Rehabilitation最新文献

{"title":"[Shortage of medical professionals in preventive care and rehabilitation clinics for mothers and fathers and their children: current status and future challenges].","authors":"Julia Habermann, Monique Förster, Dorothee Noeres, Deborah Hauser, Claudia Kirsch","doi":"10.1055/a-2952-0100","DOIUrl":"https://doi.org/10.1055/a-2952-0100","url":null,"abstract":"<p><strong>Purpose: </strong>The approaching retirement of numerous physicians threatens to create a shortage of medical professionals in many areas and has already been confirmed to be the case in the field of medical rehabilitation. The aim of the present study was to broaden the scope of research to encompass inpatient mother/father-child preventive and rehabilitation clinics.</p><p><strong>Methods: </strong>Directors of inpatient mother/father-child preventive and rehabilitation clinics were asked to evaluate the medical staffing situation and to explain their strategies for recruiting medical staff in their facilities. To calculate a medical staff shortage score, the indicators proportion of vacant positions, vacancy period, and fluctuation rate were used.</p><p><strong>Results: </strong>The majority of clinic directors were rather or very satisfied with the current medical staffing situation, but the future situation constituted a major concern for them. Job advertisements and professional or private networks were primarily used to recruit medical staff. Of the 67 clinics surveyed, around 60 per cent did not have a shortage of medical professionals, while nine clinics were experiencing high levels of shortage.</p><p><strong>Conclusion: </strong>Slightly less than half of inpatient mother/father-child preventive and rehabilitation clinics are already affected by a shortage of medical professionals. It seems appropriate to react and to respond with targeted measures to ensure medical care in preventive and rehabilitation clinics for mothers, fathers and their children.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186093","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":"[\"Because it is just indispensable here, that you stay up to date\" - Mixed-methods study on the training and support needs of employees in medical rehabilitation (INFORM)].","authors":"Ulrike Haß, Julia-Marie Zimmer, Machteld Luizink-Dogan, Thorsten Meyer-Feil, Heinz Völler, Annett Salzwedel","doi":"10.1055/a-2952-0791","DOIUrl":"https://doi.org/10.1055/a-2952-0791","url":null,"abstract":"<p><strong>Purpose: </strong>The INFORM project aimed to assess the training and support needs of rehabilitation-related knowledge and skills among those working in social and health professions in medical rehabilitation, as well as facilitators and barriers to the use of offers.</p><p><strong>Methods: </strong>Following a mixed-methods approach, training and support demands of the clinical staff were explored within as well as across professions in group discussions (n=9 and 6, respectively) and interviews (n=10), supplemented by interviews with clinical heads (n=5). A nationwide online survey was conducted to verify and quantify the qualitative results (n=431 employees).</p><p><strong>Results: </strong>The initial phase of work in the professional field of medical rehabilitation proved challenging to new entrants, particularly without adequate onboarding, and was predominantly characterized as 'learning by doing'. This resulted in a crucial need for subsequent or further imparting of rehabilitation-specific skills. This included both overarching topics (e.g., communication with patients, dealing with workloads, interprofessional collaboration) and occupation-specific topics (e.g., innovations in social medicine, provision of assistive devices, support in coping with illness). There was a strong interest in online training for knowledge transfer as well as cross-clinic and interprofessional exchange. High levels of self-motivation and (also financial) support from clinics and superiors, respectively, were identified as promoting factors in using offers, while a lack of time or financial resources and limited availability of offers were identified as barriers.</p><p><strong>Conclusion: </strong>Medical rehabilitation, particularly interprofessional collaboration, requires specific expertise and skills development in those working in social and health professions; this necessitates continuous training and professional exchange beyond the onboarding phase. Therefore, more flexible (digital), rehabilitation-specific, practical, and especially interprofessional offers are needed that can be better integrated into the daily work of rehabilitation staff. Options for action arise both at the individual and organizational levels, as well as for rehabilitation providers and professional associations.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186109","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":"[Comparison of counselling statistics of the Single Points of Contact for Employers (EAA) across the German federal states].","authors":"Sarah Lamb, Sarah Schulze, Bastian Pelka, Jörg-Tobias Kuhn, Jana York","doi":"10.1055/a-2940-0206","DOIUrl":"https://doi.org/10.1055/a-2940-0206","url":null,"abstract":"<p><strong>Purpose: </strong>In 2022, lawmakers established the Single Points of Contact for Employers (§185a SGB IX) across Germany with the aim of improving opportunities for people with disabilities to particpate in the labor market. The EAA are intended to inform, advise, and support employers on issues related to disability and work. The EAA's funding and employment structures differ considerably between the federal states. The aim of this article was to compare the EAA's counseling figures across the various federal states and to identify opportunities for further developing the EAA's case data documentation.