Nordic Journal of Psychiatry最新文献

{"title":"Brief report: psychiatric emergency service in the Capital Region of Denmark.","authors":"Nina Xiyu Qiu, Lars Martin Nielsen, Anders Damm-Hejmdal, Ida Hageman, Lone Baandrup","doi":"10.1080/08039488.2025.2511072","DOIUrl":"https://doi.org/10.1080/08039488.2025.2511072","url":null,"abstract":"<p><strong>Objective: </strong>In October 2022, the psychiatric emergency service PAB (in Danish: Psykiatrisk Akutberedskab) in the Capital Region of Denmark expanded its operations from an off-hours service to a 24/7 operational model. The PAB offers telephone and outreach services for people with psychiatric emergencies on professional request. The aim of this study was to describe the activities and evaluate the perceived usefulness of PAB's 24/7 model.</p><p><strong>Materials and methods: </strong>This study utilized a quantitative research approach, with data collection conducted during daytime hours of weekdays from October 2022 through September 2023, covering the first year of PAB's 24/7 operations. The on-call psychiatrist documented requisitions from which statistical data have been compiled. The sample is comprised of 830 requisitions.</p><p><strong>Results: </strong>There was a recognizable demand for PAB in the Capital Region during weekday daytime hours. Most requisitions were made by family physicians and staff at sheltered homes. The majority of requisitions were considered relevant for PAB. Telephone consultations and mobile outreach services were utilized equally. Data from 2022 and 2023 exhibited similar activity patterns.</p><p><strong>Conclusions: </strong>This brief report concludes that there is a clinically relevant need for PAB in the Capital Region of Denmark. PAB is a competent psychiatric emergency service that provides a qualified mobile crisis assessment with subsequent relevant action, and the strategic collaboration between psychiatrists and law enforcement enhances its efficiency. The clinical benefits derived from extended operational hours justify the associated costs.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174294","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}

{"title":"Gender differences in alcohol use disorder treatment: sociodemographic, mental health, personality, and neuropsychological factors.","authors":"Kristoffer Høiland, Espen Kristian Ajo Arnevik, Anette Søgaard Nielsen, Jens Egeland","doi":"10.1080/08039488.2025.2508415","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508415","url":null,"abstract":"<p><strong>Background: </strong>Rates of alcohol use increase among women, and the gender gap in alcohol use disorder (AUD) is narrowing. Earlier studies indicate that there are differences in a variety of demographic and psychological measures between men and women with AUD. Examining differences between treatment-seeking men and women to target the specific needs and effective interventions for women with AUD is thus of vital importance.</p><p><strong>Methods: </strong>This explorative study investigated differences in sociodemographic characteristics, psychological distress, personality functioning, and cognitive functioning between men and women seeking treatment for AUD.</p><p><strong>Results: </strong>Treatment-seeking men and women with AUD differed on a series of mental health measures, personality functioning, and cognitive functioning. Women with AUD experienced the same level of harmful drinking as men with AUD, more psychological distress, more maladaptive personality functioning, and lower general intellectual functioning.</p><p><strong>Conclusions: </strong>The results indicate that treatment-seeking women with AUD have special needs that should be assessed and addressed in treatment. Further, there is a need for more integrated treatments targeting the high level of comorbidity experienced by women with AUD.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160607","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}

{"title":"Suicide and self-harm in adults with a history of out-of-home care-a Swedish national cohort study.","authors":"Anders Hjern, Bo Vinnerljung, Lars Brännström","doi":"10.1080/08039488.2025.2507734","DOIUrl":"https://doi.org/10.1080/08039488.2025.2507734","url":null,"abstract":"<p><strong>Background: </strong>Exposure to childhood out-of-home care (OHC, foster family and residential care) is associated with an increased risk of suicide in youth and young adulthood, but the life course and clinical psychiatric implications of this risk have not yet been well elucidated.</p><p><strong>Methods: </strong>This was a national cohort study generated from linkage of a range of population-based registers, resulting in a national cohort of 838 714 where 24 628 (2.9%) had a history of OHC. The study population, born 1972-1981, was followed from age 18 to age 39-48 years for suicide death and hospitalized self-harm.</p><p><strong>Results: </strong>Exposure to OHC accounted for 14% of all suicide deaths in the cohort. The age-adjusted Hazard Ratios (HRs) for exposure to OHC on suicide death were 5.04 (95% C.I. 4.50-5.64) for men and 7.21 (6.13-8.48) for women compared with the same gender in the general population. After adjusting for year of birth, childhood SES and parental morbidity these risks were attenuated to 3.39 (2.99-3.85) for men and 4.23 (3.50-5.12) for women. For hospitalized self-harm the adjusted HRs were 4.47 (4.18-4.79) for men and 4.25 (4.00-4.52) for women. These risks remained similarly high from age 18 years to 48 years. Exposure to childhood OHC carried a higher risk of suicide also among psychiatric inpatients, age-adjusted HR 1.70 (1.50-1.94).</p><p><strong>Conclusion: </strong>Exposure to OHC during childhood is a major predictor for suicide and self-harm in young and middle-aged adults as well as among adult psychiatric patients.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151376","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}

