{"title":"Mother-Infant Yoga: A Novel Approach to Improving Infant Sleep, Maternal-Infant Bonding, and Breastfeeding Self-Efficacy: A Randomized Controlled Trial.","authors":"Fatma Şule Bilgiç, Aysu Yıldız Karaahmet","doi":"10.1097/JPN.0000000000000963","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000963","url":null,"abstract":"<p><strong>Background: </strong>Positive sensory and movement experiences that the infant is exposed to in a safe and familiar environment help them cope with future stressors and support physiological regulation.</p><p><strong>Aim: </strong>To evaluate the effect of mother-infant yoga on sleep, maternal-infant bonding, and breastfeeding self-efficacy.</p><p><strong>Method: </strong>A randomized-controlled trial was conducted with 124 mother-infant pairs between March 2023 and January 2024. The intervention group practiced mother-infant yoga for 4 weeks, while the control group received routine care.</p><p><strong>Results: </strong>After the intervention, the breastfeeding self-efficacy score was significantly higher in the yoga group (58.34 ± 6.27) than in the control group (46.32 ± 6.41; P < .001). Maternal-infant bonding scores were also significantly higher in the yoga group (20.44 ± 1.89 vs 18.36 ± 2.06; P = .009). Night sleep duration was significantly longer in the yoga group (8.35 ± 1.00 hours) compared to the control group (7.01 ± 1.32 hours; P < .001).</p><p><strong>Conclusion: </strong>Mother-infant yoga significantly improved breastfeeding self-efficacy, maternal-infant bonding, and infant sleep duration. Further studies are warranted to explore its long-term effects and broader applicability.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281857","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}
Selver Güler, Zerrin Çiğdem, Melike Yavaş Çelik, Brenda S Lessen Knoll
{"title":"The Prehabilitative Effect of the Premature Infant Oral Motor Intervention (PIOMI) on Breastfeeding Duration up to 12 Months Post Discharge.","authors":"Selver Güler, Zerrin Çiğdem, Melike Yavaş Çelik, Brenda S Lessen Knoll","doi":"10.1097/JPN.0000000000000964","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000964","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the effect of the Premature Infant Oral Motor Intervention (PIOMI) on breastfeeding duration after discharge, as well as weight gain, up to 12 months of noncorrected age.</p><p><strong>Background: </strong>Preterm infants face difficulties breastfeeding due to immature oral motor skills. Prehabilitative oral motor therapy during early preterm hospitalization may enhance breastfeeding initiation and duration post discharge.</p><p><strong>Methods: </strong>The randomized controlled trial was carried out with 64 preterm infants, with intervention 1× day for 14 days while hospitalized, and follow-up measures made at 6, 9, and 12 months. The control group (n = 32) received standard routine care. The experimental group (n = 32) received PIOMI treatment.</p><p><strong>Results: </strong>Breastfeeding duration in the experimental group was a mean of approximately 4 months longer when compared to the control group (P < .05). Additionally, the mean body weights of the preterm infants in the experimental group were significantly higher at 12 months than in the control group (P < .05).</p><p><strong>Conclusions: </strong>Early prehabilitative therapy using PIOMI in the preterm period has long-term sustained positive effects on breastfeeding and weight gain post discharge.</p><p><strong>Implications for practice and research: </strong>Evidence-based practices are required to support the breastfeeding of the premature infant. Future studies should continue to assess oral motor interventions on initiation and duration of breastfeeding, and the impact on early childhood development. Parent involvement in therapy should also be examined.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253773","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}
Holly Houston, Em Rabelais, Sarah Abboud, Crystal Patil
{"title":"Experiences of Nurses Who Provide Human Milk Feeding Support to Black Parents in the Immediate Postpartum Period.","authors":"Holly Houston, Em Rabelais, Sarah Abboud, Crystal Patil","doi":"10.1097/JPN.0000000000000956","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000956","url":null,"abstract":"<p><strong>Purpose: </strong>This qualitative descriptive study examines racial disparities in human milk feeding by exploring nurses' experiences in providing support to Black parents during the immediate postpartum period.</p><p><strong>Background: </strong>Racial disparities in human milk feeding are persistent, with Black families much less likely to breastfeed than White, non-Hispanic families. Although nurses are key providers in the immediate postpartum, their role in human milk feeding support for Black families is inadequately studied.