Musculoskeletal Care最新文献

{"title":"Understanding Communication Gaps in MSK Counselling: Bridging Patient and Doctor Perspectives.","authors":"Moh'd S Dawod, Mohammad N Alswerki, Jehad Feras AlSamhori, Ahmad F Alelaumi, Yousef Al-Shamaileh, Saleh Abualhaj, Runa Amoudi, Esraa Lahloh, Atheer Dahoud, Afa' Alqatawna","doi":"10.1002/msc.70148","DOIUrl":"https://doi.org/10.1002/msc.70148","url":null,"abstract":"<p><strong>Introduction: </strong>Communication gaps between patients and physicians in musculoskeletal (MSK) care can affect satisfaction and outcomes. While many studies focus on patient dissatisfaction, few compare it directly with physician perceptions. This study aimed to identify perceptual gaps during MSK consultations by analysing both perspectives across key communication domains.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to 950 patients and 85 physicians in outpatient MSK clinics in Jordan. Structured questionnaires assessed perceptions of consultation quality across eight patient domains and five physician domains. Independent sample t-tests were used to compare satisfaction groups. Perceptual gaps were identified by matching patient and physician responses.</p><p><strong>Results: </strong>Dissatisfied patients reported significantly lower scores in key domains: diagnosis understanding (4.08 vs. 6.15, p = 0.04), clarity of condition explanation (4.23 vs. 6.91, p = 0.01), involvement in treatment decisions (3.23 vs. 6.19, p = 0.002), and consultation time adequacy (3.03 vs. 6.91, p = 0.03). In contrast, physicians in non-satisfactory encounters rated higher feelings of being rushed (8.56 vs. 3.33, p = 0.002), perceived patient disorganisation (8.64 vs. 2.02, p = 0.001), and resistance to non-pharmacologic advice (7.58 vs. 2.20, p = 0.001). These findings reveal six major gaps: consultation time, communication clarity, patient organisation, treatment receptiveness, shared decision-making, and trust.</p><p><strong>Conclusion: </strong>This study revealed six communication gaps between patients and physicians in MSK care-spanning time, clarity, decision-making, and trust. Physicians often believed they communicated effectively, while patients felt rushed, confused, or excluded. Bridging these gaps requires clearer communication, active patient involvement, and greater attention to how care is delivered and perceived.</p><p><strong>Level of evidence: </strong>Level III-Cross-sectional observational study.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70148"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327193","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":"Cauda Equina Syndrome: A Survey of Guideline Utilisation in Primary Care in England.","authors":"Jonathon Gill, Sue Greenhalgh, Jos M Latour, Gillian Yeowell","doi":"10.1002/msc.70129","DOIUrl":"10.1002/msc.70129","url":null,"abstract":"<p><strong>Background: </strong>Cauda equina syndrome (CES) is a spinal emergency. Over half of known cases first present to primary care for initial assessment. In February 2023, the Getting It Right First Time (GIRFT) national programme launched new CES guidelines, which included an important change in practice: a new urgent referral route.</p><p><strong>Aim: </strong>This study aims to explore the awareness and use of the GIRFT guidelines in a primary care setting in England.</p><p><strong>Design and setting: </strong>A cross-sectional online survey was used to collect data from primary care clinicians working across England.</p><p><strong>Method: </strong>Using purposive sampling, the survey was shared with primary care clinicians across England and conducted between 21-10-2024 and 24-12-2024. The RE-AIM framework underpinned the survey design. Descriptive analysis was employed to interpret frequency and Likert data.</p><p><strong>Results: </strong>A total of 515 responses were received from across all 42 integrated care boards in England. Of the 515 participants, 452 (88%) were aware of a CES guideline or pathway, with 297/515 (58%) being aware of the GIRFT guidelines. Two-thirds had access to a local CES pathway (n = 304/452, 67%). Nearly all clinicians highlighted that consulting either a local CES pathway or national guidelines supported their clinical decision making.</p><p><strong>Conclusion: </strong>This is the first study to investigate the awareness and utilisation of the GIRFT guidelines in primary care across England. The use of locally agreed CES pathways was shown to increase adherence to their recommendations in primary care. These findings suggest that using up-to-date local CES pathways can increase adherence to the GIRFT guidelines.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70129"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235533","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":"Dissemination Strategies for Clinical Practice Guidelines Focused on Imaging for Low Back Pain: A Scoping Review.","authors":"Samantha Hickey, Nicola L Saywell, Thomas Adams, Julia Hill","doi":"10.1002/msc.70086","DOIUrl":"10.1002/msc.70086","url":null,"abstract":"<p><strong>Objective: </strong>To investigate campaigns developed for the dissemination of clinical practice guidelines for the appropriate use of imaging for low back pain.