Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献

{"title":"[Validation of satellite estimates for health interventions: use of microcensus data in Bolivia, 2024Validação de estimativas por satélite para intervenções de saúde: o uso de microcensos na Bolívia, 2024].","authors":"Silvana Zapata-Bedoya, Martha Velandia-González, Marcela Contreras, Claudia Ortiz, Yenny Neira, Leslie La Torre, Sebastián García, Daniel Salas, Claudia Jhovana Carrizales, Carlos Daniel Echazú Torres, Javier Rodrigo Ojeda Ocampo, Adrienne Cox, Mariela Grisel Villalta Coro, Thiago Augusto Hernándes Rocha","doi":"10.26633/RPSP.2025.71","DOIUrl":"10.26633/RPSP.2025.71","url":null,"abstract":"<p><strong>Objective: </strong>To provide more accurate population estimates to support the operation of Bolivia's immunization program.</p><p><strong>Methods: </strong>This cross-sectional ecological study calculated population estimates using geospatial covariates extracted from Meta Data for Good and WorldPop satellite imagery, and validated them with the results of a microcensus conducted in five Bolivian municipalities.</p><p><strong>Results: </strong>Of the 6077 buildings identified in satellite images, 4505 residential buildings were found to be occupied. Of these, 3087 (68.52%) agreed to participate in the survey. A total of 17 617 people were expected and 13 397 were enumerated. Field enumeration identified fewer people under 30 years of age and more people over 60 years of age than expected. The Meta images provided excellent matches when analyzing population estimates by sex. Meta matched best with enumeration in rural areas, and WorldPop matched best with enumeration in urban areas.</p><p><strong>Conclusions: </strong>This study demonstrates that combining geospatial analysis with microcensus validation can significantly improve health planning, enabling equitable resource distribution and more effective immunization coverage.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e71"},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609234","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 voice of healthy aging for changing paradigms and changing lives: a tribute to Dr. Enrique Vega García.","authors":"Sonja Caffe, Patricia Morsch, Carolina Hommes, Suzanne Serruya, James Fitzgerald, Ernesto Bascolo, Ramon Martinez, Pedro Ordunez, Mario Cruz-Penate, Sebastian Garcia-Saiso, Luis Miguel Francisco Gutierrez Robledo, Martha Peleaz, Mary Lou Valdez, George Alleyne, Marcelo D'Agostino","doi":"10.26633/RPSP.2025.83","DOIUrl":"https://doi.org/10.26633/RPSP.2025.83","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e83"},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584710","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":"[Digital transformation of vital statistics in Mexico: the case of the birth certificateTransformação digital das estatísticas vitais no México: o caso da certidão de nascimento].","authors":"Christian Arturo Zaragoza-Jiménez, Arturo Barranco-Flores, Mariana Álvarez-Aceves, Lina Sofía Palacio-Mejía, Juan Eugenio Hernández-Ávila","doi":"10.26633/RPSP.2025.67","DOIUrl":"10.26633/RPSP.2025.67","url":null,"abstract":"<p><p>Civil registration and vital statistics (CRVS) systems are essential to guarantee the right to identity. They also generate key information for the planning and evaluation of health and social policies.This article aims to document the efforts made in Mexico to modernize and link vital statistics and the Civil Registry through innovative digital strategies, highlighting the implementation of the electronic birth certificate. Using a case study methodology, this special report describes the implementation of the electronic birth certificate and its regulatory and operational evolution. Finally, we analyze the results achieved so far in terms of the timeliness of the records.The integration and use of the electronic birth certificate in the 32 states has been successful, as evidenced by the high coverage and efficiency in birth registration. Its implementation has streamlined the birth registration process, improved data quality, optimized public policy planning, and facilitated compliance with international health and human rights obligations.The digitization of birth registration in Mexico represents a significant step forward in the digital transformation of the Civil Registry and vital statistics system, and in guaranteeing the right to identity.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e67"},"PeriodicalIF":2.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529477","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":"Evidence map of strategies for preventing and controlling <i>Aedes aegypti</i> infestation and related viral infections.","authors":"Antonio Ferreira Mendes-Sousa, Veruska Cavalcanti Barros, Andressa Barros Ibiapina, Maria Clara Moura Silva, Vagner José Mendonça, Bruno Guedes Alcoforado Aguiar, Elisabeth Biruel, Carmen Verônica Mendes Abdala, Lilian Silva Catenacci","doi":"10.26633/RPSP.2025.63","DOIUrl":"10.26633/RPSP.2025.63","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to develop an evidence map on the strategies for preventing and controlling <i>Aedes aegypti</i> infestation and related viral infections.