Journal of Spinal Cord Medicine最新文献

{"title":"Risk factors for renal scarring in individuals with spinal cord injury: A retrospective study.","authors":"Won Sik Dho, Todd A Linsenmeyer, Steven Kirshblum, Hyun-Yoon Ko, Einat Engel-Haber, Sung-Hwa Ko, Soo-Yeon Kim, Sungchul Huh","doi":"10.1080/10790268.2025.2600740","DOIUrl":"10.1080/10790268.2025.2600740","url":null,"abstract":"<p><strong>Study design: </strong>Retrospective study.</p><p><strong>Objectives: </strong>To identify risk factors for renal scarring in individuals with spinal cord injury (SCI).</p><p><strong>Setting: </strong>University-affiliated rehabilitation hospital in Yangsan, Republic of Korea.</p><p><strong>Methods: </strong>We conducted a retrospective study involving 89 individuals with SCI. Only individuals with an SCI onset of at least six months prior were included to ensure recovery from initial detrusor atonicity. The participants were divided into two groups based on the presence of renal scars, as determined by 99mTc-dimercaptosuccinic acid scan. Demographic and urological data were collected, including the number of symptomatic urinary tract infections (UTIs) during the study period (2019-2023), bladder emptying methods, laboratory renal function tests, results from voiding cystourethrography, and urodynamic study metrics. We adjusted for suspected risk factors using multiple regression analysis.</p><p><strong>Results: </strong>In individuals with SCI, the frequency of symptomatic UTIs (P < 0.001) and female sex (P = 0.02) were significantly associated with the presence of renal scars compared to those without scars. Following adjustment using multiple logistic regression analysis, the history of symptomatic UTIs emerged as the strongest risk factor for renal scarring, with an odds ratio of 3.9 (95% confidence interval: 1.27-11.97, P = 0.021). Using a model based on that predictor, the analysis revealed a predictive capacity with an AUC of 0.711.</p><p><strong>Conclusion: </strong>Our study is the first to identify risk factors for renal scarring by analyzing demographic and urological parameters in individuals with SCI, with symptomatic UTI frequency emerging as the strongest risk factor. Our findings suggest that there may be unique, yet undetermined, pathophysiological mechanisms underlying renal scarring in the SCI population.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"684-691"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing feasibility of patient use of a novel skin inspection device.","authors":"Allison M Gustavson, John Belew, A Soleil Bornstein, Andrew Hansen, Gary Goldish, Christine Olney","doi":"10.1080/10790268.2025.2576349","DOIUrl":"10.1080/10790268.2025.2576349","url":null,"abstract":"<p><strong>Context: </strong>Pressure injuries remain highly prevalent in the spinal cord injury and Disorder (SCI/D) population, despite evidence that supports preventive behaviors such as daily self-skin inspection. Long-handled mirrors are issued as standard of care in the Veterans Health Administration (VHA) but are of little utility when the patient has impaired mobility. VHA researchers sought to test a skin inspection tool (now known as the Habit Camera™) which has features intended to overcome the need for excessive trunk rotation and excellent coordination. Pictures can be captured, edited, and uploaded for communication to healthcare practitioners. Gaps still exist regarding the feasibility of use in daily life. The purpose of this report is to explore patterns influencing feasibility of use during pilot field testing of the first commercially available version of the Habit Camera.</p><p><strong>Methods: </strong>We employed a user-centered design with Veterans with SCI/D. Participants tested the Habit Camera for four weeks. Semi-structured interviews were conducted at the start, and completion of the 4-week period. Interviews were recorded and field notes collected. Data were analyzed using a rapid qualitative assessment.</p><p><strong>Results: </strong>Five Veterans with SCI/D participated. The following were identified as influencing feasibility of the Habit Camera for skin inspection: design features, learning skills for use, and technical proficiency.</p><p><strong>Conclusions: </strong>Interactions may occur between identified factors influencing feasibility of a device for skin inspection, with a potential overarching influence of motivation and caregiver support. This work highlights the need to measure these factors when assessing the feasibility of new devices and technologies.