{"title":"Digital media intervention for breast cancer awareness among rural women: A quasi-experimental study from Bihar, India","authors":"Nibha Sinha, Alka Sharma","doi":"10.1016/j.cegh.2024.101705","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101705","url":null,"abstract":"<div><h3>Objectives</h3><p>Social media-based interventions have the potential to endure improvements in the health-seeking behaviors of the users. The upswing rate of social media usage among rural women of Bihar (India) allows for improving their knowledge, attitude, and practice toward breast cancer which is a big concern in resource-limited countries. This study attempted to evaluate the impact of video-based intervention in advancing knowledge of breast cancer risk factors, symptoms and attitude, and and practice to conduct breast cancer screening.</p></div><div><h3>Methods</h3><p>A quasi-experimental design study was conducted among rural women in Bihar, India using pretest-posttest method. Validated YouTube Hindi videos were shared in a series as an intervention for the participants. The impact of the intervention videos was assessed by analyzing the 267 fully filled up questionnaires. Additionally, demographic characteristics were calculated and their relationship with knowledge, attitude, and practices was evaluated.</p></div><div><h3>Results</h3><p>After three months of the intervention there was a statistically significant (<0.0001) improvement (100 %) in the knowledge level of risk factors, symptoms, and screening of breast cancer. Their attitude towards breast self-examination significantly improved in 58 % of women whereas 16.5 % for clinical breast examination and 9.7 % for mammogram (<0.0001). The practice of breast self-examination significantly improved in 60 % (<0.0001) of women. Some demographic variables like education, age, and occupation were found significant predictors of breast cancer awareness.</p></div><div><h3>Conclusions</h3><p>This study's findings highlight that beyond all resource limitations for health awareness, a video intervention model through social media could offer a viable solution from the rural India experience to a possible shared discussion. Further study may be conducted using customized cancer awareness video interventions considering vernacular needs to make interventions more impactful.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221339842400201X/pdfft?md5=752295a0b56ced4dbff56dc9b1bad3fd&pid=1-s2.0-S221339842400201X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539570","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":"\"Comparison of sonographic score and Bishop score in the prediction of successful labor induction in term patients: A prospective observational study\".","authors":"Udhaya preethi R, saswati Tripathy","doi":"10.1016/j.cegh.2024.101734","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101734","url":null,"abstract":"","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842976","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":"Knowledge of hypoglycemia symptoms and associated factors among diabetic patients in Adama Hospital Medical College, Adama, Ethiopia: A cross sectional study, 2021","authors":"Kenean Tadesse , Hussen Mekonnen , Teshome Habte , Fekadu Abera , Tariku Lelago , Miniywab Ayale , Fikre Sugebo","doi":"10.1016/j.cegh.2024.101702","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101702","url":null,"abstract":"<div><h3>Background</h3><p>Hypoglycemia is a common and serious complication of diabetes. Diabetic patients who lack knowledge of hypoglycemic symptoms might lead to delayed treatment and causes death. Despite one study in Ethiopia found that 51.2 % of diabetic patients had poor knowledge of identifying hypoglycemia symptoms, there is a paucity of study regarding knowledge of hypoglycemia symptoms.</p></div><div><h3>Objective</h3><p>This study aimed to explore knowledge of hypoglycemia symptoms and associated factors among diabetic patients in Adama Hospital Medical College.</p></div><div><h3>Methods</h3><p>Health institution-based cross-sectional study was conducted from February–March 2021. Systematic random sampling method was used to select 212 diabetic patients. Epi-data version 4.6 and Statistical Package for the Social Sciences (SPSS) version 25 were used for data entry and analysis. Linear regression model (adjusted beta, 95 % confidence interval (CI), and p value < 0.05) was fitted to determine the predictor of knowledge of hypoglycemia symptoms.</p></div><div><h3>Results</h3><p>The mean knowledge of hypoglycemia symptom score was 64.63(±27.6). 68 % of the participants knew more than half symptoms of hypoglycemia. Excessive hunger is the most identified symptom of hypoglycemia. Experiencing hypoglycemia episodes (β = 19, 95 % CI 12, 26.9) and type of treatment (β = 22.6, 95%CI 4, 41) were associated with the knowledge of hypoglycemia symptoms.</p></div><div><h3>Conclusions</h3><p>This study showed that sixty-eight (32 %) of the participants know less than six symptoms. There is a visible knowledge gap regarding essential aspects of hypoglycemia symptoms among diabetic patients.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001982/pdfft?md5=94483c25ffab70396962daa774237eac&pid=1-s2.0-S2213398424001982-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479652","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}
