Frontiers of Nursing最新文献

{"title":"Global trends and knowledge-relationship of symptom clusters in cancer research: a bibliometric analysis over the past 20 years","authors":"Ran An, Yuan Luo, Wen-Feng Chen, Muhammad Sohaib, Mei-Zi Liu","doi":"10.2478/fon-2023-0031","DOIUrl":"https://doi.org/10.2478/fon-2023-0031","url":null,"abstract":"Abstract Objective To use CiteSpace and VOSviewer to investigate the scientific production in the field of symptom clusters in cancer research. Methods The search was performed using the terms “symptom clusters,” “cancer,” and “oncology” on the Web of Science Core Collection database. The retrieval time was from 2001 to 2021, which covers the last 2 decades. Based on the production theory of scientific knowledge and the data mining of citations, data pertaining to the annual publications, journals, countries, organizations, authors, and keywords that produce symptom clusters in cancer research, as well as their cooperation (collaboration network), were extracted, and then both were clarified by the software tools VOSviewer (version 1.6.16) and CiteSpace (version 6.1.R2). Results A total of 1796 publications were retrieved between 2001 and 2021, and 473 relevant publications were included after screening. The results showed an increasing trend in published articles. The United States had the largest number of publications (261/473, 55.18%), followed by China and Canada. The University of California, San Francisco, was the most productive institution. Current research hotspots included the analysis of symptom clusters and symptom management in patients with breast cancer and lung cancer, as well as any advanced cancer and cancer cachexia; fatigue-related symptom clusters and depression-anxiety symptom cluster; and the impacts of symptom clusters on quality of life. The research frontiers included analysis between health-related quality of life and symptom clusters, data mining in symptom clusters, research on the mental health status of cancer patients, and study of the mechanism and biological pathways of symptom clusters. Conclusions The study provides insight into the global research perspective for the scientific progress on cancer symptom clusters, which suggests a growing scientific interest in this field, and more studies are warranted to guide symptom management.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135433238","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":"Knowledge, attitude, and practices toward osteoporosis among Jordanian nurses","authors":"Alsalti Zaid, Abu Alhaja Eyad, Abu Nab Hamzeh","doi":"10.2478/fon-2023-0036","DOIUrl":"https://doi.org/10.2478/fon-2023-0036","url":null,"abstract":"Abstract Objective To identify the level of knowledge, attitude, and practice (KAP) toward osteoporosis among Jordanian nurses. Methods A cross-sectional design was adopted in this study. A convenience sample of 443 Jordanian nurses were recruited from the public and private healthcare settings in Jordan. The assessment tool used in the current study contained 35 items, measuring KAP among Jordanian nurses toward osteoporosis. The correlation Pearson test and regression test were used to analyze data using Statistical Package for Social Sciences, version 21. Results The total KAP scores were 33.53, 37.65, and 22.7, respectively. These results revealed that Jordanian nurses have a moderate level of KAP toward osteoporosis. Conclusions Jordanian nurses showed a moderate KAP toward osteoporosis, which should be improved as an effective step to reducing the growing incidences of osteoporosis. The lack of KAP holds a serious and growing impact on the Jordanian health sector and patients’ health in terms of cost, healthcare resources, and social life. Nurses can play a valuable role in educating patients on bone fracture causes, perceived percentage, risks, and prevention, as well as in helping them with nutrition and lifestyle recommendations.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135433231","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":"Preventing surgical site infection using operating room bundle of care in patients undergoing elective exploratory laparotomy cholecystectomy surgery","authors":"Erika Leslie R Magat, Josephine M De Leon","doi":"10.2478/fon-2023-0037","DOIUrl":"https://doi.org/10.2478/fon-2023-0037","url":null,"abstract":"Abstract Objective Surgical procedures manifest immense risks to patients. One of the adverse events that healthcare professionals see as a threat to the patient’s health is the development of complications known as surgical site infection (SSI). Although several efforts are being undertaken to determine the proper means to reduce such complications, there is still a high incidence of SSI worldwide. Surgery requires knowledge in infection control and high precision in maintaining a clean surgical site. This study tested the effectiveness of an operating room (OR) bundle of care in preventing SSI in patients undergoing elective exploratory laparotomy cholecystectomy surgery. Methods A quasi-experimental pretest and posttest design was utilized to determine its effectiveness. The study was composed of 60 participants divided into two groups: 30 subjects were selected to receive the OR bundle of care, while the other 30 subjects received the usual care. The groupings were determined through a systematic random sampling technique. The OR bundle of care had three interventions, namely: (1) maintaining perioperative normothermia, (2) no pre-operative surgical site hair removal, and (3) changing gloves before abdominal wall closure. These patients were evaluated