International Journal of Environmental Research and Public Health最新文献

{"title":"Where Are the Knowledge Gaps in Menopause Across a Population? A National Cross-Sectional Survey in Wales.","authors":"Catherine A Sharp, Nicola Dennis, Gemma Hobson, Marysia Hamilton-Kirkwood, Karen Hughes","doi":"10.3390/ijerph22020287","DOIUrl":"10.3390/ijerph22020287","url":null,"abstract":"<p><strong>Background: </strong>A knowledge gap exists on population understanding and perspectives of menopause. To better support females, it is important to understand different population groups' perceived knowledge of and attitudes towards menopause. This study explored perceived knowledge of menopause, awareness of menopausal symptoms, perceived negative impacts of menopause on females' lives, and attitudes towards menopause.</p><p><strong>Methods: </strong>A national cross-sectional survey (n = 1020) was conducted with residents in Wales aged 16+ years as part of a larger population panel using a multi-method approach (online, telephone, and face-to-face), stratified by NHS health board area, age, sex, deprivation, and ethnicity. Questions on menopause were developed by the research team.</p><p><strong>Results: </strong>Nearly a third (31.1%) of participants reported having low knowledge of menopause, with younger age groups and males reporting the lowest knowledge. Hot flushes were the most recognised menopause symptom (92.2%). The symptom with the greatest gap in awareness between age groups, sexes, and deprivation quintiles was problems with memory or concentration. Most participants perceived menopause to have a large negative impact on females' mental health (76.1%), working life (69.7%) and physical health (69.6%). Females and 30-49-year-olds were more likely to perceive large negative impacts across all three domains. Most participants (77.8%) agreed that more public discussion is needed on menopause to increase understanding. The greatest support for increasing public discussion was found amongst females and people aged 30-49 years old.</p><p><strong>Conclusions: </strong>At a population level, perceived knowledge of menopause and associated symptoms and perceived impacts on females' lives varied across socio-demographic groups. While males were less knowledgeable than females, most males perceived negative impacts on females' lives and agreed with action to improve the menopausal environment. Increasing knowledge in those who experience menopause and in those who support those who experience menopause could help females have a more positive transition process.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of and Responses to Wildfire Smoke Among New York State Residents: A Cross-Sectional Study.","authors":"Erandy I Barrera, Alistair Hayden, Genevive Meredith, Corinna A Noel","doi":"10.3390/ijerph22020277","DOIUrl":"10.3390/ijerph22020277","url":null,"abstract":"<p><p>Exposure to wildfire smoke (WFS) is associated with detrimental physical and mental health. Periods of sustained WFS are predicted to increase with climate change, affecting populations globally. Using a retrospective cross-sectional study, we assessed perceptions of and responses to WFS in a cohort of New York State (NYS) residents in Summer 2023. Data were collected using an online survey from October to November 2023. Descriptive statistics summarized respondent experiences, while exploratory analyses identified high-risk populations using chi-square and <i>t</i>-tests. Our sample consisted of 609 primarily healthy, white, and well-educated individuals who spent most of their time in NYS during Summer 2023. Of the 99% that reported experiencing WFS, 92% received and 91% sought out WFS-related air quality information. While only 25% reported a WFS-related illness, 87% experienced at least one symptom with WFS, frequently citing watery eyes (63%), irritated throat (50%), and headaches (49%), with women reporting symptoms more frequently than men (89.1% vs. 81.6%; <i>p</i> = 0.034). A majority (93%) reported taking mitigation actions, including avoiding outdoor activities (75%) and wearing masks (54%). Our results highlight widespread impacts of wildfires in NYS during Summer 2023, with nearly all respondents reporting sustained periods of WFS. Most reported at least one adverse health symptom despite taking preventative measures, indicating that current protective strategies may be insufficient and more effective interventions are needed.