Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

{"title":"Job satisfaction, work environment, and burnout as predictors of missed nursing care in pediatric units: A descriptive cross-sectional study","authors":"Sinem Ozmen MSc, PhD Candidate ,&nbsp;Havva Arslan Yurumezoglu PhD, RN","doi":"10.1016/j.pedn.2024.10.019","DOIUrl":"10.1016/j.pedn.2024.10.019","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the frequency and predictors of missed nursing care in pediatric units.</div></div><div><h3>Design and methods</h3><div>This study with a descriptive cross-sectional design was conducted in the pediatric clinics of two public university hospitals in Türkiye. The convenience sampling method was employed, including all nurses working in pediatric units, with a total of 123 nurses participating. Data were collected face-to-face from May to October 2023 using a sociodemographic and job-related characteristics form, the Practice Environment Scale of the Nursing Work Index (PES-NWI), the Maslach Burnout Inventory (MBI), and missed nursing care activity questions. The data were analyzed using descriptive statistics and logistic regression analysis.</div></div><div><h3>Results</h3><div>The most frequently missed care activities were found to be skin care (45.5 %), educating patients and families (40.7 %), and preparing patients and families for discharge (37.4 %). Predictors of missed nursing care were nurses' educational level, high nurse-to-patient ratios, low job satisfaction, enough opportunity to discuss patient care issues with other nurses, nursing foundations for quality of care, nurse manager's ability, leadership, and support for nurses, staffing and resource adequacy, and collegial nurse-physician relations, emotional exhaustion and personal accomplishment.</div></div><div><h3>Conclusions</h3><div>This study revealed that the most frequently missed care activities among nurses were related to skin care, education, and discharge preparation. Understanding the underlying causes is essential for reducing the rate of missed care.</div></div><div><h3>Practice implications</h3><div>To reduce the frequency of missed care, it is necessary to improve the work environment and make institutional investments in nursing, enabling nurses to effectively fulfill their duties.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e1-e8"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677528","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":"Encountering children with suspected neurodevelopmental disorders in Child Health Services: Swedish nurses' experiences","authors":"Lina Carlsson Höglund ,&nbsp;Ulf Jakobsson ,&nbsp;Bengt Sivberg ,&nbsp;Pia Lundqvist","doi":"10.1016/j.pedn.2025.01.001","DOIUrl":"10.1016/j.pedn.2025.01.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe nurses' experiences encountering children with suspected neurodevelopmental disorders in Child Health Services.</div></div><div><h3>Design and methods</h3><div>This qualitative inductive study was conducted in Sweden. Twenty nurses were interviewed individually on a virtual platform using a semi-structured interview guide with open-ended and explorative questions. Interviews were audio recorded and transcribed verbatim and analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Nurses expressed responsibility for finding deviations in children but described an equilibrium of giving children time to develop without delaying referrals. Nurses had profound competence and intuition, but subjective intuition of assessment evoked a feeling of uncertainty. Nurses were sensitive and open-minded to different and contradictory parental reactions. Reactions were difficult and frustrating to manage, and communication needed to be versatile and flexible to achieve a partnership. When uncertain in an assessment they obtained complementary additional information from the child's preschool teacher. Nurses had several collaborators inside and outside the Child Health Services team and felt successful when correctly referred but frustrated with extended waiting times and protracted interplay.</div></div><div><h3>Conclusions</h3><div>The results suggest further education for nurses about neurodevelopmental disorders and communication tools like Motivational Interviewing. Furthermore, screening for assessing neurodevelopmental disorders, guidelines in referral management and a care coordinator for multiple referrals should be implemented.</div></div><div><h3>Practice implications</h3><div>Improvements in Child Health Services nurses' competence, screening methods and referral management could lead to more efficient care interventions and support that can promote health and well-being in the short and long-term for children and families.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e9-e15"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014163","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":"‘I feel like the final missing piece of the puzzle’: Examination of pediatric oncology nurses' experiences regarding healing care environment","authors":"Meltem Gürcan PhD, RN ,&nbsp;Emine Kumbul MSc, RN ,&nbsp;Münevver Erkul PhD, RN ,&nbsp;Sevcan Atay Turan PhD, RN","doi":"10.1016/j.pedn.2025.02.011","DOIUrl":"10.1016/j.pedn.2025.02.