International Emergency Nursing最新文献

{"title":"Evaluation of health literacy level and personal factors in disease self-management of emergency department patients with chronic diseases","authors":"Ali Kaplan ,&nbsp;Emre Bülbül","doi":"10.1016/j.ienj.2024.101523","DOIUrl":"10.1016/j.ienj.2024.101523","url":null,"abstract":"<div><h3>Background</h3><div>Effective disease management in individuals with chronic illnesses can improve their health outcomes and reduce repeated visits to emergency departments. In this study, it was aimed to investigate the factors affecting the health literacy levels and disease self-management skills of emergency department patients with chronic diseases.</div></div><div><h3>Method</h3><div>The data of the cross-sectional study was collected between July and December 2023. The study included 168 patients who applied to the emergency department of a university hospital. Data was collected using a Patient Description Form, Chronic Disease Self-Management Scale and Health Literacy Scale. Parametric and nonparametric tests, structural equation modelling and regression analysis were used to analyse the data.</div></div><div><h3>Results</h3><div>It was demonstrated that health literacy levels of the patients were an effectual factor on chronic disease self-management skills. Chronic Disease Self-Management levels of patients are affected by marital status, whom they are living with, chronic disease duration, educational status and health perception level. Personal factors affecting the Health Literacy levels of patients are age, chronic disease duration and educational status.</div></div><div><h3>Conclusion</h3><div>Consequently, essential strategies such as patient education should be planned and implemented to support patients’ health literacy and, indirectly, escalate their disease self-management skills.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101523"},"PeriodicalIF":1.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of kaleidoscope on children’s pain and fear during sutures","authors":"Fadimer Taspinar ,&nbsp;Ayşe Sonay Turkmen","doi":"10.1016/j.ienj.2024.101521","DOIUrl":"10.1016/j.ienj.2024.101521","url":null,"abstract":"<div><h3>Introduction</h3><div>The pediatric emergency department can be a place of fear and pain during treatment. This study was to determine the effect of the kaleidoscope on the fear and pain levels of children aged 4–12 years admitted to the pediatric emergency department for suturing.</div></div><div><h3>Method</h3><div>This study was conducted as a randomized controlled experimental study. The sample size was calculated by taking into account the known score in the GPower 3.1.5 program. The sample size was calculated as 112 in total. Children with head or limb injuries were randomly assigned to their groups. Data were collected using “Information form”, “Children’s Fear Scale (CFS), Wong Baker Pain Scale, Kaleidoscope and Stopwatch”. The data were evaluated by percentage, mean, standard deviation, chi-square, <em>t</em> test, correlation analysis and Krusskal Wallis test in computerized environment.</div></div><div><h3>Results</h3><div>The majority of children were male (60.7 %) and the mean age was 7.75 ± 2.79 years. Demographic variables, fear and pain scores of the children were similar before the procedure. After the procedure, the mean fear score was 1.71 ± 1.27 for the kaleidoscope group and 3.23 ± 0.89 for the control group, and the difference between the groups was found to be significant (p &lt; 0.01). When the difference between the groups was examined in terms of the pain status of the children after the procedure, it was observed that the pain level of the children in the kaleidoscope group (1.77 ± 1.12) was significantly lower than the pain level of the children in the control group (3.30 ± 0.91) (p &lt; 0.05).</div><div>In conclusion, it was found that the use of kaleidoscope during suturing procedure decreased children’s fear and pain levels. Therefore, it is recommended that the use of kaleidoscope during suturing should be widespread.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101521"},"PeriodicalIF":1.8,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-hospital emergency care personnel’s challenges in providing care in mass casualty incidents: A qualitative study","authors":"Mostafa Bijani ,&nbsp;Mohammad Javad Moradian ,&nbsp;Hojatolah Najafi ,&nbsp;Paul Arbon ,&nbsp;Saeed Abedi","doi":"10.1016/j.ienj.2024.101522","DOIUrl":"10.1016/j.ienj.2024.101522","url":null,"abstract":"<div><h3>Background</h3><div>In incidents with mass casualties, pre-hospital emergency medical services personnel (prehospital EMS personnel) face challenges that can impact their management of the scene and, by extension, their professional performance. The present study investigated the challenges faced by prehospital EMS personnel in mass casualty incidents in the south of Iran.</div></div><div><h3>Methods</h3><div>This is a qualitative-descriptive study. The subjects were selected via purposeful sampling. Accordingly, 23 prehospital EMS personnel were interviewed in 23 semi-structured, individual, in-depth interviews. Graneheim and Lundman’s method was used to collect the data.