Prehospital and Disaster Medicine最新文献

{"title":"Anatomy of a High-Quality Peer Review Report.","authors":"Jeffrey Michael Franc, Ellen Johnson, Joseph Cuthbertson","doi":"10.1017/S1049023X26108851","DOIUrl":"10.1017/S1049023X26108851","url":null,"abstract":"<p><p>Peer review is an important step in supporting high-quality research publications. However, understanding the review process can be challenging for peer reviewers. The role of the peer reviewer varies from journal-to-journal. Furthermore, it is sometimes difficult for reviewers to understand how to structure and format their review. This article discusses the role of peer review in the <i>Prehospital and Disaster Medicine</i> (PDM) review process and provides guidance for creating a high-quality peer review report.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":"41 1","pages":"e2"},"PeriodicalIF":4.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Assessment of Hurricane Helene Recovery in Rural Western North Carolina.","authors":"Lilly Moreau, Matt Simon, Sarah E Scales, Jennifer A Horney","doi":"10.1017/S1049023X26108863","DOIUrl":"10.1017/S1049023X26108863","url":null,"abstract":"<p><p>Rural communities face unique challenges after a disaster as a result of overlapping vulnerabilities related to limited housing and transportation infrastructure, employment or income loss, and fewer emergency response and recovery resources. Hurricane Helene (Southeast Coast, USA; 2024) made landfall in Florida as a Category-4 hurricane, later impacting Western North Carolina with severe flooding, landslides, and hurricane-force winds. Communications and transportation were interrupted for months, leading to disinformation, recovery disruptions, and a loss of trust. To assess household impacts and recovery from Hurricane Helene in two rural Western North Carolina counties, a 29-question survey was adapted from a Community Assessment for Public Health Emergency Response (CASPER) conducted in Buncombe County, a nearby urban county. Thirty clusters were selected with probability proportionate to population across the two counties. Survey teams completed 183 interviews (completion rate = 87.1%). More than 35% of households evacuated because of Hurricane Helene, with nearly 18% evacuating in the week after due to on-going communication and utility outages. Less than 10% of households experienced new or worsening environmental health or chronic diseases. However, 40% reported anxiety, 30% reported trouble sleeping and depression, and 60% reported worrying about another disaster affecting their home. Nearly one year after the direct impact of the hurricane, much work remained as part of continued long-term recovery and resilience building. Because of their small populations and limited infrastructure, restoration of services necessary for response and recovery can be hindered in rural areas which often lack options such as public transportation, affordable short-term housing, and broadband or Wi-Fi.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":"41 1","pages":"e3"},"PeriodicalIF":4.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Layout Types and Efficiency Improvement Strategies for Open Points of Dispensing in Vaccine and Antibiotic Distribution: A Scoping Review.","authors":"Jin Ju Park, Sun Hee Na, Hyejin Park, Jacob Lee, Yubin Seo","doi":"10.1017/S1049023X26108838","DOIUrl":"10.1017/S1049023X26108838","url":null,"abstract":"<p><strong>Introduction: </strong>Regarding pandemics or bioterrorism incidents, prompt and secure distribution of vaccines and prophylactic antibiotics is crucial. Open Points of Dispensing (PODs) are established to serve the public, and their effectiveness depends on the internal spatial layout and operational workflow design. However, studies on systematic classifications of open POD configurations and comprehensive syntheses of strategies for enhancing operational efficiency are lacking.</p><p><strong>Study objective: </strong>This scoping review aimed to classify open POD layout types used for vaccine and antibiotic distribution and to consolidate strategies that improve efficiency across various workflow stations.</p><p><strong>Methods: </strong>A scoping review was conducted following the PRISMA-ScR guidelines. A comprehensive literature search was conducted across PubMed, Embase, and Web of Science databases, spanning from January 2001 through July 2025. The search strategy involved incorporating keyword combinations related to \"points of dispensing,\" \"mass vaccination,\" \"mass prophylaxis,\" and specific pathogens such as anthrax, influenza, and COVID-19. Extracted data included the POD layout typologies, process designs, and efficiency metrics. The findings were synthesized using a narrative approach.</p><p><strong>Results: </strong>Nineteen studies met the inclusion criteria and were analyzed. Vaccine PODs were classified into four primary layouts, namely station-based sequential-flow, cell-based, fixed-seat service, and pop-up PODs. Antibiotic PODs were categorized into two types, namely sequential processing and selective-expedited processing. Each layout exhibited unique operational characteristics, including sequential versus integrated clinical stations (for vaccine PODs) and standard versus expedited dispensing lines (for antibiotic PODs). Efficiency enhancement strategies across workflow stations included task integration, use of digital tools, simplification of documentation, optimization of medication preparation, and staffing adjustments guided by simulation modeling.