Journal of Public Health Research最新文献

{"title":"The ethical challenge of AI in medicine: Who owns the mistakes?","authors":"Sarah Ali, Samia Arif, Asad Ur Rehman, Abdul Haseeb Hasan","doi":"10.1177/22799036261452467","DOIUrl":"10.1177/22799036261452467","url":null,"abstract":"","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261452467"},"PeriodicalIF":2.1,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943175","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":"Global governance strategies for managing NCDs in the context of climate change: Protocol of scoping review.","authors":"Amir Ghasemian, Ehsan Mousa Farkhani, Elaheh Hooshmand, Mansoureh Kouhi, Mehrdad Salehi, Seyed Saeed Tabatabaee, Javad Moghri","doi":"10.1177/22799036261441333","DOIUrl":"10.1177/22799036261441333","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases (NCDs) are responsible for over 70% of the global mortality, disproportionately affecting low-and middle-income countries. Simultaneously, climate change is escalating health risks by intensifying climate-related hazards and climate-mediated environmental risk factors that affect NCD prevention and management, including extreme heat, air pollution, and food insecurity. These dual crises increasingly intersect and demand integrated policy response.</p><p><strong>Objective: </strong>This scoping review protocol outlines a systematic approach to map, examine, and analyze global strategies, policies, programs, and management models for NCD prevention and control in the context of climate change. It will evaluate how climate and environmental factors are incorporated into health system governance, implementation, and performance, and identify gaps for strengthening NCD strategies.</p><p><strong>Methods: </strong>Following Arksey and O'Malley's framework and PRISMA-ScR guidelines, a systematic search was conducted using PubMed, Scopus, Web of Science, Embase, and relevant gray literature sources. Studies and reports from 2004 to 2025 that focus on NCD-related policies with explicit reference to climate change will be included. Data extraction will be conducted independently by two reviewers and synthesized thematically to identify common approaches, challenges, and innovations.</p><p><strong>Expected outcomes: </strong>This review will map existing global practices, highlighting integrated policy components, implementation levels, and reported outcomes. It will also identify knowledge gaps and inform the development of climate-resilient NCD strategies, particularly in vulnerable regions.</p><p><strong>Conclusion: </strong>As climate change and NCDs converge into a global syndemic, understanding integrated health-system responses is crucial. This review will support policymakers in designing effective context-specific interventions to build resilient and sustainable healthcare systems.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261441333"},"PeriodicalIF":2.1,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943155","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":"Parkinson's disease mortality and years of potential life lost in Iran: A 10-year national analysis (2013-2023).","authors":"Faezeh Sadeghzadeh, Mahdieh Sahebi, Mahin Ghavami, Elaheh Kazemi, Hamed Etemadi, Fatemeh Zahra Nezamdoust, Ehsan Mosa Farkhani","doi":"10.1177/22799036261433155","DOIUrl":"10.1177/22799036261433155","url":null,"abstract":"<p><strong>Background: </strong>Parkinson's disease (PD) is a leading neurodegenerative disorder associated with increasing global morbidity and premature mortality. Despite its growing burden, national trends in PD-related mortality and years of potential life lost (YPLL) remain understudied in Iran.</p><p><strong>Objectives: </strong>To examine temporal trends in PD-related mortality and YPLL in Iran from 2013 to 2023 and to assess demographic and regional disparities.</p><p><strong>Methods: </strong>This repeated cross-sectional study used data from the Iranian National Death Registration System. All deaths attributed to PD (ICD-10 codes G20 and G21) between 2013 and 2023 were included. Crude age-specific and cause-specific mortality rates were calculated, and YPLL was estimated using standard methods. Temporal trends were assessed using regression-based analyses. Spatial patterns were evaluated using ArcGIS, and statistical analyses were performed in Stata version 17.</p><p><strong>Results: </strong>A total of 9229 PD-related deaths were recorded. Crude mortality rates increased from 0.21 per 100,000 in 2013 to 1.77 in 2023, while YPLL rose from 1.21 to 7.86 per 100,000. Males consistently exhibited higher mortality and YPLL than females. Geospatial analysis identified higher burdens in Tehran, Khorasan Razavi, Isfahan, and Fars. Lower rates in several rural provinces may partly reflect underreporting or disparities in healthcare access.</p><p><strong>Conclusion: </strong>The observed increase in crude PD-related mortality and YPLL over the past decade suggests a growing public health challenge in Iran. However, these trends should be interpreted with caution, as they may be influenced by population aging, improvements in diagnosis, and changes in death registration practices. Strengthening early diagnosis, specialized care, and equitable access to neurological services-particularly in underserved regions-remains a public health priority.