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to explore pediatric oncology nurses' experiences related to the healing care environment in the pediatric hematology and oncology clinic, guided by Watson's Theory of Human Caring.</div></div><div><h3>Design and method</h3><div>A descriptive qualitative design was used for the present study. Semi-structured interviews were conducted from December 2022 to February 2023. Data were collected through in-depth individual interviews with 16 nurses at a university hospital's pediatric hematology and oncology clinic. A content analysis was performed. The Consolidated Criteria for Reporting Qualitative Research (COREQ) were used to ensure transparent reporting.</div></div><div><h3>Results</h3><div>The analysis identified three main themes, supported by 11 subthemes: ‘contribution of healing care behaviors’, ‘advantages of being a pediatric oncology nurse’, and ‘barriers to creating a healing environment’.</div></div><div><h3>Conclusion</h3><div>Watson's Theory of Human Caring could provide a useful and practical framework for conceptualizing the experiences of pediatric oncology nurses in the context of a healing care environment. This study revealed that nurses recognize the contributions of healing care behaviors for both patients and their parents. They observed positive effects and received feedback when providing emotional support through their presence. Working in a pediatric oncology clinic provided professional and personal development opportunities. However, nurses encountered challenges in creating a healing care environment, including compassion fatigue, fear of compassion, communication problems, and high workloads.</div></div><div><h3>Practice implications</h3><div>This study revealed the beneficial effects of nurses' caring behaviors in the clinic, emphasizing the critical role these behaviors play in patient outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e143-e152"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517150","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":"Interventions to promote well-being of nightshift nursing team members","authors":"Haneesha Wyche BSN, RN, CPN ,&nbsp;Anastasia Weber BSN, RN, CPN, CPEN ,&nbsp;Tara McNulty BSN, RN, CCRN, CPN ,&nbsp;Michael Ruiz MBA ,&nbsp;Susan Keller MLS, MS-HIT ,&nbsp;Michaela Lewis Salmon PT, DPT, PCS, NTMTC ,&nbsp;Siobhan O'Donnell PT, DPT, PCS, NTMTC ,&nbsp;Jill Horner DNP, RN, CPN ,&nbsp;Jeanne Geiger-Brown PhD, RN ,&nbsp;Raven W. McLeese BSN, RN, CPN, CPPS ,&nbsp;Vicki Freedenberg PhD, RN ,&nbsp;Elva W. Anderson Ph.D., LPC ,&nbsp;James E. Bost MS, PhD ,&nbsp;Pamela S. Hinds PhD, RN, FAAN","doi":"10.1016/j.pedn.2025.02.008","DOIUrl":"10.1016/j.pedn.2025.02.008","url":null,"abstract":"<div><h3>Purpose</h3><div>To measure the impact of a mindfulness or physical activity intervention and the combination of both on hospital nightshift nursing teams' professional quality of life, medication administration error, role meaning, and sleep quality.</div></div><div><h3>Design and methods</h3><div>In this two-site study using a cluster cross-over randomized trial design, 18 units were randomized to one of two interventions (mindfulness or physical activity) during the first 8-week period and to both interventions during the second 8-week period. Questionnaires completed at baseline (T0), Week 8 (T1), and Week 18 (T2) included the Professional Quality of Life (ProQOL-21) (Compassion Satisfaction, Compassion Fatigue), PROMIS Sleep Disturbance, PROMIS Sleep Impairment, Sleep Hygiene, and Role-Related Meaning Scale for Staff (RRMSS).</div></div><div><h3>Results</h3><div>Participants (<em>n</em> = 82) completed questionnaires at T0, 33 at T1, and 23 at T2. Significant improvements in PROMIS Sleep Disturbance scores occurred within both study arms from T0 to T1 and T1 to T2 and within both arms in PROMIS Sleep Impairment scores from T0 to T1 and from T0 to T2. Across questionnaires, the largest improvement occurred between T0 and T2 and the least between T1 and T2. Compassion satisfaction had the largest improvement in the physical activity intervention and compassion fatigue had the largest improvement in the mindfulness intervention.</div></div><div><h3>Conclusions</h3><div>Mindfulness and physical activity interventions can reduce sleep disturbance, sleep impairment, and compassion fatigue and improve compassion satisfaction in nightshift nursing care teams.</div></div><div><h3>Practice implications</h3><div>Nursing care team members' sleep and professional quality of life could directly benefit from hospital-sponsored nightshift well-being interventions including mindfulness, physical activities and sleep hygiene information.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e121-e133"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532075","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":"The effect of emotional eating in adolescents on obesity: A systematic review and meta-analysis study","authors":"Dilek Demir Kösem PhD ,&nbsp;Murat Bektaş PhD","doi":"10.1016/j.pedn.2025.01.029","DOIUrl":"10.1016/j.pedn.2025.01.029","url":null,"abstract":"<div><h3>Background</h3><div>Emotional eating behavior may cause adolescents to become overweight and obese. There is limited evidence that emotional eating has an impact on obesity. This study aims to synthesize and analyze the effect of emotional eating in adolescents on obesity.