International Journal of Orthopaedic and Trauma Nursing最新文献

{"title":"Application of virtual reality technology in postoperative rehabilitation following total knee arthroplasty: A scoping review","authors":"Shiyu Song ,&nbsp;Zhixia Liu ,&nbsp;Quanying Zhang","doi":"10.1016/j.ijotn.2024.101124","DOIUrl":"10.1016/j.ijotn.2024.101124","url":null,"abstract":"<div><h3>Background</h3><p>With the advent of an ageing era, the number of elderly patients undergoing knee joint replacement is increasing. Postoperative long-term standardized functional exercise is a focal point and difficulty in the recovery of joint function for patients after knee replacement. Virtual reality (VR) is increasingly considered a potentially effective option that can provide patients with a relaxed and enjoyable exercise method.</p></div><div><h3>Objective</h3><p>The primary objective of the scoping review to systematically evaluates the impact of virtual reality (VR) technology the movement and functional recovery, psychological state, pain levels, and quality of life of patients after total knee arthroplasty (TKA). It summarises and synthesises VR's effects and feasibility in TKA rehabilitation training, offering a scientific basis and reference for the professional advancement of orthopaedic practice nurses and future research in this domain.</p></div><div><h3>Methods</h3><p>We employed the Joanna Briggs Institute's scoping review guidelines as our methodological framework. The literature search spanned from January 2018 to December 31, 2023, encompassing databases such as PubMed, Web of Science, The Cochrane Library, Embase, CNKI, Wanfang, CQVIP, and the China Biomedical Literature Database.</p></div><div><h3>Results</h3><p>An initial search yielded 2708 articles, with 17 studies meeting the inclusion criteria after stringent screening. The findings indicate that VR equipment primarily comprises VR goggles, handheld controllers, and sensor technology. Interventions typically occurred 3 to 5 times weekly, lasting 20–30 min per session. The principal assessment metrics included pain levels, psychological state, joint function, and quality of life.</p></div><div><h3>Conclusion</h3><p>VR technology proves feasible in the rehabilitation of TKA patients, effectively alleviating pain, enhancing psychological states, and improving joint function and quality of life. However, discrepancies exist regarding VR's effect on bolstering lower limb muscle strength. Future research should focus on evidence-based medical practices, optimising VR intervention strategies, developing customised plans tailored to individual patient differences, and potentially extending intervention durations to amplify VR technology's application effects in TKA patient rehabilitation.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101124"},"PeriodicalIF":1.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000443/pdfft?md5=8508d85dbc1f443aac544f66978bcdac&pid=1-s2.0-S1878124124000443-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841764","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":"Associations between pain, function and quality of life after total hip arthroplasty","authors":"Deborah L. Snell,&nbsp;Jennifer A. Dunn,&nbsp;Gary Hooper","doi":"10.1016/j.ijotn.2024.101121","DOIUrl":"10.1016/j.ijotn.2024.101121","url":null,"abstract":"<div><h3>Objectives</h3><p>This study investigated patient reported outcomes, and associations with improvement in quality of life 12-months after total hip arthroplasty (THA).</p><p>Materials and methods:</p></div><div><h3>Participants</h3><p>Adults (n = 433) undergoing <span>THA</span> for osteoarthritis between January 2017 and October 2020 in a large publicly funded tertiary hospital in New Zealand. Participants completed patient reported outcome measures of pain, function and quality of life (QOL) preoperatively, 6- and 12-months following THA.</p></div><div><h3>Results</h3><p>Clinically significant changes in domains of pain and function were associated with improved QOL, even when pre-operation scores were controlled for. The largest gains in all three domains occurred in the pre-to 6-month post-operation period. Baseline demographic variables such as gender and comorbidities were not associated with change in QOL pre-to post-operation. However, although modest, age at surgery was negatively correlated with change in QOL.</p></div><div><h3>Conclusions</h3><p>THA contributes to substantial improvements in QOL, pain and function outcomes, and although possibly tempered by age, these relationships are likely to be inter-related and mutually reinforcing. Future QOL outcomes research should also consider the impacts on QOL improvement of other aspects of functioning such as psychological and social wellbeing.