Maternal and Child Health Journal最新文献

{"title":"Single-Parent Births in California: A Population-Based Examination of the Risk of Child Protective Services Involvement.","authors":"Lindsey Palmer, Bryn King, Andrea Lane Eastman, Eunhye Ahn, Julia Reddy, Emily Putnam-Hornstein","doi":"10.1007/s10995-025-04080-z","DOIUrl":"10.1007/s10995-025-04080-z","url":null,"abstract":"<p><strong>Objectives: </strong>The current study examined differential rates of child protective services (CPS) involvement between infants with one or two legally established parents at birth.</p><p><strong>Methods: </strong>Vital birth records were used to document all children with a registered birth in California in 2017 (N = 470,854). This birth cohort was then prospectively followed in linked CPS records through age 1 year.</p><p><strong>Results: </strong>Birth records indicated that 7.1% of infants (n = 33,597) had only one legally established parent. Adjusting for sociodemographic factors, infants with only one parent documented on the birth record were more than twice as likely to be reported for maltreatment (IRR = 2.20; 99% CI [2.12, 2.29]). In the overall birth cohort, significant differences in the likelihood of a CPS report were observed by parental sociodemographic factors (education, age, public insurance, race and ethnicity); however, these same factors were attenuated, to varying degrees, among infants with a single legal parent.</p><p><strong>Conclusions for practice: </strong>Infants born with a single legal parent had a higher concentration of factors associated with heightened rates of CPS involvement. Assessing the circumstances associated with single parenthood, such as understanding household composition and who is involved in the infant's care, may explain potential vulnerability and identify service needs.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"650-659"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781694","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":"Differences in HPV Vaccine Information Usefulness and Understanding Between Parents With and Without a Child with Special Healthcare Needs.","authors":"Jennifer A Manganello, Regan M Murray, Wen-Juo Lo, Shawn C Chiang, Mengfei Guan, Ann C Klassen, Amy E Leader, Larry T Hill, Philip M Massey","doi":"10.1007/s10995-025-04093-8","DOIUrl":"10.1007/s10995-025-04093-8","url":null,"abstract":"<p><strong>Introduction: </strong>Youth HPV vaccination rates have yet to reach the national goal of 80 percent. One understudied population with respect to the HPV vaccine is youth with special healthcare needs. This study seeks to understand differences in HPV vaccine health information preferences and ratings of narrative content of parents with children with special healthcare needs to inform future communication efforts to improve HPV vaccine rates.</p><p><strong>Methods: </strong>A national sample of U.S. parents and caregivers (N = 512) were recruited through Qualtrics panels. Parents completed a survey about their oldest child aged 9-14. Parents who answered yes to \"Does this child need or use more medical, mental health, or education services than most children who are the same age?\" were classified as having an index child with special healthcare needs. The survey also measured social media use and information seeking, narrative engagement, and perceptions of usefulness and understanding of vaccine messages.</p><p><strong>Results: </strong>Fifteen percent (N = 77) of parents indicated that their index child had special healthcare needs. These parents were more likely to have a male index child, report social media as a first source of health information, and report greater understanding of HPV vaccine information presented in the stimulus materials. There were no differences for most demographics, social media use, HPV vaccine information source, and perceived usefulness of the HPV vaccine information.</p><p><strong>Conclusion: </strong>Overall, parents in this sample with and without an index child with special healthcare needs are similar in terms of how useful they found the materials. Parents with children who have special healthcare needs may have a greater preference for accessing information on social media, and may be better able to understand narrative health messages.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"686-695"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041109","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":"Association of Postpartum Cardiovascular Biomarkers with HIV Among Women with Recent Preeclampsia in Zambia.","authors":"Moses Mukosha, Mwansa Ketty Lubeya, Wilbroad Mutale, Innocent Maposa, Benjamin H Chi, Abigail Hatcher","doi":"10.1007/s10995-025-04097-4","DOIUrl":"10.1007/s10995-025-04097-4","url":null,"abstract":"<p><strong>Objectives: </strong>Women recovering from preeclampsia with elevated vascular biomarkers have a higher risk of future cardiovascular diseases. We investigated whether HIV on treatment was associated with biomarkers of cardiovascular risk in the weeks following delivery.