Epidemiologia e Servicos de Saude最新文献

{"title":"Reviewed article: do Amaral VL, Spadotto GC, Gomes CB. Knowledge, attitudes and practices of primary care professionals about the food guide for children up to 2 years old: a cross-sectional study, Botucatu, São Paulo, Brazil, 2023. Epidemiol Serv Saúde. 2024;33:e20240111. doi: 10.1590/S2237-96222024v33e20240111.en.","authors":"Ariene Silva do Carmo","doi":"10.1590/S2237-96222024v33e20240111.a","DOIUrl":"https://doi.org/10.1590/S2237-96222024v33e20240111.a","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20240111.a"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building a more equitable Brazilian National Health System: 20 Years of Trans Visibility in Brazil.","authors":"Alícia Krüger, Maria Amélia de Sousa Mascena Veras, Inês Dourado, Ethel Leonor Noia Maciel","doi":"10.1590/S2237-96222024v33e2024267.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024267.especial.en","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024267"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the complexities and challenges of healthcare access for transgender people in Minas Gerais state: a qualitative study a decade following the implementation of the transsexualization process in the Brazilian National Health System.","authors":"Samuel Araujo Gomes da Silva, Paula Miranda-Ribeiro, Kenya Valeria Micaela de Souza Noronha, Gilvan Ramalho Guedes","doi":"10.1590/S2237-96222024v33e2024350.especial.en","DOIUrl":"10.1590/S2237-96222024v33e2024350.especial.en","url":null,"abstract":"<p><strong>Objective: </strong>This article explores the complexities and challenges of healthcare access for transgender people in Minas Gerais.</p><p><strong>Methods: </strong>: This study is based on a subsample from the Manas Survey, comprised of 15 semi-structured interviews with transgender people, conducted between May 2018 and May 2020, analyzed using the content analysis method and organized into a thematic network.</p><p><strong>Results: </strong>: The results highlight the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health.</p><p><strong>Conclusions: </strong>: Despite advances in transgender health policies, access barriers persist, underscoring the importance of training strategies, accurate record-keeping and the expansion of specialized services and the role of primary health care. The study makes progress by including the perceptions from residents of small and medium-sized cities across different regions of the state, aiming to improve access and care for the transgender population via the Brazilian National Health System in Minas Gerais.</p><p><strong>Main results: </strong>The findings underscore the need for adequate structures, specific training for healthcare professionals, the influence of support networks and challenges in mental health, in addition to including the perceptions of residents from small and medium-sized cities.</p><p><strong>Implications for services: </strong>Improving the use of social name and gender identity in records. There is a need for training healthcare professionals in gender identity, expanding transgender-specific services and the role of primary health care (PHC) in this topic.</p><p><strong>Perspectives: </strong>Expansion of specialized services and the role of PHC for this population, in order to improve access and care for the transgender population via the Brazilian National Health System in Minas Gerais state.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe1","pages":"e2024350"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial improvement in Epidemiologia e Serviços de Saúde in 2024.","authors":"Taís Freire Galvão, Everton Nunes da Silva, Wildo Navegantes de Araújo, Jorge Otávio Maia Barreto","doi":"10.1590/S2237-96222024v33e20241002.en","DOIUrl":"https://doi.org/10.1590/S2237-96222024v33e20241002.en","url":null,"abstract":"","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20241002"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccination coverage according to race or skin color in children born in 2017-2018 in Natal, Rio Grande do Norte, Brazil: a population survey.","authors":"Eliene Roberta Alves Dos Santos, Isabelle Ribeiro Barbosa, José Cássio de Moraes, Ana Paula França, Carla Magda Allan Santos Domingues, Maria da Gloria Teixeira, Héllyda de Souza Bezerra, Nayre Beatriz Martiniano de Medeiros, Mayonara Fabíola Silva Araújo, Fábia Cheyenne Gomes de Morais Fernandes, Arthur Alexandrino, Ricardo Andrade Bezerra, Adriana Ilha da Silva, Alberto Novaes Ramos, Ana Paula França, Andrea de Nazaré Marvão Oliveira, Antonio Fernando Boing, Carla Magda Allan Santos Domingues, Consuelo Silva de Oliveira, Ethel Leonor Noia Maciel, Ione Aquemi Guibu, Isabelle Ribeiro Barbosa, Jaqueline Caracas Barbosa, Jaqueline Costa Lima, José Cássio de Moraes, Karin Regina Luhm, Karlla Antonieta Amorim Caetano, Luisa Helena de Oliveira Lima, Maria Bernadete de Cerqueira Antunes, Maria da Gloria Teixeira, Maria Denise de Castro Teixeira, Maria Fernanda de Sousa Oliveira Borges, Rejane Christine de Sousa Queiroz, Ricardo Queiroz Gurgel, Rita Barradas Barata, Roberta Nogueira Calandrini de Azevedo, Sandra Maria do Valle Leone de Oliveira, Sheila Araújo Teles, Silvana Granado Nogueira da Gama, Sotero Serrate Mengue, Taynãna César Simões, Valdir Nascimento, Wildo Navegantes de Araújo","doi":"10.1590/S2237-96222024v33e20231310.especial2.en","DOIUrl":"10.1590/S2237-96222024v33e20231310.especial2.