José Cláudio Garcia Lira Neto, Márcio Flávio Moura de Araújo, Flavia Paula Magalhães Monteiro, Roberto Wagner Júnior Freire de Freitas, Carla Regina de Sousa Teixeira, Floriacy Stabnow Santos, Ana Cristina Pereira de Jesus Costa, Marcelino Santos Neto, Lívia Maia Pascoal
{"title":"Association between chronic health conditions and severe acute respiratory syndrome in pregnant women: an exploratory study.","authors":"José Cláudio Garcia Lira Neto, Márcio Flávio Moura de Araújo, Flavia Paula Magalhães Monteiro, Roberto Wagner Júnior Freire de Freitas, Carla Regina de Sousa Teixeira, Floriacy Stabnow Santos, Ana Cristina Pereira de Jesus Costa, Marcelino Santos Neto, Lívia Maia Pascoal","doi":"10.1590/1980-220X-REEUSP-2023-0336en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0336en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between chronic health conditions and severe acute respiratory syndrome in pregnant women.</p><p><strong>Method: </strong>Retrospective, exploratory study conducted with 1,152 pregnant women from all 27 states of Brazil who sought hospital treatment and were diagnosed with severe acute respiratory syndrome between 2020 and 2022. Public data from the Influenza Epidemiological Surveillance Information System (SIVEP-Gripe) of the Brazilian Ministry of Health were used. Nonparametric tests were performed in data interpretation.</p><p><strong>Results: </strong>The mortality rate of pregnant women due to severe acute respiratory syndrome in Brazil was 7%. Severe acute respiratory syndrome was statistically associated with the previous presence of diabetes (p = 0.023), neurological disease (p = 0.001), and drug use (p = 0.001). The epidemiological investigation of respiratory syndrome cases took longer in Black pregnant women (p = 0.012), unvaccinated women (p < 0.001) and women living in the north and south of the country (p = 0.011).</p><p><strong>Conclusion: </strong>Severe acute respiratory syndrome was more common in pregnant women with diabetes, neurological disease and drug users. However, these conditions did not lead to an increase in the number of deaths.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230336"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11583968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142712095","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":"Parental care experience of children with type 1 diabetes: a qualitative meta-synthesis.","authors":"Zhaoying Zhang, Xin Wang, Wenwen Dong, Danshan Gao","doi":"10.1590/1980-220X-REEUSP-2024-0118en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0118en","url":null,"abstract":"<p><strong>Objective: </strong>To assess qualitative studies on parents' caregiving experiences whose children have T1DM and develop personalized support strategies based on the findings.</p><p><strong>Method: </strong>A systematic review with meta-synthesis performed in the Cochrane Library, Embase, Scopus, CINAHL, PubMed, Web of Science, CNKI, CBM, VIP, and Wanfang databases. Quality was assessed via the JBI criteria, and meta-aggregative method was applied to categorize the results into subtopics and aggregate into three interrelated meta-topics to understand parents' caregiving experiences.</p><p><strong>Results: </strong>In total, 2,100 articles were found, out of which 15 were selected and analyzed. The identified three meta-topics were \"Parents facing multiple physical, mental and life challenges\", \"Parents' lack of a full range of external support\" and \"Parents' caregiving role competency enhanced to adjust to the new life\".</p><p><strong>Conclusion: </strong>it is critical for healthcare professionals to recognize these parental experiences and offer targeted knowledge, skills training, and psychological support tailored to their needs, including group training, online mindfulness interventions, and improved empathy from the medical team.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240118"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718122","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}
Leticia Pontes, Juliana Szreider de Azevedo, Izabela Linha Secco, Higor Pacheco Pereira, Solange Cristina Moreira Vieira, Regiane Queiroz Afonso
