Public Health Nursing最新文献

{"title":"Exploring barriers and facilitators to feeding children with minimal or no \"Junk Food\": Insights from Mexican women.","authors":"Florence L Théodore, Ana Lilia Lozada-Tequeanes, Rocío Alvarado, Edith Yunessi Kim-Herrera, Armando García-Guerra, Sonia Rodríguez-Ramírez, Anabelle Bonvecchio","doi":"10.1111/phn.13420","DOIUrl":"https://doi.org/10.1111/phn.13420","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the factors that promote or hinder the feeding of children with minimal or no ultra-processed products to inform the design of an mHealth strategy in Mexico and prevent child malnutrition among the economically vulnerable.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted, involving 24 in-depth face-to-face interviews with caregivers of children aged 24-59 months from both urban and rural communities. To analyze the data, we used thematic analysis and incorporated a few elements of grounded theory.</p><p><strong>Results: </strong>More barriers than facilitators were identified. Key barriers included: misconceptions and the widespread availability of junk food through an extensive network of grocery stores; neighbors and family gifting junk food; the association of soda with celebrations; the practice of indulging children with junk food; and the normalization of junk food consumption by both adults and children. Facilitators included: caregivers' awareness of the health risks associated with junk food; economic constraints limiting junk food purchases; support from husbands in regulating children's junk food consumption; the presence of a family member with diabetes; specific cultural beliefs about children's digestive health; as well as displacement of \"healthy\" foods that nourish children.</p><p><strong>Conclusion: </strong>Based on our findings, we formulated recommendations for interventions at intrapersonal, interpersonal, organizational, community, and public policy levels to support healthier feeding practices for children.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Relationship Between Cyberbullying and Technology Addiction in Adolescents.","authors":"Aysel Topan, Siğnem Anol, Yeliz Taşdelen, Aylin Kurt","doi":"10.1111/phn.13433","DOIUrl":"https://doi.org/10.1111/phn.13433","url":null,"abstract":"<p><strong>Objective: </strong>The present study aims to investigate the relationship between cyberbullying/victimization and technology addiction among Turkish adolescents.</p><p><strong>Design and methods: </strong>A descriptive cross-sectional study was conducted with 572 adolescents between the ages of 14 and 18. The study employed the Bullying and Cyber Bullying Scale for Adolescents (BCS-A) to evaluate cyber victimization (BCS-A VCSs) and cyberbullying (BCS-A BCSs) subdimensions, in conjunction with the Technology Addiction Scale (TAS).</p><p><strong>Results: </strong>Among adolescents, 38.5% exhibited a moderate level of technology addiction. The results revealed positive and weak correlations between TAS scores and BCS-A VCSs (p < 0.001), as well as between BCS-A VCSs and BCS-A BCSs scores at a moderate level (p < 0.001). The study revealed that exposure to inappropriate content, encountering humiliating expressions on social media, sending inappropriate messages or videos to friends, and facing threats were significant predictors of BCS-A VCS scores. Furthermore, the transmission of inappropriate messages or videos, the encounter of cyberbullying victims, the exclusion of friends from online platforms, the experience of distress caused by humiliating expressions, and the sharing of private content were identified as significant predictors of the total BCS-A BCSs score.</p><p><strong>Conclusion: </strong>The study demonstrated a correlation between elevated technology addiction and involvement in cyberbullying or victimization among adolescents. Moreover, the study identified significant predictors of cyberbullying and cyber victimization. It is recommended that health professionals develop intervention programs for safe technology use and the prevention of cyberbullying and victimization. These programs should aim to raise societal awareness, particularly among parents and teachers.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storage practice and wastage of pharmaceuticals in Chinese urban-dwelling households: Description of urban-dwelling households.","authors":"Zhao Yang, Xiao Han, Chao Yang, Yue Zhao, Chengyu Li, Qiyun Zhu, Qingyuan Xue, Yaoguang Zhang, Guohong Li, Bin Jiang","doi":"10.1111/phn.13401","DOIUrl":"https://doi.org/10.1111/phn.13401","url":null,"abstract":"<p><p>At-home storage of medications could pose a threat to public health and the environment if not handled appropriately. Excessive storage also creates health care and economic burdens. This study investigated storage practices, waste, and their determinants in China. Data were collected by pharmacy staff of urban-dwelling households via online questionnaires. Descriptions at the household and medicine levels were conducted in Stata 16. Individual and family characteristics were associated with the presence of household medicine storage (84.6%, n = 5290), but storage location was poor. Expiration was the primary reason for discarding medicines. Respondents were inclined to buy medicines in pharmacies without prescription for storage purposes at out-of-pocket expenses, and 60.7% of medicines were purchased at out-of-pocket expenses, despite medical insurance coverage. Regarding wastage, 11.2% of medicines had expired and 38.2% were no longer needed. Purchasing for storage purposes was related to less waste due to expiration, while purchasing for treating acute diseases rather than chronic diseases was related to more waste, due to less for use. Accounting for 12.2% of all medications, antibiotics were associated with expiration and no further need for use. Source-control measures targeting health facilities, pharmacies, and residents are needed under the combined efforts of all relevant departments.