Avicenna Journal of Medicine最新文献

{"title":"Medical Students' Syndrome among Medical Students in the University of Sharjah, UAE.","authors":"Saud Hilmi Abdullah,&nbsp;Ahmed Ehab Ahmed,&nbsp;Homam Galal Eldin Algebail,&nbsp;Ahmed Fatooh,&nbsp;Laila Nour Aldeen Ismail,&nbsp;Nada Khaled Radwan,&nbsp;Nour Bade Sakan,&nbsp;Hiba Jawdat Barqawi","doi":"10.1055/s-0043-1768683","DOIUrl":"https://doi.org/10.1055/s-0043-1768683","url":null,"abstract":"<p><p><b>Background</b>  Medical students' syndrome (MSS) is a set of psychosomatic symptoms that affect students due to their medical background knowledge. <b>Objectives</b>  This study aims to measure the prevalence and assess the knowledge about MSS among medical students at the University of Sharjah. It also aims to compare the attributed characteristics of MSS between different years of study. <b>Methods</b>  A self-administered 24-item questionnaire was distributed to 503 students enrolled in the College of Medicine at University of Sharjah using nonprobability convenience sampling during June 2021. A total of 472 responses were completed and analyzed using descriptive studies and chi-squared test. <b>Results</b>  The prevalence of MSS in this study was found to be 70.8% ( <i>n</i>  = 334). Clinical year students were 1.75 times more likely to have felt they had a disease they studied about (95% confidence interval: 1.05-2.90, <i>p</i>  = 0.03). <b>Conclusion</b>  Medical students are more likely to experience MSS as their education progresses.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10240583","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":"Highlighting the Need for MD-PhD Programs in Developing Countries.","authors":"Laith Ashour,&nbsp;Ali Schoumann-Alkhatib,&nbsp;Anmar Alshawabkeh,&nbsp;Mohammad Alsouri,&nbsp;Mohammad Sawalmeh,&nbsp;Hamzeh Hatamleh,&nbsp;Hamza Sawahreh","doi":"10.1055/s-0043-1768445","DOIUrl":"https://doi.org/10.1055/s-0043-1768445","url":null,"abstract":"In certain developing countries, research output in the medical field has been rising rapidly in the last few decades due to an increased focus on medical research development through different avenues.1 These indicated an increase in the expenses on research projects, the launch of more research centers, and others.1,2 However, this is not the case for most developing countries. Compared with developing countries, developed countries have contributed a lot more to scientific publications in health research.3,4 Furthermore, the health research productivity of postgraduate students in lowand middle-income countries was found to be low.5 In detail, the majority of students infrequently publish their theses. In addition, most published studies are crosssectional in design, with hardly any clinical trials.5 The reasons behind that vary, but many of them are common, including limited funding and resources, weak linkage between universities and stakeholders, limited facilities for research training and education, and limited access to health information and literature sources.3,6 Such problems have affected medical education in developing countries negatively. For example, in one of the low-income countries, Mozambique, for the period between 2004 and 2010, only 11% of Mozambican University faculty members had a PhD degree, and the shortage of human resources for teaching and mentoring in that country is still an ongoing problem.7 It has also become clear that developing nations’ clinical research needs to be improved if important issues are to be resolved and effective pandemic management tactics are to be selected. As an illustration, the coronavirus disease 2019 (COVID-19) pandemic, which started in the Chinese city of Wuhan in 2019 and is brought on by the severe acute respiratory syndrome coronavirus 2 virus that mostly affects the respiratory tract,8 has had a major impact on public health in India. Following the second wave of COVID-19 in India, it has been argued that conducting research is essential for lowand middle-income countries so that resources can be allocated properly where they are needed and health systems can develop a greater understanding of what causes good and bad outcomes.9 In light of these facts, we highlight an important, underestimated, and poorly applied approach for the improvement in medical research and education in developing countries, that is, the implementation of Doctor of Medicine-Doctor of Philosophy (MD-PhD) programs.","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"65-67"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10173159","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":"Decolonizing Epidemiological Research: A Critical Perspective.","authors":"Yusuff Adebayo Adebisi","doi":"10.1055/s-0043-1769088","DOIUrl":"https://doi.org/10.1055/s-0043-1769088","url":null,"abstract":"<p><p>Decolonizing epidemiological research is a crucial endeavor. Historically, colonial and imperialistic ideologies have pervaded epidemiology, leading to an emphasis on Western perspectives and the neglect of indigenous and other marginalized communities' needs and experiences. To effectively address health disparities and promote justice and equality, acknowledging and addressing these power