{"title":"Factors Associated with Sports Injuries in Korean Youth Track and Field Athletes during Training and Competition.","authors":"Zhenfei Li, Seung-Taek Lim, Ji-Hoon Cho","doi":"10.18502/ijph.v54i11.20392","DOIUrl":"10.18502/ijph.v54i11.20392","url":null,"abstract":"<p><strong>Background: </strong>We aimed to analyze the risk factors for injuries at different sites and tissues during competition and training, and to provide a scientific basis for the development of targeted injury prevention and rehabilitation programs for young athletes.</p><p><strong>Methods: </strong>Overall, 257 Korean youth track and field athletes in elementary, junior high, and senior high schools registered in the 2022 Korean Athletic Association were included in this study. The Pearson correlation coefficient and Contingency coefficient were used to analyze the correlation between injured site, injured tissue, training time per day, and training days per week during competition and training.</p><p><strong>Results: </strong>The lower extremity was the site with the highest injury rate (30.7% in competition vs 43.6% in training), and the ankle and knee had the highest risk of lower extremity injury. Muscles and tendons were the tissues with the highest injury rates (29.6% in competition vs 32.3% in training), and myositis was the main type of muscle and tendon injury. The incidence of injuries to body parts and tissues was higher during training than during competition (<i>P</i><0.001).</p><p><strong>Conclusion: </strong>The probability and risk factors of sports injuries are different. Athletes with rich experience need correct sports techniques and reasonable exercise loads to avoid sports injuries. Contact and non-contact injuries are also a cause of sports injuries. Therefore, coaches and athletes need to fully understand the background of the injury and provide a scientific basis for the prevention of youth sports injuries.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2480-2489"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420755","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}
Aslinda, Masni, Veni Hadju, Kadek Ayu Erika, Apik Indarty Moedjiono, Shanti Riskiyani, Abdul Salam
{"title":"Kangaroo Method Care: Benefits, Proponents and Barriers: A Narrative Review.","authors":"Aslinda, Masni, Veni Hadju, Kadek Ayu Erika, Apik Indarty Moedjiono, Shanti Riskiyani, Abdul Salam","doi":"10.18502/ijph.v54i11.20379","DOIUrl":"10.18502/ijph.v54i11.20379","url":null,"abstract":"<p><p>Babies with low birth weight (LBW) are the highest contributor to neonatal mortality rates. Kangaroo care is an effective, cost-effective nursing action recommended by WHO for the care of premature and LBW babies which can reduce neonatal morbidity and mortality. However, the scope of kangaroo care practice is still low. Various databases such as Scopus, PubMed, ProQuest, Google Scholar, and Science Direct have been used as research sources. The time span for the articles accessed ranged from 2014 to 2024. The benefits of kangaroo care can improve the growth of premature and LBW babies, increase breastfeeding, improve the physiological function of babies, reduce infant mortality rates and reduce stress of mothers of premature and LBW babies. Supporting factors for kangaroo care are government support and health service providers, community and socio-cultural support, knowledge and awareness of mothers and inhibiting factors are lack of infrastructure and health facilities, socio-economic and cultural problems, challenges for mothers of LBW babies and lack of knowledge and awareness of various related parties. Kangaroo method care is beneficial for babies and mothers of LBW babies and there are supporting and inhibiting factors in its implementation. This aimed to increase the coverage of kangaroo method care implementation so as to optimize the growth of LBW babies.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2313-2324"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678623","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}
Maryam Ghalandari, Ali Dehghani, Seyed Mohsen Zahraei, Mohammad Hassan Lotfi, Farzan Madadizadeh
{"title":"Spatial and Temporal Analysis of Meningitis Cumulative Incidence in Iran, 2011-2022.","authors":"Maryam Ghalandari, Ali Dehghani, Seyed Mohsen Zahraei, Mohammad Hassan Lotfi, Farzan Madadizadeh","doi":"10.18502/ijph.v54i11.20395","DOIUrl":"10.18502/ijph.v54i11.20395","url":null,"abstract":"<p><strong>Background: </strong>Meningitis is a public health challenge and one of the plans of the WHO is to defeat meningitis by 2030. This study was conducted to determine the trend of cumulative incidence and to draw a geographic map of meningitis in Iran.</p><p><strong>Methods: </strong>Data on the cases of Fever and Neurological Symptoms Syndrome was obtained from the national surveillance system from 2011 to 2022. The cumulative incidence of meningitis was calculated for each year. Joinpoint version 5.4.0 and ArcGIS Desktop (ArcMap) 10.8.2 were used to investigate the trend of the disease incidence and identify the high-risk areas, respectively.