Journal of tissue viability最新文献

{"title":"A survey of society of tissue viability members in response to the pressure ulcer categorisation recommendations made by the national wound care strategy programme","authors":"Clare Greenwood , Peter Worsley","doi":"10.1016/j.jtv.2025.100961","DOIUrl":"10.1016/j.jtv.2025.100961","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100961"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149697","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":"Spinal cord stimulation in patients with diabetic foot: Determining prognosis using infrared thermography","authors":"Min Bao ,&nbsp;Hongyu Qu ,&nbsp;Mingjie Zhang","doi":"10.1016/j.jtv.2025.100957","DOIUrl":"10.1016/j.jtv.2025.100957","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to determine whether perioperative infrared thermography (IRT) could be used as an index of success in the treatment of spinal cord stimulation (SCS) in patients with diabetic foot (DF) and in selecting suitable candidates for long-term SCS.</div></div><div><h3>Methods</h3><div>Thirty-three DF patients who met the inclusion criteria underwent permanent SCS implantation at Shengjing Hospital from January 2021 to August 2023. Patients were grouped by preoperative Wagner grading, and peripheral sensory neuropathy was tested with a 10-g monofilament. Preoperative and 1-week postoperative IRT was performed to record lower limb skin temperature. Patients were divided into success (no amputation) and failure (amputation) groups based on limb salvage status. Receiver operating characteristic curve and logistic regression analysis were used for evaluation.</div></div><div><h3>Results</h3><div>All patients completed 6-month follow-up with pain relief (preoperative VAS: 6.82 ± 1.32; postoperative VAS: 5.48 ± 1.18; P &lt; 0.001), and 52 limbs were salvaged (success rate: 78.8 %). No significant difference in success rate was found among different Wagner grades (P = 0.293). The success group had increased postoperative IRT (△IRT: 0.65 °C), while the failure group had decreased IRT (△IRT: 0.70 °C). The success rate was lower in patients with large-fiber neuropathy (59.1 % vs 88.6 %, P = 0.007). The diagnostic threshold of △IRT was −0.12 °C (AUC = 0.79, P &lt; 0.001). Logistic regression showed large-fiber neuropathy (P = 0.025) and △IRT (P = 0.001) were related to prognosis.</div></div><div><h3>Conclusion</h3><div>SCS treatment effectively relieved lower limb pain. Patients with DF and large-fiber neuropathy had a lower surgical success rate. IRT was significantly higher in the treatment success group. Perioperative IRT changes of &lt; –0.12 °C and combined large-fiber neuropathy were identified as warning signs, and patients with these signs should be treated with caution when receiving long-term SCS therapy. IRT can be used as a diagnostic index for the prognosis of patients with DF receiving SCS and to select suitable long-term SCS treatment candidates.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100957"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154774","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":"Surgical reconstruction (SR) to treat severe pressure ulcers (SPU) in the UK: a mixed-methods analysis of surveys of healthcare professionals","authors":"Maria Pufulete ,&nbsp;Matthew Hackney ,&nbsp;Christalla Pithara-McKeown ,&nbsp;Abby O'Connell ,&nbsp;Una Adderley ,&nbsp;Nicky Cullum ,&nbsp;Matthew J. Ridd ,&nbsp;Jeremy Rodrigues ,&nbsp;Jason KF. Wong ,&nbsp;Barnaby C. Reeves ,&nbsp;Jo C. Dumville","doi":"10.1016/j.jtv.2025.100938","DOIUrl":"10.1016/j.jtv.2025.100938","url":null,"abstract":"<div><h3>Background</h3><div>We surveyed primary and secondary care health professionals to describe the care and referral pathways for treatment, including surgical reconstruction (SR), for patients with a severe pressure ulcer (SPU).</div></div><div><h3>Methods</h3><div>We administered three online surveys comprising closed and open-ended questions (free text comment boxes) to healthcare professionals working in primary care, nurses who look after patients with severe PUs in any setting and surgeons (11, 30 and 22 questions, respectively). Participants were recruited through professional organisations, contacts of study team members and through social media. We calculated descriptive statistics for the closed questions and used principles of thematic analysis to analyse the free text comments.</div></div><div><h3>Results</h3><div>There were 59 primary care (76 % GPs), 146 nurse and 45 surgeon respondents. Most nurses worked in hospitals (60 %) or the community (55 %) and almost all (93 %) were trained in wound care. Most surgeons were plastic surgeons (79 %) in consultant roles (81 %). Over half of primary care respondents did not know SR is a treatment option to close SPUs and had never referred patients with SPUs to secondary care for a surgical opinion. Nearly three quarters of nurses (72 %) considered SR for a SPU and over half (54 %) believed that SR to close a SPU should be more widely available. Surgeons reported that SR was not performed for most referred SPU patients; but two thirds (68 %) believed that SR should be more widely available. There was good agreement about which patients are suitable for SR. The free-text analysis identified both system-level (e.g. lack of care pathways, dedicated multidisciplinary teams, resources) and patient-level (e.g. patient lifestyle, behaviour and preferences) factors influencing patients’ access to SR.