Frontiers in Public Health最新文献

{"title":"Childcare as a social determinant of access to healthcare: a scoping review.","authors":"Megan McArthur, Persephone Tian, Kimberly A Kho, Kavita P Bhavan, Bijal A Balasubramanian, Anisha P Ganguly","doi":"10.3389/fpubh.2024.1443992","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1443992","url":null,"abstract":"<p><strong>Introduction: </strong>As health systems strive to screen for and address social determinants of health (SDOH), the role of access to childcare and barriers to healthcare posed by childcare needs remains underexplored. A gap exists in synthesizing existing evidence on the role of access to childcare as a SDOH.</p><p><strong>Methods: </strong>This scoping review aimed to examine and analyze existing literature on the role of childcare needs as a social determinant of access to healthcare. We conducted a structured literature search across PubMed, Scopus, health policy fora, and professional healthcare societies to inclusively aggregate studies across interdisciplinary sources published between January 2000 and June 2023. Two independent reviewers reviewed results to determine inclusions and exclusions. Studies were coded into salient themes utilizing an iterative inductive approach.</p><p><strong>Results: </strong>Among 535 search results, 526 met criteria for eligibility screening. Among 526 eligible studies, 91 studies met inclusion criteria for analysis. Five key themes were identified through data analysis: (1) barriers posed by childcare needs to healthcare appointments, (2) the opportunity for alternative care delivery models to overcome childcare barriers, (3) the effect of childcare needs on participation in medical research, (4) the impact of the COVID-19 pandemic on childcare needs, and (5) the disproportionate burden of childcare experienced by vulnerable populations.</p><p><strong>Discussion: </strong>Childcare needs remain underexplored in existing research. Current evidence demonstrates the relevance of childcare needs as a barrier to healthcare access, however dedicated studies are lacking. Future research is needed to understand mechanisms of childcare barriers in access to healthcare and explore potential interventions.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1443992"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nothing about us without us! How users configure clinical treatment in Italian residential communities: ethnography of therapeutic engagement.","authors":"Antonio Iudici, Tobia Berardelli, Davide Fenini, Jessica Neri, Emiliano Subissi","doi":"10.3389/fpubh.2024.1460985","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1460985","url":null,"abstract":"<p><p>The effectiveness of the interventions in the Therapeutic communities (TC) depends not only on the quality of the specialized knowledge and methodologies adopted, but also on the meanings consumers give to them. Building the therapeutic alliance is a key element in reducing high drop-out rates and predicting more favorable outcomes. This research investigated the discourses practiced by 45 people with substance use disorders who had been accessing a therapeutic community for less than 15 days, with the aim of delving into the meanings given to treatment and pathway goals in the service, to analyze what theories are used to explain consumption and therapeutic change. The study made use of Discourse analysis (DA) and Positional theory with a protocol of written open-ended questions. The results show how participants configure the community pathway adopting a passive role, underestimating the need to co-participate in treatment design and bringing in poorly formalized goals. The collected texts provide a better understanding of the perspective of community users, emphasizing the need to share spaces of co-design from the very beginning in order to promote empowering, reasoning about the implications of the various discourses produced by consumers to explain their autobiography and to envision paths of change.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1460985"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: Preparing correctional settings for the next pandemic: a modeling study of COVID-19 outbreaks in two high-income countries.","authors":"Jisoo A Kwon, Neil A Bretaña, Nadine Kronfli, Camille Dussault, Luke Grant, Jennifer Galouzis, Wendy Hoey, James Blogg, Andrew R Lloyd, Richard T Gray","doi":"10.3389/fpubh.2024.1478843","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1478843","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2024.1279572.