Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Barrieren und Förderfaktoren der Implementierung einer komplexen Intervention im Pflegeheim: Eine vertiefende Einzelfallanalyse","authors":"Regina Thalhammer,&nbsp;Gabriele Meyer,&nbsp;Stefanie Skudlik,&nbsp;Martin Müller","doi":"10.1016/j.zefq.2026.06.002","DOIUrl":"10.1016/j.zefq.2026.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The complex intervention PECAN (Participation Enabling CAre in Nursing) was developed to promote activities and participation among nursing home residents with joint contractures at organisational and resident levels. It was implemented by trained facilitators and nursing staff. In a cluster RCT, PECAN showed no effect on the primary endpoint. The cluster-wide process evaluation identified leadership behaviour and differences in the degree of implementation as possible influencing factors. This case study examines a nursing home with protocol-compliant implementation but no observed effectiveness to analyse possible causes.</div></div><div><h3>Methods</h3><div>A qualitative secondary data analysis was conducted as an in-depth case study based on a focus group with nursing home staff (n = 5) and an individual interview with a facilitator. Data were analysed using structured qualitative content analysis according to Kuckartz along the dimensions of context, setting, and implementation. In addition, documentation forms from ten consultation sessions related to the implementation component ‘consultation of facilitators by the research team’ were analysed using a deductive-descriptive approach.</div></div><div><h3>Results</h3><div>This analysis identified additional influencing factors that were not apparent in the cluster-wide process evaluation, including socio-cultural expectations, spatial conditions, nursing staff workload, and organisational upheavals, particularly changes in leadership. These factors seem to play a relevant role in the limited changes observed in nursing care practice.</div></div><div><h3>Discussion</h3><div>Organisational upheavals led to discontinuities and hindered implementation. It remains unclear what intervention dose is required to achieve measurable effects.</div></div><div><h3>Conclusion</h3><div>Early and systematic consideration of organisational conditions appears to be crucial for implementing complex interventions at the resident level. Furthermore, the effective intervention dose has yet to be determined.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 94-103"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608554","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":"Würdebewahren im Gesundheitswesen – Konzeption und Pilotierung einer Inhouse-Schulung für Fachpersonen im Gesundheitswesen","authors":"Andrea Züger,&nbsp;Sandra Stephanie Mai,&nbsp;Jan Gramm,&nbsp;Jochen Spang,&nbsp;Swantje Goebel","doi":"10.1016/j.zefq.2026.05.013","DOIUrl":"10.1016/j.zefq.2026.05.013","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare professionals often experience tensions between their professional ideals and the realities of their working conditions, which can lead to frustration, exhaustion, and demoralization. The concept “ABCD of Dignity in Care” (Chochinov, 2007) – comprising the four core competencies <em>Attitude</em>, <em>Behaviour</em>, <em>Compassion</em>, and <em>Dialogue</em> – offers a practical approach to providing dignified care even under challenging circumstances.</div></div><div><h3>Methods</h3><div>Based on this concept, the in-house training “Dignity in Care” was developed. The program consists of three key modules: (1) dignity in society and healthcare, (2) the “ABCD of Dignity in Care,” and (3) context analysis and transfer to one’s own institution. The training was piloted in two healthcare institutions and evaluated using written pre- and post-surveys, a questionnaire, and participant observation.</div></div><div><h3>Results</h3><div>A total of 25 healthcare professionals from various disciplines took part. Overall, the evaluation (return N = 23, 92%) delivered positive results. Both the interdisciplinary exchange and the resource-oriented approach were particularly appreciated. At the content level, participants frequently expressed the desire for a deeper focus on the topic of self-care.</div></div><div><h3>Discussion</h3><div>The findings highlight the relevance of the topic “dignity in care” for healthcare professionals and show how an interprofessional course format can foster mutual appreciation. Adapting this approach to other areas, such as nursing education or medical studies, is desirable, especially as the revised Medical Licensing Regulations explicitly call for multiprofessional exchange.</div></div><div><h3>Conclusion</h3><div>The training empowers healthcare professionals and makes dignity tangible and teachable—as both a value and a concrete call to action. The concept is currently being revised to give more emphasis to the topic of self-care. The course will be renamed “Dignity - Understanding, Protecting, Strengthening” and published as a course manual in 2027.