</p><p><strong>Methods: </strong>Methodologically, the study followed a multi-method design combining descriptive analyses of state-level EAA case data for the 2024 reporting period with guided expert interviews. In addition, the findings were discussed with EAA experts in a participatory dialogues.</p><p><strong>Results: </strong>The results showed substantial differences between the federal states in terms of documented contact occasions. These differences can be attributed to variyng interpretation of key terms and documentation practices, different employment situations and prior structures as well as heterogeneous provider structures.</p><p><strong>Conlusion: </strong>The EAA case documentation offers opportunities for a targeted management of this new labor market policy instrument. Documentation should be further standardized across federal states in order to enhance comparability. Nevertheless, each federal state should formulate individual (sub)goals, taking into account its own conditions and specificities.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128657","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":"[Implementing case management at German Pension Insurance - Findings of the process evaluation of the pilot project \"KiT\"].","authors":"Sebastian Ehlen, Julia Klinger, Milena Arenz, Peter Löcherbach, Edwin Toepler, Christian Rexrodt, Sandra Kirvel, Hans Oliva","doi":"10.1055/a-2948-0606","DOIUrl":"https://doi.org/10.1055/a-2948-0606","url":null,"abstract":"<p><strong>Purpose: </strong>In the pilot project 'Coordination of individual participation: needs assessment and service provision from a single source', a case management (CM) concept was implemented and evaluated in vocational rehabilitation counseling (RC) at nine German Pension Insurances (DRV).</p><p><strong>Methods: </strong>A sequential approach was designed as an iterative mixed-methods design in which the individual survey phases are linked instrumentally. Interviews were conducted with managers of the DRV (n=17) and counselors (n=11), who carried out CM after completing additional training, and online surveys were conducted with the latter (t1: n=47, t2: n=50). The surveys focused on the evaluation of CM and its organisation-specific implementation, changes since the introduction of CM, and prerequisites for its continuation. In addition, questionnaire surveys were conducted with participating insured persons at the beginning and end of the CM (t1: n=586; t2: n=329) and the standardised needs assessment of the case documentation was evaluated (n=820). This provided information on their characteristics and participation needs as well as their assessments of CM.</p><p><strong>Results: </strong>CM was viewed mostly positively by managers and counselors, i. a., as an important pillar for the professionalisation of RC. Counselors considered the increased time available per case and the changed work and counseling routines to be particularly significant. Managers perceived a higher quality of counseling. Sufficient resources and stringent intra-organisational embedment were identified as prerequisites for the continuation of CM. CM was successful in reaching insured persons with multiple chronic conditions and greater needs for support. Insured persons rated the counseling as mainly positive.</p><p><strong>Conclusion: </strong>The results indicate that CM is a promising approach for reaching and supporting insured persons with complex support needs for whom conventional services for participation in working life are insufficient. CM also strengthens needs orientation and person-centredness in vocational rehabilitation. However, there are significant differences between providers in the extent of CM implementation and the motivation to continue it. With the inclusion of CM in the German social law, questions about implementation, intra-organisational embedment and inter-organisational quality assurance have taken on new relevance.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076524","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":"Implementation of a shoulder school for rotator cuff-related shoulder pain in primary care centres in Spain: A cluster randomised controlled trial.","authors":"Luis Ceballos Laita, Román Robles-Pérez, Sandra Jiménez Del Barrio, Noemí Arnaiz-Delgado, María José Asenjo Altelarrea, Tania Carretero Pérez, Natalia Cruces-Saiz, Julia Mambrillas Varela, Nuria Santos González, María Pilar Aldea Arévalo, Eva Maria Asensio Asensio, Marta Pérez-Vidal, Asunción Cacho Del Amo, Aida Casas-Martínez, Inés de Pedro de Miguel, Verónica Martínez-Montejo, Marisol Rupérez Serrano, Héctor Hernández-Lázaro","doi":"10.1055/a-2916-5440","DOIUrl":"https://doi.org/10.1055/a-2916-5440","url":null,"abstract":"<p><strong>Purpose: </strong>To compare a specific and graded exercise program (shoulder school) to the standard care protocol provided in the physiotherapy units of Spanish primary care centres to patients with rotator cuff-related shoulder pain (RCRSP).</p><p><strong>Methods: </strong>A cluster randomised controlled trial was designed. Seven primary care centres participated in the study and were randomised into the shoulder school group (SSG) or the standard care group (SCG). Eighty-seven participants with RCRSP were included (SSG: n=47; SCG: n=40). Both groups underwent 16 sessions over eight weeks. The primary outcome was shoulder pain assessed using a 0-10 VAS over the last three days and during arm elevation. Secondary outcomes were disability (SPADI and DASH), active range of motion, isometric strength, quality of life (WORC), and patient satisfaction (GROC). Outcomes were measured by blinded examiners at baseline (T0), post-intervention (T1), and after 3 months (T2).