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 15 nurses who had 1 year or more of experience on the labor and delivery or postpartum units. Interviews followed an interview guide informed by the theory of planned behavior and critical race theory. Interviews were audio-recorded and analyzed using thematic analysis.</p><p><strong>Results: </strong>Two main themes, each with 3 subthemes, were identified: Navigating Human Milk Feeding Support (On the Job Learning, Juggling the Workload, and Self-Doubt) and Enacting Racism (Stereotyping, Explicit Racism, and Evasive Discourse). Nurses described experiencing inadequate human milk feeding education and stressors related to understaffing, which pressured them to make decisions about how to allocate time related to lactation support.</p><p><strong>Conclusions: </strong>Findings indicate that nurses may not offer adequate support due to their assumptions that Black parents are unlikely to engage in human milk feeding.</p><p><strong>Implications for practice and research: </strong>Disrupting structural racism throughout nursing education, including anti-racist continuing education and changing unit and hospital policies, may help intrapartum and postpartum nurses provide equitable and optimal support.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132769","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}
Reyhaneh Omidvar, Naghmeh Razaghi, Maryam Salari, Hasan Boskabadi
{"title":"The Effect of the Nurse's Compassionate Speech on the Pain Associated With Intravenous Catheter Insertion in Premature Neonates.","authors":"Reyhaneh Omidvar, Naghmeh Razaghi, Maryam Salari, Hasan Boskabadi","doi":"10.1097/JPN.0000000000000958","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000958","url":null,"abstract":"<p><strong>Background: </strong>Venipuncture is a common and painful procedure in the neonatal intensive care unit (NICU), Thus, there is a necessity for cost-effective, safe, and nonpharmacological interventions to alleviate pain associated with frequent and painful procedures in infants.</p><p><strong>Objective: </strong>This study aimed to investigate the effect of compassionate speech by nurses on the pain caused by venipuncture in premature infants.</p><p><strong>Method: </strong>This quasi-experimental study was conducted on 65 premature infants admitted to the neonatal intensive care units of the Imam Reza and Qaem hospitals in Mashhad, Iran. The control group received routine pain-reducing measures during the placement of the intravenous catheter, whereas the intervention group received the usual measures along with the nurse's voice before, during and after catheter insertion. The intensity of pain in the infants was measured via the Premature Infant Pain Profile at 4 time points. Data analysis was performed via SPSS version 26.</p><p><strong>Results: </strong>The results of the Generalized Estimating Equations (GEE) test revealed that infants in the intervention group experienced 2.826 units less pain than those in the control group over time (P < .001).</p><p><strong>Conclusion: </strong>The findings indicate that the presence of a nurse's voice positively influences pain reduction in infants undergoing painful procedures. It is advisable to implement this cost-effective approach, particularly in situations where the mother is not present.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024786","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":"Zinc Supplementation in Neonatal Hyperbilirubinemia: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Arushi Yadav, Sivanesan Sivagnanaganesan, Jitendra Meena, Muhammad Aaqib Shamim, Jaivinder Yadav, Jogender Kumar","doi":"10.1097/JPN.0000000000000959","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000959","url":null,"abstract":"<p><strong>Background and objectives: </strong>In vitro studies suggest that oral zinc supplementation reduces enterohepatic circulation of unconjugated bilirubin and serum bilirubin levels. Multiple randomized controlled trials (RCTs) have assessed the efficacy of oral zinc supplementation in reducing bilirubin levels and the need for phototherapy. However, the evidence remains conflicting. Therefore, we aimed to evaluate the effects of oral zinc supplementation in neonatal hyperbilirubinemia.</p><p><strong>Methods: </strong>We searched PubMed, Embase, Web of Science, and various clinical registries for RCTs published until May 25, 2025, and compared zinc with placebo/routine care in neonates with or at risk of hyperbilirubinemia. A random-effects meta-analysis was conducted. The Risk of Bias Version 2 tool was used.