Sexual & Reproductive Healthcare最新文献

{"title":"Strengthening healthcare delivery in Rwanda: Implementation science training for reproductive health researchers","authors":"Julie M. Buser ,&nbsp;Marie Laetitia Ishimwe Bazakare ,&nbsp;Gerard Kaberuka ,&nbsp;Ella August ,&nbsp;Madeleine Mukeshimana ,&nbsp;Rachel Gray ,&nbsp;Diomede Ntasumbumuyange ,&nbsp;Faelan E. Jacobson-Davies ,&nbsp;Tamrat Endale ,&nbsp;Olive Tengera ,&nbsp;Yolanda R. Smith","doi":"10.1016/j.srhc.2024.100980","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100980","url":null,"abstract":"<div><h3>Background</h3><p>Addressing the gap between research and practice is crucial for enhancing reproductive healthcare outcomes. In Rwanda and other low- and middle-income countries, bolstering health researchers’ implementation science (IS) capacity is essential. We present a pre-post-intervention study assessing the influence of an intensive IS training program on Rwandan reproductive health researchers’ perceived IS knowledge and self-efficacy in applying IS in their own research.</p></div><div><h3>Methods</h3><p>To introduce IS principles, we held a one-day training for a diverse cohort of 25 sexual and reproductive health researchers in Rwanda. The training encompassed modules on IS concepts, methodologies, and practical applications. Pre- and post-training assessments gauged changes in participants’ perceived IS knowledge and self-efficacy in applying IS in their own work.</p></div><div><h3>Results</h3><p>The study revealed a significant improvement in self-efficacy related to performing IS related tasks. Researchers reported heightened confidence in designing and implementing evidence-based interventions. In terms of perceived knowledge, participants retained what they learned at 4 months. The training fostered a collaborative learning environment, encouraging participants to exchange ideas and experiences.</p></div><div><h3>Conclusion</h3><p>Targeted training in IS appears to enhance reproductive health researchers’ capacity to translate research into practice, potentially leading to improved healthcare outcomes in Rwanda. Moving forward, we advocate for the Ministry of Health to establish structures for IS research agenda-setting, particularly for sexual and reproductive health and rights. Ideally, universities, health systems, and research institutions will incorporate IS capacity strengthening into their routine activities. Ongoing training is crucial to reinforce and expand IS knowledge. Our findings are expected to inform future interventions and guide policy development.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000351/pdfft?md5=303bf37adc825ffad51f5a2e746afa24&pid=1-s2.0-S1877575624000351-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140901250","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":"Model of perinatal care but not prenatal stress exposure is associated with birthweight and gestational age at Birth: The Australian birth in the time of COVID (BITTOC) study","authors":"Mia A. McLean ,&nbsp;Chloé Klimos ,&nbsp;Belinda Lequertier ,&nbsp;Hazel Keedle ,&nbsp;Guillaume Elgbeili ,&nbsp;Sue Kildea ,&nbsp;Suzanne King ,&nbsp;Hannah G. Dahlen","doi":"10.1016/j.srhc.2024.100981","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100981","url":null,"abstract":"<div><h3>Objective</h3><p>The present study aimed to understand, relative to standard care, whether continuity of care models (private midwifery, continuity of care with a private doctor, continuity of care with a public midwife), and women’s experience of maternity care provision, during the perinatal period buffered the association between prenatal maternal stress (PNMS) and infant birth outcomes (gestational age [GA], birth weight [BW] and birth weight for gestational age [BW for GA]).</p></div><div><h3>Methods</h3><p>2207 women who were pregnant in Australia while COVID-19 restrictions were in place reported on their COVID-19 related objective hardship and subjective distress during pregnancy and provided information on their model of maternity care. Infant birth outcomes (BW, GA) were reported on at 2-months postpartum.</p></div><div><h3>Results</h3><p>Multiple linear regressions showed no relationship between PNMS and infant BW, GA or BW for GA, and neither experienced continuity of care, nor model of maternity care moderated this relationship. However, compared with all other models of care, women enrolled in private midwifery care reported the highest levels of experienced continuity of care and birthed infants at higher GA. BW and BW for GA were higher in private midwifery care, relative to standard care.</p></div><div><h3>Conclusion</h3><p>Enrollment in continuous models of perinatal care may be a better predictor of infant birth outcomes than degree of PNMS exposure. These results highlight the possibility that increased, continuous support to women during pregnancy may play an important role in ensuring positive infant birth outcomes during future pandemics.