Pub Date : 2022-04-06DOI: 10.1097/01.REO.0000000000000303
Ehsan Sinaei, M. Ansari, Z. Zakeri, Forouzan Mousavi, Maryam Siyanat, Amin Kordi Yoosefinejad
Background and Objective: Reduced balance performance is among the most common consequences of chemotherapy-induced peripheral neuropathy in women with breast cancer who receive taxane-based chemotherapy (TBC). We aimed to assess the responsiveness and interrater reliability of the short form of the Fullerton Advanced Balance (SF-FAB) scale in monitoring the balance status of women with breast cancer following a cycle of TBC and the scale's potential to detect balance changes in these people. Methods: In this measurement-focused study, 33 women diagnosed with breast cancer were recruited. After baseline assessments of the SF-FAB and the Revised and Shortened Total Neuropathy Score (TNSr-SF) by 2 raters, participants received 6 to 10 sessions of TBC with a mean interval of 2.61 weeks. After cessation of the chemotherapy cycle, outcomes were reassessed. Twenty-eight participants with a mean age of 46.50 (10.46) years completed the trial. Results: After the interventions, the SF-FAB score decreased significantly (P = .02) and the neuropathy score increased significantly (P < .001), indicating lowered balance and aggravated neuropathy. This study showed excellent interrater reliability for the total score of the SF-FAB, before and after TBC (intraclass correlation coefficient(2,2) ≥ 0.90, 95% confidence interval = 0.96-0.99). The internal consistency of the scale was acceptable (Cronbach's α = 0.97) and a moderate negative correlation was observed between the SF-FAB and neuropathy scores (r = −0.63), which was statistically significant (P ˂ .001). Conclusion: Reliable functional tests that are feasible and easy to apply, such as the SF-FAB scale, contribute to a quick screen of women with cancer who undergo TBC as a preliminary to further comprehensive assessments if necessary.
{"title":"Responsiveness and Interrater Reliability of the Short Form of Fullerton Advance Balance Scale in Women With Breast Cancer Following Chemotherapy","authors":"Ehsan Sinaei, M. Ansari, Z. Zakeri, Forouzan Mousavi, Maryam Siyanat, Amin Kordi Yoosefinejad","doi":"10.1097/01.REO.0000000000000303","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000303","url":null,"abstract":"Background and Objective: Reduced balance performance is among the most common consequences of chemotherapy-induced peripheral neuropathy in women with breast cancer who receive taxane-based chemotherapy (TBC). We aimed to assess the responsiveness and interrater reliability of the short form of the Fullerton Advanced Balance (SF-FAB) scale in monitoring the balance status of women with breast cancer following a cycle of TBC and the scale's potential to detect balance changes in these people. Methods: In this measurement-focused study, 33 women diagnosed with breast cancer were recruited. After baseline assessments of the SF-FAB and the Revised and Shortened Total Neuropathy Score (TNSr-SF) by 2 raters, participants received 6 to 10 sessions of TBC with a mean interval of 2.61 weeks. After cessation of the chemotherapy cycle, outcomes were reassessed. Twenty-eight participants with a mean age of 46.50 (10.46) years completed the trial. Results: After the interventions, the SF-FAB score decreased significantly (P = .02) and the neuropathy score increased significantly (P < .001), indicating lowered balance and aggravated neuropathy. This study showed excellent interrater reliability for the total score of the SF-FAB, before and after TBC (intraclass correlation coefficient(2,2) ≥ 0.90, 95% confidence interval = 0.96-0.99). The internal consistency of the scale was acceptable (Cronbach's α = 0.97) and a moderate negative correlation was observed between the SF-FAB and neuropathy scores (r = −0.63), which was statistically significant (P ˂ .001). Conclusion: Reliable functional tests that are feasible and easy to apply, such as the SF-FAB scale, contribute to a quick screen of women with cancer who undergo TBC as a preliminary to further comprehensive assessments if necessary.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"43 1","pages":"E54 - E60"},"PeriodicalIF":0.9,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85775497","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}
Pub Date : 2022-03-15DOI: 10.1097/01.reo.0000000000000300
Andrew Chongaway, D. Doherty
{"title":"High-Intensity Interval Training in the Oncology Population","authors":"Andrew Chongaway, D. Doherty","doi":"10.1097/01.reo.0000000000000300","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000300","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"4 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87240004","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}
Pub Date : 2022-02-21DOI: 10.1097/01.reo.0000000000000299
Stacy M. Weber, Athena A. Manzino, Christopher M. Wilson, Nicole D. Booms
