André Rebelo, João R Pereira, Gert Vande Broek, Manuel J Coelho-E-Silva, Marije T Elferink-Gemser, João Valente-Dos-Santos
{"title":"Optimizing recovery: the impact of training load in elite volleyball players.","authors":"André Rebelo, João R Pereira, Gert Vande Broek, Manuel J Coelho-E-Silva, Marije T Elferink-Gemser, João Valente-Dos-Santos","doi":"10.1055/a-2519-9330","DOIUrl":"10.1055/a-2519-9330","url":null,"abstract":"<p><p>This study aimed to analyze the relationships between training load metrics and various dimensions of recovery over the course of 105 days during the competitive season. This study included 14 elite male volleyball players who participated in 95 training sessions and 18 matches. The session rating of perceived exertion and inertial measurement units were utilized to measure internal and external training loads, respectively. Biological recovery was assessed using the countermovement jump test, while social and psychological recoveries were measured through the RESTQ-Sport. Relationships were examined using linear mixed-effect models to account for repeated measures across players and time points. The results revealed that chronic external training loads negatively influenced the biological recovery, with increases in chronic external training loads associated with a longer time to take-off (<i>β</i>=- 0.008, <i>p</i>=0.03) and a reduced modified reactive strength index (<i>β</i>=- 0.008, <i>p</i>=0.047). Social recovery was influenced by internal training load metrics, with acute internal training loads increasing social stress (<i>β</i>=- 3.512, <i>p</i>=0.034). For psychological recovery, chronic internal training loads and the acute:chronic internal training load ratio were linked to higher emotional exhaustion (<i>β</i>=- 0.013, <i>p</i>=0.029; <i>β</i>=0.021, <i>p</i><0.001, respectively). These findings highlight the critical role of external load management in the biological recovery and the relevance of subjective internal load measures in monitoring social and psychological recovery dimensions. Coaches are encouraged to integrate time-based neuromuscular metrics and perceptual load assessments into their recovery monitoring protocols to optimize athletes' well-being and performance.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"356-365"},"PeriodicalIF":2.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Angiotensin-converting gene and hypoxic exercise tolerance: a randomized crossover trial.","authors":"Yuki Muramoto, Mizuki Momoi, Daisuke Nakashima, Kakeru Omae, Kazuhisa Sugai, Kyohei Daigo, Yuji Iwasawa, Genki Ichihara, Hiroki Okawara, Tomonori Sawada, Akira Kinoda, Yuichi Yamada, Takeshi Kimura, Kazuki Sato, Yoshinori Katsumata","doi":"10.1055/a-2477-0512","DOIUrl":"10.1055/a-2477-0512","url":null,"abstract":"<p><p>Hypoxic training enhances endurance sports tolerance. However, individual responses vary due to physiological differences. This study investigated the relationship between genetic factors and exercise tolerance in hypoxic conditions. This randomized crossover study included 22 male university students (age 20.8±1.3 years, peak oxygen uptake 54.5±6.5 mL/min/kg). Incremental load tests were conducted to assess the symptomatic limit on separate days under normoxic and hypoxic conditions (oxygen concentration 15.4±0.8%) using an ergometer. The initial test environment was randomized. The peak oxygen uptake and blood lactate were monitored every minute, and Δ peak oxygen uptake (peak oxygen uptake under hypoxia - peak oxygen uptake under normoxia) was calculated. Sixteen genotypes linked to exercise tolerance (such as angiotensin-converting enzyme [ACE]) were examined. Peak oxygen uptake significantly decreased under hypoxia (p<0.01). Δ peak oxygen uptake varied among individuals (minimum: 0.7 and maximum: - 18.9). Among analyzed genetic polymorphisms, ACE-II genotypes showed significantly greater Δ peak oxygen uptake than ACE-ID/ACE-DD genotypes (p=0.02). ACE-II genotypes exhibited lower blood lactate elevation at peak exercise in normoxic (p=0.01) and hypoxic (p=0.03) conditions. Participants with the ACE-II genotype had lower lactate concentrations and greater reductions in peak oxygen uptake under hypoxic conditions. Optimizing hypoxic training requires individualized programs incorporating genetic analysis.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"246-254"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coexistence of obesity and unhealthy cardiorespiratory fitness in a cohort of boys.","authors":"George P Nassis, Pedro Figueiredo","doi":"10.1055/a-2461-2705","DOIUrl":"10.1055/a-2461-2705","url":null,"abstract":"<p><p>The aim of the present study was to examine: 1) the coexistence of excessive body weight and low cardiorespiratory fitness (CRF), at a level to be considered unhealthy, and 2) the stability (tracking) of this profile. 