The journal of climate change and health最新文献

{"title":"Exploring Portuguese physicians' perceptions of climate change impacts on health: A qualitative study","authors":"Nidia Ponte ,&nbsp;Fátima Alves ,&nbsp;Diogo Guedes Vidal","doi":"10.1016/j.joclim.2024.100333","DOIUrl":"10.1016/j.joclim.2024.100333","url":null,"abstract":"<div><h3>Introduction</h3><div>Health professionals, as primary responders to climate change health impacts, must be well-informed to effectively communicate adaptation risks and benefits to influence both patients and organizations. This study was undertaken in order to survey how physicians in Portugal understand, explain, and experience the impacts of climate change on health in their clinical practice. Understanding physicians' knowledge level on this subject also can help determine whether training is needed, and through what educational mechanisms.</div></div><div><h3>Material and methods</h3><div>Using a semi-structured interview script, this study applied a qualitative methodology with interviews of 13 physicians from various medical specialties in Portugal, aged 28 to 73.</div></div><div><h3>Results</h3><div>All participants recognized that human action is the main contributor to climate change, indicating that fossil fuels and overproduction are the main factors responsible for greenhouse gas emissions. They also agreed that climate change affects human health. However, they reported that they find connecting diseases to climate change challenging in their clinical practice, and expressed the need for training on the effects of climate change on health.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that physicians recognized the importance of understanding and communicating the connection between climate change and health in their daily practice, and that failure to recognize these impacts may affect appropriate diagnosis and preparedness for extreme climate events. These results highlight the urgency of addressing the health impacts of climate change and underscore the role of education and awareness.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100333"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715703","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":"Corrigendum to “Climate change and women's health in the United States: Impacts and opportunities” [J Clim Change Health 8C (2022) 100169]","authors":"Emily Sbiroli ,&nbsp;Julia Geynisman-Tan ,&nbsp;Natasha Sood ,&nbsp;Ben Allan Maines ,&nbsp;Justin Hyuck-Jin Junn ,&nbsp;Cecilia Sorensen","doi":"10.1016/j.joclim.2024.100331","DOIUrl":"10.1016/j.joclim.2024.100331","url":null,"abstract":"","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100331"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706751","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":"Pediatric climate distress: A scoping review and clinical resource","authors":"Jeremy D. Wortzel ,&nbsp;Ver-Se Denga ,&nbsp;Jeshtha Angrish ,&nbsp;Larissa Dooley ,&nbsp;Iliana Manjón ,&nbsp;Sherwin Shabdar ,&nbsp;Amy D. Lykins ,&nbsp;Suzie Cosh ,&nbsp;Paul A. Bain ,&nbsp;Andrew Toyin Olagunju ,&nbsp;James McKowen","doi":"10.1016/j.joclim.2024.100349","DOIUrl":"10.1016/j.joclim.2024.100349","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change is the public health crisis of our time, with young people particularly at risk. Climate change has been associated with increased prevalence of psychiatric disorders. Psychological concerns pertaining to the Earth's future have also been cited as contributing to negative emotions now termed ‘climate distress’. While previous reviews have addressed the various ways climate change affects pediatric mental health, this scoping review aims to specifically explore pediatric climate distress and its implications for clinical practice.</div></div><div><h3>Methods</h3><div>2548 articles were extracted from multiple databases, titles, abstracts, and full texts were screened blinded and in duplicate using the web-based platform Covidence. Quantitative and qualitative original research papers published in English between January 1, 2000 and April 29, 2024 that studied pediatric climate distress were included.</div></div><div><h3>Results</h3><div>Forty-two articles met the inclusion criteria, along with 10 additional grey literature sources. Among quantitative studies, 81 % found that 50 % or more of respondents reported negative climate emotions and 86 % of qualitative studies reported that “all” or “most” respondents expressed negative climate emotions. Additionally, 63 % of studies measuring distress severity reported high distress levels. Therapeutic interventions addressing climate distress were found to be effective and were categorized thematically into three groups: Education-Emotion Focused, Nature-Engagement Based, and Activism-Civic Related.</div></div><div><h3>Conclusions</h3><div>This review shows that while there is a growing body of literature that illustrates how young people have negative emotions pertaining to climate change, there is need for increased diagnostic and therapeutic approaches to clinically address these growing challenges.