Public Health Research & Practice最新文献

{"title":"To what extent is air pollution associated with cardiorespiratory hospitalisations across Australia? A whole-of-population ecological study.","authors":"Kate Lycett, Mojtaba Lotfalian, Yichao Wang, Clare Walter, Louis Irving, Mengjiao Liu, Sarath Ranganathan, David Burgner, Adrienne O'Neil, Jeremy D Silver, Richard O Sinnott, Craig A Olsson, Mallery Crowe, Suzanne Mavoa, Luke D Knibbs","doi":"10.1071/PU25054","DOIUrl":"10.1071/PU25054","url":null,"abstract":"<p><strong>Objectives and importance of study: </strong>This study aimed to examine the extent to which residential ambient air pollution across Australia, globally a relatively low-pollution setting, is associated with cardiovascular and respiratory hospitalisations.</p><p><strong>Study type: </strong>A national, cross-sectional, ecological study.</p><p><strong>Methods: </strong>This whole-of-population study used national air pollution estimates from 2016 and administrative hospitalisation data aggregated across 1155 public health areas from 2016 to 2017, representing 23,236,046 of the Australian population. Population-weighted median concentrations from 2016 of particulate matter ≤2.5 µm (PM2.5; 6.4 µg/m3) and nitrogen dioxide (NO2; 4.4 ppb) were estimated using validated satellite-based land use regression models. Cardiorespiratory hospitalisations (June 2016 to June 2017) were sourced from national administrative data from all hospitals for each public health area. Incidence rate ratios for hospitalisations were estimated for an interquartile range increase in each air pollutant using mixed regression models (age-standardised, adjusted for obesity, smoking, rural/urban and disadvantage) stratified by sex. The population-attributable fraction for each pollutant was estimated across ideal exposure scenarios (5th, 10th and 25th percentile of each pollutant) at each public health area.</p><p><strong>Results: </strong>PM2.5 and NO2 exposure were consistently associated with greater hospital admissions for cardiovascular and respiratory diseases across both males and females, with estimated incidence rate ratios ranging from 1.02 to 1.06. Across both pollutants, estimated population attributable fractions ranged from 0.9 to 3.9% for cardiovascular diseases, and 1.8 to 7.5% for respiratory diseases.</p><p><strong>Conclusions: </strong>Despite Australian air pollution levels being relatively low compared with other countries, we observed consistent associations with cardiorespiratory hospitalisations. Given the mounting evidence that air pollution negatively impacts cardiorespiratory health, policies should continuously target air pollution reduction.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"36 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870032","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":"Deadly developments: smoking cessation medicines accessed by Aboriginal and Torres Strait Islander peoples in Australia, 2006-2019.","authors":"Daniel Odo, Christina Heris, Raymond Lovett, Lisa Whop, Nicola Ball, Joanne Thandrayen, Michelle Kennedy, Raglan Maddox","doi":"10.1071/PU25057","DOIUrl":"10.1071/PU25057","url":null,"abstract":"<p><strong>Objectives and importance of the study: </strong>The aims of this study were to examine trends in the annual rate of smoking cessation medicines (SCMs) supplied to Aboriginal and Torres Strait Islander people who smoke using dispensings by Services Australia from 2006 to 2019, and to assess whether the provision of SCMs varies between regions supported by a Tackling Indigenous Smoking (TIS) program and those without TIS funding.</p><p><strong>Study type: </strong>Cross-sectional study; analysis of administrative data.</p><p><strong>Methods: </strong>Pharmaceutical Benefits Scheme (PBS) and Section 100 Remote Area Aboriginal Health Services (RAAHS) claims data for SCMs supplied to Aboriginal and Torres Strait Islander peoples were analysed. Annual rates of claims per 100 Aboriginal and Torres Strait Islander persons who smoke were calculated. The change in rate of dispensing between 2006 and 2019 was assessed using linear regression, and the patterns in the number of dispensings in TIS and non-TIS areas were described over time.</p><p><strong>Results: </strong>From 2006 to 2019, 470,408 and 7413 SCMs were dispensed under the PBS and under the RAAHS program, respectively. Overall, the rate of dispensings per 100 Aboriginal and Torres Strait Islander persons who smoke increased from 1.24 in 2006 to 18.08 in 2019 for PBS (P < 0.001), and from 0.30 in 2006 to 1.70 in 2019 for RAAHS (P < 0.001). From PBS data, the Australian Capital Territory dispensed SCMs at the highest rate (1.50 in 2006 to 27.38 in 2019), and the Northern Territory the lowest (0.23 in 2006 to 3.41 in 2019). Overall, a greater number of dispensings were observed in TIS-funded areas, with 83% of PBS dispensings occurring in these areas. However, rates could not be calculated for TIS and non-TIS comparisons due to limited denominator data.</p><p><strong>Conclusions: </strong>Uptake of SCM by Aboriginal and Torres Strait Islander people who smoke increased significantly between 2006 and 2019 (1.24-18.08 for PBS and from 0.30 to 1.70 for RAAHS per 100 people), with a greater number of dispensings observed in areas serviced by a TIS team. Access to medicines to support quitting attempts is an important component of comprehensive tobacco control and may assist people to successfully quit.