Revista Colombiana de psiquiatria (English ed.)最新文献

{"title":"Electrophysiological biomarkers in dual pathology","authors":"Luz Angela Rojas Bernal ,&nbsp;Hernando Santamaría García ,&nbsp;Guillermo Alonso Castaño Pérez","doi":"10.1016/j.rcpeng.2024.04.003","DOIUrl":"10.1016/j.rcpeng.2024.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The co-occurrence of substance use disorder with at least one other mental disorder is called dual pathology, which in turn is characterised by heterogeneous symptoms that are difficult to diagnose and have a poor response to treatment. For this reason, the identification and validation of biomarkers is necessary. Within this group, possible electroencephalographic biomarkers have been reported to be useful in diagnosis, treatment and follow-up, both in neuropsychiatric conditions and in substance use disorders. This article aims to review the existing literature on electroencephalographic biomarkers in dual pathology.</p></div><div><h3>Methods</h3><p>A narrative review of the literature. A bibliographic search was performed on the PubMed, Science Direct, OVID, BIREME and Scielo databases, with the keywords: electrophysiological biomarker and substance use disorder, electrophysiological biomarker and mental disorders, biomarker and dual pathology, biomarker and substance use disorder, electroencephalography, and substance use disorder or comorbid mental disorder.</p></div><div><h3>Results</h3><p>Given the greater amount of literature found in relation to electroencephalography as a biomarker of mental illness and substance use disorders, and the few articles found on dual pathology, the evidence is organised as a biomarker in psychiatry for the diagnosis and prediction of risk and as a biomarker for dual pathology.</p></div><div><h3>Conclusions</h3><p>Although the evidence is not conclusive, it suggests the existence of a subset of sites and mechanisms where the effects of psychoactive substances and the neurobiology of some mental disorders could overlap or interact.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 93-102"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869435","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":"Experience with the use of the DIALOG+ intervention in patients with severe mental illness in outpatient services in Colombia","authors":"Sandra Milena Ramírez ,&nbsp;Camilo Cabarique ,&nbsp;Natalia Ortiz ,&nbsp;José Miguel Uribe-Restrepo ,&nbsp;Victoria Bird ,&nbsp;Stefan Priebe ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcpeng.2022.01.003","DOIUrl":"10.1016/j.rcpeng.2022.01.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Severe mental disorders can cause significant and lasting distress for patients and their families and generate high costs through the need for care and loss of productivity. This study tests DIALOG+, an app-based intervention to make routine patient-clinician meetings therapeutically effective. It combines a structured evaluation of patient satisfaction with a solution-focused approach.</p></div><div><h3>Methods</h3><p>We conducted a qualitative study, based on a controlled clinical trial, in which 9 psychiatrists and 18 patients used DIALOG+ monthly over a six-month period. Semi-structured interviews were used to explore the experiences of participants and analysed in an inductive thematic analysis focusing on the feasibility and effects of the intervention in the Colombian context.</p></div><div><h3>Results</h3><p>Experiences were grouped into five overall themes: <em>a)</em> impact of the intervention on the consultation and the doctor-patient relationship; <em>b)</em> impact on patients and in promoting change; <em>c)</em> use of the supporting app, and <em>d)</em> adaptability of the intervention to the Colombian healthcare system.</p></div><div><h3>Conclusions</h3><p>DIALOG+ was positively valued by most of the participants. Participants felt that it was beneficial to the routine consultation, improved communication and empowered patients to take a leading role in their care. More work is required to identify the patient groups that most benefit from DIALOG+, and to adjust it, particularly to fit brief consultation times, so that it can be rolled out successfully in the Colombian healthcare system.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 32-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792813","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":"Gender incongruence or dysphoria: More of the same in ICD-11 and DSM-5-TR","authors":"Adalberto Campo-Arias,&nbsp;Mónica Reyes-Rojas","doi":"10.1016/j.rcpeng.2022.04.001","DOIUrl":"10.1016/j.rcpeng.2022.04.001","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 5-7"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875074","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":"Incidence of confusional syndrome (delirium) in a Latin American university hospital","authors":"Gabriel Fernando Oviedo Lugo ,&nbsp;Paola Andrea García Martínez ,&nbsp;Andrés Duarte Osorio ,&nbsp;Carlos Javier Rincón ,&nbsp;Alejandra López ,&nbsp;Roberto Chavarría ,&nbsp;Catalina Pineda Betancur ,&nbsp;Natalia García Gil ,&nbsp;María Natalia Duarte Ariza ,&nbsp;Juan Agustín Patiño Trejos ,&nbsp;Juan Sebastián Insignares ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcpeng.2022.01.002","DOIUrl":"10.1016/j.rcpeng.2022.01.002","url":null,"abstract":"<div><h3>Background</h3><p>Little is known about the incidence of delirium and its subtypes in patients admitted to different departments of university hospitals in Latin America.