Life Quality Impairment Caused by Hookworm-Related Cutaneous Larva Migrans in Resource-Poor Communities in Manaus, Brazil
Publication Date
November 08, 2011
Journal
PLOS Neglected Tropical Diseases
Authors
Angela Schuster, Hannah Lesshafft, Sinésio Talhari, Silás Guedes De Oliveira, et al
Volume
5
Issue
11
Pages
e1355
DOI
https://dx.plos.org/10.1371/journal.pntd.0001355
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0001355
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/22087341
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3210737
Europe PMC
http://europepmc.org/abstract/MED/22087341
Web of Science
000298134000006
Scopus
82555173749
Mendeley
http://www.mendeley.com/research/life-quality-impairment-caused-hookwormrelated-cutaneous-larva-migrans-resourcepoor-communities-mana
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Mendeley | Further Information

{"title"=>"Life quality impairment caused by hookworm-related cutaneous larva migrans in resource-poor communities in Manaus, Brazil", "type"=>"journal", "authors"=>[{"first_name"=>"Angela", "last_name"=>"Schuster", "scopus_author_id"=>"7102981285"}, {"first_name"=>"Hannah", "last_name"=>"Lesshafft", "scopus_author_id"=>"36098812900"}, {"first_name"=>"Sinésio", "last_name"=>"Talhari", "scopus_author_id"=>"7003932480"}, {"first_name"=>"Silás", "last_name"=>"Guedes de Oliveira", "scopus_author_id"=>"54791988200"}, {"first_name"=>"Ralf", "last_name"=>"Ignatius", "scopus_author_id"=>"7003673138"}, {"first_name"=>"Hermann", "last_name"=>"Feldmeier", "scopus_author_id"=>"7005524209"}], "year"=>2011, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"scopus"=>"2-s2.0-82555173749", "pui"=>"363024980", "pmid"=>"22087341", "issn"=>"19352727", "isbn"=>"1935-2735 (Electronic)\\r1935-2727 (Linking)", "doi"=>"10.1371/journal.pntd.0001355", "sgr"=>"82555173749"}, "id"=>"7cf2dbc6-c8fd-3095-88ca-17dfaba301aa", "abstract"=>"BACKGROUND: Hookworm-related cutaneous larva migrans (CLM) is a common but neglected tropical skin disease caused by the migration of animal hookworm larvae in the epidermis. The disease causes intense pruritus and is associated with important morbidity. The extent to which CLM impairs skin disease-associated life quality has never been studied. METHODS: A modified version of the Dermatology Life Quality Index (mDLQI) was used to determine skin disease-associated life quality in 91 adult and child patients with CLM, living in resource-poor communities in Manaus, Brazil. Symptoms and signs were documented and skin disease-associated life quality was semi-quantitatively assessed using mDLQI scores. The assessment was repeated two and four weeks after treatment with ivermectin. RESULTS: Ninety-one point five percent of the study participants showed a considerable reduction of skin disease-associated life quality at the time of diagnosis. The degree of impairment correlated with the intensity of infection (rho = 0.76, p<0.001), the number of body areas affected (rho = 0.30; p = 0.004), and the presence of lesions on visible areas of the skin (p = 0.002). Intense pruritus, sleep disturbance (due to itching) and the feeling of shame were the most frequent skin disease-associated life quality restrictions (reported by 93.4%, 73.6%, and 64.8% of the patients, respectively). No differences were observed in skin disease-associated life quality restriction between boys and girls or men and women. Two weeks after treatment with ivermectin, skin disease-associated life quality improved significantly. After four weeks, 73.3% of the patients considered their disease-associated life quality to have returned to normal. CONCLUSIONS: CLM significantly impaired the skin disease-associated life quality in child and adult patients living in urban slums in North Brazil. After treatment with ivermectin, life quality normalised rapidly.", "link"=>"http://www.mendeley.com/research/life-quality-impairment-caused-hookwormrelated-cutaneous-larva-migrans-resourcepoor-communities-mana", "reader_count"=>23, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Researcher"=>3, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>7, "Student > Master"=>2, "Other"=>1, "Student > Bachelor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Researcher"=>3, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>7, "Student > Master"=>2, "Other"=>1, "Student > Bachelor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Nursing and Health Professions"=>3, "Medicine and Dentistry"=>9, "Agricultural and Biological Sciences"=>3, "Psychology"=>2, "Social Sciences"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>9}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Unspecified"=>{"Unspecified"=>3}}, "reader_count_by_country"=>{"India"=>1}, "group_count"=>3}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/714229"], "description"=>"<p>Grossly inflamed and superinfected larval track on the thigh of a 8-year-old boy.</p>", "links"=>[], "tags"=>["inflamed", "superinfected", "larval", "8-year-old"], "article_id"=>384577, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.g001", "stats"=>{"downloads"=>4, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Grossly_inflamed_and_superinfected_larval_track_on_the_thigh_of_a_8_year_old_boy_/384577", "title"=>"Grossly inflamed and superinfected larval track on the thigh of a 8-year-old boy.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:49:38"}
