Journal of Education and Health Promotion最新文献

{"title":"Factors associated with self-care behavior among heart failure patients in India: A systematic review.","authors":"Prima J J D'Souza, Mitchelle S Lewis, Ganesh Paramasivam, Judith A Noronha, P Kusumavathi, Tom Devasia, Linu S George","doi":"10.4103/jehp.jehp_1778_24","DOIUrl":"10.4103/jehp.jehp_1778_24","url":null,"abstract":"<p><p>Self-care is crucial for heart failure management and complements pharmacological treatments; however, various factors hinder effective self-care, adversely affecting clinical outcomes and leading to poor quality of life. This systematic review aimed to identify factors influencing self-care behaviors among heart failure patients in India. The search was conducted in six databases, PubMed, CINAHL, Scopus, ProQuest, Web of Science, and Embase; between January 2012 and September 2024, 676 articles were reviewed. After removing duplicates, seven articles were included for analysis on the basis of the study inclusion criteria. The PRISMA guidelines has been used in this review. We included observational, cross-sectional, experimental, quasiexperimental, and qualitative studies published in English and conducted in India. The included studies were critically appraised using the Joanna Briggs Institute's risk of bias tool. The data were synthesized narratively. The findings revealed various factors that influence self-care behavior, which were divided into favorable and hindering factors. The factors that favored self-care behavior were self-efficacy, disease-related knowledge, situational awareness, adequate family income, financial support, health insurance, supportive family, patient willpower, and confidence in healthcare. However, low education, lack of knowledge about heart failure, difficulty understanding health information, limited time spent by healthcare providers, low health literacy, low self-efficacy, financial difficulties, negative emotions, and lack of structured care plans hindered self-care. These findings underscore the need for health policies that prioritize patient education, accessible care and adequate financial support. Strengthening such policies could improve self-care adherence among heart failure patients, enhancing clinical outcomes and quality of life.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"344"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113145","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":"Acute generalized peritonitis in children: A 7-year retrospective study of epidemiological, clinical, and therapeutic profiles in southeastern Morocco and 2-year forecast.","authors":"Adnane Hakem, Wiame Mguil, Imane Touti, Hassan Alahyane, Bilal El-Mansoury, Driss Ait Ali, Brahim El Houate, Idriss Boutaayamou, Abdelaati El Khiat","doi":"10.4103/jehp.jehp_2240_24","DOIUrl":"10.4103/jehp.jehp_2240_24","url":null,"abstract":"<p><strong>Background: </strong>Acute generalized peritonitis (AGP) is a life-threatening condition that demands rapid diagnosis and treatment, especially in pediatric patients. However, limited literature is available regarding its epidemiological, clinical, and therapeutic aspects in under-served areas of Morocco, particularly in Southeast provinces. Therefore, this study aims to examine the epidemiological characteristics, clinical and paraclinical presentations, and management of acute generalized peritonitis (AGP) in children aged 0-15 years from 2017 to 2023 with a 2-year forecast.</p><p><strong>Materials and methods: </strong>This retrospective study included 115 patients with AGP. Data analysis was conducted using the Chi-square test. Furthermore, the Holt-Winters method was used to forecast the AGP cases from January 2024 to December 2025.</p><p><strong>Results: </strong>The majority (71.30%) were aged 8-15 years, with a male predominance (65.22%). The most frequent clinical features included fever and abdominal pain (100%) and abdominal guarding (87.83%). Appendicular peritonitis was the most common intraoperative diagnosis (86.09%). Surgical interventions included drainage (100%) and appendectomy (96.52%), with 86.09% of surgeries performed within 24 h. Postoperative complications were rare (4.35%), with septic shock (3.48%) being the most severe. Furthermore, the Holt-Winters model predicts continued variability of trend and seasonality of AGP cases in the upcoming years.</p><p><strong>Conclusions: </strong>According to the results of this study, timely surgical management and effective antibiotic therapy were critical for positive outcomes. In addition, the prediction results showed a similar pattern to the actual data concluding that the proposed model can be used to forecast the future cases of AGP in this area.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"328"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113236","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":"Caregiver burden, social support, and family well-being among caregivers of common mental disorder patients in Bhopal.","authors":"Dharmdas Ratre, Rajratan Gupta, Maxie Martis, Vijender Singh","doi":"10.4103/jehp.jehp_1419_24","DOIUrl":"10.4103/jehp.jehp_1419_24","url":null,"abstract":"<p><strong>Background: </strong>Common mental disorders (CMDs) are distress states manifesting with anxiety, depression, and unexplained somatic symptoms. CMD patients require care and attention, which places additional demands on the caregivers and the family members. This study aimed to determine the caregiver burden, social support, and family well-being among caregivers of CMD patients in Bhopal.