Research in Developmental Disabilities最新文献

{"title":"Does how I feel change how I move? The influence of anxiety, self-efficacy and resilience on movement in adults with Developmental Coordination Disorder","authors":"Sophie Harris ,&nbsp;Clare J. Rathbone ,&nbsp;Kate Wilmut","doi":"10.1016/j.ridd.2025.104927","DOIUrl":"10.1016/j.ridd.2025.104927","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety and movement consistency both influence movement in individuals with Developmental Coordination Disorder (DCD).</div></div><div><h3>Aims</h3><div>This study investigated the influence of anxiety, self-efficacy, resilience and movement variability on perceptions and actions of adults with and without DCD.</div></div><div><h3>Methods</h3><div>17 adults with DCD and 17 adults with typical motor skills (TMS) (age and sex-matched) completed a questionnaire and three experimental tasks: two perceptual judgement tasks (static and dynamic conditions), and an executed action task involving judging and walking through different-sized gaps between doors.</div></div><div><h3>Results</h3><div>No significant relationships were detected between general or movement-specific anxiety, self-efficacy or resilience and perceptual judgement or movement behaviour; however, movement consistency did significantly relate to movement execution in both groups. Correlations showed adults with DCD with lower movement-specific self-efficacy left bigger safety margins, and indicated stronger links between perception and action in TMS adults. In the adults with DCD there was no significant correlation between the point of behaviour change (critical ratio) in the perceptual judgement and executed action tasks, suggesting a less smoothly linked perception-action cycle than in the TMS adults.</div></div><div><h3>Conclusions and implications</h3><div>Results highlight the importance of movement variability and motor control in the movement behaviour of adults with DCD, while illustrating the importance of studying perception and action together, especially when comparing populations, to elucidate how these may be constrained differently by individual-, task- and environmental-based constraints.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"158 ","pages":"Article 104927"},"PeriodicalIF":2.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Families’, practitioners’, and researchers’ experience in the trajectory for the diagnostic evaluation of developmental disorders in young children","authors":"Nadia Abouzeid ,&nbsp;Mélina Rivard ,&nbsp;Claudine Jacques ,&nbsp;Catherine Mello ,&nbsp;Nikolas Parent-Poisson ,&nbsp;Élodie Hérault ,&nbsp;Geneviève Saulnier","doi":"10.1016/j.ridd.2025.104918","DOIUrl":"10.1016/j.ridd.2025.104918","url":null,"abstract":"<div><h3>Background</h3><div>A collaborative initiative was undertaken to restructure diagnostic and support services for developmental disabilities (DD) in young children in the province of Québec. Representatives from multiple stakeholder groups, including researchers, parents, and clinicians, shared insights based on their experiences with diagnostic evaluation services.</div></div><div><h3>Aims</h3><div>The present study documented stakeholders’ experiences with existing DD services, with a focus on identifying barriers, facilitators, and gathering actionable recommendations for the creation of a new model for diagnostic evaluation.</div></div><div><h3>Method</h3><div>Twenty-nine stakeholders shared their experiences in focus group and individual interviews. Their discourse was analyzed according to the quality determinants of the ETAP framework (Rivard et al., 2020) and categorized as barriers, facilitators, or recommendations.</div></div><div><h3>Results</h3><div>Stakeholders described several barriers related to continuity and accessibility within the current system but also discussed some facilitators that promoted, e.g., the accessibility and validity of services. They made several recommendations to improve upon or clarify existing elements and identified what could be added.</div></div><div><h3>Conclusions</h3><div>These testimonials from stakeholders emphasize the need to conceptualize the DD service trajectory as a whole. This will require improving upon information-sharing and collaboration practices, formalizing procedures, and adding case navigation and parent support modalities.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"158 ","pages":"Article 104918"},"PeriodicalIF":2.9,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep health of adults and children with Moebius syndrome","authors":"Jessica R. Dietch ,&nbsp;John Richmond T. Sy ,&nbsp;Ellie Anderson ,&nbsp;Kathleen Bogart","doi":"10.1016/j.ridd.2025.104924","DOIUrl":"10.1016/j.ridd.2025.104924","url":null,"abstract":"<div><h3>Introduction</h3><div>Moebius syndrome is a rare congenital disorder with frequent anecdotal reports of sleep disturbances not sufficiently categorized by prior literature. The present mixed-methods, two-phase study aimed to characterize the sleep health and symptoms of a cohort of adults and children (via parent proxies) with Moebius syndrome.