Medical Journal of Australia最新文献

{"title":"What's past is prologue","authors":"Michael Skilton","doi":"10.5694/mja2.52659","DOIUrl":"https://doi.org/10.5694/mja2.52659","url":null,"abstract":"<p>In the year 2000, the XIII International AIDS Conference was held in Durban, South Africa. The Conference Report published in the <i>MJA</i><span><sup>1</sup></span> spoke of the disappointment in the results of a failed prevention trial, optimism for the next generation of vaccines, and findings from a pilot study of five patients who with potent therapy had achieved undetectable viral levels presented by Dr Anthony Fauci. During his closing address, Nelson Mandela<span><sup>2</sup></span> focused the attention of the audience to the situation that was unfolding in Africa, and the need for action:</p><p>He spoke of the need for “… bold initiatives to prevent new infections among young people,” and urged international collaboration.</p><p>Meanwhile in Australia, local efforts to prevent HIV and other bloodborne diseases were facing the threat posed by the heroin epidemic. After the widely publicised suspension of an inner-city needle and syringe outreach service in Sydney in early 1999, the NSW Parliament quickly passed legislation that would lead to the opening of Australia's first legal supervised injecting centre in 2001. Jump forward to 2025 and the Uniting Sydney Medically Supervised Injecting Centre is still operational and has had substantial successes over time,<span><sup>3</sup></span> although this model has not been widely reproduced. In contrast, needle and syringe programs are widely implemented in Australia and form a key component of our National Strategies for preventing and treating bloodborne viral infections, of which hepatitis C virus is now a key focus.<span><sup>4</sup></span> Despite their success, needle and syringe programs are not available to people in prisons in Australia.</p><p>In this issue of the <i>MJA</i>, Houdroge and colleagues<span><sup>5</sup></span> present modelling that supports the health and cost benefits of a proposed nationwide prison needle and syringe program, with about 900 new hepatitis C virus infections being prevented over the first five years of implementation and cost benefits of $2.60 per $1 invested in the program. In the accompanying editorial, Thompson and Levy<span><sup>6</sup></span> write that it is “time to re-think the role of prison needle and syringe programs”, and that “development and implementation of a prison-based needle and syringe program in Australia would be an important advance for harm reduction in correctional facilities”.</p><p>Both Houdroge and colleagues and Thompson and Levy highlight the strong human rights justification for providing prison needle and syringe programs. The United Nations Standard Minimum Rules for the Treatment of Prisoners<span><sup>7</sup></span> — also known as the Nelson Mandela Rules, in honour of Nelson Mandela who spent 27 years in prison and who advocated for fair and humane treatment of all — establish, among other minimum standards, that imprisoned people should have access to the same standards of health care that are available in the ","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"222 8","pages":"375-376"},"PeriodicalIF":6.7,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.52659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The intersection of rurality and dementia prevalence in Australia for Aboriginal and Torres Strait Islander and non-Indigenous peoples","authors":"Antonia J Clarke,&nbsp;Marwan Ahmed,&nbsp;Judith M Katzenellenbogen,&nbsp;John Towney (Wiradjuri),&nbsp;Anna H Balabanski,&nbsp;Adrienne Withall (Dharawal Yuin),&nbsp;Kylie Radford,&nbsp;Amy Brodtmann","doi":"10.5694/mja2.52657","DOIUrl":"10.5694/mja2.52657","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To determine the nationwide prevalence of dementia as it intersects with rurality for Aboriginal and Torres Strait Islander and non-Indigenous peoples in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study design</h3>\u0000 \u0000 <p>Cross-sectional population-based prevalence study using nationwide respondent-reported data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting, participants</h3>\u0000 \u0000 <p>All people aged 45 years and older, including people living in residential aged care facilities, hospitals and prisons, who responded to the 2021 Australian census.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main outcome measures</h3>\u0000 \u0000 <p>Crude, age-specific and age-standardised dementia prevalence, and odds of dementia, for Aboriginal and Torres Strait Islander and non-Indigenous peoples across remoteness levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>For non-Indigenous peoples, the crude and age-standardised (World Health Organization standard) prevalence of dementia was 10.6 and 7.4 per 1000 persons, respectively. For Aboriginal and Torres Strait Islander peoples, the crude and age-standardised prevalence was 13.4 and 16.2 per 1000 persons, respectively. The age-specific prevalence ratio for Aboriginal and Torres Strait Islander and non-Indigenous peoples was most pronounced at younger age bands (3.5 for 45–49 years, 3.8 for 50–54 years and 3.4 for 60–64 years), narrowing to 1.6 among those aged 80–84 years. Odds of dementia decreased significantly with increasing remoteness for non-Indigenous peoples, but not for the Aboriginal and Torres Strait Islander population. Increasing age and no educational attainment were strongly associated with increased odds of dementia across both populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Consideration of geography is of crucial significance in dementia epidemiology, particularly for Aboriginal and Torres Strait Islander peoples. Our findings confirm those of previous community cohort and linked data studies that highlight the disproportionate burden of dementia borne by Aboriginal and Torres Strait Islander peoples using a national dataset. Place should inform targeted health care policy to address risk and protective factors for dementia prevention and care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"222 10","pages":"510-516"},"PeriodicalIF":6.