Enfermeria Clinica最新文献

{"title":"Impacto de una intervención enfermera en la fragilidad de personas entre 65 y 75 años desde Atención Primaria. Ensayo clínico piloto","authors":"Yolanda Rodríguez-Vieira,&nbsp;Vanesa Rojo-Amigo,&nbsp;Carmen Neri Fernández-Pombo","doi":"10.1016/j.enfcli.2026.502507","DOIUrl":"10.1016/j.enfcli.2026.502507","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse whether an intervention carried out by primary care nurses modifies the degree of frailty in people between 65 and 75 years of age.</div></div><div><h3>Methods</h3><div>Randomised, single-centre, open-label pilot study. The sample consisted of 24 patients of whom 12 were randomised to the intervention group (IG) and 12 to the control group (CG). Patients included in the IG received a nursing intervention for the management of frailty while the CG received a conventional nursing intervention not specific for the management of frailty. Both interventions were performed in a primary care clinic during a 12-15-week follow-up period. Validated lifestyle and frailty questionnaires were administered and biomedical and anthropometric data were recorded. Data were statistically treated as significant at <em>P</em> <!-->&lt;<!--> <!-->0.05.</div></div><div><h3>Results</h3><div>The final sample was 11 patients for the CG and 10 patients for the IG. The IG had significantly lower frailty at the end of follow-up compared to the CG (non-frail IG 80% vs. non-frail CG 18.1%, <em>P</em> <!-->=<!--> <!-->0.0041). There were no differences in biomedical measurements, anthropometric data and in the questionnaires applied, however, the IG presented full compliance with physical exercise recommendations compared to the CG (100 vs. 27.3%, <em>P</em> <!-->=<!--> <!-->0.002).</div></div><div><h3>Conclusions</h3><div>The nursing intervention for the management of frailty carried out in the IG reduces the number of patients with frailty.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502507"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861928","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":"Compromiso organizacional en enfermería: diferencias según sector y nivel de responsabilidad","authors":"José Ramón Sanchez-Isla,&nbsp;Diana Ochoa-Tamayo,&nbsp;Fernando Díez-Ruiz,&nbsp;Elene Igoa-Iraola,&nbsp;Karmele Araujo-Díez,&nbsp;Ángela González-Barbadillo","doi":"10.1016/j.enfcli.2026.502469","DOIUrl":"10.1016/j.enfcli.2026.502469","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the level of work commitment of nursing professionals in the Basque Country.</div></div><div><h3>Methodology</h3><div>Descriptive cross-sectional study, conducted among a population of 182 professionals currently practising nursing in different health areas, both in the public and private sectors. These professionals completed the Spanish version of the UWES-9 (Utrecht questionnaire Work Engagement Scale in its short version) in a self-reported manner. The Ethics Committee of the University of Deusto approved the study.</div></div><div><h3>Results</h3><div>Non-parametric tests were used to establish significant correlations between the different dimensions studied in the reference scale with respect to the demographic and professional conditioning factors of the participants. The results indicated that professionals in the private sector show higher levels of commitment than those in the public sector. In addition, professionals in managerial positions showed higher levels of organisational commitment.</div></div><div><h3>Conclusions</h3><div>These results suggest that, beyond job stability, factors such as leadership and organisational support may be associated with higher work engagement levels. Promoting a positive work environment could increase staff satisfaction and improve the quality of healthcare.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502469"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859295","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":"Impacto en calidad de vida, salud y funcionalidad del implante coclear unilateral en personas mayores de 60 años","authors":"Beatriz Tena-García,&nbsp;Sergio Barrientos-Trigo,&nbsp;Francisco Ropero Romero,&nbsp;Ana Lara Delgado,&nbsp;Serafín Sánchez-Gómez","doi":"10.1016/j.enfcli.2026.502483","DOIUrl":"10.1016/j.enfcli.2026.502483","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of unilateral cochlear implantation (CI) on quality of life and audiological, functional and psycho-emotional outcomes in a cohort of individuals aged 60 years or older, and to identify predictors of these outcomes.</div></div><div><h3>Methods</h3><div>A single-center, retrospective observational cohort study was conducted. The primary endpoint was the change in health-related quality of life, measured by the Health Utilities Index-Mark 3 (HUI-3). Audiological outcomes, quality of life (GBI, NCIQ, HISQUI-19), functionality (IADL, Barthel), and psycho-emotional status (GDS-15, DJGLS, DAS) were cross-sectionally assessed using validated instruments. Multivariate linear regression models were used to identify predictors.