Janet Gamble, Jordan A Levinson, Bernice R Garnett, Deborah Hinchey, Lizzy Pope
{"title":"A Weight-Inclusive Approach in High School Nutrition Education: An Exploratory Mixed-Methods Study.","authors":"Janet Gamble, Jordan A Levinson, Bernice R Garnett, Deborah Hinchey, Lizzy Pope","doi":"10.1177/15248399261494608","DOIUrl":"https://doi.org/10.1177/15248399261494608","url":null,"abstract":"<p><p>Nutrition education in schools is a key health promotion strategy that has the potential to influence lifelong relationships with food, bodies, and health. However, many programs in U.S. schools are taught from a weight-centric approach that positions body weight as a primary indicator of health despite evidence of associated stigma and harm. Weight-inclusive nutrition (WIN) offers an alternative framework that emphasizes non-weight-based indicators of health, rejects diet culture, and acknowledges the social determinants of health; yet little is known about student outcomes when nutrition is taught from this paradigm. This study examined the implementation and preliminary outcomes of a newly developed eight-lesson WIN curriculum in high school health education classrooms. Pre- and post-intervention surveys were administered to students in Grades 7-12 across 17 classrooms in eight schools in the Northeast United States (<i>N</i> pre = 292; <i>N</i> post = 263) during fall 2024. Quantitative results showed positive shifts across all items, with statistically significant improvements in students' endorsement of weight-inclusive beliefs, including reduced moralization of food, decreased reliance on appearance-based health judgments, and increased recognition that health is socially shaped. Qualitative findings revealed emerging critical nutrition literacy-particularly students' ability to identify and critique diet culture-alongside continued difficulty disentangling weight from health. These findings suggest that, while WIN curricula can initiate meaningful shifts in how students conceptualize food, bodies, and health, continued efforts are needed to support appropriate educator training and strengthen alignment with school-wide policies to sustain long-term change.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261494608"},"PeriodicalIF":1.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ilham Arhoune, Hicham El Harch, Leila Belaroussi, Hasnae Hoummani, Sanae Achour
{"title":"Strategic Prevention of Occupational and Toxicological Risks in Moroccan Traditional Tanneries: From Risk Assessment to Operational Health and Safety Planning.","authors":"Ilham Arhoune, Hicham El Harch, Leila Belaroussi, Hasnae Hoummani, Sanae Achour","doi":"10.1177/15248399261490871","DOIUrl":"https://doi.org/10.1177/15248399261490871","url":null,"abstract":"<p><p>The artisanal sector is a part of Morocco's second-largest employment and represents a major socioeconomic activity. However, it remains a major source of occupational exposure and environmental contamination, where preventive systems and regulatory enforcement are often insufficient. This study represents the fourth phase of a comprehensive research program on artisanal tanneries in Fez, based on the identification of hazards, the assessment of health effects, and the elaboration of initial preventive recommendations. Using reference data collected between 2017 and 2019, we assessed the current status of the implementation of workplace safety measures in 2025 through a contextual and operational analysis of workplace practices. Persistent improvements were observed in personal protective equipment use, hygiene conditions, and access to medical surveillance. Tannery workers frequently reported dermatological, respiratory, urinary, and musculoskeletal disorders, reflecting the need for regular medical monitoring of occupational exposure. An integrated strategic prevention plan is proposed, combining engineering controls, safer chemical management, worker training, and enhanced health surveillance. This framework provides a progressive model for improving occupational health and safety in artisanal tanneries, in line with the One Health approach.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261490871"},"PeriodicalIF":1.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisa G Rosas, Ysabel Duron, Dale O'Brien, Lan Xiao, Emily H Wood, Miriam Juarez, Kasandra Escobar, Manali I Patel, Oguchi Nkwocha
{"title":"Integrating Community Health Workers for Genetic Cancer Screening in Primary Care for Latina Women.","authors":"Lisa G Rosas, Ysabel Duron, Dale O'Brien, Lan Xiao, Emily H Wood, Miriam Juarez, Kasandra Escobar, Manali I Patel, Oguchi Nkwocha","doi":"10.1177/15248399261493094","DOIUrl":"https://doi.org/10.1177/15248399261493094","url":null,"abstract":"<p><p>Community health workers (CHWs) can identify patients who may benefit from genetic testing as part of comprehensive cancer prevention for Latina women. A community-university partnership developed and implemented a comprehensive cancer prevention program in the Salinas Valley, California, that included screening for genetic risk factors. CHWs invited Latina women for breast and cervical cancer screening and screened for genetic risk factors. The project took place from October 2020 to May 2023. To evaluate the program, baseline and 4-month follow-up surveys assessed demographic information (age, gender, marital status, educational attainment, household size and income, employment status and industry), health literacy, food insecurity, and cancer-related behaviors, cancer-related