Central African Journal of Public Health最新文献

{"title":"Utilization of Antenatal Care Services Among Pregnant Mothers in Wadajir District, Banadir Region-Mogadishu Somalia","authors":"Hussein Shire Jimale, Ali Sheikh Mohamed Omer, Adan Mahdi, A. M. Ahmed","doi":"10.11648/J.CAJPH.20200606.11","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20200606.11","url":null,"abstract":"Antenatal care contributes to good pregnancy outcomes and often times benefits of antenatal care are dependent on the timing and quality of the care provided. Antenatal care is necessary to establish confidence between the woman and her health care provider, to individualize health promotion messages, and to identify and manage any maternal complications or risk factors. In low and middle income countries, complications of pregnancy and childbirth are the leading cause of death in women aged 14–49 years. This study aimed at determining the level of utilization of antenatal care services among pregnant mothers in Wadajir district, Banadir region, Somalia. Ethical clearance was sought from Benadir University Ethics committee, consent was sought from respondents and confidentiality was maintained by not using any form of identification. Methodology: The study adopted a community based cross-sectional study design. The target population consisted of all pregnant mothers aged 14 years to 49 years within Wadajir district. Data collection instruments was researcher administered questionnaires. The questionnaire was administered to the pregnant mothers who met the inclusion criteria. Data collected was coded and entered into the computer for analysis using STATA version 12.0. Results of the study were summarized using percentages, tables and charts. Chi-square statistics were used to test for strength of association between the research variables and the relationship between the dependent and independent variables under study. Results: The study established that source of income (OR 4.312500, P value 0.0181), person living with the pregnant mothers (OR 4.312500, P value 0.0181) and marital status (OR 1.8, P.value 0.0478) were significantly associated with ANC utilization. About 29.0% of the respondents had visited ANC at least once and above for checkup while 29.7% had never visited ANC clinics. Only 18.9% of the pregnant mothers managed the recommended 4 and above ANC visits. Number of Pregnancies (Gravida), (OR 2.2, P-value 0.0029), pregnant mother complications during pregnancy (OR 4.312500, P value 1.8), influenced utilization of ANC services by pregnant mothers. Conclusion: There is law percentage of pregnant mothers having at least four ANC and above visits (18.9%) as recommended by WHO, this indicates low utilization of antenatal care services. This study recommends customized ANC services targeting pregnant mothers to be established to increase utilization of ANC by pregnant mothers in Wadajir district. Stakeholders should come up with specific efforts towards enhancing staff motivation through introduction of incentives and better working environment.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129003072","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":"Factors Influencing Contraceptive Use Among Rural Women in Ijero – Local Government Area of Ekiti - State, Nigeria","authors":"Awogbami Stephen Olalekan, Ogunrinde Modupe Elizabeth, Adewumi Michael Onasanmi, A. Omotola, S. Oluseyi","doi":"10.11648/j.cajph.20200604.13","DOIUrl":"https://doi.org/10.11648/j.cajph.20200604.13","url":null,"abstract":"This study was designed to essentially determine the relationship between socio-demographic factors and contraceptive use. This was with the view of identifying existing barriers to contraceptive use in the county. The study adopted a community-based, descriptive cross-sectional study. The target population was women of reproductive age, 15 to 49 years living in Ijero Local Government Area of Ekiti State. Using the sample size calculation formula, a sample of 250 women was randomly selected for the study. Data was collected using questionnaires translated and back-translated between the English and the local Yoruba language. Data analysis was performed using SPSS version 20 to generate descriptive and inferential statistics such as contingency tables and bar charts. Chi square was used to find relationship between non parametric variables by testing for association at 5% (p=0, 05) level of significance. Key findings of the study reveals that respondents were young adults and largely in their reproductive age span, more than three-quarters were Christian, more than two-fifths have secondary school education; 76.8% of the sample were working; nine out of every ten women have heard about contraceptives, many respondents have used at least one type of conceptive method, Injections method was the most popular conceptive method among the respondents, and more than 30.4% of the respondents heard about contraceptives through television. Results further show that: women have considerable knowledge on different aspects of the modern contraceptives, 89.6% of women were of the view that modern contraceptive prevents unwanted pregnancy; 39.2% perceived modern contraceptive as something that can boost husband fidelity (39.2%); the most common negative effect of modern contraceptives reported is irregular menstruation among the users; and women in the study area have used injections (22%) and condoms (20.8%) more than any other modern contraceptive methods.