{"title":"Workshop (Clinical/Best Practice Implementation) ID 1983439","authors":"K. Ethans, Colleen M. O’Connell","doi":"10.46292/sci23-1983439s","DOIUrl":"https://doi.org/10.46292/sci23-1983439s","url":null,"abstract":"Participants of this workshop will be able to identify and recommend multimodal treatment options in managing challenging cases in spasticity management of lower limbs in spinal cord injury (SCI). The complexities of spasticity management will be identified through case-based presentations, including assessment and treatment directed by patient-oriented goals. Facilitated interactive discussion on these cases will engage participants for input, debate and critique. Procedural techniques for neurolysis will be discussed. Goals of spasticity management in SCI often include both proximal and distal lower limb problems. Therapies include oral medications, chemodenervation with neuromuscular junction blockade with botulinum toxin or neurolysis with phenol, intrathecal baclofen, bracing, and surgery. Many patients require multiple of these therapeutic options during their course of spasticity management. Multimodal therapy as part of the clinician toolbox is essential in tone management. Patient-oriented goals are important guideposts in spasticity management. SCI is a lifespan condition, and often patient goals and health conditions change over the years, requiring different tools to address such longitudinal needs.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"110 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345464","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}
William Pei, Kai Lon Fok, S. Tajali, Jae W. Lee, Sharmini Atputharaj, Kristin E. Musselman, Kei Masani
{"title":"Student Competition (Knowledge Generation) ID 1973368","authors":"William Pei, Kai Lon Fok, S. Tajali, Jae W. Lee, Sharmini Atputharaj, Kristin E. Musselman, Kei Masani","doi":"10.46292/sci23-1973368s","DOIUrl":"https://doi.org/10.46292/sci23-1973368s","url":null,"abstract":"Individuals with an incomplete spinal cord injury (iSCI) have increased risk of falls during walking and standing. Our previous longitudinal pilot study demonstrated that a therapeutic system (FES+VFT system) using functional electrical stimulation (FES) and visual feedback training (VFT) improved the standing balance of individuals with iSCI. This study investigated the orthotic and acute therapeutic effects of FES in the FES+VFT system. Fifteen individuals with iSCI will be recruited for this study. To date, four participants have completed the study. The four participants completed three different sessions. In the first session, participants were evaluated for their balance, postural control and familiarized with the FES+VFT system. In the second and third sessions, the participant completed training sessions with the FES+VFT system with or without FES. Centre of pressure (COP) data were collected via force platforms. Before and after the training, the motor evoked potentials (MEP) of the soleus and tibialis anterior muscles were recorded. There was a greater increase in the total dynamic range of the COP with FES+VFT than VFT (Anterior posterior: increase of 17.5 ± 14.27mm, medial lateral: increase of 17.9 ± 19.45mm). Both the soleus and tibialis anterior muscles showed greater increases in MEP after FES+VFT than VFT (Soleus: 70.4 ± 31.1% vs 5.45 ± 29.1%; Tibialis Anterior: 115.3 ± 234.8% vs 11.0 ± 42.9%). These findings suggest that FES improves the performance of VFT (positive orthotic effect) and increases the corticospinal connection (positive acute therapeutic effect) in individuals with iSCI.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"66 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345532","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":"Workshop (Knowledge Generation) ID 1985178","authors":"John Chernesky","doi":"10.46292/sci23-1985178s","DOIUrl":"https://doi.org/10.46292/sci23-1985178s","url":null,"abstract":"As more research funding agencies require grant applications to include an array of stakeholder expertise, a clear and well-thought-out Engagement Plan is necessary to ensure grant reviewers understand how projects will engage relevant stakeholders. Provide a comprehensive framework for drafting Engagement Plans for grant applications that will strengthen research proposals, help to mitigate tokenism and lead to more meaningful engagement in SCI research. This presentation will describe in detail the key components you should include in your grant Engagement Plan, including tools you can utilize to select ideal project partners, develop an activity timeline, choose appropriate engagement methodologies, and prepare an accurate budget. Drawing on established best-practices in meaningful engagement, this presentation will guide delegates through the various components funding agencies expect to see in a thorough Engagement Plan. A novel framework will be shared that addresses common shortcomings in Engagement Plans and provides clear guidance on the elements to include in your grant submissions. A detailed Engagement Plan clarifies to grant reviewers the steps you intend to take to ensure meaningful engagement in your proposed work, and will help set your application apart in the highly competitive research funding market.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"22 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345788","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}
