carried out on 60 older adults referred to health clinics in Kashan City, Iran, in 2019. The participants were randomly allocated to the control and experimental groups. Before the intervention, a demographics data questionnaire and death anxiety scale was filled out by the two groups. The experimental group received emotional intelligence education in eight sessions (twice a week). The control group received no intervention. The study measures included a demographic checklist and the Templer Death Anxiety Scale (TDAS). Immediately and one month after the intervention, both groups filled out the death anxiety scale again. The collected data were analyzed using descriptive and analytical tests such as t test, the Chi-square, and repeated-measures Analysis of Variance (ANOVA). Results: The results showed that 22 participants (73.3%) and 17 (56.7%) were in the 61-65 age range in the experimental and control groups, respectively. Based on the Chi-square test, there was no significant difference between the two groups regarding demographical data, including age, gender, marital status, education, and job. The results of repeated-measures ANOVA in the experimental group showed that the mean scores of death anxiety decreased over the 3 time points (P<0.05). Also, the post hoc test showed a significant difference in death anxiety scores at different time points in the experimental group (P<0.05). The t test results showed no statistically significant difference in the mean score of death anxiety before the intervention between the two groups, but at the end of the sessions (P=0.006) and one month after the intervention (P=0.001), this difference was significant. Conclusion: The results indicated that improving emotional intelligence in older adults decreased their death anxiety. It is recommended that nurses use this method to decrease death anxiety in older adults.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43289397","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":"Investigation of Structural Relationships of Factors Affecting Posttraumatic Growth in Women with Breast Cancer","authors":"A. Moghadam, Hamid Reza Aghamohammdian Sharbaf, Mohammad Saeid AbdeKhodaei, Kareshki Hossein, M. Joudi","doi":"10.32598/JHNM.31.4.2102","DOIUrl":"https://doi.org/10.32598/JHNM.31.4.2102","url":null,"abstract":"","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43119900","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":"Explaining Courage in Ethical Decision-making by Nursing Managers: A Qualitative Content Analysis","authors":"M. Roshanzadeh, Z. Vanaki, Afsaneh Sadooghiasl, A. Tajabadi, S. Mohammadi","doi":"10.32598/jhnm.31.4.2141","DOIUrl":"https://doi.org/10.32598/jhnm.31.4.2141","url":null,"abstract":"Introduction: Ethical decision-making by nursing managers is influenced by various essential factors, such as courage, without which it is impossible to act on them. Objective: This study aimed to explore the experiences of nursing managers about courage in ethical decision-making. Materials and Methods: The current study was conducted in Iran by a qualitative content analysis approach in 2018. Nineteen nurse managers were selected purposefully from hospitals in Tehran and Shahrekord cities. Data were collected using semi-structured, in-depth, face-to-face interviews, and after transcription, they were analyzed according to the Graneheim and Lundman method. Results: Based on data analysis, we extracted 2 categories (obligation, decisiveness) and 8 subcategories (clearness in expressing decisions, the ability of the manager to make decisions in critical and complex situations, authority/decision-making as a religious responsibility, follow the decision process, being responsible, making compensatory decisions, making preventive decisions). Conclusion: The findings showed that managers who are committed to ethical decision-making have enough assertiveness to make the decisions. Educating, empowering, and sensitizing managers and enhancing their insight into ethical issues through problem-solving and role-playing techniques can play an essential role in promoting their commitment and responsibility.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47891839","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":"Estimation of Fetal Weight by Clinical Methods and Ultrasonography and Comparing With Actual Birth Weight","authors":"Raziyeh Mossayebnezhad, M. Niknami, S. Pakseresht, E. K. Leili","doi":"10.32598/jhnm.31.4.2055","DOIUrl":"https://doi.org/10.32598/jhnm.31.4.2055","url":null,"abstract":"Introduction: Assessment of fetal weight is a vital factor in antenatal care, not only in the management of labor and delivery but also in identifying fetal weight disorders. Objective: This study compares the accuracy of clinical methods and ultrasonography in Estimating Fetal Weight (EFW) with Actual Birth Weight (ABW) in term pregnant women. Materials and Methods: This diagnostic test evaluation study was performed on 247 single-term pregnant women admitted to an educational, therapeutic hospital in Rasht City, Iran. In this study, abdominal palpation, Johnson’s formula, Insler’s formula, and ultrasonography were used to estimate fetal weight. One-sample t-test, the Chi-square, and the Bland-Altman plot were used to compare the diagnostic value of fetal weight estimation methods. The accuracy of tests was estimated based on sensitivity and specificity in fetal weight groups (below 2500 g, 2500- 4000 g, and above 4000 g) by the Bland-Altman plot. Results: The participating pregnant women had a Mean±SD age of 28.86±4.24 years, body mass index of 32.98±6.0 kg/m2, and gestational age of 39±1.04 wk. Their Mean±SD actual birth weight was 3343.352±432.799 gr, Also, the Mean±SD birth weight found by abdominal palpation was 3371.053±345.561 gr, Mean±SD birth weight by Johnson’s formula 3041.206 ±411 gr, by Insler’s formula 3556.316±531.567 gr, and by ultrasonography 3294.28±380.09 gr, Based on the one-sample t-test, the abdominal palpation had the lowest (P=0.261), and the Insler’s formula (P=0.001) had the highest difference with the actual birth weight. Regarding the fetal weight groups, Insler’s formula (96.33%) was highly accurate in Low Birth Weight (LBW), but abdominal palpation (91.09%) was more accurate in normal weight and macrosomia (94.72%) groups. There was a significant difference between clinical methods with ABW (P=0.026). Conclusion: Clinical methods are accessible, affordable, and available and can estimate fetal weight in developing countries, especially in our country.