Frontiers in Public Health最新文献

{"title":"Advancing institutionalization and sustainability of field epidemiology training programs in the Eastern Mediterranean region.","authors":"Yousef Khader, Ali Ahmed Al-Waleedi, Sheikh Abdulhafed Al-Shoteri, Adil Said Al Wahaibi, Ahmad Farshid Muhammadi, Haitham Bashier, Ayman Bani Mousa, Ramez Dwekat, Shamaila Usman, Abdulla Bin-Ghouth, Hassan Chrifi, Tareq Al-Hawwash, Hajer Letaief, Zainab Naseer Abbas, Ruba Kamal Alsouri, Mohammed Akrim, Mohannad Al Nsour","doi":"10.3389/fpubh.2025.1669319","DOIUrl":"10.3389/fpubh.2025.1669319","url":null,"abstract":"<p><strong>Introduction: </strong>Sustaining Field Epidemiology Training Programs (FETPs) is critical for long-term public health capacity. Institutionalization-embedding programs within national health systems-is a major step toward sustainability. This manuscript explores the experiences, perceived challenges, and strategies related to the institutionalization, sustainability, and funding of FETPs in the Eastern Mediterranean Region (EMR) and offers recommendations to strengthen their long-term integration within national health systems.</p><p><strong>Methods: </strong>A participatory regional workshop was held in Amman from May 18-20, 2025, to review frameworks, share country experiences, and develop sustainability plans. Participants included FETP directors, ministry officials, and alumni from nine countries. Sessions addressed governance, financing, accreditation, career pathways, and stakeholder engagement. Data were synthesized thematically from session notes and program documents.</p><p><strong>Results: </strong>Twenty-eight participants representing Afghanistan, Iraq, Jordan, Pakistan, Palestine, Tunisia, Morocco, Oman, and Yemen attended the regional workshop. Most were experienced public health professionals and FETP graduates. Country teams highlighted the importance and impact of FETP, while funding constraints and undefined career tracks were common challenges. Institutionalization, defined as embedding FETPs into national strategies with government ownership, legal frameworks, and dedicated financing, emerged as a critical priority. Participants recommended shifting to mixed financing models, pursuing accreditation, and linking programs to universities. The lack of career pathways underscore the need for policies recognizing FETP qualifications in promotions. Stakeholder engagement and advocacy were identified as essential for sustaining support.</p><p><strong>Conclusion: </strong>Sustaining FETPs requires deliberate country-led action, stable funding, accreditation, and clear career progression. With committed leadership and regional collaboration, FETPs can evolve into permanent pillars of public health capacity and health security.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1669319"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of vision impairment on cognitive function: the bidirectional chain mediating role of sleep quality and psychological disorders.","authors":"Minghao Yu, Hangqing Zhou, Yi Zhao, Hanna Lu, Yan Shao","doi":"10.3389/fpubh.2025.1611723","DOIUrl":"10.3389/fpubh.2025.1611723","url":null,"abstract":"<p><strong>Introduction: </strong>Vision impairment (VI) and cognitive function have profound impacts on quality of life, but there is still a lack of comprehensive research on the connection between VI and cognitive function. The study was designed to investigate factors influencing cognitive function, analyze the link between VI and cognitive function, and explore how sleep quality and psychological disorders mediate this relationship.</p><p><strong>Methods: </strong>The study utilizes survey data from the Health and Retirement Study (HRS) involving 10,884 older adults aged 50 and above in the United States. Pearson correlation analysis was conducted to elucidate the associations between the variables, and the R package bruceR (version 2024.6) was used to analyze multiple mediation effects through model 6.</p><p><strong>Results: </strong>VI is positively correlated with sleep quality and psychological disorders, and negatively correlated with cognitive function. Sleep quality is positively correlated with psychological disorders and negatively correlated with cognitive function. Psychological disorders are negatively correlated with cognitive function. All correlations are statistically significant. VI directly impacts cognitive function while also indirectly influencing it through sleep quality, psychological disorders, and the bidirectional mediating chain connecting these factors.</p><p><strong>Conclusion: </strong>Sleep quality, psychological disorders, and their bidirectional relationships mediate the effect of VI on cognitive function in aging populations. Through this study, we gain a more profound comprehension of how VI relates to cognitive function. In the future, cognitive enhancement in individuals with VI could be achieved by improving sleep quality, addressing psychological disorders, or integrating assessments of these factors into the evaluation of cognitive function.