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261433155"},"PeriodicalIF":2.1,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964890","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":"Promoting secure Firearm storage: The role of the media in reporting on unintentional Firearm deaths among children.","authors":"Abigail Bordelon, Lisa Corrigan, Bart Hammig","doi":"10.1177/22799036261451533","DOIUrl":"10.1177/22799036261451533","url":null,"abstract":"<p><p>Unintentional firearm deaths among children in the United States are relatively rare but preventable events, most often occurring in the home and involving improperly stored firearms. Despite strong evidence that secure firearm storage substantially reduces pediatric injury risk, fewer than half of U.S. households with both children and firearms report adhering to recommended storage practices. Misperceptions among caregivers, including beliefs that firearms must remain readily accessible for protection, that children are unaware of firearm locations, or that young children lack the physical ability to discharge a gun, contribute to unsafe storage behaviors. Educational programs aimed at teaching children not to touch firearms have also demonstrated limited effectiveness. Media coverage plays a critical role in shaping public understanding of these deaths, yet reporting frequently frames incidents as \"tragic accidents,\" and omits reporting on evidence-based prevention strategies such as secure storage and the relevance of Child Access Prevention (CAP) laws. This may result in inadvertently ignoring public health context and hinder prevention efforts. In response, we propose a set of media guidelines, operationalized through a journalist tip-sheet, to encourage the inclusion of accurate data, diverse public health expert perspectives, and clear prevention messaging in reports of unintentional pediatric firearm deaths. Aligning media narratives with injury prevention science has the potential to improve public awareness, reinforce caregivers' legal and ethical responsibilities, and contribute to reductions in preventable childhood firearm fatalities.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261451533"},"PeriodicalIF":2.1,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943230","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":"Effects of a home environmental modification program for fall prevention among older adults in northern Thailand: A quasi-experimental study.","authors":"Archin Songthap, Pattama Suphunnakul, Jutarat Rakprasit","doi":"10.1177/22799036261448939","DOIUrl":"10.1177/22799036261448939","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of falls in older adults has increased in Thailand and worldwide. Falls can cause injuries, disability, and death in older population.</p><p><strong>Aims: </strong>The purpose of this study was to assess the effects of a home environmental modification program for fall prevention among the older adults in northern Thailand.</p><p><strong>Design and methods: </strong>A quasi-experimental study was conducted. The study subjects were 80 older adults aged ≥60 years. They were categorized into 2 groups, 40 participants per arm. A questionnaire was employed for data collection. Frequency, percentage, mean, standard deviation, independent sample t-test, paired t-test, Chi-square test, McNemar's test, and relative risk (RR) were utilized for data analysis.</p><p><strong>Results: </strong>After the intervention, the experimental group had significantly higher mean scores of knowledge, social support, and home environmental modification compared to before the intervention and compared to the control group (p<0.05). Further, the proportion of falls in the experimental group was significantly lower than before the intervention, and in the control group (p<0.05). The program can reduce falls by 27.5% and the control group was more likely to have falls 6.0 times than the experimental group after the intervention.</p><p><strong>Conclusions: </strong>The program on home environmental modification was effective in preventing falls for older adults. Therefore, healthcare providers, caregivers, health volunteers, and relatives of the older adults should apply this program as a guideline to prevent falls and their consequences in the target group.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261448939"},"PeriodicalIF":2.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943146","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":"Treatment outcomes and determinants of in-hospital mortality among acute poisoning patients in Addis Ababa, Ethiopia: A multicenter retrospective study.","authors":"Fasil Biyadigilign Ayalew, Wagari Tuli Nora","doi":"10.1177/22799036261448928","DOIUrl":"10.1177/22799036261448928","url":null,"abstract":"<p><strong>Background: </strong>Acute poisoning is a significant cause of emergency department visits and mortality, particularly in low- and middle-income countries. However, evidence from urban tertiary care settings in Ethiopia remains limited. Therefore, this study assessed treatment outcomes and determinants of in-hospital mortality among patients admitted to selected governmental hospitals in Addis Ababa, Ethiopia.</p><p><strong>Design and methods: </strong>A multicenter retrospective chart review was conducted using medical records of all patients diagnosed with acute poisoning who presented to emergency departments between January 2021 and January 2023 and met the inclusion criteria. Among 372 records reviewed, 371 (99.7%) were eligible for analysis.