PEC innovation最新文献

{"title":"The role of community health workers in enhancing home and community-based services in American Indian communities","authors":"Zavera K. Basrai ,&nbsp;Caroline Y. Yoon ,&nbsp;Valerie Tsosie ,&nbsp;Ronny A. Bell ,&nbsp;Nathan A. Boucher","doi":"10.1016/j.pecinn.2025.100397","DOIUrl":"10.1016/j.pecinn.2025.100397","url":null,"abstract":"<div><h3>Objectives</h3><div>Describe the role and benefit of Community Health Workers in American Indian communities as a novel solution to meeting home and community-based service (HCBS) needs.</div></div><div><h3>Methods</h3><div>Short communication based on extant literature and current policy challenges.</div></div><div><h3>Results</h3><div>Community health workers (CHW) play an essential role in various healthcare settings particularly in American Indian (AI) communities working to close gaps in preventive and comprehensive healthcare accessibility. CHWs close these gaps through providing expertise in culturally oriented and familial support, educating communities on acute and chronic illnesses and wellness, and dispelling misinformation regarding health issues. However, integration and application of CHWs into home- and community-based services has limited recognition and utilization in healthcare systems and healthcare payment. Robust training/credentialing pathways and sustainable funding streams are essential for the integration of CHWs into the formalized healthcare provider team. Barriers that prevent this integration include inconsistencies in documentation, lack of stable funding, and a lack of formal professional recognition.</div></div><div><h3>Conclusions</h3><div>Previously successful models of CHW integration promote formalized training programs, professional development opportunities, earning certifications, and promoting collaboration between CHWs and providers.</div></div><div><h3>Innovation</h3><div>Applying CHW use in HCBS can increase community wellness while mitigating impacts of health disparities in HCBS for an often-under-resourced set of communities – our nation's American Indian communities.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100397"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family caregiving in research and practice: Editorial – PEC innovation","authors":"Gemme Campbell-Salome","doi":"10.1016/j.pecinn.2025.100396","DOIUrl":"10.1016/j.pecinn.2025.100396","url":null,"abstract":"","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of positive and negative clinician communication in obstetrical visits from the perspectives of pregnant patients who use substances","authors":"Abisola Olaniyan ,&nbsp;Mary Hawk ,&nbsp;Dara D. Mendez ,&nbsp;Steven M. Albert ,&nbsp;Natalie Stern ,&nbsp;Sneha Patnaik ,&nbsp;Judy C. Chang","doi":"10.1016/j.pecinn.2025.100394","DOIUrl":"10.1016/j.pecinn.2025.100394","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the perceptions of pregnant patients who use substances regarding positive or negative clinician communication during obstetrical care.</div></div><div><h3>Methods</h3><div>We analyzed qualitative data from 85 semi-structured interviews with pregnant patients who reported or tested positive for substance use, which explored their interaction with obstetric providers during their first prenatal visit. This analysis focuses on patients' perceptions of negative versus positive clinician communication behaviors.</div></div><div><h3>Results</h3><div>Eighty-five participants described clinician communication behaviors they felt affected their feelings about the clinician and their willingness to talk about prenatal substance use and other sensitive topics. Negative behaviors included clinicians (1) expressing judgment, (2) rushing through the consultation and providing limited information to patients, and (3) using statements or behaviors that made patients feel dehumanized. Positive behaviors included clinicians (1) explicitly expressing care for the patient, (2) creating rapport by soliciting patient stories and building relationships, and (3) demonstrating attentive listening.</div></div><div><h3>Innovation</h3><div>To our knowledge, our study is the first to explore clinician communication behavior with a focus on prenatal substance use from the perspective of pregnant people using substances.</div></div><div><h3>Conclusion</h3><div>Our findings highlight pregnant patients' perspectives on communication patterns that could improve patient-clinician interactions and, in turn, maternal health care and outcomes.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100394"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and confidence regarding pressure ulcer prevention among caregivers of high-risk individuals: A pre- and post-education assessment in a single-center","authors":"Maram T. Alkhatieb ,&nbsp;Rahaf W. Shigdar ,&nbsp;Zainab A. Alkhalifah ,&nbsp;Hussain A. Alkhalifah ,&nbsp;Hanan F. Alsabri ,&nbsp;Lama W. Attar ,&nbsp;Hana Z. Fatani ,&nbsp;Haifa M. Alnahdi","doi":"10.1016/j.pecinn.2025.100393","DOIUrl":"10.1016/j.pecinn.2025.100393","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to measure the effect of implementing a pressure ulcer (PU) educational program on the knowledge and confidence of caregivers taking care of bedridden patients or patients with limited mobility.