The Journal of the Egyptian Public Health Association最新文献

{"title":"Assessment of perceived risk and precautionary behavior toward COVID-19 pandemic using the health belief model, Saudi Arabia.","authors":"Eman M Mortada,&nbsp;Ghada Moh Samir Elhessewi","doi":"10.1186/s42506-022-00111-7","DOIUrl":"https://doi.org/10.1186/s42506-022-00111-7","url":null,"abstract":"<p><strong>Background: </strong>The global threat of the COVID-19 pandemic continues to evolve forming the most impactful health crises in modern history, necessities of individuals adhering to mandatory behavior change that limits the spread of the pandemic. The purpose of the current study is to identify behavioral responses of the health sciences university students during the period of the COVID-19 pandemic and determine risk perceptions using the health belief model (HBM).</p><p><strong>Methods: </strong>A cross-sectional study using an online survey distributed among health sciences female university students in Riyadh, KSA. The questionnaire was used to assess sociodemographic characteristics; knowledge about COVID-19 and its preventive measures, risk perceptions, and beliefs using the HBM; and their actual adoption of precautionary measures.</p><p><strong>Results: </strong>The mean age of 286 respondents was 21.6 years (SD 2.5). They had good knowledge, positive risk perception, and good practice. Fifty-seven percent of the respondents adhere satisfactorily to COVID-19 precautionary behavior. Respondents with positive overall risk perception had around 6 times significantly higher adherence compared to those with negative risk perception. Perceived benefits have higher odds of adherence to COVID-19 precautionary behavior. Similarly, cues to action were a significant determinant of adherence to COVID-19 precautionary behavior.</p><p><strong>Conclusions: </strong>The constructs of the HBM provided good measurement of risk perception and the respondent students had good knowledge. Yet, significant gaps were shown between COVID-19 perceived risks and the students' actual practice of personal hygienic measures, particularly hand hygiene. To put an end to the present COVID-19 and its upcoming waves, it is highly recommended to direct COVID-19 training programs specifically tailored towards university students.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":" ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40373037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between social support and pregnancy stress: a cross-sectional study of neighbors' interactions.","authors":"Sadaf Abdi,&nbsp;Mahbobeh Faramarzi,&nbsp;Zinatossadat Bouzari,&nbsp;Mohammad Chehrazi,&nbsp;Maria Esfandyari","doi":"10.1186/s42506-022-00113-5","DOIUrl":"https://doi.org/10.1186/s42506-022-00113-5","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy is associated with substantial stressful experiences. There are controversies concerning the positive and negative roles of social support during pregnancy. This research aimed to study the association of social support with the pregnancy-related stress.</p><p><strong>Methods: </strong>In the current cross-sectional research, 200 pregnant women were recruited through convenience sampling from two teaching hospitals affiliated with Babol University of Medical Sciences and a private obstetric clinic. The women completed two self-reported questionnaires during prenatal care appointments. The questionnaires included the Revised Prenatal Distress Questionnaire (NuPDQ) and Social Support Questionnaire (SSQ).</p><p><strong>Results: </strong>A significantly positive association was observed between the social support of neighbors and the total score of pregnancy stress (P<0.001), as well as the scores of its four subscales, namely medical problems (P<0.001), parenting (P=0.25), infant health stress (P=0.006), and pregnancy symptoms (P=0.001). Based on the linear regression models, the social support of neighbors was significantly related to the medical problem-associated stress in pregnant women (β = 0.147, 95% CI: 0.14 to 0.62, p = 0.047), pregnancy symptom (β = 0.203, 95% CI: -0.01 to 0.327, p = 0.017), and fear of childbirth (β = 0.164, 95% CI: 0.05 to 0.38, p = 0.046). Furthermore, the neighbors' social support (β = 0.172, 95% CI: 0.02 to 0.32, p = 0.04) and the total score of social support (β = 0.155, 95% CI: 0.01 to 0.304, p = 0.046) were significantly associated with the total score of pregnancy stress.</p><p><strong>Conclusions: </strong>Neighbors' support, as a component of social support, was found to be significantly related to pregnancy stress. This study recommends that healthcare providers consider the positive and negative impacts of social support during the pregnancy period.