Journal of Military, Veteran and Family Health最新文献

{"title":"Evidence-based culturally informed mental health treatment for Veterans and their family members: A non-VA U.S. telehealth pilot program.","authors":"Elizabeth Coe, Victoria A Torres, Emily Beattie, Katharine Thomas, Jessica Rostockyj, Michelle L Pennington, Megan N Cardenas, Jordan Strack, Jessica Dupree, Jordan Lewis, Alton R McCallum, Eric C Meyer, Suzy B Gulliver","doi":"10.3138/jmvfh-2024-0025","DOIUrl":"10.3138/jmvfh-2024-0025","url":null,"abstract":"<p><p>Veterans and Veteran family members experiencing mental health problems face significant barriers when accessing military culturally competent providers trained in evidence-based treatments (EBTs). Telehealth is a low-cost solution that may increase access. Ongoing evaluation is needed to demonstrate the feasibility and acceptability of this emerging practice among military members and their families. Accordingly, authors piloted a telehealth clinic in 2018-19 (before the COVID-19 pandemic). Clinicians in a U.S.-based non-Veterans Affairs outpatient clinic offered military culture informed EBTs (cognitive processing therapy, acceptance and commitment therapy, and the unified protocol for transdiagnostic treatment of emotional disorders) via telehealth to Veterans and Veteran family members. Self-report measures were used to assess psychological symptoms before and after treatment and one month post-treatment. Seventy-one percent of participants (Veteran or family member) completed treatment. Participants reported significant reductions in posttraumatic stress disorder symptoms, depressive symptoms, and psychological distress, and significantly increased physical and psychological quality of life following treatment. Treatment gains were maintained or improved after one month. Participants also reported high satisfaction with treatment and strong alliances with providers. Findings show promise for use of telehealth as a solution for connecting Veterans and Veteran family members to timely, high-quality, specialized care.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"112-122"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the spectrum: Understanding directed energy weapon injuries and military health care implications.","authors":"Jacinta McNairn, Farriss Blaskovits, Makyla St Onge, Jillian Coleby, Aasim Khan, Paul Dhillon","doi":"10.3138/jmvfh-2025-0041","DOIUrl":"10.3138/jmvfh-2025-0041","url":null,"abstract":"<p><strong>Introduction: </strong>Directed energy weapons (DEWs) are emerging technologies that are transforming the modern battlespace. Despite their increasing presence, the associated injury patterns and health outcomes remain poorly understood. This review aims to consolidate existing knowledge on DEW-related injuries to assist military medical professionals in improving clinical care.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidelines and included peer-reviewed and grey literature from 1980 to Nov. 30, 2024. Databases searched included PubMed, MEDLINE, AccessMedicine (textbooks), the Cochrane Library, EMBASE, Google Scholar, and Military Legal Resources (U.S. Army JAG School). Studies that focused on chemical, acoustic, and electrical/electromagnetic weapons were excluded because of differing pathophysiology. Two independent reviewers performed screening and data extraction. Results were synthesized narratively.</p><p><strong>Results: </strong>Out of 200 identified studies, 33 met inclusion criteria. Most documented injuries involved thermal damage to skin, internal organs, and eyes. Notably, data were sparse on reproductive effects and the management of DEW injuries in polytrauma. Evidence suggests that DEWs may inflict central nervous system or deep tissue damage without external signs, potentially delaying diagnosis and treatment. Injury severity varied by energy type, anatomical target, and exposure duration.</p><p><strong>Discussion: </strong>DEWs introduce novel clinical challenges for military health care providers, with injury profiles that may not align with traditional trauma paradigms. Standard physical assessments may fail to detect certain injuries. Long-term health outcomes following DEW exposure are largely unknown. There is an urgent need to develop and validate clinical guidelines and treatment protocols as DEWs become increasingly integrated into military operations.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"89-100"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La transition à la vie civile en contexte de douleur chronique : une recherche qualitative et exploratoire.","authors":"Gabrielle Leblanc-Huard, Hélène Le Scelleur, Gabrielle Fortin","doi":"10.3138/jmvfh-2025-1001","DOIUrl":"10.3138/jmvfh-2025-1001","url":null,"abstract":"<p><strong>Introduction: </strong>The transition from military to civilian life represents a significant challenge for Canadian Armed Forces (CAF) Veterans, with approximately 39% experiencing difficulties. Veterans living with chronic pain face unique challenges during this transition, with impacts on their physical, mental, and social well-being. This study aims to explore the experiences and needs of Veterans living with chronic pain during their transition to civilian life and examine the implications of chronic pain on various life domains.