American Journal of Speech-Language Pathology最新文献

{"title":"Diagnostic Features of Childhood Apraxia of Speech: A Survey Study of Estonian, Finnish, and Lithuanian Speech-Language Pathologists.","authors":"Marju Lahtein-Kürsa, Marika Padrik, Simona Daniutė, Daiva Kairienė, Anna-Leena Martikainen, Minna Vanhala-Haukijärvi, Marja-Liisa Mailend","doi":"10.1044/2024_AJSLP-24-00035","DOIUrl":"10.1044/2024_AJSLP-24-00035","url":null,"abstract":"<p><strong>Purpose: </strong>The primary aim of this study was to investigate how speech-language pathologists (SLPs) from Estonia, Finland, and Lithuania rate the significance of different features for diagnosing childhood apraxia of speech (CAS) in their languages.</p><p><strong>Method: </strong>An online survey was conducted among 197 Estonian, Finnish, and Lithuanian SLPs who have worked with children with CAS. The SLPs were asked to rate the significance of 63 features for CAS diagnosis in their respective language. Cross-linguistic patterns in diagnostic features were examined with simple correspondence analysis (SCA) and via descriptive statistics.</p><p><strong>Results: </strong>The ratings revealed six to seven diagnostic features that were considered very significant for CAS diagnosis by the majority of respondents in each country. The SCA highlighted differences between Lithuanian SLPs and Estonian and Finnish SLPs. Some possible language-specific associations were noted, such as palatalization errors for Lithuanian and Estonian and diphthong distortions for Estonian. The respondents from all countries rated highly those features that can easily be applied to most languages (e.g., groping) and gave lower ratings to features that may be influenced by the linguistic structure of different languages (e.g., word stress errors).</p><p><strong>Conclusions: </strong>Overall, SLPs provided high ratings to CAS features that occur universally across languages, whereas features specific to languages, such as prosody-related errors, were not as highly rated. Several language-specific features were highlighted, providing direction for future research and emphasizing the importance of language-specific considerations in CAS research and diagnosis.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"97-117"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631254","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":"Stronger Together: A Qualitative Exploration of Social Connectedness in Parkinson's Disease in the Digital Era.","authors":"Gemma Moya-Galé, Sarah Ahson, Sneha Gyawali, Christina Lee, Claire O'Riordan, Lily Rossi","doi":"10.1044/2024_AJSLP-24-00246","DOIUrl":"10.1044/2024_AJSLP-24-00246","url":null,"abstract":"<p><strong>Purpose: </strong>Social isolation is a common consequence of Parkinson's disease (PD), and social prescribing has become a crucial aspect for fostering well-being in this population. In fact, group work has been shown to improve levels of social connectedness in older adults across different domains. Increased technology use in older adults may also contribute to increased social connections, especially since the COVID-19 pandemic. Still, the impact of digital use on social connectedness remains to be further explored in individuals with PD. Therefore, the purpose of this study was to examine the perceptions of social connectedness in relation with group-based activities and use of digital technologies in this population.</p><p><strong>Method: </strong>Ten individuals with PD participated in focus groups. Transcripts of the video-recorded groups were analyzed qualitatively using thematic analysis.</p><p><strong>Results: </strong>The three constructed themes not only revealed changes and challenges in social connectedness but also underscored the power of family and new relationships established through PD. Results also highlighted the overall positive impact of current digital technologies, although the view on telehealth per se was multifaceted.</p><p><strong>Conclusions: </strong>Referrals for group rehabilitation programs can enhance social connectedness in individuals with PD through fostering new social connections and community building. Hence, group rehabilitation programs should be viewed as a form of social prescribing. The use of digital technologies should be further explored as a means to maximize social engagements in this population.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"281-296"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640093","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":"Prenatal to Adulthood: The Responsibility of the Speech-Language Pathologist on the Comprehensive Cleft Palate and Craniofacial Team.","authors":"Chelsea L Sommer, Natalie R Wombacher","doi":"10.1044/2024_AJSLP-24-00230","DOIUrl":"10.1044/2024_AJSLP-24-00230","url":null,"abstract":"<p><strong>Purpose: </strong>Comprehensive cleft care is an important component when caring for a child with cleft palate with or without cleft lip (CP ± L). Speech-language pathologists (SLPs) serve different capacities on comprehensive cleft palate and craniofacial teams.