Public Health Nursing最新文献

{"title":"Perceptions and Experiences of Exercise Snacks Among Middle-Aged and Older Adults: A Systematic Review and Meta-Synthesis.","authors":"Yunfei Du, Ruotong Peng, Xiao Wan, Chi Zhang, Yongzhen Guo, Jing Chang, Hui Feng, Zeng Cao","doi":"10.1111/phn.13495","DOIUrl":"10.1111/phn.13495","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity in middle-aged and older adults is a major health problem. Exercise snacks are an emerging form of physical activity characterized by shorter single bouts of high-intensity exercise spread out repeatedly throughout the day which can provide more exercise opportunities for middle-aged and older adults.</p><p><strong>Purpose: </strong>To summarize perceptions and experiences of exercise snacks among middle-aged and older adults, and explore the barriers and facilitators of promoting exercise snacks.</p><p><strong>Methods: </strong>We followed the PRISMA and systematically searched five databases from the earliest to May 2024. The Critical Appraisal Skills Program tool is used to quality assess and the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) is used to guide thematic synthesis.</p><p><strong>Results: </strong>Fourteen categories from nine studies were summarized, and 277 findings were identified. Three synthesized findings were: capability of middle-aged and older adults (including health-related exercise disorders, learning and mastery skills, and health literacy), opportunities for exercise snacks (including flexible and free, easy and quick, integration into life, social and family support, and application of mobile health technology), and motivation of exercise snacks (including pleasurable experiences, gaining physical and mental benefits, effective reminders, incentives and feedback, personalized needs, and self-efficacy).</p><p><strong>Conclusion: </strong>Exercise snacks are a promising approach， however, they need to be continuously optimized. Our results can provide evidence for designing and optimizing exercise snack programs. Medical workers should assist middle-aged and older adults in developing appropriate exercise snack strategies.</p><p><strong>Trial registration: </strong>PROSPERO (CRD42024544089).</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1031-1046"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803497","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":"Influencing Factors of Nurses' Well-Being in Critical Care During Pandemic Era: A Systematic Review.","authors":"Maria Emma Musio, Marta Russo, Martina Barbieri, Andrea Moro, Milko Zanini, Loredana Sasso, Annamaria Bagnasco, Gianluca Catania","doi":"10.1111/phn.13471","DOIUrl":"10.1111/phn.13471","url":null,"abstract":"<p><strong>Aim: </strong>To identify factors protecting and hindering the well-being of critical care nurses during the COVID-19 pandemic.</p><p><strong>Background: </strong>The unique work challenges of critical care nurses can undermine their professional and mental well-being; as evidenced by the prevailing literature on burnout, compassion fatigue, and moral distress. The COVID-19 pandemic has seen these professionals on the front lines and has raised many questions about professional well-being. Identifying the factors that protect and hinder the well-being of critical care nurses would help to develop the strategies necessary to reduce worrying phenomena associated with professional malaise.</p><p><strong>Evaluation: </strong>A systematic review was conducted using electronic databases including PubMed, CINAHL, Scopus, Cochrane, PsycINFO, and Web on Science.</p><p><strong>Key issues: </strong>After full text analysis, 25 papers were included in the current systematic review. Factors influencing the well-being of critical care nurses have been grouped into \"Protective\" and \"Hindering.\"</p><p><strong>Conclusions: </strong>This review shows that critical care nurses' well-being is influenced by factors like personal resilience and supportive work environments, which enhance their experience. Challenges include sociodemographic issues and the COVID-19 pandemic's impact. Addressing these factors is crucial for their well-being and the effectiveness of healthcare systems.</p><p><strong>Implications for clinical practice: </strong>The well-being of nurses is intricately linked to the quality and security of patient care, ultimately influencing clinical outcomes. This review delves deeply into the multifaceted factors that affect the professional well-being of critical care nurses during the COVID-19 pandemic. Recognizing these elements is critical for directing health policy toward the development of initiatives that bolster healthcare workers' welfare. Prioritizing the professional well-being of nurses is imperative, as it is fundamental in mitigating the increasing inclination towards job turnover, a challenge that is profoundly impacting the healthcare sector.