Sexual & Reproductive Healthcare最新文献

{"title":"The road to equity: A scoping review of the evidence and practices on abortion policies and services in Sweden","authors":"Anna Wängborg ,&nbsp;Johanna Schmidt ,&nbsp;Cristina Mattison,&nbsp;Kirsty Bourret,&nbsp;Marie Klingberg Allvin","doi":"10.1016/j.srhc.2025.101071","DOIUrl":"10.1016/j.srhc.2025.101071","url":null,"abstract":"<div><h3>Objective</h3><div>The aims of this study are to i) map and synthesize scientific evidence on abortion policies and service provision and delivery developments in Sweden and ii) identify potential facilitators and barriers to equitable abortion services nationally.</div></div><div><h3>Methods</h3><div>A scoping review of peer-reviewed papers (n = 51) and grey literature (n = 23) published 1975–2024 was conducted. The PRISMA-ScR protocol for scoping reviews was followed. Seventy-four (n = 74) documents were included, and a qualitative synthesis was used to summarize, analyze, and assess the body of evidence identified.</div></div><div><h3>Results</h3><div>Divergence in clinical guidelines was found and indicates inconsistencies in service delivery. Although there is strong evidence supporting midwife’s role in delivering medication abortion, it has not been fully implemented and differs between and within regions. The Swedish abortion legislation prevents the implementation of midwives being key providers of medication abortion and self-managed home abortions in whole, thereby hampering access. The gap analysis show that although abortion services have been well researched, the experiences of migrants are scarcely addressed, and those of LGBTQI + people and persons with disabilities are absent.</div></div><div><h3>Conclusion</h3><div>Significant progress has been made in advancing access to equitable abortion services through legislative developments, medical innovations and the expansion of midwifery-led medication abortion services. However, some barriers remain including variability in service delivery and there is a research gap from an intersectional perspective. To better inform policy and practice, future research could apply a reproductive justice lens to explore how ethnicity, gender, disability and sexuality intersect and shape access to and experience of abortion services.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101071"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women experiencing the second stage of labour for the first time: A qualitative free-text analysis within the Oneplus trial","authors":"Mia Vilhelmsen ,&nbsp;Malin Edqvist ,&nbsp;Christine Rubertsson ,&nbsp;Karin Ängeby","doi":"10.1016/j.srhc.2025.101083","DOIUrl":"10.1016/j.srhc.2025.101083","url":null,"abstract":"<div><h3>Title</h3><div>Women experiencing the second stage of labour for the first time: a qualitative free-text analysis within the Oneplus trial.</div></div><div><h3>Background</h3><div>The second stage of labour is the time from full cervical dilation to the birth of the baby. The risks to the woman and the baby are increased during this stage, leading to intensified midwifery care. A positive birth experience is a significant goal of intrapartum care and it is important to investigate how women experience the second stage of labour in particular.</div></div><div><h3>Aim</h3><div>The aim was to explore women’s experiences of the second stage of labour in their first vaginal birth.</div></div><div><h3>Methods</h3><div>This qualitative study analysed data from the Oneplus trial’s one-month postpartum follow-up questionnaire. The questionnaire included an open-ended question about the second stage of labour and the free-text answers were analysed using inductive and manifest qualitative content analysis.</div></div><div><h3>Results</h3><div>The open-ended question was answered by 865 women and three categories emerged. In the first category, women described their physical and emotional sensations during this stage. The other two categories concerned women’s relationship with midwives. The relationship was a major contributor to a positive experience but also had the opposite potential. Midwives’ use of instructions mostly regarded pushing technique. When women were given instructions, it could lead to feelings of blame instead of accomplishment.</div></div><div><h3>Conclusions</h3><div>The result showed the essentiality of midwifery care during the second stage of labour, as it contained both emotional support and guidance which affected the women’s experiences positively. The experience of being instructed by the midwife during the second stage of labour is more complex and needs further research.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101083"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143526893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing perceived heating effect and intensity of therapeutic ultrasound between breast tissue and calf muscle in lactating women: An observational study","authors":"Lauren Neill ,&nbsp;Elizabeth Eske ,&nbsp;Wan Hui Yip ,&nbsp;Lalitha Gurram ,&nbsp;Beatriz IR de Oliveira ,&nbsp;Adelle McArdle ,&nbsp;Melinda Cooper ,&nbsp;Angela Jacques ,&nbsp;Leanda McKenna","doi":"10.1016/j.srhc.2025.101082","DOIUrl":"10.1016/j.srhc.2025.101082","url":null,"abstract":"<div><h3>Objective</h3><div>Therapeutic ultrasound (TUS) is the most common physiotherapy treatment for inflammatory conditions of the lactating breast. However, effective parameters for treatment are unknown, and based on musculoskeletal evidence. This study’s aims were to determine the difference in heat perception (using TUS) between lactating breast and calf muscle tissue and the range of intensities required for heating perception in healthy lactating women.