Health Open Research最新文献

{"title":"Developing Compassionate Community: Insights from the International Standards for Community Development","authors":"W. Chan, Laura Funk","doi":"10.12688/healthopenres.13611.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13611.1","url":null,"abstract":"Aging populations have increased demand for hospice palliative care and support for dying persons. Community support is also becoming an increasingly important aspect of public health intervention. Compassionate communities advocate active bottom-up community participation to strengthen communities’ resilience around death and dying. However, these rapidly growing initiatives face a challenge in putting values such as health equity into practice and in making a social impact through “meaningful participation” at the community level. We reflect on potential challenges related to gendered inequalities, neo-liberal discourses around caring work, and an over-emphasis of community resilience, and argued that these need to be deliberated in compassionate community policy and service development. To address those concerns, in this chapter we argue that the eight components of the International Standards for Community Development Practice or ISCDP (from the International Association for Community Development or IACD) provide important direction about putting values into practice, for instance by advocating for service and policy improvement while engaging in practice and research on compassionate communities. We discuss how the international standards can inform compassionate community development in Canada.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"36 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655123","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":"Lifecourse research in cancer: context, challenges, and opportunities when exploring exposures in early life and cancer risk in adulthood","authors":"Jennifer L. Baker, V. Gordon-Dseagu, T. Voortman, Doris Chan, Zdenko Herceg, Sian Robinson, Teresa Norat, Helen Croker, Ken Ong, Ellen Kampman","doi":"10.12688/healthopenres.13748.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13748.1","url":null,"abstract":"As the global population ages, and rates of modifiable risk factors for cancer change, cancer incidence and mortality continue to increase. While we understand many modifiable risk factors related to diet, nutrition, bodyweight, and physical activity in adulthood that influence cancer risk, how exposure during childhood, adolescence, and young adulthood impacts cancer risk is less clear. This is partly because the timeline from initial mutation to cancer development and diagnosis can span several decades. This long latency period creates methodological, ethical, and financial issues; as well as resource and feasibility challenges in the design, implementation, and data analysis of lifecourse studies. As such, the large majority of lifecourse studies are observational, often using recall data which has inherent bias issues. Concurrently, a new research era has begun, with mature birth cohort studies that are phenotyped/genotyped and can support studies on adult cancer risk. Several studies and consortia contain information spanning the lifecourse. These resources can support association, mechanistic and epigenetic investigations into the influences of multi-disciplinary (e.g. genetic, behavioural, environmental) factors, across the lifecourse and critical time periods. Ultimately, we will be able to produce high-quality evidence and identify how/when early life risk factors impact cancer development and survival.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702518","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":"Practices, issues and possibilities at the interface between geriatrics and palliative care (InGaP): An exploratory study and knotworking","authors":"Erica Borgstrom, Rebekah Schiff, Shaheen A Khan, E. Hindley, D. Thayabaran, Emily Savage, Nicholas Gough, R. Holti","doi":"10.12688/healthopenres.13534.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13534.1","url":null,"abstract":"Introduction With the recognition of the need for palliative care for people with non-malignant conditions, there is an increasing emphasis on interdisciplinary working between geriatric and palliative care teams. This interdisciplinary work has evolved organically; more needs to be known about current working practices. This is of policy and clinical interest as the older patient population continues to grow. Methods An exploratory qualitative interview study was undertaken of end-of-life care for older in-patients in a large London NHS Trust. 30 semi-structured qualitative interviews were conducted with staff from palliative care and geriatric medical and nursing teams, two with patients and five with carers. Questions covered: examples and perceptions of collaboration and patient/carer perceptions of clarity as to who was providing care. Interviews were transcribed and thematically analysed focusing on: examples of successful collaboration; areas of tension, duplication or confusion about responsibilities; and suggestions for future practice. Results Participants were positive about collaboration. Examples of what works well include: the referral process to the palliative care team; inter-team communication and use of face-to-face handovers; unity between the teams when communicating with patients and families. Areas for potential development include: embedding palliative care within ward multidisciplinary team meetings; continual on-ward education given rotation of staff; and improving collaboration between palliative care, physiotherapy and occupational therapy. It is unclear whether patients’ and carers’ lack of awareness of the different teams has a detrimental effect on their care or needs. Conclusions There is evidence of strong collaborative working between the teams; however, this study highlights potential areas for improvement. An exploration of these relationships in other settings is required to determine if the same themes arise with a view to inform national guidelines and policy to improve care towards the end of life.