International Journal of Environmental Research and Public Health最新文献

{"title":"Double Shield: The Roles of Personal and Organizational Resources in Promoting Positive Outcomes for Employees During Wartime.","authors":"Ronit Nadiv, Marianna Delegach","doi":"10.3390/ijerph22091384","DOIUrl":"10.3390/ijerph22091384","url":null,"abstract":"<p><p>Employee well-being is essential for organizational growth and success in stable times and is even more critical during crises and life-threatening events. Although the COVID-19 pandemic highlighted the importance of holistic approaches to sustaining employee well-being, limited research has been conducted to identify strategies for maintaining employee well-being and preventing burnout during life-threatening events, such as wars or terrorist attacks. Addressing this gap, the current study investigates how and why a range of organizational resources (i.e., perceived organizational support, managerial accessibility, and psychological safety) and personal resources (i.e., hope and paradox mindset) contribute to reducing employee burnout in times of existential threat. Drawing on Conservation of Resources (COR) theory, we propose that employee well-being mediates the relationship between organizational and personal resources and burnout at work. Data were collected through an online two-wave survey administered by a professional survey firm with access to a diverse pool of Israeli employees across occupations and work roles in November (time 1) and December 2023 (time 2), following the October 7 terrorist attack by Hamas. A time-lagged design, with key outcomes collected one month after the predictors, was employed to reduce the risk of common method bias. The data were analyzed using path analysis with bootstrapped indirect effects. The results demonstrate that hope, organizational support, psychological safety, and managerial accessibility positively contribute to employee well-being, which, in turn, is associated with lower levels of burnout. Theoretical and practical implications of these results are discussed.</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/PMC12469473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179821","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":"Sustainability of AI-Assisted Mental Health Intervention: A Review of the Literature from 2020-2025.","authors":"Danicsa Karina Espino Carrasco, María Del Rosario Palomino Alcántara, Carmen Graciela Arbulú Pérez Vargas, Briseidy Massiel Santa Cruz Espino, Luis Jhonny Dávila Valdera, Cindy Vargas Cabrera, Madeleine Espino Carrasco, Anny Dávila Valdera, Luz Mirella Agurto Córdova","doi":"10.3390/ijerph22091382","DOIUrl":"10.3390/ijerph22091382","url":null,"abstract":"<p><p>This systematic review examines the role of artificial intelligence (AI) in the development of sustainable mental health interventions through a comprehensive analysis of literature published between 2020 and 2025. In accordance with the PRISMA guidelines, 62 studies were selected from 1652 initially identified records across four major databases. The results revealed four dimensions critical for sustainability: ethical considerations (privacy, informed consent, bias, and human oversight), personalization approaches (federated learning and AI-enhanced therapeutic interventions), risk mitigation strategies (data security, algorithmic bias, and clinical efficacy), and implementation challenges (technical infrastructure, cultural adaptation, and resource allocation). The findings demonstrate that long-term sustainability depends on ethics-driven approaches, resource-efficient techniques such as federated learning, culturally adaptive systems, and appropriate human-AI integration. The study concludes that sustainable mental health AI requires addressing both technical efficacy and ethical integrity while ensuring equitable access across diverse contexts. Future research should focus on longitudinal studies examining the long-term effectiveness and cultural adaptability of AI interventions in resource-limited settings.</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/PMC12469610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179920","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":"Race, Social Context, and Caregiving Intensity: Impact on Depressive Symptoms Among Spousal Caregivers.","authors":"Florence U Johnson, Melissa Plegue, Namratha Boddakayala, Sheria G Robinson-Lane","doi":"10.3390/ijerph22091379","DOIUrl":"10.3390/ijerph22091379","url":null,"abstract":"<p><p>Understanding the factors that influence the mental health of family caregivers is essential. This study examines the impact of caregiving intensity, operationalized as caregiving hours, on depressive symptoms, with a focus on racial differences and gender effects. We analyzed data from n = 2112 unique spousal caregivers across 6622 person-years of observations from the Health and Retirement Study (HRS) longitudinal data (2008-2014). We estimated the impact of caregiving hours on depressive symptoms, controlling for race, gender, and education. Random intercepts accounted for household-level variance. We