{"title":"Hepatitis B Elimination in Children of Slovenian Origin Born in Slovenia After the Introduction of Preventive Strategies: the Results of a National Study","authors":"N. Kmet, M. Poljak, B. Zakotnik, M. Maticic","doi":"10.2478/sjph-2022-0015","DOIUrl":"https://doi.org/10.2478/sjph-2022-0015","url":null,"abstract":"Abstract Introduction In Slovenia national strategies to prevent hepatitis B virus (HBV) infection in children were introduced in the mid-nineties. The aim of the present study was to analyze the epidemiological characteristics of chronic hepatitis B infection in children in Slovenia after the introduction of mandatory HBV vaccination of children and mandatory screening of pregnant women for HBV surface antigen (HBsAg) with consecutive active and passive immunization of newborns of HBsAg-positive mothers. Methods Children from all regions of Slovenia whose blood samples tested positive for HBsAg at the national reference laboratory for viral hepatitis between January 1997 and December 2010 were included. Demographic, epidemiological and virological data were reviewed retrospectively. Statistical evaluation of the patients’ characteristics was performed and possible trends during the observation period determined. Results Among 52 HBsAg-positive children, there were 22 (42.3%) girls and 30 (57.7%) boys. Among 40 children tested for HBeAg, 17 were positive (42.5%). The most frequent risk factor for acquiring HBV infection was “presence of HBV infection within the family” (24/35; 68.8%). A significant association between the presence of HBeAg and a viral load of >20,000 IU/ml was found (p=0.001). The difference in the proportion of children of Slovenian origin born before 1994 and after was statistically significant (p=0.039). A statistically significant negative linear trend of the number of diagnosed children in the observed period was found (p=0.006). Conclusions Prevention strategies adopted in the mid-nineties have resulted in the elimination of chronic hepatitis B in children of Slovenian origin born in Slovenia.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"109 - 114"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44438526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yoga Exercise Intervention Improves Balance Control and Prevents Falls in Seniors Aged 65+","authors":"M. Krejčí, M. Hill, J. Kajzar, M. Tichý, V. Hošek","doi":"10.2478/sjph-2022-0012","DOIUrl":"https://doi.org/10.2478/sjph-2022-0012","url":null,"abstract":"Abstract Introduction Body balance control represents a key factor preventing falls and subsequent injuries in seniors aged 65+. Intervention based on yoga exercises seem to be effective in improving balance. Objective The objective is to analyse and compare changes in static, dynamic, and total balance scores, changes in body composition and social indices as effects of yoga-based intervention. Methods A total of 500 participants (234 men aged 74.5 SD±7.74 and 266 women aged 76.9 SD±7.23) were assessed using the Tinetti Balance Assessment Tool, the InBody 230 bioimpedance body composition analyser, and the SF-36 Health Survey, applied to pre and post-testing. The experimental group (n=262; 122 males; 140 females) underwent a four-week yoga-based intervention, 30 minutes daily, while the control group (n=238; 112 males; 126 females) underwent its usual daily programme at senior homes or centres. The ANOVA model, consisting of the Group, Stage, Subject and Group × Stage interaction factors, was used for data evaluation. Results Intervention led to improvements in the static, dynamic and total balance scores in the experimental group compared to the control group. The results of SF-36 showed positive changes in the psychosocial aspects of health, such as promoting of calmness and happiness in male seniors and reducing fatigue, nervousness and depression in female seniors. The post-intervention decrease in body fat percentage and increase in muscle mass in seniors is discussed. Conclusions The four-week yoga-based intervention had positive effects on the static, dynamic and total balance scores, body composition and social status.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"85 - 92"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43444354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zdravstveno VarstvoPub Date : 2022-03-21eCollection Date: 2022-06-01DOI: 10.2478/sjph-2022-0016
Cvetka Krel, Dominika Vrbnjak, Sebastjan Bevc, Gregor Štiglic, Majda Pajnkihar
{"title":"Technological Competency As Caring in Nursing: a Description, Analysis and Evaluation of The Theory.","authors":"Cvetka Krel, Dominika Vrbnjak, Sebastjan Bevc, Gregor Štiglic, Majda Pajnkihar","doi":"10.2478/sjph-2022-0016","DOIUrl":"10.2478/sjph-2022-0016","url":null,"abstract":"<p><strong>Introduction: </strong>When introducing and using technology in nursing, there is a danger that too much focus is placed on technology over caring for patients. The 'Technological competency as caring in nursing' theory can facilitate technology in caring, but the theory needs to be described, analysed and evaluated before it is used. The purpose of the literature review was to determine the possibility of applying the theory in education, research and practice, and whether the theory could be used to guide research into the use of electronic nursing record systems.