Revista de salud publica (Bogota, Colombia)最新文献_第2页

[Cultural diseases of Taxco, México].

Revista de salud publica (Bogota, Colombia) Pub Date : 2024-03-01 eCollection Date: 2024-04-01 DOI: 10.15446/rsap.V26n2.112074

Adrián Urióstegui-Flores

引用次数: 0

[What do doctors suggest to improve coordination between levels? Results in six Latin American countries].

Revista de salud publica (Bogota, Colombia) Pub Date : 2024-01-01 eCollection Date: 2024-02-01 DOI: 10.15446/rsap.V26n1.106956

Aida Oliver-Anglés, Ingrid Vargas-Lorenzo, Julieta López-Vázquez, Isabella Chagas-Samico, Daniela Campaz-Landazábal, Amparo S Mogollón-Pérez, Pamela Eguiguren-Bravo, Delia I Amarilla, Fernando Bertolotto, María Luisa Vázquez

{"title":"[What do doctors suggest to improve coordination between levels? Results in six Latin American countries].","authors":"Aida Oliver-Anglés, Ingrid Vargas-Lorenzo, Julieta López-Vázquez, Isabella Chagas-Samico, Daniela Campaz-Landazábal, Amparo S Mogollón-Pérez, Pamela Eguiguren-Bravo, Delia I Amarilla, Fernando Bertolotto, María Luisa Vázquez","doi":"10.15446/rsap.V26n1.106956","DOIUrl":"10.15446/rsap.V26n1.106956","url":null,"abstract":"Objective: To analyze the strategies for improving clinical coordination proposed by primary care (PC) and secondary care (SC) doctors from the public healthcare networks in six Latin American countries, and the changes between 2015 and 2017.Methods: Two cross-sectional studies based on surveys (2015 and 2017) were developed with the application of the COORDENA questionnaire to a total of 4 311 primary and secondary care doctors from two public healthcare networks in each country. A descriptive analysis of the proposed suggestions was carried out stratified by country and year.Results: In all countries, the introduction or improvement of strategies and mechanisms that ease interaction and mutual knowledge between professionals from different care levels is noted, especially joint cross-level meetings, direct communication mechanisms and strategies to strengthen the use of the referral and back-referral form. Less frequently, other organisational strategies are suggested aimed at strengthening the primary care model, access to secondary care and the coordination of the network's management.Conclusions: The results allow to generate recommendations for the improvement of clinical coordination in different health systems drawn from the suggestions made by doctors, a perspective that is seldom considered in the design and implementation of interventions in healthcare services. The need to promote strategies based on mutual adjustment in the development of public health policies is highlighted.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 1","pages":"106956"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Social determinants of health: alternative explanatory proposal to the biomedical approach to suicidal behavior].

Revista de salud publica (Bogota, Colombia) Pub Date : 2024-01-01 eCollection Date: 2024-02-01 DOI: 10.15446/rsap.V26n1.116420

Ladini Sunanda Hernández-Bello, Fernando Pio De La Hoz Restrepo, Zuleima Cogollo-Milanés

{"title":"[Social determinants of health: alternative explanatory proposal to the biomedical approach to suicidal behavior].","authors":"Ladini Sunanda Hernández-Bello, Fernando Pio De La Hoz Restrepo, Zuleima Cogollo-Milanés","doi":"10.15446/rsap.V26n1.116420","DOIUrl":"10.15446/rsap.V26n1.116420","url":null,"abstract":"Suicidal behavior represents a serious public health problem. Suicidal deaths are estimated at 800,000 people each year. This is why its study has gained relevance to the extent that it is necessary to understand the phenomenon, its causes and theoretical positions that guide decision-making and the design of prevention strategies. However, the hegemonized explanation justifies the occurrence of the phenomenon from the interaction of multiple risk factors, on which various explanatory models with a biomedical-centric approach are based, which postulate suicidal behavior as a consequence of individual psychopathology. This essay develops a critique of the hegemonic biomedical theoretical position and highlights the benefits of studying the phenomenon from a social perspective, specifically from the World Health Organization's model of social determinants of health, without undermining the theoretical and empirical contributions of the biomedical approach, but highlighting its weaknesses and emphasizing the strengths of the social approach, which, without leaving aside individual factors, offers a more comprehensive view in understanding suicidal behavior.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 1","pages":"116420"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pregestational body mass index and weight gain during pregnancy associated with epidemiological variables and socio-demographic.

