Huiyu Chen, Meng Chen, Junjie Zhang, Jun Chen, Yan Xu
{"title":"The Association of Peripheral Refraction and Relative Peripheral Refraction with Astigmatism in Shanghai Schoolchildren's Myopia: A Cross-Sectional Study.","authors":"Huiyu Chen, Meng Chen, Junjie Zhang, Jun Chen, Yan Xu","doi":"10.1080/09286586.2025.2459755","DOIUrl":"https://doi.org/10.1080/09286586.2025.2459755","url":null,"abstract":"<p><strong>Purpose: </strong>Currently, no relevant studies have reported a relationship between astigmatism and peripheral refraction (PR). We aimed to describe the association between PR and relative peripheral refraction (RPR) with astigmatism in Chinese children with mild to moderate myopia, and to provide new insights into the influence of astigmatism.</p><p><strong>Methods: </strong>Three-hundred-and-seven children (6-14 years old) from Shanghai were included in this study. The PR and RPR were measured using multispectral refraction topography (MRT). Cycloplegic refraction was measured using an autorefractor (KR-8900, Topcon), whereas axial length and ocular biological parameters were measured using Zeiss IOLMaster 700. Only data from the right eye were analyzed. Multivariate linear regression was used to explore the relationship between cylinder power and MRT parameters.</p><p><strong>Results: </strong>Overall, the median spherical equivalent was -1.50 D (interquartile range, IQR: -2.25, -0.88), showing an apparent trend of hyperopic defocus from the macula to the peripheral retina. Astigmatism was correlated with PR rather than RPR especially at eccentrically inferior and within a 45° radius of the retina (coefficients 0.12-0.18, <i>p</i> < 0.05). Multivariate linear regression analysis demonstrated that the effect of astigmatism on PR tended to increase with greater lens thickness.</p><p><strong>Conclusions: </strong>Astigmatism may be a risk factor for myopia due to its impact on peripheral refraction as opposed to relative peripheral refraction. In this cross-sectional study, we also found evidence supporting the association between peripheral hyperopia and myopia.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wanfen Yip, Michelle Jessica Pereira, Joseph Antonio De Castro Molina, Woan Shin Tan, Kiok Liang Teow, Vivien Yip Cherng Hui, Vernon Yong Khet Yau, Hon Tym Wong, Tock Han Lim, Bee Hoon Heng
{"title":"Quality of Care and Stakeholders' Perceptions of PEC Implementation in Singapore: A Mixed-Methods Study Protocol.","authors":"Wanfen Yip, Michelle Jessica Pereira, Joseph Antonio De Castro Molina, Woan Shin Tan, Kiok Liang Teow, Vivien Yip Cherng Hui, Vernon Yong Khet Yau, Hon Tym Wong, Tock Han Lim, Bee Hoon Heng","doi":"10.1080/09286586.2025.2473714","DOIUrl":"10.1080/09286586.2025.2473714","url":null,"abstract":"<p><strong>Purpose: </strong>Primary eye care (PEC) model aims to facilitate right-siting of care for patients with stable and non-complex conditions by upskilling optometrists. However, there is 1) a lack of examination on PEC's quality of care (measured as degree of agreement in plan of care between upskilled optometrists and ophthalmologists) and 2) no comprehensive real-world evaluation on operational viability and stakeholders' perception of the community-based PEC model. Holistic evaluation is important as in-depth understanding of stakeholders' experience in implementation will be key to ensure the long-term sustainability and scalability of this PEC model. This study aims to examine the quality of care provided at PEC as well as the contextual factors, strategies, and processes that influence implementation, sustainability, and scalability of PEC.</p><p><strong>Methods: </strong>This study will adopt a mixed-method sequential explanatory design, guided by the Practical, Robust Implementation and Sustainability Model framework. First, the quality of care will be assessed by examining the degree of agreement between PEC optometrists and ophthalmologists on patients' plan of care. Second, qualitative research design will be employed to understand the experiences of patients and healthcare professionals. In-depth interviews will be conducted with patients and focused group discussions will be conducted with healthcare professionals. Integration of quantitative and qualitative data will be achieved by employing the building and merging approach.</p><p><strong>Conclusion: </strong>This study will identify areas that could be improved to increase PEC's operational efficiency and enhance its service utilisation. Importantly, key lessons and strategies derived from these evaluations will help to facilitate future nationwide implementation of PEC.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Survey on the Off-Label Use of Atropine in the Treatment of Myopia in Italy.","authors":"Luca Buzzonetti, Pierluigi Navarra","doi":"10.1080/09286586.2025.2457615","DOIUrl":"https://doi.org/10.1080/09286586.2025.2457615","url":null,"abstract":"","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph Nygaard, Collin Hoggard, Aliya Centner, Sarina Amin, Kyle Den Beste
