Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Effect of Web-Based Education on Self-efficacy and Self-care Ability in Heart Failure Patients.","authors":"Ratih Arum Vatmasari, Kuswantoro Rusca Putra, Heni Windarwati","doi":"10.4103/ijnmr.ijnmr_404_22","DOIUrl":"10.4103/ijnmr.ijnmr_404_22","url":null,"abstract":"<p><strong>Background: </strong>Self-care prevents rehospitalization and reduces mortality from heart failure. The self-care of heart failure patients is influenced by their sense of self-efficacy. Traditional educational methods are time-consuming, require patients to meet with health experts, and frequently cannot be accessed remotely. A web-based educational platform might be one of the innovations included in the development of health education for people with heart failure. The aim of this study is to determine the effect of web-based education on self-efficacy and self-care ability in heart failure patients.</p><p><strong>Materials and methods: </strong>This study design is quasi-experimental. The study sample consisted of 80 individuals with heart failure with New York Heart Association (NYHA) II-IV classes and separated into two groups: the intervention group (n = 40) and the control group (n = 40). The sampling technique used in this study is consecutive sampling. Self-care is measured using the Self-Care Heart Failure Instrument version. A pre-test was administered before the intervention, and post-test and follow-up were administered two weeks after the intervention. The control group received information leaflets and the intervention group received web-based education.</p><p><strong>Results: </strong>The results showed that the main group effect was significant, indicating a significant increase self-care (F_1,80 = 2769, <i>p</i> < 0.001) and self-efficacy (F_1,67 = 1600, <i>p</i> < 0.001) in the intervention group after web-based education and two weeks follow-up.</p><p><strong>Conclusions: </strong>Web-based education is more effective in increasing self-efficacy and self-care abilities among heart failure patients. Providing education via a web-based platform in phases and continuously can promote healthy behaviors.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"53-60"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573981","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":"Exploring Women's Experiences of Amniocentesis: A Qualitative Content Analysis.","authors":"Jaruwan Kownaklai, Umaporn Kuasit, Nanthiya Thaicharoen","doi":"10.4103/ijnmr.ijnmr_107_23","DOIUrl":"10.4103/ijnmr.ijnmr_107_23","url":null,"abstract":"<p><strong>Background: </strong>The decision and experience of high-risk pregnant women to undergo amniocentesis can depend on their setting, context, social structures, and significant others, including cultural values and beliefs. What is less understood is women's experience with decision-making, which may contribute to their anxiety during and after amniocentesis. This study aimed to explore the decision-making experiences of Thai pregnant women undergoing amniocentesis.</p><p><strong>Materials and methods: </strong>A qualitative content analysis approach was employed to collect and analyze data. Purposive sampling and in-depth interviews were conducted between July and October 2021 with 15 Thai high-risk pregnant women after undergoing amniocentesis. Data analysis involved multiple readings of transcriptions to discern themes and understanding of the women's stories.</p><p><strong>Results: </strong>Four themes of decision-making experiences were identified: (1) \"Shocked, worried, and questioned why the risk was high\"; (2) \"Does my baby have Down syndrome? I want to know\"; (3) \"Worried\"; and (4) \"Relief from anxiety.\"</p><p><strong>Conclusions: </strong>Women's experiences with amniocentesis involved uncertain positive and negative feelings through the journey of undergoing, waiting, and receiving the test results. The nurses and nurse-midwives played an important role in counseling Thai pregnant women about whether to undergo amniocentesis.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"74-80"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573982","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":"Mental Health in the Workplace from the Perspective of Oncology Nurses in Iran: A Qualitative Descriptive Study.","authors":"Mozhgan Soheili, Maryam Eghbali-Babadi, Fariba Jokar, Fariba Taleghani","doi":"10.4103/ijnmr.ijnmr_90_23","DOIUrl":"10.4103/ijnmr.ijnmr_90_23","url":null,"abstract":"<p><strong>Background: </strong>The workplace and the context in which oncology nurses work are unique due to the complex and dynamic nature of cancer care. Nurses who care for cancer patients are exposed to varying degrees of psychological pressure. The present study was conducted to explore oncology nurses' perceptions regarding mental health in the workplace.</p><p><strong>Materials and methods: </strong>This study was conducted in 2018-2019. The participants were recruited through purposive sampling from eight educational specialty cancer treatment centers in Iran. Data were collected through individual semistructured interviews and analyzed using the conventional qualitative content analysis method. The Consolidated criteria for Reporting Qualitative research (COREQ) checklist was used to document the report of the study.