Medical problems of performing artists最新文献

{"title":"Are Factors of Posture and Balance Integrated in Research Studies on Upper Extremity Musculoskeletal Pain in Instrumental Musicians?: A Scoping Review.","authors":"Ron Garnett, Em M Pijl, Peter Visentin","doi":"10.21091/mppa.2022.4032","DOIUrl":"10.21091/mppa.2022.4032","url":null,"abstract":"<p><p>It is widely believed that posture and balance stressors are factors in playing-related pain for musicians using hand-held musical instruments. This purpose of this scoping review was to assess the available literature relative to the effects of posture and balance in musicians with neuromusculoskeletal injuries. A search of Medline, Web of Science, and SportDiscus seeking articles combining posture and balance considerations with pain in performing artists was performed. From 1,403 articles initially identified by the search parameters, the further abstract/title review for relevance and inclusiveness of pain and posture/balance variables in performing artists resulted in the retention of 29 articles for this full-text scoping review. The full-text analysis assessed publication type, study design, participant population, methodology, statistical methods, main results, and whether the study evaluated the relationship between posture/balance and pain in musicians. Overall, most of the studies including musicians were observational or descriptive. Although, in recent years, there has been an increase in the number of interventional studies regarding posture, balance and pain in musicians, there is still minimal evidence about the contribution of posture and balance characteristics to pain in musician performers. To reliably establish a predictable relationship with injury symptomatology experienced by musicians, it is essential to integrate standardized, validated measurements of posture and balance in the evaluation of all musicians who report to a health professional with neuromusculoskeletal pain. This will not only allow researchers to determine the effect of postural righting dysfunction on neuromusculoskeletal injuries in musicians, but also may provide a foundation for clinicians to develop effective interventions.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"278-292"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40456554","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":"Knowledge and Perceptions about COVID-19 among Thai Classical Dancers in Thailand: An Online Cross-Sectional Survey.","authors":"Warin Krityakiarana,&nbsp;Nopporn Jongkamonwiwat,&nbsp;Chanonya Chaiwongroj,&nbsp;Likhit Jaidee","doi":"10.21091/mppa.2022.4034","DOIUrl":"https://doi.org/10.21091/mppa.2022.4034","url":null,"abstract":"<p><p>The prevention and control of the spread of COVID-19 has become a major challenge and concern globally. Since the COVID-19 pandemic is still ongoing, sufficient knowledge and practices of people toward COVID-19 is necessary. Thai classical dancers are one of the groups affected by the pandemic. Health literacy in dancers has been shown to be crucial for their health and performance. Hence, this study aimed to assess Thai classical dancers' knowledge and perception about COVID-19. A cross-sectional 25-item online survey was conducted between March and October 2021. Content validity was performed through the index of Item-Objective Congruence (IOC). Descriptive statistics were applied to represent Thai classical dancer characteristics, knowledge, and perception. The Thai version of the questionnaire had 2 modified items and 2 additional items from the original questionnaire, and the IOC was 1.0. Of the 323 participants who completed the survey, most had adequate knowledge about COVID-19, while 23.84% correctly answered about symptoms of severe COVID-19. Thai classical dancers showed a good perception on COVID-19 prevention and control. Basic understanding about COVID-19 among Thai classical dancers based on their available resources is important. Hence, providing more valid sources of information and health literacy to Thai classical dancers should be considered. More studies on COVID-19 in other dancers should also be explored.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"228-241"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40456969","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":"Assessment of Professional Circus Students' Psychological Characteristics at Four Strategic Timepoints over the Scholastic Year: A Longitudinal Study Using the Stress Process Model.","authors":"Adam Decker,&nbsp;Veronique Richard,&nbsp;John Cairney,&nbsp;Philip Jefferies,&nbsp;Natalie Houser,&nbsp;Patrice Aubertin,&nbsp;Dean Kriellaars","doi":"10.21091/mppa.2022.4036","DOIUrl":"https://doi.org/10.21091/mppa.2022.4036","url":null,"abstract":"<p><strong>Objective: </strong>The circus professionalization process entails extensive training to mitigate the high-risk demands which increase stress in artists. In high-risk professions, everyday hassles (challenges) contribute greatly to overall stress. To capture the impact of daily challenges on student-artists, the aim of the current study was to describe the magnitude and pattern of daily challenges as well as their relationships with perceived coping, anxiety, fatigue, and psychological distress.