Journal of Public Health in Africa最新文献

{"title":"Depot-medroxyprogesterone acetate: Lipid profile changes and associated cardiovascular risks among acceptors in Sagamu, South West Nigeria.","authors":"Oluwaseyi Odelola, Adebayo Akadri","doi":"10.4081/jphia.2023.1664","DOIUrl":"10.4081/jphia.2023.1664","url":null,"abstract":"<p><p>Depot-medroxyprogesterone acetate (DMPA) is a highly effective long acting reversible contraceptive. Alterations in lipid profile have been associated with use of DMPA, however there is considerable debate about how profound these effects are. Hence the aim of this study is to determine the effect of DMPA on lipid profile and the associated cardiovascular risks. This was a prospective longitudinal study conducted at the family planning clinic of Olabisi Onabanjo University Teaching Hospital Sagamu, Ogun State. Sixty eight new acceptors of DMPA who had their blood samples collected for lipid profile assays at initiation of DMPA, and then at 3 months and 6 months. Data were analyzed using SPSS version 24. After 3 months of DMPA use, there was statistically significant increase in serum Total Cholesterol (TC) concentration (P=0.022), serum Low Density Lipoprotein (LDL) concentration (P=0.033), non significant increase in serum Triglyceride (TG) concentration (P=0.150) and non-significant decrease in serum Higher Density Lipoprotein (HDL) concentration (P=0.076). However, after 6 months of DMPA use, there was statistically significant increase in serum TC concentration (P=0.002), serum LDL concentration (P=0.003), serum TG concentration (P=0.001) and significant decrease in serum HDL concentration (P=0.001). DMPA use is associated with increased serum TC, TG, LDL, and reduction in HDL after 6 months of use. These changes in lipid profile may increase the risk of cardiovascular diseases.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"1664"},"PeriodicalIF":0.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207840","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":"Missed opportunity for tuberculosis screening among patients presenting at two health facilities in Manafwa district, Uganda.","authors":"Titus Wamulima, John Peter Masette Masaba, David Musoke, David Mukunya, Joseph Kb Matovu","doi":"10.4081/jphia.2023.2682","DOIUrl":"10.4081/jphia.2023.2682","url":null,"abstract":"<p><p>Missed opportunities for Tuberculosis (TB) screening are key drivers of continued tuberculosis transmission. To determine the proportion of and factors associated with missing TB screening amongst patients who attended Bubulo and Butiru health facilities in the Manafwa district to inform future TB prevention and control efforts in Uganda. This was a facility-based, cross-sectional study with quantitative methods of data collection. 125 patients (≥18 years) with at least one symptom suggestive of TB were systematically selected and interviewed at the exit. Data analysis was done by Stata version 15, using a cluster-based logistic regression model. Of the 125 patients enrolled at both sites, 39% (n=49) were aged between 30 and 49 years; 75.2% (n=94) were females; 44% (n=55) were married while 66.4% (n=83) had a primary level of education. Of the patients enrolled in the study, 68% (n=85) had a missed opportunity for TB screening. Having a; post-primary education level (Adjusted Odds Ratio [AOR]=5.9; 95% Confidence Interval [95% CI]=1.3, 27.1) and attending Bubulo HCIV (AOR=0.01; 95% CI: 0.01, 0.2) were significantly associated with having a missed opportunity for TB screening. Our findings show that slightly more than two-thirds of the patients who presented to the study health facilities with symptoms suggestive of TB missed the opportunity to be screened for TB. Study findings suggest a need for interventions to increase TB screening, particularly among better-educated TB patients.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2682"},"PeriodicalIF":0.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10946296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159179","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 and experience of relatives of pregnant teenagers: A qualitative study in the North and Northeast departments of Haiti.","authors":"Léonel Philibert, Patrice Ngangue, Judith Lapierre, Paulin Mulatris, Alice Prophète, Gbètogo Maxime Kiki, Gisèle Mandiangu Ntanda","doi":"10.4081/jphia.2023.2436","DOIUrl":"10.4081/jphia.2023.2436","url":null,"abstract":"<p><p>Teenage pregnancy remains a global problem because of its consequences for the teenager, her child, her family, and society. In Haiti, this type of pregnancy burdens the family economy. In addition, the adolescent fertility rate is still high, despite efforts to reduce it. This article aims to analyze the perception and experiential experience of relatives of pregnant adolescents in Haiti. A qualitative study design based on Dewey's social survey was conducted. Data were collected from 17 relatives (partners, parents, guardians, and others) of pregnant adolescents in Haiti's North and Northeast departments. These data were analyzed using thematic analysis. According to the results, teenage pregnancy is seen as a disaster or a social problem in Haiti. It leads to many psychosocial and economic difficulties for the relatives, who are the only source of economic and social support for pregnant adolescents. Considering the vulnerability of relatives, policies, and interventions aimed at reducing the negative consequences of teenage pregnancy should consider this group of individuals.