Pub Date : 2023-09-18DOI: 10.1177/03080226231198343
Hikari Isaji, Aiko Hoshino, Tatsumi Asakura, Yuji Yamashita, Natsumi Murata, Aki Kito
Introduction: Psychiatric day-care services play a central role in community-based care in Japan. Recovery and related psychosocial factors are critical in promoting community participation of people with mental illness. This study aimed to reveal the relationships among activity information, personal recovery, and related psychosocial factors in day-care users. Method: Forty day-care participants answered self-report questionnaires. The following assessments were applied: Recovery Assessment Scale, Occupational Questionnaire, Perceived Devaluation Discrimination Scale, and 26-item version of World Health Organization Quality of Life (QOL). The correlations among the factors were analyzed. Results: Data for 35 people were analyzed. Total recovery score was strongly correlated with total WHOQOL-26 score ( r = 0.76, p < 0.001). Total QOL score was positively related with the value of activities ( r = 0.46, p < 0.05). Social QOL and total stigma score had a significant negative relationship ( r = −0.44, p < 0.05). Conclusion: Participation in activities was suggested to improve QOL. Although there was a strong relationship between recovery and QOL, it was unclear to what extent participation in activities was related to recovery. We should consider approaches regarding other factors to fully accomplish community integration and personal recovery.
简介:精神科日托服务在日本社区护理中发挥着核心作用。康复和相关的社会心理因素对于促进精神疾病患者的社区参与至关重要。本研究旨在揭示日托儿童活动信息与个人康复及相关心理社会因素之间的关系。方法:40名日托对象填写自我报告问卷。采用康复评估量表、职业问卷、感知贬值歧视量表和世界卫生组织生活质量(QOL) 26项量表。分析了各因素之间的相关性。结果:对35人的数据进行了分析。总恢复评分与WHOQOL-26总评分呈显著正相关(r = 0.76, p <0.001)。总生活质量评分与活动量呈正相关(r = 0.46, p <0.05)。社会生活质量与耻感总分呈显著负相关(r = - 0.44, p <0.05)。结论:建议参与活动，提高生活质量。虽然康复和生活质量之间有很强的关系，但不清楚参加活动与康复的关系有多大。我们应该考虑其他因素，以充分实现社会融合和个人康复。
{"title":"The relationships among activity information, personal recovery, and related psychosocial factors in psychiatric day-care users in Japan","authors":"Hikari Isaji, Aiko Hoshino, Tatsumi Asakura, Yuji Yamashita, Natsumi Murata, Aki Kito","doi":"10.1177/03080226231198343","DOIUrl":"https://doi.org/10.1177/03080226231198343","url":null,"abstract":"Introduction: Psychiatric day-care services play a central role in community-based care in Japan. Recovery and related psychosocial factors are critical in promoting community participation of people with mental illness. This study aimed to reveal the relationships among activity information, personal recovery, and related psychosocial factors in day-care users. Method: Forty day-care participants answered self-report questionnaires. The following assessments were applied: Recovery Assessment Scale, Occupational Questionnaire, Perceived Devaluation Discrimination Scale, and 26-item version of World Health Organization Quality of Life (QOL). The correlations among the factors were analyzed. Results: Data for 35 people were analyzed. Total recovery score was strongly correlated with total WHOQOL-26 score ( r = 0.76, p < 0.001). Total QOL score was positively related with the value of activities ( r = 0.46, p < 0.05). Social QOL and total stigma score had a significant negative relationship ( r = −0.44, p < 0.05). Conclusion: Participation in activities was suggested to improve QOL. Although there was a strong relationship between recovery and QOL, it was unclear to what extent participation in activities was related to recovery. We should consider approaches regarding other factors to fully accomplish community integration and personal recovery.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"220 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135203073","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}
Pub Date : 2023-09-15DOI: 10.1177/03080226231192368
Kevser Sevik Kacmaz, Bayram Unver, Vasfi Karatosun
Background: Hip osteoarthritis (OA) can result in joint pain, stiffness, compromised balance, hindered mobility, and decreased functional independence. The Cone Evasion Walk Test (CEW) was designed for evaluating balance by evaluating the capacity to evade obstacles. Consequently, the study’s objective was to assess the validity and reliability of the CEW in hip OA patients. Methods: A total of 24 patients with hip OA were enrolled. Patients performed trials for the CEW and the timed up and go test (TUG). Between the trials, patients rested for an hour. The falls within the previous 12-month period were reported. Results: The analysis showed that the CEW has excellent reliability and high validity in hip OA. ( p < 0.001). The relative (intraclass correlation [ICC] coefficient) and absolute (SEM and SRD95) reliability of the CEW were 0.96 (0.88–0.98 95% CI), 0.56, and 1.54, respectively. The Spearman correlation coefficient between the CEW and the TUG was 0.74 ( p < 0.001) and between the CEW and the falls in the last 12 months was 0.51 ( p > 0.05). Conclusions: The CEW is effective for evaluating the function, dynamic balance, and mobility in patients with hip OA and could be a more accurate measure of the dynamic balance activities in the community.