</div></div><div><h3>Methods</h3><div>This study included caregivers of immobile or bedridden patients in our center from 23 April 2023 to 13 May 2023. A pre-assessment questionnaire to assess knowledge about PUs was provided. After this, an educational session was implemented. Thereafter, a post-assessment questionnaire was provided to measure the education outcomes.</div></div><div><h3>Results</h3><div>A total of 98 caregivers were included in the study; the majority were females (<em>n</em> = 69, 70.4 %) and were family members of the patient (<em>n</em> = 89, 90.8 %). Most have never received education on PUs and their prevention (<em>n</em> = 63, 64.3 %). The education sessions significantly affected the level of knowledge, as the scores were significantly higher post-education compared to pre-education (16.96 ± 2.73 vs. 11.06 ± 3.71, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Overall, we found that education sessions on PUs using different visual and audio aids could significantly increase caregivers' knowledge of PU prevention.</div></div><div><h3>Innovation</h3><div>We adopted a multi-faceted approach by developing original educational materials tailored to non-professional caregivers, including videos, booklets, and brochures in Arabic and English. This helped ensure accessibility and enhance the potential for widespread applicability in diverse home settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100393"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and evaluation of the patient engagement questionnaire (PEQ)","authors":"Stephanie Batio,&nbsp;Laura M. Curtis,&nbsp;Julia Yoshino Benavente,&nbsp;Stacy C. Bailey,&nbsp;Michael S. Wolf","doi":"10.1016/j.pecinn.2025.100392","DOIUrl":"10.1016/j.pecinn.2025.100392","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to develop and evaluate the Patient Engagement Questionnaire (PEQ); a brief, remote assessment that captures both measures of health literacy and patient activation in the context of engagement in healthcare.</div></div><div><h3>Methods</h3><div>Participants in the COVID-19 &amp; Chronic Conditions cohort study completed a survey that included PEQ items, demographics, Newest Vital Sign, Consumer Health Activation Index, and patient-reported outcomes. Exploratory and Confirmatory Factor Analysis were used to conduct an item reduction process and assess fit. Spearman correlations and generalized linear regression models were performed to assess convergent and predictive validity. Stratum-specific likelihood ratios were used to determine cutoffs.</div></div><div><h3>Results</h3><div>630 participants completed the survey. PEQ had 6 items loading onto one single factor, with good reliability (α = 0.76), and convergent validity with the NVS (<em>r</em> = 0.30, <em>p</em> &lt; 0.001) and CHAI (<em>r</em> = 0.41, p &lt; 0.001). Higher PEQ scores were significantly associated with lower depression (<em>r</em> = −0.30, <em>p</em> &lt; 0.001) and better physical function (<em>r</em> = 0.31, <em>p</em> &lt; 0.01). Two categories emerged: limited (6–26, SSLR: 3.15) and adequate (26–30, SSLR: 0.53).</div></div><div><h3>Conclusion</h3><div>The PEQ is a brief and easily administered tool designed to capture the intersect between health literacy and activation.</div></div><div><h3>Practice implications</h3><div>The PEQ will help identify patients struggling with care engagement, aiding resource allocation to those most in need.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100392"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Content and quality of smartphone applications for bariatric surgery: A review and content analysis","authors":"Irma Hellbrecht ,&nbsp;Nadja Könsgen ,&nbsp;Alina Weise ,&nbsp;Fabian Schlumberger ,&nbsp;Dawid Pieper ,&nbsp;Jessica Breuing","doi":"10.1016/j.pecinn.2025.100391","DOIUrl":"10.1016/j.pecinn.2025.100391","url":null,"abstract":"<div><h3>Objective</h3><div>Our aim was to provide a descriptive analysis of the content and quality of bariatric apps available in Germany.</div></div><div><h3>Methods</h3><div>From November 2022 to February 2023, apps available in German used in pre- or postoperative care were searched in the Google Play, the Apple App Store, and the Register for Digital Health Applications (DHA). One author reviewed titles and summary pages. Relevant apps were downloaded and two authors assessed their eligibility. Additionally, the authors independently screened records indexed in Medline/Embase. Besides a summary of the app content, a quality assessment was performed using two checklists (the Action Alliance for Patient Safety Checklist (APS); the Mobile App Rating Scale (MARS).</div></div><div><h3>Results</h3><div>38 potentially relevant apps were identified, <em>n</em> = 3 were included. Functionality was good (MARS score 13–18/20). Content quality was variable (MARS score 7–19/35). Moreover, the apps' content lacked references and varied in scope.</div></div><div><h3>Conclusion</h3><div>There are few apps in the field of BS available and the quality of their content is moderate to low. The evidence base remains unclear due to a lack of sources.