Public Health Nursing最新文献

{"title":"Public Health Simulation-Infused Program (PHSIP) for Nursing Education.","authors":"Peggy P Hill, Mindi Anderson, Heather Peralta, Desiree A Díaz","doi":"10.1111/phn.13535","DOIUrl":"10.1111/phn.13535","url":null,"abstract":"<p><strong>Introduction: </strong>Recent health crises, like COVID-19, have increased the need for nurses with public health competencies, but students lack knowledge and are unconvinced of the importance of the field.</p><p><strong>Methods: </strong>Pre-licensure nursing students (n = 341) engaged with a public health simulation-infused program (PHSIP) that scaffolded throughout the curriculum. Public health knowledge was tested pre- and post-simulation-based education (SBE), and the simulation effectiveness tool-modified (SET-M) was used to evaluate Learners' perception of the SBE experience.</p><p><strong>Results: </strong>Learners' overall mean SET-M scores were 47.1/57 (83%), ranging from 49.5 to 54 out of 57. Post-test knowledge scores were found to be significantly higher than pre-test (p < 0.001), with an average overall mean knowledge score of 70% (±0.25) and an effect size of 0.82.</p><p><strong>Discussion: </strong>Scaffolding public health SBEs across the curriculum allowed continuous exposure to public health content. Lessons learned include the need to chunk pre-SBE training to prevent cognitive overload, and the time and resources needed to create a PHSIP.</p><p><strong>Conclusion: </strong>Nursing educators should embrace the PHSIP curriculum to provide an opportunity for students to gain an appreciation for the field and gain the knowledge, skills, and resources needed to care for the public's health.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1325-1334"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034763","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":"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":"10.1111/phn.13524","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;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).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A systematic review and meta-analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;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).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;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&lt;sup&gt;2&lt;/sup&gt; = 99.76%, 91.40%, p &lt; 0.001). Mata-regression analysis showed that different region could be the source of heterogeneity in the pooled results. Cough, FEV1, PaO&lt;sub&gt;2,&lt;/sub&gt; age, education, depression, and BODE index are influential factors in the development of CI in COPD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;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&lt;sub&gt;2&lt;/sub&gt;, 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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implica","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1389-1407"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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}

{"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":"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":"1226-1234"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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}

