Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-09-11DOI: 10.1590/1413-81232024299.07052023
Daniela Gomes Dos Santos Biscarde, João Vitor Pereira Dos Santos, Vitória Oliveira Santos, Nilia Maria de Brito Lima Prado, Patty Fidelis de Almeida, Ana Paula Chancharulo de Morais Pereira, Adriano Maia Dos Santos
{"title":"Implementation of public health consortiums and regional polyclinics in Bahia state, Brazil.","authors":"Daniela Gomes Dos Santos Biscarde, João Vitor Pereira Dos Santos, Vitória Oliveira Santos, Nilia Maria de Brito Lima Prado, Patty Fidelis de Almeida, Ana Paula Chancharulo de Morais Pereira, Adriano Maia Dos Santos","doi":"10.1590/1413-81232024299.07052023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.07052023","url":null,"abstract":"<p><p>Public Health Consortiums (PHC) in Brazil represent a strategy to enhance regionalization in the Public Health Care System (SUS in Portuguese) and State/interstate/intermunicipal cooperation. The establishment of regional polyclinics aims to improve access to services with greater technological concentration and closer to users' homes. This study specifically aims to analyze the process of creating PHC and regional polyclinics in Bahia State, based on documental analysis, identifying aspects related to entering the political agenda that facilitate and hinder, the role of state administration, specificities of the composition of these PHC and regional polyclinics. A documental analysis was carried out of the minutes of the Comissão Intergestores Bipartite (CIB-BA) [Bipartite Administrative Commission] from 2015 to 2018 and of constitutive documents of the consortiums established in this state. The Ceará State experience inspired the creation of consortiums in Bahia, especially the structuring of polyclinics. Municipal administrators demonstrated a favorable position regarding the potential of consortiums with cooperation among municipalities. The role of the state government proved to be a facilitating condition, whereas the maintenance of the municipal counterpart in finance constituted a hindering element. The consortiums contributed to the regionalization of health in the state as well as expansion of access to specialized care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e07052023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2024-03-24DOI: 10.1590/1413-81232024299.14712023
Inaê Dutra Valério, Ana Luiza Gonçalves Soares, Claudia Leite de Moraes, Helen Gonçalves
{"title":"Prevalence, co-occurrence, and associated factors of intimate partner violence among Brazilian university students.","authors":"Inaê Dutra Valério, Ana Luiza Gonçalves Soares, Claudia Leite de Moraes, Helen Gonçalves","doi":"10.1590/1413-81232024299.14712023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.14712023","url":null,"abstract":"<p><p>Intimate Partner Violence (IPV) among youth is a public health problem worldwide because of its high prevalence and lifelong serious consequences in health and quality of life. This cross-sectional census aimed to describe the IPV victimization among all freshman students in a Brazilian university (n=1,509), which was selected from a larger population of 2,706 freshmen. We created a 10-item questionnaire inspired by established instruments to measure the prevalence of IPV. Multivariate logistic regression assessed the association between demographic, socioeconomic, and behavioral factors with various types of IPV. We visualized co-occurrence using a Venn diagram and employed multinomial logistic regression to examine the relationship between covariates and the cooccurrence of IPV types. The chance of IPV was higher in males, those who were currently in a relationship, and those with a higher risk of alcohol abuse. These same characteristics were also associated with an increased likelihood of experiencing the co-occurrence of two or more types of IPV. Prevention strategies should consider those groups and monitoring of those who abuse alcohol, which can be a predictor behavior or a mechanism to deal with the stress arising from IPV.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e14712023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-08-23DOI: 10.1590/1413-81232024299.14892022
Karina Cardoso Meira, Stefany Freire Cosme de Oliveira, Taynãna César Simões, Carinne Magnago, Rafael Tavares Jomar, Pedro Gilson Beserra da Silva, Eder Samuel Oliveira Dantas
