Nursing Reports最新文献

{"title":"Exploring the Opportunities and Challenges of Healthcare Innovation in UK Higher Education: A Narrative Review.","authors":"Renske Emicke, Ashley Shepherd, Dylan Powell","doi":"10.3390/nursrep15050171","DOIUrl":"10.3390/nursrep15050171","url":null,"abstract":"<p><p><b>Background</b>: The healthcare sector is under increasing pressure due to an ageing population, rising multimorbidity, and a projected global workforce shortage of 10 million by 2030. It is becoming increasingly apparent that addressing these challenges requires more than simply increasing workforce numbers-it necessitates a shift towards innovative practices in healthcare education. Higher education (HE) plays a crucial role in preparing future healthcare professionals, yet embedding innovation within HE presents challenges such as resistance to change, resource limitations, and difficulties in interdisciplinary collaboration. This review explores the barriers and opportunities associated with fostering innovation in HE health programmes. <b>Methods</b>: This narrative review explored the recent literature on innovation in healthcare HE, examining national policies, institutional strategies, and emerging technological advancements. It describes the impact of digital learning tools, simulation-based education, artificial intelligence (AI), and interprofessional education (IPE) on student learning outcomes and workforce preparedness. <b>Results</b>: Findings suggest that while digitalisation and AI-driven innovations offer opportunities to enhance HE health programmes, their effectiveness is dependent on appropriate pedagogical integration and resource. Challenges include upskilling workforce to new more modern methods, ensuring equitable access to digital resources, and maintaining a balance between technological innovation and traditional face-to-face learning. <b>Conclusions</b>: To embed innovation effectively within healthcare HE, institutions may need to prioritise interdisciplinary collaboration, entrepreneurial thinking, and sustainable funding models. While technology is key to modernising education, it should be implemented alongside evidence-based pedagogical strategies to ensure meaningful learning outcomes and long-term workforce preparedness.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Steps to Adapt the Medication Administration Error Survey in Highly Specialised Units-Polish Perspectives.","authors":"Katarzyna Kwiecień-Jaguś, Wioletta Mędrzycka-Dąbrowska, Monika Kopeć","doi":"10.3390/nursrep15050173","DOIUrl":"10.3390/nursrep15050173","url":null,"abstract":"<p><p><b>Background and Objectives:</b> Medication errors are a critical issue in healthcare systems worldwide, contributing to significant patient harm, with studies indicating that medication-related incidents are among the most common causes of adverse events in medical practice. There are between 80 and 200 steps in providing a single patient with a single dose of drugs, with five stages, including prescription, preparation, dispensation, administration and monitoring. This study aims to describe and validate the MAEs (Medication Administration Error Scale) tool, which investigates the most common causes of medication errors in medication administration. <b>Materials and Methods:</b> Independent translators translated the original version of the scale using language verification. The agreed-upon version of the translation was then assessed by a team of nurses, specialists in anaesthetic and intensive care nursing, in terms of understanding the translated content. After introducing changes resulting from linguistic and organisational differences, a survey questionnaire was prepared and used in the pilot study. Eighty-six respondents participated in the pilot study via the Office 365 platform and the Forms programme. The research was led by nurses who work in highly specialised units. The reliability of the translated version of the questionnaire was examined by calculating the Cronbach's alpha coefficient. <b>Results</b>: The tool's internal consistency across ranges was within acceptable limits. For part A (questions 1-29), it was 0.93; for part B (questions 30-45), it was 0.94. In part C, regarding the percentages of the type of error occurring in a given medical facility, Cronbach's alpha coefficient was 0.97. When the factor loadings of the items were evaluated, they were determined to be in the range of 0.602-0.783. In this context, the factor loading levels of the items in the 5-factor model were high and sufficient. <b>Conclusions:</b> The statistical analyses suggest that the Polish version of the Medication Administration Error Survey demonstrates satisfactory reliability and is a promising tool for assessing the cause of medication administration errors.