Frontiers in global women's health最新文献

{"title":"Construct validation of HER-WELL: a bifactor exploratory structural equation modeling evaluation of an eight-domain wellness scale for women.","authors":"Heba Yaagoub AlNujaidi, Saja A Al-Rayes, Arwa Alumran, Omar Y Almukhadhib, Danya Y AlNujaidi, Ibrahim A Alhafid, Ghada F Alyousif","doi":"10.3389/fgwh.2026.1903478","DOIUrl":"10.3389/fgwh.2026.1903478","url":null,"abstract":"<p><strong>Background: </strong>Wellness is a multidimensional latent construct whose valid assessment requires psychometrically robust, culturally adapted instruments; however, existing scales have been predominantly developed in Western contexts and remain inadequate for capturing the gendered and sociocultural dimensions of women's wellness in non-Western settings. This study aimed to develop and psychometrically validate the HER-WELL scale, a culturally adapted multidimensional measure of holistic wellness for Saudi women.</p><p><strong>Methods: </strong>Scale development followed Boateng et al.'s (2018) framework, and construct validity was tested in RStudio and Mplus by comparing six measurement models (final CFA, ESEM, second-order CFA, bifactor CFA, second-order ESEM, bifactor ESEM) estimated with robust WLSMV and TARGET rotation in a stratified community sample of Saudi women (N = 1,068; 531 employed, 537 non-employed), with model fit (CFI, TLI, RMSEA, SRMR) evaluated against conventional and Dynamic Fit Index cutoffs.</p><p><strong>Results: </strong>HER-WELL items showed adequate variability, with the highest endorsement for Home Environment, social, and spiritual wellness and the lowest for physical wellness. Across employed, non-employed, and full samples, bifactor ESEM consistently provided the best representation of the data, with excellent fit (CFI ≈.99, TLI ≈.98, RMSEA ≈.03, SRMR ≈.02) that exceeded both conventional and DFI-tailored cutoffs. This structure supported a strong general women's wellness factor, with Physical, Financial, Mental, and Occupational wellness retaining sufficient domain-specific variance, while Emotional, Social, Spiritual, and Home Environmental wellness were more strongly saturated by the general factor and are best interpreted as expressions of overall wellness. Internal consistency was acceptable for most domains (<i>ω</i> and <i>α</i> typically ≥.80), with Home Environmental wellness showing the weakest reliability and specific-factor indices of any domain (<i>ω</i> ≈.77; AVE =.070-.122), and should be interpreted only via the total score.</p><p><strong>Conclusion: </strong>ER-WELL demonstrates strong psychometric properties as a culturally validated measure of holistic wellness for Saudi women. The bifactor ESEM solution supports the simultaneous use of overall wellness scores alongside domain-specific profiles for Physical, Financial, Mental, and Occupational wellness for research, surveillance, and intervention evaluation in Saudi Arabia and similar Arab and Muslim-majority contexts.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1903478"},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13529770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priorities for an African research agenda on climate, environment and maternal, newborn and child health.","authors":"Prestige Tatenda Makanga, Tamara Rosemary Govindasamy, Sibusisiwe Audrey Makhanya","doi":"10.3389/fgwh.2026.1814330","DOIUrl":"10.3389/fgwh.2026.1814330","url":null,"abstract":"<p><p>Climate change and environmental degradation are reshaping maternal, newborn and child health risks across Africa, yet evidence generation remains constrained by sparse monitoring infrastructure, fragmented health and environmental data, limited data linkage, and uneven governance capacity. This Perspective proposes priorities for an African research agenda on climate, environment and maternal, newborn and child health. It argues for research that is continentally relevant but locally grounded: designed for data scarcity, attentive to climate and environmental heterogeneity, reflexive about data sovereignty, and embedded in translation and capacity strengthening. Drawing on experience from the CHEAQI-MNCH project and related work in selected West, East and Southern African settings, we outline seven priorities for African-led, context-sensitive and action-oriented climate and environmental health research.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1814330"},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13529744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographical clustering of delayed motherhood in India: an application of multilevel and geospatial analyses.","authors":"Mayank Singh, Chander Shekhar, Jagriti Gupta, Rajeev Kumar","doi":"10.3389/fgwh.2026.1762981","DOIUrl":"10.3389/fgwh.2026.1762981","url":null,"abstract":"<p><strong>Background: </strong>Rapid sociodemographic changes in India, including rising female education, workforce participation, urbanization, and changing gender norms, have contributed to delayed childbearing. Despite declining fertility, limited evidence exists on the district-level geographic variations and determinants of delayed motherhood (childbirth at age ≥35) in India. This study applies multilevel and geospatial analyses to examine the distribution, determinants, and district-level spatial clustering of delayed motherhood using National Family Health Survey data.