Journal of Psychosomatic Obstetrics & Gynecology最新文献_第4页

A cluster analysis of reasons behind fear of birth among women in Sweden. 对瑞典妇女生育恐惧原因的聚类分析。

IF 3.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-02-20 DOI: 10.1080/0167482X.2024.2319291

Ingegerd Hildingsson, Margareta Johansson

{"title":"A cluster analysis of reasons behind fear of birth among women in Sweden.","authors":"Ingegerd Hildingsson, Margareta Johansson","doi":"10.1080/0167482X.2024.2319291","DOIUrl":"10.1080/0167482X.2024.2319291","url":null,"abstract":"Background: Fear of birth is common and complex, caused by a variety of reasons. The aim was to investigate the prevalence of pre-established reasons in relation to fear, and to identify profiles of women based on their reported reasons behind fear of birth.Methods: A cross-sectional Swedish study of women with self-reported fear of birth who completed an online survey. Descriptive statistics, chi-square test, crude and adjusted odds ratios with 95% confidence intervals were used in the analysis of pre-established reasons in relation to self-reported severe fear. A Kappa-means cluster analysis was performed in order to group reasons, that were further investigated in relation to women's background variables.Results: A total of 1419 women completed the survey. The strongest reason behind fear of birth was to be forced to give birth vaginally. Four clusters were identified and labeled: minor complexity (reference group), relative minor complexity, relative major complexity, and major complexity. Cesarean section preference, previous mental health problems, being younger, primiparity, and exposure to domestic violence were factors related to cluster grouping.Conclusions: Women with fear of birth have various reasons and diverse complexities behind their fear. Health care providers need to investigate these reasons and support pregnant women with childbirth fear, based on their needs.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2319291"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906772","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}

引用次数: 0

Severity of depressive and anxious symptoms and its association with birth outcomes among pregnant women during the COVID-19 pandemic: a prospective case-control study. COVID-19 大流行期间孕妇抑郁和焦虑症状的严重程度及其与分娩结果的关系：一项前瞻性病例对照研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-01 DOI: 10.1080/0167482X.2024.2356212

Yujing Wu, Yujie Niu, Qian Guo, Xiaohua Liu, Hao Hu, Lili Gong, Yan Xu, Yao Hu, Guanjun Li, Xian Xia

{"title":"Severity of depressive and anxious symptoms and its association with birth outcomes among pregnant women during the COVID-19 pandemic: a prospective case-control study.","authors":"Yujing Wu, Yujie Niu, Qian Guo, Xiaohua Liu, Hao Hu, Lili Gong, Yan Xu, Yao Hu, Guanjun Li, Xian Xia","doi":"10.1080/0167482X.2024.2356212","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2356212","url":null,"abstract":"Aim: Comparing the anxiety and depression severity and their impact on subsequent birth outcomes in pregnant women before and during Omicron wave in Shanghai in 2022.Methods: The depression-anxiety symptoms networks were compared between the pregnant women during the outbreak period (outbreak group; n = 783) and a matched control group of pregnant women before the outbreak (pre-outbreak group; n = 783). The impact of baseline mental state on follow-up pregnancy and neonatal outcomes was also explored by logistic regression.Findings: Levels of depression and anxiety between the two groups were not significant different. Network analysis showed that central symptom \"trouble relaxing\" and bridge symptom \"depressed mood\" shared by both groups. Different symptom associations in different periods of the pandemic. Total scores and sub-symptom scores of prenatal depressive and anxious severities increased the odds ratios of maternal and neonatal syndromes. The influence of mental state on gestational and neonatal outcomes differed across different pandemic periods.Conclusion: The Omicron wave did not have a significant negative impact on the depressive and anxious mood in pregnant women. Targeting central and bridge symptoms intervention may be effective in reducing their adverse effects on co-occurring of anxious and depressive mood and birth outcomes.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2356212"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472065","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}

引用次数: 0

Contribution of the abbreviated CAVE-st questionnaire in Spanish: the attitudes toward childbirth experiences. 西班牙文 CAVE-st 简缩问卷的贡献：对分娩经历的态度。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-23 DOI: 10.1080/0167482X.2024.2380860

Ernesto González-Mesa, Ana González-Cazorla, Ernesto González-Cazorla, Juan Mozas-Moreno, Gözde Gokce Isbir, Wilson Abreu, Daniel Lubián-López

