Nursing for Women''s Health最新文献

{"title":"Basic, High-Risk, and Critical Care Intrapartum Nursing: Clinical Competencies and Education Guide, 7th Edition","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2024.02.001","DOIUrl":"10.1016/j.nwh.2024.02.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages e17-e44"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319459","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":"Midwifery Students’ Knowledge and Perceptions of a Midwifery-Led Model of Care in North Karnataka, India","authors":"Sangeeta Kharde,&nbsp;Arenlila Jamir","doi":"10.1016/j.nwh.2024.01.004","DOIUrl":"10.1016/j.nwh.2024.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the knowledge and perceptions of midwifery students regarding a midwifery-led model of care.</p></div><div><h3>Design</h3><p>Cross-sectional study.</p></div><div><h3>Setting</h3><p>A nursing college in North Karnataka, India. The midwifery-led care model is a relatively new concept in India. In 2018, guidelines on midwifery services in India were released during the Partners Forum held in New Delhi as the initiation of the model and with the support of the Ministry of Health and Family Welfare. The initiative began with the training of nurse practitioners in midwifery and is progressing.</p></div><div><h3>Participants</h3><p>Final-year diploma and bachelor’s degree students.</p></div><div><h3>Methods</h3><p>Participants completed an online survey, which consisted of a 20-item questionnaire with a 5-point Likert scale to collect their knowledge and perceptions of the midwifery-led model of care. Descriptive statistics were used to describe the knowledge and perceptions of the students, including the mean, standard deviation, frequency, and percentage. Chi-square analysis and the Pearson’s correlation coefficient were used to assess relationships between variables of interest.</p></div><div><h3>Results</h3><p>Among the 165 participants, 85.5% (<em>n</em> = 141) had a poor level of knowledge of the midwifery-led care model, and only 14.5% (<em>n</em> = 24) showed average knowledge, with none possessing adequate knowledge. Notably, gender was significantly associated with knowledge (<em>p</em> &lt; .05), with female participants demonstrating lower knowledge levels compared to male participants. A substantial portion (76.4%, <em>n</em> = 126) had a negative perception of the midwifery-led care model, 23.6% (<em>n</em> = 39) had a neutral perception, and none had a positive perception. There was no significant correlation between students’ knowledge and perceptions of the midwifery-led model of care.</p></div><div><h3>Conclusion</h3><p>These results suggest that there is an urgent need for awareness, knowledge, and educational initiatives to help nursing students in India better comprehend the midwifery-led model of care and to strengthen the midwifery training in nursing colleges.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages e1-e7"},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279629","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":"Use of Thiamine Supplementation in Pregnant Women Diagnosed With Hyperemesis Gravidarum and Wernicke Encephalopathy","authors":"Angela Feagan Clark","doi":"10.1016/j.nwh.2024.02.003","DOIUrl":"10.1016/j.nwh.2024.02.003","url":null,"abstract":"<div><p>Hyperemesis gravidarum is the most common condition requiring hospital care for women during the first 20 weeks of pregnancy and may lead to malnutrition, dehydration, and vitamin deficiencies. Depletion of vitamins such as thiamine may result in the development of Wernicke encephalopathy, a severe neurological disorder that can increase the risk for mortality and morbidity for the mother and fetus. A lack of awareness regarding the relationship of hyperemesis gravidarum and Wernicke encephalopathy may result in delayed treatment and disease management. Glucose administration in the presence of thiamine deficiency may induce Wernicke encephalopathy; protocols are needed to ensure dextrose is used for women with hyperemesis gravidarum in times of prolonged vomiting and poor oral intake only after first administering thiamine. This article includes a discussion of best practices for thiamine supplementation with hyperemesis gravidarum and Wernicke encephalopathy.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 222-226"},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282322","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":"An Interpretive Description of Drug Withdrawal Among Pregnant Women in Jail","authors":"Carrie Lingerfelt,&nbsp;Sadie Hutson,&nbsp;Sandra Thomas,&nbsp;Katherine Hope Morgan","doi":"10.1016/j.nwh.2023.12.002","DOIUrl":"10.1016/j.nwh.2023.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experience of drug withdrawal among pregnant women in jail.</p></div><div><h3>Design</h3><p>A qualitative interpretive descriptive approach.</p></div><div><h3>Setting/Problem</h3><p>The care of incarcerated pregnant women constitutes a complex and significant public health problem. Many have substance use disorder (SUD) and cycle in and out of jails in their community, resulting in repeated experiences of drug withdrawal. Most jails do not provide medication-assisted therapy for management of withdrawal, a situation that violates standards of care set by leading health organizations. The experience of drug withdrawal among pregnant women in jail has not been qualitatively explored in the literature.