International Wound Journal最新文献

{"title":"Skin Protection With Hydrofibre Foam and Silicone-Based Dressing Can Help Prevent Pressure Injuries: A Preliminary Evaluation in Brazil","authors":"Carla Paladini Cavazana,&nbsp;Juan Gonçalves,&nbsp;Julia Teixeira Nicolosi,&nbsp;Viviane Fernandes de Carvalho","doi":"10.1111/iwj.70695","DOIUrl":"https://doi.org/10.1111/iwj.70695","url":null,"abstract":"<p>Understanding skin microclimate<i>—</i>the temperature and humidity at the interface between the skin and other surfaces<i>—</i>is critical for preventing pressure injury (PI). This prospective case series evaluated the performance of a hydrofibre multilayer foam dressing with silicone coating in managing the sacral microclimate in intensive care patients with intact skin at high PI risk when used with a standard PI prevention protocol. Sacral temperature and humidity were measured using a thermographic imaging camera and electrical bioimpedance device, respectively. These data were collected daily for a maximum of 7 consecutive days. Data of 25 patients were analysed. The mean sacral humidity during the first 4 days of dressing use was 20.7%. Its levels reduced on Days 5 and 6 and later returned to Day 2 levels on Day 7. The sacral temperature showed no sudden change with dressing use. Correlations between sacral microclimate and smoking, alcohol, systemic arterial hypertension, and diabetes mellitus were determined. There was no evidence of PI among the participants during the 7-day follow-up. The hydrofibre multilayered foam dressing with silicone coating effectively managed the sacral microclimate in high-risk intensive care patients, highlighting its potential utility in PI prevention protocols.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70695","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171482","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":"Assessing Clinician Consistency in Wound Tissue Classification and the Value of AI-Assisted Quantification: A Cross-Sectional Study","authors":"Heba Talla Mohammed,&nbsp;Samantha Bestavros,&nbsp;Samiha Mohsen,&nbsp;Zheng Liu,&nbsp;Sheila Wang,&nbsp;Justin Allport,&nbsp;Amy Cassata,&nbsp;Robert D. J. Fraser","doi":"10.1111/iwj.70691","DOIUrl":"https://doi.org/10.1111/iwj.70691","url":null,"abstract":"<p>This study investigated the relationship between clinician assessments and the AI-generated scores, highlighting how correlations vary based on clinician expertise. It also explored the proportion of tissue types identified by clinicians relative to AI assessments and assess the inter-clinician agreement in quantifying tissue types, identifying variations based on clinician experience. A cross-sectional survey used purposive, non-random sampling to recruit 50 wound care clinicians. Participants reported their specialisation and experience level before identifying and quantifying granulation, slough, eschar, and epithelialisation in nine wound images. An AI model analysed the same images for comparison. Experienced clinicians and wound care specialists reported higher confidence in assessments. Inter-clinician agreement was moderate–good for granulation and slough (ICC: 0.763–0.762) and moderate–excellent for eschar (ICC: 0.910), but moderate–poor for epithelialisation (ICC: 0.435). Clinicians strongly correlated with AI for granulation, slough, and eschar (<i>r</i> = 0.879, 0.955 and 0.984, respectively). Epithelialisation was more challenging, with a 60% identification rate and moderate correlation with AI (<i>r</i> = 0.579). AI-generated scores aligned with clinician assessments for granulation, slough, and eschar. However, epithelialisation, which is crucial for objectively measuring healing progress, showed greater variability, suggesting that AI could improve the reliability of its assessment, potentially leading to more consistent wound evaluation to guide treatment decisions.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70691","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140485","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":"Linear and Area Coverage With Closed Incision Negative Pressure Therapy Management: International Multidisciplinary Consensus Recommendations","authors":"Devinder Singh,&nbsp;Timothy Alton,&nbsp;Abtin Alvand,&nbsp;Paulo Roberto Barbosa de Toledo,&nbsp;Abhishek Chatterjee,&nbsp;Ellen Dillavou,&nbsp;Risal Djohan,&nbsp;Alba Viviana Gomez Ortega,&nbsp;Andrew Pieri,&nbsp;Bauer Sumpio,&nbsp;Christian Willy,&nbsp;Boris Zelle,&nbsp;H. John Cooper","doi":"10.1111/iwj.70677","DOIUrl":"https://doi.org/10.1111/iwj.70677","url":null,"abstract":"<p>Closed incision negative pressure therapy (ciNPT) with foam dressings has received broad recognition for its ability to support incision healing for a variety of surgical procedures. Over time, these dressings have evolved to include linear and ‘area’ shapes to better conform to different incision types and surface geometries. To address new studies on these configurations and provide guidance for