</div></div><div><h3>Methods</h3><div>In this systematic review and meta-analysis study, six electronic databases, namely EBSCO, Web of Science, Pubmed, MEDLINE, ScienceDirect, and Scopus, were examined. The methodological quality of the included studies was assessed using the critical appraisal checklists developed by the JBI. The systematic review and meta-analysis used in this study were planned and conducted in accordance with PRISMA guidelines. Heterogeneity was determined using Cochran Q and I² tests. Publication bias was evaluated using a funnel plot, Rosenthal fail-safe number, the Egger regression test, and the Begg and Mazumdar rank correlation analyses. The effect size was estimated at a confidence interval of 95 %.</div></div><div><h3>Results</h3><div>Sixteen studies were included in this systematic review, and they were all subjected to a meta-analysis. According to the results of the meta-analysis, emotional eating in adolescents had a positive and medium effect size and a significant effect on obesity (Hedge's g = 0.473, Q = 280.943, I² = 94.661 %, <em>p</em> &lt; 0.05). As a result of the publication bias test, according to the funnel plot and Egger regression analysis (<em>p</em> = 0.002), it was determined that there was publication bias (<em>p</em> &lt; 0.05). According to the Rosenthal fail-safe number and Begg and Mazumdar rank correlation analysis (<em>p</em> = 0.207), it was determined that there was no publication bias (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>The findings from this study indicated that emotional eating affected obesity in adolescents.</div></div><div><h3>Implications for practice</h3><div>The meta-analysis revealed that emotional eating seen in adolescents affected obesity. A comprehensive understanding of the effect of emotional eating on obesity is fundamental to improve nursing practices. Reducing eating behavior during emotional states, such as stress, anger, and tension, may prevent the development of obesity or contribute to weight loss by keeping emotions under control during the treatment phase of obesity.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e39-e46"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366589","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":"Healing ceilings: A collaborative exploration of pediatric preferences in ceiling tile artwork","authors":"Katherine S. Biddle ,&nbsp;Lia M. Boggs ,&nbsp;Melissa L. Wolfe ,&nbsp;Sarah Rogers ,&nbsp;Cindy M. Petersen ,&nbsp;Katrina King-Singh ,&nbsp;Elizabeth Pearce ,&nbsp;Skyler D. Prowten ,&nbsp;Christine Fish-Huson","doi":"10.1016/j.pedn.2025.02.005","DOIUrl":"10.1016/j.pedn.2025.02.005","url":null,"abstract":"<div><h3>Aim</h3><div>While incorporating artwork within healthcare settings can improve health outcomes, limited research exists to guide art selection for pediatric patients. This study aimed to improve an ongoing collaboration between a healthcare system and local art museum through which community members painted 100 custom ceiling tiles for display in pediatric clinical areas. The researchers sought to determine if artwork content and/or color tone impacted patient experience and/or preference of artwork.</div></div><div><h3>Methods</h3><div>Nursing directors surveyed 65 patients within the healthcare system's children's hospital on their experiences and preferences of ceiling tile artwork. Patients in “young” (4–7 years), “middle” (8–11 years), and “older” (12–17 years) age groups were asked whether they felt “better,” “worse,” or “no different” when viewing images within each of six artwork content categories and three color tone categories. Patients who felt “better” were invited to complete the Five Degrees of Happiness Scale to determine preference of artwork content and color tone.</div></div><div><h3>Results</h3><div>Overall, patients responded positively to viewing the images. The most positive experience resulted from artwork featuring realistic nature, realistic animal, and cartoon content. Patients tended to have a more positive experience of and greater preference for bright color tones. Younger children reported the best experience overall.</div></div><div><h3>Conclusion</h3><div>Pediatric patient feedback informed the design and installation of ceiling tiles toward greatest patient experience. Patients' enthusiasm to participate in this study suggests the benefits of involving children's feedback in healthcare design include relational aspects of care.