International Journal of Environmental Research and Public Health最新文献

{"title":"Patterns of mHealth Engagement and Identification of Facilitators and Barriers to Mobile Health Applications for People Who Use Opioids.","authors":"Lauren Dayton, Haley Bonneau, Grace Yi, Melissa Davey-Rothwell, Carl Latkin","doi":"10.3390/ijerph22091396","DOIUrl":"10.3390/ijerph22091396","url":null,"abstract":"<p><p>Mobile health (mHealth) applications represent low-cost, scalable interventions with broad reach and are valuable for people who use opioids (PWUO), a population that often experiences low retention in traditional research studies. This study examines engagement patterns with the OASIS app, an mHealth app prompting PWUO in Baltimore, Maryland, to report daily on substance use locations and overdose prevention behaviors over 14 days. Between December 2022 and September 2023, 210 PWUO participated. Engagement was measured by survey completion, with high engagement defined as completing at least 75% of surveys. The median number of surveys completed was 9.0 (mean: 7.57), and 29.4% of participants demonstrated high engagement. Logistic regression models showed that residential stability was significantly associated with higher engagement (adjusted odds ratio [aOR]: 4.90; 95% CI: 1.35, 17.84), while weekly or more frequent injection drug use was associated with lower engagement (aOR: 0.31; 95% CI: 0.11, 0.89). Mobile device proficiency and other demographics were not significantly associated with engagement, likely due to mandatory in-person training reducing tech barriers. Results indicate that PWUO can meaningfully engage with mHealth apps, especially when supported by structural factors, such as stable housing.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Women's Perceived Quality of Antenatal Care: A Cross-Sectional Study in The Netherlands.","authors":"Evelien Cellissen, Marijke Hendrix, Maaike Vogels-Broeke, Luc Budé, Marianne Nieuwenhuijze","doi":"10.3390/ijerph22091392","DOIUrl":"10.3390/ijerph22091392","url":null,"abstract":"<p><p>Evaluating antenatal care quality involves understanding women's experiences and their impact on pregnancy outcomes. This study examines how pregnant women in the Netherlands perceive the quality of antenatal care and which factors are related to these perceptions, with a focus on continuity of care. We conducted a cross-sectional study (2019-2020) among 1165 pregnant women (>32 weeks). Perceived quality of care was measured using the Pregnancy and Childbirth Questionnaire. Experienced continuity of care was measured using the Nijmegen Continuity Questionnaire. Regression analyses explored associated factors across both community and hospital care settings. Most women reported moderate-to-high levels of perceived quality. Personal continuity from community midwives, team continuity, and the presence of a coordinating care professional were associated with higher perceived quality. The use of a maternity care plan showed no association. Our findings suggest that involvement of a community midwife enhances perceived quality of antenatal care. Key contributing factors include continuity of care and experiencing a coordinating care professional.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout Syndrome Among Dental Students in Clinical Training: A Multicenter Cross-Sectional Study in Ecuador.","authors":"Luis Chauca-Bajaña, Andrea Ordoñez Balladares, Ivonne Alison Carrión Bustamante, Andrea Carolina Sánchez Salcedo, Juan Suárez-Palacios, Xavier Andrés Villao-León, Francisco Jorge Morán Peña, Rita Carolina Egüés Cevallos, Roberto Tolozano-Benites, Byron Velásquez Ron","doi":"10.3390/ijerph22091393","DOIUrl":"10.3390/ijerph22091393","url":null,"abstract":"<p><p>Burnout syndrome, caused by chronic unmanaged stress, is common among health sciences students, and dental students in clinical training are particularly vulnerable due to the intense cognitive, emotional, and practical demands. This multicenter cross-sectional study assessed burnout and related factors in 312 students in their 8th-10th semesters at three Ecuadorian universities using the Maslach Burnout Inventory and a questionnaire on physical and emotional symptoms. High emotional exhaustion affected 79.5% of students, high depersonalization 54.5%, and low personal accomplishment 11.5%, with an overall burnout prevalence of 8.01%. No statistically significant associations were found with university or academic semester, although students studying or working more than 30 h per week showed a non-significant trend toward higher risk (OR = 3.39; <i>p</i> = 0.208), and the model's predictive capacity was low (AUC = 0.645). Frequently reported physical symptoms included lower back pain (41.35%), neck pain (35.9%), and headaches (30.45%). These findings reveal that burnout, often accompanied by physical discomfort, affects a significant number of dental students, highlighting the need for institutional strategies such as psychological support and curricular adjustments to reduce stress and improve overall well-being.