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131046791","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 Effect of Social Health Issues on Postpartum Depression: Analysis from a Community Sample in Ghana","authors":"A. Cadri, Abdul Aziz Nagumsi Bonyo, Aboagye Gyan Richard, Augustine Adomah-Afari","doi":"10.11648/J.CAJPH.20200602.16","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20200602.16","url":null,"abstract":"Background: Postpartum depression is a mild mental or behavioural disorder that usually commences few weeks after delivery. Even though some studies have identified the association between postpartum depression and socio-demographic factors, no study has explored the association between stressors in women’s life after birth and postpartum depression. Aims/objectives: This study aimed to assess the population prevalence of postpartum depression among women in the Hohoe Municipality, the prevalence of stressful life events and social health issues they experienced, and its association with postpartum depression. The coping strategies they adopted to enable them move on were also examined. Method: Analytical cross-sectional study design using quantitative techniques was employed in achieving the objectives of this study. A total of 172 participants who were between five and twelve weeks postpartum were recruited to respond to a structured questionnaire. The Edinburgh postnatal depression scale was used to measure depression. The 28 item Brief Cope Scale was used to examine the coping strategies postpartum depressed women adopted. Data were analysed using Stata version 14. Logistic regression model was used to test for association and statistical significance was tested at p<0.05. Results: The prevalence of postpartum depression among the women in the study was 32.6%. More than half of the respondents (64.5%) reported experiencing stressful life events or social health issues after birth with 30.2% of them reporting one or two and 34.3% of them reporting to have experienced three or more stressful life events. Odds were raised in women who reported one or two (AOR=6.01, 95%CI=1.57-22.99) and three or more (AOR=32, 95%CI=8.33-124.06) stressful life events or social health issues than those who did not experience any social health issue; and the difference was statistically significant (p <0.05). Conclusion: The findings of the study indicated that the prevalence of postpartum depression was 32.6%. Moreover, 64.5% of the women reported to have experienced some stressful life events. Experience of social health issues was found to be significantly associated with postpartum depression. There is the need for policy makers and healthcare practitioners to develop interventions that would comprehensively cater for the psychological health and wellbeing of postpartum mothers; and education on the right coping strategies.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124643015","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":"Spatial-temporal Analysis of Tuberculosis Incidence in Burundi Using GIS","authors":"Prosper Masabarakiza, M. Hassaan","doi":"10.11648/j.cajph.20190506.19","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.19","url":null,"abstract":"Tuberculosis is one of the most contagious diseases that has been present for over 5000 years and it is still one of the most significant public health problems. This paper is intended to employ GIS in analyzing spatial variations of tuberculosis incidence in Burundi highlighting the main hot spots. Also, the paper aims to evaluate the temporal changes of TB incidence during the period 2009-2017 and guide the resource allocation. For this purpose, data on tuberculosis incidence at both province and health district level were analyzed. Data on incidence rate of TB and demographic data were collected at province level. Also, data on cases of TB recorded at health district level were acquired. The collected data were analyzed at both temporal and spatial scale. Temporal analysis involved identifying the various trends of TB incidence rate in various Burundi provinces during the period 2009-2017. Spatial analysis comprised mapping spatial variations in TB incidence rates and their trend over the period 2009-2017 and TB incidence at health district level. Moreover, Hot Spot analysis was performed to delineate those districts of statistically significant hot spots in TB incidence in Burundi. The temporal analysis of TB incidence rate, at province level, revealed that during the period 2009-2017, Burundi provinces have experienced varied trends of TB incidence with an annual change rate ranging between (-32.9) and (+5.22) in case of TB in all clinical forms and between (-12.2) and (+1.1) in case of Pulmonary TB. TB incidence rates were found to be positively correlated with proportion of urban population and population density. Meanwhile, spatial analysis of TB cases, revealed that eastern parts of Burundi have been experiencing relatively low incidence rates of TB compared to other parts of the country. This was highlighted by Hot Spot analysis that revealed a tendency of Pulmonary TB cases to be clustered and a hot spot in Pulmonary TB incidence was clearly distinguished in western parts of Burundi. Spatial temporal analysis highlights the potentials of GIS in recognizing trends and spatial pattern of such a disease and may support designing and implementing control programs and guide the resource allocation.