Public Health最新文献

{"title":"Corrigendum to ‘Medical expenses of patients with severe mental disorders in Beijing, China’ [Publ Health 229 (2024) 50–56]","authors":"Y. Xin , J.-L. Zhu , Q.-Z. Huang , Y. Chen , C. Chen , W. Lu","doi":"10.1016/j.puhe.2024.12.040","DOIUrl":"10.1016/j.puhe.2024.12.040","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Page 242"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring brain health awareness and dementia risk in young adults: A focus group study","authors":"Laura Booi ,&nbsp;Katie Bridgeman ,&nbsp;Leanne Greene ,&nbsp;Sarah Gregory ,&nbsp;Hosanna An ,&nbsp;Melissa Marquez ,&nbsp;Francesca R. Farina","doi":"10.1016/j.puhe.2024.12.035","DOIUrl":"10.1016/j.puhe.2024.12.035","url":null,"abstract":"<div><h3>Objective</h3><div>The topic of brain health across the life-course is currently receiving exponential attention. Alongside this, exposure to lifestyle-related risk factors for Alzheimer's disease and related dementias accumulates across the life-course. This study aimed to explore young adults' (18–39 years) perceptions and understanding of brain health and dementia risk.</div></div><div><h3>Study design</h3><div>This study employed a phenomenological descriptive qualitative methodology to examine the lived experiences and perceptions of participants.</div></div><div><h3>Methods</h3><div>Focus groups were conducted with 39 young adults (18 female, 2 non-binary) from North America (n = 20) and Europe (n = 19), conducted via video conference.</div></div><div><h3>Results</h3><div>Participants' awareness and understanding of brain health and dementia risk factors varied, influenced by factors such as general health, family history of dementia, and personal experiences with brain health issues (e.g., traumatic brain injury). The data revealed rich insights into how participants connected (or did not connect) lifestyle factors to brain health and dementia risk.</div></div><div><h3>Conclusion</h3><div>This study is among the first to explore young adults’ perceptions of brain health across diverse populations. While participants demonstrated moderate awareness of factors affecting brain health, they often struggled to link these factors directly to dementia risk or protective measures.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 179-184"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do mental and physical health trajectories change around transitions into sandwich care? Results from the UK household longitudinal study","authors":"Baowen Xue ,&nbsp;Rebecca E. Lacey ,&nbsp;Giorgio Di Gessa ,&nbsp;Anne McMunn","doi":"10.1016/j.puhe.2024.12.001","DOIUrl":"10.1016/j.puhe.2024.12.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Sandwich carers provide care to ageing parents or older relatives while simultaneously raising dependent children. There has been little focus on how mental and physical health trajectories change around becoming a sandwich carer - a gap this study aims to fill.</div></div><div><h3>Study design</h3><div>Prospective longitudinal study.</div></div><div><h3>Methods</h3><div>We used 10 waves of data from the UK Household Longitudinal Study (2009–2020) - a high-quality longitudinal data.</div><div>Sandwich carers were parents who lived with children under age 16 and took up unpaid care of a family member in the older generation. Sandwich carers were matched with parents who did not take up any adult care (i.e., non-sandwiched parents) with similar characteristics. We then employed piecewise growth curve modelling to model the trajectories in mental and physical health before, during and after becoming a sandwich carer and comparing these with non-sandwiched parents.</div></div><div><h3>Results</h3><div>Among parents, the uptake of caring for a family member was associated with a deterioration in mental health, especially for those who spent more than 20 h per week caring for a family member. The deterioration persisted for several years. Those who cared intensively also experienced greater physical health declines during the transition. We did not see evidence of gender difference in the above associations.</div></div><div><h3>Conclusions</h3><div>It is essential for society to recognise the unique needs and challenges of sandwich carers and provide them with the necessary support systems, resources, and community networks to ensure their health is maintained. Targeted support is required for sandwich carers who care intensively.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 224-229"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a comprehensive framework for evaluating public health emergency management program implementation: A scoping review","authors":"Sileshi Demelash Sasie ,&nbsp;Getinet Ayano ,&nbsp;Pien Van Zuylen ,&nbsp;Fantu Mamo Aragaw ,&nbsp;Tadele Dana Darebo ,&nbsp;Lorena Guerrero-Torres ,&nbsp;Afework Mulugeta ,&nbsp;Mark Spigt","doi":"10.1016/j.puhe.2024.12.012","DOIUrl":"10.1016/j.puhe.2024.12.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Public health emergencies and disasters highlight gaps in health systems' emergency preparedness capabilities. Developing robust public health emergency management (PHEM) programs is crucial yet challenging. Existing assessment tools are limited in scope or lack standardized measurement. The aim of this study was to identify core domains of PHEM implementation status and key influencing factors.