{"title":"Temporal trends in female firearm homicides across states in the Northeast of Brazil during the period 2000-2019.","authors":"Karina Cardoso Meira, Stefany Freire Cosme de Oliveira, Taynãna César Simões, Carinne Magnago, Rafael Tavares Jomar, Pedro Gilson Beserra da Silva, Eder Samuel Oliveira Dantas","doi":"10.1590/1413-81232024299.14892022","DOIUrl":"https://doi.org/10.1590/1413-81232024299.14892022","url":null,"abstract":"<p><p>This article aims to analyze temporal trends in female firearm homicides in the Northeast of Brazil during the period 2000-2019. We conducted an ecological study using data on firearm homicides of women aged 10 years and over obtained from the Mortality Information System. The population data were taken from the 2010 Census. Homicide rates were calculated after correcting the data to account for differences in the quality and coverage of death records. Trends were assessed using negative binomial regression and described using relative risk and p values. Average annual percentage changes in homicide rates were also calculated. The regional firearm homicide rate during the study period was 4.40 per 100,000 women. Rates were highest in the state of Alagoas (5.40), the 15-19 age group (5.84) and in public thoroughfares (1.58). Trends were upward across all states except Pernambuco, where they were downward, and Alagoas, where rates were stationary. The place of occurrence with the highest percentage increase in firearm homicides over the study period was public thoroughfares. Female firearm homicides showed an upward trend across most northeastern states.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e14892022"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-09-20DOI: 10.1590/1413-81232024299.00352023
Lucas Henriques Viscardi, Felipe Vilanova, Felipe Carvalho Novaes, Lessandra Michelin, Ângelo Brandelli Costa
{"title":"The impact of conspiracy theories and vaccine knowledge on vaccination intention: a longitudinal study.","authors":"Lucas Henriques Viscardi, Felipe Vilanova, Felipe Carvalho Novaes, Lessandra Michelin, Ângelo Brandelli Costa","doi":"10.1590/1413-81232024299.00352023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.00352023","url":null,"abstract":"<p><p>In this study, we analyzed associations between vaccination knowledge, vaccination intention, political ideology, and belief in conspiracy theories before and during the 2020 Sars-Cov-2 pandemic in the Brazilian population. It was conducted a longitudinal study into three data collections. Participants responded to the Flexible Inventory of Conspiracy Suspicions (FICS), questionnaires measuring their knowledge, and opinion about vaccines, and sociodemographic data. The results were: the greater the belief in conspiracy theories about vaccines, the lesser the intention to get vaccinated, the vaccine knowledge, and the attitudes towards vaccine investment. Religious, prone to right-wing politics, parents, and older people scored more for FICS than atheists/agnostics, and younger people. From 2019 to 2020 the vaccination intention and vaccination investment did not differ, showing that people did not change their opinion about vaccines regardless of personal experience or the pandemic scenario. The research strengthened the relevance of health education as a milestone for public health and protection from dangerous conspiracy theories.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e00352023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-09-15DOI: 10.1590/1413-81232024299.01122023
Mariana Salles, Francisco Inacio Bastos, Giovanna Lucieri Alonso Costa, Jurema Correa Mota, Raquel B De Boni
{"title":"Alcohol use disorder in people with infectious and chronic diseases and mental disorders: Brazil, 2015.","authors":"Mariana Salles, Francisco Inacio Bastos, Giovanna Lucieri Alonso Costa, Jurema Correa Mota, Raquel B De Boni","doi":"10.1590/1413-81232024299.01122023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.01122023","url":null,"abstract":"<p><p>The study aimed to estimate the prevalence of alcohol use disorder (AUD) and associated factors in Brazilian adults that reported chronic noncommunicable diseases (NCDs), mental disorders (MDs), and infectious diseases (IDs). This was a secondary analysis of the 3rd National Survey on Drug Use by the Brazilian Population in which the principal outcome was presence of AUD. Prevalence of AUD was estimated for three subgroups: individuals that reported NCDs, MDs, and IDs. Factors associated with AUD in each group were analyzed using logistic regression models. Of the 15,645 adults interviewed, 30.5% (95%CI: 29.4-31.5) reported NCDs, 17.6% (95%CI: 16.5-18.7) MDs, and 1.6% (95%CI: 1.2-1.9) IDs. Considering comorbidities, the analytical sample was 6,612. No statistically significant difference was found in the prevalence of AUD between individuals with NCDs (7.5% [95%CI: 6.1- 8.7]), MDs (8.4% [95%CI: 6.7-10.2]), and IDs (12.4% [95%CI: 7.0-17.8]). The main factors associated with AUD in all the groups were male sex and young adult age. Considering the high prevalence of AUD in all the groups, systematic screening of AUD is necessary in health services that treat NCDs, MDs, and IDs.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e01122023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2024-06-21DOI: 10.1590/1413-81232024299.10582024
