Journal of Korean Medical Science最新文献

{"title":"A Position Statement on the Treatment of Hearing Impairment, Focused on Hearing Aids, From the Korean Otological Society Hearing Aid Study Group.","authors":"Jeon Mi Lee, Seung-Ho Shin, Myung-Whan Suh, Seong Joon Choi, You-Ree Shin, Yong-Hwi An, Jungmin Ahn, Heil Noh, Il Joon Moon, Moo Kyun Park, Shi Nae Park, Hantai Kim, Dong-Hee Lee","doi":"10.3346/jkms.2025.40.e182","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e182","url":null,"abstract":"<p><p>Hearing impairment not only diminishes sound perception but also leads to various secondary disabilities; therefore, proper management is crucial for individual well-being and socioeconomic savings. This study establishes an expert consensus on the treatment of hearing impairment, primarily concentrating on hearing aids (HAs), to assist physicians. A modified nominal group technique was used to collect expert opinions about the management of hearing impairment with HAs. The expert panel consisted of 13 otologists from the Korean Otological Society Hearing Aid Study Group. The panel formulated and examined 12 subtopics, with each statement evaluated for consensus using a 9-point Likert scale. Statements with strong consensus were preserved, and those with weak consensus were either discarded or deliberated until agreement was achieved. The position statement discusses essential elements of HA utilization: candidacy, prescription, fitting, maintenance, and verification. It further offers direction on audiological and medical assessments, along with the qualifications and responsibilities of HA practitioners. The statement underscores the need for verification techniques, including coupler and real ear measurements, and stresses the importance of auditory rehabilitation for HA users. Furthermore, it examines the function of HAs in addressing tinnitus and hyperacusis and provides guidance for the management of hearing impairment resulting from external or middle ear complications. This position statement presents a thorough and organized methodology for addressing hearing impairment with HAs. It functions as a crucial resource for physicians, offering information vital to the diagnosis, treatment, and rehabilitation of hearing impairment and the management of related diseases. This declaration advocates for a comprehensive approach that combines professional skill, patient awareness, and societal support to effectively manage hearing impairment.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 23","pages":"e182"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310034","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":"Defining the Boundaries of AI Use in Scientific Writing: A Comparative Review of Editorial Policies.","authors":"Jin-Hong Yoo","doi":"10.3346/jkms.2025.40.e187","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e187","url":null,"abstract":"<p><p>The rapid rise of generative artificial intelligence (AI) is fundamentally transforming the landscape of medical writing and publishing. In response, major academic organizations and high-impact journals have released guidelines addressing core ethical concerns, including authorship qualification, disclosure of AI use, and the attribution of accountability. This review analyzes and compares key statements from several international medical or scientific editors' organizations along with submission policies of major leading journals. It also evaluates the AI usage policy of the <i>Journal of Korean Medical Science</i> (<i>JKMS</i>), which presents one of the most specific frameworks among Korean journals, and offers suggestions for refinement. While most journals prohibit listing AI tools as authors, their stance on AI-assisted writing varies. <i>JKMS</i> aligns with international norms by prohibiting AI authorship and recommending that authors explicitly report the tool name, prompt, purpose, and scope of AI use. This policy demonstrates a flexible but principled approach to AI integration. The limitations of AI detection tools are also discussed. These tools often struggle with accuracy and bias, with known tendencies to misclassify human-written content as AI-generated. As such, sole reliance on detection tools is insufficient for editorial decisions. Instead, fostering a culture of ethical authorship and responsible disclosure remains essential. This review highlights the need for balanced policies that promote transparency without impeding innovation. By clarifying disclosure expectations and reinforcing human accountability, journals can guide the ethical use of AI in scientific writing and maintain the integrity of scholarly communication.