Iranian Journal of Obstetrics, Gynecology and Infertility最新文献

{"title":"Evaluation of postoperative pain experienced by female candidates for gynecological surgery with lithotomy position","authors":"L. Sadati, Zahra Nouri Khanegah, Nazanin Sarraf Shahri, Fatemeh Edalat","doi":"10.22038/IJOGI.2021.55725.4743","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.55725.4743","url":null,"abstract":"Introduction: Failure to follow the standard principles in establishing Lithotomy position will cause can lead to serious complications such as pain; The aim of this study was to evaluate the pain experienced by patients in pressure areas in lithotomy position. Materials and Methods: The present study is a descriptive-analytical cross-sectional study on 200 female patients undergoing gynecological surgery using lithotomy position who were admitted to the study by census. The researchers used a researcher-made questionnaire to assess pain experienced by patients, which includes: patients' demographic information and a checklist for recording the amount and severity. Pain was measured using a standard ten-point scale. Data were analyzed using descriptive and inferential statistical methods by SPSS software version 22. Results: Based on the results of data analysis, within 24 hours after surgery, more than half of the patients suffered from low back pain and 35% from groin pain, 25% from knee pain and 10% from pain. The ankles complained. Also, a high correlation was observed between the variables of patients' body mass index and the duration of surgery with the incidence of pain in some areas such as the lumbar region and the ankle region. Conclusion: In this study, a significant percentage of patients who, being placed in the lithotomy position, experienced postoperative pain in different areas","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88936210","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":"Prevalence and consequences related to sexual violence in perimenopausal women: A systematic review","authors":"F. Dabiri, M. Hajifoghaha, S. Alizadeh, S. Mokhlesi","doi":"10.22038/IJOGI.2021.59206.4945","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.59206.4945","url":null,"abstract":"Introduction: Sexual violence can occur at any time in women's lives and cause them great physical, psychological and emotional harm for them. Sexual violence against perimenopausal women has had more adverse consequences for middle-aged women, their families and society. The present review study was conducted to investigate of sexual violence in perimenopausal women.Methods: In this study, published articles were extracted by searching in authentic scientific databases such as PubMed, Scopus, Web of Science, ProQuest, SID, and Magiran and using keywords related to the purpose of studying. Descriptive, descriptive-analytical, case-control and cohort studies were included in this study. Results: In this study, 482 articles were reviewed, of which 7 articles met the inclusion criteria. The results of this study showed that the prevalence of sexual violence in women varied between different races and associated with education, economic status, smoking and alcohol consumption. In middle-aged women with sexual violence, there was a risk of hypertension, elevated neuroendocrines, and proinflammatory cytokines. Also, increased menopausal symptoms such as urinary symptoms, sleep disorders and symptoms of depression and anxiety, vaginal problems and sexual dysfunction were associated with sexual violence.Discussion: Considering that sexual violence can have harmful consequences for middle-aged women, the results of this study can be a guide for health planners to reduce this health-social problem to provide the necessary counseling programs, can meet this social health complication and help to solve middle-aged women problems.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79848638","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":"\" Comparative study of the effect of \"Ginger-Lavender\" capsule with Mefenamic Acid\" on the severity of primary dysmenorrhea, A controlled experimental study","authors":"S. Jannesari, Shadi Ahmadi, S. Sahranavard, M. Nasiri","doi":"10.22038/IJOGI.2021.55834.4760","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.55834.4760","url":null,"abstract":"Introduction:Dysmenorrhea is a major problem in women's general and individual health. The aim of this study was to compare the effect of\"Ginger-Lavender\"capsule with\" Mefenamic Acid\" on the severity of primary dysmenorrhea. Methods: A triple-blind clinical trial study was performed on 60 students living in dormitories of Shahid Beheshti University in 1399 with a history of dysmenorrhea .In the intervention group 500mg capsules of\" Ginger-Lavender\" and in the control group 250mg capsules of \"Mefenamic Acid\" in similar capsules were prescribed.The mean and mean differences in pain intensity between the groups were assessed by SPSS 24 using t-test, Bonferroni and Analysis of Variance.Results: Before the intervention there was no significant difference between the groups in terms of pain intensity(p=0.22). In the first and second cycle after intervention between the groups using two-factor statistical test showed a significant difference(p<0.05). Intra-group one-factor test with comparison of three cycles showed a statistically significant difference in the group \"ginger-lavender \"(p=0.001)and \"Mefenamic Acid \" (p=0.00), Bonferroni test in both groups showed a significant difference between the mean pain intensity before the intervention with the first and second cycle (p=0.00).Analysis of Variance showed that the mean pain score in the \"Ginger-Lavender \" group was 1.53 less than the\" Mefenamic Acid \" capsule. There was a significant difference in the duration of bleeding compared to the three cycle in the \"Ginger-Lavender\" group.