</div></div><div><h3>Methods</h3><div>In Phase 1, participants were 46 adults with Moebius Syndrome (<em>M</em>_<em>age</em>=33.5[13.0]; 72 % female) and 17 parent-proxies for children with Moebius Syndrome (child <em>M</em>_<em>age</em>=10.47[3.4]; 53 % female). Participants completed a self-reported questionnaire battery. In Phase 2, five adults (<em>M</em>_<em>age</em>=25.4[6.5]; 100 % female) from Phase 1 completed 2 weeks of sleep diary and actigraphy, 2 nights of single-channel EEG, and diagnostic and qualitative interviews.</div></div><div><h3>Results</h3><div>Adults endorsed elevated rates of self-reported sleep disorder symptoms including sleep apnea (26 %), insomnia (56 %), nightmares (35 %), excessive daytime sleepiness (30 %), cataplexy (26 %), REM sleep behavior disorder (61 %), and parasomnias (100 %). Children had elevated rates of sleep disturbances (71 %), sleep-related daytime impairment (82 %), parasomnias (76 %) and daytime sleepiness (53 %). Qualitative interviews revealed participants endorsed a history of sleep problems dating to childhood and continuing into adulthood that impacted social relationships and quality of life and had experienced little treatment success.</div></div><div><h3>Discussion</h3><div>These findings shed light on the constellation of sleep health experiences among individuals with Moebius syndrome. Poor sleep health may represent a modifiable treatment target to improve health and well-being in individuals with Moebius syndrome. The heterogenous nature of sleep problems among people with Moebius syndrome may not respond well to a one-size-fits-all intervention, instead necessitating personalized approaches.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"158 ","pages":"Article 104924"},"PeriodicalIF":2.9,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond disability: A scientometric review of quality of life in developmental disabilities","authors":"Riccardo Cavallaro ,&nbsp;Alessandro Carollo ,&nbsp;Giulia Balboni ,&nbsp;Laura E. Gómez ,&nbsp;Dagmara Dimitriou ,&nbsp;Gianluca Esposito","doi":"10.1016/j.ridd.2025.104919","DOIUrl":"10.1016/j.ridd.2025.104919","url":null,"abstract":"<div><div>Quality of Life (QoL) is a crucial concept that pertains to an individual’s perception of their position in life. In the context of developmental disabilities, QoL is pivotal for improving evidence-based practices, providing support and organizing services for individuals, thereby enabling them to achieve their potential with dignity and equality. Despite its importance, QoL has often not been the primary focus in many studies on developmental disabilities and remains less developed compared to other research areas. This study aims to provide a comprehensive understanding of the existing knowledge in this thematic area. A document co-citation analysis was conducted to identify the most impactful publications and main thematic domains of research in the literature (<em>N</em> = 2141 documents and their 97,547 citations). A total of 21 impactful documents were identified, most of which focused on issues related to the conceptualization and assessment of QoL. Nine major thematic domains of research were outlined. In line with the impactful publications, some research themes focused on conceptual issues (e.g., self-reported QoL and QoL reported from others) and assessment approaches. Furthermore, the literature has transitioned towards broadening the QoL perspective in the context of family and social systems. The study provides an overview of how QoL has been studied in the context of developmental disabilities, highlighting the interdependence of individuals, families, and communities in ensuring a fulfilling life through the lens of QoL.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"158 ","pages":"Article 104919"},"PeriodicalIF":2.9,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motor and visuospatial processing profile in a cross-conditions study: A comparison between developmental coordination disorder and nonverbal learning disability","authors":"Ramona Cardillo ,&nbsp;Camilla Orefice ,&nbsp;Nicolas Leanza ,&nbsp;Irene C. Mammarella","doi":"10.1016/j.ridd.2025.104922","DOIUrl":"10.1016/j.ridd.2025.104922","url":null,"abstract":"<div><h3>Background</h3><div>Neurodevelopmental conditions often exhibit overlapping symptoms, posing challenges for differential diagnosis. Developmental Coordination Disorder (DCD) manifests as fundamental motor impairments, often along with co-occurring visuospatial difficulties. Nonverbal Learning Disorder (NLD) features visuospatial core challenges, with a less consistent characterization of its motor profile. Strikingly, to date no study has directly compared DCD and NLD profiles.</div></div><div><h3>Aims</h3><div>The present study aimed to analyze whether DCD and NLD share any characteristics by contrasting their motor and visuospatial performances, comparing them with non-diagnosed (ND) peers.</div></div><div><h3>Methods and Procedures</h3><div>A total of 102 participants (8–16 years; DCD N = 29, NLD N = 29, ND N = 44) completed motor and visuospatial tasks. The groups' performance was compared, and the discriminatory power of the measures administered was analyzed.