</p><p><strong>Method: </strong>A scoping review was conducted to identify resources which report on dissemination strategies for low back pain imaging clinical practice guidelines. A database search was conducted of MEDLINE, CINAHL, Cochrane Reviews, Scopus, Google, Google Scholar and National Health Service Websites. The full text of relevant resources identified from the title and abstract screen were retrieved and assessed for inclusion eligibility.</p><p><strong>Results: </strong>The initial search identified 1087 resources. Following a title, abstract and full-text screen, 26 resources were included for final synthesis. Relevant data were extracted and categorised into the following three key components: (1). Location of the campaign, (2). Campaign details, (3). Dissemination strategies as defined by five methods (educational resources, presentations and interactive interventions, media form, clinical decision support, and other). Educational resources and interactive interventions were the most commonly used strategies, with media resources implemented the least.</p><p><strong>Conclusion: </strong>Low back pain imaging clinical practice guidelines have been disseminated to clinicians at regional and national levels; however, there are few international campaigns. The comprehensive list of dissemination strategies included in this study has created a foundation to facilitate the design of future campaigns to enhance the scope of trialled strategies to consider the complexities of clinical practice and its ever present need to change.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70086"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744217","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":"Correction to 'Patient and Healthcare Provider Experience With Rheumatoid Arthritis in Northern Ontario, Canada: A Qualitative Descriptive Study'.","authors":"","doi":"10.1002/msc.70102","DOIUrl":"10.1002/msc.70102","url":null,"abstract":"","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70102"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039366","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":"Primary Care Reattendance Following an FCPP Appointment: A National Retrospective Service Evaluation.","authors":"Ben Bradford, Thomas Samuel Collier, Michael Freeman, Rob Goodwin","doi":"10.1002/msc.70143","DOIUrl":"10.1002/msc.70143","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal (MSK) conditions equate to one third of a general practitioners (GP's) caseload. First contact practitioner physiotherapists (FCPPs) have been shown to be a clinically and cost-effective alternative to GPs for managing MSK conditions. However, their impact on primary care workload(s) requires further evaluation.</p><p><strong>Aim: </strong>To determine the percentage of patients who, having seen an FCPP for a musculoskeletal disorder, then reattend with a GP, nurse practitioner (NP), or paramedic practitioner (PP) within 12 weeks, and the reasons for reattendance.</p><p><strong>Design and setting: </strong>National, retrospective service evaluation from 70 primary care networks (PCNs) across England.</p><p><strong>Method: </strong>Data on the rate of and reasons for reattendance following an FCPP appointment were collected retrospectively between 01 January 2024 and 30 April 2024. Consent was obtained from each PCN/practice site. Extracted data consisted of patient demographics, and whether the patient reattended with a GP/NP/PP at three predetermined timepoints within 12 weeks. Reasons for reattendance at each time point were recorded against 8 predetermined criteria.</p><p><strong>Results: </strong>Two thousand one hundred forty out of 2725 patients (78.5%) did not reattend within 12 weeks of an FCPP appointment. Medication/analgesia prescribed was the most common reason for reattendance < 8 weeks and onward referral was the most common reason for reattendance between 8 and 12 weeks.</p><p><strong>Conclusion: </strong>FCPPs do have a significant impact on reducing the burden of MSK conditions in primary care. Medication was the most common reason for reattendance, supporting the advanced practice component of the FCPP role.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70143"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295110","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":"Psychological Interventions Added to Standard Care Improve Pain and Function Outcomes in Knee Osteoarthritis: A Systematic Review and Meta-Analysis.","authors":"Tim Phelps, Jonathan Gilby, Joanne Hosking, Jonathon Gill","doi":"10.1002/msc.70141","DOIUrl":"10.1002/msc.70141","url":null,"abstract":"<p><strong>Objective: </strong>Knee osteoarthritis is a primary cause of disability across the world and current standard care fails to address all biopsychosocial contributions to pain. The current review aims to evaluate randomised controlled trials examining the effect of adding cognitive behavioural therapy or pain coping skills training to standard care on pain and function outcomes for individuals with knee osteoarthritis.