Revista gaucha de enfermagem / EENFUFRGS最新文献

{"title":"Effectiveness of digital educational technologies in knowledge acquisition for adolescent health promotion: a systematic review.","authors":"Maria Eduarda Jucá da Paz Barbosa, Victor Andrew da Silva Teixeira, Jayne Ramos Araujo Moura, João Victor Lira Dourado, Paula Suene Pereira Dos Santos, Neiva Francenely Cunha Vieira, Patricia Neyva da Costa Pinheiro, Viviane Martins da Silva","doi":"10.1590/1983-1447.2026.20250389.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250389.en","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the evidence on the effectiveness of digital educational technologies in knowledge acquisition for adolescent health promotion.</p><p><strong>Method: </strong>this is a systematic review of effectiveness conducted in accordance with the JBI Manual for Evidence Synthesis guidelines. The search was performed in the Virtual Health Library (VHL), Scopus, Web of Science, Excerpta Medica dataBASE (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Educational Resources Information Center (ERIC). The analysis included a narrative synthesis and categorization of effectiveness based on effect size and statistical significance, with the risk of bias assessed using the Cochrane Risk of Bias 2 tool.</p><p><strong>Results: </strong>fifteen studies were included, encompassing 14,733 adolescents aged 10 to 19 years. Interventions were primarily conducted in school settings, followed by online, outpatient, and community environments. The main topics addressed included HIV prevention, drug use, pregnancy, and sexually transmitted infections, as well as the promotion of oral, mental, and sexual health. Different modalities were identified, with emphasis on mobile interventions, audiovisual resources, gamification, and interactive multimedia. Interactive and hybrid multimedia interventions, which combine digital elements with in-person support, demonstrated greater impact on knowledge acquisition. In contrast, digital educational technologies based on static or minimally interactive content showed lower effectiveness.</p><p><strong>Conclusion: </strong>digital educational technologies (DETs) demonstrated different levels of effectiveness in enhancing adolescents' knowledge on health promotion, depending on the type of intervention, level of interactivity, and context of implementation. Interactive, multimedia, and hybrid interventions showed greater impact, whereas strategies based on static or minimally interactive content were less effective. It is noteworthy that factors such as inequalities in access to technology and cultural adaptation may influence these outcomes.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250389"},"PeriodicalIF":0.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246128","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":"Knowledge of deaf people about blood donation before and after an educational intervention.","authors":"Josemara Barbosa Carneiro, Francisco Nalberth Santos Silva, Francisco Jardsom Moura Luzia, Paula Marciana Pinheiro de Oliveira, Nelson Miguel Galindo Neto, Lívia Moreira Barros, Maguida Gomes da Silva, Monaliza Ribeiro Mariano Grimaldi","doi":"10.1590/1983-1447.2026.20250363.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250363.en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the knowledge of deaf people about blood donation, before and after the application of an accessible educational video in Libras ((Brazilian Sign Language).</p><p><strong>Method: </strong>A quasi-experimental study, conducted with 32 deaf individuals in two public institutions located in one of the states of Northeast Brazil, between June 2023 and March 2024. The data collection instrument consisted of ten questions about blood donation organized in increasing order of complexity. It was administered at three different time points: pre-test, applied before the intervention; immediate post-test, applied immediately after the intervention; and delayed post-test, applied 15 days later. Data analysis was performed using McNemar and Wilcoxon tests, considering differences significant by p≤ 0.05.</p><p><strong>Results: </strong>A statistically significant difference was identified in the comparison of correct responses between the immediate post-test and the pre-test in three questions: appropriate moment to encourage potential donors (p=0.039), weight and age criteria for blood donation (p=0.013), and types of blood donation (p=0.012). Participants' knowledge improved significantly immediately after the intervention (p=0.010).</p><p><strong>Conclusion: </strong>The educational video enabled deaf participants to acquire information about blood donation immediately after the educational intervention; however, this knowledge was not maintained after 15 days.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250363"},"PeriodicalIF":0.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246609","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, challenges, and recommendations for clinical practice in gestational syphilis: a scoping review.","authors":"Camila Rocha Silveira, Franciela Delazeri Carlotto, Luísa Amanda Krüger, Giulia Chaves Seter, Pedro Paiva Cyntrão, Stela Maris de Jezus Castro, Deise Lisboa Riquinho","doi":"10.1590/1983-1447.2026.20250374.