BMJ public health最新文献

{"title":"Correction: Improving influenza vaccine uptake in clinical risk groups: patient, provider and commissioner perspectives on the acceptability and feasibility of expanding delivery pathways in England","authors":"","doi":"10.1136/bmjph-2024-000929corr1","DOIUrl":"https://doi.org/10.1136/bmjph-2024-000929corr1","url":null,"abstract":"","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"18 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840920","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":"Oral health-related knowledge, attitude and practices among nurses: a hospital-based questionnaire survey from a tertiary healthcare setting in Faridabad, India","authors":"Shilpa Khullar Sood, Megha Jain, Manu Raj, Sakshi Sharma","doi":"10.1136/bmjph-2023-000791","DOIUrl":"https://doi.org/10.1136/bmjph-2023-000791","url":null,"abstract":"Nurses play an integral part in the comprehensive delivery of healthcare services and contribute significantly to the success of public health initiatives. The knowledge, attitude and practices of nurses in the domain of oral health influence their own oral hygiene as well as that of the community. Their impact on overall oral health of the community is due to the fact that they provide health education as the primary contact of patients and their family members. The objective of this study was to evaluate the oral health knowledge, attitude and practice among nurses of a tertiary healthcare facility.We conducted a cross-sectional questionnaire-based study among nurses working at a tertiary healthcare setting in Faridabad, India, to assess their oral health-related knowledge, attitude and practice.We recruited a total of 300 nurses from the study institution. Among participants, 235 (78.4 %) were females. In the study population, 220 (73.4%) were nursing diploma holders, 55 (18.6%) had a bachelor’s degree, 20 (6.6%) had a post-graduate nursing diploma and 5 (1.5%) completed their master’s degree. Overall oral health-related knowledge was found to be good in 270 (90%) of participants. Overall oral health-related attitude was satisfactory in 270 (90%) participants. Among participants, 225 (75%) brushed their teeth using fluoridated toothpaste. In addition, 247 (82.6%) participants reported brushing in circular direction, 256 (85.6%) reported spending 2 min to clean their teeth and 285 (95%) reported cleaning their tongue daily.Nurses demonstrated good knowledge, good attitude and a positive outlook related to oral health. They contributed significantly towards maintenance of healthy practices regarding oral health and hygiene in the community. This was primarily by taking up an active role in motivating family and friends to have regular dental check-ups.","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"110 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853170","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":"Impacts of the COVID-19 pandemic on HIV care and treatment services among adolescents attending a tertiary hospital in Dar es Salaam, Tanzania: a qualitative study","authors":"Eva Kidabulo, Lilian Nkinda, D. Mwakawanga, Agricola Joachim","doi":"10.1136/bmjph-2024-000935","DOIUrl":"https://doi.org/10.1136/bmjph-2024-000935","url":null,"abstract":"The COVID-19 pandemic has caused substantial disruption on HIV care and treatment programmes, especially for adolescents living with HIV (ALHIV) who are known to have poorer health outcomes compared with adults. Efforts made to overcome the pre-existing challenges were hampered by the emergence of the pandemic which interrupted adolescent-friendly healthcare services. Therefore, the aim of this study was to assess the impacts of the pandemic on HIV care and treatment services from healthcare providers and adolescents’ experiences at a tertiary hospital in Dar es Salaam, Tanzania.A descriptive qualitative study using in-depth interviews was conducted with 17 study participants. Purposive and convenient sampling techniques were used to recruit healthcare providers and adolescents, respectively. Swahili semistructured interview guide was used to conduct interviews. Thematic analysis was conducted to generate themes and subthemes describing the experiences on effects brought by COVID-19 on HIV care and treatment among adolescents.The study revealed that alteration of approach in delivery of healthcare and limited human and non-human resources in healthcare facilities during the COVID-19 pandemic decreased effectiveness and quality of care which resulted in adolescent’s poor adherence to medication and loss to follow-up. Loss of family income, food insecurity and limited socialisation posed threat to adolescent’s mental health and overall quality of life.Our findings underscore the impacts of COVID-19 and its immediate responses that significantly affected adolescent HIV care and treatment services. Reinforcement of sustainable ALHIV programmes and funding supports to these programmes are essential to promote retention and engagement to care during pandemics.","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"43 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853711","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":"Burnout, motivation and job satisfaction among community health workers recruited for a depression training in Madhya Pradesh, India: a cross-sectional study.","authors":"Lauren M Mitchell, Aditya Anand, Shital Muke, Steven D Hollon, Udita Joshi, Azaz Khan, Juliana Restivo Haney, Ritu Shrivastava, Abhishek Singh, Daisy R Singla, G Sai Teja, Deepak Tugnawat, Anant Bhan, Vikram Patel, John A Naslund","doi":"10.1136/bmjph-2024-001257","DOIUrl":"10.1136/bmjph-2024-001257","url":null,"abstract":"<p><strong>Introduction: </strong>Burnout, low motivation, and poor job satisfaction among community health workers (CHWs) have negative impacts on health workers and on patients. This study aimed to characterize levels of burnout, motivation, and job satisfaction in CHWs in Madhya Pradesh, India and to determine the relation between these levels and participant characteristics. This study can inform efforts to promote wellbeing and address stress in this population.