{"title":"Placental Findings in Term Singleton Stillbirths in a Public Hospital in Emalahleni Sub-District in Mpumalanga Province: A Descriptive Study.","authors":"Ouma Vilane, Mariatha Yazbek, Maurine Musie","doi":"10.1111/phn.13542","DOIUrl":"10.1111/phn.13542","url":null,"abstract":"<p><strong>Objective: </strong>This study was carried out to investigate the macroscopical and microscopical placental findings in term singleton stillbirths at a selected public hospital.</p><p><strong>Methods: </strong>A quantitative non-experimental observational descriptive study was conducted by examining the placentas of 89 term singleton stillbirth babies in the labor ward for macroscopic lesions. A data collection tool was used to capture clinical data from patient files on variables of interest related to placental lesions for stillbirth cases. The IBM SPSS Statistics version 28 package was used to analyze the data.</p><p><strong>Results: </strong>A significant relationship was found between the following variables (p < 0.05): stillbirth and number of antenatal care visits (p = 0.0035); birth weight and mid-upper arm circumference (p = 0.013); birth weight and maternal vascular malperfusion (MVM) (p = 0.001); birth weight and birth attendant (p = 0.034); type of stillbirth and birth attendant (p = 0.033); type of stillbirth and previous obstetric history (p = 0.038); cord insertion and smoking/substance abuse (p = 0.012); cord insertion and hemoglobin (p = 0.029); cord length and meconium histiocytes (p = 0.031); cord diameter and syphilis (p = 0.030); placental weight and onset of labor (p = 0.012); placental weight and fetal vascular malperfusion (FVM) (p = 0.004); color of membranes and maternal inflammatory response (MIF) (p = 0.002); color of membranes and meconium histiocytes (p = 0.000), and color of membranes and syphilis (p = 0.053).</p><p><strong>Conclusion: </strong>The study provides essential insights into the placental findings associated with term singleton stillbirths in the Emalahleni Sub-District. Examination of the placenta may help to define the causes in more than 90% of stillbirth cases, inform the research, and decrease stillbirth rates.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1272-1287"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"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":"1375-1388"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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":"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":"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":"1408-1420"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001009/pdf/","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":"OA","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":"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":"1137-1146"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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":"Vulnerability Patterns and Trends-An Exploration of a Decade of Public Health Nursing Editorials.","authors":"Alvisa Palese, Stefania Chiappinotto, Beata Dobrowolska, Fiona Timmins, Yeter Sinem Üzar-Özçetin","doi":"10.1111/phn.13547","DOIUrl":"https://doi.org/10.1111/phn.13547","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":"42 3","pages":"1133-1136"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060739","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":"Select Demographic Data, Disaster-Related Experience, and Disaster Attitudes as Predictors of Disaster Preparedness Among Student Nurses: A Descriptive Correlational Study.","authors":"Bernabe Noel G Tuquero, Raymond Nicolas G Tan, Guerlaine Janina G Tango, Kiara Riel C Tinasa, Alessandra Isobelle De Leon Torres, Andrea Sarah E Torres, Ma Angela Mae S Torres, Carmichael Ethan V Trinidad, Warren Kemuel M Pan","doi":"10.1111/phn.13540","DOIUrl":"10.1111/phn.13540","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) emphasizes the critical need to enhance disaster preparedness among nurses and nursing students due to concerns over their current levels of competency in disaster management.</p><p><strong>Objective: </strong>This study aimed to investigate the influence of demographic characteristics, disaster-related experience, and attitudes toward disasters on the disaster preparedness of nursing students.</p><p><strong>Design: </strong>A descriptive correlational design was employed to examine the relationships between selected variables and disaster preparedness.</p><p><strong>Methods: </strong>A total of 235 nursing students participated in the study, selected through cluster sampling. Data were collected using Google Forms, incorporating demographic questions and three validated scales: Adapted Disaster Preparedness Evaluation Tool (DPET), Adapted Measurement of the Severity of Disaster Experience, and Adapted Attitudes toward Disaster Management Scale. Statistical analyses included descriptive statistics and Pearson Correlation Coefficient using SPSS Version 23.0.</p><p><strong>Results: </strong>The findings revealed statistically insignificant correlations between disaster preparedness and several demographic variables, namely: year level (r = -0.069, p = 0.292), monthly household income (r = 0.004, p = 0.957), and type of housing (r = 0.106, p = 0.104), and NSTP component taken (r = -0.015, p = 0.822). Additionally, disaster attitude (r = 0.091, p = 0.163) was not significantly associated with disaster preparedness among nursing students. However, disaster experience showed a significant relationship with disaster preparedness (r = 0.979, p = 0.001). This finding highlights the critical role of firsthand disaster exposure in shaping students' readiness to respond effectively to emergencies which suggests that experiential learning opportunities, such as disaster simulations or active participation in disaster response efforts, may be more effective in enhancing preparedness than demographic factors or classroom-based training alone.</p><p><strong>Conclusion: </strong>The authors concluded that demographic factors and attitudes towards disasters were not significantly associated with disaster preparedness among nursing students. However, the findings revealed a positive relationship between previous disaster experiences and disaster preparedness of the participants, suggesting that firsthand exposure to disasters enhances preparedness. Future research should explore additional factors through qualitative and longitudinal approaches. Targeted educational interventions are recommended to address specific gaps identified in this study.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1335-1342"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124012","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":"Social Network Analysis of Self-Management Behavior Among Older Adults With Diabetes.","authors":"Geumbo Ko, Youngshin Song","doi":"10.1111/phn.13537","DOIUrl":"10.1111/phn.13537","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the influence of social network structures on self-management behaviors among older adults with diabetes in rural Korean villages, focusing on dietary management, physical activity, and blood glucose monitoring.</p><p><strong>Design: </strong>Employing social network analysis (SNA), the study assessed network structures in three villages, focusing on variations in degree, closeness, and betweenness centralities to understand their impact on health behavior dissemination and adoption.</p><p><strong>Results: </strong>The analysis identified significant differences in network configurations across the villages. Village C, characterized by the highest closeness centrality, facilitated the efficient diffusion of health-related information, thereby promoting the rapid adoption of self-management behaviors. In contrast, Village B exhibited a prominent central node with considerable influence, underscoring its potential as a strategic focal point for targeted health interventions.</p><p><strong>Conclusion: </strong>Social network analysis is useful for identifying influential nodes within community structures to enhance chronic disease management strategies. By tailoring interventions to the unique attributes of a community's network, significant improvements in diabetes self-care efficacy can be achieved. This approach presents a scalable and sustainable framework for community-oriented health interventions. It provides a foundation for further research into the structural and functional dynamics of diabetes self-management networks.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1147-1159"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016239","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}