{"title":"Open Globe Injuries in the United States: Analysis of National Trauma Data.","authors":"Joseph Nygaard, Collin Hoggard, Aliya Centner, Sarina Amin, Kyle Den Beste","doi":"10.1080/09286586.2025.2473721","DOIUrl":"https://doi.org/10.1080/09286586.2025.2473721","url":null,"abstract":"<p><strong>Purpose: </strong>Open Globe Injuries are one of the leading causes of preventable, trauma-related blindness. There is some literature studying the effects of demographic factors as they relate to hospital outcomes. This study characterises trends of Open Globe Injury (OGI) and hospital outcomes based on demographic information utilising the National Trauma Data Bank (NTDB).</p><p><strong>Methods: </strong>Using Python programming software, the NTDB was queried for International Classification of Diseases 9th Revision diagnosis codes related to OGI based on the Birmingham Eye Trauma Terminology system. Descriptive statistics were calculated utilising chi-square tests, multivariable adjusted logistic regressions, and ANOVA to process adjusted odds ratio (OR) and means of comparison groups.</p><p><strong>Results: </strong>The final analysis included 21,481 patients. Mean age of OGI was lower for Black (40.01 [40.53-41.49]), American Indian (39.08 [37.15-41.00]), and Hispanic (38.24 [37.70-38.77]) populations. OR for Black patients was lower for work-related OGI (0.36 [0.30-0.44]), but higher for drug-positive OGI (1.51 [1.35-1.69]). Black and American Indian patients had increased odds for assault-related injuries and decreased odds for accident-related injuries. Race and ethnicity had little to no effect on mortality, or discharge to home with service, ICU, or step-down unit. Mean age of fall on the same level injuries was (71.28 [70.49-72.07]); all other mechanisms of injury had a mean age < 42.</p><p><strong>Conclusions: </strong>Our research offers a unique perspective on OGI utilising the NTDB. The trends identify at-risk populations not previously reported and suggests potential racial effects of public safety, work safety and precautions for open globe injuries.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Prevalence of Refractive Errors in Indian School Children: A Systematic Review and Meta-Analysis.","authors":"Vijay Kumar, Manya Soni, Vineeth Rajagopal, Ashish Behera, Aravind Gandhi, Muhammad Aaqib Shamim, Shilpa Gaidhane, Sarvesh Rustagi, Nishant Rai, Sanjit Sah, Mahalaqua Nazli Khatib, Sonam Puri, Vaibhav Jaiswal, Mahendra Singh, Ganesh Bushi, Prakasini Satapathy","doi":"10.1080/09286586.2025.2450346","DOIUrl":"https://doi.org/10.1080/09286586.2025.2450346","url":null,"abstract":"<p><strong>Purpose: </strong>Refractive errors (REs) are a significant cause of vision impairment and the second leading cause of blindness worldwide. Myopia, hyperopia, and astigmatism are the most prevalent forms. In developing regions, including India, the prevalence and impact of REs, particularly among school-aged children, is profound, affecting their academic performance and overall quality of life.</p><p><strong>Methods: </strong>This review aimed to consolidate data from studies published post-2018 to provide updated prevalence estimates of REs among Indian school children. Following the PRISMA guidelines, a comprehensive literature search was conducted in May 2024 across four databases: Web of Science, PubMed, Scopus, and Embase. Inclusion criteria focused on cross-sectional studies from India, reporting the prevalence of REs among school-aged children.</p><p><strong>Results: </strong>Out of 1434 studies, 43 met the inclusion criteria. The overall pooled prevalence of REs was 11% (95% CI: 0.08-0.15). The subgroup analysis showed a slight decline in prevalence post-COVID-19, from 12% to 11%. Prevalence was higher in cycloplegic studies at 12%, compared to 10% in non-cycloplegic. Myopia was the most prevalent RE at 8%, with astigmatism at 3% and hyperopia at 1%. No significant gender differences were found. The meta-regression does not indicate a statistically significant relation between the year of publication and the prevalence of RE.</p><p><strong>Conclusion: </strong>REs, particularly myopia, pose a significant burden among Indian schoolchildren. Despite the COVID-19 pandemic, the overall prevalence of REs has remained stable. These findings emphasize the need for continued vision screening programs and targeted interventions to reduce the prevalence of uncorrected refractive errors.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ansam Qaddoumi, Yaseen Sultan, Ahmad Wahbe, Nowar Zayed, Mohammad Zaatreh, Ruba Alani, Adib Edilbi, Iyad Sultan
