JAMA Network Open最新文献

{"title":"Emergency Department Visits After Heightened Immigration Enforcement in Los Angeles County.","authors":"Sarah Axeen, Cameron Kaplan, Annie Ro, Anna Gorman, Daniel Cordova, Manuel Pastor, Todd Schneberk","doi":"10.1001/jamanetworkopen.2026.36734","DOIUrl":"10.1001/jamanetworkopen.2026.36734","url":null,"abstract":"","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2636734"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Travel Experiences for Methadone Dosing Visits.","authors":"Elizabeth J Austin, Varuna Ravi, Alexander J Gojic, Elenore P Bhatraju, James Darnton, Paul Grekin, Sean Soth, Steve Woolworth, Kevin A Hallgren, Judith I Tsui, Emily C Williams","doi":"10.1001/jamanetworkopen.2026.37601","DOIUrl":"10.1001/jamanetworkopen.2026.37601","url":null,"abstract":"<p><strong>Importance: </strong>Patients often experience travel-related barriers to methadone dosing at opioid treatment programs (OTPs), but the nature of their experiences are not well understood.</p><p><strong>Objective: </strong>To characterize patient experiences with travel to OTPs for regular methadone dosing visits at a large multisite OTP in Washington state.</p><p><strong>Design, setting, and participants: </strong>This qualitative study utilized an embedded mixed-methods design. Our sample included patients currently receiving methadone treatment at 2 OTP sites in Washington state from November 2024 to February 2026 (including mobile units that operated as extension of the sites). Data were analyzed between February and July 2026.</p><p><strong>Exposures: </strong>Experiences of travel to OTPs for regular, in-person observed methadone dosing.</p><p><strong>Main outcomes and measures: </strong>Results of a survey administered to patients regarding the modality, time, and cost (eg, gas, childcare) of traveling to the OTP. A subsample of surveyed patients were interviewed about their experiences with and perspectives on traveling for dosing visits. Survey data were analyzed descriptively. Interviews were coded using rapid assessment process.</p><p><strong>Results: </strong>Our sample included 98 survey participants and 16 qualitative interview participants (median [IQR] age, 43.0 [38.8-50.3] years; 8 cisgender women [50.0%]). Among survey respondents, 54 (55.1%) drove themselves to the OTP, 21 (21.4%) were driven by another person, 12 (12.3%) took public transportation, and 6 (6.1%) took insurer-sponsored medical transportation; 18 (18.4%) reported a disabling condition and 16 (16.2%) needed an assistive device for walking. Participants spent a mean (range) 82.5 (10.0-330.0) minutes round trip and $15.80 ($0-$200.00) in travel-related costs for each visit. Qualitative interviews illuminated that, while distance was often a barrier, unpredictable OTP wait times or conflicts with work, medical, or family obligations also mattered considerably. Participants shared that dosing visits directly prohibited their ability to work, but missing visits put participants at risk for return to opioid use and treatment stagnation.</p><p><strong>Conclusions and relevance: </strong>In this mixed-methods qualitative study, requiring regular visits for in-person observed methadone dosing presented significant structural barriers that affect patients' treatment experience, adherence, and lives. Increasing the flexibility and accessibility of methadone treatment-through policies and novel care practices that actively seek to minimize burden of travel to the OTP and destigmatize care-is essential to enhance care quality and equity.</p>","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2637601"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Telemedicine Use for Specialist Care in Skilled Nursing Facilities.","authors":"Gillian K SteelFisher, Mary G Findling, Eran N Ben-Porath, Andrew D Wilcock, Ateev Mehrotra, David C Grabowski, Michael L Barnett","doi":"10.1001/jamanetworkopen.2026.37194","DOIUrl":"https://doi.org/10.1001/jamanetworkopen.2026.37194","url":null,"abstract":"<p><strong>Importance: </strong>For long-term residents of skilled nursing facilities (SNFs), greater use of telemedicine for specialist care may improve access to and overall quality of care. Although policy changes during the COVID-19 pandemic facilitated greater use of telemedicine, such use now is rare, and it is unclear why.</p><p><strong>Objective: </strong>To examine SNF clinical leaders' perceptions of telemedicine use and explanations of lower use among long-term residents.</p><p><strong>Design, setting, and participants: </strong>This survey study was conducted online and via postal mail from February 7 to July 28, 2025, among directors of nursing of SNFs, the central decision-makers for daily clinical operations. A probability-based sample was drawn from a listing of all 14 084 SNFs in the US, stratified to ensure reach to facilities of different sizes and varying telemedicine utilization.