Journal of Rehabilitation Medicine最新文献

{"title":"Healthcare utilization in patients with spina bifida and bone fractures.","authors":"Adrian M Fernandez, Than Kyaw, Debbie Goldberg, I Elaine Allen, Yi Li, Alfredo Fernandez, Hillary Copp, Lindsay A Hampson","doi":"10.2340/jrm.v58.45674","DOIUrl":"10.2340/jrm.v58.45674","url":null,"abstract":"<p><strong>Objective: </strong>To compare bone fractures and fracture-related healthcare costs in individuals with and without spina bifida (SB).</p><p><strong>Design: </strong>This is a retrospective observational trial.</p><p><strong>Subjects/patients: </strong>California's Healthcare Access and Information database was utilized to identify all individuals with SB who sought care in California emergency departments, inpatient hospitals, or ambulatory surgery centres between 2005 and 2017.</p><p><strong>Methods: </strong>Bone fracture encounters and associated healthcare utilization factors were compared among individuals with spina bifida vs individuals without spina bifida, matched 5:1 by birth year.</p><p><strong>Results: </strong>Between 2005 and 2017, 20,290 individuals with spina bifida sought care in California emergency departments, inpatient hospitals, or ambulatory surgery centres. Compared with 101,450 individuals in the comparison group, those with spina bifida were more likely to seek care for a bone fracture (OR 1.64, p < 0.001) and more likely to sustain repeat fractures (36% vs 26%, p < 0.001). Individuals with spina bifida sustained more bone fractures per capita at each body location studied, with more than double the fractures per capita at the chest (2.0x), foot (2.1x), pelvis (2.4x), leg (2.5x), and vertebrae (2.5x). Individuals with spina bifida spent more cumulative days hospitalized for bone fractures (mean 9.4 vs 7.6, p < 0.001).</p><p><strong>Conclusion: </strong>Individuals with spina bifida were diagnosed with more bone fractures per capita than age-matched persons without spina bifida.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45674"},"PeriodicalIF":2.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354743","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":"Early rehabilitation in trauma patients: an observational study from two Norwegian trauma centers.","authors":"Ingri G Olsen, Marianne Wesnes, Hanne Næss, Eike Wehling, Eirik Vikane, Geir Arne Sunde, Oddvar Uleberg, Lars Gunnar Johnsen","doi":"10.2340/jrm.v58.45625","DOIUrl":"10.2340/jrm.v58.45625","url":null,"abstract":"<p><strong>Objective: </strong>To examine the provision of consultation by a specialist in physical and rehabilitation medicine, and timing of early rehabilitation services for severely injured trauma patients as recommended in the Norwegian Trauma Plan.</p><p><strong>Design: </strong>Observational cohort study.</p><p><strong>Subjects/patients: </strong>Adults aged ≥ 18 years admitted with severe (New Injury Severity Score > 12) traumatic injuries.</p><p><strong>Methods: </strong>Observational cohort study with data from the Norwegian Trauma Registry and medical records. Outcomes included consultation with a physical and rehabilitation medicine specialist, timing of assessment, and involvement of health professions.</p><p><strong>Results: </strong>Among 317 patients, 10% received assessment by a physical and rehabilitation medicine specialist within 72 h. Early assessment occurred in 43% (n = 6) of patients with spinal cord injury, 12% (n = 8) with traumatic brain injury, and 7% (n = 17) with multitrauma. Overall, 31% (n = 99) of all patients were assessed by a physical and rehabilitation medicine specialist, including 93% (n = 13) of spinal cord injury patients, 57% (n = 39) with traumatic brain injury, and 19% (n = 43) with multitrauma. Physiotherapists assessed 72% of patients, while involvement from other rehabilitation professionals was limited.</p><p><strong>Conclusion: </strong>Despite recommendations, only one-third of patients were assessed by a physical and rehabilitation medicine specialist, and 10% within 72 h. Physiotherapy was common, but other rehabilitation input was limited. Patients with spinal cord injury received more comprehensive care than those with traumatic brain injury or multitrauma.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45625"},"PeriodicalIF":2.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354745","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":"Ambulatory individuals with spinal cord injury using walking aids generally do not report better long-term outcomes than wheelchair users: results from the InSCI-NL survey.","authors":"Marthe C G Langerwerf, Karin Postma, Janneke Stolwijk-Swuste, Marga Tepper, Majanka Heijenbrok-Kal, Marcel Post, Rita J G Van den Berg-Emons, Rutger Osterthun","doi":"10.2340/jrm.v58.44939","DOIUrl":"10.2340/jrm.v58.44939","url":null,"abstract":"<p><strong>Objective: </strong>Greater mobility independence after spinal cord injury is thought to lead to better long-term outcomes. However, evidence is inconclusive for ambulation compared with wheelchair dependency. This study aimed to describe and compare long-term outcomes across mobility levels in individuals with spinal cord injury.