Journal of tissue viability最新文献

{"title":"Effect of aromatherapy on pruritus in people receiving hemodialysis treatment: Systematic review.","authors":"Abdullah Avcı, Esra Çavuşoğlu","doi":"10.1016/j.jtv.2024.12.004","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.004","url":null,"abstract":"<p><strong>Background: </strong>Lack of a complete understanding of the pathophysiology of pruritus directs patients to different treatments. There is little data on the effect of aromatherapy on itching in patients receiving hemodialysis treatment. However, the effect of aromatherapy on pruritus in patients receiving hemodialysis treatment remains unclear.</p><p><strong>Aim: </strong>The aim of this study is to investigate the effect of aromatherapy on pruritus in hemodialysis patients.</p><p><strong>Methods: </strong>The protocol of this systematic review study was registered with PROSPERO (CRD42024522699) and PRISMA guidelines were followed in reporting the study. The search was conducted in Pubmed, Web of Science and Scopus databases without year restriction. Inclusion and exclusion criteria were established according to the PICOS criteria. Study selection and quality assessment of the reviewed studies were performed by two independent researchers.</p><p><strong>Results: </strong>A total of eight studies (461 participants), including two randomized controlled trials and six quasi-experimental studies, were included in the systematic review. All included studies concluded that aromatherapy reduces pruritus. The studies reported no adverse effects of aromatherapy.</p><p><strong>Conclusion: </strong>The studies included in this systematic review found that aromatherapy has a positive effect on reducing pruritus in hemodialysis patients. It is recommended that studies of high methodological quality be conducted to investigate the efficacy of aromatherapy on pruritus in people undergoing hemodialysis treatment.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"100840"},"PeriodicalIF":2.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, risk level and risk factors of diabetic foot ulcer among adult individuals with diabetes in the Southeastern Anatolia Region of Turkiye.","authors":"Meryem Kilic, Nermin Olgun, Mehmet Dündar, Sergül Celik Advan, Fatma Zehra Kücük, Seher Okcuoglu, Sevim Sahin, Emine Kır Bicer, Yeliz Ülker, Pınar Sahin, Zeynep Taskiran","doi":"10.1016/j.jtv.2024.12.003","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.003","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to determine the prevalence, risk, and predisposing factors of diabetic foot ulcers in adults with diabetes.</p><p><strong>Methods: </strong>This study is multi-centered descriptive cross-sectional research. Data were collected between June 2022 and November 2022 in seven cities, including five teaching and research hospitals and two public hospitals. The study included 357 people with diabetes. The sample was selected using stratified and systematic sampling. General demographic characteristics, medical history, laboratory and foot examination results, history of foot ulcer and/or amputation, skin and nail problems, peripheral sensory loss (10 g-Semmes-Weinstein monofilament) and vascular assessment were obtained. Logistic regression analysis was used to screen for factors affecting the diabetic foot.</p><p><strong>Results: </strong>The prevalence of diabetic foot ulcers was 17.1 % (%13.2-%21.5; %95 CI). Among 296 individuals with diabetes without foot ulcers, 86.5 % (256) had risk level 0, 7.3 % (26) had risk level 1, 3.4 % (10) had risk level 2, and 1.4 % (4) had risk level 3. In regression analysis, the variables of peripheral arterial disease (Exp β: 3.781 - P = .027), history of ulcer (Exp β = 26,180 - P < .001), edema (Exp β: 9.784 - P < .001), fungus between the toes (Exp β = 5.284 - p = .009) were associated with a significantly increased risk of developing diabetic foot.</p><p><strong>Conclusion: </strong>The prevalence of diabetic foot ulcers was found to be approximately two out of every 10 patients with diabetes, and peripheral arterial disease, history of ulcers, edema, and presence of fungus between the toes were found to be among the risks predicting diabetic foot. All diabetic individuals should be diagnosed in terms of diabetic foot risk factors, and follow-up and treatment should be planned considering the basic building blocks of diabetic foot prevention according to the determined risk group.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of case-supported concept map education on nursing students' knowledge of and attitudes toward pressure injury prevention.","authors":"Hale Turhan Damar, Özüm Erkin","doi":"10.1016/j.jtv.2024.12.012","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.012","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the impact of case-based concept map education on nursing students' knowledge of and attitudes toward pressure injury prevention.