Mohsen Aliabadi, Marziyeh Saghebjoo, Bagher Yakhchali, Vahid Shariati
{"title":"Interaction between high-intensity interval training and high-protein diet on gut microbiota composition and body weight in obese male rats.","authors":"Mohsen Aliabadi, Marziyeh Saghebjoo, Bagher Yakhchali, Vahid Shariati","doi":"10.1139/apnm-2023-0071","DOIUrl":"10.1139/apnm-2023-0071","url":null,"abstract":"<p><p>Diet and exercise are two critical factors that regulate gut microbiota, affecting weight management. The present study investigated the effect of 10 weeks of high-intensity interval training (HIIT) and a high-protein diet (HPD) on gut microbiota composition and body weight changes in obese male Wistar rats. Forty obese rats were randomly divided into five groups, including HPD, HIIT + HPD, HIIT + high-fat diet (HFD) (continuing HFD during intervention), obese control 1 (continuing HFD during intervention), obese control 2 (cutting off HFD at the beginning of the intervention and continuing standard diet), and eight non-obese Wistar rats as a non-obese control (NOC) group (standard diet). Microbial community composition and diversity analysis by sequencing 16S rRNA genes derived from the fecal samples, body weight, and Lee index were assessed. The body weight and Lee index in the NOC, HIIT + HFD, HPD, and HIIT + HPD groups were significantly lower than that in the OC1 and OC2 groups along with the lower body weight and Lee index in the HPD and HIIT + HPD groups compared with the HIIT + HFD group. Also, HFD consumption and switching from HFD to a standard diet or HPD increased gut microbiota dysbiosis. Furthermore, HIIT along with HFD increased the adverse effects of HFD on gut microbiota, while the HIIT + HPD increased microbial richness, improved gut microbiota dysbiosis, and changed rats' phenotype to lean. It appears that HFD discontinuation without doing HIIT does not improve gut microbiota dysbiosis. Also, the HIIT + HFD, HPD, and HIIT + HPD slow down HFD-induced weight gain, but HIIT + HPD is a more reliable strategy for weight management due to its beneficial effects on gut microbiota composition.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10467221","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}
Thomas A Deshayes, Timothée Pancrate, Eric D B Goulet
{"title":"Effect of electric fan use in isolation or combined with ice slurry/cold water ingestion and lower-leg immersion in young men during intermittent physical activity in hot-humid conditions.","authors":"Thomas A Deshayes, Timothée Pancrate, Eric D B Goulet","doi":"10.1139/apnm-2023-0013","DOIUrl":"10.1139/apnm-2023-0013","url":null,"abstract":"<p><p>Using a randomized crossover protocol, 10 young men completed four 180 min exposures (38 °C, 60% relative humidity), alternating between 30 min of walking and 30 min of sitting where fluid or ice slurry were served. Participants underwent four trials: (i) 5 mL·kg body mass<sup>-1</sup> of 20 °C water (CON); (ii) 5 mL·kg body mass<sup>-1</sup> of 20 °C water + fan at 4 m·s<sup>-1</sup> (FAN); (iii) fan + 3 mL·kg body mass<sup>-1</sup> of ice slurry + 2 mL·kg body mass<sup>-1</sup> of 4 °C water (FAN + ISCW); and (iv) FAN + ISCW + lower-leg immersion in 20 °C water (FAN + ISCW + LLI). Sweat and body mass losses were higher with FAN than CON, FAN + ISCW, and FAN + ISCW + LLI. Mean and peak changes in Δrectal temperature, heart rate, and perceived heat and thirst from baseline were not statistically and practically different between FAN and CON. FAN + ISCW + LLI decreased sweat loss compared with FAN + ISCW and mean and peak changes in Δrectal temperature, heart rate, and perceived thirst compared with CON. FAN + ISCW + LLI also attenuated the changes in Δrectal temperature (peak) and thirst (mean and peak) compared with FAN. In conclusion, FAN slightly exacerbates fluid loss but does not attenuate the changes in Δrectal temperature, heart rate, and perceived heat and thirst during intermittent physical activity in hot-humid conditions. However, coupling ISCW or ISCW + LLI with the use of a fan attenuates the increase in these outcomes compared with no intervention and to a greater extent for rectal temperature and thirst when fan is coupled with ISCW + LLI than when it is used in isolation.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10216614","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}
Myles W O'Brien, Beverly D Schwartz, Madeline E Shivgulam, W Seth Daley, Ryan J Frayne, Derek S Kimmerly