</p><p><strong>Methods: </strong>In this cross-sectional study, we recruited participants via simple random sampling without replacement. We administered two validated questionnaires, the Copenhagen Burnout Inventory and a Motivation and Job Satisfaction Assessment, to CHWs who had enrolled in a training program to deliver a brief psychological intervention for depression. We calculated mean scores for each questionnaire item, examined the reliability of the measures, and analyzed associations between participant demographic characteristics and questionnaire scores.</p><p><strong>Results: </strong>339 CHWs completed the questionnaires. The personal burnout domain had the highest mean burnout score (41.08, 95% CI 39.52-42.64, scale 0-100) and 33% of participants reported moderate or greater levels of personal burnout. Items that reflected physical exhaustion had the highest item-test correlations. The organization commitment domain had the highest mean motivation score (mean 3.34, 95% CI 3.28 - 3.40, scale 1-4). Items describing pride in CHWs' work had the highest item-test correlations. Several pairwise comparisons showed that higher education levels were associated with higher motivation levels (degree or higher vs. 8^th standard [p=0.0044] and 10^th standard [p=0.048], and 12^th standard vs. 8^th standard [p= 0.012]). Cronbach's alpha was 0.82 for the burnout questionnaire and 0.86 for the motivation and job satisfaction questionnaire.</p><p><strong>Conclusion: </strong>CHWs report experiencing burnout and feeling physically tired and worn out. A sense of pride in their work appears to contribute to motivation. These findings can inform efforts to address burnout and implement effective task-sharing programs in low-resource settings.</p>","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142788371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the effects, implementation experience and political economy of primary healthcare facility autonomy reforms within counties in Kenya: a mixed methods study protocol.","authors":"Anita Musiega, Beatrice Amboko, Beryl Maritim, Jacinta Nzinga, Benjamin Tsofa, Peter Mwangi Mugo, Ethan Wong, Caitlin Mazzilli, Wangari Ng'ang'a, Brittany L Hagedorn, Gillian Turner, Anne Musuva, Felix Murira, Nirmala Ravishankar, Edwine Barasa","doi":"10.1136/bmjph-2024-001156","DOIUrl":"10.1136/bmjph-2024-001156","url":null,"abstract":"<p><strong>Introduction: </strong>There is a growing emphasis on improving primary health care services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autonomy. There is limited understanding of the effects of health facility autonomy on primary health care (PHC) facilities performance. It is recognized that stakeholder interests influence reforms, and gender plays a critical role in access to health and its outcomes. This protocol outlines the methods for a study that plans to evaluate the effects, implementation experience, political economy, and gendered effects of health facility autonomy reforms in Kenya.</p><p><strong>Methods and analysis: </strong>The research will use a before-and-after quasi-experimental study design to measure the effects of the reform on service readiness and service utilization, and a cross-sectional qualitative study to explore the implementation experience, political economy, and gendered effects of these reforms. Data to measure the effects of autonomy will be collected from a sample of 80 health facilities and 1600 clients per study arm. Qualitative interviews will involve approximately 83 facility managers and policymakers at the county level, distributed across intervening (36), and planning to intervene (36) counties. Additionally, 11 interviews will be conducted at the national level with representatives from the Ministry of Health, the National Treasury, the Controller of Budget, the Council of Governors, the Auditor General, and development partners. Given the uncertainty surrounding the implementation of the reforms, this study proposes two secondary designs in the event our primary design is not feasible - a cross-sectional study, and a quasi-experimental interrupted time series design. The study will use a difference-in-difference analysis for the quantitative component to evaluate the effects of the reforms, while using thematic analysis for the qualitative component to evaluate the political economy and the implementation experience of the reforms.</p><p><strong>Ethics and dissemination: </strong><i>This study was approved by the Kenya Medical Research Institute Scientific and Ethics Review Unit (</i>KEMRI/SERU/CGMR-C/294/4708<i>) and the National Commission for Science, Technology and Innovation (</i>NACOSTI/P/23/28111<i>). We plan to disseminate the findings through publications, policy briefs and dissemination workshops</i>.