International journal of dental hygiene最新文献

{"title":"Oral Status in Relation to Demographic, Socioeconomic, Medical and Psychosocial Risk Factors Among Outpatients in Addiction Treatment Centers, Stockholm, Sweden.","authors":"Sonja Rafat, Stefan Borg, Gunnar Edman, Anders Hammarberg, Patricia De Palma","doi":"10.1111/idh.12914","DOIUrl":"https://doi.org/10.1111/idh.12914","url":null,"abstract":"<p><strong>Objective: </strong>To investigate oral status in relation to demographic, socioeconomic, medical and psychosocial risk factors among outpatients receiving treatment for Substance Use Disorder (SUD).</p><p><strong>Methods: </strong>This cross-sectional study included 91 outpatients from Stockholm, Sweden. Oral status was assessed using the Decayed, Missing, Filled Teeth (DMFT) index and Probing Pocket Depth (PPD). Psychosocial and functional factors were evaluated using the Addiction Severity Index (ASI), which measures problem severity in areas such as medical and social functioning, and the Global Assessment of Functioning Scale (GAF), which assesses overall social and occupational functioning. Data were analysed using non-parametric correlations and logistic regression.</p><p><strong>Results: </strong>The mean DMFT was 12.4 (±8.1), with missing teeth (MT) as the dominant component. The median PPD was 28. The logistic regression analysis showed significant associations between risk factors and oral status variables. Age ≥ 40 years was associated with fewer teeth (OR: 3.52, 95% CI: 1.30-9.54), higher DMFT (OR: 8.88, 95% CI: 3.43-23.01) and more severe PPD (OR: 5.64, 95% CI: 1.95-16.32). Low education (< 9 years) was associated with fewer decayed teeth (DT) (OR: 0.23, 95% CI: 0.09-0.59) and lower PPD values (OR: 0.29, 95% CI: 0.10-0.86). These results highlight the significant influence of age and education on oral status among patients with SUD.</p><p><strong>Conclusion: </strong>This study identified relationships between oral status and several demographics, socioeconomic, medical and psychosocial risk factors among patients with SUD. Age was the strongest predictor of oral status, with low education being the only significant socioeconomic risk factor.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978169","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":"Development of Dental Hygiene and Dental Therapy Students Using Programmatic Approaches to Assessment.","authors":"Joanne Bowles, Luke Dawson","doi":"10.1111/idh.12903","DOIUrl":"https://doi.org/10.1111/idh.12903","url":null,"abstract":"<p><p>The competency in Dental Hygiene/Dental Therapy (DH/DT) students is often determined using one-off high-stakes clinical tests. These approaches can have questionable validity/reliability and negatively impact learning because any feedback provided cannot improve the outcome. Programmatic assessment (PA) can improve the validity/reliability of assessment and support learning due to focus longitudinal learner development supported by feedback. However, PA has its own implementation challenges. The purpose of this study was to investigate staff/student opinions over the existing assessment strategies, and the potential acceptance of a PA approach.</p><p><strong>Objectives: </strong>To gain insights into the views of staff and students on the impact of current forms of assessment within clinical modules. To gauge the acceptance of staff and students for adopting PA.</p><p><strong>Method: </strong>Four staff and five second-year DT/DH students participated in separate focus groups. Following data collection, thematic analysis was used to identify themes.</p><p><strong>Results: </strong>The data suggested that problems with 'on the day' clinical tests included fairness over their timing, validity and reliability in terms of their generalisability and a negative impact on student behaviours, such as heightened anxiety and a focus on gaining marks, rather than on the patient. The data also suggested that staff/students could see the benefit of the PA approach.</p><p><strong>Discussion: </strong>The results supported the existing literature over the challenges with 'on the day' clinical tests in the areas of validity, reliability and educational impact.</p><p><strong>Conclusions: </strong>A move to the PA approach would likely be accepted by staff/students to support the development and progression of DH/DT students.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009498","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":"Workplace Sexual Harassment From Employers, Supervisors and Co-Workers Towards Dental Hygienists.","authors":"Lauren Capodi, Linda D Boyd, Dianne Smallidge, Jared Vineyard","doi":"10.1111/idh.12913","DOIUrl":"https://doi.org/10.1111/idh.12913","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored the prevalence and predictors of workplace sexual harassment (SH) from employers, supervisors and co-workers towards dental hygienists.</p><p><strong>Methods: </strong>Survey research was conducted with a convenience sample of dental hygienists in the United States and Canada (n = 372). The validated Sexual Experiences Questionnaire-Department of Defense-Shortened (SEQ-DOD-S) was utilised to assess the prevalence of workplace SH experiences over 24 months with an open-ended question about career-wide SH experiences. Descriptive, correlation and regression analyses were used.