Revista Cuidarte最新文献

{"title":"Auriculotherapy associated with Baduanjin Qigong on anxiety and quality of life in university students: a quasi-experimental study.","authors":"Quésia Quinto Loreto, Wesley Silva Teixeira, Henrique Andrade Barbosa, Jaqueline D'Paula Ribeiro Vieira Torres, Viviane Carrasco, Hérica Pinheiro Corrêa, Diego Dias de Araújo","doi":"10.15649/cuidarte.4728","DOIUrl":"10.15649/cuidarte.4728","url":null,"abstract":"<p><strong>Introduction: </strong>College students are exposed to internal and external factors that increase the risk of anxiety and can negatively impact their quality of life.</p><p><strong>Objective: </strong>To evaluate anxiety and quality of life before and after the application of auriculotherapy associated with Baduanjin Qigong and the satisfaction of college students with the treatment.</p><p><strong>Materials and methods: </strong>Quasi-experimental study with 44 college students. Four sessions of auriculotherapy and Baduanjin Qigong were carried out, focusing on anxiety and quality of life. The evaluation occurred before and after the treatment using the State-Trait Anxiety Inventory and World Health Organization Quality of Life-Bref instruments. Satisfaction with the intervention was investigated. Descriptive and bivariate analysis was performed.</p><p><strong>Results: </strong>The sample was composed mainly of: women in the nursing course, with no fixed income and brown skin color. Regarding the final average of the scores evaluated, there was a reduction of 13.77 in anxiety (p<0.001), while in quality of life, there was an increase of 13.88 in the physical domain (p<0.001), 9.10 in the perception of quality of life (p=0.037) and 16.48 in satisfaction with health (p<0.001). Of the participants, 45.50% demonstrated satisfaction with the intervention.</p><p><strong>Discussion: </strong>The importance of auriculotherapy associated with Baduanjin Qigong as a care to reduce anxiety and prevent changes in quality of life that may affect the well-being of university students is highlighted. Strategies for implementing the intervention are necessary.</p><p><strong>Conclusion: </strong>The study provides evidence of the positive effect of auriculotherapy associated with Baduanjin Qigong on anxiety and quality of life of university students, impacting health promotion.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4728"},"PeriodicalIF":0.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030821","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":"Characterization of antibiotic prescription in intensive care units according to the Access, Watch, and Reserve classification.","authors":"Carlos Augusto Solórzano, Edgar Fabián Manrique-Hernández, Angela Miranda Barajas, María Alejandra Caro, María Camila Rubio, Maricel Licht-Ardila, Alexandra Hurtado-Ortiz","doi":"10.15649/cuidarte.4340","DOIUrl":"10.15649/cuidarte.4340","url":null,"abstract":"<p><strong>Introduction: </strong>The inappropriate use of antibiotics in intensive care units poses risks, such as increased infections caused by multidrug-resistant bacteria and adverse reactions. The World Health Organization's strategy, named Access, Watch, and Reserve, aims to mitigate these risks by categorizing antibiotics into these categories.</p><p><strong>Objective: </strong>To characterize antibiotic consumption in the adult population of intensive care units during the first quarter of 2023.</p><p><strong>Materials and methods: </strong>A cross-sectional study on patients in intensive care units was conducted. A bivariate and multivariate analyses with logistic regression were carried out.</p><p><strong>Results: </strong>807 intensive care unit patients were studied, with a median age of 60 years. Piperacillin/tazobactam was the most prescribed antibiotic. According to the Access, Watch, and Reserve classification, 77.96% of prescriptions fell into Watch category, 11.29% into Reserve, and 10.75% into Access.</p><p><strong>Discussion: </strong>Antibiotic use in intensive care units is crucial for managing critically ill patients. Our study focuses on the challenges of antibiotic selection, complication management, and emphasizes antimicrobial stewardship for optimal therapy and reduced resistance.</p><p><strong>Conclusion: </strong>It is crucial to conduct an intervention study to demonstrate how increasing interaction of the antimicrobial stewardship team during prescription can enhance antibiotic use, reduce side effects, and decrease unnecessary costs.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4340"},"PeriodicalIF":0.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030887","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":"Development of the concept of prenatal care Application of the hybrid model of Schwartz-Barcott and Kim.","authors":"Javier Alonso Bula-Romero, Adier Andrés Conde-Flórez, Aura María González-Lara, Álvaro Antonio Sánchez-Caraballo, Gustavo Edgardo Jiménez-Hernández","doi":"10.15649/cuidarte.4387","DOIUrl":"10.15649/cuidarte.4387","url":null,"abstract":"<p><strong>Introduction: </strong>Prenatal care is essential for maternal and neonatal health. Nursing professionals play a key role in providing comprehensive care.</p><p><strong>Objective: </strong>To analyze the concept of prenatal caring in the context of maternal-perinatal care from the perspective of nursing professionals and pregnant women.