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Nursing Students' Metaphorical Perceptions and Cognitive Structures Related to the Global Climate Crisis's Impact on Nursing.","authors":"Çiçek Ediz, Sevda Uzun","doi":"10.1111/phn.13429","DOIUrl":"https://doi.org/10.1111/phn.13429","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the metaphorical perceptions and cognitive structures of Turkish nursing students related to the impact of the global climate crisis on their profession.</p><p><strong>Methods: </strong>Researchers adopted a qualitative approach centered on metaphor analysis and involved 40 Turkish nursing students enrolled in programs in Türkiye during October 2023. Using metaphor analysis and techniques involving writing and drawing, the study uncovered how these students perceive and cognitively structure the influence of the global climate crisis on their nursing careers. The interview form featured the metaphor expression \"The reflection of the global climate crisis on nursing is like … because …,\" while the drawing component prompted students to determine their perspectives on the climate crisis's impact on nursing through concept drawings. The research adhered to the COREQ checklist.</p><p><strong>Results: </strong>The study revealed that nursing students generated 22 metaphors each through written and drawing techniques. Written metaphors were grouped into five categories: psychosocial challenges faced by nurses, patient populations, diseases and coping, burdens on the health system, and the growing importance of various fields within nursing. Drawing technique metaphors were grouped into four categories: nurses and the difficulties they face, the impact of the global climate crisis on the world, the impact of the global climate crisis on the healthcare sector, and the roles and responsibilities of nurses.</p><p><strong>Conclusions: </strong>While nursing students expressed diverse opinions, their concerns about the reflection of the global climate crisis on nursing yielded similar emotional responses. Metaphors are mostly focused on psychosocial challenges faced by nurses, the patient population, diseases, and coping mechanisms. The findings underscored nursing students' concerns about the global climate crisis's impact on both their profession and the broader community.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"eHealth Interventions of Health Literacy for Stroke Survivors: Systematic Review and Meta-Analysis.","authors":"Mai Thi Thuy Vu, Hung Quang Ho, Gong-Hong Lin","doi":"10.1111/phn.13432","DOIUrl":"https://doi.org/10.1111/phn.13432","url":null,"abstract":"<p><strong>Background: </strong>eHealth literacy interventions have emerged as a new approach in management of stroke survivors. Its effect on knowledge and clinical outcomes presents an inconsistent result in literature.</p><p><strong>Objectives: </strong>We aim to evaluate the impact of eHealth interventions on health literacy, clinical metrics, adherence to healthy behaviors, stroke recurrence, mortality, and health-related quality of life in stroke survivors.</p><p><strong>Methods: </strong>We systematically searched six databases (PubMed, Cochrane Library, CINAHL, EMBASE, Web of Science, ProQuest) up to February 21, 2024, selecting articles that meet these criteria: (i) patients with stroke; (ii) intervention with education content; (iii) eHealth interventions included telehealth, mobile phone, internet or computer; (iv) randomized controlled trials. The mean differences (MD) and standardized mean differences (SMD) between groups were measured. Risk of bias was evaluated using the Cochrane tool.</p><p><strong>Results: </strong>From 16 studies involving 9646 participants, we observed that eHealth interventions significantly improved systolic blood pressure (MD = -2.78 mmHg, 95% confidence interval (CI) [-4.67 to -0.88], p = 0.004), medication adherence (SMD = 0.28, 95% CI [0.04 to 0.52], p = 0.023), and health-related quality of life (SMD = 0.21, 95% CI [0.04 to 0.37], p = 0.013). Meta-regression found that age modified the effect size of systolic blood pressure (p = 0.027). There was insufficient evidence to conclude effects on other outcomes. The quality of evidence was moderate. Outcome variation may be due to the diversity in eHealth intervention approaches. The limited number of studies precluded the subgroup analysis. More interactive interventions with longer follow-ups were more effective.</p><p><strong>Conclusions: </strong>eHealth interventions may benefit stroke survivors in terms of blood pressure, medication adherence, and health-related quality of life.</p><p><strong>Implications for nursing policy: </strong>eHealth literacy interventions could be implemented to improve the management of stroke survivors, especially in the context of resource limitations.