South African Journal of Physiotherapy最新文献

{"title":"Strategies to integrate physiotherapists into primary health care in South Africa.","authors":"Sholena Narain,&nbsp;Desmond Mathye","doi":"10.4102/sajp.v79i1.1796","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1796","url":null,"abstract":"<p><strong>Background: </strong>Health services are inaccessible in low-income countries. The National Health Insurance (NHI) bill, linked to primary health care (PHC), was introduced in South Africa to improve access to health services. Physiotherapists contribute to healthcare and improve individuals' health status across their lifespan. The South African healthcare system has many challenges: physiotherapists mostly practising at secondary and tertiary levels of care; a shortage of physiotherapists in the public health systems and rural areas; the omission of physiotherapy in health policies.</p><p><strong>Objectives: </strong>To explore strategies to integrate physiotherapy services in PHC settings in South Africa.</p><p><strong>Method: </strong>Our study used a qualitative, exploratory and descriptive approach to collect data from nine doctorate physiotherapists at South African universities. Data were thematically coded.</p><p><strong>Results: </strong>The themes are to (1) improve societal knowledge of physiotherapy, (2) ensure policy representation of the profession, (3) transform physiotherapy education, (4) broaden the role of physiotherapy, (5) eradicate professional hierarchy and (6) increase the physiotherapy workforce.</p><p><strong>Conclusion: </strong>Physiotherapy is not well known in South Africa. Physiotherapy is needed to feature in health policies to transform education focussing on disease prevention, health promotion and functioning in PHC. Broadening physiotherapy roles should consider the regulator's ethical rules. Physiotherapists should proactively collaborate with other health professionals to dismantle professional hierarchies. Without addressing the urban-rural, private-public divide, the physiotherapy workforce cannot improve, to the detriment of PHC.</p><p><strong>Clinical implication: </strong>Implementing the suggested strategies may facilitate physiotherapy integration into PHC in South Africa.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of rehabilitation on the community life of stroke survivors in Accra, Ghana.","authors":"Tawagidu Mohammed,&nbsp;Gifty G Nyante,&nbsp;Joyce D Mothabeng","doi":"10.4102/sajp.v79i1.1839","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1839","url":null,"abstract":"<p><strong>Background: </strong>Return to pre-stroke life is of great importance to stroke survivors, their families and communities as stroke affects their ability to perform activities of daily living. It is therefore important to understand the impact of stroke rehabilitation on the community life of stroke survivors in Ghana as there are limited data.</p><p><strong>Objectives: </strong>Our study aimed to explore and describe the views of stroke survivors on the impact of stroke rehabilitation on their community life.</p><p><strong>Method: </strong>A descriptive qualitative study was conducted among 15 stroke survivors recruited from three selected hospitals in the Greater Accra Region of Ghana. Individual in-depth interviews were conducted using a semi-structured interview guide. Interview transcripts were analysed using thematic analysis and this gave rise to several themes.</p><p><strong>Results: </strong>The authors found that stroke left most of the survivors with functional limitations and they required various degrees of assistance to perform their activities of daily living. As the stroke survivors received rehabilitation, most of them mentioned improvements in function. However, most participants were still unable to return to work and enjoy social or leisure activities.</p><p><strong>Conclusion: </strong>Our study shows that attention needs to be given to the occupational and social management in rehabilitation as much as it is given to the physical management, to improve community integration post-stroke.</p><p><strong>Clinical implications: </strong>Our study highlights the need to take into consideration the occupational and social aspects of life as part of the rehabilitation process for stroke survivors.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9982510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9099693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public sector physiotherapists' organisation and profile: Implications for intensive care service.","authors":"Farhana Karachi,&nbsp;Rik Gosselink,&nbsp;Susan Hanekom","doi":"10.4102/sajp.v79i1.1803","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1803","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapists are essential in the management of hospitalised patients. The way in which a physiotherapy service is offered in intensive care units (ICUs) can affect ICU patient outcomes.</p><p><strong>Objectives: </strong>To provide a clear picture of the organisation and structure of physiotherapy departments, the number and types of ICUs requiring physiotherapy services and the profile of physiotherapists working in South African public-sector central, regional and tertiary hospitals that house Level I-IV ICUs.