Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献

{"title":"Temporal trends in vaccine hesitancy among Caribbean health workers: analysis of 2021 and 2024 surveys.","authors":"Martha Velandia-Gonzalez, Tamara Rivera, E Benjamín Puertas, Dale A Rhoda, Jennifer Brustrom","doi":"10.26633/RPSP.2025.61","DOIUrl":"10.26633/RPSP.2025.61","url":null,"abstract":"<p><strong>Objective: </strong>Although the benefits of vaccination are well established, a minority of health workers (HWs) are vaccine hesitant. Understanding vaccine hesitancy among HWs is crucial for providing them the information and skills they need to promote vaccine acceptance and informed decision-making among the populations they serve. This study aimed to evaluate differences in vaccine hesitancy and attitudes towards vaccines among HWs in the Caribbean between 2021 and 2024.</p><p><strong>Methods: </strong>Two cross-sectional Internet surveys were conducted among HWs in the Caribbean. The first survey was administered early in the COVID-19 pandemic, before COVID-19 vaccines were widely available in the region (April-May 2021). The second survey took place in the post-pandemic era when COVID-19 vaccines were easily obtainable and after countries and the Pan American Health Organization (PAHO) implemented interventions to address vaccine hesitancy (January-March 2024).</p><p><strong>Results: </strong>Caribbean HWs' attitudes toward all vaccines were relatively more positive in 2024 than in 2021. Notably, the rate of COVID-19 vaccine hesitancy decreased from 26% in 2021 to 5% in 2024, with the largest reductions observed among allied health professionals, the youngest respondents, and nursing professionals. Respondents' sentiments about vaccines in general and perceptions of vaccines' effectiveness and safety were also more favorable in the second survey.</p><p><strong>Conclusions: </strong>Improvements in HWs' attitudes and reduced vaccine hesitancy are likely due to multiple, interactive contextual factors, including increased knowledge about COVID-19 and its vaccine, scientific evidence of vaccine effectiveness, personal experience, and increased health education efforts. While this study did not evaluate specific interventions, findings suggest that well-designed and context-sensitive strategies may contribute to supporting vaccine acceptance among HWs.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e61"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267152","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":"[Adaptation of the Edmonton Obesity Staging System to Brazilian PortugueseAdaptación del sistema de estadios de la obesidad de Edmonton al contexto brasileño].","authors":"Elma Lúcia de Freitas Monteiro, Erika Cardoso Dos Reis, Jair Sindra Virtuoso Junior, Tatiane Palmeira Eleutério, Fernanda Rodrigues de Oliveira Penaforte, Poliana Cardoso Martins, Ana Claudia Morito Neves, Ariene Silva do Carmo, Gisele Ane Bortolini","doi":"10.26633/RPSP.2025.62","DOIUrl":"10.26633/RPSP.2025.62","url":null,"abstract":"<p><strong>Objective: </strong>Cross-cultural adaptation into Brazilian Portuguese of the five-stage Edmonton Obesity Staging System (EOSS), which classifies the severity of obesity according to morbidities and health risks.</p><p><strong>Methods: </strong>The following steps were taken: (1) translation and synthesis; (2) semantic analysis by a committee of subject experts and linguists; (3) construction of complementary content and validation by a panel of experts, in two rounds; (4) back-translation and submission to the original author; (5) semantic evaluation by health professionals; and (6) pre-testing on a sample of people with obesity. Semantic analysis and complementary content validation were verified by 80% minimum concordance.</p><p><strong>Results: </strong>The tool maintained semantic, idiomatic, conceptual, and cultural equivalence with the original version. The semantic evaluation showed adequate understanding by the target audience, with over 80% concordance.</p><p><strong>Conclusion: </strong>The version of the EOSS adapted for Brazil has proved to be a robust and useful tool for assessing obesity in the Brazilian context. It meets rigorous methodological standards, indicating its use in research and clinical practice as an important tool for assessing people with obesity.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e62"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267150","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":"Regulatory landscape for pediatric hematology-oncology nursing in Brazil: document analysis of policies and regulations.","authors":"Monnie Abraham, Fernanda Crizol Bazaglia, Talita Candido Bueno, Lorena Segovia Weber, Maria Aurélia da Silveira Assoni, Susana Maria Garcia Dos Reis, Eliane Dos Santos Francelino, Ana Lygia Pires Melaragno, Vanessa Morrone Maldonado","doi":"10.26633/RPSP.2025.59","DOIUrl":"10.26633/RPSP.2025.59","url":null,"abstract":"<p><strong>Objective: </strong>To analyze Brazil's national policies and regulations related to pediatric hematology-oncology nursing in Brazil and identify key areas for improvement.