Journal of Speech Language and Hearing Research最新文献

{"title":"Delayed Versus Atypical Speech Sound Development: A Markedness-Based Analysis of Speech Sound Disorder in Cantonese.","authors":"Akshay R Maggu, Xinyuan Shi, Rene Kager, Patrick C M Wong, Carol K S To","doi":"10.1044/2024_JSLHR-24-00377","DOIUrl":"10.1044/2024_JSLHR-24-00377","url":null,"abstract":"<p><strong>Purpose: </strong>Speech sound disorder (SSD) is one of the major speech disorders in school-age children. Given the heterogeneity in terms of subtypes within SSD, there is a need to develop techniques for a quick identification of these subtypes. Furthermore, given the paucity of studies from children with SSD from Cantonese-speaking homes and a noted prevalence of SSDs in Cantonese-speaking children, it becomes even more important to investigate the subtypes of SSDs in Cantonese-speaking children. In the current study, using a combined traditional ranking-based and novel weightage-based optimality theory (OT) approach, we conducted an inquiry in Cantonese-speaking 3- to 6-year-olds with and without SSD.</p><p><strong>Method: </strong>We compared the speech sound productions from 31 children with SSD (3 years old: <i>n</i> = 12; 4 years old: <i>n</i> = 9; 5 years old: <i>n</i> = 10) with 30 typically developing children (3 years old: <i>n</i> = 9; 4 years old: <i>n</i> = 10; 5 years old: <i>n</i> = 11). Speech samples were analyzed using a ranking-based and weightage-based OT approach.</p><p><strong>Results: </strong>Using the markedness hierarchy among affricates, fricatives, and plosives, we found that 77.4% of children in the SSD group conformed to the \"delay\" subtype, while 22.6% of children within the SSD group conformed to the \"atypical\" subtype. More specifically, for the typically developing children and the SSD-delay subgroup, stopping, de-affrication, and de-aspiration were observed, and the weight difference between faithfulness and markedness constraints increased with age. On the contrary, for the SSD-atypical subgroup, frication, affrication, and aspiration were found, and the values of weight difference between constraints decreased with age.</p><p><strong>Conclusions: </strong>The findings from the current study suggest that the weightage-based Maximum Entropy grammar approach can delineate between the SSD subgroups (i.e., SSD-delay vs. SSD-atypical) defined by the ranking-based traditional OT approach. These findings offer a starting point into the development of objective tools for clinicians for detecting the SSD subgroups to make decisions on treatment type, as we speculate different treatment approaches for SSD-delay versus SSD-atypical subtypes.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"491-505"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to \"Vocal Characteristics of Infants at Risk for Speech Motor Involvement: A Scoping Review\".","authors":"","doi":"10.1044/2024_JSLHR-24-00820","DOIUrl":"10.1044/2024_JSLHR-24-00820","url":null,"abstract":"","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"578"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speech Technology for Automatic Recognition and Assessment of Dysarthric Speech: An Overview.","authors":"Chitralekha Bhat, Helmer Strik","doi":"10.1044/2024_JSLHR-23-00740","DOIUrl":"10.1044/2024_JSLHR-23-00740","url":null,"abstract":"<p><strong>Purpose: </strong>In this review article, we present an extensive overview of recent developments in the area of dysarthric speech research. One of the key objectives of speech technology research is to improve the quality of life of its users, as evidenced by the focus of current research trends on creating inclusive conversational interfaces that cater to pathological speech, out of which dysarthric speech is an important example. Applications of speech technology research for dysarthric speech demand a clear understanding of the acoustics of dysarthric speech as well as of speech technologies, including machine learning and deep neural networks for speech processing.</p><p><strong>Method: </strong>We review studies pertaining to speech technology and dysarthric speech. Specifically, we discuss dysarthric speech corpora, acoustic analysis, intelligibility assessment, and automatic speech recognition. We also delve into deep learning approaches for automatic assessment and recognition of dysarthric speech. Ethics committee or institutional review board did not apply to this study.</p><p><strong>Conclusions: </strong>Overcoming the challenge of limited data and exploring new avenues in data collection, artificial intelligence-powered analysis and teletherapy hold immense potential for significant advancements in dysarthria research. To make longer and faster strides, researchers typically rely on existing research and data on a global scale. Therefore, it is imperative to consolidate the existing research and present it in a form that can serve as a basis for future work. In this review article, we have reviewed the contributions of speech technologists to the area of dysarthric speech with a focus on acoustic analysis, speech features, and techniques used. By focusing on the existing research and future directions, researchers can develop more effective tools and interventions to improve communication, quality of life, and overall well-being for people with dysarthria.