1754 European boys, aged 8- to 14-years old, were tested for CRF and based on international cut points were classified as having healthy (H) or unhealthy (UN) CRF. Based on BMI they were classified as having normal weight (N), or overweight or obesity (OO). Chi-square was performed with four groups (i.e. N/H, N/UN, OO/H and OO/UN) and the odds ratios were calculated (cross-sectional analysis). A sub-group of 353 boys were followed for an average of 3.79±0.83 years (range: 2.97- 6.06; longitudinal analysis). The odds that a boy was with OO/UN profile compared to the normal body weight category ranged from 2.67 (13-years old) to 6.74 (9-years old). 56.6% of the participants remained in the same category, whereas 28.0% of them had ≥1 change in category to worst in the second assessment (Cohen Kappa= 0.557, p<0.001; substantial agreement). The odds ratios of having boys with unhealthy profile of combined excessive body weight and low CRF ranged from medium to large. The stability of unhealthy profile was substantial.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"290-295"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The prevalence of gas exchange data processing methods: a semi-automated scoping review.","authors":"Anton Hesse, Manix White, Christopher Lundstrom","doi":"10.1055/a-2495-5364","DOIUrl":"10.1055/a-2495-5364","url":null,"abstract":"<p><p>Cardiopulmonary exercise testing involves collecting variable breath-by-breath data and sometimes requiring data processing of outlier removal, interpolation, and averaging before later analysis. These data processing choices, such as averaging duration, affect calculated values such as ˙VO<sub>2</sub>max. However, assessing the implications of data processing without knowing popular methods worth comparing is difficult. In addition, such details aid study reproduction. We conducted a semi-automated scoping review of articles with exercise testing that collected data breath-by-breath from three databases. Of the 8,344 articles, 376 (mean: 4.5% and 95% confidence interval: 4.1-5.0%) and 581 (mean: 7.0% and 95% confidence interval: 6.4-7.5%) described outlier removal and interpolation, respectively. A random subset of 1,078 articles revealed (mean: 60.9% and 95% confidence interval: 57.9-63.7%) the reported averaging methods. The commonly documented outlier cutoffs were±3 or 4 SD (39.1 and 51.6%, respectively). The dominating interpolation duration and procedure were 1 s (93.9%) and linear interpolation (92.5%). Averaging methods commonly described were 30 (30.9%), 60 (12.4%), 15 (11.6%), 10 (11.0%), and 20 (8.1%) second bin averages. This shows that studies collecting breath-by-breath data often lack detailed descriptions of data processing methods, particularly for outlier removal and interpolation. While averaging methods are more commonly reported, improved documentation across all processing steps will enhance reproducibility and facilitate future research comparing data processing choices.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"227-236"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are endurance runners at higher risk of depression? Screening for depression and risk factors.","authors":"Volker Scheer, David Valero, Mabliny Thuany, Beat Knechtle, Carel Viljoen, Esther Ruescas Escolano, Encarna Valero Burgos","doi":"10.1055/a-2495-1757","DOIUrl":"10.1055/a-2495-1757","url":null,"abstract":"<p><p>Depression is an important public health issue. In the general adult population, about 6.7% are affected. Little data are available about endurance runners. We conducted a prospective survey study screening for depression using the Patient Health Questionnaire and investigating potential associated risk factors in endurance runners (≥ 21.1-42.2 km) and ultraendurance runners (≥ 42.2 km). Statistical analysis included descriptive statistics, predictive techniques, and regression analysis. A total of n = 601 runners participated (female n=222 and male n=379; mean age [SD]: 42.8 years [± 10.1]). Overall, 11.3% screened positive for major depression, particularly female runners compared to male runners (p=0.002) and endurance runners compared to ultraendurance runners (p=0.023). No significant differences were observed among performance levels (elite vs. nonelite). Mild depression was observed in 21.6% of runners. Factors associated with a higher risk for screening for major depression included age (p<0.001), particularly runners under the age of 28 years, previous self-reported history of depression (p<0.001), more frequent weekly workouts (4-5/wk; p=0.021), weeks lost to injury (p=0.022), and female sex (p=0.025). A third of endurance and ultraendurance runners screened positive for depression, highlighting the importance of creating awareness for mental health issues and potential screening for athletes and providing access to appropriate support services and education.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"281-289"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sean M Lubiak, Christopher E Proppe, Paola M Rivera, Mason A Howard, Anuj J Prajapati, Niriham M Shah, Nihar N Patel, Shane M Hammer, Michael A Trevino, Taylor K Dinyer-McNeely, Roksana B Zak, Ethan C Hill
