Journal of Multidisciplinary Healthcare最新文献

{"title":"Factors Influencing Coping with Death Competence Among Chinese Oncology Nurses: A National Cross-Sectional Study.","authors":"Youwen Gong, Yongyi Chen, Yang Liu","doi":"10.2147/JMDH.S489758","DOIUrl":"10.2147/JMDH.S489758","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the factors affecting Chinese oncology nurses' competency in coping with death, and their relationship with death attitudes and educational needs.</p><p><strong>Methods: </strong>A national cross-sectional descriptive study was conducted using an online survey of Chinese oncology nurses. Data were collected using the Coping with Death, Death Attitude Profile-Revised, and Death Education Needs Scales. A Pearson's correlation analysis was used to examine the relationships among the research variables. A multiple linear regression analysis was used to analyze the factors influencing coping with death.</p><p><strong>Results: </strong>The total score of coping with death was 133.57±26.78, showing a moderate coping level among Chinese oncology nurses. The Pearson's correlation analysis showed that death attitude was significantly and positively correlated with coping with death competence, and there was a statistically significant positive relationship between coping with death competence and death education needs. Years of oncology care experience, bereavement experience, death attitude, and death education needs were identified as statistically significant factors influencing competency in coping with death. These factors explained 30.6% of the differences in coping with death.</p><p><strong>Conclusion: </strong>This study found that oncology nurses in China exhibited moderate levels of death coping competence, which needs to be improved to provide higher-quality end-of-life care. Further, death attitude and education needs were important factors affecting participants' coping with death competence. Tailored death education programs and continuing education on death should be provided for oncology nurses, to encourage them to actively participate in death competence-related training and promote an attitude of natural acceptance of death and positive care for terminally ill patients. In the future, virtual reality technology could complete course implementation designs with immersive, conceptual, and interactive characteristics, to enhance the death-coping education program. Nurses with less experience in oncology care and bereavement should improve their competency in coping with death.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4781-4789"},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467755","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":"The Impact of Abusive Supervision on Nurses' Organizational Silence: The Multiple Linear Mediation of Psychological Capital and Fear.","authors":"Yali Liang, Yunxin Zhang, Yong Feng, Yuying Huang, Cuiling Zhang","doi":"10.2147/JMDH.S475793","DOIUrl":"10.2147/JMDH.S475793","url":null,"abstract":"<p><strong>Purpose: </strong>To assess abusive supervision and organizational silence among nurses and investigate the mediating influence of psychological capital and fear.</p><p><strong>Background: </strong>Since the end of 2019, China's National Development and Reform Commission (NDRC) department has decided to start the construction of regional medical centers in Shanxi, reducing cross-provincial and cross-regional medical care. In order to improve the overall standard of care in a hospital in a short period of time, health care leadership decision makers may adopt various effective leadership management practices to achieve the set goals and have high work pressure at the same time. In this case, abusive management may occur.</p><p><strong>Methods: </strong>A cross-sectional survey design was employed. In January -March 2024, a convenience sampling method was used to collect data from 470 nurses in a total of 5 hospitals in Shanxi province they were required to complete the questionnaires online anonymously. The chain mediation model was tested using the PROCESS macro program in the SPSS software and multiple linear regression model was used to verify the mediating effect.</p><p><strong>Results: </strong>Psychological capital and fear mediate the relationship between abusive supervision and nurses' organizational silence, playing indirect mediating roles. Abusive supervision was positively associated with nurses' organizational silence. Additionally, psychological capital plays a negative mediating role, accounting for 48.48% of the indirect effect, and fear plays a positive mediating role, accounting for 45.83% of the indirect effect. They form a chain intermediary, accounting for 5.69% of the indirect effect.</p><p><strong>Conclusion: </strong>Psychological capital and fear mediate the impact of abusive supervision on nurses' organizational silence. Positive leadership training should be conducted to help reducing the level of head nurses' abusive supervision behaviors, while also fostering actions that elevate nurses' psychological capital levels.