Journal of Public Health Management and Practice最新文献

{"title":"Practicing the Art of Political Decision Making in Public Health.","authors":"Anne Dievler","doi":"10.1097/PHH.0000000000002418","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002418","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170114","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":"Radon Testing and Outreach to Public and Independent Schools Across the Southern Interior of British Columbia.","authors":"Daniel Tse, Greg Baytalan, Jeffrey Trieu, Silvina Mema","doi":"10.1097/PHH.0000000000002453","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002453","url":null,"abstract":"<p><strong>Setting: </strong>Public health engaged with school management across the southern interior of the province of British Columbia, Canada within the geographical boundary of Interior Health, to prompt voluntary radon testing by offering free radon detectors to schools. The outreach encompassed 387 school sites across 17 public school districts and 53 independent schools in the region.</p><p><strong>Intervention: </strong>Five thousand nine hundred ninety-two radon detectors were supplied for testing at participating sites for a minimum 3-month deployment with an additional 19 continuous radon monitors supplied to support follow-up testing. Technical support was also offered as an incentive to test. A comprehensive communications plan was developed to increase engagement and radon awareness among school management, staff, parents, and students.</p><p><strong>Outcomes: </strong>Four thousand nine hundred eighty-seven total test results were obtained from 282 out of a total of 387 school sites in the Interior Health region. Thirty-two (11%) of tested school sites had at least one result above the Canadian guideline level of 200 Bq/m3 and 75 (27%) had at least one result above the World Health Organization reference level of 100 Bq/m3. School sites with high radon levels were provided follow-up mitigation support. Engagement with school management, staff, parents, and students about radon had many challenges and varying levels of success.</p><p><strong>Discussion: </strong>There is currently no regulatory requirement to test for radon in schools in British Columbia. Radon results in school buildings exceeding the Canadian and World Health Organization guidance were expected given the documented high radon concentrations in the region. Although there was moderate success in the voluntary participation by schools, the need for continued public health radon awareness efforts including promoting the importance of radon surveillance in schools remains. Learnings from this undertaking can help inform public health policy efforts related to radon, including potential implementation of a regulatory approach to ensure routine radon testing in schools.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167618","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":"Remote Patient Monitoring in Guam: A Pathway to Implementation.","authors":"Elayne L Wilson, Elisabeth Collins, Hugh B Roland, Matthew Fifolt","doi":"10.1097/PHH.0000000000002449","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002449","url":null,"abstract":"<p><strong>Abstract: </strong>This case study examines the feasibility of implementing Remote Patient Monitoring (RPM) in Guam to improve chronic disease management and expand access to care in a Medically Underserved Area. While challenges exist, Guam's strategic role as a communication hub for Micronesia, supportive telehealth policies, and an island-wide broadband expansion initiative create favorable conditions for RPM adoption. Drawing on an initial feasibility trial conducted between a Nurse Practitioner in the contiguous United States and a Registered Nurse in Guam, the authors propose a four-phase implementation pathway. Successful RPM integration in Guam could reduce hospital admissions, enhance chronic disease outcomes, generate cost savings, and serve as a scalable model for other remote and resource-limited settings.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169695","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":"Drivers of Tobacco Policy Priorities in the United States: A Best-Worst Scaling Study.","authors":"Natalie Riva Smith, Alyssa Van Groningen, Kristen Hassmiller Lich, Laurel Shugart, Heidi Glesmann, McKenna Christensen, Christina Peluso, Lindsay Kephart, John F P Bridges, Douglas E Levy, Davene R Wright","doi":"10.1097/PHH.0000000000002501","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002501","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to bolster strategic guidance offered to state tobacco prevention and control programs by quantifying the relative importance of criteria used in policy prioritization and examining variation in importance across policy environments.</p><p><strong>Design: </strong>A best-worst scaling (BWS) experiment was embedded in a survey. We developed 11 criteria pertinent to decision making among state tobacco prevention and control programs using qualitative interviews, quantified the criteria's relative importance using BWS, and analyzed the data using conditional logit and latent class logit models.</p><p><strong>Setting: </strong>State tobacco control programs.</p><p><strong>Participants: </strong>Qualitative interviews to inform the development of the BWS were conducted with 12 managers of state tobacco prevention and control programs in 2023. The survey and BWS experiment included individuals working in state tobacco control programs and were conducted in 2024 (n = 114/372, 30.6%).