Journal of Health, Population, and Nutrition最新文献

{"title":"Exploring dental and medicine health expenditures in Iran: financial protection and inequality analysis.","authors":"Satar Rezaei, Mohammad Ali Mohammadi Gharehghani, Sina Ahmadi","doi":"10.1186/s41043-025-00828-z","DOIUrl":"10.1186/s41043-025-00828-z","url":null,"abstract":"<p><strong>Background: </strong>Healthcare systems must not only improve health outcomes but also protect individuals from financial hardship caused by healthcare costs. This study aimed to investigate financial protection and economic inequality in catastrophic dental healthcare expenditure (CDHE) and catastrophic medicine expenditure (CME) among the insured households through the Social Security Organization (SSO) in Iran.</p><p><strong>Method: </strong>This cross-sectional study gathered data from 1679 insured households across 5 provinces, utilizing a multistage sampling approach. The prevalence of CDHE and CME was assessed by determining the proportion of households spending at least 40% of their capacity to pay on dental care and medications. Logistic regression analysis was used to identify the factors contributing to CDHE and CME. The concentration curve (CC) and concentration index (CI) were employed to visualize and quantify the extent of economic inequality in CDHE and CME. The CI was further decomposed to identify the primary factors driving the observed economic inequality in CDHE and CME.</p><p><strong>Findings: </strong>The study found that 6.2% (95% confidence interval CI 5.1 to 7.4%) of households experienced CDHE and 4.9% (95% CI 4.0 to 6.0%) experienced CME. The CI for dental costs and medication costs were 0.248 (95% CI 0.115 to 0.381) and was 0.149 (95%CI 0.087 to 0.211), respectively, indicating that these costs were more concentrated among socioeconomically advantaged households. Conversely, the CI for CDHE and CME were -0.185 (95% CI -0.297 to -0.073) and -0.570 (95% CI -0.692 to -0.448), respectively, suggesting that these outcomes were more prevalent among poorer households. The decomposition analysis highlighted that the household wealth index explained 45.4% and 22.5% of the concentration of CDHE and CME among the poor, respectively.</p><p><strong>Conclusion: </strong>The financial burden imposed by out-of-pocket (OOP) payments for dental care and medication was substantial among households insured by the SSO. Expanding insurance coverage for these services could significantly reduce OOP spending and the likelihood of health expenditures leading to poverty, particularly among lower-income households.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"87"},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The spiritual health and breastfeeding behavior: a cross-sectional correlational study.","authors":"Mina Panahi, Masoumeh Simbar, Mahbobeh Ahmadi Doulabi, Razieh Lotfi, Zahra Kiani, Seyed Mehdi Tabatabaee","doi":"10.1186/s41043-025-00830-5","DOIUrl":"10.1186/s41043-025-00830-5","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is the optimal choice for infant health, and spiritual health may assist mothers in adapting to maternal roles, including breastfeeding. This study aimed to evaluate the relationship between spiritual health and breastfeeding behavior among lactating mothers.</p><p><strong>Method: </strong>This cross-sectional study included 400 lactating women who were selected using a multi-stage sampling method. Data collection tools included a socio-demographic and reproductive questionnaire, a spiritual health questionnaire, and a breastfeeding behavior assessment questionnaire. Data analysis was conducted using SPSS V23, incorporating independent t-tests, Pearson and Spearman correlation tests, and multiple linear regression analysis.</p><p><strong>Results: </strong>The study included 400 women aged 29.36 ± 5.67 years. The mean scores for spiritual health and breastfeeding behavior were 91.66 ± 6.80% and 80.07 ± 9.94%, respectively. Regression analysis revealed that spiritual health (Beta = 0.287, p < 0.01), infant age (Beta = - 0.19, p < 0.01), breastfeeding initiation time (Beta = 0.12, p = 0.009), and nipple care (B = 0.09, p = 0.04) were significant predictors of breastfeeding behavior.</p><p><strong>Conclusions: </strong>The study found a positive relationship between spiritual health and breastfeeding behavior among women. Therefore, promoting spiritual health could be considered a strategy to improve breastfeeding behavior in lactating women.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"89"},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators of biomedical waste management among healthcare professionals in Saudi Arabia: a qualitative study.","authors":"Salah Alshagrawi, Muath Hasel Alahmari","doi":"10.1186/s41043-025-00766-w","DOIUrl":"10.1186/s41043-025-00766-w","url":null,"abstract":"<p><strong>Background: </strong>Biomedical waste is a significant byproduct of healthcare systems, and it includes a diverse mixture of hazardous and non-hazardous waste. There is increasing concern among governments and healthcare organizations regarding the generation, handling, and disposal of healthcare or clinical waste. This study seeks to utilize a qualitative methodology to examine the barriers and facilitators faced by healthcare professionals (HCPs) in effectively managing biomedical waste (BMW) at several hospitals in Riyadh, Saudi Arabia.