knowledge, and satisfaction with the CHW program. Latina participants (<i>n</i> = 156) were middle-aged (average age 42.8 <i>SD</i> 10.7), had a high school education or less (78%), and had annual household incomes less than $35,000 (72%). Women reported increases in awareness of cancer risk factors, including high-fat diet, lack of fruit and vegetable consumption and exercise, overweight/obese, and ways to slow down the development of colon/lung/skin cancer (<i>p</i> < .05). Of the 156 women enrolled, 153 completed the screener to identify genetic risk, and 33 (22%) were offered genetic testing. Of those that were offered genetic testing, 6 (18%) women expressed interest in testing. Reasons for not wanting to get testing included low perceived cancer risk, competing personal or family health priorities, lack of time for additional appointments due to work and caregiving, concerns about cost, and fear of potential findings. CHWs can screen for genetic risk factors as part of a comprehensive cancer prevention program.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261493094"},"PeriodicalIF":1.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zilian Yu, Xiaoya Fu, Bei Zhou, Shengbo Zhang, Linfei Zhu, Weiyu Zhou, Yihan Lu
{"title":"Evolving Roles in Decision-Making About Human Papillomavirus Vaccination Among Middle School Girls in Yinzhou of Ningbo, Eastern China: A Qualitative Study With a Focus on the Educational Sector as an Influential Player.","authors":"Zilian Yu, Xiaoya Fu, Bei Zhou, Shengbo Zhang, Linfei Zhu, Weiyu Zhou, Yihan Lu","doi":"10.1177/15248399261493508","DOIUrl":"https://doi.org/10.1177/15248399261493508","url":null,"abstract":"<p><p>Human papillomavirus (HPV) vaccination is endorsed by the World Health Organization for cervical cancer prevention, but it is not part of China's national immunization program. This study explores the roles of various key interest holders in HPV vaccination decisions, focusing on a local pilot program in Yinzhou, Ningbo, eastern China, targeting first-year middle school girls. Data were collected from October 18 to November 14, 2023, using literature and policy reviews and in-depth interviews and focus group discussions with local key interest holders. Thematic analysis was performed using a Social Ecological Model (SEM) to identify determinants influencing HPV vaccination decisions across five levels. A total of 55 participants were interviewed. The results showed that the educational sector worked closely with health authorities in the program's design and implementation. Middle schools and teachers played a significant role in influencing both parents and students, despite limited direct benefits. At the interpersonal level, educators disseminated vaccine-related information and guided parents and students. At the organizational level, the collaboration between the educational and health sectors, as well as between teachers and health care professionals, strongly influenced decision-making. At the community level, health education provided to teachers extended to parents and students, enhancing awareness and support. The findings highlight the crucial role of educational sectors in promoting HPV vaccination and emphasize the importance of positive support from schools and effective partnerships with other key stakeholders. These insights may be applicable to other socioeconomically advanced regions in China considering similar HPV vaccination initiatives.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261493508"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Breastfeeding Attitudes and Early Postpartum Breastfeeding Practices Among Turkish and Syrian Immigrant Mothers: A Comparative Study.","authors":"Tuba Büyükkal, Betül Uncu, Meral Kurt Durmus","doi":"10.1177/15248399261494555","DOIUrl":"https://doi.org/10.1177/15248399261494555","url":null,"abstract":"<p><p>Breastfeeding is a key public health practice that promotes the health and well-being of both mothers and infants. However, migration-related experiences, socioeconomic conditions, and access to breastfeeding support may influence breastfeeding attitudes and practices among immigrant populations. This descriptive comparative study aimed to compare breastfeeding attitudes and early postpartum breastfeeding practices between Turkish and Syrian immigrant mothers. A total of 131 mothers (66 Turkish and 65 Syrian immigrant mothers) participated in the study. Data were collected between October 1 and December 31, 2022, during the first postpartum week using a descriptive information form and the Breastfeeding Attitude Assessment Scale (BAAS). Turkish mothers had significantly higher rates of exclusive breastfeeding than Syrian immigrant mothers (93.9% vs. 76.9%, <i>p</i> = .018). In addition, Turkish mothers demonstrated significantly more positive breastfeeding attitudes, with higher mean BAAS scores than Syrian immigrant mothers (109.15 ± 13.52 vs. 96.12 ± 13.60, <i>p</i> < .001). These findings suggest that breastfeeding attitudes and early breastfeeding practices differ between Turkish and Syrian immigrant mothers within the same health care setting and may be influenced by migration-related contextual factors, including access to breastfeeding education and support. Public health initiatives should provide accessible, language-appropriate, and migration-sensitive breastfeeding education and counseling to improve breastfeeding outcomes among immigrant mothers.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261494555"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Stanley, Megan Sutton, Rachel Calogero, Angela Meadows, Catherine Sabiston, Molly Driediger, Eva Pila