</p><p><strong>Main outcome measures: </strong>Importance scores of decision-making criteria, on average and across latent classes.</p><p><strong>Results: </strong>The BWS included 11 criteria, encompassing data and evidence, logistics and process considerations, and expected policy support. The most important criteria were addressing needs in priority populations, the availability of existing evidence that a policy works, legislative support, and state data showing a gap in outcomes. Importance varied across 2 latent classes: \"Idealists\" (72%) ranked addressing needs in priority populations first, while \"Realists\" (28%) ranked legislative support first. Both classes ranked existing evidence as second most important.</p><p><strong>Conclusions: </strong>Tobacco policy priorities are influenced by a range of important criteria, including evidence. There is variation in the drivers of decisions based on context. Findings can help researchers develop new approaches to translate research to individuals working in state tobacco control programs and inform the development of tools to support tobacco policy prioritization.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172227","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":"Responding to the Fentanyl Overdose Crisis With a Tri-Government Incident Command Structure in Portland, Oregon, 2024.","authors":"Martine Fulling, Kathleen Conte, Patch Adam Perryman, Danielle Brown, Teresa Everson, Richard Bruno, Emily Mosites, Jennifer Vines","doi":"10.1097/PHH.0000000000002456","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002456","url":null,"abstract":"<p><strong>Context: </strong>The increasing use of illicit fentanyl has contributed to a drastic increase in drug overdose fatalities throughout the United States. The rate of fatal fentanyl-related overdoses in Multnomah County, Oregon, was 1.6 times higher than the United States' average in 2022 and continued to rise in 2023. In January 2024, the Governor of Oregon, the Multnomah County Chair, and the Portland Mayor declared a 90-day tri-government emergency to augment and enhance the ongoing response to fentanyl use and overdose in Portland city center.</p><p><strong>Emergency response: </strong>Between January 31, 2024, and April 30, 2024, an Incident Management Team (IMT) that unified the state, city, and county jurisdictions was stood up in accordance with the emergency declarations. The response objectives included coordinating access to naloxone and substance use disorder treatment, creating an accessible fentanyl data dashboard, visibly revitalizing urban areas, and developing a long-term plan that includes policy planning to address the fentanyl crisis in Portland.</p><p><strong>Implementation: </strong>During the 90-day response period, daily coordination occurred between approximately 55 Oregon State and local public health agencies, law enforcement agencies, community-based organizations, and first responders. The IMT aligned substance use response activities in the operational area, supported a fentanyl-focused community summit, and enhanced data systems for increased accessibility. A dashboard that visualized 5 sources of interagency data on fatal and nonfatal overdose also resulted from the IMT and was made publicly available.</p><p><strong>Discussion: </strong>Although the efficacy of using an Incident Command System to respond to fentanyl overdose mortality is difficult to ascertain, the approach allowed for cross-agency results in ways that might not have otherwise been possible. Future emergency declarations to address public health issues should define specific, health-related and equity-oriented objectives ahead of time to have the most impact on health outcomes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166699","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":"Evaluating Contributions and Career Outcomes of Recent CDC Epidemic Intelligence Service Alumni Using a Cross-Sectional Survey.","authors":"Sarina Juma, Meagan Davis, Caitlin McColloch, Anna Blackstock, Eric Pevzner, Wences Arvelo","doi":"10.1097/PHH.0000000000002460","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002460","url":null,"abstract":"<p><strong>Context: </strong>Well-trained epidemiologists are a vital part of the nation's public health workforce, supporting preparedness and response to health threats at home and abroad.</p><p><strong>Program: </strong>The US Centers for Disease Control and Prevention's (CDC's) Epidemic Intelligence Service (EIS) is a 2-year fellowship that trains clinicians and scientists in applied epidemiology. Postfellowship, we expect EIS alumni to join the public health workforce and serve as leaders in public health and epidemiology.</p><p><strong>Implementation: </strong>In 2023, we conducted a survey among EIS alumni to understand the postfellowship positions that alumni hold 1, 3, and 5 years after the fellowship. The alumni survey included questions about type of work, career advancement, and leadership responsibilities of alumni.