Revista de salud publica (Bogota, Colombia) Pub Date : 2024-01-01 eCollection Date: 2024-02-01 DOI: 10.15446/rsap.V26n1.111293

Jenniffer A Castellanos-Garzón, Liliana Salazar-Monsalve, Antonio J Tascon, María C Pustovrh-Ramos

{"title":"Pregestational body mass index and weight gain during pregnancy associated with epidemiological variables and socio-demographic.","authors":"Jenniffer A Castellanos-Garzón, Liliana Salazar-Monsalve, Antonio J Tascon, María C Pustovrh-Ramos","doi":"10.15446/rsap.V26n1.111293","DOIUrl":"10.15446/rsap.V26n1.111293","url":null,"abstract":"Objective: To correlate the pregestational Body Mass Index and weight gain during pregnancy with various epidemiological variables.Methodology: A cross-sectional study was carried out in a third level hospital in Cali, Colombia. Socioeconomic and anthropometric data, obstetric history and general medical history was collected from 300 pregnant women aged between 18 and 37. BMI was calculated at the beginning and end of pregnancy. Statistical analysis of multiple linear regression was performed.Results: An increased BMI at the beginning and end of gestation positively correlated with age (Coefficient = 0.156; p=0.013, Coefficient = 0.153; p=0.011), diagnosis of gestational diabetes (Coefficient = 2.264, p=0.018, Coefficient = 0.153; p=0.011) and concern about weight gain during pregnancy (Coefficient = 1.226; p=0.038, Coefficient = 1.568; p=0.004). A low BMI correlated negatively with Intrauterine Growth Restriction (Coefficient = -3.208; p=0.005). Furthermore, a higher final BMI positively correlated with a diagnosis of hypertensive disorder (Coefficient = 2.733; p<0.001) and negatively with socioeconomic status (Coefficient = 2.239; p=0.045).Conclusion: Excessive weight gain before and during pregnancy is a predictive factor in the appearance of gestational diabetes and hypertensive disorders, differentially affecting women from low socioeconomic backgrounds. While pregnancy is a critical period in a woman's life which may motivate positive lifestyle changes, excessive weight gain is still not perceived as a health problem.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"26 1","pages":"111293"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Characterization of infectious conjunctivitis in a fourth-level care center, Bogota, Colombia].

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-11-01 eCollection Date: 2023-12-01 DOI: 10.15446/rsap.V25n6.110422

Tatiana Urrea-Victoria, Mariana Daza-Betancourt, Hannia Paola Barrios-Bermúdez, María Fernanda Jaimes-Escobar

{"title":"[Characterization of infectious conjunctivitis in a fourth-level care center, Bogota, Colombia].","authors":"Tatiana Urrea-Victoria, Mariana Daza-Betancourt, Hannia Paola Barrios-Bermúdez, María Fernanda Jaimes-Escobar","doi":"10.15446/rsap.V25n6.110422","DOIUrl":"10.15446/rsap.V25n6.110422","url":null,"abstract":"Objective: The purpose of this study is to describe the characteristics of the populations that consulted to the emergency service due to conjunctivitis from March 1 of 2019 to March 1 of 2021 and evaluate the frequency of presentation of contagious ocular pathologies like is the case of bacterial conjunctivitis.Methods: A descriptive cross-sectional study was conducted in a historical cohort in the Department of Surgery, Ophthalmology Unit of the Hospital Universitario San Ignacio, Bogotá D.C. from March 2019 to March 1, 2021. The study included patients with a diagnosis of bacterial conjunctivitis and patients with a diagnosis of superinfected viral conjunctivitis, and excluded all patients with a positive result for COVID-19 and patients with symptoms suggestive of SARS-infectionCoV-2. Of the patients, 629 met the selection criteria.Results: Between March 2019 and April 2020, 534 consultations were registered in the emergency department of the ophthalmology unit, and from April 24, 2020 (when resolution 666 on biosecurity measures started) until March 2021, 95 consultations were registered. The majority of the patients presented with viral conjunctivitis, followed by superinfected viral conjunctivitis, and bacterial conjunctivitis.Conclusion: We hypothesize that biosecurity measures such as isolation, frequent hand washing, and the use of face masks could explain the marked reduction in cases of infectious conjunctivitis in the community.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"25 6","pages":"110422"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Hypertension-abdominal obesity phenotype as an indicator of dysglycaemia and insulin resistance].

