Health Education Journal最新文献

{"title":"Canadian cannabis education resources to support youth health literacy: A scoping review and environmental scan.","authors":"Emily J Howe, Lisa D Bishop, Bethany S Torraville, Emily C Rowe, Eden Kinzel, Jennifer R Donnan","doi":"10.1177/00178969231191085","DOIUrl":"10.1177/00178969231191085","url":null,"abstract":"<p><strong>Background: </strong>The 2018 legalisation of cannabis in Canada sparked concern and conversation about the potential negative impacts of youth cannabis use. It is clear that young people are already engaging in cannabis use for a variety of reasons; therefore, youth cannabis education is desirable to promote harm reduction and reduce the risk of adverse physical and mental health outcomes.</p><p><strong>Objective: </strong>To identify and categorise Canadian cannabis education resources using a social-ecological approach informed by the youth health literacy framework, considering multiple factors at the micro-, meso- and macro-levels that influence health literacy and impact behaviour.</p><p><strong>Methods: </strong>In line with scoping review methodology, database searches and an environmental scan of materials were completed. Specific inclusion criteria were identified to encompass all Canadian cannabis education resources directed towards young people aged 9-18 years and adults in contact with youth.</p><p><strong>Results: </strong>A total of 60 resources were identified and categorised using the youth health literacy framework in terms of their focus on (1) micro influences (resources for youth); (2) meso influences (resources for teachers, parents, mentors); and (3) macro influences (resources for indigenous communities and medical professionals).</p><p><strong>Conclusions: </strong>While many resources were identified, issues exist with the accessibility, quality and multicultural considerations of such resources, warranting the development of comprehensive, evidence-based and harm reduction-focused cannabis education for youth.</p>","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"1 1","pages":"766-778"},"PeriodicalIF":1.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42096994","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":"Healthy eating in preschool children: Perceptions of parents and caregivers in Sri Lanka","authors":"Fathima Sirasa, Lana Mitchell, Neil Harris","doi":"10.1177/00178969231205082","DOIUrl":"https://doi.org/10.1177/00178969231205082","url":null,"abstract":"Objective: Modifying the unhealthy dietary habits of children in low- and middle-income countries is important to overcome the increasing prevalence of childhood under- and overnutrition. Dietary habit formation is multifactorial, with parental influence fundamental in determining children’s food environment and intake. Therefore, understanding parents’ perspectives regarding healthy eating in their preschool-aged children in low- and middle-income countries is necessary to tailor programmes and interventions. However, limited research exists. This study therefore explored parents’ and caregivers’ understanding of healthy eating and perceived barriers and strategies to support their preschool children’s healthy eating in a middle-income country, Sri Lanka. Design: Qualitative study employing focus group discussions. Setting: Preschools in an urban area of north-western Sri Lanka. Method: Thirteen focus groups, each comprising 6–10 participants, were conducted with 110 parents/caregivers of children aged 2–6 years in Kurunegala (an urban area), in north-west Sri Lanka. Group discussions were audio recorded, transcribed verbatim, translated into English, coded and underwent inductive content analysis. Results: Participants’ understanding of healthy eating was largely consistent with dietary guidelines. Perceived barriers to healthy eating were predominantly intrapersonal (‘pester power’ and ‘picky eating’ of children), and family and peer-related (inadequate family support and peer influence). Suggested strategies included changes in household food availability, preparation and rewards, and creating more supportive environments (family, preschool and community). Conclusion: To optimise nutrition intervention outcomes, strategies targeting the identified intrapersonal, family and peer barriers should be incorporated.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135274031","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":"English headteacher perspectives on school responses to protect student and staff mental wellbeing in the later stages of the COVID-19 pandemic","authors":"Gillian McKay, Georgia Venner, Patrick Nguipdop-Djomo, Punam Mangtani, Neisha Sundaram, Andrea Lacey, Fiona Dawe, Peter Jones, Ffion Lelii, Shamez Ladhani, Chris Bonell","doi":"10.1177/00178969231206112","DOIUrl":"https://doi.org/10.1177/00178969231206112","url":null,"abstract":"Objective: The COVID-19 pandemic has had a significant impact on pupils and staff in English schools. This study aimed to provide an in-depth understanding of the challenges schools faced and the processes they implemented to protect the mental wellbeing of students and staff in the later stages of the pandemic, focusing on January–June 2022. Design: Qualitative study. Setting: Primary and secondary schools in England from April to September 2022. Method: Ten semi-structured interviews were conducted using Zoom with six primary and four secondary school headteachers (or other members of the senior leadership team) in England. Results: Mental wellbeing programming for students and staff was scaled up in both primary and secondary schools amid concerns that the COVID-19 pandemic would impact on mental health. Headteachers perceived changes in the behaviour of students, including increased dysregulation, and staff struggling with fatigue and a sense of being devalued as professionals. Schools scaled up the supports they offered to students and staff, but challenges remain in maintaining such increased support due to the perceived additional needs of staff and students within the context of funding constraints. Despite initial concerns that there would be tension between promoting mental wellbeing and academic catch-up among students, headteachers identified work addressing these two priorities as synergistic. Conclusion: Mental wellbeing impacts of the pandemic on pupils and staff required increased provision of support programmes. Ongoing efforts to monitor the wellbeing needs of students and staff is required. Formal and informal methods to enhance the mental health for pupils and staff should continue into the recovery period.