Health Science Reports最新文献

{"title":"The Diagnostic Accuracy of Biological Markers of Sarcopenia, Sarcopenic Obesity, and Osteosarcopenia: Protocol for a Systematic Review and Meta-Analysis.","authors":"Abigail N Burton, Safoora Gharibzadeh, Mark P Funnell, Kamlesh Khunti, Emma L Watson, Thomas J Wilkinson","doi":"10.1002/hsr2.71307","DOIUrl":"https://doi.org/10.1002/hsr2.71307","url":null,"abstract":"<p><strong>Background and aims: </strong>Sarcopenia is the accelerated loss of skeletal muscle mass and function associated with aging, and can significantly impact a person's quality of life. Sarcopenia can also occur with other health conditions, such as excess adipose tissue and bone weakness. The presence of multiple long-term conditions can exacerbate sarcopenia, and it has been observed in tandem with a variety of chronic illnesses. Biological markers can act as an early identifier or predictor of disease, enabling simple surveillance and prompt treatment. The need for effective screening and intervention has become more important as our population ages. This protocol outlines our approach to summarize the evidence on the diagnostic accuracy of various blood-based biomarkers for diagnosing sarcopenia, including sarcopenic obesity and osteosarcopenia, through a systematic review and meta-analysis.</p><p><strong>Methods: </strong>The protocol was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Diagnostic Test Accuracy Studies (PRISMA-DTA) 2018 statement and prospectively registered (PROSPERO: CRD42024609060). A comprehensive literature search using electronic databases including MEDLINE, Embase (via SCOPUS), CINAHL, Cochrane, and Web of Science, will be conducted. The review will include studies that meet the specific inclusion criteria, and the risk of bias in the included studies will be assessed using the Quality Assessment of Diagnostic Accuracy 2 quality assessment tool (QUADAS-2). A meta-analysis will be conducted using random-effects approaches, based on the level of heterogeneity. Subgroup and sensitivity analysis will be performed if necessary.</p><p><strong>Results: </strong>The results of this review will be reported in accordance with PRISMA-DTA standards, and published in a peer-reviewed journal.</p><p><strong>Conclusion: </strong>The proposed systematic review and meta-analysis will assess the diagnostic accuracies of potential blood-based biomarkers for screening sarcopenia, sarcopenic obesity, and osteosarcopenia. The results will provide important evidence on the use of biomarkers to diagnose sarcopenia and its associated syndromes, which can inform the development of targeted screening and intervention in research and practice.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71307"},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259493","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}

{"title":"Nasal Colonizing Vancomycin-Resistant and Intermediate <i>Staphylococcus aureus</i> Among Admitted Patients: A Hospital Based Cross-Sectional Study.","authors":"Biniyam Kijineh Mengistu, Tsegaye Alemayehu, Techilo Habtemariam Mengesha, Musa Mohammed Ali","doi":"10.1002/hsr2.71323","DOIUrl":"https://doi.org/10.1002/hsr2.71323","url":null,"abstract":"<p><strong>Background and aim: </strong><i>Staphylococcus aureus</i> colonizing the nasal cavity poses a potential risk for infections. Vancomycin is a primary treatment for invasive infections caused by penicillin and methicillin-resistant <i>S. aureus</i> (MRSA). However, reports of vancomycin-resistant <i>S. aureus</i> (VRSA) have emerged, highlighting it as a high-priority pathogen requiring attention. There is limited information on the epidemiology of VRSA and vancomycin-intermediate <i>S. aureus</i> (VISA) from the Sidama regional state. This study aimed to determine the prevalence of VRSA and VISA among <i>S. aureus</i> colonizing patients admitted to Hawassa University Comprehensive Specialized Hospital (HUCSH), as well as to identify associated factors and assess the antimicrobial susceptibility profile.</p><p><strong>Methods: </strong>A hospital-based prospective cross-sectional study was conducted from April to June 2023. Socio-demographic and clinical data were collected using an interviewer-administered questionnaire. Nasal swabs were obtained from 378 admitted patients, and <i>S. aureus</i> was identified using standard bacteriological methods. VRSA was determined using the Epsilometer test (<i>E</i>-test), while the antimicrobial susceptibility profile was assessed using the Kirby-Bauer disk diffusion method. Data were analyzed using SPSS version 22, with a <i>p</i>-value of < 0.05 considered statistically significant.</p><p><strong>Results: </strong>Out of 92 isolated <i>S. aureus</i> strains, 12 (13.04%) were classified as VRSA, 27 (29.3%) as VISA, and 15 (16.3%) as MRSA. The carriage rates among admitted patients were 12 (3.2%) for VRSA (95% CI: 1.7-5.5%) and 27 (7.14%) for VISA (95% CI: 4.8-10.2%). The overall nasal carriage rate of <i>S. aureus</i> was 92 (24.3%) (95% CI: 20.1-29%), with MRSA found in 15 (3.97%) (95% CI: 2.2-6.5%). Among the VRSA isolates, 11 (91.7%) showed susceptibility to tigecycline. Additionally, 40 (43.5%) of the <i>S. aureus</i> strains were positive for inducible clindamycin resistance. Patients with a history of hospitalization in the intensive care unit were 37 times more likely to be colonized with VRSA (<i>p</i> = 0.001), while those with domestic animals were 22 times more likely (<i>p</i> = 0.021).</p><p><strong>Conclusions: </strong>This study revealed a significant proportion of VRSA and VISA among <i>S. aureus</i> isolates from hospitalized patients in the region. More than 80% of VRSA isolates were susceptible to tigecycline. A history of hospitalization in the intensive care unit and ownership of domestic animals were associated with an increased likelihood of VRSA colonization.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71323"},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259440","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}