</div></div><div><h3>Outcomes and Results</h3><div>Our findings support the substantial motor and visuospatial impairments in DCD and NLD, respectively. Regarding diagnostic efficacy, motor and visuospatial tasks effectively differentiated DCD or NLD from ND, with specificities related to each condition. Balance, and to a lesser extent, Spatial Processing revealed significant predictive power in distinguishing between DCD and NLD.</div></div><div><h3>Conclusions and Implications</h3><div>Our results revealed cross-disorder similarities and highlighted specific hallmarks, corroborating the need of a comprehensive motor and visuospatial assessment for distinguishing between DCD and NLD.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"158 ","pages":"Article 104922"},"PeriodicalIF":2.9,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribution of a post-secondary academic enrichment program on cognitive abilities of adults with severe intellectual disability using an e-book","authors":"Hefziba Lifshitz ,&nbsp;Shira Posner ,&nbsp;Shlomit Shnitzer-Meirovich","doi":"10.1016/j.ridd.2025.104921","DOIUrl":"10.1016/j.ridd.2025.104921","url":null,"abstract":"<div><div>We investigated the impact of participation in post-secondary university education (PSE) on the academic knowledge of adult students with severe intellectual disability and extensive support needs (SIDESN) vs. a similar group of controls who did not participate in PSE. We also examined whether the PSE would result in a \"near transfer” to basic crystallized (facts and information) and fluid (problems involving executive functions and working memory) cognitive abilities, the contribution of background characteristics and crystallized and fluid abilities to their academic knowledge, semantic fluency and temporal relations.</div></div><div><h3>Method</h3><div>Nine adults with SIDESN (aged 27–58) participated in an Introduction to Sociology course using an Ecological-mediational Strategies Model that included use of an e-book while 10 other adults served as the control group. An academic knowledge test according to Bloom’s taxonomy as well as crystallized and fluid cognitive tests were administered at Time 1 (pre-course) and Time 2 (post-course).</div></div><div><h3>Findings</h3><div>MANOVAs indicated improvement in academic knowledge and a \"near transfer\" to crystallized and fluid tests in the PSE group at Time 2, versus stability or decline in the controls. Chronological age and the PSE program contributed to the EPV of the improvement in the knowledge test, semantic fluency and temporal relations.</div></div><div><h3>Conclusions</h3><div>Despite the small sample size, our findings indicated that academic PSE programs using technology hold potential for improving academic knowledge and cognitive abilities of crystalized and fluid types in adults with SIDESN, supporting the Compensation Age Theory, Enrichment Theory, and the Ecological-mediational Strategies Model that were developed for acquiring academic material for this special group.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"158 ","pages":"Article 104921"},"PeriodicalIF":2.9,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short report on a 6-week at-home exergaming intervention to improve balance in children with developmental coordination disorder","authors":"C. Harkness-Armstrong ,&nbsp;E. Hodson-Tole ,&nbsp;G. Wood ,&nbsp;R. Mills","doi":"10.1016/j.ridd.2024.104900","DOIUrl":"10.1016/j.ridd.2024.104900","url":null,"abstract":"<div><h3>Background</h3><div>Previous studies have evidenced balance training for improving postural control in children with DCD, however none have examined how neuromuscular mechanisms controlling balance might be improved with training.</div></div><div><h3>Aims</h3><div>To assess the neuromuscular control of balance before and after training in children with DCD.</div></div><div><h3>Methods and procedures</h3><div>Eleven children with DCD completed a six-week, game-based intervention to train balance, and lower-limb and core strength. Six children with DCD formed the control group. Stepping behaviour, centre of mass variability, centre of pressure area, and postural muscle onset latencies, using a continuous oscillating platform paradigm, were assessed at baseline, immediately-post and six-week-post intervention.</div></div><div><h3>Outcomes and results</h3><div>Both groups showed improvement in the oscillating platform task, indicating a learning effect. However, only the training group showed improvements in MABC-2 balance percentile scores from baseline (p = 0.008).</div></div><div><h3>Conclusions and implications</h3><div>These findings suggest that children with DCD can learn through repeated exposure to challenging situations, regardless whether training is given. However, only the training group were able to transfer these improvements to the MABC-2 balance assessment. This may suggest the intervention exposed children to increased movement variations which could be transferred to a different task.