Comprehensive child and adolescent nursing最新文献

{"title":"Transition Readiness in Adolescents and Young Adults with Type 1 Diabetes Mellitus: A Concept Analysis.","authors":"Valentina Vanzi, Ilaria Campagna, Fabiola Spina, Adele Passaro, Federica Cancani, Annalisa Deodati, Orsola Gawronski, Emanuela Tiozzo, Immacolata Dall'oglio","doi":"10.1080/24694193.2026.2739867","DOIUrl":"https://doi.org/10.1080/24694193.2026.2739867","url":null,"abstract":"<p><strong>Background/objectives: </strong>The transition from pediatric to adult healthcare is a critical and vulnerable period for adolescents and young adults with type 1 diabetes, often associated with increased risks of acute complications and long-term adverse outcomes. Despite its recognized clinical importance, the concept of \"transition readiness\" remains inconsistently defined and operationalized in research and practice. This study aimed to clarify the concept using Walker and Avant's method of concept analysis.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases, complemented by reference screening and a targeted Google search for dictionary definitions, and documented using the PRISMA 2020 flow diagram.</p><p><strong>Results: </strong>Forty-two papers met the inclusion criteria and were analyzed to identify defining attributes, antecedents, consequences, and empirical referents of transition readiness. Four defining attributes emerged: multidimensional maturity; diabetes knowledge and health literacy; self-management competencies; and healthcare system navigation skills. Antecedents included developmental maturation, a gradual shift from parent-led to autonomous care, and engagement in structured transition pathways. Consequences were identified at patient, care-process, and health-system levels, highlighting potential improvements in clinical outcomes and continuity of care. Empirical referents mainly consisted of diabetes-specific readiness tools, though psychometric limitations persist.</p><p><strong>Conclusions: </strong>Transition readiness appears as a multidimensional, measurable, and actionable construct that promotes safer, higher‑quality transitional diabetes care. A clearer conceptualization of transition readiness can support healthcare professionals in identifying adolescents' preparedness for transfer and planning individualized, developmentally appropriate interventions. Standardized assessment of readiness may improve continuity of care, reduce transition-related risks, and strengthen patient engagement in self-management.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-18"},"PeriodicalIF":1.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076857","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":"\"I've Always Wanted to Find That Peace That Everyone Talks About with Mindfulness\": The Development of an Asynchronous Mindfulness-Training Mobile Health Application for Adolescents with Type 1 Diabetes.","authors":"Kaitlyn Rechenberg, Rebecca Koerner, Carley Geiss","doi":"10.1080/24694193.2026.2668721","DOIUrl":"10.1080/24694193.2026.2668721","url":null,"abstract":"<p><p>Adolescents with type 1 diabetes (T1D) report increased stress and anxiety in comparison to their peers, which may result in out-of-range glycemic outcomes. Complementary therapies such as mindfulness may improve stress and anxiety. However, mindfulness training is mostly delivered in-person for adolescents. As adolescents with T1D are high consumers of technology, with busy schedules that impede their ability to complete in-person training, we designed an mHealth application, Appricate^©, to deliver mindfulness-training. The goal of this pilot study was to qualitatively describe the experience of participating in an 8-week mHealth mindfulness-training intervention based on the principles of MBSR, Appricate^©, among adolescents with T1D. We conducted semi-structured interviews with 12 adolescents aged 12 to 19 years old who had T1D for >6 months and had completed our 8-week mHealth mindfulness-training intervention. We identified five themes based on participant interviews: (1) initial appeal and attractiveness, (2) usability, (3) engagement, (4) user outcomes, and (5) recommendations. Appricate^© was reported as \"well made\" that was \"very easy to use\" with engaging lessons. Participants had improved sleep, stress and anxiety management and better ability to manage school and after-school activities after using Appricate^©. Participants also recommended additional content and options for personalization.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"173-187"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846624","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":"\"Follow the Leader\": The Role Assumptions which Can Influence the Use of Holding and Restraint within children's Procedural Trajectories. A Qualitative Multimethod Study.","authors":"Sara Melville, Bernie Carter, Barbara Jack, Lucy Bray","doi":"10.1080/24694193.2026.2674671","DOIUrl":"10.1080/24694193.2026.2674671","url":null,"abstract":"<p><p>Holding children for procedures is often perceived as a routine, uncontested aspect of pediatric practice. There has been an increase in literature describing parents' experiences of holding their child and professionals reported practice. However, limited research has observed practice and explored what influences healthcare professionals' decisions to hold a child or to encourage parental holding. This study examined how and why healthcare professionals decide to initiate, continue, or stop holding a child during a procedure, and identified the factors that influence these decisions. A descriptive qualitative multi-method design was employed, incorporating semi-structured observations