Sleep Health最新文献

{"title":"Initial development of a sleep health literacy scale","authors":"Emily L. Feldman MS,&nbsp;Danica C. Slavish PhD","doi":"10.1016/j.sleh.2024.08.001","DOIUrl":"10.1016/j.sleh.2024.08.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Health literacy includes the skills necessary for effective communication with health professionals, understanding health instructions, and recognizing health needs. Our study aimed to create a novel measure of <em>sleep</em> health literacy—an individual's capacity to comprehend sleep-related information and navigate sleep-related healthcare services.</div></div><div><h3>Methods</h3><div>The Sleep Health Literacy scale consists of two subscales: “Sleep Health Communication” (11 Likert-scale items assessing access to resources and communication with healthcare providers) and “Sleep Health Knowledge” (46 true/false items assessing specific knowledge of sleep health). The Sleep Health Literacy scale was completed by 154 undergraduate students (mean age<!--> <!-->=<!--> <!-->20.96<!--> <!-->years; 79.87% female) in study 1. In study 2, an additional sample of 251 participants (mean age<!--> <!-->=<!--> <!-->20.23<!--> <!-->years; 79.87% female) completed the Sleep Health Literacy scale, along with measures of convergent and discriminant validity.</div></div><div><h3>Results</h3><div>Exploratory factor analysis results in study 1 revealed a two-factor structure for the “Sleep Health Communication” subscale (“comprehension” and “critical application”). The subscale demonstrated good internal consistency (α = 0.81) and inter-item and item-total correlations. On the “Sleep Health Knowledge” subscale, participants answered 76.36% of items correctly. In study 2, the Sleep Health Literacy had good convergent validity with Sleep Beliefs Scale and the All Aspect of Health Literacy Scale.</div></div><div><h3>Conclusions</h3><div>The Sleep Health Literacy scale offers a standardized measure to assess sleep health literacy, an understudied domain that has important links to health. This measure may allow researchers and clinicians to better understand how to improve sleep health. Further validation of the Sleep Health Literacy scale is warranted in more diverse samples.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"Pages 683-690"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356172","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":"Cover 2: Editorial Board","authors":"","doi":"10.1016/S2352-7218(24)00241-9","DOIUrl":"10.1016/S2352-7218(24)00241-9","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"Page IFC"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139378","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 among youth outside of the gender binary: Findings from a national Canadian sample","authors":"Alexa Martin-Storey PhD ,&nbsp;Kyla Mayne MA ,&nbsp;Will Beischel PhD ,&nbsp;Wendy Craig PhD","doi":"10.1016/j.sleh.2024.07.010","DOIUrl":"10.1016/j.sleh.2024.07.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Sleep is important for adolescent health. The unique needs of suprabinary youth (youth with gender identities outside of the gender binary), along with the growing number of youth with these identities, underscores the need to better understand sleep health within this population. The current study’s objectives were to (1) examine differences in sleep health between suprabinary and binary youth and (2) explore how social support, peer victimization, and technology use accounted for these differences.</div></div><div><h3>Methods</h3><div>Data were drawn from the 2017/2018 Health Behavior in School Aged Children Survey. Adolescents (individuals ages 14 to 17, n = 10,186), indicated whether they were suprabinary (n = 182) or binary (n = 10,004), and completed measures of sleep health (difficulty falling asleep, difficulty staying awake, weekday and weekend sleep length), covariates (age, family affluence, race/ethnicity, depressive symptoms), as well as variables that may account for differences between suprabinary and binary youth (family, friend, and teacher support, as well as peer victimization, and technology use before bed).