</p><p><strong>Results: </strong>The extracted concepts were classified into three main categories and 17 subcategories. The main categories included attention to nurses' occupational stress-provoking factors, attention to emotional/psychological responses in the workplace, and healthy mental atmosphere in the workplace.</p><p><strong>Conclusions: </strong>The findings indicate that oncology nurses need to be supported to enhance their mental health in the workplace. The findings of this study could help policymakers and nurse managers to understand the importance of improving the mental health of nurses in cancer care. In this regard, it is essential to make the necessary plans and scientific decisions to design and provide strategies to alleviate workplace problems and improve nurses' mental health.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"68-73"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574141","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 Sexual Health Needs of Older Women: A Systematic Review.","authors":"Farzaneh Saadatmand, Marjan Beigi, Zahra Heidari, Mitra Savabi-Esfahani","doi":"10.4103/ijnmr.ijnmr_9_24","DOIUrl":"10.4103/ijnmr.ijnmr_9_24","url":null,"abstract":"<p><strong>Background: </strong>Maintaining and promoting sexual health in older women requires paying attention to and meeting their sexual health-related needs. This study aimed to determine older women's perceived sexual health needs through a systematic review.</p><p><strong>Materials and methods: </strong>In this systematic review, studies conducted from the beginning of 2000 to August 28, 2022, were searched in Databases, Scopus, Web of Science, SID, Pub Med, and Google Scholar as a research engine. To access all English articles, keywords such as sexual health, sexual performance, sexual intercourse, sexual, need, demand, and women and their possible combinations were used using \"AND\" and \"OR\" operators. This research was implemented based on the criteria of the PRISMA checklist. The articles were evaluated using the STROBE and COREQ checklists. The thematic synthesis method was used to synthesize the data.</p><p><strong>Results: </strong>The sexual health needs of older women were categorized into four groups: restoration of violated sexual rights, elimination of age discrimination (ageism), promotion of sexual health literacy, and providing sexual health services.</p><p><strong>Conclusions: </strong>The sexual needs of older women have been neglected due to prevailing social structures of many countries, stigma, gender discrimination, and lack of sexual health literacy. In addition to the need for social and emotional support to adapt to the conditions of old age, these women need to achieve sexual rights, improve sexual health literacy, and receive health services.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Uptake of Lamaze Technique in Antenatal Care.","authors":"Ram Kumar Garg","doi":"10.4103/ijnmr.ijnmr_328_23","DOIUrl":"10.4103/ijnmr.ijnmr_328_23","url":null,"abstract":"","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"140"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574197","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":"Comparison of Stress, Anxiety, and Depression Levels in Nurses in Specialized and General Ward.","authors":"Mahdi Khani, Fazlollah Ahmadi, AliAkbar Rasekhi, Yousef Mohammadpour","doi":"10.4103/ijnmr.ijnmr_304_23","DOIUrl":"10.4103/ijnmr.ijnmr_304_23","url":null,"abstract":"<p><strong>Background: </strong>Nurses are exposed to higher stress, anxiety, and depression due to the nature of their work. Considering the differences between specialized and general hospital units, this article focuses on comparing the levels of stress, anxiety, and depression among nurses in these two types of units.</p><p><strong>Materials and methods: </strong>This descriptive-analytical study was conducted in 2023 on 135 nurses in specialized units and 219 nurses in general units selected through stratified random sampling out of 1681 nurses. For this study, 6 public hospitals in the West Azerbaijan province of Iran were selected. Data were collected through a demographic questionnaire and the Depression, Anxiety, Stress Scales-21 (DASS-21) and analyzed using SPSS software. A significance level of 0.05 was considered for this study.</p><p><strong>Results: </strong>This study reported that stress, anxiety, and depression affected 72.04%, 46.33%, and 53.68% of nurses, respectively, with mild to extremely-severe intensity levels. No significant differences were observed in stress, anxiety, and depression between specialized and general units (<i>p</i> > 0.05). Among specialized units (ICU, CCU, and dialysis ward), dialysis unit nurses had significantly lower depression scores (<i>p</i> < 0.05). Additionally, a significant correlation existed between demographic variables and DASS-21 constructs (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>The similarities among nurses in specialized and general units outweigh the observed differences. Given the high prevalence of stress, anxiety, and depression among nurses and the negative correlation with job satisfaction, managers should improve job satisfaction to support nurses' mental health.