Public Health NursingPub Date : 2025-01-01Epub Date: 2024-09-23DOI: 10.1111/phn.13423
Wei Zhang, Xiaoli Ye, Tong Shen, Fangfang Zhao
{"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":"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":" ","pages":"e13423"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-06DOI: 10.1111/phn.13437
Jing Jing Su, Jenniffer Torralba Paguio, Weidi Wang, Ladislav Batalik
{"title":"Designing a Nurse-Led eHealth Cardiac Rehabilitation Program: Insights From Participant Experiences and Qualitative Feedback.","authors":"Jing Jing Su, Jenniffer Torralba Paguio, Weidi Wang, Ladislav Batalik","doi":"10.1111/phn.13437","DOIUrl":"10.1111/phn.13437","url":null,"abstract":"<p><strong>Background: </strong>This study examines the perspectives of individuals with coronary heart disease (CHD) on a nurse-led eHealth cardiac rehabilitation (NeCR) program, which included a website, tele-monitoring device, and social media chatroom.</p><p><strong>Methods: </strong>Using a descriptive qualitative approach, semi-structured interviews were conducted with 18 participants to capture their feedback and experiences with the NeCR program.</p><p><strong>Results: </strong>Participants found the NeCR program valuable in addressing gaps in cardiac rehabilitation services in China, empowering them to make behavioral changes and enhancing their social motivation. However, they also highlighted the need for a more user-friendly website, better symptom management during exercise, and stronger privacy protections in the peer networking chatroom. The study concludes that the NeCR program is feasible in providing accessible rehabilitative services at home post-discharge. Recommendations include improving the self-monitoring platform for ease of use, incorporating immediate symptom management guidance during exercise, and ensuring a secure environment for online peer support.</p><p><strong>Conclusions: </strong>These findings offer crucial insights for developing patient-centered eHealth cardiac rehabilitation services, emphasizing the importance of user-friendly design, effective symptom management features, and privacy protection in promoting participant engagement with e-platforms.</p><p><strong>Trial registration: </strong>ChiCTR1800020411 (http://www.chictr.org.cn/showprojen.aspx?proj=33906).</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"144-153"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382439","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-24DOI: 10.1111/phn.13461
Angela Shin-Yu Lien, Sherry Yueh-Hsia Chiu, Jean Ching-Yuan Fann, Sam Li-Sheng Chen, Amy Ming-Fang Yen, Hsiu-Hsi Chen
{"title":"Risk Factors of Hepatitis Associated With Time to Adopting a New Cancer Screening Model Under Diffusion of Innovation Theory-A 10-Year Cohort Study in Taiwan.","authors":"Angela Shin-Yu Lien, Sherry Yueh-Hsia Chiu, Jean Ching-Yuan Fann, Sam Li-Sheng Chen, Amy Ming-Fang Yen, Hsiu-Hsi Chen","doi":"10.1111/phn.13461","DOIUrl":"10.1111/phn.13461","url":null,"abstract":"<p><strong>Background: </strong>Hepatitis is a serious global health issue. To reduce mortality, early screening for liver disease has been recommended in community health policies, particularly for asymptomatic individuals.</p><p><strong>Aim: </strong>This study explored the link between liver function biomarkers and how quickly people adopt a new multiple cancer screening program, using the diffusion of innovation (DOI) Theory.</p><p><strong>Methods: </strong>The study included 57,939 participants from a community-based screening program in Keelung, Taiwan, between January 1, 2001, and December 31, 2010. Data on demographics and lifestyle habits were collected through questionnaires, and blood samples were analyzed to measure biomarkers related to liver function.</p><p><strong>Results: </strong>On average, participants took 3.48 years to accept the new screening program. People with healthier lifestyles, such as those who drank alcohol less often, were more likely to adopt the screening early. Additionally, those with higher levels of liver-related biomarkers like albumin, total protein, and ALT joined even sooner. In conclusion, using DOI theory, the study found that personal lifestyle and liver function play a role in how quickly individuals adopt a new screening system.</p><p><strong>Conclusion: </strong>These insights can help healthcare providers improve early screening efforts, particularly for people at risk of hepatitis and liver cancer, potentially reducing related deaths.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"95-103"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513086","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-15DOI: 10.1111/phn.13431