</p><p><strong>Materials and methods: </strong>The concept was developed using the hybrid model by Schwartz-Barcott and Kim, which comprises theoretical, fieldwork, and analytical phases. The first step included a review of 23 articles published between 2012 and 2022, sourced from various databases. Then, five interviews were conducted with low-risk pregnant women and five with nursing professionals, followed by inductive content analysis using ATLAS Ti® software. Finally, a general definition was formulated.</p><p><strong>Results: </strong>Prenatal caring is defined as a humanized interaction between the pregnant woman, her family, and nursing professionals, grounded in kindness, respect, and commitment. It requires empathy, attentiveness to individual needs, and a focus that goes beyond technical procedures to emphasize holistic well-being.</p><p><strong>Discussion: </strong>A distinction is drawn between prenatal care and prenatal caring, the latter being understood as a woman- and family-centered process. Operational and time constraints hinder the delivery of this care, highlighting the need to strengthen nursing leadership and foster care models that prioritize maternal and infant well-being.</p><p><strong>Conclusion: </strong>Prenatal caring in nursing addresses the emotional and relational needs of pregnant women and their families. It enhances adherence to prenatal checkups, contributes to the reduction of mortality, and supports preparation for childbirth. It reaffirms an approach centered on the woman, her unborn child, her partner, and the family.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4387"},"PeriodicalIF":0.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030894","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":"Self-management experience in adults with colostomies due to colorectal cancer.","authors":"Lina Marcela Zuluaga Sarmiento, Gloria Mabel Carrillo González","doi":"10.15649/cuidarte.4265","DOIUrl":"10.15649/cuidarte.4265","url":null,"abstract":"<p><strong>Introduction: </strong>Facing a chronic disease such as colorectal cancer with a colostomy is a process that represents changes in people's quality of life. Addressing this experience is an enriching process that strengthens self-management interventions.</p><p><strong>Objective: </strong>To describe the self-management experience of adults with colostomy due to colorectal cancer.</p><p><strong>Materials and methods: </strong>A qualitative study with a descriptive phenomenological approach was conducted. Ten people over 18 years of age with colorectal cancer with temporary or permanent colostomies of at least 6 months' evolution participated voluntarily in semi-structured interviews. Data were analyzed using the Colaizzi analysis method.</p><p><strong>Results: </strong>Eight categories are associated with the phenomenon, and thirty nominal codes represent the experience. The spiritual dimension, social support, coping with colostomy-related difficulties, and experiencing psychosocial changes were identified as factors that influence self-management, as well as practices and behaviors, such as self-management skills, living a new reality, adapting to the colostomy, and support and learning from the healthcare team and system.</p><p><strong>Discussion: </strong>The difficulties experienced, family and social support, social effects, and spiritual support are consistent with the literature. This research highlights the difficulties with access to supplies, helping others, nicknaming the stoma, and the interactions with the health system.</p><p><strong>Conclusion: </strong>Knowing the self-management experience, influencing factors, and practices contributes to implementing interventions with a better impact aimed at improving the quality of life and the new life experience of having a colostomy.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4265"},"PeriodicalIF":0.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030876","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":"Design and content validation of the Transcend instrument for family caregivers.","authors":"Kevin Julian Aya-Roa, Vicente Beltrán-Campos, José Angel Hernández Mariano, María de Lourdes García-Campos, Xóchilt Sofia Ramírez-Gómez, Carlos Alberto Núñez-Colín","doi":"10.15649/cuidarte.4595","DOIUrl":"10.15649/cuidarte.4595","url":null,"abstract":"<p><strong>Introduction: </strong>Transcendence is a metaphysical phenomenon of the self that is reflected in caregivers by transforming their attitudes, perceptions, and caregiving meanings about the care recipient and themselves.</p><p><strong>Objective: </strong>To develop and validate the content of the \"Transcend\" instrument through expert judgment and to determine its preliminary reliability.</p><p><strong>Materials and methods: </strong>This methodological study focused on the design and content validation, via expert judgment, of an instrument to measure family caregiver transcendence called \"Transcend,\" following the methodology proposed by Waltz. The judges assessed instrument's clarity, coherence, and relevance. After validation, the instrument was administered to 30 caregivers to assess its clarity in the population and its preliminary reliability.