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":" ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9464484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33458601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' perception and compliance with personal protective equipment and hand hygiene during the third wave of COVID-19 pandemic.","authors":"Noha Elshaer,&nbsp;Hesham Agage","doi":"10.1186/s42506-022-00109-1","DOIUrl":"https://doi.org/10.1186/s42506-022-00109-1","url":null,"abstract":"<p><strong>Background: </strong>Healthcare workers' (HCWs) compliance with infection prevention and control (IPC) measures during the COVID-19 pandemic is crucial to reducing the spread of infection to their colleagues, families, and community. This study assessed the risk perception and compliance with personal protective equipment (PPE) usage, hand hygiene, and specific IPC measures and explored the factors associated with compliance among nurses during the third wave of the COVID-19 pandemic in Egypt.</p><p><strong>Methods: </strong>A hospital-based cross-sectional survey was conducted at the Alexandria Main University Hospital (AMUH) in Alexandria city from May to August 2021, where 354 nurses were included with a response rate of 94.9%. A structured interviewer-administered questionnaire was used for data collection. Univariate and multivariate logistic regression analyses were conducted.</p><p><strong>Results: </strong>The overall compliance with PPE usage, hand hygiene, and IPC measures was 81.9%. The mean risk perception score was 40.9 ± 3.3. More than 95% of nurses were aware of the high risk of COVID-19 infection at their workplace, the serious consequences of the disease, and the risk that can be minimized by using PPE, whereas a relatively low percentage of nurses believed that the risk of COVID-19 infection could be reduced by using a surgical mask (19.2%) or gloves (50.5%). Good compliance was independently predicted by risk perception (OR = 1.25; 95% CI = 1.13, 1.39), and knowledge about PPE usage and hand hygiene (OR = 3.53; 95%CI = 2.40, 5.19). Facilitators of compliance with the PPE usage were attending suspected or confirmed COVID-19 cases in their hospital ([Formula: see text] = 9.82), comfort to use the PPE ([Formula: see text] = 9.16), availability of PPE ([Formula: see text] = 8.96), hospital policy ([Formula: see text] = 8.74), and senior compliance ([Formula: see text] = 6.5).</p><p><strong>Conclusions: </strong>Nurses at AMUH reported high risk perceptions. The rate of compliance with PPE usage, hand hygiene, and IPC measures was 81.9%. The personal risk perception and knowledge about the PPE usage and hand hygiene are the keys to improving compliance in a healthcare facility.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":" ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9385233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40635076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of effective communication-based care on the childbirth experience and satisfaction among primiparous women: an experimental study.","authors":"Zahra Shamoradifar,&nbsp;Mohammad Asghari-Jafarabadi,&nbsp;Roghaiyeh Nourizadeh,&nbsp;Esmat Mehrabi,&nbsp;Hossein Namdar Areshtanab,&nbsp;Hoorieh Shaigan","doi":"10.1186/s42506-022-00108-2","DOIUrl":"https://doi.org/10.1186/s42506-022-00108-2","url":null,"abstract":"<p><strong>Background: </strong>There is insufficient scientific evidence on the effect of communication skills of childbirth care providers on maternal childbirth experience and satisfaction. The present study aimed to determine the effect of communication-based care on the childbirth experience and satisfaction among primiparous women.</p><p><strong>Methods: </strong>A total of 80 primiparous women participated in this experimental study who were randomly assigned into the intervention and control groups. According to the World Health Organization (WHO) care model, the intervention group received effective communication-based care, and the control group received the routine care. Data were collected using demographic and obstetric questionnaires, Labor Agentry Scale (LAS) and Birth Satisfaction Scale-Revised (BSS-R), and Support and Control in Birth (SCIB) scale applied 12 to 24 h after the intervention.</p><p><strong>Results: </strong>After controlling the effect of confounding variables, the mean scores of childbirth experience (51.23(1.54) and satisfaction (26.03(0.81) in the intervention group were significantly higher than that in the control group (45.33 (1.54) and 22.66 (0.81) respectively; [adjusted mean difference (AMD) = 5.90, CI = 95%: 1.17 to 10.62, P = 0.01] versus AMD =3.37, CI: 95%: 0.87 to 5.87, P = 0.001].</p><p><strong>Conclusion: </strong>Eeffective communication-based care improved childbirth experience and satisfaction of primiparous women. Therefore, it is recommended that health-care providers should be trained on the communication skills in the delivery room especially during a vital threatened crises such as the Covid pandemic.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":" ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9360278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40680646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between black stain and lower risk of dental caries in children: a systematic review and meta-analysis.","authors":"Haneen Raafat Fathi Mousa,&nbsp;Mohamed Zayed Radwan,&nbsp;Ghada Ossama Mohamed Wassif,&nbsp;Mariem Osama Wassel","doi":"10.1186/s42506-022-00107-3","DOIUrl":"https://doi.org/10.1186/s42506-022-00107-3","url":null,"abstract":"<p><strong>Background: </strong>Previous literature shows that children with dental black stain might be less susceptible to dental caries. The aim of this study was to systematically review the available literature to determine whether black stain presence could influence the prevalence or severity of dental caries in primary dentition.