Angelo Amiel R. Ico, Kathleen Kelly Q. Bautista, Mark Angel G. Espiritu, Danielle B. Ramos
{"title":"Patients’ Perceptions on Telerehabilitation as a Mode of Physical Therapy Service Delivery","authors":"Angelo Amiel R. Ico, Kathleen Kelly Q. Bautista, Mark Angel G. Espiritu, Danielle B. Ramos","doi":"10.46409/002.gzuh8141","DOIUrl":"https://doi.org/10.46409/002.gzuh8141","url":null,"abstract":"Aim: Since telerehabilitation is a relatively new service in the Philippines translating to a scarcity in related literature, this study determined the perceptions of patients regarding the recorded facilitators and barriers to this mode of physical therapy service delivery.\u0000Methods: A quantitative, descriptive, survey type research design was utilized, wherein a self-reported survey questionnaire formulated by the researchers was administered to the respondents. The data gathered were analyzed using frequency, percentage, weighted mean (WM), and class interval. \u0000Results: Findings showed that the perceived top facilitators include less travel time and cost (WM = 3.606) and less exposure to external risk (WM = 3.545). In comparison, the top barriers were technical difficulties (WM = 3.273) and internet connectivity (WM = 3.242). The majority of the respondents were highly satisfied (WM = 3.338) and compliant (WM = 2.798) with telerehabilitation.\u0000Conclusion and Implications: With the results of this study, it was revealed that telerehabilitation is a viable alternative to conventional rehabilitation, as seen with the respondents' generally positive perception towards this mode of service that ultimately enhances both access and continuity of care, especially during the COVID-19 pandemic.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132495638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edrin Isabel P. Dellosa, Valentin C. Dones, Lyle Patrick D. Tangcuangco, Chrizelle Joy E. Del Rosario, A. J. Co, Sean Jerimiah Agbayani, P. Cabrera, Daniel Rey S. Ibo, Ivy Sophia A. Pagente, Angelika Camille Q. Sua, C. Almazan, M. Capistrano, Kimberly-Anne Enriquez, J. Inarda, M. Quebral, J. A. Rigor, Angelica Supangan
{"title":"The Effects of Active Range of Motion on Upper Trapezius’ Fasciae Displacement among Individuals with and without Myofascial Pain Syndrome","authors":"Edrin Isabel P. Dellosa, Valentin C. Dones, Lyle Patrick D. Tangcuangco, Chrizelle Joy E. Del Rosario, A. J. Co, Sean Jerimiah Agbayani, P. Cabrera, Daniel Rey S. Ibo, Ivy Sophia A. Pagente, Angelika Camille Q. Sua, C. Almazan, M. Capistrano, Kimberly-Anne Enriquez, J. Inarda, M. Quebral, J. A. Rigor, Angelica Supangan","doi":"10.46409/002.pvch2026","DOIUrl":"https://doi.org/10.46409/002.pvch2026","url":null,"abstract":"Aim: This study determined the differences in upper trapezius' superficial and deep fascia slides among MPS and non-MPS participants after performing cervical active range of motion (AROM). The association between the fascia slides, age, sex, occupation, clinical diagnosis, and symptoms’ chronicity were determined.\u0000Methods: This retrospective study constituted a reliability and case-control study. Three hundred participants (174 MPS: 126 non-MPS) were included. For each fascia level, six physiotherapy interns read 19 MSUS videos. Bland Altman Plot and Single Measures Intraclass Correlation Coefficient (ICC) determined the physiotherapy interns' intratester and intertester reliability. Twelve physiotherapy interns quantified the fascia slides in 3,600 MSUS videos. MPS and non-MPS groups were compared against differences in fascia slides using independent samples t-test. A p-value of <0.05 indicated significant differences in fascia slides. Multiple regression analyses determined fascia slides and independent variables’ relationship.\u0000Results: Intertester reliability in tracking the superficial and deep fasciae was very good (ICC = 0.90 to 1.00). Intratester reliability showed minimal to no individual bias (95% CI). A significant difference in superficial fascia displacement between groups was only observed during active cervical extension (p< 0.05). No difference in cervical AROM was reported in deep fascia displacement between groups (p> 0.05). No associations were found between superficial fascia slides and independent variables (p >0.05). Sex was the only variable associated with deep fascia slide difference (p <0.05).\u0000Conclusion and Implications: Limited fascia slide is not a characteristic of individuals with MPS. There is no association between differences in fascia slides and independent variables.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122667827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Odette Justo, Jerell Catacutan, Alaize T. Pacaldo, Ronald Pielago, Rina Theresa Soliven
