{"title":"Maternal marriage distance does not affect sickle haemoglobin status: A study from tribal population of Rajasthan","authors":"P.K. Anand , Hitesh Tiwari , P.K. Dam , S.S. Mohanty , Chetram Meena","doi":"10.1016/j.cegh.2024.101902","DOIUrl":"10.1016/j.cegh.2024.101902","url":null,"abstract":"","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101902"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103098","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}
Benaddi Mina , Sabour Alaoui Sanaa , Benksim Abdelhafid
{"title":"Assessment of adherence to antiretroviral therapy and its related factors among people living with HIV in the region of Beni-Mellal-Khenifra, Morocco","authors":"Benaddi Mina , Sabour Alaoui Sanaa , Benksim Abdelhafid","doi":"10.1016/j.cegh.2024.101872","DOIUrl":"10.1016/j.cegh.2024.101872","url":null,"abstract":"<div><h3>Background</h3><div>The management of the human immunodeficiency virus (HIV) as a chronic infection involves an optimal adherence to antiretroviral therapy (ART), which is determined by several factors as currently mentioned in the literature. This study aimed to describe the adherence to antiretroviral therapy among people living with HIV (PLHIV) and its related factors in the region of Beni-Mellal-Khenifra.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study was conducted on 160 PLHIV and attending the regional hospital of Beni-Mellal, Morocco between February and July 2022. Participants were collected using a non-probabilistic sampling. The adherence to ART was assessed using the simplified medication adherence questionnaire (SMAQ). The sociodemographic and clinical characteristics of the participants were collected through an interviewer-administered questionnaire and consultation of medical records. Binominal logistic regression was used to determine potential factors influencing the adherence to ART. Statistical significance was set at p < 0.05.</div></div><div><h3>Results</h3><div>the adherence rate to ART among PLHIV was of 73.1 %. The data analysis revealed the associated factors to antiretroviral therapy to be: therapeutic patient education (OR = 0.217; 95%CI [0.049–0.955]), treatment regimen (OR = 0.155; 95%CI [0.026–0.923]), and viral load (OR = 0.43; 95%CI = [0.007–0.284]).</div></div><div><h3>Conclusion</h3><div>the health strategies should focus on therapeutic patient education programs, and encourage drug industry to minimize the complexity of ART regimens.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101872"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103444","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":"Effect of tobacco use and nicotine dependence on the quality of sleep among tuberculosis patients: A cross-sectional study","authors":"Tukaram Kendre , Rajat Mishra , Priyanka Guha , Gulshan Singh Rana , Krishna Pandey , Sameer Dhingra","doi":"10.1016/j.cegh.2024.101870","DOIUrl":"10.1016/j.cegh.2024.101870","url":null,"abstract":"<div><h3>Background</h3><div>To enhance the treatment outcomes of tuberculosis (TB), it is crucial to understand the sleep quality of patients who use tobacco. This study seeks to measure the level of nicotine dependence in tuberculosis patients who use tobacco and its correlation to sleep quality. Additionally, it aims to examine the extent to which tobacco use affects the sleep quality of TB patients.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at a TB centre in Patna, Bihar, India with <em>n</em> = 209 patients. The study used the Pittsburgh Sleep Quality Index questionnaire to measure sleep quality, and the Fagerström Test for Nicotine Dependence, as well as the Fagerström Test for Nicotine Dependence-Smokeless Tobacco questionnaires, to evaluate the level of nicotine dependence.</div></div><div><h3>Results</h3><div>The study revealed that TB patients with tobacco use reported significantly worse sleep quality (86.1 %, 95 % CI: 80.6–91.1) compared to non-tobacco users (13.9 %, 95 % CI: 9.4–19.4). Additionally, the study identified a correlation between nicotine dependence (Smokers r = .550, p < .001 and smokeless tobacco r = .835, p < .001) and poor sleep quality. Smokers are (β = 2.250, 95 % CI: 1.380–3.120, p < .001) more prone to experience poorer sleep quality compared to non-smokers, while users of smokeless tobacco are (β = 5.167, 95 % CI: 4.465–5.869, p < .001) more prone to experience worse sleep quality compared to non-users of smokeless tobacco.</div></div><div><h3>Conclusion</h3><div>The study concluded that tuberculosis patients with tobacco use experienced poorer sleep quality. Improving sleep quality could enhance the overall management and care for individuals with tobacco-associated tuberculosis, leading to better health outcomes.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101870"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103090","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}
