Disability and Rehabilitation最新文献

{"title":"Integrated oral care for patients with spinal cord injuries: perceptions of non-dental professionals.","authors":"Mary Bagdesar, Rebecca Samuel, Travis D G Brown, Sachin Shetty, Jasbeer Kaur, Ariana C Kong, Ajesh George, Shilpi Ajwani","doi":"10.1080/09638288.2024.2367599","DOIUrl":"10.1080/09638288.2024.2367599","url":null,"abstract":"<p><strong>Purpose: </strong>To understand the oral health attitudes, knowledge, and practices among non-dental professionals caring for patients with spinal cord injuries, as well as the barriers and facilitators to oral care across acute and rehabilitation hospital settings.</p><p><strong>Materials and methods: </strong>This study was a descriptive qualitative study. Nine focus groups with spinal cord injury clinicians from two Sydney hospitals were conducted (<i>n</i> = 35). A thematic analysis was undertaken.</p><p><strong>Results: </strong>Four themes were constructed: understanding the impact of spinal cord injuries on oral health and wellbeing; limited support in the spinal cord injury unit to promote oral care; strategies that enable oral care promotion; and recommendations to expand scope in oral care and education. Although most clinicians considered oral health to be important there was a lack of guidelines to support standardised oral care practices. Barriers included lack of time, limited oral care resources, low priority and difficulty in accessing treatment. Staff were receptive to an integrated, multidisciplinary approach to oral care.</p><p><strong>Conclusion: </strong>This Australian first study provides insight into spinal cord injury clinicians' knowledge and practices of oral care. The findings will help guide future research in developing appropriate models of care to promote oral health among patients with spinal cord injuries.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1266-1275"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443654","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":"Activity limitations, participation restrictions, and environmental barriers among persons with traumatic spinal cord injury in Kenya.","authors":"Brenda Lijodi, Adnil Titus, Quinette Louw, Conran Joseph","doi":"10.1080/09638288.2024.2365413","DOIUrl":"10.1080/09638288.2024.2365413","url":null,"abstract":"<p><strong>Purpose: </strong>Spinal cord injury (SCI) is a life-changing condition, almost always leading to disability. The aim was to determine the period-prevalence of activity limitations, participation restrictions, and environmental barriers in community-dwelling persons with traumatic spinal cord injury (TSCI) in Kenya.</p><p><strong>Methods: </strong>A cross-sectional survey of 90 community-dwelling adult persons living with TSCI for more than 1 year, recruited from the database of the only specialised rehabilitation, in-patient, facility in Kenya. Modules of the International Spinal Cord Injury community survey (InSCI) used were demographic and injury characteristics; activity and participation; and environmental factors.</p><p><strong>Results: </strong>Most prevalent activity limitations and participation restrictions in the total sample were using public transportation (90%), standing unsupported (83%), getting to destination (76%), and toileting (76%). The top environmental barriers were inadequate finances (96%), inaccessibility of public places (92%), and problems with long distance transportation (90%). Participants with tetraplegia were more affected with activity limitations and participation restrictions than those with paraplegia.</p><p><strong>Conclusion: </strong>Functioning problems and environmental barriers are prevalent among adults living with TSCI in Kenya. Although this is the best-case scenario with respect to healthcare services, where individuals received inpatient rehabilitation previously, a need exists to examine the principles and models of rehabilitation and explore the value proposition of primary care/community level rehabilitation to further optimise independence and functioning.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1156-1162"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477880","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":"The Bobath concept (NDT) in adult neurorehabilitation: a scoping review of conceptual literature.","authors":"Sofia Marques, Julie Vaughan-Graham, Rui Costa, Daniela Figueiredo","doi":"10.1080/09638288.2024.2375054","DOIUrl":"10.1080/09638288.2024.2375054","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aims to describe how Bobath concept is conceptualized, operationalized, and studied in adult neurorehabilitation.</p><p><strong>Methods: </strong>The Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) guidelines were adopted. Non-scientific and research articles were searched in electronic databases PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Web of Science, ScienceDirect, and Physiotherapy Evidence Database (PEDro), with the keywords \"Bobath\" or \"Neurodevelopmental Treatment\", published in English, Spanish, and Portuguese, between 2013 and 2023.</p><p><strong>Results: </strong>Of the 78 publications identified, 31 articles addressed the conceptual underpinnings of Bobath concept (seven theoretical papers, seven Delphi/surveys/mixed methods studies, four qualitative studies, one scoping review, 10 letters to the editor, and two editorials), comprising five themes: (a) theoretical principles; (b) clinical principles; (c) clinical reasoning; (d) conceptualizing movement; and, current (e) evidence debate. The revised definition and the Model of Bobath Clinical Practice provide a clarification of the unique aspects of Bobath concept. A new clinical skill was identified beyond facilitation - visuospatial kinesthetic perception - as well as how Bobath experts conceptualize movement, which are all integral to clinical reasoning.