Rehabilitation最新文献

{"title":"\"How is my body going to cope with it? How should I go on with my life?\" Reflections on occupational future: interview study with cardiac rehabilitation patients with vocational reintegration risk.","authors":"Lara Luisa Wolff, Machteld Luizink-Dogan, Christine Holmberg, Heinz Völler, Annett Salzwedel","doi":"10.1055/a-2645-2652","DOIUrl":"10.1055/a-2645-2652","url":null,"abstract":"<p><strong>Purpose: </strong>Patients in cardiac rehabilitation (CR) with subjectively impaired occupational prognosis are at risk of not returning to work (RTW) in the medium term. This study aimed to explore, describe and summarise the aspects relevant in CR patients' reflections on their occupational future.</p><p><strong>Methods: </strong>A qualitative study was conducted in CR in 2021/22; 25 patients (median age 52 years; 9 women, 16 men; working in different physically demanding occupations; 20 with risk of non-RTW and 5 without by the Würzburger Screening) were interviewed and asked to reflect on their occupational future.About 6-8 months post-CR, 8 patients were re-interviewed to check the relevance of the factors identified during CR. All interviews were recorded, transcribed and thematically analysed.</p><p><strong>Results: </strong>Aspects relevant for the reflection on subjectively perceived occupational future could be summarised into internal factors: personal aspects, health perception, heart-focused anxiety, and external factors: social circle and adjustments in work conditions. Two further themes were time-related: prior health/illness-related experiences and intended work and lifestyle changes. Especially participants with a risk of non-RTW experienced heart-focused anxiety, contemplated previous health/illness experiences and expressed a desire to RTW in the distant future, although they had no clear plan of action. Greater emphasis was placed on prioritising health and taking time for RTW, and participants often felt supported in this by their social environment. Themes were overlapping between participants with and without risk of non-RTW, yet different in relevance and detail.</p><p><strong>Conclusion: </strong>Overall, patients at different risk of non-RTW reflecting on their subjective perception of occupational future show similarities regarding relevant aspects and themes. However, especially patients at risk of non-RTW reflected on perceived heart-focused anxiety and the lack of concrete RTW plans for their occupational future. These aspects should be considered in individual, holistic and goal-oriented approaches to support patients on their RTW journey.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"216-224"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762360","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":"[Medical rehabilitation for gastrointestinal disorders].","authors":"Kerstin Herzer","doi":"10.1055/a-2872-1177","DOIUrl":"https://doi.org/10.1055/a-2872-1177","url":null,"abstract":"","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":"65 4","pages":"252-264"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801692","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":"[Promotion of Work Participation in Outpatient vs. Inpatient Work-Related Medical Rehabilitation (WMR) in Patients with Musculoskeletal Disorders: Analyses Using Administrative Data].","authors":"David Bühne, Christian Hetzel, Mathis Elling, Torsten Alles","doi":"10.1055/a-2679-7982","DOIUrl":"10.1055/a-2679-7982","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present study was to compare outpatient vs. inpatient work-related medical rehabilitation (WMR) with regard to treatment dose of work-related interventions and promotion of work participation.</p><p><strong>Methods: </strong>The rehabilitation statistics database of the German Pension Insurance was used. Patients were included if they had completed WMR for musculoskeletal disorders in 2018 or 2019 and were aged up to 63 years. The implementation of WMR was measured based on work-related interventions documented in the discharge report.</p><p><strong>Results: </strong>The sample consisted of 46,276 rehabilitants. Work-related interventions were documented with an average total duration of 8.2 (outpatient WMR) and 9.3 (inpatient WMR) hours. In 25.7% of the outpatient and 37.1% of the inpatient rehabilitants, the minimum total duration of 11 hours was met. With regard to the promotion of occupational participation, no significant difference was observed between inpatient and outpatient WMR (OR=0.96, 95% CI [0.90, 1.03], reference: inpatient WMR), suggesting a potentially comparable benefit.</p><p><strong>Conclusions: </strong>The need for WMR measures was not consistently met in either outpatient or inpatient rehabilitation. In both settings, people assigned to WMR predominantly received less work-related interventions than intended. The promotion of return to work was achieved with comparable effectiveness in both outpatient and inpatient WMR.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"243-251"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088141","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":"[Potential and challenges of an outpatient rehabilitation programme for children and adolescents with obesity - Interviews with professionals from rehabilitation centres].","authors":"Judith Stumm, Lucie Schröder, Meta Herrmann, Jennifer Marie Burchardi, Sandra Fahrenkrog","doi":"10.1055/a-2724-3558","DOIUrl":"10.1055/a-2724-3558","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to explore the goals, achievements and challenges of an outpatient rehabilitation program for obese children and adolescents from the perspective of specialist staff at rehabilitation centres.