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"36 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296818","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":"It's time to invest in our future: include early promotion of optimal child growth as part of general practice funding schemes.","authors":"Li Ming Wen, Eve T House, Philayrath Phongsavan, Dimity Dutch, Rachel Laws, Lisa Simone, Elizabeth Denney-Wilson, Louise A Baur","doi":"10.1071/PU25077","DOIUrl":"10.1071/PU25077","url":null,"abstract":"<p><p>Promoting optimal growth and establishing health behaviours in early childhood is critical for preventing chronic disease risk. General practice is a key setting for early childhood health promotion; however, in Australia, there are systemic barriers to embedding prevention in practice, including a lack of Medicare Benefits Schedule (MBS) items to publicly fund preventive health checks. We propose the implementation of MBS items for staged child health promotion checks aligned with childhood immunisation visits to enhance access to affordable, accessible preventive care in general practice. We believe there is a strong case to include universal checks for the promotion of optimal growth for children aged 0-5 years in the MBS.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"36 2","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785097","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":"Factors associated with delayed diagnosis of hepatitis B in southeastern Sydney.","authors":"Eunice Stiboy, Heather Valerio, Shane Tillakeratne, Vicky Sheppeard, Amy E Parry, Anthea L Katelaris, Gregory J Dore","doi":"10.1071/PU25052","DOIUrl":"10.1071/PU25052","url":null,"abstract":"<p><strong>Objectives: </strong>Hepatitis B virus (HBV) remains a public health challenge, with chronic HBV infection leading to advanced liver disease complications, including decompensated cirrhosis (DC) and hepatocellular carcinoma (HCC). Prevention of HBV-related DC and HCC relies on effective interventions, particularly antiviral therapy, with late HBV diagnosis a missed opportunity for earlier introduction. This study investigates factors associated with late HBV diagnosis in a large area of Sydney, New South Wales (NSW), Australia.</p><p><strong>Methods: </strong>This study used a subset of an existing population-based linked dataset, consisting of all HBV and hepatitis C notifications in NSW, linked to hospital admission data and the National HIV Registry. DC and HCC diagnoses were based on the first hospitalisation for each event. Late diagnosis was defined as HBV notification at or within 2 years of DC or HCC diagnoses. Cross-tabulation and unadjusted and adjusted logistic regression analyses were performed to assess the association between late HBV diagnosis and demographic, temporal, geographic and clinical factors.</p><p><strong>Results: </strong>Between 2002 and March 2022, 10,910 individuals in the South Eastern Sydney Local Health District were notified with HBV, with 296 (3%) diagnosed with DC or HCC. Late diagnosis occurred in 102 (34%) of these individuals, and was more common in females (43%) than in males (31%), in individuals born between 1945 and 1964 (55%), and in those born in West/South Asia (43%). Female sex was the only factor independently associated with late HBV diagnosis (adjusted odds ratio [aOR] 1.92, 95% CI 1.08-3.42). There were trends towards associations with late HBV diagnosis for birth cohort ≥1965 (aOR 2.02, 95% CI 0.85-4.82), overseas birth (aOR 1.92, 95% CI 0.96-4.01), history of alcohol use disorder (aOR 2.72, 95% CI 0.86-8.96) and year of DC or HCC diagnosis (aOR 0.57, 95% CI 0.28-1.16 2016-2021 vs 2001-2008).</p><p><strong>Conclusion: </strong>One-third of people with HBV-related advanced liver disease complications are diagnosed late, reducing opportunities for effective interventions. Strategies to enhance earlier HBV diagnosis are required to reduce HBV burden and advance elimination efforts. Local strategies should aim to engage older migrants from West and South Asia, ensuring equity of access for women in this cohort. These findings underscore the importance of localised data and the benefits of data linkage.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606641","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":"Communicate uncertainty and prepare for the worst: learning from healthcare workers' perceptions of an early rural hospital-centred COVID-19 outbreak response in Tasmania, Australia.","authors":"Jennifer K Makin, Louise A Clark, Louise A Parry, Tara Anderson, Nicola Stephens, Fay Johnston","doi":"10.1071/PU24032","DOIUrl":"10.1071/PU24032","url":null,"abstract":"<p><strong>Objectives: </strong>To explore healthcare workers' perceptions of the response to a hospital-based COVID-19 outbreak early in the pandemic, to inform preparedness for future responses.</p><p><strong>Study type: </strong>Qualitative cohort survey.</p><p><strong>Methods: </strong>Four months post-outbreak, 252 healthcare workers responded to one or more open-ended questions regarding their perceptions of the response.