Helena K Kjeldgaard, Tone K Omsland, Vegard F Skirbekk, Martin O'flaherty, Haakon E Meyer, Kristin Holvik
{"title":"Forecasting the burden of hip fracture in Norway towards 2050 by educational level: The Norwegian Epidemiologic Osteoporosis Studies (NOREPOS).","authors":"Helena K Kjeldgaard, Tone K Omsland, Vegard F Skirbekk, Martin O'flaherty, Haakon E Meyer, Kristin Holvik","doi":"10.1177/14034948251325760","DOIUrl":"https://doi.org/10.1177/14034948251325760","url":null,"abstract":"<p><strong>Aims: </strong>Hip fracture burden is expected to increase due to the ageing population. Given that hip fracture incidence differs by educational attainment, and that a shift in the older population's educational level will manifest itself in coming decades, we investigated future hip fracture trends in Norway and their variation by attained educational level.</p><p><strong>Methods: </strong>Estimated annual hip fracture numbers in the population aged 50+ years in 2020-2050 were based on information from the Norwegian Epidemiologic Osteoporosis Studies hip fracture database and official population projections from Statistics Norway. Projected educational attainment was obtained from the Wittgenstein Centre for Demography and Global Human Capital. We explored two scenarios: first, assuming that the observed 2019 rates remain constant until 2050, and second, assuming a continuing rate of decline corresponding to that observed during 1999-2019.</p><p><strong>Results: </strong>The projections showed that the annual number of hip fractures will increase by 91% in women and 131% in men given constant sex- and age-specific rates, and by 27% in women and 66% in men given declining rates. The majority of hip fractures are expected in the group with secondary education, however, the numbers will increase steeply in people with tertiary education due to the temporal shift in educational attainment.</p><p><strong>Conclusions: </strong>\u0000 <b>The annual number of hip fractures may double by 2050, placing high demands on the healthcare services. The majority of hip fractures are projected to occur in people with secondary and tertiary education. It is vital to intensify preventive efforts, not least in the high-risk populations.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251325760"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ragnhild L Jacobsen, Olivia Gray, Laura Yerges-Armstrong, Melissa Hendershott, Leivur N Lydersen, Katrin D Apol, Herborg L Johannesen, Torkil Á Steig, Kaja Wasik, Noomi O Gregersen
{"title":"Vitamin D status in the Faroe Islands: insights from the FarGen 2 cohort.","authors":"Ragnhild L Jacobsen, Olivia Gray, Laura Yerges-Armstrong, Melissa Hendershott, Leivur N Lydersen, Katrin D Apol, Herborg L Johannesen, Torkil Á Steig, Kaja Wasik, Noomi O Gregersen","doi":"10.1177/14034948251323196","DOIUrl":"https://doi.org/10.1177/14034948251323196","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate overall vitamin D status in the Faroese population and assess the correlation between vitamin D levels and various sociodemographic and anthropometric factors, including sex, age, exercise, alcohol and tobacco consumption, BMI, body fat percentage, and seasonal variations. To the best of our knowledge, this is the first study of vitamin D levels across all adult age groups within the Faroese population.</p><p><strong>Methods: </strong>P25-hydroxyvitamin D concentrations, anthropometric measurements and questionnaires from 1748 individuals enrolled in the FarGen 2 cohort were collected. Statistical analyses were performed to characterise the distribution and correlates of vitamin D concentration in the population.</p><p><strong>Results: </strong>We observed a high sufficiency of vitamin D in the FarGen cohort, with 74.3% of the cohort having P-25-hydroxyvitamin D levels exceeding the recommended concentration of 50 nmol/l, and only 3.3% having a vitamin D deficiency (<25 nmol/l). The deficiency was mostly observed in younger age groups. Our results indicated significant seasonal fluctuations in vitamin D levels, as well as significant correlations between vitamin D levels, age, sex, BMI, and physical activity.</p><p><strong>Conclusions: </strong>\u0000 <b>Although the study suggests previous interventions have had a positive impact on vitamin D levels among the elderly, our findings emphasise the importance of enhancing awareness about vitamin D supplementation, promoting physical activity and encouraging consumption of vitamin D-rich foods. Such approaches could significantly advance public health initiatives related to vitamin D and general health within the Faroese population.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251323196"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Einar Baldvin Thorsteinsson, Anne-Siri Fismen, Ársæll Már Arnarsson, Katrine Rich Madsen, Charli Eriksson, Curt Hagquist, Birgit Niclasen
