Kris Wain, Matthew F Daley, Marcelo Coca Perraillon
{"title":"Temporal Association Between Maternal Depression and Paternal Postpartum Depression.","authors":"Kris Wain, Matthew F Daley, Marcelo Coca Perraillon","doi":"10.1016/j.amepre.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.014","url":null,"abstract":"<p><strong>Introduction: </strong>Paternal postpartum depression (PPPD) may affect 28% of fathers, but its temporal association to maternal postpartum depression is not well understood. This study aimed to quantify the temporal association between maternal postpartum depression and PPPD, considering mother's depression history and other clinical factors.</p><p><strong>Methods: </strong>Data for this retrospective cohort study was obtained from Kaiser Permanente Colorado health records between 2008 and 2019. The cohort included father-mother dyads having live-birth pregnancies. Diagnostic codes identified postpartum depression during the 12-months postnatal. Complementary log-log models with inverse probability of treatment weighting estimated the Relative Risk (RR) of PPPD by maternal postpartum depression, stratified by maternal depression history. Statistical analyses were performed between 2022 and 2024.</p><p><strong>Results: </strong>The sample included 15,257 father-mother dyads contributing 19,352 pregnancies in which neither parent had a history of postpartum depression. Among these pregnancies, 326 PPPD diagnoses (1.7%) and 1,731 maternal postpartum depression diagnoses (8.9%) were identified. PPPD was more common in dyads with maternal postpartum depression (3.0%) than in dyads without (1.6%). Maternal postpartum depression was associated with an 81% increase in PPPD (RR=1.81; 95% CI, 1.14 to 2.87) if the mother had no history of depression. However, no association was observed if the mother had a history of depression.</p><p><strong>Conclusions: </strong>Among a cohort of father-mother dyads having live-birth pregnancies, maternal postpartum depression was associated with increased PPPD, but only if the mother had no history of depression. Study findings highlight the need to develop depression screening tools for fathers that consider risk factors for both parents.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sunday Azagba, Todd Ebling, Alperen Korkmaz, Jessica King Jensen, Fares Qeadan, Mark Hall
{"title":"State Preemption Repeal: A Pathway to Broader Smoke-Free Indoor Air Policies in the U.S.","authors":"Sunday Azagba, Todd Ebling, Alperen Korkmaz, Jessica King Jensen, Fares Qeadan, Mark Hall","doi":"10.1016/j.amepre.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.019","url":null,"abstract":"<p><strong>Introduction: </strong>Public health advocates have expressed concern about state preemption laws limiting local government's ability to regulate tobacco smoking. However, empirical evidence on these laws' impact is scarce. This study examines how repealing such laws impacts policies covering smoke-free indoor air.</p><p><strong>Methods: </strong>Policy data were obtained from the Americans for Nonsmokers' Rights Foundation's smoke-free laws database (1990-2022), analyzed in 2024. A two-way fixed effects model in multiple linear regression was employed to evaluate the relationship between the repeal of smoke-free indoor air preemption statutes and the proportion of the state population covered by smoke-free policies. Additional analyses were conducted using alternative control groups, and the fractional form of the dependent variable was accounted for in the study.</p><p><strong>Results: </strong>Results revealed that the repeal of smoke-free indoor preemption was related to an increase in the probability of the state population covered by smoke-free indoor air policies in the baseline model (β=0.405, p<0.01), analysis with two-way fixed effects (β=0.199, p<0.01), and the analysis incorporating state-unique time trends to the two-way fixed effect model (β=0.327, p<0.01). Similarly, the fractional probit regression results showed that repealing state preemption laws corresponded to an increase in the probability of smoke-free indoor air policy coverage. The average marginal effects ranged from 0.19 to 0.43. The results were consistent in analyses that included only states that had preemption laws at any point.</p><p><strong>Conclusions: </strong>Repealing state tobacco preemption laws could broaden local policies covering smoke-free indoor air, potentially mitigating secondhand smoke risks and lessening tobacco's health and economic burdens.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Megan E Patrick, Richard A Miech, Yuk C Pang, Adam M Leventhal, Alyssa F Harlow