</p></div><div><h3>Objective</h3><p>To determine the incidence of delirium and the frequency of its subtypes, as well as its associated factors, in patients admitted to different departments of a university hospital in Bogotá, Colombia.</p></div><div><h3>Methods</h3><p>A cohort of patients over 18 years of age admitted to the internal medicine (IM), geriatrics (GU), general surgery (GSU), orthopaedics (OU) and intensive care unit (ICU) services of a university hospital was followed up between January and June 2018. To detect the presence of delirium, we used the CAM (Confusion Assessment Method) and the CAM-ICU if the patient had decreased communication skills. The delirium subtype was characterised using the RASS (Richmond Agitation and Sedation Scale). Patients were assessed on their admission date and then every two days until discharged from the hospital. Those in whom delirium was identified were referred for specialised intra-institutional interdisciplinary management.</p></div><div><h3>Results</h3><p>A total of 531 patients admitted during the period were assessed. The overall incidence of delirium was 12% (95% CI, 0.3–14.8). They represented 31.8% of patients in the GU, 15.6% in the ICU, 8.7% in IM, 5.1% in the OU, and 3.9% in the GSU. The most frequent clinical display was the mixed subtype, at 60.9%, followed by the normoactive subtype (34.4%) and the hypoactive subtype (4.7%). The factors most associated with delirium were age (adjusted RR = 1.07; 95% CI, 1.05−1.09), the presence of four or more comorbidities (adjusted RR = 2.04; 95% CI, 1.31−3.20), and being a patient in the ICU (adjusted RR = 2.02; 95% CI, 1.22−3.35).</p></div><div><h3>Conclusions</h3><p>The incidence of delirium is heterogeneous in the different departments of the university hospital. The highest incidence occurred in patients that were admitted to the GU. The mixed subtype was the most frequent one, and the main associated factors were age, the presence of four or more comorbidities, and being an ICU patient.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 41-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795307","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":"Psychiatric disorders in pregnant women admitted to the high-risk obstetric service in a Colombian university clinic between 2013 and 2017","authors":"Gustavo A. Constaín ,&nbsp;María Victoria Ocampo Saldarriaga ,&nbsp;José Gabriel Franco Franco Vásquez ,&nbsp;Luisa Fernanda Naranjo ,&nbsp;Cristóbal Restrepo Conde ,&nbsp;Daniel Estrada Muñoz ,&nbsp;Laura Chaverra López ,&nbsp;Jerónimo Buriticá Buriticá González","doi":"10.1016/j.rcpeng.2024.04.002","DOIUrl":"10.1016/j.rcpeng.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the psychiatric diagnoses and treatments of patients admitted to the high-risk obstetric service who underwent a consultation with a liaison psychiatrist.</p></div><div><h3>Methods</h3><p>A descriptive observational study that included pregnant women from the high-risk obstetric service of a highly specialised clinic in Medellín, who had a liaison psychiatry consultation between 2013 and 2017. The main variables of interest were psychiatric and obstetric diagnoses and treatments, in addition to biopsychosocial risk factors.</p></div><div><h3>Results</h3><p>A total of 361 medical records were screened, with 248 patients meeting the inclusion criteria. The main prevailing psychiatric diagnosis was major depressive disorder (29%), followed by adaptive disorder (21.8%) and anxiety disorders (12.5%). The pharmacologic treatments most used by the psychiatry service were SSRI antidepressants (24.2%), trazodone (6.8%) and benzodiazepines (5.2%). The most common primary obstetric diagnosis was spontaneous delivery (46.4%), and the predominant secondary obstetric diagnoses were hypertensive disorder associated with pregnancy (10.4%), gestational diabetes (9.2%) and recurrent abortions (6.4%). Overall, 71.8% of the patients had a high biopsychosocial risk.</p></div><div><h3>Conclusions</h3><p>The studied population's primary psychiatric disorders were major depressive disorder, adjustment disorder and anxiety disorders, which implies the importance of timely recognition of the symptoms of these perinatal mental pathologies, together with obstetric and social risks, in the prenatal consultation. Psychiatric intervention should be encouraged considering the negative implications of high biopsychosocial risk in both mothers and children.