{"title":"Comment on Efstathiou et al. (2025) 'The prevalence of mental health issues among nursing students: An umbrella review synthesis of meta-analytic evidence'","authors":"Xuefan Zeng","doi":"10.1016/j.ijnurstu.2025.105011","DOIUrl":"10.1016/j.ijnurstu.2025.105011","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105011"},"PeriodicalIF":7.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhen Yang , Linyu Xu , Yu Gao , Chunqi Zhang , Aiping Wang
{"title":"Tailored personas for self-management in home-based cardiac rehabilitation for patients with coronary heart disease: A qualitative study","authors":"Zhen Yang , Linyu Xu , Yu Gao , Chunqi Zhang , Aiping Wang","doi":"10.1016/j.ijnurstu.2025.105000","DOIUrl":"10.1016/j.ijnurstu.2025.105000","url":null,"abstract":"<div><h3>Background</h3><div>Self-management is a key factor determining recovery outcomes in home-based cardiac rehabilitation. However, the impact of individual differences on self-management in patients with coronary heart disease is particularly significant, and standardised approaches often fail to fully meet the needs of this heterogeneous group.</div></div><div><h3>Objective</h3><div>This study aimed to explore the heterogeneity of self-management among patients with coronary heart disease undergoing home-based cardiac rehabilitation and construct patient personas to address the unique challenges and needs of diverse patient groups.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted at a cardiac rehabilitation centre in mainland China from April to July 2024. Purposive sampling was used to select patients with coronary heart disease. Semi-structured interviews were conducted to capture their self-management experiences during home-based cardiac rehabilitation. Content analysis was used to extract factual labels and construct dimensional models. Patient personas were developed by categorising patients based on these dimensions, and their self-management personas were visualised using labelled personas.</div></div><div><h3>Results</h3><div>A total of 28 eligible patients with coronary heart disease participated in the study. Three key dimensions were identified to construct the personas: descriptions, characteristics, and needs. Five distinct personas were developed based on individual attributes, highlighting the varying self-management behaviours and needs of patients with coronary heart disease. The personas were categorised as follows: patients who actively seek cooperation in health management, patients with limited knowledge and poor management behaviour, patients with management deficiencies under high work demands, patients with prominent symptoms but strong awareness, and patients with impaired motivation for self-management.</div></div><div><h3>Conclusion</h3><div>Precise interventions based on patient personas are essential for enhancing self-management behaviours during home-based cardiac rehabilitation among patients with coronary heart disease. This study developed five patient personas for self-management in home-based cardiac rehabilitation, providing a basis for precise interventions to address the heterogeneous needs of this patient group.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 105000"},"PeriodicalIF":7.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alanna J. Bergman , Michael V. Relf , Kelly Lowensen , Nkateko Ndhlovu , Sibongile Lerefolo , Jason E. Farley
{"title":"Empowerment through knowledge: Qualitative perceptions of ‘undetectable equals Untransmittable’ among people living with HIV and tuberculosis in South Africa","authors":"Alanna J. Bergman , Michael V. Relf , Kelly Lowensen , Nkateko Ndhlovu , Sibongile Lerefolo , Jason E. Farley","doi":"10.1016/j.ijnurstu.2025.104999","DOIUrl":"10.1016/j.ijnurstu.2025.104999","url":null,"abstract":"<div><h3>Introduction</h3><div>Undetectable equals untransmittable (U<!--> <!-->=<!--> <!-->U) is an education campaign promoting science that people living with human immunodeficiency virus (HIV) who maintain an undetectable viral load cannot transmit HIV to others. Researchers theorize that undetectable equals untransmittable messaging will decrease HIV stigma by reducing fears of HIV transmission and providing evidence to dismantle discriminatory policies. However, little is known about how people with HIV in South Africa interpret the results of their viral load tests, undetectable equals untransmittable messaging, or its impact on stigma.</div></div><div><h3>Methods</h3><div>This qualitative study explored knowledge and interpretation of viral suppression, and undetectable equals untransmittable among people with HIV and rifampicin-resistant tuberculosis in South Africa. We further explored whether undetectable equals untransmittable messaging influences HIV-related stigma. Thirty participants were recruited for serial qualitative interviews, conducted at baseline, 3-month, and 6-month visits. A multi-national team used reflexive thematic analysis to develop and interpret code relationships.