{"title":"The reliability and validity of the cone evasion walk test in patients with hip osteoarthritis","authors":"Kevser Sevik Kacmaz, Bayram Unver, Vasfi Karatosun","doi":"10.1177/03080226231192368","DOIUrl":"https://doi.org/10.1177/03080226231192368","url":null,"abstract":"Background: Hip osteoarthritis (OA) can result in joint pain, stiffness, compromised balance, hindered mobility, and decreased functional independence. The Cone Evasion Walk Test (CEW) was designed for evaluating balance by evaluating the capacity to evade obstacles. Consequently, the study’s objective was to assess the validity and reliability of the CEW in hip OA patients. Methods: A total of 24 patients with hip OA were enrolled. Patients performed trials for the CEW and the timed up and go test (TUG). Between the trials, patients rested for an hour. The falls within the previous 12-month period were reported. Results: The analysis showed that the CEW has excellent reliability and high validity in hip OA. ( p < 0.001). The relative (intraclass correlation [ICC] coefficient) and absolute (SEM and SRD95) reliability of the CEW were 0.96 (0.88–0.98 95% CI), 0.56, and 1.54, respectively. The Spearman correlation coefficient between the CEW and the TUG was 0.74 ( p < 0.001) and between the CEW and the falls in the last 12 months was 0.51 ( p > 0.05). Conclusions: The CEW is effective for evaluating the function, dynamic balance, and mobility in patients with hip OA and could be a more accurate measure of the dynamic balance activities in the community.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135396871","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}
Pub Date : 2023-09-10DOI: 10.1177/03080226231197313
Lisa Taylor
{"title":"Practice-based placement learning and innovation: Essential for the professional identities of tomorrow’s occupational therapists and the future of the occupational therapy profession","authors":"Lisa Taylor","doi":"10.1177/03080226231197313","DOIUrl":"https://doi.org/10.1177/03080226231197313","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072335","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}
Pub Date : 2023-09-10DOI: 10.1177/03080226231198341
Miri Tal-Saban, Shahar Zaguri-Vittenberg, Naomi Weintraub
Introduction: Delayed professional identity of occupational therapists inhibits successful transition from student to professional. One of the objectives of development of the Community–Academia Student Tutoring (CAST) program is to encourage professional identity formation among first-year undergraduate occupational therapy students. It focuses on developing competence in communication and professional knowledge through a learning-community setting while interacting with individuals with disabilities, thus enhancing students’ self-reflection abilities. Methods: Mixed-method design assessing change before and after participation among 193 students, in competence components essential for professional identity, and factors supporting its formation. Open-ended questions assessed the students’ perceived contribution of the CAST program. Results: Significantly higher competence in knowledge about people with disabilities and relating to them; increased sense of belonging to a learning community and self-reflection abilities compared to before. Relationship with a person with disability and belonging to a learning community predicted 25.4% of the variance in perceptions of program contribution. Central in the students’ experience were development of self-reflection abilities and interpersonal relationship skills, and learning occupational-therapy concepts through meeting people with disabilities. Conclusions: First-hand relationships with people with disability and self-reflection in a structured learning-community setting, may help develop first-year students’ communication skills and their professional identity as occupational therapists.
