Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-10-18DOI: 10.1590/1413-81232025301.03162023
Jane Kellen Silva, Odaleia Barbosa de Aguiar, Maria de Fátima Haueisen Sander Diniz, José Ueleres Braga, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca
{"title":"[Performance of the \"a body shape index\" as a discriminator of obesity and sarcopenic obesity - ELSA-Brasil].","authors":"Jane Kellen Silva, Odaleia Barbosa de Aguiar, Maria de Fátima Haueisen Sander Diniz, José Ueleres Braga, Rosane Harter Griep, Maria de Jesus Mendes da Fonseca","doi":"10.1590/1413-81232025301.03162023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.03162023","url":null,"abstract":"<p><p>The scope of this study was to determine the diagnostic performance of ABSI for obesity and sarcopenic obesity, compared to the results of bioimpedance analysis (BIA) and BMI, by sex and age group. It involved a cross-sectional study with 12,793 participants in the second round of ELSA-Brasil (Longitudinal Study of Adult Health in Brazil), which obtained measurements of body fat percentage using BIA and anthropometry, verifying the performance of the diagnostic tests in order to compare the indices. The results showed that for obesity in men in all three age groups, the sensitivity was below 49%. Specificity ranged from 73% to 93%, with a higher percentage in the 65 to 79 age group. The same pattern was found for women, with sensitivity lower than 42%, and specificity ranged from 85% to 92%, and was higher in older women. With respect to sarcopenic obesity, the sensitivity and specificity among men in the three age groups were 72% was 99%, respectively. Among women, sensitivity was around 95% and specificity around 70% in all age groups. ABSI, compared to BIA, showed a reduced ability to identify obesity. However, it proved to be a good marker of sarcopenic obesity.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e03162023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-11-02DOI: 10.1590/1413-81232025301.14652022
Laís Lago Marinho, Oscar Geovanny Enriquez-Martinez, Gustavo Velásquez-Meléndez, Maria Carmen Viana, Glaucia Cristina de Campos, Maria Del Carmen Bisi Molina
{"title":"[Alcohol consumption and incidence of abdominal obesity in participants of the ELSA-Brasil cohort after nine years of follow-up].","authors":"Laís Lago Marinho, Oscar Geovanny Enriquez-Martinez, Gustavo Velásquez-Meléndez, Maria Carmen Viana, Glaucia Cristina de Campos, Maria Del Carmen Bisi Molina","doi":"10.1590/1413-81232025301.14652022","DOIUrl":"https://doi.org/10.1590/1413-81232025301.14652022","url":null,"abstract":"<p><p>The scope of this article is to analyze the correlation between alcohol consumption and abdominal obesity in participants of the ELSA-Brasil cohort after a follow-up period of nine years. A longitudinal analysis was performed with baseline and follow-up data from ELSA-Brasil. At baseline, 15,105 civil servants were enrolled. After exclusions, the final sample consisted of 3,591 participants. Anthropometric and lifestyle data were collected, and abdominal obesity was diagnosed in accordance with the World Health Organization parameters. The t-test and chi-square test were applied, and crude and adjusted Poisson models were assessed. The results revealed that more than 70% of the sample reported alcohol use. In nine years, an increase in abdominal obesity and alcohol consumption was observed among men and women. A total of 1,588 new cases of abdominal obesity were identified. Higher alcohol consumption increased the risk of abdominal obesity in men (1.15, 95%CI 1.01-1.31, p < 0.001). The conclusion drawn was that after a follow-up period of 9 years, the highest risk of abdominal obesity was observed only in men who increased their alcohol consumption.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e14652022"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-10-20DOI: 10.1590/1413-81232025301.09492023
Fabio Fortunato Brasil de Carvalho, Paulo Henrique Guerra, Debora Bernardo da Silva, Leonardo Araújo Vieira
{"title":"[Offer and participation in body practices and physical activities in primary health care in Brazil: analysis from 2014 to 2022].","authors":"Fabio Fortunato Brasil de Carvalho, Paulo Henrique Guerra, Debora Bernardo da Silva, Leonardo Araújo Vieira","doi":"10.1590/1413-81232025301.09492023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.09492023","url":null,"abstract":"<p><p>The scope of this article is to analyze the temporal trend and macro-regional distribution of the options on offer in terms of collective activities of bodily practices and physical activities (BPPA) and the number of participants in primary health care, developed by all health professionals and by Physical Education Professionals in Brazil. It involved an ecological time-series study, using data from the Health Information System for Primary Health Care (Sisab) between 2014 and 2022, which was assessed using regression analysis and Joinpoint software. At the national level, the results revealed an increase in the number of collective BPPA activities and participants in primary health care developed by all health professionals and by Physical Education Professionals between 2014 and 2019, followed by a reduction in both in 2020. The upward trend resumed in 2021 and 2022. The conclusion drawn is that, despite the exceptional scenario caused by the COVID-19 pandemic, upward trends have been identified in both the options on offer of collective BPPA activities and in the number of participants.