{"title":"Negative pressure therapy in pediatric patient with surgical site infection: experience report.","authors":"Leticia Pontes, Juliana Szreider de Azevedo, Izabela Linha Secco, Higor Pacheco Pereira, Solange Cristina Moreira Vieira, Regiane Queiroz Afonso","doi":"10.1590/1980-220X-REEUSP-2024-0077en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0077en","url":null,"abstract":"<p><strong>Objective: </strong>To describe the use of negative pressure wound therapy and hydrofiber dressing with silver in a pediatric patient with a hard-to-heal surgical wound infection.</p><p><strong>Method: </strong>This is a descriptive professional experience report on the use of conventional dressings and negative pressure wound therapy in a pediatric patient with a surgical wound infection. It was developed in 2023 at a Public Health Service that is a reference in the care of pediatric patients in the state of Paraná.</p><p><strong>Results: </strong>The surgical wound dehiscence started 12 days after peritoneostomy. Initially, the wound was treated with hydrofiber dressing with silver for 22 days and subsequently, negative pressure wound therapy was used for 15 days, regenerating the wound.</p><p><strong>Conclusion: </strong>Negative pressure wound therapy in pediatrics proved to be safe, effective and efficient for the treatment of complex wounds and corroborated the skin regeneration process, as did hydrofiber dressing with silver.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240077"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718121","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}
Jaouad Elkhalladi, Amal Sefrioui, Mohamed El Fahssi, Maroine Tahiri
{"title":"Level of knowledge of nurses and healthcare technicians regarding soft skills: An exploratory study.","authors":"Jaouad Elkhalladi, Amal Sefrioui, Mohamed El Fahssi, Maroine Tahiri","doi":"10.1590/1980-220X-REEUSP-2024-0124en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0124en","url":null,"abstract":"<p><strong>Objective: </strong>To assess the knowledge level of nurses and healthcare technicians regarding soft skills (SS) and to identify the most crucial SS.</p><p><strong>Method: </strong>This is a quantitative exploratory study with an analytical focus, encompassing 350 nurses and healthcare technicians in the Souss-Massa region.</p><p><strong>Results: </strong>Approximately half of participants (49.7%) exhibited some understanding of SS, with only 12.3% having received any training on the subject. According to participants, the top 10 SS are communication, teamwork, stress management, problem-solving, conflict management, honesty, decision-making, adaptability, lifelong learning, and confidence. Additionally, the prediction model indicates a significant association between SS knowledge and experience (p < 0.001), academic level (p < 0.001), and SS training (p < 0.001).</p><p><strong>Conclusion: </strong>Nurses and healthcare technicians possess knowledge of SS despite the absence of formal training. Identifying the most important SS in this field is, therefore, invaluable for integration into training programmes for both healthcare professionals and students. Furthermore, additional studies are recommended on SS development and assessment.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240124"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142718120","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}
Isabella Lara Maia de Carvalho, Pacita Geovana Gama de Sousa Aperibense, Alice Gomes Frugoli, Maria Angélica de Almeida Peres, Sagrario Gómez-Cantarino, Fernanda Batista Oliveira Santos
{"title":"A Freidsonian Analysis of The Professional trajectories of Public Health Nursing Specialists in Minas Gerais, Brazil, 1988-1992.","authors":"Isabella Lara Maia de Carvalho, Pacita Geovana Gama de Sousa Aperibense, Alice Gomes Frugoli, Maria Angélica de Almeida Peres, Sagrario Gómez-Cantarino, Fernanda Batista Oliveira Santos","doi":"10.1590/1980-220X-REEUSP-2024-0191en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0191en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the contributions of the Public Health Nursing Specialization Course (1988-1992) of Universidade Federal de Minas Gerais in improving the expertise and professional status of its graduates.</p><p><strong>Method: </strong>Historical and social study in the history of nursing and expertise. The sources included 20 registration forms, enrollment documentation of graduates, and three course documents collected in the Memory Center of Escola de Enfermagem da Universidade Federal de Minas Gerais, combined with Lattes/CNPq curricula and analyzed through Eliot Freidson's Sociology of Professions.</p><p><strong>Results: </strong>The specialists were selected through a strategy of construction of knowledge for socio-sanitary transformation. The specialization provided support for the professional career of graduates in administrative leadership, management, and visibility positions in public health; the group's profile was focused on academia, which creates its own knowledge.</p><p><strong>Conclusion: </strong>The specialization provided its graduates the opportunity to exercise professional autonomy, elevating the state of affairs and contributing to the professionalization of public health nursing.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240191"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607644","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}
Catarina Inês Costa Afonso, Ana Cristina Spinola Madeira, Susana Pinto Leite Vasconcelos Teixeira de Magalhães