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze vaccination coverage up to 24 months of age according to race/ skin color in the 2017-2018 live birth cohort in Natal, Rio Grande do Norte, Brazil.</p><p><strong>Methods: </strong>Population-based survey conducted in 2020 and 2021. Vaccination coverage up to 24 months of age was estimated according to administered, valid and timely doses. Crude association of race/skin color was estimated by calculating the crude Prevalence Ratio and respective 95% Confidence Intervals, using Poisson regression.</p><p><strong>Results: </strong>Of the 688 children in the selected cohort, there was greater coverage among Black children for administered doses (White 30.5%; Black 47.8%; 95%CI) and valid doses (White 25.8%; Black 40.1%; 95%CI), although without statistical significance, and lower coverage for timely doses, in the full schedule excluding yellow fever (PR = 0.21; 95%CI 0.04;0.90).</p><p><strong>Conclusion: </strong>There was lower timely coverage among Black children compared to White children.</p><p><strong>Main results: </strong>It was found that racial inequalities and social disparities were reflected in vaccination coverage of Black children in the state of Rio Grande do Norte, showing lower prevalence of timely and full vaccination schedules among those children.</p><p><strong>Implications for services: </strong>The results demonstrate the need to strengthen equitable public policies and the implementation of practices that seek to improve vaccination coverage, thus reducing racial inequalities in child immunization.</p><p><strong>Perspectives: </strong>Health service managers will be able to plan actions and strategies in childhood immunization services, in order to increase vaccination coverage and reduce vaccination hesitancy among Black people and people from lower socioeconomic strata.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 spe2","pages":"e20231310"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitudes and practices of primary care professionals about the food guide for children up to 2 years old: a cross-sectional study, Botucatu, São Paulo, Brazil, 2023.","authors":"Vivian Lovison do Amaral, Giovana Canela Spadotto, Caroline de Barros Gomes","doi":"10.1590/S2237-96222024v33e20240111.en","DOIUrl":"10.1590/S2237-96222024v33e20240111.en","url":null,"abstract":"<p><strong>Objective: </strong>To investigate knowledge, attitudes and practices of primary health care professionals regarding breastfeeding and complementary feeding, in accordance with the recommendations of the food guide for Brazilian children up to 2 years old.</p><p><strong>Methods: </strong>This is a descriptive study undertaken from October to December 2023, with a self-administered online questionnaire, aimed at physicians, nurses and community health agents in primary health care in Botucatu, São Paulo, Brazil. We performed descriptive analysis and used Pearson's chi-squared test to analyze association between professional categories and their knowledge, attitudes and practices in relation to the content of the food guide.</p><p><strong>Results: </strong>74 professionals participated, including 37 community health agents, 19 nurses and 18 physician. Half the professionals had low knowledge about the content of the guide, getting less than half the answers right, in particular those related to complementary foods, for which 57 professionals got less than half of them right. Physicians and nurses were the professionals who believed they were more qualified to provide information related to the content of the guide, when compared to community health agents (p-value<0.001). Regarding practices, 18 professionals stated they sometimes provide guidance on breastfeeding, 24 reported never doing breastfeeding assessments during consultations and home visits and 22 provided guidance on introduction of complementary feeding.</p><p><strong>Conclusion: </strong>Knowledge of physician, nurses and community health workers was deficient regarding the content of the guide. Attitudes and practices regarding the content were also compromised.