American Journal of Nursing Science最新文献

{"title":"Effects of a Customized Physical Activity Program on Community-Dwelling Older Men with Sarcopenia","authors":"Hyun-A Choi, K. Park, K. Moon","doi":"10.11648/J.AJNS.20211003.13","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.13","url":null,"abstract":"Sarcopenia is characterized by decreased muscle mass and muscular function related to aging and is a risk factor for geriatric illnesses. There is a need for physical activity programs appropriate for older men as most existing studies have focused on women. We aimed to develop and validate the effects of a customized physical activity program for male older adults with sarcopenia in South Korea. A non-equivalent control group pre-test and post-test design was used. The experimental group was provided with group education sessions and a customized physical activity program with individual intervention for 12 weeks. The control group was advised to continue their usual lifestyle and provided with education about sarcopenia, guidelines concerning physical activities, posters, and video clips after experiment completion. The groups differed significantly in self-efficacy, insulin-like growth factor-1, lower extremity endurance, and flexibility post-intervention. The customized physical activity program for male older adults with sarcopenia effectively improved participants’ health-related outcomes. The physical activity program developed in this study was effective in improving participants’ self-efficacy, insulin-like growth factor-1, and elasticity, and in alleviating decreases in lower limb endurance. Thus, it is necessary to systematically support such physical activity programs to help older adults address their sarcopenia.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133565020","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 ERAS Combined with Low-frequency Pulsed Electronic Bladder Therapy Instrument on Patients Who Received PPH","authors":"Zhen-xian Zhang, Jun Yu, Tianying Pang","doi":"10.11648/J.AJNS.20211001.33","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.33","url":null,"abstract":"Objective: To assess effect of enhanced recovery after surgery (ERAS) combined with low-frequency pulsed electronic bladder therapy instrument on patients who received procedure for prolapse and hemorrhoids (PPH). Methods: rom January 2020 to December 2020, we collected valid data from 172 patients. According to the random number table method, the participants were divided into intervention group and control group, 86 cases in each group. We provided traditional nursing intervention to control group participants during non-surgery period. In addition, we provided ERAS combined with low-frequency pulsed electronic bladder therapy instrument to intervention group participants. Result: intervention group had better outcome in time of first exhaust, time of activity out of bed, and time of hospital stay compare with control group, that the results were significantly different (p < 0.05). In degree of wound pain of patient, NRS scores in preoperative, six hours after surgery, and 24 hours after surgery were lower in intervention compare with control group, that the results were significantly different. Conclusion: RAS combined with low-frequency pulsed electronic bladder therapy instrument can reduce wound pain of patient, and it speeds patient recovery, promotes early urination after surgery, reduces the risk of urinary retention, and shortens the length of hospital stay.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116684823","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 Predictive Nursing Intervention on Prevention of Nocturnal Hypoglycemia in Patient with Liver Cirrhosis","authors":"Jieyun Luo, Guiyan Wen","doi":"10.11648/J.AJNS.20211002.15","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211002.15","url":null,"abstract":"Background: liver cirrhosis is often accompanied by disease in nocturnal hypoglycemia as the capacity of the liver to preserve carbohydrates is impaired. nocturnal hypoglycemia not only is a poor factor, but also is an indicator of malnutrition assessment in patient with liver cirrhosis. Objective: To evaluate effect of predictive nursing intervention on prevention of nocturnal hypoglycemia in patient with Liver cirrhosis. Methods: From April 2018 to December 2020, we collect valid data from 80 patients. the participants were divided into control group and intervention group: control group received common nursing intervention. intervention group participants received predictive nursing intervention. As for collecting, basic information of participant was collected by participants’ medical records and doctor's diagnosis. During study period, we collected frequency of hypoglycemia and liver function data before and after nursing