Health & Social Care in the Community最新文献

{"title":"Exploring Effect of Psychological First Aid Education on Elementary School Teachers: A Quasiexperimental Study","authors":"Andaleeb M. Abu Kamel,&nbsp;Dua’a Al-Maghaireh,&nbsp;Najah Sami Shawish,&nbsp;Bushra Khaurullah Khanjar,&nbsp;Eman K. Alnazly","doi":"10.1155/hsc/8897061","DOIUrl":"https://doi.org/10.1155/hsc/8897061","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Psychological first aid (PFA) is a supportive approach for children experiencing distress and in need of immediate assistance. It assists children in feeling safe, connected with others, and staying calm and hopeful. Furthermore, it also helps children gain access to social, physical, and emotional support and empowers them as individuals and part of the community. Teachers are the largest workforce in Jordan. However, they are rarely trained in PFA to handle critical events among children.</p>\u0000 <p><b>Aim:</b> This study examined the impact of a PFA training program on elementary school teachers’ knowledge, skills, attitudes, and self-efficacy.</p>\u0000 <p><b>Methods:</b> This quantitative, quasiexperimental, nonequivalent control group design utilized pre- and posttest results. A total of 80 elementary school teachers were divided into two groups, experimental (<i>n</i> = 40) and control (<i>n</i> = 40), assigned on a nonrandom basis to two elementary schools in Jordan. Teachers completed self-assessments that measured knowledge, skills, attitudes, and self-efficacy related to PFA.</p>\u0000 <p><b>Results:</b> The experimental group exhibited significantly higher mean scores across all domains compared with the control group postintervention. Furthermore, the experimental group had higher mean knowledge, skills, and attitude scores of 8.12, 7.97, and 8.05 compared with the control group, 5.83 (<i>t</i> = 9.17, <i>p ≤ </i>0.001), 5.05 (<i>t</i> = 10.34, <i>p</i> ≤ 0.001), and 4.90 (<i>t</i> = 9.91, <i>p ≤ </i>0.001), respectively. Additionally, self-efficacy scores were significantly higher in the experimental group, with a mean of 143.10 (±15.83) compared with the control group (85.55) (<i>t</i> = 2.17, <i>p ≤ </i>0.001).</p>\u0000 <p><b>Conclusion:</b> The PFA training program substantially improved teachers’ competencies in delivering psychological support during crises and enhanced knowledge, skills, attitudes, and self-efficacy across all variables.</p>\u0000 <p><b>Implications:</b> This study provides evidence that teachers’ PFA training can enhance their knowledge, skills, attitude, and self-efficacy. Teachers can be trained to support children experiencing distress and in need of immediate assistance during crises until they can be seen by professionals, such as psychiatric or social workers.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8897061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900903","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":"Communication Experiences of Deaf/Hard-of-Hearing Patients During Healthcare Access and Consultation: A Systematic Narrative Review","authors":"G. Wilson-Menzfeld,&nbsp;J. R. Gates,&nbsp;C. Jackson-Corbett,&nbsp;G. Erfani","doi":"10.1155/hsc/8867224","DOIUrl":"https://doi.org/10.1155/hsc/8867224","url":null,"abstract":"<div>\u0000 <p>Deaf and hard-of-hearing individuals face significant communication barriers in accessing healthcare services, leading to misunderstandings, misdiagnoses and experiences of marginalisation and discrimination. This study aims to explore these challenges and identify areas for improvement. A systematic narrative review was conducted, involving a comprehensive search and thematic synthesis of data from six electronic databases, including studies up to November 2023. Twenty-two studies were identified (15 qualitative, four quantitative and three mixed methods). Two main themes were generated: <i>challenges related to the role of the interpreter</i> and the need to <i>shift cultural competence</i>. These themes are composed of six subcategories: <i>preferred style of communication, lack of access and continuity of care, trust, disconnected language, disempowerment and misinformation leading to health consequences</i>. The study highlights the importance of considering the unique needs of deaf and hard-of-hearing patients in healthcare environments and promoting cultural competence and effective communication to improve healthcare accessibility and outcomes.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8867224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884053","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":"Digital Literacy, Intergenerational Relationships, and Future Care Preparation in Aging Chinese Adults in Hong Kong: Does the Gender of Adult Children Make a Difference?","authors":"Xue Bai,&nbsp;Rita W. L. Yu,&nbsp;Chang Liu,&nbsp;Silvia Sörensen","doi":"10.1155/hsc/6198111","DOIUrl":"https://doi.org/10.1155/hsc/6198111","url":null,"abstract":"<div>\u0000 <p>As populations continue to age, the demand for future care is expected to increase. Future care preparation is a form of proactive coping that can prevent or offset potential stressors related to the changing needs of older adults. Acquisition and preservation of resources are essential for effective proactive coping. Integrating social convoy theory, intergenerational solidarity theory, and proactive coping theory, this study assessed the level of digital literacy, quality of