Journal of Occupational Rehabilitation最新文献

{"title":"Autistic Perspectives on Employment: A Scoping Review.","authors":"Sarah Southey, Rae Morris, David Nicholas, Megan Pilatzke","doi":"10.1007/s10926-023-10163-x","DOIUrl":"10.1007/s10926-023-10163-x","url":null,"abstract":"<p><strong>Purpose: </strong>Inclusive recruitment and employment of autistic adults has garnered recent attention in research and policy. To address a need to better understand the experiences of autistic adults in relation to paid employment, we asked the literature, what are the experiences of autistic individuals (from their perspectives) in competitive employment?</p><p><strong>Methods: </strong>A scoping review was conducted to summarize and consolidate the findings across research to date. A systematic search and screen of the literature resulted in 32 relevant studies.</p><p><strong>Findings: </strong>Key study characteristics, participant demographics, and thematic findings are shared, along with considerations and recommendations for future research and practice. Six key themes were described by autistic participants across the 32 studies: (1) accessibility of employment, (2) workplace relationships and communication, (3) role alignment, (4) sensory needs and/or mental health, (5) colleagues' knowledge and beliefs about autism, and (6) family and community context.</p><p><strong>Conclusion: </strong>It is anticipated that the results of this review will be beneficial for stakeholders engaging in discussions and decision-making across research and employment contexts.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"756-769"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Acceptability and Feasibility of Stress Mitigation Education and Support Delivered via Telehealth for People After Road Traffic Musculoskeletal/Orthopedic Injury.","authors":"Alison Sim, Amy G McNeilage, Trudy Rebbeck, Michele Sterling, Michael Nicholas, Sarah Donovan, Melita J Giummarra, Claire E Ashton-James","doi":"10.1007/s10926-024-10258-z","DOIUrl":"https://doi.org/10.1007/s10926-024-10258-z","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the acceptability and feasibility of a consumer co-designed telehealth intervention which aimed to reduce claimant distress by providing pain management strategies, informational and social support to people who had made a compensation claim following road traffic musculoskeletal injury.</p><p><strong>Methods: </strong>Eleven claimant participants who were at risk of a poor outcome completed the intervention in a one-on-one setting with the same clinician delivering the program across all sessions.They were interviewed about their experience (acceptability and feasibility including the use of telehealth). Clinicians who delivered the intervention also completed an anonymous feedback survey exploring their experiences delivering the intervention. Interviews were transcribed verbatim and thematic analysis was conducted.</p><p><strong>Results: </strong>There were four themes which broadly related to the acceptability and feasibility of the intervention as well as the perceived benefits: (1) knowledge is power, (2) healing with social connection, (3) further along than I would have been, and (4) telehealth was acceptable and feasible.</p><p><strong>Conclusion: </strong>The delivery of a co-designed telehealth-delivered stress mitigation intervention to support people with a road traffic musculoskeletal injury was feasible to deliver and acceptable to people who were at risk of a poor outcome. Further research to evaluate the efficacy of the intervention on outcomes such as pain, self-efficacy, and claims costs are needed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work Participation of Hematological Cancer Survivors After Hematopoietic Cell Transplantation: A Scoping Review.","authors":"Karine Bilodeau, Billy Vinette, Charlotte Gélinas-Gagné, Pegah Torabi, Benedicta Hartono, Marie Désilets, Imran Ahmad, Bertrand Porro","doi":"10.1007/s10926-024-10257-0","DOIUrl":"https://doi.org/10.1007/s10926-024-10257-0","url":null,"abstract":"<p><strong>Purpose: </strong>Hematopoietic cell transplantation (HCT) is a common treatment for people diagnosed with hematological cancers. However, it can cause side effects that may affect work participation. This scoping review aims to provide an overview of the factors that influence the work participation of hematological cancer survivors who have undergone HCT.</p><p><strong>Methods: </strong>We conducted a scoping review following the Joanna Briggs Institute guidelines and developed our search strategy in collaboration with a scientific librarian and searched nine databases (CINAHL, MEDLINE, EMBASE, Cochrane, PubMed, PsycINFO, Web of Science, Scopus, ProQuest Dissertations, & Theses Global) for primary studies in French or English until February 2024. Two reviewers extracted the data and analyzed it thematically. We synthesized and presented the findings using a narrative description approach.</p><p><strong>Results: </strong>We identified 940 publications, of which 36 met the eligibility criteria. Our findings underscore the significance of considering individuals over 50, those undergoing allogeneic HCT, women, and those with lower incomes. We noted disparities in evaluating or describing work participation.