Hong Kong Journal of Emergency Medicine最新文献

{"title":"Measuring burnout syndrome requires reliable and standardized measures","authors":"F. Chirico, G. Nucera, M. Leiter","doi":"10.1177/10249079221096920","DOIUrl":"https://doi.org/10.1177/10249079221096920","url":null,"abstract":"Keywords: Burnout syndrome;burnout measure;emergency healthcare workers;Maslach Burnout Inventory;occupational health EN Burnout syndrome burnout measure emergency healthcare workers Maslach Burnout Inventory occupational health 325 326 2 08/25/22 20220901 NES 220901 Dear Editor in Chief, We have appreciated the paper by Zakaria et al. showing a high prevalence of burnout syndrome (BOS) among emergency healthcare workers (HCWs) in Malaysia during COVID-19 pandemic.[1] This finding is certainly in line with the literature as high levels of stress, fear, anxiety, depression, sleep disturbances, and post-traumatic stress disorders among emergency and frontline HCWs during the COVID-19 have resulted in high levels of BOS and turnover intention.[2] However, the instrument (i.e. the \"Burnout Questionnaire Form\") used by Zakaria et al. for measuring BOS raises some concerns. Burnout syndrome, burnout measure, emergency healthcare workers, Maslach Burnout Inventory, occupational health This latter focuses on six \"Areas of Worklife\" (AWS) and could be used in combination with the MBI for conducting among HCWs analyses of association between their burnout profile and job-related factors. [Extracted from the article] Copyright of Hong Kong Journal of Emergency Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"29 1","pages":"325 - 326"},"PeriodicalIF":0.6,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47624495","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}

{"title":"Raising the awareness for insufficient oxygen delivery from self-inflating resuscitation bags lacking expiratory valve during preoxygenation","authors":"Y. Yip, Christopher Pak-To Lee, J. Cheung","doi":"10.1177/10249079221096918","DOIUrl":"https://doi.org/10.1177/10249079221096918","url":null,"abstract":"We recently read an interesting study which demonstrated that self-inflating resuscitation bag (SIRB) lacking expiratory valve has unreliable performance in oxygen delivery during spontaneous breathing mimicked by mechanical lung simulator. It was postulated that the absence of an expiratory valve and the resulting air entrainment via the exhaust port accounts for the poor oxygen delivery performance. The current disposable SIRB in-use in our institutions (Med-Rescuer Disposable BVM Resuscitator 4000, BLS Systems Limited, ON, Canada) has a duckbill valve but no expiratory valve. Safety concerns regarding its oxygen delivery performance during spontaneous breathing were raised, as this SIRB was commonly used to preoxygenate critically ill patient with potentially transmissible respiratory infection (e.g. COVID-19) before tracheal intubation. We therefore performed an experiment on this SIRB using one of us as a healthy volunteer. Our small experiment demonstrated that air entrainment could occur via the exhaust port and affect oxygen delivery performance. Our experiment also demonstrated that attaching a positive end-expiratory pressure (PEEP) valve to the exhaust port improves the oxygen delivery performance. The findings of this experiment were sent to the relevant department of our institutions for safety consideration.","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"30 1","pages":"61 - 63"},"PeriodicalIF":0.6,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46678954","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}

{"title":"Climatic factors influence on emergency department visits","authors":"J. Giamello, R. Melchio, L. Bertolaccini, P. Caraccio, C. Rendina, G. Lauria","doi":"10.1177/10249079221092897","DOIUrl":"https://doi.org/10.1177/10249079221092897","url":null,"abstract":"Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Dear Editor, We read with great interest the editorial by Lim, Balsari and Hung recently published on Hong Kong Journal of Emergency Medicine.1 We do agree with the authors as they state that emergency physicians play a major role in preparing the communities for the challenges related to the climate change. In particular, we believe that emergency departments (EDs) offer a unique point of view on the health need of the population; moreover, the correlation between climatic factors and daily ED visits may represent a good model to understand the impact of climate on human morbidity.2 Thus, we conducted the analyses to determine the relationship between climatic factors and ED visits; we performed a retrospective study at the Santa Croce e Carle teaching hub hospital in Cuneo, north-west of Italy, over a 2-year period (1 January 2018 to 31 December 2020). Adults presenting to the ED for several pathologies were included. Data on mean barometric pressure, temperature and rain or snow were collected daily from a weather station located 1 km from the hospital. The relationship of daily or between-day (interday) changes in climatic factors and ED visits was evaluated using time series analysis. In the studied period, there were 151,787 total ED visits; here, we report all the correlations with a statistical significance (i.e. p ⩽ 0.05). Negative interday difference in barometric pressure, lower values of barometric pressure and lower temperature were associated with a decrease in daily ED accesses; in addition, we observed fewer ED accesses during rainy or snowy days. Lower temperature and negative variations in barometric pressure were associated with more ED admissions for respiratory diseases (asthma and chronic obstructive pulmonary disease exacerbations and pneumonia). Besides, we observed a positive correlation between barometric pressure differences and presentations for stroke; finally, lower values of barometric pressure were associated with a greater number of visits for psychiatric disorders. In conclusion, we can state that a correlation between weather factors and ED visits exists; this correlation is particularly strong for respiratory diseases. In the editorial’s conclusion, Lim and colleagues wonder if Emergency Medicine is ready to face the greatest challenge of our times. We believe that an important step is rising awareness among the society that climate is a fundamental determinant of health; fully understanding the interaction between climate and human morbidity may represent a way for copin","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"29 1","pages":"323 - 324"},"PeriodicalIF":0.6,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46900916","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}