</p><p><strong>Results: </strong>Overall, 18,500 (24.35%) of the total cases were reported as confirmed and probable cases of meningitis. The cumulative incidence of bacterial meningitis decreased significantly in all age groups (<i>P</i><0.05). The incidence of viral meningitis decreased in all ages and the population under 5 years (<i>P</i><0.05). The incidence of Hib meningitis decreased in the population under 5 yr from 2015-2019 (<i>P</i><0.05). The incidence of meningitis from all forms decreased in all ages and populations under 5 yr but increased in the population over 5 yr from 2011 to 2019, though these changes were not statistically significant.</p><p><strong>Conclusion: </strong>The incidence of bacterial and viral meningitis has decreased in Iran similar to most parts of the world. The decrease in the incidence of Hib meningitis after the implementation of the vaccination in children under 5 yr emphasizes the importance of continuing Hib vaccination and integrating pneumococcal and meningococcal vaccinations into the national vaccination program.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 11","pages":"2511-2523"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13348902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420906","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":"Mapping rural healthcare accessibility in Jammu district India using geospatial techniques","authors":"Rajender Singh, Gursheen Kour","doi":"10.1186/s12982-025-00968-x","DOIUrl":"https://doi.org/10.1186/s12982-025-00968-x","url":null,"abstract":"Accessibility to healthcare facilities (HCFs) is a critical determinant of public health, particularly in rural areas of developing nations like India, where uneven spatial distribution and geographical inaccessibility exacerbate health disparities. This study evaluates the spatial distribution and accessibility of healthcare facilities (HCFs) in rural part of the Jammu district, J&K, India, using geo-spatial techniques. The findings reveal significant spatial inequalities, with blocks like Khour and Bhalwal showing the lowest accessibility due to fewer HCFs and rugged terrain, while Bishnah and RS Pura exhibited better accessibility. Overall, 32% of villages lie beyond a 20-minute travel time to the nearest HCF, with highest in Bhalwal (76%), Akhnoor (47%), and Satwari (40%). Kernel density analysis identifies significant clustering of HCFs in southern blocks (e.g., Bishnah and RS Pura), while northern blocks (e.g., Khour and Akhnoor) remain underserved due to rugged terrain and fewer facilities. Spatial statistics confirm a highly clustered pattern of HCFs (z-score: -5.515, p-value: 0), driven by topography and socio-political factors. The study recommends upgrading existing Sub Centers (SCs), implementing telemedicine in remote regions, and strategically locating new facilities to reduce travel times. These findings provide actionable insights for policymakers to address inequities in healthcare delivery and improve rural health outcomes using geo-spatial techniques.","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1186/s12982-025-00968-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147888999","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":"The Role of Snacktivity in Public Health.","authors":"Meric Odemis, Halil Orbay Cobanoglu, Eren Akdag","doi":"10.18502/ijph.v54i9.19872","DOIUrl":"10.18502/ijph.v54i9.19872","url":null,"abstract":"","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 9","pages":"2040-2041"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377516","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":"The Correlation of Blood Immune Cells with the Pathogenesis of Schizophrenia: A Meta-Analysis.","authors":"Fengyu Xue, Zhijun Li, Lijuan Yan, Qiong Yu, Yanchi Zhang","doi":"10.18502/ijph.v54i8.19566","DOIUrl":"10.18502/ijph.v54i8.19566","url":null,"abstract":"<p><strong>Background: </strong>We have included literature on changes in immune cells in patients with schizophrenia and have systematically and quantitatively reviewed these studies through meta-analysis, with a view to understanding the potential effects of immune system dysfunction on the pathophysiology of schizophrenia.</p><p><strong>Methods: </strong>We conducted a systematic search in PubMed, Embase, Web of Science, and the Cochrane Library, covering publications from inception to Sep 25, 2023. The systematic review followed the PRISMA guidelines, and a random-effects meta-analysis was performed. Heterogeneity was evaluated using the <i>I<sup>2</sup></i> index, and sensitivity analyses were conducted to assess the stability of the findings.</p><p><strong>Results: </strong>The systematic review includes 42 studies on schizophrenia. Meta-analysis revealed that compared to the control group, schizophrenia patients had significantly higher white blood cell counts (WBC, <i>P</i><0.01), CD4 absolute values (<i>P</i>=0.02), CD4 percentage (CD4%, <i>P</i>=0.05), CD4/CD8 ratio (<i>P</i><0.01), monocyte-to-lymphocyte ratio (MLR, <i>P</i><0.01), neutrophil-to-lymphocyte ratio (NLR, <i>P</i><0.01), and platelet-to-lymphocyte ratio (PLR, <i>P</i><0.01). No significant differences were observed for other immune markers in the meta-analysis.