assessed interaction terms to evaluate differential effects across racial groups. Depressive symptoms were positively associated with caregiving hours β = 1.74, SE = 0.24, suggesting that increasing caregiving hours is likely to lead to emotional distress. We observed a significant negative interaction effect among African American caregivers (β = -1.25, <i>p</i> = 0.013), indicating that increased caregiving hours led to a reduction in depressive symptoms. Gender was not significantly associated with caregiving hours (β = -0.36, <i>p</i> = 0.715). The random effects model demonstrated substantial household-level variation (var(_cons) = 266.07, <i>p</i> < 0.0001). Findings highlight racial differences in the effects of caregiving hours on depressive symptoms and point to the importance of culturally responsive interventions designed to mitigate depressive symptoms among caregivers. Future research should explore protective factors that mitigate psychological distress and promote resilience.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179856","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":"Effect of Prehabilitation on the 6-Minute Walk Test and Length of Hospital Stay in Frail Older People: A Meta-Analysis of Randomized Controlled Trials.","authors":"María López-González, Celia Álvarez-Bueno, Beatriz Rodríguez-Martín, Patricia Lorenzo-García, Marta Carolina Ruiz-Grao, Susana Priego-Jiménez","doi":"10.3390/ijerph22091381","DOIUrl":"10.3390/ijerph22091381","url":null,"abstract":"<p><p>Frailty reduces resilience to surgical stress, increasing vulnerability to adverse outcomes. While recovery efforts traditionally focus on the postoperative phase, the preoperative period offers better opportunities for lifestyle interventions. Prehabilitation aims to increase functional reserve and surgical tolerance, especially in frail older adults. This systematic review and meta-analysis of randomized controlled trials (RCTs) evaluated the effectiveness of multimodal prehabilitation on aerobic capacity-measured by the 6 min walk test (6MWT)-and the length of hospital stay (LOS). A literature search was conducted up to August 2025. Eligible RCTs reported the effects of prehabilitation on functional capacity and LOS. A pairwise meta-analysis was used to calculate pooled mean differences (p-MDs) with 95% confidence intervals (CIs). The risk of bias was assessed via the Cochrane RoB tool, and evidence quality was assessed via the GRADE system. Five studies involving 400 participants were included. The p-MD for the 6MWT showed no significant improvement at any time point: (T1-T2) 9.71 (CI: -38.92; 58.36), (T2-T3) -3.27 (CI: -71.21; 64.65), and (T1-T3) 15.01 (CI: -22.05; 52.07). The LOS was also not significantly reduced (p-MD: -0.464, CI: -0.960; 0.031). Prehabilitation did not significantly improve aerobic capacity or reduce hospital stay. Future research should explore long-term benefits and adherence.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179771","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 Novel Macro-Level Model in Evaluating Health and Safety Training Based on Virtual Reality.","authors":"Antonella Pireddu, Claudia Giliberti, Alessandro Innocenti, Carla Simeoni, Michela Bonafede","doi":"10.3390/ijerph22091378","DOIUrl":"10.3390/ijerph22091378","url":null,"abstract":"<p><p>This document proposes a new evaluation model to be applied to a training course on health and safety at work based on virtual reality. The model refers to three macro-levels (design, delivery, and evaluation), which extend throughout the training life cycle. At macro level 1, design, the quality of the model intended for the virtual reality experience is evaluated, as well as its adaptation to the work environment and its compliance with applicable voluntary and mandatory standards; in macro level 2, delivery, the performance of the model, the individual reactions of users with headsets, their performance and psycho-physical state, the time, and the score achieved are evaluated; in macro level 3, evaluation, the long-term effects of subjective training and the social and economic impact that virtual reality training has had on the organisation are evaluated. The study investigates assessment models for virtual-reality-based occupational health and safety courses and identifies a model outlining general criteria that can be adapted to several types of courses and different work sectors. By examining the typical stages of the training life cycle and drawing on training evaluation models such as Kirkpatrick or Molenda and Information and Communication Technology metrics, the study identifies the key elements for assessing the effectiveness of virtual reality training in occupational health and safety.