Archives of Plastic Surgery-APS最新文献

{"title":"The Use of Artificial Intelligence to Improve Readability and Quality of Informed Consent Forms in Plastic and Reconstructive Surgery.","authors":"Grace S Ryu, Grace Hwang, Charles C Lee, Timothy S Johnson","doi":"10.1055/a-2870-8035","DOIUrl":"https://doi.org/10.1055/a-2870-8035","url":null,"abstract":"<p><strong>Background: </strong>The readability and length of informed consent forms have been debated for over three decades. Despite national guidelines promoting patient-friendly language, many forms fall short. This study compares the readability and content quality of informed consents from the American Society of Plastic Surgeons (ASPS) and ChatGPT for common plastic and reconstructive surgery (PRS) procedures.</p><p><strong>Methods: </strong>ASPS consents for seven common PRS procedures were obtained online. ChatGPT was then queried to create equivalent consents. Readability was assessed using the Flesch Reading Ease Score, Flesch-Kincaid Grade Level, and Lexical Density. Quality was graded using a modified National Quality Forum-based scale across domains: Procedure description, clinical rationale, patient-oriented benefit, quantitative and qualitative risks, and alternatives. Scores were compared between ASPS and ChatGPT consent forms.</p><p><strong>Results: </strong>ASPS versus ChatGPT conversion yielded mean Flesch scores of 30.09 versus 46.18 ( <i>p</i>  = 0.00003), grade levels of 13.59 versus 10.53 ( <i>p</i>  = 0.000004), and lexical densities of 56.7% versus 46.6% ( <i>p</i>  = 0.00008). Word count decreased by 81% after conversion. ASPS consents exceeded ChatGPT quality in three of seven procedures (by 12.8 percentage points on average), while ChatGPT exceeded ASPS in four of seven (by 25 points on average). Average quality scores were not significantly different (64.83% vs. 73.63%, <i>p</i>  = 0.27).</p><p><strong>Conclusion: </strong>ChatGPT improved the readability and brevity of PRS consent forms while maintaining accuracy. Readily available artificial intelligence (AI) tools may enhance descriptions of procedures, rationale, patient benefits, and quantitative risks, offering a practical tool to aid in patient-provider communication.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 5","pages":"450-455"},"PeriodicalIF":1.4,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116668","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 Use of Dynamic Neck Lymphaticovenous Anastomosis in the Adjunctive Treatment of Alzheimer's Disease: A Retrospective Case Series.","authors":"Xuhui Chen, Johnson Boey, Kou Wei, Chen Ding, Paloma Malagón, J P Hong, Zhegang Zhou","doi":"10.1055/a-2863-3797","DOIUrl":"10.1055/a-2863-3797","url":null,"abstract":"<p><strong>Background: </strong>Lymphovenous anastomosis (LVA) has recently emerged as a potential method for the symptomatic management of Alzheimer's disease (AD). Building on this, we conceptualize the \"dynamic neck lymphovenous anastomosis\" (DN-LVA) to illustrate the versatility of our technique. DN-LVA utilizes a vein graft that traverses through the sternocleidomastoid muscle to facilitate the drainage of lymphatic fluid from the deep cervical lymphatic vessels to the external jugular vein.</p><p><strong>Methods: </strong>This study presents a retrospective analysis of patients who underwent DN-LVA between November 2024 and January 2025. The clinical outcome was evaluated through positron emission tomography/computed tomography (PET/CT) imaging and cognitive assessment tools, which included Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Neuropsychiatric Inventory (NPI), and Clinical Dementia Rating (CDR). The vein graft was harvested from the lower limb.</p><p><strong>Results: </strong>Five subjects were recruited into this study. Postoperative PET/CT scans revealed up to a 6.9% increase in glucose metabolism in patient 3, a decrease of 12.3% in amyloid deposits, and a 4.7% reduction in tau deposits in patient 5 and patient 4, respectively. Clinically, MMSE and MoCA scores were improved by 1.8 and 1.4, respectively. NPI scores decreased by 5.8 across five overall, and the CDR remained unchanged in all subjects. All grafts demonstrated vessel patency, and no postoperative complications were observed.</p><p><strong>Conclusion: </strong>DN-LVA appears to be a safe, minimally invasive procedure with potential cognitive and metabolic benefits in AD. Further studies with larger cohorts and longer follow-up are warranted to confirm these preliminary findings.