</p><p><strong>Conclusions: </strong>This review provides an updated Bobath clinical framework that gathers the theoretical foundations and clinical practice principles that require careful consideration in the design of future intervention studies. Implications for rehabilitationThis scoping review consolidates the clinical and theoretical principles of contemporary Bobath practice, providing a clear framework for clinicians.The Model of Bobath Clinical Practice (MBCP) framework enables detailed documentation of movement analysis and movement diagnosis, guiding clinical reasoning and interventions.This review identifies fundamental principles and practices to inform future Bobath intervention studies, ensuring their clinical relevance.A framework with specific recommendations has been developed to guide Bobath intervention studies, enhancing the integration of clinical practice, education, and research.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1379-1390"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565028","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":"Losing, regaining, and continuing to build self-confidence - a qualitative, phenomenological study of being physically active with a type B aortic dissection.","authors":"Joren J Burger, Connie van Bemmel, Deborah Keukens, Roelie Pomstra, Philip J van der Wees, Niek Koenders","doi":"10.1080/09638288.2024.2375060","DOIUrl":"10.1080/09638288.2024.2375060","url":null,"abstract":"<p><strong>Purpose: </strong>To gain a comprehensive understanding of experiences related to being physically active in participants with an uncomplicated type B aortic dissection.</p><p><strong>Materials and methods: </strong>We performed a qualitative, phenomenological study. First-person accounts of adults, who at least one year ago had an uncomplicated type B aortic dissection, were collected using semi-structured interviews. The audio recordings of the interviews were transcribed verbatim and analyzed with interpretative phenomenological analysis.</p><p><strong>Results: </strong>We collected, in total, 644 min interview data from 14 participants. Three patterns were interpreted: losing self-confidence, regaining self-confidence, and continuing to build self-confidence. Experiencing symptoms when pushing limits, challenges with energy management, and side effects of medication caused loss of self-confidence. Changes in identity, reaching milestones that reflect improvement, and support from others and tools helped participants regain self-confidence. To continuing to build self-confidence, participants indicated they needed success experiences and activities make life worth living.</p><p><strong>Conclusions: </strong>Self-confidence in adults with an uncomplicated type B aortic dissection changes immediately after the diagnosis of the aortic dissection. Rehabilitation professionals can support adults regaining and continuing to build self-confidence, aiming for the perfect balance between blood pressure regulation, quality of life, and being physically active. Implications for rehabilitationRehabilitation professionals should support regaining and continuing to build self-confidence related to being physically active in adults with type B aortic dissection in the early stages of recovery and beyond.Adults with an uncomplicated type B aortic dissection want rehabilitation professionals to tell them primarily what is possible (recommendations) rather than what is not allowed (rules).Rehabilitation professionals should help adults with an uncomplicated type B aortic dissection to explore, push and, ultimately, accept limits related to exercise tolerance.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1485-1492"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535839","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":"The effects of combining sensorimotor training with transcranial direct current stimulation on the anticipatory and compensatory postural adjustments in patients with chronic low back pain.","authors":"Hanie Sadat Hejazi, Roya Khanmohammadi, Gholamreza Olyaei, Soheila Qanbari","doi":"10.1080/09638288.2024.2375756","DOIUrl":"10.1080/09638288.2024.2375756","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effects of concurrent sensorimotor training (SMT) and transcranial direct current stimulation (tDCS) on the anticipatory and compensatory postural adjustments (APAs and CPAs) in patients with chronic low back pain (CLBP).</p><p><strong>Method: </strong>The interventions included (1) SMT plus tDCS and (2) SMT plus sham tDCS. Outcome measures were the normalized integrals of electromyography activity (NIEMG) during the phases of anticipatory and compensatory, and muscle onset latency. The investigated muscles were ipsilateral and contralateral multifidus (MF), transversus abdominus/internal oblique (TrA/IO), and gluteus medius (GM).</p><p><strong>Results: </strong>Between-group comparisons demonstrated that ipsilateral TrA/IO NIEMG during CPA1 (<i>p</i> = 0.010) and ipsilateral GM NIEMG during CPA1 (<i>p</i> = 0.002) and CPA2 (<i>p</i> = 0.025) were significantly lower in the SMT combined with tDCS than in the control group. Furthermore, this group had greater NIEMG for contralateral GM during APA1 than the control group (<i>p</i> = 0.032). Moreover, the onset latency of contralateral TrA/IO was significantly earlier after SMT combined with tDCS (<i>p</i> = 0.011).