Journal of Perinatal Medicine最新文献_第5页

Sex differences in lung function of adolescents or young adults born prematurely or of very low birth weight: a systematic review. 过早出生或出生体重过低的青少年或年轻人肺功能的性别差异：一项系统综述。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-04 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0411

Eleanor Jeffreys, Allan Jenkinson, Oishi Sikdar, Grace Poole, Theodore Dassios, Anne Greenough

{"title":"Sex differences in lung function of adolescents or young adults born prematurely or of very low birth weight: a systematic review.","authors":"Eleanor Jeffreys, Allan Jenkinson, Oishi Sikdar, Grace Poole, Theodore Dassios, Anne Greenough","doi":"10.1515/jpm-2024-0411","DOIUrl":"10.1515/jpm-2024-0411","url":null,"abstract":"Introduction: Prematurely born males compared to females have greater respiratory morbidiy in childhood, but differences in adolescents and young adults are less clear.Content: A systematic review was undertaken to determine if there were sex differences in the lung function of prematurely born or very low birth weight born adolescents and adults.Summary: Seven of 1969 studies were included (766 infants). Three found no significant differences, but did not give raw lung function data. Four studies reported lung function data by sex. One found no significant differences and another only reported results for females, which were not lower than the controls. Another found males compared to females aged 16-19 years had lung function z scores indicating a more obstructive pattern [p<0.05]. The males, however, had significantly better exercise tolerance. The fourth reported worse lung function only in preterm born adult males.Outlook: Male compared to female individuals born prematurely had worse lung function in adulthood, but only in two of seven studies, both reported results from patients born in the era of routine surfactant use. Further research is required to more robustly determine the effect of sex on lung function in adults born prematurely.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"119-125"},"PeriodicalIF":1.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770040","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}

引用次数: 0

The association among fetal head position, fetal head rotation and descent during the progress of labor: a clinical study of an ultrasound-based longitudinal cohort study in nulliparous women. 产程中胎头位置、胎头旋转和胎位下降的关系：一项基于超声的无产妇女纵向队列研究的临床研究。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-04 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0459

Jing Fang, Wenwen Wang, Mo Liu, Ning Gu, Yimin Dai

{"title":"The association among fetal head position, fetal head rotation and descent during the progress of labor: a clinical study of an ultrasound-based longitudinal cohort study in nulliparous women.","authors":"Jing Fang, Wenwen Wang, Mo Liu, Ning Gu, Yimin Dai","doi":"10.1515/jpm-2024-0459","DOIUrl":"10.1515/jpm-2024-0459","url":null,"abstract":"Objectives: To elucidate the effects of the timing of fetal head rotation on the labor progress and outcomes.Methods: A paired ultrasound measurement was performed at each of the three stages of labor: latency stage, active stage, and full-cervical-dilatation stage. The measurements included fetal head position, head-perineum distance (HPD) and the angle of progression (AOP).Results: A total of 46 pregnancy women were included and a total of 102 effective measurements were collected. The cases in occipital anterior position were all eutocia. The rate of cesarean section in the left transverse occipital group was the highest (15.7 %, 3/19). There were 13 cases (37.1 %) with fetal head rotation occur during active phase, changing from occipital transverse to anterior. Ten cases (28.6 %) rotated in the second stage of labor. The average rotation degree of occipital transverse to anterior position was 62.6°. When AoP <95°, 100 % of the women were occipital transverse; When AoP ≥125°, 66.7 % was occipital anterior. The rate of oxytocin utilization and epidural analgesia in the occipital posterior group was higher than that in the other groups (71.4 and 85.7 %, respectively).Conclusions: Occipital transverse is the most common fetal head position in the early stage of labor and fetal head rotation occurs mostly in the active phase and the second stage of labor. Sufficient time should be given in labor management for women that who tried vaginal delivery without contraindications.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"222-227"},"PeriodicalIF":1.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770042","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}

引用次数: 0

Fetal hypoplastic left heart syndrome: key factors shaping prognosis. 胎儿左心发育不全综合征：影响预后的关键因素。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-04 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0417