imbalances are imperative. In this article, I highlight the need of decolonizing epidemiological research and make recommendations. These include increasing the representation of researchers from underrepresented communities, ensuring that epidemiological research is contextually relevant and responsive to the experiences of these communities, and collaborating with policymakers and advocacy groups to inform policies and practices that benefit all populations. Moreover, I underscore the importance of recognizing and valuing the knowledge and skills of marginalized populations, and integrating traditional knowledge-the distinct, culturally specific understanding unique to a particular group-into research efforts. I also emphasize the need of capacity building and equitable research collaborations and authorship as well as epidemiological journal editorship. Decolonizing epidemiology research is a continual process that requires continuing discourse, collaboration, and education.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"68-76"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9870430","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":"Influencing Factors of Future Specialty Choice for Undergraduate Medical Students: An Updated Experience from the UAE.","authors":"Abdulqader Al Zubaidi,&nbsp;Salama AlBuqaish,&nbsp;Alaa Ali,&nbsp;Mira Ibrahim,&nbsp;Shoroogh Marei,&nbsp;Shomous Nugud,&nbsp;Ahmed Nugud","doi":"10.1055/s-0043-1769931","DOIUrl":"https://doi.org/10.1055/s-0043-1769931","url":null,"abstract":"<p><p><b>Background</b>  Medical students' career choices determine the prospects of the future medical workforce, thus influencing the delivery of medical care. This study aims to identify and provide information about factors affecting the selection of future specialties among medical students. <b>Methods</b>  A cross-sectional study was conducted on students in both preclerkship and clerkship phases at a single institution in the United Arab Emirates. A self-administered questionnaire included questions about demographic data, most preferred specialties, and influential factors. The influential factors were measured using a Likert scale. <b>Results</b>  Surgery and internal medicine were the most desired specialties, respectively. Gender has a significant role in influencing career choice. There was no association between preclerkship and clerkship students' career choices. The most influential factors were seeing good treatment outcomes and having abilities for the specialty. <b>Conclusions</b>  Surgery and internal medicine were the most preferred specialties, even though significant gender differences existed in specialty choices among these students.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"97-103"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10191717","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":"Awareness of Preeclampsia among Antenatal Clinic Attendees in Northwestern Nigeria.","authors":"Aisha N Adamu,&nbsp;Katie L Callahan,&nbsp;Peter B Anderson","doi":"10.1055/s-0043-1770700","DOIUrl":"https://doi.org/10.1055/s-0043-1770700","url":null,"abstract":"<p><p><b>Background</b>  Preeclampsia (PE) is among the five main causes of maternal mortality in low resource countries. This study was designed to assess PE awareness and its socioeconomic determinants among antenatal clinic attendees in northwestern Nigeria. <b>Methods</b>  Two hundred twenty-one antenatal clinic attendees in northwestern Nigeria were selected through systematic random sampling for this quantitative study. Women who were 9 months pregnant and had consented to participate were included; those with chronic illnesses such as diabetes mellitus were excluded. Data on respondents' sociodemographic variables, and PE awareness were collected using a validated questionnaire. Associations between variables were tested using chi-square test and multiple regression analysis. <b>Results</b>  Ninety-one percent of respondents were aged 20 to 40 years, 53.9% were multiparous, 27% had no or low level of formal education, and 52% had attended antenatal care (ANC) at least four times in the index pregnancy. Only 37% ( <i>N</i>  = 83) were aware of PE. Women with formal education were 3.8 times more likely (odds ratio [OR] = 3.8, 95% confidence interval [CI] = 1.4-10.3) to be aware of PE compared with those with no formal education ( <i>p</i>  < 0.05). Also, women who experienced hypertension in their previous pregnancies were 2.8 times more likely (OR = 2.8, 95% CI = 1.37-5.71) to be aware of PE than those women who had not ( <i>p</i>  < 0.05). <b>Conclusion</b>  There was a low level of PE awareness among pregnant women in this study; being formally educated and having had hypertension in a previous pregnancy were positively associated with PE awareness. PE education should be part of ANC.