Environmental Health Insights最新文献

{"title":"Environmental Drivers of Antimicrobial Resistance in Low and Middle-Income Countries: The Impacts of a Changing World.","authors":"Abdulqadir J Nashwan, Hussain Haider Shah, Tooba Hussain, Sameer Abdul Rauf, Sirwan Khalid Ahmed","doi":"10.1177/11786302241246420","DOIUrl":"https://doi.org/10.1177/11786302241246420","url":null,"abstract":"<p><p>This letter highlights the impact of environmental drivers on antimicrobial resistance (AMR) in low and middle-income countries (LMICs) and highlights the need for a comprehensive approach to address this global health threat. Key factors, such as agricultural practices, wastewater treatment, and pollution, contribute to the development and spread of resistant pathogens. Utilizing the One Health approach, the paper emphasizes the importance of promoting responsible antimicrobial use, strengthening public health systems, investing in innovative research, and raising public awareness. By understanding and addressing these environmental drivers, we can work toward safeguarding global health and ensuring a sustainable future.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241246420"},"PeriodicalIF":2.7,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852731","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":"Animal Handling Practice Among Rural Households in Northwest Ethiopia Increases the Risk of Childhood Diarrhea and Exposure to Pathogens From Animal Sources.","authors":"Zemichael Gizaw, Alemayehu Worku Yalew, Bikes Destaw Bitew, Jiyoung Lee, Michael Bisesi","doi":"10.1177/11786302241245057","DOIUrl":"https://doi.org/10.1177/11786302241245057","url":null,"abstract":"<p><strong>Background: </strong>In Ethiopia, domestic animals and their feces are not properly contained. However, the risk of exposure to zoonotic pathogens is not well documented. This study was conducted to assess animal handling practices and the risk of childhood diarrhea among rural households in northwest Ethiopia.</p><p><strong>Methods: </strong>This study was done among 403 randomly selected households. Information on animal handling was collected using a questionnaire and spot-check observation. The occurrence of childhood diarrhea in 14 days prior to the survey was assessed based on the reports of female head of households. Multivariable binary logistic regression analysis was performed to identify the association between animal handling practices and childhood diarrhea.</p><p><strong>Results: </strong>All the female head of households had contact with animal feces when preparing fuel disks and plastering the house components with animal dung. Domestic animals shared a corral within the living space of the humans in 20% of the households. Animals entered the human living quarters and accessed foods in 32% of the households. Moreover, 24% of the children aged 24 to 59 months had diarrhea in a 2-week period prior to the survey. Childhood diarrhea was associated with domestic animals sharing the same house as humans (AOR: 3.3, 95% CI: 1.3, 8.6), presence of animal excreta in child playing areas (AOR: 2.4, 95% CI: 1.2, 4.6), contact of domestic animals with stored foods (AOR: 3.5, 95% CI: 2.0, 5.9), trapped dirt under fingernails of female heads (AOR: 3.7, 95% CI: 1.9, 7.5), open defecation (AOR: 3.24, 95% CI: 1.8, 5.9), and unprotected sources (AOR: 4.2, 95% CI: 1.1, 15.3).</p><p><strong>Conclusion: </strong>Domestic animals and their excreta are not hygienically contained in the area. Animal handling practices including their excreta and the hygiene behavior of female head of households (eg, handwashing and food handling practices) should be improved to prevent childhood diarrhea.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241245057"},"PeriodicalIF":2.7,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847682","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":"Avian Influenza A (H5N1) Outbreak 2024 in Cambodia: Worries Over the Possible Spread of the Virus to Other Asian Nations and the Strategic Outlook for its Control.","authors":"Farhana Yesmin Nidra, Mayesha Bintey Monir, Syed Masudur Rahman Dewan","doi":"10.1177/11786302241246453","DOIUrl":"https://doi.org/10.1177/11786302241246453","url":null,"abstract":"<p><p>Asia has been alarmed by the resurgence of avian influenza A (H5N1) in Cambodia in 2024. H5N1 could be swiftly transmitted by wild birds to poultry populations along their migration route via infection. Circulation of endemic H5N1 in Asian poultry facilitates recurrent human transmission. Cambodia's role as a reservoir heightens the potential dangers of uncoordinated containment and surveillance across Southeast Asia. This correspondence addresses the risk factors, seasonal patterns, transmission dynamics, and potential pathways for the global dissemination of H5N1. This underscores the criticality of supervising regional initiatives aimed at eliminating the virus from poultry and humans, before its potential escalation into a deadly influenza pandemic across Asia.