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 23","pages":"e187"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310036","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":"Data Resource Profile: The Statistics of the Korea National Health and Nutrition Examination Survey (KNHANES) Biobank Project.","authors":"Hye Ah Lee, Hye Ryun Kim, Hyunjin Park, So-Young Jung, Jae-Pil Jeon, Bomi Park, Keum Ji Jung, Sun Ha Jee, Sung-Mi Shim, Hyesook Park","doi":"10.3346/jkms.2025.40.e189","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e189","url":null,"abstract":"<p><p>The Korea National Health and Nutrition Examination Survey (KNHANES) is a representative survey of the Korean population, providing evidence for health policy and health interest statistics. The survey is conducted annually, and the 10th cycle, 1st year (2025) survey is currently underway. In health examination of KNHANES, blood samples are collected from people aged 10 years or older, and urine samples are collected from people aged 6 years or older. To support research related to various public health concerns based on the general population, the National Bank of Korea (NBK) has been operating the KNHANES biobank project since 2005 and has distributed high-quality biospecimens collected through KNHANES. To date, biospecimens from a total of 95,455 participants have been deposited, with approximately 35,500 biospecimens available as of December 2024. This biobank provides serum, plasma, and extracted DNA to researchers in officially approved projects. Recently, urine specimens have also become available. Additionally, genotyping data (> 833,000 genetic markers) for ~19,300 participants generated from the KoreanChip are available. The vast epidemiological data linkage derived from KNHANES will provide valuable insights into public health issues. Researchers can access the resource through NBK's online platform (HuBIS_Desk, https://biobank.nih.go.kr/Desk/).</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 23","pages":"e189"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310035","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":"Evolving Regulations in Telemedicine Pilot Project: Insights Into Law, Practice, and Patient Care through International Case Studies.","authors":"Jiwon Shinn, Yeryeon Jung, Jeong-Yeon Kim, Seongwoo Seo, Eunseol Lee, Youseok Kim, Min Jung Ko, Hun-Sung Kim","doi":"10.3346/jkms.2025.40.e181","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e181","url":null,"abstract":"<p><p>The primary focus of this research is the evolving landscape of telemedicine policies and practices across various countries, with particular attention to recent initiatives in South Korea. This study is crucial for understanding the implications of institutionalizing telemedicine, especially following the coronavirus disease 2019 (COVID-19) pandemic. It aims to ensure the delivery of quality medical services through remote healthcare systems. The objectives include analyzing changes in international telemedicine policies post-COVID-19, comparing these changes with South Korea's policies, and identifying best practices for the domestic institutionalization of telemedicine. The research examines telemedicine policies and practices in South Korea, the United States, Canada, the United Kingdom, France, Japan, and Australia. Key variables analyzed are eligibility for telemedicine, types of diseases treated, telemedicine platforms, drug prescriptions, drug delivery, responsibility for telemedicine, and cost. Data were collected from policy documents, legal frameworks, and pilot project outcomes and were analyzed to identify trends, differences, and potential areas for policy development. Telemedicine policies vary significantly among countries, with different approaches to patient eligibility, disease types treated, platforms used, prescription and delivery of drugs, legal responsibilities, and costs. South Korea's telemedicine policy is in its early stage, recently expanding to include all patients with prior face-to-face treatment within six months. The initial hypotheses that telemedicine policies are rapidly evolving and that there is no one-size-fits-all approach were supported. The findings suggest that telemedicine is a complex and multifaceted issue that requires careful consideration of various medical, legal, and technological aspects. South Korea's approach to telemedicine should be customized to its unique healthcare environment, focusing on patient health and alignment with national healthcare priorities. Future research should explore the development of a comprehensive system for telemedicine that addresses patient needs, provider capabilities, and regulatory requirements, with an emphasis on creating a global benchmark for personalized telemedicine.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 23","pages":"e181"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310037","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":"Medical Research at a Crossroads: Charting the Path Forward With <i>JKMS</i>.","authors":"Jaehun Jung","doi":"10.3346/jkms.2025.40.e190","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e190","url":null,"abstract":"","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 23","pages":"e190"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310039","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":"Longitudinal Perspectives on Health and Medical Research in Korea: Strengths and Limitations of Key Panel Datasets.","authors":"Dal-Lae Jin, Dun-Sol Go, Seok-Jun Yoon","doi":"10.3346/jkms.2025.40.e194","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e194","url":null,"abstract":"<p><p>Rapid population ageing, the growing burden of chronic diseases, and evolving healthcare demands have heightened the need for robust longitudinal data to support evidence-based health policy and interventions. Longitudinal panel surveys, which repeatedly collect data from the same individuals over extended periods, offer detailed insights into dynamic health-related changes and their determinants. South Korea has established numerous national panel surveys over recent decades; however, systematic comparative assessments across these surveys-particularly concerning their health-related variables and adaptations