</p><p><strong>Methods: </strong>A literature search was conducted in PubMed, CINAHL, ScienceDirect, Google Scholar and Google Books, and supplemented with manual searching using the keywords 'Locsin', 'technology', 'caring' and 'nursing theory'. The criteria for inclusion were fully accessible articles and books in English on the relevant topics. The review process is shown in a PRISMA diagram. A hierarchy of evidence was used to evaluate the relative strength of the results. Pajnkihar's model was used to describe, analyse and evaluate the theory.</p><p><strong>Results: </strong>A total of 26 hits were included in the final analysis. The theory in question meets the criteria of clarity, simplicity and complexity, adequacy, importance and significance; it can be tested; and it is useful in patient care that employs technology.</p><p><strong>Discussion and conclusion: </strong>The theory is useful in nursing education, research and practice. The theory will be used to guide research on the perception of technological competency and care of internal medicine patients by nurses when using the electronic nursing record system in three Slovenian hospitals.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"115-123"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8937586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48696027","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":"Do We Have the Spark?","authors":"V. Rupel, Dorijan Marušič","doi":"10.2478/sjph-2022-0010","DOIUrl":"https://doi.org/10.2478/sjph-2022-0010","url":null,"abstract":"Abstract Upgrading any system is challenging. Neglecting continuous monitoring and evaluation might impose solutions that worsen the situation. Primary orientation toward increasing productivity is the main reason for the tremendous decline in the accessibility of outpatient services in Slovenia since 2015, in addition to additional funds from the state budget. In the actual ‘fee-for-service’, providers are incentivised to deliver more expensive services, not first visits. Although the stakeholders are not to blame, it is high time for an orientation towards patients’ needs: a breakaway from inefficient technical solutions, an acceptance of patients as active participants in decision-making, measurement of their treatment outcomes, and the adoption of already proven advanced payment models, such as population-based payments. The journey towards value-based healthcare must start!","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"73 - 75"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41941788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zdravstveno VarstvoPub Date : 2022-03-21eCollection Date: 2022-06-01DOI: 10.2478/sjph-2022-0017
Taja Jordan, Darko Siuka, Nada Kozjek Rotovnik, Marija Pfeifer
{"title":"COVID-19 and Vitamin D- a Systematic Review.","authors":"Taja Jordan, Darko Siuka, Nada Kozjek Rotovnik, Marija Pfeifer","doi":"10.2478/sjph-2022-0017","DOIUrl":"10.2478/sjph-2022-0017","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has strongly affected global healthcare systems. Prior epidemiological studies on different infectious diseases have shown a strong correlation between serum vitamin D levels and the incidence of certain infectious diseases. Vitamin D has an important immunomodulatory effect on innate immunity and exhibits several other mechanisms in the pathogenesis of the cytokine storm, which is one of the main contributing factors to fatality in COVID-19 patients.</p><p><strong>Methods: </strong>A keyword search was conducted in the PubMed and Google Scholar research databases. The abstracts and/or full texts of selected papers were further evaluated. Articles that fulfilled the inclusion criteria were included in the systematic review.</p><p><strong>Results: </strong>The 28 studies summarized in this review provide observational findings that vitamin D levels are related to the incidence, severity, and mortality rate of COVID-19 infection. The literature does not suggest that COVID-19 could be eliminated with supplementation of vitamin D, but there are implications that vitamin D deficiency might increase the risk for COVID-19 infection and severity of the disease progression.</p><p><strong>Discussion: </strong>Current literature and several guidelines support the supplementation of vitamin D as a reasonable strategy for correcting and preventing vitamin D deficiency. The recommended dose for maintaining normal 25(OH)D levels by consensus is 1000 to 2000 IU vitamin D daily for at-risk teens and adults.</p><p><strong>Conclusion: </strong>Vitamin D supplementation might play an important role in protecting from acute respiratory infections like the SARS CoV2, and in high-risk individuals with COVID 19 from progressing to critical clinical condition and reducing mortality.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"124-132"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8937591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46547766","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":"Cost of Diagnosing and Treating Cognitive Complaints: One-year Cost-evaluation Study in a Patient Cohort from a Slovenian Memory Clinic","authors":"Eva Županič, A. Wimo, B. Winblad, M. Kramberger","doi":"10.2478/sjph-2022-0011","DOIUrl":"https://doi.org/10.2478/sjph-2022-0011","url":null,"abstract":"Abstract Introduction Dementias present a global health challenge and give rise to significant economic costs. This study aims to evaluate the economic impact of one-year outpatient healthcare, nursing home, and formal and informal home help costs for all patients referred to the Centre for Cognitive Impairments at the Department of Neurology, Ljubljana University Medical Centre, Slovenia. Methods Data was