{"title":"Post-informal caregiver's perspectives and experiences of the support network: a systematic literature review and meta-synthesis.","authors":"Catarina Inês Costa Afonso, Ana Cristina Spinola Madeira, Susana Pinto Leite Vasconcelos Teixeira de Magalhães","doi":"10.1590/1980-220X-REEUSP-2024-0047en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0047en","url":null,"abstract":"<p><strong>Objective: </strong>To examine and synthesize the evidence of experiences and perspectives on the specific context of informal post-care and the existing support network.</p><p><strong>Method: </strong>This is a qualitative systematic review with metasynthesis, according to the framework of the JBI, carried out in the CINAHL, LILACS, MEDLINE, BVS and PsycINFO databases, with no time limit. The articles were evaluated using the JBI Qualitative Data Extraction Tool. A total of 1,236 articles was identified, of which 18 were selected and 7 were analyzed. The level of evidence found was moderate.</p><p><strong>Results: </strong>The experiences and perspectives of the informal post-caregiver reveal the need for support, namely: in personal development - attribution of meaning, in self-care perspectives and in identity reconstruction; in managing the impact of the legacy of caring - discontinuity of support in the trajectory of caring, financial vulnerability, and the impact on mental health; formal and informal resources for the future - projection of the future, structured services and family and community support.</p><p><strong>Conclusion: </strong>Post-caregivers' perception of their support network is that their individual and interpersonal needs are not identified, and that formal and informal services are not articulated.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240047"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607578","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}
Danton Matheus de Souza, Carlos Alberto Dos Santos Treichel, Lucca Garcia Moreira Ribeiro, Ana Paula Scoleze Ferrer, Lisabelle Mariano Rossato
{"title":"Prevalence of risk factors among adolescents who attempted suicide: a cross-sectional study","authors":"Danton Matheus de Souza, Carlos Alberto Dos Santos Treichel, Lucca Garcia Moreira Ribeiro, Ana Paula Scoleze Ferrer, Lisabelle Mariano Rossato","doi":"10.1590/1980-220X-REEUSP-2024-0197en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0197en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the prevalence of risk factors among adolescents treated at an emergency department due to suicide attempt.</p><p><strong>Method: </strong>A cross-sectional, documentary, and retrospective study, conducted through the analysis of medical records of adolescents treated at an emergency department in a Brazilian teaching hospital from January 2015 to May 2023. Risk factors were divided into behavioral, health, violence, conflict, and stress. Data were subjected to descriptive and inferential analysis.</p><p><strong>Results: </strong>A total of 140 adolescent medical records were analyzed. Family conflicts (47.8%), previous suicide attempt (47.1%) and self-harm (30.7%) were the most prevalent risk factors. Risk factors were associated with age, sex, race, education, previous mental disorder and use of psychotropic medication (p < 0.05).</p><p><strong>Conclusion: </strong>A high prevalence of risk factors for suicide attempt in adolescents was observed, which was associated with sociodemographic characteristics. It is expected that this study will promote reflections on the translation of Brazilian public policies into care, especially in health promotion, with interventions that aim to reduce risk factors and enhance protective factors.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240197"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635417","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}
Amanda Maria Vilas Boas Ribeiro, Ana Luiza Queiroz Vilasbôas, Patty Fidelis de Almeida
{"title":"Experiences of access and use of primary health care by users with systemic arterial hypertension.","authors":"Amanda Maria Vilas Boas Ribeiro, Ana Luiza Queiroz Vilasbôas, Patty Fidelis de Almeida","doi":"10.1590/1980-220X-REEUSP-2024-0109en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0109en","url":null,"abstract":"<p><strong>Objective: </strong>To identify and analyze users' perceptions of access and use of health services and actions to monitor Systemic Arterial Hypertension (SAH) in Primary Health Care (PHC).</p><p><strong>Methods: </strong>This is a qualitative, descriptive and exploratory study based on 38 semi-structured interviews conducted with users selected from Basic Health Units (BHUs) in a large municipality in the state of Rio de Janeiro. Thematic content analysis was used to identify the empirical categories.