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47293757","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":"Psychometric Adequacy of the Persian Version of the Performance Management Behavior Questionnaire in Universities","authors":"Leila Keikavoosi-Arani, L. Salehi","doi":"10.32598/jhnm.31.4.2124","DOIUrl":"https://doi.org/10.32598/jhnm.31.4.2124","url":null,"abstract":"Introduction: Despite interest in improving performance management in universities, few studies have examined this topic. Because of the absence of validated tools in Iran for assessing behavior performance management, this study was conducted to validate the behavior performance management scale. Objective: This study aimed to assess the psychometric adequacy of the Performance Management Behavior Questionnaire (PMBQ) for the heads of university departments in Iran. Materials and Methods: This cross-sectional study was conducted in four phases. The first and second phases included PMBQ translation and its modification in accordance with the educational setting. The third phase consisted of the content and face validation, and the fourth phase aimed to evaluate the construct validity and reliability of this scale. All 400 faculty members (200 for exploratory factor analysis and 200 for confirmatory factor analysis) were studied. After translation, the 27-item PMBQ was evaluated for validity and reliability. Content Validity Ratio (CVR) and Content Validity Index (CVI) were computed for content validity. For construct validation, the exploratory factor analysis and confirmatory factor analysis were used. The PMBQ reliability was assessed by the Cronbach α coefficient. Results: Considering eigenvalues above one, five factors were identified that jointly explained 58.22% of the variance observed. Based on the arrangement of the factors, they labeled as monitoring performance management (9 items), coaching (6 items), goal setting (6 items), communication (3 items), and providing consequence (2 items). Results showed that the Average Variance Extracted (AVE) varied between 0.51 and 0.60; composite reliability was between 0.7 and 0.81, and the Cronbach α coefficient was between 0.70 and 0.82. Conclusion: PMBQ as a valid and reliable tool can be used for assessing the behavior of the heads of departments from the viewpoints of faculty members.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43931060","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":"Predicting Tobacco Use Based on the Theory of Planned Behavior in Adolescent Girls","authors":"M. Ghasemipour, R. Farmanbar, P. Kasmaee, Z. Roshan, Sima Nickandish","doi":"10.32598/JHNM.31.3.2058","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2058","url":null,"abstract":"Introduction: Tobacco use poses a serious threat to global health. The tobacco epidemic is spreading in low- and middle-income countries, where the tobacco industries mainly target young people and women. Objective: This study aims to determine the predictors of tobacco use based on the theory of planned behavior (TPB) in female high school students. Materials and Methods: This cross-sectional study was conducted on 340 female high school students aged 14-18 years in Rasht City, Iran, who were selected using a multi-stage sampling method. The data collection tool was the TPB questionnaire for tobacco use in Persian. The obtained data were analyzed using the Mann-Whitney U test, Kolmogorov-Smirnov test, Spearman correlation test and logistic regression analysis. Results: The TPB constructs of attitude (OR = 0.91, 95% CI: 0.85-0.97, P = 0.007) and behavioral intention (OR=0.75, 95% CI; 0.64-0.88, P = 0.001) could predict cigarette smoking. Also, constructs of perceived behavioral control (OR = 0.92, 95%CI; 0.87-0.97, P = 0.007), subjective norms (OR = 0.83, 95%CI; 0.70-0.97, P = 0.02), and behavioral intention (OR = 0.88, 95% CI; 0.78 - 0.99, P = 0.03) could predict hookah smoking in girls students. Conclusion: Considering the predictive power of the TPB constructs in tobacco use by adolescent girls, it is possible to plan to reduce its rate in this group by a focus on the TPB constructs.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43381062","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 Relationship between Living Environment and Life Satisfaction in Residents of Rasht City, North of Iran","authors":"A. E. Khorasgani, A. G. Khanghah, Ezzat Paryad, Z. Roshan, E. Rad","doi":"10.32598/JHNM.31.3.2083","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2083","url":null,"abstract":"Introduction: Life satisfaction reflects an individual's overall feelings about life, influenced by various factors. Objective: This study aimed to identify and introduce the indices related to the living environment that affect life satisfaction. Materials and Methods: This study was performed on 1000 residents of 55 neighborhoods of Rasht City (north of Iran) by an analytical cross-sectional method. The participants were chosen with a multistage cluster sampling method. The study data were collected using questionnaires, including the residents' characteristics, indicators of the living environment, and the satisfaction with life scale. The obtained data were analyzed using descriptive statistics, and inferential statistics, including the Pearson correlation coefficient, independent t test, analysis of variance, and linear regression. Results: Based on the present study results, the mean±SD age of the subjects in the study was 43.73 ±15.55 years. The analysis showed that their level of life satisfaction was average mean ±SD: 19.41 ±7.63, range: 5-35). The regression analysis identified dissatisfaction of facilities (B= -0.366; 95%Cl : -0.434, -0.298; P= 0.001), satisfaction with living in the local area (B= 0.248; Cl: 0.123, 0.373; P= 0.001), duration of residence (B: -0.364;95% Cl: -0.625, -0.102; P= 0.006) and gender (women compared to men) (B: 0.896; Cl: 0.011, 1.781; P=0.047) as the predictors of life satisfaction. Conclusions: According to the results, the life satisfaction of our study participants was at a moderate level and was affected by living environment indicators, especially facilities.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43622792","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}