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20240111"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal trend of mortality due to Parkinson's disease in older people in Brazil, 2002-2021.","authors":"Thamara Hubler Figueiró, Viviane Nogueira de Zorzi, Eleonora d'Orsi, Cassiano Ricardo Rech, Danúbia Hillesheim","doi":"10.1590/S2237-96222024v33e2024532.en","DOIUrl":"10.1590/S2237-96222024v33e2024532.en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the epidemiological profile and analyze the temporal trend of deaths due to Parkinson's disease among the elderly in Brazil from 2002 to 2021.</p><p><strong>Methods: </strong>Descriptive and temporal trend study using data from the Mortality Information System. Annual percent change (APC) and 95% confidence intervals (95% CI) were estimated using the Prais-Winsten regression model.</p><p><strong>Results: </strong>Among the 57,723 deaths, there was a higher frequency in males (54.7%), individuals aged ≥ 80 years (57.7%), and White individuals (75.0%). Mortality trends increased in both males (APC = 3.32; 95%CI 2.49; 4.16) and females (APC = 2.81; 95%CI 1.80; 3.82); across all age groups, particularly ages 70-79 (APC = 4.93; 95%CI 2.98; 6.91); and in all Brazilian regions, especially the Northeast (APC = 6.79; 95%CI 4.35; 9.30).</p><p><strong>Conclusion: </strong>Deaths due to Parkinson's disease were more frequent among males and the oldest age groups, with an increasing mortality trend observed over the period.</p><p><strong>Main results: </strong>An increasing trend in mortality due to Parkinson's disease was found among elderly people of both sexes, of all age groups and in all Brazilian regions in the period.</p><p><strong>Implications for services: </strong>The increase in mortality due to Parkinson's disease implies greater demand for health care services and, consequently, contributes to the financial burden related to diagnosis and treatment of people with the disease.</p><p><strong>Perspectives: </strong>Investing in research and technologies for timely diagnosis, treatment and health recovery are crucial. Furthermore, the need exists to promote health policies that guarantee equitable access to specialized services.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e2024532"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatio-temporal evolution of stroke mortality in Minas Gerais, Brazil, 1980-2021.","authors":"Daniel Hideki Bando, Francisco Chiaravalloti Neto, Alfredo Pereira de Queiroz","doi":"10.1590/S2237-96222024v33e20240017.en","DOIUrl":"10.1590/S2237-96222024v33e20240017.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze spatio-temporal evolution of stroke mortality in Minas Gerais state, Brazil, 1980-2021.</p><p><strong>Methods: </strong>Ecological study with aggregated data by micro-region. Segmented linear regression was used for trend analysis; maps with rates per five-year period and scan statistics were used for spatial analysis.</p><p><strong>Results: </strong>There were 392,521 stroke-related deaths (rate of 52.6/100,000-year). All rates (crude, adjusted, by age group) showed a decreasing trend, less so in the crude rate (Annual Percent Change [APC] = -0.70) and a faster decrease in the 20-39 age group (APC = -4.48). A high-rate cluster was identified in the southern region (1980-1999; Relative Risk [RR] = 2.06), and a low-rate cluster in the northwest (2008-2021; RR = 0.59). The most significant decrease occurred in the south (APC = -3.64).</p><p><strong>Conclusion: </strong>Stroke mortality showed a decreasing trend. Clusters and areas with higher rates identified in the northeast in recent years require attention by service managers.</p><p><strong>Main results: </strong>Decreasing trend in stroke mortality, a cluster was found in the south with high rates (1980-1999; relative risk [RR] = 2.06) and another in the northwest with low rates (2008-2021; RR = 0.59).</p><p><strong>Implications for services: </strong>For health service managers, greater attention is suggested in the micro-regions and respective municipalities in the northeast that have presented a higher risk of mortality from stroke in recent years, with the aim of improving the regulation of health care service and network regulation, as well as optimizing access to these services.</p><p><strong>Perspectives: </strong>It is necessary to monitor the spatio-temporal evolution of stroke mortality and conduct new studies on different scales (for example, on the municipal scale) and methodologies (for example, multilevel analysis), to estimate risk factors and the social context of vulnerable populations.