</p><p><strong>Results: </strong>Five broad themes were identified through qualitative content analysis: (1) communication in a context of uncertainty and rapid change; (2) infection control practices, including availability, adequacy and access to personal protective equipment; (3) staff dedication and mutual support in extraordinary circumstances; (4) appropriateness of outbreak response; and (5) staff vulnerability. An additional two issues cut across these themes: a sense of variability between clinical areas, organisations and work groups in relation to communication and approach to infection prevention and control practices; and an acknowledgement that the response to the outbreak was constrained by assumptions that reflected the state of understanding of SARS-CoV-2 transmission and outbreak management at that time.</p><p><strong>Conclusions: </strong>Healthcare workers who experienced an early hospital-centred COVID-19 outbreak in regional Tasmania, Australia, highlighted the need for enhanced preparedness in terms of infection control training and personal protective equipment availability, adequacy and access for future outbreaks. Planning for a successful future pandemic response also should include emergency communication preparedness, planning for effective communication in a multi-institutional healthcare campus in a situation of constant uncertainty. Staff resilience and commitment should be celebrated and reinforced as assets for future responses, while ensuring recommendations for changes to planning and practice stemming from the outbreak are implemented.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150902","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":"Effectiveness of a comprehensive bystander anti-racism intervention for healthcare staff in Australia.","authors":"Lisa Woodland, Marguerite Green, Joanne Corcoran, Monique McEwan, Rachel Sharples, Zarlasht Sarwari, Kevin Dunn, Nida Denson","doi":"10.1071/PU25046","DOIUrl":"10.1071/PU25046","url":null,"abstract":"<p><strong>Objectives and importance of study: </strong>Given the limited research on anti-racism interventions in healthcare, this study examined the effectiveness of bystander intervention training in the context of a comprehensive, multi-pronged approach to bystander anti-racism intervention for healthcare staff in one local health district in Sydney, Australia.</p><p><strong>Study type: </strong>Pre-post-follow-up study.</p><p><strong>Methods: </strong>Data were collected over 2 years (January 2021 to February 2023), at three time points through an online survey. Supplementary data were also obtained from the public sector's state annual employee experience survey.</p><p><strong>Results: </strong>The results showed that the training improved staff's understanding of racism and its impacts on health, increased their confidence and likelihood to respond to a racist incident at work, and increased their feelings of being supported by their workplace and/or manager to respond to an act of racism. Most staff were satisfied with the training, found it useful and would recommend it to colleagues. Supplementary data from the state annual employee experience survey showed that reported racism decreased slightly, and overall satisfaction with how their reported racism experience was handled more than doubled.</p><p><strong>Conclusions: </strong>The local health district developed and evaluated the effectiveness of its comprehensive, multi-pronged Addressing Racism in Healthcare Strategy. The strategy included the foundational principles and strategies for effective anti-racism interventions in healthcare settings: laying the foundation for the anti-racism intervention, addressing institutional racism and addressing personally-mediated racism. The Addressing Racism in Healthcare Strategy is a successful model that other health districts can adapt to promote inclusivity and cultural safety across the broader health system.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783092","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":"WITHDRAWN: India's Path to Cervical Cancer Control: From Obstacles to Opportunities in HPV Vaccine Uptake.","authors":"Jubina Balan Venghateri, Priyansh Nathani, Jasleen Kaur, Anita Gadgil","doi":"10.1071/PU25036","DOIUrl":"10.1071/PU25036","url":null,"abstract":"<p><p>Ahead of Print article withdrawn by publisher.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067632","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":"Jurisdictional movement among people with hepatitis B and C in Australia: implications for national data.","authors":"Jennifer H MacLachlan, Nicole Romero, Stephen B Lambert, Gregory J Dore, Richard T Gray, Jisoo A Kwon, Benjamin Cowie","doi":"10.1071/PU25051","DOIUrl":"https://doi.org/10.1071/PU25051","url":null,"abstract":"<p><p>Objectives and importance of study Chronic hepatitis B and C are leading causes of liver cancer in Australia, and understanding prevalence, diagnosis, and care uptake is a public health priority in the context of a strategic commitment to elimination. This study aims to estimate the degree of movement between jurisdictions among people with hepatitis B and hepatitis C in Australia, to understand the impact on national notifications data and the implications for modelling of prevalence and diagnosis, and consequently uptake