{"title":"Addressing the training gaps for ASD specialists in Kazakhstan: A forecast-based approach.","authors":"Ainagul Rymkhanova, Saltanat Mulikova, Alfina Sakayeva, Zhanar Akhmetzhanova, Sara Zhanibekova, Assem Bekmaganbetova","doi":"10.4103/jehp.jehp_1040_24","DOIUrl":"10.4103/jehp.jehp_1040_24","url":null,"abstract":"<p><strong>Background: </strong>Studying the problems of training personnel to work with children with autism spectrum disorders (ASD) in the Republic of Kazakhstan is of high relevance and importance due to the trend of stable growth in the number of children in this category, indicating the need for systemic development and timely solutions. This study investigates the gaps in training for ASD specialists and provides a forecast-based approach to address these needs effectively.</p><p><strong>Materials and methods: </strong>The study utilized stratified random sampling to ensure the representativeness of each key participant group: children with ASD of different age categories, participants from various geographical regions of Kazakhstan, educators, health professionals, and social workers. Data were collected from children with ASD, teachers, specialists working with these children, doctors involved in diagnosis and treatment, and social support specialists. This comprehensive approach allowed for a detailed understanding of the challenges and needs related to ASD in Kazakhstan. Additionally, mathematical modeling and forecasting methods were employed to predict the increase in the number of children with ASD, facilitating the development of targeted educational programs for training specialists at undergraduate and graduate levels and improving the qualifications of practicing professionals.</p><p><strong>Results: </strong>The study revealed significant insights into the current state of ASD specialist training in Kazakhstan. The data indicated a lack of sufficient training programs tailored to the needs of children with ASD. The forecast predicted a continuous rise in the number of children diagnosed with ASD, emphasizing the urgency for developing additional educational and training programs. The findings highlighted the necessity for an integrated approach to support ASD children, including the development of individual educational strategies, psychological programs for enhancing social, communication, and adaptive skills, and robust support systems for families.</p><p><strong>Conclusion: </strong>The study underscores the critical need for systemic improvements in the training of specialists working with children with ASD in Kazakhstan. By forecasting the rising trend of ASD diagnoses, it emphasizes the importance of proactive measures in developing comprehensive educational and training programs. The results advocate for a multifaceted approach, incorporating pedagogical, psychological, medical, and social aspects to create an inclusive and supportive environment for children with ASD and their families. This approach aims to improve early detection, treatment, and overall outcomes for children with ASD, ensuring better integration and support within the educational and social systems.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"316"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015468","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 successful telenursing experience: Development of an education-interaction orthopedic nursing web application.","authors":"Mahboubeh Nazari, Maryam Varzeshnejad, Sima Zohari-Anboohi, Houman Manoochehri, Roghayeh Esmaeili","doi":"10.4103/jehp.jehp_580_24","DOIUrl":"10.4103/jehp.jehp_580_24","url":null,"abstract":"<p><strong>Background: </strong>Telenursing is a component of telemedicine. The role and impact of telenursing in orthopedic nursing are unclear. This study aimed to design, implement, and evaluate an education-interaction orthopedic nursing web application.</p><p><strong>Methods and materials: </strong>This study was a multi-method study. In the first and second phases of the design and implementation of the web application, the waterfall model was used with the collaboration of 127 patients with orthopedic conditions and four nurses. The third phase evaluated the web application through qualitative and quantitative approaches conducted with semi-structured interviews with 18 patients after four months of using the web application and reporting with the consolidated criteria for reporting qualitative research (COREQ) checklist. A quantitative evaluation was done with the Mobile App Rating Scale (MARS) with the collaboration of 127 patients after four months.</p><p><strong>Results: </strong>MARS results showed that the average score for all questions except for two questions about orientation in the performance dimension and validity in the information dimension was greater than four for all questions except for two questions about orientation in the dimension of performance and credibility in the dimension of information. Friedman's test indicated that the beauty dimension received the first rank and the information dimension received the fifth rank. Qualitative results suggested that the results of the interview were categorized into 64 codes, seven subclasses, and finally, two main classes including advantages and positive points and disadvantages and points requiring improvement.</p><p><strong>Conclusions: </strong>The results of this study indicated that the design, implementation, and evaluation of an education-interaction orthopedic nursing web application was a successful experience in telenursing.