Current HIV/AIDS Reports最新文献_第9页

The Effects of Medical Male Circumcision on Female Partners' Sexual and Reproductive Health. 男性包皮环切术对女性伴侣性健康和生殖健康的影响。

IF 4.6 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 Epub Date: 2022-11-11 DOI: 10.1007/s11904-022-00638-6

Supriya D Mehta

{"title":"The Effects of Medical Male Circumcision on Female Partners' Sexual and Reproductive Health.","authors":"Supriya D Mehta","doi":"10.1007/s11904-022-00638-6","DOIUrl":"10.1007/s11904-022-00638-6","url":null,"abstract":"Purpose of review: Voluntary medical male circumcision (VMMC) reduces the risk of HIV acquisition by 60% among heterosexual men, provides protection against certain sexually transmitted infections (STI), and leads to penile microbiome composition changes associated with reduced risk of HIV infection. Intuitively, the benefits of VMMC for female sex partners in relation to STI are likely and have been evaluated. The purpose of this review is to examine emerging findings of broader sexual and reproductive health (SRH) benefits of VMMC for female sex partners.Recent findings: Systematic reviews find strong evidence for beneficial effects of VMMC on female sex partners risk of HPV, cervical dysplasia, cervical cancer, and with likely protection against trichomoniasis and certain genital ulcerative infections. Few studies assess the direct impact of VMMC on the vaginal microbiome (VMB), though several studies demonstrate reductions in BV, which is mediated by the VMB. Studies are lacking regarding male circumcision status and outcomes associated with non-optimal VMB, such as female infertility and adverse pregnancy outcomes. VMMC has positive effects on women's perceptions of sexual function and satisfaction, and perceptions of disease risk and hygiene, without evidence of risk compensation. VMMC has consistent association with a broad range of women's SRH outcomes, highlighting the biological and non-biological interdependencies within sexual relationships, and need for couples-level approaches to optimize SRH for men and women. The paucity of information on VMMC and influence on VMB is a barrier to optimizing VMB-associated SRH outcomes in female partners.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"501-507"},"PeriodicalIF":4.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends and Clinical Characteristics of HIV and Cerebrovascular Disease in Low- and Middle-Income Countries (LMICs) Between 1990 and 2021. 1990年至2021年期间中低收入国家艾滋病毒和脑血管疾病的趋势和临床特征

IF 4.6 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 DOI: 10.1007/s11904-022-00627-9

George Ransley, Stanley Zimba, Yohane Gadama, Deanna Saylor, Laura Benjamin

{"title":"Trends and Clinical Characteristics of HIV and Cerebrovascular Disease in Low- and Middle-Income Countries (LMICs) Between 1990 and 2021.","authors":"George Ransley, Stanley Zimba, Yohane Gadama, Deanna Saylor, Laura Benjamin","doi":"10.1007/s11904-022-00627-9","DOIUrl":"https://doi.org/10.1007/s11904-022-00627-9","url":null,"abstract":"Purpose of the review: To describe trends and clinical characteristics of HIV and cerebrovascular disease between 1990 and 2021 in LMICs and identify the gaps in our understanding.Recent findings: In the era of antiretroviral therapy (ART), people living with HIV (PLWH) live longer and risk excess cerebrovascular events due to ageing and HIV-driven factors. Despite the highest burden of HIV infection in low-to-middle income countries, there is underreporting in the literature of cerebrovascular events in this population. We systematically reviewed published literature for primary clinical studies in adult PLWH and cerebrovascular disease in LMICs. The clinical phenotype of cerebrovascular disease among PLWH over the last three decades in LMICs has evolved and transitioned to an older group with overlapping cerebrovascular risk factors. There is an important need to increase research in this population and standardise reporting to facilitate understanding, guide development of appropriate interventions, and evaluate their impact.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"548-565"},"PeriodicalIF":4.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9738765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Telehealth Interventions for HIV in Low- and Middle-Income Countries. 中低收入国家的艾滋病毒远程保健干预。

IF 3.7 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 Epub Date: 2022-09-26 DOI: 10.1007/s11904-022-00630-0