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Soccer Overuse Injuries: A Review of Epidemiology, Risk Factors, and Management.","authors":"Adam Ayoub, Maxwell Ranger, Melody Longmire, Karen Bovid","doi":"10.3390/ijerph22091388","DOIUrl":"10.3390/ijerph22091388","url":null,"abstract":"<p><strong>Introduction: </strong>Overuse injuries are a growing concern among adolescent soccer players, with the repetitive nature of the sport placing significant physical demands on young athletes. These injuries can have long-term implications for physical development, performance, and overall well-being. This narrative synthesis aimed to evaluate the existing literature on the epidemiology, risk factors, and management strategies for overuse injuries in adolescent soccer players.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted using PubMed and Embase. A total of 123 articles were identified, 27 of which met the inclusion criteria after screening. Studies focusing on overuse injuries in adolescent soccer players aged 10-18 years were included, while those addressing acute injuries, non-soccer populations, or adult athletes were excluded. Relevant quantitative and qualitative data were extracted and evaluated. Due to heterogeneity in study designs and outcomes, findings were narratively synthesized rather than meta-analyzed.</p><p><strong>Results: </strong>The period around peak height velocity (PHV: 11.5 years in girls, 13.5 years in boys) was consistently identified as a high-risk window, with seven studies demonstrating a significantly increased incidence of overuse injuries. Additional risk factors included leg length asymmetry, truncal weakness, early sport specialization, high ratios of organized-to-free play, and increased body size. Injury burden was greatest for hamstring and groin injuries, often leading to prolonged time lost from play. Preventive interventions such as plyometric training, trunk stabilization, and structured load monitoring demonstrated reductions in injury incidence in several prospective studies, though protocols varied widely.</p><p><strong>Conclusion: </strong>This narrative synthesis highlights PHV as the most consistent risk factor for overuse injuries in adolescent soccer players, alongside modifiable contributors such as training load, sport specialization, and free play balance. Evidence supports neuromuscular training and structured monitoring as promising preventive strategies, but there remains a lack of standardized, evidence-based protocols. Future research should focus on optimizing and validating interventions, integrating growth and load monitoring, and leveraging emerging approaches such as machine learning-based risk prediction.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Major Amputation and Mortality in Infected Diabetic Foot Ulcers: A Retrospective Nationwide Inpatient Sample Study.","authors":"Lior Ben Zvi, David Maman, Michael Margulis, Yaron Berkovich","doi":"10.3390/ijerph22091387","DOIUrl":"10.3390/ijerph22091387","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcers (DFUs) affect approximately 15% of diabetic patients and are the leading cause of non-traumatic lower extremity amputations worldwide. This study examines trends in DFU management, predictors of major amputation and in-hospital mortality, and the impact of comorbidities on outcomes.</p><p><strong>Methods: </strong>Using the Nationwide Inpatient Sample (NIS) database (2016-2019), we analyzed non-elective admissions of DFU patients categorized into four treatment groups: no surgery, debridement, minor amputation, and major amputation (below-knee or above-knee). Statistical analyses identified factors associated with major amputation and mortality.</p><p><strong>Results: </strong>A significant increase in minor amputations and debridement was observed between 2016 and 2019, while the number of major amputations declined (<i>p</i> < 0.001). Comorbidities varied significantly by treatment type, with dyslipidemia (49.4-51.0%), chronic kidney disease (30.1-44.2%), and hypertension (32.9-47.0%) being the most prevalent (<i>p</i> < 0.001). Major amputation was associated with the highest rate of in-hospital mortality (1.00%) and the longest hospital stay (11.2 days) (<i>p</i> < 0.001). Logistic regression identified sepsis (OR = 4.9, 95% CI: 4.3-5.6), stroke (OR = 3, 95% CI: 2.1-5.5), and pulmonary embolism (OR = 3.7, 95% CI: 2-6) as key predictors of major amputation, while myocardial infarction (OR = 956, 95% CI: 319-2857) and sepsis (OR = 25, 95% CI: 20-29) were the strongest predictors of mortality (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>These findings underscore the impact of comorbidities on DFU outcomes and emphasize the need for early intervention to reduce severe complications. Future research should focus on optimizing management strategies for high-risk patients to improve clinical and surgical outcomes.