Journal of midwifery and reproductive health最新文献

{"title":"A Qualitative Inquiry to Explore Why Women with Previous Cesarean-Section Do Not Choose Vaginal Birth after Cesarean","authors":"M. Firoozi, F. Tara, Mohammad Reza Ahanchian, R. L. Roudsari","doi":"10.22038/JMRH.2021.58760.1713","DOIUrl":"https://doi.org/10.22038/JMRH.2021.58760.1713","url":null,"abstract":"Background and Aim: Complications of cesarean-section are many times more than vaginal birth and increase with repeat it, despite mothers don’t choose vaginal birth after CS. Aim: The aim of the present study is to explain why previous cesarean section mothers not to choose VBAC? \u0000Methods: A conventional content analysis performed by 25 participants from previous CS mothers (pregnant/non-pregnant) and maternal health care  providers through semi-structured individual interviews and two focus group sessions in Om-Albanin hospital in Mashhad, Iran. The interviews lasted 30 - 90 minutes and their content was recorded, transcribed and analyzed using Graneheim & Lundman’s method (2004). Data validity was verified by Lincoln and Guba criteria. \u0000Results: The main category of \"loneliness, weakness, fear in VBAC\" emerged from three subcategories: \"non-supportive individual-social perspective\", \" inefficient care \"and \"psychological fear of childbirth\". Sub-subcategories identified as: First sub-subcategory: \" opposite beliefs to VBAC\" ,  \"non-supportive community\" and \" non-supportive individual-social perspective\". second includes: \" inadequate provision of optimal care \",\" inadequate knowledge and awareness \",\" Weakness in decision self-efficacy \"and\" Weakness in effective counseling \" and third  includes: \" negative experiences of vaginal birth \" , \"feeling of danger\" and \"fear\" . \u0000Conclusion: The mothers are conflict in choosing VBAC in three aspects: social, care system and individual dimensions. Comprehensive support including: cultural interventions for vaginal birth, planning a supportive  and special care system for previous CS mothers, increasing knowledge and correcting beliefs will help them in decision  self-efficacy. It is proposed planning of these strategies and assess their effectiveness.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130303991","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":"Comparing the Effect of Solution-Focused Group Counseling and Individual Counseling Based on PLISSIT Model on Sexual Satisfaction of Women with High Body Mass Index","authors":"Mozhdeh Kargar, S. Yousefzadeh, H. Behnam, S. Vaghee","doi":"10.22038/JMRH.2021.53742.1657","DOIUrl":"https://doi.org/10.22038/JMRH.2021.53742.1657","url":null,"abstract":"Background & aim: obesity can negatively affect sexual function and lower sexual satisfaction in obese people. The present study aimed to compare the effect of solution-focused group counseling and individual counseling based on the Plissit model on the sexual satisfaction of women with high body mass index. Methods: This randomized clinical was conducted on 60 women with a BMI˃30 kg/m²  who were randomly assigned to two groups of solution-focused group counseling and individual counseling based on the Plissit model. Data collection tools included personal and midwifery information questionnaires, as well as Larson's sexual satisfaction questionnaire. Solution-focused group counseling group received eight 45-minute counseling sessions, while the individual counseling group received three 60-minute sessions of counseling based on the Plissit model. Data were analyzed in SPSS software (version 16) using Chi-square, independent t-test, Mann-Whitney, and Wilcoxon tests. Results: In the solution-focused counseling group, the scores significantly improved in the dimensions of quality of sex life (pre-test=30.87±5.51; post-test=38.33±1.71), sexual attitude (pre-test=26.13±2.75; post-test=29.30±0.88), desire to have sex (pre-test=21.50±3.31; post-test=23.40±1.40), and total sexual satisfaction (pre-test=102.17±13.42; post-test=115.07±4.16), after the intervention, compared to the scores obtained before the intervention (p <0.001). In the individual counseling group based on the Plissit model, the scores significantly improved in the dimensions of quality of sex life (p <0.001; pre-test=30.30±3.70; post-test=35.103±3.69), sexual attitude (P=0.01;pre-test=24.53±2.26;post-test=26.10±1.92), sexual compatibility (P=0.008; pre-test=21.80±1.61, post-test=22.67±0.99), as well as total sexual satisfaction (P=0.001; pre-test=98.93±8.46; post-test=106.17±5.10) after the intervention, compared to their scores before the intervention. Conclusion: As evidenced by the obtained results, solution-focused group counseling can lead to increased sexual satisfaction of women with high BMI.