Ja-Yin Lee, Hyeonkyeong Lee, Sue Kim, Sohee Park, Duckhee Chae, Hye Chong Hong
{"title":"HPV Vaccination Stages and Associated Factors Among Children of Immigrant Women.","authors":"Ja-Yin Lee, Hyeonkyeong Lee, Sue Kim, Sohee Park, Duckhee Chae, Hye Chong Hong","doi":"10.1111/phn.13431","DOIUrl":"10.1111/phn.13431","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify key determinants by stage of implementation of human papillomavirus (HPV) vaccination among children of immigrant women in South Korea.</p><p><strong>Design: </strong>Cross-sectional descriptive study.</p><p><strong>Sample: </strong>The sample comprised 262 Chinese, Vietnamese, and Korean-Chinese women with children living in South Korea.</p><p><strong>Methods: </strong>The survey was conducted using self-report questionnaires. The HPV vaccination levels in children were classified into four transition stages. Sequential logistic regression analysis was conducted to identify the factors affecting the transition of HPV vaccination status.</p><p><strong>Results: </strong>Social norms had the greatest influence on the intention to vaccinate. Perceived barriers were a significant factor associated with intention or initiation of vaccination, whereas perceived severity and susceptibility were associated with the intention and initiation stages, respectively. Upon the initiation of HPV vaccination, low perception of discrimination in healthcare was associated with continued vaccination.</p><p><strong>Conclusion: </strong>Given the importance of completing multiple doses of the HPV vaccine within a given timeframe, it is important to provide culturally appropriate interventions in stages to prevent dropouts.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"205-214"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481067","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-11-06DOI: 10.1111/phn.13486
Zehra Çerçer, Duygu Ayar
{"title":"Contraceptive Intention, Religious Attitudes and Sources of Spirituality in Married Muslim Women: A Descriptive Correlational Study in Türkiye.","authors":"Zehra Çerçer, Duygu Ayar","doi":"10.1111/phn.13486","DOIUrl":"10.1111/phn.13486","url":null,"abstract":"<p><strong>Objective: </strong>This study was carried out to reveal the relationship between contraceptive intents, religious attitudes, and spiritual resources of married Muslim women.</p><p><strong>Methods: </strong>The study was conducted using a descriptive-correlational design. The study was conducted with 273 participants between July and November 2023. To collect data, the Personal Information Form, Trait Sources of Spirituality Scale, Ok-Religious Attitude Scale, and Contraceptive Intent Questionnaire were used. The data were evaluated using Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests.</p><p><strong>Results: </strong>No significant relationship was found between the total and sub-scales of the Contraceptive Intent Questionnaire, Trait Sources of Spirituality Scale, and Ok-Religious Attitude Scale (p > 0.05). A positive and high correlation was detected between the total, emotion, relationship, and behavior sub-scales of the Trait Sources of Spirituality Scale and Ok-Religious Attitude Scale (p < 0.05). The contraceptive intent levels of women were found to be associated with some of their socio-demographic and obstetric variables (age, previous delivery method, sex of existing children, and contraceptive method used). The only variable that showed a significant relationship with all three scales was found to be the sex of the existing children of women.</p><p><strong>Conclusion: </strong>Some socio-demographic and obstetric characteristics of married Muslim women are related to the sex of the child they have, their contraceptive intents, spiritual resources, and religious attitudes. In contraceptive counseling services provided to Muslim women, their religious attitudes and spiritual resources should be taken into consideration.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"132-143"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592212","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-15DOI: 10.1111/phn.13450
Christine Noelle Flaherty, Pam V O'Neal, Patricia A Carter, Lenora Smith, Nancy Lerner, Gwendolyn Hooper, Jennifer R Bail