</p><p><strong>Methods: </strong>This study employed multilevel multivariable logistic regression to examine individual- and district-level determinants of delayed motherhood. Spatial clustering was assessed using Global Moran's <i>I</i> and Local Indicators of Spatial Association (LISA). To account for spatial dependence across districts, a comparative spatial modeling framework was applied using ordinary least squares regression as the baseline model, followed by the spatial lag model and the spatial error model.</p><p><strong>Results: </strong>The prevalence of delayed motherhood varied widely, ranging from negligible levels in some districts to as high as 60.18% in South West Khasi Hills, with a national average of 8.7% [95% confidence interval (CI): 8.1-9.3]. Higher education [adjusted odds ratio (AOR): 2.00; 95% CI: 1.80-2.23] and age at marriage ≥21 years (AOR: 5.13; 95% CI: 4.65-5.67) were significant predictors. Additional factors such as higher parity, religious affiliation, and socioeconomic status also showed significant associations. A spatial analysis revealed strong clustering (Moran's <i>I</i> = 0.459), with high-high clusters in southern and northeastern regions and low-low clusters in central and northern India. Spatial models confirmed significant spillover effects across neighboring districts.</p><p><strong>Conclusion: </strong>Delayed motherhood in India exhibits substantial sociodemographic and spatial heterogeneity. Key determinants include education, marriage timing, and parity patterns. The presence of distinct geographic clusters highlights the importance of regional context. These findings underscore the need for region-specific and demographically targeted policy interventions, along with further research into behavioral and health system factors influencing delayed childbearing.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1762981"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in maternal and fetal health among ethnogeographic groups-a retrospective cohort study of 30,000 women from a middle eastern multiethnic maternity population.","authors":"Fathima Minisha, Salwa Abu Yaqoub, Najat Khenyab, Husam Salama, Sawsan AlObaidly, Nader Aldewik, Hilal Al Rifai, Thomas Farrell","doi":"10.3389/fgwh.2026.1708103","DOIUrl":"10.3389/fgwh.2026.1708103","url":null,"abstract":"<p><strong>Objectives: </strong>Maternal ethnogeographic origins and ancestry can influence perinatal health. This study evaluated the impact of nationalities grouped into geographic categories on maternal and neonatal outcomes.</p><p><strong>Study design: </strong>The study employed a retrospective birth cohort design.</p><p><strong>Methods: </strong>A total of 30,667 pregnant women and their neonates born at more than 24 weeks' gestational age in secondary and tertiary government maternity hospitals in Qatar were included. Data were extracted from a preexisting maternity registry. Women were classified into seven ethnogeographic groups based on internationally accepted classifications: Qatar group (QG), Gulf Cooperation Council (GCC), Arab Region (AR), South/Central Asia (SA), southeast Asian (SEA), African (AF), and European/American countries. Antenatal, intrapartum, and neonatal outcomes were compared between the groups using adjusted multivariable regression models with QG as the baseline.</p><p><strong>Results: </strong>Participants represented 124 countries, with the majority from AR (37.6%). After Qatar (23.7%), the most represented countries were Egypt (12.3%) and India (11.6%). Gestational diabetes was most common in SA at 33.4% [adjusted odds ratio (aOR)=1.56, confidence intervals (CI) = 1.44-1.68; <i>p</i> < 0.0001], whereas SEA had higher odds of preeclampsia (aOR=2.50, CI = 1.86-3.36; <i>p</i> < 0.0001) and postpartum hemorrhage (aOR=1.88, CI = 1.55-2.28; <i>p</i> < 0.0001). Postdated pregnancy was more frequent in AF (aOR=2.34, CI = 1.85-3.0; <i>p</i> < 0.0001), while preterm birth rates were similar across groups. Vaginal birth after cesarean was highest in GCC (42.1%) and lowest in SEA and Africa (19%). Neonatal intensive care admission among term babies was similar across groups. No clinically relevant differences between groups were observed for rare neonatal outcomes such as stillbirth, neonatal death, or anomalies.