Clinical Journal of Sport Medicine最新文献

{"title":"Exploring Predictors of Brace-Wearing Adherence in Non-Surgical Treatment of Acute Knee Medial Collateral Ligament Injuries.","authors":"Dana J Hunter, Amanda M Black, S Nicole Culos-Reed, Victor M Y Lun, Nicholas G Mohtadi","doi":"10.1097/JSM.0000000000001315","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001315","url":null,"abstract":"<p><strong>Objectives: </strong>(1) To estimate adherence to brace wearing for medial collateral ligament (MCL) injuries across 3 phases of conventional treatment and (2) to explore predictors of adherence for each phase.</p><p><strong>Design: </strong>Exploratory cohort study.</p><p><strong>Setting: </strong>Primary care center.</p><p><strong>Patients: </strong>Fifty-nine patients aged 18 to 65 (27 men, 32 women) from a randomized clinical trial examined the effectiveness of 2 bracing techniques (0-90 degrees or 30-90 degrees) for acute isolated MCL or combined anterior cruciate ligament injuries. Patients were prescribed a 6-week bracing protocol and were followed for 12 weeks.</p><p><strong>Interventions: </strong>Patients were prescribed constant brace wearing for 4 weeks (∼23 h/d), then daytime wear only (∼15 h/d) until brace discontinuation at 6 weeks. Rehabilitation exercises were prescribed from 2 weeks onward. Adherence to the protocol was assessed through daily self-reported logs. Clinical and patient-reported outcomes were collected throughout the randomized clinical trial (baseline, 2, 4, and 6 weeks). This study interpreted them as predictor variables of treatment adherence alongside patient and treatment characteristics.</p><p><strong>Main outcome measures: </strong>Adherence to each 2-week phase, interpreted dichotomously (adherer or nonadherer). Adherers were identified as those who wore their brace according to the protocol.</p><p><strong>Results: </strong>Adherence and pain decreased, while overall knee ratings improved throughout the treatment. Pain, affected knee, and brace range-of-motion settings were significant predictors of adherence in the exploratory logistic regressions.</p><p><strong>Conclusions: </strong>Pain, affected knee, and brace range-of-motion settings were the primary predictors of brace wearing in the first 4 weeks of treatment. This study is the first to provide insight into MCL bracing adherence, potentially aiding clinicians in treatment management.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699867","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":"Long-Term Brain Health Outcomes in Females With a History of Contact Sports: A Cross-Sectional Survey Analysis.","authors":"Grant H Rigney, John E Dugan, Anthony E Bishay, Jacob Jo, Soren Jonzzon, Kristen L Williams, Scott L Zuckerman, Douglas P Terry","doi":"10.1097/JSM.0000000000001338","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001338","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether female sex is associated with higher lifetime concussion risk and if years of contact sport participation and/or concussion history are associated with negative long-term cognitive and psychiatric difficulties in females compared with males.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>ResearchMatch, a national health-based volunteer registry.</p><p><strong>Participants: </strong>A total of 330 participants (111 females) with contact sport exposure.</p><p><strong>Interventions: </strong>Participants reported lifetime concussion history, age of first exposure, and duration of contact sport exposure.</p><p><strong>Main outcome measures: </strong>Lifetime concussion history, depressive symptoms (PHQ-9), anxiety symptoms (GAD-7), and cognitive symptoms (BC-CCI).</p><p><strong>Results: </strong>Of 330 participants (N = 111 females), 57.1% of females reported at least one concussion. Females had fewer years of contact sport exposure than males (6.0 ± 4.5 vs 8.5 ± 8.9 years; P < 0.001). Age of first exposure was similar between sexes (females: 11.7 ± 8.9 years; males: 11.5 ± 5.3 years; P = 0.779). Female sex was not associated with a positive lifetime concussion history (OR = 1.13; 95% CI, 0.66-1.93; P = 0.662). Total years of contact sport exposure did not predict lifetime concussion history in females (OR = 1.02; 95% CI, 0.94-1.11; P = 0.667) but did in males (OR = 1.05; 95% CI, 1.01-1.10; P = 0.020). Increased lifetime concussions predicted increased late-life depressive, anxiety, and cognitive symptoms in both sexes.</p><p><strong>Conclusions: </strong>Female sex was not associated with a higher likelihood of having a lifetime concussion history. Total years of contact sport exposure did not predict lifetime concussion risk in females but did in males. Increased lifetime concussions were associated with higher late-life depressive, anxiety, and cognitive symptoms in both sexes.