{"title":"Time trends and predictors of difficulties in getting to sleep among adolescents from six Nordic countries 2002-2018.","authors":"Einar Baldvin Thorsteinsson, Anne-Siri Fismen, Ársæll Már Arnarsson, Katrine Rich Madsen, Charli Eriksson, Curt Hagquist, Birgit Niclasen","doi":"10.1177/14034948251320808","DOIUrl":"https://doi.org/10.1177/14034948251320808","url":null,"abstract":"<p><strong>Aims: </strong>Sleep difficulties among adolescents are of a significant concern given its associations with adverse health outcomes. The aims of the present study were to examine trends and predictors of self-perceived difficulties in getting to sleep among adolescents in the Nordic countries.</p><p><strong>Methods: </strong>The study was based on cross-sectional data from 10- to 17- year-olds (<i>N</i> = 139,799) from six Nordic countries (Sweden, Iceland, Norway, Denmark, Greenland, and Finland) participating in the international Health Behaviour in School-aged Children (HBSC) study, collected via six survey rounds in the period 2002-2018.</p><p><strong>Results: </strong>Since 2002, the prevalence of self-perceived difficulties in getting to sleep has risen in all Nordic countries. However, from 2014 to 2018, the trend of adolescents reporting difficulty more than weekly increased in Denmark, Finland, Greenland, and Norway, whereas it was mostly stable in Sweden, and Iceland showed a reduction. Predictors of difficulties in getting to sleep varied across countries, but younger age, reduced life satisfaction, decreased physical activity, feeling low, and feeling nervous were common predictors across the six countries. Gender and perceived family wealth had different effects on difficulties getting to sleep in different countries.</p><p><strong>Conclusions: </strong>\u0000 <b>Prevalence of and trends in difficulties getting to sleep varied by country, with a concerning rise identified in Greenland, 2006-2018. Predictors such as feeling low, feeling nervous, age, gender, life satisfaction, physical activity, and perceived family wealth varied by country and thus emphasize the need for tailored interventions to address diverse challenges in adolescent sleep health.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251320808"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Young doctors' attrition and retention in the GP scheme: a national cohort study from Norway.","authors":"Katrine Skyrud, Torill Rotevatn, Henning Øien, Bjørn-Atle Reme","doi":"10.1177/14034948251317465","DOIUrl":"https://doi.org/10.1177/14034948251317465","url":null,"abstract":"<p><strong>Aims: </strong>Several countries struggle with general practitioner (GP) burnout, recruitment and retention. The reasons are not well understood. The aim of this study was to predict the tenure of young GPs in the GP scheme and detect important predictors for remaining or leaving.</p><p><strong>Methods: </strong>Using data from Norwegian registries, LASSO Cox regression models were applied to identify variables, including the personal attributes, appointment details, patient profiles and workload indicators of GPs that predicted GP tenure among GPs under 40 years who joined the Norwegian GP scheme between 1 January 2010 and 31 December 2018. GPs were followed until leaving the scheme or until 31 December 2020.</p><p><strong>Results: </strong>We followed a total of 2038 GPs aged under 40 years old at recruitment. Of these, 499 (24.5%) resigned by 31 December 2020. The most important predictors for remaining in the GP scheme throughout the follow-up period were (a) having a high activity-based income and (b) being a specialist in general medicine. The most important predictors for leaving the GP scheme were (a) working more than 50 days per year in the emergency room and (b) working in less central areas.</p><p><strong>Conclusions: </strong>\u0000 <b>High income, specialisation and a large patient base predicted staying in the GP scheme, whereas working in emergency rooms and less central areas predicted leaving. This study suggests that workload within the GP practice is not the main driver of early retirement.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251317465"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shilpa Rao, Kristine B Gutzkow, Susanne Hyllestad, Solveig Jore, Cathrine Thomsen, Gro D Andersen, Arja Rautio, Khaled Abass, Jim Berner, Anne Lise Brantsæter, Hubert Dirven, Marit Låg, Helle Margarete Meltzer, Ågot Aakra, Johan Øvrevik, Christine Instanes
{"title":"Climate change and health in the Arctic.","authors":"Shilpa Rao, Kristine B Gutzkow, Susanne Hyllestad, Solveig Jore, Cathrine Thomsen, Gro D Andersen, Arja Rautio, Khaled Abass, Jim Berner, Anne Lise Brantsæter, Hubert Dirven, Marit Låg, Helle Margarete Meltzer, Ågot Aakra, Johan Øvrevik, Christine Instanes","doi":"10.1177/14034948241296309","DOIUrl":"10.1177/14034948241296309","url":null,"abstract":"<p><strong>Aim: </strong>Adverse human-driven environmental change, including the climate, is having an increasing impact on the Arctic environment and its ecosystems. There has been immense interest in understanding the health risks related to climate change in the Arctic region. In this article, we review recent evidence related to climate change and its impacts on the health of the Arctic population.