</div></div><div><h3>Method</h3><div>This repeated measures study recruited lactating mothers who exclusively breastfed infants aged 6 months or younger who responded to social media posts and flyers placed in medical offices. TUS was sequentially applied to the breast and calf, starting from 1Wcm². The intensity at which participants reported first perceived warmth and then most tolerable warmth (or 2.5Wcm²) for the breast and the calf was recorded.</div></div><div><h3>Results</h3><div>Fifty mothers (mean age, BMI = 31.6 years, 26.5), first perceived warmth at lower intensities in the breast (Z = −3.637,p &lt; 0.001), but there was no difference between locations for most tolerable warmth (Z = −1.165,p = 0.244). Factors associated with higher perception of first warmth were antidepressant use (β = 0.369[95 %CI:0.103–0.635],p = 0.007) and calf location (β = 0.286[95 %CI:0.055–0.516],p = 0.015). Higher body mass index was the only factor associated with higher perception of tolerable warmth (β = 0.024[95 %CI:0.004–0.044],p = 0.017). The range of intensities required to perceive heating in the breast were 1–2.5Wcm².</div></div><div><h3>Conclusions</h3><div>As perception of breast and calf warmth differs, TUS parameters used to treat musculoskeletal conditions may not be appropriate for inflammatory conditions of the lactating breast. Additional studies are needed to determine the tolerability and effectiveness of TUS using different intensities when treating women with ICLB.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101082"},"PeriodicalIF":1.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143521049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of the Black population on fertility care: A scoping review","authors":"Sara Ibrahim ,&nbsp;Jaymie Varenbut ,&nbsp;Salwa Farooqi ,&nbsp;Modupe Tunde-Byass","doi":"10.1016/j.srhc.2025.101080","DOIUrl":"10.1016/j.srhc.2025.101080","url":null,"abstract":"<div><div>Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), offer hope for people struggling with infertility. Studies demonstrate that disparities in access and experiences with fertility care exist among different racial groups, particularly affecting Black women. This scoping review aims to explore Black women’s perceptions of fertility care and psychosocial barriers that they encounter when accessing care. This scoping review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist. Three databases including OVID Medline, PubMed, and Embase, were searched using keywords that resulted in 12 studies that explored barriers to fertility care for Black women. Identified barriers included discrimination, lack of knowledge, and a lack of cultural sensitivity among physicians. The financial cost of treatment was the most frequently reported barrier to infertility treatment. Identified facilitators to infertility treatment included a thorough understanding of the treatment plan and procedures, culturally competent providers, and fertility counseling for patients including education on existing insurance coverage for infertility treatments. Recognizing disparities in IVF outcomes, and identifying both barriers and facilitators to treatment, is an essential first step toward improving fertility care outcomes.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101080"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women’s experiences of participating in a digital continuity of care model designed for fear of birth in a rural setting","authors":"Klockar Linda Nääs ,&nbsp;Margareta Johansson ,&nbsp;Ingela Wiklund ,&nbsp;Ingegerd Hildingsson","doi":"10.1016/j.srhc.2025.101081","DOIUrl":"10.1016/j.srhc.2025.101081","url":null,"abstract":"<div><h3>Background</h3><div>Midwifery continuity models are highly recommended. Women with fear of birth living in rural areas might have difficulties accessing such care. Technology can play a role in enhancing contact with midwives during pregnancy and childbirth for these women.</div></div><div><h3>Objective</h3><div>The aim of this study was to elucidate women’s experiences of participating in a digital continuity of care model designed for pregnant women with fear of birth.</div></div><div><h3>Methods</h3><div>A qualitative interview design, employing interviews with 15 women participating in a midwifery continuity project directed towards women with fear of birth. The participants used e-health tools for communication with midwives during their pregnancy and childbirth. Reflexive thematic analysis was used.