Journal of the American Podiatric Medical Association最新文献_第2页

Immediate Effects of Wearing Compression and Textured Materials on Plantar Tactile Sensitivity, Balance, and Mobility in Community-Dwelling Older Adults. 穿着压缩和纹理材料对社区居住老年人足底触觉敏感性、平衡和活动的直接影响。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/24-096

Sevim Beyza Olmez, Tugce Coban, Selda Basar

{"title":"Immediate Effects of Wearing Compression and Textured Materials on Plantar Tactile Sensitivity, Balance, and Mobility in Community-Dwelling Older Adults.","authors":"Sevim Beyza Olmez, Tugce Coban, Selda Basar","doi":"10.7547/24-096","DOIUrl":"https://doi.org/10.7547/24-096","url":null,"abstract":"Background: Evidence suggests that lower-limb stimulation strategies are designed to enhance somatosensory feedback by stimulating the plantar receptors. However, previous studies have focused on only a single sensory stimulation strategy in older adults. Combining two stimulation strategies might produce better results by boosting the sensorimotor signals in older adults. Therefore, the aim of this study was twofold: first, to investigate the effects of the combined use of compression stockings and textured insoles on plantar touch sensitivity, balance, and mobility and to compare these results with each intervention applied separately and with a control intervention; second, to examine whether there was an improvement in plantar touch sensitivity compared with baseline.Methods: This study assessed plantar tactile sensitivity, balance, and mobility in 24 community-dwelling older adults (mean age, 72.4 ± 6.3 years) under four interventions: 1) compression socks with textured insoles, 2) compression socks with smooth insoles, 3) smooth socks with textured insoles, and 4) smooth socks with smooth insoles (control), all in the standard shoe. The Friedman test or repeated measures analysis of variance was used to compare results.Results: Each intervention had similar plantar tactile sensitivity, balance, and mobility parameters (P > .05). However, it was determined that only wearing compression socks caused an improvement in plantar tactile sensitivity compared with baseline (P < .05).Conclusions: Compression socks could be beneficial in increasing somatosensory feedback in older adults, as compression socks increase plantar tactile sensitivity more than textured insoles.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958878","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}

引用次数: 0

Comparative Analysis of Rate of Recurrence Using Sodium Hydroxide versus Phenol for Chemical Matrixectomies of Toenails. 氢氧化钠与苯酚用于化学基质趾甲切除术复发率的比较分析。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-099

Sindhu Srinivas, Jaclyn D Wessinger, Ellianne Nasser, Sarah Strickland, Idorenyin F Udoeyo

{"title":"Comparative Analysis of Rate of Recurrence Using Sodium Hydroxide versus Phenol for Chemical Matrixectomies of Toenails.","authors":"Sindhu Srinivas, Jaclyn D Wessinger, Ellianne Nasser, Sarah Strickland, Idorenyin F Udoeyo","doi":"10.7547/23-099","DOIUrl":"https://doi.org/10.7547/23-099","url":null,"abstract":"Background: Chemical matrixectomy using acidic phenol or alkaline sodium hydroxide (NaOH) is indicated when prevention of toenail growth is preferred. The literature reports outcomes for phenol and NaOH independently; however, no studies are found to compare recurrence rates. This study evaluates the efficacy of these chemicals in preventing nail growth recurrence while analyzing whether age, sex, and body mass index contribute to regrowth after chemical matrixectomy.Methods: From July 1, 2019, to July 1, 2021, data were obtained for toenail removal procedures that include Current Procedural Terminology codes 11730, 11750, and 11732 and corresponding International Classification of Diseases, Tenth Revision code S61.309A.Results: Descriptive statistical analyses were conducted on 138 patients who underwent partial or total chemical matrixectomy. A χ2 test, a Fisher exact test, and an independent two-sample test were used to compare health and demographic characteristics on only patients who underwent a chemical matrixectomy (n = 58), evaluating differences between NaOH and phenol. The mean patient age was 43.2 years. Most patients (72%) did not have a previous revision. Approximately 54% of patients underwent partial nail avulsions without chemical matrixectomies versus 44% who had chemical matrixectomies. No statistically significant differences were found between groups. Comparison of recurrence rates did not demonstrate a statistically significant difference between NaOH and phenol. No association was found between nail growth recurrence and age.Conclusion: Further investigation into application times, technique, and severity of deformity may provide further insight into factors leading to recurrence.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958834","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}

引用次数: 0

Machine Learning for Predicting Amputation and Mortality Risk in Diabetic Foot Syndrome Patients. 机器学习预测糖尿病足综合征患者截肢和死亡风险。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-137

