American Journal of Speech-Language Pathology最新文献

{"title":"Thoughts From the Front Lines: Canadian Perspectives in Adopting and Implementing Recommended Clinical Labels in Preschool Speech-Language Pathology.","authors":"Alison Lynn Csercsics, Lauren Denusik, Barbara Jane Cunningham","doi":"10.1044/2024_AJSLP-24-00272","DOIUrl":"10.1044/2024_AJSLP-24-00272","url":null,"abstract":"<p><strong>Purpose: </strong>Previous literature has proposed barriers to speech-language pathologists (SLPs) using standard clinical labels; however, the perspectives of SLPs have been studied to a lesser extent. This quality improvement project reports on SLPs' perceived barriers and facilitators to using currently recommended clinical labels for preschool communication disorders and identifies next steps to support implementation in one preschool communicative health system.</p><p><strong>Method: </strong>This project aimed to establish the consistent use of clinical labels in one large Canadian preschool speech and language program. After completing a web-based training and a 3-month trial period, 387 SLPs completed an exit survey to share their perceived barriers and facilitators to label use. Qualitative survey data were analyzed using a hybrid codebook inductive/deductive thematic analysis approach.</p><p><strong>Results: </strong>Six themes were identified, which aligned with the diffusion of innovations theory. SLPs identified several facilitators and barriers to using the recommended clinical labels within each theme. Major facilitators included improved communication, better caregiver understanding of children's communication, positive feedback from caregivers, SLPs' increased confidence in sharing labels, and improved access to services for children. Major barriers related to additional time required to share labels, SLPs' perceptions of caregivers' values, SLPs' views surrounding the recommended labels, lack of comfort using some labels, and limited opportunity to practice label use or observe successful label use by others.</p><p><strong>Conclusions: </strong>Contextual barriers continue to impact SLPs' use of the recommended clinical labels. Ongoing collaboration with SLPs and caregivers will be critical for supporting implementation. Further research examining SLPs' perspectives across other clinical settings and geographic areas is needed.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27296970.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"139-154"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577110","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":"Erratum to \"Developing Augmentative and Alternative Communication Systems in Languages Other Than English: A Scoping Review\".","authors":"","doi":"10.1044/2024_AJSLP-24-00344","DOIUrl":"10.1044/2024_AJSLP-24-00344","url":null,"abstract":"","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"437"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548541","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":"Perceptions of Artificial Intelligence and ChatGPT by Speech-Language Pathologists and Students.","authors":"Julianna Austin, Keith Benas, Sara Caicedo, Emily Imiolek, Anna Piekutowski, Iyad Ghanim","doi":"10.1044/2024_AJSLP-24-00218","DOIUrl":"10.1044/2024_AJSLP-24-00218","url":null,"abstract":"<p><strong>Purpose: </strong>This project explores the perceived implications of artificial intelligence (AI) tools and generative language tools, like ChatGPT, on practice in speech-language pathology.</p><p><strong>Method: </strong>A total of 107 clinician (<i>n</i> = 60) and student (<i>n</i> = 47) participants completed an 87-item survey that included Likert-style questions and open-ended qualitative responses. The survey explored participants' current frequency of use, experience with AI tools, ethical concerns, and concern with replacing clinicians, as well as likelihood to use in particular professional and clinical areas. Results were analyzed in the context of qualitative responses to typed-response open-ended questions.</p><p><strong>Results: </strong>A series of analyses indicated participants are somewhat knowledgeable and experienced with GPT software and other AI tools. Despite a positive outlook and the belief that AI tools are helpful for practice, programs like ChatGPT and other AI tools are infrequently used by speech-language pathologists and students for clinical purposes, mostly restricted to administrative tasks.</p><p><strong>Conclusion: </strong>While impressions of GPT and other AI tools cite the beneficial ways that AI tools can enhance a clinician's workloads, participants indicate a hesitancy to use AI tools and call for institutional guidelines and training for its adoption.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"174-200"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577096","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 Effects of Whole-Body Exercise on Swallowing Function in Older Adults With Parkinson's Disease: A Proof-of-Principle Study.","authors":"Harmonie Chan, Ada Tang, Oliver Li, A J Orprecio, Sophia Werden Abrams, Elise Wiley, Kyle MacDonald, Jinhui Ma, Ashwini Namasivayam-MacDonald","doi":"10.1044/2024_AJSLP-24-00137","DOIUrl":"10.1044/2024_AJSLP-24-00137","url":null,"abstract":"<p><strong>Purpose: </strong>Rodent models suggest that when respiratory demands increase during an exercise program, tongue and thyroarytenoid muscles engage to maintain a patent airway, leading to increased muscle strength. This suggests that nonspecific exercises that increase respiratory rate may improve swallowing. As such, the purpose of this proof-of-principle study was to determine the potential for whole-body exercise to improve tongue strength, cough strength, and self-reported swallowing function in older adults with Parkinson's disease (PD).