</p><p><strong>Method: </strong>Cross-sectional survey design using SurveyMonkey, analysed descriptively.</p><p><strong>Results: </strong>One hundred and seventy units (the majority Level I, functioning as mixed [37%, <i>n</i> = 58] and neonatal [22%, <i>n</i> = 37] units) are serviced by 66 physiotherapy departments. The majority of physiotherapists (61.5%, <i>n</i> = 265) were younger than 30 years, had a bachelor's degree (95.1%, <i>n</i> = 408) and were employed in production Level I and community service posts (51%, <i>n</i> = 217) with a physiotherapy-to-hospital-bed ratio of 1:69.</p><p><strong>Conclusion: </strong>Insight into the organisational structure of physiotherapy departments and physiotherapists working in public-sector hospitals with ICU facilities in South Africa was provided. It is evident that physiotherapists employed within this sector are young and early in their career development. The large number of ICUs functioning within these hospitals and high bed-to-physiotherapist ratio is concerning, highlighting the high burden of care within this sector and the possible effect on physiotherapy services in the ICUs.</p><p><strong>Clinical implications: </strong>A high burden of care is placed on public-sector hospital-based physiotherapists. The number of senior-level posts within this sector raises concern. It is not clear how the current staffing levels, physiotherapist profile and structure of hospital-based physiotherapy departments affect patient outcomes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9672626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: Effects of breathing re-education on endurance, strength of deep neck flexors and pulmonary function in patients with chronic neck pain: A randomised controlled trial.","authors":"Sahreen Anwar,&nbsp;Syed A Arsalan,&nbsp;Hamayun Zafar,&nbsp;Ashfaq Ahmed,&nbsp;Syed A Gillani,&nbsp;Asif Hanif","doi":"10.4102/sajp.v79i1.1793","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1793","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4102/sajp.v78i1.1611.].</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9601414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Becoming comfortable with the uncomfortable: The tale of adaptability.","authors":"Anke van der Merwe,&nbsp;Roline Barnes,&nbsp;Mariette Nel","doi":"10.4102/sajp.v79i1.1889","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1889","url":null,"abstract":"<p><strong>Background: </strong>With the ever-changing healthcare environment and impact of the coronavirus disease 2019 (COVID-19) pandemic on tertiary education, healthcare students need to constantly adapt their approach to learning, clinical practice and well-being. Adaptive performance is therefore vital.</p><p><strong>Objectives: </strong>To investigate the adaptive performance of final year physiotherapy students at the University of the Free State.</p><p><strong>Method: </strong>A quantitative descriptive study was performed. All consenting final year undergraduate physiotherapy students registered at the University of the Free State in 2021 were approached for inclusion. The short 55-item I-ADAPT measurement was distributed electronically to all possible participants.</p><p><strong>Results: </strong>The response rate was 28.5% (<i>n</i> = 8). Descriptive statistics, namely frequencies and percentages for categorical data and medians and percentages for numerical data were calculated. The dimensions related to handling work stress (50%), uncertainty (62.2%) and creativity (64.0%) scored the lowest. Emotional response to stress (62.5%) and frustration in response to unpredictable situations (62.5%) was reported.</p><p><strong>Conclusion: </strong>Uncertainty and unpredictability are inevitable for healthcare students. Stress management and emotional intelligence development are advised for inclusion in undergraduate physiotherapy programmes.</p><p><strong>Clinical implications: </strong>A need for curricular evaluation to ensure students are equipped with stress management and emotional intelligence skills is proposed.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle interventions in comorbid mental and physical illness: A systematic review protocol.","authors":"Sandy Lord,&nbsp;Vaneshveri Naidoo,&nbsp;Karien Mostert","doi":"10.4102/sajp.v79i1.1848","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1848","url":null,"abstract":"<p><strong>Background: </strong>Patients with mental health disorders (MHDs) often present with chronic illness and complain of pain and poor physical health. They present with a high burden of disease and poor quality of life. Significant associations between MHDs and chronic illness have been found. Lifestyle interventions are cost-effective strategies, which seem to be effective in managing comorbid mental and physical health disorders. Therefore, a summary of the evidence and clinical practice guidelines is needed in South Africa.