{"title":"Contribution of the abbreviated CAVE-st questionnaire in Spanish: the attitudes toward childbirth experiences.","authors":"Ernesto González-Mesa, Ana González-Cazorla, Ernesto González-Cazorla, Juan Mozas-Moreno, Gözde Gokce Isbir, Wilson Abreu, Daniel Lubián-López","doi":"10.1080/0167482X.2024.2380860","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2380860","url":null,"abstract":"There are several factors that influence women's childbirth experience, and personal interactions with health professionals are of particular significance. The main objective of this study was to present the validation of an abbreviated form of an existing questionnaire on attitudes about childbirth in medical and nursing students. We used a sample of 512 perinatal medicine and nursing students who received the original 52-item CAVE-st questionnaire to obtain a shorter version with proper psychometric properties. We used Cronbach's alpha coefficient to evaluate the new version's internal consistency. The Kaiser- Meyer-Olkin test and the Barlett sphericity test were performed to assess the suitability of exploratory factor analysis (EFA). Subsequently, confirmatory factor analysis (CFA) was performed using structural equation models in a second sample of 139 medical students. We obtained a 15-item version with a Cronbach's alpha of 0.82. The EFA revealed a four-dimensional structure, similar to the full 52-item version. In the CFA the adjustment indexes showed good model fitness, RMSEA= 0.046 [CI 0.00-0.07]; CFI = 0.978. We can conclude that the 15-item version is a valid tool for evaluating the attitude of students toward childbirth, pointing out the matters that should be improved in their training to avoid obstetric trauma by the promotion of a positive experience in women during childbirth.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2380860"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753167","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}

引用次数: 0

The relationship between psychological stress and ovulatory disorders and its molecular mechanisms: a narrative review. 心理压力与排卵障碍的关系及其分子机制：综述。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-10-22 DOI: 10.1080/0167482X.2024.2418110

Yichen Han, Xiaona Lin

{"title":"The relationship between psychological stress and ovulatory disorders and its molecular mechanisms: a narrative review.","authors":"Yichen Han, Xiaona Lin","doi":"10.1080/0167482X.2024.2418110","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2418110","url":null,"abstract":"This narrative review explores the relationship between psychological stress and ovulatory disorders, focusing on the molecular mechanisms involved. Ovulation is regulated by the hypothalamus-pituitary-ovarian (HPO) axis, and disruptions in this axis can lead to ovulatory dysfunction. Chronic psychological stress affects the HPO axis, resulting in abnormalities in hypothalamus hormone secretion, pituitary hormone release, and ovarian function. These disruptions cause ovulation disorders and menstrual irregularities. The mechanisms by which psychological stress affects ovulation involve alterations in neuropeptides and hormones, activation of the hypothalamic-pituitary-adrenal (HPA) axis, impairment of follicular development, generation of oxidative stress, and the decline in ovarian reserve function. Understanding these mechanisms is crucial for developing interventions to restore reproductive health. Psychological interventions, such as cognitive-behavioral therapy, have shown promise in improving ovulation and pregnancy rates in women with ovulatory disorders. Further research is needed to explore the specific mechanisms of these interventions and optimize treatment strategies. Addressing psychological factors is essential in managing reproductive health and ovulatory disorders.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2418110"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512044","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}

引用次数: 0

A qualitative research on reproductive concerns of the patients with Peutz-Jeghers syndrome. 对 Peutz-Jeghers 综合症患者生殖问题的定性研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-22 DOI: 10.1080/0167482X.2024.2405615

Mengxia Pan, Beilei Ye, Huajuan Shen, Jiyong Jin, Qiong Zhang

{"title":"A qualitative research on reproductive concerns of the patients with Peutz-Jeghers syndrome.","authors":"Mengxia Pan, Beilei Ye, Huajuan Shen, Jiyong Jin, Qiong Zhang","doi":"10.1080/0167482X.2024.2405615","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2405615","url":null,"abstract":"Objectives: To gain a deeper understanding of the real experiences and needs of the patients of Peutz-Jeghers syndrome (PJS) with fertility concerns.Design: A qualitative study.Methods: Phenomenological research and Semi-structured method were conducted with the patients of PJS (N = 16), and the interview data were analyzed using inductive content analysis strategies.Results: 16 patients were interviewed, including 13 women and 3 men partners. We identified 5 themes, including: (i) Heritability of disease, (ii) Potential risks of reproduction; (iii) The difficulties in raising children; (iv) family and social support. (V) Need support from multiple sources.Conclusion: The findings of this study demonstrate that patients with Peutz-Jeghers syndrome (PJS) who are of childbearing age experience various reproductive concerns and other manifestations. Therefore, it is essential to offer individualized psychological interventions for PJS patients at different psychological stages, with the support of healthcare professionals, family, and social networks.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2405615"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299779","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}

