Nursing is truly an ever-evolving profession. It is one of the most versatile occupations within the health care arena. It is not the same profession today as it was years ago. Nurses need direction to create order out of chaos in today’s complex multifaceted healthcare environment. My survival plan entails a personal relationship with Christ which is strengthened by consistent time spent in the Holy Scriptures. Reading the Bible daily and studying scripture is a necessity. Scripture passages can inspire nurses particularly in going forward, in endlessly caring for other individuals and in sharing our passion to serve others as we venture forth.
{"title":"Scripture Matters for Whole Person Nursing","authors":"D. McCroskey","doi":"10.15566/cjgh.v9i1.665","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.665","url":null,"abstract":"Nursing is truly an ever-evolving profession. It is one of the most versatile occupations within the health care arena. It is not the same profession today as it was years ago. Nurses need direction to create order out of chaos in today’s complex multifaceted healthcare environment. My survival plan entails a personal relationship with Christ which is strengthened by consistent time spent in the Holy Scriptures. Reading the Bible daily and studying scripture is a necessity. Scripture passages can inspire nurses particularly in going forward, in endlessly caring for other individuals and in sharing our passion to serve others as we venture forth.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42964553","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}
Litha Mary Mathew, Leejia Mathew, V. Cherian, Alice David
Background and Aims: Managing the intense pain after a Total Knee Arthroplasty (TKA) is essential for early mobilization and physiotherapy which plays a crucial role for better clinical outcomes. Epidural infusion of local anesthetic and opioids provides good pain relief but can lead to side effects such as hypotension, motor weakness and respiratory depression. The objective of this study was to evaluate if epidurally administered ketamine could provide postoperative analgesia and therefore reduce the dose of the epidural infusion. Methods: Thirty patients undergoing TKA under epidural anesthesia were randomized to receive 0.5% bupivacaine (Group I) or 0.5% bupivacaine + ketamine (0.5mg/kg) (Group II) as their primary anesthetic. At the end of the surgery, an infusion of 0.1% bupivacaine + fentanyl (1μg/ml) was started through the epidural catheter at 5ml/h. The rate was adjusted every 2 hours, depending on the pain experienced by the patient. If despite rate adjustment, the patient graded the pain as 5 or more, morphine 5mg intramuscularly could be administered as the rescue analgesic. Results: The demographic characteristics of the two groups were comparable. The dose of epidural infusion in the postoperative period was also comparable. Rescue analgesia was needed in 5 (35%) Group I and 8 (53%) Group II patients, which was not statistically significant. However, an analysis of the subset of patients who needed rescue analgesia using the Kaplan-Meier curves, showed that most of the patients from Group I needed the rescue dose at the 6th hour and although few of the Group II patients also needed rescue analgesia at the 6th hour, their rate of needing rescue analgesic was gradual, lasting up to 18 hours. Conclusion: Although, this study failed to show that the addition of a single dose of ketamine (0.5mg/kg) improved postoperative analgesia after TKA, it may have some benefit in a select subset of patients. It would need a larger sample size to identify those patients.
{"title":"Effect of Epidural Ketamine on Pain after Total Knee Arthroplasty: A Randomized Double- Blind Placebo Controlled Clinical Trial","authors":"Litha Mary Mathew, Leejia Mathew, V. Cherian, Alice David","doi":"10.15566/cjgh.v9i1.641","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.641","url":null,"abstract":"Background and Aims: Managing the intense pain after a Total Knee Arthroplasty (TKA) is essential for early mobilization and physiotherapy which plays a crucial role for better clinical outcomes. Epidural infusion of local anesthetic and opioids provides good pain relief but can lead to side effects such as hypotension, motor weakness and respiratory depression. The objective of this study was to evaluate if epidurally administered ketamine could provide postoperative analgesia and therefore reduce the dose of the epidural infusion. \u0000Methods: Thirty patients undergoing TKA under epidural anesthesia were randomized to receive 0.5% bupivacaine (Group I) or 0.5% bupivacaine + ketamine (0.5mg/kg) (Group II) as their primary anesthetic. At the end of the surgery, an infusion of 0.1% bupivacaine + fentanyl (1μg/ml) was started through the epidural catheter at 5ml/h. The rate was adjusted every 2 hours, depending on the pain experienced by the patient. If despite rate adjustment, the patient graded the pain as 5 or more, morphine 5mg intramuscularly could be administered as the rescue analgesic. \u0000Results: The demographic characteristics of the two groups were comparable. The dose of epidural infusion in the postoperative period was also comparable. Rescue analgesia was needed in 5 (35%) Group I and 8 (53%) Group II patients, which was not statistically significant. However, an analysis of the subset of patients who needed rescue analgesia using the Kaplan-Meier curves, showed that most of the patients from Group I needed the rescue dose at the 6th hour and although few of the Group II patients also needed rescue analgesia at the 6th hour, their rate of needing rescue analgesic was gradual, lasting up to 18 hours. \u0000Conclusion: Although, this study failed to show that the addition of a single dose of ketamine (0.5mg/kg) improved postoperative analgesia after TKA, it may have some benefit in a select subset of patients. It would need a larger sample size to identify those patients.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43559450","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}
Both faith-based organizations (FBOs) and non-faith-based organizations (NFBOs) make significant contributions to healthcare in low- and middle-income countries, particularly for patients with fewer economic resources. The perception that FBO and NFBO are dissimilar may contribute to there being insufficient interactions between them. But in fact, faith and humanitarianism are intimately and historically connected. As a byproduct, FBO and NFBO share both accomplishments and criticisms, including echoes of imperialism and lack of neutrality. A mutual interest approach could cultivate partnerships between FBO and NFBO, allowing them to pursue the common good of a healthier world without risking assimilation, isolation, or inauthenticity.
