Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Investigation the Psychometric Properties of the Persian Version of Nursing Student Satisfaction Scale for Nursing Program.","authors":"Hadi Abbaspour, Monir Ramezani, Zahra Sadat Manzari, Abbas Heydari","doi":"10.4103/ijnmr.ijnmr_399_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_399_23","url":null,"abstract":"<p><strong>Background: </strong>Evaluating the efficacy of educational programs is a good way to assess the current situation, which requires the use of valid tools in this area. Therefore, the purpose of this study was to translate and evaluate the psychometric properties of the Persian version of the Nursing Student Satisfaction Scale (NSSS).</p><p><strong>Materials and methods: </strong>The NSSS was translated from English to Persian using the standard forward-backward method. After face validity, content validity was performed with qualitative method and quantitative method with CVR and CVI calculation for each item. Using convenience sampling, 297 nursing students were selected and completed the questionnaire. Exploratory factor analysis (EFA) and Confirmatory Factor Analysis (CFA) in SPSS and AMOS software were used to evaluate the construct validity of the scale.</p><p><strong>Results: </strong>In face validity, some items were modified based on the opinion of the target group. Item impact score for each item was at least 1.7 to 2.5. Moreover, S-CVI/Ave = 0.966, S-CVI/UA = 0.706, and the content validity ratio for each of the items was 0.87-1. According to the results of factor analysis, the three factors introduced in the main tool were approved with acceptable values. All indices of CFI = 0.906, χ²/df = 1.572, and RMSEA = 0.0609 confirmed the fit of the final model. In addition, the reliability of the instrument obtained using the internal matching method (Cronbach's alpha) for the whole instrument was 0.90.</p><p><strong>Conclusions: </strong>The Persian version of the NSSS has acceptable psychometric indicators in the population of Iranian nursing students.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"250-254"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049123","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":"Current Use and Barriers to Healthcare Service Utilization Among Afghan Women Refugees: A Mixed-Method Study.","authors":"Zahra Moudi, Sedighe S Mollashahi, Narges Nouri, Maryam Zaboli, Leyla Arabnezhad","doi":"10.4103/ijnmr.ijnmr_175_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_175_23","url":null,"abstract":"<p><strong>Background: </strong>In Iran, Afghan women should be able to use the same maternal services provided to natives. Improvement of the utilization of maternal healthcare services (MHCS) requires knowledge of the specific needs of refugees. In this regard, the present study aimed to explore current use and barriers to healthcare service utilization among Afghan women refugees.</p><p><strong>Materials and methods: </strong>This sequential explanatory study with a mixed-method design combined two sources of data, namely quantitative data based on data routinely collected from March 2022 to March 2023 in Zahedan city and qualitative data collected from interviews with Afghan women (n = 10) and local managers (n = 6). Purposeful sampling was used to select Afghan women refugees from birth centers. Inductive thematic analysis was used for qualitative data.</p><p><strong>Results: </strong>Only 7% of Afghan women attended antenatal care five times or more at 37-39 weeks of pregnancy. Moreover, 20.45% of Afghan women used traditional birth attendants in their recent birth (F₁ = 3764.01, <i>p</i> < 0.001). Qualitative data showed that financial barriers (especially lack of insurance and low family income) were the most important barriers to poor access to antenatal and hospital services. In addition, obtaining poor or insufficient care was another barrier to the use of care.</p><p><strong>Conclusions: </strong>The findings highlighted that Afghan women face different barriers to utilizing MHCS. These barriers should be addressed through collaboration between regional, national, and international agencies to provide community-based interventions, address the health needs and expectations of the local community, and improve the utilization of MHCS.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"182-191"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038571","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":"Necessity of Policy Making for Mobile Health in Iran's Health System.","authors":"Amir Musarezaie, Masoud Bahrami, Abbas Ebadi, Hossein Beigi-Harchegani","doi":"10.4103/ijnmr.ijnmr_383_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_383_23","url":null,"abstract":"","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"274"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020592","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":"Perceived Workplace Breastfeeding Support among Employed Mothers in Jordanian Universities.","authors":"Jude N Abdullah, Abeer M Shaheen, Khaldoun M Hamdan, Maha A Albqoor, Khalil M Iktilat","doi":"10.4103/ijnmr.ijnmr_319_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_319_23","url":null,"abstract":"<p><strong>Background: </strong>With the increase in the proportion of working women, the workplace is fundamental in supporting breastfeeding. Jordan is among the lowest countries in exclusive breastfeeding for infants. This study aimed to assess the perceived workplace breastfeeding support among employed mothers in Jordanian universities.