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.52657","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A call to Indigenise occupational wellbeing.","authors":"Maria M Raciti, Chontel Gibson","doi":"10.5694/mja2.52668","DOIUrl":"https://doi.org/10.5694/mja2.52668","url":null,"abstract":"","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urgent care centres for reducing the demand on emergency departments: a scoping review of published quantitative and qualitative studies","authors":"Feby Savira,&nbsp;Madison Frith,&nbsp;Clarissa J Aditya,&nbsp;Sean Randall,&nbsp;Naomi White,&nbsp;Andrew Giddy,&nbsp;Lauren Spark,&nbsp;Jamie Swann,&nbsp;Suzanne Robinson","doi":"10.5694/mja2.52663","DOIUrl":"10.5694/mja2.52663","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify published studies that examined the impact of urgent care centres on the numbers of presentations to emergency departments (EDs), or explored the experiences and views of patients and practitioners regarding urgent care centres as alternative sources of health care and advice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Study design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Scoping review of qualitative and quantitative studies published to 28 August 2024.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, and CINAHL databases; grey literature searches.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data synthesis&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Of 2698 potentially relevant publications, 51 met our inclusion criteria (30 quantitative studies; 21 qualitative studies). Urgent care centres of various types were led by general practitioners in 41 of 51 studies, primarily managed people with non-urgent conditions or minor illnesses in 34 studies and non-emergency but urgent conditions in eight, and nine of the 22 studies that discussed funding indicated that access to the centres was free of charge. The effect of urgent care centres on ED presentation numbers was mixed; all seven studies of after-hours clinics, one of two studies of 24-hour clinics, and four of five studies of walk-in centres reported reduced ED visit numbers; in eleven studies that reported effects on hospital admissions from the ED, they were lower in seven (studies of an urgent cancer care centre, four community health centres, and a general practitioner cooperative). Patient satisfaction with urgent care centres is generally as high as with other primary care services; they preferred them to EDs, and preferred personal triage to telephone triage. Reasons for people choosing urgent care centres included easier access and the unavailability of doctors or appointments elsewhere. Clinicians reported increased workload, mixed experiences with the coordination of care, concerns about unregistered or undocumented people using the services, and protocol confusion, particularly with respect to triage. Continuity of care was a concern for both clinicians and patients.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Urgent care centres, especially walk-in and after-hours clinics, can help reduce the number of ED presentations and reduce health care costs. Patient satisfaction with such clinics is high, but public health education could guide pe","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"222 9","pages":"450-461"},"PeriodicalIF":6.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.52663","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lingual Raynaud phenomenon","authors":"Michael Taggart,&nbsp;Mina John","doi":"10.5694/mja2.52667","DOIUrl":"10.5694/mja2.52667","url":null,"abstract":"","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"222 10","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Framework for Prevocational Medical Training","authors":"Brendan Crotty,&nbsp;Nicholas J Glasgow,&nbsp;Jo Burnand,&nbsp;Georga Cooke,&nbsp;Katrina Anderson,&nbsp;Kirsty White,&nbsp;Sarah Vaughan,&nbsp;Madeleine Novak,&nbsp;Andrew H Singer","doi":"10.5694/mja2.52666","DOIUrl":"10.5694/mja2.52666","url":null,"abstract":"&lt;p&gt;Prevocational training in Australia has long needed reform.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Internship in postgraduate year 1 (PGY1) was variably accredited by state and territory medical registration boards and then prevocational medical councils (PMCs), which were established in the 1980s and 1990s. In 2013, the Australian Medical Council (AMC) introduced a national framework for medical internship on behalf of the Medical Board of Australia (MBA). This was enabled by a new national registration scheme.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Many, but not all, PMCs have also accredited postgraduate year 2 (PGY2) posts. The AMC began accrediting PMCs almost three decades after medical schools and after a decade of college accreditation.&lt;/p&gt;&lt;p&gt;The structure of Australian internship, with mandatory terms in medicine, surgery and emergency medical care, has not changed in decades, despite significant changes in medical practice and health care needs. Interns have increasingly been performing more administrative tasks to maintain hospital throughput with fewer opportunities to use or develop their clinical skills.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; PGY2 rosters have generally been designed to meet hospital workforce requirements rather than the needs of prevocational doctors. The United Kingdom and New Zealand have introduced significant reforms focusing on educational value and generalist experience (https://foundationprogramme.nhs.uk/programmes/2-year-foundation-programme/).&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;The 2015 review of medical intern training commissioned by the Council of Australian Governments (COAG) found that internship had not adapted to changes in the health system, was not aligned with societal health care needs and played a limited role in supporting generalism.