</p><p><strong>Conclusion: </strong>It is crucial for researchers and healthcare professionals in hematological care to be aware of the intersecting factors that influence work participation. There are still significant gaps in how workplace dynamics, legislation, and healthcare systems affect the return to work process.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering Mental Health Profiles of Workers with a Physically Disabling Injury or Illness Using the Complete State Mental Health Framework.","authors":"Kathleen G Dobson, Yu-Chun Chien, Nancy Carnide, Andrea D Furlan, Peter M Smith, Cameron A Mustard","doi":"10.1007/s10926-024-10254-3","DOIUrl":"https://doi.org/10.1007/s10926-024-10254-3","url":null,"abstract":"<p><strong>Background: </strong>Complete mental health encompasses both mental illness (MI) symptoms and positive mental health (PMH). Distinct profiles of MI and PMH have not been explored among injured workers. This study describes latent mental health profiles among workers with a disabling physical work injury/illness and identifies differences in sociodemographic and return-to-work factors, health correlates, and disability claim duration and cost between profiles.</p><p><strong>Methods: </strong>1132 Ontario workers with a physical work-related injury/illness who received lost-time claim benefits were surveyed 18 months post-injury. MI was defined by the self-reported presence of a mood and/or anxiety disorder diagnosed by a healthcare professional pre- or post-injury. The Mental Health Continuum Short Form measured aspects of PMH. Claim information was obtained via administrative records. Latent profile analysis identified the unique number of MI and PMH profiles. Chi-Square and ANOVA tests compared sociodemographic, return-to-work, health, and claim outcomes between classes.</p><p><strong>Results: </strong>Four latent MI and three latent PMH classes were uncovered. Eighteen percent of participants exhibited high MI symptoms diagnosed pre- and post-injury and 14% exhibited languishing PMH. Classes with higher MI burden and languishing PMH were more likely to report financial concerns during their claim, pain interference, other health conditions, and opioid use. Claim duration and wage-replacement benefits were ~ 20 days longer and ~ $2000 greater, respectively, among the highest MI and lowest PMH classes.</p><p><strong>Conclusions: </strong>Workers' compensation claimants exhibit both flourishing and languishing mental health profiles. The demographic, health, and return-to-work characteristics of latent classes may help identify claimants who may benefit from additional psychological support when returning to work.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between Psychosocial Working Conditions and Work-Specific Self-Efficacy Beliefs Among Employees Receiving Psychotherapeutic Consultation at Work.","authors":"Jeannette Weber, Marieke Hansmann, Meike Heming, Regina Herold, Yesim Erim, Nicole Hander, Eva Rothermund, Nadine Mulfinger, Christoph Kröger, Manuel Feißt, Jolanda Brezinski, Fiona Kohl, Peter Angerer","doi":"10.1007/s10926-024-10256-1","DOIUrl":"https://doi.org/10.1007/s10926-024-10256-1","url":null,"abstract":"<p><strong>Purpose: </strong>By considering work-related aspects during early intervention and treatment of employees with (subclinical) symptoms of common mental disorders, psychotherapeutic consultation at work (PT-W) aims to increase work-specific self-efficacy (SE) to finally reduce sickness absence and contribute to successful return to work. This study, thus, aims to investigate interrelations between working conditions and work-specific SE among employees before receiving PT-W.</p><p><strong>Methods: </strong>The study uses baseline data of a randomized controlled trial testing the efficacy of PT-W in Germany (n = 535). Working conditions were assessed by six scales of the validated Copenhagen Psychosocial Questionnaire (COPSOQ). SE was assessed by the validated general short occupational self-efficacy (OSE) scale and return-to-work self-efficacy (RTW-SE) scale, two specific forms of self-efficacy. Multiple linear regression models were calculated using working conditions as independent and self-efficacy as dependent variables. Interactions between working conditions and age, gender and current extent of work were added to those models.</p><p><strong>Results: </strong>Results suggest that quantitative job demands are negatively and development opportunities are positively related to OSE and RTW-SE. Age did not moderate those relationships. The association between development opportunities and OSE was stronger among employees indicating working less number of hours than specified in their contract compared to employees indicating working their full contract hours. Furthermore, interactions with gender were found with social support being only (positively) associated with OSE among male and decision authority being only (positively) associated with OSE among female employees.</p><p><strong>Conclusions: </strong>The associations between working conditions and work-specific SE support the usefulness of addressing potential reciprocal relationships between those two variables during PT-W to improve mental health of employees.</p><p><strong>Trial registration number: </strong>Registered at the German Clinical Trial Register (DRKS) at 01.03.2021-DRKS00023049.