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e09492023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-11-09DOI: 10.1590/1413-81232025301.03722023
Natasha Rayane de Oliveira Lima, Beatriz Fátima Alves de Oliveira, Ismael Henrique da Silveira, Igor Neves de Oliveira, Ranieri Flávio Viana de Sousa, Eliane Ignotti
{"title":"Health in the Legal Amazon: an analysis of morbidity and mortality indicators between 2010 e 2021.","authors":"Natasha Rayane de Oliveira Lima, Beatriz Fátima Alves de Oliveira, Ismael Henrique da Silveira, Igor Neves de Oliveira, Ranieri Flávio Viana de Sousa, Eliane Ignotti","doi":"10.1590/1413-81232025301.03722023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.03722023","url":null,"abstract":"<p><p>We carried out the health situation analysis in the Legal Amazon through morbidity and mortality indicators and the comparison between intra and inter-state federation of the region and Brazil. Analysis of the health situation, trends, and identification of clusters in the Brazilian Amazon, for the period from 2010 to 2021, using secondary data available in official health information systems. Circulatory diseases were the main cause of death, representing 23% of deaths. External causes and respiratory diseases contributed 16% and 9% of deaths, respectively; 52.6% of infant deaths occurred in the early neonatal period, and the infant mortality rate remained above the national average. The ratio of maternal mortality was also high and above the national average between 2010 and 2021. The dengue incidence rate remained below the national average with a drop trend of -59.50%. However, rates of Chagas disease, AIDS, Hansen's disease, American cutaneous leishmaniasis and tuberculosis remained above average rates in the country. It was concluded that the population of the Brazilian Amazon faces health challenges. The findings facilitate the identification of territorial priorities for the implementation of actions that impact morbidity and mortality reduction in the region.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e03722023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-12-23DOI: 10.1590/1413-81232025301.14792023
Isla Evellen Santos Souza, Marcela Santos da Silva, Cindy Kemille Andrade de Araújo, Beatriz Carvalho Ferreira, Alice Cardoso, Glebson Moura Silva, Liudmila Miyar Otero
{"title":"The impact of the ECHO® model on monitoring people diagnosed with diabetes mellitus: a scoping review.","authors":"Isla Evellen Santos Souza, Marcela Santos da Silva, Cindy Kemille Andrade de Araújo, Beatriz Carvalho Ferreira, Alice Cardoso, Glebson Moura Silva, Liudmila Miyar Otero","doi":"10.1590/1413-81232025301.14792023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.14792023","url":null,"abstract":"<p><p>This review aimed to identify the impact of the ECHO® model on monitoring people diagnosed with diabetes mellitus. It followed the Joanna Briggs Institute and the PRISMA-ScR Checklist. The search was conducted in the Cochrane Library, Embase, Virtual Health Library, PubMed/MEDLINE, Scopus, and Web of Science databases. The strategy included the descriptors \"Diabetes mellitus,\" \"Diabetes Melito,\" \"Diabetes,\" \"Diabetes Melito,\" \"Model ECHO,\" \"Project ECHO,\" and \"Extension for Community Healthcare Outcomes.\" Two independent reviewers selected the studies using the Rayyan-Intelligent Systematic Review management software. Nine of the 151 studies initially identified were selected, and one study was identified through gray literature. The ten studies were published in English between 2012 and 2022. Improvements were found in the professionals' knowledge and self-confidence, besides decreased glycated hemoglobin levels, hospital admissions, and hospitalization costs among people with diabetes. The conclusion is that the ECHO® Model positively impacted the monitoring of people with diabetes mellitus, especially in vulnerable communities.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e14792023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-10-18DOI: 10.1590/1413-81232025301.10282023
Claudio José Dos Santos Júnior, Klauss Kleydmann Sabino Garcia, José Leopoldo Ferreira Antunes, Frida Marina Fischer