intervention. Rsult: In patient characteristics research, the factors such as gender, age, Child-Pugh assessment and course of the disease were no significant difference between intervention group and control group. There had 49 females 26 (65.0%) in intervention group and 23 (57.5%) in control group] and 31 males 14 (35.0%) in intervention group and 17 (42.5%) in control group]. Additionally, intervention group participants had higher blood glucose index compare with control group participants as the results were significant difference between the two groups. In the research of liver function index, predictive nursing intervention improve the liver function index, even its effect was better than common nursing intervention. Conclusion: the effect of improving hypoglycemia in patient with Liver cirrhosis was better among intervention group compare to control group.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114297454","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":"Improving the Utilization Rate of Insulin Pump in Patients with Diabetes Mellitus with Toyota TBP","authors":"Xixi Luo, Yan Zhou, Xiaohua Lu, Wane Zhao, Yan Liu, Qinling Chen","doi":"10.11648/J.AJNS.20211002.14","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211002.14","url":null,"abstract":"Objective: To examine the efficacy of Toyota Business Practice (TBP) method in improving the utilization rate of insulin pump in non-endocrine diabetic patients. Methods: Toyota method is a process requires continuous learning and improvement. The characteristic feature of Toyota's working method is the problem-solving guided by basic consciousness. It is the essential basic knowledge for every person who studies Toyota problem solving methods. TBP is an ideal and scientific tool for achieving goals, careful planning, effective implementation, timely review and effective measures are the ways to make TBP a more efficient and economical tool. It is divided into eight steps including clarify problems, decompose problems, set goals, identify the real causes, formulate countermeasures, implement, evaluate results and processes, as well as consolidate achievements were used in the process of prescribing insulin pump to patients with diabetic treated in non-endocrine department. The efficacy of Toyota TBP will be measured and compared in a cohort before and after the implantation. Results: After utilizing Toyota TBP method, the use of insulin pump in non-endocrinology department increased by 10%. Conclusion: Our data suggested that the Toyota TBP method optimized the process of using insulin pump in non-endocrinology department, improved the work flow and the overall utilization rate as well as the prognosis of patients.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126367966","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 and Factors of Hypoglycemia in Perioperative Patients with Type 2 Diabetes Mellitus on Insulin Pump Therapy","authors":"Xiaohua Lu, Youshuang Zhu, Wane Zhao, Yan Liu, Xixi Luo, Yan Zhou","doi":"10.11648/J.AJNS.20211002.13","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211002.13","url":null,"abstract":"Objective: To estimate the incidence of and identified factors associated with hypoglycemia among perioperative diabetes patients with insulin pump therapy. Methods: This was a retrospective cohort study of type 2 diabetes patients with insulin pump therapy newly received surgery. All patients were divided into hypoglycemia group and non-hypoglycemia group according to whether they experienced hypoglycemia. Information about clinical characteristics and treatments were collected and compared between two groups. We estimated the incidence of hypoglycemia, and identified factors associated with hypoglycemia by using multivariable logistic regression. Results: A total of 172 episodes of hypoglycemia were observed in 88 (39.8%) patients, among which, 146 (84.9%) were level 1 hypoglycemia (<3.9 mmol/L) and 26 (15.1%) were level 2 (< 3.0 mmol/L). No severe hypoglycemia (level 3) was reported in this study. Results from the multivariable logistic regression model found that diabetes patients with a longer duration of pump use were more likely to have hypoglycemia (AOR=1.09 with 95% CI=1.04-1.15). However, those diabetes patients who were with higher BMI and eGFR were less likely to have hypoglycemia (AOR=0.86 with 95% CI=0.76-0.98; AOR=0.86 with 95% CI=0.76-0.98, respectively). Conclusion: Perioperative diabetes patients with insulin pump therapy were prone to develop mild to moderate hypoglycemia. The long-term of receiving insulin pump therapy during the perioperative period, with lower BMI and eGFR, put type 2 diabetes at higher risks in hypoglycemia. It may help healthcare providers to screen hypoglycemia among type 2 diabetes patients with receiving long-term insulin pump therapy.