Sexual & Reproductive Healthcare最新文献

{"title":"Expectant and new mothers’ experiences from digital midwifery care and information during pregnancy and postpartum","authors":"Bäckström Caroline,&nbsp;Nilvér Helena,&nbsp;Byhmer Linda,&nbsp;Stridh Tiina,&nbsp;Palmér Lina","doi":"10.1016/j.srhc.2025.101121","DOIUrl":"10.1016/j.srhc.2025.101121","url":null,"abstract":"<div><h3>Objective</h3><div>Globally, the use of digital solutions in midwifery care, parental information, and antenatal classes is increasing. However, research on how these digital solutions function for mothers has not kept pace. Therefore, the aim of this study was to describe expectant and new mothers’ experiences from digital midwifery care and information during pregnancy and postpartum.</div></div><div><h3>Methods</h3><div>This is a Swedish study with a qualitative method and an inductive approach. Twelve expectant and new mothers were individually interviewed, and data was analysed using thematic analysis.</div></div><div><h3>Results</h3><div>The results are presented in one overall theme: <em>An ongoing Negotiation between digital and physical midwifery care is required to promote engagement and address needs,</em> and three themes: <em>A complement that creates flexibility but request balance; Enable participation and inclusion of partners</em>, and <em>The needs of being seen and heard are met to various extends.</em></div></div><div><h3>Conclusion</h3><div>While the flexibility offered through digital midwifery care and parental information is beneficial and facilitates convenience for mothers, digital midwifery care is not entirely interchangeable with physical midwifery care, including antenatal classes. An ongoing negotiation between digital and physical midwifery care is essential to achieve balanced midwifery care that addresses the unique, individual needs of mothers throughout different stages during pregnancy and postpartum.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101121"},"PeriodicalIF":1.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women’s experiences of the transition phase of physiological labour during freebirth: A qualitative study","authors":"Eleanor Young ,&nbsp;Karen-Ann Clarke ,&nbsp;Rachel Reed ,&nbsp;Carolyn Hastie","doi":"10.1016/j.srhc.2025.101115","DOIUrl":"10.1016/j.srhc.2025.101115","url":null,"abstract":"<div><h3>Purpose</h3><div>There is a poverty of knowledge relating to the transition phase of labour and undisturbed childbirth physiology. This study explored women’s experiences of the transition phase of physiological labour during freebirth.</div></div><div><h3>Background</h3><div>Transition within physiological labour is described as a phase occurring as a woman ends the first stage of labour. The woman may display a range of signs and symptoms, including shaking, thirst, nausea, difficulty in communication, irritation, loss of control and inability to cope.</div></div><div><h3>Aim</h3><div>The study aimed to explore women’s experiences of the transition phase of physiological labour during an intended, unassisted labour and birth, known as freebirth.</div></div><div><h3>Methods</h3><div>A qualitative study design, using narrative inquiry was undertaken. Individual in-depth interviews were conducted with women who had experienced physiological births in Australia without the presence of registered health practitioners, doulas or childbirth attendants (n = 10). Reflexive thematic analysis was undertaken to identify themes and patterns.</div></div><div><h3>Findings</h3><div>Women experienced a physiological ‘peak intensity’ of labour that was individualised and nuanced. Three over-arching themes, <em>inner world</em>, <em>outer world</em> and <em>other world,</em> were conceptualised from data analysis. The <em>inner world</em> focussed on the somatic experience of labour. The <em>outer world</em> centred on the women’s perceptions of others and feelings of safety. The <em>other world</em> explored experiences of liminal space and oneness.</div></div><div><h3>Conclusions</h3><div>Findings support earlier studies regarding how women experience physiological processes and affirm that women experience the peak intensity of labour in individualised ways which are not reflected or supported in the common midwifery discourse. This study provides evidence about women’s experiences of physiological labour and insight into their dynamic <em>inner, outer</em> and <em>other</em> worlds. Further research is recommended into the freebirth experience in Australia from the perspective of childbirth physiology, and how the context of the birth setting, and midwifery practice may influence physiology and experience. It is also recommended that emergent knowledge on the altered states of consciousness and the sexual nature of birth be explored.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101115"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency medical technicianś experiences of assignments with women in labour","authors":"Kathrine Hågensen ,&nbsp;Maria Bakland ,&nbsp;Ingela Lundgren","doi":"10.1016/j.srhc.2025.101118","DOIUrl":"10.1016/j.srhc.2025.101118","url":null,"abstract":"<div><h3>Objective</h3><div>To describe Emergency Medical Technicianś(EMTś) experiences of assignments involving women in labour.