Psychiatria Danubina最新文献

{"title":"HEALTH LITERACY AND AWARENESS OF NURSES AND NURSING STUDENTS ON FENTANYL AND DRUG ABUSE.","authors":"Francesco Pastore, Fabia Basho, Emanuela Domenicone, Larissa Domeneck, Antonella Litta","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The rise of synthetic opioids, particularly fentanyl, has intensified the global drug abuse crisis, posing serious challenges to healthcare systems. Nurses and nursing students play a crucial role in prevention, early identification, and emergency management of opioid-related cases. Health Literacy (HL), the ability to access, understand, and use health information, has been proposed as a critical determinant of clinical competence in this context. This study aims to assess the knowledge, awareness, and health literacy of nurses and nursing students in relation to fentanyl and drug abuse, exploring potential associations between HL levels and preparedness to manage substance-related emergencies.</p><p><strong>Subjects and methods: </strong>A national multicenter cross-sectional study was conducted from October 2024 to January 2025, involving 157 participants (nurses and nursing students) across Italy. A structured questionnaire was administered online, covering four domains: sociodemographic information, health literacy (HL), drug addiction knowledge and specific knowledge of fentanyl. Descriptive and inferential statistics were performed using SPSS.</p><p><strong>Results: </strong>Participants demonstrated good overall knowledge about fentanyl clinical use and effects. However, misconceptions were identified - particularly regarding lethal dosages and the inability to detect fentanyl with the senses. Notably, HL scores did not consistently correlate with higher knowledge levels; in some cases, participants with lower HL scores showed better understanding of specific topics such as routes of administration and naloxone use. A significant negative correlation was found between HL and knowledge of drug availability (r = -0.35; p < 0.001). No significant differences emerged between students and professionals.</p><p><strong>Conclusions: </strong>Findings challenge the assumption that higher HL always predicts better preparedness. Standard HL measures may fail to capture contextual and experiential knowledge essential for managing opioid-related emergencies. Nursing education should incorporate more experiential and clinically focused training on drug abuse, integrating HL as an operational - rather than merely promotional - competency. Further research with larger samples and qualitative methods is recommended.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"351-355"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126029","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":"WHAT'S NEW IN PSYCHIATRY IN 2024-2025.","authors":"Nicolas Zdanowicz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126131","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":"NUTRITIONAL PSYCHIATRY: A PILOT SURVEY ON DIETARY PRACTICES AMONG MENTAL HEALTH PROFESSIONALS.","authors":"Antonella Litta, Annamaria Nannavecchia, Antonella Vacca, Maria Vincenza Mino, Vincenzo Favia, Antonio Ventriglio","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Nutritional psychiatry is gaining recognition as a complementary approach to improving mental health. Although evidence supports the role of diet and nutraceuticals in psychiatric care, little is known about their integration into clinical practice by mental health professionals. This study investigates the knowledge, attitudes, and use of nutritional strategies among Italian psychiatrists and psychologists.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to 110 mental health professionals to assess their knowledge of nutritional psychiatry and the practical application of dietary interventions.</p><p><strong>Results: </strong>Most participants reported discussing nutrition with patients and using dietary strategies, though inconsistently. Psychiatrists were more frequently engaged in nutritional counseling and in preventive strategies for somatic comorbidities. The Mediterranean diet emerged as the most commonly recommended model. Gender differences were noted, with female psychiatrists reporting significantly higher self-rated knowledge.</p><p><strong>Conclusions: </strong>Italian mental health professionals show growing interest in nutritional psychiatry, yet its routine adoption remains limited by gaps in training and institutional support. Clear guidelines, accessible education, and interdisciplinary collaboration - including with dietitians - are essential to foster its integration into psychiatric care.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"356-361"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125766","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":"RELATIONSHIP BETWEEN COGNITIVE IMPAIRMENT AND LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN PATIENTS WITH HEART ARRHYTHMIAS.","authors":"Olga Germanova, Yulia Reshetnikova, Ksenia Ermolayeva, Giuseppe Tavormina, Giuseppe Galati","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To estimate the relationship between cognitive function of patients with heart arrhythmias and left ventricle (LV) diastolic function.