Nutrition & Dietetics最新文献

{"title":"Screening, characterising and assessing malnutrition in the hospital setting: A large-scale point prevalence survey.","authors":"Kate Connell, Andrea Elliott, Emma McShane, Andrea Bramley, Lauren Hanna, Kate Furness","doi":"10.1111/1747-0080.70045","DOIUrl":"https://doi.org/10.1111/1747-0080.70045","url":null,"abstract":"<p><strong>Aim: </strong>To assess the prevalence of undernutrition, overnutrition, and simultaneous malnutrition in a hospital setting, as well as undernutrition risk and dietetic intervention rates.</p><p><strong>Methods: </strong>A point prevalence survey was conducted annually from 2016 to 2024 (excluding 2020-2021 due to Coronavirus Disease 2019) across three metropolitan health service hospital sites. Eligible multiday inpatients underwent bedside assessments and medical record reviews to determine Body Mass Index, Malnutrition Universal Screening Tool scores, and undernutrition status based on either the International Classification of Diseases, 10th Revision, or the Global Leadership Initiative on Malnutrition. Data were analysed descriptively.</p><p><strong>Results: </strong>Of 5186 patients surveyed, 21.2% were undernourished, 39.5% were overnourished, and 4.8% were simultaneously under- and overnourished. Just over one-third (37.4%) of all participants were at risk of undernutrition. Dietitian intervention rates were highest among the simultaneously malnourished (70.6%) and undernourished (69.6%), and low among the overnourished (3.6%).</p><p><strong>Conclusion: </strong>The findings underscore the need for improved detection of simultaneous malnutrition and increased rates (towards 100%) of dietary intervention among patients with either under- or simultaneous malnutrition during a patient's hospital stay.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144962956","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":"Experiences of financial stress on health, wellbeing and food insecurity among student dietitians on unpaid mandatory student placements.","authors":"Jarrah Manning, Rebecca Heins, Kelly Lambert, Natalie Nicholls, Gabrielle O'Flynn, Karen Walton, Anne-Therese McMahon","doi":"10.1111/1747-0080.70035","DOIUrl":"https://doi.org/10.1111/1747-0080.70035","url":null,"abstract":"<p><strong>Aims: </strong>Unpaid mandatory student placements are common among allied health disciplines. This qualitative study aimed to specifically explore the student dietitian experiences of and perspective on financial stress and food insecurity during unpaid mandatory student placements as well as describe any related impacts on their health and wellbeing.</p><p><strong>Methods: </strong>Semi-structured interviews were undertaken with student dietitians living in Australia and New Zealand. Participants had self-nominated for interviews from a larger interprofessional mixed method study on student placement poverty. Inductive thematic analysis involving coding, categorisation, theme development and refinement was used to generate themes.</p><p><strong>Results: </strong>A total of 11 interviews were undertaken. Most students were female, studying full-time and living in Queensland, New South Wales and New Zealand. All students had undertaken at least one unpaid placement. Thematic analysis of the student experience of placement generated five key themes and 18 subthemes. The key themes were (1) Overall Wellbeing on Placement, (2) Financial Security, (3) Social Support, (4) Income Sources and (5) Course Structure. Overall, unpaid placements had a significant impact on the ability of students to maintain their overall wellbeing whilst on placement. This included impacts on financial security. There was noted to be substantial cognitive dissonance between high levels of nutrition knowledge and the inability to maintain their own food security.</p><p><strong>Conclusion: </strong>These findings highlight that unpaid mandatory student placements (especially those requiring full-time attendance) represent a major challenge for student dietitians, with implications for student physical and mental wellbeing and future diversity within the profession of dietetics.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963279","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":"Fluid requirements for adult inpatients with medically compromised eating disorders: A scoping review.","authors":"Kylie Matthews-Rensch, Liam Connolly, Courtney Ellis, Kate Flint, Michael Wilson, Adrienne Young","doi":"10.1111/1747-0080.70038","DOIUrl":"10.1111/1747-0080.70038","url":null,"abstract":"<p><strong>Aims: </strong>This review aimed to describe the current evidence on fluid requirements for adults with medically compromised eating disorders, with objectives to: (1) review study designs and aims, (2) describe participant characteristics, (3) identify modes of fluid delivery, and (4) examine fluid reporting methods and adverse events relating to fluid intake.</p><p><strong>Methods: </strong>This scoping review was conducted following the Joanna Briggs Institute's methodology. Three research databases (PubMed, CINAHL, Embase) were searched until 25 November 2024 for relevant studies. Research articles examining adult (aged ≥18 years), acutely unwell, hospitalised patients with eating disorders and that included information on fluid (requirements, provision, intake, output and/or restrictions) and any fluid-related outcomes were included. Screening of search results was conducted independently in duplicate. Results were synthesised narratively.