Injury Prevention最新文献

{"title":"Exploring programme implementation of a US paediatric hospital-based violence intervention programme by injury mechanism.","authors":"Hillary M Kapa, Julianna Berardi, Zijing Liu, Joel A Fein, Rachel K Myers","doi":"10.1136/ip-2024-045570","DOIUrl":"https://doi.org/10.1136/ip-2024-045570","url":null,"abstract":"<p><strong>Background: </strong>Hospital-based violence intervention programmes (HVIPs) support recovery following interpersonal violence, with most patients participating following firearm injuries. There remains insufficient understanding of who HVIPs serve and how programmes are implemented, especially among paediatric patients. We sought to describe the implementation of a paediatric HVIP and examine relationships between HVIP implementation metrics and mechanism of injury (firearm vs non-firearm).</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using HVIP records from 2018 to 2023, identifying 2021 patients (8-18 years) treated at our urban paediatric trauma centre in the northeastern USA, 416 of whom enrolled in our HVIP. We conducted bivariate and multivariate regression analyses examining differences in patient-level characteristics and HVIP implementation by injury mechanism.</p><p><strong>Results: </strong>Most patients (94%) experienced non-firearm injuries. Firearm-injured patients were more likely to enrol in our HVIP (adjusted OR=4.01, 95% CI 2.64 to 6.14) than non-firearm-injured patients, though non-firearm-injured patients represented 85% of HVIP participants. In comparison to non-firearm-injured patients, firearm-injured patients had longer programme duration (adj_<i>B</i>=43.73, 95% CI 4.84 to 82.63 days), more documented encounters (adj_<i>B</i>=16.30, 95%CI 3.44 to 29.16) and more recovery goals (adj_<i>B</i>=3.37, 95%CI 1.21 to 5.52). HVIP goal resolution and graduation rates did not significantly differ by mechanism.</p><p><strong>Conclusion: </strong>Our study identified metrics to describe HVIP implementation among paediatric patients with diverse injury types and documented consistent HVIP engagement, retention and outputs for those with firearm and non-firearm injuries alike. Our work suggests the relevance, and acceptability of HVIPs for paediatric patients with diverse injuries and offers a framework for process measurement in future implementation, outcome and impact evaluations.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User-driven instructions reduce errors in child restraint use: a randomised controlled trial in Sydney, Australia.","authors":"Julie Brown, Lisa Keay, Jane Elkington, Wennie Dai, Catherine Ho, Judith Charlton, Sjaan Koppel, Kirsten McCaffery, Andrew Hayen, Lynne E Bilston","doi":"10.1136/ip-2023-045213","DOIUrl":"10.1136/ip-2023-045213","url":null,"abstract":"<p><strong>Background and objectives: </strong>Crash injury risk is reduced when a child correctly uses an appropriate restraint; however, incorrect restraint use remains widespread. The aim of this study was to determine whether product information developed using a user-driven approach increases correct child restraint use.</p><p><strong>Methods: </strong>We conducted a two-arm double-blinded parallel randomised controlled trial in New South Wales, Australia 2019-2021. Participants were current drivers who were either an expectant parent or a parent of at least one child residing in the greater Sydney metropolitan area who were interested in purchasing a new child restraint. The intervention was user-driven product information consisting of instructions printed on an A3 sheet of paper, swing tags with key reminders and a video accessed via Quick Response codes printed on the materials. The control group received a postcard summarising legal child restraint requirements. The primary outcome was the correctness of child restraint use observed during home visit approximately 6 months after restraint purchase. Correct use was defined as no serious error or <2 minor errors. The secondary outcome was a count of observed errors.</p><p><strong>Results: </strong>427 participants were recruited. Home visits were conducted for 372 (190 intervention and 182 control). Correct use was more common in the intervention group (37.4%) compared with the control group (24.2%, p=0.006). Participants receiving the intervention were 1.87 times more likely to correctly use their restraint than those in the control group (95% CI 1.19 to 2.93).</p><p><strong>Conclusions: </strong>The results provide evidence for the effectiveness of user-driven instructions as a countermeasure to restraint misuse.</p><p><strong>Trial registration number: </strong>ACTRN12617001252303.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"217-222"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Familial aggregation of traffic risky behaviours among pedestrians: a cross-sectional study in northwestern Iran.","authors":"Elham Davtalab Esmaeili, Alireza Ghaffari, Leila R Kalankesh, Ali Hossein Zeinalzadeh, Saeed Dastgiri","doi":"10.1136/ip-2023-045137","DOIUrl":"10.1136/ip-2023-045137","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the familial aggregation of traffic risky behaviours among pedestrians and describe the sociodemographic profile of pedestrians in northwestern Iran.