Pam Hung, Katelyn Brehon, M. Miciak, Darren A. Brown, Geoffrey Bostick, Cary A. Brown, Katie Churchill, Mark Hall, Lance Hoddinott, Anne Hudon, Simone Hunter, Kadija Perreault, Marguerite Wieler, Kate Skolnik, Grace Y. Lam, Jason Weatherald, Douglas P. Gross
The aim of this qualitative study is to understand the need for, access to, and quality of rehabilitation services for people living with Long COVID. Little is known about the experiences of people living with Long COVID accessing rehabilitation services. Therefore, we explored health concerns leading people living with Long COVID to seek help to address functional concerns and their experiences with accessing and participating in rehabilitation. Interpretive description guided exploration of participants’ experiences with Long COVID rehabilitation in Alberta, Canada. Semi-structured interviews were completed with 56 participants recruited from: three publicly funded Long COVID clinics, a specialized private physiotherapy clinic, a telephone-based rehabilitation advice line, and a Workers’ Compensation Board-funded Long COVID rehabilitation program. Recruitment through mass media coverage allowed us to include people who did not access rehabilitation services. Data analysis was informed by Braun and Clarke's reflexive thematic analysis. Four themes were identified: (1) the burden of searching for guidance to address challenges with functioning and disability; (2) supportive relationships promote engagement in rehabilitation; (3) conditions for participation in safe rehabilitation; and (4) looking forward – provision of appropriate interventions at the right time. Our findings highlight the experiences of accessing rehabilitation services for people living with Long COVID. Results suggest approaches to Long COVID rehabilitation should be accessible, multi-disciplinary, flexible, and person-centred.
这项定性研究旨在了解长COVID患者对康复服务的需求、获得康复服务的途径以及康复服务的质量。人们对于长COVID患者获得康复服务的经历知之甚少。因此，我们探讨了导致长COVID患者寻求帮助以解决功能问题的健康问题，以及他们获得和参与康复服务的经历。在解释性描述的指导下，我们探究了参与者在加拿大艾伯塔省的长COVID康复经历。我们对 56 名参与者进行了半结构化访谈，这些参与者分别来自三家由政府资助的 Long COVID 诊所、一家专业的私人物理治疗诊所、一条康复咨询热线，以及一个由工人赔偿委员会资助的 Long COVID 康复项目。通过大众媒体报道进行的招募使我们得以将未获得康复服务的人群纳入其中。数据分析参考了 Braun 和 Clarke 的反思性主题分析法。我们确定了四个主题(1) 寻求指导以应对功能和残疾挑战的负担；(2) 促进参与康复的支持性关系；(3) 参与安全康复的条件；以及 (4) 展望未来--在适当的时候提供适当的干预。我们的研究结果强调了长期慢性阻塞性肺病患者获得康复服务的经历。研究结果表明，长COVID康复服务的方法应该是方便、多学科、灵活和以人为本的。
{"title":"“I Had to Know About It, I Had to Find It, I Had to Know How to Access it”: Experiences of Access to Rehabilitation Services Among People Living with Long COVID","authors":"Pam Hung, Katelyn Brehon, M. Miciak, Darren A. Brown, Geoffrey Bostick, Cary A. Brown, Katie Churchill, Mark Hall, Lance Hoddinott, Anne Hudon, Simone Hunter, Kadija Perreault, Marguerite Wieler, Kate Skolnik, Grace Y. Lam, Jason Weatherald, Douglas P. Gross","doi":"10.3138/ptc-2023-0021","DOIUrl":"https://doi.org/10.3138/ptc-2023-0021","url":null,"abstract":"The aim of this qualitative study is to understand the need for, access to, and quality of rehabilitation services for people living with Long COVID. Little is known about the experiences of people living with Long COVID accessing rehabilitation services. Therefore, we explored health concerns leading people living with Long COVID to seek help to address functional concerns and their experiences with accessing and participating in rehabilitation. Interpretive description guided exploration of participants’ experiences with Long COVID rehabilitation in Alberta, Canada. Semi-structured interviews were completed with 56 participants recruited from: three publicly funded Long COVID clinics, a specialized private physiotherapy clinic, a telephone-based rehabilitation advice line, and a Workers’ Compensation Board-funded Long COVID rehabilitation program. Recruitment through mass media coverage allowed us to include people who did not access rehabilitation services. Data analysis was informed by Braun and Clarke's reflexive thematic analysis. Four themes were identified: (1) the burden of searching for guidance to address challenges with functioning and disability; (2) supportive relationships promote engagement in rehabilitation; (3) conditions for participation in safe rehabilitation; and (4) looking forward – provision of appropriate interventions at the right time. Our findings highlight the experiences of accessing rehabilitation services for people living with Long COVID. Results suggest approaches to Long COVID rehabilitation should be accessible, multi-disciplinary, flexible, and person-centred.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"91 25","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138957806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giulia Coletta, Claire M. Tuckey, Angelica M. McQuarrie, Michelle Ogrodnik, Emma Nicholson, Stuart M Phillips, Colleen Cupido