</p><p><strong>Materials and methods: </strong>Data collection took place between October 2021 and February 2022. A quantitative descriptive cross-sectional design was used to collect the data from six universities. Convenience sampling was used to include 210 women who had children less than three years old. The Employee Perceptions of Breastfeeding Support Questionnaire was used, and the data were analyzed using descriptive statistics and correlational analysis.</p><p><strong>Results: </strong>Workplace breastfeeding support was perceived as moderate in accordance with the Employee Perceptions of Breastfeeding Support Questionnaire. The Mean (SD) of organizational support was 27.70 (5.60), manager support was 28.20 (5.80), co-worker support was 15.0 (3.30), available time was 6.50 (2.30), and physical environment aspect of support was 17.20 (2.80). No significant differences in perceived workplace breastfeeding support concerning work sectors or exclusive breastfeeding were found.</p><p><strong>Conclusions: </strong>The levels of perceived workplace breastfeeding support were moderate. Improvements are suggested in workplace policies, managers' and co-workers' awareness and openness about supporting employed mothers, flexibility and time availability to facilitate breastfeeding/pumping, and appropriate locations for employed mothers to perform breastfeeding/pumping conveniently. Further research in diverse job settings is required to examine the relationship between workplace breastfeeding support and the duration of exclusive breastfeeding.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"198-205"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986003","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":"Empowering Parents: The Impact of a Parenting Practice-Based Care Module on Preventing Internet Gaming Disorder in Elementary School Children.","authors":"Nur Hidaayah, Esti Yunitasari, Hanik Endang Nihayati","doi":"10.4103/ijnmr.ijnmr_256_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_256_23","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of Internet Gaming Disorder (IGD) among elementary school children has raised concerns about its potential negative impact on academic performance, social interactions, and overall mental well-being. In response, this research assessed the impact of the parenting Practice-Based Care Module (PPCM) as an effective preventive strategy to empower parents and promote balanced gaming behavior in their children.</p><p><strong>Materials and methods: </strong>A quasi-experimental study was conducted with 170 parents from Gresik Regency, Indonesia, in December 2022 using a non-randomized control group pretest-posttest design. The intervention group received psychoeducation and training on the PPCM, while the control group received training after data collection using a valid, reliable questionnaire.</p><p><strong>Results: </strong>The results are showed that the PPCM significantly improved parents' ability to prevent IGD in their children. Eight parental factors significantly influenced endogenous variables, including parental responsiveness, mediation mechanism, parenting style, and parents' ability to prevent IGD, with R2 values in the \"good\" range (0.50 to 0.75), explaining 60.60% of the variation. The model's strong predictive relevance (Q2 values > 0) supported its effectiveness. Hypothesis testing revealed significant effects, such as parental responsiveness on the mediation mechanism (t-statistic: 3.92) and mediation mechanism on parenting psychoeducation (t-statistic: 2.60). Parenting style also positively impacted parents' ability to prevent IGD (t-statistic: 4.82). Notably, child factors had the most significant influence on parental responsiveness (path coefficient: 0.23).</p><p><strong>Conclusions: </strong>This research underscores parents' pivotal role in addressing IGD in elementary school children. The PPCM significantly enhances IGD prevention through key parental factors. Collaboration is essential for fostering a healthy digital environment.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"211-215"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053044","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":"Community's Educational Needs During the COVID-19 Pandemic: A Qualitative Study.","authors":"Mohammad Azadmanesh, Aliasghar Jamalinasab, Atefeh Afshari, Mohammad Reza Soleymani, Habibollah Hosseini, Mahrokh Keshvari","doi":"10.4103/ijnmr.ijnmr_52_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_52_24","url":null,"abstract":"<p><strong>Background: </strong>Due to its unknown nature, multifaceted symptoms, and rapid spread, the coronavirus has become a public health emergency, leading to international concerns. Therefore, this study aims to investigate the community's educational needs during the COVID-19 pandemic.