</div></div><div><h3>Results</h3><div>The analysis resulted in an overarching theme: ‘<em>A digital continuity model of midwifery care for women with fear of birth in a rural area is attractive’</em>. The model created positive outcomes in terms of sustainability and use of resources. The women reported enhanced autonomy and reduced stress. Continuity of care fostered confidence and security throughout childbirth for the women, supported by a strong relationship with their midwives. The individualised care, which addressed mental health challenges and fears stemming from past childbirth experiences, led to positive outcomes.</div></div><div><h3>Conclusion</h3><div>A model with continuity using digital e-health could be a solution to meet women’s needs in rural areas during childbirth, who suffer from fear of birth or have mental health problems. Care models need to be tailored to regional conditions, considering factors such as midwifery availability and geographical challenges.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101081"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual & reproductive healthcare","authors":"Susie Kilshaw","doi":"10.1016/j.srhc.2025.101079","DOIUrl":"10.1016/j.srhc.2025.101079","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101079"},"PeriodicalIF":1.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swedish womeńs suggestions for health care improvements during the first year after birth: A qualitative study of free-text answers given within a randomized controlled trial","authors":"Christel Johansson ,&nbsp;Malin Edqvist ,&nbsp;Anna Bonnevier ,&nbsp;Mia Vilhelmsen ,&nbsp;Christine Rubertsson","doi":"10.1016/j.srhc.2025.101078","DOIUrl":"10.1016/j.srhc.2025.101078","url":null,"abstract":"<div><h3>Objective</h3><div>The time after birth is a crucial period for women, involving both physical recovery and emotional challenges. Previous research indicates that postnatal care is a neglected area of maternity care. The aim of this study was to explore women’s suggestions for health care improvements, based on their experiences during the first year after birth.</div></div><div><h3>Methods</h3><div>This study is based on data from a one-year follow-up questionnaire collected prospectively after randomization in a multicentre trial in Sweden. The questionnaire included an open-ended question: <em>“Based on your experience during the first year after giving birth, do you have any suggestions of change in health care, which could have contributed to better health for you?”</em> Thematic analysis inspired by Braun and Clark was conducted to analyse the answers.</div></div><div><h3>Results</h3><div>A total of 2516 women completed the questionnaire, with 719 (29 %) providing free text responses to the open-ended question. Women described the transition to motherhood as challenging and lonely, and offered numerous suggestions to improve care after birth. The results showed four themes: <em>Provision of compassionate, tailored and respectful care after birth, Evidence-based breastfeeding support, Guidance regarding bodily changes</em> and <em>A need for extended follow-up.</em></div></div><div><h3>Conclusion</h3><div>Women suggested improvements and pointed out the importance of continuity of care after birth, a comprehensive and individualized postnatal care, accessible and extended throughout the first year. Future research must focus on how to establish a postnatal care program that extends further than the first six weeks, based on women’s experiences and suggestions to ensure an optimal start to motherhood.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"44 ","pages":"Article 101078"},"PeriodicalIF":1.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Domestic violence and pregnancy intendedness: A cross-sectional study in Nepal","authors":"Pratibha Chalise ,&nbsp;Jennifer Jean Infanti ,&nbsp;Kunta Devi Pun ,&nbsp;Melanie Rae Simpson ,&nbsp;Lena Henriksen ,&nbsp;Mirjam Lukasse ,&nbsp;on behalf of the ADVANCE 2 study team","doi":"10.1016/j.srhc.2025.101077","DOIUrl":"10.1016/j.srhc.2025.101077","url":null,"abstract":"<div><h3>Background</h3><div>Research indicates that women’s control over their fertility may be impacted by intimate partner and domestic violence. This study aimed to investigate the association between domestic violence and unintended pregnancy in Nepal.</div></div><div><h3>Methods</h3><div>This study used data (N = 2129) collected from a baseline questionnaire in an ongoing randomized controlled trial which enrolls pregnant women attending routine antenatal care at two hospital sites. Inclusion criteria were age ≥ 18 years, gestational age between 12–22 weeks, and consent to participate. Domestic violence (DV) was assessed using the Nepalese version of the Abuse Assessment Screen (N-AAS), while pregnancy intendedness was assessed using a modified version of the London Measure of Unplanned Pregnancy (LMUP).</div></div><div><h3>Results</h3><div>Nearly one in four women (23.8%) experienced unintended pregnancies. Women reporting emotional DV since marriage had increased odds of unintended pregnancy, also after adjusting for age, education, ethnicity, family type, settlement area, income, and number of children [adjusted OR: 2.52 (1.67––3.82)]. Similar results were observed for women reporting any DV since marriage [aOR: 2.45 (1.65––3.63)]. The association between emotional violence and unintended pregnancy was present for women experiencing this violence from their intimate partners [aOR: 2.65 (1.03––6.88)] and family [aOR: 2.20 (1.36––3.57)].