Pub Date : 2023-01-01DOI: 10.1097/TIN.0000000000000304
Sheena S Nandi, K. Leung, J. Fernandez
Interprofessional education (IPE) is a learning experience focused on collaboration, preparing health professionals to improve patient care. This article explores how IPE with dietetic interns in training has influenced views and practices of pediatric dentists after graduation. Surveys were e-mailed to 189 alumni who graduated from New York University College of Dentistry's Post Graduate Pediatric Program from 2009 to 2018. Of the 67 surveys received, 44 (23%) were completed. Most alumni found the information learned through IPE relevant to residency (90%) and current practice (84%). Ninety percent of respondents agreed pediatric dental visits should include nutritional counseling. This study supports the positive value of IPE in oral health care and education.
{"title":"Impact of Nutritional Interprofessional Education Experience With NYU Pediatric Dental Alumni","authors":"Sheena S Nandi, K. Leung, J. Fernandez","doi":"10.1097/TIN.0000000000000304","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000304","url":null,"abstract":"Interprofessional education (IPE) is a learning experience focused on collaboration, preparing health professionals to improve patient care. This article explores how IPE with dietetic interns in training has influenced views and practices of pediatric dentists after graduation. Surveys were e-mailed to 189 alumni who graduated from New York University College of Dentistry's Post Graduate Pediatric Program from 2009 to 2018. Of the 67 surveys received, 44 (23%) were completed. Most alumni found the information learned through IPE relevant to residency (90%) and current practice (84%). Ninety percent of respondents agreed pediatric dental visits should include nutritional counseling. This study supports the positive value of IPE in oral health care and education.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42258651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TIN.0000000000000295
H. Lee, M. Han, Jong Park, S. Ryu, Youn-Kyoung Jang, Seong-Woo Choi
The purpose of this study was to measure enteral nutrition (EN) practice and associated factors among staff nurses in intensive care units in Korea. A total of 224 staff nurses working in 3 university hospital intensive care units were surveyed. Enteral nutrition practice was measured on the basis of Korean guidelines on EN nursing. The mean scores for EN practice was 4.02 ± 0.46 (range: 1-5). The presence of hospital guidelines and department protocols was associated with improved practice. In multiple regression analysis, the greater the level of awareness, the better the practice of EN. The results suggest that nursing practice may be improved by developing and providing guidelines and protocols, offering education, and increasing the level of awareness of EN.
{"title":"Enteral Nutrition Practice and Associated Factors Among Intensive Care Unit Nurses in South Korea","authors":"H. Lee, M. Han, Jong Park, S. Ryu, Youn-Kyoung Jang, Seong-Woo Choi","doi":"10.1097/TIN.0000000000000295","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000295","url":null,"abstract":"The purpose of this study was to measure enteral nutrition (EN) practice and associated factors among staff nurses in intensive care units in Korea. A total of 224 staff nurses working in 3 university hospital intensive care units were surveyed. Enteral nutrition practice was measured on the basis of Korean guidelines on EN nursing. The mean scores for EN practice was 4.02 ± 0.46 (range: 1-5). The presence of hospital guidelines and department protocols was associated with improved practice. In multiple regression analysis, the greater the level of awareness, the better the practice of EN. The results suggest that nursing practice may be improved by developing and providing guidelines and protocols, offering education, and increasing the level of awareness of EN.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44927676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TIN.0000000000000301
Begüm Harmancıoğlu, S. Kabaran
This cross-sectional study aimed to investigate the relationship between children's food fussiness (FF) and dietary diversity, eating behaviors, and parental feeding practices among 314 Cypriot preschoolers aged 3 to 5 years and their parents. Fussy eaters showed negative eating behaviors in general (P < .05). The mean scores of prompting and encouragement to eat were significantly higher among non–fussy eaters (P < .05). Food fussiness scores were negatively correlated with dietary diversity scores (rs = −0.178, P < .05) and positively correlated with parental emotional feeding (rs = 0.114, P < .05). In addition, strictly controlled feeding was positively associated with FF scores (β: .115; 95% confidence interval: 0.041-0.251) and each unit increment in instrumental feeding decreased the risk of FF by 90% (odds ratio: 0.104; 95% confidence interval: 0.037-0.295). Longitudinal studies with larger samples are needed to confirm these correlations through parent-child intervention study designs.