</p><p><strong>Methods: </strong>The evidence map was created according to the methodology of the Latin American and Caribbean Center on Health Sciences Information (BIREME). Publication searches were performed in MEDLINE/PubMed and the Virtual Health Library, filtered for systematic reviews (SRs) only. The methodological quality of the SR was accessed using the AMSTAR2 tool, and Tableau software was used to construct the evidence map.</p><p><strong>Results: </strong>A total of 44 SRs on the prevention and control of <i>A. aegypti</i> infestation and related viral infections (dengue, chikungunya, Zika, and yellow fever viruses) were included in the map. The evidence map indicates 130 associations between 59 interventions and 18 outcomes. The reported interventions were categorized into 10 groups, including community/educational actions, use of repellents, immunization, individual protection, diagnostics, biological and chemical control of the vector, epidemiological surveillance, environmental actions, and combined interventions. The described outcomes were grouped as mosquito infestation, behavior change, prevention and control, immunological response, safety, and epidemiological surveillance.</p><p><strong>Conclusion: </strong>The elaborated map highlighted strong evidence supporting the effectiveness of vaccination, DEET repellents, community participation, chemical control of the vector, and combined housing interventions in protecting against the vector and transmitted viruses. Nonetheless, several evidence gaps remain in the knowledge of how to best prevent and control the vector and its related viral infections, underscoring the need for high-quality SRs and primary studies.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e63"},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12184726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476506","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":"[Data integration for the prevention of violence against girls and women in Northeastern BrazilIntegración de datos para la prevención de la violencia contra niñas y mujeres en el nordeste de Brasil].","authors":"Olívia L C Guaranha, Juliana Rocha Miranda, Fátima Marinho, Renato Teixeira, Erik Santos, Denise Guerra Wingerter, Paola da Costa Silva, Diana Paula de Souza Rego Pinto Carvalho, Gleidson Paulino Vitório, Sofia Reinach","doi":"10.26633/RPSP.2025.66","DOIUrl":"10.26633/RPSP.2025.66","url":null,"abstract":"<p><strong>Objective: </strong>To integrate and analyze health and public safety data from the state of Rio Grande do Norte, located in Brazil's Northeast region, regarding violence against girls and women.</p><p><strong>Methods: </strong>Individual-level data related to incidents of violence against girls and women in Rio Grande do Norte between 2019 and 2021 were obtained for linkage from two health information systems (the Notifiable Health Conditions Information System, Sinan; and the Mortality Information System, SIM) and from police reports. A deterministic linkage algorithm was developed in Stata, using matching rules based on key variables available in the different databases.</p><p><strong>Results: </strong>A total of 43 626 girls and women were identified as victims of violence during the study period. Of these, 83.5% were detected in police records, 16.5% in Sinan, and only 0.4% appeared in both systems. Health services captured proportionally more cases of violence against children and adolescents aged 0 to 19 years, as well as cases of physical and sexual violence. Police records included a higher number of psychological violence cases involving adult victims. Among the fatalities, the group identified exclusively in Sinan exhibited more deaths from external causes related to violence.</p><p><strong>Conclusions: </strong>The lack of integration across systems conceals the true scale of violence against girls and women. Policies aimed at data integration, coupled with efforts to address underreporting, are essential for the development of effective interventions to promote a life free from violence.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e66"},"PeriodicalIF":2.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317821","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":"Advancing the implementation of evidence-based substance use prevention in Latin America: the Evidencia Viva program registry.","authors":"Zila M Sanchez, Gregor Burkhart, Elis Viviane Hoffmann, Fernando Salazar, Elena Gervilla","doi":"10.26633/RPSP.2025.64","DOIUrl":"10.26633/RPSP.2025.64","url":null,"abstract":"<p><p>Evidence-based program registries (EBPRs) are essential tools in prevention science, providing structured evaluations of intervention effectiveness to guide policymakers and practitioners. While established registries such as Blueprints for Healthy Youth Development and Xchange have been instrumental in cataloging evidence-based programs, Latin America has lacked a region-specific repository tailored to its unique prevention challenges. Evidencia Viva was developed to address this gap by systematically assessing and classifying substance use prevention programs implemented and evaluated in Latin America. The initiative draws from established EBPR models, employing rigorous inclusion criteria and a multidisciplinary