</p><p><strong>Clinical relevance: </strong>These findings highlight the importance of considering sex-specific differences in assessing long-term cognitive and psychiatric risks in former athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699868","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":"Who Is Keeping Score: The Effect of a Mercy Rule on Head Impact Rates in Canadian High School Tackle Football Games.","authors":"Mark Patrick Pankow, Reid Syrydiuk, Ash T Kolstad, Christopher R Dennison, Martin Mrazik, Brent E Hagel, Carolyn Emery","doi":"10.1097/JSM.0000000000001345","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001345","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between the Mercy Rule (MR) and head impact incidence rates (IRs) in Canadian high school football games.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Calgary, Canada.</p><p><strong>Participants: </strong>Two high school football teams (ages 15-16 years) had a total of 16 team-games videorecorded and analyzed.</p><p><strong>Interventions: </strong>The MR mandates continuous running time in the second half of games when the score differential is 35 points or greater.</p><p><strong>Main outcome measures: </strong>Head impact IRs and incidence rate ratios (IRRs) were used to compare head impact rates in MR and non-MR games.</p><p><strong>Results: </strong>Mercy Rule games had 28% fewer plays, and the head impact IR per team-game was 27% lower [IRR, 0.73; 95% confidence interval (CI), 0.61-0.89] in MR games (IR, 241.67; 95% CI, 199.24, 293.13) than in non-MR games (IR, 328.91; 95% CI, 313.04, 345.57). Across all games (MR and non-MR), running plays accounted for more than half of all head impacts, and the head impact rates for running plays exceeded all other play types except for a sack of the quarterback. Players engaged in blocks (blocking or being blocked) accounted for 68.90% of all recorded head impacts. The highest proportion of impacts involved the front of the helmet (54.85%). There was no difference in head impact rates by player-play comparing MR and non-MR games (IRR, 1.01; 95% CI, 0.85, 1.19).</p><p><strong>Conclusions: </strong>Given the concerns for potential long-term consequences of repetitive head impacts, the MR is a prevention strategy by which head impact rates can be significantly lowered when a significant score differential exists.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656269","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":"Analysis of Higher Education Athletic Department COVID-19 Testing: A Comparison of Screening Versus Testing-Based Protocols.","authors":"Kasey Stickler, John Castillo, Andy Gilliland, John Roth, Andrew Brown, Adam M Franks, David Rupp","doi":"10.1097/JSM.0000000000001348","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001348","url":null,"abstract":"<p><strong>Objective: </strong>To determine efficacy of screening-based versus testing COVID-19 management protocols.</p><p><strong>Design: </strong>Retrospective analysis.</p><p><strong>Setting: </strong>Athletic departments of a National Association of Intercollegiate Athletics (NAIA) and National Collegiate Athletic Association (NCAA) Division I institution.</p><p><strong>Patients: </strong>All student-athletes (n = 303 and 437) and staff (n = 34 and 291) within the NAIA and NCAA athletic departments. Total cohort (n = 1065).</p><p><strong>Interventions: </strong>The authors analyzed the independent variables of screening and testing rates.</p><p><strong>Main outcome measures: </strong>Dependent variables of positive rates, percent positive rates, competition missed, and cost were analyzed.</p><p><strong>Results: </strong>The screening-based protocol (n = 20 798) generated 139 tests and a percent positive rate of 10.07% for student-athletes. Half of the staff (17 of 34) also had positive results. Protocol costs were $45,038 and 29 games were missed among all teams. The testing-based protocol did not screen but tested student-athletes 14 837 times, which resulted in 158 positives (P < 0.00001) and a percent positive rate of 1.06%. Only 14.37% (43 of 291) of staff tested positive (P < 0.00001). Protocol costs were $1,616 570 and 43 games were missed among all teams.</p><p><strong>Conclusions: </strong>The testing-based protocol protected student-athletes and staff better than the screening-based protocol, but at >35 times the cost. Neither protocol resulted in severe infections necessitating hospitalizations, and fewer games were missed in the screening-based protocol. Because institutions have different levels of financial support, varied but viable protocols are needed.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656257","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":"Phenotype of Achilles Tendon Ultrasonographic Abnormalities and Their Relationship to Future Time-Loss Injury.","authors":"Daniel M Cushman, Andrew S Nowak, W Reed Cone Le Beaumont, Derek Stokes","doi":"10.1097/JSM.0000000000001342","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001342","url":null,"abstract":"<p><strong>Objective: </strong>To identify specific tendon morphologies on ultrasonography of the Achilles tendon (AT) that later develop time-loss injury.