Journal of Education and Health Promotion最新文献

{"title":"The effect of the HIS on the knowledge management of hospital managers: A case study.","authors":"Zahra Khakdel Jeldar, Elaheh Mazaheri, Mohammadreza Jabbari Khanbehbin, Sayed Mehdi Hejazi Dehaghani","doi":"10.4103/jehp.jehp_222_24","DOIUrl":"10.4103/jehp.jehp_222_24","url":null,"abstract":"<p><strong>Background: </strong>Hospital Information System is one of the effective factors on the knowledge management of health care organizations; this research was conducted with the aim of determining the impact of the use of the hospital information system on the knowledge management of managers in educational-therapeutic hospitals of Isfahan University of Medical Sciences.</p><p><strong>Materials and method: </strong>This applied research is descriptive-analytical and was conducted in 2023. The studied population included 106 managers of top, middle, and operational levels in teaching-treatment hospitals of Isfahan University of Medical Sciences. The data collection tool was a questionnaire, whose validity and reliability were checked and confirmed. Descriptive and inferential data analysis was done in SPSS version 20 software.</p><p><strong>Result: </strong>The data were determined in terms of financial, clinical, and human resources criteria. The information system was significant in the financial (t_ (0/05) =1.72) and clinical (z_0 = 1.96) components, and it was not significant in the human resources component.</p><p><strong>Conclusion: </strong>According to the findings of this research that the hospital information system has no effect on the knowledge management of managers in human resources and also has less effect on clinical criteria, it is recommended that the reasons for not paying attention to these two things in hospitals are investigated. It is expected that by developing the power and increasing the experience of both groups, a change of attitude will occur in our country in line with the evolution that these systems have undergone in advanced countries.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"325"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145112853","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":"Factors predicting stroke prevention behavior hypertensive patients with uncontrolled blood pressure levels in Chaiyaphum Province, Thailand.","authors":"Ananya Lalun, Tanida Phatisena, Bhuddhipong Satayavongthip","doi":"10.4103/jehp.jehp_2250_24","DOIUrl":"10.4103/jehp.jehp_2250_24","url":null,"abstract":"<p><strong>Background: </strong>Cerebrovascular disease is a chronic neurological condition and the economy by causing disability and isone of the leading causes of death.</p><p><strong>Materials and method: </strong>This study was a cross-sectional descriptive study aimed at examining the risk of stroke and the predictive factors influencing stroke prevention behaviors among hypertensive patients with uncontrolled blood pressure in Chaiyaphum Province. The sample comprised 416 hypertensive patients with uncontrolled blood pressure, selected using multi-stage random sampling. The research instruments consisted of six parts as follows: 1) general information, 2) access to health information, 3) knowledge about stroke, 4) social support, 5) health literacy, and 6) stroke prevention behavior. The data were analyzed using descriptive statistics and multiple logistic regression.</p><p><strong>Results: </strong>The research findings found that 47. A total of 12% of the sample group had a high risk of stroke. Most participants exhibited a moderate level of stroke prevention behavior of 64.66%. Furthermore, patients who lack knowledge and understanding of stroke were found to be 2.949 times more likely to demonstrate low stroke prevention behavior compared to those with sufficientknowledge and understanding. Moreover, it was found that individuals with low health literacy were 7.096 times more likely to exhibit low stroke prevention behaviors compared to those with high health literacy.</p><p><strong>Conclusion: </strong>The findings of this study can provide a guideline for developing care strategies for hypertensive patients and designing activities to promote disease prevention that are consistent with the lifestyles of hypertensive patients with uncontrolled blood pressure.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"326"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113210","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":"Predicting psychological wellbeing of Al-Qadisiyah University students in Iraq through authentic personality and basic psychological needs.","authors":"Makarem Sabti Tamimi, Felor Khayatan, Thaeir Fadhil Abd Ali, Ali Mehdad","doi":"10.4103/jehp.jehp_93_25","DOIUrl":"10.4103/jehp.jehp_93_25","url":null,"abstract":"<p><strong>Background: </strong>The health and wellbeing of university students are considered critical variables for their performance and success. This study, conducted at Al-Qadisiyah University in Iraq, aimed to investigate the relationship between \"authentic personality and basic psychological needs\" and \"psychological well-being\" among students.</p><p><strong>Materials and methods: </strong>This correlational research included 239 students using convenience sampling from Al-Qadisiyah University during the spring of 2024. Then, the participants were asked to complete three questionnaires of the research: The Psychological Well-being Scale (Ryff and Keyes, 1995), the Authentic Personality Scale (Wood <i>et al</i>., 2008), and the Basic Psychological Needs Scale (Gagne, 2003). Data were analyzed using Pearson correlation coefficients and stepwise multiple regression methods through SPSS 26.