</p><p><strong>Conclusion: </strong>The number of immune cells in the blood of patients with schizophrenia increased. Therefore, more research on immune system abnormalities in schizophrenia patients is needed to better understand the underlying mechanisms between schizophrenia and immune cell parameters.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 8","pages":"1563-1576"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206231","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":"Association of the Serpine1 with the Obesity Paradox in Ischemic Heart Failure.","authors":"Xiaoqiu Zhu, Junyan Hua","doi":"10.18502/ijph.v54i7.19158","DOIUrl":"10.18502/ijph.v54i7.19158","url":null,"abstract":"<p><strong>Background: </strong>Extreme obesity pathology is with a risk factor for heart failure (HF), whereas the obesity paradox in HF shows that obese subjects had a good prognosis. The mechanism underlying the obesity paradox in HF prognosis is unclear till now. We aimed to provide evidence for the molecular mechanisms of the obesity paradox in HF.</p><p><strong>Methods: </strong>Differentially expressed genes (DEGs) in ischemic HF samples were identified in the GSE57338 and GSE5406 datasets. Weighted gene co-expression network analysis (WGCNA) modules and a protein-protein interaction network (PPI) were constructed. HF-associated DEGs and pathways were screened in the Comparative Toxicogenomics Database (CTD). The expression of hub genes in adipose tissues from obese patients and LV samples from HF patients were validated in microarray datasets.</p><p><strong>Results: </strong>Three HF-associated WGCNA modules were identified and DEGs were associated with the 'hsa04115: <i>p53</i> signaling pathway'. <i>SERPINE1</i> was the only common gene between DEGs and HF-associated genes in the CTD database. The <i>SERPINE1</i> gene was downregulated in the white adipose tissues compared with brown adipose tissues (<i>P</i> = 3.90e-03) and was upregulated in the omental adipose tissues from obese patients compared with lean subjects (<i>P</i> = 3.85e-02).</p><p><strong>Conclusion: </strong>The downregulation of <i>SERPINE1</i> expression might be responsible for the obesity paradox in HF via interacting with <i>ESR1</i>.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1516-1529"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798984","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}
Roza Sultanalieva, Bermet Zhunusova, Valeriya Knyazeva, Nazgul Abylova, Aleksandr Sorokin
{"title":"Prevalence and Risk Factors of Carbohydrate Metabolism Disorders among Pregnant Women in Kyrgyzstan.","authors":"Roza Sultanalieva, Bermet Zhunusova, Valeriya Knyazeva, Nazgul Abylova, Aleksandr Sorokin","doi":"10.18502/ijph.v54i7.19150","DOIUrl":"10.18502/ijph.v54i7.19150","url":null,"abstract":"<p><strong>Background: </strong>We aimed to determine the prevalence of carbohydrate metabolism disorders among pregnant women in Kyrgyzstan based on the 2013 WHO diagnostic criteria, to study their frequency, and to assess the influence of key risk factors on the likelihood of developing gestational diabetes mellitus (GDM) and overt diabetes.</p><p><strong>Methods: </strong>A prospective cohort study was conducted, including 617 pregnant women between 2022 and 2024. All participants underwent an oral glucose tolerance test (OGTT) in the second half of pregnancy. Diagnosis of GDM and overt diabetes was carried out according to WHO criteria. Multivariate logistic regression was used to analyze risk factors. ROC analysis was performed to assess the diagnostic value of the number of risk factors in predicting carbohydrate metabolism disorders.</p><p><strong>Results: </strong>The incidence of GDM was 18.8% (116/617), and overt diabetes - 6.96% (43/617). The main risk factors for GDM were: age over 35 years (<i>P</i> = 0.002), arterial hypertension (<i>P</i> = 0.001), second-degree family history of diabetes (<i>P</i> = 0.001), pre-pregnancy overweight or obesity (<i>P</i> = 0.002), and multiparity (<i>P</i> = 0.000). For overt diabetes, key risk factors included first-degree family history of diabetes (P = 0.034), second-degree family history (<i>P</i> = 0.001), and overweight or obesity (<i>P</i> = 0.018).</p><p><strong>Conclusion: </strong>An increase in the number of risk factors correlates with the incidence of GDM and overt diabetes. However, for GDM, the number of risk factors is not a reliable predictor, highlighting the need for universal screening of all pregnant women. For overt diabetes, the number of risk factors showed satisfactory predictive value.