Australasian Journal on Ageing最新文献

{"title":"Implementing frailty interventions in hospitals: A systematic review of strategies and outcomes","authors":"Kisani Manuel,&nbsp;Madison Chapman,&nbsp;Maria Crotty,&nbsp;Gill Harvey,&nbsp;Susan E. Kurrle,&nbsp;Kate Laver","doi":"10.1111/ajag.70060","DOIUrl":"https://doi.org/10.1111/ajag.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This systematic review aimed to identify the nature and effects of implementation strategies used to improve the care of older people with frailty in hospital settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We included randomised controlled trials (RCTs), non-RCTs, before–after studies and interrupted time series describing clinical frailty-focussed interventions and implementation strategies aimed at improving outcomes for older people with frailty in hospital settings. We included peer-review articles and PhD theses published from the Year 2000 onwards. We excluded publications not in English and conference abstracts. Four electronic databases (Medline, PsycInfo, CINAHL and Scopus) were searched, alongside grey literature, in April 2024. Risk of bias was analysed using the NIH Quality Assessment Tool. A narrative synthesis approach was undertaken, with the RE-AIM framework used to present data for implementation outcomes and the Expert Recommendations for Implementing Change (ERIC) taxonomy used to categorise implementation strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies were included; all were pre-/postdesigns and published post-2014. Most studies involved implementing frailty assessments to trigger care planning and pathways for people with frailty. Twelve studies reported positive improvements in one or more primary outcomes. Common implementation strategies included developing quality monitoring tools, mandating change, promoting adaptability of the intervention and distributing educational materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Frailty interventions in hospital settings are usually multicomponent and highly influenced by context. This review confirms the feasibility of frailty screening and intervention in hospital settings, but implementation strategies are not well-reported. Future research should prioritise rigorous study designs and reporting to optimise the transferability of successful implementation strategies for frailty interventions to other health-care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367441","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":"University students' perceptions for healthy ageing in the Asia-Pacific: A content analysis","authors":"Mary Rozelle,&nbsp;Meiqi Xin,&nbsp;Ksenia Kubasova,&nbsp;Jonathan Guillemot,&nbsp;Matthew Lee,&nbsp;Noran N. Hairi,&nbsp;Mellissa Withers","doi":"10.1111/ajag.70061","DOIUrl":"https://doi.org/10.1111/ajag.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Population ageing is a global phenomenon. The World Health Organization's <i>Decade of Healthy Ageing</i>, known as <i>the Decade</i>, underscores the value of building age-friendly environments, combating ageism and improving care for older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-eight teams of students from 10 Asia-Pacific economies participated in a competition on improving older adult care. We performed a content analysis of video proposals, applying <i>the Decade's</i> four key action areas as a novel way to examine student perceptions of healthy ageing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regarding <i>the Decade,</i> most proposals addressed integrated health care and age-friendly environments, but few addressed long-term care and/or ageism. Social isolation was a priority, with proposals commonly featuring technological tools and socially supportive spaces for older adults and carers as solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Students valued technology-based strategies and socially connected environments to promote mental health and active ageing as critical components of healthy ageing. The results demonstrated the need for programs that counter ageism.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367490","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":"Music groups and connectivity: Older adults' perceptions of socialising through community music","authors":"Helen English,&nbsp;Aimee Corderoy","doi":"10.1111/ajag.70057","DOIUrl":"https://doi.org/10.1111/ajag.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>While evidence for the benefits of engagement with music-making as we age is well-established, we know less about older adults' perceptions of and aspirations for involvement in music-making. This article aimed to discover older adults' experiences of connectivity through and in music, and what enables positive experiences. It draws on a community music case study with older adults in Hobart, Tasmania, in 2023, one of five in a larger research project on creative ageing with music.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The methodology was phenomenological, using a participatory approach to engage diverse participants in collaborative and culturally sensitive research that foregrounded the participant voice. Fifty-five participants were recruited from five music groups: two choirs, a ukulele group, a string band and a four-piece band. Methods were observation, participation, discussions and interviews. The analysis employed a reflexive thematic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes relating to connectivity were generated from engagement with the data: connecting with music; support to learn and realise musical selves; connections through music and beyond; and heightened connections and musical experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Participants stressed the importance of the welcome and accessibility they experienced in music groups to overcome self-doubt and shared how important connections and social support were for their motivation and personal and musical