Revista de saude publica最新文献

{"title":"Auriculotherapy in primary care: profile of graduates from a large-scale course.","authors":"Lúcio José Botelho, Charles Dalcanale Tesser, Melissa Costa Santos, Emiliana Domingues Cunha da Silva, Ari Ojeda Ocampo Moré, Fátima Terezinha Pelachini Farias, Lilian Elizabeth Diesel","doi":"10.11606/s1518-8787.2025059006715","DOIUrl":"10.11606/s1518-8787.2025059006715","url":null,"abstract":"<p><strong>Objectives: </strong>To present the profile of graduates from a blended learning course in auriculotherapy and their perception of user acceptance and clinical outcomes of this integrative and complementary health practice, currently the most widely implemented in the Brazilian Unified Health System. The course is offered free of charge to primary health care professionals.</p><p><strong>Method: </strong>A digital questionnaire was sent in 2023 by email to all graduates to date (n = 13,581), addressing their professional profile, their perception of user acceptance and the clinical outcomes of auriculotherapy. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>A total of 5,461 professionals responded (41.34% of graduates from nine editions of the course, each with multiple classes of around 50 to 100 students). Most were women (87.82%), nurses (33.55%), physical therapists (11.59%), psychologists (5.40%), pharmacists (9.65%), nutritionists (8.05%), dentists (7.57%), and physicians (5.57%); aged 30 to 49 years (77.7%); working in primary health care (80.44%); without prior experience in integrative and complementary health practice (73.58%). After the course, 56.31% reported practicing auriculotherapy. User acceptance was reported as high or very high by 73.6% and as moderate by 22.14% of practitioners. Clinical outcomes were reported as very good or good by 79.72% and as moderate by 18.35%. of practitioners.</p><p><strong>Conclusion: </strong>The graduates of the auriculotherapy course who responded to the survey are mostly women, family health professionals and members of multi-professional teams working in primary health care, who report higher user acceptance and perceive good clinical outcomes from the use of auriculotherapy.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e37"},"PeriodicalIF":2.4,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557859","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":"Health profile and metal exposure over three years in a child cohort study, Bruminha Project.","authors":"Carmen Ildes Rodrigues Fróes Asmus, Maíra Lopes Mazoto, Nataly Damasceno de Figueiredo, Herling Gregorio Aguilar Alonzo, Renan Duarte Dos Santos Saraiva, Aline de Souza Espindola Santos, Ana Paula Natividade de Oliveira, Ivisson Carneiro Medeiros da Silva, Michele Alves Costa, Leiliane Coelho André, Sérgio Viana Peixoto, Volney de Magalhães Câmara","doi":"10.11606/s1518-8787.2025059006931","DOIUrl":"10.11606/s1518-8787.2025059006931","url":null,"abstract":"<p><strong>Objective: </strong>To describe the health profile and patterns of exposure to mining waste over the period of three years in a cohort of children living in areas affected by the collapse of a mining tailings dam in Brumadinho, Minas Gerais State, Brazil, in 2019.</p><p><strong>Methods: </strong>This prospective cohort study included all children aged 0 to six years residing in four selected locations: three in the disaster zone (Parque da Cachoeira, Córrego do Feijão, and Tejuco - exposed areas) and one located 10 km away (Aranha - non-exposed area). Assessments included anthropometric growth, neuromotor and cognitive development, and respiratory conditions. Urine samples were collected and analyzed for lead, arsenic, cadmium, mercury, and manganese using inductively coupled plasma mass spectrometry (ICP-MS).</p><p><strong>Results: </strong>The average percentage of children assessed in the period was 80% of the projected population. There was an increase in the percentage of children with urinary arsenic levels above the reference value over the three-year period (2021 = 42%; 2022 = 44%; 2023 = 57%), as well as in detection rates of lead (88.9%) and mercury (63.9%) in 2021, both reached 100% in 2023. The median urinary arsenic concentration increased from 2021 (9.35 μg/g; IQR = 5.45-13.9) to 2023 (10.8 μg/g; IQR = 7.0-15.3) in the total sample of children (p = 0.064), with a statistically significant increase among those living in exposed areas (p = 0.015; Parque da Cachoeira). Over the three-year period, there was a decrease in the percentage of neurodevelopmental alterations and overweight/obesity, and an increase in reports of respiratory alterations in the total population, although these changes were not related to metal exposure.</p><p><strong>Conclusion: </strong>The findings indicate ongoing exposure of the metals analyzed in the study population; however, no associated health effects have been identified thus far. It is essential that the Brazilian Unified Health System be structured according to specificities of the productive processes in each territory.