A. Hillert, D. Staedtke, U. Cuntz, K. Hafen1 Jastrebow2 Nübling2 Bengel1
: The necessity to offer special therapeutic programmes focusing on job related problems in psychosomatic rehabilitation has become increasingly evident. Which patients should participate in such programmes? This question has not yet been discussed with regard to its theoretical and methodological implications. In clinical practice the decision has been based on the therapists evaluation. 105 patients, consecutively admitted in a psychosomatic hospital were interviewed with a screening questionnaire about their job related strains and the perceived interaction between symptomatology and job. According to the literature guidelines for inclusion of psychosomatic patients to a special work hardening programme were used. Therapists were asked to independently assign their patients to the programme. The overlap between the two procedures was small. While the guidelines focussed on a high level of job strain and the patient's motivation for a job-related therapeutic approach, the therapists' decision was based on duration of inability to work, impairments at work due to the symptoms, conflicts with colleagues at work and the patient's ability to perceive problems in a differentiated manner. Considering the problem of inclusion-criteria for a work hardening programme, the highly complex constellations behind routine therapeutic decisions in psychosomatic rehabilitation became evident. To integrate medical diagnosis, symptomatology, psychological models, job strain, the patient's social situation and values, is a neglected but important goal of rehabilitation sciences and should be a base for a concept guiding the development, evaluation and establishment of work related therapeutic programmes.
{"title":"Bei welchen psychosomatischen Patienten sind berufsbezogene Therapiebausteine indiziert? Therapeutenentscheidung und operationalisierte Zuweisungskriterien im Vergleich","authors":"A. Hillert, D. Staedtke, U. Cuntz, K. Hafen1 Jastrebow2 Nübling2 Bengel1","doi":"10.1055/s-2001-15986","DOIUrl":"https://doi.org/10.1055/s-2001-15986","url":null,"abstract":": The necessity to offer special therapeutic programmes focusing on job related problems in psychosomatic rehabilitation has become increasingly evident. Which patients should participate in such programmes? This question has not yet been discussed with regard to its theoretical and methodological implications. In clinical practice the decision has been based on the therapists evaluation. 105 patients, consecutively admitted in a psychosomatic hospital were interviewed with a screening questionnaire about their job related strains and the perceived interaction between symptomatology and job. According to the literature guidelines for inclusion of psychosomatic patients to a special work hardening programme were used. Therapists were asked to independently assign their patients to the programme. The overlap between the two procedures was small. While the guidelines focussed on a high level of job strain and the patient's motivation for a job-related therapeutic approach, the therapists' decision was based on duration of inability to work, impairments at work due to the symptoms, conflicts with colleagues at work and the patient's ability to perceive problems in a differentiated manner. Considering the problem of inclusion-criteria for a work hardening programme, the highly complex constellations behind routine therapeutic decisions in psychosomatic rehabilitation became evident. To integrate medical diagnosis, symptomatology, psychological models, job strain, the patient's social situation and values, is a neglected but important goal of rehabilitation sciences and should be a base for a concept guiding the development, evaluation and establishment of work related therapeutic programmes.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133177433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
While the public has been paying attention to the topics illness and disability with respect to public health, long-term care insurance and public old age insurance systems for years, the risk of becoming disabled at work has been considered less. Research in this area has for a long time been focused on questions regarding first-time entry and return to work of disabled persons into the regular labour market. Also, much policy research has tended to deny an active role of the enterprise as an independent player and creator of policy in the management of disability. Hence only little documentation of employers' programmes and strategies as well as analysis concerning the question of job retention is available. In order to cover the research deficit a study with regard to employment careers of severely disabled was conducted in Rhineland-Palatinate from 1997 to 1999. The study pursues two different paths: On the one hand living and working conditions of this group are analysed, on the other the study's purpose is to give an overview of employers' disability management practices from the severely disabled employees' point of view. This article deals with the results of the policies within the enterprise study. It concerns the analysis of the following issues: Does disability have a negative impact on the employees' careers? Which measures are preferred by the persons interviewed and why? The final question, whether the need for supporting measures ascertained may be satisfied by the existing instruments available under the German Severely Disabled Persons Act must be answered with a clear "No"! Employers and disabled employees need alternative measures of support.
