International Journal of Health, Medicine and Nursing Practice最新文献

{"title":"Comparison Between Medical and Surgical Intensive Care Unit-A Ten-Year Review of The Management of Patients in A Resource-Poor Setting in The Niger-Delta Region of Nigeria.","authors":"V. Abhulimen, Oruobu-Nwogu Ayanate","doi":"10.47941/ijhmnp.1407","DOIUrl":"https://doi.org/10.47941/ijhmnp.1407","url":null,"abstract":"Purpose: To compare the outcome of patients admitted to the ICU with Medical diagnoses against those with Surgical diagnoses. \u0000Methodology: This is a ten-year retrospective study conducted at the University of Port Harcourt Teaching Hospital. Ethical approval for the study was sought and gotten from the hospital’s ethical committee. The information gotten includes history, age, sex, diagnosis, length of admission, and outcome. The data collected was analyzed and presented in tables and charts. \u0000Findings: Three-quarters of the patients admitted to the ICU had surgical diagnoses. More patients with Medical diagnoses (102,19.7%) were discharged from the ICU compared to patients with surgical diagnoses (78,5%). More patients with Surgical diagnosis (919, 52.9%) were transferred out compared to patients with Medical diagnosis (140,27.1%). Patients admitted with medical diagnosis tend to be older and paid more and stayed longer in the ICU compared to patients with surgical diagnosis and this was statistically significant. Three-quarters of the patients admitted to the ICU have surgical diagnoses. More patients with medical diagnoses died in the ICU. Patients with medical diagnoses were older, stayed longer, and paid more for their ICU admission than surgical patients. \u0000Unique contribution to theory, policy and practice:  More patients with medical diagnoses died in the ICU. Hence the need for proper management of common medical ailments.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131202936","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":"chalasia Cardia in Pregnancy Presenting as Hyperemesis Gravidarum in A Rural Kenyan Hospital: A Case Report and Literature Review","authors":"Vonwicks C Onyango, W. Makanga, Kenneth H Makokha, Dominic Mutua, Anne W. Theuri, T. Kamau, William C. Fryda","doi":"10.47941/ijhmnp.1401","DOIUrl":"https://doi.org/10.47941/ijhmnp.1401","url":null,"abstract":"Achalasia cardia is a motility disorder of the esophagus characterized by failure of relaxation of the lower esophageal sphincter (LES) during swallowing, resulting in dysphagia, regurgitation symptoms, vomiting, fluid losses, and malnutrition. Achalasia cardia is rare in pregnancy and is often misdiagnosed as hyperemesis gravidarum due to similar symptomatology, usually with significant morbidity and mortality. Definitive management is by surgical myotomy, which should be delayed until after delivery due to concerns about maternal and fetal safety. In this study, we present a case of achalasia cardia in a young primigravida in rural Kenya in the third trimester of pregnancy.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"56 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123426805","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":"Traumatic Cranial Dural Venous Sinus Injury","authors":"Khawand Saeed Perdawd","doi":"10.47941/ijhmnp.1388","DOIUrl":"https://doi.org/10.47941/ijhmnp.1388","url":null,"abstract":"Purpose: The study's objective is to elucidate and discuss the causes of traumatic dural venous sinus injury and make comparisons between these causes. The aim is also to assess the susceptibility of dural sinuses to injury in descending orders. Additionally, the research examines the relationship between types of fracture and the challenges in controlling bleeding in patients with traumatic dural venous sinus injury. Furthermore, the study analyzes the factors that influence the morbidity and mortality rate among patients with traumatic dural venous sinus injury.\u0000Methodology: Between January 2021 and October 2022, a prospective study was carried out, involving 22 patients diagnosed with dural venous sinus injury. The study encompassed both surgically and conservatively treated patients. For each participant, demographic information, such as age, sex, causative trauma, preoperative GCS, preoperative deficit, image findings, name, and part of the injured sinus, as well as the presence and absence of a fracture and its relation to the sinus were recorded. The intraoperative method employed to control bleeding and the amount of blood transfusion were also documented, along with postoperative GCS and postoperative complications. The Glasgow Coma Scale (GCS) score was utilized to assess the neurological outcome.\u0000Findings: The most frequently injured dural venous sinus was the superior sagittal sinus, accounting for 77.3% of cases (8).Among patients with a linear skull fracture crossing the venous sinus, 83.3% had bleeding that could be easily controlled by placing Gelfoam over the injured sinus . However, in patients with a skull fracture parallel to the sinus over the venous sinus and those with depressed fractures (with/without penetration), we encountered greater difficulty in controlling bleeding (14). Only 16.7% and 10% of these cases, respectively, were easily controlled by placing Gelfoam over the injured sinus, necessitating additional techniques to control bleeding in the remaining patients. Out of the total patients, 20 were managed surgically, while two were managed conservatively due to a Glasgow Coma Scale (GCS) score of 3 and signs of brain death.