Elina Provad, Tanha Patel, Kayla Benson, Katherine Chan, Jae W. Lee, Elizabeth L. Inness, D. Wolfe, Kei Masani, Kristin E. Musselman
{"title":"Student Competition (Knowledge Generation) ID 1978805","authors":"Elina Provad, Tanha Patel, Kayla Benson, Katherine Chan, Jae W. Lee, Elizabeth L. Inness, D. Wolfe, Kei Masani, Kristin E. Musselman","doi":"10.46292/sci23-1978805s","DOIUrl":"https://doi.org/10.46292/sci23-1978805s","url":null,"abstract":"Individuals with neurological injury or disease are at increased risk of experiencing falls, highlighting the need for effective balance interventions. A novel system integrating functional electrical stimulation and visual feedback balance training (FES+VFBT) is a promising balance intervention; however, this lab-based system requires a redesign to increase clinical utility. To identify possible challenges and solutions to implementing the FES+VFBT system as a balance intervention, from the perspective of end users. This qualitative study involved three semi-structured focus group meetings to explore participants’ perspectives on the feasibility and potential challenges of implementing FES+VFBT in neurorehabilitation. Two individuals with spinal cord injury (SCI), one individual with stroke, two physiotherapists and one hospital administrator participated. Interview transcripts were analyzed using a deductive-inductive content analysis. The levels of the Social Ecological Model (SEM) were used as themes for the deductive analysis. Categories and codes were detected using an inductive approach. The themes spanned the four levels of the SEM: intrapersonal, interpersonal, organizational/training environment and society/policy. Identified categories consisted of possible challenges mapped to the intrapersonal (e.g., lack of knowledge, tolerance of user) and organizational/training environment (e.g., cost, need for space and time, technical challenges) levels. Categories also reflected possible solutions mapped to all SEM levels: intrapersonal (e.g., reading and research), interpersonal (e.g., practicing together), organizational/training environment (e.g., tailoring system parameters, social support), and society/policy (e.g., create guidelines, provide cost options). The findings will be used to improve the FES+VFBT system design and facilitate implementation of the intervention in neurorehabilitation.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"208 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346542","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}
Shannon Rockall, James Hektner, Scott Donia, John Chernesky, Vanessa K. Noonan
{"title":"Workshop (Clinical/Best Practice Implementation) ID 1998666","authors":"Shannon Rockall, James Hektner, Scott Donia, John Chernesky, Vanessa K. Noonan","doi":"10.46292/sci23-1998666s","DOIUrl":"https://doi.org/10.46292/sci23-1998666s","url":null,"abstract":"Persons with lived experience of SCI (PLEX) living in rural areas have difficulty accessing optimal care and are required to travel long distances to access specialized services. Clinicians not affiliated with specialized urban centres recognize that developing knowledge and skills specific to SCI will improve care outcomes. Praxis has conducted multiple workshops on SCI topics throughout the BC Interior Health Region to improve clinician knowledge about SCI. Topics include pressure injuries, autonomic dysreflexia, specialized equipment, bowel and bladder, etc. Utilizing evidence-based information and PLEX experiences, these workshops have increased clinician confidence when working with clients with SCI. This interactive workshop explores the development and implementation of the sessions, from the perspectives of a clinician, a PLEX, and a knowledge exchange expert. The goals of this workshop are to: This workshop demonstrates the benefit of SCI knowledge exchange for clinicians working in rural areas. Furthermore, it highlights key factors in developing these workshops, and provides an opportunity to connect with other rural SCI initiatives and networks aimed at enhancing the care and well-being of PLEX.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"12 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343834","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}
Julio C Furlan, S. L. Hitzig, James Milligan, Peter Athanasopoulos, M. Boulos
{"title":"Poster (Health Services, Economics and Policy Change) ID 1969166","authors":"Julio C Furlan, S. L. Hitzig, James Milligan, Peter Athanasopoulos, M. Boulos","doi":"10.46292/sci23-1969166s","DOIUrl":"https://doi.org/10.46292/sci23-1969166s","url":null,"abstract":"We studied the feasibility of a home-based screening sleep test (HBSST), the validity of four questionnaires used to screen for sleep-related breathing disorders (SRBDs), and the potential association between SRBD and clinical features in individuals with spinal cord injury (SCI). Adults with subacute/chronic (>1 month post-injury) SCI were recruited for the cross-sectional study and qualitative analysis. Feasibility of the HBSST was objectively evaluated and participants shared their experience. We also examined the validity of the Berlin, STOP, Medical Outcomes Study Sleep