</p><p><strong>Methods: </strong>We analyzed data from a six-month prospective cohort study conducted from January 2022 to June 2023. Following delivery and at six weeks postpartum, we measured cystatin C, high sensitivity C-reactive protein (hs-CRP), Interleukine-2 (IL-2), Interleukine-6 (IL-6) and Tumor necrosis factor-alpha (TNFa). A generalized linear regression model with Poisson distribution estimated the association between vascular biomarkers and HIV on treatment.</p><p><strong>Results: </strong>This study included 75 participants with a median age of 29 years (interquartile range [IQR] = 27-34 years), with 35 (46.7%) living with HIV on ART and 40 (53.3%) HIV-negative. Women living with HIV on ART had higher levels of hs-CRP than HIV-negative women (4.68 mg/l vs 3.60 mg/l, p = 0.025) at six weeks. On the other hand, women living with or without HIV on ART had similar levels of cystatin C (0.78 mg/l vs 0.81 mg/l, p = 0.303), IL-2 (0.64 pg/ml vs 0.67 pg/ml, p = 0.131), IL-6 (0.64 pg/ml vs 0.64 pg/ml, p = 0.422), and TNFa (24.2 pg/ml vs 24.1 pg/ml, p = 0.346). Living with HIV while on ART was associated with an increased risk of presenting as hypertensive with elevated hs-CRP (aRR = 2.88, 95% CI: 1.09-7.60).</p><p><strong>Conclusions: </strong>Women living with HIV on ART had elevated hs-CRP but similar levels of other biomarkers after preeclampsia. Further studies are needed to explore the differential impact of HIV disease vs. antiretroviral treatment on inflammatory responses.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"714-723"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045922","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":"Rates of Sudden Unexpected Infant Death (SUID) and its Subcategories in the U.S.: The Effect of Maternal Race, Ethnicity and Nativity.","authors":"Tonia Branche, Jana Shapiro, Clarissa Najera, Nana Matoba, Kristin Rankin, James W Jr Collins","doi":"10.1007/s10995-025-04084-9","DOIUrl":"10.1007/s10995-025-04084-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to estimate (1) rates of SUID and its subcategories among infants of U.S.-born and foreign-born women, and (2) the extent to which maternal race/ethnicity modifies the relationship between maternal nativity and SUID rates.</p><p><strong>Methods: </strong>Stratified and adjusted (for traditional demographic, clinical, and behavioral risk factors) Poisson regression analyses were performed on the National Center for Health Statistics linked 2021-2022 live birth-infant death database. Rates of SUID and its subcategories-sudden infant death syndrome (SIDS), accidental suffocation or strangulation in bed (ASSB), and unknown causes-were calculated for infants of women in the four largest U.S. racial/ethnic groups.</p><p><strong>Results: </strong>Infants of U.S.-born women (n = 5,600,507) had an over three-fold greater SUID rate than infants of foreign-born women (n = 1,594,547): 115.5/100,000 vs. 34.8/100,000, RR = 3.3 (3.0, 3.6). Strikingly, the nativity disparity existed among infants of Non-Hispanic Asian (n = 431,532), Non-Hispanic Black (n = 1,025,573), Hispanic (n = 1,820,734) and Non-Hispanic White (n = 3,722,820) women: RR = 2.4 (1.7, 3.5), 4.9 (4.0, 6.1), 2.3 (2.0, 2.6), and 3.2 (2.5, 4.1), respectively. Maternal nativity disparities in SUID persisted after adjustment, overall (adjRR = 2.5 (2.3, 2.8)) and within each racial/ethnic group. Non-Hispanic Black infants had the widest disparity (adjRR = 3.3 (2.7, 4.1)). Similar results were observed for SIDS, ASSB, and unknown causes.</p><p><strong>Conclusions for practice: </strong>Infants of U.S.- vs. foreign-born women have higher rates of SUID and its subcategories independent of traditional risk factors. This nativity disparity is widest among Non-Hispanic Black women. These findings warrant further attention and research regarding differences in environment, infant sleep practices and SUID death investigation among foreign-born and U.S.-born women.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"660-668"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052099","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":"Folate and Vitamin B12 Status among Non-Pregnant, Non-Lactating Women of Reproductive Age and Predicted Risk for Neural Tube Defects, Morogoro Region, Tanzania.","authors":"Cara T Mai, Kaitlyn Long, Tedson Lukindo, Shameem Jabbar, John Gwakisa, Jorge Rosenthal, Mindy Zhang, Lorraine F Yeung, Amy Fothergill, Arick Wang, Kaunara Azizi, Dorah Chilumba, Jennifer L Williams, Christine M Pfeiffer, Elise Caruso, Germana H Leyna, Rogath Kishimba","doi":"10.1007/s10995-025-04046-1","DOIUrl":"10.1007/s10995-025-04046-1","url":null,"abstract":"<p><strong>Introduction: </strong>Population risk for neural tube defects (NTDs) can be determined using red blood cell (RBC) folate. However, a paucity of biomarker and surveillance data among non-lactating, non-pregnant women of reproductive age (NPWRA) from Africa limits accurate assessment. Our study assessed folate and vitamin B12 status among non-lactating NPWRA and predicted population risk of NTDs in Tanzania.