Gerodontology最新文献

{"title":"Towards Integrated Oral Healthcare in Long-Term Care: Mapping Responsibilities, Coordination, and Organisational Support.","authors":"Sarah Mun Yee Koh, Nan Luo, Gerry McKenna, Sayaka Tada","doi":"10.1111/ger.70123","DOIUrl":"https://doi.org/10.1111/ger.70123","url":null,"abstract":"<p><strong>Objective: </strong>(i) to map responsibilities in the provision of oral healthcare for older adults in long-term care settings (LTCs), (ii) to examine how coordination processes are described, (iii) to analyse how these responsibilities and coordination processes are distributed across professional groups, (iv) to synthesise these findings into a conceptual oral healthcare pathway for LTCs.</p><p><strong>Background: </strong>Poor oral health remains prevalent among dependent older adults in LTCs worldwide, partly due to poorly coordinated oral healthcare delivery. Although strengthening interprofessional collaboration is essential, how it is structured in oral healthcare is unclear.</p><p><strong>Methods: </strong>A scoping review was conducted following the Joanna Briggs Institute method. Multiple databases were searched for studies addressing responsibilities and coordination processes in oral healthcare provision in LTCs. Data were extracted using a standardised form and analysed iteratively.</p><p><strong>Results: </strong>Thirty-six studies were included. Responsibility domains were organised into two stages: (i) assessment and decision-making, and (ii) care provision and treatment. These domains were linked by coordination processes, including co-development activities and knowledge sharing. Across both stages, operational leadership and structured referral pathways supported alignment across professional groups. Patterns of responsibility distribution highlighted the area of involvement across professional groups. Organisation-level enablers including (i) governance, (ii) resources, and (iii) structured education were reported to support the operation of structured oral healthcare pathways.</p><p><strong>Conclusion: </strong>Oral healthcare in LTCs was conceptualised as an iterative pathway of interdependent responsibilities. Implementing this pathway requires clear role specification, structured coordination, and organisational support, particularly where responsibilities are shared across professional groups.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967741","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":"Polypharmacy and Oral Health in Older Adults: Measure Anticholinergic and Sedative Burden, Not Pill Count Alone.","authors":"Ting-Yuan Huang, Lien-Chung Wei","doi":"10.1111/ger.70118","DOIUrl":"https://doi.org/10.1111/ger.70118","url":null,"abstract":"<p><strong>Objective: </strong>To propose a mechanism-informed approach to medication exposure in research on polypharmacy and oral health among older adults.</p><p><strong>Background: </strong>A recent systematic review found that polypharmacy was associated with dry mouth and hyposalivation, whereas associations with multimorbidity and other oral outcomes were less consistent. Total pill count, however, cannot distinguish regimens with markedly different xerogenic, anticholinergic, or sedative effects.</p><p><strong>Methods: </strong>We critically interpret the review findings and integrate selected evidence on anticholinergic burden, sedative load and the oral effects of psychotropic medications.</p><p><strong>Results: </strong>We propose a six-component medication phenotype comprising total medicine count; anticholinergic burden; sedative burden; xerogenic medicines not captured by the selected anticholinergic scale; dose, duration and recent regimen changes; and indication with markers of disease severity. Oral outcomes should be separated into subjective xerostomia, measured salivary flow, clinical dryness, oral disease, oral function and dental attendance.</p><p><strong>Conclusion: </strong>Mechanism-based medication phenotyping could improve causal inference and identify modifiable risks. In practice, elevated burden should prompt coordinated dental prevention and prescriber-pharmacist review rather than indiscriminate deprescribing, with psychiatric stability explicitly protected.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148955480","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":"Prioritising Strategies to Strengthen Domiciliary Oral Care for Older Adults in Malaysia: A Stakeholder Co-Creation Study.","authors":"Afsary Jahan Khan, Haslina Rani, Tew In Meei, Muhammad Syafiq Asyraf Rosli, Aznida Firzah Abdul Aziz, Nur Saadah Mohamad Aun, Melissa Adiatman, Tuti Ningseh Mohd-Dom","doi":"10.1111/ger.70122","DOIUrl":"https://doi.org/10.1111/ger.70122","url":null,"abstract":"<p><strong>Introduction: </strong>Domiciliary oral care services (DOMS) are important for older adults who are frail, homebound or dependent on others for access to care. In Malaysia, implementation remains limited despite growing oral health needs in an ageing population. This study aimed to co-create and prioritise practical strategies to strengthen DOMS for older adults in Malaysia.