Zdravstveno Varstvo最新文献

{"title":"Psychometric Validation of the Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) in Slovenia: Implications for Public Health Research and Practice.","authors":"Ajda Mlakar, Kaja Gril Rogina, Matic Šmigoc, Barbara Gnidovec Stražišar, Andreja Kukec","doi":"10.2478/sjph-2026-0003","DOIUrl":"10.2478/sjph-2026-0003","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to develop a suitable instrument for assessing excessive daytime sleepiness (EDS) in Slovenian children and adolescents by translating the ESS-CHAD and psychometrically validating its Slovenian version (ESS-CHAD-SI).</p><p><strong>Methods: </strong>The ESS-CHAD was translated and back-translated according to established cross-cultural adaptation guidelines, and content validity was assessed by eleven experts from relevant clinical and research disciplines. A nationwide sample of 3,314 adolescents (≈52% females), with an overall mean age of 15.4±1.7 years, completed the questionnaire. Reliability was evaluated using Cronbach's α and Guttman's λ2, and construct validity was examined using exploratory and confirmatory factor analyses.</p><p><strong>Results: </strong>All items met the predefined thresholds for content relevance, while clarity indices were acceptable for the majority of items. Factor analyses indicated that a two-factor model provided a better fit to the data than the original unidimensional structure, distinguishing between passive sleepiness and more clinically concerning manifestations of sleepiness. The ESS-CHAD-SI demonstrated adequate internal consistency.</p><p><strong>Conclusions: </strong>The ESS-CHAD-SI is a reliable, valid, and culturally adapted instrument for assessing excessive daytime sleepiness in Slovenian adolescents. The identified two-factor structure enhances its clinical and public health relevance by enabling differentiation between sleepiness related to modifiable sleep behaviours and potentially pathological somnolence. The scale is suitable for use in school-based screening, clinical practice, and epidemiological research.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"65 1","pages":"16-24"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Number and Reasons for Self-Perceived Barriers to Accessing Primary Health Care Services Between Roma and Ethnic Albanians.","authors":"Alvi Naum, Albana Gjyzari, Gentiana Qirjako, Katarzyna Czabanowska, Ervin Toçi, Genc Burazeri","doi":"10.2478/sjph-2026-0002","DOIUrl":"10.2478/sjph-2026-0002","url":null,"abstract":"<p><strong>Introduction: </strong>To compare the number and reasons for self-perceived barriers to accessing primary health care (PHC) services between Roma/Egyptian and ethnic Albanians.</p><p><strong>Methods: </strong>533 adults (mean age: 45±18 years; ≈60% women) reporting barriers to accessing PHC services were recruited consecutively during a nationwide survey in October 2024 across all four regions of Albania, using probability-proportional-to-size sampling. A semi-structured questionnaire was administered by trained interviewers inquiring about the number and reasons for self-perceived barriers to accessing PHC services, health characteristics, and sociodemographic factors. General linear models and binary logistic regression were employed to assess the association between perceived barriers and ethnic groups.</p><p><strong>Results: </strong>444 (≈83%) participants were ethnic Albanians, whereas the remaining 89 (≈17%) individuals belonged to other ethnic groups, including Roma (n = 57), Egyptians (n = 30), and Gorani or Macedonians (n = 2). Overall, cost and waiting time were the most common barriers. Roma/Egyptian minorities faced more cultural and language issues, whereas Albanians reported higher distrust and service-related expectations. The crude mean number of barriers to accessing PHC services was higher among Roma/Egyptian minorities than among Albanians (1.8 vs. 1.6, respectively; P = 0.04). The multivariable-adjusted odds of reporting ≥ 2 barriers to accessing PHC services were 93% higher among Roma/Egyptian minorities than in Albanians (P = 0.03).</p><p><strong>Conclusions: </strong>Roma/Egyptian minorities experience more barriers in accessing PHC services than ethnic Albanians. However, the cost of services constitutes the main barrier across both groups. Conversely, communication-related barriers affect mainly Roma/Egyptian minorities, whereas Albanians perceive more systemic barriers. In Albania, there is a need for targeted, equity-focused interventions.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"65 1","pages":"5-15"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12955844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User, Admission and Discharge Characteristics at Secure Units in Residential Social Care Institutions in Slovenia.","authors":"Juš Škraban, Katja Prevodnik, Andreja Rafaelič","doi":"10.2478/sjph-2025-0024","DOIUrl":"10.2478/sjph-2025-0024","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate data on users, the characteristics of admission, placement and discharge of individuals in secure units. These are locked units in special residential institutions in the social care sector.