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1611723"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of traditional Chinese medicine registration review and approval policies: research based on the LDA topic model.","authors":"Kaidi Lu, Ming Xie, Wanping Sun, Yiming Liu","doi":"10.3389/fpubh.2025.1655636","DOIUrl":"10.3389/fpubh.2025.1655636","url":null,"abstract":"<p><strong>Introduction: </strong>The economic expansion of the Traditional Chinese Medicine (TCM) industry has prompted the Chinese government to introduce a series of policies focused on the registration review and approval of TCM. These policies aim to provide scientific and practical guidance for the innovation, protection, and progress of TCM. Although scholars have conducted detailed studies on the quantitative assessment of Traditional Chinese Medicine Registration Review and Approval Policies(TCMRAPs), Research on the evolution analysis of these policies is still relatively lacking.</p><p><strong>Methods: </strong>The evolution of TCMRAPs was analyzed using the Latent Dirichlet Allocation (LDA) topic model.</p><p><strong>Results: </strong>The results show that the scope of concern of the TCMRAPs in China is vast. TCMRAPs demonstrate their uniqueness at each stage, and over time, they have exhibited a development trend from a basic framework to standardization and refinement.</p><p><strong>Discussion: </strong>This study provides a reference for the subsequent formulation of TCMRAPs in China. Also, it offers an assessment method and theoretical reference for other countries in formulating their own policies for the drugs.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1655636"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Living during COVID-19: qualitative analysis of Experts by Experience UK University Associates' socioeconomic inequalities, including readiness recommendations.","authors":"Joy M Rooney","doi":"10.3389/fpubh.2025.1645667","DOIUrl":"10.3389/fpubh.2025.1645667","url":null,"abstract":"<p><p>A vulnerable group of people with disabilities and carers (Experts by Experience) wished for research during the COVID-19 pandemic to assist other people with disabilities in the future. Consideration of this vulnerable group seems to be limited in future policy pandemic readiness despite huge potential mortality. Literature reviewed critical public health theory through assessing health inequalities and health equity in relation to disability/chronic ill health. A standard qualitative thematic method distinguished socioeconomic health inequalities for people with earlier mental/psychosocial distress and other Experts by Experience-including people with physical, visual, self-identified hidden disabilities, and their carers. Environmental, community, and individual challenge were part of the overarching theme. Up to five sub-themes were: shielding, diminished quality of life, use of social media vs. the digital divide, people with hidden disabilities, activism, celebrating lockdowns' ends, loss in stability of outlook, loneliness/isolation, coping strategies, developing new skills, re-evaluating lives because the world will change. Discussion of findings relied on four critical public health pillars; included were future recommendations for pandemic/emergency readiness.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1645667"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12523057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life vs. coping with stress by nurses during the COVID-19 pandemic.","authors":"Ewa Kupcewicz, Grażyna Piwko, Elżbieta Araminowicz-Kierklo, Katarzyna Młynarska-Antochów","doi":"10.3389/fpubh.2025.1664792","DOIUrl":"10.3389/fpubh.2025.1664792","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic, one of the greatest global health challenges of the 21st century, had a significant impact on the quality of life of healthcare personnel. It is par-ticularly nurses who, as front-line workers in the fight against the pandemic, have experi-enced a deterioration in their physical and psychosocial health. The increased workload, fear of infection, and stress associated with the epidemic situation had a significant impact on their well-being and quality of life.</p><p><strong>Aim of the study: </strong>To understand how nurses perceived their quality of life during the COVID-19 pandemic and to determine the role of stress-coping strategies in relation to the consequences of the spread of SARS-CoV-2 virus infections.</p><p><strong>Materials and methods: </strong>The study employed the diagnostic survey method with a group of 202 nurses working in hospitals in the city of Ełk between March and May 2021. The empir-ical data were collected using the WHOQoL-Bref Quality of Life Questionnaire, the Mini-COPE inventory, and a questionnaire developed by the authors of the study.</p><p><strong>Results: </strong>Significant correlations were observed between six stress-coping strategies and the psychological domain of the nurses' quality of life. These include: \"Active coping\" (<i>r</i> = 0.242; <i>p</i> < 0.001), \"Positive revalidation\" (<i>r</i> = 0.153; <i>p</i> < 0.03), \"Self-blaming\" (<i>r</i> = -0.152; <i>p</i> < 0.03) and \"Seeking instrumental support\" (<i>r</i> = 0.227; <i>p</i> < 0.001). Analysis of predictors of quality of life showed that three stress-coping strategy groups, i.e., \"A sense of humour,\" \"Helplessness\" and \"Seeking support,\" achieved the R² value in the regression model falling within the range of 0.02-0.08.