Nursing Research and Practice最新文献

{"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}

{"title":"Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal.","authors":"Shital Adhikari,&nbsp;Ramesh Sharma Poudel,&nbsp;Laxmi Rajbanshi,&nbsp;Shakti Shrestha","doi":"10.1155/2018/9375067","DOIUrl":"https://doi.org/10.1155/2018/9375067","url":null,"abstract":"<p><strong>Introduction: </strong>Sound knowledge and good practice on insulin injection technique are essential for nurses in order to administer insulin correctly and to educate patients or their relatives adequately. This study aimed to assess the insulin injection practice through the use of insulin pen among nurses working in a tertiary healthcare center of Nepal.</p><p><strong>Materials and methods: </strong>A cross-sectional descriptive study was conducted among 67 nurses working in one of the tertiary healthcare centers of Nepal. Demographic information and insulin injection practice of nurses through the use of insulin pen were assessed using self-administered questionnaire. Each correct practice was scored \"1\" and incorrect practice was scored \"0.\" <i>Results.</i> The median (IQR) insulin injection practice score of nurses was 11 (9-12) out of 16. Thirty-seven (55.2%) nurses store insulin pen filled with insulin cartridge at room temperature while 57 (85.1%) nurses store unopened cartridge at refrigerator (2-8°C). The practice of hand washing and injection site cleaning was mentioned by 92.5% and 82.1% of the nurses, respectively. However, just over half of the nurses mix the premix (cloudy) insulin and prime insulin pen before each injection. Thirty-four (50.7%) nurses do not lift skin during injection and more than half of the nurses keep needle beneath the skin for less than 5 seconds after completely injecting the required dose of insulin. One out of ten nurses massage injection site after injecting insulin. Most of the nurses (86.6%) use single needle more than once and the median (IQR) frequency of needle reuse was 6 (3-12). Similarly, systematic site rotation was performed by 59 (88.1%) nurses and twenty (29.9%) nurses claim that they use single insulin pen for two different cartridges.</p><p><strong>Conclusion: </strong>The insulin injection practice of nurses assessed through the use of insulin pen was suboptimal and highlights the need for urgent educational intervention.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"9375067"},"PeriodicalIF":1.9,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/9375067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36438441","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":"Exploration of the Factor Structure of the Burden Experienced by Individuals Providing End-of-Life Care at Home.","authors":"Chizuru Nagata,&nbsp;Hironori Yada,&nbsp;Junko Inagaki","doi":"10.1155/2018/1659040","DOIUrl":"https://doi.org/10.1155/2018/1659040","url":null,"abstract":"<p><p>In Japan, the number of elderly people who require long-term care is increasing as a result of the country's aging population. Consequently, the burden experienced by caregivers who provide end-of-life care at home has become a social problem. This study aimed to confirm the factor structure of such caregiver burden by analyzing the Japanese version of the Zarit Caregiver Burden Interview (J-ZBI). The J-ZBI was administered to 389 caregivers providing end-of-life care, and 247 answers were analyzed, with exploratory factor analysis performed on the results. Consequently, a four-factor structure emerged (sacrificing life, personal strain, severe anxiety, and captivity); these four factors, constituting 15 items, were cumulatively named \"J-ZBI_15.\" In regard to reliability, Cronbach's <i>α</i> coefficient for each factor was high; in terms of validity, a confirmatory factor analysis was conducted to examine the four-factor structure, and the goodness of model fit was determined to be satisfactory. Further, the convergent validity was also high. The care burden experienced by those providing end-of-life care at home differs from the burden of caregivers of individuals with other diseases, such as Alzheimer's. For assessing the burden felt by this population, the 15-item four-factor ZBI model is more appropriate than the single-factor 22-item ZBI, and we also determined that J-ZBI_8 is unsuitable for this task. Thus, measurement of family caregivers' burden in regard to providing end-of-life care at home should be performed using the 15-item four-factor J-ZBI model.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"1659040"},"PeriodicalIF":1.9,"publicationDate":"2018-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1659040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36421248","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":"Evaluation of Nurses' Knowledge Levels of Diabetic Foot Care Management.","authors":"Zahide Kaya, Anita Karaca","doi":"10.1155/2018/8549567","DOIUrl":"10.1155/2018/8549567","url":null,"abstract":"<p><strong>Background: </strong>Nurses, important members of the diabetes treatment team, have an essential role in the prevention of diabetic foot problems and in the care and education of patients at risk of diabetic foot problems.