Journal of Family Medicine and Primary Care最新文献

{"title":"Erratum: The impact of family doctor contract services on the utilization of and satisfaction with primary health care among Chinese residents: A cross-sectional study.","authors":"","doi":"10.4103/jfmpc.jfmpc_134_25","DOIUrl":"10.4103/jfmpc.jfmpc_134_25","url":null,"abstract":"<p><p>[This corrects the article on p. 1887 in vol. 13, PMID: 38948628.].</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"812"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669169","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":"Health-related quality of life association with sociodemographic characteristics among children under-five with Down syndrome in Western Region Secondary Care Hospitals, Saudi Arabia.","authors":"Shrouq R Almalki, Amjad W Alotaibi, Asheqah M Albalawi, Malak E Aloufi, Nesrin K Abd El-Fatah","doi":"10.4103/jfmpc.jfmpc_1202_24","DOIUrl":"10.4103/jfmpc.jfmpc_1202_24","url":null,"abstract":"<p><strong>Background: </strong>The Health-Related Quality of Life (HRQoL) of children with Down syndrome (DS) can be significantly affected by various physical, social, and cognitive elements. There is a scarcity of research on the HRQoL of Saudi children and its correlation with sociodemographic factors. Therefore, our objective was to evaluate the HRQoL of children under the age of 5 years with DS in the Western Region of Saudi Arabia.</p><p><strong>Methods: </strong>The study included children under 5 years with DS who were receiving care at secondary care hospitals in Taif, Mecca, and Jeddah. The children were accompanied by their parents or caregivers, who provided sociodemographic and child-specific data as well as medical information. They completed a validated TNO-AZL Preschool Children Quality of Life (TAPQOL) questionnaire. The association between HRQoL and respondents' characteristics was assessed using independent samples <i>t</i>-test, ANOVA, Mann-Whitney, and Kruskal-Wallis tests. A multivariate linear regression analysis was conducted to examine the association between the TAPQOL scores and sociodemographic characteristics in children under the age of 5 years children with DS.</p><p><strong>Results: </strong>A total of 460 responded to the questionnaire. The overall HRQoL score was high. The scores for physical functioning were relatively high, particularly for motor functioning (mean = 86.64) and skin health (mean = 85.68). In addition, social functioning exhibited a lower level, with a significant difference (mean = 25.29). The cognitive functioning scores exhibited variability, with communication scoring relatively high (mean = 76.68), while positive mood (mean = 19.51) and liveliness (mean = 21.25) were significantly low. There was a significant correlation between the educational level and occupation of both fathers and mothers and their HRQoL. Specifically, individuals with higher education and stable employment had better HRQoL scores. Parents' health also has an impact on HRQoL, with children of parents without comorbidities scoring higher. Furthermore, there was a significant association between higher sociodemographic levels of parents and improved HRQoL of the patients.</p><p><strong>Conclusions: </strong>The level of HRQoL among children with DS was high, particularly in the physical and cognitive domains. The sociodemographic factors of parents, specifically the level of education and occupation of fathers, have been identified as essential factors influencing HRQoL. Providing increased economic and educational support for families has a significant positive impact on the quality of life for these children.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"617-625"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669977","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":"Prevalence of depression and anxiety among school going adolescents of Delhi: A cross-sectional study.","authors":"Sonam, Arun Kumar Mahapatra, S Rajagopala, Anil Kumar, Prashant Kumar Gupta, Rishabh, Shahzadi Malhotra, Tanuja Manoj Nesari","doi":"10.4103/jfmpc.jfmpc_786_24","DOIUrl":"10.4103/jfmpc.jfmpc_786_24","url":null,"abstract":"<p><strong>Introduction: </strong>According to UNICEF, among adolescents' mental disorders, depression and anxiety account for 42.9% of cases. As per the National Mental Health Survey (NMHS) (2015-2016) of India; the Prevalence of Depressive Episodes and Recurrent Depressive Disorder and Phobic anxiety disorder among adolescents is 2.6% and 1.3%, respectively. The well-being and development of adolescents are directly related to the quality of their environment and early experiences of life. To understand the current mental health of adolescents the present study was initiated.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 679 students aged 10-19 years at selected schools in South Delhi, India. Initially after the written informed consent procedure, a self-reported questionnaire was administered to collect data on socio-demographic variables and the Patient Health Questionnaire (PHQ-4). Descriptive statistics, Chi-square, univariate, and multivariate logistic regression were used to examine associations between variables under examination with anxiety and depression.