O.T. Bamidele , C. Ogah , A. Ogunleye , C. Emordi , C. Eze , C. Amaike , O. Abiodun
{"title":"Physical activity and mental distress among people living with HIV are related: Evidence from a cross-sectional survey in Ogun State, Nigeria","authors":"O.T. Bamidele , C. Ogah , A. Ogunleye , C. Emordi , C. Eze , C. Amaike , O. Abiodun","doi":"10.1016/j.cegh.2024.101692","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101692","url":null,"abstract":"<div><h3>Background</h3><p>People living with HIV have disproportionately high levels of mental distress. Physical activity promotes physical well-being and mental health in diverse populations. Our study assessed the association between mental distress and the intensity, domains, and environment of physical activity in Nigeria.</p></div><div><h3>Methods</h3><p>Data was obtained, cross-sectionally, from 412 HIV-positive adults on mental health status, intensity, domain and environment for physical activity through structured interviews using closed-ended questionnaires. Data was summarized with counts and proportions and derived 95 % confidence intervals. Appropriate bivariate analyses (Chi-square and t-tests) were conducted, and clinically and statistically (p < 0.25) significant variables were included in a binary logistic regression analysis to test associations. The level of significance was set at 5 %.</p></div><div><h3>Results</h3><p>The study participants were mainly females (68.4 %), married (55.3 %), employed (69.4 %) and urban dwellers (65.0 %); and their mean age was 47.3 (10.3) years. Mental distress was prevalent (9.7 %; 95%CI: 7.0–13.0) and commoner among females (10.3 %) than males (8.5 %) (p = 0.562). Most participants engaged in low (40.5 %) and high-intensity (40.8 %) physical activity. High levels of physical activity were associated with a reduced likelihood of mental distress (AOR: 0.22, 95%CI 0.06–0.80; p = 0.021). Also, lower levels of engagement across all four physical activity domains were associated with an increased likelihood of mental distress (p < 0.05).</p></div><div><h3>Conclusion</h3><p>High levels of physical activity across all four domains may reduce the risk of mental distress and improve positive mental well-being. Therefore, efforts to incorporate physical exercises into HIV care may be beneficial.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221339842400188X/pdfft?md5=b83fc2d24b061752e906fccab83245ff&pid=1-s2.0-S221339842400188X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481044","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":"Utilization of 12 health packages extended under Ayushman Arogya Mandir in block Marh, Jammu, Jammu and Kashmir","authors":"Aashima Magotra , Harjeet Rai , Varalakshmi Chandra Sekaran , Sharpi Sharma","doi":"10.1016/j.cegh.2024.101700","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101700","url":null,"abstract":"<div><h3>Background</h3><p>The establishment of the Ayushman Arogya Mandir marks a fundamental change in India's approach to healthcare. The present study aimed to examine the effectiveness and shortcomings of health packages extended through the Ayushman Arogya Mandir in Block Marh, Jammu, Jammu and Kashmir identifying areas for improvement, and addressing barriers to optimal utilization.</p></div><div><h3>Methods</h3><p>This cross-sectional study was done among 10 centres in the Marh block of Jammu, Jammu and Kashmir to achieve the desired objectives using structured and self-administered questionnaires. A convenience sampling of 105 participants, including 55 healthcare professionals and 50 community members, was adopted using time-bound enumeration. Checklists were also included to assess healthcare services, ensuring a thorough understanding of how healthcare packages are administered and implemented. Confidentiality was prioritized and ethical considerations guided the data collection process, allowing for a comprehensive examination of healthcare utilization patterns in the target region.</p></div><div><h3>Results</h3><p>The results revealed that reproductive and family planning services, as well as neonatal/infant healthcare, have high utilization rates (95 % and 78 %, respectively), highlighting their significance, whereas lower rates in elderly/palliative care, psychiatric/neurological/substance use disorder care, and eye/ENT treatments indicate potential areas for improvement in healthcare awareness, access, and service provision barriers.