Injury Prevention最新文献

{"title":"Trends in alcohol, MDMA, methylamphetamine and THC in injured and deceased motor vehicle drivers and motorcyclists over a decade (2010-2019) in Victoria, Australia.","authors":"Jennifer Schumann, Matthew Di Rago, Noel Woodford, Linda Glowacki, John Fitzpatrick, Michael Kelly, Ben Beck, Olaf H Drummer, Dimitri Gerostamoulos, Joanna F Dipnall","doi":"10.1136/ip-2024-045342","DOIUrl":"10.1136/ip-2024-045342","url":null,"abstract":"<p><strong>Background: </strong>Driving under the influence of alcohol and other drugs contributes significantly to road traffic crashes worldwide. This study explored trends of alcohol, methylamphetamine (MA), 3,4-methylenedioxy-N-methylamphetamine (MDMA) and Δ9-tetrahydrocannabinol (THC), in road crashes from 2010 to 2019 in Victoria, Australia.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis using data from the Victorian Institute of Forensic Medicine and Victoria Police, examining proscribed drug detections in road crashes. Time series graphs per substance explored indicative trends and comparisons between road users. Negative binomial regression models, with robust SEs and adjusted for exposure (kilometres travelled, Victorian licence holders), modelled the incidence rate ratio, with a Bonferroni-adjusted α=0.007 for multiple comparisons.</p><p><strong>Results: </strong>There were 19 843 injured drivers and 1596 fatally injured drivers. MA had the highest prevalence (12.3% of fatalities and 9.1% of injured drivers), demonstrating an increase over time. Overall, 16.8% of car drivers and motorcyclists tested positive for one or more drugs, with 14% of crashes involving a blood alcohol concentration (BAC)≥0.05%. MA and THC were the most common drugs in fatalities. Between 2015 and 2019, MA was detected in 27.9% of motorcyclist fatalities, followed by THC (18.3%) and alcohol ≥0.05% (14.2%), with similar but lower frequencies among injured motorcyclists. Alcohol detections (≥0.05% BAC) in fatalities declined, but increased in injured motorcyclists and car drivers until plateauing in 2017. THC detections rose among injured drivers until 2018, detected in 8.1% and 15.2% of injured and fatal drivers, respectively. MDMA-positive driving decreased among injured drivers and remained stable at ~1% of fatalities.</p><p><strong>Conclusions: </strong>Despite enhanced road safety measures in Victoria, drug-driving persists, indicating a need for revised prevention strategies targeting this growing issue.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"579-590"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prioritising preventive measures for unintentional sport and recreation-related deaths in Québec, Canada, based on a 14-year review.","authors":"Philippe Richard, Mathieu Gagne, Paul-André Perron, Jérémie Sylvain-Morneau","doi":"10.1136/ip-2024-045410","DOIUrl":"10.1136/ip-2024-045410","url":null,"abstract":"<p><strong>Objectives: </strong>This study analysed sport and recreation-related fatalities in Québec, Canada, from January 2006 to December 2019, focusing on the six activities with the highest mortality frequencies. It aimed to identify activity-specific risk factors to inform prevention priorities.</p><p><strong>Methods: </strong>In this descriptive retrospective study, data extracted from the database of the Bureau du coroner du Québec were analysed. The characteristics and mechanisms of fatalities in all-terrain vehicles, snowmobiles, cycling, swimming, motorised navigation and non-motorised navigation activities were presented. Incidence rates were calculated using Canadian census data.</p><p><strong>Results: </strong>Male fatalities predominated, ranging from 83% to 91%, in the six activities. Traumatic brain injuries or cranial traumas were reported in 55.7% of land-based activities-related deaths, particularly in 70.1% of cycling fatalities. In 44.2% of cycling-related cases, victims were not wearing a helmet, while in 44.1% of cases involving all-terrain vehicles, victims either wore a helmet improperly or did not wear one at all. Cycling deaths mainly occurred on roads (82.9%), with 63.9% involving collisions with motor vehicles. Alcohol-impaired driving was observed in 29.8% of victims involved in all-terrain vehicle and snowmobile activities combined. Natural water accounted for 67.1% of swimming fatalities. Alcohol consumption was documented in 28.8% of deaths related to water-based activities. Personal flotation devices were not worn in 61.5% of navigation-related fatalities.</p><p><strong>Conclusion: </strong>Activity-specific prevention priorities have been highlighted. A thorough examination of coroners' recommendations is now necessary to understand their characteristics, as this information can guide both the identification and implementation of preventive measures.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"604-614"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390341","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":"Developing injury prevention programmes for ladies Gaelic football: a Delphi study.","authors":"John Corrigan, Sinéad O'Keeffe, Enda Whyte, Siobhán O'Connor","doi":"10.1136/ip-2024-045334","DOIUrl":"10.1136/ip-2024-045334","url":null,"abstract":"<p><strong>Background: </strong>High injury rates are evident in the community sport of ladies Gaelic football, and the costs associated with these injuries have major implications for players and the governing body. Injury prevention programmes have been designed but are not being widely adopted. This study aimed to elicit the expert opinion of academics and practitioners on the content and format of injury prevention programmes for ladies Gaelic football.