</p><p><strong>Conclusion: </strong>This review provides a systematic classification of open POD layouts and summarizes the strategies for improving efficiency across workflow stations. The derived insights offer practical guidance for planning and operating PODs in future public health emergency responses.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":"41 1","pages":"e1"},"PeriodicalIF":4.1,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echocardiography Performed by Combat Medics: A Feasibility Study.","authors":"B L Turner, J C van de Voort, Bls Borger van der Burg, C M Fransen, Cmh Obbink, R P Weenink, R Hoencamp","doi":"10.1017/S1049023X25101520","DOIUrl":"10.1017/S1049023X25101520","url":null,"abstract":"<p><strong>Introduction: </strong>Echocardiography is the preferred method for the visual assessment of bubble load in divers. This study evaluates the feasibility of a microteaching program for training combat medics to perform ultrasound measurements using echocardiography for self-monitoring decompression stress on the waterside.</p><p><strong>Materials and method: </strong>A microteaching was provided to combat medics of the Netherlands Armed Forces. Participants used a handheld ultrasound device connected to a tablet. After two minutes practice time, medics performed and recorded videos on randomly assigned partners while being assessed by an anesthesiologist. Three outcomes were measured: (1) observer-assessed performance adapted from Objective Structured Assessment of Technical Skills (OSATS); (2) self-perceived procedure experience; and (3) video recording quality on a five-point scale.</p><p><strong>Results: </strong>All 21 combat medics completed the microteaching program. Three out of 21 video recordings were lost due to technical issues. All participants successfully obtained at least a partial cardiac view (median time: 61 seconds). Performance scores indicated near-competence across preparation, time-motion, and procedural flow. Image quality ratings by two reviewers showed near-perfect intra-rater agreement (κ = 0.904 and κ = 0.960) but substantial inter-rater variability (κ = 0.671); the assessor's median scores were 2.75 and 3.0 out of 5.0, respectively. Most recordings received average scores of 3.0 or higher.</p><p><strong>Conclusion: </strong>This study demonstrates that combat medics, following a brief microteaching session, were able to acquire cardiac ultrasound images partially suitable for assessing vascular gas emboli (VGE). These findings support microteaching as a feasible first step in echocardiography training for combat medics in austere environments.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"313-318"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145637693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temperature Monitoring in Prehospital Emergency Medical Vehicles - An Observational Study.","authors":"Yousef Maait, Laurie Phillipson","doi":"10.1017/S1049023X25101581","DOIUrl":"10.1017/S1049023X25101581","url":null,"abstract":"<p><strong>Background: </strong>The dynamic nature of the prehospital environment poses a challenge for maintaining optimal storage conditions for medicines and other products. Failure to ensure adequate temperature control can impact drug efficacy, potentially compromising effective prehospital care. This study aims to monitor temperature variations in vehicles operated by a helicopter Emergency Medical Service (EMS) in the east of England to evaluate temperature variation and the potential exposure of therapeutic products to extreme temperatures.</p><p><strong>Methods: </strong>This was a prospective observational study over a 12-month period (September 2022 through August 2023). ALTA Industrial Wireless temperature sensors were deployed across five Volvo XC90 rapid response vehicles (RRVs) and an AgustaWestland 169 (AW169) helicopter operated by Essex & Herts Air Ambulance (EHAAT). One RRV (RRV02) remained permanently outside for the period of observation. Sensors recorded at 30-minute intervals, triggering alerts if temperatures exceeded 25°C or dropped below 2°C. Ambient data were obtained from the Writtle Weather Station, via the Met Office Integrated Data Archive System (MIDAS). The study did not involve any patients and ethical board review was not required.</p><p><strong>Results: </strong>A total of 102,524 readings were recorded; temperatures ranged from -9°C to 46.8°C. The RRV02 recorded the lowest monthly mean (7.9°C) while the AW169 recorded the highest (24.9°C). Overall, daily maximum temperatures ranged from 17.7°C to 46.8°C, with the AW169 reaching 46.8°C in May. Daily minimum values ranged from -9°C to 19.6°C, with the RRV02 recording -9°C in December.