</p><p><strong>Results: </strong>Users faced difficulties in scheduling appointments, accessing laboratory test results and medicines at the BHU. Home visits by Community Health Workers (CHWs) intermediated demands for appointments and tests. There were no health education activities and follow-up by the nursing team was residual. The doctor was the main reference, although links were weakened by turnover.</p><p><strong>Conclusion: </strong>The study identified the need to expand access to basic medicines and test results at the BHU, the role of nurses in promotional, preventive and clinical actions, the scope of CHWs' work in health education and interprofessional work.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240109"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11534308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549897","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}
Maria José Carvalho Ferreira, Carla Aparecida Arena Ventura, Glaucia Valente Valadares, Isabel Amélia Costa Mendes, Thiago Privado da Silva, Ítalo Rodolfo Silva
{"title":"Healthcare Waste Management: connections with sustainable nursing care.","authors":"Maria José Carvalho Ferreira, Carla Aparecida Arena Ventura, Glaucia Valente Valadares, Isabel Amélia Costa Mendes, Thiago Privado da Silva, Ítalo Rodolfo Silva","doi":"10.1590/1980-220X-REEUSP-2023-0229en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0229en","url":null,"abstract":"<p><strong>Objective: </strong>To understand the meanings revealed by nurses about sustainable care in its connections with the management of Healthcare Waste in hospital.</p><p><strong>Method: </strong>Qualitative research, whose theoretical and methodological references were, respectively, Complexity Theory and Grounded Theory. Nursing professionals from a public hospital in Rio de Janeiro participated in the study. Data was collected through semi-structured interviews.</p><p><strong>Results: </strong>The actions-interactions signified by the nursing staff, for the management of Healthcare Waste, revealed an understanding of the socio-environmental responsibility of the rational use of material resources; of the need for permanent education to promote environmental education; of the need to supervise the proper management of waste. The professionals perceive themselves as a driving force for reordering positive changes in this context.</p><p><strong>Conclusion: </strong>The participants signaled implications between knowledge, rational use of materials, waste generation and disposal, health economics and quality of care. From these connections, we can deduce the complex meaning of sustainable hospital nursing care in the context of Healthcare Waste management.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230229"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549899","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}
Lívia Cristina de Resende Izidoro, Cissa Azevedo, M Graça Pereira, Tania Couto Machado Chianca, Cristiane José Borges, Lizete Malagoni de Almeida Cavalcante Oliveira, Luciana Regina Ferreira da Mata
{"title":"Effect of cognitive-behavioral program on quality of life in men with post-prostatectomy incontinence: a randomized trial.","authors":"Lívia Cristina de Resende Izidoro, Cissa Azevedo, M Graça Pereira, Tania Couto Machado Chianca, Cristiane José Borges, Lizete Malagoni de Almeida Cavalcante Oliveira, Luciana Regina Ferreira da Mata","doi":"10.1590/1980-220X-REEUSP-2024-0187en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0187en","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of a cognitive-behavioral program addressing urinary incontinence on the quality of life of men who have undergone radical prostatectomy.</p><p><strong>Method: </strong>Randomized controlled clinical trial with patients undergoing radical prostatectomy in an institution for cancer treatment in Brazil. The 34 participants were randomized into two groups: 17 in the control group who received the institution's standard care and 17 in the intervention group who received the cognitive-behavioral program. Quality of life was assessed using the King's Health Questionnaire and the International Consultation on Incontinence Questionnaire-Short Form.</p><p><strong>Results: </strong>Participants from intervention group showed better results regarding the reduction of the impact of urinary incontinence on quality of life (p ≤ 0.001), with emphasis on limitations in daily activities, general health perception, physical and social limitations, emotions, and sleep and mood.</p><p><strong>Conclusion: </strong>The cognitive-behavioral program was effective in reducing the impact of urinary incontinence on quality of life. This study contributes to clinical practice by providing an effective, low-cost, and easily applicable therapy. Brazilian Registry of Clinical Trials: RBR-3sstqg.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240187"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549890","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}