{"title":"Enhancing professional identity of first-year occupational therapy students with the community-academia student tutoring program","authors":"Miri Tal-Saban, Shahar Zaguri-Vittenberg, Naomi Weintraub","doi":"10.1177/03080226231198341","DOIUrl":"https://doi.org/10.1177/03080226231198341","url":null,"abstract":"Introduction: Delayed professional identity of occupational therapists inhibits successful transition from student to professional. One of the objectives of development of the Community–Academia Student Tutoring (CAST) program is to encourage professional identity formation among first-year undergraduate occupational therapy students. It focuses on developing competence in communication and professional knowledge through a learning-community setting while interacting with individuals with disabilities, thus enhancing students’ self-reflection abilities. Methods: Mixed-method design assessing change before and after participation among 193 students, in competence components essential for professional identity, and factors supporting its formation. Open-ended questions assessed the students’ perceived contribution of the CAST program. Results: Significantly higher competence in knowledge about people with disabilities and relating to them; increased sense of belonging to a learning community and self-reflection abilities compared to before. Relationship with a person with disability and belonging to a learning community predicted 25.4% of the variance in perceptions of program contribution. Central in the students’ experience were development of self-reflection abilities and interpersonal relationship skills, and learning occupational-therapy concepts through meeting people with disabilities. Conclusions: First-hand relationships with people with disability and self-reflection in a structured learning-community setting, may help develop first-year students’ communication skills and their professional identity as occupational therapists.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136071457","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}
Pub Date : 2023-08-31DOI: 10.1177/03080226231197307
Cate Bennett, A. Mottram
{"title":"Research priority 6: How can occupational therapy services be more inclusive of mental and physical health?","authors":"Cate Bennett, A. Mottram","doi":"10.1177/03080226231197307","DOIUrl":"https://doi.org/10.1177/03080226231197307","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41366899","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}
Pub Date : 2023-08-30DOI: 10.1177/03080226231197312
N. Kinsella, J. King
{"title":"Research priority seven: What is the role of occupational therapy in supporting self-management? Developing an occupation-centred lens for research and practice","authors":"N. Kinsella, J. King","doi":"10.1177/03080226231197312","DOIUrl":"https://doi.org/10.1177/03080226231197312","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45269232","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}
Pub Date : 2023-08-30DOI: 10.1177/03080226231197010
K. Harper, Kelly McAuliffe, M. Williamson, Angela Jacques, Kathryn Sainsbury, Deborah Edwards
The hospital environment can exacerbate symptoms of delirium; as such there is a move to promote early supported discharge for patients with delirium. However, the occupational therapy role and impact of intervention is not well known. Our study evaluated an occupational therapy delirium pathway facilitating early assessment, intervention and supported discharge to home compared with hospital-based care. A before and after, observational study design. Data was collected regarding hospital use, patient function (Functional Independence Measure/Functional Assessment Measure) and the carer experience (Preparedness for Caregiving Scale). Ninety patients (43 control and 47 intervention group patients) were recruited with a mean patient age of 82.8 years (SD 7.6). There was a significant difference in hospital re-presentations ( n = 3 in the intervention group compared to n = 10 in the control group ( p = 0.026)). Hospital length of stay did not significantly differ between the groups ( p = 0.534). The mean score for the Preparedness for Caregiving Scale was 3.3 indicating that most carers felt ‘pretty well prepared’. However, patients continued to experience significant functional decline ( p = 0.006). An occupational therapy delirium pathway reduced hospital re-presentations and could be implemented in clinical practice to better support patients recovering from delirium as they transition from hospital to home.
{"title":"An occupational therapy delirium pathway reduces hospital re-presentations in older adults with delirium: A before and after observational study","authors":"K. Harper, Kelly McAuliffe, M. Williamson, Angela Jacques, Kathryn Sainsbury, Deborah Edwards","doi":"10.1177/03080226231197010","DOIUrl":"https://doi.org/10.1177/03080226231197010","url":null,"abstract":"The hospital environment can exacerbate symptoms of delirium; as such there is a move to promote early supported discharge for patients with delirium. However, the occupational therapy role and impact of intervention is not well known. Our study evaluated an occupational therapy delirium pathway facilitating early assessment, intervention and supported discharge to home compared with hospital-based care. A before and after, observational study design. Data was collected regarding hospital use, patient function (Functional Independence Measure/Functional Assessment Measure) and the carer experience (Preparedness for Caregiving Scale). Ninety patients (43 control and 47 intervention group patients) were recruited with a mean patient age of 82.8 years (SD 7.6). There was a significant difference in hospital re-presentations ( n = 3 in the intervention group compared to n = 10 in the control group ( p = 0.026)). Hospital length of stay did not significantly differ between the groups ( p = 0.534). The mean score for the Preparedness for Caregiving Scale was 3.3 indicating that most carers felt ‘pretty well prepared’. However, patients continued to experience significant functional decline ( p = 0.006). An occupational therapy delirium pathway reduced hospital re-presentations and could be implemented in clinical practice to better support patients recovering from delirium as they transition from hospital to home.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47727817","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}
Pub Date : 2023-08-21DOI: 10.1177/03080226231191366
Marie Jönsson, M. Holmefur, P. Appelros, Carin Fredriksson
Relatives are important when older adults return home after a hospital stay. The aim of this study was to describe close relatives’ perspectives of the everyday activities of older adults who are repeatedly readmitted to hospital and discharged to home. A semi-structured interview was performed to collect data from twenty relatives (aged 45–82 years). Data were analysed using a deductive qualitative content analysis based on the results of a previous study within this field. The overall theme ‘In need of support to manage an unpredictable everyday life’ shows that the older adults often needed support in everyday activities. In the two categories ‘Difficulties in dealing with an unstable day’ and ‘Managing an unstable day’ and the 10 subcategories, close relatives described that the older adults needed support in various ways from relatives or other individuals. Close contact was important for how everyday activities worked at home and in maintaining social contacts and contact with healthcare. It was found that social needs, such as social contacts/activities, are just as important to assess at discharge as medical and functional needs.