{"title":"Erfahrungen schwerbehinderter Arbeitnehmer mit betrieblichen Maßnahmen im Rahmen der Weiterbeschäftigung. Ausgewählte Ergebnisse einer empirischen Untersuchung","authors":"S. Bahlke","doi":"10.1055/s-2001-15990","DOIUrl":"https://doi.org/10.1055/s-2001-15990","url":null,"abstract":"While the public has been paying attention to the topics illness and disability with respect to public health, long-term care insurance and public old age insurance systems for years, the risk of becoming disabled at work has been considered less. Research in this area has for a long time been focused on questions regarding first-time entry and return to work of disabled persons into the regular labour market. Also, much policy research has tended to deny an active role of the enterprise as an independent player and creator of policy in the management of disability. Hence only little documentation of employers' programmes and strategies as well as analysis concerning the question of job retention is available. In order to cover the research deficit a study with regard to employment careers of severely disabled was conducted in Rhineland-Palatinate from 1997 to 1999. The study pursues two different paths: On the one hand living and working conditions of this group are analysed, on the other the study's purpose is to give an overview of employers' disability management practices from the severely disabled employees' point of view. This article deals with the results of the policies within the enterprise study. It concerns the analysis of the following issues: Does disability have a negative impact on the employees' careers? Which measures are preferred by the persons interviewed and why? The final question, whether the need for supporting measures ascertained may be satisfied by the existing instruments available under the German Severely Disabled Persons Act must be answered with a clear \"No\"! Employers and disabled employees need alternative measures of support.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121524078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Osteoarthritis of the knee is considered to be the most common degenerative joint disease and finally ends up in a total knee replacement. Pain relief, restoration of a passive knee stability and improvement of functional ability are the primary goals of arthroplasties. But at the surgeons' closing, the patient for the present has just a knee "ready to function". Making the new joint function and recovering quality of life are the major outcome criteria for the rehabilitation process. This retrospective research was performed to evaluate three different rehabilitation programmes provided for patients receiving knee arthroplasties. Included were 124 patients with unilateral knee arthroplasty due to primary gonarthritis. All three rehabilitation clinics were able to improve the functional ability of the affected joints significantly, without any quantitative differences among them. The main influence factor in reaching the therapy aim (defined as: full extension and flexion > or = 90 degrees) seems to be the length of stay in the rehab clinic, which in turn is dependent on the presence of complications. On the other hand complications did not directly affect the achievement of the rehab goal, neither did age of patients, number of days between discharge (from acute care) and admission (to the rehab clinic), nor any accompanying illnesses. There, hence, have to be additional factors which influence the length of stay and so indirectly the rehab aim, factors which obviously are not accessible to quantitative objective measuring methods.
{"title":"Mobilitätsergebnisse endoprothetisch versorgter Kniegelenke nach Anschlussheilbehandlung - Einflussgrößen auf die Erfolgsrate","authors":"W. Gehrke, W. Arnold","doi":"10.1055/s-2001-14722","DOIUrl":"https://doi.org/10.1055/s-2001-14722","url":null,"abstract":": Osteoarthritis of the knee is considered to be the most common degenerative joint disease and finally ends up in a total knee replacement. Pain relief, restoration of a passive knee stability and improvement of functional ability are the primary goals of arthroplasties. But at the surgeons' closing, the patient for the present has just a knee \"ready to function\". Making the new joint function and recovering quality of life are the major outcome criteria for the rehabilitation process. This retrospective research was performed to evaluate three different rehabilitation programmes provided for patients receiving knee arthroplasties. Included were 124 patients with unilateral knee arthroplasty due to primary gonarthritis. All three rehabilitation clinics were able to improve the functional ability of the affected joints significantly, without any quantitative differences among them. The main influence factor in reaching the therapy aim (defined as: full extension and flexion > or = 90 degrees) seems to be the length of stay in the rehab clinic, which in turn is dependent on the presence of complications. On the other hand complications did not directly affect the achievement of the rehab goal, neither did age of patients, number of days between discharge (from acute care) and admission (to the rehab clinic), nor any accompanying illnesses. There, hence, have to be additional factors which influence the length of stay and so indirectly the rehab aim, factors which obviously are not accessible to quantitative objective measuring methods.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"11 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127011772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Operative Behandlung und Rehabilitation zur Funktionsverbesserung bei Ausfall der Schultermuskulatur","authors":"O. Rühmann, C. Wirth, S. Schmolke, F. Gossé, F. Brandt, A. Tempel","doi":"10.1055/s-2001-14716","DOIUrl":"https://doi.org/10.1055/s-2001-14716","url":null,"abstract":"Einleitung: Patienten/Methode: Ergebnisse: Schlussfolgerungen: Introduction: Patients/methods: Results: Conclusions:","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122252869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Die Zukunft der Rehabilitation - Orientierungsrahmen für die Arbeit der Bundesarbeitsgemeinschaft für Rehabilitation ab 2001","authors":"","doi":"10.1055/s-2001-14719","DOIUrl":"https://doi.org/10.1055/s-2001-14719","url":null,"abstract":"","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125694954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A cardiac medical center and a hospital for cardiac rehabilitation are compared. A total of 44 male patients were administered the German version of the "Ward Atmosphere Scale" (KUS). Both hospitals differ widely regarding manpower, costs, financing, and organization of services. Patients perceive a more rehabilitation oriented atmosphere in the rehabilitation hospital (e.g., support, preparation for the time after discharge from the hospital, personal orientation). On the other hand, the comprehensive medical potential of the cardiac centre is reflected in the patients perceptions of a stronger medical technology orientation. The results are discussed with regard to the validity of the questionnaire and as to the importance of a rehabilitative orientation.
