Herd-Health Environments Research & Design Journal最新文献

Walkability Versus Livability: Changes in Neighborhood Satisfaction After Relocation to a Walkable, Mixed-Income Community in Austin, Texas.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-18 DOI: 10.1177/19375867251317238

Xuemei Zhu, Minjie Xu, Chanam Lee, Hanwool Lee, Marcia G Ory

{"title":"Walkability Versus Livability: Changes in Neighborhood Satisfaction After Relocation to a Walkable, Mixed-Income Community in Austin, Texas.","authors":"Xuemei Zhu, Minjie Xu, Chanam Lee, Hanwool Lee, Marcia G Ory","doi":"10.1177/19375867251317238","DOIUrl":"https://doi.org/10.1177/19375867251317238","url":null,"abstract":"Aim: This study examined significant knowledge gaps in understanding walkability-livability relationships. Background: The concept of livability focuses on perceptions of neighborhood environments in relation to quality of life. As walkable communities become increasingly promoted for their health and environmental benefits, questions remain about how walkability affects perceived livability across individuals with various backgrounds and preferences. Methods: We conducted a retrospective study with residents relocated to a community that is not only walkable but also mixed-income in Austin, Texas, U.S. Surveys were used to capture their satisfaction with perceived livability (i.e., \"a good place to live\" and \"a good place to raise children\") and specific neighborhood features, and relevant personal, social, and environmental factors. We used (1) paired t-tests to examine pre-post move differences, (2) binary logistic regressions to predict perceived livability, and (3) multiple linear regressions to predict the pre-post differences in perceived livability. Results: Relocation to this community demonstrated improved satisfaction with two overall livability measures and specific neighborhood features related to convenient transportation, access to services, environmental quality, and social cohesion. Affordable housing residents had more consistent satisfaction and greater improvements, suggesting improved residential equality in this mixed-income community. Improvements in perceived crime safety, natural surroundings, walkable destinations, and air quality predicted improvement in both livability measures. Denser streets improved satisfaction with a good place to live but were insignificant for the change in satisfaction with a good place to raise children. Conclusions: More research is needed to address distinct population outcomes and livability specific to raising children.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251317238"},"PeriodicalIF":1.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450558","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}

引用次数: 0

Investigating the Interplay of Thermal, Lighting, and Acoustics in Intensive Care for Enhanced Patient Well-being and Clinical Outcomes.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-16 DOI: 10.1177/19375867251317235

Emil E Jonescu, Edward Litton, Benjamin Farrell

{"title":"Investigating the Interplay of Thermal, Lighting, and Acoustics in Intensive Care for Enhanced Patient Well-being and Clinical Outcomes.","authors":"Emil E Jonescu, Edward Litton, Benjamin Farrell","doi":"10.1177/19375867251317235","DOIUrl":"https://doi.org/10.1177/19375867251317235","url":null,"abstract":"This research explores the interplay among noise levels, thermal conditions, and lighting intensity in an intensive care unit (ICU), focusing on preserving circadian rhythm and promoting nighttime sleep to advance patient-centric care. This investigation assesses lighting levels (Lux), natural versus artificial light ratios, ICU room temperature, and correlations with acoustic data during a field research period and examines the collective impact of patient exposure to sleep linked to delirium and health outcomes, addressing critical gaps in understanding. Findings reveal that noise levels between 60 and 90 dB(A) during patient occupancy exceed sleep disruption thresholds, with daytime averages of 53.6 dB(A) and nighttime averages of 48.5 dB(A) surpassing recommended criteria. Temperature fluctuations, often outside the optimal sleep range, and suboptimal diurnal variations impact patient comfort and clinician challenges. Lux levels mostly fall short of the optimum range, affecting circadian rhythms. Temporal distinctions of these environmental factors directly impact clinicians and patients, with correlated spikes in noise, lighting, and temperature during admission periods requiring heightened attention for optimal care. These cumulative impacts necessitate clinicians to navigate challenges and ensure consistent and effective care. Patients experience sleep disruptions, highlighting the need for a holistic healthcare design addressing interconnected environmental dynamics. The findings underscore the importance of comprehensive approaches to healthcare design, optimizing the ICU environment for patient-centric care and supporting healthcare professionals' well-being. Recommendations include targeted interventions to improve sleep, reduce delirium incidence, and enhance recovery, advancing ICU design for better patient outcomes; and facilitating effective communication among healthcare practitioners.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251317235"},"PeriodicalIF":1.7,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433794","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}

引用次数: 0

Costs and Effects of Ineffective Wayfinding in US Hospitals: A Survey of Hospital Staff.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-13 DOI: 10.1177/19375867251317240

