Loading…
Handwriting, visuomotor integration, and neurological condition at school age
Aim The study investigated the relationships between handwriting, visuomotor integration, and neurological condition. We paid particular attention to the presence of minor neurological dysfunction (MND). Method Participants were 200 children (131 males, 69 females; age range 8–13y) of whom 118 rec...
Saved in:
Published in: | Developmental medicine and child neurology 2010-10, Vol.52 (10), p.941-947 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303 |
---|---|
cites | cdi_FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303 |
container_end_page | 947 |
container_issue | 10 |
container_start_page | 941 |
container_title | Developmental medicine and child neurology |
container_volume | 52 |
creator | VAN HOORN, JESSIKA F MAATHUIS, CAREL GB PETERS, LIEKE HJ HADDERS‐ALGRA, MIJNA |
description | Aim The study investigated the relationships between handwriting, visuomotor integration, and neurological condition. We paid particular attention to the presence of minor neurological dysfunction (MND).
Method Participants were 200 children (131 males, 69 females; age range 8–13y) of whom 118 received mainstream education (mean age 10y 5mo, SD 1y 4mo) and 82 special education (mean age 10y 8mo, SD 1y 2mo). Each child had four assessments: a neurological examination, which paid attention to the type and severity of MND, a test to measure motor performance, a handwriting test, and the Developmental Test of Visual Motor Integration.
Results Dysgraphic handwriting and slow writing speed were closely related to the severity of neurological dysfunction (both p |
doi_str_mv | 10.1111/j.1469-8749.2010.03715.x |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_821194058</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ericid>EJ897044</ericid><sourcerecordid>2150894461</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303</originalsourceid><addsrcrecordid>eNqNkMtOxCAUhonR6Hh5A2OIGzfT8VCghY2JGe_xstE1oS0dmXSKQuvl7aWOzsKVbCDn_8455EMIE5iQeI7nE8IymYicyUkKsQo0J3zysYZGq2AdjQBImpAsTbfQdghzAKAZZ5toKwWeEQA-QndXuq3eve1sOxvjNxt6t3Cd89i2nZl53VnXjnFkcGt67xo3s6VucOnayg4Z1h0O5bNzDdYzs4s2at0Es_dz76Cni_PH6VVy-3B5PT29TUomKE-olJpCzjnJjCCsklVFRVFkhtZFGQuEEuDaUEhJCoKLitRMi7ooTFYxSYHuoKPl3BfvXnsTOrWwoTRNo1vj-qBESohkwEUkD_-Qc9f7Nn5Oxf2ZZDllERJLqPQuBG9q9eLtQvtPRUANwtVcDV7V4FUNwtW3cPURWw9-5vfFwlSrxl_DEdhfAsbbchWf3wiZAxtWnyzjd9uYz3_vVWd30_vhSb8AzvCXMg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>755694734</pqid></control><display><type>article</type><title>Handwriting, visuomotor integration, and neurological condition at school age</title><source>Social Science Premium Collection</source><source>Wiley-Blackwell Read & Publish Collection</source><source>ERIC</source><source>Education Collection</source><creator>VAN HOORN, JESSIKA F ; MAATHUIS, CAREL GB ; PETERS, LIEKE HJ ; HADDERS‐ALGRA, MIJNA</creator><creatorcontrib>VAN HOORN, JESSIKA F ; MAATHUIS, CAREL GB ; PETERS, LIEKE HJ ; HADDERS‐ALGRA, MIJNA</creatorcontrib><description>Aim The study investigated the relationships between handwriting, visuomotor integration, and neurological condition. We paid particular attention to the presence of minor neurological dysfunction (MND).
Method Participants were 200 children (131 males, 69 females; age range 8–13y) of whom 118 received mainstream education (mean age 10y 5mo, SD 1y 4mo) and 82 special education (mean age 10y 8mo, SD 1y 2mo). Each child had four assessments: a neurological examination, which paid attention to the type and severity of MND, a test to measure motor performance, a handwriting test, and the Developmental Test of Visual Motor Integration.
