Journal of Education and Health Promotion最新文献

{"title":"Effect of cognitive behavioral therapy on improving mental health outcomes in adolescents with type 2 diabetes: A systematic review protocol.","authors":"Samson Femi Agberotimi, Moyosoluwa Priscilla Dele-Dada, Peace Toluwani Akhibi, Abayomi Oladele Olaseni","doi":"10.4103/jehp.jehp_1287_24","DOIUrl":"10.4103/jehp.jehp_1287_24","url":null,"abstract":"<p><p>Depression and anxiety are among the most common mental health outcomes experienced by young individuals with type 2 diabetes. Cognitive behavioral therapy (CBT) has been proven to be an effective intervention for depression and anxiety. This review shall summarize the evidence for the effectiveness of CBT for depression and/or anxiety among adolescents with type 2 diabetes. This systematic review aims to summarize evidence for the effectiveness of cognitive behavioral therapy compared to treatment as usual or no treatment on improving depression and anxiety in adolescents with type 2 diabetes. To be included in the review, a study design must be used to test the effectiveness of CBT on depression and/or anxiety in adolescents with type 2 diabetes. Also, studies must be published in peer-reviewed journals in the English language between 2014 and 2023. Studies examining the effectiveness of CBT for conditions other than depression and/or anxiety shall be excluded. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol and guideline checklist (2020) shall be used to select studies for this systematic review. A comprehensive search shall be conducted on electronic databases such as APAPsycINFO, APA PsycARTICLES, CINAHL, and MEDLINE to identify studies that fit the selection criteria. Data to be extracted for analysis shall include the study aim, sample, research design, intervention modality, comparators, and outcomes. Two independent authors shall perform data extraction. An acceptable checklist for randomized controlled trials and quasi-experimental studies will be used to assess the quality of the studies.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"340"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113349","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 effect of electronic video training and preangiography nursing education on anxiety and physiological parameters of patients undergoing coronary angiography.","authors":"Fateme Aliakbari, Leila Ebrahimi, Maede Barati","doi":"10.4103/jehp.jehp_367_23","DOIUrl":"10.4103/jehp.jehp_367_23","url":null,"abstract":"<p><strong>Background: </strong>Noncommunicable diseases include cardiovascular diseases. One of the methods that is used as a definitive standard method for diagnosing coronary artery disease is angiography. One of the complications of angiography is anxiety. The aim of this study was to investigate the effect of electronic video training and preangiography nursing education on anxiety and physiological parameters of patients undergoing coronary angiography.</p><p><strong>Materials and methods: </strong>This quasiexperimental study was performed on 60 patients undergoing coronary angiography in two groups of educational hospital of Shahrekord in 2020. Conventional sampling was performed, and samples were randomly assigned to the intervention and control groups. Electronic video teaching method and nursing education were performed in the intervention group. Data collected and compared using demographic and Spielberger anxiety questionnaire and measuring physiological parameters. The data were analyzed using SPSS 21 with descriptive analytic tests.</p><p><strong>Results: </strong>The results of this study showed that after intervention, the variables of blood pressure, respiration rate, and heart rate were significantly different in the intervention and control groups (P </001). In addition, the comparison of anxiety levels in two groups after intervention showed that patients in the intervention group have less covert and overt anxiety compared to the control group (P </001).</p><p><strong>Conclusion: </strong>Both electronic video training and preangiography nursing education indicate positive effects on anxiety of patients before angiography; therefore, these interventions are recommended to improve quality of nursing care and patient education before angiography.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"331"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113355","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":"Perceived need to prevent stroke readmission: A qualitative study from the perspective of stroke patients and healthcare professionals.","authors":"Mohammad Rajabpour, Kavian Ghandehari, Amir Mirhaghi","doi":"10.4103/jehp.jehp_854_24","DOIUrl":"10.4103/jehp.jehp_854_24","url":null,"abstract":"<p><strong>Background: </strong>Stroke readmission poses a significant challenge for both stroke patients (SPs) and healthcare professionals (HCPs). Gaining a comprehensive understanding of the factors influencing stroke readmission is crucial in empowering individuals to leverage supportive resources. This study aimed to explore the perceptions of HCPs and SPs regarding the modifiable factors influencing stroke readmission.