dressing selection, an international, multidisciplinary panel of experts was convened. The panel reviewed recent publications on ciNPT with reticulated open cell foam (ROCF) dressings, shared their cases and experiences and engaged in roundtable discussions on benefits, drawbacks and technical challenges. Topics were ranked by importance and refined into potential consensus statements. These were shared for anonymous feedback, requiring 80% agreement for consensus. This manuscript establishes 12 consensus statements regarding risk factors supporting the use of ciNPT, conditions supporting preference of linear or area ciNPT dressings and tips for practical application of ciNPT with ROCF dressings. While this consensus panel expands on previous publications to aid clinicians' decision-making, further research is needed to refine recommendations and identify the strengths and limitations of ciNPT. Continued multidisciplinary collaboration will ensure ciNPT remains vital for improving surgical outcomes and patient care.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70677","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148277","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":"Experts Teaching Wound Management—A Survey of Current Practices in Germany","authors":"Lilian Mahler,&nbsp;Pernilla Virginia Conrad,&nbsp;Dorothee Busch,&nbsp;Cornelia Erfurt-Berge","doi":"10.1111/iwj.70694","DOIUrl":"https://doi.org/10.1111/iwj.70694","url":null,"abstract":"<p>This study aimed to gain insights into wound care education for medical students in Germany. An exploratory study with an online survey was conducted among wound experts of different professions, requesting details about educational programmes concerning teaching content, methodology, integration into current curricula and teaching faculty. The analysis included 118 datasets gathered from 17 doctors, 93 nurses and eight other health professionals. In 48.9% of cases, wound management was taught by different health care professionals, with doctors and nurses building a teaching team most frequently (68.2%). In about half of the cases, the medical students were learning together with trainees from other health professions. The teaching team was interdisciplinary in 40.4% of the courses. The large range of medical disciplines in which wound care was taught shows how variably this topic can be used in medical teaching. Nevertheless, the results from this survey also show that the topic is still clearly underrepresented in medical training, even though there is a high level of interest among medical students and a clear relevance for everyday practice as a physician. The medical teachers in this survey suggest more practical sessions on causal therapy, wound pain, quality of life and local wound care in the regular medical curriculum.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70694","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140527","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":"Empathy in Wound Care: A Scoping Review of Its Role, Impact, and Barriers to Person-Centred Healing","authors":"Sebastian Probst,&nbsp;Tejus Menon,&nbsp;Alessio Stefanelli,&nbsp;Shan Maree Bergin,&nbsp;Gabrielle Brand,&nbsp;Peta Tehan","doi":"10.1111/iwj.70687","DOIUrl":"https://doi.org/10.1111/iwj.70687","url":null,"abstract":"<p>Empathy plays an important role in delivering healthcare, influencing both patient outcomes and satisfaction. However, its role, impact, and barriers to implementation in wound care remain underexplored. This scoping review aims to synthesise existing literature on empathy in wound care, highlighting its contributions to person-centred healing. Following the Joanna Briggs Institute methodology, a systematic search was conducted across multiple databases in English, French, German and Italian. Eighteen studies published between 1946 and 2024 met the inclusion criteria. The review identified empathy as a fundamental element in wound care, improving adherence to treatment, reducing psychological distress, and enhancing wound healing through physiological and psychological mechanisms. However, systemic challenges including time constraints, lack of training, and resource limitations hinder its consistent application in clinical practise. This review highlights the need for enhanced education, training, and systemic support to integrate empathy into wound care. Future research should focus on developing validated strategies to adopt empathetic care, ensuring a holistic approach to patient management.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140529","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":"Correction to “What Is the Impact of Negative Pressure Wound Therapy on Healing in Patients Post Excision of Pilonidal Sinus? A Systematic Review and Meta-Analysis”","authors":"","doi":"10.1111/iwj.70696","DOIUrl":"https://doi.org/10.1111/iwj.70696","url":null,"abstract":"<p>L. P. F. Morais, Z. E. H. Moore, D. Patton, T. O. Connor, and H. J. E. Wilson, “What Is the Impact of Negative Pressure Wound Therapy on Healing in Patients Post Excision of Pilonidal Sinus? A Systematic Review and Meta-Analysis,” <i>International Wound Journal</i> 22 (2025): e70194, https://doi.org/10.1111/iwj.70194.