Nutrition Clinique et Metabolisme最新文献

英文中文

Algerian initiative guidelines on hospital nutrition 阿尔及利亚医院营养指南倡议

IF 0.5 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-08-08 DOI: 10.1016/j.nupar.2024.04.007

Fatima Zohra Boutata , Ibrahim Sersar , Meriem Bencharif

Objectives

The aim of this article was to study the quality of hospital-provided nutrition in Algeria, to understand possible deficiencies and weaknesses and then propose appropriate recommendations based on the recommendations of The ESPEN, the AFDN, and the SFNCM guidelines.

Materials and methods

The energetic and nutritional value of served meals throughout the week in four public hospitals in east Algeria was calculated. The menus proposed by the dietician of each hospital were used. Energy and nutrient values for each food item were calculated using “CIQUAL Table, 2016”.

Results

The energy average per day was 9759 ± 1111.6 kJ (2332 kcal), and the macronutrients averages per day were: 106 ± 9.2 g, 65 ± 20.5 g, and 326 ± 39.3 g for proteins, lipids and carbohydrates respectively. Results showed imbalance in macronutrients, severe deficiency in healthy fats and micronutrients. Several types of food are absent or insufficient, or proposed in inaccurate types and quantities in hospital menus. The absence and shortage of some types of food and the inaccuracy of types and quantities were the main reasons for the imbalance of the proposed menus in hospitals. We propose a series of evidence-based recommendations tailored to the Algerian healthcare context especially by offering multiple meal choices, addressing macronutrient proportions, and ensuring that diets are responsive to individual patient needs.

Conclusion

Nutrition approach in the hospitals concerned with the study is to reconsider, taking into account hospital menus and all the factors of reduced food intake, to prevent and treat hospital malnutrition and minimize its clinical and economic outcomes.

本文旨在研究阿尔及利亚医院提供的营养质量，了解可能存在的不足和弱点，然后根据 ESPEN、AFDN 和 SFNCM 指南的建议提出适当的建议。采用的是每家医院营养师建议的菜单。结果每天的平均能量为 9759 ± 1111.6 千焦（2332 千卡），每天的平均宏量营养素为：106 ± 9.2 克、65.5 克、106 ± 9.2 克：蛋白质、脂类和碳水化合物的日平均含量分别为：106 ± 9.2 克、65 ± 20.5 克和 326 ± 39.3 克。结果显示，宏量营养素失衡，健康脂肪和微量营养素严重缺乏。在医院的菜单中，有几种食物缺乏或不足，或提出的种类和数量不准确。一些食物种类的缺失和短缺以及种类和数量的不准确是导致医院建议菜单失衡的主要原因。我们提出了一系列适合阿尔及利亚医疗环境的循证建议，特别是通过提供多种膳食选择、解决宏量营养素比例问题以及确保膳食满足患者的个性化需求。

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引用次数: 0

Effects of vitamin D supplementation on patients with chronic heart failure: A meta-analysis 维生素 D 补充剂对慢性心力衰竭患者的影响：荟萃分析

IF 0.5 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-08-08 DOI: 10.1016/j.nupar.2024.05.001

Qian Tang , Lin Liu , Lin Liu , Min Chen

Objective

To systematically evaluate the effect of vitamin D supplementation on cardiac function in patients with chronic heart failure.

Methods

Search multiple databases to find randomized controlled trials of vitamin D for chronic heart failure from the self-built database until September 1, 2023. Meta-analysis was performed using RevMan5.3 and Stata15.0 software.

Results

Eighteen articles were included. Vitamin D supplementation has improved left ventricular ejection fraction [WMD = 3.18%, 95%CI (1.07, 5.3), P < 0.05] and 6-minute walking distance [MD = −11.54, 95%CI (−22,215, −0.871), P < 0.05], has decreased left ventricular end-diastolic diameter [MD = −1.67, 95%CI (−2.88, −0.46), P < 0.05], left ventricular end-diastolic volume [MD = −11.94, 95%CI (−20.59, −3.29), P < 0.05], N-terminal forebrain natriuretic peptide [WMD = −0.7, 95%CI (0.24, 1.16), P < 0.05].

Conclusion

Vitamin D supplementation can improve cardiac function, inhibit ventricular remodeling, and increase exercise endurance inpatients with chronic heart failure.

INPLASY registration number

202440032.