</p><p><strong>Conclusions: </strong>Both groups that received SMT showed positive effects, but anodal tDCS had an added value over sham stimulation for improving postural control strategies in patients with CLBP. Indeed, SMT combined with tDCS leads to stronger APA and less demand for CPA.</p><p><strong>Rct registration number: </strong>IRCT20220228054149N1.</p><p><strong>Registration date: </strong>2022-04-04.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1512-1524"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565029","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":"The everydayness of falling: consequences and management for adults with cerebral palsy across the life course.","authors":"Sonali Shah, Anthony Avery, Ruth Bailey, Brian Bell, Neil Coulson, Richard Luke, Janice McLaughlin, Pip Logan","doi":"10.1080/09638288.2024.2376346","DOIUrl":"10.1080/09638288.2024.2376346","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the cause, influences and consequences of falling for adults with cerebral palsy (CP) across their life course, and how this is managed.</p><p><strong>Materials and methods: </strong>We used interview data from a multimethod UK study exploring the effects of ageing with CP and healthcare across the life course. Twenty-six participants were recruited and interviewed using various digital platforms to maximise inclusive participation in the UK. Follow-up email semi-structured interviews were conducted to further explore experiences of falls. Transcribed interviews were analysed thematically.</p><p><strong>Results: </strong>Falling and fear of falling (FoF) is problematic for over half of the participants in the sample. They perceived falls and FoF as limiting their participation, autonomy and independence in employment, social and cultural activities. Participants used their own management strategies, due to limited specialist interventions or practitioner knowledge to manage or prevent falls. Practices, such as the use of a wheelchair or avoiding activities prompted changes to relationships and identity.</p><p><strong>Conclusions: </strong>Falling for adults with CP happens earlier in life compared to the general population. Adults with CP may benefit from specialist falls prevention services to help maintain muscle strength and balance. Research is needed to evaluate effective interventions for people with CP.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1534-1542"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592031","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":"Exploring barriers and facilitators to the adoption of regular exercise practice in patients at risk of a recurrence of low back pain (MyBack project): a qualitative study.","authors":"Susana T Duarte, Alexandre Moniz, Carmen Caeiro, Bruno Heleno, Pedro Aguiar, Eduardo B Cruz","doi":"10.1080/09638288.2024.2369665","DOIUrl":"10.1080/09638288.2024.2369665","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore potential barriers and facilitators to the adoption of regular exercise practice in patients at risk of a recurrence of low back pain (LBP).</p><p><strong>Materials and methods: </strong>Eleven patients, who recovered from a previous episode of LBP, participated in two focus groups. The semi-structured interview schedule was informed by the Behaviour Change Wheel and the Theoretical Domains Framework. Focus groups were held through videoconference, audio and video recorded and transcribed verbatim. A deductive content analysis was performed by two researchers independently.</p><p><strong>Results: </strong>Eighteen barriers and 19 facilitators were identified. The most common barriers included \"lack of knowledge on how to manage a recurrence of LBP,\" \"lack of behavioural regulation strategies and having other priorities\" and \"lack of self-efficacy/confidence to practice exercise autonomously and deal with a new episode of LBP.\" \"Knowledge on exercise and recurrences,\" \"regular exercise habits,\" \"having specific behavioural regulation strategies,\" \"exercise practice with others,\" \"willingness to practice exercise and considering it a priority,\" and \"presence of positive emotions related with exercise practice\" were the most common facilitators.</p><p><strong>Conclusions: </strong>These findings will inform the development of a behaviour change-informed exercise intervention to promote regular exercise practice among patients at risk of a recurrence of LBP.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1423-1432"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460436","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":"Māori experiences of physical rehabilitation in Aotearoa New Zealand: a scoping review.","authors":"Becky Sheehy, Dianne Wepa, Julie M Collis","doi":"10.1080/09638288.2024.2374494","DOIUrl":"10.1080/09638288.2024.2374494","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this review was to explore what is currently known about Māori experiences of physical rehabilitation services in Aotearoa New Zealand.