Pub Date : 2024-12-01Epub Date: 2024-10-10DOI: 10.1016/j.nwh.2024.05.006
Katherine Heatherington Endres, Geraldine M Maurer
The principles of trauma-informed care-safety, compassion, collaboration, communication, autonomy, and empowerment-are also the domains most vulnerable to implicit bias and most cited in adverse outcomes in maternal health. Perinatal nurses can practice trauma-informed care universally and thereby foster and advance person-centered care for all individuals with respect to race, ethnicity, religion, or lived experiences. In this article, we present evidence-based nursing interventions, collectively called REVIVE, that are known to promote principles of trauma-informed care. Taken together, the REVIVE interventions may improve health outcomes and reduce disparities in maternal health outcomes because they are proactive nursing interventions independent of implicit bias. REVIVE is described here and intended for use by individual nurses or health care teams to implement and evaluate in different maternity settings.
{"title":"REVIVE Is an Evidence-Based Approach for Nurses to Universally Apply Trauma-Informed Care in Maternity Settings.","authors":"Katherine Heatherington Endres, Geraldine M Maurer","doi":"10.1016/j.nwh.2024.05.006","DOIUrl":"10.1016/j.nwh.2024.05.006","url":null,"abstract":"<p><p>The principles of trauma-informed care-safety, compassion, collaboration, communication, autonomy, and empowerment-are also the domains most vulnerable to implicit bias and most cited in adverse outcomes in maternal health. Perinatal nurses can practice trauma-informed care universally and thereby foster and advance person-centered care for all individuals with respect to race, ethnicity, religion, or lived experiences. In this article, we present evidence-based nursing interventions, collectively called REVIVE, that are known to promote principles of trauma-informed care. Taken together, the REVIVE interventions may improve health outcomes and reduce disparities in maternal health outcomes because they are proactive nursing interventions independent of implicit bias. REVIVE is described here and intended for use by individual nurses or health care teams to implement and evaluate in different maternity settings.</p>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":" ","pages":"485-491"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477092","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}
To compare the effects of aromatherapy with lavender and mindfulness-based cognitive therapy for sexuality (MBCT-S) on female sexual function.
Design
Randomized controlled trial.
Setting
Health centers in Roudan city, Iran.
Participants
Sixty married women, ages 18 to 45 years, were recruited using the Female Sexual Function Index (FSFI). Participants were selected from health centers in 2022 via convenience sampling.
Intervention and Measurements
Upon their completion of a demographic checklist and the FSFI as a pretest, participants were divided into three groups, including lavender aromatherapy (n = 20), MBCT-S (n = 20), and control (n = 20) through random selection with permutation blocks. All groups completed FSFI as a posttest. Data were analyzed by SPSS 26 using chi-square, Wilcoxon, Kruskal–Wallis, and Mann–Whitney statistical tests.
Results
There was no statistically significant difference among the three groups before the intervention (p = .652), but there was a significant difference among them after the intervention (p = .001). There was a significantly positive difference between the intervention groups and the control group (p < .001). A significant relationship was observed among the three groups in sexual desire, pain, satisfaction, lubrication, and arousal. The mean scores of the posttest in sexual desire, pain, satisfaction, and lubrication were positively higher in the MBCT-S group than in the aromatherapy group, and both intervention groups showed the same effect for sexual arousal. Aromatherapy and counseling had no significant effect on improving sexual orgasm.
Conclusion
MBCT-S can be used to improve many aspects of female sexual function, except for orgasm disorders; aromatherapy may improve sexual arousal.