Jessica M Phan, Sangmin Kim, Đoàn Thị Thùy Linh, Lisa A Cosimi, Todd M Pollack

{"title":"Telehealth Interventions for HIV in Low- and Middle-Income Countries.","authors":"Jessica M Phan, Sangmin Kim, Đoàn Thị Thùy Linh, Lisa A Cosimi, Todd M Pollack","doi":"10.1007/s11904-022-00630-0","DOIUrl":"10.1007/s11904-022-00630-0","url":null,"abstract":"Purpose of review: This review summarizes technology-based interventions for HIV in low- and middle-income countries (LMICs). We highlight potential benefits and challenges to using telehealth in LMICs and propose areas for future study.Recent findings: We identified several models for using telehealth to expand HIV health care access in LMICs, including telemedicine visits for pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) services, telementoring programs for providers, and virtual peer-support groups. Emerging data support the acceptability and feasibility of these strategies. However, further investigations are needed to determine whether these models are scalable and sustainable in the face of barriers related to cost, infrastructure, and regulatory approval. HIV telehealth interventions may be a valuable approach to addressing gaps along the HIV care cascade in LMICs. Future studies should focus on strategies for expanding existing programs to scale and for assessing long-term clinical outcomes.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"600-609"},"PeriodicalIF":3.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9510721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10631895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Voluntary Medical Male Circumcision Reduce HIV Risk in Men Who Have Sex with Men? 自愿包皮环切术能降低男男性行为者感染艾滋病毒的风险吗?

IF 4.6 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 DOI: 10.1007/s11904-022-00637-7

Yidie Lin, Yanxiao Gao, Yue Sun, DeAnne Turner, Huachun Zou, Sten H Vermund, Han-Zhu Qian

引用次数: 0

Understanding the Evolving Role of Voluntary Medical Male Circumcision as a Public Health Strategy in Eastern and Southern Africa: Opportunities and Challenges. 了解自愿医疗男性包皮环切作为东部和南部非洲公共卫生战略的演变作用:机遇和挑战。

IF 4.6 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 DOI: 10.1007/s11904-022-00639-5

Anna Bershteyn, Edinah Mudimu, Ingrida Platais, Samuel Mwalili, James E Zulu, Wiza N Mwanza, Katharine Kripke

{"title":"Understanding the Evolving Role of Voluntary Medical Male Circumcision as a Public Health Strategy in Eastern and Southern Africa: Opportunities and Challenges.","authors":"Anna Bershteyn, Edinah Mudimu, Ingrida Platais, Samuel Mwalili, James E Zulu, Wiza N Mwanza, Katharine Kripke","doi":"10.1007/s11904-022-00639-5","DOIUrl":"https://doi.org/10.1007/s11904-022-00639-5","url":null,"abstract":"Purpose of review: Voluntary male medical circumcision (VMMC) has been a cornerstone of HIV prevention in Eastern and Southern Africa (ESA) and is credited in part for declines in HIV incidence seen in recent years. However, these HIV incidence declines change VMMC cost-effectiveness and how it varies across populations.Recent findings: Mathematical models project continued cost-effectiveness of VMMC in much of ESA despite HIV incidence declines. A key data gap is how demand generation cost differs across age groups and over time as VMMC coverage increases. Additionally, VMMC models usually neglect non-HIV effects of VMMC, such as prevention of other sexually transmitted infections and medical adverse events. While small compared to HIV effects in the short term, these could become important as HIV incidence declines. Evidence to date supports prioritizing VMMC in ESA despite falling HIV incidence. Updated modeling methodologies will become necessary if HIV incidence reaches low levels.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"526-536"},"PeriodicalIF":4.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10639041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Voluntary Medical Male Circumcision to Reduce HIV Acquisition and Transmission. 自愿进行男性包皮环切术以减少艾滋病毒的感染和传播。

IF 4.6 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 DOI: 10.1007/s11904-022-00631-z

Sten H Vermund

{"title":"Voluntary Medical Male Circumcision to Reduce HIV Acquisition and Transmission.","authors":"Sten H Vermund","doi":"10.1007/s11904-022-00631-z","DOIUrl":"10.1007/s11904-022-00631-z","url":null,"abstract":"Purpose of review: This commentary introduces the special Global Health Section on the state of voluntary medical male circumcision (VMMC) programs and current knowledge as to role of VMMC prevention of HIV infection acquisition in men and, indirectly, women.Recent findings: Since the first clinical trial of VMMC in Africa was published in 2005, implementation of programs has depended on illuminating best practices and key obstacles in the effort to expand VMMC in areas of high HIV prevalence to reduce HIV acquisition among men, with consequent benefits that uninfected men will not infect others. Global efforts are focused on sub-Saharan Africa, given the favorable expected impact of VMMC deployment where HIV incidence is high and circumcision rates are low. With estimated field effectiveness estimated to exceed 60%, reduced HIV risk for circumcised men in sub-Saharan Africa based on a once-only minor surgical intervention provides extraordinary preventive benefits. Where high VMMC rates have been achieved, declining HIV incidence rates may be partially or substantially attributed to VMMC, but this remains to be investigated. Articles in this special section address achievements, obstacles and risks, and plans for future progress in partnership with affected communities.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"471-473"},"PeriodicalIF":4.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10625033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention. 确定为预防艾滋病毒而进行自愿性男性包皮环切术的全球研究和计划议程及优先行动。