{"title":"Finding Common Ground for the Common Good: An Appeal for Innovative Collaboration between Faith- and Non-faith Based Organizations","authors":"Danielle I. Ellis, T. Fitzgerald","doi":"10.15566/cjgh.v9i1.585","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.585","url":null,"abstract":"Both faith-based organizations (FBOs) and non-faith-based organizations (NFBOs) make significant contributions to healthcare in low- and middle-income countries, particularly for patients with fewer economic resources. The perception that FBO and NFBO are dissimilar may contribute to there being insufficient interactions between them. But in fact, faith and humanitarianism are intimately and historically connected. As a byproduct, FBO and NFBO share both accomplishments and criticisms, including echoes of imperialism and lack of neutrality. A mutual interest approach could cultivate partnerships between FBO and NFBO, allowing them to pursue the common good of a healthier world without risking assimilation, isolation, or inauthenticity.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47025646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Conqueror’s Creed: A Declaration and Prayer of Christian Scripture for Those in Pain","authors":"Emily H. Garmon","doi":"10.15566/cjgh.v9i1.655","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.655","url":null,"abstract":"","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47147849","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}
With an unfortunate number of underserved communities throughout the world, it would be remiss to overlook the prevalence of ones located right in the backyards of America. Most residents of these communities suffer disproportionately from health disparities. They are often lower income, non-white residents of dense, and diverse urban neighborhoods, like ones located in North Philadlphia.1 Most of the residents of North Philadelphia lack basic health care services, live in households with incomes at or below 200% of the poverty level, and nearly one in five people lack health insurance, resulting in communities that are designated as a Federal Medically Underserved Areas.2 Since 1989, a health center, Esperanza, has been dedicated to serving the members of the North Philadelphia community through an intentional and faith-based approach. Today, its director, Susan Post, has continued to carry out the mission of Esperanza through efforts that highlight purposeful proximity.
{"title":"Christian Healthcare in Medically Underserved North Philadelphia","authors":"Amanda Martinez","doi":"10.15566/cjgh.v9i1.633","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.633","url":null,"abstract":"With an unfortunate number of underserved communities throughout the world, it would be remiss to overlook the prevalence of ones located right in the backyards of America. Most residents of these communities suffer disproportionately from health disparities. They are often lower income, non-white residents of dense, and diverse urban neighborhoods, like ones located in North Philadlphia.1 Most of the residents of North Philadelphia lack basic health care services, live in households with incomes at or below 200% of the poverty level, and nearly one in five people lack health insurance, resulting in communities that are designated as a Federal Medically Underserved Areas.2 Since 1989, a health center, Esperanza, has been dedicated to serving the members of the North Philadelphia community through an intentional and faith-based approach. Today, its director, Susan Post, has continued to carry out the mission of Esperanza through efforts that highlight purposeful proximity.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47827831","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}
As in other parts of the world, Canada’s citizens are confronted with biological, mental, and social crises. Despite the fact that these issues can be interrelated, they are regularly studied and addressed separately. The bio-psycho-social (BPS) framework was offered as an alternative approach for care because of its assumption that in order to produce a variety of interconnected outcomes relative to health and well-being, biological, mental, and social issues must all be considered. Some authors have argued, however, that without a spiritual component, the BPS framework is not holistic. As such, recent scholarship has explored the inclusion of a spiritual component in the framework, and social service professionals have been encouraged to consider designing interventions informed by the bio-psycho-social-spiritual (BPS-S) framework. Good examples of how to apply the framework in practice are limited. This case example describes how the BPS-S framework was applied to design a community-, sports-, and faith-based martial arts program in Ontario, Canada. The program draws upon a combination of sports-, community-, and Christian faith-based considerations to serve its participants, including vulnerable populations such as those with constrained access to social services due to mental health challenges, language barriers, or low levels of income. This article details some of the ways in which the operations of this program (e.g., activities, target audience, leadership) were informed by the BPS-S framework. This includes some of the advantages of drawing upon this framework to foster more nuanced and holistic well-being among participants. The article concludes with some limitations of the BPS-S framework, and implications for applying it to other social service interventions.