</p><p><strong>Results: </strong>Fifteen judges participated in the validation process, and a significant level of agreement was found (p < 0.001) in assessing clarity, coherence, and relevance. The content validity index, both individual and global, was 1.00. All items obtained an Aiken's V value ≥ 0.69, with values falling within the confidence intervals. Preliminary reliability in the pilot testing yielded a Cronbach's alpha of 0.90.</p><p><strong>Discussion: </strong>Validity and concordance indices should be interpreted together to determine the level of content validity based on expert judgment.</p><p><strong>Conclusion: </strong>The Transcend instrument shows adequate content validity and high preliminary reliability, supporting its progression to a second phase of validation, which will be crucial to determining its potential as a tool for assessing transcendence in family caregivers.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4595"},"PeriodicalIF":0.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745399","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":"Perception of patients in relation to the humanized care provided by nursing.","authors":"Katerine Correa-Yantany, Ximena Osorio-Spuler, Luis Bustos-Medina, María Cecilia Toffoletto, Sara Barrios-Casas","doi":"10.15649/cuidarte.4477","DOIUrl":"10.15649/cuidarte.4477","url":null,"abstract":"<p><strong>Introduction: </strong>Humanization of care is a need demanded by users, and it is necessary to generate evidence that identifies both strengths and shortcomings in nurse-patient care.</p><p><strong>Objective: </strong>To determine the perception of adult patients regarding the humanized care provided by nursing professionals in a hospital in the Southern Zone of Chile.</p><p><strong>Materials and methods: </strong>A cross-sectional and analytical study was conducted using a sociodemographic survey and the third version of the Perception of Behavior Related to Humanized Nursing Care (PCHE) instrument, which reports an internal consistency determined by Cronbach's alpha of 0.96. A non-probabilistic convenience sampling method was applied, and the ethical principles proposed by Ezekiel J. Emanuel were upheld.</p><p><strong>Results: </strong>Overall, most patients perceived that nurses always delivered humanized care. When comparing the mean scores of the PCHE dimensions with sociodemographic variables, significant differences were found in relation to sex and educational level: men with secondary education reported higher scores.</p><p><strong>Discussion: </strong>The perception of humanized care among hospitalized adult patients was more favorable than in a Mexican study but lower than the findings of a Chilean study conducted in a Hemato-Oncology Unit.</p><p><strong>Conclusion: </strong>As the lowest scores were observed in the openness to nurse-patient communication dimension, developing strategies to strengthen this bond is essential.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4477"},"PeriodicalIF":0.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745404","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":"Second victim phenomenon: impact on healthcare professionals, organizational responsibility and support strategies.","authors":"Maristela Santini Martins, Helena de Rezende, Ellen Regina Sevilla Quadrado, Andresa Gomes de Paula, Hércules de Oliveira Carmo, Vagner Ferreira do Nascimento","doi":"10.15649/cuidarte.5072","DOIUrl":"10.15649/cuidarte.5072","url":null,"abstract":"","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e5072"},"PeriodicalIF":0.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745405","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":"Economic analysis: PICC versus short catheter for prolonged home antibiotic therapy.","authors":"Mariana Vélez-Bonilla, Catalina Hernández-Flórez, Allan Solano-Felizzola, Sandra B Amado-Garzón, Diego Rosselli","doi":"10.15649/cuidarte.4124","DOIUrl":"10.15649/cuidarte.4124","url":null,"abstract":"<p><strong>Introduction: </strong>Hospital-at-home programs rely on vascular access devices for secure administration of parenteral antimicrobials. While guidelines recommend peripherally inserted central catheters (PICC) for treatments ≥14 days, short peripheral catheters (SPC) are often used instead. Cost-effectiveness studies comparing these devices and their complications are limited.</p><p><strong>Objective: </strong>This study conducted an economic evaluation comparing PICC and SPC for patient outpatient parenteral antibiotic therapy.</p><p><strong>Materials and methods: </strong>A literature review of catheter complication frequencies yielded 1053 papers, narrowed to 18 after independent peer review. Experts were consulted, and a list of items required for catheter use was compiled to determine costs. A decision tree model was developed based on complication frequencies and costs. Results were analyzed using incremental cost-effectiveness ratios (ICER), univariate sensitivity analysis (tornado diagram), and multivariate sensitivity analysis (Monte Carlo simulation).</p><p><strong>Results: </strong>Major complications were similar between devices, but minor complications were more frequent with SPC. The PICC reference case assumed 50%-50% radiologist/nurse insertion, catheter cost ($74,7), ≤15-day treatment, and complication prevalence. Higher costs associated with PICC were linked to catheter material and radiologist insertion. Multivariate analysis showed ICERs of $49,2 with 90% nurse-led insertion and $24,3 with 100% nurse-led insertions, assuming a 50% PICC price reduction.