Journal of Oral and Maxillofacial Surgery Medicine and Pathology最新文献

{"title":"Postoperative hemorrhagic complication due to acquired factor XIII deficiency: A case report","authors":"Shouji Saitou ,&nbsp;Mika Nishikawa ,&nbsp;Shigeki Joseph Luke Fujiwara ,&nbsp;Marina Takata ,&nbsp;Kaori Takata ,&nbsp;Soushi Fujita ,&nbsp;Satoru Eguchi ,&nbsp;Kazumi Takaishi ,&nbsp;Shinji Kawahito","doi":"10.1016/j.ajoms.2025.09.012","DOIUrl":"10.1016/j.ajoms.2025.09.012","url":null,"abstract":"<div><div>Patients with factor XIII (FXIII) deficiency exhibit bleeding tendency that is challenging to diagnose, wherein coagulation test results, such as prothrombin time and activated partial thromboplastin time, typically reveal normal findings. Herein, we report a 64-year-old man who presented to our hospital with FXIII deficiency. The patient had a medical history of asthma, Parkinson’s disease, hypertension, a large abdominal artery aneurysm, chronic kidney disease, and asymptomatic cerebral infarction. He was diagnosed with a left-sided mandibular dentigerous cyst. Dentigerous cystectomy and third molar extraction were performed without any significant complications. However, upon returning to the hospital room, the patient experienced persistent ongoing oozing from the surgical site. The bleeding persisted; FXIII deficiency was suspected. The diagnosis was confirmed on postoperative day ten. Following FXIII concentrate administration, the patient exhibited significant improvements in postoperative bleeding. FXIII deficiency should be considered in cases of severe oozing, even when coagulation testing reveals no major abnormal findings. Additionally, a disseminated intravascular coagulation score based on the Japanese criteria might be effective in evaluating the risk of postoperative bleeding, including FXIII deficiency.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 296-301"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760815","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":"Comparative analysis of genipin and tranexamic acid in stabilizing platelet-rich fibrin membranes and delaying degradation","authors":"Nutnicha Nakngoenthong,&nbsp;Napatsorn Imerb ,&nbsp;Yuthakran Aschaitrakool","doi":"10.1016/j.ajoms.2025.09.016","DOIUrl":"10.1016/j.ajoms.2025.09.016","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate genipin as a crosslinker to enhance platelet-rich fibrin (PRF) membrane stability compared to tranexamic acid (TA) in terms of appearance, weight loss, and surface fibrin structure.</div></div><div><h3>Methods</h3><div>PRF membranes from 6 healthy volunteers were prepared and subsequently immersed in various agents, divided into 3 groups: control (phosphate-buffered saline), TA (200 mg/4 mL), and genipin (0.1 %) for 24 h. The degradation time and daily weight loss of the samples were assessed until Day 28 or complete degradation. Additionally, fibrin network structure was analyzed using scanning electron microscopy (SEM) and ImageJ software on Days 7 and 14 to assess the fibrin density in PRF membrane surfaces.</div></div><div><h3>Results</h3><div>The genipin group exhibited significantly prolonged degradation (28.0 ± 0.0 days) compared to the TA (11.5 ± 2.3 days) and control groups (10.3 ± 2.5 days; p &lt; 0.05). It also showed significantly higher remaining weight. SEM analysis revealed a denser fibrin network in the genipin group at both assessed time points, indicating superior mechanical stability and sustained growth factor release.</div></div><div><h3>Conclusions</h3><div>Genipin (0.1 %) effectively enhances PRF membrane longevity compared to TA, making it a promising agent for oral and maxillofacial applications, particularly in guided bone regeneration and soft tissue healing.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 234-242"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760876","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":"Mandibular reconstruction with particulate cancellous bone and marrow and a custom-made titanium mesh tray followed by occlusal rehabilitation with dental implants: Long-term clinical course of a pediatric case undergone segmental mandibulectomy","authors":"Kazutoshi Nakaoka ,&nbsp;Shusuke Yamada ,&nbsp;Koichiro Sato ,&nbsp;Tadatoshi Ishizuka ,&nbsp;Hideki Hojo ,&nbsp;Yoshiki Hamada","doi":"10.1016/j.ajoms.2025.09.006","DOIUrl":"10.1016/j.ajoms.2025.09.006","url":null,"abstract":"<div><div>In our clinic, mandibular reconstruction using a custom-made titanium mesh tray (Ti-mesh tray) and autogenous particular cancellous bone and marrow (PCBM) has been performed for the patients, who undergone segmental mandibulectomy, and we could follow up a pediatric patient for 14 years. The patient was an 11-year-old girl with a large benign mandibular tumor. We applied a segmental mandibulectomy and immediately mandibular reconstruction using a Ti-mesh tray and autogenous PCBM harvested from the iliac crest. Subsequently, she underwent occlusal rehabilitation with dental implants, and her good facial appearance and jaw function including occlusal condition were established. At her age of 25 years old, they were maintained, and no growth disturbances were observed in either donor and recipient sites. In this paper, we report on her long-term clinical course.