Physical & Occupational Therapy in Pediatrics最新文献

{"title":"A National Survey on Oral Feeding Management Practices Across Canadian Neonatal Intensive Care Units.","authors":"Alyssa Alguire, Janine Kowalczyk, Hetta Patel, Sandra Fucile","doi":"10.1080/01942638.2025.2547372","DOIUrl":"https://doi.org/10.1080/01942638.2025.2547372","url":null,"abstract":"<p><strong>Aim: </strong>To explore oral feeding management practices, specifically initiation and advancement of oral feeds, across level II and III neonatal intensive care units (NICUs) in Canada.</p><p><strong>Methods: </strong>A national online survey was conducted across 65 NICUs (34 level II, 31 level III), which included questions on hospital demographics and clinical approaches for initiating, advancing, and managing oral feeds. A descriptive analysis was performed on the responses.</p><p><strong>Results: </strong>Of the 65 NICUs surveyed, 74% (<i>n</i> = 48) completed the survey. Many reported using custom-developed NICU guidelines for initiating and advancing oral feeds (<i>n</i> = 22, 46%), while few used evidence-based protocols (<i>n</i> = 16, 33%) or standardized assessments (<i>n</i> = 1, 2%). The most common clinical factors considered for initiating and advancing oral feeds include, behavioral cues (<i>n</i> = 47, 98%), stable vital signs (<i>n</i> = 47, 98%), gestational age (<i>n</i> = 43, 90%), and suck-swallow-breathe coordination (<i>n</i> = 26, 54%). Most units utilized a multidisciplinary approach (<i>n</i> = 38, 79%) with family involvement (<i>n</i> = 38, 79%). Feeding issues were typically addressed only during hospitalization, with no post-discharge follow-up (<i>n</i> = 31, 65%).</p><p><strong>Conclusion: </strong>This study revealed significant variation in oral feeding management practices across Canadian level II and III NICUs and highlights a shift toward evidence-based clinical factors for oral feeding initiation and advancement. These findings highlight the need for standardized, evidence-based guidelines to ensure consistent and optimal care in NICUs.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Rehabilitation Needs in Pediatric Palliative Care: The Role of Occupational Therapy.","authors":"Gözde Önal, Sena Acar, Ganime Ayar","doi":"10.1080/01942638.2025.2555988","DOIUrl":"https://doi.org/10.1080/01942638.2025.2555988","url":null,"abstract":"<p><strong>Aims: </strong>Children with life-limiting illnesses face physical, cognitive, and emotional challenges that restrict their activities of daily living. Although these needs require a holistic approach, rehabilitation services, particularly occupational therapy, are often limited in pediatric palliative care. This study aimed to evaluate the unmet rehabilitation needs of children receiving pediatric palliative care in Turkey based on the Person-Environment-Occupation model.</p><p><strong>Methods: </strong>A sequential explanatory mixed-methods design was used. Quantitative data on self-care, mobility, and caregiver burden were collected through standardized assessments. Qualitative data were gathered from semi-structured interviews with parents and analyzed using Directed Content Analysis.</p><p><strong>Results: </strong>Quantitative findings revealed considerable impairments in mobility, self-care, and cognition, resulting in high caregiver burden. Qualitative findings contextualized these limitations, revealing themes of loss of independence, emotional distress, environmental barriers, and lack of professional and social support. Limited access to occupational therapy may impact quality of life.</p><p><strong>Conclusion: </strong>The findings suggest that occupational therapy may support children's participation in activities of daily living and ease caregiver burden in pediatric palliative care. Interventions focusing on physical, cognitive, and emotional challenges, as well as environmental adaptation, appear promising. Further research is needed to examine the long-term effects of occupational therapy in different care settings.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-21"},"PeriodicalIF":1.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Qualitative Experiences of Youth With Disorders of Visual Efficiency.","authors":"Sharon B Marcy, Fern Silverman","doi":"10.1080/01942638.2025.2555276","DOIUrl":"10.1080/01942638.2025.2555276","url":null,"abstract":"<p><strong>Aim: </strong>Disorders of visual efficiency present with symptoms that can impact a young person's occupational engagement. Often these disorders result from concussion, but may also present idiopathically. Literature is available on the ocular implications of concussion and the symptoms of visual efficiency disorders, regardless of cause. Lacking is an understanding of the lived experience of diagnosed youth. Patient-reported experiences on life with disorders of visual efficiency can inform client-centered evaluation and treatment. The aim of this study was to describe the lived experience of youth with visual efficiency disorders resulting from concussion or unknown etiology.