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1478843"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of mental disorders and their associations with age at diagnosis and time since diagnosis of nasopharyngeal cancer.","authors":"Wen-Xuan Wang, Yi-Shan Wu, Li-Ping Qi, Anise M S Wu, Ying-Ying Zhu, Wei-Jie Gong, Shan-Shan Guo, Yi-Jun Hua, Dong-Hua Luo, Qiu-Yan Chen, Yan-Qun Xiang, Jin-Xin Zhang, Hai-Qiang Mai, Ji-Bin Li","doi":"10.3389/fpubh.2024.1469001","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1469001","url":null,"abstract":"<p><strong>Background: </strong>Despite advancements in cancer treatment, understanding the long-term mental health implications for nasopharyngeal carcinoma (NPC) survivors remains an underexplored area. This study aims to examine the prevalence of mental disorders and their correlations with age at diagnosis and time since diagnosis among NPC survivors.</p><p><strong>Methods: </strong>A total of 1872 NPC patients were surveyed from September 2020 to June 2021 in this cross-sectional survey. Logistic regression models were used to analyze the associations of age at diagnosis and time since NPC diagnosis with the risk of mental disorders. Additionally, the potential nonlinear trend between these factors was examined using restricted cubic splines. Analyses were conducted both overall and stratified by gender. Gender interaction was also examined.</p><p><strong>Results: </strong>The prevalences of depression, anxiety, and sleep disorders were 32.4, 33.2, and 61.5%, respectively. Age at NPC diagnosis was significantly associated with an elevated risk of depression (adjusted OR (aOR): 1.75 for 30-39 years old; 2.33 for 50-59 years old; 2.59 for ≥60 years old) and sleep disorders (aOR: 2.41 for 40-49 years old; 1.95 for 50-59 years old; 2.26, for ≥60 years old), compared to patients diagnosed with NPC at age < 30 years. Conversely, the risk of depression, anxiety, and sleep disorders exhibited negative associations with the time since diagnosis, compared to patients <3 months. Notably, significant nonlinear associations were observed between time since diagnosis and the risk of depression, anxiety, and sleep disorders, which showed an initial increase, with the highest risk occurring at approximately 3.0 (OR_max: 2.7), 1.5 (OR_max: 2.1), and 4.0 (OR_max: 1.9) months since NPC diagnosis, followed by a gradual recovery to a lower risk level at around 12 months. No gender interactions were observed.</p><p><strong>Conclusion: </strong>The prevalence of mental disorders is notable among NPC survivors, showing a positive correlation with age at diagnosis while displaying a negative correlation with time since diagnosis, thus indicating the need for psychological support, especially within the initial several months following NPC diagnosis.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1469001"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The manifestation and causes of public panic in the early stage of COVID-19 in China: a framework based on consciousness-attitude-behavior.","authors":"Changwei Wei, Jiaxi Xu, Zuying Xu","doi":"10.3389/fpubh.2024.1324382","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1324382","url":null,"abstract":"<p><strong>Background: </strong>The onset of the COVID-19 pandemic brought about a stark and devastating impact on global scales, affecting countries and their citizens profoundly. The public's lack of readiness for such an enigmatic and virulent threat led to widespread alarm, catalyzing a paradigm shift in both public conduct and governmental tactics. In the midst of this urgency, there was a notable lack of studies on the initial panic waves. Our study is designed to investigate the dynamics of public panic during the early stages of the pandemic, including its origins, and the public's perceptions and behaviors.</p><p><strong>Methods: </strong>Our research, conducted through a questionnaire survey employing snowball sampling, gathered critical data on the public's awareness, attitudes, and behaviors related to panic between February 23rd and March 25th, 2020.</p><p><strong>Results: </strong>The findings indicate a period of exceptionally intense and authentic public panic. This panic was a pervasive sentiment, manifesting in strong endorsements for rigorous epidemic control measures and heightened anxiety over virus-related information and family safety. The rapid spread of panic was also a notable characteristic.</p><p><strong>Conclusion: </strong>The public panic in response to COVID-19 was modulated by stringent prevention measures, with anxiety levels differing significantly based on occupation and health awareness. Notably, the rise of suspicious and distrustful actions was inextricably linked to an overwhelming sense of fear that gripped the public.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1324382"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of urban-rural differences in the relationship between grandparenting and the nutrition and health status of children aged 0-3 in China.","authors":"Lili Li, Zhenyu Zhang, Shili Tian, Xueting Shi","doi":"10.3389/fpubh.2024.1494222","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1494222","url":null,"abstract":"<p><strong>Background: </strong>The practice of grandparents taking on the role of primary caregivers for their grandchildren is widespread across both urban and rural regions in China. Yet, the existing body of research offered limited clarity on how grandparenting associated with nutrition as well as health of children aged 0-3 years, particularly in terms of potential differences between urban and rural areas in China. Therefore, this study aims to delve into the association between grandparenting and nutrition as well as health status of children aged 0-3 and its urban-rural differences in China.