Journal of rural medicine : JRM最新文献

{"title":"Caffeine intoxication as a result of excessive consumption of bottled coffee products: a case report.","authors":"Mayuko Ito,&nbsp;Taishi Ando,&nbsp;Kazunori Yamamoto,&nbsp;Aki Ishido","doi":"10.2185/jrm.2023-004","DOIUrl":"https://doi.org/10.2185/jrm.2023-004","url":null,"abstract":"<p><p><b>Objectives:</b> Most cases of caffeine intoxication result from the excessive intake of over-the-counter drugs and energy drinks. However, few cases of caffeine intoxication due to the excessive consumption of bottled coffee products have been reported. Herein, we present a case report of caffeine intoxication. <b>Patient:</b> A 39-year-old man experienced numbness and weakness in the extremities for three nights over five days. <b>Results:</b> Blood tests revealed hypophosphatemia and low 25-OH vitamin D concentration. The symptoms disappeared the next day without any additional treatment. A lifestyle interview revealed that he regularly consumed bottled coffee like it was water and had approximately 1 L of it from evening to night. He was diagnosed with weakness in the extremities due to hypophosphatemia caused by caffeine intoxication. Upon investigating some bottled coffee products, we found that only a few of them had labels disclosing caffeine content and warnings of the risks of excessive caffeine intake. <b>Conclusion:</b> We encountered a case of caffeine intoxication via coffee. Although rare in the past, caffeine intoxication might increase owing to the widespread use of bottled coffee products. The caffeine content of coffee products should be indicated on labels to warn consumers.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"200-204"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/19/jrm-18-200.PMC10336343.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199030","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":"Rural-urban disparities in knowledge, attitude, and practice toward child oral health among mothers of 9-36-month-old children.","authors":"Ambrish Mishra,&nbsp;Divashree Sharma,&nbsp;Geeta Mishra Tripathi,&nbsp;Tauseef Ahmed Khan","doi":"10.2185/jrm.2022-043","DOIUrl":"10.2185/jrm.2022-043","url":null,"abstract":"<p><p><b>Objective:</b> To assess and compare the knowledge, attitude, and practice of mothers of pre-school children in urban and rural areas toward maintaining child oral health. <b>Materials and Methods:</b> A cross-sectional comparative study was conducted in a convenient sample of 400 mothers of pre-school children (aged 9 months to 3 years) visiting the outpatient department of the Department of Dentistry, Shyam Shah Medical College, Rewa (M.P), India between February 1 and April 21, 2022. The study sample was divided into two groups based on whether they belonged to a rural area (Group A) or urban area (Group B). Group A included 236 participants, and Group B 186 participants. They were served a 24-item questionnaire to assess and compare their knowledge, attitude, and practice toward child oral health. The data were represented as mean and proportions, and a student t test and analysis of variance were performed. <b>Results:</b> In Group A and Group B, 93.64% and 98.17% mothers respectively had the knowledge of cariogenic food. While 66.10% of mothers in Group A and 73.78% in Group B were aware that regular cleaning of teeth protects against tooth decay, only 5.49% of mothers in Group B and none in Group A reported taking their children to routine dental visits; the majority (94.07% in Group A and 78.05% in Group B) had never taken their children to the dentist. Urban background was significantly associated with better knowledge, attitude, and practice scores. Mother's' age and education level were significantly associated with better Knowledge, Attitude, and Practice scores in both groups. <b>Conclusion:</b> Mothers can play an important role in promoting positive attitudes and healthy practices toward oral health care in children. Knowledge, attitude, and practice score were found to be significantly low in mothers who belonged to the rural subgroup.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"175-181"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/2b/jrm-18-175.PMC10336342.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199025","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":"Two cases of bilateral reverse shoulder arthroplasty performed in patients with rheumatoid arthritis.","authors":"Takuya Tada,&nbsp;Yuki Kobayashi,&nbsp;Misaki Watanabe,&nbsp;Akito Nishimura,&nbsp;Kenji Takagishi","doi":"10.2185/jrm.2023-006","DOIUrl":"https://doi.org/10.2185/jrm.2023-006","url":null,"abstract":"<p><p>Bilateral shoulder joint disorders caused by rheumatoid arthritis significantly impair daily functioning owing to a lack of contralateral compensation. In Japan, reverse shoulder joint prostheses were approved in 2014. This was expected to improve the surgical outcomes of rheumatoid shoulder arthroplasty. We report two patients with rheumatoid arthritis who underwent bilateral reverse shoulder arthroplasty. This study aims to evaluate their postoperative clinical outcomes and activities of daily living. The patients were women in their 70s with stage III class 2 rheumatoid arthritis. Their treatment and postoperative activities of daily living were retrospectively reviewed. The first patient underwent the inlay type and experienced a residual limitation of external rotation postoperatively; therefore, she was restricted to dress with front-open clothes. However, she was able to undress after the lining of the garment was changed to a slippery material. The second patient underwent the onlay type and showed almost no limitations in postoperative activities of daily living. She was able to undress with an external rotation of 40-50°. Bilateral reverse shoulder arthroplasty improved range of motion, the Japanese Orthopaedic Association shoulder score, and functional outcomes. Only a few difficulties were encountered in the activities of daily living.