</div></div><div><h3>Innovation</h3><div>This is the first structured assessment of bariatric apps in Germany using validated checklists. The results provide a foundation for evidence-based, patient-centered app development in bariatric care and thus represent an important digital innovation in this field.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging artificial intelligence chatbots for anemia prevention: A comparative study of ChatGPT-3.5, copilot, and Gemini outputs against Google Search results","authors":"Shinya Ito ,&nbsp;Emi Furukawa ,&nbsp;Tsuyoshi Okuhara ,&nbsp;Hiroko Okada ,&nbsp;Takahiro Kiuchi","doi":"10.1016/j.pecinn.2025.100390","DOIUrl":"10.1016/j.pecinn.2025.100390","url":null,"abstract":"<div><h3>Aim</h3><div>This study evaluated the understandability, actionability, and readability of text on anemia generated by artificial intelligence (AI) chatbots.</div></div><div><h3>Methods</h3><div>This cross-sectional study compared texts generated by ChatGPT-3.5, Microsoft Copilot, and Google Gemini at three levels: “normal,” “6th grade,” and “PEMAT-P version.” Additionally, texts retrieved from the top eight Google Search results for relevant keywords were included for comparison. All texts were written in Japanese. The Japanese version of the PEMAT-P was used to assess understandability and actionability, while jReadability was used for readability. A systematic comparison was conducted to identify the strengths and weaknesses of each source.</div></div><div><h3>Results</h3><div>Texts generated by Gemini at the 6th-grade level (<em>n</em> = 26, 86.7 %) and PEMAT-P version (<em>n</em> = 27, 90.0 %), as well as ChatGPT-3.5 at the normal level (<em>n</em> = 21, 80.8 %), achieved significantly higher scores (≥70 %) for understandability and actionability compared to Google Search results (<em>n</em> = 17, 25.4 %, <em>p</em> &lt; 0.001). For readability, Copilot and Gemini texts demonstrated significantly higher percentages of “very readable” to “somewhat difficult” levels than texts retrieved from Google Search (<em>p</em> = 0.000–0.007).</div></div><div><h3>Innovation</h3><div>This study is the first to objectively and quantitatively evaluate the understandability and actionability of educational materials on anemia prevention. By utilizing PEMAT-P and jReadability, the study demonstrated the superiority of Gemini in terms of understandability and readability through measurable data. This innovative approach highlights the potential of AI chatbots as a novel method for providing public health information and addressing health disparities.</div></div><div><h3>Conclusion</h3><div>AI-generated texts on anemia were found to be more readable and easier to understand than traditional web-based texts, with Gemini demonstrating the highest level of understandability. Moving forward, improvements in prompts will be necessary to enhance the integration of visual elements that encourage actionable responses in AI chatbots.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100390"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative exploration of service users' experiences of weight management conversations in a mental health setting","authors":"Emma Kemp ,&nbsp;Catherine Haighton ,&nbsp;Sally Faulkner ,&nbsp;Kate McBride ,&nbsp;Maria Raisa Jessica Aquino ,&nbsp;Rob Wilson ,&nbsp;Milica Vasiljevic ,&nbsp;Craig Robson ,&nbsp;Mish Loraine ,&nbsp;Jill Harland ,&nbsp;Angela M. Rodrigues","doi":"10.1016/j.pecinn.2025.100389","DOIUrl":"10.1016/j.pecinn.2025.100389","url":null,"abstract":"<div><h3>Objective</h3><div>Healthcare professionals often use opportunistic weight management conversations, aligned with the Making Every Contact Count (MECC) approach, to provide motivational support to service users. While research supports this practice from the professionals' perspective, the views of service users on these interactions remain understudied. The aim of this study was to explore the experiences of service users with serious mental illness regarding weight management conversations with healthcare professionals.</div></div><div><h3>Methods</h3><div>Thirteen service users with serious mental illness (Nine inpatient, four community-based) participated in semi-structured 1–1 interviews exploring weight management support experiences. Transcript data was analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Five key themes were developed: service users' experience of weight management conversations, developing therapeutic relationships, support for physical activity and weight management, deliverer characteristic preferences, and user descriptions of MECC.</div></div><div><h3>Conclusions</h3><div>Service users reported a lack of information about medication-related weight gain and suggested further staff training to improve therapeutic relationships and weight management support for service users with serious mental illness.