</div></div><div><h3>Methods</h3><div>A qualitative study with Systematic Text Condensation (STC) for data analysis, as described by Malterud. Ten semi-structured interviews with EMTs in Norway, exploring EMTs experiences during assignments involving women in labour. Participants were recruited via social media and email inquiries to ambulance stations, ensuring a diverse range of travel times to hospitals. Interviews were conducted face-to-face, lasting between 22 and 45 min, and focused on EMTs’ experiences during these assignments.</div></div><div><h3>Results</h3><div>The findings present three main categories: <em>an unpredictable situation, lack of competence and training,</em> and <em>the desire to provide good maternity care while a sense of falling short.</em> EMTs described assignments with women in labor as unpredictable and stressful due to the potential for rapid changes and complications. They expressed a lack of competence and training in obstetric care, relying on random knowledge and experiences shared by colleagues. Despite these challenges, EMTs demonstrated a desire to provide good maternity care, emphasizing the importance of communication, presence, and adapting to the woman’s needs.</div></div><div><h3>Conclusions</h3><div>EMTs experience assignments with women in labour as a demanding event, compounded by a perceived lack of competence and training. There is a desire among EMTs to provide quality maternity care, but they often feel they fall short. Enhancing EMT training in obstetric care and providing regular practice opportunities could improve their confidence, and the quality of care provided to women in labour.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101118"},"PeriodicalIF":1.4,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of very early sexual intercourse among adolescents in a Southeastern European country","authors":"Myzafer Kaçaj ,&nbsp;Gentiana Qirjako ,&nbsp;Iris Mone ,&nbsp;Enver Roshi ,&nbsp;Genc Burazeri","doi":"10.1016/j.srhc.2025.101116","DOIUrl":"10.1016/j.srhc.2025.101116","url":null,"abstract":"<div><h3>Background</h3><div>Early sexual intercourse can lead to increased risks of unintended pregnancies, and negative impacts on adolescents’ health. Our aim was to assess the prevalence and correlates of very early sexual intercourse (≤14 years) among adolescents in a Southeastern European country undergoing rapid transformations.</div></div><div><h3>Methods</h3><div>We carried out a cross-sectional study in Albania in 2022, which included a nationally representative sample of 1877 schoolchildren aged 15 years (about 55 % girls; overall response: ≈96 %). Data collection included age of commencement of sexual intercourse (if applicable) and important determinants of early sex comprising behavioural factors, health characteristics, child maltreatment indices and sociodemographic factors. Logistic regression assessed the association of very early sexual intercourse with covariates.</div><div><strong>Findings:</strong> Among 321 schoolchildren with lifetime sexual intercourse who also reported on age of commencement (≈17 % of the total), the prevalence of very early (≤14 years) sexual intercourse was ≈53 %. It was more prevalent in boys (P = 0.01), in children from more affluent families (P = 0.06), among lifetime smokers (P = 0.02), in children who never/rarely felt low (P = 0.06), and in children who reported lifetime physical abuse (P = 0.06), or lifetime sexual abuse (P = 0.10). In multivariable-adjusted logistic regression models, independent significant positive correlates of very early sexual intercourse included family affluence (OR = 1.8, 95 %CI = 1.0–3.1) and lifetime physical abuse (OR = 2.1, 95 %CI = 1.2–3.6).</div></div><div><h3>Conclusion</h3><div>Our study evidenced a substantial prevalence of very early sexual intercourse, especially among male adolescents, which is a cause of concern. Interventions should address child maltreatment and promote healthy family environments, alongside comprehensive sexual education tailored to the developmental needs of adolescents.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101116"},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"pre-SUCCECS: Lessons learned from implementing resuscitation and stabilisation with an intact cord during caesarean sections – Focus group discussions with implementation teams","authors":"Katarina Ekelöf ,&nbsp;Elisabeth Sæther ,&nbsp;Ola Andersson ,&nbsp;Jenny Svedenkrans ,&nbsp;Karolina Linden","doi":"10.1016/j.srhc.2025.101114","DOIUrl":"10.1016/j.srhc.2025.101114","url":null,"abstract":"<div><h3>Objective</h3><div>The primary aim of this study was to explore the lessons learned from implementing a procedure of resuscitation and stabilization with an intact umbilical cord for preterm and term infants requiring resuscitation or stabilization during emergency caesarean sections.</div></div><div><h3>Methods</h3><div>Data were collected by two focus group discussions and one individual interview. Participants were members of implementation teams responsible for implementing of resuscitation and stabilization with an intact cord during caesarean sections. The implementation teams were from two hospitals from different metropolitan areas in Sweden. We used a deductive approach with data collection and analysis guided by the Consolidated Framework for Implementation Research 2.0 and an inductive approach to derive lessons learned.