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

{"title":"Association Between Physical Function and Edentulism in Older Adults: Findings from the Indonesian Family Life Survey 2014.","authors":"Rieski Prihastuti, Daisuke Hinode, Makoto Fukui, Omar M M Rodis, Yoshizo Matsuka","doi":"10.1177/00469580251317643","DOIUrl":"10.1177/00469580251317643","url":null,"abstract":"<p><p>This study aimed to determine the association between physical function and edentulism among older adults. The fifth wave of Indonesian Family Life Survey (IFLS-5) data was used. Physical function was evaluated through physical performance, physical capability, and appendicular skeletal muscle mass (ASM). Edentulous was found in 10.96% of 2554 older adults. Low physical performance (OR 2.02, 95% CI 1.32-3.09; <i>P</i> = .001) was shown to be associated with edentulism in the 60 to 69 age group. In the 70 to 79 age group, both low physical performance (OR 1.62, 95% CI 1.04-2.53; <i>P</i> = .033) and 1 dependency in ADL/IADL (OR 1.75, 95% CI 1.02-2.98; <i>P</i> = .04) were significantly associated with edentulism. Two or more dependencies in ADL/IADL (OR 4.02, 95% CI 1.15-13.99; <i>P</i> = .029) demonstrated significant association with edentulism in older adults ≥80 years. These findings highlighted the importance of maintaining natural teeth and improving oral health during the aging process.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251317643"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493978","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":"A Program for Reinforcing Lifestyle Change Motivation and Lifestyle Behavior to Prevent Dementia in Community-Dwelling Middle-Aged and Older Adults: Applying the Health Belief Model.","authors":"Hyunseo An, Ickpyo Hong, Dae-Sung Han, Hae Yean Park","doi":"10.1177/00469580251324046","DOIUrl":"10.1177/00469580251324046","url":null,"abstract":"<p><p>This study aimed to explore the applicability of a dementia prevention lifestyle change program based on the Health Belief Model in the community. A total of 9 participants were included in this study. The participants completed a 10-session program using the KEEP strategy. Assessments, qualitative interviews, and a 4-week follow-up were conducted to evaluate the effectiveness of the program. Lifestyle change motivation significantly improved, particularly perceived benefits (<i>P</i> = .018) and self-efficacy (<i>P</i> = .034). Lifestyle behaviors also significantly improved, including cognitive, social, and health-promoting activities (<i>P</i> = .016, 0.011, and 0.027, respectively). Multifaceted lifestyles showed significant improvements in physical activity and activity participation (<i>P</i> = .008 and 0.011, respectively). Depression significantly decreased (<i>P</i> = .018). The postintervention interviews revealed high participant satisfaction and positive changes in dementia prevention motivation and behaviors. The 4-week follow-up showed that most participants successfully implemented the plans. The dementia prevention lifestyle change program based on the Health Belief Model is effective and applicable in the community, demonstrating significant improvements in various health-related aspects.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324046"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607187","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":"A Cross-Sectional Study Examining the Role of Climate Variability in Shaping Trypanosomiasis Trends in Binga District, Zimbabwe (2008-2023): A Multi-Method Survey.","authors":"Nozithelo Ndiweni, Perez Livias Moyo, Wilfred Njabulo Nunu, Joyce Tsoka-Gwegweni","doi":"10.1177/00469580251339381","DOIUrl":"10.1177/00469580251339381","url":null,"abstract":"<p><p>Climate variability, particularly global warming, is expected to have a significant impact on the interactions between pathogens, vectors, and animal and human hosts. Trypanosomiasis, a neglected zoonotic disease, is particularly sensitive to changes in climate, as increased temperatures can accelerate vector development and expand geographical range. This disease remains prevalent in Zimbabwe, with the Binga District being disproportionately affected. This study aimed to explore the effects of climate variability on the epidemiology of trypanosomiasis in the Binga District of Zimbabwe from 2008 to 2023. A multi-method approach was used to incorporate secondary data sources and a data-collection guide. Data collection involved a checklist and questionnaire administered using the Kobo Collect Toolbox. Bivariate correlations were employed to investigate the association between climate variability and trypanosomiasis occurrence. Rainfall and temperature data are presented as line graphs and maps at 3-year intervals for the period 2008 to 2023. Spatial analysis was conducted by overlaying climate data with the reported suspected cases of trypanosomiasis. The findings revealed a notable increase in annual case reports, correlating with increasing maximum and fluctuating average temperatures. Specifically, higher annual average temperatures were recorded in 2008 and 2017, coinciding with an increased incidence of trypanosomiasis. These findings underscore the critical role of climate variability in shaping trypanosomiasis trends in the Binga District of Zimbabwe. These findings highlight the importance of effective disease control strategies in response to climate-induced changes.