{"title":"Food Fussiness in Children","authors":"Begüm Harmancıoğlu, S. Kabaran","doi":"10.1097/TIN.0000000000000301","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000301","url":null,"abstract":"This cross-sectional study aimed to investigate the relationship between children's food fussiness (FF) and dietary diversity, eating behaviors, and parental feeding practices among 314 Cypriot preschoolers aged 3 to 5 years and their parents. Fussy eaters showed negative eating behaviors in general (P < .05). The mean scores of prompting and encouragement to eat were significantly higher among non–fussy eaters (P < .05). Food fussiness scores were negatively correlated with dietary diversity scores (rs = −0.178, P < .05) and positively correlated with parental emotional feeding (rs = 0.114, P < .05). In addition, strictly controlled feeding was positively associated with FF scores (β: .115; 95% confidence interval: 0.041-0.251) and each unit increment in instrumental feeding decreased the risk of FF by 90% (odds ratio: 0.104; 95% confidence interval: 0.037-0.295). Longitudinal studies with larger samples are needed to confirm these correlations through parent-child intervention study designs.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47127998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TIN.0000000000000306
Mert Eşme, C. Balcı, G. Öz, F. Tamer, Nilgün Doğancı, K. Akçay, Ş. Ataç, B. Kelleci, S. Akıncı, A. Topeli, O. Abbasoğlu, M. Halil
High rates of infection are reported in patients receiving home parenteral nutrition (HPN). The aims of this study were to investigate the effect of the support of a competent home infusion nurse on catheter-related infection rates among patients receiving HPN as well as to investigate the effect of HPN on quality of life (QOL). Seventeen HPN patients older than 18 years were visited twice weekly by a competent home infusion nurse, and QOL tests were performed over a 2-year period. The patients were evaluated regularly for signs of catheter-related infections and other complications. The catheter infection rate was found to be 1.23 per 1000 catheter-days, and QOL scores remained stable. Involvement of an experienced nurse may help implement HPN with low catheter-related infection rates.
{"title":"Follow-up of Patients Receiving Home Parenteral Nutrition With a Competent Home Infusion Nurse Decreases the Prevalence of Catheter Infections","authors":"Mert Eşme, C. Balcı, G. Öz, F. Tamer, Nilgün Doğancı, K. Akçay, Ş. Ataç, B. Kelleci, S. Akıncı, A. Topeli, O. Abbasoğlu, M. Halil","doi":"10.1097/TIN.0000000000000306","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000306","url":null,"abstract":"High rates of infection are reported in patients receiving home parenteral nutrition (HPN). The aims of this study were to investigate the effect of the support of a competent home infusion nurse on catheter-related infection rates among patients receiving HPN as well as to investigate the effect of HPN on quality of life (QOL). Seventeen HPN patients older than 18 years were visited twice weekly by a competent home infusion nurse, and QOL tests were performed over a 2-year period. The patients were evaluated regularly for signs of catheter-related infections and other complications. The catheter infection rate was found to be 1.23 per 1000 catheter-days, and QOL scores remained stable. Involvement of an experienced nurse may help implement HPN with low catheter-related infection rates.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42359148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.1097/TIN.0000000000000303
Helen Ballew, Robin Jean Maroulakis, P. B. Moore
Weight loss over a specific time period is an important indicator for recognizing malnutrition in hospitalized patients. Documenting accurate weights in the electronic medical record is crucial to identify and treat malnutrition. The purpose of this project was to evaluate clinical care staff compliance with documenting patient weight. A medical record review was performed on 7 randomly selected days (n = 122) over a 5-week period. Documented weight and method of obtaining weight were recorded. Weight information was documented 91.2% of the time. Objective methods of obtaining patient weight were used 77.9% of the time, while subjective methods were used 13.9% of the time. Results support the need to educate the clinical care staff on the importance of documenting patient weights as an indicator of nutritional status in order to improve outcomes in malnourished and at-risk patients.