</div></div><div><h3>Study design</h3><div>A scoping review.</div></div><div><h3>Methods</h3><div>A literature review and focused desk review were conducted. We searched PubMed, Web of Science, Scopus, and Google Scholar to retrieve relevant studies that explored existing PHEM frameworks, core components, factors influencing implementation, and evaluation tools presented in empirical studies. Additionally, a systematic search of authoritative organizational websites was performed to identify relevant guidelines and frameworks. Subject matter experts consolidated the findings from these diverse data sources through a consultative desk review process.</div></div><div><h3>Results</h3><div>Out of 7232 studies identified, 50 studies met the eligibility criteria and were included in this review. Four core domains of PHEM implementation status were identified: overall implementation level; individual factors (capacity building, resources, engagement, and attitudes); organizational factors (information sharing, community involvement, planning, responsibilities, resources, leadership, monitoring/evaluation, coordination, infrastructure, and policies); and overarching factors (workforce, funding, governance, and collaboration. Nineteen key influencing factors emerged, including elements such as leadership, resource allocation, and stakeholder engagement. A conceptual framework was developed that incorporates these thematic domains from major health agencies and determinants identified through qualitative, quantitative, and mixed-methods research.</div></div><div><h3>Conclusion</h3><div>This review developed a preliminary evaluation framework for PHEM programs based on a comprehensive synthesis of global evidence. The framework lays the groundwork for further validation and application to advance standardized assessments of PHEM capabilities across diverse contexts, ultimately aiming to strengthen health system resilience against emergencies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 22-31"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety and depression in only children versus children with siblings: A cross-sectional study among Chinese medical students","authors":"Siyuan Chang ,&nbsp;Yafeng Jiang ,&nbsp;Tianlong Huang ,&nbsp;Kaying Ho ,&nbsp;Yejun Tan ,&nbsp;Lemei Zhu ,&nbsp;Yu Nie ,&nbsp;Layun Qin ,&nbsp;Meiyan Song ,&nbsp;Fen Li ,&nbsp;Jin Kang","doi":"10.1016/j.puhe.2024.11.012","DOIUrl":"10.1016/j.puhe.2024.11.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the characteristics, overall anxiety and depression status, and influencing factors of only-child and non-only-child students by examining a medical student population in the post-COVID-19 era.</div></div><div><h3>Study design</h3><div>This study was a cross-sectional design.</div></div><div><h3>Methods</h3><div>An online questionnaire survey was administered among medical students. The psychological problems related to depression and anxiety were measured using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder Scale (GAD-7), respectively, which were scored via a Likert-4 scale. Statistical analysis was employed to explore the characteristics and overall differences between only-child and non-only-child students, along with the factors affecting their anxiety and depression.</div></div><div><h3>Results</h3><div>A total of 1688 participants were enrolled. No significant differences were observed in the prevalence of anxiety (χ² = 1.154, P = 0.283) and depression (χ² = 0.313, P = 0.576) between only-child and non-only-child students. School level, single status, and desire for only child status are associated with anxiety and depression in the two groups. Region and loneliness are merely related to anxiety and depression among only-child students, while gender, willingness to apply for medical school, and equal treatment are associated with anxiety and depression among non-only-child students.</div></div><div><h3>Conclusion</h3><div>Our study found the factors that are associated with depression or anxiety inthe only-child and non-only-child medical students jointly and separately, which could provide a new theoretical basis for the psychological intervention of medical students, that is, to identify the high risk factors of depression and anxiety from the perspective of only child and non-only child.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 162-168"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What substance use services are advertised by local governments? An analysis of data from county websites in New York state","authors":"Zoe Lindenfeld ,&nbsp;Amanda I. Mauri ,&nbsp;Diana Silver","doi":"10.1016/j.puhe.2024.12.045","DOIUrl":"10.1016/j.puhe.2024.12.045","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the substance use disorder (SUD) prevention and response activities that county governments in New York advertise.