Jon Petter A Stoor, Oscar Sedholm, Miguel San Sebastián, Lena Maria Nilsson
{"title":"Sámi community perspectives on the COVID-19 pandemic: a mixed methods case study in Arctic Sweden.","authors":"Jon Petter A Stoor, Oscar Sedholm, Miguel San Sebastián, Lena Maria Nilsson","doi":"10.1080/22423982.2024.2372123","DOIUrl":"10.1080/22423982.2024.2372123","url":null,"abstract":"<p><p>The COVID-19 pandemic posed a grave threat not only to Indigenous people's health and well-being, but also to Indigenous communities and societies. This applies also to the Indigenous peoples of the Arctic, where unintentional effects of public health actions to mitigate the spread of virus may have long-lasting effects on vulnerable communities. This study aim was to identify and describe Sámi perspectives on how the Sámi society in Sweden was specifically affected by the pandemic and associated public health actions during 2020-2021. A mixed-method qualitative case study approach was employed, including a media scoping review and stakeholder interviews. The media scoping review included 93 articles, published online or in print, from January 2020 to 1 September 2021, in Swedish or Norwegian, regarding the pandemic-related impacts on Sámi society in Sweden. The review informed a purposeful selection of 15 stakeholder qualitative interviews. Thematic analysis of the articles and interview transcripts generated five subthemes and two main themes: \"weathering the storm\" and \"stressing Sámi culture and society\". These reflect social dynamics which highlight stressors towards, and resilience within, the Sámi society during the pandemic. The results may be useful when evaluating and developing public health crisis response plans concerning or affecting the Sámi society in Sweden.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2372123"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11207918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inuit youth health and wellbeing programming in Canada.","authors":"Jeevan S K Toor, Josée G Lavoie, Adriana Mudryj","doi":"10.1080/22423982.2024.2376799","DOIUrl":"10.1080/22423982.2024.2376799","url":null,"abstract":"<p><p>Inuit youth face challenges in maintaining their wellbeing, stemming from continued impacts of colonisation. Recent work documented that urban centres, such as Winnipeg Canada, have large Inuit populations comprised of a high proportion of youth. However, youth lack culturally appropriate health and wellbeing services. This review aimed to scan peer-reviewed and grey literature on Inuit youth health and wellbeing programming in Canada. This review is to serve as an initial phase in the development of Inuit-centric youth programming for the <i>Qanuinngitsiarutiksait</i> program of research. Findings will support further work of this program of research, including the development of culturally congruent Inuit-youth centric programming in Winnipeg. We conducted an environmental scan and used an assessment criteria to assess the effectiveness of the identified programs. Results showed that identified programs had Inuit involvement in creation framing programming through Inuit knowledge and mostly informed by the culture as treatment approach. Evaluation of programs was diffcult to locate, and it was hard to discren between programming, pilots or explorative studies. Despite the growing urban population, more non-urban programming was found. Overall, research contributes to the development of effective strategies to enhance the health and wellbeing of Inuit youth living in Canada.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2376799"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amira M Aker, Pierre Ayotte, Éric Gaudreau, Melanie Lemire
{"title":"Current-use pesticide exposures in remote Inuit communities.","authors":"Amira M Aker, Pierre Ayotte, Éric Gaudreau, Melanie Lemire","doi":"10.1080/22423982.2024.2421048","DOIUrl":"10.1080/22423982.2024.2421048","url":null,"abstract":"<p><p>The global use of pesticides is increasing; however, few studies have examined the exposure of current-use pesticide exposure in Inuit populations. Some current use pesticides are also capable of long-range transport, potentially increasing exposures to northern populations. The study aim was to analyse pesticide (chlorophenoxy, organophosphates, and pyrethroid pesticide) biomarker levels in pooled samples from an Inuit population in Nunavik, Quebec. Thirty pooled samples from the Qanuilirpitaa? 