{"title":"A Cross Sectional Assessment of the Profile of Risk Factors of Non-Communicable Diseases Among Health Care Staff of a Tertiary Cancer Hospital.","authors":"Naveen Khargekar, Anuj Singh, Tulika Shruti, Satyajit Pradhan","doi":"10.15280/jlm.2022.12.2.98","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.2.98","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable disease (NCD) is the leading cause of death, accounting for 70% of total death globally, and posing a major public health challenge. In India, nearly 5.8 million people (WHO report, 2015) die from NCDs every year. The basic element of NCD prevention is the identification of the associated risk factors and risk modification. The objective of the current study was conducted to assess the prevalence of risk factors for NCDs among healthcare staff of the two units of a Tertiary Cancer Hospital in Varanasi, India, using WHO STEPS approach.</p><p><strong>Methods: </strong>This cross sectional study was conducted among 528 participants who were willing to participate in the study, from among 967 healthcare staffs of the two units of the Tertiary Cancer Hospital. The participants were interviewed and the anthropometric and biochemical parameters were measured.</p><p><strong>Results: </strong>The prevalence of risk factors, associated with NCD, tobacco use, alcohol use, extra salt in diet, less than 5 servings of fruits/vegetables, physical inactivity and self-perceived high stress score was found in 34 (6.43%), 90 (17.04%), 461 (87.3%), 412 (78.03%), 409 (77.4%) and 159 (30.11%) respondents, respectively. Multiple logistic regression revealed that Diabetes was significantly associated with male sex, high BMI and physical inactivity. Hypertension was found significantly associated with male sex, increasing age, tobacco and or alcohol consumption, high BMI and high stress. Dyslipidemia was also found significantly associated with high BMI, male sex, physical inactivity and high stress levels.</p><p><strong>Conclusion: </strong>A high prevalence of risk factors for NCDs was found among the healthcare staff and it is the need of the hour to take preventive measures to reduce the prevailing burden of NCD.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 2","pages":"98-103"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/65/d9/jlm-12-2-98.PMC9490011.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33482471","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}
Gaurav Kapoor, Priyanshi Chauhan, Gurjant Singh, Nitesh Malhotra, A. Chahal
{"title":"Physical Activity for Health and Fitness: Past, Present and Future","authors":"Gaurav Kapoor, Priyanshi Chauhan, Gurjant Singh, Nitesh Malhotra, A. Chahal","doi":"10.15280/jlm.2022.12.1.9","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.9","url":null,"abstract":"It’s a saying “The early we start, the early we attain good health”. Health is a state of complete physical, mental and social well-being and not merely absence of disease Fitness is an ability to execute daily functional activities with optimal performance, endurance, and strength to manage minimalist of disease, fatigue, stress and reduced sedentary behavior. In the modern era with advancement in technology, erosion of physical activity has drastically led to retardation in health and fitness. Hoods of luxurious and competition among students for scores/grades and professionals for promotions/incentives/benefits have deviated people from concentrating towards their health and putting it secondary. In 2016, across the globe, prevalence of physical inactivity was estimated at 27.5%, among adult population. To support further, in June 2018, WHO reported, 1 in five adults, and 4 of five adolescents to pose reduced physical activity. In the current ongoing pandemic era this scenario has been further negatively impacting the society to suffer from psychosocial, financial and economic loss, contributing to lack of physical activity. Health benefits of physical activity are not limited only to improved cardiorespiratory and muscular fitness, bone and cardiometabolic health, and positive effects on weight status, but it also boosts mental health and social health. Acknowledging the significance and urgency of decreasing insufficient physical activity globally, WHO endorsed a Global Action Plan on Physical Activity (GAPPA) at the World Health Assembly in 2018, wherein the member countries agreed to reach a new target of 15% relative reduction in insufficient physical activity among adolescents by 2030.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"9 - 14"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49453558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resilience, Psychological Stress, Physical Activity, and BMI among United States Air National Guardsmen: The COVID-19 Pandemic","authors":"Nicole Ligeza, A. Larson, M. DeBeliso","doi":"10.15280/jlm.2022.12.1.26","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.26","url":null,"abstract":"Background Military service members carry the responsibility to maintain physical and psychological readiness. As such, it is critical for researchers to begin unravelling the widespread impact of the COVID-19 pandemic on service member’s mental and physical wellbeing. The aim of this research was to investigate the complex relationships