Ghamar Shooshtari Arash, H. Molavi Vardanjani, Imanieh Mohammad Hadi, Mohammad Azadi1
{"title":"Self-reported Use of Complementary and Integrated Medicine by Patients With Multiple Sclerosis in Iran","authors":"Ghamar Shooshtari Arash, H. Molavi Vardanjani, Imanieh Mohammad Hadi, Mohammad Azadi1","doi":"10.32598/cmja.11.3.1089.1","DOIUrl":"https://doi.org/10.32598/cmja.11.3.1089.1","url":null,"abstract":"Objective: Self-report of the use of complementary and integrated medicine by patients with Multiple Sclerosis (MS) can minimize the risk of possible side effects and drug interactions. This study aimed to survey the self-reported use of complementary and integrated medicine by patients with MS in Iran. Methods: This is an analytical cross-sectional study conducted in spring 2020 on 577 patients with MS who were selected from the Fars MS Disease Registry using a simple random sampling method. Data were collected using a standardized questionnaire and interview, and analyzed in SPSS v. 12 software. Results: There was a significant difference between the self-reported use of complementary and integrated medicine and patients’ gender, marital status, employment status, level of education and the complications of the disease (P≤0.05). Overall, 97% of participants had used at least one of the complementary and integrated medicine items, however, only two-thirds of them declared their use to the physician. The most common used complementary and integrated medicine items were herbal medicines and dietary supplements. Conclusion: Most of MS patients in Shiraz use complementary and integrated medicine. The declaration of the use of these treatments by MS patients may play a role in strengthening the physician-patient relationship as well as strengthening evidence-based policy and better management of MS.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75011968","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":"ffect of 8 Weeks of Resistance Exercise Combined with Shirazi Thyme Supplementation on Plasma Levels of INF-γ and TNF-alpha in Men With Non-Alcoholic Fatty Liver","authors":"H. Ghaedi, S. Hosseini, Habib Jaberi","doi":"10.32598/cmja.11.3.1071.1","DOIUrl":"https://doi.org/10.32598/cmja.11.3.1071.1","url":null,"abstract":"bjective: Resistance exercise and supplementation by Shirazi thyme has beneficial effects on inflammatory processes. The present study aims to assess the effect of 8 weeks of resistance exercise combined with Shirazi thyme supplementation on plasma levels of Interferon-gamma (INF-γ) and Tumor Necrosis Factor- alpha (TNF-α) in men with Non-Alcoholic Fatty Liver Disease (NAFLD). Methods: This is a clinical trial with a quasi-experimental design. Participants were 60 non-athlete men with NAFLD selected using a convenience sampling method and divided into four groups of placebo (n=15), exercise (n=15), supplementation (n=15), and exercise + supplementation (n=15). The exercise program consisted of eight weeks of resistance exercise at 3 sessions per week with an intensity of 50-80% of one repetition maximum). For supplementation, a 20 mg soft capsule (Barij Gastrolith) was prescribed three times per day and half an hour before meals. Blood samples were taken before and after the intervention. Data analysis was conducted in SPSS software using one-way analysis of variance considering a significance level of 0.05. Results: Resistance exercise (9.20±5.67), Shirazi thyme supplementation (8.36±4.80) and their combination (7.80±4.02) had no significant effect on INF-γ level (p≥0.05). Moreover, resistance exercise (4.56±1.69), Shirazi thyme supplementation (4.25±2.43) and their combination (5.21±2.22) had no significant effect on TNF-α level (p≥0.05). Conclusion: Resistance exercise alone, Shirazi thyme supplementation alone, or their combination cannot improve inflammatory markers of fatty liver in people with NAFLD. However, it requires further research.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83988608","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":"Effect of Dry Cupping on Muscle Strength, Anaerobic Power, Cognitive Function and Mood States of Athletes","authors":"T. Afsharnezhad, M. Khaleghi","doi":"10.32598/cmja.11.3.1085.1","DOIUrl":"https://doi.org/10.32598/cmja.11.3.1085.1","url":null,"abstract":"Objective: Dry cupping (DC) is widely used to improve sports performance. The purpose of this study was to examine the effect of DC on muscle strength, anaerobic power, cognitive function, and mood states of athletes. Methods: In this counterbalanced quasi-experimental study with randomized crossover design, 12 male athletes participated. After signing a consent form, they randomly experienced two conditions (10 min of DC or no treatment) in two sessions one week apart. Muscle strength using a back and leg dynamometer, power anaerobic using the 30-second Wingate test, mood states using the Profile of Mood States questionnaire, and cognitive function using the Tower of London test were measured after intervention. Data were analyzed using paired sample t-test considering a significance level of 0.05. Results: DC significantly increased mean power (t11=-2.625, p=0.024), with no significant effect on muscle strength (t11=1.106, p=0.293) and peak power (t11=-1.389, p=0.192). Treatment with DC had no significant effect on tension, depression, anger, vigor, confusion, calmness or happiness of subjects (p>0.05). In contrast, a significant decrease in mental fatigue (t11=2.209, p=0.049) and cognitive function (t11=-2.602, p=0.025) were observed after DC. Conclusion: DC can improve mean anaerobic power and cognitive function, and reduce fatigue of the athletes.