intergenerational relationships, and future care preparation in son-dominant, daughter-dominant, and gender-balanced families. The direct and indirect effects of digital literacy on future care preparation through intergenerational relationships were also examined. Data from 3,626 participants with at least one adult child were drawn from the Panel Study of Active Aging and Society conducted in 2022, which was designed to be a biennial study conducted with a representative sample of individuals aged 50 years and older in Hong Kong. Aging parents in son-dominant families had the highest levels of digital literacy; those in daughter-dominant families had the highest levels of intergenerational relationship quality and future care preparedness. Intergenerational relationship quality mediated the relationship between digital literacy and future care preparation in all three types of families, but the effect sizes differed. These findings suggest a need to enhance the digital literacy of aging adults and improve their intergenerational relationships, thereby assisting them to prepare in advance for their future care needs.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6198111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884054","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":"Implications of Occupational Stress and Burnout on Patient Safety at Public Hospitals in Malawi","authors":"Paliani Chinguwo","doi":"10.1155/hsc/4625173","DOIUrl":"https://doi.org/10.1155/hsc/4625173","url":null,"abstract":"<div>\u0000 <p>Due to an acute shortage of medical doctors, clinical officers (COs) in Malawi are tasked with duties that conventionally fall within the purview of the former. The purpose of this paper is to demonstrate that excessive workload and long hours of work are psychosocial hazards that contribute to occupational stress (OS) and burnout among COs at public hospitals. The study used a qualitative research approach. The study sites comprised five state-owned hospitals: Mulanje District Hospital, Chikwawa District Hospital, Balaka District Hospital, Nkhata Bay District Hospital, and Queen Elizabeth Central Hospital in Blantyre. Three methods of data collection were used: semistructured interviews, focus group discussions, and document analysis. Thematic analysis was employed as a method of data analysis. The study found that the cognitive effects of OS and burnout among COs are eventually externalized to the general public through medical errors and mistakes. The study concluded that the medical errors and mistakes associated with the cognitive effects of OS and burnout among COs pose negative impacts on patient safety. The medical errors and mistakes associated with OS and burnout are ultimately impediments to patient satisfaction. Hence, this paper coins the term ‘impact shifting’ to refer to the externalization of the consequences of OS and burnout among COs to the general public through poor patient safety and ultimately low patient satisfaction.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4625173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143880160","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":"Barriers and Facilitators to Accessing and Engaging With Community-Based Singing Support Services in Dementia","authors":"Megan Polden,&nbsp;Clarissa Giebel,&nbsp;Faraz Ahmed,&nbsp;Heather Brown,&nbsp;Jeanette Main,&nbsp;Steve Pendrill,&nbsp;Carol Holland","doi":"10.1155/hsc/9480037","DOIUrl":"https://doi.org/10.1155/hsc/9480037","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Community-based singing services can offer beneficial post-diagnostic support for people living with dementia and their carers. However, despite the benefits, many people with dementia and their carers encounter barriers when trying to access and engage with such groups. This study examined the barriers and facilitators to access and engagement with a singing community support group.</p>\u0000 <p><b>Methods:</b> Semi-structured interviews were conducted with people living with dementia, carers, session leaders and volunteers who attended or were involved with a singing support service named “Lyrics and Lunch.” The interviews focused on the accessibility of the service. Interviews were analysed using thematic analysis which was supported by public advisors.</p>\u0000 <p><b>Results:</b> Twenty-six people participated in the study. This consisted of seven people living with dementia, eleven unpaid carers, four session leaders and four volunteers. Three overarching themes were found relating to barriers to access and engagement with singing intervention services: (1) travel, (2) increased reliance on carers and (3) health comorbidities. Two further themes relating to facilitators were found: (1) engagement with music and (2) promoting effective communication and accessibility.</p>\u0000 <p><b>Conclusions:</b> A wider availability of support services is needed to improve ease of access, promote continued engagement and reduce travel demands. A greater understanding of these barriers and facilitators could help to improve the accessibility of current community-based singing support groups.