Injury Prevention最新文献

{"title":"Shaping global strategy, mobilising for local action: reflections from the World Conference on Drowning Prevention 2023.","authors":"Justin-Paul Scarr, William Koon, Amy E Peden","doi":"10.1136/ip-2024-045368","DOIUrl":"10.1136/ip-2024-045368","url":null,"abstract":"<p><p>Drowning is a significant cause of preventable mortality and morbidity and has been described as a serious, preventable and neglected public health challenge. Amid building momentum for drowning prevention, most notably with recent United Nations and World Health Assembly Declarations, researchers, policymakers and practitioners convened at the World Conference on Drowning Prevention (WCDP) 2023 under the conference theme of 'shaping a global strategy - mobilizing for local action'. In this special feature, we reflect on the outcomes of the WCDP 2023. Throughout the work presented by more than 750 research, policy and technical experts from over 50 countries, five overarching themes emerged: (1) advancing further contextualisation and interventions, especially in Africa; (2) integrating drowning prevention into climate and disaster agendas; (3) addressing the threats and opportunities in migration; (4) positioning drowning prevention as an issue of social justice; and (5) expanding focus on implementation research. WCDP 2023 delegates co-designed a conference call to action comprising of 16 statements designed to further strengthen global efforts on drowning prevention between now and the WCDP 2025. These actions aim to encourage increased collaboration, create new knowledge, address inequities, amplify voices of those most affected and continue shared commitments to eliminate drowning.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"89-93"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12015068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619769","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":"Development, dissemination and survey evaluation of layered education for healthcare professionals to support implementation of firearm injury and mortality prevention strategies in emergency care settings, New York, USA.","authors":"Laura K Harrison, Chethan Sathya, Monica Shekher-Kapoor, Stephen Butkus, Sandeep Kapoor","doi":"10.1136/ip-2024-045333","DOIUrl":"10.1136/ip-2024-045333","url":null,"abstract":"<p><strong>Background: </strong>There is consensus on the need and ability to address firearm injury risk in healthcare settings; however, the lack of education for healthcare professionals hinders the implementation of evidence-based firearm injury and mortality prevention strategies. The objectives of this study are to develop, disseminate and evaluate education for team members to facilitate implementation in emergency departments METHOD: Two-tiered education was developed in partnership with stakeholders and disseminated to the healthcare team, covering evidence-based screening and interventions for firearm access and violence risk. The implementation, development and dissemination strategies followed the framework used for systemwide Screening, Brief Intervention and Referral to Treatment implementation for substance use. Team members who screened patients for firearm injury risk received screening education and team members meeting with patients who screened positive received intervention education. Participants completed surveys to evaluate the education and learning objectives.</p><p><strong>Results: </strong>Across three emergency departments from March 2021 to May 2022, 267 team members completed screening education. Key takeaways reported by 173 participants were how to screen (24.9%), the 5L's of Firearm Safety (19.7%) and the prevalence of firearm injury (11.0%). Participants still had questions about workflow, resources and safety. 34 of 67 (50.7%) intervention education participants completed the postsurvey. 100% were confident they could screen, 79% were confident they could provide brief interventions and 88% were confident their site could implement firearm injury prevention strategies.</p><p><strong>Conclusion: </strong>Tiered education for firearm injury prevention screening and intervention achieved learning objectives and facilitated programme implementation. Education increased knowledge and confidence regarding firearm injury risk screening and its importance in healthcare settings.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"162-168"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499680","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":"Using emergency department data to reduce late-night alcohol-related presentations in an Australian central business district.","authors":"Peter Miller, Nicholas Taylor, Diana Egerton-Warburton, Timothy Baker, Kate Kloot, Jonathan Shepherd, Hamed Akhlaghi","doi":"10.1136/ip-2024-045362","DOIUrl":"10.1136/ip-2024-045362","url":null,"abstract":"<p><strong>Introduction: </strong>The Cardiff Model for Violence Prevention is a data sharing approach aiming to reduce violence-related presentations to emergency departments (EDs). This model has not previously been tested with patients attending EDs in a major Australian urban setting, nor has the use of media reporting of results and letters to venues without a local violence prevention board been tested.</p><p><strong>Objective: </strong>To determine this approach's effect on alcohol-associated presentation rates during high-alcohol hours (HAHs) in a major ED servicing the nightlife district in central Melbourne.