Healthcare最新文献

{"title":"Racial and Ethnic (In)equity in Development of Power Through Place-Based Initiatives.","authors":"Mina Silberberg, Matthew E Dupre, James Moody, Meera Patel, Anika Vemulapalli, Douglas Easterling","doi":"10.3390/healthcare12232486","DOIUrl":"https://doi.org/10.3390/healthcare12232486","url":null,"abstract":"<p><p><b>Background</b>: Place-based initiatives (PBIs) invest in a geographic area and often build community power to improve well-being. However, there can be differences in results for different groups within a community. <b>Methods</b>: In six communities, we measured differences in \"power to\" by race/ethnicity at two points for the first phase of the PBI Healthy Places North Carolina (HPNC) using five indicators: (1) representation in network of actors collaborating to improve health, (2) leadership attributes, (3) perceived change in attributes due to HPNC, (4) network centrality, and (5) perceived change in network ties due to HPNC. <b>Results</b>: Latine populations were underrepresented. In four (majority White) communities, there were indications of White advantage. In one, White centrality was greater than non-White. In another, White actors consistently rated themselves higher for leadership attributes. In two, a gap in leadership attributes favoring White actors appeared at Wave 2. In two counties with African American majorities, non-White attributes ranked higher than White. <b>Conclusions</b>: Each indicator provided unique insight. Results provide new evidence of measurement validity and reliability. Results indicate that when PBIs designed to address the needs of low-resource communities do not proactively concern themselves with racial/ethnic equity and power (as HPNC would do in the years after this study), they may result in greater White benefit from PBI or failure to close existing gaps. Findings aligned with the \"political reality\" model of the correspondence between the size of African American population and their perceived self-efficacy. Changes over time and inter-county differences confirm need for early measurement of power differences and changes.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835577","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}

{"title":"Time to Form a Habit: A Systematic Review and Meta-Analysis of Health Behaviour Habit Formation and Its Determinants.","authors":"Ben Singh, Andrew Murphy, Carol Maher, Ashleigh E Smith","doi":"10.3390/healthcare12232488","DOIUrl":"https://doi.org/10.3390/healthcare12232488","url":null,"abstract":"<p><p><b>Background:</b> Healthy lifestyles depend on forming crucial habits through the process of habit formation, emphasising the need to establish positive habits and break negative ones for lasting behaviour changes. This systematic review aims to explore the time required for developing health-related habits. <b>Methods:</b> Six databases (Scopus, PsychINFO, CINAHL, EMBASE, Medline and PubMed) were searched to identify experimental intervention studies assessing self-report habit or automaticity questionnaires (e.g., the self-report habit index (SRHI) or the self-report behavioural automaticity index (SRBAI)), or the duration to reach automaticity in health-related behaviours. Habit formation determinants were also evaluated. Meta-analysis was performed to assess the change in the SRHI or SRBAI habit scores between pre- and post-intervention, and the study quality was assessed using the PEDro scale. <b>Results:</b> A total of 20 studies involving 2601 participants (mean age range: 21.5-73.5 years) were included. Most studies had a high risk of bias rating (n = 11). Health behaviours included physical activity (n = 8), drinking water (n = 2), vitamin consumption (n = 1), flossing (n = 3), healthy diet (n = 8), microwaving a dishcloth (for foodborne disease reduction, n = 2) and sedentary behaviour reduction (n = 1). Four studies reported the median or mean times to reach habit formation, ranging from 59-66 days (median) and 106-154 days (means), with substantial individual variability (4-335 days). The meta-analysis showed significant improvements in habit scores pre- to post-intervention across different habits (standardised mean difference: 0.69, 95% CI: 0.49-0.88). Frequency, timing, type of habit, individual choice, affective judgements, behavioural regulation and preparatory habits significantly influence habit strength, with morning practices and self-selected habits generally exhibiting greater strength. <b>Conclusions:</b> Emerging evidence on health-related habit formation indicates that while habits can start forming within about two months, the time required varies significantly across individuals. A limitation of this meta-analysis is the relatively small number of studies included, with flossing and diet having the most evidence among the behaviours examined. Despite this, improvements in habit strength post-intervention are evident across various behaviours, suggesting that targeted interventions can be effective. Future research should aim to expand the evidence base with well-designed studies to better understand and enhance the process of establishing beneficial health habits.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835601","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}