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Subjects: </strong>Community-dwelling individuals with spinal cord injury in the Netherlands.</p><p><strong>Methods: </strong>Data were collected via the Dutch arm of the International Spinal Cord Injury (InSCI-NL) Survey (2018). Mobility level was assessed using the modified Spinal Cord Independence Measure-Self-Report. Long-term outcomes were compared across mobility levels, using generalised linear models.</p><p><strong>Results: </strong>253 participants were included with a mean (standard deviation) age of 58.7 (13.6) years and median [interquartile range] time since injury of 10 [5.0-22.0] years. Electric wheelchair users reported lower functional independence, and more participation problems and secondary health conditions compared with manual wheelchair users (p < 0.001). Ambulatory individuals using walking aids reported no better outcomes than manual wheelchair users, except for functional independence (p < 0.001). Ambulatory individuals without walking aids reported more paid work than those with walking aids (62.7% vs 34.3%, p < 0.001).</p><p><strong>Conclusion: </strong>In general, electric wheelchair users reported the least favourable long-term outcomes. Remarkably, ambulatory individuals using walking aids generally did not report better outcomes than manual wheelchair users.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44939"},"PeriodicalIF":2.3,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354703","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":"Inter-rater reliability and construct validity of a cross-diagnostic movement quality score for rehabilitation assessment.","authors":"Koji Ohata, Takeshi Kozakai, Kazuhisa Someya, Takatomi Narita, Natsuki Watanabe, Yuko Mine, Shinichi Daikuya","doi":"10.2340/jrm.v58.45701","DOIUrl":"10.2340/jrm.v58.45701","url":null,"abstract":"<p><strong>Objective: </strong>To examine the inter-rater reliability and construct validity of a Movement Quality Score (MQS) within the Standard Physical Therapy Assessment (SPTA) across diagnostic groups.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Subjects and methods: </strong>Eighty-four hospitalized patients undergoing rehabilitation for neurological, musculoskeletal, or internal medical conditions were included. Inter-rater reliability was assessed in 68 participants independently evaluated by 2 physiotherapists. The MQS was scored using the SPTA component. Inter-rater reliability of the summed score was analysed using the intraclass correlation coefficient (ICC [2,1]). Construct validity was examined using Spearman's rank correlations between the MQS and the Functional Independence Measure (FIM) motor total score and its subdomains (self-care, sphincter control, transfers, and locomotion), as well as other SPTA components.</p><p><strong>Results: </strong>The MQS demonstrated excellent inter-rater reliability (ICC [2,1] = 0.93). It showed a very strong correlation with the FIM motor total score (ρ = 0.91, p < 0.001), with strong associations for transfers and locomotion (ρ = 0.92) and self-care (ρ = 0.86). The correlation with sphincter control was lower (ρ = 0.68).</p><p><strong>Conclusion: </strong>The MQS demonstrates excellent reliability and strong construct validity, supporting its use as a movement-focused complement to activities of daily living-based assessments in heterogeneous rehabilitation populations.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45701"},"PeriodicalIF":2.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13307465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304077","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":"Living with spinal cord injury in the community of Bangladesh: a comprehensive analysis using the ICF framework.","authors":"Taslim Uddin, Mohammad Tariqul Islam, Rijwan Bhuiyan, Anika Tasnim, Mohammad Sohrab Hossain, Md Atiqul Haque","doi":"10.2340/jrm.v58.44856","DOIUrl":"10.2340/jrm.v58.44856","url":null,"abstract":"<p><strong>Objective: </strong>To describe limitations in functioning (activities and participation) and environmental and personal factors that are associated with functioning using the ICF framework among persons living with spinal cord injury in the community of Bangladesh.</p><p><strong>Design: </strong>Cross-sectional study, Bangladesh arm of the International Spinal Cord Injury (InSCI) Community Survey (2023-2024).</p><p><strong>Subjects/patients: </strong>789 individuals with spinal cord injury.</p><p><strong>Methods: </strong>Face-to-face interview through culturally adapted InSCI questionnaires. Generalized linear models were used to determine the associated factors.</p><p><strong>Results: </strong>Participants were predominantly male (73%), aged 18-40 years (51%), and from rural areas (63%). More than one-third had tetraplegia (34%). Tetraplegic participants reported greater limitations across all ICF domains compared with paraplegics (all p <  0.01). Determinants of poorer outcomes included male sex, younger age, low education, rural residence, and severe injury of all ICF domains.