</p>","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"2 2","pages":"e001156"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifiable risk factors for dementia in India: A cross-sectional study revisiting estimates and reassessing prevention potential and priorities.","authors":"Marco Angrisani, Emma Nichols, Erik Meijer, Alden L Gross, Joshua R Ehrlich, Mathew Varghese, Kenneth M Langa, A B Dey, Sara D Adar, Jinkook Lee","doi":"10.1136/bmjph-2024-001362","DOIUrl":"10.1136/bmjph-2024-001362","url":null,"abstract":"<p><strong>Background: </strong>About 16% of worldwide dementia cases are in India. Evaluating the prospects for dementia prevention in India requires knowledge of context-specific risk factors, as relationships between risk factors and dementia observed in high-income countries (HICs) may not apply.</p><p><strong>Methods: </strong>We computed population attributable fractions (PAFs) for dementia in India by estimating associations between risk factors and dementia, their prevalence and communality, within the same nationally representative sample of 4,096 Indians aged 60 and older, surveyed through the Harmonized Diagnostic Assessment of Dementia for the Longitudinal Aging Study in India (LASI-DAD).</p><p><strong>Results: </strong>The risk factor with the largest PAF (>20%) was no education, followed by vision impairment (14%), physical inactivity (12%), and social isolation (8%). According to our estimates, eliminating exposure to risk factors significantly associated with dementia would potentially prevent up to 70% of dementia cases in India.</p><p><strong>Discussion: </strong>Previous estimates, based on samples limited to specific geographic areas and using risk factors' definitions and relative risks from HICs, may not correctly estimate the real opportunities for preventing dementia in India or identify the most critical areas for intervention.</p>","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Client perspectives on creating supportive sexual health environments for people with persistent anxiety: a qualitative study","authors":"Stéphanie Black, Sarah Watt, Mark Gilbert, Heather Nicole Pedersen, Aidan Ablona, Hsiu-Ju Chang, T. Salway","doi":"10.1136/bmjph-2023-000625","DOIUrl":"https://doi.org/10.1136/bmjph-2023-000625","url":null,"abstract":"We sought to explore sexual health service clients’ perspectives, preferences and suggestions for how to better address or alleviate anxiety among clients of sexual health services (eg, sexually transmitted infection testing) regarding both online and in-person sexual health services among those who experience persistent anxiety.We conducted qualitative interviews with 27 sexual health service clients with persistent experiences of anxiety in British Columbia, Canada. Participants were recruited from respondents to a COVID-19-related sexual health survey who consented to follow up. Interviews were conducted via Zoom, recorded and transcribed. Transcripts were coded and analysed using thematic analysis by searching for themes in order to summarise the experiences and needs of participants.The median participant age was 34. 16 participants identified as women, 10 as men and 1 each as non-binary and gender fluid. Participants described anxiety related to sexual health service access and experiences due to sexual health-related stigma and privacy concerns; provider judgement and lack of communication or information regarding test results. They suggested that routinely integrating discussions with providers about mental health in sexually transmitted and bloodborne infection (STBBI) testing appointments may help clients feel safer and could connect them to support. They highlighted the need for personal and genuine interactions with providers (eg, making appointments feel less perfunctory, asking clients how they are feeling about why they are there) and sufficient time with providers (eg, not feeling rushed through the appointment, time to discuss resources, testing and advice).Disease-specialised health services may not adequately address the multifaceted and inter-related mental health needs of people accessing services. In STBBI testing service settings, more personalised appointments, additional communication with providers and easier access to results can help improve both the service experiences of people experiencing persistent anxiety and their connections to appropriate mental health support.","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"9 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843421","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":"Addressing Selection Biases within Electronic Health Record Data for Estimation of Diabetes Prevalence among New York City Young Adults: A Cross-Sectional Study.","authors":"Sarah Conderino, Lorna E Thorpe, Jasmin Divers, Sandra S Albrecht, Shannon M Farley, David C Lee, Rebecca Anthopolos","doi":"10.1136/bmjph-2024-001666","DOIUrl":"10.1136/bmjph-2024-001666","url":null,"abstract":"<p><strong>Introduction: </strong>There is growing interest in using electronic health records (EHRs) for chronic disease surveillance. However, these data are convenience samples of in-care individuals, which are not representative of target populations for public health surveillance, generally defined, for the relevant period, as resident populations within city, state, or other jurisdictions. We focus on using EHR data for estimation of diabetes prevalence among young adults in New York City, as rising diabetes burden in younger ages call for better surveillance capacity.