Ali Yüce

引用次数: 0

Foot Care for Muslim Patients. 穆斯林病人的足部护理。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/24-208

Mohammad Junayed Khan, Naveed Shah, Rafay Qureshi, Jacob Nasser, Rifat Zaman

{"title":"Foot Care for Muslim Patients.","authors":"Mohammad Junayed Khan, Naveed Shah, Rafay Qureshi, Jacob Nasser, Rifat Zaman","doi":"10.7547/24-208","DOIUrl":"https://doi.org/10.7547/24-208","url":null,"abstract":"Islam is the fastest growing religion in the United States and the world, and the number of Muslim patients who foot and ankle specialists will encounter is expected to increase as a result. Therefore, it is important to understand the Muslim patients' emphasis on modesty to ensure comfort during the patient encounter. The provider should understand the permissibility of animal-derived products, especially as it relates to lower-extremity wound care and surgical products. Specific rituals that are pillars of Islam, such as prayer, fasting in Ramadan, and Hajj pilgrimage, all have direct relationships with foot health that providers should be cognizant of. Ritual purification or ablution before prayer is associated with fungal infections, and specific prayer positions may aggravate foot pain. Providers must understand that it is not enough to only treat fungal infections that affect Muslim patients, but they also need to understand the unique circumstances of Muslim worshipers that increase their risk of fungal infections and recurrence. Consequently, educational and preventative measures for managing tinea pedis in the Muslim population are critical. Muslims fast from sunrise to sunset during the month of Ramadan and pray during the night for an extended time, which has potential effects on the lower extremity. Hajj is the major pilgrimage that Muslims are required to complete once in a lifetime, and there are smaller, optional, pilgrimages that Muslims perform as well. There is a high risk of foot, ankle, and leg complications during these pilgrimages, and therefore it is paramount that providers understand the risk factors for lower-extremity complications during Hajj. Although Muslim patients participate in many rituals that have the potential to affect their foot health and overall well-being, the provider should understand that concessions exist for all situations, and the well-being of the patient supersedes any ritualistic obligation.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958844","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}

引用次数: 0

The Impact of Postural and Anthropometric Properties of the Foot and Ankle on the Physical Performance and Ambulation of Patients with Duchenne Muscular Dystrophy. 足踝姿势和人体测量特性对杜兴氏肌肉萎缩症患者的运动表现和行走能力的影响。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-012

Güllü Aydın-Yağcıoğlu, Numan Bulut, İpek Alemdaroğlu-Gürbüz, Öznur Tunca

{"title":"The Impact of Postural and Anthropometric Properties of the Foot and Ankle on the Physical Performance and Ambulation of Patients with Duchenne Muscular Dystrophy.","authors":"Güllü Aydın-Yağcıoğlu, Numan Bulut, İpek Alemdaroğlu-Gürbüz, Öznur Tunca","doi":"10.7547/23-012","DOIUrl":"10.7547/23-012","url":null,"abstract":"Background: Abnormal foot anthropometry and posture of patients with Duchenne muscular dystrophy (DMD) can be considered as possible risk factors for performance and ambulation. We aimed to examine the effects of foot posture and anthropometric characteristics, which deteriorated from the early period, on the ambulation and performance of patients with DMD.Methods: The foot arch height, metatarsal width, subtalar pronation angle, and ankle limitation degree were evaluated to determine the foot anthropometric characteristics of the patients. The Foot Posture Index-6 was used to evaluate foot posture. Performance of the patients was determined by the 6-minute walk test (6MWT), the 10-meter walk test, and the ascend/descend four standard steps test, and ambulation was determined by the North Star Ambulatory Assessment (NSAA). Spearman correlation coefficient was calculated to assess the relationship between foot anthropometric characteristics and posture and performance and ambulation.Results: The sample consisted of 48 patients with DMD aged 5.5 to 12 years. Foot Posture Index-6 scores for both the right and left feet were associated with all the parameters except descending four steps. Left foot arch height was associated with 6MWT and NSAA, and left metatarsal width was associated with 6MWT. Ankle limitation degree of the right foot was associated with 6MWT, ascending/descending four steps, and NSAA and of the left foot was associated with NSAA (P < .05). There was no relationship between other parameters.Conclusions: These findings suggest that postural disorders in the foot and ankle may contribute to the decrease in performance and ambulation in patients with DMD.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988258","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}

引用次数: 0

A Retrospective Review of Soft-Tissue Complications in Total Talus Replacement and Total Ankle Replacement Using the Orthoplastic Anteromedial Approach. 骨科前内侧入路全距骨置换术和全踝关节置换术软组织并发症的回顾性分析。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-090

