{"title":"The Effect of Supplemental Nursing System on Sucking Success, Weight Gain Findings and Bilirubin Level in Newborns: A Randomized Controlled Trial.","authors":"Eda Gülbetekin, Fatma Gül Can","doi":"10.1007/s10995-025-04039-0","DOIUrl":"10.1007/s10995-025-04039-0","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to determine the effect of supplemental nursing system on, sucking success, weight gain findings and bilirubin levels in newborns.</p><p><strong>Design and methods: </strong>The study was conducted as a randomized controlled trial. The population of the research consisted of 71 infants who received care and treatment at the Neonatal Intensive Care Clinic of the hospital located in a province in eastern Turkey between February and June 2023. In the study, the \"Infant Follow-up Form\" to access the birth-related characteristics of infants and mothers, the \"LATCH Breastfeeding Diagnostic Scale,\" to diagnose the process of switching to full breastfeeding and the \"Mother-Infant Communication Form\" were used. The body weights of the infants were monitored using a Charder baby scale and bilirubin levels were measured using a Drager brand transcutaneous bilirubin measuring device.</p><p><strong>Results: </strong>The difference between the groups in terms of the mean sucking success, weight gain findings and bilirubin levels scores was statistically significant (p < 0.05).</p><p><strong>Conclusions: </strong>Feeding an infant with the supplemental nursing system had a positive effect on sucking success, weight gain findings and bilirubin levels.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"258-268"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042135","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":"Association Between Persistent Maternal Depression among Japanese New Mothers and their Toddlers' Behaviors.","authors":"Haruka Tamura, Naoko Nishitani","doi":"10.1007/s10995-025-04049-y","DOIUrl":"10.1007/s10995-025-04049-y","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the association between mothers' persistent maternal depression and their toddlers' behavior.</p><p><strong>Methods: </strong>Online surveys were conducted twice with mothers who gave birth to their first child between March and June 2020. The survey periods were November 2020 and May-June 2022. Measures included baseline characteristics and family environment factors, maternal postpartum depression (Edinburgh Postnatal Depression Scale [EPDS]), maternal lifestyle and mother-reported toddler behaviors, and Internet/media use. Statistical analysis was performed using the χ² test, trend test, and logistic regression.</p><p><strong>Results: </strong>Of the 339 participants, 82 (24.1%) were in the \"persistent maternal depression\" group with high EPDS scores (≥ 9 points) at both time points, and 178 (52.5%) were in the \"no maternal depression\" group with low EPDS scores (< 9 points) at both time points. Persistent maternal depression was associated with sleep, eating behavior, physical activity, parenting emotions, and abusive behavior of mothers. Furthermore, persistent maternal depression may be related to undesirable toddler behaviors such as smartphone overuse and hyperactivity-like symptoms.</p><p><strong>Conclusions for practice: </strong>The persistence of postpartum depression is influenced by factors such as mothers' parenting emotions. Preventing and supporting maternal depression in mothers can foster favorable behaviors in toddlers. In Japan, enhanced individualized, ongoing support for postpartum mothers, tailored in duration and form, could promote both maternal well-being and positive parenting practices.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"269-279"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014209","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}
{"title":"A Bibliometric Analysis of Pregnancy-Related Eye Disease from 1999 to 2022.","authors":"Juan Yue, Menghai Shi, Mengmeng Gao, Yueyue Niu, Shuaibing Zhou, Hongmin Zhang","doi":"10.1007/s10995-024-04017-y","DOIUrl":"10.1007/s10995-024-04017-y","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and bibliometric analysis investigated the keywords appearing most in the pregnancy-related eye disease field to elucidate the current state and trends of pregnancy-related eye disease research.</p><p><strong>Methods: </strong>A systematic literature analysis of pregnancy-related eye disease was performed using the Web of Science Core Collection (WOS) databases. We used the keywords \"ocular\" OR \"eye*\" and \"pregnancy\" OR \"pregnant\" OR \"gestation\" to search for articles published from 1999 to 2022. Study data were analyzed and visualized using VOSviewer and CiteSpace.</p><p><strong>Results: </strong>We analyzed 929 articles published from 1999 to 2022. From 1999 to 2012, the article number increased slowly, with a marked acceleration in publication frequency after 2013, original papers accounted for 780 (84%) of the total number of articles published. David A. Mackey was the most prolific writer, and Margaret A. Honein contributed the most citations. The American Journal of Ophthalmology, PLOS One, and the European Journal of Ophthalmology published the most articles. The American Journal of Ophthalmology, Ophthalmology, British Journal of Ophthalmology, Investigative Ophthalmology and Visual Science were the four most commonly cited journals. The University of Western Australia, the University of Sao Paulo, and the University of Melbourne were highly prolific institutions. Five co-cited references had a citation burst up to 2022, analyzed by CiteSpace. Keyword analysis (VOSviewer) yielded recent key themes (pregnancy, women, eye, risks and diagnosis) and suggested future research directions.