</p><p><strong>Results: </strong>The search strategy yielded 1691 articles, and 13 studies (total n = 104 participants) were included. All studies were observational, including case report (n = 10 studies) and prospective study designs (n = 3 studies). No study specifically aimed to examine fluid requirements. Participants were predominantly female, and all had anorexia nervosa. Fluid was provided by multiple routes in most studies, and fluid reporting was inconsistent.</p><p><strong>Conclusions: </strong>Limited evidence is available with no studies specifically addressing fluid requirements for adults with medically compromised eating disorders. The results identify major gaps in the evidence, including no justification for fluid provision or restrictions applied, minimal explanation as to how fluid may have impacted clinical presentations, and no fluid measurements conducted in totality from all fluid provision routes. Future research should prioritise larger, well-designed cohort studies with detailed fluid information to assist with building the evidence base and thereby enhancing nutritional support for this vulnerable group.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883341","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":"Defining double burden of malnutrition across individual, household and population level: A narrative review.","authors":"Ashis Talukder, Matthew Kelly, Md Abu Sayeed, Darren Gray, Haribondhu Sarma","doi":"10.1111/1747-0080.70037","DOIUrl":"10.1111/1747-0080.70037","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to evaluate the existing definitions of double burden of malnutrition and to synthesise and propose operational definitions at different levels, with the goal of improving consistency in measurement and policy development.</p><p><strong>Methods: </strong>We conducted a narrative review that used structured search and narrative synthesis to review and summarise how double burden of malnutrition has been defined at different levels. We performed a structured search across PubMed, Web of Science and Scopus, focusing on peer-reviewed articles published between January 2010 and December 2024. We screened articles for relevance to double burden of malnutrition and categorised them based on the level of the definition, such as households, individuals and populations.</p><p><strong>Results: </strong>Of the 60 selected studies, the majority originated from Latin America (n = 19, 32%), followed by South Asia (n = 10, 17%) and Southeast Asia (n = 8, 13%). At the household level, the most common definition of double burden of malnutrition was the coexistence of an overweight/obese mother and a stunted child. Individual-level definitions commonly included the coexistence of overweight/obesity with anaemia or stunting. However, definitions at the population level varied considerably and lacked consistency across studies.</p><p><strong>Conclusions: </strong>Our findings highlight the need for consistent operational definitions of double burden of malnutrition across different levels of analysis. Drawing on existing literature, we synthesise practical definitions at different levels to more accurately reflect the coexistence of different forms of malnutrition. Clarifying these definitions can improve the comparability of prevalence estimates across contexts and support the development of more effective, evidence-based strategies to address the growing burden of double burden of malnutrition.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799762","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":"The business of dietetics: Results from the national Australian private practice dietetics dataset.","authors":"Amy Kirkegaard, Peter Clark, Olivia R L Wright, Lauren Ball","doi":"10.1111/1747-0080.70036","DOIUrl":"https://doi.org/10.1111/1747-0080.70036","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to describe private dietetics practices in Australia in terms of ownership, size, and operation, team composition, and products and services.</p><p><strong>Methods: </strong>Australian dietitians operating private practices were invited to participate in a cross-sectional survey between May and June 2024. The survey captured data regarding the business, including ownership, revenue, business and clinical operation, team composition and remuneration, products and services, and consultation and program characteristics. Data were analyzed descriptively.</p><p><strong>Results: </strong>One hundred and fifty-four participants completed the survey (22% response rate). Businesses were primarily sole traders (n = 105; 68%) that neither employed nor contracted health professionals (n = 94; 61%) and generated less than AU$149999 in revenue (n = 114; 77%). Most businesses specialised (n = 107; 69%), with common areas of specialisation being eating disorders (n = 49; 32%), disability support (n = 35; 23%), and weight inclusive care (n = 35; 23%). Client consultations (n = 146; 95%) were the most frequently offered service. Initial consultations were most frequently 60 min (n = 83; 59%), attracting a mean fee of AU$173 (±$9 95% CI), while review consultations were most frequently 30 min (n = 80, 57%) and AU$113 (±$7 95% CI). Business and dietitian performance evaluation were typically not performed periodically, yet both were positively correlated with revenue (τ_b = 0.231, p < 0.001 and τ_b = 0.338, p < 0.001, respectively).