</p><p><strong>Materials and method: </strong>This qualitative study employed in-depth, semi-structured interviews with 30 participants selected through purposeful sampling from October 2023 to January 2024. An interview guide featuring open-ended questions about stroke readmission experiences was utilized for data collection. The interviews were continued until data saturation was achieved. All interviews were recorded, transcribed, and subjected to directed content analysis.</p><p><strong>Results: </strong>The modifiable factors influencing stroke readmission were categorized into five generic categories: (1) knowledge deficit about the disease, (2) self-forgetfulness physical care, (3) food swamp, (4) high-risk behaviors, and (5) psychological distress.</p><p><strong>Conclusion: </strong>According to the results of this study, by identifying the modifiable risk factors associated with stroke readmission, health stakeholders can design comprehensive preventive educational programs to address these needs.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"335"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113278","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":"Structural modeling of self-harming behaviors based on personality organization with the mediating role of childhood traumas and reflective function in militaries with borderline personality disorder and healthy people.","authors":"Ramin Sepahvand, Mohsen A Tahour, Seyed H Salimi, Amir M Rahnejat, Mojtaba Sepandi","doi":"10.4103/jehp.jehp_560_24","DOIUrl":"10.4103/jehp.jehp_560_24","url":null,"abstract":"<p><strong>Background: </strong>According to previous studies, self-harming behaviors are growing rapidly, and demographic groups with extensive diagnoses are at risk of this injury. This study aimed to perform structural modeling of self-harming behaviors based on personality organization with the mediating role of childhood traumas and reflective function in militaries with borderline personality disorder (BPD) and healthy people.</p><p><strong>Materials and method: </strong>This study was descriptive with the structural equation model. The statistical population was military men with BPD and healthy people. The sample in this research included 100 militaries with BPD and 100 psychologically healthy people from March 2023 to June 2023. The sample was selected randomly from Artesh 505 Hospital, Tehran, Iran. Data analysis was done using descriptive statistics, correlation analysis, and structural equation modeling.</p><p><strong>Results: </strong>The results indicated the group with BPD, personality organization, and reflective function had a negative and significant effect of -0.471 and -0.405 on self-harming behaviors and childhood traumas also had a positive and significant effect of 0.887 on self-harming behaviors. Also, in the healthy people, personality organization and reflective function had a negative and significant effect of -0.442 and -0.145 on self-harming behaviors and childhood traumas also had a positive and significant effect of 0.643 on self-harming behaviors.</p><p><strong>Conclusion: </strong>Based on the results obtained from the proposed model of the current study, the role of childhood traumas and reflective function in the relationship between self-harming behaviors and BPD can be carefully considered by health professionals.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"323"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113302","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":"A survey on the medical interns' attitudes toward the interactions between interns and nurses in teaching hospitals.","authors":"Farzaneh Mousaabadi, Tooraj Zandbaf, Arezou Farajpour, Nasser Sanjar Moussavi","doi":"10.4103/jehp.jehp_600_24","DOIUrl":"10.4103/jehp.jehp_600_24","url":null,"abstract":"<p><strong>Background: </strong>Effective communication among healthcare professionals, particularly physicians and nurses, is paramount in delivering top-notch patient care. Therefore, it is imperative for medical interns aspiring to become doctors to gain experience in this crucial aspect of healthcare. Interns should be able to provide feedback on the quality of communication within their team in a constructive and nonjudgmental manner. Therefore, this study was conducted to investigate the attitude of medical interns toward the interactions between interns and nurses in Teaching Hospitals.</p><p><strong>Materials and methods: </strong>In this cross-sectional study, medical interns were surveyed using a questionnaire developed by the researchers. The validity of the questionnaire was confirmed by experts using the content validity confirmation method, and its reliability was assessed using Cronbach's alpha. The data collected were analyzed using SPSS v26 software.</p><p><strong>Results: </strong>The study found no significant relationship between interns' attitudes toward the interactions with nurses based on gender (<i>P</i> = 0.249), grade point average (<i>P</i> = 0.758), previous university education (<i>P</i> = 0.942), or the duration past of internship period (<i>P</i> = 0.373). However, a statistically significant difference was observed in interns' attitudes toward the quality of interactions based on the teaching department (<i>P</i> = 0.001) and the teaching hospital (<i>P</i> = 0.013).