Journal of tissue viability最新文献

{"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 ,&nbsp;Öznur Gürlek Kısacık ,&nbsp;Münevver Sönmez","doi":"10.1016/j.jtv.2024.12.011","DOIUrl":"10.1016/j.jtv.2024.12.011","url":null,"abstract":"<div><h3>Aim</h3><div>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.</div></div><div><h3>Materials and methods</h3><div>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).</div></div><div><h3>Results</h3><div>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 (&gt;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).</div></div><div><h3>Conclusion</h3><div>This study found that the nursing students exhibited insufficient knowledge about MDRPIs.Despite this, the nursing students demonstrated a positive attitude toward MDRPIs.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100847"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","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":"OA","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 ,&nbsp;Özüm Erkin","doi":"10.1016/j.jtv.2024.12.012","DOIUrl":"10.1016/j.jtv.2024.12.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the impact of case-based concept map education on nursing students' knowledge of and attitudes toward pressure injury prevention.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>There were significant differences between the three time points in terms of the PUPKAI total (F = 33.925, p &lt; 0.001) and subscales scores (etiology and development (F = 7.362, p = 0.001), classification and observation (F = 48.386, p &lt; 0.001), nutrition (F = 4.766, p = 0.011), preventive measures to reduce the amount of pressure/shear (F = 42.762, p &lt; 0.001), and preventive measures to reduce the duration of pressure/shear (F = 5.248, p = 0.025), except for risk assessment (p &lt; 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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100848"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","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":"OA","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,&nbsp;Qi Zhang,&nbsp;Yuxuan Chen,&nbsp;Wei Qin","doi":"10.1016/j.jtv.2024.12.002","DOIUrl":"10.1016/j.jtv.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate clinical nurses' knowledge, attitude, and practice toward MDRPI prevention.</div></div><div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100838"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does aromatherapy massage relieve itching?: A randomised controlled trial","authors":"Amine Terzi ,&nbsp;Yasemin Yıldırım ,&nbsp;Fisun Şenuzun Aykar ,&nbsp;Ulus Salih Akarca","doi":"10.1016/j.jtv.2024.11.003","DOIUrl":"10.1016/j.jtv.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Based on ancient principles, aromatherapy uses essential oils to target skin receptors and has shown promise in promoting physical and psychosocial well-being.</div></div><div><h3>Objective</h3><div>This study was conducted in order to examine study effect of aromatherapy massage on itching, and skin pH among individuals with liver diseases.</div></div><div><h3>Method</h3><div>This study was randomised controlled trial conducted from February 13, 2020, to May 03, 2021. The patients meeting the inclusion criteria were assigned to aromatherapy (n = 11), placebo (n = 12) and control (n = 13) groups. The research data were collected using a questionnaire, and 5-D Itch Scale. Aromatherapy group received aromatherapy massage with classical massage method six times in total, each intervention being 15 min.</div></div><div><h3>Results</h3><div>The postaromatherapy itching mean score was 10,34 ± 0,92 in the aromatherapy group and 11,92 ± 1,08 in the placebo group and 13,02 ± 0,69 in the control group, and itching scale scores were statistically significant as compared to the groups after the last application (<em>p</em> = 0.000).</div></div><div><h3>Conclusion</h3><div>According to these results of the study, it can be recommended that aromatherapy massage can be applied by nurses to relieve itching in individuals with liver diseases.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100831"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769936","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":"Medical device-related pressure injuries: The mediating role of attitude in the relationship between ICU nurses' knowledge levels and self-efficacy","authors":"Esra Yilmaz ,&nbsp;Öznur Gürlek Kisacik","doi":"10.1016/j.jtv.2024.12.007","DOIUrl":"10.1016/j.jtv.2024.12.007","url":null,"abstract":"<div><h3>Aim</h3><div>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.</div></div><div><h3>Materials and methods</h3><div>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).</div></div><div><h3>Results</h3><div>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]).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100843"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","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":"OA","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 ,&nbsp;Shu-Ting Chuang ,&nbsp;Chao-Chih Yang","doi":"10.1016/j.jtv.2024.12.013","DOIUrl":"10.1016/j.jtv.2024.12.013","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100849"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ‘HAPI’ project five years on: Incidence and prevalence of Hospital-Acquired Pressure Injuries in one local health district in Australia","authors":"Michelle Barakat-Johnson ,&nbsp;Michelle Lai ,&nbsp;Jennifer Graham ,&nbsp;Andrew Hallahan ,&nbsp;Fiona Coyer","doi":"10.1016/j.jtv.2024.12.010","DOIUrl":"10.1016/j.jtv.2024.12.010","url":null,"abstract":"<div><h3>Aim</h3><div>From 2015 to 2018, the ‘Hospital-Acquired Pressure Injury (HAPI)’ project was implemented in one local health district in Australia and utilised an implementation science approach to address rising pressure injury (PI) incidence and prevalence rates. This paper aims to examine whether the project was successful in sustaining low PI incidence and prevalence rates over the five-years following implementation (spanning the 2018/2019 to 2022/2023 financial years and the 2019–2023 calendar years).</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort study was conducted involving a comprehensive analysis of HAPI incidence, prevalence, and hospital-acquired complication (HAC) data spanning 5 years (incidence and HAC: 2018/2019 to 2022/2023 financial years; prevalence: January 2019 to December 2023 calendar years) post-implementation of the HAPI project.