</p><p><strong>Method: </strong>This tutorial highlights the role of the SLP on the cleft palate and craniofacial team from the prenatal consultation to adulthood. This tutorial emphasizes the importance of collaboration between the cleft team SLP and other professionals on a comprehensive cleft team. Additionally, the tutorial provides education for feeding infants with CP ± L and focuses on assessment and treatment of children with CP ± L before and after the palate repair. Finally, this tutorial underscores the importance of working as part of and collaborating with interdisciplinary team members.</p><p><strong>Results: </strong>SLPs are an essential member of comprehensive cleft teams in addition to other medical providers. SLPs play a critical role on these multidisciplinary teams and are fundamental to the assessment and treatment of feeding, speech, language, and resonance disorders in children with CP ± L.</p><p><strong>Conclusion: </strong>It is critical that SLPs are involved in comprehensive cleft team care from the prenatal consultation through adulthood to monitor resonance, speech, and language development and outcomes.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"12-31"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717495","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":"It's About Time: Parent-Child Turn-Taking in Early Stuttering.","authors":"Allison Godsey, Nan Bernstein Ratner","doi":"10.1044/2024_AJSLP-24-00155","DOIUrl":"10.1044/2024_AJSLP-24-00155","url":null,"abstract":"<p><strong>Purpose: </strong>Most common treatments for stuttering offer advice that parents modify temporal features of conversational interaction to assist children who stutter (CWS). Advice includes but is not limited to slowing of adult speech, increasing turn-taking/response-time latencies (RTLs), and reducing interruptions. We looked specifically at RTL and parental speech rate in a longitudinal data set that included baseline behaviors.</p><p><strong>Method: </strong>We used data from baseline recordings (<i>CWNS</i> = 13 CWS-persistent, 28 CWS-recovered, 21 children who did not stutter) of the Illinois International Stuttering Research Project at FluencyBank, using CLAN software with audio linkage to Praat.</p><p><strong>Results: </strong>Group differences in speech rate and RTL at baseline were nonsignificant; parents of CWS-persistent spoke most slowly pre-advisement. No relationships between speech rate or RTL and child fluency were detected.</p><p><strong>Conclusions: </strong>This is a retrospective, observational study, and caution must be used in interpreting our findings. However, current results do not add evidentiary support for common advice to adjust temporal parameters of their interactions made to parents of CWS, in terms of therapeutic outcome or concurrent fluency. We are analyzing subsequent samples, after advisement, to determine potential benefits of such guidance not evident in this analysis. Suggestions for future research and implications for clinical focus and practice are offered.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"333-346"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848177","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}

{"title":"Comparative Effectiveness of In-Person and Virtual Picture-Naming Treatment for Poststroke Anomia.","authors":"Courtney C Jewell, Victoria A Diedrichs, Deena Schwen Blackett, Alexandra Zezinka Durfee, Stacy M Harnish","doi":"10.1044/2024_AJSLP-24-00172","DOIUrl":"10.1044/2024_AJSLP-24-00172","url":null,"abstract":"<p><strong>Purpose: </strong>In light of COVID-19, telepractice for speech therapy has been increasingly adopted. Telepractice promotes accessibility to therapy services for those in rural environments, lowers the frequency of missed appointments, and reduces the costs of rehabilitation. The efficacy of telepractice has been scarcely explored in the aphasia literature. Preliminary research has demonstrated comparable results of telepractice and in-person therapy for people with aphasia, but the current scope of research is insufficient to guide clinical practice. The present study examined whether the virtual administration of a picture-naming therapy paradigm was as effective as in-person administration.</p><p><strong>Method: </strong>The treatment effects of two similar clinical trials, one completed in-person (<i>n</i> = 13) and one completed virtually (<i>n</i> = 13), are compared. Participants were adults with chronic (> 6 months) poststroke aphasia. Both clinical trials administered Cued Picture-Naming Therapy 4 days a week for 2 weeks (eight treatment sessions). Treatment outcomes were analyzed using Tau-<i>U</i> effect sizes and Mann-Whitney <i>U</i> tests.</p><p><strong>Results: </strong>Weighted Tau-<i>U</i> averages showed an advantage of telepractice over in-person treatment in the acquisition effects of trained words, with participants demonstrating a very large effect (0.84, <i>p</i> < .01) following telepractice and a large effect (0.75, <i>p</i> < .01) following in-person treatment. Both telepractice and in-person rehabilitation demonstrated significant treatment effects and were not significantly different from each other per Mann-Whitney <i>U</i> independent-samples <i>t</i> tests.</p><p><strong>Conclusions: </strong>The present study demonstrated that telepractice of a picture-naming paradigm is as effective as in-person treatment administration. This justifies the use of telepractice to overcome accessibility and cost barriers to speech therapy administration and justifies taking patient preference into account. Future research should explore the efficacy of telepractice for treatments that promote greater generalizability to functional communication.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27641031.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"218-230"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649460","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}

