Innovation in Aging最新文献

{"title":"Neighborhood Characteristics and Loneliness in Later Life: The Role of \"Person-Environment Fit\".","authors":"Jack Lam, Janeen Baxter","doi":"10.1093/geroni/igaf006","DOIUrl":"10.1093/geroni/igaf006","url":null,"abstract":"<p><strong>Background and objectives: </strong>There is increasing acknowledgment that loneliness is associated with neighborhood characteristics in addition to individual characteristics. We use four waves of geocoded data to examine longitudinal associations between neighborhood characteristics and loneliness of older adults.</p><p><strong>Research design and methods: </strong>We draw on \"person-environment fit\" theory, utilizing individual assessments of neighborhoods, while also creating aggregate assessments by combining responses from other respondents from the same geographic area to test associations with loneliness.</p><p><strong>Results: </strong>Random-effects models demonstrate that both individual and aggregate assessments of neighborhoods are related to loneliness, however, in models that include control variables, the associations between aggregate assessments of neighborhood and loneliness were attenuated. Fixed-effects models show only individual assessments of the neighborhood are associated with variations in loneliness.</p><p><strong>Discussion and implications: </strong>Consistent with the \"person-environment fit\" theory, loneliness appears more sensitive to individual assessments of the neighborhood, irrespective of others' assessments. Our findings point to the subjective nature of loneliness and suggest that measures to reduce loneliness should focus on understanding and addressing individual perceptions of neighborhoods, emphasizing the importance of promoting age-friendly environments.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 3","pages":"igaf006"},"PeriodicalIF":4.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585589","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":"Association of Dementia Severity at Diagnosis With Health Care Utilization and Costs Around the Time of Incident Diagnosis.","authors":"Shengjia Xu, Niloofar Fouladi Nashta, Yi Chen, Julie Zissimopoulos","doi":"10.1093/geroni/igaf005","DOIUrl":"10.1093/geroni/igaf005","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study provides the first analysis of heterogeneity in health care use and costs by level of dementia symptom severity around the time of incident dementia diagnosis for a population-representative sample of older Americans.</p><p><strong>Research design and methods: </strong>We used the Aging, Demographics, and Memory Study (ADAMS), the Health Retirement Study (HRS), and traditional Medicare (TM) claims. We modeled dementia severity measured by the Clinical Dementia Rating scale for ADAMS respondents and applied parameter estimates to HRS respondents older than 70 years who had a claims-based incident dementia diagnosis in 2000-2016. We used claims-based measures of health care costs and use and quantified levels in the quarters before, at, and after a dementia diagnosis. We reported separate results for groups of persons diagnosed at mild, moderate, and severe stages of dementia.</p><p><strong>Results: </strong>Health care use and costs increased a quarter before dementia diagnosis and increased most significantly in the quarter of diagnosis. Both use and costs declined thereafter but remained elevated relative to prediagnosis. This general pattern was consistent for persons diagnosed at different stages of dementia. Acute care costs were similar across dementia severity categories throughout the period, whereas outpatient use and costs were consistently higher among persons diagnosed at mild stage disease.</p><p><strong>Discussion and implications: </strong>Findings from this study provide new insights on how heterogeneity of dementia severity at diagnosis is associated with health care use and costs. Under the current system of care in TM, early dementia diagnosis may not substantially reduce health care use and spending around the time of dementia diagnosis.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 3","pages":"igaf005"},"PeriodicalIF":4.9,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648388","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":"Evaluation and Modification of the Multifactorial Model of Driving Safety Among Older Adults.","authors":"Junyan Tian, Jacqueline Mogle, Kaarin J Anstey, Lesley A Ross","doi":"10.1093/geroni/igae113","DOIUrl":"10.1093/geroni/igae113","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cognitive, visual, and physical performance are associated with driving safety. However, there are few comprehensive models that empirically evaluate how such factors together affect driving safety in older adults. The present study used structural equation modeling (SEM) to evaluate Anstey's original Multifactorial Model of Driving Safety (MMDS) (2005) as well as a modified MMDS that incorporates recent research.</p><p><strong>Research design and methods: </strong>We used the baseline data from the Advanced Cognitive Training for Independent and Vital Elderly study. Participants (<i>n</i> = 2,391) were drivers with a reported mean age of 73.28 (<i>SD</i> = 5.70; range 65-91), 75.7% White, and 73.3% women.