Geriatric Nursing最新文献

{"title":"Unseen support: The needs of Alzheimer’s disease and related dementias' secondary family caregivers and a way forward","authors":"Abigail Gómez-Morales PhD, RN,&nbsp;Raheleh Bahrami MS, RN","doi":"10.1016/j.gerinurse.2026.103911","DOIUrl":"10.1016/j.gerinurse.2026.103911","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to better understand and identify the needs of secondary caregivers of individuals with memory challenges and explore their role in supporting primary caregivers to inform the development of a tailored intervention for secondary caregivers of people with Alzheimer's disease and related dementias.</div></div><div><h3>Methods</h3><div>A complementary, sequential mixed-methods approach was used to achieve the goal. Phase one included an online survey with primary caregivers (<em>N</em> = 10) exploring how secondary caregivers support them and training opportunities. Phase two involved virtual focus groups with secondary caregivers (<em>N</em> = 13) with a semi-immersive virtual reality experience where participants embodied a person with dementia, and discussed their caregiving roles, challenges, and needs.</div></div><div><h3>Results</h3><div>Primary caregivers identified secondary caregivers as helpful in reducing burden and stress. However, tensions existed due to unclear roles. Secondary caregivers reported emotional challenges and unclear role expectations. Virtual reality was valuable for increasing empathy. Both groups prioritized education in communication and managing challenging behaviors.</div></div><div><h3>Conclusions</h3><div>Semi-immersive virtual reality can help prepare secondary caregivers to support primary caregivers and their care recipients in key caregiving skills, while increasing dementia awareness and empathy.</div></div><div><h3>Clinical Implications</h3><div>Tailored interventions incorporating virtual reality may assist secondary caregivers in promoting positive health care outcomes and continuity of care for people with dementia and their primary caregivers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103911"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079864","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":"An exploratory descriptive qualitative study examining the experiences and perceptions of family caregivers engaging in structured home-based reminiscence activities with persons with dementia","authors":"Esther Yin Hui Chew MN, BSocSci,&nbsp;Xin Min Lim BSc (Hons),&nbsp;George Frederick Glass Jr MSc, BN,&nbsp;Ee-Yuee Chan PhD, MSc, MN, BN","doi":"10.1016/j.gerinurse.2026.103888","DOIUrl":"10.1016/j.gerinurse.2026.103888","url":null,"abstract":"<div><h3>Background</h3><div>Reminiscence has been shown to augment quality of life, cognition and mood in persons with dementia. While its benefits are well-documented, less is known about how family caregivers can independently facilitate such activities (i.e., dyadic reminiscence) at home. This is particularly relevant for nurses, who prepare caregivers for home-based dementia care. This study examined the experiences and perceptions of family caregivers delivering structured home-based reminiscence to persons with dementia in Singapore.</div></div><div><h3>Methods</h3><div>An exploratory descriptive qualitative study was conducted with eight family caregivers of persons with dementia, discharged from a public tertiary hospital. Semi-structured individual interviews were conducted, and data were analyzed inductively using thematic content analysis.</div></div><div><h3>Results</h3><div>Caregivers reported ease in conducting dyadic reminiscence activities using the provided package. Three themes and six subthemes emerged. The themes were: 1) Unlocking the power of Caregiver-delivered Reminiscence: Exploring its Benefits; 2) Limited by Design: Challenges Encountered with Home Reminiscence and 3) Looking ahead: Practical Suggestions for Enhancing Caregiver-delivered Home Reminiscence. While dyadic reminiscence helped foster relational connection and engagement, personalization and cultural resonance of the materials are needed for it to be sustained.</div></div><div><h3>Conclusion</h3><div>Caregiver-delivered dyadic reminiscence demonstrates feasibility and potential as a low-cost, non-pharmacological therapeutic supplement in home-based dementia care. Active facilitation empowers caregivers as co-creators of meaningful engagement. Nurses play a pivotal role in equipping caregivers with practical skills, tailoring activities to cultural, personal contexts and embedding reminiscence into care planning. Further research is warranted to assess its broader applicability across Asian caregiving contexts.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103888"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079863","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":"Strategies for improving preoperative anxiety in older adult cataract patients: results of a study based on simulated nursing interventions in surgical scenarios","authors":"Guo-Qi Guan MM ,&nbsp;Xiao-Dan Lin MM ,&nbsp;Xiao-Zhou Zhou MM","doi":"10.1016/j.gerinurse.2026.103820","DOIUrl":"10.1016/j.gerinurse.2026.103820","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether simulating the actual scene of surgery before phacoemulsifcation surgery is a strategy to alleviate perioperative anxiety and discomfort in older adult cataract patients.