focused on verbal and nonverbal interactions, vignettes constructed from each observation, and semi-structured interviews with healthcare professionals. Purposeful sampling identified children under 10 years of age undergoing a procedure in a tertiary children's hospital in Northwest England. Data from the field notes and transcripts were analyzed thematically. Eight children (aged 1 month to 10 years) and their parents were observed, along with 12 healthcare professionals (doctors, nurses, healthcare assistants, and play specialists). Eleven professionals were interviewed in this study. The findings revealed a lack of explicit discussion or planning regarding the roles of professionals, parents, and children before the procedures. Two themes were identified which highlighted \"healthcare professionals assumptions about parents' role\" to comfort, distract, support and hold their child during a procedure, and \"expectations about children's responses and behaviors during procedures,\" led professionals to expect that children who had been resistant previously and younger children would be distressed leading to holding being inevitable. This study provides the first in-depth exploration of healthcare professionals' decision-making about holding children based on observed practices. The findings demonstrate that unspoken assumptions and expectations influence procedural trajectories with implications for practice and training.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"188-200"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Childhood Trauma, Bullying and Parental Bonding in Adolescent Social Phobia: A Mental Health Nursing Perspective in Indonesia.","authors":"Niken Setyaningrum, Ardhian Indra Darmawan, Chanif Kurnia Sari, Fitriah M Suud","doi":"10.1080/24694193.2026.2692356","DOIUrl":"10.1080/24694193.2026.2692356","url":null,"abstract":"<p><strong>Background: </strong>Social phobia is prevalent in adolescence and may be shaped by early adversity and family context; Southeast Asian evidence remains limited.</p><p><strong>Objectives/aims/hypotheses: </strong>This study aimed to examine whether childhood trauma, bullying experiences, and parental bonding predict adolescent social phobia. Demographic variables (age and gender) were also examined descriptively. We hypothesized that higher levels of trauma and bullying, as well as non-optimal parental bonding, would be associated with greater social phobia.</p><p><strong>Design: </strong>Quantitative Exploratory.</p><p><strong>Methods (setting, inclusion/exclusion): </strong>We surveyed 252 students (aged 15-18) from a public senior high school in Yogyakarta, Indonesia. Inclusion: active enrollment and assent; parental consent for minors. Exclusion: current clinician-diagnosed psychiatric disorder under treatment. Instruments included the Childhood trauma was assessed using the 28-item Childhood Trauma Questionnaire - Short Form (CTQ-SF), Parental Bonding Instrument, Bullying Experience Scale, and Liebowitz Social Anxiety Scale - Self Report. Data were analyzed in SPSS using descriptive statistics and multiple linear regression (α = 0.05).</p><p><strong>Results: </strong>Participants were mostly aged 16 years (40.5%) and female (61.1%). Trauma was commonly mild to moderate; non-optimal bonding was present in a sizable minority; bullying ranged from low to moderate for many. Social phobia was predominantly mild to moderate. Regression showed the model was significant (R = 0.652; R2 = 0.425; Adjusted R2 = 0.416; F (3,248) = 61.820, p < .001). Childhood trauma (B = 0.285, p < .001) and bullying (B = 0.312, p = .001) positively predicted social phobia, while optimal parental bonding was protective (B =  -0.204, p = .002).</p><p><strong>Conclusions: </strong>Future research could explore the effectiveness of nurse-led screening, school based anti-bullying, and family psychoeducation interventions to minimize social phobia among adolescents.</p><p><strong>Impact statement: </strong>Childhood trauma, bullying, and parental bonding predict adolescent social phobia, highlighting the importance of family and school-based mental health interventions.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"201-217"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474429","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 Practical Care Coordination Tool for Children with Medical Complexity: Development, Stakeholder Evaluation, and a Proposal for Pilot Implementation.","authors":"Cheri Salazar, Kara Schrader","doi":"10.1080/24694193.2026.2699118","DOIUrl":"10.1080/24694193.2026.2699118","url":null,"abstract":"<p><p>Children with complex medical care needs require extensive resources. Their families face significant challenges in coordinating care, managing insurance, and integrating various care plans, especially in areas without pediatric palliative care or complex care clinics. To address this gap, we developed a family-centered care coordination tool and evaluated stakeholder perceptions of its content and usability prior to electronic implementation. The tool was informed by a targeted literature review and iterative feedback from caregivers, primary care providers, and nurse coordinators. Stakeholders reviewed prototype templates and completed surveys with quantitative and qualitative items, analyzed using descriptive statistics and rapid thematic analysis. Caregivers and providers endorsed the tool's usefulness and anticipated benefits for care coordination. Key priorities included problem lists, medication details with doses, care-team contacts, and ease of updating. Feedback led to expanded medication and goal sections. Overall, stakeholders supported the tool's design and proposed electronic integration. A prospective pilot is planned to create an electronic prototype of the mobile application to assess usability, caregiver burden, and early clinical outcomes following implementation.