María Cuerda-Ballester , Antonio Bustos , Maribel Arrollo-Calvillo , Belén Proaño , Amalia Correcher-Calap , Jose Enrique de la Rubia Ortí
{"title":"Influencia del sexo en la capacidad funcional, y fuerza muscular y motricidad fina de miembros superiores en pacientes con esclerosis múltiple","authors":"María Cuerda-Ballester , Antonio Bustos , Maribel Arrollo-Calvillo , Belén Proaño , Amalia Correcher-Calap , Jose Enrique de la Rubia Ortí","doi":"10.1016/j.sedene.2022.07.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2022.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Multiple sclerosis (MS) is a neurodegenerative disease characterized by damage to the myelin sheath that covers neurons, and which shows differences between men and women in terms of susceptibility and disease progression related in turn to functional ability and quality of life.</p></div><div><h3>Objectives</h3><p>To know the differences based on gender, assessing the functional capacity, muscle strength and fine motor skills of the upper extremities of patients with MS.</p></div><div><h3>Material and methods</h3><p>A quantitative, descriptive, cross-sectional study was conducted with a sample of 51 MS patients, that were assessed for functional capacity (DASH scale); static and dynamic balance (Berg scale), perceived balance (ABC); strength (Jamar and dynamometer); and fine motor skills (NHPT).</p></div><div><h3>Results</h3><p>The sample consisted of 15 men and 36 women, with a mean age of 47<!--> <!-->±<!--> <!-->12 years. No differences were observed in functional capacity DASH (<em>p</em> <!-->=<!--> <!-->.616). In addition, men showed greater pincer strength (<em>p</em> <!--><<!--> <!-->.001) and greater triceps strength (<em>p</em> <!--><<!--> <!-->.05) in both arms. Regarding fine motor skills, it was better in women in both the dominant and non-dominant hands (<em>p</em> <!--><<!--> <!-->.05).</p></div><div><h3>Conclusions</h3><p>Despite not observing functional differences by sex, there are differences in the parameters of pincer and triceps strength, which is higher in men; and in manual dexterity of both hands, which is better in women.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"58 ","pages":"Pages 31-38"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49785160","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":"La experiencia del paciente desde la perspectiva del MetaCuidado","authors":"Blanca Fernández-Lasquetty Blanc","doi":"10.1016/j.sedene.2023.02.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2023.02.002","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"58 ","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49825905","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}
Marta Lourdes Muñio Iranzo , Herbert Tejada Meza , Ángel Gasch Gallén , Marta Sampériz Murillo , Javier Marta Moreno
{"title":"Comparación entre los ictus fibrinolizados que llegaron al hospital con el servicio de emergencias 061 o por otros medios","authors":"Marta Lourdes Muñio Iranzo , Herbert Tejada Meza , Ángel Gasch Gallén , Marta Sampériz Murillo , Javier Marta Moreno","doi":"10.1016/j.sedene.2022.06.002","DOIUrl":"10.1016/j.sedene.2022.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>Analyze the relationship between attendance times and health outcomes of people with ischemic stroke treated with intravenous fibrinolysis, comparing those attended from the emergency units of 061 ARAGON with those arriving by other means.</p></div><div><h3>Method</h3><p>Cross-sectional, retrospective, descriptive and association study based on a consecutive series of patients treated at the Miguel Servet University Hospital in the period 2014-16, analyzing the time of care up to fibrinolysis and results of intravenous fibrinolysis, in terms of mortality and functional status at discharge. We also analyzed the influence on attendance times of the protocol change that was carried out in 2016 and that included the direct warning to neurologists, instead of the receiving emergency, as before.</p></div><div><h3>Results</h3><p>A total of 231 patients with stroke were collected and treated with intravenous fibrinolysis. The mean age of the patients was 75,91 (±12.48). Women accounted for 52.8% of those fibrinolysed, the average age of men being lower [74,07 (±13.71) years, compared with 77.55 (±11.07) years for women]. The mean score on the NIHS scale at admission between the two groups presented significant differences (<em>P</em> <!-->=<!--> <!-->0.006), being greater the affectation among those who arrived with 061 [NIHSS 13,20<!--> <!-->±<!--> <!-->6,78 vs. 10.7<!--> <!-->±<!--> <!-->6.22]. In the comparison of times between patients who arrive or not with 061, the average time to hospital was 91.42 (±59.64) vs. 93.20 (±83.73) (<em>P</em> <!-->=<!--> <!-->.731), without significant differences. However, there were significant differences in the time door needle (<em>P</em> <!-->=<!--> <!