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20240017"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with body image dissatisfaction among school student: National School Health Survey, 2019.","authors":"Ingride Sousa Linhares, Osmar de Oliveira Cardoso, Jesusmar Ximenes Andrade, Fernando Ferraz do Nascimento, Malvina Thais Pacheco Rodrigues, Márcio Dênis Medeiros Mascarenhas","doi":"10.1590/S2237-96222024v33e20231441.en","DOIUrl":"10.1590/S2237-96222024v33e20231441.en","url":null,"abstract":"<p><strong>Objective: </strong>To estimate prevalence and analyze factors associated with body image dissatisfaction among Brazilian adolescent school students.</p><p><strong>Methods: </strong>Cross-sectional study with data from the 2019 National School Health Survey (PeNSE). Prevalence of self-reported body image dissatisfaction and respective 95% confidence intervals (95%CI) and its association with individual characteristics were estimated via odds ratios (OR) and 95% CI using logistic regression.</p><p><strong>Results: </strong>Of the 159,245 students, 30.2% (95%CI 29.2;31.1) reported body image dissatisfaction, which was associated with all factors analyzed. Likelihood of dissatisfaction was greater among females (OR = 3.86; 95%CI 3.45;4.32), having internet at home (OR = 8.68; 95%CI 6.83;11.03), thinking that no one cares about them (OR = 3.02; 95%CI 2.60;3.50), that life is not worth it (OR = 3.27; 95%CI 2.88;3.72) and feeling irritated (OR = 2.87; 95%CI 2.53;3.26).</p><p><strong>Conclusion: </strong>Body image dissatisfaction is associated with various factors and requires an intersectoral approach.</p><p><strong>Main results: </strong>Prevalence of body image dissatisfaction was 30.2%. The greatest likelihood of dissatisfaction was more related to being female, having internet at home, frequently feeling that no one cares about them, that life is not worth it, and feeling irritated.</p><p><strong>Implications for services: </strong>We suggest that projects be carried out in schools encouraging physical activity, less screen time and good eating habits, in addition to providing psychological support to students, in order to guide care for their mental health.</p><p><strong>Perspectives: </strong>Projects are needed to encourage and instruct good physical and psychological health practices at school, involving the entire school community, training of education professionals and encouragement of adolescent mental health self-care.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20231441"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health technology assessment in the Brazilian National Health System: profile of CONITEC exclusion recommendations, 2012-2023.","authors":"Francielli Salles Pinheiro, Stéfani Sousa Borges, Fernanda d'Athayde Rodrigues","doi":"10.1590/S2237-96222024v33e20240057.en","DOIUrl":"10.1590/S2237-96222024v33e20240057.en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the recommendations for exclusion of health technologies in the Brazilian National Health System (SUS), made by the National Commission for the Incorporation of Technologies in the Brazilian National Health System (CONITEC) from 2012 to 2023, and to identify the disinvestment criteria used.</p><p><strong>Methods: </strong>Documentary, descriptive and retrospective analysis of CONITEC reports that assessed technology exclusion requests.</p><p><strong>Results: </strong>We identified 24 reports on 74 technologies, whereby the requests predominantly involved medications (95.9%). CONITEC favorably recommended 95% of the exclusions, prioritizing the absence of registration with the National Health Surveillance Agency and the existence of therapeutic alternatives.</p><p><strong>Conclusion: </strong>Low demand for exclusions compared to incorporations reveals challenges in identifying obsolescence and resistance to exclusion of technologies. The sustainability of the SUS requires greater monitoring of incorporated technologies, to optimize resources and promote the efficiency of the health system.</p><p><strong>Main results: </strong>The study identified that demands for exclusion of technologies in the Brazilian National Health System (Sistema Único de Saúde - SUS) are significantly lower than demands for incorporation, highlighting the need to pay greater attention to the disinvestment process, in order to guarantee the sustainability of the health system.</p><p><strong>Implications for services: </strong>The findings of this study point to the importance of structuring disinvestment assessment methods, with the aim of improving monitoring of health technology obsolescence and promoting more efficient allocation of resources in the SUS.</p><p><strong>Perspectives: </strong>We suggest that criteria be established for the periodic re-assessment of incorporated technologies, in order to guarantee regular reviews and the fluidity of CONITEC's work in assessing health technologies.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"33 ","pages":"e20240057"},"PeriodicalIF":2.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}