</p><p><strong>Materials and methods: </strong>In a one-center cross-control study we recruited 28 patients with heart arrhythmias, of whom 14 had 1800 or more premature ventricular contractions (PVCs) per 24 hours and more (group 1), and 14 had paroxysmal AF (group 2). All patients were asymptomatic for heart arrhythmias. Laboratory and instrumental methods included standard investigations: lipidograms, 24 hours ECG monitoring, transthoracic echocardiography (TTE), and, if prescribed, coronary angiography. In the TTE protocol, we followed current clinical recommendations in assessing the LV diastolic function. For cognitive function evaluation, we used the standard Montreal Cognitive Assessment (MoCA) test, with the following scoring: maximum possible score - 30 points; mild cognitive impairment - 22-27 points; moderate cognitive impairment - 10-21 points; severe cognitive impairment - 0-9 points.</p><p><strong>Results: </strong>The most common heart arrhythmias (frequent PVCs, paroxysmal AF) were associated with cognitive impairment in the preponderance of patients (mean score here).</p><p><strong>Conclusions: </strong>LV diastolic dysfunction is a predictor for cognitive impairment in patients with frequent PVCs and paroxysmal AF. The MoCA test can be an additional tool for this category of patients to detect the early cognitive impairment.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"330-336"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126025","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":"EMPLOYING COMPUTATIONAL LINGUISTIC TECHNOLOGIES AND OCULOGRAPHY TO DEVELOP DIAGNOSTIC TOOL FOR DETECTING AUTOAGGRESSIVE TENDENCIES IN YOUNG PEOPLE: A RIVETED GAZE INTO \"GET RID OF THE SHACKLES OF THIS WORLD\".","authors":"Anna Khomenko, Lala Kasimova, Evgeniy Sychugov, Marina Svyatogor, Anastasiya Komratova, Polina Domozhirova, Alina Aisina, Danil Trofimov, Kseniya Bikbaeva, Elena Sloeva, Daria Smirnova","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Early recognition of autoaggressive tendencies in young people is essential for diagnostic screening and reducing suicidality risks. This can be achieved through psycholinguistic approaches such as corpus analysis and eye-tracking studies. Corpus research helps to develop generalized speech patterns of those at risk of suicide, while oculographic methods examine perceptual cues linked to suicidal tendencies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We formulated an algorithmic framework for constructing verbal, visual, and multimodal material to identify autoaggressive tendencies among youth. The stimuli material was created following the idiolect paradigm of forensic authorship attribution. The first stage involved analyzing corpus data including materials from social networks and social media, the Rusentiment database, and a text collection from the Privolzhsky Research Medical University. Python's NLTK and SpaCy libraries for automated text processing were used to extract corpus statistics, n-grams, keywords, and collocations for identifying linguistic markers of autoaggression. Keywords were statistically ranked using Log-likelihood, T-score, and mutual information, while collocations were derived via T-score analysis. Sentiment analysis for the Dostoevsky Python library and stylistic indices (lexical diversity, readability) were also applied. The total analyzed material comprised more than 100 million tokens. We next integrated, stimulus and filler materials into an eye-tracking application (developed by LLC Lad IT Group) using standard laptop video cameras. Oculographic data quantified gaze delay differences via a percentage excess formula to pinpoint the most diagnostically relevant stimuli. In two iterations of the pilot experiment, 66 youths from the control group and 29 from the target group participated in the oculographic experiments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In multimodal texts, most stimuli derived from corpus statistics were relevant, and all individuals in the target group showed a prolonged gaze delay; visual stimuli (pseudo-self-portraits, anime/game characters) elicited 26-36% longer gaze delay in the target group. Verbal stimuli analysis revealed prolonged gaze fixations on self-referential pronouns (12-25%) and metaphorical death expressions, although direct terms, like \"suicide\" showed the gaze avoidance (-11.9 to -129% deviation). We then developed a system of weighted coefficients for an automated diagnostic model. The algorithm showed 72 % accuracy in identifying autoaggression, presenting a promising tool for early diagnostic screening of this phenomenon.