AIMS Public Health最新文献

{"title":"Association between musculoskeletal disorders and health-related quality of life in Chilean and Spanish taxi drivers.","authors":"Marta Marín-Berges, Alejandro Gómez-Bruton, Pablo A Lizana, Maximiliano Cáceres, Pía Magaña, Isabel Iguacel","doi":"10.3934/publichealth.2026005","DOIUrl":"10.3934/publichealth.2026005","url":null,"abstract":"<p><strong>Purpose: </strong>Taxi drivers are often exposed to long working hours, sedentary lifestyles, and prolonged static postures, increasing their risk of developing musculoskeletal disorders (MSDs) and negatively affecting their health-related quality of life (QoL). Robust estimates linking the burden of MSDs with QoL in taxi drivers remain scarce, especially in interregional comparisons. Therefore, we estimated the prevalence of MSDs and examined whether the number and distribution of painful regions were associated with QoL, adjusting for key sociodemographic factors, in samples of drivers from Chile and Spain.</p><p><strong>Methods: </strong>This cross-sectional study assessed 217 professional drivers (102 in Valparaíso, Chile, and 115 in Zaragoza, Spain) using validated questionnaires to assess MSD (Nordic Standardised Questionnaire), QoL (SF-36), and socio-demographic characteristics. Bivariate analyses and logistic regression models were applied.</p><p><strong>Results: </strong>A high prevalence of MSDs was reported (83.0%), with the lower back (51.6%), neck (50.2%), and right shoulder (34.5%) being the most affected regions. In both countries, the presence of two or more painful regions was significantly associated with worse physical QoL (Chile <i>OR</i> 5.8, 95% <i>CI</i> 2.20-15.27; Spain <i>OR</i> 3.4, 95% <i>CI</i> 1.39-8.22). Among Chilean drivers, older age and the perception of a precarious financial situation were statistically associated with poorer physical QoL (<i>OR</i> 1.1, 95% <i>CI</i> 1.01-1.09; <i>OR</i> 2.8, 95% <i>CI</i> 1.14-7.04, respectively). In Spain, the perception of financial difficulties was associated with poorer mental QoL (<i>OR</i> 3.1, 95% <i>CI</i> 1.08-8.84).</p><p><strong>Conclusion: </strong>These findings highlight the physical strain and vulnerability of professional drivers, underscoring the need for ergonomic initiatives and policy measures tailored to their context.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"13 1","pages":"63-81"},"PeriodicalIF":4.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724118","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 nurses' knowledge and attitudes toward clozapine management protocols challenges and implications for clinical practice: A narrative review.","authors":"Polyxeni Mangoulia, Maria Topi","doi":"10.3934/publichealth.2026004","DOIUrl":"10.3934/publichealth.2026004","url":null,"abstract":"<p><p>Clozapine is an atypical antipsychotic primarily used in cases of treatment-resistant schizophrenia, showing significant clinical efficacy. However, a major challenge in its administration is the requirement for systematic monitoring, which necessitates nurses to possess documented knowledge and skills. In this study, we aimed to synthesize nurses' knowledge and attitudes toward clozapine administration protocols and the importance of education for ensuring safe clinical practice. A literature review spanning the past decade was conducted using PubMed, Google Scholar, and Scopus databases, focusing on English terms related to nurses' understanding of clozapine administration protocols and the associated needs and implications in clinical settings to construct a comprehensive narrative review on this subject matter. Findings revealed that approximately half the nurses surveyed reported inadequate knowledge regarding the side effects of clozapine, leading to significant implications for patient monitoring, treatment, and medication adherence. Nurses with higher levels of education exhibited greater knowledge levels. Factors such as lower education levels, limited clinical experience, high workload, fatigue, and blind adherence to medical instructions were found to influence nurses' knowledge and attitudes. Training programs were shown to reduce stress, enhance nurses' knowledge and confidence, and foster trust in patient care. Nurses were identified as playing a crucial role in the safe administration of clozapine, both within hospital settings and in the community. Education was highlighted as a key factor in improving knowledge levels and shifting attitudes among nurses and patients toward the safe use of clozapine.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"13 1","pages":"50-62"},"PeriodicalIF":4.