Health Science Reports最新文献

{"title":"Number of Readmissions and Its Determinants Among Patients With Heart Failure at Referral Hospitals in Amhara Region, Northwest Ethiopia: A Cross-Sectional Study Using Zero-Inflated Negative Binomial Model, 2023.","authors":"Mihretie Gedfew, Bekele Tesfaye, Haile Amha, Tirusew Wondie, Getnet Gedif, Wodajie Gietaneh, Tadesse Yirga Akalu, Lieltework Yismaw, Gedefaw Diress","doi":"10.1002/hsr2.70408","DOIUrl":"https://doi.org/10.1002/hsr2.70408","url":null,"abstract":"<p><strong>Background: </strong>Heart failure is a leading cause of hospital readmissions in the Amhara region, Northwest Ethiopia.</p><p><strong>Aim: </strong>This study aimed to determine the number of readmissions and identify the determinants among patients with heart failure at referral hospitals in the Amhara region, Northwest Ethiopia, in 2023.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 663 heart failure patients in Amhara region referral hospitals from September 2022 to February 2023. Simple random sampling was used for patient selection, and data were collected through chart reviews and interviewer-administered questionnaires. Zero-inflated negative binomial models were applied for data analysis. Data collection tools were pre-tested for reliability and validity.</p><p><strong>Results: </strong>Among 663 patients, 237 (35.7%) were readmitted at least once. An increased respiratory rate (IRR = 1.015; 95% CI: 1.0004, 1.031; <i>p</i> < 0.044) and longer medication duration (IRR = 1.011; 95% CI: 1.016, 1.051; <i>p</i> < 0.0001) were associated with more readmissions. Patients with poor social support had 59.4% fewer readmissions compared to those with good social support (IRR = -1.595; 95% CI: -0.02, -0.005; <i>p</i> < 0.041). A higher body mass index (IRR = 0.115; 95% CI: 0.035, 0.196; <i>p</i> < 0.004) was linked with a higher likelihood of remaining in the \"always-zero\" group, while an increased pulse rate reduced the odds (IRR = -0.013; 95% CI: -0.025, -0.008; <i>p</i> < 0.036). The mortality rate among readmitted patients was 11.39%.</p><p><strong>Conclusion: </strong>This study found significant readmission rates among HF patients. Factors such as respiratory rate and medication duration were linked to increased readmissions, while poor social support was associated with fewer readmissions, this likely reflects limited healthcare access in low- and middle-income countries among individuals with lower social support. The high mortality rate underscores the need for targeted interventions to improve patient outcomes.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70408"},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081509","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":"Role Identity, Loneliness, and Bereavement During the Pandemic in Japan: A Cross-Sectional Study.","authors":"Aya Toyoshima","doi":"10.1002/hsr2.70185","DOIUrl":"https://doi.org/10.1002/hsr2.70185","url":null,"abstract":"<p><strong>Background and aims: </strong>The COVID-19 pandemic significantly restricted social activities, prompting a re-examination of community dynamics. In Japan, where families are central, the absence of a spouse increases susceptibility to loneliness and isolation. The loss of a spouse, especially during the pandemic, has heightened these issues among middle-aged and older individuals. Limited quantitative studies on pandemic-related bereavement in Japan underscore the need to understand the associated risks of loneliness and social isolation. This study aimed to examine the relationships between role identity as a member of the local community, loneliness, and social support among middle-aged and older adults. This study also examined whether there were differences in the relationships between those who had experienced bereavement and those who had not.</p><p><strong>Methods: </strong>An Internet survey was conducted with Japanese adults (aged 50-74 years), including those who experienced bereavement during the pandemic. The final sample included 322 participants (154 in the bereavement group and 168 in the cohabiting group). The variables, measured using psychological scales, included role identity as a local resident, social capital (trust, reciprocity, and membership), loneliness, and social support (family and friendship).</p><p><strong>Results: </strong>The higher trust and role identity were related to lower loneliness. Membership in the cohabiting group was related to lower level of loneliness and higher level of social supports. However, membership in the bereavement group was not related to either. Furthermore, trust and reciprocity were related to loneliness and social support.</p><p><strong>Conclusion: </strong>These results indicated that the role identity and perception of social capital related to preventing isolation and loneliness for bereaved people.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70185"},"PeriodicalIF":2.