{"title":"Close relatives’ perspectives of everyday activities at home for older adults repeatedly readmitted to hospital: A qualitative study","authors":"Marie Jönsson, M. Holmefur, P. Appelros, Carin Fredriksson","doi":"10.1177/03080226231191366","DOIUrl":"https://doi.org/10.1177/03080226231191366","url":null,"abstract":"Relatives are important when older adults return home after a hospital stay. The aim of this study was to describe close relatives’ perspectives of the everyday activities of older adults who are repeatedly readmitted to hospital and discharged to home. A semi-structured interview was performed to collect data from twenty relatives (aged 45–82 years). Data were analysed using a deductive qualitative content analysis based on the results of a previous study within this field. The overall theme ‘In need of support to manage an unpredictable everyday life’ shows that the older adults often needed support in everyday activities. In the two categories ‘Difficulties in dealing with an unstable day’ and ‘Managing an unstable day’ and the 10 subcategories, close relatives described that the older adults needed support in various ways from relatives or other individuals. Close contact was important for how everyday activities worked at home and in maintaining social contacts and contact with healthcare. It was found that social needs, such as social contacts/activities, are just as important to assess at discharge as medical and functional needs.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47979635","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}
Pub Date : 2023-08-10DOI: 10.1177/03080226231190311
Georgia Harding, Sarah Markham
{"title":"Research priority 8: What is the role or impact of occupational therapy in reducing hospital admissions?","authors":"Georgia Harding, Sarah Markham","doi":"10.1177/03080226231190311","DOIUrl":"https://doi.org/10.1177/03080226231190311","url":null,"abstract":"","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42032771","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}
Pub Date : 2023-08-05DOI: 10.1177/03080226231190523
Jennie Trinh Nguyen, T. Brown, Mong-lin Yu
In recent years, screen-based activities have become increasingly popular amongst children and adolescents. Several studies have found increased screen time to be associated with sleep disturbances, poorer academic performance and reduced physical activity. However, not much is known about children’s activity preferences and participation in relation to their screen time. This study investigated the association between school-aged children’s screen time use and their activity participation and physical activity. A sample of 25 parents/caregivers with typically developing children aged 8–12 years in Australia participated. Parents/caregivers completed the Children Screen Time Use Report (CSTUR) and Children Participation Questionnaire-School (CPQ-S). Child participants completed the CSTUR, Preferences for Activities of Children (PAC), Perceived Meaning of Occupations Questionnaire (PMOQ) and Physical Activity Questionnaire-Children (PAQ-C). Data were analyzed using Spearman Rho correlations. Findings from this study found no statistically significant associations between the CSTUR and PAQ-C subscales in children aged 8–12 years. However, there were several significant correlations found between CSTUR and the PAC, PMOQ and CPQ-S scale scores. Occupational therapists need to consider screen-based activities in school age children and the impact it can have on their daily participation.
{"title":"The relationship between typically developing school-age children’s screen time, participation and physical activity: An exploratory study","authors":"Jennie Trinh Nguyen, T. Brown, Mong-lin Yu","doi":"10.1177/03080226231190523","DOIUrl":"https://doi.org/10.1177/03080226231190523","url":null,"abstract":"In recent years, screen-based activities have become increasingly popular amongst children and adolescents. Several studies have found increased screen time to be associated with sleep disturbances, poorer academic performance and reduced physical activity. However, not much is known about children’s activity preferences and participation in relation to their screen time. This study investigated the association between school-aged children’s screen time use and their activity participation and physical activity. A sample of 25 parents/caregivers with typically developing children aged 8–12 years in Australia participated. Parents/caregivers completed the Children Screen Time Use Report (CSTUR) and Children Participation Questionnaire-School (CPQ-S). Child participants completed the CSTUR, Preferences for Activities of Children (PAC), Perceived Meaning of Occupations Questionnaire (PMOQ) and Physical Activity Questionnaire-Children (PAQ-C). Data were analyzed using Spearman Rho correlations. Findings from this study found no statistically significant associations between the CSTUR and PAQ-C subscales in children aged 8–12 years. However, there were several significant correlations found between CSTUR and the PAC, PMOQ and CPQ-S scale scores. Occupational therapists need to consider screen-based activities in school age children and the impact it can have on their daily participation.","PeriodicalId":49096,"journal":{"name":"British Journal of Occupational Therapy","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49500470","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}
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