Journal of Community Health Nursing最新文献

{"title":"Multiple Equine Therapies for the Treatment of Gross Motor Function in Children with Cerebral Palsy: A Systematic Review.","authors":"Zhikai Qin, Zizhao Guo, Junsheng Wang","doi":"10.1080/07370016.2024.2304825","DOIUrl":"10.1080/07370016.2024.2304825","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the impact of three equine therapy approaches on gross motor function in children with cerebral palsy.</p><p><strong>Methods: </strong>The studies were retrieved from PubMed, Web of Science, Science Direct, and the Cochrane Library, in accordance with the style commonly found in scientific journal publications:(1) peer-reviewed articles written in English; (2) experimental or quasi-experimental; (3) three Equine Therapy Interventions as experiment's independent variable; (4) children with cerebral palsy; and (5) measurement of outcomes related to Gross Motor Function.</p><p><strong>Results: </strong>The study examined 596 patients with cerebral palsy, whose average age was 8.03 years. The three types of horse therapy interventions had a significant impact on gross motor function in children with cerebral palsy (SMD = 0.19, 95% CI 0.02-0.36, <i>p</i> = 0.031). Additionally, the interventions positively affected dimensions C (SMD = 0.31, 95% CI 0.00-0.62, <i>p</i> = 0.05), D (SMD = 0.30, 95% CI 0.06-0.56, <i>p</i> = 0.017), and B (SMD = 0.72, 95% CI 0.10-1.34, <i>p</i> = 0.023). The Gross Motor Function Measure (GMFM) consists of 88 or 66 items, which are divided into five functional dimensions: GMFM-A (lying down and rolling), GMFM-B (sitting), GMFM-C (crawling and kneeling), GMFM-D (standing), and GMFM-E (walking, running, and jumping). Each subsection of the GMFM can be used separately to evaluate motor changes in a specific dimension of interest. Subgroup analysis revealed that different horse-assisted therapy approaches, types of cerebral palsy, exercise duration, frequency, and intervention periods are important factors influencing treatment outcomes.</p><p><strong>Conclusion: </strong>The intervention period ranged from 8 to 12 weeks, with session durations of 30 to 45 minutes, 2 to 3 times per week. Equine-assisted therapy (EAT) demonstrated significant improvements in the overall gross motor function score, Dimension B, Dimension C, and Dimension D among children with cerebral palsy. The most effective treatment is provided by Equine-Assisted Therapy, followed by Horseback Riding Simulator (HRS). Due to its economic practicality, HRS plays an irreplaceable role.</p><p><strong>Clinical evidence: </strong>Equine-Assisted Therapy (EAT) demonstrates the most effective treatment outcomes, suggesting that hospitals and healthcare professionals can form specialized teams to provide rehabilitation guidance. 2. Within equine-assisted therapy, Horseback Riding Simulator (HRS) exhibits treatment efficacy second only to Equine-Assisted Therapy (EAT), making it a cost-effective and practical option worthy of promotion and utilization among healthcare institutions and professionals. 3. In equine-assisted therapy, Therapeutic Horseback Riding (THR) holds certain value in rehabilitation due to its engaging and practical nature.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Classifying Studies on Workplace Violence for Visiting Nurses Using the Social-Ecological Model: A Scoping Review.","authors":"Eunjoo Kim, Juna Lee","doi":"10.1080/07370016.2024.2317805","DOIUrl":"10.1080/07370016.2024.2317805","url":null,"abstract":"<p><strong>Purpose: </strong>To prevent workplace violence (WV) against visiting nurses (VNs), understanding the influencing factors is crucial. To better comprehend potential violence prevention strategies, the U.S. Centers for Disease Control and Prevention has presented the four-level social-ecological model (SEM) at the 1) individual, 2) relationship, 3) community, and 4) societal levels. This study aims to quantify WV studies against VNs, examine the influencing factors, identify gaps based on SEM levels, and propose future research and policy directions.</p><p><strong>Design: </strong>A scoping review was conducted following the five-stage protocol proposed by Arksey and O'Malley in 2005.</p><p><strong>Methods: </strong>Systematic searches, including manual searches, were performed using English and Korean databases. Published journal articles including editorials on WV against VNs were included, irrespective of the publication date.</p><p><strong>Findings: </strong>Sixty journal articles were finally selected. Until the 1990s, most of the literature comprised editorials, with empirical research emerging after the 2000s. Classifying studies by SEM level, many studies have focused on individual (86.7%) and community (66.7%) factors, but fewer have addressed relationship (21.7%) and societal (16.7%) factors.</p><p><strong>Conclusions: </strong>The study revealed that much research has focused on individual-centered training, with gaps in risk assessment tool development, training incorporating relational aspects, standardized protocols, and understanding of the impact of legal rights and policies. This article advocates a comprehensive approach that considers all SEM levels to address WV against VNs.