Journal of Infection and Public Health最新文献

{"title":"Mental health and psychotropic medication trends during the COVID-19 pandemic in a middle eastern population: A systematic analysis of electronic medical records from Qatar","authors":"Kholoud Bastaki ,&nbsp;Dhoha Dhieb ,&nbsp;Mohammed ElAnbari ,&nbsp;Dinesh Velayutham ,&nbsp;Hanan Khudadad ,&nbsp;Suhaila Ghuloum ,&nbsp;Puthen Veettil Jithesh","doi":"10.1016/j.jiph.2025.102789","DOIUrl":"10.1016/j.jiph.2025.102789","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has had a detrimental impact on the mental health of populations. We aimed in this examines the impact of the COVID-19 pandemic on the prevalence and treatment of mental health disorders (MHDs), with a specific focus on patterns of psychotropic medication prescriptions in Qatar. It provides critical insights into the dynamics of mental healthcare during global crises.</div></div><div><h3>Methods</h3><div>In this retrospective observational study, we conducted an analysis of data derived from 267,116 outpatients attending Mental Health Services (MHS) in Qatar between 2019 and 2022. The study focused on trends in outpatient visits and psychotropic medication prescriptions.</div></div><div><h3>Results</h3><div>A significant increase of 56.6 % in MHS outpatient visits was observed in 2022 compared to pre-pandemic levels, indicating heightened utilization of mental health services. Depression and anxiety disorders were predominant, reflecting global patterns. Antidepressant prescriptions rose by approximately 40 %, highlighting increased psychological distress.</div></div><div><h3>Conclusion</h3><div>The findings emphasize the necessity for tailored therapeutic protocols and robust mental healthcare infrastructures to address the rising burden of MHDs during crises. Integrating genetic predispositions with prescription trend analyses offers promise for future interventions, contributing to a resilient mental healthcare ecosystem capable of adapting to evolving needs in crisis contexts and beyond.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 8","pages":"Article 102789"},"PeriodicalIF":4.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening global health security through antimicrobial resistance control: Insights from Saudi Arabia","authors":"Haytham A. Sheerah ,&nbsp;Abdullah R. Algwizani ,&nbsp;Riyad Q. Alghamdi ,&nbsp;Emad L. Almohammadi ,&nbsp;Ada M. Al-Qunaibe ,&nbsp;Hebah M. Dada ,&nbsp;Homoud S. Algarni ,&nbsp;Safaa M. Tunkar ,&nbsp;Asmaa M. Altamimi ,&nbsp;Yasir S. Almuzaini ,&nbsp;Duncan Selbie","doi":"10.1016/j.jiph.2025.102788","DOIUrl":"10.1016/j.jiph.2025.102788","url":null,"abstract":"<div><div>Antimicrobial resistance (AMR) poses a significant threat to global health security, and Saudi Arabia plays a key role in addressing this challenge. This review highlights Saudi Arabia’s National Action Plan, which focuses on improving data collection, monitoring AMR trends, and promoting the responsible use of antimicrobials in human and veterinary medicine. While the Kingdom has shown leadership in regional AMR control efforts, recent data indicate rising resistance rates among key pathogens, including <em>methicillin-resistant Staphylococcus aureus</em> and <em>carbapenem-resistant Klebsiella pneumoniae</em>, posing a growing public health concern. Additionally, gaps in AMR surveillance persist, particularly in rural and underserved regions, limiting comprehensive resistance tracking. Efforts to address AMR have included nationwide antibiotic stewardship programs, legal reforms restricting over-the-counter antibiotic sales, and enhanced public awareness campaigns, but challenges remain in ensuring sustained implementation and compliance across all healthcare and agricultural sectors. Strengthening surveillance systems, increasing public awareness, and fostering international collaborations are crucial to managing AMR within Saudi Arabia and mitigating its global impact.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102788"},"PeriodicalIF":4.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 patient variables associated with the detection of airborne SARS-CoV-2","authors":"Joan Truyols-Vives ,&nbsp;Gabriel Escarrer-Garau ,&nbsp;Laura Arbona-González ,&nbsp;Núria Toledo-Pons ,&nbsp;Jaume Sauleda-Roig ,&nbsp;Miguel David Ferrer ,&nbsp;Pablo Arturo Fraile-Ribot ,&nbsp;Antonio Doménech-Sánchez ,&nbsp;Herme García-Baldoví ,&nbsp;Ernest Sala-Llinàs ,&nbsp;Antoni Colom-Fernández ,&nbsp;Josep Mercader-Barceló","doi":"10.1016/j.jiph.2025.102785","DOIUrl":"10.1016/j.jiph.2025.102785","url":null,"abstract":"<div><h3>Background</h3><div>Understanding the COVID-19 patient characteristics that impact environmental SARS-CoV-2 load is essential for improving infection risk management. In this study, we analyzed the influence of patient variables on airborne SARS-CoV-2 genome detection.