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 11","pages":"2436"},"PeriodicalIF":0.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10946304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159180","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":"Monitoring progress on antimicrobial resistance response in the WHO African Region: Insights from the Tracking AMR Country Self-Assessment Survey (TrACSS) 2021. Results for the Human Health Sector","authors":"L. Gahimbare, Ambele Judith Mwamelo, Yahaya Ali Ahmed, Walter Fuller, Ponnu Payidara, Pravarsha Prakash, Anand Balachandran, E. L. Makubalo","doi":"10.4081/jphia.2023.2392","DOIUrl":"https://doi.org/10.4081/jphia.2023.2392","url":null,"abstract":"Background: Antimicrobial resistance (AMR) is a major 21st century global health challenge. The WHO African Region Member States committed to develop and implement multisectoral national action plans (NAPs) that address AMR, in line with the Global Action Plan on AMR (GAP).\u0000Objective: The aim of this paper is to present the progress of AMR response in the WHO African Region based on the annual Tracking AMR Country Self-Assessment Survey (TrACSS), with a focus on human health indicators.\u0000Methods: This was a secondary data analysis of responses from forty-one countries that participated in the 2021 TrACSS.\u0000Results: Of the 41 countries that responded to the 2021 TrACSS, 35(85%) have developed NAPs. Fifteen 15(37%) of countries have functional AMR multisector working groups. 55% (21/41) of countries are collating data nationally on AMR surveillance. Forty nine percent of countries conducted small-scale AMR awareness campaigns and 53% (21/41) covered AMR in some pre- and in-service training for human health workers. While 83% of countries reported having laws and regulations on the prescription and sale of antimicrobials, only 32% (13/41) have national systems for monitoring antimicrobial use. Twenty-three (58%, 23/41) reported having Infection Prevention and Control (IPC) programs at select health facilities.\u0000 \u0000Conclusion: Countries have developed and are implementing AMR NAPs. Gaps still exist across key indicators monitored through TrACSS. Effective AMR response requires established functional multisectoral governance mechanisms in the One Health approach; political commitment, sustainable funding, and clear monitoring and reporting is critical.\u0000 ","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"31 3","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139452126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of fatigue while driving among two-wheeled vehicle drivers: Exploratory approach from secondary analysis based on hospital data, Benin","authors":"Yolaine Glèlè Ahanhanzo, Alphonse Kpozehouen, Lamidhi Salami, Nicolas Gaffan, Bella Hounkpè Dos Santos, Alain Levêque","doi":"10.4081/jphia.2023.2601","DOIUrl":"https://doi.org/10.4081/jphia.2023.2601","url":null,"abstract":"Background: Fatigue while driving is one of the risk factors of road crashes. It’s still poorly considered in interventions because of insufficient literature. In addition, the literature on this issue doesn’t focus on two-wheelers, the most frequent users in the Benin context. \u0000Objective: The study examined the prevalence of fatigue while driving among two-wheeled vehicle drivers and the related factors. \u0000Methods: It’s a secondary baseline data analysis from a cohort of road crash victims recruited from five hospitals in the country. Patients who identified themselves as drivers during the accident were included. Data on individual characteristics, including fatigue status in the moments preceding the collision, and other risk factors and environmental settings, were extracted. We used multivariate logistic regression. \u0000Results: Among the respondents, 12.20% (95% CI=10.20-14.53) reported fatigue in the moments preceding the collision. The odds of fatigue while driving were significantly higher in male drivers (aOR = 3.60; 95% CI=1.08-11.98), during professional trips (aOR = 2.09; 95% CI=1.30-3.37), in non-helmet wearers (aOR = 1.85; 95% CI=1.09-3.13), in users of stimulants (aOR = 3.13; 95% CI=1.50-6.54), in those with a history of chronic diseases (aOR = 1.95; 95% CI=1.16-3.27), at dusk (aOR = 4.22; 95% CI=2.22-8.02), at night (aOR = 6.90; 95% CI=3.95-12.05), and on Inter-State National Roads (aOR = 2.01; 95% CI=1.18-3.43). \u0000Conclusion: Fatigue is a risk factor for road crashes in Benin, associated with other risk factors that highlight particularly vulnerable profiles and groups. Integrating prevention policies based on these cumulative risk factors will result in efficiency improvements","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"45 26","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139390169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SARS-CoV-2 IgG antibody status in unvaccinated and 2-dose vaccinated Indonesians","authors":"Laura Yamani, Juniastuti Juniastuti, Ni Luh Ayu