</div></div><div><h3>Conclusion</h3><div>The findings indicate an association between unintended pregnancy and experiences of emotional and domestic violence since marriage. Addressing domestic violence in pregnant women who report unintended pregnancies could mitigate further risks to their maternal and reproductive health.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101077"},"PeriodicalIF":1.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of African immigrant and refugee women with prenatal and maternal health care services and treatment adherence in Winnipeg, Manitoba","authors":"Bekelu Negash ,&nbsp;S. Michelle Driedger ,&nbsp;Andrew Hatala ,&nbsp;Ana Iervolino ,&nbsp;Simret Daniel ,&nbsp;Javier Mignone","doi":"10.1016/j.srhc.2025.101076","DOIUrl":"10.1016/j.srhc.2025.101076","url":null,"abstract":"<div><h3>Background</h3><div>The requirements for adequate perinatal and maternal health care services for African women in Canada continue to rise, given the increased number of African immigrants and refugees coming to the country.</div></div><div><h3>Aim</h3><div>The study had three objectives: (1) to explore how East and west African immigrant and refugee women living in Manitoba access perinatal and maternal health care services; (2) describe their interactions with health care providers; and (3) understand how their experience impacts their treatment adherence.</div></div><div><h3>Methods</h3><div>The study was guided by Community-Based Participatory Research (CBPR) in partnership with a community organization, Sexuality Education Resource Centre Manitoba (SERC). Purposive sampling methods was used to recruit 16 women. Interpretative Phenomenological Analysis (IPA) and intersectionality guided the analysis of the data.</div></div><div><h3>Findings and discussion</h3><div>The participants shared accessing these services through the program Healthy Mom and Me, clinics, and family doctors. Some women experienced barriers such as language differences and lack of social support. Several themes emerged from the analysis: it was stressful; left hanging; “they are always and no one explains”; and faith and culture convictions. Five women reported that racism/discrimination or structural barriers affected their experiences. The women also shared that some recommendations were not respectful or relevant to their traditional/cultural way of caring for a newborn.</div></div><div><h3>Conclusion</h3><div>The study offered insights into the lived experiences of African immigrant and refugee women accessing prenatal and maternal health care service. The study also provided insights on ways in which systemic oppression/racism may be occurring in the healthcare system.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101076"},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postpartum hormonal contraceptive use in Denmark during 1997–2021","authors":"Søren Vinther Larsen ,&nbsp;Anders Pretzmann Mikkelsen ,&nbsp;Kathrine Bang Madsen ,&nbsp;Xiaoqin Liu ,&nbsp;Trine Munk-Olsen ,&nbsp;Vibe Gedso Frokjaer ,&nbsp;Øjvind Lidegaard","doi":"10.1016/j.srhc.2025.101075","DOIUrl":"10.1016/j.srhc.2025.101075","url":null,"abstract":"<div><h3>Objective</h3><div>To provide an overview of postpartum hormonal contraceptive (HC) use in Denmark.</div></div><div><h3>Methods</h3><div>This descriptive study used National health registries to estimate the cumulative incidence of HC initiation one year after delivery by type, calendar year, and age group among all first- and second-time mothers who delivered during 1997–2021 in Denmark. Timing of initiation is reported as the median time from delivery.</div></div><div><h3>Results</h3><div>A total of 676 759 first-time and 552 142 second-time mothers were registered, with a cumulative incidence of HC initiation of 41.0% (95% CI, 40.9–41.1) and 40.5% (40.4–40.6), respectively. From 1997 to 2021, the cumulative incidence of first-time mothers who initially used progestogen-only pills increased from 3.8% (3.5–4.0) to 14.4% (13.9–14.8) and intrauterine levonorgestrel-releasing systems from 0.1% (0.1–0.2) to 12.6% (12.3–13.0). In contrast, combined oral contraception initiation decreased from 31.3% (30.7–31.8) to 7.8% (7.5–8.2). The median time of initiation decreased from 4.7 (Q1-Q3, 2.5–7.5) months during 1997–2001 to 2.5 (2–0-4.0) months during 2017–2021. The cumulative incidence of first-time mothers using combined HC six weeks after delivery decreased from 1.5% (1.5–1.6) during 2007–2011 to 0.5% (0.5–0.5) during 2017–2021.</div></div><div><h3>Conclusions</h3><div>Within the first year after childbirth, 41 % of first- and second-time mothers initiated HC in Denmark. Throughout 1997–2021, mothers started earlier after delivery and more often used progestogen-only contraception. Few started combined HC within 6 weeks after delivery. Taken together, the pattern of HC use over time reflects a change to safer contraceptive methods postpartum which minimizes thromboembolic risk.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"43 ","pages":"Article 101075"},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}