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Meta-synthesis of Qualitative Research on Effective Return to Work Counseling for Individuals with Work Participation Restrictions - A Systematic Review.","authors":"Anna-Lena Baasner, Sofia Petrak, Linda Albersmann, Stefanie Gröhl, Stella Lemke, Matthias Bethge","doi":"10.1007/s10926-024-10250-7","DOIUrl":"https://doi.org/10.1007/s10926-024-10250-7","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this systematic review was to summarize the qualitative evidence on factors of effective counseling aiming at work participation for people with chronic diseases and/or disabilities.</p><p><strong>Methods: </strong>We conducted a systematic literature search in MEDLINE (PubMed), CINAHL, Web of Science, PsycINFO, and PubPsych in March 2023. Our inclusion criteria stipulated that counseling should be specifically designed for individuals experiencing constraints in work participation and published in German or English between 2013 and 2023. To assess the quality of the included studies, we used the checklist of the Critical Appraisal Skills Programme. We synthesized our findings according to the meta-ethnographic methodology by Noblit and Hare.</p><p><strong>Results: </strong>Of the 2901 papers found in the systematic search, we included 16 qualitative studies in our meta-synthesis. Studies were conducted in Australia, the USA, Canada, Nordic countries, and Germany. Our \"model of the effectiveness of counseling for work participation\" consists of four levels. At the extended organizational level, potential factors include the provision of sufficient time and work resources for counselors or contact persons. At the team and stakeholder level, structural collaboration, for example, is crucial. In the counseling dyad, counselors can employ shared decision-making and at the individual level, personal character traits and the client's motivation are exemplary factors.</p><p><strong>Conclusion: </strong>This study provides a comprehensive overview of factors contributing to effective counseling in the context of work participation. The delineation across various levels underscores that effectiveness in counseling is a collective outcome, involving not only the advisor but also other stakeholders.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Construct Validity of the Work Rehabilitation Questionnaire Domains in Patients with Persistent Low Back Pain.","authors":"Anders Hansen, Henrik Hein Lauridsen, Reuben Escorpizo, Karen Søgaard, Jens Søndergaard, Berit Schiøttz-Christensen, Ole Steen Mortensen","doi":"10.1007/s10926-024-10248-1","DOIUrl":"https://doi.org/10.1007/s10926-024-10248-1","url":null,"abstract":"<p><strong>Purpose: </strong>The Work Rehabilitation Questionnaire (WORQ) assesses patient functioning, including psychological, physical, and cognitive limitations. This study evaluates the WORQ domains in individuals with persistent low back pain (LBP), focusing on reliability and construct validity.</p><p><strong>Methods: </strong>Individuals aged 18-65 with LBP completed WORQ and the workability index single item. A subgroup undertook sit-to-stand and 6-min walking tests and re-evaluated WORQ after 14 days. Reliability was assessed through internal consistency (McDonald's omega and Cronbach's alpha), test-retest reliability, and smallest detectable change. Construct validity was analyzed via Spearman's rank correlation and known group validity, with physical functioning also examined against sit-to-stand and 6-min walk test results for sensitivity/specificity. Floor and ceiling effects were assessed through classical and scale width methods.</p><p><strong>Results: </strong>Of 425 participants, 149 completed physical tests, and 102 re-assessed WORQ. McDonald's omega and Cronbach's alpha indicated high internal consistency (0.92-0.96) with strong test-retest reliability (intraclass-correlation coefficients: 0.74-0.82). The smallest detectable change ranged from 4.62 to 7.82. Predictions from 7 out of 8 hypotheses were confirmed. Notable differences in domain scores were observed based on disability level and sick leave status, with varied diagnostic performance in physical functioning items. Potential floor effects were noted using the scale width method.</p><p><strong>Conclusions: </strong>The WORQ demonstrated good reliability and satisfactory validity in assessing work-related functioning in individuals with persistent LBP. These findings support its use as a comprehensive tool for evaluating psychological, physical, and cognitive limitations. However, varied diagnostic performance in physical functioning items and potential floor effects suggest cautious interpretation in diverse clinical settings.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Person-, Job-, and Environment-Related Factors Associated with Long-Term Job Retention of People with Physical Disabilities.","authors":"Angelika Kudla, Emily J Dinelli, Pamela Capraro, Deborah S Crown, Manasi Sheth, Robert Trierweiler, Elizabeth Munsell, Jasin Wong, Allen W Heinemann","doi":"10.1007/s10926-024-10245-4","DOIUrl":"https://doi.org/10.1007/s10926-024-10245-4","url":null,"abstract":"<p><strong>Purpose: </strong>Employment provides people with physical disabilities (PWPD) financial independence, enhances their well-being, self-worth, and facilitates a sense of purpose. However, the unemployment rate for PWPD is significantly higher than for individuals without a disability. There is limited knowledge regarding what factors help people with disabilities retain employment beyond the standard 90-day job probationary period. Thus, we investigated person-, job-, and environment-related factors that contribute to long-term job retention for four years or more among PWPD.