acquired retrospectively from physicians’ records and the costs for 2015 were calculated. Total costs were estimated by means of a bottom-up calculation of outpatient visits, diagnostic examinations and anti-dementia medication. In a subgroup of 120 patients with dementia, the Resource Utilization in Dementia questionnaire was used to estimate formal and informal care costs. Results A total of 720 patients visited the memory clinic in 2015. Diagnosis at first visit was subjective cognitive or mild cognitive impairment (SCI/ MCI) for 322 patients, dementia for 258 patients, and psychiatric or other disorders for 140 patients. The average annual cost per patient was EUR 578. It was highest for patients with dementia (EUR 751), EUR 550 for patients with SCI/MCI, and lowest for patients with psychiatric and other disorders (EUR 324). Monthly informal and social care costs were between EUR 1,037 and EUR 3,369, depending on the methodology used. Conclusion The cost of diagnosing a cognitive disorder depends on how extensive the diagnosis is. With an estimated prevalence of 34,137 persons with dementia in Slovenia, basic diagnostic investigations incur costs of approximately EUR 7 million. Direct medical costs represent a smaller portion of total dementia costs; this is because annual costs for formal and informal home help are estimated at EUR 265 million and nursing home placements at EUR 105 million.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"76 - 84"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48734442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Bártlová, L. Šedová, Lucie Havierniková, Andrea Hudáčková, František Dolák, P. Sadílek
{"title":"Quality of Life of Post-stroke Patients","authors":"S. Bártlová, L. Šedová, Lucie Havierniková, Andrea Hudáčková, František Dolák, P. Sadílek","doi":"10.2478/sjph-2022-0014","DOIUrl":"https://doi.org/10.2478/sjph-2022-0014","url":null,"abstract":"Abstract Introduction Stroke is a disease whose consequences have a considerable impact on the quality of the patient’s life. It is a widespread disease that has a disabling impact on life and, in addition to physical changes, brings about a number of psychological and cognitive processes. Goal The goal of the study was to identify and describe the quality of life of post-stroke patients. Methodology The study design was quantitative. A questionnaire of the authors’ own design and the SF-36 questionnaire were used to obtain the data. Results Significant differences in patient quality of life were identified in relation to patient gender. Moreover, the quality of life in all individual SF-36 dimensions, except for mental health, deteriorated with age. With regard to occupational placement, employed respondents gave the highest evaluation of quality of life according to SF-36 and old-age pensioners the lowest. The analysis shows that quality of life in individual dimensions is positively influenced by respondents’ higher education. The evaluation in individual dimensions improves with the time that has passed since the stroke. Conclusion The quality of life of post-stroke patients deteriorates with age. The deteriorating level of patient quality of life in older age requires programmes that include assessments and interventions that lead to the treatment of these patients.","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"101 - 108"},"PeriodicalIF":1.5,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48962773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-efficacy and Unwanted Sexual Intercourse: 'Reproductive Health Education Programme for High-school Students in Vojvodina'.","authors":"Tanja Tomašević, Snežana Ukropina, Vesna Mijatović Jovanović, Svetlana Kvrgić, Sonja Čanković, Dragana Milijašević","doi":"10.2478/sjph-2022-0013","DOIUrl":"10.2478/sjph-2022-0013","url":null,"abstract":"<p><strong>Introduction: </strong>Studies have shown the importance of self-efficacy in the domain of risky sexual behaviour. The aim of this study was to examine the association of unwanted sexual intercourse among secondary-school students with socio-demographic factors and perceived self-efficacy, and to assess the effectiveness of the programme on reproductive health.</p><p><strong>Methods: </strong>The study involved 5,026 second-grade students in 72 high schools in the Province of Vojvodina, Serbia (APV). They were surveyed before and after the implementation of the extracurricular 'Reproductive health education programme for secondary-school students in APV'. A questionnaire consisting of 57 questions (socio-demographic characteristics, knowledge, attitudes, and behaviour of students regarding reproductive health, and a general self-efficacy scale) was used as the research instrument.</p><p><strong>Results: </strong>One quarter of students had engaged in unwanted sexual intercourse on one or more occasions. Students with poor material status were twice as likely to engage in unwanted sexual intercourse (ОR=2.01; 95%CI=1.07-3.75) as students with average or good material status. Students who did not engage in unwanted sexual intercourse had a higher self-efficacy score than students who who did (t=2.903; p<0.01). After the programme was completed, there was an increase in general self-efficacy.</p><p><strong>Conclusion: </strong>Poor material status is a predictor of unwanted sexual intercourse. Students who have a higher level of self-efficacy engaged to a lesser degree in unwanted sexual intercourse. The programme is effective in terms of increasing general self-efficacy, and can be applied to encourage responsible sexual behaviour.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"93-100"},"PeriodicalIF":1.6,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8937587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47559013","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}