</p><p><strong>Objective: </strong>The study evaluated the knowledge levels of nurses regarding diabetic foot care management and determined influencing factors.</p><p><strong>Methods: </strong>This was a cross-sectional, descriptive study. The research sample comprised 435 nurses who worked in a private hospital. The research data were collected using the \"Nurse Information Form\" and \"Nurses' Knowledge Level Form on Diabetic Foot Management\".</p><p><strong>Results: </strong>It was found that 66% of the nurses did not receive training in diabetic foot care, 80.9% did not educate patients with diabetic foot problems, and 77.5% did not perform foot examinations on diabetic patients.</p><p><strong>Conclusion: </strong>Nurses' knowledge level scores regarding diabetic foot management are adequate, but this knowledge is not used during patient care. In order to facilitate nurses' involvement in diabetic foot management, theoretical and practical training programs should be organized and nurses should be encouraged to participate in these programs.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"8549567"},"PeriodicalIF":1.9,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36354331","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":"Perception of Nurses on Needs of Family Members of Patient Admitted to Critical Care Units of Teaching Hospital, Chitwan Nepal: A Cross-Sectional Institutional Based Study.","authors":"Ishwori Khatri Chhetri,&nbsp;Bedantakala Thulung","doi":"10.1155/2018/1369164","DOIUrl":"https://doi.org/10.1155/2018/1369164","url":null,"abstract":"<p><strong>Background: </strong>Critical care units' nurses should seek to develop collaborative relationships with patients' family members based on their needs and help them to cope with their distress. The objective of this study was to find out the perception of nurses on needs of family members of patients admitted to critical care units.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted in Chitwan Medical College Teaching Hospital among all 65 nurses working in critical care units. Ethical clearance was obtained from Chitwan Medical College Institutional Review Committee. Data were collected from March 27 to April 25, 2016, using Critical Care Family Needs Inventory (CCFNI). Obtained data were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>This study found that mean age of the nurses was 23.98 ± 4.05 years. More than half of the nurses had completed PCL in nursing (52.3%) and had 1-5 years of experience in critical care units (58.5%). Nurses ranked the needs for assurance as most important needs with mean percent (86.25%) followed by needs for information (78.58%), need for comfort (69.59%), needs for closeness (69%), and needs for support (64.13%). Out of 45 family needs, 81.5% of nurses perceived that knowing about patient treatment is very important for family members. Married nurses perceived the needs for support to be more important than unmarried nurses (p=0.04) whereas unmarried nurses perceived the needs for information to be more important than married (p=<0.01). There was significant difference on perception of nurses on needs of assurance with ethnicity (p=0.009) and critical care experience (p=0.04).</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"1369164"},"PeriodicalIF":1.9,"publicationDate":"2018-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/1369164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36343651","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":"Adherence to Hemodialysis and Associated Factors among End Stage Renal Disease Patients at Selected Nephrology Units in Rwanda: A Descriptive Cross-Sectional Study.","authors":"Marie Claire Mukakarangwa,&nbsp;Geldine Chironda,&nbsp;Busisiwe Bhengu,&nbsp;Godfrey Katende","doi":"10.1155/2018/4372716","DOIUrl":"https://doi.org/10.1155/2018/4372716","url":null,"abstract":"<p><strong>Introduction: </strong>Worldwide, End Stage Renal Disease (ESRD) has become a public health concern increasing the number of patients maintained on hemodialysis prior to renal transplantation. Nonadherence to hemodialysis continues to impact on the care of ESRD patients, causing high increase in morbidity and mortality.</p><p><strong>Purpose of the study: </strong>The purpose of this study was to determine the level of adherence to hemodialysis and the associated factors among End Stage Renal Disease (ESRD) patients in selected nephrology units in Rwanda.</p><p><strong>Methods: </strong>This was a descriptive cross-sectional design involving 41 participants. Participants were recruited using a purposive sampling technique. Demographic and adherence to hemodialysis data were collected with the use of structured interview schedules. Descriptive statistics were used to describe the demographic variables and the level of adherence to hemodialysis. Inferential statistics of chi-square was used to establish factors associated with adherence to hemodialysis.