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We coded websites of county public health, mental health, emergency, and social service departments to identify whether any government agency provided information about ten evidence-based SUD services. We calculated the number and percentage of counties advertising each service, overall and by county size (medium/large and small).</div></div><div><h3>Results</h3><div>The most common services advertised on county websites were Resource Lists (91.4 %), Naloxone Training, Education, or Distribution (74.1 %), and Addiction/Overdose Education (62.1 %), and the least common were Syringe Exchange (31.0 %) and Anti-Stigma Training or Resources (13.8 %). When counties were assessed by population size, each service was advertised by a higher percentage of medium/large counties than small counties.</div></div><div><h3>Conclusions</h3><div>Despite public health researchers recommending that government responses to the overdose crisis include the SUD services examined here, many counties do not provide information to their constituents about several important services. Thus, even if these services are available, they may be unknown to residents.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 133-135"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inclusion of cross-cultural care training in humanitarian aid: A scoping review","authors":"Maria del Mar Moreno Moreno Gomez ,&nbsp;Juan Pimentel ,&nbsp;Rafael Castro-Delgado","doi":"10.1016/j.puhe.2024.12.026","DOIUrl":"10.1016/j.puhe.2024.12.026","url":null,"abstract":"<div><h3>Objectives</h3><div>Cross-cultural care creates environments where people from diverse cultural backgrounds can access healthcare without facing discrimination based on their beliefs or identity. Humanitarian aid workers need the knowledge and skills to effectively address the needs of diverse populations. In humanitarian aid, cross-cultural care training is crucial for delivering culturally sensitive healthcare in challenging environments.</div><div>The aim of this study was to explore the available scientific evidence on the inclusion of cross-cultural care training in international humanitarian aid settings.</div></div><div><h3>Study design</h3><div>A scoping review was conducted, following the PRISMA-ScR guidelines.</div></div><div><h3>Methods</h3><div>PubMed, Lilacs, ERIC, Google Scholar, and Evidence Aid, and grey literature sources were searched for studies published in English, Spanish, and Portuguese from 2003 to 2023. Data were extracted using a standardized form and analyzed according to the JBI scoping review methodology.</div></div><div><h3>Results</h3><div>The review included 23 publications, consisting of 13 academic articles (57 %) and 10 grey literature sources (43 %). These were categorized into Recommendations, Guidelines, Experience in Implementation, and Teaching Materials. Findings highlighted the importance of incorporating cross-cultural care training into humanitarian organizations. Various guidelines for integrating cultural aspects into training were identified. Some organizations have implemented such training and documented their experiences. Additionally, certain international humanitarian organizations have established web-based educational resources to enhance cultural knowledge and awareness among their staff.</div></div><div><h3>Conclusions</h3><div>Integrating cross-cultural care training into the operations of international humanitarian aid organizations is recommended to mitigate disparities in healthcare access. The limited number of records identified highlights a significant gap in research, implementation, and documentation on this topic.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 70-76"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between cumulative loneliness and risk of cardiovascular diseases in middle-aged and older adults: A longitudinal study","authors":"Zhao Hu ,&nbsp;Lu Tang ,&nbsp;Yiqiang Zhan","doi":"10.1016/j.puhe.2024.12.048","DOIUrl":"10.1016/j.puhe.2024.12.048","url":null,"abstract":"<div><h3>Objective</h3><div>Previous longitudinal studies have investigated the association between baseline loneliness and the risk of developing cardiovascular diseases (CVD). Nevertheless, the cumulative effect of loneliness on CVD remains uncertain. The objective of this study is to assess the relationship between the cumulative duration of loneliness and the risk of CVD in middle-aged and older adults.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>The study utilized data from a sample of 8353 adults aged 45 years and older who participated in the China Health and Retirement Longitudinal Study (CHARLS). Loneliness was assessed biennially between 2011 and 2015, and categorized into four groups: never, one time point, two time points, and three time points. The Cox Proportional Hazards Regression Model was employed to estimate hazard ratios (HRs) and corresponding 95 % confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Following a mean follow-up period of 4.7 years (standard deviation: 0.7 years), a total of 1314 cases of CVD were identified, including 913 cases of heart disease and 504 cases of stroke. After adjusting for potential confounding factors, individuals who experienced loneliness at one time point (HR, 1.21; 95 % CI: 1.06, 1.38), two time points (HR, 1.23; 95 % CI: 1.03, 1.45), and three time points (HR, 1.50; 95 % CI: 1.19, 1.89) had a significantly higher risk of developing CVD compared to those who never experienced loneliness.