目的系统评估维生素D补充剂对慢性心力衰竭患者心脏功能的影响。方法检索多个数据库，从自建数据库中找到截至2023年9月1日的维生素D治疗慢性心力衰竭的随机对照试验。结果共纳入18篇文章。维生素 D 补充剂改善了左心室射血分数[WMD = 3.18%，95%CI (1.07, 5.3)，P <0.05]和 6 分钟步行距离[MD = -11.54，95%CI (-22,215, -0.871, P <0.05]。871), P < 0.05]，左心室舒张末期直径[MD = -1.67, 95%CI (-2.88, -0.46), P < 0.05]、左心室舒张末期容积[MD = -11.结论补充维生素 D 可改善慢性心力衰竭患者的心功能、抑制心室重塑并提高运动耐力。

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引用次数: 0

L’éditorial de la présidente de la SNFCM SNFCM 主席的社论

IF 0.5 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-08-08 DOI: 10.1016/j.nupar.2024.07.001

Francisca Joly

引用次数: 0

Dietary inflammatory potential in relation to COVID-19 severity and symptoms among individuals recovered from COVID-19: A cross-sectional study 饮食炎症潜能值与 COVID-19 严重程度和 COVID-19 康复者症状的关系：横断面研究

IF 0.5 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-08-06 DOI: 10.1016/j.nupar.2024.07.002

Mohammad Nemati , Fatemeh Almasi , Fateme Barforoush , Minoo Akbarzadeh Morshedi , Armin Ebrahimzadeh , Alireza Milajerdi , Ahmad Esmaillzadeh

Background

Inflammation plays a great role in the pathogenesis of COVID-19 as a life-threatening epidemic. This study was conducted to investigate relationship between dietary inflammatory index (DII) and severity and symptoms of COVID-19.

Methods

In total, 683 patients recovered from COVID-19 were included. Dietary intakes of participants were assessed using a validated 168-item FFQ. Outcomes of interest were including severity of disease, symptoms, hospitalization, hypoxia, need to respiratory support, severe lung infection, disease duration, hospitalization, recovery after hospitalization and respiratory support as well as serum level of CRP and ESR.

Results

Participants at the highest quartile of DII score had higher risk of COVID-19 severity (OR: 1.80; 95% CI: 1.01, 3.20), duration of recovery (OR: 1.74; 95% CI: 1.01, 3.02), hypoxia (OR: 2.04, 95% CI: 1.08–3.83), needs to respiratory support (OR: 3.82; 95% CI: 2.08, 7.03), and long disease duration (OR: 2.63; 95% CI: 1.41, 4.89), and higher levels of CRP and ESR (P-value < 0.001). Moreover, risk of COVID-19 symptoms including dyspnea, cough, fever, chills, weakness, myalgia, chest pain, headache, vertigo, sore throat, nausea and vomiting and anorexia was higher among those patients; but no such an association was found for the risk of hospitalization, severe lung infection, hospital duration, duration of respiratory support, blood pressure, pulse rate and respiratory rate.

Conclusion

We found that high DII was associated with greater risk of severe disease, higher levels of serum inflammatory markers and lower life satisfaction in patients with COVID-19. Further, prospective studies are required to confirm our findings.

背景炎症在COVID-19这一威胁生命的流行病的发病机制中起着重要作用。本研究旨在探讨膳食炎症指数（DII）与 COVID-19 的严重程度和症状之间的关系。方法：共纳入了 683 名 COVID-19 康复者，采用经过验证的 168 项 FFQ 评估参与者的膳食摄入量。研究结果包括疾病严重程度、症状、住院治疗、缺氧、呼吸支持需求、严重肺部感染、病程、住院治疗、住院后恢复情况、呼吸支持以及血清 CRP 和 ESR 水平。80；95% CI：1.01，3.20）、恢复持续时间（OR：1.74；95% CI：1.01，3.02）、缺氧（OR：2.04，95% CI：1.08-3.83）、需要呼吸支持（OR：3.82；95% CI：2.08，7.03）和病程长（OR：2.63；95% CI：1.41，4.89）的风险更高，CRP和ESR水平更高（P值< 0.001）。此外，这些患者出现 COVID-19 症状（包括呼吸困难、咳嗽、发热、寒战、乏力、肌痛、胸痛、头痛、眩晕、咽痛、恶心呕吐和厌食）的风险较高；但在住院风险、严重肺部感染、住院时间、呼吸支持时间、血压、脉搏和呼吸频率方面均未发现这种关联。结论我们发现，高 DII 与 COVID-19 患者更高的严重疾病风险、更高的血清炎症标志物水平和更低的生活满意度相关。需要进一步的前瞻性研究来证实我们的发现。