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913863","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":"Testing the feasibility of a translated and culturally adapted person-centred training programme in maternal and newborn healthcare in Democratic Republic of Congo: A process evaluation","authors":"Ewa Carlsson Lalloo ,&nbsp;Frida Temple ,&nbsp;Marie Berg ,&nbsp;Urban Berg ,&nbsp;Alumeti Munyali Désiré ,&nbsp;Aline Mulunda ,&nbsp;Malin Bogren","doi":"10.1016/j.srhc.2024.100979","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100979","url":null,"abstract":"<div><h3>Objective</h3><p>Ensuring quality of maternal and newborn healthcare is challenging in the Democratic Republic of Congo (DRC) as the maternal and newborn mortality and morbidity rate is high. Essential for quality care is a person-centred approach. One model of person-centred care (PCC) has been developed at Gothenburg University. To support its implementation a training programme, “Mutual Meetings”, has been developed. This study aims to test the feasibility of a translated and culturally adapted version of this PCC training programme for healthcare providers in the maternal and newborn healthcare context of DRC.</p></div><div><h3>Methods</h3><p>The PCC programme was translated into French and tested in a workshop with 31 maternal and newborn healthcare providers in eastern DRC. The feasibility of the programme was evaluated through focus group interviews and individual interviews. The interview transcripts were analysed deductively using key components in a process evaluation framework including fidelity, dose, reach, adaptation, acceptability, and application.</p></div><div><h3>Results</h3><p>The French PCC programme exceeded the participants’ expectations and was found being applicable in both teaching and clinical setting with some suggested contextual modifications. Its pedagogic structure including a participatory reflective approach, was perceived innovative and inspirational, mediated a sense of comfort, and enabled the participants to use a person-centred approach towards each other.</p></div><div><h3>Conclusion</h3><p>The results show that the French on-site version of the PCC training programme was valid in terms of feasibility and how it was received by the participants. The study demonstrates the importance of contextual adaptation of complex interventions in new settings.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187757562400034X/pdfft?md5=190c5fa760dec9ccc59acc71e8047831&pid=1-s2.0-S187757562400034X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140947572","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":"Episiotomy and the medicalization make childbirth worse for women","authors":"Ingela Wiklund","doi":"10.1016/j.srhc.2024.100977","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100977","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906097","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":"Maternity care for women from ethnic minority backgrounds in North-West England: A grounded theory study","authors":"Sarah J Farrell ,&nbsp;Tracey A. Mills ,&nbsp;Tina Lavender","doi":"10.1016/j.srhc.2024.100978","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100978","url":null,"abstract":"<div><h3>Aim</h3><p>To understand the maternity experiences of women from minority ethnic groups who had given birth in an NHS trust in the North-West of England, and experiences of midwives caring for them.</p></div><div><h3>Background</h3><p>Women from minority ethnic groups have poorer maternity outcomes compared with other women. Research about maternity experiences of women from minority ethnic groups is limited but suggests that they have poorer experiences.</p></div><div><h3>Method</h3><p>Constructivist grounded theory was used as the framework for the study. Thirteen women and sixteen midwives were interviewed to elicit views and maternity experiences of women from minority ethnic groups. Interviews were transcribed, analysed, and focused codes developed into theoretical codes resulting in an emergent grounded theory.</p></div><div><h3>Findings</h3><p>Four sub-categories emerged: ‘I was feeling protected’, ‘it is just literally empowering them, ‘it will affect them more’, and ‘if people speak out it will help other people’. These sub-categories generated a substantive theory: ‘striving towards equity and women centred care’.</p></div><div><h3>Discussion</h3><p>Culturally sensitive, relational care made women feel safe and trust their care providers. Information provision led to reassurance and enabled women to make choices about their care. Midwives’ workload compromised care provision and disproportionally affected women from minority ethnic groups, especially those who do not speak English. Women from minority groups are less likely to complain and be represented in feedback.</p></div><div><h3>Conclusion</h3><p>Culturally sensitive care is meeting the individual needs of many women; however, non– English speakers are disproportionally and negatively affected by midwives’ workload, attitudes, or service challenges, reducing their reassurance and choice.