The Senior Fitness Test (SFT) is a validated tool for examining older adults’ mobility, strength, and flexibility. During the COVID-19 pandemic, when in-person training facilities were closed, there was a need for effective virtual options for assessments, including the SFT. The purpose of this study was to compare the validated SFT conducted in person versus an online virtual setting. A virtual modified version of the SFT was compared to the modified in-person validated SFT. Community-dwelling older adults were randomized, using a random number generator, to start in either the in-person or virtual modified SFT mode of delivery. After completion of the first mode of delivery (i.e., either in-person or virtual), participants completed the second mode of delivery. Forty participants (50% women; 72 ± 4 years) showed no differences between the in-person and virtual delivery measurements in the 2-minute step (mean [ M] ± standard deviation in person = 87.9 ± 18.5; M virtual = 87.2 ± 20.7; p = 0.65), 30-second arm curl ( M in person = 16.9 ± 4; M virtual = 16.5±4; p = 0.43), 30-second chair stand ( M in person = 15.6 ± 5; M virtual = 15.2 ± 4; p = 0.36), and chair sit and reach ( M in person = 1.2 ± 15; M virtual = 4.2 ± 11; p = 0.06). Performing the modified SFT in a virtual setting may be a useful delivery mode for seniors and healthcare professionals if in-person testing is not viable.
{"title":"A Virtual Versus In-Person Comparison of the Senior Fitness Test: A Randomized Crossover Trial","authors":"Giulia Coletta, Claire M. Tuckey, Angelica M. McQuarrie, Michelle Ogrodnik, Emma Nicholson, Stuart M Phillips, Colleen Cupido","doi":"10.3138/ptc-2023-0026","DOIUrl":"https://doi.org/10.3138/ptc-2023-0026","url":null,"abstract":"The Senior Fitness Test (SFT) is a validated tool for examining older adults’ mobility, strength, and flexibility. During the COVID-19 pandemic, when in-person training facilities were closed, there was a need for effective virtual options for assessments, including the SFT. The purpose of this study was to compare the validated SFT conducted in person versus an online virtual setting. A virtual modified version of the SFT was compared to the modified in-person validated SFT. Community-dwelling older adults were randomized, using a random number generator, to start in either the in-person or virtual modified SFT mode of delivery. After completion of the first mode of delivery (i.e., either in-person or virtual), participants completed the second mode of delivery. Forty participants (50% women; 72 ± 4 years) showed no differences between the in-person and virtual delivery measurements in the 2-minute step (mean [ M] ± standard deviation in person = 87.9 ± 18.5; M virtual = 87.2 ± 20.7; p = 0.65), 30-second arm curl ( M in person = 16.9 ± 4; M virtual = 16.5±4; p = 0.43), 30-second chair stand ( M in person = 15.6 ± 5; M virtual = 15.2 ± 4; p = 0.36), and chair sit and reach ( M in person = 1.2 ± 15; M virtual = 4.2 ± 11; p = 0.06). Performing the modified SFT in a virtual setting may be a useful delivery mode for seniors and healthcare professionals if in-person testing is not viable.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"77 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138954404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie L. Hiser, Bhavna Seth, M. Hosey, Dale M. Needham, M. Eakin
Despite a plethora of studies on early rehabilitation, specific guidelines for rehabilitation prescription parameters are lacking. The objective of this study was to evaluate how physical therapists determine rehabilitation parameters such as initiation, frequency, intensity, duration, and type of interventions for patients in the ICU. Semi-structured interviews were conducted between April and August of 2021 using video conferencing software following a written interview guide. Purposive sampling was used among interested physical therapists to select those who work across a variety of ICU types with a range of years of ICU experience. We used thematic analysis to identify emerging themes using an inductive approach. We interviewed 30 physical therapists in the USA with 14 (47%) and 16 (53%) having ≤5 years and >5 years of ICU clinical experience, respectively. Nine factors were identified as impacting all rehabilitation prescription parameters (e.g., medical appropriateness, diagnosis/prognosis, and alertness/sedation). For decisions about each parameter there were a set of factors identified: five for initiation (e.g., indication for physical therapy; ventilator settings/oxygen), four for frequency (e.g., baseline function; prior therapy session), three for intensity (e.g., patient appearance and subjective response), nine for duration (e.g., session preparation; quality of performance), and eight for type of intervention (e.g., progressive mobility; patient goals). Interviews examining rehabilitation parameters, revealed that physical therapists consider each of these simultaneously when making decisions about rehabilitation prescription. Furthermore, physical therapists appear to modify to the intervention not only based on patient progress, but by other external factors related to working in an ICU environment (e.g., equipment availability, interruptions for other medical procedures).
