Puerto Rico health sciences journal最新文献

Ischemia in the Splenium of the Corpus Callosum: A Rare Manifestation of Malaria.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Esra Soyer-Guldogan, Mustafa Cagan-Akay, Mutlucan Kurt, Murat Albas

引用次数: 0

The Effect of Foot Self-Massage on Peripheral Neuropathic Pain, Peripheral Skin Temperature and Patient Comfort in Individuals with Diabetes: A Randomized Controlled Trial.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Kadriye Sayin-Kasar, Guler Duru-Asiret

{"title":"The Effect of Foot Self-Massage on Peripheral Neuropathic Pain, Peripheral Skin Temperature and Patient Comfort in Individuals with Diabetes: A Randomized Controlled Trial.","authors":"Kadriye Sayin-Kasar, Guler Duru-Asiret","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The aim of this study was to evaluate the effect of foot self massage on peripheral neuropathic pain, peripheral skin temperature and patient comfort in individuals with diabetes.Methods: The sample of the study consisted of 52 individuals with type 2 diabetes (26 self foot massage group and 26 control group) between August 2021 and July 2022. Individuals in the foot self-massage group performed a foot massage for 30 minutes (15 minutes for each foot) three times a week for four weeks after training. Data were collected using an Individual Description Form, a Visual Analog Scale (VAS), the DN4 Pain Questionnaire and the General Comfort Scale-Short Form and peripheral skin temperature was measured. The data were evaluated using the Independent Sample-t test, Paired Sample-t test, Mann-Whitney U test, and Wilcoxon test. Continuity correction and Pearson-χ2 (chi-square) tests were used to compare categorical variables.Results: In this study, it was found that foot self-massage did not affect the peripheral neuropathic pain level of the patients, but the mean pain (VAS) scores of the patients in the foot massage group significantly decreased compared to the patients in the control groups. In addition, it was found that foot self-massage did not affect patients' peripheral skin temperature and patient comfort.Conclusion: It is recommended that foot massage, which can be applied by itself without time and place restrictions, be learned by patients and supported by health professionals because it is easy to apply, practical and economical.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"39-45"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757004","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}

引用次数: 0

Impact of the Pandemic on Food Security on Households with Children with Special Health Care Needs in Puerto Rico: A Survey Study.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Ana L Mulero-Portela, Carmen L Colón-Santaella, Winna Rivera

{"title":"Impact of the Pandemic on Food Security on Households with Children with Special Health Care Needs in Puerto Rico: A Survey Study.","authors":"Ana L Mulero-Portela, Carmen L Colón-Santaella, Winna Rivera","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study examined how the COVID-19 pandemic contributed to food insecurity in households in Puerto Rico with children with disabilities, compared to households with children without disabilities.Methods: The present study used a 2-group, cross-sectional design. Participants were interviewed once to describe experiences of food insecurity during the 12 months before the COVID-19 pandemic and again during the pandemic lockdown. In addition, demographic characteristics and mental and physical health were assessed.Results: Before the COVID-19 pandemic, food insecurity in Puerto Rico was significantly higher in households with children with disabilities (n = 48) than in households with children without disabilities (n = 49) (P < .001). During the COVID-19 pandemic, this difference remained (P = .029). Food insecurity was higher before the pandemic among children in households with children with disabilities (odds ratio [OR]: 3.62; 95% CI:1.19-11.05), and in households overall (OR: 4.72; 95% CI: 1.83 12.14), when assessing adults and children in the same household. This was also true during the pandemic for households overall (OR: 2.54; 95% CI: 1.09-5.96), but to a lesser degree. Food insecurity was not statistically significant in children during the pandemic (OR: 2.56; 95% CI: 0.97-6.74). In both types of households, physical and mental health scores were more than 1 standard deviation below the United States mean.Conclusion: Both types of households experienced food insecurity during the pandemic. No relationship between food insecurity, disability, and health status was observed in the study sample. All the participants reported low physical and mental health.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756991","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}

引用次数: 0

Long-Term Outcomes of Short versus Long Dental Implants with Sinus Lift in Atrophied Posterior Maxillae: A Systematic Review and Meta-Analysis.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Brayann O Alemán, Irelsy Rivera-Velazquez, Zareth Jana-Hernández, Sona Rivas-Tumanyan, Lidia M Guerrero-Rodríguez, Augusto R Elias-Boneta