</p><p><strong>Design: </strong>Blinded post hoc analysis of a 2-year prospective, observational study of 944 AT sonographic videos to identify morphologic characteristics of diagnosed Achilles tendinopathies associated with future time-loss injury. The second year was used to validate the findings from the first year.</p><p><strong>Setting: </strong>N/A.</p><p><strong>Patients/participants: </strong>Four hundred seventy-three National Collegiate Athletic Association student-athletes from 3 institutions over 2 years of data collection (57.7% females; 20.1 ± 1.6 years of age; 23.1 ± 2.8 kg/m2 of body mass index; 9.4 ± 3.6 years of sport experience).</p><p><strong>Interventions/assessment of risk factors: </strong>Particular tendon morphologies were used to develop 3 ultrasonographic imaging rules that were used to predict AT injury leading to time loss in sport.</p><p><strong>Main outcome measures: </strong>Positive predictive value (PPV) and negative predictive values of particular tendon morphologies associated with the development of time-loss injury within 1 year.</p><p><strong>Results: </strong>One of 3 morphologies, a deep mid-substance focal hypoechogenic area, was validated on 2 separate data sets and found to have a 33.3% PPV in both years for the development of time-loss injury.</p><p><strong>Conclusion: </strong>Results suggest a specific phenotype of sonographic abnormality of the AT that suggests a 1-in-3 chance of developing time-loss injury within a year. Detecting abnormality of future AT before symptoms develop may allow for rehabilitation strategies to prevent or reduce time-loss.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604147","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":"Ocular Pathologies Affecting Winter Sport in Para Athletes: A Cohort Study of the Sochi 2014 and Pyeongchang 2018 Paralympic Winter Games.","authors":"Phoebe Runciman, Lovemore Kunorozva, Ali Ganai, Wayne Derman","doi":"10.1097/JSM.0000000000001339","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001339","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the present study was to describe eye illness among athletes with disability.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Sochi 2014 and Pyeongchang 2018 Paralympic Winter Games.</p><p><strong>Participants: </strong>Five hundred forty-seven athletes over 12 days (6564 athlete days) at Sochi 2014 and 567 athletes over 12 days (6804 athlete days) at Pyeongchang 2018 Paralympic Winter Games.</p><p><strong>Interventions: </strong>All athletes with eye illnesses presented themselves to the team physicians via the WEB-IISS and/or polyclinic staff via the local polyclinic services (ATOS system).</p><p><strong>Main outcome measures: </strong>Incidence of eye illnesses per 1000 athlete days. Descriptive statistics, including the number and proportion of illnesses, broken down by sport, age, sex, type of impairment, medical diagnosis, medical decision, and anticipated time loss (in days).</p><p><strong>Results: </strong>Seventy five percent of eye illnesses were reported in male Para athletes. Athletes participating in Ice hockey (61%) accounted for two-thirds of all eye illnesses across all sports reported during the 2 Winter Games. Most eye illnesses were reported in athletes with limb deficiency (66%), visual impairment (21%), and spinal cord injury (10%). Environmental eye illnesses (24%), allergic conjunctivitis (21%), corneal erosion (7%), and infective conjunctivitis (7%) were the most frequently reported diagnoses.</p><p><strong>Conclusion: </strong>Eye illnesses are prevalent in the Paralympic Winter Games across athletes of various ages and genders, with a higher incidence observed among male Para athletes. Ice hockey was highlighted as the sport with the highest reported cases of eye illnesses, with conditions affecting various anatomical areas of the eye.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540295","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":"Using Dissemination and Implementation Science to Optimize Knowledge Translation in Sports Medicine and Related Fields: A Focus on Hybrid Research Approaches.","authors":"Oluwatoyosi B A Owoeye, Amanda M Black, Ross C Brownson","doi":"10.1097/JSM.0000000000001340","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001340","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540299","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":"Are Elbow Osteochondritis Dissecans Lesions Different for Gymnasts and Baseball Players?","authors":"Morgan R Hadley, Olivia K Pruss, Jonathan R Warren, Brian S Harvey, Donna M Pacicca","doi":"10.1097/JSM.0000000000001336","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001336","url":null,"abstract":"<p><strong>Objective: </strong>Gymnasts and baseball players have different mechanisms of loading their elbows, and there is little data comparing osteochondritis dissecans (OCD) lesions between these 2 sports. Our objective is to compare the clinical and imaging characteristics of elbow OCD lesions between weight-bearing and throwing athletes.