Revista de saude publica最新文献

{"title":"Self-reported cancer in Brazil: data from the National Health Survey, 2013 and 2019.","authors":"Ana Beatriz Machado de Almeida, Matheus Souza Ferreira, Gizelton Pereira Alencar, Tatiana Natasha Toporcov, Zilda Pereira da Silva","doi":"10.11606/s1518-8787.2026060007291","DOIUrl":"10.11606/s1518-8787.2026060007291","url":null,"abstract":"","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e39"},"PeriodicalIF":2.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological considerations on the validation of the CuidaSM ScaleResponse letter: Furthering the methodological debate on the validation of the CuidaSM ScaleBrazilian scale for evaluation of mental health care needs (CuidaSM): evidence of validity in primary health careEscala de avaliação da necessidade de cuidado em saúde mental: evidências adicionaisEvidence for test validation: a guide for practitionersDetermining sample size requirements in EFA solutions: a simple empirical proposalDecalogue for the factor analysis of test itemsMild-restricted confirmatory factor analysis: a new approach to assessing population factor modelsFactor 9.2: a comprehensive program for fitting exploratory and semiconfirmatory factor analysis and IRT models.","authors":"Arthur Brandão Siqueira Neves de Lima, Hugo Rafael de Souza E Silva","doi":"10.11606/s1518-8787.2026060007752","DOIUrl":"10.11606/s1518-8787.2026060007752","url":null,"abstract":"","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e37"},"PeriodicalIF":2.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial inequalities in preterm birth in Central-West Brazil, 2015-2024: a population-based cross-sectional study.","authors":"Guilherme Coelho, Charles M'poca Charles, Rodolfo de Carvalho Pacagnella, Clarimar José Coelho, Danielle Satie Kassada","doi":"10.11606/s1518-8787.2026060007625","DOIUrl":"10.11606/s1518-8787.2026060007625","url":null,"abstract":"<p><strong>Objective: </strong>To examine racial inequalities in preterm birth (PTB; < 37 weeks) among White, Parda, Black, and Indigenous mothers in Brazil's Central-West region using a population-based cross-sectional design.</p><p><strong>Methods: </strong>We analyzed 2,156,674 live births registered in Sistema de Informação sobre Nascidos Vivos (2015-2024) across Goiás, Mato Grosso, Mato Grosso do Sul, and the Federal District. Logistic regression with progressive covariate adjustment estimated odds ratios, with White mothers as the reference group; prevalence ratios from Poisson regression with robust variance, adjusted probabilities by group, and absolute risk differences were estimated as complementary measures.</p><p><strong>Results: </strong>Crude preterm birth prevalence was 11.1% (White), 11.0% (Parda), 11.7% (Black), and 17.6% (Indigenous). In the primary sociodemographic model, Indigenous mothers had 50.4% higher odds (OR = 1.504; 95% CI 1.461-1.549), corresponding to a 28.9% attenuation of the crude OR. The adjusted probability of preterm birth was 15.9% among Indigenous versus 11.2% among White mothers (absolute difference 4.7 percentage points; prevalence ratio 1.41). In exploratory models additionally adjusting for prenatal care, parity, and marital status (n = 2,146,853), the Indigenous OR was attenuated to 1.222 (95% CI 1.186-1.259), although adjustment for prenatal visits is susceptible to reverse causation. Black mothers showed a modest crude excess (OR = 1.053) that did not persist after adjustment (full model OR = 0.973), and Parda mothers showed slightly lower odds throughout.</p><p><strong>Conclusion: </strong>Indigenous mothers in the Central-West experience a substantial preterm birth inequality that is only partially attenuated by measured sociodemographic factors and is compatible with the influence of unmeasured structural and contextual determinants.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e44"},"PeriodicalIF":2.4,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 lack of access to dental services among Brazilian adults.","authors":"Márcio Vinicius de Gouveia Affonso, Aylene Bousquat, José Leopoldo Ferreira Antunes, Paulo Frazão","doi":"10.11606/s1518-8787.2026060007431","DOIUrl":"10.11606/s1518-8787.2026060007431","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between individual and contextual variables and lack of access to dental services among the Brazilian adult population.</p><p><strong>Methods: </strong>This is a cross-sectional study based on a nationally representative sample of adults aged 35 to 44 years from SB Brasil 2023. Multiple analyses were performed using multilevel logistic regression. The outcome was lack of access to dental services. Individual exposures included demographic data, income, educational attainment, and type of service sought; contextual variables included population size, socioeconomic development, and availability of public dental services in Brazilian cities.</p><p><strong>Results: </strong>It was found that 17.5% of Brazilian adults did not receive dental care when they sought it. Low educational attainment, low family income, and seeking public services increased the likelihood of lack of access. The contextual variables did not explain the outcome, in addition to the individual-level factors.