</p><p><strong>Methods: </strong>A total population descriptive study was performed. In April 2024, a questionnaire comprising 72 items was sent to all six institutions with secure units in the field of mental health and intellectual disabilities. Data from 2023 were gathered. Descriptive and univariate analysis were applied.</p><p><strong>Results: </strong>A total of 64% of users were male, and the mean age was 54.3 years. The vast majority of users (98%) were admitted involuntarily and deprived of their legal capacity (67%). The largest proportion of users were admitted following admission into a psychiatric hospital (44%), admission to open units of the same institution (34%) and living in the community (10%). The mean length of stay in the secure unit was 64.01 months. During the placement in secure units, 14% of users were admitted to a psychiatric hospital. Only 17% users were discharged from secure units, with 81% taking place later, while 19% discharges took place before the expiry of a court order. The most common location of discharge was the open unit of the same institution (79%).</p><p><strong>Conclusions: </strong>The results highlight high rates of involuntary admissions, prolonged stays and limited transitions to community care, raising public health and human rights concerns. The findings call for a shift in focus from expanding institutional capacity towards improving discharge practices and strengthening community-based support.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"181-189"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Clustering of Lifestyle Risk Factors in the Serbian Adult Population and Association with Self-Rated Health.","authors":"Nataša Dragnić, Sanja Harhaji, Vesna Mijatović Jovanović, Sonja Čanković, Snežana Ukropina, Ivana Radić","doi":"10.2478/sjph-2025-0027","DOIUrl":"10.2478/sjph-2025-0027","url":null,"abstract":"<p><strong>Introduction: </strong>Our objective was to identify clusters of lifestyle risk factors among Serbian adults and assess associations with socio-demographic characteristics and self-rated health.</p><p><strong>Methods: </strong>The sample included 7,885 adults aged 18 and over from the 2019 Serbian National Health Survey, who provided information on all four lifestyle risk factors (smoking, physical inactivity, low fruit and vegetable intake and risky drinking). The Two-Step Cluster Analysis was used to identify different health-related lifestyle clusters. Logistic regression models were used to assess the association of obtained clusters with socio-demographic characteristics and self-rated health.</p><p><strong>Results: </strong>Five distinct clusters of lifestyle risk factors were identified: Healthy lifestyle (cluster 1), Low fruit and vegetable intake (cluster 2), Physical inactivity (cluster 3), Smoking and other risk factors (cluster 4), Risky drinking and other risk factors (cluster 5). Multi-risk groups (cluster 4, cluster 5) exhibit specific socio-demographic characteristics (men, younger adults, living alone, less educated). Adults in unhealthy lifestyle clusters were more likely to report poor self-rated health than adults in the healthy lifestyle cluster.</p><p><strong>Conclusions: </strong>Individuals who were men, younger, living alone, less educated and those with poor self-reported health were more likely to engage in clusters of lifestyle risk factors and represent high-priority population groups for multiple health behaviour change interventions.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"208-217"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Path to True Integration: Making Global Mental Health Commitments a National Reality.","authors":"Matej Vinko, Téa Collins, Antonis Kousoulis","doi":"10.2478/sjph-2025-0023","DOIUrl":"10.2478/sjph-2025-0023","url":null,"abstract":"<p><p>The forthcoming United Nations General Assembly High-Level Meeting on noncommunicable diseases and mental health offers a crucial opportunity to advance global health governance. This editorial argues that while the draft declaration represents a vital step forward, its potential to address global mental health needs is complicated by several paradoxes that merit careful consideration. First, its targets for financing and access may not fully reflect the ambition needed to overcome systemic underinvestment. Second, the \"integration paradox\" champions a cohesive approach while setting different types of targets for mental health and NCDs. Finally, an implementation paradox is evident in the ongoing focus on individual behavior rather than on the upstream social and commercial determinants of health. Using Slovenia's experience as a national case study, we illustrate how these global challenges can complicate efforts to translate high-level commitments into national reality. We conclude that for the UN Political Declaration to be truly transformative, it must inspire a shift from cautious frameworks to more ambitious financing, authentic integration, and the political courage to prioritise population needs over siloed institutional legacies.