</div></div><div><h3>Methods</h3><div>Sixty-nine COVID-19 patients were recruited across three independent studies with airborne SARS-CoV-2 genome assessed in individual hospital rooms using droplet digital PCR.</div></div><div><h3>Results</h3><div>In the bivariate analysis, the odds of airborne SARS-CoV-2 detection were significantly higher for patients with obesity, chronic respiratory diseases, pneumonia at admission, sampling, and discharge, and lower lymphocytes count. No significant associations were found between airborne SARS-CoV-2 detection and symptoms presence or duration, nor with the results of the most recent positive nasopharyngeal PCR test prior to air sampling. In the multivariate analysis, the best-fit model included patient age, type of admission, and symptoms duration. Patient age significantly contributed to the risk of airborne SARS-CoV-2 detection in the multivariate analysis.</div></div><div><h3>Conclusions</h3><div>Our findings highlight the variability in individual responses to SARS-CoV-2 infection and suggest that factors linked to COVID-19 severity, symptomatology, and immunocompetence influence the airborne SARS-CoV-2 detection. Our results may support the development of more precise preventive measures in healthcare settings.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 8","pages":"Article 102785"},"PeriodicalIF":4.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-sectional investigation of pneumococcal vaccination patterns in HIV patients at a tertiary care hospital in Riyadh, Saudi Arabia","authors":"Reem Binsuwaidan ,&nbsp;Enas Mosaffer Alghamdi ,&nbsp;Ethar Abdullhameed Otaif ,&nbsp;Maram Saud ALqutaym ,&nbsp;Yahya Ali Mohzari ,&nbsp;Ahmed Ali Alrashed ,&nbsp;Rowdan Zeyan Alderaan ,&nbsp;Ahmed Ajlan Alsheheri ,&nbsp;Alaa Alhubaishi ,&nbsp;Lina I Alnajjar","doi":"10.1016/j.jiph.2025.102783","DOIUrl":"10.1016/j.jiph.2025.102783","url":null,"abstract":"<div><h3>Background</h3><div>People living with HIV (PLWH) are recognized as a high-risk population for opportunistic infections, including community-acquired pneumonia (CAP). Therefore, the United States Centers for Disease Control and Prevention (US-CDC) and Saudi Ministry of health (MOH) advocate for pneumococcal vaccination among all PLWH as a crucial preventive measure against pneumococcal infections. Hence, this study aims to investigate the prescribing patterns of pneumococcal vaccines for PLWH at a tertiary care hospital. As PCV15 and PCV20 were not available until 2022, this study focuses on the prescribing patterns of PCV13 and PPSV23.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted to assess the prescribing patterns of pneumococcal vaccines among PLWH attending the HIV clinic at a tertiary hospital in Riyadh, Saudi Arabia. Utilizing medical records from PLWH who visited the HIV clinic between January 1987 and December 2022, demographic data, clinical characteristics, antiretroviral therapy details, and pneumococcal vaccination records were collected. Statistical analyses were performed using the Statistical Package for Social Sciences (SPSS) version 21 (SPSS Inc., Armonk, New York, USA).</div></div><div><h3>Results</h3><div>Of the 346 identified patients, the majority (81 %) were male, with a median age of 45 years. A significant proportion had not received any pneumococcal vaccinations (98.6 %), while only 2 patients (0.56 %) completed the full series of pneumococcal vaccines (PCV13-PPSV23), and 3 patients (0.84 %) received a single dose of PCV13. Nearly all patients (99 %) reported regular attendance at the HIV clinic, with the vast majority (98.3 %) receiving antiretroviral therapy (ART).</div></div><div><h3>Conclusion</h3><div>This study revealed a notable deficiency in pneumococcal vaccine coverage among PLWH. Therefore, additional measures are imperative to improve pneumococcal vaccine uptake and reduce the risk of invasive pneumococcal diseases within this vulnerable population.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102783"},"PeriodicalIF":4.7,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The emergence of a novel mpox virus strain (clade Ib) in Central Africa: A global public health concern","authors":"Zahra Labiba Ahmed,&nbsp;Md. Rabiul Islam","doi":"10.1016/j.jiph.2025.102781","DOIUrl":"10.1016/j.jiph.2025.102781","url":null,"abstract":"<div><div>Monkeypox (mpox) infection gained global attention when it spread outside Africa in 2003. A novel mpox strain was identified in the Central African Republic in 2024. This new variant presents significant clinical and epidemiological differences from previously known strains. The high rate of pediatric infection, shortened incubation period, rapid transmission, unusual symptoms, accelerated disease progression, and higher case fatality rate make this strain a potential public health concern. Current epidemiological data suggest a case fatality rate of approximately 8–10 %, higher than clade II (West African strain). We recommend considering this new mpox strain as a top priority for international healthcare authorities. International health organizations must provide support to nations with fragile healthcare infrastructures. Immediate actions are essential to prevent this emerging variant from escalating into a larger epidemic. Global healthcare organizations should apply lessons learned from previous outbreaks of infectious diseases to mitigate this new threat.