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  "work": {
    "id": "TAP-RDN-0027",
    "type": "RDN",
    "kind": "note",
    "key": "gijzel-2019",
    "locale": "zh",
    "path": "/zh/research/gijzel-2019/",
    "title": "TAP 导读: Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults",
    "description": "论文提出三类观察恢复潜力的路径：扰动后的轨迹、标准化刺激反应测试，以及日常微小扰动后的恢复。补充检索纳入27项研究，其中26项围绕功能下降后的恢复；多数仍依赖静态储备与二元恢复结局。",
    "rights": "© The Allostasis Project。保留所有权利。除法律允许的例外外，转载或改编需另行授权。",
    "version": "0.3",
    "updatedAt": "2026-10-29",
    "editorial": {
      "contentType": "evidence-review",
      "reviewState": "draft",
      "reviewedAt": null,
      "reviewedVersion": null,
      "updatedAt": "2026-10-29",
      "version": "0.3",
      "author": null,
      "reviewer": null,
      "workflow": {
        "ai": {
          "usage": "used",
          "system": "OpenAI Codex",
          "scope": "Assisted source comparison, evidence extraction and bilingual research-note preparation. The materials consulted and unresolved scientific issues are specified in each note.",
          "version": "0.3",
          "tasks": [
            "Source comparison and evidence extraction",
            "Bilingual research-note drafting and editorial comparison"
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      },
      "revisions": [
        {
          "date": "2026-10-27",
          "version": "0.2",
          "description": "按研究设计、人群、结局与观察窗口重写适用范围说明。"
        },
        {
          "date": "2026-10-29",
          "version": "0.3",
          "description": "补充三类动态测量路线、27项研究组成及常规临床应用的验证边界。"
        }
      ]
    },
    "original": {
      "id": "gijzel-2019",
      "title": "Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults",
      "authors": "Sanne M. W. Gijzel · Heather E. Whitson · Ingrid A. van de Leemput · Marten Scheffer · Dieneke van Asselt · Jerrald L. Rector · Marcel G. M. Olde Rikkert · René J. F. Melis",
      "journal": "Journal of the American Geriatrics Society",
      "year": "2019",
      "url": "https://doi.org/10.1111/jgs.16149",
      "doi": "10.1111/jgs.16149",
      "pmid": "31498881"
    },
    "references": [
      {
        "id": "gijzel-2019",
        "title": "Resilience in Clinical Care: Getting a Grip on the Recovery Potential of Older Adults",
        "authors": "Sanne M. W. Gijzel · Heather E. Whitson · Ingrid A. van de Leemput · Marten Scheffer · Dieneke van Asselt · Jerrald L. Rector · Marcel G. M. Olde Rikkert · René J. F. Melis",
        "journal": "Journal of the American Geriatrics Society",
        "year": "2019",
        "url": "https://doi.org/10.1111/jgs.16149",
        "doi": "10.1111/jgs.16149",
        "pmid": "31498881"
      }
    ],
    "sections": [
      {
        "id": "finding",
        "title": "研究发现",
        "paragraphs": [
          "论文提出三类观察恢复潜力的路径：扰动后的轨迹、标准化刺激反应测试，以及日常微小扰动后的恢复。补充检索纳入27项研究，其中26项围绕功能下降后的恢复；多数仍依赖静态储备与二元恢复结局。"
        ]
      },
      {
        "id": "limits",
        "title": "范围与局限",
        "paragraphs": [
          "老年人、尤其多病共存者的恢复潜力研究；在先前综述基础上扩展检索。",
          "应激前状态回忆、测量稀疏、应激强度不清和多个扰动并存限制比较。单个子系统与整体功能的关系还需验证；作者认为动态测量尚未达到常规临床指南实施所需的充分验证。"
        ]
      },
      {
        "id": "sample",
        "title": "研究人群与样本",
        "paragraphs": [
          "老年人、尤其多病共存者的恢复潜力研究；在先前综述基础上扩展检索。"
        ]
      },
      {
        "id": "exposure",
        "title": "暴露或干预",
        "paragraphs": [
          "恢复轨迹、刺激反应和自然微恢复三条方法路线，与静态储备评估比较。"
        ]
      },
      {
        "id": "outcomes",
        "title": "观察结局",
        "paragraphs": [
          "功能恢复及候选动态指标；未做统一效应合并。"
        ]
      },
      {
        "id": "duration",
        "title": "时间范围",
        "paragraphs": [
          "在2015年综述基础上补检约五年，并加入recovery关键词；各研究恢复窗不同。"
        ]
      },
      {
        "id": "funding",
        "title": "研究资金来源",
        "paragraphs": [
          "Whitson的贡献获P30AG028716、UH2AG056925、R33AG057806及NIH/NCATS UL1TR002553支持。"
        ]
      },
      {
        "id": "conflicts",
        "title": "研究利益关系",
        "paragraphs": [
          "作者声明无利益冲突，并报告资助方未参与研究。"
        ]
      },
      {
        "id": "basis",
        "title": "导读范围",
        "paragraphs": [
          "全文、表1—2、图注和披露已通读；补充检索方法与27项研究明细仍待核。"
        ],
        "links": [
          {
            "label": "PubMed Central全文",
            "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6916426/"
          }
        ]
      }
    ]
  }
}