Western Pacific Surveillance and Response最新文献

{"title":"Strengthening health emergency response capacity in Kiribati: establishing the Kiribati Medical Assistance Team (KIRIMAT).","authors":"Sean T Casey, Anthony T Cook, May M Ferguson, Erin Noste, Katarake T Mweeka, Tabutoa Eria Rekenibai, Wendy Snowdon","doi":"10.5365/wpsar.2023.14.6.1013","DOIUrl":"10.5365/wpsar.2023.14.6.1013","url":null,"abstract":"","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 6 Spec Edition","pages":"01-3"},"PeriodicalIF":1.0,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10184053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141915","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":"Antimicrobial use in patients with confirmed COVID-19 infection in the Philippines: a cross-sectional study.","authors":"Roanne J Dominguez,&nbsp;Nicole A Domingo-Cereno,&nbsp;Rosemarie T Josue-Dominguez","doi":"10.5365/wpsar.2023.14.2.999","DOIUrl":"https://doi.org/10.5365/wpsar.2023.14.2.999","url":null,"abstract":"<p><strong>Objective: </strong>The ongoing coronavirus disease (COVID-19) pandemic is exacerbating optimal antibiotic stewardship and the promotion of bacterial resistance due to the over-prescribing of antibiotics for patients with COVID-19. This study aimed to determine the prevalence of antibiotic therapy in patients with COVID-19 infection and explore the association of antibiotic prescribing with patients' demographics and clinical characteristics.</p><p><strong>Methods: </strong>A retrospective analytical cross-sectional study was conducted at a tertiary hospital and training institution in Baguio City, the Philippines from March 2020 to March 2021. Univariate and multivariable logistic regression was used to compare COVID-19 patients who were prescribed antibiotics with those who were not.</p><p><strong>Results: </strong>Of the 157 patients hospitalized with COVID-19 infection, 90 (57.3%) received antibiotics, with only three (1.9%) having confirmed bacterial coinfection. Among those prescribed antibiotics, azithromycin was the most frequently prescribed antibiotic (43.3%), followed by ceftriaxone (33.1%), piperacillin-tazobactam (15.3%), ceftazidime (5.1%), moxifloxacin (1.3%), amikacin (0.6%), ampicillin and sulbactam (0.6%), cefuroxime (0.6%), metronidazole (0.6%) and penicillin (0.6%). Antibiotic use was associated with factors such as having bilateral infiltrates on chest X-ray, the severity of COVID-19 infection and high white blood cell counts.</p><p><strong>Discussion: </strong>Antibiotic use was high among patients with confirmed COVID-19 despite a low prevalence of confirmed bacterial coinfection. This may be due to the similarities in the clinical manifestations of both viral and bacterial infections. Judicious use of antibiotics in the treatment of COVID-19, as well as other viral infections (for example, influenza), is required to prevent antibiotic resistance in accordance with the principles of antimicrobial stewardship.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 2","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9905288","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":"Epidemiology of COVID-19 cases and vaccination coverage in Seremban District, Malaysia, 2021.","authors":"Khairul Hafidz Alkhair Khairul Amin,&nbsp;Nur Nadiatul Asyikin Bujang,&nbsp;Siti Aishah Abas,&nbsp;Nadiatul Ima Zulkifli,&nbsp;Syuaib Aiman Amir,&nbsp;Sharina Mohd Shah,&nbsp;Veshny Ganesan,&nbsp;Nurul Fazilah Aziz,&nbsp;Muhammad Adli Jalaluddin,&nbsp;Mohd Shahrol Abd Wahil,&nbsp;Muhamad Hazizi Muhamad Hasani,&nbsp;Noor Khalili Mohd Ali,&nbsp;Mohamad Paid Yusof","doi":"10.5365/wpsar.2023.14.2.985","DOIUrl":"https://doi.org/10.5365/wpsar.2023.14.2.985","url":null,"abstract":"<p><strong>Objective: </strong>Malaysia's first case of coronavirus disease (COVID-19) was reported in January 2020, with the first case in the state of Negeri Sembilan diagnosed on 17 February 2020. The National COVID-19 Immunization Programme commenced in early March 2021 in Negeri Sembilan. This study describes the COVID-19 cases and vaccination coverage in Seremban District, Negeri Sembilan, during 2021.</p><p><strong>Methods: </strong>The demographic and clinical characteristics of COVID-19 cases and the district's vaccination coverage were described. Vaccination coverage was plotted against COVID-19 cases on the epidemic curve. The χ² test was used to examine the differences between the vaccination status of COVID-19 cases and severity category, hospitalization status and mortality.</p><p><strong>Results: </strong>In Seremban District, there were 65 879 confirmed cases of COVID-19 in 2021. The data revealed that the \u202821-30-year age group had the highest proportion of cases (16 365; 24.8%), the majority of cases were male (58.3%), and most cases were from the subdistrict of Ampangan (23.1%). The majority of cases were Malaysian. Over half (53.5%) were symptomatic, with fever (29.8%) and cough (22.8%) being the most frequently reported symptoms. COVID-19 vaccination status was significantly associated with severity category, hospitalization and mortality (<i>P</i> < 0.001 for all categories).