</p><p><strong>Methods: </strong>A systematic search of PubMed, Web of Science, Scopus, Google Scholar, OpenGrey, and Egyptian Universities Libraries Consortium was conducted up to December 2020. Quality assessment was done using a modified version of Down's and Black checklist. Meta-analyses were performed to assess the association between dental black stain and: (i) Likelihood of developing dental caries/being caries-free (ii) Number of teeth affected by dental caries (iii) Number of tooth surfaces affected.</p><p><strong>Results: </strong>The database search yielded 2164 results, 14 of which matched the eligibility criteria. The meta-analysis showed that the likelihood of developing caries (Fixed effect model: OR [95% CI]: 0.67 [0.54; 0.82]; I²=37%; τ²=0.05), number of teeth affected (Random effects model: MD [95% CI]: -0.98 [-1.54; -0.42]; I²=79%; τ² =0.44), and number of surfaces affected (Random-effects model: MD [95% CI]: -2.34 [-4.23; -0.44]; I²=85%; τ² =2.93), were all lower in children with black stain.</p><p><strong>Conclusions: </strong>It is suggested that dental black stain is associated with lower dental caries experience in children with primary dentition. However, it is questionable whether black stain has a protective effect against dental caries, or whether children at low risk of dental caries are more likely to develop BS because their oral microbiome favors BS-forming organisms.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":" ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40670688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of severe acute respiratory syndrome coronavirus 2 spike antibodies in some healthcare settings in Egypt.","authors":"Engy Mohamed El-Ghitany,&nbsp;Azza Galal Farghaly,&nbsp;Shehata Farag,&nbsp;Mona H Hashish,&nbsp;Fahmy Charl,&nbsp;Eman A Omran","doi":"10.1186/s42506-022-00106-4","DOIUrl":"10.1186/s42506-022-00106-4","url":null,"abstract":"<p><strong>Background: </strong>Healthcare workers (HCWs) are at the front line in battling infection transmission, such as that in coronavirus disease 19 (COVID-19). Additionally, they may act as potential carriers passing the virus on to others. Anti-spike (anti-S) antibodies for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are formed either as a result of infection or vaccination with both indicating immunity against future COVID-19 infection.</p><p><strong>Aim: </strong>This study aimed to identify the prevalence of COVID-19 seropositivity among HCWs.</p><p><strong>Methods: </strong>This cross-sectional study included 559 HCWs from 39 hospitals with variable degrees of COVID-19 exposure risk (depending on the occupation, department, and hospital type). Demographic data were recorded as well as history of COVID-19 infection and vaccination. Serum samples were collected and tested for SARS-CoV-2 spike antibodies.</p><p><strong>Results: </strong>Anti-S positivity was found in 59.0% of the participating 559 HCWs, indicating a high level of seroprotection. Of the 559 HCWs, 34.1% had reported previous infection with COVID-19. Following infection, only 46 (24.0%) of those affected received vaccination. Anti-S seropositivity was found in 39.1% of participants who were unvaccinated and had no history of infection. Physicians had the highest median anti-S titers (58.0 relative units (RU)/mL), whereas pharmacists and office staff had the lowest (25.7 and 38.2 RU/mL, respectively).</p><p><strong>Conclusions: </strong>Overall, 59.0% of the 559 HCWs were anti-S positive, indicating a relatively high seroprotective status. Among those who were unvaccinated and had no history of infection, 39.1% were seropositive for anti-S, denoting a high rate of silent/asymptomatic infections. Screening of HCWs for SARS-CoV-2 anti-S is recommended, along with the vaccination of seronegative individuals.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"97 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2022-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9187000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malaria rapid diagnostic tests for the case management of febrile children in Nigerian primary healthcare settings: a cross-sectional study","authors":"P. O. Ali, J. Okebe, O. Oduwole","doi":"10.1186/s42506-022-00105-5","DOIUrl":"https://doi.org/10.1186/s42506-022-00105-5","url":null,"abstract":"","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89246331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 vaccine acceptance and perceptions among dental teaching staff of a governmental university in Egypt","authors":"M. Sharaf, Omar