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 17-25"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762201","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":"Adaptation to the disease, resilience and optimism in woman with breast cancer","authors":"Marlen Simancas Fernández ,&nbsp;Carla Zapata Rueda ,&nbsp;Gonzalo Galván Patrignani ,&nbsp;Jose Carlos Celedón Rivero ,&nbsp;Juan Hernández Padilla","doi":"10.1016/j.rcpeng.2021.06.016","DOIUrl":"10.1016/j.rcpeng.2021.06.016","url":null,"abstract":"<div><p><span>This research aims to determine the relationship between the variables adaptation to the disease, resilience and dispositional optimism in women with breast cancer in Montería (Colombia). This study is a descriptive-correlational type, evaluating 116 participants. The instruments applied were the Font </span>Quality of Life Questionnaire, to assess the Index of Adaptation to Disease, Wagnild and Young’s Resilience Scale (RS) and the Life Orientation Test-Revised (LOT-R). The statistical program SPSS 25.0 was used for the analysis of the data. A normality test was performed which led to the application of the Spearman correlation coefficient. Findings indicated the presence of adaptation in the participants and resilient and optimistic characteristics, however, there is no significant relationship between these variables and adaptation to the disease.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 280-286"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441796","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":"Experiences of grief and moral sentiments in survivors of the armed conflict in Medellín, Colombia","authors":"Alis-Dahiana Bedoya-Olaya,&nbsp;Jair-Eduardo Restrepo-Pineda,&nbsp;Luisa-Fernanda Ríos-Carmona,&nbsp;Daniel-Felipe Muñoz-Cortés","doi":"10.1016/j.rcpeng.2023.11.002","DOIUrl":"10.1016/j.rcpeng.2023.11.002","url":null,"abstract":"<div><p>The objective of the study is to understand the experience of grief and moral sentiments in survivors of the armed conflict in the city of Medellín, Colombia, through qualitative research. In total, 32 people affected by different victimising acts in the context of the armed conflict participated. There is a direct relationship between moral sentiments and the processes of handling and processing loss. Moral sentiments frame the experience of emotions in the victim, after the events have occurred, which influence the way in which the pain experienced is processed. These sentiments permeate the processes of dealing with the incident in survivors, the ways in which they perceive themselves and the perpetrators, and the social stances they adopt to face life. We conclude that moral factors play a role in the emotional recovery of victims and are indicative the possibility or difficulty of processing the events that occurred.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 328-336"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441799","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":"Is it possible to prevent the progression of mild cognitive impairment through non-pharmacological treatments?","authors":"Yeimi Yulie Romero Reyes,&nbsp;Lina Paola Andrade Valbuena","doi":"10.1016/j.rcpeng.2023.11.001","DOIUrl":"10.1016/j.rcpeng.2023.11.001","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Mild cognitive impairment produces slight cognitive and </span>motor disturbances<span> without affecting daily life during aging, however, if this symptomatology is not controlled, the speed of deterioration can increase, and even some cases of dementia can appear in the elderly population.</span></p></div><div><h3>Objective</h3><p>To describe non-pharmacological therapies that seek to prevent, control and reduce the symptoms of mild cognitive impairment.</p></div><div><h3>Methods</h3><p>An initial search was carried out in the databases of PubMed, Lilacs, EBSCO, ScienceDirect, Taylor &amp; Francis and ProQuest. The results found were filtered through the PRISMA system and biases evaluated using the Cochrane Handbook for Systematic Reviews of Interventions.</p></div><div><h3>Results</h3><p>Four categories of non-pharmacological therapies were created, using 50 articles found in the search, which contribute to controlling and improving cognitive and motor areas, in order to reduce the symptoms presented by mild cognitive impairment. The treatments have different methods, instruments and objectives, so that no meta-analysis of the studies could be performed. In addition, limitations related to the sample, the effectiveness of the results and the methodological quality were found.</p></div><div><h3>Conclusions</h3><p>It was found that non-pharmacological therapies prevent, improve and control the symptoms caused by mild cognitive impairment, however, it is necessary to carry out more studies with better methodologies to corroborate these results.