{"title":"Thoughts From the Front Lines: Canadian Perspectives in Adopting and Implementing Recommended Clinical Labels in Preschool Speech-Language Pathology.","authors":"Alison Lynn Csercsics, Lauren Denusik, Barbara Jane Cunningham","doi":"10.1044/2024_AJSLP-24-00272","DOIUrl":"10.1044/2024_AJSLP-24-00272","url":null,"abstract":"<p><strong>Purpose: </strong>Previous literature has proposed barriers to speech-language pathologists (SLPs) using standard clinical labels; however, the perspectives of SLPs have been studied to a lesser extent. This quality improvement project reports on SLPs' perceived barriers and facilitators to using currently recommended clinical labels for preschool communication disorders and identifies next steps to support implementation in one preschool communicative health system.</p><p><strong>Method: </strong>This project aimed to establish the consistent use of clinical labels in one large Canadian preschool speech and language program. After completing a web-based training and a 3-month trial period, 387 SLPs completed an exit survey to share their perceived barriers and facilitators to label use. Qualitative survey data were analyzed using a hybrid codebook inductive/deductive thematic analysis approach.</p><p><strong>Results: </strong>Six themes were identified, which aligned with the diffusion of innovations theory. SLPs identified several facilitators and barriers to using the recommended clinical labels within each theme. Major facilitators included improved communication, better caregiver understanding of children's communication, positive feedback from caregivers, SLPs' increased confidence in sharing labels, and improved access to services for children. Major barriers related to additional time required to share labels, SLPs' perceptions of caregivers' values, SLPs' views surrounding the recommended labels, lack of comfort using some labels, and limited opportunity to practice label use or observe successful label use by others.</p><p><strong>Conclusions: </strong>Contextual barriers continue to impact SLPs' use of the recommended clinical labels. Ongoing collaboration with SLPs and caregivers will be critical for supporting implementation. Further research examining SLPs' perspectives across other clinical settings and geographic areas is needed.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27296970.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"139-154"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577110","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":"The Effects of Whole-Body Exercise on Swallowing Function in Older Adults With Parkinson's Disease: A Proof-of-Principle Study.","authors":"Harmonie Chan, Ada Tang, Oliver Li, A J Orprecio, Sophia Werden Abrams, Elise Wiley, Kyle MacDonald, Jinhui Ma, Ashwini Namasivayam-MacDonald","doi":"10.1044/2024_AJSLP-24-00137","DOIUrl":"10.1044/2024_AJSLP-24-00137","url":null,"abstract":"<p><strong>Purpose: </strong>Rodent models suggest that when respiratory demands increase during an exercise program, tongue and thyroarytenoid muscles engage to maintain a patent airway, leading to increased muscle strength. This suggests that nonspecific exercises that increase respiratory rate may improve swallowing. As such, the purpose of this proof-of-principle study was to determine the potential for whole-body exercise to improve tongue strength, cough strength, and self-reported swallowing function in older adults with Parkinson's disease (PD).</p><p><strong>Method: </strong>Nine community-dwelling adults with PD (six men, three women; <i>M</i> ± <i>SD</i> age = 73 ± 7 years) were enrolled in a 10-week (30 min/session, three sessions/week, for a total of 30 sessions) virtual, whole-body exercise program, designed to increase respiratory rate. Demographic, frailty (Strength, Assistance in walking, Rise from a chair, Climb stairs, and Falls [SARC-F]), mobility (Schwab & England Activities of Daily Living Scale), and swallowing (tongue strength, cough strength, Eating Assessment Tool 10 [EAT-10]) measures were collected. Data were analyzed using descriptive statistics and linear mixed models.</p><p><strong>Results: </strong>Baseline frailty and mobility severity scores indicated mild PD severity. Post-exercise, four of nine participants demonstrated improvement in either anterior or posterior tongue strength, as well as cough strength. Three participants with higher exercise heart rate or rating of perceived exertion scores reported a decrease in EAT-10 scores to a level of below clinical concern (< 3). Results from linear mixed models demonstrated no statistically significant effects on any measures of swallowing function.