</p><p><strong>Methods: </strong>A scoping review was undertaken following steps described by the Joanna Briggs Institute. Databases and grey literature were searched for qualitative studies that included descriptions of Māori consumer experiences in their encounters with physical rehabilitation. Data relating to study characteristics were synthesised. Qualitative data were extracted and analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Fourteen studies were included in this review. Four themes were generated that describe Māori experiences of rehabilitation. The first theme captures the expectations of receiving culturally unsafe care that become a reality for Māori during rehabilitation. The second theme describes whānau as crucial for navigating the culturally alien world of rehabilitation. The third theme offers solutions for the incorporation of culturally appropriate Māori practices. The final theme encompasses solutions for the provision of rehabilitation that empowers Māori.</p><p><strong>Conclusions: </strong>This scoping review highlights ongoing inequities experienced by Māori when engaging with rehabilitation services. Strategies for facilitating culturally safe rehabilitation for Māori have been proposed. It is essential that rehabilitation clinicians and policymakers implement culturally safe approaches to rehabilitation with a view to eliminating inequities in care provision and outcomes for Māori.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1342-1352"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581407","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":"Physical activity patterns in independently mobile adult stroke survivors: an in-depth exploratory, observational study.","authors":"Karl Espernberger, Natalie Fini, Casey Peiris","doi":"10.1080/09638288.2025.2471571","DOIUrl":"https://doi.org/10.1080/09638288.2025.2471571","url":null,"abstract":"<p><strong>Purpose: </strong>Social/community activities contribute to incidental physical activity, which may help prevent secondary stroke. This research aims to explore stroke survivor activity patterns, physical activity levels, and self-efficacy.</p><p><strong>Materials and methods: </strong>An exploratory observational study in a cohort of community-dwelling stroke survivors was conducted. Data were collected with accelerometers, activity diaries, and the Self-Efficacy for Exercise Scale. Pre-specified categories were used to describe activity context. Pearson's correlation and Kruskal-Wallis analyses were used to analyse physical activity relative to self-efficacy and time of day.</p><p><strong>Results: </strong>Forty-seven stroke survivors were recruited (47% female, aged 76 years (IQR 65-83)). Most awake time (81%) was spent in the home. Structured exercise and community and/or social activities were efficient forms of activity and accounted for 17.7% and 23.2% of steps/day, and 2.5% and 14.1% of time, respectively. Participants were most active in the afternoon and morning compared with the evening (<i>p</i> = 0.005 and <i>p</i> = 0.045). Community ambulators had higher self-efficacy scores compared to household ambulators (<i>p</i> = 0.007).</p><p><strong>Conclusions: </strong>Stroke survivors can be active via structured exercise, as well as engaging in outdoor social and community activities. Those who reported higher levels of self-efficacy were more active. Health professionals should consider these factors when promoting physical activity during rehabilitation.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711964","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":"Multidisciplinary rehabilitation following recreational nitrous oxide (N₂O) misuse: evaluating service provision and rehabilitation outcomes in a cohort with serious disability.","authors":"Hannah Ryder, Simon Mosalski, Valerie Bramah, Robert Page, Steven G Faux, Christine T Shiner","doi":"10.1080/09638288.2024.2365987","DOIUrl":"10.1080/09638288.2024.2365987","url":null,"abstract":"<p><strong>Purpose: </strong>Recreational nitrous oxide (N₂O) misuse is increasing globally. Chronic misuse can cause neurological impairments that require rehabilitation, though literature characterising rehabilitation is limited. This study aimed to evaluate rehabilitation service provision for impairments resulting from N₂O misuse.</p><p><strong>Methods: </strong>A retrospective audit of hospitalised patients referred for rehabilitation for N₂O toxicity was conducted between 2015 and 2022 at a single metropolitan hospital. Data were collected <i>via</i> medical record audit and analysed via descriptive and non-parametric statistics.</p><p><strong>Results: </strong>16 eligible cases were identified, aged 18-43 years (50% female/male), with increasing case frequency. 12 cases received inpatient rehabilitation episodes for multifactorial sensorimotor, cognitive and psychosocial impairments. Cases articulated diverse rehabilitation goals and received intervention from a median of 6 clinical disciplines. All cases required assistance to mobilise or perform self-care activities on admission. Functional Independence Measure (FIM) scores significantly improved with rehabilitation (median FIM 84[75-93] to 117[112-123], <i>p</i> < .001). Despite gains in independence, all cases required referral for ongoing rehabilitation post-discharge.</p><p><strong>Conclusions: </strong>Demand for inpatient rehabilitation for disabling N₂O toxicity appears to be increasing. In this series, cases were young, exhibited serious impairments, and had multidisciplinary rehabilitation needs. Inpatient rehabilitation led to significant functional improvements, though ongoing disability was evident post-discharge.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1204-1213"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477884","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}