</div></div><div><h3>Results</h3><div>All participants were Black African, age on average was 36 years, 63.3 % were male, and half were undetectable at baseline with a median 6.2 years since HIV diagnosis. Four themes were identified that built on one another over time, (1) limited knowledge of viral suppression and undetectable equals untransmittable; (2) perceived lack of clinical integration of viral suppression and undetectable equals untransmittable; (3) Changing perceptions of viral suppression and application to individual health; and (4) endorsement of undetectable equals untransmittable and activation towards health partnership. Most participants had not heard of viral suppression or undetectable equals untransmittable at the initial interview. There was limited integration of viral suppression or undetectable equals untransmittable into clinic visits fueling a perception that viral suppression was solely a tool for verification of adherence. Over time, participants came to understand the significance of viral suppression and undetectable equals untransmittable, which empowered participants to take a more active role in their HIV management and request changes from the healthcare system.</div></div><div><h3>Conclusions</h3><div>Participants found optimism and empowerment through individualized HIV education even though undetectable equals untransmittable messaging had little impact on stigma. There are structural barriers in the South African healthcare system that limit access to tailored health education. By leveraging community health workers and enrolled nurses, HIV clinics can improve education access without overtaxing a resource strained healthcare system. These results identify a variety of opportunities for health system strengthening th","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 104999"},"PeriodicalIF":7.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allison Squires , Peter Griffiths , Ian Norman , William E. Rosa
{"title":"Think local, write global: Writing peer-reviewed research papers for an international audience","authors":"Allison Squires , Peter Griffiths , Ian Norman , William E. Rosa","doi":"10.1016/j.ijnurstu.2025.104998","DOIUrl":"10.1016/j.ijnurstu.2025.104998","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104998"},"PeriodicalIF":7.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on Liu et al. (2024) 'Patient preferences and willingness to pay for central venous access devices in breast cancer: A multicenter discrete choice experiment'","authors":"Wanchen Zhao, Hui Zhang","doi":"10.1016/j.ijnurstu.2025.105002","DOIUrl":"10.1016/j.ijnurstu.2025.105002","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 105002"},"PeriodicalIF":7.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142990520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on Fajarini et al. (2024) ‘Effects of advanced practice nurses on health-care costs, quality of care, and patient well-being: A meta-analysis of randomized controlled trials’","authors":"Xiao Weiwei , Zhang Ping","doi":"10.1016/j.ijnurstu.2025.105001","DOIUrl":"10.1016/j.ijnurstu.2025.105001","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 105001"},"PeriodicalIF":7.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jarno Turunen , Kati Karhula , Annina Ropponen , Rahman Shiri , Kari Hämäläinen , Jenni Ervasti , Aki Koskinen , Olli Haavisto , Mikael Sallinen , Jaakko Pehkonen , Mikko Härmä
{"title":"Evaluating quick return restrictions on sickness absence in healthcare employees: A difference-in-differences study","authors":"Jarno Turunen , Kati Karhula , Annina Ropponen , Rahman Shiri , Kari Hämäläinen , Jenni Ervasti , Aki Koskinen , Olli Haavisto , Mikael Sallinen , Jaakko Pehkonen , Mikko Härmä","doi":"10.1016/j.ijnurstu.2025.104996","DOIUrl":"10.1016/j.ijnurstu.2025.104996","url":null,"abstract":"<div><h3>Background</h3><div>Short intervals between shifts, known as quick returns, have been linked to adverse health effects, and increased risk of occupational accidents, particularly among healthcare employees. To safeguard employee health, the 2020 reform of Working Time Act in Finland limited rest periods under 11 h in irregular shift work.</div></div><div><h3>Objective</h3><div>To evaluate the changes in quick returns following the 2020 reform of the Working Time Act in Finland and their association with sickness absence among public healthcare employees.</div></div><div><h3>Design and methods</h3><div>This observational longitudinal study, analysed as a quasi-experiment used a difference-in-differences regression analysis with unit and time fixed effects and robust standard errors. We assessed changes in sickness absence from 2019 to 2021 across hospital work units. The study compared units mandated to limit quick returns (Treatment group; 416 units, over 20,500 employees, 72 % in nursing) with units that had low levels of quick returns prior the reform and did not need to limit quick returns (Control group; 37 units, over 1700 employees, 70 % in nursing). The analysis considered local agreements permitting quick returns, using both intention-to-treat and per-protocol approaches. Sensitivity analysis included regression models with unit level covariates and inverse probability weighting to adjust for initial differences.</div></div><div><h3>Results</h3><div>The per-protocol approach and simple regression analysis with fixed effects for unit and time over 2019–2020 showed a less pronounced increase in sickness absence by −<!--> <!-->0.7 percentage points (95 % confidence interval [CI]: −<!--> <!-->1.3 to −<!--> <!-->0.1) for the treatment group compared to the control group, indicating a 13 % lower rate of sickness absence. For the period 2019–2021, the estimate was −<!--> <!-->0.5 percentage points (95 % CI: −<!--> <!