Journal of Korean Medical Science最新文献

{"title":"Delayed Diagnosis of Imported Cystic Echinococcosis and Successful Treatment With Percutaneous Drainage and Albendazole in Korea: A Case Report.","authors":"Won Jun Choi, Hanna Jin, Hyeon Jae Jo, Chan Mi Lee, Chang Kyung Kang, Pyoeng Gyun Choe, Wan Beom Park, Nam Joong Kim, Min-Ho Choi","doi":"10.3346/jkms.2025.40.e88","DOIUrl":"10.3346/jkms.2025.40.e88","url":null,"abstract":"<p><p>Echinococcosis, caused by the tapeworm <i>Echinococcus</i>, is rare in Korea and is primarily imported from endemic areas. We report a case of a 37-year-old Korean man with multiple large hepatic cysts, initially diagnosed as simple cysts at a local clinic in 2018. The patient had lived in Oman, an endemic area, for several months in 2016. Upon referral to a tertiary hospital in 2023, due to progressive cyst enlargement, liver magnetic resonance imaging revealed three large cysts with a water lily sign. Serum IgG against <i>Echinococcus</i> was positive by enzyme-linked immunosorbent assay. After diagnosis of echinococcosis, treatment with albendazole and puncture-aspiration-injection-reaspiration (PAIR) was performed. Microscopic and molecular analysis of cyst aspirates confirmed <i>Echinococcus granulosus</i> infection. Follow-up computed tomography demonstrated a reduction in cyst size, yet the emergence of a new right pleural effusion and consolidation in the left lower lobe of the lung necessitated the continuation of albendazole therapy. This case highlights the importance of thorough travel history, imaging findings, and the effectiveness of PAIR combined with albendazole in treating imported echinococcosis.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 4","pages":"e88"},"PeriodicalIF":3.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122924","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":"A Nationwide Survey on Infection Prevention and Control in Acute Care Hospitals of Korea.","authors":"Sun Hee Na, Yubin Seo, Hye Jin Shi, In Sun Hwang, Kyong A Shin, Kwang Yul Son, Sung Ran Kim, Myoungjin Shin, Hee-Jung Son, Ji Youn Choi, Heekyung Chun, Sook-Kyung Park, Jeongsuk Song, Namyi Kim, Jacob Lee, Joong Sik Eom","doi":"10.3346/jkms.2025.40.e41","DOIUrl":"10.3346/jkms.2025.40.e41","url":null,"abstract":"<p><strong>Background: </strong>Healthcare-associated infections impose a significant burden on antibiotic usage, healthcare expenditures, and morbidity. Therefore, it is crucial to revise policies to minimize such losses. This nationwide survey aimed to evaluate infection prevention and control (IPC) components in healthcare facilities and encourage improvements in acute care hospitals with inadequate infection prevention settings. This study aims to enhance the infection control capabilities of healthcare facilities.</p><p><strong>Methods: </strong>From December 27, 2021, to May 13, 2022, we conducted a survey of 1,767 acute care hospitals in the Republic of Korea. A survey was conducted to evaluate the infection control components in 1,767 acute care hospitals. Infection control officers provided direct responses to a systematically developed questionnaire. Subsequently, 10% of the respondents were randomly selected for the site investigation.</p><p><strong>Results: </strong>Overall, 1,197 (67.7%) hospitals responded to the online survey. On-site investigations were conducted at 125 hospitals. Hospitals with ≥ 150 beds are advised to have an IPC team under Article 3 of the Medical Service Act; however, only 87.0% (598/687) of hospitals with ≥ 100 beds had one. Conversely, 22.7% (116/510) of hospitals with < 100 beds had an IPC team. Regulations for hand hygiene, waste management, healthcare worker protection and safety, environmental cleaning, standard precautions, and prevention of the transmission of multidrug-resistant pathogens were present in 84.2%, 80.1%, 77.4%, 76.2%, 75.8%, and 63.5% of the hospitals, respectively. Hospitals with < 100 beds had low availability of all categories of standard operating procedures.</p><p><strong>Conclusion: </strong>This study is the first national survey of acute care hospitals in the Republic of Korea. The data presented in the current study will improve the understanding of IPC status and will help establish a survey system. Our survey provides a basis for improving policies related to IPC in healthcare facilities.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 4","pages":"e41"},"PeriodicalIF":3.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122908","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 of Kawasaki Disease/Multisystem Inflammatory Syndrome Following COVID-19 Vaccination in Korean Children: A Self-Controlled Case Series Study.","authors":"Suyeon Kim, Hwa Yeon Ko, Jeongin Oh, Dongwon Yoon, Ju Hwan Kim, Young June Choe, Ju-Young Shin","doi":"10.3346/jkms.2025.40.e10","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e10","url":null,"abstract":"<p><strong>Background: </strong>Rare cases of Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C) have been reported following the coronavirus disease 2019 (COVID-19) vaccination; however, the association between COVID-19 vaccination and the risk of developing KD/MIS-C has not yet been established.