Journal of Medicine, Surgery, and Public Health最新文献

{"title":"Methamphetamine use among substance use disorder treatment populations","authors":"Eniola Olatunji ,&nbsp;Dalton James Bally ,&nbsp;Oluwaseun Oke ,&nbsp;Terence Tumenta ,&nbsp;Ulunma Natalie Umesi ,&nbsp;Vaibhav Vyas ,&nbsp;Stanley Nkemjika","doi":"10.1016/j.glmedi.2025.100192","DOIUrl":"10.1016/j.glmedi.2025.100192","url":null,"abstract":"<div><h3>Introduction</h3><div>Recent data shows a sharp rise in methamphetamine use, particularly among specific racial and ethnic groups, with higher rates in males and certain age groups, alongside varying impacts based on education and income levels. Till date, there remains dearth in the literature among New York State population. This study examined the sociodemographic factors associated with methamphetamine use and its impact on treatment outcomes.</div></div><div><h3>Method</h3><div>The Treatment Episode Dataset-Discharge (TEDS-D) from 2016 to 2020 were analyzed to investigate methamphetamine use, focusing on demographic variables. The analysis involved descriptive statistics, frequency distributions, and bivariate chi-square tests to explore relationships, as well as bivariate and multivariate logistic regression. All statistical analyses were conducted using SAS 9.4.</div></div><div><h3>Results</h3><div>10.84 % of participants were aged 12–24 years, while gender indicated a predominance of males, representing 73.44 % of the study population. Rehab patients have statistically significantly higher odds of methamphetamine use as than patients in Ambulatory/ Intensive Outpatient treatment (Adj OR- 1.21; 95 % CI- 1.15,1.26), while Detox patients have lower odds of using methamphetamine as than patients in Ambulatory, Intensive Outpatient treatment, however this was not statistically significant (Adj OR-0.35; 95 % CI- 0.11, 1.10). Intravenous drugs have 1.5 times higher odds of methamphetamine use as than non-intravenous drug use (Adj OR- 1.5; 95 % CI - 1.42, 1.54).</div></div><div><h3>Conclusion</h3><div>The study identified significant sociodemographic differences influencing methamphetamine use and treatment outcomes among this population. Addressing these factors with focused, culturally sensitive, and socio-economically mindful interventions can improve treatment effectiveness and aid recovery across diverse groups.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"6 ","pages":"Article 100192"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the unregulated use of nitrous oxide canisters","authors":"R. Andrew Yockey","doi":"10.1016/j.glmedi.2025.100190","DOIUrl":"10.1016/j.glmedi.2025.100190","url":null,"abstract":"<div><div>The recreational misuse of nitrous oxide has been increasing globally, with reports showing a rise from 10 % in 2015 to 20 % in 2021. In the United States, misuse has been steadily rising since 2010, and from 2023 to 2024, there was a 58 % increase in intentional nitrous oxide exposure reports. Small canisters marketed under names such as Galaxy Gas are often sold with minimal regulation, contributing to health risks, including oxygen deprivation, neurological damage, and even death. Nitrous oxide abuse can cause hypoxia, dizziness, unconsciousness, nerve damage, cognitive impairments, and fatal asphyxiation. The lack of regulation in its sale—especially for non-industrial and non-culinary purposes—has facilitated its widespread recreational use. Current legislation is insufficient, with loopholes allowing easy access, especially for young people. Stricter regulations, including age restrictions, licensing, and enhanced monitoring of online sales, are necessary to address this growing public health issue.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"6 ","pages":"Article 100190"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Amelanotic melanoma: Diagnostic challenges, treatment innovations, and the emerging role of in early detection","authors":"Diala Ra’Ed Kamal Kakish ,&nbsp;Jehad Feras AlSamhori ,&nbsp;Ahmad Ayman ,&nbsp;Mohammed Al-Sawalha ,&nbsp;Talin Hijazeen ,&nbsp;Ruchira Clementina ,&nbsp;Romaisa Ahmed ,&nbsp;Noor Masadeh ,&nbsp;Mohammad Al-Zuriqat ,&nbsp;Amina Yahya Mohammed ,&nbsp;Walid Al kurdi ,&nbsp;Abdulqadir J. Nashwan","doi":"10.1016/j.glmedi.2025.100189","DOIUrl":"10.1016/j.glmedi.2025.100189","url":null,"abstract":"<div><div>Amelanotic melanoma (AM) is a rare, yet aggressive melanoma subtype often overlooked due to its minimal pigmentation and atypical presentations. Conventional diagnostic tools, such as the “ABCDE” criteria and dermoscopy, frequently fail to detect AM in early stages, leading to delayed diagnoses and advanced disease. Advanced imaging techniques like reflectance confocal microscopy (RCM) and optical coherence tomography (OCT) have improved detection accuracy, but underdiagnosis remains a significant challenge. Recent molecular insights, including TERT promoter mutations and BRAF/KIT alterations, have refined risk stratification and guided personalized treatments. However, immunoresistance and diagnostic complexity continue to hinder outcomes in advanced cases. Artificial intelligence (AI) offers transformative potential by addressing these gaps through its ability to analyze subtle vascular and morphological patterns often missed by clinicians. When