{"title":"Higher habitual lying time is inversely associated with vagal-related heart rate variability outcomes in younger adults.","authors":"Myles W O'Brien, Beverly D Schwartz, Madeline E Shivgulam, W Seth Daley, Ryan J Frayne, Derek S Kimmerly","doi":"10.1139/apnm-2023-0167","DOIUrl":"10.1139/apnm-2023-0167","url":null,"abstract":"<p><p>Heart rate variability (HRV) is a well-established noninvasive marker of autonomic cardiac control. We test whether time spent sitting (negatively) versus lying (positively) influences vagal HRV outcomes. HRV (10 min supine electrocardiogram) and free-living postures (dual-accelerometer configuration, 7 days) were measured in 31 young healthy adults (15♀, age: 23 ± 3 years). Habitual lying (66 ± 61 min/day), but not sitting time (558 ± 109 min/day), total sedentary time (623 ± 132 min/day), nor step counts (10 752 ± 3200 steps/day; all, <i>p ></i> 0.090), was associated with root mean square of successive cardiac interval differences (ρ = -0.409, <i>p =</i> 0.022) and normalized high-frequency HRV (ρ = -0.361, <i>p</i> = 0.046). These findings document a paradoxical negative impact of waking lying time on cardioautonomic function. <b>Take home message</b> Using a multi-accelerometer configuration, we demonstrated that more habitual waking time lying, but not sitting or total sedentary time, was associated with worse vagally mediated cardiac control.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10574687","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}
Andrea Corazzi Pelosi, Pedro Paulo Menezes Scariot, Ana Luíza Paula Garbuio, Maurício Beitia Kraemer, Denise Gonçalves Priolli, Ivan Gustavo Masselli Dos Reis, Leonardo Henrique Dalcheco Messias
{"title":"A systematic review of exercise protocols applied to athymic mice in tumor-related experiments.","authors":"Andrea Corazzi Pelosi, Pedro Paulo Menezes Scariot, Ana Luíza Paula Garbuio, Maurício Beitia Kraemer, Denise Gonçalves Priolli, Ivan Gustavo Masselli Dos Reis, Leonardo Henrique Dalcheco Messias","doi":"10.1139/apnm-2023-0027","DOIUrl":"10.1139/apnm-2023-0027","url":null,"abstract":"<p><p>Athymic mice are unable to produce T-cells and are then characterized as immunodeficient. This characteristic makes these animals ideal for tumor biology and xenograft research. New non-pharmacological therapeutics are required owing to the exponential increase in global oncology costs over the last 10 years and the high cancer mortality rate. In this sense, physical exercise is regarded as a relevant component of cancer treatment. However, the scientific community lacks information regarding the effect of manipulating training variables on cancer in humans, and experiments with athymic mice. Therefore, this systematic review aimed to address the exercise protocols used in tumor-related experiments using athymic mice. The PubMed, Web of Science, and Scopus databases were searched without restrictions on published data. A combination of key terms such as athymic mice, nude mice, physical activity, physical exercise, and training was used. The database search retrieved 852 studies (PubMed, 245; Web of Science, 390; and Scopus, 217). After title, abstract, and full-text screening, 10 articles were eligible. Based on the included studies, this report highlights the considerable divergences in the training variables adopted for this animal model. No studies have reported the determination of a physiological marker for intensity individualization. Future studies are recommended to explore whether invasive procedures can result in pathogenic infections in athymic mice. Moreover, time-consuming tests cannot be applied to experiments with specific characteristics such as tumor implantation. In summary, non-invasive, low-cost, and time-saving approaches can suppress these limitations and improve the welfare of these animals during experiments.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10030202","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}
Danilo F da Silva, Chris M Edwards, Jessica L Puranda, Émilie Miller, Kevin Semeniuk, Kristi B Adamo
{"title":"Sex disparities in self-reported musculoskeletal injuries in the Canadian Armed Forces.","authors":"Danilo F da Silva, Chris M Edwards, Jessica L Puranda, Émilie Miller, Kevin Semeniuk, Kristi B Adamo","doi":"10.1139/apnm-2023-0029","DOIUrl":"10.1139/apnm-2023-0029","url":null,"abstract":"<p><p>Recent comprehensive systematic reviews indicate that females are at greater risk of musculoskeletal injuries (MSKi) than males in military populations. Considering the Canadian Armed Forces (CAF) goal of increasing female representation in the next few years, exploring these trends is essential. We aimed to determine the association between biological sex and MSKi in the CAF. An online survey was conducted with active-duty and former CAF members aged 18-65 years. Sex disparities in MSKi (acute or repetitive strain [RSI]) were analyzed using bivariate associations and binary logistic regressions with significance level at <i>p</i> < 0.05. Analyses were stratified by military environment (i.e., Army, Navy, and Air Force). From the 1947 respondents whose biological sex