</p><p><strong>Materials and methods: </strong>This qualitative research was conducted between 2020 and 2021 using a conventional content analysis approach. The research sample comprised 340 recorded calls from individuals who contacted the emergency hotline of Isfahan University of Medical Sciences during the COVID-19 pandemic to express their concerns and anxieties. Sampling was conducted randomly and purposively until data saturation was achieved. Additionally, Graneheim and Lundman's approach was utilized for data analysis.</p><p><strong>Results: </strong>After analyzing the interviews, codes related to the reasons for contact were presented in five main categories, including awareness of the nature of the disease, awareness of preventive methods, awareness of diagnostic methods, awareness of treatment methods, and awareness of caring for high-risk groups and 15 subcategories.</p><p><strong>Conclusions: </strong>The results of this study highlighted various concerns regarding the coronavirus disease during pandemic conditions, which can serve as a foundation for appropriate educational and counseling programs based on community needs during future infectious pandemics.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"263-269"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016828","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":"Caring Challenges of Family Caregivers of Cancer Patients in the COVID-19 Pandemic: A Qualitative Study.","authors":"Mohammad Reza Sharbafchi, Seyed Mohammad Hossein Mousavi, Ghazaleh Sheikhani, Mahmoud Keyvanara, Sima Ani","doi":"10.4103/ijnmr.ijnmr_125_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_125_23","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of cancer patients experience significant challenges that affect their physical, psychological, and social well-being. This qualitative study aims to explore the specific challenges faced by caregivers of cancer patients during the COVID-19 pandemic.</p><p><strong>Materials and methods: </strong>The present study is a conventional qualitative study based on the Graneheim method for content analysis. Data were collected through semi-structured individual interviews with 11 family caregivers of cancer patients in Isfahan, Iran.</p><p><strong>Results: </strong>The challenges faced by family caregivers of cancer patients are classified into three main categories: 1) caregiver burnout which includes, \"non-cooperation of the patient with the caregiver,\" \"funding the costs of care and treatment,\" \"lack of support for the family caregiver by the family and society,\" and \"lack of knowledge and proper care skills.\" 2) Health threats to the family caregiver which include, \"imbalance of self-care versus patient care,\" \"disruption of a healthy lifestyle,\" and \"occurrence of psychophysical symptoms caused by stress in caregivers.\" 3) Work-family-care conflicts which include: \"conflict between patient care and family\" and \"conflict between patient care and work.\"</p><p><strong>Conclusions: </strong>This study provides additional insights into the personal and societal challenges faced by family caregivers of cancer patients during the COVID-19 pandemic. Based on our findings, health policymakers can take concrete steps to address these challenges and enhance the support for family caregivers, who play a crucial role in public health.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"175-181"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003540","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 Quasi-Experiment of Self-Weight Combined with Dietary and Physical Activity to Reduce Postpartum Weight Retention.","authors":"Piyanut Xuto, Punpilai Sriarporn, Sayamon Cotchapanya, Tatsawan Sunanta, Tareewan Chaiboonruang","doi":"10.4103/ijnmr.ijnmr_287_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_287_23","url":null,"abstract":"<p><strong>Background: </strong>The failure to lose postpartum weight retention (PPWR) can impact obesity in later life, making programs aimed at reducing PPWR crucial. The study aimed to assess the effect of a self-weight approach combined with dietary and physical activity interventions to reduce PPWR.</p><p><strong>Materials and methods: </strong>This quasi-experimental study employed a three-group, pretest-posttest design. The study recruited 178 postpartum mothers who attended a 6-week postpartum check-up at a university hospital in Chiang Mai, Thailand, from 2018 to 2020. Data was collected using a self-administered questionnaire. The intervention groups received dietary counseling combined with self-weighting (D) and diet and physical activity counseling combined with self-weighting (DP), while the control group received standard care. Analysis of covariance was used for data analysis, with pre-pregnancy weight as the covariance.