Inquiry-The Journal of Health Care Organization Provision and Financing最新文献

{"title":"Artificial Intelligence in Speech and Language Therapy: A Qualitative Comparative Analysis of Clinical Applications and Outcomes.","authors":"İbrahim Can Yaşa, Muhsin Dölek, Seda Eyilikeder Tekin, Ayşe Serra Kaya, Pınar Akgün, Sakine Deniz Yılmaz, Selin Tokalak","doi":"10.1177/00469580261445316","DOIUrl":"10.1177/00469580261445316","url":null,"abstract":"<p><p>Large language models (LLMs) such as ChatGPT are entering clinical practice, yet how their clinical reasoning compares with speech-language therapists (SLTs) is not well understood. This comparative multi-case qualitative study used 3 hypothetical vignettes. Ten experienced SLTs (≥10 years) participated in semi-structured interviews, providing assessment, diagnosis and therapy plans for each vignette. ChatGPT-4o was presented with identical, standardized Turkish prompts over five consecutive days to evaluate the model's temporal consistency in clinical reasoning. All outputs were analyzed with content analysis, and day-to-day consistency of ChatGPT themes was examined. ChatGPT-4o and SLTs showed substantial overlap in core practices such as case history, spontaneous speech analysis, key diagnostic labels, and emphasis on generalization and caregiver involvement. However, SLTs utilized broader, locally normed assessment tools and offered more flexible, individualized and context-sensitive therapy approaches. ChatGPT-4o's responses were more standardized and showed stable thematic patterns across days, yet they did not reflect the clinical nuance or contextual adaptation observed in SLTs' reasoning. ChatGPT-4o can approximate expert-like reasoning in structured scenarios and may serve as a clinical decision support aid. Nonetheless, it does not replace experienced SLTs, particularly for culturally grounded, person-specific assessment and intervention planning.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261445316"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789719","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":"Assessing the Impact of Virtual Reality, Augmented Reality, and Video Games on Improving Post-Traumatic Stress Disorder Symptoms: A Systematic Review and Meta-Analysis.","authors":"Saeideh Goharinejad, Salime Goharinezhad, Khadijeh Moulaei, Björn Krüger, Thomas Spittler","doi":"10.1177/00469580251413101","DOIUrl":"https://doi.org/10.1177/00469580251413101","url":null,"abstract":"<p><p>Post-traumatic stress disorder (PTSD) is often debilitating, with current treatments limited by low adherence, high costs, and accessibility issues. Innovative technologies such as virtual reality (VR), augmented reality (AR), and therapeutic video games provide immersive environments that may improve treatment outcomes. This systematic review and meta-analysis evaluated the efficacy of these approaches and explored their potential advantages over traditional methods. A comprehensive search of PubMed, PsycINFO, CINAHL, Web of Science, and Cochrane identified relevant studies. Two reviewers independently screened articles, extracted data, and assessed quality using the Mixed Methods Appraisal Tool (MMAT). A random-effects model was used to calculate pooled effect sizes (Hedges' g), and heterogeneity was evaluated with the <i>Q</i> test and <i>I</i>² statistic. Publication bias was examined with funnel plots, Egger's, and Begg's tests. Analyses were performed in Stata version 17.0. From 480 records, 21 studies were included in the review and 12 in the meta-analysis. VR-based treatments yielded a pooled effect size of -0.35 (95% CI [-0.57, -0.13]), indicating a small-to-moderate reduction in PTSD symptoms. The effect was statistically significant (<i>z</i> = -3.13, <i>P</i> < .01), with moderate heterogeneity (<i>I</i>² = 46.28%, <i>P</i> = .03). Funnel plots and statistical tests suggested minimal publication bias. Meta-regression showed no moderating effect of gender. Subgroup analyses indicated significant benefits in male-only samples, participants aged 20 to 30 and over 40, and studies with follow-up periods ≤7 months. Larger effects were observed in studies with 15 to 30 participants. VR, AR, and video game interventions significantly reduce PTSD symptoms and may enhance accessibility and engagement compared to traditional treatments. These findings support the integration of immersive technologies into therapeutic practice to improve outcomes for individuals with PTSD.