{"title":"Implementing alternative estimation methods to test the construct validity of Likert-scale instruments.","authors":"Chang Gi Park","doi":"10.4069/kjwhn.2023.06.14.2","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.06.14.2","url":null,"abstract":"A manuscript recently published in Nursing Research [1] suggested using polychoric correlations and polychoric confirmatory factor analysis (CFA) for unbiased assessments of construct validity in Likert-scale instruments, rather than Pearson correlations and Pearson correlation-based CFA. An editorial in the most recent issue of Psychological Test Adoption and Development also recommended the weighted least square mean and variance-adjusted (WLSMV) method for CFA-based validity testing [2]. Using polychoric correlation for CFA involves applying CFA estimation methods to ordinal item variables. However, relatively few nursing studies have used this estimation method to test the construct validity of ordinal variables. As a general recommendation, the maximum likelihood (ML) method can be used for instruments with 5 to 7 item categories, as seen in the Likert scales commonly employed in nursing research [3]. The frequent application of strict cutoff rules for model fit indices to evaluate construct validity based on CFA estimation results may lead to an underestimation of the study instrument and modification of the CFA model by removing items or introducing connected item residual terms. Therefore, better assessment methods of the construct validity of Likert scales are needed, and alternative estimation methods are recommended to avoid incorrect parameter estimates, such as factor loading coefficients, standard errors, and model fit statistics [4]. In this context, the purpose of this paper is to explain the necessity of alternative estimation methods and to present how those methods can be applied using affordable, accessible, and appropriate structural equation modeling (SEM) programs.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 2","pages":"85-90"},"PeriodicalIF":0.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10326553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Addendum: Clinical trial registration number for interventional health studies.","authors":"","doi":"10.4069/kjwhn.2023.03.21","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.03.21","url":null,"abstract":"","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"76"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of the COVID-19 pandemic on depression during pregnancy: a cross-sectional study.","authors":"Da-Bin Seok, Hyeon Ok Ju","doi":"10.4069/kjwhn.2023.02.21.2","DOIUrl":"10.4069/kjwhn.2023.02.21.2","url":null,"abstract":"<p><strong>Purpose: </strong>Uncertainty and restrictions on daily life have increased fear, stress, and depression during the coronavirus disease 2019 (COVID-19) pandemic. Depression is the most common mental health problem in pregnant women. The purpose of this study was to evaluate the levels of fear and stress related to COVID-19 experienced by pregnant women, as well as their levels of depression, and to examine the factors associated with depression during pregnancy.</p><p><strong>Methods: </strong>This was a cross-sectional, correlational study conducted among 153 pregnant women who visited a maternity hospital in Busan, South Korea. A self-reported questionnaire was used for data collection from December 18, 2021 to March 8, 2022. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression.</p><p><strong>Results: </strong>Pregnant women experienced a moderate level of fear related to COVID-19, with an average score of 21.55±4.90. The average score for depression during pregnancy was 14.86±11.10, with 50.3% of the participants experiencing depression (≥13). The factors associated with depression during pregnancy were fear of COVID-19, contact with a confirmed case of COVID-19, being in the third trimester of pregnancy, high stress levels due to difficulties experienced from social distancing measures, and unintended pregnancy. These five statistically significant factors explained 35.0% of variance in depression during pregnancy.</p><p><strong>Conclusion: </strong>Considering the prevalence of depression in pregnant women during the COVID-19 pandemic, it is necessary to develop interventions to reduce anxiety by providing correct information and alleviating the stress of social distancing.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"44-54"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Soyeon Kim, Jison Ki, Ji Yun Choi, Woan Heui Choi, Smi Choi-Kwon