</div></div><div><h3>Conclusions</h3><div>Our surveys highlighted that nurses and surgeons agree about which SPU patients are suitable for SR but lack of awareness, the absence of an established referral pathway and lack of multidisciplinary teams are barriers to access to SR.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100938"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144772402","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":"Investigating UK packing practices for cavities resulting from the incision and drainage of perianal abscesses, a case for deimplementation?","authors":"J. Dumville ,&nbsp;K. Newton ,&nbsp;J. Mullings ,&nbsp;P. Wilson","doi":"10.1016/j.jtv.2025.100965","DOIUrl":"10.1016/j.jtv.2025.100965","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100965"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145355128","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":"Improving concordance with long-term compression therapy amongst people with venous hypertension and lower leg ulceration: A Delphi study- patient cohort","authors":"Chloe Jansz ,&nbsp;William McGuiness ,&nbsp;Sonja Cleary","doi":"10.1016/j.jtv.2025.100947","DOIUrl":"10.1016/j.jtv.2025.100947","url":null,"abstract":"<div><div>Concordance rates for compression therapy (CT) among patients with venous leg ulcers (VLU) have consistently been suboptimal, despite efforts to understand influencing factors [2–4]. VLUs arise as a complication of chronic venous insufficiency (CVI), where venous incompetence or stenosis causes increased capillary permeability, fluid retention, and eventual ulceration [1].</div><div>CT is the established gold standard for managing CVI and preventing VLUs. CT works by enhancing venous return, reducing venous pressure, and minimising stasis. However, ensuring patient concordance to CT remains a challenge.</div><div>A Delphi study explored factors affecting CT concordance among VLU patients. The study identified 16 facilitators and 18 barriers, offering insights into the complexities of patient concordance. The study's analysis using the Kendall W Coefficient showed moderate consensus among participants regarding these influencing factors [9].</div><div>Efforts to improve CT concordance may benefit from addressing the identified barriers while leveraging facilitators, with a focus on personalised care approaches to enhance outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100947"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721655","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":"Development of a predictive formula for arterial complete occlusion pressure in upper and lower limbs during blood flow restriction","authors":"María García-Arrabé,&nbsp;Ángel González-de-la-Flor,&nbsp;Federico Salniccia,&nbsp;Javier López-Ruiz,&nbsp;Guillermo García-Pérez-de-Sevilla","doi":"10.1016/j.jtv.2025.100946","DOIUrl":"10.1016/j.jtv.2025.100946","url":null,"abstract":"<div><div>Blood flow restriction (BFR) is an innovative technique widely utilized in sports and rehabilitation for enhancing muscle strength and hypertrophy with low-load exercises. A critical factor for its efficacy and safety is determining the appropriate limb occlusion pressure (LOP). This study aimed to develop predictive formulas for estimating LOP in the upper and lower limbs based on anthropometric and hemodynamic variables, enabling a standardized and personalized approach to BFR application.</div><div>A cross-sectional observational study was conducted with 39 healthy participants aged 18–40 years. Variables such as systolic and diastolic blood pressure, limb circumferences, and BMI were analyzed. LOP was measured by two independent raters using Doppler ultrasound, and multiple linear regression models were developed for each limb. Results showed that systolic blood pressure and limb circumferences were key predictors for LOP in both upper and lower limbs, explaining 39.5 % and 40.9 % of the variance, respectively. BMI was not a significant predictor in either model.</div><div>High intra- and inter-rater reliability of LOP measurements was demonstrated, with intraclass correlation coefficients (ICC) of 0.99 for intra-rater and 0.98 for inter-rater reliability, indicating excellent agreement. The standard error of measurement (SEM), ranged from 1.08 to 4.10 mmHg across measures, while the minimum detectable change (MDC), ranged from 2.99 to 11.37 mmHg.</div><div>The findings provide a reliable framework for personalizing BFR protocols, improving safety and efficacy while reducing variability in clinical and sports settings. Future research should validate these formulas in diverse populations and explore their application during exercise.