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081589","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":"Clinical outcomes, hemodynamics, and leaflet thrombosis following transcatheter aortic valve replacement with novel intra-annular devices.","authors":"Juri Iwata, Kentaro Hayashida, Akiyoshi Kajino, Shingo Sakata, Shohei Imaeda, Toshinobu Ryuzaki, Hikaru Tsuruta, Hideyuki Shimizu, Masaki Ieda","doi":"10.1002/hsr2.70097","DOIUrl":"https://doi.org/10.1002/hsr2.70097","url":null,"abstract":"<p><strong>Background: </strong>The indication of transcatheter aortic valve replacement (TAVR) is becoming more prevalent among younger and lower-risk patients. However, data on the latest intra-annular TAVR devices are limited. This study aims to compare the short-term clinical outcomes of two intra-annular transcatheter aortic valve replacement (TAVR) devices in Japan: SAPIEN 3 Ultra RESILIA (S3UR) and Navitor.</p><p><strong>Methods: </strong>Of the 286 patients who underwent TAVR between May 2022 and October 2023 at our center, we enrolled 97 consecutive patients who received either S3UR or Navitor. We compared the intraprocedural invasive and echocardiographic hemodynamic assessment and post-procedural multidetector computed tomography (MDCT).</p><p><strong>Results: </strong>The basic characteristics of the 97 patients (median age, 86 years [interquartile range, 81-89 years]) were similar. Technical success, defined by the Valve Academic Research Consortium, was achieved in all cases. Despite a smaller annulus, Navitor demonstrated decreased mean pressure gradient by TTE, 9.2 [7.3-13.6] mmHg versus 7.5 [5.9-9.5] mmHg, <i>p</i> = 0.006; but not by invasive measurement 5.1 [3.4-7.7] mmHg versus 5.3 [3.2-7.9] mmHg, <i>p</i> = 0.986). Discordance between echocardiographic and invasive assessment was more prominent with S3UR. However, severe prosthesis-patient mismatch was similarly noted between the two devices. Mild paravalvular leak (PVL) (24.5% vs. 54.5%, <i>p</i> = 0.002) was more frequent with the Navitor, despite no moderate-severe PVL in each group. The incidence of hypoattenuated leaflet thickening (HALT) detected by MDCT was similar between the two groups.</p><p><strong>Conclusions: </strong>Both intra-annular valves demonstrated excellent hemodynamic performance with minimal PVL after TAVR. The incidence of HALT in both devices was comparable.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70097"},"PeriodicalIF":2.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081490","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 Perceived Concerns of Nurse Educators' Use of GenAI in Nursing Education: Protocol for a Scoping Review.","authors":"Denise R Gehring, Sharon K Titus, Ragi George","doi":"10.1002/hsr2.70411","DOIUrl":"https://doi.org/10.1002/hsr2.70411","url":null,"abstract":"<p><strong>Background/aims: </strong>Since the emergence of generative AI (GenAI) in fall 2022, its impact on higher education has been significant yet under-researched, leading to mixed reactions among nurse educators, ranging from enthusiasm to skepticism. A preliminary search of seven databases found no scoping reviews specifically that addressed nurse educators' concerns about using GenAI. Therefore, this study aims to map the existing literature on nurse educators' concerns regarding the use of GenAI in nurse education.</p><p><strong>Inclusion criteria: </strong>Included are any types of sources (peer-reviewed and nonpeer-reviewed) in English and from any country and were authored by an academic nurse educator that reported on \"academic nurse educators,\" and \"artificial intelligence\" (such as GenAI, Generative AI, ChatGPT, large language models) in nursing education. Articles that did not report \"nurse educator concerns,\" or were focused on clinical practice were excluded.</p><p><strong>Methods: </strong>This protocol (see PRISMA-P in Appendix 1) establishes the study parameters for the planned scoping review, which will be conducted from April to July 2024. We will follow Joanna Briggs Institute, a comprehensive methodology, to ensure a rigorous approach. The final review will include relevant literature from eight academic databases published from Fall 2022 through April 2024. Data will be reported using the PRISMA-ScR checklist and flow diagram (2020) along with other visual diagrams to add validity to our findings. An inductive analysis approach will be used to code the evolving data, identify recurring themes, and pinpoint potential gaps in the literature.</p><p><strong>Results: </strong>The final scoping review will present the search results, the study inclusion process, and the data analysis.</p><p><strong>Conclusion: </strong>Our planned review will potentially provide crucial insights into nurse educators' concerns on using GenAI, pinpointing gaps within the literature, and providing direction for future research.</p><p><strong>Review registration: </strong>This protocol was registered on May 8, 2024, on Open Science Framework (OSF). The registry number is OSF.IO/SZ8WR. This registration ensures the transparency and credibility of our research process, as it provides a public record of our study design and methods.