{"title":"Muscle-specific neuromuscular responses during running with blood flow restriction.","authors":"Sean M Lubiak, Christopher E Proppe, Paola M Rivera, Mason A Howard, Anuj J Prajapati, Niriham M Shah, Nihar N Patel, Shane M Hammer, Michael A Trevino, Taylor K Dinyer-McNeely, Roksana B Zak, Ethan C Hill","doi":"10.1055/a-2493-0617","DOIUrl":"10.1055/a-2493-0617","url":null,"abstract":"<p><p>The purpose of this investigation was to examine muscle excitation at maximal running capacity without blood flow restriction (BFR) relative to submaximal running bouts with BFR. Fourteen college-aged males randomly completed four, three-minute running bouts at 70, 80, and 90% of peak speed with BFR (70%<sub>BFR</sub>, 80%<sub>BFR</sub>, and 90%<sub>BFR</sub>) and without BFR at 100% of their peak speed (100%<sub>NOBFR</sub>). The surface electromyographic amplitudes of the vastus lateralis, rectus femoris, and vastus medialis muscles were assessed. Muscle excitation of the vastus lateralis was similar across most bouts; however, it was lower during the 70%<sub>BFR</sub> compared to 90%<sub>BFR</sub> (Meandiff =-4.67±- 0.22%; Bayesian 95% high-density interval [HDI]: - 7.07 to - 2.2) and 100%<sub>NOBFR</sub> (Meandiff =-2.94±- 0.27%; 95% HDI:-5.33 to-0.50) bouts. For the rectus femoris, muscle excitation largely increased across running speeds (70%<sub>BFR</sub><80%<sub>BFR</sub> < 90%<sub>BFR</sub>; 90%<sub>BFR</sub> < 100%<sub>NOBFR</sub>). For the vastus medialis, muscle excitation was lower during the 70%<sub>BFR</sub> compared to 90%<sub>BFR</sub> (Meandiff =-8.15±- 0.28%; 95% HDI:-15.3 to-0.89). Submaximal running with BFR increased muscle excitation responses for the vastus lateralis and vastus medialis, such that muscle excitation was similar to 100%<sub>BFR</sub>, despite 10-20% reductions in running speed. The rectus femoris muscle, however, was not affected by BFR during the submaximal running bouts.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"255-262"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandro Tito, Filipe Maia, Marco Correia, João Ribeiro
{"title":"Recovery Patterns of Low-frequency Fatigue in Elite Youth Soccer Players after Official Matches.","authors":"Sandro Tito, Filipe Maia, Marco Correia, João Ribeiro","doi":"10.1055/a-2456-2151","DOIUrl":"10.1055/a-2456-2151","url":null,"abstract":"<p><p>This study aimed to analyze the associations between recovery of low-frequency fatigue, jump height, and perceptual responses following official soccer matches. Forty-two male youth elite soccer players (age: 17.13±0.70 years; height: 179.17±5.94 cm; weight: 69.74±4.91 kg) participated in this study. Low-frequency fatigue, countermovement jump, perceived fatigue, muscle soreness, and perceived recovery were assessed at - 2 h, +30 min, +24 h and +48 h relative to the match. Linear mixed models analysis showed that low-frequency fatigue was reduced at the match-end (ES=- 0.679 [95% CI =- 1.01; - 0.34]; p<0.001) but returned to baseline after 24 h (ES=0.149 [95% CI = - 0.26; 0.56]; p=1.00). Perceptual responses were impaired for up to 48 hours following the match (ES=- 0.868-1.174; p<0.001). Countermovement jump did not differ between any time point (ES=- 0.204-0.216; p>0.05). Additionally, the within-subject correlation analysis showed that low-frequency fatigue pre- to post-match changes presented moderate to large associations with perceived fatigue (rm[57]=- 0.43; p<0.001), muscle soreness (rm[57]=- 0.52; p<0.001), and perceived recovery (rm[57]=0.38; p=0.003). The assessment of low-frequency fatigue could serve as an additional objective measurement for monitoring post-match fatigue, as findings suggest that young elite soccer players experience transient reductions following match-play, which are strongly correlated with subjective markers of recovery.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"263-270"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yücel Makaracı, Juan D Ruiz-Cárdenas, Ömer Pamuk, Kazım Nas, Zeynep Demiray, Hüseyin Duysak, Mathieu Gruet
