Clinical Journal of Sport Medicine最新文献

{"title":"Eye Conditions: Position Statement of the Association of Ringside Physicians.","authors":"Alex Houser, Mario Iglesias-Muñiz, Nduka Vernon, Ron Pelton, Kevin deWeber","doi":"10.1097/JSM.0000000000001324","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001324","url":null,"abstract":"","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881395","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":"Sports Medicine Physician Confidence in Concussion Assessments for Postconcussion Return-to-Play Decisions.","authors":"Jacob J Miller, Kelsey Hansen, Jason Dorman, Katie Jensen, Aarabhi Gurumoorthy, Josefine Combs","doi":"10.1097/JSM.0000000000001321","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001321","url":null,"abstract":"<p><strong>Objective: </strong>To identify sport-related concussion (SRC) assessments sports medicine physicians perform and in which they place confidence when making return-to-play (RTP) decisions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Participants: </strong>Active members of the American Medical Society for Sports Medicine (AMSSM) at the fellowship level or higher making RTP decisions following concussion within the last year.</p><p><strong>Interventions: </strong>An electronic REDCap survey gathering demographic and practice information and responses to clinical scenarios was sent to AMSSM members.</p><p><strong>Main outcome measures: </strong>The primary outcome was the SRC assessment(s) in which physicians expressed the most confidence for RTP decisions.</p><p><strong>Results: </strong>Four hundred thirty AMSSM members responded to the survey, 392 of which met inclusion criteria. The graded symptom checklist was rated the most useful test for making return-to-play decisions, and respondents felt most confident starting the RTP process if the graded symptom checklist was normal. An assessment was considered most useful if it closely reflected resolution of SRC's pathological processes. Computerized neurocognitive testing was most likely to be ignored if abnormal. An abnormal neurological examination made physicians feel least confident SRC had resolved.</p><p><strong>Conclusions: </strong>Sports medicine physicians view the graded symptom checklist as a useful tool for making RTP decisions. Physicians expressed less confidence in computerized neurocognitive testing to determine RTP readiness. This study uncovered reliance on symptom reporting by sports medicine physicians and an opportunity for the creation of concussion clinical decision tools.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853232","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":"Epidemiology of Musculoskeletal Injuries in Professional Ballet Dancers at the Opéra de Paris.","authors":"Xavière Barreau, Cyril Courtin, Sonia Ramos-Pascual, Ankitha Kumble, Mo Saffarini, Alexis Nogier","doi":"10.1097/JSM.0000000000001316","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001316","url":null,"abstract":"<p><strong>Objective: </strong>To describe the incidence, location, and type of musculoskeletal injuries in ballet dancers at the Opéra de Paris from 2018 to 2023 and to evaluate the effect of COVID-19 on injury incidence.</p><p><strong>Design: </strong>Descriptive Retrospective Study.</p><p><strong>Setting: </strong>Primary.</p><p><strong>Patients: </strong>Professional ballet dancers registered at the Opéra de Paris across 5 seasons (September 1, 2018-June 30, 2023).</p><p><strong>Independent variables: </strong>Demographics (age, body mass index, sex, rank).</p><p><strong>Main outcome measures: </strong>Injury data (duration, mechanism, location, and type).</p><p><strong>Results: </strong>The incidence proportion of musculoskeletal injuries ranged from 47.1% to 72.6% per season between 2018 and 2023. Dancers most commonly sustained foot (49.3%) and ankle (45.1%) injuries, with 75.6% of dancers sustaining a lower limb injury. Compared with the 2018 to 2019 season, the risk of a dancer sustaining an injury was significantly lower in the COVID-19 season (2019-2020) (OR, 0.34; 95% CI, 0.21-0.53; P < 0.001), while the risk of an injury resulting in time loss was significantly lower in the 2022 to 2023 season (OR, 0.42; 95% CI, 0.27-0.64; P < 0.001).</p><p><strong>Conclusions: </strong>The incidence of musculoskeletal injuries in professional ballet dancers was as high as 72.6% per season between 2018 and 2023, with the most common injury location being the foot and ankle. Compared with that in the 2018 to 2019 season, the risk of a dancer sustaining an injury was significantly lower in the COVID-19 season (2019-2020). These findings can help anticipate musculoskeletal injuries in professional ballet dancers and improve injury prevention programs, by developing targeted training schemes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827522","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":"Effect of Sleep Duration and Concussion History on Neurocognitive Testing Symptoms for Post-injury States.","authors":"Bahie Ezzat, Eugene Hrabarchuk, Michael Lemonick, Frederika Rentzeperis, Roshini Kalagara, Muhammad Ali, Matthew T Carr, Alexander J Schupper, Hanya M Qureshi, Sujay Ratna, Cole Brown, Gabriel Dara, Alex Gometz, Mark Lovell, Tanvir F Choudhri","doi":"10.1097/JSM.0000000000001323","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001323","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the influence of sleep duration and concussion history on postconcussion symptoms in adolescent athletes.