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101121"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000418/pdfft?md5=ca40c178e1a7fcfcd5de39579d745389&pid=1-s2.0-S1878124124000418-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638331","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":"RehabApp to promote patient participation in the rehabilitation process after HIP replacement: Development and usability study","authors":"Helena Isabel Teixeira Gonçalves ,&nbsp;Marta Campos Ferreira ,&nbsp;Maria Joana Campos ,&nbsp;Carla Sílvia Fernandes","doi":"10.1016/j.ijotn.2024.101119","DOIUrl":"10.1016/j.ijotn.2024.101119","url":null,"abstract":"<div><h3>Objective</h3><p>This study aims to present the developmental stages of a Mobile App Prototype designed to enhance patient participation in the rehabilitation process after hip replacement.</p></div><div><h3>Methods</h3><p>To ensure effective interaction between the system and the end user, a User-Centered Design methodology was followed, encompassing three phases: Requirements gathering, Prototyping, and Evaluation. Usability tests were conducted to assess the usability of the developed system.</p></div><div><h3>Results</h3><p>The RehabApp for mobile devices was created, and the testing results were positive. Users expressed satisfaction with the outcome, deeming it a valuable tool for their recovery. This outcome demonstrates the high receptiveness of these technologies in the healthcare sector, making it a project that can readily be expanded into other areas of rehabilitation.</p></div><div><h3>Conclusion</h3><p>This study demonstrated the potential of the RehabApp in the rehabilitation process after hip replacement surgery. This accomplishment was realized by ensuring the active participation of patients, potential users, and healthcare professionals throughout the app's development.</p></div><div><h3>Innovation</h3><p>The RehabApp is a mobile application to provide users with all the necessary knowledge, enabling them to undergo a smoother and safer rehabilitation. Feedback from both patients and healthcare professionals played a crucial role in refining the app's features and addressing usability concerns.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101119"},"PeriodicalIF":1.5,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187812412400039X/pdfft?md5=7a0c6b4e51143224b5306b308b93ae9e&pid=1-s2.0-S187812412400039X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141394860","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":"LITERATURE REVIEWS – Developmental Dysplasia of the Hip (DDH)","authors":"Sonya Clarke,&nbsp;Carmen Queiros,&nbsp;Shareena Bibi Mohd Arif","doi":"10.1016/j.ijotn.2024.101107","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101107","url":null,"abstract":"","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101107"},"PeriodicalIF":1.4,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290325","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":"Patient participation in orthopaedic care—a survey on hip surgery patients’ preferences for and experiences of engagement in their health and healthcare","authors":"Patricia Sköld ,&nbsp;Maria Hälleberg-Nyman ,&nbsp;Eva Joelsson-Alm ,&nbsp;Ann Catrine Eldh","doi":"10.1016/j.ijotn.2024.101118","DOIUrl":"10.1016/j.ijotn.2024.101118","url":null,"abstract":"<div><h3>Introduction</h3><p>Quality in health services is increasingly associated with enabling patients to participate in their own health and healthcare by recognising their resources and needs. Despite a growing recognition as to whether such participation is enabled, little is known regarding opportunities for preference-based patient participation in orthopaedic care.</p></div><div><h3>Aims</h3><p>To investigate preference-based participation for patients in orthopaedic care due to hip surgery.</p></div><div><h3>Methods</h3><p>Patients across 17 Swedish orthopaedic units who had had hip surgery, due to hip fracture or osteoarthritis, January–April 2021 were invited to complete the validated 4Ps questionnaire. Of 1514 patients, 458 patients returned the questionnaire with reports on their preferences for and experiences of participation. Each of the 4Ps’ 12 items were analysed separately using descriptive and comparative statistics.</p></div><div><h3>Results</h3><p>A complete match in preferences for, and experiences of, participation was achieved with variation between items for 41%–50% of the patients; if almost matches were included, this occurred for 57%–77% of the patients. Less participation than preferred was most common in terms of having had reciprocal communication, opportunities for partaking in planning, and in learning how to manage symptoms/issues. Hip fracture surgery was significantly associated with experiencing lower levels of participation than preferred.</p></div><div><h3>Conclusion</h3><p>Though standardised care promotes efficient hip surgery care, our study suggests a need for more person-centred opportunities to engage. A discrepancy was noted between patients’ resources and preparation for their participation in and beyond the hip surgery process, particularly for self-care activities, calling for better use of nursing resources.</p></div><div><h3>Id</h3><p>NCT04700969 with the U.S National Institutes of Health Clinical Registry.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101118"},"PeriodicalIF":1.