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was held among 236 caregivers of CMD patients presenting to a tertiary healthcare center in Bhopal. Primary caregivers aged 18 years and above and providing care for more than 1 month were included. Data were collected through interviews by using the sociodemographic proforma, Zarit burden interview scale, multidimensional scale of perceived social support, and family health scale.</p><p><strong>Result: </strong>About 31.3% of caregivers had a high burden, 53% had a mild-to-moderate burden, and 15.7% had a no-to-mild burden. Most caregivers (75.8%) perceived moderate social support, and 15.7% perceived high social support. A total of 48.3% of caregivers rated family well-being as moderate, 45.8% as poor, and only 5.9% as excellent. Perceived social support and family well-being showed a moderate, positive relationship (r = 0.584, <i>P</i> < 0.01), and both accounted for 18.5% of the variance in the caregiver burden. Perceived social support (r = -0.384) and family well-being (r = -0.394) demonstrated an inverse relationship with caregiver burden (<i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>There is a need to enhance social support for caregivers and the family well-being of CMD patients. Healthcare providers at all levels should identify the need for social support for caregivers and plan suitable strategies for family-centered care of CMD patients.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"329"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113239","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":"Design, implementation, and comprehensive evaluation of the specialized teachings of health information technology students.","authors":"Mohammad Hosein Hayavi-Haghighi, Zahra Mastaneh, Farid Khorrami, Mehraban Shahi, Nasrin Davaridolatabadi","doi":"10.4103/jehp.jehp_339_24","DOIUrl":"10.4103/jehp.jehp_339_24","url":null,"abstract":"<p><strong>Background: </strong>There is an increasing need for a comprehensive assessment method to assess the various essential skills of Health Information Technology (HIT) students. This study aims to design, implement, and evaluate a holistic assessment method for HIT students.</p><p><strong>Materials and methods: </strong>This study was carried out in three phases. During the design phase, the expected competencies for professional roles were identified through the brainstorming sessions. In the implementation phase, the appropriate assessment method [project-based, objective structured practical evaluation (OSPE), multiple choice questions (MCQs), and real environment observation] was considered for each competency. In the assessment phase, the opinions of the stakeholders regarding the four-stage assessment were evaluated.</p><p><strong>Results: </strong>Thirteen competencies of HIT graduates and their assessment methods were identified in three main areas: health information management, IT, and research. Students' competencies were then assessed in two consecutive years (2022 and 2023). In the second period, students' scores increased in competencies assessed as project-based, OSPE, and observation in the real environment and decreased in MCQs. The students' views on the new comprehensive assessment method were also investigated based on four criteria. The mean scores for satisfaction, usefulness, and motivation increased among the students of the second course, while the mean score for stressors decreased.</p><p><strong>Conclusion: </strong>Despite the amount of time and energy that has gone for this method, the cost-effectiveness of the method has been recognized by the process designers. By repeating this method over the next years, students' adherence to this style will increase and, in addition to reducing stress, they will improve their performance.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"321"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113397","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":"Incorporating standardized patients (SPs) program in ayurveda education.","authors":"Sumant M Pande, Seema H Thakare, Maheshwari D Joshi","doi":"10.4103/jehp.jehp_2172_24","DOIUrl":"10.4103/jehp.jehp_2172_24","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"360"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113222","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":"MODY: Strategies for a unique form of diabetes.","authors":"Ram K Garg","doi":"10.4103/jehp.jehp_1880_24","DOIUrl":"10.4103/jehp.jehp_1880_24","url":null,"abstract":"<p><p>Maturity-onset diabetes of the young (MODY) is a monogenic, autosomal dominant form of diabetes that typically presents before the age of 25. It is caused by mutations in single genes involved in insulin production and glucose regulation, leading to various subtypes, including Hepatocyte Nuclear Factor 1 Alpha-MODY (HNF1A-MODY), Glucokinase-MODY (GCK-MODY), Hepatocyte Nuclear Factor 4 Alpha-MODY (HNF4A-MODY), and Hepatocyte Nuclear Factor 1 Beta-MODY (HNF1B-MODY), each with unique clinical characteristics and treatment responses. For instance, HNF1B-MODY is often associated with renal anomalies, while HNF1A and HNF4A subtypes commonly respond well to sulfonylureas. Unlike Type 1 and Type 2 diabetes, MODY usually manifests as mild to moderate hyperglycemia, making tailored treatment essential. Genetic testing plays a critical role in diagnosis, guiding personalized management strategies that may include specific medications, lifestyle adjustments, and vigilant monitoring to mitigate complications. Preventive care, routine health check-ups, and comprehensive patient education are crucial for effective MODY management, ultimately enhancing the quality of life for individuals living with this condition.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"338"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113287","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":"Protocol of a randomized controlled trial of nurse-led de-stressful skill interventions in patients with depression disorder.","authors":"Sanjay Sevak, Ganesan Balamurugan, Naresh Nebhinani","doi":"10.4103/jehp.jehp_1265_23","DOIUrl":"10.4103/jehp.jehp_1265_23","url":null,"abstract":"<p><strong>Background: </strong>Stress is associated with the development and worsening of depression disorder. Therefore, various stress reduction interventions have been surged to cope with stress and enhance treatment outcomes for patients with depressive disorder. The present study aims to evaluate the effect of nurse-led de-stressful skill interventions (NDSI) among patients with depression.</p><p><strong>Materials and methods: </strong>Patients with depression disorders aged between 18 and 65 years will be randomly allocated into two groups. The treatment-as-usual (TAU) group patients will receive standard care. In contrast, patients in the NDSI group will receive seven sessions of the NDSI interventions over 8 weeks. Primary outcomes are stress, resilience, self-esteem, coping strategies, and quality of life. Data will be collected at three different intervals: baseline, post-intervention at 8 weeks, and follow-up at 12 weeks. The following standardized instruments will be applied: Perceived Stress Scale, Brief Resilience Scale, Rosenberg Self-esteem Scale, Brief COPE Scale, Quality of Life Enjoyment and Satisfaction Questionnaire Short Form, and Hamilton Depression Rating Scale.</p><p><strong>Conclusion: </strong>The finding of this study is expected to determine the effect of NDSI on patients with depression disorder, which would optimize treatment in patients with depression disorder.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"363"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113316","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":"Satisfaction of nursing students on online curriculum delivery.","authors":"Vinay Kumari, Shikha Gulia, Money Dhingra, Sujibala Neapram, Sarju Sarungbam, Anu Kaushal","doi":"10.4103/jehp.jehp_2099_24","DOIUrl":"10.4103/jehp.jehp_2099_24","url":null,"abstract":"<p><strong>Background: </strong>Conventional face-to-face teaching is considered as a customary model of learning in nursing since a long time. However, the integration of online learning platforms in nursing education has increased in the last few years. It is crucial to know the students' readiness and willingness to learn in this novel milieu in order to facilitate an effectual and significant learning atmosphere.</p><p><strong>Materials and methods: </strong>A descriptive cross-sectional design was employed to assess the satisfaction levels of nursing students regarding online curriculum delivery. Convenience sampling technique was used to recruit the nursing students from nursing colleges in North India. Data were collected from 103 nursing students through student satisfaction scale. Descriptive statistics and Chi-square tests were used for data analysis.</p><p><strong>Results: </strong>The majority of students reported moderate satisfaction (76.7%) with online learning. Areas of satisfaction included flexibility in achieving course outcomes (53.40%), location flexibility (59.2%), time-saving (59.2%), instructor effectiveness in terms of explaining concepts (54.3%), friendliness with technology (64.08%), regularity in lectures (70.87%). However, challenges were also identified. These included a lack of student interaction (62.1%), student isolation (61.1%), technical difficulties (74.7%), cost of devices (65.05%) and internet cost (61.1%), and limitations in delivering practical skills (64.08%).</p><p><strong>Conclusion: </strong>While students appreciate flexibility and convenience, challenges exist. Educators should consider these findings to create more engaging and effective online learning environments that address the unique needs of nursing students.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"330"},"PeriodicalIF":1.