measures. Study type Retrospective cohort study using linked health service provision data. Methods Individuals who received Medicare services restricted to those diagnosed with hepatitis B or hepatitis C (nucleic acid testing or treatment) via Medicare during 2011-2023 were analysed. The proportion who changed jurisdictions and the proportion who had a service in multiple jurisdictions were generated, with sub-analysis by jurisdiction and among priority populations (those born overseas and Aboriginal and/or Torres Strait Islander people). Results Among the cohort (n=137,041 hepatitis B; n=252,144 hepatitis C), 9.8% of those with hepatitis B and 15.1% of those with hepatitis C resided in more than one jurisdiction, ranging from 6.7%-33.3% by jurisdiction for hepatitis B and 14.5%-42.8% for hepatitis C. This compared to 10.3% (range 8.0%-28.9%) among the total Australian population. Movement was higher among Aboriginal and Torres Strait Islander people for hepatitis B, with a different pattern by jurisdiction than the total cohort. The proportion who had a hepatitis B or hepatitis C service in multiple jurisdictions was 3.2% and 4.6%, respectively, with similar trends by state and territory. Conclusions Movement among people with hepatitis B and C was highly variable according to jurisdiction. This movement should be accounted for in the use of notifications data according to geographic area, and in assessing national progress towards viral hepatitis elimination goals.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606566","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":"Reporting of pregnancy vaccinations across two data sources, New South Wales, Australia, 2017-2022.","authors":"Nicole Sonneveld, Elizabeth Wilson, Sonya Ennis, Jocelynne McRae, Kristine Macartney, Bette Liu","doi":"10.1071/PU25021","DOIUrl":"https://doi.org/10.1071/PU25021","url":null,"abstract":"<p><p>Objectives Timely, accurate reporting of pregnancy vaccination coverage is key to evaluating pregnancy immunisation programs. We compared influenza and pertussis vaccination reporting on the New South Wales (NSW) Perinatal Data Collection (PDC) and the Australian Immunisation Register (AIR), to understand coverage, reporting, timing of vaccination and provider type. Methods This retrospective population-based cohort study in New South Wales, Australia, included people giving birth at ≥20-weeks' gestation (2017-2022) in the NSW PDC (total number of pregnancies 555,553), linked to AIR-reported influenza and pertussis vaccinations. Main outcomes of interest were influenza and pertussis coverage according to 1) the PDC and 2) linked AIR records. We assessed agreement between data sources (i.e. whether an AIR record during the pregnancy existed if vaccine receipt was reported on the PDC, and vice versa) by year (influenza: 2021-2022, pertussis: 2017-2022) and selected characteristics (2022). Provider type and timing for vaccinations reported to the AIR are described (2022). Results PDC-reported influenza and pertussis coverage peaked in 2020 (influenza: 58.8%, pertussis: 79.0%), decreasing thereafter (influenza: 49.1%, pertussis: 77.6% in 2022). AIR-reported influenza and pertussis vaccination coverage increased (influenza: 34.7% in 2021 to 44.8% in 2022; pertussis: 24.4% in 2017 to 51.6% in 2022). Agreement between AIR and PDC improved over time, but remained suboptimal (influenza: 75.5%, pertussis: 56.6% in 2022). AIR and PDC agreement differed most by antenatal care model, particularly for pertussis vaccinations. In 2022, of pregnancy vaccinations reported to the AIR, &gt;75% were provided in general practices. Co-administration occurred infrequently (8.8%). Conclusions Despite mandated reporting to the AIR, there was significant underreporting of pregnancy vaccinations to the AIR as compared with the NSW PDC. National collection of accurate and timely data on pregnancy vaccination coverage is needed to monitor vaccine uptake, and identify and monitor strategies to improve uptake, particularly with the new pregnancy respiratory syncytial virus vaccine program in 2025. We identified co-administration as a potential strategy to improve influenza vaccination coverage during pregnancy.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606736","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":"Co-creating health interventions for adolescents: strategies for meaningful involvement.","authors":"Matthew L Watt, Florens de Groot, Sarah Y Ford, Angela Webster, Louise Thornton","doi":"10.1071/PU24015","DOIUrl":"10.1071/PU24015","url":null,"abstract":"<p><p>Involving young people in the development of health interventions can result in interventions that are more fit for purpose. However, few, if any, studies outline how to successfully and meaningfully engage young people in the development process. This report outlines the successes and challenges of three strategies we used to involve young people in designing a health intervention targeting young people. It is hoped that our experience can help inform other researchers how young people can be meaningfully engaged in research.</p>","PeriodicalId":45898,"journal":{"name":"Public Health Research & Practice","volume":"35 ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114456","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}