  • {"files"=>["https://ndownloader.figshare.com/files/714795"], "description"=>"<p>Excoriated lesion on the left foot of a 9-year-old boy, four weeks after treatment.</p>", "links"=>[], "tags"=>["lesion", "9-year-old", "weeks"], "article_id"=>385154, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.g005", "stats"=>{"downloads"=>1, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Excoriated_lesion_on_the_left_foot_of_a_9_year_old_boy_four_weeks_after_treatment_/385154", "title"=>"Excoriated lesion on the left foot of a 9-year-old boy, four weeks after treatment.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:53:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/715028"], "description"=>"a<p>multiple classifications possible.</p>b<p>pustules, suppuration, abscess.</p>c<p>in case of multiple lesions, appearance of the oldest.</p>", "links"=>[], "tags"=>["characteristics", "patients", "clm"], "article_id"=>385383, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.t002", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_and_demographic_characteristics_of_patients_with_CLM_n_8202_8202_91_/385383", "title"=>"Clinical and demographic characteristics of patients with CLM (n = 91).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:54:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/714926"], "description"=>"a<p>only employed patients analyzed.</p>b<p>n = 87.</p>c<p>n = 7.</p>", "links"=>[], "tags"=>["patients", "clm"], "article_id"=>385290, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.t004", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Impairment_of_life_quality_in_adult_and_child_patients_with_CLM_n_8202_8202_91_/385290", "title"=>"Impairment of life quality in adult and child patients with CLM (n = 91).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:53:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/714995"], "description"=>"<p>Categories of the modified Dermatology Life Quality Index.</p>", "links"=>[], "tags"=>["modified", "dermatology"], "article_id"=>385355, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.t001", "stats"=>{"downloads"=>9, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Categories_of_the_modified_Dermatology_Life_Quality_Index_/385355", "title"=>"Categories of the modified Dermatology Life Quality Index.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:54:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/714960"], "description"=>"a<p>≥2 points of the mDLQI.</p>b<p>only employed patients analyzed.</p>", "links"=>[], "tags"=>["Infectious diseases"], "article_id"=>385325, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.t005", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Improvement_of_life_quality_after_treatment_with_ivermectin_/385325", "title"=>"Improvement of life quality after treatment with ivermectin.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:53:57"}
  • {"files"=>["https://ndownloader.figshare.com/files/714368"], "description"=>"<p>Correlation between severity of CLM and impairment of skin disease-associated life quality (rho = 0.76; p<0.001).</p>", "links"=>[], "tags"=>["severity", "clm", "impairment", "disease-associated"], "article_id"=>384719, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.g002", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Correlation_between_severity_of_CLM_and_impairment_of_skin_disease_associated_life_quality_rho_8202_8202_0_76_p_lt_0_001_/384719", "title"=>"Correlation between severity of CLM and impairment of skin disease-associated life quality (rho = 0.76; p<0.001).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:50:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/715059"], "description"=>"<p>Dermatology life quality impairment in patients with CLM (n = 91).</p>", "links"=>[], "tags"=>["impairment", "patients", "clm"], "article_id"=>385421, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.t003", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Dermatology_life_quality_impairment_in_patients_with_CLM_n_8202_8202_91_/385421", "title"=>"Dermatology life quality impairment in patients with CLM (n = 91).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 11:54:30"}
  • {"files"=>["https://ndownloader.figshare.com/files/714577"], "description"=>"<p>Excoriated lesion on the left foot of a 9-year-old boy, before treatment.</p>", "links"=>[], "tags"=>["lesion", "9-year-old"], "article_id"=>384938, "categories"=>["Infectious Diseases"], "users"=>["Angela Schuster", "Hannah Lesshafft", "Sinésio Talhari", "Silás Guedes de Oliveira", "Ralf Ignatius", "Hermann Feldmeier"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001355.g004", "stats"=>{"downloads"=>4, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Excoriated_lesion_on_the_left_foot_of_a_9_year_old_boy_before_treatment_/384938", "title"=>"Excoriated lesion on the left foot of a 9-year-old boy, before treatment.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 11:51:35"}

PMC Usage Stats | Further Information