</p><p><strong>Objectives: </strong>Our study will aim to determine the effectiveness of lifestyle interventions on health-related quality of life, in patients with comorbid mental and physical health disorders.</p><p><strong>Method: </strong>The systematic review will be conducted using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness. MEDLINE (Ovid), CINAHL (EBSCO), LiLACS, Scopus, Physiotherapy Evidence Data Base (PEDro) and Cochrane Central Register of Controlled Trials will be searched. A three-step search strategy will identify published literature in all languages from 2011 to 2022. Critical appraisal of all included studies will be performed, and the relevant data will then be extracted. Where possible, data will be pooled in a statistical meta-analysis.</p><p><strong>Results: </strong>The results will provide the best available evidence regarding lifestyle interventions in the management of patients with comorbid mental and physical health disorders.</p><p><strong>Conclusion: </strong>Our review will provide evidence on the effectiveness of lifestyle interventions in the management of patients with comorbid mental and physical health disorders.</p><p><strong>Clinical implications: </strong>The results may assist in determining the best use of lifestyle interventions in the management of patients with MHDs and comorbidities.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9431308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise interventions used along the continuum of cancer care: A scoping review protocol.","authors":"Jibril M Nuhu, Roline Barnes, Anke van der Merwe","doi":"10.4102/sajp.v78i1.1819","DOIUrl":"10.4102/sajp.v78i1.1819","url":null,"abstract":"<p><strong>Background: </strong>Cancer is one of the leading causes of death worldwide. Exercise is crucial for ameliorating the burden associated with cancer and its management. A broad review of exercise interventions for cancer patients is not available.</p><p><strong>Objective: </strong>Our study aims to review the documented exercise interventions prescribed for adult cancer patients aimed at ameliorating cancer-related and cancer treatment-induced symptoms in patients along the continuum of care.</p><p><strong>Methods: </strong>A three-step search strategy will be used, the research question was developed; the first step in the research process was identified and the search strategy was developed using the Participants-Concept-Context framework. English language publications from 15 electronic databases from 2011 to 2021 will be searched. The Joanna Briggs Institute methodology for scoping reviews will be to guide the review and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews will be used for the report. The search strategy incorporated terms relevant to the research question. The reference lists of articles included in the review will be screened for additional papers. Searched articles will be screened to determine their eligibility for inclusion and a pretested data extraction form will be used to chart the extracted evidence.</p><p><strong>Results: </strong>This article presents a protocol for a scoping review on exercise interventions to affect symptoms in cancer patients from diagnosis to end-of-life care.</p><p><strong>Conclusion: </strong>A broad review of exercise interventions for cancer management in adult patients will elucidate the characteristics and context of exercises used along the cancer care continuum.</p><p><strong>Clinical implications: </strong>Exercise interventions used as part of cancer management will be mapped out to provide an overview of such exercise interventions. This could enhance knowledge among exercise oncology experts regarding exercise interventions for different cancer patient populations.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9724114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between walking speed, activities and participation in people with chronic stroke in Burundi.","authors":"Félix Nindorera,&nbsp;Ildephonse Nduwimana,&nbsp;Alexis Sinzakaraye,&nbsp;Yannick Bleyenheuft,&nbsp;Jean-Louis Thonnard,&nbsp;Oyéné Kossi","doi":"10.4102/sajp.v78i1.1800","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1800","url":null,"abstract":"<p><strong>Background: </strong>Reduced walking speed because of a stroke may limit activities of daily living (ADLs) and restrict social participation.</p><p><strong>Objectives: </strong>To describe the level of balance impairment, activity limitations, and participation restrictions and to investigate their relationship with walking speed in Burundians with chronic stroke.</p><p><strong>Methods: </strong>This cross-sectional study involved adult stroke survivors. Walking speed, balance, ADLs and social participation were assessed with the 10-meter walk test (10 mWT), the Berg balance scale (BBS), the activity limitation stroke scale and the participation measurement scale, respectively. In order to determine ambulatory independence status, participants were stratified into three walking speed groups (household ambulation, limited ambulation and full-community ambulation), based on the Perry classification.