</p><p><strong>Method: </strong>Nine community-dwelling adults with PD (six men, three women; <i>M</i> ± <i>SD</i> age = 73 ± 7 years) were enrolled in a 10-week (30 min/session, three sessions/week, for a total of 30 sessions) virtual, whole-body exercise program, designed to increase respiratory rate. Demographic, frailty (Strength, Assistance in walking, Rise from a chair, Climb stairs, and Falls [SARC-F]), mobility (Schwab & England Activities of Daily Living Scale), and swallowing (tongue strength, cough strength, Eating Assessment Tool 10 [EAT-10]) measures were collected. Data were analyzed using descriptive statistics and linear mixed models.</p><p><strong>Results: </strong>Baseline frailty and mobility severity scores indicated mild PD severity. Post-exercise, four of nine participants demonstrated improvement in either anterior or posterior tongue strength, as well as cough strength. Three participants with higher exercise heart rate or rating of perceived exertion scores reported a decrease in EAT-10 scores to a level of below clinical concern (< 3). Results from linear mixed models demonstrated no statistically significant effects on any measures of swallowing function.</p><p><strong>Conclusions: </strong>Findings from this pilot study suggest potential signal for a higher intensity whole-body exercise program to improve self-reported swallowing function, given that heart rate and/or exertion intensity that met or exceeded the target was associated with positive changes in self-reported swallowing function, but not tongue or cough strength. Future research including a larger sample size and intervention controls is needed to further elucidate a relationship between whole-body exercise and swallowing.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"314-332"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830453","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":"Augmenting Verb-Naming Therapy With Neuromodulation Decelerates Language Loss in Primary Progressive Aphasia.","authors":"Shannon M Sheppard, Emily B Goldberg, Rajani Sebastian, Emilia Vitti, Kristina Ruch, Erin L Meier, Argye E Hillis","doi":"10.1044/2024_AJSLP-24-00016","DOIUrl":"10.1044/2024_AJSLP-24-00016","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to evaluate Verb Network Strengthening Treatment (VNeST) paired with the transcranial direct current stimulation (tDCS) of the left inferior frontal gyrus, which was compared to VNeST paired with a sham stimulation in primary progressive aphasia (PPA).</p><p><strong>Method: </strong>A double-blind, within-subject, sham-controlled crossover design was used. Eight participants with PPA were enrolled. Participants were enrolled in two treatment phases, one with VNeST plus real tDCS and one with VNeST plus sham. Participants received fifteen 1-hr sessions of VNeST in each phase. Linear mixed-effects models were used to compare changes between baseline and two follow-up time points (1 week and 8 weeks posttreatment) in naming trained verbs, untrained verbs, and untrained nouns; sentence production and comprehension; and producing content units and complete utterances in discourse.</p><p><strong>Results: </strong>VNeST was effective for significantly improving naming trained verbs and producing more complete utterances in discourse at 1 week posttreatment in both tDCS and sham conditions. A significant tDCS advantage yielded generalization of treatment effects to untrained verbs (at 1 week and 8 weeks posttreatment), sentence production (at 1 week posttreatment), and sentence comprehension (at 8 weeks posttreatment). Untrained verb naming and sentence comprehension declined when VNeST was not augmented with tDCS.</p><p><strong>Conclusions: </strong>Our findings provide emerging evidence that VNeST paired with tDCS can improve word finding, and other language abilities, in people with PPA. VNeST without neuromodulation can improve trained verb naming, but untrained verbs will likely decline faster when VNeST is not augmented with tDCS. Future research is required with a larger sample size to continue investigating the potential of treating word finding with VNeST and tDCS in PPA.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27914325.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"155-173"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819958","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":"Pilot Trial of a Speech-Language Pathology Telehealth Service to Enhance Postdischarge Dysphagia Care in Singapore.","authors":"Flora M M Poon, Elizabeth C Ward, Clare L Burns","doi":"10.1044/2024_AJSLP-24-00203","DOIUrl":"10.1044/2024_AJSLP-24-00203","url":null,"abstract":"<p><strong>Purpose: </strong>Patients and caregivers in Singapore experience issues managing dysphagia care at home following hospital discharge, and they prioritized improving access to postdischarge dysphagia care and support. Hence, a postdischarge dysphagia telehealth service was developed. This study aimed to evaluate the feasibility of this service by examining patient and service outcomes, preliminary costs, and consumer satisfaction.