Tobacco Prevention & Cessation最新文献

{"title":"Developing a media literacy-based e-cigarette education program via medical record systems.","authors":"Hongying Daisy Dai, Ellen Kerns, Hana Niebur, Ashley Deschamp, Rachel Johnson, Kaeli Samson, James Buckley, Summer Woolsey","doi":"10.18332/tpc/201477","DOIUrl":"10.18332/tpc/201477","url":null,"abstract":"<p><strong>Introduction: </strong>This is a prospective, interventional pilot study that seeks to evaluate the impact of MediaSense, a media-literacy-based vaping prevention program, in adolescents including an oversample of those with asthma.</p><p><strong>Methods: </strong>During July and December 2022, participants in Nebraska were recruited via electronic health record (EHR)-based messaging, and MediaSense was self-administrated by interactive e-learning with REDCap surveys before and after the intervention. Regression analysis evaluated changes in vaping media literacy, vaping expectancy, and harm perception pre- and post-intervention. Factor analysis was conducted on 22 items on usability, to determine which latent factors were most related to interactive e-learning modules.</p><p><strong>Results: </strong>Adolescents aged 12-17 years participated in the MediaSense intervention (n=67; 59.7% with asthma). The pre- and post-intervention surveys showed a 148% increase in vaping media literacy (ranging 0-6; 2.9 vs 4.5, p<0.0001). Vaping expectancy (ranging1-5) decreased from 3.6 to 1.2 (p<0.0001), and the perception of vaping as harmful rose from 40.3% to 86.0% (p<0.0001). Participants rated the intervention highly on usability, technical assistance, design, content clarity, navigation, flow, multimedia, interactivity, and learning outcomes. Two distinct factors were identified in the factor analysis: motivating and engaging content (Factor 1) and user-friendly module design (Factor 2). Participants with higher usability ratings of the e-modules (Factor 1: B=0.6; 95% CI: 0.3-0.9, p=0.0004; Factor 2: B=0.7; 95% CI: 0.4-1.0, p=0.0001), and those with asthma (vs no asthma: B=0.5; 95% CI: 0.1-0.9, p=0.01) had significantly higher vaping refusal and media literacy.</p><p><strong>Conclusions: </strong>The MediaSense program demonstrated acceptability and feasibility in recruiting and preventing adolescent vaping through EHR and digital interventions. Media literacy helps adolescents to critically evaluate vaping-related marketing messages, resist persuasive marketing, and make informed decisions.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755179","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":"Overview of tobacco cessation service in Oman: A narrative review.","authors":"Salma R Al-Kalbani","doi":"10.18332/tpc/201992","DOIUrl":"10.18332/tpc/201992","url":null,"abstract":"<p><p>Tobacco is a global public health issue that kills half of its users. Even though the Framework Convention on Tobacco Control (FCTC) mandates countries to implement tobacco cessation programs as a cost-effective approach to assist smokers in quitting and reduce the burden of tobacco use, only one-third of the world's population has access to effective cessation services. Many governments have failed to provide comprehensive, accessible tobacco cessation services due to financial constraints and the belief that people are to blame for tobacco addiction. The World Health Organization's Package of Essential Non-Communicable Diseases (WHO PEN) recommends incorporating tobacco cessation and lifestyle advice into primary healthcare as a cost-effective means of avoiding non-communicable diseases. Despite nearly two decades have passed since ratifying the Framework Convention on Tobacco Control (FCTC), Oman has made little progress in developing a national comprehensive tobacco cessation program. A comprehensive multisectoral effort is necessary to explore the challenges and opportunities for implementing an effective national tobacco cessation program in Oman, which should be part of effective tobacco control legislation aimed at reversing the tobacco trend and assisting smokers in quitting tobacco products. This narrative review aims to explore tobacco use in Oman, its health impacts, strengths, weaknesses, opportunities, and threats, and puts forward recommendations for implementing a tobacco cessation program.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732363","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 of school tobacco policies: The advocacy coalition approach. Protocol of the ADHAirE study, a cluster randomized controlled trial.","authors":"Pierre Laloux, Nora Mélard, Vincent Lorant","doi":"10.18332/tpc/202392","DOIUrl":"10.18332/tpc/202392","url":null,"abstract":"<p><p>Secondary schools still struggle to enforce their tobacco policy and to keep their learning environment smoke-free. Yet, enforcement is the key to improve the effectiveness of those policies. This article describes the ADHAirE study which aims to reduce smoking at school through an improved enforcement of the school's tobacco policy. The ADHAirE study will be carried out during 2 years in 20 Belgian secondary schools. Schools will be randomized either in the experimental or the control group. Schools in the