Nursing Research and Practice最新文献

{"title":"Development and Healing Process of Severe Radiodermatitis in Patients With Head and Neck Cancer Undergoing Radiotherapy: A Scoping Review.","authors":"Nao Miyamae, Yuko Imakata, Mao Kunimitsu, Makoto Oe","doi":"10.1155/nrp/1940552","DOIUrl":"10.1155/nrp/1940552","url":null,"abstract":"<p><p><b>Aims:</b> To summarize the morphological characteristics and development and healing processes of severe radiodermatitis for examining the factors contributing to the development of severe radiodermatitis in patients with head and neck cancer. <b>Methods:</b> This scoping review was conducted in accordance with PRISMA extension for Scoping Reviews. Data were extracted from selected references describing detailed conditions of severe radiodermatitis in patients with head and neck cancer. The data were organized separately for radiotherapy, chemoradiotherapy, and bioradiotherapy. <b>Data Sources:</b> Medline, PubMed, CINAHL, and Cochrane Central Register of Controlled Trials databases were used to search for papers from 2000 to December 2023. <b>Results:</b> 11 out of 658 references met the criteria for this review. The morphological characteristics of severe radiodermatitis were categorized by symptoms, site, and shape, and a condition in which moist desquamations and associated crusts spreading to the anterior and lateral neck areas were extracted. In bioradiotherapy, the process of keratinocyte degeneration and formation of blisters under the epidermis leading to moist desquamations was extracted. In chemoradiotherapy, the process of epithelization was extracted 1 week following the occurrence of moist desquamations. <b>Conclusions:</b> Moist desquamations are more likely to occur in severe radiodermatitis in patients with head and neck cancer. Since they can fuse and spread, preventative measures to mitigate spreading are important. However, there is insufficient information to examine the causes of widespread moist desquamations. For preventing moist desquamations and establishing care methods to heal moist desquamations, it may be necessary to identify the symptoms, site, and shape, including the color tone and depth, and healing process during their occurrence.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"1940552"},"PeriodicalIF":2.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956609","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":"Assessing Critical Care Nurse's Knowledge and Adherence to Evidence-Base Guidelines for Ventilator-Associated Pneumonia Prevention in Palestinian Hospitals.","authors":"Ismael Ahmad Al-Nawaja'a, Basma Salameh, Dalia Toqan, Bahaaeddin M Hammad, Imad Fashafsheh","doi":"10.1155/nrp/1434479","DOIUrl":"https://doi.org/10.1155/nrp/1434479","url":null,"abstract":"<p><p><b>Background:</b> Patients in critical care units who are connected to mechanical ventilators (MV) often face the risk of ventilator-associated pneumonia (VAP). Therefore, the aim of current study is to describe critical care nurses' knowledge and adherence to evidence-base guidelines (EBGs) for preventing the occurrence of VAP. <b>Methodology:</b> A cross-sectional study was applied. Data were collected through a self-administered questionnaire completed by all critical care nurses (<i>n</i> = 213) working at Palestinian hospitals. Descriptive and inferential statistic was utilized to describe ICU nurse's knowledge and adherence to VAP prevention EBGs. <b>Results:</b> The study revealed that the mean knowledge score for critical care nurses was (50.8%). Overall, the findings indicated that nurses' knowledge of VAP guidelines was at an average level. A statistically significant difference (<i>p</i> value = 0.049) in the knowledge level was observed based on nurses' qualifications. On the other hand, the study found that nurses' adherence to EBGs was an acceptable (mean = 8.3, 69.2%). No substantial differences in adherence level were identified based on respondents' characteristics. <b>Conclusion:</b> Critical care nurses possess an average level of knowledge regarding EBGs for preventing VAP, alongside demonstrating an acceptable level of adherence to these guidelines.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"1434479"},"PeriodicalIF":2.2,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932732","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":"\"Oh, We Don't Want the Men Around.\" The Experience of Men in Nursing During Prelicensure Labor and Delivery Clinical Rotation.","authors":"Kechi Iheduru-Anderson, Chimezie J Agomoh","doi":"10.1155/nrp/5562479","DOIUrl":"10.1155/nrp/5562479","url":null,"abstract":"<p><p><b>Background:</b> The nursing profession has traditionally been dominated by females, with male nurses comprising a small minority. The labor and delivery unit is one area of nursing that is particularly associated with female care providers. Male nursing students face unique challenges and experiences while completing their clinical rotations in this setting. Understanding these challenges is vital to help support them during their clinical rotation. With the nursing shortage being a global concern, all students must be supported to achieve academic success, regardless of gender. <b>Purpose:</b> This study uses social role theory to explore the experiences of male nursing students during their clinical rotations in the L&D unit. <b>Method:</b> This study used a phenomenological qualitative approach to gather data through in-depth interviews with male nursing students who had completed their labor and delivery unit clinical rotations. The data were thematically analyzed. <b>Findings:</b> The analysis identified five main themes: Culture, Exclusion from the Learning Experience, Different Expectations for Men in Labor and Delivery Units, Men are not Equipped to Deal with Emotions in Labor and Delivery Units, and (Mis)interpretation of Touch. <b>Conclusion:</b> This study explored the experiences of male nursing students during their clinical rotations in the labor and delivery unit. The findings will add to the body of knowledge on gender and nursing education and provide valuable insight into the experiences of male nursing students, which can be used to support and improve nursing education in this area.