Sanjeev Kumar Verma , Ashish Wakhlu , Shalini Verma , Sudhir Verma , Andrew S. Day , Nayana P. Nair
{"title":"Epidemiology & genotyping of rotavirus gastroenteritis and rotavirus associated intussusception in preschool children in central Uttar Pradesh","authors":"Sanjeev Kumar Verma , Ashish Wakhlu , Shalini Verma , Sudhir Verma , Andrew S. Day , Nayana P. Nair","doi":"10.1016/j.cegh.2024.101900","DOIUrl":"10.1016/j.cegh.2024.101900","url":null,"abstract":"<div><h3>Objective</h3><div>Rotavirus (RV) related diarrhea remains a leading cause of mortality in children. This study aimed to establish the burden of RV in preschool children hospitalized for acute gastroenteritis (AGE) at north Indian center and to ascertain the genotypic profile of the RV isolates.</div></div><div><h3>Methods</h3><div>This prospective study was conducted at tertiary care center of north India from 2017 to 2020. Stool samples were collected from children admitted with acute diarrhea. Clinical details were collected using a predesigned proforma. Stored stool samples were analysed for the presence of RV, further for genotyping.</div></div><div><h3>Results</h3><div>Total 1277 eligible children aged <5 year, 968 children were enrolled. Stool samples available from 740 children (76.4 %) were collected and processed. RV was isolated from 219 (29.6 %). Children infected with RV were younger (13.07 ± 9 vs 15.84 ± 17 months, p = 0.023) than those without RV infection. Highest incidence of RV infection during winter months observed. Of 206 samples available for genotyping, 195 had single G and 197 single P types. The most prevalent G and P type combinations were G3P 8 strains, in 51 (23.3 %) children, whereas 16 (7 %) strains had >1 G or P. Twenty-nine children (mean age 6.5 months, 22 male) had presented with intussusception: six were positive for RV. Typable strains detected in two samples were G3 P8 and G1 P4+P6+P8.</div></div><div><h3>Conclusion</h3><div>The study confirms a significant burden of RV among young children admitted with AGE this region of India. G3 P8 was the most common RV strain isolated.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101900"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103094","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}
Marina dos Santos Barreto , Ronaldy Santana Santos , Eloia Emanuelly Dias Silva , Deise Maria Rego Rodrigues Silva , Pedro Henrique Macedo Moura , Pamela Chaves de Jesus , Jessiane Bispo de Souza , Leticia Milena Machado dos Santos , Rajiv Gandhi Gopalsamy , Lucas Alves da Mota Santana , Adriana Gibara Guimarães , Lysandro Pinto Borges
{"title":"Navigating the pandemic storm: Two years of tracking COVID-19 cases at a university in northeastern Brazil","authors":"Marina dos Santos Barreto , Ronaldy Santana Santos , Eloia Emanuelly Dias Silva , Deise Maria Rego Rodrigues Silva , Pedro Henrique Macedo Moura , Pamela Chaves de Jesus , Jessiane Bispo de Souza , Leticia Milena Machado dos Santos , Rajiv Gandhi Gopalsamy , Lucas Alves da Mota Santana , Adriana Gibara Guimarães , Lysandro Pinto Borges","doi":"10.1016/j.cegh.2024.101863","DOIUrl":"10.1016/j.cegh.2024.101863","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic in Brazil led to the suspension of face-to-face classes. However, the importance of continuing this activity made it necessary to return to these activities. This study assessed COVID-19 cases at a university in Brazil before and after the return to face-to-face classes.</div></div><div><h3>Methods</h3><div>This study evaluated the positivity rate of COVID-19 cases through antigen testing over two years (April 2021–23) in a group of students and university staff in northeastern Brazil.</div></div><div><h3>Results</h3><div>We found that of the 2,635 tests performed, 711 (27.0 %) had a detectable result throughout the period. We found no differences between the viral presence and age group, presence of symptoms, or position at universities (students or staff). Males had a greater tendency to present a detectable result compared to women. January, February, and July, 2022 show an increase in detected cases compared to other months. This result follows the national increase in cases caused by the Omicron (B.1.1.529) variant and its subvariants (BA.1, BA.1.1, BA.2, and BA.3) circulating in Brazil in these months.</div></div><div><h3>Conclusions</h3><div>Our study makes it possible to monitor active cases of COVID-19 at a time when new variants are emerging and classes are resuming, contributing to the safety of the academic community and minimizing the viral impact on the return to classes in the institution.