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131049774","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":"The Impact of an Educational Intervention Based on Theory Of Planned Behavior on Selecting Mode of Delivery in Primigravidae Women With Intention of Elective Cesarean Section","authors":"Z. Zare, Hamid Reza Mohaddes Hakak, Zakie Yaghobi, Hamid Tavakoli Quchani, H. Joveini, S. Hosseini","doi":"10.22038/JMRH.2021.53294.1656","DOIUrl":"https://doi.org/10.22038/JMRH.2021.53294.1656","url":null,"abstract":"Background & aim: Reducing cesarean section (CS) rate in order to improve maternal and neonatal health indicators is considered as one of the goals of Iran's health system transformation plan. This study aimed to examine the effect of an educational intervention based on the theory of planned behavior on selecting mode of delivery in primigravidae women with intention of elective CS. Methods: This experimental study was conducted on 130 primigravidae women referred to health centers in Neyshabour, Iran, in 2018. Multistage sampling was performed and the subjects were randomly assigned into two groups. In the intervention group, the designed educational package was implemented in four-90-minute sessions and the control group received routine care. The theory of planned behavior constructs were measured by a self-structured tool before and after the intervention. The data were analyzed by SPSS software (version 19) using t-test, Mann-Whitney, and Chi-square tests. Results: The results showed that there was no significant difference between the mean score of attitude, subjective norm, perceived behavioral control and intention of primigravide women in two groups. However, after the educational intervention a significant difference was found between the control and intervention groups in terms of attitude (p <0.001), subjective norm (p <0.001), perceived behavioral control (p <0.001) and intention (p <0.001) towards elective CS. Conclusion: Designing educational intervention based on the theory of planned behavior can be an effective strategy to change the positive perceptions of primigravidae women about CS and ultimately decrease the intention to elective CS.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130245759","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":"Vaginal Birth after Cesarean Section in Iran: A Narrative Review","authors":"R. Pakdaman, M. Firoozi","doi":"10.22038/JMRH.2021.54560.1667","DOIUrl":"https://doi.org/10.22038/JMRH.2021.54560.1667","url":null,"abstract":"Background & aim: Vaginal birth after cesarean (VBAC) is a global solution to reduce the number and complications of repeat cesarean section (C-section); however, fear of consequences is an obstacle preventing its performance. Knowledge of research available in each country provides the support needed for making decisions regarding evidence-based actions for healthcare service providers in the country. This study aimed to review the studies performed to investigate VBAC in Iran. Methods: Search was carried out on Engliah and Persian databases including PubMed, Scopus, Google Scholar, Magiran, and SID. Retrieved articles up to October 2020 were included in the review and the search process was performed using the keywords of \"Vaginal birth after cesarean\", \"Repeat C-section\", \"Trial of labor after C-section\", \"VBAC\", and \"TOLAC\". All related studies without time restriction were entered into the study, resulting in a total of 12 studies. Results: The success rate of VBAC varied from 27%-91.2% in different parts of Iran between 1981 and 2020. Moreover, maternal and neonatal adverse outcomes and cost and length of hospitalization were lower in the VBAC group. No related maternal death was reported in all reviewed studies. Conclusion: The findings of the present review indicated the lack of access to sufficient study resources on this field of research in Iran. Nevertheless, it is required to employ strategies as building an organizational culture, clinical contextualization at the level of healthcare services, and improving service environments, including VBAC supportive centers to promote this practice in the country.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128049237","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":"Magnitude and Factors Affecting Women’s Economic Empowerment for Participation in Decision making among Married Women at Reproductive Age in Assosa, Western Ethiopia","authors":"Asefa Taresa, Abera Gadisa","doi":"10.22038/JMRH.2020.39816.1445","DOIUrl":"https://doi.org/10.22038/JMRH.2020.39816.1445","url":null,"abstract":"Background & aim: Women’s economic empowerment for participation in decision making is the process of achieving women’s equal access and control over economic resources and prerequisite for the Sustainable Development Goals and pro-poor growth. Women’s economic empowerment is about rights and equitable societies and requires sound public policies. The present study aimed to determine the magnitude and factors affecting women’s economic empowerment for participation in decision making among married women at reproductive age in Assosa, western Ethiopia. Methods: This community-based analytical cross-sectional study was conducted on a total of 342 women at reproductive age in Assosa using simple random sampling. Structured interview questionnaire that was reviewed and adapted from different literature was used to collect data from the respondents. Descriptive statistics and cross-tabulation were used to analyze the data. Multivariate logistic regression was carried out to determine the independent predictor variables. Results: The magnitude of women’s economic empowerment for decision-making was 39.9%. Moreover, media exposure (AOR=14.90), experience of husband-wife discussion (AOR=4.90), women's attitude toward wife beating (AOR=8.33) and knowledge of family planning practice (AOR=1.00) were more likely associated factors influencing women’s economic empowerment for participation in decision making. Conclusion: Media exposure at least one times per day, husband-wife discussion on participation in decision making, women's attitude towards wife beating, and knowledge of family planning practice were the independent predictors of women’s economic empowerment for participation in decision making. Thus policy related strategies should be designed to reach these special populations to promote Women’s Economic Empowerment for Participation in Decision making.