Midwifery最新文献

{"title":"Corrigendum to \"Exploring early labour care in the context of an institutional reorganisation towards a more women-centred approach: An ethnographic field study\" [Midwifery 144 (2025) 104347].","authors":"Nanna Bjerg Pagh, Katja Schrøder, Mie G de Wolff","doi":"10.1016/j.midw.2025.104394","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104394","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104394"},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764471","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 impact of m-health interventions on gestational weight gain and physical activity among pregnant women with overweight and obesity: A meta-analysis of randomized controlled trials","authors":"Yanti Puspita Sari ,&nbsp;Hermalinda Herman ,&nbsp;Lili Fajria ,&nbsp;Yelly Herien ,&nbsp;Evi Susanti ,&nbsp;Chung-Ying Lin","doi":"10.1016/j.midw.2025.104399","DOIUrl":"10.1016/j.midw.2025.104399","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the effects of m-health on gestational weight gain and physical activity during pregnancy among pregnant women with overweight and obesity.</div></div><div><h3>Methods</h3><div>Six databases were searched: EMBASE, MEDLINE (Ovid), CINAHL EBSCOhost, COCHRANE Library, ScienceDirect and Google Scholar. The literature search was conducted from inception to early November 2024. The population of the study was pregnant women diagnosed as obese or overweight. The interventions involve mobile health (m-Health) strategies, including mobile or smartphone applications, text messaging, wearable devices, telehealth platforms, and various other digital communication methods. The study specifically reported gestational weight gain and physical activity, or one of the outcomes. Only randomised controlled trials (RCTs) were included. The study's quality was evaluated using the Cochrane risk of bias assessment. The effect was analyzed using the Review Manager 5 program with random effect and standard mean difference (SMD).</div></div><div><h3>Results</h3><div>Fourteen RCTs were included, involving 4371 participants. The current meta-analysis found that m-health had a small negative effect on gestational weight gain among pregnant women with overweight and obesity, with SMDs=-0.18, 95 % CI [-0.32, -0.04], I²: 64 %. Particularly, m-health had no significant effects on physical activity, with: SMDs= 0.13, 95 % CI [-0.06, 0.31], I²= 74 %.</div></div><div><h3>Conclusions</h3><div>M-health apps are effective for weight control among pregnant women with overweight and obesity. However, it seems not to be significant on physical activity. It is crucial to make modifications to m-health interventions to address gaps in physical exercise programs during pregnancy.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104399"},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769045","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":"Impact of the baby friendly community initiative on breastfeeding outcomes: A systematic review and meta-analysis","authors":"Yuen Fan Chan ,&nbsp;Hoi Lam Ip ,&nbsp;Ka Hing Yip ,&nbsp;Martha Sin Lam Choi ,&nbsp;Ying Wei Fan ,&nbsp;Patrick Ip ,&nbsp;Karen Kar Loen Chan ,&nbsp;Kris Yuet Wan Lok","doi":"10.1016/j.midw.2025.104395","DOIUrl":"10.1016/j.midw.2025.104395","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the impact of the Baby Friendly Community Initiative (BFCI) on breastfeeding outcomes worldwide, specifically the duration of any and exclusive breastfeeding, compared to standard maternal care.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted. Seven electronic databases were searched from November 1998 to July 2024. Quantitative studies examining the effects of BFCI on breastfeeding outcomes were included. The quality of included studies was assessed using the Cochrane risk of bias tools and NHLBI study quality assessment tools. Narrative synthesis was performed for studies not suitable for meta-analysis.</div></div><div><h3>Results</h3><div>Out of 14,495 identified records, 13 were included after the removal of duplicates and ineligible articles. The majority of included studies found that BFCI, whether implemented partially, fully or in combination with other initiatives, is an effective intervention for improving breastfeeding outcomes. The meta-analysis showed an increase prevalence of exclusive breastfeeding at 6 months postpartum in BFCI group (OR=4.00; 95 % CI 1.29–12.38, <em>P</em> = 0.02). Further studies are needed to investigate the statistical significance of BFCI on any breastfeeding from 6 months to 2 years postpartum.</div></div><div><h3>Discussion</h3><div>BFCI has the potential to significantly enhance long-term exclusive breastfeeding rates and may also improve any breastfeeding rates from 6 months onward. However, the nature of BFCI implementation posed limitations to study design, which reduced the overall methodological quality of the included studies.</div></div><div><h3>Registration</h3><div>The protocol for this review was registered on PROSPERO (registration number CRD42023460801) on 17th September 2023<em>.