High Prevalence of Vitamin D Deficiency in Native versus Migrant Mothers and Newborns in the North of Italy: A Call to Act with a Stronger Prevention Program
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{"title"=>"High prevalence of vitamin D deficiency in native versus migrant mothers and newborns in the North of Italy: A call to act with a stronger prevention program", "type"=>"journal", "authors"=>[{"first_name"=>"Francesco", "last_name"=>"Cadario", "scopus_author_id"=>"6602948634"}, {"first_name"=>"Silvia", "last_name"=>"Savastio", "scopus_author_id"=>"13205593000"}, {"first_name"=>"Corrado", "last_name"=>"Magnani", "scopus_author_id"=>"7005390896"}, {"first_name"=>"Tiziana", "last_name"=>"Cena", "scopus_author_id"=>"24480356700"}, {"first_name"=>"Veronica", "last_name"=>"Pagliardini", "scopus_author_id"=>"43761572100"}, {"first_name"=>"Giorgio", "last_name"=>"Bellomo", "scopus_author_id"=>"7102102450"}, {"first_name"=>"Marco", "last_name"=>"Bagnati", "scopus_author_id"=>"6603202526"}, {"first_name"=>"Matteo", "last_name"=>"Vidali", "scopus_author_id"=>"6701602998"}, {"first_name"=>"Erica", "last_name"=>"Pozzi", "scopus_author_id"=>"55752733500"}, {"first_name"=>"Stella", "last_name"=>"Pamparana", "scopus_author_id"=>"56712873800"}, {"first_name"=>"Mauro", "last_name"=>"Zaffaroni", "scopus_author_id"=>"7006496968"}, {"first_name"=>"Giulia", "last_name"=>"Genoni", "scopus_author_id"=>"54410430600"}, {"first_name"=>"Gianni", "last_name"=>"Bona", "scopus_author_id"=>"7102986345"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84936109336", "pmid"=>"26067469", "doi"=>"10.1371/journal.pone.0129586", "pui"=>"605092285", "isbn"=>"1932-6203", "sgr"=>"84936109336"}, "id"=>"575cb9c6-5f05-39bc-bff0-008dadabcb43", "abstract"=>"BACKGROUND: Vitamin D status during pregnancy is related to neonatal vitamin D status. Vitamin D deficiency has been associated with an increased risk of rickets in children and osteomalacia in adults. Aim of this study was to investigate 25OHD levels in maternal serum and in neonatal blood spots in native and migrant populations living in Novara (North Italy, 45°N latitude).\\n\\nMETHODS AND FINDINGS: We carried out a cross sectional study from April 1st 2012 to March 30th 2013, in a tertiary Care Center. Maternal blood samples after delivery and newborns' blood spots were analyzed for 25OHD levels in 533 pairs. Maternal country of origin, skin phototype, vitamin D dietary intake and supplementation during pregnancy were recorded. Multivariate regression analysis, showed a link between neonatal and maternal 25OHD levels (R-square:0.664). Severely deficient 25OHD values (<25 nmol/L) were found in 38% of Italian and in 76.2% of migrant's newborns (p <0.0001), and in 18% of Italian and 48,4% of migrant mothers (p <0.0001) while 25OHD deficiency (≥25 and <50 nmol/L) was shown in 40.1% of Italian and 21.7% of migrant's newborns (p <0.0001), and in 43.6% of Italian and 41.3% of migrant mothers (p <0.0001). Italian newborns and mothers had higher 25OHD levels (34.4±19.2 and 44.9±21.2nmol/L) than migrants (17.7±13.7 and 29.7±16.5nmol/L; p<0.0001). A linear decrease of 25OHD levels was found with increasing skin pigmentation (phototype I 42.1 ±18.2 vs phototype VI 17.9±10.1 nmol/l; p<0.0001). Vitamin D supplementation resulted in higher 25OHD values both in mothers and in their newborns (p<0.0001).\\n\\nCONCLUSIONS: Vitamin D insufficiency in pregnancy and in newborns is frequent especially among migrants. A prevention program in Piedmont should urgently be considered and people identified as being at risk should be closely monitored. Vitamin D supplementation should be taken into account when considering a preventative health care policy.", "link"=>"http://www.mendeley.com/research/high-prevalence-vitamin-d-deficiency-native-versus-migrant-mothers-newborns-north-italy-call-act-str", "reader_count"=>46, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>3, "Researcher"=>3, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>6, "Other"=>6, "Student > Master"=>6, "Student > Bachelor"=>6, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>3, "Researcher"=>3, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>6, "Other"=>6, "Student > Master"=>6, "Student > Bachelor"=>6, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Nursing and Health Professions"=>6, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>23, "Agricultural and Biological Sciences"=>5, "Arts and Humanities"=>1, "Veterinary Science and Veterinary Medicine"=>1, "Psychology"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>1}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>6}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>6}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>7}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/2107729"], "description"=>"<p>Flowchart of the enrolled subjects.