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822837","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 in a maze without a map“. Partners’ experiences of hyperemesis gravidarum- a qualitative study","authors":"Louise Lindgren ,&nbsp;Sophia Holmlund ,&nbsp;Johanna Dunge ,&nbsp;Malin L. Nording ,&nbsp;Marie-Therese Vinnars ,&nbsp;Maria Lindqvist","doi":"10.1016/j.srhc.2024.100976","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100976","url":null,"abstract":"<div><h3>Objective</h3><p>A supportive environment for women with Hyperemesis Gravidarum is crucial but not always provided. There is a lack of research regarding Hyperemesis Gravidarum, its impact on the family, and the partner's perception of supporting their spouse. Thus, this study aims to explore partners’ experiences of Hyperemesis Gravidarum during their spousés pregnancy.</p></div><div><h3>Methods</h3><p>Data were gathered through 13 individual, semi-structured, in-depth, digital interviews with partners of women who had experienced Hyperemesis Gravidarum and analysed with Qualitative Content Analysis. The partners were recruited through advertisement on a social media platform and were exclusively males, representing 8 of 21 Swedish regions. The mean age was 34, and they had, on average, 1 previous child. The mean time from the experience to the interview was 12 months.</p></div><div><h3>Findings</h3><p>The main theme, “Navigating in a maze without a map”, explains partners’ situation as stressful and demanding when their spouse suffers from Hyperemesis Gravidarum, with insufficient support and guidance from healthcare providers. The analysis resulted in three themes: “Standing alone with a demanding responsibility”, “Being in a lottery when facing healthcare”, and “Climbing the mountain together.” The themes display challenges within everyday life and healthcare, as well as strained relations within the family.</p></div><div><h3>Conclusion</h3><p>Partners experience a need to support their spouse in every aspect of daily life and advocate for adequate healthcare. Healthcare professionals must support and acknowledge the partners' struggles during the demanding situation with Hyperemesis Gravidarum.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000314/pdfft?md5=061268163062810a3e10113dd949da46&pid=1-s2.0-S1877575624000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818435","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":"Perceived associations between the menstrual cycle and Attention Deficit Hyperactivity Disorder (ADHD): A qualitative interview study exploring lived experiences","authors":"Isabel Bürger,&nbsp;Kerstin Erlandsson,&nbsp;Catrin Borneskog","doi":"10.1016/j.srhc.2024.100975","DOIUrl":"10.1016/j.srhc.2024.100975","url":null,"abstract":"<div><h3>Background</h3><p>The research gap regarding Attention Deficit Hyperactivity Disorder (ADHD) in people who were assigned female at birth has led to a lack of knowledge and adequate approaches in clinical practice, as well as diagnosis processes. Recent studies report potential associations between reproductive hormones and ADHD, but existing research remains scarce.</p></div><div><h3>Aim</h3><p>This study aims to explore the experiences of people who perceive an association between their menstrual cycle and their ADHD symptoms.</p></div><div><h3>Methodology</h3><p>Design and Method.</p><p>A qualitative research design with an inductive approach was used. Ten participants were interviewed, using semi-structured, in-depth interviews. The data was transcribed, coded, and analyzed using reflexive thematic analysis according to Braun and Clarke.</p></div><div><h3>Results</h3><p>Findings show participant’s perceived associations between their ADHD and their menstrual cycle: participants reported experiencing ADHD symptom mor severe during the mid-luteal phase of the menstrual cycle. Other results showed uncertainty around ADHD medication in relation to the cycle and varied experiences with health care encounters as well as heightened challenged around menstrual health management.</p></div><div><h3>Conclusions</h3><p>This study provides insights to how perceived associations between ADHD and the menstrual cycle might be experienced. This report highlights the need for further research and theory about the potential associations between ADHD and reproductive hormones. The researchers strongly suggested that forthcoming ADHD studies consider times of key hormonal changes, such as puberty and menarche, menopause, hormonal birth control, pregnancy, hormone treatment, and more.