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"352-360"},"PeriodicalIF":1.4,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799714","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":"Dorsal Preservation Rhinoplasty in East Asian Patients: A Case Series with 6-Month Follow-Up.","authors":"Sungwoo Park, Yong-Seon Hwang, Da Woon Lee","doi":"10.1055/a-2867-5301","DOIUrl":"10.1055/a-2867-5301","url":null,"abstract":"<p><p>Dorsal preservation rhinoplasty has recently gained popularity for natural dorsal contours with minimal disruption. However, its application to East Asian noses remains limited due to anatomical features such as thicker skin and weaker cartilage compared to Caucasian noses. We retrospectively reviewed five patients who underwent structural preservation rhinoplasty using push-down or let-down techniques. Structural tip grafting was applied in all cases. Outcomes were assessed using clinical photographs, computed tomography (CT) scans, and patient satisfaction surveys during a 3- to 6-month follow-up period. All patients demonstrated improved dorsal profiles without major complications. A mild recurrence of the dorsal hump occurred in one case. CT analysis showed a mean hump reduction of 2.75 mm. Four patients reported high satisfaction: One reported moderate satisfaction due to tip over-projection. Structural preservation rhinoplasty is feasible in Asians when modified with structural support techniques. CT-based findings support the technique's suitability for Asian nasal anatomy.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"347-351"},"PeriodicalIF":1.4,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724126","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":"Bilateral Trapezoid-Like Scrotal Flaps for Reconstruction of Partial Scrotal Defects after Fournier's Gangrene.","authors":"Yusuf Alper Aytaç, Mustafa Canberk Gürbüz, Emrah Kağan Yaşar, Ceyhun Uzun, Murat Şahin Alagöz","doi":"10.1055/a-2875-2047","DOIUrl":"https://doi.org/10.1055/a-2875-2047","url":null,"abstract":"<p><p>Perineal reconstruction in males can be challenging due to the complex anatomy and the potential for complications such as infection, hematoma, and wound dehiscence. In this retrospective case series, we present seven patients who underwent perineal reconstruction between 2020 and 2023 using bilateral scrotal flaps. All defects were secondary to debridement for Fournier's gangrene. In patients with defects involving up to 70% of the total scrotal surface and with sufficient intact scrotal tissue preserved superiorly and inferiorly, reconstruction was performed using bilateral trapezoid-like scrotal flaps based on perforators of the anterior and posterior scrotal arteries. The mean follow-up period was 6 months. Longer-term follow-up was not consistently available for all patients due to loss to follow-up. Nevertheless, selected cases were followed up for 1 year, as demonstrated in the clinical figures. Clinical outcomes were evaluated in seven patients enrolled in the study. The median operative time was 48 (43.5-53.5) minutes. The median length of hospital stay was 3 (2.5-4.0) days. Complete healing time was recorded as 19 (16.5-21.0) days. All flaps used for tissue coverage were successful. Among the observed complications, wound dehiscence was identified as the most prevalent, which occurred in three of seven patients (42.9%) and was managed successfully with local wound care and minor debridement. No partial or total flap loss was observed. Due to its short operating time, low donor site complication rate, and favorable tissue match, the trapezoid-like flap may represent a practical and reliable option in selected patients.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 5","pages":"402-406"},"PeriodicalIF":1.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116478","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":"Vertical Zig-Zag Greenstick Osteotomy: A Novel Technique for Precise Nasal Bone Deformity Correction.","authors":"Elvin Alaskarov, Husam Vehbi, Aynur Aliyeva, Necdet Ozcelik","doi":"10.1055/a-2872-7788","DOIUrl":"https://doi.org/10.1055/a-2872-7788","url":null,"abstract":"<p><strong>Background: </strong>Crooked nose deformities remain among the most challenging problems in rhinoplasty due to their combined aesthetic and functional implications. Conventional osteotomy techniques may lead to uncontrolled fractures or postoperative instability. This study aims to evaluate the effectiveness of the newly defined Vertical Zig-Zag Greenstick Osteotomy in correcting C-shaped and reverse C-shaped nasal deformities.</p><p><strong>Methods: </strong>A retrospective study was conducted on 37 patients (25 males, 12 females; mean age, 31.4 years) who underwent rhinoplasty with the Vertical Zig-Zag Greenstick Osteotomy between May 2020 and April 2023. Pre- and postoperative nasal deviation angles were measured using standardized photographs and high-resolution computed tomography (CT) scans at a minimum 12-month follow-up. Nasal bone thickness and length were assessed at three anatomical levels. The percentage of correction toward the ideal nasal axis (180 degrees) was calculated. Statistical comparisons were made using paired <i>t</i> -tests, with significance set at <i>p</i>  < 0.05.