</p><p><strong>Methods: </strong>We conducted a self-controlled case series analysis using a large-linked database that connects the COVID-19 immunization registry with nationwide claims data. We identified individuals aged < 18 years who received their initial COVID-19 vaccination and had a KD/MIS-C diagnosis with a prescription for intravenous immunoglobulin or corticosteroids between October 18, 2021, and April 15, 2023. The observation period was set as 240 days from the date of the COVID-19 vaccination. The risk window was 60 days after vaccination, with the remaining observation period serving as the control window. The incidence rate ratios (IRRs) and 95% confidence intervals (CIs) in the risk versus control windows were estimated using the conditional Poisson regression model. We further analyzed the vaccine doses and types for secondary analysis. We also performed subgroup analyses stratified by sex, age, comorbidities, and other conditions and sensitivity analyses by varying the length of the risk window and outcome definition.</p><p><strong>Results: </strong>Among 2,369,490 individuals who received the COVID-19 vaccination, 12 cases of KD/MIS-C were identified, which included five and seven patients in the risk and control windows, respectively. There was no increased risk of KD/MIS-C within the 60-day period of vaccination (IRR, 0.53; 95% CI, 0.17-1.60). Secondary subgroup and sensitivity analyses showed no significant increase in the risk of KD/MIS-C after COVID-19 vaccination, which is consistent with the results of the main analysis.</p><p><strong>Conclusion: </strong>The results of this nationwide study suggest that the risk of developing KD/MIS-C did not increase after COVID-19 vaccination. However, owing to the lack of a sufficient number of cases, future studies utilizing multinational long-term follow-up databases should be conducted. Considering the increasing incidence of KD/MIS-C and the limited understanding of its precise biological mechanisms, additional research on KD/MIS-C is warranted.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 3","pages":"e10"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059372","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":"Prognostic Value of Ambulatory Status at Transplant in Older Heart Transplant Recipients: Implications for Organ Allocation Policy.","authors":"Junho Hyun, Jong-Chan Youn, Jung Ae Hong, Darae Kim, Jae-Joong Kim, Myoung Soo Kim, Jaewon Oh, Jin-Jin Kim, Mi-Hyang Jung, In-Cheol Kim, Sang-Eun Lee, Jin Joo Park, Min-Seok Kim, Sung-Ho Jung, Hyun-Jai Cho, Hae-Young Lee, Seok-Min Kang, Dong-Ju Choi, Jon A Kobashigawa, Josef Stehlik, Jin-Oh Choi","doi":"10.3346/jkms.2025.40.e14","DOIUrl":"10.3346/jkms.2025.40.e14","url":null,"abstract":"<p><strong>Background: </strong>Shortage of organ donors in the Republic of Korea has become a major problem. To address this, it has been questioned whether heart transplant (HTx) allocation should be modified to reduce priority of older patients. We aimed to evaluate post-HTx outcomes according to recipient age and specific pre-HTx conditions using a nationwide prospective cohort.</p><p><strong>Methods: </strong>We analyzed clinical characteristics of 628 patients from the Korean Organ Transplant Registry who received HTx from January 2015 to December 2020. Enrolled recipients were divided into three groups according to age. We also included comorbidities including ambulatory status. Non-ambulatory status was defined as pre-HTx support with either extracorporeal membrane oxygenation, continuous renal replacement therapy, or mechanical ventilation.</p><p><strong>Results: </strong>Of the 628 patients, 195 were < 50 years, 322 were 50-64 years and 111 were ≥ 65 years at transplant. Four hundred nine (65.1%) were ambulatory and 219 (34.9%) were non-ambulatory. Older recipients tended to have more comorbidities, ischemic cardiomyopathy, and received older donors. Post-HTx survival was significantly lower in older recipients (<i>P</i> = 0.025) and recipients with non-ambulatory status (<i>P</i> < 0.001). However, in contrast to non-ambulatory recipients who showed significant survival differences according to the recipient's age (<i>P</i> = 0.004), ambulatory recipients showed comparable outcomes (<i>P</i> = 0.465).</p><p><strong>Conclusion: </strong>Our results do not support use of age alone as an allocation criterion. Transplant candidate age in combination with some comorbidities such as non-ambulatory status may identify patients at a sufficiently elevated risk at which suitability of HTx should be reconsidered.