Journal of Epidemiology and Global Health最新文献

{"title":"HIV/AIDS in Conflict-Affected Countries, 2024-2025.","authors":"Shahul H Ebrahim, Udhayashankar Kanagasabai, Laura N Broyles, Chantelle Owens, Stephanie Behel","doi":"10.1007/s44197-026-00546-7","DOIUrl":"https://doi.org/10.1007/s44197-026-00546-7","url":null,"abstract":"<p><strong>Background: </strong>Conflict reverses development gains and can intensify HIV challenges by driving displacement, poverty, sexual violence, and the collapse of health systems. These conditions may disrupt HIV testing, treatment initiation, and continuity of care. Given recent alerts of an increase in armed conflicts to historic highs, we conducted an ecological analysis of the strength of the relationships between conflict severity and HIV outcomes in select conflict-affected countries.</p><p><strong>Methods: </strong>We identified conflict-affected countries listed in all three data sources as of August 2025-the Armed Conflict Location and Event Data, Uppsala Conflict Data Program, and the World Bank. We extracted the most recent data from the Joint United Nations Programme on HIV/AIDS (UNAIDS) data on HIV incidence, prevalence, and the 95- 95-95 targets (95% of all people living with HIV have been diagnosed, 95% of those diagnosed are receiving antiretroviral therapy, 95% of those on antiretroviral therapy have achieved viral suppression). We used Pearson correlation to assess the strength of associations between conflict severity and HIV indicators.</p><p><strong>Findings: </strong>In the 22 countries included in the analysis, HIV prevalence ranged from 0.1% in Syria and Iraq to 11.6% in Mozambique. None of the countries met all three 95-95-95 targets based on available UNAIDS data, although Cameroon achieved 95% awareness of HIV status. We did not identify strong associations between conflict severity and HIV prevalence, incidence, or progress toward the UNAIDS 95-95-95 cascade targets.</p><p><strong>Interpretation: </strong>HIV indicators in conflict affected countries are within the range reported for other countries. We hypothesize that sustained external funding from the U.S. President's Emergency Plan for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis, and Malaria, may have helped minimize potential effects of conflict on UNAIDS 95-95-95 cascade targets in countries with high preexisting HIV burden. Strengthening the monitoring of HIV indicators can help resource allocation and preparedness of health systems in the post-conflict reconstruction period.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Mortality Data: A Step-by-Step Guide to CDC WONDER, Joinpoint Analysis, and Forecasting Models.","authors":"Abdalhakim Shubietah, Mohammed Ruzieh, Belal Mohamed Hamed, Sarah Saife, Mohamed Abuelazm, Mohamed S Elgendy, Ahmed Emara, Ahmed Ibrahim, Ameer Awashra, Ibrahim Gowaily, Mohammed AbuBaha, Ghada Shbeitah, Elsayed Balbaa, Mohamed Saad Rakab, Mohammed Mhanna","doi":"10.1007/s44197-026-00561-8","DOIUrl":"https://doi.org/10.1007/s44197-026-00561-8","url":null,"abstract":"<p><strong>Background: </strong>The use of mortality data in public health research has surged with the rise of open-access databases such as CDC WONDER. However, caution is needed when defining the relationship between ICD codes and when transitioning from older to newer versions of the data. This review provides a practical, step-by-step guide to using the CDC WONDER mortality database.</p><p><strong>Methods: </strong>We outline key functionalities of the CDC WONDER interface, explain mortality rate calculations, and describe best practices for configuring queries using underlying and multiple causes of death. The review further introduces Joinpoint regression to identify temporal trend changes and compares forecasting approaches using traditional ARIMA models and modern deep learning architectures.</p><p><strong>Results: </strong>Using illustrative examples and visual guides, we demonstrate how data interpretations can vary significantly depending on query configuration, Boolean logic (AND vs. OR), and coding practices. We highlight the strengths and limitations of different analytical strategies and show how misinterpretation can arise from common errors, such as misunderstanding age adjustment or combining ICD codes without appropriate logic.</p><p><strong>Conclusion: </strong>CDC WONDER is a powerful tool for mortality analysis, but its effective use requires a clear understanding of its data structure, coding logic, and statistical tools. Joinpoint regression and forecasting models complement WONDER data by enabling trend segmentation and future projections. This guide empowers researchers to use these tools accurately, improving the rigor and reproducibility of public health research.