{"title":"What Is Meaningful Participation for Physical Therapists in Multidisciplinary Cancer Conferences and Tumor Boards?","authors":"Stacy M. Weber, Athena A. Manzino, Christopher M. Wilson, Nicole D. Booms","doi":"10.1097/01.reo.0000000000000299","DOIUrl":"https://doi.org/10.1097/01.reo.0000000000000299","url":null,"abstract":"","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"39 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78911459","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}
Pub Date : 2022-02-08DOI: 10.1097/01.REO.0000000000000297
D. McGhee, J. Steele
Purpose: To investigate the access to physical rehabilitation for a range of adverse physical effects following different types of breast cancer surgery. Methods: Online survey of 632 Australian women (mean age = 59.8 years, SD = 9.6) grouped according to their breast cancer surgery, (i) breast-conserving surgery (BCS; n = 228), (ii) mastectomy (MAST; n = 208), (iii) breast reconstruction (BRS; n = 196), who retrospectively reported whether they received any physical rehabilitation for 6 adverse physical effects. Fisher's exact tests were used to compare the frequency of respondents who received physical rehabilitation for each adverse physical effect among the 3 groups. The percentage of the entire cohort of respondents (n = 632) who had lymph nodes removed, postoperative complications, or preexisting musculoskeletal issues who received physical rehabilitation was also tabulated. Results: No significant difference was found among the 3 groups in the percentage of respondents who received physical rehabilitation for most adverse physical effects (scar: P = .27; shoulder: P = .11; torso: P = .76; physical discomfort disturbing sleep: P = .74), except lymphedema (P = .001) and breast support issues (P = .01), which were significantly less for the BRS and BCS groups. Less than 50% of respondents following all types of breast cancer surgery received physical rehabilitation for issues associated with scars, the torso, and physical discomfort disturbing sleep, whereas more than 70% received physical rehabilitation for shoulder issues and lymphedema. Conclusion: Access to physical rehabilitation was similar following the different types of breast cancer surgery; however, gaps were identified for adverse physical effects associated with scars, torso, and physical discomfort disturbing sleep, where access was less than that for shoulder issues and lymphedema.
{"title":"Access to Physical Rehabilitation for a Range of Adverse Physical Effects Following Different Types of Breast Cancer Surgery","authors":"D. McGhee, J. Steele","doi":"10.1097/01.REO.0000000000000297","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000297","url":null,"abstract":"Purpose: To investigate the access to physical rehabilitation for a range of adverse physical effects following different types of breast cancer surgery. Methods: Online survey of 632 Australian women (mean age = 59.8 years, SD = 9.6) grouped according to their breast cancer surgery, (i) breast-conserving surgery (BCS; n = 228), (ii) mastectomy (MAST; n = 208), (iii) breast reconstruction (BRS; n = 196), who retrospectively reported whether they received any physical rehabilitation for 6 adverse physical effects. Fisher's exact tests were used to compare the frequency of respondents who received physical rehabilitation for each adverse physical effect among the 3 groups. The percentage of the entire cohort of respondents (n = 632) who had lymph nodes removed, postoperative complications, or preexisting musculoskeletal issues who received physical rehabilitation was also tabulated. Results: No significant difference was found among the 3 groups in the percentage of respondents who received physical rehabilitation for most adverse physical effects (scar: P = .27; shoulder: P = .11; torso: P = .76; physical discomfort disturbing sleep: P = .74), except lymphedema (P = .001) and breast support issues (P = .01), which were significantly less for the BRS and BCS groups. Less than 50% of respondents following all types of breast cancer surgery received physical rehabilitation for issues associated with scars, the torso, and physical discomfort disturbing sleep, whereas more than 70% received physical rehabilitation for shoulder issues and lymphedema. Conclusion: Access to physical rehabilitation was similar following the different types of breast cancer surgery; however, gaps were identified for adverse physical effects associated with scars, torso, and physical discomfort disturbing sleep, where access was less than that for shoulder issues and lymphedema.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"63 1","pages":"116 - 124"},"PeriodicalIF":0.9,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91250941","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}
Pub Date : 2022-02-08DOI: 10.1097/01.REO.0000000000000298