</p><p><strong>Methodology: </strong>Retrospective descriptive qualitative study of anonymized verbatim transcripts from semi-structured individual interviews (<i>n</i> = 4) and coed focus groups (<i>n</i> = 20).</p><p><strong>Results: </strong>Disorders of visual efficiency influence participation across occupational domains, affect social-emotional well-being, and are often managed through environmental and activity adaptations. Participants described experiences of occupational alienation, family and peer challenges, and variability in supports at school.</p><p><strong>Conclusions: </strong>Similarities exist in occupational, social-emotional and adaptive needs of youth with disorders of visual efficiency resulting from either concussion or unknown etiology. These self-described experiences can assist caregivers, educators, and therapists in evaluation, intervention, and implementation of supports to improve engagement in valuable life roles.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feeding Therapy and its Relationship to Timing of Independent Oral Feeding for Preterm Infants in the Neonatal Intensive Care Unit.","authors":"Tiana T Nguyen, Roberta Pineda, Stacey Reynolds, Elizabeth E Rogers, Audrey E Kane","doi":"10.1080/01942638.2025.2552136","DOIUrl":"10.1080/01942638.2025.2552136","url":null,"abstract":"<p><strong>Aim: </strong>To examine the relationship between feeding therapy and the timing of independent oral feeding (IOF) in preterm infants in the neonatal intensive care unit (NICU).</p><p><strong>Study design: </strong>A retrospective analysis of 536 preterm infants (<37 wk gestation) admitted to a level IV NICU between January 2017 and December 2019 was conducted. Clinical and therapy data were extracted from the electronic health record to examine associations between feeding therapy utilization and feeding outcomes.</p><p><strong>Results: </strong>Medically complex infants were more likely to receive a feeding therapy referral (<i>p</i> = .001), and infants who received feeding therapy achieved IOF an average of 1.5 wk later than those who did not (<i>p</i> < .001). Among infants receiving therapy, earlier initiation was beneficial as each additional week of delay in therapy initiation corresponded to a 0.02-week delay in achieving IOF after adjusting for medical factors (<i>p</i> = .023). No association was found between feeding therapy frequency and postmenstrual age at IOF.</p><p><strong>Conclusion: </strong>Early initiation of feeding therapy may help expedite IOF. Timely referrals can support oral motor development and improve feeding outcomes in preterm infants. The lack of association with frequency may reflect staffing limitations that impacted consistent therapy delivery rather than a true absence of benefit.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Handwriting Skills in First-Grade Students: Socioeconomic Status and the Direct and Mediating Roles of Sensory-Motor Parameters.","authors":"Osman Karaca, Kamil Yılmaz, Hatice Yalçın","doi":"10.1080/01942638.2025.2552140","DOIUrl":"https://doi.org/10.1080/01942638.2025.2552140","url":null,"abstract":"<p><strong>Aims: </strong>Handwriting is crucial for academic success, influenced by sensorimotor and socioeconomic factors. Therapists, in collaboration with educators, play a key role in its support. The first objective is to investigate the association between SES and handwriting skills and to identify related factors associated with SES. The second objective is to investigate the direct and mediating roles of sensory-motor parameters in handwriting skills.</p><p><strong>Methods: </strong>Sixty-three children were divided into High-SES and Low-SES groups based on family income and parental education level. Handwriting skill was evaluated based on legibility and speed. Proprioception, grip strength, lateral pinch strength, and tip pinch strength were assessed.</p><p><strong>Results: </strong>The High-SES group demonstrated significantly faster handwriting speed and better proprioception, while motor parameters showed no significant differences between groups. Proprioception was found to mediate 15% of the association between SES and handwriting speed. Proprioception and lateral grip strength predicted faster handwriting speed, while grip strength predicted slower handwriting across participants.</p><p><strong>Conclusion: </strong>Study results indicate that improving proprioception is one of the key factors in supporting handwriting performance in students with low SES. Activities aimed at enhancing proprioception and lateral grip strength can be used to improve handwriting in all children, regardless of SES differences.