Jalal Bakhtiyari, Seyed Abolfazl Tohidast, Banafshe Mansuri, Hadi Azimi, Abbas Ebadi
{"title":"The Persian version of the Functional Oral Intake Scale (FOIS-P): a validation study on stroke patients with dysphagia.","authors":"Jalal Bakhtiyari, Seyed Abolfazl Tohidast, Banafshe Mansuri, Hadi Azimi, Abbas Ebadi","doi":"10.1080/14015439.2021.1896778","DOIUrl":"https://doi.org/10.1080/14015439.2021.1896778","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to validate the Persian version of the Functional Oral Intake Scale (FOIS-P) for stroke patients.</p><p><strong>Materials and methods: </strong>The current study was conducted in two phases: (1) translation and cross-cultural adaptation of the FOIS into Persian and (2) validation of the FOIS-P. Phase 1 included forward translation, synthesis, back-ward translation, expert panel, and pretesting. To validate the FOIS-P, inter-rater reliability, cross-validity, and sensitivity to change of the scale were investigated. To evaluate the inter-rater reliability of the FOIS-P, two speech-language pathologists, who were blind to the study aims and procedure, applied the FOIS-P to assess the oral intake of 60 stroke survivors. The cross-validity was assessed by investigating the correlation between the FOIS scores and the Video Fluoroscopy Swallowing Study (VFSS). Also, we applied the FOIS-P on 60 patients with stroke at three different times to investigate the sensitivity to change.</p><p><strong>Results: </strong>Inter-rater reliability of the FOIS-P was excellent according to Cohen's Kappa calculation (<i>K</i> = 0.89, <i>p</i><.001). Investigation of cross-validity showed that there were significant correlations between the FOIS scores and presence of dysphagia, presence of aspiration, and severity of dysphagia (<i>p</i><.001). The changes of the FOIS-P scores over follow-ups revealed that the FOIS-P was sensitive to the patient's oral intake changes.</p><p><strong>Conclusions: </strong>The FOIS-P is a valid and reliable tool for assessing oral intake in stroke survivors with dysphagia. Hence, the FOIS-P may be suitable for clinical and research in the field of stroke.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2021.1896778","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25482541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michaela Socher, Elias Ingebrand, Malin Wass, Björn Lyxell
{"title":"The relationship between reasoning and language ability: comparing children with cochlear implants and children with typical hearing.","authors":"Michaela Socher, Elias Ingebrand, Malin Wass, Björn Lyxell","doi":"10.1080/14015439.2020.1834613","DOIUrl":"https://doi.org/10.1080/14015439.2020.1834613","url":null,"abstract":"<p><strong>Purpose: </strong>Language has been suggested to play a facilitating role for analogical reasoning tasks, especially for those with high complexity. This study aims to evaluate if differences in analogical reasoning ability between children with cochlear implants (CI) and children with typical hearing (TH) might be explained by differences in language ability.</p><p><strong>Methods: </strong>The analogical reasoning ability (verbal; non-verbal; complex non-verbal: high relational integration demand) of children with CI (<i>N</i> = 15, mean age = 6;7) was compared to two groups of children with TH: age and language matched (TH-A+L, <i>N</i> = 23, mean age = 6;5), and age matched (TH-A, <i>N</i> = 23, mean age = 6;5).</p><p><strong>Results: </strong>Children with CI were found to perform comparable to Group TH-A+L on non-verbal reasoning tasks but significantly more poorly on a verbal analogical reasoning task. Children with CI were found to perform significantly more poorly on both the non-verbal analogical reasoning task with high relational integration demand and on the verbal analogical reasoning task compared to Group TH-A. For the non-verbal analogical reasoning task with lower relational integration demand only a tendency for a difference between group CI and Group TH-A was found.</p><p><strong>Conclusions: </strong>The results suggest that verbal strategies are influencing the performance on the non-verbal analogical reasoning tasks with a higher relational integration demand. The possible reasons for this are discussed. The verbal analogical reasoning task used in the current study partly measured lexical access. Differences between the children with CI and both groups of children with TH might therefore be explained by differences in expressive vocabulary skills.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1834613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38568706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vocal health of sporting, fitness, and wellness leaders in Northern New York and Vermont.","authors":"Nancy Gauvin, Aimee Fleury, Victoria Reynolds","doi":"10.1080/14015439.2021.1897671","DOIUrl":"https://doi.org/10.1080/14015439.2021.1897671","url":null,"abstract":"<p><strong>Introduction: </strong>Fitness trainers and sporting coaches use their voices in acoustically poor conditions, for extended periods of time. Knowledge of the risk of voice problems in this cohort is emerging and has been documented in studies performed in Europe and Australia. This pilot study sought to identify the prevalence of voice problems of fitness trainers and sporting leaders in United States college towns.