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102781"},"PeriodicalIF":4.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Encephalitis-predominant Nipah virus outbreaks in Kerala, India during 2024","authors":"Rima R. Sahay ,&nbsp;Deepak Y. Patil ,&nbsp;Shubin Chenayil ,&nbsp;Anita M. Shete ,&nbsp;Kannan Sabarinath PS ,&nbsp;Sreelekshmy Mohandas ,&nbsp;R. Balasubramanian ,&nbsp;Satish Gaikwad ,&nbsp;Siba S ,&nbsp;Arun Thachappully Remesh ,&nbsp;Pankaj Singh ,&nbsp;Lekshmi S. Rajan ,&nbsp;Pragya D. Yadav","doi":"10.1016/j.jiph.2025.102782","DOIUrl":"10.1016/j.jiph.2025.102782","url":null,"abstract":"<div><div>Nipah virus (NiV) is a highly pathogenic zoonotic paramyxovirus with significant public health concern. Since 2018, Kerala, India, has experienced NiV outbreaks with variable clinical manifestations ranging from acute encephalitis syndrome (AES) to acute respiratory distress syndrome (ARDS). Recently, we observed two NiV outbreaks in Malappuram, Kerala, India during 2024, with AES as the predominant clinical manifestation in July and September 2024. Among all close contacts screened no secondary transmission of NiV was observed. The data from NiV outbreaks of Kerala state indicated that AES-predominant outbreaks (2019, 2021, and 2024) had shown no human-to-human transmission compared to ARDS-predominant outbreaks (2001, 2007, 2018, and 2023). Early detection, efficient containment, and improved surveillance were important measures in preventing secondary transmission. The two spill over events of NiV in 2024 reiterates the need for enhancing the surveillance of NiV among ARDS cases for timely case management and containment of the outbreak. In view of this, a network of seventeen Virus Research and Diagnostic Laboratories (VRDLs) was established for surveillance of severe acute respiratory illnesses in West Bengal and Kerala states of India. The continued public health preparedness and community awareness would help to prevent future outbreaks.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102782"},"PeriodicalIF":4.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The spread of the Delta variant in Catalonia during summer 2021: Modelling and interpretation","authors":"Benjamin Steinegger ,&nbsp;Giulio Burgio ,&nbsp;Piergiorgio Castioni ,&nbsp;Clara Granell ,&nbsp;Alex Arenas","doi":"10.1016/j.jiph.2025.102771","DOIUrl":"10.1016/j.jiph.2025.102771","url":null,"abstract":"<div><h3>Background</h3><div>The emergence of highly transmissible SARS-CoV-2 variants has posed significant challenges to public health efforts worldwide. During the summer of 2021, the Delta variant (B.1.617.2) rapidly displaced the Alpha variant (B.1.1.7) in Catalonia, Spain, leading to a resurgence in infections despite ongoing vaccination campaigns. Understanding the epidemiological drivers of this outbreak is critical for refining future mitigation strategies.</div></div><div><h3>Methods</h3><div>We employed a Bayesian age-stratified epidemiological model, incorporating vaccination status and variant-specific transmission dynamics, to analyze the outbreak in Catalonia. The model was calibrated using daily reported cases, hospitalizations, sequencing data, and vaccination coverage across age groups. We inferred contact patterns dynamically to assess their role in the epidemic resurgence and estimated the transmission advantage of the Delta variant over Alpha.</div></div><div><h3>Results</h3><div>Our analysis revealed that increased social interactions among younger, less vaccinated populations significantly contributed to the surge in infections. The long weekend of Sant Joan (June 23–24) coincided with a peak in contact rates, driving a rise in the reproduction number, particularly among individuals aged 20–29. We estimated that the Delta variant had a 40–60.</div></div><div><h3>Conclusions</h3><div>Our findings underscore the critical role of vaccination coverage in mitigating the impact of emerging variants. The combination of increased social interactions and uneven vaccine distribution exacerbated the Delta-driven resurgence. NPIs alone proved insufficient in controlling transmission, highlighting the necessity of targeted vaccination strategies to achieve robust epidemic control. This study provides a framework for assessing future variant-specific threats and informing tailored public health interventions.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102771"},"PeriodicalIF":4.