</p><p><strong>Discussion: </strong>This is the first study to describe two-dose vaccination coverage and the trend in COVID-19 cases in Seremban District. It was observed that COVID-19 cases had been reduced following more than 60.0% vaccination coverage.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 2","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10011971","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":"Epidemiology of tuberculosis in Mongolia: analysis of surveillance data, 2015-2019.","authors":"Tsolmon Boldoo, Larissa Otero, Borgil Uranchimeg, Anuzaya Purevdagva, Temuulen Enebish, Oyunchimeg Erdenee, Tauhid Islam, Fukushi Morishita","doi":"10.5365/wpsar.2023.14.1.931","DOIUrl":"10.5365/wpsar.2023.14.1.931","url":null,"abstract":"<p><p>Mongolia has a high tuberculosis (TB) burden. Data from routine paper-based surveillance were used to describe the epidemiology of TB in Mongolia; the data included testing presumptive TB cases, TB notifications, drug-resistant cases, treatment outcomes and notifications in prisoners. The proportion of the population tested for TB increased between 2015 and 2019. The number and rate per 100 000 population of TB notifications decreased between 2015 and 2018 and then increased in 2019. Most TB notifications in 2019 were in the capital, Ulaanbaatar (59.3%), followed by the central (16.8%), Khangai (10.4%), east (8.5%) and west (5.0%) regions. About half of TB notifications nationally were bacteriologically confirmed (45.4% in 2015, 48.1% in 2019), with the proportion of bacteriologically confirmed TB per province or district varying from 0% to 66%. High TB notification rates were observed in 2019 for males aged 15-54 years (202 per 100 000\u2028population) and females aged 15-34 years (190 per 100 000 population). Treatment success for all forms of TB was 90% in 2019 but was below the 90% target for bacteriologically confirmed cases. Between 2015 and 2019, the number of RR/MDR-TB notifications ranged from 265 to 211. The Mongolian National Tuberculosis Programme needs to continue its efforts in TB control, to further increase the programmatic impact and reduce the TB burden. It is recommended that Mongolia continue to increase TB screening, the use of Xpert testing, contact investigations and preventive treatments, and targeting interventions to the high-burden areas identified in this subnational analysis.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 1","pages":"1-12"},"PeriodicalIF":1.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10090033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129723","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":"After-action reviews for emergency preparedness and response to infectious disease outbreaks.","authors":"Ha-Linh Quach, Khanh Cong Nguyen, Florian Vogt","doi":"10.5365/wpsar.2023.14.1.953","DOIUrl":"10.5365/wpsar.2023.14.1.953","url":null,"abstract":"","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10090030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9321861","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":"Epidemiology of dengue reported in the World Health Organization's Western Pacific Region, 2013-2019.","authors":"Eri Togami, May Chiew, Christopher Lowbridge, Viema Biaukula, Leila Bell, Aya Yajima, Anthony Eshofonie, Dina Saulo, Do Thi Hong Hien, Satoko Otsu, Tran Cong Dai, Mya Sapal Ngon, Chin-Kei Lee, Reiko Tsuyuoka, Luciano Tuseo, Asheena Khalakdina, Vannda Kab, Rabindra Romauld Abeyasinghe, Rajendra Prasad Yadav, Princess Esguerra, Sean Casey, Chun Paul Soo, Munehisa Fukusumi, Tamano Matsui, Babatunde Olowokure","doi":"10.5365/wpsar.2023.14.1.973","DOIUrl":"10.5365/wpsar.2023.14.1.973","url":null,"abstract":"<p><p>The global burden of dengue, an emerging and re-emerging mosquito-borne disease, increased during the 20-year period ending in 2019, with approximately 70% of cases estimated to have been in Asia. This report describes the epidemiology of dengue in the World Health Organization's Western Pacific Region during 2013-2019 using regional surveillance data reported from indicator-based surveillance systems from countries and areas in the Region, supplemented by publicly available dengue outbreak situation reports. The total reported annual number of dengue cases in the Region increased from 430 023 in 2013 to 1 050 285 in 2019, surpassing 1 million cases for the first time in 2019. The reported case-fatality ratio ranged from 0.19% (724/376 972 in 2014 and 2030/1 050 285 in 2019) to 0.30% (1380/458 843 in 2016). The introduction or reintroduction of serotypes to specific areas caused several outbreaks and rare occurrences of local transmission in places where dengue was not previously reported. This report reinforces the increased importance of dengue surveillance systems in monitoring dengue across the Region.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 1","pages":"1-16"},"PeriodicalIF":1.