during the coronavirus disease 2019 (COVID-19) pandemic-are lacking. We systematically reviewed eleven major Korean longitudinal panel surveys, focusing on health-related variables and COVID-19 modules. Key variables included health status, chronic diseases, lifestyle behaviors, healthcare utilization, and mental health measures. COVID-19 adaptations such as infection history, vaccination status, and socioeconomic impacts were also examined using official documentation. The findings revealed considerable variability among the surveys in the range and depth of health variables captured, reflecting distinct target populations and research objectives. Surveys focused on specific demographic groups (older adults, children, women, and people with disabilities) tended to provide more comprehensive coverage of health indicators and incorporated specialized instruments (e.g., CES-D, EQ-5D). Conversely, general population-based panels demonstrated substantial variability. COVID-19-specific adaptations varied significantly: while certain surveys (Korean Labor and Income Panel Study, Korea Health Panel Survey, Korean Longitudinal Survey of Women and Families, Korean Children and Youth Panel Survey) included explicit pandemic-related modules capturing infection histories, vaccinations, and changes in work and family dynamics, others relied on indirect reflections through existing measures. This comprehensive comparative analysis identifies notable strengths and gaps among Korea's major longitudinal panel surveys in health data collection and COVID-19 responsiveness. Enhanced standardization of survey instruments and targeted data harmonization efforts are recommended to optimize these resources for future health policy development, epidemiological research, and effective public health interventions.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 23","pages":"e194"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310038","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":"Anthropometry of the External Ear in Korean Adults: A Multicenter Study.","authors":"Eunhyun Cho, Joong Yeon Won, Min-Hyun Park, Jeong-Hoon Oh, Il-Woo Lee, Yun-Hoon Choung, Yang-Sun Cho, Gyu Cheol Han, Hyo-Jeong Lee","doi":"10.3346/jkms.2025.40.e107","DOIUrl":"10.3346/jkms.2025.40.e107","url":null,"abstract":"<p><strong>Background: </strong>Numerous anthropometric studies on the auricle have been conducted in diverse populations, and variations in ear morphology associated with age, sex, and ethnicity have been identified. This study aimed to establish standard anthropometric data for the external ear within the Korean adult population.</p><p><strong>Methods: </strong>This study included 631 subjects (331 males and 300 females) aged 20 to 92 years, who underwent three-dimensional computed tomography (3D-CT) of the face for various medical purposes at six hospitals in Korea. Soft-tissue landmarks on the ears and face were obtained from 3D-CT reconstruction images. Ear lobule types were classified into the following categories: tapering (≤ 69°), square (70-109°), and pendulate (≥ 110°). The classification was based on the angle between the base of the auricle and a line drawn from the superior otobasion to the inferior otobasion. Age correlations and differences according to sex were analyzed for all measured variables. The average ear length and width were compared with data from previously published reports on other ethnic groups.</p><p><strong>Results: </strong>Compared with females, males presented greater ear length, ear width, protrusion at the superaurale and tragal levels, and lobular length. All measurements were symmetric on both sides, except for the auricle distance from the inferior orbital rim (IOR). All length measurements (insertion/ear/conchal/lobular length), lobular width, and auricle distance from the IOR were positively correlated with age. The pendulate lobule type was the most prevalent configuration in both sexes, followed by the square and tapering types. Koreans had shorter ear lengths than Indians and Caucasians but longer ear lengths than Africans and Chinese individuals.</p><p><strong>Conclusion: </strong>Our age-specific auricular anthropometric data for Koreans will serve as a valuable reference for diagnosing congenital abnormalities and guiding surgical reconstructions in the Korean population.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 22","pages":"e107"},"PeriodicalIF":3.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population-Based Big Data Analysis on Disease Patterns in Patients Identified With Juvenile Idiopathic Arthritis Using National Claims Data.","authors":"Eun Jeong Min, Soo Hyun Lee, Joo-Young Jo, Jong Gyun Ahn, Dae Chul Jeong","doi":"10.3346/jkms.2025.40.e113","DOIUrl":"10.3346/jkms.2025.40.e113","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to identify epidemiologic data, including prevalence and incidence, of patients with juvenile idiopathic arthritis (JIA) in accordance with the diseases diagnostic code and Rare Intractable Disease Registration (RIDR) code from the claims data of the Health Insurance Review and Assessment Service (HIRA), the representative secondary data in Korea.