GerodontologyPub Date : 2025-10-03DOI: 10.1111/ger.70018
Norhasnida Nordin, W Murray Thomson, Jonathan M Broadbent, Moira B Smith, Rosemary Gibson
{"title":"Material Well-Being, Oral Health and Affordability of Dental Care in Late-Middle-Aged New Zealanders.","authors":"Norhasnida Nordin, W Murray Thomson, Jonathan M Broadbent, Moira B Smith, Rosemary Gibson","doi":"10.1111/ger.70018","DOIUrl":"https://doi.org/10.1111/ger.70018","url":null,"abstract":"<p><strong>Background: </strong>Little is known about oral health among New Zealanders in late middle age. Planning for the needs of older people should be informed by adequate information on the oral health and dental service use of those who will be entering old age. Accordingly, we investigated material well-being-related inequalities in self-reported oral health, self-care and dental care affordability among late-middle-aged New Zealanders.</p><p><strong>Method: </strong>This study was based on an analysis of data from the New Zealand Health, Work, and Retirement (HWR) 2016 study focused on its 6th biennial wave (2016-2018). There were 1952 participants (58% female) aged 55-64 years. Key dependent variables were self-reported oral health, chewing ability and the perceived affordability of dental care. The exposure variable of interest was material well-being, controlling for other socio-economic status (SES) measures (household income and educational qualifications). Cross-tabulations and logistic regression estimated the associations between financial and material well-being and the oral-health-related variables.</p><p><strong>Results: </strong>Approximately 90% of participants had retained at least one natural tooth, and over half had more than 20 teeth remaining (functional dentition). Approximately 70% reported having good oral health. There were consistent gradients in self-rated oral health and dentition status by education level, household income and material well-being, with higher proportions among those who were better off. Just under one third of participants (30%) reported experiencing issues with dental care affordability. Material well-being showed the strongest associations with the abovementioned aspects of oral health and access to dental care than the other SES measures.</p><p><strong>Conclusion: </strong>The findings provide important evidence of the association between material well-being in oral health and access to dental care.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212310","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}
GerodontologyPub Date : 2025-09-26DOI: 10.1111/ger.70023
Amina Maria Geibel, Constanze Keutel, Daniela Kildal, Margrit-Ann Geibel
{"title":"Mobile Dental Radiology-Evaluation of Quality Requirements for Radiographs Applying Handheld Mobile Radiography.","authors":"Amina Maria Geibel, Constanze Keutel, Daniela Kildal, Margrit-Ann Geibel","doi":"10.1111/ger.70023","DOIUrl":"https://doi.org/10.1111/ger.70023","url":null,"abstract":"<p><strong>Background: </strong>Radiography is required in domiciliary dentistry in order to ensure accurate diagnosis, but the available devices have not yet been approved due to a lack of research regarding the quality of single tooth radiography.</p><p><strong>Aim: </strong>To examine dental radiographs taken using the mobile X-ray device (Nomad Pro 2, Envista, Brea, CA) with regard to their quality, examinability and their benefit for treatment planning in mobile dentistry.</p><p><strong>Methods: </strong>The image quality of radiographs using a mobile handheld X-ray system was assessed. The quality criteria catalogue of the German Dental Association was applied.</p><p><strong>Results: </strong>Of 127 dental radiographs, 80% (101) showed no quality defects. Diagnosis-relevant quality defects were found in 17% (21). 61% (78) of radiographs had clinically relevant secondary findings that had an influence on further dental treatment and on the prognosis of the teeth.</p><p><strong>Conclusions: </strong>Dental care in nursing homes presents significant challenges, particularly regarding oral preventive medicine. Surgical procedures are legally contestable without dental radiology, and this raises professional and ethical concerns. Mobile dental radiology is an important component of treatment in mobile dentistry. Unexpected findings such as apical osteolysis or root remnants can only be identified and treated by means of radiography.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148666","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":"The Associations of Social Determinants and Medical Conditions With Edentulism in Indonesia's Aging Population.","authors":"Mustika Arini, Ahmad Watsiq Maula, Rahmi Khairani Aulia, Renaissa Prithasuri Darajati, Judy Chia-Chun Yuan, Cortino Sukotjo","doi":"10.1111/ger.70020","DOIUrl":"https://doi.org/10.1111/ger.70020","url":null,"abstract":"<p><strong>Objective: </strong>To describe edentulism and its associations in older adult Indonesians.