Sexual & Reproductive Healthcare最新文献

{"title":"I had to tell to survive“- a cross-sectional study on exposure to intimate partner violence in pregnant women and the importance of screening","authors":"Ragnhild Eikemo ,&nbsp;Ylva Elvin-Nowak ,&nbsp;Susanne Åhlund ,&nbsp;Anna Vikström ,&nbsp;Viola Nyman ,&nbsp;Wibke Jonas ,&nbsp;Mia Barimani","doi":"10.1016/j.srhc.2024.101045","DOIUrl":"10.1016/j.srhc.2024.101045","url":null,"abstract":"<div><h3>Background</h3><div>There is a lack of knowledge in Swedish healthcare regarding correlations of exposure to intimate partner violence (IPV) from before to during pregnancy, and associated factors as well as pregnant women’s perceptions related to screening for IPV in healthcare settings. The frequency of women exposed to IPV during pregnancy is difficult to establish as it is reported at different rates across different studies, depending on the definitions and screening strategies used.</div></div><div><h3>Aims</h3><div>1. Describe prevalence of IPV experienced by pregnant women. 2. Investigate changes in IPV exposure before and during pregnancy. 3. Examine frequency of screening and women’s opportunities and willingness to talk about IPV exposure<strong>.</strong> Methods.</div><div>A cross-sectional survey in Stockholm, Sweden.</div></div><div><h3>Findings</h3><div>6.2 % of women (n = 202) reported exposure to IPV before pregnancy and 2.1 % (n = 72) reported exposure during pregnancy, of these, sixteen women reported exposure only during pregnancy. There were significant associations between exposure to IPV and symptoms of depression, age, living situations and employment status. Sixty-four percent of the exposed women were asked about violence in healthcare settings.</div></div><div><h3>Discussion</h3><div>An important finding was that the frequency of IPV decreased from before to during pregnancy. The reasons for this are unknown but may be multi-factorial.</div></div><div><h3>Conclusion</h3><div>Our investigation provides crucial insights into IPV during pregnancy. Results highlight that relying solely on prevalence rates is inadequate to understand the complexity of IPV exposure related to pregnancy. Screening for IPV and understanding how women perceive and disclose their exposure is complex yet vital for midwives in antenatal care.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101045"},"PeriodicalIF":1.4,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing awareness of danger signs of pregnancy and its associated factors among pregnant women in Libya: A cross-sectional study","authors":"Joe C. Elhage ,&nbsp;Zinelabedin Mohamed ,&nbsp;Nour El Bizri ,&nbsp;Amira Badr Khalefa ,&nbsp;Nour Fakih","doi":"10.1016/j.srhc.2024.101044","DOIUrl":"10.1016/j.srhc.2024.101044","url":null,"abstract":"<div><h3>Background</h3><div>The maternal mortality rate in Libya surpasses the regional average and is primarily due to sepsis, hemorrhages, hypertension, and other factors, highlighting gaps in maternal knowledge and access to quality care. This study aimed to assess the awareness of obstetric danger signs and associated factors among pregnant women attending the outpatient clinic of Tobruk Medical Center, Libya.</div></div><div><h3>Methods</h3><div>An institution-based cross-sectional study was conducted from August to October 2023, involving 301 pregnant women visiting the outpatient clinic. Convenience sampling was utilized, and data were collected using structured questionnaires. Data were initially stored in Excel and then imported into R (version 4.3.1) for analysis. Descriptive statistics were applied to both categorical and continuous variables. Logistic regression was used to study the association between awareness of danger signs and socio-demographic variables, with p-values calculated and multivariate analysis performed to adjust for confounding factors.</div></div><div><h3>Results</h3><div>Results revealed that 239 (79.4%) pregnant women were aware of danger signs. Additionally, the most cited danger signs were “fatigue” (41.5%) and “severe headache” (23.3%), whereas the least common was “sudden gush of fluids” (10.6%). Marital status was found to be an independent predictor of knowledge about pregnancy danger signs, whereby married women were more likely to have awareness than divorced women (AOR:0.16, CI: 0.04–0.71, P-value: 0.016).</div></div><div><h3>Conclusion</h3><div>To improve maternal healthcare, ANC units should focus on educating patients about under-recognized signs and encourage peer discussions through social media. These steps aim to enhance preparedness and reduce pregnancy-related complications.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101044"},"PeriodicalIF":1.4,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storytelling in midwifery: ‘Not just for entertainment’","authors":"Kate Griew ,&nbsp;Catherine Dunphy ,&nbsp;Greg Fairbrother","doi":"10.1016/j.srhc.2024.101040","DOIUrl":"10.1016/j.srhc.2024.101040","url":null,"abstract":"<div><h3>Background</h3><div>The practice of sharing work-related stories has been shown to positively influence the learning experiences of student midwives. Less is known about the use of storytelling in general midwifery practice.