</p><p><strong>Results: </strong>Using SEM, Anstey's original MMDS did not achieve adequate fit (CFI = 0.850, TLI = 0.777, RMSEA = 0.074). However, the modified MMDS had a good fit (CFI = 0.961, TLI = 0.934, RMSEA = 0.040). We found that better physical function was correlated with less driving avoidance (β = 0.28, <i>p</i> < .01) and a lower crash risk (β = -0.14, <i>p</i> < .01). Better cognitive abilities were associated with less driving avoidance (β = 0.08, <i>p</i> <.01) and better self-reported driving quality (β = 0.19, <i>p</i> < .01). Driving avoidance partially mediated the relationship between physical function and crash.</p><p><strong>Discussion and implications: </strong>This study highlights the importance of cognition and physical function in older adults safe driving. Implications for future directions and public policy considerations are discussed. Future research should examine possible dynamic changes between these predictors and driving in a longitudinal model.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 2","pages":"igae113"},"PeriodicalIF":4.9,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440506","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":"Changes in Long-term Services and Supports Among Adults With and Without Dementia During the First Year of the COVID-19 Pandemic.","authors":"Yulya Truskinovsky, Vicki A Freedman, Geoffrey J Hoffman, Amanda N Leggett, Emily Wiemers","doi":"10.1093/geroni/igaf003","DOIUrl":"10.1093/geroni/igaf003","url":null,"abstract":"<p><strong>Background and objectives: </strong>This study draws upon local coronavirus disease 2019 (COVID-19) mortality rates as a proxy for pandemic severity to determine if the COVID-19 pandemic disrupted long-term services and supports (LTSS) for adults with dementia, relative to adults with care needs unrelated to dementia.</p><p><strong>Research design and methods: </strong>We used the Health and Retirement Study to estimate associations between local COVID-19 mortality rates from March 2020 through April 2021 and LTSS outcomes (receiving paid and unpaid help, monthly hours of paid and unpaid help, number of paid and unpaid helpers, living in a residential care setting, or living with adult children). We compared 2 groups of adults ages 51 and older: those with dementia (<i>n</i> = 522) and those without dementia but having difficulty with at least one activity of daily living (<i>n</i> = 2,036).</p><p><strong>Results: </strong>We found that higher local COVID-19 mortality rates were associated with a reduction in paid care and living in residential care settings for both groups of adults with care needs. In addition, higher local COVID-19 mortality rates were associated with a greater likelihood of living with adult children among those without dementia and greater hours of unpaid help among those with dementia.</p><p><strong>Discussion and implications: </strong>Although we did not find differences in disruptions of LTSS between persons with and without dementia, observed declines in paid LTSS and increases in unpaid care in the first year of the pandemic may nevertheless have different implications for persons with dementia. Future research should investigate if COVID-19 related disruptions in LTSS led to differential changes in health and unmet needs among adults with dementia, increased strain for their caregivers, and the equitable availability of high-quality paid care.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 2","pages":"igaf003"},"PeriodicalIF":4.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440530","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":"How Neighborhood Social Deprivation Is Associated With Nursing Home Quality: A Structure, Process, Outcome Model.","authors":"Rohit Pradhan, Justin Lord, Gregory Orewa, Ganisher Davlyatov, Robert Weech-Maldonado","doi":"10.1093/geroni/igaf004","DOIUrl":"10.1093/geroni/igaf004","url":null,"abstract":"<p><strong>Background and objectives: </strong>Nursing home (NH) quality often varies across socioeconomic gradients. The purpose of this study was to explore the relationship between social deprivation and NH quality.</p><p><strong>Research design and methods: </strong>Integrating resource dependence theory with Donabedian's structure-process-outcome model, this study utilized 2019 data from Payroll Based Journal, Care Compare: Five-Star Quality Rating System, and LTCFocus.org. The analytic file included 12,900 free-standing NH observations. The primary variable of interest was severe social deprivation index (SDI) defined as SDI ≥85/100. Structural equation modeling was used to explore the effects of severe deprivation on NH structural (nursing staff), processes (antipsychotic medications [APMs]), and outcomes (falls, pressure ulcers, activities of daily living [ADL] decline, and hospitalizations) quality indicators among long-stay NH residents.</p><p><strong>Results: </strong>Nursing homes in communities with severe SDI showed a decrease of 0.02 registered nurse (RN) hours per resident day (PRD) (<i>p</i> < .001) and an increase of 0.03 certified nursing assistant (CNA) hours PRD (<i>p</i> = .01). Higher licensed practical nurse (LPN) hours PRD (β = -1.03; <i>p</i> = .003) and higher CNA hours PRD (β = -0.80; <i>p</i> < .001) were significantly associated with reduced APM use. Increased APM use was significantly associated with ADL decline (β = 0.03; <i>p</i> < .001) and hospitalizations (β = 0.001; <i>p</i> = .013). Severe SDI indirectly resulted in higher hospitalizations (β = 0.01; <i>p</i> = .01) and falls (β = 0.01; <i>p</i> = .001) through lower RN staffing but lower pressure ulcers (β = -0.07; <i>p</i> < .001) through higher CNA staffing. Directly, severe SDI increased pressure ulcers (β = 0.69; <i>p</i> < .001) and hospitalizations (β = 0.09; <i>p</i> < .001) and decreased falls (β = -0.53; <i>p</i> < .001).