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  • {"scanned-page-browse"=>"0", "month"=>"3", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"35", "unique-ip"=>"31", "pdf"=>"20", "year"=>"2012", "figure"=>"4", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"month"=>"4", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"25", "year"=>"2012", "pdf"=>"8", "unique-ip"=>"22", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"scanned-page-browse"=>"0", "month"=>"5", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"37", "unique-ip"=>"26", "pdf"=>"9", "year"=>"2012", "figure"=>"2", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"month"=>"6", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"1", "full-text"=>"27", "year"=>"2012", "pdf"=>"4", "unique-ip"=>"22", "figure"=>"3", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"unique-ip"=>"11", "full-text"=>"10", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"24", "pdf"=>"16", "abstract"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"8"}
  • {"unique-ip"=>"15", "full-text"=>"14", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"9"}
  • {"unique-ip"=>"24", "full-text"=>"21", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"10"}
  • {"unique-ip"=>"20", "full-text"=>"20", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"12"}
  • {"unique-ip"=>"36", "full-text"=>"41", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"1"}
  • {"unique-ip"=>"12", "full-text"=>"15", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"3"}
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  • {"unique-ip"=>"16", "full-text"=>"15", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"11"}
  • {"unique-ip"=>"8", "full-text"=>"11", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"5"}
  • {"unique-ip"=>"10", "full-text"=>"10", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"6"}
  • {"unique-ip"=>"8", "full-text"=>"10", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"22", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"12", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"9"}
  • {"unique-ip"=>"15", "full-text"=>"20", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"10"}
  • {"unique-ip"=>"15", "full-text"=>"15", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"11"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"12"}
  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"1"}
  • {"unique-ip"=>"9", "full-text"=>"9", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"2"}
  • {"unique-ip"=>"5", "full-text"=>"6", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"3"}
  • {"unique-ip"=>"18", "full-text"=>"14", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"5"}
  • {"unique-ip"=>"16", "full-text"=>"25", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"6"}
  • {"unique-ip"=>"21", "full-text"=>"23", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
  • {"unique-ip"=>"20", "full-text"=>"20", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"8"}
  • {"unique-ip"=>"19", "full-text"=>"18", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"9"}
  • {"unique-ip"=>"27", "full-text"=>"26", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"11"}
  • {"unique-ip"=>"15", "full-text"=>"17", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"12"}
  • {"unique-ip"=>"15", "full-text"=>"22", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"1"}
  • {"unique-ip"=>"19", "full-text"=>"23", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"2"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"11", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"3"}
  • {"unique-ip"=>"25", "full-text"=>"31", "pdf"=>"42", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"4"}
  • {"unique-ip"=>"19", "full-text"=>"24", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"5"}
  • {"unique-ip"=>"24", "full-text"=>"28", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"20", "full-text"=>"26", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"25", "full-text"=>"21", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"21", "full-text"=>"21", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"17", "full-text"=>"23", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
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Relative Metric

{"start_date"=>"2011-01-01T00:00:00Z", "end_date"=>"2011-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences/Anatomy and physiology", "average_usage"=>[296, 554, 686, 802, 910, 1014, 1104, 1195, 1277, 1349, 1419, 1483, 1551, 1620, 1690, 1757, 1820, 1888, 1957, 2017, 2081, 2140, 2202, 2259]}, {"subject_area"=>"/Medicine and health sciences/Pathology and laboratory medicine", "average_usage"=>[303, 579, 723, 839, 947, 1049, 1150, 1233, 1314, 1394, 1469, 1544, 1611, 1682, 1753, 1814, 1879, 1949, 2013, 2081, 2166, 2233, 2297, 2350, 2413, 2465, 2528, 2592, 2652, 2722, 2786, 2857, 2916, 2968, 3032, 3083, 3137]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[344, 630, 756, 876, 981, 1083, 1179, 1272, 1346, 1421, 1508, 1583, 1659, 1744, 1809, 1891, 1954, 2030, 2105, 2174, 2247, 2324, 2386, 2441, 2502, 2557, 2621, 2685, 2753, 2825, 2882, 2935, 2989, 3052, 3117, 3181, 3242]}]}
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