Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Translation, Cross-Cultural Adaptation and Psychometric Properties of the Persian Version of Patient-Specific Functional Scale in Patients with Chronic Low Back Pain.","authors":"Afshin Aghazadeh, Soheil Mansour Sohani, Reza Salehi, Mohamad Parnianpour","doi":"10.22038/ABJS.2024.76731.3546","DOIUrl":"10.22038/ABJS.2024.76731.3546","url":null,"abstract":"<p><strong>Objectives: </strong>The major emphasis of physical therapy in patient evaluation is the assessment of physical function, and the Patient-Specific Functional Scale (PSFS) is one of the most commonly used instruments for this purpose. Therefore, the present study aims to translate and cross-culturally adapt the PSFS into Persian and test its psychometric properties in patients with chronic low back pain (CLBP).</p><p><strong>Methods: </strong>The PSFS was translated from English to Persian and cross-culturally adapted in accordance with the study by Beaton et al. Psychometric properties of 100 CLBP patients were assessed. Reliability (internal consistency and test-retest) was examined for 32 participants who completed the Persian version of the PSFS (PSFS-P) twice with one week interval. Construct validity was assessed against the Persian versions of the Oswestry Disability Index (ODI-P) and the Numerical Pain Rating Scale (NPRS-P).</p><p><strong>Results: </strong>The PSFS-P showed excellent reliability (Cronbach's alpha=0.88, intraclass correlation coefficient [ICC _{3, 1}] =0.95, 95% CI [0.87 to 0.98]). The construct validity analysis revealed a moderate negative correlation between PSFS-P and NPRS-P (r=-0.47) and a high negative correlation between PSFS-P and ODI-P (r=-0.61). The PSFS-P showed no floor and ceiling effects.</p><p><strong>Conclusion: </strong>The PSFS-P has adequate psychometric properties and is applicable in both clinical settings and research involving the Iranian population with CLBP.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"47-53"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067697","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":"Reliability of Diagnostic Tests for Movement System Impairment-based Categories of Mechanical Neck Pain.","authors":"Mehrnoosh Amin, Amin Behdarvandan, Maryam Saadat, Armin Jahangiri Babadi, Payam Amini, Frouzan Orak","doi":"10.22038/ABJS.2024.79331.3635","DOIUrl":"10.22038/ABJS.2024.79331.3635","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the current study was to investigate the inter-tester reliability of the MSI classification test items in patients with neck pain.</p><p><strong>Methods: </strong>sixty subjects with neck pain (18-65 years) participated in this cross-sectional study. The examination of each patient, included the evaluation of signs and symptoms during posture and movement tests and the MSI diagnosis of subjects with cervical pain, was performed simultaneously by three testers in one session. Kappa and gamma values were used to determine the measure of agreement between testers for each of the test items and classification judgment.</p><p><strong>Results: </strong>The kappa values for inter-tester reliability of the sign items ranged from 0.36 to 1. For the symptom items kappa values ranged from 0.36 to 1. The kappa values of inter-tester reliability for patients' classification judgments ranged from 0.71 to 0.73.</p><p><strong>Conclusion: </strong>The inter-tester reliability between three testers according to the MSI approach for neck pain classification, sign and symptom was generally acceptable.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"106-113"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469511","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":"Outcomes of Patients with Bennett Fracture Treated with Three Different Surgical Techniques: A Systematic Review.","authors":"Eduardo Velásquez-Girón, Edna Rocio Buitrago-Quiñonez, Jorge Hernández-Guevara, Álvaro Antonio Kafury","doi":"10.22038/ABJS.2024.81116.3702","DOIUrl":"10.22038/ABJS.2024.81116.3702","url":null,"abstract":"<p><strong>Objectives: </strong>Bennett's fracture, the most common intra-articular fracture occurring at the base of the thumb, accounts for less than 1% of all hand fractures. It typically results from specific traumatic mechanisms, deforming forces, and ligamentous injuries. To compare the functional outcomes and sequelae in patients with Bennett's fracture treated surgically using: Open reduction and internal screw fixation, closed reduction and percutaneous fixation, arthroscopy-assisted reduction and screw fixation.</p><p><strong>Methods: </strong>A systematic literature review was conducted to identify studies on Bennett's fracture dislocations in patients over 18 years of age without additional injuries. Searches were performed in PubMed, Scopus, Cochrane Central, Web of Science, Scielo, Lilacs, Oneme, and Epistemonikos databases, with language restrictions in English, French, Spanish, Portuguese, Italian, and German, and no date restrictions. Primary outcome variables included measures of functionality and secondary outcomes such as pain, stiffness, and osteoarthritis.