IF 3.7 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 Epub Date: 2022-11-11 DOI: 10.1007/s11904-022-00640-y

Megan E Peck, Todd Lucas, Katherine S Ong, Jonathan M Grund, Stephanie Davis, Aisha Yansaneh, Valerian L Kiggundu, Anne G Thomas, Kelly Curran, Catharine Laube, Maaya Sundaram, Wole Ameyan, Lycias Zembe, Carlos Toledo

{"title":"Defining the Global Research and Programmatic Agenda and Priority Actions for Voluntary Medical Male Circumcision for HIV Prevention.","authors":"Megan E Peck, Todd Lucas, Katherine S Ong, Jonathan M Grund, Stephanie Davis, Aisha Yansaneh, Valerian L Kiggundu, Anne G Thomas, Kelly Curran, Catharine Laube, Maaya Sundaram, Wole Ameyan, Lycias Zembe, Carlos Toledo","doi":"10.1007/s11904-022-00640-y","DOIUrl":"10.1007/s11904-022-00640-y","url":null,"abstract":"Purpose of review: Since 2007, voluntary medical male circumcision (VMMC) programs have been associated with substantially reduced HIV incidence across 15 prioritized countries in Eastern and Southern Africa. Drawing on the programmatic experience of global VMMC leaders, this report reviews progress made in the first 15 years of the program, describes programmatic and research gaps, and presents considerations to maximize the impact of VMMC.Recent findings: Overall, key programmatic and research gaps include a lack of robust male circumcision coverage estimates due to limitations to the data and a lack of standardized approaches across programs; challenges enhancing VMMC uptake include difficulties reaching populations at higher risk for HIV infection and men 30 years and older; limitations to program and procedural quality and safety including variations in approaches used by programs; and lastly, sustainability with limited evidence-based practices. Considerations to address these gaps include the need for global guidance on estimating coverage, conducting additional research on specific sub-populations to improve VMMC uptake, implementation of responsive and comprehensive approaches to adverse event surveillance, and diversifying financing streams to progress towards sustainability. This report's findings may help establish a global VMMC research and programmatic agenda to inform policy, research, and capacity-building activities at the national and global levels.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"537-547"},"PeriodicalIF":3.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Compensation in Voluntary Medical Male Circumcision Programs. 自愿医疗男性包皮环切项目的风险补偿。

IF 4.6 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 DOI: 10.1007/s11904-022-00635-9

Yanxiao Gao, Yinghui Sun, Weiran Zheng, Yi-Fan Lin, Tian Tian, Yuwei Li, Leiwen Fu, Huachun Zou

{"title":"Risk Compensation in Voluntary Medical Male Circumcision Programs.","authors":"Yanxiao Gao, Yinghui Sun, Weiran Zheng, Yi-Fan Lin, Tian Tian, Yuwei Li, Leiwen Fu, Huachun Zou","doi":"10.1007/s11904-022-00635-9","DOIUrl":"https://doi.org/10.1007/s11904-022-00635-9","url":null,"abstract":"Purpose of review: Evidence from clinical trials identified the effectiveness of voluntary medical male circumcision (VMMC) as an additional strategy to reduce the risk of HIV transmission from women to men. However, concerns about post-circumcision sexual risk compensation may hinder the scale-up of VMMC programs. We reviewed the evidence of changes in risky sexual behaviors after circumcision, including condomless sex, multiple sex partners, and early resumption of sex after surgery.Recent findings: Most clinical trial data indicate that condomless sex and multiple partners did not increase for men after circumcision, and early resumption of sex is rare. Only one post-trial surveillance reports that some circumcised men had more sex partners after surgery, but this did not offset the effect of VMMC. Conversely, qualitative studies report that a small number of circumcised men had increased risky sexual behaviors, and community-based research reports that more men resumed sex early after surgery. With the large-scale promotion and expansion of VMMC services, it may be challenging to maintain effective sexual health educations due to various restrictions. Misunderstandings of the effect of VMMC in preventing HIV infection are the main reason for increasing risky sexual behaviors after surgery. Systematic and practical sexual health counseling services should be in place on an ongoing basis to maximize the effect of VMMC.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"516-521"},"PeriodicalIF":4.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evidence for Implementation: Management of TB in HIV and Pregnancy. 实施证据：艾滋病病毒感染者和孕妇的结核病管理。