</p><p>Pinar Avsar has been added to the author list and author affiliations have been corrected.</p><p>Liliana Patricia Ferreira Morais^1,2 | Zena Elizabeth Helen Moore^{1,2,3,4,5,6,7,8} | Declan Patton^1,2,3,4,5,9 | Tom O' Connor^1,2,3,4,5,10 | Pinar Avsar^1,2,3 | Hannah Jane Elizabeth Wilson^1,2,3</p><p>1. Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland</p><p>2. School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland</p><p>3. Skin Wounds and Trauma Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland</p><p>4. Fakeeh College of Health Sciences, Jeddah, Saudi Arabia</p><p>5. School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia</p><p>6. Department of Public Health, Faculty of Medicine and Health Science, Ghent University, Shanghai, China</p><p>7. National Health and Medical Research Council Center of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Brisbane, Queensland, Australia</p><p>8. Honorary Visiting Professor, Cardiff University, Cardiff, Wales, UK</p><p>9. Honorary Senior Fellow, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia</p><p>10. Lida Institute, Shanghai, China</p><p>We apologise for this error.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70696","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140545","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":"Applying Antimicrobial Strategies in Wound Care Practice: A Review of the Evidence","authors":"Joanna Blackburn,&nbsp;Karen Ousey,&nbsp;Mark Rippon,&nbsp;Alan Rogers,&nbsp;Irena Pastar,&nbsp;Hadar Lev-Tov","doi":"10.1111/iwj.70684","DOIUrl":"https://doi.org/10.1111/iwj.70684","url":null,"abstract":"<p>Antimicrobial resistance is increasing due to an overreliance on antimicrobials to treat and manage infections. Chronic wounds are particularly vulnerable to infections and harbour complex microbial communities, increasing the risk of secondary infections caused by antimicrobial resistant bacteria. Accurate and early diagnosis of infection ensures appropriate treatment interventions and a reduction in the likelihood that antibiotic use is required. Despite this, the overuse of antibiotic treatment in wound care is still evident. Antimicrobial stewardship describes a structured approach to managing antimicrobial resistance through educating healthcare professionals about antimicrobial use to improve patient outcomes and minimise the spread of infections. However, the evidence suggests that healthcare professionals experience barriers when attempting to implement such strategies in their practice. It is essential that the principles of antimicrobial stewardship are embedded into wound care treatment and management. This review aimed to explore the current barriers to antimicrobial stewardship in wound care clinical practice and discuss the strategies that can be applied to successfully maximise infection prevention. There is a need to further educate wound care practitioners about antimicrobial stewardship and future research should concentrate on understanding how healthcare professionals can work collaboratively to implement such strategies in their practice.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70684","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140400","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":"Erbium:Yttrium Aluminium Garnet (Er:YAG) Laser Therapy Versus Sharp Debridement in the Management of Chronic Ulcers of the Lower Extremity: A Randomised Control Trial","authors":"Alexander Evgenievich Zaitsev,&nbsp;Oleg Nikolaevich Asanov","doi":"10.1111/iwj.70688","DOIUrl":"https://doi.org/10.1111/iwj.70688","url":null,"abstract":"<p>Chronic wounds pose significant challenges to patients and potentially reduce patients' quality of life. A prospective randomised control trial (RCT) was conducted in Russia between 2018 and 2021 to assess the effectiveness of treating chronic wounds with a high-intensity Erbium: Yttrium Aluminium Garnet (Er:YAG with RecoSMA (Reconstructive Spatially Modulated Ablation module for distributing laser radiation into microbeams) laser technology versus sharp debridement in 144 patients (treatment group <i>N</i> = 71; control <i>N</i> = 73) with diabetic foot, venous and arterial leg ulcers. The median ulcer size at baseline in the treatment and control group was 11 cm² and 10 cm² with median ulcer duration of 16 months and 15 months, respectively. The endpoints were the time to achieve a clean wound bed, time to granulation, extent of complete and marginal epithelialisation, change in wound area, presence of bacteria, levels of topical wound pain, and the patients' tolerance of debridement. A difference at <i>p</i> &lt; 0.05 was considered statistically significant. After a 30-day observation period, complete epithelialisation occurred in more than twice as many wounds in the treatment group (56.3%) compared to the control group (26%). The Er:YAG laser was more effective than sharp debridement in clearing wounds of microbial flora, stimulating tissue regeneration, promoting early granulation, marginal epithelialisation and wound healing, suggesting that Er:YAG laser therapy may offer greater benefits than conventional methods of sharp debridement of slow healing wounds.