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"218-243"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438975","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":"Sleep Deprivation, Social Media Addiction, and Associated Factors in Children After Natural Disasters.","authors":"Şüheda Demirci, Sibel Ergün","doi":"10.1080/24694193.2026.2724184","DOIUrl":"https://doi.org/10.1080/24694193.2026.2724184","url":null,"abstract":"<p><p>Natural disasters frequently impact millions of children worldwide and in Türkiye. While direct exposure is heavily studied, this research specifically examined sleep deprivation and social media addiction in children indirectly exposed to earthquakes via digital platforms. A descriptive, correlational, and cross-sectional study was conducted with 369 middle school students. Data were collected using a structured Questionnaire, the Child and Adolescent Sleep Deprivation Scale, and the Social Media Addiction Scale for Children to evaluate the interplay between indirect disaster exposure, technological dependency, and sleep architecture. A significant correlation was identified between social media addiction and sleep deprivation among the participants. Notably, using social media to access distressing information about natural disasters emerged as a key contributor to increased sleep deprivation. Conversely, children's active involvement in disaster awareness education, preparedness drills, and proactive actions like assembling an emergency kit were significantly associated with lower levels of both social media addiction and sleep deprivation. Excessive social media exposure to disaster content directly contributes to sleep deprivation in indirectly affected children, creating a compounding cycle of technological dependency and sleep loss. Structured disaster awareness education, preparedness drills, and school nurse-led training on emergency kits and supportive health interventions are strongly recommended to mitigate these psychosocial risks and promote healthy digital habits.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-16"},"PeriodicalIF":1.4,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148835250","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":"Effects of Peer-Based Experiential Education on Psychosocial Adaptation in Adolescents with Type 1 Diabetes: A Randomized Controlled Trial.","authors":"Didem Polat Külcü, Ayda Çelebioğlu","doi":"10.1080/24694193.2026.2715426","DOIUrl":"https://doi.org/10.1080/24694193.2026.2715426","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with Type 1 diabetes face significant challenges in achieving effective self-management and maintaining psychosocial well-being. Peer-based and participatory health education approaches, grounded in Social Learning Theory, may strengthen adolescents' motivation, confidence, and experiential learning in diabetes care.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of a peer-based participatory health education program on psychosocial adaptation outcomes - self-efficacy, illness attitudes, and diabetes knowledge - and to explore its short-term effects on glycemic control among adolescents with Type 1 diabetes.</p><p><strong>Methods: </strong>A parallel-group randomized controlled trial was conducted with 46 adolescents aged 13-18 years with suboptimal glycemic control (HbA1c > 7.5%), recruited from a tertiary pediatric endocrinology clinic. Participants were randomly allocated to an intervention group (<i>n</i> = 23) or a control group (<i>n</i> = 23). The intervention group received a seven-week peer-based experiential education program including group discussions, exercise activities, and a kitchen workshop, while the control group received routine individual education. Data were analyzed using appropriate parametric and non-parametric tests with a significance level of <i>p</i> < .05.</p><p><strong>Results: </strong>Adolescents in the intervention group showed significantly higher posttest scores for self-efficacy, illness attitudes, and diabetes knowledge compared with the control group (<i>p</i> < .01). Within-group analyses demonstrated significant improvements in psychosocial outcomes among intervention participants, whereas no meaningful change was observed in the control group. Although HbA1c levels decreased slightly in both groups over the three-month follow-up period, the between-group difference was not statistically significant.</p><p><strong>Conclusion: </strong>Peer-based participatory health education improved psychosocial outcomes among adolescents with Type 1 diabetes. Incorporating peer interaction and experiential learning into diabetes education programs may strengthen psychosocial adaptation and support the foundations of effective self-management.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-17"},"PeriodicalIF":1.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765618","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":"Youths with Type 1 Diabetes' and Their Parents' Experiences of Insulin Pumps and Continuous Glucose Monitoring.","authors":"Anna-Lena Fureman, Torbjörn Lind, Mikael Lilja, Stefan Särnblad, Ulf Samuelsson, Rita Sjöström","doi":"10.1080/24694193.2026.2715377","DOIUrl":"https://doi.org/10.1080/24694193.2026.2715377","url":null,"abstract":"<p><strong>Background: </strong>To enhance the quality of life for individuals with type 1 diabetes and mitigate the risks of complications, new methods for insulin delivery and glucose monitoring are being developed. The ability to monitor a child's glucose levels via a mobile phone can provide parents with a feeling of security, potentially leading to improved sleep quality. However, constant monitoring could lead to increased stress both for youths and parents.