European Journal of Medical and Health Sciences最新文献

{"title":"Status of the Psychological Resilience among the University Students","authors":"","doi":"10.34104/ejmhs.024.030043","DOIUrl":"https://doi.org/10.34104/ejmhs.024.030043","url":null,"abstract":"The present study aims to assess the level of psychological resilience among university students, taking into account variables such as gender, specialization, and study level. The significance of this study lies in the unique nature of the target sample, which comprises students from various disciplines and represents a crucial segment and the future foundation of society. To conduct the study, a stratified random sample was selected from three specified universities, with a sampling percentage of 0.05. The study sample consisted of 1060 male and female students. The researcher utilized a self-designed psychological resilience scale to collect data. The obtained data was then analyzed using the Statistical Package for Social Sciences (SPSS) software, employing statistical techniques such as the Pearson correlation coefficient, Alpha-Cronbach coefficient, one-sample t-test, two-independent samples t-test, and one-way analysis of variance. The results indicated a high level of psychological resilience among university students, as reflected in the total score of the resilience scale. Furthermore, statistically significant differences were observed between male and female students regarding their average resilience scores, with males showing higher levels of psychological resilience. However, no significant differences were found between genders in terms of self-efficacy and optimism dimensions on the psychological resilience scale. Moreover, the study revealed no statistically significant differences in the level of psychological resilience among students from different specializations or study levels. The findings contribute to a better understanding of the psychological well-being of this important segment of society, which can inform the development of targeted interventions and support systems to enhance the resilience and overall mental health of university students.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"44 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961736","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":"Comprehensive Study on Musculoskeletal Injuries among Swimmers in Jordan: Causes, Effects, and Prevention Strategies","authors":"","doi":"10.34104/ejmhs.024.020029","DOIUrl":"https://doi.org/10.34104/ejmhs.024.020029","url":null,"abstract":"No prior investigations have evaluated the musculoskeletal (MSK) injuries characteristic of swimming sport in Jordan. This study aimed to identify the most common sports injuries among male and female swimmers in Jordan. Through a survey distributed to the Jordanian Swimming Federation’s registered swimmers, 173 participants (72 female, 101 male) aged 18 to 25 completed the questionnaire. The results of the study showed that the most common injuries were arranged as follows: muscle spasms, muscle cramps, and sprains; 29.8%, 28.6%, and 17.7%, respectively. The most vulnerable areas were the Shoulder 35.3%, followed by the back 14.4 %, the knee 10.7%, and the neck 10.2%. The most common cause of injuries was Inadequate warm-up, where his percentage reached 34%, followed by Overtraining with a percentage of 27%. Reduced training intensity or frequency, impaired stroke technique, limited range of motion or flexibility, and required complete cessation of swimming had the main effectiveness of the swimming performance and training, where the percent was 34.9%, 20.8%,10.3%, and 4.3%, respectively.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"290 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833750","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":"Comprehensive Study on Musculoskeletal Injuries among Swimmers in Jordan: Causes, Effects, and Prevention Strategies","authors":"","doi":"10.34104/ejmhs.024.020029","DOIUrl":"https://doi.org/10.34104/ejmhs.024.020029","url":null,"abstract":"No prior investigations have evaluated the musculoskeletal (MSK) injuries characteristic of swimming sport in Jordan. This study aimed to identify the most common sports injuries among male and female swimmers in Jordan. Through a survey distributed to the Jordanian Swimming Federation’s registered swimmers, 173 participants (72 female, 101 male) aged 18 to 25 completed the questionnaire. The results of the study showed that the most common injuries were arranged as follows: muscle spasms, muscle cramps, and sprains; 29.8%, 28.6%, and 17.7%, respectively. The most vulnerable areas were the Shoulder 35.3%, followed by the back 14.4 %, the knee 10.7%, and the neck 10.2%. The most common cause of injuries was Inadequate warm-up, where his percentage reached 34%, followed by Overtraining with a percentage of 27%. Reduced training intensity or frequency, impaired stroke technique, limited range of motion or flexibility, and required complete cessation of swimming had the main effectiveness of the swimming performance and training, where the percent was 34.9%, 20.8%,10.3%, and 4.3%, respectively.