</p>", "links"=>[], "tags"=>["phototype", "April 1 st 2012", "25 OHD levels", "Vitamin D Supplementation", "25 OHD values", "vitamin D status", "Maternal blood samples", "newborn", "pregnancy", "Vitamin D deficiency", "multivariate regression analysis", "nmol", "Health care policy", "Prevention Program BackgroundVitamin D status", "blood spots", "vi"], "article_id"=>1446795, "categories"=>["Biological Sciences"], "users"=>["Francesco Cadario", "Silvia Savastio", "Corrado Magnani", "Tiziana Cena", "Veronica Pagliardini", "Giorgio Bellomo", "Marco Bagnati", "Matteo Vidali", "Erica Pozzi", "Stella Pamparana", "Mauro Zaffaroni", "Giulia Genoni", "Gianni Bona"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0129586.g001", "stats"=>{"downloads"=>2, "page_views"=>23, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flowchart_of_the_enrolled_subjects_/1446795", "title"=>"Flowchart of the enrolled subjects.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-06-11 03:32:35"}
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  • {"files"=>["https://ndownloader.figshare.com/files/2107733"], "description"=>"<p>Data are expressed as frequencies (number %) or as mean±SD.</p><p>Vitamin D levels (25OHD; nmol/l) in newborns and mothers overall and according to seasonality (Endocrine criteria).</p>", "links"=>[], "tags"=>["phototype", "April 1 st 2012", "25 OHD levels", "Vitamin D Supplementation", "25 OHD values", "vitamin D status", "Maternal blood samples", "newborn", "pregnancy", "Vitamin D deficiency", "multivariate regression analysis", "nmol", "Health care policy", "Prevention Program BackgroundVitamin D status", "blood spots", "vi"], "article_id"=>1446799, "categories"=>["Biological Sciences"], "users"=>["Francesco Cadario", "Silvia Savastio", "Corrado Magnani", "Tiziana Cena", "Veronica Pagliardini", "Giorgio Bellomo", "Marco Bagnati", "Matteo Vidali", "Erica Pozzi", "Stella Pamparana", "Mauro Zaffaroni", "Giulia Genoni", "Gianni Bona"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0129586.t002", "stats"=>{"downloads"=>5, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Vitamin_D_levels_25OHD_nmol_l_in_newborns_and_mothers_overall_and_according_to_seasonality_Endocrine_criteria_/1446799", "title"=>"Vitamin D levels (25OHD; nmol/l) in newborns and mothers overall and according to seasonality (Endocrine criteria).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-11 03:32:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/2107734"], "description"=>"<p>Data are expressed as frequencies or as mean±SD and number (%).</p><p>Maternal vitamin D supplementation and dietary intake during pregnancy in Italian and migrants.</p>", "links"=>[], "tags"=>["phototype", "April 1 st 2012", "25 OHD levels", "Vitamin D Supplementation", "25 OHD values", "vitamin D status", "Maternal blood samples", "newborn", "pregnancy", "Vitamin D deficiency", "multivariate regression analysis", "nmol", "Health care policy", "Prevention Program BackgroundVitamin D status", "blood spots", "vi"], "article_id"=>1446800, "categories"=>["Biological Sciences"], "users"=>["Francesco Cadario", "Silvia Savastio", "Corrado Magnani", "Tiziana Cena", "Veronica Pagliardini", "Giorgio Bellomo", "Marco Bagnati", "Matteo Vidali", "Erica Pozzi", "Stella Pamparana", "Mauro Zaffaroni", "Giulia Genoni", "Gianni Bona"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0129586.t003", "stats"=>{"downloads"=>6, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Maternal_vitamin_D_supplementation_and_dietary_intake_during_pregnancy_in_Italian_and_migrants_/1446800", "title"=>"Maternal vitamin D supplementation and dietary intake during pregnancy in Italian and migrants.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-11 03:32:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/2107735"], "description"=>"<p>Data are expressed as mean±SD.</p><p>S: subjects supplemented with vitamin D; Not S: subjects not supplemented with vitamin D</p><p>Comparison between vitamin D levels (25OHD) in newborns and mothers supplemented or not supplemented with vitamin D.