</p><p><strong>Design: </strong>Between July 2017 and June 2020, this prospective study asked people aged≥18 years attending ED about their alcohol consumption and last drink location. From December 2018, quarterly letters were sent to the top five venues identified as the last drink location and press releases were sent to all media outlets.</p><p><strong>Findings: </strong>A significant gradual decrease in monthly injury attendance rates during HAH was observed (coefficient = -0.001, p= 0.017), however, no step change was found. Venue-level data highlighted a short-term drop in attributed events.</p><p><strong>Discussion: </strong>Sharing Last Drinks ED data via stand-alone media reporting and letters to venues was associated with a small but significant reduction in alcohol-related injury presentation rates. However, the impact waned as media stopped reporting findings. This study highlights the importance of including a violence prevention board.</p><p><strong>Conclusion: </strong>The model continues to have promise for reducing alcohol-related harm, however, engagement from government agencies free from alcohol industry funding is important for long-term success.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"114-120"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468013","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":"Concussion history and knowledge among top-level youth karate athletes.","authors":"Dusana Cierna Augustovicova, Rafael Arriaza, Reidar P Lystad","doi":"10.1136/ip-2024-045524","DOIUrl":"10.1136/ip-2024-045524","url":null,"abstract":"<p><strong>Objective: </strong>To examine concussion experiences and knowledge among top-level youth karate athletes.</p><p><strong>Methods: </strong>This cross-sectional study collected data during the 12th World Karate Championships for cadets, juniors and under-21 athletes (held in Konya, Turkey, 2022). All 1414 registered athletes from 95 countries were invited to complete a 16-item paper-based questionnaire assessing demographic data, concussion history and concussion knowledge prior to the competing at the tournament. χ² and Fisher's exact tests were used to analyse differences by sex, age group and continental karate federation.</p><p><strong>Results: </strong>A total of 654 athletes (46.3% response rate), including 286 (43.7%) females and 368 (56.3%) males, participated in the study, with 29.9% reporting one or more concussions during participation in karate training or competition. Older age groups (under 21 years) reported significantly higher concussion rates than younger athletes (56.9% vs 31.1% juniors and 24.7% cadets; p<0.001). Concussion knowledge revealed considerable gaps, with only 24.5% of athletes correctly identifying a concussion and 68.9% believing loss of consciousness was required for a concussion diagnosis. Misconceptions varied significantly across geographical regions, with Asian and African athletes demonstrating the greatest need for targeted education. Female athletes demonstrated better concussion reporting attitudes than males (60.4% vs 48.9%, p=0.004).</p><p><strong>Conclusions: </strong>This study highlights the prevalence of concussions and significant knowledge gaps among top-level youth karate athletes, emphasising the need for tailored educational interventions to improve concussion recognition and management within the karate community.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"128-135"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12015015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399120","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":"Road traffic safety for older adults: an emerging public health challenge in Thailand.","authors":"Rattiya Banju-Ngam, Masao Ichikawa, Ratrawee Pattanarattanamolee, Shinji Nakahara","doi":"10.1136/ip-2024-045241","DOIUrl":"10.1136/ip-2024-045241","url":null,"abstract":"<p><strong>Background: </strong>Road safety for older adults should receive more attention in low-income and middle-income countries with rapidly ageing populations.</p><p><strong>Methods: </strong>Using injury surveillance data from Khon Kaen Regional Hospital in northeastern Thailand, we calculated the proportion of older adults in the total number of patients who were fatally and non-fatally injured in road traffic crashes in each year from 2001 to 2020 and the proportion of road user type in the fatal and non-fatal patients by age groups for the entire study period to examine the extent to which older adults were involved in the crashes and with what mode of transportation.</p><p><strong>Results: </strong>During the 20-year period, there were 5046 fatal and 180 353 non-fatal patients of whom 509 (10%) and 6087 (3%) were aged 65 years or older, respectively. From 2001 to 2020, this proportion increased from 3% to 20% among the fatal patients and from 1% to 6% among the non-fatal patients. Of the fatal and non-fatal patients aged 65 years or older, 50% and 54% were involved in road traffic crashes while driving motorcycles and 28% and 22% while riding bicycles or walking, respectively. Compared with patients aged 65-74 years, those aged 75 years or older tended to be bicyclists or pedestrians in the crashes, though as high as 40% of them were motorcycle drivers.</p><p><strong>Conclusion: </strong>Older adults are increasingly injured in road traffic crashes as vulnerable road users in Thailand. Therefore, road safety efforts should consider their presence on the road.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"158-161"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107058","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":"Association between ambient temperature and years of life lost of external causes of death in 16 prefecture-level regions of Yunnan Province.","authors":"Kai Wang, Yang Chen, Yuanyi Zha, Lvliang Lu, Yujin Wang, Pi Guo, Qingying Zhang","doi":"10.1136/ip-2024-045377","DOIUrl":"10.1136/ip-2024-045377","url":null,"abstract":"<p><strong>Background: </strong>Many injury deaths are related to the environment. This study examined the impact of ambient temperature on external causes of death in Yunnan Province.