{"title":"Perspectives on the Dementia Public Health Exposome.","authors":"Christine Noelle Flaherty, Pam V O'Neal, Patricia A Carter, Lenora Smith, Nancy Lerner, Gwendolyn Hooper, Jennifer R Bail","doi":"10.1111/phn.13450","DOIUrl":"10.1111/phn.13450","url":null,"abstract":"<p><p>Dementia is a public health concern in the aging population with an estimated 55 million people impacted globally. Public health initiatives that focus on minimizing dementia risk factors may support efforts to reduce the incidence of dementia in at-risk populations. Exposomics considers both modifiable and non-modifiable risk factors for disease, including genetic changes with age and lifetime exposures to environmental, social, and behavioral risk factors. Dementia precursors may remain undetected for up to 20 years. An understanding and application of the dementia exposome may promote healthy brain interventions, screening, and risk mitigation. The proposed dementia public health exposome (DPHE) provides a framework for understanding and addressing the complex interactions between genetics, health behavior, and environment (natural, built, and social) linked to modifiable and non-modifiable risk factors for dementia. The DPHE may be used to inform public health strategies and advancements in healthy brain initiatives.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"215-220"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481072","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-11-08DOI: 10.1111/phn.13481
Bingzi Shi, Jing Zhang, Yasi Zhang, Yujing Sun, Wenming Cui
{"title":"Factors Associated With Colorectal Cancer Screening Behaviors Among Urban Populations in China: A Mixed-Methods Study Using the Health Belief Model.","authors":"Bingzi Shi, Jing Zhang, Yasi Zhang, Yujing Sun, Wenming Cui","doi":"10.1111/phn.13481","DOIUrl":"10.1111/phn.13481","url":null,"abstract":"<p><strong>Objective: </strong>Adherence to guideline-recommended colorectal cancer screening (CRCS) among average-risk urban populations in China remains significantly suboptimal. This mixed-methods study aimed to investigate screening behaviors and associated factors among average-risk urban populations through a multi-center approach.</p><p><strong>Methodology: </strong>From February to July 2024, 550 participants were recruited via stratified random sampling in Harbin, China. They completed questionnaires related to health beliefs and knowledge. Additionally, semi-structured interviews were conducted to explore CRCS behaviors, with data analyzed using directed content analysis based on the Health Belief Model (HBM).</p><p><strong>Results: </strong>Five hundred twenty two participants (95.0%) completed the survey. Identified factors influencing screening behavior among average-risk urban populations included perceived severity of colorectal cancer (CRC), benefits of colon cancer surveillance, barriers to surveillance, and knowledge. Twenty-six individuals were engaged in qualitative interviews. Twenty-four themes were identified and categorized by frequency. Both quantitative and qualitative data suggest that CRCS behavior among urban average-risk populations is suboptimal, and the identified factors can be mapped onto the HBM.</p><p><strong>Conclusions: </strong>This mixed-methods study demonstrates that key factors influencing screening behavior among urban average-risk populations align with the HBM. These identified factors should be meticulously considered in future systematic interventions to enhance screening behaviors.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"466-477"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607483","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-16DOI: 10.1111/phn.13451
Shimpei Kodama, Rika Hinokuma
{"title":"Indirect Effects of Municipal Public Health Nurse Workforce on Cancer Standardized Mortality Ratios Mediated by Cancer Screening Rates.","authors":"Shimpei Kodama, Rika Hinokuma","doi":"10.1111/phn.13451","DOIUrl":"10.1111/phn.13451","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the indirect effects of the number of Japanese municipal public health nurses (PHNs) on cancer standardized mortality ratios (SMRs), using cancer screening and diagnostic follow-up rates as mediators.</p><p><strong>Design: </strong>Ecological study using municipalities as the unit of analysis MEASUREMENTS: Aggregate, municipal-level government data were analyzed using a linear model with empirical Bayes estimates of SMRs (EBSMRs) for gastric, colorectal, and lung cancers as the dependent variables, and the number of PHNs, cancer screening rate, diagnostic follow-up rate, and adjustment variables as independent variables. Structural equation modeling (SEM) was used to examine the indirect effects of PHNs.</p><p><strong>Results: </strong>Cancer screening rates were significantly negatively associated with EBSMR, except for gastric cancer in women. No significant association was observed between the EBSMR and diagnostic follow-up rates. SEM revealed a significant indirect effect of the number of PHNs, most of which was due to the cancer screening rate.</p><p><strong>Conclusions: </strong>From a population-based public health perspective, increasing the number of PHNs and focusing on improving cancer screening rates may effectively reduce cancer SMRs.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"70-79"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481068","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-24DOI: 10.1111/phn.13469