</p><p><strong>Method: </strong>We adopted an interview qualitative study with semi-structured individual interviews to gain a comprehensive understanding of the various factors that impact adherence to hand hygiene among HCPs. The content analysis method was used to examine the interviews allowing for the identification of codes and themes through a systematic categorization procedure.</p><p><strong>Results: </strong>A group of 32 HCPs with diverse specializations, who had an average age of 38 years, were interviewed. The participants included 14 males and 18 females. The interviews included a total of 8 physicians, 4 anesthesiologists, 6 lab technicians, and 14 nurses. We found that the participants focused on five primary themes that pertain to the challenges and problems related to BMWM among HCPs.</p><p><strong>Conclusion: </strong>Based on these findings, it is highly recommended to implement a comprehensive national strategy for integrating biomedical waste management (BMWM) into all healthcare programs. To maintain a high level of expertise in the field of BMWM principles, it is important for hospitals to provide regular training sessions to their staff.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"88"},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Money for health: handling the costs of climate change to African health systems.","authors":"Walter Leal Filho, Gouvidé Jean Gbaguidi, Wassa Diarrassouba, Pim Martens","doi":"10.1186/s41043-025-00802-9","DOIUrl":"10.1186/s41043-025-00802-9","url":null,"abstract":"<p><p>The manifold impacts of climate change are also seen in the field of health in most countries. It is particularly so in Africa, whose health systems are amongst the most fragile in the world. This Commentary showcases the degree of vulnerability of the health systems of African countries to climate change, and describes some measures aimed at increasing their resilience to climate shocks. African health systems face significant challenges due to climate change, necessitating a comprehensive approach to enhance resilience.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"86"},"PeriodicalIF":2.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Naples prognostic score as a nutritional and inflammatory biomarkers of stroke prevalence and all-cause mortality: insights from NHANES.","authors":"Jin Zhao, Xingfu Fan, Xiaofang Li, Yang Luo, Shiping Liu","doi":"10.1186/s41043-025-00819-0","DOIUrl":"10.1186/s41043-025-00819-0","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a complex neurological condition characterized by high rates of incidence, recurrence, disability, and mortality, making it one of the leading causes of death and disability worldwide. The Naples prognostic score (NPS), an index that combines markers of inflammation and nutritional status, has demonstrated prognostic value in various diseases. This research investigated the relationships among NPS, stroke prevalence, and overall mortality in stroke individuals, drawing on data from the National Health and Nutrition Examination Survey from 2007 to 2018.</p><p><strong>Methods: </strong>The cross-sectional analysis included 20,798 participants aged beyond 40 years with 1155 persons with stroke analyzed for mortality. Stroke prevalence was self-reported, and the NPS was derived from serum albumin, total cholesterol, the neutrophil-to-lymphocyte ratio, and the lymphocyte-to-monocyte ratio (Galizia et al. in Cancer 60:1273-1284, 2017). Weighted Logistic regression and Cox models assessed associations among NPS, stroke, and mortality, adjusting for demographic and clinical factors.</p><p><strong>Results: </strong>Higher NPS scores were linked to increased stroke prevalence (OR 3.573, 95% CI 2.745-4.652, P < 0.001) and elevated all-cause mortality risk (HR 3.281, 95% CI 1.978-5.442, P < 0.001) in stroke individuals. The triglyceride-glucose index (TYG) significantly modified the relationship between the NPS and stroke prevalence.</p><p><strong>Conclusion: </strong>This study supports the clinical utility of the NPS as a predictor of both stroke prevalence and all-cause mortality. The NPS may serve as a valuable tool for risk stratification in stroke prevention and long-term prognosis.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"85"},"PeriodicalIF":2.