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"iENDEAVORS: Development and Testing of Virtual Reality Simulations for Nutrition and Dietetics.","authors":"Virginia Quick, Barbara Chamberlin, Devon Golem, Pinkin Panchal, Sylvia Gabriela Phillips, Carol Byrd-Bredbenner","doi":"10.3390/ijerph22091389","DOIUrl":"10.3390/ijerph22091389","url":null,"abstract":"<p><p>Virtual Reality (VR) simulations provide immersive, realistic educational experiences that are increasingly used to enhance teaching and learning in nursing and medicine; however, use in dietetics lags. To fill this gap, four Nutrition Counselor VR simulations were developed collaboratively with the goal of building confidence in dietetic students' nutrition counseling skills. After formative testing, pilot testing, and refinements, simulations were field tested with 34 dietetic students (91% women; age 25.67 ± 3.79 SD years; 68% White) from four supervised practice programs using a standard protocol administered by trained researchers (N = 5). Students completed a pre-survey, one VR simulation (≥2 times w/varying outcomes), and a post-survey. Online pre- and post-surveys examined changes in nutrition counseling skills, knowledge and self-efficacy, and comfort in using nutrition counseling skills. Paired <i>t</i>-tests revealed significant (<i>p</i> < 0.05) mean differences in nutrition counseling skill self-efficacy (medium effect size, <i>d</i> = 0.46) and comfort in using nutrition counseling skills (large effect size, <i>d</i> = 0.96) between the pre- and post-survey. At post-survey, >75% agreed the simulations helped build their nutrition assessment skills (79%) and counseling skills (88%) and prepared them to work with real patients (97%). Findings suggest the Nutrition Counselor VR simulations provided a realistic and safe learning environment that may be a valuable learning tool for dietetic students.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Stress Level, Environment, and Emotional and Behavioral Characteristics in Service Sector Employees.","authors":"Sylvie Rousset, Carole Brun, Gil Boudet, Philippe Lacomme, Frédéric Dutheil","doi":"10.3390/ijerph22091390","DOIUrl":"10.3390/ijerph22091390","url":null,"abstract":"<p><p><b>Background</b>: The prevalence of stress-related health issues is becoming increasingly significant. This study aimed to examine the relationships between work stress, home stress, overall stress, and individual behavioral and perceptual characteristics among middle-aged employees in the service sector. <b>Methods</b>: Physical activity, diet, and perceptions were assessed using the WellBeNet application (2.10.2, INRAE, Clermont-Ferrand, France) while perceived stress levels were evaluated through an online questionnaire during a one-week period. The associations between stress levels and individual and behavioral characteristics were examined using multiple linear regressions and analyses of variance. <b>Results</b>: General stress was significantly influenced by both work and home stress. Home stress was positively correlated with the perception of one's silhouette in red, the increasing consumption of dairy products, and the decreasing consumption of vegetables. Work stress was inversely correlated with age and positively correlated with body shape. <b>Conclusions</b>: Our study identified various context markers of stress-including age, body shape, food intake, and color of the silhouette. These markers could be used in subsequent intervention studies to demonstrate causal links.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Adherence and Identifying Barriers to Colorectal Cancer Screening in the Adult General Populations of Saudi Arabia: A Nationwide Cross-Sectional Study.","authors":"Ibrahim A Alamer, Rayan A Altuwaijri, Salman F Alfraih, Bader Shabib Alotaibi, Mohanad A Alqahtani, Sultan Alnashmi Alqasim, Khalid A Bin Abdulrahman","doi":"10.3390/ijerph22091386","DOIUrl":"10.3390/ijerph22091386","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) is a leading cause of cancer-related morbidity and mortality worldwide. Despite its preventability through early screening, uptake remains suboptimal in many countries, including Saudi Arabia. This study aimed to assess adherence to CRC screening guidelines and identify barriers among the adult population in Saudi Arabia.