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e96-e105"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460119","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":"Board of Directors","authors":"","doi":"10.1016/S0882-5963(25)00081-8","DOIUrl":"10.1016/S0882-5963(25)00081-8","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Page v"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684789","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 pediatric nurse from the perspective of children with hospitalization experience: A qualitative study","authors":"Figen Turk Dudukcu Ph.D. ,&nbsp;Harun Ozbey Ph.D. ,&nbsp;Nuray Caner Ph.D. Assoc Prof. ,&nbsp;Yagmur Sezer Efe Ph.D. Assoc Prof. ,&nbsp;Meral Bayat Ph.D. Professor ,&nbsp;Firdevs Erdemir Professor Emeritus ,&nbsp;Nurgun Platin Ph.D. Professor","doi":"10.1016/j.pedn.2025.01.035","DOIUrl":"10.1016/j.pedn.2025.01.035","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to determine the perceptions of children with hospital experience about pediatric nurses.</div></div><div><h3>Design</h3><div>A descriptive qualitative design guided by a phenomenological approach was used.</div></div><div><h3>Settings</h3><div>A purposive sampling technique was used to recruit 17 children aged 7–18 who had experienced hospitalization in pediatric clinics.</div></div><div><h3>Methods</h3><div>The study employed rigorous research methods, including semi-structured interviews and thematic analyses, to ensure the validity and reliability of the findings. Data were analyzed using the MAXQDA20 program, resulting in the identification of 322 codes. Five themes and 16 sub-themes were created from the obtained codes, providing a comprehensive understanding of the children's perceptions. The COREQ checklist was followed in this study.</div></div><div><h3>Results</h3><div>Five themes were created: the image of the pediatric nurse in children's minds, children's expectations from pediatric nurses, the characteristics of the pediatric nurse, children's perception of whether nurses care about or do not care about them, the topics nurses talk about with children.</div></div><div><h3>Conclusions</h3><div>Pediatric nurses have positive and negative images of children, children have child-specific expectations from pediatric nurses, such as playing and chatting. Some nurses' attitudes and behaviors create the perception that children care about or do not care about them.</div></div><div><h3>Practice implications</h3><div>This study's findings have a practical impact on pediatric nursing. In addition to their treatment and care practices, nurses can communicate more with children, spend more time with them, play more games with them. This way, the needs and expectations specific to children's age periods are met, leading to improved patient outcomes.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e72-e80"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383552","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":"Fostering diversity, equity, and inclusion in pediatric nursing: SPN's journey and future","authors":"Asma A. Taha ,&nbsp;Jennifer Stephen ,&nbsp;Kathleen Van Allen","doi":"10.1016/j.pedn.2025.02.002","DOIUrl":"10.1016/j.pedn.2025.02.002","url":null,"abstract":"","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages 200-204"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532073","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":"Pediatric obesity management practices and needs: A survey of primary care providers","authors":"Bridget K. Biggs PhD,&nbsp;Samuel J. Nayman PhD,&nbsp;Tamim I. Rajjo MD,&nbsp;Rodney A. Erickson MD","doi":"10.1016/j.pedn.2025.01.033","DOIUrl":"10.1016/j.pedn.2025.01.033","url":null,"abstract":"<div><h3>Background</h3><div>Practice guidelines recommend all children with obesity are connected with comprehensive health behavior and lifestyle treatments (CHBLTs) as a first-line intervention.</div></div><div><h3>Objective</h3><div>To understand primary care providers' (PCPs) current practices, resources, barriers, and needs related to providing or referring children with obesity to CHBLTs.</div></div><div><h3>Design and methods</h3><div>For this cross-sectional study, 62 PCPs from a multi-site healthcare system in the Midwest, USA, completed an online survey to report the following: which interventions they offer, referral options they have available inside and outside their practice, barriers to providing CHBLTs, and resources they want related to CHBLTs.</div></div><div><h3>Results</h3><div>The most common practices included sharing body mass index with families and brief lifestyle counseling. Few PCPs reported access to CHBLTs in their clinic or in the community despite rating these services as highly important. Top barriers included lack of services, perceived family motivation, and time. PCPs desired referral options and training in motivational strategies.</div></div><div><h3>Conclusions</h3><div>Implementation of best practices for pediatric obesity treatment will require expanded availability of CHBLTs and development of effective patient engagement approaches.</div></div><div><h3>Practice implications</h3><div>The competencies of pediatric nurses may be particularly well suited to addressing care gaps for pediatric obesity in primary care settings.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"81 ","pages":"Pages e57-e64"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416060","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}