{"title":"Comparing the Effects of Lavender Aromatherapy and Mindfulness-Based Cognitive Therapy on Sexual Function in Women in Iran","authors":"Zahra Teimori, Firoozeh Mirzaee, Masumeh Ghazanfarpour, Maryam Azimi, Atefeh Ahmadi, Arghavan Javadi","doi":"10.1016/j.nwh.2024.03.006","DOIUrl":"10.1016/j.nwh.2024.03.006","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of aromatherapy with lavender and mindfulness-based cognitive therapy for sexuality (MBCT-S) on female sexual function.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>Health centers in Roudan city, Iran.</div></div><div><h3>Participants</h3><div>Sixty married women, ages 18 to 45 years, were recruited using the Female Sexual Function Index (FSFI). Participants were selected from health centers in 2022 via convenience sampling.</div></div><div><h3>Intervention and Measurements</h3><div>Upon their completion of a demographic checklist and the FSFI as a pretest, participants were divided into three groups, including lavender aromatherapy (<em>n</em> = 20), MBCT-S (<em>n</em> = 20), and control (<em>n</em> = 20) through random selection with permutation blocks. All groups completed FSFI as a posttest. Data were analyzed by SPSS 26 using chi-square, Wilcoxon, Kruskal–Wallis, and Mann–Whitney statistical tests.</div></div><div><h3>Results</h3><div>There was no statistically significant difference among the three groups before the intervention (<em>p</em> = .652), but there was a significant difference among them after the intervention (<em>p</em> = .001). There was a significantly positive difference between the intervention groups and the control group (<em>p</em> < .001). A significant relationship was observed among the three groups in sexual desire, pain, satisfaction, lubrication, and arousal. The mean scores of the posttest in sexual desire, pain, satisfaction, and lubrication were positively higher in the MBCT-S group than in the aromatherapy group, and both intervention groups showed the same effect for sexual arousal. Aromatherapy and counseling had no significant effect on improving sexual orgasm.</div></div><div><h3>Conclusion</h3><div>MBCT-S can be used to improve many aspects of female sexual function, except for orgasm disorders; aromatherapy may improve sexual arousal.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113129","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}
Pub Date : 2024-10-01DOI: 10.1016/j.nwh.2024.04.007
Michelle R. Flanagan, Heidi Collins Fantasia
Menopause is an inevitable physiologic process that typically occurs in women between the ages of 45 and 56 years old. It involves the permanent cessation of ovarian function and is recognized to have occurred when there has been no menstrual cycle for 12 consecutive months without another cause. Vasomotor symptoms, such as hot flushes and night sweats, and genitourinary syndrome of menopause, which includes symptoms of vaginal dryness, dyspareunia, and urinary incontinence, are common symptoms of menopause. Symptoms range from mild to severe, and for those interested in treating their symptoms, there are hormonal and nonhormonal options available. Choosing appropriate therapies is based on each individual’s health history and personal preferences. Because menopause can affect mental, physical, and emotional health, it is critical for nurses to recognize the changes that occur in menopause so that they can make appropriate inquiries to elicit symptom information. Nurses play an important role in counseling and supporting individuals through the menopause transition with evidence-based guidance.
{"title":"Comprehensive Management of Menopausal Symptoms","authors":"Michelle R. Flanagan, Heidi Collins Fantasia","doi":"10.1016/j.nwh.2024.04.007","DOIUrl":"10.1016/j.nwh.2024.04.007","url":null,"abstract":"<div><div>Menopause is an inevitable physiologic process that typically occurs in women between the ages of 45 and 56 years old. It involves the permanent cessation of ovarian function and is recognized to have occurred when there has been no menstrual cycle for 12 consecutive months without another cause. Vasomotor symptoms, such as hot flushes and night sweats, and genitourinary syndrome of menopause, which includes symptoms of vaginal dryness, dyspareunia, and urinary incontinence, are common symptoms of menopause. Symptoms range from mild to severe, and for those interested in treating their symptoms, there are hormonal and nonhormonal options available. Choosing appropriate therapies is based on each individual’s health history and personal preferences. Because menopause can affect mental, physical, and emotional health, it is critical for nurses to recognize the changes that occur in menopause so that they can make appropriate inquiries to elicit symptom information. Nurses play an important role in counseling and supporting individuals through the menopause transition with evidence-based guidance.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 381-392"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113130","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}
Pub Date : 2024-10-01DOI: 10.1016/S1751-4851(24)00204-6
{"title":"Chronic Hypertension in Pregnacy","authors":"","doi":"10.1016/S1751-4851(24)00204-6","DOIUrl":"10.1016/S1751-4851(24)00204-6","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 325-328"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426947","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}
Pub Date : 2024-10-01DOI: 10.1016/j.nwh.2024.06.001
Association of Women’s Health, Obstetric and Neonatal Nurses
{"title":"Adoption","authors":"Association of Women’s Health, Obstetric and Neonatal Nurses","doi":"10.1016/j.nwh.2024.06.001","DOIUrl":"10.1016/j.nwh.2024.06.001","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages e11-e13"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146522","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}
Pub Date : 2024-10-01DOI: 10.1016/j.nwh.2024.08.003
Heidi Collins Fantasia
{"title":"The Role of Nurses in Political Advocacy","authors":"Heidi Collins Fantasia","doi":"10.1016/j.nwh.2024.08.003","DOIUrl":"10.1016/j.nwh.2024.08.003","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 323-324"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297927","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}
Pub Date : 2024-10-01DOI: 10.1016/j.nwh.2024.03.005
Ruqayya S. Zeilani, Alia Mahadeen, Khadeejeh Y. Aldasoqi, Maysoon S. Abdalrahim, Elham H. Othman
Objective
To describe the experiences of women living in Jordan returning to work at their academic positions after giving birth to their first newborns.
Design
Qualitative descriptive phenomenological design.
Setting
Various schools within a governmental university in Jordan. This study describes the challenges women in academia experience in the context of Jordan’s Arabic patriarchal communities.