Büşra Cambaztepe, Oya Demirci, Işıl Ayhan, Abdullah Alpınar, İlker K Yücel

{"title":"Fetal hypoplastic left heart syndrome: key factors shaping prognosis.","authors":"Büşra Cambaztepe, Oya Demirci, Işıl Ayhan, Abdullah Alpınar, İlker K Yücel","doi":"10.1515/jpm-2024-0417","DOIUrl":"10.1515/jpm-2024-0417","url":null,"abstract":"Objectives: The purpose of the study is to estimate factors affecting survival in prenatally diagnosed hypoplastic left heart syndrome (HLHS) and echocardiographic features predicting poor prognosis and early neonatal death.Methods: This study was designed as a retrospective cohort study. Cases of hypoplastic left heart syndrome diagnosed in the prenatal period between 2014 and 2023 were extracted from electronic medical records. Demographic data, echocardiographic features, results of genetic testing, pregnancy outcomes, and postnatal outcomes were analyzed.Results: Eighty-three prenatally diagnosed fetal HLHS cases were analyzed. Overall, survival during the study period was 26.5 %, and survival among live births was 35.4 %. Survival analysis has shown that the majority of deaths occurred during the neonatal period. Out of 62 live births, 47 had Norwood procedures, six had balloon procedures and three had hybrid procedures. Eleven out of 47 who had the Norwood procedures went on to have a Glenn operation, and only three had full Fontan palliation. The presence of additional extra-cardiac anomaly, need for extracorporeal membrane oxygenation (ECMO), bidirectional flow at pulmonary veins on color Doppler, and low birth weight are associated with survival and early neonatal death. Tricuspid regurgitation, restrictive foramen ovale, and fetal growth restriction (FGR) are not associated with survival. HLHS evolved from critical aortic stenosis has better survival rates.Conclusions: Extra-cardiac anomaly, need for ECMO, bidirectional flow at pulmonary veins, and low birth weight were negatively associated with survival and early neonatal death. The survival rate was higher among HLHS cases that had evolved from critical aortic stenosis.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"228-233"},"PeriodicalIF":1.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770038","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}

引用次数: 0

Faculty retention in academic OB/GYN: comprehensive strategies and future directions. 学术妇产科的师资保留：综合策略和未来方向。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 DOI: 10.1515/jpm-2024-0513

Ivica Zalud

引用次数: 0

Sonographic visualization and measurement of the fetal optic chiasm and optic tract and association with the cavum septum pellucidum. 胎儿视交叉、视束及其与透明隔腔的关系的超声显示和测量。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0393

Sevim Tuncer Can, Hakan Golbasi, Burak Bayraktar, Ceren Saglam, Ibrahim Omeroglu, Raziye Torun, Ilker Ucar, Ilknur Gumus Toka, Atalay Ekin

{"title":"Sonographic visualization and measurement of the fetal optic chiasm and optic tract and association with the cavum septum pellucidum.","authors":"Sevim Tuncer Can, Hakan Golbasi, Burak Bayraktar, Ceren Saglam, Ibrahim Omeroglu, Raziye Torun, Ilker Ucar, Ilknur Gumus Toka, Atalay Ekin","doi":"10.1515/jpm-2024-0393","DOIUrl":"10.1515/jpm-2024-0393","url":null,"abstract":"Objectives: To assess the sonographic visualization of the fetal optic chiasm (OC) and optic tracts (OTs), establish mid-trimester reference values, and assess the relationship between OC and OT dimensions and cavum septum pellucidum (CSP) measurements.Methods: This prospective cross-sectional study included 154 morphologically normal fetuses between 19 and 23 weeks of gestation. The diameters of the fetal OC and OTs were measured using two-dimensional transabdominal ultrasound in a transventricular axial section angled approximately 20-40° caudally. CSP length as well as anterior, middle, and posterior widths were measured by placing the cursor on the inner surfaces in the transventricular section. The average CSP width was included in the analysis.Results: The OC and OTs were successfully visualized in 109 fetuses and included in the analysis. Visualization success in transabdominal axial sections at 19-23 weeks was 70.8 %, with high intraobserver and interobserver reproducibility. Additionally, visualization rates were higher in advanced gestational weeks and in fetuses with breech presentation (p=0.007 and p=0.017, respectively). OC and OT dimensions were positively correlated with CSP length and width, biparietal diameter (BPD), head circumference (HC), and gestational age (p<0.05, for all).Conclusions: The OC and OTs were successfully visualized transabdominally in axial sections with high intraobserver and interobserver reproducibility. Additionally, OC and OT dimensions were positively correlated with gestational age, as well as with BPD, HC, and CSP measurements.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"213-221"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755206","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}

引用次数: 0

The predictive role of serial transperineal sonography during the first stage of labor for cesarean section.