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e30"},"PeriodicalIF":2.1,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557789","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":"Zika virus does not alter locomotor activity of Aedes albopictus (Diptera: Culicidae).","authors":"Pâmela Dos Santos Andrade, Vivian Petersen, Antônio Ralph Medeiros-Sousa, Anderson Vicente de Paula, Paulo Roberto Urbinatti, Rosa Maria Marques de Sá Almeida, Tamara Nunes Lima-Camara","doi":"10.11606/s1518-8787.2025059006968","DOIUrl":"10.11606/s1518-8787.2025059006968","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of Zika virus on the locomotor activity of a Brazilian population of Aedes albopictus under laboratory conditions.</p><p><strong>Methods: </strong>Females of Aedes albopictus were infected with Zika virus orally or by intrathoracic injection. The locomotor activity was monitored using a Drosophila activity monitor under controlled conditions of 25°C and a 12h light/dark cycle. The infection status was determined using reverse transcription followed by real-time polymerase chain reaction (RT-qPCR). Statistical analyses were conducted using generalized linear mixed models (GLMMs).</p><p><strong>Results: </strong>The locomotor activities of Zika virus-infected and uninfected Aedes albopictus females were diurnal and bimodal, with peaks at lights on and off. The infection did not significantly alter the total activity, diurnal and nocturnal, or the light-on and light-off peaks of infected females compared with uninfected females, regardless of the method of infection (intrathoracic injection or orally).</p><p><strong>Conclusion: </strong>This finding indicates that Zika virus infection does not affect the daily activity pattern of this species under laboratory conditions, which reinforces the importance of this species as a competent and adaptable vector in urban and rural areas, confirming the importance of ongoing surveillance and control strategies.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e33"},"PeriodicalIF":2.4,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557326","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":"Effect of dietary and lifestyle intervention in pregnant women: randomized clinical trial.","authors":"Maria Carolina de Lima, Natalia Posses Carreira, Daniela Saes Sartorelli","doi":"10.11606/s1518-8787.2025059006259","DOIUrl":"10.11606/s1518-8787.2025059006259","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the intra- and between-group (control and intervention) effect of counseling during pregnancy on pregnant women's food consumption and physical activity.</p><p><strong>Methods: </strong>This randomized, parallel, two-arm clinical trial was carried out in primary health care in a Brazilian municipality from 2018 to 2021. Adult pregnant women with pre-gestational overweight (n = 350) were randomly assigned to the control or intervention groups. The intervention consisted of three counseling sessions based on the NOVA food classification system and encouragement toward physical activity. Then, 24-hour dietary records were obtained, and physical activity was assessed using a structured questionnaire. The Wilcoxon test was used for intra-group differences between assessments and the Mann-Whitney test, for differences between groups.</p><p><strong>Results: </strong>Women in the control group consumed less minimally and unprocessed foods (%E) (Δ = -4.08; -13.58 to 4.34; p = 0.006) and more ultra-processed foods (%E) (Δ = 3.74; -5.86 to 12.86; p = 0.009), with no difference between groups. The intervention group showed an increase in commuting-related physical activity (min/week) between assessments (Δ = 9.00; -30.00 to 70.00; p = 0.02), with no difference between groups. The other parameters showed no differences.</p><p><strong>Conclusions: </strong>The intervention failed to affect outcomes. However, intragroup changes showed that the control consumed less minimally and unprocessed foods and more ultra-processed foods and the intervention group increased their commuting-related physical activities.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e32"},"PeriodicalIF":2.4,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557868","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":"Association of Previne Brasil Program with prenatal care and maternal-child mortality.","authors":"Caio Vieira de Barros Arato, Luciane Miranda Guerra, Livia Fernandes Probst, Antonio Carlos Pereira","doi":"10.11606/s1518-8787.2025059006735","DOIUrl":"10.11606/s1518-8787.2025059006735","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of prenatal care on the reduction of maternal-child mortality in Brazilian municipalities following the new primary health care financing model, the Previne Brasil program.</p><p><strong>Methods: </strong>This study comprised a nationwide cross-sectional observational analysis, utilizing secondary data from Departamento de Informática do Sistema Único de Saúde (Datasus - Information Technology Department of the Unified Health System), Sistema de Informação sobre Mortalidade (SIM - Mortality Information System), Sistema de Informação sobre Nascidos Vivos (Sinasc - Live Birth Information System), Sistema de Informação em Saúde para a Atenção Básica (Sisab - Primary Health Care Information System), and Instituto Brasileiro de Geografia e Estatística (IBGE - Brazilian Institute of Geography and Statistics). Medians of maternal mortality, infant mortality, and prenatal care rates were calculated for Brazilian municipalities from 2016 to 2022. Logistic regression analyses were conducted to assess associations between independent variables (primary care coverage, population size, Gross Domestic Product, and Gini index) and outcomes (variations in maternal and infant mortality rates). Both crude and adjusted odds ratios were estimated, with a significance level of 5%.