Nursing Research and Practice最新文献

{"title":"Discharge against Medical Advice at a Teaching Hospital in Ghana.","authors":"Surazu Bayor,&nbsp;Albert Kojo Korsah","doi":"10.1155/2023/4789176","DOIUrl":"https://doi.org/10.1155/2023/4789176","url":null,"abstract":"<p><strong>Introduction: </strong>Discharge against medical advice is a global phenomenon where patients voluntarily terminate their consent to medical care before the medical team declares them fit for discharge. The phenomenon adversely affects the delivery of quality health care.</p><p><strong>Methods: </strong>A retrospective study was conducted at a Ghanaian teaching hospital involving patients who were admitted to the emergency settings within a 2 years period. Data were retrieved from the hospital records and patients discharged against medical advice were identified and studied. Data were cleaned and coded with Excel application and analyzed with SPSS version 23.</p><p><strong>Results: </strong>A total of 8,565 admissions were made into the ward within the period under review with 210 patients been discharged against medical advice. The prevalence rate was 2.5% with high prevalence seen in male and younger populations. Fractures and head injuries were the commonest conditions for which patients requested to be discharged against medical advice, whilst financial constrains and preference for herbal treatment were the major factors for which patients requested to be discharged against medical advice.</p><p><strong>Conclusion: </strong>Discharge against medical advice exists and negatively affects the delivery of quality health care in the Ghanaian health sector. Education especially towards at-risk groups such as the younger populations and patients with fractures as well as effective communication between medical team and patients and their families are some proposed measures to reducing the prevalence and negative impacts associated with discharges against medical advice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"4789176"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Bullying and Emotional State among Undergraduate Nursing Students: A Cross-Sectional Correlation Study.","authors":"Nada A AbuAlula,&nbsp;Abdulaziz Mofdy Almarwani,&nbsp;Daniel Mon Mamanao,&nbsp;Naif Salem Altarawneh,&nbsp;Mohammed R Alharbi,&nbsp;Inas A Ebeid","doi":"10.1155/2023/2397229","DOIUrl":"https://doi.org/10.1155/2023/2397229","url":null,"abstract":"<p><strong>Introduction: </strong>Bullying behavior by nursing students is a serious problem that has contributed to the drop in numbers in the nursing profession.</p><p><strong>Aim: </strong>The study investigated the relationship between bullying and the emotional state of undergraduate nursing students.</p><p><strong>Methods: </strong>The study used a cross-sectional correlation design with a sample of 286 undergraduate nursing students from multiple nursing colleges located in the western region of Saudi Arabia. The 21-item depression, anxiety, and stress scale (DASS-21) was used to measure the study outcomes. A revised version of the Bullying Assessment Questionnaire was used to assess bullying experiences. Statistical analyses, including a <i>t</i>-test, Pearson correlation coefficient, and a one-way between-subjects ANOVA, determined the significance of the relationship between study variables.</p><p><strong>Results: </strong>There was a high prevalence of depression, anxiety, and stress symptoms among Saudi nursing students. Most of the respondents reported mild to extremely severe symptoms of depression (58.7%), anxiety (58%), and stress (44.8%). Around 90.1% of the nursing students reported exposure to a form of bullying over the previous 12 months. The most common items reported as part of this behavior included continually being assigned tasks beyond their capacity. Family members were the most frequently reported source of bullying (29.8%), followed by nursing faculties (20.9%). Bullying behavior was positively correlated with students' scores for depression, <i>r</i> (284) = 0.49, <i>n</i> = 286, <i>p</i> < 0.01; anxiety, <i>r</i> (284) = 0.54, <i>p</i> < 0.01; and stress, <i>r</i> (284) = 0.56, <i>p</i> < 0.01.</p><p><strong>Conclusion: </strong>The study's findings raise concerns and highlight the importance of decreasing the risk of depression, anxiety, and stress among undergraduate nursing students. Nurse educators must ensure that students receive psychological support to decrease these psychological outcomes. Regularly monitoring bullying behavior is essential to maintain students' psychological stability, which could eventually reduce professional dropout rates.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2397229"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001512","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":"Predictors of Suicide Attempts of Individuals with Autism and Their Siblings.","authors":"Oren Shtayermman,&nbsp;Jason Fletcher","doi":"10.1155/2022/9157365","DOIUrl":"https://doi.org/10.1155/2022/9157365","url":null,"abstract":"<p><p>The occurrence of mood- and anxiety-related conditions among family members of individuals diagnosed with autism spectrum disorder (ASD) increases the risk of suicide attempts and has also created assessment and treatment issues for clinicians and parents. Recorded rates of mental health disorders comorbid with suicide attempts among individuals on the spectrum range from 29% to 52%. The purpose of this study was to investigate the presence of predictors of suicide attempts among sibling dyads (pairs of siblings in which one sibling is on the autism spectrum). Growing evidence in the literature indicates a link between a diagnosis of autism and mental health. A web-based survey was used to collect data from individuals on the spectrum and their siblings. A sample of 144 individuals was finalized for the analyses. Logistic regression analysis was conducted to assess the predictors of suicide attempts in the sample. Depression, anxiety, sexual orientation, and marital status were all used as predictors in the logistic regression analyses. Both levels of anxiety and sexual orientation were found to be significant predictors for suicide attempts. Recommendations for future research, assessment, and treatment are presented.