American Journal of Men's Health最新文献

{"title":"Psychocorrection of Male Sexual Dysfunctions: A Clinical Study in Ukraine.","authors":"Liana Spytska","doi":"10.1177/15579883241304583","DOIUrl":"10.1177/15579883241304583","url":null,"abstract":"<p><p>This study aimed to investigate the effects of psychotherapeutic interventions, specifically cognitive-behavioral sexual therapy, using the example of erectile dysfunction in a cohort of 58 Ukrainian men under the age of 40 years. To achieve this goal, questionnaire methods were employed, including questions from the International Index of Erectile Function and the Perceived Stress Scale, along with statistical data processing and subsequent discussion. Psychotherapeutic intervention demonstrated its effectiveness from the short-term perspective and over a period of 6 months, with a significant improvement in erectile function indicators and a reduction in distress scores in the group of patients undergoing combined therapy (<i>p</i> < .05). Monotherapy with phosphodiesterase-5 inhibitors, as first-line drug choices, also proved effective. However, considering that erectile dysfunction had an established psychogenic nature, the symptoms of the condition returned to the baseline level after 6 months. Providing psychosexual education and studying adaptive sexual responses with the disruption of maladaptive cognitive patterns should be a key goal in the treatment of psychogenic sexual dysfunctions. It is important to note that men may encounter difficulties in the practical application of various cognitive-behavioral sexual therapy techniques. Nevertheless, psychotherapy is considered a promising approach to treatment, especially in the context of countries where the topic of sexual education remains taboo, and the number of men seeking professional psychological help is very low, as is the case in Ukraine.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241304583"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799031","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":"Concurrent Adrenal Adenoma, Unilateral Adrenal Hyperplasia, and Bilateral Renal Artery Stenosis in a 61-Year-Old Man.","authors":"Sanda Mrabet, Achraf Jaziri, Dorsaf Zellama, Abdellatif Achour, Yosra Hasni, Hamza Elfekih, Ibtissem Hasni Bouraoui, Mohamed Amine Chaari","doi":"10.1177/15579883241309769","DOIUrl":"10.1177/15579883241309769","url":null,"abstract":"<p><p>We report a case of a very rare association of adrenal adenoma, unilateral adrenal hyperplasia, and bilateral renal artery stenosis. A 61-year-old man with a remarkable history of two severe strokes was admitted to the Nephrology department with hypertension associated with severe hypokalemia and metabolic alkalosis. Doppler of renal arteries was not conclusive, so contrast-enhanced scanning was done revealing a left adrenal adenoma, right adrenal hyperplasia, and bilateral moderate renal artery stenosis. After control of blood pressure with central anti-hypertensive drugs and calcium channel blockers and normalization of kalemia under potassium supplementation, the hormonal analysis was done showing an elevated plasma aldosterone concentration at 1,568 pmol/L, with a direct renin concentration below the detection level. Primary aldosteronism was confirmed and the prescription of an anti-aldosterone agent led to the control of blood pressure and potassium plasmatic levels. In front of arterial hypertension with hypokalemia, we recommend the assessment of secondary and primary hyperaldosteronism in a systematic way since the association of two or even three etiologies of hyperaldosteronism is possible and an appropriate diagnosis is essential for adequate treatment.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241309769"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881120","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":"\"Cuz They Straight and Everything\": Barriers to Reporting Among Gay Latino Male Sexual Assault Survivors.","authors":"Daniel Jacobson López, Antonio García","doi":"10.1177/15579883241288979","DOIUrl":"10.1177/15579883241288979","url":null,"abstract":"<p><p>There remains a paucity of research examining the barriers to reporting sexual assault among gay and bisexual male assault survivors, despite much higher sexual assault victimization rates for gay and bisexual men. Few researches have examined barriers for gay Latino and/or Black male sexual assault survivors, specifically focusing on the role of racism and homophobia. To address this gap in literature, our study examined the specific barriers to reporting sexual assault for gay Latino (including Black) male sexual assault survivors, with a focus on how their multiple marginalized identities influenced their decision-making process. The study consisted of 14 gay Latino sexual assault survivors from six cities in the United States who participated in one-on-one semistructured in-depth interviews. Our data revealed three themes: (a) Bias and Discrimination, which describes how racism, homophobia, and gendered ideology serve as barriers to reporting sexual assault; (b) the Unjust Reporting Process focuses on the unnecessarily difficult, complex, and unclear timely reporting process; and (c) Retraumatization, which describes how participants were likely to be retraumatized by reporting. Content analysis was conducted and methodology consistent with this analysis was completed. Our findings provide recommendations to enhance the reporting process for gay Latino male sexual assault survivors which include law enforcement practices (e.g., Training tailored for engaging with LGBTQIA+ individuals and male survivors) as well as agency-wide practices (e.g., trainings and groups specifically for gay and bisexual men of color). All practices should be survivor centered and trauma-informed.