</p><p><strong>Background: </strong>Indonesia is the fourth largest population in the world, with a total population of 274.859 million people in 2022. The prevalence of edentulism was 7.2% in 2018. The population aged 60 and above was around 9.6% in 2019 and is projected to reach around 20% by 2045.</p><p><strong>Methods: </strong>The data were obtained from the most recent Indonesian Family Life Survey (IFLS-5), which investigated edentulism in individuals aged 65 and older. The exposure variables were social determinants of health and medical conditions, with the outcome being edentulism status. Log binomial regression was used to estimate the prevalence ratio.</p><p><strong>Results: </strong>The overall weighted prevalence of edentulism was 15.7% (95% CI = 13.5-18.1). The sample comprised 2598 respondents aged 65 years or above. The prevalence of edentulism was 2.1 times higher in individuals over 75 years old. Higher education is linked to a lower prevalence of tooth loss. Insurance holders had a 20% lower prevalence. Hypertension increased prevalence by 20%, and chronic lung disease raised it by 1.5 times. Multivariate analysis confirmed significant interactions between education, economic status and age, affecting edentulism rates.</p><p><strong>Conclusion: </strong>The social determinants of health (education level, economic status, insurance and age) and medical conditions influenced the prevalence of edentulism in Indonesia's aging population. Addressing these upstream factors is essential for reducing oral health disparities and improving population-level oral health outcomes.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145112589","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}
GerodontologyPub Date : 2025-09-19DOI: 10.1111/ger.70022
Aster De Vleeschauwer, Ellen Baele, Fien Mertens, Natalie Hoste, Louise Poppe, Peter Pype, Barbara Janssens
{"title":"Oral Care Experiences of Home-Dwelling Frail Older Adults in Flanders, Belgium-A Qualitative Study.","authors":"Aster De Vleeschauwer, Ellen Baele, Fien Mertens, Natalie Hoste, Louise Poppe, Peter Pype, Barbara Janssens","doi":"10.1111/ger.70022","DOIUrl":"https://doi.org/10.1111/ger.70022","url":null,"abstract":"<p><strong>Introduction: </strong>Frailty has a profound negative impact on the abilities to perform daily oral hygiene and to regularly attend a dental professional. To inform effective oral care and oral health services for older adults, this research aimed to explore frail, home-dwelling older adults' experiences, needs, and barriers to daily oral hygiene and professional care.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with twenty-seven home-dwelling frail older adults in Belgium. Interviews were analysed using a reflexive thematic approach.</p><p><strong>Results: </strong>Three themes were identified: 'importance of oral healthcare'; 'performing daily oral hygiene'; and 'seeking professional care'. All participants confirmed the importance of maintaining good oral health. Nevertheless, daily oral hygiene was often not performed as the latest guidelines recommend. Functional independence was considered an important issue, and participants expressed reluctance to ask home care nurses for help. Opinions on the usefulness of preventive dental visits were mixed.</p><p><strong>Conclusion: </strong>The findings highlight a gap between older adults' oral health knowledge or practices and the awareness of its importance. Consequently, efforts are needed to enhance older adults' self-efficacy in oral care. Non-oral healthcare providers could play a key role in encouraging and referring older adults to oral health professionals.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085785","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}
GerodontologyPub Date : 2025-09-19DOI: 10.1111/ger.70019
Maud Jonker, Coos Engelsma, David J Manton, Anita Visser
{"title":"Caregivers' Experiences With Involuntary Oral Care for Individuals With Dementia Within the Dutch Care and Coercion Act.","authors":"Maud Jonker, Coos Engelsma, David J Manton, Anita Visser","doi":"10.1111/ger.70019","DOIUrl":"https://doi.org/10.1111/ger.70019","url":null,"abstract":"<p><strong>Background: </strong>Individuals with dementia frequently show care-resistant behaviour toward the provision of oral care. Providing oral care despite care-resistant behaviour is legally considered to be involuntary oral care. In the Netherlands, the provision of involuntary oral care to incapacitated individuals with dementia is regulated by the Care and Coercion Act (CCA) since 2020.</p><p><strong>Objective: </strong>This study aimed to assess how care providers experienced the CCA in the context of involuntary oral care for individuals with dementia.</p><p><strong>Methods: </strong>32 one-on-one semi-structured interviews were conducted with different care providers involved in oral care for incapacitated individuals with dementia.</p><p><strong>Results: </strong>Through the interviews, multiple experiences concerning the CCA were identified. These experiences were related to: (1) awareness of involuntary care, (2) implementation of the law, (3) definitions, (4) circumvention of the law and (5) responsibility for involuntary care.</p><p><strong>Conclusion: </strong>The CCA creates awareness about involuntary oral care among care providers. However, many care providers view the legal definitions differently, causing variation in the interpretations and applications of the legislation. Also, several care providers feel that the law could result in quicker discontinuation of oral care provision. Care organisations and policymakers should provide clarity concerning the legal definitions and provide training on legislation and the provision of oral health care in cases of care-resistant behaviour.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085787","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}