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75881231","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 Effect of Assafoetida Mouthwash on Whiteness of Color in Comparison With Chlorhexidine","authors":"Monire Seyed Hashemi, F. Vaziri, M. Emtiazy","doi":"10.32598/cmja.11.3.1018.1","DOIUrl":"https://doi.org/10.32598/cmja.11.3.1018.1","url":null,"abstract":"Teeth whitening is one of the ways to increase beauty, which makes a person's face look more beautiful, and as a result, increases a person's self-confidence. Yellow teeth cause discomfort to many people; Therefore, many people go to the dentist to whiten their teeth. In our clinical trial study, 126 patients referred to the dental school of Yazd University of Medical Sciences were divided into two groups of 63 people and then one of them. Assafoetida and chlorhexidine mouthwashes were randomly selected according to the envelope method and administered for one week. After supra gingival scaling followed by brushing, patients were asked not to use any other method to control plaque for a week, and only twice a day, a tablespoon (approximately 15 ml) was prescribed each time. Rinse completely in the mouth for half a minute and do not eat anything until an hour later and do not rinse your mouth with water. This report presents some of the 63 patients referred to the School of Dentistry of Yazd University of Medical Sciences, taking into account the conditions of inclusion in the study. According to the table below, 48 of them stated that their tooth color It has turned dramatically white.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81517539","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}
H. Maleki, F. Tabatabaie, Mosayeb Bagherinik, Sosan Azizmohamadi, S. Laka, Mojgan Mohajeri Iravani
{"title":"Some Clinical Features and Supportive Therapies in Covid-19 Patients Died in Hajar Hospital, Tehran, Iran","authors":"H. Maleki, F. Tabatabaie, Mosayeb Bagherinik, Sosan Azizmohamadi, S. Laka, Mojgan Mohajeri Iravani","doi":"10.32598/cmja.11.2.1049.2","DOIUrl":"https://doi.org/10.32598/cmja.11.2.1049.2","url":null,"abstract":"Objective: Due to the spread of Coronavirus Disease 2019 (COVID-19) worldwide and the resulting mortality as well as the lack of definitive treatment for this disease, various non-invasive and invasive drugs and treatments have been used around the world for reducing the effects of this disease or accelerating the treatment process, but the positive and definite effect of none of these methods has been confirmed and they have been effective only in some cases. This study aims to investigate some clinical features and supportive therapies in deceased COVID-19 patients in Iran. Methods: This descriptive-analytical retrospective study was conducted on 100 Covid-19 patients died in Hajar Hospital in Tehran, Iran from February to September 2020. They were divided into two groups of with and without underlying diseases. After coordination and obtaining the necessary permission and informed consent, information was collected from the medical files of samples. Results: Mechanical ventilation, vasoconstrictor injection and blood products had been used as supportive therapies in deceased patients, where ventilation use (n=62, 62%) was significantly higher (P=0.01) compared to vasoconstrictor injection (n=28, 28%) and blood products (n=13, 13%). Most of deceased patients had an underlying diseases (79%). Hypertension, diabetes and heart problems were the most common underlying diseases. The disease severity, clinical manifestations, and mortality rate of deceased patients with cardiovascular diseases, diabetes and hypertension were significantly different compared to those with other underlying diseases (P= 0.01). The age and gender of deceased patients had no significant relationship with the use of any supportive therapies (P≥0.01), but had a significant relationship with the underlying diseases (P≤0.01). Conclusion: The treatment methods that are the definite needs of the patient and have more favorable effects on the recovery process have a high value in the treatment of COVID-19 patients. These patients need to use supportive therapies for purposeful and effective treatment. Mechanical ventilation is more important than injecting vasoconstrictors or using blood products.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81292218","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}
M. Bahram, R. Afroundeh, Seyed Hamed Ghiyami Taklimi, A. Sadeghi, Mahsa Gholamhosseini