{"title":"Factors Influencing Physical Therapists’ Rehabilitation Prescription in the ICU: Semi-structured Interviews with Qualitative Analysis","authors":"Stephanie L. Hiser, Bhavna Seth, M. Hosey, Dale M. Needham, M. Eakin","doi":"10.3138/ptc-2023-0017","DOIUrl":"https://doi.org/10.3138/ptc-2023-0017","url":null,"abstract":"Despite a plethora of studies on early rehabilitation, specific guidelines for rehabilitation prescription parameters are lacking. The objective of this study was to evaluate how physical therapists determine rehabilitation parameters such as initiation, frequency, intensity, duration, and type of interventions for patients in the ICU. Semi-structured interviews were conducted between April and August of 2021 using video conferencing software following a written interview guide. Purposive sampling was used among interested physical therapists to select those who work across a variety of ICU types with a range of years of ICU experience. We used thematic analysis to identify emerging themes using an inductive approach. We interviewed 30 physical therapists in the USA with 14 (47%) and 16 (53%) having ≤5 years and >5 years of ICU clinical experience, respectively. Nine factors were identified as impacting all rehabilitation prescription parameters (e.g., medical appropriateness, diagnosis/prognosis, and alertness/sedation). For decisions about each parameter there were a set of factors identified: five for initiation (e.g., indication for physical therapy; ventilator settings/oxygen), four for frequency (e.g., baseline function; prior therapy session), three for intensity (e.g., patient appearance and subjective response), nine for duration (e.g., session preparation; quality of performance), and eight for type of intervention (e.g., progressive mobility; patient goals). Interviews examining rehabilitation parameters, revealed that physical therapists consider each of these simultaneously when making decisions about rehabilitation prescription. Furthermore, physical therapists appear to modify to the intervention not only based on patient progress, but by other external factors related to working in an ICU environment (e.g., equipment availability, interruptions for other medical procedures).","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" 6","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138960667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is increasing demand for business skills among healthcare professionals. The aim of this qualitative systematic review was to identify and summarize existing business and practice management (BPM) competencies for rehabilitation university graduates with the intention to inform curricula. The key electronic databases searched include ABI/INFORM Global, CINAHL, Education Source, Embase, and Medline. The initial search was performed in December 2018 and updated June 2021 with the following inclusion criteria: articles addressing BMP competencies in university-level rehabilitation programs in developed countries. To ensure professional position statements and standards documents were captured, this grey literature was also included. Resources were extracted using EndNote and two reviewers independently screened and appraised the resources using the AACODS Checklist. Nine resources met the inclusion criteria and were incorporated in the qualitative synthesis. Quality-assessment scores ranged from 4 to 6 out of 6 on the AACODS Checklist. Several practice management competencies were consistent across multiple rehabilitation professions. However, business competencies were inconsistent with “marketing” and the “ability to develop a business plan” arising sporadically across Occupational Therapy and Physiotherapy competency profiles, as well as individual audiology courses. There is insufficient evidence to suggest that a consensus exists for BPM competencies for rehabilitation university graduates in Canada. The aggregate list of 64 competencies compiled can be used to inform further research.
{"title":"Entry-to-Practice Business and Practice Management Competencies: A Qualitative Systematic Review to Inform Canadian Physiotherapy Curricula","authors":"Corey Coward, Josh Hunter, Sandra M. Halliday, Brendy Jeffers, Diana Hopkins-Rosseel","doi":"10.3138/ptc-2022-0051","DOIUrl":"https://doi.org/10.3138/ptc-2022-0051","url":null,"abstract":"There is increasing demand for business skills among healthcare professionals. The aim of this qualitative systematic review was to identify and summarize existing business and practice management (BPM) competencies for rehabilitation university graduates with the intention to inform curricula. The key electronic databases searched include ABI/INFORM Global, CINAHL, Education Source, Embase, and Medline. The initial search was performed in December 2018 and updated June 2021 with the following inclusion criteria: articles addressing BMP competencies in university-level rehabilitation programs in developed countries. To ensure professional position statements and standards documents were captured, this grey literature was also included. Resources were extracted using EndNote and two reviewers independently screened and appraised the resources using the AACODS Checklist. Nine resources met the inclusion criteria and were incorporated in the qualitative synthesis. Quality-assessment scores ranged from 4 to 6 out of 6 on the AACODS Checklist. Several practice management competencies were consistent across multiple rehabilitation professions. However, business competencies were inconsistent with “marketing” and the “ability to develop a business plan” arising sporadically across Occupational Therapy and Physiotherapy competency profiles, as well as individual audiology courses. There is insufficient evidence to suggest that a consensus exists for BPM competencies for rehabilitation university graduates in Canada. The aggregate list of 64 competencies compiled can be used to inform further research.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139008176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27eCollection Date: 2023-11-01DOI: 10.3138/ptc-2020-0141-cc
Monica R Maly
{"title":"Clinician's Commentary on Madara et al.<sup>1</sup>.","authors":"Monica R Maly","doi":"10.3138/ptc-2020-0141-cc","DOIUrl":"10.3138/ptc-2020-0141-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"387-388"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27eCollection Date: 2023-11-01DOI: 10.3138/ptc-2021-0084
Irene Nicoli, Gina Lockwood, Lauren Fitch, Christopher J Longo, Margaret I Fitch
Purpose: Cancer treatment can have consequences for individuals which may have profound impact on daily living. Accessing assistance can be problematic. This study explores associations between income and concerns, help-seeking, and unmet needs related to physical changes following cancer treatment.