</p><p><strong>Methods: </strong>We summarize current evidence related to primary, secondary and tertiary health effects in the Arctic. We explore a broad range of effects on health including increased exposure to extreme weather, impacts from changes in water quality, air quality, contaminant exposure, food systems and patterns of infectious diseases. We also briefly discuss mental health effects in the Arctic. We conclude by examining further challenges and opportunities for research in this field and advocate the need for adaptation options in the Arctic.</p><p><strong>Results: </strong>We find that there is a large amount of literature that is focusing on the human health effects in the Arctic but there are still research gaps in terms of understanding these compared with those at lower latitudes. We point out the need for filling several of these knowledge gaps to project future health effects of climate change in the Arctic.</p><p><strong>Conclusions: </strong>\u0000 <b>There is a need for integrated adaptation strategies in the Arctic that fully account for the health impacts and consider indigenous perspectives.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":"53 2","pages":"207-214"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helle Margrete Meltzer, Marianne H Abel, Helle K Knutsen, Anna Amberntsson, Anne Lise Brantsæter, Isabelle Budin-Ljøsne, Trine Husøy, Nina Iszatt, Kaja Lund-Iversen, Mari M Paulsen, Cathrine Thomsen, Liv Elin Torheim, Line S Haug
{"title":"What is a sustainable diet in the Norwegian context?","authors":"Helle Margrete Meltzer, Marianne H Abel, Helle K Knutsen, Anna Amberntsson, Anne Lise Brantsæter, Isabelle Budin-Ljøsne, Trine Husøy, Nina Iszatt, Kaja Lund-Iversen, Mari M Paulsen, Cathrine Thomsen, Liv Elin Torheim, Line S Haug","doi":"10.1177/14034948241269763","DOIUrl":"10.1177/14034948241269763","url":null,"abstract":"<p><strong>Introduction: </strong>Sustainable diets promote health and wellbeing and have low environmental impact. They should be accessible, affordable, safe, equitable and culturally acceptable. Translating these general principles into Norwegian-specific dietary recommendations is essential, as foods beneficial for health tend to also be environmentally sustainable. Following the dietary recommendations is an important step towards sustainability.</p><p><strong>Aim: </strong>To identify challenges and potential solutions for transitioning towards more sustainable diets in Norway.</p><p><strong>Methods: </strong>We used scientific articles, reports, policy documents, and statistics on Norwegian food production and consumption to discuss a sustainable diet in a Norwegian context.</p><p><strong>Results and discussion: </strong>There is a large gap between dietary guidelines and actual consumption. More than 60% of the calories in the Norwegian diet are based on imported foods and feed. Changing people's diet is identified as central in transforming the food system to become more sustainable, as is prioritizing the use of local resources. Good animal health and welfare are also fundamental premises for a sustainable food system.</p><p><strong>Conclusions: </strong><i>Transitioning to a more sustainable diet requires comprehensive efforts at multiple levels. There is considerable room for action to increase the use of Norwegian resources in a sustainable and responsible way. Potential strategies include reducing meat intake in favour of plant-based foods and fish, consuming more local products, decreasing food waste and supporting agricultural practices that promote environmental and social sustainability. A more sustainable diet may also lead to significantly increased self-sufficiency and food security in Norway</i>.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"195-206"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing research and policy in climate and health in the Nordic countries: Key challenges and opportunities for future action.","authors":"Shilpa Rao","doi":"10.1177/14034948241296193","DOIUrl":"10.1177/14034948241296193","url":null,"abstract":"<p><strong>Aim: </strong>This editorial presents state of the art developments in research and policy in the newly emerging field of climate and health and examines the gaps in research, the relevance of Nordic research in a global context, and the need to place the climate-health agenda in the policy space.</p><p><strong>Methods: </strong>We use a set of articles from the Special Issue on 'Climate change and health in the Nordic countries' in this journal to understand current research in climate and health. We identify three emerging areas that characterize the current focus of research: modelling climate change-induced exposures; health cross-linkages of the climate health agenda and targeted communication. On linking the ongoing research with several recent policies and projects within the EU and Nordic countries, we identify vital questions where future research needs to concentrate and discuss the challenges associated with this.</p><p><strong>Results: </strong>We identify three key questions related to interaction, vulnerable groups and equitable adaptation that will be crucial to future risk. We highlight a need for integrated study designs and innovative data analysis tools to help answer these questions.</p><p><strong>Conclusion: </strong>\u0000 <b>We conclude with proposing a path forward for the 'Climate and Health' research and policy agenda in the years to come.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"115-118"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shilpa Rao, Kristin Aunan, Isabelle Budin-Ljøsne, Francesco Di Ruscio, Antonio Gasparrini, Pierre Masselot, Matteo Pinna Pintor, Zuzana Nordeng, Reija Ruuhela, Bernadette Kumar