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122116766","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":"Investigating the Effect of Vitamin D Supplementation on Maternal Serum 25(OH)D Levels","authors":"Z. Moudi, Z. Ayati, H. Ansari, S. Tabatabaei, Mahdieh Sheikhi","doi":"10.22038/JMRH.2021.54094.1661","DOIUrl":"https://doi.org/10.22038/JMRH.2021.54094.1661","url":null,"abstract":"Background & aim: Although evidence confirms the importance of vitamin D supplementation in pregnancy, there is still a debate over the adequate daily doses of vitamin D intake. This study aimed to investigate the effect of 400 and 1,000 IU vitamin D/day on maternal serum 25 (OH) D levels. Methods: This quasi-experimental study was carried out on 74 healthy pregnant women between June 12 and September 22, 2019. The intervention group (n=44) received 1,000 IU vitamin D/day from 8 to 10 weeks of pregnancy for 17 weeks, while the control group (n=39) took multivitamin supplements (400 IU vitamin D/day) from 16 weeks of pregnancy for 12 weeks. Maternal serum 25 (OH) D levels were measured at 25-28 weeks of gestation. Data were analyzed in SPSS software (version 21) through the Chi-square, Student’s t-test, Mann-Whitney U, and linear regression tests.  Results: There was no significant difference between the two groups at the beginning of the study in terms of 25 (OH) D concentration (P=0.23). The intake of 1,000 IU vitamin D/day had a significant (β=0.28, p <0.001), yet small effect (effect size=0.30), on increasing serum 25 (OH) D levels after controlling the confounding variables. About half of the females who took 1,000 IU vitamin D/day had a serum 25(OH) D level less than 30 ng/dl at 25-28weeks of pregnancy. Conclusion: Even after receiving 1,000 IU/day Vitamin D, vitamin D insufficiency was still prevalent during the second trimester of pregnancy. It seems that a higher dosage of vitamin D is required for pregnant women.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133389559","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":"Maternal Near-miss and its Associated Factors in Governmental Health Centers in Northern Oromia Regional State, Ethiopia","authors":"Bilal Abdulrazak, Fessahaye Alemseged, Zerihun Kura Idossa, Biru Abdissa Mizana","doi":"10.22038/JMRH.2020.42309.1484","DOIUrl":"https://doi.org/10.22038/JMRH.2020.42309.1484","url":null,"abstract":"Background & aim: Maternal near-miss (MNM) is a condition of maternal mortality in which women survive accidentally or by best hospital care. This is useful to examine the excellence of obstetric care. The study aimed to assess MNM and its associated factors in governmental health centers in Northern Oromia, Ethiopia, from September 11 in 2014 to March 30, 2018. Methods: This retrospective record review was conducted in governmental health centers in Sandafa town, from April 10 to May 5, 2018 by reviewing the medical records of 1,667 treated mothers. The study participants were selected through simple random sampling. The data were collected using standard tools by trained data collectors. The data entered into EpiData version 3.1 and analyzed by SPSS version 20. Multiple logistic regressions were used to identify the associations between independent and outcome variables. The variables with P < 0.25 during bivariate analysis were included in the multivariable logistic regression model. Finally, the variables with P ≤ 0.05 were considered the determinants of MNM. Results: In this study, there were 344 (20.6%) MNM cases. The place of residence (AOR=1.4; 95% CI: 1.03-1.81; P=0.031), duration of labor (AOR=6.5; 95% CI: 4.5-9.5; P=0.001), and antenatal care (ANC) visits (AOR=6.53 [4.5, 9.5]; P=0.001) were the factors significantly associated with MNM. Conclusion: The study revealed that the frequency of MNM was high in the study area. The place of residence, duration of labor, and ANC visits were significantly associated with MNM.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116704617","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":"Fertility Issues among Young Cancer Survivors: A Systematic Review","authors":"S. Ghaemi, Abozar Javadipour, S. Heydari, Z. Abasi","doi":"10.22038/JMRH.2020.46943.1576","DOIUrl":"https://doi.org/10.22038/JMRH.2020.46943.1576","url":null,"abstract":"Background & aim: fertility issues after cancer have recently received great attention. This study was designed with the aim of highlighting the impacts of breast cancer treatment on fertility. \u0000Methods: This study is a narrative review. Textbooks and electronic databases including ProQuest, Google Scholar, PubMed, Scopus, Web of Science, Science Direct, and MEDLINE were comprehensively searched for scientific literature. The search strategy was based on these keywords \"Fertility\", \"Childbearing\", \"Breast Cancer Survivorship\", \"Reproductive Issues\". A total of 270 titles and abstracts were recognized through