</p><p><strong>Methods: </strong>This qualitative and exploratory study investigated the effects of chronic pain on CAF Veterans' transitions to civilian life. Two three-hour focus groups were held with Veterans (n = 8) to explore their experiences with pain and its impacts on their social functioning during their transition to civilian life. Data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Participants reported stigmatization of pain during military service, challenges in accessing civilian health care, significant emotional and relational impacts of chronic pain, and the importance of adaptive coping strategies. Participants also highlighted the need for peer support programs and specialized chronic pain clinics to facilitate the transition to civilian life and improve Veterans' quality of life.</p><p><strong>Discussion: </strong>Chronic pain significantly complicates CAF Veterans' transitions to civilian life by affecting various life aspects and adjustment processes. Findings underscore the need for enhanced access to civilian health care and Veterans Affairs Canada services, alongside preventive interventions, to support Veterans' well-being and facilitate successful transitions.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"101-111"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharmacogenomics testing to optimize medical countermeasures against chemical warfare agents and bacterial biothreats in military settings.","authors":"Samuel Chekabab, John Mikler","doi":"10.3138/jmvfh-2025-0013","DOIUrl":"10.3138/jmvfh-2025-0013","url":null,"abstract":"<p><strong>Introduction: </strong>Pharmacogenomics testing is a promising tool for strengthening medical countermeasures against military threats such as chemical warfare agents and bacterial biothreats. This review assesses the role of pharmacogenomics in military health care, highlighting distinct requirements in defence compared to civilian settings.</p><p><strong>Methods: </strong>We conducted a systematic review (PubMed, 2010-25) to identify publications focusing on pharmacogenomics, nerve agent susceptibility, and tularemia treatment. Key search terms included combinations relevant to genetic factors affecting chemical and bacterial threat responses. Studies were evaluated for genetic variations influencing nerve agent toxicity, related treatment responses, and antibiotic pharmacogenomics.</p><p><strong>Results: </strong>Genetic variants substantially impact susceptibility to nerve agents and the effectiveness of countermeasures. Polymorphisms in acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) modify toxicity risk and treatment response to oximes, atropine, and benzodiazepines. For bacterial biothreats, genetic factors affect antibiotic efficacy and risk for adverse reactions, especially with aminoglycosides, fluoroquinolones, and tetracyclines. Sex and gender differences in pharmacogenomic responses are important yet under-recognized.</p><p><strong>Discussion: </strong>Integrating pharmacogenomic testing in military health care has the potential to improve force protection and operational readiness for chemical and biological threats. Nonetheless, challenges remain, including cost, logistical feasibility in mass casualty events, and the development of rapid deployable testing platforms. Future research should emphasize validation studies and implementation strategies tailored for military needs.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"4-11"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strength beside the uniform: Understanding mental skills knowledge and applications within Canadian Armed Forces families.","authors":"Shelby Rodden-Matthews, Jill Tracey","doi":"10.3138/jmvfh-2025-0042","DOIUrl":"10.3138/jmvfh-2025-0042","url":null,"abstract":"<p><strong>Introduction: </strong>This study explores the knowledge, acquisition, and application of mental skills among Canadian Armed Forces (CAF) family members, a population often overlooked in mental health and wellness research. While mental skills such as goal setting, self-talk, imagery, coping, and resilience have been widely studied in high-performance and military populations, little is known about their relevance or utility among CAF support populations.</p><p><strong>Methods: </strong>Utilizing an embedded mixed methods design, data were collected from 180 survey respondents and 11 focus group participants across diverse family roles and geographical contexts.</p><p><strong>Results: </strong>Findings reveal varied awareness and understanding of mental skills, with participants frequently applying skills subconsciously despite limited training or support. Focus group data uncovered four key themes: 1) confusion between mental skills and mental health terminology, 2) life-based acquisition of skills, 3) widespread dissatisfaction with support, and 4) interconnected use of mental skills in positive and challenging contexts. Participants expressed a strong desire for more proactive, accessible, and relevant support tailored to the unique demands of military family life. A recurring concern was the inconsistent quality and accessibility of mental skills resources within the CAF, often leading families to seek assistance externally. Additionally, stigma and logistical barriers limited effective engagement with internal resources.