</p><p><strong>Methods: </strong>Using the READ approach, relevant policies and regulations were systematically examined. The method consists of four phases: readying materials, extracting data, analyzing data, and distilling findings. Qualitative analysis used both inductive and deductive approaches to identify themes.</p><p><strong>Results: </strong>The review included 25 documents: 11 regulatory, 11 governmental (including one national and two state plans), and three educational documents. Two main themes emerged: nursing-related regulations and national plans. Although Brazil has a strong nursing regulatory framework, responsive policies and regulations are needed to address the changing pediatric hematology-oncology landscape. Key areas for improvement include training more registered nurses, updating graduate programs to address early cancer signs in children, improving staffing and skill mix, enhancing nursing competencies, implementing continuing professional development requirements, and ensuring availability of resources. Recommendations highlight the roles of nursing regulations, governmental bodies, nursing associations, pediatric hematology-oncology centers, and nurses.</p><p><strong>Conclusions: </strong>Nurses are vital to health care systems and it is important to harness their full potential. We need a strong national strategy and effective regulations to recognize the contributions of nurses and meet the evolving needs of pediatric hematology-oncology patients in Brazil.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e59"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267151","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":"Vacunación contra el VPH en varones: una estrategia incompleta en la lucha por la salud pública.","authors":"Nicole Desiree Vilchez","doi":"10.26633/RPSP.2025.60","DOIUrl":"10.26633/RPSP.2025.60","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e60"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161819","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":"[Applicability of World Health Organization guidelines on self-care interventions for reproductive health in selected Latin American and Caribbean countriesAplicabilidade das diretrizes da Organização Mundial da Saúde sobre intervenções de autocuidado em saúde reprodutiva em países selecionados da América Latina e do Caribe].","authors":"Rodolfo Gómez Ponce de León, Gabriela Viviana Perrotta, Sofía Pirsch, Camila Volij, Analía López, Cintia Cejas, Adolfo Luis Rubinstein, Manjulaa Narasimhan, Suzanne Serruya","doi":"10.26633/RPSP.2025.56","DOIUrl":"10.26633/RPSP.2025.56","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the applicability of the World Health Organization's <i>WHO Guideline on self-care interventions for health and well-being</i> in selected Latin American and Caribbean countries.</p><p><strong>Methods: </strong>Countries prioritized by the Pan American Health Organization for technical cooperation in reproductive health were selected: Argentina, Bolivia (Plurinational State of), Chile, Colombia, Ecuador, Guyana, Honduras, Peru, and Uruguay. An exhaustive search was conducted for documents considered to be clinical practice guidelines on family planning, as well as other guidelines on related topics. Two simultaneous strategies were employed: a systematic search of published and indexed literature, and a gray literature search).</p><p><strong>Results: </strong>The applicability of each recommendation on self-care for reproductive health is described for each country in a \"traffic light\" table, where green means \"implemented\", yellow means \"in the implementation process\", and red means \"not implemented\".</p><p><strong>Conclusions: </strong>Favorable frameworks exist for interventions that promote the implementation of self-care strategies for sexual and reproductive health. The least developed thematic areas in the selected countries are: eliminating unsafe abortion and promoting sexual health. Only three countries in the Region of the Americas (Argentina, Colombia, and Uruguay) have laws that guarantee legal abortion and facilitate access to safe abortion. Although most countries in the Region do not guarantee the rights of transgender people, all countries except Guyana and Honduras provide hormones for them.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e56"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161777","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":"Impact of chemical interventions on reducing dengue, Zika, and chikungunya: a systematic review.","authors":"Silvia Tortosa-La Osa, Sandra Roldán-Coronel, Eva Martín-Ruiz, Ángela Galán-Relaño, Antonio Olry de Labry-Lima","doi":"10.26633/RPSP.2025.51","DOIUrl":"10.26633/RPSP.2025.51","url":null,"abstract":"<p><strong>Objective: </strong>Given that vector control represents the primary strategy for preventing these diseases, the objective of this systematic review is to ascertain the efficacy of chemical interventions in reducing their burden.