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-11-01 eCollection Date: 2023-12-01 DOI: 10.15446/rsap.V25n6.110831

Eduardo Cabrera-Rode, Brayam Javier Loaiza-Romero, Janet Rodríguez-Acosta, Ileana Cubas-Dueñas, José Hernández-Rodríguez, Oscar Díaz-Díaz

{"title":"[Hypertension-abdominal obesity phenotype as an indicator of dysglycaemia and insulin resistance].","authors":"Eduardo Cabrera-Rode, Brayam Javier Loaiza-Romero, Janet Rodríguez-Acosta, Ileana Cubas-Dueñas, José Hernández-Rodríguez, Oscar Díaz-Díaz","doi":"10.15446/rsap.V25n6.110831","DOIUrl":"10.15446/rsap.V25n6.110831","url":null,"abstract":"Objective: To determine the usefulness of the hypertension-abdominal obesity phenotype as an indicator of dysglycaemia and insulin resistance.Materials and methods: Cross-sectional descriptive study of 964 adults (449 women and 515 men) who attended the Institute of Endocrinology with risk of diabetes mellitus. Demographic (age, sex, skin colour), clinical (blood pressure and acanthosis nigricans), anthropometric (weight, height, waist circumference and body mass index) and laboratory (basal and oral glucose tolerance test-stimulated blood glucose and insulinaemia) variables were analysed. The insulin resistance index was calculated. The abdominal hypertension-obesity phenotype was defined as the presence of systolic pressure ≥130 mm Hg and/or diastolic pressure ≥80 mm Hg or treated hypertension, waist circumference ≥80 cm in women and ≥90 cm in men. Sensitivity, specificity and predictive values of the abdominal obesity hypertension phenotype were calculated to identify dysglycaemia and insulin resistance.Results: Individuals with the hypertension-abdominal obesity phenotype showed a higher proportion of impaired glucose metabolism and insulin resistance than those without the phenotype (p<0.0001). The hypertension-abdominal obesity phenotype better identifies persons with the presence of double prediabetes, diabetes mellitus and insulin resistance, as they show high sensitivities (85.9%, 77.5%, and 68.9%, respectively), and high negatives predictive values (97.9%, 95.8%, and 74.0%, respectively).Conclusions: The hypertension-abdominal obesity phenotype is a simple, useful option for identifying persons with dysglycaemia, and insulin resistance.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"25 6","pages":"110831"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of hospital health professionals in the care of deaf patients.

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-11-01 eCollection Date: 2023-12-01 DOI: 10.15446/rsap.V25n6.109176

Natalia Ruiz-Arias, Rene M Barría-Pailaquilén

{"title":"Experiences of hospital health professionals in the care of deaf patients.","authors":"Natalia Ruiz-Arias, Rene M Barría-Pailaquilén","doi":"10.15446/rsap.V25n6.109176","DOIUrl":"10.15446/rsap.V25n6.109176","url":null,"abstract":"Objective: This study aimed to describe the experience of hospital health professionals in the care of deaf patients.Methods: We explored primary qualitative data from the experience of hospital health professionals in caring for deaf patients. A qualitative study with a descriptive phenomenological approach was carried out using face-to-face semi-structured qualitative interviews (N=8). We evaluated the perspective and experience of healthcare professionals caring for a deaf patient through semi-structured interviews (supported by field notes) which were audio recorded, transcribed, and analyzed using the Colaizzi Method.Results: Ninety-four significant statements emerged and were grouped into two themes: \"professional-patient interaction\" and \"conditioners of care\", each with three categories. The interactions were influenced by factors such as the tools and strategies used by the health professional, their emotions, and the patient's conditions; on the other hand, within the conditioning factors, the professionals described the procedural aspects, environmental and structural factors linked to care and access.Conclusions: The health professionals' experience impacts both themself and the quality of patient care. This impact is associated with different barriers, such as interpersonal, interaction, cultural and language or communicational, which generates inequality in access to health for deaf people and a challenging situation for health professionals.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"25 6","pages":"109176"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Implementation of the Comprehensive Health Care Policy in Cundinamarca, Colombia 2021].

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-11-01 eCollection Date: 2023-12-01 DOI: 10.15446/rsap.V25n6.111389