</p><p><strong>Conclusion: </strong>Clinically relevant differences in pregnancy outcomes exist among nationality groups, potentially attributable to ethnicity, genetic susceptibility, and potential socioeconomic factors. Understanding these differences is essential for adequate risk assessment, and further genetic and anthropological studies are warranted to confirm these findings.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1708103"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking family planning success metrics: moving beyond coverage.","authors":"Franciele Hellwig, Aluisio J D Barros","doi":"10.3389/fgwh.2026.1864815","DOIUrl":"10.3389/fgwh.2026.1864815","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1864815"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From polycystic ovary syndrome to polyendocrine metabolic ovarian syndrome: rationale, evidence, and implications of a global name change.","authors":"Abdinasir Adam Shidane, Zakariye Isak Mohamed, Muhammad Umair Manzoor, Muhammad Owais, Sakina Ali","doi":"10.3389/fgwh.2026.1881840","DOIUrl":"10.3389/fgwh.2026.1881840","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1881840"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Evaluating a neonatal public health education and empowerment programme to reduce infant mortality risks: insights from parents and facilitators in the midlands, UK.","authors":"Olufisayo Olakotan, Samuel Oluwatobi Atiku, Gregory Maniatopoulos, Nicola O'Brien, Thillagavathie Pillay","doi":"10.3389/fgwh.2026.1947483","DOIUrl":"https://doi.org/10.3389/fgwh.2026.1947483","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fgwh.2026.1843810.].</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1947483"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants and dynamics of repeat unsafe abortion in Ghana-a mixed-method study at Tema General Hospital.","authors":"Kelvin Stefan Osafo, Sahadetu A Mustapha-Sahabi, Derrick Ofosu Amoh, Pengming Sun","doi":"10.3389/fgwh.2026.1812634","DOIUrl":"10.3389/fgwh.2026.1812634","url":null,"abstract":"<p><strong>Background: </strong>Unsafe abortion remains a significant driver of maternal morbidity and mortality in Ghana. Despite progressive policies, many women continue to bypass safe clinical pathways. This study aims to identify the socio-demographic factors and qualitative dynamics associated with repeat unsafe abortion among women presenting with unsafe abortion complications at Tema General Hospital.</p><p><strong>Method: </strong>The study targeted women aged 15-49 years who were admitted for complications arising from unsafe abortions. A total of 68 women participated in the analysis, providing both quantitative and qualitative data. Quantitative data were analysed using Fisher's exact and Chi-square tests for bivariate associations, followed by Firth's penalised logistic regression to identify independent predictors. Simultaneously, qualitative semi-structured interviews explored the underlying motivations and personal dynamics behind termination decisions. All statistical analyses were performed in R, with a significance level of 0.05.</p><p><strong>Results: </strong>Age at sexual debut was the strongest independent predictor of repeat unsafe abortion, with over 14-fold higher odds among women who debuted at 15-19 versus later (AOR = 14.35, 95% CI: 2.30-170.29, <i>p</i> = 0.003), corroborated by qualitative accounts of early, unplanned pregnancies. Higher education showed a non-significant protective trend (AOR = 0.28, 95% CI: 0.05-1.06, <i>p</i> = 0.062), echoed in accounts of \"recovery literacy\" among educated women. The model explained 47% of the variance in repeat-abortion status (pseudo-R² = 0.466). A widespread sense of \"unpreparedness,\" linked to financial instability and partner unreliability, led 70.6% of participants to rely on informal networks for at-home misoprostol, often unaware of complications.</p><p><strong>Conclusion: </strong>These findings underscore the urgent need for interventions to address the high rates of unsafe abortions in Ghana. There is a need for improved sexual education, promotion of contraceptive utilisation, and providing accurate information about safe and legal abortion options.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1812634"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with birth preparedness and complication readiness knowledge among pregnant women before implementation of a culturally adapted training intervention in rural Iringa, Tanzania.","authors":"Rosalia Mwenda, Saada Seif, Rehema Stephano, Fabiola Moshi","doi":"10.3389/fgwh.2026.1883736","DOIUrl":"10.3389/fgwh.2026.1883736","url":null,"abstract":"<p><strong>Background: </strong>Birth preparedness and complication readiness (BPCR) is an important strategy for reducing delays in recognizing obstetric complications and promoting timely use of maternal health services. However, evidence on factors associated with BPCR knowledge among pregnant women in rural Tanzania remains limited. This study aimed to identify factors associated with BPCR knowledge among pregnant women before implementation of a culturally adapted training intervention in rural Iringa, Tanzania.