{"title":"Impact of the COVID-19 pandemic on the incidence of occupational accidents among beneficiaries of the Unified Health System in Brazil: an interrupted time series study.","authors":"Claudio José Dos Santos Júnior, Klauss Kleydmann Sabino Garcia, José Leopoldo Ferreira Antunes, Frida Marina Fischer","doi":"10.1590/1413-81232025301.10282023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.10282023","url":null,"abstract":"<p><p>The scope of this study was to analyze the impact of the COVID-19 pandemic on the incidence of occupational accidents among beneficiaries of the Unified Health System in Brazil. It was an interrupted time series study, using data on occupational accidents registered by the Unified Health System from 2015 to 2020. The analysis used the Prais-Winsten generalized linear regression model. The results revealed an immediate reduction (β1=-0.02, p<0.05) and a change in trend (β2=-4.46, p<0.05) in the incidence rate of occupational accidents per 10,000 employment links in Brazil and all its macro-regions when the Public Health emergency was declared due to SARS-CoV-2. In the months following the declaration of the Public Health Emergency of National Importance due to COVID-19, the incidence increased (β3=0.49, p<0.05), approaching the levels observed before the pandemic. The average monthly number of accidents decreased from 11.53 to 9.08 per 10,000 employment links after the declaration of the COVID-19 emergency. These findings indicate that the COVID-19 pandemic has modified the trend and magnitude of the incidence rate of occupational accidents in Brazil.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e10282023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2024-12-03DOI: 10.1590/1413-81232025301.18682024
Luiza Eunice Sá da Silva, Janaína Calu Costa, Cauane Blumenberg, Natália Peixoto Lima, Luis Paulo Vidaletti Ruas, Francine Dos Santos Costa, Aluísio Jardim Dornellas de Barros, Fernando César Wehrmeister, César Gomes Victora
{"title":"Timely initiation of antenatal care in adolescent victims of sexual violence: implications for legal abortion in Brazil.","authors":"Luiza Eunice Sá da Silva, Janaína Calu Costa, Cauane Blumenberg, Natália Peixoto Lima, Luis Paulo Vidaletti Ruas, Francine Dos Santos Costa, Aluísio Jardim Dornellas de Barros, Fernando César Wehrmeister, César Gomes Victora","doi":"10.1590/1413-81232025301.18682024","DOIUrl":"https://doi.org/10.1590/1413-81232025301.18682024","url":null,"abstract":"<p><p>We investigated the timely initiation of antenatal care among Brazilian adolescents to support the national discussion on the gestational age limit for legal abortion. Using data from the Live Births Information System (SINASC) 2020-2022, we correlated the timely antenatal care (first quarter of pregnancy) with the adolescent's age, region, ethnicity/skin color, and schooling level; 11,607 annual births result from vulnerable rape. The timely initiation of antenatal care was 70.2% for all adolescents (<20 years), but only 55.6% for those under 13 years old; 14.1% of adolescents started antenatal care at 22 weeks or more of gestation (28.3% among those <13 years old). Timely initiation was lower in the North region, among Indigenous girls, and those with low education. Delays in recognizing the pregnancy and communicating with the family contribute to the late start of antenatal care and the decision to abort. The proposed legal abortion time limit will mainly impact the most vulnerable adolescents in terms of socioeconomic and racial factors.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e18682024"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2025-01-01Epub Date: 2023-10-20DOI: 10.1590/1413-81232025301.02862023
Iolanda Karla Santana Dos Santos, Camila Medeiros da Silva Mazzeti, Débora Borges Dos Santos Pereira, Claudia Cristina Gonçalves Pastorello, Mariane Helen de Oliveira, Wolney Lisbôa Conde
{"title":"[Inequalities in the adequacy to consultation calendar for children under 5 years old in the Food and Nutritional Surveillance].","authors":"Iolanda Karla Santana Dos Santos, Camila Medeiros da Silva Mazzeti, Débora Borges Dos Santos Pereira, Claudia Cristina Gonçalves Pastorello, Mariane Helen de Oliveira, Wolney Lisbôa Conde","doi":"10.1590/1413-81232025301.02862023","DOIUrl":"https://doi.org/10.1590/1413-81232025301.02862023","url":null,"abstract":"<p><p>The Ministry of Health recommends a minimum appointment schedule in childcare to monitor growth and development. The objective was to analyze the adequacy of the minimum appointment schedule for children under 5 years of age, with at least one anthropometric follow-up registered with the Food and Nutrition Surveillance System (SISVAN) between 2008 and 2020. The sample size comprised 23,453,620 children under the age of 5, and 