was reported, 855 were females and 1092 were males. Rates of RSI sustained by females and males while serving were 76.2% and 70.5% (<i>p</i> = 0.011), respectively, whereas 61.4% of females reported acute injuries compared to 63.7% of males (<i>p</i> = 0.346). Females were more likely to report overall RSI (adjusted odds ratio [aOR]: 1.397; 95% confidence intervals [CI]: 1.068-1.829), RSI having a greater impact on daily activities (aOR [95%CI]: 2.979 [2.093-4.239]) and greater impact on career progress/length (aOR [95%CI]: 1.448 [1.066-1.968]). Acute injuries, also more prevalent in females, were reported to have a greater impact on daily activities (aOR [95%CI]: 1.688 [1.198-2.379]). This study highlights sex disparities in MSKi prevalence and outcomes. Females within the CAF sample presented greater likelihood of reporting RSI, perceived impact of RSI on daily activities and career progress/length, and perceived impact of acute injuries on daily activities.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9915304","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}
Elizabeth Mansfield, Rana Wahba, Jacynthe Lafrenière, Elaine De Grandpré
{"title":"A risk-based labelling strategy for supplemented foods in Canada: consumer perspectives.","authors":"Elizabeth Mansfield, Rana Wahba, Jacynthe Lafrenière, Elaine De Grandpré","doi":"10.1139/apnm-2022-0391","DOIUrl":"10.1139/apnm-2022-0391","url":null,"abstract":"<p><strong>Novelty: </strong>Risk-based labelling strategy for supplemented foods Strategy goes beyond the general requirements for prepackaged foods.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432876","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}
Amber Hager, Vera Mazurak, Michelle Noga, Susan M Gilmour, Diana Mager
{"title":"Skeletal muscle fibre morphology in childhood-insights into myopenia in pediatric liver disease.","authors":"Amber Hager, Vera Mazurak, Michelle Noga, Susan M Gilmour, Diana Mager","doi":"10.1139/apnm-2023-0033","DOIUrl":"10.1139/apnm-2023-0033","url":null,"abstract":"<p><strong>Take-home message: </strong>Skeletal muscle morphology in healthy children changes with age. Liver disease may preferentially affect type II fibres in adults with end-stage liver disease (ESLD). More research is needed on the effects of ESLD on muscle morphology in children.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10101536","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}
Dandara Baia Bonifácio, Ana Paula Silva Caldas, Mirian Aparecida de Campos Costa, Daniela Mayumi Usuda Prado Rocha, Helen Hermana Miranda Hermsdorff, Josefina Bressan
{"title":"Acute effect of a beverage containing Brazil and cashew nuts on oxidative stress, lipemia, and blood pressure of women with cardiometabolic risk (Brazilian Nuts Study): a randomized clinical trial.","authors":"Dandara Baia Bonifácio, Ana Paula Silva Caldas, Mirian Aparecida de Campos Costa, Daniela Mayumi Usuda Prado Rocha, Helen Hermana Miranda Hermsdorff, Josefina Bressan","doi":"10.1139/apnm-2023-0049","DOIUrl":"10.1139/apnm-2023-0049","url":null,"abstract":"<p><p>Nuts are important sources of antioxidants that combat oxidative stress and improve lipid profile as well as vascular function. However, the intake of typical Brazilian nuts and its acute effect on cardiovascular health needs to be better understood. Thus, the present study aimed to evaluate the acute effect of a beverage containing cashew (<i>Anacardium occidentale</i> L.) and Brazil nuts (<i>Bertholletia excelsa</i> H.B.K.) on postprandial oxidative stress, lipemia, and blood pressure of adult women aged 20 to 55 years with cardiometabolic risk. This was an acute, randomized, parallel arm, controlled clinical trial. The participants received either a beverage containing nuts (30 g Brazil nuts + 15 g cashew nuts) or a beverage without nuts with similar macronutrient composition. Oxidative stress markers and lipid profiles were evaluated at fasting and 4 h after beverage consumption. Blood pressure was measured during fasting and after beverage intake (1, 2, 3, and 4 h). In the postprandial state, there was a greater reduction in malondialdehyde levels in the intervention group compared to the control group (-12.3 ± 0.59 vs. -10.7 ± 0.43 µmol/mL; <i>p</i> < 0.05), which was positively correlated with the concentrations of TG (<i>r</i> = 0.399; <i>p</i> < 0.05), VLDL (<i>r</i> = 0.399; <i>p</i> < 0.05), TG/HDL (<i>r</i> = 0.380; <i>p</i> < 0.05), and blood pressure (iAUC SBP <i>r</i> = 0.391; <i>p</i> < 0.05, iAUC DBP <i>r</i> = 0.409; <i>p</i> < 0.05). The remaining oxidative stress markers showed similar postprandial changes between groups. In women with cardiometabolic risk, a beverage containing Brazilian nuts promoted a significant acute reduction on postprandial malondialdehyde levels. The study was registered in the Brazilian Clinical Trials Registry-ReBEC (protocol: RBR-3ntxrm).</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10347827","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}