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of the national claims data of the HIRA. The study population included 1,728 patients with JIA who 1) had records with diagnostic codes in the format prescribed by the International Classification of Diseases, 10th Revision M08 and the RIDR code V133 between January 1, 2010, and December 31, 2019, and 2) were aged < 16 years as per the definition of JIA. We categorized the patients by age at diagnosis, annual prevalence, and incidence per 100,000 individuals for the study period. Moreover, the study population was stratified by age and gender for subgroup analysis.</p><p><strong>Results: </strong>The overall prevalence rate for the total, male, and female population was 15.9 (14.5-16.8), 15.4 (13.1-17.0), and 16.4 (15.9-16.9) per 100,000 individuals, respectively. Additionally, the overall incidence rate for the same populations was 2.2 (1.8-2.8), 2.3 (1.7-2.9), and 2.1 (1.8-2.6) per 100,000 individuals, respectively.</p><p><strong>Conclusion: </strong>To the best of our knowledge, this is the first study presenting the epidemiologic data, including prevalence and incidence, of patients with JIA using population-based claims big data in Korea. The results of this study will aid in understanding the current status of JIA in Korea and Asia and in health care planning.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 22","pages":"e113"},"PeriodicalIF":3.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes and Experiences With Informed Consent for Percutaneous Coronary Intervention in Korea: A Mixed-Methods Study.","authors":"Min Ji Kim, Ilhak Lee, Jiyong Park, Chan Joo Lee, Won Lee, So Yoon Kim","doi":"10.3346/jkms.2025.40.e114","DOIUrl":"10.3346/jkms.2025.40.e114","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous coronary intervention (PCI) is one of the most popular invasive cardiovascular procedures performed worldwide. However, patients often overestimate its benefits or underestimate potential risks, which should be addressed during informed consent (IC). In light of this, our study aimed to explore in greater depth the attitudes and experiences with IC regarding PCI in South Korea.</p><p><strong>Methods: </strong>This mixed-methods study employed a sequential design following the guidelines of the Mixed Methods Reporting in Rehabilitation and Health Sciences. Between December 2022 and January 2023, a cross-sectional survey was completed by 255 patients and 136 physicians. From February to April 2023, in-depth interviews were conducted with 13 physicians were conducted and analyzed using conventional content analysis.</p><p><strong>Results: </strong>Patients and physicians showed a significant difference in agreement with the purpose of IC with respect to the right to self-determination (<i>P</i> < 0.001; mean patient rank 178.1, mean physician rank 228.0). There were gaps between patients and physicians in the degrees of agreement regarding understanding (<i>P</i> < 0.001; mean patient rank 182.2, mean physician rank 220.4) and remembering (<i>P</i> = 0.014; mean patient rank 185.5, mean physician rank 214.3) information during the IC process. Physicians experienced difficulties due to patients' low comprehension of the information provided during the IC process.</p><p><strong>Conclusion: </strong>Patients should first be educated on the purpose of IC to prepare them for receiving detailed information about PCI. When they are ready to accept information, strategies suggested by several studies may be applied to improve their understanding. This step-by-step provision of information will elevate patient compliance with IC.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 22","pages":"e114"},"PeriodicalIF":3.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors Associated With Incident Dementia in People Living With HIV.","authors":"Eunyoung Lee, Young-Gun Lee, Jihwan Bang","doi":"10.3346/jkms.2025.40.e100","DOIUrl":"10.3346/jkms.2025.40.e100","url":null,"abstract":"<p><strong>Background: </strong>Cognitive decline often follows human immunodeficiency virus (HIV) infection. The objective of this study was to explore the factors present at HIV diagnosis associated with the risk of incident dementia.</p><p><strong>Methods: </strong>A longitudinal observational study was conducted using a nationwide claim database (2008-2021). A cohort was designed using new diagnosis of HIV infection with antiretroviral therapy. Included in the analysis were individuals aged over 40, with > 3-year follow-up and without a diagnosis of dementia within 2 months post-HIV diagnosis. Dementia was defined as diagnosis and prescription of anti-dementia medication. Cox proportional hazards regression models assessed the association between baseline characteristics and the risk of incident dementia.</p><p><strong>Results: </strong>Among the 13,289 HIV-infected cohort, 3,929 met the inclusion criteria. The median age was 45 (interquartile range [IQR], 15), and 90.9% were male. During the median follow-up period of 7.6 (IQR, 5.0) years, dementia developed in 114 patients, with cumulative incidence reaching 4% at the 10-year follow-up. The development of dementia was associated with age at diagnosis ≥ 50 (hazard ratio [HR], 2.31; 95% confidence interval [CI], 1.51-3.53), low socioeconomic status (HR, 3.50; 95% CI, 2.22-5.52), and acquired immune deficiency syndrome (AIDS) status at diagnosis (HR, 2.05; 95% CI, 1.38-3.03).</p><p><strong>Conclusion: </strong>This study underscores the importance of age at HIV diagnosis, socioeconomic status, and AIDS status as determinants of the risk of incident dementia among people living with HIV.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 22","pages":"e100"},"PeriodicalIF":3.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}