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139773941","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":"c.202G > A/c.376A > G G6PD Polymorphisms Increase the Risk of Fungal Infections in Acute Myeloid Leukemia Patients","authors":"Noeme Henriques Freitas, Cinthia Cristina Matheus Xerez Albuquerque, Mariana Pereira Lima, N. A. Fraiji, Marilda de Souza Gonçalves, J. P. M. Moura Neto","doi":"10.24018/ejmed.2024.6.1.1996","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1996","url":null,"abstract":"Introduction: Patients with acute myeloid leukemia (AML) show a higher risk for several types of infections, including fungal infections (FI), which are one of the main causes of morbidity and mortality. Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme located in all cells that is very necessary in leukocytes for the production of basic and acid proteases that are used to destroy invading microorganisms. Our objective in this study was to evaluate whether polymorphisms in the G6PD gene concomitantly with FI are associated with clinical events and morbidity in patients diagnosed with AML and followed up at the Amazonas State Blood Center (HEMOAM), Manaus, Brazil.\u0000Materials and Methods: The study population was randomly constituted of adults and children, of either sex, and any age, with a diagnosis of acute myeloid leukemia, all of whom were undergoing treatment at the HEMOAM. Molecular genotyping was performed using real-time PCR (qPCR) and subsequent Sanger sequencing to confirm the c.202G > A/c.376A > G polymorphisms.\u0000Results: A total of 157 patients (91 (58%) males and 66 (42%) females) were involved in the study. The most prevalent AML subtype in the studied group was M3 in 63 patients (40.12%), followed by M5 in 33 patients (21.02%), M2 in 21 patients (13.37%) and M4 in 15 patients (9.55%), with a similar prevalence between genders. The prevalence of fungal infections was identical between genders; however, bruising (p = 0.004), vomiting (p = 0.016) and cardiac alterations (p < 0.001) were higher in females, while persistent cough (p = 0.049) and diarrhea (p < 0.001) were higher in males. A total of eighteen patients presents G6PD polymorphisms, with 8 (5.1%) of these for c.202GA/AA, 18 (11.5%) for c.376AG/GG and 4 (2.5%) for both polymorphisms concomitantly (c.202AA/c.376GG). However, the prevalence of death in patients affected with FI was much higher in those that have these polymorphisms (p < 0.001).\u0000Conclusion: We believe that the determination of G6PD polymorphisms will allow the development of monitoring strategies, and aid in early diagnosis and the appropriate and targeted treatment for AML. In addition, evaluating their activity may help to identify AML patients at a higher risk of FI, thus allowing the design of more intensive therapeutic and surveillance strategies.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"55 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139844515","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":"Comparison of the Effect of Ondansetron and Dexamethasone on Postoperative Shivering After Cesarean Section in Patients Undergoing Spinal Anesthesia","authors":"Mohammad Saleh Sadeghi, Negar Vakili Razlighi, Hadi Vakili Razlighi","doi":"10.24018/ejmed.2024.6.1.1998","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1998","url":null,"abstract":"Background: Shivering is one of the most common problems after spinal anesthesia, which can cause many complications. Various methods and drugs have been used to prevent and treat postoperative shivering. In the present study, the pretreatment effect of ondansetron and dexamethasone in reducing the incidence of shivering after elective caesarean section by the spinal method has been investigated.\u0000Methods: In this study, 78 patients undergoing elective cesarean surgery who were eligible to enter the study were evaluated and randomly divided into two groups: 8mg of ondansetron and 4mg of dexamethasone 15 minutes before the end of surgery. Then, the incidence of shivering was measured at specific time intervals after surgery. Statistical analysis was done using SPSS software.\u0000Results: The two groups were similar in terms of age, height, weight, and BMI (p-value > 0.05). The incidence of shivering at the time of entering the recovery, 10, 20, and 30 minutes in the ondansetron group was 23.1%, 20.5%, 12.8% and 0% and in the dexamethasone, group was 20.5%, 15.4%, 5.2% and 0%, respectively. Statistical analysis showed that these differences are not significant at the significance level of 0.05. These two drugs have the same effectiveness in controlling shivering after cesarean section under spinal anesthesia (p-value > 0.05).\u0000Conclusion: Dexamethasone and ondansetron will be able to control shivering after caesarean section with spinal anesthesia.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782777","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":"c.202G > A/c.376A > G G6PD Polymorphisms Increase the Risk of Fungal Infections in Acute Myeloid Leukemia Patients","authors":"Noeme Henriques Freitas, Cinthia Cristina Matheus Xerez Albuquerque, Mariana Pereira Lima, N. A. Fraiji, Marilda de Souza Gonçalves, J. P. M. Moura Neto","doi":"10.24018/ejmed.2024.6.1.1996","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1996","url":null,"abstract":"Introduction: Patients with acute myeloid leukemia (AML) show a higher risk for several types of infections, including fungal infections (FI), which are one of the main causes of morbidity and mortality. Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme located in all cells that is very necessary in leukocytes for the production of basic and acid proteases that are used to destroy invading microorganisms. Our objective in this study was to evaluate whether polymorphisms in the G6PD gene concomitantly with FI are associated with clinical events and morbidity in patients diagnosed with AML and followed up at the Amazonas State Blood Center (HEMOAM), Manaus, Brazil.\u0000Materials and Methods: The study population was randomly constituted of adults and children, of either sex, and any age, with a diagnosis of acute myeloid leukemia, all of whom were undergoing treatment at the HEMOAM. Molecular genotyping was performed using real-time PCR (qPCR) and subsequent Sanger sequencing to confirm the c.202G > A/c.376A > G polymorphisms.\u0000Results: A total of 157 patients (91 (58%) males and 66 (42%) females) were involved in the study. The most prevalent AML subtype in the studied group was M3 in 63 patients (40.12%), followed by M5 in 33 patients (21.02%), M2 in 21 patients (13.37%) and M4 in 15 patients (9.55%), with a similar prevalence between genders. The prevalence of fungal infections was identical between genders; however, bruising (p = 0.004), vomiting (p = 0.016) and cardiac alterations (p < 0.001) were higher in females, while persistent cough (p = 0.049) and diarrhea (p < 0.001) were higher in males. A total of eighteen patients presents G6PD polymorphisms, with 8 (5.1%) of these for c.202GA/AA, 18 (11.5%) for c.376AG/GG and 4 (2.5%) for both polymorphisms concomitantly (c.202AA/c.376GG). However, the prevalence of death in patients affected with FI was much higher in those that have these polymorphisms (p < 0.001).\u0000Conclusion: We believe that the determination of G6PD polymorphisms will allow the development of monitoring strategies, and aid in early diagnosis and the appropriate and targeted treatment for AML. In addition, evaluating their activity may help to identify AML patients at a higher risk of FI, thus allowing the design of more intensive therapeutic and surveillance strategies.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"22 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784971","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":"Comparison of the Effect of Ondansetron and Dexamethasone on Postoperative Shivering After Cesarean Section in Patients Undergoing Spinal Anesthesia","authors":"Mohammad Saleh Sadeghi, Negar Vakili Razlighi, Hadi Vakili Razlighi","doi":"10.24018/ejmed.2024.6.1.1998","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.1998","url":null,"abstract":"Background: Shivering is one of the most common problems after spinal anesthesia, which can cause many complications. Various methods and drugs have been used to prevent and treat postoperative shivering. In the present study, the pretreatment effect of ondansetron and dexamethasone in reducing the incidence of shivering after elective caesarean section by the spinal method has been investigated.\u0000Methods: In this study, 78 patients undergoing elective cesarean surgery who were eligible to enter the study were evaluated and randomly divided into two groups: 8mg of ondansetron and 4mg of dexamethasone 15 minutes before the end of surgery. Then, the incidence of shivering was measured at specific time intervals after surgery. Statistical analysis was done using SPSS software.\u0000Results: The two groups were similar in terms of age, height, weight, and BMI (p-value > 0.05). The incidence of shivering at the time of entering the recovery, 10, 20, and 30 minutes in the ondansetron group was 23.1%, 20.5%, 12.8% and 0% and in the dexamethasone, group was 20.5%, 15.4%, 5.2% and 0%, respectively. Statistical analysis showed that these differences are not significant at the significance level of 0.05. These two drugs have the same effectiveness in controlling shivering after cesarean section under spinal anesthesia (p-value > 0.05).\u0000Conclusion: Dexamethasone and ondansetron will be able to control shivering after caesarean section with spinal anesthesia.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"320 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842561","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":"A Rare Case of Recurrent Dasatinib-Induced Chylothorax Years After Initial Treatment","authors":"Brian Shaw, Norah Mubarak, Mustafa Nuaimi, Cosette Persall, Thomas Vollenweider, Ryan Shaw, Mario Madruga, S. Carlan","doi":"10.24018/ejmed.2024.6.1.2022","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2022","url":null,"abstract":"Background: Chronic myeloid leukemia (CML) is characterized by the Philadelphia chromosome containing the BCR-ABL protein with deregulated tyrosine kinase activity. Tyrosine kinase inhibitors (TKIs) were developed to target this oncogene. Dasatinib, a TKI, has rarely been associated with spontaneous chylothorax. The majority occur within 1 year of dasatinib initiation and resolve after drug cessation. In contrast, we present a patient with CML on dasatinib therapy for 8 years who developed recurrent unilateral chylothorax even after cessation of dasatinib.