</p><p><strong>Conclusions: </strong>Sole practitioners represent a significant proportion of private dietetics practice. With a significant proportion of the workforce working in this area, support is needed to ensure private practices are sustainable and the workforce can continue to provide much-needed services for Australians.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794982","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":"Development and baseline findings of a national dataset describing Australian private practice dietetics.","authors":"Amy Kirkegaard, Olivia Wright, Peter Clark, Lauren Ball","doi":"10.1111/1747-0080.70027","DOIUrl":"https://doi.org/10.1111/1747-0080.70027","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to establish the processes for a national dataset describing Australian private practice dietetics and to report baseline workforce data.</p><p><strong>Methods: </strong>A cross-sectional survey captured workforce and business data for dietitians working in private practice dietetics in Australia. Business owners from a national register were invited to complete the survey and to share the survey with employed or contracted dietitians between May and June 2024. Data were analysed descriptively.</p><p><strong>Results: </strong>Seven hundred and three business owners were invited to participate, and 176 participants completed the workforce items (25% response rate). Participants were primarily female (n = 158; 90%) business owners (n = 161; 91%), mean ± SD age of 42 ± 9 years and mean time since graduation of 15 ± 9 years. Mean time spent per week working in private practice was 26 ± 15 hours. Most participants were satisfied with their work in private practice (n = 160, 91%) and anticipated working in private practice in 5 years' time (n = 155, 88%), though some (n = 62, 35%) felt some degree of unwellness due to stress. Business owners were generally dissatisfied with the applications received for advertised dietetics roles. One hundred twenty-one participants consented to follow-up in 2 years as part of the ongoing survey.</p><p><strong>Conclusions: </strong>A national dataset describing the dietetics workforce, supported by ongoing data capture, is essential to support workforce planning and ensure that private practice is a legitimate and sustainable career path, thereby future-proofing this segment of the workforce and ensuring access to high-quality preventative and primary dietetics care.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789632","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 decades of Medicare: An updated review of Medicare-subsidised dietetics services in Australia.","authors":"Amy Kirkegaard, Breanna Lepre, Karly Bartrim, Lauren Ball","doi":"10.1111/1747-0080.70016","DOIUrl":"https://doi.org/10.1111/1747-0080.70016","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to describe the utilisation of item numbers for dietetic services available through the Australian Medicare Benefits Schedule, with particular focus on changes between 2015 and 2024.</p><p><strong>Methods: </strong>This descriptive observational study used publicly available, population-level data from Medicare Australia describing item utilisation in terms of number and services per 100 000 population, benefit paid, and patient demographics for dietetic-related item numbers. Utilisation of related items for other allied health professions was also described. Data were analysed using descriptive statistics (frequency, percentage) and change in utilisation was calculated for periods defined a priori.</p><p><strong>Results: </strong>The total number of Medicare-subsidised dietetic services increased by 7%, to 1691 services per 100 000 population, between 2015 and 2024. However, the number of chronic disease dietetic services per 100 000 population decreased by 12% over the decade, while other allied health professions increased over the same period. In addition, the proportion of group services for diabetes delivered by dietitians declined from 7% in 2015 to 4% in 2024, with just 13 services claimed per 100 000 population. Conversely, utilisation of dietetic services for eating disorders has consistently increased, with an annual growth rate between 8% and 47%, seeing 273 dietetic eating disorder services claimed per 100 000 in 2024.</p><p><strong>Conclusions: </strong>Change in utilisation of Medicare-subsidised dietetic services varied over the last decade, with claims for eating disorders increasing while claims for chronic disease and diabetes group services decreased. The lack of dietitian-specific item numbers for case conferencing and some telehealth services impedes accurate evaluation of utilisation and, therefore, planning.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784895","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":"Concept-based curriculum: An evidence-based approach to developing a new framework for dietetics education?","authors":"Andrea Begley, Janica Jamieson, Gemma Jenkins, Janeane Dart, Lauren T Williams, Simone Gibson, Fiona E Pelly, Hattie H Wright, Claire Palermo","doi":"10.1111/1747-0080.70032","DOIUrl":"https://doi.org/10.1111/1747-0080.70032","url":null,"abstract":"<p><strong>Aims: </strong>Concept-based approaches to curricula have been proposed as a solution to this issue, and 56 concepts have been proposed for dietetics curricula. This study aimed to develop a framework for a dietetic concept-based curriculum.