Nursing Research and Practice最新文献

{"title":"Knowledge of the Glasgow Coma Scale among Nurses in a Tertiary Hospital in Ghana","authors":"Afizu Alhassan, Abdul-Ganiyu Fuseini, Ajara Musah","doi":"10.1155/2019/5829028","DOIUrl":"https://doi.org/10.1155/2019/5829028","url":null,"abstract":"Background Knowledge of the Glasgow Coma Scale (GCS) is recognized as an asset to all clinical nurses. However, many studies in different countries have reported low levels of knowledge of the GCS among nurses. Little is known about this subject in Ghana. Objectives The aim of this study was to assess the knowledge of Ghanaian nurses about the Glasgow Coma Scale and identify factors associated with their knowledge. Method This was a descriptive cross-sectional study involving a convenience sample of 115 nurses from a large teaching hospital in Ghana. We collected data using a structured questionnaire and analysed the data using descriptive statistics, Pearson's correlation, independent samples t-test, and one-way ANOVA. Results A little more than half of the participants (50.4%) had low knowledge of the GCS as a whole. However, with respect to basic theoretical concepts of the GCS, 62.6% of the participants had good knowledge about it, while only 5.2% demonstrated good knowledge on application of the basic knowledge in clinical scenarios. Working in Neurosurgical ward, female gender, and weekly performance of the GCS were associated with higher levels of knowledge. Academic qualification, years of experience as a nurse, and refresher training on GCS were not associated with knowledge. Conclusion The findings from this study showed that nurses in Ghana have low levels of knowledge about the GCS. A more structured approach to teaching the GCS that is very thorough and done with demonstrations should be implemented to improve nurses' knowledge on the GCS.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5829028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42642251","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":"Comment on \"Midwives' Role in Providing Nutrition Advice during Pregnancy: Meeting the Challenges? A Qualitative Study\".","authors":"Angeliki Antonakou","doi":"10.1155/2019/4307214","DOIUrl":"https://doi.org/10.1155/2019/4307214","url":null,"abstract":"Arrish et al. [1] reported some very interesting results in their qualitative study which are highly relevant to midwifery services throughout other countries in the world. It is true that midwives, despite their struggle and sincere intention to provide the best possible nutrition advice to women during pregnancy, do not manage to completely meet all the challenges. Arrish et al. reported that the role of midwives was felt to be constrained by many factors mostly out of the midwives’ control. ey suggested changes in the policy of maternity services such as allowing more time for antenatal visits, creating permanent positions for dietitians in antenatal clinics, and developing free online nutrition models and training packages for practising midwives by the professional organisations. What was equally interesting in this study, however, was the fact that there were fi y-two midwives who initially expressed their interest in participating in this study, but in the end only sixteen were finally recruited (62.9% nonparticipation). is high drop-out rate might potentially reflect a lack of interest in the specific theme of this study in the younger age group of midwives as all but one final participantwere over 35 years of age. It would be interesting to have known the demographics of this subgroup of midwives who declined to participate despite their initial interest so we could make further assumptions. Finally, in support of the findings of Arrish et al. we would like to add that the National Institute for Health and Care Excellence in 2015 issued a quality statement that lays the framework of nutritional advice provision in pregnancy [2]. It reports that all midwives should ensure that they give advice to pregnant women on how to eat healthily during pregnancy at their antenatal booking appointment. Moreover, pregnant women should receive this advice and support from a service that is evidence-based when informing them of the benefits of a healthy diet.","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"4307214"},"PeriodicalIF":1.9,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4307214","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37216472","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":"Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania.","authors":"Helena Marco Gemuhay,&nbsp;Albino Kalolo,&nbsp;Robert Mirisho,&nbsp;Beatrice Chipwaza,&nbsp;Elijah Nyangena","doi":"10.1155/2019/3453085","DOIUrl":"https://doi.org/10.1155/2019/3453085","url":null,"abstract":"<p><p>There is an increased call for improving the environment in which nursing students learn the clinical skills. Clinical practice in the clinical placement sites should allow students to apply their theoretical knowledge in a real environment, develop nursing skills and clinical reasoning, and observe and adapt the professional role. This study aimed at identifying the factors influencing performance in clinical practice among preservice diploma nursing students in Northern Tanzania. This study relied on a cross-sectional analysis of data collected from nursing schools in Northern Tanzania in which 208 (123 nursing students and 85 nurse tutors) participants were recruited in the study. Data was gathered using a self-administered questionnaire which collected information on sociodemographic characteristics and factors influencing clinical practice categorized in students' factors, hospital based factors, social-economic factors, and nurse tutors opinions assessed. Descriptive analyses and chi-square test were employed to understand the background information of the sample and association between variables. Majority of the nursing students (84.4%) agreed that clinical placement offers students adequate opportunity for clinical practical learning. Barriers to effective clinical learning was reported by 70.1% of the participants and the barriers include student factors such as lack of self-confidence and absenteeism, school factors such as improper supervision, and poor preparation of clinical instructors or clinical facility factors. We found a significant association between type of barrier and gender (chi-square 0.786, <i>p=0.020)</i>. More male nursing students (62.1%) significantly reported unsupportive environment as a barrier and anxiety was more common in female nursing students (48.9%) <i>(p=0.020).