</p><p><strong>Results: </strong>The findings indicated a significant relationship between authentic living and psychological wellbeing (<i>P</i> < 0.05). Notably, the stepwise multiple regression analysis demonstrated that out of the three subscales of authentic personality and three subscales of the basic psychological needs, only three subscales of authentic personality-authentic living, self-alienation, and acceptance of external pressures-were found to be predictive of psychological wellbeing in three steps.</p><p><strong>Conclusion: </strong>According to the findings of the present research, fostering authentic personality in university students is crucial for improving their mental health and wellbeing.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"355"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113238","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":"Sharing behaviors of older adults in online health information: A systematic literature review.","authors":"Yilian Ma, Arina A Azlan, Emma M W Mohamad, An Qi Wu, Cheng Lin Zhang, Yi Han Qi","doi":"10.4103/jehp.jehp_31_25","DOIUrl":"10.4103/jehp.jehp_31_25","url":null,"abstract":"<p><p>Understanding the motivations of older adults' online behaviors, representing an increasingly significant segment of social media users, is essential for bolstering public health literacy and wellness. As these individuals turn more to online resources for health management and social engagement, comprehending their rationale for sharing health information online becomes imperative. Practical strategies and interventions are urgently needed to improve eHealth literacy and the ability of older adults to identify trusted online information, thereby reducing the risks posed by misinformation to their health. This study evaluates older adults' motivations for sharing health information online. Understanding why they engage in this sharing behavior is crucial, as their motivations can range from seeking to build social connections to helping others manage their health and well-being. A systematic literature review was conducted using the Web of Science, Scopus, and Pubmed databases while adhering to the PRISMA. A total of 5247 articles were yielded and screened, where 16 articles were included according to explicit inclusion and exclusion criteria. Qualitative content analysis identified three critical motivations among older adults: perceived technological competence and self-efficacy, beliefs and attitudes, and social relationships and support. Additionally, the accuracy and credibility of information significantly influenced the sharing of health misinformation. This review highlights a gap in literature specifically focusing on older adults' information behavior and suggests future research to improve their health management and social support, offering new insights for health communicators to develop effective health promotion initiatives.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"356"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113284","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":"Nurses' experiences of barriers and facilitators to family participation in the care for hospitalized older adult patients: A qualitative study.","authors":"Maryam Ahmadi, Farahnaz Mohammadi-Shahboulaghi, Mohammadali Hosseini, Masoud Fallahi-Khoshknab","doi":"10.4103/jehp.jehp_845_24","DOIUrl":"10.4103/jehp.jehp_845_24","url":null,"abstract":"<p><strong>Background: </strong>Family participation in the care of hospitalized older adult patients has always been associated with positive outcomes. However, its optimal implementation requires adequate knowledge of facilitators and barriers, which have been given less attention in the literature. Therefore, the present study was conducted to explain the barriers and facilitators of family participation in the care for hospitalized older adult patients from the perspective of nurses and patients' family members.</p><p><strong>Materials and methods: </strong>Based on the grounded theory qualitative study, semistructured in-depth interviews were utilized to collect the experiences of 13 nurses and 4 family members of older adult patients from two public hospitals between 2023 and 2024. Sampling was initially purposive and continued theoretically until data saturation. The data were analyzed using the approach of Strauss and Corbin 2015.</p><p><strong>Results: </strong>The analysis of the obtained data led to the emergence of five categories, including family participation-unfriendly hospital, nonparticipatory work environment, inadequate professional competence of nurses to participate, the complexity of older adult patient care, and family capacity for participation. Each of these categories had subategories, resulting in a total of 14 subcategories for the five categories.</p><p><strong>Conclusion: </strong>The study results help increase nursing knowledge about factors affecting family participation in care and provide a basis for designing research, interventions, and developing programs to increase family participation. In addition, it helps formulate hospital policies regarding family participation in providing care for older adult patients.