Susanne Wehrli, Andrew A Dwyer, Matthias R Baumgartner, Carmen Lehmann, Markus A Landolt
{"title":"Lower Healthcare Access and Its Association With Individual Factors and Health-Related Quality of Life in Adults With Rare Diseases in Switzerland.","authors":"Susanne Wehrli, Andrew A Dwyer, Matthias R Baumgartner, Carmen Lehmann, Markus A Landolt","doi":"10.3389/ijph.2024.1607548","DOIUrl":"10.3389/ijph.2024.1607548","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to determine clusters of access to healthcare among adults with rare diseases in Switzerland, identify associated individual characteristics of access, and impact on health-related quality of life (HRQoL).</p><p><strong>Methods: </strong>Swiss adults (<i>N</i> = 341) diagnosed with a rare disease completed an online survey including the Perception of Access to Healthcare Questionnaire (PAHQ) and Short Form Health Survey (SF-12). We employed partition around medoids algorithm to identify patient clusters based on the PAHQ. Various sociodemographic/disease-related factors and HRQoL were assessed.</p><p><strong>Results: </strong>We identified two patient clusters: higher (<i>n</i> = 227) and lower access (<i>n</i> = 114). Significantly associated with lower access were an unstable disease course (<i>p</i> < 0.05), increased number of misdiagnoses (<i>p</i> < 0.05), and diseases affecting the nervous system (<i>p</i> < 0.01). Membership in the lower access cluster was significantly associated with worse HRQoL (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Findings highlight the need for comprehensive assessment of healthcare access in adults with rare diseases and identifies potential targets for tailored interventions.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11461209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390509","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}
Andrea Kaiser-Grolimund, Bettina Schwind, Laura Kämpfen, Anna Lea Morgan, Giovanni Spitale, Nikola Biller-Andorno, Sonja Merten
{"title":"Soliciting Diaries for \"Real-Time\" Insights Into the COVID-19 Pandemic: Methodological Reflections on Using Digital Technologies to Engage the Public.","authors":"Andrea Kaiser-Grolimund, Bettina Schwind, Laura Kämpfen, Anna Lea Morgan, Giovanni Spitale, Nikola Biller-Andorno, Sonja Merten","doi":"10.3389/ijph.2024.1606912","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606912","url":null,"abstract":"<p><strong>Objectives: </strong>To discuss the opportunities and challenges of the qualitative solicited diary approach using digital technologies as an innovative way to access insights into people's lives and their unique stories in times of COVID-19-related social distancing in Switzerland.</p><p><strong>Methods: </strong>This case study provides reflective arguments from a social science perspective for the selection of different (digital) diary designs to optimize data collection in the SNSF-funded project \"PubliCo - an experimental online platform for COVID-19-related public perception.\"</p><p><strong>Results: </strong>The findings highlight some opportunities of using (digital) diaries, such as empowering participants, gathering real-time data, and ethical and methodological challenges when it comes to gaining access to alternative narratives.</p><p><strong>Conclusion: </strong>To gain in-depth insights during a crisis and to reach the lesser-heard voices that are central to democratic debates, it is necessary to adapt data gathering methods and build trust with diverse communities. While digital technologies open up new possibilities for public engagement, there is a need to think critically how data gathering is approached, how trustworthy the results are, and whose voices are captured, amplified, or left out.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465473","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}
Hélène Eloise Aschmann, Anja Domenghino, Ruedi Jung, Tala Ballouz, Dominik Menges, Jan Fehr, Milo Alan Puhan
{"title":"SARS-CoV-2 Quarantine Mandated by Contact Tracing: Burden and Infection Rate Among Close Contacts in Zurich, Switzerland, 2020-2021.","authors":"Hélène Eloise Aschmann, Anja Domenghino, Ruedi Jung, Tala Ballouz, Dominik Menges, Jan Fehr, Milo Alan Puhan","doi":"10.3389/ijph.2024.1606221","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606221","url":null,"abstract":"<p><strong>Objectives: </strong>Before vaccines and effective treatments were available, quarantine of close contacts was important to limit the spread of SARS-CoV-2. To evaluate potential benefits and harms of quarantine, we aimed to estimate infection rates and describe experiences and mental health among persons in mandated quarantine during the early SARS-CoV-2 pandemic.