Steven Heymsfield, Carla M Prado, Maria Cristina Gonzalez
{"title":"Skeletal muscle-focused guideline development: hierarchical model incorporating muscle form, function, and clinical outcomes.","authors":"Steven Heymsfield, Carla M Prado, Maria Cristina Gonzalez","doi":"10.1139/apnm-2023-0176","DOIUrl":"10.1139/apnm-2023-0176","url":null,"abstract":"<p><p>Sarcopenia, sarcopenic obesity, malnutrition, and cachexia clinical guidelines were created by expert consensus over the past decade. These pathological states all share in common deficits in skeletal muscle mass, and in some cases muscle function, which adversely impact patient outcomes. Early identification is key as some detrimental outcomes are potentially preventable with available treatments. The four guidelines share common design features: patients suspected of having the condition are first screened with a focused clinical history; if positive, the next step is evaluation with either a measure of body \"form\" (e.g., mass, shape, and composition) or function (e.g., mechanical, endurance, and metabolic); combined form and functional criteria are also recognized. The form and functional \"gateway\" nodes establish whether or not to proceed with further evaluations and treatments. Intensive discussions among experts focus on selection of these gateway nodes and the final choice is made when consensus is reached. Form and functional measures are often treated as equivalent alternatives when framed in the context of \"outcomes\" for which they are intended to predict. Here we adapt a classic biological concept stating that \"function follows form\" to show that pathophysiological links are present between these two different muscle qualities and clinical outcomes. We argue that a hierarchy exists such that outcomes closely follow functions that, in turn, follow form…the OFF rule. The OFF rule explains why functional measures often show stronger associations with outcomes than those quantifying form, helps to frame debates on how to structure the gateway nodes used to identify patients for further evaluation and treatment, and sets out a pathophysiological structure for developing future outcome prediction models.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10192449","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}
Alexis Marcotte-Chénard, René Maréchal, Ahmed Ghachem, Alan Cohen, Eléonor Riesco
{"title":"Achievement of the ABC goal among Canadians with type 2 diabetes and the influence of physical activity: data from the Canadian Health Measures Survey.","authors":"Alexis Marcotte-Chénard, René Maréchal, Ahmed Ghachem, Alan Cohen, Eléonor Riesco","doi":"10.1139/apnm-2022-0395","DOIUrl":"10.1139/apnm-2022-0395","url":null,"abstract":"<p><p>Achieving the three therapeutics targets known as ABC (A1c ≤ 7.0%, LDL-C < 2.0 mmol/L, and resting BP < 130/80 mmHg), limiting sedentary behaviors as well as accumulating a total of 150 min/week of moderate-to-vigorous aerobic exercise reduce the risk of cardiovascular disease in type 2 diabetes (T2D) individuals. However, more recent data regarding the achievement of ABC over time in Canada is needed and it remains to be determined how sedentary behaviors and physical activity levels can influence its achievement. Analyses were performed using a total of 17 582 individuals (18-79 years) from the 2007-2017 Canadian Health Measures Survey. Sedentary behaviors and physical activity levels were estimated using an accelerometer for a total of 7 consecutive days and quartiles of physical activity were used to categorize individuals. The prevalence of T2D has increased from 2007 to 2017 in the Canadian population (from 4.80% to 8.38%) with a considerable number of undiagnosed patients. The achievement of ABC went from 11.53% [11.49%-11.57%] in 2007 to 14.84% [14.80%-14.89%] in 2017 in T2D individuals. Moderate-to-vigorous physical activity (MVPA) levels were positively but weakly correlated to the achievement of the ABC (<i>r</i> = 0.044; <i>p</i> = 0.001), while sedentary time and light physical activity were not (<i>r</i> < -0.014; <i>p</i> = 0.266). Only 8.8% of individuals with the lowest level of MVPA (Q1) reached the ABC while 15.1% of the most active individuals (Q4) reached the triple target. In addition to physical activity, other important factors such as body mass index and medication use should also be considered as modifiable contributing factors.</p>","PeriodicalId":8116,"journal":{"name":"Applied Physiology, Nutrition, and Metabolism","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10180266","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}