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"5562479"},"PeriodicalIF":2.2,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11637622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819587","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":"Nursing Faculty Shortage Impact on Nursing Students: A Descriptive Phenomenological Study.","authors":"Asia Antig, Shaniah Arañez, Chariemae Cañazares, Daisy Palompon","doi":"10.1155/2024/1751942","DOIUrl":"10.1155/2024/1751942","url":null,"abstract":"<p><p><b>Background:</b> The nursing education sector has felt the impact of the shortage of nursing clinical instructors (CI) or faculty members. This phenomenon became more profound with the pandemic experience along with the global shortage of nurses in the hospitals. <b>Objective:</b> The study was conducted to explore the lived experiences on learning among undergraduate nursing students in a higher education institution amidst the nursing faculty shortage. <b>Methods:</b> The study was undertaken using a descriptive phenomenological design with seven informants, using Colaizzi's approach for data analysis. <b>Findings:</b> The findings of the study generated three main themes: disruptions in the learning process and platforms, responses to learning disruptions, and learners' call to action. It uncovered substantial disruptions in scheduled lectures, activities, and clinical rotations due to the nursing faculty shortage. <b>Conclusion:</b> The findings underscore the critical need for immediate and comprehensive measures to address the nursing faculty shortage. Despite compensatory efforts by the institution, the impact on learning experience remains significant. This study calls for prompt and effective strategies to rectify the nursing faculty shortage, ensuring optimal learning experiences for student nurses.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"1751942"},"PeriodicalIF":2.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11537749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584797","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":"Nurses' Perception on the Hindrances of Triage System in Emergency Unit.","authors":"Olunike Blessing Olofinbiyi, Lufuno Makhado","doi":"10.1155/2024/8621065","DOIUrl":"10.1155/2024/8621065","url":null,"abstract":"<p><p><b>Background:</b> Despite the fact that several triage tools have been implemented globally, emergency care, including the triage system, is often one of the weakest parts of the health system in developing countries, as compared to developed countries. Moreover, emergency centers in African countries are very busy, often flooded by high load of trauma patients, chronic medical conditions, acute medical emergencies, and HIV-related conditions. These disease conditions precipitate the reasons for the prioritization of patients. In South Africa, studies conducted on the use of triage by nurses revealed that most patients are satisfied with the Nurse-led triage service provided in emergency departments (EDs). At the same time, some Nurses also see the South African Triage Scale (SATS) as one of the easiest Nurse-led triage tools. <b>Aim:</b> The study aimed at identifying the factors hindering the effective process of triage during care provision at a selected public hospital in KwaZulu-Natal (KZN). <b>Methods:</b> This study utilized a cross-sectional survey, employing a nonprobability convenience sampling to recruit its respondents. The recognition primed decision model formed the framework of the study. Ethical clearance was obtained from the University of KwaZulu-Natal Ethics Review Board, and ethics principles were carefully observed throughout the study. <b>Results:</b> Out of the 100 respondents, 89% (89) of the respondents perceived that various factors still impede the progress of triage, while 11% (11) of the respondents perceived that no factor impedes the progress of triage. <b>Conclusion:</b> The study indicates that several factors still hinder the effective process of triage. Based on the findings of the study, factors like overcrowding, Nurses waiting for doctors when they know what to do, lack of continuous professional development on triage system, inadequate experience, lack of confidence, and lack of adequate training on triage still impede the efficient triage system.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"8621065"},"PeriodicalIF":2.2,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569896","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":"Development of a Symptom Self-Management Guide for Older Chinese Americans Kidney Receiving Replacement Therapy.","authors":"Carolyn Sun, Wing Cheung, Kathryn Corpuz, Jingjing Shang, Patricia W Stone","doi":"10.1155/2024/2280296","DOIUrl":"10.1155/2024/2280296","url":null,"abstract":"<p><strong>Aim: </strong>To assess the acceptability of a symptom self-management booklet among older Chinese Americans receiving kidney replacement therapy.