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"293"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015484","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":"Night shift and occupational fatigue among nurses who work 12 hours in Jeddah.","authors":"Bayan Alanmi, Ruba Alharazi, Hayfa Almutary","doi":"10.4103/jehp.jehp_75_25","DOIUrl":"10.4103/jehp.jehp_75_25","url":null,"abstract":"<p><p>The ever-demanding job of nurses necessitates night shift work for 12 hours at various healthcare facilities to improve continuity of care. Working at night is associated with physical and mental stress as it disturbs circadian rhythm, affects sleep, influences dietary and eating routine, and impairs cognitive function. Nursing is a high-demand profession that requires working for longer hours, due to which, nurses are at increased risk of occupational fatigue. This occupational fatigue involves various components of one's life including poor physical performance, poor mental health, impaired cognition, and sensory overload on account of high work demand but low energy restoration. The current scope review aimed to assess the effect of night shift and occupational fatigue on nurses who work 12 hours. A systemic search of PubMed, EBSCO, CINAHL, MEDLINE, and Google Scholar was conducted. A total of 245 full-text articles underwent eligibility evaluation. In the end, 17 full-text articles were included in this scoping review. This scoping review found that there is a significance positive association of occupational fatigue with 12 hours nightshift work and that chronic fatigue leads to negative emotions, lack of concentration, and decreased motivation and subsequent reduced physical performance. In addition, nurses' 12 hours nightshift work results in psychological, physical issues including anxiety, depression, burnout, exhaustion, and professional performance as well as affects nurses' social and quality of life. Therefore, policymakers need to work on circadian rhythm-based interventions considering the work duration, speed of shift change, number of consecutive shifts, and social support.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"308"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015583","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 structural brain volume among sedentary normal, overweight and obese adults - A cross-sectional study.","authors":"Nikhil Raj, Rajagopal Kadavigere, Baskaran Chandrasekaran, K Vaishali, Shailesh Nayak, Sneha Ravichandran, Dilip Shettigar, Sathya Sabina Muthu, Cyril Biji, Poovitha Shruthi Paramashiva, Suresh Sukumar","doi":"10.4103/jehp.jehp_1396_24","DOIUrl":"10.4103/jehp.jehp_1396_24","url":null,"abstract":"<p><strong>Background: </strong>The relationship between obesity and brain structure remains unclear, particularly in sedentary individuals. This study aimed to compare structural brain volumes among sedentary normal weight, overweight, and obese adults.</p><p><strong>Materials and methods: </strong>In this cross-sectional study, 102 sedentary adults (34 normal weight, 34 overweight, 34 obese) underwent brain MRI scans. Grey matter, white matter, cerebrospinal fluid, and regional brain volumes were measured. Correlations between BMI, physical activity levels, and brain volumes were analyzed within each weight group.</p><p><strong>Results: </strong>No significant differences in overall or regional brain volumes were found between groups. In the normal weight group, BMI positively correlated with right superior temporal gyrus (rSTG) volume (<i>r</i> = 0.358, <i>P</i> < 0.05) and grey matter volume (<i>r</i> = 0.367, <i>P</i> < 0.05). In the obese group, BMI negatively correlated with rSTG volume (<i>r</i> = -0.467, <i>P</i> < 0.01) and positively correlated with self-reported physical activity (<i>r</i> = 0.395, <i>P</i> < 0.05). No significant correlations were observed in the overweight group.</p><p><strong>Conclusions: </strong>This study reveals a complex, non-linear relationship between BMI and brain structure in sedentary adults. The contrasting correlations in normal weight and obese groups suggest potential BMI-related structural changes, particularly in the rSTG. These findings highlight the need for further research on the neurological impacts of obesity in sedentary populations.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"297"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015417","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}
FebianneKarina Raquel Bartra-Rivero, Miguel Sebastián Armesto-Céspedes, Fanny E Barrantes, Catalina Chepa Guzmán-Melgar, Jhonny Richard Rodriguez-Barboza, Eduardo Francisco Chavarri-Joo
{"title":"Empathetic communication in higher education: Implications for teacher success.","authors":"FebianneKarina Raquel Bartra-Rivero, Miguel Sebastián Armesto-Céspedes, Fanny E Barrantes, Catalina Chepa Guzmán-Melgar, Jhonny Richard Rodriguez-Barboza, Eduardo Francisco Chavarri-Joo","doi":"10.4103/jehp.jehp_295_24","DOIUrl":"10.4103/jehp.jehp_295_24","url":null,"abstract":"<p><p>This study examines the relationship between teachers' empathetic communication and their academic performance, focusing on two dimensions: empathetic concern and perspective taking. The main objective was to determine if there is a positive and significant relationship between empathetic communication and teaching performance in the university context. A descriptive correlational design was employed to analyze data collected from 364 students from private universities in Lima. Twenty-four items of