\u0000Case: A 57-year-old male with a history of CML on dasatinib therapy presented to the hospital for nausea and vomiting. A computed tomographic scan revealed a large right-sided pleural effusion with thoracentesis yielding 1.5 liters of chylous fluid. The patient’s hospital course was complicated by intracranial hemorrhage and subsequent admission to the intensive care unit. Dasatinib was stopped during this time. The patient experienced multiple recurrences of this effusion with significant output via thoracentesis and chest tube despite dietary changes. Lymphangiography was performed but revealed no evidence of thoracic duct leakage.\u0000Conclusions: Chylothorax from dasatinib is rare, usually occurs within 1 to 2 years of treatment onset, and resolves with discontinuation. However as supported by this case and others, it may occur as late as 8 years from treatment onset and chylothorax may continually re-accumulate or persist up to 1 year from dasatinib cessation. It is imperative to rule out underlying thoracic duct disruption prior to attributing etiology to dasatinib as a misdiagnosis may result in treatment delays.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":" 62","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139788947","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":"Socio-demographic Characteristics of a Cross-section of Pre-eclamptic Women in Yenagoa, Nigeria","authors":"","doi":"10.34104/ejmhs.024.013019","DOIUrl":"https://doi.org/10.34104/ejmhs.024.013019","url":null,"abstract":"Pre-eclampsia (PE) is a multifactorial disorder that ultimately manifests as hypertension in the pregnant woman. This study was aimed at determining socio-demographic characteristics of PE among pregnant women attending tertiary Hospitals in Yenagoa, Bayelsa State, Nigeria. A total of 182 pregnant women, consisting of 91 women with PE (gestation > 20 weeks, blood pressure ≥ 140/90 mmHg) and 91 normotensive pregnant women at gestation > 20 weeks were enrolled in the study by consent. These respondents filled out structured questionnaires that obtained data on sociodemographic variables (which are maternal age, parity, body mass index [BMI], systolic and diastolic blood pressure [SBP and DBP], educational level, family history of PE, occupation, the severity of PE, primipaternity, and gestational age of PE. Data was grouped into PE cases and control. Chi-square was used to determine associations between PE and sociodemographic variables for categorical data, whereas the independent T-test was used to determine differences between groups for parametric data. Data was considered significant at p < .05. Results showed that BMI (X^2 = 21.01, p = .00), SBP (T = 27.06, p = 0.00), DBP (T = 29.75, p = 0.00), educational level (X^2 = 14.15,p = .00), family history of pre-eclampsia (X^2 = 33.09,p = .00), and primipaternity (X^2 = 21.01,p= .00) showed significant associations with pre-eclampsia (p < .05). It is recommended that healthy weight management, blood pressure monitoring, adequate antenatal care, and family history counselling be promoted in health facilities in our setting.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"160 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849019","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":"Occupational Health Hazard Experiences of Doctors and Nurses at a Tertiary Hospital in Bangladesh","authors":"Adiba Sharmin Sikder, Azizur Rahman Sharaque, Naila Haque, Marzan Sultana, Irfan Nowrose Noor, Ummul Khair Alam, Sathi Dastider","doi":"10.24018/ejmed.2024.6.1.2021","DOIUrl":"https://doi.org/10.24018/ejmed.2024.6.1.2021","url":null,"abstract":"Objective: This study aimed to explore the workplace safety experiences of health workers (doctors and nurses) at a tertiary hospital in Bangladesh.\u0000Materials and Methods: This was a descriptive cross-sectional study among conveniently selected 305 registered physicians and nurses working in the designated tertiary hospital. After obtaining the written informed consent, data was collected using face-to-face interviews with a pre-tested, semistructured, interviewer-administered questionnaire from December 2021 to January 2022. Frequency and proportion described the variables.\u0000Result: The mean age of the participants was 28.8 years. Female individuals constituted the majority, accounting for 69.2% of the total. Approximately 69.8% of individuals reported experiencing occupational health hazards. Psychological hazards were the most frequently reported (56.1%), followed by workplace-acquired health hazards (15.7%) and physical hazards (13.8%) among all participants. While 79.0% of the participants were aware of workplace health and safety, only 7.9% received safety training, and only 7.5% reported any occupational hazard to the hospital management.\u0000Conclusion: Healthcare personnel adjust to several professional hazards in a complicated series of events, as the study shows. The complexity of the healthcare environment poses considerable psychological and health hazards. Although there is good preparedness and procedure awareness, the analysis shows some crucial resources and training still need to be improved. Therefore, some strategic actions are needed to improve healthcare professionals’ safety and well-being in the modern healthcare environment through crucial resources and training.","PeriodicalId":508733,"journal":{"name":"European Journal of Medical and Health Sciences","volume":"71 11-12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849536","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}