Improving Child Oral Health: Cost Analysis of a National Nursery Toothbrushing Programme
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{"title"=>"Improving child oral health: Cost analysis of a national nursery toothbrushing programme", "type"=>"journal", "authors"=>[{"first_name"=>"Yulia", "last_name"=>"Anopa", "scopus_author_id"=>"55558106100"}, {"first_name"=>"Alex D.", "last_name"=>"McMahon", "scopus_author_id"=>"7102763945"}, {"first_name"=>"David I.", "last_name"=>"Conway", "scopus_author_id"=>"8224968500"}, {"first_name"=>"Graham E.", "last_name"=>"Ball", "scopus_author_id"=>"7202347457"}, {"first_name"=>"Emma", "last_name"=>"McIntosh", "scopus_author_id"=>"35234549700"}, {"first_name"=>"Lorna M.D.", "last_name"=>"Macpherson", "scopus_author_id"=>"7005684163"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84942900213", "sgr"=>"84942900213", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0136211", "pmid"=>"26305577", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pui"=>"606195479"}, "id"=>"aa8ab00e-f63d-384b-8fd7-f61250977052", "abstract"=>"UNLABELLED Dental caries is one of the most common diseases of childhood. The aim of this study was to compare the cost of providing the Scotland-wide nursery toothbrushing programme with associated National Health Service (NHS) cost savings from improvements in the dental health of five-year-old children: through avoided dental extractions, fillings and potential treatments for decay. METHODS Estimated costs of the nursery toothbrushing programme in 2011/12 were requested from all Scottish Health Boards. Unit costs of a filled, extracted and decayed primary tooth were calculated using verifiable sources of information. Total costs associated with dental treatments were estimated for the period from 1999/00 to 2009/10. These costs were based on the unit costs above and using the data of the National Dental Inspection Programme and then extrapolated to the population level. Expected cost savings were calculated for each of the subsequent years in comparison with the 2001/02 dental treatment costs. Population standardised analysis of hypothetical cohorts of 1000 children per deprivation category was performed. RESULTS The estimated cost of the nursery toothbrushing programme in Scotland was £1,762,621 per year. The estimated cost of dental treatments in the baseline year 2001/02 was £8,766,297, while in 2009/10 it was £4,035,200. In 2002/03 the costs of dental treatments increased by £213,380 (2.4%). In the following years the costs decreased dramatically with the estimated annual savings ranging from £1,217,255 in 2003/04 (13.9% of costs in 2001/02) to £4,731,097 in 2009/10 (54.0%). Population standardised analysis by deprivation groups showed that the largest decrease in modelled costs was for the most deprived cohort of children. CONCLUSIONS The NHS costs associated with the dental treatments for five-year-old children decreased over time. In the eighth year of the toothbrushing programme the expected savings were more than two and a half times the costs of the programme implementation.", "link"=>"http://www.mendeley.com/research/improving-child-oral-health-cost-analysis-national-nursery-toothbrushing-programme-1", "reader_count"=>29, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>1, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>2, "Student > Bachelor"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>1, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>2, "Student > Master"=>7, "Other"=>2, "Student > Bachelor"=>4, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>19, "Social Sciences"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>19}, "Social Sciences"=>{"Social Sciences"=>4}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Unspecified"=>{"Unspecified"=>2}}, "group_count"=>2}

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  • {"files"=>["https://ndownloader.figshare.com/files/2224940"], "description"=>"<p>The figure shows data for Scotland, 2001/02-2009/10 financial year. The whiskers represent costs / expected savings resulting from actual and anticipated dental treatments in the case of a ‘low GA cost’ and ‘high GA cost’ scenarios.</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520353, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.g002", "stats"=>{"downloads"=>2, "page_views"=>33, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Annual_cost_of_nursery_toothbrushing_programme_and_costs_expected_savings_resulting_from_actual_and_anticipated_dental_treatments_8212_in_comparison_with_2001_02_dental_treatment_costs_/1520353", "title"=>"Annual cost of nursery toothbrushing programme and costs / expected savings resulting from actual and anticipated dental treatments—in comparison with 2001/02 dental treatment costs.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-25 04:27:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/2224941"], "description"=>"<p>Costs of decayed, extracted and filled teeth per 1000 population, by Depcat (Depcat 1 = least deprived, Depcat 7 = most deprived).</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520354, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.g003", "stats"=>{"downloads"=>9, "page_views"=>60, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Costs_of_decayed_extracted_and_filled_teeth_per_1000_population_by_Depcat_Depcat_1_least_deprived_Depcat_7_most_deprived_/1520354", "title"=>"Costs of decayed, extracted and filled teeth per 1000 population, by Depcat (Depcat 1 = least deprived, Depcat 7 = most deprived).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-25 04:27:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/2224942"], "description"=>"<p>Total cost of actual and anticipated dental treatments is a sum of calculated annual costs of extractions, filled teeth and anticipated further cost of decayed teeth.