expert review process to evaluate intervention efficacy. Programs are categorized into five tiers, ranging from beneficial to potentially harmful, ensuring that decision-makers have access to transparent and reliable information. The registry's initial assessments include interventions from Brazil, Chile, Colombia, Guatemala, Mexico, Peru, and Uruguay, highlighting both effective and ineffective programs. Notably, programs like Unplugged and Keepin' It REAL have demonstrated positive impacts, while others, such as PROERD (the Brazilian adaptation of DARE) and #Tamojunto, have shown limited or even negative effects. Despite its potential to strengthen evidence-based prevention in the region, Evidencia Viva faces challenges, including the limited number of rigorously evaluated programs, disparities in research capacity across Latin American countries, and the need for sustained funding to ensure long-term viability. Evidencia Viva contributes to the accessibility and dissemination of validated interventions, supporting informed policymaking and more effective substance use prevention strategies. However, ensuring its sustainability will require continued investment in research capacity, funding, and regional collaboration.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e64"},"PeriodicalIF":2.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12172330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317839","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":"[Integrating Pan American Health Organization guidelines on violence against women into the university curriculum of health professionals in Latin AmericaIntegração das orientações da Organização Pan-Americana da Saúde sobre violência contra as mulheres na formação universitária dos profissionais de saúde na América Latina].","authors":"María Teresa Muñoz-Quezada, Britta Monika Baer, Mailén Pérez Tort","doi":"10.26633/RPSP.2025.65","DOIUrl":"10.26633/RPSP.2025.65","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the feasibility of integrating the guidelines of the Pan American Health Organization (PAHO) on violence against women into the university curriculum of health personnel in Latin America by identifying barriers, facilitators, and opportunities.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted through a narrative review of the literature and of the medical and nursing curricula of Latin American universities, as well as semi-structured interviews with 37 experts on university curricula from 13 Latin American countries. Data were analyzed by thematic coding and triangulation.</p><p><strong>Results: </strong>Facilitators include political commitment in the Region, academic interest in incorporating gender issues, and experiences of successful partial integration that can serve as examples for other Latin American countries. Barriers include institutional resistance, limited preparation of teaching staff, and the overload of current curricula. Highlighted opportunities include the development of pilot workshops, regional collaboration, and the use of innovative methodologies such as hands-on simulations and clinical case-based learning.</p><p><strong>Conclusion: </strong>The integration of PAHO guidelines and content on violence against women is feasible, but requires strategies adapted to local realities such as institutional awareness-raising, teacher training, and regional collaboration. This study provides preliminary evidence to guide educational policies and strengthen training in the prevention and management of gender-based violence in Latin America.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e65"},"PeriodicalIF":2.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310337","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":"Temporal trends in vaccine hesitancy among Caribbean health workers: analysis of 2021 and 2024 surveys.","authors":"Martha Velandia-Gonzalez, Tamara Rivera, E Benjamín Puertas, Dale A Rhoda, Jennifer Brustrom","doi":"10.26633/RPSP.2025.61","DOIUrl":"10.26633/RPSP.2025.61","url":null,"abstract":"<p><strong>Objective: </strong>Although the benefits of vaccination are well established, a minority of health workers (HWs) are vaccine hesitant. Understanding vaccine hesitancy among HWs is crucial for providing them the information and skills they need to promote vaccine acceptance and informed decision-making among the populations they serve. This study aimed to evaluate differences in vaccine hesitancy and attitudes towards vaccines among HWs in the Caribbean between 2021 and 2024.</p><p><strong>Methods: </strong>Two cross-sectional Internet surveys were conducted among HWs in the Caribbean. The first survey was administered early in the COVID-19 pandemic, before COVID-19 vaccines were widely available in the region (April-May 2021). The second survey took place in the post-pandemic era when COVID-19 vaccines were easily obtainable and after countries and the Pan American Health Organization (PAHO) implemented interventions to address vaccine hesitancy (January-March 2024).