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Place of Death for People with Life-Limiting Illnesses in Malaysia: Trends (2005-2019) and Projections to 2030.","authors":"Wen Jun Wong, Su Lan Yang, Ramani Subramaniam Kalianan, Cindy Cy Oun Teoh, Wen Yea Hwong","doi":"10.1007/s44197-026-00572-5","DOIUrl":"https://doi.org/10.1007/s44197-026-00572-5","url":null,"abstract":"<p><strong>Background: </strong>Place of death (PoD) is an important component of end-of-life care as studies showed that home deaths are preferred among patients and caregivers. Studying trends in PoD is therefore essential to examine shifts in the distribution of PoD over time and inform decisions on future end-of-life care provision and policies. This study aimed to examine the past trends and future projections of PoD of patients with life-limiting illnesses in Malaysia.</p><p><strong>Methods: </strong>We analysed decedents aged 15 years and above who died from life-limiting illnesses between 2005 and 2019 using national mortality registry. PoD was categorized as home, hospital, care home and other. Future PoD trends were projected to 2030 using simple linear modelling, accounting for projected changes in the age and sex distribution of deaths. Multinomial logistic regression model was used to assess factors associated with PoD.</p><p><strong>Results: </strong>Between 2005 and 2019, 1,423,942 deaths were due to life-limiting illnesses; the most frequent cause was Alzheimer's disease, dementia and senility (37.0%, reflecting inclusion of non-medically certified senility deaths), followed by heart disease (22.9%) and malignant neoplasm (15.4%). The percentage of home deaths declined from 59.9% in 2005 to 49.2% in 2019. Contrastingly, percentages of hospital and care home deaths increased (35.1-45.2% and 0.6-1.1%). Based on current trend continuing, the proportion of home deaths is projected to decline further to 44.3% by 2030. Projection intervals were not calculated given the linear model assumptions; results should be interpreted as indicative trend extrapolations. Hospital deaths are projected to become the most common PoD and the largest proportion of deaths (48.3%). Decedents with Alzheimer's disease, dementia or senility had higher odds of dying at home than in hospital (AOR 31.66; 95% CI 31.14-32.19), while care home deaths were lower among females (AOR 0.85; 95% CI 0.82-0.89).</p><p><strong>Conclusions: </strong>This study demonstrated an increasing trend in hospital deaths, a reduction in home deaths over time; hospitals are projected to become the most common PoD by 2030. The projected increase in hospital deaths raises considerations regarding the future sustainability of inpatient end-of-life care. These findings suggest potential needs to strengthen community palliative care services to meet future end-of-life care needs.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Predictors of Mortality Among Adults on Antiretroviral Therapy in Ethiopia: A Systematic Review and Meta-Analysis.","authors":"Muluken Amare Wudu, Fantawork Samuel Mojo, Etsegenet Arega Asmamaw, Selamyhun Tadesse Yosef, Aragaw Tesfaye Gelmo, Yimer Seid Ali, Tarikua Afework Birhanu","doi":"10.1007/s44197-026-00568-1","DOIUrl":"https://doi.org/10.1007/s44197-026-00568-1","url":null,"abstract":"<p><strong>Background: </strong>Despite the United Nations' plan to end Human Immunodeficiency Virus (HIV) as a public health concern by 2030, it remains a significant issue in low-income countries, including Ethiopia. Currently, there are no pooled estimates of mortality rate among adults on antiretroviral therapy in Ethiopia. This meta-analysis was conducted to fill this information gap, focusing on the incidence and predictors of mortality among adults receiving antiretroviral therapy in Ethiopia.</p><p><strong>Methods: </strong>This systematic review followed the PRISMA guidelines, and relevant studies were obtained from the PubMed, CINAHL, Scopus, EMBASE, and Google Scholar databases. Data analysis for pooled estimates of incidence and predictors of mortality was conducted via STATA 17 software with the DerSimonian and Laird random-effects model. Heterogeneity was evaluated via Cochrane's Q-test and the I² statistic, and publication bias was assessed through funnel plots, Egger's test, and Trim-and-fill analysis.</p><p><strong>Results: </strong>Of the 121,621 studies initially identified, only 31 met the rigorous inclusion criteria for the final meta-analysis, encompassing 24,504 participants in total. The pooled mortality rate among adults on antiretroviral therapy was 4 per 100 person-years (95% CI: 3-5, I² = 95.27%), based on 74,042.8 person-years of observation. Furthermore, advanced WHO clinical stage (pooled Adjusted Hazard Ratio(AHR) 1.68, 95% CI: 1.58-1.78), bedridden functional status (AHR 1.81, 95% CI: 1.67-1.95), anemia (AHR 1.89, 95% CI: 1.77-2.03), CD4 count below 50/mm³ (AHR 1.53, 95% CI: 1.42-1.65), fair or poor ART adherence (AHR 1.60, 95% CI: 1.45-1.75), and Tuberculosis co-infection (AHR 1.42, 95% CI: 1.32-1.53) were identified as predictors of mortality.