{"title":"The Incidence, Associated Factors and In-Hospital Outcomes of Cardiac-Surgery-Associated Acute Kidney Injury Among Children Undergoing Cardiac Surgery at Jakaya Kikwete Cardiac Institute. A Hospital-Based Prospective Cohort Study.","authors":"Dure Shewar, Aimal A Khattak, Waleed Ahmad","doi":"10.1002/hsr2.71362","DOIUrl":"https://doi.org/10.1002/hsr2.71362","url":null,"abstract":"","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71362"},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259505","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}

{"title":"Response to Commentary On: Encoding Genes of Metallo-β-Lactamases (<i>IMP</i>, <i>NDM</i>, and <i>VIM</i>) in <i>Klebsiella pneumoniae</i> in Iran: A Systematic Review and Meta-Analysis.","authors":"Hamid Sadeghi, Saeideh Gholamzadeh Khoei","doi":"10.1002/hsr2.71357","DOIUrl":"https://doi.org/10.1002/hsr2.71357","url":null,"abstract":"","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71357"},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259429","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}

{"title":"Finite Element Analysis of Implant-Assisted Mandibular Distal Extension Removable Partial Denture: Evaluating Stress Distribution in Premolar Versus Molar Implant Positions-An In-Silico Study.","authors":"Dipayan Bhattacharya, Subhabrata Maiti, Ponnanna A A, Pankaj Gandhi, Artak Heboyan, Narek Zakaryan, Muralidhar Gopalkrishna","doi":"10.1002/hsr2.71360","DOIUrl":"https://doi.org/10.1002/hsr2.71360","url":null,"abstract":"<p><strong>Background and aim: </strong>This study aimed to compare the influence of implant support on mandibular distal extension removable partial dentures (RPD) by evaluating load distribution on implants positioned at different locations. The objective was to identify the most biomechanically suitable design for implant-assisted removable partial dentures (IARPD).</p><p><strong>Methods: </strong>A mandibular bilateral partially edentulous model, replicating the absence of premolars and molars, was fabricated using epoxy resin. Two implants of identical diameter were vertically positioned in the edentulous ridge, one at the second molar and the other at the second premolar region on each side, to assess the biomechanical impact of different implant placements. A finite element model (FEM) was developed by taking cone-beam computed tomography (CBCT) scan of physical model to compare two implant-supported denture designs based on implant positioning. The geometry was created in IGS (Interactive Graphic System) format and imported into the ANSYS design modeler application. It was then transferred to the ANSYS mechanical application, where meshing was performed to generate the finite element model for load application. The occlusal surface of the prosthesis was designated as the area for applying loads of 100 N and 125 N. Von Mises stress and displacement was evaluated in premolar (Group I) versus molar (Group II) implant positions.</p><p><strong>Results: </strong>Finite element analysis revealed no statistically significant differences in von Mises stress and displacement values between premolar and molar implant positions (<i>p</i> > 0.05). The observed mean values were slightly greater in the premolar group, but these differences were not significant. In premolar versus molar implant positions (<i>p</i> > 0.05), with RPD framework stress at 125 N being 28.71 ± 1.10 MPa (Group I) versus 25.56 ± 4.89 MPa (Group II), suggesting comparable biomechanical performance regardless of implant placement.</p><p><strong>Conclusion: </strong>The study suggests both premolar and molar implant positions are biomechanically viable for distal-extension RPDs, with no significant differences in stress distribution.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71360"},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259445","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}