</p><p><strong>Main outcomes and measures: </strong>This study measured the perceptions of key factors associated with quality of care in SNFs. Telemedicine use for specialist care and reasons for telemedicine use and disuse were solicited from SNFs' directors of nursing. The demographic characteristics of SNFs surveyed were weighted to Centers for Medicare & Medicaid Services benchmarks to reflect the profile of SNFs nationally.</p><p><strong>Results: </strong>Among 1001 directors of nursing sent invitation letters, 379 (39%) participated in this study. Most directors of nursing whose residents used telemedicine confirmed its proposed advantages: respondents said a top reason for using telemedicine is that it helped less-mobile patients get appointments (77%; 95% CI, 71%-82%) and that it helped improve patients' quality of care (73%; 95% CI, 67%-78%). Top reasons for not using telemedicine among less-frequent users and nonusers were: telemedicine visits were not frequently offered by specialists (73%; 95% CI, 67%-79%) and telemedicine did not offer higher quality of care over normal practices (62%; 95% CI, 56%-68%). A majority of directors of nursing who use telemedicine (60%; 95% CI, 54%-65%) also reported that telemedicine placed additional time burdens on nursing staff.</p><p><strong>Conclusions and relevance: </strong>This survey study found that frontline clinical leaders view specialist telemedicine care as a useful tool for SNFs, particularly for patients with low mobility. However, they reported that telemedicine is offered too infrequently by specialists and adds to nurses' schedules. Policy and payment reforms should include incentives for specialists to offer telemedicine and reimbursement for nursing staff time.</p>","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2637194"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Federal Immigration Enforcement Deployment and Emergency Department Utilization Among Children.","authors":"Alicia I Rolin, Robert McCarter, Gia M Badolato, Meleah D Boyle, Thevaasiinen Chandereng, David Branson, Brittney Boakye, James M Chamberlain, Monika K Goyal","doi":"10.1001/jamanetworkopen.2026.38552","DOIUrl":"10.1001/jamanetworkopen.2026.38552","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;Heightened immigration enforcement in the US has been associated with reduced health care utilization in immigrant communities. Pediatric emergency departments (EDs) serve as a critical safety net for children, yet the impacts of acute immigration enforcement activity in pediatric ED utilization remain incompletely characterized.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate whether deployment of federal law enforcement in Washington, DC, was associated with changes in pediatric ED utilization and whether these changes differed by the patients' preferred language, race, and ethnicity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design, setting, and participants: &lt;/strong&gt;This repeated cross-sectional interrupted time series analysis compared daily pediatric ED visits from June 1 to September 30, 2025, with visits in the same calendar period in 2024 at a single pediatric ED at a freestanding children's hospital in Washington, DC. Participants included all patients younger than 26 years presenting to the pediatric ED during the study period.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Exposures: &lt;/strong&gt;Deployment of federal law enforcement personnel, including Immigration and Customs Enforcement and National Guard troops, in Washington, DC, beginning August 11, 2025.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcomes and measures: &lt;/strong&gt;The primary outcome was daily pediatric ED visit counts. Interrupted time series models estimated immediate changes in ED utilization and postdeployment trends by patient-preferred language, race, and ethnicity, adjusting for age, sex, and acuity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 21 822 pediatric ED visits were included in the analysis (median age, 6.5 [IQR, 2.0-13.1] years; 11 505 visits [52.7%] by male patients). Among these visits, 6253 patients (28.7%) identified as Hispanic, 10 649 (48.8%) as non-Hispanic Black, 2200 (10.1%) as non-Hispanic White, 558 (2.6%) as non-Hispanic multiracial, 1411 (6.5%) as non-Hispanic additional race, and 652 (3.0%), unknown. Patients who preferred to speak Spanish experienced an estimated immediate change in visits following federal deployment of -10.4 visits per day, whereas patients who preferred English experienced an estimated immediate change of 5.6 visits per day (difference, -16.0 visits per day). Hispanic patients similarly experienced an estimated immediate change of -13.3 visits per day, whereas non-Hispanic patients experienced an estimated immediate change of 6.2 visits per day (difference, -19.4 visits per day). Among Hispanic patients, those preferring Spanish had greater estimated immediate changes (-12.1 visits per day) than those preferring English (-0.8 visits per day; difference, -11.3 visits per day). No significant differences were observed across non-Hispanic racial and ethnic groups. No comparable declines were observed during the same period in 2024.