Journal of Education and Health Promotion最新文献

{"title":"The reasons for the decrease in learning motivation of medical students in South Iran.","authors":"Javad Kojouri, Maryam Charkhandaz, Mohsen Hojat","doi":"10.4103/jehp.jehp_1243_23","DOIUrl":"10.4103/jehp.jehp_1243_23","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have shown that the motivation of medical students has decreased. If we know what factors decrease motivation, we can predict and reinforce learning behaviors in medical students. This study aimed to explore and explain the reasons for the decrease in the motivation of medical students at Jahrom University of Medical Sciences, Iran.</p><p><strong>Materials and methods: </strong>A qualitative design based on the conventional content analysis approach was used. This study was conducted at Jahrom University of Medical Sciences in 2019-2021. Data were drawn from 24 semi-structured interviews with 52 medical students in the third year to seventh year. Purposeful sampling was performed. The average interview time was (53.42 ± 22.18) minutes. The 12 individual interviews and five focus group discussions (40 participants) were immediately verbatim and analyzed by the Colaizzi method by Max-Q (2014) data software.</p><p><strong>Results: </strong>The mean age was (22/30 ± 2/16). The mean grade was (13.34 ± 1.28). After conducting 24 semi-structural interviews, 180 <i>in vivo</i> codes, 17 primary codes, six sub-categories, and two main categories were obtained. Two main categories consist of the Cultural and Socio-Economic Capital Damaged and Unmotivated Educational System.</p><p><strong>Conclusion: </strong>Paying attention to the educational culture of the university and the economic, social, and cultural conditions of the society is necessary to improve students' lack of motivation.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"73"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719152","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":"Assessing the landscape: A comprehensive exploration of health care professionals' readiness and perceptions toward implementing self-directed learning in Indian healthcare institutions.","authors":"Suman P Singh, Puja Dulloo, Neeraj Vedi, Praveen R Singh","doi":"10.4103/jehp.jehp_530_24","DOIUrl":"10.4103/jehp.jehp_530_24","url":null,"abstract":"<p><strong>Background: </strong>Healthcare professionals must be lifelong learners to deal with the challenge of technological advancements and scientific information load. Global accrediting organizations promote self-directed learning (SDL) for development of lifelong learning skills in medical graduates and are adopted in India with introduction of Competency-Based Medical Education. The aim of this study is to develop Faculty Self-Directed Learning Readiness and Perception Scale (FSDLRPS) suited for Indian context.</p><p><strong>Materials and methods: </strong>This is an observational and analytical study designed to develop and implement a validated scale suited to study the faculty readiness and perception toward SDL in Indian healthcare institutions using the Delphi technique. A 23-item FSDLRPS for healthcare educators was developed using a 12-member expert panel. The scale was implemented on healthcare educators after pilot testing. Demographic data, perceptions, and readiness were studied. Descriptive statistics, analysis of variance, and Friedman ranking test were performed, and Cronbach's alpha was calculated using Microsoft Excel 365 and SPSS Ver. 15. Open-ended questions were analyzed by thematic analysis.</p><p><strong>Results: </strong>The Content Validity Index and Cronbach's alpha scores for the final Delphi round for readiness were 1.0 and 0.779, while those for the final Delphi round for the perception items were 0.935 and 0.900, respectively. It was implemented on 163 participants from 12 Indian states and revealed significant associations between faculty perceptions of SDL and a few variables. Readiness to implement was less in some areas like facilitation skills.</p><p><strong>Conclusions: </strong>Faculty perceived SDL as feasible and a good opportunity to help students acquire multiple skills but are not ready due to lack of knowledge and facilitation skills. They seek continuous support to increase their level of readiness.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"82"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719811","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":"Comparison of the effect of guided visualization technique and cryotherapy on pain intensity during needle insertion into arterial-venous vessels of hemodialysis undergoing patients: A cross-over clinical trial.","authors":"Zahra Ghazanfari, Saeed H Teshnizi, Pooneh Yousefi, Aref Faghih","doi":"10.4103/jehp.jehp_232_24","DOIUrl":"10.4103/jehp.jehp_232_24","url":null,"abstract":"<p><strong>Background: </strong>End-stage renal disease patients experience pain during needle insertion each time they undergo vascular access. This pain is the most severe aspect of hemodialysis-related stress. Based on this, this study was conducted with the aim of the effect of guided visualization technique and cryotherapy on the intensity of pain when the needle enters the arterialvenous vessels in patients undergoing hemodialysis.