-->1.0 to 0.0). When incorporating covariates and inverse probability weighting, the estimates were more substantial with narrower confidence intervals: −<!--> <!-->0.9 percentage points (95 % CI: −<!--> <!-->1.4 to −<!--> <!-->0.3) for 2019–2020, and − 0.6 percentage points (95 % CI: −<!--> <!-->1.2 to −<!--> <!-->0.1) for 2019–2021. The estimates from the intention-to-treat approach were consistent with the per-protocol results.</div></div><div><h3>Conclusion</h3><div>The Working Time Act reform reduced quick returns, and after the reform, the reduction was associated with a smaller increase in sickness absence among healthcare employees. Policymakers and nursing managers should evaluate and adjust the frequency of quick returns to achieve the potential effects on employee well-being, health, and operational efficiency, which in this study was indicated by the reduction in sickness absence.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104996"},"PeriodicalIF":7.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dandan Zhang , Xingyu Xiong , Hexiao Ding , Xiaole He , Huan Li , Yuzhi Yao , Ruisi Ma , Ting Liu
{"title":"Effectiveness of exercise-based interventions in preventing cancer therapy-related cardiac dysfunction in patients with breast cancer: A systematic review and network meta-analysis","authors":"Dandan Zhang , Xingyu Xiong , Hexiao Ding , Xiaole He , Huan Li , Yuzhi Yao , Ruisi Ma , Ting Liu","doi":"10.1016/j.ijnurstu.2025.104997","DOIUrl":"10.1016/j.ijnurstu.2025.104997","url":null,"abstract":"<div><h3>Background</h3><div>Despite advances in cancer treatment that have improved survival rates among patients with breast cancer, they are at high risk of developing cancer therapy-related cardiac dysfunction, which typically manifests as heart failure. Although exercise improves cardiorespiratory fitness in these patients, its effectiveness in preventing cancer therapy-related cardiac dysfunction remains unclear.</div></div><div><h3>Objective</h3><div>To assess the effectiveness of exercise-based interventions using cardiac function parameters and to identify the optimal exercise modality for preventing cancer therapy-related cardiac dysfunction.</div></div><div><h3>Design</h3><div>A systematic review and network meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across PubMed, Embase, Scopus, Web of Science, and the Cochrane Library databases, covering all records from their inception through August 6, 2024. Studies that used exercise-based interventions, either exercise alone or with other interventions, were included. Those with insufficient data for the primary and secondary outcomes were excluded. Quality appraisal was evaluated using the risk of bias tool (RoB-2). All statistical analyses were conducted using the meta (version 7.0–0) and gemtc (version 1.0–2) packages in R software (version 4.3.3). For continuous outcomes, pairwise and network meta-analysis were employed to estimate mean differences (MDs) and 95 % confidence intervals (CI). The Surface Under the Cumulative Ranking Curve (SUCRA) was employed to rank treatments. The study protocol has been registered on PROSPERO (ID: CRD42024501160).</div></div><div><h3>Results</h3><div>In total, 13 randomized controlled trials involving 1122 participants were included in the review. There was low-to-high risk of bias across thirteen studies. Compared to usual care, exercise-based interventions significantly improved left ventricular ejection fraction (MD, 1.68; 95 % CI, 0.59–2.77) and global longitudinal strain (MD, 1.40; 95 % CI, 0.59–2.21). Based on the ranking probabilities, combined aerobic and resistance exercise was the most efficacious method for improving left ventricular ejection fraction (four studies; SUCRA, 0.96), followed by exercise-based cardio-oncology rehabilitation (two studies; SUCRA, 0.45) and aerobic exercise (four studies; SUCRA, 0.42). In terms of improving global longitudinal strain, combined aerobic and resistance exercise also ranked highest (three studies; SUCRA, 0.88). However, exercise-based cardio-oncology rehabilitation (two studies; SUCRA, 0.47) and aerobic exercise (one study; SUCRA, 0.45) were less effective.</div></div><div><h3>Conclusions</h3><div>This network meta-analysis showed very low certainty for the prospective efficacy of exercise-based interventions, especially the combined aerobic and resistance exercise, in preventing cancer therapy-related cardiac dysfunction. Further rigorous studies are required to","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104997"},"PeriodicalIF":7.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143164949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dewi Stalpers , Lisette Schoonhoven , Chiara Dall'Ora , Jane Ball , Peter Griffiths