\u0000Unique Contributions to Theory, Policy and Practice: The superior sagittal sinus was identified as the most commonly injured sinus. Road traffic accidents (RTAs) accounted for the most frequent cause of dural sinus injury, representing 40.9% of cases. Bleeding control proved more challenging when dealing with linear fractures parallel to the sinus or depressed (and/or penetrating) fractures over the sinus, compared to linear fractures crossing the sinus. The most significant factor influencing the mortality rate was the Glasgow Coma Scale (GCS) score on admission. Mortality and morbidity rates were highest in cases involving injury to the posterior part of the superior sagittal sinus, sigmoid sinuses, and combined injury to the anterior and middle parts of the superior sagittal sinus. Furthermo","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125250267","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":"A Clinical Audit: Ventriculoperitoneal Shunt for Patients with Hydrocephalus","authors":"Khawand Saeed Perdawd","doi":"10.47941/ijhmnp.1387","DOIUrl":"https://doi.org/10.47941/ijhmnp.1387","url":null,"abstract":"Purpose: Hydrocephalus, abnormal accumulation of CSF in the ventricles, is one of the most common diseases of the brain. Ventriculoperitoneal shunting is one of the commonest procedures for management of hydrocephalus. Assessment and evaluation of the clinical outcome, following VP shunt, should be carried out to decrease rates of complications of this procedure. Clinical audit plays a vital role in identifying and developing effective methods for improving patient care. This paper sheds light on 37 neurosurgical patients with hydrocephalus who underwent ventriculoperitoneal shunt surgery. Our aim was to identify defects in steps in management of hydrocephalus by VP shunt from time of admission to discharge. \u0000Methodology: In this audit study 37 patients with hydrocephalus were selected between November, 2021 and December, 2022 at West Erbil emergency hospital and Erbil teaching hospital. VP shunt surgery was performed for them. Information was gathered from patient records, diagnostic imaging, and operation notes, and subsequent clinical follow-up evaluations were carefully analyzed and reviewed. The gathered data encompassed demographic details, clinical manifestations, radiological studies, reasons for surgery, operative findings, and complications associated with the shunt. \u0000Findings: The prevalent causes observed were congenital hydrocephalus (45.9%), posterior fossa tumors (13.5%), and post meningitis hydrocephalus (18.9%). A right-sided VP shunt utilizing a medium-pressure valve system emerged as the most prevalent treatment modality. Three patients exhibited symptoms and signs indicative of shunt infection. Additionally, one patient experienced an epidural hematoma at the site of the burr hole. \u0000Unique contribution to theory, practice and policy: Patients with hydrocephalus and undergoing VP shunt surgery should be evaluated carefully and every step from time of admission to discharge is crucial in decreasing the complications which are associated with this surgery.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132380567","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":"Surgical Treatment of Chronic Subdural Hematoma by Single Burr Hole under Local Anesthesia: Outcome of a Prospective Study","authors":"Khawand Saeed Perdawd","doi":"10.47941/ijhmnp.1384","DOIUrl":"https://doi.org/10.47941/ijhmnp.1384","url":null,"abstract":"Purpose:  Surgery is the usual treatment of chronic subdural hematoma: the most commonly used procedure is double burr hole craniostomy under general anesthesia for evacuation of the hematoma. However, there is an alternative technique which is single burr hole under local anesthesia. The purpose behind this study is evaluation of the prognosis of this technique in the management of CSDH according to the cause, clinical presentation, surgical procedure, and outcome. \u0000Methodology: In this prospective study, 41 patients with CSDH underwent single burr hole craniostomy under local anesthesia from June, 2022 to May, 2023, at West Erbil Emergency Hospital based on the etiology, clinical picture, surgical procedure, and complications. We excluded some cases from our study: age less than 20 years, uncooperative patients, and multilocular hematomas. \u0000Findings: Patients were from 20 to 85 years of age and the mean age was 65 years. Among them, 24 (58.5%) were males and 17 (41.4%) were females. Previous trauma was the major cause of CSDH in 27 (65.8%) followed by coagulopathy in in 7 (17%), anticoagulant or antiplatelet drugs in 5 (12%) and ICP hypotension in 2 (4%). Contralateral weakness was the most common presentation in 23 (56%), headache in 16 (39%) disturbance in level of consciousness in 10 (24.3%), and convulsion in 6 (14%).","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121216571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Severity of Somatic Symptom Disorder among Medical Students in Pakistan","authors":"G. Murtaza, M. Mustafa, Daud Arshad, Saifullah Tayyab, Hasan Shafiq","doi":"10.47941/ijhmnp.1360","DOIUrl":"https://doi.org/10.47941/ijhmnp.1360","url":null,"abstract":"Purpose: Medical students face heightened risks of developing somatic symptom disorder due to the high levels of stress associated with their