Journal of Community Health Nursing最新文献

{"title":"Training Community Health Workers to Respond to Public Health Demands.","authors":"Tsu-Yin Wu, Jenni L Hoffman, Sarah Lally, Brian Hartl, Tracy Malinowski-Fahner, Renuka Roche, Vicki L Washington, Jeanne Yang","doi":"10.1080/07370016.2024.2403555","DOIUrl":"10.1080/07370016.2024.2403555","url":null,"abstract":"<p><strong>Background: </strong>Community health workers (CHWs) connect individuals to community resources and build individual competence in an effort to improve overall community/public health. There is a need for more research on how community health nurse (CHN)-led training programs are needed to help train and support CHWs.</p><p><strong>Purpose: </strong>The purpose was to describe the development and evaluation of a series of CHN-led CHW trainings on CHW role, boundaries, and motivational interviewing; diabetes; mental health and long COVID; sexually transmitted infections; and lead poisoning prevention and treatment.</p><p><strong>Design: </strong>This study utilized a one-group pretest-posttest design in which quantitative and qualitative data were collected.</p><p><strong>Methods: </strong>The sample consisted of CHWs representing White/Caucasian, Black/African American, Hispanic/Latinx, and Asian American populations who for each topic, completed a pretest one week prior to the training, the training, and a posttest one week after the training. The quantitative and qualitative data collected during winter and spring/summer 2023 underwent statistical and thematic analysis, respectively.</p><p><strong>Findings: </strong>The results suggest that the CHW trainings were effective overall at increasing participants' knowledge and confidence in their knowledge levels, as well as comfort with educating community members on various public health topics. Information learned and found most helpful, and application and utilization plans for this knowledge in their work were revealed.</p><p><strong>Conclusions: </strong>CHWs are important for disseminating health communication and education among members of their communities, and play a key role in reducing health disparities among at-risk populations.</p><p><strong>Clinical evidence: </strong>CHN-led educational intervention is a strategy to improve CHWs' knowledge, confidence, and comfort.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"109-121"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480189","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":"Strategies for Influenza Outbreak Management in a US Residential Summer Camp Communal Housing: A Comparative Analysis of Targeted Antiviral Prophylaxis.","authors":"Sandra D Shapiro, Michelle DeDeo, Amber Barnes","doi":"10.1080/07370016.2025.2452164","DOIUrl":"10.1080/07370016.2025.2452164","url":null,"abstract":"<p><strong>Background: </strong>Previous research has underscored the efficacy of individual control strategies in mitigating influenza spread within communal settings; however, the unique dynamics of residential summer camps-characterized by close contact and high social interaction-present distinct challenges for outbreak management.</p><p><strong>Purpose: </strong>The purpose of this study was to evaluate and compare the effectiveness of two targeted antiviral prophylaxis protocols using oseltamivir in controlling influenza outbreaks within a residential youth camp, aiming to provide evidence-based insights for optimizing outbreak management in communal settings with high social interaction.</p><p><strong>Design: </strong>This retrospective study analyzed the progression of influenza outbreaks in a residential youth camp using two antiviral prophylaxis protocols with oseltamivir. Time-series models assessed outbreak dynamics, and descriptive statistics characterized camp cohorts to evaluate the effectiveness of mass chemoprophylaxis (2022 Protocol) versus more rapidly deployed chemoprophylaxis (2023 Protocol).</p><p><strong>Methods: </strong>We used descriptive statistics to define the camp cohorts and time-series models to analyze the outbreak's progression under each protocol.</p><p><strong>Findings: </strong>In 2022, oseltamivir was widely distributed after the outbreak began, likely resulting in a reduced but ongoing spread. In 2023, targeted use of oseltamivir early in the outbreak significantly reduced transmission within the camp.</p><p><strong>Conclusion: </strong>The study demonstrated oseltamivir's efficacy in reducing influenza transmission and emphasized the importance of rapid intervention in communal settings, offering valuable insights for optimizing outbreak management.</p><p><strong>Clinical evidence: </strong>Early intervention with oseltamivir was more effective in controlling the outbreak than a later intervention. Targeted use of oseltamivir, focusing on individuals exposed to the virus, was shown to be beneficial.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"94-108"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015448","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":"Dance for Wellness: Indigenous adolescents' Perspectives on Mental Health, Wellness, and Dance.","authors":"Tatum Wildeman, Shelley Spurr, Jill Bally, Carol Bullin","doi":"10.1080/07370016.2024.2424166","DOIUrl":"10.1080/07370016.2024.2424166","url":null,"abstract":"<p><strong>Purpose: </strong>Indigenous adolescents living on reservations in Canada experience mental health disparities, and there is an urgent need to address this as mental illness and suicide increase. Therefore, a dance program was initiated to attempt to improve mental health and wellness for Indigenous adolescents The reaearch purpose was to gain insight into theexperiences of mental health and wellness in Indigenous adolescents and identify if and how a four-week dance program affected their mental health and wellness.