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 933 pedestrians in 2023. Participants were selected using stratified random sampling. Traffic risky behaviour was measured using a validated instrument among heads of households and their first relatives. The generalised estimating equations were computed to estimate the adjusted OR and 95% CI for familial aggregation of traffic risky behaviours.</p><p><strong>Results: </strong>Of the total sample, 52.2% and 27.7% of the participants were male and aged 41-50, respectively. The majority of respondents were categorised in middle socioeconomic class (36.9%). The OR for familial aggregation of traffic risky behaviours was 1.42 (95% CI 1.07 to 1.89), indicating that the presence of traffic risky behaviours in at least one family member increased the likelihood of similar behaviour in other members. Fathers showing violation behaviours were associated by 1.98-fold increase in violation behaviours among their offspring. Similarly, the existence of violation behaviour in one sibling increased the odds of violation behaviour among other siblings (OR 1.99, 95% CI 1.18 to 3.73).</p><p><strong>Conclusions: </strong>This study revealed the familial aggregation of traffic risky behaviours of pedestrians, with father-offspring and sibling aggregations emerging as prominent components of familial aggregation. The findings suggested that family-based prevention programmes may yield greater effectiveness than individual-based approaches. As such, implementing targeted interventions focusing on family might have a substantial impact on reducing pedestrian traffic risky behaviours.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"223-228"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in youth risk behaviours and firearm injury in the USA over 20 years.","authors":"Justin S Hatchimonji, Danielle R Hatchimonji, Lisa Allee, Dane R Scantling","doi":"10.1136/ip-2023-045161","DOIUrl":"10.1136/ip-2023-045161","url":null,"abstract":"<p><strong>Background: </strong>Firearm injuries are the leading cause of death in children and adolescents in the USA. We hypothesised that high rates of risky behaviour in high school students are associated with firearm injury and death in this population.</p><p><strong>Methods: </strong>We obtained data from the Youth Behaviour Risk Survey of the Centers for Disease Control and Prevention (CDC) and combined it with data from the CDC Web-based Injury Statistics Query and Reporting System, CDC Wide-ranging Online Data for Epidemiologic Research and American Community Survey, 2001-2020. We examined trends over time using a non-parametric test for trends.</p><p><strong>Results: </strong>The percentage of high school-aged youth carrying a weapon in the preceding 30 days ranged from 13.2% in 2019 to 18.5% in 2005, without a statistically significant trend over time (p=0.051). Those carrying a weapon to school peaked at 6.5% in 2005 and steadily downtrended to 2.8% in 2019 (p=0.004). Boys consistently reported higher rates of weapon carriage, with white boys reporting higher rates than black boys. Firearm homicides among adolescents 14-18 years showed no significant change, ranging from 4.0 per 100k in 2013 to 8.3 per 100k in 2020. This varied considerably by sex and race, with black boys suffering a rate of nearly 60 per 100 000 in 2020 and white girls rarely exceeding 1/100 000 during the study period.</p><p><strong>Conclusion: </strong>Self-reported weapon carriage among teens in the USA has steadily downtrended over time. However, shooting injuries and deaths have not. While the former suggests progress, the latter remains concerning.</p><p><strong>Level of evidence: </strong>Level III; retrospective cohort study.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"236-241"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paediatric magnet ingestion persists worldwide despite increasing regulatory policies.","authors":"Javeria Khader, Elena De Loizaga, Alexandra Johns, Minna Wieck","doi":"10.1136/ip-2024-045545","DOIUrl":"https://doi.org/10.1136/ip-2024-045545","url":null,"abstract":"<p><strong>Objective: </strong>Paediatric magnet ingestion can have devastating consequences. To minimise this risk, many countries have policies to reduce exposure. This study seeks to summarise global reports of paediatric magnet ingestion and stringency of corresponding national policies.</p><p><strong>Study design: </strong>A comprehensive literature search was conducted in English and Spanish using PubMed, Google Scholar, Scopus, Virtual Health Library, Clarivate-Web of Science, and Latin American and Caribbean Health Sciences Literature. Included papers documented magnet ingestion in ages 0-18 years, from 2002 to 2024. Non-magnet foreign body ingestions were excluded. Policy searches were conducted online in English and Spanish. In total, 2998 articles were reviewed, with 204 papers undergoing full-text analysis. Data regarding incidence, demographics, and interventions required were extracted.</p><p><strong>Results: </strong>A total of 96 studies from countries in six continents documenting patients requiring hospitalisation and/or medical interventions were included. Studies reported between 1 and 5738 cases over a range of years, with several studies showing an increase in incidence over time. National policies placing warning labels, restricting sales, or banning high-powered magnets were described mostly in Western nations within the last 5 years.