</p><p><strong>Materials and methods: </strong>This cross-over clinical trial was conducted on 60 patients undergoing hemodialysis from September to December 2023. Patients were randomly assigned to three independent groups (<i>n</i> = 20 people per group). This study was conducted in three stages, during which each group received guided visualization, cryotherapy, and routine care (control) separately. Pain intensity was measured individually using the numerical rating scale at the end of each interventions. Data analysis was performed using data statistics (Stata) version 14 and Statistical Package for the Social Science version 26.</p><p><strong>Results: </strong>The results showed that guided visualization significantly outperformed cryotherapy across all three groups and stages. Additionally, both guided visualization and cryotherapy significantly outperformed the control group in reducing pain following needle insertion in patients undergoing hemodialysis.</p><p><strong>Conclusion: </strong>Guided visualization can be used as a safe and secure method to reduce pain when the needle enters the arteriovenous fistula in patients undergoing hemodialysis.</p><p><strong>Trial registration number: </strong>IRCT202308080590. (21/08/2023).</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"79"},"PeriodicalIF":1.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719825","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":"The performance of primary health care in the management of the Covid-19 in Iran and the existing challenges and strategies on the way to confront the pandemics: A qualitative study.","authors":"Elham Shami, Kamal Gholipour, Simin Khayatzadeh, Saber Azami-Aghdash","doi":"10.4103/jehp.jehp_1463_23","DOIUrl":"10.4103/jehp.jehp_1463_23","url":null,"abstract":"<p><strong>Background: </strong>Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID-19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID-19 and identify the existing challenges, as well as strategies.</p><p><strong>Materials and method: </strong>The data for this qualitative study with a conventional content analysis were collected through interviews. The participants of the study were PHC employees, managers, and experts who had high experience and knowledge in the field of the study. The participants of the study were selected using purposeful sampling. The data were analyzed manually using the Granhiem and Landman method.</p><p><strong>Results: </strong>PHC performance was divided into five main themes and 13 subthemes, including epidemic diagnosis, training, making changes to respond, care and vaccination, cooperation, and coordination. Six main themes and 19 subthemes were categorized as the challenges of dealing with COVID-19, which are inputs and structure, infectious disease control and management, management and policymaking, community support, education and evidence management, and providing care services. Strategies were categorized into four main and 16 subthemes. The main strategies were making preparations before the epidemic, reviewing at all levels of PHC, cooperation and coordination, and integrated information.</p><p><strong>Conclusion: </strong>The results of this study can be used by authorities and policymakers to prepare well for possible future pandemics.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"42"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657258","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":"Continuing dental education (CDE) programs: Are dentists keeping themselves updated?","authors":"Ramandeep S Gambhir, Umang Jagga, Rina Singh, Ramandeep Kaur, Garish Kumar, Aanchal Gupta","doi":"10.4103/jehp.jehp_1845_23","DOIUrl":"10.4103/jehp.jehp_1845_23","url":null,"abstract":"<p><p>Dentistry is evolving at a rapid pace and continuing dental education helps a dental professional provide the latest care to the patients by using the most recent methods, skills, and technologies. Therefore, the present study was conducted to assess the perception, participation, and obstacles of private dental practitioners toward participation in continuing dental education (CDE) programs in India. A descriptive cross-sectional study was conducted among private dental practitioners in Tricity. Systematic random sampling methodology was used to select the study subjects and a total of 426 subjects comprised the study population. Data were collected through a self-constructed three-part questionnaire which included demographic information, preferences of subjects toward CDE programs, and various barriers limiting participation. Statistical analysis was done using Chi-square test and multiples logistic regression analysis. Majority of the subjects in the study were males (260, 61%) and 44.1% (188) of the subjects were postgraduates. Only 38.6% (164) of subjects said that they were regularly attending CDE programs and 84.2% (358) of subjects showed interest in CDE programs related to dental implants. A vast majority of subjects (305, 71.7%) said that they only attend CDE programs when the speaker is a renowned person. Shortage of time (257, 60.4%) and high cost/fee (249, 58.6%) of the CDE program were the main barriers that prevented the subjects from attending CDE programs. Postgraduate degree (odds ratio [OR]: 2.15, <i>P</i> = 0.023) and affiliation with an institution (OR: 2.46, <i>P</i> = 0.032) were significant factors contributing toward participation in CDE programs. More than half of the study subjects were not regularly participating in CDE programs. CDE organizers and dental associations should address the mentioned issues to ensure maximum participations of dental professionals in future programs.