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression: [Mental] Health Literacy, Stigma, and Perceived Barriers to Help-Seeking During Transitions Among Undergraduate Nursing Students.","authors":"Luís Loureiro, Rosa Simões, Amorim Rosa","doi":"10.3390/nursrep15050172","DOIUrl":"10.3390/nursrep15050172","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Mental health literacy (MHL) plays a crucial role in transitional processes, influencing, for example, students' adaptation to higher education and, later, their transition into the workforce. This study assesses MHL about depression among first- and fourth-year nursing students and identifies which MHL components and related variables are associated with a higher likelihood of being in either academic year. <b>Methods</b>: A cross-sectional descriptive correlational study was conducted with 478 nursing students (59.4% first-year students; 40.6% fourth-year students), predominantly female (82.2%), with a mean age of 20.41 years (SD = 4.71) and a median age of 19.0 years. <b>Results</b>: The results revealed a low level of recognition of depression and knowledge of mental health first aid (MHFA) strategies, including health literacy. Students tended not to hold beliefs based on myths and stereotypes about mental illness and individuals with mental illness and did not have highly stigmatizing views. MHL varied by year of study, with fourth-year students having more adequate MHL levels. <b>Conclusions</b>: These findings highlight the need to integrate MHL as a key element of academic success. Health education initiatives that promote mental health, prevention, and MHFA training may serve as effective strategies to enhance MHL among nursing students.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Urbańska et al. Influence of Sociodemographic Factors on Level Stress and Coping Strategies of Nurses and Midwives Caring for Newborns with Lethal Defects. <i>Nurs. Rep.</i> 2025, <i>15</i>, 116.","authors":"Katarzyna Anna Urbańska, Beata Naworska, Agnieszka Drosdzol-Cop","doi":"10.3390/nursrep15050170","DOIUrl":"10.3390/nursrep15050170","url":null,"abstract":"<p><p>There was an error in the original publication [...].</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Needlestick Injuries Among Estonian Nurses: Prevalence, Contributing Conditions, and Safety Awareness.","authors":"Ülle Parm, Triinu Põiklik, Anna-Liisa Tamm","doi":"10.3390/nursrep15050169","DOIUrl":"10.3390/nursrep15050169","url":null,"abstract":"<p><p><b>Background/Objective</b>: Needlestick injuries (NSIs) are a significant source of bloodborne infections among nurses. This study aimed to assess the prevalence, contributing factors, and awareness of post-exposure prophylaxis (PEP) among Estonian nurses. <b>Methods</b>: This prospective cross-sectional study was conducted using an electronic questionnaire in September 2024. <b>Results</b>: The majority of the 211 nurses participating in this study were females aged 21 to 75 years. Notably, 57.1% (n = 109, aged 43.9 ± 12.2) had experienced an NSI in the past decade. Most injuries occurred during sharps' disposal (33%) and with syringe needles (72%). Among those injured, 84% washed the area with water and soap, 80% used alcohol-based disinfectants, and 69% reported the incident. However, 20.6% did not report due to perceived insignificance or lack of follow-up actions. Additionally, 14.7% were unaware of the reporting requirement, and 8.8% did not know who to report to. <b>Conclusions</b>: Improved training and reporting practices are essential to reduce NSIs among nurses.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lower-Limb Amputees and Family Caregivers: Challenges, Needs, and Strategies for Empowerment-A Qualitative Study.","authors":"Diana Rodrigues, Luís Carvalho, Cristina Pinto","doi":"10.3390/nursrep15050166","DOIUrl":"10.3390/nursrep15050166","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Lower-limb amputation profoundly affects individuals and their family caregivers, particularly during home transition after hospital discharge. Understanding the needs, challenges, and emotions during this period is essential for designing effective family centered empowerment interventions. This study aimed to explore the lived experiences of amputees and their caregivers, identify their needs and challenges, and identify strategies to foster empowerment, resilience, and adaptation after amputation. <b>Methods</b>: This qualitative, descriptive-exploratory study involved semi-structured interviews with 37 dyads, each comprising an amputee who has undergone major dysvascular lower-limb amputation and their primary caregiver, who provided home care. The participants attended follow-up consultations post-amputation. Data were collected over a 13-month period and analyzed using qualitative content analysis based on Bardin's methodology, with support from ATLAS.ti 23.3.4 software for coding and data organization. <b>Results</b>: Four categories emerged: (i) difficulties faced, including loss of autonomy, mobility challenges, architectural barriers, and emotional strain; (ii) home discharge, emphasizing functional training for amputees and caregivers and the need for community support; (iii) impact of amputation, highlighting acceptance difficulties, psychological distress, social isolation, and lifestyle changes; and (iv) empowerment strategies, focusing on psychological support, skills training, assistive devices, and coordinated care. Tailored interventions such as peer support, home adaptations, and multidisciplinary care are essential for resilience, independence, and improved quality of life. <b>Conclusions</b>: Family centered empowerment strategies are vital for improving the outcomes of amputees and caregivers. Interventions that prioritize caregiver education, psychological support, and enhanced accessibility promote resilience, autonomy, and quality of life. These findings highlight the need for integrated hospital-to-community programs.