International Journal of Medical Education最新文献

{"title":"Impact of Telemedicine Lecture on Online Medical Interview Performance","authors":"Michael W. Myers, Kris Siriratsivawong, Y. Kudo, Yuka Hiraizumi, Miyuki Hashimoto","doi":"10.3390/ime1010005","DOIUrl":"https://doi.org/10.3390/ime1010005","url":null,"abstract":"In 2019, Showa University implemented a compulsory clinical English course for all 4th-year medical students that included a medical interview with an English-speaking standardized patient (ESSP), but since 2020 the interviews have been conducted online due to the novel coronavirus pandemic. These students reported difficulties with eye contact and reading body language/non-verbal cues of the ESSP. In this project report, we describe a telemedicine lecture that we included in the 2021 course and compare students’ reported difficulties during the online medical interview for two years. The 2021 cohort reported significantly less difficulties with eye contact than the 2020 cohort, and a similar trend was found for reading body language/nonverbal cues and creating rapport with the ESSP. While possible third variables, such as 2021 cohort’s greater comfort in using teleconference platforms, may limit the interpretation of these results, we conclude that Japanese medical students can clearly benefit from the inclusion of telemedicine education into the medical curriculum as online healthcare services become the “new normal” in Japan.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"1 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90278915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A framework for reinitiating global academic exchange in the context of the COVID-19 pandemic.","authors":"Caitrin M Kelly, Fatma Some, Daniel A Guiles, Matthew Turissini, Adrian Gardner, Debra K Litzelman","doi":"10.5116/ijme.62fa.0af4","DOIUrl":"https://doi.org/10.5116/ijme.62fa.0af4","url":null,"abstract":"","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"256-258"},"PeriodicalIF":3.1,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9279264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing achievements of medical graduates in an alternative unique pre-medical track vs regular medical track.","authors":"Shimon Amar,&nbsp;Elena Chernin,&nbsp;Gabriel Schreiber,&nbsp;Michael Friger,&nbsp;Angel Porgador","doi":"10.5116/ijme.62f6.10b6","DOIUrl":"https://doi.org/10.5116/ijme.62f6.10b6","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the association between the achievements of medical students and whether they were admitted via the pre-medical track or the regular direct track.</p><p><strong>Methods: </strong>We performed a comparative retrospective data study using data from a three-year experimental cohort in a six-year medical school. We analyzed the academic achievements of all students admitted at one Israeli medical school between 2013-2015, either directly to the six-year program or via a pre-medical track. We compared averages of both yearly final grades and final medical examinations grades between the two groups. Descriptive statistics were calculated and differences between groups were evaluated using multivariate analysis.</p><p><strong>Results: </strong>Of the 324 students included in the study, 65 (20.1%) were enrolled in all three cohorts of the pre-medical track. Age and Gender distribution were nearly similar for both tracks. For the first two cohorts, the average final grades of year one of pre-medical students were significantly higher than those of regular direct track (F=_(3,167) 6.10, p=0.001), but the opposite was true for the third cohort (F=_(3,110)2.38, p=0.073). No further statistically significant differences were found neither between the groups in their final exams grades nor between choosing a MD/PhD optional track and admission pathway.</p><p><strong>Conclusions: </strong>Our results suggest promising achievements with the pre-medical admission pathway. This should encourage further discussion about the significant potential human resources lost by current admission processes and may question the effectiveness of six-year programs in medical schools.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"249-255"},"PeriodicalIF":3.1,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10717570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual global health in graduate medical education: a systematic review.","authors":"Lisa Umphrey,&nbsp;Nora Lenhard,&nbsp;Suet Kam Lam,&nbsp;Nathaniel E Hayward,&nbsp;Shaina Hecht,&nbsp;Priya Agrawal,&nbsp;Amy Chambliss,&nbsp;Jessica Evert,&nbsp;Heather Haq,&nbsp;Stephanie M Lauden,&nbsp;George Paasi,&nbsp;Mary Schleicher,&nbsp;Megan Song McHenry","doi":"10.5116/ijme.62eb.94fa","DOIUrl":"https://doi.org/10.5116/ijme.62eb.94fa","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesize recent virtual global health education activities for graduate medical trainees, document gaps in the literature, suggest future study, and inform best practice recommendations for global health educators.</p><p><strong>Methods: </strong>We systematically reviewed articles published on virtual global health education activities from 2012-2021 by searching MEDLINE, EMBASE, Cochrane Library, ERIC, Scopus, Web of Science, and ProQuest Dissertations & Theses A&I. We performed bibliography review and search of conference and organization websites. We included articles about primarily virtual activities targeting for health professional trainees. We collected and qualitatively analyzed descriptive data about activity type, evaluation, audience, and drivers or barriers. Heterogeneity of included articles did not lend to formal quality evaluation.