{"title":"Kinesio Taping does not Enhance Jump Performance and Muscle Activity in Female Athletes.","authors":"Yücel Makaracı, Juan D Ruiz-Cárdenas, Ömer Pamuk, Kazım Nas, Zeynep Demiray, Hüseyin Duysak, Mathieu Gruet","doi":"10.1055/a-2491-1988","DOIUrl":"10.1055/a-2491-1988","url":null,"abstract":"<p><p>This study aimed to investigate the effect of Kinesio Taping (KT) application on the single-leg counter-movement jump (CMJ) and surface electromyographic (sEMG) activity in trained female athletes, in both resting and fatigued states. In this single-blind, randomized, sham-controlled trial, twenty-four healthy trained female athletes were randomly assigned to either the KT (n=12) or the sham tape group (n=12). KT was applied using an inhibition technique on rectus femoris, vastus medialis, biceps femoris, and lateral gastrocnemius muscles of the dominant leg. A single-leg CMJ test and sEMG activity were recorded at baseline (no tape), as well as at 1 hour, 24 hours, and 48 hours after taping. To induce acute neuromuscular fatigue, a 30-second repetitive CMJ test was used to evaluate KT in fatigued states. In the resting states, both groups exhibited improvements in jump height, power, mean velocity, and sEMG activity (%EMGmax) over time, with no significant between-group differences. The single-leg CMJ performance was similarly decreased after the muscle fatigue protocol in both groups, showing no between-group differences. Our findings suggest that KT treatment does not appear to influence jumping performance, sEMG activity, or muscle fatigue in female athletes.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"271-280"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valmir Oliveira Silvino, Sandro Soares Almeida, Helen Matias Apaza, Rayane Carvalho de Moura, Crislane de Moura Costa, Cirley Pinheiro Ferreira, George Sales Beleense, Sérgio Luís Galan Ribeiro, Marcos Antonio Pereira Dos Santos
{"title":"Association between ACE (I/D) polymorphism and physical performance in Brazilian handballers.","authors":"Valmir Oliveira Silvino, Sandro Soares Almeida, Helen Matias Apaza, Rayane Carvalho de Moura, Crislane de Moura Costa, Cirley Pinheiro Ferreira, George Sales Beleense, Sérgio Luís Galan Ribeiro, Marcos Antonio Pereira Dos Santos","doi":"10.1055/a-2443-9765","DOIUrl":"10.1055/a-2443-9765","url":null,"abstract":"<p><p>This study investigated the association between the ACE (I/D) polymorphism and strength phenotypes in Brazilian male handball players, considering their playing position. A total of 105 male junior handball players and 92 controls were evaluated. The ACE I/D polymorphism was genotyped by conventional PCR followed by electrophoresis in agarose gel. All participants were anthropometrically evaluated and performed the standing long jump (SLJ) and medicine ball throw (MBT) tests. Athletes presented superior performance in the SLJ and MBT tests compared to the control group in all playing positions (p<0.01). No significant differences were observed in genotype or allele frequencies when comparing athletes and controls or among playing positions. However, a significant difference was observed when comparing all athletes to controls using the over-dominant model (II+DD vs. ID; p=0.035). Additionally, ID athletes had better performance in the MBT than DD players (p=0.04), athletes with II+ID and II+DD genotypes exhibited superior performance in the SLJ test (p<0.04), and ID athletes demonstrated increased height compared to II+DD counterparts (p=0.01). In conclusion, our data showed a potential association between ACE (I/D) polymorphism and overall athletic predisposition in handball players, with no association with playing position.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"296-301"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does chronic ankle instability affect side-cutting in female soccer players?","authors":"Shiki Takeuchi, Masaya Anan","doi":"10.1055/a-2487-6036","DOIUrl":"10.1055/a-2487-6036","url":null,"abstract":"<p><p>Lateral ankle sprains have a high recurrence rate, often developing into chronic ankle instability (CAI). CAI affects movement strategy during side-cutting maneuvers, with inconsistent results in many studies. This study aimed to clarify the characteristics of movement strategies during side-cutting maneuvers in female soccer players with and without CAI. Thirteen female soccer players with CAI and twelve healthy controls performed 10 successful trials of side-cutting maneuvers in three directions (anterolateral, lateral, and posterolateral) under unanticipated conditions. Compared to the control group, the CAI group displayed an increased stance time in the lateral and posterolateral side-cutting maneuvers (lateral: p=0.021, effect size=0.97, posterolateral: p=0.014, effect size=1.00). In posterolateral side-cutting maneuvers, the CAI group displayed a decreased posterior ground reaction force at 19-30% and 42-54% of the entire stance phase compared with the control group (p=0.001, effect size=1.30-1.42). Female soccer players with CAI may display increased stance time to compensate for self-reported ankle instability and may also exhibit decreased braking and propulsive force when side-cutting to sharper angles. These observations suggest a hypothesis that could help in the assessment of cutting maneuvers under unanticipated conditions after ankle sprains.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":"217-223"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}