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140221544","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":"Adapted systematic review of implementation science strategies applied to digital health interventions (DHIs) in low middle income countries (LMICs): Impact on adoption and utilisation","authors":"Lynda Odoh, Obehi Aimiosior","doi":"10.12688/healthopenres.13512.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13512.1","url":null,"abstract":"Background Post the COVID-19 pandemic and with rising connectivity, digital health Interventions (DHIs) are being leveraged by innovators in Low middle-income countries (LMICs), to address healthcare challenges. Despite huge investments, interventions are poorly utilised due to health systems complexities, limited digital readiness and socioeconomic factors. Evolving evidence suggests that implementation science strategies can play a significant role in reducing the complexities within the sociotechnical domains. This study aims to understand how implementation science strategies are being applied to patient-focused DHIs in LMICs, its impact on adoption and utilisation. Methods A triangulated search was conducted on five electronic databases using a pretested strategy. A heterogeneous range of study types on patient-focused DHIs was included to capture different research methodologies used to describe implementation. The screening was done by two reviewers using inclusion/exclusion criteria registered on PROSPERO. Quality was accessed using the JBI appraisal tool for case studies, the CASP quality assessment tool for systematic reviews and qualitative studies, and the ROBIN-I tool for quasi-experimental studies. Synthesis was by Popay et al's guidance on narrative synthesis. Results Eleven studies from eight countries met the inclusion criteria. Through the lens of the NASSS framework and the ERIC clusters, forty-five implementation science strategies out of seventy-three were identified of which only twenty-seven percent of included studies applied more than fifty percent of the identified strategies. Conclusions The trend revealed that DHIs with higher and strategic application patterns tackled more sociotechnical system complexities and experienced better adoption/ utilisation. For the basics, we identified four heavy weight favorability factors that should be considered when choosing implementation strategies in this context. Large scale randomised interventional studies are however recommended to further measure impact. PROSPERO Registration number: CRD42023388786","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140227053","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":"Factors associated with hypertension and diabetes in rural communities in the Asante Akim North Municipality of Ghana","authors":"J. K. Brenyah, Y. Enuameh, Bernard Okoe-Boye, Francis Asenso-Boadi, Ronald Welaga Miah, Peter Twum, Ebenezer Dassah, Samuel Frimpong Odoom, Thomas Peprah Agyekum, N. K. Ayisi-Boateng, Richard Adade, F. Sarfo, Arti Singh, D. Ansong","doi":"10.12688/healthopenres.13499.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13499.1","url":null,"abstract":"Background Hypertension and diabetes are leading non-communicable diseases that have driven an epidemic of cardiovascular diseases globally. Understanding the factors associated with the occurrence of hypertension and diabetes, particularly in rural settings, is crucial for designing interventions to improve awareness, detection, and control. This study assessed factors associated with hypertension and diabetes in Asante Akim North Municipality, a rural community in Ghana. Methods This cross-sectional study involved 2,576 participants. Data were collected using a structured questionnaire covering sociodemographic, blood pressure measurements, anthropometric measurements, biochemical parameters, and modifiable risk factors for hypertension and diabetes. Descriptive statistics of the outcomes were performed. The factors associated with hypertension or diabetes were assessed using a multivariate logistic regression model. Results The study found that participants' mean age was 35 years (SD) with a slight female preponderance of 53.88%. Age, marital status, educational status, and occupation positively predicted the occurrence of hypertension. The prevalences of hypertension and diabetes were found to be 30.9% and 17.7%, respectively. Community members above 18 years of age had increased odds of developing hypertension [18–44 years (aOR=1.99, CI=1.06–3.71, p <0.05), 45–64 years (aOR=6.12, CI=3.15–11.9, p <0.001), and >64 years (aOR=14.55, CI=7.17–29.53, p <0.001)]. Community members who were fishing/farming (aOR=0.45, CI=0.26–0.76, p <0.01) and being student/apprentices (aOR=0.11, CI=0.02–0.56) were at reduced odds of developing diabetes. Participants who consumed snacks (aOR=0.64, CI=0.41–0.99, p <0.05) during working hours had reduced odds of developing diabetes. Conclusions The study concluded that commonly known risk factors (dietary behaviour, alcohol intake, tobacco use, and physical activities) were not associated with hypertension or diabetes. Sociodemographic characteristics and poor health screening practices were the main predictors of hypertension and diabetes in rural areas. Urgent steps to improve health education and population-level screening are pivotal for controlling hypertension and diabetes.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"62 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140427959","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":"Effectiveness of universal Social-Emotional Learning programs for Japanese higher education students: A meta-analytic review","authors":"Yuka Takizawa, Yuki Matsumoto, Y. Ishimoto","doi":"10.12688/healthopenres.13467.