</p><p><strong>Methods: </strong>We invited adults in mandated quarantine after an exposure to SARS-CoV-2 identified through contact tracing of the Canton of Zurich, Switzerland, between August 2020 and January 2021. Participants completed two questionnaires and received up to two SARS-CoV-2 polymerase chain reaction tests, during and at the end of quarantine.</p><p><strong>Results: </strong>Among 395 participants, quarantine duration ranged from 2 to 20 days. By day 11 since the last contact, 11.1% [95% CI 8.4%-14.7%] were infected with SARS-CoV-2. The proportion of participants with symptoms of depression doubled from 9.3% before quarantine to 18.9% during quarantine, and 12.1% reported quarantine was very or extremely difficult.</p><p><strong>Conclusion: </strong>Although quarantine was only moderately burdensome for most participants, some experienced significant difficulties and burden. Policymakers need to balance infection control with potential harms placed on individuals.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390510","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":"Comparative Evaluation of the Antibiotic Resistance Profile of <i>Staphylococcus aureus</i> Isolated From Breeders and Livestock.","authors":"A C Ifediora, E Enya, C S Mbajiuka","doi":"10.3389/ijph.2024.1607603","DOIUrl":"10.3389/ijph.2024.1607603","url":null,"abstract":"<p><strong>Objectives: </strong>Animals are a potential source of Methicillin Resistant <i>Staphylococcus aureus</i>. This study evaluated the antibiotics susceptibility pattern of <i>S. aureus</i> isolates from breeders and livestock.</p><p><strong>Methods: </strong><i>S. aureus</i> strains were isolated from 180 livestock and 48 livestock farmers and identified using standard methods. Antibiotic susceptibility profiles and MRSA status were determined via disk diffusion susceptibility method.</p><p><strong>Results: </strong>Among farm workers, 37.5% were colonized by <i>S. aureus</i>, with pig farm workers exhibiting the highest prevalence (56.2%), cattle herders (37.5%), and goat farm workers (18.7%). MRSA carriage among livestock isolates was 41.3%, while, six isolates from the poultry farm worker were MRSA, representing a carriage of 33.3%. Drug susceptibility profiles revealed differential patterns between isolates from breeders and animals. Gentamicin and levofloxacin demonstrated higher efficacy against farm worker isolates compared to animal isolates. Resistance to cefuroxime was higher among animal isolates (84.1%) as against the 66.7% for the breeders.</p><p><strong>Conclusion: </strong>The identification of multidrug-resistant <i>S. aureus</i> strains underscores the risk posed to humans in contact with animals. These findings stress the importance of monitoring and managing MRSA transmission between animals and humans.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365210","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}
Juraj Smaha, Jakub Falat, Andrea Gažová, Martin Kužma, Ján Kyselovič, Michal Palkovič, Roman Kuruc, Pavel Babál, Juraj Payer, Peter Jackuliak
{"title":"Comparison of Causes of Mortality Between Hospitalized Unsheltered Homeless Patients and Non-Homeless Sex and Age-Matched Controls: A Retrospective Case-Control Study.","authors":"Juraj Smaha, Jakub Falat, Andrea Gažová, Martin Kužma, Ján Kyselovič, Michal Palkovič, Roman Kuruc, Pavel Babál, Juraj Payer, Peter Jackuliak","doi":"10.3389/ijph.2024.1607642","DOIUrl":"10.3389/ijph.2024.1607642","url":null,"abstract":"<p><strong>Objectives: </strong>Roofless individuals represent the most severe category of homelessness. Their clinical characteristics and mortality patterns in Central and Eastern Europe are little known.</p><p><strong>Methods: </strong>A single-center retrospective case-control study at the internal medicine department in Bratislava, Slovakia was conducted. 5694 mortality records from 2010 to 2023 were screened, and 141 (118 men, 23 women) roofless individuals were identified. Patients were sex- and age-matched, with 141 patients from the cohort of non-homeless deceased patients.</p><p><strong>Results: </strong>Compared to controls, roofless people had a higher incidence of immobility (p = 0.02) and hypothermia (p < 0.0001) at admission. 83% of the roofless people were men, and 59% of the roofless people died before reaching old age (60+). Homeless men died more often from infectious disease (p = 0.02), pneumonia being the most common one (60%). Men from the control group died more often from liver diseases (p = 0.03). There were no significant differences in the causes of mortality between women.</p><p><strong>Conclusion: </strong>These findings could help to reduce the invisibility of the issue of massive premature mortality amongst homeless populations and roofless individuals, in particular.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361487","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}