</p>", "links"=>[], "tags"=>["phototype", "April 1 st 2012", "25 OHD levels", "Vitamin D Supplementation", "25 OHD values", "vitamin D status", "Maternal blood samples", "newborn", "pregnancy", "Vitamin D deficiency", "multivariate regression analysis", "nmol", "Health care policy", "Prevention Program BackgroundVitamin D status", "blood spots", "vi"], "article_id"=>1446801, "categories"=>["Biological Sciences"], "users"=>["Francesco Cadario", "Silvia Savastio", "Corrado Magnani", "Tiziana Cena", "Veronica Pagliardini", "Giorgio Bellomo", "Marco Bagnati", "Matteo Vidali", "Erica Pozzi", "Stella Pamparana", "Mauro Zaffaroni", "Giulia Genoni", "Gianni Bona"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0129586.t004", "stats"=>{"downloads"=>2, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_between_vitamin_D_levels_25OHD_in_newborns_and_mothers_supplemented_or_not_supplemented_with_vitamin_D_/1446801", "title"=>"Comparison between vitamin D levels (25OHD) in newborns and mothers supplemented or not supplemented with vitamin D.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-11 03:32:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/2107736"], "description"=>"<p>Number and percentage of subjects under vitamin D supplementation (400 IU per day) showing sufficient levels of vitamin D (25OHD≥50 nmol/L).</p>", "links"=>[], "tags"=>["phototype", "April 1 st 2012", "25 OHD levels", "Vitamin D Supplementation", "25 OHD values", "vitamin D status", "Maternal blood samples", "newborn", "pregnancy", "Vitamin D deficiency", "multivariate regression analysis", "nmol", "Health care policy", "Prevention Program BackgroundVitamin D status", "blood spots", "vi"], "article_id"=>1446802, "categories"=>["Biological Sciences"], "users"=>["Francesco Cadario", "Silvia Savastio", "Corrado Magnani", "Tiziana Cena", "Veronica Pagliardini", "Giorgio Bellomo", "Marco Bagnati", "Matteo Vidali", "Erica Pozzi", "Stella Pamparana", "Mauro Zaffaroni", "Giulia Genoni", "Gianni Bona"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0129586.t005", "stats"=>{"downloads"=>6, "page_views"=>44, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_and_percentage_of_subjects_under_vitamin_D_supplementation_400_IU_per_day_showing_sufficient_levels_of_vitamin_D_25OHD_8805_50_nmol_L_/1446802", "title"=>"Number and percentage of subjects under vitamin D supplementation (400 IU per day) showing sufficient levels of vitamin D (25OHD≥50 nmol/L).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-11 03:32:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/2107737"], "description"=>"<div><p>Background</p><p>Vitamin D status during pregnancy is related to neonatal vitamin D status. Vitamin D deficiency has been associated with an increased risk of rickets in children and osteomalacia in adults. Aim of this study was to investigate 25OHD levels in maternal serum and in neonatal blood spots in native and migrant populations living in Novara (North Italy, 45°N latitude).</p><p>Methods and Findings</p><p>We carried out a cross sectional study from April 1st 2012 to March 30th 2013, in a tertiary Care Center. Maternal blood samples after delivery and newborns' blood spots were analyzed for 25OHD levels in 533 pairs. Maternal country of origin, skin phototype, vitamin D dietary intake and supplementation during pregnancy were recorded. Multivariate regression analysis, showed a link between neonatal and maternal 25OHD levels (R-square:0.664). Severely deficient 25OHD values (<25 nmol/L) were found in 38% of Italian and in 76.2% of migrant’s newborns (p <0.0001), and in 18% of Italian and 48,4% of migrant mothers (p <0.0001) while 25OHD deficiency (≥25 and <50 nmol/L) was shown in 40.1% of Italian and 21.7% of migrant’s newborns (p <0.0001), and in 43.6% of Italian and 41.3% of migrant mothers (p <0.0001). Italian newborns and mothers had higher 25OHD levels (34.4±19.2 and 44.9±21.2nmol/L) than migrants (17.7±13.7 and 29.7±16.5nmol/L; p<0.0001). A linear decrease of 25OHD levels was found with increasing skin pigmentation (phototype I 42.1 ±18.2 vs phototype VI 17.9±10.1 nmol/l; p<0.0001). Vitamin D supplementation resulted in higher 25OHD values both in mothers and in their newborns (p<0.0001).</p><p>Conclusions</p><p>Vitamin D insufficiency in pregnancy and in newborns is frequent especially among migrants. A prevention program in Piedmont should urgently be considered and people identified as being at risk should be closely monitored. Vitamin D supplementation should be taken into account when considering a preventative health care policy.