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250374.en","url":null,"abstract":"<p><strong>Objective: </strong>to map the scientific evidence on the approach to gestational syphilis, the sociodemographic profile of pregnant women, and the challenges related to its management and follow-up.</p><p><strong>Method: </strong>scoping review carried out in October 2024 in the following data sources: Virtual Health Library, Latin American and Caribbean Health Sciences Literature, National Library of Medicine, Scopus, Web of Science, and Google Scholar. Original articles in English, Portuguese, and Spanish, covering the period from 2019 to 2024 and addressing gestational syphilis as their main topic, were included. The snowballing technique, recommended by the JBI, was used as a strategy to achieve literature saturation. The studies were organized into three main themes, and content analysis of the data was performed.</p><p><strong>Results: </strong>39 studies were included. Late diagnosis of syphilis during prenatal care and the failure to address sexual partners stand out as persistent challenges. Sociodemographic factors such as Black or Brown race/skin color, low educational level, and difficulties in accessing health services contribute to the persistence of these scenarios.</p><p><strong>Conclusion: </strong>the increase in the incidence of gestational syphilis cases and regional and socioeconomic inequities persists. Failures in the screening and management of the disease were identified, requiring actions in prenatal care and equitable policies.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250374"},"PeriodicalIF":0.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246712","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":"Evidence of validity of an instrument on nurses' knowledge of ostomies in primary care.","authors":"Aline Costa de Oliveira, Sandra Marina Gonçalves Bezerra, Josiane Santos Silva, Daniel de Macêdo Rocha, Jefferson Abraão Caetano Lira, Roxana Mesquita de Oliveira Teixeira Siqueira, Lídya Tolstenko Nogueira","doi":"10.1590/1983-1447.2026.20250364.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250364.en","url":null,"abstract":"<p><strong>Objective: </strong>to develop an instrument to assess nurses' knowledge about the care of intestinal elimination ostomies in Primary Health Care and to gather evidence of content and construct validity.</p><p><strong>Method: </strong>a psychometric study conducted in three stages: theoretical development, evaluation of content validity evidence by experts, and analysis of construct validity and reliability, according to international guidelines for the development of assessment instruments. Eleven expert judges and 190 nurses from Primary Health Care in the capital of Piauí, Brazil, participated. The Content Validity Ratio, exploration factor analysis, and reliability estimates were assessed using Cronbach's Alpha and McDonald's omega.</p><p><strong>Results: </strong>all items showed content validity above the recommended cutoff point (≥0.59). Exploratory factor analysis demonstrated adequacy and structural stability. Reliability estimates were satisfactory (α=0.88; ω=0.87; ORION between 0.72 and 0.90). The final version of the instrument consisted of 33 items distributed across four dimensions, with true or false responses.</p><p><strong>Conclusion: </strong>the results showed satisfactory psychometric properties. The instrument, composed of 33 items distributed across four dimensions, proved to be valid and reliable. It was considered suitable for assessing nurses' knowledge about intestinal stoma care in Primary Health Care.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250364"},"PeriodicalIF":0.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246583","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":"Brazilian patents on prevention of bloodstream infection associated with intravascular devices.","authors":"Diego Felix Carvalho da Silva, Marluce Ambrosio, Priscilla Caroliny de Oliveira, Renata Camargo Alves","doi":"10.1590/1983-1447.2026.20260030.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20260030.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify Brazilian patents related to the prevention of bloodstream infections associated with the use of intravascular devices.</p><p><strong>Method: </strong>A documentary, descriptive, and retrospective study was conducted through the analysis of patents filed with the Brazilian National Institute of Industrial Property (INPI) between 2000 and 2024. Information regarding patent applications, filing dates, applicants, titles, International Patent Classification codes, practical applicability, preventive functionality, type of vascular access, and integration with digital technologies was extracted. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>Thirty-three eligible patents were identified. Patent filings were concentrated between 2011 and 2015 (45.5%), with a mean processing time of 1,067 days and a predominance of invention patents (90.9%) aimed at direct infection prevention, mainly through infusion devices and antimicrobial materials. Most patents were intended for hospital settings (57.6%). Independent inventors accounted for the majority of filings (93.9%), and patent registrations were geographically concentrated in Southeastern Brazil.