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"103-109"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573767","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":"Early Clinical Deterioration Risk Assessment in Inpatient Units of a Public University Hospital.","authors":"Mariana de Souza Esteves, Laura B de Araujo Lourenço, Mariana de Jesus Meszaros, Michele de Freitas Neves Silva, Thais São-João","doi":"10.4103/ijnmr.ijnmr_404_23","DOIUrl":"10.4103/ijnmr.ijnmr_404_23","url":null,"abstract":"<p><strong>Background: </strong>Clinical deterioration occurs due to changes in vital signs, which can be identified early to prevent negative outcomes. We used the NEWS2 system to assess the potential for early clinical deterioration in adult inpatient units at a public university hospital in southeastern Brazil.</p><p><strong>Materials and methods: </strong>This was an exploratory study conducted at a public hospital in southeastern Brazil, following the guidelines of the Reporting of Strengthening Observational Studies in Epidemiology (STROBE) initiative. Data was collected from January to April 2021, involving 251 inpatients. A questionnaire was used to gather sociodemographic and clinical data, and the Brazilian version of NEWS2 was used to assess the risk of clinical deterioration. Data analysis included descriptive analyses, linear correlation tests, and comparative tests.</p><p><strong>Results: </strong>The average NEWS2 score was 2.9 points among 251 patients, indicating a moderate level of care complexity and recommending assessment by a registered nurse every 4-6 hours. There was no significant correlation between age and NEWS2 score, but the NEWS2 score was significantly higher for men.</p><p><strong>Conclusions: </strong>This study highlights the necessity of using robust assessment tools to evaluate the risk of early clinical deterioration, enabling clinicians to manage patient conditions effectively.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"130-134"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Cinnamon Essential Oil on the Chemotherapy-Induced Nausea and Vomiting of Cancer Patients.","authors":"Shima Mehrabian, Batool Tirgari, Mina Beitollahi, Mansooreh Azizzadeh Forouzi, Behjat Kalantari Khandani","doi":"10.4103/ijnmr.ijnmr_163_23","DOIUrl":"10.4103/ijnmr.ijnmr_163_23","url":null,"abstract":"<p><strong>Background: </strong>Despite progress made in antiemetic control, most cancer patients still experience chemotherapy-induced nausea and vomiting. In oncology departments, nurses can evaluate the effects of complementary therapies such as use of essential oil on reducing nausea and vomiting of patients undergoing chemotherapy. Therefore, this study was conducted to explore the effect of cinnamon essential oil on the chemotherapy-induced nausea and vomiting of cancer patients.</p><p><strong>Materials and methods: </strong>This is a two-group experimental study with a pretest-posttest design that was conducted between January 20 and March 15 of the year 2020. Through convenience sampling, 70 patients experiencing chemotherapy-induced nausea and vomiting were recruited to participate in this study. The participants were randomly allocated to two control and intervention groups. A pad moistened with 2 ml of isotonic saline and 0.2 ml of cinnamon essential oil was first placed inside a plastic bag, and then patients in the intervention group were asked to take three deep breaths while their face was towards the bag for two times at five-minute intervals. Patients in the control group used a placebo (a pad moistened with 2 ml of isotonic saline) instead of cinnamon essential oil during the intervention period. Participants in the two groups received routine antiemetic treatment. Using Visual Analog Scale (VAS), the severity of nausea and vomiting was measured in both groups before the intervention. For this reason, the severity of nausea and vomiting was measured after the first three breaths, and then after the second three breaths. Data were analyzed by SPSS software, using independent <i>t</i>-test, Chi-squared test, and Fisher's exact test. Repeated measures ANOVA were also used to evaluate nausea and vomiting between the two groups across times. The significant level of 0.05 was considered for all tests.</p><p><strong>Results: </strong>There were no significant differences between the two groups in terms of demographic characteristics and the severity of chemotherapy-induced nausea and vomiting before the intervention. The severity of chemotherapy-induced nausea and vomiting was significantly lower in the cinnamon group than the control group after the first 3.08 (0.55), (F₂ = 13.27, <i>p</i> < 0.001) and second breaths 1.91 (0.33) (F₂ = 11.39, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Nurses can educate patients and their families to use of cinnamon essential oil. Nursing managers can also emphasize on the use of cinnamon essential oil, which is one of the non-pharmacological, low-cost, and effective methods of reducing chemotherapy-induced nausea and vomiting, by holding in-service training classes.