Public Health Nursing最新文献

{"title":"YouTube as a Source for Arabic-Speaking Parent Education on the Oral Hygiene of Children: A Social Media Content Analysis.","authors":"Maram Ali M Alwadi, AlBandary Hassan AlJameel, Munirah Mohammed A Alaskar, Saleha Ali Alzahrani, Fatmah Almoayad, Basil H Aboul-Enein, Patricia J Kelly","doi":"10.1111/phn.13551","DOIUrl":"10.1111/phn.13551","url":null,"abstract":"<p><strong>Introduction: </strong>Much primary prevention in public health dentistry depends on parents' having accurate knowledge about pediatric oral health. In areas with minimal education levels and few oral health professionals, information on this topic is available from the widespread use of the social medial resource YouTube. This study assessed the quality and viewer engagement of YouTube Arabic videos on pediatric oral health practices.</p><p><strong>Methods: </strong>Using standard procedures to search YouTube, we identified Arabic-language pediatric oral health videos. A social media content analysis was conducted and videos analyzed for viewer engagement metrics, country of origin, and creator occupation. The DISCERN instrument was used to evaluate video quality, reliability, and information quality; statistical correlations were examined between these parameters and video statistics.</p><p><strong>Results: </strong>A majority of the 47 videos that were identified originated from Egypt and were created by pediatric dentists, attracting an average of 13,328.7 views and 218.7 likes. Quality assessment found 61.7% of videos with moderate quality; 63.8% had only medium levels of reliability (63.8%) and 63.8% medium information quality (63.8%); only a minor segment achieving high reliability and information quality. Correlation analysis revealed a positive but weak association between DISCERN scores and viewer engagement metrics (e.g., likes, comments, views), suggesting that while better quality videos tend to engage more viewers, other factors also contribute to engagement. Additionally, a stronger correlation was noted between the overall quality of videos and both information quality and reliability, indicating that videos with higher-quality content were perceived as more reliable and informative by viewers.</p><p><strong>Conclusion: </strong>While a significant volume of pediatric oral health content is available online, variability in quality highlights the need for stringent evidence-based standards to ensure the provision of reliable, quality educational materials.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1469-1477"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665297","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":"Improving Nurses' Disaster Skills: A Policy Brief on Perceived Core Disaster Competencies.","authors":"Arash Ziapour, Fateme Darabi","doi":"10.1111/phn.13560","DOIUrl":"10.1111/phn.13560","url":null,"abstract":"<p><p>In the past two decades, disasters have directly affected the lives of nearly 1.23 million people. Asia is the most affected region in the world by all types of disasters, such as war and natural disasters, accounting for 44% of all disasters, 58% of total deaths, and 70% of all victims. Iran has remained one of the most heavily impacted countries by various disasters. Emergency nurses are expected to use their professional expertise to provide the necessary nursing services to reduce disaster-related risks. Nurses at all levels of healthcare play a crucial role in disaster risk management and must possess the readiness and core competencies to respond to disasters. Therefore, core nursing competencies in emergency situations are essential for dealing with disasters. Policymakers have been too busy or lack the expertise to read and understand complex scientific articles. As a result, they need policy briefs that cover the key points so they can plan and implement the necessary interventions based on evidence. Thus, the aim of this study is to provide a framework for producing policy briefs for policymaking and enhancing nurses' core competencies in disasters by policymakers in government and health authorities. Implications for Policy: Policymakers and hospital managers should design and implement structured training programs to improve nurses' core competencies. Before disasters occur, a written plan with clear roles that are understandable for all nursing staff should be established; this can increase nurses' response times in assisting affected people. It is essential that nursing managers provide specific guidelines for standard and structured training during disasters to enhance nurses' awareness of disasters and communication skills.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1520-1524"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782003","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":"Sexual Behavior and Sexually Transmitted Infections: Case Management in a Specialized Center 2000-2018.","authors":"Cristina Guerra-Marmolejo, Beatriz Espadafor-López, Adelina Martín-Salvador, María Gázquez-López, María Adelaida Álvarez-Serrano, César Hueso-Montoro, María Ángeles Pérez-Morente","doi":"10.1111/phn.13558","DOIUrl":"10.1111/phn.13558","url":null,"abstract":"<p><strong>Background: </strong>There is a notable increase in sexual behaviors closely related to the increased risk of sexually transmitted infections, which is a problem that affects public health. The aim of this study was to analyze the relationship between sexual behaviors and the prevalence of sexually transmitted infections in the population who attended the Centre for Sexually Transmitted Diseases and Sexual Orientation of the province of Granada during the period 2000-2018.