</p><p><strong>Conclusion: </strong>The mortality rate observed in the current meta-analysis was clinically meaningful, indicating the need for strengthened efforts to reduce preventable deaths and achieve the 2030 targets. Moreover, advanced WHO clinical stage, bedridden functional status, anemia, CD4 count below 50/mm³, fair or poor ART adherence, and tuberculosis co-infection were identified as predictors of HIV-related mortality. This suggests that early HIV testing, timely initiation of treatment, and robust monitoring and evaluation of treatment should be prioritized to address the identified predictors.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of Sleep Disturbances and Sleep Apnea Risk Among Children with Epilepsy: A Case-Control Study.","authors":"Ahlam Mazi","doi":"10.1007/s44197-026-00569-0","DOIUrl":"https://doi.org/10.1007/s44197-026-00569-0","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the prevalence of sleep disturbances and obstructive sleep apnea (OSA) risk between children with seizures and healthy controls in Saudi Arabia, while identifying clinical correlates associated with these outcomes within the epilepsy cohort.</p><p><strong>Methods: </strong>A case-control study was conducted at King Abdulaziz University Hospital, Jeddah, involving 83 children with seizures and 167 healthy controls. Sleep patterns and OSA risk were assessed using the Children's Sleep Habits Questionnaire (CSHQ) and the Pediatric Sleep Questionnaire (PSQ). Clinical factors were analyzed using logistic regression.</p><p><strong>Results: </strong>Sleep disturbance was significantly more frequent in the seizure group (86.7%) compared with controls (21.6%), with an odds ratio (OR) of 23.82 (p < 0.001). The rate of positive OSA screening was higher among children with seizures (34.9% vs. 15.6%; OR: 2.91, p < 0.001). The seizure group showed significantly higher impairment across all CSHQ domains, including bedtime resistance, sleep anxiety, and daytime sleepiness (all p < 0.001). In the adjusted model, hospital admission in the past six months (aOR: 6.477) and sleep duration ≥ 10 h (aOR: 5.847) were independently associated with sleep disturbance; the latter likely reflects underlying sleep pathology rather than a primary risk factor. Recent seizure occurrence (within 6 months) was the primary predictor for OSA risk (aOR: 2.854, p = 0.048).</p><p><strong>Conclusions: </strong>Sleep disturbances among Saudi children with seizures are significantly more prevalent than in healthy peers. Integration of standardized screening tools into routine pediatric neurology practice is warranted for the timely identification and management of these comorbidities.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Reemergence of Congenital Syphilis-Maternal and Fetal Risks and Consequences.","authors":"Santhiya Srinivasan, Pratima Anand, Tapas Bandyopadhyay, Ajay Kumar Dudeja, Sushma Nangia","doi":"10.1007/s44197-025-00416-8","DOIUrl":"10.1007/s44197-025-00416-8","url":null,"abstract":"<p><p>The reemergence of congenital syphilis, a preventable condition, carries significant implications for both maternal and fetal health. This resurgence is closely linked to the increasing rates of primary and secondary syphilis among women of reproductive age, inadequate access to antenatal care, absence of routine maternal serological testing, and insufficient treatment even when a timely diagnosis is made. In this report, we present the diverse clinical manifestations of syphilis in both mothers and neonates observed at our institution over a one-year period.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":"16 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term Associations of Aspiration Pneumonia and All-Cause Mortality Following Percutaneous Endoscopic Gastrostomy : A US Multi-Institutional Retrospective Cohort Study.","authors":"Yuan-Tsung Tseng, Chung-Hung Chen, Ruey-Chang Lin, Chun-Hsiang Wang, Yueh-Tsung Lee, Huai-Yi Huang, Jyun-Wei Wang, Chung-Yi Li","doi":"10.1007/s44197-026-00570-7","DOIUrl":"https://doi.org/10.1007/s44197-026-00570-7","url":null,"abstract":"<p><strong>Background: </strong>The long-term effects of Percutaneous Endoscopic Gastrostomy (PEG) versus Nasogastric Tube (NG) placement on adult mortality and aspiration pneumonia are debated. This study aimed to compare these long-term risks using a large, multi-institutional retrospective database.</p><p><strong>Methods: </strong>This retrospective cohort study used de-identified data from the TriNetX US Collaborative Network (2005-2024). Adults undergoing PEG or NG tube placement were propensity score-matched (1:1), although swallowing study results were unavailable for matching. Primary outcomes over a 10-year follow-up were incident aspiration pneumonia and all-cause mortality. Analyses included Cox proportional hazards models, landmark analyses, and stratified analyses by NG tube placement frequency.