</p><p><strong>Conclusion: </strong>Lack of access to dental services among adults in Brazil was associated with low socioeconomic status and with those who sought public services, considering contextual variables related to the municipalities included in the study. The absence of an association between the contextual variables analyzed and lack of access may reflect the widespread availability of dental services, an extremely positive aspect of the Brazilian health system. Nevertheless, despite advances in expanding coverage and the establishment of the Política Nacional de Saúde Bucal (National Oral Health Policy) as a state policy, socioeconomic inequalities persist that limit the principle of equitable access.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e45"},"PeriodicalIF":2.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screen use and consumption of ultra-processed foods among Brazilian adolescents.","authors":"Maria Eduarda da Costa Andrade, Diôgo Vale, Poliana de Araújo Palmeira","doi":"10.11606/s1518-8787.2026060007360","DOIUrl":"10.11606/s1518-8787.2026060007360","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between screen time, including time spent watching television and using media (television, computer, and cell phone) during meals, and high consumption of ultra-processed foods among Brazilian adolescents.</p><p><strong>Methods: </strong>A population-based cross-sectional study using data from the 2019 Pesquisa Nacional de Saúde do Escolar (National School Health Survey), analyzing a sample of 123,761 adolescents (ages 13-17). Consumption of ultra-processed foods was assessed using a score based on the frequency of consumption of thirteen subgroups of ultra-processed foods on the previous day. High consumption was defined as a score of seven or higher, corresponding to the top quintile. The association was investigated using Poisson regression models, adjusted for sex, age, self-reported race/skin color, geographic region, location (urban/rural), school type (public/private), and wealth index.</p><p><strong>Results: </strong>The prevalence of high consumption of ultra-processed foods (scores ≥ 7) was 16.15% (95% CI 15.46-16.86). A dose-response relationship was observed, with higher prevalences associated with increased screen time, both for time spent watching television and for media use during meals. Adolescents who watched television for > 6 h/day had a 90% higher prevalence of high consumption of ultra-processed foods (PRa = 1.90; 95% CI 1.72-2.11) compared with those who did not watch television. The association was significant even in the category with the lowest exposure time (up to 1 h/day). Similarly, adolescents who used media every day during meals had a 55% higher prevalence (PRa = 1.55; 95% CI 1.43-1.68).</p><p><strong>Conclusions: </strong>The findings demonstrate a direct and significant association between increased screen time and high consumption of ultra-processed foods among Brazilian adolescents. This study reinforces the need for public health interventions that address excessive screen time as a key behavioral factor in the consumption of ultra-processed foods in this population.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e42"},"PeriodicalIF":2.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the implementation of nutritional care in the context of Primary Health Care.","authors":"Patrícia Maria de Oliveira Machado, Josimari Telino de Lacerda, Rafaela Souza Petrolini, Mick Lennon Machado","doi":"10.11606/s1518-8787.2026060006929","DOIUrl":"10.11606/s1518-8787.2026060006929","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the implementation of nutritional care within the Primary Health Care (PHC) system in Brazilian municipalities and to identify the association between the degree of implementation and aspects of the sociodemographic and political-organizational context.</p><p><strong>Methods: </strong>This is an evaluative study with a quantitative approach that examined the responsibility of municipal managers in ensuring conditions and implementing interventions, based on the analysis of 17 indicators grouped into the dimensions of management and care. The municipalities were classified according to the degree of implementation of nutritional care in PHC by assessing the observed score relative to the maximum score, using the criteria \"incipient,\" \"intermediate,\" and \"advanced.\" The influence of the context on the degree of implementation was analyzed, with the independent variables grouped into two blocks, using multivariate logistic regression.</p><p><strong>Results: </strong>A total of 4,064 Brazilian municipalities were evaluated, with an advanced level of implementation observed in 11.6% (n = 471). Management aspects received lower scores compared to care aspects. The contextual factors associated with a higher level of implementation of nutritional care were municipalities with a population of fewer than 25,000 inhabitants, located in the Southern Region, better social indicators, a lower proportion of children under five years of age, 100% coverage by the Family Health Strategy, and support from a dietitian in PHC.