</p><p><strong>Methods: </strong>This is a single-group, pre-and post-test,quasi-experimental study. It was conducted in a school of nursing in Türkiye with seventy-seven students. Students received case-supported concept map education to prevent pressure injury. Data were collected using the Pressure Ulcer Prevention Knowledge Assessment Instrument (PUPKAI) and the Pressure Ulcer Prevention Attitude Instrument (APuP) before, immediately after, and four weeks after education. The data were analyzed using one-way analysis of variance for repeated measures.</p><p><strong>Results: </strong>There were significant differences between the three time points in terms of the PUPKAI total (F = 33.925, p < 0.001) and subscales scores (etiology and development (F = 7.362, p = 0.001), classification and observation (F = 48.386, p < 0.001), nutrition (F = 4.766, p = 0.011), preventive measures to reduce the amount of pressure/shear (F = 42.762, p < 0.001), and preventive measures to reduce the duration of pressure/shear (F = 5.248, p = 0.025), except for risk assessment (p < 0.05). There were also significant differences between the three time points in terms of the APuP total score (F = 33.925, p = 0.018). The Bonferroni test revealed a statistically significant difference between the pre-test and post-test APuP total scores (p = 0.022).</p><p><strong>Conclusions: </strong>The study demonstrated that case-supported concept map education significantly improved nursing students' knowledge of and attitudes toward pressure injury prevention. These findings suggest that incorporating case-supported concept map education into nursing curricula can effectively enhance students' competence in pressure injury prevention.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical device-related pressure injuries: The mediating role of attitude in the relationship between ICU nurses' knowledge levels and self-efficacy.","authors":"Esra Yilmaz, Öznur Gürlek Kisacik","doi":"10.1016/j.jtv.2024.12.007","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.007","url":null,"abstract":"<p><strong>Aim: </strong>This study examines the mediating role of attitude towards preventing pressure injuries (PIs) in the effect of knowledge about Medical Device-Related Pressure Injuries (MDRPI) on self-efficacy in PI management among Turkish intensive care unit (ICU) nurses.</p><p><strong>Materials and methods: </strong>A descriptive, cross-sectional study was conducted with 302 ICU nurses in Turkey from October 15, 2023, to April 30, 2024. Data were collected using the Nurse Information Form, Medical Device Related Pressure Injury Knowledge Assessment Test (MDRPI-KAT), Attitude towards Pressure Ulcer Prevention Instrument (APuP), and the Pressure Ulcer Management Self-Efficiency Scale (PUMSES).</p><p><strong>Results: </strong>ICU nurses had a knowledge score of 9.20 ± 2.32, with a correct response rate of 57.5 %. Their attitude score was 42.41 ± 5.46, with 76.5 % showing a satisfactory attitude (≥75 %). The self-efficacy score for PI management was 60.59 ± 21.03. Knowledge level positively and significantly affected attitude (B = 0.963, 95 % CI [0.720-1.206]), and attitude positively and significantly affected self-efficacy (B = 0.837, 95 % CI [0.370-1.304]). The direct effect of knowledge on PI management self-efficacy was non-significant without a mediator (B = 0.339; p = 0.542; 95 % CI [-0.756-1.435]), but the indirect effect through attitude was significant (B = 0.806; 95 % CI [0.289-1.399]).</p><p><strong>Conclusion: </strong>The study found that Turkish ICU nurses' knowledge of MDRPIs was below desired levels, though their self-efficacy was slightly above average and their attitudes were satisfactory. Attitude fully mediated the relationship between knowledge and self-efficacy, suggesting that enhancing nurses' knowledge and attitudes can improve their self-efficacy in managing PIs.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"100843"},"PeriodicalIF":2.4,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the efficacy of two different types of dressings on patients with pressure injuries in long-term care facilities.","authors":"Shu-Fen Lo, Shu-Ting Chuang, Chao-Chih Yang","doi":"10.1016/j.jtv.2024.12.013","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.013","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish nurses' knowledge, attitudes and practices in the management of incontinence associated dermatitis: A descriptive and cross-sectional study.","authors":"Münevver Sönmez, Öznur Gürlek Kısacık, Serap Korkmaz","doi":"10.1016/j.jtv.2024.12.005","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.005","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine nurses' current knowledge, attitudes, and practices in adult intensive care units and palliative care clinics regarding incontinence-associated dermatitis (IAD).