between BMI, physical activity, psychological stress and resilience among United States Air National Guardsmen (USANG), specifically during the pandemic. Methods An online survey was distributed to USANG members. The survey included measures of resilience (CD-RISC-25), perceived psychological stress (PSS), perceived psychological stress brought on by COVID-19 (COVID-19 PSL), current levels of physical activity (IPAQ-SF), perceived impact on physical activity brought on by COVID-19 (COVID-19 PAL), and BMI. Pearson’s correlation coefficients (r) were used to assess correlation significance (α ≤ 0.05), direction, and magnitude. Results A total of 110 responses met inclusion criteria for data interpretation. A majority reported a decline in physical activity 54.5%, while 60% reported an increase in psychological stress. According to BMI classifications, 60.9% were considered overweight or obese. Seven meaningful (effect size ≥ |2.0|) and statistically significant salient associations were identified resilience-PSS r = -0.38; resilience-COVID-19 PAL r = 0.21; PSS-COVID-19 PSL r = 0.35; PSS-COVID-19 PAL r = -0.23; COVID-19 PSL COVID-19 PAL r = -0.24; IPAQ-SF-BMI r = -0.23; BMI-Covid-19 PAL r = -0.32. Conclusion Key outcomes suggest resilience is inversely associated with assessed and perceived stress, resilience may influence health-related behaviour which subsequently might aid as a protective factor against psychological stress. Knowledge regarding the relationships between the aforementioned variables may help inform decisions by military leadership regarding future lockdowns.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"26 - 36"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48338999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ghufran Jaleel, Muhammad Abu Shaphe, A. Khan, Deepak Malhotra, H. Khan, Sana Parveen, Mohammed Qasheesh, R. Beg, A. Chahal, Fuzail Ahmad, Md Faruque Ahmad
{"title":"Effect of Exercises on Central and Endocrine System for Pain Modulation in Primary Dysmenorrhea","authors":"Ghufran Jaleel, Muhammad Abu Shaphe, A. Khan, Deepak Malhotra, H. Khan, Sana Parveen, Mohammed Qasheesh, R. Beg, A. Chahal, Fuzail Ahmad, Md Faruque Ahmad","doi":"10.15280/jlm.2022.12.1.15","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.15","url":null,"abstract":"Dysmenorrhea is the term for describing complex menstrual flow and painful spasmodic cramps during menstruation, and pain without any pathology is considered Primary Dysmenorrhea (PD). It is the most frequent ailment among women of all ages and races. The pain is dull and throbbing in character and occurs in the lower back and abdomen. Symptoms commonly appear 6 to 12 months after menarche, with the most significant incidence in the late teen and early twenties. Physical exercise is nearly a new non-medical intervention to relieve PD associated pain. Aerobics, stretching and Resistive exercises for 8-12 weeks, either supervised or unsupervised, relieves pain. Exercises are believed to cause hormonal changes in the uterine lining, which reduces PD symptoms. Researchers have presumed different pain-relieving methods, ranging from non-opioids to opioids to hormonal for variations in pain sensitivity. Exercise-induced analgesia provides the central pathway as the primary mechanism for pain reduction while, another way to reducing pain in PD may be a hormonal interaction. The hormonal changes causing exercise-induced pain modulation during the menstruation cycle is not clearly understood and the interaction and activation of all the central and endocrine components, which is a complex mechanism, is also not explained clearly. This study briefly reviews the physiological mechanism of Exercise-induced analgesia and its potent roles in controlling the pathogenesis of PD for pain relief.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"15 - 25"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45134471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Level of Physical Activity Knowledge of Medical Students in a Brazilian University","authors":"Dara Warmling Schlickmann, K. S. Kock","doi":"10.15280/jlm.2022.12.1.47","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.47","url":null,"abstract":"Background Physical inactivity is a major global public health problem, with a large impact on morbidity and mortality. For this reason, knowledge and advice on physical activity (PA) should be common to all health professionals. In this context, the role of physicians stands out, because they act in the first contact and have a high potential in addressing this issue and its impact on health promotion, prevention, and treatment in chronic diseases. This study aims to observe the level of physical activity knowledge of medical students in a university in the south of Brazil. Methods A cross-sectional study was carried out by applying the short and validated version of the International Physical Activity Questionnaire (IPAQ) to collect data on sociodemographic factors, physical activity, knowledge of physical activity, and level of physical activity. Results A total of 294 students were assessed. The average (± SD) age was 22.0 (± 3.3) years. Most were women, and 72.8% presented body mass index within the range 18.5-25 kg/m2. Results showed that 65.6% of the students practice physical activity. There was statistical difference regarding the level of physical activity (p < 0.001) and sitting time on weekdays (p = 0.031) between the groups of physically active and physically inactive individuals. Conclusion It was concluded that the practice of physical activity has no association with the level of knowledge about it. However, by practicing physical activities doctors are better able to motivate and encourage their patients.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"47 - 55"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44179176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Soroush, Armin Naghipour, Behzad Heidarpour, H. Abdollahzad, Roghayeh Nouri, Mohsen Amani, Nadya Baharirad
