Journal of Education and Health Promotion最新文献

{"title":"Uncovering essential skills for effective rheumatoid arthritis management: A qualitative grounded theory study.","authors":"Abdelaaziz Bounabe, Siham Elammare, Saadia Janani","doi":"10.4103/jehp.jehp_1384_24","DOIUrl":"10.4103/jehp.jehp_1384_24","url":null,"abstract":"<p><strong>Background: </strong>Effective management of rheumatoid arthritis (RA) relies on patients acquiring a specific set of skills. Patient education is a promising approach to achieve this. Despite extensive research in this area, a complete understanding of the necessary skills for persons living with RA remains elusive. This study aims to identify the essential skills required for individuals with RA, develop a hierarchical framework, and provide insights for targeted therapeutic education programs.</p><p><strong>Materials and methods: </strong>A qualitative approach using constructivist grounded theory was employed. Semi-structured interviews were conducted with (23) medical professionals specializing in RA and (16) RA patients. The data were analyzed using Atlas.ti software.</p><p><strong>Results: </strong>Six major themes emerged: self-care and coping, emotional and psychological resilience, knowledge and literacy in RA, personal development, communication and relationship building, and self-learning and problem-solving. These themes suggest a hierarchical structure, with knowledge serving as the foundation and progressing to more complex skills such as problem-solving and communication.</p><p><strong>Conclusion: </strong>This study provides an overview of the multifaceted nature of the skills required for optimal RA management. The proposed hierarchical structure offers a robust framework for developing targeted therapeutic education programs. The findings highlight the significance of a patient-centered approach in the effective management of RA.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"47"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital bridges: How mobile applications foster social relationships for patients living with cancer.","authors":"Bahare Zarei, Ashraf Kazemi, Hossein Beigi-Harchegani, Masoud Bahrami","doi":"10.4103/jehp.jehp_1529_24","DOIUrl":"10.4103/jehp.jehp_1529_24","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"86"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating nurses' knowledge regarding preventing complications of central venous catheters (CVCs) in the intensive care unit: A descriptive study.","authors":"Hadeel Basim Jasim, Ahmed Flaih Hassan","doi":"10.4103/jehp.jehp_537_24","DOIUrl":"10.4103/jehp.jehp_537_24","url":null,"abstract":"<p><strong>Background: </strong>Central venous catheters (CVCs) are known to be associated with risks of complications such as infections and hemorrhages. Good nurses' knowledge and management are essential in limiting these risks. Therefore, the investigators felt a real need to assess the staff nurses' knowledge regarding preventing CVC complications.</p><p><strong>Materials and methods: </strong>A descriptive design study, A nonprobability purposive sample of 60 nurses from different educational levels in Baghdad Teaching Hospitals, data were collected using tools as follows self-administered nurses' questionnaire composed of two-part, Part I: consisted of the nurse's demographic data, Part II: consisted of the nurse's knowledge test regarding central venous catheter complication Comprising (30 MCQ)), this questionnaire assessed knowledge by giving two scores for each corrected answer, and one score for incorrect answered. Statistical Package for Social Science (SPSS) version 25.0 was used for data analysis.</p><p><strong>Results: </strong>The results showed the majority of the study sample was female (76.7%), with (78.3%) aged between 21 and 30 years. that the majority of participants were well-informed about the prevention of CVC complications, with 93.3% obtaining information from the Internet and social networking sites, the average score of knowledge (53.7%) of nurses exhibited good knowledge about preventing CVC complications, with (40.0%) having poor knowledge.</p><p><strong>Conclusions: </strong>There is a need to conduct training courses for nurses who work in intensive care units about the prevention of CVC complications based on standards as the results in this study indicated that there is a significant association between, nurses' knowledge and participation in training course, about prevention of CVC complications.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"54"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of extended parallel process model training on enhancing physical activity of overweight pregnant women: A randomized controlled trial.","authors":"Atena Hakimzadeh, Sepideh Hajian, Maryam Afrakhteh, Fatemeh Rafiei","doi":"10.4103/jehp.jehp_1608_23","DOIUrl":"10.4103/jehp.jehp_1608_23","url":null,"abstract":"<p><strong>Background: </strong>The present study determined the effect of extended parallel process model (EPPM) based training on enhancing the physical activity of overweight pregnant women.