{"title":"Positive impact of trauma center to exsanguinating pelvic bone fracture patient survival: A Korean trauma center study","authors":"Mina Lee, B. Yu, G. Lee, Jungnam Lee, Kang-Ju Choi, Youngeun Park, Jihun Gwak, Myung-Jin Jang","doi":"10.1177/10249079221087799","DOIUrl":"https://doi.org/10.1177/10249079221087799","url":null,"abstract":"Background: Trauma center and multidisciplinary management protocols have been proven to improve the outcomes of severely injured patients. Hemorrhage from pelvic injury is associated with high mortality and is a common cause of preventable trauma death. This study aimed to evaluate the effects of the establishment of a trauma center and management protocols on the outcomes of hemodynamically unstable patients with pelvic fractures. Methods: Hemodynamically unstable patients with pelvic fractures were reviewed retrospectively over a 10-year period. They were grouped into the pre-phase and post-phase, which were defined as before and after the establishment of a trauma center and protocols, respectively. Basic characteristics and outcomes were compared between periods. Results: This study enrolled a total of 106 patients. Basic and physiological characteristics were not significantly different in both phases. Pre-peritoneal packing and resuscitative endovascular balloon occlusion of aorta were only performed in the post-phase (pre-peritoneal packing, N = 27; resuscitative endovascular balloon occlusion of aorta, N = 10). In the post-phase, the time from emergency department arrival to hemostatic intervention was significantly shorter (269 ± 132.4 min vs 147.2 ± 95.5 min, p < 0.0001), and mortality due to acute hemorrhage was significantly lower (p = 0.003; absolute risk reduction: 0.22; relative risk reduction: 0.72). Multivariate logistic regression analysis identified age, injury severity score, and the pre-phase as independent risk factors for mortality. Conclusion: The establishment of a trauma center and multidisciplinary management protocols, such as pre-peritoneal packing and resuscitative endovascular balloon occlusion of aorta, improved the outcomes of hemodynamically unstable patients with pelvic fractures.","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"30 1","pages":"225 - 235"},"PeriodicalIF":0.6,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46337450","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}

{"title":"Emergency medicine during COVID-19: Global challenges and Asian solutions","authors":"K. Hung, R. P. Lam, M. Tsui","doi":"10.1177/10249079221086708","DOIUrl":"https://doi.org/10.1177/10249079221086708","url":null,"abstract":"Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Even though the COVID-19 pandemic has affected every corner of the world, disparity exists among different regions in Asia. The World Health Organization (WHO) statistics showed that South East Asia and Western Pacific ranked third and fourth in terms of the number of cumulative cases as of 24th February 2022.1 In parallel, Western Pacific region has the highest population vaccination rate with 81 persons fully vaccinated per 100 population.1 Thanks to the prompt public health measures, emergency departments (EDs) in Hong Kong have seen relatively fewer COVID-19 patients compared with neighbouring regions.2 The fear of contracting the infection has caused a significant drop in ED attendance during periods of high COVID-19 caseload. In a local survey, 25% of the citizens reported that they would avoid visiting hospital EDs during the pandemic.3 COVID-19 has also caused health service disruptions to people in need of healthcare, including patients with chronic diseases.4 At the time of writing, Hong Kong is currently faced with the largest community outbreak of COVID-19 since the pandemic began. It is commonly agreed that ED staff safety and morale are the top priorities in well functioning EDs. During the pandemic, emergency healthcare workers, especially nurses, have a high rate of burnout. Zakaria et al.5 found the frequent exposure to an angry public, increase in workload, long working hours, dynamic work conditions (including frequent change of guidelines and management approach), and perceived underpayment are factors leading to burnout during COVID-19 in Malaysia. A survey conducted by Wong et al.6 in four public EDs in Hong Kong showed that ED healthcare professionals who had a higher level of self-reported resilience had better compassion satisfaction and lower levels of secondary traumatic stress and burnout, highlighting the importance of fostering resilience among ED staff. The pandemic is also known to impact on psychological health in our everyday lives.7 Protecting and ensuring the wellbeing of ED staff are more important than ever. Combating COVID-19 at the frontline, ED staff have to be vigilant in screening for potential cases, often with a limited battery of diagnostic tests especially early in the pandemic. Asymptomatic cases put additional pressure on the frontline staff. Screening criteria based on fever, travel history, occupation, contact history, and cluster of symptoms (FTOCC) remain the cornerstone in most EDs. Lin et al.8 demonstrated that a travel history alert at the ED that link","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"29 1","pages":"135 - 136"},"PeriodicalIF":0.6,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45877612","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}