</i> Reporting of barriers to effective clinical learning by students from different schools of nursing was not significant (P=0.696). In addition, age of participants did not have significant association with effective clinical practice (p=<i>0.606).</i> Student's factors and placement based factors played an important role to influence clinical learning experiences. Offering preclinical orientation, distributing and clarifying clinical learning objectives to students, and frequent visits and supervision of students in clinical area may improve student learning experience in clinical placement. In addition, tailoring the interventions to gender may improve learning experiences.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"3453085"},"PeriodicalIF":1.9,"publicationDate":"2019-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3453085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37277600","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":"Research in Academia: Creating and Maintaining High Performance Research Teams.","authors":"Maria Olenick,&nbsp;Monica Flowers,&nbsp;Tatayana Maltseva,&nbsp;Ana Diez-Sampedro","doi":"10.1155/2019/8423460","DOIUrl":"https://doi.org/10.1155/2019/8423460","url":null,"abstract":"<p><p>As universities strive to raise their academic rank through the quality and quantity of scholarship in order to maintain their competitive edge and funding sources, faculty face pressure to increase number of publications and externally funded research (or project proposals). There are many challenges that make it difficult for faculty to meet a university's research demand, such as increased work load in academia, teaching large-size classes of students, and other strict university deadlines related to book ordering, scheduling classes, posting grades, etc. Faculty work group conflicts, faculty incivility, and dwindling grant/research funding add to faculty stress. In order to promote scholarship in academia, administrative support, collaborative work environments, mentoring, and appropriate appraisal systems are needed to enable faculty to be more productive and satisfied.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"8423460"},"PeriodicalIF":1.9,"publicationDate":"2019-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/8423460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37050845","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":"Knowledge and Experience of Neonatal Resuscitation among Midwives in Tamale.","authors":"Afizu Alhassan,&nbsp;Abdul-Ganiyu Fuseini,&nbsp;Wahab Osman,&nbsp;Alhassan Basour Adam","doi":"10.1155/2019/3652608","DOIUrl":"https://doi.org/10.1155/2019/3652608","url":null,"abstract":"<p><p><i>Background.</i> Efforts to reduce under-five mortality across the globe are being hindered by a disproportionately high rate of neonatal deaths. About a quarter of these neonatal deaths are caused by birth asphyxia. Available evidence shows that effective neonatal resuscitation delivered by providers skilled in and knowledgeable about neonatal resuscitation can significantly reduce neonatal mortality rates. <i>Objectives.</i> This cross-sectional study was conducted to determine knowledge and experience in neonatal resuscitation among midwives in Tamale, and the factors associated with their knowledge on neonatal resuscitation. <i>Methods.</i> This was a cross-sectional study involving all midwives practicing in three large hospitals in Tamale. We developed a questionnaire to collect data on demographic characteristics of participants, and their knowledge and experience in neonatal resuscitation. We used the Statistical Package for Social Sciences (SPSS), version 21, to analyse the data. Demographic characteristics of participants were summarized using descriptive statistics. Pearson's correlation was used to determine associations between knowledge and some selected demographic features, while the one-way ANOVA was conducted to determine differences in level of knowledge based on the demographic features. <i>Results.</i> 98.1% of the participants in this study had insufficient knowledge on neonatal resuscitation. Midwives at the Tamale Central Hospital demonstrated a statistically significantly higher level of knowledge <i>(24.67 ± 2.79, p = .014)</i>, compared to those at the Tamale Teaching Hospital <i>(22.92 ± 4.56, p = .028)</i> and Tamale West Hospital <i>(21.50 ± 6.24, p = .021)</i>. Those who had a first-degree qualification in midwifery and those with a Post-NAC/NAP midwifery certificate had a statistically significantly higher knowledge than those with a diploma in midwifery. Training in neonatal resuscitation was associated with more knowledge in neonatal resuscitation (<i>r</i>(158) = .195, p = .013). In terms of experience, 55% of the participants in this study were not experienced in performing neonatal resuscitation. There were no differences in their level of experience based on their academic qualification, work place, and years of practice as a midwife. <i>Conclusion.