Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Lanzando la moneda. Desarrollo de una prueba informática para evaluar la flexibilidad cognitiva en las personas mayores","authors":"Matías Jonás García ,&nbsp;Isabel María Introzzi ,&nbsp;Yesica Sabina Aydmune ,&nbsp;Ana Comesaña","doi":"10.1016/j.regg.2024.101514","DOIUrl":"10.1016/j.regg.2024.101514","url":null,"abstract":"<div><h3>Background</h3><p>The aging population is increasing. Aging has been associated with some degree of cognitive decline, especially in functions such as cognitive flexibility. The voluntary task-switching paradigm is a novel model for studying this function. The aim of this work was to design and test a computerized instrument to assess cognitive flexibility with this paradigm.</p></div><div><h3>Methods</h3><p>A non-probabilistic and intentional sample of individuals aged 60 and above (N<!--> <!-->=<!--> <!-->57; M<!--> <!-->=<!--> <!-->70; SD<!--> <!-->=<!--> <!-->7.5), 72% of whom were women, was utilized. A general cognitive screening test (ACE III) and the “Coin Tossing” task, a computerized program consisting of four levels of complexity, were administered.</p></div><div><h3>Results</h3><p>A Wilcoxon test was used to contrast parity versus size responses (z(56)<!--> <!-->=<!--> <!-->−1.16, <em>P</em>=.24). To assess repetition bias, a Wilcoxon test was conducted between new and repeated responses (TR: z(56)<!--> <!-->=<!--> <!-->−1.81, <em>P</em>=.07 // Accuracy: z(56)<!--> <!-->=<!--> <!-->−6.33, <em>P</em>=.00). A repeated measures ANOVA was performed between reaction times before, during, and after a response change, F(1.02)<!--> <!-->=<!--> <!-->59.6, <em>P</em>&lt;.01, η2<!--> <!-->=<!--> <!-->.937, B-1<!--> <!-->=<!--> <!-->1. And a repeated measures ANOVA between mean RTs per level, F(3)<!--> <!-->=<!--> <!-->7.92, <em>P</em>&lt;.001, η2<!--> <!-->=<!--> <!-->.128, B-1<!--> <!-->=<!--> <!-->.98.</p></div><div><h3>Conclusions</h3><p>The test was designed with a progressive structure across levels. The theoretical assumptions of the paradigm were partially demonstrated, showing its utility for the assessment and training of cognitive flexibility.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 6","pages":"Article 101514"},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535644","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":"Diversidad dietética, estado antropométrico y perfil bioquímico de centenarios de la Península de Nicoya, Costa Rica, y su descendencia","authors":"Georgina Gómez Salas ,&nbsp;Raquel Arriola Aguirre ,&nbsp;Laura Vindas Meza ,&nbsp;Adrián Pinto Tomás ,&nbsp;Juan José Cordero Solís ,&nbsp;Isabel Barrientos Calvo ,&nbsp;Ana M. Pérez Carvajal","doi":"10.1016/j.regg.2024.101513","DOIUrl":"10.1016/j.regg.2024.101513","url":null,"abstract":"<div><h3>Background and objective</h3><p>Social relationships, physical activity and diet have been proposed as responsible for longevity; however, many of these conditions have changed in modern societies. The objective of this study was to identify if the anthropometric status, biochemical profile and diet of Nicoyan centenarians is different from that of their decency and if the quality and diversity of the diet of these Costa Ricans differs from that of adults from urban areas of the same country.</p></div><div><h3>Materials and methods</h3><p>Anthropometric, biochemical and dietary assessments were carried out on 120 adults residing in the Nicoya Peninsula, including centenarians, their children and grandchildren. The data were analyzed using descriptive and inferential statistics.</p></div><div><h3>Results</h3><p>There is a significantly lower percentage of excess weight, central adiposity and blood lipids in Nicoyan centenarians compared to their children and grandchildren. The consumption of «Dairy» and «Other fruits» is higher in centenarians than in their descendants. Centenarians showed a higher dietary diversity index (DDI) compared to other age categories, and they also showed a higher DDI and a significantly more diverse diet than the urban population of Costa Rica.</p></div><div><h3>Conclusion</h3><p>Nicoyan centenarians presented a better lipid and glycemic profile than their offspring, they have lower weight and a better quality and diversity of diet than their relatives and than adults from the urban area of Costa Rica.