AIMS Public Health最新文献

{"title":"Effect of triage training on nurses with Emergency severity index and Australian triage scale: Α quasi-experimental study.","authors":"George Pontisidis, Thalia Bellali, Petros Galanis, Nikolaos Polyzos","doi":"10.3934/publichealth.2024054","DOIUrl":"10.3934/publichealth.2024054","url":null,"abstract":"<p><strong>Introduction: </strong>Triage training has positive effects on health professionals, the quality of indicators in emergency departments, and the patients. However, data on the effectiveness of triage training on nurses with two different triage scales is limited.</p><p><strong>Objective: </strong>This study sought to evaluate the effectiveness of a triage training program in Emergency Departments (EDs), as well as the effect on the accuracy, knowledge, and skills of nurses working in the National Health System of Greece.</p><p><strong>Methods: </strong>Α quasi-experimental study was carried out, with measurements taken pre-, post-, and three months after implementing the education program. Data were collected between March 2021 and July 2022. Eligible participants for this study included nurses employed in the hospital units of the 4^th Health Region of the National Health System. A total of 117 nurses participated in the study. Skills, knowledge, and accuracy were assessed using the Emergency Severity Index and the Australian Triage Scale.</p><p><strong>Results: </strong>After completing the training program, there was a noticeable improvement in the nurses' performance. Their triage skills displayed an overall statistically significant increase (p < 0.001) and, more crucially, in the subscales of rapid patient assessment skills, patient categorization skills, and patient allocation skills. Additionally, statistically significant increases were observed for triage knowledge and for both screening scales that measured triage accuracy, namely the Emergency Severity Index (p < 0.001) and the Australian Triage Scale (p < 0.001). In addition, the number of over-triage and under-triage cases decreased.</p><p><strong>Conclusions: </strong>The education program had a positive impact on the nurses, resulting in a statistically significant increase in their triage skills and knowledge. Moreover, the use of both triage scales resulted in an increase in the triage accuracy. The increase in triage skills, knowledge, and accuracy decreased after three months.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 4","pages":"1049-1070"},"PeriodicalIF":3.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972721","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":"Affordability, negative experiences, perceived racism, and health care system distrust among black American women aged 45 and over.","authors":"Jacqueline Wiltshire, Carla Jackie Sampson, Echu Liu, Myra Michelle DeBose, Paul I Musey, Keith Elder","doi":"10.3934/publichealth.2024053","DOIUrl":"10.3934/publichealth.2024053","url":null,"abstract":"<p><p>Black Americans (AA) face a confluence of challenges when seeking care including unaffordable costs, negative experiences with providers, racism, and distrust in the healthcare system. This study utilized linear regressions and mediation analysis to explore the interconnectedness of these challenges within a community-based sample of 313 AA women aged 45 and older. Approximately 23% of participants reported affordability problems, while 44% had a negative experience with a provider. In the initial linear regression model excluding perceived racism, higher levels of distrust were observed among women reporting affordability problems (<i>β</i> = 2.66; <i>p</i> = 0.003) or negative experiences with a healthcare provider (<i>β</i> = 3.02; <i>p</i> = <0.001). However, upon including perceived racism in the model, it emerged as a significant predictor of distrust (<i>β</i> = 0.81; <i>p</i> = < 0.001), attenuating the relationships between affordability and distrust (<i>β</i> = 1.74; <i>p</i> = 0.030) and negative experience with a provider and distrust (<i>β</i> = 1.79; <i>p</i> = 0.009). Mediation analysis indicated that perceived racism mediated approximately 35% and 41% of the relationships between affordability and distrust and negative experience with a provider and distrust, respectively. These findings underscore the critical imperative of addressing racism in the efforts to mitigate racial disparities in healthcare. Future research should explore the applicability of these findings to other marginalized populations.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 4","pages":"1030-1048"},"PeriodicalIF":3.1,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972718","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":"What is the coverage of your health insurance plan? An audit of hospital billing.","authors":"Aswin Sugunan, Rajasekharan Pillai K, Anice George","doi":"10.3934/publichealth.2024052","DOIUrl":"10.3934/publichealth.2024052","url":null,"abstract":"<p><p>The provocative advice of health policymakers in endorsing private health insurance, as a critical tool for health reforms, is well-reckoned as a deterrent to mounting healthcare expenditure in the wake of the public health insurance quagmire. However, scholarly evidence has condemned the ineffectiveness of private health insurance in containing out-of-pocket expenditure. In this backdrop, we carried out a nuanced investigation of the coverage pattern of private health insurance policies. We examined the one-year billing information of private health insurance holders hospitalized in a multi-specialty teaching hospital. We found that private health insurance fails to provide full coverage, leading to underinsurance though minimal financial protection was extended. Moreover, reimbursement patterns under various cost heads are also discussed. We conclude by emphasizing the need for future research to fill the knowledge gap. We claim methodological novelty in its approach to data collection.