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 3","pages":"e14"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006766","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":"Assessing Trainee Needs for Developing Response Scenarios and Training Manuals for Unknown Infectious Diseases: Insights From a Focus Group Interview.","authors":"Wooyoung Jang, Jinnam Kim, Dabin Eom, Yeseul Na, Choseok Yoon, Se Yoon Park, Bongyoung Kim","doi":"10.3346/jkms.2025.40.e81","DOIUrl":"10.3346/jkms.2025.40.e81","url":null,"abstract":"<p><p>This study employed focus group interviews (FGIs) to evaluate the preparedness and training requirements for an emerging infectious disease response system in the Republic of Korea. Based on the FGIs, the critical role of interdepartmental cooperation in responding to emerging infectious diseases was identified, with agencies such as public health centers, police, and fire services playing key roles in scene control, decontamination, and patient transport. Frequent staff turnover and a lack of trained personnel at local government levels were significant challenges, necessitating the development of training materials for unskilled workers. Civil complaints, common during outbreaks, require public officials to be educated on legal frameworks and the management of patients' rights. The absence of standardized procedures for managing patients, such as bed assignments considering underlying conditions and sample collection, underscores the need for comprehensive guidelines. Interviewees emphasized cross-departmental training, detailed manuals, and legal education to improve infectious disease response capabilities.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 3","pages":"e81"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006760","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":"In This Issue on 20-January-2025.","authors":"Jin-Hong Yoo","doi":"10.3346/jkms.2025.40.e79","DOIUrl":"https://doi.org/10.3346/jkms.2025.40.e79","url":null,"abstract":"","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 3","pages":"e79"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006763","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":"Management of a Large Nosocomial Outbreak From an Index of Crusted Scabies in a Tertiary Care Hospital, 2023: A Retrospective Observational Study.","authors":"Jiwon Jung, Sun-Kyung Kim, Eun Ok Kim, Eun Ji Choi, Jihun Choi, Zhongfan Chang, Sung Eun Chang, Chong Hyun Won, Sung-Han Kim","doi":"10.3346/jkms.2025.40.e7","DOIUrl":"10.3346/jkms.2025.40.e7","url":null,"abstract":"<p><strong>Background: </strong>In 2023, we experienced an outbreak from a case of undiagnosed crusted scabies, resulting in a significant number of exposed individuals and secondary cases. In this report, we describe the outbreak control measures, the attack rate, and the risk factors for acquisition of scabies among healthcare workers (HCWs).</p><p><strong>Methods: </strong>This study was conducted in a 2,700-bed tertiary care hospital in Seoul, South Korea. The attack rate was defined both for microscopic proven cases per exposed individuals and as the sum of proven and probable cases per exposed individuals. Outbreak control measures included identifying and treating all potentially exposed individuals with or without symptoms, as well as environmental disinfection.</p><p><strong>Results: </strong>From the index, there was potential quinary transmission resulting in 63 proven cases, 142 probable cases, and a total of 1,820 exposed individuals, including 734 contacts from the index case. The attack rate from the index was 7% (50/734) based on proven cases and 19% (138/734) based on proven and probable cases. Among the 526 HCWs who received preemptive topical treatment with permethrin applied once, 21 (4%) were later diagnosed as scabies. In addition, 5 of 20 HCWs (25%) with initial proven scabies had a persistent positive microscopic exam after four permethrin treatments. In the case group, there were significantly more nurses (60% vs. 43%, <i>P</i> = 0.007) and nurse assistants (20% vs. 9%, <i>P</i> = 0.006). There were significantly more cases than controls involving direct contact with the index case (94% vs. 64%, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Lowering the threshold for suspicion of crusted scabies is important, as a single missed case could lead to a large outbreak. Simultaneously applying preemptive permethrin cream to all potentially exposed individuals might have been effective in preventing further transmission. However, caution is needed because the development of scabies or persistent scabies is possible even with preemptive or therapeutic treatment.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 3","pages":"e7"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006764","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":"Factors Associated With Receiving Early Post-Discharge Follow-up Care in Patients With Schizophrenia.","authors":"Song Ee Che, Kyoung-Hoon Kim","doi":"10.3346/jkms.2025.40.e8","DOIUrl":"10.3346/jkms.2025.40.e8","url":null,"abstract":"<p><strong>Background: </strong>Identifying factors associated with early post-discharge outpatient care is crucial to prevent relapse and suicide in patients with schizophrenia. This study aimed to investigate factors associated with receiving follow-up care within seven days after hospital discharge among patients with schizophrenia.