Journal of Communication Disorders最新文献

{"title":"Exploring the use of artificial language learning (ALL) paradigms to differentiate intrinsic versus extrinsic sources of language impairment","authors":"Liron Reznik-Nevet ,&nbsp;David L. Share ,&nbsp;Ravit Cohen-Mimran","doi":"10.1016/j.jcomdis.2025.106532","DOIUrl":"10.1016/j.jcomdis.2025.106532","url":null,"abstract":"<div><h3>Purpose</h3><div>The current investigation aimed to explore the potential of Artificial Language Learning (ALL) paradigms to distinguish between poor language abilities due to intrinsic difficulties in language learning as opposed to difficulties stemming from extrinsic factors such as environmental factors.</div></div><div><h3>Method</h3><div>Using a 2-step population-based screening procedure, 35 children from mid-high SES with presumed developmental language disorders (pDLD) were compared to an unselected sample of 33 children from low SES on measures of accumulated lexical and morphological knowledge and on tasks assessing lexical and morphological learning ability using artificial language learning (ALL) paradigms.</div></div><div><h3>Results</h3><div>No significant differences between the pDLD and the low-SES groups were found on lexical and morphological knowledge. However, the low-SES group outperformed the pDLD group in both learning an artificial morphological rule and learning new pseudowords.</div></div><div><h3>Conclusions</h3><div>These findings indicate that children from low SES, as a group, exhibit diminished language performance similar to that of children with pDLD when tested on conventional measures of accumulated linguistic knowledge yet outperform children with (persumed) DLD when assessed on their ability to learn and make use of new linguistic information to extract morphological rules and establish novel lexical representations. The potential of ALL paradigms in this population is discussed.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"116 ","pages":"Article 106532"},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154717","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":"Prevalence and associated factors of voice symptoms among Mexican prospective teachers: A cross-sectional study","authors":"Lady Catherine Cantor-Cutiva ,&nbsp;Carlos Manzano ,&nbsp;Eric J. Hunter","doi":"10.1016/j.jcomdis.2025.106531","DOIUrl":"10.1016/j.jcomdis.2025.106531","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to determine the prevalence and associated factors of voice symptoms among Mexican prospective teachers.</div></div><div><h3>Method</h3><div>This cross-sectional study was conducted in the fall of 2023. Data was collected from all four years of the teacher education program offered by participating institutions. A total of 1233 students participated across the four institutions. Before completing the questionnaire, students read and virtually signed an informed consent form outlining the study's details and their rights. A self-report web-based questionnaire was developed for this study consisting of the following: (1) demographic details, (2) educational details, (3) lifestyle habits, and (4) use of health care services due to voice symptoms. Further, participants completed the Spanish version of the Voice Symptom Scale (VoiSS), the Vocal Fatigue Index (VFI), and the Screening Index for Voice Disorder (SIVD).</div></div><div><h3>Results</h3><div>The prevalence of voice symptoms varied depending on the instrument used. The perception of dust in the practicum placement was the most significant teaching-training condition associated with voice symptoms reported using different scales (VoiSS, OR = 2.00; SIVD, OR = 2.08) and being statistically associated with tiredness of voice (Factor 1 of the VFI) (OR = 1.72). Prospective teachers in their third year of training or who were starting their practicum placement were more likely to report voice symptoms measured using all the scales (VFI Factors 1 and 2, VoiSS, and SIVD).</div></div><div><h3>Discussion and conclusion</h3><div>Before experiencing the full occupational vocal demands of the teaching profession, prospective teachers may be exposed to teaching-training conditions that increase their likelihood of reporting voice symptoms. There may be an opportunity for implementing early intervention and education programs by identifying associated demands and the prevalence of voice symptoms during prospective teachers’ training.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"116 ","pages":"Article 106531"},"PeriodicalIF":1.8,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116096","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":"Peer attitudes towards children with cleft lip and palate: An interaction of visual and auditory cues?","authors":"Kim Bettens ,&nbsp;Karen De Keyser ,&nbsp;Kristiane Van Lierde","doi":"10.1016/j.jcomdis.2025.106530","DOIUrl":"10.1016/j.jcomdis.2025.106530","url":null,"abstract":"<div><h3>Background and aims</h3><div>For children with speech disorders related to cleft palate with or without cleft lip (CP±<em>L</em>), effective communication presents significant challenges. Listeners often form judgments based on the speech signal, contributing to stigmatization and negative stereotyping. When a child also has a cleft lip, perceptions may be further influenced. Limited research has explored peer attitudes towards individuals with CP±<em>L</em> using audiovisual stimuli. This study aimed to examine peer attitudes of children towards children with CP±<em>L</em>, analyzing how these attitudes vary based on auditory, visual, and audiovisual cues and cleft type. Additionally, the relationship between speech intelligibility, speech acceptability, and social acceptance was evaluated.