</p><p><strong>Materials and methods: </strong>This randomized controlled clinical trial examined 100 overweight pregnant women referred to prenatal care clinics in Mahdiye and Shohadaye Tajrish Hospital, in August 2022. The participants were assigned into two intervention and control groups through random allocation. The intervention group underwent EPPM-based training three times (18-20, 26-30, and 37-38 weeks of gestation), while the control group received regular prenatal care. The training content and approach were designed and presented based on the four constructs of EPPM, that is, perceived susceptibility, perceived severity, perceived efficacy, and perceived self-efficacy. The 32-item Pregnancy Physical Activity Questionnaire (PPAQ) was used to measure and compare the participants' four activity types at three rounds (18-20, 26-30, and 37-38 weeks of gestation) and their physical activity calendar in two periods. The data were analyzed by the Statistical Package for the Social Sciences (SPSS) version 16 software at a significance level of < 0.05.</p><p><strong>Results: </strong>After the educational intervention, the mean physical activity scores of the intervention and control groups were1462.2 ± 477.67and 861 ± 381.29 (<i>P</i> < 0.001; CI = 95%) in the first round, 1278.15 ± 480.31 and 675 ± 375.03 (<i>P</i> < 0.001; CI: 95%) in the second round, respectively. The mean weight gain value in the second trimester equaled 4.09 ± 0.76 and 4.52 ± 0.71for the intervention and the control group, orderly. This difference was significant in the second trimester (<i>P</i> = 0.002) but not in the third. Likewise, a comparative analysis of the neonates' anthropometric indices and prenatal complications revealed no significant differences.</p><p><strong>Conclusion: </strong>The EPPM-based educational intervention effectively contributes to motivating pregnant women and changing their behavior toward improving their physical activity and can be employed to encourage them to enhance their physical activity during pregnancy.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"66"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Beyond the blues': A case report on depression as initial presentation of lung cancer with brain metastasis.","authors":"Priyanka Renita D'Souza, Aayush Srivastav","doi":"10.4103/jehp.jehp_355_24","DOIUrl":"10.4103/jehp.jehp_355_24","url":null,"abstract":"<p><p>Lung cancer usually presents with pulmonary symptoms such as cough, dyspnoea, and extrapulmonary symptoms with metastatic involvement of the brain may present as delirium or neurological deficits. However, in rare cases, psychiatric symptoms such as depression may be the only initial manifestation of lung cancer with brain metastasis, which may mislead the clinical picture. We describe a case of a middle-aged female with no past or family history of medical and psychiatric illness who was brought with low mood, decreased social interaction, fatigue, and decreased appetite in the past 2 weeks. She also had poor concentration and memory disturbances with difficulty in performing household chores. Interpersonal relationship issues in the family were attributed as precipitating factors. She was diagnosed with major depressive disorder and initiated on antidepressants but with no improvement. Later course of the illness, she developed a bilateral diffuse headache associated with vomiting. On mental status examination, she had decreased psychomotor activity. Her speech was minimal with decreased response rate and little variability in the tone. She was not able to describe her mood and her affect was restricted. No abnormal beliefs or psychotic symptoms were elicited. On general physical examination, mild deviation of the angle of mouth was noted. Because of the suspicion of organic etiology, a magnetic resonance imaging brain scan with contrast was suggested and an intracranial space-occupying lesion involving the left frontal lobe with significant perilesional edema causing mass effect was noted. Further, a positron emission tomography scan revealed hypermetabolic soft tissue mass over the supra-hilar region of the right lung likely indicating the primary site with brain metastasis. Here in this case, the initial presentation of psychiatric symptoms in lung cancer with brain metastasis obscured the underlying central nervous system pathology. This case illustrates the need for a holistic approach with prompt and detailed assessment including neuroimaging in patients with a high index of suspicion of organicity.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"80"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of educational environment using the short-version Postgraduate Hospital Educational Environment Measure (PHEEM): A multicenter study.","authors":"Amin Hoseini Shavoun, Azim Mirzazadeh, Homa Kashani, Seyed Reza Raeeskarami, Roghayeh Gandomkar","doi":"10.4103/jehp.jehp_1650_23","DOIUrl":"10.4103/jehp.jehp_1650_23","url":null,"abstract":"<p><strong>Background: </strong>The quality of the educational environment (EE) influences residents' achievement of learning outcomes and their professional development. The purpose of this study was to evaluate the EE using the short-version Postgraduate Hospital Educational Environment Measure (PHEEM) and compare residents' perceptions in total and subscale PHEEM according to their age, sex, residency year, and specialty.