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241246453"},"PeriodicalIF":2.7,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10999124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859730","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":"Prevalence and Associated Factors of Work-Related Injury Among Municipal Solid Waste Collectors in Hawassa City, Southern Ethiopia: A Cross-Sectional Study.","authors":"Amanuel Ejeso, Yohannes Seifu Berego, Mahmud Ahmednur","doi":"10.1177/11786302241242231","DOIUrl":"10.1177/11786302241242231","url":null,"abstract":"<p><strong>Introduction: </strong>Municipal solid waste collectors are at risk of experiencing work-related health problems due to the waste they handle and the physical effort they put in. Work-related injuries among domestic waste collectors have been the subject of scant research in developing nations. Therefore, it is necessary to describe work-related injuries in these subpopulation groups.</p><p><strong>Objective: </strong>This study aimed to determine the prevalence and associated factors of work-related injury among municipal solid waste collectors in Hawassa city, Southern Ethiopia.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted from January 11 to 30, 2022, with all the registered municipal solid waste collectors (411). Three diploma environmental health professionals assisted in collecting data using a pretested structured interviewer-administered questionnaire; 1 Bachelor of Science environmental health professional served as a supervisor. Statistical Package for the Social Sciences (SPSS) version 20.0 was used to enter, clean, code, and analyze the data. Associations between independent and dependent variables were assessed, and the strength of the associations was presented by using Adjusted Odds Ratio (AOR) and 95% confidence intervals (CI). According to the bivariable analysis, all independent variables associated with a <i>P</i>-value <.25 were entered into a multivariable logistic regression model. Variables in the multivariable regression analysis were considered significant if their <i>P</i>-value was less than 0.05.</p><p><strong>Results: </strong>In this study, the prevalence of work-related injuries within the last 30 days was 12.9% (95% CI: 9.5, 16.3), while the prevalence over the last 12 months was 59.4% (95% CI: 54.7, 64.0). After adjusting for possible confounding factors, age 18 to 24 years [AOR = 1.72;95% CI: (1.07, 2.76)], lack of personal protective equipment (PPE) utilization [AOR = 2.30; 95% CI: (1.44, 3.68)], chewing khat (yes) [AOR = 2.32;95% CI: (1.32, 4.08)], drinking alcohol (yes) [AOR = 1.80; 95% CI: (1.003, 3.24)] and job dissatisfaction [AOR = 2.26, 95% CI: (1.44, 3.54)] were shown to be significantly associated with work-related injury.</p><p><strong>Conclusion: </strong>The prevalence of work-related injuries was high. Age 18 to 24 years, chewing khat, drinking alcohol, lack of PPE utilization, and job dissatisfaction were significantly associated with work-related injury. Based on the findings of this study, we suggest that addressing these risk factors could help to reduce work-related injuries.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241242231"},"PeriodicalIF":2.7,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10981265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335182","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":"Ethiopian Street Foods: Working Conditions and Governance Perspectives. A Qualitative Study.","authors":"Mathewos Moges, Ernest Kristian Rodland, Ambelu Argaw","doi":"10.1177/11786302241241414","DOIUrl":"10.1177/11786302241241414","url":null,"abstract":"<p><strong>Introduction: </strong>Street foods are foods and beverages as either ready for direct consumption or minimally processed, prepared, and/or sold by vendors and handlers. The objective of this study was to explore the condition and governance of street foods in Ethiopia.</p><p><strong>Method: </strong>A qualitative exploratory study was employed from December 2022 to January 2023 in Addis Ababa, Hawassa, Dire Dawa, and Jimma, cities of Ethiopia. Twelve respondents comprised key informants from selected governmental sectors were interviewed. The purposive sampling method was used to recruit study participants. The number of participants interviewed was determined by the information saturation criterion, and data were collected at the interviewee's offices. Data were collected by using key informant interview technique and audio recorded. An interview guide was used to facilitate interviews and thematic analysis was employed. The Overall data management process was conducted using Atlas-ti V 8 software.</p><p><strong>Result: </strong>The result revealed there were 4 thematic areas these were street food vendors and vending process, policy content and implementation, integration and coordination of sectors, and the way forward. The street food vendors prepared their food in an insanitary manner, absence of common working places for the vendors, lack of due emphasis for the street food vendors in the national food and nutrition policy, lack of formalization and legalization of street food vendors, poor coordination among sectors and institutions work on street food governance, and weakness on the implementation of rules and regulations in controlling street food vendors were the prominent gaps that were identified in the policy.