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"194-199"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/31/jrm-18-194.PMC10336347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813416","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":"Ability of older male caregivers to seek help when caring for a wife or mother with dementia living at home.","authors":"Midori Nishio,&nbsp;Sayori Sakanashi,&nbsp;Naoki Uchida,&nbsp;Shinji Oma,&nbsp;Hiromi Kimura,&nbsp;Hiroko Kukihara,&nbsp;Kayoko Koga","doi":"10.2185/jrm.2022-039","DOIUrl":"https://doi.org/10.2185/jrm.2022-039","url":null,"abstract":"Objective: We aimed to clarify factors associated with the ability to seek help among older male caregivers who care for women with dementia in their families. Patients and Methods: This information will inform strategies to support their continued provision of long-term care. Participants were 364 male caregivers recruited from three places: The study period was 2017–2018. We obtained ethical approval for this study from the relevant ethics committee. Results: The ability to seek help for care problems among male caregivers was normally distributed. We found that more than 90% of older male caregivers did not actively seek help to resolve care problems, suggesting that older male caregivers had problems with long-term care. In the high score group, health status and the number of emotional support persons in the household were significantly and somewhat strongly positively correlated. The low score group showed a significant and rather weak positive correlation between economic status and health status, and the number of emotional supporters inside and outside the household. Positive correlations for the high score group were self-esteem and depressive symptoms, and self-esteem and resources. Positive correlations for the low score group were self-esteem and depressive symptoms, self-esteem and resources, and resources and depressive symptoms. Conclusion: Male caregivers are more likely to seek help if they are employed or play a role in their community. Nurses also need to support male caregivers with positive words and praise to help them use available support and resources and continue to provide long-term care. It is important for healthcare professionals to observe whether a caregiver presents with depressive symptoms or has long-term care problems because older male caregivers do not seek help. Collaboration between caregivers and medical, long-term care, and welfare professionals is necessary. Direct and timely intervention is needed.","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"182-188"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bf/fb/jrm-18-182.PMC10336345.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9822957","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":"Step-by-step instructions for detecting whirlpool sign in adnexal torsion.","authors":"Ryo Higashide,&nbsp;Kazuki Saito,&nbsp;Nanako Hashido,&nbsp;Tomonori Ishikawa,&nbsp;Naoyuki Miyasaka","doi":"10.2185/jrm.2023-002","DOIUrl":"https://doi.org/10.2185/jrm.2023-002","url":null,"abstract":"<p><p><b>Objective:</b> Adnexal torsion is a common gynecological emergency whose prompt diagnosis is essential because a delay may lead to ovarian dysfunction. Although the whirlpool sign is reliable for diagnosing ovarian cyst torsion, technical difficulties hinder its use by sonographers. Here we developed a systematic approach to visualizing this sign by focusing on the fact that torsion arises from the space between the uterus and the pelvic wall. One must determine the origin of the torsion via transverse imaging of the uterus and follow the twisted ligaments to the ovarian cyst. <b>Patients and Methods:</b> Two women aged 56 (Case 1) and 28 years (Case 2) visited our hospital with lower abdominal pain. Transvaginal ultrasonography showed a 7-cm right ovarian cyst in Case 1 and a 5-cm cyst in the Douglas pouch in Case 2; normal bilateral ovaries and the whirlpool sign were detected in both cases. Under laparoscopic guidance in Cases 1 and 2, an ovarian cyst and a paraovarian cyst were confirmed and removed. <b>Results:</b> Our step-by-step method allowed us to identify the whirlpool sign and confirm adnexal torsion, leading to prompt surgery in both cases. <b>Conclusion:</b> Using a systematic procedure helps less experienced practitioners detect the whirlpool sign.