{"title":"Development of Public Health Center-Based Culturally Tailored Hypertension Self-Care Intervention Among Adults in Rural Ghana.","authors":"Kennedy Diema Konlan, Hyeonkyeong Lee, Yeonsoo Jang, Seung Eun Lee, Soyoon Kim","doi":"10.1111/phn.13473","DOIUrl":"https://doi.org/10.1111/phn.13473","url":null,"abstract":"<p><strong>Objectives: </strong>Develop a primary health care-based nurse-led culturally tailored hypertension self-care intervention for rural residents.</p><p><strong>Design: </strong>The culturally tailored hypertension self-care intervention was developed using a six-step intervention mapping approach that involved: needs assessment using literature review and interviews; setting program goals using integrated thematic synthesis method; selecting intervention modules through the process dimension of the self-care theory of chronic illness; producing program components and materials by developing intervention modules using the motivational interviewing and behavior change techniques; planning program adoption by encouraging sustainable behavior; and evaluation using the education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.</p><p><strong>Measurements: </strong>Education content validity index in health and the intervention acceptability, appropriateness, and feasibility scale.</p><p><strong>Intervention: </strong>The culturally tailored hypertension self-care intervention modules included health literacy, adherence to therapy, continuous monitoring, reduction of the modifiable risk factors of hypertension; self-care management strategies, and strategies for sustaining behavior.</p><p><strong>Results: </strong>The culturally tailored hypertension self-care intervention addresses community-based facilitators and barriers to self-care behavior and ultimately blood pressure control as described in the process dimension of the self-care theory of chronic illness.</p><p><strong>Conclusion: </strong>This culturally tailored hypertension self-care intervention is to be implemented by nurses working in primary health care settings in Ghana where they have direct access to and daily interaction with patients with uncontrolled hypertension.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016646","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":"Traces of Earthquake: Traumatic Life Experiences and Their Effects on Volunteer Nurses in the Earthquake Zone-An Interpretative Phenomenological Study.","authors":"Oya Celebi Cakiroglu, Gamze Tuncer Unver, Suleyman Cakiroglu","doi":"10.1111/phn.13532","DOIUrl":"https://doi.org/10.1111/phn.13532","url":null,"abstract":"<p><strong>Introduction: </strong>It is crucial to understand the effects that traumatic events related to natural disasters have on individuals in as much detail as possible. However, the literature investigating the traumatic life experiences of nurses, who play a key role in disaster management, is still limited.</p><p><strong>Objective: </strong>The aim of this study was to explore in depth the traumatic life experiences of volunteer nurses who participated in relief efforts after two major earthquakes in the southeastern region of Türkiye.</p><p><strong>Methods: </strong>This qualitative study was conducted using a phenomenological design. The study sample consisted of 16 nurses selected by the purposive and snowball sampling methods. The data were evaluated using interpretative phenomenological analysis in the Maxqda 2020 program.</p><p><strong>Results: </strong>Four themes were generated: (1) shocking facts, (2) coping methods, (3) traumatic stress reactions, and (4) traumatic growth.</p><p><strong>Conclusion: </strong>While traumatic life experiences in the earthquake area led to acute stress reactions in the volunteer nurses, these experiences also contributed to their traumatic growth and development. Healthcare managers and policymakers should develop comprehensive strategies and intervention programs to safeguard the mental health of nurses in the context of natural disasters. It may also be useful to improve clinical education programs and support systems by reviewing international policies and procedures.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016309","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}
Kate Freire, Elyce Green, Latitia Kernaghan, Kathryn Castelletto, Julie Ann Schubert
{"title":"Impact of Heat and Mitigation Strategies on Healthcare Professionals: A Scoping Review.","authors":"Kate Freire, Elyce Green, Latitia Kernaghan, Kathryn Castelletto, Julie Ann Schubert","doi":"10.1111/phn.13534","DOIUrl":"https://doi.org/10.1111/phn.13534","url":null,"abstract":"<p><strong>Background: </strong>Rising global temperatures and increased use of personal protective equipment has led to increased risk of heat stress amongst healthcare professionals. This review synthesizes recent research on the impact of heat and heat mitigation strategies on healthcare professionals across disciplines and settings.</p><p><strong>Method: </strong>Databases were systematically searched using keywords and data from included studies were extracted for content analysis.