</div></div><div><h3>Results</h3><div>Suprabinary youth reported worse sleep health on all outcomes, and differences persisted for both difficulty falling asleep and weekday sleep hours accounting for covariates. Significant indirect effects between suprabinary status were observed across all sleep outcomes for family support and school climate. Indirect effects for sleep quality were also observed via peer victimization.</div></div><div><h3>Conclusions</h3><div>Findings support the relevance of looking at basic health processes like sleep to better understand how the stressors associated with suprabinary status impact health outcomes among this vulnerable population.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"Pages 621-627"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298947","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":"Chronotype and lifestyle in the transition to adulthood: Exploring the role of sleep health and circadian misalignment","authors":"Simone Bruno MD, PhD ,&nbsp;Francesco Daddoveri MD ,&nbsp;Marco Di Galante MS ,&nbsp;Andrea Bazzani MD, PhD ,&nbsp;Francy Cruz-Sanabria MS, PhD ,&nbsp;Alessandro Colitta MD ,&nbsp;Paola d’Ascanio MS, PhD ,&nbsp;Paolo Frumento MS, PhD ,&nbsp;Ugo Faraguna MD, PhD","doi":"10.1016/j.sleh.2024.08.003","DOIUrl":"10.1016/j.sleh.2024.08.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The present study aimed at exploring the association between eveningness and lifestyle-related variables, that is, body mass index, alcohol, and cigarette consumption, in adults (18-40<!--> <!-->years), focusing on the possible moderator effect of age and the role of sleep disturbances and circadian misalignment (social jetlag).</div></div><div><h3>Methods</h3><div>A web-based survey was administered to 437 participants, covering demographics, lifestyle-related variables, chronotype, sleep quality, and daytime sleepiness. A subset of 206 participants wore a wrist actigraph for a week, allowing the creation of a sleep health index within the RU-SATED framework. Regression analysis was used to investigate the associations between chronotype and lifestyle-related outcomes, accounting for social jetlag and sleep health; and to explore the lifestyle trajectories over time.</div></div><div><h3>Results</h3><div>Evening chronotypes showed higher body mass index levels, consumed more alcohol, and smoked more cigarettes than other circadian typologies, in particular after 25 years of age. Poor sleep health and social jetlag significantly contribute to explaining evening types smoking behavior, while not affecting body mass index levels. Social jetlag plays a more important role compared to sleep disturbances and eveningness in predicting more detrimental drinking and smoking behavior.</div></div><div><h3>Conclusions</h3><div>Participants who maintain the evening trait past the age of 25<!--> <!-->years are more prone to adopt an unhealthy lifestyle, especially if experiencing poor sleep health and circadian misalignment. Circadian preferences and sleep health should be considered when planning interventions aimed at promoting healthy lifestyles in adults aged 18-40<!--> <!-->years. Further investigations should explore the effect of modifications in lifestyle in the prevention of noncommunicable diseases.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"Pages 697-704"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356157","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":"The Artist Sleeping","authors":"Meir Kryger MD FRCPC (Art Editor)","doi":"10.1016/j.sleh.2024.11.001","DOIUrl":"10.1016/j.sleh.2024.11.001","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"Page 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 MPH ,&nbsp;Jean-Philippe Chaput PhD ,&nbsp;Karen C. Roberts MSc ,&nbsp;Gary S. Goldfield PhD ,&nbsp;Suzy L. Wong PhD ,&nbsp;Ian Janssen PhD ,&nbsp;Geneviève Garépy PhD ,&nbsp;Stephanie A. Prince PhD ,&nbsp;Colin A. Capaldi PhD ,&nbsp;Justin J. Lang PhD","doi":"10.1016/j.sleh.2024.09.008","DOIUrl":"10.1016/j.sleh.2024.