Fabio Alberto Escobar-Díaz

{"title":"[Implementation of the Comprehensive Health Care Policy in Cundinamarca, Colombia 2021].","authors":"Fabio Alberto Escobar-Díaz","doi":"10.15446/rsap.V25n6.111389","DOIUrl":"10.15446/rsap.V25n6.111389","url":null,"abstract":"Objective: The Comprehensive Health Care Policy (CHCP) aims to improve the health conditions of the Colombian population to guarantee the right to health. The study's objective was to characterize the implementation of CHCP in the department of Cundinamarca in 2021.Methods: Qualitative and cross-sectional design based on semi-structured individual ¡nterviews with representatives of health sector entities at the national, departmental, and municipal levels. The information was coded and categorized through thematic analysis.Results: CHCP and its operational model were readjusted with the arrival of the new national government in 2018. Additionally, in 2020, with the new local leaders, CHCP had to reposition itself in their political agendas. Due to the pandemic, many activities were suspended, including CHCP, because of epidemiological restrictions. The operational model of CHCP lacks guidance to direct its implementation; there are only some specific norms for comprehensive health care routes and integrated health service networks, which facilitated some progress. There is a poor coordination between CHCP and other national and local planning instruments.Conclusions: The implementation of CHCP in Cundinamarca has a still incipient process, characterized by circumstances at the political (changes in government), epidemiological (Covid-19), and even operational levels (lack of specific guidelines). Progress in policy execution could improve by overcoming some of these circumstances.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"25 6","pages":"111389"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Coca leaf chewing as a risk factor for oral health].

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-09-01 eCollection Date: 2023-10-01 DOI: 10.15446/rsap.V25n5.109421

Linda P Lucas-Espeza, Ronald de la Cruz-Rodríguez, Elias E Aguirre-Siancas

{"title":"[Coca leaf chewing as a risk factor for oral health].","authors":"Linda P Lucas-Espeza, Ronald de la Cruz-Rodríguez, Elias E Aguirre-Siancas","doi":"10.15446/rsap.V25n5.109421","DOIUrl":"10.15446/rsap.V25n5.109421","url":null,"abstract":"Objective: To determine whether coca leaf chewing is a risk factor for oral health.Methods: Case-control study carried out in the Paucará health centre, Huancavelica 2019. The sample consisted of 200 participants, divided into two groups: 100 coca leaf users and 100 non-coca leaf users. To assess oral health, an instrument validated by five experts was used, where three items were evaluated: Temporomandibular joint, oral cavity and coca leaf chewing characteristics.Results: In the population studied, it was identified that the female gender is the big-gest consumer of coca leaf. In addition, it was observed that coca leaf consumption does not produce dental wear, fracture or mobility; however, its consumption gene-rates alteration of the gum (OR:42.67). According to the evaluation of muscle pain, it was observed that coca leaf chewing significantly affected the right insertion masseter muscle, compared to those who did not consume it (OR:17.47). Moreover, it was found that altered jaw movements and joint noises in both groups were not associated with temporomandibular joint disturbance.Conclusion: Coca leaf chewing significantly affects the gum and masseter muscle right Insertion compared to non-coca leaf chewers.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"25 5","pages":"109421"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of a left ventricular assist device (Heart Mate III) as a destination therapy in a patient with chronic heart failure due to Chagas disease. Could it have been avoided?

Revista de salud publica (Bogota, Colombia) Pub Date : 2023-09-01 eCollection Date: 2023-10-01 DOI: 10.15446/rsap.V25n5.106562

Tania M Blanchar-Martínez, Fernando Pío De la Hoz-Restrepo, Seila R López-Suárez

{"title":"Use of a left ventricular assist device (Heart Mate III) as a destination therapy in a patient with chronic heart failure due to Chagas disease. Could it have been avoided?","authors":"Tania M Blanchar-Martínez, Fernando Pío De la Hoz-Restrepo, Seila R López-Suárez","doi":"10.15446/rsap.V25n5.106562","DOIUrl":"10.15446/rsap.V25n5.106562","url":null,"abstract":"Introduction: Chagas is an infectious disease that may produce chronic consequences such as cardiac failure (IC), enlarged esophagus and colon. Cardiac failure can shorten people's lives and severely affect their quality of life. There are not many alternatives to treat patients with advanced cardiac damage. Recently, it has been proposed that implantation of devices that provide mechanical circulatory support may help Chagas' patients with advanced IC to improve its quality of life.Objective: To analyze the case of a patient with Chagas disease who was not treated in a timely manner due to failures in primary care, the consequences on his health, and the cost of late treatment that could have been avoided.Materials and methods: Diagnostic methods revealed damage at the functional and structural level of the heart, classifying the condition as CHF, which led to the implantation of a technological medical device (DMT).Results: We present here the results of implanting such a device (Heart Mate 3) in a 54-year-old Colombian male patient with a 2 years diagnosis of advanced (IC) as a consequence of chronic Chagas infection.Conclusion: Chagas disease represents one of the oldest communicable diseases in the region of the Americas. Public health programs today should redirect their prevention programs into predictive- type interventions to offer more timely treatment, reducing care expenses and positively impacting the health budget.","PeriodicalId":520465,"journal":{"name":"Revista de salud publica (Bogota, Colombia)","volume":"25 5","pages":"106562"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0