</p><p><strong>Conclusion: </strong>Though Ethiopia has a national food and nutrition policy, the policy doesn't adequately address the street food vending sector. Besides, it is not well communicated to the implementers resulting in poor policy implementation. Quantifying socio-economic benefits of street food vending activities in Ethiopia needs further investigation.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241241414"},"PeriodicalIF":2.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10958792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140206530","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":"Seasonal Variations in Household Water Use, Microbiological Water Quality, and Challenges to the Provision of Adequate Drinking Water: A Case of Peri-urban and Informal Settlements of Hosanna Town, Southern Ethiopia.","authors":"Abiot Abera Aydamo, Sirak Robele Gari, Seid Tiku Mereta","doi":"10.1177/11786302241238940","DOIUrl":"10.1177/11786302241238940","url":null,"abstract":"<p><p>Several studies have been conducted on household water use and microbial water quality globally. However, studies that considered seasonal variability of household water use and microbial water quality were limited. Therefore, this study investigated the seasonal variability of household water use, microbiological water quality, and challenges to the provision of adequate water in the peri-urban and informal settlements of Hosanna town, Southern Ethiopia. A longitudinal study was conducted on 288 households. The data was gathered using a pretested structured questionnaire, laboratory-analysis, interviews, storage-container inventories, focus group discussions, key-informant interviews, and an observational checklist. The data was analyzed using stepwise-multiple linear regression, bivariate and multivariable logistic regression, thematic-analysis, t-tests, and non-parametric-tests. Households were visited for 7 consecutive days during the dry and rainy seasons to account for changes in daily and seasonal variation of water use. 440 stored water and 12 source samples were analyzed for <i>E. coli</i> presence during dry and rainy seasons. The prevalence of stored water contamination with <i>E. coli</i> was 43.2% and 34.5% during the dry and rainy seasons, respectively. The per capita water consumption was 19.4 and 20.3 l during the dry and rainy seasons, respectively. Piped water on-premises, small family size, volume, and number of water storage containers were significant predictors of per capita water consumption in both seasons. Piped water off-premises, storing water for more than 3 days, uncovered, and wide-mouthed water storage containers were significantly associated with the presence of <i>E. coli</i> in water in both seasons. Seasonal variability of household water use and microbiological water quality was statistically significant, which is a significant public health concern and needs intervention to enhance water quantity and quality to mitigate the risk of waterborne diseases. Findings also suggest seasonal monitoring of the safety of drinking water to ensure that the water is safe and healthy.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241238940"},"PeriodicalIF":2.7,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10958793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140206531","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":"Level of Heavy Metals in Fish and Associated Human Health Risk From the Omo Delta in Southern Ethiopia: A First-Hand Report.","authors":"Abiy Andemo Kotacho, Girma Tilahun Yimer, Solomon Sorsa Sota, Yohannes Seifu Berego","doi":"10.1177/11786302241238180","DOIUrl":"10.1177/11786302241238180","url":null,"abstract":"<p><p>This study was the first to investigate the levels of heavy metals in commercially important fish species (<i>Lates niloticus</i> and <i>Oreochromis niloticus</i>) and the human health risk in Southern Ethiopia. Sixty fish samples were collected from the Omo delta. The target hazard quotient (THQ), hazard index (HI), and target cancer risk (TCR) were used to estimate the human health risks. The mean levels of heavy metals detected in the liver and muscle of <i>Lates niloticus</i> generally occurred in the order of Fe> Zn > Pb > Cu >Mn> Cr > Co > Ni and Fe > Pb > Zn >Mn > Cu > Co > Cr >Ni, respectively. Similarly, the mean levels of iron in the muscle and liver tissues of <i>Oreochromis niloticus</i> were in the order of Fe > Pb > Zn >Mn> Cu > Cr > Co > Ni and Pb > Fe > Zn >Mn> Co > Cu > Ni, respectively. The THQs in the muscle of <i>L. niloticus</i> and <i>O. niloticus</i> decreased in the order Pb > Cr > Cu >Mn> Co > Zn > Fe> Ni and Pb >Mn> Co > Cu > Zn > Ni> Fe respectively. Pb had the highest THQ value in <i>L. niloticus</i> and <i>O. niloticus</i>, which were 0.61 and 0.409, respectively in adult. Similarly, Pb had noted that, <i>L. niloticus</i> and <i>O. niloticus</i> had the highest THQ values, at 0.87 and 0.58, respectively in children. The HI values due to consumption of <i>L. niloticus</i> muscle were 0.668 for adults and 0.942 for children. The mean concentrations of Pb and Cr in the tissues of <i>L. niloticus</i> and <i>O. niloticus</i> were above the FAO/WHO permissible limits. Consequently, investigating heavy metal pollution levels in fish and human health risks from the Omo delta is imperative for addressing environmental and public health concerns.