Deysiane Santiago da Silva, Letícia Karla Cunha Dos Santos, Suamy Sales Barbosa, Ádila Danielly Souza Costa, Nivia Maria Rodrigues Arrais, Karla Danielly da Silva Ribeiro, Márcia Marilia Gomes Dantas Lopes
{"title":"Malnutrition in Children with Congenital Zika Virus Syndrome: A Systematic Review.","authors":"Deysiane Santiago da Silva, Letícia Karla Cunha Dos Santos, Suamy Sales Barbosa, Ádila Danielly Souza Costa, Nivia Maria Rodrigues Arrais, Karla Danielly da Silva Ribeiro, Márcia Marilia Gomes Dantas Lopes","doi":"10.1007/s10995-026-04252-5","DOIUrl":"10.1007/s10995-026-04252-5","url":null,"abstract":"<p><strong>Objective: </strong>We examined previous studies to describe growth deviations in children with Congenital Zika virus Syndrome (CZS), and to determine the factors associated with malnutrition.</p><p><strong>Study design: </strong>Protocol of systematic review registered on the PROSPERO platform under code CRD42023460505. The searches were conducted in SciELO, LILACS, Embase, Scopus, and PubMed/MEDLINE databases, as well as in dissertation and thesis repositories. The eligibility criteria required that the publications must be observational, cross-sectional, cohort, or case-control studies conducted with children with microcephaly associated with CZS, which presented results (z-score) of anthropometric indices of weight-for-age, height-for-age, weight-for-height, and/or body mass index (BMI)-for-age; written in English, Portuguese, or Spanish; and published between 2010 and 2023. The z-score values from anthropometric indices and the factors associated with malnutrition (wasting, underweight, overweight, or stunting) were extracted.</p><p><strong>Results: </strong>Eleven studies met our inclusion criteria. In these studies, children's ages ranged from 0 to 48 months. Malnutrition was identified as stunting (14.3% to 57.1%), underweight (14.3% to 54.4%), wasting (4.3% to 48.0%), and, to a lesser extent, as overweight (4.6% to 68.6%). The association of these indices was examined in relation to dysphagia, absence or duration of breastfeeding, delayed introduction of complementary feeding, consumption of ultra-processed foods, and feeding route.</p><p><strong>Conclusion: </strong>It was possible to identify short stature, wasting, excess weight, and inappropriate eating practices in children with CZS.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"477-489"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aaron Kobina Christian, Charles Agyei-Asabere, Akosua Afriyie Osei-Appaw, D Yaw Atiglo
{"title":"Marital Structure and Children's Nutritional Status in Sub-Saharan Africa: Exploring the Role of Household Size and Women's Empowerment.","authors":"Aaron Kobina Christian, Charles Agyei-Asabere, Akosua Afriyie Osei-Appaw, D Yaw Atiglo","doi":"10.1007/s10995-026-04244-5","DOIUrl":"10.1007/s10995-026-04244-5","url":null,"abstract":"<p><strong>Background: </strong>Ample research explores marital structures' impact on children's nutrition, yet results are mixed, and pathways remain underexplored. In this study, we examine the effect of marital structure on children's nutritional status while estimating the mediation and moderation effects of household size and women's empowerment, respectively.</p><p><strong>Methods: </strong>We analyzed the latest Demographic and Health Survey data from 24 sub-Saharan African countries to evaluate the odds of stunting, anaemia, and underweight in children from polygynous households compared to those with single mothers and monogamous caregivers, using multinomial logit regression.</p><p><strong>Results: </strong>Children from polygynous households were more likely to be anaemic, stunted, and underweight. Children of empowered monogynous mothers were associated with lower risks of malnutrition, whereas an increase in household size amplified childhood malnutrition in single and polygynous families. Wealth and sanitation also influenced childhood nutrition, with poorer households and those lacking proper sanitation experiencing worse nutritional outcomes.</p><p><strong>Conclusion: </strong>This study underscores the complexity of the maternal structure and children's outcomes and suggests interventions that seek to improve children's nutrition status should factor mother's empowerment and household size as key influencers.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"508-516"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandhya Lohani, Tilicia L Mayo-Gamble, Joanne Chopak-Foss, Bettye Apenteng
{"title":"Navigating Motherhood Alone: A Qualitative Exploration of Postpartum Experiences Among Women with Labor Migrant Husbands in Nepal.","authors":"Sandhya Lohani, Tilicia L Mayo-Gamble, Joanne Chopak-Foss, Bettye Apenteng","doi":"10.1007/s10995-026-04231-w","DOIUrl":"10.1007/s10995-026-04231-w","url":null,"abstract":"<p><strong>Objective: </strong>The postpartum period is a critical phase in a woman's life, marked by physical, emotional, and social changes. In Nepal, where labor migration is prevalent, many women experience this transformative period without their husbands' physical presence, who often work abroad to support their families. This study explores the lived experiences of these women, shedding light on the intersection of motherhood, migration, and socio-cultural contexts in Nepal.