</p><p><strong>Data sources: </strong>Systematic searches were conducted of CINAHL, EMBASE (OVID), Medline (EBSCO) and PsycINFO databases until July 2024 with no date restrictions.</p><p><strong>Methods: </strong>This systematic review followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Risk of bias was assessed using the Risk of bias 2 tool. Meta-analysis using a random-effects model was carried out using the ​Statistical Package for the Social Sciences, and effect sizes from standardised mean differences were calculated using Cohen's d statistic. Heterogeneity was assessed using I-squared and Tau-squared tests.</p><p><strong>Results: </strong>Four randomised controlled trials met eligibility criteria (n = 628, mean age 62.91), demonstrating a low risk of bias. The addition of cognitive behavioural therapy or pain coping skills training to standard care for knee osteoarthritis produced statistically significant changes in standardised mean differences (p < 0.001), showing small to medium effect sizes in pain (0.488) and function (0.340) between 3- and 6-month time points. Heterogeneity measured by I^-squared and Tau-squared was low for pain and function.</p><p><strong>Conclusion: </strong>Adding psychological interventions to standard care for knee osteoarthritis improves outcomes in both pain and function. These findings support the integration of psychological interventions into clinical practice.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70141"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327233","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":"Associations of Physical Activity, Sedentary Behaviour, Pain, Function and Quality of Life With Diabetes and Knee Osteoarthritis: Data From the Osteoarthritis Initiative.","authors":"Harvi F Hart, Daniel K White, Sonja M Reichert, Joshua J Stefanik","doi":"10.1002/msc.70128","DOIUrl":"10.1002/msc.70128","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relation of radiographic knee osteoarthritis (RKOA) and type 2 diabetes mellitus (T2DM) to physical activity, pain, physical function, and quality of life.</p><p><strong>Methods: </strong>Data on physical activity (light and moderate-vigorous physical activity minutes/day, steps/day, sedentary time percent of wear time), pain, physical function (Western Ontario and McMaster Index, walking speed during 20-m walk) and quality of life (SF-12) from the Osteoarthritis Initiative at the 48-month visit were included. Participants (n = 1788) were categorised into no RKOA or T2DM, RKOA-alone, T2DM-alone, and RKOA and T2DM. Multivariable regression models, adjusted for age, sex, and BMI, assessed the relationship of disease status to outcomes.</p><p><strong>Results: </strong>Compared to RKOA-alone, RKOA and T2DM were associated with lower moderate-vigorous physical activity (Coefficient: 4 min/day, 95% CI: [-7, -1]) and steps/day (-817 steps/day [-1291, -343]) and higher sedentary time percent (1.3%/day [-0.2, 2.8]). No significant differences were found in light physical activity (-11 min/day [-25, 2]). The RKOA and T2DM groups reported greater pain (1.0 [0.4, 1.6]) and functional limitations (3 [1, 5]), slower walking speed (-0.09 m/s [-0.12, -0.05]), and worse quality of life (-3.2 [-4.8, -1.6]). T2DM-alone was also associated with lower physical activity and worse quality of life than RKOA-alone.</p><p><strong>Conclusions: </strong>The comorbidity of RKOA and T2DM and T2DM-alone were associated with lower physical activity and worse quality of life than RKOA-alone. Management should address both conditions concurrently rather than in isolation.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70128"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267619","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":"Weight- and Nutrition-Related Changes of Patients With Osteoarthritis Attending the Dietetic Orthopaedic Physiotherapy Screening Clinic: Findings From a Clinical Audit.","authors":"Lara Tupper, Shannon Morley, Jennifer Utter","doi":"10.1002/msc.70146","DOIUrl":"10.1002/msc.70146","url":null,"abstract":"<p><p>The aim of this study is to describe patient experiences with the dietetic service in a multidisciplinary orthopaedic physiotherapy screening clinic for the management of osteoarthritis, specifically nutrition-related indicators of success, such as changes to weight and diet. A retrospective observational medical chart audit was conducted of patients with osteoarthritis within the dietetic clinic over a 12-month period in a large, urban setting in Australia. In total, 38 patients met the inclusion criteria; 68% were female. Patients spent an average of 182 days in dietetics care, with an average of 5 appointments per patient. Approximately one-third (32%) of patients achieved a clinically significant weight loss (> 5% of body weight), 58% had no change in weight, and 11% of patients gained weight (> 5% of body weight). Of patients in the successful weight loss group, 50% had been advised to follow a very low energy diet, compared to 19% in the no weight loss group (p = 0.05). Patients appeared to be increasing their consumption of fruits and vegetables and decreasing their discretionary foods, but changes did not reach statistical significance. We found that the current clinic was resource-intensive, provided varied nutritional treatments, and resulted in some, but limited, success. Findings from this study suggest areas for improvement in clinics that primarily serve patients with osteoarthritis.