{"title":"Teachers predict ADHD more accurately than parents: findings from a large epidemiological survey.","authors":"Eyüp Sabri Ercan, Akın Tahıllıoğlu, Ali Evren Tufan, Öznur Bilaç","doi":"10.1080/08039488.2025.2508417","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508417","url":null,"abstract":"<p><strong>Objective: </strong>Observational reports of parents and teachers might conflict in the diagnostic process of pediatric Attention-Deficit/Hyperactivity Disorder (ADHD). This study investigates the diagnostic accuracy of parents and teachers in identifying ADHD in children, focusing on the influences of parental education level, child gender, and age.</p><p><strong>Methods: </strong>Data were derived from the Turkish Epidemiological Survey in Childhood Psychopathologies, encompassing 5,830 children aged 6-13 years. ADHD diagnoses were determined using a semi-structured interview and impairment ratings from both parents and teachers. Both groups completed the ADHD Rating Scale-IV to identify ADHD-related symptoms. Diagnostic accuracy was evaluated by comparing sensitivity, specificity, positive predictive value, and negative predictive value across informants. Parental education was categorized into lower (LEL) and higher education levels (HEL).</p><p><strong>Results: </strong>Teachers exhibited significantly higher diagnostic accuracy (93.7%) compared to parents (89.9%, <i>p</i> < 0.001), a trend consistent across gender and age groups. Teachers predicted ADHD in girls (95.2%) with greater accuracy than boys (92.1%), and similar patterns were observed for parents (girls: 92.0%, boys: 88.0%, <i>p</i> < 0.001). Parents with HEL demonstrated better diagnostic performance (91.3%) than those with LEL (89.4%, <i>p</i> < 0.05), though both were outperformed by teachers. Accuracy slightly declined in older children (10-13 years), but the differences were statistically insignificant.</p><p><strong>Conclusion: </strong>The findings highlight teachers' superior ability to predict ADHD, likely due to their comparative observational advantages in structured settings. Parental education and child gender also influenced diagnostic performance. These results underscore the importance of incorporating teacher reports into diagnostic protocols while addressing socio-educational disparities to improve parent-reported accuracy.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135915","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}

{"title":"Use of coercion in patients with first-episode psychosis: a retrospective cohort study of involuntary admissions, involuntary treatment orders and community treatment orders.","authors":"Morten Brix Schou, Berit Walla, Bjørn Siver Seljeflot","doi":"10.1080/08039488.2025.2508416","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508416","url":null,"abstract":"<p><strong>Aim: </strong>Coercion in mental health care is under constant debate. Norway has been shown to have relatively high rates of involuntary admissions. The use of coercion in patients with first-episode psychosis (FEP) in Norway is sparsely described, thus limiting an informative debate.</p><p><strong>Method: </strong>We registered involuntary admissions, involuntary treatment orders, community treatment orders and other coercive measures during the first two years of treatment for all patients diagnosed with a first-episode non-affective psychosis at St Olav's University Hospital from 2012 to 2016. The hospital serves the Sør-Trøndelag County with 313,370 inhabitants in 2016.</p><p><strong>Results: </strong>A total of 238 patients with FEP were included. 40% of the patients were involuntary admitted at first contact leading to the psychosis diagnose, and during the first two years of treatment 53% of the patients were involuntary admitted. Of the involuntarily admitted patients, 43% were discharged on a community treatment order, and 34% had involuntary treatment orders. Other coercive measures, such as short-term holding, mechanical restraint or short-acting medication, were used in 21% of patients receiving inpatient treatment.</p><p><strong>Conclusion: </strong>Involuntary admission was relatively common in this cohort of FEP patients, although less used than in previous studies from Norway. Compared to studies from other countries, our findings, along with those from Finland, show among the highest rates of involuntary admissions and involuntary treatment orders published, and are higher than findings in other Nordic countries such as Denmark and Sweden.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135871","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}