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"156 ","pages":"Article 104900"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges ahead: Exploring external barriers to self-determination in individuals with intellectual disabilities","authors":"Monika Parchomiuk ,&nbsp;Agnieszka Żyta ,&nbsp;Katarzyna Ćwirynkało","doi":"10.1016/j.ridd.2024.104895","DOIUrl":"10.1016/j.ridd.2024.104895","url":null,"abstract":"<div><div>The extent to which individuals with intellectual disabilities (ID) can exercise self-determination in their adult lives is largely influenced by various contextual factors, including their family environment, the institutions they interact with, and the legal and social conditions in which they function. In this study, we aimed to explore the lived experiences of people with ID in the context of the environmental challenges they face on the path to self-determination. To achieve this goal, we conducted an inclusive study involving co-researchers with ID. Thirty-three adults with mild to severe ID participated in focus groups or individual interviews. Using reflexive thematic analysis, we generated four superordinate themes: microsystemic factors that impact self-determination; Exosystemic factors that impact self-determination; macrosystemic factors that impact self-determination; and consequences. The implications for practice are discussed.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"156 ","pages":"Article 104895"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of an individualised and adaptive game-based rehabilitation, iVision, on visual perception in cerebral visual impairment: A triple-blind randomised controlled trial","authors":"N. Ben Itzhak ,&nbsp;L. Stijnen ,&nbsp;K. Kostkova ,&nbsp;A. Laenen ,&nbsp;B. Jansen ,&nbsp;E. Ortibus","doi":"10.1016/j.ridd.2024.104899","DOIUrl":"10.1016/j.ridd.2024.104899","url":null,"abstract":"<div><h3>Background</h3><div>Cerebral visual impairment (CVI) can negatively affect a child’s functioning, emphasising the need for interventions to improve visual perception (VP), potentially translating into improved health-related quality of life (HRQOL).</div></div><div><h3>Aims</h3><div>Assessing the effectiveness of an adaptive individualised game-based rehabilitation, iVision, on VP, visual function, functional vision, and HRQOL.</div></div><div><h3>Methods and procedures</h3><div>Seventy-three children with CVI (3–12 performance age) were randomised into the adaptive individualised or the non-adaptive non-individualised group (3 sessions/week; 12 weeks). Primary outcome was change score (post-intervention – pre-intervention) of the lowest VP dimension. Key secondary outcomes included change score (post-intervention – pre-intervention) of visual function (reaction time to fixation in a preferential looking eye-tracking paradigm), functional vision (success rate in the adapted virtual toy box paradigm; total Flemish CVI questionnaire score), HRQOL (total scale score of the paediatric quality of life inventory 4.0 child self-report), and the lowest VP dimension change score (short-term follow-up – pre-intervention).</div></div><div><h3>Outcomes and results</h3><div>Both groups significantly improved on the primary outcome, maintaining at short-term. Between-group differences were not significant. No significant effect was found for other key secondary outcomes. Exploratory analyses revealed VP dimension improvements and clinically meaningful HRQOL improvements.</div></div><div><h3>Conclusions and implications</h3><div>Although children with CVI improved their VP and to some extent HRQOL, no differences were found between the groups.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"156 ","pages":"Article 104899"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in impulsivity between adolescents with ADHD and those with comorbidity of ADHD and IGD","authors":"Wenhao Zhuang ,&nbsp;Xiaoli Liu ,&nbsp;Yanxue Wang ,&nbsp;Yiling Wu ,&nbsp;Jia Wei ,&nbsp;Beini Wang ,&nbsp;Wenwu Zhang ,&nbsp;Dongsheng Zhou","doi":"10.1016/j.ridd.2024.104883","DOIUrl":"10.1016/j.ridd.2024.104883","url":null,"abstract":"<div><h3>Background</h3><div>Numerous studies have demonstrated that patients with attention deficit hyperactivity disorder (ADHD) have high impulsivity. However, few studies have been published on the differences in impulsivity between patients presenting with comorbidity of ADHD and Internet gaming disorder (IGD) and ADHD alone.</div></div><div><h3>Aim</h3><div>The present study designed an experiment to address this significant question, to explore the differences in impulsivity between individuals with ADHD and those with comorbid ADHD and IGD, specifically focusing on various dimensions of impulsivity.</div></div><div><h3>Methods</h3><div>A total of 81 adolescents with ADHD alone and 59 patients with comorbidity of ADHD and IGD were included in this study, and all of them were assessed using the Stop-signal Task (SST), Delay Discount Task (DDT), and Balloon Analogue Risk Task (BART).</div></div><div><h3>Results</h3><div>Patients with comorbid ADHD and IGD had higher impulsivity than those with only ADHD, and it was expressed in different dimensions. Additionally, response inhibition, delayed discount rate, risky decision-making behavior, inattention, and hyperactivity were identified as risk factors for comorbid ADHD and IGD.</div></div><div><h3>Conclusion</h3><div>These findings can help distinguish whether ADHD is comorbid with IGD in clinical settings. They will also be helpful in the implementation of more precise treatments.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"156 ","pages":"Article 104883"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}