International Journal of Environmental Research and Public Health最新文献

{"title":"Quality over Quantity: The Association Between Daily Social Interactions and Loneliness.","authors":"Siyun Peng, Adam R Roth","doi":"10.3390/ijerph22091411","DOIUrl":"10.3390/ijerph22091411","url":null,"abstract":"<p><p>Understanding what aspects of daily life protect against loneliness is increasingly important for promoting well-being among older adults. This study investigates how different types of everyday social interactions are associated with chronic loneliness. We analyze data that were collected via in-home surveys and an ecological momentary assessment module from a probability-based sample of 272 adults aged 55 and older residing in Indiana. Participants were prompted four times per day over the course of seven days to report on their current activities and social experiences. Contrary to common assumptions, the quantitative measures of daily social interactions, such as the proportion of moments spent alone, the proportion of moments spent socializing, and the mean number of interaction partners during the study period were not significantly related to loneliness. However, the qualitative measures of social interactions-specifically, the presence of bonding social capital (e.g., emotional closeness) and the absence of stressful interactions-were associated with lower levels of loneliness. These findings underscore the importance of emotionally meaningful engagement and social strain over the sheer frequency or quantity of interactions, suggesting that the quality of daily social experiences is a key factor in supporting mental well-being in later life.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179800","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":"Occupational Exposure to Diesel Particulate Matter in Western Australian Mining: A Retrospective Analysis and Challenges to Future Compliance.","authors":"Matthew Oosthuizen, Kerry Staples, Adelle Liebenberg, Kiam Padamsey, Marcus Cattani, Andy McCarthy, Jacques Oosthuizen","doi":"10.3390/ijerph22091412","DOIUrl":"10.3390/ijerph22091412","url":null,"abstract":"<p><p>De-identified diesel particulate matter (DPM) exposure data (<i>n</i> = 24,459) was obtained from the Western Australian mining regulator to assess compliance with the current Workplace Exposure Standard (WES) of 0.1 mg/m³, measured as submicron elemental carbon, and a proposed limit of 0.01 mg/m³, assessed as respirable elemental carbon. R and R-Studio were used to generate summary statistics comparing compliance to the current and proposed limits, stratified by industry and occupational groups. To examine temporal trends, a zero-adjusted gamma model was used to assess whether expected sample means changed over the past ten years, using commodity and location as covariates. DPM exposures have declined significantly over the past decade, and modelling indicates compliance with the current WES. However, the proposed limit introduces both a lower limit and a different sampling method, which present challenges. The sector most affected by these changes is underground gold mining. Several occupational groups, such as ground/roof support, shotfirer, long hole drill and blast, and production and services, are at highest risk of non-compliance. Meeting future exposure limits will require enhanced control strategies, including, cleaner fuels, reduction or elimination of diesel-powered machinery in underground operations and appropriate and regulated use of respiratory protective equipment when assessing compliance.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179785","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":"Association Between Adverse Childhood Experiences, Intimate Partner Violence, and Nutritional Inadequacy Among Women in an Urban Brazilian Setting.","authors":"Nathália Miguel Teixeira Santana, Franciéle Marabotti Costa Leite","doi":"10.3390/ijerph22091413","DOIUrl":"10.3390/ijerph22091413","url":null,"abstract":"<p><p>Adult women's nutritional status reflects a complex interplay of biological, social, and environmental determinants. This study aimed to analyze the association between adverse childhood experiences (ACEs), intimate partner violence (IPV), and inadequate nutritional status among women in Vitória, Espírito Santo, Brazil. We conducted a cross-sectional, population-based survey with 1.073 women aged 18 years or older. The body mass index (BMI) is categorized into adequate weight and inadequate weight, with the latter comprising excess weight (overweight and obesity) and extremes of weight (underweight or obesity). Experience of violence was measured with ACEs and IPV. Logistic regression analyses were performed to identify associations, adjusting for sociodemographic variables. Women who reported ACEs, such as parental divorce/separation and living with family members who used alcohol, illicit drugs, or prescription drugs, were 1.4 times more likely to be excess weight compared with those who did not experience ACEs (OR = 1.37; 95%CI:1.02-1.83; <i>p</i> = 0.035 and OR = 1.35; 95%CI:1.01-1.80; <i>p</i> = 0.041, respectively). Among those with extreme BMI values, the association with parental divorce/separation also remained significant after adjustment (OR = 1.59; 95%CI: 1.13-2.25; <i>p</i> = 0.009). These findings suggest that ACEs have lasting effects throughout life, influencing body weight in adult women and contributing to inadequate dietary status at both the lower and upper limits.