Method: A national survey was conducted with cancer survivors about experiences with follow-up care one to three years after treatment. We report a trend analysis describing associations between income and cancer survivors' concerns, help-seeking, and unmet needs related to physical changes after treatment.
Results: In total 5,283 cancer survivors between 18 and 64 years responded, of which 4,264 (80.7%) indicated annual household income. The majority of respondents were survivors of breast (34.4%), colorectal (15.0%), and prostate (14.0%) cancers. Over 90% wrote about experiencing physical changes following cancer treatment. Survivors with low annual household incomes of less than $25,000 (CAN) reported the highest levels of concern about multiple physical changes and were more likely to seek help to address them.
Conclusions: Cancer survivors can experience various physical challenges and unmet needs following cancer treatment and difficulty obtaining relevant help across all income levels. Those with low income are more severely affected. Financial assessment and tailored follow-up are recommended.
{"title":"Impact of Income on Physical Concerns, Help Seeking, and Unmet Needs of Adult Cancer Survivors.","authors":"Irene Nicoli, Gina Lockwood, Lauren Fitch, Christopher J Longo, Margaret I Fitch","doi":"10.3138/ptc-2021-0084","DOIUrl":"10.3138/ptc-2021-0084","url":null,"abstract":"<p><strong>Purpose: </strong>Cancer treatment can have consequences for individuals which may have profound impact on daily living. Accessing assistance can be problematic. This study explores associations between income and concerns, help-seeking, and unmet needs related to physical changes following cancer treatment.</p><p><strong>Method: </strong>A national survey was conducted with cancer survivors about experiences with follow-up care one to three years after treatment. We report a trend analysis describing associations between income and cancer survivors' concerns, help-seeking, and unmet needs related to physical changes after treatment.</p><p><strong>Results: </strong>In total 5,283 cancer survivors between 18 and 64 years responded, of which 4,264 (80.7%) indicated annual household income. The majority of respondents were survivors of breast (34.4%), colorectal (15.0%), and prostate (14.0%) cancers. Over 90% wrote about experiencing physical changes following cancer treatment. Survivors with low annual household incomes of less than $25,000 (CAN) reported the highest levels of concern about multiple physical changes and were more likely to seek help to address them.</p><p><strong>Conclusions: </strong>Cancer survivors can experience various physical challenges and unmet needs following cancer treatment and difficulty obtaining relevant help across all income levels. Those with low income are more severely affected. Financial assessment and tailored follow-up are recommended.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"339-347"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27eCollection Date: 2023-11-01DOI: 10.3138/ptc-2021-0090-cc
Greg Alcock
{"title":"Clinician's Commentary on Nakamura et al.<sup>1</sup>.","authors":"Greg Alcock","doi":"10.3138/ptc-2021-0090-cc","DOIUrl":"10.3138/ptc-2021-0090-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"366-367"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27eCollection Date: 2023-11-01DOI: 10.3138/ptc-2021-0097-cc
Erin Miller
{"title":"Clinician Commentary on Brunne et al.<sup>1</sup>.","authors":"Erin Miller","doi":"10.3138/ptc-2021-0097-cc","DOIUrl":"10.3138/ptc-2021-0097-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"357-358"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-27eCollection Date: 2023-11-01DOI: 10.3138/ptc-2021-0079-cc
Vitor Hugo Azevedo, Ana Oliveira
{"title":"Clinician's Commentary on Strike et al.","authors":"Vitor Hugo Azevedo, Ana Oliveira","doi":"10.3138/ptc-2021-0079-cc","DOIUrl":"10.3138/ptc-2021-0079-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"337-338"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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