In Australia, national data indicate that the rate of seclusion use in public forensic mental health inpatient settings has almost tripled since 2008, with the number of patients being admitted to these settings being secluded more often but for shorter durations. The aim of this study was to describe and analyse the use of seclusion within an adult forensic mental health inpatient setting in Australia. The study also sought to compare and examine the characteristics of patients who experienced seclusion and those who did not. This quantitative study was achieved by completing a retrospective case file audit. Data were collected on all patients admitted to the adult forensic mental health inpatient unit during a 6-month period (January to June 2016). Data were obtained from medical records including age, sex, ethnicity, primary and secondary diagnosis, referral source and previous admissions to acute and forensic mental health inpatient settings. During the 6-month study period, 117 admissions to the service occurred involving 109 patients. There were 61 seclusion events involving 20 (18%) patients. Data indicated that patient gender and diagnosis increased the likelihood of a seclusion event occurring. Seclusion was used on a small number of patients who presented a high risk, specifically young, white men with a diagnosis of schizophrenia or a psychotic disorder and drug-related symptoms. Identifying patient characteristics that increase the risk of seclusion is important so that services can design early intervention strategies to enhance patient safety.
{"title":"Patient characteristics and the use of seclusion in an adult forensic inpatient mental health service in Australia: a quantitative analysis and examination of clinical interventions","authors":"L. Barr, D. Wynaden, Karen R Heslop","doi":"10.12968/bjmh.2022.0015","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0015","url":null,"abstract":"In Australia, national data indicate that the rate of seclusion use in public forensic mental health inpatient settings has almost tripled since 2008, with the number of patients being admitted to these settings being secluded more often but for shorter durations. The aim of this study was to describe and analyse the use of seclusion within an adult forensic mental health inpatient setting in Australia. The study also sought to compare and examine the characteristics of patients who experienced seclusion and those who did not. This quantitative study was achieved by completing a retrospective case file audit. Data were collected on all patients admitted to the adult forensic mental health inpatient unit during a 6-month period (January to June 2016). Data were obtained from medical records including age, sex, ethnicity, primary and secondary diagnosis, referral source and previous admissions to acute and forensic mental health inpatient settings. During the 6-month study period, 117 admissions to the service occurred involving 109 patients. There were 61 seclusion events involving 20 (18%) patients. Data indicated that patient gender and diagnosis increased the likelihood of a seclusion event occurring. Seclusion was used on a small number of patients who presented a high risk, specifically young, white men with a diagnosis of schizophrenia or a psychotic disorder and drug-related symptoms. Identifying patient characteristics that increase the risk of seclusion is important so that services can design early intervention strategies to enhance patient safety.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129533373","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}
Staff working in acute mental health inpatient environments are frequently exposed to patients who display high-risk behaviours. The aim of the study was to explore the experiences of staff working with patients with high-risk behaviours in acute mental health inpatient wards, and the support that staff receive following exposure to these incidents. A total of 10 participants were recruited from two acute mental health hospitals in England. Data were gathered using semi-structured interviews and analysed using inductive thematic analysis. Three themes were identified: the direct impact of incidents; attempts to manage the impact of incidents; and current systems for managing incidents. Overall, staff felt that support was lacking, and there was a fear that seeking support was a sign of weakness. Clear differences in staff reactions and responses to varying high-risk behaviours were revealed. Person-centred reflective support spaces, debriefing support, and skills training for staff, especially for self-harm and suicide, are required. Staff also require emotional support and emotion management skills.
{"title":"Experiences of staff and the support received following incidents of high-risk behaviours in acute mental health inpatient wards: a qualitative exploration","authors":"Emma Rivett, L. Wood","doi":"10.12968/bjmh.2022.0006","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0006","url":null,"abstract":"Staff working in acute mental health inpatient environments are frequently exposed to patients who display high-risk behaviours. The aim of the study was to explore the experiences of staff working with patients with high-risk behaviours in acute mental health inpatient wards, and the support that staff receive following exposure to these incidents. A total of 10 participants were recruited from two acute mental health hospitals in England. Data were gathered using semi-structured interviews and analysed using inductive thematic analysis. Three themes were identified: the direct impact of incidents; attempts to manage the impact of incidents; and current systems for managing incidents. Overall, staff felt that support was lacking, and there was a fear that seeking support was a sign of weakness. Clear differences in staff reactions and responses to varying high-risk behaviours were revealed. Person-centred reflective support spaces, debriefing support, and skills training for staff, especially for self-harm and suicide, are required. Staff also require emotional support and emotion management skills.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125732440","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}
This article casts a critical lens on the current Nursing and Midwifery Council standards for nurse education and their potential impact on mental health nursing in the UK. It discusses how the standards appear to be transitioning mental health nursing towards a generic, task-orientated nursing role and in doing so, are undervaluing the unique contributions of the profession to contemporary mental health care. It also argues that this descent towards genericism not only risks the erosion of the specialist skill set required of mental health nurses by service users, but also aligns mental health nursing care closer with neoliberal policy and with biomedicine to the further detriment of patient care. This article warns that this current period marks a critical time for the profession and that collective, assertive action is needed now to safeguard the profession's distinct presence on the UK's nursing register.