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"347"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113294","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":"Midwifery students' perceptions of factors influencing their clinical feedback in educational clinical environment: A qualitative study.","authors":"Soheila Mohamadirizi, Zohreh Abbasi, Elham Shirdel, Sakineh Nazari","doi":"10.4103/jehp.jehp_1986_23","DOIUrl":"10.4103/jehp.jehp_1986_23","url":null,"abstract":"<p><strong>Background: </strong>Feedback in bedside education poses numerous challenges and complexities, particularly in stressful environments such as the labor and delivery ward, where it can significantly impact the quality of learning and maternal and neonatal health. This study aims to explore the experiences of Midwifery students regarding clinical feedback in the labor and delivery ward.</p><p><strong>Material and methods: </strong>A qualitative study was conducted, utilizing content analysis to analyze data obtained through interviews with 18 midwifery students. Participants were selected using purposive sampling. Data collection involved semi-structured and in-depth individual interviews, continuing until data saturation was achieved. Data analysis was performed, resulting in the extraction of main categories and subcategories.</p><p><strong>Results: </strong>The qualitative study yielded two main categories and nine subcategories. The main categories consisted of constructive feedback, encompassing subcategories such as teacher qualifications, teacher personality, consideration of student traits, appropriate feedback, physical presence of the teacher, and positive feedback from others. The second main category was destructive feedback, which included subcategories such as negative feedback from others and inappropriate feedback during delivery, as well as the perception of inappropriate teacher behavior from the students' point of view.</p><p><strong>Conclusion: </strong>The findings of this study highlight the importance of multidimensional clinical feedback in the learning processes of midwifery students. Constructive feedback was perceived as a key factor in enhancing learning, whereas destructive feedback was found to diminish the quality of learning.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"333"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113315","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":"Effectiveness of oral hygiene training and education programs among Anganwadi workers in improving mother and child oral hygiene. A cross-sectional study.","authors":"Ankit Mahajan, Supriya Singh, Chhaya Mangla, Deepthi Maya, Madhura Pawar, Divya Sahu","doi":"10.4103/jehp.jehp_225_25","DOIUrl":"10.4103/jehp.jehp_225_25","url":null,"abstract":"<p><strong>Background: </strong>An Anganwadi worker comes under the Integrated Child Development Scheme and is responsible for the health welfare of children and women belonging to the rural, urban, and tribal regions. The present study aimed to analyze the effectiveness of oral hygiene training and educational programs among Anganwadi workers for the improvement of mother as well as child oral hygiene.</p><p><strong>Materials and methods: </strong>This was a prospective, intervention-based, and cross-sectional study carried out on 100 preschool children. The age range of children was between 3 and 5 years, of which 65 were males and 35 were females. The participants were divided in two groups: 1) Group I: Interventional group (50 mother-child pairs) and 2) Group II: Control group (50 mother-child pairs). The oral hygiene trainingwas imparted to Anganwadi workers using oral health-related educational aids likeposters, pamphlets, booklets, or plaster models for the intervention group, while oral health education was provided to the controls. The assessment of baseline knowledge on oral health among mothers was done by prevalidated 17-itemed questionnaire. Maternal knowledge regarding oral health was assessed using questionnaires on third and sixth month intervals. Oral hygiene of the children was assessed using Oral Hygiene Index Simplified-Modified (OHIS-M) at baselineand 3^rd and 6^th months in preschool children by a single investigator under natural light. The collected data were entered in Microsoft excel worksheets and analyzed by SPSS software version 20.0.</p><p><strong>Results: </strong>Before intervention (baseline), 30.1% mothers in the study group and 27.2% mothers in the control group answered questionnaire items correctly. However, no statistical significance (<i>P</i> = 0.23) was obtained. At 3^rd month assessment, the response in the intervention group increased till 48.2%, whereas in the control group, it was found to be 34.02% with no statistically significant difference (<i>P</i> = 0.35). At the 6^th month interval, the response had increased till 69.9% and 48.02% in intervention and control groups, respectively (<i>P</i> = 0.02). Oral hygiene status assessment using mean ± SD. OHIS-M scores in children was assessed at baselineand 3 and 6 months. Thus, a continuous decrease in mean ± SD. OHIS-M scores was found in both the study group and controls.</p><p><strong>Conclusion: </strong>Statistically significant improvement in knowledge of mothersand oral hygiene of children was noted after the they received training from Anganwadi workers regarding oral health care.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"357"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113342","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":"Effective factors in nursing care for cardiovascular patients with opioid dependence disorder: A qualitative study.","authors":"Fatemeh Moghaddam, Narges Arsalani, Kian Norouzi Tabrizi, Masoud Fallahi-Khoshknab, Sadat Seyed Bagher Maddah","doi":"10.4103/jehp.jehp_758_24","DOIUrl":"10.4103/jehp.jehp_758_24","url":null,"abstract":"<p><strong>Background: </strong>Caring is a central concept in nursing and is especially critical for patients with comorbidities, such as the coexistence of cardiovascular diseases and substance use disorders. However, limited information is available regarding the effective factors of the care provided to these patients. The study aimed to investigate the effective contextual factors in the care of hospitalized patients with cardiovascular disease and opium dependence disorder.