</p><p><strong>Results: </strong>Among 15 eligible studies, 13 investigated the impact of heat stress on healthcare professionals. Six investigated mitigation strategies. Most studies utilized survey methodology and were related to the use of personal protective equipment during the recent pandemic. Large proportions of healthcare professionals reported high levels of thermal discomfort and preferred a cooler temperature in the workplace. The most commonly reported heat strain symptoms included sweating, fatigue, thirst, and poor or reduced concentration. Investigation of mitigation strategies has thus far focused on individual strategies with little insights gained into organizational support or heat policy.</p><p><strong>Conclusions: </strong>Supporting healthcare professionals to manage the impact of heat stress has received little attention in the literature. Mitigation strategies have thus far focused predominantly upon individual strategies. Future studies should adopt a more comprehensive approach to investigating healthcare professional's experiences, investigating all levels of controls.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016238","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}
Ziwei Zhang, Pengyu Yang, Gui Xiao, Bei Li, Mingxin He, Yuhan Yang, Yalou Yang
{"title":"Prevalence and Risk Factors of Cognitive Impairment in COPD: A Systematic Review and Meta-Analysis.","authors":"Ziwei Zhang, Pengyu Yang, Gui Xiao, Bei Li, Mingxin He, Yuhan Yang, Yalou Yang","doi":"10.1111/phn.13524","DOIUrl":"https://doi.org/10.1111/phn.13524","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this systematic review is to present the pooled estimated prevalence and risk factors for cognitive impairment (CI) in patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Background: </strong>Patients with COPD suffer from progressive and irreversible airflow limitation, resulting in continuous impairment of lung function, which in addition to causing lesions in the lungs, often accrues to other organs as well. In recent years, a growing number of cross-sectional and longitudinal studies have shown that hypoxia is an important factor in causing CI and that there is an important link between them, but the assessment of co-morbid neurocognitive impairment and dysfunction is often overlooked. Some studies suggest that the diagnosis of mild cognitive impairment (MCI) is considered a precursor to dementia symptoms, with an annual conversion rate of 5%-10%, and it has been suggested that MCI is a potentially reversible state that can be used as a window for intervention. There is a lack of evidence on the prevalence and influencing factors of CI and its MCI.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>PubMed, Web of Science, the Cochrane Library, Ovid, Wiley, and Scopus were searched for cohort, case-control, and cross-sectional studies investigating the prevalence and risk factors of CI and MCI in COPD to June 2023 from building. Meta-analyses were performed to identify CI and MCI prevalence and risk factors using a random-effects model. The methodological quality assessment was conducted by the modified Newcastle-Ottawa Scale (NOS) and Agency for Healthcare Research and Quality (AHRQ). This study was registered on PROSPERO (CRD42021254124).</p><p><strong>Results: </strong>In total, 41 studies (21 cohort studies, 7 case-control studies, and 13 cross-sectional studies) involving 138,030 participants were eligible for inclusion. Current evidence suggests that the average prevalence of CI and MCI in COPD was 20%-30% (95% CI, 0.17-0.28) and 24% (95% CI, 0.17-0.32), respectively. Significant heterogeneity existed both in CI and MCI (I<sup>2</sup> = 99.76%, 91.40%, p < 0.001). Mata-regression analysis showed that different region could be the source of heterogeneity in the pooled results. Cough, FEV1, PaO<sub>2,</sub> age, education, depression, and BODE index are influential factors in the development of CI in COPD.</p><p><strong>Conclusion: </strong>Integrated epidemiological evidence supports the hypothesis that the prevalence of CI in the COPD population has shown an increasing trend, with differences by region and by instrument. Cough, FEV1, PaO<sub>2</sub>, age, education, depression, and BODE index are influential factors in the development of cognitive impairment in COPD patients. We should promote early screening and management of COPD patients and take targeted measures to prevent and reduce the incidence of CI.</p><p><strong>Implica","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967164","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}
Yifang Yang, Yajing Chen, Yiyi Yang, Tingting Yang, Tingting Wu, Junbo Chen, Fanghong Yan, Lin Han, Yuxia Ma
{"title":"Prediction Models for Post-Stroke Cognitive Impairment: A Systematic Review and Meta-Analysis.","authors":"Yifang Yang, Yajing Chen, Yiyi Yang, Tingting Yang, Tingting Wu, Junbo Chen, Fanghong Yan, Lin Han, Yuxia Ma","doi":"10.1111/phn.13509","DOIUrl":"https://doi.org/10.1111/phn.13509","url":null,"abstract":"<p><strong>Background: </strong>Stroke is one of the most serious illnesses worldwide and is the primary cause of acquired disability among adults. Post-stroke cognitive impairment (PSCI) is a complication of stroke that significantly impacts patients' daily activities and social functions. Therefore, developing a risk prediction model for PSCI is essential for identifying and preventing disease progression.</p><p><strong>Objectives: </strong>This study systematically reviewed and analyzed PSCI prediction models, identifying the associated risk factors.