{"title":"Thyroid Hormone Status in Severely Malnourished Children between 6 Months to 5 Years Admitted to Nutritional Rehabilitation Centre of a Tertiary Care Hospital","authors":"Anita Mehta, Ashish Kushwaha, Ankur Kumar, Kuldeep Singh, Ajeet Yadav","doi":"10.6000/1929-4247.2023.12.04.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.04.4","url":null,"abstract":"Introduction: Severe malnutrition poses a significant risk to the thyroid gland's function and hormonal balance, which can lead to numerous physiological and developmental complications. Understanding the relationship between severe malnutrition and thyroid hormone status is crucial for the effective management of these children. Aim and Objective: To investigate the prevalence and patterns of thyroid hormone abnormalities in severely malnourished patients with subgroup analysis in Marasmus, Kwashiorkor, and edematous malnourished patients. Methodology: We conducted a cross-sectional study involving 116 children diagnosed with severe acute malnutrition (SAM). The study protocol was approved by the Institution Ethics Committee. Well-informed written consent in the local language was taken from parents. SAM was diagnosed and managed according to WHO criteria (1). Comprehensive laboratory investigations were conducted to assess serum levels of thyroid-stimulating hormone (TSH), free thyroxine (T4), and triiodothyronine (T3). Statistical analysis was performed to examine the associations between these variables and SAM. Results: Most of the 116 subjects included in the study were male (53.4%) and had a lower socioeconomic status (43.9%). The age distribution of the children aged below 5 years revealed that 46.5% were between 12 and 36 months old. In the present study, Marasmus was 55.2%, Kwashiorkor was 12.1%, and edematous malnutrition was 32.7%. Among 116 participants, 94.8% were discharged, while 5.2% were expired during treatment. The mean levels of fT3, fT4, and TSH were 1.88±1.06 pg/ml, 0.99±0.84 ng/dl, and 3.22±0.87 µIU/ml, respectively. Most SAM patients had low fT3, fT4, and TSH levels relative to the normal range. Conclusion: Monitoring of thyroid hormone status in SAM patients is mandatory for this vulnerable population.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"21 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173305","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}
Murugan Narayanaswamy, B. Divya, Rahul More, Navnath Jadhav, G. Ganu
{"title":"A Randomized Control Trial to Assess the Efficacy and Safety of Manna Go Grains to Promote Growth, Immunity, and Well-Being in Children","authors":"Murugan Narayanaswamy, B. Divya, Rahul More, Navnath Jadhav, G. Ganu","doi":"10.6000/1929-4247.2023.12.04.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.04.3","url":null,"abstract":"Objective: Nutrition in school-going children is crucial for their lifetime. India witnesses macro and micronutrient deficiencies in school-going children. The present study aims to evaluate the safety and efficacy of Manna go grains in promoting and improving growth, immunity, and well-being in children. \u0000Method: This was a 90-day randomized, controlled, parallel-arm clinical trial. 6-12 years old apparently healthy sixty-two children were randomized either into a test (Manna go grains plus milk) or a control group (milk) in a 1:1 ratio. We assessed changes in growth, immunity, appetite, and overall well-being before and after treatment. \u0000Result: The test group showed a significant increase in height, weight, height to age, and weight to age Z score and percentile, which was greater than the control group. There was significantly more improvement in VO2 max and appetite of children in the test group was observed as compared to the control group. A significant reduction in recurrent URTI episodes, sick days, recovery days, and missed school days was observed in the test group compared to the control. Memory questionnaire scores also increased significantly by 75% and 27.61% in the test and control groups. Test group parents reported significantly better growth, stamina, and immunity than the control group. There was clinically and statistically insignificant change in CBC, serum iron, serum calcium, and immunity markers like CD3, CD4, CD8, and IgG in both groups. \u0000Conclusion: Thus, Manna Go grains are thought to be a good candidate as a supplement for potentially stimulating growth and development in children and promoting their well-being.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"111 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138609604","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}
M. Mazur, D. Corridore, M. Jedliński, A. Ndokaj, M. Straker, Fabrizio Guerra