{"title":"Two-way perspective on problematic internet use in adolescent psychiatric patients: predictive and associated factors.","authors":"Melike Kevser Gul, Esra Demirci, Sevgi Ozmen","doi":"10.1080/08039488.2025.2508947","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508947","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between problematic Internet use (PIU) and suicide probability, aggression, and impulsivity in an adolescent clinical sample.</p><p><strong>Methods: </strong>Four hundred and eighty-four adolescents who applied to the child psychiatry outpatient clinic of a university hospital were included in the study. They filled out a sociodemographic data form, the Internet Addiction Test (IAT), the Suicide Probability Scale (SPS), the Barratt Impulsiveness Scale-11-Short Form (BIS-11-SF), and the Buss-Perry Aggression Questionnaire (BPAQ).</p><p><strong>Results: </strong>The time spent on the Internet, BIS-11-SF/MI, BIS-11-SF/AI, SPS subscales, and BPAQ scores of adolescents with PIU were significantly higher compared to those of normal Internet users. Having a computer at home, having a smartphone, time spent on the Internet, older age, SPS/hopelessness, and BPAQ scores were found to be predictive factors of PIU, but psychiatric diagnoses had no predictive effect (<i>p</i> > 0.05). SPS/hopelessness and BPAQ scores were statistically significant in distinguishing adolescents with PIU from those without. BIS-11-SF, SPS/hopelessness scores, and time spent on the Internet were the most important factors in predicting IAT total scores.</p><p><strong>Conclusions: </strong>Determining the relationship between PIU, aggression, suicidal behavior, and impulsivity in adolescents will be effective in protecting them from potential harm.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128187","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}

{"title":"Behaviour ratings of executive functions in adolescents with ADHD: correlation with core symptoms and functional impairment measured by multiple informants.","authors":"Ann Christin Andersen, Per Hove Thomsen, Stian Lydersen, Anne Mari Sund, Anne-Lise Juul Haugan, Torunn Stene Nøvik","doi":"10.1080/08039488.2025.2506558","DOIUrl":"https://doi.org/10.1080/08039488.2025.2506558","url":null,"abstract":"<p><strong>Background: </strong>Executive functional deficits (EFDs) are very common in patients with Attention Deficit/Hyperactivity Disorder (ADHD). Behavioural ratings of executive functions have high ecological value but vary between informants and observational settings. Objectives of this study were to describe correlations between ratings on behavioural executive functions, ADHD symptoms and functional impairment between different informants.</p><p><strong>Materials and methods: </strong>The study includes 100 adolescents aged 14-18 with ADHD still experiencing clinically impairing symptoms despite standard treatment. Ratings of EFDs were obtained from teachers, parents and self-reports. Parents and adolescents also rated core symptoms of ADHD and functional impairment. A clinician assessed overall global functioning. The relationship between measures and informants were analysed using Pearson correlations.</p><p><strong>Results: </strong>There was a significant, strong, positive correlation between all measures reported by the same informant. The overall correlation was small to medium between teacher reported EFDs and both core symptoms of ADHD and functional impairment as reported by parents and adolescents. There was a significant negative correlation between clinicians' assessment of global functioning and ratings of EFDs by all informants.</p><p><strong>Conclusions: </strong>We found that EFDs were strongly correlated both with higher levels of core symptoms of ADHD, and higher level of functional impairment as reported by the same informant. We also found, in line with previous research, that ratings of symptoms and impairment differs between informants and settings. Our findings underline the importance of multiple informants in both assessment and treatment planning.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120390","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}

{"title":"Bridging the gap between sectors in transition from mental health hospitals to communities - determining and mediating the need for assistance in daily living for patients with mental illness.","authors":"Louise M Stubberup, Jeanette R Christensen, Dorte Melgaard, Rikke Jørgensen","doi":"10.1080/08039488.2025.2506561","DOIUrl":"https://doi.org/10.1080/08039488.2025.2506561","url":null,"abstract":"<p><strong>Background: </strong>Patients with mental illness often experience difficulties with participating in daily activities. Before discharge, it is therefore essential to assess patients' occupational performance to enable the municipalities to assign appropriate assistance. It is known that insufficient assistance in daily living may negatively affect health and well-being.</p><p><strong>Aims: </strong>To explore which knowledge the municipalities need to assign appropriate assistance after discharge, the applicability of the knowledge delivered by the assessors and how they generated this knowledge.</p><p><strong>Materials and methods: </strong>A qualitative interview study with 11 assessing occupational therapists and eight social workers.</p><p><strong>Results: </strong>Most importantly was the type of occupations where the patients' needed assistance, and the type and amount of assistance. The knowledge delivered by the occupational therapists was in congruence with the municipal demands. However, generating the necessary knowledge was challenging, as the available evidence-based tools were not always found applicable.</p><p><strong>Conclusions: </strong>The municipalities needed detailed descriptions of the patients' occupational performance to assign the appropriate assistance. The occupational therapists used both standardized and non-standardized assessment tools and faced difficulties in adhering to an evidence-based practice.</p><p><strong>Significance: </strong>The findings underpin the municipal need for knowledge when assigning assistance and the need for evidence-based assessment tools for the occupational therapists working in mental health hospitals.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102141","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}