</p><p><strong>Clinical evidence: </strong>The findings confirm a research gap, which suggests the direction for future research and policies. Stakeholders should be urged to implement evidence-based strategies that contribute to safer work environments for VNs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creation of an Enhanced Primary Care Registered Nurse Preceptor Role: A Pilot Project.","authors":"Tina Switzer, Erika Metzler Sawin, Christina Lam, Jamie Robinson","doi":"10.1080/07370016.2023.2277840","DOIUrl":"10.1080/07370016.2023.2277840","url":null,"abstract":"<p><p>Historically, community health nursing education has not encompassed clinical sites in primary care. Primary care can be an important domain of community health nursing education. However, student practicum opportunities are limited by the number of and underutilization of RNs practicing at the full scope of their licensure (including assessment, client education, care planning and evaluation of care interventions) who can serve as student preceptors, especially in rural areas. This article describes the creation and implementation of the Enhanced Primary Care Registered Nurse (EPCRN) role in rural primary care clinics, as well as evaluates student perceptions of the EPCRN-precepted clinical experience. One nursing school used a federal training award to create the role of Enhanced Primary Care Registered Nurses (EPCRNs) to practice in federally-designated Rural Health Clinics. The EPCRNs worked in the Rural Health Clinics performing patient care and also functioned as student preceptors. Student experiences were evaluated through quantitative and qualitative methods, namely the Clinical Learning Experience, Supervision, and Nurse Teacher (CLES+T) scale and focus groups. This pilot project demonstrated positive pre-licensure student experience feedback as well as role value and sustainability for the health system. This pilot served as an example of a process for EPCRN role design within a primary care clinic site. It also demonstrated the importance of innovative, sustainable academic-practice partnerships.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Vaccine Hesitancy: A Nursing Perspective.","authors":"Bridgette Crotwell Pullis, Barbara E Hekel, Robert M Pullis","doi":"10.1080/07370016.2024.2312144","DOIUrl":"10.1080/07370016.2024.2312144","url":null,"abstract":"<p><strong>Purpose: </strong>Vaccination is one of the most successful and cost-effective health promotion interventions, preventing millions of deaths per year. Vaccine hesitancy (VH) received renewed attention in the United States when over 30 million Americans were undecided or had barriers to receiving the COVID-19 vaccine. The purpose is to examine the literature regarding vaccine hesitancy, its history and legal aspects.</p><p><strong>Design: </strong>An interprofessional team of a lawyer and two nurses reviewed the literature to synthesize the history of vaccine hesitancy and documented effective strategies to address disinformation, misinformation, and other barriers to vaccine uptake.</p><p><strong>Methods: </strong>The authors conducted a thorough review of the literature regarding vaccine hesitancy, including legal aspects.</p><p><strong>Findings: </strong>There is a scarcity of available literature regarding effective strategies, especially from the nursing perspective. Much of the literature on vaccine hesitancy dates back to the 1970's, offering few strategies to address this issue. Nursing implications and strategies to address vaccine hesitancy from a nursing perspective are provided, including an innovative example of preparing nursing students to address vaccine hesitancy through participation in a high-fidelity simulation.</p><p><strong>Conclusions: </strong>Vaccination uptake is impacted by misinformation and disinformation. Vaccine hesitancy is impacting the uptake of other routine immunizations putting Americans at risk. Regardless of vaccination policies, health care professionals must be prepared to communicate with people who have a wide range of VH. Strategies such as providing accurate information, addressing patient concerns, and reducing barriers to access decrease VH.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Nurses Providing Care to Individuals in Earthquake-Affected Areas of Eastern Turkey: A Phenomenological Study.","authors":"Hava Salik, Merve Şahin, Ömer Uslu","doi":"10.1080/07370016.2023.2285964","DOIUrl":"10.1080/07370016.2023.2285964","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to examine the experiences of nurses who provide care to individuals in earthquake-affected areas of eastern Turkey.</p><p><strong>Design: </strong>A phenomenological design from qualitative research methods was utilized in this study.</p><p><strong>Methods: </strong>The study was conducted between May 29, 2023, and August 15, 2023, with 11 nurses working in the western region of Turkey's provinces through one-on-one semi-structured interviews. The interviews were conducted online and recorded on video. Content analysis was performed using the MAXQDA software package.