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring self-management's mediating role in health literacy and quality of life: evidence from COPD patients in Hunan, China.","authors":"Ji-Hong Wu, Ji-Mei Wu, Bing Huang, Lan-Lan Wei","doi":"10.1186/s41043-025-00812-7","DOIUrl":"10.1186/s41043-025-00812-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the relationship between health information literacy and quality of life and to explore the mediating role of self-management in this relationship among COPD patients in Hunan, China.</p><p><strong>Methods: </strong>Following the STROBE guidelines, this cross-sectional study employed convenience sampling to recruit 432 COPD patients from six tertiary hospitals in Hunan Province, China, between December 2022 and August 2023. Data collection instruments included the Health Literacy Self-Assessment Questionnaire (HLSQ), the COPD Self-Management Scale, and the COPD Assessment Test (CAT). Descriptive statistics were used to summarize participants' characteristics. Pearson correlation analysis and SPSS 26.0's macro program for mediation analysis were used, with a significance level set at p < 0.05.</p><p><strong>Results: </strong>Health information literacy showed a strong positive correlation with both self-management (r = 0.742, p < 0.001) and quality of life (r = -0.748, p < 0.001). Additionally, self-management was positively associated with quality of life (r = -0.861, p < 0.001). Self-management significantly mediated the relationship between health information literacy and quality of life, accounting for 67.4% of the total effect.</p><p><strong>Conclusions: </strong>The mediating effect of self-management on the relationship between health information literacy and quality of life in COPD patients is established. Measures are needed to improve health information literacy, enhance self-management, and improve health outcomes.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"84"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting breastfeeding initiation among mothers in Riyadh primary healthcare clinics: a cross-sectional study.","authors":"Alhanouf F Altamimi, Rayyana Ababtain, Mariah S Alahmari, Bader A Altulaihi","doi":"10.1186/s41043-025-00831-4","DOIUrl":"10.1186/s41043-025-00831-4","url":null,"abstract":"<p><strong>Background: </strong>This study examined the prevalence, timing, and factors associated with breastfeeding practices among Saudi mothers. Breastfeeding is integral to infant health, and understanding cultural and demographic influences on initiation timing is crucial for developing effective interventions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, recruiting 449 Saudi mothers from four primary healthcare centers in Riyadh between January 2022 and January 2023. The inclusion criteria were mothers with children under the age of two. Data were collected via a validated self-administered questionnaire. The sample size calculation considered an anticipated prevalence of 43.6% based on previous research. Ethical approval was obtained from the IRB of the King Abdullah International Medical Research Center.</p><p><strong>Results: </strong>Breastfeeding prevalence was high (86.6% of mothers), which aligns with global breastfeeding promotion efforts. However, variations were observed in the initiation timing, with only 46.0% of the patients initiating breastfeeding within the first hour. While no statistically significant factors influenced initiation, notable trends emerged. Older mothers and those with lower educational levels demonstrated higher rates of early initiation, suggesting cultural and generational influences. Working mothers faced challenges with breastfeeding continuation due to the lack of designated breastfeeding time at work.</p><p><strong>Conclusion: </strong>This study provides insights into the prevalence of breastfeeding practices among Saudi mothers and the factors influencing them. High breastfeeding prevalence indicates a positive cultural commitment to breastfeeding, whereas variations in initiation timing and continuation underscore the need for targeted interventions such as implementing breastfeeding clinics that inhance practice and education among mothers. Workplace support and educational campaigns are recommended to enhance breastfeeding initiation, particularly among working mothers.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"83"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fertility intention and its correlates with reproductive-aged married women in Ethiopia: an adapted theory of planned behavior (TPB).","authors":"Fitsum Tariku Fantaye, Solomon Abrha Damtew, Kelemua Menegesha Sene","doi":"10.1186/s41043-025-00790-w","DOIUrl":"10.1186/s41043-025-00790-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;In Ethiopia, despite different attempts to manage rapid population growth and reduce the average number of births per woman, the expected changes outlined in the National Health Sector Transformation Plan (HSTP II) and Reproductive health (RH 2015 2020) strategies have not been fully realized over the past decade. The population continues to grow at a rate of 2.7 and fertility rates remain at 4.6. Fertility is one of the three key aspects in shaping population dynamics, as women's fertility intention for children play a significant role in determining actual fertility rates. In addition, it can be an instructive tool for discovering more about overall fertility patterns, which is important for understanding future reproductive behaviors. In women, fertility intention refers to their preferences regarding the number of children they wish to have in the future, considering factors such as the costs and benefits associated with childbearing.