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100946"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695463","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 incidence and prevalence rates of pressure ulcers in the paediatric population: A meta-review of systematic reviews","authors":"Lauren Vickers ,&nbsp;Carol Hilliard ,&nbsp;Rosemarie Derwin ,&nbsp;Fiona Boland ,&nbsp;Zena Moore ,&nbsp;Aglecia Moda Vitoriano Budri","doi":"10.1016/j.jtv.2025.100962","DOIUrl":"10.1016/j.jtv.2025.100962","url":null,"abstract":"<div><h3>Aim</h3><div>This meta-review examined the incidence and prevalence rates of pressure ulcers in paediatric populations, to place in context the scope of the problem in this cohort of patients. The findings provide a foundation for future research on early factors contributing to paediatric pressure ulcers, aiming to improve understanding and prevention.</div></div><div><h3>Method</h3><div>A protocol for this study was registered with the International Prospective Register of Systematic Reviews. This meta-review followed the recommendations from the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. A comprehensive electronic literature search was undertaken of seven databases in February 2025. Search terms and keywords were identified to try and identify as many relevant articles as possible. Inclusion and exclusion criteria were applied, and articles which were identified were critically appraised using the Joanna Briggs Institute checklist for systematic reviews. Individual studies were extracted from the systematic reviews, duplicates were removed manually. From these individual studies, data points were identified for extraction and inclusion in this meta-review. Reported incidence and prevalence rates were broken into categories based on the type of pressure ulcer: hospital-acquired, medical device-related and tracheostomy-related pressure ulcers.</div></div><div><h3>Results</h3><div>Five systematic reviews met the inclusion criteria and were included in this review. Three types of pressure ulcers were discussed in the included studies: hospital-acquired pressure ulcers, medical device-related pressure ulcers, and tracheostomy-related pressure ulcers. Pooled incidence and prevalence rates were calculated using the STATA application and the Metaprop command. The pooled incidence rate for hospital-acquired pressure ulcers was 8 % (95 % Confidence Interval [CI]: 4 %–13 %), and for medical device-related pressure ulcers was 9 % (95 % CI: 2 %–19 %). The pooled prevalence rate for hospital-acquired pressure ulcers was 8 % (95 % CI: 5 %–12 %), and for medical device-related pressure ulcers was 10 % (95 % CI: 1 %–26 %). Studies related to tracheostomy-related pressure ulcers showed a pooled risk ratio of 0.35 (95 % CI 0.26–0.49).</div></div><div><h3>Conclusion</h3><div>Pressure ulcers are a concern in paediatric populations, with comparable incidence and prevalence rates between hospital-acquired and medical device-related pressure ulcers. Children with tracheostomies face a significantly higher risk of developing pressure ulcers, highlighting the need for tailored preventive interventions. The findings here point to the need for vigilant preventive measures and tailored interventions to safeguard the well-being of young patients against pressure ulcers.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100962"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416109","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":"Factors aggravating the stage of pressure injury in dyspneic patients","authors":"Jung Eun Hong ,&nbsp;Mi-Ock Shim ,&nbsp;Heejung Choi ,&nbsp;Yeongju Been ,&nbsp;Seungmi Park","doi":"10.1016/j.jtv.2025.100898","DOIUrl":"10.1016/j.jtv.2025.100898","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to identify the aggravating factors of pressure injuries and provide basic data for prevention and effective nursing interventions for patients with dyspnea.</div></div><div><h3>Materials and methods</h3><div>This secondary analysis using electronic medical records from patients with dyspnea who developed pressure injuries after admission to the general wards of five hospitals in Korea between March 2022 and May 2022. Data were collected using a standardized case report form to gather information on clinical characteristics and pressure injuries.</div></div><div><h3>Results</h3><div>The mean age of the 214 patients was 71.6 ± 10.99 years. Common comorbidities included diabetes mellitus (43.4 %) and cardiovascular diseases (21.5 %). Most patients (94.4 %) required oxygen therapy. At the time of pressure injury occurrence, the Braden scale scores ≤16 was 74.3 % at pressure injury occurrence. Pressure injuries were classified as stage 1 (25.5 %), stage 2 or higher (58.4 %), and unstageable (18.1 %). The multivariate analysis revealed that fecal incontinence (odds ratio [OR]: 0.12, 95 % confidence interval [CI]: 0.04–0.42), albumin ≥3.5 g/dl (OR: 0.57, 95 % CI: 0.34–0.95) and use of restraints (OR: 3.57, 95 % CI: 1.53–8.30) were significant predictive factors for advanced stage pressure injury.</div></div><div><h3>Conclusions</h3><div>This study identified fecal incontinence, albumin level, the use of restrains as a significant predictive factors for advanced stage pressure injury in dyspneic patients. These highlight the need for tailored preventive strategies and monitoring, particularly for patients requiring restraints, to reduce the incidence and severity of pressure injury in this population.