</p><p><strong>Methods: </strong>The PRISMA guidelines were followed to search for experimental studies published between 1987 and 2024 in English, Portuguese, and Spanish. Medline, Embase, WOS-Core Collection, Scopus, Lilacs, Cochrane Library, and Biological Science Database were consulted to identify studies using incidence or prevalence as outcome variables of interest.</p><p><strong>Results: </strong>Of the 2 232 references initially retrieved, 8 articles were included in the review. All studies used entomological indices along with disease burden indices to measure intervention impact. Three studies evaluated the use of insecticide-impregnated curtains alone, one combined those with residual insecticide treatment in dwellings, one evaluated the use of insecticide-impregnated school uniforms, and the remaining three evaluated household insecticide application. Only four of the eight articles showed some level of efficacy of chemical interventions in reducing dengue prevalence or incidence.</p><p><strong>Conclusion: </strong>The chemical interventions under examination did not result in a notable reduction in the burden of these diseases within the population, which would appear contradictory given the prominent role of chemical interventions in vector-borne disease control programs.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e51"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161817","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":"Determinants of child physical abuse in Guyana: Findings from the 2019 Guyana Multiple Indicator Cluster Survey.","authors":"Gary Joseph, Audrey Benn, Cecil Boston, Debra Lowe, Karishma Jeeboo, La-Toya Arthur-Tucker, Lauristan Choy, Lidon Lashley, Gbenankpon M Houvèssou, Tammy Hopkinson, Thomas B Singh","doi":"10.26633/RPSP.2025.58","DOIUrl":"10.26633/RPSP.2025.58","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence and factors associated with physical abuse against children in Guyana.</p><p><strong>Methods: </strong>This study utilized nationally representative data from the Multiple Indicator Cluster Survey conducted in Guyana in 2019. The percentage of children who endured physical abuse was the primary outcome studied. Logistic regression was used to assess the association between the exposure variables and the outcome. The slope index of inequality (SII) and the concentration index (CIX) were calculated to assess inequalities in child physical abuse.</p><p><strong>Results: </strong>In Guyana, 53.1% and 4.4% of children endured moderate and severe physical abuse, respectively. Children aged 24 months or older (adjusted odds ratio [AOR] 2.29; 95% CI [1.33, 3.95]), living in the Interior (AOR 2.42; 95% CI [1.20, 4.87]), in households headed by females (AOR 2.32; 95% CI [1.47, 3.65]), whose mothers ever consumed alcohol (AOR 2.41; 95% CI [1.53, 3.79]) or had positive attitudes toward child physical abuse (AOR 4.37; 95% CI [2.07, 9.23]) were at higher risk of experiencing moderate physical abuse. The risk of severe physical abuse increased among children whose mothers had a positive attitude toward child physical punishment and decreased according to the mother's level of education. Important disparities were observed between boys and girls according to maternal education and geographic regions.</p><p><strong>Conclusions: </strong>Children in Guyana who endured moderate physical abuse exceed 50% of the country's child population. Guyana needs to enact legislation that prohibits child physical abuse. Stringent enforcement is necessary to ensure Guyanese children do not continue to experience physical abuse.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e58"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161795","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":"Addressing population-level cancer data needs in northwestern Mexico: results from a South-South Colombian-Mexican partnership.","authors":"Rebeca Rivera-Gómez, Santiago Bolivar, Oscar E Zazueta, Vivian Piedrahita, Luis Bravo, Gudelia Rangel, William Roberts, Oscar Ramirez, Paula Aristizabal","doi":"10.26633/RPSP.2025.53","DOIUrl":"10.26633/RPSP.2025.53","url":null,"abstract":"<p><p>\"South-South\" partnerships forged between institutions in resource-constrained settings, usually in low- and middle-income countries, provide innovative frameworks for resource, knowledge, and expertise exchanges to address public health challenges in regions sharing similar contexts. Population-based cancer registries (PBCRs) and surveillance systems in low- and middle-income countries are essential for cancer control, yet they are scarce. In response, the authors formed a South-South Colombian-Mexican partnership to implement the first PBCR in Tijuana, northwestern Mexico, and an integrated pediatric cancer real-time clinical