{"title":"Can mechanism of injury improve trauma diversion? A retrospective cross-sectional study","authors":"Wai Hung Yeung, Kit Shing Wong John, K. Tsui, Shing Kit Lam Tommy, C. Lui, C. Lau","doi":"10.1177/10249079221087800","DOIUrl":"https://doi.org/10.1177/10249079221087800","url":null,"abstract":"Objective: The objective of this study was to determine the impact of adding selected mechanism of injury (MOI) to the existing trauma diversion criteria adopted in Hong Kong. Method: This is a cross-sectional study based on the trauma registry of New Territory West Cluster (NTWC) of Hospital Authority from January 2017 to December 2019. All adult patients aged 18 years or above were recruited if their injury occurred in the catchment area of Pok Oi Hospital (POH) or Tin Shui Wai Hospital (TSWH). Performance of the protocol before and after MOI criteria being added in terms of over-diversion and under-diversion rate was determined. Model discrimination was evaluated by plotting the receiver operating characteristic curve, and the area under the curve was compared before and after MOI criteria added. Net reclassification improvement and integrated discrimination improvement indices were evaluated. Result: A total of 502 patients were included for analysis. Before MOI criteria were added, the over-diversion rate and under-diversion rate were 31.1% and 54.7%, respectively. After MOI criteria were added, the over-diversion rate and under-diversion rate were 33.1% and 34.3%, respectively. The receiver operating characteristic curve of current primary trauma diversion (PTD) criteria had an area under the curve of 66.9% (95% confidence interval: 63%–71%). After adding MOI criteria, the new receiver operating characteristic curve yielded an area under the curve of 73.7% (95% confidence interval: 70%–78%), which is significantly better (p < 0.001). Net reclassification improvement and integrated discrimination improvement indices indicated that including MOI criteria would improve the model prediction. Conclusion: Adding mechanism of injury can improve trauma diversion protocol performance.","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"30 1","pages":"236 - 246"},"PeriodicalIF":0.6,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47629933","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}

{"title":"COP 26, climate change, and emergency medicine: What must we do?","authors":"Andrew My Lim, S. Balsari, K. Hung","doi":"10.1177/10249079221081561","DOIUrl":"https://doi.org/10.1177/10249079221081561","url":null,"abstract":"","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"29 1","pages":"69 - 71"},"PeriodicalIF":0.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48757565","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}

{"title":"Retrospective review for procedural sedation and analgesia in paediatric patients in urgent care centre in a local private hospital in Hong Kong","authors":"A. Yim, Man-ho Ng, Sirius Shing-lam Kwok, Doretta Lo","doi":"10.1177/10249079221077497","DOIUrl":"https://doi.org/10.1177/10249079221077497","url":null,"abstract":"Introduction: Procedural sedation and analgesia in children refer to the use of pharmacological measures to facilitate the management of painful procedures or emergency imaging, usually in emergency setting by non-anaesthetists. Emergency clinicians, nurses, patients and caregivers all have their roles to play in providing a safe sedation practice in the busy emergency department. Method: We did a retrospective review of all procedural sedation and analgesia done in patients below the age of 12 in our urgent care centre from October 2018 to August 2019. Results: There were 144 patients being identified in our review. Majority of them received intramuscular ketamine ranging from 2 to 4 mg/kg. There was no documented severe adverse effect in our review. Conclusion: Paediatric procedural sedation and analgesia is generally safe, efficient, adequate and facilitate early patient discharge.","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"30 1","pages":"314 - 320"},"PeriodicalIF":0.6,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43631814","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}