</p><p><strong>Conclusions: </strong>The current results laid the foundation of bibliometrics for scholars and identified researchers, scientific journals, countries, keyword clustering, hot topics, and trends in the literature. High-impact-factor journals contain the most keyword-clustering research and open new horizons for research in the pregnancy-related eye disease nursing field, providing research inspiration for investigators in this field.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"225-239"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711030","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":"In Appreciation of the Maternal and Child Health Journal's Peer Reviewers, 2024.","authors":"","doi":"10.1007/s10995-025-04064-z","DOIUrl":"https://doi.org/10.1007/s10995-025-04064-z","url":null,"abstract":"","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068932","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}
Cara T Mai, Kaitlyn Long, Tedson Lukindo, Shameem Jabbar, John Gwakisa, Jorge Rosenthal, Mindy Zhang, Lorraine F Yeung, Amy Fothergill, Arick Wang, Kaunara Azizi, Dorah Chilumba, Jennifer L Williams, Christine M Pfeiffer, Elise Caruso, Germana H Leyna, Rogath Kishimba
{"title":"Folate and Vitamin B12 Status among Non-Pregnant, Non-Lactating Women of Reproductive Age and Predicted Risk for Neural Tube Defects, Morogoro Region, Tanzania.","authors":"Cara T Mai, Kaitlyn Long, Tedson Lukindo, Shameem Jabbar, John Gwakisa, Jorge Rosenthal, Mindy Zhang, Lorraine F Yeung, Amy Fothergill, Arick Wang, Kaunara Azizi, Dorah Chilumba, Jennifer L Williams, Christine M Pfeiffer, Elise Caruso, Germana H Leyna, Rogath Kishimba","doi":"10.1007/s10995-025-04046-1","DOIUrl":"https://doi.org/10.1007/s10995-025-04046-1","url":null,"abstract":"<p><strong>Introduction: </strong>Population risk for neural tube defects (NTDs) can be determined using red blood cell (RBC) folate. However, a paucity of biomarker and surveillance data among non-lactating, non-pregnant women of reproductive age (NPWRA) from Africa limits accurate assessment. Our study assessed folate and vitamin B12 status among non-lactating NPWRA and predicted population risk of NTDs in Tanzania.</p><p><strong>Methods: </strong>A cross-sectional biomarker survey of non-lactating NPWRA (15-49 years) in the Morogoro region, Tanzania was conducted during June-October 2019. Questionnaire interview responses and non-fasting blood samples were collected. Folate was assessed using the CDC microbiologic assay kit and vitamin B12 was measured using an electrochemiluminescence immunoassay. Complex survey design analyses were conducted using SAS-callable SUDAAN (v11.0.1).</p><p><strong>Results: </strong>Of the 761 participating non-lactating NPWRA, 294 (39.8%) had RBC folate insufficiency (<748 mol/L). The prevalence of RBC folate insufficiency was lower among non-lactating NPWRA living in urban than rural areas (PR: 0.72, 95% CI: 0.52-0.99) but did not differ by age or household wealth index. Vitamin B12 insufficiency was uncommon (< 221 pmol/L, 2.7%). The estimated NTD risk was 10.5 (95% uncertainty interval: 8.1-13.3) per 10,000 births.</p><p><strong>Discussion: </strong>Elevated NTD risk was predicted in the Morogoro region of Tanzania, where ∼ 40% of non-lactating NPWRA had RBC folate insufficiency and < 3% had vitamin B12 insufficiency. The NTD risk is consistent with surveillance data for the area, limited folic acid fortification of staple foods, and low vitamin B12 insufficiency. Further studies are needed to better understand the context of these findings, especially the impact of micronutrient fortification in Tanzania.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025246","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}
Patricia Gilholm, Paula Lister, Adam Irwin, Amanda Harley, Sainath Raman, Luregn J Schlapbach, Kristen S Gibbons
{"title":"Comparison of Random Forest and Stepwise Regression for Variable Selection Using Low Prevalence Predictors: A case Study in Paediatric Sepsis.","authors":"Patricia Gilholm, Paula Lister, Adam Irwin, Amanda Harley, Sainath Raman, Luregn J Schlapbach, Kristen S Gibbons","doi":"10.1007/s10995-025-04038-1","DOIUrl":"https://doi.org/10.1007/s10995-025-04038-1","url":null,"abstract":"<p><strong>Introduction: </strong>Variable selection is a common technique to identify the most predictive variables from a pool of candidate predictors. Low prevalence predictors (LPPs) are frequently found in clinical data, yet few studies have explored their impact on model performance during variable selection. This study compared the Random Forest (RF) algorithm and stepwise regression (SWR) for variable selection using data from a paediatric sepsis screening tool, where 18 out of 32 predictors had a prevalence < 10%.