Journal of Integrative and Complementary Medicine最新文献

{"title":"Licensure Without Oversight: Impact of Regulatory Supervision on Traditional Medicine Practice in Ghana.","authors":"Benedict Owusu Yankyera, Rudolph Mensah, Kofi Busia","doi":"10.1177/27683605261488964","DOIUrl":"https://doi.org/10.1177/27683605261488964","url":null,"abstract":"<p><strong>Introduction: </strong>Regulatory frameworks for traditional and alternative medicine commonly emphasize licensure as a mechanism for ensuring safety, quality, and sustainability. However, limited evidence exists on whether licensure without ongoing oversight meaningfully regulates practitioner conduct or promotes sustainable practices. This study examined the relationship between licensure, regulatory supervision, compliance, and sustainability-related practices among traditional medicine practitioners (TMPs).</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 303 TMPs. Data were collected on sociodemographic characteristics, licensing status, regulatory supervision, compliance with regulatory schemes, sources of raw materials, and cultivation practices. Associations were assessed using chi-square tests. The study is reported in accordance with Strengthening the Reporting of Observational Studies in Epidemiology guidelines.</p><p><strong>Results: </strong>While licensed practitioners were significantly more likely to report regulatory supervision than unlicensed practitioners (χ² = 39.64, <i>p</i> < 0.001), half of licensed practitioners had never experienced supervision. Overall compliance with regulatory schemes was low (12.2%) and was not significantly associated with perceived regulatory performance (χ² = 0.53, <i>p</i> = 0.465). Most practitioners relied on wild harvesting for raw materials (65.0%), with limited engagement in self-cultivation (17.2%) or intention to cultivate in the future (25.7%). Neither licensure nor supervision was significantly associated with adoption of cultivation practices.</p><p><strong>Discussion: </strong>The findings suggest that licensure without sustained supervision regulates entry into practice but does not effectively regulate conduct, compliance, or sustainability. Strengthening postlicensure oversight and integrating sustainability-focused regulatory mechanisms may be essential for achieving meaningful regulation of traditional medicine practice.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261488964"},"PeriodicalIF":1.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012865","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":"Effects of Sports Expertise on Force Accuracy During Spinal Manipulation in Chiropractic Students.","authors":"Emile Marineau, Mégane Pasquier, Martin Descarreaux, Arnaud Lardon, Jacques Abboud","doi":"10.1177/27683605261490742","DOIUrl":"https://doi.org/10.1177/27683605261490742","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to investigate whether sports expertise and related characteristics are associated with spinal manipulation accuracy in chiropractic students.</p><p><strong>Methods: </strong>A cross-sectional experimental study was conducted with 111 chiropractic students. Participants performed standardized high-velocity, low-amplitude thoracic spinal manipulations on a force-sensing table targeting a peak force of 450 N. Force-time data were recorded to assess performance accuracy using absolute error and consistency using variable error. Sports expertise, sport type (endurance, strength, and precision), chiropractic program year, and weekly physical activity were collected via questionnaires. Linear mixed models were used to examine associations between these factors and spinal manipulation accuracy in both univariate and multivariable analyses.</p><p><strong>Results: </strong>The mean absolute error across trials was 41.97 ± 32.60 N, whereas the mean variable error was 50.21 ± 33.89 N. In univariate analyses, sport type (<i>p</i> = 0.034), chiropractic training year (<i>p</i> < 0.001), and total weekly physical activity (<i>p</i> = 0.042) were significantly associated with spinal manipulation accuracy. Participants involved in endurance sports showed greater absolute error than those involved in strength and precision sports. No significant effects were observed for variable error. Sport expertise was not significantly associated with spinal manipulation accuracy (<i>p</i> = 0.361). In the multivariable model, chiropractic training year (<i>p</i> = 0.004) and total weekly physical activity (<i>p</i> = 0.018) remained significant predictors of absolute error, whereas sport type (<i>p</i> = 0.091) and sport expertise (<i>p</i> = 0.087) did not reach statistical significance.</p><p><strong>Discussion: </strong>Spinal manipulation accuracy was primarily associated with chiropractic training year and overall physical activity level. Sport-related factors showed limited independent associations with performance, highlighting the importance of task-specific training in developing spinal manipulation skills.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261490742"},"PeriodicalIF":1.