</p><p><strong>Methodology: </strong>A deductive and inductive qualitative approach was adopted to capture the subjective lived experiences of women with labor migrant husbands during the postpartum period. Semi-structured interviews were conducted with a purposive sample of 16 participants, and thematic analysis was used to identify patterns, themes, and insights emerging from the data. An interview guide was developed based on the Biopsychosocial Model to explore and gain a deeper understanding of women's postpartum experiences.</p><p><strong>Results: </strong>The findings reveal a myriad of challenges faced by women with labor-migrant husbands during the postpartum period. Four themes were identified: the emotional landscape of motherhood, the struggles of new mothers facing postpartum challenges without spousal support, the power of community: stories of support during the postpartum journey, and coping strategies.</p><p><strong>Conclusion: </strong>While the qualitative approach of this study provided valuable insights into women's lived experiences, it may not allow for generalization to the population of postpartum women with labor migrant husbands in Nepal. The results of this study further highlight the need for an inquiry into the long-term impacts of spousal absence on maternal mental health and child development.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"394-402"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of the Web-Based Support Program Based on the Health Promotion Model in Pregnant Women with Preeclampsia.","authors":"Büşra Yilmaz, Ümran Oskay","doi":"10.1007/s10995-026-04234-7","DOIUrl":"10.1007/s10995-026-04234-7","url":null,"abstract":"<p><p>The study was conducted to determine the effect of a web-based support program based on the Health Promotion Model (HPM) on healthy lifestyle behaviors, self-efficacy, and prenatal distress in pregnant women with preeclampsia. The study was conducted with 82 pregnant women diagnosed with preeclampsia, 41 of whom were in the web-based support group and 41 in the control group. Participant introduction form, Healthy Lifestyle Behaviors Scale-II (HLBS-II), Self-Efficacy Scale (SES), Prenatal Distress Scale (PDS), pregnant women's self-monitoring form, and postpartum assessment form were used for data collection. The increase in the total scores of the HLBS-II and the SES and the decrease in the total score of the PDS was found to be statistically significant in the pregnant women in the web support-based group after the web support. The HPM-based web-based support program improved healthy lifestyle behaviors and self-efficacy and reduced prenatal stress levels of pregnant women with preeclampsia but did not contribute to neonatal outcomes. SIGNIFICANCE: Pregnant women diagnosed with preeclampsia often face heightened physiological and psychological challenges. This study demonstrates that a web-based support program structured around the Health Promotion Model (HPM) significantly improves healthy lifestyle behaviors and self-efficacy while reducing prenatal distress in this high-risk population. These findings suggest that digital health interventions are effective, accessible tools for enhancing maternal well-being. By integrating such platforms into standard obstetric care, healthcare providers can offer continuous, evidence-based support that empowers patients to manage their condition more effectively outside of clinical settings.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"413-424"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Soto, Elizabeth Crouch, Paul Watson, Cassie Odahowski, Emma Boswell, Monique J Brown
{"title":"Parenting Stress, Family Resilience, and Emotional Support Among US Military Families.","authors":"Melissa Soto, Elizabeth Crouch, Paul Watson, Cassie Odahowski, Emma Boswell, Monique J Brown","doi":"10.1007/s10995-026-04227-6","DOIUrl":"10.1007/s10995-026-04227-6","url":null,"abstract":"<p><strong>Objectives: </strong>Military families experience lifestyle and circumstance-specific stressors that may impact their parental stress, family resilience, and emotional support for parenthood. These outcomes may influence parenting behaviors and mental health that have further implications on child development and growth. Research is needed to examine these outcomes among military families in the United States on a national scale due to the importance of potential intergenerational implications.</p><p><strong>Methods: </strong>This cross-sectional study used data from the 2021-2022 National Survey of Children's Health to investigate the relationship between caregiver military status and outcomes of parental stress, family resilience, and emotional support for parenthood (n = 99,869). Bivariate analyses through chi-square tests were calculated to determine differences between outcomes from military caregivers and civilian caregivers with select covariates. Multivariable regression analyses were calculated to further explore the relationship between caregiver military status and emotional support for parenthood.</p><p><strong>Results: </strong>The prevalence of emotional support with parenthood was higher among military caregivers compared to civilian caregivers (82.8% vs. 75.0%, p < 0.0001); however, this difference was not statistically significant in adjusted analyses. No statistically significant differences were found between military families and civilian families in parenting stress and family resilience.