{"title":"Effect of High-intensity Interval Training and Loquat Leaf Extract Consumption on Liver Enzymes in Obese Men With Non-alcoholic Fatty Liver Disease","authors":"M. Bahram, R. Afroundeh, Seyed Hamed Ghiyami Taklimi, A. Sadeghi, Mahsa Gholamhosseini","doi":"10.32598/cmja.11.2.631.3","DOIUrl":"https://doi.org/10.32598/cmja.11.2.631.3","url":null,"abstract":"Objective: Non-Alcoholic Fatty Liver Disease (NAFLD) is the most common cause of liver disease. This study aims to evaluate the effect of High Intensity Interval Training (HIIT) and Loquat Leaf Extract (LLE) consumption on liver enzymes in obese men with NAFLD. Methods: In this quasi-experimental study, 40 men with NAFLD (BMI: 33.92±1.82 kg/m2) participated and randomly divided into four groups: HIIT (n= 10), LLE (n= 10), LLE+HIIT (n= 10) and control (n= 10). Exercises were performed for 8 weeks, 3 sessions per week, each for 60 minutes with an intensity between 80-95% of heart rate reserve. Two capsules of 250 mg LLE was administrated daily for 8 weeks. Serum levels of Aspartate Aminotransferase (AST), Alkaline Phosphatase (ALP), and Alanine Aminotransferase (ALT) were measured before and 48 hours after the intervention. Results: The results of paired t-test showed that the post-test serum levels of ALT, AST and ALP in the LLE+HIIT (P=0.01, 0.01, 0.01) and HIIT groups decreased significantly (P=0.02, 0.01, 0.001). These changes were not significant in the control and LLE groups (P≥0.05). The results of Tukey’s test showed that serum levels of ALT, AST and ALP in the LLE+HIIT and HIIT groups had the highest significant decrease (P=0.001) compared to the control group, while ALT and ALP serum levels in the LLE+HIIT group compared to the LLE group (P=0.03) and in the HIIT group compared to the control group (P=0.02) had the lowest decrease after eight weeks of intervention. Conclusion: It seems that consumption of LLE along with high- HIIT leads to a decrease in the level of liver enzymes in men with NAFLD. It is recommended that patients with NAFLD use this technique to improve their liver conditions.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84150661","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":"Effect of Probiotic Supplementation on Depression and Anxiety","authors":"N. Parhizgar, M. Azadyekta, R. Zabihi","doi":"10.32598/cmja.11.2.1073.1","DOIUrl":"https://doi.org/10.32598/cmja.11.2.1073.1","url":null,"abstract":"Objective: Depression and anxiety are the most common psychological disorders with extensive pathophysiology overlap, genetic correlation, and comorbidities as well as high risk of recurrence and chronicity. Due to the side effects of medication and not achieving the expected result, the use of probiotics is considered as an adjunctive treatment option without serious side effects. Methods: This is a correlational study conducted in Spring 2020 on 279 people (76 males and 203 females) aged 20-40 years in Tehran, Iran who had at least a diploma and were selected by a convenience sampling method after declaring informed consent. For collecting data, the Beck Depression Inventory, the Beck Anxiety Inventory, and a researcher-made probiotic consumption questionnaire were used and completed online. Data were analyzed using Pearson correlation test and multivariable regression analysis in SPSS v. 26 software. Results: Out of 279 participants, 209 (74.9%) had moderate probiotic consumption, 3.6% had good consumption and the rest had poor consumption. Probiotic consumption had significant negative correlation with depression (r= -0.183, P= 0.002) and anxiety (r= -0.122, P= 0.041). Despite the significant predictive power of probiotics for explaining depression, it had no significant power to predict anxiety. The regression coefficient was obtained as R=0.233; squared regression coefficient was R2=0.054, and P-values for depression and anxiety were 0.016 and 0.430, respectively. Conclusion: The use of probiotics may have reduce depression and anxiety. To obtain more accurate results, clinical trials on the use of probiotics are recommended.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75323160","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":"Hyperlipidemia and the Role of Blood Lipids According to Iranian Traditional Medicine","authors":"Ali Niknafs, M. Rezvanfar, M. Salehi","doi":"10.32598/cmja.11.2.844.2","DOIUrl":"https://doi.org/10.32598/cmja.11.2.844.2","url":null,"abstract":"Objective: The first and most common cause of death in the world is due to cardiovascular diseases, and hyperlipidemia is one of the important and a critical controllable risk factors for these diseases. The connection between fat metabolism and a wide range of diseases, side effects of chemical drugs, and the increasing attention to the use of natural remedies reveal the necessity of further attention to the viewpoints of other schools of medicine, including complementary medicine. This review study aims to interpret hyperlipidemia from the perspective of Iranian Traditional Medicine (ITM). Methods: This is review study conducted based on a library method using the keywords related to hyperlipidemia to collect data through searching in online databases and ITM books. The data were analyzed based on the content analysis method. Results: Hyperlipidemia is mainly diagnosed by laboratory findings and often have no clear clinical symptoms. According to ITM, for diagnosing hyperlipidemia, attention should be paid to the role of liver, heart, and stomach along with the health principles and quadruple digestion. Conclusion: Hyperlipidemia is a condition that can be either pathological or physiological. According to ITM, it occurs due to the imbalance of humors inside the arteries and leads to higher blood concentration and. In some cases, it can be due to a disease and in some cases, it can be caused by the body’s compensatory response. Paying attention to the views of ITM can be effective in preventing disease and improving therapeutic interventions.