</p><p><strong>Methods: </strong>This article applies common nonprobability sampling methods, including raking, post-stratification, and multilevel regression with post-stratification, to real and simulated data for the cross-sectional estimation of diabetes prevalence among those aged 18-44 years. Within real data analyses, we externally validate city- and neighborhood-level EHR-based estimates to gold-standard estimates from a local health survey. Within data simulations, we probe the extent to which residual biases remain when selection into the EHR sample is non-ignorable.</p><p><strong>Results: </strong>Within the real data analyses, these methods reduced the impact of selection biases in the citywide prevalence estimate compared to gold standard. Residual biases remained at the neighborhood-level, where prevalence tended to be overestimated, especially in neighborhoods where a higher proportion of residents were captured in the sample. Simulation results demonstrated these methods may be sufficient, except when selection into the EHR is non-ignorable, depending on unmeasured factors or on diabetes status.</p><p><strong>Conclusions: </strong>While EHRs offer potential to innovate on chronic disease surveillance, care is needed when estimating prevalence for small geographies or when selection is non-ignorable.</p>","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do current maternal health staffing and bed occupancy benchmarks work in practice? Results from a simulation model","authors":"R. Baggaley, G. Gon, Said Mohammed Ali, Salma Abdi Mahmoud, Farhat Jowhar, Carolin Vegvari","doi":"10.1136/bmjph-2023-000212","DOIUrl":"https://doi.org/10.1136/bmjph-2023-000212","url":null,"abstract":"The WHO has issued the global target of reducing maternal mortality rates by two-thirds of 2010 baseline levels by 2030. In low-income settings, high birth rates and a relative lack of medical resources mean that an efficient use of resources and skilled staff is important in ensuring quality of intrapartum and postpartum care.We use a stochastic, individual-based model to explore whether WHO resourcing benchmarks are sufficient to ensure consistent quality of care. We simulate all deliveries occurring in a region over a year, with date and time of presentation of each woman delivering at a facility assigned at random. Each woman stays in the delivery room for an assigned duration before her delivery, then moves to the maternity ward, followed by discharge. We explore the potential impact of seasonality of births on our findings and then apply the model to a real-world setting using 2014 data from Emergency Obstetric Care (EmOC) facilities in Zanzibar, United Republic of Tanzania.We find that small EmOCs are frequently empty, while larger EmOCs are at risk of temporarily falling below minimum recommended staff-to-patient ratios. Similarly for Zanzibar, capacity of EmOCs in terms of beds is rarely exceeded. Where over-capacity occurs, it is generally smaller, basic EmOCs (BEmOCs) that are affected. In contrast, capacity in terms of staffing (skilled birth attendants:women in labour ratio) is exceeded almost 50% of the time in larger Comprehensive EmOCs (CEmOCs).Our findings suggest that increasing staffing levels of CEmOCs while maintaining fewer small BEmOCs may improve quality of care (by increasing the staff-to-patient ratio for the most frequently used facilities), provided that timely access to EmOCs for all women can still be guaranteed. Alternatively, BEmOCs may need to be upgraded to ensure that women trust and choose these facilities for giving birth, thus relieving pressure on CEmOCs.","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"135 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139537382","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":"Evaluating the impact of local alcohol licensing decisions on outcomes for the community: a systematic review","authors":"L. Blank, E. Hock, M. Clowes, Marie Rogerson, Elizabeth Goyder","doi":"10.1136/bmjph-2023-000533","DOIUrl":"https://doi.org/10.1136/bmjph-2023-000533","url":null,"abstract":"International evidence reviews suggest that reducing the availability of alcohol positively impacts both levels of alcohol consumption and associated harms. To understand the impact of recent changes to alcohol licensing and public health in the UK, this review aimed to identify and synthesise quantitative research evidence on the impact of local alcohol licensing decisions on the health and well-being of the community.We searched peer-reviewed articles and grey literature for UK studies. We extracted and tabulated key data from the included papers and appraised study quality. We included topic expert and public consultation to confirm the scope of the evidence synthesis and suggest evidence for inclusion. We synthesised narratively and made recommendations based on our findings.We identified a small volume (seven papers) of evidence regarding the health (and related) impacts of local alcohol licensing decision undertaken in the UK local authorities. The evidence we identified did not demonstrate a consistent or sustained association between local interventions and health or crime outcomes downstream. This was despite relatively sophisticated study designs using a range of available data sources and some longer-term analysis.Given that the impacts of local licensing decisions are currently limited, greater regulatory powers are needed if local licensing interventions are to be an effective public health interventions to reduce alcohol-related harms.","PeriodicalId":101362,"journal":{"name":"BMJ public health","volume":"29 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540450","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}