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 262-266"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760741","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":"Salivary alpha-amylase activity is increased by noxious stimuli under general anesthesia","authors":"Noriya Hirose ,&nbsp;Miki Matsui ,&nbsp;Masumi Itagaki ,&nbsp;Nao Shimizu ,&nbsp;Mizuki Mizoguchi ,&nbsp;Hisataka Kitano ,&nbsp;Emily Chang ,&nbsp;Kanako Yamagata ,&nbsp;Takahiro Suzuki","doi":"10.1016/j.ajoms.2025.09.003","DOIUrl":"10.1016/j.ajoms.2025.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated changes in salivary alpha-amylase activity (sAA) before and after orotracheal intubation (TI) and precordial skin incision (SI) to investigate whether sAA was increased by noxious stimuli while under general anesthesia.</div></div><div><h3>Methods</h3><div>sAA was measured before and after TI (study A: randomized double-blind test) and SI (study B; single-arm observational test) in 50 and 30 patients, respectively. Study A patients were divided into 2 groups of 25 each according to administration of 1.0 (LF group) or 2.0 µg/kg of fentanyl (HF group) during anesthesia induction. sAA was measured at four points, with study A measurements performed before anesthesia induction, immediately before TI, and at 3 and 6 min after TI, while study B measurements were performed before anesthesia induction, immediately before SI, and at 3 and 6 min after SI, respectively.</div></div><div><h3>Results</h3><div>sAA significantly increased at 3 min after TI, and at 3 and 6 min after SI compared to before the procedure (P &lt; 0.01). In study A, the observed sAA levels at 3 and 6 min after TI in the HF group were significantly lower than those observed in the LF group (P &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>sAA increased after TI and SI. sAA measurements might be an ancillary indicator for sympathetic tone associated with noxious stimuli under general anesthesia.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 201-208"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760826","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":"Airway management in unexpected tracheal bronchus detected during tracheostomy: A case report","authors":"Chihiro Niimi ,&nbsp;Nanako Hirabayashi ,&nbsp;Masao Kurosaka ,&nbsp;Shota Tsukimoto ,&nbsp;Masashi Yamashiro ,&nbsp;Takami Komatsu ,&nbsp;Hidetaka Kuroda","doi":"10.1016/j.ajoms.2025.08.011","DOIUrl":"10.1016/j.ajoms.2025.08.011","url":null,"abstract":"<div><div>Tracheal bronchus is a rare congenital anomaly characterized by an aberrant bronchus originating directly from the trachea. Although typically asymptomatic, it can significantly affect airway management during anesthesia. Here, we report a case of tracheal bronchus first detected during tracheostomy and propose strategies for safe daily airway management. A 68-year-old man underwent a tracheostomy under general anesthesia for mandibular tumor resection. Following oral intubation, replacing the endotracheal tube with a tracheostomy tube led to insufficient ventilation. An unexpected abnormal bronchus is detected during bronchoscopy. Ventilation was restored, and safe airway management was achieved by switching the type and depth of the tracheal tube. This case highlights the importance of considering a tracheal bronchus when unexpected ventilation difficulties arise during airway management. Tracheal abnormalies should always be suspected when inadequate ventilation and oxygenation are encountered after intubation, and bronchoscopy is useful for confirmation.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 243-246"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760877","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":"Enhancing dental implant biocompatibility: A systematic review of photofunctionalization strategies","authors":"G.Laxmi Kavya,&nbsp;Anil Kumar K,&nbsp;Gautami S. Penmetsa,&nbsp;Mohan Kumar P,&nbsp;Sruthima NVS Gottumukkala,&nbsp;Ramesh KSV,&nbsp;Murali Krishna D","doi":"10.1016/j.ajoms.2025.09.017","DOIUrl":"10.1016/j.ajoms.2025.09.017","url":null,"abstract":"<div><h3>Background and objective</h3><div>Successful osseointegration has been one of the most crucial elements influencing the clinical outcome of dental implant treatment. As a result, numerous surface treatment techniques have been developed and implemented over time to enhance dental implant osseointegration. A novel surface modification technique known as photofunctionalization (PhF) was proposed to improve implant osseointegration. This systematic review aimed to evaluate the available data on the effects of PhF on dental implant osseointegration, the speed of osseointegration, and implant stability.