</p><p><strong>Results: </strong>The completion rate was 77.4% (n = 288). About 40% of participants had experienced workplace SH from employers, supervisors or co-workers. Male employers were the primary perpetrators of SH, with most respondents reporting 1-10 (80.7%) acts of SH. The most common forms of SH were sexist behaviour (43.1%), crude or offensive behaviour (37.5%), unwanted sexual attention (17.7%) and sexual coercion (6.6%). Predictors of experiencing sexist behaviour were age (B = -0.40, p = 0.003, OR [odds ratio] = 0.96), entry-level dental hygiene degree (B = -1.11, p = 0.03, OR = 0.33) and highest degree earned (B = 0.68, p = 0.04, OR = 1.97). The predictor of unwanted sexual behaviour was age (B = -0.052, p = 0.26, OR = 0.949). For every 1-year increase in age, the odds of experiencing sexist behaviour decreased by 4%, and the odds of experiencing unwanted sexual attention decreased by 5%.</p><p><strong>Conclusion: </strong>Findings suggest a high prevalence of workplace SH from male employers, supervisors and co-workers towards clinical dental hygienists in the sample. Increasing age and entry-level dental hygiene degree suggest the need for workplace education and policies to address sexual harassment with particular attention to younger dental hygienists.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999660","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":"Assessing the Development and Validity of Educational Videos in Educating Dental Infection Control Coordinators.","authors":"Na-Young Lee, Han-Na Kim","doi":"10.1111/idh.12902","DOIUrl":"https://doi.org/10.1111/idh.12902","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to introduce video-recorded simulation-based scenarios to facilitate case-based learning discussions (CBLDs) and to evaluate the appropriateness of these educational videos for hands-on training by conducting an expert validation process.</p><p><strong>Methods: </strong>Following educational video topics were chosen based on their practicality and high demand from the dental infection control coordinators (DICC): \"Reprocessing and Sterilization Monitoring of Reusable Instruments,\" \"Performance Monitoring of Infection Control Specialists,\" \"Hand Hygiene and Personal Protective Equipment (PPE),\" and \"Reporting System and Post-Incident Management for Infection Exposures.\" Scenario development involved five dental hygienists with > 10 years of experience. To evaluate the effectiveness of the video, surveys were conducted with 25 individuals with > 5 years of experience in the field. Construct validity was assessed using exploratory factor analysis and internal consistency with Cronbach's α.</p><p><strong>Results: </strong>Ten educational videos were developed (2-3 videos per topic). Regarding internal consistency reliability, Cronbach's α values for each of the four topics were all greater than 0.9. Factor analysis of all 34 items yielded five factors that collectively explained 86.201% of the variance. Concerning the \"overall educational satisfaction score,\" high ratings were obtained for \"extensive coverage of dental clinical infection control content within each topic\" and \"appropriateness of the educational material for training in dental infection control management.\"</p><p><strong>Conclusion: </strong>The developed videos for dental infection control were reliable and suitable for educating DICC. These videos are expected to hold significant importance in situations where face-to-face and hands-on training pose difficulties.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985835","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":"Plaque scores after 1 or 2 minutes of toothbrushing A systematic review and meta-analysis.","authors":"Marion T Seuntjens, Tim M J A Thomassen, Fridus G A Van der Weijden, Dagmar Else Slot","doi":"10.1111/idh.12840","DOIUrl":"https://doi.org/10.1111/idh.12840","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the difference in plaque score reduction achieved by 1 and 2 min of toothbrushing, based on data from single brushing exercises.</p><p><strong>Methods: </strong>MEDLINE-PubMed, Cochrane-CENTRAL databases and the first five pages of Google Scholar were searched for randomised controlled trials. Extracted data were summarised in a descriptive and, if possible, a meta-analysis using standardised mean difference (SMD). Separate analyses were performed for manual (MTB) and powered (PTB) toothbrushes.</p><p><strong>Results: </strong>Based on the selection criteria, the search identified five unique eligible publications providing 16 comparisons. For both toothbrush types, 2 min of brushing resulted in a significantly higher plaque score reduction. The SMD of 1 versus 2 min of brushing using MTB was 0.69 [95% CI: 0.06, 1.33] (p = 0.03) can be interpreted as a medium size effect and the SMD of using a PTB was 0.47 [95% CI: 0.28, 0.66], (p < 0.00001) interpreted as a small size effect.</p><p><strong>Conclusion: </strong>With respect to plaque scores, based on single brushing exercises, there is moderate certainty for the recommendation to brush for 2 min over 1 min.