</p><p><strong>Results: </strong>Caribbean HWs' attitudes toward all vaccines were relatively more positive in 2024 than in 2021. Notably, the rate of COVID-19 vaccine hesitancy decreased from 26% in 2021 to 5% in 2024, with the largest reductions observed among allied health professionals, the youngest respondents, and nursing professionals. Respondents' sentiments about vaccines in general and perceptions of vaccines' effectiveness and safety were also more favorable in the second survey.</p><p><strong>Conclusions: </strong>Improvements in HWs' attitudes and reduced vaccine hesitancy are likely due to multiple, interactive contextual factors, including increased knowledge about COVID-19 and its vaccine, scientific evidence of vaccine effectiveness, personal experience, and increased health education efforts. While this study did not evaluate specific interventions, findings suggest that well-designed and context-sensitive strategies may contribute to supporting vaccine acceptance among HWs.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e61"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267152","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":"[Adaptation of the Edmonton Obesity Staging System to Brazilian PortugueseAdaptación del sistema de estadios de la obesidad de Edmonton al contexto brasileño].","authors":"Elma Lúcia de Freitas Monteiro, Erika Cardoso Dos Reis, Jair Sindra Virtuoso Junior, Tatiane Palmeira Eleutério, Fernanda Rodrigues de Oliveira Penaforte, Poliana Cardoso Martins, Ana Claudia Morito Neves, Ariene Silva do Carmo, Gisele Ane Bortolini","doi":"10.26633/RPSP.2025.62","DOIUrl":"10.26633/RPSP.2025.62","url":null,"abstract":"<p><strong>Objective: </strong>Cross-cultural adaptation into Brazilian Portuguese of the five-stage Edmonton Obesity Staging System (EOSS), which classifies the severity of obesity according to morbidities and health risks.</p><p><strong>Methods: </strong>The following steps were taken: (1) translation and synthesis; (2) semantic analysis by a committee of subject experts and linguists; (3) construction of complementary content and validation by a panel of experts, in two rounds; (4) back-translation and submission to the original author; (5) semantic evaluation by health professionals; and (6) pre-testing on a sample of people with obesity. Semantic analysis and complementary content validation were verified by 80% minimum concordance.</p><p><strong>Results: </strong>The tool maintained semantic, idiomatic, conceptual, and cultural equivalence with the original version. The semantic evaluation showed adequate understanding by the target audience, with over 80% concordance.</p><p><strong>Conclusion: </strong>The version of the EOSS adapted for Brazil has proved to be a robust and useful tool for assessing obesity in the Brazilian context. It meets rigorous methodological standards, indicating its use in research and clinical practice as an important tool for assessing people with obesity.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e62"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267150","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":"Regulatory landscape for pediatric hematology-oncology nursing in Brazil: document analysis of policies and regulations.","authors":"Monnie Abraham, Fernanda Crizol Bazaglia, Talita Candido Bueno, Lorena Segovia Weber, Maria Aurélia da Silveira Assoni, Susana Maria Garcia Dos Reis, Eliane Dos Santos Francelino, Ana Lygia Pires Melaragno, Vanessa Morrone Maldonado","doi":"10.26633/RPSP.2025.59","DOIUrl":"10.26633/RPSP.2025.59","url":null,"abstract":"<p><strong>Objective: </strong>To analyze Brazil's national policies and regulations related to pediatric hematology-oncology nursing in Brazil and identify key areas for improvement.</p><p><strong>Methods: </strong>Using the READ approach, relevant policies and regulations were systematically examined. The method consists of four phases: readying materials, extracting data, analyzing data, and distilling findings. Qualitative analysis used both inductive and deductive approaches to identify themes.</p><p><strong>Results: </strong>The review included 25 documents: 11 regulatory, 11 governmental (including one national and two state plans), and three educational documents. Two main themes emerged: nursing-related regulations and national plans. Although Brazil has a strong nursing regulatory framework, responsive policies and regulations are needed to address the changing pediatric hematology-oncology landscape. Key areas for improvement include training more registered nurses, updating graduate programs to address early cancer signs in children, improving staffing and skill mix, enhancing nursing competencies, implementing continuing professional development requirements, and ensuring availability of resources. Recommendations highlight the roles of nursing regulations, governmental bodies, nursing associations, pediatric hematology-oncology centers, and nurses.</p><p><strong>Conclusions: </strong>Nurses are vital to health care systems and it is important to harness their full potential. We need a strong national strategy and effective regulations to recognize the contributions of nurses and meet the evolving needs of pediatric hematology-oncology patients in Brazil.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"49 ","pages":"e59"},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267151","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}