Results Dysgraphic handwriting and slow writing speed were closely related to the severity of neurological dysfunction (both p<0.001); impaired visuomotor integration was related to the presence of MND (p<0.001) but somewhat less to its severity. Impaired handwriting and visuomotor integration were strongly related to two specific dysfunctions: fine manipulative disability and coordination problems (both p<0.001). Impaired visuomotor integration was weakly related to dysfunctional muscle tone regulation (p=0.009) and sensory dysfunction (p=0.042).
Interpretation Poor handwriting and impaired visuomotor integration are related to MND, but in a differential way. Poor handwriting is related to the severity of neurological dysfunction and to dysfunctions of complex supraspinal circuitries. Impaired visuomotor integration is associated with the presence of any of the most common types of MND.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/j.1469-8749.2010.03715.x</identifier><identifier>PMID: 20561005</identifier><identifier>CODEN: DMCNAW</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Behavior Disorders ; Cerebral Palsy ; Child ; Children ; Confounding Factors (Epidemiology) ; Coordination ; Early Adolescents ; Education, Special ; Female ; Handwriting ; Humans ; Interrater Reliability ; Learning Disabilities ; Logistic Models ; Mainstreaming ; Male ; Motor Skills ; Nervous System Diseases - diagnosis ; Nervous System Diseases - physiopathology ; Netherlands ; Neurologic Examination ; Neurological Impairments ; Neurological Organization ; Physical Disabilities ; Psychometrics ; Psychomotor Performance ; Psychomotor Skills ; Puberty ; Schools ; Sensory Integration ; Severity (of Disability) ; Severity of Illness Index ; Special Education ; Special Schools ; Visual Impairments ; Visual Perception ; Writing Instruction ; Writing Skills</subject><ispartof>Developmental medicine and child neurology, 2010-10, Vol.52 (10), p.941-947</ispartof><rights>The Authors. Journal compilation © Mac Keith Press 2010</rights><rights>Copyright Mac Keith Press Oct 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303</citedby><cites>FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/755694734/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/755694734?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21357,21373,27901,27902,33588,33589,33854,33855,43709,43856,73964,74140</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ897044$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20561005$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VAN HOORN, JESSIKA F</creatorcontrib><creatorcontrib>MAATHUIS, CAREL GB</creatorcontrib><creatorcontrib>PETERS, LIEKE HJ</creatorcontrib><creatorcontrib>HADDERS‐ALGRA, MIJNA</creatorcontrib><title>Handwriting, visuomotor integration, and neurological condition at school age</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>Aim The study investigated the relationships between handwriting, visuomotor integration, and neurological condition. We paid particular attention to the presence of minor neurological dysfunction (MND).
Method Participants were 200 children (131 males, 69 females; age range 8–13y) of whom 118 received mainstream education (mean age 10y 5mo, SD 1y 4mo) and 82 special education (mean age 10y 8mo, SD 1y 2mo). Each child had four assessments: a neurological examination, which paid attention to the type and severity of MND, a test to measure motor performance, a handwriting test, and the Developmental Test of Visual Motor Integration.
Results Dysgraphic handwriting and slow writing speed were closely related to the severity of neurological dysfunction (both p<0.001); impaired visuomotor integration was related to the presence of MND (p<0.001) but somewhat less to its severity. Impaired handwriting and visuomotor integration were strongly related to two specific dysfunctions: fine manipulative disability and coordination problems (both p<0.001). Impaired visuomotor integration was weakly related to dysfunctional muscle tone regulation (p=0.009) and sensory dysfunction (p=0.042).