</p><p><strong>Design: </strong>Review from 2015 to 2022.</p><p><strong>Setting: </strong>Sports medicine clinics at a large academic center.</p><p><strong>Patients: </strong>Thirty-four patients were included.</p><p><strong>Independent variables: </strong>Patients were divided into 2 groups: gymnastics and baseball.</p><p><strong>Main outcome measures: </strong>Location of elbow OCD lesion on the capitellum, stability of lesion, lesion size, and the presence of a radial head deformity.</p><p><strong>Results: </strong>Twenty-two (65%) baseball players and 12 (35%) gymnasts were included with 97% (33/34) of athletes presenting with a capitellar lesion. Seventy-six percent of athletes had a radial head deformity with no difference in frequency between groups ( P = 0.61). There was also no difference in frequency of lesion instability ( P = 0.56) or lesion size. Baseball players had a higher frequency of lesions located anteriorly on the capitellum compared with gymnasts (28% vs 0%, P = 0.02), and gymnasts had a higher frequency of lesions located centrally (24% vs 58%, P = 0.02). Gymnasts had significantly different presenting symptoms ( P = 0.03) with a higher frequency of isolated pain.</p><p><strong>Conclusions: </strong>There are no significant differences in the size, stability, or location of OCD lesions in weight-bearing and throwing athletes. The presence of an associated radial head deformity was seen on most radiographs without any difference between sport. Lesion location and symptoms at presentation are significantly different between gymnastics and baseball.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540281","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 Comparison of Suspected Injuries, Suspected Concussions, and Match Events in Male and Female Canadian High School 15s and 7s Rugby.","authors":"Taylor M Price, Stephen W West, Isla J Shill, Sharief Hendricks, Keith A Stokes, Carolyn A Emery","doi":"10.1097/JSM.0000000000001337","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001337","url":null,"abstract":"<p><strong>Objective: </strong>To compare match event rates and suspected injury and concussion rates between 7-a-side (7s) and 15-a-side (15s) female and male high school rugby union players using video analysis (VA).</p><p><strong>Design: </strong>Cross-sectional video analysis study.</p><p><strong>Setting: </strong>Alberta high school rugby competitions.</p><p><strong>Participants: </strong>Senior high school rugby players (ages 14-18 years) in Calgary, Alberta, participating in the March to June 2022 season.</p><p><strong>Assessment of risk factors: </strong>Video analysis of high school rugby matches in 7s and 15s.</p><p><strong>Main outcome measures: </strong>Univariate Poisson regression analyses were used to determine rates of match events, video-identified suspected injuries, and suspected concussions per 1000-player-hours. Incidence rates and incidence rate ratios (IRR) were used to compare between 7s and 15s (15s referent group) and females and males (male referent group).</p><p><strong>Results: </strong>Suspected injury rates ranged from 115.0 to 223.6/1000 match hours, while suspected concussion rates ranged from 61.5 to 93.2/1000 hours. The male 7s cohort reported the highest suspected injury and suspected concussion rate, with no significant differences between male or female cohorts across formats. The tackle accounted for 84.6% of all injuries. Despite 30% more tackles in female compared with male 15s, tackle-related injury rates were similar between sexes [IRR = 1.1 (95% CIs: 0.7-1.6)].</p><p><strong>Conclusions: </strong>This study did not find any differences in suspected injury or suspected concussion rates between sexes or formats of the game. The proportion of injuries recorded in the tackle and the high reported suspected injury rates does suggest the need for further investigation into tackle proficiency, injury prevention intervention evaluation, and potential law changes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540277","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":"Loss of Consciousness in Judo: Not Always a Concussion.","authors":"Kabir Singh, Nikos Malliaropoulos, Mike Callan, Akira Ikumi, Nicola Maffulli","doi":"10.1097/JSM.0000000000001281","DOIUrl":"10.1097/JSM.0000000000001281","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":"101-102"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459588","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}