</div></div><div><h3>Method</h3><div>Audio samples, photographs, and audiovisual samples were collected from 11 Caucasian children: four with cleft palate (CP), four with cleft lip and palate (CLP) and three typically developing children without cleft. These stimuli were judged by 48 typically developing peers aged 7 to 12 (24 boys, 24 girls) based on three attitude components, i.e. cognitive, affective and behavioral. They also rated speech intelligibility and acceptability. Correlations were calculated between the attitude components and speech intelligibility/acceptability. The impact of the medium on peer attitudes per cleft type was verified.</div></div><div><h3>Results</h3><div>Strong and significant positive correlations were found between all attitude dimensions and the mean speech intelligibility and speech acceptability scores given by peers, particularly with audio and audiovisual samples. Deviant speech (audio) negatively influenced all peer attitudes, whereas variations in facial appearance alone (photo) did not substantially impact peer attitudes. When speech and appearance were combined (audiovisual), deviant speech negatively influenced cognitive attitudes without substantial impact of variation in appearance. Affective and behavioral attitudes were negatively influenced when deviant speech was present in combination with a cleft lip.</div></div><div><h3>Conclusion</h3><div>This study underscores the importance of multidimensional approaches to understanding and improving peer attitudes towards children with CP±<em>L</em>. Addressing both auditory and visual aspects of cleft-related disorders can better support these children's social inclusion and well-being. Further research should explore the long-term impact of speech and psychological interventions and educational programs on peer attitudes and examine specific visual cues' roles in social perceptions.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106530"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885997","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":"Perceptual and acoustic predictors of speech intelligibility among Hebrew-speaking young adults with down syndrome","authors":"Micalle Carl,&nbsp;Michal Icht","doi":"10.1016/j.jcomdis.2025.106529","DOIUrl":"10.1016/j.jcomdis.2025.106529","url":null,"abstract":"<div><h3>Background</h3><div>Down syndrome (DS) is a common chromosomal disorder associated with various speech impairments, including reduced intelligibility. While speech subsystem deficits in DS have been documented, their relative influence on intelligibility remains understudied, particularly in non-English speaking populations. This study investigated speech intelligibility and select subsystem functioning in Hebrew-speaking young adults with DS, aiming to describe the speech production disorder and identify predictors of single-word intelligibility in this population.</div></div><div><h3>Methods</h3><div>Twenty-four adults with DS and 24 typically developing (TD) peers produced common single words in Hebrew. Perceptual and acoustic analyses were conducted on select speech subsystems, including articulatory (consonant and vowel production) and phonatory measures.</div></div><div><h3>Results</h3><div>Speakers with DS had higher error rates for complex consonants and demonstrated vowel space centralization compared to TD peers. Group differences were observed in most acoustic vowel measures, with interactions with speaker gender, but only select acoustic voice measures. Stepwise regression analysis identified three significant predictors of single-word intelligibility in the DS group, namely Percentage of Consonants Correct (PCC), Jitter (ppq), and average ellipse size of vowel clusters within the acoustic vowel space.</div></div><div><h3>Conclusions</h3><div>These findings highlight the complex nature of speech intelligibility deficits in individuals with DS, emphasizing both articulatory and phonatory contributing factors. The results also suggest potential cross-linguistic differences in subsystem contributions to intelligibility. Clinical implications include the need for comprehensive assessment and targeted interventions addressing multiple speech subsystems in this population.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106529"},"PeriodicalIF":1.8,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883001","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":"Reading in aphasia: Supporting engagement in and enjoyment of reading in an aphasia support centre","authors":"Janet Webster ,&nbsp;Julie Morris ,&nbsp;Kathy Cann","doi":"10.1016/j.jcomdis.2025.106528","DOIUrl":"10.1016/j.jcomdis.2025.106528","url":null,"abstract":"<div><div>People with aphasia often experience difficulties with reading. Within the literature, there are a small number of reports of dedicated book clubs for people with aphasia, providing a social activity for individuals to reconnect with reading in a supportive environment. This paper describes an exploratory study investigating how to support people with aphasia's engagement and enjoyment of reading in an aphasia support centre. The study consisted of two phases. In phase 1, a focus group explored people with aphasia's reading and preferences about social reading activities. In phase 2, a novel reading group that reflected the preferences shared within the focus group was offered in the support centre.