{"title":"Use of Delta-8-THC and Other Types of Cannabis among Young Adults in the U.S.","authors":"Megan E Patrick, Richard A Miech, Yuk C Pang, Adam M Leventhal, Alyssa F Harlow","doi":"10.1016/j.amepre.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.009","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yanxin Zhu, Vanessa Garcia-Larsen, Sabri Bromage, Euridice Martinez-Steele, Ana Luiza Curi-Hallal, Casey M Rebholz, Mika Matsuzaki
{"title":"Association Between Ultra-Processed Food Intake and Self-Reported Arthritis.","authors":"Yanxin Zhu, Vanessa Garcia-Larsen, Sabri Bromage, Euridice Martinez-Steele, Ana Luiza Curi-Hallal, Casey M Rebholz, Mika Matsuzaki","doi":"10.1016/j.amepre.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.010","url":null,"abstract":"<p><strong>Introduction: </strong>Ultra-processed foods (UPFs) are typically high in fat, salt, sugar, and food additives, which may contribute to the development of arthritis. This study examined the association between UPF intake and the presence of self-reported arthritis.</p><p><strong>Methods: </strong>The 2001-2018 U.S. National Health and Nutrition Examination Survey (NHANES) data was used to analyze the association between UPF intake and arthritis in 2023. UPFs were identified by applying Nova classifications to 24-hour dietary recall data and expressed as a percentage of daily total energy intake. The outcomes were self-reported physician's diagnosis of arthritis, osteoarthritis, and rheumatoid arthritis. Survey-weighted logistic regressions were conducted to analyze associations between UPF intake and outcomes, controlling for age, gender, race/ethnicity, smoking status, health insurance status, and poverty-to-income ratio.</p><p><strong>Results: </strong>UPFs contributed 55.2% of the daily total energy intake in the U.S.</p><p><strong>Population: </strong>After adjusting for covariates, a positive association was found between daily total energy intake from UPFs and self-reported arthritis (adjusted odds ratio [AOR] associated with each 10-percentage point increase in intake: 1.04; 95% confidence interval [CI]: 1.02-1.05). For the second, third, and fourth quartiles of UPF intake, the odds ratio of arthritis was 1.12 (95%CI: 1.02-1.23), 1.19 (95%CI: 1.07-1.32), and 1.24 (95%CI: 1.11-1.38), respectively (P for linear trend <0.001). A positive association was also observed between UPF intake and rheumatoid arthritis (AOR: 1.06; 95%CI: 1.02-1.09) but not for osteoarthritis.</p><p><strong>Conclusions: </strong>In this nationally representative sample of U.S. adults, higher consumption of UPFs was associated with overall arthritis and rheumatoid arthritis.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Priscila Dib Goncalves, Morgan M Philbin, Weijia Fan, Yongmei Huang, Megan E Marziali, Emilie Bruzelius, Luis E Segura, Pia M Mauro, Silvia S Martins
{"title":"Cannabis use disorder among insured pregnant women in the U.S., 2015-2020.","authors":"Priscila Dib Goncalves, Morgan M Philbin, Weijia Fan, Yongmei Huang, Megan E Marziali, Emilie Bruzelius, Luis E Segura, Pia M Mauro, Silvia S Martins","doi":"10.1016/j.amepre.2025.02.011","DOIUrl":"10.1016/j.amepre.2025.02.011","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heng He, Zihan Zhang, Zhenzhen Li, Sisi Jiang, Lijun Zhen, Jianmiao Mo, Yufei Zhang, Yan Wei, Mengna Wu, Xuerong Su, Changyong Wan, Rongxiang Li, Na Wan, Xiuhong Fu, Weihong Qiu
{"title":"PM<sub>2.5</sub> and its components and hospitalization for hypertensive disorders of pregnancy in Henan Province, China, 2015-2021: A case-crossover study.","authors":"Heng He, Zihan Zhang, Zhenzhen Li, Sisi Jiang, Lijun Zhen, Jianmiao Mo, Yufei Zhang, Yan Wei, Mengna Wu, Xuerong Su, Changyong Wan, Rongxiang Li, Na Wan, Xiuhong Fu, Weihong Qiu","doi":"10.1016/j.amepre.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.amepre.2025.02.008","url":null,"abstract":"<p><strong>Introduction: </strong>The short-term effects of exposure to fine particulate matter (PM<sub>2.5</sub>) and its five components (sulfate, nitrate, ammonium salt, organic matter [OM], and black carbon [BC]) on hospitalizations for hypertensive disorders of pregnancy (HDP) remains unclear.</p><p><strong>Methods: </strong>This study enrolled mothers with HDP from January 1, 2015, to December 31, 2021, in five cities in Henan Province, China. Daily data on PM<sub>2.5</sub> were obtained from the Tracking Air Pollution in China, an online public dataset. Time-stratified case-crossover models were performed to assess the short-term single-day (lag0-1) and multi-day (lag01-07) lag effects of PM<sub>2.5</sub> on hospitalizations for HDP and further explored the modification effects of maternal age (<35 years and ≥35 years), season (cold and warm seasons), and the \"Three-Year Action Plan to Win the Blue Sky Defense War (before and after June 27, 2018) on the short-term effects.