{"title":"The need for health equitable climate adaptation policies in Northern Europe.","authors":"Shilpa Rao, Kristin Aunan, Isabelle Budin-Ljøsne, Francesco Di Ruscio, Antonio Gasparrini, Pierre Masselot, Matteo Pinna Pintor, Zuzana Nordeng, Reija Ruuhela, Bernadette Kumar","doi":"10.1177/14034948241290074","DOIUrl":"10.1177/14034948241290074","url":null,"abstract":"<p><p>Socioeconomic conditions remain an important factor in determining health outcomes in Northern Europe. In this commentary, we argue for evidence-based temperature-related climate adaptation policies in Northern Europe that account for disparities in socioeconomic conditions and aim at universal health coverage. We highlight the role of spatial and occupational disparities in urban areas that can be important factors in increased physical and mental health impacts related to heat and cold. We further highlight how these factors interplay with exposure to air pollution and access to green areas and worsen health conditions. Adaptation to changing climatic conditions requires both physiological acclimatization and behavioral adaptation, both of which are difficult to assess for socioeconomically deprived communities. We argue for more equitable climate adaptation strategies that include i) better integration of health in climate change adaptation plans; ii) building climate resilient communities, and iii) integrated surveillance and health systems. These actions could be vital in spearheading research in new cross-cutting areas like climate change, migration, and health.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"215-218"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ola Løkken Nordrum, Ingrid Mobacke, Tuija MäNnistö, Martin Schønemann-Lund, Hjalti Már Björnsson, Lisbet Sviland
{"title":"The climate crisis is a health crisis: A Statement by Nordic Doctors for Planetary Health and Climate Action.","authors":"Ola Løkken Nordrum, Ingrid Mobacke, Tuija MäNnistö, Martin Schønemann-Lund, Hjalti Már Björnsson, Lisbet Sviland","doi":"10.1177/14034948241302923","DOIUrl":"10.1177/14034948241302923","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":"53 2","pages":"223-224"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626530","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}
Isabelle Budin-Ljøsne, Zuzana Nordeng, Per Everhard Schwarze, Shilpa Rao
{"title":"Linking climate change adaptation and public health: perspectives of Norwegian policymakers.","authors":"Isabelle Budin-Ljøsne, Zuzana Nordeng, Per Everhard Schwarze, Shilpa Rao","doi":"10.1177/14034948241229486","DOIUrl":"10.1177/14034948241229486","url":null,"abstract":"<p><strong>Aims: </strong>To explore the perspectives of selected Norwegian climate and health policymakers working at national and municipality level regarding how health is accounted for in climate change adaptation plans.</p><p><strong>Methods: </strong>Semi-structured digital interviews were conducted with representatives from eight municipalities participating in a national network for climate change adaptation, one political unit and five national public administrations working in climate, health, environment, preparedness, and civil protection.</p><p><strong>Results: </strong>Municipalities coordinate the development of climate change adaptation plans with support from key national actors. Although municipalities were experienced in preparing for extreme climate events and securing infrastructure, limited consideration was given to health in the climate change adaptation work. Such integration was hindered by lack of resources and knowledge regarding what to do, and lack of collaboration between municipality sectors. To connect climate change adaptation and health better, the representatives suggested providing evidence-based information regarding health impacts of climate change, developing concrete tools including warning systems, and implementing regional, national, and international projects to map the impact of climate change and raise capacity. The representatives called for more stringent national guidelines for the integration of health in climate change adaptation, and pinpointed that lessons learnt from the COVID-19 pandemic will enable municipalities to be better prepared and more adaptable in the future.</p><p><strong>Conclusions: </strong>\u0000 <b>\u0000 <i>Governmental authorities should provide more concrete guidance regarding the integration of health in climate change adaptation plans. Public health authorities have a central role to play in supporting such endeavours.</i>\u0000 </b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"125-133"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}