</p><p><strong>Results: </strong>In the present survey, the mean age of study participants was 13.43 years, 386 (56.85%) participants were male. The overall prevalence of depression and anxiety among adolescents was found to be 25.92% and 13.70% respectively. The prevalence of depression was significantly higher among students who do not have sleep satisfaction (35.9% vs. 23.0%, <i>P</i> = 0.001) and among those who experience anxiety (58.1% vs. 20.8%, <i>P</i> = 0.000) than others. Similarly, the prevalence of anxiety was found significantly higher with increasing age (χ2, <i>P</i> = 0.001), increasing education levels (χ2, <i>P</i> = 0.001), sleep quality (χ2, <i>P</i> = 0.009), sleep satisfaction (χ2, <i>P</i> = 0.000), relationship status (χ2, <i>P</i> = 0.032) and depression status (30.7% vs. 7.8%, <i>P</i> = 0.000). Based on Multivariate analyses, higher education level (AOR: 1.53, 95%CI: 1.06-2.20) and anxiety (AOR: 4.88, 95%CI: 3.07-7.76) were associated with depression. Anxiety was associated with increasing age (16-19 years) (AOR: 3.35, 95%CI: 1.59-7.06) and depression (AOR: 5.18, 95%CI: 3.26-8.25).</p><p><strong>Conclusion: </strong>The present study suggests that the prevalence of depression and anxiety among school-going adolescents is 25.92% and 13.70%, respectively. The most common associated risk factors are increasing education level, sleep satisfaction, and anxiety and depression. The information may contribute to the development of preventive and control strategies for mental health conditions among adolescents for their welfare and well-being.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"592-608"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670061","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":"Right lung agenesis with multi-drug-resistant Cepacia syndrome: A case report.","authors":"Mohit Kondisetti, Priyavardhan Mishra, Anant Patil, Nikhil Sarangdhar, Sankeerth Chanamolu","doi":"10.4103/jfmpc.jfmpc_1424_24","DOIUrl":"10.4103/jfmpc.jfmpc_1424_24","url":null,"abstract":"<p><p>Lung agenesis (LA) is a rare congenital anomaly that refers to an absence of lung tissue and bronchi. <i>Burkholderia cepacia</i> complex (BCC) causes a fatal acute necrotising pneumonia called Cepacia syndrome. The unique concomitant association of both these rare diseases has not been highlighted in the literature to the best of our knowledge. Here, we present a case of association of right-sided lung agenesis along with Cepacia syndrome. In our case, the <i>Burkholderia cepacia</i> complex was found to be a multi-drug-resistant organism. Debilitating deterioration in the oxygen saturation was observed and initiation of treatment after culture sensitivity report yielded in remission of the disease. However, due to underlying congenital agenesis, therapeutic intervention with steroids and bronchodilators led to stabilising the patient by developing oxygenation. Underlying pulmonary congenital defects predispose individuals to infections. The implementation of antimicrobial therapy must be aided with culture and sensitivity reports for better outcomes.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"804-806"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670072","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":"In the collective called health, family has to be the central theme.","authors":"Sunil Kumar Raina, Raman Kumar","doi":"10.4103/jfmpc.jfmpc_1895_24","DOIUrl":"10.4103/jfmpc.jfmpc_1895_24","url":null,"abstract":"<p><p>The concepts in health and disease have undergone an almost unchangeable shift across the world from being largely community driven to purely service delivery concepts, driven as it is by the western construct regarding individuals, family and community. However, these constructs are appearing limited and unable to find sound replication across the majority low and middle income countries of the east.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"511-513"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669904","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":"Menstrual health practices among Tibetan women: An ethnographic participant observation study.","authors":"Yukti Dhadwal, Ashok Kumar, Shri Ram Pandey","doi":"10.4103/jfmpc.jfmpc_1162_24","DOIUrl":"10.4103/jfmpc.jfmpc_1162_24","url":null,"abstract":"<p><strong>Background: </strong>Menstruation is a universal human experience, yet cultural narratives and societal attitudes around it differ greatly, impacting women's and girls' lives all around the world. It is often associated with shame and silence.</p><p><strong>Objective: </strong>This research study examines ethnographic data collected from Tibetan in-exile women in Himachal Pradesh, India. The study aims to explore the menstrual experiences, menstrual health, and hygiene management among Tibetan-in-exile women in Himachal Pradesh, India.