</div></div><div><h3>Results</h3><div>Since 2018/2019, incidence of HAPIs decreased by 32.6 % (30.7 HAPI per 10,000 episodes of care in 2018/2019 vs 20.7 HAPI per 10,000 episodes of care in 2022/2023 financial year), prevalence remained stable from 1.1 % to 1.27 % (2019 vs 2023 calendar year), and HAC pressure injuries (stage III, IV, suspected deep tissue, unspecified or unstageable) declined by 27.3 % (2.2 HAPI per 10,000 episodes of care in 2018/2019 vs 1.6 HAPI per 10,000 episodes of care in 2022/2023 financial year).</div></div><div><h3>Conclusion</h3><div>The HAPI project has successfully maintained a low incidence and prevalence rate of HAPI, over 5 years following implementation. This achievement highlights the benefits of utilising an implementation science approach to implementing a multi-faceted intervention in a complex healthcare setting to ensure sustainability beyond the project phase.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100846"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895951","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":"Effect of aromatherapy on pruritus in people receiving hemodialysis treatment: Systematic review","authors":"Abdullah Avcı ,&nbsp;Esra Çavuşoğlu","doi":"10.1016/j.jtv.2024.12.004","DOIUrl":"10.1016/j.jtv.2024.12.004","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aim</h3><div>The aim of this study is to investigate the effect of aromatherapy on pruritus in hemodialysis patients.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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<strong>.</strong></div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100840"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of storage parameters of platelet-rich plasma in functional assay of epithelial gap repair","authors":"E. Keren ,&nbsp;A. Gafanovich ,&nbsp;D. Zilberman-Kraviz ,&nbsp;E.C. Lewis ,&nbsp;O. Grinstein-Cohen","doi":"10.1016/j.jtv.2024.11.005","DOIUrl":"10.1016/j.jtv.2024.11.005","url":null,"abstract":"<div><div>Platelet-rich plasma (PRP), produced from autologous blood and containing growth factors, has shown promise in treating various conditions, including diabetic wounds. However, as expected, patient compliance is low in the context of repeated treatments as required for hard-to-heal wounds. This study investigates the efficacy of PRP stored under refrigeration for up to 2 weeks in promoting in-vitro human epithelial cell gap closure. PRP was prepared from six healthy individuals and immediately split into sterile test tubes for storage at 4 °C; the impact of fresh PRP on epithelial gap closure was compared to paired PRP samples stored for one and two weeks. According to gap closure analysis, 5 out of 6 individuals depicted accelerated epithelial gap closure compared to control conditions. There was no significant difference between fresh and refrigerated samples. An overall benefit was observed for using 1-week old samples over 2-week-old samples. Interestingly, according to a 6-hr epithelial gap analysis, significantly accelerated cell migration was obtained by 1-week-old refrigerated samples compared to their corresponding fresh PRP samples. The current study provides data in support of increasing the accessibility of PRP treatment for patients with hard-to-heal wounds. Patients can potentially self-treat between wound clinic appointments by using refrigerated sterile aliquots of their fresh PRP. Notably, by the end of two weeks, refrigerated PRP will not act as fresh PRP. More research is needed to fully investigate the effect of refrigeration on PRP sample efficacy, including larger cohorts, clinical wounds, and an evaluation of the molecular fingerprint of refrigerated PRP samples.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100833"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824160","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":"Vibration therapy for patients with hard-to-heal wounds: A systematic review and meta-analysis of experimental studies","authors":"Ita Daryanti Saragih ,&nbsp;Herry Susanto ,&nbsp;Hsiao-Ching Lin ,&nbsp;Bih-O Lee","doi":"10.1016/j.jtv.2024.100852","DOIUrl":"10.1016/j.jtv.2024.100852","url":null,"abstract":"<div><h3>Introduction</h3><div>Hard-to-heal wounds lead to functional loss, decreased quality of life, and prolonged hospitalization due to delayed healing. The healthcare costs of managing such wounds are substantial. Vibration therapy has been proposed as an alternative treatment for hard-to-heal wounds but no comprehensive reviews have quantitatively analyzed its efficacy.</div></div><div><h3>Materials and methods</h3><div>Six databases were systematically searched for relevant articles on August 1, 2024. The methodologies of the studies included in the analysis were assessed using Version 2 of the Cochrane Risk of Bias tool for randomized trials and ROBINS-I tool for non-randomized studies. A random-effects model was applied to aggregate the pooled effect size. Heterogeneity was assessed using <em>I</em>². A forest plot was generated for meta-analysis.</div></div><div><h3>Results</h3><div>Ten studies were included in the meta-analysis. Vibration therapy significantly reduced neuropathy (pooled standardized mean difference [SMD] = −0.79; 95 % CI = −1.51 to −0.07; p = 0.03; <em>I</em>² = 61.40 %) and enhanced the ulcer healing area (pooled SMD = 0.92; 95 % CI = 0.60 to 1.23; p &lt; 0.001; <em>I</em>² = 0.00 %) of patients with hard-to-heal wounds. However, the intervention did not significantly alleviate pain (pooled SMD = −0.51; 95 % CI = −1.38 to 0.36; p = 0.25; <em>I</em>² = 74.15 %). Significant heterogeneity was identified in the pooled result for pain and neuropathy.</div></div><div><h3>Conclusions</h3><div>Vibration therapy appears to enhance ulcer healing and reduce neuropathy. These results may help researchers and healthcare providers to further develop vibration therapy to address the underlying requirements for bridging the evidence–practice gap in wound care. Future studies should consider the safety and potential adverse outcomes of vibration therapy to ensure its appropriate application for treating hard-to-heal wounds.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 1","pages":"Article 100852"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903115","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}