outcomes monitoring system, replicated from Colombia's successful model, VIGICANCER. The newly established team assessed local needs in Mexico, adapted VIGICANCER protocols to the local context, and conducted training. In 2017, BajaREG was inaugurated in Tijuana, and, in 2018, joined the newly launched Mexican National Cancer Registry Network. In 2020, the Pediatric and Adolescent Cancer Registry Surveillance System (PACARSS) was integrated into BajaREG. Between 2018 and 2024, BajaREG registered 8 231 adult and 268 pediatric cases. PACARSS currently collects population-level data on pediatric cancer clinical outcomes in Tijuana. Despite multiple challenges, including the COVID-19 pandemic, stakeholder engagement enabled success. The authors showcase how locally tailored South-South partnerships can capitalize on collaborations and facilitate the implementation of sustainable PBCRs and surveillance systems in regions sharing similar challenges, resources, and health care systems.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e53"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161791","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":"Geographical inequities in cervical cancer screening coverage in Bolivia: a spatial nationwide ecological study.","authors":"Carla Huanca Challgua, Ida Linander, Isabel Goicolea, Daniel Eid Rodriguez, Osvaldo Fonseca-Rodríguez","doi":"10.26633/RPSP.2025.44","DOIUrl":"10.26633/RPSP.2025.44","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate cervical cancer screening (CCS) coverage rates and assess the spatial distribution and clustering between departments and municipalities in Bolivia.</p><p><strong>Methods: </strong>Standardized CCS coverage rates were calculated using the direct standardization method. The global Moran's I test was used to investigate the existence of spatial autocorrelation of CCS coverage, and the Getis-Ord Gi* was used to identify the spatial clustering of municipalities with high (hot spot) or low (cold spot) coverage.</p><p><strong>Results: </strong>Overall coverage was low. Around 14% of women aged 20-69 years were screened in Bolivia in 2022. Large geographical inequities in CCS coverage rates were identified both between departments and between municipalities. At the municipal level, CCS showed large differences, ranging from 59% to below 1%. Hot spots were identified in northwestern and southeastern Bolivia; specifically, in Pando, Chuquisaca, and Tarija departments. Cold spots were identified in Beni and Santa Cruz departments.</p><p><strong>Conclusions: </strong>Bolivia is still a long way from achieving the World Health Organization target of 70% screening coverage. The present results indicate where the screening program must be reinforced to improve the responsiveness of Bolivia's health system to women's reproductive health needs.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e44"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161800","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":"Harmonization and integration of data from prospective cohort studies across the Region of the Americas.","authors":"Janeil Williams, Olga Tchuvatkina, Marshall K Tulloch-Reid, Joette McKenzie, Novie Younger-Coleman, Ian Hambleton, Kimlin Ashing, Camille Ragin","doi":"10.26633/RPSP.2025.54","DOIUrl":"10.26633/RPSP.2025.54","url":null,"abstract":"<p><strong>Objectives: </strong>To develop a generalizable extraction, transform, and load (ETL) process and workflow for prospective harmonization of data from active cohort studies being conducted in different geographic locations across the Region of the Americas.</p><p><strong>Methods: </strong>This study harmonized and merged data from two active prospective cohort studies, the Living in Full Health (LIFE) project in Jamaica and the Cancer Prevention Project of Philadelphia (CAP3) in the United States. The RedCAP data collection platform was leveraged in harmonizing and pooling baseline prospective cohort data that was collected from June 2019 to December 2024.</p><p><strong>Results: </strong>The merged data from this harmonization methodology displayed good coverage on the mapped variables. Seventeen of 23 (74%) of the questionnaire forms harmonized greater than 50% of the variables. Statistical tests on the age-adjusted prevalence of health conditions demonstrated regional differences that could be used to investigate disease hypotheses in the Black Diaspora.</p><p><strong>Conclusion: </strong>This study developed a successful data harmonization process that can guide similar projects. Active data harmonization is a useful strategy that can reduce costs and leverage resources required to conduct multi-site cohort studies, while fostering data sharing and collaborative research across the Region of the Americas.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e54"},"PeriodicalIF":2.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161816","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}