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251339381"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095953","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":"Content Analysis of Food and Beverage Advertisements on TV, Radio, and Billboards in Iran.","authors":"Maryam Amini, Delaram Ghodsi, Mehrnoosh Shafaatdoost, Mohadese Borazjani, Maryam Aghayan, Nastaran Shariatzadeh","doi":"10.1177/00469580251314775","DOIUrl":"10.1177/00469580251314775","url":null,"abstract":"<p><p>Food advertising may influence food preferences and consumption. Due to these advertisements' role in health, the present study has updated the data available on television and radio food advertisements in Iran until 2020. Meanwhile, food advertisements on billboards have been analyzed for the first time. All programs broadcast on two TV and radio channels were downloaded and saved 24 h daily for one week (November 10-16th, 2020). Also, on November 15th billboards located on the busy highways of Tehran were photographed. Validated protocols analyzed the advertisements. A total of 6026 advertisements were analyzed, including 4287 on TV, 1545 on radio, and 194 on billboards. The total duration of TV and radio advertising was 48.6 h. Food products were the most displayed advertisements on TV, radio, and billboards (33.6%). Overall, \"condiments\" and \"desserts\" were the most frequently advertised food products among all the studied media (20% and 17%, respectively). The most common advertising appeal included \"High quality\" on TV and billboards and \"Stimulation of profiteering and profit-seeking\" on the radio. Advertising violation based on Iran's regulations, Nutrient profile model for the marketing of food and non-alcoholic beverages to children in the WHO Eastern Mediterranean Region, and International Network for Food and Obesity / Non-communicable Diseases (NCDs) Research Monitoring and Action Support (INFORMAS) was reported to be 13%, 74%, and 51%, respectively. Food products ranked the highest among all the advertisements. A clear violation of domestic and international advertising regulations was observed which given the high share of food advertising in the studied media, could endanger public health. This study supports the need for stricter regulations and adherence to international standards to improve nutritional status.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251314775"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048878","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":"Non-Profit Hospital Governance, Conduct, and CEO Pay.","authors":"Daniel P Kessler, William Wygal","doi":"10.1177/00469580251366975","DOIUrl":"https://doi.org/10.1177/00469580251366975","url":null,"abstract":"<p><p>We investigate whether the membership of a non-profit hospital's CEO on its board of directors is associated with CEO pay and several measures of hospital performance, including price, operating margin, quality, and service to low-income patients. Although the consequences of CEO board membership for for-profit firms have been studied extensively, the consequences for non-profits in general, and non-profit hospitals in particular, have received less attention. Because most hospitals are non-profit and non-profit hospital prices have increased rapidly over the past 20 years, this gap is important. We use regression models to estimate the association between various measures of hospital performance and CEO board membership, holding constant fixed effects denoting the hospital's county of location, hospital board size, and other hospital characteristics. We find a strong positive association between CEO board membership and non-profit hospital prices, operating margins, and CEO pay, with a weaker positive (negative) association between CEO board membership and quality (service to low-income patients). We conclude that non-profit hospitals' CEO board membership is likely associated with increases in agency costs due to a lack of separation between management and control.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251366975"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979121","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":"Bridging Global Disparities in Breast Cancer Care: External Validation Study of the MD Anderson \"Nomogram To Predict Positive Sentinel Lymph Nodes After Neoadjuvant Chemotherapy\" and Its Financial Implications of Axillary De-escalation in a Resource Limited Setting.","authors":"Vishal Farid Raza, Ayesha Ehsan, Amina Iqbal Khan","doi":"10.1177/00469580251366150","DOIUrl":"https://doi.org/10.1177/00469580251366150","url":null,"abstract":"<p><p>Axillary surgery in breast cancer has evolved from radical dissections to selective de-escalations. Identifying patients who may safely omit sentinel lymph node biopsy (SLNB) can further reduce the surgical burden, post operative complications and financial toxicity associated with breast cancer surgical care. The MD Anderson \"Nomogram To Predict Positive Sentinel Lymph Nodes After Neoadjuvant Chemotherapy\" is widely available and free of charge to assess SLNB positivity post neoadjuvant chemotherapy (NACT). This study externally validates its accuracy in a sample of Pakistani women and assesses its implications for cost effective breast cancer care in a resource limited setting. Retrospective chart review of 150 women who underwent axillary sentinel lymph node biopsy post NACT at Shaukat Khanum Memorial Cancer Hospital from January 2023 to August 2024. Predicted node probability and observed positivity on histopathology were recorded. Calibration (Hosmer-Lemeshow test) and discrimination (C-index) were calculated. 