{"title":"Documentation of Patient Weights by Clinical Care Staff in a Rural, Regional Medical Center","authors":"Helen Ballew, Robin Jean Maroulakis, P. B. Moore","doi":"10.1097/TIN.0000000000000303","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000303","url":null,"abstract":"Weight loss over a specific time period is an important indicator for recognizing malnutrition in hospitalized patients. Documenting accurate weights in the electronic medical record is crucial to identify and treat malnutrition. The purpose of this project was to evaluate clinical care staff compliance with documenting patient weight. A medical record review was performed on 7 randomly selected days (n = 122) over a 5-week period. Documented weight and method of obtaining weight were recorded. Weight information was documented 91.2% of the time. Objective methods of obtaining patient weight were used 77.9% of the time, while subjective methods were used 13.9% of the time. Results support the need to educate the clinical care staff on the importance of documenting patient weights as an indicator of nutritional status in order to improve outcomes in malnourished and at-risk patients.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42136686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TIN.0000000000000282
R. Meseri, Özge Küçükerdönmez, R. N. Akder
The aim of this study was to compare basal metabolic rate (BMR) calculated with various equations and BMR measured using an indirect calorimeter. The study was carried out on second-year university female students (n = 48) with a body mass index of less than 30. Indirect calorimetry with a ventilated hood was accepted as the gold standard and 11 predictive equations were used. Among the equations, Mifflin-St Jeor had the highest correlation (r = 0.435), but Bernstein (66.7%) and Owen (56.3%) were the most accurate equations. According to Bland-Altman analysis, the lowest bias and the highest explanation were obtained with the Bernstein and Owen equations. More comprehensive studies are needed in different groups to develop new equations with higher accuracy.
本研究的目的是比较用各种方程计算的基础代谢率(BMR)和用间接量热计测量的BMR。这项研究是对体重指数低于30的大学二年级女生(n=48)进行的。采用带通风罩的间接量热法作为金标准,并使用了11个预测方程。在这些方程中,Mifflin St Jeor的相关性最高(r=0.435),但Bernstein(66.7%)和Owen(56.3%)是最准确的方程。根据Bland-Altman分析,Bernstein和Owen方程得到了最低的偏差和最高的解释。需要在不同的群体中进行更全面的研究,以开发更高精度的新方程。
{"title":"Comparison of Various Predictive Energy Equations for Female University Students With Measured Basal Metabolic Rate","authors":"R. Meseri, Özge Küçükerdönmez, R. N. Akder","doi":"10.1097/TIN.0000000000000282","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000282","url":null,"abstract":"The aim of this study was to compare basal metabolic rate (BMR) calculated with various equations and BMR measured using an indirect calorimeter. The study was carried out on second-year university female students (n = 48) with a body mass index of less than 30. Indirect calorimetry with a ventilated hood was accepted as the gold standard and 11 predictive equations were used. Among the equations, Mifflin-St Jeor had the highest correlation (r = 0.435), but Bernstein (66.7%) and Owen (56.3%) were the most accurate equations. According to Bland-Altman analysis, the lowest bias and the highest explanation were obtained with the Bernstein and Owen equations. More comprehensive studies are needed in different groups to develop new equations with higher accuracy.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41810284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TIN.0000000000000283
C. Lutes, H. Samavat, A. Parker, R. Zelig
Antioxidant use during oncology treatment is controversial. Inconsistent research indicates that antioxidant supplementation can be both beneficial and harmful. The purpose of this review is to evaluate the recently published literature to determine whether oral supplementation with the antioxidant vitamin E is beneficial for reducing common side effects of radiation therapy in adults diagnosed with head and neck cancer. Three studies demonstrated supplementation can be effective in reducing side effects without compromising locoregional control, disease-free survival, or overall survival. Larger studies are needed to determine the optimal dose and duration of supplementation and the effectiveness of vitamin E as monotherapy.
{"title":"The Benefit of Supplemental Vitamin E to Reduce Radiation-Induced Oral Side Effects in Head and Neck Cancer","authors":"C. Lutes, H. Samavat, A. Parker, R. Zelig","doi":"10.1097/TIN.0000000000000283","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000283","url":null,"abstract":"Antioxidant use during oncology treatment is controversial. Inconsistent research indicates that antioxidant supplementation can be both beneficial and harmful. The purpose of this review is to evaluate the recently published literature to determine whether oral supplementation with the antioxidant vitamin E is beneficial for reducing common side effects of radiation therapy in adults diagnosed with head and neck cancer. Three studies demonstrated supplementation can be effective in reducing side effects without compromising locoregional control, disease-free survival, or overall survival. Larger studies are needed to determine the optimal dose and duration of supplementation and the effectiveness of vitamin E as monotherapy.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42766292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TIN.0000000000000298
N. Yurt, Mahcube Cubukcu
This study aimed to determine the presence of pressure injuries and their severity based on Mini Nutritional Assessment (MNA) score and visceral protein levels in stroke patients receiving home care services. A case-control study was conducted in a case group with pressure injury (n = 54) and in a control group with no pressure injury (n = 54). The MNA scores and serum albumin and prealbumin values were significantly lower in the case group than in the control group (P < .001). There were also significant differences according to the pressure injury stages. Lower MNA score and low levels of serum albumin and prealbumin are associated with the presence of pressure injuries and increased severity of pressure injuries.