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179818","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":"The SRAQ-HP: Development and Initial Validation of a Tool to Assess Perceived Resource Adequacy Among Healthcare Professionals.","authors":"Olga Cerela-Boltunova, Inga Millere, Ingrida Trups-Kalne","doi":"10.3390/ijerph22091380","DOIUrl":"10.3390/ijerph22091380","url":null,"abstract":"<p><p>Healthcare systems worldwide face growing challenges related to staff shortages, excessive workload, and deteriorating working conditions, which compromise both staff well-being and care quality. Despite these issues, there is a lack of validated tools that capture healthcare professionals' subjective perceptions of resource adequacy. This study presents the development and initial validation of the Staff Resource Adequacy Questionnaire for Healthcare Professionals (SRAQ-HP), a multidimensional tool designed to assess staffing adequacy and workload, quality of care, and working conditions and support. The development process followed a mixed-methods design, incorporating theoretical foundations from Kanter's empowerment theory, role enactment models, and professional competence frameworks. The initial item pool of 32 statements was reduced to 26 through expert reviews, focus groups, and pilot testing (<i>n</i> = 35). Content validity index (CVI = 0.931) and face validity index (FVI = 0.976) demonstrated high content relevance and clarity. Cronbach's alpha for the full scale was 0.841, confirming internal consistency. Expert re-review confirmed strong content (S-CVI/Ave = 0.931) and face validity (FVI = 0.976) for the final 26-item version. Three core dimensions were retained: Staffing Adequacy and Workload, Quality of Care, and Working Conditions and Support. The SRAQ-HP provides a novel, evidence-based approach to systematically assess workforce sufficiency and support structures in clinical settings. It can guide decision-making in healthcare institutions and inform national workforce policies. Further research with larger and more diverse samples is needed to confirm its factorial validity and practical applicability.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179871","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":"Sexual and Reproductive Health Interventions for Women Exposed to Intimate Partner Violence: A Scoping Review.","authors":"Leah East, Daniel Terry, Liz Ryan, Brianna Larsen, Amy B Mullens, Annette Brömdal, Marie Hutchinson, Rebecca M Jedwab","doi":"10.3390/ijerph22091377","DOIUrl":"10.3390/ijerph22091377","url":null,"abstract":"<p><strong>Background: </strong>Women who experience intimate partner violence (IPV) have a higher likelihood of experiencing detrimental physical, psychological and sexual and reproductive health (SRH) outcomes. However, a gap remains in published literature on SRH interventions available to women experiencing IPV.</p><p><strong>Methods: </strong>A scoping review was undertaken to examine: What is the nature of sexual and reproductive healthcare interventions provided to women experiencing IPV? Five databases (APA PsycInfo, CINAHL Complete, Informit, PubMed and Scopus) were searched on 9 October 2023 for peer-reviewed systematic reviews or primary research published from 1 January 2004-present. The search was repeated on 11 June 2025 to ensure recency of studies. Two researchers independently screened studies at title and abstract, and full-text levels. The two searches yielded a total of 10,844 studies, of which nine were included in the review.</p><p><strong>Results: </strong>Due to the heterogenous nature of the studies, thematic analysis was undertaken with four themes being identified: Outcomes of interventions; Positive impact of personalised and patient-centred care; Professionals' knowledge, education and training as a facilitator; and Barriers to effective IPV intervention implementation in healthcare. SRH interventions available to women who experienced IPV can empower survivors, improve access to care, and enhance service quality.</p><p><strong>Conclusions: </strong>Evidence-based models of care that are intersectional, trauma-informed and integrated into SRH and IPV services are critical to ensure future work supports women of differing backgrounds who have experienced IPV. Future research should include evaluating effectiveness of interventions, identifying and addressing systemic barriers, and supporting underrepresented groups.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179860","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":"Broadening Boundaries and Deepening Understanding of/Within Public Health.","authors":"Paul R Ward","doi":"10.3390/ijerph22091376","DOIUrl":"10.3390/ijerph22091376","url":null,"abstract":"<p><p>As the Editor-in-Chief of the <i>International Journal of Environmental Research and Public Health</i> (<i>IJERPH</i>) [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179810","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":"Safety Climate and Occupational Injuries in the Iron and Steel Industries in Tanzania.","authors":"Saumu Shabani, Bente Elisabeth Moen, Teferi Abegaz, Simon Henry Mamuya","doi":"10.3390/ijerph22091372","DOIUrl":"10.3390/ijerph22091372","url":null,"abstract":"<p><p>The iron and steel industries globally have a high prevalence of occupational injuries, which need to be reduced. Obtaining safety climate information from workers assists in understanding the safety status at the workplace. This study aimed to assess the safety