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000388/pdfft?md5=03bd720375a5c670eb49b5562014d782&pid=1-s2.0-S1878124124000388-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407430","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":"Rehabilitation following periacetabular osteotomy for acetabular dysplasia: A qualitative interview study exploring challenges, hopes and expectations among patients in Denmark and Australia","authors":"Julie S. Jacobsen ,&nbsp;Michael J.M. O'Brien ,&nbsp;Jeanette Reffstrup Christensen ,&nbsp;May Arna Risberg ,&nbsp;Lachlan Milne ,&nbsp;Jitendra Balakumar ,&nbsp;Stig Storgaard Jakobsen ,&nbsp;Inger Mechlenburg ,&nbsp;Joanne Kemp","doi":"10.1016/j.ijotn.2024.101116","DOIUrl":"10.1016/j.ijotn.2024.101116","url":null,"abstract":"<div><h3>Introduction</h3><p>Guidelines have been proposed for post-operative rehabilitation following periacetabular osteotomy (PAO). However, the perspectives of individuals undergoing PAO have not been considered.</p></div><div><h3>Aim</h3><p>The present study aimed to explore the perceived challenges of everyday life and hopes for and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia living in Denmark and Australia.</p></div><div><h3>Methods</h3><p>In this qualitative study, we used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16–43 years, who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks and undergoing post-operative rehabilitation. Inductive content analysis was adopted to code and analyse interviews.</p></div><div><h3>Results</h3><p>The analysis of the interview transcripts revealed four major themes: different expectations, self-confidence, tailored rehabilitation and aligning expectations. Several subthemes emerged within each theme, and similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.</p></div><div><h3>Conclusion</h3><p>Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101116"},"PeriodicalIF":1.5,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403926","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 treatment, outcomes and management of hand, wrist, finger, and thumb injuries in the professional/amateur contact sport athletes: A scoping review","authors":"Linda Ryan ,&nbsp;Owen Doody","doi":"10.1016/j.ijotn.2024.101108","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101108","url":null,"abstract":"<div><h3>Introduction</h3><p>Amateur and professional participation in sport and physical activity worldwide is increasing in popularity, which in turn is increasing the volume and types of injuries sustained by athletes. Ensuring these injuries are treated appropriately and efficiently is paramount for athletes’ recovery and return to sport in a timely and safe manner.</p></div><div><h3>Methods</h3><p>A scoping review to map the evidence regarding the treatment, outcomes and management of hand, wrist, finger, and thumb injuries in the professional/amateur athlete from contact sports. A search of seven electronic databases; SPORTdiscus, CINAHL, Medline, Scopus, Web of Science, Embase and Cochrane Library and grey literature was conducted in January 2024. The reporting of the review is in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist. Inductive content analysis was used to examine the data and the Critical Appraisal Skills Programme was used to appraise the quality of the included studies.</p></div><div><h3>Results</h3><p>Eight papers met the inclusion criteria and three themes emerged addressing the return to play/sport, surgical and conservative treatment and the most common/reoccurring injuries sustained from contact sports.</p></div><div><h3>Conclusion</h3><p>Managing hand, wrist, finger, and thumb injuries in athletes requires a varied approach depending on the type of injury, treatment options, and external pressures. While conservative treatment is common and effective, surgical intervention may be necessary in certain cases to improve recovery and facilitate a faster return to sport. Preventive measures in high-risk sports settings could help reduce the incidence of these injuries.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101108"},"PeriodicalIF":1.4,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878124124000285/pdfft?md5=dd95f9ea277a92bace618a5791f02d97&pid=1-s2.0-S1878124124000285-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141333367","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":"Patient experience during their joint replacement journey: The role of the Orthopaedic Nurse Practitioner","authors":"Lesley Thomas,&nbsp;Nicole Hadfield,&nbsp;Rebecca Munt","doi":"10.1016/j.ijotn.2024.101106","DOIUrl":"10.1016/j.ijotn.2024.101106","url":null,"abstract":"<div><h3>Background</h3><p>The benefits of the Nurse Practitioner role in acute care are known however, the patient's experience of having an Orthopaedic Nurse Practitioner involved in their joint replacement care is unknown.</p></div><div><h3>Aim</h3><p>This study aimed to explore the experience of patients undergoing a hip or knee joint replacement who had an Orthopaedic Nurse Practitioner involved in their care.</p></div><div><h3>Methods</h3><p>This study used a qualitative descriptive design using semi-structured interviews with eleven participants. Data were analysed using Braun and Clark's six step reflexive thematic analysis framework.