</p></div><div><h3>Participants</h3><p>Five women completed interviews for the study.</p></div><div><h3>Intervention</h3><p>In-depth, qualitative interviews.</p></div><div><h3>Results</h3><p>Five themes with subthemes emerged from the interviews: <em>Framing the Story Through Life History: I Need You to Know Where I Come From</em>, <em>Patterns of Thinking About Substance Use</em>, <em>The Manifestations of Withdrawal: Body and Mind</em>, <em>Perceived Punishment for Drug Use During Pregnancy</em>, and <em>Mixed Perceptions of Withdrawal Treatment</em>.</p></div><div><h3>Conclusion</h3><p>Participants told a story beyond that of the physical withdrawal symptoms, revealing new insights into their maternal distress and the need for compassionate, nonstigmatized care to address physical and mental symptoms, as well as advocacy for the provision of an evidence-based standard of care. Nurses who care for pregnant women with SUD in the jail setting could benefit from collaborative relationships with other health care professionals in the community to reduce disparate health outcomes for this vulnerable population.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 187-198"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207788","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":"Improved Screening for Depression in Patients Initiating Fertility Treatment","authors":"Catherine Beeson Sullivan,&nbsp;Eleanor Stevenson,&nbsp;Tamer Yalcinkaya,&nbsp;Caitlyn Coates","doi":"10.1016/j.nwh.2023.11.008","DOIUrl":"10.1016/j.nwh.2023.11.008","url":null,"abstract":"<div><h3>Objective</h3><p>To improve screening for depression in patients who are initiating fertility treatment at a reproductive endocrinology and infertility (REI) center by screening all patients at their initial visit using the Patient Health Questionnaire–9 (PHQ-9).</p></div><div><h3>Design</h3><p>This quality improvement project was conducted using a plan–do–study–act cycle implemented with a postintervention study design.</p></div><div><h3>Setting/Local Problem</h3><p>A medium-size REI center in a mid-Atlantic U.S. metropolitan area where screening for mental health status in patients initiating fertility treatments was not occurring.</p></div><div><h3>Participants</h3><p>Patients who were scheduled in person with REI providers for a new patient consult regarding fertility were declared eligible.</p></div><div><h3>Intervention/Measurements</h3><p>The PHQ-9 was administered by providers at initial consults for patients seeking fertility treatments from October 2022 to February 2023. Three cycles of the plan–do–study–act model were used to execute change. For all patients who scored 5 to 9 (mild depression), conversations regarding counseling referrals occurred. For all patients who scored ≥10 (moderate to severe depression), a referral for counseling and medication management was generated. Data were analyzed via descriptive statistics.</p></div><div><h3>Results</h3><p>A total of 115 participants were included. A screening rate of 84.3% (<em>n</em> = 97) was achieved for patients initiating treatment. Of the 97 screened, 21 patients had a score of ≥5; 19 were given a referral for counseling. However, none of the patients attended a counseling session or started medication prescribed by their primary care provider during the 2-month follow-up period. Barriers identified included costs, personal preferences, and access to services.</p></div><div><h3>Conclusion</h3><p>The PHQ-9 screening tool was implemented at an REI clinic to improve the frequency of mental health screenings and provide necessary referrals. However, additional follow-up is needed to ensure patients are receiving appropriate mental health care.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 205-212"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190247","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":"Systematic Review of Barriers to and Facilitators of Screening for Postpartum Depression at Well-Child Visits in the United States","authors":"Marcy Hanson,&nbsp;Tracy Hellem,&nbsp;Julie Alexander-Ruff,&nbsp;Sophia R. Newcomer","doi":"10.1016/j.nwh.2023.11.009","DOIUrl":"10.1016/j.nwh.2023.11.009","url":null,"abstract":"<div><h3>Objective</h3><p>To identify and evaluate barriers to and facilitators of screening for postpartum depression (PPD) during well-child visits in the United States. Additionally, to describe prior work on PPD screening tool evaluation and outcomes from PPD screenings conducted within the well-child setting.</p></div><div><h3>Data Sources</h3><p>A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Five databases (Pub Med, PsycINFO, Web of Science, CINAHL, and Cochrane Library) were searched.</p></div><div><h3>Study Selection</h3><p>Randomized controlled trials, case studies, cross-sectional studies, case–control studies, cohort studies, qualitative studies, and quasi-experimental studies conducted in the United States were included. The Standard Quality Assessment Criteria Tool (QualSyst) was used to assess the methodologic quality of each included study.