</p><p><strong>Findings: </strong>Themes and sub-themes were identified from the expressions of nurses in line with research findings. Accordingly, 5 themes were determined for nurses providing care to individuals in the earthquake. zone: \"challenges they face,\"\"emotions they felt,\"\"coping methods,\"\"knowledge and skills\"and \"effects of earthquake\".</p><p><strong>Conclusion: </strong>The results obtained from this study demonstrated that nurses experienced difficulties due to environmental (hygiene, cold weather, shelter) and work-related (lack of coordination, psychosocial issues) conditions during the earthquake event. While providing care to individuals in earthquake-affected areas of eastern Turkey, nurses reported feelings of sadness, inadequacy, anxiety, and fear. They employed coping methods such as talking to family/friends, attempting not to dwell on thoughts, and turning to religious practices to manage these negative emotions. Nurses emphasized the necessity of having professional knowledge and crisis management skills to care for individuals during the earthquake period. In accordance with the findings of the research, it is recommended that nurses are provided with realistic training through simulations and drills in disaster management, as well as psychological support interventions.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138489018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Alzheimer's Disease Knowledge and Cognitive Risk Among a Rural Older Afro-Caribbean Cohort.","authors":"E Valerie Daniel, Lisa Ann Kirk Wiese, Janet K Holt","doi":"10.1080/07370016.2023.2257199","DOIUrl":"10.1080/07370016.2023.2257199","url":null,"abstract":"<p><strong>Purpose: </strong>Older, rural Afro-Caribbeans are a growing subset of the Black population who face increased risk for Alzheimer's disease and related dementias (ADRD), but research targeting ADRD is scarce in this group. The purpose of this study was to investigate dementia risk among older Afro-Caribbeans living in a rural area. We also examined age, sex, and years of education, and knowledge about Alzheimer's disease as potential predictors of dementia risk.</p><p><strong>Design: </strong>A pre-post, correlational design was employed.</p><p><strong>Methods: </strong>Cognitive screenings were conducted using Nasreddine's Mini-MoCA, with tests of language fluency/orientation/recall, and linear regression analysis. A basic knowledge of Alzheimer's disease survey (BKAD) was also administered.</p><p><strong>Findings: </strong>A total of 55 Afro-Caribbean participants (67.0 +10.8y (<i>M</i> ± <i>SD</i>), 65.5% with 10y or less of education residing in a rural area within the last 20 years were included.Over 50% of the convenience sample scored in the cognitive risk range. Significant associations were found between Mini-MoCA Total and Language scores and education (<i>p</i> < 0.01). Further, there was a significant change from pretest to posttest in BKAD scores. BKAD pretest and posttest scores were also significantly higher for those without dementia risk based on the Mini-MoCA Total.</p><p><strong>Conclusion: </strong>While the Mini-MoCA showed good reliability in less-educated older Afro-Caribbeans, scores were strongly dependent on years of education. Offering a limited intervention resulted in increased BKAD scores in this Afro-Caribbean sample, and a low BKAD score was associated with a higher dementia risk category.</p><p><strong>Clinical evidence: </strong>This study contributes to the limited but growing body of research about Alzheimer's disease knowledge, cognitive risk, and dementia detection among Afro-Caribbeans. The use of language-neutral cognitive assessments is recommended among rural older immigrants.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10841183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10580362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Dietary Salt Intake and Pilot-Testing a Home-Based Intervention to Lower Salt Intake Among Filipino College Students.","authors":"Angelo Joaquin M Armas, Jade Alexie E Aranda, Hyacintha S Arcos, Ferdinand L Arellano, Clarissa Bernette L Arguelles, Angelo Martin M Arreza, Mark Anthony G Arriza, Charlene Kristine A Ascan, Gian Carlo S Torres","doi":"10.1080/07370016.2023.2277839","DOIUrl":"10.1080/07370016.2023.2277839","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the knowledge, attitude, and behaviors related to dietary salt intake and develop a home-based intervention that helps lower salt intake among Filipino college students.</p><p><strong>Design: </strong>Two-phase program development study utilizing descriptive and quasi-experimental design.</p><p><strong>Methods: </strong>Phase 1 determined the knowledge, attitude, and behaviors alongside the frequency of dietary salt intake of a consecutive sample (<i>n</i> = 118). Phase 2 involved the development and pilot-testing of a home-based intervention wherein a random sample (<i>n</i> = 35) selected from Phase 1 joined for pilot-testing. The study was conducted from October - November 2021 and utilized valid and reliable measures to test the knowledge, attitude, and behavior of the participants.