Injury Prevention最新文献

{"title":"'I just don't want them to be my patient again': an exploratory mixed-methods study examining provider home safety concerns for adolescents with acquired brain injuries in the US Midwest.","authors":"Sarah E Anderson, Sarah Schroedle, Taylor Stamper, Jennifer P Lundine, Emily S Patterson, Carmen P DiGiovine, Scott Swearingen, Lauren R Wengerd, Amy R Darragh","doi":"10.1136/ip-2024-045326","DOIUrl":"https://doi.org/10.1136/ip-2024-045326","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with acquired brain injuries are at risk for additional injuries after hospital discharge. We asked healthcare providers to identify and prioritise urgent hazards in the home setting for this population.</p><p><strong>Methods: </strong>We used a convergent mixed methods approach. Healthcare providers who do discharge planning and community re-integration for adolescent patients with brain injury were recruited from hospitals in the US Midwest. Participants completed two structured surveys, semi-structured interviews and a Hazard Prioritisation Matrix Activity. We analysed quantitative data via descriptive statistics and qualitative data via inductive thematic analysis to identify hazards, urgency, interactive themes and generate a conceptual model.</p><p><strong>Results: </strong>All participants validated four preidentified hazards in the surveys and the interviews: slippery objects on the floor, large furniture/objects in the path of travel, unattended open flames and inappropriate use of cooking appliances. 59 hazards were self-identified during the Hazard Priority Matrix Activity and assigned an urgency rating, with 12 (20.3%) urgent, 20 (33.9%) major, 19 (32.2%) moderate and 8 (13.6%) minor risks. We identified seven interactive themes about hazard factors: hazardous activities, hazardous situations, hazardous objects, hazardous others, hazardous spaces, harms and client factors. A conceptual model for home safety concerns links hazards, risks and harms.</p><p><strong>Conclusions: </strong>Adolescents with acquired brain injuries need healthcare providers to recognise unique and complex hazards in their homes that could lead to harm. Mitigating home hazards may prevent additional unintentional injury for these adolescents. More research is needed to generalise this information for this population across clinical settings.</p><p><strong>Trial registration number: </strong>NCT04768946.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619768","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":"Comparing road traffic injuries by types of road users among children and adolescents in South Korea, 2011-2021.","authors":"Je Sun Yeon, So Yeon Kong, Byung Woo Kim, Dong-Min Shin, Sung Hun Moon, Sung Man Jeon, Gwan Jin Park, Hyun Seok Chai, Young Min Kim, Sang Chul Kim","doi":"10.1136/ip-2024-045243","DOIUrl":"https://doi.org/10.1136/ip-2024-045243","url":null,"abstract":"<p><strong>Introduction: </strong>Road traffic injuries (RTIs) are the leading cause of mortality among children and adolescents. This study aimed to compare clinical characteristics and identify factors associated with severe RTIs based on types of road users among children and adolescents with RTIs.</p><p><strong>Methods: </strong>A retrospective multicentre observational study was conducted using the Emergency Department-based Injury In-depth Surveillance registry in South Korea. A total of 78 021 participants younger than 19 years who presented with RTIs to the participating emergency departments from 2011 to 2021 were classified into four groups: passengers, pedestrians, motorcyclists and bicyclists. Demographic and injury-related factors were analysed using a multivariate logistic regression model to determine associations with severe RTIs, as indicated by the Excess Mortality Ratio-based Injury Severity Score of ≥16. The prevalence of traumatic brain injury (TBI), hospitalisations, intensive care unit (ICU) admissions and severe RTIs among road users was compared.</p><p><strong>Results: </strong>Head injuries were most prevalent in passengers (55.3%), motorcyclists (46.7%) and bicyclists (50.1%). Motorcyclists exhibited the highest proportion of TBI (8.3%), total admissions (28.8%), ICU admissions (8.2%), severe RTIs (41.0%) and mortality (2.0%). Safety devices significantly reduced severe RTIs in passengers and motorcyclists (adjusted OR (95% CI) 0.77 (0.70 to 0.85) and 0.69 (0.62 to 0.76), respectively.</p><p><strong>Conclusion: </strong>The distinct clinical characteristics and factors associated with severe RTIs among different road user types in children and adolescents highlight the need for targeted interventions. Tailoring strategies to the specific requirements of each group is essential for effectively mitigating the occurrence of severe RTIs in this vulnerable demographic.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619767","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":"Honor ideology and private firearm ownership in US active-duty soldiers.","authors":"Raymond Tucker, Jarrod E Bock, Jessica L Gerner, Evan A Albury, Jeffery Osgood, Samantha E Daruwala, Melanie L Bozzay, Michael N Dretsch, Benjamin Trachik, Michael Anestis, Craig J Bryan","doi":"10.1136/ip-2024-045256","DOIUrl":"https://doi.org/10.1136/ip-2024-045256","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether honor ideology, or a belief that one's reputation must be defended at all costs, is related to firearms ownership in soldiers.