</em></div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104395"},"PeriodicalIF":2.6,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769044","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":"Midwives’ perspectives on women's dietary intake during pregnancy: A systems thinking approach","authors":"Siobhan A O'Halloran ,&nbsp;Priya Sunder ,&nbsp;Rachael Cusworth ,&nbsp;Alison M Hutchinson ,&nbsp;Laura Alston ,&nbsp;Vidanka Vasilevski ,&nbsp;Linda Sweet ,&nbsp;Emily Olive ,&nbsp;Luba Sominsky ,&nbsp;Peter Vuillermin ,&nbsp;Samantha L Dawson ,&nbsp;Pregnancy Research and Translation Ecosystem Investigator group","doi":"10.1016/j.midw.2025.104396","DOIUrl":"10.1016/j.midw.2025.104396","url":null,"abstract":"<div><h3>Background</h3><div>Prenatal nutrition status and maternal dietary behaviours are known to impact maternal and child health outcomes. <em>Aim:</em> We aimed to inform strategies for improving prenatal diet quality and their integration into pregnancy care.</div></div><div><h3>Method</h3><div>Group Model Building (GMB) workshops were conducted with midwives from six health services. A Causal Loop Diagram (CLD) was developed to illustrate how the factors contributing to poor nutrition during pregnancy were interconnected and influenced each other and to identify priority action areas. Workshops were recorded and transcripts thematically analysed to provide a deeper understanding of the challenges of dietary advice provision and intervention opportunities.</div></div><div><h3>Results</h3><div>The GMB process created a CLD that included 51 factors that were perceived to be driving poor dietary intake in pregnancy. These were grouped into five priority areas for action: knowledge and education, food availability and access, personal and family circumstances, health system, and care. Thematic analysis of the workshop transcripts revealed four major themes related to midwives’ perspectives on the challenges associated with delivering dietary advice in pregnancy care: hospital service provision, pregnancy care clinicians, psychosocial factors affecting women, and maternal diet and health. Intervention targets were identified as continuity of care, nutrition education, guidelines and resources, personalised dietary advice, dietary data collection, and dietitian referrals.</div></div><div><h3>Conclusion</h3><div>Midwives’ perspectives on the drivers of poor prenatal nutritional intake were multifaceted, spanning the personal, environmental and health system levels. Nutrition interventions should consider the health system and service context, along with pregnant women's dietary knowledge and education, access to healthy food, social, cultural, and personal circumstances, and clinical care experience.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104396"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760028","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":"Navigating the transition: Graduate midwives’ experiences with the implementation of a formal practice assessment tool","authors":"Sandra Johnston ,&nbsp;Natasha Steel ,&nbsp;Leah Ebert ,&nbsp;Amanda Fox","doi":"10.1016/j.midw.2025.104400","DOIUrl":"10.1016/j.midw.2025.104400","url":null,"abstract":"<div><h3>Problem</h3><div>New graduate midwives report dissatisfaction, stress and fear with a lack of structured clinical support and lack of personalised learning objectives. There is no practice assessment tool currently used to benchmark midwives practice in their graduate year.</div></div><div><h3>Background</h3><div>In Australia there is no program for graduate midwives that includes use of a performance appraisal tool to provide benchmarks of clinical performance against the professional practice standards. Such an instrument has the potential to prompt a discussion between assessor and new graduate and facilitate a critical reflection on practice.</div></div><div><h3>Aim</h3><div>The aim of this study was to explore graduate midwives experience of the implementation of a practice assessment tool.</div></div><div><h3>Methods</h3><div>This study used a descriptive qualitative design. Twelve graduate midwives were purposively sampled from one hospital in Australia and participated in focus group interviews. Data were analysed using an inductive approach.</div></div><div><h3>Findings</h3><div>Three themes were generated: The influence of a sociopolitical environment on professional development; a paradox of stability amid uncertainty and a catalyst for practice improvement.</div></div><div><h3>Discussion</h3><div>Pragmatic improvements for the assessment process including familiarity of the assessor, allowing time to adapt to new clinical areas and having transparent assessment schedules. Organisational factors need to be addressed to support optimal graduate development within the clinical environment.</div></div><div><h3>Conclusion</h3><div>The practice assessment tool when used in the correct context and by suitable assessors is an appropriate tool that can be used to provide objective feedback to graduate midwives and prompt reflective practice.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104400"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791096","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":"Solving delayed referrals of childbirth cases from unskilled to skilled birth attendants in Nigerian urban communities: A case study exploration of new frontiers","authors":"Prince Agwu ,&nbsp;Francis Poitier ,&nbsp;Chinyere Mbachu ,&nbsp;Obinna Onwujekwe","doi":"10.1016/j.midw.2025.104397","DOIUrl":"10.1016/j.midw.2025.104397","url":null,"abstract":"<div><h3>Problem</h3><div>Delayed referrals of women from untrained traditional birth attendants (TBAs) to formally trained health personnel in primary healthcare centers and hospitals contribute to maternal and child mortality in Nigeria.