</p><p><strong>Design: </strong>Observational retrospective study using the Immediate Post-Concussion Assessment and Cognitive Testing and Post-Concussion Symptom Scale (PCSS). Multivariable linear regression assessed sleep hours against 22 PCSS symptoms, controlling for demographic and health variables.</p><p><strong>Setting: </strong>Urban concussion centers in Colorado and Florida, 2009 to 2019.</p><p><strong>Participants: </strong>11 564 student-athletes aged 12 to 22, categorized by concussion history.</p><p><strong>Interventions: </strong>Analysis of sleep duration and concussion history in relation to neurocognitive and psychiatric symptom severity.</p><p><strong>Main outcome measures: </strong>Primary outcomes included neurocognitive, psychiatric, and total symptom scores. Secondary outcomes were specific PCSS symptoms.</p><p><strong>Results: </strong>Among 5349 student-athletes, 2671 (49.9%) had no prior concussions and 2678 (50.1%) had 1 or more. For those without prior concussions, sleep was negatively associated with age (β = -0.18, 95% confidence interval [CI], -0.22 to -0.13, P < 0.0001), vomiting (β = -0.22, 95% CI, -0.38 to -0.05, P = 0.012), and difficulty concentrating (β = -0.11, 95% CI, -0.19 to -0.35, P = 0.005). In athletes with a history of concussion, less sleep correlated with decreased age (β = -0.11, 95% CI, -0.14 to -0.07, P < 0.0001), headache (β = -0.065, 95% CI, -0.12 to -0.01, P = 0.031), irritability (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.021), and difficulty concentrating (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.031) but increased sensitivity to light (β = 0.10, 95% CI, 0.001-0.137, P = 0.048), numbness/tingling (β = 0.15, 95% CI, 0.04-0.26, P = 0.008), and feeling slowed down (β = 0.13, 95% CI, 0.05-0.21, P = 0.001).</p><p><strong>Conclusion: </strong>Sleep duration and concussion history are associated with variations in postconcussion symptom severity among adolescent athletes. This data underscore the need for individualized management strategies based on sleep patterns and concussion history.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812248","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 Survey of US Collegiate Student-Athletes and Athletic Trainers on Sports-Related Concussion Knowledge and Reporting Habits.","authors":"Sydnie Vo, Yone-Kawe Lin, Chathura Siriwardhana, Andrew W Nichols","doi":"10.1097/JSM.0000000000001318","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001318","url":null,"abstract":"<p><strong>Objective: </strong>To assess sports-related concussion (SRC) knowledge levels in US collegiate student-athletes (S-As) and athletic trainers (ATs) and identify factors that influence reporting of SRC by S-As.</p><p><strong>Design: </strong>Cross-sectional, retrospective study.</p><p><strong>Setting: </strong>University training room/clinic visits.</p><p><strong>Participants: </strong>National Collegiate Athletics Association Division 1 S-As and ATs.</p><p><strong>Interventions: </strong>A survey consisting of demographics, SRC knowledge, prior SRC history, and reporting habits.</p><p><strong>Main outcome measures: </strong>Sports-related concussion knowledge scores, SRC reporting habits.</p><p><strong>Results: </strong>Response rates were 67% (350/520) for S-As and 100% (11/11) for ATs. S-As represented 21 sports (mean age 20.3 years, range 18-24, 54% male). Sports-related concussion knowledge scores were lower in male S-As (median 73%; interquartile range [IQR] 55%-85%) than in female S-As (79%; 55%-88%) (P < 0.05). Sports-related concussion knowledge scores differed between collision/contact (C/C) sport (79%; 67%-86%) and noncontact (NC) sport (73%; 55%-83%) S-As (P < 0.05). Twenty-nine percent (n = 102) of the S-As experienced a prior SRC, of which 67% (n = 68) reported their injury to a medical/authority figure. Male and C/C S-As were significantly less likely to report SRC than female, limited-contact, or NC sport S-As. Sports-related concussion knowledge scores were higher in ATs (97%; 89%-99%) than in S-As (76%; 55%-85%) (P < 0.001).</p><p><strong>Conclusions: </strong>S-As have variable levels of SRC knowledge, with female and C/C sport S-As scoring the highest. Most S-As with prior SRC reported these to a medical/authority figure, but male and C/C sport S-As were less likely to do so. As expected, ATs have higher SRC knowledge than S-As.