Disability and Rehabilitation-Assistive Technology最新文献

{"title":"Smart speakers are an acceptable and feasible speech practice tool for children with speech difficulties.","authors":"Lauren Makin, Elizabeth Smith, Craig Hedge, Petroc Sumner, Georgie Powell","doi":"10.1080/17483107.2025.2491636","DOIUrl":"https://doi.org/10.1080/17483107.2025.2491636","url":null,"abstract":"<p><strong>Purpose: </strong>A record number of children are experiencing speech difficulties. This study explored whether mainstream smart speakers can support speech practice, and assesses a proposed five-factor model for how these improvements occur, based on: spaced learning, immediate feedback, autonomous motivation, reduced social barriers, and increased social interactions.</p><p><strong>Materials and methods: </strong>We conducted a mixed-methods feasibility study with 11 families of children with speech difficulties. Data included pre- and post-trial speech recordings (rated by 24 naïve raters), activity logs, post-trial surveys for parents and children, and parent interviews. We assessed device use, changes in speech clarity, alignment with the proposed 5-factor model, and barriers.</p><p><strong>Results: </strong>Children used smart speakers on average once daily for approximately 6 commands. Speech clarity ratings improved post-exposure and improvements correlated with device use. Parents noted children spoke more slowly and loudly to the device. Both parent and child reports reflected the 5-factor model, with children showing motivation, spaced engagement, and willingness to repeat commands.</p><p><strong>Conclusions: </strong>Naturalistic use of smart speakers is an acceptable and feasible tool to support speech practice in children with speech difficulties. Parents viewed smart speakers as a useful complement to formal therapy, though frustration when not understood remains a factor for implementation.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001795","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":"Enhancing happiness and well-being: AI-driven solutions for accessible, inclusive travel experiences for people with disabilities.","authors":"Jorge Alberto Marino-Romero, Rafael Robina-Ramírez, Juan Antonio Pavón-Pérez, Aloysius Osb Roets","doi":"10.1080/17483107.2025.2488391","DOIUrl":"https://doi.org/10.1080/17483107.2025.2488391","url":null,"abstract":"<p><strong>Purpose: </strong>This study explores the relationship between happiness and well-being, with a particular focus on how Artificial Intelligence (AI) serves as a catalyst for enhancing the quality of life of individuals with disabilities. The research aims to analyze the impact of personal values, social interactions, and external conditions, including AI-driven assistive technologies, on subjective well-being.</p><p><strong>Materials and methods: </strong>A quantitative approach was adopted, utilizing Smart-PLS to analyze the relationships between AI-based interventions, accessibility, and well-being. The study's sample consisted of 780 employees selected randomly from 50 disability centers across Spain. Data were collected through structured surveys measuring the impact of AI-powered assistive technologies-such as smart navigation systems, virtual assistants, and personalized travel recommendations-on accessibility, autonomy, and life satisfaction in tourism settings.</p><p><strong>Results: </strong>Findings indicate that AI-based tools in tourism, such as smart mobility solutions, AI-powered customer service, and adaptive travel planning systems, significantly enhance the well-being of individuals with disabilities. AI fosters greater independence, reduces travel-related stress, and strengthens social connections, making tourism more inclusive and enjoyable. While economic stability and health conditions remain important, AI-driven accessibility solutions and social engagement emerged as the strongest predictors of happiness among travelers with disabilities.</p><p><strong>Conclusions: </strong>The study highlights the critical role of AI-driven assistive technologies in promoting accessible tourism, emphasizing their impact on autonomy, mental well-being, and social participation. The results suggest that investing in AI-based innovations can significantly improve travel experiences for people with disabilities, fostering greater happiness and well-being in the tourism sector. However, emotional satisfaction is lacking, such as social connection, freedom and cultural immersion, which limits its impact on happiness.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051057","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":"Handheld cueing systems: promoting career task independence for learners with disabilities.","authors":"Charles Thull, Noah Glaser","doi":"10.1080/17483107.2025.2489108","DOIUrl":"10.1080/17483107.2025.2489108","url":null,"abstract":"<p><strong>Objective: </strong>This review uses the socio-technical-pedagogical (STP) framework to examine the design and usability of handheld cueing systems, analyzing how their social, technical, and pedagogical design features support learners with autism and/or intellectual disability (ID) with completing career tasks.</p><p><strong>Methods: </strong>This review, conducted with the PRISMA guidelines, utilized a controlled keyword search across multiple research databases. The inclusion criteria specified that studies must involve participants with autism and/or ID and utilize handheld technology cueing devices providing visual, textual, or auditory cues to support career tasks. Four peer-reviewed studies met these criteria and were analyzed. The STP framework was applied to evaluate cueing systems, focusing on social aspects (inclusivity and stakeholder involvement), technical aspects (technology and usability), and pedagogical aspects (learning goals and teaching applications).