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70411"},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081605","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":"Prevalence and Hematological Changes in Urogenital Schistosomiasis: Infection Persistence in the Phase of Mass Drug Administration in Sempoa (Kwahu East, Ghana): A Cross-Sectional Study.","authors":"Alahaman Nana Boakye, Neuwell Hatsu, Samuel Addo Akwetey, Akosua Bonsu Karikari, Simon Kwaku Atta, Mark Michael Addae","doi":"10.1002/hsr2.70404","DOIUrl":"https://doi.org/10.1002/hsr2.70404","url":null,"abstract":"<p><strong>Background: </strong>Schistosomiasis is a chronic neglected tropical disease and Ghana's second most prevalent helminth infection. The annual mass drug administration of praziquantel to school children is aimed at reducing disease morbidity as a public health problem.</p><p><strong>Aim: </strong>The study aimed to assess the prevalence and hematological profile of urinary schistosomiasis in Sempoa after over a decade of consecutive Mass Drug Administration (MDA) of praziquantel.</p><p><strong>Methods: </strong>A community-based cross-sectional study involving 126 participants was conducted. <i>Schistosoma haematobium</i> eggs were identified and quantified using the urine filtration-microscopy technique. The hematological profile was analyzed using a fully automated 5-part Sysmex XN-350 (Sysmex Co, Germany) analyzer.</p><p><strong>Results: </strong>The study recorded a prevalence of 21.6% that was significantly related to water contact activities. Schistosomiasis was significantly associated with lower levels of Red Blood Cell (RBC) indices; MCV (<i>p</i> < 0.001), MCHC (<i>p</i> < 0.001), and MCH (<i>p</i> = 0.01) with higher platelet, lymphocytes, and basophil counts compared to the uninfected. Heavy infection was significantly associated with lower hemoglobin levels. The study further reported microhaematuria as a sensitive and specific proxy diagnostic tool for field surveillance in endemic communities.</p><p><strong>Conclusion: </strong>Urinary schistosomiasis accompanied by an altered hematological profile persists in Sempoa under preventive praziquantel. Future control interventions must consider an integrated approach of marrying behavioral change, with preventive chemotherapy and vector control.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70404"},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081581","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":"Web of Science-Based Visualization of Metabolic Dysfunction-Associated Fatty Liver Disease in Pediatric and Adolescent Populations: A Bibliometric Study.","authors":"Liangyu Hu, Huarong Du, QianQian Zhou, Chunlei Liu, Tiansong Zhang, Min Yuan","doi":"10.1002/hsr2.70409","DOIUrl":"https://doi.org/10.1002/hsr2.70409","url":null,"abstract":"<p><strong>Background and aims: </strong>The prevalence of metabolism-associated fatty liver disease (MAFLD) in children is on the rise. This study employs visualization and analysis to evaluate the research implications, current advancements, and emerging trends in pediatric MAFLD, with the aim of elucidating its pathogenesis and informing the development of clinical treatment strategies.</p><p><strong>Methods: </strong>Using visualization software, we conducted a visual analysis and mapping of the journal distribution, leading institutions, prominent authors, annual publication trends, and keyword frequencies among the 1179 scholarly articles retrieved from the Web of Science Core Collection for this study.</p><p><strong>Results: </strong>The overall publication volume demonstrated an upward trend, with a total of 200 journals, contributions from 63 countries, 882 research institutions, and 5605 authors involved, including 84 who were identified as core authors. The main research team is led by Nobili, Valerio. The main research institutions are concentrated in Italy, the United States, and China. A total of 473 keywords were included, and the keywords with high frequency and medium centricity are insulin resistance, metabolic syndrome, children, steatohepatitis, adolescents, hepatic steatosis, nash, obesity, diagnosis, and fibrosis, which resulted in six keyword clusters.</p><p><strong>Conclusion: </strong>MAFLD represents a significant public health concern. Research on children and adolescents with MAFLD continues to attract high interest. Noninvasive diagnostic methods, pathogenesis (intestinal microbiota research), disease prediction (gene research) are current research hotspots.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70409"},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081610","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 Decadal Bibliometric Analysis on the Therapeutic Strategies in Oral Lichen Planus.","authors":"Kumar Chandan Srivastava, Ravinder S Saini, Galvin Sim Siang Lin, Artak Heboyan, Deepti Shrivastava","doi":"10.1002/hsr2.70403","DOIUrl":"https://doi.org/10.1002/hsr2.70403","url":null,"abstract":"<p><strong>Background and aims: </strong>Oral Lichen Planus (OLP) is a common chronic inflammatory autoimmune illness that mostly affects the oral mucosa but may also affect other mucous membrane. It has higher prevalence in female patients of fourth to sixth decade of life with reticular being the commonest clinical variant. Clinical assessment, patient history, biopsy findings, and immunofluorescence were used to diagnose OLP. This study aimed to assess research publication trends in therapeutic strategies in the treatment of OLP, examining publication growth, country and institution contributions, and collaborative networks.