-->.046), noting that patients who are brought by 061 Aragon have better in-hospital time until fibrinolysis (better door-needle time) (67.19 (±26,03) vs. 77.83 (±38.35).</p><p>In the analysis of the door needle time by years, significant differences were observed (p<!--> <!--><<!--> <!-->0,001), being shorter each year, with a clear shortening in 2016 compared to previous ones, reflecting the impact of the update of protocols in this time period.</p></div><div><h3>Conclusion</h3><p>The patients brought in by 061 were different (more affected), fibrinolysed in a greater percentage and faster. Direct notice to neurologists significantly shortened attendance times. In terms of mortality and functional status at discharge, there were no differences between the two groups.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"58 ","pages":"Pages 21-30"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49602652","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}
Mercè Lleixa Sardañons , Montse Artola Ortiz , Noelia Becerril Ríos , Guadalupe Cordero Martín , Ana Hernando Andrés , Ana María Lozano Ladero , José Ramón Sabroso Mellado , César Manuel Sánchez Franco , Beatriz del Río Muñoz
{"title":"Atención del personal de enfermería a pacientes con esclerosis múltiple durante la pandemia de la COVID-19","authors":"Mercè Lleixa Sardañons , Montse Artola Ortiz , Noelia Becerril Ríos , Guadalupe Cordero Martín , Ana Hernando Andrés , Ana María Lozano Ladero , José Ramón Sabroso Mellado , César Manuel Sánchez Franco , Beatriz del Río Muñoz","doi":"10.1016/j.sedene.2022.06.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2022.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>At the beginning of the SARS-CoV-2 pandemic, health centres were places where there was a high risk of infection, and during the period of lockdown face-to-face health care was substantially reduced, forcing rapid changes in the care of multiple sclerosis patients by the specialised nursing staff in the units and monographic consultations of this disease.</p></div><div><h3>Development</h3><p>The experience of the nursing staff of multiple sclerosis units and monographic consultations, in 8<!--> <!-->Spanish hospitals, is collected from the beginning of the pandemic and in later stages, and the adaptations that they made to continue caring for patients are specifically described. The scientific literature about how the SARS-CoV-2 has affected patients with multiple sclerosis is also reviewed, as well as the experiences of other multiple sclerosis teams in health centres in other countries.</p></div><div><h3>Conclusions</h3><p>During the lockdown and in later stages, new forms and previously little used forms of care were applied to multiple sclerosis patients. The nursing staff kept contact with them by telephone and online, provided them with information about safety and behaviour in relation to COVID-19. Face-to-face visits, treatments and distribution of medication were adapted. Information was provided about how patients could receive psychosocial support and about how they could maintain their quality of life.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"58 ","pages":"Pages 39-46"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49785163","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}
Mónica Margarita Barón Castro , Paulo César González Sepúlveda , María Nelcy Muñoz Astudillo , Natalia González Cruz , Mónica Andrea Bernal González
{"title":"Cuidados enfermeros en adaptación al rol de cuidadores informales de personas con enfermedad de Parkinson","authors":"Mónica Margarita Barón Castro , Paulo César González Sepúlveda , María Nelcy Muñoz Astudillo , Natalia González Cruz , Mónica Andrea Bernal González","doi":"10.1016/j.sedene.2021.08.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2021.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Parkinson's disease (PD) is catastrophic, chronic, and neurodegenerative. In advanced stage requires a permanent informal caregiver. The adaptation of the caregiver to their role is unknown, a fundamental aspect to guarantee the quality of care.</p></div><div><h3>Objective</h3><p>Prepare a healthcare proposal with standardized language to promote the adaptation of informal caregivers of Parkinson's patients to their social role.</p></div><div><h3>Methods</h3><p>Two-phase study: literature review and preparation of a care proposal. Search in ProQuest, Scielo, Scient Direct, Pubmed, and Google Scholar databases, in English, Spanish and Portuguese languages, for the last five years. Descriptors: Parkinson's disease, chronic disease, caregivers, adaptation, nursing process. The proposal articulates the Callista Roy adaptation model with the nursing process using NANDA-NOC-NIC taxonomy.