2017 survey (Q2017) from individuals aged 16-80 years were included. Creatinine-adjusted arithmetic (AM) were compared by sex, age, and region sub-groups, and geometric mean concentrations (GM) were compared to those in the Canadian Health Measures Survey (CHMS). Most analysed pesticide biomarkers were detected, and PNP (a metabolite of methyl and ethyl parathion), trans-DCCA (a metabolite of pyrethroids), and 3,5,6-TCP (a metabolite of chlorpyrifos) had the highest concentrations. Concentrations in Q2017 were largely similar to or less than CHMS concentrations. Although not significant, there was a general increase in 2,4-D (a chlorophenoxy biomarker), 3,5,6-TCP, 3-PBA (a metabolite of pyrethroids), and trans-DCCA with increasing age. Concentrations were also somewhat higher in females versus males, but these were not significant. Environmental exposures to current use pesticides were detected in Nunavik and concentrations were similar to or less than those in the general Canadian population. Regular monitoring of current use pesticide exposures is recommended given the increasing global use of pesticides.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2421048"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lise Lyngbak Klockmann, Emma Marie Kragh Tøttenborg, Marie Balslev Backe, Marit Eika Jørgensen, Michael Lynge Pedersen
{"title":"Prevalence of cardiovascular and other selected diseases among Greenlanders with and without type 2 diabetes.","authors":"Lise Lyngbak Klockmann, Emma Marie Kragh Tøttenborg, Marie Balslev Backe, Marit Eika Jørgensen, Michael Lynge Pedersen","doi":"10.1080/22423982.2024.2421052","DOIUrl":"10.1080/22423982.2024.2421052","url":null,"abstract":"<p><p>This study aims to estimate the prevalence of cardiovascular disease, kidney disease, and other selected diseases including hypertension, atrial fibrillation, asthma, chronic obstructive lung disease, osteoarthritis, osteoporosis, psoriasis and depression among Greenlanders living in Nuuk with and without type 2 diabetes (T2D). The study was designed as a cross-sectional case-control study based on data from the electronic medical record (EMR) in Greenland. Persons with a registered T2D diagnosis in EMR and residence in Nuuk (<i>N</i> = 435) were included. The prevalence of cardiovascular disease was 17.9% among persons with T2D and significantly higher compared to the control group (10.1%). In addition, our results showed a significantly higher prevalence of ischaemic heart disease, hypertension, heart failure, atrial fibrillation, osteoarthritis and psoriasis among persons with T2D compared to the control group.Our study found a higher prevalence in five out of 10 selected diseases in regularly followed persons with T2D in Nuuk compared to unselected controls. This enlightens the importance of a broad multifaceted approach in combination of changing primary health care to focus on early detection of controllable risk factors and chronic conditions care in Artic Greenland.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2421052"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bryan Adlard, Eva C Bonefeld-Jørgensen, Alexey A Dudarev, Kristin Olafsdottir, Khaled Abass, Pierre Ayotte, Élyse Caron-Beaudoin, Mallory Drysdale, Joshua Garcia-Barrios, Irina Gyllenhammar, Brian Laird, Melanie Lemire, Sanna Lignell, Manhai Long, Karin Norström, Sara Packull-McCormick, Maria Skaalum Petersen, Mylene Ratelle, Arja Rautio, Amalie Timmerman, Pal Weihe, Maria Wennberg
{"title":"Levels and trends of metals in human populations living in the Arctic.","authors":"Bryan Adlard, Eva C Bonefeld-Jørgensen, Alexey A Dudarev, Kristin Olafsdottir, Khaled Abass, Pierre Ayotte, Élyse Caron-Beaudoin, Mallory Drysdale, Joshua Garcia-Barrios, Irina Gyllenhammar, Brian Laird, Melanie Lemire, Sanna Lignell, Manhai Long, Karin Norström, Sara Packull-McCormick, Maria Skaalum Petersen, Mylene Ratelle, Arja Rautio, Amalie Timmerman, Pal Weihe, Maria Wennberg","doi":"10.1080/22423982.2024.2386140","DOIUrl":"10.1080/22423982.2024.2386140","url":null,"abstract":"<p><p>The 2021 Arctic Monitoring Assessment Program (AMAP)'s Human Health Assessment report presents a summary of the presence of contaminants in human populations across the circumpolar Arctic and provides an update to the previous assessment released in 2015. The primary objective of this paper is to summarise some of these findings by describing the current levels of metals across the Arctic, including key regional and temporal trends based on available national data and literature, and highlight knowledge gaps. Many Arctic populations continue to have elevated levels of these contaminants, and the highest levels of mercury (Hg) were observed in populations from Greenland, Faroe Islands, and Nunavik (Canada). Still, concentrations of several metals are declining in Arctic populations in regions where time trends data exist, although the declines are not consistent across all regions. The 2021 AMAP human health assessment report and this paper provide an extensive summary of levels of metals and trace elements in adults, pregnant women, and children across the Arctic.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2386140"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashley Amson, Jessica Zhang, Levi Frehlich, Yunqi Ji, Carly Checholik, Patricia Doyle-Baker, Lynden Crowshoe, Kerry McBrien, Sonja Wicklum