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 70-79"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608563","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":"„Vision Zero“ in der Prävention: Warum das Ziel, Krankheiten auf null reduzieren zu wollen, unser Gesundheitssystem gefährdet","authors":"Thomas Kühlein,&nbsp;David Klemperer,&nbsp;Martin Scherer","doi":"10.1016/j.zefq.2026.07.001","DOIUrl":"10.1016/j.zefq.2026.07.001","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 1-3"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799415","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":"Anforderungen an den effektiven Einsatz von KI-Anwendungen zur interpersonellen Kommunikation im Gesundheitswesen: Ein Scoping Review","authors":"Teuvo Hänig,&nbsp;Thomas Petzold","doi":"10.1016/j.zefq.2026.04.006","DOIUrl":"10.1016/j.zefq.2026.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>With ongoing digital transformation, AI applications are gaining increasing importance in healthcare organizations. Focusing on similar, iterative activities across different processes can enhance the potential for AI applications. A key process common to all healthcare institutions is communication with requesters. The aim of this study is to identify aspects of direct interaction between requesters and AI applications and to derive practical recommendations from these findings.</div></div><div><h3>Method</h3><div>A scoping literature review was conducted, analyzing various data sources published between 2020 and May 2025. The identified studies were assessed in a structured selection process with defined inclusion and exclusion criteria. Included studies were analyzed according to requirements for AI applications, categorized by population, context, and concept (PCC model).</div></div><div><h3>Results</h3><div>Of the 1,301 studies identified, 49 were included. The studies address organizational requirements concerning, in particular, the ethical and legal integration of AI applications within the healthcare context. Design-related aspects of AI applications also emerged as key requirements. In addition, individual-level requirements were described—ranging from the handling and use of sensitive data to competencies in interacting with AI technologies.</div></div><div><h3>Discussion</h3><div>The identified requirements may contribute to a valid and beneficial implementation of AI applications. The scope should always be assessed in relation to the specific context of the healthcare institution. No direct evidence of AI’s effect on requesters was found. Broader adoption of AI applications could contribute to reducing structural deficiencies in healthcare delivery.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 61-69"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309822","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":"Delegation hausärztlicher Leistungen an Medizinische Fachangestellte: Perspektiven im zeitlichen Verlauf. Ergebnisse aus Fokusgruppen mit Medizinischen Fachangestellten und Hausärzt*innen im Abstand von 12 Jahren","authors":"Konrad Schmidt,&nbsp;Andreas Bergholz,&nbsp;Gabriella Marx,&nbsp;Katja Brenk-Franz,&nbsp;Jean-François Chenot,&nbsp;Lorena Dini,&nbsp;Susanne Döpfmer,&nbsp;Ingrid Gerlach,&nbsp;Markus Krause,&nbsp;Doreen Kuschick,&nbsp;Liliana Rost,&nbsp;Ulf Sauerbrey,&nbsp;Solveig Weise,&nbsp;Jochen Gensichen,&nbsp;Florian Wolf","doi":"10.1016/j.zefq.2026.05.009","DOIUrl":"10.1016/j.zefq.2026.05.009","url":null,"abstract":"<div><h3>Introduction</h3><div>In light of the growing workload in general practices, a redistribution of medical tasks between general practitioners (GPs) and medical assistants (MAs) is being discussed.</div></div><div><h3>Methods</h3><div>The delegation of medical tasks to MAs and the division of tasks within the practice team were discussed in six focus groups that were held 12 years apart and involved 21 MAs and 19 practicing GPs. The contributions were simultaneously visualized by a co-moderator using <em>knowledge mapping</em> and validated in consultation with the participants. The <em>Focus Group Illustration maps</em> generated in this way were then analysed comparatively.</div></div><div><h3>Results</h3><div>The delegation of various tasks to MAs was an integral part of everyday practice for general practitioners at both points in time, with high variance in type and scope and a slight tendency to expand over time. By the time of the second data collection, the MAs’ self-image and willingness to take on tasks, as well as their openness to delegation by GPs, increased. However, both professional groups rejected a fundamental redistribution of core medical areas such as diagnostic and therapeutic decisions. Both groups would like to hand over administrative tasks to administrative staff and consider standardized, high-quality MA training as necessary.</div></div><div><h3>Discussion</h3><div>A general transfer of core medical duties was not a consideration for either profession. The desire to delegate administrative activities was increasingly addressed at the second data collection period of the study. At the same time, the job profile of the practice manager became more established. In both professional groups, willingness and acceptance of delegation have increased over time, facilitating a new distribution of tasks in general practice in the future.