{"title":"Reciprocal Abstracts","authors":"J. Balderston, Christopher K Brown, VR Feeser, Z. Gertz","doi":"10.1177/10249079221093950","DOIUrl":"https://doi.org/10.1177/10249079221093950","url":null,"abstract":"Background: Improved emergency care of children with acute illness or injuries is needed for countries in Africa to continue to reduce childhood mortality rates. Quality improvement efforts will depend on robust baseline data, but little has been published on the breadth and severity of paediatric illness seen in Mozambique. Methods: This was a retrospective review of routinely collected provider shift summary data from the Paediatric Emergency Department (PED) at Hospital Central de Maputo (HCM), the principal academic and referral hospital in the country. All children 0 to 14 years of age seen in the 12-month period from August 2018 to July 2019 were included. Descriptive statistical analyses were performed. Results: Data from 346 days and 64,966 patient encounters were analysed. The large majority of patients (96.4%) presented directly to the PED without referral from a lower level facility. An average of 188 patients was seen per day, with significant seasonal variation peaking in March (292 patients/ day). The most common diagnoses were upper respiratory infections (URIs), gastroenteritis, asthma and dermatologic problems. The highest acuity diagnoses were neurologic prob-lems (59%), asthma (57%) and neonatal diagnoses (50%). Diagnoses with the largest proportion of admissions included neurologic problems, malaria and neonatal diagnoses. Rapid malaria antigen tests were the most commonly ordered laboratory test across all diagnostic categories; full blood count (FBC) and chemistries were also commonly ordered. Urinalysis and HIV testing were rarely done in the PED. Conclusion: This epidemiologic profile of illness seen in the HCM PED for improved resource utilization. opportunities for evidence-based care algo-rithms for common diagnoses such as respiratory illness to improve patient care and flow. The PED may also be able to optimize laboratory and radiology evaluation for patients and develop standardized admission criteria by diagnosis. Study objective: Reducing excessive opioid prescribing in emergency departments (EDs) may prevent opioid addic-tion. We evaluated the largest personalized feedback and peer comparison intervention to date on emergency clinician opioid prescription rates in a national emergency clinician group. Methods: This interrupted time-series analysis of a quality improvement intervention included data from adults discharged from 102 EDs in 17 states from 1 January 2019 to 31 July 2021. From 16 June 2020 to 30 November 2020, site-level ED directors received emails on local opioid prescription rates. From 1 December 2020 to 31 July 2021, all clinicians were granted electronic dashboard access, which showed prescription rates compared with peers, and national ED leaders sent emails to high-pre-scribing clinicians and engaged in one-on-one conversa-tions. The primary outcome was opioid prescriptions per 100 discharges. Results: The study included 5,328,288 ED discharges from 924 physicians and 472 advanced practice provi","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"29 1","pages":"195 - 198"},"PeriodicalIF":0.6,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48249907","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}

{"title":"Impact of foeto-maternal resuscitation and perimortem caesarean section simulation training: An opinion survey of healthcare participants","authors":"C. Kong, W. K. To","doi":"10.1177/10249079211072403","DOIUrl":"https://doi.org/10.1177/10249079211072403","url":null,"abstract":"Background: The incidence of maternal cardiac arrest is rising in recent years. Medical staff generally lack the experience of performing resuscitation on pregnant patients. Maternal cardiac arrest and perimortem caesarean section simulation training was newly introduced in the Advanced Life Support in Obstetrics provider courses in Hong Kong since April 2021. Objective: To evaluate the course participants’ opinions on maternal cardiac arrest simulation training. Methods: A questionnaire survey was conducted for all participants in the Advanced Life Support in Obstetrics provider course in April 2021 to assess their opinions on the usefulness of this training. Results: There were four Advanced Life Support in Obstetrics provider courses in April 2021 with 36 participants in each course, and 137 questionnaires were received at the end of the course. The response rate was 137/144 (95.1%). After excluding the questionnaires with incomplete information, 134 questionnaires were included for final analysis. Almost all of the participants agreed that the maternal cardiac arrest simulation training could help them in their work (97.8%), could improve their knowledge and skill (98.5%) and could improve team training and co-ordination (97.0%). The majority of them (97.0%) felt more confident in managing maternal cardiac arrest after the training, and 97.8% of participants felt that the perimortem caesarean section model was useful for training. Around 80% of the participants would recommend this course to their colleagues. There were no significant differences in opinions on the usefulness of this training among participants with regard to their specialty, whether they were doctors or nurses, their years of experience and the specific hospital settings. Conclusions: Maternal cardiac arrest simulation training was highly valued by all levels of obstetric, emergency medicine and anaesthesia staff in both public and private hospitals.","PeriodicalId":50401,"journal":{"name":"Hong Kong Journal of Emergency Medicine","volume":"29 1","pages":"365 - 372"},"PeriodicalIF":0.6,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43003915","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}