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100349"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553007","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":"Health risks of climate change in Australia: An umbrella review","authors":"Michael Tong ,&nbsp;Enembe Okokon ,&nbsp;Sotiris Vardoulakis","doi":"10.1016/j.joclim.2024.100347","DOIUrl":"10.1016/j.joclim.2024.100347","url":null,"abstract":"<div><h3>Introduction</h3><div>The impact of climate change on population health has been extensively studied in Australia, but no comprehensive review of the impact of climate change on health in Australia has been performed. This review summarizes the most up-to-date, high-level evidence exploring the health risks of climate change in Australia, identifies evidence gaps in the scientific literature, and lays the groundwork for an in-depth national climate change and health risk assessment in Australia.</div></div><div><h3>Methods</h3><div>Electronic database PubMed was searched for systematic reviews of the impact of climate change on health outcomes in Australia. Narrative synthesis was conducted to summarize findings.</div></div><div><h3>Results</h3><div>The most frequently reported climate change related risks in Australia were heat and bushfires, followed by floods and droughts, with a limited number of studies on cyclones and rising sea levels. The impacts on health included all-cause mortality and morbidity, heat-related illnesses, vector-, food- and water-borne diseases, negative mental health effects, cardiovascular, respiratory, and renal diseases, injuries and adverse birth outcomes. These impacts were unevenly distributed across Australia's geographical regions and population groups, particularly affecting young children, people with health conditions or disabilities, the elderly, and pregnant women. There were notable gaps concerning First Nations, culturally and linguistically diverse groups, ethnic minorities, and refugees in the context of climate change and health in Australia.</div></div><div><h3>Conclusions</h3><div>Further research is needed to deepen our understanding of the associations between climate change and health outcomes in Australia, especially among disadvantaged communities and sensitive population groups. Future risk assessments using standardized methodologies to estimate exposure-response functions for specific health outcomes are warranted. At-risk populations need to be adequately supported by a national adaptation plan that will reduce their vulnerability to climate extremes and prevent adverse health impacts of climate change in Australia.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100347"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748101","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":"Development and validation of a climate change version of the man-made disaster-related distress scale (CC-MMDS)","authors":"Jil Beckord ,&nbsp;Julia Barbara Krakowczyk ,&nbsp;Nadja Gebhardt ,&nbsp;Leonie Sophie Geiser ,&nbsp;Katharina Kamler ,&nbsp;Christoph Nikendei ,&nbsp;Eva-Maria Skoda ,&nbsp;Martin Teufel ,&nbsp;Alexander Bäuerle","doi":"10.1016/j.joclim.2024.100356","DOIUrl":"10.1016/j.joclim.2024.100356","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change, considered as a pressing man-made disaster, poses a fundamental threat to global health, with significant psychological consequences. However, measurement instruments assessing these consequences of climate change remain limited. This study aimed to address this gap by developing and validating an adapted version of the Man-Made Disaster-Related Distress Scale (MMDS), specifically designed for the assessment of indirect climate change-related psychological consequences.</div></div><div><h3>Materials and Methods</h3><div>The items of the MMDS were adapted to climate change. The resulting “Climate Change – Man-Made Disaster-Related Distress Scale” (CC-MMDS), comprising 16 items, was validated in an online-based survey in Germany. Initially, 1070 participants were engaged in the survey.</div></div><div><h3>Results</h3><div>The data of <em>n</em> = 715 participants was used for analysis. Exploratory and confirmatory factor analyses revealed a two-factor structure, encompassing “psychological distress” and “change of existing belief systems”, with acceptable to good model fit. The CC-MMDS demonstrated excellent reliability and good validity, with measurement invariance across gender, age, and educational level.</div></div><div><h3>Discussion</h3><div>This study validated the CC-MMDS, confirming a two-factor structure. The scale demonstrated strong measurement properties, making it a promising standardized instrument for assessing climate change-related distress.</div></div><div><h3>Conclusion</h3><div>With its strong psychometric properties and efficient administration, the CC-MMDS offers valuable insights for research and can aid mental health providers in identifying and supporting individuals impacted by climate change.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100356"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722902","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":"Trends in non-profit hospitals’ investments in community environmental improvements in New Jersey, 2010–2018","authors":"Catherine Chen ,&nbsp;Elizabeth Cerceo ,&nbsp;Soko Setoguchi ,&nbsp;Kevin Chen","doi":"10.1016/j.joclim.2024.100319","DOIUrl":"10.1016/j.joclim.2024.100319","url":null,"abstract":"<div><h3>Introduction</h3><div>Healthcare organizations play a vital role in addressing the health needs of their service areas, including those of environmental degradation. In 2010, environmental improvements were added as an expenditures category for “community building” on the non-profit hospital tax form.</div></div><div><h3>Methods</h3><div>In this report, we identified and analyzed 36 non-profit hospital organizations in New Jersey with complete data from fiscal years 2010 to 2018 using the Community Benefits Insight Hospital Data Set.