Journal of Doctoral Nursing Practice最新文献

{"title":"Increasing the Effectiveness of Depression Screening and Management in Patients With Substance Use Disorder.","authors":"Gabrielle F G Miller, Cassie Belzer","doi":"10.1891/JDNP-2025-0067","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0067","url":null,"abstract":"<p><p><b>Background:</b> Substance use disorders (SUD) are common in depression. When left untreated, depression can result in impairment, reduced treatment adherence, and poor outcomes. A chart audit at an outpatient addiction center revealed a 28% depression screening rate. <b>Objective:</b> This quality improvement initiative aimed to increase the effectiveness of depression screening and management to 90% in 8 weeks in patients with SUD. <b>Methods:</b> Two core interventions were implemented during four 2-week cycles to identify patients with depression and ensure effective care implementation. After each cycle, run charts were analyzed to steer tests of change. The Patient Health Questionnaire (PHQ-9) was utilized to screen and identify patients with depression, and an effective care tool (ECT) was implemented to measure effective care provided. <b>Results:</b> After examining 391 encounters and 236 chart audits, the interventions increased the effectiveness of depression screening and management to 81%. Checklists helped increase screening rates to 95%, and provider huddles increased the effective care score to 95% overall. <b>Conclusions:</b> Implementing the PHQ-9 and ECT increased the effectiveness of depression screening and management and was sustainable through quarterly chart audits. <b>Implications for Nursing:</b> The recommended next steps include company-wide staff training with mandatory modules, systematizing workflow, embedding electronic PHQ-9 forms into the electronic medical record, creating electronic prompts, training center managers on routine chart audits utilizing the ECT, and creating an online depression toolkit to scale the framework to other clinics.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196995","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":"Advancing Global Health Initiative Through Pediatric Vitamin A Supplementation.","authors":"Tenica K Watt, Erica A Alessandrini, Suzanna Fitzpatrick, Renee Franquiz, Taylor Jones-Swing, B Elias Snyder","doi":"10.1891/JDNP-2025-0082","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0082","url":null,"abstract":"<p><p><b>Background:</b> Malnutrition, particularly vitamin A deficiency, affects approximately 49% of children aged 6-59 months in sub-Saharan Africa, increasing the risks of morbidity, mortality, poor growth, and preventable blindness. Tanzania has followed the World Health Organization's (WHO) guidelines for biannual vitamin A supplementation (VAS) since 2004, but rural access remains limited. A preliminary assessment at a rural Tanzanian day care showed only 29% VAS coverage, indicating a substantial gap in coverage. <b>Objective:</b> To improve nutritional health among children aged 6-59 months through a comprehensive VAS program at a local day care in Tanzania. <b>Methods:</b> An interdisciplinary team coordinated structural and workflow changes, secured the supplement through established partnerships, and administered it to all 21 eligible children per WHO protocols. <b>Results:</b> All 21 eligible children enrolled in the day care received their initial dose of VAS at implementation. VAS was sustained at 100% among 29 children, including the 21 original children and 8 newly enrolled. <b>Conclusions:</b> A structured, community-based supplementation program in rural Tanzania successfully addressed critical gaps in vitamin A access for children aged 6-59 months. <b>Implications for Nursing:</b> This quality improvement project demonstrates the feasibility of global health collaboration through strategic planning, stakeholder engagement, and context sensitivity to improve child health outcomes.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197063","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":"Evaluating a CBT-I Intervention in Older Adults.","authors":"Jamie Sikora, Jill Brennan-Cook, Monika Downey, Donald E Bailey","doi":"10.1891/JDNP-2025-0076","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0076","url":null,"abstract":"<p><p><b>Background:</b> Insomnia negatively impacts quality of life and is associated with increased morbidity and mortality. Although national guidelines recommend cognitive behavioral therapy for insomnia (CBT-I), providers serving those 65 years of age and over may not have the expertise or resources to provide this treatment option. <b>Objective:</b> This study aimed to implement a brief online group CBT-I to adults 65 years of age and over, consisting of 4-week, 1-hour CBT-I classes at a virtual practice. <b>Methods:</b> The Insomnia Severity Index questionnaire was used to assess insomnia. A sleep diary was used to record an individual's quality and quantity of sleep to understand sleep patterns. A satisfaction survey was used to collect feedback on providers' experiences and perceptions during this quality improvement project. <b>Results:</b> The 17 patients evaluated had a mean CBT-I score of 22.53 (standard deviation [<i>SD</i>] = 