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"14"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656714","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":"Exploring academic dishonesty among medical students during clinical rotations: Prevalence, causes, and types in NKUMS, Iran.","authors":"Morteza Rastgar, Saeed Rabbani, Esmaeil Farrokhi, Hasan Namdar Ahmadabad","doi":"10.4103/jehp.jehp_2011_23","DOIUrl":"10.4103/jehp.jehp_2011_23","url":null,"abstract":"<p><p>In a descriptive-analytical study, we investigated academic dishonesty among general medical students during clinical rotations and proposed suggestions for improvement. A total of 106 medical students in the clinical periods were randomly selected for the study. We used a questionnaire consisting of four parts: demographic characteristics, causes of dishonesty, types of dishonesty, and suggestions for reducing dishonesty. The results showed that 50% of the students had a history of dishonesty during their clinical rotations. Marital status and the stage of clinical education were found to be related to dishonesty. The main reasons for dishonesty reported by the students were distress during clinical rotations and a lack of alignment between clinical education and their expectations. Common types of dishonesty during clinical rotations included gathering exam information from previous students and falsifying attendance records. The study concludes that the high prevalence of academic dishonesty among medical students during clinical rotations is concerning. It suggests the need to address distress among students, align clinical education with learners' expectations, and continuously monitor academic integrity to reduce dishonesty.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"40"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657143","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":"Digital empowerment in nursing: A cross-sectional exploration of digital competencies in healthcare services among nurses.","authors":"Dipali Dumbre, Sheela Upendra, Shital Waghmare, Betsy Sara Zacharias, Pratik Salve","doi":"10.4103/jehp.jehp_439_24","DOIUrl":"10.4103/jehp.jehp_439_24","url":null,"abstract":"<p><strong>Background: </strong>The impact of digital technology on healthcare is remarkable as it greatly enhances the quality of health services in developed and developing nations. By improving the accessibility of health information and streamlining service provision, technology plays a crucial role in advancing healthcare. The study objectives are to assess the level of digital competencies among staff nurses and to find the association of digital competencies with selected demographic variables.</p><p><strong>Materials and methods: </strong>This cross-sectional study was done on 300 staff nurses selected by purposive sampling technique. Data collection was done using the 5-point Likert scale through an online survey. The 5-point Likert scale went from frequently (5) to never (1). To determine the factors associated with basic digital competency, a multivariable logistic regression was carried out, with a <i>P</i> value of less than 0.05 considered statistically significant. A 95% confidence interval, and a coefficient estimate were used to explain the strength of the association.</p><p><strong>Result: </strong>Out of the 300 staff nurses who were a part of the study, all of them answered, indicating a 100% response rate. The majority of the samples were from the age group of 20-25 years (61%). The majority of respondents were female (80%). The majority of the sample had an advanced level of digital competencies (53%). According to the findings of the multivariable logistic regression model, individuals between the ages of 26-30 years, gender (male), and education were found to have a significant association with digital competency, as indicated by a level of significance below 0.005.</p><p><strong>Conclusion: </strong>In summary, the staff nurses have advanced level of digital competency. The findings emphasize the necessity for staff nurses to strengthen their digital competency for patient care in the hospital.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"26"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11918272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656813","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":"Survey situation of mental health of pregnant women with breast cancer: A systematic review study.","authors":"Nasim Khademi, Farzaneh Rahimi, Shadi Goli","doi":"10.4103/jehp.jehp_1534_23","DOIUrl":"10.4103/jehp.jehp_1534_23","url":null,"abstract":"<p><p>A pregnant woman struggles with physical and mental problems caused by hormonal changes during her pregnancy. Now, if cancer is added to these difficult conditions, the pregnant woman will suffer a lot of psychological burden. We decided to conduct a systematic review study titled \"Mental health examination of pregnant women with breast cancer\" so that by examining this issue and emphasizing it more, we can reduce this mental burden. A systematic review was conducted on the English and Persian documents published throughout a 10-year period (2013-2023) in PubMed or MEDLINE, ScienceDirect, Web of Science, and Google Scholar databases. All documents were assessed for eligibility by titles or abstracts according to the search strategy, with the terms, such as mental health, pregnant woman, and pregnancy with breast cancer. The screening process was conducted by two independent authors. The selected articles were checked regarding inclusion and exclusion criteria. In total, 235 relevant studies were searched in 2013-2023, and after evaluating the full text of the article, 32 full-text articles were opted in accordance