Sleep Health最新文献

{"title":"The Artist Sleeping.","authors":"Meir Kryger","doi":"10.1016/j.sleh.2024.11.001","DOIUrl":"https://doi.org/10.1016/j.sleh.2024.11.001","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"611"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep health characteristics and positive mental health in Canadian youth: A cross-sectional analysis of the Health Behaviour in School-aged Children study.","authors":"Joses Robinson, Jean-Philippe Chaput, Karen C Roberts, Gary S Goldfield, Suzy L Wong, Ian Janssen, Geneviève Garépy, Stephanie A Prince, Colin A Capaldi, Justin J Lang","doi":"10.1016/j.sleh.2024.09.008","DOIUrl":"10.1016/j.sleh.2024.09.008","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the associations between specific sleep health characteristics and indicators of positive mental health among Canadian youth in grades 6-10.</p><p><strong>Methods: </strong>We used cross-sectional data from the Canadian 2017/2018 Health Behaviour in School-aged Children study, a nationally representative sample of Canadian students. Our analyses included 14,868 participants (53.1% girls). We assessed the following self-reported characteristics of sleep health: nighttime insomnia symptoms, sleep duration, problems with daytime wakefulness, and weekend catch-up sleep. Positive mental health measures included self-reported life satisfaction, positive affect, self-efficacy, and self-confidence. Logistic regression models were used to assess associations while controlling for confounders.</p><p><strong>Results: </strong>Participants who had no or little nighttime insomnia symptoms, who met sleep duration recommendations, who had no or rare daytime wakefulness problems, and who had no or little weekend catch-up sleep were more likely to report high life satisfaction (range of adjusted odds ratios=1.29-2.50), high positive affect (range of adjusted odds ratios=1.35-3.60), high self-efficacy (range of adjusted odds ratios=1.22-2.54), and high self-confidence (range of adjusted odds ratios=1.28-2.31). Almost all of the associations remained significant in the gender- and age-stratified analyses.</p><p><strong>Conclusion: </strong>The findings suggest that good sleep health is associated with higher odds of positive mental health among Canadian youth in grades 6-10. Further research is needed to understand the temporality of the associations and the underlying mechanisms.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"671-677"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bidirectional relationships between chronotype and sleep hygiene in children with and without parental history of alcohol use disorder.","authors":"Emma J Tussey, Madisen Hillebrant-Openshaw, Maria M Wong","doi":"10.1016/j.sleh.2024.09.007","DOIUrl":"10.1016/j.sleh.2024.09.007","url":null,"abstract":"<p><strong>Study objectives: </strong>Children with evening chronotype may be at risk for insufficient sleep because their chronotype makes it difficult to sustain healthy sleep habits. We evaluated bidirectional relationships between chronotype and sleep hygiene.</p><p><strong>Methods: </strong>Two hundred forty-six children (n = 246 at T1, n = 200 at T2, n = 147 at T3), with a mean age of 9.9 (SD=1.4) at T1, participated in a longitudinal study on sleep and substance use. Participants either had a parental history of alcohol use disorder or were matched controls. The Adolescent Sleep Hygiene Scale measured sleep hygiene. Chronotype was measured using the Morningness/Eveningness Questionnaire. We used random intercept cross-lagged panel models to examine longitudinal relations between chronotype and sleep hygiene across three time points, each approximately 1 year apart.</p><p><strong>Results: </strong>Chronotype at T1 predicted sleep hygiene at T2 (b=0.38, p < .05). Chronotype at T2 predicted sleep hygiene at T3 (b=0.38, p < .05). T1 Sleep Hygiene predicted chronotype at T2 (b=0.27, p < .05). T2 Sleep Hygiene predicted chronotype at T3 (b=0.24, p < .05). Chronotype also predicted itself over time (T1-T2: b=0.31, p < .05; T2-T3: b=0.31, p < .05). Sleep hygiene did not predict itself at future time points. Parental history of alcohol use disorder did not predict sleep hygiene or chronotype.</p><p><strong>Conclusions: </strong>There is a bidirectional relationship between chronotype and sleep hygiene; more eveningness predicts poorer sleep hygiene at a later time point, and poorer sleep hygiene predicts more eveningness later. Sleep hygiene is not stable over time and may be a more modifiable target for public health interventions than chronotype.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"658-664"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between joint physical activity and sleep duration and hypertension in US adults: Cross-sectional NHANES study.","authors":"Zhendong Cheng, Qingfeng Zeng, Changdong Zhu, Guiying Yang, Linling Zhong","doi":"10.1016/j.sleh.2024.08.005","DOIUrl":"10.1016/j.sleh.2024.08.005","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have adequately demonstrated that physical activity or healthy sleep duration can reduce the risk of hypertension. However, the combined effects of physical activity and healthy sleep on hypertension have not been well explored in studies using nationally representative samples.