</p><p><strong>Methods: </strong>As part of a multi-stage research project, 19 semi-structured, guideline-based telephone interviews were conducted with the medical and therapeutic staff of four rehabilitation centres and analysed using Framework Analysis.</p><p><strong>Results: </strong>The interviewees agreed that the goal was a long-term and sustainable change in lifestyle. Furthermore, weight loss played an important role in both the goal and success of the rehabilitation program. Implementation of lessons learned into everyday life on a long-term basis, lower motivation of parents and various difficulties encountered by rehabilitants and staff when concomitant measures of the program were carried out during weeks of school term posed a challenge. The (active) role of parents in the outpatient rehabilitation program was shaped by different expectations on the part of all stakeholders and influenced by resources available to the families to different extents. The low number of participants was probably due to the low level of awareness and the small number of outpatient rehabilitation programs in Germany.</p><p><strong>Conclusion: </strong>The outpatient rehabilitation program for obese children and adolescents has potential for success in individual cases. However, the goals of the rehabilitation program should be communicated more transparently, especially with regard to possible weight reduction, which in turn influences the expectations and motivation of children and adolescents and their parents. By involving parents more specifically, various challenges can be addressed and the lessons learned can be implemented more effectively into everyday life.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"234-242"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13493175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Sustainable Return to Work for Individuals with Mental Health Conditions: Effects of Job Protection Aftercare].","authors":"Elena Andreeva, Tatjana Levin, Christian Sturm","doi":"10.1055/a-2654-6017","DOIUrl":"10.1055/a-2654-6017","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health disorders increase the risk of early retirement and occupational exclusion. Individualized, needs-oriented aftercare that includes measures to stabilize employment following vocational rehabilitation can support affected individuals in transitioning into the workforce and mitigate these risks. Drawing on the JobProtection model project, this study investigated the impact of aftercare on sustainable workforce reintegration and the factors influencing long-term employment among individuals with mental health conditions.</p><p><strong>Methods: </strong>Anonymized routine data from the German Pension Insurance Braunschweig-Hannover (n=1464) were analyzed using logistic regression. Among the sample, 113 individuals in the intervention group participated in up to 24 months of JobProtection aftercare (2019-2023) following vocational rehabilitation. The control groups, which received standard aftercare, comprised a historical group (n=688; vocational rehabilitation measures completed between 2015 and 2017) and a parallel group (n=663; vocational rehabilitation measures completed between 2019 and 2021). Sustainable workforce reintegration was defined as at least 24 months of employment, based on data from social security contributions.</p><p><strong>Results: </strong>The intervention group showed significantly higher chances of achieving sustainable employment. Other positive predictors of long-term workforce reintegration included older age, a longer duration of vocational rehabilitation, and the approval of a partial disability pension. In contrast, individuals granted a full disability pension or those whose pension applications were rejected had significantly lower chances of remaining employed for at least two years after vocational rehabilitation. Belonging to the parallel control group was associated with reduced chances of stable employment.</p><p><strong>Conclusion: </strong>The vocational reintegration of JobProtection participants was successfully supported in the long term. Accordingly, needs-oriented aftercare may serve not only as a meaningful complement to vocational rehabilitation for individuals with mental health conditions, but also as a means of addressing a previously unmet need in care provision.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":"225-233"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805329","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":"[Effectiveness of Therapeutic Interventions (KTL) in Post-Acute Rehabilitation of Hip and Knee Arthroplasty Patients Based on the Staffelstein Score and Identification of Optimized Therapy Pathways].","authors":"Johannes Schröter, Johanna Feucht, Natascha Raisig, Philipp Drees","doi":"10.1055/a-2880-8199","DOIUrl":"https://doi.org/10.1055/a-2880-8199","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to analyze and optimize therapeutic interventions (according to KTL codes) in post-acute rehabilitation of patients following hip or knee total arthroplasty (TEP). While evidence exists for the effectiveness of individual measures, data on optimal therapy pathways in three-week inpatient TEP rehabilitation setting are lacking.