</i> Considering the generally low level of knowledge and experience of midwives in neonatal resuscitation as discovered in this study, there is an urgent need for government to provide more opportunities for all practicing midwives to be trained in this important lifesaving skill.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2019 ","pages":"3652608"},"PeriodicalIF":1.9,"publicationDate":"2019-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/3652608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36977197","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":"Interaction between Nursing Staff and Residents with Aphasia in Long-Term Care: A Mixed Method Case Study.","authors":"Charlotta Saldert,&nbsp;Hannah Bartonek-Åhman,&nbsp;Steven Bloch","doi":"10.1155/2018/9418692","DOIUrl":"https://doi.org/10.1155/2018/9418692","url":null,"abstract":"<p><strong>Introduction: </strong>Thousands of individuals with communication disorders live in long-term residential care. Nursing staff are often their primary communication partners. The positive effects of social interaction and person-centred care have been recognised but there remains a paucity of research on the content and quality of communicative interaction between long-term care staff and residents with aphasia. This mixed method study investigates the discourse in interaction between nursing staff and residents with aphasia.</p><p><strong>Methods: </strong>A routine care activity was explored in 26 video-recordings featuring four enrolled nurses and four elderly persons with severe aphasia. Factors such as goals and roles in the activity were mapped out and a qualitative discourse analysis was performed. Based on the findings a coding scheme was constructed and the amount of time spent in different interactional foci of discourse was explored.</p><p><strong>Results: </strong>From the qualitative findings three broad, but distinct, foci in the nurse-initiated interaction could be distinguished: (1) a focus on getting the task done with minimum interaction; (2) topics related to the task, but not necessary to get the task done; and (3) personal topics related to themes beyond the caring task. The analysis of distribution of time revealed that although most of the interaction was focused on the main care activity, between 3 and 17% of the time was spent in either task-related or non task-related interaction. The distribution varied between dyads and could not be related to the residents' severity of aphasia nor the activity as such.</p><p><strong>Conclusions: </strong>An endeavour to interact socially with the residents with aphasia influences the nurses' foci of interaction. Contextual and personal factors of the residents and nurses need to be considered in clinical work as well as research on how communication may be supported to facilitate social interaction and person-centredness in long-term care of people with aphasia.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"9418692"},"PeriodicalIF":1.9,"publicationDate":"2018-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9418692","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36853325","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":"Anxiety and Depression among Patients with Coronary Artery Disease Attending at a Cardiac Center, Kathmandu, Nepal.","authors":"Puja Sharma Dhital,&nbsp;Kalpana Sharma,&nbsp;Pratik Poudel,&nbsp;Pankaj Raj Dhital","doi":"10.1155/2018/4181952","DOIUrl":"https://doi.org/10.1155/2018/4181952","url":null,"abstract":"<p><p>Psychiatric morbidity such as anxiety and depression is common among patients with coronary artery disease (CAD). The coexistence of psychiatric morbidity negatively affects the outcome of treatment and increases the overall burden of disease in CAD patients. The objective of the study was to identify the level of anxiety and depression among patients with CAD. Descriptive, cross-sectional research design and purposive sampling were used and a total of 168 patients having coronary artery disease were selected purposively for the study from the patients attending cardiac outpatient department of Sahid Gangalaal National Heart Center, Kathmandu, Nepal. Data was collected on 2017 by using pretested semistructured interview schedule, Hospital Anxiety and Depression Scale. The findings showed that 27.4% of the respondents had anxiety caseness and 23.8% of the respondents had depression caseness. Bivariate analysis showed that patient's level of anxiety was significantly associated with sex, family income, occupation status, and self-esteem. Higher level of anxiety (42.4%) was found in female than male patients. Likewise, level of depression was significantly associated with education status, occupation status, presence of comorbidities, physical exercise, and self-esteem of the patients. There was significant positive relationship between anxiety and depression score. Thus anxiety and depression were common among patients with CAD. Hence, anxiety and depression in CAD patients need be monitored regularly, provide regular counseling services, and refer the patients for the treatment when needed.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"4181952"},"PeriodicalIF":1.9,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4181952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36866848","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":"First-Time Fathers' Experience of Support from Midwives in Maternity Clinics: An Interview Study.","authors":"L Huusko,&nbsp;S Sjöberg,&nbsp;A Ekström,&nbsp;E Hertfelt Wahn,&nbsp;S Thorstensson","doi":"10.1155/2018/9618036","DOIUrl":"https://doi.org/10.1155/2018/9618036","url":null,"abstract":"<p><strong>Background: </strong>Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals.</p><p><strong>Aim: </strong>The aim of this study was to illustrate first-time fathers' experiences of support from midwives in maternity clinics as a step in the validation of \"The Father Perceived-Professional-Support\" (The FaPPS) scale.