Australasian Journal on Ageing最新文献

{"title":"Reply to Letter to the Editor ‘Three Additional Considerations for Interpreting HbA1c in Frail Older Adults With Diabetes’","authors":"Gideon Meyerowitz-Katz, Julee McDonagh, Scott William, Reejamol John, Tien-Ming Hng, Mark McLean, Mary Bul, Richard I. Lindley, Caleb Ferguson","doi":"10.1111/ajag.70213","DOIUrl":"10.1111/ajag.70213","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665146","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":"Topics in Geriatric Care: What Matters for Healthy Ageing. By J. Byles, Singapore: Springer Nature, 2026. $169.00 (ebook). ISBN: 978-9-81-960462-3","authors":"Justin Keogh","doi":"10.1111/ajag.70212","DOIUrl":"https://doi.org/10.1111/ajag.70212","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148616808","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":"Relationship Between External Abdominal Pressure, and Respiratory and Physical Functions in Older Individuals Living in the Community","authors":"Naofumi Sato,&nbsp;Shinya Ogaya,&nbsp;Ryo Abe,&nbsp;Masashi Zenta,&nbsp;Hiromichi Mizukoshi,&nbsp;Satoshi Kido","doi":"10.1111/ajag.70208","DOIUrl":"10.1111/ajag.70208","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>External abdominal pressure may reflect both respiratory and physical functions. However, the nature of these relationships in community-dwelling older adults remains unclear. Therefore, in this study, we aimed to clarify the relationships between external abdominal pressure and respiratory and physical functions in community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Respiratory function and muscle strength were evaluated using a spirometer. Physical function was assessed using grip strength, knee extensor strength, chair stand test, 5-m walking speed, seated stepping and one-leg standing test. Age, sex, height and weight were adjusted, and Pearson's correlation and multiple regression analyses were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty-seven community-dwelling older adults participated in a physical fitness measurement session, including external abdominal pressure measurements. External abdominal pressure was significantly and positively correlated with vital capacity (VC), forced VC, forced expiratory volume in 1 s, maximum inspiratory mouth pressure (PImax), knee extensor strength and grip strength. Sex and knee extensor strength were independent factors associated with external abdominal pressure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>External abdominal pressure in older adults was associated with both respiratory and physical functions. Sex and lower-limb muscle strength were identified as independent associated factors. These findings suggest that external abdominal pressure may be a useful non-invasive indicator reflecting physical function in older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594820","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 Development of a Framework to Support Ageing Well in the Torres Strait and Northern Peninsula Area of Australia","authors":"Rachel Quigley,&nbsp;Sarah Russell,&nbsp;Edward Strivens,&nbsp;Betty Sagigi,&nbsp;Chenoa Wapau,&nbsp;Sarah Larkins,&nbsp;Sean Taylor,&nbsp;Leon Flicker,&nbsp;Kate Smith,&nbsp;Dina LoGiudice,&nbsp;Nancy A. Pachana,&nbsp;Michelle Redman-MacLaren","doi":"10.1111/ajag.70211","DOIUrl":"10.1111/ajag.70211","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Older Aboriginal and Torres Strait Islander Australians are central to their communities, providing cultural leadership and care. However, colonisation and systemic inequities have led to significant health disparities, with chronic diseases and dementia disproportionately affecting those aged over the age of 55 years. This study aimed to develop a strengths-based framework to support healthy ageing in the Torres Strait and Northern Peninsula Area.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A participatory action research approach was conducted across five communities, involving yarning circles with 45 community members, clinical audits of 1128 residents using the Healthy Ageing Audit Tool (HAAT) and continuous quality improvement (CQI) initiatives. Findings informed the co-design of an Ageing Well Framework, refined through stakeholder workshops and community feedback.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The HAAT audit revealed high rates of chronic disease and multimorbidity among adults aged over 55 years, alongside gaps in preventive care, including low rates of cardiovascular risk and dementia screening and limited follow-up for abnormal findings. Continuous Quality Improvement (CQI) activities highlighted opportunities to improve culturally appropriate care, such as increased use of Indigenous Health Workers, validated screening tools and comprehensive health assessments. The co-designed Ageing Well Framework outlined strategies at community, primary health care and individual levels to promote cultural and social connectedness, independence and ageing in place.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Ageing Well Framework provides a culturally responsive, evidence-based guide to improving health and well-being for older Aboriginal and Torres Strait Islander Peoples. It fosters collaboration across sectors and prioritises cultural determinants of health, supporting holistic care and addressing health inequities in the Torres Strait and Northern Peninsula Area (NPA).