</p><p><strong>Methods: </strong>A retrospective secondary use of clinical data was performed using anonymized patient data from 38 (hip TEP) and 29 (knee TEP) orthopedic MEDIAN clinics. A total of 11,628 hip TEP and 7,865 knee TEP patients (data collection: 2016-2019) were included. Based on the validated Staffelstein Score at admission, patients were classified into three groups (low, medium, high baseline value) using k-means clustering. Therapeutic interventions documented via KTL codes were clustered into 14 therapy pathways. Their effectiveness was assessed by the proportion of patients reaching a defined discharge score target in the Staffelstein Score. Optimized therapy modules were derived and compared with the rehabilitation standards (RTS) of the German Pension Insurance.</p><p><strong>Results: </strong>Significant differences in therapy outcomes were observed depending on group and therapy pathway. Patients with high baseline values particularly benefited from strength-based individual therapy (KTL A652) and electrotherapy (KTL K592). Patients with medium baseline values performers achieved best results with group-based physiotherapy (KTL B563), and - among hip TEP patients - with additional manual lymphatic drainage (KTL K672). Patients with low baseline values showed distinct needs: knee TEP patients responded well to coordination training (KTL A580) and assistive device-related occupational therapy (KTL E709), whereas hip TEP patients benefited most from endurance training (KTL A552) and motor-function-focused occupational therapy (KTL E653). Therapy success rates reached up to 97% depending on the appropriate therapy pathway.</p><p><strong>Conclusion: </strong>The study demonstrates that individualized rehabilitation strategies based on functional baseline status lead to significantly better outcomes. The identified therapy pathways provide an evidence-based foundation for refining rehabilitation standards. Prospective validation is recommended to ensure efficient, targeted post-TEP care and to avoid ineffective interventions.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632738","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":"[Co-operation between self-help groups and rehabilitation facilities within the framework of the German Pension Insurance (DRV): Development, current status and perspectives].","authors":"Alf Trojan, Livia Gelsomino, Elâ Ziegler, Christopher Kofahl","doi":"10.1055/a-2892-2197","DOIUrl":"https://doi.org/10.1055/a-2892-2197","url":null,"abstract":"<p><strong>Purpose: </strong>Rehabilitation facilities are generally successful in their treatment goals, but cannot cover all aspects of coping with illness that everyday life after inpatient rehabilitation entails. The expertise of other patients and their relatives in the form of self-help groups (SHG) and peer counselling can help to stabilize the success of rehabilitation. Rehabilitation clinics occupy a strategically important position in the treatment pathway of patients when it comes to information about and referral to SHGs. This insight has been taken into account in recent years by numerous normative commitments of rehabilitation representatives to cooperate with organised self-help. The aim of the present study was to examine the normative statements of the German Pension Insurance (DRV) and the Federal Rehabilitation Association (BAR) on cooperation between self-help groups and the rehabilitation system and compare them with the relevant empirical data available.</p><p><strong>Methods: </strong>The balance of normative statements was based on an analysis of publicly available documents: DRV rehabilitation reports, practical aids, instructions and information on quality management systems of rehabilitation clinics as well as scientific literature. Secondary analytical answers to the empirical question of how many rehabilitants were referred to SHGs were provided by the DRV rehab reports and our own specific evaluations of DRV data from 2010 to 2022 provided to us.</p><p><strong>Results: </strong>The increasingly systematic intentions to cooperate with self-help groups and organisations were evident in all the documents analysed. Empirical results: Only a few of the annual rehab reports contained results from rehabilitant surveys. In a study published in 2010, 7-18% of former rehabilitants reported having received the \"suggestion of an SHG\". Suggestions for an SHG remained constant between 2010 and 2021 at a total of 9-10% in the somatic inpatient areas, but at 75% in the addiction area. Special evaluations of the service provision reported by clinics showed an increase in \"referral to an SHG\" from 4% to 8% of all rehabilitants between 2010 and 2015.</p><p><strong>Conclusion: </strong>With the exception of addiction clinics, the empirical reality of cooperation between the rehabilitation and self-help systems falls well short of the programmatic and normative statements. A current action research project with the DRV aims to achieve improvements.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551523","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":"[Recommendations for the standardized assessment of manifest osteoporosis with vertebral fractures in disability law].","authors":"Nils Schulz, Karin Mahn, Björn Buehring, Antje Dominok, Uwe Lange, Uwe Maus, Christopher Niedhart, Michael Pfeifer, Monika Reuß-Borst, Petra Simonetti, Martin Gehlen, Philipp Klemm","doi":"10.1055/a-2880-8297","DOIUrl":"https://doi.org/10.1055/a-2880-8297","url":null,"abstract":"<p><strong>Purpose: </strong>Osteoporosis is among the most prevalent chronic conditions, affecting millions of individuals and associated with a substantial fracture burden. Osteoporotic vertebral fractures lead to structural damage, functional impairment, pain, loss of mobility, reduced social participation, and increased mortality. Despite the clinical and social-medical relevance of this condition, standardized recommendations for disability assessment within the German Social Compensation Law have been lacking. The aim of this study was to develop nationally uniform, ICF-oriented criteria for determining the degree of disability (GdB) in individuals with manifest osteoporosis and vertebral fractures.