empathetic communication and 23 of teaching performance were evaluated using a Likert scale survey. As a result, Spearman correlation analyses revealed a positive and significant correlation between empathetic communication and teaching performance (<i>r</i> = 0.211, <i>P</i> < 0.01). Furthermore, positive, and significant correlations were found between empathetic concern (<i>r</i> = 0.279, <i>P</i> < 0.01) and perspective taking (<i>r</i> = 0.166, <i>P</i> < 0.01) with teaching performance. It is concluded that empathetic communication is positively associated with teaching performance, highlighting the importance of developing empathetic communication skills in teachers to enhance their effectiveness in the classroom. However, caution is advised to balance empathy to avoid potential biases or deviations in teaching. It is recommended to focus teacher training programs on strengthening these social skills to optimize the teaching learning process.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"313"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015451","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":"Designing and psychometrics of the academic advisor's performance evaluation questionnaire.","authors":"Fatemeh Abbaszadeh, Forough Faroughi, Neda Jamali, Mahboobeh Kafaei Atrian, Saeideh Nasiri","doi":"10.4103/jehp.jehp_119_24","DOIUrl":"10.4103/jehp.jehp_119_24","url":null,"abstract":"<p><strong>Background: </strong>Students are facing issues that can affect their academic performance. Therefore, they need to receive counseling services through guidance professors. This research was conducted with the aim of designing and psychometrics assessing the performance evaluation questionnaire of the academic advisor from the perspective of the academic advisor and student.</p><p><strong>Materials and methods: </strong>The current research was done in two stages including instrument design and psychometric evaluation at Kashan University of Medical Sciences in 2022. In the first stage, using the last edition of the consultant's regulations, two primary questionnaires were designed: \"Evaluation of the academic advisor performance from the perspective of the academic advisor\" and \"evaluation of the consultant's performance from the student viewpoint.\" In the second stage, the reduction of overlapping items and questionnaire validation were performed using validity of face and content and reliability calculation (Cronbach's alpha and intra-cluster correlation coefficient index [ICC]). Exploratory factor analysis was performed to assess construct validity. Data analysis was done with Statistical Package for the Social Sciences (SPSS) software version 22.</p><p><strong>Results: </strong>The initial version of both tools had 45 items. The tool for evaluating the performance of the academic advisor from the student's point of view has five dimensions (educational and disciplinary, student and job opportunities, teacher's behavioral domain, lesson planning, and student guidance in special cases) and 36 items, and Cronbach's alpha and intraclass correlation coefficient index were, respectively, 0.908 and 0.912. After performing factor analysis, five factors with 36 items explained 79.52% of the total variance of the instrument. Cronbach's alpha and intraclass correlation coefficient were 0.936 and 0.949, respectively. The total content validity of the questionnaire (S-CVI) was 0.92.</p><p><strong>Conclusions: </strong>The academic advisor performance evaluation questionnaire that was designed and psychometrically evaluated in this study is a valid and reliable questionnaire for evaluating the performance of academic advisors and has an easy-to-use scale.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"291"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015462","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":"Test anxiety, psychological adaptability, and learning performance: Effects of a mindfulness training intervention on university students.","authors":"Assylzhan Yessimbekova, Aigul Galiyeva, Zhadra Zhexembayeva, Bibigul Almukhambetova, Nurlan Abishev","doi":"10.4103/jehp.jehp_1245_24","DOIUrl":"10.4103/jehp.jehp_1245_24","url":null,"abstract":"<p><strong>Background: </strong>Within the demanding landscape of higher education, the intersection of academic excellence and students' psychological well-being is a problem. Mindfulness training has emerged as a potential solution for fostering brain connectivity and emotional regulation. However, its influence on test anxiety, psychological adaptability, and academic performance, along with their interrelations, remains insufficiently investigated. To address this void, the present study aimed to examine the impact of a mindfulness training program on university students' test anxiety, adaptability, and learning success and the interrelations among these variables.</p><p><strong>Methods and material: </strong>A quasi-experimental design involving 105 university students assigned non-randomly to either a mindfulness training group or a control group was employed. The intervention comprised 12 weekly sessions that integrated theory and activities. Before the intervention and following its completion, test anxiety, and adaptability were measured using standardized scales, whereas individual grade point averages were obtained from the university records. Data were subjected to descriptive analysis, multivariate analysis of covariance, repeated measures analyses of variance, and structural equation modeling.