</p><p><strong>Conclusion: </strong>Individuals with spinal cord injury in Bangladesh face severe restrictions in functioning and participation, shaped by sociodemographic and clinical factors. These findings echo global evidence from other InSCI countries and LMIC studies, highlighting systemic barriers common to resource-constrained settings. Addressing these disparities through accessible rehabilitation, policy reforms, and cross-national knowledge exchange is critical to advancing equitable spinal cord injury care worldwide.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44856"},"PeriodicalIF":2.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304099","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":"Who may benefit from robot-assisted gait training with an exoskeleton in subacute stroke patients? A prespecified analysis.","authors":"Won Hyuk Chang, Tae-Woo Kim, Hyoung Seop Kim, Fazah Akhtar Hanapiah, Jong Weon Lee, Seung-Hyeon Han, Chai Wen Jia, Dae Hyun Kim, Deog Young Kim","doi":"10.2340/jrm.v58.45822","DOIUrl":"10.2340/jrm.v58.45822","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors associated with the achievement of independent gait after the robot-assisted gait training (RAGT) with an exoskeletal wearable robot in subacute stroke patients.</p><p><strong>Design: </strong>An international, multicentre, randomized, controlled trial.</p><p><strong>Subjects/patients: </strong>This prespecified analysis was performed on 58 and 69 subacute stroke patients in the RAGT and control groups.</p><p><strong>Methods: </strong>Each RAGT and the conventional gait training was provided 5 times per week for a period of 4 weeks. A Functional Ambulation Categories score of > 3 immediately post-intervention was defined as independent ambulation and clinical significance. Univariate and multivariate binary logistic regression models were used to determine possible predictors of clinically significant response to the RAGT and the conventional gait training.</p><p><strong>Results: </strong>The 2 independent factors with the greatest impact on the response to RAGT for the achievement of independent gait were initial cognitive function and affected lower extremity power (p < 0.05). However, in the control group, stroke duration from onset to treatment and affected lower extremity power were significant independent factors (p < 0.05).</p><p><strong>Conclusion: </strong>This prespecified analysis suggests that the efficacy of RAGT with a wearable exoskeleton appears to be less dependent on time since onset within the early subacute phase, highlighting the importance of preserved cognitive function.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45822"},"PeriodicalIF":2.3,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13282731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267166","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":"The association of daily urinary and bowel incontinence with emotional functioning in young adults with spina bifida: an ecological momentary assessment study.","authors":"Devon J Hensel, Audrey I Young, Konrad M Szymanski","doi":"10.2340/jrm.v58.45594","DOIUrl":"10.2340/jrm.v58.45594","url":null,"abstract":"<p><strong>Objective: </strong>Urinary and bowel incontinence are common in young adults with spina bifida and may affect emotional functioning and health-related quality of life. Prospective data describing day-level incontinence experiences in this population are limited. This study used ecological momentary assessment to characterize daily variability in urinary and bowel incontinence and to examine associations with mood, incontinence-related anxiety, and health-related quality of life.</p><p><strong>Methods: </strong>In a 30-day ecological momentary assessment study of adults with spina bifida and recent incontinence, young adults with spina bifida (n = 23; ages 18-26) completed 643 end-of-day assessments. Daily measures included urinary and bowel incontinence frequency, amount, dry intervals, management independence, activity avoidance, positive and negative mood, and incontinence-related anxiety. Health-related quality of life was assessed at study completion. Analyses were exploratory and used nonparametric methods appropriate for ordinal and intensive repeated measures data.</p><p><strong>Results: </strong>Urinary incontinence was reported on 54.1% of study days and bowel incontinence on 20.8%. For urinary incontinence, greater frequency, shorter dry intervals, larger amounts, and activity avoidance were associated with lower positive mood, higher negative mood, and greater urinary incontinence-related anxiety. For bowel incontinence, greater symptom severity, management dependence, and activity avoidance were associated with poorer mood and higher bowel incontinence-related anxiety. Multiple day-level incontinence characteristics and daily emotional responses were associated with lower end-of-month health-related quality of life.</p><p><strong>Conclusion: </strong>In young adults with spina bifida, day-level incontinence burden is associated with same-day emotional functioning and longer-term health-related quality of life. These findings highlight the relevance of day-level symptom variability for rehabilitation assessment and individualized continence management.