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"C-19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135273265","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":"Revising and evaluating falls prevention education for older adults in hospital","authors":"Jacqueline Francis-Coad, Melanie K Farlie, Terry Haines, Linda Black, Tammy Weselman, Philippa Cummings, Anne-Marie Hill","doi":"10.1177/00178969231204329","DOIUrl":"https://doi.org/10.1177/00178969231204329","url":null,"abstract":"Objective: Partnering with patients and staff to develop and evaluate falls prevention education could better enable patient learning and engagement. This study aimed to create a revised version of the Safe Recovery falls prevention education programme in partnership with older patients and hospital staff, to improve patient engagement in undertaking falls preventive strategies in hospital. Design: Two-phase sequential mixed methods participatory design. Setting: Hospital rehabilitation wards in Western Australia. Method: Phase 1: older patients ( n = 10) and staff ( n = 10) were surveyed before and after original programme delivery to ascertain their reaction and learning. Consumer-focused discussions were undertaken with staff and patients online to inform programme revision. A patient video and workbook were co-produced, and staff were trained to deliver the revised programme. Phase 2: older patients ( n = 10) and staff ( n = 10) were surveyed before and after receiving the revised programme to gain reactions and learning. Deductive content analysis and Wilcoxon signed-rank tests were used to analyse the qualitative and quantitative data. Results: Patients and staff perceived the original programme to be outdated and expressed low levels of satisfaction with the original resources. In contrast, both patients and staff were highly satisfied with the revised programme. Both original and revised Safe Recovery programme patient groups demonstrated significant improvements in knowledge and awareness to reduce their risk of falling after receiving the education ( p = .008, p = .005, respectively). However, patients receiving the revised programme were significantly more likely to intend to take action ( p = .024) and have a clear action plan ( p = .010). Staff perceived that the revised resources showed significant improvements in aesthetic appeal ( p = .007) and ability to engage patients in learning ( p = .007). Conclusion: Patients and staff contributed to successfully revising the Safe Recovery programme with positive reactions to the co-produced resources. Participating in falls education significantly improved older patients’ knowledge and attitudes regarding falls prevention.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"67 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135273079","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":"Impact of a diabetes educator-led clinic on the control of type 1 diabetes among adults","authors":"Omer Abdullah AsSaigal, Abdullah Mohammed Al-Saigul, Khalid MA Almutairi","doi":"10.1177/00178969231202751","DOIUrl":"https://doi.org/10.1177/00178969231202751","url":null,"abstract":"Background: Type 1 diabetes mellitus (T1DM) is on the rise globally. Patient education is a major cornerstone in diabetes management. Diabetes educators play a pivotal role in educating patients with diabetes mellitus. Objectives: To estimate the impact of a diabetes educator-led clinic on the control of T1DM among adults. This was measured through mean changes in HbA1c levels and alterations in perceived dietary and physical activity compliance among patients attending a Diabetes Centre in the Qassim region of Saudi Arabia. Methods: We enrolled 97 adult T1DM patients in a quasi-experimental study, conducted at a certified diabetes educator-led clinic. All patients were followed up for 6 months pre-intervention and for a minimum of 6 months post-intervention. Patients’ weight, self-monitoring of blood glucose, hypoglycaemic events frequency, HbA1c level and lipid profiles were routinely recorded. In addition, compliance with advice on dietary plan and physical activity recommendations was also assessed at the pre-intervention, baseline and post-intervention stages. Results: Post-intervention, participants reported better compliance with dietary and physical activity advice. Fewer hypoglycaemic events and higher self-monitoring of blood glucose frequencies were also noted. While there was no significant difference between pre-intervention and baseline mean HbA1c levels, mean baseline and post-intervention HbA1c levels showed a clinical and statistically significant difference of 1.01 (95% confidence interval [CI]: 0.74–1.28). Mean low-density lipoprotein (LDL) and triglyceride differences also showed small but significant changes. Conclusion: Attendance at a diabetes educator-led clinic had a positive and significant impact on the control of T1DM among adults. We recommend diabetes educator employment at outpatient clinics for adults with T1DM.