</p></div><div><h3>Results</h3><p>Four themes emerged from the thematic analysis: 1) Information sharing and education; 2) Support throughout the journey; 3) Coordination of care, and 4) Reassurance.</p></div><div><h3>Conclusion</h3><p>The role of the Orthopaedic Nurse Practitioner in supporting participants throughout their joint replacement journey provided benefits for the patient's health and recovery.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101106"},"PeriodicalIF":1.4,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029766","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 kinesiophobia levels in patients with musculoskeletal pathologies: A demographic, physical, and clinical perspective","authors":"Tuba Yerlikaya,&nbsp;Melis Bağkur,&nbsp;Hüseyin Bilal Özkader","doi":"10.1016/j.ijotn.2024.101105","DOIUrl":"10.1016/j.ijotn.2024.101105","url":null,"abstract":"<div><h3>Introduction</h3><p>Kinesiophobia is a crucial factor influencing the rehabilitation process for individuals with musculoskeletal pathologies. Assessing kinesiophobia levels is crucial for personalized interventions.</p></div><div><h3>Aim</h3><p>The aim of this study is to investigate the level of kinesiophobia in individuals with musculoskeletal pathology based on the pathology areas, demographic, physical, and clinical characteristics.</p></div><div><h3>Methods</h3><p>A total of 210 participants with musculoskeletal pathologies were included in the study. All participants were assessed using a sociodemographic information form for demographic and physical characteristics, the Tampa Kinesiophobia Scale for kinesiophobia level, and the McGill-Melzack Pain Questionnaire for pain location and intensity.</p></div><div><h3>Results</h3><p>There was no statistically significant difference observed in kinesiophobia level between patients in terms of pathology location and sex. However, a significant difference in kinesiophobia levels was found among patients based on the acute and chronic duration of the disease (p = 0.00), previous treatment history (p = 0.04), and exercise engagement (p = 0.00). When kinesiophobia levels were examined according to educational status, a significant difference was found between the primary education group and the undergraduate and above group (p = 0.00).</p></div><div><h3>Conclusions</h3><p>According to the results of this study, kinesiophobia levels appear to be independent of pathology location and sex, but vary based on educational level, exercise habits, pain duration and history of previous treatment. Considering these findings, it is essential to take into account these factors in treatment programs in clinical practice and to provide support in exercise and physical activity training to individuals who have previously received treatment and individuals with low education levels.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101105"},"PeriodicalIF":1.4,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945279","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":"Metaphorical perceptions of surgical nurses regarding care for earthquake victims","authors":"Hamide Şişman ,&nbsp;Şeyma Yurtseven ,&nbsp;Sevban Arslan","doi":"10.1016/j.ijotn.2024.101104","DOIUrl":"https://doi.org/10.1016/j.ijotn.2024.101104","url":null,"abstract":"<div><h3>Background</h3><p>The physical, psychological, and social effects of the earthquake affect a person's functionality directly. It challenges individuals because it is often traumatizing, intense fear is experienced, and it is unpredictable, uncontrollable, and destructive. Nurses are one of the professional groups that have important duties in social disasters, and they are constantly exposed to the details of the traumatic situation, sometimes physically and sometimes by listening. To understand the severity of the trauma caused by this exposure, it is important to understand the emotions and thoughts that nurses feel while caring for earthquake victims.</p></div><div><h3>Aims</h3><p>This study was planned to reveal the perceptions of nurses, who were themselves earthquake victims, regarding caring for earthquake victims through metaphors.</p></div><div><h3>Methods</h3><p>This study was conducted as a phenomenological study with a qualitative research approach, in a province affected by the earthquake, with 85 surgical clinic nurses who were also earthquake victims and cared for earthquake victims.</p></div><div><h3>Results</h3><p>The metaphors produced were examined together with their reasons and grouped under 3 categories (positive, negative, both positive and negative).</p></div><div><h3>Conclusions</h3><p>As a result, when the metaphors used by earthquake victims are evaluated, the effects of nurses being earthquake victims themselves can be seen in the metaphors. It is revealed through metaphors that nurses' earthquake-related traumas are triggered while caring for earthquake victims.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":"54 ","pages":"Article 101104"},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948810","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}