</p><p><strong>Conclusions: </strong>Findings from this pilot study suggest potential signal for a higher intensity whole-body exercise program to improve self-reported swallowing function, given that heart rate and/or exertion intensity that met or exceeded the target was associated with positive changes in self-reported swallowing function, but not tongue or cough strength. Future research including a larger sample size and intervention controls is needed to further elucidate a relationship between whole-body exercise and swallowing.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"314-332"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830453","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":"Augmenting Verb-Naming Therapy With Neuromodulation Decelerates Language Loss in Primary Progressive Aphasia.","authors":"Shannon M Sheppard, Emily B Goldberg, Rajani Sebastian, Emilia Vitti, Kristina Ruch, Erin L Meier, Argye E Hillis","doi":"10.1044/2024_AJSLP-24-00016","DOIUrl":"10.1044/2024_AJSLP-24-00016","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to evaluate Verb Network Strengthening Treatment (VNeST) paired with the transcranial direct current stimulation (tDCS) of the left inferior frontal gyrus, which was compared to VNeST paired with a sham stimulation in primary progressive aphasia (PPA).</p><p><strong>Method: </strong>A double-blind, within-subject, sham-controlled crossover design was used. Eight participants with PPA were enrolled. Participants were enrolled in two treatment phases, one with VNeST plus real tDCS and one with VNeST plus sham. Participants received fifteen 1-hr sessions of VNeST in each phase. Linear mixed-effects models were used to compare changes between baseline and two follow-up time points (1 week and 8 weeks posttreatment) in naming trained verbs, untrained verbs, and untrained nouns; sentence production and comprehension; and producing content units and complete utterances in discourse.</p><p><strong>Results: </strong>VNeST was effective for significantly improving naming trained verbs and producing more complete utterances in discourse at 1 week posttreatment in both tDCS and sham conditions. A significant tDCS advantage yielded generalization of treatment effects to untrained verbs (at 1 week and 8 weeks posttreatment), sentence production (at 1 week posttreatment), and sentence comprehension (at 8 weeks posttreatment). Untrained verb naming and sentence comprehension declined when VNeST was not augmented with tDCS.</p><p><strong>Conclusions: </strong>Our findings provide emerging evidence that VNeST paired with tDCS can improve word finding, and other language abilities, in people with PPA. VNeST without neuromodulation can improve trained verb naming, but untrained verbs will likely decline faster when VNeST is not augmented with tDCS. Future research is required with a larger sample size to continue investigating the potential of treating word finding with VNeST and tDCS in PPA.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.27914325.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"155-173"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819958","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}

{"title":"Erratum to \"Developing Augmentative and Alternative Communication Systems in Languages Other Than English: A Scoping Review\".","authors":"","doi":"10.1044/2024_AJSLP-24-00344","DOIUrl":"10.1044/2024_AJSLP-24-00344","url":null,"abstract":"","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"437"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548541","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":"Perceptions of Artificial Intelligence and ChatGPT by Speech-Language Pathologists and Students.","authors":"Julianna Austin, Keith Benas, Sara Caicedo, Emily Imiolek, Anna Piekutowski, Iyad Ghanim","doi":"10.1044/2024_AJSLP-24-00218","DOIUrl":"10.1044/2024_AJSLP-24-00218","url":null,"abstract":"<p><strong>Purpose: </strong>This project explores the perceived implications of artificial intelligence (AI) tools and generative language tools, like ChatGPT, on practice in speech-language pathology.</p><p><strong>Method: </strong>A total of 107 clinician (<i>n</i> = 60) and student (<i>n</i> = 47) participants completed an 87-item survey that included Likert-style questions and open-ended qualitative responses. The survey explored participants' current frequency of use, experience with AI tools, ethical concerns, and concern with replacing clinicians, as well as likelihood to use in particular professional and clinical areas. Results were analyzed in the context of qualitative responses to typed-response open-ended questions.</p><p><strong>Results: </strong>A series of analyses indicated participants are somewhat knowledgeable and experienced with GPT software and other AI tools. Despite a positive outlook and the belief that AI tools are helpful for practice, programs like ChatGPT and other AI tools are infrequently used by speech-language pathologists and students for clinical purposes, mostly restricted to administrative tasks.</p><p><strong>Conclusion: </strong>While impressions of GPT and other AI tools cite the beneficial ways that AI tools can enhance a clinician's workloads, participants indicate a hesitancy to use AI tools and call for institutional guidelines and training for its adoption.</p>","PeriodicalId":49240,"journal":{"name":"American Journal of Speech-Language Pathology","volume":" ","pages":"174-200"},"PeriodicalIF":2.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577096","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}