</div></div><div><h3>Results</h3><div>Three themes and eight subthemes emerged from the qualitative data analysis. The three main themes were challenges related to professional capabilities, challenges related to organizational management inefficiency, and challenges related to lack of effective inter-organizational coordination and cooperation in crisis management.</div></div><div><h3>Conclusion</h3><div>The challenges faced by prehospital EMS personnel in mass casualty incidents encompasses challenges related to professional capabilities, challenges related to organizational management inefficiency, and challenges related to lack of effective inter-organizational coordination and cooperation in crisis management. The results of this study can be used by senior medical emergency services managers to identify the challenges of pre-hospital emergency care personnel in mass casualty incidents and take the necessary measures to eliminate them to improve the quality of pre-hospital care in mass casualty incidents.</div></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101522"},"PeriodicalIF":1.8,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The reliability and validity of triage tools in geriatric emergency departments: A scoping review","authors":"Wenhui Zhang ,&nbsp;Mengxia Zhang ,&nbsp;Piaoyu Yang ,&nbsp;Wanting Zhou ,&nbsp;Jili Zheng ,&nbsp;Yuxia Zhang","doi":"10.1016/j.ienj.2024.101509","DOIUrl":"10.1016/j.ienj.2024.101509","url":null,"abstract":"<div><h3>Background</h3><p>The nurse’s ability to accurately identify urgent conditions and triage this vulnerable population tends to be complex and challenging. Little is known about the reliability and validity of common triage tools in geriatric patients.</p></div><div><h3>Aim</h3><p>To determine the reliability and validity of triage tools in geriatric emergency care and summarize the specific content of current triage tools for geriatric patients.</p></div><div><h3>Methods</h3><p>The eligible literature was searched from the MEDLINE, CINAHL, EMBASE, and Cochrane Database using targeted search strategies. We defined the objectives and questions, set standards for article inclusion criteria, and conducted literature searching and screening. The mixed methods assessment tool (MMAT) appraised the article’s quality. Finally, we extracted and analyzed the data from the included articles, summarizing the results. Endnote X9 was used for data extraction and collation.</p></div><div><h3>Results</h3><p>Nine articles were eligible. These included six triage tools: CTAS, JTAS, KTAS, MTS, SETS, and ESI. The reliability of the CTAS was good when applied to triage geriatric patients. The SETS performed well in prehospital simulated triage. The ESI has moderate to excellent reliability. The CTAS has good to excellent validity, while the JTAS, KTAS, MTS, and ESI have fair to good results.</p></div><div><h3>Conclusion</h3><p>Several triage tools are useful in geriatrics, but the reliability and validity of these tools have mixed results. Applying triage tools to triage geriatric patients still has limitations.</p></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101509"},"PeriodicalIF":1.8,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142239809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing emergency competencies in healthcare professionals via murder mystery games: An innovative gamification learning-based approach","authors":"Li Liping ,&nbsp;Fang Xiaoxia ,&nbsp;Zhang Yu ,&nbsp;Wei Yiwei","doi":"10.1016/j.ienj.2024.101510","DOIUrl":"10.1016/j.ienj.2024.101510","url":null,"abstract":"<div><h3>Background</h3><p>Enhancing the emergency competencies of healthcare professionals is essential for ensuring patient safety, optimizing emergency response efficiency, and fostering effective team collaboration. However, traditional simulation-based methods often struggle to accurately replicate real-life emergencies, resulting in outcomes that may not fully reflect actual performance, thereby undermining their effectiveness in training and developing the critical skills needed for emergency situations.</p></div><div><h3>Objective</h3><p>This study evaluated the effectiveness of using murder mystery games (MMGs) as a gamified learning method to enhance the emergency competencies of healthcare professionals.</p></div><div><h3>Methods</h3><p>Twelve scripts of emergency scenarios were developed for the MMGs, and five assessment scales were established, covering emergency response, scenario decision-making, team collaboration, emotional support, and human care. Questionnaire data were analyzed between the experimental and control groups using Chi-square tests for five dimensions and nineteen indicators of emergency competencies.</p></div><div><h3>Results</h3><p>The performance of the experimental group in emergency response and emotional support was significantly higher than that of the control group (<em>P&lt;</em>0.001). The experimental group also showed notable excellence in scenario decision-making, team collaboration, and human care (<em>P&lt;</em>0.005).</p></div><div><h3>Conclusions</h3><p>Emergency capabilities can be significantly enhanced through murder mystery games, providing robust support for improving the quality of medical services.