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101863"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102368","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 connection between reproductive factors and cognitive function of post-menopausal women in South India","authors":"Kothandan Dhivya , S Sarumathy , G Manigandan","doi":"10.1016/j.cegh.2024.101893","DOIUrl":"10.1016/j.cegh.2024.101893","url":null,"abstract":"<div><h3>Background</h3><div>This study is conducted to estimate the incidence of cognitive decline and analyze the correlation between reproductive factors and cognition in post-menopausal women. This study marks the first instance of community-focused research in the South Indian population, focusing on the link between cognition and reproductive factors in post-menopausal women using actual world data.</div></div><div><h3>Methods</h3><div>This cross-sectional study was accomplished in the community setting of Vellore District, in association with the Rotary Club of Anaicut, for 6 months. The study included post-menopausal women, aged 45 years or above, who had proficiency in reading and writing in English or Tamil. We applied the Montreal Cognitive Assessment (MoCA) scale to appraise cognitive function. A self-administered questionnaire was utilized to collect the data. The serum estradiol level was measured. We interpreted the obtained data using IBM Statistical Package for the Social Sciences (SPSS) software version 24.</div></div><div><h3>Results</h3><div>Of 300 post-menopausal women screened, about 256 participants met the required inclusion criteria. The average age of the participants was 55.88 ± 6.38 years. Mild cognitive impairment (MCI) was present in 73 % of the study participants, with a mean MoCA score of 21.68 ± 3.28. The present study findings revealed that the overall MoCA score declined with high parity (r = −0.123), earlier age at menopause (r = 0.311), lessened reproductive span (r = 0.337), and diminished estrogen levels (r = 0.425).</div></div><div><h3>Conclusion</h3><div>This study posited a robust link between cognitive function and reproductive factors. Considering the increased occurrence of MCI in post-menopausal women, the outcomes of this research offer significant perspectives for healthcare specialists and decision-makers in devising evidence-based approaches to prevent the progression of dementia in post-menopausal women.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101893"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102937","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":"New-onset Diabetes Mellitus among adults as sequelae of COVID-19 in selected tertiary care hospital, Puducherry – A cohort study","authors":"Venkatachalam Jayaseelan , Sitanshu Sekhar Kar , Mahadevan Duraiswamy , Manju Rajaram , Vikas Menon , Mukta Wyawahare , D.R. Veda Priya , Ravivarman Lakshmanasamy , Vanessa Ravel , Renjana Sivaji","doi":"10.1016/j.cegh.2024.101897","DOIUrl":"10.1016/j.cegh.2024.101897","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes Mellitus is one of the most common comorbidities in patients with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). However, data on the incidence of Diabetes Mellitus among adults as post-COVID sequelae has been limited, and this study aims to determine the incidence and the associated factors of Diabetes Mellitus among adults who had COVID-19 infection.</div></div><div><h3>Methods</h3><div>This prospective cohort study was carried out among COVID–19 symptomatic (moderate and severe) and asymptomatic cases admitted or reported in a tertiary care hospital in Puducherry, India. Participants were recruited between May and December 2022. It includes socio-demographic details and follow-up data on clinical symptoms and blood sugar levels for 724 participants without a prior history of Diabetes Mellitus, with 362 in the exposed group and 362 in the comparison group for incidence of Diabetes Mellitus, followed-up for 3 months.</div></div><div><h3>Results</h3><div>Among the study participants, the relative risk of developing Diabetes Mellitus was 2.83 (95 % CI: 1.98–4.06) for the exposed group (moderate/severe cases) compared to the comparison group (mild/asymptomatic). Multivariable analysis further confirmed a relative risk of 2.01 (95 % CI: 1.26–3.20, p = 0.003) for moderate/severe COVID-19 cases, with significant associations for age, smoking, and comorbidities.</div></div><div><h3>Conclusion</h3><div>By the 3rd month, new-onset Diabetes Mellitus was significantly higher in moderate to severe COVID-19 cases. Older age, smoking, and comorbidities were key factors. These findings highlight the need for closer monitoring of severe COVID-19 patients for new-onset diabetes in the post-COVID period.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101897"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103195","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":"New Mpox variant: An emerging threat and a global call to action","authors":"Abdulrakib Abdulrahim, Bashar Haruna Gulumbe","doi":"10.1016/j.cegh.2024.101866","DOIUrl":"10.1016/j.cegh.2024.101866","url":null,"abstract":"","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101866"},"PeriodicalIF":2.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759385","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}