</p><p><strong>Methods: </strong>N=301 active-duty soldiers completed online self-report measures in this cross-sectional study.</p><p><strong>Results: </strong>Honor ideology was higher in soldiers who privately own a firearm compared with those who do not currently own and do not plan to after military separation. Higher honor ideology was correlated with a disbelief that private firearms ownership is related to soldier suicide risk. Levels of honor ideology were equal in soldiers who own a private firearm for protection versus other reasons (eg, hunting, maintaining a collection).</p><p><strong>Conclusions: </strong>Honor ideology may be related to suicide risk through increased likelihood of owning a private firearm and disbelief in private firearm ownership being related to one's own suicide risk in soldiers. Honor ideology could be relevant to consider when means safety initiatives are developed for active-duty military personnel.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545268","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":"System-level interventions for fall risk assessment, fall prevention and fall injury prevention in long-term care facilities: a scoping review.","authors":"Dahee Wi, Andrew Ustach, Wonkyung Jung, Sungwon Lim, Hilaire J Thompson","doi":"10.1136/ip-2024-045386","DOIUrl":"https://doi.org/10.1136/ip-2024-045386","url":null,"abstract":"<p><strong>Objectives: </strong>Older adults living in long-term care facilities (LTCFs) are at high risk for falls. Interventions to prevent falls and fall-related injury in this population may be individual-level or system-focused interventions. However, relatively little attention has been given to research on system-focused interventions. This scoping review seeks to synthesise previous studies on the effects of system-focused interventions for fall prevention in LTCFs.</p><p><strong>Methods: </strong>We searched Ovid-Medline, CINAHL and Embase databases from 2007 to 2024 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews. We conducted a narrative synthesis to summarise findings from the included studies.</p><p><strong>Results: </strong>In the initial search, 403 studies were identified and underwent title and abstract screening resulting in 116 articles retrieved for full-text review. 20 studies were included in the final data extraction. System-level fall prevention interventions evaluated in LTCFs include (1) multicomponent and multidisciplinary programmes, (2) environmental adaptations, (3) technological adaptations, and (4) staff education and training programmes. 11 out of 17 included quantitative studies reported significant effects of system-focused interventions to reduce falls in LTCFs.</p><p><strong>Conclusions: </strong>This scoping review reveals the effectiveness of system-level fall prevention strategies in LTCFs. Enhancing training, customising tools and fostering a supportive leadership culture are vital for improving fall prevention practices in LTCFs.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545270","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":"Frequency and mechanism of injury for unintentional paediatric femoral fractures associated with consumer products over a 10-year period in the USA.","authors":"Andrew Peace, Siddartha Dandamudi, Sevil Ozdemir, James Ostrander, Theresa Atkinson","doi":"10.1136/ip-2024-045278","DOIUrl":"https://doi.org/10.1136/ip-2024-045278","url":null,"abstract":"<p><strong>Background: </strong>Femoral shaft fractures tend to be rare among children; however, these injuries are the most common major paediatric injuries treated by orthopaedic surgeons. The purpose of this study is to characterise the demographics and mechanisms of femoral injury associated with consumer products in the age group treated with spica casting, children 6 months to 6 years, to identify areas for injury prevention.</p><p><strong>Methods: </strong>Data from 2012 to 2021 were obtained from the National Electronic Injury Surveillance System maintained by the Consumer Products Safety Commission, documenting emergency department visits for unintentional injuries associated with consumer products. Narrative descriptions were analysed to identify common factors in the injury events such as location, products and mechanisms of action.</p><p><strong>Results: </strong>From 2012 to 2021, the estimated incidence of femur fractures was 23.5 cases per 100 000 children with no significant difference in yearly frequency. The most common mechanism of injury was a fall with the most frequent fracture sources being bed/bunk beds (16.1%), floor (slips/falls, 9.7%) and trampolines (9.7%). Most fractures occurred at the patient's home (58.4%). The incidence of injury outside of the home and frequency of fractures involving play structures/trampolines increased with age.</p><p><strong>Conclusions: </strong>The incidence and demographic characteristics of paediatric femur fractures associated with consumer products have remained consistent over the past 10 years. As home was the most common location of fracture, prevention of femur fractures should focus on caregiver education around high-risk sources of fracture (bed, stairs and trampolines) and manufacturers should consider design alternatives that discourage potential misuse.