</p><p><strong>Methods: </strong>We systematically retrieved literature from PubMed, Cochrane Library, Embase, and other sources. Two researchers independently extracted the literature and assessed the risk of bias using the Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies (CHARMS) checklist and The Prediction Model Risk of Bias Assessment Tool (PROBAST).</p><p><strong>Results: </strong>A total of 20 articles describe the PSCI prediction model, with an incidence rate ranging from 8% to 75%. The area under the receiver operating characteristic curve (AUC) value for the development models ranged from 0.66 to 0.969, while the validation models ranged from 0.763 to 0.893. Age, diabetes, hypersensitive C-reactive protein (hs-CRP), hypertension, and homocysteine (hcy) were identified as the strongest predictors.</p><p><strong>Conclusion: </strong>In this systematic review, several PSCI prediction models demonstrate promising prediction performance, although they often lack external validation and exhibit high heterogeneity in some predictive factors. Therefore, we recommend that medical practitioners utilize a comprehensive set of predictive factors to screen for high-risk PSCI patients. Furthermore, future research should prioritize refining and validating existing models by incorporating novel variables and methodologies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959041","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":"Health and Social Problems of Refugee Women and Their Children: A Qualitative Case Study.","authors":"Derya Adibelli, Özlem Şahan","doi":"10.1111/phn.13520","DOIUrl":"https://doi.org/10.1111/phn.13520","url":null,"abstract":"<p><strong>Objective: </strong>We intend to examine the health and social problems of refugee women and their children in this research.</p><p><strong>Design: </strong>A qualitative case study.</p><p><strong>Sample: </strong>We conducted this study between December 2022 and January 2023 with 19 refugee women aged 18-49 years.</p><p><strong>Measurements: </strong>We used the snowball sampling method for data collection, and individual in-depth interviews were conducted. We completely transcribed the interviews and then main themes and sub-themes were created. To ensure reliability, two independent external coders were asked to code the themes and sub-themes, and Kappa analysis was performed according to the results. We found the Kappa analysis value as 0.87. After the analysis of the study data, we conducted the thematic content analysis on the Nvivo 10 software.</p><p><strong>Results: </strong>We emerged the main themes following the qualitative data analysis were (1) experiences during migration, (2) communication while receiving health services, (3) childhood immunization status, (4) deciding to have a child, (5) deciding on the number of children, (6) use of family planning methods, and (7) the person with priority in the family.</p><p><strong>Conclusion: </strong>This research indicated that childhood immunization in refugee children was inadequate, refugee women did not know about family planning methods, and even if they did, they did not use these methods because they wanted to have many children.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959036","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}
Dipali Dumbre, Sheela Upendra, Betsy Sara Zacharias
{"title":"Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases: A Systemic Review and Meta-Analysis.","authors":"Dipali Dumbre, Sheela Upendra, Betsy Sara Zacharias","doi":"10.1111/phn.13521","DOIUrl":"https://doi.org/10.1111/phn.13521","url":null,"abstract":"<p><strong>Background: </strong>Subclinical vitamin D insufficiency is frequent in both developing and developed countries. Even after rickets was eliminated in the 1930s by fortifying milk, up to 1 billion people worldwide suffer from subclinical vitamin D deficiency (VDD). Numerous noncommunicable diseases (NCDs), including depression, autoimmune illnesses, diabetes, osteoporosis, and cardiovascular disease, are linked to this deficiency.</p><p><strong>Methodology: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was applied when conducting a systematic review. Relevant studies published between 2010 and 2023 were found by searching databases such as Web of Science, Scopus, and PubMed. To find correlations between deficiency of vitamin D and NCDs, data was extracted from the studies and analyzed using the Mixed Method Appraisal Tools (MMAT). In meta-analysis data combined from multiple observational Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases-A Systemic Review and Meta-Analysis studies to evaluate the relationship between vitamin D insufficiency and health outcomes. Statistical techniques, such as calculating effect sizes and constructing confidence ranges, are employed to determine combined outcomes and investigate possible causal connections.