Saman Jamshidi, Seyedehnastaran Hashemi, Dieu-My T Tran

{"title":"Costs and Effects of Ineffective Wayfinding in US Hospitals: A Survey of Hospital Staff.","authors":"Saman Jamshidi, Seyedehnastaran Hashemi, Dieu-My T Tran","doi":"10.1177/19375867251317240","DOIUrl":"https://doi.org/10.1177/19375867251317240","url":null,"abstract":"Purpose: This article assesses the magnitude and impact of wayfinding problems in US hospitals as perceived by staff. Background: Problematic wayfinding in healthcare facilities is a persistent issue, leading to frustration, stress, fatigue, physical aggression, wasted time, and a negative organizational image. Despite anecdotal evidence, few studies have quantified the impacts of wayfinding problems. Methods: This descriptive cross-sectional study used an online questionnaire to gather data from hospital staff in the United States. The questionnaire targeted (1) wayfinding for hospital staff, (2) wayfinding for hospital visitors, (3) the impact of wayfinding problems on staff, and (4) the importance of addressing wayfinding problems. Data from 301 questionnaires were analyzed using descriptive and nonparametric statistics. Results: Staff found it easy to navigate their own departments but more difficult to navigate other departments. Staff's responses indicated that wayfinding was relatively difficult for visitors. Each staff member spent about 30 min per week on helping others with wayfinding. The five locations in which users needed the most assistance were the cafeteria, restrooms, elevators, exits, and main lobby. Staff commonly escorted people to a point from which they could independently reach their destination. Wayfinding difficulties could distract staff from their main duties and cause frustration. Nearly 44% of the participants experienced incivility from users who had become frustrated by wayfinding problems. Participants rated addressing wayfinding problems as very important. Conclusions: Despite the extensive literature on the environmental factors that influence wayfinding, this study finds that hospital visitors in the United States still struggle with wayfinding, which indicates a potential gap between design research and practice.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251317240"},"PeriodicalIF":1.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411257","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}

引用次数: 0

Design and the PICO Question.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-13 DOI: 10.1177/19375867251317936

D Kirk Hamilton

引用次数: 0

Investigating the Impact of Window Features and Room Layout on Anxiety, Depression, and Analgesic Medication Intake Among Patients: A Pilot Study in a Cardiac Intensive Care Unit.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-12 DOI: 10.1177/19375867251314518

Roxana Jafarifiroozabadi

{"title":"Investigating the Impact of Window Features and Room Layout on Anxiety, Depression, and Analgesic Medication Intake Among Patients: A Pilot Study in a Cardiac Intensive Care Unit.","authors":"Roxana Jafarifiroozabadi","doi":"10.1177/19375867251314518","DOIUrl":"https://doi.org/10.1177/19375867251314518","url":null,"abstract":"Objectives: This observational, pilot study investigated the impact of room layout (orientation of patient bed toward windows) and window features (blind positions) on patients' perceived anxiety and depression levels as well as analgesic medication intake in a cardiac intensive care unit (CICU).Background: While room layout and window features in patient rooms can impact the effectiveness of windows, there is a paucity of research on how these features can alleviate coexisting symptoms of anxiety, depression, and pain among hospitalized CICU patients with heart disease.Methodology: Blind positions, light, and temperature levels were recorded hourly in south-facing, windowed patient rooms of the same size with parallel or perpendicular patient bed placement to the window in a CICU. Anxiety scores, depression scores, and analgesic medication intake (mg) were obtained daily for 11 patients (22 observation days). Generalized linear models were employed to investigate the relationships between variables.Results: Blind positions (open, semiopen, closed) varied throughout patients' CICU stay across the rooms. Linear models indicated that patients in rooms with predominantly open blinds (hourly frequency ≥ 50% per day) had significantly lower average anxiety (p = .004) and depression scores (p = .015), as well as reduced analgesic medication intake (p < .001) compared to those in rooms with closed blinds. The study found no significant relationships between different room layouts and the measured outcomes.Conclusion: Findings underscore the importance of considering environmental factors, such as window features and room layout in CICUs, as nonmedical interventions to enhance patient health during hospitalization.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251314518"},"PeriodicalIF":1.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400275","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}

引用次数: 0

Modeling the Dynamic Outcomes of Infection Prevention Behaviors in an ICU Environment.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-10 DOI: 10.1177/19375867251317234