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10240587","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":"Career Satisfaction and Burnout among American Muslim Physicians.","authors":"Sondos Al Sad,&nbsp;Aasim I Padela","doi":"10.1055/s-0043-1770701","DOIUrl":"https://doi.org/10.1055/s-0043-1770701","url":null,"abstract":"<p><p><b>Background</b>  Career satisfaction and burnout among physicians are important to study because they impact healthcare quality, outcomes, and physicians' well-being. Relationships between religiosity and these constructs are underexplored, and Muslim American physicians are an understudied population. <b>Methods</b>  To explore relationships between career satisfaction, burnout, and callousness and Muslim physician characteristics, a questionnaire including measures of religiosity, career satisfaction, burnout, callousness, and sociodemographic characteristics was mailed to a random sample of Islamic Medical Association of North America members. Statistical relationships were explored using chi-squared tests and logistic regression models. <b>Results</b>  There were 255 respondents (41% response rate) with a mean age of 52 years. Most (70%) were male, South Asian (70%), and immigrated to the United States as adults (65%). Nearly all (89%) considered Islam the most or very important part of their life, and 85% reported being somewhat or very satisfied with their career. Multivariate models revealed that workplace accommodation of religious identity is the strongest predictor of career satisfaction (odds ratio [OR]: 2.69, <i>p</i>  = 0.015) and that respondents who considered religious practice to be the most important part of their lives had higher odds of being satisfied with their career (OR: 2.21, <i>p</i>  = 0.049) and lower odds of burnout (OR: 0.51, <i>p</i>  = 0.016). Participants who felt that their religion negatively influenced their relationships with colleagues had higher odds of callousness (OR: 2.25, <i>p</i>  = 0.003). <b>Conclusions</b>  For Muslim physicians, holding their religion to be the most important part of their life positively associates with career satisfaction and lower odds of burnout and callousness. Critically, perceptions that one's workplace accommodates a physician's religious identity associate strongly with career satisfaction. In this era of attention to physician well-being, the importance of religiosity and religious identity accommodations to positive career outcomes deserves focused policy attention.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"117-129"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9863479","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":"Importance of the Mean Rate of Pressure Change of the Pulmonary Artery (dP/dt mean PA) in Patients with Pulmonary Arterial Hypertension.","authors":"Theodoros Sinanis,&nbsp;Alexander Schmeißer","doi":"10.1055/s-0043-1769932","DOIUrl":"https://doi.org/10.1055/s-0043-1769932","url":null,"abstract":"<p><p><b>Background</b>  Pulmonary arterial hypertension (PAH) is a rare disease of cardiopulmonary circulation characterized by elevated pressure in the pulmonary artery. The right-heart catheter is the gold standard for diagnosis, but there is interest in identifying additional prognostic indicators. The aim of this study was to examine the importance of the rate of pressure change of the pulmonary artery (dP/dt mean PA) in patients with PAH. <b>Methods</b>  We retrospectively analyzed data from 142 patients with PAH (exclusively clinical group 1) and examined the statistical correlation of dP/dt mean PA with vascular, right ventricular, and clinical parameters. Data was collected mostly from the right heart catheterization and the transthoracal echocardiography at presentation. <b>Results</b>  dP/dt mean PA showed a significant correlation with systolic pressure of the pulmonary artery ( <i>n</i> = 142, <i>R</i> ²  = 56%, <i>p</i>  < 0.001), pulmonary vascular resistance ( <i>n</i>  = 142, <i>R</i> ²  = 51%, <i>p</i>  < 0.001), the rate of pressure change in the right ventricle ( <i>n</i>  = 142, <i>R</i> ²  = 53%, <i>p</i>  < 0.001), and the right ventricular fractional area change ( <i>n</i>  = 110, <i>R</i> ²  = 51%, <i>p</i>  < 0.001). Receiver operating characteristic curve analysis showed that dP/dt mean PA had the highest prognostic value in predicting increase in the 6-minute walk test and decrease in the N-terminal-probrain natriuretic peptide after the initiation of PAH therapy, with an area under the curve of 0.73. <b>Conclusion</b>  Our findings suggest that dP/dt mean PA may be a useful prognostic indicator in the treatment of patients with PAH, and further research is warranted to validate this parameter.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 2","pages":"104-110"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10173158","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":"The Feasibility of Telemedicine in the Implementation and Management of Therapeutic Hypothermia for Infants with Neonatal Hypoxic-Ischemic Encephalopathy in a Resource-Limited Country.","authors":"Adnan Hadid, Taher S Al-Shantout, Rayan S Terkawi, Baraa M Aldbes, Manal M Zahran, Fadia A Alsatouf, Hani Najjar, Mhd Hassan Mughrabieh, Nour A Alhadid, Khalid Altirkawi","doi":"10.1055/s-0042-1760434","DOIUrl":"10.1055/s-0042-1760434","url":null,"abstract":"<p><p><b>Background</b>  Telemedicine is widely used in neonatal services in developed countries, though its outcomes in low- and middle-income countries are controversial. Lack of expertise and/or facilities, however, has