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引用次数: 0

Assessment of the impact of adherence to gluten-free diet and other determinants on quality of life in children, adolescents and adults with celiac disease using specific instruments: A systematic review with meta-analysis 使用特定工具评估坚持无麸质饮食及其他决定因素对患有乳糜泻的儿童、青少年和成人生活质量的影响：系统回顾与荟萃分析

IF 0.5 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-08-06 DOI: 10.1016/j.nupar.2024.04.005

Morad Guennouni , Nadia Hidar , Aicha Yacouti , Mustapha Mouallif , Raja Hazime , Noureddine Elkhoudri , Mohamed Cherkaoui , Saad El Madani , Aicha Bourrahouat , Abderraouaf Hilali , Brahim Admou

Objectives

Celiac disease (CD) is an autoimmune disease that affects many aspects of patients including their quality of life (QoL). The aim of this meta-analysis was to highlight the impact of gluten-free diet (GFD) adherence on QoL using specific instruments.

Materials and methods

The included studies should meet to PRISMA guidelines. Thirty-nine studies using developed or adapted specific instruments were included in review, and 25 of them were included in meta-analysis.

Results

In overall, the results showed a neutral QoL both in children and adolescents (47.81, 95% CI [40.50; 55.12]), and in adults (45.12, 95% CI [38.24; 52.00]). The QoL was low in subscales related to GFD such as “Diet” in CD-Dux, “Inadequate treatment” in CD-QoL and in “Dietary burden” in CD-AQ instruments. In children, the QoL was higher in patients adhering to GFD, with mean difference (MD) estimated at 8.24 (95% CI [5.11; 11.37]; P < 0.00001). All studies used CD-Dux as specific instrument and the results showed that the QoL was significantly lower in proxies than their children and adolescents (MD −5.60, 95% CI [−8.06; −3.15]; P < 0.00001). In adults, no significant difference was observed regarding the impact of GFD adherence on QoL (MD 3.68, 95% CI [−0.53; 7.88]; P = 0.09).

Conclusion

Using specific instruments, this meta-analysis highlighted a reduced QoL in subscales related to GFD, and has been improved after GFD adherence.

目的：乳糜泻（CD）是一种自身免疫性疾病，会影响患者的许多方面，包括生活质量（QoL）。本荟萃分析旨在利用特定工具强调坚持无麸质饮食（GFD）对 QoL 的影响。结果总体而言，结果显示儿童和青少年（47.81，95% CI [40.50；55.12]）以及成人（45.12，95% CI [38.24；52.00]）的 QoL 均为中性。在与胃食管反流有关的子量表中，如 CD-Dux 中的 "饮食"、CD-QoL 中的 "治疗不足 "和 CD-AQ 工具中的 "饮食负担"，QoL 都较低。在儿童中，接受胃食管反流治疗的患者的 QoL 更高，平均差异 (MD) 估计为 8.24 (95% CI [5.11; 11.37]; P < 0.00001)。所有研究都使用 CD-Dux 作为特定工具，结果显示，代理人的 QoL 明显低于儿童和青少年（MD -5.60，95% CI [-8.06; -3.15]；P < 0.00001）。在成人中，没有观察到坚持 GFD 对 QoL 影响的明显差异（MD 3.68，95% CI [-0.53; 7.88]；P = 0.09）。

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引用次数: 0

Issue contents 议题内容

IF 0.6 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-05-21 DOI: 10.1016/S0985-0562(24)00081-5

引用次数: 0

Prochains congrès et réunions 即将举行的会议

IF 0.6 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-05-02 DOI: 10.1016/j.nupar.2024.04.004

引用次数: 0

L’éditorial de la présidente de la SNFCM SNFCM 主席的社论

IF 0.6 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-05-01 DOI: 10.1016/j.nupar.2024.04.003

Francisca Joly

引用次数: 0

Actions alimentation-nutrition pratiquées dans les établissements médicosociaux et de santé de Nouvelle-Aquitaine, intérêt et utilisation des services proposés par le centre de ressources en nutrition (Cerenut) de cette région 新阿基坦大区社会医疗和卫生机构的食品和营养倡议，对大区营养资源中心（Cerenut）所提供服务的兴趣和使用情况

IF 0.6 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-04-30 DOI: 10.1016/j.nupar.2024.04.001

Carole Villemonteix , Corentin Varrier , Manon Avril , Christelle Mourot , Sandra Guérin , Yann Auribeau , Jean-Claude Desport , Jean-Louis Fraysse

Introduction and objective

The functioning of establishments for elderly or disabled people regarding food and nutrition is poorly understood. In the French Nouvelle-Aquitaine region, there is a Nutrition Resource Center (Cerenut) responsible for helping establishments on these issues. The study aimed to find out the main food and nutrition actions practiced in medico-social and health establishments in Nouvelle-Aquitaine, their perception of the interest of the various services offered by Cerenut and the levels of use of these services.