</p><p><strong>Design: </strong>A trauma-informed, qualitative, single-case study design was used.</p><p><strong>Method: </strong>Semi-structured interviews and symbol-based data were used to interview eight adolescents aged 11 - 16 years living in a Denesuliné community from February to June 2022.</p><p><strong>Findings: </strong>Three multidimensional themes emerged: It Helped My Mental Health and Everything (Dance Helps Me Escape, Dance Makes Me Feel Good, and Dance Is Just Really Fun); A Little Bubble Around Me When I Dance (I Can Be More Confident and I Can Be Myself), and We Won't Judge You Here (Creation of Friendship, He Said I Was Really Good, and Improved School Attendance).</p><p><strong>Conclusions: </strong>The dance program impacted the participants' mental health and wellness by providing positive activities to engage the adolescents.</p><p><strong>Clinical evidence: </strong>Community health nurses (CHNs) assist in promoting health and wellness in Indigenous adolescents living on reservation and can use these findings to advocate for funding for the development of dance-based mental health and wellness programs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"19-34"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631990","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":"Randomized Control Trial on Internet-Based Self-Management of Arteriovenous Fistula in Hemodialysis Patients.","authors":"Lian-Shun Jin, Hui-Ling Lv, Li-Na Li, Ying-Ai Jin","doi":"10.1080/07370016.2024.2389970","DOIUrl":"10.1080/07370016.2024.2389970","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of incorporating internet-based resources and popular science workshops on self-care management among hemodialysis patients with arteriovenous fistula.</p><p><strong>Design: </strong>A randomized controlled trial involving 110 hemodialysis patients with arteriovenous fistula, randomly assigned to either the experimental or control group.</p><p><strong>Methods: </strong>The experimental group received self-management training utilizing internet resources and interactive workshops, while the control group received conventional health education methods. After the intervention, the self-management proficiency of both groups was assessed, including comprehension of arteriovenous fistula-related information, satisfaction levels, self-care abilities, engagement in functional exercises, quality of life, and other relevant factors.</p><p><strong>Findings: </strong>Patients in the experimental group exhibited significantly greater proficiency in arteriovenous fistula self-management knowledge, higher levels of patient satisfaction, enhanced self-management abilities, improved functional exercise performance, and better overall quality of life compared to those in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>The combination of internet resources and popular science workshops presents a novel and promising approach for educating and promoting self-care management among hemodialysis patients with arteriovenous fistula. This method holds potential for widespread dissemination and implementation in science education.</p><p><strong>Clinical evidence: </strong>The study demonstrates the tangible benefits of integrating internet-based resources and popular science workshops into self-management training for arteriovenous fistula among hemodialysis patients, as evidenced by improved knowledge, satisfaction, abilities, exercise performance, and quality of life in the experimental group compared to the control group.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"35-42"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989490","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":"Effects of Sitting Baduanjin Exercises on Cognitive Function, Attention, and Muscle Strength among Patients with Mild Cognitive Impairment.","authors":"Yu-Ting Tsai, Hsiang-Ping Wang, Chia-I Tsai, Shu-Hui Yeh, Li-Wei Lin, Ming-Tsung Lee","doi":"10.1080/07370016.2024.2413576","DOIUrl":"10.1080/07370016.2024.2413576","url":null,"abstract":"<p><strong>Purpose: </strong>Sitting Baduanjin exercises can be effective in treating mild cognitive impairment (MCI). However, evidence on effectiveness of sitting Baduanjin exercises is lacking. This study investigated the effects of sitting Baduanjin exercises on cognitive function, attention, and muscle strength in patients with MCI.</p><p><strong>Design: </strong>Quasi-experimental.</p><p><strong>Methods: </strong>The participants were assigned to the experimental (<i>n</i> = 12) or comparison group (<i>n</i> = 12). The experimental group performed sitting Baduanjin exercises three times weekly for 40-50 minutes per session for 12 weeks, while the comparison group maintained their usual routine and attended health-related education. The two groups' cognitive function and attention were assessed through a questionnaire and their muscle strength was measured at weeks 0, 9, and 13.</p><p><strong>Findings: </strong>The experimental group showed significant improvements in cognitive function, attention, and muscle strength in the right shoulder anterior flexor; however, the left shoulder anterior flexor group showed no obvious improvements.