Ali Tayhan, Kübra Işık
{"title":"Relationship Between Primary School Teachers' COVID-19 Fear Levels and COVID-19 Vaccine Attitudes After the Start of Face-to-Face Education During the Pandemic Period: A School Health Study.","authors":"Ali Tayhan, Kübra Işık","doi":"10.1111/phn.13469","DOIUrl":"10.1111/phn.13469","url":null,"abstract":"<p><strong>Context: </strong>Starting face-to-face education while the COVID-19 pandemic was ongoing was a risk for public health. Determining teachers' initial reactions to public health practices during this high-risk period may contribute to the redesign of public health and school nursing policies.</p><p><strong>Objective: </strong>The aim of this research is to examine the relationship between primary school teachers' COVID-19 fear levels and COVID-19 vaccine attitudes.</p><p><strong>Design: </strong>The research has a descriptive correlational design. The data were obtained from teachers working in primary schools (n = 430). Simple random sampling method was used in the data collection process. Data were obtained with the Scale of Attitudes Towards COVID-19 Vaccine and Fear of COVID-19 Scale.</p><p><strong>Results: </strong>In the study, 50.5% of teachers reported that they were afraid of catching COVID-19, 41.9% said their risk of catching COVID-19 was \"high,\" and 87.7% reported that they voluntarily got the COVID-19 vaccine. Of the teachers, 4.6% (n = 20) stated that they regretted getting vaccinated. A positive and significant relationship was found between teachers' Fear of COVID-19 Scale and COVID-19 Vaccine Attitude Scale scores (r = 0.133, p < 0.001).</p><p><strong>Conclusions: </strong>During the pandemic, it was observed that teachers' fear level of COVID-19 increased with the start of face-to-face education. In addition, it is seen that teachers started to have doubts about some public health practices. This may indicate that public health nurses should take a more active role in school health practices.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"113-122"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513084","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-28DOI: 10.1111/phn.13458
Kübra Gülırmak Güler, Eda Albayrak Günday
{"title":"Fronts in Minds: A Phenomenological Study on the Effects of War News on Collective Mental Health.","authors":"Kübra Gülırmak Güler, Eda Albayrak Günday","doi":"10.1111/phn.13458","DOIUrl":"10.1111/phn.13458","url":null,"abstract":"<p><strong>Introduction: </strong>War has been recognized throughout history for its devastating effects on societies, and these effects have not been limited to physical destruction. In the modern era, even wars in remote regions have profound psychological effects on large masses due to the instant information transfer brought about by globalization and technology.</p><p><strong>Aim: </strong>This study aims to examine in depth the effects of exposure to war news on the collective mental health of individuals through a phenomenological approach.</p><p><strong>Methods: </strong>In this qualitative study using a phenomenological research design, one of the purposive sampling methods, criterion sampling, was employed. Face-to-face in-depth interviews lasting approximately 35-45 min were conducted with 20 participants. Colaizzi's phenomenological analysis method was used to analyze the obtained data. Data were collected according to COREQ criteria.</p><p><strong>Results: </strong>According to the analysis results, three main categories emerged as follows: echoes of collective anxiety, keys to maintaining spiritual resilience, and navigating the media storm.</p><p><strong>Discussion: </strong>This research provides important findings on the psychological and social effects of the media by examining the impact of war news on public mental health in depth. It was determined that war news has the potential to spread social anxiety and fear. Participants expressed the negative effects of war news on psychological and physical health and stated that this situation creates a wide wave of anxiety and psychological storms. The constant coverage of war news in the media also affects social empathy, shaping society's ability to support each other in times of crisis.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"483-493"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523698","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}