{"title":"The erosion of mental health nursing: the implications of the move towards genericism","authors":"M. Haslam","doi":"10.12968/bjmh.2022.0039","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0039","url":null,"abstract":"This article casts a critical lens on the current Nursing and Midwifery Council standards for nurse education and their potential impact on mental health nursing in the UK. It discusses how the standards appear to be transitioning mental health nursing towards a generic, task-orientated nursing role and in doing so, are undervaluing the unique contributions of the profession to contemporary mental health care. It also argues that this descent towards genericism not only risks the erosion of the specialist skill set required of mental health nurses by service users, but also aligns mental health nursing care closer with neoliberal policy and with biomedicine to the further detriment of patient care. This article warns that this current period marks a critical time for the profession and that collective, assertive action is needed now to safeguard the profession's distinct presence on the UK's nursing register.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123902627","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":"Back to Bedlam: is mental health nursing going backwards?","authors":"Henry J Bladon","doi":"10.12968/bjmh.2022.0038","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0038","url":null,"abstract":"","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124498146","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}
Joint working or co-responding police and mental health services are becoming increasingly common throughout the UK and aim to provide both effective and timely de-escalation and support to individuals experiencing a mental health crisis. Co-responding police and mental health services also aim to reduce unnecessary accident and emergency visits, provide signposting to appropriate services for longer-term care and to prevent injury to the individual, the general public, and health and social care colleagues. The aim of this article was to explore how effective co-responding police and mental health service models are at responding to an individual experiencing a mental health crisis. This literature review was carried out through the use of thematic analysis. Databases including EBSCO, Medline, Psychinfo and AMED. A total of eight articles were reviewed. The review found that service users have largely positive feedback about the mental health care that they receive when in a mental health crisis, and services should be tailored to meet the needs of the geographical area. There are a number of frameworks that can be implemented to respond to an individual experiencing a mental health crisis, including co-responding police mental health teams and the provision of comprehensive mental health training to police officers. Any model implemented must be constructed and launched in a thoughtful manner to meet the needs of the population.
{"title":"Co-responding police and mental health service models: an exploration of how effective collaborative models are in responding to individuals experiencing a mental health crisis","authors":"Laura Mulgrew","doi":"10.12968/bjmh.2020.0030","DOIUrl":"https://doi.org/10.12968/bjmh.2020.0030","url":null,"abstract":"Joint working or co-responding police and mental health services are becoming increasingly common throughout the UK and aim to provide both effective and timely de-escalation and support to individuals experiencing a mental health crisis. Co-responding police and mental health services also aim to reduce unnecessary accident and emergency visits, provide signposting to appropriate services for longer-term care and to prevent injury to the individual, the general public, and health and social care colleagues. The aim of this article was to explore how effective co-responding police and mental health service models are at responding to an individual experiencing a mental health crisis. This literature review was carried out through the use of thematic analysis. Databases including EBSCO, Medline, Psychinfo and AMED. A total of eight articles were reviewed. The review found that service users have largely positive feedback about the mental health care that they receive when in a mental health crisis, and services should be tailored to meet the needs of the geographical area. There are a number of frameworks that can be implemented to respond to an individual experiencing a mental health crisis, including co-responding police mental health teams and the provision of comprehensive mental health training to police officers. Any model implemented must be constructed and launched in a thoughtful manner to meet the needs of the population.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128445405","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}
The authors' clinical experience found that some patients required the intervention of compulsory nasogastric tube feeding for a significantly longer amount of time than others. The aim of this study was to identify whether different psychiatric comorbidities are associated with different durations of nasogastric tube feeding under restraint in children and young people with restrictive eating disorders. A retrospective case-note analysis was conducted in 2018. Data were collected from electronic medical records and hospital incident forms, focusing on diagnosis, length of stay and on the number of episodes of nasogastric tube feeding under restraint. A total of nine patients required nasogastric tube feeding under restraint, of which four patients had psychiatric comorbidities (emerging emotionally unstable personality disorder, autism spectrum disorder and complex trauma). Length of stay was not significantly greater in patients with psychiatric comorbidities (median=302 vs 241 days, Mann-Witney U=16.00, P=0.20). However, the number of episodes of nasogastric tube feeding under restraint was significantly greater in those with psychiatric comorbidities (median=31.00 vs 2 episodes, Mann-Whitney U=20.00, P=0.02) than those without. This study suggests that psychiatric comorbidities are associated with more prolonged episodes of nasogastric tube feeding under restraint and therefore patients with these comorbidities will have greater treatment planning needs.