</p></div><div><h3>Conclusion</h3><p>The Ayushman Arogya Mandir in Block Marh, Jammu, Jammu and Kashmir are heavily leaning towards maternal and child health initiatives while other services are underutilised, highlighting the need for targeted awareness of the availability and accessibility to these services.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001969/pdfft?md5=9234583d20d109db6be74da8459ac757&pid=1-s2.0-S2213398424001969-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141480935","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":"Prevalence of Autism risk among children undergoing regular Psychophysical Development Screening in Kazakhstan","authors":"Karina Nukeshtayeva , Bauyrzhan Omarkulov , Marina Lyubchenko , Nailya Delellis , Olzhas Zhamantayev , Zhaniya Dauletkaliyeva , Gulmira Zhanalina , Nurzhamal Shintayeva , Gulden Karshalova , Maira Kenzhekeyeva","doi":"10.1016/j.cegh.2024.101703","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101703","url":null,"abstract":"<div><h3>Background</h3><p>Information about the situation with autism in Kazakhstan is extremely limited due to the lack of research on autism in both Kazakhstan and Central Asia. The prevalence of autism spectrum disorder risk among young children during routine screening was assessed using the M-CHAT-R/F tool.</p></div><div><h3>Methods</h3><p>This study took place in the offices of pediatric neurologists and family doctors in three primary healthcare organizations in the Karaganda, Kazakhstan. The researchers offered participation in the study and M-CHAT-R checklist completion during visits by parents and children to pediatric neurologists and family doctors for the purpose of screening for psychophysical development. Linear regression analysis was used to determine risk factors for the development of autism spectrum disorder.</p></div><div><h3>Results</h3><p>The results of an analysis of 526 study participants showed the prevalence of high-risk autism spectrum disorders to be 27.4 %. Factors associated with a high risk of autism spectrum disorder in this study were child age, gender, parental age, and a diagnosis of developmental disorder.</p></div><div><h3>Conclusions</h3><p>The use of specific tools to screen for developmental disorders by primary care organizations is recommended. Primary care providers have regular contact with children before they reach school age and can provide family-centered, comprehensive, and coordinated care, including more comprehensive medical assessments.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001994/pdfft?md5=da823f8cd0951a74d6660cb016353eb5&pid=1-s2.0-S2213398424001994-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479654","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":"Validation of a generic job satisfaction scale among libyan arabs: Exploring its association with mental health outcomes","authors":"Mohamed Ali , Marwa Dafous","doi":"10.1016/j.cegh.2024.101699","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101699","url":null,"abstract":"<div><h3>Background</h3><p>The purpose of this research was to test psychometric proprieties of Macdonald & MacIntyre's Generic Job Satisfaction Scale (GJSS) between Arab workers.</p></div><div><h3>Method</h3><p>The study involved 171 participants (average age = 39.2 years; standard deviation = 9.76) from Libyan Territory, with 45 % being male. Using a cross-sectional design, the study employed the translated GJSS Questionnaire, the Conditions for Workplace Effectiveness Questionnaire-II (CWEQ-II), and the Depression Anxiety Stress Scale 8-items (DASS-8).</p></div><div><h3>Results</h3><p>Confirmatory Factor Analysis confirmed a one-dimensional structure with a satisfactory fit. The scale showed positive correlations, indicating adequate convergent validity with CWEQ-II dimensions such as Opportunity, Support, Resources, Formal Power (Job activity), and Structural Empowerment, as well as negative correlations suggestive of discriminant validity with the DASS-8 dimensions. Reliability indices, α = 0.87 and ω = 0.88, suggest satisfactory internal consistency and composite reliability of the instrument. Notably, women exhibited higher scores in the Job Satisfaction scale, Opportunity, Support, Formal Power (Job activity scale), and Structural Empowerment dimensions of the Workplace Effectiveness scale.</p></div><div><h3>Conclusion</h3><p>the adapted scale GJSS exhibits reliability and validity, rendering it suitable for use among Arab populations.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001957/pdfft?md5=0e0e1cf2da4e13a3d33a27db02e4366f&pid=1-s2.0-S2213398424001957-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481045","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":"Prevalence of Sickle cell disease, Sickle cell trait and HBS-beta-thalassemia in India: A systematic review and Meta-analysis","authors":"Priyanka Rao , Elstin Anbu Raj , Senthilkumar Natesan , Nachiket Gudi","doi":"10.1016/j.cegh.2024.101678","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101678","url":null,"abstract":"<div><h3>Background</h3><p>Sickle Cell Disease (SCD) is a common inherited disease in India. However, more aggregate data regarding the burden and distribution of SCD in India is required.