Guido A LaPorta, Lauren L Schnack, Maria Begum, Eli A Yates, Stephanie Oexeman, Edgardo R Rodriguez-Collazo

{"title":"A Retrospective Review of Soft-Tissue Complications in Total Talus Replacement and Total Ankle Replacement Using the Orthoplastic Anteromedial Approach.","authors":"Guido A LaPorta, Lauren L Schnack, Maria Begum, Eli A Yates, Stephanie Oexeman, Edgardo R Rodriguez-Collazo","doi":"10.7547/23-090","DOIUrl":"https://doi.org/10.7547/23-090","url":null,"abstract":"Background: The anterior approach to the ankle addresses many pathologies. The orthoplastic anteromedial incisional approach to the ankle courses between the anterior tibial and posterior tibial angiosomes. There are various modalities that can be used in evaluating the integrity of these angiosomes before surgical intervention.Methods: A retrospective review of 23 patients using the anteromedial ankle approach in either total talus replacement or total ankle replacement was performed from January 1, 2016, through August 31, 2021. Surgical intervention occurred from January 29, 2016, through January 10, 2019, and follow-up was through August 2021.Results: Patients were evaluated based on medical history, postoperative week of suture or staple removal, incision complications, and time at which full weightbearing began. Smoking history was also documented. Eighteen patients healed uneventfully, and some of these patients had a smoking history, a history of type 2 diabetes mellitus, or both.Conclusion: A preoperative evaluation of vascular supply is necessary to determine the healing potential of this approach. Atraumatic handling of the soft-tissue envelope is imperative to aid in wound healing and optimize the postoperative course. The orthoplastic anteromedial ankle incisional approach is a possible alternative option for an anterior ankle incision if adequate vascular status is determined to be present before surgical intervention.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958689","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}

引用次数: 0

Total Ankle Arthroplasty Medial Malleolus Fractures and Use of Prophylactic Screw. 内踝骨折全踝关节置换术及预防性螺钉的应用。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-143

Bryanna D Vesely, Lindsay Lesavage, Matthew A King, Aaron T Scott

{"title":"Total Ankle Arthroplasty Medial Malleolus Fractures and Use of Prophylactic Screw.","authors":"Bryanna D Vesely, Lindsay Lesavage, Matthew A King, Aaron T Scott","doi":"10.7547/23-143","DOIUrl":"https://doi.org/10.7547/23-143","url":null,"abstract":"Background: Ankle arthritis is a debilitating condition that negatively impacts a patient's quality of life. The total ankle arthroplasty procedure continues to gain traction as a viable treatment option for end-stage ankle arthritis that has failed conservative treatment. Although newer total ankle models have shown improvement in complications and survivorship, intraoperative and postoperative medial malleolus fractures continue to be a concern.Methods: We created two novel radiographic measurements of the bone bridge between the total ankle prosthesis and the tibial cortex. Using 72 patients, we analyzed the correlation between the bone bridge and intraoperative and postoperative fractures.Results: We found patients with no fractures had a larger transverse and short bone bridge (12.67 ± 2.93 and 11.24 ± 2.7 mm, respectively) compared with patients who experienced an intraoperative or postoperative medial malleolus fracture. Although patients who received a prophylactic screw had a bone bridge that was over 4 mm smaller compared with the group with no fractures, it was successful in preventing further fractures.Conclusions: We recommend that the surgeon consider placement of a prophylactic screw in patients with a transverse bone bridge of 12 mm or short bone bridge of 10 mm.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958790","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}

引用次数: 0

A Rare Lower-Extremity Presentation of Multifocal Motor Neuropathy (MMN) Prior to Upper-Extremity Involvement. 一个罕见的下肢多灶性运动神经病变（MMN）在上肢受累之前的表现。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-139

J Adrian Wright, Grayson Catherwood, Christian Vanni, Julia Tanaka

{"title":"A Rare Lower-Extremity Presentation of Multifocal Motor Neuropathy (MMN) Prior to Upper-Extremity Involvement.","authors":"J Adrian Wright, Grayson Catherwood, Christian Vanni, Julia Tanaka","doi":"10.7547/23-139","DOIUrl":"https://doi.org/10.7547/23-139","url":null,"abstract":"Multifocal motor neuropathy (MMN) is a rare motor neuron condition that typically presents as asymmetric muscular dystrophy to the distal upper extremities. As an autoimmune disorder, it is hypothesized that the presence of anti-ganglioside-monosialic acid 1 (anti-GM1) antibodies results in demyelination of axons, propagating symptoms of MMN. Intravenous immunoglobulin infusions have proven effective in restoring muscle tone and function if administered at early onset of the disease symptoms. Although uncommon, MMN can also affect the distal lower extremities. In this study, we present a female patient with muscle atrophy and general weakness to her right lower extremity prior to developing similar symptoms to her left upper extremity. Due to this very uncommon presentation, the pathology was identified late in the progression of the disease. The delay in treatment resulted in a permanent reduction in muscle tone and function in the right lower extremity. To the best of the authors' knowledge, such a finding has not been reported in the current literature, prompting the need for awareness of a truly uncommon presentation of an already uncommon condition.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958721","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}