</p><p><strong>Conclusion: </strong>Sitting Baduanjin exercises feature simple actions, are convenient, and have positive effects on improving cognitive function, attention, and muscle strength in patients with MCI.</p><p><strong>Clinical evidence: </strong>Baduanjin exercises are suitable for long-term community frontline care services. Early intervention with this exercise program may prevent healthy older people or those with health issues from progressing to dementia.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"54-69"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480187","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":"Health Literacy and Attitudes Towards Childhood Epilepsy.","authors":"Burcu Cengiz, Gulendam Karadag","doi":"10.1080/07370016.2024.2425005","DOIUrl":"10.1080/07370016.2024.2425005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the public attitudes toward childhood epilepsy and the effects of health literacy and some sociodemographic variables on these attitudes.</p><p><strong>Design: </strong>It is a descriptive and cross-sectional study.</p><p><strong>Methods: </strong>The study was carried out with 311 individuals. Data were collected through face-to-face interviews with individuals using the Sociodemographic Characteristics Information Form, The Childhood Epilepsy Attitude Scale (CEAS), and the Health Literacy Scale (HLS). The data were evaluated using percentage and number, student t-test, One Way Anova, and hierarchical linear regression analysis.</p><p><strong>Findings: </strong>The mean CEAS score of the participants was 43.61 ± 7.86 and the mean HLS score was 100.19 ± 17.90. According to the CEAS subscale/total score averages, no statistically significant difference was found between the variables of gender, family type, having children, family history of epilepsy, and history of epilepsy in one's close circle (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>It was concluded that participants' attitudes toward childhood epilepsy were positive, and that this attitude was affected by variables such as educational status, witnessing individuals having epileptic seizures, and health literacy.</p><p><strong>Clinical evidence: </strong>It is recommended that health professionals organize training programs to increase public understanding of childhood epilepsy and improve individual attitudes toward the condition. Community health nurses can play an important role in raising awareness about childhood epilepsy. Community healthcare centers may be advised to include the issue of childhood epilepsy in their awareness programs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"43-53"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631992","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":"Build It and They Will Come: Interdisciplinary Wellness Clinics in Low-Income Senior Housing.","authors":"Barbara Resnick, Nicole Brandt, Sarah Holmes, N Jennifer Klinedinst","doi":"10.1080/07370016.2024.2388043","DOIUrl":"10.1080/07370016.2024.2388043","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe the first 4 months of implementation of the University of Maryland Interdisciplinary Wellness Clinic (UM-IWC). The UM-IWC provided health care services that are difficult for older adults in low-income senior housing communities to access.</p><p><strong>Design: </strong>This was a descriptive study including four low-income communities.</p><p><strong>Methods: </strong>Measures included health information, participation, and services provided.</p><p><strong>Findings: </strong>A total of 165 residents were seen (44%). The residents were mostly female (80%), Black (63%), and non-Hispanic (83%), with an average age of 77 years. We provided 253 patient visits with 98 residents seen once, 38 twice, 19 three times, and 10 four times. Visits included 165 intake assessments, 61 immunizations, 193 blood pressure checks, 28 foot care treatments, 12 cerumen removals, 12 completions of advance directives, 14 Annual Wellness Visits, and 3 home visits for acute medical problems.</p><p><strong>Conclusions: </strong>There was strong engagement of the residents, and we were able to provide a large number of services that were not easily accessible to these individuals. Future work will focus on increasing and maintaining the engagement of residents and sustainability of the clinics.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"213-225"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918001","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":"Effects of Exclusive Breastfeeding Duration on Pneumonia Occurrence and Course in Infants Up to 6 Months of Age: A Case-Control Study.","authors":"Yu-Lan Kang, Qing-Xiang Zheng, Xiao-Qian Chen, You-Cheng Huang, Fan Zheng","doi":"10.1080/07370016.2024.2367541","DOIUrl":"10.1080/07370016.2024.2367541","url":null,"abstract":"<p><p>We aimed to analyze the effects of exclusive breastfeeding duration on the occurrence and course of pneumonia in infants aged up to 6 months. Prospective case-control study. This study was conducted from August 2020 to August 2022 at a maternity and child health hospital in China. A total of 218 infants up to 6 months of age with pneumonia were included in the analyses. Health data were obtained using a hospitalization information system or an interview-based questionnaire. Univariate and multivariate logistic regression analyses were performed to analyze the data. The incidence of pneumonia, hospitalization duration, and costs to participants were significantly affected by the duration of exclusive breastfeeding (<i>p</i> < 0.01). The incidence of pneumonia among participants with different exclusive breastfeeding durations also differed significantly (<i>p</i> < 0.01). The shorter the duration of exclusive breastfeeding, the higher the incidence of pneumonia among infants. We found that the longer the exclusive breastfeeding duration in infants up to 6 months of age, the lower the recurrence of pneumonia, the shorter the hospital stay, and the lower the hospital costs. The rate of exclusive breastfeeding for infants up to 6 months of age should be increased as much as possible to reduce the occurrence of pneumonia and hospital costs.