Interpretation Poor handwriting and impaired visuomotor integration are related to MND, but in a differential way. Poor handwriting is related to the severity of neurological dysfunction and to dysfunctions of complex supraspinal circuitries. Impaired visuomotor integration is associated with the presence of any of the most common types of MND.</description><subject>Adolescent</subject><subject>Behavior Disorders</subject><subject>Cerebral Palsy</subject><subject>Child</subject><subject>Children</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Coordination</subject><subject>Early Adolescents</subject><subject>Education, Special</subject><subject>Female</subject><subject>Handwriting</subject><subject>Humans</subject><subject>Interrater Reliability</subject><subject>Learning Disabilities</subject><subject>Logistic Models</subject><subject>Mainstreaming</subject><subject>Male</subject><subject>Motor Skills</subject><subject>Nervous System Diseases - diagnosis</subject><subject>Nervous System Diseases - physiopathology</subject><subject>Netherlands</subject><subject>Neurologic Examination</subject><subject>Neurological Impairments</subject><subject>Neurological Organization</subject><subject>Physical Disabilities</subject><subject>Psychometrics</subject><subject>Psychomotor Performance</subject><subject>Psychomotor Skills</subject><subject>Puberty</subject><subject>Schools</subject><subject>Sensory Integration</subject><subject>Severity (of Disability)</subject><subject>Severity of Illness Index</subject><subject>Special Education</subject><subject>Special Schools</subject><subject>Visual Impairments</subject><subject>Visual Perception</subject><subject>Writing Instruction</subject><subject>Writing Skills</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><recordid>eNqNkMtOxCAUhonR6Hh5A2OIGzfT8VCghY2JGe_xstE1oS0dmXSKQuvl7aWOzsKVbCDn_8455EMIE5iQeI7nE8IymYicyUkKsQo0J3zysYZGq2AdjQBImpAsTbfQdghzAKAZZ5toKwWeEQA-QndXuq3eve1sOxvjNxt6t3Cd89i2nZl53VnXjnFkcGt67xo3s6VucOnayg4Z1h0O5bNzDdYzs4s2at0Es_dz76Cni_PH6VVy-3B5PT29TUomKE-olJpCzjnJjCCsklVFRVFkhtZFGQuEEuDaUEhJCoKLitRMi7ooTFYxSYHuoKPl3BfvXnsTOrWwoTRNo1vj-qBESohkwEUkD_-Qc9f7Nn5Oxf2ZZDllERJLqPQuBG9q9eLtQvtPRUANwtVcDV7V4FUNwtW3cPURWw9-5vfFwlSrxl_DEdhfAsbbchWf3wiZAxtWnyzjd9uYz3_vVWd30_vhSb8AzvCXMg</recordid><startdate>201010</startdate><enddate>201010</enddate><creator>VAN HOORN, JESSIKA F</creator><creator>MAATHUIS, CAREL GB</creator><creator>PETERS, LIEKE HJ</creator><creator>HADDERS‐ALGRA, MIJNA</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Mac Keith Press</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201010</creationdate><title>Handwriting, visuomotor integration, and neurological condition at school age</title><author>VAN HOORN, JESSIKA F ; MAATHUIS, CAREL GB ; PETERS, LIEKE HJ ; HADDERS‐ALGRA, MIJNA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Behavior Disorders</topic><topic>Cerebral Palsy</topic><topic>Child</topic><topic>Children</topic><topic>Confounding Factors (Epidemiology)</topic><topic>Coordination</topic><topic>Early Adolescents</topic><topic>Education, Special</topic><topic>Female</topic><topic>Handwriting</topic><topic>Humans</topic><topic>Interrater Reliability</topic><topic>Learning Disabilities</topic><topic>Logistic Models</topic><topic>Mainstreaming</topic><topic>Male</topic><topic>Motor Skills</topic><topic>Nervous System Diseases - diagnosis</topic><topic>Nervous System Diseases - physiopathology</topic><topic>Netherlands</topic><topic>Neurologic Examination</topic><topic>Neurological Impairments</topic><topic>Neurological Organization</topic><topic>Physical Disabilities</topic><topic>Psychometrics</topic><topic>Psychomotor Performance</topic><topic>Psychomotor Skills</topic><topic>Puberty</topic><topic>Schools</topic><topic>Sensory Integration</topic><topic>Severity (of Disability)</topic><topic>Severity of Illness Index</topic><topic>Special Education</topic><topic>Special Schools</topic><topic>Visual Impairments</topic><topic>Visual Perception</topic><topic>Writing Instruction</topic><topic>Writing Skills</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VAN HOORN, JESSIKA F</creatorcontrib><creatorcontrib>MAATHUIS, CAREL GB</creatorcontrib><creatorcontrib>PETERS, LIEKE HJ</creatorcontrib><creatorcontrib>HADDERS‐ALGRA, MIJNA</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Education Journals</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VAN HOORN, JESSIKA F</au><au>MAATHUIS, CAREL GB</au><au>PETERS, LIEKE HJ</au><au>HADDERS‐ALGRA, MIJNA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ897044</ericid><atitle>Handwriting, visuomotor integration, and neurological condition at school age</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2010-10</date><risdate>2010</risdate><volume>52</volume><issue>10</issue><spage>941</spage><epage>947</epage><pages>941-947</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><coden>DMCNAW</coden><abstract>Aim The study investigated the relationships between handwriting, visuomotor integration, and neurological condition. We paid particular attention to the presence of minor neurological dysfunction (MND).