</p><p><strong>Methods: </strong>This study draws on data from 1,028 children aged 0 to 3 years and their families, collected through the China Family Panel Studies (CFPS) in 2020. Nutrition and health status of children aged 0-3 was assessed based on the indicators of malnutrition, medical consultations due to illness and developmental delay. Parental reports were used to determine the extent of grandparenting, which any caregiving arrangement involving grandparents, whether during daytime, nighttime, or both, were categorized as grandparenting. Multivariate regression analyses were conducted to explore the association between grandparenting and nutrition as well as health outcomes of children aged 0-3.</p><p><strong>Results: </strong>Regression analysis results indicated that grandparenting is positively associated with malnutrition (OR 1.323; 95% CI 1.008, 1.735), medical consultation for illness (OR 1.382; 95% CI 1.058, 1.804), and developmental delay (OR 1.502; 95% CI 1.508, 2.134) in children aged 0-3 years. The above association has been proven to be evident in rural settings, whereas it was not significant in urban environments.</p><p><strong>Conclusion: </strong>Grandparenting exhibits a negative association with nutrition and health status of children aged 0-3. It is imperative for parents to consider their children's caregiving arrangements carefully, and foster nutrition and health status of children from birth to 3 years old actively.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1494222"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of polio virus in Gaza's sewage demands immediate action.","authors":"Tara P Menon, Kate Zinszer, Samer Abuzerr","doi":"10.3389/fpubh.2024.1474554","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1474554","url":null,"abstract":"","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1474554"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SARS-CoV-2 seroprevalence and antibody trajectories after easing of COVID-19 restrictions: a longitudinal study in China.","authors":"Feng Ling, Zenghao Xu, Jimin Sun, Xiaoxiao Wang, Yan Feng, Ying Liu, Yijuan Chen, Jinna Wang, Zhiping Chen, Kun Chen","doi":"10.3389/fpubh.2024.1420993","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1420993","url":null,"abstract":"<p><strong>Background: </strong>We aimed to evaluate the seroprevalence of SARS-CoV-2 and investigate the trajectories of protective immunity and associated risk factors in eastern China between March and November 2023 after the easing of COVID-19 restrictions.</p><p><strong>Materials and methods: </strong>We conducted repeated population-based seroepidemiologic studies using a multistage, population-stratified, cluster random sampling method. We measured neutralizing antibodies (nAbs) using a fluorescence immunoassay. We calculated both overall and stratified seroprevalence. The latent class growth mixed model (LCGMM) was used to analyze the dynamic trajectories of antibodies, and a multinomial logistic regression model was used to identify factors associated with different antibody trajectory patterns.</p><p><strong>Results: </strong>A total of 6,147 participants were included at baseline, with a median age of 53.61 years. Both observed and adjusted seroprevalence remained high and stable throughout the study period. The LCGMM identified four distinct antibody trajectories: 75.22% of participants had a high and stable antibody trajectory, while nearly 8% of them exhibited an increase, decline, or low-stable antibody trajectory. Younger participants, women, those fully vaccinated, and individuals with a history of previous infection were more likely to have high and stable antibody trajectories.</p><p><strong>Conclusion: </strong>The majority of the population maintained sustained protective immunity after the outbreak, following the easing of COVID-19 restrictions across the country.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1420993"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The bacterial burden of worn face masks-observational research and literature review.","authors":"Kai Kisielinski, Barbara Wojtasik, Aleksandra Zalewska, David M Livermore, Agata Jurczak-Kurek","doi":"10.3389/fpubh.2024.1460981","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1460981","url":null,"abstract":"<p><strong>Introduction: </strong>Facemasks were widely mandated during the recent SARS-CoV-2 pandemic. Especially the use by the general population is associated with a higher risk of improper handling of the mask and contamination and potential adverse microbiological consequences.