</div></div><div><h3>Results</h3><div>From a target population of 278 individuals, a final sample of 71 was included (31.1% participation rate). The intervention yielded statistically significant and clinically relevant improvements in the primary endpoint of quality of life (mean HUI-3 gain: 0.14; p&lt;<!--> <!-->0.001) and in audiological outcomes (mean PTA gain: 63.6<!--> <!-->dB; p&lt;<!--> <!-->0.001 and in intelligibility: 53%; p<!--> <!-->=<!--> <!-->0.033). Regression analyses identified that higher perceived sound quality (HISQUI-19) was associated with higher HUI-3, higher apathy (DAS) with lower GBI, and greater functional independence (Barthel) with better PTA.</div></div><div><h3>Conclusions</h3><div>Unilateral CI is highly effective in older adults, but the perceived benefit is strongly modulated by psycho-emotional factors and the subjective experience of sound, beyond objective audiological gain. Apathy and poor perceived sound quality emerge as key barriers to success. A nursing care model that systematically integrates psycho-emotional assessment and expectation management into the preoperative phase is needed to maximize the benefits of this technology.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502483"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859293","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":"Aplicabilidad de los indicadores de la Clasificación de Resultados de Enfermería en la evaluación de las lesiones por presión: estudio longitudinal","authors":"Amália de Fátima-Lucena,&nbsp;Cássia Teixeira-dos-Santos,&nbsp;Ana María Porcel-Gálvez","doi":"10.1016/j.enfcli.2026.502448","DOIUrl":"10.1016/j.enfcli.2026.502448","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the applicability of the outcomes and indicators of Tissue integrity: skin and mucous (1101) and Wound healing: second intention (1103), of the Nursing Outcomes Classification/NOC, in adult patients hospitalized with the Nursing Diagnosis Adult pressure injury.</div></div><div><h3>Method</h3><div>Prospective longitudinal study conducted in a Brazilian hospital between 2018-2020. The nursing process that is digitalized in the institution and the protocol for prevention and treatment of Pressure Injury were taken as a basis. The sample calculation was performed based on the improvement in the NOC score. The non-probability sample size was 57 adult patients with Pressure Injury. The data was collected using an instrument in the different clinical evaluations of the patient. The study used sociodemographic and clinical variables, along with clinical indicators from the Nursing Outcomes Classification/NOC. Data analysis included the Generalized Estimating Equations with adjustment Bonferroni Test to compare evaluations over time. Study approved by the ethics committee 2018-0390 in Hospital de Clínicas de Porto Alegre/Brasil.</div></div><div><h3>Results</h3><div>Pressure injuries of 57 patients were evaluated with indicators of the nursing outcomes ‘Tissue integrity: skin and mucous (1101)’ and ‘Wound healing: second intention (1103)’ that demonstrated applicability in practice and a significant improvement in healing of injuries according to these: Erythema, Scarformation, Woundsize, Wound inflammation and Macerated skin.</div></div><div><h3>Conclusions</h3><div>The applicability of outcomes and indicators/NOC is evidente allowing monitoring of the healing process of the pressure injurie, which confirms that the use of NOC in clinical practice provides good precision in the evaluation of the patients studied.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502448"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859298","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":"Programas de supervisión implementados por personal enfermero para cuidadores en la comunidad: una revisión de alcance","authors":"Inês Moreira,&nbsp;Márcia Coelho,&nbsp;Mauro Mota,&nbsp;Regina Pires,&nbsp;Margarida Reis Santos","doi":"10.1016/j.enfcli.2026.502509","DOIUrl":"10.1016/j.enfcli.2026.502509","url":null,"abstract":"<div><h3>Objective</h3><div>To map supervisory programs implemented by nurses to caregivers in the community.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following JBI methodology and the PRISMA-ScR checklist. Twelve databases and sources were searched for published and unpublished studies in English, Portuguese and Spanish since 1993. Two independent reviewers selected studies on nurse-led supervisory programs for informal caregivers in community settings.</div></div><div><h3>Results</h3><div>Eleven studies were included. Programs consisted predominantly of educational sessions of varying duration and frequency, complemented by skills training, home visits and follow-up contacts. One program used telehealth-based interventions. All programs aimed to train caregivers to promote care quality and safety. The home was the most common implementation context.</div></div><div><h3>Discussion and Recommendations</h3><div>Nurse-led supervisory programs strengthen caregiver support through education and training, reducing caregiver burden and improving care quality. The mapped evidence suggests that structured supervisory programs incorporating educational sessions and follow-up contacts may benefit informal caregivers in community settings. Telehealth strategies may warrant further exploration as complementary approaches. Further research with rigorous designs and larger samples is needed to evaluate the effectiveness of these programs.