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13467.1","url":null,"abstract":"Background Japanese higher education institutions are increasingly embracing Social-Emotional Learning (SEL) programs to enhance students' mental health. Nevertheless, there is currently a lack of meta-analyses examining the efficacy of these programs in Japan. Methods A systematic search was conducted on PubMed, PsychINFO, Web of Science, Dissertation Abstracts, CiNii Articles, and J-STAGE. Studies meeting the following criteria were included: (a) published; (b) written in Japanese or English; (c) targeted higher education students; (d) designed to enhance one or more social-emotional skills; (e) included a control group; (f) conducted within a higher education setting; and (g) provided sufficient data for effect size calculation. This meta-analysis aimed to evaluate the effectiveness of universal SEL programs for Japanese higher education students and examine potential moderators. The Evidence Project risk of bias tool was utilized for risk assessment. Results The meta-analysis of 32 studies revealed that universal SEL programs demonstrated a small to medium overall effect (ES = .34) and small to medium effects in enhancing social-emotional skills (ES = .33) and attitudes towards the self and others (ES = .37), addressing conduct problems (ES = .37), and mitigating emotional problems (ES = .41) at post-intervention. Moderator analysis indicated a decrease in the overall effect of SEL programs when they were delivered to larger groups of higher education students. However, the present meta-analysis could not conduct moderator analysis for individual outcome categories, except for emotional problems, due to the limited number of eligible studies. Conclusions Future research should investigate enhanced delivery methods for SEL programs, particularly in larger groups, possibly by integrating digital technologies. As the pool of eligible studies expands, future research should conduct meta-analyses with more extensive moderating analyses.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"103 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842043","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":"Effectiveness of universal Social-Emotional Learning programs for Japanese higher education students: A meta-analytic review","authors":"Yuka Takizawa, Yuki Matsumoto, Y. Ishimoto","doi":"10.12688/healthopenres.13467.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13467.1","url":null,"abstract":"Background Japanese higher education institutions are increasingly embracing Social-Emotional Learning (SEL) programs to enhance students' mental health. Nevertheless, there is currently a lack of meta-analyses examining the efficacy of these programs in Japan. Methods A systematic search was conducted on PubMed, PsychINFO, Web of Science, Dissertation Abstracts, CiNii Articles, and J-STAGE. Studies meeting the following criteria were included: (a) published; (b) written in Japanese or English; (c) targeted higher education students; (d) designed to enhance one or more social-emotional skills; (e) included a control group; (f) conducted within a higher education setting; and (g) provided sufficient data for effect size calculation. This meta-analysis aimed to evaluate the effectiveness of universal SEL programs for Japanese higher education students and examine potential moderators. The Evidence Project risk of bias tool was utilized for risk assessment. Results The meta-analysis of 32 studies revealed that universal SEL programs demonstrated a small to medium overall effect (ES = .34) and small to medium effects in enhancing social-emotional skills (ES = .33) and attitudes towards the self and others (ES = .37), addressing conduct problems (ES = .37), and mitigating emotional problems (ES = .41) at post-intervention. Moderator analysis indicated a decrease in the overall effect of SEL programs when they were delivered to larger groups of higher education students. However, the present meta-analysis could not conduct moderator analysis for individual outcome categories, except for emotional problems, due to the limited number of eligible studies. Conclusions Future research should investigate enhanced delivery methods for SEL programs, particularly in larger groups, possibly by integrating digital technologies. As the pool of eligible studies expands, future research should conduct meta-analyses with more extensive moderating analyses.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"15 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782211","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":"Effects of national health benefits expansion policy on out-of-pocket payments and utilization of patients with four major catastrophic diseases","authors":"Minjeong Kim, Jangho Yoon, Chunhuei Chi","doi":"10.12688/healthopenres.13475.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13475.1","url":null,"abstract":"Background As South Korea achieved universal health care (UHC) in 1989, patients’ access to low-cost health services has highly increased. However, as liability for high-cost procedures is still high, patients’ accessibility to high-cost services is has been limited. For this reason, the Korean government has implemented an initiative of the “Mid-term Health Benefits Security Plan” to expand the health benefits coverage since 2005. Nevertheless, it has been criticized as the policy has yet to show any transparent evidence of reducing patients’ out-of-pocket costs since its implementation. This study aims to identify if the benefit expansion policy affected a reduction of patients’ health care spending and utilization after policy implementation. Methods We analyze data from the Korean Health Panel Survey for years 2009-2016, a nationally representative survey of non-institutionalized Korean citizens that provide the most comprehensive information on health care utilization and costs. We utilize two-part difference-in-differences (DID) models to estimate the patients' probability of accessing any care and the intensity of care, health care spending and utilization, conditional on the initiated care Results The total out-of-pocket(OOP) payments and inpatient spending decreased by USD 175.33 (p = 0.033) and USD 358.86 (p =0.018), respectively, which were statistically significant. Outpatient spending increased by USD 57.43 (p =0.607), but it was not statistically significantly associated with the policy implementation. In utilization, there were no significant changes in either the number of visits or hospital stays. Conclusions Even though we found that the policy led to a reduction in patients' OOP spending, the effects of the policy were largely limited to inpatient services and patients with high incomes. As the limited benefits of the policy to the particular services and patients might raise some equity issues, the government needs to extend the range of coverage more broadly so that a more comprehensive population can benefit from the policy.