{"title":"Dietary behavior and its influencing factors among experienced shiftwork nurses: a secondary analysis.","authors":"Soyeon Kim, Jison Ki, Ji Yun Choi, Woan Heui Choi, Smi Choi-Kwon","doi":"10.4069/kjwhn.2023.02.21.1","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.02.21.1","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the dietary behavior of experienced shiftwork nurses and aimed to identify factors related to dietary behavior.</p><p><strong>Methods: </strong>This study was a secondary analysis based on the Shift Work Nurses' Health and Turnover study (2018-2021) among Korean nurses. In total, 247 experienced (>12 months) shiftwork nurses were included in this study. The participants' dietary behavior, depression, level of occupational stress, fatigue, physical activity, and general characteristics were measured. Descriptive statistics, Pearson correlation coefficients, independent t-test, one-way analysis of variance, the Kruskal-Wallis test, and multiple regression analysis were conducted.</p><p><strong>Results: </strong>The dietary behavior score of the participants using the Mini-Dietary Assessment Index was 29.35±5.67. Thirty percent of the participants were depressed, the participants experienced moderate occupational stress, and 74.1% of the participants engaged in an inadequate amount of physical activity. The factors influencing shiftwork nurses' dietary behavior were having child(ren) (β=.16, p=.027), depression (β=-.13, p=.032), level of occupational stress related to occupational climate (β=-.13, p=.035), and an inadequate amount of physical activity (β=-.17, p=.006). These factors explained 10.4% of the variance in experienced shiftwork nurses' dietary behavior scores.</p><p><strong>Conclusion: </strong>Experienced nurses with child(ren) tended to have healthier diets. However, a higher level of occupational stress related to occupational climate, depression, and engaging in an inadequate amount of physical activity were associated with a higher risk of having an unhealthy diet. Therefore, strategies are needed to encourage physical activity and alleviate adverse occupational climate and depression among experienced nurses.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"32-43"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of sex/gender-specific medicine in healthcare.","authors":"Nayoung Kim","doi":"10.4069/kjwhn.2023.03.13","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.03.13","url":null,"abstract":"The study of differences between men and women in medicine is referred to as “sex/gender-specific medicine” (SGM) and is crucial in medical practice. In 2021, I published the Korean version of Sex/ Gender-Specific Medicine in the Gastrointestinal Diseases [1], and its English version [2] was published by Springer, a top-tier publisher, in 2022. This book has been recognized as a textbook that systematizes the concept of SGM and may be the first medical book related to SGM in South Korea (hereafter, Korea). When I first introduced the concept of SGM to acquaintances, I remember they searched Google with awkward facial expressions, thinking it referred to research on sexual minorities. Thus, SGM is not yet universally known in Korea. My interest in SGM began in 2014 when I participated in the Gendered Innovation Workshop between Stanford University and the Korean Federation of Women’s Science and Technology Associations (KOFWST). While assisting Professor Mi-Kyung Sung from the Department of Food and Nutrition at Sookmyung Women’s University with her presentation on colorectal cancer from a clinical perspective, I became interested in SGM in colorectal cancer. Subsequently, in 2013, I began researching SGM earnestly as a participant in the Korean Center for Gendered Innovations for Science and Technology Research (GISTeR) established under KOFWST. In 2016, I was able to conduct balanced research on both basic and clinical SGM as a participant in the “Promoting Excellence and Practicability of Science and Technology Research through Gendered Innovation” project of the Ministry of Science, ICT and Future Planning. The “Sex and Gender Research in Medical Science” classes held in 2017 and 2019 at the Graduate School of Translational Medicine at Seoul National University College of Medicine received positive feedback from medical students. Later, Sex/Gender-Specific Medicine in Clinical Areas was published [3] with 33 experts in each clinical area. In this paper, I aim to review the concept and necessity of SGM and the challenges and implications it presents to healthcare, practitioners, researchers, and students within the sex/gender-specific framework.