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigated the associations between specific sleep health characteristics and indicators of positive mental health among Canadian youth in grades 6-10.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"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":"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 MS ,&nbsp;Qingfeng Zeng BS ,&nbsp;Changdong Zhu MS ,&nbsp;Guiying Yang BS ,&nbsp;Linling Zhong MS","doi":"10.1016/j.sleh.2024.08.005","DOIUrl":"10.1016/j.sleh.2024.08.005","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>A total of 18,007 participants were enrolled in the main study. Physical activity was categorized into insufficient physical activity (600 &lt; 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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"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":"OA","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 MS ,&nbsp;Madisen Hillebrant-Openshaw PhD ,&nbsp;Maria M. Wong PhD","doi":"10.1016/j.sleh.2024.09.007","DOIUrl":"10.1016/j.sleh.2024.09.007","url":null,"abstract":"<div><h3>Study objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>Two hundred forty-six children (<em>n</em> = 246 at T1, <em>n</em> = 200 at T2, <em>n</em> = 147 at T3), with a mean age of 9.9 (<em>SD</em> <!-->=<!--> <!-->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.</div></div><div><h3>Results</h3><div>Chronotype at T1 predicted sleep hygiene at T2 (<em>b</em> <!-->=<!--> <!-->0.38, <em>p</em> &lt; .05). Chronotype at T2 predicted sleep hygiene at T3 (<em>b</em> <!-->=<!--> <!-->0.38, <em>p</em> &lt; .05). T1 Sleep Hygiene predicted chronotype at T2 (<em>b</em> <!-->=<!--> <!-->0.27, <em>p</em> &lt; .05). T2 Sleep Hygiene predicted chronotype at T3 (<em>b</em> <!-->=<!--> <!-->0.24, <em>p</em> &lt; .05). Chronotype also predicted itself over time (T1-T2: <em>b</em> <!-->=<!--> <!-->0.31, <em>p</em> &lt; .05; T2-T3: <em>b</em> <!-->=<!--> <!-->0.31, <em>p</em> &lt; .05). Sleep hygiene did not predict itself at future time points. Parental history of alcohol use disorder did not predict sleep hygiene or chronotype.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"Pages 658-664"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","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 MD, PhD ,&nbsp;Seo-Young Lee MD, PhD ,&nbsp;Jee Hyun Kim MD, PhD ,&nbsp;Dong-Hyeon Shin MD ,&nbsp;Eun Hye Oh MD, PhD ,&nbsp;Jin A Kim BSc ,&nbsp;Jae Wook Cho MD, PhD","doi":"10.1016/j.sleh.2024.08.011","DOIUrl":"10.1016/j.sleh.2024.08.011","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>Laypersons rated ChatGPT higher for medical helpfulness (3.79 ± 0.90 vs. 3.44 ± 0.99, <em>p</em> &lt; .001), emotional supportiveness (3.48 ± 0.79 vs. 3.12 ± 0.98, <em>p</em> &lt; .001), and sentence comprehensibility (4.24 ± 0.79 vs. 4.14 ± 0.96, <em>p</em> = .028). Experts also rated ChatGPT higher for emotional supportiveness (3.33 ± 0.62 vs. 3.01 ± 0.67, <em>p</em> &lt; .001) but preferred specialists' responses for sentence comprehensibility (4.15 ± 0.74 vs. 3.94 ± 0.90, <em>p</em> &lt; .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, <em>p</em> = .109). Experts slightly preferred specialist responses overall (56.0%), while laypersons favored ChatGPT (54.3%; <em>p</em> &lt; .001). ChatGPT's responses were significantly longer (186.76 ± 39.04 vs. 113.16 ± 95.77 words, <em>p</em> &lt; .001).</div></div><div><h3>Discussion</h3><div>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.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"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 PhD ,&nbsp;Michelle Estradé DrPH ,&nbsp;Emma C. Lewis PhD ,&nbsp;Lisa Poirier-Barna MHS ,&nbsp;Michael T. Smith PhD ,&nbsp;Joel Gittelsohn PhD","doi":"10.1016/j.sleh.2024.07.009","DOIUrl":"10.1016/j.sleh.2024.07.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study gathered adolescent and caregiver perspectives on sleep hygiene practices and beliefs for Black families living in low-resourced urban communities.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 6","pages":"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}