</p><p><strong>Results: </strong>Significant differences between-groups were found favouring the SSG for the primary outcome of pain intensity over the last three days at T1 (Mean difference [MD]=-2.44, 95% CI -3.18 to -1.69) and T2 (MD=-4.03, 95% CI -4.89 to -3.17), and during arm elevation at T1 (MD=-2.80, 95% CI -3.87 to -1.72) and T2 (MD=-4.03, 95% CI -5.20 to -2.85), as well as for the secondary outcomes of disability, range of motion, isometric strength, quality of life and patients' satisfaction (T1: p<0.01; T2: p<0.01). Changes in pain intensity, disability, quality of life and patient satisfaction were higher than the minimal clinically important difference at T1 and T2, favouring the SSG.</p><p><strong>Conclusion: </strong>The implementation of shoulder school in primary care physiotherapy units proved to be statistically and clinically more effective than the standard protocols in the short- and medium-term, in patients with RCRSP.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076656","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":"[\"You've Awakened Something\": Mobile-Outpatient Rehabilitation from the Perspective of Participants with Disabilities].","authors":"Tatjana Levin, Judith Gartmann, Anne Ostermann, Andrea Bökel, Thilo Busche, Christian Sturm, Christoph Egen","doi":"10.1055/a-2912-8367","DOIUrl":"https://doi.org/10.1055/a-2912-8367","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to develop and test a mobile and outpatient rehabilitation program for individuals with cognitive and/or multiple impairments as part of a feasibility study. The therapies were delivered both in the clinic and in the social environment (e.g., residential settings, sheltered workshops, public swimming pools). The objective of this qualitative analysis was to examine barriers to accessing rehabilitation that participants generally encounter, how they experienced their participation in the newly piloted mobile outpatient rehabilitation program, which factors contributed to goal achievement, and how participants assessed the sustainability of the intervention.</p><p><strong>Methods: </strong>Semi-structured face-to-face interviews were conducted with all 15 project participants at the end of their participation. The interviews were transcribed and analyzed using structured qualitative content analysis according to Kuckartz and Rädiker.</p><p><strong>Results: </strong>Participants reported numerous barriers to accessing medical rehabilitation, including rejected rehabilitation applications and structural barriers within facilities. The SIMRE intervention was evaluated positively. Factors supporting goal achievement included sufficient therapy time, adequate staff resources, and the combination of mobile and outpatient therapy. A comprehensive needs assessment within participants' living and working environments was found to be essential for individualized planning of rehabilitation measures. Concurrently, participants articulated concerns regarding the sustainability of achieved improvements, citing the lack of appropriate follow-up options as well as personnel and structural resources in routine care.</p><p><strong>Conclusion: </strong>The findings indicate that a mobile and outpatient rehabilitation approach for individuals with cognitive and/or multiple impairments is both feasible and capable of contributing to improved participation. Additionally, the findings highlight the necessity for individualized rehabilitation and subsequent follow-up care to ensure the stability of the achieved outcomes.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066156","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":"[Racial discrimination against employees in German rehabilitation centres: A survey of managers, quality managers and complaints managers].","authors":"Tuğba Aksakal, Fabian Erdsiek, Kübra Annac, Yüce Yılmaz-Aslan, Patrick Brzoska","doi":"10.1055/a-2892-2143","DOIUrl":"https://doi.org/10.1055/a-2892-2143","url":null,"abstract":"<p><strong>Purpose: </strong>Racial discrimination directed at employees can significantly affect their well-being, job satisfaction, and professional development. In the German healthcare system, there is a lack of systematic research on the experiences of staff members who are affected by racism, particularly in rehabilitation facilities, where collaboration among staff and patients poses social challenges. This study aims to examine the extent and nature of such experiences and to assess existing complaint and prevention structures.</p><p><strong>Methods: </strong>Between October and November 2024, 1,322 inpatient rehabilitation facilities were invited to participate in an online survey, to which 144 facilities responded. The survey addressed managers as well as quality and complaints officers. It assessed the frequency and context of racial discrimination by supervisors, colleagues, patients, or relatives, as well as existing institutional measures for prevention and intervention. Data were analyzed descriptively.</p><p><strong>Results: </strong>Around one tenth of the reported complaints were related to racial discrimination. Most frequently, incidents were reported involving patients or their relatives; less commonly, incidents among colleagues were described. In 86.1% of the facilities, racist complaints were investigated immediately. 76.4% of the facilities provided support services for affected employees. Only a few of the surveyed institutions reported cooperating with external counseling services or legal advisors. Preventive measures varied in terms of their implementation: reporting systems for discrimination incidents were in place in 42.4% of the facilities, and regular trainings on cultural sensitivity were conducted in 35.4% of the facilities.