Sexual & Reproductive Healthcare最新文献

{"title":"Infertility-related stress, quality of life, and reasons for fertility treatment discontinuation among US women: A secondary analysis of a cross-sectional study","authors":"Alison Swift ,&nbsp;Emily Thomas ,&nbsp;Kim Larson ,&nbsp;Melvin Swanson ,&nbsp;Madeline Fernandez-Pineda","doi":"10.1016/j.srhc.2024.100955","DOIUrl":"10.1016/j.srhc.2024.100955","url":null,"abstract":"<div><h3>Objective</h3><p>Fertility treatments often cause women high levels of stress and low quality of life (QoL). Women discontinue fertility treatments for a variety of reasons, yet little is known about infertility-related stress and QoL among women who discontinue treatments. The purpose of this study was to examine infertility-related stress and QoL among women who discontinued fertility treatments compared to those who continued treatments, and reasons for treatment discontinuation.</p></div><div><h3>Methods</h3><p>A secondary analysis was conducted to examine infertility-related stress and QoL among 70 women who discontinued from fertility treatments compared to 166 women who received fertility treatments. Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.</p></div><div><h3>Results</h3><p>No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.</p></div><div><h3>Conclusion</h3><p>Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. During the period of infertility, treatment discontinuation related to cost, waiting for a resolution, or re-envisioning family identity occurred, suggesting opportunities for specific interventions to support women’s mental health needs.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139928087","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":"Midwifery research: A vital catalyst for addressing gaps in sexual and reproductive healthcare","authors":"L. Brigante,&nbsp;M.V. Christiansen,&nbsp;R.D. Maimburg","doi":"10.1016/j.srhc.2024.100954","DOIUrl":"10.1016/j.srhc.2024.100954","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139925490","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":"“I didn’t want to let go of the dream”: Exploring women’s personal stories of how their low milk supply was discovered","authors":"Renee L Kam ,&nbsp;Shannon K Bennetts ,&nbsp;Meabh Cullinane ,&nbsp;Lisa H Amir","doi":"10.1016/j.srhc.2024.100953","DOIUrl":"10.1016/j.srhc.2024.100953","url":null,"abstract":"<div><h3>Problem</h3><p>Low milk supply is the most common reason women give for stopping breastfeeding early and yet there is a lack of understanding about these women’s experiences.</p></div><div><h3>Background</h3><p>Most women plan to breastfeed but many experience challenges such as low milk production, leading them to seek help and support.</p></div><div><h3>Aim</h3><p>To explore women’s personal stories of how their low supply was discovered.</p></div><div><h3>Methods</h3><p>Inductive template analysis was used to analyse free-text online survey responses of women from the United States of America, Australia and the United Kingdom.</p></div><div><h3>Findings</h3><p>384 women responded to the open-ended survey item between October 2021 and January 2022. We identified three themes: (i) Events and observations: From ‘risk factors’ to ‘failure of breast changes’ to ‘my baby was so unhappy’, (ii) Seeking support and taking action: ‘I tried everything’ and (iii) A rollercoaster of emotion: ‘I didn’t want to let go of the dream’.</p></div><div><h3>Discussion</h3><p>Our findings emphasise women’s need to feel heard and understood and their quest to find answers. The rollercoaster of emotions they experienced largely stemmed from a gap between the expectations and reality of breastfeeding. Some participants described accepting a different feeding journey.</p></div><div><h3>Conclusion</h3><p>Findings underscore the need for quality and accessible psychosocial support for women experiencing low milk supply, in addition to the provision of evidence-based advice.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000089/pdfft?md5=d3e3fbc984960d0ce8ac80d6639f75a3&pid=1-s2.0-S1877575624000089-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821179","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":"School health-care team members’ reflections of their promotion of sexual and reproductive health and rights (SRHR): Important but neglected","authors":"Anna Arvidsson ,&nbsp;Anette Grander ,&nbsp;Malin Lindroth","doi":"10.1016/j.srhc.2024.100950","DOIUrl":"10.1016/j.srhc.2024.100950","url":null,"abstract":"<div><h3>Objective</h3><p>Young people are prioritized regarding the promotion and safeguarding of sexual and reproductive health and rights – SRHR. In Sweden, the school is seen as an important arena with members of the school health-care or SHC team as vital actors in this work. This study explored SRHR-related work in SHC teams in Sweden.</p></div><div><h3>Methods</h3><p>Within an explorative qualitative design, structured interviews were conducted with 33 nurses, counsellors, SHC unit managers and headmasters. Reflexive thematic analysis was applied, and two main themes found.