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0450

Esra Kartal Gölcük, Burcu Dincgez, Gulten Ozgen, Emın Ustunyurt

{"title":"The predictive role of serial transperineal sonography during the first stage of labor for cesarean section.","authors":"Esra Kartal Gölcük, Burcu Dincgez, Gulten Ozgen, Emın Ustunyurt","doi":"10.1515/jpm-2024-0450","DOIUrl":"https://doi.org/10.1515/jpm-2024-0450","url":null,"abstract":"Objectives: Head to perineum distance (HPD) and angle of progression (AOP) are sonographic markers which have been investigated for the evaluation of labor progress. Here, we aimed to evaluate the predictive role of serially measured AOP and HPD during the first stage of labor in labor progress both in nulliparous and multiparous patients. Also, we firstly compared this role for labor progress.Methods: This was a prospective longitudinal study including 299 patients. Patients were grouped as vaginal delivery (n=247) and cesarean section (n=52). Demographic and obstetric characteristics, HPD and AOP values, and vaginal examination findings were recorded and compared between groups.Results: Slower changes in HPD and AOP values were detected in cesarean group. A HPD >38 mm predicted cesarean section with 86.9 % sensitivity and 59.2 % specificity (AUC=0.782, p<0.001) whereas AOP ≤117° predicted cesarean section with 93.5 % sensitivity and 65.1 % specificity in all patients (AUC=0.877, p<0.001). A HPD >37 mm predicted cesarean section with 84.2 % sensitivity and 55.2 % specificity (AUC=0.763, p<0.001) while AOP ≤110° predicted it with 82.7 % sensitivity and 73.3 % specificity in nulliparous patients (AUC=0.862, p<0.001). In multiparous patients, HPD>39 mm predicted cesarean section with 95.5 % sensitivity and 62.5 % specificity (AUC=0.824, p<0.001) and AOP ≤109° predicted cesarean section with 87.9 % sensitivity and 78.2 % specificity (AUC=0.909, p<0.001). AOP had superior predictive role than HPD in both nulliparous and multiparous groups (p<0.001 for both).Conclusions: We suggest that differences in labor progress could be determined by using serial intrapartum sonography. However, more research is needed for the implementation of sonopartogram to the clinical obstetric practice.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":"53 2","pages":"132-139"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623414","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}

引用次数: 0

Cicero's universal law: a timeless guide to reproductive justice. 西塞罗的普遍法则：生殖正义的永恒指南。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 DOI: 10.1515/jpm-2024-0403

Frank A Chervenak, Susan L Pollet, Renee McLeod-Sordjan, Amos Grünebaum

{"title":"Cicero's universal law: a timeless guide to reproductive justice.","authors":"Frank A Chervenak, Susan L Pollet, Renee McLeod-Sordjan, Amos Grünebaum","doi":"10.1515/jpm-2024-0403","DOIUrl":"10.1515/jpm-2024-0403","url":null,"abstract":"Marcus Tullius Cicero's concept of \"ius gentium,\" or universal law, provides a timeless framework for understanding and defending fundamental human rights, particularly in the context of reproductive freedom. Cicero distinguished between \"ius gentium\" and \"ius civile,\" emphasizing that while civil law governs specific communities, universal law, rooted in natural reason, applies to all humanity. This philosophical foundation resonates with modern discussions on reproductive rights, where universal principles of justice and bodily autonomy are at stake. Enlightened by Immanuel Kant's notion of innate freedom, Cicero's philosophy challenges present day's US states' restrictive reproductive laws, which often contradict the universal principles of justice. Applying these concepts to contemporary issues, such as abortion rights, underscores the need to align civil laws with universal ethics, ensuring that individual freedoms are upheld against arbitrary state interventions. By advocating for policies that promote equitable access to reproductive healthcare, Cicero's vision of universal law remains a powerful tool for advancing human dignity and autonomy in modern society.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770034","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}

引用次数: 0

Incidence and awareness of dysphoric milk ejection reflex (DMER). 烦躁性泌乳反射（DMER）的发生率和意识。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0299

Rachel L Solmonovich, Insaf Kouba, Christine Bailey, Wendi Andria, Kristen Demertzis, Matthew J Blitz, Jolene Muscat

{"title":"Incidence and awareness of dysphoric milk ejection reflex (DMER).","authors":"Rachel L Solmonovich, Insaf Kouba, Christine Bailey, Wendi Andria, Kristen Demertzis, Matthew J Blitz, Jolene Muscat","doi":"10.1515/jpm-2024-0299","DOIUrl":"10.1515/jpm-2024-0299","url":null,"abstract":"Objectives: To determine Dysphoric Milk Ejection Reflex (DMER) incidence. Secondary objectives were to describe the symptom profiles and patient characteristics of DMER and assess DMER familiarity.Methods: A prospective observational study of people who initiated breastfeeding after delivery between December 2022 and May 2023 at two hospitals in New York. Participants filled out an Initial Survey, assessing prior DMER familiarity, and recurring DMER Symptoms Surveys, assessing symptom presence, severity, and transiency. Medical records were reviewed for patient demographics and clinical history. Descriptive and basic inferential statistics were performed. A p<0.05 was considered statistically significant.Results: Based on the DMER definition utilized, incidence was 26.9 % (n=21), and symptom severity was mostly very mild to moderate. Those with DMER had similar baseline characteristics to those without, apart from a significantly higher rate of having delivered via cesarean section (71.4.0 vs. 33.3 %, p<0.01). Among the 55 patients who completed the initial survey, 61.8 % were unfamiliar with the condition.Conclusions: DMER is described as brief, abrupt, negative emotions experienced by breastfeeding individuals prior to milk letdown. We found that more than 1 in 4 participants screened positive. Future research could better define, quantify, qualify, and publicize this condition to inform clinical practices and facilitate successful breastfeeding relationships.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"258-261"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755185","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}