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"547-577"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying Tinnitus Perception Improvement: Deriving the Minimal Clinically Important Difference of the Minimum Masking Level.","authors":"Tae-Jun Jin, Sumin Lee, Donghyeok Lee, In-Ki Jin","doi":"10.1044/2024_JSLHR-24-00374","DOIUrl":"10.1044/2024_JSLHR-24-00374","url":null,"abstract":"<p><strong>Purpose: </strong>Tools that can reliably measure changes in the perception of tinnitus following interventions are lacking. The minimum masking level, defined as the lowest level at which tinnitus is completely masked, is a candidate for quantifying changes in tinnitus perception. In this study, we aimed to determine minimal clinically important differences for minimum masking level.</p><p><strong>Method: </strong>A 3-month tinnitus intervention combining counseling and sound therapy was conducted in 74 participants with chronic tinnitus. Minimum masking levels were measured at baseline and 3 months. The clinical global impression was evaluated at 3 months to measure changes in participants' self-perception of tinnitus. The minimal clinically important difference of the minimum masking level was calculated using anchored-based, effect size, standard error measurement, and receiver operating characteristic curve analysis.</p><p><strong>Results: </strong>The minimal clinically important difference analysis of the minimum masking level yielded a -5.5 dB SL from the receiver operating characteristic curve, a -8.1 dB SL from the standard error measurement, a -9.2 dB SL from the effect size, and a -10.3 dB SL from the anchor-based analysis. Of these, the minimal clinically important difference value with optimized sensitivity (.704) and specificity (.957) was a -5.5 dB SL, determined using receiver operating characteristic analysis.</p><p><strong>Conclusions: </strong>The proposed minimal clinically important difference value of the minimum masking level (-5.5 dB SL) provides a good level of sensitivity and specificity. Therefore, the minimum masking level may be an alternative for measuring changes in tinnitus perception.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28156229.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"827-838"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Speechreading Ability Affects Mandarin Tone Perception in Young Adults With Prelingual Hearing Impairment in China.","authors":"Fen Zhang, Xuehan Wei, Xiangyu Jiang, Liang Chen, Haifen Wang, Jianghua Lei","doi":"10.1044/2024_JSLHR-23-00676","DOIUrl":"10.1044/2024_JSLHR-23-00676","url":null,"abstract":"<p><strong>Purpose: </strong>This cross-sectional study explored how the speechreading ability of adults with hearing impairment (HI) in China would affect their perception of the four Mandarin Chinese lexical tones: high (Tone 1), rising (Tone 2), falling-rising (Tone 3), and falling (Tone 4). We predicted that higher speechreading ability would result in better tone performance and that accuracy would vary among individual tones.</p><p><strong>Method: </strong>A total of 136 young adults with HI (ages 18-25 years) in China participated in the study and completed Chinese speechreading and tone awareness tests. The participants were divided into three groups on their basis of their speechreading performance (HIGH, MIDDLE, and LOW speechreading ability), and their ability to recognize the four Mandarin tones was compared.</p><p><strong>Results: </strong>HI adults with high speechreading ability identified tones more accurately than HI adults with low speechreading ability. The overall performance for Tone 2 was the lowest across all the groups. We found a significant interaction between speechreading ability groups and tone levels; the high speechreading ability group performed significantly better than the low ability group when identifying Tones 1 and 4, and performance on Tone 3 also differed by speechreading ability.</p><p><strong>Conclusions: </strong>These results suggest that speechreading ability affects Mandarin tone perception in adults with HI in China. Higher speechreading ability was associated with better overall tone perception. Tone 2 was the most difficult tone to identify, while identification of the other three lexical tones depended on speechreading ability. In visual language processing, adults with HI must reconstitute phonological units from visual and auditory fragments. To determine the generalizability of these results, they should be examined in languages beyond Mandarin Chinese.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28207784.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"654-664"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Social-Pragmatic Understanding in Deaf and Hard of Hearing and Typically Hearing 6-Year-Old Children.","authors":"Krista Tuohimaa, Soile Loukusa, Heikki Löppönen, Antti A Aarnisalo, Aarno Dietz, Antti Hyvärinen, Jaakko Laitakari, Satu Rimmanen, Jaakko Salonen, Ville Sivonen, Tanja Tennilä, Teija Tsupari, Sari Vikman, Nonna Virokannas, Johanna Hautala, Anna-Kaisa Tolonen, Taina Välimaa, Sari Kunnari","doi":"10.1044/2024_JSLHR-23-00574","DOIUrl":"10.1044/2024_JSLHR-23-00574","url":null,"abstract":"<p><strong>Purpose: </strong>Children develop social-pragmatic understanding with the help of sensory, cognitive, and linguistic functions by interacting with other people. This study aimed to explore (a) associations between auditory, demographic, cognitive, and linguistic factors and social-pragmatic understanding in children who use bilateral hearing aids (BiHAs) or bilateral cochlear implants (BiCIs) and in typically hearing (TH) children and (b) the effect of the group (BiHA, BiCI, TH) on social-pragmatic understanding when the effects of demographic, cognitive, and linguistic factors are controlled for.