</div></div><div><h3>Background</h3><div>Reasons for delayed referrals by TBAs could be shaped by personal beliefs and diabolical practices, which are not apparent.</div></div><div><h3>Aim</h3><div>Our study went beyond the usual rhetoric of health systems inefficiencies alongside economic and educational deficits as responsible for delayed referrals to underscore other unexplored nuances.</div></div><div><h3>Methods</h3><div>Data were collected using a case study approach via in-depth iterative interviews with service users, TBAs, and primary healthcare workers.</div></div><div><h3>Findings</h3><div>Four overlapping issues caused and reinforced delayed referrals: (a) TBAs in high demand and considered more experienced because they conduct more volume of childbirths (b) spiritual description of pregnancy by clients and TBAs (c) fear of diabolic tendencies of some TBAs by clients, and (d) income of TBAs rely on the duration of the childbirth process and not necessarily the outcome.</div></div><div><h3>Discussion</h3><div>Therefore, addressing delayed referrals caused by TBAs is beyond regular health system structural factors that are amenable to capacity building and resource-based interventions.</div></div><div><h3>Conclusion</h3><div>Incentives and sanctions targeting identified nuanced subjectivities, including spiritism in the practices of TBAs that have shaped their relationships with pregnant mothers, should be considered by governance and health promotional interventions.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104397"},"PeriodicalIF":2.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735245","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":"Women's levels of birth satisfaction in the Greek Cypriot context","authors":"Eleni Hadjigeorgiou ,&nbsp;Paris Vogazianos ,&nbsp;Suzan Ayers ,&nbsp;Ioanna Koliandri ,&nbsp;Andri Christoforou","doi":"10.1016/j.midw.2025.104393","DOIUrl":"10.1016/j.midw.2025.104393","url":null,"abstract":"<div><h3>Background</h3><div>Women's satisfaction with their childbirth experiences is an important outcome for perinatal healthcare systems. Low satisfaction levels have been associated with both short-term and long-term implications for the mother, the baby and the family unit. This is the first study conducted in Cyprus measuring women's birth satisfaction levels through BSS-R.</div></div><div><h3>Aim</h3><div>To examine birth satisfaction among new mothers in Cyprus using the BSS-R and to investigate potential associations between birth satisfaction, socioeconomic factors, and obstetric parameters, including mode of birth, complications, presence of a birth partner, and the perception of labour as traumatic.</div></div><div><h3>Method</h3><div>The data presented in this article are part of data collected for the INTERSECT study (ResearchRegistry.com Identifier: 6439), an international, cross-sectional survey of postpartum PTSD, depression, trauma exposure, birth satisfaction, as well as demographic and obstetric details. The study population was 238 women who had given birth in Cyprus a maximum of two years prior to their participation in the study. Data collection was conducted between September 2022 and May 2023.</div></div><div><h3>Results</h3><div>Significant associations were found between birth satisfaction and socioeconomic and obstetric factors. Older women and those with previous childbirth experience reported higher satisfaction levels. Differences in birth satisfaction were found between women experiencing an emergency CS and those having a vaginal birth. Statistically significant differences in birth satisfaction were also found between women who had no complications and those who had experienced complications during their labour. Women who had a partner present during labour were more satisfied than those who had no one. The findings of both the quantitative and the qualitative data suggest a number of actions that can be developed and implemented to increase women's birth satisfaction levels in the Greek Cypriot context.</div></div><div><h3>Conclusions</h3><div>Women's birth satisfaction levels in Cyprus can be enhanced through targeted interventions including the development of national guidelines for the provision of quality care, re-design of antenatal education and training of healthcare professionals. The validation of BSS-R in the context under investigation could facilitate the systematic assessment of birth satisfaction, a practice currently missing from the local healthcare system.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"146 ","pages":"Article 104393"},"PeriodicalIF":2.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735237","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":"A scoping review of effective health practices for the treatment of birth trauma","authors":"Julie Jomeen ,&nbsp;Frances Guy ,&nbsp;Julia Marsden ,&nbsp;Marilyn Clarke ,&nbsp;Jennifer Darby ,&nbsp;Angeline Landry ,&nbsp;Elaine Jefford","doi":"10.1016/j.midw.2025.104382","DOIUrl":"10.1016/j.midw.2025.104382","url":null,"abstract":"<div><h3>Background</h3><div>There is currently no consensus on the most effective health practices to manage or reduce the effects of birth trauma (BT) and childbirth-related posttraumatic stress disorder (CB-PTSD).