</p><p><strong>Methods: </strong>This nationwide population-based study was conducted using data from the National Health Insurance Claim Database of South Korea. All patients aged ≥ 18 years, newly admitted to the hospital with schizophrenia between January 1, 2017, and December 31, 2018, were included. The outcome of interest was the receipt of outpatient follow-up care within seven days of hospital discharge. Patients' general characteristics and healthcare services were included as independent variables. A generalized estimating equation model was used to examine factors associated with the outcome.</p><p><strong>Results: </strong>Of 17,565 patients with schizophrenia, 37.6% received outpatient follow-up care within seven days after hospital discharge. Patients who were older and male were less likely to receive follow-up care seven days after discharge. Patients with prior psychiatric outpatient care to their index admission were more likely to receive follow-up care than those without prior outpatient care. A longer hospital stay significantly decreased the likelihood of receiving outpatient follow-up. However, comorbid alcohol use disorder was not associated with receiving follow-up care within seven days of discharge.</p><p><strong>Conclusion: </strong>This study highlights the need to ensure continuity of care for patients with schizophrenia during discharge planning, with particular attention to vulnerable patients.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 3","pages":"e8"},"PeriodicalIF":3.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006762","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":"How To Cope With Predatory Journals.","authors":"Jin-Hong Yoo","doi":"10.3346/jkms.2025.40.e78","DOIUrl":"10.3346/jkms.2025.40.e78","url":null,"abstract":"<p><p>At the November 2024 regular meeting of the International Committee of Medical Journal Editors (ICMJE), predatory journals emerged as a major agenda item. Earlier, in August 2024, the Asia Pacific Association of Medical Journal Editors (APAME) held in Sydney also issued a statement addressing predatory journals. The issue of predatory journals is becoming increasingly serious. In line with the ICMJE's declaration, this review discusses predatory journals in general, suggests how researchers, journal publishers, and editors should address them, and presents an outlook for the future.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 2","pages":"e78"},"PeriodicalIF":3.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978909","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":"Etiology and Clinical Prediction of Community-Acquired Lower Respiratory Tract Infection in Children.","authors":"Byungsun Yoo, Ilha Yune, Dayeon Kang, Youngmin Cho, Sung Yoon Lim, Sooyoung Yoo, Miyoung Kim, June Sung Kim, Daehwan Kim, Ho Young Lee, Rong-Min Baek, Se Young Jung, Eu Suk Kim, Hyunju Lee","doi":"10.3346/jkms.2025.40.e5","DOIUrl":"10.3346/jkms.2025.40.e5","url":null,"abstract":"<p><strong>Background: </strong>Community acquired lower respiratory tract infection (LRTI) is a leading cause for hospitalization in children and important cause for antibiotic prescription. We aimed to describe the aetiology of LRTI in children and analyse factors associated with bacterial or viral infection.</p><p><strong>Methods: </strong>Patients aged < 19 years with a diagnosis of LRTI were identified from the Observational Medical Outcomes Partnership Common Data Model Database of Seoul National University Bundang Hospital from January 2005-July 2019, and their clinical characteristics were obtained from the electronic medical records and retrospectively reviewed.</p><p><strong>Results: </strong>Among 5,924 cases of LRTI, 74.2% were pneumonia and 25.8% were bronchiolitis/bronchitis. Patients' median age was 1.8 (interquartile range, 3.1) years and 79.9% were < 5 years old. Pathogens were identified in 37.8%; 69.1% were viral and 30.9% were bacterial/<i>Mycoplasma pneumoniae</i>. Respiratory syncytial virus was most common (70.9%) among viruses and <i>M. pneumoniae</i> (94.6%) was most common among bacteria. Viral LRTI was associated with winter, age < 2 years, rhinorrhoea, dyspnoea, lymphocytosis, thrombocytosis, wheezing, stridor, chest retraction, and infiltration on imaging. Bacteria/<i>M. pneumoniae</i> LRTI was associated with summer, age ≥ 2 years, fever, decreased breathing sounds, leucocytosis, neutrophilia, C-reactive protein elevation, and positive imaging findings (consolidation, opacity, haziness, or pleural effusion).</p><p><strong>Conclusion: </strong>In children with LRTI, various factors associated with viral or bacterial/<i>M. pneumoniae</i> infections were identified, which may serve as guidance for antibiotic prescription.</p>","PeriodicalId":16249,"journal":{"name":"Journal of Korean Medical Science","volume":"40 2","pages":"e5"},"PeriodicalIF":3.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978905","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}