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113319","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":"Knowledge regarding helicobacter pylori infection among patients in hail region of Saudi Arabia.","authors":"Ahmed Nawi Alshammari, Mubashir Zafar, Mohammed Salem Alharbi, Sumayyah Mohammad Almarshedy, Fayez Saud Alreshidi, Hend Faleh Hamad Alreshidi, Ibrahim Abdullah Alnais, Abdulilah Saad Aldhmadi, Abdulaziz Fahad Alhumaid, Rahaf Mulayh Alshammari, Razan Fehaid Alshammari, Ranim Fahad Alhejaily, Syed Shah Mohammed Faiyaz, Mohd Saleem, Malik Asif Hussain","doi":"10.4103/jehp.jehp_1915_24","DOIUrl":"10.4103/jehp.jehp_1915_24","url":null,"abstract":"<p><strong>Background: </strong>Helicobacter pylori (<i>H. pylori</i>) is a gram-negative widely prevalent bacterium that is known to cause chronic gastritis, peptic ulcer disease, gastric carcinoma, and gastric lymphoma. Considering peptic ulcer patients will experience chronic relapse, eliminating <i>H. pylori</i> in this population is significant to prevent further relapses. The treatment should be based on the comorbidities and patient preferences. The objective of this study was to determine the level of knowledge, attitudes, and practices among patients generally in the Hail region of Saudi Arabia.</p><p><strong>Materials and methods: </strong>A descriptive cross-sectional study was conducted in the year 2023, among 880 participants which were selected through simple random sampling method. Data were collected using a validated self-administered questionnaire. Descriptive statistics and Mann-Whitney and Kruskal-Wallis H-test analysis were conducted to determine the knowledge level among different sociodemographic characteristics. <i>P</i> value of 0.005 was considered significant.</p><p><strong>Results: </strong>Among 880 respondents, more than half (55.2%) had moderate knowledge regarding H. Pylori infection. Around 85.8% respondents have heard about <i>H. pylori</i>, and 23.9% were diagnosed with this bacterium. Higher knowledge score was more associated with the female gender (<i>P</i> = 0.001), having heard of H. Pylori infection (<i>P</i> < 0.001), and previous diagnosis of H. Pylori infection (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Study results showed that only 23.1% had good knowledge regarding H. Pylori infection, which requires public education and campaigns, especially among those who are at high risk. Further studies are suggested to include more populations and to elicit false concepts around the subject.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"309"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015524","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":"Technology-bAsed cardiac rehabilitation therapy (TaCT) for women: Intervention implementability, usability, engagement and acceptability in a middle-income setting.","authors":"Henita J Menezes, Sonia R B D'Souza, Ramachandran Padmakumar, Abraham S Babu, Rohini R Rao, Meenakshi Garg, Namratha P Kotebagilu, Veena G Kamath, Asha Kamath, Akhila Satyamurthy, Shrikant Sahu, Sherry L Grace","doi":"10.4103/jehp.jehp_2200_24","DOIUrl":"10.4103/jehp.jehp_2200_24","url":null,"abstract":"<p><strong>Background: </strong>Despite the benefits of cardiac rehabilitation (CR), women are under-represented, especially in lower-income settings. Technology may be leveraged to tailor CR to better engage women, but this has never been tested in a middle-income country. This study assessed the implementability, usability, engagement, and acceptability of Technology-bAsed Cardiac rehabilitation Therapy (TaCT) in women with cardiovascular disease (CVD) in a middle-income country.</p><p><strong>Materials and methods: </strong>Data from intervention arm participants in a randomized trial was analyzed. The trial was undertaken in the outpatient cardiology department of a private tertiary care center in India. The 6-month CR intervention was delivered via an app (individualized secondary prevention recommendations), website (patient education), WhatsApp (standardized behavior change promotion messages, yoga/relaxation video, support chat), and bi-weekly one-on-one phone calls with a nurse trainee (risk factor management). At the end of the intervention, participants' engagement, usability (System Usability Scale), and, acceptability (/5) of the program were evaluated using descriptive statistics.</p><p><strong>Results: </strong>50 women were randomized to intervention; one died and 49 (100%) were retained. Some participants faced challenges such as internet availability issues and technical glitches. There were no adverse events. Engagement was high for calls (mean = 11.6 ± 1.4/12), WhatsApp messages (mean = 34.2 ± 4.6/36 read) the website (74-151 hits/education page), and the mobile app (7.2 ± 4.2 times/patient); there were no group chat messages. Usability was rated as \"excellent\" (94.7 ± 5.2/100). Acceptability with the overall intervention was high (means ≥4.5/5), but was lower for information understandability, including diet and exercise recommendations.</p><p><strong>Conclusions: </strong>Favorable implementability and acceptability, as well as excellent usability and engagement with TaCT were established. Along with favorable outcome results, this suggests that TaCT may serve as a valuable intervention to improve women's access and adherence to CR in resource-constrained environments.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"287"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015541","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}