</p><p><strong>Method: </strong>The Pragma test was used to assess social-pragmatic understanding in 119 six-year-old children: 25 children who use BiHAs, 29 who use BiCIs, and 65 TH children. The Pragma test is a standardized test that requires answering socially and contextually demanding questions with varying focuses and thus enables a comprehensive assessment of social-pragmatic understanding. Associations between auditory, demographic, cognitive, and linguistic factors and the Pragma test performance were analyzed. Between-groups differences in the Pragma test performance were analyzed while statistically controlling for the effects of factors that were associated with the Pragma test scores.</p><p><strong>Results: </strong>The BiHA users who had better unaided pure-tone average hearing thresholds had better social-pragmatic understanding. A higher level of maternal education and nonverbal intelligence were associated with a better social-pragmatic understanding in the BiHA and BiCI groups. Linguistic abilities correlated strongly with social-pragmatic understanding in all groups. The deaf and hard of hearing (DHH) groups differed from the TH children in social-pragmatic understanding even after the effects of maternal education, nonverbal intelligence, and linguistic skills were controlled for.</p><p><strong>Conclusions: </strong>Despite early diagnosis of hearing loss and intervention, many DHH children are still at risk for social-pragmatic difficulties. Several factors may associate with social-pragmatic understanding in DHH children, which highlights the importance of a wide-ranging, multidisciplinary assessment, and the planning of focused, assessment-based interventions.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"808-826"},"PeriodicalIF":2.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological Stimulus Considerations for Auditory Emotion Recognition Test Design.","authors":"Shae D Morgan, Bailey LaPaugh","doi":"10.1044/2024_JSLHR-24-00189","DOIUrl":"https://doi.org/10.1044/2024_JSLHR-24-00189","url":null,"abstract":"<p><strong>Purpose: </strong>Many studies have investigated test design influences (e.g., number of stimuli, open- vs. closed-set tasks) on word recognition ability, but the impact that stimuli selection has on auditory emotion recognition has not been explored. This study assessed the impact of some stimulus parameters and test design methodologies on emotion recognition performance to optimize stimuli to use for auditory emotion recognition testing.</p><p><strong>Method: </strong>Twenty-five young adult participants with normal or near-normal hearing completed four tasks evaluating methodological parameters that may affect emotion recognition performance. The four conditions assessed (a) word stimuli versus sentence stimuli, (b) the total number of stimuli and number of stimuli per emotion category, (c) the number of talkers, and (d) the number of emotion categories.</p><p><strong>Results: </strong>Sentence stimuli yielded higher emotion recognition performance and increased performance variability compared to word stimuli. Recognition performance was independent of the number of stimuli per category, the number of talkers, and the number of emotion categories. Task duration expectedly increased with the total number of stimuli. A test of auditory emotion recognition that combined these design methodologies yielded high performance with low variability for listeners with normal hearing.</p><p><strong>Conclusions: </strong>Stimulus selection influences performance and test reliability for auditory emotion recognition. Researchers should consider these influences when designing future tests of auditory emotion recognition to ensure tests are able to accomplish the study's aims.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28270943.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Intentional Communication in Infants at Elevated Likelihood of Autism: Validity, Reliability, and Responsiveness of a Novel Coding Scale.","authors":"Elizabeth Choi-Tucci, John Sideris, Cristin Holland, Grace T Baranek, Linda R Watson","doi":"10.1044/2024_JSLHR-23-00787","DOIUrl":"https://doi.org/10.1044/2024_JSLHR-23-00787","url":null,"abstract":"<p><strong>Purpose: </strong>Intentional communication acts, or purposefully directed vocalizations and gestures, are particularly difficult for infants at elevated likelihood for eventual diagnosis of autism. The ability to measure and track intentional communication in infancy thus has the potential to aid early identification and intervention efforts. This study assesses the validity of a novel measure of intentional communication intended for use within semistructured caregiver-infant interactions.