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9480037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884122","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":"Spiritual Care and Community Wellness: A Mixed-Methods Approach to Explore Chaplains’ Integration in Community Health Initiatives","authors":"Kelsey B. White,&nbsp;Paul Galchutt,&nbsp;Khanya Collier,&nbsp;Csaba Szilagyi,&nbsp;George Fitchett","doi":"10.1155/hsc/6128995","DOIUrl":"https://doi.org/10.1155/hsc/6128995","url":null,"abstract":"<div>\u0000 <p>Religious organizations have influenced parts of the history of healthcare in the United States. Whether at the local faith community level or national religious bodies, faith communities and health systems have explored partnerships to connect health service delivery and promote population health in its complexity. The changes to health policy in the past decades have fueled how health systems dedicate financial and tangible resources to improving the health of their local communities. Hospitals also increasingly hire and employ chaplains–professional spiritual care providers with extensive graduate and clinical education. The present explanatory mixed-methods study explored the integration of these chaplains in their health systems’ community health and wellness initiatives. The findings highlight that chaplains’ activities focus on social connection and improving healthcare access and quality. Chaplains highlighted how they use their interpersonal skills to build rapport and trust with communities, which may provide an additional resource for health systems looking to expand their impact within the local community. That possibility, however, comes with caution as chaplaincy education will need to include population health if the profession considers these activities core to their arena of expertise.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6128995","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143880158","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":"“Good Luck Out There Without NDIS”: Challenges Accessing Individualized Support Packages by Autistic Young People Leaving School","authors":"Caroline Mills,&nbsp;Danielle Tracey,&nbsp;Nicole Sharp","doi":"10.1155/hsc/6830644","DOIUrl":"https://doi.org/10.1155/hsc/6830644","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> The transition from schooling to adulthood is an important and complex time in a young person’s life, especially when they have a disability. For young autistic people, it is critical to receive the right support to ensure a successful transition. In Australia, disability supports are provided by the National Disability Insurance Scheme (NDIS), a scheme implemented and administered by the Australian Government (specifically the National Disability Insurance Agency [NDIA]) since 2013. Implementation of Australia’s NDIS has been inadequate in supporting the needs of many autistic young people. Autistic people are the largest group of participants in the NDIS. Support for this group is important considering the significant investment involved in the provision of NDIS funding, coupled with the potential negative consequences if they are not well-supported. This study explores the experiences of key stakeholders in relation to young autistic school leavers and their challenges accessing NDIS Tier 3 individualized support packages.</p>\u0000 <p><b>Method:</b> This study adopted a qualitative methodology using a constructivist paradigm. This study draws on the perspectives of four key groups: young autistic people, parents/carers, educators, and disability service providers. Reflexive thematic analysis of the interview data was conducted.</p>\u0000 <p><b>Findings:</b> Two overall themes were identified. The first theme was related to fighting to get access to the NDIS, encompassing subthemes related to the NDIS maze, a heavy emotional and practical toll as well as inconsistencies in access. A second theme highlighted a worry for the future if autistic young people did not receive the support they needed postschool. Findings highlighted a range of difficulties accessing individualized funding packages (Tier 3) for autistic young people. There has been a critical failing of service provision at “Tier 2” of the NDIS (also referred to as information linkages and capacity building or foundational support), which was intended to facilitate access and participation in mainstream community services for people with disability. This placed additional pressure on Tier 3 and exacerbated the toll that interacting with the NDIS took on participants.</p>\u0000 <p><b>Conclusion:</b> Urgent work is needed to ensure that systems within the NDIS are funded appropriately and operating as intended to ensure good and equitable outcomes for autistic people leaving school.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6830644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884121","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":"Satisfaction With Toilet Renovation in Rural Areas: A Case Study of G Village","authors":"Fang Fang,&nbsp;Chunyu Yang","doi":"10.1155/hsc/7739311","DOIUrl":"https://doi.org/10.1155/hsc/7739311","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To investigate the satisfaction of villagers in G village with the renovation of household toilets.</p>\u0000 <p><b>Methods:</b> 335 villagers from G village in Anhui Province were randomly invited to fill out a self-designed questionnaire. Data were analyzed using SPSS.