N. Grusdat, Alexander Stäuber, M. Tolkmitt, Jens Schnabel, B. Schubotz, P. Wright, Henry Schulz
Background: Breast cancer in young women can be a major challenge for those affected. To offer support, the establishment of a biopsychosocial profile may be beneficial. Methods: For this prospective observational pilot study, we collected data of 19 women with a mean age of 42.8 ± 5.4 years (30.0-49.0 year) before (T0) and after (T1) initial breast cancer treatment. The handgrip strength (HGS), 6-minute walk test (6MWT), and bioimpedance analysis for the detection of phase angle (PhA) and bioimpedance vector analysis (BIVA) were used. Assessments included the Hospital Anxiety and Depression Scale (HADS), Functional Assessment of Cancer Therapy-Breast (FACT-B), and Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F). Results: Women (age <50 years) with breast cancer showed impaired functional status (HGS, 6MWT, and PhA), abnormal physiologic findings (BIVA), decreased health-related quality of life (HRQoL), and cancer-related fatigue (CRF) after breast cancer diagnosis prior to the onset of cancer treatment with significant deterioration following cancer treatment. This was accompanied by a potentially higher risk of mortality and impaired function due to the prevalence of values below a critical threshold (PhA: T0 = 11%, T1 = 42%; HGS: T0 = 21%, T1 = 32%). In addition, there was evidence of anxiety (47%) and depression (32%) at T0. Conclusion: Routine assessment of biomarkers of physical function, mental health, HRQoL, and CRF may lead to individual risk stratification and multidisciplinary intervention in young patients with breast cancer, which could help to personalize and optimize survivorship care plans.
{"title":"A Prospective Observational Pilot Study of Young Women Undergoing Initial Breast Cancer Treatment and Their Biopsychosocial Profile","authors":"N. Grusdat, Alexander Stäuber, M. Tolkmitt, Jens Schnabel, B. Schubotz, P. Wright, Henry Schulz","doi":"10.1097/01.REO.0000000000000298","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000298","url":null,"abstract":"Background: Breast cancer in young women can be a major challenge for those affected. To offer support, the establishment of a biopsychosocial profile may be beneficial. Methods: For this prospective observational pilot study, we collected data of 19 women with a mean age of 42.8 ± 5.4 years (30.0-49.0 year) before (T0) and after (T1) initial breast cancer treatment. The handgrip strength (HGS), 6-minute walk test (6MWT), and bioimpedance analysis for the detection of phase angle (PhA) and bioimpedance vector analysis (BIVA) were used. Assessments included the Hospital Anxiety and Depression Scale (HADS), Functional Assessment of Cancer Therapy-Breast (FACT-B), and Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F). Results: Women (age <50 years) with breast cancer showed impaired functional status (HGS, 6MWT, and PhA), abnormal physiologic findings (BIVA), decreased health-related quality of life (HRQoL), and cancer-related fatigue (CRF) after breast cancer diagnosis prior to the onset of cancer treatment with significant deterioration following cancer treatment. This was accompanied by a potentially higher risk of mortality and impaired function due to the prevalence of values below a critical threshold (PhA: T0 = 11%, T1 = 42%; HGS: T0 = 21%, T1 = 32%). In addition, there was evidence of anxiety (47%) and depression (32%) at T0. Conclusion: Routine assessment of biomarkers of physical function, mental health, HRQoL, and CRF may lead to individual risk stratification and multidisciplinary intervention in young patients with breast cancer, which could help to personalize and optimize survivorship care plans.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"17 1","pages":"125 - 134"},"PeriodicalIF":0.9,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80312800","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}
Pub Date : 2022-02-08DOI: 10.1097/01.REO.0000000000000288
Mary C. Hidde, H. Leach, Alexa DeBord, A. Schmid, J. Eagan
Moderate-intensity continuous aerobic exercise training (MICT) is used to help alleviate symptoms of cancer-related fatigue (CRF) in many cancer rehabilitation programs. High-intensity interval training (HIIT) has become increasingly popular, including several research studies demonstrating promising effects of HIIT on CRF among patients and survivors of cancer. However, we propose that 2 primary limitations exist in the current literature that must be addressed before HIIT should be translated from research studies and implemented in cancer rehabilitation. These limitations are the lack of generalizability of this research and a paucity of studies that have directly compared MICT with HIIT while matching for total exercise volume. In this commentary, we expand on the rationale for the proposed limitations and provide suggestions for future research directions.