GerodontologyPub Date : 2025-09-19DOI: 10.1111/ger.70015
Qiuping Zhou, Reinhard Chun Wang Chau, Hui Min Chen, Hui Chen, Colman McGrath
{"title":"Edentulism and Its Rehabilitation Among Older People in China.","authors":"Qiuping Zhou, Reinhard Chun Wang Chau, Hui Min Chen, Hui Chen, Colman McGrath","doi":"10.1111/ger.70015","DOIUrl":"https://doi.org/10.1111/ger.70015","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the prevalence of edentulism and its rehabilitation in China's older population and describe socio-demographic differences in edentulism and rehabilitation.</p><p><strong>Methods: </strong>Secondary analyses of the China Health and Retirement Longitudinal Study (CHARLS). Bivariate and regression analyses were performed.</p><p><strong>Results: </strong>The weighted prevalence of edentulism was 26.0% (95% CI 24.8-27.2). Approximately two-thirds of edentulous elders had been rehabilitated (63.6%, 95% CI 57.4-69.4). In regression analyses, older people had a higher prevalence ratio (PR) for edentulism than younger elders: PR 3.0 (95% CI 2.7-3.4) for those aged 80 and older and PR 1.9 (95% CI 1.7-2.1) for those aged 70-79, with reference to those aged 60-69. Those who had attained secondary education had a lower PR for edentulism than those with no formal education: PR 0.7 (95% CI 0.6-0.8). Those from Non-Agricultural Hukou (Urban area) had a lower PR than those from Agricultural Hukou (Rural area): PR 0.8 (95% CI 0.7, 1.0). Older adults aged 80 and above were less likely to receive denture rehabilitation compared to those aged 60-69, with a PR of 0.6 (95% CI: 0.5-0.9). In contrast, individuals with secondary education showed a greater likelihood of denture rehabilitation than those without formal education, with a PR of 1.3 (95% CI: 1.0-1.6). Additionally, non-Han ethnic groups had a slightly higher chance of denture rehabilitation compared to their Han counterparts, with a PR of 1.2 (95% CI: 1.0-1.5).</p><p><strong>Conclusions: </strong>Approximately one in four older people in China are edentulous, and approximately two in three of them have been rehabilitated. Socio-demographic differences in edentulism rates and rates of rehabilitation are apparent. These findings reveal disparities in edentulism and denture rehabilitation among China's older adults (60+), urging targeted policies to enhance access for less-educated and rural elders while offering insights for global ageing populations.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085827","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}
GerodontologyPub Date : 2025-09-18DOI: 10.1111/ger.70021
Farah Zahiah Ahmad Zainuddin, Guangzhao Guan, Graeme S Ting, William Murray Thomson
{"title":"Measuring Dry Mouth in Older People in Residential Care.","authors":"Farah Zahiah Ahmad Zainuddin, Guangzhao Guan, Graeme S Ting, William Murray Thomson","doi":"10.1111/ger.70021","DOIUrl":"https://doi.org/10.1111/ger.70021","url":null,"abstract":"<p><strong>Aims: </strong>To investigate and describe the concordance between salivary flow rates and xerostomia among older dependent adults, describe the association between medication use and dry mouth, and describe the impact of dry mouth on oral health-related quality of life (OHRQoL).</p><p><strong>Methods: </strong>A clinical examination survey was conducted with 50 older adults residing in residential care facilities in Dunedin, New Zealand. Xerostomia was measured using the five-item Summated Xerostomia Inventory-Dutch Version (SXI-D), and the unstimulated salivary flow rate was also measured. The clinical manifestations of oral dryness were evaluated using the Clinical Oral Dryness Scoring (CODS) scale. Medications were recorded.</p><p><strong>Results: </strong>Participants ranged in age from 65 to 99 years (mean 83.0, SD 9.1). The prevalence of xerostomia was 34.8%, while salivary gland hypofunction (SGH) was present in 26.1%. Only 13.0% of participants had both conditions, and 52.2% had neither. A weak negative correlation was observed between the SXI-D score and salivary flow rate (r = -0.20), while a moderate positive correlation was found between the SXI-D and the CODS scale (r = 0.55). Additionally, the CODS scale showed a moderate negative correlation with the salivary flow rate (r = -0.47).</p><p><strong>Conclusion: </strong>Dry mouth is common among older adults in residential care, but the relationship between its signs and symptoms is complex. Salivary hypofunction data alone do not fully capture the experience of oral dryness, emphasising the need for a more comprehensive approach to diagnosis and treatment.