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion and relevance: &lt;/strong&gt;In this repeated cross-sectional study of pediatric ED visits before and after a federal immigr","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2638552"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Errors in Figures, Table, and Supplement.","authors":"","doi":"10.1001/jamanetworkopen.2026.43550","DOIUrl":"10.1001/jamanetworkopen.2026.43550","url":null,"abstract":"","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2643550"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic Inequality and Major Adverse Cardiovascular Events.","authors":"Cæcilie Stilling Denholt, Hannah K Wood-Kurland, Kathrine Kold Sørensen, Marcella Broccia, Kristian Kragholm, Thomas Alexander Gerds, Christian Torp-Pedersen, Mikkel Porsborg Andersen","doi":"10.1001/jamanetworkopen.2026.39072","DOIUrl":"10.1001/jamanetworkopen.2026.39072","url":null,"abstract":"<p><strong>Importance: </strong>Low socioeconomic status is associated with increased risk of cardiovascular disease, yet it remains unclear whether this association has changed over time. Major adverse cardiovascular events (MACE) are key contributors to cardiovascular morbidity, mortality, and health care costs and, thus, are indicators of the overall cardiovascular burden.</p><p><strong>Objective: </strong>To describe temporal trends in incident MACE by equivalized income groups in the Danish population from 1988 to 2023.</p><p><strong>Design, setting, and participants: </strong>This nationwide, population-based open cohort study using data from Danish national registries included all residents of Denmark aged 30 years or older who were alive in each year between January 1, 1988, and January 1, 2023, and had available income observations in the current or preceding 5 years. Individuals were followed up to December 31 of each year, to death, or to emigration. Data were analyzed from August 2025 to July 2026.</p><p><strong>Exposure: </strong>Equivalized disposable household income.</p><p><strong>Main outcome and measures: </strong>Incident MACE, defined as the first hospital admission for acute myocardial infarction, unstable angina, stroke, or heart failure. Age-standardized incidence rates were calculated annually, stratified by income quartile and sex.</p><p><strong>Results: </strong>A total of 5 932 672 individuals aged 30 years or older were registered in the Danish Civil Registration System from 1988 to 2023. The annual study population increased from 3.06 million in 1988 to 3.85 million in 2023. Most residents in 1988 were female (52.1%), and most in 2023 were male (51.1%); the median age increased from 50.8 years (IQR, 40.2-65.6 years) in 1988 to 55.8 years (IQR, 43.3-68.8 years) in 2023. Age-standardized incidence rates of MACE decreased across all income groups from 1988 to 2023 but remained highest in the lowest income quartile. For males, the rate decreased from 191.1 (95% CI, 186.3-196.0) per 10 000 person-years to 119.6 (95% CI, 116.0-123.2) per 10 000 person-years in the lowest income quartile, while in the highest quartile it decreased from 153.5 (95% CI, 142.9-164.0) per 10 000 person-years to 85.9 (95% CI, 81.2-90.6) per 10 000 person-years. For females, the rate decreased from 116.0 (95% CI, 113.0-118.9) per 10 000 person-years to 70.4 (95% CI, 68.1-72.6) per 10 000 person-years in in the lowest income quartile and from 89.5 (95% CI, 81.9-97.2) per 10 000 person-years to 53.1 (95% CI, 49.0-57.1) per 10 000 person-years in the highest.</p><p><strong>Conclusions and relevance: </strong>In this cohort study of Danish residents aged 30 years or older from 1988 to 2023, the incidence of MACE declined across all socioeconomic groups. Although individuals with lower income generally experienced higher incidence rates, the overall decline occurred in all socioeconomic groups.