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811275","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":"Dental Contact Lenses: An Ecological Study of Online Searches in Brazil.","authors":"Humberto Alexander Baca Juárez, Paulo Ricardo Martins-Filho, Juliana Luongo Pelufo, Raphael Silva Bacelo, Frederico Pereira Castilho, Jullia Melo de Menezes, Aline Nachtigall Milbrath, Carolina Rodriguez Garralaga, Émely Regina Fila, Tatiana Serutina Lopes Da Silva, Francisco Wilker Mustafa Gomes Muniz","doi":"10.1111/idh.12912","DOIUrl":"https://doi.org/10.1111/idh.12912","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to investigate trends in searches for \"dental contact lenses\" on Google Trends and their association with sociodemographic variables of Brazilian states.</p><p><strong>Methods: </strong>This ecological study utilised Google Trends to analyse search frequencies for \"dental contact lenses\" in Brazilian states over 5 years. Data were collected from two categories: \"health\" and \"all categories\". Exploratory variables included total population, per capita income, Gini index, illiteracy rate, use of internet, number of dentists, number of specialists in Periodontology, Operative Dentistry and Dental Prosthesis, number of dental schools, and healthcare units. Pearson correlations and time series analyses were conducted.</p><p><strong>Results: </strong>São Paulo, Santa Catarina, the Federal District, and Tocantins exhibited the highest search frequencies in the \"Health\" category, while Minas Gerais had the highest search when considering all categories. Some states in the Northeast demonstrated the lowest search frequencies in both categories. Significant and positive correlations were observed between the outcome, when using all categories, and the following variables: total population (r = 0.500), per capita income (r = 0.468), use of internet (r = 0.522), higher education (r = 0.686), and number of entists (r = 0.806). Inverse correlations were detected with Gini index (r = -0.467), illiteracy rate (r = -0.734), number of public dental schools (r = -0.430), and primary health units (r = -0.472). A similar pattern of results was observed for the health category across most exploratory variables. Both analyses revealed a pattern of seasonality (p < 0.001).</p><p><strong>Conclusion: </strong>Higher socio-economic status and concentrations of dental professionals in the Brazilian states resulted in higher searches for \"dental contact lenses.\"</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803267","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":"A Perspective From the British Society of Dental Hygiene and Therapy Members Regarding the Need for Clinical Support by a Dental Nurse.","authors":"Debbie Reed, Laura McClune, Sarah Murray, Frances Robinson, Miranda Steeples","doi":"10.1111/idh.12910","DOIUrl":"https://doi.org/10.1111/idh.12910","url":null,"abstract":"<p><strong>Objectives: </strong>In the United Kingdom (UK), Dental Hygienists (DHs) and Dental Therapists (DTs) are required by the UK's regulatory body, the General Dental Council, to \"… be appropriately supported when treating patients\". However, what is deemed 'appropriate support', and the need for that support, has been 'open to interpretation', and consequently, the support dental business owners provide for the DHs and DTs they employ or contract varies. The objective of this perspective is to initiate a discourse within the international community in order to gain a deeper appreciation regarding the matter of Dental Nurse (DN) chairside support for DHs and DTs beyond the UK.</p><p><strong>Methods: </strong>The British Society of Dental Hygiene and Therapy (BSDHT) canvassed its members, inviting voluntary, anonymous statements to reflect their real-world experiences, both positive and negative, of working with or without DN chairside support in their roles. The statements from a sample of the membership were subsequently subjected to qualitative thematic analysis.</p><p><strong>Results: </strong>The analysis revealed three themes: (1) Competency Factors; (2) Conduct Factors and (3) Contextual Factors. These thematic outcomes were congruent with the General Dental Council's Risk in Dentistry Report (2014).</p><p><strong>Conclusions: </strong>The discussion elucidates the complexity of the matter of DN chairside assistance for DH and DT BSDHT members. The authors of this perspective welcome dialogue from our international colleagues regarding how DN chairside support for both DHs and DTs is of benefit to them and impacts their clinical role.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779433","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":"Beyond Bouncing Back: Exploring Undergraduate Dental Professional Students' Perceptions of Resilience.","authors":"Vaida Kaunaite, Marina Harris","doi":"10.1111/idh.12873","DOIUrl":"https://doi.org/10.1111/idh.12873","url":null,"abstract":"<p><strong>Introduction: </strong>The first signs of mental health issues in dentistry manifest as early as undergraduate training, thus it is essential to delve into the concept of resilience to equip those studying and working in dentistry with the resources to cultivate a positive mindset.</p><p><strong>Materials and methods: </strong>A focus group was conducted with a homogenous purposive sample of eight undergraduate dental profession students from all 3 years of study at the University of Portsmouth Dental Academy (UPDA). The six-phase Braun and Clarke's thematic analysis was adopted to interpret patterns in data.