引用次数: 0

Viability of Extremely Premature neonates: clinical approaches and outcomes. 极度早产儿的生存能力：临床方法和结果。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 DOI: 10.1515/jpm-2024-0432

Esin Koc, Sezin Unal

{"title":"Viability of Extremely Premature neonates: clinical approaches and outcomes.","authors":"Esin Koc, Sezin Unal","doi":"10.1515/jpm-2024-0432","DOIUrl":"10.1515/jpm-2024-0432","url":null,"abstract":"Viability refers to an infant's ability to survive outside the womb, which is influenced by both developmental maturity and the quality of medical care received. The concept of periviability, which has evolved alongside medical advancements, describes the stage between viability and nonviability, typically spanning from 200/7 to 25 6/7 weeks of gestation. While the chances of survival are extremely low at the earlier end of this range, the possibility of surviving without significant long-term complications improves towards the later end. The effectiveness of various antenatal and postnatal care practices, particularly those considered to be part of an active approach, plays a crucial role in influencing survival rates and mitigating morbidities. However, the decision to provide such active care is heavily influenced by national guidelines as well as international standards. The variability in guideline recommendations from one country to another, coupled with differences based on gestational age or accompanying risk factors, prevents the establishment of a standardized global approach. This variability results in differing practices depending on the country or institution where the birth occurs. Consequently, healthcare providers must navigate these discrepancies, which often leads to complex ethical dilemmas regarding the balance between potential survival and the associated risks. This review article explores the evolution of the definition of viability, the vulnerabilities faced by periviable infants, and the advancements in medical care that have improved survival rates. Additionally, it examines the viability and periviability definitions, the care and outcomes of periviable infants and recommendations in guidelines.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755214","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}

引用次数: 0

Shifts in peak month of births and socio-economic factors: a study of divided and reunified Germany 1950-2022. 出生高峰月份的变化和社会经济因素：1950-2022年德国分裂和统一的研究。

IF 1.7 4区医学

Journal of Perinatal Medicine Pub Date : 2024-12-02 Print Date: 2025-02-25 DOI: 10.1515/jpm-2024-0526

Bertram Häussler, Joachim W Dudenhausen

{"title":"Shifts in peak month of births and socio-economic factors: a study of divided and reunified Germany 1950-2022.","authors":"Bertram Häussler, Joachim W Dudenhausen","doi":"10.1515/jpm-2024-0526","DOIUrl":"10.1515/jpm-2024-0526","url":null,"abstract":"Objectives: The seasonality of conception and birth has intrigued scientists for over 200 years. Since the 1970s, peak birth months in the northern hemisphere have shifted from early spring to late summer, influenced by oral contraceptives and socio-economic factors. The division of Germany from the end of World War II until reunification in 1990 offers a unique opportunity to analyze these influences while both regions had equal access to contraception. This study aims to identify differences in fertility trends and peak birth months between West and East Germany before and after reunification, considering political, socio-economic factors, and contraceptive availability.Methods: A population-based study analyzed overall fertility rates, monthly birth data, peak birth months, and average maternal ages from 1950 to 2022.Results: Fertility patterns were similar in both regions until 1970, showing a sharp increase post-1955 followed by a decline around 1965, likely due to contraception. From 1970 to 1990, East German fertility increased while West Germany's remained lower. After reunification, East German fertility fell sharply but later rose to West German levels. The peak birth month shifted from March to August in West Germany by the mid-1980s, while East Germany experienced this change 20 years later, post-reunification.Conclusions: The 20-year delay in East Germany's shift suggests that oral contraception's impact was influenced by other factors, particularly the age of women at childbirth. Increased control over fertility in the West allowed for more choice in conception timing, a trend adopted in the East after gaining similar autonomy.","PeriodicalId":16704,"journal":{"name":"Journal of Perinatal Medicine","volume":" ","pages":"126-131"},"PeriodicalIF":1.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770041","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}

引用次数: 0