</p><p><strong>Results: </strong>A total of 18 studies met the selection criteria, with most being retrospective (94.45%). Pain measures were reported in 77.78% of the studies, predominantly using the VAS (min=0 and max=2). All techniques seemed to achieve similar functional outcomes. The main difference was the pain registered at follow-up, mainly by patients treated with open reduction. Osteoarthritis appeared as a common consequence of these fractures, regardless of the treatment type -excluding arthroscopy-assisted reduction as there was not enough data.</p><p><strong>Conclusion: </strong>The three techniques had similar functional outcomes. Closed reduction and percutaneous fixation appear to result in less pain; however, both closed reduction with percutaneous fixation and open reduction with internal screw fixation have similar rates of osteoarthritis at follow-up. Unfortunately, there is insufficient data to evaluate arthroscopy-assisted reduction with screw fixation, suggesting the need for rigorous follow-up in patients undergoing this surgical intervention.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"4-16"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068704","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":"Applications, Implications, and Drawbacks of Artificial Intelligence in Medical Publications.","authors":"Kylen Bruey, Amir R Kachooei","doi":"10.22038/ABJS.2024.82343.3751","DOIUrl":"10.22038/ABJS.2024.82343.3751","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"1-3"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068767","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":"Bone Mineral Density Changes in Multiple Endocrine Neoplasia Type 1: A Systematic Review and Meta-Analysis of Prevalence and Parathyroidectomy Outcomes.","authors":"Vahid Mahdavizadeh, Maryam Emadzadeh, Zahra Mazloum Khorasani","doi":"10.22038/ABJS.2025.82946.3775","DOIUrl":"10.22038/ABJS.2025.82946.3775","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze the prevalence of osteopenia and osteoporosis in MEN1-related primary hyperparathyroidism (PHPT), examine the impact of parathyroidectomy (PTX) on bone metabolic outcomes, and compare bone density metrics between sporadic and MEN1-related PHPT.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with the guidelines for Meta-Analyses and Systematic Reviews of Observational Studies (MOOSE). We searched PubMed, Web of Science, and Scopus up to June 2024, subsequently screening the articles to identify relevant research. Studies focusing on bone mineral density (BMD), T and Z-scores in patients with MEN1-related conditions were included. Meta-analyses were conducted using random-effects models.</p><p><strong>Results: </strong>From the initial 2,563 articles, 15 studies were included in the meta-analysis. The pooled prevalence of osteoporosis and osteopenia in patients with MEN1-related PHPT was 45.2% (95% CI: 39.1-51.4%; I2: 16.7%) and 53.3% (95% CI: 44.4-62.0%; I2: 36.15%), respectively. PTX showed no significant impact on BMD in MEN1-related PHPT patients at the lumbar spine (mean difference: -0.054; P-value = 0.092; I2: 0.86%) or femoral neck (mean difference: -0.025; P-value = 0.219; I2: 0.47%). Comparisons of bone density metrics showed that MEN1-related PHPT patients had significantly lower Z-scores at the lumbar spine (mean difference: -0.676; P-value < 0.001; I2: 41.86%), total hip (mean difference: -0.629; P < 0.001; I2: 23.4%), and femoral neck (mean difference: -0.516; P < 0.001; I2 = 38.82%) compared to patients with sporadic PHPT.</p><p><strong>Conclusion: </strong>Patients with MEN1-related PHPT exhibited a high prevalence of osteopenia and osteoporosis, along with lower BMD metrics compared to those with sporadic PHPT. PTX was not associated with significant changes in BMD among MEN1-related PHPT patients.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"125-133"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732329","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":"Minimally Invasive vs Open First Metatarsophalangeal Joint Cheilectomy: Radiographic Outcomes and Early Complications.","authors":"Noopur Ranganathan, Marium Raza, Soheil Ashkani-Esfahani, Christopher P Miller","doi":"10.22038/ABJS.2024.81570.3715","DOIUrl":"10.22038/ABJS.2024.81570.3715","url":null,"abstract":"<p><strong>Objectives: </strong>Current literature on surgical techniques has evaluated minimally invasive surgery (MIS) cheilectomy and its efficacy in comparison to the open technique. However, no study to date has evaluated MIS-Moberg in relation to open and MIS cheilectomy. This study assessed radiological outcomes and early healing and complications of patients who underwent open, MIS, and MIS-Moberg cheilectomies.