</p></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101510"},"PeriodicalIF":1.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare failure mode and effect analysis combined service blueprint – Mitigating mass casualty triage in emergency units: A qualitative study","authors":"Jen-Shu Chia ,&nbsp;Ching Chang ,&nbsp;Shih-Ching Lo ,&nbsp;Chen-Hsuan Yang ,&nbsp;Hui-Yu Yang","doi":"10.1016/j.ienj.2024.101508","DOIUrl":"10.1016/j.ienj.2024.101508","url":null,"abstract":"<div><h3>Introduction</h3><p>The 24-hour operation of medical emergency units involves crucial first-hand information and medical treatments, which could involve potential complications and disputes if not handled with the utmost professionalism. Effective logistical support and timely activation are crucial in mass casualty triage to prevent systematic treatment issues and chaos.</p></div><div><h3>Objective</h3><p>This study explores the integration of Healthcare Failure Mode and Effect Analysis (HFMEA) with a service blueprint to mitigate medical risks and enhance mass casualty triage efficiency in emergency units.</p></div><div><h3>Method</h3><p>An expert team analyzed emergency unit standard operating procedure cases using a service blueprint to visually represent mass casualty triage scenarios. The HFMEA identified potential hazards and failure risks in healthcare service delivery during mass casualty triage.</p></div><div><h3>Results</h3><p>Fifteen high-risk hazard indexes exceeding the standard score of eight were identified among three main processes and thirty-one potential failure reasons. The initial operational time for mass casualty triage was approximately 104 min, significantly reduced to 34 min after process revision (<em>p</em> = 0.043, &lt;0.05).</p></div><div><h3>Conclusions</h3><p>This study demonstrates effective time management in mass casualty triage, potentially saving up to an hour. Improved operational efficiency allows for focused resuscitation efforts, alleviating concerns about timely patient flow initiation.</p></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"77 ","pages":"Article 101508"},"PeriodicalIF":1.8,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755599X24001034/pdfft?md5=1391b759b78d3c262a1d1ac449c0526b&pid=1-s2.0-S1755599X24001034-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142137439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician’s perspectives on the feasibility of patient controlled analgesia in emergency departments: A qualitative descriptive study","authors":"Natasya Raja Azlan ,&nbsp;Caroline Bulsara ,&nbsp;Leanne Monterosso ,&nbsp;Max Bulsara ,&nbsp;Gail Ross-Adjie","doi":"10.1016/j.ienj.2024.101505","DOIUrl":"10.1016/j.ienj.2024.101505","url":null,"abstract":"<div><h3>Background</h3><p>Despite pain being the most common reason for patients to visit the emergency department (ED), conventional pain management methods are often inadequate. Patient controlled analgesia (PCA), which allows patients to self-administer intravenous analgesia, is widely used across many hospital wards, however, is not routinely used in ED. We aimed to identify clinicians’ perceptions of PCA use in the ED setting.</p></div><div><h3>Methods</h3><p>A qualitative descriptive approach was employed using semi-structured individual interviews conducted with ED clinicians from two hospitals in Western Australia. Interviews were recorded and transcribed. Data was analysed using qualitative content analysis.</p></div><div><h3>Results</h3><p>Data saturation was achieved after 20 participant interviews. Five themes emerged from the interview data: sustainability and choosing the right patient; time; safety concerns and side effects; anticipating the patient’s perspective (staff perception); facilitating PCA use in ED.</p></div><div><h3>Conclusion</h3><p>Most participants perceived that patients would experience several benefits from PCA use in ED. Several perceived barriers and facilitators were also identified. To facilitate the use of PCA in ED, there is a need for staff education on PCA use, patient selection guidelines and effective change management strategies. Further research about the time it takes to administer analgesia via PCA compared with conventional methods is needed.</p></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"76 ","pages":"Article 101505"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755599X24001009/pdfft?md5=fdfa2ae8b99f75f4dc37bd215f8c86d8&pid=1-s2.0-S1755599X24001009-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Design and construct of an assessment tool for the handover of critical patient the in urgent care and emergency setting” [Int. Emerg. Nurs. 75 (2024) 101490]","authors":"Ruth Tortosa-Alted ,&nbsp;Marta Berenguer-Poblet ,&nbsp;Silvia Reverté-Villarroya ,&nbsp;José Fernández-Sáez ,&nbsp;Ferran Roche-Campo ,&nbsp;Montserrat Alcoverro-Faneca ,&nbsp;Rebeca Ferré-Felipo ,&nbsp;Immaculada Lleixà-Benet ,&nbsp;Estrella Martínez-Segura","doi":"10.1016/j.ienj.2024.101498","DOIUrl":"10.1016/j.ienj.2024.101498","url":null,"abstract":"","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"76 ","pages":"Article 101498"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755599X24000934/pdfft?md5=b8bf174803f9d4a2cb72fc5f825031df&pid=1-s2.0-S1755599X24000934-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“We just ignored them.” Adaptation strategies used by emergency department personnel in the face of workplace violence: A qualitative study","authors":"Yousef Mohammadpour ,&nbsp;Naser Parizad ,&nbsp;Hossein Habibzadeh ,&nbsp;Yaser Moradi ,&nbsp;Rahim Baghaei","doi":"10.1016/j.ienj.2024.101507","DOIUrl":"10.1016/j.ienj.2024.101507","url":null,"abstract":"<div><h3>Background</h3><p>Workplace violence (WPV) can have adverse psychological, physical, and emotional effects on emergency department (ED) personnel. Adaptive strategies can help them better adapt to WPV. The study aimed to explore ED personnel’s experiences with adaptive strategies used in the face of WPV.