</p><p><strong>Methods: </strong>Twenty-four experts from the areas of coaching science, injury prevention, athletic therapy and physiotherapy took part in this three-round Delphi study. Each round contained multiple-choice, Likert scale and open-ended questions. For each question, consensus was defined as 67% or greater agreement among experts.</p><p><strong>Results: </strong>The experts agreed that 17 components (eg, agility, balance) should be included in injury prevention programmes for ladies Gaelic football, with 12 considered vital for inclusion in most or every session. Programmes should require minimal/no equipment, be 10-15 min in duration and contain 3-4 versions of each exercise for progression and variation purposes. Experts recommended when certain components should be completed but generally agreed that programmes should be capable of being delivered throughout sessions. There was consensus among experts for 13 items (eg, pictures, exercise volume) to be included in full versions of programmes and six in condensed versions.</p><p><strong>Conclusions: </strong>The outcomes of this study provide the foundation for the development of future injury prevention programmes for ladies Gaelic football. Combining these findings with the preferences of end-users throughout programme development may enhance the efficacy of future injury prevention programmes.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"615-621"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681542","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":"Characteristics of people who report firearm suicidal ideation in the USA.","authors":"Amelia Cromwell Mueller-Williams, Mark A Ilgen, Brain M Hicks","doi":"10.1136/ip-2024-045341","DOIUrl":"10.1136/ip-2024-045341","url":null,"abstract":"<p><strong>Objectives: </strong>Firearms are the most common method of suicide, yet little is known about the attributes of people who contemplate firearm suicide. The objective of this study was to describe people who endorse firearm suicidal ideation (FASI) in terms of associations with gun ownership and experiences, mental health problems, substance use, antisocial behaviour and personality characteristics.</p><p><strong>Methods: </strong>Data were collected as part of a national online survey of adults living in the USA, the cross-sectional sample from wave 8 was analysed (N=1579). Logistic regression and analysis of variance models were fit to examine the associations between lifetime FASI and gun ownership and experience, and several mental health, substance use, antisocial behaviour and personality variables.</p><p><strong>Results: </strong>The rate of lifetime FASI was 10.2% (n=161). FASI was associated with gun ownership and more experience with firearms, as well as higher levels of depressed mood, anxiety, suicidal ideation, self-harm behaviours, past suicide attempts, alcohol and drug use, antisocial behaviour and intimate partner violence. In terms of personality traits, FASI was associated with greater negative emotions, desire for power but also feeling powerless, and lower agreeableness and conscientiousness.</p><p><strong>Conclusions: </strong>While not common, FASI is not rare and has a profile characterised by higher-intensity mental health problems, substance use, antisocial behaviour and personality traits associated with severe externalising problems and suicide. Research on FASI as a distinct construct should continue given the high lethality of firearms as a method of suicide.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"635-641"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791369","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":"Analysing programme implementation across districts: a qualitative study of a national falls prevention initiative for older people in New Zealand.","authors":"Maryam Pirouzi, Vanessa Selak, Tim Tenbensel","doi":"10.1136/ip-2024-045427","DOIUrl":"10.1136/ip-2024-045427","url":null,"abstract":"<p><strong>Background: </strong>Falls among older people are a major cause of the global burden of disease. This study investigated the implementation of the Falls and Fracture Prevention Programme, a multicomponent population-based intervention, across diverse districts in New Zealand.</p><p><strong>Methods: </strong>We conducted a comparative case study through 28 semi-structured interviews with programme coordinators and managers across four districts. Transcripts were analysed using the programme framework, focusing on the implementation and outcomes of three primary components: Community Strength and Balance, In-Home Strength and Balance and Fracture Liaison Service.</p><p><strong>Results: </strong>We found both similarities and differences in the implementation of the programme's components. All districts successfully engaged community providers to deliver accredited group exercises for Community Strength and Balance, though there were variations in human resources and community awareness of sessions. In-Home Strength and Balance implementation differed, affecting attendance, with successful implementation linked to empowering private physiotherapy organisations; however, funding withdrawal raised sustainability concerns. Variations in the Fracture Liaison Service implementation underscored inconsistencies in patient identification, highlighting the importance of primary care engagement and standardised protocols. Primary care involvement across all components was essential for successful implementation, and districts with higher primary care engagement and well-planned awareness sessions reported increased patient attendance.