</p><p><strong>Results: </strong>The test anxiety scores were significantly lower in the experimental group than in the comparison group. Additionally, compared with their nontreated counterparts, the mindfulness group reported a significant increase in adaptability. However, contrary to expectations, the intervention did not yield a significant improvement in academic grades, and no significant direct link between test anxiety and learning performance was established. Furthermore, no mediating role of adaptability between test anxiety and academic performance was found.</p><p><strong>Conclusions: </strong>This evidence highlights the potential of mindfulness practices for alleviating test anxiety and improving adaptability. However, the findings highlight the need for further interventions to enhance learning outcomes and explore diverse causal models.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"299"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015519","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}
Shabnam Tahamtan, Mohammad Hossein Nikbakht, Maedeh Hasanpour, Mohammad Javad Panahandeh
{"title":"The impact of overjet, overbite, and anterior crowding on oral health-related quality of life of adolescents: A cross-sectional study.","authors":"Shabnam Tahamtan, Mohammad Hossein Nikbakht, Maedeh Hasanpour, Mohammad Javad Panahandeh","doi":"10.4103/jehp.jehp_660_24","DOIUrl":"10.4103/jehp.jehp_660_24","url":null,"abstract":"<p><strong>Background: </strong>Orthodontic malocclusions could affect oral health-related quality of life (OHR-QoL). The aim of this study was to evaluate the impact of overjet, overbite, and anterior crowding on OHR-QoL of adolescents.</p><p><strong>Materials and methods: </strong>This cross-sectional study involved 143 adolescents (71 boys and 72 girls) aged 10-15 years seeking orthodontic treatment. OHR-QoL, self-esteem (SE), and behavioral problems were assessed by validated questionnaires (Child Perception Questionnaire (CPQ), Rosenberg's self-esteem questionnaire, and Strengths and Difficulties Questionnaires). Overbite, overjet, and Little's irregularity index (LII) of the upper and lower arch were measured using a digital caliper (at 0.01 mm) on plaster study models. The impact of these orthodontic parameters on OHR-QoL was analyzed. The association of demographic and psychological parameters with OHR-QoL was also evaluated.</p><p><strong>Results: </strong>All participants completed the questionnaire. The mean score of CPQ was 16.08 ± 8.11. Overjet, overbite, and maxillary anterior crowding significantly impacted OHR-QoL. OHR-QoL was negatively affected as the severity of these orthodontic malocclusions increased. However, mandibular anterior crowding did not affect OHR-QoL. No significant associations were found between demographic factors (age and gender) or psychological parameters (SE and behavioral problems) and OHR-QoL.</p><p><strong>Conclusions: </strong>Overjet showed a strong association with OHR-QoL, while maxillary anterior crowding had the least impact. Mandibular anterior crowding did not affect quality of life. This study highlighted the varying effects of different orthodontic malocclusions on OHR-QoL. This finding could be used by clinicians to prioritize the therapeutic needs of patients. The orthodontic treatment of patients with increased overjet should be prioritized due to its significant negative impact on OHR-QoL.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"298"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015559","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 economy of health and meaning: A case study of implementing BEHI as a biosemiotic and salutogenic model of care.","authors":"Mahboubeh Farzanegan, Katayoun Rabiei","doi":"10.4103/jehp.jehp_1660_24","DOIUrl":"10.4103/jehp.jehp_1660_24","url":null,"abstract":"<p><p>Since twentieth century, psychosomatic methods have been considered and implemented in the health systems. In the last two decades, the bioenergy economy-based health improvement (BEHI) as a psychosomatic model has been developed from the biosemiotics and embodied cognition perspectives. In this case study, we trace the development of the BEHI model and, through the integration of other psychosomatic and contextual models, propose methods and environments for its implementation. BEHI is an integrative model for health promotion and well-being, by facilitating the transcendence from the impulsive and reactive to the proactive and unconditional ways to happiness. This positive and body-centered approach seeks to optimize energy-information flows through four fields of body, narrative, relationships, and intentionality. The results demonstrate significant improvements in different health conditions through the application of the BEHI model. Therefore, the BEHI model represents an effective approach that can be integrated into healthcare services to enhance both physical and mental health.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"305"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015593","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":"On board the technology ship for patient safety؛ use of electronic hand hygiene monitoring systems in healthcare.","authors":"Reza Abdollahi","doi":"10.4103/jehp.jehp_1846_24","DOIUrl":"10.4103/jehp.jehp_1846_24","url":null,"abstract":"","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"14 ","pages":"302"},"PeriodicalIF":1.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015605","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}