{"title":"High-Intensity Interval Training for Reducing Cancer-Related Fatigue in Survivors of Cancer: Challenges and Solutions for Translation and Implementation in Cancer Rehabilitation","authors":"Mary C. Hidde, H. Leach, Alexa DeBord, A. Schmid, J. Eagan","doi":"10.1097/01.REO.0000000000000288","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000288","url":null,"abstract":"Moderate-intensity continuous aerobic exercise training (MICT) is used to help alleviate symptoms of cancer-related fatigue (CRF) in many cancer rehabilitation programs. High-intensity interval training (HIIT) has become increasingly popular, including several research studies demonstrating promising effects of HIIT on CRF among patients and survivors of cancer. However, we propose that 2 primary limitations exist in the current literature that must be addressed before HIIT should be translated from research studies and implemented in cancer rehabilitation. These limitations are the lack of generalizability of this research and a paucity of studies that have directly compared MICT with HIIT while matching for total exercise volume. In this commentary, we expand on the rationale for the proposed limitations and provide suggestions for future research directions.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"9 1","pages":"89 - 92"},"PeriodicalIF":0.9,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82768076","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}
Pub Date : 2022-02-08DOI: 10.1097/01.REO.0000000000000295
Daniela Bucio, Jessica Bertram
Background and Purpose: Malignant melanoma has a high propensity to metastasize, specifically to the brain. Research has shown that incorporating oncology rehabilitation as part of the interdisciplinary care team promotes independence in functional mobility that leads to an improvement in a patient's quality of life. Case Description: A 70-year-old man presented with recurrent melanoma to the brain 10 years after initial diagnosis. Multiple brain metastases led to left hemiparesis of the arm and leg. Left-sided weakness affected his ability to perform activities of daily living and exercise regularly. The confounding impairments in balance resulted in multiple falls at home. Interventions: Interventions included balance training on various surfaces, core and proximal lower extremity strengthening, aerobic conditioning, and implementation of a home exercise program. Outcomes: The patient attended outpatient cancer rehabilitation for 19 weeks and discharged from physical therapy with a reported 47.7% improvement in global physical health and 26.7% improvement in global mental health on the PROMIS tool. At discharge, performance on the Five Times Sit to Stand Test, Timed Up and Go Test, and Dynamic Gait Index was below cutoff scores, indicating the patient was no longer a high risk for falls at home. Discussion: Physical therapy specifically tailored for the oncology patient allows for a customized rehabilitation approach that incorporates oncologic medical history and treatment into the episode of care, with the ultimate goal of improving quality of life and function throughout the patient's cancer journey.