</p><p><strong>Conclusions: </strong>Overall, effective screening, primary care engagement and collaboration with private organisations and community providers were vital for the successful implementation of this population-based falls prevention programme.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"557-564"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the Affordable Care Act Medicaid expansion in the USA associated with reductions in intimate partner violence victimisation?","authors":"Kristin G Bevilacqua, Luciana C Assini-Meytin, Reshmi Nair, Michele R Decker, Emma E McGinty, Elizabeth A Stuart, Elizabeth J Letourneau","doi":"10.1136/ip-2024-045319","DOIUrl":"10.1136/ip-2024-045319","url":null,"abstract":"<p><strong>Objective: </strong>Intimate partner violence (IPV) affects an estimated 47% of women living in the USA in their lifetime and is associated with increased risk of physical and mental health concerns. Current prevention efforts focus on individual and family-level interventions rather than macrosystem-level policies. Thus, we sought to test the effects of Medicaid expansion on the rates of IPV and violence more broadly.</p><p><strong>Methods: </strong>Present analyses use retrospective longitudinal data from the National Crime Victimization Survey (NCVS). State level rates of total violence and IPV were measured per 1000 population from the NCVS for years 2008-2018 as 3-year averages for each state. A two-way fixed-effects difference-in-differences model was fit to evaluate differences in the change in violence outcomes pre-2014/post-2014 in Medicaid expansion states versus non-expansion states.</p><p><strong>Results: </strong>Comparison states had a significantly higher proportion of residents who were black, living below the federal poverty level and with lower educational attainment. Before Medicaid expansion, comparison states had a significantly lower mean rate of total violence and IPV per 1000 population. In two-way fixed effects difference-in-differences models, there was no statistically significant association between Medicaid expansion and IPV or total violence.</p><p><strong>Discussion: </strong>Despite null findings, our study adds to the evidence base evaluating the impacts of macro-level policies on different forms of violence. The pathways by which Medicaid expansion could contribute to violence reduction are multifaceted with numerous mediators and those pathways may not be sufficiently strong to generate impacts. Additional work is warranted to further probe Medicaid expansion's impact on violence prevention.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"655-660"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State firearm legislation and initiation of gun carrying in the USA.","authors":"Beidi Dong, David B Wilson","doi":"10.1136/ip-2024-045382","DOIUrl":"10.1136/ip-2024-045382","url":null,"abstract":"<p><strong>Objective: </strong>Early onset of gun carrying correlates with a heightened risk of violent offences and injuries. This research estimates the association between state firearm legislation and first-time handgun carrying in the USA. It further identifies specific policy measures that could be most effective in discouraging the onset of risky gun-carrying activities.</p><p><strong>Methods: </strong>The study sample included 6194 youth (51% male, 49% female; 48% white, 27% black, 24% Hispanic and 1% other race and ethnicity) drawn from the National Longitudinal Survey of Youth 1997, with an average age of 14.3 at the first round of data collection. Participants self-reported when they first carried a handgun. Discrete-time survival analysis was used to model the likelihood of gun-carrying initiation over time, using an overarching state gun law environment score as well as proportionate scores for individual policy subcategories as primary predictors. Analyses were completed in 2024.</p><p><strong>Results: </strong>Approximately 30% of the study sample had initiated handgun carrying by the end of the study period. Individuals in states with a greater number of gun laws were less prone to begin carrying handguns. This association was notably stronger for males and white individuals. Laws that extend the firearm acquisition process and increase purchaser accountability were associated with a greater reduction in the initiation rates than other types of policy measures.</p><p><strong>Conclusions: </strong>State firearm legislation has the potential to deter the commencement of risky gun-carrying behaviour. It is recommended that states consider implementing, publicising and enforcing these laws to reduce gun-related mortality and morbidity.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"629-634"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Military spouse and key stakeholder perspectives of effective messaging for US service members on secure storage of personal firearms: a qualitative study.","authors":"Justin C Baker, Michael D Anestis, Kayla A Meza, Jayna Moceri-Brooks, Alex Bletz, Kaitlyn Friedman, Rodney A Ho, AnnaBelle O Bryan, Craig J Bryan, Marian E Betz","doi":"10.1136/ip-2024-045351","DOIUrl":"10.1136/ip-2024-045351","url":null,"abstract":"<p><strong>Background: </strong>Secure firearm storage is a proposed method for reducing intentional and unintentional firearm injury and death among US military service members. However, little is known about suggested key messengers and optimal message content to promote secure firearm storage practices among at-risk US service members. This qualitative study focused on military spouse and stakeholder perspectives concerning key messengers and message content for the delivery of effective messaging around promoting secure firearm storage practices among US service members.