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724322","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":"Evaluation of the quality of public health services: A study in the Brazilian context.","authors":"Renata Pase Ravanello, Kelmara Mendes Vieira, Breno Augusto Diniz Pereira","doi":"10.3934/publichealth.2026003","DOIUrl":"10.3934/publichealth.2026003","url":null,"abstract":"<p><p>This study investigated Brazilians' perceptions of public health service quality using a multidimensional approach with a national sample. A survey involving 1229 respondents from all regions of Brazil was analyzed through descriptive statistics and confirmatory factor analysis to validate the measurement model. Service quality was assessed using the PUBLICSERV scale, comprising seven dimensions: tangible aspects, reliability, relationship, public value, transparency, equality and legality, and satisfaction. The model showed good fit and validity. Findings revealed that most Brazilians perceive service quality as average across the dimensions. Public value received the highest ratings, highlighting recognition of the services' social importance. Tangible aspects and reliability were lowest, pointing to shortcomings in infrastructure and consistency of care. Transparency was evaluated as moderate, while equality and legality reflected perceived fairness. The relationship dimension was rated positively, suggesting empathy and commitment from health professionals. Overall, satisfaction was reported, though tempered by structural and consistency issues. The results emphasize the value of multidimensional assessments in understanding user experiences, suggesting that improvements in infrastructure and consistency are important to strengthen public health delivery, while maintaining the positive aspects recognized by users, such as social relevance, fairness, and professional commitment.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"13 1","pages":"32-49"},"PeriodicalIF":4.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724312","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 role of affective temperaments on depressive rumination in individuals with bruxism.","authors":"Clara Lombardo, Cosimo Galletti, Gabriele Cervino, Chiara La Barbiera, Clemente Cedro, Gianluca Pandolfo, Maria Rosaria Anna Muscatello, Enrico Nastro Siniscalchi, Mario Nicolas De La Fuente, Sofia Munge, Sergio Parra García, Giuseppe Alberti, Daniele Portelli, Carmela Mento","doi":"10.3934/publichealth.2026002","DOIUrl":"10.3934/publichealth.2026002","url":null,"abstract":"<p><p>Bruxism, defined as the grinding or clenching of teeth, is a multifactorial condition whose etiology involves both psychological and psychopathological aspects. In particular, it has been associated with variables such as anxiety, depression, and ruminative thinking. The aim of the present study is to examine the psychological characteristics associated with bruxism, with a particular focus on affective temperaments and depressive rumination. The subjects recruited from the general population were assessed through an online survey including the Ruminative Response Scale (RRS) and the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A). Group differences were analyzed using the student's t-test for independent samples. Furthermore, a linear regression analysis was performed, thereby considering the RRS as the dependent variable and the TEMPS-A temperament dimensions as independent variables, in order to identify which temperamental profiles could explain depressive rumination in individuals with bruxism. The analyses revealed significant gender differences in the cyclothymic and anxious temperaments, as well as in the \"Brooding\" and \"Depression\" dimensions of the RRS. A regression analysis further indicated that cyclothymic and depressive temperaments predicted \"Brooding\" and \"Depression\", whereas only the cyclothymic temperament emerged as a predictor of \"Reflection\". These findings highlight the relevance of affective temperaments and depressive rumination in the psychological profile of patients with bruxism, thus underlining their importance for clinical practice.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"13 1","pages":"22-31"},"PeriodicalIF":4.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724275","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":"Evaluating the impact of a tobacco tax increase on smoking cessation outcomes: A seven-year retrospective study from a regional teaching hospital in Taiwan.","authors":"Po-Hsun Yang, Yuan-Shan Chien, Dih-Ling Luh","doi":"10.3934/publichealth.2026001","DOIUrl":"10.3934/publichealth.2026001","url":null,"abstract":"<p><strong>Objective: </strong>This study assesses the impact of Taiwan's 2017 tobacco tax increase on smoking cessation outcomes using data from a regional teaching hospital between 2013 and 2019. It focuses on the treatment completion rates for pharmacotherapy and health education interventions.</p><p><strong>Methods: </strong>This retrospective study involves a secondary data analysis conducted at a regional teaching hospital. The analysis included preventive healthcare and smoking cessation service records from the National Health Insurance Administration database and the hospital's own records. The effectiveness of smoking cessation programs was assessed via follow-up records at three and six months, which were categorized into four groups: failure (smoking-smoking), relapse (not smoking-smoking), delay (smoking-not smoking), and successful cessation (not smoking-not smoking). A multinomial logistic regression model was applied for the multivariate analysis.</p><p><strong>Results: </strong>No statistically significant difference was observed in the effectiveness of smoking cessation services before and after the tobacco tax increase. However, the participants who failed to complete both the pharmacotherapy and the health education counseling had a markedly higher likelihood of cessation failure compared with those who completed both interventions (<i>OR</i> = 4.84, 95% <i>CI</i>: 2.69-8.70).