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241238180"},"PeriodicalIF":2.7,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10943709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143039","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":"A Study on Environmental Impact of Slow Moving Electric Vehicles Using Microsimulation on Lucknow Urban Road With an On-Ramp.","authors":"Mohd Sadat, Syed Aqeel Ahmad, Mehmet Ali Silgu, Shrish Bajpai, Digvijay Pandey","doi":"10.1177/11786302241231706","DOIUrl":"10.1177/11786302241231706","url":null,"abstract":"<p><strong>Background: </strong>The adoption of electric vehicles for mobility is seen as a major step towards the conservation of the environment. In India, slow-moving Electric 3-Wheelers (E3Ws) have been adopted for last-mile connectivity. The present study investigated the impact of slow-moving electric 3-wheelers on the environment in terms of emissions and traffic performance in mixed conditions.</p><p><strong>Methods: </strong>Field traffic data from a section of road in the city of Lucknow was collected and used for the calibration of the traffic model. A total of 6 scenarios were tested using traffic modelling in the open-source microsimulation software SUMO. Krauss model was used to model mixed traffic and HBEFA 4 was used to calculate the emissions of fuel-driven vehicles. In each scenario, the volume of fuel-driven vehicles was kept constant and the volume of E3Ws was varied. For the last 2 scenarios, E3Ws were replaced with modified Electric 3-wheelers (ME3Ws) and Electric Buses.</p><p><strong>Results: </strong>Initial findings showed that the average emission decreased as the number of slowly moving electric vehicles increased, but the average flow and harmonic mean speed decreased by 49.8% and 28.8%, respectively, despite keeping the original composition of fuel-driven vehicles the same in every scenario. Further analysis of scenarios revealed a strong correlation (<math><mrow><msup><mi>R</mi><mn>2</mn></msup><mo>=</mo><mn>0</mn><mo>.</mo><mn>88</mn></mrow></math>) between the reduction in the number of vehicles and the reduction in emissions like Carbon Dioxide (<math><mrow><msub><mrow><mi>CO</mi></mrow><mn>2</mn></msub></mrow></math>), which is responsible for global warming. Scenarios in which faster electric vehicles and electric buses replace slow-moving E3Ws also demonstrate emission reduction without noticeably affecting traffic performance parameters.</p><p><strong>Conclusion: </strong>The study shows that the environmental benefits of E3Ws in a limited section of Lucknow road are offset by their low-speed capability. Hypothetical scenarios wherein Modified E3Ws and Electric Buses were introduced reported benefits both in terms of emissions and traffic performance.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241231706"},"PeriodicalIF":2.7,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10943754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140143038","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":"Tackling Noise: Technology Integration for Improved Noise Pollution Monitoring.","authors":"Ivan Estrella, Alex Pacheco, Wilson Marin, Liz Pacheco-Pumaleque, Nestor Cuba-Carbajal, Félix Pucuhuayla-Revatta, Edwin Felix-Poicon, Marco Añaños-Bedriñana","doi":"10.1177/11786302241235013","DOIUrl":"10.1177/11786302241235013","url":null,"abstract":"<p><p>Noise pollution derived from motor vehicles, especially those with noisy engines, constitutes a significant challenge in urban environments, impacting quality of life and public health. In this context, the present study focuses on the implementation of an advanced technological solution: a web-based system specifically designed to monitor and manage noise pollution in Tarapoto, Peru. The execution of this project was structured in 4 key phases. The first phase involved extensive data collection and definition of the project scope. In the second phase, the system architecture was established based on initial observations. The third phase focussed on evaluating and improving system functionalities, while the fourth involved rigorous testing and corrections. The successful implementation of this system led to a significant improvement in the noise pollution monitoring process, reducing reporting times and improving data-driven decision making. This project not only provides a valuable tool for authorities in the management and mitigation of noise pollution, but also encourages community awareness and active participation in the sustainable management of the urban acoustic environment.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241235013"},"PeriodicalIF":2.7,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140119163","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":"H10N5 and H3N2 Outbreak 2024: The First-Ever Co-Infection With Influenza A Viruses Has Been Culpable for the Contemporary Public Health Crisis.","authors":"Chowdhury Ibnun Nafiz, Anika Tasnim Marlia, Syed Masudur Rahman Dewan","doi":"10.1177/11786302241239373","DOIUrl":"10.1177/11786302241239373","url":null,"abstract":"","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241239373"},"PeriodicalIF":2.7,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10935746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140119161","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}