</p><p><strong>Materials and methods: </strong>This descriptive cross-sectional study was conducted with 355 nurses in adult intensive care and palliative services at two hospitals. Data were collected between 5.03.2022 and 15.06.2022 using the\" Nurse Demographic Form\" and the \"Knowledge, Attitude and Practice of Nurses in Managing Incontinence-Associated Dermatitis Questionnaire\".</p><p><strong>Results: </strong>The nurses' mean scores for \"Knowledge of IAD Etiology and Diagnosis\" were 19.11 (SD 3.29), mean scores for \"Knowledge of IAD Risk Factors\" were 23.82 (SD 4.27), mean scores for \"Attitude Toward IAD Prevention\" were 10.1 (SD 2.49), and mean scores for \"Practices for IAD Prevention\" were 23.71 (SD 3.97). It was found that nurses who used a risk assessment tool to diagnose IAD (p = 0.001), had a procedure or protocol (p = 0.001), and received training on IAD (p < 0.001) had significantly higher \"Attitude Towards Prevention of IAD\" scores. There was a positive correlation between the number of patients with IAD cared for by the nurses participating in the study and the scores of ''Practices to Prevent IAD'' and ''Knowledge of IAD Risk Factors'', ''Knowledge of IAD Etiology and Diagnosis'' and ''Attitude Towards Preventing IAD'' (p < 0.001).</p><p><strong>Conclusion: </strong>This study found that intensive care and palliative care nurses' knowledge, attitudes, and practices regarding IAD were insufficient. Considering that IAD is encountered more frequently in these units, it is essential to provide continuous and practical training to nurses about IAD, use risk assessment tools to prevent and treat IAD, determine protocols, establish clinical guidelines, and implement and standardize them.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of hydrocolloid tape and facial massage on nasal injury and stress levels in premature infants on noninvasive mechanical ventilation: Randomized controlled trial.","authors":"Dilara Cengiz, Dilek Küçük Alemdar","doi":"10.1016/j.jtv.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.006","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the effect of hydrocolloid patch use and facial massage on nasal septum injury and stress in premature infants receiving noninvasive mechanical ventilation (NIMV) support.</p><p><strong>Methods: </strong>The study was conducted as a single-blind, randomised controlled experimental study with 108 premature infants between 28 and 34 gestation weeks (Hydrocolloid patch group: 36, facial massage group: 36, control group: 36) who were hospitalised in the 3rd level neonatal intensive care unit (NICU) between February 2023 and February 2024, received NIMV support and met the inclusion criteria. The data of the study were collected using the Neonatal Descriptive Information Form, Neonatal Skin Condition Assessment Scale (NSCAS), Nasal Injury Scale (NIS) and Neonatal Stress Scale (NSS).</p><p><strong>Results: </strong>The preterm infants included in the study did not differ significantly between the groups according to descriptive and clinical characteristics except gender (p > 0.05). NIS scores, NSCAS scores, PICS scores and NSS scores showed significant differences between the groups. In all evaluations, the highest NIS and NSCAS scores were observed in the control group and the lowest NIS and NSCAS scores were observed in the hydrocolloid patch group. When the NSS scores of the groups were analysed, it was found that the lowest was in the group in which facial massage was applied and the highest was in the control group (p < 0.05).</p><p><strong>Conclusions: </strong>In the study, it was concluded that hydrocolloid tape application was more effective than facial massage application in preventing nasal injuries and decreased the skin condition score, but facial massage application was more effective in decreasing the stress score in premature infants receiving NIMV support.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge levels and attitudes of Turkish nursing students regarding medical device-related pressure injuries and factors influencing them: A cross-sectional study.","authors":"Saadet Erzincanlı, Öznur Gürlek Kısacık, Münevver Sönmez","doi":"10.1016/j.jtv.2024.12.011","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.011","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to determine nursing students' levels of knowledge and attitudes regarding medical device-related pressure injuries (MDRPIs), as well as the factors influencing these.</p><p><strong>Materials and methods: </strong>This descriptive and cross-sectional study was conducted with 581 nursing students between January and May 2024. Data were collected using the Student Information Form, the Medical Device Related Pressure Injury Knowledge Assessment Test (MDRPI-KAT), and the Medical Device Related Pressure Injury Attitude Questionnaire (MDRPI-AQ).