</p><p><strong>Methods: </strong>Criteria were developed using a modified Delphi process comprising three survey rounds. A national steering committee coordinated data collection and defined consensus thresholds. The expert panel included osteologists, rheumatologists, orthopedic surgeons, geriatricians, social and rehabilitation medicine specialists, and a patient representative. Items from the ICF domains body structures, body functions, and activities and participation were evaluated; consensus was defined as ≥70% agreement.</p><p><strong>Results: </strong>Clearly defined four-tiered criteria were established that could be matched to the abstract severity categories of the German \"Versorgungsmedizin-Verordnung\" (VersMedV). These criteria comprehensively capture key structural and functional characteristics of vertebral fractures as well as everyday functional and participation-related aspects. The agreed-upon criteria constitute the first operationalized system for GdB assessment based on valid and reproducible measurement instruments.</p><p><strong>Conclusion: </strong>This work provides the first ICF-oriented, operationalized framework for the social-medical assessment of osteoporosis with vertebral fractures and establishes a foundation for nationwide standardized, objective, and reproducible GdB determination.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551542","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 subjective experience of employment of young adults with rheumatoid arthritis on the general labour market - A qualitative study].","authors":"Lena Lorenz, Christian Walter-Klose","doi":"10.1055/a-2892-2078","DOIUrl":"https://doi.org/10.1055/a-2892-2078","url":null,"abstract":"<p><strong>Purpose: </strong>The search for inclusion and participation of people with disabilities is increasingly becoming the focus of research in the context of demographic development and the associated labour shortage. The research situation in the context of chronic diseases is considered to be low in the national area. This applies in particular to rheumatoid arthritis (RA) in young adulthood. Existing work points to the importance of adaptations in the field of work and working time.</p><p><strong>Methods: </strong>As part of the study, 17 individual interviews were conducted with young adults aged 18 to 35. These were transcribed and analyzed using the content-structuring qualitative content analysis.</p><p><strong>Results: </strong>As a result of the relapsing disease activity, physical limitations occurred in the affected persons in their daily work routine. These were aggravated by accompanying symptoms of the disease. With regard to the work situation, it was evident that a lack of flexible working hours, work breaks and places as well as the lack of ergonomic workplace design and accessibility at the workplace could contribute to the physical limitations of the disease. Socio-psychological challenges, such as incomprehension and prejudices on the part of colleagues and/or managers with regard to a chronic illness, led to further psychosocial difficulties in those affected.</p><p><strong>Conclusion: </strong>The present study provides initial insights into the individual-specific and work-related challenges of young adults with rheumatic disease. With reference to the multilevel model of occupational inclusion, the individual problems of the affected employees can be traced back to multiple influencing factors.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551537","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":"[Exercise therapy in the medical rehabilitation of German Pension Insurance: Healthcare provision in the context of the Covid-19 pandemic].","authors":"Lukas Born, Silke Brüggemann","doi":"10.1055/a-2858-9627","DOIUrl":"https://doi.org/10.1055/a-2858-9627","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to examine exercise therapy in medical rehabilitation provided by the German Pension Insurance (DRV) in 2022 and assess possible impacts of the COVID-19 pandemic.</p><p><strong>Methods: </strong>We analyzed routine data from 2022 and 2023, collected within DRV's rehabilitation quality assurance and coded the data using the Classification of Therapeutic Services (KTL). Scope, distribution, and formats of exercise therapy (sports and exercise therapy, physiotherapy, recreation therapy) were evaluated across eleven indications. Data from 2007 and 2014 served as historical comparators.</p><p><strong>Results: </strong>In 2022, exercise therapy accounted for an average of 40.2% of total rehabilitation treatment time. The highest share was observed in orthopedics (49.5%), the lowest in rehabilitation for substance use disorders (13%). The average weekly duration was 8.8 hours, markedly lower than in 2014. Oncology and neurology showed the most pronounced declines, alongside reductions in group therapy time. In 2023, the share of exercise therapy increased again to an average of 45.3%.</p><p><strong>Conclusions: </strong>Exercise therapy remains a cornerstone of rehabilitation within the DRV but varies considerably across indications. The COVID-19 pandemic led to substantial reductions, particularly in group and physiotherapy services. First post-pandemic data indicate a partial recovery; further research is needed to clarify long-term effects.</p>","PeriodicalId":54504,"journal":{"name":"Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439020","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}