{"title":"Comparison Between Current and Pre-Pandemic Physical Activity Level of Freshmen College Students","authors":"Odette Justo, Jerell Catacutan, Alaize T. Pacaldo, Ronald Pielago, Rina Theresa Soliven","doi":"10.46409/002.srqw9365","DOIUrl":"https://doi.org/10.46409/002.srqw9365","url":null,"abstract":"Aim: The restricted mobility of the students during the global COVID pandemic impacted on their physical activity level (PAL) and physical fitness level (PFL). The objectives of the study were to (1) describe the current PAL and health- and skill-related PFL of 1st year college students, (2) determine the correlation between PAL and PFL, and (3) compare current and pre-pandemic perceived PALs. \u0000Methods: A descriptive research design was used. A retrospective data from students enrolled in Physical Education (PE) 1 was reviewed. International Physical Activity Questionnaire (IPAQ) was used to measure PAL; health-related and skill-related PFL were measured using traditional PE-based standardized tests and 10-cm visual analog scale for perceived current and pre-pandemic PAL. Spearman rho was used to determine the correlation between PAL and PFL and paired t test to compare change in PAL. \u0000Results: The students had moderate PAL. All health-related and skill-related PFL was good except for flexibility and agility which was poor. Spearman rho correlations revealed a statistically significant correlation between PAL and muscle endurance (r = .397; n = 55; p = .004). Paired t test showed a statistically significant reduction in current compared with the pre-pandemic PAL t (54) = 2.34, p = 0.023. \u0000Conclusion and Implications: Freshmen students have acceptable PAL and PFL except for flexibility and agility while poor muscle endurance correlated with lower PAL. A reduction in their PAL was noted during the pandemic. This indicates the need for programs to improve students’ flexibility, agility, and muscle endurance to be incorporated in their PE classes and daily activities to improve their PAL and PFL.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127746879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design, Development, and Implementation of the Pediatric Physical Therapy Senior Clinical Internship Telerehabilitation Program of De La Salle Medical and Health Sciences Institute: The Pandemic Impetus","authors":"M. C. D. Licuan","doi":"10.46409/002.juip9481","DOIUrl":"https://doi.org/10.46409/002.juip9481","url":null,"abstract":"Aim: Develop a benchmark model that can be used by tertiary-level health institutions in the implementation of the Pediatric Senior Clinical Internship Training Program using telerehabilitation. \u0000Method: This is a descriptive documentary analysis-qualitative paper that focuses on explaining the design, development, and implementation processes used by De La Salle Medical and Health Sciences Institute – College of Rehabilitation Sciences Physical Therapy Department in its Pediatric Cluster Senior Clinical Internship Training Program covering the pandemic years spanning from the academic year 2020- 2021 to present. \u0000Results: Determination of the Pediatric Telerehabilitation Model; declaration of developed training program outcomes and thrusts, and content; explanation of the process integral to the training program’s pedagogy in implementation; and the evaluation procedures conducted for the program. \u0000Conclusion and Implications: The pandemic situation continues to affect the lives of many people, including children with disabilities and their families globally, especially in developing countries like the Philippines. The operations of health programs, industries, and economic sectors, as well as academic training institutions, are still challenged in terms of operations and delivery of services. The academic community of the Physical Therapy program is not spared by this circumstance. The restriction posted by the quarantine policies nearly terminated the onsite delivery of training programs for the senior internship level, which challenged the academic institutions to implement flexible learning programs to ensure the continuity of the instructional and learning processes with full consideration of safety and compliance to health protocols. This paper presents the big picture of how a tertiary-level health sciences institution in the Philippines embraced the senior clinical internship challenges through the operations of its telerehabilitation program.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128397488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aaron S. Nuñez, K. E. Sosa, Fe T. Chavez, Leila Janina R. Bagsic, M. S. L. Dato, Luis Miguel A. Dela Cruz, Mitchelle H. Wenna, Jhellina L. Rojano, Paul Jimson U. Sy, Sophia Joy C. Levante
{"title":"Filipino Translation and Cross-Cultural Adaptation of the Lower Extremity Functional Scale","authors":"Aaron S. Nuñez, K. E. Sosa, Fe T. Chavez, Leila Janina R. Bagsic, M. S. L. Dato, Luis Miguel A. Dela Cruz, Mitchelle H. Wenna, Jhellina L. Rojano, Paul Jimson U. Sy, Sophia Joy C. Levante","doi":"10.46409/002.clcj8908","DOIUrl":"https://doi.org/10.46409/002.clcj8908","url":null,"abstract":"Aim: To translate, cross-culturally adapt, and validate the Lower Extremity Functional Scale to Filipino. \u0000Methods: In this cross-sectional validation study, the Lower Extremity Functional Scale was translated and cross-culturally adapted to Filipino using the guidelines for cross-cultural adaptation of self-report measures by Beaton et al. and Sousa and Rojjanasrirat. The pre-final version of the Filipino Lower Extremity Functional Scale (FIL-LEFS) underwent online pilot testing (n = 11) among Filipinos across the Philippines who have musculoskeletal conditions. This