引用次数: 0

A latent class analysis of co-occurring insomnia and anxiety among Chinese pregnant women. 中国孕妇伴发失眠和焦虑的潜在分类分析。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-12-08 DOI: 10.1080/0167482X.2024.2437391

ShanYan Liu, Meijiao Huang, Jing Tao, Dan Wen, Ping Zhang, Feng Ying Zhang, Min Li

引用次数: 0

Adverse childhood experiences predict anxiety during postpartum and early childhood parenting. 童年的不良经历可预测产后和幼儿养育期间的焦虑。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1080/0167482X.2024.2410203

Chelsea Walker-Mao, Charlotte V Farewell, Sarah Nagle-Yang, Sarah Blackwell, Jenn A Leiferman

{"title":"Adverse childhood experiences predict anxiety during postpartum and early childhood parenting.","authors":"Chelsea Walker-Mao, Charlotte V Farewell, Sarah Nagle-Yang, Sarah Blackwell, Jenn A Leiferman","doi":"10.1080/0167482X.2024.2410203","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2410203","url":null,"abstract":"Perinatal anxiety disorders (PAD) affect one in five pregnant/postpartum people and are associated with adverse maternal and child health outcomes. Effective treatment and prevention rely on early identification and management of risk factors. Our study fills a gap in literature about how maternal adverse childhood experiences (ACEs) relate to PAD during and beyond the postpartum period. Using longitudinal data from a population-based sample of mothers in Colorado, USA (N = 1116), we evaluated whether maternal ACEs predicted self-reported anxiety symptoms, measured six times between 3 and 36 months postpartum. A mixed mean model of anxiety was fit with ACEs as the predictor and maternal age, race, ethnicity, education, marital status, and parity as covariates. Controlling for sociodemographic covariates, mothers reporting four or more ACEs had significantly higher levels of anxiety than those reporting less than four ACEs (b = 0.84, 95% CI (0.53, 1.15), p<.001) over the three-year period. Mothers of younger age at time of birth (25-34 years vs. <24 years: b=-0.54, 95% CI (-1.00, -0.08), p=.02) and non-Hispanic ethnicity (b = 0.47, 95% CI (0.09, 0.85), p=.01) were also found to have higher anxiety over this period. Our findings support screening for and addressing maternal ACEs early in obstetric care and well-child visits through trauma-informed, strengths-based approaches that promote maternal, child, and intergenerational well-being.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2410203"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479356","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}

引用次数: 0

The trends and hotspots of research on non-pharmacological interventions for labor pain management: a bibliometric analysis. 分娩镇痛非药物干预研究的趋势和热点：文献计量分析。

IF 3.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-03-06 DOI: 10.1080/0167482X.2024.2322614

Sümeyye Barut, Esra Sabancı Baransel, Osman Tayyar Çelik, Tuba Uçar

{"title":"The trends and hotspots of research on non-pharmacological interventions for labor pain management: a bibliometric analysis.","authors":"Sümeyye Barut, Esra Sabancı Baransel, Osman Tayyar Çelik, Tuba Uçar","doi":"10.1080/0167482X.2024.2322614","DOIUrl":"10.1080/0167482X.2024.2322614","url":null,"abstract":"Introduction: This study aimed to examine important points of focus, trends, and depth of research on non-pharmacological interventions for the management of labor pain worldwide from a macro perspective and present an extensive definition of research fields regarding non-pharmacological interventions.Methods: Bibliometric methods were used in this study. With comprehensive keyword lists, the Web of Science and PubMed databases were searched using different screening strategies for publications made until 25 February 2023.Results: Studies on non-pharmacological interventions in the management of labor pain have continued to develop since 2003 with great momentum. In this study, the most productive country in research on non-pharmacological interventions was found to be Iran, while Australia, the USA, China, and the United Kingdom were the most notable ones in terms of collaboration. The most prevalently studied non-pharmacological interventions were hydrotherapy and acupuncture. The results of the co-word analysis revealed 5 main themes about this field of research.Conclusion: The results of this study showed that interest in studies on non-pharmacological interventions in the management of labor pain has increased, the quality of research in the field is high, international collaboration is increasingly higher, and technological approaches have started to emerge in relevant studies.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2322614"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040766","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}