</p><p><strong>Conclusion: </strong>It appears that conducting training courses on professional communication skills and revising the policies of teaching department to enhance the involvement of interns in the treatment process with the assistance of nurses could be an effective solution to address the issues in the interactions between interns and nurses.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"337"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of inhalation aromatherapy using damask rose essential oil on students' exam anxiety and performance: A multi-center, randomized, placebo-controlled study.","authors":"Fakhridokht Akbari, Morteza Nasiri, Azam Hosseinpour, Fatemeh Yarahmadi, Sahar Zonoori, Leila Amirmohseni, Khadijeh Moradbeygi, Neda Rashidi, Arman Keyvani Hafshejani, Masoomeh Asadi","doi":"10.4103/jehp.jehp_809_24","DOIUrl":"10.4103/jehp.jehp_809_24","url":null,"abstract":"<p><strong>Background: </strong>Objective structured clinical examination (OSCE) is growingly implemented in perioperative nursing courses. However, most students experience significant OSCE-associated anxiety, which can negatively affect their exam performance. Hence, we compared the effects of inhalation aromatherapy by placebo and damask rose on the operating room (OR) students' anxiety and performance in five OSCE stations run for summative evaluation of basic perioperative practices.</p><p><strong>Materials and methods: </strong>This multi-center, randomized, placebo-controlled study was performed among 52 first-year undergraduate OR students during the academic year 2022-2023 at three universities in Khuzestan Province, Iran. Through the stratified randomization approach, students were allocated into two groups: placebo (<i>n</i> = 26) and damask rose (<i>n</i> = 26). Before initiating OSCE stations, the students inhaled two droplets of placebo (paraffin oil) or damask rose essential oil for 15 min in the exam quarantine room. Students completed the Spielberger's State-Trait Anxiety Inventory for state anxiety at three endpoints: T1) immediately after admission to the exam quarantine room (baseline), T2) immediately at the end of the 15-min aromatherapy, and T3) immediately after completion of all OSCE stations. Also, a blinded rater completed a checklist to evaluate the student's performance in each OSCE station. Data were analyzed in the Statistical Package for Social Sciences software, using the Mann-Whitney U, Friedman's one-way repeated measures analysis of variance, and the Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>The mean anxiety scores were significantly lower in the damask rose group in comparison to the placebo group at both T2 and T3 (<i>P</i> < 0.001 and <i>P</i> = 0.001, respectively). Similarly, students in the damask rose group performed perioperative practices in two OSCE stations significantly better than those in the placebo group (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Aromatherapy with damask rose could be potentially valuable in alleviating OR students' pre- and post-OSCE anxiety and improving their performance during the OSCE. Therefore, given that this traditional and integrative intervention is low-cost and easy to use, it could be applied in educational programs to reduce OR students' OSCE-associated anxiety and improve their basic perioperative skills. However, additional investigations are required to identify the sustainability of the results.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"345"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113365","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":"Erratum: Comparison of the effectiveness of parenting acceptance and commitment therapy with triple-P positive parenting on depression, aggression, and social skills of preschool children.","authors":"","doi":"10.4103/jehp.jehp_1647_25","DOIUrl":"10.4103/jehp.jehp_1647_25","url":null,"abstract":"<p><p>[This corrects the article on p. 164 in vol. 14, PMID: 40400605.].</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"364"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145112870","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":"Practices and barriers associated with administration of influenza (flu) vaccination among the general population of UAE.","authors":"Ebtehal Al Sheikh, Syed Wasif Gillani, Yelly Oktavia Sari, Riham Mohamed Elshafie","doi":"10.4103/jehp.jehp_1204_24","DOIUrl":"10.4103/jehp.jehp_1204_24","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the practices of the general population in the United Arab Emirates population toward influenza vaccinations.</p><p><strong>Materials and methods: </strong>A community-based cross-sectional study was used to conduct this study. A self-developed and prevalidated questionnaire was distributed online through social media channels such as Facebook and WhatsApp to the public from different emirates in the UAE. The males and females above 18 years old were invited to participate in our study.</p><p><strong>Results: </strong>A total of 265 participants responded to the survey, 142 (53.6%) males and 123 (46.4%) females. Most of the respondents had insurance coverage (<i>n</i> = 208; 78.5%) and (83.4%) were nonsmokers. The most common reasons behind getting the vaccine were the recommendation by the doctor (29%, <i>n</i> = 57), followed by protection from illness (20%, <i>n</i> = 39) and the recommendation by family or friends (17%, <i>n</i> = 33). The most common reason behind not getting the influenza vaccine was the fear of injection (14.4%, <i>n</i> = 23), followed by other reasons with nearly the same percentage, such as avoiding medications (13.1%) and forgot to get vaccinated (12.5%, <i>n</i> = 20), and some of them think that flu is a simple vaccine and there is no need for a vaccine (12.5%, <i>n</i> = 20).