{"title":"The Effect of Cancer Rehabilitation on Functional Outcomes in a Patient With Stage IV Melanoma With Subsequent Brain Metastases: A Case Report","authors":"Daniela Bucio, Jessica Bertram","doi":"10.1097/01.REO.0000000000000295","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000295","url":null,"abstract":"Background and Purpose: Malignant melanoma has a high propensity to metastasize, specifically to the brain. Research has shown that incorporating oncology rehabilitation as part of the interdisciplinary care team promotes independence in functional mobility that leads to an improvement in a patient's quality of life. Case Description: A 70-year-old man presented with recurrent melanoma to the brain 10 years after initial diagnosis. Multiple brain metastases led to left hemiparesis of the arm and leg. Left-sided weakness affected his ability to perform activities of daily living and exercise regularly. The confounding impairments in balance resulted in multiple falls at home. Interventions: Interventions included balance training on various surfaces, core and proximal lower extremity strengthening, aerobic conditioning, and implementation of a home exercise program. Outcomes: The patient attended outpatient cancer rehabilitation for 19 weeks and discharged from physical therapy with a reported 47.7% improvement in global physical health and 26.7% improvement in global mental health on the PROMIS tool. At discharge, performance on the Five Times Sit to Stand Test, Timed Up and Go Test, and Dynamic Gait Index was below cutoff scores, indicating the patient was no longer a high risk for falls at home. Discussion: Physical therapy specifically tailored for the oncology patient allows for a customized rehabilitation approach that incorporates oncologic medical history and treatment into the episode of care, with the ultimate goal of improving quality of life and function throughout the patient's cancer journey.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"44 1","pages":"E27 - E35"},"PeriodicalIF":0.9,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89764340","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}
Pub Date : 2022-02-04DOI: 10.1097/01.REO.0000000000000286
Benjamin S. Boyd, Betty J. Smoot, R. Nee
Background: Movement planning and execution involve using our internal representations within motor and sensory areas of our brain. Left/right judgment tasks (LRJTs) are behavioral tests that involve determining the side of the body when shown an image, without performing the movement. Individuals theoretically need to use their working body schemas to complete LRJTs. Objectives: To develop a chest LRJT testing protocol and document performance in healthy women and women post breast cancer (BrCA) treatment. Design: Observational, cohort study. Method: We recruited women with and without a history of unilateral BrCA. Participants provided demographic and health history information online, followed by hand, shoulder, and chest LRJTs. Images were digitally mirrored to create equal numbers of left and right images. Images were presented in random order within each body region. We measured accuracy and response time for LRJTs. Results: A total of 316 healthy women and 160 women post-BrCA treatment competed all testing. The BrCA group was consistently slower and less accurate at performing LRJTs for all 3 regions. The side of the image presented was not associated with performance. Conclusions: We successfully developed a chest LRJT testing method. Performance on LRJT of the upper quarter is diminished after BrCA treatment. We established tolerance intervals for anticipated performance in healthy women for future clinical and research comparisons.
{"title":"Left/Right Judgment Task for the Chest Region, Part 1: Performance Outcomes in Healthy Women Compared to Women Post Breast Cancer Treatment","authors":"Benjamin S. Boyd, Betty J. Smoot, R. Nee","doi":"10.1097/01.REO.0000000000000286","DOIUrl":"https://doi.org/10.1097/01.REO.0000000000000286","url":null,"abstract":"Background: Movement planning and execution involve using our internal representations within motor and sensory areas of our brain. Left/right judgment tasks (LRJTs) are behavioral tests that involve determining the side of the body when shown an image, without performing the movement. Individuals theoretically need to use their working body schemas to complete LRJTs. Objectives: To develop a chest LRJT testing protocol and document performance in healthy women and women post breast cancer (BrCA) treatment. Design: Observational, cohort study. Method: We recruited women with and without a history of unilateral BrCA. Participants provided demographic and health history information online, followed by hand, shoulder, and chest LRJTs. Images were digitally mirrored to create equal numbers of left and right images. Images were presented in random order within each body region. We measured accuracy and response time for LRJTs. Results: A total of 316 healthy women and 160 women post-BrCA treatment competed all testing. The BrCA group was consistently slower and less accurate at performing LRJTs for all 3 regions. The side of the image presented was not associated with performance. Conclusions: We successfully developed a chest LRJT testing method. Performance on LRJT of the upper quarter is diminished after BrCA treatment. We established tolerance intervals for anticipated performance in healthy women for future clinical and research comparisons.","PeriodicalId":54153,"journal":{"name":"Rehabilitation Oncology","volume":"19 1","pages":"60 - 70"},"PeriodicalIF":0.9,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74241079","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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