Isabella Vitral Pinto, Regina Tomie Ivata Bernal, Juliana Bottoni Souza, Gisele Nepomuceno de Andrade, Larissa Fortunato Araújo, Mariana Santos Felisbino-Mendes, Maria de Fátima Marinho de Souza, Marli de Mesquita Silva Montenegro, Nádia Machado de Vasconcelos, Deborah Carvalho Malta
{"title":"Pregnancy in girls under 14 years old: Spatial analysis in Brazil, 2011-2021.","authors":"Isabella Vitral Pinto, Regina Tomie Ivata Bernal, Juliana Bottoni Souza, Gisele Nepomuceno de Andrade, Larissa Fortunato Araújo, Mariana Santos Felisbino-Mendes, Maria de Fátima Marinho de Souza, Marli de Mesquita Silva Montenegro, Nádia Machado de Vasconcelos, Deborah Carvalho Malta","doi":"10.1590/1413-81232024299.10582024","DOIUrl":"10.1590/1413-81232024299.10582024","url":null,"abstract":"<p><p>The objective was to analyze the spatial distribution of pregnancy in children under 14 years and six months by Brazilian region and municipality and sociodemographic and health characteristics of pregnant women and live births. Ecological study analyzing the Live Birth Information System (SINASC) from 2011 to 2021 in three age groups (< 14 years and six months, 15-19 years, and 20 years and above) by demographic and birth variables. We applied the Global and Local Moran. A total of 127,022 live births to girls aged 10-14 years were identified during the period, most of whom were Black, 21.1% in common-law or married relationships, with a lower proportion of seven prenatal care appointments and enrollment in the first trimester, a higher proportion of low birth weight and low Apgar score, residing in the North and Northeast. The mean live birth rate for 10-to-14-year-old girls was significantly autocorrelated with space, especially in municipalities of the Midwest and North. Pregnancy from 10 to 14 years of age reveals several vulnerabilities suffered by these girls due to pregnancy at an early age, which is more common among Black women, with implications for morbimortality for them and their children and the presumed violence in these cases, including denied access to legal abortion.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e10582024"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-09-14DOI: 10.1590/1413-81232024299.01422023
Luiza Monteiro Barros, Mônica Angelim Gomes de Lima, Robson da Fonseca Neves
{"title":"Long-term work disability: loss of rights, survival and tangency of primary health care.","authors":"Luiza Monteiro Barros, Mônica Angelim Gomes de Lima, Robson da Fonseca Neves","doi":"10.1590/1413-81232024299.01422023","DOIUrl":"https://doi.org/10.1590/1413-81232024299.01422023","url":null,"abstract":"<p><p>This article aims to explore the experience of long-term work disability (LWD) of users-workers in primary health care (PHC), understanding the therapeutic itineraries and the search for social protection, the elements that contribute to the incapacitation process and the strategies constructed for living with this condition. LWD is a multidimensional phenomenon, with a negative impact on the lives of workers, families and society. PHC has an important role in caring for people on leave from work. This is a qualitative, descriptive-exploratory study of the daily lives of people in situations of LWD. The comprehensive perspective guides the analysis of data co-produced in interviews and field observation. Cross-cutting themes such as social lack of protection, lack of communication and co-operation between key actors that enhance or mitigate LWD were recognised. The social support network proved to be important to access health care and to avoid social decadence. The Family Health Strategy, with technical support in Occupational Health, emerges with potential in the production of care for worker-users, although the fragility of maintaining long-term care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e01422023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-12-06DOI: 10.1590/1413-81232024299.09952023
Ariane Teixeira de Santana, Telmara Menezes Couto, Keury Thaisana Rodrigues Dos Santos Lima, Patricia Santos de Oliveira, Aiara Nascimento Amaral Bomfim, Lilian Conceição Guimarães Almeida, Lúcia Cristina Santos Rusmando