</p><p><strong>Results: </strong>Twenty-one (51%) of ESRD participants adhered highly (scores < 80%) to HD. Seventeen (42%) adhered moderately (70-79%) to HD while three (7%) had low level of adherence to HD (below 70%). The factors associated with adherence to hemodialysis were age (mean = 27; 95% CI 26.76-29, 17; <i>p</i> = 038) and religion (95% CI 26.29-60.12, <i>p</i> = 003). Frequencies of education of health care workers about the importance of not missing dialysis (95% CI 26.71-42.56, <i>p</i> = .000), perceived relative importance of hemodialysis (95% CI 20.44-27.76, <i>p</i> = .020), and experiencing difficulties during the procedure (95% CI 20.80-28.36, <i>p</i> = .004) were significantly associated with adherence to hemodialysis<i>. Conclusion.</i> Adherence to hemodialysis is still a public health concern in Rwanda. Health care providers and particularly nurses should continue to advocate for adherence to HD for better health outcomes. Further research is needed to identify the barriers to HD in Rwanda.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"4372716"},"PeriodicalIF":1.9,"publicationDate":"2018-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/4372716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36284872","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":"Effect of the PIVO Device on the Procedure of Phlebotomy from Peripheral IV Catheters.","authors":"Suzanne Adams,&nbsp;Bridget Toroni,&nbsp;Meenal Lele","doi":"10.1155/2018/7380527","DOIUrl":"https://doi.org/10.1155/2018/7380527","url":null,"abstract":"<p><p>Short peripheral catheters (SPC) are an existing conduit into many patients' veins and line draws from SPC are a desired method of routine blood collection especially in difficult venous access patients. The PIVO device facilitates blood collection through SPC and is being used clinically in a number of hospitals. This study aimed to determine the appropriate wait time following a flush and the minimum waste volume required to obtain an undiluted blood sample when using the PIVO device and how that differed from current guidelines from SPC line draws. A clinical study was conducted examining the analyte results of samples drawn with PIVO through a SPC at varying wait times following a saline flush. Both an initial waste volume and a postwaste sample were compared to a venipuncture control. The resulting samples showed no saline dilution as measured by sodium and creatinine results at all studied wait times. These findings suggest that blood collections using the PIVO device can produce a clinically valid sample with a 30-second wait following a SPC flush and no waste volume prior to sample collection.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"7380527"},"PeriodicalIF":1.9,"publicationDate":"2018-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/7380527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36264390","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":"Nurses Practice of Hand Hygiene in Hiwot Fana Specialized University Hospital, Harari Regional State, Eastern Ethiopia: Observational Study.","authors":"Nefsu Awoke,&nbsp;Biftu Geda,&nbsp;Aseb Arba,&nbsp;Tiwabwork Tekalign,&nbsp;Kebreab Paulos","doi":"10.1155/2018/2654947","DOIUrl":"https://doi.org/10.1155/2018/2654947","url":null,"abstract":"<p><strong>Background: </strong>Nurses, who are the majority, can contaminate their hands with different types of microorganism during \"clean\" activities (e.g., lifting a patient; taking a patient's pulse, blood pressure, or oral temperature; or touching a patient's hand, shoulder, or groin). Yet good hand hygiene, the simple task of cleaning hands at the right time and in the right way, can reduce HCAIs that are transmitted by healthcare workers' hands.</p><p><strong>Method: </strong>Observational study conducted among nurses by observational tool which was adopted from WHO observational tool. And finally compliance was calculated as a percentage (i.e., compliance% = (observed hand hygiene action (HHA) ÷ hand hygiene opportunity (O)) × 100). The data were first coded, entered, and cleaned using EpiData statistical software version 3.1 and then exported into SPSS statistical software version 22 for analysis. Data were presented using descriptive statistics.</p><p><strong>Result: </strong>A total of 110 study participants were observed who gave a response rate of 94.8%. Total of 3902 opportunities and 732 hand hygiene actions were observed with overall compliance of 18.7%. The highest 22.9% hand hygiene practice was observed \"before clean∖aseptic procedure.\" Highest 19.6% compliance was recorded at night shift and 22.7% in ICU ward of the hospital. Alcohol based hand rub was a major means of method used to clean hands.</p><p><strong>Conclusion and recommendation: </strong>Observed practice of hand hygiene was poor. Lack of training, conveniently located sink, hand washing agents, and lack of time were major reasons for not practicing hand hygiene. Successful promotion of hand hygiene through instituting system change (e.g., making hand hygiene products available at the point of care) should be considered.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2018 ","pages":"2654947"},"PeriodicalIF":1.9,"publicationDate":"2018-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2018/2654947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36177994","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}