Health & Social Care in the Community最新文献

{"title":"Creating a Conducive Zone for Innovation in Children’s Social Care","authors":"Michelle Lefevre,&nbsp;Julie Temperley,&nbsp;Carlie Goldsmith,&nbsp;Martha Hampson","doi":"10.1155/hsc/3599333","DOIUrl":"https://doi.org/10.1155/hsc/3599333","url":null,"abstract":"<div>\u0000 <p>Innovation activity in child and family services has accelerated over the past 2 decades, particularly in England, where substantial government investment in pilots, diffusion activities and evaluations has created an emerging body of literature on effective approaches and characteristics of efficient practice systems. However, the literature on the interplay of enabling or impeding factors and processes at a local and national level tends towards the descriptive, while theorisation of the underlying dynamics remains limited. This paper presents the findings of a framework analysis produced through integrating thematic insights from a narrative review of academic and grey literature with those drawn from interviews with 21 expert informants engaged in social care innovation within the UK within policy, leadership or researcher roles. Analysis enabled five clusters of ‘conditional parameters’ to emerge, covering: mobilisers; system capabilities; design and implementation features; organisational culture, climate and processes; and the macro context. Three or four conditional parameters are identified per category, each outlining factors and processes that could either facilitate an innovation or create barriers that needed to be overcome. To achieve an environment most conducive to innovation, attention needs to be paid to the interplay of these conditions, recognising that their operation and influence might be occurring out of awareness and scrutiny. Innovation is found to be best facilitated by a stable, well-supported workforce that feels energised and confident to create and implement change. This requires developing a supportive, collaborative, relational culture and climate of mutual trust, where reflexive supervisory and evaluatory mechanisms follow the human-centred grain of professional practice and where staff feel safe to experiment and make mistakes. This can enable a conducive zone for innovation to open up, even where policy drivers and the availability of resources are less than optimum.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3599333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423709","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":"Centering Humanizing, Individualized Care Amid Systemic Barriers: A Qualitative Exploration of Provider Approaches to Palliative and End-of-Life Care for Unhoused Adults","authors":"M. Pilar Ingle,&nbsp;Asia Cutforth,&nbsp;Leslie Hasche,&nbsp;Elise K. Matatall","doi":"10.1155/hsc/6631688","DOIUrl":"https://doi.org/10.1155/hsc/6631688","url":null,"abstract":"<div>\u0000 <p>Palliative and end-of-life (PEOL) care offers many benefits to those with life-limiting illness; however, people experiencing homelessness face systemic and social barriers to accessing such care. Healthcare (HC) and social service (SS) providers who work with unhoused individuals have essential roles and insight for how PEOL needs are addressed among this population which may inform opportunities to improve care. This study, therefore, explores Colorado-based HC and SS providers’ approaches working with unhoused individuals with PEOL needs. An exploratory–descriptive qualitative approach was used to conduct semistructured interviews with HC and SS providers in Colorado who provided direct care or services to adults. An iterative thematic analysis approach was used to code and analyze interviews. Seventeen providers were interviewed between June and September 2022, representing settings including hospitalist specialty services, hospice, housing/homeless services, aging services, and community mental health. Amid systemic challenges, including lack of resources and pervasive stigma toward unhoused individuals, providers highlighted person-centered and holistic approaches to care that prioritize building trust and honoring dignity and autonomy. Providers emphasized the importance of organizational commitment to these humanizing approaches while transforming culture surrounding poverty and end-of-life. Further, interviews identified potential solutions to improve PEOL care for individuals experiencing homelessness, including specialized interventions (e.g., mobile palliative care). These findings highlight realistic, humanizing approaches to care providers can incorporate into everyday practice and support the need for specialized PEOL services, policy reform in housing and HC (better housing solutions, hospice reimbursement, etc.), and efforts to address and disrupt homelessness stigma.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6631688","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389092","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":"Theoretical Perspectives on Adolescent Internet Addiction: A Comprehensive Literature Review","authors":"Yishan Jin,&nbsp;Shan Jiang","doi":"10.1155/hsc/4875332","DOIUrl":"https://doi.org/10.1155/hsc/4875332","url":null,"abstract":"<div>\u0000 <p>The increasing reliance on the internet has intensified concerns about internet addiction, especially among adolescents. Previous studies have associated adolescent internet addiction with detrimental psychological conditions and deteriorating social bonds. Nonetheless, a comprehensive theoretical framework for understanding the development of adolescent internet addiction remains elusive, impeding the advancement of research focused on creating effective educational and intervention strategies. This study undertakes a systematic review of existing theories and models related to adolescent internet addiction, offering an integrated theoretical framework that aims to elucidate the underlying causes and mechanisms. Our proposed framework seeks to enhance the conceptual foundation for future research, thereby facilitating the development of targeted interventions.