{"title":"The Burden of Blindness and Vision Impairment in the Middle East and North Africa: A Global Burden of Disease 2019 Perspective.","authors":"Ansam Qaddoumi, Yaseen Sultan, Ahmad Wahbe, Nowar Zayed, Mohammad Zaatreh, Ruba Alani, Adib Edilbi, Iyad Sultan","doi":"10.1080/09286586.2024.2443514","DOIUrl":"https://doi.org/10.1080/09286586.2024.2443514","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzes the prevalence, causes, and distribution of blindness and moderate-to-severe vision impairment (MSVI) in the Middle East and North Africa (MENA) using the Global Burden of Disease (GBD) 2019 dataset.</p><p><strong>Methods: </strong>The GBD 2019 dataset was used to analyze vision impairment across 21 countries in MENA according to the Snellen chart classification (moderate vision impairment with presenting visual acuity worse than 6/18, severe impairment worse than 6/60, blindness worse than 3/60). Age-standardized prevalence and regional variations were compared to global averages. An exponential linear regression model was used to forecast MSVI and blindness in the year 2050.</p><p><strong>Results: </strong>As of 2019, approximately 37.2 million people in MENA experienced blindness or vision loss. Although the age-standardized prevalence of vision impairment and blindness in MENA decreased from 1990 to 2019 due to improvements in healthcare, the absolute number has almost doubled (18.58 million in 1990 to 37.19 million in 2019) due to population growth and aging. Between 1990 to 2019, the population aged 70 and older in MENA grew from 7.2 million to over 19.2 million. Lastly, our predictions indicate an 86% increase in the number of individuals with vision loss by 2050.</p><p><strong>Conclusion: </strong>The largest causes of moderate vision loss were refractive errors and cataracts, respectively, while the major causes of blindness were cataracts and glaucoma, respectively. The projection of increased vision impairment by 2050 underscores the urgent need for policy changes and efficient resource distribution to improve healthcare access and interventions.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Cross-Sectional Study of Demographic Representativeness of Glaucoma Patient Populations in Clinical Trials from 2006 to 2022.","authors":"Justine Tin Nok Chan","doi":"10.1080/09286586.2025.2463063","DOIUrl":"https://doi.org/10.1080/09286586.2025.2463063","url":null,"abstract":"","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic epidemiologyPub Date : 2025-02-01Epub Date: 2024-03-20DOI: 10.1080/09286586.2024.2319243
Karissa M Wang, Anne L Coleman, Deyu Pan, Fei Yu, Victoria L Tseng
{"title":"Population-Level Associations Between Visual Impairment and Functional Difficulties in California.","authors":"Karissa M Wang, Anne L Coleman, Deyu Pan, Fei Yu, Victoria L Tseng","doi":"10.1080/09286586.2024.2319243","DOIUrl":"10.1080/09286586.2024.2319243","url":null,"abstract":"<p><strong>Purpose: </strong>The prevalence of visual impairment is increasing, and there is a need to understand the functional implications. Using the American Community Survey (ACS) data, this study examined the relationship between visual impairment and functional difficulties in California.</p><p><strong>Methods: </strong>Using the 2010-2014 and 2015-2019 ACS 5-year estimates from the U.S. Census, data were obtained for visual impairment and functional difficulties including hearing, cognitive, ambulatory, self-care, and independent living difficulties. The prevalence of vision impairment and each functional difficulty was calculated on the Medical Service Study Area (MSSA) level in California. Unadjusted and adjusted linear regression models were performed to estimate the association between visual impairment and each functional difficulty, adjusting for age, sex, race and ethnicity, education level, English-speaking ability, poverty status, health insurance status, and urbanity of residence location.</p><p><strong>Results: </strong>The prevalence of visual impairment in California was 2.3% (659,502 of 28,794,572) in 2010-2014 and 2.3% (709,353 of 30,231,767) in 2015-2019 among the population ≥ 18 years old. There were statistically significant associations between the prevalence of vision impairment and increased prevalence of all functional difficulties, with the most positive correlation observed with ambulatory difficulty (slope estimate 0.58 ± 0.072 for 2010-2014 and 0.78 ± 0.082 for 2015-2019 for ambulatory difficulty).</p><p><strong>Conclusions: </strong>There may be population-level impacts of functional consequences from vision impairment, suggesting the need for neighborhood-level investigation and policy-based interventions to address the burden of vision impairment on the population level.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"9-17"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic epidemiologyPub Date : 2025-02-01Epub Date: 2024-03-07DOI: 10.1080/09286586.2024.2317816