</p><p><strong>Methods: </strong>A quantitative analytical cross-sectional study was conducted among pregnant women attending public antenatal care clinics in rural Iringa. Participants were selected using a multistage sampling procedure followed by systematic sampling from antenatal care registers. Data were collected using a structured interviewer-administered questionnaire assessing BPCR knowledge across six maternal and newborn health domains. Bivariate analyses were performed using the Mann-Whitney U and Kruskal-Wallis tests, while multivariable linear regression with heteroscedasticity-consistent standard errors was used to identify factors independently associated with BPCR knowledge.</p><p><strong>Results: </strong>A total of 176 pregnant women participated. The mean age was 26.47 ± 6.13 years, and most participants were married (86.9%), multigravida (82.4%), and had primary education (68.8%). The mean BPCR knowledge score was 21.59 ± 8.38 out of 62 (34.8% of the maximum score), indicating suboptimal knowledge. Knowledge was highest for antenatal care (76.9%) and lowest for postpartum (20.4%), newborn (25.4%), and labor-related danger signs (28.6%). In bivariate analyses, age, marital status, living with a partner, and gravidity were significantly associated with BPCR knowledge. After adjustment, only maternal age below 20 years remained independently associated with lower knowledge scores (<i>β</i> = -6.15, 95% CI: -9.59 to -2.72; <i>p</i> < 0.001). The model explained 11.3% of the variability in BPCR knowledge (adjusted R² = 7.0%).</p><p><strong>Conclusion: </strong>BPCR knowledge among pregnant women attending antenatal care in rural Iringa was suboptimal, particularly regarding the recognition of obstetric and neonatal danger signs. Pregnant women aged under 20 years had significantly lower BPCR knowledge and should be prioritized for targeted antenatal education. Strengthening culturally appropriate BPCR education within routine antenatal care may help address knowledge gaps among pregnant women in rural Tanzania.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1883736"},"PeriodicalIF":2.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency obstetric and newborn care in conflict-affected Somalia: rural access inequities, referral barriers, and health-system priorities - a policy and practice review.","authors":"Abdukadir Mohamed Hassan, Abdiwali Mohamed Hussein, Ahmed Omar Siyad","doi":"10.3389/fgwh.2026.1914864","DOIUrl":"10.3389/fgwh.2026.1914864","url":null,"abstract":"<p><p>Emergency obstetric and newborn care remains a critical maternal-health and health-system priority for reducing preventable maternal and neonatal deaths in Somalia. Prolonged conflict, displacement, recurrent climate shocks, poverty, and rural access inequities continue to expose pregnant women and newborns to delays in reaching timely emergency care. Although previous reviews have described broad maternal and newborn health challenges in Somalia, less attention has been given to how emergency obstetric and newborn care gaps interact with rural geography, insecurity, referral barriers, workforce shortages, weak facility readiness, and humanitarian service-delivery constraints. This policy and practice review synthesizes peer-reviewed literature, national survey evidence, policy documents, technical guidance, and authoritative reports to examine emergency obstetric and newborn care in conflict-affected Somalia. Sources published or made available between 2010 and 2026 were prioritized, while older seminal sources were retained only when they provided foundational frameworks or technical definitions. The review focuses on rural access inequities, referral barriers, facility readiness, workforce capacity, sociocultural determinants of care-seeking, and policy-practice priorities. The evidence indicates that low rates of skilled birth attendance, limited institutional delivery, inadequate basic and comprehensive emergency obstetric and newborn care coverage, weak referral systems, financial barriers, and shortages of skilled personnel continue to undermine timely care for obstetric and newborn emergencies. Strengthening emergency obstetric and newborn care in Somalia requires an integrated service-delivery and policy approach that expands rural coverage, improves referral coordination, invests in midwifery and emergency obstetric skills, stabilizes essential supplies and blood transfusion capacity, strengthens maternal and perinatal death surveillance, and aligns humanitarian and development programming. Addressing these priorities is essential for improving equitable maternal and newborn survival in conflict-affected and resource-limited settings.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"7 ","pages":"1914864"},"PeriodicalIF":2.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}