Participants
A purposive sample of 15 women returning to their academic positions.
Methods
Unstructured, face-to-face, in-depth interviews of women returning to their academic positions within 3 months after giving birth to their first newborns. The recorded interviews were analyzed using Braun and Clarke’s thematic analysis process.
Results
Three major themes emerged: Living in Chaos, The Urgent Need for Transitional Time, and Calling for Help andSupport. Participants described their return to work as a period marked by a sense of chaos and instability, in which they felt a loss of control over their lives. They expressed a pressing need for a transitional period before resuming full-time academic roles, highlighting the importance of a gradual return. Finally, participants shared their struggles with the extra demands added to their daily routine. As working mothers, participants experienced extreme distress while attempting to fulfill their daily responsibilities. They emphasized the lack of adequate support in this challenging period.
Conclusion
Women returning to their academic work after giving birth to their first newborns need to be prepared physically and emotionally for the changes and responsibilities of their new life. A longer period of maternity leave or a transitional period may help women working in academia to manage the demands of multiple maternal roles alongside their professional commitments. These findings highlight the absence of formal policies needed to support women in academia in their return to work after maternity leave.
{"title":"Experiences of Academic Women in Jordan on Their Return to Work After Childbirth","authors":"Ruqayya S. Zeilani, Alia Mahadeen, Khadeejeh Y. Aldasoqi, Maysoon S. Abdalrahim, Elham H. Othman","doi":"10.1016/j.nwh.2024.03.005","DOIUrl":"10.1016/j.nwh.2024.03.005","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the experiences of women living in Jordan returning to work at their academic positions after giving birth to their first newborns.</div></div><div><h3>Design</h3><div>Qualitative descriptive phenomenological design.</div></div><div><h3>Setting</h3><div>Various schools within a governmental university in Jordan. This study describes the challenges women in academia experience in the context of Jordan’s Arabic patriarchal communities.</div></div><div><h3>Participants</h3><div>A purposive sample of 15 women returning to their academic positions.</div></div><div><h3>Methods</h3><div>Unstructured, face-to-face, in-depth interviews of women returning to their academic positions within 3 months after giving birth to their first newborns. The recorded interviews were analyzed using Braun and Clarke’s thematic analysis process.</div></div><div><h3>Results</h3><div>Three major themes emerged: <em>Living in Chaos</em>, <em>The Urgent Need for Transitional Time</em>, and <em>Calling</em> f<em>or Help and</em> <em>Support</em>. Participants described their return to work as a period marked by a sense of chaos and instability, in which they felt a loss of control over their lives. They expressed a pressing need for a transitional period before resuming full-time academic roles, highlighting the importance of a gradual return. Finally, participants shared their struggles with the extra demands added to their daily routine. As working mothers, participants experienced extreme distress while attempting to fulfill their daily responsibilities. They emphasized the lack of adequate support in this challenging period.</div></div><div><h3>Conclusion</h3><div>Women returning to their academic work after giving birth to their first newborns need to be prepared physically and emotionally for the changes and responsibilities of their new life. A longer period of maternity leave or a transitional period may help women working in academia to manage the demands of multiple maternal roles alongside their professional commitments. These findings highlight the absence of formal policies needed to support women in academia in their return to work after maternity leave.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 366-374"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917616","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}
Pub Date : 2024-10-01DOI: 10.1016/S1751-4851(24)00176-4
{"title":"Information for Readers","authors":"","doi":"10.1016/S1751-4851(24)00176-4","DOIUrl":"10.1016/S1751-4851(24)00176-4","url":null,"abstract":"","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426948","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}
Pub Date : 2024-10-01DOI: 10.1016/j.nwh.2024.02.009
Tia Cooney, Jacqueline Larizza, Ursula Cote, Anne-Sophie Gervais, Lindsey Rae, Joel Warkentin, Sacha Dubois
Objective
To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates with neonatal abstinence syndrome (NAS).
Design
Retrospective chart review and descriptive survey design.
Setting/Local Problem
A hospital in Northwestern Ontario, where an evidence-based practice change was undertaken to improve care for neonates with NAS.
Participants
Neonates being screened for NAS during the Modified Finnegan Neonatal Abstinence Syndrome Scoring System (MFNASSS) protocol (n = 75) and ESC protocol (n = 40). Nurses working in the departments after the implementation of ESC were surveyed.
Measurements
Length of stay (LOS) and morphine administration by intervention status using unadjusted hazard and risk ratios, respectively. Descriptive statistics are also presented. A one-sample t test was completed for the nurses’ perspectives survey questions.