{"title":"Long-Term Outcomes of Short versus Long Dental Implants with Sinus Lift in Atrophied Posterior Maxillae: A Systematic Review and Meta-Analysis.","authors":"Brayann O Alemán, Irelsy Rivera-Velazquez, Zareth Jana-Hernández, Sona Rivas-Tumanyan, Lidia M Guerrero-Rodríguez, Augusto R Elias-Boneta","doi":"","DOIUrl":"","url":null,"abstract":"This study aimed to evaluate implant outcomes, including success or survival, complications, and marginal bone loss (MBL), in randomized controlled trials (RCTs), comparing short versus long implants with sinus augmentation (SA) after 5 or more years of loading. The objective was to update the qualitative and quantitative evidence on this topic and provide a comprehensive analysis of the previously identified implant outcomes. Electronic searches were conducted in 4 scientific databases from 2016 through 2024. Only RCTs with a minimum follow-up period of 5 years were included (7 studies); these were rated using the revised Cochrane risk-of-bias (RoB 2) tool for main outcomes. The overall risk of bias was \"High\" in 5 studies, whereas 2 studies were rated as \"Some concerns.\" The risk ratio (RR) and 95% confidence interval (CI) were calculated with Stata software, version 18, for implant success and survival (2.37; 95% CI: 0.83-6.78, P = .11) and for implant complications (0.88; 95% CI: 0.64-1.21, P = .43). The Cohen's d for MBL was -0.41 mm (95% CI: -0.72 to -0.09, P = .01). There was no statistically significant difference in implant success and survival between short and long implants with SA (P = .60). Due to the overall high risk of bias, no definitive conclusions can be drawn regarding the success or survival of short versus long implants. Further RCTs with clear descriptions of implant outcomes, rigorous standardization and calibration protocols, meticulous sample-size calculation, and extended follow-up periods are needed.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"54-62"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756996","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}

引用次数: 0

Physical Activity in Puerto Rico: Recommendations for Research, Surveillance, and Policy Development.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Raúl D Gierbolini-Rivera, Alexandre A De Paula da Silva, Milena F Silva, Ana L Favarão Leão, Farah A Ramirez-Marrero

{"title":"Physical Activity in Puerto Rico: Recommendations for Research, Surveillance, and Policy Development.","authors":"Raúl D Gierbolini-Rivera, Alexandre A De Paula da Silva, Milena F Silva, Ana L Favarão Leão, Farah A Ramirez-Marrero","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The objectives of this report were to 1) describe the 2015 and 2020 physical activity (PA) Country Cards of Puerto Rico (PR), including data beyond the 2020 Country Card, and 2) propose recommendations for promoting PA research, surveillance, and policy development.Methods: A comparison of the 2015 and 2020 data from the PR Country Cards provided by the Global Observatory for Physical Activity (GoPA!) was conducted. Country Card data were collected from the World Bank, the United Nations, PubMed, and the Behavioral Risk Factor Surveillance Survey (BRFSS). This ensured that data indicators were standardized for global comparability. Local representatives facilitated data collection through a collaborative review process with GoPA! Country Card data included demographic characteristics, mortality rates, PA prevalence, surveillance data, policy, and research indicators.Results: In 2015, the BRFSS data indicated a PA prevalence of 34% in PR, decreasing to 20% in 2020. No data on inactivity-related mortality or a national standalone plan focused on PA was available. From 2015 to 2020, research output in PR increased slightly, improving its global ranking from the 61st to the 58th position.Conclusion: The PR Country Card is a tool to raise awareness and identify surveillance, research, and policy gaps. Recommendations include establishing a dedicated PR health monitoring system, integrating PA into PR national public health plans, and establishing an interinstitutional coalition for PA research (in PR). Multi-sector efforts from policymakers, researchers, and stakeholders are essential for meaningful progress in improving PA levels and public health in PR.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757001","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}

引用次数: 0

Associations between Tumor Ploidy and Overall Survival in Pediatric Neuroblastoma.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Tyrel R Porter, Emir Rinaldi-Pérez, Marcel Grau-Rodríguez, Lilia Y Kucheryavykh