</p><p><strong>Methods: </strong>A qualitative participatory co-creation design was used. Twelve purposively selected stakeholders from academia, clinical practice, professional bodies and community-related sectors participated in a multi-stage process involving context-setting, small-group brainstorming and a co-creation workshop. Identified barriers and proposed strategies were then rated by all 12 participants for perceived feasibility and expected impact using a 5-point Likert scale. Consensus was defined a priori as at least 80% agreement.</p><p><strong>Results: </strong>Stakeholders identified barriers across four domains: policy and regulatory environment; patient, caregiver, and public engagement factors; workforce capability and professional readiness; and service-delivery and resource constraints. DOMS implementation was perceived to be limited by regulatory ambiguity, insufficient workforce preparedness, coordination challenges and underdeveloped service models. Strongly supported strategies included regulatory clarification, continuing professional training, integrated care pathways involving other healthcare providers, temporary clinic arrangements and partnership-based service support. Undergraduate curriculum reform and broader inter-professional development were viewed as important but less immediately feasible.</p><p><strong>Conclusions: </strong>Strengthening DOMS for older adults in Malaysia will require a phased, system-oriented approach. Near-term priorities include clearer regulatory guidance, targeted workforce development, improved cross-sector coordination and practical partnership-supported delivery models. These findings provide stakeholder-informed directions for policy and service planning.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900245","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":"Risk Indicators for Root Surface Caries Among Indian Adults Aged 65-74 Years.","authors":"Iram Ahsan, Ritu Gupta, Ipseeta Menon, Vikram Arora, Dipshikha Das, Asifa Ashraf","doi":"10.1111/ger.70121","DOIUrl":"https://doi.org/10.1111/ger.70121","url":null,"abstract":"<p><strong>Background: </strong>Root surface caries is an increasingly important public health concern as populations age and retain more natural teeth. Exposed root surfaces, periodontal attachment loss and social and behavioural factors interact to shape disease patterns. This study investigated root surface caries experience and its associated indicators among community-dwelling adults aged 65-74 years in Ghaziabad District, Uttar Pradesh.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 820 dentate participants selected using proportionate stratified random sampling. Data were collected using a pretested structured questionnaire and standardized clinical examinations following World Health Organization criteria. Root surface caries experience was quantified using the Root Caries Index (RCI). Sociodemographic characteristics, oral hygiene practices, tobacco use, and periodontal indicators were recorded. Associations were investigated using descriptive analyses and multivariable logistic regression.</p><p><strong>Findings: </strong>Root surface caries was identified in 37.7% of participants. Prevalence was higher among males and among those aged 70-74 years. The prevalence of root surface caries was higher among participants with gingival recession, fewer remaining teeth, tobacco use, and lower socioeconomic position. In multivariable analysis, gingival recession and selected behavioural factors remained independently associated with root surface caries.</p><p><strong>Conclusions: </strong>A substantial burden of root surface caries was observed among older adults in this North Indian community. The findings highlight the close relationship between periodontal status, behavioural factors, and root surface caries, underscoring the need for integrated preventive and periodontal care strategies for ageing populations.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879885","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":"Health Literacy and Time-Specific Toothbrushing Practices in Older Adults: An Analysis of the Korean National Health and Nutrition Examination Survey, KNHANES IX (2023).","authors":"Ji-Young Son, Soon-Yong Son","doi":"10.1111/ger.70094","DOIUrl":"10.1111/ger.70094","url":null,"abstract":"<p><strong>Background: </strong>Evidence remains limited on whether health literacy is associated with time-specific toothbrushing occasions across the day.</p><p><strong>Objective: </strong>To examine time-specific toothbrushing patterns according to health literacy levels and to determine whether lower health literacy was associated with failure to brush at key times among older adults in Korea.</p><p><strong>Methods: </strong>Using the KNHANES IX (2023), we analysed 1,836 adults aged ≥ 65 years. Toothbrushing on the previous day was reported for eight occasions (before breakfast, after breakfast, before lunch, after lunch, before dinner, after dinner, after having a snack, and before bedtime). Health literacy (10-item scale; 10-40) was categorised as low (≤ 28), moderate (29-30), or high (≥ 31). Complex-sample weighted logistic regression estimated ORs (95% CIs) for failure to brush at specific times with hierarchical adjustment (demographic characteristics, socioeconomic status, health practices).