</p><p><strong>Results: </strong>Four themes of: 'definition of resilience'; 'factors enhancing resilience'; 'factors challenging resilience' and 'developing resilience in dentistry'; and 23 subthemes were identified. Students defined resilience as an ability to bounce back from adversity and perceived it as a dynamic and contextual phenomenon that fluctuated due to an interplay of personal, social and environmental factors.</p><p><strong>Conclusion: </strong>The findings of this study showed undergraduate dental profession students' perceptions of resilience, factors influencing it and strategies to develop it. These findings may inform the curriculum of resilience training programmes targeted towards this population.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752615","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":"Working to a Full Scope of Practice in General Dental Practice. A Mixed Methods Study Presenting the Results of a British Society of Dental Hygiene and Therapy Member Survey.","authors":"Diane Rochford","doi":"10.1111/idh.12911","DOIUrl":"https://doi.org/10.1111/idh.12911","url":null,"abstract":"<p><strong>Introduction: </strong>Anecdotally, it is currently accepted that many dental hygienists and dental therapists in the UK do not work consistently, if at all, to their full scope of practice, as determined by the General Dental Council and in line with their pre-registration training and post-qualification continuing professional development.</p><p><strong>Aim: </strong>Consider the professional demographics of the BSDHT and investigate the types of clinical skills that are being utilised in a particular setting, in addition to the members' usual daily practice, how consistently they are employing them, and any potential barriers and facilitators for working consistently to a full scope of practice.</p><p><strong>Method: </strong>BSDHT members (n = 2487) were invited to complete an online questionnaire and take part in an individual 30-min semi-structured online interview with the investigator. The quantitative data was collected on a master Excel spreadsheet, and qualitative data following the interviews were available as digital recordings and AI transcripts.</p><p><strong>Results: </strong>The response rate was 12.5% (n = 312), of which 64% (n = 200) were dental hygienists and 36% (n = 112) dental therapists: 70% (n = 19) of the dental hygienists who work in an NHS practice never work to their full scope, in comparison to 48% (n = 9) of dental therapists. Of those that would like to work to their full scope, 51% (n = 103) were dental hygienists and 31% (n = 35) were dental therapists. Of the 312 members who responded to the questionnaire, 24.7% (n = 77) indicated that they would be willing to take part in the online semi-structured interviews.</p><p><strong>Conclusion: </strong>The skills of dental hygienists and dental therapists are often underutilised across all dental practice settings. However, dental therapists are more likely than dental hygienists to work to their full scope of practice in both NHS and mixed dental practice settings. Further studies are needed to investigate and understand the barriers that prevent all dental hygienists and dental therapists from working to their full scope of practice and identify possible facilitators that could offer greater opportunities.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730005","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":"Comparison Between the 2017 EFP/AAP and CDC/AAP Case Definitions on Periodontal Status and Their Association With Risk Factors in an Adult Norwegian Population-Insights From the Tromsø Study: Tromsø7.","authors":"Gro Eirin Holde, Dagmar Fosså Bunæs, Birgitta Jönsson","doi":"10.1111/idh.12909","DOIUrl":"https://doi.org/10.1111/idh.12909","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the prevalence, extent and severity of periodontitis in an adult Norwegian population, using the 2017 EFP/AAP and CDC/AAP case definitions, and their associations with potential risk factors for periodontitis. A secondary aim was to explore how the stage and grade of periodontitis shifted when complexity and risk factors were added.</p><p><strong>Material and methods: </strong>A subsample of participants (≥ 40 years, n = 21,083) in a cross-sectional health study (Tromsø7, 2015-2016) was invited to an oral health examination (n = 3946). Radiographic bone loss and four site measurements of periodontal probing depth (PPD) and bleeding on probing were recorded for 3701 adults.</p><p><strong>Results: </strong>According to EFP/AAP, 89% of participants had periodontitis (21% stage III-IV), while 74% had periodontitis defined by CDC/AAP (12% severe periodontitis). Five percent of stage III/IV cases and 22% of severe cases had generalised disease. Higher age, frequent use of dental care, smoking and higher body mass index were associated with periodontitis for both definitions. PPD contributed to a shift to more severe stages. Smoking contributed the most to the shifting of grade, with 7% of cases shifting to grade C.</p><p><strong>Conclusions: </strong>Periodontitis was highly prevalent according to both case definitions. Associations with known risk factors remained relatively consistent between the two case definitions. Complexity and risk factors played a significant role in the shifting of stage and grade of periodontitis.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691993","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}