</div><div>The focus group revealed individual variability in both pre- and post-stroke reading. People were motivated to read but found it effortful. Participants were interested in a social reading activity but felt a book club was not feasible due to differences in reading preferences, ability, and the effort required to read. The novel reading group was designed to allow individuals to share what they had read at home in a supportive and encouraging environment. The format allowed everyone to engage and participants reported improved reading. This social reading activity encouraged people to read their own reading material rather than a shared book, allowing consideration of personal preference and accommodation of different levels of reading ability. Individuals did not need to read the same reading material to benefit from sharing the experience of reading.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106528"},"PeriodicalIF":1.8,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859404","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":"The perceptions, attitudes and experiences of service users with telehealth speech-language pathology services","authors":"Reem S.W. Alyahya","doi":"10.1016/j.jcomdis.2025.106527","DOIUrl":"10.1016/j.jcomdis.2025.106527","url":null,"abstract":"<div><h3>Aims</h3><div>To investigate the perceptions, attitudes, and experiences of clients and caregivers towards telehealth Speech-Language Pathology (SLP) services.</div></div><div><h3>Methods</h3><div>A comprehensive questionnaire was developed and validated to investigate the perceptions, attitudes, and experiences of service users towards telehealth services. The questionnaire included questions related to telehealth experience, client's preferences, and the perceived facilitators, barriers, advantages, and disadvantages of telehealth. Phone survey was used to collect data from clients and caregivers of clients who received telehealth SLP services during and after the COVID-19 pandemic.</div></div><div><h3>Results</h3><div>A total of 293 clients and caregivers participated in this study. The findings indicated that 97.95 % of the respondents reportedly received telehealth SLP services for the first time during the COVID-19 pandemic, mainly through video-communication (51.2 %), and for different clinical services, with therapy (31.04 %) and monitoring (31.28 %) being the highest services. Of the total respondents, 54.95 % felt that telehealth appointments were similar to in-person appointments. However, 41.30 % of the respondents preferred receiving in-person appointments. Statistical analyses indicated that eight factors were perceived by service users as significant primary facilitators of telehealth (e.g., good internet connection, available resources, experience with technology), whereas only three factors were perceived as significant primary barriers (e.g., poor image/sound quality, and client's communication impairments). Furthermore, 10 factors were perceived as significant primary advantages of telehealth (e.g., reduced cost and travel time), while only one factor was identified as a significant primary disadvantage (inability to conduct a physical examination).</div></div><div><h3>Conclusions</h3><div>Service users identified numerous advantages of telehealth, including improved access to healthcare, and reduced costs, while only one disadvantage was identified (lack of physical examinations). The perceived facilitators and barriers of telehealth by service users can be classified into technology-related factors (e.g., comfort with technology, internet connection) and client-related factors (e.g., client's cognitive and sensory abilities). These technology and client-related factors should be considered by policy makers and funding bodies while planning the establishment or expansion of telehealth services.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106527"},"PeriodicalIF":1.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of reliability and validity of the Boston diagnostic aphasia examination (BDAE-2) in a Serbian population","authors":"Mile Vuković ,&nbsp;Lana Jerkić Rajić ,&nbsp;Tanja Milovanović ,&nbsp;Natalie F. Douglas","doi":"10.1016/j.jcomdis.2025.106526","DOIUrl":"10.1016/j.jcomdis.2025.106526","url":null,"abstract":"<div><div>The Boston Diagnostic Aphasia Examination (BDAE) has been extensively utilized in Serbia; however, data on its psychometric properties within this context are limited. This study aimed to evaluate the reliability and validity of the BDAE-2 in Serbian-speaking individuals with aphasia. The sample comprised 119 participants with stroke-induced aphasia and 51 neurologically healthy speakers. A Serbian translation of the second edition of the BDAE was administered to all participants. Findings indicated that the Serbian version of the BDAE-2 exhibited strong internal consistency, high inter-rater reliability, satisfactory construct validity, and robust discriminative capacity for differentiating individuals with aphasia from neurotypical speakers. Furthermore, specific subtests effectively distinguished between various aphasia types and demonstrated sensitivity to aphasia severity levels. Sociodemographic factors (gender, education, age) significantly influenced assessments of certain language abilities. In conclusion, the BDAE-2 was found to be a reliable diagnostic tool for assessing aphasia in Serbian speakers, showcasing favorable psychometric properties.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106526"},"PeriodicalIF":1.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739999","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":"Early language outcomes of children born with unilateral aural atresia","authors":"Anna Persson ,&nbsp;Peter Carew ,&nbsp;Traci Flynn","doi":"10.1016/j.jcomdis.2025.106523","DOIUrl":"10.1016/j.jcomdis.2025.106523","url":null,"abstract":"<div><h3>Objective</h3><div>Aural atresia is a congenital malformation involving the ear canal. There is limited investigation into the impact of aural atresia and the associated hearing loss on language in the early years of development.