</p><p><strong>Conclusion: </strong>The study found that suboptimal practices were common within the study population. It also found that a higher proportion of females, compared to males, were unwilling to continue with vaccination.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"346"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113281","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 autistic child friendly school environment model for behavioral development in children with autism.","authors":"Aminatul Fitri, Wan Nishfa Dewi, Muhammad Yulis Hamidy, Zulfan Saam","doi":"10.4103/jehp.jehp_58_25","DOIUrl":"10.4103/jehp.jehp_58_25","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) presents unique challenges in educational settings, particularly in resource-limited regions such as Indonesia. This study explores the impact of the Autistic Child-Friendly School Environment (<i>Lingkungan Sekolah Ramah Anak Autis</i>/LISRAA) model, an autism-friendly school environment, on the behavioral development of children with autism.</p><p><strong>Materials and methods: </strong>A mixed-methods approach, combining narrative inquiry and quasi-experimental design, was employed. Data were collected through interviews, focus group discussions, and the Autism Behavior Checklist (ABC). Identical sensory-friendly adjustments, including noise control, lighting modifications, and quiet zones, were implemented across selected schools to ensure uniformity. Behavioral outcomes were assessed before and after the intervention using paired samples <i>t</i>-tests.</p><p><strong>Results: </strong>The findings reveal significant improvements in behavioral outcomes following the implementation of the LISRAA model. The mean ABC score improved significantly from 5.00 at pre-test to 15.33 at post-test 1 (<i>P</i> < 0.001), demonstrating enhanced focus, reduced hyperactivity, and improved emotional regulation. Although a slight decrease to 14.67 was observed at post-test 2, this change was not statistically significant (<i>P</i> = 0.102), indicating sustained behavioral improvements over time, despite a minor reduction in post-test 2 scores. Reduced variability in scores post-intervention also demonstrated greater consistency in behavioral improvements among participants.</p><p><strong>Conclusion: </strong>This study highlights the effectiveness of the LISRAA model in fostering behavioral improvements for children with autism, even in resource-limited settings. Structured sensory-friendly environments and consistent support significantly enhance focus, emotional regulation, and hyperactivity. These findings contribute to the growing body of literature on autism-friendly educational practices and provide a foundation for scaling up sustainable interventions in resource-limited settings.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"358"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113382","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 effectiveness of integrated cognitive-behavioral therapy for individuals with comorbid GAD and depression: Impact on mentalized affectivity and interpersonal problems.","authors":"Farzad Ghaderi, Nahid Akrami, Koroush Namdari, Ahmad Abedi","doi":"10.4103/jehp.jehp_360_24","DOIUrl":"10.4103/jehp.jehp_360_24","url":null,"abstract":"<p><strong>Background: </strong>Individuals with comorbid generalized anxiety disorder (GAD) and depression often experience impaired mentalized affectivity and interpersonal problems. The present study aimed to evaluate the efficacy of integrated cognitive-behavioral therapy (CBT) on mentalized affectivity and interpersonal problems in comorbid GAD and depressive patients.</p><p><strong>Materials and methods: </strong>This quasi-experimental study utilized a single-case method to examine the effectiveness of integrated CBT on mentalized affectivity and interpersonal problems in comorbid GAD and depressive patients of Isfahan, Iran in 2020. Four participants with GAD comorbid with depression were selected through convenient sampling and received individual integrated CBT intervention for 10 weeks. The Inventory of Interpersonal Problems-32 (IIP-32) and Mental Affect Scale (MAS) were administered at baseline; third, fifth, eighth, and tenth sessions and at 1 month follow-up to assess treatment outcomes.</p><p><strong>Results: </strong>The visual design, improvement rate, and reliable change index (RCI) demonstrated that integrated CBT produced clinically and statistically significant changes and improvements in treatment goals (i.e., mentalized affectivity and interpersonal problems). Furthermore, the therapeutic effects were sustained during the follow-up phase.</p><p><strong>Conclusion: </strong>The results suggest that integrated CBT is a promising treatment for moderating mentalized affect and interpersonal problems in individuals with comorbid GAD and depression.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"327"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145112875","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}