</p><p><strong>Materials and methods: </strong>This multicenter cross-sectional study was conducted at 12 teaching hospitals affiliated with the Tehran University of Medical Sciences. We recruited residents from 24 specialties and from the first to third/fourth residency years. Data were collected using the short-version PHEEM, which consists of 12 items with three subscales: senior doctor support and teaching skills (4), conditions of working and time to learn (4), and lack of harassment (4). The association between scores in total and each subscale with sex, residency year, and specialty was assessed.</p><p><strong>Results: </strong>In total, 538 residents from 24 specialties completed the questionnaire. Most participants were from internal medicine (<i>n</i> = 72, 13.4%). A total of 347 (64.5%) participants were females. The total PHEEM score was 20.60 (standard deviation (SD) 5.44) out of 48, with occupational medicine residents giving the highest scores and forensic medicine residents the lowest. The mean scores for the dimensions of senior doctor support and teaching skills were 7.55 (SD 2.87), for conditions of working and time to learn 6.08 (SD 3.94), and 6.95 (SD 3.22) for lack of harassment. There was no significant difference in total PHEEM scores for males and females. However, significant differences were found in subscales by sex. There were no statistically significant differences in residents' perceptions of the EE (total and subscales) according to their residency years, but there were significant differences between the specialties (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>The EE of the residency training program during COVID-19 was perceived to have plenty of problems that need immediate attention and follow-up.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"68"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the pattern of transdiagnostic related to emotion regulation of adolescents with high-risk behavior and effectiveness of integrated transdiagnostic protocol on reduction of their anxiety, depression, and emotional dysregulation.","authors":"Meysam Nikdanesh, Ahmad Ashuri, Banafsheh Gharraee, Hojatollah Farahani","doi":"10.4103/jehp.jehp_203_24","DOIUrl":"10.4103/jehp.jehp_203_24","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to investigate the examining the transdiagnostic model related to emotion regulation of adolescents with high-risk behaviors and the effectiveness of transdiagnostic treatment on reducing anxiety, depression, and emotion dysregulation in students with high-risk behaviors.</p><p><strong>Materials and methods: </strong>The statistical population included all teenage students between the ages of 12-17 years studying in the academic year 2021-2022 in Tehran. For this purpose, 60 students who met the inclusion criteria were selected using a multistage cluster method and then randomly assigned to two experimental and control groups. Barlow's transdiagnostic treatment package (special for adolescents) was performed on the experimental group by a clinical specialist during 12 one-hour weekly sessions. The participants answered Beck's depression, Beck's anxiety, and emotion regulation questionnaires in three stages: pretest, posttest, and follow-up. Data were analyzed using multivariate covariance analysis.</p><p><strong>Results: </strong>The results showed that the transdiagnostic protocol can be effective in reducing emotional problems such as reducing anxiety, depression, and emotional dysregulation in the experimental group compared to the control group.</p><p><strong>Conclusion: </strong>According to the results obtained from the present study, similar transdiagnostic protocols can be used as effective methods to improve the emotional regulation of adolescents with high-risk behaviors.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"83"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of occupation- and activity-based health management interventions for adult patients with severe mental disorders.","authors":"Elham Nasiri, Ashraf Karbalaei Nouri, Seyed Ali Hosseini, Ghazaleh Mandani","doi":"10.4103/jehp.jehp_1036_23","DOIUrl":"10.4103/jehp.jehp_1036_23","url":null,"abstract":"<p><strong>Background: </strong>Considering the negative effects of severe mental disorders (SMDs) on the patient's social and occupational functioning and general health, besides accumulating evidence on the effectiveness of occupation- and activity-based health management interventions for these patients and the novelty of research on this topic, it is important to review, evaluate, and categorize relevant studies. The present study aimed to systematically review occupation- and activity-based health management interventions for adult patients with SMDs.</p><p><strong>Materials and methods: </strong>The present study is a systematic review. We conducted a literature search in Medline, OTseeker, Cochrane Library, Embase, CINAHL, PubMed, PsycINFO, ISI Web of Science, MagIran, ISC, and SID databases from 2000 until October 2021. The study population consisted of patients clinically diagnosed with SMDs (e.g., schizophrenia, bipolar disorder, and major depression). After the literature search, we investigated the screening, quality, and inclusion and exclusion criteria of the articles. In the primary search, we extracted 238 relevant articles, and after appraising their titles and abstracts, we identified 55 relevant articles. After reviewing the full text of the articles and removing duplicates, 17 articles met the inclusion criteria of this study, while we excluded two articles from the quality assessment. Finally, we reviewed 15 studies. The outcomes included all positive and negative treatment effects and outcomes of the interventions.