</p><p><strong>Discussion: </strong>Importantly, this study examines mental skills needs of CAF families through their own lens, providing critical insights for policy and program development. Findings emphasize the importance of recognizing CAF families as users - not just beneficiaries - of mental skills training, and advocate for dedicated, contextually sensitive support to empower families in their vital caregiving and adaptive roles.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"67-76"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'It's not just changed my dad's life, it changed ours too': Adult children's perspectives of PTSD assistance dogs.","authors":"Micaela Harvie, Em Bould, Marie Iannos, Miranda Van Hooff, Libby Callaway","doi":"10.3138/jmvfh-2024-0088","DOIUrl":"10.3138/jmvfh-2024-0088","url":null,"abstract":"<p><strong>Introduction: </strong>Veterans, military, and emergency service personnel (service personnel) experience a high prevalence of posttraumatic stress disorder (PTSD) because of increased exposure to traumatic events during service. PTSD can lead to disengagement from everyday activities, heighten negative emotions, and impact relationships. Partnering with assistance dogs is one intervention reported to have positive outcomes for some service personnel with PTSD. This study explored the perspectives of adult children of service personnel who had partnered with an assistance dog. This included perceptions regarding health, well-being, and participation impacts for service personnel, and impacts on the adult child and/or the family unit.</p><p><strong>Methods: </strong>Seven adult children of service personnel with PTSD who had partnered with an assistance dog participated in a semi-structured interview. Data were transcribed verbatim and analyzed thematically.</p><p><strong>Results: </strong>Five key themes were identified: 1) assistance dogs contribute to ongoing symptom management, 2) assistance dogs improve confidence and willingness to participate in daily activities, 3) benefits of assistance dogs extend to other family members, 4) the introduction of the assistance dog into the family unit can bring challenges, and 5) there is a need for increased community awareness and understanding of PTSD assistance dogs.</p><p><strong>Discussion: </strong>This study highlights benefits and challenges experienced by service personnel who partner with an assistance dog, and the service personnel's adult children. These are important considerations for service personnel, their families, and assistance dog organizations - and funders of animal-assisted interventions - when planning for or determining the suitability of human-animal partnerships.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"77-88"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Zealand military Veterans' perceptions on health and well-being: A qualitative study.","authors":"Margo O'Regan, David McBride, Simone Rodda, Daniel Shepherd","doi":"10.3138/jmvfh-2024-0087","DOIUrl":"10.3138/jmvfh-2024-0087","url":null,"abstract":"<p><strong>Introduction: </strong>The study \"The psychological and physical health and well-being of New Zealand contemporary Veterans\" represents one of the few large population studies conducted on contemporary Veterans in New Zealand. Included in this survey was an open-ended question allowing respondents to articulate their thoughts, opinions, or feedback on the Veteran experience.</p><p><strong>Methods: </strong>Responses were analyzed using qualitative content analysis framework informed by Mayring's (2022) eight-step content analysis process. A hybrid deductive-inductive approach was used to generate sub-themes from participants' responses, which were categorized under the World Health Organization's four domains of well-being (psychological, social, environmental, and physical).</p><p><strong>Results: </strong>In this study, responses from 1,037 Veterans were analyzed and put into 22 sub-themes and four overarching themes. While many participants expressed positive gains due to their military service, challenges in psychological, social, environmental, and physical well-being were evident. Positive outcomes included gaining educational achievements, career skills, and personal growth and development. Challenges included issues such as posttraumatic stress disorder, depression, anxiety, moral injury, identity confusion, internalized stigma, stereotyping, the strain of demanding work on family life, hearing loss, musculoskeletal problems, and concerns regarding toxic chemical exposure.</p><p><strong>Discussion: </strong>Veterans face challenges in all four domains of well-being. Despite encountering difficulties, there is a reluctance or social stigma associated with Veterans seeking help for their well-being concerns, compounding the challenges they face. Additionally, Veterans perceive a need for more accessible and effective support services.