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"256-264"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441089","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":"A 13-Year Trend Analysis of HIV Epidemiology in the Philippines (2010 to 2022).","authors":"James Montegrico, Jung-Min Lee, Janet Alexis A De Los Santos","doi":"10.1080/07370016.2024.2365146","DOIUrl":"10.1080/07370016.2024.2365146","url":null,"abstract":"<p><strong>Purpose: </strong>This article describes the trends and contributing factors in the human immunodeficiency virus (HIV) infection and acquired immune deficiency syndrome (AIDS) epidemiology in the Philippines from 2010 to 2022. This is the first trend analysis of the Philippine HIV/AIDS situation.</p><p><strong>Design: </strong>Using time trend research design, 13-year longitudinal epidemiological data were collected and analyzed to present a dynamic perspective of the Philippine HIV/AIDS epidemic.</p><p><strong>Methods: </strong>Secondary data analysis of HIV surveillance public documents from 2010 to 2022 was conducted. The Centers for Disease Control's socioecological model was used to guide the literature and interpretation of findings. Frequency, percentage distribution, and Sieve-bootstrap t-test for linear trends were used to analyze the results.</p><p><strong>Findings: </strong>There is an increased trend in HIV incidence, late diagnosis, and AIDS-related mortality in all geographical regions in the country from 2010-2022. The majority of HIV cases are males, ages 25-34, and reside in the nation's capital. Increased HIV incidence among overseas workers, sex workers, and HIV-positive blood products were noted.</p><p><strong>Conclusion: </strong>Trends in Philippine HIV epidemiology are contrary to global trends. Community-based HIV prevention programs targeting specific high-risk populations are needed.</p><p><strong>Clinical evidence: </strong>Community health nurses in the Philippines play a critical role in reversing the rising trend of HIV/AIDS. They are positioned to lead targeted education and prevention programs for high-risk groups using the socioecological model to implement community-based strategies that address factors contributing to the epidemic. Their efforts in early detection and linkage to care are essential in reducing late diagnosis and AIDS-related mortality.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"226-240"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428229","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":"Effectiveness of a Community-Based Ostomy Nursing Technique to Enhance the Delivery of Patient Care and Quality of Life.","authors":"Lichao Bao, Hong Jin, Xiaoyue Lu, Feifei Wang","doi":"10.1080/07370016.2024.2370833","DOIUrl":"10.1080/07370016.2024.2370833","url":null,"abstract":"<p><p>This study aimed to develop and validate a community-based ostomy care training program for nursing staff, with the goal of enhancing their ostomy nursing competencies and improving patient satisfaction. Between March 2021 and October 2021, 20 registered nurses and 50 patients with enterostomy surgery who took part in the promotion of a new nursing technique in five community health service centers in the Wuxing District, Huzhou City, were enrolled in this study (forming the intervention group). In addition, 15 registered nurses and 40 patients with enterostomy surgery from four community health service centers with similar economic and health conditions in the same area were randomly selected as the control group. All community health service centers were independent institutions. The indexes before and after the promotion of the technique were compared, and the effectiveness of the training was evaluated by observing the improvement in nursing skills and changes in patient quality of life after the training. The \"quality-of-life scale\" was used to analyze the quality of life of patients who had undergone colostomy surgery. The new approach to ostomy care delivered in a community setting was found to improve staff knowledge and skill in ostomy care (<i>p</i> < 0.001), improve the quality-of-life scores of patients and reduce patient travel time and medical expenses. The promotion of ostomy nursing techniques in community health service centers has several benefits. It improves the ostomy nursing skill levels of community medical staff. This reduces the occurrence of ostomy complications. Additionally, it establishes an effective connection between tertiary hospitals and community health service centers. This connection is conducive to better nursing care for patients who have undergone ostomy surgery. The hospital - community - family nursing model can improve self-management abilities and reduce the incidence of complications of enterostomies.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"241-255"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565082","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}