integrated with molecular diagnostics, AI enables earlier detection, precise staging, and tailored therapeutic strategies. For instance, AI-powered tools can incorporate genetic and imaging data to predict treatment responses and optimize patient selection. Emerging approaches, such as SPION-functionalized CAR-T cells, liquid biopsies, and multimodal AI tools, promise further advancements in diagnostic precision and treatment efficacy. This review highlights the importance of combining AI with molecular diagnostics to achieve more precise, personalized, and equitable care for AM. Collaborative efforts among dermatologists and oncologists, and data scientists are essential to translate these innovations into practice and address disparities in outcomes for this challenging melanoma subtype.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"6 ","pages":"Article 100189"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reforming public health organizations in the post-COVID era","authors":"Jagdish Khubchandani,&nbsp;Michael Wiblishauser,&nbsp;Fern J. Webb,&nbsp;R. Andrew Yockey,&nbsp;Kavita Batra","doi":"10.1016/j.glmedi.2025.100187","DOIUrl":"10.1016/j.glmedi.2025.100187","url":null,"abstract":"<div><div>Skepticism and distrust towards medicine, science, and education have increased significantly over the past few decades in various regions around the globe. The COVID-19 pandemic has further exacerbated this mistrust, specifically leading to criticism of public health organizations. The pandemic revealed significant deficiencies in the structure, functions, and responsiveness of these organizations worldwide. As communities move into the post-COVID phase, there is an urgent need to reform public health organizations to enhance their services, strengthen their workforce, boost preparedness, and ensure equitable healthcare access for all. This commentary discusses the growing scrutiny of the role and importance of public health organizations, the necessity for their reform, and the key areas that require attention for meaningful reforms. By recognizing the need for change and implementing substantial reforms, public health organizations can be better prepared to tackle future health emergencies while fostering long-term health and well-being for populations.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100187"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dercum's disease: A unique case of recrudescent lipomas necessitating surgery","authors":"Taylor W. Young ,&nbsp;Geoffrey Zhang ,&nbsp;Linwood R. Haith Jr.","doi":"10.1016/j.glmedi.2025.100185","DOIUrl":"10.1016/j.glmedi.2025.100185","url":null,"abstract":"<div><div>Dercum’s disease, alternatively known as adiposis dolorosa, is a rare condition characterized by multiple lipomas causing palpable skin defects associated with pain and tenderness. The prevalence and etiology of this disease remain unknown despite its debilitating impact on affected individuals. Current literature describes individuals with Dercum’s disease to be predominantly older, obese females. This report details a unique case involving a 29-year-old male who, between 2022 and 2024, underwent surgical excision of over 80 lipomas on five separate occasions. Prior to surgery, the nodules were assessed in an outpatient setting to determine their location, confirm skin changes, and evaluate their debilitating effects on the patient’s quality of life, thereby justifying the surgical approach. Histology proved all the lesions to be benign lipomas. Subsequent to the initial lipoma excisions, new lesions recurred on the torso and extremities. Differential diagnoses were considered such as neurofibromatosis, multiple familial lipomatosis, Madelung disease, Bannayan-Zonana syndrome, and Cowden syndrome were ruled out by family history, location of lesions, and histology. Although Dercum’s disease has been recognized since the late 1800s, advances in understanding and treating the condition have been limited. This case aims to shed light on the experience of a young patient with multiple recrudescent lipomas necessitating surgery.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100185"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genetic polymorphisms in the chromatin modifier gene ARID5B in modulating the risk of pediatric acute lymphoblastic leukemia in Bangladesh","authors":"Farhana Jahan ,&nbsp;Sajib Chakraborty ,&nbsp;Mahrima Parvin ,&nbsp;ATM Atikur Rahman ,&nbsp;Zakir Hossain Howlader ,&nbsp;Md. Ismail Hosen","doi":"10.1016/j.glmedi.2025.100184","DOIUrl":"10.1016/j.glmedi.2025.100184","url":null,"abstract":"<div><div>Acute lymphoblastic leukemia (ALL) is the most prevalent form of hematological cancer in children. In Bangladesh, the number of acute leukemia among children has been increasing each year and the genome studies regarding single nucleotide polymorphisms (SNP) in different genes related to lymphocyte development have not been explored yet. Therefore, the study aimed to examine the association between a specific SNP (rs10821936) in the <em>ARID5B</em> gene and the risk of childhood ALL in Bangladeshi children. The identification of the children's demographic and clinical characteristics as well as real-time PCR-based allelic discrimination method was employed to identify the