</p><p><strong>Methods: </strong>We investigated and quantified bacterial accumulation in facemasks used by the general population, using 16S rRNA (Sanger Sequencing), culture and biochemical analysis along with Rose Bengal staining. Additionally, a systematic overview of the literature on face mask contamination was undertaken.</p><p><strong>Results: </strong>We found an average bacterial load of 4.24 × 10⁴ CFU recovered/mask, with a maximum load of 2.85 × 10⁵ CFU. This maximum is 310 times higher than the limit value for contamination of ventilation system outlet surfaces specified by the German standard VDI 6022. Biochemical and molecular identification predominantly found <i>Staphylococcus species</i> (80%), including <i>Staphylococcus aureus</i>, along with endospore-forming Bacillus spp. Literature reports also indicate contamination of masks by bacterial and fungal opportunists of the genera <i>Acinetobacter, Aspergillus, Alternaria, Bacillus, Cadosporium, Candida, Escherichia, Enterobacter, Enterococcus, Klebsiella</i> (including <i>K. pneumoniae</i>), <i>Micrococcus, Microsporum, Mucor, Pseudomonas, Staphylococcus and Streptococcus</i>. Bacterial counts increase linearly with wearing duration.</p><p><strong>Discussion: </strong>Prolonged use may affect the skin and respiratory microbiomes, promoting consequential eye, skin, oral and airway conditions. These aspects underscore the urgent need for further research and a risk-benefit analysis in respect of mask use, particularly given their unproven efficacy in disrupting the transmission of respiratory viruses and their adverse social consequences.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1460981"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of alcohol-related problems on the costs of frequent emergency department use: an economic analysis of a case-control study in Spain.","authors":"Clara Oliveras, Pol Bruguera, Imanol Cordero-Torres, Andrea Millán-Hernández, Maria Teresa Pons-Cabrera, Pablo Rodrigo Guzmán Cortez, Marta Gómez-Ramiro, Mireia Vázquez, Roger Borràs, Maria Asenjo-Romero, Eduard Vieta, Antoni Gual, Hugo López-Pelayo, Mercè Balcells-Oliveró","doi":"10.3389/fpubh.2024.1322327","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1322327","url":null,"abstract":"<p><strong>Introduction: </strong>Alcohol-related problems increase the probability of frequent emergency department (ED) use. In this study, we compared the direct healthcare expenses incurred during a single visit among frequent and non-frequent ED users and analyzed the impact of alcohol-related issues in healthcare costs arising from ED usage.</p><p><strong>Methods: </strong>The study relied on secondary analyses of economic data from a 1:1 matched case-control study with the primary aim of identifying the clinical characteristics of hospital ED frequent users in a Mediterranean European environment with a public, universal, and tax-funded health system. The participants ranged in age from 18 to 65 years and underwent ED visits at a high-complexity Spanish hospital (cases ≥5 times, controls <5) from December 2018 to November 2019. Each case was matched to a control with the same age, gender, and date of attendance at the ED. Clinical data and direct healthcare costs for a single ED visit were obtained by a retrospective review of the first electronic medical register. Costs and duration of stay were compared between cases and controls using paired-samples <i>t</i>-tests, and ED users with and without alcohol-related problems were compared using bivariate (independent-samples <i>t</i>-tests, one-way analysis of variance, Chi square tests, and multiple linear regression) and multivariate analyses (multiple linear regression models with backward stepwise selection algorithm, and dependent variable: total mean direct costs).</p><p><strong>Results: </strong>Among 609 case-control pairs (total <i>n</i> = 1218), mean total healthcare direct costs per ED visit were 22.2% higher among frequent compared with non-frequent users [mean difference 44.44 euros; 95% confidence interval (CI) 13.4-75.5; t(608) = 2.811; <i>p</i> = 0.005]. Multiple linear regression identified length of stay, triage level, ambulance arrival, and the specialty discharging the patient as associated with total healthcare costs for frequent users. In bivariate analyses, a history of alcohol-related problems was associated with a 32.5% higher mean total healthcare costs among frequent users [mean difference 72.61 euros; 95% confidence interval 25.24-119.97; t(320.016) = 3.015; <i>p</i> = 0.003].</p><p><strong>Conclusion: </strong>The findings confirm the high cost of frequent ED use among people with alcohol-related problems, suggesting that costs could be reduced through implementation of intervention protocols.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1322327"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}