</p><p><strong>Materials and methods: </strong>This qualitative descriptive study was conducted in 2023. The participants were 13 nurses who were purposefully selected from the cardiac and internal cardiac intensive care units of hospitals affiliated with the Ministry of Health in Iran. Sixteen semi-structured interviews were conducted to collect data, and conventional content analysis proposed by Graneheim and Lundman (2004) was used to analyze the data.</p><p><strong>Result: </strong>In the analysis, microconditions encompassed factors like nurses' attitudes, insufficient knowledge, and patient behavioral issues, while macroconditions involved an unsafe workplace, an atmosphere of distrust, difficulty managing pain, and false cultural beliefs.</p><p><strong>Conclusion: </strong>Delivering healthcare services by utilizing scientific evidence for decision-making and actions in healthcare is one of the general policies of the health system. Recognizing these elements can aid managers, researchers, and clinical nurses in enhancing nursing care through adjustments to these influential factors.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"349"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113353","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":"Consequences and factors affecting creation of abusive emotional relationships in unmarried girls: A protocol for scoping review.","authors":"Farzane Ghasemi, Fahimeh Namdarpour, Yousef Gorji","doi":"10.4103/jehp.jehp_705_24","DOIUrl":"10.4103/jehp.jehp_705_24","url":null,"abstract":"<p><p>Communication is the basis of human identity and the fundamental basis of connecting one person with another person. Although having a healthy relationship with the opposite sex has physical, psychological, and social effects and benefits, it sometimes leads to abusive relationships and debilitating symptoms. Emotional communication described as abusing in an intimate relationship is the most painful form of violence. One of the main challenges of mental health systems is the harmful effects of this type of relationship on people, which causes hurts that naturally take more time to heal and affect a significant part of the world's population. Since knowing the consequences and factors affecting emotional relationships will lead to the improvement of methods of prevention and dealing with the harms caused by mental health guardians, this protocol is designed to identify the consequences and factors affecting emotional relationships. Identifying these factors can be used as a guide for decision-makers in the mental health system in preventive and therapeutic interventions.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"339"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113422","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":"Nurse-led play intervention on hospitalization anxiety, fear among children admitted to a tertiary care hospital.","authors":"Benazeera, Priya Reshma Aranha","doi":"10.4103/jehp.jehp_57_25","DOIUrl":"10.4103/jehp.jehp_57_25","url":null,"abstract":"<p><strong>Background: </strong>The unfamiliar surroundings in hospitals significantly increase psychological distress in children, particularly those of younger age. The present study aims to assess the effects of nurse-led play intervention (picture book and board game) in relieving anxiety and fear in hospitalized children.</p><p><strong>Methods and material: </strong>This quasi-experimental study, conducted from April to September 2023 in the playroom of the pediatric medicine ward in Karnataka, India, explored the impact of play interventions on hospitalized children. One hundred and twenty children aged 7-12 were selected using purposive sampling. Validated instruments, including demographic questionnaires for children and parents, the State-Trait Anxiety Inventory for Children, and the child's medical fear scale, were used to assess anxiety and fear levels. The collected data were analyzed using IBM SPSS Statistics version 23.0.</p><p><strong>Results: </strong>The intervention group experienced, on day three, a more significant reduction in the mean state anxiety (54.33 ± 1.76) (53.05 ± 3.44), trait anxiety (21.3 ± 0.83) (50.18 ± 2.43), and medical fear score (19.23 ± 1.57) (43.56 ± 2.75) than the control group. A statistically significant difference in state and trait anxiety levels and medical fear was observed between the two groups on each of the three days (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Play interventions effectively reduce anxiety and fear in hospitalized children, highlighting their importance in pediatric care. Health policymakers should integrate play therapy into standard hospital protocols, while nursing managers should provide resources and training to empower staff and parents in facilitating these interventions. Further research should explore the long-term impact of play interventions on hospital experiences and overall well-being in children.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"317"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12451546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131217","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}