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"996-1016"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632814","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":"Priority Setting for Enhancing School Nursing Practices Using the Borich Needs Assessment and the Locus for Focus Model.","authors":"Min-Jung Choi, Hyun-Ju Seo, Jaehee Yoon, Ji Eun Kim","doi":"10.1111/phn.13543","DOIUrl":"https://doi.org/10.1111/phn.13543","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the gap between current practices and perceived importance of school nursing services among South Korean school nurses and identify educational priorities to enhance these services.</p><p><strong>Design: </strong>A cross-sectional online survey was conducted using the Korean version of the Scope of School Nursing Practice Tool (K-SSNPT).</p><p><strong>Sample: </strong>The study included 360 school nurses currently working in elementary, middle, and high schools across South Korea.</p><p><strong>Method: </strong>Participants completed a self-reported questionnaire measuring their perceptions of the importance and current practices on 24 items of the K-SSNPT. Data were analyzed using descriptive statistics, paired t tests, and the Borich needs assessment and the Locus for Focus model to prioritize educational needs.</p><p><strong>Results: </strong>The gap between current practice and perceived importance was observed in 23 out of 24 items (p < 0.05). The top-priority educational items included \"Monitor student health plans to determine progress and identify interventions that may need to be changed,\" \"Regularly review student data to identify trends\" within the using the nursing process dimension, and \"Stay current on legislation related to school nursing\" within the connecting with the community dimension.</p><p><strong>Conclusions: </strong>The findings highlight the need for targeted educational programs to enhance school nurses' competencies, particularly in applying the nursing process, fostering collaboration with community, and staying up to date with legislation related to school nursing. These results provide a foundation for developing comprehensive educational programs to improve school health services.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525302","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 Psychosocial Interventions in Alcohol and Substance Use Disorders: A Meta-Analysis Study.","authors":"Fatma Gül Helvacı Çelik, Nurten Gülsüm Bayrak, Sevda Uzun","doi":"10.1111/phn.13544","DOIUrl":"https://doi.org/10.1111/phn.13544","url":null,"abstract":"<p><p>Alcohol and substance use disorders (ASUD), are increasing worldwide, and these psychiatric disorders are difficult to treat. The search for new treatments for these disorders continues. Psychosocial interventions (PI) are among them, and it is important to evaluate their effectiveness. This study aimed to assess the effectiveness of PI applied to individuals with ASUD. This meta-analysis was conducted by searching PubMed, Web of Science, EBSCOhost, Google Scholar, and YOK Thesis Center databases without year restrictions between October and December 2023. After reviewing the studies, 18 research articles were included in the analysis. The meta-analysis revealed that PI applied to individuals with ASUD were effective in reducing depression (SMD: -0.753, 95% CI: -1.215 to -2.91; I² = 94.515; p < 0.05) and enhancing self-efficacy (SMD: 0.709, 95% CI: 0.096-1.321; I² = 93.34; p < 0.05). However, these interventions were not found to be effective in improving self-esteem (SMD: 0.655, 95% CI: -1.641 to 0.331).</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470132","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 Dietary Habits, Physical Activity, and Perceived Health Status on Health-Related Quality of Life by Household Characteristics of Patients With Chronic Diseases: The Korea Community Health Survey (KCHS).","authors":"Soyean Kang, Hae Sagong, Juyoung Lee","doi":"10.1111/phn.13541","DOIUrl":"https://doi.org/10.1111/phn.13541","url":null,"abstract":"<p><strong>Background: </strong>Modern societies are seeing a steady rise in individuals living alone. This study examines the impact of dietary habits, physical activity, and perceived health status on the health-related quality of life (QoL) of adults aged 40 and older with chronic diseases, comparing living-alone households to multi-person households.</p><p><strong>Methods: </strong>Data from the 2022 Korean Community Health Survey, including 65,861 respondents, were analyzed. The analysis utilized the Rao-Scott χ² test, independent t-test, and multiple logistic regression with a complex sample design to assess differences in variables affecting QoL by household type.</p><p><strong>Results: </strong>Individuals living alone were more likely to be female, older, less educated, economically inactive, divorced or separated, and have lower household incomes compared to those in multi-person households. Physical activity, perceived health status, and QoL were higher in multi-person households. Although all variables influenced QoL in multi-person households, nutritional labeling awareness and frequency of physical activity showed no significant association with QoL in living-alone households.