</p><p><strong>Methods: </strong>Ninety-two students at École Nationale de Cirque (ENC), in Montreal, Canada, completed the Circus Daily Challenges Questionnaire (CDCQ) and scales assessing perceived coping, state anxiety, and fatigue at four time points over 1 school year. The Kessler 6 Non-Specific Psychological Distress Scale (K6) was implemented at one time point.</p><p><strong>Results: </strong>Findings revealed significant fluctuations in challenge level and management of challenges throughout the school year, with schedule, technical development, artistic expression, physical preparation, and sleep reported as high during the two examination periods. The lowest challenge-level scores were achieved following the extended breaks in the annual calendar. Daily challenge positively correlated to state anxiety and fatigue, and negatively correlated with perceived coping. The student-artists reported higher prevalence of moderate psychological distress to general populations.</p><p><strong>Conclusion: </strong>Befitting the Stress Process Model, a strong interplay between variables was observed, and the life challenges assessment provides a basis for interventions based upon commonalities across the group, as well as individually tailored.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"249-258"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40547583","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":"May I Have This Dance: A Case-Series on the Acute Cardiometabolic Demand of Wheelchair Dancing in Recreational Dancers with Spinal Cord Injury.","authors":"Claire Shackleton,&nbsp;Soshi Samejima,&nbsp;Tiev Miller,&nbsp;Ali Hosseinzadeh,&nbsp;Amanda Hx Lee,&nbsp;Rahul Sachdeva,&nbsp;Tom E Nightingale,&nbsp;Andrei V Krassioukov","doi":"10.21091/mppa.2022.4035","DOIUrl":"https://doi.org/10.21091/mppa.2022.4035","url":null,"abstract":"<p><strong>Objectives: </strong>This case-series investigated energy expenditure, cardiovascular responses, and psychosocial outcomes during two wheelchair dancing routines with different tempos.</p><p><strong>Methods: </strong>Three individuals with chronic, non-traumatic spinal cord injuries [males, mean age 42 (13) years, C3-T12, AIS D, schwannoma=1, poliomyelitis=1, ependymoma=1] performed slow (rumba, 80 bpm) and fast (salsa, 170 bpm) wheelchair dance routines. Physiological [heart rate, blood pressure, relative oxygen consumption (VO2), metabolic task equivalent] and psychosocial parameters [ratings of perceived exertion, enjoyment and Brunel Mood Score] were measured pre, during, and post-dancing.</p><p><strong>Results: </strong>All participants showed an elevation in heart rate and relative VO2 from rest to dancing with a subsequent decrease in these parameters post-dance for both routines. Relative to the slow dance routine, two out of three participants demonstrated greater heart rate, relative VO2, ratings of perceived exertion, and enjoyment during the fast dance routine. For all three participants, metabolic task equivalents ranged from 1.7-2.4 (slow) and 2.1-3.8 (fast), suggesting the intervention was of light to moderate intensity for slow and fast dance routines, respectively. Enjoyment ratings ranged from \"quite a bit\" to \"extremely.\" No differences in Brunel mood subscales were observed.</p><p><strong>Conclusion: </strong>This case-series offers a preliminary understanding of the acute cardiometabolic and psychosocial responses to wheelchair dance routines of differing intensities per¬formed by individuals with spinal cord injury. Responsiveness observed among these participants suggests the potential use of wheelchair dance for promoting physical activity and improving psychological well-being.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"269-277"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40548075","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":"Low Self-Esteem and Music Performance Anxiety Can Predict Depression in Musicians.","authors":"Christine Sickert,&nbsp;Jan Philipp Klein,&nbsp;Eckart Altenmüller,&nbsp;Daniel S Scholz","doi":"10.21091/mppa.2022.4031","DOIUrl":"https://doi.org/10.21091/mppa.2022.4031","url":null,"abstract":"<p><strong>Background: </strong>Music performance anxiety (MPA) is an issue concerning musicians from all levels but is still a rather neglected topic in the education and employment of musicians. This study investigated the link between self-esteem, MPA, and depression within a German-speaking sample of musicians of different professions. The underlying question of this study was generated during psychotherapy treatment of musicians with depression and MPA. Thus, we investigated whether musicians with low self-esteem had MPA or depression.</p><p><strong>Methods: </strong>An online questionnaire on self-esteem, performance anxiety, and depression was sent to a sample (n=295) of German musicians of different professions and levels of education. The assessment tools in the online questionnaire included the Rosenberg-Self-Esteem-Scale, the Kenny Music-Performance-Anxiety-Inventory, and the Beck-Depression-Inventory.</p><p><strong>Results: </strong>Music students had a significantly lower self-esteem scores compared to employed professionals and amateurs and a higher MPA compared to employed musicians. Regression analyses showed a significant prediction of depression by self-esteem and MPA. Specifically, low self-esteem and the cognitive and behavioral aspects of MPA were significant predictors of depression. Partial mediation by MPA between self-esteem and depression was found.