</p><p><strong>Methods: </strong>A pragmatic approach was employed by a team of nine experienced Australian dietetic educators. Iterative processes of idea generation, reflection, group discussion, and consensus formation were applied by seven of the academics in a two-day face-to-face workshop and four online meetings to further develop the 56 curriculum concepts previously identified for dietetics by Tweedie et al. The discussions were supported by document analysis and critical discussion with two other academics as a reference group. The finalised set of concepts were conceptualised into a curriculum framework.</p><p><strong>Results: </strong>The original 56 concepts were expanded to 63, with seven concepts added in response to developing workforce demands. The 63 concepts were arranged into a framework of 19 core and 44 supporting concepts. Two exemplars were developed to show how five core concepts could be taught. The research team's processes and experiences provide a method for renewing curricula using concepts to guide others wishing to take this approach.</p><p><strong>Conclusion: </strong>This study used an evidence-based approach to develop the first concept-based curriculum framework for dietetics. This paper provides a guide and practical tools for dietetics curriculum developers willing to apply a different approach. These findings have implications for curriculum renewal in other competency-based credentialing programs.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775842","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":"A scoping review of squeeze pouch use among infants and children: Frequency, types, sociodemographic characteristics and parental experiences.","authors":"Bianca Smith, Catharine A K Fleming, Ami Seivwright, Katherine Kent","doi":"10.1111/1747-0080.70030","DOIUrl":"https://doi.org/10.1111/1747-0080.70030","url":null,"abstract":"<p><strong>Aims: </strong>Demand for infant and child foods in squeeze pouches is increasing, yet limited evidence exists to inform public health strategies on who uses them and why. The aim of this scoping review was to explore the frequency and types of squeeze pouches consumed by children, the sociodemographic characteristics of users and insights from parental experiences regarding their use.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the Joanna Briggs Institute guidelines for scoping reviews. Between January and April 2024, three databases were searched (MEDLINE, Scopus and CINAHL) in addition to grey literature. Two independent reviewers screened 125 articles, of which 16 underwent full-text review. Results were summarised narratively.</p><p><strong>Results: </strong>Eleven studies across five countries were included. Eight studies reported on the prevalence of squeeze pouch consumption, ranging from 23.5% to 82.8% for infants and children. Frequency of intake ranged from daily (n = 4; 8.7%-29.2%), weekly (n = 7; 20.9%-75.2%), to monthly consumption (n = 7 16.7%-70.4%), depending on the study. Predominantly fruit- and dairy-based pouches were consumed. Frequent use was linked to higher deprivation, childcare use, larger families, early breastfeeding cessation and early solid food introduction. Studies on parental perceptions (n = 6) reported their perceived convenience, healthiness and low cost and concerns related to waste.</p><p><strong>Conclusions: </strong>This review identified widespread use of squeeze pouches among infants and children, particularly fruit and dairy-based pouches. More research is needed on their nutritional impact to guide public health strategies promoting healthy early feeding practices.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699055","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":"Development of a database for non-nutritive antioxidants in Australian-grown horticultural commodities.","authors":"Judy Cunningham, Lucinda J Black, Stuart K Johnson, Paul Adorno, Georgios Dabos, Shari Fatupaito, Aliki Kalmpourtzidou, Eleanor Dunlop","doi":"10.1111/1747-0080.70029","DOIUrl":"https://doi.org/10.1111/1747-0080.70029","url":null,"abstract":"<p><strong>Aim: </strong>This cross-sectional study aimed to measure total polyphenols, total flavonoids, total anthocyanins, lutein and lycopene in Australian-grown horticultural commodities.</p><p><strong>Methods: </strong>Primary samples (n = 822) of Australian-grown fruit, vegetables and nuts were purchased during peak growing season in Sydney, Melbourne and Perth between June 2021 and May 2022. Samples were prepared (e.g., peeled, trimmed, de-seeded) as they would usually be consumed. Raw, composite samples were analysed using spectrometry (polyphenols, flavonoids, anthocyanins), normal phase high-performance liquid chromatography with ultraviolet-visible detection (lutein) and reverse phase high-performance liquid chromatography with ultraviolet-visible detection (lycopene).</p><p><strong>Results: </strong>A nationally representative dataset of two types of antioxidants (total polyphenols and flavonoids) in 86 types of fresh fruit (n = 38), dried fruit (n = 6), fresh vegetables (n = 38) and nuts (n = 4) was produced. Total anthocyanins, lutein and lycopene were measured in a subset of foods.</p><p><strong>Conclusions: </strong>The new data reflect current growing practices, varieties, climate, and analytical methods and provide information that will assist consumer education on sources of dietary antioxidants.</p>","PeriodicalId":19368,"journal":{"name":"Nutrition & Dietetics","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699056","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}