</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594734","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":"Ambulance Responses to Falls Incidents in Queensland Residential Aged Care Facilities: Implications for Policy and Practice","authors":"Alexis Hughes,&nbsp;Florin Oprescu,&nbsp;Prudence Millear,&nbsp;Wendy Kinton,&nbsp;Kerrianne Watt","doi":"10.1111/ajag.70209","DOIUrl":"10.1111/ajag.70209","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Ambulance services are increasingly relied upon to provide a vital emergency point-of-care health service to adults who fall while living in Residential Aged Care Facilities (RACFs). This study examined patterns of ambulance attendance to falls-related cases among people aged 65 years and over living in RACFs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an exploratory, descriptive, retrospective case series study of Queensland Ambulance Service (QAS) response data within a regional area of Queensland, Australia between 1 January 2021 and 31 December 2023. We analysed demographic data, triage category and patterns of QAS attendance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 6663 QAS falls-related attendances during the study period for 3545 unique patients. Attendances increased significantly for the 3 years from 2021 (<i>n</i> = 1916) to 2023 (<i>n</i> = 2528), <i>χ</i>²(df = 2) = 84.35, <i>p</i> &lt; 0.001. Forty-three per cent of residents experienced two or more fall-related events, and 88% of attendances resulted in transport to hospital. Attendance numbers were similar across the days of the week. There were significant differences in when calls were received during the 24 h for all years combined (<i>χ</i>²(df = 23) = 489.62, <i>p</i> &lt; 0.001) and for 2021 (<i>χ</i>²(df = 23) = 182.15, <i>p</i> &lt; 0.001), 2022 (<i>χ</i>²(df = 23) = 154.04, <i>p</i> &lt; 0.001) and 2023 (<i>χ</i>²(df = 23) = 195.22, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings of this study identified an urgent need to address health system optimisation and resource allocation to provide timely and appropriate services to people living in RACFs. Future studies could provide further evidence about the increasing demands on ambulance resources and strategies to improve high-quality, person-centred care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13392976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563808","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":"Prevalence of Benzodiazepine, Z-Drug and Melatonin Use in Australian Residential Aged Care Facilities: A Systematic Review and Meta-Analysis","authors":"Yuxing Joyce Liu,&nbsp;J. Simon Bell,&nbsp;Annie M. L. Ea,&nbsp;Mingxuan Cui,&nbsp;Ho Chan,&nbsp;Faiza Hoda,&nbsp;Amanda J. Cross","doi":"10.1111/ajag.70210","DOIUrl":"https://doi.org/10.1111/ajag.70210","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To systematically examine the prevalence of, and factors associated with, benzodiazepine, Z-drug and melatonin use in Australian residential aged care facilities (RACFs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>MEDLINE, Embase, CINAHL, PsycINFO, Scopus and International Pharmaceutical Abstracts were searched from January 2000 to February 2025 for studies reporting benzodiazepine, Z-drug and/or melatonin prevalence in Australian RACFs. Overall, regular and pro re nata (PRN) medication use was considered. Screening, data extraction and quality assessment were performed independently by two authors. The primary outcome was overall prevalence (regular and PRN) of benzodiazepines, Z-drugs and/or melatonin. Secondary outcomes included regular prevalence, PRN prevalence and medication class prevalence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-two studies (<i>n</i> = 658,585 residents) were included. Overall prevalence of benzodiazepines and/or Z-drugs was 33% (95% confidence interval [CI]: 30.4%–34.7%, 30 studies) when assessed over periods from point prevalence to one-year prevalence. Prevalence was highest when assessed using prescribing (35%) rather than dispensing (32%) or administration (28%) data. Findings were similar when limited to studies published in the last 10 years (31%), studies of 100 or more residents (32%) and when excluding studies conducted in subsets of residents (33%). Benzodiazepine prevalence (35% [95% CI: 32.5%–36.9%], 24 studies) was higher than Z-drug prevalence (0.4% [95% CI: 0.1%–1.1%], three studies). No published studies reported melatonin prevalence, and unpublished regular prevalence ranged 1%–9% (four studies).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>One in three Australian residents in RACFs use benzodiazepines and/or Z-drugs. Targeted interventions are needed to ensure their use is consistent with evidence-based practice and residents' clinical needs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467345","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":"Digital Health Interventions to Improve Medication Adherence Among Older Adults: A Systematic Review","authors":"Kaleab Taye Haile,&nbsp;Wejdan Shahin,&nbsp;Eyob Alemayehu Gebreyohannes,&nbsp;Abdella Birhan Yabeyu,&nbsp;Amina Hareem,&nbsp;Mulugeta Hayelom Kalayou,&nbsp;Xun Yi,&nbsp;Kate Wang","doi":"10.1111/ajag.70206","DOIUrl":"https://doi.org/10.1111/ajag.70206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To review evidence on the type, characteristics and effect of digital health interventions (DHIs) on medication adherence among older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Articles were searched from inception to May 2025 in PubMed, Embase, CINAHL, Scopus and Web of Science. Randomised and non-randomised studies were included if they: involved older people aged 65 years or older; applied any DHI(s); compared the intervention with a comparator group or baseline; and