</p><p><strong>Methods: </strong>This is a cross-sectional study, with 1671 clinical histories of subjects who attended a specialized center between 2000 and 2018 for a consultation related to sexually transmitted infections. Sociodemographic and clinical data, frequency and type of sexual behavior, frequency of condom use, and positive or negative diagnosis of infection were collected. Univariate, bivariate, and multivariate analyses were performed. The dependent variable was the diagnosis of sexually transmitted infections. As independent variables, variables classified as socio-demographic, medical, and other variables conceived as possible risk factors were collected.</p><p><strong>Results: </strong>The results indicated that vaginal intercourse was the most frequent sexual activity during the entire period and that condom use was also the most common. Positive sexually transmitted infection diagnosis was related to anal sex: penis-anal (penetrative anal intercourse) (p = 0.033) and anal-penis (receptive anal intercourse) (p = 0.001). Multivariate analysis only showed association with receptive anal intercourse sexual behaviors.</p><p><strong>Conclusions: </strong>The prevalence of sexually transmitted infections in the population attending a specialized center is related to the behavior of anal sex in passive subjects (receptive anal intercourse). An increase in oral sex behavior and almost no practice of use of condom in oral sex has been observed. There is a need to respond to sexual diversity and variability of sexual behavior.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1435-1448"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782006","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":"Advanced Practice Public Health Nursing (APHN) in the U.S.: Roles and Education.","authors":"Susan M Swider, Scott Harpin, Katherine Balint, Lori Edwards, Rosemary Eustace, Molly Gabaldo, Gary Glauberman, Alisa Haushalter, Mikaila Holt, Krista Jones, Angela Mehringer, Lindsay Novacek, Melanie Pearce, Ashley Prentice","doi":"10.1111/phn.13553","DOIUrl":"10.1111/phn.13553","url":null,"abstract":"<p><p>In early 2023, Association of Community Health Nursing Educators (ACHNE) convened a task force of public health nursing education thought leaders from the United States (US) to revise their position paper on the state of graduate public health nursing education. [Correction added on May 16, 2025. after first online publication: In the preceding sentence, the legal name of the organization (ACHNE) has been corrected in this version.] At the time the task force began their work, the COVID-19 pandemic was still producing new variants, but the world had largely moved on without prevention restrictions, little to no tracking on the nightly news, and schools and universities going back to business as usual. Public health nurses (PHNs) served heroic roles in the face of the pandemic overall. However, public health nursing practice remained somewhat in the shadows of the spotlight on acute care clinicians combating the virus, even as some PHN leaders faced the end of their careers in their roles as enforcers of pandemic restrictions. In addition, although advanced practice nursing roles in the United States have proliferated in the past 20 years, they have been almost exclusively focused on care of individuals, despite evidence of the need to broaden the scope of healthcare to include a population focus. Advanced practice roles at the population and systems levels are much less understood and have a smaller footprint in the current healthcare system. The convening of this Task Force served as a \"timeout\" to reflect on the roles of PHN leaders in the months after pandemic emergency orders were finished and to articulate the future of graduate education in nursing at the population level, both its value added to the health of the public and how this value can be maximized. The result was the ACHNE white paper, Advanced Practice Public Health Nursing: Roles and Education, presented here.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1512-1519"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702280","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":"Life Satisfaction, Self-Care Ability, and Loneliness in Older Adults: A Descriptive and Correlational Survey.","authors":"Hülya Fırat Kılıç, İncihan Kahraman","doi":"10.1111/phn.13556","DOIUrl":"10.1111/phn.13556","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the relationship between life satisfaction, self-care ability, and loneliness in older adults.</p><p><strong>Materials and methods: </strong>This descriptive-correlational study was conducted on voluntary participants aged 65 years and above who lived in North Cyprus. Personal information form, loneliness scale for elderly, satisfaction with life scale and exercise of self-care agency scale were used for data collection.</p><p><strong>Results: </strong>Older adults in our study had moderate levels of life satisfaction and self-care ability and the level of loneliness was at acceptable levels. Besides, the life satisfaction of the participants was positively correlated with self-care ability and negatively correlated with the level of loneliness.</p><p><strong>Conclusion: </strong>The psychosocial needs of older adults might be evaluated, and social support systems might be enhanced within the context of primary healthcare services. Besides, nurses might play an effective role in planning elderly care by taking the importance of multidisciplinary approaches into consideration.