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241288979"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765507","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":"Knowledge and Attitude of Turkish Male Health Care Workers Regarding Human Papillomavirus and Vaccination.","authors":"Ahmet Doğan, Meryem Sena Toker, Hasan Tahsin Gozdas, Tayibe Bal","doi":"10.1177/15579883241304574","DOIUrl":"10.1177/15579883241304574","url":null,"abstract":"<p><p>This descriptive, cross-sectional survey study aimed to evaluate the knowledge of human papillomavirus (HPV) infection and vaccination, related diseases, vaccination status, and attitudes toward vaccination among Turkish male health care workers (HCWs). The study was planned between June 20 and 30, 2023. A questionnaire was developed by reviewing similar studies to assess the sociodemographic characteristics, knowledge about HPV, vaccination, and attitudes toward vaccination. A total of 322 volunteers (doctors, male nurses, and other allied health personnel such as cleaning staff, patient carers, and technicians) completed the questionnaire. Participants generally provided accurate answers to questions about HPV but often provided incorrect answers regarding vaccination. In addition, the overall HPV knowledge score was significantly higher among vaccinated participants or those willing to be vaccinated than those who were unvaccinated participants and those who were unwilling to be vaccinated (<i>p</i> < .05). There was a significant and moderately strong relationship between HPV vaccine knowledge level and willingness to be vaccinated. In addition, the relationship between vaccination status and knowledge level was substantial. Factors such as medical position, age, alcohol use, and regular physical activity were more likely to affect the HPV knowledge levels of assistant HCWs negatively. Vaccine hesitancy was also higher in the 27 to 40 age group. Knowledge about HPV, medical position, number of sexual partners, social habits, views on vaccination, cost, and religious and cultural values directly affect the rate of HPV vaccination and willingness to be vaccinated.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241304574"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817048","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":"Injury Profiling in Male Police Cadets During Initial Training Phase: A Retrospective Cohort Study.","authors":"Wissem Dhahbi, Helmi Ben Saad, Ismail Dergaa, Marouen Souaifi, Karim Chamari","doi":"10.1177/15579883241304584","DOIUrl":"10.1177/15579883241304584","url":null,"abstract":"<p><p>Musculoskeletal injuries during the \"Initial Training Phase\" (ITP) are a major medical problem faced by law enforcement agencies worldwide. Aiming to develop an injury prevention strategy, we examined the incidence, type, associated factors, and severity of injuries and secondarily tracked their evolution over time by batches in a police academy. A retrospective cohort study was conducted using prospectively collected injury data on 979 newly recruited male police cadets enrolled in eight batches between 2015 and 2023. Among the 376 injured participants (age: 18.1 ± 0.3 years, body-mass: 75.8 ± 12.5 kg, body-height: 173.7 ± 4.0 cm, body mass index [BMI]: 25.1 ± 4.1 kg·m^-2, body-fat percentage: 18.1% ± 5.1%), 405 injuries were recorded during the ITP. Musculoskeletal injury data were analyzed according to type, associated-factors, severity, and evolution across batches. Almost half of the recruits (41.4%) sustained at least one musculoskeletal injury. Based on injury frequency (39-69 case) and exposure time (20,944.5-43,006.5 hours per participant) indices, and with an implication of scientific training tips, the long-term follow-up over-batches showed that the injury incidence was decreased 2.5-fold from Batch 1 to Batch 8 (<i>p</i> < .0001). Most injuries occurred between Weeks 2 and 5 (80% cumulative). The most common injury type was medial tibial stress syndrome (36.0%), followed by iliotibial band syndrome (12.6%), and ankle sprain (10.4%). This injury profile aligns with previous studies on law enforcement recruits, although comparisons should be made cautiously due to variations in training programs and recruit characteristics between agencies. The most frequently reported perceived potential contributors of injuries were vitamin and mineral deficiencies (20.7%), overweight/obesity (19.1%), and harsh physical activities (13.0%). During ITP, almost half of the recruits sustained at least one musculoskeletal injury, most of them in the fourth week. Some of the major associated factors of injury could be controlled resulting in a potential reduction of the injury incidence by up to 2.5 times. Implementing tailored fitness programs, incorporating subjective and objective training load assessments, and enhancing monitoring could significantly decrease injury rates, improve recruit readiness, and reduce resource and time waste on injury treatment.