academic curriculum and clinical rotations. Somatic symptom disorder is characterized by persistent physical symptoms without a discernible medical explanation, leading to impaired daily functioning, reduced quality of life, and increased healthcare utilization. Given the limited research on somatic symptom disorder among medical students in Pakistan, this study aims to assess the prevalence and severity of somatic symptom disorder among medical students at the Islamic International Medical College in Rawalpindi, Pakistan. The assessment will utilize the Patient Health Questionnaire Physical Symptoms (PHQ-15) as a measurement tool. \u0000Methodology: A convenience sampling study was conducted among 500 medical students, with 220 respondents completing the PHQ-15. Descriptive and inferential statistics were used to analyze the data. \u0000Findings: The prevalence of somatic symptom disorder among medical students was found to be 44.5%, with a significantly higher prevalence among females (53.96%) compared to males (31.89%). The severity level of somatic symptom disorder was classified as minimal in 17.3%, low in 38.2%, medium in 28.6%, and high in 15.9% of cases among medical students. \u0000Unique Contribution to Theory, Policy and Practice: This study highlights a high prevalence of somatic symptom disorder among medical students in Pakistan, particularly among females. Findings suggest the need for targeted interventions such as stress management programs, mental health services, and changes to the medical education curriculum to promote student well-being. Further research is needed to explore the causes and consequences of somatic symptom disorder in this population.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129903323","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":"Benefits of Investing on Mother and Child Healthcare in Tanzania","authors":"J. Mavole","doi":"10.47941/ijhmnp.1348","DOIUrl":"https://doi.org/10.47941/ijhmnp.1348","url":null,"abstract":"Purpose: Maternal and child healthcare play crucial role in reducing global mortality rates, with a significant impact on the overall burden of disease. The Sustainable Development Goal 3 aims to reduce the global maternal mortality ratio to less than 70 per 100,000 live births, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births by 2030. Sub-Saharan Africa, including Tanzania, carries a high burden of mortality rates and experiences a significant share of maternal and child deaths, exacerbating the global figures. The average prevalence of below 5 years mortality in SSA between 2010 and 2018 was 4.10% according to Ahinkorah (2021). Recognizing the severity of this issue, the government of Tanzania through the Development Agenda 2025, Draft health policy 2020 and the current Health Sector strategic plan 2021-2026 plans to reduce infant and maternal mortality rates through mother and child healthcare investment. The Health Sector Strategic Plan focuses on strengthening the health systems in the country and aims to sustain the achievements made in enhancing the health of reproductive, maternal, newborn, children, and adolescent populations. This study sought to assess the benefits of investing on mother and child healthcare in Tanzania. The study was guided by the investment commodity theory developed by the economist John Maynard Keynes in 1936. The study evaluated the current status of mother and child health indicators, the benefits of investing in mother and child health on overall health outcomes and identified the existing gaps and challenges in the provision, access and utilization of mother and child healthcare services in Tanzania. \u0000Methodology: The study was a desktop review-based study which relied on existing published information, data, and literature. \u0000Findings: The study found out that there have been improvements in certain areas of mother and child health indicators but maternal and child mortality rates remain high. Health interventions such as vaccination programs, improved access to healthcare services, and the use of maternal and child health insurance cards showed positive effects on reducing child mortality, improving child health outcomes, and enhancing maternal healthcare utilization. The significant gaps and challenges in the provision, access, and utilization of mother and child healthcare services include disparities in access to healthcare services based on factors such as education level and wealth status, inadequate healthcare infrastructure, long distances to health facilities, sociocultural barriers, and financial constraints. \u0000Unique contribution to theory, practice and policy: The study recommends strengthening of healthcare infrastructure, enhancing access to maternal and child healthcare services, especially for vulnerable pop","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115816237","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":"Breastfeeding Experiences of Mothers with Babies Admitted to the University Teaching Hospital Neonatal Intensive Care Unit Lusaka, Zambia","authors":"Samantha Munang’andu, M. Maimbolwa, Sebean Mayimbo","doi":"10.47941/ijhmnp.1326","DOIUrl":"https://doi.org/10.47941/ijhmnp.1326","url":null,"abstract":"Purpose: The main objective was to explore the breastfeeding experiences of mothers with babies admitted to the Neonatal Intensive Care Unit (NICU) at University Teaching Hospital (UTH) Women and Newborn Hospital (WNBH), Lusaka, Zambia. \u0000Methodology: A qualitative phenomenological transcendental (descriptive) design using unstructured in-depth interviews with mothers of babies admitted to the NICU at UTH Women and Newborn, Lusaka, Zambia was used to explore the experiences. All the interviews were recorded and then transcribed thereafter analysed using thematic analysis. \u0000Findings: Findings revealed that breastfeeding in NICU was breastfeeding in a restricted environment as mothers had inadequate time for breastfeeding and bonding. Mothers perceived the NICU to be a painful and scary place. The breastfeeding support was perceived as good breastfeeding support while some mothers perceived the support as inadequate or no breastfeeding support. Nevertheless, mothers had alternative support options while breastfeeding in a restricted environment and the options included praying to God Almighty, strengthening oneself and peer support. \u0000Unique contribution to theory, practice and policy: The study concluded that separation of mothers from their babies was a source of pain and NICU was not a conducive environment for breastfeeding. Mothers need more time with their babies so as to promote breastfeeding and bonding.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131041046","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":"Assess the Attitude of Post Rn 2nd Year and 4th Year Bsn Students Towards Research Study in Two Private Nursing Colleges of Lahore","authors":"Sanam Mansha, M. Zafar, Zambeel Farooq","doi":"10.47941/ijhmnp.1284","DOIUrl":"https://doi.org/10.47941/ijhmnp.1284","url":null,"abstract":"Purpose: The main objective of this study was to assess the attitudes of student nurses towards research study. The study will help the students to have positive look towards research which will help them to develop a positive attitude towards research in order to maintain evidence-based practice in Nursing. \u0000Methodology: A descriptive cross-sectional study design was selected and 153 students have been selected by non-probability convenient sampling technique out of the 250 students. Sample size was calculated by using the Sloven’s Formula. The questionnaire was consisted of 27 items and developed on five-point Likert scale. The key questionnaire is given below Strongly Disagree, Disagree, Uncertain, Agree, and Strongly Agree.  The data was analyzed on SPSS software version 20.0 and by using frequency distribution table showing the responses of the respondents and analyzed in percentage. The collected data was also presented in pie charts and bar charts. \u0000Results: The results were calculated after collecting data. The overall cumulative mean score was 69.29% resulting in an overall individual mean of 3.4% indicating a degree of positive attitudes toward research. In conclusion it was found that BScN and Post RN nursing students have good awareness about the Knowledge of nursing research and have positive attitude toward research. \u0000Unique Contribution to Theory, Policy and Practice: The study recommended as: I. Improve the professional behavior of nursing students through the conduct of training programs and make them aware of nursing research. II. Nursing students must be encouraged to begin their career by understanding the importance of nursing research in patient care. III. The organization and authorities must do some strategies to indulge nurses in implementing evidence-based nursing practices. IV. Education should be provided to the students of schools and college about the research and its utilization.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127781341","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":"Adrenal Hematoma in Newborns: What to do?","authors":"H. Imlahi, Y. El boussaadni, A. Oulmaati","doi":"10.47941/ijhmnp.1266","DOIUrl":"https://doi.org/10.47941/ijhmnp.1266","url":null,"abstract":"Purpose: The adrenal gland is vulnerable to hemorrhage in the neonatal period because of its large size and its increased vascularity. The clinical manifestations are variable and non-specific. The aim of our work is to describe the clinical aspects, evolution and management of adrenal hemorrhage in the neonatal period.Methodology: This report is based on a presentation of a newborn with an adrenal hematoma who was hospitalized in our neonatology unit.Findings: The patient is a three-day old newborn female admitted in a state of shock. The anamnesis does not find any particular antecedent in antenatal or perinatal except an early rupture of membrane for more than 6 hours. The newborn was urgently transfused with phenotyped red blood cells and an antibiotic therapy was prescribed. The abdominal ultrasound showed a right adrenal hematoma measuring 42mm x 33mm.Unique Contribution to Theory, Policy and Practice: The clinical manifestations of adrenal hemorrhage depend on the severity of the hemorrhage and the extent of which the adrenal cortex is involved. In extreme cases, the newborn can present a hypovolemic shock, as shown in our observation, requiring an emergency blood transfusion. Acute adrenal insufficiency is rarely reported in adrenal hemorrhage because the bleeding is mainly subcapsular and hormonal insufficiency does not occur below 90% of adrenal tissue damage.","PeriodicalId":441176,"journal":{"name":"International Journal of Health, Medicine and Nursing Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122883497","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}