</div></div><div><h3>Materials and methods</h3><div>This systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The terms \"dental implants,\" \"PhF,\" and \"osseointegration\" were strategically searched in electronic databases such as PubMed, Web of Science, and Scopus. The review encompassed research papers published up until April 2024.</div></div><div><h3>Results</h3><div>PhF was associated with improved implant stability, faster osseointegration, and, in some trials, reduced crestal bone loss and healing time, particularly in poor bone quality or complex cases. Reported success rates ranged from 97.6 % to 100 % even with shorter healing periods. Comparative studies demonstrated higher bone-to-implant contact, greater removal torque resistance, and increased implant stability scores for PhF-treated implants versus untreated controls. Risk-of-bias analysis indicated 68.3 % of studies were low risk, 20 % unclear, and 11.6 % high risk.</div></div><div><h3>Conclusions</h3><div>PhF appeared to have a beneficial impact on the rate of implant stabilization, making it a potentially effective approach for accelerating osseointegration and shortening the overall healing period. The evidence suggested that PhF enhanced implant stability.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 189-195"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760824","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":"Treatment strategy for intraosseous arteriovenous malformations of the jaw in elderly patients: A case report and literature review","authors":"Chieko Masuda ,&nbsp;Taiki Suzuki ,&nbsp;Yoshihiro Ohashi ,&nbsp;Yudai Shimizu ,&nbsp;Kenichi Kumagai ,&nbsp;Takanori Eguchi ,&nbsp;Yoshiki Hamada ,&nbsp;Akihisa Horie","doi":"10.1016/j.ajoms.2025.08.013","DOIUrl":"10.1016/j.ajoms.2025.08.013","url":null,"abstract":"<div><div>Intraosseous arteriovenous malformations of the jaw (J-AVM) are rare, high-flow vascular malformations that can cause life-threatening bleeding, particularly during dental procedures. J-AVM are predominantly diagnosed in younger patients, J-AVM are predominantly diagnosed in younger patients, while onset in the elderly is exceptionally rare. A 76-year-old man who presented with a rapidly enlarging intraosseous AVM of the mandible requiring emergency intervention. Emergency embolization followed by radical partial mandibulectomy was performed. Histopathological examination revealed hemorrhagic necrosis and aneurysmal changes without endothelial proliferation, leading to a final diagnosis of intraosseous AVM according to the International Society for the Study of Vascular Anomalies (ISSVA) classification. This case highlights the unique clinical challenges of diagnosing and managing J-AVM in elderly patients, including age-related anatomical changes, comorbidities, and the potential for atypical clinical and radiographic presentations. We conducted a literature review but identified only a few relevant studies, making it difficult to determine appropriate treatment strategies for J-AVM in elderly patients. However, given the multidisciplinary nature of J-AVM management, there is a clear need to harmonize diagnostic and treatment criteria. Consideration of elderly-onset J-AVM cases should also be incorporated into future clinical frameworks to ensure optimal patient outcomes.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 247-254"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760878","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":"Comparison of lymphocytic response to oral epithelial pre-neoplastic and inflammatory lesions","authors":"Kei Yamamoto ,&nbsp;Yoshihiko Akashi ,&nbsp;Kei Nakajima ,&nbsp;Katsutoshi Kokubun ,&nbsp;Tatsukuni Ohno ,&nbsp;Kenichi Matsuzaka","doi":"10.1016/j.ajoms.2025.09.013","DOIUrl":"10.1016/j.ajoms.2025.09.013","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to compare immune responses between oral epithelial dysplasia (OED) and oral lichen planus (OLP), focusing on the localization and characteristics of lymphocytic infiltration. Additionally, we evaluated how the tumor microenvironment influences CD8-positive T-cell activity using an in vitro culture model.</div></div><div><h3>Methods</h3><div>Tissue specimens from patients with OED (n = 13) and OLP (n = 13) were analyzed using immunohistochemistry to detect CD8-, CD20-, and CD138-positive lymphocytes. In vitro analysis was performed by culturing CD8-positive T cells in the supernatant of Ca9–22 (tumor-derived) cells or a cell-free control medium. Cell proliferation was assessed using EdU-based flow cytometry.