Zdravstveno VarstvoPub Date : 2021-12-27eCollection Date: 2022-03-01DOI: 10.2478/sjph-2022-0006
Roland Antonić, Slobodan Janković, Marko Folić
{"title":"Development and Validation of Questionnaires on Professional Drivers' Knowledge and Attitudes About Various Medications' Influence on Driving Ability.","authors":"Roland Antonić, Slobodan Janković, Marko Folić","doi":"10.2478/sjph-2022-0006","DOIUrl":"https://doi.org/10.2478/sjph-2022-0006","url":null,"abstract":"<p><strong>Introduction: </strong>Professional drivers' knowledge about driving-impairing medications is not satisfactory. The aim of this study was to develop and test the reliability and validity of the questionnaires designed to measure the knowledge and attitude of professional drivers about the influence of various medications on driving ability.</p><p><strong>Methods: </strong>The questionnaires for assessing professional driver's knowledge (performance-based) and attitudes about influence of various medications on driving abilities were developed by creating the item pool, testing reliability and validity, and factor analysis. The study was conducted as a multicenter, cross-sectional study in Serbia and Bosnia and Herzegovina. The study population consisted of professional drivers, who filled out both questionnaires in three time intervals.</p><p><strong>Results: </strong>Both questionnaires showed great internal consistency and temporal stability. Cronbach's Alpha for the first questionnaire was 0.984 and for the second it was 0.944. The Kaiser-Meyer-Olkin test for the first questionnaire confirmed sampling adequacy with its value of 0.964 and for the second questionnaire it was 0.933. Exploratory factor analysis of the questionnaire showed that three factors were revealed after rotation for the first questionnaire and they explained 78.0% of variance. Both questionnaires showed high degree of correlation between scores after the first and repeated administration, Spearman's rho coefficient of correlation for was 0.962 and 0.980.</p><p><strong>Conclusion: </strong>Based on the results of this study, we believe that both questionnaires are useful tools for testing professional drivers' knowledge and attitudes about the influence of medications on driving ability.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"32-39"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/71/sjph-61-032.PMC8776291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882863","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}
Zdravstveno VarstvoPub Date : 2021-12-27eCollection Date: 2022-03-01DOI: 10.2478/sjph-2022-0003
Sandra Radoš Krnel, Carolin Kilian, Marjetka Hovnik Keršmanc, Maja Roškar, Helena Koprivnikar
{"title":"Changes in The Use of Alcohol and Tobacco in Slovenia During the First Wave of The SARS-COV-2 Pandemic.","authors":"Sandra Radoš Krnel, Carolin Kilian, Marjetka Hovnik Keršmanc, Maja Roškar, Helena Koprivnikar","doi":"10.2478/sjph-2022-0003","DOIUrl":"https://doi.org/10.2478/sjph-2022-0003","url":null,"abstract":"<p><strong>Background: </strong>In the first months of 2020, the SARS-CoV-2 virus spread all over the world and numerous measures were adopted that had a strong impact on both personal and public life. This contribution explores changes in alcohol and tobacco use during the first months of the COVID-19 pandemic in Slovenia.</p><p><strong>Methods: </strong>Self-reported changes in alcohol and tobacco use during the first few months of the Covid-19 pandemic were recorded in 495 Slovenian adults, as part of the European Alcohol Use and COVID-19 survey.</p><p><strong>Results: </strong>About half of the Slovenian sample indicated that the frequency of drinking occasions did not change in the months after the pandemic's outbreak, while the remainder stated either a decrease (26.0%) or an increase (24.2%). 23.1% reported a decrease and 17.3% an increase in the quantity of alcohol consumed per occasion. Respondents who reported that their overall alcohol consumption decreased were more likely to be male than female and more likely to be younger than middle-aged. Those who reported experiencing at least a substantial level of distress due to financial loss were at a four-times increased risk of reporting an increase in their alcohol consumption compared to individuals who reported no or only some financial distress. Of the 120 people reporting the use of tobacco, almost half indicated an increase in tobacco consumption within the previous month, and about 20% reported a decrease in use. The differences in the results between Slovenia and other European countries are small and the overall pattern suggests that the situation in Slovenia was comparable to other European countries.</p><p><strong>Conclusion: </strong>As this pandemic continues to evolve, further monitoring is needed to identify the long-term effects of alcohol and tobacco use on public health in relation to the management of COVID-19.</p>","PeriodicalId":45127,"journal":{"name":"Zdravstveno Varstvo","volume":"61 1","pages":"6-13"},"PeriodicalIF":1.5,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d2/37/sjph-61-006.PMC8776286.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39882858","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}