</p><p><strong>Conclusion: </strong>The implementation of nutritional care in Brazilian PHC was considered in its early stages during the period under investigation. Despite significant advances in food and nutrition surveillance, nutritional care exhibited major weaknesses in the management and coordination of care. We reiterate the need for continuous processes to evaluate and monitor interventions in Primary Health Care, improve the quality of care, and integrate nutritional care into the care model.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e43"},"PeriodicalIF":2.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Municipal wealth and tooth extractions in the Unified Health System: limits to changing the healthcare model.","authors":"Cristiane Maria da Costa Silva, Juliane Franco Martins, Gustavo Fernando Silva, Walbert de Andrade Vieira, Carlos José Soares, Luiz Renato Paranhos","doi":"10.11606/s1518-8787-2026060007600","DOIUrl":"10.11606/s1518-8787-2026060007600","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the time trend of dental extractions performed in primary health care and their association with human development indicators and oral health coverage in municipalities at the extremes of wealth distribution.</p><p><strong>Methods: </strong>An ecological study using secondary data from August 2019 to July 2024, with Brazilian municipalities as the units of analysis. A total of 200 municipalities were selected, comprising the 100 with the lowest and the 100 with the highest gross domestic product per capita. The number of tooth extractions was obtained from national health information systems, and rates were calculated per 1,000 inhabitants. The temporal trend was estimated using generalized least squares regression with an autoregressive structure, and the annual percentage change was calculated. Comparisons between the groups were performed using a mixed-effects model with a negative binomial distribution, adjusted for indicators of oral health coverage, socioeconomic status, and demographics. A significance level of 5% was used.</p><p><strong>Results: </strong>A total of 355,218 tooth extractions were recorded during the study period. The rates showed stationary trends in both groups, although municipalities with higher per capita gross domestic product exhibited a borderline trend towards an increase (p = 0.06). The Municipal Human Development Index was inversely associated with the outcome, while population coverage of primary patternsoral health care was positively associated with it. Per capita gross domestic product was not significantly associated with tooth extraction rates in the adjusted model.</p><p><strong>Conclusion: </strong>The stability of tooth extraction rates throughout the time series, regardless of municipal wealth, suggests that factors related to human development and the organization of services may be more relevant for understanding the distribution of this procedure within the Unified Health System.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e38"},"PeriodicalIF":2.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applications of artificial intelligence in chronic kidney disease: a systematic review.","authors":"Jalila Andréa Sampaio Bittencourt, Aline Santana Figueredo, Naruna Aritana Costa Melo, Cindy Lima Pereira, Yuri Armin Crispim de Moraes, Margareth Santos Costa Penha, Darah de Lourdes Costa Lindoso Marques, Evelyn Feitosa Rodrigues, Arthur André Castro da Costa, Allan Kardec Duailibe Barros Filho","doi":"10.11606/s1518-8787.2026060007308","DOIUrl":"10.11606/s1518-8787.2026060007308","url":null,"abstract":"<p><strong>Objective: </strong>To identify the applications of artificial intelligence in the early diagnosis, prediction and management of chronic kidney disease, highlighting the algorithms used, clinical outcomes, and impacts on nephrology practice.</p><p><strong>Methods: </strong>In this systematic review, PubMed and Scopus databases were searched without year or language restrictions, including studies published between 2019 and 2025. Article selection followed PRISMA 2020 criteria, considering patients at risk for or diagnosed with chronic kidney disease, artificial intelligence tools as interventions, and outcomes related to early detection and disease management. Data was extracted on algorithm type, sample size, clinical outcomes, and main findings.</p><p><strong>Results: </strong>Twenty-six studies were included, demonstrating the predominance of supervised learning and deep learning algorithms, generally showing high-performance metrics such as accuracy, sensitivity, and specificity in identifying chronic kidney disease and its stages. However, recurring weaknesses were observed, especially regarding the control of confounding factors, external validation of models, and standardization of datasets. Critical analysis of the studies shows that, despite the promising potential of computational models in the management of chronic kidney disease, methodological gaps still exist that limit their generalization and incorporation into clinical practice.</p><p><strong>Conclusion: </strong>This review demonstrates that artificial intelligence is a strategic tool for prevention, early diagnosis, and individualized management of chronic kidney disease. However, progress in this area depends on the development of more robust models, externally validated and integrated into real clinical contexts, contributing safely and effectively to renal health care.