</div></div><div><h3>Results</h3><div>All implementation domains except the outer setting were represented in the results. Suggested solutions to common concerns such as maintaining sterility, temperature control of the neonate and availability of the equipment were described by the implementation teams. Additionally, the participants highlighted the importance of a multidisciplinary implementation team with all professions represented as well the need for decision-making authority in the team, for successful implementation.</div></div><div><h3>Conclusions</h3><div>The lessons learned from implementing neonatal resuscitation and stabilisation with an intact umbilical cord during caesarean section can inform efficient strategies for implementing this complex intervention into clinical routines across difverse birth settings.</div></div><div><h3>Synopsis</h3><div>Lessons learned from implementing resuscitation and stabilization with an intact cord during emergency caesarean sections are included. Possible solutions to concerns about sterility, neonatal temperature control, and equipment availability are presented.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101114"},"PeriodicalIF":1.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Whop and Butler","authors":"Melissa Bartick ,&nbsp;Hannah Dahlen ,&nbsp;Jenny Gamble ,&nbsp;Shawn Walker ,&nbsp;Roger Mathisen ,&nbsp;Karleen Gribble","doi":"10.1016/j.srhc.2025.101112","DOIUrl":"10.1016/j.srhc.2025.101112","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101112"},"PeriodicalIF":1.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and predictors of depression in Jordanian women post-hysterectomy: A multi-centre cross-sectional study","authors":"Nadeen Abu Ghali ,&nbsp;Rasmieh Al-Amer ,&nbsp;Yacoub Abuzied ,&nbsp;Ahmad Aqel ,&nbsp;Ruba W. Al-Rwashdih ,&nbsp;Mohammad Y.N. Saleh ,&nbsp;Mohammed Albashtawy ,&nbsp;Eman Zmaily Dahmash","doi":"10.1016/j.srhc.2025.101113","DOIUrl":"10.1016/j.srhc.2025.101113","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to assess the prevalence of depression among Jordanian women who underwent hysterectomy and determine the associations with their demographic characteristics and their social support levels.</div></div><div><h3>Methods</h3><div>The study included women over 18 years who underwent hysterectomy and received care at government hospitals in Amman, the capital of Jordan. The study instruments were a demographic questionnaire, a Depression, and Stress Scale (DASS), and a social support scale. The DASS categorises depression levels as ’No depression’, ‘Mild’, ’Moderate’, ’Severe’, to ’Extremely severe’.</div></div><div><h3>Results</h3><div>The study included 220 participating women; 68.2 % of them (n = 150) were married, with a mean age of 48.17 (SD = 11.78) years. Approximately half of the women reported experiencing some form of depressive symptoms. The study found significant negative relationships between depression and age, (r = −0.403; p &lt; 0.001), number of children (r = −0.342; p &lt; 0.001), and sexuality pattern change. Additionally, there were significant positive correlations between depression and duration of marriage, body mass index, employment status, marital status, fertility wishes, education level, and family income. The whole regression model concerning depression was significant, with an R² of 0.256. Depression among Jordanian women who underwent hysterectomy was significantly predicted by their age (β = −0.315, p &lt; 0.001); sexuality change (β = −0.207, p = 0.001); and number of children (β = −0.202, p = 0.002).</div></div><div><h3>Conclusions</h3><div>Depression was highly prevalent among Jordanian women who underwent hysterectomy and was significantly predicted by age, sexuality change, and number of children.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101113"},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating child adoption decision among women with infertility in Southern Ghana","authors":"Belinda Nana Ama Quartey ,&nbsp;Joseph Quartey ,&nbsp;Josephine M. Kyei ,&nbsp;Deborah Armah ,&nbsp;Florence Naab","doi":"10.1016/j.srhc.2025.101111","DOIUrl":"10.1016/j.srhc.2025.101111","url":null,"abstract":"<div><div>The traditional Ghanaian society is pro-natal, with childbearing as the ultimate purpose of marriage. However, infertility may impede this purpose, leading to the need for child adoption among couples. This study explored child adoption decisions among women with infertility in Southern Ghana. A qualitative descriptive exploratory design was used. Purposive and snowball sampling techniques were used to recruit eligible participants. Overall, 14 women with infertility were interviewed. Analyses of the data were conducted using content analysis after audio-recorded interviews were transcribed verbatim. The findings suggested that to navigate the decision to adopt a child in Southern Ghana, there are key factors and environmental factors influencing the decision of these women. The study revealed that child adoption is associated with stigma, and some cultural beliefs, which were described as impediments to their decision-making process. The findings suggest that discrimination, stigma, and cultural beliefs, are the obstacles to child adoption in Southern Ghana. As a result, there is a need for community engagement, particularly with traditional and religious leaders, on child adoption issues in Ghana.