</p><p><strong>Conclusion: </strong>Temperatures inside the vehicles and aircraft frequently exceed recommended limits for environmental temperatures. Indoor RRV storage provides some protection from extreme temperatures, particularly mitigating against low temperatures. The AW169 aircraft demonstrated the poorest overall temperature control. These results can be used to guide effective storage protocols and climate control strategies to ensure the integrity of therapeutic products.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"299-306"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance of Sieve versus SwissPre Prehospital Triage Algorithms in a Simulated Mass-Casualty Incident: A Randomized Open-Label Study.","authors":"Loric Stuby, Christophe A Fehlmann, Salita Bellotti, Dominique Jaccard, Xavier Good, Laurent Bourgeois, Simon Regard, Laurent Suppan","doi":"10.1017/S1049023X25101568","DOIUrl":"10.1017/S1049023X25101568","url":null,"abstract":"<p><strong>Introduction: </strong>Triage is an essential process used to adequately allocate resources and thus increase chances of survival in case of mass-casualty incidents (MCIs). Several triage scales are currently used, but data regarding their performance remain scarce. The objective was to compare the performance of two prehospital triage algorithms (Sieve versus SwissPre) using a validated physiological simulator.</p><p><strong>Methods: </strong>This was a web-based, randomized open-label study. A real-time evolutive simulator based on a heart-lung-brain interaction model embedding functional blocks was used to simulate the evolution of vital parameters. Participants, who were randomly allocated to either algorithm, were asked to triage 30 patients in random order. The primary outcome was the triage score (each correct decision was awarded one point). The \"Immediate patients\" were defined as those who would die within the first hour according to the physiological model. The secondary outcome was the duration of patient triage.</p><p><strong>Results: </strong>Out of 71 participants, 67 (94.4%) were included in the final analysis. The Sieve group achieved a mean score of 17.1 out of 30 (95%CI, 16.3 to 17.8). The SwissPre group scored 15.5 out of 30 (95%CI, 14.5 to 16.5). The mean difference between groups was 1.6 points (95%CI, 0.4 to 2.8; P = .011) in favor of the Sieve algorithm. Triage duration did not differ significantly between the Sieve (mean 43 minutes, SD = 10) and SwissPre (mean 46 minutes, SD = 23) groups, with a mean difference of three minutes (95%CI, -12 to 6; P = .507).</p><p><strong>Conclusions: </strong>The simpler Sieve algorithm may slightly outperform the more complex SwissPre in accurately categorizing critically injured patients who would likely die within 60 minutes if left untreated. No significant difference was observed in triage speed. However, these exploratory findings should be interpreted cautiously, considering the mean difference was modest and the controlled simulated setting, limiting generalizability.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"292-298"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145724651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Injury Characteristics and Treatment Analysis of 166 Hospitalized Casualties in the Jishishan Earthquake.","authors":"Xuequan Wei, Mingyan Ma, Zhanlin Zhang, Xinting Lu, Xiaozhong Li, Yongdong An","doi":"10.1017/S1049023X2510157X","DOIUrl":"10.1017/S1049023X2510157X","url":null,"abstract":"<p><strong>Introduction: </strong>In Jishishan County, Linxia Prefecture, Gansu Province, China, the altitude ranges from 1,787 meters to 4,308 meters. At 23:59 Beijing time on December 18, 2023, a magnitude 6.2 earthquake struck Jishishan County. The objective is to report the injury characteristics and medical treatments of those injured in the earthquake.</p><p><strong>Methods: </strong>The injury and treatment data were retrospectively collected and analyzed for earthquake-related injuries among patients admitted to the People's Hospital of Linxia Hui Autonomous Prefecture and the Traditional Chinese Medicine Hospital of Linxia Hui Autonomous Prefecture.</p><p><strong>Observations: </strong>A total of 166 patients were hospitalized: 142 at the People's Hospital of Linxia Hui Autonomous Prefecture and 24 at the Traditional Chinese Medicine Hospital of Linxia Hui Autonomous Prefecture. Among the injured, 40.3% presented with a single injury. The others had multiple injuries: 28.3% had two injuries, 14.5% had three injuries, 12.1% had four injuries, 4.2% presented with five injuries, while only 0.6% were diagnosed with six injuries. Additionally, 78.9% involved fractures alone, 36.8% involved lung contusions, and 34.9% involved both fractures and lung contusions. Conservative treatment was used slightly more than surgery (54.8% versus 45.2%). Among the 75 surgical cases, internal fixation and sutures were the most common (17.4% each). In total, 53.0% of the injured were treated and discharged and 47.0% were transferred to provincial hospitals. In addition, the outcome of injured patients with differing injury conditions was different.</p><p><strong>Analysis: </strong>Fractures and multiple injuries were the primary injury types in this study. Suturing and internal fixation were the most common surgical interventions. The core findings of this study provide an important reference for regionalized prevention and treatment of rural earthquake injuries in high-altitude regions.