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 6","pages":"Article 101513"},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535606","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":"Impact of a geriatric intervention based on the Comprehensive Geriatrics Assessment on avoidable admissions in older patients at risk evaluated in the Emergency Department","authors":"Paula Fernández-Montalbán ,&nbsp;Sara Martínez-Flores ,&nbsp;María Mir-Montero ,&nbsp;José Ramón Arribas López ,&nbsp;Carlos Bibiano-Guillén ,&nbsp;Fátima Brañas","doi":"10.1016/j.regg.2024.101512","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101512","url":null,"abstract":"<div><h3>Objective</h3><p>To know the impact of a geriatric intervention based on the Comprehensive Geriatric Assessment (CGA) on avoidable admissions in older patients at risk evaluated in the Emergency Department.</p></div><div><h3>Method</h3><p>Prospective observational unicenter study. We included patients, from October 1, 2018 to January 31, 2020, over 75 years who were attended at the Emergency Department with a Triage Risk Screening Tool (TRST) score<!--> <!-->≥<!--> <!-->2. All patients were evaluated by a geriatrician through the CGA. The reasons for going to the Emergency room were collected and also the main intervention carried out by Geriatrics, whether admission or discharge was indicated and whether the admission was avoidable. We did a cost analysis calculating this by (bed/day<!--> <!-->×<!--> <!-->average stay<!--> <!-->×<!--> <!-->number of admissions avoided).</p></div><div><h3>Results</h3><p>We included 260 patients, 66% were women and the mean age was 86 years. 73.5% patients had polypharmacy, the mean Charlson index was 2.5 (5.6). 63.3% were independent for walking and 20.8% independent for basic activities of daily living. 59% had cognitive impairment. 91.5% lived at home. The most frequent reason for visiting the Emergency room was decline of general state in 22% and the most frequent intervention carried out by Geriatrics was assistance in the decision making process in 35.4% followed by referral to a preferential outpatient geriatric care circuit in 32.7%. Other interventions carried out by Geriatrics was assistance in clarifying diagnosis (4.2%), assistance in pharmacological adjustment (8.5%), referral to a standard geriatric care pathway (13.1%), telephone follow-up (4.2%) and/or coordination with Social Services for care planning (11.2%).</p><p>Including all patients, 29.2% required hospital admission and 70.8% were discharged. 40% admissions were avoided, which meant more than 540 thousand euros saved.</p></div><div><h3>Conclusions</h3><p>A standardized CGA coordinated by Geriatrics in older patients at risk of suffering adverse events in the Emergency room reduces admissions and costs, so it should therefore be established as a recommendation of good clinical practice.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101512"},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294650","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":"In memoriam del Dr. Juan José Solano Jaurrieta","authors":"Leocadio Rodríguez Mañas ,&nbsp;Carlos Alberto Cano Gutiérrez","doi":"10.1016/j.regg.2024.101510","DOIUrl":"10.1016/j.regg.2024.101510","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101510"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0211139X24000441/pdfft?md5=b60ac7d91a917acb5ebd7ae4834ee792&pid=1-s2.0-S0211139X24000441-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200586","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":"Lesiones vesiculosas sobre base eritematosa en el anciano: no todo es herpes zóster","authors":"Miguel Mansilla-Polo ,&nbsp;Begoña Escutia-Muñoz ,&nbsp;Daniel Martín-Torregrosa ,&nbsp;Rafael Botella-Estrada","doi":"10.1016/j.regg.2024.101509","DOIUrl":"10.1016/j.regg.2024.101509","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101509"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200634","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 obligación ética de seguir investigando durante la jubilación","authors":"Manuel Ortega-Calvo","doi":"10.1016/j.regg.2024.101511","DOIUrl":"10.1016/j.regg.2024.101511","url":null,"abstract":"<div><p>We advocate in this little assay for the concept of active retirement. We feel the need to broadcast our experience to younger professionals. Mentor, Telemachus’ advisor in the <em>Odyssey,</em> has evolved greatly into the 21st century. From an ideal point of view, we consider that clinical practice is inextricably linked to research. Within the public health system there is an ethical space for volunteering. Perhaps it is what Anglo-Saxon primary care calls “vocational training”.