</div></div><div><h3>Methods</h3><div>Eight children with unilateral aural atresia were followed longitudinally at 30- and 60-days post hearing device fitting, 12 months, 18 months, 24 months, 30 months, and 36 months of age. Expressive language, auditory development, functional auditory performance, and hearing device use were measured.</div></div><div><h3>Results</h3><div>Two children were delayed in expressive language at 24 months of age. Children's auditory development and functional auditory performance were in the average or above average range. Children wore their hearing devices for an average of 1–2 hours per day.</div></div><div><h3>Conclusion</h3><div>Thirty-three percent of children (<em>n</em> = 2) were performing below the language levels expected for peers without hearing loss. Children's auditory development and functional auditory performance are comparable to children with typical hearing despite their low hearing device use. These results should be interpreted with caution due to the small number of children participating in the study.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106523"},"PeriodicalIF":1.8,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prosody and gestures help pragmatic processing in children with Developmental Language Disorder","authors":"Albert Giberga ,&nbsp;Ernesto Guerra ,&nbsp;Nadia Ahufinger ,&nbsp;Alfonso Igualada ,&nbsp;Mari Aguilera ,&nbsp;Núria Esteve-Gibert","doi":"10.1016/j.jcomdis.2025.106525","DOIUrl":"10.1016/j.jcomdis.2025.106525","url":null,"abstract":"<div><div>The combination of linguistic prosody and bodily signals help typically developing children (TD) in accessing pragmatic meanings. We investigated the benefits of prosodic and gestural cues for processing pragmatic meanings in children with Developmental Language Disorder (DLD), having difficulties with structural language and pragmatics. 34 children with DLD and 45 TD controls, aged 5 to 10, participated in two visual-world eye-tracking tasks on pragmatic meanings that varied in complexity and develop in different stages: interrogative meaning (Exp. 1, less complex, developing earlier) and indirect requests (Exp. 2, more complex, developing later). In both experiments we manipulated the cues highlighting the intended meaning (prosodically-enhanced, multimodally-enhanced, and no-enhancement). The results showed that all children benefited from prosodic- and multimodal-enhancement to comprehend less complex meanings developing earlier, that younger children with DLD were less accurate even if such cues were present, and that the multimodal-enhancement was especially helpful for children with DLD when processing more complex meanings at an older age. Eye gaze data in both experiments revealed that, compared to TD children, children with DLD showed less clear preference to look at the Target image after the unfolding of bodily and prosodic cues, but that multimodal cues did reduce the children's bias to look at the literal interpretation of indirect requests. Our results highlight the importance of prosodic and bodily cues for the processing of pragmatic meanings that vary in complexity, especially when linguistic abilities are impaired, and have important implications on the communicative strategies that professionals use with children with DLD.</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106525"},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683613","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 validity of the Turkish version of the test of childhood stuttering (TOCS)","authors":"Ayşe İlayda Mutlu ,&nbsp;Ayşen Köse ,&nbsp;Şadiye Bacık Tırank","doi":"10.1016/j.jcomdis.2025.106524","DOIUrl":"10.1016/j.jcomdis.2025.106524","url":null,"abstract":"<div><h3>Propose</h3><div>This study aimed to evaluate the reliability and validity of the Turkish version of the Test of Childhood Stuttering (TOCS).</div></div><div><h3>Methods &amp; Procedure</h3><div>The TOCS was translated into Turkish, then back into English by a linguist, and reviewed by an evaluation committee. The translated version was administered to 50 children who stutter (CWS) and 50 who do not (CWNS). After 7–10 days, 12 randomly selected children were re-evaluated. Reliability was assessed using Cronbach's alpha, test-retest methods, and inter-rater reliability. Content validity was confirmed through a pilot study and expert feedback. Construct validity was examined by analyzing test performance, comparing scores between CWS and CWNS, correlating modality test scores, and performing factor analysis. Criterion validity was assessed by correlating TOCS-TR scores with the Stuttering Severity Instrument-4 Turkish Version (SSI-4-TR).</div></div><div><h3>Results</h3><div>Internal consistency was high, with Cronbach's alpha at .89. The test-retest correlation coefficient for Speech Fluency Measure subtest were .95, the Speech Fluency Rating Scale subtest was .91, and the Disfluency-Related Consequences Rating Scale Index was .91. Inter-rater reliability showed excellent agreement. Content validity was culturally appropriate. Construct validity indicated an 82% positive predictive value, 100% sensitivity, and 78% specificity for the Speech Fluency Rating Scale and Disfluency-Related Consequences Rating Scale. Criterion validity showed 80% agreement with SSI-4-TR.</div></div><div><h3>Conclusions &amp; Implications</h3><div>The TOCS-TR demonstrated strong reliability and validity, making it a valuable tool for assessing stuttering severity in children and distinguishing between CWS and CWNS</div></div>","PeriodicalId":49175,"journal":{"name":"Journal of Communication Disorders","volume":"115 ","pages":"Article 106524"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726048","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}