Christophe Wille, Geert van Hove, Jos van Loon, Dominique Van de Velde, Patricia de Vriendt
{"title":"Direct Support Professionals' Perspectives on Enabling Meaningful Activities for People With Intellectual Disabilities","authors":"Christophe Wille, Geert van Hove, Jos van Loon, Dominique Van de Velde, Patricia de Vriendt","doi":"10.1111/jar.70078","DOIUrl":"https://doi.org/10.1111/jar.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with intellectual disabilities in Flanders (Belgium) often rely on their direct support professionals (DSPs) to engage in meaningful activities. While structured approaches exist to guide engagement, limited insight is available into the specific support DSPs need in practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive qualitative study was conducted using in-depth interviews with 13 DSPs. Thematic analysis was performed using NVivo 12.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five themes emerged: (1) Basic assumptions regarding meaningful activities, (2) Relationship between people with intellectual disabilities and DSPs as a prerequisite for enabling meaningful activities, (3) Facilitating factors in enabling meaningful activities, (4) Areas of tension in enabling meaningful activities, and (5) Barriers to enabling meaningful activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>DSPs recognise the importance of meaningful activities but face significant challenges in practice. Addressing these challenges requires training and support tailored to their specific needs and the realities of their daily work, ensuring they are better equipped to foster engagement in meaningful activities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret Spencer, Susan Collings, Hannah Wilkinson
{"title":"Using Grief for Good: The Transformative Effect of Participatory Action Research for Parents With Intellectual Disability Who Have Experienced Child Removal","authors":"Margaret Spencer, Susan Collings, Hannah Wilkinson","doi":"10.1111/jar.70066","DOIUrl":"https://doi.org/10.1111/jar.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents with intellectual disability experience high rates of child removal, which affects their well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participatory action research (PAR) was undertaken with eight parents with intellectual disability who had children removed from their care. Parents were interviewed before and after the PAR. Three themes emerged: a safe space, revisiting the past and grief for good.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Parents reported that participating in the PAR was cathartic, allowing them to transform feelings of grief and injustice into actions that benefitted other parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PAR can be transformative, enabling parents with intellectual disabilities to advocate for and contribute to improved practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigating the Impact of Embedded Learning Opportunities on the Engagement of Children With Autism and Intellectual Disability","authors":"Salih Rakap, Serife Balikci","doi":"10.1111/jar.70073","DOIUrl":"https://doi.org/10.1111/jar.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Engagement is essential for fostering learning and development in young children with disabilities, including those with autism spectrum disorder (ASD) and intellectual disability (ID).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used a non-concurrent multiple-baseline across participants design to examine the effects of embedded learning opportunities (ELOs) on engagement and learning in four preschool-aged children diagnosed with ASD and ID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results showed a consistent increase in engagement for each child following the introduction of ELOs by teachers, with children generalising this engagement to other settings and sustaining high engagement levels during follow-up. Additionally, enhanced engagement was linked with improvements in independent performance of target behaviours. Social validity data from teachers further supported the intervention's effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings highlight ELOs as a promising and individualised approach to enhancing engagement and learning outcomes for preschool children with dual diagnoses of ASD and ID.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emiko Tanaka, Kinuko Sugiura, Marja W. Hodes, Maurice A. Feldman
{"title":"Challenges in Providing Parenting Support for Parents With Intellectual Disabilities in Japan","authors":"Emiko Tanaka, Kinuko Sugiura, Marja W. Hodes, Maurice A. Feldman","doi":"10.1111/jar.70068","DOIUrl":"https://doi.org/10.1111/jar.70068","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While there is now considerable research on parenting by persons with intellectual disabilities, most of this research comes from Western countries. A dearth of information exists about families headed by parents with intellectual disabilities from other countries. This paper summarises the state of research and practice in Japan, related to existing knowledge in the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We conducted a review of Japanese research and media information about parents with intellectual disabilities, relating the situation in Japan to existing research from primarily Western countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Evidence obtained suggests that Japan is only recently making progress to dispel eugenics mythology about sexuality and parenting in persons with intellectual disabilities and recognising the need for specialised supports.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We make eight recommendations for future research, policy, and practice in Japan, including ending discriminatory practices, funding needed supports, and educating and training workers and professionals in evidence-based supports.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monika Parchomiuk, Katarzyna Ćwirynkało, Agnieszka Żyta
{"title":"Understanding Death: Inclusive Insights From Individuals With Intellectual Disabilities","authors":"Monika Parchomiuk, Katarzyna Ćwirynkało, Agnieszka Żyta","doi":"10.1111/jar.70069","DOIUrl":"https://doi.org/10.1111/jar.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The perception and experience of death with respect to individuals with intellectual disability are almost unexplored in the Polish context. We aimed to understand how these persons conceptualise death, understand their experiences associated with it, and the meanings they ascribe to it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study was designed and conducted with co-researchers with intellectual disabilities. Thirty-four participants with intellectual disabilities were interviewed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The diverse meanings, emotions, feelings and activities associated with death were encapsulated in four main themes: meanings ascribed to death, experiencing death, celebrating death and anticipating one's own death and that of significant others.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study underscores the significance of death in the experiences of individuals with intellectual disabilities in the context of religious experiences and the importance of inclusive practices that recognise their needs and rights to grieve while also pointing to the need for proactive planning to better prepare them for life's inevitable losses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sohil Alqazlan, Faraj K. Alenezi, Khalid S. Alwadeai, Adel Saber Alanazi, Abdulrhman S. Alghamdi, Shahad Alarifi, Saleh Aba-Alkhayl, Mohammed A. Almeshari