</p></div><div><h3>Results</h3><p>Few publications on coping and adaptation of caregivers and on the Nursing Process to caregivers using standardized language. Committed adaptation modes: role function and Self-concept. Relevant nursing diagnoses: tiredness of the caregiver role, interruption of family processes, impairment of social interaction, ineffective relationship, compromised family coping, willingness to improve self-concept, risk of low situational self-esteem, and body image disorder. Two NOC outcomes and three NIC interventions were linked for each diagnosis.</p></div><div><h3>Conclusions</h3><p>The articulation of the Callista Roy adaptation model with the standardized language NANDA-NOC-NIC is an innovative contribution to the disciplinary and professional development of neurological and community nursing. The proposal makes it possible to monitor the levels of adaptation of the informal caregiver and intervene in a timely manner.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 11-21"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808290","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}
Henar Garzón López , Paloma Muñoz Pedrazuela , Ana Sofía Fernandes Ribeiro , Isabel Manzanares , Carmen Funes Molina , D. Alejandro Lendínez Mesa , Maria Palanca Cámara , Mercè Salvat Plana , D. Noelia López , Tania Herrera Barcia , Eulàlia Giné-Ciprés , Raquel Vallejo de la Paz , Lourdes Bermelló López , Ana María Duro Martínez , Fidel López Espuela
{"title":"Resumen del XXIX Congreso Anual y V Congreso Internacional de la Sociedad Española de Enfermería Neurológica","authors":"Henar Garzón López , Paloma Muñoz Pedrazuela , Ana Sofía Fernandes Ribeiro , Isabel Manzanares , Carmen Funes Molina , D. Alejandro Lendínez Mesa , Maria Palanca Cámara , Mercè Salvat Plana , D. Noelia López , Tania Herrera Barcia , Eulàlia Giné-Ciprés , Raquel Vallejo de la Paz , Lourdes Bermelló López , Ana María Duro Martínez , Fidel López Espuela","doi":"10.1016/j.sedene.2023.03.003","DOIUrl":"https://doi.org/10.1016/j.sedene.2023.03.003","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 1-4"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808396","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":"El humor como fortaleza humana ante el afrontamiento","authors":"Miriam Leñero-Cirujano","doi":"10.1016/j.sedene.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2023.02.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 9-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808372","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":"Cuidados de enfermería a paciente con cefalea en racimos basado en el modelo de promoción de la salud de Nola Pender: informe de caso","authors":"Indiana Luz Rojas Torres , Luis Enrique Perea Vásquez , Diana Marcela Perea Rojas","doi":"10.1016/j.sedene.2021.07.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2021.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Cluster headache was described by B.T. Horton as a strong unilateral pain in the orbital region of cyclical predominance, which affects mainly men. The structural and functional abnormalities of its aetiology are not exactly known, although it is related to an autosomal gene. The diagnosis is based on the patient's symptoms and the treatment on pain management and suppression of the precipitating factors of the episode.</p></div><div><h3>Objective</h3><p>To develop a nursing care plan for patients with cluster headaches and establish health-promoting behaviour.</p></div><div><h3>Methodology</h3><p>A review of the literature on cluster headache was conducted. Based on the Nanda International domain assessment taxonomy, Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC), an individualised care plan was developed. Next, the Nola Pender health promotion model was applied to the patient to promote health-promoting behaviours.</p></div><div><h3>Results</h3><p>The nursing process is described starting from the diagnoses of pain, fatigue, knowledge, and health behaviour with their respective objectives, interventions, and nursing actions. Improvement was evidenced when the patient was administered 50% venturi oxygen at 15<!--> <!-->l/min, for 30<!--> <!-->min; topiramate every 12<!--> <!-->h and generation of healthy behaviours based on the health promotion model proposed by Pender.</p></div><div><h3>Conclusions</h3><p>The importance of not only addressing the severity of the clinical picture is highlighted, but also the promotion of appropriate lifestyles on risk factors that trigger the disease.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 36-42"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808370","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}
Marina Martínez Moliner , Cristina Carrasco Carbó , Eva Gracia Aragües , Ana Romeo Laguarta , Berta Sebastián Torres , Sebastián García Rubio