</p><p><strong>Background: </strong>In previous work, we identified commonly occurring, bothersome symptoms and strategies used in this population to ameliorate symptoms. We used these data to develop a symptom self-management booklet in English, traditional, and simplified Chinese.</p><p><strong>Introduction: </strong>In the United States, the prevalence of kidney disease is 1.5 times higher in Asians compared to whites. With the many symptoms associated with this disease, self-management of symptoms would be particularly helpful.</p><p><strong>Methods: </strong>Seven older Chinese Americans receiving kidney replacement therapy and their caregivers were interviewed to assess the acceptability of the booklets. We reviewed participant feedback on content, graphics, and design, reading experience, suggestions for improvement, and health information sources using the inductive thematic method.</p><p><strong>Results: </strong>Overall, patients confirmed acceptability of these self-management booklets across all domains. <i>Discussion</i>. This study validated the booklet as a source of health information for older Chinese American patients with kidney disease, which some studies suggest are preferred to electronic materials or methods in this population. Health care providers can use the resultant booklets when caring for these patients to provide culturally sensitive information on self-management of symptoms. <i>Conclusion and Implications for Nursing</i>. These booklets provide a free resource tailored to an underserved population and may help nurses and nurse practitioners provide care with cultural humility. <i>Implications for Health Policy</i>. Embracing community-based participatory research, as was done in this study, can help create culturally appropriate patient education materials that empower patient symptom self-management and promote informative and culturally sensitive conversations between patients, families, and providers.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"2280296"},"PeriodicalIF":2.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477443","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":"NoFumo+: Mobile Health App to Quit Smoking Using Cognitive-Behavioral Therapy.","authors":"Patricia García-Pazo, Joana Fornés-Vives, Albert Sesé Abad","doi":"10.1155/2024/8836672","DOIUrl":"10.1155/2024/8836672","url":null,"abstract":"<p><p>This paper describes the development and test of a smartphone application to quit smoking using cognitive behavioral therapy (CBT). The tool includes recommendations from US Clinical Practice Guidelines (USCPG), drawing on the potential of smartphones and complying with the health App (mHealth) assessment standards. The mHealth created, called NoFumo+, is structured by 4 weeks treatment, implements the USCPG 5A recommendations (ask, advise, assess, assist, and arrange) and incorporates a CBT. It also includes complementary information, monitoring of the smoking behavior, social support for users, proposals for alternative activities to smoking, and innovative gamification to encourage and reward adherence. To technical development, a multidisciplinary team was formed (healthcare, research, and software engineers) that made theoretical decisions on both technical issues and the incorporation of therapeutic techniques. The validation was carried out in two phases; the first in the laboratory by a group of experts in information and communication technologies and CBTs (<i>n</i> = 15) and the second, a field study with smokers (<i>n</i> = 10). The standards for the development of mHealth recommended by the Andalusian Healthcare Quality Agency and the App quality evaluation guidelines of the Catalonian ICT Foundation for Social Health were used as assessment protocols by the experts' panel and the smokers' group, respectively. Experts' assessment results were satisfactory and some improving changes were suggested, such as to add more gamification elements. The group of smokers rated the mHealth as 100% easy to use and effective for quit smoking and understandable by the 83.3%. They also found No Fumo + quite useful to have the information available at all times. The obtained evidence after a complete two-phased validation study, with experts and potential users, shows a mHealth with high quality and easy to use. Finally, investigation project registered in ClinicalTrials.gov with reference to this trial is registered with NCT045402004.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"8836672"},"PeriodicalIF":2.2,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373227","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":"Measuring Cardiovascular Disease Risk Perception: Translation and Validation of the Indonesian ABCD Risk Questionnaire.","authors":"Septa Meriana Lumbantoruan, Deby Kristiani Uligraff, Eva Berthy Tallutondok","doi":"10.1155/2024/7526455","DOIUrl":"https://doi.org/10.1155/2024/7526455","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVDs) are still increasing worldwide contributing to increasing death worldwide. To test CVDs' awareness, the Attitude and Belief about Cardiovascular Disease (ABCD) questionnaire was developed. However, this questionnaire is not available in Indonesia language.