Abdulwali Sabo, Majdi M Alzoubi, Abdulhamid Yaro Saidu, Usman Sunusi Usman, Ibrahim Musa Saulawa, Khalid Al-Mugheed, Sally Mohammed Farghaly Abdelaliem, Amany Anwar Saeed Alabdullah
{"title":"Determinants of Utilization of Antenatal Care Services Among Women of Childbearing Age in Jigawa State, Nigeria.","authors":"Abdulwali Sabo, Majdi M Alzoubi, Abdulhamid Yaro Saidu, Usman Sunusi Usman, Ibrahim Musa Saulawa, Khalid Al-Mugheed, Sally Mohammed Farghaly Abdelaliem, Amany Anwar Saeed Alabdullah","doi":"10.3389/ijph.2024.1607385","DOIUrl":"10.3389/ijph.2024.1607385","url":null,"abstract":"<p><strong>Introduction: </strong>Antenatal care (ANC) services play a crucial role in safeguarding the health of pregnant women during their reproductive years. This study aimed to evaluate the primary factors influencing the utilization of ANC among women of childbearing age in Isari town, Jigawa State.</p><p><strong>Methods: </strong>We conducted a cross-sectional study among 400 mothers of childbearing age, selecting them using a simple random sampling method. Data were collected using interviewer-administered questionnaires. The statistical analyses performed were descriptive analysis, Pearson's chi-square test, and binary logistic regression analysis.</p><p><strong>Results: </strong>The majority of respondents (92.5%) indicated awareness of ANC, with a significant proportion expressing the necessity of ANC services (85.7%). 57.8% of the respondents indicated attending ANC services at least four times during pregnancy. Furthermore, the number of visits has a significant relationship with age (<i>P</i> < 0.001), educational level (<i>P</i> = 0.003), occupation (<i>P</i> = 0.043), mother's knowledge of pregnancy danger signs (<i>P</i> = 0.001), and husband's support for ANC (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Enhancing ANC utilization will necessitate focusing on women residing in rural areas and those with limited educational attainment.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361488","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}
Mengnan Zhang, Yu Bai, Junyi Hu, Yang Ni, Qiang Zeng
{"title":"An Improved Air Health Index Based on Short-Term Cardiovascular Effects in Tianjin, China.","authors":"Mengnan Zhang, Yu Bai, Junyi Hu, Yang Ni, Qiang Zeng","doi":"10.3389/ijph.2024.1607214","DOIUrl":"10.3389/ijph.2024.1607214","url":null,"abstract":"<p><strong>Objectives: </strong>To construct an improved air health index (AHI) based on cardiovascular years of life lost (YLL) in Tianjin and assess its utility.</p><p><strong>Methods: </strong>We derived the exposure-response coefficients from time-series models and calculated the excess YLL (EYLL) for simultaneous exposure to air pollution and non-optimum temperature. The AHI was developed using the EYLL at the WHO 2021 Air Quality Guideline annual mean values and optimum temperature as a reference. We assessed the validity of AHI by comparing the correlations and model fit between the AHI, air quality health index (AQHI), and air quality index (AQI) with cause-specific YLLs.</p><p><strong>Results: </strong>Each inter quartile range (<i>IQR</i>) increase in AHI was associated with 256.31 (95%<i>CI</i>: 183.05, 329.57), 150.34 (95%<i>CI</i>: 108.23, 192.46), 90.41 (95%<i>CI</i>: 64.80, 116.02) and 60.80 (95%<i>CI</i>:33.41, 88.18) person-year increments for non-accidental, cardiovascular, ischaemic, and cerebrovascular YLL, respectively. The AHI, in contrast to the AQHI and AQI, showed the strongest correlations with the risks of cause-specific YLLs, both in the total population and subpopulations.</p><p><strong>Conclusion: </strong>The AHI based on cardiovascular YLL has a greater predictive ability for health risks.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346672","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}
Xuejie Chen, Xin Xiang, Xiaofei Fan, Weitong Xia, Yi Xiao, Sidan Wang, Shuyu Ye, Meng Kang, Fangmin Jing, Xing Wu, Yang Chen