</p><p><strong>Results: </strong>Prenatal care rates increased by 86.7%, while maternal mortality rates decreased by 30.9%, with no association between them. Region, primary care coverage, municipal Gross Domestic Product, and population size were associated with variations in maternal mortality rates. The Southern region had a higher likelihood of reducing maternal mortality. No association was found between increased prenatal care rates and reduced infant mortality. Regional location, primary care coverage, population size, and the Gini index were associated with variations in infant mortality rates, with greater reductions observed in more populous municipalities and in the Northeast, Southeast, and Midwest.</p><p><strong>Conclusion: </strong>The Previne Brasil program led to an increase in prenatal care consultations in Brazilian municipalities but did not significantly impact the reduction of maternal-child mortality.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e28"},"PeriodicalIF":2.4,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145422518","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":"Efficacy of auricular acupuncture on sleep quality among individuals with depression: a clinical trial.","authors":"Ana Elise Machado Ribeiro Silotto, Artur Heps, Daniel Maurício Oliveira Rodrigues, Pedro Henrique de Mesquita Pacheco, Nathalia Martins Pereira Sanches, Mariana Cabral Schveitzer, Paulo Rossi Menezes, Alexandre Faisal-Cury","doi":"10.11606/s1518-8787.2025059006694","DOIUrl":"10.11606/s1518-8787.2025059006694","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of auricular acupuncture in reducing insomnia symptoms among individuals with depression compared with non-specific auricular acupuncture, at four weeks, six weeks, and three months after the intervention began.</p><p><strong>Methods: </strong>A randomized, blinded clinical trial assessed sleep quality using the Pittsburgh Sleep Quality Index in 74 adults equally divided into two groups: specific auricular acupuncture and non-specific auricular acupuncture. Both groups underwent 12 auricular acupuncture sessions performed twice a week.</p><p><strong>Results: </strong>After three months, the intention-to-treat analysis found no statistically significant difference in achieving good sleep quality between groups (33.3% versus 26.1%, p > 0.05). However, a trend toward statistical significance occurred after 4 weeks, with 50% of participants in the experimental group and 24.1% in the control group achieving good sleep quality (p = 0.057).</p><p><strong>Conclusions: </strong>We observed no statistically significant difference in sleep quality between individuals with depressive symptoms undergoing specific auricular acupuncture compared with non-specific after three months. However, a significant trend (p = 0.057) confirmed by the per-protocol analysis (p = 0.038) indicated that participants receiving specific auricular acupuncture had a 69% higher chance of achieving good sleep quality after four weeks. These findings should be interpreted with caution, as they did not reach statistical significance; rather, they reflect a trend toward significant improvement and are subject to the study's limitations.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 ","pages":"e27"},"PeriodicalIF":2.4,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12520719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145422528","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":"Obstetric Violence in the state of Rio de Janeiro: Nascer no Brasil II Study.","authors":"Tatiana Henriques Leite, Emanuele Souza Marques, Maria do Carmo Leal, Rosa Maria Soares Madeira Domingues, Marcos Nakamura-Pereira, Mariza Miranda Theme-Filha, Marcia Leonardi Baldisserotto, Karina de Cássia Caetano, Thaiza Dutra Gomes de Carvalho, Fernanda Freitas Fernandes, Rafaelle Mendes da Costa, Amanda Chiavazzoli, Marília Arndt Mesenburg","doi":"10.11606/s1518-8787.2025059006536","DOIUrl":"10.11606/s1518-8787.2025059006536","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence and co-occurrence profile of obstetric violence among women hospitalized for childbirth in the state of Rio de Janeiro, as well as its distribution according to demographic, socioeconomic, and current pregnancy-related characteristics.</p><p><strong>Methods: </strong>This is a perinatal cohort study. Data were obtained from the second telephone follow-up of the Nascer no Brasil II Study referring to the state of Rio de Janeiro. Obstetric violence (physical abuse; psychological abuse; neglect; stigma and discrimination; and inappropriate vaginal examinations) was assessed using a culturally adapted version of a World Health Organization-endorsed questionnaire. Prevalence and co-occurrence profile (Venn diagram) of the types of obstetric violence were estimated.