{"title":"Diet during Pregnancy and Early Life and Molar Incisor Hypomineralization: A Systematic Review","authors":"M. Mazur, D. Corridore, M. Jedliński, A. Ndokaj, M. Straker, Fabrizio Guerra","doi":"10.6000/1929-4247.2023.12.04.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.04.1","url":null,"abstract":"Introduction: Molar Incisor Hypomineralisation (MIH) is a clinical, highly prevalent worldwide condition described in the early 2000s. Evidence about its aetiology is still missing, and preventive strategies can’t be established. The aim of this study was to systematically review the literature on possible correlations between maternal and infant nutrition during the first thousand days of life and the occurrence of MIH. \u0000Methods: Literature searches of free text and MeSH terms were performed using MedLine (PubMed), Scopus and Google Scholar (from 2017 to February 1st, 2023). \u0000Results: The search strategy identified 1815 potential articles: 99 from PubMed, 6 from Scopus, and 1710 from Google Scholar. After removing duplicates, papers not meeting the inclusion criteria or being irrelevant, 6 papers were included. They were published between 2019-2022 and were clinical trials or longitudinal studies conducted in Egypt, New Zealand, Turkey, Denmark, Germany and Norway. The sample size was 2005 subjects (mean: 334). All reporting data on MIH was diagnosed according to the European Academy of Paediatric Dentistry criteria. The nutritional exposure variables were: i) malnutrition; ii) vitamin D serum levels in the mother and the child at different stages; iii) celiac disease; iv) the type of infant feeding, such as exclusive breastfeeding and/or type of weaning; v) supplementation with high-dose vitamin D during pregnancy. \u0000Conclusion: High-dose vitamin D supplementation during pregnancy may be protective against MIH in children. There is a need for structured epidemiological studies specifically designed to investigate the aetiology of MIH in mother-child cohorts.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" 66","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612059","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":"Assessment of the Feeding Practices in Infants and Young Children and its Association with Nutritional Status in Urban Areas","authors":"Aneesha Rajaram Naik, Sanjivani Vishwanath Patil","doi":"10.6000/1929-4247.2023.12.04.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.04.2","url":null,"abstract":"Background: Poor nutrition at an early age leads to malnutrition, which in turn leads to an increase in risks of repeated infections, which is responsible for the poor health of children. The nutritional status of a child is directly proportional to their feeding practices, which are dependent on the knowledge and practices followed by the mother. This study assesses the level of knowledge and practices among mothers on feeding practices for their infants and young children and its association with nutritional status. \u0000Methods and Materials: A cross-sectional study was conducted in the households of urban slums in the field practice area of the Urban Health Training Centre of a private medical college. A questionnaire consisting of sociodemographic data, knowledge of breastfeeding, knowledge of complementary feeding, and actual practices of feeding the children from 0 –2 years was used for data collection using Google Forms, followed by anthropometric measurements of the children with the help of WHO standardized growth charts to assess their nutritional status. \u0000Results: Out of 112 participants, 37.5% of the mothers were less than 25 years old. The mean age of the babies was found to be 11 + 6.49 months. 53.57% of mothers had good knowledge, and 72.32% of mothers followed correct feeding practices. \u0000Conclusion: There is a significant association of good knowledge among mothers with babies who did not show wasting. There is no association between knowledge and feeding practices being followed.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"13 S15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138623002","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}
Chioma Cynthia Ojianwuna, Victor Ngozi Enwemiwe, Eric Esiwo, Gift Onyedikachi Orji, Afamefune Januarius Nkeze
{"title":"Food and Feed Additive of Insects: Economic and Environmental Impacts","authors":"Chioma Cynthia Ojianwuna, Victor Ngozi Enwemiwe, Eric Esiwo, Gift Onyedikachi Orji, Afamefune Januarius Nkeze","doi":"10.6000/1929-4247.2023.12.03.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.03.5","url":null,"abstract":"Background: Food insecurity and malnutrition in children may impose extreme disease conditions, which potentially affect the sustainability of zero hunger and wellness worldwide, leading to variations in nutritional patterns by region. Edible insects are common and are included in diets such as pastries, cookies, pasta, pies, flours, biscuits, candies, bars, chocolates, beverages, alcoholics, and so on.
 Methods: The current price of insect-incorporated foods and conventional foods in the grocery stores online were analyzed and compared. The architectural sketch of insect integrated rearing system. Edible insects can be reared to harvest or sourced from the wild, cleaned, steamed, and oven-heated before blending into fine powders for additives. The smooth powder is milled with other food ingredients before they are mixed thoroughly, pounded, baked, and cut into sizes.
 Results: The nutritional information of insect food and feed was higher than conventional products. Prices of all the conventional commodities were higher except for insect beverages ($14.83≈11,274 nairas) and bars ($22.30≈16,945 naira) (P<0.05). Marketable insect feed products are lacking, probably due to a lack of entrepreneurial intervention in this line of production.