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012900","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":"Evaluation of the Anxiety-Reducing Effects of Aroma Stones with Bergamot Essential Oil before Examinations: A Randomized Controlled Trial.","authors":"Nobuyuki Wakui, Hinako Kagi, Yuna Hirota, Yuna Koakutsu, Aika Okami, Shoko Kawakubo, Shunsuke Shirozu, Yoshiaki Machida","doi":"10.1177/27683605261488658","DOIUrl":"https://doi.org/10.1177/27683605261488658","url":null,"abstract":"<p><strong>Background: </strong>Examinations are highly stressful for students and can impair their academic performance and mental well-being. While aromatherapy is used to relieve stress, its effectiveness during acute stress periods, such as pre-exam situations, remains underexplored.</p><p><strong>Objective: </strong>To evaluate the effectiveness of aromatherapy with bergamot essential oil using aroma stones in reducing pre-exam anxiety among university students.</p><p><strong>Methods: </strong>A randomized, parallel-group, open-label trial was performed with 57 Hoshi University undergraduates. Participants were assigned to either an intervention group (aroma stones infused with bergamot essential oil) or a control group (stones with water) for 3 days. The primary outcome was the change from baseline in the State Anxiety Inventory (SAI) scores at 180 min on each of the 3 days immediately preceding the regular examinations; secondary outcomes included the Short-form Measure of Relaxation Effects (S-MARE), Stanford Sleepiness Scale (SSS), Depression Anxiety Stress Scale (DASS-21), and Subjective Happiness Scale (SHS).</p><p><strong>Results: </strong>The intervention group showed significantly lower SAI scores at 180 min on all 3 days compared with the control group (all <i>p</i> < 0.0167, the Bonferroni-adjusted significance threshold; Cohen's <i>d</i> > 0.8). Improvements were observed in the total and subscale scores of the S-MARE. The SSS scores indicated lower sleepiness only on Day 2. The SHS scores were significantly higher on the day before the exam. No significant between-group differences in DASS-21 scores were observed. Moreover, no intervention-related adverse events were reported.</p><p><strong>Conclusion: </strong>Aromatherapy with bergamot essential oil using aroma stones may reduce pre-exam anxiety and promote relaxation and well-being. This simple, noninvasive method may have potential as a practical psychological support tool in pre-examination educational settings, although the findings should be interpreted cautiously given the single-center design and relatively small sample size.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261488658"},"PeriodicalIF":1.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991624","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":"Effects of Photobiomodulation Therapy on Muscle Strength and Muscle Endurance: A Systematic Review and Meta-Analysis.","authors":"Haiting Zhai, Tingting Wang, Hao Yan, Nan Xu, Hongjun Zhai, Hongwen Wei","doi":"10.1177/27683605261488795","DOIUrl":"10.1177/27683605261488795","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effects of photobiomodulation therapy (PBMT) on muscle strength and muscle endurance and to explore potential sources of variation related to participant characteristics and intervention parameters.</p><p><strong>Data sources: </strong>A systematic search was conducted in PubMed, CENTRAL, Scopus, Medline, EBSCOhost, and Web of Science from inception to November 2025.</p><p><strong>Study selection: </strong>Randomized controlled trials (RCTs) evaluating the effects of PBMT on muscle performance in healthy humans were selected. Two reviewers independently screened titles and abstracts. Studies were included if they compared PBMT to a placebo control using quantitative outcome measures.</p><p><strong>Data extraction: </strong>Data regarding participant characteristics, intervention protocols, and outcomes were extracted independently by two investigators using a standardized form. Methodological quality was assessed using the Cochrane Risk of Bias 2 tool.</p><p><strong>Data synthesis: </strong>Twenty-three RCTs were included and pooled using a random-effects model. PBMT showed small effects on muscle endurance (<i>p</i> = 0.02) and muscle strength (<i>p</i> = 0.04). Subgroup differences were mostly nonsignificant. Muscle endurance benefits were found in athletes (<i>p</i> = 0.05), but not in physically active individuals (<i>p</i> = 0.07). For muscle endurance, favorable parameters included ≤100 mW per diode (<i>p</i> = 0.03), 31-100 J (<i>p</i> = 0.05), a 1-3 min pre-exercise interval (<i>p</i> = 0.03), and ≤4 application sites (<i>p</i> = 0.007). Strength improved with 151-300 J (<i>p</i> = 0.05) and when the interval was over 3 min (<i>p</i> = 0.007).</p><p><strong>Conclusions: </strong>PBMT may modestly improve muscle endurance and muscle strength, particularly for endurance-related outcomes. However, subgroup findings remain exploratory, and current evidence is insufficient to define optimal protocols. Further high-quality trials are needed to standardize PBMT parameters for sports performance and rehabilitation.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261488795"},"PeriodicalIF":1.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991631","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":"From Artificial to Authentic Intelligence: Humanizing AI in Integrative Medicine and Health.","authors":"Darshan H Mehta, Melinda Ring","doi":"10.1177/27683605261488657","DOIUrl":"https://doi.org/10.1177/27683605261488657","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261488657"},"PeriodicalIF":1.