</p><p><strong>Results: </strong>The nursing students had a mean score of 8.76 ± 2.68 on the MDRPI-KAT, indicating an overall correct answer percentage of 54.7 %. The mean total score on the MDRPI-AQ was 44.08 ± 8.12. Furthermore, 75.0 % of the nursing students (n = 436) achieved a positive attitude score (>40 points). According to the results of the structural equation model, the scores on the MDRPI-KAT among nursing students had a statistically significant effect on their scores on the MDRPI-AQ (β = 0.585, p = 0.002).</p><p><strong>Conclusion: </strong>This study found that the nursing students exhibited insufficient knowledge about MDRPIs.Despite this, the nursing students demonstrated a positive attitude toward MDRPIs.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"100847"},"PeriodicalIF":2.4,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I was surprised that the veins were the cause\" - The illness trajectory of people with venous leg ulcers: A qualitative study.","authors":"Robin Schick, Caroline Staub-Buset, Gabriel Vujic, Sina Lachappelle, Eva-Maria Panfil","doi":"10.1016/j.jtv.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.001","url":null,"abstract":"<p><strong>Background: </strong>Patients with venous leg ulcers (VLUs) often carry out inadequate self-care. Person-centered care is recommended as effective support. Understanding the illness trajectory from the patient's perspective could be a way to better understand patients' needs.</p><p><strong>Aim: </strong>The aim was to describe the illness trajectory experienced by patients with venous leg ulcers.</p><p><strong>Methods: </strong>Using a qualitative approach, we conducted individual interviews with a purposive sample of 12 patients with venous leg ulcers in the wound outpatient department of a university hospital. Thematic analysis was carried out utilizing the Illness Trajectory Model as the theoretical framework.</p><p><strong>Results: </strong>8 women and 4 men with an average age of 74 years had different wound durations, recurrence rates and comorbidities. We identified six illness trajectory-relevant phases: (1) \"Accident\" or \"mosquito bite\"; (2) Experiential knowledge reaches its limits; (3) Seeking professional help; (4) Help from the wound clinic; (5) Saying goodbye to normality; (6) Managing VLU in everyday life. VLUs were often caused by accidents and initially treated by patients themselves, with medical help sought later. Over time, patients adapted to treatments like compression therapy, gained self-management (SM) skills to cope with daily life challenges.</p><p><strong>Conclusion: </strong>All participants performed SM to varying degrees, but not always adequately. Insufficient awareness of the wound as a symptom and complication of a causative disease caused inadequate and ineffective wound management in many cases. Adequate SM developed primarily through learning from experience. The promotion of empirical knowledge and needs-oriented education can improve the SM of affected persons.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitude, and practice of clinical nurses towards medical device-related pressure injury prevention: A systematic review.","authors":"Wanwan Fang, Qi Zhang, Yuxuan Chen, Wei Qin","doi":"10.1016/j.jtv.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.jtv.2024.12.002","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate clinical nurses' knowledge, attitude, and practice toward MDRPI prevention.</p><p><strong>Background: </strong>Medical device-related pressure injury (MDRPI) is a significant concern in healthcare, serving as a critical indicator of patient safety and the quality of nursing care.</p><p><strong>Methods: </strong>This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was performed on PubMed, Embase, Web of Science, the Cochrane Library, and CINAHL, as well as Chinese databases including China Biology Medicine Disc (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP Database using the relevant keywords, from the earliest available records to June 27, 2024. The quality of the studies was appraised using the Joanna Briggs Institute (JBI) literature evaluation tool.</p><p><strong>Findings: </strong>A total of 8847 clinical nurses from 18 studies were included. Of these, 6502 working in intensive care units. While nurses generally exhibited a positive attitude, their knowledge and practice were insufficient. Several factors positively influenced nurses' knowledge, attitude, and practice regarding MDRPI prevention, which include the level of education, work experience, previous training on MDRPU, caring for MDRPI patients, being an ICU specialist nurse, working in tertiary hospitals, and holding wound care certifications.</p><p><strong>Conclusion: </strong>This review underscores the critical need to develop educational training programs to enhance nurses' competencies in MDRPI prevention. It also highlights the importance of addressing the challenges in implementing these strategies to ensure their effectiveness in clinical practice.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}