引用次数: 0

Comparative analysis of general and pregnancy-related prenatal anxiety symptoms: progression throughout pregnancy and influence of maternal attachment. 产前一般焦虑症状和与妊娠有关的焦虑症状的比较分析：整个孕期的进展和母性依恋的影响。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-08-10 DOI: 10.1080/0167482X.2024.2389811

Nicole Reeves, Xavier Benarous, Béatrice Decaluwe, Jaqueline Wendland

{"title":"Comparative analysis of general and pregnancy-related prenatal anxiety symptoms: progression throughout pregnancy and influence of maternal attachment.","authors":"Nicole Reeves, Xavier Benarous, Béatrice Decaluwe, Jaqueline Wendland","doi":"10.1080/0167482X.2024.2389811","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2389811","url":null,"abstract":"Pregnancy-specific anxiety (PSA) has been differentiated from general anxiety (GA) to better account for the heterogeneity of prenatal anxiety and possible measurement bias. A longitudinal study was conducted to determine the evolution of maternal anxiety symptoms during pregnancy, distinguishing PSA and GA, and the influence of maternal attachment A sample of 155 women (mean age 32.5, SD 3.88) were enrolled in their first trimester of pregnancy (T1) in one center and follow throughout their pregnancy. The Relationship Scales Questionnaire (RSQ), the State-Trait Anxiety Inventory (STAI), and the Pregnancy-Related Anxiety Questionnaire (PRAQ) were completed at T1, and, for the last two, at the second (T2) and third trimesters of pregnancy (T3). Multi-level model found significant decreases in the PRAQ total score and the STAI total score between T1 and T3, but only the PRAQ total score decreased from T1 to T2. Preoccupied maternal attachment was independently associated with higher PRAQ and STAI total scores at T1, T2, and T3. Considering the progressive decline of the levels of PSA and GA during pregnancy, interventions should focus on pregnant mothers with risk factors for a persisting course of anxiety such as preoccupied attachment.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2389811"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914438","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}

引用次数: 0

The relationship between blood lipids and endometriosis: a cross-sectional study from NHANES (1999-2006) and a bidirectional Mendelian randomization study. 血脂和子宫内膜异位症之间的关系：来自NHANES的横断面研究（1999-2006）和双向孟德尔随机研究。

IF 2.1 3区医学

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-12-19 DOI: 10.1080/0167482X.2024.2441196

Dingchuan Peng, Wei Zhong, Yiran Wang, Yiyao Fu, Wei Shang

{"title":"The relationship between blood lipids and endometriosis: a cross-sectional study from NHANES (1999-2006) and a bidirectional Mendelian randomization study.","authors":"Dingchuan Peng, Wei Zhong, Yiran Wang, Yiyao Fu, Wei Shang","doi":"10.1080/0167482X.2024.2441196","DOIUrl":"https://doi.org/10.1080/0167482X.2024.2441196","url":null,"abstract":"Objective: Observational studies suggest a link between blood lipid levels and endometriosis risk, but clinical evidence is limited and causality has not been established. This study aims to clarify this relationship using NHANES data (1999-2006) and bidirectional Mendelian Randomization (MR) analysis.Methods: We analyzed NHANES data to explore the relationship between blood lipids and endometriosis risk using multivariable logistic regression, nonlinear testing, and trend analysis. For causal inference, MR was performed using GWAS data from the UK Biobank (lipid levels) and the Finnish Endometriosis Database (endometriosis).Results: In NHANES (n=2,201), elevated triglycerides (TG) were significantly associated with increased endometriosis risk (OR, 2.10; 95% CI, 1.00-3.49; p < 0.05). MR analysis confirmed this association (OR, 1.19; 95% CI, 1.07-1.32; p < 0.006) and suggested HDL may protect against endometriosis (OR, 0.79; 95% CI, 0.63-0.99; p < 0.05). Additionally, bidirectional MR indicated that endometriosis may also contribute to TG dysregulation (OR, 1.02; 95% CI, 1.01-1.03; p < 0.006).Conclusion: Our findings suggest that elevated TG levels may increase endometriosis risk, while HDL may provide a protective effect. These results offer new insights and may inform future management strategies for endometriosis. However, large-scale longitudinal studies are needed to further validate these associations.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"45 1","pages":"2441196"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866077","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}

引用次数: 0