Megasari, Takako Utsumi, Nur Sahila, Alifia Salma Pangestika, Serius Miliyani Dwi Putri, Chung-Yi Li, Santi Martini, M. A. Isfandiari, M. Lusida","doi":"10.4081/jphia.2023.2697","DOIUrl":"https://doi.org/10.4081/jphia.2023.2697","url":null,"abstract":" Indonesia began deploying a COVID-19 vaccine in January 2021, prioritising vaccination for high-risk groups such as healthcare workers, the elderly and those with comorbidities, and ending with the general public due to limited vaccine availability. Our study aimed to evaluate antibody response in Indonesians who had received two doses of the vaccine versus those who had not. The study design was a cohort study involving 46 unvaccinated people and 23 people who had received the second dose of the AstraZeneca vaccine over three months ago. Methods used for the qualitative and quantitative detection of IgG antibodies included rapid RI-GHA and ELISA tests. Findings showed that positive IgG antibodies qualitatively detected by the rapid RI-GHA test were significantly higher in those vaccinated (60.9%) than in unvaccinated people (26.1%). Using the ELISA assay, all vaccinated individuals qualitatively showed positive antibodies (cut-off ≥4.33 BAU/mL), and the average quantitative titer of anti-SARS-CoV-2 s-RBD IgG was significantly higher in vaccinated (157.06±238.68 BAU/mL) than in unvaccinated (51.90 ± 87.60 BAU/ml) individuals. Some unvaccinated individuals had anti-SARS-CoV-2 antibodies, which could be due to asymptomatic or symptomatic infection without history of COVID-19 realising, although their mean antibody titers were certainly lower than those in the 2-dose vaccinated group. Approximately 56% of vaccinated individuals had antibody titers above 60 BAU/mL (as a cut-off for protective threshold), a significantly higher proportion than unvaccinated individuals. In conclusion, vaccination with two doses increased anti-SARS-CoV-2 antibodies which resulted in enhanced immunity against symptomatic COVID-19.","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"67 15","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139390037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abrupt introduction of distance learning during the covid-19 pandemic: What psychological impact on teachers?","authors":"Hanane Aissaoui, Mariam Atassi, Asmae Lekfif, Mohammed Amine Bouazzaoui, Asmae Yeznasni, Sanae Sabbar, Naima Abda","doi":"10.4081/jphia.2024.2786","DOIUrl":"10.4081/jphia.2024.2786","url":null,"abstract":"<p><p>As soon as the COVID-19 pandemic appeared, the Moroccan education ministry decided to adopt distance learning (DL). Our target was to study the psychological impact of DL on Moroccan teachers during the pandemic. This cross-sectional study used an online questionnaire based on the Hospital Anxiety and Depression Scale. Among 148 responses, 64.9% were women, and the average age was 41.1±11.5 years. 79.1% participated in DL, 58.8% were required to acquire DL tools and 71.6% had never received DL training. Between the start and the end of confinement, we noticed a decrease in the motivation of teachers.36.2% had definite depressive symptomatology and 41.3% had certain anxiety symptomatology with a significant predominance in women. The frequencies of depression and anxiety were higher in those who had participated in DL, but the association was not significant. Depression was significantly frequent among teachers who were obliged to acquire tools to practice DL P=0.02, those who had never received training DL P=0.046, and those who were not satisfied with the situation P=0.03. We didn't find a direct association between DL and anxiety and depression, which the small sample size may explain, but we did find an association with the variables related to DL.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 12","pages":"2786"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522077","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":"Expectations and experiences of urban and rural in-school adolescents of adolescent reproductive health services in oyo state, Nigeria.","authors":"Oluwatosin Ruth Ilori, Sunday Olakunle Olarewaju, Phillip Oluwatobi Awodutire, Oluwatosin Stephen Ilori, James Olusegun Bamidele","doi":"10.4081/jphia.2024.2235","DOIUrl":"10.4081/jphia.2024.2235","url":null,"abstract":"<p><p>Reproductive health information and services are fundamental to health, well-being and opportunities for women and young people, yet throughout the world, women and youths do not have access to quality reproductive health care thereby exposing them to unplanned pregnancy, teen birth, induced abortion as well as increased exposure to sexually transmitted diseases, HIV inclusive. This study is meant to explore the expectation of adolescents of an adolescent reproductive health services as well as to assess the experiences of those who had visited an ARHS at the centers. It was a descriptive cross-sectional prospective study, analytic in design using a multistage sampling technique where 452 secondary school pupils in both rural and urban communities were interviewed using a pretested validated questionnaire. Data was analyzed using SPSS version 21. Chi square was used to test for association between both rural and urban adolescents in issues relating to their