</p><p><strong>Results: </strong>Forty articles describing 69 virtual activities met inclusion criteria. 55% of countries hosting activities were high-income countries. Most activities targeted students (57%), with the majority (53%) targeting trainees in both low- to middle- and high-income settings. Common activity drivers were course content, organization, peer interactions, and online flexibility. Common challenges included student engagement, technology, the internet, time zones, and scheduling. Articles reported unanticipated benefits of activities, including wide reach; real-world impact; improved partnerships; and identification of global health practice gaps.</p><p><strong>Conclusions: </strong>This is the first review to synthesize virtual global health education activities for graduate medical trainees. Our review identified important drivers and challenges to these activities, the need for future study on activity preferences, and considerations for learners and educators in low- to middle-income countries. These findings may guide global health educators in their planning and implementation of virtual activities.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"230-248"},"PeriodicalIF":3.1,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10731241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transfer of anatomy during surgical clerkships: an exploratory study of a student-staff partnership.","authors":"Josefin Ivarson,&nbsp;André Hermansson,&nbsp;Björn Meister,&nbsp;Hugo Zeberg,&nbsp;Klara Bolander Laksov,&nbsp;Wilhelmina Ekström","doi":"10.5116/ijme.62eb.850a","DOIUrl":"https://doi.org/10.5116/ijme.62eb.850a","url":null,"abstract":"<p><strong>Objectives: </strong>This qualitative study aims to explore how fourth-year medical students on the surgery course perceived a clinical anatomy workshop organised by near-peer student teachers in partnership with faculty.</p><p><strong>Methods: </strong>Forty-seven medical students participated in a workshop on clinical anatomy in the dissection laboratory. A voluntary response sampling method was used. The students' perceptions of the workshop were explored through a thematic content analysis of transcribed, semi-structured group interviews and written comments.</p><p><strong>Results: </strong>A majority of the students had not revisited the dissection laboratory since their second year, and all students described the workshop as a unique opportunity to vertically integrate anatomical knowledge. Four main themes were identified as most valuable for the students' learning experience, namely that the workshop 1) was taught by knowledgeable and friendly near-peer tutors (NPTs), 2) consisted of highly relevant anatomical content, 3) offered a hands-on experience of cadavers in the dissection laboratory, and 4) was taught in a focused session in the middle of the surgery course.</p><p><strong>Conclusions: </strong> This study shows how hands-on workshops in clinical anatomy, developed in student-staff partnerships and taught by NPTs, can enable senior medical students to recall and vertically integrate anatomical knowledge during surgical clerkships. The results have implications for curriculum design, giving voice to senior students' wishes for spaced repetition and vertical integration of pre-clinical anatomy knowledge during their clinical training. Moreover, this study may inspire other students and faculty to develop similar near-peer teaching activities through student-staff partnerships.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"221-229"},"PeriodicalIF":3.1,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10701456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of COVID-19 Pandemic on Medical Students—A Single Center Study","authors":"Maria Poluch, R. Ries, Monjur Ahmed","doi":"10.3390/ime1010004","DOIUrl":"https://doi.org/10.3390/ime1010004","url":null,"abstract":"Background: The COVID-19 pandemic caused medical education to shift unprecedentedly, leading medical schools to switch to virtual platforms and modify student-patient interactions. On top of educational changes, medical students adapted to their support network, finances, and mental and physical health changes. Objective: To understand the holistic impact of COVID-19 on medical students and medical education and identify how to distribute resources during future educational disruptions in a large medical university in the United States. Methods: An anonymous online survey was distributed to medical students at Sidney Kimmel Medical College, Philadelphia, in February 2021. Participants self-reported the impact of the COVID-19 pandemic on their medical education, family life, financial burden, mental health, and physical health. Results: 168 out of 1088 students at Sidney Kimmel Medical College completed the survey, with 58% (98/168) of the respondents identifying as female. The class breakdown was as follows: 38% (63/168) first years, 18% (31/168) second years, 21% (36/168) third years, 20% (34/168) fourth years, and 2% (4/168) were considered “other” (including research year, Master’s program). A total of 28% of respondents reported developing new mental illness, with