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545267","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":"Risk factors for suicide attempt among adolescents reporting suicidal ideation by sexual and gender minority status: Evidence from the 2022 Minnesota Student Survey.","authors":"Joseph F Sexton, Kirsty A Clark","doi":"10.1136/ip-2024-045317","DOIUrl":"https://doi.org/10.1136/ip-2024-045317","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a leading cause of death among adolescents, yet most adolescents who report suicidal ideation do not attempt nor die by suicide. To prevent injury and death, it is thus vital to explore factors potentiating the transition from suicidal ideation to suicidal attempt, especially in high-risk groups like sexual and gender minority (SGM) adolescents. Guided by an \"ideation-to-action\" framework, we explored risk factors for suicide attempt (ie, \"painful and provocative experiences\") among adolescents reporting suicidal ideation by SGM status.</p><p><strong>Methods: </strong>Data were drawn from the cross-sectional 2022 Minnesota Student Survey and restricted to 10 561 adolescents reporting past-year suicidal ideation (52.3% SGM; 47.7% non-SGM). Analyses first assessed prevalence of exposure to painful and provocative experiences (ie, non-suicidal self-injury, adverse childhood experiences, bullying) by SGM status. Then, in multivariable logistic regression models, analyses probed associations between these risk factors and past-year suicide attempt.</p><p><strong>Results: </strong>Among adolescents reporting recent suicidal ideation, a higher proportion of SGM adolescents reported past-year suicide attempt than non-SGM adolescents (26.7% vs 21.6%, respectively). All examined painful and provocative experiences were more commonly reported among SGM adolescents. In analyses restricted to SGM adolescents, non-suicidal self-injury, sexual abuse by a family member, and bullying demonstrated the largest effect sizes of associations with suicide attempt.</p><p><strong>Discussion: </strong>Guided by an \"ideation-to-action\" framework, this research identifies risk factors potentiating suicide attempt in SGM adolescents reporting recent suicidal ideation. Structural and clinical interventions focused on mitigating exposure to painful and provocative experiences may help to prevent suicide among SGM adolescents.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545269","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":"Case-control study of fatal bicycle crashes in peri-urban areas of Delhi.","authors":"Rasagna Paturi, Srishti Agrawal, Sumit Bilam, Kavi Bhalla, Rahul Goel","doi":"10.1136/ip-2024-045262","DOIUrl":"https://doi.org/10.1136/ip-2024-045262","url":null,"abstract":"<p><strong>Objectives: </strong>There is a lack of evidence on interventions to improve the safety of cycling use in low- and middle-income countries. We investigated the impact of road design and traffic characteristics on the fatality risk of bicyclists.</p><p><strong>Methods: </strong>Our study population is the road sites in the peri-urban areas of New Delhi, India. We used a retrospective, population-based case-control study design. We identified 50 case sites (road locations) where a fatal cycle crash had occurred over a 3-year period. For control sites, we intercepted and interviewed three cyclists at each case site, mapped their route to the crash location using Google Maps and selected one random location on each of those routes as controls. We recorded traffic and road design characteristics at the case and control sites. We used a logistic regression model to estimate ORs of site characteristics.</p><p><strong>Results: </strong>We found a strong effect of the presence of U-turns on the likelihood of a bicycle fatality, with an OR of 4.4 (95% CI 1.8, 11.5). This effect is robust against multiple sensitivity analyses. We found that the volume of cars is associated with an increased likelihood and that of motorcycles with a reduced likelihood of bicycle fatalities.</p><p><strong>Conclusions: </strong>Our results indicate that the presence of U-turns is a strong risk factor for bicycle fatalities in Delhi. Given the strong evidence of their impact on the safety of bicyclists, their construction should be discontinued in zones of high bicycle presence.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499767","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":"Characterising fire or burn-related fatalities in the USA using the National Violent Death Reporting System, 2003-2020.","authors":"Saroj Bista, Bridget Duffy, Nichole L Michaels","doi":"10.1136/ip-2024-045338","DOIUrl":"https://doi.org/10.1136/ip-2024-045338","url":null,"abstract":"<p><strong>Objectives: </strong>Intentional fire or burn-related deaths are rare in the USA compared with some countries, but do occur, and our knowledge of their epidemiology is limited. The objective of this study is to epidemiologically describe fire or burn-related deaths resulting from violence, including victim and suspected perpetrator characteristics and incident circumstances.</p><p><strong>Methods: </strong>This cross-sectional study uses National Violent Death Reporting System data from 2003 to 2020 to examine violent fire or burn-related deaths among individuals of all ages. Analyses include the following case types: (1) fire or burn-related injuries were immediate, underlying or antecedent cause of death; (2) death resulted from arson; or (3) weapon used was categorised as 'fire or burns'. Precipitating circumstances were examined by manner of death (ie, suicide, homicide or undetermined intent) using χ² tests, with p values of <0.05 indicating statistical significance.