expectation and experiences, with P-value of #x003C;0.05. More of the respondents in the urban communities (73,32.4%) have the expectation that Adolescent Reproductive Health Services (ARHS) should be provided in an existing health service with special attention to adolescents while a larger percentage of those who preferred a special adolescent health institution were from the rural communities (122, 54.2%) which was statistically significant with a P-value of 0.001. More of respondents from the rural communities also expect that contraception services should be provided in an ARHS center while life skill services are expected by more of the respondents from the urban communities (122, 55.6%). More of the rural community respondents (57,25.3%) expect that fee at the ARHS centers should be provided at a subsidized rate while more of the urban dwellers have the expectation that services provided should be free of charge. For respondents who had been to an ARHS center, more of the urban respondents were attended to by a Medical doctor and a large percentage (34, 94.4%) of those who had visited ARHS center before professed to be satisfied with the services rendered there. Expectations from adolescents from ARHS are very high. However, most of them prefer a free of charge service as well as a service area nearer to residential area. Confidentiality and having a young health professional at the service centers cannot be overemphasized in the provision of quality ARHS.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 12","pages":"2235"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547465","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":"Persistence of a high prevalence of anemia in rural areas among pregnant women in Burkina Faso. A cross-sectional study.","authors":"Franck Garanet, Gerard Sampabe, A Almame Tinta","doi":"10.4081/jphia.2024.2734","DOIUrl":"10.4081/jphia.2024.2734","url":null,"abstract":"<p><p>Despite WHO recommendations to reduce the global prevalence of anemia among women of reproductive age by 2025, anemia remains a truly global public health problem, especially among pregnant women. The objective of our study was to examine the relationship between anemia and the place of residence in pregnant women. This cross-sectional study was conducted in six health facilities between December 2018 and March 2019. Anemia was diagnosed using HemoCue HB 301 and a hemoglobin concentration <11 g/dl was classified as anemic. Adjusted logistic regression analysis was performed to examine relation between anemia and the place of residence in pregnant women. A total of 1027 pregnant women were included in the study. The average age of females was 25.79±6.02 years. The prevalence of anemia was 57.2% (585/1023). In logistic regression analysis adjusted for age, wealth, education and parity, women living in rural areas were more likely to be anemic compared to women living in urban areas (ORa=1.33; 95% CI [1.01-1,74]. Rural women are more likely to be anemic. Strategies to prevent anemia among pregnant women need to be strengthened in rural areas.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 12","pages":"2734"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522126","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":"Do Blood group and Sickle cell trait protect against placental malaria?","authors":"Arnold T Luuse, Huseini Alidu, Mawusi Adepa Mawuli, Abdul-Rahman Mubarak, Ben Gyan","doi":"10.4081/jphia.2024.2817","DOIUrl":"10.4081/jphia.2024.2817","url":null,"abstract":"<p><p>Blood group O is reported to confer some degree of protection from severe malaria in endemic setting. This protection is believed to be due to reduced and smaller rosette formation in people of blood group O which can easily be cleared by the host immune system. Also, sickle cell trait (HbAS) is reported to disrupt the adhesion of infected erythrocytes to microvascular endothelial walls, which could protect pregnant women from placental malaria. We determined the association between HbAS and ABO blood group, and placental malaria amongst pregnant women of all parities. The study enrolled 221 pregnant women. Peripheral blood samples were taken for malaria smears, ABO blood grouping and haemoglobin (Hb) electrophoresis. A structured questionnaire was used to age, bed net usage, and the number of Sulphadoxine-pyrimethamine (SP) doses taken by a pregnant woman. Two hundred and twenty-one (221) pregnant women were enrolled and out of this number, 110 (49.8%) were primiparae and 111 (50.2%) multiparae, with a mean age of 23.7±5.2. Placental malaria (PM) prevalence by PCR detection was 19.4% (43/221). Of those who were malaria positive 58.1% (25/43) were primiparae. Primiparae who are of blood group O were more susceptible to PM [P=0.04, (OR); 2.85, 95% (Cl), 1.12-9.01]. But sickle cell trait did not reduce the prevalence of PM [P=0.84 (OR); 0.92, 95% (Cl), 0.43-1.99]. Non-blood group O primiparae women were protected against placental malaria. This could be why some primiparae women are protected from PM, just like multiparae women.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"14 12","pages":"2817"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522111","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}