second years having the highest incidence at 39%. In total, 42% said the pandemic affected a previous mental health condition. Further, 96% of third and fourth years reported COVID-19 affected their clinical rotations. In total, 68% of first years reported their entrance to medical school was severely affected. Moreover, 13% reported losing a family member due to COVID-19, and 7% reported personal sickness due to COVID-19. Additionally, 16% reported incurring a financial burden due to the pandemic. Conclusion: COVID-19 impacted the well-being of students by affecting their mental health and financial burdens. Clinical rotations and medical school entrance were the most problematic aspects. In the future setting of major educational disruptions, this study provides a starting point for where to focus resources, mental health support, financial support, and academic flexibility.","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"33 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88147072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study of factors promoting EBM learning among medical students in Japan.","authors":"Yoshihiro Kataoka,&nbsp;Takami Maeno,&nbsp;Takashi Inaba,&nbsp;Sayaka Ninn,&nbsp;Masatsune Suzuki,&nbsp;Tetsuhiro Maeno","doi":"10.5116/ijme.62eb.7c19","DOIUrl":"https://doi.org/10.5116/ijme.62eb.7c19","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the elements needed to facilitate undergraduate EBM learning among Japanese medical students.</p><p><strong>Methods: </strong>We conducted a qualitative study based on individual semi-structured interviews. Participants were physicians working at universities, teaching hospitals, or clinics who teach EBM to medical students. Purposive sampling was used to recruit participants via email through the researchers' acquaintances. Six physicians agreed to participate in the study and were interviewed individually from October 2019 to January 2020. The interviewees were asked about their own EBM learning and teaching experiences, what they kept in mind when teaching EBM to medical students, and what they felt was needed to improve current undergraduate EBM education. Interviews were recorded. Transcripts were analysed using thematic analysis.</p><p><strong>Results: </strong>Thematic analysis extracted five themes: finding foreground questions, observing role models, active learning, understanding patient backgrounds, and understanding the reason for learning EBM. To promote EBM education for medical students, it is first necessary for students to actively participate in clinical practice and identify foreground questions by observing their supervisors practicing EBM. In addition to acquiring skills in information retrieval and critical appraisal, understanding a patient's background leads to understanding the significance of learning EBM, which improves students' motivation to learn EBM.</p><p><strong>Conclusions: </strong>This study identified five themes that promote undergraduate EBM education. Curriculum development incorporating these elements would improve EBM education in Japan and other countries.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"215-220"},"PeriodicalIF":3.1,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10717569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do incoming residents vary in measures of emotional status even prior to residency training?","authors":"Jeanne L Jacoby,&nbsp;Amy B Smith,&nbsp;Robert D Barraco,&nbsp;Marna Rayl Greenberg,&nbsp;Elaine A Donoghue,&nbsp;Bryan G Kane,&nbsp;Jennifer E Macfarlan,&nbsp;Lauren M Crowley,&nbsp;Kevin R Weaver,&nbsp;Joann Farrell Quinn","doi":"10.5116/ijme.62cb.f308","DOIUrl":"https://doi.org/10.5116/ijme.62cb.f308","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether Empathy, Emotional Intelligence, and Burnout scores differ by specialty in incoming residents.</p><p><strong>Methods: </strong>This is a single-site, prospective, cross-sectional study. Three validated survey instruments, the Jefferson Scale of Physician Empathy, Maslach Burnout Inventory, and Emotional and Social Competency Inventory, were written into a survey platform as a single 125-question Qualtrics survey. Over three academic years, 2015-2017, 229 incoming residents across all specialties were emailed the survey link during orientation. Residents were grouped by incoming specialty with anonymity assured. A total of 229 responses were included, with 121 (52.8%) identifying as female. Statistical analysis was performed using the Analysis of Variance or Kruskal-Wallis test, Chi-Square or Fisher's Exact test, and Independent Samples t-test or Mann Whitney U test. A Bonferroni correction was applied for pairwise comparisons.</p><p><strong>Results: </strong>Family Medicine had a higher median Jefferson Scale of Physician Empathy score (127) compared to Emergency Medicine (115), (U=767.7, p=0.0330). Maslach Burnout Inventory depersonalization and personal accomplishment subcategory scores showed a significant difference between specialties when omnibus tests were performed, but pairwise comparisons with emergency medicine residents showed no differences. Differences were found in the Maslach Burnout Inventory categories of Depersonalization (χ²_{(8, N=229)} =15.93, p=0.0434) and Personal Accomplishment level (χ²_{(8, N=229)} =20.80, p=0.0077) between specialties.