</div></div><div><h3>Methods</h3><div>100 cases of older adult cataract patients admitted to our hospital in 2024 were enrolled and divided into the control group and the experimental group by the digital parity method (a method of assigning participants to groups based on whether their assigned study number is odd or even) (50 cases per group). The two groups were evaluated for the preoperative 2-hour and postoperative anxiety (SAS) scores, the discomfort score, the satisfaction of patients and doctors, the operation time, the patient's degree of adaptability and the adverse events and complications during the operation.</div></div><div><h3>Results</h3><div>There was no significant difference in the gender (p=0.398), age (p=0.481) and course of disease (p=0.476) of the two groups. There was a significant statistical difference (p&lt;0.05) in anxiety scores between the experimental group and the control group before and after surgery. The preoperative anxiety scores in the control group and experimental group were significantly higher than those in the postoperative anxiety scores (p&lt;0.05); The satisfaction scores of patients in the experimental group was higher than that in the control group (p&lt;0.05); The intraoperative comfort scores of the experimental group patients was higher than that of the control group (p&lt;0.05); The patient's degree of adaptability of the experimental group patients was higher than that of the control group (p&lt;0.05); There was no significant statistical difference in the doctor's satisfaction scores between the experimental group and the control group (p&gt;0.05); There was a significant statistical difference in the surgical duration between the experimental group of cataract patients and the control group (p&lt;0.05). The main adverse event during surgery in the experimental and control groups was mild pain, with five patients in the control group experiencing mild pain and three patients in the experimental group experiencing mild pain, there was no significant difference between the two groups (p&gt;0.05). None of the patients had intraoperative complications. All surgeries were completed.</div></div><div><h3>Conclusions</h3><div>The utilisation of nursing interventions adapted to simulated surgical scenarios can assist patients in becoming more familiar with the actual surgical environment and the procedures involved, thereby effectively reducing preoperative anxiety and fear. Furthermore, this approach can also result in enhanced intraoperative comfort, improved patient cooperation, and greater assurance of surgical safety. Additionally, it can lead to a reduction in postoperative anxiety and an increase in patient satisfaction.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103820"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079748","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":"Factors of survival on dialysis in SNF: Considerations for NPs","authors":"Daniel R. Mead DNP, MSCE ,&nbsp;Ian P. Rios DNP, MJ ,&nbsp;Tim Mallers MSN ,&nbsp;Melissa Zullo PhD, MPH ,&nbsp;Jianghu (James) Dong PhD","doi":"10.1016/j.gerinurse.2026.103902","DOIUrl":"10.1016/j.gerinurse.2026.103902","url":null,"abstract":"<div><div>The overall prevalence of End-Stage Kidney Disease (ESKD) has been increasing as are Nurse Practitioners (NPs) in skilled nursing facility settings (SNFs). Since optimal dialysis modality is unknown in these patients, a retrospective cohort study was conducted with a sample of 301 patients on various dialysis modalities in SNFs. Survival analytics were conducted on demographics and dialysis type to determine significant factors leading to mortality. Home/daily hemodialysis modalities, Black/African American patients, and individuals with less chronic disease burden demonstrated more favorable survival outcomes. NPs treating patients with advancing CKD should consider these factors when discussing survival on RRT.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103902"},"PeriodicalIF":2.4,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079867","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":"Impact of a nurse-led in-hospital mobility intervention on older adult patient functional outcomes and perceptions","authors":"Barbara King PhD ,&nbsp;Mary Hook PhD ,&nbsp;Roger Brown PhD ,&nbsp;Jillian Bodden-Hoenisch DNP ,&nbsp;Elizabeth Ann Wall DNP ,&nbsp;Cynthia J. Brown MD, MPH ,&nbsp;Linsey M. Steege PhD","doi":"10.1016/j.gerinurse.2026.103897","DOIUrl":"10.1016/j.gerinurse.2026.103897","url":null,"abstract":"<div><div>Hospital-associated disabilities in older adults are common. Few studies have used a performance measure to evaluate the impact of ambulation on patient functional status during and after discharge or investigated older adult perceptions of ambulation during a hospitalization.</div><div>The purpose of this study was to evaluate the implementation of MOVIN (Mobilizing Older adults Via a systems-based INtervention) on older adult functional performance outcomes and to understand patients perceptions of mobility during their hospital stay.