</p><p><strong>Results: </strong>According to the results, there were multiple occupation- and activity-based interventions for patients with SMDs, which could directly or indirectly improve their general functioning and health management.</p><p><strong>Conclusion: </strong>The reviewed studies had numerous blind spots and limitations, such as common shortcomings of randomized clinical trials, lack of long follow-ups, and ambiguity or dispersion of intervention protocols. Besides addressing these limitations, we also discussed research proposals in this study.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"87"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Charting critical paths: Exploring how concept mapping amplifies nursing students' critical thinking and elevates patient care - A scoping review.","authors":"Maheswari Thapa, Seeta Devi, Rakhi Mishra","doi":"10.4103/jehp.jehp_644_24","DOIUrl":"10.4103/jehp.jehp_644_24","url":null,"abstract":"<p><p>Concept mapping (CM) is a pedagogical approach that allows nursing students to improve their critical thinking (CT) abilities, which is paramount for providing quality patient care that underpins their ability to make sound clinical decisions and judgments by visually understanding the relationships and interconnections between various concepts. The purpose of the present review was to assess the outcome of CM on the CT skills. We searched Scopus, Web of Science, Science Direct, PubMed, and other sources to evaluate the effect of CM on CT among nursing students. The review included articles published between 2012 and 2023. Two authors individually extracted the data, identified the bias risk, and analyzed the data using the PRISMA-ScR framework. Database searches found 985 articles, 11 of which matched the inclusion criteria. 63.64% employed quasi-experimental approaches. 45.45% employed concept mapping instead of integration, whereas 9.09% used sophisticated technology. Second-year BSc Nursing students accounted for 54.55%. In 45.45% of the studies, sample sizes varied between 51 and 100. The studies' overall post-test CT scores were higher in groups which received CM as compared to other conventional pedagogical approaches. Most studies demonstrated minimal bias risk and P values greater than 0.05. The findings of the present study considered CM as an effective teaching method to enhance CT skills and also suggest the implementation of CM. It is recommended that nursing educators, administrators, and faculty evaluate curriculum to integrate CM into courses focused at promoting CT abilities in nursing students to improve the quality of patient care.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"67"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, implementation, and evaluation of an app-based functional social relationships promotion program for cancer patients: A protocol study.","authors":"Bahare Zarei, Hossein Beigi-Harchegani, Masoud Bahrami","doi":"10.4103/jehp.jehp_62_24","DOIUrl":"10.4103/jehp.jehp_62_24","url":null,"abstract":"<p><strong>Background: </strong>Cancer is a substantial public health issue in Iran and around the world. According to data consolidated from several studies, many cancer patients face social problems, such as issues with interpersonal relationships. This study aims to develop, implement, and evaluate a functional social relationships promotion program for cancer patients.</p><p><strong>Materials and methods: </strong>This is a development-applied study with four phases. Based on the planning model of Ewles and Simnett, by reviewing the extensive literature and databases, the need for the functional aspect of cancer patients' social relationships was identified in the first phase. An expert panel will prioritize the needs, and the preliminary version of the program will be finalized, and the relevant content to be presented through the app will be extracted. The required app features and architecture will be determined in the second phase, and the app will be developed. Next, the developed app will be made available to the designated contacts, and its quality and usability will be assessed. In the fourth phase, a semi-experimental study intervention and its impact on the functional aspect of social relationships will be evaluated.</p><p><strong>Conclusion: </strong>The study will lead to an app-based program that may potentially enhance the functional social relationships of cancer patients. Due to the established impact of social relationships on health and quality of life, it is imperative for health policymakers to address the social relationship needs of cancer patients. This study's findings may offer valuable insights to policymakers in this regard.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"75"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}