was to ensure that the scale and item questions were clear and comprehensible. Subsequently, the experts' committee determined the psychometric properties of face validity using FVI and content validity using CVI and COSMIN criteria and rating system. \u0000Results: The FIL-LEFS used Filipino terms that are understandable to Filipinos of all ages with lower extremity conditions. The Face Validity Index scores showed that all items were acceptable (> 0.80). In addition, the content validity was rated excellent (S-CVI Ave > 0.90), with all items indicating relevance and acceptability. The COSMIN content validation further showed that the study was of moderate quality in terms of sufficient content validity as rated by five experts and inconsistent content validity as rated by four experts. \u0000Conclusion and Implications: The translation and cultural adaptation of LEFS was successful. The pilot testing results showed that the FIL-LEFS is a valid tool in measuring difficulty in functional activities involving the lower extremity. However, there is still a need to establish its full psychometric properties.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124097887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Filipino Physical Therapists’ Social Responsibility Entails Adopting a Societal Practice Framework: A Qualitative Study","authors":"Y. Palad","doi":"10.46409/002.tcbn9085","DOIUrl":"https://doi.org/10.46409/002.tcbn9085","url":null,"abstract":"Aim: To define the social responsibility of Filipino physical therapists from a synthesis of Filipino physical therapy leaders' and practitioners' views \u0000Methods: Constructivism-based qualitative design was used to inquire into perspectives on the social responsibility of Filipino physical therapists. Sixteen physical therapy leaders and practitioners in the Philippines were invited to share their insights via email. Leaders were invited for their macro perspectives and influence on the profession; practitioners from various practice areas were invited to provide more practical viewpoints. Participants were interviewed one-to-one via an online conferencing platform. Interviews were transcribed, translated to English, and subjected to thematic analysis. \u0000Results: Six themes were generated. Participants viewed Filipino physical therapists' social responsibility as a professional duty to be fulfilled with altruistic and social justice motivations. It should be particularly targeted towards responding to pressing health and social issues affecting Filipinos' access to physical therapy and experience of health.\u0000Conclusion and Implications: Filipino physical therapists' social responsibility entails engaging in roles aside from clinical practice to contribute to Filipinos' attainment of health. This calls for the expansion of their ethical and practice frameworks to include addressing not only client issues but also the wider societal barriers to equal access to physical therapy and better experiences of health. This also calls for the scaling-up of the transformative purposes of physical therapy education to prepare future physical therapists for their social responsibilities.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"54 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132664925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rona Mae J. Manzanillo, Ma Czerina R. Barut, Denise Tricia E. Barut, Cathline G. Sto. Domingo, Rafael Neil C. Villalobos, Ruth Anne Claricel P. Batin
{"title":"Cross-Cultural Adaptation and Validation of the Ilokano Knee Injury and Osteoarthritis Outcome Score (KOOS) among Ilokanos with Knee Osteoarthritis","authors":"Rona Mae J. Manzanillo, Ma Czerina R. Barut, Denise Tricia E. Barut, Cathline G. Sto. Domingo, Rafael Neil C. Villalobos, Ruth Anne Claricel P. Batin","doi":"10.46409/002.qdup3741","DOIUrl":"https://doi.org/10.46409/002.qdup3741","url":null,"abstract":"Aim: To translate, cross-culturally adapt and evaluate the validity and reliability of the Ilokano-KOOS to patients with knee osteoarthritis in Ilocos Norte. \u0000Methods: A quantitative non-experimental methodological research design was used in the study. The Ilokano-KOOS was developed according to the standard cross-cultural adaptation guidelines. KOOS data were obtained in patients with knee osteoarthritis. Reliability was tested using the intraclass correlation coefficient (ICC). Internal consistency was assessed using Cronbach's alpha. Construct validity was evaluated by quantifying the correlation between the Ilokano-KOOS and original-KOOS with Pearson's correlation coefficients. \u0000Results: No major difficulties were encountered during the translation and pre-testing stages. All five domains of the Ilokano-KOOS have demonstrated a good test-retest reliability between two assessment points: 0.77- 0.97 (95% of CI). For all domains, the internal consistency was determined to be good (α = 0.770- 0.969). Construct validity of all domains showed a good to an excellent correlation which ranged from 0.969-0. 996. \u0000Conclusion and Implications: The Ilokano-KOOS is a valid, reliable, relevant instrument with good psychometric properties. Results of the study suggest its use in physical therapy to assess the functional disabilities of Ilokano patients with knee osteoarthritis and to provide instructions for future interventions.