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"57-66"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complementary and integrative health interventions for PTSD in Veterans and family members: A rapid systematic review and meta-analysis.","authors":"Vahid Ashoorion, Kieran Cooley, Hélène Le Scelleur, Sarah Selvadurai, Abhimanyu Sud","doi":"10.3138/jmvfh-2025-0068","DOIUrl":"10.3138/jmvfh-2025-0068","url":null,"abstract":"<p><strong>Introduction: </strong>Despite increasing interest in complementary and integrative health (CIH) interventions for treating Veterans with posttraumatic stress disorder (PTSD), comprehensive evidence is lacking. This review aims to synthesize evidence regarding benefits of CIH interventions for improving mental health and quality of life among Veterans with PTSD in Canada, the United States, the United Kingdom, Australia, and New Zealand.</p><p><strong>Methods: </strong>We searched MEDLINE, PsycINFO, and AMED for studies that enrolled Veterans with PTSD and their families from Five Eyes countries from 2013 to December 2023, evaluated CIH interventions, and assessed changes in mental health outcomes using validated scales. We pooled estimates of effectiveness when reported by more than one study and assessed certainty of evidence using GRADE.</p><p><strong>Results: </strong>Twenty-six randomized controlled trials and 14 observational studies with 3,321 participants (84.4% male, median age 51.4 y) were included. Moderate-quality evidence suggests meditation (weighted mean difference: -10.66, 95% CI, -15.00 to -6.32) reduces PTSD symptoms, depression, and anxiety greater than the minimal important difference (MID). Moderate-quality evidence suggests Sudarshan Kriya Yoga and emotional freedom techniques result in clinically meaningful improvements in PTSD and other mental health outcomes, but the evidence base is very limited. High- to moderate-quality evidence for mantram repetition and moderate-quality evidence for mindfulness-based stress reduction suggest reduced PTSD and depression symptoms by less than one MID and improved quality of life.</p><p><strong>Discussion: </strong>Meditation may result in clinically meaningful reductions in PTSD, depression, and anxiety for Veterans. Further rigorous research is warranted to better understand effectiveness of CIH interventions for Veterans with PTSD.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"12-43"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Echoes of duty: Reflections on war, identity, and remembrance.","authors":"Stéphanie A H Bélanger, Nicholas Held, Paul Hook","doi":"10.3138/jmvfh-2026-1000","DOIUrl":"https://doi.org/10.3138/jmvfh-2026-1000","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"1-3"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of loneliness and their relation to perceived social support, family functioning, and mental health among Canadian Veterans.","authors":"William Younger, Kate St Cyr, Dominic Gargala, Kylie Dempster, Natalie Ein, Anthony Nazarov, J Don Richardson","doi":"10.3138/jmvfh-2024-0097","DOIUrl":"10.3138/jmvfh-2024-0097","url":null,"abstract":"<p><strong>Introduction: </strong>Veterans are particularly susceptible to heightened levels of social isolation and loneliness. This study aimed to explore the relations between loneliness, perceived social support, and mental health symptoms in Canadian Armed Forces (CAF) Veterans.</p><p><strong>Methods: </strong>Data were drawn from a national online survey of Canadian Veterans and Veteran spouses. Self-report measures assessed demographic and service-related factors, loneliness, perceived social support, family functioning, positive mental health, and symptoms of posttraumatic stress disorder (PTSD), depression, anxiety, and moral injury. Because data collection took place during the COVID-19 pandemic, certain context-specific variables were also collected, including exposure to COVID-19 and pandemic-related behavioural changes. Multiple linear regressions were used to construct explanatory models of loneliness.</p><p><strong>Results: </strong>Adjusting for other demographic variables, higher levels of loneliness in Veterans were associated with lower perceived social support, difficulties in family functioning, elevated mental health symptoms (i.e., PTSD, depression, and anxiety), less contact outside the home, and those who were single/unmarried. Conversely, positive mental health was associated with reduced feelings of loneliness.</p><p><strong>Discussion: </strong>The degree of loneliness is linked to several mental health, social, and demographic factors, which could serve as key indicators for identifying at-risk individuals or act as focal points for intervention. Implementing strategies that promote positive mental health and foster social connections may offer a promising approach to reducing the impact of loneliness.</p>","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":"12 2","pages":"44-56"},"PeriodicalIF":0.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}