</p><p><strong>Impact: </strong>Findings indicate that handheld cueing systems can effectively support task independence for learners with autism and/or ID. Findings emphasized inclusivity, implementation across handheld PCs and iPads, usability aligned with established heuristics, and instructional strategies incorporating active learning, structured feedback, and motivation through authentic contexts. However, social interaction support remained limited, with a primary focus on task completion. This analysis provided insights for designing mobile apps to support learners with autism and ID in job-related tasks. Both older handheld devices and modern tablets successfully delivered sequential cueing systems teaching job skills, with modern devices offering greater potential for app development and functionality. Future research should explore innovative mobile technology-based cueing systems to expand inclusive employment opportunities and independence for individuals with autism and ID.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812754","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 effects of the SmartDrive on fostering participatory opportunities for manual wheelchair users: a qualitative exploration.","authors":"Jane E Hopkins, Ella T Selby, Rajat K Shandal, Noah Martin, Martin Ferguson-Pell, Emily Armstrong","doi":"10.1080/17483107.2025.2488387","DOIUrl":"https://doi.org/10.1080/17483107.2025.2488387","url":null,"abstract":"<p><p>The objective of this study was to understand the impact of the SmartDrive (SD) on the lived experiences of manual wheelchair users (MWUs) in Edmonton Alberta, Canada. To accomplish this, we conducted individual semi-structured interviews following each study phase on 19 participants (20-70 y) who identified as either full-time or part-time manual wheelchair users, followed by thematic analysis using a hybrid deductive-inductive approach. We identified 3 major themes characterizing participant's experiences with the SmartDrive. (1) Facilitating experiences: Participants were able to access experiences through increased independence which strengthened personal relationships as well as transformed societal perceptions with the use of the SmartDrive. (2) Dimensions of Health: Participants were able to holistically improve their health and wellbeing in physical, emotional, and social realms through opportunities created by the SmartDrive. (3) Actual Value: Participants identified the primary economic barrier concerning the price of the SmartDrive in addition to expenses accumulated through living with a disability. In conclusion, SmartDrive has potential to improve the lived experiences of manual wheelchair users by enabling independent access to participation in order to improve overall health and connections within society, but is restricted by the economic barriers concerning the cost.</p><p><strong>Clinical trial registration: </strong>This study was registered with clinicaltrials.gov and NCTRC (Registration Number NCT04973059).</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-10"},"PeriodicalIF":1.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804482","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":"Retrofit or misfit? Exploring the impact of bathroom microenvironments on older adults with functional limitations in retrofitted senior living facilities.","authors":"Shi Yin Chee","doi":"10.1080/17483107.2025.2489787","DOIUrl":"https://doi.org/10.1080/17483107.2025.2489787","url":null,"abstract":"<p><strong>Introduction: </strong>How well can older adults adapt to retrofitted spaces that were never designed to meet their evolving needs? Retrofitted senior living facilities often magnify safety risks that purpose-built environments are specifically designed to mitigate, forcing older adults with functional limitations to contend with bathroom spaces ill-suited to their needs. Among these, bathroom microenvironments stand out as critical zones of vulnerability, warranting immediate investigation.</p><p><strong>Purpose: </strong>This study explored the lived experiences of older adults with functional limitations in retrofitted senior living facilities, specifically focusing on how bathroom microenvironments unique to these settings impact their safety, autonomy, and fall risks.</p><p><strong>Methods: </strong>In-depth, semi-structured interviews were conducted with 14 older adults in four urban senior living facilities. Moustakas' transcendental phenomenology and the Modified Stevick-Colaizzi-Keen method were employed to analyze the data.</p><p><strong>Results: </strong>Four primary themes emerged: navigating bathroom barriers, psychological strain in daily navigation, safety through adaptation, and economic and cultural barriers to bathroom safety. The findings expose a stark reality: retrofitted senior living facilities frequently fail to meet the safety and accessibility needs of older adults, forcing them to adapt to spaces that compromise both their dignity and independence.</p><p><strong>Conclusion: </strong>These systemic shortcomings in bathroom microenvironments highlight a critical focus for retrofitting efforts: functionality, safety, and the evolving needs of older adults to create environments that promote autonomy and reduce fall risks. Anything less is not just a missed opportunity-it is a failure to respect the fundamental rights and well-being of an aging population.