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"256 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136356432","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":"Pilot of an early intervention programme for low-risk persons who use drugs in the Philippines","authors":"Jim Rey R Baloloy, Maria Regina Hechanova, Trixia Anne C Co, Patrick Louis B Angeles","doi":"10.1177/00178969231203973","DOIUrl":"https://doi.org/10.1177/00178969231203973","url":null,"abstract":"Objective: The aim of this study was to pilot and evaluate the feasibility of an early intervention programme for low-risk drug users in the Philippines. Design: The early intervention consists of three sessions delivered by paraprofessionals focusing on stress, wellbeing, substance use, family and drug use and communication skills. The study was conducted in two phases. In the pilot phase, a randomised controlled trial design was used. In the second phase, a larger field cohort evaluation study design was implemented. Setting: The randomised controlled trial in the first phase was undertaken in four local government units (LGUs). The second phase took place in 13 LGUs in three island clusters in the Philippines. Methods: In the first phase, 42 low-risk users from three urban and one rural community were randomly assigned to treatment and wait-control groups. In the second phase, 744 low-risk users undertook the programme. In both phases, the pretest and posttest measured recovery skills, life skills, quality of life, perceived family support, wellbeing and intent to use drugs. Results: In the first phase, analysis of variance with repeated measures revealed significant differences in pretest and posttest scores in recovery skills and quality of life of participants compared to those who did not participate in the programmes. In the second phase, paired-sample t-test revealed significant improvements in terms of recovery skills, life skills, quality of life, perceived family support, wellbeing and intent to use drugs. Path analysis provided support for the programme’s theory of change. Facilitators perceived the programme to be effective and easy to implement. Conclusions: The study suggests that an early intervention focusing on mental health and substance use delivered by paraprofessionals may be a viable means to reduce drug use and improve mental health in countries such as the Philippines that have little resources and scarce mental health professionals.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136358236","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":"Aortic disease 101: Breaking down myths of type A aortic dissection for patients and families","authors":"Caroline D Martin, Michelle Ruiz, Anne Sorrell, Samuel F Sears, Gretchen McCarrick, Michael J Bates, Benjamin C Degner","doi":"10.1177/00178969231203137","DOIUrl":"https://doi.org/10.1177/00178969231203137","url":null,"abstract":"Objectives: Patients with Type A aortic dissections are often overwhelmed by the influx of new information and changes necessary to adjust to life with an aortic disease. This article uses psychoeducation about life after dissection to dispel common myths about aortic disease and empower patients to live full lives. It is written in clear and easy-to-understand language to maximise patient comprehension and knowledge of their condition to help them feel more confident after Type A aortic dissection. Design: An interdisciplinary group of professionals (including cardiothoracic surgeons, a clinical cardiac psychologist, clinical cardiac psychology trainees, and genetic counsellors) were asked about their interest in creating an article written for patients who have undergone Type A aortic dissection repair. Those who agreed were then asked to report some of the myths commonly heard in practice about the procedure and its ramifications. Setting: The myths confronted in this article come from professionals working for a comprehensive heart care institute, the East Carolina Heart Institute in Greenville, NC, USA and Johns Hopkins Hospital in Baltimore, MD, USA. Methods: A multi-disciplinary group of professionals focused on aortic disease contributed myths commonly reported by patients seen in practice. Results: Common myths are presented and include safety fears about physical activity, diet, and recurrence of aortic dissection. By educating yourself about the facts of your diagnosis, you can feel as though you have more control over your health and your life. Conclusion: The takedown of common myths about life post-dissection can be helpful for patients with aortic disease and their families. Understanding the facts about a loved one’s new diagnosis can help partners and caregivers to be more fully involved in the patient’s care and feel confident. An important limitation of the present work is the lack of prior research on patient quality of life and mental health following Type A aortic dissection. Future work should explore the unique mental health needs of patients with aortic disease to create interventions that target mental health symptomatology to help patients live longer, healthier and richer lives.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135350913","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":"Development and refinement of a corner-based injury prevention programme for Latino day labourers.","authors":"Andrew E Springer, Yesmel King, Craig Field, Martha Alicia Ojeda, Louis Brown, Celeste Monforton, Rodrigo Hernandez, Pamela Diamond, John Atkinson, Maria Eugenia Fernández-Esquer","doi":"10.1177/00178969231175808","DOIUrl":"10.1177/00178969231175808","url":null,"abstract":"<p><strong>Objective: </strong>Latino day labourers (LDLs) in the USA are at increased risk for non-fatal and fatal occupational injuries, which are compounded by stressors that include wage theft, job insecurity and discrimination. This paper describes the development and refinement of Vales+Tú (You are Worthy of More), an injury prevention programme currently being evaluated as part of a cluster randomised trial in which health promotion is taken directly to the 'corners' (e.g. street corners, home improvement store parking lots, and public parks) where workers gather to seek employment.