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 ","pages":"9157365"},"PeriodicalIF":1.9,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9463008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33464644","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":"Family-Centered Interventions and Quality of Life of Clients with Ostomy.","authors":"Arash Golpazir-Sorkheh,&nbsp;Teimor Ghaderi,&nbsp;Saeed Mahmoudi,&nbsp;Khalil Moradi,&nbsp;Amir Jalali","doi":"10.1155/2022/9426560","DOIUrl":"https://doi.org/10.1155/2022/9426560","url":null,"abstract":"<p><strong>Background: </strong>Family-centered intervention can be used as a therapeutic intervention to improve the quality of life (QOL) in clients with ostomy. This study aimed to determine the effects of family-centered intervention on the QOL in ostomy clients.</p><p><strong>Methods: </strong>A quasi-experimental study was carried out with participation of 70 clients with colostomy and 70 caregivers (family members). The participants were selected through convenient sampling and randomly allocated into the experimental and control groups. The experimental group received family-centered education. The education program included four sessions, 50-60 min each, that were implemented in two weeks at hospital wards or clients' houses for the clients' companions. Afterwards, the caregivers implemented the care at home for one month. The subjects in the control group received routine care before being discharged. The QOL of the clients in both groups was measured using the city of hope-QOL-ostomy questionnaire before and one month after the intervention.</p><p><strong>Results: </strong>The mean scores of the QOL after family-centered intervention in the experimental and control groups increased from 197.97 to 207.49 and from 195.2 to 199.03, respectively. The paired <i>t</i>-test showed a significant change in the experimental and control groups after the intervention at a confidence level of 95% (<i>p</i>=0.0001; <i>p</i>=0.002). In addition, after the intervention, however, there was a significant difference between the two groups in all these areas except for social aspects (<i>p</i>=0.007).</p><p><strong>Conclusion: </strong>Family-centered intervention can be used as a therapeutic intervention to improve the QOL in clients with ostomy. The intervention was effective in the physical, spiritual, psychological, and social health of these clients.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 ","pages":"9426560"},"PeriodicalIF":1.9,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33448849","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":"Nursing Students' Perception of Clinical Teaching and Learning in Ghana: A Descriptive Qualitative Study","authors":"S. A. Amoo, Yaa Boahemaa Gyasi Aderoju, Richard Sarfo-Walters, P. Doe, Christiana Okantey, Christian Makafui Boso, S. A. Abraham, A. Druye, Nancy Innocentia Ebu Enyan","doi":"10.1155/2022/7222196","DOIUrl":"https://doi.org/10.1155/2022/7222196","url":null,"abstract":"Background Clinical teaching and learning are critical in bridging the theory-practice gap in nursing education. This study aimed at exploring nursing students' perception of clinical teaching and learning in Ghana. In particular, this study sought to (1) describe the factors that promote clinical teaching, (2) examine students' perception of clinical teaching, (3) describe the impact of clinical learning on students, and (4) explore ways of improving clinical teaching and learning. Methods A descriptive qualitative study was conducted with 16 final-year nursing students using telephone-based interviews. Individual in-depth interviews were conducted with a semistructured interview guide, and data were analysed by the qualitative thematic analysis. Results The findings indicate that being taught new things, being supervised, and having autonomy were the most significant factors that promoted clinical learning. Participants also reported that clinical experience created learning opportunities that helped develop clinical competence. They described learning experiences in the clinical setting as good, albeit gaps in practice. Poor staff attitude, lack of equipment, poor student attitude, inadequate learning opportunities, and lack of clinical supervisors were perceived as challenges in the clinical environment. Conclusions Efforts to consciously teach, supervise, and challenge students to have independence in the clinical area will promote clinical teaching and learning. Therefore, nursing educational institutions and all other stakeholders need to collaborate in eliminating the numerous challenges students encounter in the clinical environment.