Revista de saude publica最新文献

{"title":"Description and performance of two diet quality scores based on the Nova classification.","authors":"Caroline Dos Santos Costa, Francine Silva Dos Santos, Kamila Tiemann Gabe, Eurídice Martinez Steele, Fernanda Helena Marrocos-Leite, Neha Khandpur, Fernanda Rauber, Maria Laura da Costa Louzada, Renata Bertazzi Levy","doi":"10.11606/s1518-8787.2024058006470","DOIUrl":"10.11606/s1518-8787.2024058006470","url":null,"abstract":"<p><strong>Objective: </strong>To describe two low-burden diet quality scores and evaluate their performance in reflecting the dietary share of the least and most processed foods defined within the Nova food system classification.</p><p><strong>Methods: </strong>This cross-sectional study included data from the NutriNet-Brasil cohort. Participants answered the Nova24hScreener, a 3-minute self-administered questionnaire measuring the consumption of a set of foods on the day before. Food items included in this tool belong to two main groups of the Nova classification: unprocessed or minimally processed whole plant foods (WPF, 33 items) and ultra-processed foods (UPF, 23 items). Two scores were obtained by summing the number of items checked: the Nova-WPF and the Nova-UPF. We compared the scores, respectively, with the dietary intake (% of total energy) of all unprocessed or minimally processed whole plant foods and all ultra-processed foods obtained from a full self-administered web-based 24-hour recall performed on the same day.</p><p><strong>Results: </strong>The approximate quintiles of each score had a direct and linear relationship with the corresponding % of energy intake (p-value for linear trend < 0.001). We found a substantial agreement between the intervals of each score and the corresponding % of energy intake (Nova-WPF score: Prevalence-Adjusted and Bias-Adjusted Kappa (PABAK) 0.72, 95%CI 0.64-0.81; Nova-UPF score: PABAK 0.79, 95%CI 0.69-0.88).</p><p><strong>Conclusions: </strong>These two scores performed well against the dietary share of unprocessed or minimally processed whole plant foods and ultra-processed foods in Brazil and can be used to evaluate and monitor diet quality.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"47"},"PeriodicalIF":2.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740240","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":"The financing of medicines in Brazilian municipalities: whose responsibility is it?","authors":"Wendell Rodrigues Oliveira da Silva, Rodrigo Fonseca Lima, Ivanessa Thaiane do Nascimento Cavalcanti, Rafael Santos Santana, Silvana Nair Leite","doi":"10.11606/s1518-8787.2024057005565","DOIUrl":"10.11606/s1518-8787.2024057005565","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the investments made in medicines by the federated entities and the asymmetries in these investments from 2016 to 2020, which may have an impact on the supply of and access to these medicines in the SUS.</p><p><strong>Methods: </strong>This is an exploratory, retrospective study to identify who are the main entities responsible for investment in Primary Care medicines in municipalities, the evolution, counterparts, and regional differences of this investment between 2016 and 2020.</p><p><strong>Results: </strong>The amounts spent on medicines by Brazilian municipalities were higher than the contribution to the CBAF from the MS or the MS + State in all the years analyzed. The average percentages of federal funds transferred and municipal spending varied according to the region of Brazil. The average per capita amount invested in medicines by municipalities increased between 2016 and 2020 (deflation applied), with a greater impact for municipalities with lower MHDI. The Farmácia Popular program mainly reaches municipalities with the largest populations and the highest MHDI and is therefore not enough to address the inequalities in access pointed out.</p><p><strong>Conclusions: </strong>There has been a widening of inequalities in the capacity of municipalities to ensure access to medicines, especially among the most vulnerable municipalities, accumulating even more risks of illnesses and deaths from primary care-sensitive diseases.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"48"},"PeriodicalIF":2.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740293","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":"The first identification of Lutzomyia longipalpis (Lutz & Neiva, 1912) in Macapá, Amapá.","authors":"Keison de Souza Cavalcante, Allan Kardec Ribeiro Galardo, José Ferreira Saraiva, Tatiane Alves Barbosa, Érika Oliveira Galeno, Marcio Claudio de Lima Nunes, Ana Paula Sales de Andrade Correa, Nayma da Silva Picanço, Fredy Galvis-Ovallos, Eunice Aparecida Bianchi Galati","doi":"10.11606/s1518-8787.2024058005963","DOIUrl":"10.11606/s1518-8787.2024058005963","url":null,"abstract":"<p><p>Lutzomyia longipalpis (Lutz & Neiva, 1912) constitutes the most epidemiologically relevant vector of visceral leishmaniasis (VL) in the New World. On October 25, 2023, the Macapá Center for Strategic Information in Health Surveillance registered a case of VL in the Km9 neighborhood, in Macapá. This study aimed to describe the Phlebotominae species in this area to assist the confirmation of the autochthony of the case. In total, 12 specimens were collected, of which five belonged to the Lutzomyia longipalpis species, confirming the presence of the VL agent vector and the possible autochthony of the transmission.