experimental group will create an advocacy coalition involving students, staff and the principal. Those schools will also be linked to the others to share best practices about their school tobacco policy. Members of the advocacy coalition will share beliefs and values about the tobacco policy and about the school's role in tobacco prevention. This randomized controlled trial will assess the effectiveness of the advocacy coalition to enforce the school tobacco policy. The ADHAirE study is based on the latest research and recommendations on school tobacco prevention. Following the social norm theory, this study goes further than many others before which only focused on health education, targeting the individual and not the social environment in which smoking occurs. Through the advocacy coalition, ADHAirE will initiate a community-level intervention that will ensure that all stakeholders are involved in decision-sharing about the rules, ensuring their acceptability, adoption and sustainability. <b>CLINICAL TRIAL REGISTRATION:</b> The study is registered on the official website of ClinicalTrials.gov <b>IDENTIFIER:</b> ID NCT06655038.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701837","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":"Assessing client and staff beliefs and attitudes to inform tobacco-free campus policy implementation at substance use disorder treatment centers.","authors":"Amogh Bandekar, Kim Bayha, Ashley Finke, Vanessa Mallory, Michael F Dulin, Michael E Thompson","doi":"10.18332/tpc/202468","DOIUrl":"10.18332/tpc/202468","url":null,"abstract":"<p><strong>Introduction: </strong>US patients with behavioral health conditions have smoking rates two to three times higher than the general population. Tobacco-free environments at substance use disorder (SUD) facilities can positively impact patient's outcomes as well as the health of staff, but client perceptions to the contrary can slow adoption. This study assessed client and staff beliefs, attitudes, and knowledge regarding the implementation of a tobacco-free campus policy at McLeod Addictive Disease Center, a full-service SUD treatment facility based in Charlotte, North Carolina.</p><p><strong>Methods: </strong>During the height of the 2020 COVID-19 pandemic, the research team conducted a mixed-methods study at the McLeod Center lasting from May to November 2020. Using convenience sampling, the team conducted two staff surveys that were administered online (n=134; n=28) and virtual interviews of clients (n=38) to assess beliefs, attitudes and knowledge of tobacco use and the tobacco-free campus planned for 2021.</p><p><strong>Results: </strong>Many staff identified as current or former smokers (n=57); some expressed the belief that the policy will positively impact clients' SUD recovery (n=12). Encouragingly, clients expressed positive feelings associated with the policy (n=16) and reported interest in receiving tobacco cessation treatment (n=25).</p><p><strong>Conclusions: </strong>Staff are interested in helping clients quit tobacco use. Most of the interviewed clients, however, believed that utilizing tobacco products while receiving treatment for their dependence on another substance, would improve their success. The McLeod Center was one of the first community-based SUD treatment facilities in North Carolina to transition to a 100% tobacco-free campus in 2021. This research and results serve as a blueprint for other facilities making similar policy changes.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701832","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":"Tobacco products: Law applies also to social media.","authors":"Christopher Heidt, Katrin Schaller","doi":"10.18332/tpc/202934","DOIUrl":"10.18332/tpc/202934","url":null,"abstract":"","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701838","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":"Use of low-dose varenicline in patients who do not tolerate standard-dose varenicline: A longitudinal case series.","authors":"Martha Swanson, Luisa C Masclans, James M Davis","doi":"10.18332/tpc/194629","DOIUrl":"https://doi.org/10.18332/tpc/194629","url":null,"abstract":"<p><strong>Introduction: </strong>Although varenicline tartrate is the most effective monotherapy for smoking cessation, the standard-dose (1 mg twice daily) is associated with adverse events: gastrointestinal, sleep-related, and mood-related. Lower doses have demonstrated similar efficacy with lower adverse event incidence. The purpose of this study was to determine whether patients who previously discontinued standard-dose varenicline due to adverse events could tolerate and benefit from low-dose varenicline.</p><p><strong>Methods: </strong>We conducted a prospective longitudinal pilot study of 22 adult daily smokers in Durham NC, USA, in 2022. All participants previously discontinued standard-dose varenicline due to adverse events. These patients were prescribed either 0.5 mg twice daily for varenicline-related nausea or 1 mg in the morning for sleep problems. The primary outcome was change in self-reported adverse event severity (scale: 0-7). Secondary outcomes were smoking abstinence at 6-week follow-up and tolerance of the lower dose.