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241304584"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799028","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 Scoping Review of Masculinity Norms and Their Interplay With Loneliness and Social Connectedness Among Men in Western Societies.","authors":"Therese Nordin, Frida Degerstedt, Elin Granholm Valmari","doi":"10.1177/15579883241304585","DOIUrl":"10.1177/15579883241304585","url":null,"abstract":"<p><p>This scoping review explores what is currently understood about how masculinity norms interplay with loneliness and social connectedness among men in a Western context. Human beings inherently need social connections, and this review particularly addresses how traditional masculinity norms-emphasizing independence, emotional stoicism, and pain endurance-can increase vulnerability to loneliness and insufficient social connections. The review followed the Joanna Briggs Institute (JBI) methodology for scoping reviews and systematically assessed the literature published between September 2013 and September 2023. Initial literature searches were conducted using multiple databases, including EBSCO and PubMed. Of the 1,730 articles identified, 13 studies met the inclusion criteria and were quality assessed. Results show that men often formed social connections through productive activities. Still, these connections were restricted by conflicting masculine ideals such as self-reliance, which could be prioritized over social and emotional support. Masculine bonds were often formed and strengthened through collectively rejecting diversity. Nevertheless, there were some narratives where participants attempted to redefine masculinity to access permission to care and connect. This review highlights the urgent need for cultural and societal reevaluation of gender norms to support men's social connectedness. This shift could reduce stigma around emotional vulnerability and in turn men's opportunities for health and well-being.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241304585"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799027","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":"Modulation of <i>NRF2</i> and <i>CYP24A1</i> Pathways by Hookah Smoke: Implications for Male Reproductive Health.","authors":"Amir Masoud Firouzabadi, Maryam Imani, Maryam Tofighi Niaki, Farzaneh Fesahat","doi":"10.1177/15579883241306893","DOIUrl":"10.1177/15579883241306893","url":null,"abstract":"<p><p>Antioxidants act by preventing excessive oxidative stress within the developing sperm cells. Hookah smoking has been implicated in inducing oxidative stress which may be a risk factor for male infertility. This study aims to bridge this knowledge gap by evaluating the effect of hookah smoking on sperm quality and the expression of <i>nuclear factor erythroid 2-related factor 2</i> (<i>NRF2</i>) and <i>Cytochrome P450 family 24 subfamily A member</i> 1 (<i>CYP24A1</i>) genes which are involved in antioxidant response. Young fertile men in reproductive age were categorized into hookah smokers (<i>n</i> = 32) and non-smokers (n=52). Sperm parameters (concentration, volume, motility, morphology) as well as gene expression of <i>NRF2</i> and <i>CYP24A1</i> were evaluated in each sperm sample. There was no meaningful change in sperm parameters in the case group compared with the controls. The mRNA levels of <i>NRF2</i> was significantly higher in the case group compared with the controls (<i>p</i> = 0.01), while <i>CYP24A1</i> expression did not significantly change between the study groups. A remarkable increase in <i>NRF2</i> expression in hookah smokers might be a cellular defense mechanism, indicating activation of antioxidant response in sperm to counteract potential oxidative stress caused by hookah use. However, further research is needed to understand the functional consequences of this upregulation.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241306893"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824012","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":"Optimizing Testosterone Levels and Fertility Outcomes: A Case Series on the Impact of <i>Lepidium peruvianum</i> (Maca-OG^TM) in Andropause and Sperm Dysfunction.","authors":"Kim Ross, Corey Schuler, Marc Sklar","doi":"10.1177/15579883241304570","DOIUrl":"10.1177/15579883241304570","url":null,"abstract":"<p><p>Low testosterone levels in men contribute to altered sexual health, including low libido, erectile dysfunction, impaired sleep, and changes in mood and energy. Nearly half of all infertility cases are implicated by male factors, such as low testosterone levels and altered semen and sperm health. The purpose of this case series is to share the experience of two men taking a concentrated, highly bioavailable gelatinized form of specific phenotypes (sometimes referred to as colors) of <i>Lepidium peruvianum</i> (Maca-OG™) to improve reproductive health. One man experienced an increase in total testosterone levels and fertility parameters, including sperm concentration, sperm motility, and total sperm count. The second experienced an increase in total testosterone levels, energy, mood, and sleep. This case series highlights a natural alternative for male health to support the body's production of testosterone, especially when hormone therapy is not medically indicated or desired by the patient, or there are concerns about hormone therapy reducing the body's production of testosterone.