</div></div><div><h3>Conclusion</h3><div>From the perspective of focus group participants, an expanded and standardised qualification for MAs appear to play a key role: training standards and legal frameworks need to be developed further in order to expand the role of MAs in general practice.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 30-37"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406220","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":"Age-appropriate interventions to address illness perceptions in paediatric oncology: Findings from an expert Delphi study","authors":"Jessy Herrmann,&nbsp;Franziska Fangmeier,&nbsp;Anna Winter,&nbsp;Christa Engelhardt-Lohrke,&nbsp;Kristian Herzog,&nbsp;Julia Martini,&nbsp;Florian Schepper","doi":"10.1016/j.zefq.2026.05.014","DOIUrl":"10.1016/j.zefq.2026.05.014","url":null,"abstract":"<div><h3>Background</h3><div>Paediatric cancer patients face psychosocial challenges, with illness perceptions (IP) playing a central role in coping and health‑related behaviour. While evaluated interventions targeting IP are available in adult oncology, comparable age‑appropriate approaches are lacking in paediatric oncology. This study presents an expert‑derived pool of puppet‑based play therapy interventions aimed at fostering adaptive IP in children aged four to ten years, appraised with regard to suitability and practical implementation.</div></div><div><h3>Methods</h3><div>As a first analytic step informing a two‑round Delphi process, 21 theory‑guided fictional case vignettes were developed, incorporating the patient’s medical treatment context. Psychosocial experts in paediatric oncology proposed puppet‑based play therapy interventions for each vignette and appraised their suitability and practical implementation. Consensus was determined using the median, supported by descriptive analyses for fine‑grained interpretation.</div></div><div><h3>Results</h3><div>Nineteen psychosocial experts participated in Delphi study 1 and, based on 21 fictional case vignettes, generated 151 intervention suggestions. In Delphi study 2, 22 experts reached consensus on the suitability of all 151 interventions and on the implementability with a puppet of 86 interventions. All interventions were included in the intervention pool.</div></div><div><h3>Discussion</h3><div>The findings indicate expert consensus on the clinical relevance of IP‑focused interventions, while highlighting the need for context‑sensitive application. Puppet play emerged as a valuable option within a broader repertoire of age‑appropriate therapeutic techniques.</div></div><div><h3>Conclusion</h3><div>The study provides an initial foundation for a structured, needs‑based approach to addressing illness perceptions in paediatric oncology with age‑appropriate methods (e.g., puppet play) and informs future development and evaluation of theory‑guided interventions across treatment settings.</div></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 104-113"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473516","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":"Leserbrief zu „Fehlende Replikation von Studienergebnissen in der Evidenzbewertung mit GRADE“ (ZEFQ 203 (2026) 1–5) von K. Rudolf et al.","authors":"Jörg J. Meerpohl,&nbsp;Philipp Dahm,&nbsp;Gerald Gartlehner,&nbsp;Ingrid Toews,&nbsp;Nicole Skoetz,&nbsp;Holger J. Schünemann","doi":"10.1016/j.zefq.2026.07.002","DOIUrl":"10.1016/j.zefq.2026.07.002","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"205 ","pages":"Pages 114-115"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799336","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":"[Between plurality of perspectives and plurality of methods: Reflecting a person-centered research practice involving people with dementia].","authors":"Thomas Beer, Matthias Kliegel, Damaris Aschwanden, Laura Adlbrecht, Julian Hirt, Matthias Dammert, Helma M Bleses","doi":"10.1016/j.zefq.2026.07.004","DOIUrl":"10.1016/j.zefq.2026.07.004","url":null,"abstract":"<p><strong>Background: </strong>Research into the lifeworld experiences of people with dementia increasingly employs a variety of methods and perspectives to access the closed-off inner world of these people. The current contribution reflects the researcher's approach to conduct research with and about people with dementia as part of an interdisciplinary project aiming to establish and maintain a 'person-centered' practice.</p><p><strong>Method: </strong>This article highlights the practice of the interdisciplinary mixed-methods research project \"Times Without Care and Encounters: Methodologically Pluralistic Explorations of the Experiences of People with Dementia\", which specifically utilizes a plurality of perspectives and methods. The article is written from an 'armchair perspective' and represents a multi-perspective attempt at reflecting on a reflexive methodology. Methodological reflection is inherent to research and becomes particularly valuable when it is explicitly articulated. We have chosen the format of a peer-reviewed journal article to offer interested readers and the German-speaking research community an in-depth examination of our methodological choices and reflection.