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Is New in Altitude- and Cold-Related Illnesses of Travel: Appraisal and Summary of the Updated Guidelines from the Wilderness Medical Society.","authors":"Arghavan Omidi, Gregory D Hawley, Dylan Kain, Farah Jazuli, Milca Meconnen, Mark Polemidiotis, Nam Phuong Do, Olamide Egbewumi, Andrea K Boggild","doi":"10.3390/ijerph22020284","DOIUrl":"10.3390/ijerph22020284","url":null,"abstract":"<p><p>Wilderness medicine is a rapidly evolving field and has benefited from expanded research efforts. Moreover, with an escalating occurrence of severe and cataclysmic global climatologic events, human illness arising from interaction with wilderness and recreational environments warrants increasing consideration. Within the last decade, the Wilderness Medical Society (WMS) has aggregated research findings and created guidelines on prevention measures and therapeutic options for acute altitude illness, frostbite injuries, and avalanche and non-avalanche snow burials. As new research emerges, some guidelines have been updated to reflect the most current and sound scientific conclusions. In this review, we have synthesized the evidence-based guidelines and have reviewed the quality of the guidelines according to the Appraisal of Guidelines for Research and Evaluation (AGREE) II framework. Further research efforts can expand the scope of evidence-based practice in travel medicine and ideally standardize the implementation of recommendations within both pre-travel and post-travel medical practices.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical, Meteorological, and Air Quality Factors Associated with Ambulatory Pediatric Respiratory Syncytial Virus Infection in Machala, Ecuador, 2018-2023.","authors":"Manika Suryadevara, Dongliang Wang, Freddy Pizarro Fajardo, Jorge-Louis Carrillo Aponte, Froilan Heras, Cinthya Cueva Aponte, Irene Torres, Joseph B Domachowske","doi":"10.3390/ijerph22020272","DOIUrl":"10.3390/ijerph22020272","url":null,"abstract":"<p><p>Implementation of RSV prevention strategies requires an understanding of seasonal virus epidemiology; yet, such data are lacking in many tropical regions. We describe the seasonality and environmental factors associated with RSV activity in Machala, Ecuador. From July 2018 to July 2023, we analyzed nasopharyngeal samples from children younger than 5 years with an acute respiratory illness using Biofire FilmArray v.1.7™. Meteorological data were obtained from Ecuador's Instituto Nacional de Meteorología e Hidrología. RSV detection was associated with mean outdoor air temperature (threshold 27 °C, area under the curve (AUC) 0.74, <i>p</i> < 0.001) that was even stronger when using a 4-week lag (threshold 27 °C, AUC 0.865, <i>p</i> < 0.001) and with precipitation greater than 0.5 mm/week using a 6-week lag (<i>p</i> = 0.008). This finding could provide guidance for the ideal timing to improve RSV surveillance and implement RSV prevention measures in Machala, including universal administration of extended half-life monoclonal antibody to infants entering their first RSV season.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Capacity Impairment in Long COVID After 17 Months of Severe Acute Disease.","authors":"Fernanda Facioli Dos Reis Borges, Andrezza Cristina Barbosa Braga, Bernardo Silva Viana, Jefferson Valente, João Marcos Bemfica, Thaís Sant'Anna, Cássia da Luz Goulart, Fernando Almeida-Val, Guilherme Peixoto Tinoco Arêas","doi":"10.3390/ijerph22020276","DOIUrl":"10.3390/ijerph22020276","url":null,"abstract":"<p><p>Long COVID represents a significant challenge in understanding the prolonged impact of the disease. Despite its increasing recognition, detailed insights into the long-term cardiopulmonary consequences remain sparse. This study aimed to evaluate the functional capacity of individuals with persistent symptoms after severe COVID-19 infection compared to control individuals without symptomatic COVID or mild COVID after 17 months. This is a case-control study assessing 34 individuals divided into two groups regarding functional capacity by distance in a 6-min walk test (D6MWT) associated with gas analysis, spirometry, respiratory muscle strength, and quality of life. During the 6 MWT, an important lower heart rate (HR) was observed for the COVID group (106 ± 10 bpm, difference mean: 21.3; <i>p</i> < 0.001), with greater exertional perception (Borg dyspnea: 4.5 [2.0-9.0], <i>p</i> < 0.001 and Borg fatigue: 4.0 [2.0-7.0], <i>p</i> = 0.01), a significant decrease in the distance covered (416 ± 94 m, difference mean: 107; <i>p</i> = 0.002), and a low value of O₂ uptake (V˙_O2) (11 ± 5.0 mL/(kg min), difference mean: 8.3; <i>p</i> = 0.005) and minute ventilation (22 ± 8 L/min, difference mean: 18.6; <i>p</i> = 0.002), in addition to very low quality of life scores. Regression analysis showed a significant association between D6MWT and Borg fatigue and Borg dyspnea at rest (<i>p</i> = 0.003; <i>p</i> = 0.009). V˙_O2 and HR were also significantly associated with the outcomes of the D6MWT (<i>p</i> = 0.04 and <i>p</i> = 0.004, respectively). In conclusion, individuals who have severe COVID-19 and persist with symptoms have low functional capacity, low V˙_O2, low HR behavior, and low quality of life.