</p></div><div><h3>Results</h3><p>SHC team members see SRHR as an urgent topic, but address it only ‘when necessary’, not systematically – and they experience a shortage of guidance and cooperation regarding SRHR-related work. Even in a country with agreement on the importance of SRHR for all and on providing holistic comprehensive sex education in schools, young people are left to chance – i.e., to the SRHR competence in the professionals they meet.</p></div><div><h3>Conclusion</h3><p>SHC team members in Sweden see SRHR as an urgent topic but do not address it systematically. Moreover, they experience a shortage of guidance for their work. To avoid any professional stress of conscience and for equitable school health care regarding SRHR to be realized, research-informed policy needs to underline systematic, comparable and proactive practice.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139678672","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":"Norwegian community midwives’ experience of interdisciplinary collaboration in care of pregnant women with vulnerabilities","authors":"Silje Espejord ,&nbsp;Sonja H. Auberg ,&nbsp;Trine K. Kvitno ,&nbsp;Christina Furskog-Risa ,&nbsp;Mirjam Lukasse","doi":"10.1016/j.srhc.2024.100951","DOIUrl":"10.1016/j.srhc.2024.100951","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study was to investigate Norwegian community midwiveś(CMs) experience of collaboration when caring for pregnant women with vulnerabilities. We wanted to determine which professionals and services are considered important and with whom they have written agreements and good lines of communication. Furthermore, which tools are used in collaboration and if any background factors enhance collaboration.</p></div><div><h3>Background</h3><p>Vulnerable pregnant women may require more than standard antenatal care, involving interdisciplinary collaboration. Outcomes can improve if vulnerable pregnant women are offered additional support. The introduction of multi-disciplinary teams in Norway has shown promising results, as in many other countries. A Norwegian report concluded that there is need for more research to improve the quality and availability of interdisciplinary care.</p></div><div><h3>Methods</h3><p>A cross-sectional, descriptive study, using data from a questionnaire that approximately 700 CMs in Norway were invited to answer online from May-August 2020. Data were analysed using the statistical software SPSS 26.</p></div><div><h3>Results</h3><p>One third (2<!--> <!-->5<!--> <!-->7) of the invited CMs participated in the survey. They reported that professionals involved in standard antenatal care, such as those at the maternity unit and PHNs, were the most important collaborative partners when caring for vulnerable pregnant women. The CMs reported poor communication with general practitioners, child welfare-, drug welfare- and mental health-services. The most frequent methods for accessing collaboration were phoning and electronically through patient record systems, while there was limited use of the personal care plan, patient coordination meetings and regular meetings with collaborative partners/services. CMs with more than ten years as a CM and “Early Start” training were more frequently involved in patient coordination meetings and counselling and debriefing sessions compared to inexperienced CMs who had not attended a special training program.</p></div><div><h3>Conclusion</h3><p>Experience and completed the Early Start education/training increased the use of interprofessional collaborating meetings including CMs. This study suggests interdisciplinary training programmes to improve collaboration, which are expected to benefit vulnerable pregnant women, their babies and families.</p></div><div><h3>Implication for practice and research</h3><p>We recommend education and training in both the educational system and among involved professionals in communities to improve collaboration in the care of vulnerable women. In order to measure the effectiveness of collaboration in the care of vulnerable pregnant women, both the targeted group and the collaborating professionals should be asked to provide feedback. More research on communication and collaboration is needed.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000065/pdfft?md5=c43930b885a49a516af32ef979bad573&pid=1-s2.0-S1877575624000065-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673848","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 with planned singleton upright breech birth – A phenomenological study","authors":"Tone Lindtveit ,&nbsp;Connie Malin Skeie ,&nbsp;Hanna-Leena Oommen ,&nbsp;Marte Eline Ween-Velken ,&nbsp;Benedicte Sandhaug Nygaard ,&nbsp;Idun Røseth","doi":"10.1016/j.srhc.2024.100952","DOIUrl":"10.1016/j.srhc.2024.100952","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experience of primi- and multiparous women with planned singleton upright breech births.</p></div><div><h3>Method</h3><p>We conducted face-to-face, in-depth interviews with five primiparous and five multiparous women who underwent a physiological breech birth at one hospital in Norway and analyzed the data using Giorgi’s descriptive phenomenological method.