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The present methodology focuses on creating and employing a novel selective dataset consisting of visual, linguistic, and multimodal text stimuli integrated into the oculographic examination protocol. The oculographic detection of eye movement perceptual cues in response to exposure to the stimuli dataset","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"213-223"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126027","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":"STIFFNESS OF ARTERIES AND LEFT ATRIUM AS PREDICTORS FOR COGNITIVE IMPAIRMENT IN CARDIOLOGY PATIENTS.","authors":"Olga Germanova, Yulia Reshetnikova, Ksenia Ermolayeva, Oksana Chigareva, Giuseppe Galati","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the relationship between cognitive function and the data of volumetric sphygmography and speckle tracking echocardiography in patients with heart arrhythmias.</p><p><strong>Materials and methods: </strong>Monocentral cohort study with 33 patients. Group 1 - patients with frequent extrasystoles (ES) of II and more class by Lown (n = 12; 47-79 years old), group 2 - with paroxysmal atrial fibrillation (AF) (n = 14; 50-81 years old) and control group - without serious cardiovascular diseases (n = 7; 46-75 years old).</p><p><strong>Methods: </strong>lipidograms, 24 hours ECG monitoring, TTE, volumetric sphygmography. For cognitive function evaluation, we used the standard MoCA Test.</p><p><strong>Results: </strong>Post hoc analysis according to Dunn showed that groups 1 and 2 differed in LA volume (p = 0.002, ε² = 0.34) and MoCA (p = 0.007, ε² = 0.30). Differences between groups 2 and control were also significant for LA volume (p = 0.024) and MoCA (p = 0.045). We observed a decreasing of cognitive function in both main groups, mostly in with paroxysmal AF. Statistically significant differences in GLS between 1 and 2 group - it was lower in group 2, characterizing the decreasing of LV systolic function.</p><p><strong>Conclusions: </strong>In patients with frequent ES and paroxysmal AF, develop a cognitive impairment, mostly in the group with paroxysmal AF. Increased arterial stiffness parameters (R-CAVI, L-CAVI) and LA structural changes (increased LA volume, decreased LA strain) are significant predictors of cognitive impairment. The group of patients with paroxysmal AF differed most significantly from the control group in all key parameters.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"315-320"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126041","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":"PSYCHOTIC SYMPTOMS IN ANOREXIA NERVOSA.","authors":"Anastasia Grazia Chieppa, Francesca Bellucci, Patrizia Moretti, Veronica Raspa, Alfonso Tortorella","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Recent studies suggest an overlap and mutual influence between Anorexia Nervosa (AN) and psychotic symptoms, with the anorexic voice proposed as a clinically significant marker within this spectrum. This cross-sectional observational study aimed to assess the prevalence and characteristics of psychotic symptoms, focusing on the anorexic voice, in patients with AN. Secondary objectives included exploring associations with dissociation, body image disturbance (BID), sociodemographic and clinical factors.</p><p><strong>Subjects and methods: </strong>Forty-three patients were recruited from specialized outpatient and inpatient Services. Anamnestic history was collected, participants completed psychometric assessments, including Positive and Negative Syndrome Scale (PANSS), Brown Assessment of Beliefs Scale (BABS/BABS-A), Eating Disorder Examination (EDE-Q), Eating Disorder Inventory (EDI-3), Body Uneasiness Test (BUT), Body Shape Questionnaire (BSQ), Symptom Checklist-90 Revised (SCL-90-R), Dissociative Experience Scale (DES/A-DES), Community Assessment of Psychic Experiences (CAPE-42), Multidimensional Assessment of Interoceptive Awareness (MAIA).</p><p><strong>Results: </strong>The anorexic voice was significantly associated with clinically relevant dissociation, not with BID. Subthreshold psychotic symptoms were common and significantly linked to body dissatisfaction, eating psychopathology and dissociation. Psychoticism was associated with BID, higher psychiatric comorbidity (especially personality and anxiety disorders), lower ideal BMI and greater general psychopathology. Adolescents showed higher levels of persecutory ideation, interpersonal alienation and general psychopathology.</p><p><strong>Conclusions: </strong>Psychotic-like symptoms are highly prevalent in AN. The anorexic voice appears more closely related to dissociative processes than psychotic phenomena. Conversely, BID may play a significant role in the onset of predominant ideation about body shape and weight. Larger longitudinal studies are needed to clarify these relationships and their prognostic implications.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"288-293"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125930","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":"NEURODEVELOPMENTAL DISORDERS AND EATING DISORDERS: NEUROBIOLOGICAL CONNECTION.","authors":"Giada Juli, Rebecca Juli, Alfredo Juli, Luigi Juli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the recent years, the co-occurrence of Neurodevelopmental disorders (NDDs) with Eating disorders (EDs) has gained increasing recognition, through multiple cross-sectional and longitudinal studies that demonstrated a significant overlap between these two conditions. This review aims to explore the neurobiological connections, the comorbidity and the shared pathways that relate these disorders, summarizing current findings.