</p><p><strong>Design: </strong>Vales+Tú comprises two corner-based intervention approaches, group problem-solving (small group discussions) and brief motivational interviewing (one-on-one dialogue), that aim to activate LDL agency to control their safety and that of their peers.</p><p><strong>Setting: </strong>Corners in Houston, Texas, where LDLs seek employment.</p><p><strong>Method: </strong>Intervention Mapping informed the refinement of Vales+Tú for the current trial. We provide a narrative review of the development process based on needs assessment and formative development activities (surveys, focus group discussions and pilot tests).</p><p><strong>Results: </strong>In addition to documenting the need for LDL injury prevention, with 20.2%-41.6% of Houston-based LDLs surveyed between 2013-2014 and 2019 reporting a severe work-related injury in the past year, we describe key facets of the Vales+Tú corner-based intervention approaches - including their theoretical basis and LDL-centred activities, as well as enhancements made informed by formative evaluation.</p><p><strong>Conclusion: </strong>The community-engaged development process of Vales+Tú resulted in two practical intervention approaches that can be adopted by worker centres and other organisations to promote LDL worker safety.</p>","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 6","pages":"595-610"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/c3/10.1177_00178969231175808.PMC10550731.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172578","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":"Assessing the effectiveness of a school educational video on cancer and radiotherapy","authors":"Masanari Minamitani, Atsuto Katano, Keiichi Nakagawa","doi":"10.1177/00178969231200166","DOIUrl":"https://doi.org/10.1177/00178969231200166","url":null,"abstract":"Background: Japan has recently begun introducing educational programmes on cancer as part of health and physical education (HPE) classes in schools. In support of this work, the Japanese Society for Radiation Oncology has developed an educational video to enhance children’s understanding of cancer and radiotherapy. Objectives: This study examined the perceived effectiveness of this video among teachers and clarified whether their specialisation played a role in their responses. Methods: An online survey was administered to junior and senior high school teachers without a history of cancer. Respondents’ demographic characteristics, healthy lifestyle habits, anxiety about cancer treatment and knowledge about cancer and radiotherapy were surveyed pre- and post-video. We compared the data from science teachers, HPE teachers and teachers of other specialties. Subsequently, we performed a multiple logistic regression analysis to estimate significant factors that predicted post-watch correct-answer rates. Results: Science teachers were less anxious about radiotherapy and surgery than the other-specialty teachers. They were also the most knowledgeable about cancer and radiotherapy. Post-viewing correct-answer rates improved, except for questions about the work of medical physicists and damage to normal cells. The multiple regression analysis identified age (β = .07), sex (β = .08), anxiety about radiotherapy (β = −.09) and pre-video correct-answer rates (β = .46) as significant factors predicting post-watch correct-answer rates. Conclusion: The video was beneficial in enhancing teachers’ understanding of cancer and radiotherapy. Compared with HPE and other-specialty teachers, science teachers were superior in terms of cancer and radiotherapy comprehension. There may be value in exploring possibilities for cross-disciplinary instruction involving not only HPE but also science teachers in cancer education, especially radiotherapy education.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135397570","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":"The use of extended reality (XR) in patient education: A critical perspective","authors":"Vernon R Curran, Ann Hollett","doi":"10.1177/00178969231198955","DOIUrl":"https://doi.org/10.1177/00178969231198955","url":null,"abstract":"Objective: Extended reality (XR) has emerged as an innovative educational modality that offers the potential for the creation of more interactive and engaging forms of patient education experiences and products. The purpose of this article is to describe the field of XR technologies and review its potential through a critical lens as well as its possible adoption as a mainstream technology for providing patient education in the future. Method: A review of the literature was undertaken to summarise the emerging evidence concerning the effectiveness of XR as a patient education modality. The findings of several reviews are summarised and a critical discussion of potential issues and challenges in the adoption and use of XR among particular marginalised populations are explored. Results: The emerging evidence suggests that different forms of XR technology applications have the potential to create immersive and engaging patient education experiences that can lead to enhanced patient satisfaction, positive educational outcomes and reduced patient anxiety. Nonetheless, there have been calls for greater consideration of how patient characteristics, including socioeconomic status, gender, cultural and generational differences, influence the learning effects of virtual reality educational applications, as well as its adoption and implementation for patient education purposes. Conclusion: The evidence surrounding the effectiveness of XR in patient education is growing; however, various factors could influence the successful adoption and implementation of XR in different patient populations who have traditionally experienced challenges with digital health literacy. The paper offers some recommendations for enhancing the evidence base and potential approaches to advance the design and evaluation of XR applications in patient education.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135740709","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}