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"832-839"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative needle electromyography with ultrasound-guidance to optimize functional hand grasp and pinch outcomes with tendon transfers in cervical spinal cord injuries.","authors":"James B Meiling, Brittany A Snider, Kitty Y Wu","doi":"10.1080/10790268.2025.2605376","DOIUrl":"10.1080/10790268.2025.2605376","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"633-634"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of spinal cord injury in the context of closed head injury.","authors":"Teleale F Gebeyehu, Chris J Neal, Kristopher G Hooten, Daniela A Perez-Chadid, Daniel Franco, James Harrop","doi":"10.1080/10790268.2025.2555656","DOIUrl":"10.1080/10790268.2025.2555656","url":null,"abstract":"<p><strong>Design: </strong>Retrospective Study.</p><p><strong>Background: </strong>The incidence of traumatic brain injury (TBI) in patients with spinal cord injury (SCI) is well documented. However, the incidence of SCI specifically in patients with closed head injury (CHI) is understudied. SCI and CHI are underdiagnosed, and this can be complicated history. Facilities are often focused on patients' primary issues, and with polytrauma patients' cognitive impairment, SCI can be missed. Thus, this study aimed to determine the incidence of SCI in patients with CHI.</p><p><strong>Methods and materials: </strong>This retrospective study used Pennsylvania Trauma Systems Foundation database to identify patients with SCI among those with CHI (2010 through 2020 end) and described the patient demographics; incidence per year; frequencies of the various causes and types of injuries; and the underlying CHI in terms of frequencies of diagnosis and severity. The frequencies of various diagnoses associated with SCI, neurologic level of injury, severity and the associated vertebral fractures, and in-hospital mortality were also described.</p><p><strong>Results: </strong>Among patients with CHI, 2.6% were found to have SCI. Patients mostly affected were male (73.5%), Caucasian (78.4%), and a mean age (SD, range) of 46.3 (15.5, 19-70) years. Blunt injury, predominantly in the form of motor vehicle collisions (55.7%) and falls (34.6%) constituted the main causes. Cervical spine was most affected (76.2%), with C1-C4 region comprising the most injuries (39%), followed by thoracic spine (26.4%). Vertebral Fracture (VF) was noted in 47.1%; C5-C7 was the most fractured region (28.9%). VF levels matched SCI levels in 52-70%. Complete SCI was diagnosed in 18.6% of patients. The mean duration of stay in hospital was 11 days (range 0-262). In-hospital mortality was noted in 8.2% of patients.</p><p><strong>Conclusion: </strong>The CHI should not necessarily be severe to have a suspicion of SCI. The clinical findings of SCI in CHI mostly follow the pattern in dual diagnosis of TBI/SCI, such as frequent involvement of cervical spine with less involvement of the thoracic and lumbar sections of the spine. An appropriate clinical suspicion to screen and follow management protocols for SCI is recommended for the best patient care.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"704-717"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vasopressin-induced hyponatremia during mean arterial pressure augmentation in acute spinal cord injury: A multicenter retrospective cohort study.","authors":"Heather Corello, Cassie A Barton, Andrew J Webb, Jordan Smith, James Wright, Martin Schreiber","doi":"10.1080/10790268.2025.2560717","DOIUrl":"10.1080/10790268.2025.2560717","url":null,"abstract":"<p><strong>Background: </strong>MAP augmentation is a guideline-recommended intervention in acute spinal cord injury (SCI), and vasopressin can be used to achieve mean arterial pressure (MAP) goals. Vasopressin could contribute to hyponatremia in SCI, but this relationship is poorly described.</p><p><strong>Methods: </strong>This was a multicenter, retrospective, observational cohort of patients with acute SCI who received vasopressin only for MAP augmentation and developed hyponatremia. Patients were excluded if vasopressin was used for <6 h or for an alternative indication (<i>e.g.</i> shock states). The primary outcome was the probability hyponatremia was caused by vasopressin, determined using the Naranjo Adverse Drug Reaction Probability Scale.</p><p><strong>Results: </strong>Twenty patients with SCI received vasopressin for MAP augmentation and 17 (85%) developed hyponatremia. Seventy percent of patients received an American Spinal Injury Association Impairment Scale (AIS) classification at admission: AIS A (42%), AIS B (50%), and AIS C (8%). MAP augmentation (mean goal of 87 (±7) mm Hg) was maintained for 5 (±2) days. The median Naranjo score was 7 (range 4-9), constituting a \"probable\" association of vasopressin with hyponatremia. Hyponatremia (Na <135 mEq/L) developed within 30 (±20) hours of vasopressin initiation, with a nadir at 129 (±4) mEq/L. Sodium declined by 8 mEq/L on average for every 24 h of vasopressin exposure. Hyponatremia resolved 12 (±9) hours after vasopressin discontinuation. Five patients were rechallenged with vasopressin and 4 (80%) re-developed hyponatremia.