</p><p><strong>Method: </strong>Patients with dysphagia and their caregivers attended one or more telehealth sessions over the initial month post-hospital discharge. Reviews of dietary adherence and preparation, swallowing function, and therapy progress were conducted. If needed, clinical support and intervention were provided. Data related to patient and service outcomes, preliminary costs, and consumer satisfaction were collected and analyzed using descriptive statistics and content analysis.</p><p><strong>Results: </strong>Twenty patients attended 42 telehealth sessions. No support was provided during 10 sessions, minor support was provided during 13 sessions, and major support and intervention were provided to address patient and swallowing safety during 19 sessions. Out of 20 patients, 19 required support and intervention during the first week postdischarge, but they experienced fewer issues with each subsequent session. They were highly satisfied with the service. The average session duration was 29.6 min. No sessions were cancelled. This service can be delivered with minimal additional health service resources and at a low cost to consumers.</p><p><strong>Conclusions: </strong>This service is feasible, cost-effective, and well accepted by consumers. It facilitates early identification and management of swallowing and patient safety during the initial month post-hospital discharge. Wider implementation of this service model should be considered.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27327345.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"231-245"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607014","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 Impact of Clear and Loud Speech Cues on Acoustic and Perceptual Features of Speech Production in Adolescents With Down Syndrome.","authors":"Meghan Darling-White, Allison McHugh","doi":"10.1044/2024_AJSLP-24-00248","DOIUrl":"10.1044/2024_AJSLP-24-00248","url":null,"abstract":"<p><strong>Purpose: </strong>There are few evidence-based speech interventions designed to alter speech production in a way that ultimately results in increased speech intelligibility in adolescents with Down syndrome (DS). The primary purpose of this study was to examine the impact of clear and loud speech cues on acoustic and perceptual features of speech production in adolescents with DS.</p><p><strong>Method: </strong>Eight adolescents diagnosed with DS repeated sentences of varying lengths in three conditions: habitual, big mouth (i.e., clear speech), and strong voice (i.e., loud speech). Four hundred eighty adult listeners (20 listeners per adolescent per condition) provided orthographic transcriptions of adolescent's speech, which were used to calculate intelligibility scores. Acoustic measures of speech rate, articulation rate, proportion of time spent pausing, vocal intensity, and fundamental frequency were calculated for each sentence.</p><p><strong>Results: </strong>The big mouth condition resulted in significantly increased intelligibility, slowed speech and articulation rates, increased pauses, increased vocal intensity, and increased fundamental frequency. The strong voice condition resulted in significantly increased vocal intensity and fundamental frequency, but no other changes. Speech rate was the only variable that explained any of the variance in intelligibility.</p><p><strong>Conclusions: </strong>Adolescents with DS respond differently to clear and loud speech cues. In particular, clear speech cues resulted in significant increases in intelligibility, but loud speech cues did not. Clear speech cues hold promise as an intervention strategy for adolescents with DS.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"201-217"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649461","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":"Barriers and Facilitators in Using Surface Electromyography in Swallowing Management: An Implementation Science Study.","authors":"Mariana M Bahia, Julia Carpenter, Leora R Cherney","doi":"10.1044/2024_AJSLP-24-00215","DOIUrl":"10.1044/2024_AJSLP-24-00215","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify clinician-perceived barriers and facilitators before the implementation of surface electromyography (sEMG) for swallowing management, implement sEMG biofeedback in swallowing rehabilitation sessions using implementation strategies, and investigate the perceived benefits and drawbacks after the implementation of the sEMG device from the perspectives of speech-language pathologists (SLPs).</p><p><strong>Method: </strong>An initial pre-implementation survey characterized the SLPs' practices in swallowing management regarding the use of biofeedback modalities as well as facilitators and barriers to the implementation of sEMG. In the implementation phase, six SLPs attended educational and training meetings, tested, and used sEMG with patients during their swallowing sessions. Finally, a postimplementation survey and focus group assessed the six SLPs' perceptions and experiences using sEMG and identified areas for improvement in the implementation process.