with the eligibility criteria, and finally, 26 full-text articles were reviewed systematically. According to the studies that were analyzed, the most common mental health disorders in pregnant women with breast cancer were depression, anxiety, and stress, which were created as a result of the fear of the possible consequences of cancer in the pregnant mother. To improve the level of mental health of women with cancer in Iran, the following solutions are suggested: 1. strengthening mental health services in primary health care, 2. appointing the trustee of the unit to improve the level of interdepartmental leadership and intradepartmental governance, 3. determining sustainable and targeted financial resources to provide mental health services needed by pregnant women with cancer, 4. moving the financial resources allocated to insurance mechanisms for greater financial protection, 5. expanding the umbrella of social support, and 6. a behavioral educational program that can be used to improve mental health, especially the symptoms of depression and anxiety in pregnant women with cancer.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"9"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657306","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":"Establishing core data elements for colorectal cancer and mapping to FHIR resources: Towards interoperable Iranian health information systems.","authors":"Raoof Nopour, Somayeh Nasiri, Maryam Ahmadi, Mohammad Shirkhoda","doi":"10.4103/jehp.jehp_1834_23","DOIUrl":"10.4103/jehp.jehp_1834_23","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) has a high prevalence, threatening public health. Despite the high prevalence, there has not been a proper solution to standardize the data in this domain in Iran. Therefore, this study aims to provide a new approach to standardizing CRC data using Fast Healthcare Interoperability Resources (FHIR).</p><p><strong>Material and methods: </strong>This study was conducted in five phases. First, a literature review was performed to gain the CRC core data elements based on the scientific databases and thematic websites. Second, we developed a researcher-made questionnaire with a five-choice Likert scale to gain the most important core data elements based on the opinions of specialists. Third, we leveraged the Delphi method to score these elements and develop the minimum data set (MDS) for CRC. Fourth, we used the terminologies to better perceive the concepts and thematic classification of core data elements. Fifth, we leveraged the FHIR to map the CRC core data elements to resources and standardize them.</p><p><strong>Results: </strong>Ten CRC data categories of classes were obtained from the literature review and Delphi, including administrative, diagnosis, therapeutic procedure, follow-up, patient referral, vital status, drug, clinical assessment, signs and symptoms, and history of conditions. The obtained resources were patient, care team, condition, family member history, medication request, adverse event, schedule, procedure, location, observation, diagnostic report, specimen, molecular sequence, genomic study, and service request.</p><p><strong>Conclusion: </strong>This study showed the FHIR-based standardization of the CRC data as an approach for integrating health institutions to facilitate clinical decision-making and secondary use of healthcare data.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"13"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657118","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":"Navigating transfusion challenges: Bombay blood group in focus.","authors":"Romesh Jain, Vilasini Patil, Pratul Sinha, Snehashish Mishra, Rut Naik","doi":"10.4103/jehp.jehp_519_24","DOIUrl":"10.4103/jehp.jehp_519_24","url":null,"abstract":"<p><p>\"Bombay\" and \"Para-Bombay\" phenotypes are uncommon blood groups with absence or deficiency of H antigen. These individuals possess anti-H antibodies and crossmatching with ABO blood group packed red blood cells (PRBC) becomes incompatible. In this report, we find out alternative strategy (patient blood management) for the management of anemia in Bombay blood group patient. Case: A 49-year-old woman referred to our hospital with severe anemia (Hb = 6 gm/dl). On history patient visited to peripheral hospital with complains of fatigue and weakness. Patient was transfused one unit of group O PRBC and suffered hemolytic transfusion reaction. At our center, blood group analysis was performed by the standard tube technique. In the forward group, there was negative reaction with anti-A, anti-B, and anti-AB sera, and 4+ reaction was showing with anti-D sera. In reverse grouping, there was 4 + reaction with A cell, B cell, and O cell and negative reaction with autocontrol. This suggests that patient was having a strong antibody other than anti-A and anti-B, which was reacting strongly with O cell at all temperatures. Anti-H lectin reaction was negative. The patient was diagnosed with probable Bombay phenotype (hh), and we tried to manage anemia with patient blood management. Patient was started on oral iron supplementation, and after 2 month of treatment, the patient had Hb of 13.3 gm/dl with no complains of fatigue and weakness. In this report, we reiterate the importance of patient blood management and would also like to emphasize to implement the rare group registry in India.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"19"},"PeriodicalIF":1.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657291","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}