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"81-86"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573801","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":"Investigating the Impact of the Direct Observation of Procedural Skills Assessment on the Learning and Satisfaction of the Operating Room Students of Neyshabur University of Medical Sciences, Iran, in 2022.","authors":"Hassan Ebrahimpour-Sadagheyani, Seyede M Saadati, Farin Tatari","doi":"10.4103/ijnmr.ijnmr_312_23","DOIUrl":"10.4103/ijnmr.ijnmr_312_23","url":null,"abstract":"<p><strong>Background: </strong>The assessment of learners is a fundamental element in medical science curricula. The Direct Observation of Procedural Skills (DOPS) exam is a valuable way to assess clinical skills. The present study aimed to assess the clinical skills of operating room students of Neyshabur University of Medical Sciences, Iran, using the DOPS exam, and determine the effect of the exam on the learning and satisfaction of the learners.</p><p><strong>Materials and methods: </strong>The current study was a semi-experimental study that used a single-group posttest study design. The statistical sample included 30 operating room students. The 5 skills were selected for assessment and the assessment checklist was designed by the researcher and approved by the expert panel. Moreover, 3 researcher-made questionnaires were used to examine the students' skills and opinions regarding facilitating learning and their satisfaction with the DOPS examination. Mann-Whitney, Kruskal-Wallis, and Wilcoxon tests were used to analyze the data.</p><p><strong>Results: </strong>The results showed that there was a significant difference between the scores of the students in the first and second examinations (z = -4.243, <i>p</i> < 0.001), and the students› scores increased significantly on the second examination. The learners were satisfied with the way the DOPS exam was conducted, and their satisfaction score of this exam was 90.7 out of 120. Furthermore, students agreed that this exam affected learning facilitation. Their score on the effectiveness of this exam was 93.9/120.</p><p><strong>Conclusions: </strong>Although the DOPS examination is one of the clinical assessment methods for learners, it can be used as an instructional tool in the learning process.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"110-115"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574194","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":"Predictors of Fetal Attachment, Anxiety, Stress, and Worry in Unintended Pregnancies in the Primary Care Center in Southern Iran.","authors":"Hajar Tahmasebi, Ruth Nukpezah Nimota, Andrew Fournier, Zohreh Hosseini Marznaki, Ali Mohammad Parviniannasab, Fatemeh Keshavarzi","doi":"10.4103/ijnmr.ijnmr_286_23","DOIUrl":"10.4103/ijnmr.ijnmr_286_23","url":null,"abstract":"<p><strong>Background: </strong>Despite the prevalence of unintended pregnancies, little is known about the connections between psychosocial and sociodemographic characteristics. This study explored the predictors of fetal attachment, worry, anxiety, and stress in unintended pregnancies.</p><p><strong>Materials and methods: </strong>This descriptive, cross-sectional study was conducted on 229 father and mother pairs from two primary healthcare centers in Fars province in southern Iran. Data were collected in a face-to-face survey using the Parents Fetal Attachment Scale, Spielberger State-Trait Anxiety Inventory (STAI), Cambridge Worry Scale (CWS), Perceived Stress Scale (PSS), and Parental Worry Scale. The participants were selected using the two-stage random cluster sampling method from November 2022 to February 2023. Data were analyzed in SPSS software using binary logistic and multiple linear regression tests.</p><p><strong>Results: </strong>According to the findings, education level and previous parenting experience were found to have a statistically significant effect on the attachment levels of mothers (F_4,224 = 5.14; <i>p</i> < 0.05). However, there was no statistically significant difference between the perceived stress of mothers and fathers (<i>p</i> > 0.05). Previous parenting experience significantly affected mothers' anxiety (odd ratio: 3.20; <i>p</i> < 0.05). The age variable had a significant relationship with the mothers' perceived stress (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>According to the results, unwanted pregnancy had a significant relationship with fetal attachment, anxiety, stress, and worry. It is recommended that to enhance the mental health of couples who have experienced unintended pregnancy, a platform should be provided for the development of their psychosocial environment.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"30 1","pages":"97-102"},"PeriodicalIF":1.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574160","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}