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"189-193"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/b3/jrm-18-189.PMC10336344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199028","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":"Prevalence of systemic and local risk factors for pulmonary non-tuberculous mycobacterial disease in Japan: a single-institution study.","authors":"Ryohei Kamei,&nbsp;Michiru Sawahata,&nbsp;Masayuki Nakayama,&nbsp;Toshiyuki Yamada,&nbsp;Nobuyuki Taniguchi,&nbsp;Masashi Bando,&nbsp;Koichi Hagiwara","doi":"10.2185/jrm.2023-001","DOIUrl":"https://doi.org/10.2185/jrm.2023-001","url":null,"abstract":"<p><p><b>Objective:</b> To identify the prevalence of risk factors for pulmonary non-tuberculous mycobacterial (NTM) disease in a Japanese population. <b>Patients and Methods:</b> We reviewed 337 consecutive Japanese patients (210 women) with pulmonary NTM disease, including 225 patients with Mycobacterium avium complex (MAC) disease (95.8%) at our hospital during 2006-2017. We calculated the prevalence of risk factors reported in Western countries among mycobacterial species. <b>Results:</b> Pulmonary MAC disease cases comprised 78.2% of pulmonary NTM patients in their 40s, increasing to 100% at age ≥80 years. Body mass index (BMI) was <18.5 in approximately 40% of patients, which was significantly higher than the prevalence of underweight in the Japanese population. The percentage of male heavy smokers (Brinkman index ≥600) was 58.2% of pulmonary NTM disease and was high for all mycobacterial species. In pulmonary MAC disease, systemic factors were observed in the order of malignant tumors (other than lung cancer), diabetes, rheumatoid arthritis, and tuberculosis. Local factors were observed in the order of bronchiectasis, chronic obstructive pulmonary disease, lung cancer, and bronchial asthma. <b>Conclusion:</b> The risk factors reported in Western countries were relatively highly prevalent among Japanese pulmonary NTM disease patients. This observation may help elucidate disease onset mechanisms.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"168-174"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/f3/jrm-18-168.PMC10336341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199026","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":"Food and nutrition security in the Philippines during the COVID-19 pandemic.","authors":"Ana Kriselda B Rivera,&nbsp;Ernani R Bullecer,&nbsp;Raycha Lei Concess M Rama,&nbsp;Rowel C Malimban","doi":"10.2185/jrm.2022-049","DOIUrl":"https://doi.org/10.2185/jrm.2022-049","url":null,"abstract":"<p><p><b>Objective:</b> The COVID-19 pandemic placed the Philippines' food and nutrition issues front and center. In this paper, we discuss the response of its government in addressing food and nutrition security at the beginning of the COVID-19 pandemic and describe its implications on nutritional status. We also cite initiatives that address food accessibility and availability in the communities. Lastly, we explore the importance of nutrition security dimension in food security. <b>Methods:</b> We analyze food and nutrition security issues in the Philippines during the COVID-19 pandemic through online reports and news articles. <b>Results:</b> The distribution of food and financial assistance in the country was extensive, albeit insufficient, considering the prolonged lockdown restrictions. Constantly changing community quarantine guidelines have affected the movement of food supply, delivery of health services, and household economic security. Nutrition programs, such as vitamin A supplementation, feeding for children, and micronutrient supplementation for pregnant women, had lower coverage rates, and by the latter half of 2020, the country had reached its highest recorded hunger rate. Cases of both undernutrition and overnutrition are predicted to rise because of dietary imbalances and a variety of factors. Conversely, community members and some local government units took it upon themselves to improve the food situation in their areas. The provision of food packs containing fresh fruits and vegetables was lauded, as it exemplified a conscious effort to deal with nutrition security. <b>Conclusion:</b> Efforts to address food security have always focused on increasing accessibility, availability, and affordability, often neglecting the nutritional components of foods. Strategies that incorporate nutrition security into food security are much needed in the country, especially during emergencies like the COVID-19 pandemic.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 3","pages":"162-167"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/7e/jrm-18-162.PMC10336346.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180920","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":"Total pain in advanced dementia: a quick literature review.","authors":"Yoshihisa Hirakawa,&nbsp;Tsukasa Muraya,&nbsp;Takashi Yamanaka,&nbsp;Satoshi Hirahara,&nbsp;Jiro Okochi,&nbsp;Masafumi Kuzuya,&nbsp;Hisayuki Miura","doi":"10.2185/jrm.2022-007","DOIUrl":"https://doi.org/10.2185/jrm.2022-007","url":null,"abstract":"<p><p><b>Objective:</b> This quick literature review aimed to organize information on the detailed components of total pain in older people with advanced dementia in a holistic manner. <b>Materials and Methods:</b> The authors analyzed qualitative data from relevant clinical guidelines or textbooks, focusing on certain types of pain and distress in older people with advanced dementia, followed by