</div></div><div><h3>Results</h3><div>OED samples exhibited marked infiltration of CD8-positive T cells into the upper epithelium, along with the presence of CD20-positive B cells and CD138-positive plasma cells in the connective tissue. Conversely, OLP predominantly showed CD8-positive infiltration in the subepithelial region, consistent with autoimmune mechanisms. In vitro analysis found that CD8-positive T cells cultured in Ca9–22 supernatant showed a trend toward decreased proliferation compared to those cultured in the cell-free control.</div></div><div><h3>Conclusions</h3><div>OED appears to represent a transitional immune state, characterized by active cytotoxic infiltration yet showing early signs of immune modulation. OLP, by contrast, reflects a sustained state of immune activation. These findings highlight fundamental differences in immune dynamics between premalignant and inflammatory oral lesions and may contribute to improved diagnostic and monitoring approaches.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 302-311"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760816","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":"Plasmacytoma of the Maxilla presenting with nosebleeds: A case report","authors":"Jun-ichi Kanayama ,&nbsp;Ken-ichiro Sakata ,&nbsp;Yusuke Nakamura ,&nbsp;Aya Yanagawa-Matsuda ,&nbsp;Tougo Tanabe ,&nbsp;Yasushi Kato ,&nbsp;Jun Sato ,&nbsp;Yoshimasa Kitagawa","doi":"10.1016/j.ajoms.2025.08.010","DOIUrl":"10.1016/j.ajoms.2025.08.010","url":null,"abstract":"<div><div>Plasmacytoma is a malignant tumor characterized by neoplastic proliferation of plasma cells. Its subtypes include multiple myeloma, solitary plasmacytoma, and extramedullary plasmacytoma. Plasmacytoma originating from the maxillary bone is extremely rare. We herein present a case of a 60-year-old male patient with solitary plasmacytoma in this anatomic structure. The patient, who had normal general condition, was admitted to our department with complaints of nasal bleeding during mastication. Oral and nasal examination showed redness and swelling of the left upper gingiva along with elevation of the bottom of the left nasal cavity. Panoramic X-ray and computed tomography revealed unilocular bone resorption around the impacted teeth, with signs of lesion infiltration into the nasal cavity. After the clinical diagnosis of benign maxillary tumor, our team, including an otorhinolaryngologist, resected the lesion from the left maxillary bone and nasal cavity. A pathological examination of the two excision sites also showed plasma cell neoplasms. As no abnormalities were detected in other bone parts following bone marrow aspiration as well as blood and urine tests, the patient was diagnosed with solitary plasmacytoma of the maxillary bone. We performed additional local radiotherapy with a total of 50 Gy of absorbed ionizing radiation dose. The patient has been undergoing a follow-up observation for more than 3 years, with no signs of local recurrence or progression to multiple myeloma.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 317-323"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760818","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":"A case of salivary duct cyst arising from the accessory parotid gland","authors":"Yudai Shimizu ,&nbsp;Taiki Suzuki ,&nbsp;Yoshihiro Ohashi ,&nbsp;Reo Aoki ,&nbsp;Kenichi Kumagai ,&nbsp;Takanori Eguchi ,&nbsp;Yoshiki Hamada","doi":"10.1016/j.ajoms.2025.08.009","DOIUrl":"10.1016/j.ajoms.2025.08.009","url":null,"abstract":"<div><div>The accessory parotid gland is an anatomical variation of the salivary gland system, is typically unilateral and located anterior to the main parotid gland, connected to it via an independent ductal system. It may be misidentified as a buccal mass and has been implicated in the development of parotid tumors. Salivary duct cysts, also known as mucous retention cysts, are non-neoplastic cystic lesions that account for approximately 2–5 % of all salivary gland pathologies. Although generally benign, rare cases of malignant transformation have been reported. To the best of our knowledge, this is the first documented case of a salivary duct cysts arising from the accessory parotid gland. The patient was a 63-year-old man who presented with left buccal pain that had persisted for six months, followed by a rapid swelling in the same region. Based on imaging and fine-needle aspiration findings, a benign tumor or cystic lesion arising from the accessory parotid gland was suspected, and surgical excision was performed. Histopathological examination confirmed the diagnosis of a salivary duct cyst arising from the accessory parotid gland. Although rare, both lesion of accessory parotid gland and salivary duct cyst have been associated with malignant transformation. Therefore, careful diagnostic evaluation and treatment planning with malignancy in mind are essential.</div></div>","PeriodicalId":45034,"journal":{"name":"Journal of Oral and Maxillofacial Surgery Medicine and Pathology","volume":"38 2","pages":"Pages 312-316"},"PeriodicalIF":0.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760817","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}