</p><p><strong>Methods: </strong>A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed. In the inductive part the following open question was asked: \"How did you perceive the support from the antenatal midwife/midwives?\" In the deductive part, the fathers were asked to respond to the FaPPS scale, in order to receive their thoughts and understanding of the scale, inspired by the \"Think-aloud\" method.</p><p><strong>Findings: </strong>The inductive results showed two main categories: <i>Experience of not knowing what support they needed</i> and <i>Experience of being excluded</i>. The fathers found support from other fathers in parental education classes, but they lack time to discuss. Overall it seems as if the fathers answered both from their own perspective and from the mothers' perspective. This was not evident in the deductive results. The FaPPs scale should therefore include <i>professionals' ability to strengthen social support from other first-time fathers</i> and <i>professionals' ability to offer support to the mother. Conclusion and Clinical Implications.</i> The fathers experienced exclusion both by themselves and also by midwives. Midwives should offer both parents the opportunity to pose questions. It is important for expectant fathers that time for discussion is planned in parental education classes. The FaPPS scale is useful but needs further development. Parts of our result are in line with earlier research, for decades; therefore it is necessary to focus more on support for fathers.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"9618036"},"PeriodicalIF":1.9,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9618036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36765969","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 Impact of a New Pedagogical Intervention on Nursing Students' Knowledge Acquisition in Simulation-Based Learning: A Quasi-Experimental Study.","authors":"Thor Arne Haukedal,&nbsp;Inger Åse Reierson,&nbsp;Hanne Hedeman,&nbsp;Ida Torunn Bjørk","doi":"10.1155/2018/7437386","DOIUrl":"10.1155/2018/7437386","url":null,"abstract":"<p><p>Simulation-based learning is an effective technique for teaching nursing students' skills and knowledge related to patient deterioration. This study examined students' acquisition of theoretical knowledge about symptoms, pathophysiology, and nursing actions after implementing an educational intervention during simulation-based learning. A quasi-experimental study compared theoretical knowledge among two groups of students before and after implementation of the intervention. The intervention introduced the following new components to the existing technique: a knowledge test prior to the simulation, video-recording of the performance, and introduction of a structured observation form used by students and facilitator during observation and debriefing. The intervention group had significantly higher scores on a knowledge test conducted after the simulations in comparison to the scores in the control group. In both groups scores were highest on knowledge of symptoms and lowest on knowledge of pathophysiology; the intervention group had significantly higher scores than the control group on both topics. Students' theoretical knowledge of patient deterioration may be enhanced by improving the students' prerequisites for learning and by strengthening debriefing after simulation.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"7437386"},"PeriodicalIF":1.9,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7437386","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36620274","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":"Determinants of Nursing Process Implementation in North East Ethiopia: Cross-Sectional Study.","authors":"Yihun Miskir,&nbsp;Solomon Emishaw","doi":"10.1155/2018/7940854","DOIUrl":"https://doi.org/10.1155/2018/7940854","url":null,"abstract":"<p><p>Nursing process is a framework used to provide an effective, coordinated, and organized quality care for patients. Effective implementation of this framework leads to improved quality of care and decreases potential complication, hospital length of stay, and the cost of care. To assess implementation of nursing process and its hindering factors, a quantitative cross-sectional study was conducted among nurses in Afar region hospitals from October 2016 to December 2016. The data were collected from 102 nurses using primary Brooking's ward nurses' self-report questionnaire and with some newly prepared questions. The collected data were entered using Epi-Data version 3.1 and analyzed by SPSS version 20 and then presented by tables, graphs, and figures. Forty-three (42.1%) nurses were implementing nursing process at the time of data collection. Assessment and diagnosis were carried out by 57 (56.9%) nurses, planning by 46% of nurses, implementation by 38.2% of nurses, and evaluation by 36.2% of nurses in Afar region. Among the hindering factors towards nursing process implementation, lack of preparedness or knowledge about the nursing process or some part of it (83.3%) and absence of in-service training pertinent to nursing process (75.5%) were the most mentioned ones. Generally, nursing process was poorly implemented in Afar region mainly due to lack of knowledge and absence of in service training. Therefore, giving emphasis for cognitive parts of students about nursing process during their school time and refreshing nurse staffs with continuous training will definitively improve level of nursing process implementation.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"7940854"},"PeriodicalIF":1.9,"publicationDate":"2018-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7940854","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36539681","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}