Method

A secure questionnaire was sent electronically to 2625 establishments. Declarative data was collected automatically over a period of one month.

Results

The number of responding establishments was 172 (6.6% of establishments contacted). The use of oral nutritional supplements, weighing at least once a month and the presence of a menu committee were the most frequent actions. Nutritional issues were an important concern for establishment budgets. The nutritional assessment of residents upon entry and the use of dietary time remained infrequent, as did the practice of enteral nutrition. Establishments for people with disabilities were the worst off. Cerenut's services relating to team training were considered the most interesting and the most used.

Conclusion

Several fundamental food and nutrition actions were not carried out in the establishments surveyed, likely to hamper the nutritional assessment of residents, their care and the enhancement of their stays. Cerenut offers training and can provide structures with appropriate assistance in many cases.

导言和目标人们对老年人或残疾人机构在食品和营养方面的运作情况知之甚少。在法国新阿基坦大区，有一个营养资源中心（Cerenut）负责帮助机构解决这些问题。这项研究旨在了解新阿基坦大区医疗社会和卫生机构开展的主要食品和营养行动、他们对 Cerenut 提供的各种服务的兴趣以及对这些服务的使用程度。在一个月的时间内，自动收集了申报数据。结果：172 家企业做出了答复（占所联系企业的 6.6%）。使用口服营养补充剂、每月至少称体重一次以及成立菜单委员会是最常见的措施。营养问题是机构预算的一个重要关注点。入住者入院时的营养评估和饮食时间的使用，以及肠内营养的做法仍不常见。残疾人机构的情况最为糟糕。Cerenut提供的与团队培训相关的服务被认为是最有意义的，也是使用率最高的。Cerenut 可提供培训，并在许多情况下为机构提供适当的帮助。

{"title":"Actions alimentation-nutrition pratiquées dans les établissements médicosociaux et de santé de Nouvelle-Aquitaine, intérêt et utilisation des services proposés par le centre de ressources en nutrition (Cerenut) de cette région","authors":"Carole Villemonteix , Corentin Varrier , Manon Avril , Christelle Mourot , Sandra Guérin , Yann Auribeau , Jean-Claude Desport , Jean-Louis Fraysse","doi":"10.1016/j.nupar.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.nupar.2024.04.001","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>The functioning of establishments for elderly or disabled people regarding food and nutrition is poorly understood. In the French Nouvelle-Aquitaine region, there is a Nutrition Resource Center (Cerenut) responsible for helping establishments on these issues. The study aimed to find out the main food and nutrition actions practiced in medico-social and health establishments in Nouvelle-Aquitaine, their perception of the interest of the various services offered by Cerenut and the levels of use of these services.</p></div><div><h3>Method</h3><p>A secure questionnaire was sent electronically to 2625 establishments. Declarative data was collected automatically over a period of one month.</p></div><div><h3>Results</h3><p>The number of responding establishments was 172 (6.6% of establishments contacted). The use of oral nutritional supplements, weighing at least once a month and the presence of a menu committee were the most frequent actions. Nutritional issues were an important concern for establishment budgets. The nutritional assessment of residents upon entry and the use of dietary time remained infrequent, as did the practice of enteral nutrition. Establishments for people with disabilities were the worst off. Cerenut's services relating to team training were considered the most interesting and the most used.</p></div><div><h3>Conclusion</h3><p>Several fundamental food and nutrition actions were not carried out in the establishments surveyed, likely to hamper the nutritional assessment of residents, their care and the enhancement of their stays. Cerenut offers training and can provide structures with appropriate assistance in many cases.</p></div>","PeriodicalId":54702,"journal":{"name":"Nutrition Clinique et Metabolisme","volume":"38 2","pages":"Pages 82-87"},"PeriodicalIF":0.6,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077615","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}

引用次数: 0

Is plasma citrulline a good marker of hemodynamic status in malnourished patients with anorexia nervosa? 血浆瓜氨酸是神经性厌食症营养不良患者血液动力学状态的良好标志吗？

IF 0.6 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Nutrition Clinique et Metabolisme

Pub Date : 2024-04-30 DOI: 10.1016/j.nupar.2024.04.002

Lama Mattar , Maeva Duquesnoy , Mouna Hanachi , Nathalie Neveux , Tristan Gabriel Segard , Marika Dicembre , Lee S. Nguyen , Jean Claude Melchior , Abdallah Fayssoil

Objective

Malnourished patients with anorexia nervosa (AN) have lower plasma citrulline level compared to healthy controls. Citrulline is a non-essential amino-acid synthetized by the enterocyte and has functions affecting cardiovascular status. The aim of the study is to describe citrulline plasma level and to assess its relationship with hemodynamic status in a cohort of malnourished adult patients with AN.