103,773,311 records. The indicators analyzed were the average number of appointments and the adequacy of the last scheduled visit. In Brazil, the median number of appointments was three, which is lower than the recommended schedule. For children born after 2008, the adequacy of the last scheduled appointment was 11.8% with inequalities, lower in the North (5.7%) and higher in the South (22.5%). Comparing the federal units, Amapá and Roraima had the lowest frequencies, and Paraíba and Paraná the highest. The adequacy of the last scheduled appointment was higher among municipalities in the top fifth of GDP per capita. SISVAN reveals inequalities in access to health services; the highest level of adequacy with the minimum appointment schedule is in the South and Southeast regions.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 1","pages":"e02862023"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-05-02DOI: 10.1590/1413-812320242912.07432024
Adryelle Katheline D'Elia de Moura, Glênio Alves de Freitas, Renata Palópoli Pícoli
{"title":"Factors associated with death among indigenous and non-indigenous pregnant and postpartum women hospitalized for COVID-19 in Brazil.","authors":"Adryelle Katheline D'Elia de Moura, Glênio Alves de Freitas, Renata Palópoli Pícoli","doi":"10.1590/1413-812320242912.07432024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.07432024","url":null,"abstract":"<p><p>The present article aimed to analyze the association between sociodemographic and hospitalization characteristics with the outcome of indigenous and non-indigenous pregnant and postpartum women, as well as factors associated with deaths among indigenous women hospitalized for Severe Acute Respiratory Syndrome (SARS) due to COVID-19 in Brazil. This is a cross-sectional and analytical study, with secondary data of pregnant and postpartum women of reproductive age, classified into race/skin color (indigenous and non-indigenous), extracted from the Obstetric Observatory, which uses data from the Influenza Epidemiological Surveillance Information System. The outcome variables were analyzed using the chi-square test or Fisher's exact test, and logistic regression was performed for the factors associated with the death of indigenous people. The highest proportion of deaths occurred among non-indigenous women who were in the 2nd trimester of pregnancy (99.7%), who lived in urban/peri-urban areas (99.8%), as well as in the South/Southeast (99.8%) and Northeast (99.5%) regions. Indigenous people who lived in rural areas and in the North and Midwest regions have a greater chance of death when compared to indigenous people who lived in urban areas and in the South/Southeast regions.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e07432024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ciencia & saude coletivaPub Date : 2024-12-01Epub Date: 2024-04-05DOI: 10.1590/1413-812320242912.05862024
Lalucha Mazzucchetti, Patrícia Paiva de Oliveira Galvão, Mário Luiz da Silva Tsutsui, Kennedy Maia Dos Santos, Douglas Antônio Rodrigues, Vânia Fernandes Rabelo, Suely Godoy Agostinho Gimeno
{"title":"Body composition versus anthropometric results of the Khisêdjê Indigenous of Xingu - MT/Brazil.","authors":"Lalucha Mazzucchetti, Patrícia Paiva de Oliveira Galvão, Mário Luiz da Silva Tsutsui, Kennedy Maia Dos Santos, Douglas Antônio Rodrigues, Vânia Fernandes Rabelo, Suely Godoy Agostinho Gimeno","doi":"10.1590/1413-812320242912.05862024","DOIUrl":"https://doi.org/10.1590/1413-812320242912.05862024","url":null,"abstract":"<p><p>This study aimed to evaluate the body composition of the Khisêdjê, an Indigenous people residing in the Xingu Indigenous Territory, and compare it to the results obtained by anthropometry. One hundred seventy-nine individuals aged above 20 of both genders were included. The nutritional status was classified per the cutoff proposed by the WHO (1995). The body composition was identified using measures derived directly from a bioelectrical impedance device (resistance - R, reactance - Xc, and phase angle - PA). Data were analyzed using the Student t-test, chi-square, Pearson correlation, and analysis of variance, and 57% of the sample was male. The mean age of the population was 37.5 years, and 48% of subjects had some overweight level (BMI ≥ 25,0 kg/m2). We identified a positive correlation between BMI with waist (WC) and arm (AC) circumference, and PA measurements, and an inverse correlation between BMI and R and Xc measurements. R and Xc mean values decreased with increasing BMI. In contrast, mean PA increased with greater weight. The results suggest that being overweight among the Khisêdjê Indigenous people was associated with higher muscle mass amounts.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"29 12","pages":"e05862024"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}