</p><p><strong>Materials and methods: </strong>An online questionnaire was distributed. The survey was based on the instrument developed by Rumbach (2013), \"Vocal health of GFIs\" (group fitness instructors (GFIs)) and adapted to account for the wider target population of this study. The survey included questions about participants' demographic information, as well as working conditions, including acoustic environment, leading requirements, equipment provision and maintenance and vocal diagnoses and symptoms. Questions on symptomatology included voice quality and physical symptoms (e.g. throat soreness). Recruitment took place between May and September 2018.</p><p><strong>Results: </strong>Sixty-two participants completed the survey. Three participants (5.08%) reported having received a formal diagnosis of dysphonia, yet many more reported vocal symptoms, including physical symptoms (<i>n</i> = 15, 24.19%) and voice disturbance (<i>n</i> = 8, 12.90%). Few participants had received vocal education (<i>n</i> = 5, 8.06%) and many thought this should be included in their formal training (<i>n</i> = 24, 38.71%).</p><p><strong>Conclusions: </strong>In contrast to previous investigations, diagnosed voice disorders are less prevalent in this sample, based in US college towns. However, physical and vocal symptoms associated with voice overuse were common, suggesting that participants were unaware of their voice and the significance of the changes they reported.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2021.1897671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25490371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Apar Pokharel, P Naina, Swapna Sebastain, Kamran Asif Syed, Mary John, Ajoy Mathew Varghese
{"title":"Normative nasalance scores in Tamil-speaking Indian children.","authors":"Apar Pokharel, P Naina, Swapna Sebastain, Kamran Asif Syed, Mary John, Ajoy Mathew Varghese","doi":"10.1080/14015439.2020.1849391","DOIUrl":"https://doi.org/10.1080/14015439.2020.1849391","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to obtain normative nasalance scores for Indian Tamil-speaking children.</p><p><strong>Methods: </strong>Mean nasalance scores were obtained from 175 consecutive Tamil-speaking normal children (95 males, 80 females) aged 5-16 years during the repetition of six standardized sentences: two oral, two oronasal, and two nasal sentences. The nasal view was used to obtain nasalance scores for the standardized sentences.</p><p><strong>Results: </strong>Group mean and standard deviation (SD) nasalance scores of children for oral, oronasal, and nasal sentence were 35.65(SD 7.20), 44.42(SD 7.37), and 57.21(SD 8.15), respectively. The mean nasalance values of children aged 9-12 years were greater than children aged 5-8 years and 13-16 years for nasal sentences (<i>p</i> < .001). Males were found to have significantly higher nasalance scores for oral and oronasal sentences (<i>p</i> < .05) although these differences were within the range of normal variation.</p><p><strong>Conclusions: </strong>The present study provides normative nasalance scores for Tamil-speaking Indian children.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1849391","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38668260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K Jonas Brännström, Viveka Lyberg-Åhlander, Birgitta Sahlén
{"title":"Perceived listening effort in children with hearing loss: listening to a dysphonic voice in quiet and in noise.","authors":"K Jonas Brännström, Viveka Lyberg-Åhlander, Birgitta Sahlén","doi":"10.1080/14015439.2020.1794030","DOIUrl":"https://doi.org/10.1080/14015439.2020.1794030","url":null,"abstract":"<p><strong>Aim: </strong>The present study investigates the effect of signal degradation on perceived listening effort in children with hearing loss listening in a simulated class-room context. It also examines the associations between perceived listening effort, passage comprehension performance and executive functioning.</p><p><strong>Methods: </strong>Twenty-four children (aged 06:03-13:00 years) with hearing impairment using cochlear implant (CI) and/or hearing aids (HA) participated. The children made ratings of perceived listening effort after completing an auditory passage comprehension task. All children performed the task in four different listening conditions: listening to a typical (i.e. normal) voice in quiet, to a dysphonic voice in quiet, to a typical voice in background noise and to a dysphonic voice in background noise. In addition, the children completed a task assessing executive function.</p><p><strong>Results: </strong>Both voice quality and background noise increased perceived listening effort in children with CI/HA, but no interaction with executive function was seen.</p><p><strong>Conclusion: </strong>Since increased listening effort seems to be a consequence of increased cognitive resource spending, it is likely that less resources will be available for these children not only to comprehend but also to learn in challenging listening environments such as classrooms.