</div><div>A non-randomized observational study using a quasi-experimental design was conducted. Multiple methods using quantitative and qualitative approaches were used. Functional measures included gait speed and self-report on the Katz Activities of Daily Living scale and the University of Alabama at Birmingham (UAB) Life Space Mobility Index. In-person interviews were used to collect qualitative data.</div><div>The study was conducted on a 23-bed adult medical unit at an academic medical center. Older adults (<em>N</em> = 40) were recruited for data collection during their hospital stay and post-discharge. General linear mixed random-effects modeling was used to analyze functional outcomes. Inductive content analysis was used to analyze qualitative data.</div><div>The intervention group had a significant increase in gait speed at discharge compared to admission (<em>p</em> = 0.022) and at 3 months (<em>p</em> = 0.006) compared to discharge and a significant increase in UAB score between admission to 3 months post-discharge (<em>p</em> = 0.049). Qualitative results identified four categories Maintaining Health, Being Connected, Filling Time and Ready to Go Home, which describe the patient perception.</div><div>This study provides evidence that an in-hospital mobility intervention can have significant impacts on older adults functional performance and psycho-social outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103897"},"PeriodicalIF":2.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079865","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":"Characterizing symptom burden among community-dwelling older adults","authors":"Michelle A. McKay PhD ,&nbsp;Paul Bernhardt PhD ,&nbsp;Melissa O’Connor PhD ,&nbsp;Suzanne Leveille PhD","doi":"10.1016/j.gerinurse.2026.103899","DOIUrl":"10.1016/j.gerinurse.2026.103899","url":null,"abstract":"<div><h3>Background</h3><div>Older adults experience multiple co-occurring symptoms that contribute to increased healthcare utilization, decreased physical performance, and poorer quality of life.</div></div><div><h3>Methods</h3><div>This study aimed to characterize symptom burden in a population-based cohort of community-dwelling adults aged 70 years and older enrolled in the MOBILIZE Boston study (n=765). Descriptive statistics and chi-square tests were used to categorize symptom prevalence and associations with demographic factors for nine symptoms: pain, balance impairment, weakness, limited endurance, sleep difficulty, depression, anxiety, and hearing and vision impairments. Latent class analysis was used to identify distinct classes of symptom burden.</div></div><div><h3>Results</h3><div>Pain was the most prevalent symptom (81.3 %), with 43.1 % of individuals indicating severe pain. Symptoms related to vision, hearing, sleep, and endurance were also reported by over 40 % of individuals. Except for vision, reported symptoms were found to be positively correlated. Four symptom burden groups were identified via latent class analysis: mild (30.1 %), moderate (51.3 %), moderate-severe (10.2 %) and severe (8.4 %). Those in the severe symptom burden group experienced worse levels of all symptoms compared to other groups. Pain and vision symptoms were similar across all symptom burden classes. Balance, endurance, weakness, anxiety and sleep symptoms were comparatively more common and severe for the 18.6 % of individuals in the moderate-severe and severe groups.</div></div><div><h3>Conclusion</h3><div>Understanding overall symptom burden, both in terms of numbers and severity of symptoms, is the first step in determining the impact of symptom burden as a possible new clinical indicator for fall risk and other detrimental health outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103899"},"PeriodicalIF":2.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079931","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":"Higher BMI, functional dependence and healthcare utilization in nursing facilities-a review","authors":"Maryam Hasan MD,&nbsp;Matthew McNabney MD,&nbsp;Michele Bellantoni MD,&nbsp;Laura Prichett MHs, PhD,&nbsp;Esther Oh MD, PhD ,&nbsp;Fatima Sheikh MD, MPH","doi":"10.1016/j.gerinurse.2026.103824","DOIUrl":"10.1016/j.gerinurse.2026.103824","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103824"},"PeriodicalIF":2.4,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079928","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":"Coping strategies, psychological resilience, and professional commitment among nurse-aide students in Taiwan: A cross-sectional study","authors":"Chia-Chen Chang PhD ,&nbsp;Chen-Yin Tung PhD","doi":"10.1016/j.gerinurse.2026.103890","DOIUrl":"10.1016/j.gerinurse.2026.103890","url":null,"abstract":"<div><h3>Background</h3><div>With rising global demand for long-term care, understanding nurse-aide students’ psychological and professional readiness is vital for effective training.</div></div><div><h3>Purpose</h3><div>This study explored coping strategies, psychological resilience, and professional commitment among senior nurse-aide students in Taiwan, assessing links to experiential factors to guide educational strategies.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 158 randomly selected senior students from Taiwan’s long-term care programs used validated tools to measure coping, resilience, and commitment. Data were analyzed with Pearson correlations, t-tests, ANOVA, and regression.