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt; The reviewers noted variable learning experiences and supervision, and recommended expansion of training beyond public hospitals. They suggested a 2-year capability and performance framework with robust workplace-based assessment but recommended that completion of PGY1 should remain the point of general registration. They also suggested an AMC-auspiced certificate of satisfactory completion for PGY2 and investigation of options for an e-portfolio.&lt;/p&gt;&lt;p&gt;In 2018, COAG accepted most of the review's 20 recommendations.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; As the AMC had already established a working party for a scheduled 5-year review of the 2014 framework, COAG requested that the AMC working party address the relevant recommendations. The working party included expertise in medical education and medical administration, prevocational doctors, supervisors and PMC representatives.&lt;/p&gt;&lt;p&gt;Four subgroups were established to oversee the key framework components: training and assessment, training environment, quality assurance and e-portfolio. There was also a reference group with representation from all key stakeholders. The working party reported to AMC's Board of Directors through the Prevocational","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"222 10","pages":"494-497"},"PeriodicalIF":6.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.52666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nirsevimab immunisation of infants and respiratory syncytial virus (RSV)-associated hospitalisations, Western Australia, 2024: a population-based analysis.","authors":"Lauren E Bloomfield, Nevada V Pingault, Rachel E Foong, Sarah French, Jo-Anne Morgan, Ushma Wadia, Hannah C Moore, Christopher C Blyth, Peter C Richmond, Paul K Armstrong, Paul V Effler","doi":"10.5694/mja2.52655","DOIUrl":"https://doi.org/10.5694/mja2.52655","url":null,"abstract":"","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shifting focus to adolescent wellbeing and inclusive participation in the digital age","authors":"Stephanie R Partridge,&nbsp;Allyson R Todd,&nbsp;Si Si Jia,&nbsp;Rebecca Raeside,&nbsp;with the Health Advisory Panel for Youth at the University of Sydney (HAPYUS)","doi":"10.5694/mja2.52653","DOIUrl":"10.5694/mja2.52653","url":null,"abstract":"&lt;p&gt;This perspective article is co-authored by a diverse team of researchers and youth advisors. The researchers all identify as women and bring interdisciplinary expertise in adolescent health, nutrition, digital health, public health, and youth engagement. Collectively, we have held leadership roles in the International Association for Adolescent Health, Australian Association for Adolescent Health, and the Public Health Association of Australia. Our research is supported by funding from the Medical Research Future Fund, New South Wales Health, and the National Heart Foundation of Australia. The youth advisory group comprises adolescents aged 14–18 years from diverse cultural, geographic, and socio-economic backgrounds across NSW. Specifically, in the second cohort, 50% are aged 14–16 years, 50% are aged 17–18 years, 75% identify as girls/women, 44% speak a language other than English at home, and 25% live in rural or regional NSW. Young people in the Health Advisory Panel for Youth at the University of Sydney (HAPYUS) independently applied to join, submitting written statements that demonstrated significant maturity, commitment, and a strong passion for creating healthier societies for their peers. Their lived experience growing up in a digital era has directly shaped the perspectives presented in this article, with the research team supporting the integration of evidence. These youth are not participants but collaborators, and their ability to contribute meaningfully, combined with increasing recognition of adolescents’ capacity to provide informed consent from age 14, supports their inclusion as co-authors without requiring parental or guardian consent.&lt;/p&gt;&lt;p&gt;Australia is home to 4.6 million adolescents, aged ten to 24 years, which is over 18% of the total population.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Our society is not conducive to optimising their wellbeing, despite evidence of associations between wellbeing and chronic disease outcomes and risks in adulthood, such as cardiovascular disease.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; Australia's growing burden of chronic diseases necessitates re-evaluating our current approaches, encouraging all sectors to collaborate with adolescents on health and wellbeing initiatives.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Engaging adolescents in designing digital health initiatives is crucial for promoting wellbeing.&lt;span&gt;&lt;sup&gt;4&lt;/sup&gt;&lt;/span&gt; Genuine partnerships that incorporate adolescents’ creativity, ideas and concerns can enhance the quality of digital health solutions.&lt;span&gt;&lt;sup&gt;5&lt;/sup&gt;&lt;/span&gt; This aligns with the Convention on the Rights of the Child, which Australia ratified in 1990.&lt;span&gt;&lt;sup&gt;6&lt;/sup&gt;&lt;/span&gt; When adolescents actively create solutions that affect them, they are more likely to be effective and resonate with their peers.&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Despite progress, youth voices remain under-represented, with less than 1% of all empirical adolescent health research including a youth voice.&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt;","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":"222 10","pages":"484-487"},"PeriodicalIF":6.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.5694/mja2.52653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fan-first heat-health protection.","authors":"Angie Bone, Federico Tartarini, Ollie Jay","doi":"10.5694/mja2.52662","DOIUrl":"https://doi.org/10.5694/mja2.52662","url":null,"abstract":"","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising our response to a potential H5N1 avian influenza pandemic: preparing to protect people working at the human-animal interface.","authors":"Kerrie Wiley, Catherine King, Holly Seale, Chris Degeling","doi":"10.5694/mja2.52664","DOIUrl":"https://doi.org/10.5694/mja2.52664","url":null,"abstract":"","PeriodicalId":18214,"journal":{"name":"Medical Journal of Australia","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}