</p><p><strong>Results: </strong>PPWR was 3.39 kg for the D group, 3.20 kg for the DP group, and 4.14 kg for the control group (F _(2,174) =1.91, <i>p</i> > 0.05). At 6 months postpartum, on comparing self-weighting and non-self-weighting groups, it was found that PPWR was 2.88 and 3.99 kg for the self-weighting and non-self-weighting groups, respectively (<i>t</i> ₁₇₆= -2.28, <i>p</i> = 0.024).</p><p><strong>Conclusions: </strong>The study results indicated that dietary or combined dietary and physical activity counseling for postpartum mothers is necessary. For optimal success, postpartum mothers should be encouraged to undertake daily or weekly self-weighing to reduce PPWR.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"221-225"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044035","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":"Girls' Self-Esteem and its Association with Self-Stigma toward Obesity.","authors":"Mohammed Baqer Abbas Al-Jubouri, Hassan A Athbi, Wuod A Hassan, Hanan H Owed, Nabaa S Malik, Hadeel B Jasim, Maha M Sabar, Fatimah A Almusaedi, Namaa D Salman","doi":"10.4103/ijnmr.ijnmr_331_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_331_23","url":null,"abstract":"<p><strong>Background: </strong>Obesity among girls can lead to physical, psychological, or social problems. Enhancing self-esteem and reducing self-stigma toward obesity can play a crucial role in girls' health. This study aims to assess girls' self-esteem and its association with self-stigma toward obesity.</p><p><strong>Materials and methods: </strong>A descriptive cross-sectional design was used to meet the study's objective. A convenience sampling method was used to gather the sample from 24 middle and high schools in five cities across Iraq from (January 2023 to March 2023). A total of 1326 girls participated in the study. Weight Self-Stigma Questionnaire and Rosenberg Self-Esteem Scale were used to assess self-stigma and self-esteem regarding obesity. Pearson's rho (r) and one-way ANOVA were used to analyze the data by SPSS version 26.</p><p><strong>Results: </strong>In total, 1200 girls scored on weight self-stigma and self-esteem, and the means (SD) were 29.28 (±7.06) and 30.47 (4.43), respectively. The results revealed that there was a significant negative correlation between weight self-stigma and self-esteem (r = -.404, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Iraqi girls with higher obesity-related stigma have lower self-esteem. Hence, as obesity can affect girls' body image, increasing girls' self-esteem can reduce their weight self-stigma.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"206-210"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988897","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":"Relationship between Moral Sensitivity and Moral Reasoning with Moral Courage in Nursing Students.","authors":"Atefeh Babaei, Maryam Bagheri, Mohsen Shahriari","doi":"10.4103/ijnmr.ijnmr_391_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_391_23","url":null,"abstract":"<p><strong>Background: </strong>Nursing students required to be prepared to face ethical problems in their future workplace. Solving moral dilemmas requires the implementation of moral decisions, which necessitates significant moral courage. Moral sensitivity and moral reasoning can play a key role in the emergence of morally courageous behavior. The aim of this study was to investigate the relationship between moral sensitivity and moral reasoning with moral courage in nursing students.</p><p><strong>Materials and methods: </strong>This was a cross-sectional study. The participants consisted of 296 nursing students of Isfahan University of Medical Sciences, Iran, in 2021, which selected through the census method. Data were collected using the Persian versions of the Moral Sensitivity and Sekerka's Moral Courage questionnaires and Nursing Dilemma Test. Data were analyzed by SPSS software (v. 25.0) using descriptive and analytical statistical methods (<i>t</i>-test, ANOVA, Pearson correlation, and regression analysis).</p><p><strong>Results: </strong>A total of 296 nursing students participated in this study. The results showed no significant correlation between moral sensitivity and moral courage (r = 0.04, <i>p</i> = 0.41); however, a significant positive correlation was observed between moral reasoning and moral courage (r = 0.19, <i>p</i> < 0.05). The results of multiple regression analysis showed that moral reasoning was the only predictor of moral courage in nursing students (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>oral reasoning ability played a more significant role in developing moral courage than moral sensitivity. Tracking the sensitivity, reasoning, and moral courage status during education can reveal valuable information on the process of moral practice formation in nurses.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 2","pages":"243-249"},"PeriodicalIF":1.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054238","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}