{"title":"Naapinneq: strengthening Inuit maternal and child health through gathering Inuit from Kalaallit Nunaat and Nunavut.","authors":"Christine Ingemann, Nancy Mike, Ruth Montgomery-Andersen, Dina Berthelsen, Naja Riber Hougaard, Maliina Junge Jørgensen, Regine Dahl Thorleifsen Kajusen, Lisa Ivalu Lind, Kamilla Nørtoft, Aininaq Willesen, Ingelise Olesen","doi":"10.1080/22423982.2026.2634479","DOIUrl":"10.1080/22423982.2026.2634479","url":null,"abstract":"<p><p>This paper describes the initiation of the Naapinneq project and the first collaborative gathering in Iqaluit, Nunavut (Canada). While the broader project aims to revitalize culturally grounded parenting programs, this paper focuses on documenting its initiation and early collaborative learning. The focus was on the MANU program in Kalaallit Nunaat and the Inunnguiniq Parenting/Child‑rearing program in Nunavut. Using a community‑based participatory research approach, the paper draws on qualitative insights from the collaborative gathering-centered on participation in the Inunnguiniq facilitator workshop at the Qaujigiartiit Health Research Centre-and on a desk‑based comparison of core program documents. Reflections were documented through Sharing Circles, round‑table discussions, and a short questionnaire. Results highlight three interlinked insights: culturally grounded programs can support personal and collective healing; language, land, and kinship are foundational to child‑rearing; and circumpolar collaboration accelerates practice change and innovation. Project group members reported tangible changes, including adapting MANU to better reflect Kalaallit realities, initiating new collaborations, and advocating for culturally grounded approaches in early childhood and family services. Grounding parenting programs in Indigenous relational paradigms can strengthen cultural fit, community ownership, and sustained impact. Early learnings point to the healing potential of culturally grounded programs and to the value of cross‑border partnership for accelerating practice change.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2634479"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226686","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}
Anna Karafová, Marian Karafa, Bartłomiej Kopciński, Jakub Kortas, Federica Verme, Paolo Capodaglio
{"title":"Factors influencing acute tympanic temperature changes during cold water exposure.","authors":"Anna Karafová, Marian Karafa, Bartłomiej Kopciński, Jakub Kortas, Federica Verme, Paolo Capodaglio","doi":"10.1080/22423982.2026.2680803","DOIUrl":"10.1080/22423982.2026.2680803","url":null,"abstract":"<p><p>Exposure to ice water, despite its growing popularity and documented health benefits, is limited by the risk of distressing physiological reactions. The aim of this study was to evaluate the relationships between individual, environmental factors and acute tympanic temperature changes during cold exposure. A total of 90 individuals either practicing cold water immersion (CWI) or winter swimming (WS) were enrolled in the study. They were divided into 4 subgroups according to the distance swum (200 m or 450 m) and immersion time (5 or 9 min). The tympanic temperature of all participants was measured, and BMI was calculated. This study found significant pre-post exposure changes in temperature [°C] (p>0.05) in all the subgroups, except for the group immersed for 5 min. In winter swimmers, a significant negative correlation between BMI and tympanic membrane temperature was found p = 0.006) for both females and males. The greatest change in tympanic temperature occurred in participants with 3 years of experience in practicing those activities. A five-minute immersion in water below 1°C did not allow for the observation of a significant body response to ice water. The results indicate that a higher BMI was associated with a smaller decrease in tympanic membrane temperature in the winter swimming subgroup.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2680803"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042177","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}
Freja Kjær, Maja Hykkelbjerg Hald, Lotus Sofie Bast, Trine Louise Jul Larsen, Helene Nielsen
{"title":"Low health literacy among individuals with chronic disease in Kalaallit Nunaat: a cross-sectional study with implications for health literacy responsiveness.","authors":"Freja Kjær, Maja Hykkelbjerg Hald, Lotus Sofie Bast, Trine Louise Jul Larsen, Helene Nielsen","doi":"10.1080/22423982.2026.2740304","DOIUrl":"https://doi.org/10.1080/22423982.2026.2740304","url":null,"abstract":"<p><p>Chronic diseases are an increasing public health challenge in Greenland (Kalaallit Nunaat), requiring self-management and navigation in healthcare information. Health Literacy (HL) refers to the ability to access, understand, and use health information. Low HL is prevalent in other Indigenous populations, negatively affecting self-care, health outcomes, mortality and contributing to social inequalities. Despite health inequalities in Kalaallit Nunaat, HL has not been quantitatively assessed. The aim was to investigate HL among individuals with chronic diseases in Kalaallit Nunaat and assess the HLS<sub>19</sub>-Q12 questionnaire in Greenlandic (Kalaallisut). This cross-sectional study (25 February - 2 April 2025) included participants (≥18 years) with diabetes, chronic obstructive pulmonary disease, hypertension, obesity, and/or asthma. HL was assessed using the concise HLS<sub>19</sub>-Q12 questionnaire in Kalaallisut and Danish. Internal consistency and test-retest reliability were evaluated using Cronbach's alpha and intraclass correlation coefficient (ICC). 