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983132","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":"Bounded Integration: The Regulation of Traditional and Complementary Medicine in Türkiye.","authors":"Ayşe Polat","doi":"10.1177/27683605261483924","DOIUrl":"https://doi.org/10.1177/27683605261483924","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines Türkiye's recent policies on traditional and complementary medicine (T&CM), focusing on how centralized governance has expanded and regulated T&CM while maintaining it within biomedical standards. It analyzes how the state-led integration proceeds through control, standardization, and oversight, generating both formal incorporation and persistent frictions.</p><p><strong>Methods: </strong>The study is based primarily on qualitative content analysis of official Ministry of Health materials, including laws, regulations, and guidelines, which were systematically reviewed to map the regulatory architecture of T&CM; a subsequent 2026 regulatory amendment was also reviewed for continuity. In addition, 30 semi-structured interviews were conducted in 2025 with health professionals and bureaucrats involved in T&CM practice and governance. Interview data were used selectively to clarify regulatory processes and implementation dynamics.</p><p><strong>Results: </strong>Türkiye's T&CM policy is structured around four interrelated regulatory mechanisms: (1) boundary-making by therapy and profession, (2) selective stratified expansion, (3) education and certification as gatekeeping, and (4) infrastructural and epistemic oversight. Together, these mechanisms produce \"bounded integration,\" in which expansion occurs through standardization and authorization while professional jurisdiction and institutional autonomy remain tightly delimited. T&CM therapies are governed through administrative, clinical, infrastructural, and scientific templates closely aligned with a physician-centered biomedical model.</p><p><strong>Discussion: </strong>Türkiye's centralized regulatory model demonstrates how state-led integration can formalize and scale T&CM within a national health system while preserving biomedical authority. This is a bounded form of integration: Oversight remains uneven, modality-specific expertise and inspection capacity are limited, reimbursement structures are underdeveloped, and informal provision persists alongside formal authorization. Effective integration therefore requires not only standard-setting but also modality-sensitive governance capacities and greater coherence between regulatory design and clinical provision.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"27683605261483924"},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881951","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":"Effects of Combined Music and Exercise Therapy on Depression: A Systematic Review and Meta-Analysis.","authors":"Xiaoqin Luo, Xingyue Zhang, Carmelo Mario Vicario, Zhu Mei, Fengxue Qi","doi":"10.1177/27683605261416759","DOIUrl":"10.1177/27683605261416759","url":null,"abstract":"<p><strong>Background: </strong>Depression is a common psychiatric disorder that impacts millions globally. Non-pharmacological treatments, such as combining music and exercise therapy, have shown potential as alternatives to medication. This meta-analysis evaluates the impact of integrating music with exercise on depressive symptoms.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases. Randomized controlled trials of combined music and exercise therapy for patients with mild, moderate, or severe depression were included. Interventions included any exercise paired with music therapy, such as Tai Chi or aerobics. They were compared with the standard of care, a waitlist control group, medication, and monotherapy. A meta-analysis was performed using random-effects models in RevMan 5.4. The standardized mean difference (SMD) was used as a summative measure. The effects of age, type of exercise, and duration of intervention on depression were explored in the subgroup analysis.</p><p><strong>Results: </strong>Seven randomized controlled trials involving 640 patients with depression were analyzed. Results indicated significant improvement in depressive symptoms (SMD = -0.49, 95% CI: -0.93 to -0.06, <i>p =</i> 0.03). Subgroup analyses showed that music combined with Tai Chi (SMD = -0.96, 95% CI: -1.90 to -0.02, <i>p</i> = 0.04) or aerobic exercise (SMD = -0.60, 95% CI: -0.98 to -0.23, <i>p</i> = 0.001) over 12 weeks (SMD = -0.29, 95% confidence interval (CI): -0.50 to -0.08, <i>p</i> = 0.008) significantly reduced symptoms, especially in patients older than 60 years (SMD = -0.31, 95% CI: -0.61 to -0.01, <i>p</i> = 0.04). It can be suggested that patients with depression better tolerate music combined with exercise therapy. Two studies reported transient fatigue, and no withdrawals occurred due to adverse events.</p><p><strong>Conclusions: </strong>This meta-analysis suggests that combining music and exercise therapy is effective in reducing depressive symptoms. Combining music with aerobic exercise and tai chi is particularly beneficial for patients over 60 years of age. The quality of the evidence was limited by the heterogeneity and varying risk of bias of the included studies, and caution is warranted.