</div></div><div><h3>Results</h3><div>Professional commitment varied significantly across professional-related training backgrounds. Students who had completed a nurse-aide internship or obtained a nurse-aide certificate demonstrated higher levels of commitment than those with no formal training. Similarly, students with long-term care work experience showed greater commitment than those without such experience. Both coping strategies and psychological resilience were positively associated with professional commitment, and together these psychological and experiential factors explained 35.1% of its variance.</div></div><div><h3>Conclusions</h3><div>Coping, resilience, and practical training reinforce professional commitment. Embedding these elements in long-term care education can enhance caregiving readiness and workforce sustainability in the context of global aging.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103890"},"PeriodicalIF":2.4,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047557","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":"Current status and factors influencing analysis on readiness of hospital discharge among elderly patients following hip and knee arthroplasty under the concept of enhanced recovery after surgery: A cross-sectional study","authors":"Yufeng Li MSc ,&nbsp;Yun Li BSc ,&nbsp;Shengying Wang BSc ,&nbsp;Wenjiao Li MSc ,&nbsp;Li Feng BSc ,&nbsp;Zhibin Liu BSc ,&nbsp;Yang Zhou MSc ,&nbsp;Xiujie Sun MSc","doi":"10.1016/j.gerinurse.2026.103835","DOIUrl":"10.1016/j.gerinurse.2026.103835","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify factors affecting readiness of hospital discharge (RHD) among Chinese elderly patients after hip or knee arthroplasty under Enhanced Recovery After Surgery (ERAS).</div></div><div><h3>Design</h3><div>This study followed the cross-sectional descriptive design and the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guideline.</div></div><div><h3>Methods</h3><div>Data from 511 elderly patients who underwent hip or knee arthroplasty in a tertiary hospital (October 2021 to August 2023) were analyzed. Participants completed demographic, the Blaylock Risk Assessment Screening Score (BRASS), the Activities of Daily Living (ADL) score, and the Readiness for Hospital Discharge Scale (RHDS) before discharge. Correlations and multiple linear regression identified factors associated with RHD.</div></div><div><h3>Results</h3><div>The mean RHDS score was 100.45 ± 12.44, indicating moderate to high readiness. RHDS correlated positively with ADL (<em>r</em> = 0.586, <em>p</em> &lt; 0.001) and negatively with BRASS (<em>r</em> = –0.501, <em>p</em> &lt; 0.001). Regression showed that ADL, BRASS, gender, age, admission form, and surgical type were independent predictors (Adjusted <em>R</em>² = 0.414, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion/Relevance to clinical practice</h3><div>Elderly patients showed moderate to high RHD, which still requires improvement. Early evaluation, tailored discharge education, and follow-up nursing interventions can enhance recovery and reduce readmission. These findings underscore the importance of strengthening discharge readiness education in geriatric nursing practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103835"},"PeriodicalIF":2.4,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047565","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":"Personal involvement and a holistic assessment: Patients and relatives’ experiences of a geriatric outpatient assessment during temporary stay in a community rehabilitation facility – A descriptive qualitative study","authors":"Kristine Mildahl Kjærgaard MCN ,&nbsp;Nina Gunge Riberholt MD ,&nbsp;Connie Berthelsen MScN, PhD","doi":"10.1016/j.gerinurse.2026.103854","DOIUrl":"10.1016/j.gerinurse.2026.103854","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate and describe patients and their relatives’ experiences of participating in an initial geriatric outpatient assessment meeting during their temporary stay in a community rehabilitation facility.</div></div><div><h3>Methods</h3><div>The RADaR technique was used for data collection and analysis for this descriptive qualitative study. Six community rehabilitation facilities in a Danish region comprised the settings for the study where 15 semi-structured interviews were conducted with patients and their relatives from April to June 2024.</div></div><div><h3>Findings</h3><div>Four themes with inter-relations were found: Becoming personally involved by the geriatrician; Receiving a holistic geriatric assessment and plan; Collaborating with the geriatrician or the general practitioner; and Considering the geriatric outpatient assessment to benefit others.</div></div><div><h3>Conclusions</h3><div>The comprehensive outpatient geriatric assessment by a hospital geriatrician and nursing staff has vital importance for the elderly patients and their relatives in planning present and future care and treatment initiatives. This experience was supported by the personal presence of the geriatrician and an extensive knowledge about the patient.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103854"},"PeriodicalIF":2.4,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047516","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}