{"title":"Vergleich von zwei kardiologischen Rehabilitationskliniken anhand der Wahrnehmung der Klinikumwelt durch die Patienten1","authors":"O. Mittag","doi":"10.1055/s-2001-12480","DOIUrl":"https://doi.org/10.1055/s-2001-12480","url":null,"abstract":"A cardiac medical center and a hospital for cardiac rehabilitation are compared. A total of 44 male patients were administered the German version of the \"Ward Atmosphere Scale\" (KUS). Both hospitals differ widely regarding manpower, costs, financing, and organization of services. Patients perceive a more rehabilitation oriented atmosphere in the rehabilitation hospital (e.g., support, preparation for the time after discharge from the hospital, personal orientation). On the other hand, the comprehensive medical potential of the cardiac centre is reflected in the patients perceptions of a stronger medical technology orientation. The results are discussed with regard to the validity of the questionnaire and as to the importance of a rehabilitative orientation.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124218699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Th. Wolbers1, 2, J. Küst1, H. Karbe, J. Netz2, V. Hömberg2
Until recently, major methodological problems were faced in the assessment and rehabilitation of driving ability in neurological patients, concerning practical driving lessons and driving tests as well as neuropsychological tests and therapies. The use of highly-advanced driving simulators may solve parts of this problem. However, a basic requirement for effective rehabilitation is the patients' acceptance of this method. In a semi-standardized interview with 56 patients we found that the driving simulator recently installed in the Neurological Rehabilitation Centre "Godeshohe" was rated mainly positively. Also, patients experienced the simulator to be motivating, effective and informative. Hence, a very important prerequisite for successful use of driving simulators in neurological rehabilitation is given. Language: de
{"title":"Interaktive Fahrsimulation - ein neuer Weg zur Diagnose und Rehabilitation der Fahrtauglichkeit","authors":"Th. Wolbers1, 2, J. Küst1, H. Karbe, J. Netz2, V. Hömberg2","doi":"10.1055/s-2001-12601","DOIUrl":"https://doi.org/10.1055/s-2001-12601","url":null,"abstract":"Until recently, major methodological problems were faced in the assessment and rehabilitation of driving ability in neurological patients, concerning practical driving lessons and driving tests as well as neuropsychological tests and therapies. The use of highly-advanced driving simulators may solve parts of this problem. However, a basic requirement for effective rehabilitation is the patients' acceptance of this method. In a semi-standardized interview with 56 patients we found that the driving simulator recently installed in the Neurological Rehabilitation Centre \"Godeshohe\" was rated mainly positively. Also, patients experienced the simulator to be motivating, effective and informative. Hence, a very important prerequisite for successful use of driving simulators in neurological rehabilitation is given. Language: de","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114952339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The legal basis for employment of people with disabilities in sheltered Workshops for the Disabled (Werkstatten fur Behinderte, WfB) had hitherto been shaped by the 1961 Federal Social Assistance Act, the 1969 Employment Promotion Act, the 1974 Severely Disabled Persons Act with the related Workshop Ordinances of 1980 and 1996. The Act on Combating Unemployment of Severely Disabled Persons, effective as of Oct. 1, 2000 has now created a new legal foundation, which also is aimed at enhancing Workshop employees' horizontal mobility into the general job market, inter alia providing for access to Supported Employment arrangements and for availability of selective placement and support services (Integrationsfachdienste, IFD) throughout Germany. These Services also are intended as points of contact in the counselling of severely disabled school leavers in relation to placement opportunities in competitive jobs and/or integration projects or firms. Discussed from a legal perspective are the differences in sociolegal respects between such projects for severely disabled persons and employment in Workshops for the Disabled, as well as implications for the Workshops' own economic activity, also making reference to the forthcoming Book 9 of the Social Code.