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Bias in Nursing: A Pilot Study on Feasibility and Negative Attitude Assessment Among Primary Care Nurses.","authors":"Jordi Benítez-Muñoz, María Jesús Aguarón-García, Maria Del Carmen Malagón-Aguilera, Roser Cuesta-Martínez, Gloria Reig-Garcia, Maria Elena Solà-Miravete","doi":"10.3390/nursrep15050168","DOIUrl":"10.3390/nursrep15050168","url":null,"abstract":"<p><p><b>Background:</b> Weight bias in healthcare can affect the quality of care and create health disparities. In nursing, the presence of weight-biassed attitudes influences the therapeutic relationship and clinical decision-making. However, in Spain, research on this phenomenon remains scarce, hindering the development of strategies to mitigate its impact. <b>Objectives:</b> This study aimed to assess the methodological feasibility of a study on weight bias in nursing, and to explore nurses' attitudes towards being overweight and obesity and their association with sociodemographic and body image variables. <b>Methods:</b> A cross-sectional, quantitative pilot study was conducted with 22 primary care nurses. The Anti-Fat Attitudes (AFA) and Beliefs About Obese Persons (BAOP) scales, previously validated in Spanish-speaking populations, were applied. Response distribution, the internal consistency of the instruments, and the relationship between variables were analysed. <b>Results:</b> Difficulties were identified in the recruitment of participants and the reliability of certain items of the questionnaire, as well as in the internal consistency of the scales. A trend towards moderate weight-biassed attitudes was observed in the sample, with the highest scores in the AFA's \"<i>Willpower</i>\" subscale. The BAOP scale showed a significant negative correlation with the AFA (<i>r</i> = -0.55, <i>p</i> = 0.009), indicating that a lower attribution of obesity to individual control is associated with less discriminatory attitudes. <b>Conclusions:</b> This pilot study helped identify methodological improvements and confirmed the presence of weight bias in nursing. It is recommended that the sample be expanded and the measuring instruments refined before performing the full study.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Acceptability of Using an Evidence-Based Tai Chi Intervention for Managing the Fatigue-Sleep Disturbance-Depression Symptom Cluster in Breast Cancer Patients.","authors":"Li-Qun Yao, Tao Wang, Xian-Liang Liu, Jing-Yu Benjamin Tan","doi":"10.3390/nursrep15050167","DOIUrl":"10.3390/nursrep15050167","url":null,"abstract":"<p><p><b>Objective:</b> To explore the feasibility and acceptability of using an evidence-based Tai Chi intervention to manage the fatigue-sleep disturbance-depression symptom cluster (FSDSC) in female breast cancer patients. <b>Methods:</b> This study reported the feasibility outcomes of a pilot randomized controlled trial (RCT), along with a nested qualitative process evaluation. Seventy-two female breast cancer patients experiencing the FSDSC were randomized into either a Tai Chi group or a control group. The Tai Chi group received an eight-week Tai Chi intervention consisting of two one-hour sessions per week, along with routine care, while the control group received routine care only. The feasibility and acceptability of the study procedure and Tai Chi intervention protocol were assessed by measuring recruitment, referral, retention and drop-out rates, questionnaire completion rates (including the Brief Fatigue Inventory [BFI], Pittsburgh Sleep Quality Index [PSQI], Hospital Anxiety and Depression Scale-Depression [HADS-D], and Functional Assessment of Cancer Therapy-Breast [FACT-B]), intervention adherence, and safety outcomes. The nested qualitative process evaluation consisted of semi-structured interviews conducted among 22 participants to further explore their experiences of participating in this study and practicing Tai Chi. Descriptive data analysis was employed to present the feasibility and acceptability outcomes. Content analysis was employed to analyze the data from the qualitative process evaluation. <b>Results:</b> A total of 72 breast cancer patients were successfully recruited over six months, with a recruitment rate of 79.1%, retention rate of 95.8%, and