</p><p><strong>Results: </strong>The mean preoperative deviation angle was 144 ± 5.47 degrees in C-shaped and 140 ± 2.64 degrees in reverse C-shaped deformities, improving postoperatively to 175 ± 3.24 degrees and 178 ± 2.20 degrees, respectively ( <i>p</i>  < 0.001). The nasal bone on the deviated side was shorter (28.57 ± 1.34 mm) than the contralateral side (31.61 ± 1.41 mm; <i>p</i>  < 0.001). Surgical outcomes were excellent in 73% and good in 24% of cases, with no complications or revisions.</p><p><strong>Conclusions: </strong>The Vertical Zig-Zag Greenstick Osteotomy provides a controlled, safe, and reproducible method for correcting crooked nose deformities, maintaining cortical continuity, and improving both aesthetic and functional results without additional osteoplasty.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 5","pages":"412-420"},"PeriodicalIF":1.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116641","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":"Unmasking the Risk of Vaping-Associated Pneumothorax in Rib Cartilage Rhinoplasty.","authors":"Beta S Nata'atmadja, Pascalis Fabian, Loelita M Lumintang","doi":"10.1055/a-2819-3130","DOIUrl":"https://doi.org/10.1055/a-2819-3130","url":null,"abstract":"<p><p>Rib cartilage grafting is a popular procedure for rhinoplasty due to its advantages of zero foreign material involvement and minimal to near zero risk of skin perforation. However, there are some potential risks associated with this procedure, including warping and pneumothorax. Even though multiple studies have stated that the incidence rate of pneumothorax in rib graft harvest is very low, we cannot neglect its reality and probability of it happening. In this article, we highlight two rare cases of pneumothorax in rib cartilage graft rhinoplasty. The first case involved a pneumothorax that occurred during rib cartilage harvest in a 37-year-old woman. The second case involved a spontaneous pneumothorax that occurred immediately after rib cartilage rhinoplasty surgery in a 46-year-old woman. Both pneumothoraces were managed successfully with conservative observation and chest tube placement, respectively. The patients made a full recovery and were able to return to their normal activities. One of the potential risks of pneumothorax is the use of e-cigarettes or vaping. Vaping-associated spontaneous pneumothorax has been reported in only a handful of studies. These cases highlight the importance of being aware of the potential risks of rib cartilage graft rhinoplasty and taking steps to minimize and manage them.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 5","pages":"474-477"},"PeriodicalIF":1.4,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Experience with Synthetic Monofilament Polydioxanone Mesh in Primary Breast Reconstruction: A Propensity Matched Analysis.","authors":"Puja Jagasia, Reena Sulkar, Anna Whitney, John Y S Kim","doi":"10.1055/a-2850-0163","DOIUrl":"10.1055/a-2850-0163","url":null,"abstract":"<p><strong>Background: </strong>Polydioxanone (PDS) mesh is an emerging technology for prosthetic breast reconstruction. However, there is a paucity of data on its safety and efficacy in primary breast reconstruction.</p><p><strong>Methods: </strong>Demographic and outcomes measures from consecutive, immediate prosthetic breast reconstructions using PDS or acellular dermal matrix (ADM) from a single surgeon were evaluated on a <i>per-breast</i> basis between 2013 and 2023. Propensity matching based on demographic variables was conducted. Binary logistic regression analyses were performed to assess the impact of the mesh.</p><p><strong>Results: </strong>A total of 796 breast reconstructions were identified, and propensity matching yielded 192 ADM and 48 PDS mesh reconstructions. There was no significant difference with respect to age, American Society of Anesthesiologists (ASA) status, smoking history, diabetes, mastectomy indication, radiation, chemotherapy, expander plane, and mastectomy type between propensity matched cohorts. Body mass index (BMI) varied by 2.1 points (ADM: 25.8 vs. PDS: 23.7, <i>p</i>  = 0.01). Mean follow-up time was 13.5 ± 2.7 months. The propensity-matched PDS mesh cohort had lower rates of any complication (ADM: 23.9% vs. PDS mesh: 4.2%, <i>p</i>  = 0.003), seroma (ADM: 11.4% vs. PDS mesh: 0%, <i>p</i>  = 0.01), expander exposure (ADM: 12.5% vs. PDS mesh: 0%, <i>p</i>  = 0.01), complication-associated expander removal (ADM: 9.9% vs. PDS mesh: 0%, <i>p</i>  = 0.02), and mastectomy flap necrosis (ADM: 14.0% vs. PDS mesh: 4.2%, <i>p</i>  = 0.05). PDS mesh, compared to ADM, was independently associated with decreased risk of any complication (OR: 0.443, <i>p</i>  = 0.02), seroma (odds ratio [OR]: 0.456, <i>p</i>  = 0.03), expander exposure (OR: 0.277, <i>p</i>  = 0.03), complication-associated expander removal (OR: 0.211, <i>p</i>  = 0.02), and mastectomy flap necrosis (OR: 0.12, <i>p</i>  = 0.04).