{"title":"Assessing Weight-Inclusive Practices in YMCA Fitness Facilities: Development and Application of a Weight-Inclusive Physical Activity Checklist.","authors":"Sara Stanley, Megan Sutton, Rachel Calogero, Angela Meadows, Catherine Sabiston, Molly Driediger, Eva Pila","doi":"10.1177/15248399261492205","DOIUrl":"https://doi.org/10.1177/15248399261492205","url":null,"abstract":"<p><p>Higher-weight individuals report less physical activity participation and more barriers compared to their lower-weight counterparts. This disparity has been attributed to the pervasiveness of weight stigma in contemporary physical activity contexts. Weight-inclusive approaches may offer a promising alternative paradigm to increase participation and enjoyment of physical activity, though their implementation and evaluation in real-world contexts remain unexplored. In a community-partnered approach, a weight-inclusive assessment checklist was developed and subsequently employed within community-based fitness facilities. A weight-inclusive assessment checklist was generated through literature-based recommendations, existing tools, and advisory consultation to conduct a built-environmental scan of YMCA fitness facilities in Southwestern Ontario (<i>n</i> = 15). Promotional and resource material, equipment, fitness spaces, changing rooms, and live fitness classes were examined and evaluated for alignment with weight-inclusive principles. Promotional material rarely depicted images of higher-weight individuals (13.3%), and most (80%) locations included explicit weight-loss messaging. Most facilities had fitness equipment that met weight-inclusive criteria (93.3%), while equipment weight limits were available at only 53.3% of locations. All (100%) fitness instruction utilized weight-neutral language, though there was at least one instance of weight-normative language at 13.3% of locations. The present findings support the use of a newly developed weight-inclusive physical activity checklist in community-based fitness facilities. Results indicate a need for increased education, infrastructure, and inclusive policies surrounding weight-inclusive practices in physical activity contexts and considerable changes to the current culture and environment to support higher-weight individuals' access to physical activity.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261492205"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne K Sebert Kuhlmann, Rubaiya Binte Razzak, Jamirah Abdul-Haqq, Ifeoma M Obionu, Mintesnot Tenkir Teni
{"title":"State Funding and Period Product Access in Missouri Schools: A Statewide Study of Lead School Nurses.","authors":"Anne K Sebert Kuhlmann, Rubaiya Binte Razzak, Jamirah Abdul-Haqq, Ifeoma M Obionu, Mintesnot Tenkir Teni","doi":"10.1177/15248399261494559","DOIUrl":"https://doi.org/10.1177/15248399261494559","url":null,"abstract":"<p><p>Period poverty is increasingly recognized as a public health equity issue, yet limited research has examined the implementation of school-based menstrual health and hygiene programs in the United States. This study investigates Missouri school nurses' perceptions of state government funding for menstrual hygiene products, availability of products in schools, and students' needs related to period poverty. Using a cross-sectional, quantitative design, an electronic survey was emailed to lead school nurses in Missouri public and charter schools from February to March 2024. Those who serve students in fourth grade or higher were included in analyses. The survey assessed awareness of state funding, menstrual hygiene products in schools, and nurses' perceptions of students experiencing period product insecurity. Chi-square tests and logistic regression models examined associations between district-level characteristics and reported outcomes. Among 243 school nurses who responded and served fourth grade or higher, nearly all (92%) were aware of the state's grant program. 59% reported knowing students who struggle to afford menstrual products, and 12% said their school experienced product stockouts during the current academic year. Adjusting for district size and race/ethnicity, as the district's percentage of students eligible for free or reduced lunch increases, nurses were significantly more likely to report students facing difficulties accessing period products. Findings highlight critical gaps in menstrual product availability and policy implementation from nurses' perspective. Strengthening communication, standardizing distribution practices, and ensuring sustainable funding are essential to advance menstrual equity in schools. Future research should evaluate the long-term outcomes of state-funded menstrual health and hygiene programs.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261494559"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul E Norrod, Mary K MacDonald, Kylee D Pipgrass, Melinda J Ickes