</p><p><strong>Conclusion: </strong>Low self-esteem and MPA could predict depression. The scores of the entire sample of musicians regarding their MPA and depression were higher than in the general German population. These results highlight the importance of education and removal of negativity regarding performance anxiety in order to improve psychotherapy methods and ensure musicians' health in general.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"213-220"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457544","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":"Musculoskeletal Symptoms in Brazilian University Drummers and Percussionists: A Cross-Sectional Study.","authors":"Fernando Dos Souza,&nbsp;Isabel Ap Walsh,&nbsp;Thiago M Queiroz,&nbsp;Luciane Frm Fernandes,&nbsp;Daniel Fm Lobato","doi":"10.21091/mppa.2022.4033","DOIUrl":"https://doi.org/10.21091/mppa.2022.4033","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the number of university drummers and percussionists in Brazil has been increasing. Extensive instrumental practice and repetitive rehearsals are related to the presence of musculoskeletal symptoms among many of these percussion instrumentalists (e.g., repique, tambourine, agogô, rattle, surdo, and snare drums). Musculoskeletal injuries increase the costs of medical exams and treatment in percussionists.</p><p><strong>Objective: </strong>The present study aimed to analyze the prevalence of musculoskeletal symptoms in Brazilian university drummers and percussionists.</p><p><strong>Method: </strong>An electronic survey addressing demographic features and musculoskeletal signs and symptoms was distributed via social media to university drummers and percussionists in Brazil from July to November 2021. The target sample included university drummers and percussionists over age 18 years, with no gender restrictions, more than 6 months of instrumental practice, and either enrolled in undergraduate studies for more than 1 year or completed undergraduate studies less than 1 year ago. The prevalence and severity of musculoskeletal signs and symptoms were analyzed by body region using the adapted Nordic Musculoskeletal Questionnaire.</p><p><strong>Results: </strong>A total of 103 responses were collected from 2,640 emails sent (3.9% response rate with a 99% completion rate). Sixty participants were female (58.25%). A high frequency of pain and discomfort was reported among the students when participating in battery activities (85.58%). In the last 6 months, wrist/hand was the most involved region (50%), followed by the lower back (45.19%) and shoulders (39.42%). In the last 7 days, the three areas most affected areas when participants were active on the drums were the wrists/hands (75%), shoulders (51.92%), and upper back (33.65%).</p><p><strong>Conclusion: </strong>Most Brazilian university drummers and percussionists had experienced musculoskeletal pain. This pain may be related to repetitive movements, inadequate postures, or use of excessive force during performance and practice.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 4","pages":"221-227"},"PeriodicalIF":0.9,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458305","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":"Workplace Social Capital as Buffer for Emotional Demands and Perceived Stress in Symphony Orchestras: A Danish Cross-Sectional Survey.","authors":"Jesper Pihl-Thingvad,&nbsp;Tine Taulbjerg Kristensen,&nbsp;Helene M Paarup,&nbsp;Jesper Baelum,&nbsp;Kirsten K Roessler","doi":"10.21091/mppa.2022.3026","DOIUrl":"https://doi.org/10.21091/mppa.2022.3026","url":null,"abstract":"<p><strong>Introduction: </strong>High workplace social capital (WSC) is associated with improved occupational health in the common occupational areas. However, little is known on WSC and its effect on the emotional demands and stress seen in the work of classical symphonic musicians.</p><p><strong>Aim: </strong>To investigate whether WSC moderates the associations between emotional demands and stress in the professional musicians working in Danish symphony orchestras.</p><p><strong>Methods: </strong>This cross-sectional study builds on existing data collected on a sample of 341 Danish classical symphonic musicians. An interaction model based on multiple regression with bias corrected boot-strapping was used to assess the moderating effect of low, medium and high levels of WSC on the association between emotional demands and perceived stress.</p><p><strong>Results: </strong>WSC had a significant moderating effect on the association between emotional demands and perceived stress: b = -0.01, t(212) = -2.40, p = 0.018. At low levels of WSC the effect of emotional demands on stress was strongest, declining at higher levels of WSC in a dose response pattern: low-WSC, b = 0.23, t(212) 3.20, p = 0.002, medium-WSC, b = 0.11, t(212) = 2.40, p = 0.017, and high-WSC, b = 0.04, t(212) = 0.75, p = 0.455.</p><p><strong>Conclusion: </strong>The study indicates a buffering effect of WSC on the association between emotional demands and stress in the work of orchestra musicians. Thus, enhancement of WSC could be a potential stress-preventing strategy in symphony orchestras and should be investigated in future studies on musicians' mental health.