Pub Date : 2023-10-04DOI: 10.1080/02687038.2023.2262687
Giuditta Smith, Charlotte Kershaw, Valentina Brunetto, Maria Garraffa
Background Agrammatic aphasia has been widely associated with impairments with functional words and complex sentences. Speech errors of people with aphasia (PWA) have been reported to be selective, with patterns of omissions in functional words, most notably in the domain of tense inflection on verbs compared to agreement in morphologically rich languages.
{"title":"‘To be’ or not ‘to be’: an analysis of copula production and omission in people with non-fluent aphasia","authors":"Giuditta Smith, Charlotte Kershaw, Valentina Brunetto, Maria Garraffa","doi":"10.1080/02687038.2023.2262687","DOIUrl":"https://doi.org/10.1080/02687038.2023.2262687","url":null,"abstract":"Background Agrammatic aphasia has been widely associated with impairments with functional words and complex sentences. Speech errors of people with aphasia (PWA) have been reported to be selective, with patterns of omissions in functional words, most notably in the domain of tense inflection on verbs compared to agreement in morphologically rich languages.","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135591859","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 : 2023-10-04DOI: 10.1080/02687038.2023.2265101
Catherine Torrington Eaton, Sarah Thomas
ABSTRACTBackground Language sample analysis is a common tool for inventorying an individual’s linguistic strengths and weaknesses. Although most research has focused on quantifying propositional or novel language production, studies suggest that individuals with aphasia, specifically nonfluent aphasia, produce high percentages of formulaic language relative to healthy controls. To date, little is known about how individuals with fluent aphasia subtypes use formulaic language and how the elicitation task influences their production.Aims The purpose of this research was to comprehensively describe patterns of formulaic language use in various discourse tasks in language samples of individuals with fluent aphasia.Methods & Procedures The retrospective analysis included discourse samples from Aphasiabank from 142 individuals with anomic, conduction, and Wernicke’s aphasia across four monologic discourse tasks. After identifying and classifying formulaic items into nine types, percentages of formulaic language were calculated for each participant and discourse task. Non-parametric statistics and Pearson’s correlations were used to compare production patterns and explore relationships between language severity and formulaic item types.Outcomes & Results Unique patterns of formulaic language were observed across groups including lower proportions of fillers in individuals with Wernicke’s aphasia and higher proportions of yes/no variants and speech formulas in individuals with conduction aphasia. Production patterns were most influenced by discourse task in individuals with anomic aphasia. Formulaic language use did not correlate with aphasia severity as measured by aphasia quotient.Conclusions Findings add to the evidence base describing formulaic language usage in individuals with post-stroke aphasia, which serves as a necessary foundation for eventual clinical application.KEYWORDS: Formulaic languageaphasiaspontaneous speech AcknowledgementsWe wish to thank Melanie Smith, Emily Lafitte, and the members of the San Antonio Network for Aphasia (SANA) Lab for their endless hours spent coding transcripts. Thanks also to Brian MacWhinney, Davida Fromm, contributing researchers, and willing participants for their invaluable support and contributions to Aphasiabank.Disclosure statementThe authors report there are no competing interests to declare.
{"title":"To make a long story short: A descriptive study of formulaic language use in post-stroke fluent aphasia","authors":"Catherine Torrington Eaton, Sarah Thomas","doi":"10.1080/02687038.2023.2265101","DOIUrl":"https://doi.org/10.1080/02687038.2023.2265101","url":null,"abstract":"ABSTRACTBackground Language sample analysis is a common tool for inventorying an individual’s linguistic strengths and weaknesses. Although most research has focused on quantifying propositional or novel language production, studies suggest that individuals with aphasia, specifically nonfluent aphasia, produce high percentages of formulaic language relative to healthy controls. To date, little is known about how individuals with fluent aphasia subtypes use formulaic language and how the elicitation task influences their production.Aims The purpose of this research was to comprehensively describe patterns of formulaic language use in various discourse tasks in language samples of individuals with fluent aphasia.Methods & Procedures The retrospective analysis included discourse samples from Aphasiabank from 142 individuals with anomic, conduction, and Wernicke’s aphasia across four monologic discourse tasks. After identifying and classifying formulaic items into nine types, percentages of formulaic language were calculated for each participant and discourse task. Non-parametric statistics and Pearson’s correlations were used to compare production patterns and explore relationships between language severity and formulaic item types.Outcomes & Results Unique patterns of formulaic language were observed across groups including lower proportions of fillers in individuals with Wernicke’s aphasia and higher proportions