Cara L Brown, Gabrielle Bacon, Tessa Bruce, Sydney Meyer, Lovejot Mann, Harriet Awuku
{"title":"Supporting Students in Relation to Racism: Occupational Therapy Fieldwork Educator Perspectives.","authors":"Cara L Brown, Gabrielle Bacon, Tessa Bruce, Sydney Meyer, Lovejot Mann, Harriet Awuku","doi":"10.1177/00084174251346555","DOIUrl":"10.1177/00084174251346555","url":null,"abstract":"<p><p><b>Background.</b> Racism is ingrained within the Canadian healthcare system, resulting in health inequities for Black, Indigenous, and people of colour (BIPOC) service users, healthcare workers, and students. Occupational therapy students spend a large amount of their training with fieldwork educators within these environments. <b>Purpose.</b> Explore the experiences of occupational therapy fieldwork educators in relation to supporting students witnessing or experiencing racism during fieldwork education. <b>Method.</b> Using an interpretive description research design, with a semi-structured interview guide, we conducted individual and group interviews with nine occupational therapy fieldwork educators with a minimum of two years of clinical experience. Data analysis included data immersion, independent coding by multiple team members, and grouping and collapsing data to develop categories. <b>Findings.</b> All participant educators discussed racism with students, but had varying levels of comfort doing so. The participants used reflection as a tool to support students learning about racism. Participants were \"self-taught\" regarding racism and wanted help to develop their own, as well as their students' skills in responding to racism. <b>Conclusion.</b> Health organizations and universities need to work in an integrated way to prioritize anti-racism education for all occupational therapy students and practitioners, and to develop multipronged systems for the disclosure and addressing of racism.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"337-349"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaarina Valavaara, Jay MacDonald, Pamela Barnes, Emilie Bourque, Sierra Rowe, Tal Jarus
{"title":"Occupational Therapists' Experiences of Assessments With Indigenous Peoples: A Storytelling Approach.","authors":"Kaarina Valavaara, Jay MacDonald, Pamela Barnes, Emilie Bourque, Sierra Rowe, Tal Jarus","doi":"10.1177/00084174251336547","DOIUrl":"10.1177/00084174251336547","url":null,"abstract":"<p><p><b>Background.</b> Occupational therapists have a responsibility to strive for culturally safer assessments with Indigenous Peoples. <b>Purpose.</b> Explore occupational therapists' approaches related to culturally safer assessment strategies with Indigenous Peoples, including their perspectives, recommendations, and challenges. <b>Method.</b> Occupational therapists working with Indigenous Peoples across Canada were invited to participate in online surveys and virtual storytelling groups. Data was analyzed with descriptive statistics and thematic analysis. Member checking and collaboration with Indigenous project members consolidated final themes. <b>Findings.</b> Forty-three participants completed surveys and 16 participated in storytelling groups, with three distinct themes emerging: importance of building relationships, the complex nature of obtaining consent, and how systemic barriers negatively affect occupational therapists' capacity to provide culturally safer assessments. Findings are presented in a composite conversation between an occupational therapist and an Indigenous Knowledge Keeper. <b>Conclusion.</b> Despite systemic pressures towards efficiency and standardized approaches, occupational therapists are attempting efforts towards culturally safer assessments by advocating for occupation-based, culturally relevant, and flexible assessment processes that respect the autonomy of Indigenous service recipients. Future research could explore the current state of curricula related to assessment practices with Indigenous Peoples in Canadian entry to practice occupational therapy programs and perspectives from Indigenous occupational therapists and service recipients.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"311-322"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Ninan Fenn, Stephen Isbel, Claire Pearce, Daniela Castro de Jong
{"title":"Establishing Therapeutic Relationships with Immigrant Families of Disabled Children: A Scoping Review.","authors":"Sarah Ninan Fenn, Stephen Isbel, Claire Pearce, Daniela Castro de Jong","doi":"10.1177/00084174251363011","DOIUrl":"10.1177/00084174251363011","url":null,"abstract":"<p><p><b>Background.</b> Cultural approaches are used to acknowledge the diversity and the social positioning individuals bring into the therapeutic relationship. <b>Purpose.</b> This scoping review describes the utilization of cultural approaches to build and sustain therapeutic relationships between immigrant families of disabled children and occupational therapists. <b>Method.</b> This scoping review was based on the methodological framework developed by Arksey and O'Malley. Six databases were searched, and 24 articles published between 2010 and 2025 were included. <b>Results.