</p><p><strong>Results: </strong>Among 4395 victims, most were male (64.6%), non-Hispanic white (60.8%) and 20-64 years (72.7%). Deaths by suicide were most common (38.9%), followed by homicides (32.6%) and undetermined deaths (28.5%). Current mental health (53.4%) and substance use problems (15.0%) were common among suicide deaths. One-half (49.8%) of homicide deaths were precipitated by another crime and 19.5% were related to intimate partner violence.</p><p><strong>Conclusions: </strong>The prevalence of mental health and substance use problems among suicide victims underscores the urgency for targeted prevention strategies and timely interventions. Stressors, such as interpersonal conflicts and financial problems, may contribute to fire or burn-related violent deaths.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499768","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-related threats before migrating to the USA from Latin America and the Caribbean.","authors":"Eugenio Weigend Vargas, Jason Goldstick, Laura Vargas","doi":"10.1136/ip-2024-045369","DOIUrl":"https://doi.org/10.1136/ip-2024-045369","url":null,"abstract":"<p><strong>Background: </strong>Every year, thousands of people from Latin America and the Caribbean are migrating to the USA. Policy-makers have argued that US firearms are fuelling violence in these countries and are contributing to migration. The objective of this article is to examine the proportion of immigrants from Latin America and the Caribbean arriving at the US border who have previously been threatened with a firearm. This article further explores sociodemographic factors associated with the likelihood of previous firearm-related threats, whether those threats are associated with post-traumatic stress disorder, as well as the reasons behind those threats.</p><p><strong>Methods: </strong>Data were obtained from a survey of migrants recruited at the southern US border from March 2022 to August 2023. To be selected, respondents had to be 18 years of age or older, had to speak English or Spanish and come from a Latin American or Caribbean country. We used descriptive statistics and a logistic regression.</p><p><strong>Results: </strong>We analysed 321 cases. Roughly, 48% of respondents reported previous firearm-related threats. Males and respondents coming from Honduras, Venezuela and El Salvador were more likely to report previous firearm-related threats. There was a strong association between previous firearm-related threats and signs of post-traumatic stress disorder. Most threats occurred during robberies or extortions, but other threats were perpetrated by authorities, to prevent crime reporting, or by intimate partners.</p><p><strong>Conclusion: </strong>Understanding the violence, particularly firearm-related violence, experienced by those migrating to the USA from Latin America and the Caribbean could help guide policy discussion and actions.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499681","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":"Identifying facilitators and barriers to implementing the Say Something Anonymous Reporting System in Miami-Dade County, USA: a qualitative study.","authors":"Esther Lee, Briana A Scott, Hsing-Fang Hsieh, Marc Zimmerman, Amy Rusch, Justin Heinze","doi":"10.1136/ip-2023-045120","DOIUrl":"https://doi.org/10.1136/ip-2023-045120","url":null,"abstract":"<p><strong>Background: </strong>Multiple anonymous reporting systems (ARS) have been implemented to prevent school violence and improve school climate. This study examines the facilitators and barriers to implementation and the role and usability of the Say Something Anonymous Reporting System (SS-ARS).</p><p><strong>Methods: </strong>10 qualitative interviews with key staff and administrators from intervention schools in the Miami-Dade County School District were conducted between July and December 2020. Using a thematic framework analysis of interview transcripts, we identified major themes related to the SS-ARS.</p><p><strong>Results: </strong>Students used the SS-ARS to report issues related to violence, mental health and substance use. The SS-ARS provided training and safe reporting channels, enabling prompt responses from administrators. Successful anonymous reporting system implementation requires ongoing training for students and personnel, a multidisciplinary response team and integration into a comprehensive school safety effort.</p><p><strong>Conclusion: </strong>Our study highlights key facilitators and barriers to implementing ARS in schools, offering three takeaways for practitioners: (1) include ongoing training for students and personnel, (2) establish a multidisciplinary team to respond to reports and integrate ARS into a comprehensive safety effort and (3) encourage reporting on a range of concerns. Interviews were conducted with school personnel, with findings primarily reflecting their perspectives, thereby limiting the ability to generalise the findings to students. Although conducted in schools within Miami-Dade County, an urban US county, the findings may be relevant for practitioners implementing ARS or similar initiatives in educational settings globally, given the ubiquity of violence and mental health issues among adolescents.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499682","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}