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101511"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200620","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":"Fragilidad como predictor de mortalidad a 3 años en los pacientes adultos mayores en cuidados de largo plazo en México","authors":"Alejandro Padilla Isassi ,&nbsp;Abraham Samra Saad ,&nbsp;Jaime Cervera Gaviria ,&nbsp;Magdalena Patricia Chamlati Kemps ,&nbsp;Juan Arturo Aguirre Domínguez ,&nbsp;María José Narváez Valdivieso","doi":"10.1016/j.regg.2024.101508","DOIUrl":"10.1016/j.regg.2024.101508","url":null,"abstract":"<div><h3>Introduction</h3><p>The objective of our study was to evaluate the long-term association between mortality and frailty in institutionalized patients in Mexico. Worldwide, there are limited lines of research in this population of geriatric patients and this entity generates a significant impact on the quality of life and prognosis of our patients.</p></div><div><h3>Material and methods</h3><p>It is a prospective cohort study of 81 patients in long-term care who met the selection criteria. Frailty was determined using the FRAIL scale. Data on mortality were collected during the follow-up period, and diagnosis was monitored. The risk of presenting this event was determined by logistic regression, Kaplan-Meier, and Cox proportional hazards analysis, adjusted for age and sex.</p></div><div><h3>Results</h3><p>The mean follow-up time of the patients was 36 months (1094 days), during which 33 subjects died (40.7%). In our population, at the beginning of the study the vast majority of frail patients had pathologies that independently generate risk of adverse events, disability (Barthel<!--> <!-->=<!--> <!-->30.9; SD 28.8), sarcopenia (n<!--> <!-->=<!--> <!-->40; 71.4%), one to 3 falls in the last year (n<!--> <!-->=<!--> <!-->17; 63%), ≥<!--> <!-->4 falls (n<!--> <!-->=<!--> <!-->4; 57.1%). Frail participants had a higher adjusted risk of mortality (HR 2.93; 95% CI 1.33-6.43; p<!--> <!-->=<!--> <!-->0.007).</p></div><div><h3>Conclusions</h3><p>The frailty entity is associated in the long term with mortality in institutionalized patients in Mexico. Timely treatment and approach may allow a good prognosis and quality of life.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101508"},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186973","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":"Low handgrip strength is related to elevated echogenicity in patients with chronic kidney disease: A pilot, cross-sectional and exploratory study","authors":"Jéssica Ferreira Mayrink Ivo,&nbsp;Tatyanne L.N. Gomes,&nbsp;Lara G. Mainardi,&nbsp;Maria do Rosário Gondim Peixoto,&nbsp;Nara Aline Costa,&nbsp;Gustavo Duarte Pimentel","doi":"10.1016/j.regg.2024.101497","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101497","url":null,"abstract":"<div><h3>Objectives</h3><p>Evaluate associations between triceps braqui muscle ultrasound measures (TB US) and handgrip strength (HGS), and the sensibility of TB US for low HGS in non-dialysis-dependent chronic kidney disease (nd-CKD) patients.</p></div><div><h3>Participants and methods</h3><p>This pilot, cross-sectional, and exploratory study evaluated TB cross-sectional images from A-mode US and processed by FIJI-Image J to obtain muscle thickness (MT), echogenicity (EI), cross-sectional area (CSA), pennation angle (PA), and fascicle length (Lf) associating them with absolute HGS by simple and, multiple linear regression. The HGS was normalized to body mass index (BMI) and separated into low HGS (HGS/BMI<!--> <!-->≤<!--> <!-->10p according to sex and age) and adequate HGS (HGS/BMI<!--> <!-->&gt;<!--> <!-->10p) groups. The body composition was from multifrequency bioimpedance. ROC analysis verified the TB US diagnostic accuracy to low HGS.</p></div><div><h3>Results</h3><p>Were included 42 (21M/21F) adults with 65.5 (60–70) y median age, 47.22% in 3b CKD stage. The low HGS group (45.23%) showed a higher fat mass (FM), TB muscle medium head's PA, and EI than adequate HGS (<em>p</em> <!-->&lt;<!--> <!-->0.05). In crude model, a pixels increase in EI was associated with a 0.452<!--> <!-->kgf HGS reduction (<em>p</em> <!-->=<!--> <!-->0.019); adjusted for sex, age, and FM, a one-unit increase in EI was associated with a 0.510<!--> <!-->kgf HGS reduction (<em>p</em> <!-->=<!--> <!-->0.011). The EI also showed moderate diagnostic accuracy (AUC<!--> <!-->=<!--> <!-->0.730; CI 95%<!--> <!-->=<!--> <!-->0.589; 0.919) to low HGS and a sensitivity of 86.9% (cutoff<!--> <!-->≥<!--> <!-->13.52 pixels).</p></div><div><h3>Conclusion</h3><p>In nd-CKD patients, of all measurements from US, the EI was the most associated with HGS, and the only one sensitive to low HGS diagnosis.