</b> Cultural competence, cultural sensitivity and cultural humility were the cultural approaches mentioned in 15 studies, with nine not mentioning a specific cultural approach to facilitate the therapeutic relationship. All the studies outlined strategies to facilitate the relationship. Various culturally appropriate communicative and collaborative strategies were used to (i) establish rapport and trust (ii) align goals and intervention and (iii) facilitate advocacy and participation. These strategies were independently described and were not specific to any approach. <b>Conclusion.</b> Facilitating the therapeutic relationship with immigrant families of disabled children does not align specifically with any of the cultural approaches within occupational therapy. This reinforces the need to focus not on the cultural approaches, but on refining the strategies required to facilitate the therapeutic relationship.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"350-365"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leila Faber, Esther Hartman, Dagmar F A A Derikx, Maaike G A Steggink, Suzanne Houwen, Marina M Schoemaker
{"title":"A Qualitative Observation Tool for Folding, Writing, and Cutting in School-Aged Children: Hands-On!","authors":"Leila Faber, Esther Hartman, Dagmar F A A Derikx, Maaike G A Steggink, Suzanne Houwen, Marina M Schoemaker","doi":"10.1177/00084174251397726","DOIUrl":"10.1177/00084174251397726","url":null,"abstract":"<p><p><b>Background.</b> Fine motor skills such as folding, writing, and cutting are daily activities of children, yet reliable, valid tools to qualitatively assess these skills remain limited. <b>Purpose.</b> To develop the Hands-On! observation tool and evaluate its reliability and validity in assessing fine motor skills in 5- to 10-year-old children. <b>Method.</b> Hands-On! was created using literature review and expert feedback to determine intratask components for folding, writing, and cutting. The sample included 178 typically developing children (<i>M</i><sub>age</sub> 8.06 ± 1.58 years, 47.8% boys). Inter- and intraobserver reliability were measured, alongside concurrent (duration and errors DCDDaily) and construct validity (age, sex) for each task. <b>Findings.</b> Moderate to very strong interobserver (folding 84.5%-84.9%, writing 81.8%-86.0%, cutting 75.4%-83.8%) and intraobserver reliability (folding 92.8%, writing 91.7%, cutting 93.7%) were found. Concurrent validity was supported by moderate to strong correlations between qualitative scores for folding (ρ<sub>duration</sub> = 0.624, ρ<sub>folds</sub> = -0.441) and cutting (ρ<sub>duration</sub> = 0.335, ρ<sub>errors</sub> = 0.377) with DCDDaily metrics, though no significant correlation was found for writing. Construct validity was supported for folding and cutting, with age and sex explaining 22.1% and 14.1% of the variance. <b>Conclusion.</b> Hands-On! is a reliable and valid qualitative observation tool for assessing fine motor skills in children, enhancing assessment practices, and informing effective interventions.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251397726"},"PeriodicalIF":2.3,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nooralhuda Bakaa, Ronessa Dass, Danielle Southerst, Silvano Mior, Pierre Côté, Lisa Carlesso, Joy MacDermid, Brenda Vrkljan, Tara Packham, Luciana Gazzi Macedo
{"title":"Assessing Cultural Competency and Agility Among Occupational Therapists in Canada: A Cross-Sectional Mixed-Methods Survey.","authors":"Nooralhuda Bakaa, Ronessa Dass, Danielle Southerst, Silvano Mior, Pierre Côté, Lisa Carlesso, Joy MacDermid, Brenda Vrkljan, Tara Packham, Luciana Gazzi Macedo","doi":"10.1177/00084174251394956","DOIUrl":"10.1177/00084174251394956","url":null,"abstract":"<p><p><b>Background.</b> National and provincial professional associations and regulatory bodies for occupational therapists (OTs) in Canada emphasize culture, equity, and justice as essential competencies. This study investigates the diversity within the occupational therapy profession and explores OTs' perspectives on providing culturally responsive care to members of equity-deserving groups, with a particular focus on cultural competence and agility. <b>Method.</b> OTs were administered a cross-sectional mixed-methods survey that included demographics, the Cultural Competence Assessment Instrument (Two subscales: Awareness and Sensitivity and Competence Behaviour), and an open-ended question examining their perceived cultural competence. Quantitative data were analyzed using descriptive statistics, and qualitative themes were determined through content analysis. <b>Findings.</b> A total of 240 OTs participated in this survey, with an average age of 45.3 (22.5), identifying primarily as females/women (90.7%). Less than half of respondents (41%) identified their race; of those who did, they were primarily of Southeast Asian descent (21.3%). OTs had lower scores for Cultural Awareness and Sensitivity (3.17/7 [3.11, 3.23]) and for Cultural Competence Behavior (3.22/7 [3.08, 3.37]). While highlighting the healthcare system distrust and barriers to culturally responsive care, most felt confident addressing them. OTs reported that greater awareness and inclusivity at individual and systemic levels are needed. <b>Conclusion.