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"19 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814737","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":"Effects of national health benefits expansion policy on out-of-pocket payments and utilization of patients with four major catastrophic diseases","authors":"Minjeong Kim, Jangho Yoon, Chunhuei Chi","doi":"10.12688/healthopenres.13475.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13475.1","url":null,"abstract":"Background As South Korea achieved universal health care (UHC) in 1989, patients’ access to low-cost health services has highly increased. However, as liability for high-cost procedures is still high, patients’ accessibility to high-cost services is has been limited. For this reason, the Korean government has implemented an initiative of the “Mid-term Health Benefits Security Plan” to expand the health benefits coverage since 2005. Nevertheless, it has been criticized as the policy has yet to show any transparent evidence of reducing patients’ out-of-pocket costs since its implementation. This study aims to identify if the benefit expansion policy affected a reduction of patients’ health care spending and utilization after policy implementation. Methods We analyze data from the Korean Health Panel Survey for years 2009-2016, a nationally representative survey of non-institutionalized Korean citizens that provide the most comprehensive information on health care utilization and costs. We utilize two-part difference-in-differences (DID) models to estimate the patients' probability of accessing any care and the intensity of care, health care spending and utilization, conditional on the initiated care Results The total out-of-pocket(OOP) payments and inpatient spending decreased by USD 175.33 (p = 0.033) and USD 358.86 (p =0.018), respectively, which were statistically significant. Outpatient spending increased by USD 57.43 (p =0.607), but it was not statistically significantly associated with the policy implementation. In utilization, there were no significant changes in either the number of visits or hospital stays. Conclusions Even though we found that the policy led to a reduction in patients' OOP spending, the effects of the policy were largely limited to inpatient services and patients with high incomes. As the limited benefits of the policy to the particular services and patients might raise some equity issues, the government needs to extend the range of coverage more broadly so that a more comprehensive population can benefit from the policy.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139874590","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 feasibility of developing an online teacher training program for a neuroscience-informed mental health intervention for Japanese students","authors":"Yuka Takizawa, M. Bambling, Hsien-Jin Teoh, S. Edirippulige","doi":"10.12688/healthopenres.13474.1","DOIUrl":"https://doi.org/10.12688/healthopenres.13474.1","url":null,"abstract":"Background Neuroscience-informed mental health intervention involves integrating neuroscientific knowledge into mental health interventions, showing potential in effectively enhancing children's mental health. Online platforms are deemed suitable for teaching these strategies to Japanese teachers, especially, under the coronavirus disease (COVID-19) pandemic. However, there is a lack of research investigating the appropriateness, feasibility, learning needs and goals to develop an online teacher training program focuses on teaching neuroscience-informed mental health intervention. Methods Employing a single-group survey design, this study sought to fill the research gap by conducting surveys and interviews to 20 teachers and 245 students in a Japanese primary school. This study adopted a mixed-method approach, incorporating both qualitative and quantitative data collection from students and teachers. Results Quantitative analysis of student surveys revealed that nearly 30% of students had low subjective well-being and high emotional distress. Thematic analysis of teacher interviews revealed the challenges faced by Japanese educators in delivering effective mental health support, partly attributed to a lack of training in mental health intervention. Approximately 80% of teachers expressed strong or moderate interest in learning about neuroscience-informed mental health intervention. These findings supported the appropriateness and feasibility of an online teacher training program in this domain. Thematic analysis of teacher interviews also revealed the importance of practicality, providing teachers with easily deployable intervention resources, and delivering comprehensive instruction in both intervention and prevention strategies. The analysis also suggested that a format consisting of 6-10 concise, self-paced learning modules, complemented by a brief online interactive session, would be suitable for the online teacher training program focused on teaching neuroscience-informed mental health intervention. Conclusions Future research should focus on developing and evaluating an online teacher training program dedicated to delivering neuroscience-informed mental health intervention. Such a program holds promise for enhancing the mental health of children, integrating the findings from this study.","PeriodicalId":396625,"journal":{"name":"Health Open Research","volume":"75 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151998","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}