</p><p><strong>Methods: </strong>Data on external causes of death and meteorological information were collected from 2014 to 2020 across 129 counties and districts of Yunnan Province. We estimated associations of the years of life lost (YLL) and its attributable fraction (AF) with temperature using a distributed lag non-linear model in each city and then pooled them in a multivariate meta-regression.</p><p><strong>Results: </strong>This study included 191 115 external causes of death and daily YLL was 2338.1 years. The relationship between mean temperature and YLL was found to be U-shaped. The AF of the YLL was 12.65% (95% empirical CI (eCI) 7.80% to 16.45%), 18.54% (95% eCI 8.91% to 23.56%) and 15.79% (95% eCI 8.83% to 20.07%) for external causes of death, traffic accidents and other external causes, respectively. Most of the disease burden was attributed to heat temperature. In the disease burden caused by temperature, males, individuals under 75 years old and those of Han ethnicity were mainly affected by heat temperature; individuals over 75 years old and minority populations were mainly affected by cold temperatures. Non-farmers are more affected by temperature than farmers.</p><p><strong>Conclusions: </strong>The findings suggest that ambient temperature impacts external causes of death, and the results vary by gender, age, ethnicity and occupation. The study shows the importance of implementing preventive measures targeting both the general population and vulnerable groups in order to address external causes of death in future adaptation policies.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"136-143"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407337","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":"Developing and testing the predictive validity of household firearm storage measures: insights from rural Alaska.","authors":"Rebeccah Sokol, Amelia Mueller-Williams, Kelsey Porter, Megan Leys, Aneliese Apala Flaherty, Lisa Wexler","doi":"10.1136/ip-2024-045470","DOIUrl":"10.1136/ip-2024-045470","url":null,"abstract":"<p><strong>Introduction: </strong>Measuring change in firearm storage is paramount to evaluating if interventions influence storage. Yet, there is little empirical basis for how to measure this change. This methodology study compared three different firearm storage measures using data from the Family Safety Net trial (n=46), a randomised controlled trial among firearm-owning adults in a rural Alaska Native community to encourage unloaded and locked firearm storage.</p><p><strong>Methods: </strong>The team compared baseline and 1-month follow-up measures of household firearm storage: (1) cumulative firearm accessibility, (2) average firearm accessibility, and (3) number of unlocked firearms. All measures included information about locking status; the cumulative and average firearm accessibility measures incorporated additional information about ammunition. Unadjusted and adjusted generalised estimating equations evaluated the associations of the storage measures with adult perceptions of youth firearm access. Receiver operating characteristic curves from unadjusted models compared the measures' abilities to predict adult perceptions of youth firearm access.</p><p><strong>Results: </strong>All household firearm storage measures were sensitive to change between baseline and 1 month follow-up (<i>p</i>s<0.05). These measures demonstrated a similar and moderate ability to predict adult perceptions of youth access (area under the curve range: 0.68-0.76).</p><p><strong>Conclusion: </strong>The number of unlocked firearms is an easily interpretable outcome when evaluating the effect of firearm storage interventions on storage practices, and it performed similarly well in predicting adults' perceptions of youth firearm access as compared with more complex measures. Research that evaluates the ability of firearm storage measures to predict actual youth access will inform interventions to prevent youth firearm access.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"169-173"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500949","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":"Distribution and determinants of unintentional injuries among older adults population in Tamil Nadu, India: a community-based injury prediction model.","authors":"Alex Joseph, Dhasarathi Kumar, Roshni Mary Peter, Bagavandas Mappillairaju","doi":"10.1136/ip-2024-045344","DOIUrl":"10.1136/ip-2024-045344","url":null,"abstract":"<p><strong>Background: </strong>Unintentional injuries among older adults represent a significant public health challenge, particularly in low-resource settings. This study aimed to estimate the prevalence of unintentional injuries among older adults in Tamil Nadu, identify associated risk factors and develop a prediction model for unintentional injuries.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among older adults in Tamil Nadu, India, and used probability proportional to size sampling. Data were collected via a semistructured questionnaire. The receiver-operating characteristic curve was created to show the probability of the occurrence of unintentional injuries among older adults.