</p><p><strong>Results: </strong>Lower health literacy was more common among older adults and those with lower income/education. Brushing was most frequent after breakfast and after dinner. Compared with high health literacy, low health literacy was associated with higher odds of not brushing before breakfast (OR 1.43, 95% CI 1.02-2.00) and after lunch (OR 1.38, 95% CI 1.00-1.91) after adjustment for sociodemographic factors; associations were attenuated after full adjustment. No consistent associations were found for failure to brush after breakfast or before bedtime.</p><p><strong>Conclusions: </strong>Health literacy was associated with time-specific toothbrushing, with before-breakfast and after-lunch brushing identified as priority prevention targets among older adults.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"575-582"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ageism and Self-Reported Attitudes Toward Older Adults Following a Multidisciplinary Educational Program Among Health Students: Implications for Geriatric Dentistry Education.","authors":"A Braud, V Bloch, P Maillot, S Prissette","doi":"10.1111/ger.70120","DOIUrl":"https://doi.org/10.1111/ger.70120","url":null,"abstract":"<p><strong>Background: </strong>Preparing future dental professionals to care for an ageing population requires more than knowledge acquisition. While educational interventions may improve attitudes toward older adults, underlying forms of ageism may persist and influence clinical practice.</p><p><strong>Objective: </strong>To assess self-reported attitudes and ageism among healthcare students, including dental students, following participation in a multidisciplinary training program focused on older adult care, and to explore the implications for geriatric dentistry education.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 259 students (n = 93 students in Dentistry, 52 in Pharmacy, 87 in Nursing Sciences, and 27 in Sports and Physical Activity Sciences) at Université Paris Cité (2024-2025). The program combined theoretical courses, an online serious game, and role-play simulations. Self-reported attitudes toward older adults were assessed using the French version of the UCLA Geriatrics Attitudes Scale (UCLA-GAS-F), and ageism was measured using the Ambivalent Ageism Scale for Health Care (AAS_hc-F). Comparisons were performed using an ANOVA.</p><p><strong>Results: </strong>The mean UCLA-GAS-F score was 47.6 ± 5.5, with 85.0% of students demonstrating positive attitudes toward older adults (scores higher than 42). The mean AAS_hc-F score was 52.8 ± 15.7. Notably, 37.5% and 19.7% of students exhibited high levels of benevolent and hostile ageism, respectively. No significant differences were observed according to discipline or exposure to the serious game.</p><p><strong>Conclusions: </strong>Despite generally positive attitudes toward older adults, substantial levels of benevolent ageism and hostile ageism persisted among health students. These findings suggest that simulation-based geriatric education alone may be insufficient to address implicit biases.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864444","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":"Implementing Clinical Practice Guidelines for Oral Care for (Frail) Older Patients: Facilitators, Barriers, and Recommendations.","authors":"Johanna Margaretha Kroese, Jan Joseph Mathieu Bruers","doi":"10.1111/ger.70067","DOIUrl":"10.1111/ger.70067","url":null,"abstract":"<p><strong>Introduction: </strong>The Dutch organisation for the development of clinical practice guidelines (CPGs) in oral care known as the Kennisinstituut Mondzorg (KIMO) developed three CPGs to support professionals in oral care for (frail) older patients: (1) treatment of root caries, (2) xerostomia and hyposalivation related to medication and polypharmacy, and (3) oral care for homebound frail older adults. However, actual CPG use in practice is not guaranteed. This study aims to assess adherence to these CPGs among Dutch dentists, identify opportunities and barriers for implementation, and formulate recommendations for an effective implementation strategy.</p><p><strong>Methods: </strong>A modified two-round Delphi study investigated current practices and opinions of dentists; 260 dentists were invited to participate. For round one, an online survey was developed based on the KIMO CPG recommendations. Round two, informed by round one results, explored perceived facilitators, barriers, suggestions for adapting less-followed recommendations, and preferences regarding CPG information and accessibility.</p><p><strong>Results: </strong>In round one 41 dentists responded and in round two 44 responded. While the value of CPGs was acknowledged, adherence to several recommendations was limited due to practical barriers, such as time, equipment, training, and reimbursement. Further, communication with other healthcare providers was infrequent. Dentists preferred e-mail notifications and on-demand webinars. Digital availability via a website or app was favoured, though half still appreciate paper versions.