</p><p><strong>Methods: </strong>The data were obtained from the National Health and Nutrition Examination Survey (2007-2018). Sleep duration and physical activity were obtained from self-reported questionnaires. Survey logistic regression and restricted cubic spline curves were used to evaluate the joint effects of physical activity and healthy sleep duration on hypertension.</p><p><strong>Results: </strong>A total of 18,007 participants were enrolled in the main study. Physical activity was categorized into insufficient physical activity (600 < Met-min/week) and sufficient physical activity (≥600 Met-min/week). Sleep duration of ≤6 or ≥9 hours was defined as unhealthy sleep duration, and 7-8 hours was defined as healthy sleep duration. Compared to the individuals with unhealthy sleep duration and insufficient physical activity, only the participants with healthy sleep duration and sufficient physical activity (adjusted odds ratio: 0.76, 95% CI 0.66-0.88) were negatively associated with hypertension, while the participants with healthy sleep duration but insufficient physical activity or sufficient physical activity but unhealthy sleep duration were not associated with hypertension. Physical activity was nonlinearly associated with hypertension in the healthy sleep duration group, whereas in the unhealthy sleep duration group, physical activity was not associated with hypertension.</p><p><strong>Conclusion: </strong>Our findings indicate that sufficient physical activity and healthy sleep duration were negatively associated with hypertension. This underscores the importance of integrating both sufficient physical activity and healthy sleep duration in strategies aimed at reducing hypertension risk.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"628-634"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ChatGPT vs. sleep disorder specialist responses to common sleep queries: Ratings by experts and laypeople.","authors":"Jiyoung Kim, Seo-Young Lee, Jee Hyun Kim, Dong-Hyeon Shin, Eun Hye Oh, Jin A Kim, Jae Wook Cho","doi":"10.1016/j.sleh.2024.08.011","DOIUrl":"10.1016/j.sleh.2024.08.011","url":null,"abstract":"<p><strong>Background: </strong>Many individuals use the Internet, including generative artificial intelligence like ChatGPT, for sleep-related information before consulting medical professionals. This study compared responses from sleep disorder specialists and ChatGPT to common sleep queries, with experts and laypersons evaluating the responses' accuracy and clarity.</p><p><strong>Methods: </strong>We assessed responses from sleep medicine specialists and ChatGPT-4 to 140 sleep-related questions from the Korean Sleep Research Society's website. In a blinded study design, sleep disorder experts and laypersons rated the medical helpfulness, emotional supportiveness, and sentence comprehensibility of the responses on a 1-5 scale.</p><p><strong>Results: </strong>Laypersons rated ChatGPT higher for medical helpfulness (3.79 ± 0.90 vs. 3.44 ± 0.99, p < .001), emotional supportiveness (3.48 ± 0.79 vs. 3.12 ± 0.98, p < .001), and sentence comprehensibility (4.24 ± 0.79 vs. 4.14 ± 0.96, p = .028). Experts also rated ChatGPT higher for emotional supportiveness (3.33 ± 0.62 vs. 3.01 ± 0.67, p < .001) but preferred specialists' responses for sentence comprehensibility (4.15 ± 0.74 vs. 3.94 ± 0.90, p < .001). When it comes to medical helpfulness, the experts rated the specialists' answers slightly higher than the laypersons did (3.70 ± 0.84 vs. 3.63 ± 0.87, p = .109). Experts slightly preferred specialist responses overall (56.0%), while laypersons favored ChatGPT (54.3%; p < .001). ChatGPT's responses were significantly longer (186.76 ± 39.04 vs. 113.16 ± 95.77 words, p < .001).</p><p><strong>Discussion: </strong>Generative artificial intelligence like ChatGPT may help disseminate sleep-related medical information online. Laypersons appear to prefer ChatGPT's detailed, emotionally supportive responses over those from sleep disorder specialists.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"665-670"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions around sleep hygiene practices and beliefs among urban Black adolescents and their caregivers during the COVID-19 pandemic.","authors":"Elizabeth L Adams, Michelle Estradé, Emma C Lewis, Lisa Poirier-Barna, Michael T Smith, Joel Gittelsohn","doi":"10.1016/j.sleh.2024.07.009","DOIUrl":"10.1016/j.sleh.2024.07.009","url":null,"abstract":"<p><strong>Objective: </strong>This study gathered adolescent and caregiver perspectives on sleep hygiene practices and beliefs for Black families living in low-resourced urban communities.