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 4","pages":"1013-1029"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972560","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":"The shield of the screen: The role of anger on the development of social media addiction and internet gaming disorder.","authors":"Fiammetta Iannuzzo, Clara Lombardo, Maria Catena Silvestri, Fabrizio Turiaco, Giovanni Genovese, Caterina Rombolà, Carmela Mento, Maria Rosaria Anna Muscatello, Antonio Bruno","doi":"10.3934/publichealth.2024051","DOIUrl":"10.3934/publichealth.2024051","url":null,"abstract":"<p><p>This study aims to explore if the dimensions of anger can be risk factors for the development of social media addiction and an internet gaming disorder, considering that the correlation between anger and these specific subcategories of internet addiction can represent a core intervention in their prevention and treatment. 477 subjects, recruited among the general population, were assessed on-line by the following tools: STAXI-2; BSMAS, and IGDS9-SF. A correlation analyses showed a significantly positive relationship between the total score of the BSMAS and the STAXI-2 scales SANG (<i>p</i> < 0.0001), TANG (<i>p</i> < 0.0001), AX-O (<i>p</i> = 0.003), and AX-I (<i>p</i> < 0.0001), and between the total score of the IGDS9-SF and the STAXI-2 scales SANG (<i>p</i> = 0.002), TANG (<i>p</i> < 0.0001), AX-O (<i>p</i> = 0.001), AX-I (<i>p</i> < 0.0001), and AC-O (<i>p</i> = 0.004). A linear regression model showed how TANG and AX-I were direct predictors of the BSMAS total scores, and how AX-I was a direct predictor of the IGDS9-SF total scores. It appears plausible that there is a significant correlation between the dimensions of anger and the emergence of social media addiction and internet gaming: internet usage may serve as a coping mechanism for emotional or social challenges and as a protective screen to deal with negative emotions.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 4","pages":"1002-1012"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972725","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":"Unraveling the urban climate crisis: Exploring the nexus of urbanization, climate change, and their impacts on the environment and human well-being - A global perspective.","authors":"Sumanta Das, Malini Roy Choudhury, Bhagyasree Chatterjee, Pinanki Das, Sandeep Bagri, Debashis Paul, Mahadev Bera, Suman Dutta","doi":"10.3934/publichealth.2024050","DOIUrl":"https://doi.org/10.3934/publichealth.2024050","url":null,"abstract":"<p><p>The accelerating pace of urbanization, coupled with the intensifying impacts of climate change, poses unprecedented challenges to both the environment and human well-being. In this review, we delved into the intricate interaction between climate change and urbanization and the various effects they have on the environment and human well-being, shedding light on the emergent urban climate crisis. Urban areas serve as epicenters for diverse socio-economic activities, yet they also contribute significantly to global greenhouse gas emissions and environmental degradation. Through an interdisciplinary lens, we explored the root causes of the urban climate crisis, examining how rapid urbanization exacerbates climate change and vice versa. By synthesizing current research and case studies, we elucidate the various environmental and social ramifications of this nexus, ranging from urban heat island effects to heightened vulnerability to extreme weather events. Furthermore, we delve into the unequal distribution of climate risks within urban populations, highlighting the disproportionate burden borne by marginalized communities. Finally, the chapter presents strategies and interventions for mitigating and adapting to the urban climate crisis, emphasizing the imperative of holistic and equitable approaches that prioritize both environmental sustainability and human well-being. Overall, this review calls for concerted efforts to unravel the complexities of the urban climate crisis and forge a path toward resilient, sustainable, and equitable urban futures.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 3","pages":"963-1001"},"PeriodicalIF":3.1,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477300","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":"Peer (dyadic) support: a hypertension feasibility study for older African American women.","authors":"Angela Groves, Wesley Browning","doi":"10.3934/publichealth.2024048","DOIUrl":"https://doi.org/10.3934/publichealth.2024048","url":null,"abstract":"<p><strong>Introduction: </strong>African American women have a higher prevalence of hypertension than women of other ethnicities. The increasing prevalence of hypertension among this population is alarming.