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"5-11"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors influencing maternal-fetal attachment in pregnant women during the COVID-19 pandemic: a cross-sectional study.","authors":"Hyeryeong Yoon, Hyunkyung Choi","doi":"10.4069/kjwhn.2023.02.21.3","DOIUrl":"10.4069/kjwhn.2023.02.21.3","url":null,"abstract":"<p><strong>Purpose: </strong>Coronavirus disease 2019 (COVID-19) has spread widely throughout the world, causing psychological problems such as fear, anxiety, and stress. During the COVID-19 pandemic, pregnant women have been concerned about both their own health and the health of their fetuses, and these concerns could negatively affect maternal-fetal attachment. Thus, this study aimed to explore the level of COVID-19 stress, resilience, and maternal-fetal attachment among pregnant women during the COVID-19 pandemic, and to identify factors influencing maternal-fetal attachment.</p><p><strong>Methods: </strong>In total, 118 pregnant women past 20 weeks gestation were recruited from two maternity clinics in Daegu, Korea, to participate in this descriptive correlational study during COVID-19. The factors influencing maternal-fetal attachment were analyzed using hierarchical multiple regression analysis.</p><p><strong>Results: </strong>The mean scores for COVID-19 stress, resilience, and maternal-fetal attachment were 57.18±10.32 out of 84, 67.32±15.09 out of 100, and 77.23±9.00 out of 96, respectively. Nulliparous pregnant women reported greater maternal-fetal attachment than multiparous pregnant women (p=.003). Religious pregnant women also reported greater maternal-fetal attachment than non-religious pregnant women (p=.039). Resilience (β=.29, p=.002), COVID-19 stress (β=.20, p=.030) and parity (β=-.17, p=.047) were factors influencing maternal-fetal attachment, and these factors explained 26.4% of the variance in maternal-fetal attachment (F=10.12, p<.001).</p><p><strong>Conclusion: </strong>Converse to common sense, COVID-19 stress exerted a positive influence on maternal-fetal attachment in pregnant women during the COVID-19 pandemic. Healthcare providers need to recognize the positive influence of COVID-19 stress and implement intervention strategies to strengthen resilience in pregnant women to improve maternal-fetal attachment.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"55-65"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wiwit Kurniawati, Yati Afiyanti, Lina Anisa Nasution, Dyah Juliastuti
{"title":"Preconception care knowledge and information delivery modes among adolescent girls and women: a scoping review.","authors":"Wiwit Kurniawati, Yati Afiyanti, Lina Anisa Nasution, Dyah Juliastuti","doi":"10.4069/kjwhn.2023.02.28","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.02.28","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to conduct a scoping review of knowledge and information delivery modes related to preconception care (PCC) among adolescent girls and women.</p><p><strong>Methods: </strong>A scoping review was performed on studies selected from five electronic databases (Cochrane Library, PubMed, Science Direct, CINAHL/EBSCO, and ProQuest), published between 2012 and 2022, with predetermined keywords and criteria. We included English-language research articles available in full text and excluded irrelevant articles.</p><p><strong>Results: </strong>This study included eight articles, comprising seven quantitative studies and one qualitative study conducted among adolescent girls and women. Five were from low- and middle-income countries and three were from high-income countries. The synthesized themes generated from the data were PCC knowledge and PCC information delivery modes and effectiveness. In general, adolescent girls and women were found to have basic PCC knowledge, including risk prevention and management and a healthy lifestyle, although more extensive knowledge was found in higher-income countries than in lower-income countries. The delivery modes of PCC information have grown from individual face-to-face conventional methods, which are used predominantly in lower-income countries, to more effective digital mass media.</p><p><strong>Conclusion: </strong>Globally, many women still have insufficient knowledge regarding PCC, as not all of them receive access to PCC information and support. PCC promotion efforts should be initiated earlier by involving a wider group of reproductive-age women and combining individual, in-group, face-to-face, and electronic delivery modes.