</div></div><div><h3>Review registration</h3><div><em>Open Science Framework</em>: <span><span>https://osf.io/s6wfv/</span><svg><path></path></svg></span></div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502509"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859291","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":"Salud mental y trabajo: el liderazgo de la enfermería del trabajo ante el cambio de paradigma laboral","authors":"Javier González-Caballero,&nbsp;José Ramón Sánchez-Isla","doi":"10.1016/j.enfcli.2026.502531","DOIUrl":"10.1016/j.enfcli.2026.502531","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 5","pages":"Article 502531"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859280","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":"Cuidados enfermeros en paciente pediátrico con asistencia ventricular tipo Berlin Heart Excor®: a propósito de un caso clínico","authors":"Tania Cernadas-Tubío,&nbsp;Tania García-López","doi":"10.1016/j.enfcli.2026.502519","DOIUrl":"10.1016/j.enfcli.2026.502519","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric heart transplantation is the treatment of choice for advanced heart failure. Due to the scarcity of donor organs, the use of mechanical circulatory support devices as a bridge to transplantation has increased. The Berlin Heart Excor® (BHE) is the most widely used ventricular assist device in the pediatric population.</div></div><div><h3>Objective</h3><div>To describe a comprehensive, family-centered nursing approach in an infant with severe heart failure who required the simultaneous use of extracorporeal membrane oxygenation (ECMO) and a BHE ventricular assist device.</div></div><div><h3>Case description</h3><div>A 13-month-old infant was admitted to the pediatric intensive care unit with acute myocarditis and severe biventricular dysfunction. The patient developed hemodynamic deterioration requiring ECMO support followed by left ventricular assistance with a Berlin Heart Excor®, with both devices coexisting for 2 days. After a favorable clinical course, progressive weaning from the device was initiated, and it was removed after 51 days, followed by hospital discharge.</div></div><div><h3>Care plan</h3><div>The nursing process was applied based on Virginia Henderson's conceptual model, using NANDA-International, Inc. (NANDA-I) taxonomy, the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC). Care focused on addressing the psychosocial needs of both the patient and their family.</div></div><div><h3>Conclusions</h3><div>The systematic application of the nursing process enabled the structuring of complex care and the evaluation of its effectiveness. Family-centered care proved essential for adaptation to the disease process and for the recovery of the pediatric patient.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 4","pages":"Article 502519"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148573607","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":"Estudio prospectivo mediante el uso del Pediatric Quality of Life Inventory Cancer Module v3.0 (PedsQL-CM v3.0): evaluación de la dimensión psicosocial y calidad de vida relacionada con la salud","authors":"Sandra Tundidor Sebastián,&nbsp;Monserrat Albert Also,&nbsp;Laura Puertas Esteban,&nbsp;Lucía López Muguerza,&nbsp;Alicia Garzón Montero,&nbsp;Josep-Oriol Casanovas-Marsal,&nbsp;Laura Lafarga-Molina","doi":"10.1016/j.enfcli.2025.502403","DOIUrl":"10.1016/j.enfcli.2025.502403","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate health-related quality of life and the psychosocial dimension in pediatric cancer patients and analyze their relationship with the clinical evolution parameters of the disease.</div></div><div><h3>Method</h3><div>Prospective, observational, and analytical study with consecutive sampling of 53 patients aged 5 to 18 years, conducted between May 1, 2022, and May 1, 2023, in the pediatric oncohematology unit at Materno-Infantil Hospital of Miguel Servet University Hospital (Zaragoza, Aragón, Spain). Health-related quality of life was assessed using the Pediatric Quality of Life Inventory Cancer Module version 3.0, and psychosocial dimension was assessed using the Pediatric Quality of Life Inventory version 4.0. The study was approved by Comité de Ética de la Investigación de la Comunidad Autónoma de Aragón (C.P.-C.I. PI22/247). Statistical analyses were performed using Jamovi® version 1.2.</div></div><div><h3>Results</h3><div>A total of 46 patients participated (N<!--> <!-->=<!--> <!-->46), with a mean age of 12.08<!--> <!-->±<!--> <!-->4.05 years. Girls accounted for 30.43% of the sample, and the most prevalent cancer type was acute lymphoblastic leukemia (39.13%). Health-related quality of life in patients with sarcoma was significantly lower than in those with acute lymphoblastic leukemia (mean 40.7 vs. 72.6; p<!--> <!-->=<!--> <!-->0.037; Cohen's d<!