Scale [MOS-SS], and STOP-Bang screening questionnaires. We investigated the association between the degree of SRBD and three features (i.e., neck circumference, body mass index [BMI] and oropharynx opening as assessed using the Modified Mallampati classification [MMC]). There were 13 females and 18 males with ages varying from 20 to 86 years (mean age: 54.7 years) with motor complete (n=8) or incomplete SCI at cervical (n=21) or thoraco-lumbar levels. Time since SCI varied from 1.5 to 474 months. Overall, 28 individuals completed the HBSST and endorsed its feasibility. Mean apnea-hypopnea index (AHI) was 17.3 events/hour (range: 0.5-83.7). AHI was significantly correlated with Berlin (p=0.036) and STOP-Bang scores (p=0.009). There was no significant correlation between AHI and MOS-SS (p=0.348) or STOP (p=0.165). AHI was not associated with neck circumference (p=0.614), BMI (p=0.958), or MMC (p=0.335). Our results suggest that HBSST is a feasible screening method, and Berlin and STOP-Bang are valid screening questionnaires for the SCI population. AHI was not correlated with BMI, neck circumference, or MMC.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"287 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343893","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}
Mohammadreza Amiri, Suban Kangatharan, Louise Brisbois, Farnoosh Farahani, Natavan Khasiyeva, Meredith Burley, Sheila Casemore, Margaret Murphy, Stacy-Ann Walker, B. C. Craven
{"title":"Poster (Clinical/Best Practice Implementation) ID 1984972","authors":"Mohammadreza Amiri, Suban Kangatharan, Louise Brisbois, Farnoosh Farahani, Natavan Khasiyeva, Meredith Burley, Sheila Casemore, Margaret Murphy, Stacy-Ann Walker, B. C. Craven","doi":"10.46292/sci23-1984972s","DOIUrl":"https://doi.org/10.46292/sci23-1984972s","url":null,"abstract":"Heart disease is the most common cause of death after spinal cord injury or disease (SCI/D), with Cardiometabolic Disease (CMD) risk a primary contributor. 1) To report the frequency of Physical Activity guideline adherence; 2) To report the frequency of serum lipid screening recall and their recollection of the result interpretation; among adults living with SCI/D in the community. A Kinesiologist collected the SCI-High outcome data via in person or phone 1:1 interviews, and chart abstraction among UHN outpatients. A Provincial Intake Coordinator collected data via phone interview among outpatients affiliated with SCI Ontario. Survey responses were scored using Reachlite’s optical character recognition software. Descriptive statistics characterize the participant’s age, sex, impairment characteristics, and adherence to physical activity guidelines and the frequency of lipid screening/interpretation recall. Best practice education materials were used to increase future PA guideline adherence, prompt lipid screening, and healthy food choices. Adult outpatients (n=127, 67% male), mean age 61 years, and 55% paraplegic consented to participate. In total, 48% (60/126) of outpatients reported engaging in some form of aerobic exercise; of whom 50% (30/60) of these individuals were meeting current PA guidelines. About 51% of outpatients recalled lipid screening within the last year, 33% indicated they had not had an assessment. Clinical interpretation of lipid values was recalled by 71% (53/75) of outpatients. Physical activity guideline adherence and routine lipid assessments are integral to CMD risk modification – substantial education resources and recall aids may help to modify CMD risk after SCI/D.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"48 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344019","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}
Carly L O’Sullivan, Neil Tyreman, Rofyontsa F. Shanti, Wilbur A. O’Steen, Soroush Mirkiani, Maxwell Boakye, Dena R. Howland, Vivian K. Mushahwar
{"title":"Student Competition (Knowledge Generation) ID 1985158","authors":"Carly L O’Sullivan, Neil Tyreman, Rofyontsa F. Shanti, Wilbur A. O’Steen, Soroush Mirkiani, Maxwell Boakye, Dena R. Howland, Vivian K. Mushahwar","doi":"10.46292/sci23-1985158s","DOIUrl":"https://doi.org/10.46292/sci23-1985158s","url":null,"abstract":"Spinal cord injury (SCI) affects locomotion and quality of life. Two spinal cord stimulation approaches are currently under investigation for restoring standing and walking following SCI: epidural spinal cord stimulation (ESCS) and intraspinal microstimulation (ISMS). In ESCS, electrodes are placed on the dura mater and in ISMS, ultrafine wires are inserted into the cord. These modalities likely activate the locomotor regions in the ventral horn through different pathways. The goal of this study is to examine the difference in the distribution of neuronal activation and the type of neurons activated by ESCS and ISMS. The first step was to establish the needed immunohistochemical (IHC) staining protocols. Domestic pigs were divided into naïve (n=2) and positive control (n=1) groups. The naïve control animals were anesthetized for 5 hrs. The positive control animal was anesthetized for 2 hrs and injected with hypertonic saline in hindlimb muscles. The animals were then euthanized, and the spinal cord removed for IHC analysis. Antibodies against cFos, a maker of neuronal activation, and NeuN, a neuronal marker were used. Preliminary results indicate that ESCS activates neurons in the dorsal horn with scattered activation in the intermediate and ventral regions. ISMS primarily activates neurons in the intermediate and ventral regions where locomotor-related networks reside. To the best of our knowledge, this is the first time the type and sites of activation of ESCS and ISMS are investigated. This will provide a foundational understanding of the mechanism of action of these stimulation modalities.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"49 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344085","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}