{"title":"Global Burden of Inflammatory Bowel Disease Among Children and Adolescents: A Comprehensive Analysis (1990-2019).","authors":"Xuejie Chen, Xin Xiang, Xiaofei Fan, Weitong Xia, Yi Xiao, Sidan Wang, Shuyu Ye, Meng Kang, Fangmin Jing, Xing Wu, Yang Chen","doi":"10.3389/ijph.2024.1607440","DOIUrl":"10.3389/ijph.2024.1607440","url":null,"abstract":"<p><strong>Objective: </strong>We summarize the global, regional, and national burden of inflammatory bowel disease (IBD) in children and adolescents from 1990 to 2019.</p><p><strong>Methods: </strong>Based on the Global Burden of Disease Study 2019, the data of IBD in children and adolescents were analyzed by sex, age, year, and location. Joinpoint analysis was applied to assess the temporal trend of the disease burden.</p><p><strong>Results: </strong>From 1990 to 2019, the incidence of IBD in children and adolescents increased by 22.8%, from 20,897.42 to 25,658.55 cases, especially in high SDI region. During the same period, the DALY numbers decreased by 53.5%, from 243,081.06 to 113,119.86, with all SDI regions experiencing a clear drop in DALYs except high SDI regions. In 2019, early-onset IBD incidence and DALY numbers were reported at 2,053.52 (95% UI: 1,575.62 to 2,677.49) and 73,797.46 (95% UI: 43,655.86 to 105,998.63), respectively.</p><p><strong>Conclusion: </strong>Early-onset IBD in children and adolescents remains a significant global health concern. The disease burden has not improved in developed countries over the past 30 years, highlighting the need for targeted interventions.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307664","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":"Subgroup Behaviors and Factors Influencing Compliance With COVID-19 Preventive Measures Among Undergraduate Students in Southern Thailand.","authors":"Nonlapan Anujan, Supakorn Sripaew, Pitchayanont Ngamchaliew","doi":"10.3389/ijph.2024.1606788","DOIUrl":"10.3389/ijph.2024.1606788","url":null,"abstract":"<p><strong>Objective: </strong>To investigate clusters of students' COVID-19 preventive behaviors and their associated factors.</p><p><strong>Methods: </strong>We surveyed undergraduate students using an online questionnaire at a regional university in southern Thailand, between April and June 2022. Statistical analyses included latent class analysis and multinomial regression analysis.</p><p><strong>Results: </strong>Three latent classes were identified: moderately consistent practitioner (7.5%), high compliance overall (48.9%), and good compliance with routine safeguards (43.6%). Females tended to have high compliance overall (RRR 2.46 95% CI 1.23-4.94), and higher academic performance was associated with high compliance overall and good routine safeguards. Perceived threats from COVID-19 were associated with good compliance with routine safeguards (RRR 4.21 95% CI 1.70-10.45). Benefits of actions and clear cues to action were associated with high overall compliance (RRR 5.24 95% CI 2.13-12.90). Students who perceived feasibility were more likely to be moderately consistent practitioners.</p><p><strong>Conclusion: </strong>The common clusters of the students' preventive behaviors were high compliance overall and good compliance with routine preventions. Female, academic performance, perceived threats, and perceived benefits and cues to action were associated with compliance.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287230","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}
Tanguy Corre, Kathrine Zimmermann, Olivier Gaide, David Vernez, Jean-Luc Bulliard
{"title":"Positive Impact of UV Photography on Individual Sun Protection: A Swiss Feasibility Study.","authors":"Tanguy Corre, Kathrine Zimmermann, Olivier Gaide, David Vernez, Jean-Luc Bulliard","doi":"10.3389/ijph.2024.1607604","DOIUrl":"10.3389/ijph.2024.1607604","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluates the feasibility and impact of conveying personalized sun protection message supported by a UV photograph of the face in Switzerland.</p><p><strong>Methods: </strong>440 adults from 14 private and public sites associated with high sun exposure received a skin cancer prevention intervention composed of a facial UV-filtered photograph and individual counselling by a trained registered nurse. Pre-/post intervention surveys assessed sun protection of participants, their skin cancer risk and reasons for behavioural change.</p><p><strong>Results: </strong>The range of facial UV spots' count per individual was very broad (0-590) and mainly determined by phototype, followed by age. Three months after the intervention, 61% of participants positively changed their sun protection habit both during leisure and at work. Use of all sun protection means increased. No factor could be specifically associated to that propension for change. The individualized message was perceived as the main motivation for change.</p><p><strong>Conclusion: </strong>Personalized sun protection messages supported by a facial UV photograph led to significant favourable behavioural change in a highly sun-exposed population of adults.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142287229","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}