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080162","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":"Clinical Exposure to Visiting Dental Practice Heightens General Ageism in Dental Residents: A Longitudinal Study.","authors":"Maya Izumi, Jumpei Kubota, Shinji Yoshii, Sumio Akifusa","doi":"10.1111/ger.70017","DOIUrl":"https://doi.org/10.1111/ger.70017","url":null,"abstract":"<p><strong>Objective: </strong>While clinical training is considered a key strategy for fostering positive attitudes, the impact of exposure to older patients-particularly in home-visit dentistry-on dental residents' attitudes remains unclear. This study examines the effect of clinical training in home-visit dentistry on ageism in dental residents.</p><p><strong>Methods: </strong>A longitudinal single-arm pre-post design was employed. The study was conducted at Kyushu Dental University from April 2024 to March 2025. A total of 63 dental residents participated at baseline. Of these, 36 (57.1%) completed all assessments and were included in the final analysis. Participants completed two validated Japanese instruments: the Fraboni Scale of Ageism (FSA) for general ageism and the Ageism Scale for Dental Students (ASDS) for profession-specific ageism. Assessments were conducted at baseline, 6 months, and 12 months. Participants were categorised by number of home-visit sessions: ≤ 3 or ≥ 4 visits at 6 months, and ≤ 6 or ≥ 7 at 12 months.</p><p><strong>Results: </strong>ASDS scores remained largely stable over a 12-month period (mean difference from baseline to 12 months: +2.0; effect size [ES] = -0.29). In contrast, FSA scores at 6 months (37.0 [23-73], ES = -1.08), and at 12 months (49.0 [25-87], ES = -2.76) were higher than the baseline median of 33.5 [14-42], indicating a very large deterioration in general ageism. FSA scores were even higher among residents with greater exposure to home-visit dentistry.</p><p><strong>Conclusion: </strong>General ageism increased during the clinical training period, particularly among residents with greater exposure to home-visit dentistry. In contrast, profession-specific ageism remained largely unchanged.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144950669","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}
GerodontologyPub Date : 2025-08-20DOI: 10.1111/ger.70013
Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko
{"title":"Oropharyngeal Exercise Intervention for Swallowing Function in Older Adults: A Systematic Review and Meta-Analysis.","authors":"Tien-Wei Hsu, Ming-Chu Feng, Chi Lin, Chih-Hsing Hung, Chih-Hung Ko","doi":"10.1111/ger.70013","DOIUrl":"https://doi.org/10.1111/ger.70013","url":null,"abstract":"<p><strong>Background: </strong>Although swallowing function is crucial for older adults, the effects of oropharyngeal exercise interventions on older adults without stroke or cancer remain uncertain.</p><p><strong>Methods: </strong>A systematic search of five major databases was conducted to identify randomised controlled trials involving oropharyngeal exercise interventions conducted on older adults. The primary outcomes investigated were the changes in maximum tongue pressure (MTP) and the results from the repetitive saliva swallowing test (RSST). The secondary outcomes examined were swallowing pressure and oral motor coordination (oral diadochokinesis, DDK). A subgroup analysis was conducted to compare outcomes between dementia and non-dementia populations. Data synthesis was performed by conducting a random-effects meta-analysis.</p><p><strong>Results: </strong>Eleven randomised controlled trials were included (n = 622). The oropharyngeal exercise intervention groups exhibited greater improvements in MTP (k = 11, standard mean difference [SMD] = 0.74, 95% confidence interval [CI] = 0.31-1.17) and RSST results (k = 4, SMD = 0.63, 95% CI = 0.28-0.98) than the control group. Positive outcomes were reported in both dementia and non-dementia subgroups. Oropharyngeal exercise interventions also led to increased efficacy for swallowing pressure (k = 4, SMD = 0.71, 95% CI = 0.20-1.22) and oral DDK (k = 3, syllable/pa/, SMD = 1.00, 95% CI = 0.34-1.67; syllable/ta/, SMD = 0.72, 95% CI = 0.02-1.43; syllable/ka/, SMD = 0.83, 95% CI = 0.16-1.42).</p><p><strong>Conclusion: </strong>Our findings suggested that oropharyngeal exercise intervention is beneficial as a rehabilitative measure for patients with dysphagia and as a preventive measure for healthy older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144950623","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}
GerodontologyPub Date : 2025-08-13DOI: 10.1111/ger.70009
W. Murray Thomson
{"title":"The Robin Heath Citation Award 2025","authors":"W. Murray Thomson","doi":"10.1111/ger.70009","DOIUrl":"https://doi.org/10.1111/ger.70009","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"42 3","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833070","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}