{"title":"Cost-Effectiveness of the Pneumococcal Vaccine in the Adult Population: A Systematic Review.","authors":"Nam Xuan Vo, Huong Lai Pham, Uyen My Bui, Han Tue Ho, Tien Thuy Bui","doi":"10.3390/healthcare12232490","DOIUrl":"https://doi.org/10.3390/healthcare12232490","url":null,"abstract":"<p><p><b>Objectives:</b> Pneumococcal disease (PD), caused by <i>S. pneumoniae</i>, is a serious global health issue, primarily for adults over 65, due to its high mortality and morbidity rates. Recently, broader-serotype vaccines have been introduced to cope with tremendous hospital costs and decreasing quality of life. Our study aims to systematically review the cost-effectiveness of current PCVs (pneumococcal conjugate vaccines) and PPVs (pneumococcal polysaccharide vaccine) from 2018 to April 2024. <b>Methods:</b> Articles were identified through PubMed, Embase, and Cochrane. Key outcomes include an improved incremental cost-effectiveness ratio (ICER) and quality-adjusted life-years (QALY), with the article's quality assessed via the Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022). In total, 23 studies were included, with 22 studies of high quality and 1 of moderate quality. <b>Results:</b> These articles showed that PCV20 was the most cost-effective option compared with other vaccines, including PPV23, PCV13, PCV15, and PCV15/PPV23, for both young and older adults, regardless of risk factors. PCV20, when used alone, saved greater costs than PCV20, followed by PPV23. <b>Conclusions:</b> For countries applying lower-valency vaccines, switching to PCV20 as a single regimen would be the most beneficial for averting pneumococcal cases and reducing costs in adults aged 18-64 and over 65.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834690","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}

{"title":"Impact of Symptom Distress on the Quality of Life of Oncology Palliative Care Patients: A Portuguese Cross-Sectional Study.","authors":"Florbela Gonçalves, Margarida Gaudêncio, Ivo Paiva, Valéria Andrade Semedo, Francisca Rego, Rui Nunes","doi":"10.3390/healthcare12232487","DOIUrl":"https://doi.org/10.3390/healthcare12232487","url":null,"abstract":"<p><strong>Introduction: </strong>Uncontrolled symptoms are widely recognized as one of the main challenges in oncology palliative care patients. The central aim of palliative care is to improve the patient's quality of life. In recent years, there has been a growing use of patient-reported outcome measures in palliative care, particularly to evaluate symptoms, quality of care, and well-being.</p><p><strong>Aim: </strong>To evaluate the sociodemographic and clinical profile, symptom distress, and perceived quality of life in oncology palliative care patients admitted to a specialized palliative care unit in Portugal.</p><p><strong>Methods: </strong>This study was cross-sectional, descriptive, and correlational, carried out in the inpatient setting of the palliative care unit at a tertiary oncology hospital (at admission). The evaluated protocol included a sociodemographic and clinical questionnaire, as well as two measurement instruments: the Edmonton Symptom Assessment Scale (ESAS) and the Palliative Care Outcome Scale (POS), both filled out by the patients. Data analysis was conducted using IBM SPSS^® Statistics version 25.0, with a significance level set at 5% (<i>p</i> < 0.05).</p><p><strong>Results: </strong>The majority of participants in this sample were male (61.7%), with a mean age of around 72 years. More than half of the patients admitted (n = 34; 56.7%) were being monitored in outpatient care. Digestive and head and neck cancers were the most commonly found in the sample (41.7% and 20%, respectively). A significant correlation was found between high symptom intensity and poorer quality of life and care (<i>p</i> < 0.01). This association was particularly pronounced for symptoms such as pain, weakness, depression, anxiety, and anorexia.</p><p><strong>Conclusions: </strong>This study revealed a positive correlation between overall symptom severity and a perceived deterioration in quality of life, well-being, and quality of care. Future studies should consider utilizing alternative assessment tools for evaluating symptoms and quality of care. Additionally, including non-cancer palliative patients in similar studies may provide further valuable insights.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835470","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}

{"title":"Benefits of Complementary Therapies During Pregnancy, Childbirth and Postpartum Period: A Systematic Review.","authors":"Consolación Lima-De-La-Iglesia, Eleonora Magni, Alicia Botello-Hermosa, María Dolores Guerra-Martín","doi":"10.3390/healthcare12232481","DOIUrl":"https://doi.org/10.3390/healthcare12232481","url":null,"abstract":"<p><strong>Background/objectives: </strong>The current trend in maternal health is to foster more natural and less medicalized therapies, with increasing interest in complementary therapies. This study has analyzed the benefits of complementary therapies during pregnancy, delivery and the postpartum period.</p><p><strong>Methods: </strong>A paired systematic review was carried out (PROSPERO: CRD42024543981). The following databases were consulted: PubMed, Scopus, Web of Science and CINAHL. Inclusion criteria were randomized clinical trials about complementary therapies in women during pregnancy, delivery and/or the postpartum period. The risk of bias of the clinical trials was evaluated using the revised Cochrane Risk of Bias tool for randomized trials version 2 (RoB-2).</p><p><strong>Results: </strong>A total of 1684 studies were found, with a final selection of 17. The most studied symptom was pain. Hydrotherapy, perinatal Swiss ball exercises, acupressure, virtual reality and foot reflexology provided a significant reduction in pain during labor. Similarly, aromatherapy, electroacupuncture and massage have shown significant benefits in pain management after Cesarean. Yoga, when practiced during pregnancy, effectively reduces anxiety and depression, with similar benefits observed when practiced during the postpartum period.</p><p><strong>Conclusions: </strong>Complementary therapies improve pain, anxiety and depression management across maternal health phases.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835393","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}