{"title":"Using the Bio-Psycho-Social-Spiritual Framework in Holistic Health and Well-being: A Case Example of a Community- and Faith-Based Sports Program:","authors":"Morgan Braganza, Jacob Oliveira","doi":"10.15566/cjgh.v9i1.593","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.593","url":null,"abstract":"As in other parts of the world, Canada’s citizens are confronted with biological, mental, and social crises. Despite the fact that these issues can be interrelated, they are regularly studied and addressed separately. The bio-psycho-social (BPS) framework was offered as an alternative approach for care because of its assumption that in order to produce a variety of interconnected outcomes relative to health and well-being, biological, mental, and social issues must all be considered. Some authors have argued, however, that without a spiritual component, the BPS framework is not holistic. As such, recent scholarship has explored the inclusion of a spiritual component in the framework, and social service professionals have been encouraged to consider designing interventions informed by the bio-psycho-social-spiritual (BPS-S) framework. Good examples of how to apply the framework in practice are limited. This case example describes how the BPS-S framework was applied to design a community-, sports-, and faith-based martial arts program in Ontario, Canada. The program draws upon a combination of sports-, community-, and Christian faith-based considerations to serve its participants, including vulnerable populations such as those with constrained access to social services due to mental health challenges, language barriers, or low levels of income. This article details some of the ways in which the operations of this program (e.g., activities, target audience, leadership) were informed by the BPS-S framework. This includes some of the advantages of drawing upon this framework to foster more nuanced and holistic well-being among participants. The article concludes with some limitations of the BPS-S framework, and implications for applying it to other social service interventions.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45589460","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}
Introduction: Research as a focus of healthcare missions is an important component of the evolving role of healthcare missionaries and sending organizations in LMICs. There is a lack of data and understanding on what appetite exists to expand and invest in such research initiatives. Methods: This study surveyed leaders of North American mission sending agencies engaged in healthcare, seeking to ascertain their current and anticipated future involvement in research, education, and healthcare delivery. Results: Forty-seven leaders responded (of 211 contacted) to our survey of whom 37 completed all survey questions. Eighty-two percent of respondents agreed that they had a responsibility as an organization to study how to improve clinical care and public health. Sixty-four percent of respondents anticipated reduced healthcare delivery in the next 10 years. During that same 10-year, time frame, 61% anticipate an increase in health research mentoring, and 79% expect an increased role of student education. However, this emerging shift towards research and education is not yet reflected with a similar degree of perceived enthusiasm among missionaries in doing research or donors in supporting it. Discussion: Across the spectrum of middle- and upper-level leadership in a variety of missions sending organizations, there is recognition of an important and increasing role for healthcare research activities in ministry. About half of the agencies represented in our sample are already involved in research and will need to share best practices with others as healthcare missionaries devote more time and attention to research mentorship. Done well, this can provide additional avenues for disciple-making in both home and host cultures as well as improve the care for populations in those remote and rural areas often most served by healthcare missionaries. Conclusion: Research as mission has, heretofore, been a neglected methodology, but institutional leaders in healthcare missions anticipate an increasingly important ministry role for it.