</div></div><div><h3>Results</h3><div>Between 5.3–15.9 % of hospital entities reported any environmental improvement expenses averaging $45,395 and accounting for 0.00021 % to 0.0017 % of hospital operating expenses. The average statewide annual environmental improvements expenses were $204,959. Few hospitals reported environmental improvement expenses and there was no increase in expenditure over time.</div></div><div><h3>Discussion</h3><div>Given the increasing awareness for environmental determinants of health, tax and other incentives may be a way to stimulate investment in mitigation of environmental hazards to the community.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100319"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794797","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":"Health effects at the intersection of climate change and structural racism in the United States: A scoping review","authors":"Suellen Breakey ,&nbsp;Donna Hovey ,&nbsp;Margaret Sipe ,&nbsp;Patrice K. Nicholas","doi":"10.1016/j.joclim.2024.100339","DOIUrl":"10.1016/j.joclim.2024.100339","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change and structural racism are significant threats to public health and health equity. The impacts of each individual problem on human health and well-being have been documented; what is less known is the impact of the intersection of climate change and structural racism on health.</div></div><div><h3>Purpose</h3><div>To conduct a scoping review to examine the emerging knowledge related to the impact of climate change and structural racism on the health and well-being of racialized minority groups in the United States.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Joanna Briggs Institute methodology and PubMed, CINAHL, and PsychInfo databases. Two searches were conducted between 11/2021 and 7/2023. Data were extracted and analyzed; and themes were identified.</div></div><div><h3>Results</h3><div>Of 148 full-text reviews, 28 were included in the final synthesis. Texas was the US state most represented in research studies. Black/African American and Hispanic/Latino populations were the most discussed and studied populations. The overarching theme identified was <em>the enduring legacy of historical redlining on inequitable climate and environmental exposures</em>. Four subthemes included <em>environmental justice impacts, climate justice impacts, ecopandemic injustice</em>, and <em>the emergence of syndemics</em>.</div></div><div><h3>Conclusion</h3><div>Climate justice, environmental justice and structural racism have individual impacts on health; however, they are inextricably linked and have wide-ranging impacts on health and well-being. Implications for education, clinical practice, policy and advocacy, and research are outlined. Health providers have an opportunity to partner with disinvested communities to develop realistic strategies to create more resilient, vibrant communities that will lead to improved health outcomes.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100339"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748103","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":"Climate change and allergic diseases: A scoping review","authors":"Ioana Agache ,&nbsp;Cezmi Akdis ,&nbsp;Mubeccel Akdis ,&nbsp;Ali Al-Hemoud ,&nbsp;Isabella Annesi-Maesano ,&nbsp;John Balmes ,&nbsp;Lorenzo Cecchi ,&nbsp;Athanasios Damialis ,&nbsp;Tari Haahtela ,&nbsp;Adam L. Haber ,&nbsp;Jaime E. Hart ,&nbsp;Marek Jutel ,&nbsp;Yasutaka Mitamura ,&nbsp;Blandina T. Mmbaga ,&nbsp;Jae-Won Oh ,&nbsp;Abbas Ostadtaghizadeh ,&nbsp;Ruby Pawankar ,&nbsp;Mary Johnson ,&nbsp;Harald Renz ,&nbsp;Mary B. Rice ,&nbsp;Kari C. Nadeau","doi":"10.1016/j.joclim.2024.100350","DOIUrl":"10.1016/j.joclim.2024.100350","url":null,"abstract":"<div><h3>Introduction</h3><div>Increased greenhouse gas emissions since the industrial age have led to higher global temperatures and frequency and severity of climate events, such as heat waves, wildfires, floods, and storms. These changes are adversely affecting human health and increasing disease risk, including risk of allergic diseases. Further understanding of the environmental factors and the cellular and molecular mechanisms mediating these increases can assist in developing strategies to adapt to and mitigate climate change.</div></div><div><h3>Materials and Methods</h3><div>We conducted a scoping review of the literature from 2010 through 2024 using PubMed and Scopus.</div></div><div><h3>Results</h3><div>Thunderstorms, dust storms, wildfires, and other climate change factors increase allergies both directly and indirectly through increases in particulate matter, pollen, migration of disease vectors and decreases in biodiversity. The epithelial barrier, hygiene, “old friends,” and biodiversity hypotheses have been put forward to explain the underlying mechanism mediating these increases.</div></div><div><h3>Conclusion</h3><div>There is an urgent need to reduce the use of fossil fuels to mitigate climate change and protect planetary and human health. While international accords such as the 2015 Paris Agreement have been signed with the aim of lowering greenhouse gases and limiting future global temperature increases, it is clear that increased efforts are needed to meet these goals. Evidence-based solutions for adapting to the increased prevalence of allergic diseases and cost-benefit analysis of current mitigation strategies for lowering allergic diseases are also needed.