{"title":"Rare Breast Cancers Review.","authors":"Bowen Song, Harnoor Singh","doi":"10.3390/healthcare12232483","DOIUrl":"https://doi.org/10.3390/healthcare12232483","url":null,"abstract":"<p><strong>Background/objectives: </strong>Breast cancer is one of the most common malignancies in women, with rare subtypes presenting unique clinical challenges. This review provides a comprehensive analysis of rare breast cancers, including both epithelial and non-epithelial subtypes, and explores their epidemiology, pathology, prognosis, and treatment approaches.</p><p><strong>Methods: </strong>A systematic review was conducted focusing on recent advancements in the treatment of rare breast cancer subtypes. Articles were selected based on criteria emphasizing studies from the past five years, with older foundational studies included where necessary. The analysis incorporated molecular profiling, clinical trials, and advancements in targeted and immunotherapies, where possible.</p><p><strong>Results: </strong>Rare epithelial subtypes, such as tubular, mucinous, and medullary carcinomas, demonstrate distinct clinical and pathological features, with generally favorable prognoses compared to invasive ductal carcinoma (IDC). Non-epithelial cancers, including sarcomas and primary breast lymphomas, require individualized treatment due to aggressive behavior and poor prognosis in certain cases. Recent advancements in targeted therapies (e.g., HER2 inhibitors, PI3K inhibitors, and PARP inhibitors) and immunotherapies (e.g., PD-1 inhibitors) have shown promise in improving outcomes for specific molecularly characterized subtypes.</p><p><strong>Conclusions: </strong>While the management of common breast cancers has become increasingly sophisticated, rare subtypes continue to pose challenges due to limited research and small patient populations. Advances in molecular profiling and next-generation sequencing are pivotal in identifying actionable mutations and expanding personalized treatment options. Future research should focus on clinical trials and collaborative efforts to refine treatment strategies and improve outcomes for these rare subtypes.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835594","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}

{"title":"Translation, Cultural Adaptation, and Validation of the Spanish Version of the Person-Centred Practice Inventory-Staff (PCPI-S).","authors":"Ana Carvajal-Valcárcel, Edgar Benitez, Marta Lizarbe-Chocarro, María José Galán-Espinilla, Mónica Vázquez-Calatayud, Begoña Errasti-Ibarrondo, Ana Choperena, Brendan McCormack, Vaibhav Tyagi, Virginia La Rosa-Salas","doi":"10.3390/healthcare12232485","DOIUrl":"https://doi.org/10.3390/healthcare12232485","url":null,"abstract":"<p><p><b>Background:</b> Person-centredness, a global movement in healthcare, is consistent with international developments in healthcare policy. It is important to have instruments to measure person-centred care. The Person-Centred Practice Inventory-Staff (PCPI-S) is an internationally recognized instrument that aims to measure how healthcare staff experience person-centred practice. <b>Aim:</b> To perform the cultural adaptation and psychometric testing of a Spanish version of the PCPI-S (PCPI-S (Sp)). <b>Method:</b> A two-stage research design was implemented as follows: (1) the translation and cultural adaptation of the PCPI-S from English to Spanish using the \"Translation and Cultural Adaptation of Patient Reported Outcomes Measures-Principles of Good Practice\"; (2) a quantitative cross-sectional survey for the psychometric evaluation of the PCPI-S. Test-retest reliability was evaluated using the Kendall tau concordance coefficient, internal reliability was assessed through the ordinal theta (OT) coefficient, and confirmatory factor analysis was performed to examine the theoretical measurement model. <b>Results</b>: A Spanish version of the PCPI-S was obtained. There were no significant difficulties in the translation process or the consulting sessions. A sample of 287 healthcare professionals participated in the study at least once. All the items showed at least a fair level of test-retest reliability. The OT scores were adequate (>0.69). The model showed good to adequate levels of fit: CFI = 0.89, SRMR = 0.068; RMSEA = 0.060 with CI90% (0.056-0.063). <b>Conclusions:</b> The Spanish translation of the PCPI-S was psychometrically valid when tested with Spanish healthcare professionals. This instrument will help identify professionals' perceptions of person-centred practice, track the evolution of this practice over time, and assess interventions aimed at improving person-centred practice.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835603","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}