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45512184","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":"Complementary Feeding Practices and Household Food Insecurity Status of Children Aged 6–23 Months in Shashemene City West Arsi Zone, Oromia, Ethiopia","authors":"J. Ahmed, Kebede Kumsa Sadeta, Kelil Hussen Lembo","doi":"10.1155/2022/9387031","DOIUrl":"https://doi.org/10.1155/2022/9387031","url":null,"abstract":"Introduction Appropriate infant feeding practices are critical to a child's growth, health, and development during the first 1000 days of life. One in every six children worldwide receives a minimum acceptable diet. According to the EDHS 2016, the status of the minimum acceptable diet was 7 percent among children aged 6–23 months in Ethiopia. The study sought to ascertain the relationship between complementary feeding (CF) indicators and household food insecurity in children aged 6–23 months. Methods A systematic sampling method was used to conduct a cross-sectional study of 536 mother-child pairs aged 6–23 months. The 24-hour dietary recall was used to collect data on CF practices using face-to-face interviews with socioeconomic and food security questionnaires. The relationship between complementary feeding indicators and household food insecurity was investigated using logistic regression analysis. The relationship between independent variables and complementary feeding indicators was determined using multivariate logistic regression. Results Overall, a total of 67.9% of children received timely introduction of CF and Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD), and Minimum Acceptable Diet were met by 61.7%, 42.5%, and 41.7%, respectively. Result of multivariate logistic regression showed there is significant association between household food security with MMF, MDD, and MAD [AOR: 2.02, 95% CI: (1.25–3.24); AOR: 1.55, 95% CI: (1.02–2.36); and AOR: 1.62, 9595% CI: (1.06–2.47)], respectively, while there was no association with introduction of CF [AOR = 0.87, 95% CI: (0.55–1.39)]. Conclusion This study revealed that the rates of MMF, MDD, and MAD remained low in this study setting. Household socioeconomic status (wealth index, food security status, household income) and child age were found to be among the factors statistically significantly associated with complementary feeding practices indicators.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43166569","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":"The Reasons for Self-Medication from the Perspective of Iranian Nursing Students: A Qualitative Study","authors":"Maryam Janatolmakan, A. Abdi, Bahare Andayeshgar, A. Soroush, Alireza Khatony","doi":"10.1155/2022/2960768","DOIUrl":"https://doi.org/10.1155/2022/2960768","url":null,"abstract":"Background The prevalence of self-medication has increased dramatically worldwide. This study was conducted to determine the reasons for self-medication from the perspective of Iranian nursing students. Methods This qualitative study was conducted using the content analysis method. Fifteen nursing students were selected by the purposeful sampling method. Data were collected by in-depth semistructured interviews. Qualitative content analysis method was used for data analysis. The MAXQDA software was used for data management. Results Data saturation was achieved with fifteen interviews with nine women and six men, with a mean age of 26.5 ± 4.8 years. The reasons for self-medication were explained in five categories and fifteen subcategories. Some of the reasons for self-medication were having medication information, having previous experience, easy access to medicine, lack of enough time, access to medical staff, cost of a doctor's visit, inadequate respect for patient privacy, pharmaceutical advertising in the media, and information explosion. Discussion. Several factors are involved in self-medication. Given the dangers of self-medication, health policymakers must adopt strict policies for pharmacies that sell drugs without a prescription. Furthermore, it is helpful to run training courses on self-medication risks for students.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49261079","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":"Perceived Caregiver Strain, 3- and 18-Month Poststroke, in a Cohort of Caregivers from the Life after Stroke Trial (LAST)","authors":"B. Langhammer, Hege Ihle Hansen, B. Indredavik, T. Askim","doi":"10.1155/2022/2619893","DOIUrl":"https://doi.org/10.1155/2022/2619893","url":null,"abstract":"Aim To gain more knowledge of caregiver strain in the Life After Stroke Trial (LAST) population. Methods This is a substudy of the LAST study, including all caregivers' reports of perceived Caregiver Strain Index (CSI) at inclusion and 18-month follow-up irrespective of group allocation. The checklist “STROBE Statement—Checklist of items that should be included in reports of cohort studies” was used. Caregivers to adults (age ≥18 years), here defined as the person living with, a patient with a first-ever or recurrent stroke, community dwelling, with modified Rankin Scale (mRS) <5 and no serious comorbidities, was invited to fill out the Caregiver Strain Index at three months (10–16 weeks) poststroke. Domains indicating differences of change in perceived strain in the total sample were analyzed in a linear regression analysis. Results Caregiver strain (n = 147) varying from 5% to 27% was reported by the caregivers at baseline and between 2% to18% at 18-month follow-up. The items indicating the highest level of strain at baseline and 18 months were as follows: “Care giving is confining,” “There have been changes in personal plans,” “There have been emotional adjustments,” and “I feel completely overwhelmed.” The samples were divided into age groups 0–79 years and 80–100 years, indicating a higher strain on the caregiver for persons 80–100 years at 18 months. Conclusion Caregiver strain was relatively low both at baseline and at 18-month follow-up. Main caregiver strains were reported in terms of a sense of confinement, a tendency of emotional strain, and the altering of plans at both time points. Depression was one of the main explanatory factors for the perceived caregiver strain. The perception of caregiver strain was higher in age groups 80–100 years than age groups 0–79 years.