an expert panel review by research team members. In the search, the authors defined a person with advanced dementia as having a functional assessment staging tool scale score greater than or equal to six. <b>Results:</b> The model covered a wide variety of pain, from physical pain to dementia-related psychological and spiritual aspects of total pain, including living environment change, stigma, discrimination, lack of communication and understanding, loss of sense of control and dignity, and cultural distress. It also identified physical appearance as an important factor in dying with dignity, as established by existing research on individuals with incurable cancers. <b>Conclusion:</b> The conceptual model of total pain in people with advanced dementia is expected to help turn healthcare professionals' attention to physical, psychological, social, and spiritual contributors to total pain in advanced dementia.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 2","pages":"154-158"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/5b/jrm-18-154.PMC10079462.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9626428","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":"What's in your water? A well-known risk for arsenic toxicity.","authors":"Dominika A Jegen,&nbsp;Paul J Jannetto","doi":"10.2185/jrm.2022-034","DOIUrl":"https://doi.org/10.2185/jrm.2022-034","url":null,"abstract":"<p><p>Arsenic cannot be tasted, seen or smelled and can vary in concentration between water wells even in condensed areas. American domestic well water is not regulated to meet the same drinking water standards as other types of water supplies and often contains arsenic. If arsenic is not detected in a well water sample, it is unlikely to be found later. Conversely, if it is detected in a new well, it is recommended to retest six months later as levels may fluctuate in the first months following well construction. It is up to the well owner to test their water and remove arsenic through commercially available water filters. If it is not detected and removed via filtration, a variety of serious, yet common, medical conditions may arise from chronic arsenic exposure, some of which are life-threatening. These include diabetes mellitus, hypertension, skin cancer, renal, bladder and lung cancers, polyneuropathy and cardiac QTc prolongation. Testing is best done through urine speciation if an initial total urine arsenic concentration is elevated. Consider a complete blood count, renal and liver function tests, an electrocardiogram as well as a urinalysis assessing for evidence of hematuria when examining patients with histories concerning for chronic arsenic exposure.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 2","pages":"149-153"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/e9/jrm-18-149.PMC10079467.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9626431","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":"Does greater distance from the hospital exacerbate socioeconomic barriers to neonatal intensive care unit clinic attendance?","authors":"Emily Cox,&nbsp;Mofoluwake Awe,&nbsp;Stephiya Sabu,&nbsp;Dmitry Tumin,&nbsp;Uduak S Akpan","doi":"10.2185/jrm.2022-035","DOIUrl":"https://doi.org/10.2185/jrm.2022-035","url":null,"abstract":"<p><p><b>Objective:</b> To determine if distance from our Neonatal Intensive Care Unit (NICU) follow-up clinic exacerbated risk of clinic non-attendance in high-risk groups defined by socioeconomic status or medical complexity, as geographical distance from the hospital can affect attendance rates at NICU follow-up clinics. <b>Patients and Methods:</b> We retrospectively identified infants born between January 2014 and June 2018, and subsequently discharged from our 50-bed level IV NICU, which serves a predominantly rural population. Patients were included in our study if they had at least one NICU clinic follow-up visit scheduled at discharge. Distance to the clinic was calculated based on family ZIP code. Mixed-effects logistic regression analysis of attendance at each scheduled visit was used to identify independent associations and interactions with distance among study covariates. <b>Results:</b> We included 576 patients in our study, with 74% missing at least one clinic appointment, and 30% not attending any of the three appointments. Median distance between our hospital and families was 53 km. On multivariable analysis, neither distance nor other infant or family characteristics were associated with clinic non-attendance. Only interfacility transfer had a statistically significant interaction with distance and this association only reached statistical significance for patients living furthest from our center. <b>Conclusions:</b> NICU follow-up is important, but clinic attendance is poor. For families living furthest away, transfers of care during the infant's hospitalization may be associated with lower completion of recommended post-discharge follow-up. Further research is needed to understand how clinics can mitigate barriers to attendance.</p>","PeriodicalId":73939,"journal":{"name":"Journal of rural medicine : JRM","volume":"18 2","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/32/jrm-18-055.PMC10079457.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9325586","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}