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101497"},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141091091","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":"Validez convergente y discriminativa del índice Frágil-VIG con el test de Pfeiffer en personas atendidas en atención domiciliaria","authors":"Juan José Zamora-Sánchez ,&nbsp;Edurne Zabaleta-del-Olmo ,&nbsp;Gemma Pérez-Tortajada ,&nbsp;Jordi Amblàs-Novellas","doi":"10.1016/j.regg.2024.101499","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101499","url":null,"abstract":"<div><h3>Introduction</h3><p>The Frail-VIG index-and the Pfeiffer test are measurements used in Primary Care for assessment frailty and the cognitive impairment screening. The Frail-VIG index is a multidimensional instrument that allows a rapid assessment of the degree of frailty in the context of clinical practice.</p></div><div><h3>Objective</h3><p>Our aim was to investigate the convergent and discriminative validity of the Frail-VIG index with regard to Pfeiffer test value.</p></div><div><h3>Design</h3><p>A cross-sectional study.</p></div><div><h3>Site</h3><p>Two urban Primary Health Care centres of the Catalan Institute of Health, Barcelona (Spain).</p></div><div><h3>Participants</h3><p>All people included under a home care programme during the year 2018. No exclusion criteria were applied.</p></div><div><h3>Main measurements</h3><p>We used the Frail-VIG index to measure frailty and the Pfeiffer test to cognitive impairment screening. Trained nurses administered both instruments during face-to-face assessments in a participant's home during usual care. The relationships between both instruments were examined using Pearson's correlation coefficient.</p></div><div><h3>Results</h3><p>A total of 412 participants were included. Frail-VIG score and Pfeiffer test value were moderately correlated (r<!--> <!-->=<!--> <!-->0.564; P<!--> <!-->&lt;<!--> <!-->0.001). Non-frail people had a lower risk of developing cognitive impairment than moderate to severe frail people. The value of the Pfeiffer test increased significantly as the Frail-VIG index score also increased.</p></div><div><h3>Conclusions</h3><p>Frail-VIG index demonstrated a convergent validity with the Pfeiffer test. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with a higher and lower risk of developing cognitive impairment. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101499"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948663","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":"Cognitive function in Mexican older adults 6-months after recovering from SARS-CoV-2 infection","authors":"Alberto Jose Mimenza-Alvarado,&nbsp;Abdias Ambrosio-Palma,&nbsp;Sara Gloria Aguilar-Navarro","doi":"10.1016/j.regg.2024.101479","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101479","url":null,"abstract":"<div><h3>Background</h3><p>SARS-CoV-2 infection has been associated with multiple short- and long-term complications including depression, and cognitive impairment (CI). However, older adults with CI after COVID-19 have not been fully documented.</p></div><div><h3>Objective</h3><p>To evaluate cognitive function in Mexican adults post-recovery from SARS-CoV-2 infection.</p></div><div><h3>Methods</h3><p>In this prospective observational cohort study, we assess cognitive function (CF) by the Montreal Cognitive Assessment (MOCA) test with a cut-off less than 26 points, and functional status <em>via</em> telemedicine. Eligible patients with a history of moderate–severe COVID-19 aged ≥60 years, cognitively healthy (evaluated by Everyday Cognition Scale) and required admission to an intensive care unit (ICU) were included. Patients with history of dementia, stroke, and delirium during the cognitive evaluation were excluded. The association between CI and COVID-19 was assessed with a Cox regression model.</p></div><div><h3>Results</h3><p>From the 634 patients admitted to the ICU, 415 survived, afterward 308 were excluded and 107 were analyzed. Mean age was 70 years, 58% were female, and 53% had severe COVID.</p><p>The mean MoCA score was 21<!--> <!-->±<!--> <!-->5 points, CI was present in 61 patients (57%). Infection severity (RR 1.87; 95% CI: 1.11–3.15, <em>p</em> <!-->&lt;<!--> <!-->0.05), lower education (RR 0.92; 95% CI: 0.87–0.97, <em>p</em> <!-->&lt;<!--> <!-->0.01), and activity daily living disability (RR 1.87; 95% CI: 1.07–3.26, <em>p</em> <!-->&lt;<!--> <!-->0.05) were the main factors associated with CI (unadjusted model by age and sex). The delayed recall, orientation, and language (83.2, 77.6 and 72.9% respectively) domains were the most affected in patients with CI.</p></div><div><h3>Conclusions</h3><p>Fifty-seven percent of patients analyzed developed CI six months post-ICU discharge due to SARS-CoV-2, and COVID severity was the main factor associated to its outcome.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101479"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140813562","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}