{"title":"The Prevalence of Violence Against Healthcare Workers in Kosovo During Covid-19 Pandemic: A Cross-Sectional Survey.","authors":"Bernard Tahirbegolli, Vjosë Hajrullahu Mustafa, Shejnur Syla, Leonora Llugaliu-Menxhiqi, Liridon Bllaca, Arnesa Hasanaj, Diellza Sadikaj, Edona Shkodra, Gerona Lami, Qendresa Bllaca, Hamide Shosholli-Idrizi, Mirlinda Kajtazi","doi":"10.1002/hsr2.71336","DOIUrl":"https://doi.org/10.1002/hsr2.71336","url":null,"abstract":"<p><strong>Background and aims: </strong>Workplace violence (WPV) against healthcare personnel is now a recorded issue that impacts their daily practice. The primary aim of this study was to ascertain the prevalence and underlying factors contributing to violence against health workers in Kosovo during the challenging period of the Covid-19 pandemic.</p><p><strong>Methods: </strong>This study is a cross-sectional research approach that involves quantitative research, and it was conducted with 1110 healthcare workers from all three levels of healthcare facilities between January and February 2022.</p><p><strong>Results: </strong>Sixty-nine (6.2%) health workers reported being physically assaulted, 462 (41.6%) experienced psychological violence, and 54 (4.9%) experienced sexual harassment in the previous twelve months. There was no statistically significant difference in the prevalence of physical violence and sexual harassment, among all three levels of healthcare institutions (<i>x</i> ^<i>2</i> : 2.491, and 2.577, respectively, <i>p</i> > 0.05). The prevalence of psychological violence was significantly higher in tertiary healthcare institutions compared to primary and secondary healthcare institutions (<i>x</i> ^<i>2</i> :7.165, <i>p</i> = 0.028). 19 out of 69 (27.5%) reported being hurt as a result of physical violence and seeking medical care. The patients' relatives were the most common physical attackers (36.2%), followed by the patients themselves (34.8%). During the COVID-19 pandemic, 54.5% of respondents reported being sexually harassed more frequently than before the pandemic (45.5%). 38.9% (<i>n</i> = 432) of respondents were uninformed of a procedure for reporting violence within the healthcare facility.</p><p><strong>Conclusion: </strong>The prevalence of physical and psychological violence, and sexual harassment among healthcare workers in Kosovo is upsetting and inexcusable. The absence of proper reactions in the event of violence, as well as awareness about how to report incidences of violence, indicates an urgent and necessary need for healthcare workers education on this subject.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71336"},"PeriodicalIF":2.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259524","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}

{"title":"Risk Factors Impacting the Onset and Progression of Rotator Cuff Tears in the Syrian Population: A Longitudinal Observational Study.","authors":"Fater A Khadour, Younes A Khadour, Naif Sunaytan Kurayzy Al Harbi","doi":"10.1002/hsr2.71346","DOIUrl":"https://doi.org/10.1002/hsr2.71346","url":null,"abstract":"<p><strong>Background: </strong>Rotator cuff tears (RCTs) are a common shoulder disorder, yet longitudinal data on risk factors for their onset and progression remain limited. This study aimed to identify factors influencing RCT development and progression in a Syrian population over a 5-year period.</p><p><strong>Methods: </strong>A longitudinal observational study was conducted with 222 shoulders from 146 participants assessed in 2018 and 2023. Data included demographics, pain patterns (Visual Analog Scale > 35), range of motion (ROM), Simple Shoulder Test scores, radiographic osteoarthritic changes (Samilson-Prieto classification), and ultrasonographic RCT severity. Statistical analyses compared groups with/without RCT at baseline and evaluated progression risks using logistic regression.</p><p><strong>Results: </strong>At baseline (2018), 76 shoulders had RCT, while 146 were intact. By 2023, 32 of the intact shoulders developed RCT, with Samilson-Prieto grade 2 osteoarthritic changes as the primary risk factor (OR = 5.87, 95% CI: 1.86-22.06). Among shoulders with baseline RCT, 43.4% (33/76) showed progression, predicted by pain during motion (OR = 8.53, 95% CI: 3.73-37.41). ROM declined and osteoarthritis advanced in all groups, regardless of RCT status.</p><p><strong>Conclusion: </strong>Moderate osteoarthritic changes (S-P grade 2) independently predicted new RCT onset, while pain during motion signaled progression of existing tears. These findings highlight distinct risk factors for RCT development and progression, informing clinical monitoring strategies.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71346"},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252972","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}