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179826","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":"Health Effects from Secondhand Exposure to E-Cigarettes: A Systematic Review of Peer-Reviewed Articles from 2004-2024.","authors":"Roengrudee Patanavanich, Chawaphat Thatasawakul, Kamolnut Youngcharoen, Veerapattra Soponvashira, Panpetch Pichetsin","doi":"10.3390/ijerph22091408","DOIUrl":"10.3390/ijerph22091408","url":null,"abstract":"<p><p><b>Background</b>: Since the emergence of e-cigarettes on the market in the early 2000s, the prevalence of e-cigarette use has increased globally. The health risks of using e-cigarettes have been increasingly revealed; however, the health effects on non-users exposed to e-cigarettes are less known. <b>Methods</b>: A systematic review was conducted of peer-reviewed articles from 2004 to October 2024 from PubMed and Embase. We focused on the studies that described health outcome measures among non-smokers/vapers exposed to secondhand e-cigarettes. We excluded animal studies and those that did not include human participants. We also omitted studies with financial conflicts of interest with the tobacco industry. <b>Results</b>: Of the 8635 studies we found in our search, 16 were included in the final review. Study designs included in our review included a case study, a cohort, eight experimental, four cross-sectional studies, and two observational studies. Health outcome measures were self-reported health symptoms and biomarkers. Ten out of fourteen studies examined respiratory health risks, six described immunological effects, two examined cardiovascular risks, and one explored mental health effects. Self-reported health symptoms such as bronchitis, shortness of breath, asthma, throat irritations, ear infections, and mental health disorders were observed among secondhand e-cigarette exposures when compared with controls. Biomarker measures varied among studies, except for cotinine concentrations of non-smokers/vapers exposed to secondhand e-cigarettes, which were likely to be higher than non-exposed. However, all studies encountered potential limitations. <b>Conclusions</b>: Our review found that secondhand e-cigarette exposure is not harmless and may have negative health consequences. However, higher-quality prospective studies remain essential to examine long-term secondhand exposure.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179938","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":"Green Landscapes of Care: The Potential of Gardens to Support the Well-Being of Asylum Seekers in Ireland.","authors":"Felicity Daly, Sally Ann Lenehan, Jacqui O'Riordan","doi":"10.3390/ijerph22091410","DOIUrl":"10.3390/ijerph22091410","url":null,"abstract":"<p><p>Engaging vulnerable migrants in nature-based activities demonstrates that access to green space can provide a safe place to process trauma, allowing vulnerable forced migrants to enhance their sense of subjective well-being, to breathe and to be. Framed by the feminist ethics of care concept of 'universal care', this qualitative study utilised semi-structured interviews, focus group discussion and participant observation to explore asylum seekers' opportunities for giving and receiving care for people and planet in green spaces outside of institutional international protection accommodation, particularly among those who have access to community gardens. This research contributes to understanding the multigenerational benefits of green space and the potential of forms of horticultural therapy to support the health and well-being of vulnerable forced migrants of all ages. This research has implications for how care for international protection applicants could be enhanced in Ireland and elsewhere through expanding access to safe and inclusive green spaces. It provides a model of a landscape of care support mitigation of pre- and post-migration trauma and mental stress.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179872","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":"Evaluating Indigenous Identity and Stress as Potential Barriers to Accessing On-Campus Healthcare for Indigenous Students at a Large Southwestern University.","authors":"William O Carson, Michelle Valenti, Kendrick Begay, Scott Carvajal, Stephanie Russo Carroll, Nicole P Yuan, Felina M Cordova-Marks","doi":"10.3390/ijerph22091409","DOIUrl":"10.3390/ijerph22091409","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the relationship between Indigenous identity, perceived stress, and healthcare utilization for Indigenous students on-campus.