230 individuals completed the questionnaire, including 28 retests. HL levels were categorised into four levels: inadequate 32.2%, problematic 50%, sufficient 12.4% and excellent 5.4%. The Kalaallisut HLS<sub>19</sub>-Q12 demonstrated acceptable internal consistency (Cronbach's alpha = 0.88; 95% CI: 0.78-0.93) and test-retest reliability (ICC = 0.86; 95% CI: 0.71-0.94). Overall, 82.2% of participants had inadequate or problematic HL, highlighting the need for interventions to strengthen HL responsiveness in Kalaallit Nunaat.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2740304"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215797","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}
Johanne Saint-Charles, Audrey Simon, Thomas Druetz, André Ravel
{"title":"A participatory research project on health issues at the dog-human interface in seven indigenous communities in Northern Canada: how successful was participation?","authors":"Johanne Saint-Charles, Audrey Simon, Thomas Druetz, André Ravel","doi":"10.1080/22423982.2026.2671508","DOIUrl":"10.1080/22423982.2026.2671508","url":null,"abstract":"<p><p>This study examines community participation in a research project on health issues at the human-dog interface conducted in seven Northern Canadian Indigenous communities. Using a realist evaluation, we analyzed the mechanisms underlying participatory successes and failures in eleven projects derived from an ecosystem approach to health. This qualitative evaluation revealed that the researchers' concerns about collaborators' participation were largely unfounded. Experienced collaborators demonstrated resilience in the face of previous negative experiences and appreciated the participatory approach. However, over-solicitation of the same stakeholders and mistrust of researchers from the South limited wider community participation. Organizational collaborators played a crucial, but ambivalent role as intermediaries-both facilitating access to communities (boundary-spanning) and, at times, restricting researchers' contact with broader community members (gatekeeping). Although the \"dog problem\" was recognized as important, it was not a priority in the face of more pressing local or regional challenges. This evaluation highlights the importance of trust, realistic expectations and an understanding of cultural dynamics in optimizing participation in participatory research in Indigenous contexts.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2671508"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13169441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874081","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}
{"title":"A population-based legacy study of myasthenia gravis in Iceland: insights from a small Arctic nation.","authors":"Haukur Hjaltason, Haraldur Ólafsson, Finnbogi Jakobsson, Marianne Elisabeth Klinke, Ólöf Elíasdóttir","doi":"10.1080/22423982.2026.2650967","DOIUrl":"10.1080/22423982.2026.2650967","url":null,"abstract":"<p><p>Myasthenia gravis (MG) is a rare autoimmune neuromuscular disorder for which population-based estimates remain scarce, particularly in small, homogeneous settings. Leveraging Iceland's centralized healthcare, we reassessed MG epidemiology and clinical features in a nationwide legacy cohort. Cases diagnosed from 1981 to 2002 were identified through hospital databases, private neurologists, immunology laboratory records and the national MG association. Inclusion required characteristic symptoms plus at least one confirmatory test (response to acetylcholinesterase inhibitors, abnormal electrophysiology, or positive antibodies). Point prevalence was calculated on 31 December 2002, and incidence for 1997-2002. In 2003, patients were evaluated to document diagnostic delay, treatment patterns and disease severity; descriptive statistics and non-parametric tests were applied. Twenty-six patients met criteria, yielding a prevalence of 9.0 per 100,000 and a mean annual incidence of 0.78 per 100,000. The female-to-male ratio was 1.2:1; mean age at onset was 43 years overall (29 in women, 59 in men). Ocular symptoms predominated at presentation. Nineteen percent experienced diagnostic delays exceeding three years. By 2003, 54% had generalized MG and 27% were in complete remission off medication. This historical cohort aligns with global trends of rising prevalence and illustrates the value of legacy datasets for rare disease surveillance.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2650967"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591895","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}
Emma Vang Frandsen, Ida Hove Christensen, Michael Lynge Pedersen, Stine Byberg