{"title":"Short-Term Effects in the Treatment of Episiotomy Dehiscence in Physiotherapy: A Novel Approach in a Case Series Report.","authors":"Lucia Martinez-Torres, Samuel Fernández-Carnero, Kenneth Jhonson, Mary Austin, Mercedes Furio-Valverde","doi":"10.1002/hsr2.71110","DOIUrl":"https://doi.org/10.1002/hsr2.71110","url":null,"abstract":"<p><strong>Background and aims: </strong>Dehiscence is defined as the appearance of a hole or gap between the sutured edges of the episiotomy of more than 0.5 cm. Episiotomy is a technique in which an incision is made in the perineum to reduce the incidence of severe perineal tears. The two most used are the midline in the USA and Canada and the postero-lateral incision in Europe. In cases where the mother's BMI exceeds 35 kg/m², the risk of infection and dehiscence increases. Reoperation is the usual choice and may be accompanied by other symptoms such as purulent discharge in 22.2%, perineal pain in 23.6% and 26.2% suffering from both. Radiofrequency and magnetotherapy are common treatments in physiotherapy that have been shown to have positive effects on tissue regeneration with indications for scarring processes.</p><p><strong>Methods/results: </strong>The following case series report proposes a detailed treatment protocol for episiotomy dehiscence with excellent results and no adverse effects in all cases. All patients had a 50% pain relief and total recovery in 1 week.</p><p><strong>Conclusions: </strong>This is a novel treatment which needs future clinical trials to evaluate, analyze, and determine its effectiveness.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71110"},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252912","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}

{"title":"Letter to the Editor: Unlocking Better Keloid Treatment: Corticosteroid, 5-Fluorouracil, and Hyaluronidase vs. Corticosteroid Alone-A Randomized Comparative Study.","authors":"Asifa Zardari","doi":"10.1002/hsr2.71356","DOIUrl":"https://doi.org/10.1002/hsr2.71356","url":null,"abstract":"","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71356"},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253171","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}

{"title":"Sexual Function and Associated Factors in Postmenopausal Women: A Systematic Review and Meta-Analysis.","authors":"Mohadese Hosseinabadi, Najmeh Khodadadi, Hadi Tehrani, Arezoo Orooji, Seyedeh Belin Tavakoly Sany","doi":"10.1002/hsr2.71270","DOIUrl":"https://doi.org/10.1002/hsr2.71270","url":null,"abstract":"<p><strong>Background and aims: </strong>The sexual health of postmenopausal women is frequently neglected, resulting in the common manifestations of menopause that lead to sexual dysfunction remaining unaddressed. This study aimed to systematically review the status of sexual function and dysfunction, and its association with modulating factors; and to examine the effectiveness of interventions in improving the status of sexual function in postmenopausal women.</p><p><strong>Methods: </strong>This systematic review and meta-analysis study was conducted based on the preferred reporting items for systematic reviews and meta-analyses (PRISMA) from inception until March 2022. Articles were searched through five electronic national and international databases including PubMed, Scopus, Scientific Information Database, Google Scholar, and Web of Science using the medical subject heading (MeSH) keywords related to the term \"menopause\", \"sexual function\", \"sexual dysfunction\", and \"menopausal women\".</p><p><strong>Results: </strong>Thirty-seven studies with data from 9982 participants were eligible for the review, and 75% of the total studies reported sexual dysfunction among postmenopausal women. Age and education level significantly affected the risk of sexual dysfunction in women experiencing menopause. In the meta-analysis of 21 cross-sectional studies with 9262 participants found an overall effect size (ES) of 20.12 (95% CI: 17.39-22.86) for average sexual function and 0.65 (95% CI: 0.63-0.66) for the average percentage of sexual dysfunction among postmenopausal women. The pooled effect of the intervention on the average difference between the intervention and control groups was 3.08 (95% CI: 2.68-3.49), which was significantly different from zero (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>This review reveals a significant prevalence of sexual dysfunction among postmenopausal women. The findings underscore the significant impact of educational interventions on enhancing sexual function in menopausal women. Consequently, it is advantageous to incorporate tailored intervention programs into medical education and healthcare practices to address sexual dysfunction during this challenging phase.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":"e71270"},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252942","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}