</p><p><strong>Methods: </strong>Variable selection using RF was compared to forward and backward SWR. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC), and the variables retained. Additionally, a simulation study assessed how increasing the prevalence of the predictors impacted the variable selection results.</p><p><strong>Results: </strong>The best fitting RF and SWR models retained were 22, and 17 predictors, respectively, with 14 and 10 predictors having a prevalence < 10%. Both the RF and SWR models had similar predictive performance (RF: AUC [95% Confidence Interval] 0.79 [0.77, 0.81], LR: 0.80 [0.78, 0.82]). The simulation study revealed differences for both RF and SWR models in variable importance rankings and predictor selection with increasing prevalence thresholds, particularly for moderately and strongly associated predictors.</p><p><strong>Discussion: </strong>The RF algorithm retained a number of very low prevalence predictors compared to SWR. However, the predictive performance of both models were comparable, demonstrating that when applied correctly and the number of candidate predictors is small, both methods are suitable for variable selection when using low prevalence predictors.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984933","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}
Ashley A Meehan, Megan Steele-Baser, Aliza M Machefsky, Cynthia H Cassell, Martha P Montgomery, Emily Mosites
{"title":"Homelessness and Birth Outcomes in the Pregnancy Risk Assessment Monitoring System, 2016-2020.","authors":"Ashley A Meehan, Megan Steele-Baser, Aliza M Machefsky, Cynthia H Cassell, Martha P Montgomery, Emily Mosites","doi":"10.1007/s10995-025-04053-2","DOIUrl":"https://doi.org/10.1007/s10995-025-04053-2","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to estimate the prevalence of homelessness shortly before or during pregnancy and describe differences in maternal characteristics and adverse birth outcomes between people reporting homelessness and not reporting homelessness.</p><p><strong>Methods: </strong>We used 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) data from 31 sites to estimate the prevalence of self-reported homelessness during the 12 months before giving birth. We used logistic regression models to evaluate the association between homelessness and adverse birth outcomes, specifically small for gestational age (SGA), low birth weight (LBW), and preterm birth (PTB).</p><p><strong>Results: </strong>Of 138,603 respondents, 4,045 reported homelessness, representing 2.4% of weighted respondents. Respondents reporting homelessness differed from respondents who did not report homelessness in maternal demographic characteristics, health conditions, behavioral and environmental risk factors, and adequacy of prenatal care. In unadjusted models, homelessness was associated with higher prevalences of SGA, LBW, and PTB (PR 1.38, 95% CI 1.21-1.57; PR 1.73, 95% CI 1.56-1.91; PR 1.42, 95% CI 1.25-1.61; respectively). After adjusting for maternal age, race and ethnicity, education, BMI, and cigarette smoking, prevalence ratios were attenuated and no longer significant.</p><p><strong>Conclusions for practice: </strong>Although homelessness was not independently associated with adverse birth outcomes in adjusted models, people reporting homelessness before or during pregnancy represent a group at increased risk of inadequate health care utilization and adverse birth outcomes due to other underlying demographic and social factors. Health care providers can play a critical role in identifying if patients may be experiencing homelessness and facilitating connections to social support.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984954","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}
Ntemena Kapula, Osamuedeme J Odiase, Helen H Habib, Muna Bashir, Raymond Aborigo, Patience A Afulani
{"title":"Examining the Impact of Integrated Obstetric Simulation Training on the Quality of Antenatal Care in Northern Ghana.","authors":"Ntemena Kapula, Osamuedeme J Odiase, Helen H Habib, Muna Bashir, Raymond Aborigo, Patience A Afulani","doi":"10.1007/s10995-024-04024-z","DOIUrl":"10.1007/s10995-024-04024-z","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to assess if an integrated simulation-based training on respectful maternity care (RMC) and management of obstetric and neonatal emergencies could improve the quality of antenatal care (ANC).</p><p><strong>Methods: </strong>The data are from two cross-sectional surveys administered in the East Mamprusi District of Northern Ghana in 2017 to evaluate the impact of integrated simulation-based training for healthcare providers. Surveys were administered to two groups of women aged 15-49 who delivered in a health facility before (baseline; n = 266) and 6 months after (end-line; n = 320) the intervention began. We assessed the quality of antenatal care pre- and post-training across two dimensions: service provision and experience of care. Analyses included linear and logistic regression.