</p><p><strong>Results: </strong>A total of 8,007 mothers with HDP were recruited. An IQR in exposure to PM<sub>2.5</sub>, OM, and BC, was associated with 5.7% (RR: 1.057, 95% CI: 1.002-1.112) (lag01), 6.4% (1.064,1.003-1.126) (lag01), and 6.8% (1.068, 1.001-1.135) (lag05) increases in the risk of HDP, respectively (all P<0.05). The effects of exposure to PM<sub>2.5</sub> and its components were stronger in mothers aged ≥35 years, in the cold season, and in the period before the Action Plan was implemented (P<sub>modification</sub><0.05).</p><p><strong>Conclusion: </strong>Short-term exposure to PM<sub>2.5</sub> and its components was positively associated with hospitalizations for HDP, particularly among mothers aged ≥35 years, during the cold season and before the implementation of the Action Plan.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Stage MSc , Rasmus Wibaek PhD , Pernille F. Rønn PhD , Kirsten S. Bjørnsbo PhD , Charlotte Brøns PhD , Karen Allesøe PhD , Andreas Holtermann PhD , Allan A. Vaag PhD , Allan Linneberg PhD , Mette Aadahl PhD
{"title":"The Physical Activity Health Paradox in Type 2 Diabetes","authors":"Anna Stage MSc , Rasmus Wibaek PhD , Pernille F. Rønn PhD , Kirsten S. Bjørnsbo PhD , Charlotte Brøns PhD , Karen Allesøe PhD , Andreas Holtermann PhD , Allan A. Vaag PhD , Allan Linneberg PhD , Mette Aadahl PhD","doi":"10.1016/j.amepre.2024.11.018","DOIUrl":"10.1016/j.amepre.2024.11.018","url":null,"abstract":"<div><h3>Introduction</h3><div>The physical activity health paradox refers to the contrasting associations of leisure-time physical activity and occupational physical activity with cardiovascular disease, but whether this applies to Type 2 diabetes risk is unknown. This study aimed to investigate the physical activity health paradox and age-specific Type 2 diabetes.</div></div><div><h3>Methods</h3><div>Working adults (N=5,866) in Denmark aged 30–60 years enrolled in the Inter99 cohort at baseline in 1999 were followed in a Diabetes Register. Incidence rates of Type 2 diabetes as a function of age, sex, and separate and combined levels of self-reported occupational physical activity and leisure-time physical activity were modeled using Poisson regression, adjusting for relevant covariates in separate analyses (2024).</div></div><div><h3>Results</h3><div>Moderate/vigorous leisure-time physical activity was associated with lower risk of Type 2 diabetes than light (rate ratio=0.63, 95% CI=0.46, 0.85). Strenuous occupational physical activity was associated with a slightly higher risk of Type 2 diabetes than moderate occupational physical activity, but the association diminished adjusted for covariates (rate ratio=1.12, 95% CI=0.79, 1.58). Sedentary leisure-time physical activity combined with any level of occupational physical activity was associated with higher risk of Type 2 diabetes than light leisure-time physical activity/moderate occupational physical activity combined (e.g., sedentary leisure-time physical activity and demanding occupational physical activity) (rate ratio=1.68, 95% CI=1.14, 2.48). Moderate/vigorous leisure-time physical activity combined with any level of occupational physical activity was associated with lower risk of Type 2 diabetes (e.g., moderate/vigorous leisure-time physical activity and moderate occupational physical activity) (rate ratio=0.6, 95% CI=0.39, 0.92).</div></div><div><h3>Conclusions</h3><div>Leisure-time physical activity lowered the risk of Type 2 diabetes regardless of the level of occupational physical activity, whereas no similar beneficial effects were found for occupational physical activity level. The differential effects of occupational physical activity and leisure-time physical activity on Type 2 diabetes suggest that the paradox may also exist in Type 2 diabetes.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 3","pages":"Pages 545-554"},"PeriodicalIF":4.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ACPM 2024 Presidential Address – Leadership in Medicine and Public Health: Service, Accountability and Optimism","authors":"","doi":"10.1016/j.amepre.2024.12.010","DOIUrl":"10.1016/j.amepre.2024.12.010","url":null,"abstract":"","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"68 3","pages":"Pages 642-644"},"PeriodicalIF":4.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wei Liu, Xuefeng Lai, Da Shi, Hao Wang, Lieyang Fan, Wendi Shi, Linling Yu, Ruyi Liang, Weihong Chen, Bin Wang