{"title":"Prevalence of Respiratory Symptoms in Individuals With Down's Syndrome in Saudi Arabia: A Cross-Sectional Study","authors":"Sohil Alqazlan, Faraj K. Alenezi, Khalid S. Alwadeai, Adel Saber Alanazi, Abdulrhman S. Alghamdi, Shahad Alarifi, Saleh Aba-Alkhayl, Mohammed A. Almeshari","doi":"10.1111/jar.70072","DOIUrl":"https://doi.org/10.1111/jar.70072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Asthma and respiratory diseases pose significant global health risks. Respiratory infections substantially impact individuals with Down syndrome, affecting their overall well-being. This study examines respiratory health risks associated with Down syndrome in Saudi Arabia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A survey of 115 participants used convenience sampling to assess chronic respiratory disease incidence. Caregivers provided insights for cross-sectional analysis, with chi-square tests for categorical variables and Kendall's Tau for binary relationships. Hypothesis testing was done at a 5% significance level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a significant increase in respiratory infections among people with Down syndrome in Saudi Arabia. Most participants (53%) reported chest pain, followed by wheezing in 47.8%. There was a need for interventions to be targeted by region, resulting in improved health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Individuals who have Down syndrome in Saudi Arabia necessitate a gateway to healthcare, public health education and customised therapies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating Competency Identification Digital Tools in Employment Counselling to Help Identify Competencies and Build a Relevant Career Plan for People With Disabilities","authors":"Clémence Brun, Alexis Akinyemi, Yvonne Joret, Laurène Houtin","doi":"10.1111/jar.70071","DOIUrl":"https://doi.org/10.1111/jar.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>People with disabilities face persistent employment difficulties, mainly because of a lack of recognition of their competencies, especially people with intellectual disabilities. As employment counsellors need to identify the competencies of beneficiaries, a public competencies identification service has been developed and funded by the French Ministry of Labour, Diagoriente.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We compared the impact of a competencies identification session using Diagoriente (<i>N</i> = 48) to a more classic session using a text document (<i>N</i> = 47), with a sample composed mainly of people with intellectual disabilities (75.5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants who used Diagoriente felt better able to identify and explain their competencies and to create a relevant career plan than those who had followed a classic session.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results suggest that Diagoriente, and as we suggest, employment support digital tools, when adapted to the specific needs of people with intellectual disabilities, can provide additional keys to help them build their career plans.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"‘We're Not Really Into Helping, We're Into Being Useful’: Service Provider Practices That Support Belonging Opportunities in the Lives of Adults Labelled With Intellectual Disabilities","authors":"Paige Reeves, David McConnell, Shanon K. Phelan","doi":"10.1111/jar.70070","DOIUrl":"https://doi.org/10.1111/jar.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social inclusion focussed on belonging is increasingly emphasised by disability advocates and policymakers, yet belonging often remains absent for adults labelled with intellectual disabilities. People labelled with intellectual disabilities often rely on service providers to support their belonging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this critically informed ethnographic work, we draw on interviews with nine disability services leaders and prolonged participatory field explorations with five adults labelled with intellectual disabilities, their friends and support workers to explore how service providers support opportunities for belonging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Reflexive thematic analysis generated three themes: centering inclusion, belonging and rights; creating opportunities for self-exploration and ‘dreaming’; and facilitating connections to people and place.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings highlight supporting belonging as complex work that requires a relational understanding of autonomy, work environments that support reflexivity, and the redistribution of resources to allow for higher staff wages, larger individual support contracts and funding for staff training and post-secondary education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Penelope McKenna, Rosie England, Carmen Fadzelmulla-Moreno, Paul A. Thompson, Harm Boer, Peter E. Langdon
{"title":"Factors Associated With Length of Hospital Stay for Forensic Psychiatric Inpatients With Intellectual Disabilities","authors":"Penelope McKenna, Rosie England, Carmen Fadzelmulla-Moreno, Paul A. Thompson, Harm Boer, Peter E. Langdon","doi":"10.1111/jar.70065","DOIUrl":"https://doi.org/10.1111/jar.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study was to examine factors associated with length of stay within a psychiatric hospital for patients with intellectual disabilities who have a forensic history.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data about 111 patients were gathered retrospectively from historical records for the period of February 2011 to March 2021. Negative binomial regression was then used to examine the relationship between selected predictor variables and length of stay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients who were older upon admission and those who had received psychological therapies or positive behavioural support (PBS) had a significantly longer length of stay. Those with a diagnosis of a neurodevelopmental disorder had a significantly shorter length of stay. All other predictors were not statistically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was evidence of a clinical improvement at discharge and those with autism or ADHD had a shorter length of stay. Similar studies with larger sample sizes should be completed across England.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143925904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factor Structure of the Center for Epidemiology Scale in Individuals With Intellectual Disabilities","authors":"Eun-Young Park","doi":"10.1111/jar.70064","DOIUrl":"https://doi.org/10.1111/jar.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with intellectual disabilities are as vulnerable to depression as their typically developing peers. This study aimed to verify the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) in individuals with intellectual disabilities and determine whether the scale is appropriate for screening them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data obtained from 275 participants from Korea's Disabled People's Development Institute were analysed. The measure used 11 items from the CES-D. Confirmatory factor analysis and Cronbach's <i>α</i> of internal consistency reliability were employed for examining validity and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cronbach's <i>α</i> of total scale was 0.860. Cronbach's <i>α</i> of the subscales was 0.842 in depressive affect, 0.647 in positive affect, 0.783 in somatic/vegetative symptoms and 0.837 in interpersonal problems. Bifactor and four-factor structures were verified using confirmatory factor analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The validity and reliability of the CES-D-11 for individuals with intellectual disabilities were verified. Results indicated the cut-off and subscale scores.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}