</p><p><strong>Methods: </strong>The original questionnaire was translated in both directions forward and backward. The process is then continued with a content validity index created by three experts. The exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) then determine the factors that support the translated questionnaire. The splitting sample method was applied in both factor analyses. Internal consistency testing of 18 items was performed on 236 samples.</p><p><strong>Result: </strong>The validity of the entire questionnaire subscale was satisfactory. Three retained factors were supported by the EFA and CFA, namely, risk perception, perceived benefit, and healthy eating intention. The internal consistency was acceptable based on Cronbach alpha and ordinal alpha. The Indonesian version of ABCD questionnaire was statistically valid and reliable to be used.</p><p><strong>Conclusion: </strong>The Indonesian version of the ABCD questionnaire is a valid questionnaire to access the attitude and belief of CVDs in Indonesia.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"7526455"},"PeriodicalIF":2.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298494","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":"Optimizing Door-to-Balloon Time for Patients Undergoing Primary Percutaneous Coronary Intervention at King Abdullah Medical City.","authors":"Ebtisam A Elhihi, Faisal A Alasmari, Omar K Abdel Rahman, Fahad T Almoallad, Reem A Alsalhi, Shuruq F Alosaimi, Faisal M Alhazmi, Marwan S Hawsawei, Ziyad A Alasmari","doi":"10.1155/2024/9823144","DOIUrl":"10.1155/2024/9823144","url":null,"abstract":"<p><strong>Background: </strong>The acute myocardial infarction mortality risk rises by 8% per year for every 30-minute delay in early coronary intervention following the onset of symptoms. Thus, it is important to reduce the door-to-balloon time as much as possible, especially in hospitals where early coronary intervention is carried out within 90 minutes.</p><p><strong>Aim: </strong>The purpose of this study was to determine the impact of King Abdullah Medical City's strategies on balloon time for patients with ST elevation myocardial infraction.</p><p><strong>Methods: </strong>Prospective observational research was conducted in King Abdullah Medical City. This study included 67 patients who had a primary percutaneous coronary intervention. Data were collected in Hajj 2023 through direct observation using a checklist that included two parts: (I) patients' demographic characteristics and relevant time intervals. The data were analyzed using descriptive statistics (frequency and percentage; median and interquartile range) and inferential statistics (Mann-Whitney <i>U</i> test, Kruskal-Wallis H test, Spearman correlation coefficient test).</p><p><strong>Results: </strong>It was noted that the median overall door-to-balloon time was 68 minutes for direct admission patients and 100 minutes (median) for interhospital transferred patients, with a statistically significant <i>P</i> value of 0.001. DTBT had no significant correlation with either the length of stay or hospital mortality rates (<i>P</i> > 0.05).</p><p><strong>Conclusions: </strong>King Abdullah Medical City accomplished an international benchmark in door-to-balloon time for ST elevation myocardial infraction patients visiting the hospital for percutaneous coronary intervention during the hajj season. Healthcare organizations can take proactive steps to optimize the management of STEMI cases. This includes establishing efficient communication channels, standardizing protocols, and facilitating seamless transitions between healthcare facilities.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"9823144"},"PeriodicalIF":2.2,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156323","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":"Succession Planning and Leadership Development in Nursing: A Bibliometric Analysis (2000-2023).","authors":"Azza K Al Hajri","doi":"10.1155/2024/6191008","DOIUrl":"10.1155/2024/6191008","url":null,"abstract":"<p><p>Succession planning is a commonly employed term in business strategy, referring to the systematic process of transferring leadership responsibilities to another employee to ensure the seamless continuity of an organization's operations. Today, this concept has acquired importance in various industries, including healthcare, with a specific focus on nursing. Several factors led nurse managers to consider preparing potential leaders for primary leadership roles due to the shortage of nurses, significantly impacting healthcare services and patient safety. Because of the importance of this topic, this present bibliometric analysis aims to analyze research studies conducted on succession planning and leadership development in nursing from 2000 to 2023 to identify research trends, key themes, and the evolution of research during this period. The Elsevier Scopus database was utilized for this analysis. This methodology identified (<i>n</i> = 326) journal studies based on the predefined keywords and timeframe. The data derived from this bibliometric analysis offers a robust foundation for conducting a systematic review, enabling a comprehensive synthesis and evaluation of the evidence in this significant field of study.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"6191008"},"PeriodicalIF":2.2,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11329302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001010","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}