Public Health Nursing最新文献

{"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}

{"title":"Health-Promoting Behaviors and Its Relationship With Anxiety, Depression, and Social Support Among Nursing Students in Saudi Arabia: A Cross-Sectional Study.","authors":"Abdulhafith Alharbi, Sameer A Alkubati, Yousef Alshahrani, Eddieson Pasay-An, Ammar Alshara","doi":"10.1111/phn.13533","DOIUrl":"10.1111/phn.13533","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the levels and determinants of health-promoting behaviors (HPBs) and their correlations between HPBs, anxiety, depression, and social support among nursing students.</p><p><strong>Design and methods: </strong>A cross-sectional, correlational study was performed from March to June 2024 with 268 nursing students in the College of Nursing at the University of Hail using a self-structured questionnaire. Data were analyzed using t-test, one-way analysis of variance, Pearson's correlation, and multiple stepwise regression.</p><p><strong>Results: </strong>The mean score of nursing students on the HPLP-II scale was 2.60 ± 0.47 overall, with the spiritual growth subscale scoring the highest (3.05 ± 056) and physical activity scoring the lowest (2.25 ± 0.75). More than a quarter of the students were classified into the borderline range for anxiety (28.4%) and depression (26.9%). In comparison, 19.4% and 16% of the students experienced anxiety and depression, respectively. There were significant weak negative correlations between the HPBs and anxiety (r = -0.396; p < 0.001) and between social support and anxiety (r = -0.335; p < 0.001). Likewise, there were significant weak negative correlations between HPBs and depression (r = -0.343; p < 0.001) and between social support and depression (r = -0.313; p < 0.001). In contrast, significant weak positive correlations were observed between HPBs and social support (r = 0.354; p < 0.001) and between anxiety and depression (r = 0.380; p < 0.001). Multiple linear regression analysis of factors affecting HPBs, anxiety, depression, and social support showed that the model was significant for all (p = 0.026, p = 0.005, p < 0.001, p = 0.003, respectively).</p><p><strong>Conclusion: </strong>Although students reported a satisfactory level of HPBs, especially for spiritual growth and social relations, nutrition and physical activity require attention. The presence of anxiety and depression affected a substantial proportion of the students, especially those from lower socioeconomic status, and studying in the early years of the study. Family income, occupation, and education level have been reported to have a significant impact on health outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1249-1260"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016029","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":"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":"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":"1205-1215"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000993/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Health Status and Eldercare Needs of Urban Elderly People in Ili Kazak Autonomous Prefecture, Xinjiang Uygur Autonomous Region.","authors":"Zhao-Hong Chen, Liang You, Jun-Li Liu, Lin-Lin Zhu, Xia Duan, Meng-Sha Zhang, Wen-Ge Zhang","doi":"10.1111/phn.13549","DOIUrl":"10.1111/phn.13549","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the health status and eldercare needs of elderly people in urban Ili Kazak Autonomous Prefecture of Xinjiang Uygur Autonomous Region.</p><p><strong>Methods: </strong>Using an online questionnaire, 2057 elderly people aged >60 years in Ili Kazak Autonomous Prefecture, Xinjiang, were enrolled for analysis following data collection.</p><p><strong>Results: </strong>The major source of financial support was retirement pension, with spouse's income accounting for a relatively low proportion. Moreover, >60% of elderly people had financial support of <3000 yuan per month. The proportion of elderly people suffering from chronic diseases reached 64.95%; only 35.44% had a good understanding of the disease they suffered from, and only 42.34% said they received convenient medical treatment. Furthermore, over 10% of elderly people could not take full care of themselves in various daily activities, and the main daily caregivers were spouses and children, with less care provided by the community or through other means.</p><p><strong>Conclusion: </strong>This study found that the financial support, medical care, and daily care needs of elderly people in China have not been well met in terms of the current degree of satisfaction with eldercare services. Findings in this study suggest that the development of eldercare services should be accelerated from the five aspects of concept advocacy, resource integration, institutional preparation, eldercare environment, and social support.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1365-1374"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568867","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":"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":"1192-1204"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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":"Nursing Students' Experiences of and Attitudes to the Sustainable Development Goals: A Scoping Review.","authors":"Ann Hägg-Martinell","doi":"10.1111/phn.13555","DOIUrl":"10.1111/phn.13555","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a review based on studies that have investigated nursing students' experiences of and attitudes to the Sustainable Development Goals (SDG).</p><p><strong>Design: </strong>A scoping review.</p><p><strong>Methods: </strong>A systematic scoping review was conducted using PubMed, Google Scholar, and Web of Sciences databases covering the years 2014-2024. Seventeen studies were included.</p><p><strong>Results: </strong>Six themes emerged from an inductive process of data interpretation: Influence of demographic and institutional factors, impact of educational programs, integration of sustainability into nursing curricula, educational interventions, barriers to sustainable nursing practices, and enablers of sustainable nursing practices.