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796770","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":"Rehabilitation playthings design to promote positive emotions among people living with Alzheimer's Disease: a conceptual synthesis.","authors":"Donggui You, Saiful Hasley Ramli, Rahimah Ibrahim, Muhammad Hibatullah Romli, Qingqing Chu, Xinxin Yu, Ziming Li","doi":"10.1080/17483107.2025.2484624","DOIUrl":"https://doi.org/10.1080/17483107.2025.2484624","url":null,"abstract":"<p><p><b>Purpose:</b> Cognitive decline and social isolation pose significant challenges to the well-being of people with Alzheimer's disease (AD). While recreational activities and rehabilitation playthings (RPTs) have demonstrated benefits in fostering positive emotions among this population, there remains a scarcity of playthings specifically designed to address their unique needs. This study aims to develop a conceptual framework for RPTs design to enhance emotional well-being in people living with AD.</p><p><p><b>Materials and Methods</b>: Guided by research question construct classification, this study identified three key research questions. A systematic literature review was conducted using Scopus, Web of Science, and PubMed to address these questions. Selected articles were evaluated based on their relevance to RPTs and their focus on improving social engagement and positive emotions in individuals with AD.</p><p><p><b>Results</b>: Through meticulous review and analysis, fifty-seven articles were selected and systematically categorized into sub-themes include: types of RPTs, meaningful activities associated with RPTs, design characteristics, and design principles and strategies. The results are further synthesized to formulate a potential theoretical proposition for future investigation.</p><p><p><b>Conclusion</b>: The proposed conceptual framework recommends that by integrating positive emotion design, compassionate design, co-creation, and suitable play experiences in RPTs design could preserve personhood and elicit positive emotions among people living with AD.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804480","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":"ChatGPT for speech-impaired assistance.","authors":"Veenadhari Bhamidipaty, Bhuvan Botchu, Durgananda Lahari Bhamidipaty, Indira Guntoory, Karthikeyan P Iyengar","doi":"10.1080/17483107.2025.2483300","DOIUrl":"https://doi.org/10.1080/17483107.2025.2483300","url":null,"abstract":"<p><p><b>Background</b>: Speech and language impairments, though often used interchangeably, are two very distinct types of challenges. A speech impairment may lead to impaired ability to produce speech sounds whilst communication may be affected due to lack of fluency or articulation of words. Consequently this may affect a person's ability to articulate may affect academic achievement, social development and progress in life. ChatGPT (Generative Pretrained Transformer) is an open access AI (Artificial Intelligence) tool developed by Open AI® based on Large language models (LLMs) with the ability to respond to human prompts to generate texts using Supervised and Unsupervised Machine Learning (ML) Algorithms. This article explores the current role and future perspectives of ChatGPT AI Tool for Speech-Impaired Assistance.</p><p><p><b>Methods</b>: A cumulative search strategy using databases of PubMed, Google Scholar, Scopus and grey literature was conducted to generate this narrative review.</p><p><p><b>Results</b>: A spectrum of Enabling Technologies for Speech & Language Impairment have been explored. Augmentative and Alternative Communication technology (AAC), Integration with Neuroprosthesis technology and Speech therapy applications offer considerable potential to aid speech and language impaired individuals.</p><p><p><b>Conclusion</b>: Current applications of AI, ChatGPT and other LLM's offer promising solutions in enhancing communication in people affected by Speech and Language impairment. However, further research and development is required to ensure affordability, accessibility and authenticity of these AI Tools in clinical Practice.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-3"},"PeriodicalIF":1.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774507","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":"AI-enabled AT Framework: a principles-based approach to emerging assistive technology.","authors":"David Silvera-Tawil, Liesel Higgins, Katie Packer, Andrew A Bayor, Janine G Walker, Jane Li, Philippa Niven, Sankalp Khanna, Josh Byrnes, DanaKai Bradford, Jill Freyne","doi":"10.1080/17483107.2025.2479838","DOIUrl":"https://doi.org/10.1080/17483107.2025.2479838","url":null,"abstract":"<p><p><b>Purpose:</b> Assistive Technology (AT) is an umbrella term that describes the combination of devices and services used by individuals with a disability to perform tasks that might otherwise be difficult or impossible to complete due to their disability. Increasingly, Artificial Intelligence (AI) is being used in the development of innovative AT. Given the diverse applications of AI and the unique needs of people with disability, a practical approach that facilitates informed decision-making for all stakeholders while supporting choice and control for people with disability, in the AI-enabled AT space, is essential. This paper presents the ''AI-enabled AT Framework'', a tool that aims to facilitate effective decision-making, development, and assessment of AI-enabled AT.</p><p><p><b>Materials and Methods:</b> The framework was co-designed through a participatory research approach, engaging key stakeholders, including people with disabilities, carers and support people, AI and AT industry representatives, government bodies, and researchers. A multi-stage process was employed, including literature review, interviews, focus groups, and industry workshops.