</p></div><div><h3>Methods</h3><p>In this qualitative study, 22 ED personnel (nurses, doctors, services patient care assistants, and security guards) were selected using purposive sampling from Urmia city hospitals. Deep semi-structured individual face-to-face interviews were used to collect data. After recording and implementing interviews, conventional content analysis was used to extract concepts.</p></div><div><h3>Results</h3><p>Data analysis led to extracting an overarching theme of “mastering the situation and avoiding harm.” Two categories that supported the main theme were: “effort to avoid violence” and “effort to escape suffering.” The seven subcategories supported main categories included “managing patients and companions, ”self-control,“ ”seeking support, “emotional discharge,” “thought diversion, ”tendency to spirituality,“ and ”seeking medical assistance.“</p></div><div><h3>Conclusion</h3><p>Given the experiences of ED personnel regarding strategies used, health managers and policymakers are recommended to develop and implement comprehensive programs to reduce violence and empower nurses before and after dealing with violence. The following programs will help: developing and implementing guidelines such as zero-tolerance WPV policy, criminalizing violence against personnel and punishing perpetrators; holding classes related to communication skills, self-control skills, and deviant thinking skills for ED personnel; raising public awareness of the prevailing conditions in the emergency through mass media, and counseling and treating violent ED personnel.</p></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"76 ","pages":"Article 101507"},"PeriodicalIF":1.8,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142088388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why do patients who are triaged as low-acuity visit the emergency department? – A Polish perspective","authors":"Wiktoria Zasada ,&nbsp;Hanna Cholerzyńska ,&nbsp;Tomasz Kłosiewicz ,&nbsp;Monika Rozmarynowska ,&nbsp;Patryk Konieczka ,&nbsp;Julian Lasik ,&nbsp;Tomasz Jankowski ,&nbsp;Sebastian Kubiak ,&nbsp;Iwona A. Bielska","doi":"10.1016/j.ienj.2024.101506","DOIUrl":"10.1016/j.ienj.2024.101506","url":null,"abstract":"<div><h3>Background</h3><p>Emergency departments (EDs) worldwide are dealing with overcrowding, system fragmentation, and coordination problems, which impact patient wait times, staff job satisfaction, and patient outcomes. Inappropriate ED visits, particularly those for low acuity conditions, exacerbate these challenges. However, the motivations behind these visits are poorly understood, with limited data from the patient perspective. This study investigated patient-reported motives behind ED visits triaged as low acuity in Poznan, Poland, to propose health care system flow enhancements.</p></div><div><h3>Material and methods</h3><p>A cross-sectional survey and retrospective chart review were conducted in the ED of the Hipolit Cegielski Medical Center in Poznań, Poland, over three months in 2022–23. Patients who were triaged to have low acuity conditions were invited to participate in the survey. The data collected through the questionnaire included patient and ED visit characteristics. Additional information on the visits was extracted from the patient charts.</p></div><div><h3>Main results</h3><p>This study involved 293 patients who underwent low-acuity triage. Among them, 58 % were deemed to have conditions that could have been treated in primary care. Most of the patients (74 %) visited the ED of their own volition due to concerns about their health. Other reasons for ED attendance were challenges accessing primary care or a specialist clinic (11 %), system navigation problems (5 %), or a lack of trust in their primary care provider (2 %).</p></div><div><h3>Conclusions</h3><p>This study showed that of the patients surveyed, the majority had conditions that could have been treated outside of the ED setting. We recommend prioritizing education, particularly among younger adults, to increase awareness about nonurgent care options while improving health care policies.</p></div>","PeriodicalId":48914,"journal":{"name":"International Emergency Nursing","volume":"76 ","pages":"Article 101506"},"PeriodicalIF":1.8,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755599X24001010/pdfft?md5=533e55247d6d186febc7189c821170d6&pid=1-s2.0-S1755599X24001010-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}