</p><p><strong>Discussion: </strong>PICC was more effective in reducing minor complications. Costs decreased with nurse-led insertions and lower catheter material costs.</p><p><strong>Conclusion: </strong>Increasing PICC use for extended treatments could reduce overall costs and lower ICERs, highlighting their potential economic advantage despite higher initial expenses.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4124"},"PeriodicalIF":0.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745400","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 associated with low adherence to postpartum consultation: a cross-sectional study.","authors":"Ana Luísa Macedo de Amorim, Chalana Duarte de Sena Fraga, Tacila Nogueira Azevedo Rocha, Kellen Karoline Almeida Dos Santos Lira, Magna Santos Andrade","doi":"10.15649/cuidarte.4406","DOIUrl":"10.15649/cuidarte.4406","url":null,"abstract":"<p><strong>Introduction: </strong>One of the attributes that attest to the effectiveness of postpartum care is the longitudinality of health care, which must be offered by Primary Health Care, an entity responsible for offering support and attention to maternal demands or women's health conditions.</p><p><strong>Objective: </strong>To investigate the frequency of postpartum consultations and the factors associated with low adherence to follow-up among postpartum women living in a municipality in the interior of the Northeast.</p><p><strong>Materials and methods: </strong>Cross-sectional study, developed in the urban area of the municipality of Senhor do Bonfim, Bahia, Brazil, between June 2019 and January 2020. 97 women were surveyed, based on semi-structured interviews. The Chi-square/Fisher's Exact and Multiple Logistic Regression tests were used to perform data analysis.</p><p><strong>Results: </strong>There was 67% attendance at the postpartum consultation. Furthermore, an association was found between not having attended a postpartum consultation and the following variables: having attended prenatal care at the Basic Health Unit (OR: 0.08; p=0.002) and not having received guidance during prenatal care about the importance of returning for postpartum follow-up (OR: 0.22; p=0.004).</p><p><strong>Discussion: </strong>It is important to highlight that even with the existence of national protocols, states and municipalities can implement measures to improve postpartum care based on their respective realities.</p><p><strong>Conclusion: </strong>A low frequency of postpartum consultations was observed among the women surveyed, and the main reason for non-attendance was the difficulty in going to the consultation due to lack of time. In addition, the lack of continuity of care after childbirth among women who attended prenatal care at the SUS stands out.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4406"},"PeriodicalIF":0.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745401","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":"Materializing the international migrant health policy in health sciences curricula in Chile.","authors":"Debbie Álvarez-Cruces, Alejandra Nocetti-de-la-Barra, Juan Mansilla-Sepúlveda","doi":"10.15649/cuidarte.4435","DOIUrl":"10.15649/cuidarte.4435","url":null,"abstract":"<p><strong>Introduction: </strong>In Chile, the International Migrant Health Policy (PSMI in Spanish) mandates the inclusion of topics such as migration, interculturality, human rights, social determinants of health, and gender in higher education curricula. However, it is unknown whether this effectively happens.</p><p><strong>Objective: </strong>To understand the materialization of the PSMI in health sciences curricula.</p><p><strong>Materials and methods: </strong>This interpretative/hermeneutic study included semi-structured interviews with program directors, academic faculty, clinical professors, and students. It also involved a document analysis across different health sciences degree programs at three regional universities in Chile. Data analysis included open, axial, and selective coding with ATLAS.ti version 24.</p><p><strong>Results: </strong>A total of 179 informants participated. Three main categories emerged: Health Institution Setting, University Institution Setting, and Degree Program Setting, each comprising facilitating or hindering subcategories for materializing policy materialization. The hermeneutic analysis made it possible to interrelate these subcategories, producing a semantic network to understand the phenomenon. Facilitators were scarce and isolated from the network core, while hindrances were more numerous, cohesive, and robust, reinforcing an ethnocentric model of professional education validated by ethnocentric healthcare practices in clinical settings.</p><p><strong>Discussion: </strong>The concept of \"cultural blinders\" is proposed in place of \"cultural blindness\" as there is awareness of the cultural influences on healthcare that are nonetheless not integrated.</p><p><strong>Conclusion: </strong>Current curricula do not align with the PSMI. Coordinated policies between the Ministry of Education and the Ministry of Health are imperative to reverse the existing healthcare status quo.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 2","pages":"e4435"},"PeriodicalIF":0.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745403","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}