dropout rate of 4.2%. No missing data was found in the BFI, PSQI, or HADS-D. However, a notable number of missing values were found in the FACT-B, particularly for items related to sexual satisfaction. The Tai Chi intervention demonstrated a high level of feasibility, with an average adherence rate of 86.8%. Only eight participants reported minor discomforts, such as minor musculoskeletal discomfort and dizziness, but they were transient and manageable after stopping Tai Chi practice. Semi-structured interviews with 22 participants highlighted that Tai Chi was experienced to be generally convenient, energy-saving, and low intensity for FSDSC management. Participants also felt that the study questionnaires were comprehensible and straightforward. Many interviewees from the Tai Chi group reported perceiving favorable effects on FSDSC management, as well as overall functional health and well-being. <b>Conclusions:</b> The evidence-based Tai Chi intervention proved feasible, safe, and convenient as a non-pharmacological intervention for managing FSDSC in breast cancer patients. Future large-scale studies are needed to evaluate Tai Chi's definite effects on improving FSDSC among breast cancer patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulance Use Appropriateness: Emergency Medical Service Technicians' and Triage Nurses' Assessments and Patients' Perceptions.","authors":"Ilenia Piras, Francesca Sanna, Michele Garau, Gabriele Sole, Giampaolo Piras, Ernesto d'Aloja, Maura Galletta","doi":"10.3390/nursrep15050165","DOIUrl":"10.3390/nursrep15050165","url":null,"abstract":"<p><p><b>Background/Objective:</b> Part of the workload of ambulance service involves patients with low-acuity health events that do not require the specific resources provided by ambulance services or emergency departments (EDs). The problem of inappropriateness is also present in Italy. However, research is limited to the perspective of triage nurses only, excluding patients and emergency medical service (EMS) staff. This study aims to identify the presence of inappropriate ambulance use in the study context by comparing patients' perception of emergency with appropriateness perspectives of both triage nurses and emergency service staff. <b>Methods:</b> A cross-sectional study involving 109 patients transported by ambulance was performed between January and March 2020. Questionnaires were distributed to patients, EMS staff, and triage nurses operating in the chief town and hinterland of a region of Italy. <b>Results:</b> Non-penetrating trauma was the most frequent cause for calling an ambulance. Patients referred that activation of the service was necessary, while triage nurses and EMS technicians were in line in believing the non-urgency of the call due to non-emergent health conditions. <b>Conclusions:</b> Although we cannot conclude that citizens use the emergency system inappropriately, the results of this study make us think about the need to implement educational interventions that increase citizens' knowledge of how the service works and the territorial services available.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer Symptom Clusters in Children and Adolescents with Cancer Undergoing Chemotherapy: A Systematic Review.","authors":"Luís Carlos Lopes-Júnior, Jonathan Grassi, Marcela Bortoleto Freitas, Fernanda Ercília Souza Trigo, Fabrine Aguilar Jardim, Karolini Zuqui Nunes, Karla Anacleto de Vasconcelos, Regina Aparecida Garcia de Lima","doi":"10.3390/nursrep15050163","DOIUrl":"10.3390/nursrep15050163","url":null,"abstract":"<p><p><b>Objective:</b> To synthesize and analyze the prevalence, composition, longitudinal stability, and predictors of cancer symptom clusters in children and adolescents undergoing chemotherapy. <b>Method:</b> A systematic literature review was conducted in accordance with the PRISMA 2020 guidelines. Evidence was sourced from MEDLINE/PubMed, Cochrane Library, Embase, PsycINFO, and Web of Science, as well as clinical trial registries (Clinical Trials WHO-ICTRP) and gray literature. The search was performed in February 2025, with no restrictions on publication date or language. Two independent reviewers screened and selected the studies. The methodological quality of the included studies was assessed using design-specific tools, and the findings were synthesized narratively. <b>Results:</b> A total of 6221 records were identified, with 12 studies meeting the inclusion criteria. These studies were published between 2010 and 2024 in the United States, Brazil, China, and Turkey. Cancer symptom clusters in children and adolescents followed well-defined patterns, with the gastrointestinal, emotional, fatigue-related, somatic, and self-image clusters being the most prevalent. <b>Conclusions:</b> Early identification of these cancer symptom clusters is essential for guiding interprofessional teams in delivering personalized, evidence-based care to children and adolescents with cancer and their families.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}