</p><p><strong>Conclusion: </strong>Paediatric magnet ingestion incidence rates remain high despite an increase in regulations globally. Reported data likely underestimates the true extent of the problem since relevant reports are not available in many countries and many countries still lack national policies or data comparing pre- and post-policy implementation. There is insufficient data to determine the efficacy of any single type of regulation.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring home fall events among infants and toddlers using social media information: an infodemiology study in China.","authors":"Jiang Tian, Peixia Cheng, Xiaonan Wang, Henry Xiang, Qi Gao, Huiping Zhu","doi":"10.1136/ip-2023-045014","DOIUrl":"10.1136/ip-2023-045014","url":null,"abstract":"<p><strong>Background: </strong>Practical interventions of fall prevention are challenging for infants and toddlers. This study aimed to explore specific details of falls that occurred at home for kids 0-3 years old using key information from social media platforms, which provided abundant data sources for fall events.</p><p><strong>Methods: </strong>We used internet-based search techniques to collect fall events information from 2013 to 2023. The search was restricted and implemented between 1 and 12 April 2023. Online platforms included Baidu, Weibo, WeChat, TikTok, Toutiao and Little Red Book. A qualitative descriptive approach was used to analyse the fall events and major factors, including the fall event time, child age, environmental factors and behavioural characteristics of children and caregivers.</p><p><strong>Results: </strong>We identified 1005 fall injury cases among infants and toddlers. Fall mechanisms included falls from household furniture (71.2%), falls from height (21.4%) and falls on the same level (7.4%). Environmental risk factors mainly consisted of not using or installing bed rails incorrectly, a gap between beds, unstable furniture, slippery ground and windows without guardrails. Behavioural factors included caregivers leaving a child alone, lapsed attention, turning around to retrieve something, misusing baby products, inadequately holding the child and falling asleep with children. Child behavioural factors included walking or running while holding an object in hand or mouth and underdeveloped walking skills.</p><p><strong>Conclusion: </strong>Interventions for preventing falls should be designed specifically for Chinese families, especially considering family function in the context of Chinese culture. Social media reports could provide rich information for researchers.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"229-235"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the non-application of the motorcycle male passenger restriction policy on the risk of homicides in Cali, Colombia.","authors":"Jorge Mena, Andrés Fandiño-Losada, María Isabel Gutiérrez","doi":"10.1136/ip-2023-045068","DOIUrl":"10.1136/ip-2023-045068","url":null,"abstract":"<p><strong>Background: </strong>Restrictions of male passengers of motorcycles to prevent homicides is a long-standing policy in Cali, Colombia. For some periods of time, the policy was suspended and then put into action again. All these changes were never evaluated and there has been controversy due to the perception of citizens, specifically motorcycle users, that the law was properly implemented in some periods and poorly applied in others. Our aim was to examine the effect of the non-application of the motorcycle male passenger restriction policy on the risk of homicides in Cali, Colombia.</p><p><strong>Methods: </strong>Ecologic study conducted using an interrupted time series analysis. The main outcome was the aggregated daily counts of homicides. Secondary outcomes were the aggregated daily counts of homicides using a motorcycle and using motorcycle and firearm. Incidence rate ratios (IRR) were obtained by comparing periods of policy implementation with periods of lack of implementation in autoregressive negative binomial regression models.</p><p><strong>Results: </strong>There was an increased risk of homicides when the policy was not implemented (IRR=1.12; 1.05-1.19). There was no effect on the risk of homicides committed in motorcycles (IRR=0.98; 0.88-1.10) and when a motorcycle and firearm were used (IRR=0.99; 0.89-1.10).</p><p><strong>Conclusions: </strong>The lack of implementation of the ban of motorcycle male passengers was associated with an increased risk of homicides. Our findings support the importance of this policy to prevent homicides in Cali, Colombia. Future work should examine how this policy influences other policies related to prevent homicide and violent risk-related behaviour.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"191-197"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of different definitions of traumatic brain injury: implications for cohort characteristics and survival in women, Philadelphia, USA.","authors":"Bernadette A D'Alonzo, Abigail C Bretzin, Andrea Lc Schneider, Rebecca B Morse, Silvia P Canelón, Douglas J Wiebe, Mary Regina Boland","doi":"10.1136/ip-2023-045069","DOIUrl":"10.1136/ip-2023-045069","url":null,"abstract":"<p><strong>Background: </strong>Traumatic brain injury (TBI) is an acute injury that is understudied in civilian cohorts, especially among women, as TBI has historically been considered to be largely a condition of athletes and military service people. Both the Centres for Disease Control and Prevention (CDC) and Department of Defense (DOD)/Veterans Affairs (VA) have developed case definitions to identify patients with TBI from medical records; however, their definitions differ. We sought to re-examine these definitions to construct an expansive and more inclusive definition among a cohort of women with TBI.