</p><p><strong>Result: </strong>A total of 371 patients were included. The median age was 22 years (IQR: 18-28), and 59.3% were female. Intentional poisoning accounted for 82.5% of cases. Pharmaceutical agents (56.1%) were the most common exposures, while organophosphates (11.9%) were associated with the highest proportion of deaths. Overall, in-hospital mortality was 4.3%. Mechanical ventilation was required in 5.9% of patients, and it is a marker of severe poisoning (AOR = 24.01, 95% CI: 5.49-41.96).</p><p><strong>Conclusion: </strong>Acute poisoning in this urban tertiary care setting predominantly affects young adults and is largely intentional. Organophosphate poisoning and severe clinical presentations, particularly those requiring mechanical ventilation, were associated with increased in-hospital mortality. Mechanical ventilation should be interpreted as a marker of severity rather than a direct determinant. Strengthening early recognition, improving emergency care capacity, and expanding mental health services are essential to improve outcomes.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261448928"},"PeriodicalIF":2.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934436","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":"Leadership and healthcare professionals' role in hand hygiene compliance: Identifying risk factors at surgical clinics of the university clinical center NIS, Serbia.","authors":"Mirjana Marinkovic, Miodrag Djordjevic, Vukica Djordjevic, Vesna Karanikolic, Sonja Novak, Jelena Perisic","doi":"10.1177/22799036261448794","DOIUrl":"10.1177/22799036261448794","url":null,"abstract":"<p><strong>Background: </strong>Hospital-associated infections (HAIs) caused by multidrug-resistant organisms represent a global threat to public health. Despite various strategies, compliance with effective hand hygiene (HH) remains inconsistent. This study examines risk factors influencing hand hygiene compliance (HHC) in surgical clinics of the University Clinical Center Nis, Serbia.</p><p><strong>Methods: </strong>A cross-sectional, questionnaire-based study was conducted from August 16 to September 16, 2023, among healthcare professionals in surgical, urgent care, and anesthesia units at UCC Nis. The representative sample size was calculated using G*Power 3.1. Effect sizes were assessed with Hedges' g, Glass's Δ, η², and R² for correlations. Regression analyses were performed to model HHC scores.</p><p><strong>Results: </strong>Participants demonstrated relatively good HH knowledge. HHC scores varied most across organizational units, with large effect sizes for subscales (η² = 0.13-0.2) and intermediate effect for the total score. Total HHC did not significantly correlate with job satisfaction (<i>r =</i> -0.023) or Leadership trait score (<i>r =</i> 0.041), though some subscales showed low but significant correlations. Job satisfaction and Leadership traits were moderately correlated (R = -0.579, p < 0.001). Of seven regression models, only the model predicting \"transmission of microorganisms to healthcare workers\" achieved R² > 0.3 (intermediate effect).</p><p><strong>Conclusions: </strong>HH knowledge and practices in surgical settings appear to depend more on the work environment, particularly leadership, than on individual characteristics. Sustained improvements in hand hygiene behavior require comprehensive, tailored educational programs and robust promotional campaigns, while strengthening managerial leadership skills emerges as a critical, evidence-based strategy. Job satisfaction showed only limited influence.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261448794"},"PeriodicalIF":2.1,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943223","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":"Domestic violence in Nepal: Insights from machine learning-based prediction.","authors":"Md Nahid Hassan Nishan, M Z E M Naser Uddin Ahmed","doi":"10.1177/22799036261448793","DOIUrl":"10.1177/22799036261448793","url":null,"abstract":"<p><strong>Introduction: </strong>Conducting surveys on domestic violence across diverse countries, particularly in lower-middle-income nations like Nepal, poses significant challenges in understanding and addressing the multifaceted dynamics involved in domestic violence research. However, integrating machine learning can help uncover patterns and predictive factors. Therefore, this study aimed to evaluate and compare machine-learning models to identify population-level risk patterns of domestic violence associated with male demographic characteristics using nationally representative data from Nepal.</p><p><strong>Methodology: </strong>We utilized nationally representative data from the Nepal Demographic and Health Surveys (DHS) conducted in 2016 and 2022. A total of 7,813 observations were analyzed. The outcome variable captured whether women reported experiencing any form of physical or sexual violence. Data preprocessing and analysis were conducted using Stata and Python, with machine learning models implemented through the PyCaret framework. Multiple algorithms were evaluated based on performance metrics including accuracy, precision, recall, F1-score, and AUC.