</p><p><strong>Results: </strong>The majority of the 44 SLPs who answered the pre-implementation survey did not use sEMG in swallowing therapy. The most frequently reported barriers to implementation were reduced sEMG knowledge and lack of training (86.4%), lack of equipment access or availability (68.2%), and patient-related barriers (36.6%). The six SLPs who participated in the implementation phase used sEMG with 30 different patients, conducting a total of 105 sessions. They reported that it was easy to use sEMG during sessions and that sEMG helped them to teach swallowing maneuvers. Additionally, they stated that patients were motivated during sEMG sessions. Ongoing training and mentoring were some of the suggestions for implementation improvements.</p><p><strong>Conclusions: </strong>This study exemplifies the collaborative work between researchers and clinicians to facilitate the translation of technologies into clinical practice. Identifying determinants of sEMG implementation and strategies to address barriers was critical to its acceptability and adoption into clinical practice.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"44-69"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669487","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":"Palliative Care Training for Medical Speech-Language Pathologists: A Multiple-Baseline Design.","authors":"Brittany McKee Horvath, Amber Heape, Marissa James","doi":"10.1044/2024_AJSLP-24-00003","DOIUrl":"10.1044/2024_AJSLP-24-00003","url":null,"abstract":"<p><strong>Purpose: </strong>Current research supports favorable outcomes using online continuing education, and speech-language pathologists (SLPs) report a lack of training in palliative care. This study aimed to determine the effectiveness of online palliative care training on the knowledge and comfort level of medical SLPs.</p><p><strong>Method: </strong>In the multiple-baseline across participants method, 10 medical SLPs completed online training modules provided by the Center to Advance Palliative Care. An electronic visual analog scale was used to collect knowledge and comfort ratings. Seven intervention modules were completed asynchronously with self-perceived knowledge and comfort measured following each session. A follow-up phase was used to determine whether the gains were maintained for 3 weeks after the intervention.</p><p><strong>Results: </strong>Nine of 10 participants experienced statistically significant improvements in knowledge, which were maintained through the follow-up phase. Eight of 10 participants demonstrated statistically significant improvements in comfort, which were maintained through the follow-up phase.</p><p><strong>Conclusions: </strong>To date, no other study has examined the effects of online palliative care training on medical SLPs. This investigation provides evidence that online, asynchronous continuing education for medical SLPs may improve their self-perceived knowledge and comfort in palliative care.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27964515.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"297-313"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819994","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, Social Communication, and Autism Characteristics of Young Toddlers at Elevated Likelihood for Autism Identified by the First Years Inventory-Lite.","authors":"Jonet Artis, Sallie W Nowell, Michaela Dubay, Rebecca Grzadzinski, Kelsey Thompson, Elizabeth Choi, Grace T Baranek, Linda R Watson","doi":"10.1044/2024_AJSLP-24-00149","DOIUrl":"10.1044/2024_AJSLP-24-00149","url":null,"abstract":"<p><strong>Purpose: </strong>The purposes of this article were (a) to compare the developmental skills of toddlers whose scores on the First Years Inventory-Lite (FYI-Lite), an early screening tool, indicated an elevated likelihood of a later diagnosis of autism (ELA) to the developmental skills of toddlers at a lower likelihood of a later diagnosis of autism (LLA) and (b) to examine how autism characteristics are correlated with communication measures in toddlers at an ELA.</p><p><strong>Method: </strong>We assessed the language, social communication (SC) skills, and characteristics of autism demonstrated by 45 toddlers at an ELA and 37 toddlers at an LLA between the ages of 11 and 18 months and compared group scores on these measures. We also examined the correlations between the characteristics of autism and language measures within the ELA group.</p><p><strong>Results: </strong>Toddlers at an ELA demonstrated lower scores on measures of global expressive and receptive language, receptive vocabulary, gestures, and response to joint attention bids as well as SC characteristics of autism when compared to those demonstrated by toddlers at an LLA. There were no significant differences between groups on expressive vocabulary, language profiles (i.e., the relationship between receptive and expressive scores), or restrictive and repetitive behaviors. Within the ELA group, the SC characteristics of autism were significantly associated with their global receptive and expressive language skills.</p><p><strong>Conclusions: </strong>On the basis of the FYI-Lite screening tool, toddlers at an ELA are demonstrating delays in language and SC skills when compared to toddlers identified with an LLA. For toddlers at an ELA, the SC characteristics of autism are significantly associated with early language skills.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27969444.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"347-363"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839969","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}