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"49"},"PeriodicalIF":2.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740296","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":"QuestNova: innovation in food consumption assessment according to industrial processing.","authors":"Maria Laura da Costa Louzada, Thays Nascimento Souza, Evelyn Frade, Kamila Tiemann Gabe, Gustavo Akinaga Patricio","doi":"10.11606/s1518-8787.2024058006307","DOIUrl":"10.11606/s1518-8787.2024058006307","url":null,"abstract":"<p><p>The objective of this commentary is to describe the characteristics, development and functionalities of the food intake data collection platform QuestNova. The platform was developed by two information technology specialists, with the support of a team from Nupens/USP. The development process took place in stages, with all the functionalities of each step being thoroughly tested by multiple team members before moving on to the next. QuestNova is a free online platform that offers three self-administered instruments for assessing food intake, based on the Nova classification: Screener-Nova, QFA-Nova and R24h-Nova. On the platform, the researcher can select the instrument of interest and send it via a link to the participants in their study, who will answer it autonomously, without the presence of an interviewer. Databases containing relevant indicators for evaluating food according to the level of processing are automatically generated from the responses. A crucial aspect of QuestNova is its commitment to the confidentiality and safety of participant data. No information is stored internally on the platform; on the contrary, data is transmitted directly to a Google Drive account provided by the researcher themselves. QuestNova democratizes access to innovative research tools, boosting studies on the impact of food processing on Brazilian health. Future updates may extend its usefulness.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"38"},"PeriodicalIF":2.1,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11584175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813989","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":"Effects of pay for performance in primary care in an under-registration scenario.","authors":"Paula de Castro-Nunes, Paloma Palmieri, Hugo Bellas, Adriana Soares, Jaqueline Viana, Paulo Victor Rodrigues de Carvalho, Alessandro Jatobá","doi":"10.11606/s1518-8787.2024058005812","DOIUrl":"10.11606/s1518-8787.2024058005812","url":null,"abstract":"<p><strong>Objective: </strong>To propose a method for detecting and analyzing under-registration and highlight its potential financial effect in view of the implementation of the Previne Brasil Program.</p><p><strong>Methods: </strong>An ecological study was carried out to analyze cytopathological exams in programmatic area 3.1 in the municipality of Rio de Janeiro. The data was collected from the Departamento de Informática do Sistema Único de Saúde (DATASUS - Department of Informatics of the Unified Health System) database, including information on reports from outsourced cytopathology laboratories and those available in the Sistema de Informação em Saúde para a Atenção Básica (SISAB - Health Information System for Primary Care) and the Sistema de Informação do Câncer do Colo do Útero (SISCOLO - Cervical Cancer Information System) of DATASUS/Ministry of Health.</p><p><strong>Results: </strong>The estimated under-registrations per health unit totaled 108,511 exams in the last two years in the programmatic area 3.1 area, which corresponds to an estimated total of R$ 435,129.00 that would have been foregone if the Previne Brasil Program had been in place during the period studied.</p><p><strong>Conclusion: </strong>The article's main contribution lies in the presentation of empirical evidence of the potential effects of under-registration on Primary Health Care financing. In addition, there are two other significant findings - firstly, it highlights weaknesses in the process of recording health information inherent to vulnerable regions; secondly, it indicates a vicious circle potentially fueled by sudden changes in Primary Health Care funding conditions, in addition to potential consequences for other levels of care.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"44"},"PeriodicalIF":2.1,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506884","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":"Access to primary healthcare services among adults with disabilities in Brazil.","authors":"Veronika Reichenberger, Maria Eduarda Lima de Carvalho, Tom Shakespeare, Shaffa Hameed, Tereza Maciel Lyra, Maria do Socorro Velo de Albuquerque, Loveday Penn-Kekana, Christina May Moran de Brito, Luciana Sepúlveda Köptcke, Hannah Kuper","doi":"10.11606/s1518-8787.2024058005842","DOIUrl":"10.11606/s1518-8787.2024058005842","url":null,"abstract":"<p><strong>Objective: </strong>To investigate perspectives of people with disabilities in Brazil regarding the access to primary healthcare.</p><p><strong>Methods: </strong>In-depth interviews were conducted with 44 individuals with disabilities in Pernambuco, Distrito Federal, and São Paulo between March 2020 and November 2021. These interviews were transcribed, coded, and analysed thematically, using the Levesque framework to identify healthcare access barriers.