</p><p><strong>Discussion and implications: </strong>Severe social deprivation affected nursing staff patterns, affecting care quality. These findings highlight the importance of considering environmental factors in the NH quality policymaking process.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 2","pages":"igaf004"},"PeriodicalIF":4.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11831227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440678","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":"Advancing Innovation.","authors":"Michelle Putnam","doi":"10.1093/geroni/igae104","DOIUrl":"https://doi.org/10.1093/geroni/igae104","url":null,"abstract":"","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae104"},"PeriodicalIF":4.9,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948159","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":"The Effects of Risky Behaviors and Social Factors on the Frequency of Fraud Victimization Among Known Victims.","authors":"Marguerite DeLiema, Siyu Gao, Daniel Brannock, Lynn Langton","doi":"10.1093/geroni/igae111","DOIUrl":"10.1093/geroni/igae111","url":null,"abstract":"<p><strong>Background and objectives: </strong>Routine activity theory (RAT) asserts that a suitable target's exposure to a motivated offender in the absence of capable guardians increases their likelihood of crime victimization. We use these principles to assess the extent to which engaging in risky routine activities-for example, entering sweepstakes drawings, answering unknown calls-is associated with victimization frequency among older adult mass marketing fraud victims across five types of scams: investment fraud, sweepstakes and lottery fraud, romance and family/friend imposter scams, fake products and services, and charity scams. We also examine whether financial and social vulnerability characteristics (loneliness, preference for taking financial risks, financial fragility) are associated with victimization frequency in older adults.</p><p><strong>Research design and methods: </strong>A survey was administered to households that the U.S. Postal Inspection Service identified as having recently responded to one or more mail scam solicitations. Respondents answered questions on their behaviors, financial risk preferences, social and demographic characteristics, and number of past-year victimization experiences with 5 types of fraud.</p><p><strong>Results: </strong>As predicted based on RAT, routine activities that increase a target's exposure to motivated offenders are positively associated with fraud victimization frequency, although more frequent online activity was negatively associated with victimization frequency contrary to hypotheses. Precarious financial and emotional states such as financial fragility and loneliness also were associated with greater victimization frequency, and more frequent social engagement and living with others (the presence of capable guardians) had no effect.</p><p><strong>Discussion and implications: </strong>Target suitability factors such as loneliness, financial fragility, and risky financial preferences and behaviors are associated with a higher frequency of fraud victimization among older adults. Consumer education should include information on reducing risky behaviors that can increase fraud exposure. More frequent social engagement may not be protective. Older adults who are financially fragile and experiencing loneliness require more safeguards.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 2","pages":"igae111"},"PeriodicalIF":4.9,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399089","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":"Young Adult Caregivers for Older Family Members: Setting a New Research Agenda.","authors":"Karen L Fingerman, Zexi Zhou, William E Haley, Steven H Zarit","doi":"10.1093/geroni/igae112","DOIUrl":"https://doi.org/10.1093/geroni/igae112","url":null,"abstract":"<p><p>Young adults (approximately aged 18 to 29) are frequently involved in caring for older relatives, potentially filling gaps and playing key roles in the network of caregivers. The time is ripe to synthesize the emerging literature on this topic and propose an agenda for future research. This article identifies key questions for research that will propel the field forward, including: (a) why young adult caregiving warrants distinct consideration from caregiving in midlife or later life, (b) young adult caregivers' position in the caregiving network and tasks they perform, and (c) factors that help determine who becomes a caregiver at this stage of life and who does not, with attention to race/ethnicity, and beliefs about family interdependency. We then address appraisals of caregiving stress, rewards, and potential factors that may buffer the negative impact of caregiving at this stage of life. We extend this discussion to the detriments and benefits of caregiving for well-being. We consider longer-term enduring positive and negative consequences of caregiving at this potentially transformative stage of adulthood. Throughout this article, we review many of the founding studies and scholars who have laid the groundwork in this emerging field and point out the components of existing models of caregiving that particularly apply to young adult caregivers. We conclude with suggestions for potential policies and programs to allow for young adults to engage in caregiving while also pursuing the roles and activities that align with their values and set them up for a successful adulthood.