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4875332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380667","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":"Experiences of Empathy-Based Stress Among Care Staff Supporting Children and Adolescents With Intellectual Disabilities and/or Autism in Residential and Respite Services: A Qualitative Exploration","authors":"Riona Madden,&nbsp;Laura Coffey","doi":"10.1155/hsc/9828118","DOIUrl":"https://doi.org/10.1155/hsc/9828118","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Care staff in the disability sector experience high levels of work-related stress and burnout, which contribute to high staff turnover and limited residential service capacity and affect both staff well-being and the quality of care provided. Little is currently known about the impact that exposure to secondary trauma has on care staff, which could put them at risk of experiencing empathy-based stress. This qualitative study aimed to explore how empathy-based stress is experienced by care staff supporting children and adolescents with intellectual disabilities and/or autism in residential and respite services, and the factors they perceive as contributing towards or protecting them from experiencing empathy-based stress.</p>\u0000 <p><b>Methods:</b> Twelve care staff from four different community-based organisations in Ireland (two residential care and two overnight respite) took part in online semistructured interviews, which were recorded and transcribed verbatim. Reflexive thematic analysis was used to analyse the data.</p>\u0000 <p><b>Results:</b> Four themes were identified, which had two to three subthemes each: (i) Challenging Periods (exposure to distress and trauma, empathy and feeling powerless), (ii) Organisational Factors (lack of support from management, training and staff cohesion), (iii) Personal Resilience (awareness, focussing on the positives) and (iv) Impact of Empathy-Based Stress (negative work affect, adverse impact on health and well-being).</p>\u0000 <p><b>Conclusion:</b> Staff were exposed to service user distress or trauma, which at times initiated an empathy-based stress process. A build-up of factors, both individual and contextual, led to adverse physical and psychological outcomes and negative work affect. These findings have implications for policy and practice within disability care settings and suggest that interventions at a personal and organisational level and the adoption of a trauma-informed approach may help to reduce empathy-based stress in care staff and improve quality of care for service users.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9828118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248505","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":"Z-Score-Based Improved TOPSIS Method and Its Implementation for Elderly People Health Examination Results Evaluation: A Statistic Case Study in Harbin, China","authors":"Xiao Wang,&nbsp;Xu Yang,&nbsp;Jie Zhou,&nbsp;Huibin Ren","doi":"10.1155/hsc/5974609","DOIUrl":"https://doi.org/10.1155/hsc/5974609","url":null,"abstract":"<div>\u0000 <p>Considering the remarkable population aging in China, more researchers pay attention to the health condition of elderly people. However, limited to the large amount of miscellaneous health examination data, a systematic method to quantify and evaluate the health condition of elderly people is still lacking. In this study, a <i>Z</i>-score-based improved Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS) method was introduced by considering the omission of the positive or negative ideal solution of the original data. Then, the health conditions of elderly people were quantified and evaluated according to 1672 elderly health examination reports. Meanwhile, the influence factors that impact elderly people’s health conditions were also discussed. The analysis results demonstrated a positive impact of social development on elderly people’s health conditions. Oppositely, the influence of age and sex might be slight. This study could contribute to the characterization of the health condition of elderly people residing in Harbin, as well as its influence factors.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5974609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110760","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":"Rural Stakeholder Perspectives on Engaging People Living With Dementia as Volunteers","authors":"Rachel Winterton,&nbsp;Carmela Leone,&nbsp;Marita Chisholm","doi":"10.1155/hsc/7611940","DOIUrl":"https://doi.org/10.1155/hsc/7611940","url":null,"abstract":"<div>\u0000 <p>This qualitative study explores enablers and barriers experienced by rural community organisations in engaging people living with dementia as volunteers. Semi structured, qualitative interviews were conducted with 13 individuals responsible for managing volunteers within rural and regional organisations in Victoria, Australia. Participants identified three primary factors associated with ability to engage people living with dementia as volunteers within their organisations: ability to provide suitable volunteer roles for people living with dementia, ability to resource support and ability to manage disclosure and progression. These factors were mediated by characteristics of organisational and volunteer program environments, and the attitudes and capacities of volunteers living with dementia. Findings indicate that while possible, engagement of volunteers living with dementia is potentially not achievable in all rural community settings and is contingent on flexible volunteer programs and experienced volunteer management, provision of resources to support volunteers and changing attitudes toward capacity of people living with dementia.