growth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339263","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":"Taking stock of Age-Friendly Cities in Aotearoa New Zealand: Progress, pitfalls and pathways towards healthy ageing","authors":"Michael Annear,&nbsp;Caitlin Hyde","doi":"10.1111/ajag.70058","DOIUrl":"https://doi.org/10.1111/ajag.70058","url":null,"abstract":"<p>Cities across Aotearoa New Zealand are undergoing rapid demographic transitions towards super-aged communities. Such changes necessitate innovations to support healthy ageing that incorporate social and environmental developments in addition to health service improvements. The World Health Organization (WHO) Age-Friendly Cities (AFC) framework and global network provide guidance and pathways to enhance livability and well-being for ageing societies. New Zealand's engagement with the WHO AFC network has been both recent and inconsistent, with only seven municipalities formally participating since 2018, and limited uptake among larger population centres. Drawing on published action plans and evaluation reports at city and district level, demographic trend data at national and sub-national scale, and government and WHO policy and procedural documents, this paper critically examines the progress and challenges associated with AFC initiatives in New Zealand since 2018. While there is evidence of gradual increases in AFC commitment at both national and local level in New Zealand, including growth of a local proxy network, significant gaps and limitations remain with engagement and implementation. Five key challenges are identified, including the lack of operationalisation and measurement of indicators of AFC development and success, overreliance on implementation partners, a lack of sustainable funding commitments, limited support for community advocates and volunteers, and challenges engaging cities and districts in the context of competing urban design frameworks. Actionable recommendations are proposed to strengthen AFC development, including improved integration of AFC principles in urban planning, formalised key performance indicators, and enhanced support for community champions.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315063","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":"Changing cultures of ageing and spirituality By E. MacKinlay, A. Harrington, Routledge. Taylor & Francis Publishing. 2024. 170 pages. $67.19 (soft cover). ISBN: 9781032561264","authors":"Kieva Richards","doi":"10.1111/ajag.70028","DOIUrl":"https://doi.org/10.1111/ajag.70028","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315243","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":"Pilot implementation of the mod-REFS frailty screening tool in an Australian home care provider to improve client health and well-being","authors":"Ahsan Saleem,&nbsp;Kylie Elder,&nbsp;Pamela Smedley,&nbsp;Rajna Ogrin,&nbsp;Judy A. Lowthian","doi":"10.1111/ajag.70056","DOIUrl":"https://doi.org/10.1111/ajag.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty refers to increased vulnerability and decreased resilience with associated increased risk of adverse health outcomes. Frailty mostly affects older adults; hence, early identification is necessary to prevent further decline. To help optimise health and well-being, we aimed to implement a holistic frailty screening tool, the modified Reported Edmonton Frail Scale (mod-REFS) within an Australian aged and community home care provider.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Implementation Framework for Aged Care guided implementation and evaluation, including co-design with key stakeholders. Clinical (nurses and allied health) and non-clinical (personal care workers) home care staff administered the mod-REFS in a pilot. Evaluation of feasibility, acceptability and fidelity of the tool was undertaken using administrative data alongside a staff survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between July and October 2023, the mod-REFS was completed for 218 clients from Queensland and Victoria, with almost two-thirds (<i>n</i> = 142, 65%) identified as either prefrail (<i>n</i> = 57, 26%) or frail (<i>n</i> = 85, 39%). A greater percentage were prefrail and frail in Victoria than in Queensland. The staff survey (<i>n</i> = 27) identified that the mod-REFS was considered helpful by most (<i>n</i> = 15, 55%); quick, easy to use, concise, very practical; and able to identify frailty levels and other important issues such as depression. Most staff (<i>n</i> = 23, 85%) required no training to use the tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementing the mod-REFS to identify prefrailty or frailty was feasible and acceptable when administered by a range of home care staff. Implementation requires input from all stakeholders. Early identification and intervention could prevent deterioration and improve well-being of those receiving home care services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281434","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":"First steps in co-designing an online patient decision support tool for enhanced medication management in older people","authors":"Temitope Esther Afolabi,&nbsp;Sarah N. Hilmer,&nbsp;Christopher Etherton-Beer,&nbsp;Lisa Kouladjian O'Donnell","doi":"10.1111/ajag.70053","DOIUrl":"https://doi.org/10.1111/ajag.