</p><p><strong>Conclusion: </strong>Vasopressin used for MAP augmentation was associated with hyponatremia in patients with SCI who received it strictly for MAP augmentation and resolved after discontinuation. Providers should exercise caution when selecting vasopressin for MAP augmentation in acute SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"753-761"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-based stress reduction effects on resilience, individual independence and quality of life of spinal cord injury patients: A randomized clinical trial.","authors":"Reyhane Sarabandi, Omsalimeh Roudi Rashtabadi, Roghayeh Mehdipour-Rabori, Atefeh Ahmadi","doi":"10.1080/10790268.2025.2555661","DOIUrl":"10.1080/10790268.2025.2555661","url":null,"abstract":"<p><strong>Purpose: </strong>to investigating the effectiveness of a Mindfulness-Based Stress Reduction (MBSR) intervention on resilience, quality of life (QoL), and individual independence in individuals with spinal cord injury (SCI).</p><p><strong>Materials & methods: </strong>In this randomized clinical trial, 56 individuals with SCI were recruited through convenience sampling and randomly assigned to intervention and control groups. The intervention group received six weekly face-to-face MBSR sessions, while the control group continued with their routine home care. Patients completed assessments at three time points: baseline, immediately post-intervention, and one-month post-intervention. The assessments included demographic information, the spinal cord injury Quality of Life Questionnaire (SCIQL-23), Spinal Cord Independence Measure III (SCIM III), and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10-P). Data were analyzed using inferential statistics, including independent t-tests and repeated measures ANOVA, with SPSS version 26.</p><p><strong>Results: </strong>The MBSR intervention significantly improved resilience and QoL in the intervention group at both post-intervention time points compared to baseline (<i>P</i> < 0.05). Resilience scores increased by approximately 4 points, and QoL scores improved by around 3 points. No significant changes were observed in the control group (<i>P</i> ≥ 0.05). However, no significant improvements in individual independence were detected either between or within groups after the intervention (<i>P</i> ≥ 0.05).</p><p><strong>Conclusion: </strong>MBSR, a simple, nurse-led, and non-invasive intervention, significantly enhanced resilience and QoL in individuals with SCI. These findings highlight the value of psychological interventions in improving mental well-being in this population. Nonetheless, the lack of improvement in individual independence suggests the need for further research to explore this outcome more thoroughly.<b>Trial registration:</b> Iranian Registry of Clinical Trials identifier: IRCT20220813055673N1.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"806-821"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal cord injury Veterans access to dental care: Barriers and limitations.","authors":"Jonathan Lee, Suha Muqeet, Katherine Sherman, Christopher White, Kenneth Lee, Denis Castillo","doi":"10.1080/10790268.2025.2554016","DOIUrl":"10.1080/10790268.2025.2554016","url":null,"abstract":"<p><strong>Context/objective: </strong>Oral hygiene is crucial for basic health by preventing systemic diseases. People with spinal cord injuries (SCI) in previous studies identified cost, physical barriers (such as chair lifts), and dental fear as barriers to dental care. Our study observes whether Veterans with SCI are receiving appropriate dental care, and if not, to identify the barriers.</p><p><strong>Design: </strong>Cross-sectional survey during their annual exam, inpatient stays, or outpatient visits.</p><p><strong>Setting: </strong>Clement J. Zablockie Veterans Affairs Medical Center Spinal Cord Injury/Disorders Program.</p><p><strong>Participants: </strong>188 Veterans with SCI (<i>n </i>= 188).</p><p><strong>Results: </strong>157 (83.5%) Veterans reported having received dental care since their SCI. Most reported receiving post-SCI dental care at a non-VA clinic (63.3%) and at least annually (63.3%). Some of these Veterans reported being unable to receive dental care since their SCI (23.4%) and identified barriers: lack of insurance (60.0%), money (30.0%), physical obstacles (6.7%), and \"other\" reasons (10.0%). Veterans who were white (black OR 0.518, CI 0.157-1.709; other OR 0.181, CI 0.053-0.620), had dental insurance (OR 5.778, CI 1.258-26.547), and/or had VA dental care eligibility (OR 4.782, CI 1.516-15.085) were more likely to have received dental care since SCI. However, most did not report having insurance (70.9%) or VA eligibility for dental care (63.1%).</p><p><strong>Conclusions: </strong>Sex, age and level of injury were not related to dental care access, but race, insurance, and VA care eligibility were. Similar to the general population, finances were the most-reported barrier to dental care. Prioritizing early intervention, financial aid, and preventive measures can enhance the health of Veterans with SCIs.