</p><p><strong>Conclusion: </strong>Patents aimed at the direct prevention of bloodstream infections through infusion devices and antimicrobial materials were identified, with limited participation of academic and healthcare institutions.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20260030"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246674","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":"Nursing interventions for patients with Malignant Hyperthermia in the perioperative setting: a scoping review.","authors":"Amanda Freires Guimarães Corrêa, Rawany Teixeira Carvalho, Thaise Loyanne Felix Dias, Mani Indiana Funez","doi":"10.1590/1983-1447.2026.20250229.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250229.en","url":null,"abstract":"<p><strong>Objective: </strong>To map nursing interventions described in the literature for the prevention and control of Malignant Hyperthermia in the perioperative setting.</p><p><strong>Method: </strong>A scoping review conducted according to the JBI methodology. The search was conducted in the following databases: Virtual Health Library, Medical Literature Analysis and Retrieval System Online, Embase, Cochrane, Cumulative Index to Nursing and Allied Health Literature, and Web of Science. Additionally, an exploratory search and gray literature search were conducted.</p><p><strong>Results: </strong>Fifteen documents were analyzed. Nursing interventions were identified and structured in three phases: (1) Prevention: risk assessment through anesthetic and family history and genograms; (2) Crisis control: diagnostic confirmation, activation of telephone support, clinical stabilization, preparation and administration of dantrolene; (3) Post-crisis: safe transport to the Intensive Care Unit and notification of the adverse event. Coordinated multidisciplinary team action was reported in all phases.</p><p><strong>Conclusion: </strong>A comprehensive set of nursing interventions for the prevention, control, and post-crisis management of Malignant Hyperthermia in the perioperative period was mapped, providing evidence for the implementation of care protocols.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250229"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246559","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":"Video-mediated teaching for the development of competences in cardiopulmonary resuscitation by nursing undergraduates: a systematic review.","authors":"Jordana Luiza Gouvêa De Oliveira, Marcelo Donizeti Silva, Denise Ferreira Gomide Batista, Maria Célia Barcellos Dalri","doi":"10.1590/1983-1447.2026.20250271.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250271.en","url":null,"abstract":"<p><strong>Objective: </strong>To identify the effectiveness of videos as tools for developing clinical competence in cardiopulmonary resuscitation, comparing them with different teaching and learning strategies used in undergraduate nursing education.</p><p><strong>Method: </strong>Systematic review conducted in the PubMed®/Medline®, LILACS, Scopus, CINAHL, and Web of Science databases. Study selection and duplicate removal were performed using Rayyan®, with methodological quality assessment conducted using the JBI and the Medical Education Research Study Quality Instrument. Extracted data were analyzed using descriptive and comparative synthesis across the included studies.</p><p><strong>Results: </strong>A total of 378 studies were identified, of which five composed the final sample. Most studies had good methodological quality. Videos were mainly compared with traditional teaching and clinical simulations. Effectiveness was measured using tests of knowledge, practical assessments using mannequins, and structured checklists. The results indicated comparable performance between methods, with statistically significant differences occasionally found in specific skills and participants' satisfaction levels.</p><p><strong>Conclusion: </strong>Video-mediated teaching proved effective for the development of clinical competence in cardiopulmonary resuscitation, particularly in specific skills, with greater potential when integrated with other strategies. More methodologically robust research is needed, especially regarding attitudinal competencies.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250271"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246572","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":"Challenges in the transition of hospital care for individuals with chronic diseases: a mixed-methods study.","authors":"Letícia Y Castro, Francini De Oliveira Rodrigues, Edgar Noé Morelos-García, Fernanda Dal Maso Camera, Kelly Cristina Meller Sangoi, Adriane Cristina Bernat Kolankiewicz","doi":"10.1590/1983-1447.2026.20250299.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250299.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the transition of care from hospital to home from the perspective of people with chronic diseases and healthcare professionals in a private hospital.</p><p><strong>Method: </strong>A sequential explanatory mixed-methods study conducted in Southern Brazil. The quantitative phase included 166 individuals with chronic diseases assessed after hospital discharge using the Care Transitions Measure. The qualitative phase comprised two focus groups with healthcare professionals (n=9; n=7).