</p><p><strong>Conclusions: </strong>Racial discrimination against staff is a relevant issue in inpatient rehabilitation facilities. Institutional structures for complaint management and prevention are in place but are not yet comprehensively established. The findings indicate a potential need to further develop cooperations with external counselling services and to strengthen the sensitization of managerial staff. The study thus provides initial empirical evidence to inform the further development of institutional complaint and prevention structures.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002954","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":"[Implementation of the principle of autonomy in inpatient medical rehabilitation from the perspective of patients and professionals - results of a qualitative study].","authors":"Malte Klemmt, Dagmar Holmer, Tanja Henking, Silke Neuderth","doi":"10.1055/a-2912-8515","DOIUrl":"https://doi.org/10.1055/a-2912-8515","url":null,"abstract":"","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992538","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":"[Future Workshop \"Interprofessional diagnostics of out-of-home walking-related participation of people after stroke\" - Participatory Action Research to develop action plans].","authors":"Claudia Pott, Marlene Egger, Denise Leonhardt, Jürgen Langemeyer, Tobias Dreischulte, Petra Bauer, Daniela Koller","doi":"10.1055/a-2924-3109","DOIUrl":"10.1055/a-2924-3109","url":null,"abstract":"<p><strong>Purpose: </strong>Improving out-of-home walking-related participation after stroke involves multiple stakeholders. Interprofessional diagnostics should constitute a prerequisite for outpatient therapeutic and assistive device provision. The overarching aim of this multi-methods study is the bottom-up development of a toolkit for this field. The aims of this sub-study were to identify challenges and co-creatively develop solution strategies for gaps in interprofessional collaboration.</p><p><strong>Methods: </strong>A future workshop was conducted as a method of participatory action research in the Upper Bavaria District. Data analysis followed Mayring's qualitative content analysis and was guided by a model of interprofessional collaboration including interactional, organizational, and systemic determinants.</p><p><strong>Results: </strong>Participants included people after stroke (n=5), relatives (n=1), and health professionals (n=17) from occupational and physical therapy, orthopaedic technology, general medicine, neuropsychology, nursing, statutory health insurance funds, counselling services, and foundations. They identified challenges extending beyond interprofessional diagnostics of out-of-home walking-related participation but related to it. Four action plans were developed for main points of criticism: (1) assessment toolbox, (2) interprofessional home visits, (3) digital communication, and (4) a participation roadmap. Shared core elements included participation-oriented person-centred care, the International Classification of Functioning, Disability and Health, and empowerment of people after stroke and their relatives.</p><p><strong>Conclusion: </strong>The future workshop enabled the bottom-up development of solution strategies, which will be integrated into the design of a toolkit to support collaboration. Further development, evaluation, and sustainable implementation require reforms of legal frameworks, stronger cooperation between academia, service providers, and municipalities, improved digital infrastructure, and funding models for interprofessional collaboration.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984357","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":"Functioning in Older Adults with Chronic Diseases: Trajectories and Associated Factors.","authors":"Lara Caroline Hille, Lukas Horstmeier, Gloria Metzner, Martin Härter, Erik Farin-Glattacker","doi":"10.1055/a-2892-2251","DOIUrl":"https://doi.org/10.1055/a-2892-2251","url":null,"abstract":"<p><strong>Purpose: </strong>Knowledge about the development of functioning in older age is crucial to design targeted interventions to maintain good health in older adults. The aim of this study was to investigate the time-trajectories of functioning and its domains (Cognition, Mobility, Self-Care, Getting along, Life Activities, and Participation) over time in a community sample of older people with chronic health conditions. Additionally, the study sought to identify factors differentially associated with these trajectories.</p><p><strong>Methods: </strong>A total of n=491 individuals aged 65 years and older with chronic health conditions answered the WHO Disability Assessment Schedule 2.0 questionnaire three times over a 1.5-year period (at T2 n=309). Linear Mixed Effects Models and pairwise comparisons of the slopes of the questionnaires different subscales were used to analyse trajectories over time and to identify associated factors.</p><p><strong>Results: </strong>The results revealed a general decline in functioning over time across all domains, with the exception of Participation. Significant differences were observed between the trajectory coefficients of certain domains. While depressive symptoms displayed comparable associations with all domains of functioning, gender and age exhibited divergent associations with functioning across domains.</p><p><strong>Conclusion: </strong>The results emphasize the importance of a nuanced understanding of how functioning develops across different domains in older age. This can contribute to targeted prevention and support programs for older adults at risk and help maintain good health in older age among those with chronic conditions.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978790","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}