</p><p><strong>Conclusion: </strong>Demographic factors influence students' attitudes toward SDG-focused education. Prior training and experiential learning improve knowledge and attitudes. Despite feeling underprepared, nursing students often seek information independently. Effective education should integrate practical applications and address barriers like confidence and time. Expanding awareness and professional development are key to promoting sustainable practices.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1421-1433"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626863","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":"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":"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":"1235-1248"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","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":"Online Education on Sustainable Nutrition Affects Women's Sustainable Eating Behavior and Anthropometric Measures.","authors":"Gülsüm Şahin-Bodur, Esra Tunçer, Emre Duman, Selen Yilmaz, Alev Keser","doi":"10.1111/phn.13548","DOIUrl":"10.1111/phn.13548","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of online sustainable nutrition education (SNE) on sustainable eating behaviors and anthropometric measurements in women.</p><p><strong>Design: </strong>In the research, a pretest-posttest quasi-experimental design was used for groups that were subjected to two different trainings.</p><p><strong>Sample: </strong>In the education group, 34 and in the control group, 51 women that between the ages of 19-50 years from six Women's Education and Culture Centers of Ankara Altındağ Municipality.</p><p><strong>Intervention: </strong>After the pretest, the Healthy Nutrition Education (HNE) group received one session of education on \"healthy eating\" in the second week of the study, while the SNE group received one session of education on \"healthy eating\" in the second week and \"sustainable nutrition\" in the third and fourth weeks. Participants were given SNE and its effectiveness was evaluated after 10 weeks.</p><p><strong>Results: </strong>At the end of 10 weeks, body fat percentage decreased significantly from 35.0 ± 6.7 to 33.7 ± 6.8 in the SNE group (p = 0.007). In addition, muscle mass (kg) increased significantly from 43.4[6] to 44.7[5.2] in the SNE group (p = 0.001). When covariance analysis was performed by correcting for body mass index, the group factor had an effect on body fat percentage and muscle mass (p = 0.035 and p = 0.007, respectively). After 10 weeks, the SNE group had a higher Sustainable and Healthy Eating Behaviors Scale mean score (p = 0.013), seasonal foods and avoiding food waste (p = 0.044), animal health (p = 0.003), reducing meat consumption (p = 0.022), healthy and balanced nutrition (p = 0.031), and low fat (p < 0.001) scores compared to HNE group.</p><p><strong>Conclusions: </strong>The dissemination of structured nutrition education for women is important for individuals and, thus, society to acquire and maintain positive eating practices that have an impact on physical health.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1354-1364"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617791","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":"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":"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":"1261-1271"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001002/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Health Belief Model-Based Creative Drama Education on Health Locus of Control and Smoking Perception in Adolescents: A Randomized Controlled Trial.","authors":"Sultan Esra Sayar, Cantürk Çapik","doi":"10.1111/phn.13550","DOIUrl":"10.1111/phn.13550","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study is to examine the effect of education given to eighth-grade adolescents in a primary school with health belief model (HBM)-based creative drama techniques on health locus of control (HLC) and smoking perception.</p><p><strong>Method: </strong>This randomized controlled study was conducted between January and December 2019 in two primary schools in the Erzurum city center, Türkiye. The study included 80 eighth-grade students, who were randomly assigned to either the experimental group (n = 40) or the control group (n = 40) The experimental group received six sessions of creative drama training based on the HBM. Data collection instruments included the Multidimensional Health Locus of Control Scale (MHLC) and the Decisional Balance Scale for Children (DBSC). Pre- and post-test measurements were taken for both groups to assess changes in HLC and smoking perception. Statistical analyses were performed using repeated measures ANOVA to examine within-group changes over time and between-group differences, allowing us to understand the precise effect of the intervention across time points. Additionally, descriptive statistics were used to report means and standard deviations for all variables. No protocol registration number was available for this study at the time of its execution.</p><p><strong>Results: </strong>The students in the experimental group showed a significant increase in the internal control sub-dimension of the HLC (t = -5.090, p < 0.001) and a decrease in the external control sub-dimension (U = -3.369, p < 0.001). For the Decisional Balance Scale, there was a significant decrease in the pros sub-dimension (t = -5.535, p < 0.001) and an increase in the cons sub-dimension (U = -3.934, p < 0.001). In the control group, only the pre-test mean score for the chance/fate sub-dimension was higher (p < 0.05). The repeated measures ANOVA confirmed significant within-group changes in the experimental group: an increase in internal locus of control and a decrease in external locus of control. Smoking perception also showed significant changes, with a decrease in the pros sub-dimension and an increase in the cons sub-dimension, validating the intervention's effectiveness.</p><p><strong>Conclusion: </strong>When creative drama practices are used together with the HBM, it caused a positive change in the HLC and the perception of cons toward smoking.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1343-1353"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568868","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}