 Conclusions: Considering the environment, insects have much more advantages. Foods of insects are quite cheap and encouraged in Asia-pacific than in the African region. The environmental, economic, and nutritional values of insects are equally an advantage over other animals. Modeling the price of edible insect foods is paramount to large-scale production. Concerted efforts and legislation are therefore required to promote this innovation in developing and under-developing nations.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536582","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 Impact of Multiple Recesses on Limb Movement Patterns in Children: An Exploratory Study","authors":"G. Kate Webb, Deborah J. Rhea","doi":"10.6000/1929-4247.2023.12.03.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.03.4","url":null,"abstract":"Background: Inactivity levels among elementary-aged children are climbing at alarming rates, as only 24% participate in the recommended 60 minutes of daily physical activity. Limb movements during children’s active time are essential for heart, bone, and muscle health, setting the stage for an overall active and healthy life. School recess, defined as child-directed, outdoor play, is optimal for children to accumulate many types and repetitions of limb movements. Therefore, the purpose of this study was to use the Movement Pattern Observation Tool (MPOT) to determine the impact of varying amounts of daily recess on elementary-aged children’s limb movement patterns. It was hypothesized that children who participate in 60 minutes of daily recess would accumulate significantly more limb movements and specifically, contralateral movements as they advance in grades.
 Methods: This cross-sectional, observational study used the MPOT to observe grades K-2 children from two schools offering one twenty-minute recess daily and two schools offering four 15-minute recesses daily. The researchers observed 3,023 children’s limb movements during recess across the schools. There were 36 total observation scans completed for the four schools observed.
 Results: Children who received 60 minutes of recess maintained significantly higher activity levels and contralateral movements as they advanced by grade. Additionally, on average 96% of all children utilized unilateral, bilateral, or contralateral limb movements when observed.
 Conclusion: When given the opportunity, most children will utilize recess in a way that is beneficial for off-setting inactivity trends and is instrumental for a healthy mind-body connection as they age.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135259496","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}
A. O. Atimati, Emmanuel Eyo-Ita, Fidelis E. Eki-Udoko
{"title":"Pattern and Outcome of Paediatric Non-Communicable Diseases in a Teaching Hospital in Southern Nigeria","authors":"A. O. Atimati, Emmanuel Eyo-Ita, Fidelis E. Eki-Udoko","doi":"10.6000/1929-4247.2023.12.03.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.03.3","url":null,"abstract":"Non-communicable diseases (NCDs) are chronic non-transmissible diseases that are mainly attributable to lifestyle changes. There is a global increase in this category of diseases, which in developing countries constitute an added burden to the already existing burden of communicable diseases. This study aims at determining the prevalence, pattern, length of hospital stay and outcome of children admitted with non-communicable diseases. \u0000Methods: This is a retrospective cross-sectional study carried out in the paediatric wards of our hospital. Data was extracted from records of children admitted within the study period. The data was analyzed using the Statistical Package for Social Sciences (IBM SPSS) version 23. The student t-test was used to compare the means between two groups, while an ANOVA was used for more than two groups. \u0000Result: Out of 820 children studied, 32.2% had NCDs with sickle cell disease, neoplasms, and cardiovascular and neurological diseases, constituting the major non-communicable diseases recorded. There was a significantly longer duration of hospital stay and a higher mortality rate in patients admitted with an NCD. There was a significant association between mortality and the category of NCD, with a greater contribution from neoplastic diseases. \u0000Conclusion: There is a high prevalence of paediatric non-communicable diseases, although communicable diseases are still more prevalent among children in this study. This is associated with poor outcomes and a longer duration of hospital stay.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41502969","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}
Luis Felipe Talavera-Hernández, Graciela Caire‐Juvera, D. Jiménez-Pavón, R. Méndez-Estrada, Gloria Elena Portillo-Abril, M. Ortega-Vélez