{"title":"Research As Mission: Experiences and Expectations of Missions Agency Leadership Regarding the Ministry Role of Clinical and Public Health Research","authors":"C. Wendler, Doug Lindberg, Greg Sund","doi":"10.15566/cjgh.v9i1.647","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.647","url":null,"abstract":"Introduction: Research as a focus of healthcare missions is an important component of the evolving role of healthcare missionaries and sending organizations in LMICs. There is a lack of data and understanding on what appetite exists to expand and invest in such research initiatives. \u0000Methods: This study surveyed leaders of North American mission sending agencies engaged in healthcare, seeking to ascertain their current and anticipated future involvement in research, education, and healthcare delivery. \u0000Results: Forty-seven leaders responded (of 211 contacted) to our survey of whom 37 completed all survey questions. Eighty-two percent of respondents agreed that they had a responsibility as an organization to study how to improve clinical care and public health. Sixty-four percent of respondents anticipated reduced healthcare delivery in the next 10 years. During that same 10-year, time frame, 61% anticipate an increase in health research mentoring, and 79% expect an increased role of student education. However, this emerging shift towards research and education is not yet reflected with a similar degree of perceived enthusiasm among missionaries in doing research or donors in supporting it. \u0000Discussion: Across the spectrum of middle- and upper-level leadership in a variety of missions sending organizations, there is recognition of an important and increasing role for healthcare research activities in ministry. About half of the agencies represented in our sample are already involved in research and will need to share best practices with others as healthcare missionaries devote more time and attention to research mentorship. Done well, this can provide additional avenues for disciple-making in both home and host cultures as well as improve the care for populations in those remote and rural areas often most served by healthcare missionaries. \u0000Conclusion: Research as mission has, heretofore, been a neglected methodology, but institutional leaders in healthcare missions anticipate an increasingly important ministry role for it.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45201323","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 field report derives major and minor themes from exit interviews for cross-cultural healthcare workers who are leaving their work earlier than anticipated. Recommendations are suggested to address this problem of attrition.
{"title":"Why are MedSend Grant Recipients Leaving the Mission Field? An Internal Review","authors":"J. V. Ritchie, Patricia J. Woods","doi":"10.15566/cjgh.v9i1.603","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.603","url":null,"abstract":"This field report derives major and minor themes from exit interviews for cross-cultural healthcare workers who are leaving their work earlier than anticipated. Recommendations are suggested to address this problem of attrition.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46018463","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}
Acute suppurative thyroiditis (AST) is a rare clinical entity that must be treated immediately because of its morbidity, especially swelling in the thyroid area accompanied by fever. AST is often preceded by infection at another site; therefore, it is important to identify the source. A 40-year-old woman came to the Dr. Soetomo General Hospital complaining of pain and swelling in the neck, difficulty swallowing, and fever. The patient suffered from chronic kidney disease. One week before, she had an infected arteriovenous hemodialysis shunt. Laboratory results showed an increased fT4 (3.5 ug/dL) and a decreased TSH (0.015 uIU/mL), leukocytosis, and a raised C reactive protein (CRP). Thyroid ultrasound showed an abscess involving the entire left thyroid. Thyroid fine needle biopsy showed AST. Culture of the pus grew Staphylococcus aureus. The thyroid tests supported the diagnosis of AST with hyperthyroidism; immediate treatment was indicated. Three weeks after treatment, the patient was euthyroid and still had drainage of the wound. The AST was considered to be secondary to the hemodialysis AV shunt infection. Leukocytosis and increased CRP levels supported the presence of inflammation and culture grew Staphylococcus aureus. The patient improved with Clindamycin therapy. To our knowledge, this is the first AST case preceded by hemodialysis AV shunt infection.
{"title":"Acute Suppurative Thyroiditis in Post Arteriovenous Shunt Infection Patient","authors":"F. R. Marpaung, Aryati, S. Soehita","doi":"10.15566/cjgh.v9i1.583","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.583","url":null,"abstract":"Acute suppurative thyroiditis (AST) is a rare clinical entity that must be treated immediately because of its morbidity, especially swelling in the thyroid area accompanied by fever. AST is often preceded by infection at another site; therefore, it is important to identify the source. A 40-year-old woman came to the Dr. Soetomo General Hospital complaining of pain and swelling in the neck, difficulty swallowing, and fever. The patient suffered from chronic kidney disease. One week before, she had an infected arteriovenous hemodialysis shunt. Laboratory results showed an increased fT4 (3.5 ug/dL) and a decreased TSH (0.015 uIU/mL), leukocytosis, and a raised C reactive protein (CRP). Thyroid ultrasound showed an abscess involving the entire left thyroid. Thyroid fine needle biopsy showed AST. Culture of the pus grew Staphylococcus aureus. The thyroid tests supported the diagnosis of AST with hyperthyroidism; immediate treatment was indicated. Three weeks after treatment, the patient was euthyroid and still had drainage of the wound. The AST was considered to be secondary to the hemodialysis AV shunt infection. Leukocytosis and increased CRP levels supported the presence of inflammation and culture grew Staphylococcus aureus. The patient improved with Clindamycin therapy. To our knowledge, this is the first AST case preceded by hemodialysis AV shunt infection.","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46071880","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":"Vaccines, the Faith Community, and the Common Good","authors":"H. Larson","doi":"10.15566/cjgh.v9i1.675","DOIUrl":"https://doi.org/10.15566/cjgh.v9i1.675","url":null,"abstract":"editorial","PeriodicalId":52275,"journal":{"name":"Christian Journal for Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232955","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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