genotypes of 194 ALL cases and 209 controls, respectively. Both the age difference and serum creatinine level between the control and patient groups were insignificant. In comparison to individuals who were healthy, both the blood ALT and LDH levels of the male and female child ALL participants were considerably high. However, compared to control groups, the serum calcium level in child ALL patients was considerably low. Serum ALT and LDH had a significant positive relationship while both had a negative correlation with serum calcium. The investigation revealed that the minor allele C was the risk allele for the SNP (rs10821936) and it has been linked to a higher incidence of ALL in Bangladeshi children [Odds ratio (OR) = 1.35; 95 % Confidence Interval (CI) = 1.02–1.79; <em>P</em>-value = 0.0380]. Thus, the findings of this study could help to understand the background of genetic predisposition and risk assessment of childhood ALL.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100184"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143438239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online purchasing options for GLP-1 agonists: Accessibility, marketing practices, and consumer safety concerns","authors":"Corey H. Basch,&nbsp;Helen Yousaf,&nbsp;Grace C. Hillyer","doi":"10.1016/j.glmedi.2025.100183","DOIUrl":"10.1016/j.glmedi.2025.100183","url":null,"abstract":"<div><div>The proliferation of online pharmaceutical sales necessitates a deeper understanding of how medications such as the diabetes treatment Ozempic® are presented and marketed on Google Shopping, a major aggregator of e-commerce merchants. We analyzed the representation and characteristics of Ozempic® listings, which were provided as regular and sponsored product results, with options to filter by medication form (liquid, tablet, capsule, wipes), specific pain relief applications (e.g., migraine, arthritis), free shipping offers, and price ranges. Additional filters included selection by store, however no sorting or filtering criteria were applied to maintain neutrality in the initial data capture. The 57 results were vetted for duplication, relevance, and English language usage. The final sample analyzed included 19 unique URLs. Results indicated that pricing ranged between $65 for proprietary compounded semaglutides and other weight loss products and $1399.99 for Ozempic®. Nearly half of the vendors offered introductory discounts, while others offered payment plans; 21.1 % mentioned a money-back guarantee but insurance coverage received little attention. Nearly half of the websites (42.1 %) were sponsored by telemedicine platforms, 26 % by patient/weight loss services, and 21.1 % of these were pharmacies. To access these medications, 15 vendors (78.9 %) required a prescription and of these13/15 (86.7 %) could be provided through the vendor’s company physician after completing an online questionnaire. The majority of programs (94.7 %) were accessible remotely with no direct personal interaction with the company physician or supplier. Nearly 80 % of the websites mentioned the pros of the weight loss product they promoted compared to 68.4 % that mentioned any cons. Around one-third of the sites (36.8 %) made product safety claims and 10.5 % mentioned “testing” without any specific details, while just over one-half referenced the FDA (57.9 %) or cited research to support credibility (52.6 %). The reliance on online pharmacies for GLP-1 agonists highlights the need for safeguards to ensure consumer health and safety.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100183"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of patient-physician communication on cervical cancer screening among women aged 25–65","authors":"Ogochukwu Juliet Ezeigwe ,&nbsp;Samuel Tundealao ,&nbsp;Ogochukwu Ruth Abasilim ,&nbsp;Olajumoke Ope Oladoyin ,&nbsp;Manali Desai ,&nbsp;Devesh Malgave ,&nbsp;Lekan Ajijola ,&nbsp;Xianglin L. Du","doi":"10.1016/j.glmedi.2025.100182","DOIUrl":"10.1016/j.glmedi.2025.100182","url":null,"abstract":"<div><h3>Introduction</h3><div>Effective patient-physician communication is essential for the uptake of preventive services. This study examined the association between patient-physician communication index and being up-to-date with cervical cancer screening.</div></div><div><h3>Methods</h3><div>The analysis used self-reported data from the Health Information National Trends Survey (HINTS) 5, Cycle 4 (2020), and Cycle 6 (2022). The outcome variable was “Up-to-date with cervical cancer Screening.” Logistic regression and Cronbach’s Alpha were used to measure the association and internal consistency between communication items.</div></div><div><h3>Results</h3><div>A total of 3207 women aged 25–65 were included in the analysis, 2415 (77.5 %) were up-to-date with screenings, with 50.9 % having a patient-physician communication index of 17 or higher. In model 0, participants with a patient-physician communication index of ≥ 17 had 1.57 times higher odds (95 % CI: 1.23–2.00) of being up-to-date with their screening. In model 1, the individual communication items were not significantly associated with screening. In model 2, a patient-physician communication index of 17 or higher was associated with screening (aOR:1.62, 95 % CI: 1.20–2.19). Having health insurance (aOR:1.87, 95 % CI: 1.11–3.17) was significantly associated with screening. Non-Hispanic Blacks (aOR:1.77, 95 % CI: 1.10–2.85) and Hispanics (aOR:1.64, 95 % CI: 1.02–2.64) had higher odds of screening than non-Hispanic Whites.