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7611940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121001","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":"Distribution and Accessibility of Residential Aged Care Facilities Concerning Socioeconomic Indicators and Geographic Remoteness in Australia","authors":"Amal Musleh Alrewaithi,&nbsp;Estie Kruger,&nbsp;Marc Tennant","doi":"10.1155/hsc/7696896","DOIUrl":"https://doi.org/10.1155/hsc/7696896","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> This study examined the distribution of residential aged care facilities in relation to the aged population and socioeconomic profile at the smallest geographical unit in Australia’s metropolitan areas, regional centers, and large rural towns.</p>\u0000 <p><b>Methods:</b> An observational study was designed using the most recent open-source data from the Australian government. The aged population data and RACF locations were aggregated by SA1, remoteness, and socioeconomic profile, which were defined using the modified Monash model (MMM) and the index of relative socioeconomic disadvantage (IRSD). Remoteness was categorized into metropolitan areas, regional centers, and large rural towns, while socioeconomic factors were analyzed based on IRSD 10 deciles. The study utilized a Quantum Geographic Information System (QGIS) to perform the analysis and mapping of RACF distribution and accessibility. All collected data files were overlaid and linked using the join function in QGIS for comprehensive analysis at the Statistical area level 1 (SA1). Centroids were calculated for each SA1 to represent the geographical center of the area. The buffer function was performed to determine the proportion of the aged population residing within the specified distance thresholds of 2.5 km, 5 km, and over a 5 km radius from these facilities.</p>\u0000 <p><b>Results:</b> Geographic disparities: The findings indicate shortages of RACF places’ availability, with only 5% of the older population living in metropolitan and large rural towns having access to such places. The number drops to 4% for those living in regional centers. The majority of older metropolitan residents reside within a 5 km radius of RACFs, compared to large rural areas (14%) and regional centers (23%), where the elders reside over the study distance threshold. The shortage of available places and the travel distances to these services may lead older adults who cannot live independently to seek alternative aged care services or remain at home. This might result in inadequate health services tailored to their specific needs which may contribute to poor health outcomes, increased in emergency room presentations, and unplanned hospital admissions.</p>\u0000 <p><b>Socioeconomic Disparities:</b> The distribution of RACFs varied significantly across different socioeconomic profiles in favor of people with a lower socioeconomic background across the study, measured using the IRSD. Area.</p>\u0000 <p><b>Conclusion:</b> Urgent policy interventions are needed to expand RACFs’ capacity and to establish new facilities in areas with the greatest need. The aged health system needs increased funding, improved workforce conditions, and equitable resource allocation to create a sustainable aged care system with a high-end quality of care.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7696896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121002","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":"Experiences of Eldercare Staff Working With Older People With Severe Mental Illness","authors":"Cristina Joy Torgé,&nbsp;Monika Allgurin,&nbsp;Pia H. Bülow,&nbsp;Per Bülow,&nbsp;Magnus Jegermalm,&nbsp;Marie Ernsth Bravell","doi":"10.1155/hsc/2186889","DOIUrl":"https://doi.org/10.1155/hsc/2186889","url":null,"abstract":"<div>\u0000 <p>In Sweden, older persons living with severe mental illnesses (SMI) increasingly live independently in the community with support from informal and formal carers and welfare services. A proportion of this group is older people with SMI who, due to age or disability, receive municipal eldercare services such as home care in their ordinary housing, or in residential care. The situation and needs of this group demand that eldercare staff have an understanding for the older person’s situation and the tools to provide appropriate care. The aim of this present study is to explore the experiences of eldercare staff working with older people with SMI. Focus group interviews were conducted with staff from three residential care facilities and two home care teams in one mid-sized Swedish municipality. To analyse the interviews, qualitative content analysis was used. The overarching theme from the analysis was “Doing the best they can,” which was unpacked in two categories: “Working with fragmentary knowledge” and “Finding the right approach.” We could also see differences between the experiences of staff in residential care and in home care. The eldercare staff in our interviews faced lack of formal training, insufficient information and skills concerning mental illness and its treatment. Nevertheless, they tried to make the situation of the older people with SMI as good as possible using experiential and tacit knowledge. Our results also point to system level barriers that hinder effective care for older people with SMI.