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45912166","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":"Living with Atrial Fibrillation: A Family Perspective","authors":"Stine Rosenstrøm, S. Risom, J. Hove, A. Brødsgaard","doi":"10.1155/2022/7394445","DOIUrl":"https://doi.org/10.1155/2022/7394445","url":null,"abstract":"Aim The aim of this study was to obtain insights from patients and their family members on how families are living with atrial fibrillation. Background Atrial fibrillation is the most common cardiac arrhythmia and is often described as an emerging global epidemic affecting an estimated 33.5 million people worldwide. Living with atrial fibrillation not only affects the patient but also may negatively influence family members' perceived health. The perspective of the family has previously been understudied, and more knowledge on how patients and their family members cope and adjust to life with atrial fibrillation may be helpful when developing future support for patients and their family members when coping with atrial fibrillation. Methods A qualitative phenomenological study with an inductive, descriptive research approach based on Giorgi's descriptive method was used. Data were gathered through 12 dyadic family interviews. The COnsolidated criteria for REporting Qualitative research checklist was followed while conducting the study. Results Three major themes emerged: emotional differences, changes in family life, and uncertainty about the future. Atrial fibrillation had multiple effects on the family. Frequently, several adjustments and adaptations had to be made to accommodate life with atrial fibrillation. Conclusion Patients with atrial fibrillation and their family members feel a need to talk about their emotions and worries. They required support and guidance to manage the challenges of living with atrial fibrillation. These results will be used in a family-focused intervention designed to support families in adjusting and managing their everyday lives with atrial fibrillation.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42893943","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":"Impacts of Nursing Work Environment on Turnover Intentions: The Mediating Role of Burnout in Ghana.","authors":"Collins Atta Poku, Ernestina Donkor, Florence Naab","doi":"10.1155/2022/1310508","DOIUrl":"10.1155/2022/1310508","url":null,"abstract":"<p><strong>Background: </strong>The nursing practice environment supports excellence and decent work and has the influence to entice and retain the quality nursing workforce. Appreciating the dynamics that affect the turnover intention of RNs offer reasonable solutions to the challenges of the nursing shortage, which directly influence the quality of nursing care. There is a paucity of information on the impacts of these concepts among RNs in Sub-Saharan African. The study therefore aimed at determining the impacts of work environment and burnout on turnover intentions among RNs in Ghana.</p><p><strong>Methods: </strong>A descriptive cross-sectional design using a simple random and proportionate stratified sampling with a sample of 232 RNs from Municipal and Regional Hospitals, Sunyani, West-Central part of Ghana completed validated instruments measuring work environment, burnout, and turnover intentions. Descriptive analysis was done to find out RNs' perceptions of their work environment and turnover intentions. Mediation analysis by Baron and Kenny's approach was used to determine the mediating effect of burnout on the relationship between the domains of PPE and the turnover intention of RNs. STROBE checklist was used as the reporting tool.</p><p><strong>Results: </strong>While most RNs had a positive perception about their work environment, greater number of them had turnover intentions. There were significant associations between some nursing work environment facets and turnover intention. The results also showed a statistically significant relationship between nurse-physician relation (<i>β</i> = .353, <i>t</i> = 5.476, <i>p</i> ≤ .001), nurse manager leadership (<i>β</i> = -0.485, <i>t</i> = -8.192, <i>p</i> ≤ .001), nursing foundation for quality care (<i>β</i> = .400, <i>t</i> = 7.059, <i>p</i> ≤ .001), staffing and resource adequacy on (<i>β</i> = 0.485, <i>t</i> = 8.183, <i>p</i> ≤ .001), and turnover intention as mediated by burnout.</p><p><strong>Conclusion: </strong>Burnout resulting from an unsafe work environment impact RNs' turnover intention. This phenomenon can potentially affect the human resource management and quality of nursing care. Policy strategies aimed at ensuring a professional practice environment and decreased burnout can therefore improve retention of RNs at their workplace.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2022 1","pages":"1310508"},"PeriodicalIF":2.2,"publicationDate":"2022-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64770961","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}