searching. After removing duplicate studies, studies with patients of younger than the reproductive age, and articles with stereotyped results, 30 articles met the specific inclusion criteria of this study. The articles were screened with regard to their titles and types. The abstracts which best fitted the inclusion criteria - which was Medical or biological consequences, premenopausal women or subjects younger than 50 years- were checked for eligibility, and then their full texts were read. To guarantee the consistency of the retrieved information, the data were separately extracted from each study by all the authors, and then standardized tables were provided and discussed. \u0000Results: long-term fertility dysfunctions happen in most patients under cancer treatment, breast cancer survivors of the reproductive age suffered greater distress over cancer-related infertility. \u0000Conclusion: Consultation methods to obtain informations about the risk of treatment on fertility and ways to maintain fertility, should be presented early in the treatment.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131900318","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":"Investigating the Awareness and Attitude of Pregnant Women Visiting Health Centers about AIDS in Salmas, Iran","authors":"Ayda Ghaffarzadeh, Javid Taghinejad, M. Emadi, M. Najafi, A. Esmaeli, Fariba Amiri, M. Ghaffarzadeh","doi":"10.22038/JMRH.2020.48911.1602","DOIUrl":"https://doi.org/10.22038/JMRH.2020.48911.1602","url":null,"abstract":"Background & aim: AIDS is an incurable, due to the presence of a latent viral reservoir, but preventable disease. Measuring awareness and attitudes towards AIDS in different populations in each region seems essential. Considering the vulnerability of pregnant women, this study aimed to investigate the awareness and attitude of pregnant women about AIDS. \u0000Methods: This cross-sectional study was conducted on 200 pregnant women referred to medical centers, clinics, and health centers of Salmas, West Azerbaijan, Iran during eight months of sampling. To collect data self-structured awareness and attitude questionnaires were used. The data was analyzed using chi-square test and Spearman and Pearson correlation coefficient using IBM SPSS [version 24.0]. \u0000Results: The results of the study showed that most of the women surveyed were from the urban population (60%), with high school education (39.5%), with a housewife job (70.5%), and their sources of information, were radio and television (35%). The level of awareness of pregnant women (61.5%) was assessed at the intermediate level. The positive attitude was observed in 76% of respondents. The attitude score did not show a significant relationship with the level of education and job, but it showed a significant relationship with their age. \u0000Conclusion: The level of awareness and attitude of the pregnant women under study was moderate and so relatively adequate. It is expected that with the expansion of scientific knowledge about AIDS, the awareness of people in each society to be increased.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125825519","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":"Effect of Solution-focused Group Counseling Approach on the Happiness of Postmenopausal Women Suffering from Empty Nest Syndrome","authors":"Nazanin Mehrabi, S. Yousefzadeh, Seyed Mohsen Asghari Nekah, A. Saki","doi":"10.22038/JMRH.2020.44554.1534","DOIUrl":"https://doi.org/10.22038/JMRH.2020.44554.1534","url":null,"abstract":"Background & aim: Empty nest syndrome reduces the quality of life and happiness among postmenopausal women, and it seems that counseling is one of the efficient approaches which can be used to manage this problem. Due to the scarcity of research in the field of counseling in postmenopausal women, the present study was conducted to assess the effect of the solution-focused group counseling approach on the happiness of postmenopausal women with empty nest syndrome. Methods: This clinical trial was conducted on 75 postmenopausal women referring to health centers, Mashhad, Iran in 2019 Subjects were selected via convenience sampling and randomly assigned to two groups of solution-focused group counseling and control. In the intervention group, six 90-minute counseling sessions were held on a weekly basis. Data were assessed in two stages before and after the intervention using the Oxford Happiness Questionnaire. Data were analyzed in SPSS software (version 24) using Mann-Whitney, Chi-square, and Fishers' exact test. Results: Based on the results, no statistically significant difference was observed in the mean score of happiness before the intervention (P>0.05). Nonetheless, after the intervention, the mean happiness score in the solution-focused group counseling significantly differed from the mean score obtained in the control group (p <0.001). Conclusion: As evidenced by the obtained results, it can be concluded that solution-focused group counseling can be used to improve the happiness of postmenopausal women due to the statistically significant increase in the mean total happiness score of postmenopausal women underwent this counseling approach.","PeriodicalId":283698,"journal":{"name":"Journal of midwifery and reproductive health","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123354186","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}