Lisa Sundahl Platt, Arezoo Zeinali

{"title":"Modeling the Dynamic Outcomes of Infection Prevention Behaviors in an ICU Environment.","authors":"Lisa Sundahl Platt, Arezoo Zeinali","doi":"10.1177/19375867251317234","DOIUrl":"https://doi.org/10.1177/19375867251317234","url":null,"abstract":"Objective: The research opportunity addressed in this study is in understanding how socio-technical system interactions within healthcare settings can be optimized to promote patient safety, particularly in the context of infection risk analysis during critical clinician-patient interactions and throughout the care delivery. Background: Preventing the risk of pathogen spread in healthcare environments that cause Hospital Acquired Infections (HAIs) is an ongoing challenge both in the U.S. and globally. In complex inpatient care delivery settings, variability in clinical staff's infection control behaviors, such as hand hygiene compliance, can hinder achievement of optimal HAI risk prevention objectives. Method: The authors employed Agent-based Modeling (ABM) in conjunction with the Theory of Planned Behavior (TPB) as a framework for evaluating the simulated results of safety behaviors like hand hygiene compliance impact both patient and overall environmental infectivity. Results: This study demonstrates that using a computational approach to evaluate operational factors in care delivery settings can effectively forecast the impact of human behaviors like hand hygiene compliance on patient safety and environmental infectivity levels. Conclusion: This approach provides valuable insights for designing and operating healthcare environments by highlighting the importance of integrating behavioral theories and computational modeling to improve infection control practices. Application: The implications of this study healthcare designers and hospital operations professionals suggest that applying ABM to evaluate physical design interventions within the care environment that bolster clinicians' Perceived Behavioral Control and their intentions to perform safe infection risk prevention practices offers a viable method for understanding and improving the design dynamics healthcare settings.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251317234"},"PeriodicalIF":1.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391939","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}

引用次数: 0

A Design-Driven Approach Exploring Therapeutic Building-Nature Integration Strategies in Healthcare.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-09 DOI: 10.1177/19375867251313990

Liheng Zhu, Dan Hu, Sarah Javed Shah, Xiao Hu

{"title":"A Design-Driven Approach Exploring Therapeutic Building-Nature Integration Strategies in Healthcare.","authors":"Liheng Zhu, Dan Hu, Sarah Javed Shah, Xiao Hu","doi":"10.1177/19375867251313990","DOIUrl":"https://doi.org/10.1177/19375867251313990","url":null,"abstract":"Objectives: This paper focuses on the three representative hospital projects conceived by Herzog & de Meuron, which transcend the conventional function of healing facilities by embracing a holistic conception of care. Through a thorough examination, complemented by illustrative drawings, it delves into the design strategies that set these projects apart from conventional practices observed in general hospital settings. Background: In response to the rising concerns about environmental sustainability and human well-being, architects, urban planners, and landscape designers are beginning to realize how crucial it is to use \"natural\" components in design. Particularly in healthcare institutions, carefully designed healing gardens like courtyards, with their appropriate spatial arrangement and material composition method, aim for high-quality spaces to promote health and well-being. Methodology: A qualitative study was conducted through design-driven evaluation, with photographic documentation, drawings, and sketches to show how these designs achieve therapeutic integration. The strategies were thoroughly analyzed from three main perspectives: context and space, garden and building, and material and environment. Results: The investigation demonstrates that key design elements for improving the healing effect of hospitals include nature integration, spatial sequence, daylight exposure, and material composition. Specifically, it involves incorporating nature through courtyards, allowing daylight to enter indoor spaces, using clear architectural markers for easy wayfinding, and applying tactile timber finishes both inside and outside the building. Conclusions: The research highlights significant strategies and approaches that establish a framework for designers and decision-makers to assess hospital health promotion aspects to guide future design projects.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251313990"},"PeriodicalIF":1.7,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383590","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}

引用次数: 0

Investigating the Role of the Physical Environment on Communication Patterns in Emergency Departments During Caregiving for Pediatric Mental and Behavioral Health Patients.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-06 DOI: 10.1177/19375867251317241

Yueci Jiang, Anjali Joseph, Monica Gripko, Sahar Mihandoust, Heidi Zinzow, Lucinda Easler, Ann Dietrich

{"title":"Investigating the Role of the Physical Environment on Communication Patterns in Emergency Departments During Caregiving for Pediatric Mental and Behavioral Health Patients.","authors":"Yueci Jiang, Anjali Joseph, Monica Gripko, Sahar Mihandoust, Heidi Zinzow, Lucinda Easler, Ann Dietrich","doi":"10.1177/19375867251317241","DOIUrl":"https://doi.org/10.1177/19375867251317241","url":null,"abstract":"Objective: This study investigates how the physical environment influences communication dynamics among staff members, pediatric mental and behavioral health (MBH) patients, and their families in the emergency department (ED).Background: The United States faces a public health challenge as MBH conditions in school-age children contribute to an increasing number of ED visits. Effective communication plays a pivotal role in pediatric MBH caregiving, where challenges often arise due to the sensitive nature of these conditions.Methods: This qualitative study involved observations and semistructured interviews with 55 care providers across four hospital-based EDs in the southeastern United States.Results: Qualitative thematic analysis of the interviews identified physical environment impacts on communication at three scales: unit, staff workstation, and patient care space. This study identified aspects of the physical environment, such as proximity, visibility, crowding, and privacy as influential factors in communication patterns for the MBH care process in ED.Conclusions: The physical environment has an essential impact on communication patterns and care delivery for the increasing number of pediatric MBH patients in the ED.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251317241"},"PeriodicalIF":1.7,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256934","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}