</p><p><strong>Methods: </strong>We conducted a retrospective cohort review of 134 patients who underwent first metatarsophalangeal (MTP) cheilectomy at an academic medical center between 2015 and 2024. Success of cheilectomy was determined radiographically. Postoperative complications were identified through medical record review.</p><p><strong>Results: </strong>73 open and 61 MIS cheilectomies were performed on 134 patients with a primary diagnosis of hallux rigidus. The pre-operative versus post-operative differences in dorsal cortical length (3.7±1.4) and sagittal articular P1 angle (7.3±4.8) were found to be statistically significant (P<0.05) for the MIS-Moberg group. Ten patients in the open cheilectomy were found to have dorsiflexion and plantarflexion stiffness compared to zero patients in the MIS and MIS-Moberg groups (P<0.01).</p><p><strong>Conclusion: </strong>We showed a significantly greater rate of plantar- and dorsiflexion stiffness in open surgeries compared to MIS and MIS-Moberg. No other differences in healing rates or radiologic outcomes were observed. Based on preliminary results, the MIS-Moberg can successfully alter the radiographic alignment of the great toe and does not increase complications as compared to open or MIS cheilectomy alone.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"152-156"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732347","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":"Plate Breakage Following Internal Fixation of Long Bone Diaphyseal Fractures: A 150-Case Analysis.","authors":"Yan-Zi Liu, Wei Zhu, Tian Xue-Dong","doi":"10.22038/ABJS.2024.76775.3550","DOIUrl":"10.22038/ABJS.2024.76775.3550","url":null,"abstract":"<p><strong>Objectives: </strong>This study analyzed cases of plate breakage following internal fixation of long bone diaphyseal fractures to identify contributing factors and inform clinical practice.</p><p><strong>Methods: </strong>A retrospective analysis of 150 plate breakage cases after diaphyseal fracture fixation was conducted using data from the \"DXY\" forum in November 2023. Patient demographics, fracture characteristics, plate specifications, surgical techniques, and outcomes were evaluated.</p><p><strong>Results: </strong>Plate breakages occurred most frequently in the femur (67.3%), predominantly in wedge or multifragmentary fractures (60.7%). Locking plates were used in 64.7% of cases. Despite high rates of anatomical reduction (87.9% in complex fractures), plate failures occurred at an average of 11.3 months post-operation. High screw density (0.83-0.89 screws used/total holes) was observed across fracture types. In femoral fractures, the fracture zone length to working plate length ratio was notably high (0.91), indicating a relatively short working length.</p><p><strong>Conclusion: </strong>Findings suggest that prioritizing anatomical reduction and rigid fixation may contribute to plate breakage, potentially due to impaired biological healing. Adherence to contemporary AO principles, emphasizing relative stability and biological fixation techniques, may be crucial in preventing these complications. The study highlights the need for a balanced approach between mechanical stability and biological considerations in fracture management.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"146-151"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732355","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 Persian Version of Constant-murley Score in Patients with Rotator Cuff Tears: Reliability and Validity.","authors":"Arash Farbood, Sanaz Jowkar, Mehrdad Askarian, Omidreza Momenzadeh, Zahra Shayan, Afshin Zare","doi":"10.22038/ABJS.2024.73893.3453","DOIUrl":"10.22038/ABJS.2024.73893.3453","url":null,"abstract":"<p><strong>Objectives: </strong>Shoulder pain is a prevalent reason in orthopedic clinic patients, with rotator cuff disorders being the most common cause. The Constant-murley Score (CMS) questionnaire is a practical and reliable tool for the assessment of shoulder joint function.</p><p><strong>Methods: </strong>The CMS questionnaire was translated into Persian and completed by 57 patients with persistent shoulder pain due to rotator cuff tears (case group) and 50 healthy controls. The case group refilled the questionnaire after 7-10 days without receiving any special treatment. The reliability and validity of the questionnaire were measured via the test-retest method and known-groups validity with the t-test, respectively. The intraclass correlation coefficient (ICC) was calculated to estimate the agreement as a measure of test-retest reliability.