A. Senthinathan, Mina Tadrous, Swaleh Hussain, B. C. Craven, Susan B. Jaglal, Rahim Moineddin, John Shepherd, Lauren Cadel, Vanessa K. Noonan, Sandra McKay, Karen Tu, S. Guilcher
{"title":"Post Doc Competition (Health Services, Economics and Policy Change) ID 1985179","authors":"A. Senthinathan, Mina Tadrous, Swaleh Hussain, B. C. Craven, Susan B. Jaglal, Rahim Moineddin, John Shepherd, Lauren Cadel, Vanessa K. Noonan, Sandra McKay, Karen Tu, S. Guilcher","doi":"10.46292/sci23-1985179s","DOIUrl":"https://doi.org/10.46292/sci23-1985179s","url":null,"abstract":"The COVID-19 pandemic has significantly impacted healthcare utilization; however, research has not investigated the impact in the spinal cord injury/dysfunction (SCI/D) population in Canada. To examine healthcare utilization and delivery during the COVID-19 pandemic in individuals with SCI/D. A repeated-cross sectional retrospective longitudinal cohort study design was conducted using health administrative database in Ontario, Canada. In 5,754 individuals with SCI/D, healthcare utilization and delivery (in-person, and virtual) were determined at the 1) pre-pandemic (March 2015 to February 2020), 2) initial pandemic onset (March 2020-May 2020), and 3) pandemic (June 2020 to March 2022) phases. Autoregressive integrated moving average (ARIMA) modelling were conducted to determine pandemic impact on monthly healthcare utilization and delivery. The initial pandemic onset period had a significant reduction of 24% in physician (p=0.0081), 35% in specialist (p<0.0001), and 30% in urologist (p<0.0001) visits, compared to pre-pandemic levels, with a partial recovery as the pandemic progressed. In April 2020, compared to the pre-pandemic period, a significant increase (p<0.0001) for virtual visits for physician, specialist, urologist, and primary care was found. The initial pandemic onset period had a 46% decrease in ED visits (p=0.0764) and 58% decrease in hospital admissions (p=0.0011), compared to the pre-pandemic period. Healthcare utilization dropped in the initial pandemic onset period as physician, specialist, urologist, and ED visits, as well as hospitalization decreased significantly (p<0.05) versus pre-pandemic levels. Virtual visit increases compensated for in-person visit decreases as the pandemic progressed to allow for total visits to partially recover.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"4 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344918","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}
James Milligan, Joseph Lee, Allison Harrison, Kathleen MacGregor
{"title":"Poster (Clinical/Best Practice Implementation) ID 2004606","authors":"James Milligan, Joseph Lee, Allison Harrison, Kathleen MacGregor","doi":"10.46292/sci23-2004606s","DOIUrl":"https://doi.org/10.46292/sci23-2004606s","url":null,"abstract":"The Centre for Family Medicine Primary Care Mobility Clinic has been active in developing collaborations at various institutions to further the overall research and clinical objectives of serving individuals with spinal cord injuries (SCI). From these initiatives, The Circulus SCI Primary Care Network (Circulus Network) was established to spark intentional collaborative research, education, training and service in primary care for individuals with SCI. The Circulus Network aims to bridge the gaps in primary care for individuals with SCI through research, education, increasing primary care resources, networking with various stakeholders and general advocacy. The Circulus Network is comprised of a Steering Committee and working groups that are representative of key stakeholders. These groups meet on a rotating monthly basis and are supported by a group process consultant. The Circulus Network informs best practice guidelines and improves knowledge translation by hosting quarterly interactive webinars on topics related to SCI and primary care as well as bi-annual Summits. Since 2021, The Circulus Network has hosted 9 webinars on SCI-related topics with good attendance by network participants. It also hosted a Summit in 2021 in which participants discussed priority planning topics and leveraged expertise to develop action steps. The Steering Committee is planning another Summit for February 2024. Using our extensive knowledge of primary care for individuals with SCI, we will continue to strengthen and develop the formalized network of patients, care partners, clinicians, researchers, and educators to support primary care of individuals with spinal cord injuries.","PeriodicalId":46769,"journal":{"name":"Topics in Spinal Cord Injury Rehabilitation","volume":"62 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346027","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}