引用次数: 0

Are ICU Bedspaces Based in Evidence, and Do They Support Patient Sleep? A Narrative Review.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-02 DOI: 10.1177/19375867251317239

Oystein Tronstad, Irene Szollosi, Dylan Flaws, Barbara Zangerl, John F Fraser

{"title":"Are ICU Bedspaces Based in Evidence, and Do They Support Patient Sleep? A Narrative Review.","authors":"Oystein Tronstad, Irene Szollosi, Dylan Flaws, Barbara Zangerl, John F Fraser","doi":"10.1177/19375867251317239","DOIUrl":"https://doi.org/10.1177/19375867251317239","url":null,"abstract":"Objective: This narrative review summarizes some of the evidence guiding current intensive care unit (ICU) design, focussing on environmental factors impacting on sleep, and compares available evidence and recommendations to current ICU designs and builds. Background: The importance of sleep for recovery after illness is well known. However, hospitalized patients frequently experience poor and disrupted sleep. This is especially true for patients admitted to the ICU. There are many factors negatively impacting on ICU patients' ability to sleep. Some relate to their illness or pre-existing sleep problems; others relate to patient care activities. While the ICU bedspace may facilitate 24h care, there is growing awareness of the detrimental impact the bedspace environment (especially suboptimal lighting and excessive sound/noise) has on sleep quality, and important questions raised regarding how this may impact on recovery and health outcomes. Multiple guidelines and recommendations exist to guide ICU bedspace design. However, questions have been raised whether contemporary ICUs are evidence-based, and whether the available evidence is effectively translated into the built ICU. Methods: A comprehensive literature review was conducted, exploring the evidence supporting current ICU bedspace design and the impact of ICU design and environmental factors on patient sleep. Results and conclusion: This review summarizes the impact of the ICU bedspace environment on patient outcomes and describes features of the ICU bedspace design that may not adhere to best evidence and contribute to poor sleep. Suggestions on how ICU bedspaces can be improved to optimize sleep are provided.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867251317239"},"PeriodicalIF":1.7,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081367","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}

引用次数: 0

Keeping Healthcare Workers Safe During a Pandemic: Evaluating Doffing Area Design for Safer Removal of Personal Protective Equipment.

IF 1.7 4区医学

Herd-Health Environments Research & Design Journal Pub Date : 2025-02-02 DOI: 10.1177/19375867241311273

Zorana Matić, Yeinn Oh, Amanda Grindle, Jennifer R DuBose, Lisa Lim

{"title":"Keeping Healthcare Workers Safe During a Pandemic: Evaluating Doffing Area Design for Safer Removal of Personal Protective Equipment.","authors":"Zorana Matić, Yeinn Oh, Amanda Grindle, Jennifer R DuBose, Lisa Lim","doi":"10.1177/19375867241311273","DOIUrl":"https://doi.org/10.1177/19375867241311273","url":null,"abstract":"Objective: This study proposes a user-centered methodology to quantify the design affordances of doffing spaces, focusing on the safety and efficiency of healthcare workers (HCWs).Background: Doffing personal protective equipment (PPE) poses a significant challenge for healthcare workers (HCWs) due to the high risk of self-contamination. The physical design of the doffing area plays an important role in ensuring safety during this process. However, there currently are no established spatial metrics for assessing the design of doffing spaces.Methods: Four doffing areas in two Biocontainment Units (BCUs) were evaluated using Functional Scenario (FS) analysis method. FSs, representing the spatial needs of key users (HCW and Trained Observer-TO) were developed based on observations, literature, and discussions with staff. For each FS, we defined quantifiable metrics for visualizing the user's needs and evaluating doffing area design performance.Results: We defined 11 FSs (seven for HCWs and four for TOs) and 19 associated spatial metrics. FSs for the HCW focused on the prevention of self- and cross-contamination, as well as facilitating visibility, efficiency, and situational and process awareness. The FSs for the TO center on preventing self-contamination, promoting visibility and process awareness, and safe waste management.Conclusions: The FS approach allowed for the quantification of doffing area affordances and evaluation of how they impact HCW performance, emphasizing design aspects that enhance safety and efficiency. The presented metrics and study findings are expected to inform the future design of spaces where doffing occurs and provide new guidance for improved doffing safety.","PeriodicalId":47306,"journal":{"name":"Herd-Health Environments Research & Design Journal","volume":" ","pages":"19375867241311273"},"PeriodicalIF":1.7,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081488","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}

引用次数: 0