</p><p><strong>Conclusions: </strong>Differences in measures of well-being exist across specialties, even prior to the start of residency training. The implication for educators of residency training is that some incoming residents, regardless of specialty, already exhibit troublesome features of burnout, and resources to effectively deal with these residents should be developed and utilized.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"198-204"},"PeriodicalIF":3.1,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9279248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of a French version of the Jefferson Scale of Empathy.","authors":"Mariem Ghardallou,&nbsp;Chekib Zedini,&nbsp;Jihene Sahli,&nbsp;Thouraya Ajmi,&nbsp;Hedi Khairi,&nbsp;Ali Mtiraoui","doi":"10.5116/ijme.62d2.8497","DOIUrl":"https://doi.org/10.5116/ijme.62d2.8497","url":null,"abstract":"<p><strong>Objective: </strong>To assess the reliability and construct validity of a French version of the Jefferson Scale of Empathy-Students.</p><p><strong>Methods: </strong>A cross-sectional study was performed among undergraduate medical students in Tunisia. A total of 833 students completed a French version of the JSE-S using convenience sampling. To identify the internal consistency aspect of the reliability, Cronbach's alpha coefficient was computed. Moreover, to assess the construct validity, the sample was randomly divided into two groups. Data from the first group (n=415) were subjected to exploratory factor analysis (EFA), with principal axing factoring (PAF) and oblimin rotation, to re-examine the underlying factor structure of the scale. Data from the second group (n=419) were used for confirmatory factor analysis (CFA) to confirm its latent variable structure. Some goodness-of-fit indices were used to assess the hypothesized model. Gender groups were compared using a t-test to check the known-group validity.</p><p><strong>Results: </strong>Reliability analysis reported an acceptable level of internal consistency, with an overall Cronbach's alpha of 0.78 (95% CI [0.75,0.80]). EFA identified a two-factor structure, accounting for 27.4% of the total variance. The two-factor model produced good fit indices when item correlated errors were considered (χ²/df = 1.95, GFI = 0.92, CFI = 0.90, PCFI = 0.79, PGFI = 0.73 and RMSEA = 0.04). Female students had a statistically significant higher empathy scores than male students (t ₍₈₃₀₎ = - 4.16, p < .001).</p><p><strong>Conclusions: </strong>The findings support the construct validity and reliability of a French version of the JSE for medical students. This instrument appears to be useful for investigating empathy among French-speaking populations.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"205-214"},"PeriodicalIF":3.1,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9904998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9263410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical students' confidence and competence with prescribing in ST-elevation myocardial infarction: a mixed-methods study.","authors":"Teeranan Angkananard, Panida Issarasenarak, Pawita Teerawattananon, Maneekarn Kosulawath, Varunrut Samrejphol, Kamolnetr Okanurak","doi":"10.5116/ijme.62c2.c33c","DOIUrl":"10.5116/ijme.62c2.c33c","url":null,"abstract":"<p><strong>Objectives: </strong>To explore factors associated with prescribing confidence and competence of final-year medical students for prescribing antiplatelet and fibrinolytic agents in ST-segment elevation myocardial infarction (STEMI).</p><p><strong>Methods: </strong>The study was conducted among final-year medical students with a triangular convergent mixed-methods approach. First, an online survey was conducted using a voluntary sampling method with concurrent in-depth interviews performed. The survey data was analysed using descriptive statistics and paired t-tests, while survey factors were compared using the chi-squared or Fisher's exact test. The interview data were coded and analysed thematically. The relations between the qualitative and quantitative findings were finally described.</p><p><strong>Results: </strong>Totally 92 validly replied to the questionnaire, and 20 participated in the interviews. The quantitative analysis indicated that they had high competence in the diagnosis of STEMI and prescribing antiplatelet and fibrinolytic agents. The mean confidence score of prescribing for both was medium and was significantly lower in fibrinolytic agents. (M=3.3, SD=1.1 vs. M=2.8, SD=1.0, t₍₉₁₎=5.39, p<0.01). Their experience, knowledge, and mentoring were accounted for, considering the prescribing confidence factors in both approaches. Besides, providing guidelines and standing orders were derived from the interview data.</p><p><strong>Conclusions: </strong>This study has demonstrated that final-year medical students have a high ability to diagnose and prescribe essential medications in STEMI but tend to have low confidence in prescribing fibrinolytic agents. Experiential learning, mentorship and providing guidelines can help them, especially in emergency settings to prescribe confidently and safely. Further multicenter studies on undergraduate and graduate medical students' confidence and perspective of prescribing are required, especially for high-alert medications.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":"13 ","pages":"187-197"},"PeriodicalIF":1.6,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10789879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}