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251413101"},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094807","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":"An Innovative Approach to Predict Drinking Water Risks Using System, Community, and Regulatory Characteristics.","authors":"Liangfei Ye, Qianqian Dong, Aaron McCright, Stephen Gasteyer","doi":"10.1177/00469580251411440","DOIUrl":"10.1177/00469580251411440","url":null,"abstract":"<p><p>Robust predictive models are essential for preventing and mitigating risks associated with public drinking water systems (PWS), which pose significant public health threats and incur substantial medical costs. This study introduces a novel approach by comparing the performance of Logit, Support Vector Machine (SVM), and Extreme Gradient Boosting (XGBoost) models in predicting risks based on PWS characteristics, community attributes, and regulatory developments, rather than relying on water quality and hydrological parameters. The study yields 3 key findings: (1) XGBoost outperforms Logit and SVM, though all models perform less effectively for predicting health-based risks; (2) community and regulatory characteristics exert a greater influence on risk predictions than PWS characteristics; and (3) XGBoost performs comparably to the water parameter-based prediction approach, with the added benefits of lower cost and suitability for long-term forecasting. This innovative approach offers substantial potential for residents, environmental advocates, and policymakers to better anticipate and address PWS risks by focusing on fundamental social determinants.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580251411440"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127486","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":"Erratum to \"Exploring Water, Sanitation, and Hygiene Status and Health Outcomes in Zimbabwe: A Scoping Review of Literature\".","authors":"","doi":"10.1177/00469580261451690","DOIUrl":"10.1177/00469580261451690","url":null,"abstract":"","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261451690"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310468","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":"Home Healthcare Workers' Experiences of Occupational Risks: A Phenomenological Study.","authors":"Firdevs Kuzu, Fatma Tok Yıldız","doi":"10.1177/00469580261478031","DOIUrl":"10.1177/00469580261478031","url":null,"abstract":"<p><p>IntroductionThe aim of the study was to reveal the occupational risks that home healthcare workers are exposed to.MethodsThis study employed a qualitative phenomenological design, and ethics committee and institutional permissions were obtained prior to data collection. The sample of the study consisted of 14 participants working in home health services in a provincial center in Türkiye between February 15 and April 15, 2023, who agreed to participate in the study and whose consent was obtained. Data were collected using the \"Descriptive Characteristics Form\" and \"Home Healthcare Occupational Risk Experiences Assessment Form\". Number and percentage were calculated in the analysis of quantitative data, and thematic analysis was used in the analysis of qualitative data.ResultsOccupational risks to which home healthcare workers are exposed were identified as \"safety risk\", \"risks related to responsibilities\", \"risks related to communication\" and \"risk of violence\". In line with their experiences, participants suggested training, on-site registration and notification, updating laws and regulations, and improving working conditions to prevent the risks they are exposed to.ConclusionsThe findings indicate that home healthcare workers are exposed to various occupational risks. The findings highlight the need to strengthen occupational health and safety policies and protective measures to reduce occupational risks among home healthcare workers. It is foreseen that the results of the study will contribute to the conduct of new studies with larger samples in different countries.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261478031"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708571","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":"Minding the Gap: Complex Relational Trauma Survivors' Experiences Navigating Healthcare.","authors":"Colette M Smart, Mitchell L Gaudry, Nika Marefat, Lori Herod, Jessica Lazar, Malachi Gillihan","doi":"10.1177/00469580261453985","DOIUrl":"10.1177/00469580261453985","url":null,"abstract":"<p><p>IntroductionComplex relational trauma (CRT) occurs in close relationships where adversity is prolonged, repeated and inescapable. Despite the known connections between CRT and adverse health outcomes, anecdotal reports from survivors indicate that education on CRT is not translating into more effective clinical practice, resulting in substandard and even harmful experiences of healthcare.MethodsUsing a patient-oriented research methodology, we recruited N = 13 participants with CRT from Canada and the United States. The sample was primarily female (N = 9), with a range of ages (20-69 years) and races/ethnicities. Participants completed a demographic questionnaire and participated in an individual qualitative healthcare interview. Data were analyzed using a hybrid inductive/deductive thematic analysis using NVivo 15.ResultsIn terms of both mental and medical healthcare, similar themes emerged, including structural and financial barriers to care, experiences of invisibility, invalidation, and re-traumatization, identification of factors that supported safety, trust, and disclosure, as well as a need for specialized understanding of CRT as distinct from PTSD. Meta-themes that emerged included a need for practitioners to better understand the intersection of physical and mental health concerns in persons with CRT, as well as more integrative and holistic care.ConclusionsPeople with CRT report that they are not currently being well served in the healthcare system. Future research should ascertain providers/trainees' knowledge and skill base regarding CRT, which can inform on opportunities for further education. Findings also suggest that survivors would benefit from efforts to address siloed care, which undermines effective pathways to health and well-being in survivors.