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1478-1484"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755998","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":"Attitudes of the Population Toward Vaccines During the COVID-19 Pandemic: The PROACTIVE Study.","authors":"Michela Calzolari, Mariarosaria Gammone, Daniela Cattani, Giulia Ottonello, Giuseppe Aleo, Loredana Sasso, Milko Zanini, Gianluca Catania, Annamaria Bagnasco","doi":"10.1111/phn.13561","DOIUrl":"10.1111/phn.13561","url":null,"abstract":"<p><strong>Background: </strong>Vaccination is a vital strategy to prevent infectious diseases and reduce mortality globally. However, vaccine hesitancy threatens these efforts, especially highlighted during the COVID-19 pandemic. Understanding factors influencing vaccination decisions is crucial for improving public health strategies.</p><p><strong>Objective(s): </strong>To investigate the attitudes of the Italian general population toward mandatory (e.g., HBV or tetanus) or recommended (e.g., influenza, HPV, or meningococcus) vaccinations, factors influencing vaccine uptake, and risk perceptions related to COVID-19.</p><p><strong>Design: </strong>A cross-sectional descriptive study using the PROACTIVE Survey questionnaire.</p><p><strong>Sample: </strong>The study included 411 participants aged 18-98 years from the general Italian population, recruited via convenience and snowball sampling in June 2022.</p><p><strong>Measurements: </strong>Data included sociodemographic characteristics, adherence to vaccinations, COVID-19 experiences, preventive behaviors, and individual risk perceptions. Inferential statistics included Pearson's r correlation, t-test, and analysis of variance (ANOVA) to explore correlations and differences.</p><p><strong>Results: </strong>Adherence to preventive measures positively correlated with risk perceptions (r = 0.358, p < 0.001). Females, older individuals, and those with chronic conditions showed higher adherence to preventive behaviors. Previous adherence to vaccines correlated with greater COVID-19 preventive behaviors (r = 0.124, p = 0.012).</p><p><strong>Conclusions: </strong>Age, gender, risk perceptions, and chronic conditions significantly influenced vaccination attitudes and preventive measures. These findings underscore the need for tailored public health strategies, especially in post-pandemic contexts, to address vaccine hesitancy and improve vaccination campaigns.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1485-1494"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782000","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":"Effectiveness of Watching Cartoons in Reducing Pain in Children Receiving Vaccine Injection: A Randomized Controlled Trial.","authors":"Fei Li, Ting-Ting Yu, Cheng-Min Wang, Hong-Yun Lu, Yao Lu, Lun-Lan Li","doi":"10.1111/phn.70002","DOIUrl":"https://doi.org/10.1111/phn.70002","url":null,"abstract":"<p><strong>Background: </strong>Vaccination is a highly effective method for preventing a variety of infectious diseases; however, the pain associated with vaccination in children is often overlooked. This study primarily aims to explore whether watching cartoons can reduce the pain experienced by children during vaccine injection.</p><p><strong>Methods: </strong>In this randomized controlled trial, 72 children aged 1 to 6 years were recruited with parental consent. Participants were randomly assigned to either the cartoon group or the control group. The cartoon group watched a preferred cartoon video on a tablet for 10 min before and during the vaccination procedure. In contrast, the control group had a tablet screen on without cartoon for the same duration. The vaccination process was video-recorded for objective analysis. The primary outcome, pain intensity, was measured using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale, which evaluates children's pain based on observable behaviors.</p><p><strong>Results: </strong>Children in the cartoon group exhibited significantly lower FLACC scores compared to the control group. The mean FLACC score for the cartoon group was 2.40 ± 2.05, compared to 7.10 ± 2.35 for the control group, with a highly significant difference (p < 0.001; 95% confidence interval [CI], 3.66-5.73).</p><p><strong>Conclusion: </strong>This study demonstrated that watching a preferred cartoon video can significantly alleviate pain during the vaccination process, thereby reducing discomfort in young children. This finding suggests that watching cartoons is a simple, effective method to mitigate vaccination-related pain and improve the overall vaccination experience for children.</p><p><strong>Trial registration: </strong>Registration number: ChiCTR2400088897.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546207","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":"Gender Disparity Among Homeless People: Evidence From a Territory-Wide Survey in Hong Kong.","authors":"Siu-Ming Chan, Hung Wong, Anna Chen, Yuen-Ki Tang, Yaojian Wu","doi":"10.1111/phn.13562","DOIUrl":"10.1111/phn.13562","url":null,"abstract":"<p><strong>Objective: </strong>This study examined gender differences and their impact on the livelihoods of the homeless population in Hong Kong, exploring variables such as homeless duration, mental health, social relationships, economic status, risky behavior, and welfare assistance utilization.