</p></div><div><h3>Results</h3><p>The phenomenon of women’s experiences with physiological breech birth yielded four main constituents: “Mental preparedness and control”, “The importance of shared decision-making and sufficient information”, “Trust and the many ‘faces’ of birthing staff”, and “‘I actually did it!’: Coping and control in the upright breech position”. The significance of readiness, the influence of previous experiences and information, and the establishment of trust in midwives and gynecologists emerge as dominant themes. The sense of co-determination, control, and mastery is also highlighted.</p></div><div><h3>Conclusions</h3><p>Our findings underscore the pivotal role of personal attributes in fostering mental preparedness when confronted with unforeseen aspects of childbirth. Notably, women’s experiences with upright breech birth vary; while some perceive it as an ideal birth, others find it more challenging. Factors such as unpreparedness, lack of information, diminished co-determination, and loss of control negatively impact birth experiences. This study’s findings underscore the significance of tailoring maternity care to individual needs and improving information sharing. These measures are paramount for optimizing women’s experience during upright breech births.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000077/pdfft?md5=d09de81e740fbc25a0f65d430bca6eec&pid=1-s2.0-S1877575624000077-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139678884","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 lived experience of receiving and providing antenatal care during the Covid-19 crisis in Southern Europe: An exploratory qualitative study","authors":"Ana Rivadeneyra-Sicilia ,&nbsp;Yolanda González-Rábago ,&nbsp;Viviane Ramel ,&nbsp;Irene García-Zurita","doi":"10.1016/j.srhc.2024.100949","DOIUrl":"10.1016/j.srhc.2024.100949","url":null,"abstract":"<div><h3>Objective</h3><p>The Covid-19 pandemic led to a reorganization of antenatal care including the cancellation or shift into telemedicine of consultations and restrictions to the presence of an accompanying person. The aim was to explore healthcare professionals’ and women’s lived experience of such reorganisation consequences on the quality of care and specific challenges they faced, with a particular emphasis on telemedicine and equity.</p></div><div><h3>Methods</h3><p>Exploratory qualitative study using semi-structured interviews and focus group discussions of women and healthcare providers in New Aquitaine (France) and in the Basque Country (Spain). We collected data from a purposive sampling of women (n = 33) and professionals (n = 19) who had received or provided antenatal care in hospitals and ambulatory facilities between March 2020 and December 2021. Participants’ narratives were thematically analysed to identify themes that were subsequently contextualised to the two territories.</p></div><div><h3>Results</h3><p>Antenatal care professionals and pregnant women experienced strong emotions and suffered from organizational changes that compromised the quality and equity of care. The pandemic and associated restrictions were sources of emotional distress, fear and loneliness, especially among more disadvantaged and isolated women. Among professionals, the lack of adequate means of protection and the multiple changes in caring protocols generated burnout, feeling of abandonment and emotional distress.</p></div><div><h3>Conclusions</h3><p>The Covid-19 experience should serve to critically consider the unexpected consequences of reorganising healthcare services and the need to meet patients’ needs, with a particular consideration for disadvantaged groups. Future scenarios of telemedicine generalisation should consider a combination of in presence and remote consultations ensuring antenatal care quality and equity.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000041/pdfft?md5=1f6c02e4f5330160e9bbc52648deb7c1&pid=1-s2.0-S1877575624000041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139518070","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":"Characteristics of good contraceptive counselling – An interview study","authors":"Gabriela Armuand ,&nbsp;Maria Grandahl ,&nbsp;Helena Volgsten ,&nbsp;Jenny Stern","doi":"10.1016/j.srhc.2024.100948","DOIUrl":"10.1016/j.srhc.2024.100948","url":null,"abstract":"<div><h3>Objective</h3><p>One key component in preventing unplanned pregnancies is to provide effective contraceptive counselling. This study aimed to investigate what characterises good contraceptive counselling from the woman's perspective.</p></div><div><h3>Methods</h3><p>A qualitative study with a phenomenological approach. Twenty-four women aged 15–45 participated in semi-structured, individual, face-to-face interviews that lasted, on average, one hour. Data were analysed by latent content analysis.</p></div><div><h3>Results</h3><p>One overall theme emerged, <em>person-centred contraceptive counselling – an interactive process</em>, with three main categories: (i) a trustworthy healthcare provider, (ii) creating a liaison and (iii) the right time and place.