</p><p><strong>Conclusions: </strong>This study extended previous research that have focused on state or station specific outcomes in military families by examining these outcomes on a national scale. This study has important implications towards expanding research and interventions that reduce parenting stress and improve family resilience and emotional support for parenthood to ensure continued positive outcomes.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"385-393"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146067706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differential Effects of In-person and Telehealth Implementation of Attachment and Biobehavioral Catch-up on Parental Sensitivity and Intrusiveness.","authors":"Kirsten McLaughlin, Regina M Fasano, Mary Dozier","doi":"10.1007/s10995-026-04232-9","DOIUrl":"10.1007/s10995-026-04232-9","url":null,"abstract":"<p><p>BACKGROUND: Attachment and Biobehavioral Catch-up (ABC) is a home visiting program designed for parents of children between birth and 48 months of age who have experienced early adversity. Previous research demonstrated that ABC enhances parental sensitivity and reduces parental intrusiveness through both in-person and hybrid delivery methods (Roben et al.in Child Development 88(5):1447–1452, 2017, https://doi.org/10.1111/cdev.12898 ; Schein et al. in Child Maltreatment28(1):24–33, 2023, https://doi.org/10.1177/10775595211072516 ). However, the relative effectiveness of in-person versus exclusive telehealth implementation had yet to be explored. METHODS: The current study examined changes in parental sensitivity and intrusiveness from pre- to post-intervention in community implementation settings among 201 families receiving ABC either in-person or via telehealth. Parenting behaviors were analyzed through coded video recordings of parent-child free play interactions, collected before and after the intervention. RESULTS: Parental sensitivity increased for both implementation methods, with in-person delivery showing significantly greater improvement than telehealth. Parental intrusiveness also decreased for both groups, with no significant difference between the two implementation methods. CONCLUSIONS: ABC was effective in improving parenting behaviors when delivered both in person and via telehealth in real-world community settings. Findings suggest that while telehealth delivery is a viable implementation option, in-person services may offer additional benefits for enhancing parental sensitivity, with implications for service delivery decisions in home visiting programs. </p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"403-412"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jared W Parrish, Stephany Strahle, Shannon Vance, Russell S Kirby, Milton Kotelchuck
{"title":"Enhancing PRAMS with Administrative Data Linkages: A Generalized Framework.","authors":"Jared W Parrish, Stephany Strahle, Shannon Vance, Russell S Kirby, Milton Kotelchuck","doi":"10.1007/s10995-026-04240-9","DOIUrl":"10.1007/s10995-026-04240-9","url":null,"abstract":"<p><p>INTRODUCTION: Integrating administrative data with the Pregnancy Risk Assessment Monitoring System (PRAMS) enhances the evaluation of maternal and child health (MCH) programs, policies, and outcomes. METHODS: Despite its proven value, past efforts to integrate PRAMS with administrative data have been inconsistent across jurisdictions, limiting broader applicability. To address this, the CDC partnered with the Association of State and Territorial Health Officials (ASTHO) to convene the PRAMS Data Linkage Learning Community. RESULTS: Drawing on the experiences of 12 participating states, prior research, and expert input, a five-phase generalized PRAMS linkage framework—Linkage Preparation, Data Preparation, Data Linkage, Research Data Set Creation and Analysis, and Sustainability—was developed. DISCUSSION: This framework provides practical tools and strategies to overcome common challenges and supports continuous and expanded use of data linkages. By enabling jurisdictions to explore MCH outcomes across diverse data sources, the framework promotes data-driven policy decisions, targeted interventions, and replication efforts that advance the field of maternal and child health. </p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"355-364"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaylee A Palomino, Shemeka Thorpe, Valerie P A Verty, Natalie Malone, Danelle Stevens-Watkins
{"title":"\"I'm going to use the formula God gave me\": The Role of the Black Church in Breastfeeding Support for Black Mothers.","authors":"Kaylee A Palomino, Shemeka Thorpe, Valerie P A Verty, Natalie Malone, Danelle Stevens-Watkins","doi":"10.1007/s10995-026-04235-6","DOIUrl":"10.1007/s10995-026-04235-6","url":null,"abstract":"<p><strong>Introduction: </strong>Black women face several obstacles in breastfeeding promotion, education, support, and continuation. The Black church symbolizes a powerful beacon of health and advocacy within the Black community. However, there are limited studies that investigate the impact of the church on Black women's breastfeeding practices and experiences. This study examines how the Black church influences Black women's breastfeeding experiences.</p><p><strong>Methods: </strong>Three breastfeeding cohorts of Black women in Kentucky (n = 15) completed 45-60-minute individual semi-structured qualitative interviews on their breastfeeding initiation, sources of support, challenges, successes, and healthcare experiences. Reflexive thematic analysis was used to analyze the data.