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e41"},"PeriodicalIF":2.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Night work and cancer risk: results from the ELSA-Brasil worker cohort.","authors":"Débora Cristina de Almeida Mariano Bernardino, Ubirani Barros Otero, Isiyara Taverna Pimenta, Rosane Harter Griep, Luana Giatti, Sandhi Maria Barreto, Maria de Jesus Mendes da Fonseca","doi":"10.11606/s1518-8787.2026060007579","DOIUrl":"10.11606/s1518-8787.2026060007579","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the association between exposure to night work and the incidence of breast, prostate, and colorectal cancer among participants in the Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil - Longitudinal Study of Adult Health).</p><p><strong>Methods: </strong>ELSA-Brasil is a multicenter cohort study conducted in the Northeast, South, and Southeast regions of Brazil. A total of 14,787 participants were included at baseline (2008-2010) and followed through 2023, with a mean follow-up duration of 13 years (SD = 2.22). Exposure to night work was defined based on self-reported occupational history, considering cumulative duration. Incidence cases of cancer were identified during follow-up. Associations were estimated using Cox regression models, adjusted for sociodemographic, behavioral, and occupational variables.</p><p><strong>Results: </strong>Exposure to night work for more than ten years was associated with an increased risk of prostate cancer (HR = 1.38; 95% CI 1.09-1.75) and colorectal cancer (HR = 1.35; 95% CI 1.09-1.68), compared with exposure to day work. No association was observed between breast cancer and night work (HR = 0.89; 95% CI 0.65-1.22).</p><p><strong>Conclusion: </strong>The results suggest that prolonged exposure to night work may increase the risk of cancer, particularly prostate and colorectal cancer. This is the first study from the ELSA-Brasil cohort to analyze cancer incidence, expanding knowledge on work-related cancer and reinforcing the carcinogenic potential of night work, with implications for occupational health surveillance and cancer prevention policies in public health.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e40"},"PeriodicalIF":2.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13568599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional impact of long Covid on work performance and return to work: a cross-sectional study.","authors":"Fabio Cavalcanti Freitas, Vivian Cintra Sousa, Daniella de Melo, Diêgo Araújo de Moraes Ramos, Gabriela Sayuri Ochiai, Daniel Kolisch, Julia Costa Guimarães, Larissa Gomes da Silva, Erika Christina Gouveia E Silva, José Eduardo Pompeu, Ana Carolina Basso Schmitt","doi":"10.11606/s1518-8787.2026060007097","DOIUrl":"10.11606/s1518-8787.2026060007097","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between long Covid and socioeconomic, clinical, healthcare, and functional factors with reduced work performance and difficulty returning to work.</p><p><strong>Methods: </strong>A cross-sectional study of individuals in São Paulo aged ≥ 18 years with long Covid (77.8%), with data collected between April 2023 and June 2024. A systematic random sample of severe and mild Covid-19 cases from March 2020 to January 2022. The severity of Covid-19 was classified according to the U.S. Centers for Disease Control and Prevention (CDC) guidelines. Prevalences were assessed, and a Poisson test was performed to examine the association between reduced work performance and difficulty returning to work and sociodemographic, clinical, healthcare-related, and functional factors considered significant (p ≤ 0.05). Among the participants, 43.9% experienced reduced work performance, and 22.2% had difficulty returning to work. Long Covid is defined as having two or more symptoms that develop and persist for more than four weeks after Covid-19, cannot be explained by an alternative diagnosis, and are assessed using a Likert scale for the intensity of self-reported symptoms (0-10). Participants' functional status was assessed using scales for basic activities (Katz), instrumental activities (Lawton), functional limitations (WHO-DAS), and sarcopenia (SARC-F).</p><p><strong>Results: </strong>Poorer work performance was associated with advanced age (PR = 2.20; 95%CI 1.27-3.80), as well as being the primary provider (PR = 1.55; 95%CI 1.05-2.29), and having moderate (OR = 2.99; 95%CI 1.60-5.58) or severe (OR = 4.88; 95%CI 2.59-9.19) functional impairment. For difficulty returning to work, the main association observed was severe functional impairment (OR = 4.33; 95%CI 1.58-11.80).</p><p><strong>Conclusion: </strong>It is noteworthy that advanced age and, particularly, severe functional impairment were significantly associated with poorer performance and difficulty returning to work in the studied population with long Covid.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"60 ","pages":"e35"},"PeriodicalIF":2.4,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148797755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}