</p><p><strong>Methods: </strong>Semistructured interviews were conducted with adolescents (n = 9) and caregivers (n = 9) from January-March 2021, during the COVID-19 pandemic. Interview questions included adolescent's current sleep habits, barriers, and home and neighborhood influences. Trained researchers coded data using inductive analysis and a constant comparative method to derive themes.</p><p><strong>Results: </strong>Two themes focused on sleep hygiene practices, including items used to facilitate sleep (e.g., melatonin, electronics) and COVID-19 consequences on sleep schedules. Two themes focused on sleep hygiene beliefs, including a common value on the importance of sleep and influences on caregiver's bedtime rules.</p><p><strong>Conclusions: </strong>Findings provide important insights on sleep hygiene practices and beliefs in a historically marginalized population of Black adolescents and caregivers in urban communities to inform targeted sleep interventions, policies, and programs for optimal sleep and well-being.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"678-682"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment, income, and sleep in South Africa: An actor-partner interdependence model approach.","authors":"Seung Wan Kim, Sangeetha Madhavan","doi":"10.1016/j.sleh.2024.07.006","DOIUrl":"10.1016/j.sleh.2024.07.006","url":null,"abstract":"<p><strong>Objective: </strong>We analyze the relationship between employment status, income, and sleep in South Africa to address two research questions: (1) How does employment status influence the sleep quantity of the individual and their partner? (2) How does income impact the sleep quantity of the individual and their partner?</p><p><strong>Method: </strong>Using data from 1600 Black African couples in the South African Time Use Study, we employ the Actor-Partner Interdependence Model to investigate the relationship between employment status, income, and sleep in couples. We categorize nighttime sleep into three categories: recommended sleep (7-9 hours), short sleep (<7 hours), and long sleep (>9 hours).</p><p><strong>Results: </strong>Employed individuals were more likely to get the recommended amount of sleep and less likely to experience long sleep. However, men whose wives are employed are almost twice as likely as men whose wives are unemployed to experience short sleep, and they experience 47% lower risk of long sleep. Men with a medium level of income have a higher risk of short sleep than those with low income, while those in the highest income category are more likely to get the recommended amount of sleep.</p><p><strong>Conclusion: </strong>These results highlight the intricate dynamics between managing employment demands and securing economic stability for both men and women in the context of high unemployment and shifting gender norms.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"643-650"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of inadequate sleep with mortality among persons who inject drugs.","authors":"Jing Sun, Hsing-Yu Hsu, Jill A Rabinowitz, David W Sosnowski, Damani A Piggott, Shruti H Mehta, Brion S Maher, Adam P Spira, Gregory D Kirk","doi":"10.1016/j.sleh.2024.07.008","DOIUrl":"10.1016/j.sleh.2024.07.008","url":null,"abstract":"<p><strong>Background: </strong>Inadequate sleep is associated with all-cause mortality in the general population. Substance use has adverse effects on sleep, and insomnia symptoms are common among people with HIV. Therefore, persons who inject drugs may face a heightened risk of adverse outcomes from inadequate sleep. We evaluated the association of inadequate sleep with mortality among persons who inject drugs in a long-standing community cohort.</p><p><strong>Methods: </strong>Participants were from the AIDS Linked to the IntraVenous Experience (ALIVE) study, a cohort of persons who inject drugs in Baltimore, Maryland, USA. From 2005-2020, perceived sleep adequacy and duration were assessed semiannually using survey. Mortality data were obtained through linkage to the National Death Index-Plus. Cause of death was independently characterized and validated by three physicians. Hazards of all-cause and cause-specific mortality were evaluated using Cox regression accounting for repeated measurements.</p><p><strong>Results: </strong>A total of 2633 participants were included, with a median age at entry of 45.8years; 32.5% were female, and 75% were Black. After adjustment for demographics, mental health, and comorbidities, inadequate sleep was associated with a 32% greater hazard of all-cause mortality (hazard ratio: 1.32, 95% confidence interval: 1.12-1.55) and a 67% greater hazard of HIV/infectious disease-related deaths (hazard ratio: 1.67, 95% confidence interval: 1.15-2.42). Short (<6 hours) and long (≥8 hours) duration of sleep were both associated with higher hazard of all-cause and chronic disease-related mortality (all p < .05).</p><p><strong>Conclusions: </strong>Sleep plays a critical role in longevity in persons who inject drugs. Research is needed to determine whether interventions targeting sleep improve health and longevity in persons who inject drugs.