2.57) preintervention and 14.88 (<i>SD</i> = 3.01) postintervention (<i>t</i>[16] = 10.51, <i>p</i> < .001). The mean difference of 7.65 (95% confidence interval [6.11, 9.18]) indicated a substantial reduction in insomnia symptoms. The effect size was large, with a Cohen's <i>d</i> of 2.48, indicating a strong impact of the intervention on reducing insomnia symptoms. <b>Conclusions:</b> A brief cognitive behavioral intervention for patients with insomnia in a practice serving those 65 years of age and over is feasible. Additional studies are needed to determine whether this type of intervention can be used to improve patient care or patient outcomes at other practices serving older adults.Implementation of nurse-supported cognitive behavioral therapy for insomnia (CBT-I) in primary care practices serving older adults may reduce insomnia severity and improve health-related quality of life through individualized education, behavioral guidance, and ongoing support.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197045","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":"Where Are We the Ethics Education in Nursing? A Bibliometric Analysis.","authors":"Ramazan Bozkurt, Özlem Doğu, Nasibe Yağmur Ziyai","doi":"10.1891/JDNP-2025-0111","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0111","url":null,"abstract":"<p><p><b>Background:</b> Professional ethical principles are fundamental to nursing practice, and ethics education is therefore embedded as a continuous component throughout nursing education. <b>Objective:</b> This study aims to present a bibliometric and scientific mapping analysis of nursing ethics education research. <b>Methods:</b> Web of Science and Scopus databases were searched for the keywords \"ethic* education,\" \"nurs*,\" and similar terms, and 514 documents published between 1964 and 2024 were analyzed. Bibliometric indicators were analyzed using the Bibliometrix package in the R programming language. <b>Results:</b> The analyzed publications were authored by 1,459 researchers and disseminated across 238 journals. The United States emerged as the most productive country, contributing 104 publications. An overall annual growth rate of 5.03% was observed, indicating a steady increase in scholarly interest in nursing ethics education. <b>Conclusions:</b> Research on ethics education in nursing demonstrates sustained academic attention alongside evolving thematic and methodological trends. Emerging technologies present new opportunities to diversify pedagogical approaches and strengthen the integration of ethics into nursing curricula. <b>Implications for Nursing:</b> Ethics education plays an important role in the formation of nurses' professional identity and in strengthening the patient-centered clinical decision-making process. Therefore, ethical values must be integrated into curricula and professional development programs at all levels.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197047","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":"Virtual Reality to Decrease Child Anxiety With Allergy Testing.","authors":"Isabella Cortes, Cynthia L Foronda, Jennifer Gebbia, Thomas Merrick, Gary Kleiner","doi":"10.1891/JDNP-2025-0073","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0073","url":null,"abstract":"<p><p><b>Background:</b> Allergy testing is typically performed as a skin prick test. This test can cause pain and anxiety in children. <b>Objective:</b> The goal of this project was to improve the patient experience during allergy testing. <b>Methods:</b> This quality improvement project employed a pretest-posttest design to assess pediatric anxiety levels before and after exposure to virtual reality (VR). <b>Results:</b> There was a significant decrease in anxiety scores pre- to post-VR implementation. Anxiety scores of patients who wore VR were significantly less than when VR was not used (<i>M</i> = 2.29 vs. 5.43). Anxiety scores demonstrated a greater decrease with VR in the 4-9 years old age group (<i>M</i> = 5 vs. 1.33) compared with the 2-3 years old age group (<i>M</i> = 5.75 vs. 3). Patients wore the VR headset from 1 to 10 minutes, with a mean time of 4.07 minutes. The 4-9 years old age group stayed engaged longer in the VR headset (7 minutes) versus the 2-3 years old age group (1.88 minutes). Satisfaction scores were high among caregivers and patients. Staff reported feeling between neutral and highly satisfied. <b>Conclusions:</b> This project suggested the use of VR during allergy testing reduced anxiety. <b>Implications for Nursing:</b> VR may be a useful nonpharmacological intervention for nurses to use during allergy testing to improve the patient and family experience.