作者的临床经验发现，一些患者需要强制鼻胃管喂养的干预时间明显长于其他患者。本研究的目的是确定不同的精神合并症是否与限制进食障碍儿童和青少年的鼻胃管进食的不同持续时间有关。2018年进行了回顾性病例分析。从电子病历和医院事件表中收集数据，重点关注诊断、住院时间和限制下鼻胃管喂养的发作次数。共有9例患者需要在约束下进行鼻胃管喂养，其中4例患者存在精神合并症(新发情绪不稳定型人格障碍、自闭症谱系障碍和复杂创伤)。精神合并症患者的住院时间没有显著增加(中位数=302天vs 241天，Mann-Witney U=16.00, P=0.20)。然而，在有精神合并症的患者中，限制鼻胃管喂养的发作次数明显高于无精神合并症的患者(中位数=31.00 vs 2次，Mann-Whitney U=20.00, P=0.02)。本研究提示，精神疾病合并症与限制下鼻胃管喂养的发作时间延长有关，因此患有这些合并症的患者将有更大的治疗计划需求。
{"title":"The influence of psychiatric comorbidities on the duration of compulsory nasogastric tube feeding of children and adolescents with restrictive eating disorders","authors":"S. Fuller, P. Falcoski, L. Hudson, Jacinta Tan","doi":"10.12968/bjmh.2021.0037","DOIUrl":"https://doi.org/10.12968/bjmh.2021.0037","url":null,"abstract":"The authors' clinical experience found that some patients required the intervention of compulsory nasogastric tube feeding for a significantly longer amount of time than others. The aim of this study was to identify whether different psychiatric comorbidities are associated with different durations of nasogastric tube feeding under restraint in children and young people with restrictive eating disorders. A retrospective case-note analysis was conducted in 2018. Data were collected from electronic medical records and hospital incident forms, focusing on diagnosis, length of stay and on the number of episodes of nasogastric tube feeding under restraint. A total of nine patients required nasogastric tube feeding under restraint, of which four patients had psychiatric comorbidities (emerging emotionally unstable personality disorder, autism spectrum disorder and complex trauma). Length of stay was not significantly greater in patients with psychiatric comorbidities (median=302 vs 241 days, Mann-Witney U=16.00, P=0.20). However, the number of episodes of nasogastric tube feeding under restraint was significantly greater in those with psychiatric comorbidities (median=31.00 vs 2 episodes, Mann-Whitney U=20.00, P=0.02) than those without. This study suggests that psychiatric comorbidities are associated with more prolonged episodes of nasogastric tube feeding under restraint and therefore patients with these comorbidities will have greater treatment planning needs.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124149177","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}
In the mid-19th century, it was generally held by administrators and politicians that institutional confinement was the answer to many social problems. However, there were those both within and outside psychiatry who were concerned about what they perceived to be the limitations of the asylum system given that mental illness was poorly categorised – for example, it was uncertain whether alcohol abuse was an illness – the treatments unproven, and there were likely to be adverse effects of long-term institutionalisation. The size of institutions was questioned, as was the role of the private sector and whether the mentally ill could be entrusted to the care of poorly regulated facilities. This paper examines some of the expressed concerns about care of the mentally ill throughout the second half of the 19th century by reformers and psychiatrists with reference to the culture and management of institutions and private facilities, the exploitation of vulnerable people, and the emergence of home-based care provided by experienced and skilled nurses.