Methods

A retrospective observational study including malnourished patients with AN hospitalized between January 2018 and January 2019 for the treatment of severe malnutrition was carried out. Anthropometric measures, biochemical tests, and cardiac function indicators including doppler echocardiographic parameters were evaluated.

Results

Forty-eight patients with a median age of 29 [21–35.5] years old and body mass index (BMI) of 12 [10.5–-13.4] kg/m² were included. Median systolic blood pressure (SBP) and median diastolic blood pressure (DBP) were respectively 99 [90–110] mmHg and 68 [59–73] mmHg. Median left ventricular ejection fraction (LVEF) was at 65 [58–69] %. Plasma citrulline level was under the normal range in 58% of patients and was positively correlated with fat mass, stroke volume, and left ventricular end diastolic volume, but not BMI.

Conclusion

Citrulline level may be an innovative associated marker of hemodynamic status in malnourished patients with AN. Further research and prospective studies are needed to elucidate the specific pathways involved.

目的与健康对照组相比，营养不良的神经性厌食症（AN）患者的血浆瓜氨酸水平较低。瓜氨酸是一种由肠细胞合成的非必需氨基酸，具有影响心血管状态的功能。本研究旨在描述一组营养不良的成年 AN 患者的瓜氨酸血浆水平，并评估其与血流动力学状态的关系。方法开展了一项回顾性观察研究，包括 2018 年 1 月至 2019 年 1 月期间住院治疗严重营养不良的营养不良 AN 患者。结果纳入48名患者，中位年龄为29 [21-35.5]岁，体重指数（BMI）为12 [10.5--13.4] kg/m2。中位收缩压（SBP）和中位舒张压（DBP）分别为 99 [90-110] mmHg 和 68 [59-73] mmHg。左心室射血分数（LVEF）中位数为 65 [58-69] %。58%的患者血浆瓜氨酸水平低于正常范围，与脂肪量、每搏量和左心室舒张末期容积呈正相关，但与体重指数无关。需要进一步的研究和前瞻性研究来阐明其中的具体途径。

{"title":"Is plasma citrulline a good marker of hemodynamic status in malnourished patients with anorexia nervosa?","authors":"Lama Mattar , Maeva Duquesnoy , Mouna Hanachi , Nathalie Neveux , Tristan Gabriel Segard , Marika Dicembre , Lee S. Nguyen , Jean Claude Melchior , Abdallah Fayssoil","doi":"10.1016/j.nupar.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.nupar.2024.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>Malnourished patients with anorexia nervosa (AN) have lower plasma citrulline level compared to healthy controls. Citrulline is a non-essential amino-acid synthetized by the enterocyte and has functions affecting cardiovascular status. The aim of the study is to describe citrulline plasma level and to assess its relationship with hemodynamic status in a cohort of malnourished adult patients with AN.</p></div><div><h3>Methods</h3><p>A retrospective observational study including malnourished patients with AN hospitalized between January 2018 and January 2019 for the treatment of severe malnutrition was carried out. Anthropometric measures, biochemical tests, and cardiac function indicators including doppler echocardiographic parameters were evaluated.</p></div><div><h3>Results</h3><p>Forty-eight patients with a median age of 29 [21–35.5] years old and body mass index (BMI) of 12 [10.5–-13.4] kg/m<sup>2</sup> were included. Median systolic blood pressure (SBP) and median diastolic blood pressure (DBP) were respectively 99 [90–110] mmHg and 68 [59–73] mmHg. Median left ventricular ejection fraction (LVEF) was at 65 [58–69] %. Plasma citrulline level was under the normal range in 58% of patients and was positively correlated with fat mass, stroke volume, and left ventricular end diastolic volume, but not BMI.</p></div><div><h3>Conclusion</h3><p>Citrulline level may be an innovative associated marker of hemodynamic status in malnourished patients with AN. Further research and prospective studies are needed to elucidate the specific pathways involved.</p></div>","PeriodicalId":54702,"journal":{"name":"Nutrition Clinique et Metabolisme","volume":"38 2","pages":"Pages 114-119"},"PeriodicalIF":0.6,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077609","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}

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