{"title":"Prevalence of overweight and obesity among children in Greenland: a growing concern.","authors":"Emma Vang Frandsen, Ida Hove Christensen, Michael Lynge Pedersen, Stine Byberg","doi":"10.1080/22423982.2026.2677425","DOIUrl":"10.1080/22423982.2026.2677425","url":null,"abstract":"<p><p>To investigate the prevalence of overweight and obesity among children aged 3 to 10 years in Greenland. Further, to describe the prevalence of overweight and obesity according to sex, place of residence and age, including change over time. In a cross-sectional study, we included 4715 children aged 3-10 years, using data from the national electronic medical records. BMI was calculated and children were categorised into age and sex-specific weight classes according to cut-off values established by the International Obesity Task Force. In 2023, 37.1% of children in Greenland aged 3-10 years were classified as overweight or obese (12.6% obese). The proportion of children with normal weight was 61.1%. We saw no noticeable differences in the distribution of weight classes according to place of residence and sex. Further, our study illustrates a significant rise in the prevalence of overweight and obesity at the time of school entry, increasing from 7.5% in 1980 to 33.4% in 2023. This study demonstrates a high prevalence of overweight and obesity among children in Greenland, and further highlights a striking increase at school entry over recent decades. These findings underscore the urgent need for early prevention efforts and continued nationwide surveillance.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2677425"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13202660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005203","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}
Elena Nechaeva, Elisabeth Darj, Jon Øyvind Odland, Jennifer J Infanti
{"title":"Experiences of a postpartum depression prevention programme in a circumpolar setting: insights from pregnant women and healthcare providers.","authors":"Elena Nechaeva, Elisabeth Darj, Jon Øyvind Odland, Jennifer J Infanti","doi":"10.1080/22423982.2026.2714730","DOIUrl":"10.1080/22423982.2026.2714730","url":null,"abstract":"<p><p>Supporting maternal mental health is a priority in circumpolar settings, where seasonality and constrained service availability can limit psychosocial support. This qualitative study explored pregnant women's and healthcare providers' experiences of a postpartum depression prevention programme and perspectives on integrating it into routine antenatal care in Arkhangelsk, Northwest Russia. Four focus group discussions with pregnant women (<i>n</i> = 17) and individual interviews with four healthcare providers were analysed using reflexive thematic analysis. Participants described the programme as providing trusting spaces for sharing, expert-led preparation for childbirth and the postpartum period, and brief individual follow-up after birth. Women reported greater confidence in identifying signs of vulnerability, articulating needs, and accessing support. Providers highlighted that these benefits depended on feasible scheduling, group formats, reusable materials, and coordinated delivery across professionals to avoid fragmentation. System-level factors (reach, retention, and cross-provider coordination) were seen as central for sustained uptake and routine integration. The findings suggest that the programme's contribution lies in the interaction between participant experiences of support and the organisational conditions needeed to sustain them in routine antenatal care. Preventive perinatal mental health programmes in circumpolar contexts can strengthen preparedness and help-seeking when designed for relational participation and supported by coordinated service structures.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2714730"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673632","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}
{"title":"Video, mail, and medical assistance request telemedicine consultations at Steno Diabetes Center Greenland.","authors":"Liv Ammitzbøll Rasmussen, Michael Lynge Pedersen","doi":"10.1080/22423982.2026.2632393","DOIUrl":"10.1080/22423982.2026.2632393","url":null,"abstract":"<p><p>Greenland's geography and dispersed settlements impede equitable access to care. To address this, Steno Diabetes Center Greenland (SDCG) implemented a telemedicine programme (2021-2024) comprising client-to-provider video (VC), client-to-provider mail, and provider-to-provider Medical Assistance Requests (MAR). The aim of this study was to describe utilization of the newly implemented telemedicine modalities at SDCG from 2021 to 2024. The study was conducted as a cross-sectional, register-based study using electronic medical record data extracted January 15, 2025. All SDCG contacts from January 1, 2021, to December 31, 2024, were included. Consultations were classified as face-to-face, administrative, telephone, mail, or video. Total telemedicine comprised all non-face-to-face modalities. In total, 43,190 consultations were registered. Overall activity increased by 56% from 2021 to 2024. In 2024, telemedicine constituted 70% of all consultations. The newly implemented modalities accounted for 40% of all consultations in 2024. VC rose by >2,000% during the period to around 7% in 2024; mail increased from zero to 14% in 2024. Administrative consultations grew by 57%, driven by an increase in MAR. In conclusion, the newly implemented telemedicine modalities were rapidly and sustainably integrated into SDCG, enhancing access and continuity. The swift toward video, mail, and MAR supports further scale-up across the Greenlandic Health System. Client and providers experiences as a well as effect on clinical quality in Greenland needs to be addressed in future research.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2632393"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146213144","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}