98% were ductal carcinomas; tumor sub-types showed luminal A (42.7%), luminal B (4.7%), her2neu (H2N) enriched (14%) and triple negative (TNBC; 38.7%). 18% (n = 27) nodes were positive on final pathology closely aligning with the nomogram's predicted probability of 17.1 ± 10.3%. Calibration showed good model fit (<i>P</i> = .89) while C-index (0.64) indicated moderate discrimination. 12.6% of women would avoid costs of SLNB if omitted in the 0% to 5% bracket and 31.3% of women in the 0% to 10% bracket. TNBC demonstrated lowest positivity of 6.89% (<i>P</i> = .01). The MD Anderson Clinical Calculator for predicting positive sentinel lymph nodes post NACT may have a role in tailoring decisions for axillary de-escalation especially in patients with a low probability score between 0% and 10% with decrease in costs of breast cancer care in LMICs. Future studies incorporating safety of axillary surgery omission using the calculator and its economic impact are warranted.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251366150"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979635","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":"Service Providers' Perspectives on Delivering Support for Domestic Violence Victims in Rural New South Wales.","authors":"Uchechukwu Levi Osuagwu, Robyn Vines","doi":"10.1177/00469580251366958","DOIUrl":"10.1177/00469580251366958","url":null,"abstract":"<p><p>Australians living in rural communities are more likely to experience Domestic violence (DV) than those living in urban areas. Service providers (SP) who provide support to victims of DV in these rural settings encounter some structural barriers at a systems and organizational level that may be useful in improving outreach services. However, few studies have explored SP perspectives surrounding these issues. This study aimed to explore service providers' perspectives on delivering support for DV victims in rural New South Wales (NSW), Australia. This qualitative study utilized structured interviews that were audio recorded and evaluated, using inductive thematic analysis. Ten people from the Central West region of NSW, providing support across DV services, legal services, community centers, medical centers, and the police, were interviewed. Half of the interviewees held roles in organizations that provided DV-specific services. Some service providers noted clients presented with other issues first, before disclosing their experiences with DV. Interviewees described key obstacles, including cultural attitudes, comorbid mental health and substance use disorders, and logistical impediments to leaving relationships and accessing services as barriers for victims. They identified the personal toll of their work and a lack of funding for specialized and multidisciplinary services as challenges to providing effective service delivery. Facilitators such as building trust through community services, using technology for remote support, and community support groups were effective. SP cited DV education in schools as an important avenue for primary prevention. This study highlights the significant barriers and facilitators identified by rural DV service providers in the Central West region of NSW, Australia. Despite the personal toll on providers, supportive networks helped mitigate burnout. The study advocates for increased funding, coordinated multidisciplinary services, and educational programs to address structural and cultural issues in rural DV service delivery at both the systems and organizational levels.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251366958"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979202","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":"A Systematic Review on the Effectiveness of the Cure Violence Approach.","authors":"Charles Ransford, Monique Williams, Gary Slutkin","doi":"10.1177/00469580251366142","DOIUrl":"10.1177/00469580251366142","url":null,"abstract":"<p><p>The Cure Violence approach applies public health epidemic control strategies to reduce violence in highly impacted communities and countries. This paper conducts a systematic review to identify studies analyzing the effectiveness of the Cure Violence approach and provides an overview of their findings. A protocol was developed using the PRISMA guidelines. For this study, we examined findings related only to shootings and killings because these are the outcomes to which the Cure Violence approach is applied. We utilized PubMed database, Google Scholar, and the Cure Violence Global organizational files to look for relevant studies. The review identified 13 papers analyzing 27 program sites and offering 83 findings on the impact of the approach on either shootings or killings. Overall, 68.7% of the findings