</p><p><strong>Results: </strong>Among 34,539 matched pairs, PEG was associated with lower observed 30-day all-cause mortality (HR 0.53, 95% CI 0.51-0.56) but higher mortality during 31-365 days (HR 1.70, 1.59-1.81) and 1-10 years (HR 1.57, 1.49-1.65). In the overall matched cohort, PEG was associated with a higher long-term aspiration pneumonia risk (HR 1.66, 1.56-1.75). When stratified by NG tube placement frequency, the between-group mortality difference attenuated from HR 1.16 (1.12-1.19) at one placement to HR 0.74 (0.65-0.86) at ≥ 5 placements. The aspiration pneumonia association attenuated but remained statistically significant across all strata.</p><p><strong>Conclusion: </strong>PEG was associated with a higher overall observed risk of aspiration pneumonia; however, this association attenuated with increasing NG tube placement frequency, and the observed mortality difference was no longer statistically significant among patients with repeated NG tube placements. These observational associations may reflect differences in NG tube placement frequency and clinical context within the comparator group, and may offer a clinical reference for tube access selection in similar patients.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socio-Economic Inequalities of Childhood Stunting in Rwanda: Time Trend Analysis of Demographic and Health Surveys, 2000 to 2019.","authors":"Albert Ndagijimana, Leonardo Z Ferreira, Torbjörn Lind, Aluisio J D Barros","doi":"10.1007/s44197-026-00566-3","DOIUrl":"https://doi.org/10.1007/s44197-026-00566-3","url":null,"abstract":"<p><strong>Background: </strong>Childhood stunting, defined as a height-for-age Z-score below - 2 standard deviations, remains a major public health issue in Rwanda, with one in three children under-five affected. Although national prevalence of stunting has declined over the past two decades, less is known about how trends compare across population groups. This study assessed trends in childhood stunting inequalities in Rwanda from 2000 to 2019 using absolute and relative inequality measures across five equity dimensions (wealth, women's education, place of residence, sex, and regions or provinces).</p><p><strong>Methods: </strong>We analyzed data from five rounds of the Rwanda Demographic and Health Surveys (2000-2019). Stunting prevalence was disaggregated by wealth quintiles, women's education, place of residence, child's gender, and region/province. Absolute and relative inequality measures included the slope index of inequality (SII), concentration index (CIX), absolute difference, and the weighted mean difference to the mean (WMDM). Population attributable risk (PAR) and population attributable fraction (PAF) were estimated to assess public health impact.</p><p><strong>Results: </strong>Stunting prevalence in Rwanda decreased by 31.0% from 2000 (47.9%) to 2019 (33.1%). However, inequalities widened, with faster progress among the wealthiest, reaching their peak in 2019 (SII = -41.7, CIX = -21.9). Women's education inequalities persisted in favor of the highly educated (SII = - 29.7 and CIX worsening to -9.2 in 2019), urban areas (16-point absolute difference), and boys (7.8-point absolute difference). Regional disparities were relatively stable, with WMDM around 5.0% points, Kigali having the lowest rate. The measures of impact show wealth had the strongest effect, with a PAR of 23.2% points and PAF of 69.0%; respectively reflecting the amount of stunting rates that are attributable to being in the poorest categories and what could be eliminated if all children were in the wealthiest categories.</p><p><strong>Conclusion: </strong>Despite overall national progress in reducing stunting, social and economic inequalities remained apparent and widened between 2000 and 2019. Children from the poorest households and those with less educated mothers remain disproportionately affected. To achieve the global nutrition target by 2030, Rwanda must strengthen equity-focused interventions to reach the most vulnerable groups.</p>","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seroprevalence of Toxoplasmosis in France: First Study in 1,995 Blood Donors.","authors":"Lya Hamet, Angélique Bonnet, Jean-Pierre Gangneux, Florence Robert-Gangneux","doi":"10.1007/s44197-026-00565-4","DOIUrl":"https://doi.org/10.1007/s44197-026-00565-4","url":null,"abstract":"","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Good Practices for Managing Acute Respiratory Viral Infections at Aerial Entry Points: A Scoping Review.","authors":"Hadi Pashapour, Ali Nikfarjam, Mohtasham Ghaffari, Amir Kavousi, Niloofar Aslani, Manoochehr Karami","doi":"10.1007/s44197-026-00564-5","DOIUrl":"https://doi.org/10.1007/s44197-026-00564-5","url":null,"abstract":"","PeriodicalId":15796,"journal":{"name":"Journal of Epidemiology and Global Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}