</p><p><strong>Methods: </strong>This was an 8-week feasibility study. The study population consisted of African American women aged 60 years and older with a self-reported diagnosis of hypertension. Participants identified a peer to participate with or were paired with another participant in the study. Educational sessions on communication, the Dietary Approaches to Stop Hypertension (DASH) diet, and home blood pressure monitoring were provided for participants. Participants were required to measure their blood pressure twice daily using an Omron monitor and communicate with their peers at least twice weekly. Dietary intake was measured pre- and post-intervention using the DASH Quality (DASH-Q) survey, social support was measured using the Medical Outcomes Study (MOS) Social Support Survey, and communication was tracked using communication logs. Feasibility was assessed by enrollment and retention rates.</p><p><strong>Results: </strong>Pre-intervention, participants had an average DASH-Q score of 33.76 (SD = 13.37). Participants' post-intervention DASH-Q scores increased by 5 points compared to their pre-intervention scores; however, this difference was not significant (t = -1.608, p = 0.059). Additionally, participants who completed the intervention had a 4-point decrease in their systolic blood pressure at week 6. A dependent sample t-test revealed the difference was significant (t = 2.305, p = 0.014). A total of 40 participants were enrolled in the study, and the retention rate was 85%.</p><p><strong>Conclusion: </strong>Although not statistically significant, improvements in systolic blood pressure and DASH diet adherence were observed. Therefore, the results indicate that the peer (dyadic) support intervention was feasible.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 3","pages":"937-946"},"PeriodicalIF":3.1,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477295","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":"Assessing mental resilience with individual and lifestyle determinants among nursing students: An observational study from Greece.","authors":"Maria Antoniou, Evangelos C Fradelos, Theano Roumeliotaki, Foteini Malli, Emmanouil K Symvoulakis, Dimitrios Papagiannis","doi":"10.3934/publichealth.2024049","DOIUrl":"https://doi.org/10.3934/publichealth.2024049","url":null,"abstract":"<p><p>The educational environment is important for the development of life skills of nursing students in late- and post-adolescence. Strengthening their mental resilience, enhancing their individual confidence, and controlling stress are necessary conditions in this direction, which will help them cope with the future challenges of their chosen profession. We aimed to study the resilience profiles of nursing students by investigating their mental resilience and its association with their individual characteristics and lifestyle factors. The Connor-Davidson Resilience Scale (CD-RISC-25) scale for resilience, the Perceived Stress Scale (PSS-14) scale for perceived stress, and the Personal Trust and Connection (PerTC) scale for trust and connections were used. The lifestyle determinants were also assessed. An e-survey that targeted 250 nursing students was conducted from November 22 to April 23. Descriptive and advanced statistical analyses were performed. 146 students participated in the study via an on-line questionnaire; the students were predominantly female (82.2%) with mean age of 22 years (<i>SD</i> = 6.8). Two out of ten students smoked (20.5%), 66.4% consumed at least one drink during a usual week, and 48.0% participated in sports during the last year. The mean hours spent on the Internet daily was 4.2 (<i>SD</i> = 1.8) and on social media was 2.7 (<i>SD</i> = 1.6) hours/day. The students scored highly on the 1-to-10 life-satisfaction item (<i>Mean</i> = 6.3, <i>SD</i> = 1.9), where the perceived stress was assessed as moderate/high with a mean of 33 (<i>SD</i> = 4.4) and trust and connections had a mean of 6.2 (<i>SD</i> = 1.1). In the multivariate analysis, the factors found to significantly associate with resilience (CD-RISC-25; <i>Mean</i> = 64.2, <i>SD</i> = 11.8) were age (<i>β</i> = 0.4; 95% <i>CI</i>: 0.1, 0.7), sports participation (<i>β</i> = 5.7; 95% <i>CI</i>: 2.3, 9.1), hours per day spent on social media (<i>β</i> = -1.3; 95% <i>CI</i>: -2.3, -0.3), and the number of friends (<i>β</i> = 0.3; 95% <i>CI</i>: 0.05, 0.5). Finally, resilience was positively associated with life satisfaction and the trust and connections scale (<i>β</i> = 1.8; 95% <i>CI</i>: 0.9, 2.7 and <i>β</i> = 1.8; 95% <i>CI</i>: 0.2, 3.4, respectively).</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 3","pages":"947-962"},"PeriodicalIF":3.1,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477273","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":"Can hotels be used as alternative care sites in disasters and public health emergencies-A narrative review.","authors":"Ruedeerat Khorram-Manesh, Amir Khorram-Manesh","doi":"10.3934/publichealth.2024047","DOIUrl":"https://doi.org/10.3934/publichealth.2024047","url":null,"abstract":"<p><p>Managing disasters and public health emergencies poses a complex challenge, particularly in maintaining the crucial elements of surge capacity, often referred to as the 4S: staff, stuff, space, and system. While discussions surrounding the management of these emergencies typically emphasize their impact on emergency healthcare services, resources, and capabilities, it is essential to recognize the inherent limitations of these resources. Therefore, integrating non-medical resources such as community staff, supplies, and spaces into the response chain is equally important. Among community facilities, hotels are particularly intriguing due to their organizational and structural capabilities to serve as alternative care sites for lightly injured or non-injured emergency victims. This narrative review explored the potential use of hotels as alternative care sites and the legal implications associated with such utilization. The results confirmed a high potential for using hotels as alternate care sites. However, data concerning its practical and legal implications are insufficient. This paper suggests further research to investigate the criteria for utilizing hotels in this capacity, including admission guidelines for disaster victims and relevant ethical and legal considerations.