(p=0.07)Conclusion:The results of the study showed \"Ginger-Lavender\" capsule reduces the pain of primary dysmenorrhea without any serious side effects and is more effective than Mefenamic Acid.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77575434","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":"Shivering control in women under spinal anesthesia: A reviewed study of the role of anesthetics","authors":"N. Kalani, Mehrdad Malekshoar, M. Vatankhah, Hamed Ghasemlo, F. Mogharab, S. Abiri, Lohrasb Taheri, M. Ghaedi, S. Sadeghi, A. R. Jahromi, Davood Rostaeai","doi":"10.22038/IJOGI.2021.57920.4861","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.57920.4861","url":null,"abstract":"Introduction: Prevention and control of maternal shivering during spinal anesthesia for cesarean section is very important in the appropriate outcomes of surgery, however, choosing the appropriate drug for this should be associated with few side effects for mother and baby. Therefore, this study was performed to evaluate the drugs used to control shivering in women under spinal anesthesia.Methods: The present study was a narrative review study. In this study, to find related studies, researchers conducted a computer search in the SID, Magiran and Google Scholar databases with Persian keywords including: spinal anesthesia, spinal anesthesia, shivering and cesarean section. In the initial stage of searching for studies, 364 studies were reviewed. The researchers then reviewed the searched articles and 341 studies were deleted because they were not related to the subject. Inclusion criteria for the present study included: Persian articles that dealt only with shivering in spinal anesthesia during cesarean section and also original research articles of clinical trial type. Exclusion criteria also included not having access to the full text of the article, abstracts of congressional papers, or conferences, and review or meta-analysis papers. Finally, 13 studies were used to write this study.Results: In reviewing the research background, different studies used different drugs to prevent shivering after cesarean section. Shivering after spinal anesthesia has been the specific goal of many studies with clinical trial design. Interventions in this regard included: intrathecal or intravenous injection of drugs such as magnesium sulfate, hydrocortisone, .","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76226832","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":"Prevalence of exclusive breastfeeding and its related factors in Iran: A systematic review and meta-analysis","authors":"Azar Baba Ahmadi, Z. Pajouhideh, Salmaz Mohammadi","doi":"10.22038/IJOGI.2021.18576","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18576","url":null,"abstract":"Introduction: Breastfeeding is one of the most important strategies for the growth and survival of children, because it provides their physical, physiological and mental needs up to 6 months, so this review study was performed with aim to determine the prevalence of exclusive breastfeeding and its related factors in Iran. Methods: In this systematic review and meta-analysis study, the databases of Scopus, PubMed, web of science, SID, Magiran, Iranmedex, IranDoc and Google Scholar, the references of selected articles and unpublished sources (conferences, thesis) with the keywords of Breastfeeding, Exclusive, Prevalence and Iran were evaluated from 2010-2019. The Strobe checklist was used to assess the quality, the I2 index was used to assess the heterogeneity, and the Egger’s test was used to assess the diffusion bias. The random effects model was used for the combined prevalence and odds ratio with 95% confidence interval. Data were analyzed by Stata software (version 16). Results: From 30 studies that their results were extracted, 19740 children were examined. The prevalence of exclusive breastfeeding was 0.49 (CI 95%; 0.38-0.59). The exclusive feeding odds ratio for type of delivery was 1.36 (CI 95%; 1.7-1.72), for education level was 1.36 (CI 95%; 1.01-1.84) and for maternal occupation was 2.15 (CI 95%; 1.09-4.23). Conclusion: The present study showed that the prevalence of exclusive breastfeeding was low and requires intervention measures.