{"title":"Examining Lifestyle Components in Hospitalized COVID-19 Patients, Iran 2021","authors":"A. Soroush, Armin Naghipour, Behzad Heidarpour, H. Abdollahzad, Roghayeh Nouri, Mohsen Amani, Nadya Baharirad","doi":"10.15280/jlm.2022.12.1.56","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.56","url":null,"abstract":"Background COVID-19 pandemic is a serious health threating element throughout the world. One of the key elements to strengthen the body’s immune system is to follow a healthy lifestyle to deal with health threating. The aim of this study was to evaluate the lifestyle components in COVID-19 patients. Methods This descriptive-analytical study carried on hospitalized COVID-19 patients from October 22, 2020 to January 19, 2021. Demographic characteristics, physical activity, nutritional status, stress and anxiety, and substance abuse were assessed. A simple model and multiple logistic regression model were used. Results About 32% were hospitalized in the intensive care unit (ICU). Healthy lifestyle was observed only in 28%. About 82% had insufficient physical activity, and 67.3% was reported to be unfavorable in nutritional status. Severe stress and anxiety were observed in 30.4% of people. There were significant relationships between age (AOR = 2.11, p = 0.036), education (AOR = 0.35, p = 0.002) and a healthy lifestyle. A significant correlation was observed between ICU admission and unhealthy lifestyle (AOR = 0.40, p = 0.015). Conclusion Unhealthy lifestyle behaviors were seen in the most COVID-19 patients. Considering the significance of lifestyle changes could prove effective in reducing the risk of transmissible viral infections.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"56 - 61"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44908628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Mindfulness Meditation on the Psychosomatic Spectrum of Oral Diseases: Mapping the Evidence","authors":"A. Ganesan, Jeevitha Gauthaman, G. Kumar","doi":"10.15280/jlm.2022.12.1.1","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.1","url":null,"abstract":"The psychological aspect of dis-ease, which is indeed a lack of ‘ease’ is generally overlooked in the management of myriad maladies that affect the human body. The concept of mindfulness meditation, which is an interesting hybrid born from the meditative discipline of the east and the intellectual discipline of the west is gaining attention in the past two decades for its benefits in the holistic development of individuals. When individuals with ailments are trained under therapists supervised by the clinicians, significant results can be seen in alleviating symptoms like pain, stress, anxiety and an improvement in the quality of life is observed. This review article focuses on the structure and basics of mindful meditation and the mechanisms of mindfulness and its positive effects on various diseases like lichen planus, urticaria, psoriasis, eczema, myofacial pain dysfunction syndrome, to name a few. There are various arenas within the discipline of oral and maxillofacial medicine where mindfulness-based techniques can be explored for its effectiveness in combating psychosomatic conditions. The article highlights the importance of holistic approach in treating diseases in which mindfulness meditation techniques play an important role.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45469416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Goessler, B. Gualano, C. Nonino, E. Bonfá, C. F. Nicoletti
{"title":"Lifestyle Interventions and Weight Management in Systemic Lupus Erythematosus Patients: A Systematic Literature Review and Metanalysis","authors":"K. Goessler, B. Gualano, C. Nonino, E. Bonfá, C. F. Nicoletti","doi":"10.15280/jlm.2022.12.1.37","DOIUrl":"https://doi.org/10.15280/jlm.2022.12.1.37","url":null,"abstract":"Background We aimed to identify and describe different types of lifestyle interventions primarily or secondarily focused on weight loss in SLE patients. Methods A systematic search of controlled trials published until June 2021 that assigned adults patients after dietary or exercise intervention resulted in 248 studies initially screened. Results Six studies with seven interventions (3 dietary and 4 exercise training programs) fulfilled the eligibility criteria and were included in the meta-analysis with a median of age 35.8 (31.3 to 49.0 years); median of BMI 26.6 (25.2 to 33.6 kg/m2). After six to twelve weeks of diet or exercise program, no differences were observed in body weight [-1.539 (-4.482 to 1.405) kg (CI 95%), p = 0.306]. Also, a subgroup analysis also revelated no body