</p><p><strong>Evaluation: </strong>Among the 200 alumni in the three surveyed classes, 78% completed or partially completed the survey (156/200). Among those who responded, 98% (153/156) reported being employed full-time or being employed and furthering their education simultaneously. Ninety-three percent of employed respondents (143/153) were primarily working in public health. Among employed alumni, 69% (106/153) were working in the US federal government, such as CDC, and 13% (20/153) were working at a US state, tribal, local, or territorial health agency. Most often, alumni working in public health described their current work as assessment (eg, epidemiology surveillance) and communicable disease control. Regarding career advancement, approximately half (66/143) described having supervisory responsibilities, and 86% (123/143) reported some kind of career progression post-EIS (eg, obtaining a promotion).</p><p><strong>Discussion: </strong>Most EIS alumni continued to work in the US public health workforce, supporting federal, state, and local epidemiologic capacity. Monitoring EIS alumni is essential to characterize long-term contributions of the fellowship to the field of public health.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168938","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":"A Return-On-Investment Analysis for Lead Poisoning Case Management in New York City.","authors":"Jason C Goldwater, Yael M Harris, Kyle W Neustrom, Slavenka Sedlar, Jacqueline Ehrlich, Andrew Faciano","doi":"10.1097/PHH.0000000000002469","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002469","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the return on investment (ROI) and social return on investment (SROI) of childhood lead poisoning case management in New York City by quantifying direct cost savings and long-term societal benefits associated with intervention among children with elevated blood lead levels.</p><p><strong>Design: </strong>Mixed-methods economic modeling study estimating ROI and SROI using program cost data, published outcome valuations, and sensitivity analyses for 1462 high-risk NYC children.</p><p><strong>Setting: </strong>New York City Department of Health-led lead poisoning case management program serving high-risk children in urban housing.</p><p><strong>Participants: </strong>One thousand four hundred sixty two New York City children with blood lead levels ≥10 μg/dL who received case management and environmental inspections.</p><p><strong>Intervention: </strong>Public health nurse-led case management, including home inspections, lead hazard remediation coordination, medical monitoring, and family support services.</p><p><strong>Main outcome measure: </strong>ROI and SROI, including avoided medical, education, productivity, justice, and quality-of-life costs.</p><p><strong>Results: </strong>Baseline ROI was 1.34 ($2.34 saved per $1 invested); SROI was 26.37, reflecting more than $98 million in lifetime societal benefits for the full cohort of 1462 children.</p><p><strong>Conclusions: </strong>Lead poisoning case management generates substantial economic and societal returns, supporting sustained investment as a high-impact, equity-focused public health strategy.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170597","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":"A University and Community Partnership to Address Diaper Insecurity Among Infants in Suburban Communities Through Home Visiting Services.","authors":"Martine Hackett, Ceida Portillo, Shayna Bennett","doi":"10.1097/PHH.0000000000002450","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002450","url":null,"abstract":"<p><strong>Context: </strong>Despite overall affluence in a suburban county, diaper insecurity affects many families in low-income communities where poverty rates are 3 times the county average. Existing federal assistance programs do not cover diapers, and transportation barriers in this car-dependent suburb limit access to traditional diaper bank models.</p><p><strong>Objective: </strong>To describe and evaluate a university-community-federally qualified health center (FQHC) partnership model for addressing diaper insecurity among Medicaid-eligible families with infants and toddlers through community health worker (CHW) home visiting services.</p><p><strong>Design: </strong>Mixed-methods program evaluation using descriptive statistics and thematic analysis of open-ended survey responses.</p><p><strong>Setting: </strong>Nassau County, New York.</p><p><strong>Participants: </strong>Medicaid-eligible families with infants and toddlers enrolled in the Perinatal and Infant Community Health Collaborative (PICHC) program who received 3 or more diaper deliveries (n = 88).</p><p><strong>Intervention: </strong>A community diaper bank established through a university-FQHC partnership distributed diapers to families via CHW home delivery, eliminating transportation barriers and leveraging existing CHW-client relationships.</p><p><strong>Main outcome measures: </strong>Diaper distribution volume, participant demographics, financial trade-offs made to afford diapers, psychosocial well-being, and child health outcomes.</p><p><strong>Results: </strong>From May 2023 to April 2025, the bank distributed 31 457 diapers to 218 family units. Among survey respondents, 45.5% reported that they had previously chosen between diapers and food; 85.2% reported reduced stress; 81.8% reported fewer diaper rashes; and 86.4% felt their community cared about their family.</p><p><strong>Conclusions: </strong>Integrating diaper distribution into existing CHW home-visiting infrastructure is a feasible, low-barrier model for addressing material hardship in suburban communities experiencing hidden poverty. Survey participants reported reductions in financial trade-offs and parental stress, and an increased sense of community support; however, the post-only survey design precludes causal inference about program impact.