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 3","pages":"918-936"},"PeriodicalIF":3.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477275","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":"Safeguarding nurses' mental health: The critical role of psychosocial safety climate in mitigating relational stressors and exhaustion.","authors":"Teresa Galanti, Michela Cortini, Giuseppe Filippo Giudice, Salvatore Zappalà, Ferdinando Toscano","doi":"10.3934/publichealth.2024046","DOIUrl":"https://doi.org/10.3934/publichealth.2024046","url":null,"abstract":"<p><p>Burnout among nurses is a pervasive concern in healthcare, with profound implications for patient care and nurse well-being. While research has highlighted the detrimental effects of burnout on many aspects of nursing, including patient safety and quality of care, the underlying mechanisms driving burnout warrant further investigation. In this cross-sectional study, we surveyed 196 nurses from diverse Italian hospitals using an online questionnaire via Qualtrics. Our findings revealed significant negative correlations between psychological safety climate and both relational stressors and emotional exhaustion. Conversely, relational stressors positively correlated with emotional exhaustion, and a significant negative indirect effect of psychological safety climate was found for emotional exhaustion through relational stressors, emphasizing the pivotal role of psychological safety climate in mitigating nurse burnout. Our study underscores the potential effectiveness of interventions targeting psychological safety climate and relational stressors in alleviating emotional exhaustion and burnout among nurses. Theoretical implications underscore the importance of deepening the role of psychological safety climate in mitigating emotional exhaustion, while practical implications emphasize the need for fostering a positive psychological safety climate and implementing targeted interventions to support nurses' well-being.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 3","pages":"905-917"},"PeriodicalIF":3.1,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477296","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":"Sex differences in COVID-19 mortality: A large US-based cohort study (2020-2022).","authors":"Samer A Kharroubi, Marwa Diab-El-Harake","doi":"10.3934/publichealth.2024045","DOIUrl":"https://doi.org/10.3934/publichealth.2024045","url":null,"abstract":"<p><strong>Background: </strong>In the present study, we aim to assess the trend in mortality in COVID-19 by time and sex in a large cohort using Datavant's Death Index database. The main objectives of this study are to analyze mortality cases over time, which are categorized by sex and age, and to identify potential reasons for the observed differences.</p><p><strong>Methods: </strong>This is a retrospective cohort containing information on deceased individuals in the United States and Canada (n = 4,384,265). We included adult male and female patients with a clinical diagnosis of COVID-19 (January-December 2022) (ICD-10 code: U07.1). Mortality cases for males and females were presented over a three-year period of COVID-19 pandemic. Sex ratios presenting the change of mortality cases over time was also computed as the number of diagnosed males over female patients. Sex-differences in the mortality rates were illustrated by age groups.</p><p><strong>Results: </strong>In 2020, mortality cases increased to reach up to 200,000 cases per day and fluctuated due to social and/or cultural events in the US. In 2021, mortality cases reached the highest peak over the time period despite the US vaccine rollout due to holiday gatherings during November and December 2021, as well as the spread of a more contagious strain of the virus. In 2022, mortality cases decreased due to widespread vaccinations and a rise in natural immunity following the first Omicron surge. Furthermore, the proportion of COVID-19 cases in males and females remained stable during the pandemic; however, the number of diagnosed male patients markedly increased during the first months of 2022. Gender discrepancies suggest the role of various factors such as occupation, underlying comorbidities, and behavioral and immunological factors.</p><p><strong>Conclusion: </strong>Our study highlights higher mortality rates observed among males, suggesting that several factors may contribute to such differences, including social, behavioral, and biological factors. Our findings highlight the importance of implementing sex-specific treatment approaches in COVID-19 patients.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 3","pages":"886-904"},"PeriodicalIF":3.1,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11474319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477297","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}