</p></div><div><h3>Data Extraction</h3><p>Sample, setting, methods, screening tools used, location of study setting, intervention, and salient findings were extracted and summarized for further analysis and synthesis.</p></div><div><h3>Data Synthesis</h3><p>Quantitative studies were rated on 14 aspects, and qualitative studies were rated on 10 aspects, per QualSyst. Studies received a score of 2, 1, 0, or not applicable based on scoring criteria, with higher scores indicating greater methodologic quality.</p></div><div><h3>Conclusion</h3><p>We found that barriers to PPD screening included concerns regarding time for screening, adequate training, and limited ability for referral. Facilitators of PPD screening included electronic prompts for providers, as well as tool availability and familiarity. Our results indicate that education and training about PPD screening in the pediatric setting are important next steps in addressing the rising concern of PPD in the United States.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 213-221"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190248","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":"An Initiative to Prevent Surgical Site Infections After Cesarean Birth With a Quality Improvement Care Bundle","authors":"Sheri Walker,&nbsp;Abigail Hebb","doi":"10.1016/j.nwh.2023.11.010","DOIUrl":"10.1016/j.nwh.2023.11.010","url":null,"abstract":"<div><h3>Objective</h3><p>To reduce surgical site infections (SSIs) after cesarean birth through a bundled care approach.</p></div><div><h3>Design</h3><p>Quality improvement project.</p></div><div><h3>Setting/Local Problem</h3><p>In a community hospital obstetric unit, an increase in SSIs after cesarean birth was observed.</p></div><div><h3>Participants</h3><p>Nursing leaders, obstetricians, certified nurse-midwives, physician assistants, nurses, scrub technicians, a nursing professional development specialist, and an infection prevention practitioner.</p></div><div><h3>Interventions/Measures</h3><p>An interdisciplinary team was formed in early 2022, and an evidence-based care bundle including practice changes, education for the team, and enhanced education for patients undergoing cesarean birth was developed and implemented after a review of the literature was completed. All cesarean births were tracked pre- and postintervention to determine the rate of SSIs per 1,000 cesarean births.</p></div><div><h3>Results</h3><p>A decrease in the rate of SSIs after cesarean birth was observed from preintervention (18.2 per 1,000 cesarean births) to postintervention (11.8 per 1,000 cesarean births).</p></div><div><h3>Conclusion</h3><p>An evidence-based quality improvement care bundle using a multidisciplinary team approach was associated with reduced SSIs in an obstetric unit.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 199-204"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190246","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":"Mental Health Diagnoses on the Mini International Psychiatric Interview Are Associated With Higher Scores on the Edinburgh Postnatal Depression Scale","authors":"Aparna Kumar,&nbsp;Kavisha Khanuja,&nbsp;Nancy Greene,&nbsp;Finola Goudy,&nbsp;Amber Green,&nbsp;Angela Gerolamo","doi":"10.1016/j.nwh.2023.11.007","DOIUrl":"10.1016/j.nwh.2023.11.007","url":null,"abstract":"<div><h3>Objective</h3><p>To understand if Mini International Psychiatric Interview (MINI) scores in pregnancy are associated with higher scores on the Edinburgh Postnatal Depression Scale (EPDS).</p></div><div><h3>Design</h3><p>Cross-sectional pilot study of participants who completed the EPDS during pregnancy and were then invited to complete the MINI.</p></div><div><h3>Setting/Local Problem</h3><p>An urban outpatient clinic at an academic medical setting from November 2020 to June 2021.</p></div><div><h3>Participants</h3><p>Convenience sample of 20 pregnant people.</p></div><div><h3>Intervention/Measurements</h3><p>Analysis of variance was used to examine differences based on EPDS scores and MINI symptom burden. Nonparametric tests (Mann–Whitney <em>U</em> or Kruskal–Wallis test) were used if assumptions were violated. Descriptive statistics were used to describe sample characteristics.</p></div><div><h3>Results</h3><p>Nine participants screened 9 or higher on the EPDS and completed the MINI. There were no significant differences in demographic variables by EPDS score. There were significant differences between demographic variables, including employment status (<em>p</em> = .003) and type of health insurance (<em>p</em> = .019), between participants who met criteria for at least one diagnosis on the MINI and those who did not. Participants with public health insurance met the criteria for four more diagnoses compared to people with private insurance. Participants not employed full-time had nearly five more diagnoses compared to those employed full-time. Higher EPDS scores were correlated with all measured MINI symptoms or diagnoses. Higher EPDS scores were significantly correlated with and showed a moderate to strong positive correlation to suicidality and antisocial personality disorder.