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 4","pages":"igae112"},"PeriodicalIF":4.9,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11995456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984840","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":"Effectiveness of Robot Care Intervention and Maintenance for People with Dementia: A Systematic Review and Meta-Analysis.","authors":"Su-Jung Nam, Eun-Young Park","doi":"10.1093/geroni/igae110","DOIUrl":"10.1093/geroni/igae110","url":null,"abstract":"<p><strong>Background and objectives: </strong>Robots have the potential to improve the quality of life of people with dementia. This study examined the effectiveness of robot care intervention and maintenance effect for people with dementia.</p><p><strong>Research design and methods: </strong>Meta-analytical procedures were used to identify and synthesize articles for analysis. Coding procedures were used to record the moderators, including robot type, outcomes, intervention length, intervention duration, and intervention frequency. Hedge's <i>g</i> statistic was employed to interpret effect sizes and quantify individual research findings.</p><p><strong>Results: </strong>The literature review identified 20 eligible randomized controlled trials. Meta-analysis results indicated an overall small effect of <i>g</i> = 0.286 for robot care intervention and <i>g</i> = 0.279 for robot care maintenance. Outcomes for robot care intervention indicated a small and significant effect size at <i>g</i> >0.2, whereas the Bomy robot type had an insignificant effect size. Outcomes for robot care maintenance showed a medium and significant effect size.</p><p><strong>Discussion and implications: </strong>This study confirmed the intervention effect of robot care on people with dementia and its sustainability for neuropsychiatric and social health outcomes. This highlights the effectiveness of humanoid-type robots in dementia care.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 3","pages":"igae110"},"PeriodicalIF":4.9,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585585","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":"Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.","authors":"Jaime M Hughes, Lena K Makaroun, Kasey Decosimo, Matthew Tucker, Joshua Dadolf, Connor Drake, Leah L Zullig, Cynthia J Coffman, Swetha Kota, Nina R Sperber, Leah Christensen, Trisha Chadduck, Kelli D Allen, Susan Nicole Hastings, Courtney H Van Houtven","doi":"10.1093/geroni/igae107","DOIUrl":"10.1093/geroni/igae107","url":null,"abstract":"<p><strong>Background and objectives: </strong>As the population ages there is an increasing need for caregiver training programs, but little is known about how to deliver implementation support for diverse sites in large-scale implementation efforts. External group-based implementation facilitation may be one promising approach. This study's objective is to detail the development and delivery of a pragmatic implementation facilitation approach to support the national rollout of caregiver training, Caregivers FIRST, at over 140 Veterans Health Administration (VHA) sites.</p><p><strong>Research design and methods: </strong>Using administrative, survey, and project data, we describe the process of developing and delivering enhanced support to 13 VHA sites unable to meet adoption benchmarks as part of a national mandate. Enhanced support consisted of 4 group-based calls delivered within a 12-week period that used tailored external facilitation to address barriers, facilitators, and strategies for program implementation. We present key implementation barriers, implementation strategies, and sites' perceptions of highly valued elements of enhanced support.</p><p><strong>Results: </strong>Enhanced support calls focused on 3 implementation barriers commonly identified by implementing staff (<i>n</i> = 25) in a site-level needs assessment survey: recruiting and retaining caregivers (83%), balancing program delivery alongside competing demands (57%), and support from other departments in program delivery (44%). Sites attended a median of 3 out of 4 enhanced support calls. In postimplementation quantitative surveys, the average response of perceived helpfulness of enhanced support (ranging from 1 to 5) was 3.4 at 6 months, increasing to 4.2 at 12 months. Respondents valued collaborative problem-solving and the ability to learn best practices from other implementing sites during enhanced support calls.</p><p><strong>Discussion and implications: </strong>Describing the process of developing and delivering enhanced support via group-based external facilitation for Caregivers FIRST in VHA may provide useful information to guide similar efforts in other healthcare systems as they broadly disseminate interventions to support caregivers across diverse sites.</p><p><strong>Clinical trial registration: </strong>NCT05319535.</p>","PeriodicalId":13596,"journal":{"name":"Innovation in Aging","volume":"9 1","pages":"igae107"},"PeriodicalIF":4.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052551","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}