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101111"},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing tranexamic acid into the protocol for management of post-partum haemorrhage: An observational study using repeated cross-sectional analysis","authors":"Megan Weller ,&nbsp;Alison Griffin ,&nbsp;Sarah Janssens","doi":"10.1016/j.srhc.2025.101110","DOIUrl":"10.1016/j.srhc.2025.101110","url":null,"abstract":"<div><h3>Objective</h3><div>Primary post-partum haemorrhage (PPH) is an important cause of maternal morbidity and mortality. Following the WOMAN trial, tranexamic acid (TXA) was endorsed as an important component of PPH management, because it was shown to reduce the risk of maternal death due to bleeding. This study aimed to assess changes in maternal outcomes in relation to PPH following vaginal birth pre and post the introduction of TXA into the PPH management policy at a tertiary level Australian Maternity Hospital.</div></div><div><h3>Materials and methods</h3><div>A repeated cross-sectional analysis was performed, assessing outcomes for the two years before, and two years after the introduction of TXA into the PPH management protocol. The primary outcome was estimated blood loss at PPH. Additional outcomes assessed were red cell transfusion post-delivery, iron infusion post-delivery and operative management of PPH. Maternal characteristics were described and compared. Multinomial logistic regression was used to estimate the unadjusted and adjusted relative risk of having blood loss 1000–1499 mL or ≥1500 mLs (with reference 500–999 mLs) pre and post TXA.</div></div><div><h3>Results</h3><div>This policy change did not confer a difference in maternal outcomes. Surprisingly, there was an increased risk of PPH ≥ 1500 mLs in both adjusted and unadjusted models. Given the observational nature of our study, it is likely this finding is due to an unknown confounder.</div></div><div><h3>Conclusions</h3><div>The incidence of severe PPH increased despite alteration to our management protocol to include 1 g of TXA. Ongoing research is required to determine factors contributing to PPH, and the optimal medical management.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"45 ","pages":"Article 101110"},"PeriodicalIF":1.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The regulation and practice of midwifery prescribing around the world: A scoping review of regulations and literature","authors":"Kirsten Small ,&nbsp;Chanelle Warton ,&nbsp;Jennifer Fenwick ,&nbsp;Kathleen Baird ,&nbsp;Caroline Homer ,&nbsp;Zoe Bradfield","doi":"10.1016/j.srhc.2025.101109","DOIUrl":"10.1016/j.srhc.2025.101109","url":null,"abstract":"<div><h3>Background</h3><div>The authority to prescribe medications has been extended to midwives in many countries. Understanding how midwifery prescribing is used, whether it is effective, and how it is regulated can inform the development of midwifery prescribing.</div></div><div><h3>Aim</h3><div>To describe regulatory standards for midwifery prescribing in high-income English-speaking countries and identify insights from research regarding midwife prescribing.</div></div><div><h3>Methods</h3><div>A scoping review using the Joanna Briggs Institute methodology. Literature searches targeted 1. Grey literature relating to professional standards, regulations, and / or legislation regarding midwifery prescribing in selected high-income countries; 2. Peer-reviewed empirical research regarding midwifery prescribing.</div></div><div><h3>Findings</h3><div>In some jurisdictions, educational preparation for midwifery prescribing is completed in the primary midwifery degree, with all midwives having prescribing authority; in others, a separate course provides the entry point for a subset of the midwifery workforce. Models of midwifery prescribing have moved to more autonomous prescribing over time.</div><div>Midwives used their prescribing authority in diverse ways. No research directly examined safety and effectiveness. However, approaches expected to produce safe and effective prescribing were demonstrated. Access to care was improved when independent midwifery prescribing was available.</div></div><div><h3>Discussion</h3><div>Midwifery prescribing is well embedded around the world but has not been as comprehensively evaluated as other forms of non-medical prescribing. Non-medical prescribing by other health professionals has expanded over time, with evidence of better outcomes compared to medical prescribing. Barriers to midwifery prescribing reflect those impacting other non-medical prescribers.</div></div><div><h3>Conclusion</h3><div>Addressing barriers to midwifery prescribing offers an effective means to enhance maternity care provision.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101109"},"PeriodicalIF":1.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}