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Sports Intervention Combined with a Context-Focused Intervention for Children with Cerebral Palsy: A Feasibility Randomised Clinical Trial.","authors":"Luana Cristina da Silva, Rafael Coelho Magalhães, Acsa Soares Santos, Ana Carolina Andrade Ramos de Souza, Emily Martins Ribeiro, Julia Melo Rocha Xavier, Ricardo Rodrigues de Sousa Junior, Dana Anaby, Georgina Clutterbuck, Egmar Longo, Ana Cristina Resende Camargos, Deisiane Oliveira Souto, Hércules Ribeiro Leite","doi":"10.1080/01942638.2025.2547374","DOIUrl":"https://doi.org/10.1080/01942638.2025.2547374","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the feasibility and preliminary effects of a modified sports intervention (Sports Stars) combined with a contextual-focused approach (Pathways and Resources for Engagement in Participation- PREP).</p><p><strong>Methods: </strong>This is a feasibility randomized clinical trial (RCT), registered under RBR-4m3b4b6 and U1111-1256-4998. Eighteen children with cerebral palsy (CP) were allocated to either the Sports Stars Brazil + PREP group (<i>n</i> = 9) or the Sports Stars Brazil group (<i>n</i> = 9). Feasibility outcomes included willingness to participate; acceptability of random allocation and screening; evaluator blinding feasibility; group contamination; treatment adherence and satisfaction; therapist communication; adverse events, and implementation resources. Effectiveness outcomes included performance and satisfaction with participation goals, participation pattern, physical literacy, family empowerment, and physical activity level. Descriptive statistics and tests were applied.</p><p><strong>Results: </strong>Feasibility analysis showed a high completion rate and adequate satisfaction, credibility, and acceptability in both groups. Significant differences were found favoring the Sports Stars Brazil + PREP group in performance (<i>p</i> = 0.02) and satisfaction (<i>p</i> = 0.04); family empowerment at post-intervention (<i>p</i> = 0.005); and involvement in school (<i>p</i> = 0.04) at follow-up. No significant differences were found for other outcomes.</p><p><strong>Conclusions: </strong>A future robust clinical trial appears feasible with adjustments. Combining a context-focused intervention with a modified sports approach shows potential to improve participation outcomes.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus-Based Development and Validation of Iranian ICF Core Set for 6-12-Year-Old Children with Cerebral Palsy: Iranian Occupational Therapists' Perspectives.","authors":"Alireza Amiri, Seyed Ali Hosseini, Nazila Akbarfahimi","doi":"10.1080/01942638.2025.2547371","DOIUrl":"10.1080/01942638.2025.2547371","url":null,"abstract":"<p><strong>Aims: </strong>To develop and validate the Iranian ICF-CS for 6-12-year-old children with CP from the perspective of Iranian Occupational Therapists (OTs).</p><p><strong>Method: </strong>In the first phase, using the Delphi technique, a three-round electronic-mail-survey was conducted from January to May 2022 among 22 experienced Iranian OTs working with children with CP. The experts were asked to identify and reach consensus on the most relevant ICF categories concerning the patients' problems, resources, and environmental aspects in children with CP. In the second phase, a new sample of 12 Iranian OTs rated the essentiality and relevancy of categories identified in the Delphi phase, with Content Validity Ratio (CVR), Item-Content Validity Index (I-CVI), Modified Kappa, and Scale-Content Validity Index/Average (S-CVI/Ave) calculated to ensure robust validation.</p><p><strong>Results: </strong>Among 154 proposed categories of the Delphi process, 119 categories were confirmed in the validation phase including 6 <i>Body-structures</i>, 37 <i>Body-functions</i>, 52 <i>Activity-and-participation</i>, and 24 <i>Environmental-factors</i> with the CVR and I-CVI ranges of 0.67- 1.00 and 0.83-1.00 respectively. The S-CVI/Ave of 0.93 was obtained as the scale-level CVI.</p><p><strong>Conclusion: </strong>The Iranian ICF-CS for 6-12-year-old children with CP, consisting of 119 categories, demonstrated strong content validity from the perspective of Iranian OTs.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-20"},"PeriodicalIF":1.7,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief Online Group Coaching for Mothers of Children with Sensory Differences: A Pilot Study.","authors":"Susan Allen, Fiona Knott, Amanda Branson, Shelly J Lane","doi":"10.1080/01942638.2025.2543271","DOIUrl":"https://doi.org/10.1080/01942638.2025.2543271","url":null,"abstract":"<p><strong>Aims: </strong>Sensory differences are associated with disruption to daily occupations for both children and families. A one-to-one coaching approach with mothers is effective in increasing performance and satisfaction in children's daily occupations, and in reducing maternal stress. The study aimed to pilot a brief online group coaching intervention for mothers of children with sensory differences.