{"title":"Nutritional interventions for indigenous adults in Canada - opportunities to sustain health and cultural practices: a scoping review.","authors":"Ashley Amson, Jessica Zhang, Levi Frehlich, Yunqi Ji, Carly Checholik, Patricia Doyle-Baker, Lynden Crowshoe, Kerry McBrien, Sonja Wicklum","doi":"10.1080/22423982.2024.2418152","DOIUrl":"10.1080/22423982.2024.2418152","url":null,"abstract":"<p><p>Indigenous People in Canada possess rich cultural traditions, intertwined with a strong connection to nature. However, colonisation and contemporary challenges have given rise to changes in lifestyle and culture, resulting in health and nutrition disparities within these communities. The goal of this review was to explore the available literature of existing Indigenous nutrition programs for adults in Canada. Arksey and O'Malley's scoping review protocol was used to conduct the search between July 2020 and February 2023. Articles were obtained from MEDLINE (Ovid), PsycInfo, Embase (Ovid), CINAHL (EBSCO), Web of Science, Scopus (Elsevier), Canadian Business and Current Affairs (Proquest), and Google Scholar. We identified 24 publications, with 19 being unique interventions. Common themes among programs included integrating traditional foods and cultural values, adapted programming to local needs, empowering community members, using a multidisciplinary collaboration, and leveraging social activities, all of which highlight the need for holistic strategies amid complex historical, social, and environmental factors. Overall, this review emphasises the need for continued support and development of Indigenous-led nutritional initiatives to promote health and well-being among Indigenous adults in Canada. Ensuring culturally relevant and sustainable solutions is crucial for addressing nutritional health disparities and fostering long-term positive outcomes.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2418152"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice Ko, Diane O'Brien, Patricia Rivera, Lloyd Mancl, Scarlett Hopkins, Cameron Randall, Daisy Patiño Nguyen, Donald L Chi
{"title":"Identifying sources of variation in added sugar intake for Alaska Native children using a hair biomarker.","authors":"Alice Ko, Diane O'Brien, Patricia Rivera, Lloyd Mancl, Scarlett Hopkins, Cameron Randall, Daisy Patiño Nguyen, Donald L Chi","doi":"10.1080/22423982.2024.2336286","DOIUrl":"10.1080/22423982.2024.2336286","url":null,"abstract":"<p><p>Sugars from sugar-sweetened beverages (SSBs) are an important risk factor for tooth decay. The study goal was to determine if there was variation in added sugar intake across communities and between and within households. In this cross-sectional study, intakes of total sugar, added sugar, and sugar-sweetened beverages (SSBs) were estimated for 282 Alaska Native children ages 0-10 years from 131 households in three Yukon-Kuskokwim (YK) Delta communities using biomarker equations based on hair carbon and nitrogen isotope ratios previously developed for the Yup'ik population. ANOVA was used to assess associations between each predictor (community and household) and outcome (estimated total sugars, added sugars, and SSB intake). Between- and within-household variation was estimated using a linear mixed-effects model with a random intercept for households with three or more children. There was no significant difference in mean estimated total sugar (<i>p</i> = 0.29), added sugar (<i>p</i> = 0.24), or SSB intake (<i>p</i> = 0.40) across communities. Significant variations were observed between and within households, with within-household variation amounting to 59% of the between-household variation. Added sugar intake in Alaska Native children from the three study communities is higher than the recommended maximum, and the variation is greater within households than between households.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2336286"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10986438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Josée G Lavoie, Wayne Clark, Leah McDonnell, Jeevan Toor, Nathan Nickel, Polina Anang, Michael Arvaarluk Kusugak, Tagaak Evaluardjuk-Palmer, Nuqaalaq Brown, Grace Voisey Clark, Sabrina Wong, Julianne Sanguins