</p><p><strong>Conclusion: </strong>Choosing appropriate stress-coping strategies can be an important factor in determining the nurses' quality of life during crises such as a pandemic.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1664792"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding vaccine hesitancy through the lens of trust and the 3C model: evidence from Chinese General Social Survey 2021.","authors":"Bo Dong, Hengxuan Xu, Yuantao Qi, Yifan Li","doi":"10.3389/fpubh.2025.1671457","DOIUrl":"10.3389/fpubh.2025.1671457","url":null,"abstract":"<p><strong>Background: </strong>Trust is critical in managing infectious disease outbreaks, influencing both healthcare delivery and public compliance. While existing studies suggest trust reduces vaccine hesitancy (VH), the mechanisms remain unclear, particularly how different types of trust impact VH.</p><p><strong>Methods: </strong>This study uses data from the 2021 Chinese General Social Survey (CGSS), analyzing responses from 7,907 individuals. VH was assessed via COVID-19 vaccination status. Four trust types-generalized, government, doctor, and internet trust-were examined using binary probit regression. Structural equation modeling analyzed the mediating role of psychological factors: self-confidence, complacency, and responsibility. Robustness checks employed alternative dependent variables and models.</p><p><strong>Results: </strong>Trust exerts a significant negative predictive effect on vaccine hesitancy, suggesting that higher levels reduce the likelihood of vaccine hesitancy. This finding remains statistically significant after robustness tests. However, trust in the government and physician exert a greater influence on vaccine hesitancy than generalized trust and online trust. The three psychological antecedents-confidence, complacency, and collective responsibility-serve a crucial mediating role between trust and vaccine hesitancy. Most vaccinations were community-organized, followed by voluntary and employer-organized vaccination. Higher VH correlated with lower trust across all types, though most hesitancy levels occurred among those with moderate to high trust.</p><p><strong>Conclusion: </strong>Strengthening trust-especially in government and healthcare providers-is essential to reducing VH. Psychological determinants like confidence, complacency, and responsibility play key roles in vaccination decisions. Tackling VH requires multi-level strategies: fostering public trust, enhancing government transparency, empowering healthcare professionals, combating online misinformation, and leveraging community initiatives.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1671457"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary correlates of table tennis participation in children: a concept mapping study.","authors":"Jiang Liu","doi":"10.3389/fpubh.2025.1644306","DOIUrl":"10.3389/fpubh.2025.1644306","url":null,"abstract":"<p><strong>Background: </strong>Table tennis engages a combination of motor, cognitive, and psychosocial skills, demanding quick decision-making, precise coordination, and interpersonal interaction. This study explored the relationship between participation in table tennis training and improvements in children's motor abilities, cognitive development, and psychological resilience.</p><p><strong>Methods: </strong>A total of 312 children (156 boys, 156 girls), aged 8-14 years, participated in a 12-month structured table tennis program. Motor performance was evaluated via agility drills, simple reaction time, and hand-eye coordination tasks. Cognitive outcomes were assessed using the Stroop Test and the Wisconsin Card Sorting Test (WCST). Psychosocial indicators encompassed self-efficacy, peer interactions, and perceived stress. Structural equation modeling (SEM) was employed to examine hypothesized direct and indirect associations among these domains.</p><p><strong>Results: </strong>Longer training duration was significantly associated with improved reaction time (<i>r</i> = -0.42, <i>p</i> < 0.001), agility (<i>r</i> = -0.38, <i>p</i> < 0.001), and hand-eye coordination (<i>r</i> = 0.46, <i>p</i> < 0.001). WCST errors (<i>r</i> = -0.38, <i>p</i> < 0.001) and Stroop response time (<i>r</i> = -0.42, <i>p</i> < 0.001) decreased. Self-efficacy (<i>r</i> = 0.41, <i>p</i> < 0.001) and social competence (<i>r</i> = 0.42, <i>p</i> < 0.001) increased, while perceived stress (<i>r</i> = -0.39, <i>p</i> < 0.001) and antisocial behavior (<i>r</i> = -0.43, <i>p</i> < 0.001) declined. Structural equation modeling revealed significant associations among motor, cognitive, and psychosocial outcomes.</p><p><strong>Conclusion: </strong>The findings indicate that structured table tennis training is associated with enhancements in motor coordination, executive functioning, and psychosocial well-being. These results highlight its potential value as an effective component of school-based developmental programs.