</p><p><strong>Results: </strong>Fifty-eight adults (mean age 52.1 ± 11.4 years) with chronic stroke were included in our study. Most participants had severe balance impairments (median BBS score, 27). Their mean (± standard deviation [SD]) walking speeds, ADL levels and social participation levels were 0.68 ± 0.34 m/s, 50.8% ± 9.3% and 52.8% ± 8.6%, respectively. Walking speed correlated moderately with balance (rho = 0.5, <i>p</i> < 0.001) and strongly with ADL level (<i>r</i> = 0.7, <i>p</i> < 0.001) but not with participation level (<i>r</i> = 0.2, <i>p</i> = 0.25).</p><p><strong>Conclusion: </strong>Using socio-culturally suitable tools, our study showed that walking speed correlates robustly with balance and ADL ability, but not with social participation, in Burundi, a low-income country.</p><p><strong>Clinical implications: </strong>Exercises targeting walking speed would be very useful for people with chronic stroke living in low-resource countries, in order to promote their functional independence.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of content and structure of the Return-to-work assessment for post-stroke survivors.","authors":"Peter O Ibikunle,&nbsp;Anthea Rhoda,&nbsp;Mario R Smith,&nbsp;Ushotanefe Useh","doi":"10.4102/sajp.v78i1.1790","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1790","url":null,"abstract":"<p><strong>Background: </strong>Validation of an instrument consist of three main types: content, criterion and construct. Content validity needs to be determined in order for an instrument to be acceptable for use, validity establishes the fact that an instrument measures exactly what it proposes to measure. The Return-to-work assessment scale (RAS) was developed to measure three aspects of return to work: (Personal factors and/or issues, work issues and contextual factors) in 2021.</p><p><strong>Objective: </strong>To report on the processes followed in establishing the face and content validity of the RAS.</p><p><strong>Method: </strong>Twenty participants took part in our study, they were selected purposively and conveniently from a pool of professionals and post stroke survivors. The Delphi survey technique was used to arrive at consensus and professional opinion on the items included in the RAS. Consensus was sought on the items, domains and subdomains included in the RAS that was used to assess return-to-work after a stroke. Our study was concluded after the third round.</p><p><strong>Result: </strong>One item was remove out of the original 86, three (3) domains made up of eleven (11) subdomains were retained. The RAS had consensus of 100% after three rounds of scrutiny for all items.</p><p><strong>Conclusion: </strong>The RAS was found to be valid, thereby establishing its face and content validity.</p><p><strong>Clinical implication: </strong>The RAS is valid and was recommended for psychometric testing which was the next stage after face and content validity.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' beliefs about back pain, their coping strategies and participant activation for self-management.","authors":"Loveness A Nkhata,&nbsp;Yolandi Brink,&nbsp;Dawn Ernstzen,&nbsp;Diribsa Tsegaye,&nbsp;Quinnette Louw","doi":"10.4102/sajp.v78i1.1622","DOIUrl":"https://doi.org/10.4102/sajp.v78i1.1622","url":null,"abstract":"<p><strong>Background: </strong>Back pain affects nurses' physical, social and emotional well-being, as they encounter difficulties in executing their social and occupational duties.</p><p><strong>Objectives: </strong>Our study investigated the impact of a cross-cultural back pain campaign on nurses' beliefs about back pain; activating the participants to self-manage; coping strategies; sick leave claimed; and frequency of doctor visits.</p><p><strong>Method: </strong>A single sample pre- and post-test design was used. The intervention was a 12-week educational campaign based on evidence-based back pain messages. Primary outcomes were measured by their beliefs about back pain and their activation to self-manage. Analyses were conducted using SPSS version 27.0 software, and significant differences from before and after the campaign were analysed using the Chi-square test at a 0.05 significance level.</p><p><strong>Results: </strong>There were no significant differences in the age, gender and work hours of the nurses who participated before and after the campaign, except for their professional work settings (< 0.05). All secondary outcomes improved significantly after the campaign, and outcomes on beliefs about back pain showed significantly positive changes in six of the 14 items, while all questions pertaining to patient activation improved significantly.</p><p><strong>Conclusion: </strong>The 12-week back pain campaign, based on contextualised, evidence-based back pain messages for Zambian nurses, motivated the participants to self-manage their back pain. However, not all beliefs about back pain changed positively after the campaign.</p><p><strong>Clinical implications: </strong>The findings of this back pain education campaign show promise as a strategy to improve knowledge, behaviours and beliefs about back pain in African settings.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40459202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}