</p><p><strong>Aim: </strong>The aim of the study was to explore how youths with type 1 diabetes and their parents experienced using insulin pumps and continuous glucose monitoring devices (CGM) and the support from the diabetes team. Further, to explore their opinions about the glucose target HbA1c ≤ 48 mmol/mol (6.5%) and other glucose metabolic measurements.</p><p><strong>Method: </strong>Sixteen individual interviews were performed with eight youths with type 1 diabetes and their parents. Qualitative content analysis was done according to Graneheim and Lundman.</p><p><strong>Results: </strong>The participants described increased satisfaction, security, strengthened independence and increased freedom. The parents described improved sleep at night leading to increased quality of life. The participants had not reflected so much over the change when the glucose target was lowered in 2017, but they found time in tight range to be more useful. They had a positive experience of healthcare with easy accessibility and continuity, and they described technical support as important.</p><p><strong>Conclusion: </strong>Insulin pumps and CGM facilitate everyday life for both youths and their parents, and the opportunity to follow their youth's glucose values does not seem to be a problem to neither youths nor parents. The lowering of the glucose target is not something that parents and youth had much concern about, and they consider the gluco-metabolic measurement time in tight range to be more useful.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"1-17"},"PeriodicalIF":1.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702546","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":"Do Children and Adolescents with Attention Deficit Hyperactivity Disorder Use Screens More? A Systematic Review and Meta-Analysis.","authors":"Paulo Gonçalves Júnior, Italo Emmanoel Silva E Silva, Marcela Baraúna Magno, Lucianne Cople Maia, Matheus Melo Pithon, Raildo da Silva Coqueiro","doi":"10.1080/24694193.2026.2640837","DOIUrl":"10.1080/24694193.2026.2640837","url":null,"abstract":"<p><strong>Background: </strong>Our aim in conducting this review was to investigate whether children and adolescents with attention deficit hyperactivity disorder (ADHD) exhibit differences in screen time when compared to children and adolescents with typical development.</p><p><strong>Method: </strong>The study protocol was registered in the PROSPERO database. Databases and gray literature were screened. Studies that compared screen time between children and adolescents with ADHD and those with typical development were included and critically evaluated with the Joanna Briggs Institute tools. Meta-analyses were performed considering screen time ≥2 hours/day or its mean (hours/day). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was applied for evaluating the certainty of the evidence. Twenty-two studies were included.</p><p><strong>Results: </strong>In total, 235 283 children and adolescents of both sexes were evaluated. ADHD was diagnosed clinically or based on caregiver reporting, and different screen types were reported. With a low and very low certainty of evidence, children and adolescents with ADHD were more likely to spend ≥2 hours/day during the week with computers and screens in general and had a higher mean screen time (<i>p</i> < .05). ADHD medication did not seem to influence these results.</p><p><strong>Conclusions: </strong>Children and adolescents with ADHD spent more time during weekdays using screens and were therefore more likely to exhibit excessive screen and computer use.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"95-118"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Disease Experience of Adolescent Patients with Osteosarcoma: A Descriptive Phenomenological Study.","authors":"Yunchao Fan, Yao Zhang, Dandan Lu, Wanting Hao, Xia Liang, Yuting Wu, Jinfeng Li","doi":"10.1080/24694193.2026.2655137","DOIUrl":"10.1080/24694193.2026.2655137","url":null,"abstract":"<p><p>Osteosarcoma is the most common type of bone malignancy among adolescents and is known for its rapid progression, high invasiveness, and poor prognosis. It poses a serious threat to adolescents' survival and well-being. Moreover, as research on adolescent osteosarcoma patients in China is limited, studies exploring their disease experience are even rarer. In this descriptive-phenomenological study, 10 adolescent patients with osteosarcoma underwent semi structured interviews to explore their disease experience. Data were analyzed using Colaizzi's seven-step method, yielding five core themes: physiological symptom distress, negative psychological experiences, changes in social functioning, individual coping strategies, and experiences of self-growth. Adolescents with osteosarcoma face multiple challenges during diagnosis and treatment, including physical and psychological distress, impaired social functioning, and difficulties in self-management, but they also demonstrate the potential for positive personal growth. It is recommended that health care professionals develop and implement personalized, multidimensional support strategies covering physiological, psychological, and social aspects to facilitate recovery and enhance the quality of life of these adolescents.</p>","PeriodicalId":72655,"journal":{"name":"Comprehensive child and adolescent nursing","volume":" ","pages":"135-150"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655575","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}