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"799-805"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The task of reviewing manuscripts for publication: A shared responsibility.","authors":"Anthony F DiMarco","doi":"10.1080/10790268.2026.2672827","DOIUrl":"10.1080/10790268.2026.2672827","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":"49 4","pages":"629-630"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of the head-hips technique and transfer type on shoulder jerk.","authors":"Joseph Peters, Neddie Byron, Tanner Murphy, Dennis Minton, Ian Rice","doi":"10.1080/10790268.2025.2554009","DOIUrl":"10.1080/10790268.2025.2554009","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare shoulder jerk magnitudes during level and floor transfers and evaluate the impact the head-hips technique on shoulder mechanics in full-time wheelchair users (WCUs). From an ergonomics perspective, elevated magnitudes in jerk are associated with overuse injuries. In other aspects of wheelchair biomechanics, such as propulsion kinematics, increased jerk at the shoulders during manual propulsion has been predictive of shoulder pain. Exploratorily, this study aimed to evaluate the influence of sex, weight, and physical activity on shoulder jerk.</p><p><strong>Design: </strong>Cross-sectional study. Setting: University-based laboratory in Champaign, USA. Participants: A convenient sample of full-time WCUs that could perform independent level and floor transfers were recruited for participation. Outcome Measures: Using Mann-Whitney U test, data was stratified based on transfer type and sex to determine if differences existed in shoulder jerk magnitudes across stratifications. Spearman's correlation was conducted to assess relationships between shoulder jerk, body weight, physical activity, and trunk flexion (<i>i.e.</i> head-hips technique).</p><p><strong>Results: </strong>Peak and average shoulder jerk magnitudes were significantly greater during floor transfers compared to level transfers. Trunk flexion was negatively correlated to peak shoulder jerk and weight during level transfers. Physical activity was negatively correlated to average shoulder jerk during level transfers. Females experienced reduced shoulder jerk compared to males during level transfers.</p><p><strong>Conclusion: </strong>The use of head-hips technique and the higher levels of chronic physical activity may play a role in protecting the shoulders during transfer-related activities. Floor transfers may pose risks to shoulder health for WCUs that should be limited when possible. Clinicians should emphasize the importance of the head-hips technique and fitness for maintaining long-term shoulder health in WCUs.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"775-784"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal cord tumors misdiagnosed as idiopathic intracranial hypertension: Case report with literature review.","authors":"Zahra Baghestani, Fatemeh Mahjoub, Samaneh Zafarabadi, Mohamad Hosein Mohamadi","doi":"10.1080/10790268.2025.2514323","DOIUrl":"10.1080/10790268.2025.2514323","url":null,"abstract":"<p><strong>Introduction: </strong>To maintain intracranial pressure (ICP) within the normal range in an intact skull, volumes of cerebrospinal fluid (CSF), blood and brain are tightly regulated. A change in any of these components leads to compensatory changes in the others to maintain normal brain pressure. If compensatory mechanisms fail, raised intracranial pressure (rICP) occurs. Various causes lead to rICP, including focal brain edema (traumatic hematomas, neoplasm, stroke, abscess), diffuse brain edema (encephalitis, meningitis, seizures), disturbances of CSF circulation, vascular malformations, obstruction of major venous sinuses and idiopathic causes. We present a case of melanocytoma that developed rICP, leading to symptoms of rICP, including headache and blurred vision.</p><p><strong>Case report: </strong>One rare cause of rICP can be spinal cord tumors. We describe a patient who presented with isolated symptoms and signs of rICP, such as blurred vision and headache for one year. Her condition was initially misdiagnosed as idiopathic intracranial hypertension (IIH) and venous sinus stenosis. However, after one year, the diagnosis of cervical melanocytoma was confirmed.</p><p><strong>Conclusion: </strong>Spinal cord tumors can rarely present solely with symptoms of increased ICP, leading to a potential misdiagnosis and delay in appropriate treatment. This case highlights the need for vigilance and a thorough diagnostic approach in patients with increased ICP.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"840-848"},"PeriodicalIF":1.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13295124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}