</div></div><div><h3>Aim</h3><div>The aim was to map the current literature on effective health practices for BT/CB-PTSD, identify key elements (the what, when and how) important for effective health practices, and highlight gaps in maternity care.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across key nursing, allied, and medical databases (MEDLINE, Scopus, PubMed) for key terms related to (1) birth trauma and (2) intervention. Only peer-reviewed, English-language papers published since 2000 were included to ensure the relevance and timeliness of the findings. Following PRISMA-ScR guidelines, 6,347 articles were identified through databases/registers and citation searching. After removing 1,342 duplicates, 5,005 were screened by title and abstract. A further 4,544 were excluded, leaving 461 for full-text screening. Afterf excluding another 433, 28 papers met inclusion for this review.</div></div><div><h3>Findings</h3><div>The first session delivered early (within the first 72 h of birth) by a clinician (midwife/psychologist/counsellor) significantly reduced BT/CB-PTSD in the short-term. Both trauma-focused and non-trauma-focused were supported at this stage, provided they were structured. If intervention is delayed (weeks to months post-birth), a trauma-focused, multi-session approach is recommended.</div></div><div><h3>Discussion</h3><div>Early, structured interventions should be considered routine care for women with BT/CB-PTSD, with more intensive, structured, trauma-focused approach for persistent symptoms. The potential role of digital mental health tools is promising, particularly for women in low-resource settings, but requires further research to evaluate feasibility, acceptability, and sustainability.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104382"},"PeriodicalIF":2.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735218","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":"Reliability and validity of measures of respectful care and discrimination for LGBTQ2S+ pregnant people","authors":"Molly R. Altman ,&nbsp;Kathrin Stoll ,&nbsp;Teresa van Winkle ,&nbsp;Brittany Ferrell ,&nbsp;Kodiak R.S. Soled ,&nbsp;Nicholas Rubashkin ,&nbsp;Indra Lusero ,&nbsp;Meghan Eagen-Torkko ,&nbsp;Juno Obedin-Maliver ,&nbsp;Saraswathi Vedam ,&nbsp;Birth Includes Us Community Steering Council","doi":"10.1016/j.midw.2025.104391","DOIUrl":"10.1016/j.midw.2025.104391","url":null,"abstract":"<div><h3>Problem</h3><div>There are no measures of respectful perinatal care validated within Lesbian, Gay, Bisexual, Transgender, Queer, Two-Spirit, and other sexual/gender minoritized (LGBTQ2S+) communities.</div></div><div><h3>Background</h3><div>The LGBTQ2S+ community frequently experiences disrespect and discrimination in health care settings. While several instruments and scales have been developed to measure respectful perinatal (maternity) care, none have yet been adapted nor validated within the LGBTQ2S+ community.</div></div><div><h3>Aims</h3><div>The aim of this study is to validate three scales measuring aspects of respectful perinatal care for use within LGBTQ2S+ pregnancy care experience research.</div></div><div><h3>Methods</h3><div>This analysis of data from the ‘Birth Includes Us’ pilot study was collected via a community-developed survey assessing pregnancy care experiences of LGBTQ2S+ families. We assessed the psychometric properties of three adapted instruments, the Intersectional Day-to-Day Discrimination Index (InDI-D), the Measure of Autonomy and Decision Making (MADM), and the Measure of Respect index (MORi).</div></div><div><h3>Findings</h3><div>All adapted scales performed well, with Cronbach's alphas greater than 0.8 across all measures. Scale scores for the preconception and pregnancy care versions of the MADM and MORi were 0.38 and 0.37 respectively, indicating that these care experiences were significantly different from one another.</div></div><div><h3>Discussion</h3><div>The adapted versions of the InDI-D, MADM, and MORi performed well among LGBTQ2S+ families in their preconception and pregnancy care experiences and will be essential for future studies examining respectful perinatal care among these communities.</div></div><div><h3>Conclusion</h3><div>We recommend utilization of these validated measures to assess and address inequities in pregnancy-related care experiences for LGBTQ2S+ individuals and families.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"145 ","pages":"Article 104391"},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704638","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":"Comments on: \"Effectiveness of supporting lifestyle change in pregnant mothers with obesity through the wearable internet-of-things (SLIM) -intervention on self-efficacy in weight management in pregnant women: A quasi-experimental trial\".","authors":"T Triwiyanto, Mar'atus Sholikah Siti","doi":"10.1016/j.midw.2025.104383","DOIUrl":"https://doi.org/10.1016/j.midw.2025.104383","url":null,"abstract":"","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":" ","pages":"104383"},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710583","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}