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"324-329"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disaster Report - Petroleum Depot (HAZMAT) Fire and Mass-Casualty Event in Guinea-December 18, 2023.","authors":"Tamar T Bah, Sory Conde, Lancei Toure, Mohamed Lamine Diallo, Lonceny Conde, Elin A Gursky","doi":"10.1017/S1049023X25101623","DOIUrl":"10.1017/S1049023X25101623","url":null,"abstract":"<p><p>A chemical explosion and fire erupted in Conakry, Guinea, West Africa on December 18, 2023, destroying Guinea's main fuel depot and resulting in 25 dead and 459 injured. Fifteen of the deaths occurred directly at the explosion site. Firefighters initiated efforts to control the blaze and transported injured, non-ambulatory victims to local hospitals with assistance from the military, Red Cross, and mining companies. Thirteen clinical facilities within an eight-mile radius of the explosion received burn and non-burn victims, with only one of these, Donka National Hospital, capable of handling burn victims. Many less seriously injured victims self-selected where they sought care, although anecdotal information indicates that an unknown number of injured did not seek care or chose to leave the city. The disaster marked the first time stakeholders from various sectors in the Guinean society (from first responders to mining companies) came together in a concerted response. Ranked 179th of 193 countries on the Human Development Index (HDI), the disaster rapidly outstripped Guinea's response and health care capabilities, leaving behind economic shocks affecting livelihoods and the local economy. These experiences underscore the need for improved capabilities and coordination in disaster planning, warning and communication systems, and prehospital and hospital response in developing countries.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":"40 6","pages":"336-341"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Field Report of the Singapore Emergency Medical Team Deployment Following the 2025 Myanmar Earthquake: Clinical and Operational Insights from a WHO Type-1 Fixed Facility.","authors":"Mo Hom Nang, Guek Gwee Sim, Patricia Sueh Ying Lee, Shu Fang Ho, Evelyn Swee Kim Boon, Ahmad Khairil Bin Mohamed Jamil, Kee Chong Ng, Joy Quah","doi":"10.1017/S1049023X25101593","DOIUrl":"10.1017/S1049023X25101593","url":null,"abstract":"<p><p>On March 28, 2025, a 7.7-magnitude earthquake struck the Sagaing region of Myanmar, resulting in 3,816 deaths and 5,104 injured, with Mandalay Region sustaining the most severe damage. Singapore Emergency Medical Team (SGEMT), verified by the World Health Organization (WHO) in 2024 as a Type-1 fixed Emergency Medical Team (EMT), was deployed in response. This mixed-methods study reports on the patient case mix and operational challenges encountered during the deployment. Data were derived from daily situation reports, clinical health records consistent with the WHO minimum data set (MDS), post-deployment review proceedings, and unstructured interviews with administrative, clinical, and logistics leads.Deployment was delayed by diplomatic complexities and logistical challenges in freight transport. Clinical operations commenced on April 8, 2025 at Bahtoo Stadium, Mandalay, where SGEMT managed 1,803 patients over eight days. Quantitatively, 21.6% presented with direct earthquake-related injuries, 7.9% with conditions indirectly related to displacement, and 70.5% with chronic or unrelated conditions, reflecting patterns observed in other post-earthquake responses. Acute respiratory infections were the predominant infectious disease. Most patients were female, underscoring the importance of gender-sensitive approaches. The integration of a physiotherapist in a Type-1 facility, beyond WHO EMT minimum standards, enhanced clinical efficacy and rehabilitative capacity.Qualitatively, thematic analysis guided by the 4Cs of disaster partnering -coordination, cooperation, communication, and collaboration - revealed critical enablers and constraints within the Association of Southeast Asian Nations (ASEAN) humanitarian framework. Findings highlight the need to reinforce regional coordination mechanisms to strengthen future disaster response in complex geopolitical situations.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"330-335"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Practical Approach to Minimizing Risk from Multiplicity in Statistical Reporting.","authors":"Jeffrey Michael Franc","doi":"10.1017/S1049023X25101611","DOIUrl":"10.1017/S1049023X25101611","url":null,"abstract":"<p><p>Unfortunately, P value multiplicity continues to be a pervasive threat to statistical validity in medical research. Performing many hypothesis tests, and treating them each as if they were a single hypothesis, leads to a dramatic increase in the risk of false research claims. This editorial describes a simple method for authors to avoid P value multiplicity while improving clarity of the findings for the reader.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"289-291"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}