</b> Our sample of OTs suggests little diversity related to gender, race, and ethnicity. OTs in Canada vary in their perceptions of health disparities, barriers for patients in accessing and receiving health care, and efficacy in addressing barriers.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251394956"},"PeriodicalIF":2.3,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethical Tensions in Transitioning to Tiered Models of School-Based Occupational Therapy.","authors":"Sandra VanderKaay, Wenonah Campbell, Leah Dix, Sandra Sahagian Whalen, Stephanie Ellis, Hayley Ma","doi":"10.1177/00084174251395574","DOIUrl":"10.1177/00084174251395574","url":null,"abstract":"<p><p><b>Background.</b> School-based occupational therapy (SBOT) is shifting from pull-out interventions for students with special needs to tiered models focused on inclusion and participation. There are several noted benefits of tiered models. However, research has suggested that challenges exist in the transition to tiered models that are consistent with ethical tensions. It is unclear how occupational therapists are navigating the transition to tiered models, including addressing ethical tensions. <b>Purpose.</b> The purpose was to advance knowledge and understanding regarding ethical tensions experienced by school-based occupational therapists in transitioning to tiered models of SBOT. The research question was: <i>What are the perceived ethical tensions experienced by occupational therapists in transitioning to tiered models of service delivery in SBOT?</i> <b>Method.</b> Interpretive description was employed. Interviews were conducted with 11 self-nominated occupational therapists. Data analysis consisted of preparation, organization, and interpretation followed by a member checking focus group. <b>Findings.</b> Occupational therapists experienced ethical tensions around five inter-related ethical principles-fidelity, veracity, autonomy, confidentiality, and distributive justice. <b>Conclusion.</b> The transition to tiered SBOT exacerbated or created ethical tensions. Engaging established implementation guidelines can provide a structured framework to inform large-scale service delivery changes, lessening ethical tensions while eliciting desired outcomes.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251395574"},"PeriodicalIF":2.3,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enacting Cultural Humility.","authors":"Joy L Agner","doi":"10.1177/00084174251395545","DOIUrl":"10.1177/00084174251395545","url":null,"abstract":"<p><p><b>Background.</b> Cultural humility is increasingly embraced as a theoretical lens that occupational therapists, educators, and researchers can use to promote justice and inclusion in diverse contexts. Cultural humility differs from cultural competence in its recognition of power and bias and its invitation to embrace advocacy and lifelong learning. <b>Key Issues.</b> Occupational therapy scholarship on cultural humility neither confronts the profound challenges of putting cultural humility into practice nor articulates strategies to integrate cultural humility into daily life and work. These challenges, including perceived objectivity, difficulty identifying power structures, and emotional responses to difference, are particularly salient when belief systems are in clear opposition. In such situations enacting cultural humility requires intellectual, emotional, relational, and community building strategy and skill. <b>Implications.</b> To support development of such skills, conceptual practices are outlined here with a focus on uprooting biases, building self-compassion, identifying multiple, co-occurring dimensions of power, and supporting development of collaborative advocacy vision and strategy. This work offers both theoretical and practical knowledge to advance cultural humility praxis in occupational therapy.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251395545"},"PeriodicalIF":2.3,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13432360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelsey L Friesen, Lacee Many Grey Horses, Katelyn Favel, Tim Barlott
{"title":"Navigating Reconciliation in Occupational Therapy: Alberta Practitioners' Experiences and Insights.","authors":"Kelsey L Friesen, Lacee Many Grey Horses, Katelyn Favel, Tim Barlott","doi":"10.1177/00084174251382341","DOIUrl":"10.1177/00084174251382341","url":null,"abstract":"<p><p><b>Background.</b> The 2015 Truth and Reconciliation Commission of Canada issued Calls to Action, urging Canadians, including health-care providers, to address colonial harms and pursue reconciliation. Occupational therapists, guided by the Canadian Association of Occupational Therapist's Position Statement, are called to provide culturally safer care. However, little is known about how they engage in reconciliation in practice. <b>Purpose.</b> This study examines how occupational therapists integrate reconciliation into their practice and identifies influencing factors. <b>Method.</b> Reflexive thematic analysis was applied to data from semi-structured interviews with 11 occupational therapists. Discussions explored reconciliation efforts and related challenges. <b>Findings.