</p><p><strong>Methods: </strong>Potential participants included undergraduate and graduate Indigenous students from Tribal Nations within the United States. Participants were recruited through community partnerships and in person communication. This survey included the Perceived Stress Scale (PSS-10), the Multiethnic Identity Measure (MEIM), and university Campus Health Service Health and Wellness Survey.</p><p><strong>Results: </strong>153 Indigenous students from United States-based Tribal Nations participated in this survey. While there appears to be a relationship between Indigenous identity, perceived stress, and Campus Health utilization, the results were not significant for the second tertile (OR: 1.1 (0.4, 2.7)) or third tertile (1.4 (0.5, 3.3)). Students who reported \"Yes\" or \"Unsure\" to questions on if their insurance needed them to go outside of the university were far less likely to use Campus Health (Yes OR: 0.2 (0.08-0.5)); (Unsure OR: 0.09 (0.03-0.3)) and CAPS (Yes OR: 0.2 (0.09-0.6)); (Unsure OR: 0.2 (0.04-0.4)).</p><p><strong>Discussion: </strong>This study saw a complex relationship between Indigenous identity, perceived stress, and campus health utilization; however, the findings are not statistically significant. There are distinctions in on campus health care usage when adjusting for undergraduate or graduate student status and health insurance literacy.</p><p><strong>Conclusion: </strong>The research findings offer many promising avenues for future work around Indigenous identity, affordability of healthcare, and importance of health literacy.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179932","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":"Mentalization in Asylum Seekers with Post-Traumatic Stress Disorder.","authors":"Massimiliano Aragona, Marcella Cavallo, Federica Ferrari, Giovanna Laurendi, Gianluca Nicolella","doi":"10.3390/ijerph22091405","DOIUrl":"10.3390/ijerph22091405","url":null,"abstract":"<p><p>This study explores the relationship between post-traumatic stress disorder (PTSD) and the two major dimensions of mentalization (self and other-oriented) in asylum seekers resettled in Italy. It is important because it is the first study addressing the role of mentalization in asylum seekers with PTSD. Twenty asylum seekers scoring above the cut-off for the PTSD Checklist for DSM-5 (PCL-5) were contrasted to twenty asylum seekers without PTSD on mentalization and somatization. The Certainty About Mental States Questionnaire (CAMSQ) and the Bradford Somatic Inventory (BSI-21) were used to assess mentalization and somatization, respectively. Pearson correlations and multiple regression analyses were conducted to examine the overall association between variables. Asylum seekers with PTSD had significantly higher scores than those without PTSD on somatization (<i>p</i> = 0.03), and significantly lower scores on self-oriented mentalization (<i>p</i> < 0.05) than those without PTSD. These results show that asylum seekers with PTSD have reduced self-oriented mentalizing abilities, while the other-oriented component of mentalization appears less involved. This study shows that mentalization deserves more research for the possibly crucial role of reduced self-oriented mentalization in asylum seekers' suffering. If these findings are confirmed by future studies, they could be used to tailor interventions for asylum seekers and refugees with PTSD.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179788","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":"Oral Health in Young Adults: The Impact of Socioeconomic Factors and Health Literacy.","authors":"Lene Marita Steinvik, Gro Eirin Holde, Linda Maria Stein","doi":"10.3390/ijerph22091407","DOIUrl":"10.3390/ijerph22091407","url":null,"abstract":"<p><p>Oral diseases remain prevalent, although most of them can be prevented. Oral health inequities represent a critical problem of social injustice worldwide. Health literacy has emerged as a potential determinant of oral health disparities, comparable in impact to socioeconomic factors. This study explored the impact of socioeconomic factors and health literacy on oral health in young adults in Norway using data from the third wave of the Fit Futures study (n = 705), which included questionnaires and clinical oral examinations. Measures included self-reported oral health, oral health-related quality of life (OIDP-8), caries experience (DMFT), gingivitis (BOP), health literacy (HLS-Q12) and socioeconomic factors. Multivariable logistic regression analyses showed that lower health literacy was associated with poorer self-reported oral health (OR: 0.95, 95% CI: 0.93-0.98) and lower oral health-related quality of life (OR: 0.94, 95% CI: 0.90-0.98). Higher health literacy was associated with a greater caries experience (OR: 1.05, 95% CI: 1.01-1.09). Lower educational attainment was associated with less favorable outcomes across all oral health measures (OR: 1.7-2.6, all <i>p</i> < 0.05). These findings suggest that both health literacy and education influence oral health. Interventions aimed at enhancing health literacy and reducing barriers should be tested to empower young people and support their long-term oral health.