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812247","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":"Experience of Orofacial Injuries and Use of Mouthguards - A Survey in German Elite Sport.","authors":"Cordula Leonie Merle, Theresa Antonia Rott, Angelika Rauch, Bernd Wolfarth, Jan Wüstenfeld, Rainer Haak, Gerhard Schmalz, Dirk Ziebolz","doi":"10.1097/JSM.0000000000001302","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001302","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the experience of orofacial injuries and sports mouthguard use in German elite athletes.</p><p><strong>Design: </strong>A questionnaire-based cross-sectional study was conducted.</p><p><strong>Setting: </strong>The data were collected at the Institute of Applied Training Science (IAT, Leipzig, Germany) that provides regular primary care for elite athletes.</p><p><strong>Participants: </strong>German elite athletes (18-35 years) from different disciplines with completed questionnaire on oral health in sports between May 2020 and April 2021 were included.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Number of dental, oral, and facial injuries during sports career and mouthguard use (received information, ownership, frequency) were assessed and compared between disciplines with different risks for orofacial trauma.</p><p><strong>Results: </strong>In total, questionnaires of 337 athletes (23 ± 4 years, 50% female) were included. Disciplines were classified into high (HT, n = 20), medium (MT, n = 48), and low (LT, n = 269) risk for orofacial trauma. Substantial rates of injuries were identified; especially a lot of HT athletes reported orofacial injuries (HT: 55%, MT: 31%, LT: 17%; P ≤ 0.076) and dental injuries (HT: 30%, MT: 10%, LT: 7%; P ≤ 0.028). Mouthguards were rare (HT: 25%, MT: 0%, LT: 3%).</p><p><strong>Conclusions: </strong>There is a need for more prevention of orofacial injuries in German elite sports for both HT and MT.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766909","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":"Delayed Presentation of a Pseudocyst After Endoscopic Lumbar Discectomy and Its Recurrence in a Professional Biathlon Athlete: A Case Report and Literature Review.","authors":"Henri d'Astorg, Sunil N Reddy, Thais Dutra Vieira, Xavier Castel, Vincent Fière, Marc Szadkowski","doi":"10.1097/JSM.0000000000001314","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001314","url":null,"abstract":"<p><strong>Abstract: </strong>In this case report, we encountered a pseudocyst as a complication of endoscopic lumbar discectomy in a high-level athlete within 3 months, which is atypical according to the literature. The recurrence of this pathology is even rarer, in this case, the patient presented a recurrence of the pseudocyst after resection. This case report outlines a review of the patient's clinical report, imaging, operative procedure, and complications, together with a literature review on pseudocysts after endoscopic lumbar discectomy.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766907","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":"Sleep Disturbances and Risk of Sports Injury Among Collegiate Student-Athletes.","authors":"Brett A Messman, Kyla A Petrie, E Whitney G Moore, Trent A Petrie","doi":"10.1097/JSM.0000000000001278","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001278","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine the relationship between collegiate student-athletes' sleep and injury status.</p><p><strong>Design: </strong>This study was a secondary analysis of observational survey data of student-athletes collected across 2 time periods, October 2020 and January 2021.</p><p><strong>Setting: </strong>Data were collected as part of an ongoing national (USA) longitudinal survey investigating student-athletes' well-being in the aftermath of the COVID-19 pandemic.</p><p><strong>Participants: </strong>Participants were made-up of a subsample of participants from the parent study. Data from 89 exact matched pairs (across 5 demographics) of injured and noninjured student-athletes (68.5% NCAA Division I, 82.0% women) were assessed.</p><p><strong>Independent variables: </strong>Student-athletes' sleep disturbance levels were the primary independent variable of interest. Analytic models also covaried for gender, racial, and ethnic identities, sport in-seasons, and previous injury status.</p><p><strong>Main outcome measures: </strong>Participant endorsed injury status was the main outcome measure of interest. Hypotheses were formulated during the data collection of the parent study.</p><p><strong>Results: </strong>Student-athletes injured in January 2021 reported higher average sleep disturbances in both October 2020 and January 2021 than noninjured student-athletes but not student-athletes injured in October. In addition, October 2020 sleep disturbances were a significant predictor (P = 0.007) of injury, such that odds of student-athletes being injured increased 1.07 times for each unit increase in their sleep disturbances controlling for their identities, sport in-season, and previous injury status.