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"140-147"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125761","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":"A BODY TO NOT FEEL DYSPHORIA IN FEEDING AND EATING DISORDERS: SOCIO-DEMOGRAPHIC AND CLINICAL CORRELATES OF DYSPHORIA IN FEEDING AND EATING DISORDERS.","authors":"Ilaria Lupattelli, Patrizia Moretti, Veronica Raspa, Laura Dalla Ragione, Alfonso Tortorella","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Food-related problems in Feeding and Eating Disorders (hereafter referred to as eating disorders - EDs) might be considered as the expression of dysfunctional individual and relational patterns based on emotional and behavioral dysregulation. Dysphoria is a transnosographic syndrome found in a multitude of psychiatric disorders including EDs, our cross-sectional study aims to analyze its presence in Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED) to define its socio-demographic, clinical correlates and phenomenological expression in the three types of EDs.</p><p><strong>Subjects and methods: </strong>A total of 165 patients were recruited from March 2019 to November 2024. Anamnestic history was collected through a specific form. The Italian version of the Nepean Dysphoria Scale (NDS-I) was used to evaluate Dysphoria. After performing descriptive analyses, one-way ANOVA and Pearson's r test were performed to respectively assess between-group differences and correlations. Significance was defined as p<0.05.</p><p><strong>Results: </strong>AN presented the highest degree of Dysphoria than the three, BED the lowest. Older age, physical illnesses and ongoing medical therapy correlated with lower levels of Dysphoria. A Statistically significant positive correlation was found in smoking habits, association with another psychiatric disorder, especially with anxiety disorder, use of benzodiazepines (BDZ) and use of antipsychotics (AP).</p><p><strong>Conclusions: </strong>Dysphoria acquires fundamental importance within EDs, possibly having a specific role in the etiology and maintenance of eating behaviors, it might play a core role in this type of mental disorder, with the behavioral aspect aimed at reducing dysphoric anxiety. Understanding these connections could represent a useful tool for the comprehension of EDs, which are increasing and have always represented a great diagnostic and therapeutic challenge.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"391-397"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125912","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":"INAPPROPRIATE SEXUAL BEHAVIOR IN THE CONTEXT OF DEMENTIA AND NEURODEGENERATIVE DISORDERS: A REVIEW OF THE LITERATURE.","authors":"Aurore Sourdeau","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The increasing prevalence of neurodegenerative disorders in the context of global population aging, has led to a growing incidence of Behavioral and Psychological Symptoms in Dementia (BPSD). Among these, Inappropriate Sexual Behavior (ISB) constitutes a particularly challenging and underrecognized issue for healthcare providers, patient and their family. Despite its clinical, ethical, and institutional implications, ISB remains insufficiently studied and poorly understood in the field of geriatric psychiatry.</p><p><strong>Subjects and methods: </strong>A literature review was conducted using publications from 2004 to 2024, identified across multiple databases (PubMed, Cochrane, Scopus, Cairn, Psychinfo). Search terms included: \"sexuality in older adults,\" \"dementia and sexuality,\" \"sexual behavior disorders,\" and \"affective, cognitive needs in geriatric psychiatry.\"</p><p><strong>Results: </strong>Sexual expression persists as a fundamental human need in older adults, including those with dementia, yet it is frequently misinterpreted or pathologised. ISB in dementia may stem from multifactorial etiologies, including neuroanatomical changes, unmet emotional, relational needs, medication side effects, comorbid conditions, or pre-existing personality traits. Distinguishing ISB from paraphilic or deviant sexual behaviours necessitates a nuanced, individualised, and contextually informed assessment. Structured tools can aid in the systematic evaluation and monitoring of ISB. Management strategies should prioritise non-pharmacological interventions as first-line approaches. Pharmacological treatments are considered only in refractory cases.</p><p><strong>Conclusion: </strong>ISB in dementia demands a comprehensive, interdisciplinary, and person-centered approach. Greater clinical awareness, standardized diagnostic frameworks, and robust empirical research are urgently needed to inform effective and ethically sound interventions, ultimately improving patient and caregiver outcomes.</p>","PeriodicalId":20760,"journal":{"name":"Psychiatria Danubina","volume":"37 Suppl 1","pages":"120-124"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125978","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}