using the standard instrument, Bates–Jensen Wound Assessment Tool (BWAT) in the post-intervention phases of the wound healing process, which are as follows: hemostasis, inflammatory, and proliferative phases. To describe the difference in the patients’ wound status after implementation of the OR bundle of care in each post-intervention phase, Friedman’s test was used. To describe the difference in the patients’ wound status in both groups after implementation of the OR bundle of care, the Mann–Whitney U test was used. Results The patient’s wound status was lower, indicating a more healing process. Differences between the wound status of the control and the experimental group were observed on the third postoperative day. This indicates that the experimental group’s wound status healed much faster and more effectively than the control group based on the BWAT scoring severity scoring. A significant difference in the patient’s wound status from the hemostasis phase compared with the proliferative phase was observed. Conclusions The OR bundle of care has been shown to be effective in preventing SSI in patients who had undergone exploratory laparotomy cholecystectomy surgery in the selected hospital, if there is uniform and consistent implementation of the said intervention.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135433234","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":"Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients","authors":"Çiğdem Gamze Özkan, Mağfiret Kaşikçi","doi":"10.2478/fon-2023-0024","DOIUrl":"https://doi.org/10.2478/fon-2023-0024","url":null,"abstract":"Abstract Objective To determine the most common mistakes made during the use of a metered-dose inhaler (MDI), and the effect of the repeated trainings performed with demonstration method by providing one-to-one feedback on these mistakes. Methods This is a quasi-experimental study with a control group. A total of 100 chronic obstructive pulmonary disease (COPD) patients (50 in the control group and 50 in the experimental group) were included in the research. “Patient Information Form (PIF)” (to determine the descriptive characteristics of patients) through the face-to-face interview method, using “MDI Skill Assessment Form” (MDISAF) (it is composed of 10 skill steps about the use of MDI) through observation method was used. Patients in both the groups were asked to use MDI and their abilities regarding use of MDI were assessed. Then in the intervention group, usage of MDI was explained by a nurse via demonstration and placebo MDI. Trainings were repeated on days 1,3, and 5 as from hospitalization of the patient. In the intervention group, three methods were used in this study: “face-to-face training,” “one-to-one,” and “with feedbacks and repeated.” Routine training regarding use of MDI was given by the nurses in the clinic to patients in the control group. The use of an MDI was assessed using MDISAF before training and after the training on the first, third and fifth days of hospitalization. On the seventh day, the last measurement was performed. Percentage, chi square, and mean were used to assess the data. Results After repetitive training with one-to-one feedback, several differences between the groups in favor of the experimental group were found in 7 of the 10 skill levels of the MDI. There was a significant difference after “training” between the groups in the third, fourth, fifth, sixth, seventh, eighth and ninth MDI steps in posttest measurement ( P < 0.05). Evaluating the skills of the groups to use MDI from pretest to posttest, it was determined that while the intervention group made less mistakes in steps in which mistakes were made mostly, the control group continued to make mistakes. Conclusions Inhaler technique intervention with repeated, face to face, and one-to-one feedback trainings can significantly enhance the MDI techniques in COPD patients. The patients in the intervention group made less mistakes during MDI application and their application skills improved. It may be asserted that the training provided to the intervention group was effective for using the device correctly, while the training provided in the clinic for the control group was inadequate.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434342","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":"Energy efficiency training’s effect on fatigue scores of children with a cancer diagnosis^†","authors":"Arash Khalili, Fateme Mohammadi, Amin Doosti-Irani, Hossein Esfahani, Marziyeh Moeinifard","doi":"10.2478/fon-2023-0023","DOIUrl":"https://doi.org/10.2478/fon-2023-0023","url":null,"abstract":"Abstract Objective Fatigue is the most common complication of cancer treatment procedure during chemotherapy, leading to limited daily activities, mood swings, and ultimately impaired functional status. This study aimed to determine the effect of energy efficiency training on the fatigue scores of children with a cancer diagnosis. Methods In the present clinical trial study, 30 children with a cancer diagnosis were randomly assigned variously to the control and testing groups. The cancer-related fatigue questionnaire for children with cancer was employed as the data collection tool. The intervention of the testing group was conducted in 4 sessions of 45–60 min of face-to-face interaction, group sessions, and question-and-answer sessions. Meanwhile, routine interventions were employed in the control group. Quantitative variables were reported as mean and standard deviation, and qualitative variables as frequency and percentage. Stata 11 statistical software and a change score approach were used to analyze the data. Results The mean fatigue score of the testing group increased from 72.12 to 77.53. There was a statistically significant difference between the mean fatigue scores of the testing group before and after the intervention ( P = 0.013), and the children’s fatigue score decreased. There was a statistically significant difference between the mean fatigue scores of the testing and control groups before and after the intervention ( P = 0.001), and the fatigue score of the children in the testing group had decreased compared to the control group. Conclusions Energy efficiency techniques can be employed to increase energy and reduce fatigue during pediatric chemotherapy.