</p><p><strong>Background: </strong>Gender inequalities worsen the health vulnerabilities of homeless women. While existing studies have focused on Western contexts, there is a lack of understanding in non-Western settings, especially in East Asian regions with a strongly patriarchal culture like Hong Kong.</p><p><strong>Methods: </strong>Based on gender socialization theory, the study analyzed quantitative data from the largest territory-wide study of Hong Kong's homeless population in 2021. Models included measures of duration of homelessness, reason for homelessness, health, mental health, economic status, risky behavior, social relationships, and the use of welfare assistance.</p><p><strong>Results: </strong>Homeless women had shorter homelessness duration (32.8 vs. 48.2 months for men) and more frequent connections with friends and families. Despite less risky behaviors, women faced more mental health issues (higher PHQ-2 and GAD-2 scores), poorer economic status (lower median income), and did not seek welfare assistance more actively than men.</p><p><strong>Conclusion: </strong>Effective interventions require targeted outreach for invisible women, gender-specific and trauma-informed mental health services, and homeless-friendly policies accounting for gender disparities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1449-1460"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Traditional Chinese Exercise for Obesity and Overweight: A Systematic Review and Network Meta-Analysis.","authors":"Ting Yu, Jiaqi Lin, Hainan Gao, Jiayi Lin, Lijie Pan, Xinxin Shao, Xiangyu Zhu, Zili Tan, Kaiqi Fan, Tianlin Zhao, Qin Yao","doi":"10.1111/phn.13559","DOIUrl":"10.1111/phn.13559","url":null,"abstract":"<p><strong>Background: </strong>Traditional Chinese exercises can improve obesity and overweight, but there are few reports on the differences in the effects of multiple them in improving obesity and overweight. We compared the effects of multiple them on individuals with obesity and overweight to find the optimal intervention.</p><p><strong>Methods: </strong>The following databases were searched: PubMed, EMBASE, The Cochrane Library, CNKI, and so on. Randomized controlled trials (RCTs) of multiple traditional Chinese exercise interventions were included. Network meta-analysis (NMA) was performed using Stata 15.0 based on the frequency frame.</p><p><strong>Results: </strong>In the NMA, the results of body mass index were as follows: Baduanjin > Yijinjing > Wuqinxi > Tai Chi > control. The results of waist circumference (WC) were as follows: Baduanjin > Wuqinxi> Tai Chi > control. The results of waist-to-hip ratio (WHR) were as follows: Tai Chi > Baduanjin> Control. The results of body fat percentage were as follows: Baduanjin > Tai Chi > Yijinjing > Control.</p><p><strong>Conclusion: </strong>Among the four treatments, Baduanjin has better fat loss effects and represents a better treatment for weight loss in individuals with obesity and overweight. Tai Chi was more effective in improving WHR and may be the best method to lose fat while increasing muscle.</p><p><strong>Trial registration: </strong>CRD42023472216.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1564-1574"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702232","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":"Disaster Preparedness Evaluation Tool: Adaptation and Psychometric Evaluation of the Spanish Version.","authors":"José Antonio Cernuda Martínez, Rick Kye Gan, Pedro Arcos González","doi":"10.1111/phn.13566","DOIUrl":"10.1111/phn.13566","url":null,"abstract":"<p><strong>Background: </strong>A standardized tool, the Disaster Preparedness Evaluation Tool (DPET), originally published in English, is available for the purpose of assessing the level of disaster preparedness among nurses, however, a Spanish version is yet to be developed. The purpose of this study was twofold: first, to prepare a Spanish version of the DPET (DPET-SP), and secondly, to analyse the psychometric properties of the new Spanish version.</p><p><strong>Methods: </strong>The target population comprised nurses in the region of Asturias, Spain. Cronbach's alpha (internal consistency) and item-total correlations (item discrimination) were used to test the reliability of the tool. Construct validity was tested using confirmatory factor analysis. The content validity of the Spanish version was estimated using the scale-level content validity index. The appropriateness of the factor analysis was tested using the Kaiser-Meyer-Ollin test. Sphericity of the correlation matrix was examined using Barlett's test. Principal component analysis (PCA) was utilized to categorise the measurement instrument into salient factors. Convergent validity was assessed using Average Variance Extracted (AVE).</p><p><strong>Results: </strong>The PCA determined that the 45 items could be grouped into five factors Cronbach's alpha value was 0.964, the AVE values for the five constructs ranged from 0.51 to 0.71, the goodness-of-fit of the model structure was good, the convergence reliability values ranged from 0.80 to 0.95 and the square root of the AVE of each individual factor must be greater than all other correlations between pairs of constructs, so there is divergent validity.</p><p><strong>Conclusions: </strong>The DPET-SP has adequate validity and reliability. Therefore, it can be utilised by nurses for whom Spanish is their first language.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1544-1553"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042518","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}