</p>\u0000 <p><b>Results:</b> Before the toilet renovation, 74.9% of the households had separate toilets, 91.6% of the villagers supported the toilet renovation, 11.6% of the villagers still used the aqua toilet, 67.5% of the funds for toilet renovation came from themselves, and 81.2% of the villagers often used the renovated toilets. Participants were dissatisfied with the overall work of toilet renovation, and their evaluations of the five aspects of toilet renovation were only “dissatisfied” or “neutral.” There were significant differences in satisfaction among different age groups (<i>p</i> &lt; 0.001), among different income groups (<i>p</i> &lt; 0.001), and among people with different levels of education (<i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusions:</b> The villagers in G village are not satisfied with the renovation of household toilets, and efforts should be made to improve their satisfaction.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7739311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875662","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":"How Does Living in a Homeless Hostel Impact on Residents Lived Experience of Health and Wellbeing: A Scoping Review","authors":"Emma Head,&nbsp;Julia Morgan,&nbsp;Jane Matonhodze,&nbsp;John Foster","doi":"10.1155/hsc/3086235","DOIUrl":"https://doi.org/10.1155/hsc/3086235","url":null,"abstract":"<div>\u0000 <p>Living in a homeless hostel can be challenging. This global scoping review explored the impact of living in a homeless hostel on residents lived experience of health and wellbeing. A systematic process was followed using Arksey and O’Malley framework for scoping reviews with the addition of the PRISMA-ScR checklist. In total, 1094 articles were identified through database searches and a thesis search on Google Scholar. Screening of title/abstract and then full text, according to inclusion and exclusion criteria, resulted in 40 papers being included in the review. Twenty-two were carried out in the United Kingdom (UK), nine in the United States (US), four in Australia, two in Canada, one in South Africa, one in Iran and one study had a worldwide focus. The findings identify difficulties in accessing care along with incidences of discrimination, being dismissed, disrespected and other experiences of stigmatic encounters. Survival tactics and coping strategies like drug and alcohol use were employed. A lack of stability and routine added to the challenges of living in that environment. The hostel itself and the experience of homelessness were found to impact on health and well-being. This review demonstrates a picture of disadvantage, discrimination and increased disease within the populations who reside in homeless hostels. More research is needed on lived experiences of those residing in homeless hostels to understand their experiences and inform the creation of environments more conducive to good health and wellbeing.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3086235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871798","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 Role of Social Prescribers in Engaging Older Adults in Strength and Balance Training After Being Discharged From Physiotherapy Rehabilitation: A Qualitative Investigation","authors":"Bethany Fordham,&nbsp;Esther Williamson","doi":"10.1155/hsc/8292209","DOIUrl":"https://doi.org/10.1155/hsc/8292209","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Older adults are advised to undertake strength and balance training (SBT) to prevent falls. This can be provided by physiotherapy services for a limited time, but long-term engagement is required to maintain the benefits. Finding ways to support long-term engagement is needed.</p>\u0000 <p><b>Aim:</b> To understand if it is feasible to develop a referral pathway from physiotherapy services to social prescribers for engaging older adults in long-term SBT within their daily lives.</p>\u0000 <p><b>Methods:</b> We purposefully recruited and interviewed social prescribers via Microsoft Teams. We undertook a framework analysis based on the Capability-Opportunity-Motivation behaviour change framework.</p>\u0000 <p><b>Results:</b> We interviewed eight social prescribers including one manager and two whose role was related specifically to physical activity and exercise. All participants demonstrated motivation to engage older adults in SBT. However, there was variation in their perceived capability and opportunity to do this. Some felt their roles were well suited to encourage SBT as their role was linked to exercise provision, but others felt less confident and identified barriers. All participants identified that the social prescribers were becoming overwhelmed by their workload. They identified motivation as the most potent barrier to older adults engaging in SBT along with opportunity and capability barriers. Participants felt that improving motivation would be the biggest driver of behaviour change but not all felt equipped to do this.</p>\u0000 <p><b>Conclusion:</b> It may be feasible to trial setting up a referral pathway from physiotherapy services to social prescribing to support older adults to engage in SBT. However, services may lack capacity, and there was variability in how services work and social prescribers identified barriers to engaging older adults in SBT. A better option may be to explore the development of a pathway from outpatient physiotherapy services directly to community physical activity services.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8292209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865754","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}