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1794030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38180133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vocal tract discomfort and voice handicap index in patients undergoing thyroidectomy.","authors":"Masoumeh Saeedi, Meysam Yadegari, Samira Aghadoost, Maryam Naderi","doi":"10.1080/14015439.2020.1864466","DOIUrl":"https://doi.org/10.1080/14015439.2020.1864466","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the frequency and severity of vocal tract discomfort (VTD) symptoms and to determine the relationship between VTD and type of thyroidectomy, voice problem history, vocal abuse, and misuse behaviors, and the voice handicap index (VHI) in the thyroidectomy patients undergoing thyroidectomy, pre- and post-operatively pre- and post-thyroidectomy.</p><p><strong>Materials: </strong>The sample comprised 21 thyroidectomy patients undergoing thyroidectomy, including 10 patients with total thyroidectomy and 11 patients with partial thyroidectomy. The participants underwent videolaryngoscopy examination and completed the voice history questionnaire, the VTD scale, and the VHI, before and after the surgery.</p><p><strong>Results: </strong>Dryness was the most frequently occurring symptom, pre- and post-thyroidectomy. Participants with total thyroidectomy reported significantly higher frequency and severity of tickling than those in the preoperative status (<i>p</i><.05). The frequency and severity of many VTD symptoms in the participants with voice problems and a vocal abuse and misuse history were higher than those without such a history at both assessment times (<i>p</i><.05). There was significant correlation between the frequency and severity of VTD and VHI scores, pre-thyroidectomy pre-operatively (<i>r</i> = 0.488-0.575, <i>p</i><.05).</p><p><strong>Conclusions: </strong>An increment in the frequency and severity of tickling was reported by total thyroidectomy patients, post-thyroidectomy post-operatively. The type of thyroidectomy, voice problem history, and vocal abuse and misuse behaviors seem to influence the frequency and severity of VTD. Considering the correlation between VTD and VHI, the VTD scale provides important clinical information and can be used for evaluation and consultation purposes.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1864466","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38758650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marina Englert, Ben Barsties V Latoszek, Youri Maryn, Mara Behlau
{"title":"Validation of the acoustic breathiness index to the Brazilian Portuguese language.","authors":"Marina Englert, Ben Barsties V Latoszek, Youri Maryn, Mara Behlau","doi":"10.1080/14015439.2020.1864467","DOIUrl":"https://doi.org/10.1080/14015439.2020.1864467","url":null,"abstract":"<p><strong>Objective: </strong>To assess the concurrent validity and the diagnostic accuracy of the Acoustic Breathiness Index (ABI) in Brazilian Portuguese.</p><p><strong>Methods: </strong>The counting numbers 1-20 and the vowel /a/ of 150 subjects were recorded (37 vocally healthy and 113 with dysphonia). The analyzed samples were the counting number 1-11 and 3 s of the sustained vowel. Nine voice specialists performed the perceptual judgment of the degree of breathiness. The Spearman Correlation and the receiver operating characteristic (ROC) curve were used to assess ABI's concurrent validity and diagnosis accuracy.</p><p><strong>Results: </strong>Results from five listeners were chosen for the study analyses due to moderate and substantial intra-rater reliability (Cohen's Kappa values = 0.520-0.772) and moderate inter-rater reliability (Fleiss Kappa = 0.353). The ABI presented a high concurrent validity (<i>r</i> = 0.746); 55.6% of the breathiness vocal deviation can be explained by the acoustic analysis (<i>r</i><sup>2</sup> = 0.556). The ROC curve presented good diagnostic accuracy (85.2%). At a threshold of 2.94, the sensitivity was 75.3% and the specificity was 93.4%.</p><p><strong>Conclusion: </strong>The ABI is a valid tool for screening and patient's follow-up regarding breathy vocal qualities in the Brazilian Portuguese language.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1864467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38785754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ángela Patricia Atará-Piraquive, Lady Catherine Cantor-Cutiva
{"title":"Gender differences in vocal doses among occupational voice users: a systematic review of literature and meta-analysis.","authors":"Ángela Patricia Atará-Piraquive, Lady Catherine Cantor-Cutiva","doi":"10.1080/14015439.2021.1873415","DOIUrl":"https://doi.org/10.1080/14015439.2021.1873415","url":null,"abstract":"<p><strong>Background: </strong>Occupational voice users such as teachers, singers, and broadcasters have high vocal demands increasing the risk for developing voice disorders. Among occupational voice users, the literature has report gender differences in vocal doses as part of vocal demands. However, these differences have not been quantified.</p><p><strong>Objective: </strong>To determine differences per gender on vocal doses among different groups of occupational voice users.