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135433235","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":"Effects of physical activity by the teach-back educational method on the physical ability and quality of life in hemodialysis patients: a clinical trial","authors":"P. Sharifian, A. Khalili, M. Shamsizadeh","doi":"10.2478/fon-2023-0027","DOIUrl":"https://doi.org/10.2478/fon-2023-0027","url":null,"abstract":"Abstract Objective To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’ quality of life (QOL) and physical ability. Methods This is a single-blind clinical trial study involving a control group. A total of 90 patients who admitted to the dialysis centers of Beheshti and Besat hospitals in Hamadan were selected using a convenience sampling method and were randomly assigned to intervention (n = 45) and control (n = 45) groups. Data were collected using a demographic information checklist, a kidney disease QOL questionnaire, and a 6-minute-walk distance (6MWD) checklist. The patients’ QOL questionnaire was completed, and the 6MWD was recorded before and at the end of the 2nd, 4th, 6th, 8th, and 12th weeks of the intervention. In the intervention group, the patients were taught to perform physical activities with Pilates stretches in different resistances using the teach-back educational method during dialysis sessions for 12 weeks. Data were analyzed by using the independent t-test and chi-square test using SPSS-22 software. Results Before the intervention, no differences were observed between the experimental and control groups in terms of demographic characteristics, QOL, and physical ability (P > 0.05). The physical ability and QOL levels of patients exercising in the test group were higher than those in the control group after the intervention (P < 0.05). Based on the results, the 2 groups significantly differed with regard to the scores of various dimensions of QOL and physical ability after the intervention (P < 0.05). Conclusions Physical activity by using the teach-back method can effectively increase physical ability and improve QOL of hemodialysis patients. Therefore, the recommendations and inclusion of exercise in the dialysis care plan can effectively promote patients’ health.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43479951","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":"Comparative study of self-compassion and sense of coherence in nurses of psychiatric hospitals","authors":"Iman Nosratabadi, G. Ameri, S. Iranmanesh, N. Asadi","doi":"10.2478/fon-2023-0020","DOIUrl":"https://doi.org/10.2478/fon-2023-0020","url":null,"abstract":"Abstract Objective Nurses, due to the nature of their job, are subjected to various forms of stress and physical and psychological injuries. Self-compassion and a sense of coherence have attracted much attention in research in recent years as having high potential for improving the health and performance of people in the workplace. The present study aimed to compare self-compassion and the sense of coherence in nurses working in psychiatric hospitals and other hospitals of Kerman University of Medical Sciences. Methods The present study was a descriptive-comparative study of applied type conducted on 100 nurses of Shahid Beheshti Psychiatric Hospital in Kerman by the census method and 100 nurses of other hospitals of Kerman University of Medical Sciences by the stratified random sampling method. The instruments included the self-compassion questionnaire and the sense of coherence questionnaire. Data were analyzed using the Statistical Package for Social Sciences software. Results The results of the present study showed that self-compassion and sense of coherence were higher in psychiatric nurses (39.35 ± 7.7 and 53.02 ± 8.01) than among other nurses (36.03 ± 5.81 and 49.76 ± 6.30). There was a direct and moderate relationship between a sense of coherence and self-compassion (P-value <0.005). The higher the score of compassion for oneself, the higher was the score of sense of coherence. Furthermore, the sense of coherence had a direct and weak relationship with all dimensions of self-compassion, except for the extreme imitation dimension, which showed a direct and moderate relationship to other dimensions (P-value <0.001). Conclusions Self-compassion and a sense of coherence, as a form of self-communication, increase nurses’ satisfaction and reduce nurses’ job stress and, as a result, job performance is improved.