引用次数: 0

Reoperation and Reamputation Rates After Hallux Amputations versus Partial First-Ray Amputations. 拇截除术后再手术和再截肢率与一线部分截除术后比较。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/23-033

Bryanna D Vesely, Jennifer Kipp, Madeline R Fram, Hayden Hoffler, Gregory Russell, Nicholas S Powers, Ashleigh W Medda, Cody D Blazek

{"title":"Reoperation and Reamputation Rates After Hallux Amputations versus Partial First-Ray Amputations.","authors":"Bryanna D Vesely, Jennifer Kipp, Madeline R Fram, Hayden Hoffler, Gregory Russell, Nicholas S Powers, Ashleigh W Medda, Cody D Blazek","doi":"10.7547/23-033","DOIUrl":"https://doi.org/10.7547/23-033","url":null,"abstract":"Background: Foot infections are a common condition that foot and ankle providers treat. For patients who require an amputation, surgeons must decide what level of amputation to perform based on the extent of infection, soft-tissue viability, and the biomechanics of the foot. Although the literature has shown the high risk of repeated ulceration and amputation after a foot ulcer, there has been little published comparing partial first-ray amputation with hallux amputation.Methods: The present study looked at reoperation and reamputation rates in 295 patients with either a partial first-ray amputation or a hallux amputation for treatment of infection.Results: Almost half of both groups required a reoperation: 41.1% and 42.9% in the hallux and partial first-ray amputation groups, respectively. There was a 31.9% distal amputation rate in the hallux amputation group and a 27.9% rate in the partial first-ray amputation group. There was found to be a 10.6% and 16.9% major amputation rate in the hallux amputation and partial first-ray amputation groups, respectively. We found no statistically significant differences between these two groups regarding reoperation rates and distal or major amputations.Conclusions: Either procedure is appropriate for infections of the first ray, and the level of amputation should be determined based on the extent of the infection and soft-tissue coverage.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958798","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}

引用次数: 0

Optimal Guidewire Starting Position for Medial Column Intramedullary Fixation. 内侧柱髓内固定的最佳导丝起始位置。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-07-01 DOI: 10.7547/24-059

Dominick Casciato, Ross Groeschl, Robert Mendicino

{"title":"Optimal Guidewire Starting Position for Medial Column Intramedullary Fixation.","authors":"Dominick Casciato, Ross Groeschl, Robert Mendicino","doi":"10.7547/24-059","DOIUrl":"https://doi.org/10.7547/24-059","url":null,"abstract":"Background: Insertion of medial column intramedullary fixation during Charcot reconstruction relies on proper guidewire placement in preparation for reaming to optimize endosteal purchase. Although fluoroscopy and jigs assist with wire placement, no anatomical relationship between the center of the intramedullary canal and metatarsal head or base has been described, which this cadaver study aimed to identify.Methods: The first metatarsals from ten fresh-frozen cadavers were dissected. The height and width of the first metatarsal head and base as well as length were measured with digital calipers. Each metatarsal was placed in a three-dimensional printed gantry, where radiographs were taken. Image analysis software was used to identify the relationship between the metatarsal head and base and the center of the intramedullary canal.Results: Metatarsals from six male and four female cadavers with an age of 68.6 ± 15.14 years were assessed. Metatarsal length was 62.71 ± 5.54 mm. The center point was 51.12 ± 3.51% and 66.85 ± 5.09% the height of the metatarsal head and base, respectively, with the inferior cortex as reference. Moreover, the center point was 53.40 ± 6.26% and 52.63 ± 2.90% the width of the metatarsal head and base, respectively, with the lateral cortex as reference. Longer metatarsals correlated with more superior base starting positions (r = 0.74; P = .02).Conclusions: Guidewire entry should be slightly superior and medial to the center of the first metatarsal head and directed proximally toward the superior third of the metatarsal base. These findings may assist with surgical technique and instrument design.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958870","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}

引用次数: 0