</p><p><strong>Results: </strong>Patients with intolerable nausea reported significant severity reduction (6.00 to 0.00; p<0.001) as did patients with intolerable vivid dreams (3.27 to 0.27; p=0.001). Smoking abstinence rates were 28.6% for 0.5 mg twice daily and 26.7% for 1 mg once daily. Low-dose varenicline tolerance was 81.8%.</p><p><strong>Conclusions: </strong>Patients who experience significant nausea with standard-dose varenicline may successfully make transition to a 0.5 mg low dose twice daily and those who experience vivid dreams to 1 mg varenicline in the morning. Treatment efficacy rates remained relatively high. This suggests a need for a future randomized controlled trial to establish low-dose varenicline as an approach for patients who do not tolerate the standard-dose varenicline.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the COVID-19 pandemic on tobacco product consumption and behavioral patterns from a low-middle income country perspective: A qualitative study.","authors":"Ana Paula Coelho Figureira Freire, Eric Foch, Bruna Aparecida Santos Medina, Juliana Souza Uzeloto, Marceli Rocha Leite, Bruna Spolador de Alencar Silva, Marina Politi Okoshi, Francis Lopes Pacagnelli","doi":"10.18332/tpc/201442","DOIUrl":"10.18332/tpc/201442","url":null,"abstract":"<p><strong>Introduction: </strong>Previous studies investigating socioeconomic status and tobacco consumption during the COVID-19 pandemic were survey-based. To extend knowledge beyond prevalence rates and trends of tobacco consumption, qualitative research is needed to identify individual's experiences. There is a critical gap within this context, particularly in low-middle income countries. The aim of the study was to perform a qualitative analysis on consumption patterns of tobacco users from a low-middle income country during the COVID-19 pandemic, and to identify factors influencing motivation to quit tobacco products during the pandemic and the perceptions of self-risk for complications of tobacco consumption and COVID-19.</p><p><strong>Methods: </strong>A qualitative study was conducted in São Paulo, Brazil in September 2020. We used a focus group with semi-structured interviews. Participants were invited to answer questions about behavioral and consumption patterns of tobacco products during early stages of COVID-19 pandemic. Two investigators independently performed triangulation of content of the transcripts. Data were analyzed using inductive content analysis.</p><p><strong>Results: </strong>Eighteen participants were evaluated (66.7% males) with mean age 34.1 ± 14.9 years. Many participants presented high levels (33.3%) of nicotine dependence. Thematic analysis of participants' narratives resulted in two themes: Theme 1: Behavioral and psychological factors impacting consumption; and Theme 2: Consumption patterns, dependence, and information. Open-coding process resulted on four codes: 1) Behavioral and lifestyle changes; 2) Psychological and motivational factors; 3) Consumption patterns and dependence; and 4) Information exposure and awareness. Nine categories were generated from the codes.</p><p><strong>Conclusions: </strong>Behavioral and consumption patterns varied significantly in tobacco users in Brazil during the early stages of the COVID-19 pandemic, ranging from increases to no changes. Individuals consuming tobacco products showed awareness about the harmful effects of smoking and COVID-19 complications.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617510","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":"Assessment of heated tobacco products in Cairo and Giza at points of sale: Availability, advertisement, and promotion.","authors":"Amira Haridy, Heba AlSawahli, Eman H Elsebaie, Fatimah El Awa, Nibras ELhag Arabi, Abla Elalfy, Randa Abou El Naga","doi":"10.18332/tpc/200819","DOIUrl":"10.18332/tpc/200819","url":null,"abstract":"<p><strong>Introduction: </strong>Heated tobacco products (HTPs) are readily available at diverse points of sale (POS) in Egypt. This study aims to assess these advertisements and promotions to provide evidence for policymakers on the need for tobacco control law amendments and enforcement in Egypt.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted in Cairo and Giza governorates in 2022 through a convenience sample to collect data from 150 POS. The study's data collection tools assessed the availability, display, advertisement, and promotion of HTP at each site.</p><p><strong>Results: </strong>Price promotions were available at 18% of the visited sites, ranging between bundles and promo code discounts; 75% of the points of sale had some type of advertisement, either inside (67.3%) or outside (36%), stating that HTP are less harmful than traditional cigarettes because they do not burn. HTP display was commonly around the cashier area (87.3%), followed by candy and gum (80.7%) or soda, ice cream, or coffee machines (66%).</p><p><strong>Conclusions: </strong>The reported advertisement and promotion of HTP at POS and their sale to minors violate the National Tobacco Control Law 52/1981. These violations risk the health of the youth. We call on policymakers to explicitly ban all sorts of advertisement and promotion of tobacco products at POS, and enforce the ban of sale to minors (under 18 years).