</p></div>", "links"=>[], "tags"=>["phototype", "April 1 st 2012", "25 OHD levels", "Vitamin D Supplementation", "25 OHD values", "vitamin D status", "Maternal blood samples", "newborn", "pregnancy", "Vitamin D deficiency", "multivariate regression analysis", "nmol", "Health care policy", "Prevention Program BackgroundVitamin D status", "blood spots", "vi"], "article_id"=>1446803, "categories"=>["Biological Sciences"], "users"=>["Francesco Cadario", "Silvia Savastio", "Corrado Magnani", "Tiziana Cena", "Veronica Pagliardini", "Giorgio Bellomo", "Marco Bagnati", "Matteo Vidali", "Erica Pozzi", "Stella Pamparana", "Mauro Zaffaroni", "Giulia Genoni", "Gianni Bona"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0129586", "stats"=>{"downloads"=>5, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/High_Prevalence_of_Vitamin_D_Deficiency_in_Native_versus_Migrant_Mothers_and_Newborns_in_the_North_of_Italy_A_Call_to_Act_with_a_Stronger_Prevention_Program/1446803", "title"=>"High Prevalence of Vitamin D Deficiency in Native <i>versus</i> Migrant Mothers and Newborns in the North of Italy: A Call to Act with a Stronger Prevention Program", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-06-11 03:32:35"}

PMC Usage Stats | Further Information

  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"6"}
  • {"unique-ip"=>"34", "full-text"=>"37", "pdf"=>"21", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"8", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"22", "full-text"=>"25", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"16", "full-text"=>"14", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"37", "full-text"=>"36", "pdf"=>"17", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"24", "full-text"=>"21", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"18", "full-text"=>"15", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"24", "full-text"=>"23", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"19", "full-text"=>"28", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"14", "full-text"=>"12", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"17", "full-text"=>"18", "pdf"=>"13", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"9", "full-text"=>"9", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"10", "full-text"=>"11", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"9", "full-text"=>"9", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"9"}
  • {"unique-ip"=>"11", "full-text"=>"13", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"16", "full-text"=>"17", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"10", "full-text"=>"7", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"9", "full-text"=>"9", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"13", "full-text"=>"13", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"16", "full-text"=>"18", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"12", "full-text"=>"12", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"11", "full-text"=>"9", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"8", "full-text"=>"7", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"10", "full-text"=>"10", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"10", "full-text"=>"9", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"5", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"13", "full-text"=>"12", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"10", "full-text"=>"9", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"11", "full-text"=>"9", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"8", "full-text"=>"9", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"10", "full-text"=>"9", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"12", "full-text"=>"12", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"12", "full-text"=>"11", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"8", "full-text"=>"5", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"10", "full-text"=>"11", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"15", "full-text"=>"15", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"13", "full-text"=>"8", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"10", "full-text"=>"10", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"9", "full-text"=>"5", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"18", "full-text"=>"16", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"3", "full-text"=>"2", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}
  • {"unique-ip"=>"10", "full-text"=>"7", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}
  • {"unique-ip"=>"15", "full-text"=>"17", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"3"}
  • {"unique-ip"=>"13", "full-text"=>"14", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"10", "full-text"=>"9", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"3", "full-text"=>"2", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"7", "full-text"=>"4", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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