Kwadwo Owusu Akuffo, Isaiah Osei Duah Junior, Eldrick Adu Acquah, Elna Abadua Mensah, Albert Kwadjo Amoah Andoh, David Ben Kumah, Bridget Senya Boateng, Josephine Ampomah Boateng, Kofi Osei-Poku, Werner Eisenbarth
{"title":"Low Vision Practice and Service Provision Among Optometrists in Ghana: A Nationwide Survey.","authors":"Kwadwo Owusu Akuffo, Isaiah Osei Duah Junior, Eldrick Adu Acquah, Elna Abadua Mensah, Albert Kwadjo Amoah Andoh, David Ben Kumah, Bridget Senya Boateng, Josephine Ampomah Boateng, Kofi Osei-Poku, Werner Eisenbarth","doi":"10.1080/09286586.2024.2317816","DOIUrl":"10.1080/09286586.2024.2317816","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize practice patterns of low vision services among Optometrists in Ghana.</p><p><strong>Methods: </strong>The nationwide cross-sectional survey identified entities through the Ghana Optometrists Association (GOA) registry and utilized a semi-structured questionnaire to consolidate survey information that comprises practitioners' demographics, available services, diagnostic equipment, barriers to service provision and utilization, and interventions.</p><p><strong>Results: </strong>300 Optometrists were identified, with 213 surveyed (71% response rate). About fifty percent (52.6%) were in private practice, and more than two-thirds (77%) did not provide low vision services. Most (≥70%) reported lack of assistive devices, and basic eye care examination kits as the main barriers to low vision service provision. Similarly, practitioners reported unawareness of the presence of low vision centres (76.1%), and high cost of low vision aids (75.1%) as the prime perceived barriers for patients to utilize low vision services. Continuous professional development and public education (89-90%) were suggested as interventions to improve the uptake of low vision services. After statistical adjustment, private facility type (Adjusted odds ratio [AOR] = 0.35, <i>p</i> = 0.010) and lack of basic eye examination kits (AOR = 0.32, <i>p</i> = 0.002) were significantly associated with reduced odds of low vision service provision. Conversely, ≥15 years of work experience (AOR = 6.37, <i>p</i> = 0.011) was significantly associated with increased odds of low vision service provision.</p><p><strong>Conclusions: </strong>Overall, the results indicate inadequate low vision coverage and service delivery. Government policies must be directed towards equipping practitioners with equipment and subsidize patient cost of treatment to optimize low vision care.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140049993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic epidemiologyPub Date : 2025-02-01Epub Date: 2024-03-20DOI: 10.1080/09286586.2024.2321902
Jung Hoo Lee, Seong Ho Kim, EunAh Kim
{"title":"Influence of Smoking and Controlled Medical Conditions on the Risks of Branch Retinal Vein Occlusion in South Korea: A Population-Based Study.","authors":"Jung Hoo Lee, Seong Ho Kim, EunAh Kim","doi":"10.1080/09286586.2024.2321902","DOIUrl":"10.1080/09286586.2024.2321902","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of controlled medical conditions and risk of lifetime smoking history on the prevalence of branch retinal vein occlusion (BRVO) based on the Korea National Health and Nutrition Survey (KNHANES) database from 2017-2021.</p><p><strong>Methods: </strong>The study population consisted of individuals aged ≥ 40 years who had completed ophthalmological questionnaires, underwent comprehensive ophthalmological examinations, and had at least one good-quality readable fundus photograph. Age, sex, hypertension status, diabetes status, dyslipidemia status, body mass index status, a history of chronic kidney disease (CKD), a lifetime smoking history of ≥ 100 cigarettes, and glaucoma were subjected to univariate and multivariate logistic regression analyses.</p><p><strong>Results: </strong>The estimated prevalence (± standard error) of RVO was 0.5% (±0.1%). Significant risk factors were one-year increase in age, female sex, hypertension (stage 1, controlled, uncontrolled, and undiagnosed hypertension), underweight, pre-obesity, history of CKD, lifetime smoking history of ≥ 100 cigarettes, and glaucoma. Controlled diabetes decreased the risk of BRVO by 55% (odds ratio [OR] = 0.45, 95% confidence interval [CI] = 0.22-0.89, <i>p</i> = 0.022) and controlled hyper-high-density-lipoprotein (HDL)-cholesterolemia decreased the risk by 69% (OR = 0.31, 95% CI = 0.13-0.76, <i>p</i> = 0.010).</p><p><strong>Conclusion: </strong>This study, for the first time, reported the association between lifetime smoking history of ≥ 100 cigarettes and BRVO in Korea. The risk of BRVO was lower in participants with controlled diabetes and hypo-HDL-cholesterolemia.</p>","PeriodicalId":19607,"journal":{"name":"Ophthalmic epidemiology","volume":" ","pages":"44-51"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140175814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}