{"title":"Mini Nutritional Assessment Score and Visceral Proteins as Potential Predictors of Pressure Injuries in Home Care Patients With Stroke","authors":"N. Yurt, Mahcube Cubukcu","doi":"10.1097/TIN.0000000000000298","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000298","url":null,"abstract":"This study aimed to determine the presence of pressure injuries and their severity based on Mini Nutritional Assessment (MNA) score and visceral protein levels in stroke patients receiving home care services. A case-control study was conducted in a case group with pressure injury (n = 54) and in a control group with no pressure injury (n = 54). The MNA scores and serum albumin and prealbumin values were significantly lower in the case group than in the control group (P < .001). There were also significant differences according to the pressure injury stages. Lower MNA score and low levels of serum albumin and prealbumin are associated with the presence of pressure injuries and increased severity of pressure injuries.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48503063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TIN.0000000000000299
Haley J. Chin, Zhiping Yu
This study reviewed the research published between 2010 and 2020 on application and usage of prebiotics, probiotics, and synbiotics on stool output, mortality, and recovery in critically ill patients. A total of 15 articles were retrieved and 11 were identified for review. Among studies addressing stool output, 4 of 7 reported improved outcomes. No statistically significant effect of the intervention was seen in 5 studies addressing mortality. Concerning elements of recovery, positive evidence was seen in the areas of return to gut function, time on mechanical ventilation, time to ventilator weaning, and length of stay in intensive care unit and/or hospital.
{"title":"Impact of Prebiotics, Probiotics, and Synbiotics on Stool Output, Mortality, and Recovery in the Critically Ill","authors":"Haley J. Chin, Zhiping Yu","doi":"10.1097/TIN.0000000000000299","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000299","url":null,"abstract":"This study reviewed the research published between 2010 and 2020 on application and usage of prebiotics, probiotics, and synbiotics on stool output, mortality, and recovery in critically ill patients. A total of 15 articles were retrieved and 11 were identified for review. Among studies addressing stool output, 4 of 7 reported improved outcomes. No statistically significant effect of the intervention was seen in 5 studies addressing mortality. Concerning elements of recovery, positive evidence was seen in the areas of return to gut function, time on mechanical ventilation, time to ventilator weaning, and length of stay in intensive care unit and/or hospital.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42857867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-01DOI: 10.1097/TIN.0000000000000293
N. Hakim, K. Hussein
This cross-sectional study of 341 women in Jeddah, Saudi Arabia, compared a 1-point-in-time vitamin D intake measurement assessed by the Semiquantitative Food Frequency Questionnaire with bone mineral density (BMD) at the lumbar spine and femur in pre- and post-menopausal women. Premenopausal women had significantly higher BMD at the lumbar spine and femur compared with postmenopausal women (P < .01). A significant positive association was seen between dietary vitamin D intake (95.5 ± 81.54 IU/day) and femur BMD at the trochanter (P < .05). Vitamin D intake of Saudi women is inadequate, suggesting the need for public health measures to promote improved nutrition in women and support an expansion of fortification programs.
{"title":"Influence of Vitamin D Consumption on Bone Mineral Density Among Saudi Women in Jeddah Not Taking Supplements","authors":"N. Hakim, K. Hussein","doi":"10.1097/TIN.0000000000000293","DOIUrl":"https://doi.org/10.1097/TIN.0000000000000293","url":null,"abstract":"This cross-sectional study of 341 women in Jeddah, Saudi Arabia, compared a 1-point-in-time vitamin D intake measurement assessed by the Semiquantitative Food Frequency Questionnaire with bone mineral density (BMD) at the lumbar spine and femur in pre- and post-menopausal women. Premenopausal women had significantly higher BMD at the lumbar spine and femur compared with postmenopausal women (P < .01). A significant positive association was seen between dietary vitamin D intake (95.5 ± 81.54 IU/day) and femur BMD at the trochanter (P < .05). Vitamin D intake of Saudi women is inadequate, suggesting the need for public health measures to promote improved nutrition in women and support an expansion of fortification programs.","PeriodicalId":48681,"journal":{"name":"Topics in Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43452444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}