{"title":"Approaches to mental health care in 19th and early 20th century England","authors":"P. Nolan","doi":"10.12968/bjmh.2022.0033","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0033","url":null,"abstract":"In the mid-19th century, it was generally held by administrators and politicians that institutional confinement was the answer to many social problems. However, there were those both within and outside psychiatry who were concerned about what they perceived to be the limitations of the asylum system given that mental illness was poorly categorised – for example, it was uncertain whether alcohol abuse was an illness – the treatments unproven, and there were likely to be adverse effects of long-term institutionalisation. The size of institutions was questioned, as was the role of the private sector and whether the mentally ill could be entrusted to the care of poorly regulated facilities. This paper examines some of the expressed concerns about care of the mentally ill throughout the second half of the 19th century by reformers and psychiatrists with reference to the culture and management of institutions and private facilities, the exploitation of vulnerable people, and the emergence of home-based care provided by experienced and skilled nurses.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132424212","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}
P. Archard, Isobel Moore, Michael Lewis, M. O’Reilly
Ayres et al's (2021) reflective account published in this journal discusses Ayres' experience of undertaking a doctoral study concerned with how mental health nurses who had been assaulted by patients in secure settings make sense of this experience. This commentary recognises the importance of extending the dialogue initiated by Ayres' account, specifically regarding intersubjectivity in research relationships and research beneficence. An emphasis is placed on how practitioner participation in research interviews, whether as the interviewer or interviewee, can be a cathartic experience and foster practice reflection. However, engagement in more sensitive research may also present additional risk considerations for the insider researcher, such as emotional safety risks.
{"title":"Intersubjectivity and mental health nurses as insider researchers","authors":"P. Archard, Isobel Moore, Michael Lewis, M. O’Reilly","doi":"10.12968/bjmh.2022.0025","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0025","url":null,"abstract":"Ayres et al's (2021) reflective account published in this journal discusses Ayres' experience of undertaking a doctoral study concerned with how mental health nurses who had been assaulted by patients in secure settings make sense of this experience. This commentary recognises the importance of extending the dialogue initiated by Ayres' account, specifically regarding intersubjectivity in research relationships and research beneficence. An emphasis is placed on how practitioner participation in research interviews, whether as the interviewer or interviewee, can be a cathartic experience and foster practice reflection. However, engagement in more sensitive research may also present additional risk considerations for the insider researcher, such as emotional safety risks.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126185516","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. Corrigan, Michelle Curran, Shane Kirwan, G. Donohue, B. Keogh
Throughout the COVID-19 pandemic, mental health services were confronted with significant challenges and mental health staff have not only had to provide a continued service for, often distressed, service users but have had to adapt practice and comply with the ever-changing public guidelines for containing the virus. There is a pressing need, therefore, to learn from the challenges that mental health services have faced and continue to face throughout different stages of the pandemic. While uncertainty is inevitable in pandemics, mental health nurses as a community can learn from individual experiences of adaptation. This article describes the unique and rapid transition of one Irish mental health facility to a COVID-19 isolation ward and unit for delivery of remote admission to a mental health service (home care admission). In order to capture this transitory experience, the areas discussed include preparation of the site, key challenges and the role of nursing staff, mental health service delivery, managing home care packages, the nurse management role and remote ward nursing. This discussion demonstrates how one mental health setting successfully evolved and met the challenges brought by the global pandemic through a combination of adaptability and flexibility in service delivery.
{"title":"The transition of a mental health facility to a COVID-19 isolation ward and unit to deliver remote inpatient mental health care","authors":"M. Corrigan, Michelle Curran, Shane Kirwan, G. Donohue, B. Keogh","doi":"10.12968/bjmh.2022.0028","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0028","url":null,"abstract":"Throughout the COVID-19 pandemic, mental health services were confronted with significant challenges and mental health staff have not only had to provide a continued service for, often distressed, service users but have had to adapt practice and comply with the ever-changing public guidelines for containing the virus. There is a pressing need, therefore, to learn from the challenges that mental health services have faced and continue to face throughout different stages of the pandemic. While uncertainty is inevitable in pandemics, mental health nurses as a community can learn from individual experiences of adaptation. This article describes the unique and rapid transition of one Irish mental health facility to a COVID-19 isolation ward and unit for delivery of remote admission to a mental health service (home care admission). In order to capture this transitory experience, the areas discussed include preparation of the site, key challenges and the role of nursing staff, mental health service delivery, managing home care packages, the nurse management role and remote ward nursing. This discussion demonstrates how one mental health setting successfully evolved and met the challenges brought by the global pandemic through a combination of adaptability and flexibility in service delivery.","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128061665","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}
J. Carson, Barrie Green, K. Gournay, A. Grant, A. Voyce, Chris Portues, D. Whybrow, G. Holman, G. Jones, J. Macfarlane
{"title":"Autoethnography and mental health nursing","authors":"J. Carson, Barrie Green, K. Gournay, A. Grant, A. Voyce, Chris Portues, D. Whybrow, G. Holman, G. Jones, J. Macfarlane","doi":"10.12968/bjmh.2022.0035","DOIUrl":"https://doi.org/10.12968/bjmh.2022.0035","url":null,"abstract":"","PeriodicalId":149493,"journal":{"name":"British Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130321662","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}
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