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49525544","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":"Effects of mindfulness-based interventions on depressive symptoms in patients with substance use disorders: a systematic review and meta-analysis","authors":"Chuntana Reangsing, Sasinun Pusuwun, Suneerat Boonsin, S. Oerther","doi":"10.2478/fon-2023-0016","DOIUrl":"https://doi.org/10.2478/fon-2023-0016","url":null,"abstract":"Abstract Objective We examined the effects of mindfulness-based interventions (MBIs) on depressive symptoms in patients with substance use disorders (SUDs) and explored the moderating effects of participant, method, and intervention characteristics. Methods We systematically searched 8 databases from their inception till November 2021. The inclusion criteria were primary studies evaluating MBIs in patients with SUDs with depression measured as an outcome, those including a control group, and those written in English. We used a random-effects model to compute effect sizes (ESs) using Hedges’ g, a forest plot, and Q and I2 statistics as measures of heterogeneity; we also examined moderator analyses. Results Nineteen studies included 1352 participants (age: 38.6 ± 7.0 years). Overall, MBIs showed significantly improved depression (g = 0.67, 95% confidence interval [CI]: 0.29, 1.05, I2 = 89%) compared to controls. With regard to moderators, providing MBIs as an individual plus group intervention had a greater effect (g = 2.13) on reducing depressive symptoms than providing MBIs as a group intervention (g = 0.64) or an individual intervention only (g = 0.33, P = 0.034). Using concealed allocation tended to reduce depressive symptoms (g = 1.22) as compared to not using concealed allocation (g = 0.48, P = 0.086). No other quality indicators were demonstrated to have a moderating influence on the value of the ES. Conclusions MBIs improved depressive symptoms in patients with SUDs. MBIs might be used as an adjunctive or alternative to conventional treatment for depressed patients with SUDs.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48194056","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":"Risk factors and care of early surgical site infection after primary posterior lumbar interbody fusion","authors":"Xiao-Lin Zuo, Yan Wen","doi":"10.2478/fon-2023-0021","DOIUrl":"https://doi.org/10.2478/fon-2023-0021","url":null,"abstract":"Abstract Objectives To explore the risk factors and nursing measures of early surgical site infection (SSI) after posterior lumbar interbody fusion (PLIF). Methods A total of 468 patients who received PLIF in our hospital from January 2017 to June 2020 were enrolled into this study. According to the occurrence of early SSI, the patients were divided into two groups, and the general data were analyzed by univariate analysis. Multivariate logistic regression analysis was conducted with the dichotomous variable of whether early SSI occurred and other factors as independent variables to identify the risk factors of early SSI and put forward targeted prevention and nursing measures. Results Among 468 patients with PLIF, 18 patients developed early SSI (3.85%). The proportion of female, age, diabetes mellitus and urinary tract infection (UTI), operation segment, operation time, post-operative drainage volume, and drainage time were significantly higher than those in the uninfected group, with statistical significance (P < 0.05), whereas the preoperative albumin and hemoglobin in the infected group were significantly lower than those in the uninfected group, with statistical significance (P < 0.05). There was no significant difference between the two groups in the American Society of Anesthesiologists (ASA) grading, body mass index (BMI), complications including cardiovascular and cerebrovascular diseases or hypertension (P > 0.05). Logistic regression analysis showed that preoperative diabetes mellitus (OR = 2.109, P = 0.012)/UTI (OR = 1.526, P = 0.035), prolonged drainage time (OR = 1.639, P = 0.029) were risk factors for early SSI. Men (OR = 0.736, P = 0.027) and albumin level (OR = 0.526, P = 0.004) were protective factors in reducing early SSI. Conclusions Women, preoperative diabetes/UTI, hypoproteinemia, and prolonged drainage time are risk factors for early SSI after PLIF. Clinical effective preventive measures should be taken in combination with targeted nursing intervention to reduce the risk of early SSI.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43433804","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":"Nursing outcomes of traditional Chinese medicine adjunctive therapy on osteofascial compartment syndrome: a review","authors":"Ya-ping Su, Ruiling Li, Yuanming Wang, Ling-Yu Han","doi":"10.2478/fon-2023-0017","DOIUrl":"https://doi.org/10.2478/fon-2023-0017","url":null,"abstract":"Abstract The rate of disability due to acute osteofascial compartment syndrome (OCS) is high, and the therapeutic effect of decompressive fasciotomy is not ideal. This paper retrospectively reviews the modern treatment of OCS, including Western medicine and Traditional Chinese medicine (TCM), mainly in the context of the advantages of TCM in the treatment process of decompressive fasciotomy or conservative treatment to the patients who are suffering from OCS. It was found that TCM treatment reduced the levels of serum creatine kinase (CK), lactate dehydrogenase (LDH), and aspartate aminotransferase (AST); it is beneficial to the elimination of swelling and pain. TCM adjunctive therapy promotes patients’ postoperative functional recovery and decreases the occurrence of fasciotomy in patients; TCM can relieve tissue hypoxia of compartments and prevent necrosis of muscle and nerve tissue. TCM treatment improves the quality of medical service and ensures the safety of OCS patients. This paper aims to summarize the function of TCM in the treatment of OCS, provide reference for the clinical treatment of OCS, and improve the nursing/medical outcomes of OCS.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43476500","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}