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128365430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Keynote 1: IMPETUS","authors":"M. A. P. Gelisanga","doi":"10.46409/002.rcsa3547","DOIUrl":"https://doi.org/10.46409/002.rcsa3547","url":null,"abstract":"","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125485886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Socio-Demographic Profile, Decision Space, and Management Capacity of Hospitals: A Causal Model on Work Environment","authors":"Ar-an J. Nano","doi":"10.46409/002.kvbv7483","DOIUrl":"https://doi.org/10.46409/002.kvbv7483","url":null,"abstract":"Aim: To develop a Causal Model that fits the working environment and assess the correlation between the working environment and socio-demographic characteristics, the level of decision space, and management capacity among training hospitals in region 10. \u0000Methods: This Causal-Comparative Research utilized a questionnaire from the decision space model, the Black Box Model of Public Management Capacity, and the Nursing Work Index answered by 185 randomly chosen hospital staff from two DOH hospitals in Northern Mindanao.\u0000Results: Results showed a wide level of Decision Space (M = 3.90), a high level of Management Capacity (M = 4.01) and Working Environment (M = 3.85). The result also showed a moderate to significant solid relationship between Decision Space (r = .44), Management Capacity (r = .83), and Working Environment; a strong relationship between and working environment. There is no relationship between Socio-Demographic profiles. Among the variables Managing for Result (b = .307), Human Resource Management (b = .258), Capital Management (b = .162), and IT Management (b = .124) predict a positive Working Environment. Lastly, among the causal models tested, a model that explains that an indirect relationship of Human Resource Management (b = .258) and IT Management (b = .405) to Working Environment through Managing for Results and a direct correlation between Human Resource Management (b = .298), Capital Management (b = .185), Managing for Results (b = .325) and Working Environment, showed meets the predetermined criteria for best fit.\" \u0000Conclusion and Implications: The study concludes that Managing for Results or the ability to integrate results in the planning and implementation, human resource management, and capital management are essential skills that would improve the working conditions of healthcare workers.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126882531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Escuadra, Jordan Barbra P. Nava, Miguel Ivan Atienza, Patricia Ann Diaz, Lianne Gabrielle Hernandez, Kenneth Melendres, Nicole Beatrix Paril, Aira Monique Reyes, Jonina Riq Reyes, Stan Angelo Reyes
{"title":"Well-Being Of First-Year UST-CRS Students of First-Term Academic Year 2019-2020: A Cross-Sectional Study","authors":"C. Escuadra, Jordan Barbra P. Nava, Miguel Ivan Atienza, Patricia Ann Diaz, Lianne Gabrielle Hernandez, Kenneth Melendres, Nicole Beatrix Paril, Aira Monique Reyes, Jonina Riq Reyes, Stan Angelo Reyes","doi":"10.46409/002.rnth7225","DOIUrl":"https://doi.org/10.46409/002.rnth7225","url":null,"abstract":"Aim: To describe the well-being and perceived well-being factors among freshmen students from the University of Santo Tomas - College of Rehabilitation Sciences (UST-CRS) of the first term academic year 2019-2020. \u0000Methods: This descriptive quantitative study utilized the World Health Organization-QoL-BREF questionnaire to assess the different domains of well-being at the end of the first term of 214 first-year students from occupational therapy (OT), physical therapy (PT), speech-language pathology (SLP), and Sports Science (SPS) programs. Data collected were analyzed using descriptive and inferential statistics (α<0.05).\u0000Results: Most of the students in all programs reported being satisfied with their health and had a good overall perception of their QoL at the end of the first term. Furthermore, physical health (p = 0.46), psychological health (p = 0.44), social relationships (p = 0.98) and environment (p = 0.82) domains were found to be similarly high across all and within programs (OT: p = 0.24; SLP: p = 0.28; SPS: p = 0.51) except for PT students (p = <0.01). Academic demands & pressure, sleep, and high expectations from others or self were three main reported perceived factors influencing well-being. Further analyses revealed that family dynamics \"and social & physical environment were significantly correlated with overall well-being.\u0000Conclusion and Implications: This research described the well-being and perceived factors of well-being among UST-CRS first-year students after the first term academic year 2019-2020. Data may serve as a baseline for future assessment and program development of a supportive well-being curriculum for students' holistic growth and advancement.","PeriodicalId":156633,"journal":{"name":"Philippine Journal of Physical Therapy","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124519404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}