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"727-736"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120357","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":"Effects of Gegen-Heisu Decoction on Endometrial Receptivity in Patients with Thin Endometrium-Related Infertility: A Prospective Randomized Controlled Trial.","authors":"Xia Lin, Hua Chen, Xiaowei Zhou, Yuxia Pang, Yue Li, Xiaoqiong Wang, Zhuangzhi Yang","doi":"10.1177/27683605251396846","DOIUrl":"10.1177/27683605251396846","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the synergistic effects of Gegen-Heisu decoction (GHD) combined with estrogen-progestin therapy on thin endometrium (TE)-related infertility.</p><p><strong>Methods: </strong>A single-center, prospective randomized controlled study was conducted from June 2023 to June 2024, enrolling 250 women with TE. Participants were randomly assigned to either the control group (estradiol and dydrogesterone) or the GHD group (GHD plus estradiol and dydrogesterone). The primary outcomes were endometrial thickness (EMT) and endometrial type on the ovulation day. Secondary outcomes included blood flow parameters, traditional Chinese medicine (TCM) syndrome scores, serum leukemia inhibitory factor (LIF), and vascular endothelial growth factor levels.</p><p><strong>Results: </strong>The GHD group demonstrated significant improvements in EMT (<i>p</i> < 0.001) and endometrial type (<i>p</i> = 0.005) compared with the control group. In addition, the GHD group exhibited a lower pulsation index and resistance index, as well as a higher peak systolic velocity of the uterine spiral arteries (<i>p</i> < 0.05). Patients in the GHD group also had lower TCM syndrome scores than those in the control group (<i>p</i> < 0.001) and higher serum LIF levels (<i>p</i> = 0.003). No hepatic or renal adverse effects were observed in either group. One participant in the GHD group experienced mild skin pruritus, and one participant in the control group reported gastrointestinal discomfort.</p><p><strong>Conclusion: </strong>The combination of GHD and estrogen-progestin therapy effectively enhances endometrial receptivity in women with TE. GHD modulates key cytokines, offering a promising adjunct therapy for TE-related infertility.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"737-743"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551384","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 Role of Battlefield Acupuncture in Emergency Department Settings: A Systematic Review of Randomized Controlled Trials.","authors":"Juan Yang, Xuan Zhou, Kia Hui Lim, Hudson J Barnett, Aliza F Weinman, Jeffrey T Woods, Arya B Mohabbat, Dietlind L Wahner-Roedler, Tony Y Chon, Brent A Bauer","doi":"10.1177/27683605261435756","DOIUrl":"10.1177/27683605261435756","url":null,"abstract":"<p><strong>Objective: </strong>Battlefield acupuncture (BFA) has gained widespread clinical use for patients presenting to emergency departments (EDs). This systematic review of randomized controlled trials (RCTs) aims to assess the efficacy and safety of BFA in ED settings.</p><p><strong>Methods: </strong><i>A</i> literature search was conducted in OVID and Scopus databases for RCTs involving BFA applied in ED settings. The risk of bias was evaluated using the Cochrane Collaboration risk of bias tool, while the methodological quality of RCTs was assessed using the Jadad score. Due to the heterogeneity of the included studies, a qualitative analysis was performed.</p><p><strong>Results: </strong>Seven studies involving 758 patients met the eligibility criteria. Among these, five studies evaluated traditional BFA in conjunction with standard analgesia care, while two studies assessed modified BFA alongside standard care. Most of the included studies were found to have a high risk of bias, leading to an overall classification of low quality according to the Jadad criteria. A descriptive analysis was performed due to heterogeneity in the interventions, observational timepoints, and outcomes reported in the included studies. Positive results were demonstrated in 71% of the studies. The most common conditions documented as the primary ED presentation included back pain, acute abdominal pain, lower extremity pain, neck pain, and acute sore throat. Notably, no severe adverse events were reported.</p><p><strong>Conclusion: </strong>BFA may offer a safe adjunct to standard care for pain management in ED settings. However, the limited methodological rigor and small number of existing RCTs reduce confidence in the current evidence. Well-designed, robust studies are needed to clarify their effectiveness and support stronger clinical recommendations.</p>","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"718-726"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515180","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 Pipeline and the Paradox: A Proposal for Timely Field-Wide Inquiry into the Core of Acupuncture Training.","authors":"Kathleen Lumiere, Belinda Anderson, Lisa Taylor-Swanson, Claudia Citkovitz","doi":"10.1177/27683605261461354","DOIUrl":"10.1177/27683605261461354","url":null,"abstract":"","PeriodicalId":29734,"journal":{"name":"Journal of Integrative and Complementary Medicine","volume":" ","pages":"712-717"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303338","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}