{"title":"Obesity in Mexican Children and Adolescents: Association to Pubertal Alterations and Muscular Strength","authors":"Luis Felipe Talavera-Hernández, Graciela Caire‐Juvera, D. Jiménez-Pavón, R. Méndez-Estrada, Gloria Elena Portillo-Abril, M. Ortega-Vélez","doi":"10.6000/1929-4247.2023.12.03.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.03.1","url":null,"abstract":"Objectives: Interventional strategies aiming to prevent obesity in children do not always consider how obesity influences the process of pubertal maturation and its implications. Additionally, maturation status could play a vital role in performing specific physical capabilities. This study aims to analyze the association of obesity, pubertal timing and tempo, and muscular strength in children and adolescents from a developing country. \u0000Methods: We measured height, weight, sitting height, estimated leg length, and waist circumference (WC) and estimated the age at peak height velocity (APHV) of 125 children (58% girls, 8.9 ± 0.4 years) and 82 adolescents (45% girls, 12.8 ± 0.3 years) from public schools in Northwest Mexico. We also collected data on physical activity, handgrip strength, and socioeconomic and demographic information. \u0000Results: Waist circumference (WC) was associated with early APHV (β = 0.006, p = 0.010) but not with a faster height gain (β = -0.012, p = 0.146). Earlier APHV and higher WC were both associated with higher handgrip strength (β = 3.86, p < 0.001; β = 0.098, p = 0.005, respectively). \u0000Conclusions: Results suggest that higher WC was related to pubertal maturation patterns and results in better muscular strength performance. This data could improve the design and implementation of interventional strategies and public policies to decrease childhood obesity.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49500712","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}
Yalaguraswami B. Kolkar, P. Lavanya, V. Biradar, K. Nandakishore, S. Charki, S. Patil
{"title":"Multi-System Inflammatory Syndrome in Neonates (MIS-N) - Clinical Profile and Outcomes - A Prospective Cohort Study","authors":"Yalaguraswami B. Kolkar, P. Lavanya, V. Biradar, K. Nandakishore, S. Charki, S. Patil","doi":"10.6000/1929-4247.2023.12.03.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.03.2","url":null,"abstract":"Aims: To analyze the clinical spectrum in Neonates with MIS-N based on the time of presentation and also to assess the use of immunomodulator therapy in MIS-N. \u0000Subjects and Methods: We studied 100 neonates delivered at BLDE (DU) Shri B M Patil Medical College Hospital admitted to Level III-A NICU from JULY 2020 to MAY 2021. 98 neonates had high titers of IG G antibodies and were negative for COVID Antigen. We categorized the cohorts into EARLY MIS-N (<72 hrs) and LATE MIS-N (>72 hrs). \u0000Results: 58 presented as EARLY MIS-N with Respiratory distress (RD) in 40 (70%), cardiac dysfunction 34 (60%), PPHN 12(20%), Fever 12(20%), seizures 12(20%), encephalopathy in 6(10%), sepsis-like features 6(10%), had elevated inflammatory markers like CRP (30%), D-Dimer (70%), Ferritin (30%), cardiac biomarkers like BNP (60%), LDH (30%) and ECHO showing LV dysfunction in 50%. LATE MIS-N presented mostly with fever 28(70%), sepsis-like features 24(60%), Respiratory Distress in 16(40%), cardiac dysfunction 12 (30%), hypoglycemia 4(10%), parotitis 4(10%), had significantly elevated inflammatory markers like CRP (70%), D-Dimer (50%), Ferritin (70%), cardiac biomarkers like BNP (40%), LDH (20%) and ECHO showing LV dysfunction in 20%, dilated coronaries in 20 %, PPHN in 10%. Oxygen and respiratory support requirements were higher in EARLY presenters and IVIG and steroid requirements were more in LATE presenters. \u0000Conclusion: We observed that maternal SARS-COV-2 antibodies transferred transplacentally and neonatal antibodies acquired after COVID-19 infection can cause MIS-N in neonates. Immunomodulator therapy is required in severe cases of MIS-N only.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44918900","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}
Carlos Arturo Gutiérrez Suárez, Victor Romero-Alva
{"title":"Android-Based Mobile Application for the Control of Anemia in Children Aged 6 to 23 Months Old in the District of Comas – Lima","authors":"Carlos Arturo Gutiérrez Suárez, Victor Romero-Alva","doi":"10.6000/1929-4247.2023.12.02.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2023.12.02.1","url":null,"abstract":"One of the main health problems facing the country is iron deficiency anemia. This condition reduces the level of hemoglobin present in the blood, which produces symptoms that affect the sufferer's daily activities. According to the INEI (National Institute of Statistics and Informatics), the urban area has 36.7% of anemia, and Comas is the second district of the capital (Lima) with the second highest rate of anemia with 43.4%. This article proposes a technological solution that allows the control and prevention of iron deficiency anemia in children from 6 to 23 months old in Comas through the follow-up of the screenings performed and by improving eating habits. The result obtained was an Android-based mobile application with three navigation options. The Children option allows the registration of each screening performed and notifies the level of anemia present in the child, the Home option displays information about this condition, and the Kitchen Recipes option is responsible for enriching the child's diet by presenting a highly nutritious recipe book, categorized according to age range. It also obtained a 90% positive acceptance rate from the sample population identified as users and patients, and a daily screening was recorded. This result can be applied to any coastal area of the country and, therefore, contributes to improving the quality of life of children by reducing anemia rates.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43220129","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}