</p><p><strong>Conclusion: </strong>Practical barriers hinder the use of CPG recommendations in oral care for (frail) older patients. Involving clinicians in guideline development is essential to improve feasibility and implementation.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"567-574"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147432325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Adaptation and Validation of the Oral Frailty Index-8 for Turkish Older Adults.","authors":"Fatma Ozge Kayhan Kocak, Nagihan Sözen Gencer, Sibel Çavdar","doi":"10.1111/ger.70064","DOIUrl":"10.1111/ger.70064","url":null,"abstract":"<p><strong>Introduction: </strong>Oral frailty, a multidimensional decline in oral function involving chewing, swallowing, and oral behaviours, is a recognised precursor of dysphagia, malnutrition, and physical frailty. The Oral Frailty Index-8 (OFI-8) is a brief self-report screening tool for assessing oral frailty. This study's aim is to adapt the OFI-8 into Turkish (OFI-8-TR) and evaluate its psychometric properties among older adults.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 341 adults aged ≥ 65 years attending a geriatrics outpatient clinic. Internal consistency (KR-20), test-retest reliability (ICC), and construct validity (convergent, known-groups, and confirmatory factor analyses) were evaluated. Comparator measures included the FRAIL (Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight) scale, Clinical Frailty Scale (CFS), Eating Assessment Tool-10 (EAT-10), Functional Oral Intake Scale (FOIS), and Mini Nutritional Assessment-Short Form (MNA-SF).</p><p><strong>Results: </strong>The OFI-8-TR showed acceptable internal consistency (KR-20 = 0.62) and excellent test-retest reliability (ICC = 0.898). Confirmatory factor analysis supported a one-factor model (Comparative Fit Index (CFI) = 0.93, Goodness-of-Fit Index (GFI) = 0.95, adjusted Goodness-of-Fit Index (AGFI) = 0.91). Convergent validity was confirmed through strong correlations with the EAT-10 (r = 0.63) and FOIS (r = -0.62), and moderate correlations with FRAIL, CFS, and MNA-SF in the expected directions. Known-groups validity showed significantly higher scores among participants with malnutrition or risk of malnutrition.</p><p><strong>Conclusions: </strong>The OFI-8-TR is a valid and reliable instrument for assessing oral frailty and identifying swallowing-related and nutritional vulnerability in older adults. Its brevity and multidimensional structure make it a practical screening tool for routine geriatric assessments to support early identification of swallowing- and nutrition-related vulnerability.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"558-566"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Effect of Oral Screen Training After Stroke-A Randomised Controlled Trial.","authors":"Jesper Fabricius","doi":"10.1111/ger.70070","DOIUrl":"10.1111/ger.70070","url":null,"abstract":"","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":"583-584"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Romanticising the Last Tooth: Symbolism and Strategy in Prosthodontics","authors":"Aruna Wimalarathna","doi":"10.1111/ger.70046","DOIUrl":"10.1111/ger.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The final remaining tooth in an otherwise edentulous mouth embodies a unique intersection of biology, psychology, and identity. Beyond its limited functional role, it serves as a powerful symbol of continuity and selfhood, making its extraction an emotionally charged event for many patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This narrative review explores the concept of ‘Romanticising the Last Tooth’, emphasising its psychosocial and clinical significance within geriatric and prosthodontic practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The discussion integrates evidence on emotional attachment, bone preservation, proprioception, and overdenture strategies to illustrate how the final tooth can influence both treatment planning and patient adaptation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ethical dilemmas surrounding tooth retention and patient autonomy are examined, highlighting the need for empathy driven, shared decision making to guide clinicians. Recent literature emphasises advances in implant-supported rehabilitation, digital workflows, and biomaterials in full-arch prosthetic management, which can influence decisions regarding the last tooth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The R.O.M.A.N.T.I.C. framework (Retain Or Move Ahead: Navigating the Tooth In Context) is introduced, offering structured parameters for deciding whether to preserve or extract the last tooth. This approach underscores a broader vision of prosthodontics one that harmonises technical precision with human understanding to restore not only function but dignity and confidence in the ageing patient.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":"43 3","pages":"517-523"},"PeriodicalIF":1.6,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959184","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}