</p><p><strong>Conclusion: </strong>PDS mesh is an alternative to ADM in primary prosthetic breast reconstruction. Rates of complication-including infection, seroma, and explantation-suggest an acceptable safety profile relative to ADM.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"321-330"},"PeriodicalIF":1.4,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13496217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799653","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":"True Legacy.","authors":"Joon Pio Hong","doi":"10.1055/a-2836-2196","DOIUrl":"https://doi.org/10.1055/a-2836-2196","url":null,"abstract":"","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"313-314"},"PeriodicalIF":1.4,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713906","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 Novel Non-Invasive Scoring System for Differentiating DFSP and Keloids.","authors":"Asako Iida, Hiroaki Kuwahara, Satoshi Akaishi, Rei Ogawa","doi":"10.1055/a-2823-0117","DOIUrl":"10.1055/a-2823-0117","url":null,"abstract":"<p><strong>Background: </strong>Differentiating dermatofibrosarcoma protuberans (DFSP) from keloids presents significant clinical challenges, particularly when skin biopsies are contraindicated. This study introduces a novel, non-invasive diagnostic method leveraging the Japan Scar Workshop Scar Scale (JSS) combined with the cosine of the angle (cosθ) to distinguish between these conditions.</p><p><strong>Methods: </strong>In this case-control study, 43 cases were retrospectively analyzed using the new evaluation method, JSS × cosθ, designed specifically for this differential diagnosis. This method applies JSS in conjunction with cosθ to assess lesion characteristics non-invasively.</p><p><strong>Results: </strong>The JSS × cosθ scores effectively differentiated between DFSP and keloids. Scores ≥16 were indicative of keloids, whereas scores <16 suggested DFSP, with these findings achieving statistical significance ( <i>p</i>  < 0.001).</p><p><strong>Conclusion: </strong>The JSS × cosθ scoring system provides a reliable and safe diagnostic tool for distinguishing DFSP from keloids, particularly in cases where biopsy is avoided due to the risk that stimulation of the reticular dermis may lead to the development, enlargement, or worsening of keloids. This method promises to significantly impact the specific management of DFSP and keloids.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 4","pages":"315-320"},"PeriodicalIF":1.4,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714240","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":"Costs of Academic Engagement in Organized Plastic and Reconstructive Surgery in the United States.","authors":"Kishan S Shah, Stefan T Prvulovic, David H Song","doi":"10.1055/a-2832-6764","DOIUrl":"10.1055/a-2832-6764","url":null,"abstract":"<p><p>Academic engagement in plastic and reconstructive surgery (PRS) has grown substantially, marked by an increasing number of professional societies, annual meetings, and peer-reviewed journals. While this growth has facilitated innovation, collaboration, and knowledge sharing, it has also introduced financial burdens. These costs may limit access to academic involvement, especially for early-career surgeons and those without institutional funding. Despite the implications these financial barriers pose for equity, academic engagement, and innovation within the field, the cumulative cost of academic involvement in PRS remains poorly quantified. A cross-sectional review was conducted to assess the financial costs of academic engagement in PRS in the United States. Between January and April 2025, data were collected from official websites of national and subspecialty PRS societies, journals, continuing medical education (CME) platforms, and board-certifying bodies. Annual dues, meeting fees, CME costs, journal subscription, publishing fees, and board-related expenses were compiled. A comparative analysis with five other surgical subspecialties was conducted. Thirty-two major PRS societies were identified. Membership dues ranged from $150 to $1,299. Meeting registration was $250 to $1,495. Journal subscription costs ranged from $44.90 to $1,518, and open-access (OA) article processing charges (APCs) from $700 to $5,334. PRS-board certification costs averaged $9,045. CME cost-per-credit reached up to $600. Among the six surgical specialties in the United States that were included in the comparative analysis, PRS ranked second in baseline academic engagement (BAE) costs after Neurosurgery, averaging $10,109. Academic engagement in PRS carries significant financial burdens that may limit access. Addressing these barriers is essential to maintaining equity and innovation.</p>","PeriodicalId":47543,"journal":{"name":"Archives of Plastic Surgery-APS","volume":"53 3","pages":"287-298"},"PeriodicalIF":1.4,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319887","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}