Results
Reduced rate of LOS (HR = 1.66, 95% confidence interval [1.1, 2.51]) was observed for participants receiving the ESC intervention (4.53, SD = 1.94), compared to the MFNASSS control (7.45, SD = 6.35). Although the ESC group appeared to have a greater proportion of neonates administered morphine (42.5% ESC vs. 26.7% MFNASSS), the relative risk was not statistically significant (RR = 1.28, 95% confidence interval [0.95, 1.72]). Morphine doses per day were reduced in the ESC group (0.37, SD = 1.50) compared to the MFNASSS group (5.16, SD = 1.02). Overall, the nurses had a positive perspective on the policy change.
Conclusion
ESC was successfully implemented in a Northwestern Ontario hospital. The overall LOS of neonates with NAS decreased. Nurses found the policy change to be safe and attainable.
目的通过对患有新生儿禁欲综合征（NAS）的新生儿实施 "吃、睡、控制"（ESC）评估并改变医院对药物治疗监测要求的政策，改善新生儿的预后：背景/当地问题：安大略省西北部的一家医院决定实施一项循证实践变革，以更好地护理患有 NAS 的新生儿：在改良芬尼根新生儿窒息综合征评分系统（MFNASSS）方案（n = 75）和ESC方案（n = 40）中接受NAS筛查的新生儿。对实施 ESC 后在这些科室工作的护士进行了调查：测量：住院时间（LOS）和吗啡用量，按干预状态分别使用未经调整的危险比和风险比。此外还提供了描述性统计数字。对护士的观点调查问题进行了单样本 t 检验：与 MFNASSS 对照组（7.45，SD = 6.35）相比，接受 ESC 干预（4.53，SD = 1.94）的参与者的 LOS 率有所降低（HR = 1.66，95% 置信区间 [1.1，2.51]）。虽然ESC组使用吗啡的新生儿比例更高（42.5% ESC vs. 26.7% MFNASSS），但相对风险在统计学上并不显著（RR = 1.28，95% 置信区间 [0.95，1.72]）。与 MFNASSS 组（5.16，SD = 1.02）相比，ESC 组每天的吗啡剂量减少了（0.37，SD = 1.50）。总的来说，护士们对政策变化持积极态度：安大略省西北部的一家医院成功实施了ESC。患有 NAS 的新生儿的总住院日有所缩短。护士们认为政策改变是安全和可实现的。
{"title":"A Quality Improvement Project Evaluating the Effects of Eat, Sleep, Console on Nurses and on Neonates With Neonatal Abstinence Syndrome","authors":"Tia Cooney, Jacqueline Larizza, Ursula Cote, Anne-Sophie Gervais, Lindsey Rae, Joel Warkentin, Sacha Dubois","doi":"10.1016/j.nwh.2024.02.009","DOIUrl":"10.1016/j.nwh.2024.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates with neonatal abstinence syndrome (NAS).</div></div><div><h3>Design</h3><div>Retrospective chart review and descriptive survey design.</div></div><div><h3>Setting/Local Problem</h3><div>A hospital in Northwestern Ontario, where an evidence-based practice change was undertaken to improve care for neonates with NAS.</div></div><div><h3>Participants</h3><div>Neonates being screened for NAS during the Modified Finnegan Neonatal Abstinence Syndrome Scoring System (MFNASSS) protocol (<em>n</em> = 75) and ESC protocol (<em>n</em> = 40). Nurses working in the departments after the implementation of ESC were surveyed.</div></div><div><h3>Measurements</h3><div>Length of stay (LOS) and morphine administration by intervention status using unadjusted hazard and risk ratios, respectively. Descriptive statistics are also presented. A one-sample <em>t</em> test was completed for the nurses’ perspectives survey questions.</div></div><div><h3>Results</h3><div>Reduced rate of LOS (<em>HR</em> = 1.66, 95% confidence interval [1.1, 2.51]) was observed for participants receiving the ESC intervention (4.53, <em>SD</em> = 1.94), compared to the MFNASSS control (7.45, <em>SD</em> = 6.35). Although the ESC group appeared to have a greater proportion of neonates administered morphine (42.5% ESC vs. 26.7% MFNASSS), the relative risk was not statistically significant (<em>RR</em> = 1.28, 95% confidence interval [0.95, 1.72]). Morphine doses per day were reduced in the ESC group (0.37, <em>SD</em> = 1.50) compared to the MFNASSS group (5.16, <em>SD</em> = 1.02). Overall, the nurses had a positive perspective on the policy change.</div></div><div><h3>Conclusion</h3><div>ESC was successfully implemented in a Northwestern Ontario hospital. The overall LOS of neonates with NAS decreased. Nurses found the policy change to be safe and attainable.</div></div>","PeriodicalId":39985,"journal":{"name":"Nursing for Women''s Health","volume":"28 5","pages":"Pages 329-338"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914251","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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