</p><p><strong>Methods: </strong>A systematic review of literature and meta-analysis were conducted on publications about vocal dose among occupational voice users. In total, 242 potential articles were found. After screening of titles and abstracts, 16 papers were included for full revision in the systematic review of literature. For the meta-analysis, 7 out of 16 papers were included.</p><p><strong>Results: </strong>Females had higher phonation time percentage compared with males (mean difference = 1.44, <i>p</i> value = .16). Nevertheless, this difference was not statistically significant. Among call centre operators, there was no difference in time doses associated with gender. Sport teachers had high values in time dose percentage, dissipation, and radiated energies.</p><p><strong>Conclusions: </strong>The meta-analysis shows variations in time doses, which could be associated with the vocal demand responses for females compared with males in occupational voice settings. Future investigations are required for establishing safe limits criteria for vocal doses, as well as vocal functioning in different working context.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2021.1873415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25317300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Past-tense inflection of non-verbs: a potential clinical marker of developmental language disorder in Swedish children.","authors":"Nelli Kalnak, Karolina Löwgren, Kristina Hansson","doi":"10.1080/14015439.2020.1810311","DOIUrl":"https://doi.org/10.1080/14015439.2020.1810311","url":null,"abstract":"<p><strong>Aim: </strong>In this paper, we explore the performance of past-tense inflection of non-verbs (NVI) in children with developmental language disorder (DLD) and in typically developing controls, to investigate its accuracy as a clinical marker for Swedish-speaking children with DLD. Further, we investigate the relationship between NVI, nonword-repetition, and family history.</p><p><strong>Methods: </strong>The sample consists of 36 children with DLD (mean age 9;5 years) and 60 controls (mean age 9;2 years).</p><p><strong>Results: </strong>The DLD group performed significantly lower than the controls on the NVI task, with a large effect size of the difference (<i>d</i> = 1.52). Analysis of the clinical accuracy of NVI resulted in 80.6% sensitivity and 76.6% specificity. NVI was significantly and moderately associated with nonword-repetition in the controls, but not in the DLD group. A positive family history, 80.6% in the DLD group and 6.9% in the controls, was associated with lower performance on NVI. When controlling for group (DLD and controls), a non-significant association between family history and performance on the NVI task was found.</p><p><strong>Conclusions: </strong>NVI is a potential clinical marker of DLD in Swedish school-aged children, but the current NVI task does not reach the level of being acceptable. Further development of the NVI task is warranted to improve its accuracy.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1810311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38446583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does the narrative ability during retelling differ in 5-year-olds born with and without unilateral cleft lip and palate?","authors":"Ketty Andersson, Kristina Klintö","doi":"10.1080/14015439.2020.1822441","DOIUrl":"https://doi.org/10.1080/14015439.2020.1822441","url":null,"abstract":"<p><strong>Background: </strong>A previous study has indicated poorer narrative ability during retelling in 5-year-olds with unilateral cleft lip and palate (UCLP) as a group, compared to peers without UCLP.</p><p><strong>Aim: </strong>To investigate if there are any differences between 5-year-olds with and without UCLP in narrative ability during retelling.</p><p><strong>Methods: </strong>A total of 83 children participated, 51 with UCLP and 32 without. They had no known additional malformations or syndromes. The children were audio recorded while performing the Bus Story Test (BST). The recordings were orthographically transcribed. From the transcriptions the BST information score was calculated. The macrostructure of the narratives was assessed with the Narrative Scoring Scheme (NSS), and the microstructure with mean length of utterance in words, grammaticality, grammatical complexity and lexical diversity. Results for children with and without UCLP were compared.</p><p><strong>Results: </strong>The group with UCLP performed better than the group without UCLP in the NSS sub-category Conclusion. No other significant differences were seen between the groups. The UCLP group had a larger standard deviation for the information score than the group without UCLP.</p><p><strong>Conclusions: </strong>The group with UCLP displayed at least as good results as the group without UCLP, but the information score was more varied for the UCLP group than for the group without UCLP.</p>","PeriodicalId":49903,"journal":{"name":"Logopedics Phoniatrics Vocology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14015439.2020.1822441","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38974061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}