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261453985"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13261038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229111","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":"Socio-Demographic Determinants of Mothers and Their Relationships With Adolescent Girl Nutritional Status in Urban and Peri-Urban Settings.","authors":"Mohammad Shafiqul Islam, Jobayda Gulshan Ara, Rashedul Islam Sagor","doi":"10.1177/00469580261467466","DOIUrl":"10.1177/00469580261467466","url":null,"abstract":"<p><p>IntroductionThe nutritional status of adolescent girls in developing countries like Bangladesh remains a major public health concern. Some studies have examined child nutrition and adolescent health in rural contexts; however, limited attention has been paid to variation across socio-demographic characteristics in urban and peri-urban contexts. This study aims to assess the distribution and variation in adolescent girls' nutritional status across selected socio-demographic factors, including religion, marital status, household income, and maternal education, in Sylhet, Bangladesh.MethodsA cross-sectional descriptive study was conducted in Sylhet City Corporation (SCC) urban areas and in some closely connected union parishads of SCC as peri-urban settings. The study population included mothers of adolescent girls aged 10-19 years. A multi-stage cluster sampling technique selected 400 respondents, and data were collected using a structured questionnaire. Descriptive statistical tools are used for analyzing data. Nutritional status was assessed using Body Mass Index (BMI), applying standard WHO criteria to classify underweight, normal weight, and overweight.ResultsThis research demonstrates the variation in adolescent girls' nutritional status across women's socio-demographic features and residential settings. This study found that underweight was more common among Hindu adolescent girls in urban areas and those from joint families in peri-urban settings. In contrast, being overweight is found more frequently in peri-urban areas, particularly among Muslim girls and those from higher-income households. Specifically, maternal education and household income showed the strongest variation, because daughters of educated mothers were more likely to have a normal BMI. In contrast, underweight was higher among daughters of mothers with no formal education. Differences between urban and peri-urban contexts further indicate the influence of the living environment.ConclusionMaternal education, household income, and place of residence emerged as key factors in this research, contributing differently to adolescent girls in urban-peri-urban settings. Based on research findings, this study provides context-specific insights to inform targeted public health interventions, including nutrition education, school-based programs, and community awareness initiatives for vulnerable groups.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261467466"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13346731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407075","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":"Multilevel Determinants of Adolescent Dental Care Access: A Scoping Review Using a Health Disparities Framework.","authors":"Rubelisa C G de Oliveira, Sarah Shafik, Hassan Khalid, Elizabeth Stellrecht, Susan C McKernan","doi":"10.1177/00469580261427669","DOIUrl":"10.1177/00469580261427669","url":null,"abstract":"<p><p>This scoping review examined barriers and facilitators influencing dental care access among adolescents (ages 10-19) using a multilevel health disparities framework to capture behavioral, social, and structural determinants. Following the Arksey and O'Malley framework and Joanna Briggs Institute methodology, 6 databases and gray literature were searched for English-language studies (2011-present) on dental care access among adolescents. Data were categorized at individual, interpersonal, community, and societal levels. Fifty-eight studies met inclusion criteria. Common barriers included dental anxiety, minority status, low parental education, limited income, weak peer support, geographic disparities, unstable insurance, and provider shortages. Facilitators included public insurance programs, school-based dental clinics, culturally tailored education, caregiver modeling, and community engagement. An ecomap illustrated multilevel predictors and research gaps, identifying strategies such as peer-led programs, safety-net investment, patient navigation, and policy reforms to strengthen access. Adolescent dental access is shaped by intersecting determinants at behavioral, social, and systemic levels. Coordinated efforts integrating infrastructure, health education, and policy interventions are essential to reduce oral health disparities and inform future research directions. The multilevel ecomap presented in this review provides an adaptable, evidence-based foundation for developing actionable strategies to improve adolescent oral health across different social backgrounds and geographic regions.