</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520355, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.g004", "stats"=>{"downloads"=>2, "page_views"=>32, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sensitivity_analysis_total_cost_of_actual_and_anticipated_dental_treatments_8212_Scotland_1999_00_2009_10_financial_year_/1520355", "title"=>"Sensitivity analysis: total cost of actual and anticipated dental treatments—Scotland, 1999/00-2009/10 financial year.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-25 04:27:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/2224943"], "description"=>"<p>Unit cost of a filling, 2009 GBP.</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520356, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.t001", "stats"=>{"downloads"=>7, "page_views"=>44, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Unit_cost_of_a_filling_2009_GBP_/1520356", "title"=>"Unit cost of a filling, 2009 GBP.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-25 04:27:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/2224944"], "description"=>"<p>Unit cost of a tooth extraction, 2009 GBP.</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520357, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.t002", "stats"=>{"downloads"=>3, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Unit_cost_of_a_tooth_extraction_2009_GBP_/1520357", "title"=>"Unit cost of a tooth extraction, 2009 GBP.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-25 04:27:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/2224945"], "description"=>"<p>All costs / expected savings are reported in 2009 British pound sterling (GBP, £).</p><p>* Source: General Register Office for Scotland / National Records of Scotland (2000–2010), Mid-year estimated population by sex, single year of age and administrative area– 1999–2009 years. Based on the 2001 Scotland’s Census (<a href=\"http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/population/population-estimates/mid-year-population-estimates/archive\" target=\"_blank\">http://www.nrscotland.gov.uk/statistics-and-data/statistics/statistics-by-theme/population/population-estimates/mid-year-population-estimates/archive</a>); accessed 29 May 2015)</p><p>** The positive value is an additional cost per 5 year old child in the population, whereas the negative values are expected savings per 5 year old child, in comparison with the dental treatments costs in the baseline year 2001/02.</p><p>*** Our assumption was that the cost of the toothbrushing programme was constant over time. Hence there is little variation in the average cost per 3–4 year old child in the Scottish population over time.</p><p>Population of 5 year old / 3–4 year old children, costs and expected savings of dental treatments per 5 year old child, and cost of nursery toothbrushing programme per 3–4 year old child, Scotland, 1999/00–2009/10 financial years.</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520358, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.t007", "stats"=>{"downloads"=>2, "page_views"=>31, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Population_of_5_year_old_3_8211_4_year_old_children_costs_and_expected_savings_of_dental_treatments_per_5_year_old_child_and_cost_of_nursery_toothbrushing_programme_per_3_8211_4_year_old_child_Scotland_1999_00_8211_2009_10_financial_years_/1520358", "title"=>"Population of 5 year old / 3–4 year old children, costs and expected savings of dental treatments per 5 year old child, and cost of nursery toothbrushing programme per 3–4 year old child, Scotland, 1999/00–2009/10 financial years.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-08-25 04:27:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/2224936"], "description"=>"<p>d<sub>3</sub>mft index is the number of obviously decayed, missing (due to decay) and filled teeth per child. The “3” in the d<sub>3</sub>mft index indicates decay into dentine.</p>", "links"=>[], "tags"=>["Scottish Health Boards", "Child Oral Health", "population standardised analysis", "cost savings", "National Dental Inspection Programme", "nursery toothbrushing programme", "National Health Service", "National Nursery Toothbrushing Programme Dental caries", "children.ConclusionsThe NHS costs"], "article_id"=>1520351, "categories"=>["Uncategorised"], "users"=>["Yulia Anopa", "Alex D. McMahon", "David I. Conway", "Graham E. Ball", "Emma McIntosh", "Lorna M. D. Macpherson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0136211.g001", "stats"=>{"downloads"=>0, "page_views"=>35, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Costs_of_actual_and_anticipated_dental_treatments_in_five_year_old_children_baseline_scenario_cost_of_nursery_toothbrushing_programme_and_d_3_mft_over_time_8212_Scotland_by_financial_year_/1520351", "title"=>"Costs of actual and anticipated dental treatments in five-year-old children (baseline scenario), cost of nursery toothbrushing programme and d<sub>3</sub>mft over time—Scotland, by financial year.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-08-25 04:27:14"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"46", "full-text"=>"56", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"34", "full-text"=>"44", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
  • {"unique-ip"=>"29", "full-text"=>"29", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"11"}
  • {"unique-ip"=>"25", "full-text"=>"15", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"12"}
  • {"unique-ip"=>"26", "full-text"=>"23", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"1"}