</p><p><strong>Methodology: </strong>The data was collected from eleven participants through participant observation. All eleven participants were observed during their menstrual cycle period. Menstrual health observations were conducted and major insights were identified. Textual analysis using R-software was conducted to get results.</p><p><strong>Results: </strong>Tibetan women showed neutral to positive sentiments towards menstruation. Most participants reflected comfort and calmness through non-verbal communication and body language during their periods. They showcased responsible behaviour in the disposal of used sanitary products. Tibetan-in-exile women emphasized the need for privacy and space to manage hygiene during periods.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"762-768"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669989","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 challenges: Diagnosis and management of foreign body aspiration in a child: A case report.","authors":"Monalisa Pradhan, Krutika M Gohil, Srinivasrao G Shinde, Zoha Khan, Arsalan Nadeem, Mayur Wanjari, Gaurav Mittal","doi":"10.4103/jfmpc.jfmpc_515_24","DOIUrl":"10.4103/jfmpc.jfmpc_515_24","url":null,"abstract":"<p><p>Foreign body aspiration in pediatric patients presents a significant challenge in diagnosis and management, often leading to acute respiratory distress. We report the case of a 4-and-a-half-year-old male child with a history of recurrent left-sided lobar pneumonia, who presented with high-grade fever and cough persisting for 14 days. Despite lacking distress or stridor, a routine chest X-ray revealed right-sided lower lobe pneumonia, prompting further investigation. Auscultation revealed reduced air entry and crepitations in the right lower lobe. Bronchoscopy confirmed the presence of a deep-seated foreign body (a wheel of a toy car with its axle) in the right main bronchus. Prompt intervention by an ENT surgeon led to the successful removal of the foreign body under general anesthesia. Post-procedural care included intravenous administration of dexamethasone and ceftriaxone, along with budecort nebulization. This case highlights the complexities in diagnosing foreign body aspiration and emphasizes the importance of prompt intervention to prevent complications and ensure favorable outcomes.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"800-803"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669991","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":"Cross-sectional analysis of insulin resistance in hypothyroid patients at rural teaching hospital: An endocrinal synergy.","authors":"Janhavi Mahajan, Anuj Varma, Sunil Kumar, Sourya Acharya, Samarth Shukla, Manjeet Kothari, Rinkle Gemnani","doi":"10.4103/jfmpc.jfmpc_1579_24","DOIUrl":"10.4103/jfmpc.jfmpc_1579_24","url":null,"abstract":"<p><strong>Background: </strong>A glucose homeostasis condition known as insulin resistance (IR) is characterized by a decreased sensitivity of adipose tissue, muscle fiber, liver, and other bodily tissues to insulin, even in the presence of normal or elevated blood concentrations of the hormone. Nevertheless, it is uncommon to evaluate the comorbidity of insulin resistance and thyroid discrepancies, particularly the order in which these indicators appear. This study emphasizes the association between hypothyroidism and insulin resistance.</p><p><strong>Material and method: </strong>Eighty individuals with suspected thyroid illness or related problems were recruited for this cross-sectional study at the AVBR Hospital in Wardha between December 2020 and September 2022. The participants were categorized as having subclinical hypothyroidism, overt hypothyroidism, or controls based on the thyroid indicators detected in their serum. The Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) was used to perform the calculations. A Chi-square test was used in addition to control to examine the relationship between insulin resistance and thyroid function. Results are considered statistically significant only if the <i>P</i> value is less than 0.05.</p><p><strong>Results: </strong>Levels of HOMA-IR were lowest in the Controls (1.65), followed by the Subclinical Group (2.03), and highest in the Overt Group (5.00). HOMA-IR had a significant positive relationship with thyroid stimulating hormone, fasting insulin, and fasting blood sugar (FBS). The prevalence of insulin resistance was 64.3% in overt hypothyroid patients and 36% in subclinical hypothyroid patients. In contrast, it was 21% in the control group of hypothyroid patients on thyroxine therapy for over two months.</p><p><strong>Conclusion: </strong>Thyroid levels and the IR were significantly correlated. The prevalence of insulin resistance was 64.3% in overt hypothyroid and 36% in subclinical hypothyroid in this part of rural area. Therefore having awareness at the primary care physician level may prevent its morbid complications even assessed.