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197008","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":"Impact of Early Versus Publicly Funded Adoption of Flash Glucose Monitoring on Metabolic Outcomes and Self-Care in Type 1 Diabetes.","authors":"Laura Cervantes-Torres, José Ramón Muñoz-Rodríguez, María Dolores Onieva-Zafra, Cristina Romero-Blanco","doi":"10.1891/JDNP-2025-0070","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0070","url":null,"abstract":"<p><p><b>Background:</b> Flash glucose monitoring (FGM) technology has transitioned from private acquisition to universal public subsidization. <b>Objective:</b> This study examined changes in metabolic outcomes and self-care behaviors associated with the timing of FGM adoption. <b>Methods:</b> An observational, pre-post study was conducted with 206 adults with type 1 diabetes (representing 91.2% of the local health area population). Participants were categorized into \"early adopters\" (prior private use) and \"post-funding adopters\" (initiation after public subsidy). Clinical data and Self-Care Inventory-Revised (SCI-R) scores were analyzed over a 1-year follow-up period. <b>Results:</b> After 1 year, both cohorts demonstrated significant improvements in glycosylated hemoglobin (HbA1c) and basal glycemia. Early adopters maintained superior glycemic profiles compared with the post-funding group (HbA1c: 6.86 ± 0.77 vs. 7.77 ± 1.24; <i>p</i> < .001). Post-funding adopters showed statistically significant pre-post changes in lipid profile and creatinine levels. While global SCI-R scores improved for all participants, scores for exercise and preventive behaviors remained suboptimal and showed no significant change. <b>Conclusions:</b> Early adoption of FGM is associated with sustained metabolic advantages. However, the persistence of low scores in exercise and prevention, regardless of technology use, underscores the critical need for targeted nurse-led interventions in primary care to address lifestyle-based self-management gaps. <b>Implications for Nursing:</b> The study shows that flash glucose monitoring (FGM) is associated with improved metabolic control and self-care adherence in people with type 1 diabetes. These findings may contribute to improving clinical practice, particularly nursing care and diabetes management. They may also support greater access and funding for glucose monitoring technologies. Further research is needed to address exercise promotion and self-care education in this population.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197054","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":"A Clinical Decision Support Model for Early Ovarian Cancer Detection in Rural Practice: A Quality Assurance Project.","authors":"Petrina Harrison, Carolyn Montgomery, Bonnie Vest","doi":"10.1891/JDNP-2026-0001","DOIUrl":"https://doi.org/10.1891/JDNP-2026-0001","url":null,"abstract":"<p><p><b>Background:</b> Ovarian cancer is the deadliest gynecological malignancy, often diagnosed at advanced stages due to vague symptoms and lack of standardized screening. Rural populations face limited access to specialty care, delayed referrals, and reduced availability of diagnostic resources. <b>Objective:</b> The purpose of this quality assurance project was to propose the implementation of a workflow informed by a clinical decision support system (CDSS) to support earlier identification, risk stratification, and referral for patients at increased risk for ovarian cancer. <b>Methods:</b> A retrospective chart review was conducted of 13 female patients aged 18-80 years diagnosed with ovarian cancer at a rural gynecology clinic between January 2022 and December 2023. Findings were analyzed using Avedis Donabedian's structure-process-outcome framework to identify gaps in care delivery. <b>Results:</b> Of the participants, 69.2% were aged 50 years or older. Obesity was present in close to 70%, and approximately 23% were positive for BRCA1/2 pathogenic variants. Additionally, 69.2% presented with symptoms, and 69.2% were diagnosed with advanced-stage disease (Stage III-IV), highlighting missed opportunities for early detection. <b>Conclusions:</b> The findings highlight the need for standardized diagnostic workflows to improve the timeliness of ovarian cancer identification and referral. <b>Implications for Nursing:</b> Based on retrospective chart review findings, a proposed CDSS workflow was developed to guide early identification and referral in a rural gynecology clinic.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196992","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":"A Retrospective Chart Review of Tirzepatide and Semaglutide Use in Prediabetes Management and Cardiometabolic Outcomes in a Rural Primary Care Setting.","authors":"Anna B Holland, Mudasir S Andrabi, Susan J Appel, Alan B Walker","doi":"10.1891/JDNP-2025-0064","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0064","url":null,"abstract":"<p><p><b>Background:</b> Prediabetes and obesity are highly prevalent conditions associated with increased risk of progression to type 2 diabetes (T2DM) and cardiovascular disease. While clinical trials demonstrate the efficacy of glucagon-like peptide-1 and dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 receptor agonists, limited evidence exists in routine primary care, particularly in rural populations. <b>Objective:</b> This review aimed to examine associations between tirzepatide and semaglutide use and changes in glycemic status and cardiometabolic risk factors among rural-dwelling adults with prediabetes treated in a single rural primary care clinic. <b>Methods:</b> A retrospective chart review was conducted among 40 adults with prediabetes and overweight or obesity treated for 3-24 months with semaglutide or tirzepatide. Primary outcomes included body mass index (BMI) and hemoglobin (A1c). Secondary variables included blood pressure (BP), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides. <b>Results:</b> Significant improvements were observed in A1c, BMI, systolic and diastolic BP, LDL, and triglycerides (<i>p</i> < .001). All participants achieved normoglycemic A1c levels. No significant changes were observed in HDL levels. <b>Conclusions:</b> In this rural primary care setting, treatment with tirzepatide or semaglutide was associated with improvements in glycemic control and cardiometabolic risk factors. Findings should be interpreted cautiously due to the observational design and potential confounding factors. <b>Implications for Nursing:</b> Nurse practitioners are positioned to advocate for and implement pharmacological therapies for early management of prediabetes. Providers can drive meaningful changes in T2DM prevention and cardiometabolic health optimization.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197033","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":"An Evidence-Based Approach to Nonpharmacological Blood Pressure Management Among African Americans.","authors":"Whitney Caples, Jeffery Wade Forehand, Kristen Williams, Jacquelyn Lyon Smith, Rebecca Allen-Jones","doi":"10.1891/JDNP-2025-0094","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0094","url":null,"abstract":"<p><p><b>Background:</b> African Americans (AAs) are at increased risk of developing hypertension (HTN), which can lead to increased health care expenditures, related comorbidities, and mortality. <b>Objective:</b> This pilot study aimed to determine if receiving faith-based health education in a Southern Baptist setting would influence AAs' self-care behaviors and blood pressure (BP) management. <b>Methods:</b> A sample of 21 AA participants with self-reported HTN was recruited from a Southern U.S. Baptist church to participate in a one-group pretest-posttest study. The intervention consisted of 6 weekly 60-minute educational sessions utilizing American Heart Association education, biblical references, meditation, and inspirational messages. BP readings and pre- and post-survey responses on the Hypertension Self-Care Activity Level Effects were analyzed. <b>Results:</b> Results demonstrated that both systolic and diastolic BP measurements were reduced. Five of the six self-care behavior subscales also demonstrated improvement in lifestyle management. <b>Conclusions:</b> Healthy self-care habits related to HTN can be shaped by health promotion initiatives provided in a church setting. <b>Implications for Nursing:</b> This pilot study confirms that there is evidence that suggests a positive relationship exists between faith, health, and improved self-care behaviors among AAs.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196999","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":"Implementing Community-Based Medication-Assisted Recovery for Opioid Use Disorder.","authors":"Evan Skinner, Manju Daniel","doi":"10.1891/JDNP-2025-0095","DOIUrl":"https://doi.org/10.1891/JDNP-2025-0095","url":null,"abstract":"<p><p><b>Background:</b> Opioid Use Disorder (OUD) is a significant problem facing many Americans. In Chicago, approximately 67,000 suffer with OUD and the city noted a 40% increase in overdose deaths in 2022. Community based recovery homes for formerly incarcerated people often encounter residents with OUD. Frequently, OUD services are only available off-site. <b>Objective:</b> Following baseline symptom reporting and OUD assessment, participants began buprenorphine-naloxone treatment on site. Drug and alcohol counseling continued. Improvements in symptoms and behaviors were key targets for this intervention, re-assessed at 90 days. <b>Methods:</b> This pilot study was conducted by the author at a recovery home for formerly incarcerated men. Eligibility criteria were male residents with OUD who were willing to participate in the intervention. Five residents met the inclusion criteria. Evaluation occurred viachart audits and a pre- and posttest three-point Likert scale survey. <b>Results:</b> Three participants completed treatment in the observation period. Two departed the intervention early. The survey and attendance records provided insight into intervention effectiveness. 50% of the participants reported an improvement in cravings. No change was seen in abstinence reporting. Excluding two early departures, those enrolled in treatment had excellent attendance for counseling therapy. <b>Conclusion:</b> The results suggest potential for an enhancement of on-site services offered by a community recovery home that serves formerly incarcerated people with a history of OUD. A centralized Medication Assisted Recovery (MAR) program has the potential to remove barriers to accessing abstinence therapy, reducing illicit use, and eliminating interruptions to recoveryobjectives. <b>Implications for Nursing:</b> This intervention could positively modifiy social determinants of health and reduce barriers to health care access. Ultimately, positively structuring an environment that is supportive of recovery facilitates a health and productive life.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197065","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}