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Validation of the Fear-of-Intimacy Scale for the Portuguese Population: Exploring Its Relationship with Sociosexual Orientation.","authors":"Ângela Leite, Ângela Azevedo","doi":"10.3390/ijerph22020274","DOIUrl":"10.3390/ijerph22020274","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to adapt the Fear-of-Intimacy Scale for the Portuguese population and examine its association with sociosexual orientation, as measured by the Sociosexual Orientation Inventory, highlighting the relevance of this association as a public health issue.</p><p><strong>Methods: </strong>The Fear-of-Intimacy Scale was validated through confirmatory factor analyses. A multigroup analysis, employing confirmatory factor analysis, was conducted to evaluate the consistency of the Fear-of-Intimacy Scale across individuals in and out of romantic relationships. The reliability of the model was assessed using various indicators, including Cronbach's alpha, McDonald's omega, composite reliability, the average variance extracted (AVE), and the square root of the AVE.</p><p><strong>Results: </strong>The results indicated robust psychometric properties for the Fear-of-Intimacy Scale, with a well-fitting model identified. Configural, metric, and scalar invariance related to being in a romantic relationship or not were established; however, error variance invariance was not achieved. Although most dimensions of the two instruments displayed positive and significant relationships, the correlation values were generally modest.</p><p><strong>Conclusion: </strong>The findings underscore the importance of understanding the relationship between fear of intimacy and sociosexual orientation within the Portuguese context as a significant public health issue. Adapting the Fear-of-Intimacy Scale enables culturally sensitive research and supports clinical interventions aimed at improving relational and psychological well-being, thereby addressing broader public health challenges.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language Matters: What Not to Say to Patients with Long COVID, Myalgic Encephalomyelitis/Chronic Fatigue Syndrome, and Other Complex Chronic Disorders.","authors":"Nancy J Smyth, Svetlana Blitshteyn","doi":"10.3390/ijerph22020275","DOIUrl":"10.3390/ijerph22020275","url":null,"abstract":"<p><p>People with Long COVID, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and other complex chronic disorders consistently report having difficulty obtaining effective and compassionate medical care and being disbelieved, judged, gaslighted, and even dismissed by healthcare professionals. We believe that these adversarial interactions and language are more likely to arise when healthcare professionals are confronting complex chronic illnesses without proper training, diagnostic biomarkers, or FDA-approved therapies. These problematic conversations between practitioners and patients often involve specific words and phrases-termed the \"never-words\"-can leave patients in significant emotional distress and negatively impact the clinician-patient relationship and recovery. Seeking to prevent these destructive interactions, we review key literature on best practices for difficult clinical conversations and discuss the application of these practices for people with Long COVID, ME/CFS, dysautonomia, and other complex chronic disorders. We provide recommendations for alternative, preferred phrasing to the never-words, which can enhance therapeutic relationship and chronic illness patient care via compassionate, encouraging, and non-judgmental language.