  • {"unique-ip"=>"36", "full-text"=>"40", "pdf"=>"14", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"3"}
  • {"unique-ip"=>"30", "full-text"=>"35", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"4"}
  • {"unique-ip"=>"39", "full-text"=>"46", "pdf"=>"16", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"5"}
  • {"unique-ip"=>"37", "full-text"=>"52", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"15", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"6"}
  • {"unique-ip"=>"22", "full-text"=>"32", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"7"}
  • {"unique-ip"=>"30", "full-text"=>"38", "pdf"=>"18", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"8"}
  • {"unique-ip"=>"21", "full-text"=>"31", "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"=>"53", "full-text"=>"77", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2016", "month"=>"10"}
  • {"unique-ip"=>"74", "full-text"=>"121", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"14", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"11"}
  • {"unique-ip"=>"93", "full-text"=>"114", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"12", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"12"}
  • {"unique-ip"=>"51", "full-text"=>"52", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"1"}
  • {"unique-ip"=>"53", "full-text"=>"69", "pdf"=>"17", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"2"}
  • {"unique-ip"=>"40", "full-text"=>"40", "pdf"=>"10", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"3"}
  • {"unique-ip"=>"29", "full-text"=>"34", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
  • {"unique-ip"=>"26", "full-text"=>"32", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"5"}
  • {"unique-ip"=>"24", "full-text"=>"37", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"6"}
  • {"unique-ip"=>"12", "full-text"=>"18", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
  • {"unique-ip"=>"24", "full-text"=>"31", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"8"}
  • {"unique-ip"=>"41", "full-text"=>"44", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"10", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
  • {"unique-ip"=>"36", "full-text"=>"31", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"35", "full-text"=>"44", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"29", "full-text"=>"32", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"31", "full-text"=>"34", "pdf"=>"12", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
  • {"unique-ip"=>"1", "full-text"=>"1", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"2"}
  • {"unique-ip"=>"45", "full-text"=>"53", "pdf"=>"15", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"14", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"35", "full-text"=>"39", "pdf"=>"12", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
  • {"unique-ip"=>"34", "full-text"=>"44", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"17", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
  • {"unique-ip"=>"41", "full-text"=>"47", "pdf"=>"10", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"12", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"27", "full-text"=>"31", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"7", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"21", "full-text"=>"30", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
  • {"unique-ip"=>"18", "full-text"=>"22", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"8"}
  • {"unique-ip"=>"18", "full-text"=>"24", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"12"}
  • {"unique-ip"=>"23", "full-text"=>"30", "pdf"=>"11", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
  • {"unique-ip"=>"32", "full-text"=>"38", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"10"}
  • {"unique-ip"=>"39", "full-text"=>"52", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
  • {"unique-ip"=>"53", "full-text"=>"68", "pdf"=>"16", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"2"}
  • {"unique-ip"=>"34", "full-text"=>"49", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"3"}
  • {"unique-ip"=>"37", "full-text"=>"44", "pdf"=>"11", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"4"}
  • {"unique-ip"=>"33", "full-text"=>"40", "pdf"=>"8", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"5"}
  • {"unique-ip"=>"32", "full-text"=>"40", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"8"}
  • {"unique-ip"=>"49", "full-text"=>"56", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"9", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2019", "month"=>"9"}
  • {"unique-ip"=>"55", "full-text"=>"64", "pdf"=>"13", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"5", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
  • {"unique-ip"=>"32", "full-text"=>"33", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}
  • {"unique-ip"=>"48", "full-text"=>"75", "pdf"=>"15", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}
  • {"unique-ip"=>"40", "full-text"=>"42", "pdf"=>"11", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"2", "year"=>"2020", "month"=>"3"}
  • {"unique-ip"=>"33", "full-text"=>"41", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"41", "full-text"=>"49", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"26", "full-text"=>"27", "pdf"=>"4", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"27", "full-text"=>"26", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"18", "full-text"=>"24", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}
  • {"unique-ip"=>"23", "full-text"=>"25", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}

Relative Metric

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