IF 3.7 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 Epub Date: 2022-10-29 DOI: 10.1007/s11904-022-00641-x

Amanda J Jones, Jyoti S Mathad, Kelly E Dooley, Ahizechukwu C Eke

{"title":"Evidence for Implementation: Management of TB in HIV and Pregnancy.","authors":"Amanda J Jones, Jyoti S Mathad, Kelly E Dooley, Ahizechukwu C Eke","doi":"10.1007/s11904-022-00641-x","DOIUrl":"10.1007/s11904-022-00641-x","url":null,"abstract":"Purpose of review: Pregnant people living with HIV (PLWH) are at especially high risk for progression from latent tuberculosis infection (LTBI) to active tuberculosis (TB) disease. Among pregnant PLWH, concurrent TB increases the risk of complications such as preeclampsia, intrauterine fetal-growth restriction, low birth weight, preterm-delivery, perinatal transmission of HIV, and admission to the neonatal intensive care unit. The grave impact of superimposed TB disease on maternal morbidity and mortality among PLWH necessitates clear guidelines for concomitant therapy and an understanding of the pharmacokinetics (PK) and potential drug-drug interactions (DDIs) between antitubercular (anti-TB) agents and antiretroviral therapy (ART) in pregnancy.Recent findings: This review discusses the currently available evidence on the use of anti-TB agents in pregnant PLWH on ART. Pharmacokinetic and safety studies of anti-TB agents during pregnancy and postpartum are limited, and available data on second-line and newer anti-TB agents used in pregnancy suggest that several research gaps exist. DDIs between ART and anti-TB agents can decrease plasma concentration of ART, with the potential for perinatal transmission of HIV. Current recommendations for the treatment of LTBI, drug-susceptible TB, and multidrug-resistant TB (MDR-TB) are derived from observational studies and case reports in pregnant PLWH. While the use of isoniazid, rifamycins, and ethambutol in pregnancy and their DDIs with various ARTs are well-characterized, there is limited data on the use of pyrazinamide and several new and second-line antitubercular drugs in pregnant PLWH. Further research into treatment outcomes, PK, and safety data for anti-TB agent use during pregnancy and postpartum is urgently needed.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"455-470"},"PeriodicalIF":3.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transgender Individuals and Digital Health. 变性人与数字健康。

IF 3.7 2区医学

Current HIV/AIDS Reports Pub Date : 2022-12-01 Epub Date: 2022-09-22 DOI: 10.1007/s11904-022-00629-7

Asa E Radix, Keosha Bond, Pedro B Carneiro, Arjee Restar

{"title":"Transgender Individuals and Digital Health.","authors":"Asa E Radix, Keosha Bond, Pedro B Carneiro, Arjee Restar","doi":"10.1007/s11904-022-00629-7","DOIUrl":"10.1007/s11904-022-00629-7","url":null,"abstract":"Purpose of review: The goal of this review is to assess the use of digital technologies to promote the health and well-being of transgender and gender diverse (TGD) people.Recent findings: TGD individuals experience numerous health disparities, including low uptake of HIV prevention strategies, such as pre-exposure prophylaxis, increased HIV incidence, and suboptimal HIV-related outcomes. These health disparities are the result of widespread intersectional stigma on the basis of gender identity, gender expression, socioeconomic class, race, and ethnicity, which negatively impact access to general medical and transgender-specific health care. TGD individuals often delay or avoid essential medical services due to fear of discrimination. Clinicians frequently lack training, competence, and skills in transgender medicine, further exacerbating the health disparities faced by TGD people. Digital technologies have been used to improve research and clinical care for TGD populations through various modalities; telemedicine, telehealth and mHealth. Digital health technologies, including HIT-enabled clinical decision support, telehealth, telemedicine, and mHealth, offer innovative ways to improve health care access, improve quality of care, and reduce health disparities for TGD populations, including and beyond HIV outcomes, through enhanced care delivery, clinician education, and enhancing social support networks.","PeriodicalId":10930,"journal":{"name":"Current HIV/AIDS Reports","volume":"19 6","pages":"592-599"},"PeriodicalIF":3.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9493149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9655480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0