</p><p><strong>Results: </strong>The mean ages of the case (51.8±14.2) and control groups (52.0±10.0) were similar (P=0.94). No significant difference was found between the groups regarding co-existing clinical conditions (P=0.74). The mean CMS values of the case and control groups were 46.2 (±22.3) and 87.4 (±5.7), respectively, showing a statistically significant difference (P<0.001). Moreover, the ICC was 0.95.</p><p><strong>Conclusion: </strong>The findings indicated that the Persian version of the CMS questionnaire was reliable (ICC=0.95) and valid (P<0.001) for the assessment of shoulder pain and functional status in the Southern Iranian population with rotator cuff tear disorders.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"75-81"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469559","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":"Repeat Revision Anterior Cruciate Ligament Reconstruction Remains a Challenge for Orthopedic Surgeons.","authors":"E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2024.76809.3549","DOIUrl":"10.22038/ABJS.2024.76809.3549","url":null,"abstract":"<p><p>The re-revision of anterior cruciate ligament reconstruction (ACLR) can be contemplated a secure and efficacious surgical technique with good results, whether it is performed in one-stage or two-stages or is performed with autograft or allograft. With regard to the surgical technique, there is no evidence that performing ACLR in one stage is superior to performing it in two stages. With respect to graft choice, allograft is the most chosen, and the allograft most frequently utilized is the Achilles tendon. However, the best graft to use for re-revision is not yet known. For revision ACLR orthopedic surgeons have to contemplate the amendment of an outrageous posterior tibial slope, especially after having failed two or more consecutive interventions. The potential benefit of combining ACLR with an anterolateral ligament reconstruction is to achieve greater rotational stability. It will diminish both the elevated failure percentages observed specifically in young individuals and increasing osteoarthritic changes encountered following sole ACLR.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"114-118"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469558","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 Dexamethasone as an Adjuvant to Bupivacaine for Ultrasound-guided Axillary Plexus Block: A Randomized, Double-blinded Prospective Study.","authors":"Hossein Khoshrang, Mohammad Haghighi, Zahra Atrkarroushan, Saeed Hemmati, Roxana Azizi","doi":"10.22038/ABJS.2024.72778.3389","DOIUrl":"10.22038/ABJS.2024.72778.3389","url":null,"abstract":"<p><strong>Objectives: </strong>The study evaluated sensory and motor block onset time, duration, and intensity, as well as pain intensity, sedation levels, and vital signs, showing that adding dexamethasone to bupivacaine improved sensory and motor block onset time, duration, and intensity, enhanced sedation effects. Axillary plexus block is a common type of anesthesia for surgical management of upper extremity injuries.</p><p><strong>Methods: </strong>This prospective clinical trial included 72 patients over 18 years of age who were candidates for surgical management of upper extremity injuries with the axillary plexus block approach. The patients were randomly divided into two groups: group BD [30 ml bupivacaine 0.25% with 2ml dexamethasone (n=36)] and group B [30 ml bupivacaine 0.25% with 2ml distilled water (n=36)]. The Pinprick test and Modified Bromage Scale (MBS) were used to evaluate the sensory and motor block levels. Additionally, the Visual Analogue Scale (VAS) and Ramsay Sedation Scale (RSS) were used to assess pain intensity and degree of sedation. All collected data were analyzed using IBM SPSS Statistics version 20 software.</p><p><strong>Results: </strong>The mean age of patients in the B and BD groups was 34.41±11.11 and 36.8±13.3, respectively. According to the results, there was a significant difference in the average time of sensory and motor block onset between two groups, with group BD showing shorter onset time compared to group B (P<0.001). Moreover, the mean duration and intensity of the sensory and motor block were significantly higher in group BD (P<0.05). Additionally, the degree of sedation changes after the block started were more pronounced in group BD. There was no statistically significant difference between the two groups regarding changes in pain intensity, heart rates (HR), mean arterial blood pressure (MABP), and complications (P>0.05).</p><p><strong>Conclusion: </strong>Adding dexamethasone to bupivacaine as a safe adjuvant drug effectively prolongs the axillary plexus block time duration and reduces post-surgery pain. Furthermore, it accelerates the onset time of sensory and motor block.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 3","pages":"138-145"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732341","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}