</p><p><strong>Methods: </strong>A nationwide cross-sectional study was conducted using a self-administered online questionnaire targeting individuals aged ≥ 40 years across all Saudi regions. Data on demographic characteristics, knowledge, attitudes, screening practices, and perceived barriers were analyzed using SPSS v26, with significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of the 573 eligible participants, only 12.7% had undergone colonoscopy and 19.5% reported having completed a fecal occult blood test (FOBT). The most frequently cited barriers were the absence of symptoms (49.9%), fear of the procedure (36.6%), and lack of knowledge (35.3%). Notably, 84.5% indicated they would undergo screening if recommended by a physician. Regional disparities were evident, with participants from the Southern region significantly more likely to undergo FOBT (OR = 8.97, <i>p</i> < 0.001). Awareness was generally low, with over half of the participants rating their CRC screening knowledge as 1 out of 10.</p><p><strong>Conclusions: </strong>This study revealed a concerningly low rate of colorectal cancer screening among adults in Saudi Arabia. Efforts to increase screening rates should prioritize raising awareness, correcting misconceptions, and encouraging non-invasive screening methods. Establishing a nationwide screening initiative could help close existing gaps and support earlier detection of colorectal cancer.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Exploration of Policy, Institutional, and Social Misconceptions Faced by Individuals with Multiple Chemical Sensitivity.","authors":"Susan J Yousufzai, Elaine Psaradellis, Rohini Peris, Caroline Barakat","doi":"10.3390/ijerph22091383","DOIUrl":"10.3390/ijerph22091383","url":null,"abstract":"<p><p>Multiple Chemical Sensitivity (MCS) is characterized by recurring symptoms in response to low-level chemical exposures that are typically well-tolerated by the general population. Despite the debilitating health impact of MCS, public indifference and prevailing skepticism often result in stigma, misinformation, and systemic barriers that obstruct individuals' access to essential environments. This qualitative study examined the lived experiences of individuals with MCS, focusing on how their condition is misunderstood and the factors that contribute to misconceptions about MCS. Seven focus group transcripts were analysed using thematic analysis in NVivo. Participants (aged 50-60) were drawn from various regions in Canada. One main category emerged from the analysis, centred on misconceptions influenced by policy and community factors. This category was divided into four themes, each with subcategories: (1) Psychological misattribution of MCS, (2) Healthcare and Institutional Gaps, (3) Policy Barriers, Compliance, and Resistance, and (4) Commercial Influences and Misleading Practises. These themes suggest a need for improvements in policies and transparency related to chemicals used in household and personal-care products, institutional compliance with fragrance-free guidelines, and increased awareness of MCS to reduce stigma and misconceptions. Addressing these issues can lead to adequate accommodations and support systems, which significantly improve quality of life.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional Gender Role Attitudes and Job-Hunting in Relation to Well-Being: A Cross-Sectional Study of Japanese Women in Emerging Adulthood.","authors":"Yumiko Kobayashi, Yuki Imamatsu, Azusa Arimoto, Kenkichi Takase, Ayumi Fusejima, Kanami Tsuno, Takashi Sugiyama, Masana Sannnomiya, Tomoyuki Miyazaki","doi":"10.3390/ijerph22091385","DOIUrl":"10.3390/ijerph22091385","url":null,"abstract":"<p><p>Employment and job-hunting can improve well-being by increasing confidence among emerging adults when equal employment opportunities exist for women and men. However, the relationship between well-being, traditional gender role attitudes, and job-hunting among women in emerging adulthood remains unclear. This study examined the interactions between gender role attitudes and job-hunting in relation to the well-being of emerging adult women. An online survey was conducted in five universities and five companies in Japan. The dependent variable was well-being. The explanatory variables were job-hunting experience within the past 6 months and traditional gender role attitudes measured by the gender role stressor scale. Of the 137 women, we analyzed the data from 132 participants with no missing data. Thirty-five (26.5%) participants were employed and had job-hunting experience. Multiple regression analysis showed that job-hunting experiences were negatively associated with well-being. Additionally, gender role attitudes were not associated with well-being. In the interaction between job-hunting experience and gender role attitudes, the more traditional one's attitude toward gender roles is, the more negative the relationship between job-hunting experience and well-being. Job-hunting may not necessarily lead to well-being for all women, so women's attitudes toward gender roles should be considered and respected.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}