</p><p><strong>Methods: </strong>In this study, we use electronic health records (EHR) from a single healthcare system to study the impact of using different case definitions to identify patients with TBI. Specifically, we identified adult female patients with TBI using the CDC definition, DOD/VA definition and a combined and expanded definition herein called the Penn definition.</p><p><strong>Results: </strong>We identified 4446 adult-female TBI patients meeting the CDC definition, 3619 meeting the DOD/VA definition, and together, 6432 meeting our expanded Penn definition that includes the CDC ad DOD/VA definitions.</p><p><strong>Conclusions: </strong>Using the expanded definition identified almost two times as many patients, enabling investigations to more fully characterise these patients and related outcomes. Our expanded TBI case definition is available to other researchers interested in employing EHRs to investigate TBI.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"198-204"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Firearm ownership for protection in the USA, 2023: results from a nationally representative survey.","authors":"Michelle Degli Esposti, Rebeccah L Sokol, Daniel B Lee, Douglas J Wiebe, Rebecca M Cunningham, Alice Hawryszkiewycz, Patrick M Carter","doi":"10.1136/ip-2024-045244","DOIUrl":"10.1136/ip-2024-045244","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to characterise the motivations of firearm owners and examine whether firearm ownership motivations and carriage varied by state stand your ground law status.  METHODS: Using a nationally representative survey of US adults in 2023, we asked firearm owners (n=2477) about their firearm motivations and behaviours, including reason(s) for ownership.</p><p><strong>Results: </strong>Of all firearm owners, 78.8% (95% CI 76.0% to 81.0%) owned a firearm for protection, and 58.1% (95% CI 54.3% to 62.0%) carried a firearm outside their home in the last 12 months. Firearm ownership for protection was not significantly associated with stand your ground laws, but firearm carriage was more prevalent in states with stand your ground laws (50.1% (95% CI 47.0% to 53.0%) vs 34.9% (95% CI 25.0% to 46.0%)). Gender (women) and race (minority groups) emerged as key correlates for firearm ownership for protection (vs other ownership motivations). For example, black and Asian women (98.8%) almost exclusively owned firearms for protection.</p><p><strong>Conclusions: </strong>Protection was the dominant reason for firearm ownership in 2023, motivating 65 million Americans to own firearms and appealing to different strata of the population.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"257-261"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive models of injury risk in male professional football players: a systematic review.","authors":"Francisco Martins, Krzysztof Przednowek, Francisco Santos, Cíntia França, Diogo Martinho, Élvio Rúbio Gouveia, Adilson Marques, Hugo Sarmento","doi":"10.1136/ip-2024-045322","DOIUrl":"10.1136/ip-2024-045322","url":null,"abstract":"<p><strong>Background: </strong>One of the challenges for professional football players is injuries. Due to their influence on their teams, injuries greatly impact the sports business. This research aims to assess predictive models of injury risk in male professional football players.</p><p><strong>Methods: </strong>A systematic literature review was performed, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search was conducted in the PubMed, Web of Science and Scopus databases. Two independent reviewers screened articles, assessed eligibility and extracted data. Methodological quality was determined by the Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>26 studies met the inclusion criteria.</p><p><strong>Discussion: </strong>Various statistical techniques were used in research on injury prediction in professional football, with logistic regression being the most used. The assessment predictors, especially the area under the receiver operating characteristic Curve, showed significant variation, which indicates the prediction models' efficacy. The focus was frequently on lower limb injuries, where several risk predictors, including muscular strength, flexibility and global positioning system-derived data, were found to substantially impact the occurrence of injuries. Prominent predictors included age, position, physiological parameters, injury history and genetic polymorphisms.</p><p><strong>Conclusions: </strong>This comprehensive analysis highlights the complexity of injury prediction and reinforces the necessity for football injury research to adopt a multivariate approach with accuracy and comprehensiveness.</p><p><strong>Prospero registration number: </strong>CRD42023465524.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"177-190"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}