{"title":"Recruiting underrepresented populations for surveys: the case of people with schizophrenia and coexisting diabetes.","authors":"Sabrina Trappaud Rønne, Sidse Marie Arnfred, Peter Haulund Gæde, Bryan Cleal, Rikke Jørgensen","doi":"10.1080/08039488.2025.2502932","DOIUrl":"https://doi.org/10.1080/08039488.2025.2502932","url":null,"abstract":"<p><strong>Aim: </strong>To describe the challenges and strategies involved in recruiting adults to a cross-sectional survey study on psychosocial health and support, with individuals with schizophrenia and type 2 diabetes as the case.</p><p><strong>Materials and methods: </strong>This descriptive study tracked the recruitment process for a Danish survey study in a register, systematically synthesising all relevant information. This included details on how eligible patients were identified and invited to the study and their reasons for declining. Two recruitment strategies were employed: (1) Recruitment <i>via</i> mental health professionals in psychiatric outpatient clinics in Region Zealand, and (2) Recruitment <i>via</i> phone calls to eligible patients. Descriptive analyses of the recruitment data were conducted.</p><p><strong>Results: </strong>Three challenges were identified and described: (1) Challenges in identifying eligible patients, (2) Challenges in having mental health professionals to recruit participants, and (3) Patients' inability to complete the questionnaire. The first two challenges were addressed through practical approaches: (1) Identifying eligible patients <i>via</i> electronic health records and medication types, and (2) Directly inviting patients <i>via</i> phone calls from a member of the research team. No additional initiatives were implemented to address the third challenge. Approximately 15% of all eligible patients declined to participate, indicating a high willingness to participate among the remaining individuals.</p><p><strong>Conclusions: </strong>Exploring various challenges was crucial for understanding the difficulties in recruiting this population, initiating new approaches to address these challenges, and recognising the high willingness to participate. Greater emphasis should be placed on patients' rights to make their own decisions regarding participation in research.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102101","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}

{"title":"Psychotic symptoms following consumption of energy drinks: a systematic review.","authors":"Signe Wegmann Düring, Trine Botfeldt Møller-Pedersen, Oliver Rumle Hovmand","doi":"10.1080/08039488.2025.2499593","DOIUrl":"https://doi.org/10.1080/08039488.2025.2499593","url":null,"abstract":"<p><strong>Introduction: </strong>Energy drinks (EDs) is an umbrella term for a family of beverages which contain high dosages of caffeine. ED consumption is increasing worldwide, and it is possible that excess ED consumption can cause or worsen symptoms of severe mental disorders (SMD) such as schizophrenia and bipolar affective disorder.</p><p><strong>Methods: </strong>We searched three electronic databases for studies on patients with SMD who had experienced psychotic symptoms following the consumption of energy drinks, as well as patients who developed psychotic symptoms after ED consumption without any prior severe psychiatric disorder. We conducted and reported this systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We assessed the included case reports with the CARE criteria.</p><p><strong>Results: </strong>We included 11 publications, all of which were case reports. Two of these described two patients with a primary diagnosis of schizophrenia and three described six patients with a primary diagnosis of bipolar disorder. The remaining eight case reports described eight patients with no prior psychiatric diagnosis. All had experienced deterioration or onset of psychotic symptoms following intake of EDs.</p><p><strong>Discussion: </strong>ED use may be an emerging clinical challenge in psychiatry. However, it is also possible that EDs are simply a surrogate which indicate the occurrence of other factors associated with psychosis, such as male sex and poor socioeconomic status. Overall, limited research exists on the subject. Future research could aim at quantifying the use of EDs among psychiatric patients, and patients with SMH specifically.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029579","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}