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70146"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340449","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":"Evaluating the Impact of Cervical Stabilisation Exercises on Chronic Neck Pain: A Systematic Review.","authors":"Nikita Saini, Snigdha Tiwari, Lalli Singh","doi":"10.1002/msc.70091","DOIUrl":"10.1002/msc.70091","url":null,"abstract":"<p><strong>Background: </strong>Chronic neck pain (CNP) significantly impacts individuals' quality of life and functional capacity. Cervical stabilisation exercises (CSEs), targeting deep cervical muscles and improving postural alignment, have emerged as a promising intervention. This systematic review evaluates the efficacy of CSEs in managing CNP.</p><p><strong>Objective: </strong>To determine the effectiveness of CSEs in alleviating pain, improving function, and enhancing quality of life in individuals with CNP.</p><p><strong>Methods: </strong>A systematic review of the literature was conducted following PRISMA guidelines. Searches were performed across PubMed, Scopus, and the PEDro. Eligible studies included randomised controlled trials (RCTs) published within the past 10 years. Methodological quality was assessed using the PEDro scale.</p><p><strong>Results: </strong>Twelve studies met the inclusion criteria, with most rated as moderate to high quality. Findings demonstrated that CSEs significantly reduce pain (as measured by VAS and NRS), improve functional capacity (e.g., Neck Disability Index), and correct postural abnormalities such as forward head posture. Multimodal interventions combining CSEs with manual therapy, thermotherapy, or dynamic exercises yielded superior outcomes compared with CSEs alone. Intervention duration of 6-8 weeks was most effective. Variability in outcomes was attributed to differences in population characteristics and methodological quality.</p><p><strong>Conclusion: </strong>CSEs are an effective, evidence-based intervention for managing CNP. Tailored programs, particularly those integrating multimodal approaches, enhance therapeutic outcomes. Future research should focus on long-term effects and subpopulation-specific benefits to optimise clinical implementation.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70091"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024334","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":"Sleep Measurement in Osteoarthritis and Inflammatory Arthritis: A Systematic Scoping Review Protocol.","authors":"Annalisa De Lucia, Yeliz Prior, Richard Jones, Gianluca Bertoni, Andrea Dell'Isola, Valeria Donisi, Cinzia Perlini, Simone Battista","doi":"10.1002/msc.70140","DOIUrl":"10.1002/msc.70140","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis (OA) and inflammatory arthritis (IA), including rheumatoid arthritis (RA), psoriatic arthritis (PsA), and axial spondylarthritis (axSpA), are leading causes of disability worldwide, significantly impacting health and quality of life. Sleep issues are highly prevalent in these populations, exacerbating pain, fatigue, and disease activity. However, there is a dearth of evidence regarding how sleep disorders should be assessed.</p><p><strong>Objective: </strong>The main objectives are to identify, describe, and synthesise which types of sleep dimensions are evaluated, what measurement tools are employed to measure them in individuals with OA and IA, and provide an overview of the impact of sleep issues in OA and IA.</p><p><strong>Methods: </strong>This systematic scoping review will follow the Joanna Briggs Institute methodological framework and be reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Systematic Scoping Reviews. The search strategy will involve PubMed, Embase, Cochrane Central, PsycINFO, and CINAHL, along with grey literature sources. Articles will be selected based on predefined eligibility criteria, and data will be synthesised narratively.</p><p><strong>Anticipated outcomes: </strong>This systematic scoping review will synthesise the current literature on studies that collect and report sleep assessment as a primary or secondary outcome in people with OA and IA. It will clarify which sleep dimensions are assessed and how they are measured, provide an updated overview to inform clinical practice regarding sleep assessment and impact in OA and IA, and identify key research gaps.</p><p><strong>Dissemination: </strong>The findings will be disseminated through research publications, including peer-reviewed articles and conference abstract(s)/presentation(s).</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":"23 2","pages":"e70140"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267597","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}