of yes/no variants and speech formulas in individuals with conduction aphasia. Production patterns were most influenced by discourse task in individuals with anomic aphasia. Formulaic language use did not correlate with aphasia severity as measured by aphasia quotient.Conclusions Findings add to the evidence base describing formulaic language usage in individuals with post-stroke aphasia, which serves as a necessary foundation for eventual clinical application.KEYWORDS: Formulaic languageaphasiaspontaneous speech AcknowledgementsWe wish to thank Melanie Smith, Emily Lafitte, and the members of the San Antonio Network for Aphasia (SANA) Lab for their endless hours spent coding transcripts. Thanks also to Brian MacWhinney, Davida Fromm, contributing researchers, and willing participants for their invaluable support and contributions to Aphasiabank.Disclosure statementThe authors report there are no competing interests to declare.","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135592488","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 : 2023-09-29DOI: 10.1080/02687038.2023.2262682
Jerry K. Hoepner, Aspen K. Townsend
ABSTRACTBackground Counseling is a part of the scope of practice for speech-language pathologists (SLPs), however training has been inconsistent across programs. Students, clinical fellows, and practicing SLPs alike report feeling under-prepared to address the counseling needs of clients and their families. Research evidence about counseling training and practices specific to addressing the psychological well-being of individuals with aphasia and their families is even more limited. While practicing SLPs feel confident and prepared to address communication-specific interventions for aphasia, they feel ill prepared to address the counseling needs that arise on a regular basis.Aims The present investigation was part of a two-part investigation that included an online survey to practicing SLPs throughout the United States (US) and follow-up interviews with a subgroup of those participants. This paper addresses the counseling practice interview portion and addresses two research questions: How confident do SLPs feel using counseling with individuals with aphasia? To what extent are SLPs implementing counseling in practice with individuals with aphasia and their family members?Methods & Procedures Eight practicing SLPs who participated in the part 1 counseling practices survey agreed to participate in the part 2 counseling practices intervention. They varied by years of practice, region of practice, and practice setting (acute, subacute, and chronic). Participants engaged in the Counseling Practices Interview (CPI) via the BlueJeans video conferencing application. Interviews were transcribed and coded qualitatively using open and axial coding methods. Multiple rounds of iterative coding were conducted to ensure rigor and coding stability.Outcomes & Results Multiple rounds of coding resulted in the following overarching themes: confidence in aphasia-specific skills/techniques, SLPs encounter emotional and psychosocial discussions regularly, confidence with educational counseling, not prepared for psychosocial adjustment counseling, taking the perspective of individuals with aphasia and their family, referrals/interprofessional practices and scope of practice issues, and SLP self-care. SLPs reported a clear difference between knowledge and skills for which they feel prepared and confident, versus addressing psychological well-being of individuals with aphasia and understanding practice boundaries.Conclusions SLPs recognize the importance of counseling skills for working with individuals with aphasia because counseling moments arise regularly. They use a variety of techniques but lack intentionality and specialised training. Academic training was deemed to be inadequate in scope and instructional methods. Post-academic training was identified as hard to access but useful. SLPs reported a lack of clarify on scope of practice, practice boundaries, and referrals.KEYWORDS: counselingeducationscope of practiceaphasia AcknowledgementsThe second author was awar
{"title":"Counseling practices of speech-language pathologists working with aphasia: “I did not have adequate training in actual counseling strategies.”","authors":"Jerry K. Hoepner, Aspen K. Townsend","doi":"10.1080/02687038.2023.2262682","DOIUrl":"https://doi.org/10.1080/02687038.2023.2262682","url":null,"abstract":"ABSTRACTBackground Counseling is a part of the scope of practice for speech-language pathologists (SLPs), however training has been inconsistent across programs. Students, clinical fellows, and practicing SLPs alike report feeling under-prepared to address the counseling needs of clients and their families. Research evidence about counseling training and practices specific to addressing the psychological well-being of individuals with aphasia and their families is even more limited. While practicing SLPs feel confident and prepared to address communication-specific interventions for aphasia, they feel ill prepared to address the counseling needs that arise on a regular basis.Aims The present investigation was part of a two-part investigation that included an online survey to practicing SLPs throughout the United States (US) and follow-up interviews with a subgroup of those participants. This paper addresses the counseling practice interview portion and addresses two research questions: How confident do SLPs feel using counseling with individuals with aphasia? To what extent are SLPs implementing counseling in practice with individuals with aphasia and their family members?Methods & Procedures Eight practicing SLPs who participated in the part 1 counseling practices survey agreed to participate in the part 2 counseling practices intervention. They varied by years of practice, region of practice, and practice setting (acute, subacute, and chronic). Participants engaged in the Counseling Practices Interview (CPI) via the BlueJeans video conferencing application. Interviews were transcribed and coded qualitatively using open and axial coding methods. Multiple rounds of iterative coding were conducted to ensure rigor and coding stability.Outcomes & Results Multiple rounds of coding resulted in the following overarching themes: confidence in aphasia-specific skills/techniques, SLPs encounter emotional and psychosocial discussions regularly, confidence with educational counseling, not prepared for psychosocial adjustment counseling, taking the perspective of individuals with aphasia and their family, referrals/interprofessional practices and scope of practice issues, and SLP self-care. SLPs reported a clear difference between knowledge and skills for which they feel prepared and confident, versus addressing psychological well-being of individuals with aphasia and understanding practice boundaries.Conclusions SLPs recognize the importance of counseling skills for working with individuals with aphasia because counseling moments arise regularly. They use a variety of techniques but lack intentionality and specialised training. Academic training was deemed to be inadequate in scope and instructional methods. Post-academic training was identified as hard to access but useful. SLPs reported a lack of clarify on scope of practice, practice boundaries, and referrals.KEYWORDS: counselingeducationscope of practiceaphasia AcknowledgementsThe second author was awar","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135194380","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 : 2023-09-26DOI: 10.1080/02687038.2023.2262693
Sarah J. Wallace, Lisa Anemaat, Michelle Attard, Caroline Baker, Karianne Berg, Marcella Carragher, Jytte Isaksen, Brooke Ryan, Nina Simmons-Mackie, Edwina Wang, Linda Worrall, Kirstine Shrubsole
Background Clinical practice guidelines and best practice statements aim to optimise patient outcomes through recommended processes of care. The Aphasia United Best Practice Recommendations were developed to provide multi-national best-practice guidance for post-stroke aphasia services. The recommendations were developed through a multi-stage process which synthesised research evidence and the expert opinions of clinicians and researchers. To date, however, people with lived experience of aphasia have not contributed their expertise to these recommendations.
{"title":"Best Practice in Post-Stroke Aphasia Services According to People with Lived Experience. A Modified Nominal Group Technique Study","authors":"Sarah J. Wallace, Lisa Anemaat, Michelle Attard, Caroline Baker, Karianne Berg, Marcella Carragher, Jytte Isaksen, Brooke Ryan, Nina Simmons-Mackie, Edwina Wang, Linda Worrall, Kirstine Shrubsole","doi":"10.1080/02687038.2023.2262693","DOIUrl":"https://doi.org/10.1080/02687038.2023.2262693","url":null,"abstract":"Background Clinical practice guidelines and best practice statements aim to optimise patient outcomes through recommended processes of care. The Aphasia United Best Practice Recommendations were developed to provide multi-national best-practice guidance for post-stroke aphasia services. The recommendations were developed through a multi-stage process which synthesised research evidence and the expert opinions of clinicians and researchers. To date, however, people with lived experience of aphasia have not contributed their expertise to these recommendations.","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134886981","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 : 2023-09-08DOI: 10.1080/02687038.2023.2253994
Jade K. Dignam, Sam Harvey, K. Monnelly, L. Dipper, Elizabeth Hoover, Melanie Kirmess, Bettina Mohr, E. Visch-Brink, Sarah E. Wallace, Miranda L. Rose
Background: Speech and language therapy can reduce the level of impairment and disability caused by aphasia (Brady et al., 2016). Selecting a therapy can be challenging for clinicians who may struggle to stay abreast of the best evidence to support therapy selection (Rose et al., 2014). Once a therapy is selected, accessing relevant resources is a significant barrier to implementation (Shrubsole et al., 2019). The Aphasia Therapy Finder (ATF) is proposed to be an online repository of therapy resources designed to aid selection of evidence-based aphasia therapies and to bridge the evidence-practice gap in aphasia rehabilitation. Aims: In this study, we aimed to explore speech pathologists’ selection and use of aphasia therapy approaches, and access to aphasia therapy resources in clinical practice. We further aimed to explore speech pathologists’ perspectives on the proposed ATF. Methods & Procedures: A cross-sectional, mixed-methods, survey design was employed. A 22-item web-based survey was developed and disseminated to speech pathologists via professional networks internationally. Data analyses included descriptive statistics and conventional content analysis.