</p><p><strong>Method: </strong>The Intentional Communication Coding Scale (IC Coding Scale) captures infants' Vocalizations, Gestures, and Combined (vocalizations paired with gestures) acts. Using data from 36 infants at elevated likelihood for autism, we tested the convergent and discriminant validity of the IC Coding Scale with established language measures using Spearman's rho. We tested interrater reliability using intraclass correlation coefficient (ICC) calculations. Finally, we tested responsiveness (i.e., sensitivity to change) using Wilcoxon signed-ranks tests and Spearman's rho.</p><p><strong>Results: </strong>Our initial psychometric tests suggested adequate levels of convergent and discriminant validity. ICCs ranged from .77 to .92, while confidence intervals were wide, suggesting that Gestures and Combined acts were coded more variably than Vocalizations were among raters. Tests of the scale's responsiveness suggested adequate sensitivity to change across a 12-week period.</p><p><strong>Conclusions: </strong>This study is an important first step toward validating the IC Coding Scale for use in measuring and tracking intentional communication behaviors in infants at elevated likelihood for autism within more naturalistic, semistructured activities. Additional studies are needed to disentangle the effects of intervention from maturation and to examine types of intentional communication acts in more detail.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Working Memory Deficits in School-Age Children With Cochlear Implants Are Primarily Explained by Deficits in the Processing of Auditory and Lexical Information.","authors":"Jacques Pesnot Lerousseau, Maude Denis, Stéphane Roman, Daniele Schön","doi":"10.1044/2024_JSLHR-24-00291","DOIUrl":"https://doi.org/10.1044/2024_JSLHR-24-00291","url":null,"abstract":"<p><strong>Purpose: </strong>Prelingual deaf children with cochlear implants show lower digit span test scores compared to normal-hearing peers, suggesting a working memory impairment. To pinpoint more precisely the subprocesses responsible for this impairment, we designed a sequence reproduction task with varying length (two to six stimuli), modality (auditory or visual), and compressibility (sequences with more or less regular patterns). Results on 22 school-age children with cochlear implants and 21 normal-hearing children revealed a deficit of children with cochlear implants only in the auditory modality. We observed no deficit in the visual modality and no deficit in the ability to detect and use regular patterns to improve memorization.</p><p><strong>Conclusion: </strong>These results suggest that the working memory deficit of children with cochlear implants is explained by an impairment in the processing, encoding, and/or storage of the auditory and lexical information, as opposed to a global storage deficit or an inability to use compressibility strategies to improve memorization.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28216088.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of an Inclusive Group-Based Naturalistic Developmental Behavioral Intervention on Active Engagement in Young Autistic Children: A Preliminary Study.","authors":"Rachel Reetzke, Rebecca Landa","doi":"10.1044/2024_JSLHR-24-00322","DOIUrl":"https://doi.org/10.1044/2024_JSLHR-24-00322","url":null,"abstract":"<p><strong>Purpose: </strong>Despite group-level improvements in active engagement and related outcomes, significant individual variability in response to early intervention exists. The purpose of this preliminary study was to examine the effects of a group-based Naturalistic Developmental Behavioral Intervention (NDBI) on active engagement among a heterogeneous sample of young autistic children in a clinical setting.</p><p><strong>Method: </strong>Sixty-three autistic children aged 24-60 months (<i>M</i> = 44.95, <i>SD</i> = 10.77) participated in an inclusive group-based NDBI over a period of 10 months. Speech-language pathologists used an abbreviated version of the measure of active engagement to rate children's active engagement at three treatment time points.</p><p><strong>Results: </strong>Linear mixed-effects regression analyses revealed that active engagement significantly increased from Time 1 to Time 2 (after 6 months of the group-based NDBI) and persisted through Time 3 (after 10 months of the group-based NDBI). Symmetrized percent change analyses revealed that 48% of the sample (<i>n</i> = 30) exhibited an increasing trajectory, 29% were stable, and 24% showed a decreasing trajectory. Age and parent-reported social pragmatic concerns at program entry, as well as the length of time participating in the group-based NDBI, were differentially associated with the identified subgroups, signaling baseline child characteristics that may be associated with NDBI response.</p><p><strong>Conclusion: </strong>These findings highlight the importance of careful monitoring of active engagement to guide clinical decision making regarding changing intervention strategies, targets, or the intensity of the NDBI if gains are not observed.</p>","PeriodicalId":51254,"journal":{"name":"Journal of Speech Language and Hearing Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}