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1644306"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of organizational commitment on job performance in primary healthcare: a motivation internalization perspective.","authors":"Shichao Zhao, Tao Wang, Shanshan Luo, Yuequn Mi, Ying Wang, Huifen Ma, Xiaolin Wei","doi":"10.3389/fpubh.2025.1685420","DOIUrl":"10.3389/fpubh.2025.1685420","url":null,"abstract":"<p><strong>Introduction: </strong>Primary healthcare workers (PHCWs) are crucial to the healthcare system, as they directly impact the delivery of essential health services. Their job performance is influenced by various types of organizational commitment, but the effects of these commitments are not fully understood. This study aims to explore how four types of organizational commitment (affective, normative, economic, and opportunity) affect job performance among PHCWs, using Self-Determination Theory to examine motivation internalization as a mediating factor.</p><p><strong>Methods: </strong>A cross-sectional survey of 870 PHCWs from 38 primary healthcare institutions was conducted. Hierarchical regression analysis was used to explore the relationships between commitment types, motivation internalization, and job performance.</p><p><strong>Results: </strong>Affective and normative commitments positively predicted job performance, with motivation internalization partially mediating this relationship. Opportunity commitment negatively predicted job performance, mediated by reduced motivation internalization. Economic commitment showed no significant effect on either motivation internalization or job performance.</p><p><strong>Discussion: </strong>The impact of organizational commitment on job performance is shaped by its motivational quality. Strengthening affective and normative commitments through supportive incentive strategies can enhance PHCWs' performance in primary healthcare settings.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1685420"},"PeriodicalIF":3.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145307681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Promoting the health of migrant seasonal agricultural workers in rural Minnesota using a whole-person health approach: a pilot project.","authors":"Shahidali Jaffer, Jessica Hane, Margaret Eckerstorfer, Robin Austin, Jonathan Kirsch","doi":"10.3389/fpubh.2025.1675896","DOIUrl":"https://doi.org/10.3389/fpubh.2025.1675896","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2025.1518686.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1675896"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Push-pull-mooring model-based study of medical personnel's shift intention to rural areas and the quality of public health services: a test of empirical data in Zhejiang Province.","authors":"Wu Li, Zheng Yuan, Xu Jiayi, Huo Rongmian","doi":"10.3389/fpubh.2025.1647150","DOIUrl":"10.3389/fpubh.2025.1647150","url":null,"abstract":"<p><strong>Background: </strong>Aiming at the current situation of shortage of medical personnel in rural areas of China, combined with the gap between primary health and preventive services and the health needs of the public, we explore the influencing factors of medical personnel's shift intention to rural areas, and propose countermeasures to improve the quality of rural medical services and the medical security system.</p><p><strong>Subjects and methods: </strong>Based on the push-pull-mooring model, medical professionals and medical students within five prefectural-level cities (Hangzhou, Jinhua, Wenzhou, Quzhou, and Lishui) in Zhejiang Province were selected for a survey, and a model of medical personnel's intention to shift to rural areas was established and validated using the Amos (CB-SEM), which examined the influence of healthcare resource supply, public healthcare quality, and social support on the medical personnel's shift decision-making.</p><p><strong>Findings: </strong>The attractiveness of alternatives significantly enhance medical personnel's shift intention to rural areas, and the factor of personal innovation also has a positive effect on the shift intention of medical personnel, while the effect of subjective norms was not significant, and results of social factors show a negative correlation rather than the expected positive one. In contrast, dissatisfaction and shift barriers exerted pronounced negative effects. These findings provide theoretical grounding for promoting downward shift intention among healthcare talent and lay the foundation for advancing healthy lifestyles and preventive healthcare concepts in rural regions.</p><p><strong>Conclusion: </strong>This study precisely identifies the key factors influencing medical personnel's intentions to shift, providing empirical support for optimizing rural healthcare talent retention systems, enhancing rural medical quality, and narrowing the gap in healthcare resources between urban and rural areas. It also lays a theoretical foundation for relevant policy formulation, rural health education, and improving residents' health literacy.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1647150"},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12518222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145299623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}