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261427669"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464378","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":"Patient Satisfaction with Inpatient Services and Associated Factors Among Admitted Patients in General Hospitals of Sidama Region, Ethiopia.","authors":"Mesfin Mengesha, Amelo Bolka, Aregahegn Dona, Nigussie Yohanes Yote","doi":"10.1177/00469580261468783","DOIUrl":"10.1177/00469580261468783","url":null,"abstract":"<p><p>IntroductionEvidence regarding patient satisfaction with inpatient services in general hospitals in the Sidama Region, Ethiopia, is limited. Context-specific evidence is essential to guide regional health authorities in designing and implementing appropriate quality improvement strategies. This study aimed to assess the level of patient satisfaction with inpatient services and to identify associated factors among patients admitted to general hospitals in the Sidama Region, Ethiopia.MethodsA facility-based cross-sectional study was conducted from 1 to 30 February 2024 among 398 inpatients selected using a simple random sampling technique from four general hospitals in the Sidama Region. Data were collected using a pretested, structured, interviewer-administered questionnaire implemented through the Kobo Toolbox system. Binary and multivariable logistic regression analyses were performed to identify factors associated with patient satisfaction. Statistical significance was declared at p < 0.05. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were used to report the strength of associations.ResultsThe prevalence of patient satisfaction with inpatient services was 57.4% (95% CI: 52.4%-62.5%). Patients aged 18-30 years were less likely to report satisfaction compared to older age groups (AOR = 0.13; 95% CI: 0.04-0.46). Factors positively associated with patient satisfaction included receiving adequate information about hospital services (AOR = 10.08; 95% CI: 4.12-24.68), availability of prescribed medications (AOR = 2.74; 95% CI: 1.34-5.61), length of hospital stay of 1-3 days (AOR = 10.04; 95% CI: 4.18-25.10) and 4-7 days (AOR = 4.23; 95% CI: 1.72-10.38), and perceived improvement in health status (AOR = 7.01; 95% CI: 2.77-17.72).ConclusionThe level of patient satisfaction with inpatient services in general hospitals of the region was suboptimal. Strengthening patient-provider communication, ensuring consistent availability of essential medications, optimizing length of hospital stay, and improving overall quality of inpatient care are recommended to enhance patient satisfaction.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261468783"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13365640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431547","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":"Sex- and Age-specific Divergent Trends in Walking, Obesity, and Hypertriglyceridemia in Middle-Aged Adults: A Joinpoint Regression Analysis, 2005-2023.","authors":"Hyunkyung Shin, Nagyeong Kim, Youngshin Song","doi":"10.1177/00469580261460622","DOIUrl":"10.1177/00469580261460622","url":null,"abstract":"<p><p><b>Introduction:</b> Managing obesity and lipid levels is essential for the prevention of chronic diseases. Despite clinical guidelines emphasizing lifestyle interventions, the long-term sex- and age-specific trends in walking, obesity and triglyceride in South Korea insufficiently understood. <b>Methods:</b> This study analyzed national data to assess trends in walking practice, hypertriglyceridemia (hyperTG), and obesity among Korean adults aged 40-69 years from 2005 to 2023. Data were drawn from the Korea National Health and Nutrition Examination Survey (KNHANES), including 52,741 individuals for walking, 42,181 for hyperTG, and 54,079 for obesity. Joinpoint regression was used to identify trend changes and calculate annual percent changes (APCs) with 95% confidence intervals (CIs). <b>Results:</b> Results show that walking practice declined in men aged 40-49 years between 2005 and 2011 (APC: -10.2%), while women aged 50-69 years showed significant increases after 2012. HyperTG prevalence in men aged 40-49 years rose until 2020 (APC: 1.5%), but declined significantly in both sexes aged 50-69 years after 2011. Obesity steadily increased in men aged 40-59 years (APCs: 1.7% and 2.4%, respectively), whereas women aged 50-69 years experienced consistent declines (APCs: -1.9% and -1.5%). <b>Conclusion:</b> While walking practice has improved among older women, middle-aged men - especially those aged 40-49 years - face worsening trends in walking, obesity, and hyperTG. These research findings highlight the need for public health strategies tailored to the age and sex of middle-aged adults.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"63 ","pages":"469580261460622"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229244","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}