--> <!-->=<!--> <!-->1.2), suggesting a clinically relevant impact in this subgroup. No significant differences in perceived quality of life were found in relation to participants’ laboratory parameters.</div></div><div><h3>Conclusion</h3><div>Age, treatment received and hospital stay influence the various dimensions of health-related quality of life, however, cancer and analytical parameters do not influence the perception of the psychosocial dimension of health-related quality of life. Sarcoma reflects a worse health-related quality of life compared to other more common tumours.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 4","pages":"Article 502403"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148573718","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":"Influencia de los patrones menstruales en el tiempo para quedar embarazada en enfermeras mexicanas: una cohorte retrospectiva","authors":"Isabel Alvarez-Solorza,&nbsp;Liliana Argueta-Figueroa,&nbsp;L. Patricia Bustamante-Montes","doi":"10.1016/j.enfcli.2025.502364","DOIUrl":"10.1016/j.enfcli.2025.502364","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the association between menstrual cycle characteristics and time to pregnancy (TTP) among nurses.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted between 2019 and 2023. Based on the total number of nurses at the Health Institute of the State of Mexico, the sample size was calculated, resulting in 378 nurses. The study included 600 participants who agreed to participate and had their first pregnancy within the last 14 years. The variables of interest were collected through a questionnaire, and the data analysis employed a discrete-time analogue of the Cox proportional hazards model.</div></div><div><h3>Results</h3><div>A significant association was identified between increased TTP and the age at menarche (ORF<!--> <!-->=<!--> <!-->0.80; 95% CI: 0.70-0.92), menstrual irregularity (ORF<!--> <!-->=<!--> <!-->0.54; 95% CI: 0.35-0.85), cycles until menstruation became regular (ORF<!--> <!-->=<!--> <!-->0.43; 95% CI: 0.36-0.52), and moderate (ORF<!--> <!-->=<!--> <!-->0.55; 95% CI: 0.35-0.86) or heavy menstrual bleeding (ORF<!--> <!-->=<!--> <!-->0.26; 95% CI: 0.35-0.70).</div></div><div><h3>Conclusions</h3><div>Menstrual cycle characteristics are significantly associated with TTP among nursing professionals. These findings highlight the importance of monitoring and understanding menstrual patterns to improve fertility planning and management in this professional group. However, methodological limitations of the retrospective design, such as recall bias, should be considered.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 4","pages":"Article 502364"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148573597","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":"Necesidades emocionales del paciente en tratamiento de hemodiálisis: un estudio cualitativo","authors":"Jenny Margarita Rodriguez-Urbina,&nbsp;Sandra Rubio-Paez,&nbsp;Esther Arcas-Canalias","doi":"10.1016/j.enfcli.2025.502406","DOIUrl":"10.1016/j.enfcli.2025.502406","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with kidney failure on hemodialysis face significant physical, emotional, and social challenges that affect their quality of life. Providing humane care, listening to their concerns, and addressing their emotional needs means understanding and alleviating their suffering as a key element of comprehensive, patient-centered care.</div></div><div><h3>Objective</h3><div>To identify the emotional needs of people receiving hemodialysis treatment, and to propose future lines of research, practical actions aimed at improving the quality of care based on Jean Watson's Theory of Humanized Care.</div></div><div><h3>Method</h3><div>Qualitative descriptive research, employing semi-structured interviews with hemodialysis patients (n<!--> <!-->=<!--> <!-->9) from September 2021 to June 30, 2022. Data were analyzed using thematic coding supported by ATLAS.ti 22 software.</div></div><div><h3>Results</h3><div>Four main categories were identified: 1) Promoting and accepting the expression of their feelings; 2) Recognizing the patient's vulnerability; 3) Perceive humanized nursing care and 4) Enhancing the relationship of assistance and trust between nurses and patients.</div></div><div><h3>Conclusion</h3><div>Kidney patients need to feel heard when expressing their emotions and feelings, being recognized as vulnerable and at risk of physical or emotional harm. They require nursing care based on respect for their dignity, compassion and empathy, a supportive and trusting connection based on attentive listening, and a close and supportive bond throughout the care process. These findings reinforce the relevance of Watson's theory in guiding ethical, emotional, and holistic approaches in nursing practice. Therefore, our attention should not focus solely on technical aspects but also on the patient's emotional needs.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 4","pages":"Article 502406"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148573599","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}