</p><p><p><b>Results:</b> The AI-enabled AT Framework provides a structured, person-centered approach for assessing AI-enabled AT, incorporating six core domains: user experience, privacy and security, quality, safety, relative value, and human rights. It supports decision-making for stakeholders by providing clear evaluation criteria to assess AI-enabled AT. The framework highlights the importance of ongoing stakeholder engagement and outlines a roadmap for implementation, refinement, and adoption.</p><p><p><b>Conclusion:</b> The AI-enabled AT Framework offers a practical tool to enhance decision-making in the development, evaluation, and deployment of AI-enabled AT. By emphasizing co-design and stakeholder engagement, it promotes ethical, effective, and user-centered AI applications. Future research should focus on framework validation, implementation strategies, and addressing emerging challenges in AI-enabled AT adoption.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-20"},"PeriodicalIF":1.9,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765398","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 usability of a wireless vocal fold vibration switch for individuals with complex communication needs: a caregiver-inclusive iterative home-based evaluation.","authors":"Leslie Mumford, Denise Guerriere, Sarah C House, Tom Chau","doi":"10.1080/17483107.2024.2405893","DOIUrl":"10.1080/17483107.2024.2405893","url":null,"abstract":"<p><p><b>Purpose:</b> A vocal fold vibration switch is a type of access technology that detects voluntary vibrations of the vocal cords. In two sequential usability studies, we evaluated successive prototypes of a novel wireless vocal fold vibration switch.</p><p><p><b>Methods:</b> Each usability study enroled 7 dyads consisting of individuals with complex communication needs and their caregivers. Each study entailed a 2-week period of independent home use flanked by initial and final usability tests. Each usability test comprised nine tasks including donning and configuration of the switch, connecting it to other devices, and actual activation of the switch. Perceived task difficulty was measured <i>via</i> nine 21-point scales, while caregiver impressions were captured through open-ended questions, both encapsulated within a usability questionnaire. Caregivers described their experience in an open-ended interview in the second usability study.</p><p><p><b>Results:</b> Perceived task difficulty was uniformly low with both prototypes. The vast majority of tasks could be completed either independently or with hints. A small number of contraindications for use were identified with the second prototype, which included episodes of dystonia and heavy breathing, and some aspects of the physical design and robustness were flagged as needing further improvement.</p><p><p><b>Conclusions:</b> The overall qualitative feedback was overwhelmingly positive with caregivers generally desiring to keep and eager to recommend the device to others. Additionally, caregivers expressed that the vocal fold vibration switch expanded the switch user's capabilities, and they foresaw applications beyond the study setting. Overall, our findings suggest that the wireless vocal fold vibration switch is useable in the home setting.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"699-707"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337026","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":"Outcome measurement of cognitive impairment and dementia in serious digital games: a scoping review.","authors":"Verity Longley, Jordan Wilkey, Carol Opdebeeck","doi":"10.1080/17483107.2024.2405894","DOIUrl":"10.1080/17483107.2024.2405894","url":null,"abstract":"<p><strong>Purpose: </strong>Dementia prevalence is increasing worldwide. With the emergence of digital rehabilitation, serious digital games are a potential tool to maintain and monitor function in people living with dementia. It is unclear however whether games can measure changes in cognition. We conducted a scoping review to identify the types of outcomes measured in studies of serious digital games for people with dementia and cognitive impairment.</p><p><strong>Methods: </strong>We included primary research of any design including adults with cognitive impairment arising from dementia or another health condition; reported data about use of serious digital games; and included any cognitive outcome. We searched Medline (<i>via</i> EBSCO), PsycInfo, CINAHL, Web of Science, from inception to 4th March 2024 and extracted study characteristics.</p><p><strong>Results: </strong>We reviewed 5899 titles, including 25 full text studies. We found heterogeneity in domains and measures used: global cognition (<i>n</i> = 15), specific cognitive processes (<i>n</i> = 13), motor function (<i>n</i> = 5), mood (<i>n</i> = 6), activities of daily living (<i>n</i> = 5), physiological processes (<i>n</i> = 4) and quality of life (<i>n</i> = 2). Use of outcome measurement tools was inconsistent; the most frequently used measures were the Montreal Cognitive Assessment (<i>n</i> = 8), the Mini-Mental State Examination (<i>n</i> = 7), and the Trail Making Test (<i>n</i> = 7). Nine studies used in-game measures, most of which were related to game performance.</p><p><strong>Conclusion: </strong>We found very few studies with assessment of cognition within the game. Studies of serious games for people with dementia and cognitive impairment should develop digital outcome tools based on recommendations in Core Outcome Sets, to increase consistency between studies.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"499-509"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298722","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}