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"192-199"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341772","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":"Bow-Side Kinematics Studies in Violinists: An Experimental Design Tracking Intra- and Inter-Musician Variability by Bow Stroke, String Played, and Tempo.","authors":"Benjamin Michaud,&nbsp;Mickaël Begon,&nbsp;Sonia Duprey","doi":"10.21091/mppa.2022.3020","DOIUrl":"https://doi.org/10.21091/mppa.2022.3020","url":null,"abstract":"<p><p>Comparison of bow-side kinematics in violinists is hindered by the scarcity of studies available. This makes meta-analysis impossible. This paper assesses the effect of music-based variables (bow stroke, tempo, and string played) on intra- and inter-participant variability in joint kinematics. The joint kinematics of nine high-level violinists were acquired via a motion capture system while they played a standardized piece of music involving contrasting bow strokes and strings at different tempi. Results were compared using linear mixed models using the root mean square (RMS) for each joint. We found highly individualized patterns of play, deduced from a low intra- but high inter-musician variability (4.2° vs 13.1° of normalized RMS) in joint kinematics. String played and bow stroke had the greatest effect on joint kinematics. The string played had the greatest impact on shoulder kinematics, and the bow stroke had the greatest impact on elbow and wrist kinematics. Based on these results, we propose guidelines for future research designed to study bow kinematics in the field of biomechanics of violin movements. For ease of comparison between studies and to limit the time and resources required, our main suggestions are to use repeated measures designs with a legato reference condition and to choose pieces of music spanning multiple strings.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"135-142"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40343889","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":"Knowledge Platform and Theoretical Basic Course About Embouchure and Embouchure Problems in Brass: Special Symposium of the Nederlandse Vereniging voor Dans- en Muziekgeneeskunde (NVDMG), Ede, The Netherlands, December 3, 2021","authors":"K. H. Woldendorp","doi":"10.21091/mppa.2022.3027","DOIUrl":"https://doi.org/10.21091/mppa.2022.3027","url":null,"abstract":"On Friday, December 3, 2021, the Dutch Performing Arts Medicine Association (NVDMG) organized the first “Knowledge Platform Symposium About Embouchure and Embouchure Problems in Brass,” at Akoesticum in Ede, The Netherlands. The intention of this symposium was to create\u0000 a bridge between the brass world (brass players and brass pedagogues of several Dutch and Belgian conservatories) and physicians and therapists active in the treatment of embouchure problems. In the afternoon a “Theoretical Basic Course” about this topic was organized about the\u0000 fundamentals of embouchure and how to observe in a structural way at the individual embouchure.","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45500709","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":"Marker-Based Method for Analyzing the Three-Dimensional Upper Body Kinematics of Violinists: Reproducibility.","authors":"Eduard Wolf,&nbsp;Dirk Möller,&nbsp;Nikolaus Ballenberger,&nbsp;Karsten Morisse,&nbsp;Christoff Zalpour","doi":"10.21091/mppa.2022.3025","DOIUrl":"https://doi.org/10.21091/mppa.2022.3025","url":null,"abstract":"<p><strong>Background: </strong>Recently, Wolf et al. proposed a novel, marker-based method to analyze the three-dimensional upper-body kinematics of high string players for clinical application. The method provides an objective evaluation of high string players' motor strategies, especially in the shoulder complex, by distinguishing between the scapulothoracic (ST) and glenohumeral (GH) joints, while minimizing skin movement artifacts, marker occlusions, and limitations due to instrument placement. Nevertheless, reproducibility of kinematic measurements is crucial for clinical applications. The aim of this study was to assess the method's reproducibility in terms of reliability and repeatability.</p><p><strong>Methods: </strong>One healthy professional violinist underwent a total of nine bowing trials in three different laboratory sessions. Each trial was conducted by one of two different examiners. A biomechanical model was applied to motion capture data of the pelvis, thorax, spine, and head, as well as both upper limbs (consisting of the scapula, upper arm, forearm and hand). Reproducibility was assessed by calculating inter- and intra-tester, inter-session, and intra-subject measurement errors for each rotational degree of freedom in the upper-body segments and joints.</p><p><strong>Findings: </strong>Small measurement errors were accepted to be good indicators for reproducibility. Intra- and inter-tester errors were found to be small (< 3° for the most part). Both inter-session and intra-subject repeatability were found to be larger (< 5° for the most part).</p><p><strong>Interpretation: </strong>This study generally showed the novel, marker-based method to have good reproducibility for a healthy violinist. This indicates that the proposed method is a reliable tool for quantifying upper-body movements during violin playing across subjects, examiners, laboratories, and motion capture systems.</p>","PeriodicalId":18336,"journal":{"name":"Medical problems of performing artists","volume":"37 3","pages":"176-191"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40341771","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}