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4769-4779"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467762","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":"Correlation Analysis of Activity Levels and Risk Factors in Patients with Stroke: Variations in Cardiac Function According to the Longshi Scale.","authors":"Yao Wang, Huilan Lv, Mingjun He, Peishan Wu, Fei Li, Yulong Wang","doi":"10.2147/JMDH.S479131","DOIUrl":"10.2147/JMDH.S479131","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the link between physical activity levels, as measured by the Longshi Scale, and cardiac function and N-terminal pro-brain natriuretic peptide (NT-proBNP) levels in stroke patients, aiming to find correlations with stroke risk factors.</p><p><strong>Methods: </strong>The study involved 123 apoplexy patients divided into four groups based on the Longshi Scale: bedridden (31), domestic (32), community (30), and health (30). Clinical data was collected, and hemodynamic assessments were performed using impedance cardiography.</p><p><strong>Results: </strong>Cardiac output time index (CTI) and estimated ejection fraction (EF est) were significantly reduced in both the domestic and community groups compared to the health group (P < 0.05), while diastolic arterial blood pressure (DABP) and systemic vascular resistance index (SVRi) were increased. In the bedridden group, stroke volume (SV), cardiac output (CO), CTI, left cardiac work index (LCWi), and EF est were all lower compared to the health group (P < 0.05), with SVRI and NT-proBNP levels being higher. Additionally, the bedridden group exhibited lower SV, CO, DABP, LCWi, CTI, and EF est when compared to the domestic and community groups (P < 0.05), but higher end-diastolic filling rate (EDFR) and NT-proBNP levels. The Longshi Scale grading positively correlated with SV (r = 0.536, P < 0.01), and NT-proBNP, EF, and cognitive dysfunction were found to be associated with activity levels in stroke patients.</p><p><strong>Conclusion: </strong>The Longshi Scale correlates with cardiac function indicators like NT-proBNP and EF, and can help identify stroke patients at risk of cardiac dysfunction. Moreover, cognitive dysfunction was identified as a significant factor influencing the range of activity in patients with stroke.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4757-4767"},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467811","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":"Response to Research Trends of Rheumatoid Arthritis and Depression [Letter].","authors":"Agussalim, Eva Yuniritha, Heru Santoso Wahito Nugroho","doi":"10.2147/JMDH.S497920","DOIUrl":"10.2147/JMDH.S497920","url":null,"abstract":"","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4743-4744"},"PeriodicalIF":2.7,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11476738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467761","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":"Evaluation of the Impact of Artificial Intelligence on Clinical Practice of Radiology in Saudi Arabia.","authors":"Zuhal Y Hamd, Amal I Alorainy, Monira I Aldhahi, Awadia Gareeballah, Naifah F Alsubaie, Shahad A Alshanaiber, Nehal S Almudayhesh, Raneem A Alyousef, Reem A AlNiwaider, Lamia A Bin Moammar, Mohamed M Abuzaid","doi":"10.2147/JMDH.S465508","DOIUrl":"10.2147/JMDH.S465508","url":null,"abstract":"<p><strong>Background: </strong>Artificial Intelligence (AI) is becoming integral to the health sector, particularly radiology, because it enhances diagnostic accuracy and optimizes patient care. This study aims to assess the awareness and acceptance of AI among radiology professionals in Saudi Arabia, identifying the educational and training needs to bridge knowledge gaps and enhance AI-related competencies.</p><p><strong>Methods: </strong>This cross-sectional observational study surveyed radiology professionals across various hospitals in Saudi Arabia. Participants were recruited through multiple channels, including direct invitations, emails, social media, and professional societies. The survey comprised four sections: demographic details, perceptions of AI, knowledge about AI, and willingness to adopt AI in clinical practice.</p><p><strong>Results: </strong>Out of 374 radiology professionals surveyed, 45.2% acknowledged AI's significant impact on their field. Approximately 44% showed enthusiasm for AI adoption. However, 58.6% reported limited AI knowledge and inadequate training, with 43.6% identifying skill development and the complexity of AI educational programs as major barriers to implementation.</p><p><strong>Conclusion: </strong>While radiology professionals in Saudi Arabia are generally positive about integrating AI into clinical practice, significant gaps in knowledge and training need to be addressed. Tailored educational programs are essential to fully leverage AI's potential in improving medical imaging practices and patient care outcomes.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4745-4756"},"PeriodicalIF":2.7,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11476743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467814","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":"Erratum: Health Workers' Mindfulness-Based Stress Reduction and Resilience During COVID-19 Pandemic [Corrigendum].","authors":"","doi":"10.2147/JMDH.S498084","DOIUrl":"https://doi.org/10.2147/JMDH.S498084","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/JMDH.S464285.].</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4741-4742"},"PeriodicalIF":2.