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Factors Associated with Common Mental Disorders and Posttraumatic Stress Disorder Among Healthcare Workers in a Reference Center for Infectious Diseases During the COVID-19 Pandemic: A Survey-Based Cross-Sectional Study.","authors":"Patrícia Guimarães, Raquel Oliveira, Rocicley Amud, Maria Elisa Bezerra, Paula Rigolon, Eunes Milhomem, José Luiz Lessa, Guilherme Calvet, Sonia Passos","doi":"10.3390/ijerph22020271","DOIUrl":"10.3390/ijerph22020271","url":null,"abstract":"<p><p>A cross-sectional survey conducted between July and September 2020 and August and September 2021 estimated the prevalence and predictors of common mental disorders (CMDs) and post-traumatic stress disorder (PTSD) among healthcare workers (HCWs) at an infectious disease referral center during the COVID-19 pandemic. CMDs were assessed using the General Health Questionnaire (GHQ-12), and PTSD using the Impact of Event Scale-Revised (IES-R). Multivariate logistic regressions identified predictors of CMD and PTSD. The study included 371 HCWs in 2020 and 167 in 2021. The CMD prevalence was 34.3% (95% confidence interval (CI): 29.5-39.4) in 2020 and 30.5% (95% CI: 23.7-38.1) in 2021. The PTSD prevalence was 25.4% (95% CI: 21.0-30.2) in 2020 and 32.7% (95% CI: 25.6-40.5) in 2021. Factors increasing CMD odds included lower education (adjusted odds ratio (AOR) = 3.71, 95% CI: 1.60-8.61), lack of physical activity (AOR = 2.23, 95% CI: 1.33-3.73), and experiencing COVID-19 symptoms (AOR = 1.64, 95% CI: 1.02-2.64) in 2020; chronic diseases (AOR = 3.14, 95% CI: 1.34-7.35) and SARS-CoV-2 testing (AOR = 3.39, 95% CI: 1.13-10.17) raised CMD odds in 2021. Frontline HCWs had lower CMD odds in 2020 (AOR = 0.60, 95% CI: 0.36-1.00) and 2021 (AOR = 0.33, 95% CI: 0.14-0.75). PTSD was associated with having COVID-19 symptoms (AOR = 2.06, 95% CI: 1.23-3.45), living with high-risk individuals (AOR = 1.75, 95% CI: 1.03-2.95), and losing loved ones (AOR = 1.86, 95% CI: 1.09-3.17) in 2020. Chronic diseases increased PTSD odds in 2020 (AOR = 2.20, 95% CI: 1.25-3.86) and 2021 (AOR = 2.30, 95% CI: 1.03-5.13), while age decreased them in 2020 (AOR = 0.95, 95% CI: 0.93-0.98) and 2021 (AOR = 0.95, 95% CI: 0.91-0.99). Younger HCWs with chronic conditions living with high-risk individuals were particularly affected. These findings highlight the urgent need for targeted emotional support and stress management programs for HCWs.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 as a Mirror: Reflecting the Pandemic of Racism and the Historical Roots of Health Inequities.","authors":"Tiffany J Grant","doi":"10.3390/ijerph22020273","DOIUrl":"10.3390/ijerph22020273","url":null,"abstract":"<p><p>Historically, the attribution of biology to race has shaped societies and manifested in innumerable disparities and irreparable harm, especially in communities of color. From the earliest days of the United States to the present day, the dehumanization and \"othering\" of African Americans have caused deep racial inequities that have been perpetuated and embedded in American culture. The early months of the COVID-19 pandemic underscored the deep racial inequalities in the US, especially in health outcomes for communities of color. Structural racism has played a critical role in exacerbating disparities, with Black, Hispanic, Latinx, and Indigenous populations experiencing higher rates of severe disease and mortality. The interconnectedness of racism with the social determinants of health, concomitant with higher rates of chronic illnesses like diabetes and hypertension, increases vulnerability to severe COVID-19. Health disparities are compounded by implicit biases in the medical field, a lack of diversity among healthcare providers, and historical medical mistrust among marginalized groups. Underrepresentation in the medical field, biomedical sciences, and academia hinders efforts to address health disparities effectively. This essay seeks to raise awareness of how the concepts of race and racism have resulted in racial hierarchies that perpetuate systems of oppression and impede efforts toward racial and health equity. Specifically, this essay covers time periods in American history, including slavery, the Jim Crow Era, the Civil Rights Movement, and the COVID-19 pandemic, and discusses how addressing race and racism and the achievement of racial health equity require targeted efforts to increase diversity in healthcare and biomedical fields, improve cultural competence, and foster trust between medical professionals and communities of color.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Zhao et al. The Dissemination Strategy of an Urban Smart Medical Tourism Image by Big Data Analysis Technology. <i>Int. J. Environ. Res. Public Health</i> 2022, <i>19</i>, 15330.","authors":"Zijian Zhao, Zhongwei Wang, Javier Garcia-Campayo, Hector Monzales Perez","doi":"10.3390/ijerph22020259","DOIUrl":"10.3390/ijerph22020259","url":null,"abstract":"<p><p>In the original publication [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}