{"title":"Building Bridges to Farmer Mental Health: Developing and Supporting a Mental Health Advocate Network in Rural Communities.","authors":"Paul E Norrod, Mary K MacDonald, Kylee D Pipgrass, Melinda J Ickes","doi":"10.1177/15248399261490869","DOIUrl":"https://doi.org/10.1177/15248399261490869","url":null,"abstract":"<p><p>Farmers experience disproportionately high levels of psychological distress and suicide risk compared with the general population, yet they often face personal and structural barriers to mental health support. In response, the Building Bridges to Farmer Mental Health initiative was developed to strengthen community-based outreach in rural Kentucky by training trusted local stakeholders who regularly interact with farmers, their family members, and farmworkers to recognize signs of distress, engage in supportive conversations, and connect individuals to appropriate resources. Two cohorts of Mental Health Advocates (<i>N</i> = 12) from nine rural Kentucky counties participated in a 1-year training and peer-support model that included monthly cohort sessions, Question-Persuade-Refer Gatekeeper Trainer certification, farm-specific scenario-based practice, and structured referral pathways to a university telepsychology clinic. The process evaluation included attendance tracking, documentation of training completion, and structured feedback collected from mental health advocates to refine initiative content. Implementation experiences highlighted the use of trusted messengers, tailored materials, peer-network support, and practical skill-building within this initiative.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261490869"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empowering Local Health Promoters: Capacity Building for Behaviour Change in Low-Resource Settings.","authors":"Claudia Teran-Escobar, Monika Christofori-Khadka, Aïna Chalabaev, Nicole Rähle","doi":"10.1177/15248399261489716","DOIUrl":"https://doi.org/10.1177/15248399261489716","url":null,"abstract":"<p><strong>Background and objectives: </strong>Behaviour change interventions (BCIs) are widely used to improve health outcomes, yet practitioners in the field often lack the training to design, implement and evaluate them effectively. This study aimed to evaluate the impact of a ten-module, theory- and evidence-based training programme on practitioners' knowledge, self-efficacy and intention to use BCIs, particularly in low-resource settings.</p><p><strong>Methods: </strong>The training was delivered to Health Promotion Technicians (<i>N</i> = 40) in Paraguay (2022) and Bangladesh (2024). It covered key behavioural science concepts and practical steps for developing and evaluating BCIs. Knowledge was assessed using a multiple-choice test, while self-efficacy and intention were measured via validated scales. Assessments were conducted at multiple time points (four in Paraguay, two in Bangladesh). Multilevel modelling was used to analyse changes over time.</p><p><strong>Results: </strong>Participants showed significant improvements in knowledge (<i>b</i> = 4.95, 95 % CI [3.73, 6.17], <i>p</i> < .001), self-efficacy (<i>b</i> = 0.65, 95 % CI [0.35, 0.94], <i>p</i> < .001) and intention to use BCIs (<i>b</i> = 0.36, 95 % CI [0.12, 0.60], <i>p</i> = .005).</p><p><strong>Conclusions: </strong>This training programme appears effective in building key capacities among health promotion practitioners in low-resource contexts. Future research should assess whether such improvements translate into the sustained use of BCIs and measurable impacts on community health, especially among underserved populations, such as rural communities and minority groups.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261489716"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding Age Verification Practices: A Qualitative Study to Inform Community-Level Interventions.","authors":"Wynne Ebner, McKenna Roudebush, Adriana Gaona, Samantha Luu, Melissa J Cox","doi":"10.1177/15248399261494222","DOIUrl":"https://doi.org/10.1177/15248399261494222","url":null,"abstract":"<p><p>Underage alcohol use remains a significant public health problem in the United States. Access to alcohol is a key driver of underage drinking, and youth often obtain alcohol by using false identification (fake IDs). While enforcement of minimum drinking age laws is an evidence-based strategy to reduce underage drinking, little systematic examination of age verification practices exists. To address this need, we conducted key informant interviews (<i>N</i> = 8) with staff and owners of alcohol retailers as well as law enforcement officers in a Southeastern U.S. college town between October 2023 and April 2024. Participants were queried on factors influencing age verification practices. We coded and thematically analyzed the data using an iterative, multistep process. Results revealed three primary themes: (a) ID verification practices varied widely among retail participants; (b) facilitators of effective ID checks included staff training, access to advanced technology, and workplace support, while barriers included resource limitations, increasingly sophisticated fake IDs, and challenging interactions with patrons; and (c) participants considered both the legal and public health implications of selling alcohol to underage individuals. These findings suggest a need for tailored, equity-centered practice strategies, such as updated training programs and equitable enforcement policies, to address the evolving challenges of fake ID detection. Future research should continue exploring diverse perspectives from those involved in ID verification, focusing on identifying the challenges and strengths of implementing community-level policies. These insights can inform interventions to strengthen age verification practices, reduce underage alcohol access, and minimize related harms.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"15248399261494222"},"PeriodicalIF":1.5,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}