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000302/pdfft?md5=b739108227e9adf80bcdddf415c1db63&pid=1-s2.0-S1877575624000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789611","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":"Factors influencing delivery-related complications and their consequences in hard-to-reach areas of Bangladesh","authors":"Anisuddin Ahmed ,&nbsp;Ema Akter ,&nbsp;Abu Sayeed ,&nbsp;Fariya Rahman ,&nbsp;Molly Hanson ,&nbsp;Nondo Saha ,&nbsp;Md Refat Uz Zaman Sajib ,&nbsp;Lubna Hossain ,&nbsp;KM Tanvir ,&nbsp;Aniqa Tasnim Hossain ,&nbsp;Ritu Rana ,&nbsp;Saraban Tahura Ether ,&nbsp;Shafiqul Ameen ,&nbsp;Sabrina Jabeen ,&nbsp;AM Rumayan Hasan ,&nbsp;Shams El Arifeen ,&nbsp;Ahmed Ehsanur Rahman ,&nbsp;Syed Moshfiqur Rahman","doi":"10.1016/j.srhc.2024.100973","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100973","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Bangladesh's high maternal mortality ratio is exacerbated by delivery-related complications, particularly in hard-to-reach (HtR) areas with limited healthcare access. Despite this, few studies have explored delivery-related complications and factors contributing to these complications among the disadvantaged population. This study aimed to investigate the factors contributing to delivery-related complications and their consequences among the mothers residing in the HtR areas of Bangladesh.</p></div><div><h3>Methods</h3><p>Data were collected using a cross-sectional study design from 13 HtR sub-districts of Bangladesh between September 2019 and October 2019. Data from 1,290 recently delivered mothers were analysed.</p></div><div><h3>Results</h3><p>Around 32% (95% CI: 29.7–34.8) of the mothers reported at least one delivery-related complication. Prolonged labour pain (21%) was the highest reported complication during the delivery, followed by obstructive labour (20%), fever (14%), severe headache (14%). Mothers with higher education, a higher number of antenatal care (ANC) visits, complications during ANC, employed, and first-time mothers had higher odds of reporting delivery-related complications. More than one-half (51%) of these mothers had normal vaginal delivery. Nearly one-fifth (20%) of mothers who reported delivery-related complications were delivered by unskilled health workers at homes. On the other hand, about one-fifth (19%) of the mothers without any complications during delivery had a caesarean delivery. Nine out of ten of these caesarean deliveries were done at the private facilities.</p></div><div><h3>Conclusion</h3><p>Delivery-related complications are significantly related to a woman's reproductive history and other background characteristics. Unnecessary caesarean delivery is prominent at private facilities.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000284/pdfft?md5=8f4ecd9ae81e3b45cf51289d8cdaccc4&pid=1-s2.0-S1877575624000284-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650071","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":"Decline in home births associated with faster increase in trend of postpartum haemorrhage and manual removal of the placenta","authors":"Anna E. Seijmonsbergen-Schermers ,&nbsp;Lilian L. Peters ,&nbsp;Suze Jans ,&nbsp;Corine J. Verhoeven ,&nbsp;Ank de Jonge","doi":"10.1016/j.srhc.2024.100974","DOIUrl":"https://doi.org/10.1016/j.srhc.2024.100974","url":null,"abstract":"<div><p>In this study we explored the relationship between home birth rates and increasing rates of postpartum haemorrhage (PPH) and manual removal of the placenta (MROP). Data were used from the Dutch national perinatal registry (2000–2014) of women in midwife-led care. Adjusting for place of birth flattened the increasing trends of PPH and MROP. By adjusting for place of birth, the rising trend of MROP among multiparous women disappeared. This suggests that if home birth rates had not declined, PPH and MROP rates might not have increased as much. This study supports policies of enabling women to choose home births.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000296/pdfft?md5=cd16800446623dba214313dba99f3aad&pid=1-s2.0-S1877575624000296-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650072","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":"The role of school-based health centers in providing long-active reversible contraceptive care to adolescents in New York City","authors":"Rachel Groth ,&nbsp;Melanie A. Gold ,&nbsp;Malia C. Maier ,&nbsp;Janet R. Garth ,&nbsp;Ryan A. Levy ,&nbsp;Weijia Fan ,&nbsp;Samantha Garbers","doi":"10.1016/j.srhc.2024.100972","DOIUrl":"10.1016/j.srhc.2024.100972","url":null,"abstract":"<div><p>Long-acting reversible contraceptives (LARCs) are effective contraceptive methods for adolescents. This study describes the initiation and continuation of LARC care to adolescents at school-based health centers (SBHCs) during the COVID-19 pandemic. Participants received contraceptive care in New York City SBHCs from April 2021–June 2022. LARC initiation, LARC discontinuation, and total contraceptive visits were measured monthly. During the study period, the SBHCs provided 1,303 contraceptive visits, including 77 LARC initiations. Among LARC initiations, six-month continuation probability was 79.3 % (95 %CI: 69.0–91.1). SBHCs play an important role in providing adolescents contraceptive services, particularly LARC care, when other health care systems are disrupted.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140784318","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}