weight difference following dietary intervention [-3.561 (-9.604 to 2.481) kg (CI 95%), p = 0.248] or exercise intervention [-0.910 (-4.279 to 2.460) kg (CI 95%), p = 0.597]. Conclusion The results showed that different protocols of exercise intervention or diets were not effective to reduce body weight in patients with SLE. However, only one of the selected trials had a specific study design and protocol focusing on weight loss management.","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"12 1","pages":"37 - 46"},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47523074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Sports Physiotherapist in Confronting Exercise Addiction.","authors":"Shana Quraishi, Aksh Chahal","doi":"10.15280/jlm.2021.11.2.47","DOIUrl":"https://doi.org/10.15280/jlm.2021.11.2.47","url":null,"abstract":"<p><p>Everyday physical activity plays an important part in health maintenance and disease prevention. Excess exercise, however, can cause detrimental effects on both physical and mental health. It can also hamper the quality of life to an extent that individual is unable to regulate this behavior. 'Addicted' exercisers are more likely to work out for intrinsic rewards and experience troubling feelings of deprivation. In comparison, 'committed' exercisers participate in physical activity for extrinsic benefits and, when they cannot exercise, do not experience extreme withdrawal symptoms. Sportspersons indulge themselves in long hours of training as a response of their quest to improve endurance and performance in the face of common setbacks. Recognizing the addiction to exercise is also a contentious idea and the aim of this article is to draw an attention towards the same. Exercise Addiction diagnosis needs employment of questionnaires such as Exercise Dependence Scale, Obligatory Exercise Questionnaire, and Exercise Addiction Inventory. They need to be employed in the pre-participation evaluation of an individual participating in any sports event. Physiotherapists are often the first to meet an individual with exercise addiction. Physiotherapists play an important role in diagnosis of exercise addiction as well as in prevention as they are aware of challenges of treating exercise addicted patients and develop specific approaches to deal with their issues. As if it goes unnoticed, the prognosis can even be fatal.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"11 2","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/0d/jlm-11-2-47.PMC8430314.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39436853","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}
Rusally Joy Dungog, Jerre Mae Tamanal, Cheong Hoon Kim
{"title":"The Assessment of Lifestyle Status among High School and College Students in Luzon, Philippines.","authors":"Rusally Joy Dungog, Jerre Mae Tamanal, Cheong Hoon Kim","doi":"10.15280/jlm.2021.11.2.57","DOIUrl":"10.15280/jlm.2021.11.2.57","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle has been one of the central subjects of increasing research interest worldwide and acknowledged as part of the relevant factors of an individual's health status. The World Health Organization defines health as a state of complete physical, mental, and social well-being, and not merely the absence of disease. The purpose of this study is to assess lifestyle status among high school and college students and to explore which sociodemographic variables have influenced such existing healthy lifestyle behaviors.</p><p><strong>Methods: </strong>This is a descriptive cross-sectional study that was conducted among 230 students from the high school and college. The questionnaire included descriptive information and the Healthy Lifestyle Screening Tool (HLST) to assess lifestyle scores among students from the high school and college. Socio-demographic characteristics of students included were perceived family income, domestic status or people living with, school life satisfaction, happiness rate, and self-rated health status.</p><p><strong>Results: </strong>The results of this study showed the significance of lifestyle status among high school and college students having total scores of 106.56 (SD = 28.11) and 100.9 (32.91) respectively. Sociodemographic and health-related characteristics had significance in perceived economic status, life satisfaction, health status, and happiness rate. Furthermore, healthy lifestyle subcomponents had significant differences in water, air, rest, exercise, nutrition, and trust.</p><p><strong>Conclusion: </strong>Healthy lifestyle status among students both in high school and college is low specifically in components such as sunlight, water, air, rest, exercise, nutrition, temperance as well as the general physical condition. Adherence to healthy lifestyle behaviors among students are needing emphasis and guidance through promotion and education. Health education programs and promotions in institutions need to be carried out and be well-implemented for students to achieve and maintain healthy lifestyle behaviors.</p>","PeriodicalId":73805,"journal":{"name":"Journal of lifestyle medicine","volume":"11 2","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/07/jlm-11-2-57.PMC8430313.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39436856","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}