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10090032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129721","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":"Epidemiology of tuberculosis in the Pacific island countries and areas, 2000-2020.","authors":"Manami Yanagawa, Fukushi Morishita, Kyung Hyun Oh, Kalpeshsinh Rahevar, Tauhidul Abm Islam, Subhash Yadav","doi":"10.5365/wpsar.2023.14.1.996","DOIUrl":"10.5365/wpsar.2023.14.1.996","url":null,"abstract":"<p><strong>Objective: </strong>Tuberculosis (TB) is one of the most important infectious diseases with an estimated 9.9 million people falling ill globally in 2020. We describe the epidemiology of TB in the Pacific island countries and areas (PICs) to inform potential priority actions to implement the <i>Western Pacific Regional Framework to End TB 2021-2030</i>.</p><p><strong>Methods: </strong>A descriptive analysis was conducted using annual TB surveillance data submitted by national TB programmes to the World Health Organization (WHO) and TB burden estimates (incidence rates and number of deaths) generated by WHO for the PICs, for the period 2000-2020. We also analysed TB case numbers, multidrug-resistant/rifampicin-resistant TB (MDR/RR-TB), recent risk factor indicators and treatment outcomes.</p><p><strong>Results: </strong>The estimated TB incidence rate in the PICs increased between 2000 and 2020 from 62 to 69 per 100 000 population, with an 8% reduction observed since 2015. TB cases increased by 29% during 2000-2020, with 1746 cases in 2020 and a high proportion in children (19%). Bacteriological diagnosis was used for 58% of total TB cases, although some countries reported clinical diagnoses in over 60% of cases. From 2015 to 2019, 52 MDR/RR-TB cases were reported and there were 94 TB/HIV coinfected cases in 2015-2020. Treatment success was 74% in 2019 due to 18% of cases being unevaluated. In 2020, the estimated proportion of TB cases attributable to smoking, malnutrition, alcohol abuse and diabetes was 17%, 16%, 11% and 9%, respectively.</p><p><strong>Discussion: </strong>There was an increasing trend in TB cases, estimated incidence and deaths between 2000 and 2020. Laboratory services were scaled up in some PICs and case-finding activities greatly contributed to the detection of cases. To end the incidence of TB, continued efforts on case finding, contact investigation and scaling up TB preventive treatment should be prioritized. At the same time, collaboration with other sectors for risk factor management and decentralized management need to be considered.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 1","pages":"1-12"},"PeriodicalIF":1.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414660","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":"Implementation and use of a national electronic dashboard to guide COVID-19 clinical management in Fiji.","authors":"Karen Hammad, Sean Casey, Rigamoto Taito, Sara W Demas, Mohita Joshi, Rashmi Rita, Anaseini Maisema","doi":"10.5365/wpsar.2023.14.5.967","DOIUrl":"10.5365/wpsar.2023.14.5.967","url":null,"abstract":"<p><strong>Problem: </strong>From April to September 2021, Fiji experienced a second wave of coronavirus disease (COVID-19) precipitated by the Delta variant of concern, prompting a need to strengthen existing data management of positive COVID-19 cases.</p><p><strong>Context: </strong>With COVID-19 cases peaking at 1405 a day and many hospital admissions, the need to develop a better way to visualize data became clear.</p><p><strong>Action: </strong>The Fiji Ministry of Health and Medical Services, the World Health Organization and the United Nations Office for the Coordination of Humanitarian Affairs collaborated to develop an online clinical dashboard to support better visualization of case management data.</p><p><strong>Outcome: </strong>The dashboard was used across Fiji at national, divisional and local levels for COVID-19 management. At the national level, it provided real-time reports describing the surge pattern, severity and management of COVID-19 cases across the country during daily incident management team meetings. At the divisional level, it gave the divisional directors access to timely information about hospital and community isolation of cases. At the hospital level, the dashboard allowed managers to monitor trends in isolated cases and use of oxygen resources.</p><p><strong>Discussion: </strong>The dashboard replaced previous paper-based reporting of statistics with delivery of trends and real-time data. The team that developed the tool were situated in different locations and did not meet physically, demonstrating the ease of implementing this online tool in a resource-constrained setting. The dashboard is easy to use and could be used in other Pacific island countries and areas.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 5 Spec Edition","pages":"01-7"},"PeriodicalIF":1.