</b> Occupational therapists foster reconciliation through building relationships with Indigenous communities and engaging in lifelong learning, such as accessing Indigenous knowledge and resources. Key barriers include gaps in foundational education and difficulties translating rhetoric into meaningful action. Participants stressed the need to deconstruct Western paradigms and adopt culturally responsive, non-Western approaches. Relationality, community engagement, and continuous learning emerged as central to reconciliation and culturally safer care. <b>Conclusion.</b> This study contributes to the national dialogue on truth and reconciliation by offering a foundation to understand truth and reconciliation in the context of occupational therapy. This may help to address systemic and anti-Indigenous racism in the profession.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251382341"},"PeriodicalIF":2.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Citation Analysis of the Concept of Occupational Possibilities.","authors":"Debbie Laliberte Rudman, Agnes Mathew, Maathangi Kuruparan","doi":"10.1177/00084174251381997","DOIUrl":"10.1177/00084174251381997","url":null,"abstract":"<p><p><b>Background.</b> The concept of occupational possibilities has been integrated within guiding documents for Canadian occupational therapy to turn attention towards implicit and explicit root factors producing occupational inequities. <b>Purpose.</b> This mixed-methods citation analysis examined how the concept of occupational possibilities has been used in occupation-focused scholarship, attending to the knowledge generated and how its critical intents are enacted. <b>Method.</b> Peer-reviewed articles citing one or both of the two seminal publications regarding occupational possibilities were included. A descriptive analysis of 93 articles was conducted, along with a qualitative analysis of 43 articles that extensively integrated the concept. <b>Findings.</b> The concept of occupational possibilities has been increasingly used in scholarship since 2016 in ways that have deepened understanding of the discursive, systemic and structural forces perpetuating occupational inequities, and countered individualistic conceptualizations of occupational \"choice.\" This scholarship has identified key starting points for promoting equity through transforming occupational possibilities. <b>Conclusion.</b> There is an emerging body of knowledge that can inform reconfigurations of occupational therapy scholarship, education and practice in ways aligned with contemporary calls to counter occupational inequities through diversifying occupational possibilities, with such reconfigurations requiring sustained engagement in collective critical reflexivity to ensure disruption of oppressive power relations.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251381997"},"PeriodicalIF":2.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aliza Asbell-Yehuda, Parastoo Sharif-Esfahani, Elizabeth Anne Kinsella, Cori Schmitz, Rosemary Lysaght, Andrea Duncan, Kirsten Smith
{"title":"Spaces of Belonging: Educational Researchers' Experiences in an Online Community of Practice.","authors":"Aliza Asbell-Yehuda, Parastoo Sharif-Esfahani, Elizabeth Anne Kinsella, Cori Schmitz, Rosemary Lysaght, Andrea Duncan, Kirsten Smith","doi":"10.1177/00084174251377843","DOIUrl":"10.1177/00084174251377843","url":null,"abstract":"<p><p><b>Background.</b> The Research on Education Committee of the Association of Canadian Occupational Therapy University Programs (ACOTUP) hosts an educational research community of practice (CoP). Occupational therapy educators across Canada meet through this CoP to network and advance research on education. While the literature has noted benefits of participating in a CoP for the professional development of occupational therapists, there is a paucity of studies focusing on educational researchers' participation in a CoP. <b>Purpose.</b> This study aimed to examine CoP members' perceptions of the value of, and barriers to, participation in an educational research CoP. <b>Method.</b> A mixed methods design, consisting of an online survey followed by focus groups, was employed to gain insight into participants' perspectives and experiences of involvement in the CoP. Data were analyzed inductively and deductively using collaborative qualitative analysis. <b>Findings.</b> Members identified benefits of participation arising from networking and being a part of a supportive community. They described gaining new insights, social relationships, and inspiration to continue their pedagogical research. The data also highlighted limitations to participation and suggested ways to enhance meaningful engagement within a CoP. <b>Conclusion.</b> The CoP provides value to educators and researchers in supporting their pedagogical practices and professional careers. This knowledge could be leveraged to support its members and other CoPs.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251377843"},"PeriodicalIF":2.3,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}