{"title":"Inuit mental health service utilisation in Manitoba: results from the qanuinngitsiarutiksait study.","authors":"Josée G Lavoie, Wayne Clark, Leah McDonnell, Jeevan Toor, Nathan Nickel, Polina Anang, Michael Arvaarluk Kusugak, Tagaak Evaluardjuk-Palmer, Nuqaalaq Brown, Grace Voisey Clark, Sabrina Wong, Julianne Sanguins","doi":"10.1080/22423982.2024.2413228","DOIUrl":"10.1080/22423982.2024.2413228","url":null,"abstract":"<p><p>Despite decades of Inuit accessing services in Manitoba, Inuit-centric services remain scant and have only begun to emerge. This article reports on Inuit utilisation of mental health services in Manitoba. In this study, we focused on two interrelated cohorts: Inuit living in Manitoba and Inuit from the Kivalliq region who come to Winnipeg to access specialised services. We used administrative data routinely collected by Manitoban agencies. The study was conducted in partnership with the Manitoba Inuit Association, and Inuit Elders from Nunavut and Manitoba. Our results show that mental health-related consults represent between 1 in 5 and 1 in 3 of all consults made by Inuit in Manitoba. Rates of hospitalisation for mental health conditions are considerably lower than those of residents from the Manitoba northern health authority. Given that Nunavut has the highest rate of suicide in the world, our results suggest underserved needs rather than lower needs. Kivalliq and Manitoba Inuit utilise mental health services in Manitoba extensively, yet these services for the most part remain western-centric. Epistemological accommodations in the provision of mental health services have yet to be implemented. This is now the focus of our work.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2413228"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meera L Narayanan, Peter Holck, Ai-Ling Lin, Cynthia D Schraer
{"title":"Living well with diabetes in Alaska.","authors":"Meera L Narayanan, Peter Holck, Ai-Ling Lin, Cynthia D Schraer","doi":"10.1080/22423982.2024.2341988","DOIUrl":"10.1080/22423982.2024.2341988","url":null,"abstract":"<p><p>Many people with diabetes mellitus experience minimal or no complications. Our objective was to determine the proportion of Alaska Native people who experienced four major complications or mortality and to identify factors that may be associated with these outcomes. We used records in a diabetes registry and clinical and demographic variables in our analyses. We used logistic regression and Cox Proportional Hazards models to evaluate associations of these parameters with death and complications that occurred prior to 2013. The study included 591 Alaska Native people with non-type 1 diabetes mellitus, diagnosed between 1986 and 1992. Over 60% of people in this study remained free of four major diabetes-related complications for the remainder of life or throughout the approximately 20-year study period. Lower BMI, higher age at diagnosis of diabetes, and use of at least one diabetes medication were associated with death and a composite of four complications. A majority of Alaska Native people with DM had none of four major complications over a 20-year period. Lower BMI and use of diabetes medications were associated with higher hazard for some deleterious outcomes. This suggests that goals in care of elders should be carefully individualised. In addition, we discuss several programme factors that we believe contributed to favourable outcomes.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2341988"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marina Ulanova, Raymond Sw Tsang, David M Goldfarb, Marek Smieja, Brenda Huska, Kathy Luinstra, Nicole Le Saux
{"title":"Prevalence of <i>Haemophilus influenzae</i> in the nasopharynx of children from regions with varying incidence of invasive <i>H. influenzae</i> serotype a disease: Canadian Immunization Research Network (CIRN) study.","authors":"Marina Ulanova, Raymond Sw Tsang, David M Goldfarb, Marek Smieja, Brenda Huska, Kathy Luinstra, Nicole Le Saux","doi":"10.1080/22423982.2024.2371111","DOIUrl":"10.1080/22423982.2024.2371111","url":null,"abstract":"<p><p><i>Haemophilus influenzae</i> serotype a (Hia) has recently emerged as an important cause of invasive disease in the North American Arctic and Sub-Arctic regions, mainly affecting young Indigenous children. In this study, we addressed the question of whether the prevalence of Hia and all <i>H. influenzae</i> in the nasopharynx differed between paediatric populations from regions with high <i>versus</i> low incidence of invasive Hia disease. Nasopharyngeal specimens from children with acute respiratory tract infections (ARTI) collected for routine diagnostic detection of respiratory viruses were analysed with molecular-genetic methods to identify and serotype <i>H. influenzae</i>. In Nunavut, a region with a high incidence of invasive Hia disease, all <i>H. influenzae</i> and particularly Hia were found in the nasopharynx of 60.6% and 3.0% children. In Southern Ontario (Hamilton region), where Hia invasive disease is rare, the frequencies of all <i>H. influenzae</i> and Hia detection were 38.5% and 0.6%, respectively. In both cohorts, non-typeable <i>H. influenzae</i> was prevalent (57.0% and 37.9%, respectively). Considering that Hia is an important cause of severe invasive disease in Nunavut children, 3% prevalence of Hia among children with ARTI can reflect continuing circulation of the pathogen in the Northern communities that may result in invasive disease outbreaks.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2371111"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}