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To develop a preliminary version (minimum viable product [MVP]) of an online medication management patient decision support for older people informed by a stakeholder committee (SC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A SC comprising of consumers, health-care practitioners and researchers was recruited to inform the development of the MVP. The SC met via videoconferencing, individually or in groups, with investigators to provide guidance and advice on the design and features of the MVP. Brief content analysis was performed on data extracted from video-recorded meetings, meeting minutes, notes and email correspondence to inform the MVP development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SC comprised two older people, one carer, pharmacist, nurse, geriatrician, general practitioner and two digital health researchers (<i>n</i> = 9) from three Australian states. In collaboration with the SC, an MVP called <i>My Medicine Goals</i> (mymedicinegoals.com) was developed for older people. It supports consumers to document and update their medicines list; identify, plan and communicate goals of care; and provides a medicines information resource hub. Other tools include interactive versions of the revised Patient's Attitudes Towards Deprescribing questionnaire and self-assessment of medication risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This project presents an approach empowering older people and carers to play active roles in co-design research to develop relevant and impactful online patient-facing health-care applications for older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273467","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":"Using acousmatic storytelling to facilitate communication and social interactions in people living with dementia: An iterative exploratory 12-week study","authors":"Soon Yi Chua,&nbsp;Justin Christensen,&nbsp;Renee Timmers,&nbsp;Julia Schauerman,&nbsp;Kathryn Rawling","doi":"10.1111/ajag.70052","DOIUrl":"https://doi.org/10.1111/ajag.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Communication challenges in people living with dementia can limit social interactions with fellow residents and hinder professional carers' ability to provide person-centred care. While research highlights the benefits of reminiscence, storytelling and music interventions in facilitating social interaction, the potential of using soundscapes in storytelling remains underexplored. This qualitative study investigated how acousmatic storytelling—using sound recordings and music to inspire storytelling, evoke imagery and emotion, and iteratively develop hybrid audio compositions—can enhance communication and social interactions in people living with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve one-hour workshops were conducted with individuals in the early to mid-stages of dementia at a care home, using auditory cues (music and soundscapes) and visual prompts (photographs and poems) to stimulate memory recall, storytelling and group discussion. Data were collected through video and audio recordings, participant observation and semi-structured interviews with care workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inductive thematic analysis identified two key themes in verbal communication: (1) reminiscence and (2) creative sound associations, as well as five themes for non-verbal behaviours: (1) supporting verbal communication, (2) substituting verbal communication, (3) expressing emotions, (4) enhancing rapport with others and (5) expressing musicality. These themes highlight how participants engaged meaningfully in both storytelling and group interactions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that acousmatic storytelling offers a platform for individuals living with dementia to engage in verbal communication, employ purposeful non-verbal behaviours and participate in meaningful social interaction. This highlights its potential as a narrative approach for enhancing person-centred care in long-term care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273466","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":"Overcoming geographic barriers with telemedicine: Digital transformation strategies for preventing cardiovascular disease in older adults","authors":"Sanyuan Wei,&nbsp;Ruolan Wang","doi":"10.1111/ajag.70055","DOIUrl":"https://doi.org/10.1111/ajag.70055","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264498","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":"Exploring care staff perspectives of malnutrition in residential aged care","authors":"Karly Bartrim,&nbsp;Rhiannon Hill,&nbsp;Marie-Claire O'Shea","doi":"10.1111/ajag.70054","DOIUrl":"https://doi.org/10.1111/ajag.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to explore the understanding of care staff in Residential Aged Care (RAC) regarding malnutrition and their perspectives on the multideterminant factors associated with providing nutrition care to residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted, utilising the socioecological model as a framework. Focus groups were conducted with current RAC care staff and were recruited via convenience sampling. Three focus groups were conducted using semi-structured questions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen RAC care staff (<i>n</i> = 13 female participants) with a range of career experience participated in focus groups (five participants per focus group). Two main themes and five subthemes were identified. Theme 1: lack of understanding of malnutrition, with subthemes of: 1.1: there are no residents with malnutrition in my facility, 1.2: gaining weight is more of a concern than weight loss (associated with malnutrition), and Theme 2: feeling restrained in doing more, with subthemes of: 2.1: limited time and lack of staff impact the care I can provide, 2.2: residents with malnutrition have greater care needs, and 2.3: lack of social support contributes to malnutrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study explored malnutrition issues in RACs from care staff perspectives. Care staff expressed genuine care for residents, yet felt they lacked capacity to provide adequate support, particularly for those with malnutrition. Staff shortages, inadequate training, and time constraints affected their ability to attend to resident needs. The study identified systematic issues, particularly at the policy level, in malnutrition management, providing a clear focus for improvement and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256343","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}