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129568190","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":"Diarrhea Risk Factors Associated with Water, Sanitation and Hygiene Among the Under Five in Kasarani, Nairobi County","authors":"H. Kimani, D. Akunga, S. Anyango, T. Ndwiga","doi":"10.11648/j.cajph.20190506.18","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.18","url":null,"abstract":"Provision of quality water continues to be a challenge in the developing Counties particularly in the informal settlements and Kenya is not an exception. This study assessed diarrhea disease attributable to water, sanitation and hygiene (WASH) among the under five in Kasarani, Nairobi County. The main objective of this study was to establish the association between diarrhea among the under five and Water, Sanitation and hygiene. To achieve this goal Kasarani was categorized into four study environs namely low density high income, Medium density middle income, high density low income and informal settlement low income. Structured questionnaire and hygiene checklist were used as data collection instruments. Association and significant differences between variables were determined using inferential statistics and Chi-square tests. To compare quantitative variables (ANOVA) test was preferred. This study determined that water consumed in Kasarani was a risk for childhood diarrhea (p=0.019). Tap water showed a significantly higher contamination 13.7% than household water container 7.2% for T. Coli Bacteria. The amount of water a household consumed per day was an important risk factor for childhood diarrhea (P=0.001). Overall, Age of a child (P=0.046), water treatment method (P=0.002), method of storage of solid waste P<0.001, quantity and frequencies of water supply (P<0.001) were also found to be the most important risk factors for childhood diarrhea. The study concluded that there was a relationship between childhood diarrhea and water, sanitation and hygiene in Kasarani. The study recommended that Nairobi water and Sewerage Company institute programs that will facilitate adequate and wholesome water supply to HDLI and ISLI residential environs respectively.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116083579","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":"Effects of Second Hand Smoking on the Health of School Children in Awendo, Kenya","authors":"E. Mwaniki, J. Waswa","doi":"10.11648/j.cajph.20190506.17","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.17","url":null,"abstract":"Exposure to secondhand smoke (SHS) can cause diseases and deaths among children. Yet children continue to be exposed especially among the low income countries. Epidemiological evidence shows that children of smoking parents have increased risk of neuro-behavioral deficits, neurodevelopmental deficits and childhood cancer. The aim of this study was to find out if children living in low-income countries are still exposed to SHS and its additional burden on the health and school absenteeism among children in the rural setting. A cross-sectional survey was conducted in February-March 2016. A 2-stage cluster-sample design was used to obtain a representative sample (N=600) of private and public primary day school students year 7 and 8 (aged 12-15 years old) in Awendo. A higher proportion (55.5%) of the younger children lived with one or more than two smokers in the home. A modest proportion of children reported complete restriction of smoking at home. The risk of Asthmatic attack increased by more than three fold and more than ten fold among children living with one smoker and among those living with more than two smokers respectively. Smoking has been associated with poor dietary intake, in this case children living with smokers were found to be significantly malnourished. Successful smoking cessation among residents living with children could contribute to decreased asthmatic attacks, malnutrition and school absenteeism.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122515432","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":"Epidemiology of Trachoma in Health District of Fria in 2014","authors":"A. Sylla, S. Bakayoko, Pierre Louis Lamah, Alexis Ouendouno, A. Sylla, A. Goepogui, Rodrigue Rodrigue Elien Gagnan Yan-Zaou-Tou, Rahim Cheikh Nagnan Diabate, J. Théra","doi":"10.11648/j.cajph.20190506.16","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.16","url":null,"abstract":"Introduction: Trachoma is a chronic keratoconjunctivitis caused by Chlamydia trachomatis bacteria. An epidemiological study was conducted in 2014 in the Health District of Fria (Northern Guinea province) to assess the prevalence of active and scar trachoma in a suspected endemic area of approximately 120-135 inhabitants. This is a transversal, descriptive, clustered survey of a representative sample of the population according to the standard protocol recommended by the World Health Organization (WHO). The clinical review of target populations was conducted according to WHO codification. Of the 3173 subjects recorded, 3159 subjects consented to be examined or an examination rate of 99,55%. The prevalence of active trachoma was 8.67% (CI at 95% = 7.2 – 10.4). The prevalence of scar trachoma was 0.21%. The principal sources of water for households are surface water (41%) and drilling water (41%). The prevalence of active and scar trachoma, risk factors are discussed. In our study, trachoma appeared as a public health problem in the health district of Fria. The prevalence of active and scar trachoma is approaching WHO limit. Poor hygiene was the main risk factor. The implementation of the different components of the strategy SAFE in this locality is a necessity.