</p><p><strong>Methods: </strong>We recruited a national sample of 1500 PWPD who had work experience after disability onset from panels assembled by a market research organization. We compared a subsample that maintained their longest held job for at least four years with those who had not using multivariate Poisson regression. Three models evaluated the association between job retention and (1) person-, (2) job-, and (3) environment-related factors.</p><p><strong>Results: </strong>Likelihood of job retention was greater for respondents reporting fatigue or emotional problems (vs. pain), advancement opportunities, and receipt of job accommodations. Concerns about limited career advancement opportunities, perception of unimportance about disclosing a disability to coworkers, and difficult work commutes were associated with shorter job retention.</p><p><strong>Conclusion: </strong>Several person-, job-, and environment-related factors play an important role in promoting job retention of people with physical disabilities. Employers, job coaches, and rehabilitation professionals should consider these factors when developing strategies to support the retention of PWPD. Future studies should examine the relationship between these factors and their associations with the employment outcomes of PWPD across work settings and industries.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User-Centred Design to Inform Requirements for a Remotely Administered Hybrid Functional Test (RAHFT) Protocol.","authors":"Steven L Fischer, Sheldon J Hawley, Amandeep Bains, Tom Carter","doi":"10.1007/s10926-024-10249-0","DOIUrl":"https://doi.org/10.1007/s10926-024-10249-0","url":null,"abstract":"<p><strong>Purpose: </strong>Functional testing is important to inform return-to-work (RTW), but new paradigms are needed to increase access and availability of testing. Our purpose was to deploy a user centred design approach to collect, describe, and interpret end-user feedback (clinicians and patients) to inform functional requirements for a remotely administered hybrid functional test (RAHFT) protocol.</p><p><strong>Methods: </strong>Twenty participants (10 clinicians and 10 patients) were interviewed about existing in-person functional testing and about perceptions of prospective remotely administered functional testing protocols. Interview data were synthesized, where findings informed a focus group with functional testing clinician experts to identify functional design requirements for a RAHFT protocol.</p><p><strong>Results: </strong>Patients agreed that access to equipment and technology, safety, and personal connections were important requirements for a functional testing protocol. Expert clinicians emphasized that a RAHFT should provide valid information to inform treatment planning and RTW outcome decisions, inclusive of opportunities to capture subjective and performance-based information.</p><p><strong>Conclusions: </strong>RAHFT protocols can play an important role towards early and safe RTW. RAHFT protocols will increase availability and improve access for workers that cannot easily attend a clinic for in-person testing. Findings from this study provide functional requirements that should be considered when designing RAHFT protocols.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability, Pity, and the Workplace.","authors":"Jonathon S Breen, Viviana J Shiffman, Susan J Forwell","doi":"10.1007/s10926-024-10247-2","DOIUrl":"https://doi.org/10.1007/s10926-024-10247-2","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose is to examine perceptions of pity directed toward people with disabilities to gain a deeper understanding of the effect of these perceptions on the employment success of people with disabilities and to provide direction to disability-related training and strategic planning in the workplace.</p><p><strong>Methods: </strong>Two studies were developed to explore these relationships. The first measured the characteristics most frequently associated with people with disabilities in the workplace. Survey respondents rated the degree to which they believed the average person would assign these several characteristics to people with disabilities. The second measured the degree to which perceptions of pity, as directed toward people with disabilities, were correlated with the apparent complexity of those disabilities. Respondents determined the relative amount of money that passers-by would likely donate to panhandlers who used various mobility equipment (i.e., wheelchair, walker, cane).</p><p><strong>Results: </strong>Results from these studies indicated that people with disabilities were more likely to be assigned a preponderance of negative characteristics, including those described as unfortunate, limited, and tragic. In addition, people with disabilities whose disabilities were perceived as more complex were seen as being more in need of financial assistance.</p><p><strong>Conclusion: </strong>By providing an empirically driven starting point for organizational planners, including human resource professionals, managers, and recruiters, these two studies provide a basis upon which to develop strategies that account for these affect-based responses to disability.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}