Daniel B Robinson, Sebastian Harenberg, Tex Marshall, Sherra Rogers, Mickey Jutras, Nathan Hall, William Walters
{"title":"Measuring physical literacy in Mi'kma'ki: an initial determination of Indigenous (Mi'kmaw) students' physical literacy.","authors":"Daniel B Robinson, Sebastian Harenberg, Tex Marshall, Sherra Rogers, Mickey Jutras, Nathan Hall, William Walters","doi":"10.1080/22423982.2026.2656073","DOIUrl":"10.1080/22423982.2026.2656073","url":null,"abstract":"<p><p>Physical literacy is a critical component of children's overall wellness and academic success. While it has been discussed in Indigenous contexts, no published research has yet systematically measured physical literacy among Indigenous children in Canada. This study provides the first baseline measurements of physical literacy in Indigenous/Mi'kmaw students aged 9-12 attending schools within Mi'kmaw Kina'matnewey (MK), a unified Indigenous education authority in Mi'kma'ki-the ancestral and unceded territory of the Mi'kmaq people in Nova Scotia, Canada. Using the <i>Canadian Assessment of Physical Literacy, Second Edition</i> (<i>CAPL-2</i>), researchers evaluated 81 students across four physical literacy domains: motivation and confidence, daily behaviour, knowledge and understanding, and physical competence. Analyses examined patterns by age and gender. Results showed that more than 90% of students scored within the beginning or progressing categories for physical competence and overall physical literacy, mirroring but falling below national <i>CAPL-2</i> trends. Significant age-related differences emerged, with 11- and 12-year-olds outperforming younger peers on movement skills, knowledge, and overall physical literacy. No significant gender differences were observed. These findings establish the first empirical snapshot of Indigenous/Mi'kmaw students' physical literacy and highlight opportunities for culturally grounded, community-driven interventions to support Indigenous/Mi'kmaw children's movement development, holistic well-being, and lifelong physical activity.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2656073"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13072684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645277","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}
Ning Li, Zhimin Xiao, Pengtao Zhu, Peinan Jia, Kai Yang, Haowei Li
{"title":"Pattern of illness and injury of an Antarctic scientific expedition: retrospective cohort study aboard Rv <i>Xue Long 2</i>.","authors":"Ning Li, Zhimin Xiao, Pengtao Zhu, Peinan Jia, Kai Yang, Haowei Li","doi":"10.1080/22423982.2026.2653359","DOIUrl":"10.1080/22423982.2026.2653359","url":null,"abstract":"<p><p>Antarctic scientific expeditions operate under extreme environmental constraints with severely limited medical evacuation capabilities, yet epidemiological data on expedition personnel remain sparse. This study aims to characterise the disease spectrum and healthcare utilisation patterns during a 208-day Antarctic scientific expedition aboard RV <i>Xue Long 2</i> and provide evidence-based support for polar healthcare. Retrospective analysis of 586 medical consultations (632 diagnoses) from 206 expedition members aboard RV <i>Xue Long 2</i> (November 2024-May 2025). Primary diagnoses and affected systems were categorised according to the International Classification of Diseases, 10th Revision (ICD-10). Among 206 personnel (mean age 37.9 ± 9.0 years; 89.8% male), 144 individuals (69.9%) yielded 586 consultation records. Among these individuals, 79.1% required ≤4 visits. Consultations peaked initially (129 encounters/month) after departure. No emergency medical evacuations occurred. Acute upper respiratory infection (12.7%), dermatitis (5.9%) and muscle strain (5.1%) were the predominant diagnoses. Systemically, respiratory (18.0%), digestive (16.6%) and dermatological diseases (15.2%) predominated. Motion sickness and trauma incidence remained modest. The polysystemic morbidity profile reflects the dual stressors of prolonged oceanic isolation and extreme polar environments. These findings mandate expedition-specific medical protocols, mandatory pre-deployment health screening and comprehensive cross-training for shipboard physicians to optimise remote polar healthcare delivery.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2653359"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616186","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}