</p><p><strong>Conclusion: </strong>While the 2017 tobacco tax increase did not significantly improve cessation outcomes, service completion was strongly associated with success. Efforts to support full participation in smoking cessation services may enhance the treatment's effectiveness.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"13 1","pages":"1-21"},"PeriodicalIF":4.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724240","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 first aid certification's impact on Filipino nurses' ability to increase personal help-seeking behaviors, self-awareness of health changes, and improved self-connection.","authors":"Maria Elena Holguin, Brenda Marshall, Faith Atte, Katherine J Roberts","doi":"10.3934/publichealth.2025064","DOIUrl":"10.3934/publichealth.2025064","url":null,"abstract":"<p><strong>Background: </strong>Post COVID-19, almost 50% of nurses reported severe depression, and over 30% moderate to severe anxiety. Nurses from minority racial and ethnic backgrounds, including Filipino nurses, accounted for more than 54% of COVID-related deaths, despite comprising only 24.1% of the nursing workforce. Filipino nurses, making up only 1% of the U.S. population, comprise 4.5 % of the nursing workforce and face significant barriers to seeking mental health services, including stigma, a sense of shame, and adherence to cultural values that view mental illness as unacceptable.</p><p><strong>Aim: </strong>To assess the impact of Mental Health First Aid (MHFA) certification among Filipino nurses to increase behaviors of help-seeking, self-care, and self-awareness of health changes.</p><p><strong>Method: </strong>A quantitative, quasi-experimental pre- and post-survey design was employed.</p><p><strong>Results: </strong>There was a significant increase in personal help-seeking behaviors, self-awareness of health changes, and self-connection among Filipino nurses (<i>n</i> = 52) post MHFA certification.</p><p><strong>Conclusions: </strong>MHFA certification for Filipino nurses successfully increased the nurses' ability to seek help, improved awareness of personal health, and improved self-care behaviors.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 4","pages":"1265-1277"},"PeriodicalIF":2.7,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971239","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":"Development and evaluation of a participatory ergonomic intervention for the reduction of work-related musculoskeletal disorders among nurses.","authors":"Guganesan Krishnanmoorthy, Rama Krishna, Faiz Baharudin, Mohd Amirul Asraf Shah Nizamuddin, Nik Hasmumthaj Nik Hassan, Mahmoud Danaee, Victor C W Hoe, Sanjay Rampal","doi":"10.3934/publichealth.2025063","DOIUrl":"10.3934/publichealth.2025063","url":null,"abstract":"<p><p>Nurses are highly vulnerable to work-related musculoskeletal disorders (WMSD). This study evaluated the effects of a participatory ergonomic intervention on WMSD, sick absenteeism, and work performance among ward nurses. A multicomponent ergonomic training module, comprising educational ergonomics, health promotional activities, workstation adjustment, use of patient-assisted devices, and progressive muscle relaxation techniques, was developed based on a systematic review, focus group discussion, and discussion with ergonomic experts. A cluster quasi-experimental design was conducted, with nurses allocated into intervention (n = 45) and control (n = 30) groups, and follow-up across baseline, first, third-, and sixth-months post-intervention. The outcomes were assessed using the Nordic Musculoskeletal and Health and Work Performance Questionnaires. The intervention module was effective in reducing self-reported musculoskeletal symptoms among nurses across time, particularly neck pain [adjusted odds ratio (AOR) = 0.42, 95% CI 0.21-0.87], low back pain (AOR = 0.45, 95% CI 0.21-0.97), and shoulder pain (AOR = 0.38, 95% CI 0.17-0.88). However, the effects on relative absenteeism and relative presenteeism were only observed following adjusted analyses. While the ergonomic intervention was effective in reducing specific WMSDs among ward nurses, more research is required to delineate its potential application as a long-term strategy for addressing sick absenteeism and work performance.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 4","pages":"1240-1264"},"PeriodicalIF":2.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971012","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 systematic review and meta analysis on the effect of vitamin D in preeclampsia and gestational diabetes mellitus in pregnancy.","authors":"Martha Irene Kartasurya, Tomasina Stacey, Naintina Lisnawati, Andi Rispah Sulistianingsih","doi":"10.3934/publichealth.2025062","DOIUrl":"10.3934/publichealth.2025062","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia and gestational diabetes mellitus (GDM) are significant contributors to maternal and neonatal morbidity and mortality, particularly in low- and middle-income countries. Vitamin D might play a role in the pregnancy complication prevention. However, findings across studies remain inconsistent. In this review, we aimed to evaluate vitamin D deficiency effect on preeclampsia and GDM risks, and the effect of vitamin D supplementation during pregnancy in reducing preeclampsia and GDM incidences.