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78181083","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 maternal serum Interleukin-6 and CRP levels at first trimester of pregnancy and gestational diabetes occurrence","authors":"Fazeleh Hezareh, L. Moghaddam-Banaem, S. Shahali","doi":"10.22038/IJOGI.2021.18572","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18572","url":null,"abstract":"Introduction: Diabetes is the most common medical complication of pregnancy. Identifying the new risk factor can help to early diagnosis of the disorder. CRP and Interleukin-6 are two inflammatory markers which can anticipate some pregnancy adverse complications. This study was performed with aim to assess the relationships between maternal serum CRP and Interleukin-6 (IL-6) at first trimester of pregnancy and gestational diabetes Mellitus (GDM) occurrence. \u0000Methods: This descriptive-analytical cross-sectional study was performed in 2015-2016 on 500 pregnant women with gestational age < 14 weeks in Nilou laborator, Tehran. Serum levels of CRP, IL-6, fasting blood sugar (FBS) and lipid profile were measured. GDM screening was performed in 24-28 weeks of gestation. Data were analyzed by SPSS statistical software (version 21) and Kolmogorov-Smirnov, Chi-square, Mann-Whitney tests and Logistic regression model. P<0.05 was considered statistically significant. \u0000Results: GDM was found in 78 women (15.6%). Median CRP levels in GDM and non-GDM groups (4.8 vs. 5.22 mg/ml) (P=0.089) and median IL-6 (1.45 vs. 1.5 pg/ml) (P=0.574) was different, but the difference was not statistically significant. After adjusting the confounding variables in the logistic regression model, there were no statistically significant relations between serum level of CRP (OR=1.01, CI95%=0.96-1.07) (P=0.50) and IL-6 (OR=1.01, CI95%=0.89-1.46) (P=0.88) with GDM occurrence. \u0000Conclusion: CRP and IL-6 levels are not significantly associated with the occurrence of GDM.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87862535","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 bolus administration with continuous infusion of intravenous magnesium sulfate in the prevention of Shivering following cesarean section under spinal anesthesia, a double-blind randomized clinical trial","authors":"S. H. Hamidi, E. Alijanpour, Nadia Bani hashem, Meysam Ghorbanpour, K. Kazemi","doi":"10.22038/IJOGI.2021.53723.4636","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.53723.4636","url":null,"abstract":"Introduction and Objectives: Considering high prevalence of shivering in cesarean section, various methods have been used to reduce and treat it. Magnesium sulfate is a common drug used in pregnant women that has anti Shivering properties. The aim of this study was to compare the efficacy of intravenous magnesium sulfate as bolus or continuous infusion in prevention of Shivering following cesarean section.Methods: This study was an interventional clinical trial that was performed on 300 pregnant women with term pregnancies, singleton, who underwent elective cesarean section under spinal anesthesia. Patients were divided into 3 groups who immediately after spinal anesthesia received 30-minute infusion of magnesium sulfate, bolus injection of magnesium sulfate and normal saline, respectively. Vital signs and severity of shivering, along with complications such as nausea and vomiting, decreased heart rate and hypotension, and decreased arterial oxygen saturation were recorded and data analyzed.Results: Shivering at 30, 60, 75 and 90 minutes was significantly lower in the magnesium sulfate infusion group within 30 minutes than in the bolus receiving and control groups (p = 0.018).Conclusion: The prevalence of shivering was significantly reduced by continuous Infusion of magnesium sulfate. In the administration of magnesium sulfate, infusion within 30 minutes had a significant advantage in reducing the incidence of Shivering and less side effects than bolus administration.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75274146","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":"Function and Sexual Satisfaction of Women Treated with Two Types of Ovulation Stimulant Drugs: Clomiphene and Letrozole","authors":"R. Mourkani, F. Fahami, E. Naghshineh","doi":"10.22038/IJOGI.2021.18437","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18437","url":null,"abstract":"Introduction: Infertility is one of the factors which have a significant effect on the sexual performance of couples, especially women. Infertility can affect sexual activity in infertile couples. On the other hand, ovulation stimulation therapies for infertility treatment can inhibit estrogen and thus reduce women's sexual function and satisfaction. Therefore, this study was performed with aim to determine and compare the sexual performance and satisfaction of women treated with two types of ovulation stimulant drugs: clomiphene and letrozole. \u0000Methods: This two-group analytical study was performed on 80 infertile women referred to infertility centers in Isfahan province in 2019. The research tools were the questionnaires of Beck, sexual function and sexual satisfaction, which were completed twice before and after receiving clomiphene and letrozole. Data were analyzed by SPSS software (version 22) and Independent t-test, Mann-Whitney, Chi-square, Paired t-test, Wilcoxon and Friedman tests. P<0.05 was considered statistically significant. \u0000Results: In intra-group comparison, there was no statistically significant difference before and after drug administration in the variables of sexual satisfaction (p=0.053) and sexual function (p=0.057), but in inter-group comparison, there was a statistically significant difference in sexual function of the clomiphene group (P 0.05). There was no significant difference in letrozole group before and after drug administration in both variables of sexual function and satisfaction (p=0.053). \u0000Conclusion: The score of sexual performance decreased in the clomiphene group, but sexual satisfaction did not show any difference in any of the groups. In other words, women's sexual function is affected by many factors, one of which is the use of assisted reproductive drugs, including clomiphene. Clomiphene inhibits vaginal moisture by inhibiting estrogen, which can cause pain and reduce sexual arousal, orgasm, and libido in women. For this purpose, it is recommended that active people in the field of infertility pay attention to this issue.