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"178-180"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate Change Worry in Slovenia: Associations with Sociodemographic Determinants and Mental Wellbeing.","authors":"Ema Kobal, Marina Šinko, Andreja Belščak Čolaković, Ada Hočevar Grom, Darja Lavtar, Helena Jeriček Klanšček","doi":"10.2478/sjph-2025-0028","DOIUrl":"10.2478/sjph-2025-0028","url":null,"abstract":"<p><strong>Introduction: </strong>To describe climate change worry on a sample of adult residents of Slovenia and analyse its associations with socio-demographic variables, including mental wellbeing.</p><p><strong>Methods: </strong>Data from the cross-sectional study among online panellists, SI-PANDA 2024/2025, were analysed. A survey (n=1522 adults, aged 18-74) was conducted in September 2024. To measure climate change worry, a Climate Change Worry Scale (CCWS) was used, and mental wellbeing was assessed using the WHO-5 Well-Being Index.</p><p><strong>Results: </strong>The mean CCWS score in a sample of adults was 22.6, on a scale from 10 to 50 (higher score, higher level of worry). Regarding age (p<0.001), those most worried about climate change were people aged 55-64 years (M=24.1), followed by the 25-34 age group (M=23.6) and the oldest (65-74; M=23.1). People with risk of depression (M=25.1) and people with poor mental wellbeing (M=24.6) reported significantly higher (p<0.001) levels of climate change worry than people with excellent wellbeing. Higher CCWS scores were also achieved by people with risky stress behaviour (p=0.004) and those with a worse financial situation (p=0.001).</p><p><strong>Conclusions: </strong>There are medium levels of climate change worry in a sample of adult residents of Slovenia. Climate change is perceived as a threat not only by young people, but also by older adults. Individuals with poor mental wellbeing, a risk of depression, or risky stress behaviour were more likely to report higher levels of climate change worry. Public health measures should reduce climate change worry by empowering vulnerable groups through environmental, group and community-based activities.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"218-226"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Glycaemic Control and Diabetes Self-care Behaviours through a Standardised Pharmacist-led Service: Evidence from Community Pharmacies in Southeastern Serbia.","authors":"Ana Kundalić, Aleksandar Jovanović, Milica Lilić, Ivana Damnjanović, Nikola Stefanović, Aleksandra Catić Đorđević","doi":"10.2478/sjph-2025-0026","DOIUrl":"10.2478/sjph-2025-0026","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes mellitus (DM) requires effective and accessible management strategies to reduce complications and improve patient outcomes. The aim of this study is to evaluate the effects of a standardised diabetes service delivered by trained community pharmacists on glycaemic control, cardiovascular risk parameters and self-care behaviours among patients with DM.</p><p><strong>Methods: </strong>This retrospective cohort study included adults with type 1 or type 2 DM (HbA1c ≥7%) who visited community pharmacies in Southeastern Serbia. Patients were offered a structured, four-month service with individualised counselling, monitoring and support from trained pharmacists. Based on willingness to participate, patients were assigned to the intervention (received all four sessions) or control group (received usual pharmacy care). Data on HbA1c, fasting blood glucose, lipid profile, blood pressure and self-care (assessed by Diabetes Self-Management Questionnaire) were collected at baseline and after four months.</p><p><strong>Results: </strong>Among 390 consenting patients, 213 met the eligibility criteria (intervention: n=105; control: n=108). In the intervention group, HbA1c significantly decreased from 8.61±1.26% to 7.68±0.92% (p<0.001), with 20% of patients achieving target levels (<7%). LDL cholesterol also decreased significantly (from 2.31±0.70 to 1.46±0.66 mmol/L, p<0.001), while no significant changes were observed in HDL, triglycerides, or blood pressure. Self-care behaviour improved across all five subscales, especially medication-taking, where non-adherence decreased from 43.8% to 22.9%. Greater improvements were noted among patients with type 2 DM and those with a family history of diabetes.</p><p><strong>Conclusions: </strong>The pharmacist-led service significantly improved glycaemic control, LDL cholesterol, and self-care behaviour. These findings highlight pharmacists' potential to enhance diabetes management and support public health efforts.