</p></div><div><h3>Conclusions</h3><p>The healthcare provider’s attributes as well as what happened between the healthcare provider and the woman, and the surrounding context, had a bearing on the women’s descriptions of good contraceptive counselling. The process of the counselling was described as more important than the actual outcome; thus, healthcare providers need to be aware that this seemingly straightforward consultation is rather multi-layered and has great health promoting potential.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187757562400003X/pdfft?md5=051ebd5221f02c54507495cce34bb4c7&pid=1-s2.0-S187757562400003X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458893","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":"Unmet sexual health needs of young men in contemporary society regarding condom use: Qualitative study","authors":"Soley S. Bender ,&nbsp;Katrin Hilmarsdottir ,&nbsp;Thora Jenny Gunnarsdottir","doi":"10.1016/j.srhc.2024.100947","DOIUrl":"10.1016/j.srhc.2024.100947","url":null,"abstract":"<div><h3>Objective</h3><p>In contemporary societies young men receive much misleading information about sex from friends, the media and the internet (porn) which can make them feel insecure and under pressure regarding sex. The purpose of this study is therefore to understand their sexual world better and learn about their sexual health needs, especially regarding condom use.</p></div><div><h3>Methods</h3><p>The study is based on two qualitative studies: focus groups and individual interviews. Recruitment of participants took place through schools, a Sexually Transmitted Infection (STI) Clinic and a Gay and Lesbian Organisation. The interviews were thematically analysed using the framework method.</p></div><div><h3>Results</h3><p>Forty-nine individuals, 18–25 years old, participated in both studies. The findings showed that the participants had a number of unmet needs regarding condom use which reduced this use. They described uncertainty regarding condom use by not prioritising them, showing lack of knowledge and communication skills. It was of high priority for them to seek sexual pleasure and not be disturbed in the process of having sex.</p></div><div><h3>Conclusions</h3><p>The results suggest that young men have a great need to perform sexually and not to fail. This need represents insecurity in a sexual relationship. When insecurity, inability to communicate and feeling under pressure come together using a condom is not prioritised. These young men are in great need of holistic sex education that would enable them to become secure in mastering condom use.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458773","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":"Somali immigrant women’s knowledge of and experiences with folic acid supplement use before and during pregnancy: A qualitative study from Norway","authors":"Hana Abdi Aw-Nuur ,&nbsp;Nasra Abdullahi Diriye ,&nbsp;Vigdis Aasheim ,&nbsp;Tone Engen ,&nbsp;Lydia Mehrara ,&nbsp;Eline Skirnisdottir Vik","doi":"10.1016/j.srhc.2024.100946","DOIUrl":"10.1016/j.srhc.2024.100946","url":null,"abstract":"<div><h3>Introduction</h3><p>Health authorities in many countries recommend that women should take folic acid supplements before and during pregnancy to prevent having babies with neural tube defects. Somali immigrant women in Norway use less folic acid supplements than the recommended amount and subsequently, less than Norwegian-born women.</p></div><div><h3>Objectives</h3><p>To explore Somali immigrant women’s knowledge of and experiences with using folic acid supplements before and during pregnancy.</p></div><div><h3>Methods</h3><p>Data were collected through semi-structured individual interviews with ten Somali immigrant women in Norway. The participants were recruited and interviewed between September and November 2019. Graneheim and Lundmańs qualitative content analysis was used for data analysis.</p></div><div><h3>Results</h3><p>Two main themes were developed through the process of analysing the data: 1) Attitudes to life and pregnancy affect how health care advice is met; 2) Understanding the benefits of folic acid is crucial.</p></div><div><h3>Conclusions</h3><p>The women in this study had varied knowledge about, and experiences with the use of folic acid supplements before and during pregnancy. The findings suggest that the healthcare system needs to adapt the information it provides on folic acid supplementation to target the needs of Somali immigrant women. In line with suggestions from the study participants, information needs to be given in a timely manner, by someone they trust, in their first language, include visual aids, and be offered to all women of childbearing age before their first pregnancy.</p></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877575624000016/pdfft?md5=24346bf82c52136b592145af106f11c5&pid=1-s2.0-S1877575624000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139374398","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}