</p></div><div><h3>Methods</h3><p>A search was conducted in five electronic databases between 2000 and 2023. The quality appraisal was performed using the JBI Critical Appraisal Tool for prevalence studies. The review is reported according to the PRISMA guidelines.</p></div><div><h3>Results</h3><p>87 studies were included in this systematic review. The prevalence of SCD, Sickle cell trait (SCT), and HBS-beta-thalassemia was estimated to be 1.17% (95% CI:0.79%–1.75%), 5.9% (95% CI:3.8%–8.88%) and 0.37% (95% CI:0.17%–0.83%) respectively. Madhya Pradesh, Chhattisgarh, and Maharashtra have a high prevalence of SCD and SCT. The burden is higher among the tribal communities of India.</p></div><div><h3>Conclusion</h3><p>Prioritizing the management of SCD in India through targeted screening among communities of at-risk couples and newborns, and pre-marital counseling and raising awareness can assist in reducing the disease burden.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221339842400174X/pdfft?md5=55c1a25c3b5ea0e63e601c9514494416&pid=1-s2.0-S221339842400174X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479653","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}
Vinay Kumar Gupta , Gaurav Mishra , Atrey J. Pai Khot
{"title":"Improving diagnosis of skeletal fluorosis in outpatient settings: A call for action","authors":"Vinay Kumar Gupta , Gaurav Mishra , Atrey J. Pai Khot","doi":"10.1016/j.cegh.2024.101701","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101701","url":null,"abstract":"<div><p>Skeletal fluorosis is a chronic metabolic bone osteopathy characterized by extensive bone fixation of fluoride. It is an endemic problem as a result of long-term exposure to high amounts of fluoride. It can lead to significant and crippling deformities, including kyphosis, restricted spinal and chest motion, and deformities of extraspinal joints, predisposing to hip osteoarthritis. Management of skeletal fluorosis generally focuses on symptomatic treatment. Preventive interventions are critical, including the provision of safe drinking water, defluoridation of water, and dietary intervention.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001970/pdfft?md5=de16243aba6da6e565cc609f03dd63a5&pid=1-s2.0-S2213398424001970-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481038","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":"A prevalence study of functional gastrointestinal disorders among the school-going adolescent population in an urban city in northern India","authors":"Darakhshan Jabeen, Shalini Verma, Shrish Bhatnagar","doi":"10.1016/j.cegh.2024.101698","DOIUrl":"https://doi.org/10.1016/j.cegh.2024.101698","url":null,"abstract":"<div><h3>Background</h3><p>Functional Gastrointestinal disorders (FGIDs) are highly prevalent in the adolescent population leading to morbidity. However, their exact prevalence is not clearly known. The present study attempts to assess their prevalence in adolescent children.</p></div><div><h3>Material & methods</h3><p>A total of 757 school/college-going adolescents aged 10–19 years attending four different schools covered in a field study were assessed for the prevalence of FGIDs using a questionnaire based on ROME-IV criteria. Socio-demographic data of the participants were also noted. Prevalence and type of FGIDs were determined. The chi-square test and Independent samples ‘t’-test were used to compare the data.</p></div><div><h3>Results</h3><p>The prevalence of FGIDs was 15.85 % (n = 120) in the adolescent population in our study. Functional abdominal pain disorders (n = 65; 54.2 %) were the most common type followed by functional defecation disorders (n = 49; 40.8 %) and functional nausea and vomiting disorders (n = 6; 5 %) respectively. Adolescents with FGIDs had significantly lower mean age (12.98 ± 2.30 years) and mean BMI (16.9 ± 3.2 kg/m<sup>2</sup>) as compared to those without FGIDs (p < 0.001). However, no significant association of sex was seen with FGID prevalence (p = 0.755).</p></div><div><h3>Conclusions</h3><p>FGIDs were found to be prevalent in school/college-going adolescents in our setting with functional abdominal pain disorders contributing to the majority of FGIDs. The Rome-IV criteria-based questionnaire is a useful tool in diagnosing FGIDs among adolescents.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001945/pdfft?md5=3ccc97c001290f1efb459de3d7c87457&pid=1-s2.0-S2213398424001945-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481037","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}