</p><p><strong>Result: </strong>Significant demographic shifts were observed between 2016 and 2022, including an increase in husbands with only primary education (from 23.2% to 42.52%) and rising rates of alcohol consumption. Among all models tested, LDA achieved the highest accuracy (74.61%) and F1-score (0.6924), while CatBoost and AdaBoost also showed competitive performance.</p><p><strong>Conclusion: </strong>This study demonstrates the potential of machine learning models in predicting DV risk using male demographic profiles. While acknowledging that findings derived from Nepal-specific data may not be directly generalizable to other sociocultural settings, the findings highlight critical socio-economic determinants such as education, wealth, and substance use and support the use of predictive modeling as a complementary tool for early identification and targeted intervention.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261448793"},"PeriodicalIF":2.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870036","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":"COVID-19 pandemic management at a hospital in Somalia: A qualitative study.","authors":"Abdullahi Ibrahim Janay, Belgin Unal, Bulent Kilic","doi":"10.1177/22799036261447679","DOIUrl":"10.1177/22799036261447679","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 pandemic management in the hospitals is important for the prevention practices of health staff. Studies assessing COVID-19 pandemic management in Somali hospitals are limited. This study aimed to evaluate the management of the COVID-19 pandemic at De Martino Public Hospital in Mogadishu, Somalia, to enhance pandemic management strategies in hospitals.</p><p><strong>Methods: </strong>In this phenomenological study, in-depth interviews were conducted with 29 key participants at De Martino Hospital, including 5 managers, 12 healthcare workers, and 12 patients. Additionally, on-site observations were carried out at the hospital. The study was conducted in 2022, and thematic content analysis was used to analyze the interview data.</p><p><strong>Results: </strong>The interviews revealed seven themes: infrastructure, prevention, communication, awareness, fear, management, and finance. The study found that the hospital generally managed the COVID-19 pandemic well. However, public awareness was deemed inadequate. Observations indicated a lack of triage procedures at the entrance. The results also highlighted a shortage of budget and poor infrastructure for COVID-19 management in the hospital.</p><p><strong>Conclusions: </strong>Effective COVID-19 pandemic management is crucial for reducing disease transmission. It is important to implement entry regulation measures, particularly screening triage procedures. Public education is needed to encourage the adoption of COVID-19 infection prevention and control practices. Additionally, sufficient funding should be allocated to ensure that hospitals have the necessary materials, equipment, and human resources for improved management of the COVID-19 pandemic and similar epidemics.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261447679"},"PeriodicalIF":2.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869949","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":"Trends in sepsis-related mortality due to dermatologic infections in the United States: Demographic and geographic patterns from 1999 to 2023.","authors":"Muhammad Hammad Zaheer, Hamza Zaheer, Zainab Shahnawaz, Muhammad Abdullah, Arslan Tariq","doi":"10.1177/22799036261447682","DOIUrl":"10.1177/22799036261447682","url":null,"abstract":"<p><strong>Background: </strong>Dermatologic infections complicated by sepsis represent a significant yet understudied cause of mortality in the United States, with evolving epidemiological patterns that warrant investigation.</p><p><strong>Objective: </strong>To examine nationwide trends in sepsis-related mortality due to dermatologic infections from 1999 to 2023, with focus on demographic and geographic disparities.</p><p><strong>Methods: </strong>This population-based retrospective study analyzed CDC WONDER mortality data using ICD-10 codes for dermatologic infections with sepsis. Joinpoint regression analysis calculated annual percentage changes (APCs) in age-adjusted mortality rates, stratified by gender, age, race/ethnicity, and geographic region.</p><p><strong>Results: </strong>Among 119,837 deaths, overall mortality showed statistically significant rise during 1999-2004 (APC: 9.05%, p<0.001) and 2012-2023 (APC: 4.72%, p<0.001), with a plateau during 2004-2012. Males showed steeper recent increases (2019-2023: APC: 6.64%, p<0.001) than females. The South region experienced the highest sustained increase (2012-2023: APC: 5.19%, p<0.001). Among racial/ethnic groups, Hispanic populations showed the most pronounced variations, with the highest initial increase followed by a statistically significant decline before rising again.</p><p><strong>Limitations: </strong>Reliance on death certificate data may introduce coding inconsistencies and underreporting.</p><p><strong>Conclusion: </strong>Sepsis-related mortality due to dermatologic infections shows concerning upward trends across most demographic groups and regions, highlighting the need for enhanced prevention strategies and targeted interventions for vulnerable populations.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 2","pages":"22799036261447682"},"PeriodicalIF":2.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869964","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}