</p><p><strong>Results: </strong>Among 995 older adults, 13.9% reported having unintentional injuries. Among those injured, about 49% of all injuries were due to falls. The best cut-off point for predicted probability was found to be 0.88 for a sensitivity of 81% and a specificity of 61%, from receiver-operating characteristic curve. The regression analysis showed that fear of falling (4.5 times higher risk), being tribal (3.15 times higher risk), female gender (1.98 times higher risk) and alcohol consumption (1.95 times higher risk) significantly increased chance of unintentional injury.</p><p><strong>Conclusions: </strong>The study highlighted the critical need to prioritise the prevention of unintentional injuries among older adults, particularly focusing on high-risk populations such as those from low socioeconomic and tribal communities. The use of receiver-operating characteristic curve in this study provides a robust and reliable method for predicting unintentional injuries in older adults in India, offering actionable insights for healthcare professionals and public health planners, if validated in future studies.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"144-150"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390441","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":"Mechanisms of paediatric injury: an 11-year review of injury trends from the National Trauma Data Bank.","authors":"Carissa Tomas, Kara Kallies, Michael Levas, Terri deRoon-Cassini, Laura Cassidy, Katherine Flynn-O'Brien","doi":"10.1136/ip-2024-045440","DOIUrl":"10.1136/ip-2024-045440","url":null,"abstract":"<p><strong>Background/purpose: </strong>Unintentional injuries are the leading cause of death among children and adolescents. The objective of this study was to describe temporal trends of paediatric traumatic injury over an 11-year period by mechanism of injury (MOI), age, sex, race and ethnicity, injury severity and hospital discharge disposition.</p><p><strong>Methods: </strong>The National Trauma Data Bank was queried to identify paediatric patients (1-17 years old) injured from 2012 to 2022. Two-sided non-parametric Mann-Kendall trend tests were used to evaluate temporal trends of MOI for all patients and within demographic groups.</p><p><strong>Results/outcomes: </strong>Over the 11-year period, 1 092 308 injury records met study inclusion criteria and had complete demographic and MOI data. Across all patients, there was a significant increase in bites and stings, cut/pierce injuries and firearm injuries, whereas there were decreasing trends in pedestrian and other blunt injuries over time. There was a significant increase in injury over time for Black, Hispanic or Latino, and Pacific Islander patients and those 5-9 years old. The MOIs with the highest injury severity and in-hospital mortality were firearm, pedestrian and motor vehicle transportation occupant injuries.</p><p><strong>Conclusions: </strong>Though a few MOIs increased for all paediatric patients in the study period, disparities persist for several specific populations. As such, injury prevention strategies should be tailored based on age, sex and race or ethnicity, and relevant education and resources should be provided to both children and their adult guardians. Future research should consider additional socioeconomic and community-based characteristics.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"107-113"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482911","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":"Understanding non-fatal drowning in Victoria, Australia: a 20-year analysis of hospital admission data.","authors":"Hannah Calverley, Janneke Berecki-Gisolf, Amy E Peden, Bernadette Lucy Matthews","doi":"10.1136/ip-2024-045606","DOIUrl":"10.1136/ip-2024-045606","url":null,"abstract":"<p><strong>Background: </strong>Unintentional drowning is a global public health concern, and in Australia, non-fatal drowning outcomes are estimated to be three times that of fatal incidents. Understanding non-fatal drowning trends would enable tailored prevention efforts to address the full burden of drowning, yet little research has investigated this.</p><p><strong>Methods: </strong>Retrospective analysis considered unintentional drowning-related hospital admissions in the state of Victoria, Australia between 1 July 2002 and 30 June 2022.</p><p><strong>Results: </strong>Overall, 1849 hospital admissions resulted from non-fatal drowning in Victoria. Rates increased significantly by 1.86% annually (95% CI (0.91, 2.82)). Males and females recorded significant increases in hospital admission (2.4% (95% CI 0.7%, 4.2%) for females vs 1.6% (95% CI 0.5%, 2.7%) for males). Admission rates increased among several age groups, with significant increases recorded among young people aged 15-24 years (3.99%, p=0.0041), children aged 5-9 years (3.33%, p<0.04) and 25-64 years (3.07%, p=0.0001). Regarding regionality, drowning rates were higher with increasing remoteness, and people born in Oceania and Antarctica recorded the majority (86.1%) of hospital admissions over the 20 years.</p><p><strong>Discussion and conclusions: </strong>Increases in hospital admissions over the 20 years are concerning and highlight the rising burden of drowning on Victorian health systems. These trends identify where preventative efforts may be directed to reduce drowning, especially regarding the prominence of children. Raising awareness of non-fatal drowning is necessary to demonstrate the full impact and burden of drowning and could be achieved through multisectoral collaboration, consistent communication and messaging, and innovative programmes and policy.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"94-100"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482878","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}