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"141 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114949814","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":"Nursing Cooperation in a Patient with Superior Vena Cava Aneurysm Undergoing Contrast-Enhanced CT Examination: A Case Report","authors":"Shaofang Xian, Liu Hairui","doi":"10.11648/J.AJNS.20211002.12","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211002.12","url":null,"abstract":"Superior vena cava aneurysm is a rare life-threatening intrathoracic vascular lesion. Contrast-enhanced CT examination plays an important role for surgical planning. It needs to choose the appropriate vein as the puncture site for contrast agent injection. Hereby we report a 22-year-old male presented with sudden-onset dyspnea and unconsciousness for 2 hours and suffered from cardiac arrest before visiting our hospital. The patient's condition is critically ill, and the risk of contrast agent extravasation and aneurysm explosion is high. We established a multi-disciplinary team, involving Emergency Department, Cardiac Surgery Department, Radiological Department and intravenous therapy experts, for the integrated assessment of patients. And we activate the emergency cooperation protocol for critically ill patients. The superior vena cava can’t be used for contrast injection. Anatomically, the femoral vein drains blood back to the heart through the inferior vena cava, which could avoid the risk of rupture of the superior vena cava aneurysm due to excessive pressure of bolus injection of contrast agent. The indwelling of femoral vein puncture can be used in the treatment of critically ill patients. The vital signs of patients were closely observed during the examination process. No contrast agent extravasation and allergy reaction was observed and CT images were clear. The effective nursing cooperation in this case ensured the safety and effectiveness of the examination, and laid the foundation for further treatment.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"59 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130311996","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":"Enlightenment for Future Nursing Education from Evaluating Perception of Competencies of Doctor of Nursing Practice Programs","authors":"Baoxiang Wang, Elizabeth Roe, Weiju Chen, Judith P. Ruland","doi":"10.11648/J.AJNS.20211002.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211002.11","url":null,"abstract":"Lack of research still exists about how Doctor of Nursing Practice (DNP) prepared nurses meet the AACN Essentials of Doctoral Education for Advanced Nursing Practice. The goal of this study was to examine the perception of DNP prepared nurses and employers on how they met the AACN Essentials. Self-reported data was collected from a convenience sample of DNP prepared nurses and employers across the U.S. (n=202) through an electronic survey assessment. Overall, the participants perceived that the DNP prepared nurses were meeting the competencies with all Essentials receiving a mean score above 4 (agree). The lowest mean score (4.289) was rated for Essential Ⅶ (Clinical Prevention and Population Health for Improving the Nation’s Health). Two other low mean scores were 4.310 for Essential V (health care policy for advocacy in health care) and 4.360 for Essential IV (information systems/technology and patient-care technology for the improvement and transformation of health care). The perception that DNP prepared nurses rated for Essential III (4.49 ±.68, p =.026), VI (4.48 ±.84, p =.017), and the total Essentials (4.43 ±.67, p =.023), and other employers rated for Essential VI (4.02 ± 1.17, p =.042) were statistically significantly lower compared to those working as a DNP prepared nurse and an employer at the same time. The findings of this study have a number of important insights into the value of DNP prepared nurses for the future development of DNP programs in the U.S and the future initiation in other countries.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116176863","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":"Meta-analysis of Risk Factors for Mortality in Patients with Acinetobacter Baumannii Bloodstream Infection","authors":"Xu Han, Haiyan Huang, W. Lv, Wanxian Lu","doi":"10.11648/J.AJNS.20211001.22","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.22","url":null,"abstract":"Background: Patients with Acinetobacter baumannii bloodstream infection (ABBI) have a poor prognosis and high mortality. Early identification of risk factors for death in patients with ABBI, and appropriate prevention and control measures are extremely important to reduce the mortality. Objective: To systematically evaluate the risk factors of ABBI, which provide evidence for reducing the incidence and mortality of patients. Methods: The published