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75785147","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":"Comparing the Effects of Progressive Muscle Relaxation Technique and Aromatherapy With Rosemary Oil on Preoperative Anxiety in General Surgery Candidates","authors":"شیرین مددکار دهکردی, کبری نوریان","doi":"10.32598/cmja.11.2.671.3","DOIUrl":"https://doi.org/10.32598/cmja.11.2.671.3","url":null,"abstract":"Objective: Anxiety is one of the most common problems of patients before surgery. This study aims to compare the effects of Progressive Muscle Relaxation (PMR) technique and aromatherapy with rosemary oil on preoperative anxiety in candidates for general surgery.The aim of this study was to determine the effect of progressive muscle relaxation technique and aromatherapy with rosemary on preoperative anxiety in candidates for general surgery. This study aimed to determine the effect of progressive muscle relaxation techniques and aromatherapy with rose on preoperative anxiety in patients undergoing general surgery was performed. Anxiety is one of the most common problems of patients before surgery. Anxiety is one of the most common disorders in patients prior to surgery Methods: In this clinical trial, participants were 90 patients who were candidates for general surgery referred to Ayatollah Kashani Hospital in Shahrekord, Iran in 2018. After obtaining informed written consent from them, they were randomly divided into three groups: PMR (n=30), aromatherapy (n=30) and control (n=30). The intervention was performed one hour before the surgery. Data collection tools were a demographic form and the Depression, Anxiety and Stress Scale - 21 Items. Collected data were analyzed using chi-square test, paired t-test, and one-way analysis of variance in SPSS v.21 software.In both groups, the intervention was performed by the patient one hour before the operation. In both groups an hour before the operation was performed by the patient. Data collection tools included demographic characteristics questionnaire, 21-item DASS anxiety scale. Data collection tools included demographic questionnaires anxiety scale survey had 21 questions DASS. In this clinical trial, 90 patients who were candidates for general surgery referred to Ayatollah Kashani Hospital in Shahrekord in 1398 were randomly divided into three groups: relaxation (30), aromatherapy (30) and control (30). In this clinical trial, 90 patients undergoing general surgery hospital Ayatollah Kashani In 1398 randomly into three groups: relaxation (30), aromatherapy (30) and control (30) were divided. In both groups, relaxation and aromatherapy techniques were performed by the patient one hour before the operation. In both groups, relaxation techniques and aromatherapy one hour before surgery was performed by the patient. Data were analyzed using SPSS software version 21. Data using SPSS version 21 was analyzed. Data collection tools included demographic characteristics questionnaire, 21-item DASS Anxiety Scale (DASS 21). Data collection tools included demographic questionnaires anxiety scale survey had 21 questions DASS. In both groups, relaxation and aromatherapy techniques were performed by the patient one hour before the operation. In both groups, relaxation techniques and aromatherapy one hour before surgery was performed by the patient. Results: Mean pre-intervention anxiety score was 16.97±2.77 and ","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86221949","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 Effect of Reiki Therapy on Pain Control, Anxiety, Stress: A Systematic Review of Clinical Trial Studies","authors":"Mohamad Reza Jahantigh, Maryam Jahantigh Haghighi, Mahdiye Jahantigh Haghighi, Farnaz Jahantigh","doi":"10.32598/cmja.11.2.1032.1","DOIUrl":"https://doi.org/10.32598/cmja.11.2.1032.1","url":null,"abstract":"Objective: Due to the increasing use and tendency to complementary therapies, they can be used to relieve pain and reduce anxiety and stress in patients. The aim of this study was to systematically review the effect of Reiki therapy on the control of pain, anxiety and stress. Methods: This is a systematic review. A search was conducted on clinical trials published from 2016 to 2019 in databases such as SID, MagIran, Pubmed, Nursing Consult, Elsevier, Scopus, Web of Science, Embase, and Google Scholar using the keywords Pain, Reiki, Anxiety, Stress, and Randomized Clinical Trial. Results: Initial search yielded 154 articles. Of these, 131 were excluded due to not meeting the inclusion criteria, and finally 23 eligible clinical trials were selected for analysis. Conclusion: The use of complementary therapies, including Reiki therapy, has different results in different people. It is recommended to perform various studies in different countries to evaluate the effectiveness of reiki therapy.","PeriodicalId":89728,"journal":{"name":"The open complementary medicine journal","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89159815","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}