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"199-207"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatic and Psychosomatic Symptoms in Children Exposed to Peer Violence: A Cross-Sectional Study in Bosnia and Herzegovina.","authors":"Marnela Palameta, Ankica Mijić Marić, Edita Černy Obrdalj, Amra Zalihić, Nina Pinjuh Markota, Boženka Galić Tirić, Kristina Bevanda","doi":"10.2478/sjph-2025-0029","DOIUrl":"10.2478/sjph-2025-0029","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines the prevalence of bullying among primary school students in the Federation of Bosnia and Herzegovina (FBiH), analyses gender differences, and assesses its association with traumatic and psychosomatic symptoms.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among students in grades seven to nine. Participants were categorised based on bullying involvement as victims, bullies, bully/victims, or uninvolved. Validated self-report questionnaires were used to measure bullying exposure and assess psychosomatic and trauma-related symptoms.</p><p><strong>Results: </strong>In total, 13.3% of the students identified as victims, 3.1% as bullies, and 4.4% as both. Victims and bully/victims reported significantly higher rates of psychosomatic symptoms (e.g., pain, fatigue, gastrointestinal complaints) and trauma-related symptoms (e.g., anxiety, depression, dissociation) than uninvolved students. Bully/victims showed the highest overall burden, suggesting compounded vulnerability.</p><p><strong>Conclusions: </strong>These findings highlight the urgent need for trauma-informed, context-sensitive prevention strategies. Training school staff to recognise emotional and somatic distress, integrating basic screening tools into school and primary health services, and enhancing intersectoral collaboration are critical steps in ensuring early identification and adequate support for affected students.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"227-236"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Allergy-related Emergency Medical Calls: A Retrospective Dispatch-based Study.","authors":"Špela Metličar, Tjaša Blatnik, Matej Strnad, Vesna Borovnik Lesjak","doi":"10.2478/sjph-2025-0025","DOIUrl":"10.2478/sjph-2025-0025","url":null,"abstract":"<p><strong>Introduction: </strong>Available research on the recognition and prehospital management of allergic reactions is limited. The aim of this study was to characterise emergency medical calls related to allergic reactions, with a focus on suspected allergens, patient characteristics and the use of prescribed emergency therapy prior to the arrival of EMS.</p><p><strong>Methods: </strong>We conducted a retrospective, dispatch-based observational study of emergency calls related to allergic reactions in Slovenia in 2023, using data from the Slovenian Emergency Medical Dispatch Service database. Descriptive statistics were used to present the results.</p><p><strong>Results: </strong>A total of 849 emergency calls were analysed. In most cases, the caller was a family member (35.3%; 300/849). A known history of allergic reactions was reported in 21.8% (185/849) of patients. The most common allergens were medications (22.3%; 189/849), insect stings or bites (19.3%; 164/849), and food (17.1%; 145/849). Medications were most frequently reported in winter (60.5%; 69/114), while insect stings and bites predominated in summer (53.1%; 86/162). Among children, food was the leading allergen (56.7%; 55/97), whereas medications were most common in the elderly (61.9%; 70/113). In adults, insect stings or bites (34.5%; 110/319) and medications (33.9%; 108/319) were equally prevalent. Prescribed emergency therapy was used in 31.3% (266/849) of cases, including an epinephrine auto-injector in 8.5% (72/849).</p><p><strong>Conclusions: </strong>Emergency calls for allergic reactions vary in clinical severity, underscoring the critical role of Emergency Medical Dispatchers in early identification and prioritization. Medications, insect stings and bites, and food were the leading allergens, with distribution influenced by age and season.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 4","pages":"190-198"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to Mlakar-Mastnak D, Blaž Kovač M, Terčelj M, Uhan S, Majdič N, Rotovnik Kozjek N. Effectiveness of nutritional intervention led by clinical dietitian in patients at risk of malnutrition at the primary healthcare level in Slovenia - evaluation study. Zdr Varst. 2024;63(2):81-88. doi: 10.2478/sjph-2024-0012.","authors":"","doi":"10.2478/sjph-2025-0020","DOIUrl":"10.2478/sjph-2025-0020","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2478/sjph-2024-0012.].</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"64 3","pages":"I"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}