{"title":"What Helps or Hinders End-of-Life Care in Adult Intensive Care Units in Saudi Arabia? A Mixed-Methods Study Protocol.","authors":"Nabat Almalki, Breidge Boyle, Peter O'Halloran","doi":"10.3390/healthcare12232489","DOIUrl":"https://doi.org/10.3390/healthcare12232489","url":null,"abstract":"<p><p><b>Background</b>: In the intensive care unit, many patients are dying despite advanced therapeutic technology and optimized treatment. The critical care team is expected to deliver end-of-life care for the dying patient and their family. However, it is challenging to provide adequate support to families due to the ideas and emotions associated with the end of life. This can be influenced by different beliefs and cultures among patients and healthcare professionals. Added to this, research about end-of-life practices in intensive care units in Saudi Arabia is limited. Therefore, this study protocol aims to examine: (1) What end-of-life care is provided by healthcare teams in adult intensive care units in Saudi Arabia? (2) What helps or hinders effective end-of-life care in adult intensive care units in Saudi Arabia? <b>Method</b>: This study will use a mixed-methods, sequential, explanatory design consisting of two phases. Phase 1 will include a cross-sectional study design with a convenience sample of approximately 400 healthcare providers who will be invited from three military hospitals in Saud Arabia. the Palliative and End-of-Life Care Index (PEOL Care Index) will be used to assess palliative and end-of-life care education, practice, and perceived competence among the staff. Additionally, a questionnaire on the barriers to optimal end-of-life care and the perceived benefit of potential strategies to improve end-of-life care will be applied to obtain the views of managers. Phase 2 of the study will be a qualitative descriptive design involving semi-structured interviews with healthcare providers, managers, and bereaved family members. <b>Conclusion</b>: The study findings will contribute to understanding current practice in relation to palliative and end-of-life care in intensive care units in Saudi Arabia. It will provide valuable insight into barriers to and facilitators of care, which will help to develop strategies and interventions to improve the quality of end-of-life practices in ICUs. In addition, this research will provide significant information regarding family members' experiences of end-of-life care provided to their relatives.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834947","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}

{"title":"Polish Firefighters' Participation in Interventions Related to Behavioral Disorders in the 2020-2022 Period: An Observation of Incidents.","authors":"Lukasz Dudzinski, Lukasz Czyzewski, Robert Gałazkowski, Filip Jaskiewicz, Klaudiusz Nadolny, Tomasz Kubiak","doi":"10.3390/healthcare12232482","DOIUrl":"https://doi.org/10.3390/healthcare12232482","url":null,"abstract":"<p><strong>Background: </strong>Rescue service interventions for patients with behavioral disorders are quite common. The aim of this study is to analyze interventions of Polish State Fire Service units in incidents involving health threats to victims with behavioral disorders.</p><p><strong>Materials and methods: </strong>This study used data from the Decision Support System of the State Fire Service. Events in the period of 1 January 2020 at 00.00-31 December 2022 at 23:59 were used for analysis.</p><p><strong>Results: </strong>In the 2020-2022 period, firefighters were dispatched 321 times to interventions concerning injured individuals with behavioral disorders. Isolated emergency medical incidents most often concerned mental disorders (23%) and least often concerned suicide attempts (8%) (<i>p</i> = 0.033). It was shown that the duration of the intervention (emergency care time) was significantly longer in the case of interventions related to the autumn period (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Our results describe parameters associated with behavioral health responses within the Polish fire service.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834896","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}

{"title":"The Role of the MeToo Route in Improving the Health of Gender-Based Violence and Isolating Gender Violence Survivors.","authors":"Paula Cañaveras, Ana Burgués-Freitas, Mar Joanpere","doi":"10.3390/healthcare12232480","DOIUrl":"https://doi.org/10.3390/healthcare12232480","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The scientific literature has provided evidence on the negative health effects experienced by those who suffer gender-based violence (GBV) and isolating gender violence (IGV), the latter being a form of retaliation against those who support GBV victims. However, less attention has been paid to the potential health improvements following the initial support received by victims. <b>Methods</b>: This study examines the positive health outcomes among survivors of GBV and IGV after they engaged with the \"MeToo route,\" an initiative of the MeToo movement aimed at raising awareness about gender violence and fostering solidarity through support networks that traveled through 13 Spanish universities through more than 20 events in September 2022. <b>Results</b>: Using communicative methodology, survivors shared how their health, previously harmed by their experiences of violence, improved as a result of the support provided after knowing the MeToo support network. <b>Conclusions</b>: The findings highlight the crucial role of solidarity networks in alleviating the health impacts of GBV and IGV and underscore the importance of effective support systems for recovery.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835590","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}