背景:言语和语言治疗可以降低失语症引起的损伤和残疾水平(Brady et al., 2016)。对于临床医生来说,选择一种治疗方法是具有挑战性的,他们可能会努力跟上支持治疗选择的最佳证据(Rose et al., 2014)。一旦选择了治疗方法,获取相关资源是实施的重大障碍(Shrubsole et al., 2019)。Aphasia Therapy Finder (ATF)是一个在线治疗资源库,旨在帮助选择基于证据的失语症治疗方法,弥合失语症康复中的证据与实践差距。目的:本研究旨在探讨语言病理学家在临床实践中对失语治疗方法的选择和使用,以及失语治疗资源的获取。我们进一步旨在探讨语言病理学家对拟议的ATF的看法。方法与步骤:采用横断面、混合方法的调查设计。一份包含22个项目的网络调查通过国际专业网络分发给语言病理学家。数据分析包括描述性统计和常规内容分析。
{"title":"Development of an evidence-based aphasia therapy implementation tool: an international survey of speech pathologists’ access to and use of aphasia therapy resources","authors":"Jade K. Dignam, Sam Harvey, K. Monnelly, L. Dipper, Elizabeth Hoover, Melanie Kirmess, Bettina Mohr, E. Visch-Brink, Sarah E. Wallace, Miranda L. Rose","doi":"10.1080/02687038.2023.2253994","DOIUrl":"https://doi.org/10.1080/02687038.2023.2253994","url":null,"abstract":"Background: Speech and language therapy can reduce the level of impairment and disability caused by aphasia (Brady et al., 2016). Selecting a therapy can be challenging for clinicians who may struggle to stay abreast of the best evidence to support therapy selection (Rose et al., 2014). Once a therapy is selected, accessing relevant resources is a significant barrier to implementation (Shrubsole et al., 2019). The Aphasia Therapy Finder (ATF) is proposed to be an online repository of therapy resources designed to aid selection of evidence-based aphasia therapies and to bridge the evidence-practice gap in aphasia rehabilitation. Aims: In this study, we aimed to explore speech pathologists’ selection and use of aphasia therapy approaches, and access to aphasia therapy resources in clinical practice. We further aimed to explore speech pathologists’ perspectives on the proposed ATF. Methods & Procedures: A cross-sectional, mixed-methods, survey design was employed. A 22-item web-based survey was developed and disseminated to speech pathologists via professional networks internationally. Data analyses included descriptive statistics and conventional content analysis.","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43804684","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 : 2023-09-07DOI: 10.1080/02687038.2023.2253567
Cyrielle Demierre, G. Python, Bertrand Glize, M. Laganaro
{"title":"How dual-task interference on word production is modulated by the timing of the secondary task: evidence from errors in people with aphasia","authors":"Cyrielle Demierre, G. Python, Bertrand Glize, M. Laganaro","doi":"10.1080/02687038.2023.2253567","DOIUrl":"https://doi.org/10.1080/02687038.2023.2253567","url":null,"abstract":"","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46410995","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: 10.1080/02687038.2023.2251175
A. Došen, Tatjana Prizl Jakovac
{"title":"Aphasia awareness and knowledge in Croatia","authors":"A. Došen, Tatjana Prizl Jakovac","doi":"10.1080/02687038.2023.2251175","DOIUrl":"https://doi.org/10.1080/02687038.2023.2251175","url":null,"abstract":"","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43805887","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: 10.1080/02687038.2023.2251176
Yana Criel, E. Baert, J. Kalala Okito, G. Hallaert, D. Van Roost, L. De Baerdemaeker, W. Degrève, M. Miatton, P. Santens, P. van Mierlo, M. De Letter
{"title":"Pre- to Postoperative Longitudinal Follow-up of Phoneme Perception in Glioma Patients: Evidence from the Mismatch Negativity and P300","authors":"Yana Criel, E. Baert, J. Kalala Okito, G. Hallaert, D. Van Roost, L. De Baerdemaeker, W. Degrève, M. Miatton, P. Santens, P. van Mierlo, M. De Letter","doi":"10.1080/02687038.2023.2251176","DOIUrl":"https://doi.org/10.1080/02687038.2023.2251176","url":null,"abstract":"","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44326513","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 : 2023-08-28DOI: 10.1080/02687038.2023.2250516
Ana Matić Škorić, M. Norvik, Jelena Kuvač Kraljević, Ingvild Røste, H. G. Simonsen
{"title":"Comprehensive Aphasia Test (CAT): Comparability of the Croatian and Norwegian versions","authors":"Ana Matić Škorić, M. Norvik, Jelena Kuvač Kraljević, Ingvild Røste, H. G. Simonsen","doi":"10.1080/02687038.2023.2250516","DOIUrl":"https://doi.org/10.1080/02687038.2023.2250516","url":null,"abstract":"","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42203961","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: 10.1080/02687038.2023.2246214
Megan Trebilcock, E. Power, M. Rose, Kirstine Shrubsole
{"title":"How do speech pathologists use the Australian Aphasia Rehabilitation Pathway to inform practice? A qualitative study","authors":"Megan Trebilcock, E. Power, M. Rose, Kirstine Shrubsole","doi":"10.1080/02687038.2023.2246214","DOIUrl":"https://doi.org/10.1080/02687038.2023.2246214","url":null,"abstract":"","PeriodicalId":50744,"journal":{"name":"Aphasiology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44362412","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}