</p><p><strong>Conclusion: </strong>Living-alone households with chronic diseases face notable demographic disparities. Additional research is needed to understand why nutritional labeling awareness and physical activity frequency do not significantly affect QoL in this group. The influence of mental health warrants further investigation to guide targeted interventions.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450855","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":"Life Satisfaction and Healthy Lifestyle Behaviors of Individuals According to Exercise Preferences of Outdoor and Indoor.","authors":"Fatma Avsar, Nildem Kizilaslan","doi":"10.1111/phn.13538","DOIUrl":"https://doi.org/10.1111/phn.13538","url":null,"abstract":"<p><strong>Objective: </strong>Preference for outdoor and indoor exercises is essential when choosing a place to exercise. This study compared adults' healthy lifestyle behaviors and life satisfaction according to physical activity location preferences.</p><p><strong>Subject and methods: </strong>The study is conducted using a cross-sectional design between May and October 2023, with visitors to a gym (n = 270). The study sample included participants in the activities of two outdoor sports groups and two gyms operating.</p><p><strong>Study: </strong>The questionnaire for data collection consists of demographic characteristics, Health Promotion Lifestyle Profile (HPLP), Life Satisfaction Scale (SLS), Three-Factor Eating Questionnaire-R (TFEQ). Percentage, mean, standard deviation, t-test, ANOVA posthoc analysis, and Chi-square tests were used to analyze the data.</p><p><strong>Results: </strong>The mean age of the participants was 25.87 ± 8.59 years. The rate of people doing indoor activity is 67.4%. The rate of those who prefer outdoor exercise is 87.8%. Many parameters were significant for indoor and outdoor exercisers compared to those in a single location (p < 0.05).</p><p><strong>Conclusion: </strong>Healthy lifestyle behaviors are better for those who prefer both locations for exercise. A fuller picture of this study is that balance is important for the preference of outdoor and indoor exercises. Individuals should be encouraged to exercise outdoors and indoors.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257398","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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-02-04","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-24","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":"Diverse Care Needs Assessment for Older Adults in China: A Latent Profile Analysis Study.","authors":"Junyu Chen, Qing Wang, Zichun Ding, Meng Wang, Lixia Chen, Guihua Xu","doi":"10.1111/phn.13539","DOIUrl":"https://doi.org/10.1111/phn.13539","url":null,"abstract":"<p><strong>Background: </strong>Grasping the nuanced needs of older adults is paramount for the efficacious provision of day-care services. Our study sought to identify the demand patterns for day-care services in China and to explore the underlying factors. This study aims to offer useful evidence that can refine nursing care strategies and guide policy development within day-care settings.</p><p><strong>Methods: </strong>We implemented a comprehensive electronic survey comprising 46 questions targeting older adults across nine day-care centers in Nanjing, China. Employing latent profile analysis (LPA), we systematically examined and categorized the demand characteristics for day-care services. This analysis was conducted using Mplus version 8.3 and SPSS version 26.0 software, ensuring a rigorous and precise methodological approach.</p><p><strong>Results: </strong>Our study involved a comprehensive survey of 1016 older adults. The participants were categorized into three groups based on their demand for day-care services: high demand (n = 127), medium demand (n = 197), and low demand (n = 692). The low-demand group exhibited higher levels of social support and better activities of daily living (ADL) scores compared to their counterparts. Multivariate regression analysis indicated that older adults characterized by male gender, advanced age, higher levels of education, receipt of support from a child, presence of chronic diseases, and lower social support and ADL scores exhibited a statistically significant inclination towards moderate to high demand for day-care services (p < 0.05).</p><p><strong>Conclusion: </strong>The demand for day-care services for older adults in China is intricately influenced by a complex array of interrelated factors. Tailoring service offerings to meet the varied physical and emotional needs of older adults is essential, with a particular focus on health and wellness management in day-care centers.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016701","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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-01-22","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}