indicated a reduction in shootings or killings, with 32.5% demonstrating statistically significant decreases. Findings varied geographically, with Baltimore accounting for the highest proportion of sites reporting either an increase in shootings or killings or non-significant results. Outside of Baltimore, 95.8% of sites demonstrated reductions in violence, with 54.2% achieving statistical significance. Notable findings include a 52% reduction in killings in Chicago, a 63% reduction in shootings in New York City, and a 74% reduction in killings in Cali, Colombia. The context surrounding the Baltimore findings underscores the importance of contextual factors in determining program effectiveness. Key components influencing program effectiveness include targeting individuals and groups at highest risk, employing credible messengers to reach individuals and groups at highest risk, real-time violence interruption and conflict mediation, sustained case management, structured monitoring systems with rapid response mechanisms, continuous monitoring of impact on shootings and killings, and sufficient, sustained financial investment. Recommendations to researchers are presented regarding the importance of including contextual factors in future research and understanding the importance of their role in guiding communities in improving the effectiveness of violence prevention programs.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251366142"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024762","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":"Inequities in Health Service Needs Among Older Adults During COVID-19: A Gender-Stratified Analysis Using Longitudinal SHARE Data.","authors":"Aija Bukova-Žideļūna, Anda Ķīvīte-Urtāne, Lauma Sprinģe, Ilze Priedīte, Diāna Baltmane, Šime Smolič","doi":"10.1177/00469580251371425","DOIUrl":"10.1177/00469580251371425","url":null,"abstract":"<p><p>This study examined sociodemographic and health-related determinants of self-reported unmet health service needs to better understand the factors contributing to inequities among adults aged 50 and older during the COVID-19 pandemic in Latvia. Data from the longitudinal SHARE study-Corona Surveys 1 and 2, and Wave 8-were analysed using logistic regression. A total of 647 cases from Latvia (62.9% women) were included, with a mean age of 68.6 years (±9.6). During the pandemic, 29.5% of adults aged 50 and older encountered barriers to accessing healthcare services. Gender-stratified analysis revealed that older adults from urban areas, men with higher education, and women with chronic conditions and activity limitations were at significantly higher risk of experiencing unmet health service needs. The study reveals significant disparities in health service needs among older adults in Latvia during the COVID-19 pandemic, emphasising the need for targeted interventions to reduce inequalities and improve access for vulnerable populations in public health crises.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251371425"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024912","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 Influence of Adverse Childhood Experiences on Trauma Informed Care Among Primary Care Providers: A Cross-Sectional Study.","authors":"Kayla Gardner, Benjamin Ivins, Trinity Mathis Peters, Len Novilla, Ali Crandall, Carl L Hanson","doi":"10.1177/00469580251365460","DOIUrl":"10.1177/00469580251365460","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) are linked to lasting health and socioeconomic challenges; however, less is known about how primary care providers' own trauma histories impact their provision of trauma-informed care (TIC). This cross-sectional survey study assessed the relationship between primary care providers' personal trauma history (ACE scores), personal reaction to trauma (burnout, compassion fatigue, and vicarious victimization), and TIC practice. A total of 167 primary care providers were recruited between March 2024 and August 2024 and completed a 38-item online survey. Measures included the Trauma Informed Care-Provider Assessment Tool (TIC-PAT), the Professional Quality of Life Scale (ProQLS), the ACEs Study Questionnaire, and demographics. Descriptive statistics and multiple linear regression analysis was conducted. Respondents were an average of 59.73 years old, white (88.89%) and medical doctors (90.48%). Average ACE score of respondents was 1.4 (SD = 1.47). Analysis revealed that providers with higher ACEs scores were significantly more likely to implement TIC (<i>B</i> = 0.11, <i>P</i> = .02). However, no significant association was found between personal reaction to trauma and TIC provision. Findings suggest that primary care providers with personal trauma histories may be more attuned to the effects of trauma, leading to greater TIC implementation. The study highlights the importance of TIC training for all providers-particularly for those with lower ACE scores-while also recognizing that providers with higher ACE scores may benefit from training to manage personal trauma and enhance their clinical practice.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251365460"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034611","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}