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76286258","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 Dimensions of Health Belief Model Structures Related to Oral Health Behaviors aomng Pregnant Women in Kerman City in 2018 (A cross-sectional descriptive study)","authors":"Fatemeh Najminouri, Molook Torabi","doi":"10.22038/IJOGI.2021.18430","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18430","url":null,"abstract":"Introduction: Paying attention to dental and oral hygiene in vulnerable groups, including pregnant women, is important for protecting and maintaining maternal and fetal health. This study was performed with aim to determine the dimensions of health belief model Structures related to oral health behaviors among pregnant women in Kerman city. \u0000Methods: This descriptive, analytical and cross-sectional study was performed on 138 pregnant women in health centers of Kerman city in 2018. Data collection tool was a researcher-made questionnaire based on health belief model consisting of four sections: demographic information, oral hygiene status, health belief model and assessment of gingival plaque index by Silness and loe Method. Frequency and relative frequency were calculated for each of the variables. Data were analyzed by SPSS software (version 19) and linear regression analysis and t-test. P< 0.05 was considered statistically significant. \u0000Results: The mean and standard deviation of participants' plaque index was 1.16±0.62, oral hygiene score was 13.49±2.04 and total score of health belief model questionnaire was 130.70±11.84. 61. The plaque index had significant relationship with perceived benefit (p<0.05). Also, there was a significant relationship between health belief model with education level, pregnancy week and type of insurance (p<0.05). A significant relationship was found between oral hygiene status with education level and pregnancy week (p<0.05) \u0000Conclusion:Health performance and dental plaque index of pregnant women are in moderate range which is the result of fear from dental procedures. The total score of people's health belief model is also in the moderate range. So, attention to the beliefs and health aspects of pregnancy care and necessary education in this area is necessary and recommended.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87506109","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 Number of Pregnancy Cares with Maternal and Neonatal Complications in Mothers with Gestational Diabetes","authors":"F. Akhlaghi, Somayeh Moeindarbari, M. Najafi","doi":"10.22038/IJOGI.2021.18427","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18427","url":null,"abstract":"Introduction: Gestational diabetes increases maternal and neonatal complications. Therefore, this study was performed with aim to examine the effect of the number of pregnancy cares on the reduction of maternal and neonatal complications in women with gestational diabetes. \u0000Methods: This cohort study was performed in 2018-2020 on 119 mothers with gestational diabetes in Omolbanin hospital. The subjects in the two groups of pregnancy visits < 10 times and ≥10 times were compared in terms of neonatal complications such as overweight 90%, dystocia and maternal complications like preeclampsia. Data were analyzed using SPSS statistical software (version 23) and independent t-test and Mann-Whitney, Chi-square and Fisher tests. P< 0.05 was considered statistically significant. \u0000Results: In this study, among 119 pregnant women with gestational diabetes, 37 (31.09%) were in the group of pregnancy visits ≥ 10 times and 82 (68.90%) in the group of pregnancy visits < 10 times. The number of infants weighing more than 90 percent was 4 (10.8%) in the group of pregnancy visits ≥ 10 times and was 4 (4.9%) in the group of pregnancy visits < 10 times, which had no statistically significant difference (P=0.2). Mean fasting blood sugar of mothers in third trimester was 91.22 ± 75.14 mg/dl in the group of pregnancy visits ≥ 10 times and was 93.65 ± 30.23 mg/dl in the group of pregnancy visits < 10 times, which was similar in both groups (P=0.2). Also, the incidence of preeclampsia was 3 (6.2%) in the group of pregnancy visits ≥ 10 times and 5 (8.1%) in the group of pregnancy visits < 10 times, which was similar in the two groups (P=0.8). There was no significant difference between the two groups in terms of other maternal and neonatal consequences. \u0000Conclusion: Increasing the number of pregnancy visits in women with gestational diabetes does not improve the maternal and neonatal outcomes.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86863415","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}