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45594"},"PeriodicalIF":2.3,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13282774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267175","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":"Medical complications in children with central nervous system injuries during inpatient rehabilitation.","authors":"Kristine Marie M Vege, Grethe Månum, Katharina S Sunnerhagen, Frank Becker","doi":"10.2340/jrm.v58.44907","DOIUrl":"10.2340/jrm.v58.44907","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the occurrence and consequences of medical complications during inpatient rehabilitation of children with central nervous system (CNS) injury.</p><p><strong>Design: </strong>A prospective observational study conducted at a tertiary rehabilitation centre.</p><p><strong>Subjects: </strong>Participants aged 2 to 17 years with acquired CNS injury requiring multidisciplinary inpatient rehabilitation.</p><p><strong>Methods: </strong>Data were collected from medical charts and questionnaires on admission and discharge, assessing predefined complications and associated impacts on the rehabilitation process.</p><p><strong>Results: </strong>Of the 64 participants, 59 experienced a total of 183 instances of medical complications, comprising 19 distinct complication types. Most common were sleep disturbances, pain, -constipation, anaemia, infections, spasticity, and malnutrition. No significant correlation was observed between the occurrence of complications and age, gender, or diagnosis group. In total, 74% of the complications were found to have no impact on the rehabilitation process; however, malnutrition, infections, and spasticity could notably lead to interrupted or prolonged stays, altered rehabilitation goals, and worsened functional prognoses.</p><p><strong>Conclusion: </strong>Medical complications frequently occur during inpatient rehabilitation. While many have no significant consequences, malnutrition, infections, and spasticity in particular warrant further attention clinically and in future research.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44907"},"PeriodicalIF":2.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13273623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254540","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":"Suprapubic catheter insertion in people with multiple sclerosis: long-term complications and survival in a retrospective cohort study.","authors":"Lisa Grandidge, Amin Mohamed Abu Baker, Steven Kennish, Krishnan Padmakumari Sivaraman Nair","doi":"10.2340/jrm.v58.45600","DOIUrl":"10.2340/jrm.v58.45600","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate complications and survival following radiologically guided suprapubic catheter insertion in people with multiple sclerosis.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Subjects/patients: </strong>All patients with multiple sclerosis who underwent radiologically guided suprapubic catheter insertion at a tertiary regional multiple sclerosis centre in the United Kingdom between 2014 and 2020.</p><p><strong>Methods: </strong>Clinical and demographic data were obtained from medical records. Immediate complications occurring within 30 days and delayed complications occurring after 30 days were recorded. Kaplan-Meier and Cox regression analyses were performed to assess survival predictors.</p><p><strong>Results: </strong>Fifty-five patients underwent suprapubic catheter insertion. At the time of insertion, mean age was 62 years (standard deviation 11) and median duration of multiple sclerosis was 17.5 years (1st quartile = 12.0; 3rd quartile = 25.8). Immediate and delayed complication rates were 16% (9) and 27% (15), respectively. Five-year survival was 73%. Older age, higher disability scores, longer disease duration, and discharge to residential care were associated with poorer survival. Complications, sex, and mobility status were not associated with mortality.</p><p><strong>Conclusion: </strong>Radiologically guided suprapubic catheter insertion was associated with moderate complication rates and long-term survival in people with multiple sclerosis. These findings may allow better understanding of the potential complications of suprapubic catheterization in advanced multiple sclerosis.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45600"},"PeriodicalIF":2.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159140","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":"Commentary on \"Does aerobic exercise affect memory, attention, working memory, and fatigue after acquired brain injury? A single-blinded randomized controlled pilot study\".","authors":"Palakdeep Kaur, Raju Kumar, Nitin Kumar Indora","doi":"10.2340/jrm.v58.45973","DOIUrl":"10.2340/jrm.v58.45973","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45973"},"PeriodicalIF":2.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159123","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}