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"12-19"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Connecting authors with readers: what makes a good review for the Korean Journal of Women Health Nursing.","authors":"Hyun Kyoung Kim","doi":"10.4069/kjwhn.2023.02.23","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.02.23","url":null,"abstract":"1 http://kjwhn.org Thanks to its dedicated readers and reviewers, the Korean Journal of Women Health Nursing (KJWHN) has been indexed in Scopus, PubMed Central, and Emerging Sources Citation Index. After KJWHN was listed in major citation indices in a short time, the number of authors submitting their research to KJWHN has increased worldwide. The editors of KJWHN appreciate the authors who have submitted their manuscripts and the readers who have shown interest in KJWHN. The reviewers of KJWHN are striving for more transparent and professional reviews. From my perspective as an editor and a reviewer, this editorial presents opinions about good reviews that would facilitate the further development of KJWHN as a professional academic journal. What makes a good review? It may not be simply a matter of reading submitted manuscripts and providing opinions on them. Instead, a good review would help improve the quality of manuscripts by considering how readers will respond to them. The reviewer’s role involves reflecting the perspectives of both readers and authors on the thoughts and ideas in the manuscript and connecting both perspectives. This editorial aims to explain the role of reviewers, the characteristics of a good review, and what reviewers frequently miss or are likely to miss. This editorial will be helpful to authors who submit their manuscripts and reviewers who strive to review manuscripts to enhance the development of KJWHN into a top-tier academic journal.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"1-4"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9289601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of online parenting community posts on expanded newborn screening for metabolic disorders using topic modeling: a quantitative content analysis.","authors":"Myeong Seon Lee, Hyun-Sook Chung, Jin Sun Kim","doi":"10.4069/kjwhn.2023.02.21","DOIUrl":"https://doi.org/10.4069/kjwhn.2023.02.21","url":null,"abstract":"<p><strong>Purpose: </strong>As more newborns have received expanded newborn screening (NBS) for metabolic disorders, the overall number of false-positive results has increased. The purpose of this study was to explore the psychological impacts experienced by mothers related to the NBS process.</p><p><strong>Methods: </strong>An online parenting community in Korea was selected, and questions regarding NBS were collected using web crawling for the period from October 2018 to August 2021. In total, 634 posts were analyzed. The collected unstructured text data were preprocessed, and keyword analysis, topic modeling, and visualization were performed.</p><p><strong>Results: </strong>Of 1,057 words extracted from posts, the top keyword based on 'term frequency-inverse document frequency' values was \"hypothyroidism,\" followed by \"discharge,\" \"close examination,\" \"thyroid-stimulating hormone levels,\" and \"jaundice.\" The top keyword based on the simple frequency of appearance was \"XXX hospital,\" followed by \"close examination,\" \"discharge,\" \"breastfeeding,\" \"hypothyroidism,\" and \"professor.\" As a result of LDA topic modeling, posts related to inborn errors of metabolism (IEMs) were classified into four main themes: \"confirmatory tests of IEMs,\" \"mother and newborn with thyroid function problems,\" \"retests of IEMs,\" and \"feeding related to IEMs.\" Mothers experienced substantial frustration, stress, and anxiety when they received positive NBS results.</p><p><strong>Conclusion: </strong>The online parenting community played an important role in acquiring and sharing information, as well as psychological support related to NBS in newborn mothers. Nurses can use this study's findings to develop timely and evidence-based information for parents whose children receive positive NBS results to reduce the negative psychological impact.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"20-31"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Won-Ryung Choi, Myung-Haeng Hur, Yeon-Suk Kim, Ju-Ri Kim
{"title":"A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns' breast milk intake and sleeping patterns.","authors":"Won-Ryung Choi, Myung-Haeng Hur, Yeon-Suk Kim, Ju-Ri Kim","doi":"10.4069/kjwhn.2023.03.15","DOIUrl":"10.4069/kjwhn.2023.03.15","url":null,"abstract":"<p><strong>Purpose: </strong>Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns.</p><p><strong>Methods: </strong>Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7-to 14-dayold newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I.</p><p><strong>Results: </strong>Following MRM, breast pain (MRM I: t=-5.38, p<.001; MRM II: t=-10.05, p<.001), breast engorgement (MRM I: right, t=-1.68, p =.100; left, t=-2.13, p=.037 and MRM II: right, t=-4.50, p<.001; left, t=-3.74, p<.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups.</p><p><strong>Conclusion: </strong>MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns' breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"29 1","pages":"66-75"},"PeriodicalIF":1.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}