{"title":"Elaboración y valoración de utilidad de una infografía sobre la reproducción para pacientes con esclerosis múltiple","authors":"Marina Martínez Moliner , Cristina Carrasco Carbó , Eva Gracia Aragües , Ana Romeo Laguarta , Berta Sebastián Torres , Sebastián García Rubio","doi":"10.1016/j.sedene.2021.09.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2021.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Recurrent-remitent sender multiple sclerosis (RRMS) often affects fertile women and family planning is an important issue, where patients continue to have doubts. Infographic is a visual tool for transmitting messages that can be useful in health education.</p></div><div><h3>Objectives</h3><p>Prepare an infographic on RRMS and reproduction and evaluate its usefulness in relation to obtaining knowledge in women of childbearing age affected by this disease and who are cared for in our center.</p></div><div><h3>Method</h3><p>An infographic was elaborated with 5 topics on EMRR and reproduction from a questionnaire delivered to 10 women between 18 and 35 years old affected by this disease. Subsequently, the degree of pre and post-visualization knowledge of the infographic was evaluated in 10 other patients.</p></div><div><h3>Results</h3><p>The infographic reports on: inheritance, treatments for multiple sclerosis and pregnancy, pregnancy and evolution of multiple sclerosis, pregnancy planning and postpartum. Mean of pre-infography hits was 4.4 and post-infography was 5.6 (increase 17%). A percentage of 60 improved their pointing after viewing the infographic, 30% kept it and 10% made it worse. Subjective perception of pre-infography knowledge was 33.3% “good” and 66.6% “moderate”, and post-infography changed to 77.7% “good” and 22.2% “moderate”. None of them valued it as “bad” and one did not answer this question.</p></div><div><h3>Conclusions and discussion</h3><p>There are certain topics of greater interest within family planning in RRMS patients that can be presented through an infographic, which seems useful in nursing work in health education.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 31-35"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808371","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}
Noelia López , Isabel Manzanares , Raquel Vallejo de la Paz , Eulalia Giné Ciprés , Paloma Muñoz Pedrazuela , Tania Herrera Barcia , Henar Garzón López , Ana Sofía Fernandes Ribeiro , Carmen Funes Molina , Alejandro Lendínez Mesa , Maria Palanca Cámara , Mercè Salvat Plana , Lourdes Bermelló López , Ana María Duro Martínez , Fidel López Espuela
{"title":"II Encuentro entre Asociaciones y Pacientes Neurológicos de la Sociedad Española de Enfermería Neurológica","authors":"Noelia López , Isabel Manzanares , Raquel Vallejo de la Paz , Eulalia Giné Ciprés , Paloma Muñoz Pedrazuela , Tania Herrera Barcia , Henar Garzón López , Ana Sofía Fernandes Ribeiro , Carmen Funes Molina , Alejandro Lendínez Mesa , Maria Palanca Cámara , Mercè Salvat Plana , Lourdes Bermelló López , Ana María Duro Martínez , Fidel López Espuela","doi":"10.1016/j.sedene.2023.02.003","DOIUrl":"10.1016/j.sedene.2023.02.003","url":null,"abstract":"<div><p>Empowerment is known as enabling the patient to manage their self-care. In this process patients acquire knowledge, attitudes, and skills regarding their disease in a facilitative environment. Neurology nurses are fundamental in educating and motivating this population. Nevertheless, collaboration between professionals and patients is the key to patient empowerment and coping. This is why SEDENE held the second meeting between neurological patients and associations in the context of the XXIX<!--> <!-->National and V<!--> <!-->International Congress of SEDENE in the city of Granada in 2022. The nurse Pedro Soriano and patients’ associations of multiple sclerosis (AGDEM), epilepsy (APICE), Parkinson's disease (Parkinson Granada), stroke (NEUROAFEIC), headache (AEMICE), and ALS (AGRAELA) collaborated. Soriano spoke about helping relationships where patients can express emotions, feelings, and healthcare professionals are able to create an environment of trust to develop patient empowerment. Concerning patient coping skills, they talk about their fears regarding the diagnosis process, resilience, and strategies to improve their abilities in a special visit. The social and work circumstances that are affected in these patients’ lives were discussed, and their difficulties trying to balance their symptoms and their jobs or exams. They explained to us how changes in roles due to their disease affect social integration and family relationships. They reiterated how they had lost their personal identity with the diagnosis of their disease and its progression. Neurology nurses are a point of reference in their care, essential in interdisciplinary teams, and they highlight inequalities in care according to communities and areas. We would therefore like to thank all the attendees for their testimonies and participation, and hope that these activities will influence nursing practice in the care of neurological patients.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 5-8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47582254","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}