limited its use in developing countries and around areas of military conflicts. We aim to study the implementation and management of therapeutic hypothermia (TH) in infants with hypoxic-ischemic encephalopathy (HIE) with the help of telemedicine in a resource-limited country. <b>Methodology</b>  This is a retrospective study, evaluating patients who received TH, guided by telemedicine, through a mobile app (Telegram), an application that allows sharing and archiving of information with other beneficial features. We assessed the feasibility of utilizing telemedicine in guiding the application of TH to infants affected with HIE in the North-West of Syria between July 2020 and July 2021. Feasibility was measured by parameters related to the time gaps between initiation of consultation and treatment and clinical short-term outcomes. <b>Results</b>  Out of 5,545 newborn infants delivered during the study period, 22 patients were eligible for TH guided by telemedicine. Patients were referred for consultation at a median (interquartile range [IQR]) of 137 (35-165) minutes of life. A median (IQR) of 12 (3-18) minutes elapsed between the call for a consultation and the consultant response and a median (IQR) of 30 (0-42) minutes elapsed between seeking the consultation and the initiation of cooling therapy. Eighteen patients completed cooling for 72 hours. The patients' temperatures were within the target range (33-34°C) most of the time (84.1%). <b>Conclusion</b>  Telemedicine is a feasible method to guide the implementation TH for HIE in resource-limited areas. The short-term success rate is relatively high; however, further studies with a larger population are needed to confirm these findings.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9245451","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 Clinical Overview of Anorexia Nervosa and Overcoming Treatment Resistance.","authors":"Hassan Nagy,&nbsp;Tanya Paul,&nbsp;Esha Jain,&nbsp;Hanyou Loh,&nbsp;Syeda Hafsa Kazmi,&nbsp;Rishbha Dua,&nbsp;Ricardo Rodriguez,&nbsp;Syed Ali Abbas Naqvi,&nbsp;Metu Chiamaka U,&nbsp;Erjola Bidika","doi":"10.1055/s-0042-1758859","DOIUrl":"https://doi.org/10.1055/s-0042-1758859","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is a type of eating disorder that has been increasing in incidence and has been encountered more commonly by physicians in their daily practice. Both environmental and genetic risk factors paired along with a more susceptible neurobiology are at play in the emerging resistance to treatment in AN. Preoccupations with intense fear of weight gain, dietary restrictions, excessive exercise, and how the individual is perceived by society mixed with underlying psychopathology all further add to the issue. Many patients who fall into this cycle of obsessive and restrictive patterns refuse to get treatment. As clinicians, it is essential we recognize the early signs of both eating disorders during the initial primary care appointments. To review the literature on the etiology of AN, possible misdiagnosis leading to inappropriate management of this condition, and understand the treatment-resistant AN and its management. Additionally, it will explore possible reasons that contribute to the resistance to treatment, the underlying psychopathology of anorexics, its genetic predisposition, psychiatric comorbidities, identification of the early signs and symptoms, and timely prevention. Early recognition by a physician includes a thorough history and physical examination, pertinent laboratory, and electrolyte studies, and identifying comorbid psychiatric conditions. The treatment of AN is intricate and requires a holistic approach. Treatment includes multiple modalities such as nutritional rehabilitation and psychosocial and pharmacological therapies. An interdisciplinary team of medical professionals for managing chronic AN is recommended.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 1","pages":"3-14"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9245449","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":"Emerging Health Disparities during the COVID-19 Pandemic.","authors":"Nour Mheidly,&nbsp;Nadine Y Fares,&nbsp;Mohamad Y Fares,&nbsp;Jawad Fares","doi":"10.1055/s-0042-1759842","DOIUrl":"https://doi.org/10.1055/s-0042-1759842","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) pandemic has underscored social and racial discrimination in global health, showing that health equity is still a goal to be achieved. Understanding the impact of COVID-19 on public health potential is vital to present a fair opportunity for people of different backgrounds to be as healthy as possible. As such, this communication discusses the emerging health disparities in light of the COVID-19 pandemic and analyzes their implications. Original research, effective health communication, and promotion strategies ought to be leveraged to step closer toward national and international health equity.</p>","PeriodicalId":32889,"journal":{"name":"Avicenna Journal of Medicine","volume":"13 1","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10038746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9245456","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}