</p><p><strong>Methods: </strong>A cross-sectional biomarker survey of non-lactating NPWRA (15-49 years) in the Morogoro region, Tanzania was conducted during June-October 2019. Questionnaire interview responses and non-fasting blood samples were collected. Folate was assessed using the CDC microbiologic assay kit and vitamin B12 was measured using an electrochemiluminescence immunoassay. Complex survey design analyses were conducted using SAS-callable SUDAAN (v11.0.1).</p><p><strong>Results: </strong>Of the 761 participating non-lactating NPWRA, 294 (39.8%) had RBC folate insufficiency (<748 mol/L). The prevalence of RBC folate insufficiency was lower among non-lactating NPWRA living in urban than rural areas (PR: 0.72, 95% CI: 0.52-0.99) but did not differ by age or household wealth index. Vitamin B12 insufficiency was uncommon (< 221 pmol/L, 2.7%). The estimated NTD risk was 10.5 (95% uncertainty interval: 8.1-13.3) per 10,000 births.</p><p><strong>Discussion: </strong>Elevated NTD risk was predicted in the Morogoro region of Tanzania, where ∼ 40% of non-lactating NPWRA had RBC folate insufficiency and < 3% had vitamin B12 insufficiency. The NTD risk is consistent with surveillance data for the area, limited folic acid fortification of staple foods, and low vitamin B12 insufficiency. Further studies are needed to better understand the context of these findings, especially the impact of micronutrient fortification in Tanzania.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"591-598"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025246","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":"Fetal Cannabis Exposure and Neonatal Outcomes: A Systematic Review and Meta-Analysis.","authors":"Anna Bailey, Whitney Kerr, Zahra Alhay, Morgan Rom, Sheryl Hamilton, Janis Campbell, Katrin Kuhn, David Thompson, Jessica A Reese","doi":"10.1007/s10995-025-04096-5","DOIUrl":"10.1007/s10995-025-04096-5","url":null,"abstract":"<p><strong>Introduction: </strong>Current literature addressing fetal cannabis exposure and neonatal outcomes is based on subjective measures with varying levels of significance. This systematic review and meta-analysis determined if neonates with fetal cannabis exposure have an increased odds of being born small for gestational age, low birth weight, admitted to the Neonatal Intensive Care Unit (NICU) immediately after delivery, and/or preterm.</p><p><strong>Methods: </strong>To identify relevant articles, we searched five databases using standard search criteria. Two authors used the Newcastle-Ottawa Scale to exclude articles with a high risk of bias. To estimate the combined effect, we calculated pooled odd ratios (OR) with 95% confidence intervals (CI) using the Mantel-Haenszel method for dichotomous data.</p><p><strong>Results: </strong>Of 3,390 original articles we identified through the search strategy, 13 met the inclusion criteria. This meta-analysis indicates that neonates with fetal cannabis exposure have higher odds of being small for gestational age (OR = 1.79; 95% CI = 1.24-2.59) and/or having a low birth weight (OR = 1.38; 95% CI = 1.05-1.89) compared to neonates without fetal cannabis exposure. The results regarding NICU admission and preterm birth were statistically inconclusive (NICU admission: OR = 1.38, 95% CI = 0.86-2.22; Preterm birth: OR = 1.29, 95% CI = 0.97-1.71). Although the odds ratios for these associations span one suggesting a null relationship, they have an upper bound that may be clinically relevant.</p><p><strong>Discussion: </strong>Based on these findings, further research, as well as an evaluation of the current public health response, is warranted. Additional research is needed to identify the association between neonatal outcomes and specific nuances of fetal cannabis exposure, such as route of ingestion, frequency of use, dose consumed, and the timing of intrauterine exposure.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"703-713"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045923","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":"Factors that Contribute to Neonatal Mortality at a Community Hospital.","authors":"Chrystal Pristell, Alison Huffstetler, Serenity Budd, Fernando Mena","doi":"10.1007/s10995-025-04094-7","DOIUrl":"10.1007/s10995-025-04094-7","url":null,"abstract":"<p><strong>Objectives: </strong>The prevalence of intrauterine fetal demise (IUFD) in the United States is 5.74 per 1000 live births. In Maryland, the prevalence is 6.75 per 1000 and occurs nearly twice as frequently in Black than in white populations. At MedStar Franklin Square Medical Center (MFSMC), Electronic Medical Records (EMR) show that IUFDs are 2.5 times greater in Black than white women. This analysis aims to identify factors that contribute to this health disparity.</p><p><strong>Methods: </strong>We performed a retrospective chart review of deliveries at MFSMC between 2018 and 2020. Literature-supported variables were collected for all pregnancies that ended in IUFD. Using logistic regression models, these factors were analyzed to isolate predictors for IUFD and association with race. The same predictors were compared to those of women who delivered live infants during this period.