</p><p><strong>Results: </strong>Five themes captured how the church influenced Black women's breastfeeding experiences: (1) Reflecting breastfeeding as normal in church, (2) Designated spaces for breastfeeding, (3) Breastfeeding etiquette at church, (4) The role of elders, and (5) Breastfeeding as a natural or spiritual choice.</p><p><strong>Discussion: </strong>Findings emphasize the Black church's unique and advantageous position in supporting nursing women by normalizing breastfeeding and fostering advocacy through partnerships with health organizations. Such efforts have the potential to address breastfeeding disparities and advance health equity for Black women by aligning support with their cultural and communal values.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"425-433"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Cross-Sectional Content Analysis Exploring Women's Experiences of Family Support Towards Tandem Breastfeeding in a Global Facebook Group sample.","authors":"Jessica Eve Jackson, Jenny Hallam","doi":"10.1007/s10995-026-04226-7","DOIUrl":"10.1007/s10995-026-04226-7","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored how tandem-feeding mothers felt supported or unsupported by their family members, to identify common responses to this breastfeeding practice.</p><p><strong>Methods: </strong>Free-text data were collected via an online questionnaire from a global sample of 1,209 tandem-feeding mothers. An emergent content analysis was conducted on 795 statements describing supportive experiences and 1,342 statements describing unsupportive experiences. Coding categories were developed inductively from the data.</p><p><strong>Results: </strong>Five coding categories emerged from supportive comments and seven from unsupportive comments. The most prevalent supportive categories were normalisation of breastfeeding and respect for the mother's choice (52%), emotional support and encouragement (19%), and support provided without specific context (11%). The most prevalent unsupportive categories were questioning, challenging or pressuring mothers to stop tandem feeding (34%); disapproving comments, gestures or insults that caused mothers to feel uncomfortable (22%); and misinformed comments about tandem feeding (18%).</p><p><strong>Conclusions for practice: </strong>Tandem-feeding mothers frequently experience both support and opposition from family members, with unsupportive responses often characterised by judgment and misinformation. These findings highlight the need for increased education and visibility of tandem feeding to normalise this practice and reduce stigma. Improving family understanding of tandem feeding may enhance social support for mothers and contribute to more positive breastfeeding experiences.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"377-384"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Israa Al-Jumaa, Ghina Sabbagh, Noor Abushaban, Denis Hulett, Heike Thiel de Bocanegra
{"title":"Evaluating the Effectiveness of Group Sessions with Pre-recorded Presentations on Digital and Postpartum Health Literacy Among Arab American Women.","authors":"Israa Al-Jumaa, Ghina Sabbagh, Noor Abushaban, Denis Hulett, Heike Thiel de Bocanegra","doi":"10.1007/s10995-026-04238-3","DOIUrl":"10.1007/s10995-026-04238-3","url":null,"abstract":"<p><strong>Introduction: </strong>Arab refugees, immigrants, and migrants (RIMs) experience barriers in accessing accurate health information. To combat this, the Refugee Reproductive Health Network (ReproNet) developed Arabic, culturally concurrent health literacy sessions that included pre-recorded presentations on postpartum care. We evaluated the impact of these group sessions on postpartum knowledge and health literacy in the Arab RIM community in Southern California.</p><p><strong>Methods: </strong>We recruited a convenience sample of 51 Arab RIMs through community organizations and the ReproNet client list for one in-person and three virtual informational sessions on postpartum care. We administered pre- and 2-4 week post-session surveys to measure e-Health Literacy (eHL) and Postpartum Health Literacy (PHL). We conducted descriptive analyses and t-tests to assess mean differences using SAS 9.4.</p><p><strong>Results: </strong>Of the 51 attendees, 47 participants completed both the pre- and post-tests. Most participants were college-educated, single, and had never had a live birth. The average age was 39.3 years. We observed a significant increase in both eHL and PHL after the informational sessions. Females under the age of 35 had improved more in PHL than those over 35. Nulliparous females had a lower PHL baseline than parous females.</p><p><strong>Discussion: </strong>Group health literacy training sessions that implement culturally concurrent methods, including pre-recorded presentations, are effective in increasing postpartum knowledge and health literacy in the Arab RIM community, regardless of parity. Enhancing PHL has the potential to reduce the risks of postpartum complications, such as postpartum depression (PPD), and can potentially contribute to postpartum females' mental and physical health.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"444-451"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}