</p><p><strong>Results: </strong>Women in the end-line group reported higher quality of antenatal care than those in the baseline group. The average ANC experience of care score increased by 10 points at the end-line (Coeff = 10.3, 95%CI: 9.0,11.6), whereas the mean ANC service provision score increased by three points (Coeff = 2.6, 95% CI: 2.2, 3.1). End-line participants were more likely to have an ultrasound (OR: 24.1, 95%CI: 11.5, 50.3). Parity, tribe, education, employment, partner occupation, six or more antenatal visits, ANC facility, and provider type were also associated with ANC quality.</p><p><strong>Conclusions: </strong>Integrated simulation-based training for health providers has the potential to improve the quality of ANC. Incorporating such training into continuing professional development courses will aid global efforts to increase the quality of care throughout the maternity continuum of care.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"95-107"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689282","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":"Interventions to Enhance Facility Deliveries in Low- and Middle-Income Countries: A Scoping Review.","authors":"Etsuko Nishimura, Kaori Ochiai, Erika Ota","doi":"10.1007/s10995-024-04032-z","DOIUrl":"10.1007/s10995-024-04032-z","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this review were to identify and map evidence of interventions to enhance facility deliveries in low- and middle-income countries (LMICs).</p><p><strong>Methods: </strong>A search for all relevant existing reports in the literature was conducted in December 2020 using the following online bibliographic databases: PubMed, EMBASE, and CENTRAL. A manual search of the reference lists of relevant systematic reviews and all identified studies was performed to identify additional studies. Two reviewers independently screened the titles and abstracts of the retrieved studies, and then screened the full text identified as inclusion in the initial screening.</p><p><strong>Results: </strong>The search of electronic databases and hand searching identified a total of 6682 articles. A total of 40 reports were identified for full-text review, and 31 reports were excluded. Finally, nine trials were included in the scoping review, and a total of 29,892 women were included in this review. Of nine trials, one was conducted in Nepal, and the other eight trials were performed in Africa: Kenya, Uganda, Nigeria, Tanzania, and Zambia. Our review found the following effective interventions to enhance facility deliveries: group antenatal care (ANC), birth plans, full vouchers, conditional cash transfers (CCTs), non-monetary incentives, and short message service (SMS).</p><p><strong>Conclusion: </strong>Women who received group ANC, promotion of birth plans, full vouchers, CCTs, non-monetary incentives, and SMS were significantly more likely to deliver at a facility.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"31-47"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792611","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}
Edward L Schor, Tali Klima, Holly K M Henry, Allison Gray, Megumi J Okumura
{"title":"Pediatric Subspecialist Referrals to Peer Support for Families.","authors":"Edward L Schor, Tali Klima, Holly K M Henry, Allison Gray, Megumi J Okumura","doi":"10.1007/s10995-024-04033-y","DOIUrl":"10.1007/s10995-024-04033-y","url":null,"abstract":"<p><strong>Background and objectives: </strong>Families of children with special health care needs (CSHCN) have reported to benefit from social, emotional, and informational support from other families (peer support) with similarly affected children. Pediatric subspecialists often serve as the primary medical providers for CSHCN, as well as educators for these children's families. The extent to which subspecialists refer families to sources of peer support is unknown.</p><p><strong>Methods: </strong>A statewide online survey of California pediatric subspecialists investigated opinions about the potential value and challenges of peer support. Data was obtained on the frequency with which families in their practices were referred to peer support, practice characteristics, and personal demographics. Weighted data, descriptive statistics, and regression models were used to characterize and predict factors affecting referral services.</p><p><strong>Results: </strong>There were 388 respondents, a response rate of 14.5%. Subspecialists were generally unfamiliar with peer support resources in their communities, but many more knew of peer support programs in their institutions. Most (> 85%) held positive views about peer support, though only 40% of practices often referred families for such support. Individual opinions did not predict practice referral processes for peer support which were more influenced by knowledge of resources, and availability of time, staffing, and institutional peer support resources.</p><p><strong>Conclusion: </strong>Offering referral to peer support services is compatible with pediatric subspecialty care. Educating physicians about available resources, assigning responsibility, providing staff time for referring families, and incorporating parent mentors into subspecialty practices can increase access. Future studies of families' referral experiences are needed.</p>","PeriodicalId":48367,"journal":{"name":"Maternal and Child Health Journal","volume":" ","pages":"57-66"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814631","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}