</p></div><div><h3>Conclusion</h3><p>Pregnant individuals who score 9 or higher on the EPDS may also have other severe mental health diagnoses. Recognizing perinatal mood and anxiety disorders in this population can inform the development of screening protocols and interventions during pregnancy to improve maternal access to mental health treatment and symptom reduction.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 3","pages":"Pages 177-186"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132829","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":"Emotional Freedom Techniques for Postpartum Depression, Perceived Stress, and Anxiety","authors":"Natalie Robbins,&nbsp;Kayla Harvey,&nbsp;Mary D. Moller","doi":"10.1016/j.nwh.2023.09.005","DOIUrl":"10.1016/j.nwh.2023.09.005","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the effect of an Emotional Freedom Techniques (EFT) group intervention on perceived stress, depression, and anxiety symptoms in women in the postpartum period.</p></div><div><h3>Design</h3><p>A one-group pre- and posttest quasi-experimental design.</p></div><div><h3>Setting/Local Problem</h3><p><span>Postpartum depression (PPD) and anxiety affect nearly one in five women in the first 12 months after childbirth. The COVID-19 pandemic was associated with a significant worsening of symptoms of PPD, stress, and anxiety in this population. Mental health screening is the </span>standard of care in perinatal settings. This practice has led to an increased rate of PPD and anxiety diagnoses and the need for evidence-based nonpharmacologic interventions to support mothers with PPD and anxiety.</p></div><div><h3>Participants</h3><p>Eleven mothers seeking care for lactation concerns who screened positive for PPD and anxiety symptoms.</p></div><div><h3>Intervention/Measurements</h3><p><span>A total of eight 1-hour group EFT sessions were offered to participants over a period of 4 weeks. During the group sessions, participants were taught how to perform the steps of EFT and apply it in a supportive group format. Measurement tools included the Subjective Unit of Distress Scale, Edinburgh Postnatal Depression Scale, and Generalized Anxiety Disorder–7. The preintervention and postintervention scores of these tools were compared using a paired-samples </span><em>t</em> test.</p></div><div><h3>Results</h3><p>After implementing EFT as a group intervention, we observed a reduction in mental health burden experienced by women in the postpartum period. There was a statistically significant decrease in depression (<em>p</em> = .003), anxiety (<em>p</em> &lt;.001), and perceived stress (<em>p</em> &lt;.001) scores 1 month after the EFT intervention.</p></div><div><h3>Conclusion</h3><p>These findings suggest that EFT may be a viable adjunctive intervention for managing depression, anxiety, and stress in the postpartum period. Further research with larger and more diverse samples is needed to confirm these findings.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 41-49"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810752","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":"Screening and Follow-Up Care for Perinatal Mood and Anxiety Disorders at a Rural Obstetric Clinic","authors":"Kaci Hughes,&nbsp;Kristin Gianelis","doi":"10.1016/j.nwh.2023.11.003","DOIUrl":"10.1016/j.nwh.2023.11.003","url":null,"abstract":"<div><h3>Objective</h3><p>To improve screening for perinatal mood and anxiety disorders (PMAD) and follow-up care while balancing team workload.</p></div><div><h3>Design</h3><p>Four rapid plan–do–study–act cycles were implemented over 8 weeks.</p></div><div><h3>Setting/Local Problem</h3><p><span>At baseline, only 2% of patients with PMAD were identified at a rural obstetric clinic, and none (</span><em>n</em> = 0 of 50) received screening with a validated tool. Of the 12 patients who had a current or prior history of PMAD, 92% (<em>n</em> = 11) were not screened for self-harm, and 67% (<em>n</em> = 8) received no referral. The clinic had no standardized care for PMAD.</p></div><div><h3>Participants</h3><p>Patients (<em>n</em><span> = 253) screened at initial pregnancy intake, early in the third trimester, and at the 6-week postpartum visit.</span></p></div><div><h3>Intervention/Measurements</h3><p><span>Following the screening, brief intervention, and referral to treatment model, patients were screened using the </span>Edinburgh Postnatal Depression Scale, and brief intervention and referral to treatment were used with a point-of-care checklist. Data were collected three times weekly for run chart analysis, and team surveys measured workload.</p></div><div><h3>Results</h3><p>At the end of 8 weeks, effective screening for PMAD and follow-up care were achieved for 98% of patients and included screening, education, shared decision-making for management, referral, and clinic and phone follow-up to support mental health care uptake.</p></div><div><h3>Conclusions</h3><p>Standardizing screening and follow-up care can increase identification of PMAD and increase uptake of mental health care. For sustainability, a decision aid can streamline patient–provider communication and reduce visit length.</p></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 1","pages":"Pages 66-74"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138621156","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}