{"title":"Associations between Tumor Ploidy and Overall Survival in Pediatric Neuroblastoma.","authors":"Tyrel R Porter, Emir Rinaldi-Pérez, Marcel Grau-Rodríguez, Lilia Y Kucheryavykh","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To investigate the relationships between pediatric neuroblastoma outcomes, tumor ploidy, and ethnicity, focusing on disparities in overall survival (OS) while also accounting for race and ethnicity.Methods: Clinical and tumor ploidy data for 63 Hispanic White, 561 non-Hispanic White, and 86 non-Hispanic Black patients were obtained from cBioPortal for Cancer Genomics (TARGET [Therapeutically Applicable Research to Generate Effective Treatments], 2018). Kaplan Meier survival curves were analyzed using log-rank and Gehan-Breslow Wilcoxon tests. Hazard ratios (HR) with 95% CIs were calculated using the Mantel-Haenszel method. Associations between ethnicity and tumor ploidy were assessed using the chi-square test.Results: Significant differences in overall survival (OS) were observed between White patients who self-identified as Hispanic and those who identified as non Hispanic, with Hispanic patients exhibiting worse outcomes. (P = .0076, HR = 1.907, 95% CI: 1.187-3.062). Median survival for Hispanic patients was 94 months but was undefined for non-Hispanic patients. Diploid tumors were associated with worse outcomes than hyperdiploid tumors were (P < .0001, HR = 2.291, 95% CI: 1.689-3.109). The chi square test revealed a significant association between ethnicity and tumor ploidy (χ2 = 4.220, P = .0400), with non-Hispanic patients having a higher proportion of hyperdiploid tumors (66.99%) than Hispanic patients (53.97%).Conclusion: Hispanic White patients with neuroblastoma had lower OS than did non-Hispanic White patients, partly due to the former having a higher proportion of diploid tumors. These findings highlight the importance of considering ethnicity and tumor ploidy in risk stratification and treatment strategies.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"69-73"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756982","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}

引用次数: 0

Mental Health and Access to Resources in a Schoolteacher Population Impacted by Earthquakes and the Pandemic in Puerto Rico.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Yanice Vanessa Méndez-Fernández, Alvin Tran, Mario Flores-Torres, Elvin Estrada-García, Jailene Marie Resto

{"title":"Mental Health and Access to Resources in a Schoolteacher Population Impacted by Earthquakes and the Pandemic in Puerto Rico.","authors":"Yanice Vanessa Méndez-Fernández, Alvin Tran, Mario Flores-Torres, Elvin Estrada-García, Jailene Marie Resto","doi":"","DOIUrl":"","url":null,"abstract":"Objective: A study was conducted to evaluate the mental health status and access to essential resources in a sample of schoolteachers impacted by earthquakes and the COVID-19 pandemic in Southwestern Puerto Rico.Methods: From November 2020 through September 2021, an online survey was administered to schoolteachers working in municipalities listed in the Federal Emergency Management Agency earthquake disaster declaration. The prevalences of post-traumatic stress disorder (PTSD), anxiety, and depression were calculated based on scores from the PTSD Checklist for DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) (PCL-5), the Generalized Anxiety Disorder 7-item (GAD-7) scale, and the Center for Epidemiologic Studies-Depression (CES-D-7) scale, respectively.Results: Most of the teachers in the sample (N = 58) reported serving students of low socioeconomic status (93.1%). Forty-eight percent (48.3%) reported having trouble making necessary home repairs, and 32.8%, accessing medical care. Twenty-one percent (20.7%) of the teachers met the clinical cutoff for PTSD, and 12.1% scored within the range of severe anxiety. Twenty-four percent (24.1%) of the teachers obtained scores indicative of depression.Conclusion: The survey findings highlight the need to provide mental health services to schoolteachers in the aftermath of a natural disaster in Puerto Rico.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"46-53"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756999","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}

引用次数: 0

Coping Styles of Patients Hospitalized in an Intermediate Trauma Unit.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Ana C Sala, Lydia Temoshock, Milagros Figueroa, Omar García, Lourdes Guerrios, Pablo Rodríguez, Karen G Martínez

{"title":"Coping Styles of Patients Hospitalized in an Intermediate Trauma Unit.","authors":"Ana C Sala, Lydia Temoshock, Milagros Figueroa, Omar García, Lourdes Guerrios, Pablo Rodríguez, Karen G Martínez","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Effective coping with the physical and mental changes experienced after traumatic injury decreases stress, reduces complications, and promotes healing. Although there are many studies of coping in medical patients, there is little research concerning the coping styles of patients hospitalized in trauma units. This study aimed to achieve two main objectives: (1) adapt the Vignette Similarity Rating Method for implementation in a Puerto Rican trauma unit, and (2) describe the coping styles of patients admitted to the unit, exploring their association with sociodemographic, clinical, and situational factors.Methods: Patients hospitalized in a trauma unit were recruited. Nine patients participated in the adaptation process (33% women, 67% men; mean age 37.75), while in the coping assessment phase 43 patients were included (41.9% women, 58.1% men; mean age 39.5). The culturally and contextually adapted Vignette Similarity Rating Method was employed to depict and evaluate coping strategies. Associations between two adaptive coping styles, three less adaptive coping styles, sociodemographic and clinical characteristics of the participants, and length of hospital stay were determined.Results: Participants reported a higher level of similarity with adaptive coping vignettes (median=18.0), followed by active coping vignettes (median=14.0). Individuals living with diabetes (p = .006) and those experiencing longer hospital stays (p = .018) reported a greater similarity to less effective Type A coping vignettes.Conclusion: These findings emphasize the importance of considering the effectiveness of coping styles within specific contexts and to developing interventions that promote adaptive coping strategies, especially for patients facing prolonged hospitalization.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756984","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}