articles and reference works on prognosis risk factors in patients with ABBI were retrieved from inception to January 2021 in the following databases: PubMed, Web of Science, Embase, CNKI, Wanfang and VIP. Those studies that met the inclusion criteria were perform quality evaluation and data analysis. Meta-analysis was performed by the statistical software Stata13.0. Results: A total of 24 articles were included, including 1 203 patients in the death group and 1 319 patients in the survival group. Among the 24 included study factors, 15 showed statistically significant differences(P<0.01), including: age (MD=0.19, 95%CI: 0.08~0.30, P<0.01), APACHE II (MD=0.48, 95%CI: 0.06~0.91, P=0.03), ICU admission (OR=1.91, 95%CI: 1.12~3.26, P=0.02), shock (OR=4.28, 95% CI: 1.05~17.49, P=0.04), septic shock (OR=8.36, 95%CI: 3.71~18.82, P<0.01), renal damage (OR=1.57, 95%CI: 1.19~2.07, P<0.01), diabetes (OR=1.31,95%CI: 1.03~1.68, P=0.03), malignant tumor (OR=1.56, 95%CI: 1.02~2.37, P=0.04 ), liver disease (OR=1.93, 95%CI: 1.25~3.00, P<0.01), hormonal used (OR=5.46, 95%CI: 3.12~9.56, P<0.01), immunosuppression (OR=2.73, 95%CI: 1.82~4.1, P<0.01 ), mechanical ventilation (OR=3.17, 95%CI: 2.34~4.29, P<0.01), deep vein catheterization (OR=2.02, 95%CI: 1.56~2.61, P<0.01), indwelling urinary catheter (OR =2.53, 95%CI: 1.66~3.84, P<0.01), indwelling gastric tube (OR=1.79, 95%CI: 1.21~2.65, P<0.01). Conclusion: The severity of the patient's underlying disease, using of hormones and immunosuppressants, and various invasive operations were the main risk factors for high mortality in ABBI patients. It was necessary to focus on older patients, dynamically monitor the APACHE II score, carefully evaluate the effect of hormone and immunosuppressant application, and strictly control the indications of invasive operation or treatment.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128367133","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":"Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study","authors":"Yahui Zhao, Huiling Liu, Qingqing Zhai, Mengying Qi, Xiaolan Wang, Yanhua Shi","doi":"10.11648/J.AJNS.20211001.21","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.21","url":null,"abstract":"The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131794967","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":"Application of Humanized Nursing in Uterine Artery Embolization for Patients of Uterine Fibroids","authors":"Huijuan Cai, L. Mo, Xiaojuan Liao","doi":"10.11648/J.AJNS.20211001.20","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.20","url":null,"abstract":"Background: Uterine artery embolization (UAE) has been widely used to treat uterine fibroids in recent years, which is less invasive and preserving the patient's uterus. Anyway, the patient could still have negative emotions in the perioperative period because of pain, vaginal bleeding, psychological stress, or other factors. High-quality humanized nursing is needed to improve patients’ situations. Object: To analyze the application and effect of humanized nursing in UAE for patients of uterine fibroids. Method: 90 patients with uterine fibroids admitted to our hospital from November 2019 to November 2020 were selected and divided into two groups according to a random drawing. The patients in the control group were given traditional nursing care. The patients in the observation group were given humanized nursing mode on this basis. The anxiety and depression degree before being discharged from hospital, satisfaction with different nursing modes, QOL score, amenorrhea, anemia, infection, arterial thrombosis, and other adverse conditions of the two groups were investigated. Result: The QOLS of the observation group after nursing were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). The score of HAMA and HAMD of the observation group was significantly higher than that of the control group, and the differences were statistically significant (P < 0.05). The satisfaction of the observation group was significantly higher than that of the control group, and the differences were statistically significant (P < 0.05). The rate of adverse complications of the observation group was significantly lower than that of the control group, and the differences were statistically significant (P < 0.05). Conclusion: The application of a humanized nursing model for the care of patients with UAE for uterine fibroids can effectively alleviate and eliminate negative perioperative emotions and significantly improve depression, which in turn is conducive to improving their postoperative quality of life, with high patient satisfaction and fewer cases of adverse reactions, with a high degree of safety, and is worth promoting in the clinic.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129292608","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}