</div></div><div><h3>Aim</h3><div>To explore the practice of sharing stories in midwifery, with a focus on story type, content and the reasons why stories are told.</div></div><div><h3>Methods</h3><div>A descriptive qualitative study utilising interviews was conducted among 17 midwives from two metropolitan maternity units in Sydney, Australia. Participants were asked to tell a story or stories they often told between midwives and then answer questions about storytelling.</div><div><em>Findings</em>: Following descriptive analysis, seven story types were identified: ‘clinical mishap’, ‘humorous’, ‘embarrassing or vulnerable situation’, ‘dramatic situation’,’grief’, ’connection and kindness’ and ‘positive outcome’. Thematic analysis identified three main reasons behind the choice of story: ‘to promote learning’, ‘to build culture’ and ‘to celebrate midwifery practice’. Descriptive results were mapped against a contemporary model of maternity care and found to resonate with all domains in the model.</div></div><div><h3>Discussion</h3><div>Storytelling was found to be highly valued by midwives. The wholistic scope of stories suggests that the practice promotes positive learning and culture related benefits in midwifery and maternity care.</div></div><div><h3>Conclusion</h3><div>Storytelling in midwifery is a brief but powerful intervention which serves multiple practice and professional development goals.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101040"},"PeriodicalIF":1.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative exploration of the client-provider relationship and its role in discussing sexual health and HIV among African American women in the US South","authors":"Rachel Vanderkruik ,&nbsp;Georgia R. Goodman ,&nbsp;Abigail Blyler ,&nbsp;Corilyn Ott ,&nbsp;Alexa Rivas ,&nbsp;Latesha Elopre ,&nbsp;Doug Krakower ,&nbsp;Kachina Kudroff ,&nbsp;Jenni Wise ,&nbsp;Eric Underwood ,&nbsp;Victoria McDonald ,&nbsp;Marquetta Campbell ,&nbsp;Mirjam-Colette Kempf ,&nbsp;Christina Psaros","doi":"10.1016/j.srhc.2024.101043","DOIUrl":"10.1016/j.srhc.2024.101043","url":null,"abstract":"<div><h3>Objective</h3><div>Sexually transmitted infections (STIs), including HIV, are a key contributor to psychological and physical morbidity across the United States (US). African American (AA) women are disproportionately impacted by STIs, particularly in the Deep South of the US. Strong patient-provider communication can help to increase client understanding of STI prevention and treatment options. This study aimed to explore factors influencing effective patient-provider relationships and communication around STIs (including HIV) and sexual health broadly, which will ultimately inform the refinement of a patient-provider communication tool for discussing PrEP as an HIV prevention method.</div></div><div><h3>Methods</h3><div>As part of a larger study focused on PrEP implementation, in-depth, semi-structured qualitative interviews were conducted among cisgender AA women who are PrEP-eligible, both with and without PrEP experience, as well as providers from three federally qualified health centers (FQHCs) and HIV service agencies in Alabama. Data were analyzed using content analysis.</div></div><div><h3>Results</h3><div>A total of 41 participants enrolled, including 21 clients (n = 6 PrEP experienced; n = 15 PrEP naïve) and 20 providers. Qualitative data were organized across the following domains: meaning of health and sexual health, factors influencing the client-provider relationship, and factors influencing sexual health discussions among clients and providers. Key factors influencing client-provider relationships were organized at client, provider, and clinic levels. Factors impacting sexual health discussions between clients and providers were organized at client, provider, and structural levels.</div></div><div><h3>Conclusion</h3><div>These interviews identified key determinants of effective client-provider communication pertaining to sexual health among cisgender AA women in the US South who were receiving care at FQHCs and HIV service organizations. Individual, provider, and clinic-level factors were identified that have implications for designing sexual health interventions for cisgender AA women.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101043"},"PeriodicalIF":1.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical student perceptions of clinical abortion training opportunities across the United States","authors":"Tessa Meurer ,&nbsp;Elise S. Cowley ,&nbsp;Laura Jacques","doi":"10.1016/j.srhc.2024.101042","DOIUrl":"10.1016/j.srhc.2024.101042","url":null,"abstract":"<div><div>Federal abortion protection reversals have increased the importance of understanding and addressing regional disparities in clinical abortion training. We surveyed Medical Students for Choice leaders in July 2022 about abortion training and analyzed results by state abortion laws. Of 100 survey respondents, 50 % reported institutional access to abortion training (17.5 % in restrictive states; 71.2 % in permissive states; χ² = 25.9, p &lt; 0.00001) and 46 % indicated that they or a peer had attended a visiting student elective (VSE) covering abortion care (47.5 % in restricted states; 51.9 % in permissive states). Availability of clinical abortion training varies geographically by state abortion laws. VSEs may be underutilized.