</p><p><strong>Results: </strong>The overall evaluation of care transition found them to be unsatisfactory (62.62±9.03). The highest score was observed in Health Management (73.24±10.24) and the lowest in Care Plan (56.12±17.56). Men presented higher scores in Health Management (p=0.008), Care Plan (p=0.005), and overall evaluation (p<0.001). Being in a stable relationship was associated with better Care Plan (p=0.002), and higher educational level with better Medication Understanding (p=0.016) and overall evaluation (p=0.011). The qualitative stage revealed shortcomings in discharge planning, interprofessional communication, and patient and family participation.</p><p><strong>Conclusions: </strong>Care transition was unsatisfactory, indicating the need to improve discharge planning, strengthen interprofessional communication, and enhance patient engagement.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250299"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246105","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":"Advanced practice nurse in intensive care in the Brazilian context: a scoping review.","authors":"Victor Regis de Lima, Tâmara Larryanne Costa Morais, Rafaela Santos Bezerra Candido, Tarcísio Tércio das Neves Júnior, Cláudia Santos Martiniano Sousa, Carlos Jordão de Assis Silva","doi":"10.1590/1983-1447.2026.20220250349.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20220250349.en","url":null,"abstract":"<p><strong>Objective: </strong>to map the scope of practice of advanced practice nurses in intensive care and its applicability in the Brazilian context.</p><p><strong>Method: </strong>a scoping review conducted between September 2024 and February 2025, based on the JBI and PRISMA-ScR guidelines. The search was carried out in PubMed, Virtual Health Library, CINAHL, SCOPUS, BDENF, Web of Science, COCHRANE, and LILACS, in addition to thesis and dissertation repositories. Two independent reviewers selected the studies, and a third resolved disagreements. Data extraction followed a standardized instrument, with descriptive synthesis.</p><p><strong>Results: </strong>a final sample of 20 publications was selected. The advanced practice nurse in intensive care performs invasive procedures, such as central venous catheter insertion, orotracheal intubation, lumbar puncture, and chest tube insertion. Furthermore, the use of advanced technologies and the high level of clinical autonomy of this professional provide effective diagnostic and therapeutic decision-making for the management of critically ill patients.</p><p><strong>Conclusion: </strong>the scope of practice of advanced practice nurses in intensive care, although still incipient, presents perspectives for scientific, autonomous, and highly qualified advancement in the nursing field in Brazil, directly contributing to a responsive and effective healthcare approach. However, the scarcity of regulatory legislation and the lack of standardized and specific training for advanced practice nurses still constitute limitations to their implementation in Brazil.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250349"},"PeriodicalIF":0.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149246748","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":"Tuberculosis case profile by sex and context of the Covid-19 pandemic: São Paulo, Brazil.","authors":"Mariana Gaspar Botelho Funari de Faria, Dulce Gomes, Rubia Laine de Paula Andrade-Gonçalves, Venisse Paschoalin Maurin, Rafaele Oliveira Bonfim, Rebeca Sousa Braga, Ricardo Alexandre Arcêncio, Aline Aparecida Monroe","doi":"10.1590/1983-1447.2026.20250225.en","DOIUrl":"https://doi.org/10.1590/1983-1447.2026.20250225.en","url":null,"abstract":"<p><strong>Objective: </strong>to analyze the profile of pulmonary tuberculosis cases, considering sex and context of the Covid-19 pandemic.</p><p><strong>Method: </strong>a cross-sectional study, covering new tuberculosis cases in the state of São Paulo diagnosed between 2014 and 2024. Data were collected from secondary sources and subjected to absolute and relative frequency analysis. No statistical tests were performed as it involved the entire population.</p><p><strong>Results: </strong>among 147,438 cases, 74% were male. A higher prevalence of diabetes mellitus was observed in females, while in males there was a higher proportion of persons deprived of liberty; use of psychoactive substances; greater access to exams and diagnostic confirmation. After the pandemic period, there was a reduction in people between 18 and 30 years old and those in deprivation of liberty, and an increase in those between 31 and 40 years old and the performance of molecular rapid tests.</p><p><strong>Conclusion: </strong>the persistence of vulnerabilities associated with the male gender and a higher prevalence of diabetes mellitus among women were verified, as well as changes in the profile of reported cases and the expansion of molecular rapid testing due to the pandemic, reinforcing the importance of surveillance and care strategies sensitive to gender, age group, and conditions of vulnerability, seeking to improve the response to tuberculosis.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250225"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138474","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}