Taqa, H. Mousa, A. Badran","doi":"10.1186/s42506-022-00104-6","DOIUrl":"https://doi.org/10.1186/s42506-022-00104-6","url":null,"abstract":"","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"2010 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82544362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to COVID-19 preventive measures among male medical students, Egypt.","authors":"Haytham Mahmoud Ahmed","doi":"10.1186/s42506-022-00103-7","DOIUrl":"https://doi.org/10.1186/s42506-022-00103-7","url":null,"abstract":"<p><strong>Background: </strong>Adherence to COVID-19 preventive measures is essential for disease control especially given the lack of effective treatment at the time of data collection. Medical students' adherence to COVID-19 preventive measures is highly important because they are at a higher risk of infection as they spend considerable time at hospitals for training. In addition, they will be responsible for disease fighting in the future. This study aimed to identify the adherence to COVID-19 preventive measures among the studied male students of Al-Azhar Faculty of Medicine, Egypt.</p><p><strong>Methods: </strong>An online survey was conducted on a convenience sample of 537 male medical students of Al-Azhar University at the Cairo branch between March 2 and April 15, 2021, using an Arabic questionnaire constructed by Google form with link sharing to students' groups on WhatsApp and face book applications.</p><p><strong>Results: </strong>A total of 537 students voluntarily submitted their responses. Most of these students were aged between 18 and 20 years (62.4%), rural residents (62.9%), having family income of 5000 LE or less/month (64.2%), studying at the first, second, and sixth years (79.2%). The prevalence of adherence to COVID-19 preventive measures among studied students was 28.1% without significant difference in the students' adherence status regarding age, residence, family income, studying year, or academic score. Wearing a face mask outside the house was practiced by 58% of students, avoiding hugging or kissing others (41.3%), and keeping a distance from others (20.7%).</p><p><strong>Conclusion: </strong>Students showed a low level of adherence to COVID-19 preventive measures among students. Also, there is no significant difference between students' adherence status in relation to their socio-economic or academic variables. This unhealthy behavior increases the risk of infection among students. Also, students become a source of infection for their vulnerable contacts. More studies are needed to identify the real cause of this low level of adherence.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":"97 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8853074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10841698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and vaccination induced changes in hospital activity in Malta, Q1 2020 to Q1 2021: a population-based study.","authors":"Sarah Cuschieri,&nbsp;David Borg,&nbsp;Steve Agius,&nbsp;Hagen Scherb,&nbsp;Victor Grech","doi":"10.1186/s42506-021-00101-1","DOIUrl":"https://doi.org/10.1186/s42506-021-00101-1","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 has severely impacted global healthcare services. Malta has only one acute state hospital, Mater Dei Hospital (MDH), and at the time of writing is the most vaccinated country in Europe. Malta thus provides an ideal setting to assess the impact of COVID-19 on healthcare services at population level, including the impact of vaccination on hospital admissions.</p><p><strong>Methods: </strong>Hospital data was obtained as anonymised totals from MDH's Clinical Performance Unit and the European Centre for Disease Prevention and Control. COVID-19-related data was obtained from the Ministry of Health dashboard. Comparative assessments were performed to explore associations between the COVID-19 situation, vaccination, and hospital activity. Poisson regression was used to model the counts of monthly accident and emergency (A&E), outpatient clinics attendances and hospital admissions.</p><p><strong>Results: </strong>A&E, hospital admissions, and outpatient clinics attendances declined (31.88%; 23.89%; 29.57%; p < 0.01 respectively) with onset of COVID-19 till April 2021 when compared to pre-COVID years (2017-2019). Admissions due to COVID-19 initially increased in parallel to the population's COVID positivity. Vaccination rollout led to a decline in COVID-19 admissions.</p><p><strong>Conclusions: </strong>The drastic drop in admissions and outpatient attendees was expected but not for A&E attendees as acutely ill patients should still have attended. This is of public health concern since delayed or deferred medical management increases population morbidity, mortality and increases the eventual burden on the healthcare system. Mass vaccination saw the return to normality with an increase in A&E burden.</p>","PeriodicalId":22819,"journal":{"name":"The Journal of the Egyptian Public Health Association","volume":" ","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8825920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39899192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}