</p><p><strong>Trial registration: </strong>PROSPERO registration number: CRD42024502470.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reading Groups as a Health-Promoting Intervention in Upper Secondary Schools: A Qualitative Study.","authors":"Sunniva Solhaug Fjelldal, Anne Clancy, Morten Auklend, Hilde Laholt","doi":"10.1111/phn.13428","DOIUrl":"https://doi.org/10.1111/phn.13428","url":null,"abstract":"<p><strong>Objectives: </strong>To explore public health nurses' (PHN) perceptions and experiences of supporting siblings of children with complex care needs (CCNs) by using reading groups as a health promotion intervention in upper secondary schools.</p><p><strong>Design: </strong>An action research approach using a qualitative design.</p><p><strong>Sample: </strong>Interviews with 10 PHNs.</p><p><strong>Measurements: </strong>Thematic analysis.</p><p><strong>Results: </strong>The analysis resulted in the overarching theme \"A much needed health promotion intervention in upper secondary schools,\" presented in terms of the following three themes: (1) supporting siblings is important, but resources and established procedures are lacking. (2) Reading groups using fiction have potential as a health-promoting intervention in upper secondary schools. (3) A realistic collaborative approach is necessary for reading groups to be implemented.</p><p><strong>Conclusion: </strong>PHNs have no established procedures to support siblings of children with CCNs in upper secondary schools. Reading groups can enable PHNs to reach out and support these siblings. Providing the intervention can be a way of reaching all pupils and thus creating an understanding of the plight of siblings who have a brother or sister with CCNs.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disaster Risk Perception and Sustainable Earthquake Awareness Among Public and Private University Nursing Students.","authors":"Nurcan Kolaç, Nermin Eroğlu, Cansu Nirgiz","doi":"10.1111/phn.13430","DOIUrl":"https://doi.org/10.1111/phn.13430","url":null,"abstract":"<p><strong>Background: </strong>This research was conducted in descriptive type to determine the disaster risk perception and sustainable earthquake awareness of nursing students studying at public and private universities.</p><p><strong>Methods: </strong>The study sample consisted of 400 nursing students studying at one public and one private university. The research was conducted between April and May 2023. The data were collected using a Sociodemographic Form, University Students Disaster Risk Perception Scale (USDRPS), and Sustainable Earthquake Awareness Scale (SEAS). Data were collected online using a questionnaire created on Google Forms. Analyses included frequency, percentage, mean, standard deviation values, independent groups t-test, post-hoc Tukey test, LSD, and ANOVA test.</p><p><strong>Results: </strong>Of the students, 61.8% had a disaster experience, 17.4% had lost a relative in the disaster, and 76.8% did not consider themselves prepared for a possible disaster. In the study, the exposure sub-dimension score of the disaster risk perception scale was found to be higher in students who had disaster experience than in those who did not (p = 0.032). Nursing students from the private university had higher sustainable earthquake awareness scores than those studying at the state university (p = 0.001). The mean scores of female students on the earthquake preparedness and preparation application sub-dimensions showed a significant difference compared to the scores of male students (p = 0.016). In the study, sustainable earthquake awareness total and earthquake preparedness sub-dimension scores were higher in second-year nursing students than in students of other years (p = 0.042; 0.015). Those who had received disaster training had low scores on the uncontrollable sub-dimension of the disaster risk perception scale, and high scores on the total SEAS and earthquake-structure relationship, earthquake preparedness, and earthquake preparation application sub-dimensions (p < 0.05).</p><p><strong>Conclusions: </strong>In the study, three out of four students did not find themselves prepared for disasters. Those who had disaster experience had higher disaster risk perceptions. Students who had received disaster-related training had more positive earthquake preparedness, earthquake-structure relationship, and earthquake preparation applications than those who had not. Students who were female and were in the second year had higher earthquake awareness. Studies can be carried out to inform people about the pre-disaster and preparation stages to raise awareness about disasters at universities. Education on disaster management can be integrated into courses from the first years of university.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Weight Status, Snacking Patterns, and Physical Activity Levels Among Primary Schoolchildren in Relizane, Algeria: A Comprehensive Analysis.","authors":"Zouheyr Hadri, M'hamed Benada, Boualem Boumaaza, Sofiane Boudalia","doi":"10.1111/phn.13422","DOIUrl":"https://doi.org/10.1111/phn.13422","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to comprehensively assess the weight status, snack consumption, and physical activity levels among primary schoolchildren, with a focus on both rural and urban areas.