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100898"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826458","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":"Nurses' practices in preventing medical device-related pressure injuries in neonates in Saudi Neonatal Intensive Care Units","authors":"Ahmad Ismail ,&nbsp;Ameera Suhail Alghamdi ,&nbsp;Hanadi Abdullah Alzbeedi ,&nbsp;Mashael F. Dewan ,&nbsp;Dena Attallah","doi":"10.1016/j.jtv.2025.100909","DOIUrl":"10.1016/j.jtv.2025.100909","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal pressure injury due to medical devices is prevalent, especially in the Neonatal Intensive Care Units (NICU). Nurses play a significant role in preventing medical device-related pressure injuries (MDRPI) in neonates. However, NICU nurses' practices in preventing MDRPI are not well known in Saudi Arabia.</div></div><div><h3>Objective</h3><div>This study aimed to assess nurses' practices in preventing the MDRPI in the NICU in Saudi Arabia.</div></div><div><h3>Methods</h3><div>A quantitative cross-sectional design was used to capture information from 82 NICU nurses working in two hospitals in Jeddah, Saudi Arabia (private and governmental). Nurses' practices were assessed using a self-reported questionnaire of two main parts: 1) demographic and work-related factors, and 2) nurses' practices regarding preventing MDRPI. Data were analyzed using descriptive statistics, frequencies, percentages, and independent t-tests.</div></div><div><h3>Results</h3><div>The total practice score for the MDRPI was moderate (3.8/5 ± 1.4). A substantial proportion of nurses never or rarely performed some important practices to prevent MDRPI in the NICU. Nurses who received education/training on pressure ulcers and MDRPI achieved a significantly higher practice score for MDRPI prevention than those who did not (P &lt; 0.05). Nurses who reported having a policy or protocol at their units for MDRPI achieved a significantly higher practice score for MDRPI prevention than those who did not (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Although the practice score of NICU nurses to prevent MDRPI was moderate, many nurses never or rarely employed some important practices to prevent MDRPI in the NICU. Targeted interventions are needed to educate NICU nurses on MDRPI prevention. Future research should recruit more nurses from various NICUs in Saudi Arabia.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100909"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851493","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":"Effectiveness of a standardized skin care protocol in reducing incontinence-associated dermatitis among critical care patients: A clinical investigation","authors":"Shimmaa Mohamed Elsayed ,&nbsp;Mohamed Mahmoud Seweid ,&nbsp;Samah Anwar ,&nbsp;Sameer A. Alkubati ,&nbsp;Sally Mohammed Farghaly Abdelaliem PhD, MSC, BSc, RN, FHEA ,&nbsp;Nermine Mohamed Elcokany","doi":"10.1016/j.jtv.2025.100924","DOIUrl":"10.1016/j.jtv.2025.100924","url":null,"abstract":"<div><h3>Background</h3><div>Incontinence-associated dermatitis (IAD) is a common yet preventable skin condition among critically ill patients. Implementing standardized skin care protocols may help reduce its incidence and severity.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the effectiveness of implementing a standardized skin care protocol in preventing IAD among critically ill patients.</div></div><div><h3>Materials and methods</h3><div>A quasi-experimental research design adhering to the STROBE guidelines was used. The study was conducted in the intensive care units of a Governmental University Hospital, Egypt. A total of 100 adult critically ill patients were enrolled: 50 in the experimental group, who received the standardized skin care protocol, and 50 in the control group, who received routine skin care. Clinical and demographic data were collected. The study group followed the protocol for seven days. Two tools were used for data collection: Tool 1 involved demographic and clinical data, while Tool 2 included the Perineal Assessment Tool, the Incontinence-Associated Dermatitis Severity Instrument, and the Braden Scale for pressure ulcer risk assessment. Both groups were compared regarding the development of pressure ulcers, their locations, and the incidence of IAD.</div></div><div><h3>Results</h3><div>Application of the skin care protocol significantly reduced the incidence and severity of IAD in the study group compared to the control group. Significant predictors of increased risk for IAD included age, body mass index, fluid balance, and mean temperature (p ≤ 0.05). Serum albumin was not a significant predictor (p = 0.341).</div></div><div><h3>Conclusion</h3><div>Implementing a standardized skin care protocol effectively lowered the incidence and severity of IAD in critically ill patients and delayed its development. These findings highlight the importance of evidence-based skin care practices in intensive care settings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100924"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936069","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}