</p><p><strong>Conclusion: </strong>Multiple and multi-perspective approaches are required for siting a (research) situation in studies with and about people with dementia, as well as for addressing their subjective realities. The associated plurality of data collection and analysis becomes a prerequisite (methodologically and epistemologically) for developing a viable understanding of situations concerning the life, healthcare, support and care of people with dementia.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725840","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":"Do YouTube videos facilitate informed decisions about knee osteoarthritis treatment? A cross-sectional analysis of German-language videos.","authors":"Sandro Zacher, Jürgen Kasper, Julia Lauberger, Julia Lühnen, Lisa-Marie Redlich, Johanna Schramm, Anke Steckelberg","doi":"10.1016/j.zefq.2026.07.003","DOIUrl":"10.1016/j.zefq.2026.07.003","url":null,"abstract":"<p><strong>Background: </strong>YouTube is an important source of health information. The YouTube Health initiative aims to improve access to high-quality information and support informed decision-making. Informed decisions require objective, transparent, and comprehensive information about the benefits and risks of medical interventions. This study systematically evaluated whether German-language YouTube videos on knee osteoarthritis (OA) treatment facilitate informed decision-making.</p><p><strong>Methods: </strong>We conducted a systematic search on YouTube. Eligible health information materials (HIMs) were evaluated using the validated MAPPinfo checklist, which operationalises the guideline Evidence-Based Health Information across four quality dimensions: definition, transparency, content, and presentation. Two raters assessed all HIMs independently. Additional structured content mapping identified the range and balance of treatment options and assessed the reporting of benefits, complications, and anaesthesia for total knee arthroplasty (TKA). Information quality was scored from 0% to 100%, and descriptive analyses examined mean scores by provider type, country, and YouTube Health certification.</p><p><strong>Results: </strong>Seventy-nine videos representing 50 HIMs met the inclusion criteria. Most HIMs (n = 23) were provided by hospitals; 28 were certified by YouTube Health. The mean information quality was 15.4% (range 5-25, SD 4.5), with no HIM meeting all criteria. The information quality was similar for certified and non-certified HIMs (15.4% [SD 4.5] and 15.3% [SD 4.4], respectively). Among HIMs mentioning TKA (n = 37), 20 omitted complications and 16 omitted benefits.</p><p><strong>Conclusions: </strong>The quality of German-language YouTube videos on knee OA treatment was insufficient for facilitating informed decisions. The quality criteria for YouTube Health certification did not align with the stated aims.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726842","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":"[Analysis of fall reports from 20 university hospitals in Germany and Austria - Findings and recommendations].","authors":"Stefan Köberich, Hannah Pinnekamp, Marion Baltes, Armin Hauss, Tobias Melms, Birgit Vogt, Uli Fischer","doi":"10.1016/j.zefq.2026.06.008","DOIUrl":"https://doi.org/10.1016/j.zefq.2026.06.008","url":null,"abstract":"<p><strong>Background: </strong>Patient falls are among the most common adverse events in inpatient care settings and represent a significant risk, particularly for older and multimorbid patients. The standardized documentation of fall incidents using fall incident reports plays an important role in internal quality assurance and in legally required clinical documentation. Despite existing recommendations, it remains unclear how these recommendations are implemented at university hospitals in Germany and Austria.</p><p><strong>Methods: </strong>As part of a document analysis, 21 blank fall incident report forms from 20 university hospitals were analyzed. The analysis followed a deductive-inductive approach using a predefined, structurally logical process model of a fall event, including the domains Before the Fall, The Fall, Immediately After the Fall, and After the Fall. Items were categorized and descriptively analyzed.</p><p><strong>Results: </strong>A total of 378 items were identified across 15 categories and 18 subcategories. Items addressing the time, location, and circumstances of the fall were comprehensively included in all report forms. Fall risk factors, preventive measures, and post-fall consequences-such as adjustments to prevention strategies or informing relatives-were only addressed in some of the forms.</p><p><strong>Conclusion: </strong>The fall incident reports used at university hospitals show substantial variability in content and only partially reflect the overall fall process. This contrasts with recommendations issued by relevant professional societies and patient safety organizations. The findings suggest that the development of a consensus-based, process-oriented minimum dataset for fall documentation at university hospitals in German-speaking countries is warranted from a nursing science perspective. In addition, structured multidisciplinary post-fall debriefings offer a promising team-oriented approach for reflective engagement with fall events and for sustainably strengthening the culture of patient safety.</p>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707776","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}