</p><p><strong>Methods: </strong>Military spouses and stakeholders of military support organisations were recruited at various military installations in the USA and completed either individual or group qualitative interviews via Zoom consisting of open-ended questions on perspectives of effective messaging for secure firearm storage for at-risk service members. Qualitative analysis included comprehensive memoing, regularly scheduled team meetings and triangulation of data with established literature.</p><p><strong>Results: </strong>56 participants were interviewed between August 2022 and March 2023. Participants identified key messengers for promoting secure firearm storage as peers, chaplains, clinicians or a combination. Perspectives on preferred message content for the promotion of secure firearm storage consisted of focusing on lived experience, personal anecdotes and relatable stories.</p><p><strong>Discussion and conclusions: </strong>Extant research has focused exclusively on firearm owners' perspectives of effective messaging for the promotion of secure firearm storage practices. This study highlights the important contributions of military spouses and stakeholder perspectives on who are credible messengers and what is the most effective message content to promote a perspective shift on how firearms are stored among military firearm owners.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"642-647"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulance services for road traffic injury (RTI) victims in Bangladesh: a cross-sectional study on the ground realities and the way forward.","authors":"Zarin Tasnim, Samiun Nazrin Bente Kamal Tune, Bushra Zarin Islam, Nahitun Naher, Syed Masud Ahmed","doi":"10.1136/ip-2024-045302","DOIUrl":"10.1136/ip-2024-045302","url":null,"abstract":"<p><strong>Introduction: </strong>Swift and safe transport of road traffic injury patients for life-saving interventions requires a functioning ambulance system which is largely lacking in the low- and middle-income countries. This study explored the current situation of ambulance-based prehospital care services in Bangladesh to inform the development of an evidence-based national ambulance system.</p><p><strong>Methods: </strong>A cross-sectional study conducted in five selected districts of Bangladesh, employing qualitative and quantitative approaches, elicited data on the 29 ambulances and the knowledge and skills of their operators. Findings were validated through 32 key informant interviews with relevant stakeholders on their experiences and insights towards developing a national ambulance system in the country.</p><p><strong>Results: </strong>Most of the ambulances were 'makeshift ambulances' (converted microbus) and commonly lacked the necessary supplies and equipment, including a Global Positioning System tracker or location identifier system. Around 20 drivers had 10+years of work experience, but none were trained in first-aid. Some drivers developed a few life-saving skills like removing foreign bodies from the airway or immobilising fractured limbs, etc from work experiences. The public sector ambulances were mostly used for transporting referral patients and, quite frequently, for transporting staff. Public ambulances had government-determined fixed rates, whereas private ambulances did not. The responsible authority/operator for the public sector ambulances was ambiguous and not coordinated by any local/central authority.</p><p><strong>Conclusion: </strong>The 'ambulance' service in the country is rudimentary, fragmented and poorly resourced, lacking any central/regional level coordination. A recommendation is made to develop a national ambulance service, integrating public and private sectors and operating under a central/regional authority.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"597-603"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691960","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":"Epidemiology of burn injuries in a Canadian population during the COVID-19 pandemic.","authors":"Alexander Michelberger, Alison K Macpherson, Michael Rotondi","doi":"10.1136/ip-2024-045403","DOIUrl":"10.1136/ip-2024-045403","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic affected burn injury patterns in many countries, but literature on this topic in Canada is limited. The objective of this study is to investigate the changes in the epidemiology of burn injuries in a Canadian population during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Data from the Canadian Institute for Health Information were used to evaluate differences in emergency department visits before and during the COVID-19 pandemic. Logistic regression models estimated the odds of a severe burn occurrence.</p><p><strong>Results: </strong>During the pandemic, there were significant decreases in emergency department visits for burns. Distributions of factors associated with burns showed little to no change. The pandemic period, age, sex, income, month and time of day were significantly associated with severe burns during the study time period.</p><p><strong>Conclusions: </strong>The study found large reductions in the number of emergency department visits during the pandemic, but no evidence of changes in the epidemiology of burns or patterns in the patient populations. Demographic factors associated with severe burns were identified. These factors should be studied to deepen the understanding of the relationship between burn injuries and patient populations.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"538-543"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755090","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}