</p><p><strong>Findings: </strong>Initial assessment showed knowledge regarding health risks of high salt intake and positive attitude toward health-promoting behaviors. Post-intervention showed improvement in attitude (<i>p</i> = 0.0004) and behavior (<i>p</i> = 0.001) related to dietary salt intake alongside health literacy (<i>p</i> = 0.036). There was no significant change in knowledge (<i>p</i> = 0.054).</p><p><strong>Conclusion: </strong>The home-based intervention involving the use of health education materials is successful in improving dietary salt intake patterns.</p><p><strong>Clinical evidence: </strong>Community health nurses may utilize home-based interventions to help develop health-promoting behaviors among young adults.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Researching the Effectiveness of an Online COVID-19 Educational Module among Community Health Nursing Students.","authors":"Jenni L Hoffman, Tsu-Yin Wu, Sarah Lally, Szu-Hsien Chen","doi":"10.1080/07370016.2023.2273932","DOIUrl":"10.1080/07370016.2023.2273932","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this research study was to determine the effectiveness of an innovative online COVID-19 educational module among community health nursing students.</p><p><strong>Design: </strong>Mixed-methods study.</p><p><strong>Methods: </strong>The sample (<i>N</i> = 86) consisted of prelicensure and postlicensure community health nursing students, who completed a pretest, COVID-19 educational intervention, and posttest.</p><p><strong>Findings: </strong>The majority of participants' scores increased from pretest to posttest, and most participants strongly agreed that the COVID-19 educational module was effective. Strategies to address vaccine hesitancy, information learned and found most helpful, and plans for application and utilization of this knowledge were revealed.</p><p><strong>Conclusions: </strong>An online COVID-19 community health nursing educational intervention was effective at improving participants' knowledge, confidence, and attitudes regarding COVID-19.</p><p><strong>Clinical evidence: </strong>Online COVID-19 community health nursing education was an effective strategy for increasing preparation for this pandemic and the format can be useful to utilize for future public health emergencies.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Resilience Factors and Caregiving Status of Families of Patients with Amyotrophic Lateral Sclerosis (ALS) in Japan.","authors":"Marina Yamamoto, Keiko Tsukasaki, Kaoru Kyota","doi":"10.1080/07370016.2023.2254771","DOIUrl":"10.1080/07370016.2023.2254771","url":null,"abstract":"<p><strong>Purpose: </strong>To identify innate and acquired factors leading to amyotrophic lateral sclerosis (ALS) caregivers' resilience, the relationships among these factors, and caregiving situations.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Questionnaires measuring resilience, caregiver burden, and family functioning were mailed to caregivers of ALS patients in Japan.</p><p><strong>Findings: </strong>The 370 responses showed that increases in both innate and acquired factors were related to having an ALS association membership, while decreases were associated with reduced family function. Increases in innate factors were related to employment and those consenting to ventilators, while decreases were associated with being male and having a sense of the care burden. Decreases in acquired factors were related to the presence of an alternative caregiver.</p><p><strong>Conclusions: </strong>By identifying the caregiving situation based on innate and acquired factors, we were able to identify the significance and direction of specific caregiving support.</p><p><strong>Clinical evidence: </strong>Community health nurses should focus on improving family function and creating a supportive environment. Further, support for male and non-working caregivers should be strengthened and consultation on the use of respiratory equipment promoted to reduce the caregiving burden.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10161284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Frontline Shelter Staff Perspectives on the Healthcare Needs of Clients Experiencing Homelessness.","authors":"Molly Korab, Kelley Kilpatrick, Irene Sarasua","doi":"10.1080/07370016.2023.2256307","DOIUrl":"10.1080/07370016.2023.2256307","url":null,"abstract":"<p><strong>Purpose: </strong>To examine healthcare service development needs for persons experiencing homelessness from the perspective of frontline staff at a homeless shelter in Montreal, Quebec.</p><p><strong>Design: </strong>Qualitative descriptive design.</p><p><strong>Methods: </strong>Purposive sampling, semi-structured interviews with frontline shelter staff (<i>n</i> = 8), and thematic analysis.</p><p><strong>Findings: </strong>Themes included: 1) Challenges meeting healthcare service needs in a shelter environment. 2) Visions for improving healthcare services while accounting for health issues and barriers to care. 3) Participants' own knowledge gaps around health and healthcare services.</p><p><strong>Conclusions: </strong>Future research should emphasize this group's crucial role in homelessness healthcare services development.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41168758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}