</p><p><strong>Methods: </strong>Eleven mothers participated in a brief online group coaching intervention of four x 90-minute sessions, based on Occupational Performance Coaching (OPC). Mothers gave both quantitative and qualitative feedback on their experience in the group. Mothers reported child occupational goals, maternal stress, and maternal sense of competence pre and post intervention.</p><p><strong>Results: </strong>Statistically significant improvement in child occupations and aspects of maternal stress were observed. Maternal sense of competence showed improvement but did not reach statistical significance. They valued the sensory focus and found the group safe and supportive; they also gave feedback on how groups could be improved.</p><p><strong>Conclusions: </strong>For mothers of children with sensory differences and associated occupational concerns, a brief online group coaching intervention, based on OPC, has the potential to support child occupational performance and reduce maternal stress.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balance Training to Improve Physical Abilities in Children During and After Oncological Treatment.","authors":"Sarah Otten, Meinolf Siepermann, Hannah Hoff, Volker Maas, Wilhelm Bloch, Julia Däggelmann","doi":"10.1080/01942638.2025.2535381","DOIUrl":"https://doi.org/10.1080/01942638.2025.2535381","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the effects of a specific balance training (BT) on lower extremity functions during and after pediatric oncological therapy.</p><p><strong>Methods: </strong>During a 6-week intervention (DRKS00031418), children with cancer during (IG1) and after (IG2) acute oncological treatment participated in a child-friendly BT up to 6×/week. Training sessions were conducted supervised or self-administered. Parameters of feasibility were evaluated and effects on physical abilities were assessed through functional tests.</p><p><strong>Results: </strong>20 children (IG1 <i>n</i> = 10, IG2 <i>n</i> = 10) with different oncological diagnoses between 5 and 21 years participated. Of 36 training sessions offered, 22.8 ± 9.1 sessions took place (participation rate: 63.2 ± 25.3%), without occurrence of adverse events/severe side effects deteriorating health status or leading to study drop out. Functional tests revealed improvements in symptoms of chemotherapy-induced peripheral neuropathy in lower extremities in the total group (IG1 + IG2) (<i>n</i> = 18, T1: 8.6 ± 4.4, T2: 6.2 ± 5.8, <i>p</i> < 0.05, Wilcoxon test) and in active ankle dorsiflexion range of motion (extended legs) in IG1 (<i>n</i> = 9, T1: 2.2 ± 9.7, T2: 8.1 ± 11.5, <i>p</i> < 0.05, Wilcoxon test).</p><p><strong>Conclusions: </strong>The study's findings underline the feasibility of BT during and after pediatric-oncological therapy. Furthermore, the study revealed first improvements on single physical parameters.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Static Balance and Motor Imagery Abilities in Preschool Children with Probable Developmental Coordination Disorder.","authors":"Mei Yamada, Keisuke Irie, Sakura Nakata, Reika Yamashita, Kohei Mukaiyama, Hala Zeidan, Anuradhi Bandara, Momoko Nagai-Tanima, Nan Liang, Tomoki Aoyama","doi":"10.1080/01942638.2025.2535342","DOIUrl":"https://doi.org/10.1080/01942638.2025.2535342","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the association between static balance and motor imagery (MI) abilities in preschool children with probable developmental coordination disorder (pDCD).</p><p><strong>Methods: </strong>The participants were 28 children aged 3-6 years, attending a child development support center. They were categorized into the pDCD and control groups based on their Movement Assessment Battery for Children-Second Edition score. Static balance ability was measured using a gravity sway meter to compare performance under eyes-opened and eyes-closed standing conditions. MI ability was assessed using the N-type test.</p><p><strong>Results: </strong>Compared with the controls (static balance; <i>n</i> = 10, MI; <i>n</i> = 14), children with pDCD (static balance; <i>n</i> = 13, MI; <i>n</i> = 14) showed significantly greater center of pressure (COP) displacement in eyes-closed standing condition and lower scores on the N-type test. A significant negative correlation (-0.59) was observed between MI ability and COP displacement during eyes-closed standing condition in the pDCD group, indicating that the poorer MI ability accompanied the worse static balance ability in this population.</p><p><strong>Conclusions: </strong>Preschool children with pDCD have poor static balance ability with their eyes closed, which may be related to their MI ability. These findings emphasize the importance of the early detection of pDCD and suggest that symptoms may be alleviated by understanding the condition and providing appropriate support.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}