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241304570"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142799030","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 Man Has to Show That He Is a Man From a Young Age\": Intimate Partner Violence for Young Male University Students in Brazil.","authors":"Caroline Izabela Silva, Daniella Yamada Baragatti, Natalia Rejane Salim, Leticia Scotto, Claudia Adao Alves, Caroline Grespan Forlani, Diene Monique Carlos","doi":"10.1177/15579883241299330","DOIUrl":"10.1177/15579883241299330","url":null,"abstract":"<p><p>Considering that men today face social and cultural pressures to behave in certain ways, the objective of this study was to analyze the construction of Intimate Partner Violence (IPV) from the perspective of university students who identify themselves as male in a developing country. This is a qualitative study carried out through semi-structured interviews, with 15 students from the state of São Paulo, Brazil, from May to July 2021. The data were analyzed thematically and anchored in the ecological framework of understanding violence. Two final themes were identified: \"'A man has to show that he is a man from a young age'-Social construction of violence\" and \"'At first it is hard to notice'-The subtlety of violence.\" It was identified that this phenomenon is configured as a historical, social, and cultural construction, mainly sustained by what is attributed to \"being a man\" in society and, consequently, the actions expected by this attribution. These perceptions are transversal in relationships within society and go beyond generations-and they are a layer in addition to memories of violence experienced or witnessed taking place in determining IPV experiences. Living in communities that legitimize gender inequities, generally in socioeconomically disadvantaged areas, is a prominent factor influencing IPV among the studied population. In this context, psychological violence emerges as preponderant and triggers other forms of violence, which are difficult to notice and veiled behind prejudices. Educational practices for healthy relationships are proposed and emphasized from basic to higher education as well as peer and professional support.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241299330"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680551","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":"HSPE1 Inhibits Bladder Cancer Ferroptosis via a Glutathione-Dependent Mechanism by Suppressing GPX4.","authors":"Jiqiang Cheng, Lina Wang, Wenlong Wang, Hao Liang, Shuaishuai Shan, Shaopeng Zhang, Zekun Wang, Qingbing Wang","doi":"10.1177/15579883241306904","DOIUrl":"10.1177/15579883241306904","url":null,"abstract":"<p><p>Bladder cancer (BLCA) remains a significant health risk despite advancements in medical science that have led to reduced incidence and death rates. While the molecular regulatory mechanisms of BLCA are not yet fully understood, HSPE1, a member of the heat shock protein family, is regarded as a reliable prognostic target for BLCA. Using data from The Cancer Genome Atlas (TCGA) database, the differential expression levels of HSPE1 and its relationship to GPX4 were examined. Gene Set Enrichment Analysis was used to carry out HSPE1 pathway enrichment analysis. HSPE1 and GPX4 expressions in cells were assessed using quantitative reverse-transcription polymerase chain reaction (qRT-PCR) and western blotting. Cell cycle alternations and apoptosis were evaluated using flow cytometry. Cell proliferation was assessed using EdU and colony formation assays. The lactate dehydrogenase (LDH) test, glutathione (GSH) measurement, and Liperfluo assay were utilized to evaluate the presence of ferroptosis in cells. BLCA tissues and cells had significantly elevated levels of HSPE1. In BLCA, high expression of HSPE1 inhibited apoptosis while promoting cell proliferation and cell cycle progression. Significant enrichment of HSPE1 was found in the GSH metabolism and ferroptosis pathways, according to pathway enrichment analysis. In cancer cells, HSPE1 promoted GSH accumulation, decreased lipid peroxidation, and inhibited cell ferroptosis, as demonstrated in a rescue experiment with the ferroptosis inhibitor Fer-1. Pearson correlation analysis unveiled a substantial positive correlation between HSPE1 and the ferroptosis regulator GPX4. According to the results of rescue experiments, HSPE1 regulated GPX4 to affect cell lipid peroxidation levels and GSH accumulation. HSPE1 plays a crucial role in regulating GPX4 to prevent BLCA cells from undergoing ferroptosis, with this control mechanism dependent on GSH.</p>","PeriodicalId":7429,"journal":{"name":"American Journal of Men's Health","volume":"18 6","pages":"15579883241306904"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833511","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}