</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516964","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":"An exploration of Michigan certified peer support specialists' perceptions on tobacco use and additional future supports.","authors":"Sahana Lothumalla, Devin C Tomlinson, Isabelle Duguid, Chelsea Wilkins, Natalie D Bayrakdarian, Lauren Hellman, Mary Jannausch, Pam Werner, Adrienne Lapidos, Lara N Coughlin","doi":"10.18332/tpc/200025","DOIUrl":"10.18332/tpc/200025","url":null,"abstract":"<p><strong>Introduction: </strong>Certified peer support specialists, recovery coaches and community health workers uniquely connect to individuals who smoke through shared experiences. This study examines peers' perceptions of tobacco cessation supports to enhance policy and intervention opportunities in rural and non-rural communities.</p><p><strong>Methods: </strong>Peers (n=172) responded to a needs assessment available from 30 November 2023 to 1 February 2024. Peers were asked questions about their perceptions of currently available and additional support for tobacco cessation. We report overall ratings of these services, as well as ratings stratified by rurality.</p><p><strong>Results: </strong>Over half of peers perceived widely available tobacco cessation services (Quitline, counseling, NRT, medications, peer-to-peer support) as somewhat effective. Peers tended to favor financial accessibility, holistic health approaches, flexible approaches focused on harm reduction, and increased tobacco cessation services awareness, as well as peer support as additional services. When stratified by rurality, more rural-residing peers reported current tobacco cessation services as at least somewhat effective, but called for greater access to these services and/or the need for novel approaches specifically for individuals in rural communities. Rural peers emphasized the importance of more holistic support, cessation services awareness, virtual opportunities, peer-led services, and healthcare provider education for stigma prevention than their urban counterparts.</p><p><strong>Conclusions: </strong>Most peers view existing supports as somewhat effective, with peer-to-peer support rated highest. Rural-residing peers favored holistic and virtual supports and urban-residing peers emphasized harm reduction and healthcare coverage, suggesting future cessation efforts within the peer workforce should address rural-specific barriers and leverage community-centered, flexible approaches.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494081","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":"Stakeholder perspectives of tobacco use on campus and implementation of a tobacco-free policy at a Midwest university.","authors":"Olufunmilola Abraham, McKennah J Matulle, Jenny S Li, Sydney Thao, Ellie Maday, Qianqian Zhao","doi":"10.18332/tpc/199932","DOIUrl":"10.18332/tpc/199932","url":null,"abstract":"<p><strong>Introduction: </strong>Implementation of a 100% tobacco-free policy at universities can assist in limiting the potential negative health impacts of tobacco use, such as susceptibility to lung and heart disease, cancer, addiction, and life-long use. This study's goal was to gain the perspective of students and non-students across a large Midwestern university campus on implementation of a 100% tobacco-free policy.</p><p><strong>Methods: </strong>Students, faculty, and staff of a Midwestern university were recruited to complete a 19-question cross-sectional online survey on tobacco use on campus, awareness of the current tobacco-free policy, and their interest in supporting a 100% smoke-free policy on campus. The survey included open- and close-ended questions, and responses were analyzed qualitatively and quantitatively.</p><p><strong>Results: </strong>A total of 2389 respondents completed the survey, and 291 (12.2%) reported current tobacco use from April to July 2024. Participants with a higher probability of current tobacco use were associated with having a higher degree of exposure to secondhand aerosols (AOR=1.34; 95% CI: 1.10-1.62), more awareness of the current tobacco policy (AOR=1.19; 95% CI: 1.06-1.32), and disagreed with the petition statement in support of a 100% tobacco-free campus policy (AOR=2.47; 95% CI: 1.48-4.12). Participants that reported a higher degree of exposure to secondhand aerosols (AOR=2.18; 95% CI: 1.19-3.99) and agreed with the statement that a 100% smoke-free campus policy would promote a healthier college campus (AOR=2.18; 95% CI: 1.20-3.96) were significantly associated with supporting the petition for a 100% smoke-free policy on this university campus.</p><p><strong>Conclusions: </strong>Supporting a 100% tobacco-free policy for a healthier and safer university campus was demonstrated to be associated with secondhand aerosol exposure among survey respondents.</p>","PeriodicalId":44546,"journal":{"name":"Tobacco Prevention & Cessation","volume":"11 ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392168","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}