</p><p><strong>Methods: </strong>This cross-sectional study surveyed 557 primary schoolchildren aged 6 to 12 years, covering general identification (age, gender), anthropometric measurements (body weight, height, waist, and hip circumference), food patterns (frequency of food consumption), and sports activities.</p><p><strong>Results: </strong>Using CDC body mass index thresholds, we identified a 25% prevalence of obesity and over 17% for overweight, revealing a significant urban-rural disparity. In urban areas, boys had a higher obesity rate (32.58%), while girls had a higher overweight rate (15%). Conversely, in rural regions, girls had a higher obesity rate (24.82%), and boys had a higher overweight rate (22.3%). Dietary analysis showed that over 86% consumed three daily meals, but distinctions in snack choices, such as chips, wafers, and biscuits, were noted between urban and rural areas. Additionally, urban schoolchildren were more likely to participate in sports activities compared to their rural counterparts, with rates of 70.22% versus 55.08%, respectively.</p><p><strong>Conclusion: </strong>Findings provide valuable insights into the health and food behaviors of primary schoolchildren and can inform interventions and strategies to promote healthier lifestyles.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Message Framing Interventions on Improving Health Outcomes for Individuals in Diabetes Health Education Communication: A Systematic Review.","authors":"Wei Zhang, Xiaoli Ye, Tong Shen, Fangfang Zhao","doi":"10.1111/phn.13423","DOIUrl":"https://doi.org/10.1111/phn.13423","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the effects of message-framing interventions on improving health outcomes of individuals in diabetes health education communication.</p><p><strong>Methods: </strong>Four electronic databases including Web of Science, PubMed, EMBASE, and the Cochrane Library were the search engines used. The period of literature search was from their inception until December 2023. Randomized controlled trials (RCTs) and quasi-experimental trials reporting the effects of message-framing interventions for diabetes were included.</p><p><strong>Results: </strong>The review included 10 studies. Many studies have investigated multiple health outcomes. Of the seven studies that evaluated behavioral health-related outcomes, all studies (7/7, 100%) found a positive effect, and four studies (4/7, 57.1%) found that there was no significant difference between gain and loss framing. Of the seven studies that assessed nonbehavioral health-related outcomes, six studies (6/7, 85.7%) reported a positive postintervention effect, whereas four studies (4/7, 57.1%) found that loss-framed messages were more effective. One study (1/7, 14.3%) reported that there was no effect of the message framing on mental health-related outcomes.</p><p><strong>Conclusions: </strong>In diabetes health education communication, message framing of gain and loss framing has a positive effect on health outcomes for individuals. The advantage of the loss framing is more significant in improving nonbehavioral health-related outcomes.</p><p><strong>Practice implications: </strong>When constructing a message to promote health outcomes for patients with diabetes, the message framing is worth applying, and the advantages of loss framing can be considered more.</p><p><strong>Trial registration: </strong>PROSPERO registration ID: CRD42023445074. https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445074.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of Asthma Among a Sample of Primary Schoolchildren in Jordan Based on Child and Parental Report.","authors":"Mohammad Al-Motlaq","doi":"10.1111/phn.13425","DOIUrl":"https://doi.org/10.1111/phn.13425","url":null,"abstract":"<p><strong>Background: </strong>Asthma is a major health issue with an extensive burden to family and health systems. Different measures were used previously to assess disease burden, including prevalence, school performance, parental perceptions, and cost among others.</p><p><strong>Aim: </strong>The purpose of this study was to assess the burden of asthma among schoolchildren using parental and child reports and metered-dose inhaler (MDI) demonstration.</p><p><strong>Methods: </strong>A descriptive exploratory design based on parent and child self-reports was employed. Parents of children with asthma completed a questionnaire about asthma management and burden including symptoms and health services use. A sample of children with asthma completed a questionnaire measuring their perception of asthma management at school. An assessment of children's proper use of MDI inhalers was also conducted.</p><p><strong>Results: </strong>The burden of asthma was high in the current sample with the majority of children experiencing symptoms, asthma exacerbations, emergency department (ED) visits, and admission because of their asthma. The majority of participating children also performed incorrect inhaler technique, which reflects uncontrolled asthma and poor management. Parental perception of their child's health compared well with their burden of asthma.</p><p><strong>Conclusion: </strong>The outcomes of this study and previous reports show an alarmingly high burden of asthma. This calls for collaboration between professionals and stakeholders with children and caregivers in planning and implementing care, including improving the school environment.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}