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100350"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137701","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":"Extreme heat and cardiovascular mortality among structurally marginalized populations in the United States: A scoping review","authors":"Cory Sejo ,&nbsp;Natasha Mehta ,&nbsp;Samantha Wilairat ,&nbsp;Michele Barry ,&nbsp;Michelle C. Odden ,&nbsp;Andrew Y. Chang","doi":"10.1016/j.joclim.2024.100343","DOIUrl":"10.1016/j.joclim.2024.100343","url":null,"abstract":"<div><h3>Introduction</h3><div>Extreme heat and heat waves have long been recognized as a significant risk factor for cardiovascular disease exacerbations and death. Differential outcomes among structurally marginalized populations are less well understood, and in particular, the impact of this environmental hazard on cardiac mortality deserves further exploration for these populations.</div></div><div><h3>Methods</h3><div>A scoping review was conducted to characterize the scientific literature examining the impact of extreme heat on cardiovascular mortality among structurally marginalized populations in the United States. Using relevant medical subject headings (MeSH) and key terms, a systematic search of the indexing databases of Pubmed, Embase, and Web of Science for English-language manuscripts published from inception to July 2023 for primary research, systematic reviews, meta analyses, and narrative reviews was performed.</div></div><div><h3>Results</h3><div>4674 articles were screened, of which 33 which met inclusion criteria. The majority (73 %) of these were primary quantitative research studies, all of which were observational in nature. Half of the research designs were cohort studies. The most common marginalized group described was that of older adults (79 % of manuscripts), while race/ethnicity (42 %), sex/gender (42 %), and lower socioeconomic status (49 %) were also commonly explored. Most studies assessed aggregated composite cardiovascular mortality as the primary end point, with only four fractionating myocardial ischemia/infarction as the cause of death.</div></div><div><h3>Conclusions</h3><div>Future directions of study for the field include additional analyses of other marginalized groups including differently-abled, immigrant, outdoor laborers, incarcerated peoples, Hispanic/Latinx, Native American, and Asian American/Pacific Islander populations, as well as determining the impact of diverse socioeconomic parameters, and examining disaggregated cardiac outcomes.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"20 ","pages":"Article 100343"},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142529789","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":"Climate emotions, parenting plans, and racial difference in the United States","authors":"Jade S. Sasser ,&nbsp;Emily Klancher Merchant","doi":"10.1016/j.joclim.2024.100346","DOIUrl":"10.1016/j.joclim.2024.100346","url":null,"abstract":"<div><h3>Introduction</h3><div>Increasing attention is being paid to the relationship between climate change, emotional and mental distress, and feelings about raising children. These studies often overlook the role of demographics, race in particular, despite evidence that racial minority groups in the U.S. experience more detrimental climate impacts and express more climate concern than do white communities. This survey was conducted to elucidate the relationship between race, climate emotions, and parenting plans in the U.S.</div></div><div><h3>Methods</h3><div>We surveyed 2489 people in the U.S. between the ages of 22 and 35 in September 2021. Because we were interested in the role of race, we oversampled those who identified as non-white/people of color. The survey assessed participants’ emotions with respect to climate change, and their emotions with respect to birthing and raising children (parenting) in the context of climate change.</div></div><div><h3>Results</h3><div>Nonwhite respondents were more likely than white respondents to report feeling traumatized as a response to climate change, and to plan to have fewer future children than they wanted as a result of their climate-related emotions. They were also more likely to report feeling more optimistic and hopeful in response to climate change and in response to raising existing children in the context of climate change. White women were least likely to report any positive emotions with respect to parenting during climate change. White men were most likely to report non-feeling emotions such as numbness, indifference, or being checked out. Christian respondents were more likely to report feeling positive emotions overall.</div></div><div><h3>Conclusion</h3><div>This study highlights race as a statistically significant factor in the reporting of climate emotions and parenting plans. It demonstrates that climate change has contradictory impacts on the emotions of nonwhite people of color, while having a negative impact on childbearing plans. We call for further research into the role of race in climate-related emotions and parenting plans, particularly with respect to the impacts of traumatized feelings, as well as the roles of religion and positive emotions.</div></div>","PeriodicalId":75054,"journal":{"name":"The journal of climate change and health","volume":"19 ","pages":"Article 100346"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427466","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}