{"title":"Associations of Grip Strength Asymmetry With Multiple Health Outcomes.","authors":"Wei Liu, Xuefeng Lai, Da Shi, Hao Wang, Lieyang Fan, Wendi Shi, Linling Yu, Ruyi Liang, Weihong Chen, Bin Wang","doi":"10.1016/j.amepre.2025.02.003","DOIUrl":"10.1016/j.amepre.2025.02.003","url":null,"abstract":"<p><strong>Introduction: </strong>The relationships between grip strength asymmetry and cardiovascular, respiratory, and cancer outcomes and all-cause mortality remain unclear.</p><p><strong>Methods: </strong>Among 443,132 UK Biobank participants enrolled from 2006 to 2010, grip strength asymmetry was defined as the ratio of left-hand grip strength (kg) to right-hand grip strength (kg) <0.9 or >1.1. The Cox proportional model was employed to assess the associations of grip strength asymmetry with cardiovascular, respiratory, and cancer outcomes and all-cause mortality. Net reclassification improvement was assessed to evaluate the improvement in risk discrimination for outcomes after adding grip strength asymmetry to the model with established office-based risk factors.</p><p><strong>Results: </strong>After a mean follow-up of 12.1 years, 28,478 (6.4%) deaths occurred. grip strength asymmetry was significantly associated with all-cause (hazard ratio: 1.096; 95% CI=1.070, 1.122), cardiovascular disease (hazard ratio: 1.141; 95% CI=1.071, 1.216), respiratory disease (hazard ratio: 1.183; 95% CI=1.076, 1.301), chronic obstructive pulmonary disease (hazard ratio: 1.284; 95% CI=1.087, 1.516), and cancer (hazard ratio: 1.051; 95% CI=1.017, 1.086) mortality. Significant associations of grip strength asymmetry with cardiovascular disease (hazard ratio: 1.029; 95% CI=1.004, 1.054), respiratory disease (hazard ratio: 1.074; 95% CI=1.051, 1.103), chronic obstructive pulmonary disease (hazard ratio: 1.123; 95% CI=1.038, 1.215), and colorectal cancer (hazard ratio: 1.051; 95% CI=1.037, 1.066) incidence were observed. Moreover, adding grip strength asymmetry to a model with established office-based risk factors significantly improved the ability to predict all-cause, cardiovascular disease, and respiratory disease mortality.</p><p><strong>Conclusions: </strong>Grip strength asymmetry was associated with a range of adverse health outcomes and may have clinical use in predicting all-cause, cardiovascular disease, and respiratory disease mortalities. Further studies are warranted to validate the clinical value of the grip strength asymmetry assessment.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations of Adverse Childhood Experiences with Falls and Fall Risk Factors Among Middle-Aged and Older Adults in China.","authors":"Huiying Tan, Meige Liu, Huixia Ren, Junhong Zhou, Yi Guo, Xin Jiang","doi":"10.1016/j.amepre.2025.02.006","DOIUrl":"10.1016/j.amepre.2025.02.006","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the associations of adverse childhood experiences (ACEs) with falls and fall risk factors and investigated whether fall risk factors mediate the association between ACEs and falls.</p><p><strong>Methods: </strong>This population-based cross-sectional study included 9,961 participants aged ≥45 years from the 2014 Life History Survey and the 2015 follow-up survey of the China Health and Retirement Longitudinal Study. Data analysis was performed from April 3 to May 7, 2024. Logistic regression models were used to assess the associations of the cumulative number of ACEs with falls and fall risk factors, as well as each ACE type. The Karlson-Holm-Breen method was used to examine the total (direct and indirect) effect of fall risk factors mediating the association between each ACE type and falls.</p><p><strong>Results: </strong>Associations of the cumulative number of ACEs with falls and specific fall risk factors were observed. Seven of the 12 ACEs were associated with falls, including physical abuse, household mental illness, witnessed domestic violence, bullying, parental death, sibling death, and parental disability. Corresponding fall risk factor patterns totally or partly mediated the associations between the 6 ACE types (excluding parental death) and falls. Pain and depressive symptoms were the dominant contributors.</p><p><strong>Conclusions: </strong>ACEs were associated with falls and specific fall risk factors. Pain and depressive symptoms predominantly mediated the association between each type of ACE and falls. Early identification and targeted treatment of pain and depressive symptoms are critical for reducing fall incidence of ACEs-exposed individuals in later life.</p>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}