</p><p><strong>Conclusions: </strong>Findings signal support for the screening and targeting of student-athletes' sleep problems to reduce potential occurrences of sports-related injuries in student-athletes.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766188","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":"Identifying Preferences for Exercise and Sport in Australians With Mild Multiple Sclerosis: Looking Beyond Clinical Characteristics when Implementing Exercise Interventions.","authors":"Shavaughn L Baynton, Georgios Mavropalias, Kaur Inderpreet, Fleur van Rens, Yvonne C Learmonth","doi":"10.1097/JSM.0000000000001310","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001310","url":null,"abstract":"<p><strong>Objective: </strong>Exercise is a salient component in delaying disability progression in multiple sclerosis (MS). This study considers personal preferences regarding exercise program prescription and the resources needed to facilitate exercise.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Community online, Australia.</p><p><strong>Participants: </strong>Adults with MS.</p><p><strong>Independent variables: </strong>Participants completed online questionnaires on current exercise and sport, and preferences toward exercise prescription variables, facilitative resource needs, and delivery method.</p><p><strong>Main outcomes: </strong>We established preference responses for the entire sample, and separately, we used logistic regression and analysis of variance to compare preferences between participants stratified according to (1) geographical rurality (ie, metro vs rural and remote) and (2) current exercise engagement (ie, active, moderately active, and insufficiently active).</p><p><strong>Results: </strong>Fifty people with a diagnosis of MS completed the survey. Participants had mild disability; most were metro-dwelling (74%) and physically active (58%). Preferences included a program of at least 6 months (70%), where exercise sessions are performed 5 d/wk (38%) at a moderate intensity (50%). Half (50%) of responders wanted to participate in sports for exercise. There was a significant difference in the preference toward higher-intensity exercise in active persons compared with inactive persons. Facilitative resources selected included a behavioral exercise coach (80%) who provides MS-specific information (46%) and behavioral change strategies (41%).</p><p><strong>Conclusions: </strong>Persons with mild MS are interested in participating in various exercises and sports. Encouraging participation will have long-term benefits. We recommend that HCPs and researchers consider individual social factors, in addition to patient symptoms and disability, when designing exercise programs for an Australian MS population.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142726581","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 Systematic Review of Sports-Related Concussion Education Programs: Design, Outcomes, and Recommendations.","authors":"Abid Hussain, Dominic Malcolm, Muhammad Tausif","doi":"10.1097/JSM.0000000000001309","DOIUrl":"https://doi.org/10.1097/JSM.0000000000001309","url":null,"abstract":"<p><strong>Objective: </strong>This systematic literature review was undertaken to identify the main design features of sport-related concussion (SRC) education programs, examine their outcomes, and consider the relationship between design and effectiveness.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Main outcome measures: </strong>Studies which report on educational interventions (a dedicated in-person or online teaching session) that purport to change knowledge, attitudes, and/or behavior toward sports-related concussion. Searches were performed across 5 databases.</p><p><strong>Results: </strong>Out of the 9192 records that were initially screened, 28 retrieved studies were identified. The review found considerable diversity in the content, mode of delivery, and aims of SRC education programs. Sport-related concussion programs were largely successful in increasing recipients' knowledge, but these gains were often transitory, and stronger among adults than among children. There was little evidence of a tangible impact on behavior.</p><p><strong>Conclusions: </strong>We recommend that future research should (1) seek to clarify what constitutes achievable goals for education programs, (2) move toward better intervention standardization through greater consolidation and coordination of the field, (3) feature explicit attempts to tailor interventions to specific target audiences, and (4) ensure the greater involvement of participants in the creation and design of SRC educational interventions.</p>","PeriodicalId":10355,"journal":{"name":"Clinical Journal of Sport Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945782","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}