reported medication adherence as an outcome. Risk of bias was assessed using the Cochrane risk of bias tools, and certainty of evidence using GRADE (Grading of Recommendations, Assessment, Development and Evaluation). A narrative synthesis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 35 articles were included, most of which were randomised controlled trials (<i>n</i> = 22). Risk of bias ranged from low to high, and certainty from very low to moderate. Nearly half of the studies (<i>n</i> = 17) reported DHIs improved medication adherence compared with control or baseline. Mobile apps (3/5), electronic reminders (3/3), social assistive robots (1/1), telenursing (1/1) and combined DHIs (2/2) showed the most promise. Interventions that used multiple functionalities or strategies to support behaviour change (reminders or prompts) were most likely to improve adherence. The other DHIs had mixed results or no significant effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While findings across DHIs varied, interventions incorporating tailored reminders, multicomponent features and interactivity may have the potential to be more effective in improving medication adherence among older adults. Further research is needed to identify usage patterns and investigate the factors underlying differences in effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467348","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":"Beyond the Hospital Residential Aged Care Home Referral: A Critical Realist Exploration of Residential Aged Care Admission Practices Directly From Hospital","authors":"Angel Carrasco,&nbsp;Rachna Kumar,&nbsp;Natalia Mendez Arostica,&nbsp;Gunjan Patil,&nbsp;Hendrika Laetitia Hattingh","doi":"10.1111/ajag.70203","DOIUrl":"10.1111/ajag.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study explored the complex decision-making processes underpinning hospital-to-permanent Residential Aged Care Home (RACH) transitions from the perspective of RACH managers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a critical realist methodology, semi-structured interviews were conducted with 15 RACH managers on the Gold Coast, Queensland, Australia. Data were analysed inductively using reflexive thematic analysis to identify patterns and underlying causal mechanisms that shape admission practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five interrelated themes emerged: (1) structural and organisational constraints; (2) screening as organisational risk; (3) resident–facility compatibility; (4) relational and legal negotiation; and (5) logistical coordination. Findings revealed that hospital-to-RACH admission decisions are influenced not only by observable procedural elements but also by deeper systemic mechanisms, including funding structures, staffing limitations, resident mix and policy constraints, which contribute to prolonged hospital wait times for patients awaiting permanent placement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study presents a conceptual model of hospital-to-RACH placement, highlighting the operational realities faced by RACH managers. Findings underscore the need for integrated discharge planning, flexible funding arrangements, and systemic support such as workforce training and cross-sector collaboration to improve the efficiency and quality of care transitions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426766","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":"Response to Letter to the Editor ‘Falls as Sentinel Signals of Transitional Vulnerability in Older Adults’","authors":"YongJoon Kim,&nbsp;Hyoseon Shin,&nbsp;Kyeongmin Jang","doi":"10.1111/ajag.70205","DOIUrl":"10.1111/ajag.70205","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426776","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":"Promoting Voices of People With Dementia: Examining Barriers to Participation in Residential Aged Care Consultation","authors":"Kristina Chelberg,&nbsp;Linda Steele,&nbsp;Kate Swaffer,&nbsp;Lyn Phillipson","doi":"10.1111/ajag.70197","DOIUrl":"10.1111/ajag.70197","url":null,"abstract":"<p>Consultation is fundamental to a responsive aged care system. Cornerstone aged care reforms based on recommendations by the Australian Aged Care Royal Commission mandate resident consultation through the Quality Indicator Program and Resident Experience Survey, a new <i>Aged Care Act</i> and Strengthened Quality Standards. However, people with dementia are known to be underrepresented in research, particularly in residential aged care settings, and emergent scholarship indicates a similar exclusion from aged care policy and reform. Currently, the extent to which residents with dementia participate in consultation remains underexamined. Given the majority of aged care residents live with dementia, it is critical to ensure their voices are heard in consultation that informs aged care systems change. This paper critically examines intersecting domains of cultural, legal and structural barriers that are predicted to contribute to the exclusion of residents with dementia from direct participation in aged care consultation processes. This unaddressed exclusion is argued to be a form of epistemic injustice for residents with dementia that may contribute to unresponsive aged care delivery and high rates of proxy participation. Future directions propose data transparency of resident participation in aged care consultation, and a radical shift towards innovative approaches to ensure <i>all</i> resident voices are heard.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148414022","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}