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127443414","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":"Approaches to Improve the Occupational Health and Safety in the Construction Industry of Windhoek, Namibia","authors":"Nghitanwa Emma Maano","doi":"10.11648/j.cajph.20190506.14","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.14","url":null,"abstract":"Globally, the construction industry is regarded as a very dangerous industry due to the labour-intensive nature of the work resulting into a high rate of occupational accidents, injuries, diseases and fatalities. In Namibia, the Occupational Health and Safety (OHS) status of workers in construction industries remains a challenge primarily due to the dearth of studies that investigate the health and safety of workers. The objectives of this study were to investigate the status of occupational health and safety in the construction industry in Windhoek, Namibia, with a view to recommend interventions that would improve occupational health and safety of workers in the targeted sector. A quantitative, descriptive study design was conducted among 549 participants from 13 construction sites that were operating at the time of conducting the study. Data were collected by means of an interviewer led questionnaire. SPSS version 23 was used to analyse data. The study identified a number of different approaches to be provided on construction industry for OHS improvement such as OHS programme implementation, training of workers on OHS aspects, provision of medical services to construction workers, adequate provision of welfare facilities, and Personal Protective Equipment (PPE) provision. The study has proven that there is a need to improve the OHS in the construction industry to prevent occupational accidents, injuries, fatalities and diseases. The practical guidelines were developed which could be useful if implemented in construction sites to improve the OHS in the construction industry.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115372595","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":"Determinants of Neonatal Mortality in the Health Districts of Labe, Mamou, Faranah and Kankan","authors":"D. Sory, D. Sory, Camara Yero Boye, Diallo Thierno Saïdou, Conte N’faly, Koulibaly Mamadou Korka, C. Moussa, Kaba Djèney Fadima, Daffe Mamadi","doi":"10.11648/j.cajph.20190506.13","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.13","url":null,"abstract":"Neonatal mortality is still a real public health problem in Guinea. Indeed, despite the remarkable progress made in the country, neonatal mortality is still high: 20 per 1000 live births (1). Regional disparities are significant, with the regions of Mamou (32‰), Faranah (28‰), Labe (26‰) and Kankan (26‰) being the most affected. Objective: To determine the main factors related to neonatal deaths in the Faranah, Mamou, Labe and Kankan regions. This is a descriptive qualitative study that examines the perspectives of health service users, local decision-makers and providers on the causes of neonatal mortality in the Labe, Mamou, Faranah and Kankan regions. The main direct medical causes of neonatal mortality cited by participants were: prematurity, neonatal infections, low birth weight, hypoglycemia, hemorrhagic diseases of the newborn. This workshop concluded that neonatal mortality depends on a multitude of economic, political, socio-cultural and health factors, all of which endanger the lives of newborns.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133351097","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":"Contribution of Completed Modified World Health Organization Partograph on Maternal and Foetal Mortality Reduction in Health Facilities in Makueni County, Kenya","authors":"Urbanus Mutiso Muthusi, Mokua Gladys Nyamoita, Macharia Stephen","doi":"10.11648/j.cajph.20190506.11","DOIUrl":"https://doi.org/10.11648/j.cajph.20190506.11","url":null,"abstract":"Background: Maternal and foetal mortality is one of the major health problem facing low income countries as compared to the high income countries. This burden is mostly felt in sub Saharan Africa and Southeast Asia where 99% of the global burden of maternal death is found. The World Health Organization (WHO) promotes partograph use in the monitoring and management of mothers in labour enabling timely decision-making regarding interventions to be undertaken. Objective: To assess the relationship between complete modified world health organization partograph and maternal and foetal outcomes in health facilities in Makueni County, Kenya Methods: This was a cross sectional study design. The study used a structured questionnaire to collect data from the partographs retrospectively. Data analysis was done using SPSS version 20.0 and chi-square tests were used to assess the relationship of variables. The cut off point for the level of significance was 0.05. Phi and Cramer’s V test was used to determine the strength of association Findings: Descriptive statistics and frequency tables were used to describe the extent to which the partograph was used. The use of partograph had effects on both foetal and maternal outcomes. The study established method of delivery had a significance association with foetal monitoring (foetal heart rate, liquor, and moulding), labour progress monitoring (descent, contractions and cervical dilatation) and referral monitoring at α = 0.05. The study also found significant association between foetal outcome and contraction, gravidity, parity, foetal heart rate and moulding at α = 0.05. Conclusion: There is a significant association between maternal, foetal outcomes and labour progress and partograph completeness in Makueni County. The study therefore recommends increased mobilization and routine check by supervisors to ensure partographs are filed on time and hospitals to embrace training programme to enable midwifery care-providers acquire relevant skills to complete partographs during the labour process.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121112975","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}