引用次数: 0

Fenoldopam use during Cardiopulmonary Bypass and Postoperative Rates of Acute Kidney Injury.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Brian Oyler, Kevin Dao, Nayda Parisio-Poldiak, Russell F Stahl

{"title":"Fenoldopam use during Cardiopulmonary Bypass and Postoperative Rates of Acute Kidney Injury.","authors":"Brian Oyler, Kevin Dao, Nayda Parisio-Poldiak, Russell F Stahl","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Acute kidney injury (AKI) is a complication following heart surgery that is associated with increased morbidity and mortality. Fenoldopam is a dopaminergic receptor agonist that has been successful in the prevention of cardiac surgery-associated AKI. We hypothesized that fenoldopam started preoperatively would reduce the risk of AKI in patients with chronic kidney disease (CKD), stage 3 or higher.Methods: We conducted a retrospective study of adult patients admitted from 2015 to 2019 for cardiac surgery requiring cardiopulmonary bypass (CPB). Fenoldopam was started in the operating room 1 to 2 hours before the procedure and continued for up to 16 hours post-CPB at a rate of 0.3 mcg/kg/min. The primary outcome was the incidence of postoperative AKI with or without fenoldopam.Discussion: A total of 203 patients with CKD stage 3 or higher were examined in this study, 35.5% of whom received fenoldopam. Of the patients who received fenoldopam, 41.67% developed AKI compared to 38.17% of those without fenoldopam. Being female had a small protective effect against AKI (OR 0.233, CI 0.108-0.502), as did having an adequate hematocrit level prior to surgery (OR 0.921, CI 0.871-0.974). Analysis revealed that a hematocrit level of 37.18% indicated anemia in the study population.Conclusions: While the administration of fenoldopam prior to CPB in patients with CKD stage 3 or higher did not significantly reduce AKI after cardiac surgery or significantly reduce length of stay, possible renal protective properties were identified. Being female and having an adequate preoperative hematocrit level were identified as possible investigative points for future studies.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756988","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}

引用次数: 0

Inpatient Pediatric Trauma Epidemiology at the Puerto Rico Trauma Hospital From 2015 Through 2019.

Puerto Rico health sciences journal Pub Date : 2025-03-01

Pedro E Ruiz-Medina, Ediel O Ramos-Meléndez, Mariely Nieves-Plaza, Laura Ramírez-Martínez, Adrianna Rivera-Delgado, Lourdes Guerrios-Rivera, Pablo Rodríguez-Ortiz

{"title":"Inpatient Pediatric Trauma Epidemiology at the Puerto Rico Trauma Hospital From 2015 Through 2019.","authors":"Pedro E Ruiz-Medina, Ediel O Ramos-Meléndez, Mariely Nieves-Plaza, Laura Ramírez-Martínez, Adrianna Rivera-Delgado, Lourdes Guerrios-Rivera, Pablo Rodríguez-Ortiz","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Despite the high volume of admissions to the Puerto Rico Trauma Hospital (PRTH), there is no evidence of any recent trends related to pediatric trauma. Therefore, we aimed to update, describe, and compare the epidemiology of the pediatric (≤21 years) trauma population in PR according to age group (≤15 years and 16-21 years).Methods: This was a retrospective cohort study of 853 PRTH pediatric admissions from January 2015 through June 2019. A comparison between age groups was done using Pearson's chi-square test. The association between age and study outcomes was evaluated with multivariate analyses.Results: Of the admissions, 220 (25.8%) were patients aged 15 years and younger and 633 (74.2%) were patients aged 16 to 21 years; the percentage of males was higher in the latter group (65.5% vs. 79.0%; P < .01). Motor vehicle accidents were the primary injury mechanism. Major trauma (Injury Severity Score >15) incidence was higher in the under 15 group (40.8% vs. 24.5%; P < .01). After adjusting for confounders, 16- to 21-year-old trauma patients were less likely to be admitted to the intensive care unit (ICU) than were their younger counterparts but were more prone to having longer ICU and hospital stays. However, age was not associated with the need for mechanical ventilation (MV), days of MV, or in-hospital mortality.Conclusion: Understanding the specific characteristics of our pediatric patient population can help us guide treatment and elucidate these patients' needs to improve their outcomes.","PeriodicalId":94183,"journal":{"name":"Puerto Rico health sciences journal","volume":"44 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756935","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}

引用次数: 0