</div></div><div><h3>Conclusion</h3><div>This study found a significant relationship between a high patient-physician communication index and cervical cancer screening. The study findings highlight the critical role of effective patient-physician communication in improving adherence to cervical screening recommendations across the U.S.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100182"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary cross-sectoral strategies to mitigate health workforce migration in Africa","authors":"Gabriel Oke","doi":"10.1016/j.glmedi.2025.100179","DOIUrl":"10.1016/j.glmedi.2025.100179","url":null,"abstract":"<div><div>Africa is grappling with a severe healthcare workforce shortage, with only 1.55 health workers per 1000 people, far below the WHO’s recommended threshold of 4.45. This deficit is exacerbated by the migration of healthcare professionals to developed countries. This study conducts a comprehensive review to identify practical solutions to mitigate healthcare workforce migration in Africa. A targeted literature review methodology was employed, utilizing databases such as PubMed, Google Scholar, Cochrane Library, Scopus, Ovid, and WHO repositories from 2014 to 2024. Supplementary searches were performed using Google, incorporating grey literature, reports from governmental and international organizations, and media articles. A total of 45 sources were included, consisting of 36 peer-reviewed articles and 15 pieces of grey literature, including blogs, news articles, and reports. The review identified 13 key solutions from peer-reviewed sources and 11 additional solutions from grey literature, which were analyzed and categorized into thematic areas. Key solutions highlighted by the review include enhancing professional training and career development opportunities, offering financial incentives, improving working conditions, and fostering international collaboration. Specific strategies include addressing wage disparities, providing mentorship, creating competitive postgraduate training programs, and improving workplace environments. These factors are critical to retaining healthcare professionals within African countries and ensuring their sustained engagement in the local healthcare systems. Results indicate that while salary increases were frequently suggested, a multifaceted approach is essential for addressing healthcare migration. Improvements in working conditions, career development, and the establishment of robust mentorship programs were emphasized as more sustainable solutions. In particular, the study highlighted the importance of comprehensive strategies that go beyond financial incentives, as merely increasing salaries may not adequately address the structural issues driving migration. The findings suggest that combating healthcare migration in Africa requires coordinated efforts across multiple sectors, including government, health administration, and international organizations. A holistic approach, focusing on strengthening local healthcare systems, improving professional opportunities, and creating supportive working environments, is crucial for mitigating brain drain and improving healthcare delivery on the continent. The review underscores the need for sustained policy interventions, with a focus on both retention and attraction of healthcare professionals within Africa.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100179"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skull reconstruction with titanium mesh following burr hole craniotomy for chronic subdural hematoma","authors":"Imad Talahma ,&nbsp;Yazan Abudeyak ,&nbsp;Mahmoud N. Khadra ,&nbsp;Hamza A. Abdul-Hafez ,&nbsp;Yousef S. Abuzneid","doi":"10.1016/j.glmedi.2025.100181","DOIUrl":"10.1016/j.glmedi.2025.100181","url":null,"abstract":"<div><div>This case report describes a 58-year-old male who presented with severe headache two months after head trauma, with imaging confirming a left-sided chronic subdural hematoma (cSDH). He underwent Burr hole craniotomy for hematoma evacuation, followed by skull reconstruction using a titanium mesh implant. Postoperative recovery was smooth, with no neurological symptoms or complications, and follow-up imaging showed no residual hematoma. Titanium mesh allowed for effective skull reconstruction, eliminating risks of cosmetic deformities like scalp depression and potentially reducing infection and other post-surgical complications. Our findings highlight titanium mesh as a valuable option in neurosurgery for cSDH, providing both functional and cosmetic benefits. While complications with titanium implants have been noted in some cases, our patient’s recovery was uneventful. This case highlights titanium mesh’s use and supports further exploration of materials to enhance outcomes in surgical management of cSDH.</div></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"5 ","pages":"Article 100181"},"PeriodicalIF":0.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143092770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}