</div></div><div><h3>Innovation</h3><div>This study uniquely explores service users' perspectives on weight management conversations within mental health care, applying MECC in a novel context. It highlights the perspective of individuals with serious mental illness on weight-related issues, challenging existing practices, and proposing strategies for integrating physical health support in mental health settings.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100389"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705471","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":"Developing a digital video to support lung cancer screening in diverse populations","authors":"Meghan Lindsay ,&nbsp;Iyanuoluwa P. Odole ,&nbsp;Olivia Belliveau ,&nbsp;Fuad Abujarad ,&nbsp;Cary P. Gross ,&nbsp;Ilana B. Richman","doi":"10.1016/j.pecinn.2025.100388","DOIUrl":"10.1016/j.pecinn.2025.100388","url":null,"abstract":"<div><h3>Objective</h3><div>Lung cancer screening (LCS) with low dose computed tomography can reduce lung cancer mortality. However, awareness and knowledge of LCS are low. We developed and tested a video to support informed decision-making about LCS for use in diverse populations, including adults with low educational attainment.</div></div><div><h3>Methods</h3><div>We conducted a prospective pre-post pilot study of adults eligible for LCS at three primary care clinics in the USA from 08/2022–07/2023. We developed a brief digital video, incorporating iterative modifications using participant feedback. We assessed knowledge of LCS before and after viewing the video and solicited open-ended feedback on video format and content.</div></div><div><h3>Results</h3><div>The study included 29 adults (median [range] age, 62 [50–77] years; 52 % male). In interviews, participants commented on informational content, effect of the video on screening behaviors and intent, video style and appearance, and video features. After viewing the video, participant knowledge scores increased from baseline of 43 % correct to 59 %, <em>p</em> &lt; 0.001. Knowledge scores increased across all levels of educational attainment.</div></div><div><h3>Conclusions</h3><div>A brief digital video about LCS, developed with feedback from end users, was motivating, clear, and effective in increasing knowledge across levels of educational attainment.</div></div><div><h3>Innovation</h3><div>Using a patient-engaged, theoretically grounded development process, we developed a digital tool specifically to support lung cancer screening in diverse populations, including those with varied educational attainment.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100388"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684433","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":"Perceived acceptability of a prototype toolkit to support patients and informal caregivers to express their perspectives in palliative care conversations","authors":"Annet Olde Wolsink-van Harlingen (AS) ,&nbsp;Jan Jukema (JS) ,&nbsp;Kris Vissers (KCP) ,&nbsp;Madeleen Uitdehaag (MJ) ,&nbsp;Jeroen Hasselaar (J) ,&nbsp;Leontine Groen-van de Ven (L)","doi":"10.1016/j.pecinn.2025.100387","DOIUrl":"10.1016/j.pecinn.2025.100387","url":null,"abstract":"<div><h3>Background</h3><div>Patients and informal caregivers experience challenges to express their personal perspectives in conversations with healthcare professionals (HCPs). A prototype toolkit, which consists of a hardcopy version and a website, was developed to address their challenges. The aim of this study is to gain insight into the perceived acceptability of this prototype toolkit.</div></div><div><h3>Method</h3><div>Patients and informal caregivers end users and HCPs participated in semi-structured individual or group interviews. This resulted in two databases of qualitative data which were thematically analysed.</div></div><div><h3>Results</h3><div>Twenty-two end users and twelve HCPs participated in this study. There is appreciation for the content and use of the prototype toolkit, with the hardcopy version of the toolkit being valued more than the website. Moreover, the use of the toolkit may strengthen end users' power and control and may support HCPs in tailoring communication and care. End users and HCPs recommendations for implementation are to further develop the prototype toolkit, provide HCPs with information, instruction and support and create facilitating conditions in healthcare.</div></div><div><h3>Conclusion</h3><div>High appreciation of the hardcopy version and the practical value are positive indicators of end users'and HCPS perceived acceptability of the prototype toolkit. However, the content of the toolkit is experienced as being too extensive, with the hardcopy version experienced as being incomplete without the website and the website is experienced as being too complicated to use. Further development and testing of the prototype toolkit is required to increase its acceptability by end users and HCPs.</div></div><div><h3>Innovation</h3><div>In this study a Design Thinking approach was used to test study the acceptability of a prototype toolkit by endusers and HCPs. This approach can contribute to a succesfull implementation of the toolkit and its effectiveness.</div></div>","PeriodicalId":74407,"journal":{"name":"PEC innovation","volume":"6 ","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}