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1444-1451"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799025","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":"Epidemiological Characteristics of Road Accident Mortality and Identification of Hot Spots: Years of Life Lost in Fars Province, Iran.","authors":"Mostafa Eghbalian, Fateme Vaziri, Habibeh Nasab, Mahnaz Yadollahi, Forough Pazhuheian, Mojtaba Norouzi","doi":"10.18502/ijph.v54i7.19159","DOIUrl":"10.18502/ijph.v54i7.19159","url":null,"abstract":"<p><strong>Background: </strong>We aimed to analyze the epidemiological characteristics of road accident mortality and identify high-risk areas, considering the years of life lost (YLL) in Fars Province, central Iran.</p><p><strong>Methods: </strong>The present study was conducted cross-sectionally in 2019. We used Kernel Density and hot spot analysis to identify statistically significant clusters of road accidents. For the descriptive analysis, we utilized the chi-square test, considering a <i>P</i>-value of less than 0.05 as statistically significant. To calculate years of life lost, R 4.3.3 software and the \"YLL\" package were used.</p><p><strong>Results: </strong>A total of 1,604 people died in road accidents, with the majority being male (1,304). The mean age of the subjects was 37.63+36.61 years. The axes with a greater concentration of accidents included Shiraz-Marvdasht-Abade towards Esfahan, Shiraz-Kazeroun towards Bushehr, and Kazeroun-Noorabad towards Yasouj. Head injury and multiple fractures were the most prevalent causes of death among both sexes. The number of deaths and YLL due to accidents was higher in men than in women, in all age groups. In men, the number of deaths and YLL were more between the ages of 15 and 34 years, while in women, the distribution of the number of deaths and YLL did not differ much until the age of 70 years.</p><p><strong>Conclusion: </strong>There is significant accident hotspots along the Shiraz-Marvdasht-Abade towards Esfahan, Shiraz-Kazeroun towards Bushehr, and Kazeroun-Noorabad towards Yasouj routes. In addition, the highest number of YLL due to road accidents occurred among teenagers and young adults. Policymakers need to focus on targeted interventions in these high-risk areas and develop strategies aimed at reducing accidents, particularly among younger males, to enhance road safety and decrease mortality rates.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1530-1539"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798990","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":"The Impact of Nurses' Psychological Well-Being on Organizational Commitment: The Mediating Role of Work Engagement and the Moderating Role of Perceived Organizational Support.","authors":"Cong Hiep Duong, Thuy Phuong Thi Do, Trang Thi Giang, Kim Thoa Thi Hoang","doi":"10.18502/ijph.v54i7.19157","DOIUrl":"10.18502/ijph.v54i7.19157","url":null,"abstract":"<p><strong>Background: </strong>Post-COVID-19 pandemic showed a marked increase in nurse resignations, which has exacerbated pressure on healthcare systems globally. Mental health and Perceived Organizational Support have emerged as critical factors influencing nurses' commitment to their organizations in the post-pandemic era. We aimed to explore the complex relationships between psychological well-being, work engagement, organizational commitment, and perceived organizational support within the Vietnamese healthcare context.</p><p><strong>Methods: </strong>The research employed a cross-sectional quantitative approach. The questionnaire was distributed through Google Forms during March and April 2024, providing valuable insights into the studied phenomena within Vietnam's unique socio-cultural landscape. Convenience and snowball sampling were used to gather data. Upon completion of data collection, a total of 302 valid observations were obtained. The analysis was conducted using PLS-SEM.</p><p><strong>Results: </strong>Work Engagement mediates the Psychological Well-being - Organizational Commitment relationship; Perceived Organizational Support moderates the Psychological Well-being - Organizational Commitment relationship; Perceived Organizational Support also moderates the mediation of Work Engagement between Psychological Well-being and Organizational Commitment. This study enhances the understanding of how Psychological Well-being and Work Engagement influence nurses' Organizational Commitment and highlights the role of Perceived Organizational Support as a key organizational resource in shaping these mechanisms. Furthermore, Organizational Commitment is linked to demographic variables such as age and monthly income, with age being a positive predictor and monthly income a negative predictor.</p><p><strong>Conclusion: </strong>Healthcare managers can promote Nurses' Organizational Commitment by employing strategies to enhance their Psychological Well-being, Work Engagement, and Perceived Organizational Support.</p>","PeriodicalId":14685,"journal":{"name":"Iranian Journal of Public Health","volume":"54 7","pages":"1504-1515"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799109","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}