{"title":"Neustrukturierung des Sonderarbeitsmarkts für Menschen mit Behinderung durch die Reform des Reha-Rechts - Folgen für die Werkstatt für Behinderte","authors":"S. Wendt","doi":"10.1055/s-2001-12485","DOIUrl":"https://doi.org/10.1055/s-2001-12485","url":null,"abstract":"The legal basis for employment of people with disabilities in sheltered Workshops for the Disabled (Werkstatten fur Behinderte, WfB) had hitherto been shaped by the 1961 Federal Social Assistance Act, the 1969 Employment Promotion Act, the 1974 Severely Disabled Persons Act with the related Workshop Ordinances of 1980 and 1996. The Act on Combating Unemployment of Severely Disabled Persons, effective as of Oct. 1, 2000 has now created a new legal foundation, which also is aimed at enhancing Workshop employees' horizontal mobility into the general job market, inter alia providing for access to Supported Employment arrangements and for availability of selective placement and support services (Integrationsfachdienste, IFD) throughout Germany. These Services also are intended as points of contact in the counselling of severely disabled school leavers in relation to placement opportunities in competitive jobs and/or integration projects or firms. Discussed from a legal perspective are the differences in sociolegal respects between such projects for severely disabled persons and employment in Workshops for the Disabled, as well as implications for the Workshops' own economic activity, also making reference to the forthcoming Book 9 of the Social Code.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115575095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A training programme for rehabilitation of people with mental illness is presented, designed particularly for schizophrenic patients who need occupational rehabilitation. The training goal is to connect aspects of the schizophrenic disorder with vocational issues. It is aimed at supporting the participants in developing a realistic and appropriate vocational perspective in line with their illness related restrictions and current vocational possibilities, seeking to find out the individual's optimal ability to take stress so as to avoid over- or understimulation in vocational respects. The ZERA training has been developed for implementation in different medical and vocational rehabilitation settings for persons with mental illness. An initial control-group study was carried out to evaluate the effectiveness of this group training approach, and preliminary results have revealed changes in the experimental group in accordance with the objectives of the training and encourage further research.
{"title":"Zusammenhang zwischen Erkrankung, Rehabilitation und Arbeit (ZERA) - Ein Schulungsprogramm für die medizinisch-berufliche Rehabilitation psychisch kranker Menschen","authors":"M. Hammer, I. Plößl","doi":"10.1055/s-2001-12130","DOIUrl":"https://doi.org/10.1055/s-2001-12130","url":null,"abstract":"A training programme for rehabilitation of people with mental illness is presented, designed particularly for schizophrenic patients who need occupational rehabilitation. The training goal is to connect aspects of the schizophrenic disorder with vocational issues. It is aimed at supporting the participants in developing a realistic and appropriate vocational perspective in line with their illness related restrictions and current vocational possibilities, seeking to find out the individual's optimal ability to take stress so as to avoid over- or understimulation in vocational respects. The ZERA training has been developed for implementation in different medical and vocational rehabilitation settings for persons with mental illness. An initial control-group study was carried out to evaluate the effectiveness of this group training approach, and preliminary results have revealed changes in the experimental group in accordance with the objectives of the training and encourage further research.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114782135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A central aim of reformatory efforts, as a consequence of the "Psychiatrieenquete" 1975 (a fundamental report of the situation of psychiatry in Germany), had been dehospitalisation of patients with chronic mental illness and their reintegration into the community. Despite a meanwhile well-developed range of community-based services, patients with severe mental illness only rarely get adequate care by these services. This holds especially true for patients with an unfavourable course of disease such as schizophrenia, severe personality disorder, skid-row alcoholism with multiple problems or for patients with double diagnosis. The reasons are barriers set up by the various services and their underlying concepts as well as structural problems in the health care system. Adapted to the special needs for help of these patients, we present a model for the community-based care of this group, combining elements of community psychiatry, addiction treatment and help for the homeless.
{"title":"Gemeindenahe Rehabilitation für schwer psychisch Kranke?","authors":"G. Längle, M. Mayenberger, A. Günthner","doi":"10.1055/s-2001-12129","DOIUrl":"https://doi.org/10.1055/s-2001-12129","url":null,"abstract":"A central aim of reformatory efforts, as a consequence of the \"Psychiatrieenquete\" 1975 (a fundamental report of the situation of psychiatry in Germany), had been dehospitalisation of patients with chronic mental illness and their reintegration into the community. Despite a meanwhile well-developed range of community-based services, patients with severe mental illness only rarely get adequate care by these services. This holds especially true for patients with an unfavourable course of disease such as schizophrenia, severe personality disorder, skid-row alcoholism with multiple problems or for patients with double diagnosis. The reasons are barriers set up by the various services and their underlying concepts as well as structural problems in the health care system. Adapted to the special needs for help of these patients, we present a model for the community-based care of this group, combining elements of community psychiatry, addiction treatment and help for the homeless.","PeriodicalId":423642,"journal":{"name":"Rehabilitation Die","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128653648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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