Method Participants were 200 children (131 males, 69 females; age range 8–13y) of whom 118 received mainstream education (mean age 10y 5mo, SD 1y 4mo) and 82 special education (mean age 10y 8mo, SD 1y 2mo). Each child had four assessments: a neurological examination, which paid attention to the type and severity of MND, a test to measure motor performance, a handwriting test, and the Developmental Test of Visual Motor Integration.
Results Dysgraphic handwriting and slow writing speed were closely related to the severity of neurological dysfunction (both p<0.001); impaired visuomotor integration was related to the presence of MND (p<0.001) but somewhat less to its severity. Impaired handwriting and visuomotor integration were strongly related to two specific dysfunctions: fine manipulative disability and coordination problems (both p<0.001). Impaired visuomotor integration was weakly related to dysfunctional muscle tone regulation (p=0.009) and sensory dysfunction (p=0.042).
Interpretation Poor handwriting and impaired visuomotor integration are related to MND, but in a differential way. Poor handwriting is related to the severity of neurological dysfunction and to dysfunctions of complex supraspinal circuitries. Impaired visuomotor integration is associated with the presence of any of the most common types of MND.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20561005</pmid><doi>10.1111/j.1469-8749.2010.03715.x</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0012-1622 |
ispartof | Developmental medicine and child neurology, 2010-10, Vol.52 (10), p.941-947 |
issn | 0012-1622 1469-8749 |
language | eng |
recordid | cdi_proquest_miscellaneous_821194058 |
source | Social Science Premium Collection; Wiley-Blackwell Read & Publish Collection; ERIC; Education Collection |
subjects | Adolescent Behavior Disorders Cerebral Palsy Child Children Confounding Factors (Epidemiology) Coordination Early Adolescents Education, Special Female Handwriting Humans Interrater Reliability Learning Disabilities Logistic Models Mainstreaming Male Motor Skills Nervous System Diseases - diagnosis Nervous System Diseases - physiopathology Netherlands Neurologic Examination Neurological Impairments Neurological Organization Physical Disabilities Psychometrics Psychomotor Performance Psychomotor Skills Puberty Schools Sensory Integration Severity (of Disability) Severity of Illness Index Special Education Special Schools Visual Impairments Visual Perception Writing Instruction Writing Skills |
title | Handwriting, visuomotor integration, and neurological condition at school age |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T13%3A13%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Handwriting,%20visuomotor%20integration,%20and%20neurological%20condition%20at%20school%20age&rft.jtitle=Developmental%20medicine%20and%20child%20neurology&rft.au=VAN%20HOORN,%20JESSIKA%20F&rft.date=2010-10&rft.volume=52&rft.issue=10&rft.spage=941&rft.epage=947&rft.pages=941-947&rft.issn=0012-1622&rft.eissn=1469-8749&rft.coden=DMCNAW&rft_id=info:doi/10.1111/j.1469-8749.2010.03715.x&rft_dat=%3Cproquest_cross%3E2150894461%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4835-399a3075516e814d9dd38bb6e3fbc81413105ae302120858d1f4a8fbbe6d49303%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=755694734&rft_id=info:pmid/20561005&rft_ericid=EJ897044&rfr_iscdi=true |