</p><p><strong>Results: </strong>Participants expressed a solid understanding of their healthcare needs and existing obstacles. However, individuals with hearing and visual impairments experience challenges because of communication barriers. In Pernambuco, the Community Health Agent was often the initial point of contact for primary care services. Public transportation lacked accessibility, from buses to driver attitudes, posing difficulties for people with disabilities. More accessible transportation and improved urban infrastructure could enhance service access. High medication costs were reported due to limited healthcare unit availability. Communication accessibility issues, inadequate audio-visual resources and equipment were also identified as barriers. Attitudinal barriers among healthcare professionals and subpar home visit services further hinder access.</p><p><strong>Conclusion: </strong>To address these challenges and improve the well-being of individuals with disabilities in Brazil, comprehensive action is essential. This includes leadership, governance, and resource allocation reforms to meet healthcare needs. Initiatives like disability-focused training for service providers, enhanced transportation options, improved information accessibility, and increased support from community healthcare workers can collectively enhance the lives of people with disabilities.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"45"},"PeriodicalIF":2.1,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506967","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":"Early ultra-processed foods consumption and hyperactivity/inattention in adolescence.","authors":"Ricardo Campos Ferreira, Angela Helena Marin, Marcia Regina Vitolo, Paula Dal Bo Campagnolo","doi":"10.11606/s1518-8787.2024058005636","DOIUrl":"10.11606/s1518-8787.2024058005636","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between childhood consumption of ultra-processed foods and symptoms of hyperactivity/inattention in adolescents from São Leopoldo, a city in southern Brazil.</p><p><strong>Methods: </strong>Data were collected at four distinct stages: when participants were 12-16 months old in 2001 and 2002 and later when they were 3-4, 7-8, and 12-13 years old. During the interview at 12-16 months, mothers were asked about the introduction of sugar in their child's diet. Two 24-hour recall surveys were conducted with children aged 3-4, 7-8, and 12-13 years to assess their consumption of ultra-processed foods. At the age of 12-13 years, the participants completed the Hyperactivity/Inattention subscale of the Strengths and Difficulties Questionnaire (SDQ), which screens for mental health problems.</p><p><strong>Results: </strong>Among the 173 adolescents, 22.5% exhibited hyperactivity symptoms. The consumption of ultra-processed foods in grams, kilocalories, and as a percentage of energy intake at 3-4 years old were found to be predictors of hyperactivity/inattention symptoms (RR: 0.81, 95%CI: 0.69-0.95; RR: 1.01, 95%CI: 1.00-1.02; RR: 1.02, 95%CI:1.01-1.02; RR: 1.25, 95%CI:1.04-1.51, respectively).</p><p><strong>Conclusion: </strong>The consumption of ultra-processed foods at an early age was associated with hyperactivity and inattention symptoms in adolescence.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 ","pages":"46"},"PeriodicalIF":2.1,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506968","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":"Social representations of HIV and healthcare among recently diagnosed youth.","authors":"Rosana Guarnieri, Fernanda Cangussu Botelho, Luís Augusto Vasconcelos da Silva, Eliana Miura Zucchi","doi":"10.11606/s1518-8787.2024058005594","DOIUrl":"10.11606/s1518-8787.2024058005594","url":null,"abstract":"<p><strong>Objective: </strong>To understand the social representations of HIV and their repercussions for the healthcare among recently diagnosed youth.</p><p><strong>Methods: </strong>This qualitative research was conducted within PrEP15-19, a study that analyzed the effectiveness of HIV pre-exposure prophylaxis in adolescents aged 15 to 19 years. Semi-structured interviews were conducted with nine participants, of whom eight identified themselves as gay men and one as travesti. All were diagnosed with HIV as this study was conducted in São Paulo and Salvador from 2019 to 2020. The interview guide covered aspects of HIV prevention and repercussions on care. Data were thematically analyzed and interpreted based on social representations theory.</p><p><strong>Results: </strong>Participants reported experiences of stigma and discrimination related to their sexual orientation and gender identity and expression. Their diagnosis renewed these painful experiences as it referred to the common-sense social representations of HIV and AIDS based on precarious knowledge of HIV prevention, treatment, and transmission. Analysis of facilitators and barriers to care strongly related treatment adherence to health services welcoming people with information, support, and careful listening. Barriers were related to health services' constraints, such as lack of privacy, professionals' hostility, and insecurity regarding diagnosis confidentiality.</p><p><strong>Conclusions: </strong>The social representations of HIV are an important dimension of youths' experience receiving their diagnosis, especially since it renews stories of violence, homophobia, transphobia, stigma, and discrimination. Understanding this based on youths' narratives is an important tool to formulate public policies aimed at the needs of this age group. Therefore, building new social representations to mitigate stigma constitutes one of the most important elements to face the HIV epidemic among adolescents and youth.