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"743-748"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670103","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":"Inflammatory biomarkers and adverse outcome in COVID-19: Prelude for future viral pandemics.","authors":"Ankit Kumar, Sushma Yendamuri, Faiz Ahmad, Partha B Mukherjee, Ravi Kumar, Manish Manrai, J Muthukrishnan, Saurabh Dawra","doi":"10.4103/jfmpc.jfmpc_1326_24","DOIUrl":"10.4103/jfmpc.jfmpc_1326_24","url":null,"abstract":"<p><strong>Background: </strong>Dysregulated inflammatory response plays a key role in the pathogenesis of COVID-19. The role of inflammatory markers to predict adverse clinical outcome is still controversial. The aim of this study was to analyze the association of inflammatory markers with disease outcomes independent of the effect of age and co-morbidities.</p><p><strong>Materials and methods: </strong>This is a retrospective analysis of COVID-19 patients admitted at a dedicated COVID center from July 2020 to Mar 2022. Clinical characteristics and inflammatory markers namely serum Ferritin levels, CRP, D-Dimer levels, serum LDH and IL-6 Levels were studied. The following outcome parameters were collected: disease severity at onset and outcome (discharge/death).</p><p><strong>Results: </strong>48.4% of the of 244 COVID-19 cases included had severe disease while 51.6% had moderate disease. Mean age was 61.3 ± 14.17 years and 71.7% were males. Primary Hypertension (48.4%) and Diabetes Mellitus (39.3%) were the most common co-morbidities. Increasing age, smoking, and alcohol consumption were associated with severe disease. CRP, D-dimer, and IL-6 were independent risk factors for disease severity while CRP, D dimer, LDH, Ferritin, and NLR (Neutrophil Lymphocyte ratio) were independent predictors of disease mortality. D-dimer was the most sensitive (95.8%) and specific (92.2%) marker to predict disease severity and serum LDH was the most sensitive (74.7%) to predict disease mortality at baseline.</p><p><strong>Conclusion: </strong>Measurement of inflammatory markers might assist clinicians in predicting disease severity and prognosis of COVID-19. This may serve as a benchmark to understand the role of inflammatory markers in other diseases associated with dysregulated inflammatory response.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"720-728"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669930","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":"Prevalence and concomitance of diabetic peripheral sensory neuropathy and lower limb peripheral arterial disease in type II diabetics and its correlation with obesity.","authors":"Jayesh Dalpatbhai Solanki, Axat Pragnesh Shah, Nisha Lalwani, Bansi Janakbhai Trivedi, Avan Ashokbhai Savani, Krupali Parshottambhai Sojitra","doi":"10.4103/jfmpc.jfmpc_1168_24","DOIUrl":"10.4103/jfmpc.jfmpc_1168_24","url":null,"abstract":"<p><strong>Introduction: </strong>Among type 2 diabetics (T2D), macrovascular complication lower limb Peripheral Arterial Disease (PAD) and microvascular complication Diabetic Peripheral Sensory Neuropathy (DPSN) have scarcely studied concordance and their association with obesity. Qualitative and general body fat parameters give a complete picture of obesity. We studied the association of vibration perception threshold (VPT)-based DSPN and ankle brachial pressure index (ABPI))-based PAD, and the effect of obesity on them, in T2Ds.</p><p><strong>Methods: </strong>A cross-sectional study was done on 152 under-treatment T2Ds. Bio-esthesiometer-based VPT from the sole of each foot and VersaDop-based ABPI from all limbs were assessed. Prevalence of DSPN (VPT ≥25) and PAD (ABPI ≤0.9) was measured and compared for concomitance. The odds ratio was used for testing association and multiple linear regressions were accomplished for predictors of VPT and ABPI taking <i>P</i> value < 0.05 as statistically significant.</p><p><strong>Results: </strong>T2Ds had a mean age of 53 years, a mean duration of 67 months, and 48% glycemic control. The prevalence of abnormal VPT and ABPI was 64% and 23%, respectively. VPT-based subgroups do not defer significantly from ABPI and vice versa. Obesity was associated with only abnormal ABPI (visceral > general). Odd's ratio for neuropathy with vasculopathy was insignificant while VPT and ABPI had differences in significant predictors.</p><p><strong>Conclusion: </strong>T2Ds having 64% neuropathy and 23% vasculopathy had one-third concomitance but lack of association and different predictors for each. Vasculopathy not neuropathy was associated with obesity; visceral more than general; suggesting scope for its rectification. It suggests different progression of these complications, despite some cross-talk between them.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 2","pages":"687-692"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669981","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}