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2186889","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118011","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":"Social Prescribing for Children and Youth: A Scoping Review","authors":"Caitlin Muhl,&nbsp;Eleanor Cornish,&nbsp;Xin Ang Zhou,&nbsp;Kate Mulligan,&nbsp;Imaan Bayoumi,&nbsp;Rachelle Ashcroft,&nbsp;Amanda Ross-White,&nbsp;Christina Godfrey","doi":"10.1155/hsc/5265529","DOIUrl":"https://doi.org/10.1155/hsc/5265529","url":null,"abstract":"<div>\u0000 <p>Social prescribing is gaining traction globally, with over 30 countries involved in the social prescribing movement. This holistic approach to health and well-being is relevant to all ages, but it is especially important for children and youth. While this population has largely been neglected in social prescribing efforts, several evaluations of social prescribing programs specifically targeting this population have emerged in recent years, which calls for a review of the evidence on this topic. Thus, the objective of this scoping review was to map the evidence on the use of social prescribing for children and youth. This review was conducted in accordance with the JBI methodology for scoping reviews and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The search strategy aimed to locate both published and unpublished literature via 12 databases, Google, Google Scholar, Social Care Online, SIREN Evidence and Resource Library, websites of social prescribing organizations and networks, and a request for evidence sources to members of the International Social Prescribing Collaborative. No language or date restrictions were placed on the search. Two independent reviewers performed title and abstract screening, retrieval and assessment of full-text evidence sources, and data extraction. Data analysis consisted of basic descriptive analysis. Nine studies met the inclusion criteria, including three mixed methods studies, two rapid evidence reviews, two qualitative studies, one uncontrolled before-and-after study, and one randomized clinical trial. All studies were published between 2020 and 2024. Evidently, social prescribing for children and youth is still in its infancy, with an evidence base that is limited in both quantity and quality. However, the existing evidence is promising, offering a starting point to build a robust evidence base, which calls for research and practice advancements in social prescribing for children and youth.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5265529","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143117376","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":"The Social Prescribing Link Worker—Clarifying the Role to Harness Potential: A Scoping Review","authors":"Jill Mulholland,&nbsp;Karen Galway,&nbsp;Liam O’Hare,&nbsp;Marcello Bertotti,&nbsp;Aideen Gildea","doi":"10.1155/hsc/4394123","DOIUrl":"https://doi.org/10.1155/hsc/4394123","url":null,"abstract":"<div>\u0000 <p>Recent work outlines definitions of social prescribing, but the role of a social prescribing link worker (SPLW) remains ill defined. Core components of the role must be clarified to enable the study of its impact in connecting people to community-based support and subsequent outcomes. This review compiles and summarises published information on the SPLW role. A scoping review was completed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Review. Suitable online databases were searched using identified terms, a review of the reference lists of identified papers was completed and relevant grey literature was identified through Google Scholar. Relevant reports from UK-based social prescribing networks and government organisations were gathered. Eligibility of each paper was determined based on the specified criteria. Inclusion criteria were identified using the PCC (Population; Concept; Context) framework. Of the 251 search results originally identified, 15 peer-reviewed papers met the criteria for inclusion. Five additional published reports from government and community organisations and networks were identified. Data were extracted and collated in tabular form. Thematic data analysis highlighted four common themes clarifying the role of the SPLW and identifying improvements required to advance social prescribing referral processes. (1) SPLW works in collaboration with the participant, to identify personal needs and goals, and monitors progress over time. (2) SPLW connects service users to community/statutory support. (3) SPLW views health in a holistic manner. (4) The importance of training for SPLWs, and those referring into the system, to improve the referral process. Disparity in language and roles is evident, making it difficult to describe and compare the role across social prescribing services. The importance of training is outlined, and training recommendations are made. Additional effort is needed to clarify the role, impact and training requirements within social prescribing, to strengthen the evidence base, and allow applicability and transferability across services.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4394123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115087","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}