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 372-379"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138471258","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":"Burnout syndrome and depression in students of a Colombian medical school, 2018","authors":"Felipe T. Serrano ,&nbsp;Laura Tatiana Calderón Nossa ,&nbsp;Carlos Andrés Gualdrón Frías ,&nbsp;Jesús D. Mogollón G. ,&nbsp;Christian R. Mejía","doi":"10.1016/j.rcpeng.2021.09.001","DOIUrl":"10.1016/j.rcpeng.2021.09.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p><em>Burnout</em><span> syndrome (BS) has been evaluated in few populations of medical students, and its relationship with depression is even less studied. The objective was to determine the frequency of BS in medical students of the Universidad Pedagógica y Tecnológica de Colombia (UPTC), in Tunja, Colombia, as well as its association with depression and other social, economic, demographic, and academic factors.</span></p></div><div><h3>Methods</h3><p>An observational, analytical, cross-sectional study was carried out on 182 UPTC medical students during 2018. The <em>Maslach Burnout Inventory-Student Survey</em> (MBI-SS) was applied, with which 3 components were obtained to determine positive SB. This was crossed in the Stata 15 program for depression and other social, economic, demographic, and academic covariates with the Generalised Linear Model (GLM).</p></div><div><h3>Results</h3><p>Of 182 respondents, 51.4% were women. The median age was 21 years (20−23 years). 14% had BS, of which 48% had depression. In the multiple regression, BS was significantly associated with a higher frequency of depression (RPa = 5.54; IC95%, 2.36−13.02; P &lt; 0.001) and the feeling of insufficient money (RPa = 4.37; IC95%, 1.95−9.83; P &lt; 0.001), in contrast to a negative association with smoking (RPa = 0.13; IC95%, 0.06−0.30; P &lt; 0.001) and being a woman (RPa = 0.32; IC95%, 0.12−0.82; P = 0.018). The age of onset of marijuana use was not significant.</p></div><div><h3>Conclusions</h3><p>BS shows a high association with increased depression and a feeling that the money is not enough at the end of the month, but it showed a negative association with tobacco consumption and being a woman. Such students should be detected to provide them with adequate academic support</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 345-351"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441797","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":"Subjective Cognitive and Communicative Complaints and Health-Related Quality of Life in Parkinson's Disease with and without Mild Cognitive Impairment","authors":"Alberto Jaramillo-Jimenez ,&nbsp;Yamile Bocanegra ,&nbsp;Omar Buriticá ,&nbsp;David Antonio Pineda Salazar ,&nbsp;Leonardo Moreno Gómez ,&nbsp;Carlos Andrés Tobón Quintero ,&nbsp;Daniel Camilo Aguirre-Acevedo ,&nbsp;Melissa Sierra Castrillon ,&nbsp;Daniel Vasquez ,&nbsp;Juan Esteban Velez-Hernandez ,&nbsp;Miguel Germán Borda ,&nbsp;Elkin García-Cifuentes ,&nbsp;David Fernando Aguillón ,&nbsp;Lucía Madrigal-Zapata ,&nbsp;Dag Aarsland ,&nbsp;Francisco Lopera","doi":"10.1016/j.rcpeng.2023.11.004","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2023.11.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Mild Cognitive Impairment (MCI) is common in Parkinson's Disease (PD). Few studies have compared the Health-Related Quality of Life (HRQoL) in patients with and without MCI due to PD (PD-MCI), and its correlation to patients’ subjective cognitive and communicative difficulties has not been explored.</p></div><div><h3>Objective</h3><p>We aimed to compare HRQoL in PD-MCI and PD without MCI (PD-nMCI), and explore its possible relationship to subjective cognitive and communicative complaints.</p></div><div><h3>Methods</h3><p>We included 29 PD-nMCI and 11 PD-MCI patients. The HRQoL was assessed with the Parkinson's Disease Questionnaire-39 (PDQ-39): its Cognition dimension was used as a measure of subjective cognitive complaints, its Communication dimension for subjective communicative complaints, and the summary index (PDQ-39 SI) as an indicator of HRQoL. Non-parametric partial correlations between the Cognition and Communication dimensions, and the adjusted PDQ-39 SI were conducted.</p></div><div><h3>Results</h3><p>PD-MCI patients had greater subjective cognitive and communicative complaints and worse HRQoL than PD-nMCI patients. In the PD-MCI group, both subjective cognitive and communicative complaints exhibited significant direct correlations with the adjusted HRQoL scores.</p></div><div><h3>Conclusions</h3><p>HRQoL seems to be affected in PD-MCI, and it might be influenced by greater subjective cognitive and communicative complaints. Including patient-reported outcome measures of HRQoL, and providing cognitive and speech rehabilitation, as well as psychotherapeutic strategies to face these deficits can enhance the patient-centred approach in PD.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 305-313"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138549751","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}