climate in the iron and steel industries and its association with occupational injuries. A cross-sectional study was conducted in four iron and steel industrial sites in Tanzania. Three hundred and twenty-one workers from the production lines and 50 managers/supervisors participated. The data were collected by interviews using the Kiswahili version of the Nordic Safety Climate Questionnaire (NOSACQ-50) and the modified International Labor Organization (ILO) manual on methods for occupational injuries. The managers/supervisors scored higher than the workers in five of the NOSACQ-50 dimensions. Most workers with low scores on safety climate had experienced occupational injuries. Analyses of the workers who had been injured at work showed that the dimensions 'management safety priority and ability', and 'management safety justice' were significant predictors of occupational injuries in the iron and steel industries, when adjusting for working years and working hours per day. This indicates that safety climate is a predictor of occupational injuries, and it is important to improve the safety priorities and commitments among the employees.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179729","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":"Resilience, Quality of Life, and Minor Mental Disorders in Nursing Professionals: A Study in Challenging Work Environments.","authors":"Emerson Roberto Dos Santos, Marco Antonio Ribeiro Filho, Weslley Dos Santos Borges, William Donegá Martinez, João Daniel de Souza Menezes, Matheus Querino da Silva, André Bavaresco Gonçalves Cristóvão, Renato Mendonça Ribeiro, Flávia Cristina Custódio, Geovanna Mohieddine Felix Pereira, Jéssica Gisleine de Oliveira, Alex Bertolazzo Quitério, Rauer Ferreira Franco, Amanda Oliva Spaziani, Ana Paula Bernardes da Rosa, Rodrigo Soares Ribeiro, Nayara Tedeschi Fernandes Furtile, Daniele Nunes Longhi Aleixo, Tânia Cassiano Garcia Gonçalves, João Júnior Gomes, Adriana Pelegrini Dos Santos Pereira, Fernando Nestor Facio Júnior, Marli de Carvalho Jerico, Josimerci Ittavo Lamana Faria, Maysa Alahmar Bianchin, Luís Cesar Fava Spessoto, Maria Helena Pinto, Rita de Cássia Helú Mendonça Ribeiro, Daniele Alcalá Pompeo, Antônio Hélio Oliani, Denise Cristina Móz Vaz Oliani, Júlio César André, Daniela Comelis Bertolin","doi":"10.3390/ijerph22091375","DOIUrl":"10.3390/ijerph22091375","url":null,"abstract":"<p><strong>Introduction: </strong>The mental health of nursing professionals is an escalating global concern, particularly due to the inherently challenging work conditions they frequently encounter. This study aimed to investigate the prevalence of Minor Mental Disorders (MMD) and resilience levels among nursing professionals, analyzing the relationship between these constructs and identifying resilience's potential protective role.</p><p><strong>Methods: </strong>This was a quantitative, descriptive, correlational, and cross-sectional study. The sample consisted of 203 nursing professionals (including nursing assistants, technicians, and nurses) from two healthcare institutions in the interior of São Paulo, Brazil. Data were collected between August and October 2019. Instruments utilized included a sociodemographic and professional questionnaire, the Self-Report Questionnaire (SRQ-20) for MMD screening, and the Wagnild & Young Resilience Scale.</p><p><strong>Results: </strong>The overall prevalence of MMD in the studied sample was 31.0%. Mean scores for the SRQ-20 domains were observed as follows: Depressive/Anxious Mood (1.33), Somatic Symptoms (1.63), Reduced Vital Energy (1.77), and Depressive Thoughts (0.39). A key finding indicated that resilience did not demonstrate a significant direct predictive role on MMDs when the effect of quality of life was controlled. However, resilience showed a significant positive correlation with Quality of Life (QoL) (coef. = 0.515; <i>p</i> < 0.001). Furthermore, QoL emerged as a robust and statistically significant negative association with all dimensions of MMD.</p><p><strong>Discussion: </strong>These findings suggest that resilience may function as an indirect moderator or precursor to QoL, with QoL, in turn, exerting a more direct and substantial influence on the reduction of MMDs. This integrated perspective aligns with the understanding that resilience contributes to a more adaptive assessment of stressors and, consequently, to better QoL, thereby minimizing the detrimental effects of stress on mental health.</p><p><strong>Conclusion: </strong>This study reaffirms the high prevalence of Minor Mental Disorders among nursing professionals, highlighting Quality of Life as a primary target for interventions aimed at promoting mental well-being. It also emphasizes resilience as a valuable individual resource that indirectly supports mental health by enhancing QoL. A holistic understanding of occupational stressors, psychosocial, and biological mechanisms is crucial for developing effective and targeted support strategies for these essential professionals.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179695","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}