{"title":"Obstetric racism, a debate under construction in Brazil: perceptions of black women on obstetric violence.","authors":"Ariane Teixeira de Santana, Telmara Menezes Couto, Keury Thaisana Rodrigues Dos Santos Lima, Patricia Santos de Oliveira, Aiara Nascimento Amaral Bomfim, Lilian Conceição Guimarães Almeida, Lúcia Cristina Santos Rusmando","doi":"10.1590/1413-81232024299.09952023","DOIUrl":"10.1590/1413-81232024299.09952023","url":null,"abstract":"<p><p>This article aims to know the perception of women on obstetric violence from a racial perspective. This was a qualitative study carried out in a public maternity hospital with 25 women in the city of Salvador, Bahia, Brazil. Data were collected through semi-structured interviews and participant observation from November 2021 to February 2022. Content analysis was used to organize the data obtained through the interviews. The results were analyzed through the theoretical contributions of intersectionality, focusing on the interaction between obstetric violence and obstetric racism. The narratives discuss issues of obstetric violence, institutional racism, and how these experiences are permeated by issues of race, gender, and class. Questions related to the feelings of these women regarding the experience of violence at the time of childbirth care were also highlighted. Obstetric racism denies reproductive rights and hinders access to respectful and equitable care for black women.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e09952023"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-08-23DOI: 10.1590/1413-81232024299.15002022
Ricardo Goes de Aguiar, Camila Nascimento Monteiro, Shamyr Sulyvan de Castro, Tatiane Kosimenko Ferrari Figueiredo, Moisés Goldbaum, Chester Luiz Galvão Cesar
{"title":"[Multimorbidity and utilization of health services in the city of São Paulo, Brazil: prevalence and associated factors].","authors":"Ricardo Goes de Aguiar, Camila Nascimento Monteiro, Shamyr Sulyvan de Castro, Tatiane Kosimenko Ferrari Figueiredo, Moisés Goldbaum, Chester Luiz Galvão Cesar","doi":"10.1590/1413-81232024299.15002022","DOIUrl":"https://doi.org/10.1590/1413-81232024299.15002022","url":null,"abstract":"<p><p>The scope of this paper was to estimate the prevalence of multimorbidity in the city of São Paulo and to verify the factors associated with the utilization of the health services. It involved a population based cross-sectional study based on data from the Health Survey in the city of São Paulo, in which descriptive analysis was conducted, and logistic regression models were developed using multimorbidity and sociodemographic independent variables, living conditions and use of health services as the outcome. A total of 3,184 individuals aged 20 years or older participated, with a mean age of 43.8 years. The prevalence of multimorbidity was 50.7% among women, 62.5% among those who reported some health problem and 55.1% among those who had recourse to health services in the last 2 weeks. A higher prevalence was identified among those who used the health service due to a mental health problem (66.1%), and in those who reported higher health expenditures in the preceding month (55.4%). Multimorbidity was more frequently associated with aging, in the population with a higher economic status, with worse self-rated health, who frequented health services for 6 months or less, who reported a health problem, or who had a health plan and opted for polypharmacy.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e15002022"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-09-01Epub Date: 2023-08-30DOI: 10.1590/1413-81232024299.14342022
Tarssius Capelo Candido, Maria Teresa Bustamante Teixeira, Mário Círio Nogueira, Mariangela Leal Cherchiglia, Maximiliano Ribeiro Guerra
{"title":"[Survival rate of laryngeal cancer patients treated in Brazil's Unified Health System - SUS, 2002-2010].","authors":"Tarssius Capelo Candido, Maria Teresa Bustamante Teixeira, Mário Círio Nogueira, Mariangela Leal Cherchiglia, Maximiliano Ribeiro Guerra","doi":"10.1590/1413-81232024299.14342022","DOIUrl":"https://doi.org/10.1590/1413-81232024299.14342022","url":null,"abstract":"<p><p>The scope of this article was to analyze the five-year survival rate among patients with laryngeal cancer treated in the Unified Health System in Brazil and its regions between January 2002 and June 2010. There is still scarce information in Brazil regarding the scale and survival rate of laryngeal cancer patients, which makes it difficult to adopt specific strategies for the control of the condition in the country. A retrospective cohort study based on the National Oncology Database was conducted, and the survival probability rate for laryngeal cancer according to age, sex and Brazilian regions/states was estimated using the Kaplan-Meier method. The log-rank test was used to assess the differences observed, considering a 5% significance level. Survival in Brazil was estimated at 50.8% (95%CI: 49.9%-51.8%), being lower among male patients (49.1%; 95%CI: 48.10%-50.16%); between 50 and 60 years of age (48.4%; 95%CI: 46.7%-50.0%); for residents of the Northern region (45.5%; 95%CI: 39.5%-51.3%). The regional variation in the survival rate for laryngeal cancer in Brazil reveals disparities between Brazilian regions/states that may be linked to inequality of access to diagnosis and/or treatment.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 9","pages":"e14342022"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}