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101042"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Parent-infant closeness and care practices during therapeutic hypothermia in Swedish neonatal intensive care units” [Sex. Reprod. Health. 41 (2024) 101010]","authors":"Pyrola Bäcke ,&nbsp;Anna Axelin ,&nbsp;Johan Ågren ,&nbsp;Ylva Thernström Blomqvist","doi":"10.1016/j.srhc.2024.101041","DOIUrl":"10.1016/j.srhc.2024.101041","url":null,"abstract":"","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101041"},"PeriodicalIF":1.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The understanding of dynamic birth positions for women in labor and childbirth – A hybrid concept analysis","authors":"Helena Lindgren ,&nbsp;Kerstin Erlandsson ,&nbsp;Marta Berta ,&nbsp;Osman Yimer ,&nbsp;Johanna Blomgren ,&nbsp;Christina Lundberg ,&nbsp;Tenagnework Dilnesa ,&nbsp;Michael Wells ,&nbsp;Solomon Hailemeskel","doi":"10.1016/j.srhc.2024.101039","DOIUrl":"10.1016/j.srhc.2024.101039","url":null,"abstract":"<div><div>Problem and background: The assessment of advantages and drawbacks associated with varying birthing positions has predominantly centered around medical or technical considerations and few studies have accounted for a woman’s ability to attune to her bodily instincts during labor and birth. The objective of this study was to define the concept of dynamic birth positions and its significance within the birthing process.</div></div><div><h3>Methods</h3><div>This hybrid concept analysis consisted of three phases: theoretical, fieldwork, and analytical. Science Direct, PubMed and Google Scholar were searched with related terms in the theoretical phase. In the fieldwork phase, seven professionals and six mothers with the experience of dynamic birth positions were interviewed. After each interview, qualitative content analysis was conducted. During the final phase, descriptions and themes from the first two phases were combined.</div></div><div><h3>Results</h3><div>In the theoretical phase, the definition of dynamic birth positions included descriptions answering the Who, What, When, Where, and Why questions. In the fieldwork phase, the results present two distinct categories that define dynamic birth positions: “Women’s choice, women’s power” and “A flow between rest and activity.” The final analysis phase of this study indicated that dynamic birth positioning is characterized by the organic progression through a variety of postures that seamlessly merge rest and activity throughout the labor and birthing process, guided by the woman’s individual preferences.</div></div><div><h3>Conclusions</h3><div>The definition of dynamic birth positions redefines birth as an evolving, dynamic journey characterized by a fluid interplay of movements and moments of rest, transcending conventional fixation on static positions.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101039"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Birth satisfaction and symptoms of childbirth related PTSD among women in Iceland: A population-based study","authors":"Emma M. Swift ,&nbsp;Fjóla Guðmundsdóttir ,&nbsp;Kristjana Einarsdóttir ,&nbsp;Valgerður Lísa Sigurðardóttir","doi":"10.1016/j.srhc.2024.101037","DOIUrl":"10.1016/j.srhc.2024.101037","url":null,"abstract":"<div><h3>Background</h3><div>Given its complexity, childbirth can elicit both positive and negative psychological reactions and, in some cases, women may experience symptoms of childbirth-related post-traumatic stress disorder (CB-PTSD). Several risk factors for CB-PTSD have been identified previously, including history of mental health issues and childbirth related complications. The aim of our study was to explore the role of satisfaction with care in CB-PTSD symptoms.</div></div><div><h3>Methods</h3><div>CB-PTSD was measured with the City Birth Trauma Scale (CityBiTS), a questionnaire with 29 items distributed according to DSM-5 diagnostic criteria. A CityBiTS score &gt;28 points was defined as CB-PTSD symptoms. Birth satisfaction was measured with the Birth Satisfaction Scale-Revised (BSS-R), a self-report questionnaire. Logistic-regression was used to calculate odds ratios and 95 % confidence intervals for the association between birth satisfaction and CB-PTSD, adjusted for age, relationship status, education, income, parity, mode of birth, postpartum depression and maternal and infant health-related problems during pregnancy and birth.</div></div><div><h3>Results</h3><div>Of 600 participants, 34 (5.7 %) indicated symptoms of CB-PTSD. When adjusted for socio-demographic and pregnancy and birth-related factors, birth satisfaction was independently associated with symptoms of CB-PTSD. For each additional point on the BSS-R, the odds of having CB-PTSD symptoms decreased by 16%. Support during labor and birth, effective communication and shared decision making were factors significantly associated with CB-PTSD symptoms.