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study used cross-sectional data from Performance Monitoring for Action Ethiopia (PMA-ET) 2020.The hypothesis tested in this analysis was adapted and used TPB constructs as a guiding behavioral theoretical model. The study included 3916 women aged 15-49 years who were not pregnant. Frequencies and percentages were commuted to characterize women. Chi-square tests were conducted to evaluate associations and assess sample cell size adequacy across categories. Multilevel binary logistic regression statistical modeling was employed to identify important factors influencing women's fertility intention. The findings were reported in terms of percentages and odds ratios, with 95% confidence intervals. Statistical significance was established at a significance level of 0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Three-quarters 74.9% (95% CI; 72.5%-77.1%) of married reproductive-aged women in Ethiopia intended to have a/another child. Women who reported having a forced pregnancy by partner, Muslim and Protestant religion, 19 years and above old at first sex, and secondary or higher education were found to increase the likelihood of fertility intention to have a child. However, women who reported 30 years of age or older, had three or more live births, had a family size of five or more members, had a moderate family planning (FP) knowledge, positive subjective social norm towards FP and living in Addis and Dire Dawa were found to have lower odds of women's fertility intention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The prevailing strong intention for high fertility in Ethiopia delays efforts to quickly decrease fertility and calls for implementation of multifaceted strategies that maintain high fertility intention rates. Accordingly, demographic and socio-physiological factors were found to affect women's intention to have children. Awareness of these influencing factors is crucial for designing fertility programs and policies tailored to demographics strategies. Sp","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"82"},"PeriodicalIF":2.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Association of endometriosis with asthma: A study of the NHANES database in 1999-2006.","authors":"Guangxin Pan, Pei Zhang, Sha Li, Lanlan Cao, Changqun Yang","doi":"10.1186/s41043-025-00798-2","DOIUrl":"10.1186/s41043-025-00798-2","url":null,"abstract":"","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"81"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the ability of households to cope with economic shocks: an empirical study of Pakistan during the COVID-19 pandemic.","authors":"Arslan Austin, Imran Ur Rahman, Zunera Rana","doi":"10.1186/s41043-025-00772-y","DOIUrl":"10.1186/s41043-025-00772-y","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic presented unprecedented challenges to households throughout the world, particularly in low- and middle-income countries. Pakistan's COVID-19 management policies have been widely recognized for their effectiveness at both national and international levels.</p><p><strong>Objective: </strong>In this study, we empirically examine households' response to external shocks, such as the COVID-19 pandemic, and the coping mechanisms adopted at the household level in Pakistan.</p><p><strong>Methods: </strong>Based on Rational Choice Theory, the research examines 3456 households, encompassing both urban and rural areas, using official survey data from the National Bureau of Statistics of Pakistan. The study utilizes the logit model for the estimations.</p><p><strong>Results: </strong>The findings show that substitution for low-quality food sources is the most common coping mechanism and closely impacts food security. Interestingly, the study revealed that, except for bank loans, none of the coping mechanisms significantly reduced the likelihood that families would experience severe COVID-19 effects.</p><p><strong>Conclusions: </strong>The findings of the study underscore the complexities of responding to a multifaceted crisis such as the pandemic. This research contributes essential insights into the evolving discourse on pandemic resilience, recovery strategies, and anticipated similar shocks.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"80"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}