</p><p><strong>Results: </strong>Without adjustment, the odds of having an IUFD are 2.21 times higher for Black mothers than for white mothers at MFSMC. No other unadjusted odds ratios between comorbid risk factors and the chance of IUFD were significant. After adjusting for diabetes, growth restriction, substance abuse, and hypertension, the odds of having an IUFD are 2.31 times higher for Black than white mothers.</p><p><strong>Conclusions: </strong>Black mothers experience increased risk for IUFD, after controlling for other pertinent factors. This disparity should be addressed by reducing healthcare provider bias, increasing maternal health services, and providing comprehensive patient education.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"696-702"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054638","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":"Correction: Evaluation of Prescription Practices for Antenatal Steroids in Pregnant.","authors":"Antalya Jano, Caroline Madigan, Paris Ekeke","doi":"10.1007/s10995-025-04088-5","DOIUrl":"10.1007/s10995-025-04088-5","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"621"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722029","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 Impact of Logos on Intrastate Variation of Response Rates for the Pregnancy Risk Assessment Monitoring System in Nevada.","authors":"Randall J Owen, Lex Owen, Rishab Karki","doi":"10.1007/s10995-025-04100-y","DOIUrl":"https://doi.org/10.1007/s10995-025-04100-y","url":null,"abstract":"<p><strong>Introduction: </strong>Survey response rates have varied for Nevada's administration of the Pregnancy Risk Assessment Monitoring System (PRAMS) across the state. The authors evaluated whether using different logos for survey distribution would impact response rates.</p><p><strong>Methods: </strong>Using focus groups and an online survey, we asked how participants perceived three logos (which was the most likely to be opened, most trustworthy, and must credible).</p><p><strong>Results: </strong>Results showed that the State seal would be the mostly likely opened, but they were likely to discard it if the envelope's contents were not official business. The University's logo was polarizing in some areas.</p><p><strong>Conclusions: </strong>A PRAMS-specific logo survey may be more effective, as it was seen as \"inviting\" and adequately described the contents of the envelope. Further research is needed to better explore the impact of logos on mail distributions for public health surveillance surveys.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035108","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":"Postpartum Care Recommendations from Parents of Premature Infants Requiring Intensive Care.","authors":"Melissa J Chen, Laura R Kair, Eleanor Bimla Schwarz, Melissa Toland, Julianne Rizzo, Mitchell D Creinin, Judy C Chang","doi":"10.1007/s10995-025-04101-x","DOIUrl":"https://doi.org/10.1007/s10995-025-04101-x","url":null,"abstract":"<p><strong>Objective: </strong>To describe postpartum care preferences and experiences among individuals who deliver a premature infant requiring neonatal intensive care.</p><p><strong>Methods: </strong>In this qualitative description study, we recruited patients 2 to 8 weeks after delivery of a premature infant requiring neonatal intensive care to participate in semi-structured interviews. We asked participants to share their postpartum care experiences including their expectations and preferences regarding what is addressed during postpartum visits, their decision-making process in attending scheduled postpartum visits, and their suggestions for how to optimize postpartum care to serve their needs. We used thematic analysis to generate codes and identify themes.</p><p><strong>Results: </strong>Of 26 participants, 8 (31%) had attended a postpartum visit, 4 (15%) had missed their appointment, and 14 (54%) had a visit scheduled to occur after the time of the study interview. We found that participants weigh the perceived benefits of attending a postpartum visit against barriers to care, such as insurance restrictions, competing responsibilities and priorities when deciding whether to attend their postpartum visit. At their postpartum visit, participants preferred when clinicians centered the visits around the participants' goals and tailored the encounter to their specific concerns. Lastly, participants recognize that screening for postpartum mood disorders is important; however, the current screening tools do not differentiate between mood disorders and expected responses to a stressful neonatal intensive care experience.</p><p><strong>Conclusions for practice: </strong>Postpartum visits tailored to patient preferences for care in the early postpartum period are needed alongside system-level interventions to address barriers to accessing postpartum care for patients who deliver premature infants.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035204","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}