</p><p><strong>Methods: </strong>We followed the PRISMA guidelines and registered the protocol with PROSPERO (CRD42024609276). Database PubMed, Scopus, and EBSCO-Medline were used to search cohort and randomized controlled trial (RCT) studies published between 1993 and 2025. Two reviewers independently assessed the article quality with the Joanna Briggs Institute checklists and extracted data. Meta-analyses were performed using RevMan 5.4. The results were reported in pooled odds ratios (OR) or standardized mean differences (SMD) with 95% confidence intervals.</p><p><strong>Results: </strong>A total of 52,372 participants from 24 studies were included in this review. Vitamin D supplementation appeared to reduce the preeclampsia risk by 42% (OR = 0.58; 95%CI: 0.43-0.78; I² = 45%) and GDM by 45% (OR = 0.55; 95%CI: 0.36-0.87; I² = 0%) in RCTs. Vitamin D supplementation is most effective in reducing the risk of recurrent preeclampsia in women with vitamin D deficiency. In cohort studies, vitamin D deficiency was associated with a higher risk of GDM (OR = 1.29; 95% CI: 1.16 to 1.43; I² = 7%), but was not significantly associated with preeclampsia (OR = 1.67; 95% CI: 0.92 to 3.01; I² = 85%).</p><p><strong>Conclusion: </strong>Vitamin D supplementation in pregnancy, especially in the first trimester, decreased preeclampsia and GDM risks, while vitamin D deficiency in pregnancy increased GDM risk but not preeclampsia. These findings support the potential benefit of vitamin D supplementation in the routine antenatal care to improve pregnancy outcomes.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 4","pages":"1223-1239"},"PeriodicalIF":2.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971360","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":"Health effects of intermittent fasting and the role of artificial intelligence technologies in optimizing its clinical translation.","authors":"Chenghao Zhang, Lijun Chang, Yanqiu Huang, Yadan Xu, Wen Gu, Yang Yang, Hui Wang","doi":"10.3934/publichealth.2025061","DOIUrl":"10.3934/publichealth.2025061","url":null,"abstract":"<p><p>As a non-pharmacological approach, Intermittent Fasting (IF) exhibits the capacity to boost health and counteract chronic diseases by regulating the metabolism, strengthening the cellular resistance to stress, and reshaping the immune microenvironment. The rapid progress of Artificial Intelligence (AI) technologies has greatly advanced our comprehension of IF's diverse health benefits. This review outlines AI's role in enhancing the exploration of IF's function in governing systemic health, clarifies the association between IF and health outcomes, and specifies AI's function in analyzing IF's impacts, which cover metabolic processes, cellular stress responses, disease prevention, and the development of personalized dietary strategies. By leveraging AI to integrate various omics datasets, the mechanisms through which IF prevents chronic diseases can be uncovered. This review discusses the challenges that AI faces in researching diet-related health mechanisms and presents an outlook on future developments. AI offers innovative methods to investigate IF's effects on chronic disease prevention, which could lay the foundation for more efficient strategies to support healthier and longer lifespans.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 4","pages":"1190-1222"},"PeriodicalIF":2.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971225","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 link between problematic social media use and mental health in Greece: Sex and generation differences.","authors":"Polyxeni Mangoulia, Aglaia Katsiroumpa, Zoe Katsiroumpa, Evmorfia Koukia, Parisis Gallos, Ioannis Moisoglou, Petros Galanis","doi":"10.3934/publichealth.2025060","DOIUrl":"10.3934/publichealth.2025060","url":null,"abstract":"<p><p>Our study aimed to evaluate the association between problematic social media use and mental health. Additionally, we examined sex and generation differences. We performed a cross-sectional study in Greece using a convenience sample. Participants were divided into three generational cohorts: Generation Z (born 1997-2012), Millennials (born 1981-1996), and Generation X (born 1965-1980). To evaluate problematic social media use, we employed the Bergen Social Media Addiction Scale. Anxiety and depression were measured using the Patient Health Questionnaire-4, and the sleep quality was assessed with the Sleep Quality Scale. We developed multivariable linear regression models to control for confounding variables. Our findings revealed a positive correlation between problematic social media use and anxiety, which was unaffected by sex or generation. Additionally, a positive link was found between problematic social media use and depression, with a stronger association observed in Generation Z and Millennials. Moreover, our multivariable models indicated a negative relationship between problematic social media use and sleep quality, which was more pronounced among males and Millennials. In summary, our results underscore the link between problematic social media use and mental health issues. Policymakers, stakeholders, and healthcare professionals should devise and implement suitable interventions to mitigate the adverse effects of problematic social media use.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 4","pages":"1172-1189"},"PeriodicalIF":2.7,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12795777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971341","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}