</div></div><div><h3>Conclusions</h3><div>Cumulative loneliness was associated with increased risk of CVD in middle-age and older adults. Additional research is warranted to delve into the underlying mechanisms, while it is advisable to contemplate social interventions aimed at addressing loneliness.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 156-161"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased adherence to the DASH dietary pattern in community dwelling older adults: Findings from two National Health and Nutrition Surveys","authors":"Miri Lutski ,&nbsp;Aliza H. Stark ,&nbsp;Rita Dichtiar ,&nbsp;Shay Y. Lubel ,&nbsp;Efrat Monsnego-Ornan ,&nbsp;Tali Sinai","doi":"10.1016/j.puhe.2024.12.037","DOIUrl":"10.1016/j.puhe.2024.12.037","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess adherence to the Dietary Approaches to Stop Hypertension (DASH) diet over a decade among community-dwelling older adults, with and without hypertension and to examine associated factors.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Data from two cross-sectional Israel National Health and Nutrition Surveys (NHNS) for older adults, from 2005 to 2006 (NHNS1) and 2014–2015 (NHNS2) were analysed. Trained personnel conducted face-to-face interviews and collected demographic, health, and lifestyle data, along with anthropometric measurements. Adherence to the DASH diet was determined from a single 24-h dietary recall using Mellen's DASH score. Logistic regression analyses were applied to estimate odds ratios (ORs) and 95 % confidence intervals (CIs) for high DASH adherence (scores ≥4.5) versus low adherence (scores &lt;4.5). Individual nutrient targets of the DASH diet were also assessed.</div></div><div><h3>Results</h3><div>The dataset was comprised of 1722 participants from NHNS1 and 916 from NHNS2. Following adjustment for potential confounders, the OR for DASH adherence among participants in NHNS2 was 1.65 (95 % CI 1.34–2.04) compared to NHNS1. NHNS2 participants reported better adherence to DASH nutrient recommendations for saturated fatty acids, total fat, protein, dietary fibre, and calcium among individuals with and without hypertension. No statistically significant differences were found for cholesterol, potassium, and sodium target intakes between surveys.</div></div><div><h3>Conclusions</h3><div>A positive trend towards healthier dietary patterns was identified among both the hypertensive and non-hypertensive older adults over a 10-year period. This underscores the importance of ongoing monitoring to appropriately address changing population needs and promote healthy dietary practices.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 112-120"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of climate change on the occurrence and distribution of Western equine encephalitis virus in South America","authors":"Camila Lorenz ,&nbsp;Thiago Salomão de Azevedo ,&nbsp;Francisco Chiaravalloti-Neto","doi":"10.1016/j.puhe.2024.12.031","DOIUrl":"10.1016/j.puhe.2024.12.031","url":null,"abstract":"<div><h3>Objectives</h3><div>The Western equine encephalitis virus (WEEV) is a globally relevant vector-borne pathogen that causes encephalitis. The role of environmental variables in the epidemiology of WEEV has become greater in the context of climate change. In December 2023, a significant resurgence of WEEV began in South America, with major ongoing outbreaks in Argentina and Uruguay. In this study, we employed a machine learning algorithm to model the distribution of WEEV in South America, considering both present and future scenarios.</div></div><div><h3>Study Design</h3><div>Ecological retrospective study.</div></div><div><h3>Methods</h3><div>We conducted a modelling study to identify areas with the highest prevalence of WEEV in South America, based on confirmed human and equine cases during the 2023/2024 outbreak and climatic variables. Our analysis utilised Maxent software, a machine learning algorithm for species distribution modelling.</div></div><div><h3>Results</h3><div>Our results indicate that environmental variables, particularly thermal seasonality and annual rainfall, can directly influence the occurrence of WEEV, leading to increased virus incidence. Consequently, high-risk areas may shift in the future. Countries, such as Paraguay, Venezuela, Colombia, and various regions in Brazil, particularly the Northeast, Midwest, and the Pantanal biomes, will be significantly impacted, drastically altering the current distribution of WEEV.</div></div><div><h3>Conclusions</h3><div>The ongoing WEEV outbreak in South America is concerning because it coincides with migratory bird stopovers. These birds are natural hosts that can spread the virus to unaffected areas. Our results will help to identify priority areas for developing preventive measures and establishing epidemiological surveillance.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"239 ","pages":"Pages 1-8"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}