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171702","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":"Sexual Health Service Use Among High School Students Accessing School-Based Versus Non-School-Based Sites in a Health Center System.","authors":"Soumya Somani, Jeffery Liu, Nishanka Kuthuru, Maham Sewani, Allyssa Abacan","doi":"10.1097/PHH.0000000000002504","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002504","url":null,"abstract":"<p><strong>Objectives: </strong>To preliminarily compare health care utilization, sexual behaviors, and sexual health outcomes among high school students accessing school-based health centers (SBHCs) vs. non-SBHCs and develop an initial hypothesis on the potential impact of SBHCs.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Setting: </strong>Three SBHC locations and 5 non-SBHCs locations within an adolescent and young adult health center system in Houston, Texas.</p><p><strong>Participants: </strong>Random sample of 189 high school students receiving care between August 2022 and May 2023 at a SBHC (n = 129) or non-SBHCs (n = 60).</p><p><strong>Main outcome measure: </strong>Demographic characteristics, health center utilization patterns, sexual behaviors, and sexual health outcomes, including sexually transmitted infection (STI) testing and results.</p><p><strong>Results: </strong>Students accessing SBHCs were more likely to be male (35.9% vs. 21.7%, P = .03) and Spanish-speaking (24.8% vs. 8.3%, P = .01) compared with students accessing non-SBHCs. Students accessing SBHCs also tended to be uninsured at higher rates (70.3% vs. 54.7%, P = .06), although the difference was not statistically significant. SBHC users were less likely to report having a primary care provider (22.5% vs. 41.7%, P = .01) or being sexually active (30.2% vs. 60.0%, P < .001). No significant differences were observed in STI testing rates or STI outcomes between groups.</p><p><strong>Conclusions: </strong>These preliminary data show that SBHCs serve adolescents with greater structural barriers to health care, including lack of insurance and limited access to primary care. SBHCs can be accessible points of care within schools that address disparities in health care access. Continued investment and expansion of SBHCs may have positive implications strengthen public health systems by improving access to preventive and sexual health services for underserved youth. Further research is needed to explore correlations between student utilization of health care to SBHC access.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170699","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":"Strengthening the Occupational Safety and Health Workforce: A Mixed Methods Evaluation of a NIOSH-Funded Education and Research Center.","authors":"Matthew Fifolt, Allyn H Wyman, Claudiu Lungu","doi":"10.1097/PHH.0000000000002447","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002447","url":null,"abstract":"<p><strong>Background: </strong>Workplace injuries and fatalities remain persistent public health and occupational concerns in the United States. At the same time, emerging hazards, including automation, psychosocial stressors, climate-related exposures, and an aging workforce, are reshaping occupational risk profiles. These challenges underscore the need for a well-prepared occupational safety and health (OSH) workforce. National Institute for Occupational Safety and Health (NIOSH)-funded Education and Research Centers (ERCs) play a central role in workforce development through graduate education, research training, continuing education, and outreach.</p><p><strong>Methods: </strong>This Practice Report describes the Deep South Center for Occupational Safety and Health (DSC), a NIOSH-funded ERC serving parts of the southeastern United States. Between October 2025 and January 2026, a cross-sectional stakeholder survey was administered to DSC program alumni, employers, continuing education (CE) participants, and industry leaders. Data were collected anonymously using Qualtrics XM and included quantitative and open-ended items. Quantitative data were analyzed using descriptive statistics, and qualitative responses were examined using deductive thematic analysis.</p><p><strong>Results: </strong>A total of 297 stakeholders responded. Respondents represented diverse OSH sectors, with the largest representation from manufacturing, health care, and the private sector. Most DSC alumni reported maintaining employment or securing positions within 12 months of graduation and reported high levels of workforce preparedness. Employers similarly rated graduates as well prepared and reported positive contributions to organizational safety practices. CE participants rated courses highly for quality, relevance, and practical applicability. Respondents consistently emphasized the importance of applied learning, experiential training opportunities, and alignment between academic preparation and workforce needs.</p><p><strong>Conclusion: </strong>Findings highlight the DSC's role in strengthening the regional OSH workforce through integrated graduate education and CE programming. Stakeholders emphasized continued emphasis on experiential learning, flexible delivery modalities, and enhanced research-to-practice translation. Ongoing refinement of programming in response to workforce feedback may further improve preparedness, accessibility, and occupational safety outcomes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165158","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}