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467813","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":"Prediction Model for in-Stent Restenosis Post-PCI Based on Boruta Algorithm and Deep Learning: The Role of Blood Cholesterol and Lymphocyte Ratio.","authors":"Ling Hou, Ke Su, Ting He, Jinbo Zhao, Yuanhong Li","doi":"10.2147/JMDH.S487511","DOIUrl":"https://doi.org/10.2147/JMDH.S487511","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous coronary intervention (PCI) is the primary treatment for acute myocardial infarction (AMI). However, in-stent restenosis (ISR) remains a significant limitation to the efficacy of PCI. The cholesterol-to-lymphocyte ratio (CLR), a novel biomarker associated with inflammation and dyslipidemia, may have predictive value for ISR. Deep learning-based models, such as the multilayer perceptron (MLP), can aid in establishing predictive models for ISR using CLR.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on clinical and laboratory data from 1967 patients. The Boruta algorithm was employed to identify key features associated with ISR. An MLP model was developed and divided into training and validation sets. Model performance was evaluated using ROC curves and calibration plots.</p><p><strong>Results: </strong>Patients in the ISR group exhibited significantly higher levels of CLR and low-density lipoprotein (LDL) compared to the non-ISR group. The Boruta algorithm identified 21 important features for subsequent modeling. The MLP model achieved an AUC of 0.95 on the validation set and 0.63 on the test set, indicating good predictive performance. Calibration plots demonstrated good agreement between predicted and observed outcomes. Feature importance analysis revealed that the number of initial stent implants, hemoglobin levels, Gensini score, CLR, and white blood cell count were significant predictors of ISR. Partial dependence plots (PDP) confirmed CLR as a key predictor for ISR.</p><p><strong>Conclusion: </strong>The CLR, as a biomarker that integrates lipid metabolism and inflammation, shows significant potential in predicting coronary ISR. The MLP model, based on deep learning, demonstrated robust predictive capabilities, offering new insights and strategies for clinical decision-making.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4731-4739"},"PeriodicalIF":2.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467759","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":"Healthcare Professionals' Knowledge, Skills, and Information Needs Pertaining to Hearing Loss and Hearing Aids in Swedish Nursing Homes: A Cross-Sectional Study and Psychometric Evaluation.","authors":"Kaisa Bjuresäter, Mattias Bergström Andrén, Elina Mäki-Torkko, Agneta Anderzén-Carlsson, Per-Inge Carlsson","doi":"10.2147/JMDH.S468262","DOIUrl":"https://doi.org/10.2147/JMDH.S468262","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss increases with age and due to increased life expectancy there is an increase in the number of individuals living with hearing loss. Older people with hearing loss residing in nursing homes are often dependent on healthcare professionals to help them with their hearing aids.</p><p><strong>Objective: </strong>The aim of the study was to translate and test the psychometric properties of a Swedish version of a Norwegian questionnaire and to assess healthcare professionals' self-reported knowledge, experience, skills, competence, and information needs pertaining to residents' hearing loss and hearing aids in the Swedish context.</p><p><strong>Materials and methods: </strong>A Norwegian questionnaire was translated and adapted, and thereafter distributed to healthcare professionals in nine nursing homes in mid Sweden between 2020 and 2021, and 313 questionnaires were returned.</p><p><strong>Results: </strong>An exploratory factor analysis demonstrated adequate factorial structure in six factors, satisfying construct validity and internal consistency for the Swedish version. A confirmatory factor analysis showed a satisfactory model fit. Healthcare professionals reported having the skills required for handling hearing aids, but reported lower scores for having received information about hearing aids, taking initiatives to refer residents to hearing healthcare units, and checking for earwax. Registered nurses generally reported lower perceived knowledge and practical skills concerning hearing aids. Seventy-seven percent of the total group reported a need for information regarding hearing aid maintenance.</p><p><strong>Conclusion: </strong>Healthcare professionals reported that the majority of nursing home residents need help with their hearing aids, but only a minority of these professionals had received education on hearing loss and training in hearing aid maintenance. Enrolled nurses and care assistants demonstrated higher levels of competence in handling hearing aids compared to registered nurses. In order to ensure safe and effective care, as well as facilitate communication among older adults with hearing loss, healthcare professionals need appropriate education and training.