</p><p><strong>Methods: </strong>Using the Dimensions and Lens.org databases with Boolean operators combined the keywords a total of 40,046 peer-reviewed international publications were initially assessed. The article was selected from 2014 to December 2023. Through rigorous application of inclusion and exclusion criteria using an advanced search, a subset of 134 papers emerged to meet the high relevance standards. This subset, constituting a representative sample, was selected for in-depth bibliometric analysis.</p><p><strong>Results and conclusion: </strong>The result shows a clear upward trend in the number of publications, with a notable increase in 2018. After 2018, there is decrease in the number of publications, but it has an upward trend, reaching a peak of 215 in 2022. Chaitanya Nallan CSK leads the list of authors with four publications and a respectable total citation count of 12. Cairo University is the leading institution in this data set, with the 8 number of publications and 11 citations. The analysis revealed that at the top of the list is the \"Egyptian Dental Journal\" from Egypt, with six publications, four citations, and a link strength of two. In the second position is \"BMC Oral Health\" from the United Kingdom, with five publications, one citation, and a link strength of three. This study offers valuable insights for future research, clinical practice, and policy decisions.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70403"},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081481","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":"Effect of Prophylactic Intravenous Tranexamic Acid on Blood Loss After Vaginal Delivery: A Randomized Control Study.","authors":"Sajana Shrestha, Shelisha Uprety, Ravi Shah, Brinda Kharel","doi":"10.1002/hsr2.70415","DOIUrl":"https://doi.org/10.1002/hsr2.70415","url":null,"abstract":"<p><strong>Background and aim: </strong>To determine the effect of prophylactic intravenous tranexamic acid on blood loss after vaginal delivery in women at low risk of postpartum hemorrhage.</p><p><strong>Methods: </strong>Prospective randomized controlled study (RCT registration: researchregistry10144). Over the study duration of 12 months, a total of 226 parous women with singleton vaginal delivery at term pregnancy with cephalic presentation participated in the study. Participants with pre-existing medical complications and obstetric complications were excluded from the study. Additionally, patients with a previous history of thromboembolism and allergy to tranexamic acid were also excluded from the study. The study participants were divided into two groups based on the intervention considered. This was done with a computer-based random table generator. Group A received an intervention of 10 mL (1 g) of intravenous tranexamic acid while the other group received 10 mL of normal saline as a placebo immediately after delivery of the fetus. Blood loss was calculated by measuring the weights of blood-soaked gauze, gowns, sheets, and tampons before and after delivery. Hemoglobin and hematocrit were done before and 12 h after delivery.</p><p><strong>Results: </strong>Total number of participants were 226. The mean calculated blood loss and the mean measured blood loss was significantly less in Group A in comparison to Group B (379.17 ± 46.89 mL in Group A and 426.66 ± 58.45 mL in Group B, <i>p</i> < 0.001), (247.88 ± 67.03 mL in Group A and 368.95 ± 58.54 mL in group B, <i>p</i> < 0.001). Similarly, the mean decrease of hemoglobin after delivery was lower for Group A (1.45 ± 0.14) than for Group B (1.74 ± 0.24).</p><p><strong>Conclusion: </strong>The use of prophylactic intravenous tranexamic acid is associated with reduced blood loss after vaginal delivery. Furthermore, research needs to be done.</p>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 2","pages":"e70415"},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081502","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":"Enhancing Vaccine Uptake Among Persons With Disabilities: Insights From Ghana and Implications for the Philippines.","authors":"John Patrick C Toledo","doi":"10.1002/hsr2.70386","DOIUrl":"10.1002/hsr2.70386","url":null,"abstract":"","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 1","pages":"e70386"},"PeriodicalIF":2.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053713","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":"(South-)West to (North-)East Directional Movement of Respiratory Virus Activity in Europe: A Spatial-Temporal Cross-Sectional Study.","authors":"Karin Ebert, Therese Janzén, Patrik Dinnétz","doi":"10.1002/hsr2.70400","DOIUrl":"10.1002/hsr2.70400","url":null,"abstract":"","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 1","pages":"e70400"},"PeriodicalIF":2.1,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060843","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}