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 suppl 1","pages":"6s"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473612","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":"At the intersections: operationalizing intersectional thematic analysis in HIV prevention.","authors":"Cristiane Spadacio, Lorruan Alves Dos Santos, Ramiro Andres Fernandez Unsain, Isa da Silva Sorrentino, Marcia Thereza Couto","doi":"10.11606/s1518-8787.2020054005728","DOIUrl":"10.11606/s1518-8787.2020054005728","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to provide theoretical and methodological tools to assist in producing thematic analyses guided by an intersectional approach in empirically-based qualitative health studies. It argues that combining an intersectional perspective with thematic analysis can update the latter-which is quite popular in qualitative health investigations-regarding meaningful discussions about multiple and interconnected patterns of privilege and oppression that operate structurally and institutionally, producing experiences of relative disadvantage in individuals according to their gender, race/ethnicity, class, sexuality, generation, among other positions.</p><p><strong>Methods: </strong>Based on an article that analyzed qualitative empirical data from a longitudinal demonstrative study on pre-exposure prophylaxis for HIV (PrEP) in adolescents and young people aged 15 to 19 years in two Brazilian capitals, this study discusses the limitations, challenges, and potentialities of the theoretical and methodological efforts undertaken by those authors. Additionally, this research that offers a proposal for operationalizing thematic analysis with intersectional sensitivity.</p><p><strong>Results: </strong>It observed that triangulating techniques can enhance thematic analysis with intersectional sensitivity to produce qualitative data. Adopting an a priori intersectional proposal, starting from the research design phase, construction, and application of data production instruments with intersectional intentionality, enables the recognition of the relations between social markers in analytical categories.</p><p><strong>Discussion: </strong>However, the absence of an intersectional theoretical-methodological perspective to conceive research and produce data fails to render intersectionality as a methodological tool unfeasible, although it may limit result analysis and discussion. Such limitations can be addressed by proposing intersectional assumptions and comparing the results with literature related to the theme and object of study.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 suppl 1","pages":"5s"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473554","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":"Perceptions and practices of healthcare providers in providing HIV pre-exposure prophylaxis to trans adolescents and young adults and men who have sex with men.","authors":"Ayra Zaine Rodrigues Urbano, Dulce Ferraz, Yzabelle de Lima Raymundo, Eliana Miura Zucchi","doi":"10.11606/s1518-8787.2020054005589","DOIUrl":"10.11606/s1518-8787.2020054005589","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to understand the perceptions and practices of healthcare providers regarding the offer of HIV pre-exposure prophylaxis (PrEP) to gay and trans adolescents and young adults.</p><p><strong>Methods: </strong>This qualitative research was developed as part of the PrEP1519 study, which was conducted from 2018 to 2021 to analyze the effectiveness of PrEP in adolescents and young adults. Data were collected from July 2020 to February 2021 at the municipality of São Paulo by combining participant observations and semi-structured interviews. The analytical process involved immersion in the empirical material and coding and categorizing it with the support of NVivo®. Interpretation followed the hermeneutic-dialectical principle and had the concept of Care in health practices as its horizon.</p><p><strong>Results: </strong>The construction of trust-based relationships followed practices that acknowledge the uniqueness of youth and their demands and sought to strengthen their autonomy. Sensitive and supportive listening was pointed out as a welcoming practice that propelled care actions. Welcoming attitudes and support in facing stigma and violence (related or not to the use of PrEP) acknowledged the need to support adolescents and young adults to develop autonomy for prevention. The use of language close to young people's everyday life favored the construction of relationships of trust and positively influenced the development of autonomy and adherence to PrEP. The tension between technical and practical success occurred in the idealized search for adult-centric normativity as opposed to intersubjectivity.</p><p><strong>Conclusion: </strong>The perceptions and practices of healthcare providers are aligned with the concept of Care as they include actions beyond technical knowledge and recognize the contexts that increase the vulnerability of adolescents and young adults to HIV.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"58 suppl 1","pages":"10s"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473560","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}