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4693-4707"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467756","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":"Development and Implementation of a Pediatric Clinical Teaching Case Library Based on Massive Real-Time Data.","authors":"Hongqian Wang, Honghao Peng, Zhiqiang Chen, Wang Yang, Zhifeng Wu, Peng Wang","doi":"10.2147/JMDH.S477748","DOIUrl":"https://doi.org/10.2147/JMDH.S477748","url":null,"abstract":"<p><strong>Background: </strong>With the development of information technology, establishing a clinical teaching case library based on vast real-time data resources has become a new educational approach. Nevertheless, a robust theoretical underpinning for harnessing real-time data to enhance clinical education remains elusive. The current body of research frequently falls short of a coherent theoretical structure, and has yet to delve deeply into the intrinsic worth and obstacles that real-time data presents in the educational sphere.</p><p><strong>Objective: </strong>To construct a real-time data resource set for pediatric clinical cases.</p><p><strong>Methods: </strong>This study was conducted within the framework of a university-level medical data center where advanced data de-identification protocols and encryption technologies were employed. The inclusion criteria for cases were determined based on their distinctive clinical characteristics and educational relevance aligning with established curriculum standards. These cases were then incorporated into the case library. To ensure ongoing enrichment and relevance of the pediatric clinical teaching case library, a two-phase evaluation system focused on aspects of <i>storage-use</i> and <i>quality-availability</i> was implemented.</p><p><strong>Results: </strong>This study successfully established a pediatric clinical teaching case library, supported by substantial real-time data. This database has been seamlessly incorporated into various facets of pediatric education, including classroom instruction in <i>Pediatrics</i>, serving as a resource for educational material and facilitating in practical teaching scenarios.</p><p><strong>Conclusion: </strong>This case library provides an authentic and dynamic data foundation for clinical teaching by leveraging a vast repository of real-time clinical data. It not only facilitates access to high-quality educational resources but also promotes the exploration and adoption of interdisciplinary teaching methodologies. Future research should clarify the theoretical foundation for the application of real-time data, fill existing theoretical gaps, and explore its applicability in various educational environments.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4721-4730"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467812","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":"Exploring Barriers in Self-Reporting of Errors and Near Misses: A Cross-Sectional Study on Radiation Oncology in Saudi Arabia.","authors":"Haitham Alahmad, Abdulrhman M Alshahrani, Khaled Alenazi, Mohammad Alarifi, Ahmad Abanomy, Ahmad A Alhulail, Raed A Albathi, Saleh Alzughaibi, Mansour Almanaa","doi":"10.2147/JMDH.S481686","DOIUrl":"https://doi.org/10.2147/JMDH.S481686","url":null,"abstract":"<p><strong>Background: </strong>Radiation therapy utilizes complex technologies to target tumors. Radiation therapy is not immune to human errors. Reporting medical errors and near misses is crucial to improving patient outcomes and ensuring the safety of future patients.</p><p><strong>Objective: </strong>This study aimed to measure the attitudes of radiotherapy staff members in Saudi Arabia regarding reporting errors and near misses in radiation therapy practice. It also examined the participants' reporting patterns and behaviors and explored the potential barriers to reporting errors and near misses as perceived by the participants.</p><p><strong>Methods: </strong>A cross-sectional study utilizing an online questionnaire was implemented. A sample of 70 health professionals working in radiation oncology departments in Saudi Arabia, including radiation oncologists, medical physicists, and radiotherapists, were recruited to participate in this study from January to June 2023. The data was analyzed using chi-squared testing to compare different groups, and the Kruskal-Wallis was used to find any statistically significant differences between different groups.</p><p><strong>Results: </strong>The study included 70 radiotherapy staff members. Professional roles did not significantly impact participants' decisions to report minor or major errors, with most consistently reporting errors to their supervisors regardless of role. The study revealed that fear of professional sanctions and the potential negative impact on a department's reputation are significant barriers to reporting errors or near misses. However, Only 17% of radiation oncologists did consider departmental sanctions as a barrier. Participants identified communication failure as the most significant source of errors in radiation oncology departments. The study also found a high level of agreement among the participants regarding the responsibility of reporting errors and near misses.</p><p><strong>Conclusion: </strong>The study investigated reporting errors and near misses in radiotherapy and considered the factors influencing them. The findings highlight the importance of effective communication and the implementation of an electronic reporting system.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"17 ","pages":"4709-4719"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467815","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}