</div></div><div><h3>Discussion</h3><div>Increased satisfaction with care was strongly associated with less symptoms of CB-PTSD. Emphasizing sense of control with support, effective communication and shared decision making may significantly improve the overall experience for women and possibly reduce CB-PTSD symptoms.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101037"},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace intervention among pregnant hospital employees − a cluster randomised trial evaluating sick leave","authors":"Jane Lauridsen ,&nbsp;Pernille Pedersen ,&nbsp;Anne-Mette Hedeager Momsen ,&nbsp;Mette Lausten Hansen ,&nbsp;Ane Marie Thulstrup ,&nbsp;Rikke Damkjær Maimburg","doi":"10.1016/j.srhc.2024.101038","DOIUrl":"10.1016/j.srhc.2024.101038","url":null,"abstract":"<div><h3>Objective</h3><div>Sick leave during pregnancy is common and associated with strenuous working conditions and multiple occupational exposures. The aim of this study was to evaluate the effect of midwifery facilitation of sessions with pregnant employees and managers focusing on work adjustment, to reduce discomfort and occupational risks.</div></div><div><h3>Methods</h3><div>A cluster randomised controlled trial was conducted. Hospital employees were randomised to intervention or reference. The intervention group received midwifery support in addition to the standard hospital pregnancy policy provided to the reference group. Outcomes were pregnancy-related sick leave and general sick leave. Intention-to-treat analysis was performed with mixed-effect models.</div></div><div><h3>Results</h3><div>Sick leave was similar between the intervention and reference groups, and 51 % of pregnant employees did not take any days of full pregnancy related sick leave, while approximately 21 % took more than 30 days. Group differences in mean estimates for partial sick leave were −0.5 (CI −2.3;1.3) days. Differences in full sick leave was 1.2 (CI −2.9;5.2) days, and 0.6 (CI −1.0;2.1) days for general sick leave.</div></div><div><h3>Conclusion</h3><div>Midwifery support as an add-on to usual pregnancy policy did not decrease sick leave during pregnancy compared to usual practice in a study population of Danish healthcare professionals. Midwifery support tailored towards the specific work environment may perhaps provide better results.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101038"},"PeriodicalIF":1.4,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between quality of antenatal care service utilisation and adverse birth outcomes among adolescent women in 22 Sub-Saharan African countries. A mixed-effects multilevel analysis","authors":"Tadesse Tolossa ,&nbsp;Lisa Gold ,&nbsp;Eric HY Lau ,&nbsp;Merga Dheresa ,&nbsp;Julie Abimanyi-Ochom","doi":"10.1016/j.srhc.2024.101036","DOIUrl":"10.1016/j.srhc.2024.101036","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the association between the quality of antenatal care (ANC) service utilisation and adverse birth outcomes among adolescent women in Sub-Saharan Africa (SSA).</div></div><div><h3>Methods</h3><div>A two-level mixed-effects model was employed using the recent Demographic Health Survey (DHS) data from 22 SSA countries. Both bivariable and multivariable multilevel analyses were conducted to assess the association between individual and community level factors with adverse birth outcomes. The results of the fixed effects model were interpreted in the form of adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs).</div></div><div><h3>Results</h3><div>In SSA, 23.5 % of adolescent mothers experienced adverse birth outcomes. This study found that receiving high quality ANC was associated with a 28 % reduction in the likelihood of adverse birth outcomes (AOR = 0.72, 95 % CI: 0.63, 0.83). Among the individual-level factors, middle-aged adolescence (AOR = 1.23, 95 % CI: 1.11, 1.36), being a female newborn (AOR = 1.15, 95 % CI: 1.05, 1.26), single marital status (AOR = 0.87, 95 % CI: 0.78, 0.96) and higher educational status (AOR = 0.83, 95 % CI: 0.74, 0.93) were significantly associated with adverse birth outcomes. From the community-level variables, women from Eastern Africa had positive significant association with adverse birth outcomes (AOR = 1.30, 95 % CI: 1.15, 1.46).</div></div><div><h3>Conclusions</h3><div>Nearly one-fourth of adolescent women in SSA experienced at least one type of adverse birth outcome. Low quality of ANC was significantly associated with adverse birth outcomes. Policymakers need to consider a comprehensive, essential, and minimal package of ANC to enhance the quality of ANC, which is crucial for better adolescent birth outcomes.</div></div>","PeriodicalId":54199,"journal":{"name":"Sexual & Reproductive Healthcare","volume":"42 ","pages":"Article 101036"},"PeriodicalIF":1.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}