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"651-657"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profiles of community support and challenges associated with insomnia symptoms: Findings from the pilot Bhutanese Community of Central Ohio Health Study.","authors":"Rupsha Singh, Kevin Villalobos, Jeffrey H Cohen, Arati Maleku, Sudarshan Pyakurel, Taku Suzuki, Shambika Raut, Mark Troyer, Chandra L Jackson, Francisco Alejandro Montiel Ishino","doi":"10.1016/j.sleh.2024.08.006","DOIUrl":"10.1016/j.sleh.2024.08.006","url":null,"abstract":"<p><strong>Study objectives: </strong>We investigated profiles of community support and challenges in relation to insomnia symptoms among the Bhutanese living in the United States.</p><p><strong>Methods: </strong>Using data from the pilot Bhutanese Community of Central Ohio Health Study (N = 495; 51.5% men, 69.8% aged 18-44years), we used latent class analysis to identify distinct profiles of neighborhood social cohesion, social support, and community challenges (e.g., limited access to healthcare services and transportation, crime and safety issues, substance use, intimate partner violence) and their associations with insomnia symptoms. Insomnia symptoms were self-reported as difficulty falling and staying asleep and dichotomized as \"not at all\" vs. \"some to always.\" Identified classes/profiles were further differentiated by self-reported sociodemographic, socioeconomic, health, acculturative, and discrimination factors.</p><p><strong>Results: </strong>Latent class analysis revealed four distinct classes/profiles. The High Cohesion (class 1) profile (30.1% of sample) had the lowest likelihood of insomnia symptoms at 6.5%, followed by class 2 or High Support (23.6%) with a 15.3% likelihood. Class 3 or High Challenges profile (11.5%) had a moderate likelihood of insomnia symptoms at 49%. Class 4 or the Low Cohesion/Support profile (34.7%) had a 100% likelihood of reporting insomnia symptoms. Class 4 when compared to class 1 was more likely to report cardiometabolic conditions, experiences of everyday discrimination, limited English linguistic proficiency, and not using telehealth.</p><p><strong>Conclusion: </strong>Community social cohesion and support may play an important role in mitigating insomnia symptoms among Bhutanese refugees. Further investigations are warranted.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"722-730"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11624998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intrafamilial associations of sleep multitrajectory groups between ages of 3 and 60 months in the SEPAGES cohort.","authors":"Mihyeon Kim, Sarah Lyon-Caen, Sam Bayat, Claire Philippat, Sabine Plancoulaine","doi":"10.1016/j.sleh.2024.07.011","DOIUrl":"10.1016/j.sleh.2024.07.011","url":null,"abstract":"<p><strong>Objectives: </strong>We investigated intrafamilial sleep evolution by identifying children's sleep multitrajectory groups between 3- and 60-month of age and their association with parental sleep multitrajectory groups.</p><p><strong>Methods: </strong>We included 180 children from the SEPAGES cohort (Grenoble, France) whose parents belonged to previously identified sleep multitrajectory groups, through group-based multitrajectory modeling, between 3 and 36months postpartum, using nighttime (NSD) and weekend daytime (DSD) sleep durations and subjective sleep loss, comprising \"No,\" \"Subjective,\" and \"Global\" sleep problems groups. Child sleep information (NSD, DSD, subjective sleep loss, night waking, and sleep onset difficulties) was collected by parental questionnaires at 3-, 12-, 36-, and 60-month. We identified sleep multitrajectory groups using group-based multitrajectory modeling in children and examined their associations with parental sleep multitrajectory groups using multinomial logistic regressions.</p><p><strong>Results: </strong>We identified three sleep multitrajectory groups in children: the \"No/few\" group (29.4%) had moderate NSD, long DSD, low subjective sleep loss/night waking/sleep onset difficulties prevalence, the \"Moderate\" group (60.0%) had long NSD and moderate DSD, and medium subjective sleep loss/night waking/sleep onset difficulties prevalence, and the \"Global\" group (10.6%) had the shortest NSD and DSD, and the highest subjective sleep loss/night waking/sleep onset difficulties prevalence. After adjusting for covariates, mothers in the \"Global\" group were more likely to have children in the same group, and mothers in \"Subjective\" and \"Global\" groups were less likely to have children in the \"Moderate\" group than in the \"No/few\" group. No association was identified with paternal or couple sleep multitrajectory groups.</p><p><strong>Conclusions: </strong>The observed associations between parent-child sleep multitrajectory groups suggest greater maternal sensitivity to or involvement in the child's sleep than the fathers. Early preventive sleep actions could improve sleep in children and mothers.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":"738-748"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}