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70688","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140528","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":"Cultural Adaptation and Validation of the Attitude Scale for Pressure Injury Prevention Among Clinical Nurses","authors":"Yu-Lin Wu,&nbsp;Tsai-Ling Chen,&nbsp;Wen-Chun Liao,&nbsp;Li-Chi Huang,&nbsp;Wen-Yi Chao,&nbsp;Jui-Hsiang Chuang","doi":"10.1111/iwj.70682","DOIUrl":"https://doi.org/10.1111/iwj.70682","url":null,"abstract":"<p>To translate and validate psychometric analyses across different cultures. Pressure injuries are a concern in healthcare. Negative attitudes hamper prevention efforts, yet Taiwan lacks a reliable assessment tool. Translate the Pressure Injury Prevention Attitude Scale, originally developed by Moore and Price, into the Taiwanese version, verify the psychometric analysis, and evaluate clinical nurses' attitudes toward pressure injury prevention. Brislin's forward and backward translation, along with verification processes, were employed to ensure that the translated Taiwanese version is culturally and linguistically appropriate for Taiwan. Content validity was evaluated by a panel of seven experts specializing in pressure injury. Confirmatory factor analysis affirmed the validity of both positive and negative measures within the attitude scale items. A sample of 330 nurses from a regional teaching hospital participated in assessing the instrument's construct validity, internal consistency, and test–retest reliability. Data collection occurred between April and May 2021. The Attitudes Toward Pressure Injury Prevention—Taiwanese Version exhibited robust psychometric properties, demonstrating high item-level content validity and internal consistency as indicated by Cronbach's <i>α</i>. Additionally, it showed impressive test–retest reliability. Confirmatory factor analysis identified two distinct factors, reflecting positive and negative attitudes. The Attitudes Toward Pressure Injury Prevention Scale–Taiwanese Version effectively assesses nurses' attitudes towards PI prevention in Taiwan. It also informs future research on the relationship between attitudes, knowledge and clinical performance. The Attitudes Toward Pressure Injury Prevention—Taiwanese Version serves as a valuable tool for assessing nurses' attitudes in Taiwan, enhancing preventive measures and patient care. Managers and educators can utilize attitude measures on pressure injury prevention to shape training strategies.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70682","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135548","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":"Understanding the Impact of Ostomy Dejecta Constituents on Peristomal Skin Health and Models for Its Characterisation","authors":"Mirella A. Ejiugwo,&nbsp;Julie V. Gawenda,&nbsp;Abram D. Janis,&nbsp;Deborah A. McNamara,&nbsp;Sinéad T. O'Donnell,&nbsp;Shane Browne","doi":"10.1111/iwj.70514","DOIUrl":"https://doi.org/10.1111/iwj.70514","url":null,"abstract":"<p>An ostomy, or stoma, is a surgically created percutaneous aperture from a hollow organ (e.g., small intestine) to the body's surface. Physicians may recommend an ostomy as a temporary or permanent solution to a range of disorders of the gastrointestinal tract, with up to 130 000 ostomies performed annually in the United States. An ostomy facilitates the expulsion of waste products, termed dejecta and circumvents the compromised organs. While an ostomy can be a lifesaving treatment, it is a disruption of regular digestive flow and has a number of associated complications including hernia, prolapse and necrosis. The most commonly observed complications are peristomal skin complications (PSCs), attributed to the leakage of dejecta onto the peristomal skin or the skin directly surrounding the stoma. Despite the prevalence of PSCs, little is known about the precise etiological factors that play a role in PSC formation. This review discusses the constituents of dejecta and their possible roles in PSC formation. Additionally, we identify a number of in vitro and in vivo skin models that could be used to study PSCs. Identification of the components of dejecta and understanding their interaction with skin models can facilitate the development of interventions to treat and prevent PSCs.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":"22 6","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70514","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108937","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}