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19＆depression: New and detailed evidence from NHANES","authors":"Hongxuan Fan ,&nbsp;Zhaoyu Ren ,&nbsp;Ping Zhang ,&nbsp;Boda Zhou","doi":"10.1016/j.jiph.2025.102770","DOIUrl":"10.1016/j.jiph.2025.102770","url":null,"abstract":"<div><div>This study aimed to investigate the changes in depression prevalence among American adults following the COVID-19 pandemic. A cross-sectional study design was employed. Data were acquired from three cycles of the National Health and Nutrition Examination Survey (NHANES) spanning from 2017 to 2023. The 2017–2020 cycles were classified as pre-pandemic by the National Center for Health Statistics, while the 2021–2023 cycle was regarded as pandemic and post-pandemic. Adult participants aged 20 years and older with complete data from the PHQ-9 assessment were included. The prevalence of depression among American adults increased from 8.45 % pre-pandemic to 12.20 % during and after the pandemic. Stratified by age, the prevalence of depression was significantly higher during and after the pandemic compared to pre-pandemic period in 20–39 years (Prevalence: 16.56 %, <em>P</em> &lt; 0.0001). Following the pandemic, the prevalence of depression among American adults has significantly increased. The most significant increase was observed in the younger age group of 20–39 years.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102770"},"PeriodicalIF":4.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative bibliometric analysis of highly cited monkeypox research in general and specialized infectious disease journals: Dissecting trends, collaborations, and impact","authors":"Rui-Xuan Li ,&nbsp;Zhi-Xin Li ,&nbsp;Yu-Yue Shen ,&nbsp;Jia-Jie Guo ,&nbsp;Yue Liu ,&nbsp;Jia-Yu Cai ,&nbsp;Bin-Bin Xiang ,&nbsp;Xin-Rong Ye ,&nbsp;Xu-Guang Guo","doi":"10.1016/j.jiph.2025.102769","DOIUrl":"10.1016/j.jiph.2025.102769","url":null,"abstract":"<div><div>This study employs bibliometric methods to analyze global publication trends in monkeypox (MPX) research from 2022 to 2024. Using the Web of Science Core Collection database, we identified the top 100 cited articles from all journals and infectious disease specialty journals. The United States and the United Kingdom were the most productive countries, with significant contributions from African nations like Nigeria. Key institutions included the Centers for Disease Control and Prevention (CDC) and the University of London. Research focused on virus transmission, clinical manifestations, and treatments, especially vaccines and antiviral strategies after MPX was declared a Public Health Emergency of International Concern (PHEIC). Our findings offer micro-level insights into biological mechanisms and targeted therapies, as well as macro-level perspectives on international collaboration and policy impact. These results are essential for guiding future diagnostic, therapeutic, and preventive strategies.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102769"},"PeriodicalIF":4.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analyzing the impact of COVID-19 on seasonal infectious disease outbreak detection using hybrid SARIMAX-LSTM model","authors":"Geunsoo Jang ,&nbsp;Jeonghwa Seo ,&nbsp;Hyojung Lee","doi":"10.1016/j.jiph.2025.102772","DOIUrl":"10.1016/j.jiph.2025.102772","url":null,"abstract":"<div><h3>Background</h3><div>This study estimates the incidence of seasonal infectious diseases, including influenza, norovirus, severe fever with thrombocytopenia syndrome (SFTS), and tsutsugamushi disease, in the Republic of Korea from 2005 to 2023. It also examines the impact of the COVID-19 pandemic on their transmission patterns.</div></div><div><h3>Methods</h3><div>We employed the Seasonal AutoRegressive Integrated Moving Average with eXogenous variables (SARIMAX) model, long short-term memory (LSTM) neural networks, and a hybrid SARIMAX-LSTM model to predict disease incidence and identify outbreak periods. Meteorological data were incorporated into the models, and change point detection (CPD) was used to identify shifts in outbreak trends. Model predictions were compared with actual data to evaluate the influence of COVID-19 on disease incidence.</div></div><div><h3>Results</h3><div>The incidence of influenza and norovirus was significantly affected by COVID-19, whereas SFTS and tsutsugamushi disease showed no substantial changes. Influenza did not return to pre-pandemic levels post-COVID-19, while norovirus incidence reverted to previous patterns. Despite a decrease in influenza-like illness (ILI) cases during the pandemic, predictive models indicated a potential resurgence of outbreaks.</div></div><div><h3>Conclusions</h3><div>These findings highlight the need for tailored public health strategies for each disease. Early detection and timely interventions are essential for reducing healthcare burdens and improving health outcomes.</div></div>","PeriodicalId":16087,"journal":{"name":"Journal of Infection and Public Health","volume":"18 7","pages":"Article 102772"},"PeriodicalIF":4.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}