</p>","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2639072"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More Than Telemedicine Is Needed to Support Families of Injured Children Before Interhospital Transfer.","authors":"Margaret Samuels-Kalow, Kenneth A Michelson","doi":"10.1001/jamanetworkopen.2026.36555","DOIUrl":"https://doi.org/10.1001/jamanetworkopen.2026.36555","url":null,"abstract":"","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2636555"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149238555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Error in Supplement 2.","authors":"","doi":"10.1001/jamanetworkopen.2026.44280","DOIUrl":"10.1001/jamanetworkopen.2026.44280","url":null,"abstract":"","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2644280"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13681201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes After Recovered, Positive, and Negative Pulse Oximetry Screening Results Among Newborns.","authors":"Lassi Karppi, Panu Kiviranta, Ulla Sankilampi","doi":"10.1001/jamanetworkopen.2026.39860","DOIUrl":"https://doi.org/10.1001/jamanetworkopen.2026.39860","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;Pulse oximetry screening (POS) detects critical congenital heart defects (CCHDs) and other neonatal morbidities, but the clinical significance of initially abnormal results that normalize on repeat testing remains unclear.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To assess the prevalence and clinical implications of positive, recovered, and negative early POS results in asymptomatic newborns.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design, setting, and participants: &lt;/strong&gt;This population-based cohort study included asymptomatic neonates born at 35 weeks' gestation or later who underwent early POS at 2 to 6 hours of age at a tertiary-level university hospital in Eastern Finland between January 1, 2012, and December 31, 2019. Data were analyzed from August 2025 to August 2026.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Exposure: &lt;/strong&gt;Positive POS result or indeterminate POS result that normalized to a negative POS result (recovered) with repeat testing.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcomes and measures: &lt;/strong&gt;Primary outcomes were neonatal intensive care unit (NICU) admission and continued hospitalization at 7 days; secondary outcomes included diagnostic investigations and neonatal morbidities. Associations between POS screening results and outcomes were examined using modified Poisson regression adjusted for maternal age, parity, body mass index, and cigarette smoking during pregnancy and newborn sex, gestational age, and birth weight Z score.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The cohort included 16 599 newborns born at 35 weeks' gestation or later who underwent early POS at 2 to 6 hours of age (8349 [50.3%] female; mean [SD] gestational age, 39.8 [1.3] weeks). POS results were negative in 16 160 newborns (97.4%), recovered in 208 (1.3%), and positive in 231 (1.4%). Compared with a negative POS result, a recovered or positive POS result was associated with higher risk of NICU admission (adjusted risk ratio [ARR], 5.62 [95% CI, 4.58-6.91] and 13.04 [95% CI, 11.77-14.44], respectively) and continued hospitalization at 7 days (ARR, 4.70 [95% CI, 3.07-7.19] and 11.97 [95% CI, 9.26-15.47], respectively). Recovered POS was also associated with greater risk of antibiotic exposure before 72 hours of life (ARR, 5.45 [95% CI, 3.94-7.52]) and need for respiratory support (ARR, 10.16 [3.53-29.21]) compared with a negative result. Respiratory disease was more common in newborns with recovered than negative POS results (27 [13.0%] vs 214 [1.3%]), as were sepsis (10 [4.8%] vs 127 [0.8%]) and hypoglycemia (17 [8.2%] vs 565 [3.5%]). No CCHD occurred among newborns with recovered POS.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and relevance: &lt;/strong&gt;In this cohort study of neonates born at 35 weeks' gestation or later, those with initially indeterminate POS results that normalized on repeat testing had increased risks of treatable neonatal conditions and hospital care but not of CCHD. Further prospective studies should investigate whether targeted assessment of these newborns could reduce morbidity and prolonge","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2639860"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149238437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Error in Author Affiliations.","authors":"","doi":"10.1001/jamanetworkopen.2026.44193","DOIUrl":"10.1001/jamanetworkopen.2026.44193","url":null,"abstract":"","PeriodicalId":14694,"journal":{"name":"JAMA Network Open","volume":"9 10","pages":"e2644193"},"PeriodicalIF":11.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13684478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}