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10017918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9414673","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":"How the Commonwealth of the Northern Mariana Islands stalled COVID-19 for 22 months and managed its first significant community transmission.","authors":"Dwayne Davis, Stephanie Kern-Allely, Lily Muldoon, John M Tudela, Jesse Tudela, Renea Raho, Heather S Pangelinan, Halina Palacios, John Tabaguel, Alan Hinson, Guillermo Lifoifoi, Warren Villagomez, Joseph R Fauver, Haley L Cash, Esther Muña, Sean T Casey, Ali S Khan","doi":"10.5365/wpsar.2023.14.1.965","DOIUrl":"10.5365/wpsar.2023.14.1.965","url":null,"abstract":"<p><strong>Objective: </strong>The Commonwealth of the Northern Mariana Islands (CNMI) is a remote Pacific island territory with a population of 47 329 that successfully prevented the significant introduction of coronavirus disease (COVID-19) until late 2021. This study documents how the response to the introduction of COVID-19 in CNMI in 2021 was conducted with limited resources without overwhelming local clinical capacity or compromising health service delivery for the population.</p><p><strong>Methods: </strong>Data from COVID-19 case investigations, contact tracing, the Commonwealth's immunization registry and whole genome sequencing were collated and analysed as part of this study.</p><p><strong>Results: </strong>Between 26 March 2020 and 31 December 2021, 3281 cases and 14 deaths due to COVID-19 were reported in CNMI (case fatality rate, 0.4%). While notification rates were highest among younger age groups, hospitalization and mortality rates were disproportionately greater among those aged > 50 years and among the unvaccinated. The first widespread community transmission in CNMI was detected in October 2021, with genomic epidemiology and contact tracing data indicating a single introduction event involving the AY.25 lineage and subsequent rapid community spread. Vaccination coverage was high before widespread transmission occurred in October 2021 and increased further over the study period.</p><p><strong>Discussion: </strong>Robust preparedness and strong leadership generated resilience within the public health sector such that COVID-19 did not overwhelm CNMI's health system as it did in other jurisdictions and countries around the world. At no point was hospital capacity exceeded, and all patients received adequate care without the need for health-care rationing.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 1","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2023-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9939343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390195","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":"A descriptive assessment of the National Institute of Public Health's contribution to the COVID-19 response in Cambodia, \u20282020-2021.","authors":"Srean Chhim,&nbsp;Wuddhika In Vong,&nbsp;Kimsorn Pa,&nbsp;Chanboroth Chhorn,&nbsp;Tambri Housen,&nbsp;Amy Elizabeth Parry,&nbsp;Wim Van Damme,&nbsp;Por Ir,&nbsp;Chhorvann Chhea","doi":"10.5365/wpsar.2023.14.1.974","DOIUrl":"https://doi.org/10.5365/wpsar.2023.14.1.974","url":null,"abstract":"<p><strong>Objective: </strong>This paper examines the contributions made by the National Institute of Public Health to Cambodia's response to the coronavirus disease (COVID-19) pandemic during 2020-2021.</p><p><strong>Methods: </strong>The activities conducted by the Institute were compared with adaptations of the nine pillars of the World Health Organization's 2020 COVID-19 strategic preparedness and response plan. To gather relevant evidence, we reviewed national COVID-19 testing data, information about COVID-19-related events documented by Institute staff, and financial and technical reports of the Institute's activities.</p><p><strong>Results: </strong>The main contributions the Institute made were to the laboratory pillar and the incident management and planning pillar. The Institute tested more than 50% of the 2 575 391 samples for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and provided technical advice about establishing 18 new laboratories for SARS-CoV-2 testing in the capital city of Phnom Penh and 11 provinces. The Institute had representatives on many national committees and coauthored national guidelines for implementing rapid COVID-19 testing, preventing transmission in health-care facilities and providing treatment. The Institute contributed to six other pillars, but had no active role in risk communication and community engagement.</p><p><strong>Discussion: </strong>The Institute's support was essential to the COVID-19 response in Cambodia, especially for laboratory services and incident management and planning. Based on the contributions made by the Institute during the COVID-19 pandemic, continued investment in it will be critical to allow it to support responses to future health emergencies in Cambodia.</p>","PeriodicalId":31512,"journal":{"name":"Western Pacific Surveillance and Response","volume":"14 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10090031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9316771","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}