Md Fuad Al Fidah , Md Ridwan Islam , Md Mushfiqur Rahman , Mohammod Jobayer Chisti , A.S.G. Faruque , Tahmeed Ahmed , Sharika Nuzhat
{"title":"Community-level expenses for under-5 diarrhoeal cases prior to reporting at Dhaka Hospital: A cross-sectional analysis in Bangladesh","authors":"Md Fuad Al Fidah , Md Ridwan Islam , Md Mushfiqur Rahman , Mohammod Jobayer Chisti , A.S.G. Faruque , Tahmeed Ahmed , Sharika Nuzhat","doi":"10.1016/j.cegh.2024.101846","DOIUrl":"10.1016/j.cegh.2024.101846","url":null,"abstract":"<div><h3>Background</h3><div>Diarrhoeal diseases are a major public health challenge, placing immense economic burden on households. We aimed to examine the trends in direct medical costs (DMC), direct non-medical costs (DNMC), and family economic burden (FEB) incurred in the community before seeking care at the Dhaka Hospital.</div></div><div><h3>Methods</h3><div>DMC and DNMC were extracted from the database of the DDSS of Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) from 2012 to 2021. Costs in the community were calculated after adjusting for inflation and converting into international dollars (I$) for 2022. The Jonckheere-Terpstra test examined the trends, and quintile regression was used.</div></div><div><h3>Results</h3><div>The sample size was 14178. The median (IQR) direct cost, DMC, DNMC and FEB were I$26.2(14.5–44.9), I$10.1(3.6–21.3), I$13.11(7.5–22.3) and 3.5 %(1.8–6.9 %) respectively. An overall increasing trend (2.9 % in 2012 to 4.3 % in 2021; p-value<0.001) and a recent declining trend (from 4.6 % in 2020) were seen in FEB. Age, distance from home, time taken to reach the hospital, living inside Dhaka, wealth index, and moderate-to-severe disease were associated with all costs. Adequate maternal media exposure (coef: 0.698; 95%CI: 1.167 to −0.229; p-value = 0.004) and secondary level education of the mother (coef: 0.316; 95 % CI:0.018 to 0.614; p-value = 0.038) were negatively associated, COVID-19 period was positively associated (coef:0.786; 95 % CI:0.591 to 0.981; p-value<0.001) with FEB.</div></div><div><h3>Conclusion</h3><div>FEB showed significant trend from 2012 to 2021. The result indicates the need for increased awareness and health education on using immediate oral rehydration therapy and seeking care directly from facilities when institutional care is needed.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101846"},"PeriodicalIF":2.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748485","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}
Ibrahem Hussain Kanbayti , Rawan Sameer Nasruddin , Dana Ahmed Sumait , Afnan Dakheel Allah Alnemari , Ibrahim Hadadi , Yousef Almaimoni , Ernest U. Ekpo
{"title":"Exploring bilateral breast size and density asymmetry: Insights from the saudi screening population","authors":"Ibrahem Hussain Kanbayti , Rawan Sameer Nasruddin , Dana Ahmed Sumait , Afnan Dakheel Allah Alnemari , Ibrahim Hadadi , Yousef Almaimoni , Ernest U. Ekpo","doi":"10.1016/j.cegh.2024.101848","DOIUrl":"10.1016/j.cegh.2024.101848","url":null,"abstract":"<div><h3>Background/objectives</h3><div>The swift appearance of asymmetry in breast size and density has been associated with an increased risk of breast cancer and other pathological changes. However, the occurrence of breast asymmetry and the factors influencing it have not been extensively studied among healthy, screened women in the Saudi population. Thus, this study aims to explore bilateral breast asymmetry in breast size and density among healthy, screened Saudi women and factors affecting the asymmetry.</div></div><div><h3>Methods</h3><div>Data of 1048 out of 1173 eligible women screened between 2012 and 2018 were extracted from Sheikh Mohammed Hussien AL-Amoudi Center of Excellence in Breast Cancer. The Laboratory for Individualized Radiodensity Assessment (LIBRA) software was used to measure percent density, dense area, and total area of breast from mammograms. Paired <em>t</em>-test was used to examine asymmetry between right and left breasts, and stratified analysis was performed to investigate the factors associated with breast asymmetry.</div></div><div><h3>Results</h3><div>No significant differences were observed between the right and left breasts in percent density, dense area, and total breast area (p ≥ 0.2). However, for participants who never breastfed, the right breast area was slightly larger (average: 207.9 cm<sup>2</sup>) than the left breast (average: 202.8 cm<sup>2</sup>); p = 0.008.</div></div><div><h3>Conclusion</h3><div>There were no significant differences found in the density, and size of the right and left breasts. However, women who breastfed tended to have slightly larger right breasts.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"31 ","pages":"Article 101848"},"PeriodicalIF":2.3,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756690","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}