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179780","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":"Bacterial Contamination in Dental Unit Water Lines at Primary Health Care Centers (2022-2023): A Nationwide Study.","authors":"Abrar Jamal, Eiman Alawadhi","doi":"10.3390/ijerph22091406","DOIUrl":"10.3390/ijerph22091406","url":null,"abstract":"<p><p><b>Background:</b> Dental unit water lines (DUWLs) can harbor microbial contamination, posing risks for cross-infection to patients and dental staff. This study assessed the prevalence of bacterial contamination in DUWLs at primary healthcare centers in Kuwait during 2022-2023 and examined variation by year, governorate, and sampling outlet. <b>Methods:</b> A retrospective cross-sectional analysis was conducted using 3290 water test results from six governorates. Data were obtained from the Environmental Health Department, Ministry of Health, and analyzed using STATA 17. Contamination was defined as a total plate count (TPC) > 100 CFU/mL or presence of coliforms, <i>Escherichia coli</i>, <i>Pseudomonas aeruginosa</i>, or fecal streptococci. Descriptive and logistic regression analyses were performed. <b>Results:</b> Overall contamination prevalence was 16.8%. Rates were higher in 2023 (19.8%) than in 2022 (13.7%) and higher in Mubarak Alkabeer governorate (23%) and cup filler outlets (18.9%). Logistic regression showed significantly increased odds of contamination in 2023 (OR = 1.6; 95% CI: 1.3-2.0), Mubarak Alkabeer (OR = 1.4; 95% CI: 1.1-1.9), and cup fillers (OR = 1.3; 95% CI: 1.1-1.6). <i>P. aeruginosa</i> was detected in 1.3% of samples. <b>Conclusions:</b> One in six DUWL samples exceeded Kuwait's strict microbial safety threshold. Findings highlight spatial and procedural variations in contamination and underscore the need for enhanced disinfection protocols, preventive maintenance, and targeted staff training to ensure waterline safety.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179790","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 of Foot Diseases and Injuries and Their Associations with Demographic and Health-Related Factors Among Umrah Pilgrims in 2024 G (1445 H).","authors":"Ghadah Sulaiman Alsaleh, Bayan Hashim Alsharif, Fahad A Alamri, Jumanah Alhazmi, Lamis Alabdullatif, Anas Khan","doi":"10.3390/ijerph22091402","DOIUrl":"10.3390/ijerph22091402","url":null,"abstract":"<p><p><b>Background</b>: Foot injuries are common among Umrah pilgrims due to prolonged walking, overcrowded conditions, and inadequate preventive measures, such as inappropriate footwear or walking barefoot. Despite their potential impact on mobility and overall pilgrimage experience, these conditions remain underreported and insufficiently addressed in public health strategies. <b>Objectives</b>: This study aims to assess the prevalence and types of foot problems among Umrah pilgrims, examine their associations with demographic characteristics and comorbidities, analyze the utilization of medical attention for foot pain, and assess the use of preventive measures to reduce foot-related health risks during the pilgrimage. <b>Methods</b>: A cross-sectional study was conducted throughout the 2024 G (1445 H) Umrah season at the Grand Mosque, Makkah. The study recruited 1138 Umrah pilgrims aged 18 and older who performed the pilgrimage. A structured questionnaire was administered to collect data on demographic characteristics, chronic diseases, foot conditions, medical-attention-seeking behavior, and preventive practices. Pilgrims with pre-existing foot conditions were excluded from participation. <b>Results</b>: Foot diseases were reported by 46% of participants. The most common foot injuries included sprains/strains (18.7%) and muscle pain/cramps (4.9%), with the leg and forefoot being the most affected areas. Significant associations were observed between foot diseases and lower education levels (<i>p</i> = 0.03), chronic liver disease (<i>p</i> = 0.04), and cardiovascular disease (<i>p</i> = 0.04). Despite the high prevalence of foot-related conditions, only 9.6% sought medical attention, and 14.9% reported using preventive measures. <b>Conclusions</b>: The study highlights a substantial burden of foot problems among Umrah pilgrims, with limited utilization of healthcare services and preventive strategies. Targeted interventions, including educational campaigns and improved screening for high-risk individuals, are essential for enhancing foot health and ensuring a safer pilgrimage experience.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179831","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}