{"title":"‘Entanglement of nursing care’: A theoretical proposition to understand the complexity of nursing work and division of labour","authors":"Dewi Stalpers , Lisette Schoonhoven , Chiara Dall'Ora , Jane Ball , Peter Griffiths","doi":"10.1016/j.ijnurstu.2025.104995","DOIUrl":"10.1016/j.ijnurstu.2025.104995","url":null,"abstract":"<div><div>Ongoing challenges in the provision of care, driven by growing care complexity and nursing shortages, prompt us to reconsider the basis for efficient division of nursing labour. In organising nursing work, traditionally the focus has been on identifying nursing tasks that can be delegated to other less expensive and less highly educated staff, in order to make best use of scarce resources. We argue that nursing care activities are connected and intertwined. As such ‘entanglement’ is a hallmark of nursing work, it needs to be understood to identify optimal and sustainable options for division of labour in nursing.</div><div>We elaborate the value of entanglement as a theoretical proposition to shift the focus away from old models of task-oriented nursing and put forward a model of labour division that acknowledges the importance of entangled nursing care activities. We build on the work of Jackson, Anderson, and Maben (2021) in which nursing work was conceptualised as a combination of cognitive, emotional, organisational, and physical labour. We assert that just allocating labour based on the type of work will not do the trick. The complexity of nursing work also needs to be considered. This is commonly framed as the combination of care activities required in the interest of patients and the complexity of each of these activities (‘task complexity’). Integrating the concept of entanglement brings to light that even ‘simple’ care activities contribute to the complexity of work, as activities are potentially bound up with other activities (‘entangled care activities’). That is to say, nursing work is not simply a function of the tasks undertaken. Based on our conceptualisation, we propose that the existence and nature of entangled care activities (‘task entanglement’) should be taken into account, to express what is needed in dividing the labour (‘labour complexity’). This should in turn underpin future staffing and skill mix decisions.</div><div>In the pursuit of guaranteeing high quality of care, further research on ‘ideal’ mixes of skills and optimal team compositions in various health care contexts is necessary. For nursing practice, our theoretical proposition can be used to explicate the complexity of daily work. Hereby, giving nurses something to demonstrate their added value in providing the best care to patients.</div><div><strong>Tweetable abstract:</strong> Nursing work is more than the accumulation of care activities; to comprehend its complexity care entanglement (intertwining) should be acknowledged.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104995"},"PeriodicalIF":7.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How do we co-produce care planning with people living with dementia: A scoping review","authors":"Inga Stewart , Ellie Gray , Maria Livanou","doi":"10.1016/j.ijnurstu.2025.104994","DOIUrl":"10.1016/j.ijnurstu.2025.104994","url":null,"abstract":"<div><h3>Background</h3><div>Legislation, policy and clinical guidance champions the values of co-production in good care planning; however, it is unclear what kind of information is available in the literature about how concepts of co-production have been applied in practice to care planning from the perspective of people living with dementia and their carers as experts-by-experience. A scoping review was conducted to map the current evidence addressing care planning co-production practice from the perspectives of people living with dementia and their carers across various settings of dementia care.</div></div><div><h3>Methods</h3><div>A two-phase process was employed. Phase 1 comprised of a systematic search of the literature exploring co-production of care planning with people living with dementia from the perspective of experts-by-experience, followed by a data charting process to extract the relevant information from the included studies and present in a table format. Phase 2 utilised a process of category construction to synthesise the outcome of the data charting and present the key care planning co-production categories from the included publications into a table format with an accompanying narrative.</div></div><div><h3>Results</h3><div>We identified eight international papers, published between 2001 and 2023, addressing care planning co-production practice from the perspectives of people living with dementia and their carers across various settings of dementia care. The synthesis of results revealed seven key care planning co-production categories: ‘preparedness’, ‘accessibility’, ‘active involvement of the person with dementia’, ‘active involvement of the carer’, ‘decision-making’, ‘outcomes and measurement’, and ‘care plan review’. Principles of co-production of care planning within dementia settings were established from the perspective of people living with dementia and their carers, as well as indicators of co-production of care planning having taken place.</div></div><div><h3>Conclusions</h3><div>Our scoping review has implications for change at all levels of healthcare provision. It highlights the lack of research in this area, but the learning that was uncovered pointed towards a largely absent voice of people with dementia and their carers in day-to-day care planning knowledge-exchanges and decision-making. This is despite this group's evident expertise on the subject of themselves and their loved ones from their own living experience.</div><div>The scoping review was registered with the Open Science Framework (OSF) on 3 February 2023 (doi:<span><span>10.17605/OSF.IO/KMR7G</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104994"},"PeriodicalIF":7.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142990552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}