</p><p><strong>Results: </strong>The overall prevalence of obstetric violence was 65.3%. The most prevalent types were inappropriate vaginal examinations (46.2%), neglect (31.5%), and psychological abuse (21.7%). Socioeconomic factors such as low educational level, unemployment, receipt of government benefits, and delivery under public healthcare financing were more frequent among women who experienced various types of obstetric violence. Other characteristics such as age ≥ 35 years, having gone into labor, and being a primipara were also associated with higher prevalence. The co-occurrence of the four most common types of obstetric violence (psychological abuse, neglect, stigma and discrimination, and inappropriate vaginal examinations) was 3%.</p><p><strong>Conclusion: </strong>Findings indicate that obstetric violence is a significant public health issue in the state of Rio de Janeiro, and its occurrence reflects inequalities in care for specific subgroups of postpartum women.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 suppl 1","pages":"e6s"},"PeriodicalIF":2.1,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346669","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":"Pregnancy, childbirth, and birth in the state of Rio de Janeiro.","authors":"Maria do Carmo Leal","doi":"10.11606/s1518-8787.2025059supl1ap","DOIUrl":"10.11606/s1518-8787.2025059supl1ap","url":null,"abstract":"","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 suppl 1","pages":"e2s"},"PeriodicalIF":2.1,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346726","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":"Nascer no Brasil II: findings and implications for the State of Rio de Janeiro.","authors":"João Luiz Bastos, Eleonora d'Orsi, Marly Augusto Cardoso, Tonantzin Ribeiro Gonçalves","doi":"10.11606/s1518-8787.2025059supl1ed","DOIUrl":"10.11606/s1518-8787.2025059supl1ed","url":null,"abstract":"","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 suppl 1","pages":"e1s"},"PeriodicalIF":2.1,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346658","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":"Inequalities in the care for Labor and Delivery in Rio de Janeiro - Birth in Brazil Research II: national survey on abortion, delivery, and birth.","authors":"Maria do Carmo Leal, Ana Paula Esteves-Pereira, Rosa Maria Soares Madeira Domingues, Sonia Duarte de Azevedo Bittencourt, Mariza Miranda Theme-Filha, Neide Pires Leal, Marcos Nakamura-Pereira, Marcos Augusto Bastos Dias, Thaiza Dutra Gomes de Carvalho, Tatiana Henriques Leite, Silvana Granado Nogueira da Gama","doi":"10.11606/s1518-8787.2025059006516","DOIUrl":"10.11606/s1518-8787.2025059006516","url":null,"abstract":"<p><strong>Objective: </strong>To describe the care for labor and delivery in the state of Rio de Janeiro, Brazil, according to hospital location and type of funding for delivery, and to verify the social, geographic, and care factors associated with going into labor and having a vaginal delivery.</p><p><strong>Methods: </strong>This is a cross-sectional hospital-based study (\"Birth in Brazil Research II: national survey on abortion, delivery, and birth\") conducted in 29 hospitals located in the state of Rio de Janeiro. Women with live births and/or stillbirths with gestational age ≥ 22 weeks or ≥ 500 g weight were eligible, totaling 1,762 women. Interviews were conducted in the hospitals, in the immediate postpartum period. Data were extracted from the prenatal card and maternal medical records. Multiple logistic regression was performed for labor and delivery, using a hierarchical model, with estimated odds ratios and specific confidence intervals.</p><p><strong>Results: </strong>The frequency of going into labor was 54% and of vaginal delivery, 41.0%. The following aspects were associated with going into labor: provision of care in hospitals located in the municipality of Rio de Janeiro, with public source of funding, being nulliparous or multiparous with previous delivery, preferring vaginal delivery at the end of pregnancy, not being obese and without complications during pregnancy. For vaginal delivery, we observed an association with low level of education, having no partner, being nulliparous or multiparous with previous delivery, having access to good practices as for going into labor and delivery, and use of analgesia during labor, regardless of the type of funding and hospital location.</p><p><strong>Conclusions: </strong>We observed advances in labor care in the state of Rio de Janeiro, although the frequency of labor and vaginal delivery is still low, as well as good practices, but with better results for the municipality of Rio de Janeiro. All good practices were associated with vaginal delivery, especially the use of analgesia and the presence of doulas. Vaginal delivery was more frequent in socially vulnerable women.</p>","PeriodicalId":21230,"journal":{"name":"Revista de saude publica","volume":"59 suppl 1","pages":"e4s"},"PeriodicalIF":2.1,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145345775","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}