</p><p><strong>Results: </strong>Fourteen studies-including cross-sectional studies, prospective cohorts, randomized controlled trials, and longitudinal studies-met the inclusion criteria. Significant correlations among deficiency of vitamin D and a number of NCDs, including anemia, diabetes, hypertension, rheumatoid arthritis (RA), mental health issues, and autoimmune hypothyroidism, were found in the review. The results highlight the prevalence of deficiency of vitamin D worldwide and its detrimental impact on health. In order to lower the risk of numerous NCDs, this review emphasizes the need for greater awareness and possible interventions to maintain appropriate vitamin D levels. A meta-analysis was conducted to investigate the potential causal connections between vitamin D insufficiency and different health disorders. It elucidates the connections between deficient levels of vitamin D and conditions such as mental health disorders, anemia, diabetes, hypertension, and autoimmune diseases. The study prioritizes the examination of temporal correlations, biological plausibility, and the removal of confounding factors to provide support for these associations. While the text acknowledges that experimental data, such as randomized controlled trials, would enhance the argument for causation, it mostly depends on observational studies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958964","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":"Effect of Brochure and Audio Recordings of Testicular Cancer Stories on Testicular Self-Examination: Randomized Controlled Study.","authors":"Ayse Kılıc Ucar, Irem Aykac, Sevinc Tastan","doi":"10.1111/phn.13512","DOIUrl":"https://doi.org/10.1111/phn.13512","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the effects of a training program based on educational brochures and audio recordings of testicular cancer (TC) stories on testicular self-examination (TSE) and health beliefs among university students.</p><p><strong>Design: </strong>The study had a pretest-posttest, control group experimental design.</p><p><strong>Sample: </strong>This study was conducted with 106 students in Turkey.</p><p><strong>Method: </strong>Data were collected using a personal information form, the Health Beliefs Model (HBM) Scale for TC and TSE, and a form for determining TSE and sharing information.</p><p><strong>Results: </strong>There was a statistically significant difference between the posttest scores obtained by the intervention group, who received the training and the control group on the susceptibility, benefits and health motivation, barriers, self-efficacy, and health motivation dimensions of the HBM Scale (p < 0.05). The percentage of TSE in the intervention group increased from 14.8% to 90.7% after receiving training on TC and TSE, which was significantly different from the pretest and posttest scores of the control group.</p><p><strong>Conclusions: </strong>Training using educational brochures and audio recordings of TC stories had a positive effect on TSE and health beliefs. The results suggest that both training methods can be used to increase social awareness of TC.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959033","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":"Middle-Range Theory of Disaster Cognitive Readiness in Nursing Practice Through Theory Derivation and Sentence Synthesis.","authors":"Sinwoo Hwang, Seoyoung Baek","doi":"10.1111/phn.13528","DOIUrl":"https://doi.org/10.1111/phn.13528","url":null,"abstract":"<p><strong>Introduction: </strong>Disaster nursing is a complex, dynamic, and resource-limited working environment, like military operations. As the COVID-19 outbreak has shown, not only hospitals, but all communities need nurses who can systematically respond to disasters. It is important for nurses to possess the necessary readiness to respond to disasters with confidence and autonomy. However, there is a lack of evidence for a theoretical framework for nurses' cognitive readiness for disaster nursing.</p><p><strong>Objective: </strong>The purpose of this study was to describe the development of a middle-range theory about nurse's cognitive readiness in disaster response.</p><p><strong>Methods: </strong>Fletcher and Wind's model was modified to develop a theoretical framework for disaster cognitive readiness by using theory derivation and sentence synthesis.</p><p><strong>Results: </strong>In the developed theory, \"Disaster cognitive readiness\" refers to the cognitive preparedness of nurses for effectively responding to and managing disaster situations which are in high-stakes, complex environments, achieved through a combination of education, training, and practice in essential skills such as problem-solving, communication, resilience, and ethics. The theory for disaster cognitive readiness described the competencies: knowledge, problem-solving, metacognition, decision-making, adaptability, risk-communication, resilience, and ethics. The outcomes of disaster cognitive readiness are personal (job satisfaction, professional growth) and organizational (disaster management, disaster resilience) outcomes.</p><p><strong>Conclusion: </strong>The results of this study are expected to be useful in developing educational and training programs that emphasize the characteristics of disaster nursing competencies and in verifying their effectiveness in enhancing disaster cognitive readiness as well as individual and organizational outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933572","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":"Public Health Education Service for HealthStudents: Feedback From Experience in France.","authors":"Anne-Laure Lejot, Stéphanie Bouget Mohammedi","doi":"10.1111/phn.13514","DOIUrl":"https://doi.org/10.1111/phn.13514","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933669","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}