</p><p><strong>Results: </strong>Seventeen studies (1565 participants) were included in this systematic review. Only 1 study provided data on the need for exchange transfusion for extreme hyperbilirubinemia, in which no events were reported in either group. There was no significant difference in the incidence of significant hyperbilirubinemia (4 studies, 577 neonates, risk ratio [RR]: 0.96, 95% confidence interval [CI]: 0.41-2.27) or the need for phototherapy (5 studies, 619 neonates, RR: 0.72, 95% CI: 0.32-1.60) (very low certainty). Oral zinc supplementation also led to a statistically significant reduction in the duration of phototherapy (12 studies, 1528 neonates, mean difference: 8.6 hours, 95% CI: 3.7-13.6 hours, low certainty). No differences were observed in adverse events or the duration of hospital stay.</p><p><strong>Conclusions: </strong>Oral Zn supplementation may reduce the duration of phototherapy but does not affect other outcomes.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024816","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":"The Effect of Training on Different Breastfeeding Positions With Lactation Simulation Model on Breastfeeding.","authors":"Ayşenur Durmuş, Dilek Coşkuner Potur","doi":"10.1097/JPN.0000000000000944","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000944","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of lactation simulation model-based (LSM-based) training on laid-back breastfeeding (semi-sitting or semi-lying) and upright position (sitting upright) breastfeeding given in the antenatal period on breast problems and breastfeeding.</p><p><strong>Methods: </strong>The study was a randomized controlled experimental and prospective one. A total of 108 primiparous pregnant women, 36 in the laid-back breastfeeding group (LBBG), 36 in the upright position breastfeeding group (UPBG), and 36 in the control group (CG) were included in this study.</p><p><strong>Results: </strong>The mothers in the LBBG and UPBG had higher breastfeeding self-efficacy at postpartum 10th day and 6th month compared to the mothers in the CG; the mothers in the CG had significantly more breastfeeding problems at postpartum 24th hour and 10th day compared to the mothers in the LBBG (P<0.05); the duration of exclusive breastfeeding was significantly higher among the mothers in the LBBG and UPBG compared to the mothers in the CG (p<0.001).</p><p><strong>Conclusion: </strong>It was determined that the LSM-based training on the breastfeeding position was effective in increasing mothers' breastfeeding self-efficacy and breastfeeding duration and that the LSM-based training on the laid-back breastfeeding position was an effective method in reducing breast problems.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978948","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}
Adriana M Lima, Tatiane S Coelho, Jéssica L Carneiro, Maria V L L Cardoso, Luciana M M Fonseca, Ana K C Damasceno
{"title":"Development and Validation of a Clinical Simulation Scenario to Enhance Postpartum Hemorrhage Management.","authors":"Adriana M Lima, Tatiane S Coelho, Jéssica L Carneiro, Maria V L L Cardoso, Luciana M M Fonseca, Ana K C Damasceno","doi":"10.1097/JPN.0000000000000945","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000945","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and validate a clinical simulation scenario for postpartum hemorrhage management.</p><p><strong>Background: </strong>Postpartum hemorrhage remains the leading cause of maternal mortality globally, despite being preventable in most cases. Structural deficiencies, limited access to care, and inadequate professional training contribute to its persistence. Clinical simulation offers an effective strategy for professional training in a safe, controlled, and context-appropriate environment.</p><p><strong>Methods: </strong>This methodological study was conducted in three phases: systematic review, scenario updating, and validation by 22 experts and 24 target audience professionals. The study followed Jeffries' theoretical framework and INACSL guidelines. Results : The expert validation instrument showed an intraclass correlation coefficient (ICC) and Cronbach's alpha of 0.872, indicating strong internal consistency and reliability. For the target audience, the ICC was 0.844 and Cronbach's alpha .841, also reflecting good reliability. The Binomial Test demonstrated agreement above 0.85 for all items, confirming expert consensus on the scenario's content and appearance.</p><p><strong>Conclusions: </strong>The scenario was deemed suitable for implementation, with expert recommendations successfully integrated.</p><p><strong>Implications: </strong>The validated clinical simulation scenario is effective, reliable, and implementation-ready, supporting improved professional training and contributing to reduced maternal mortality.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978872","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}
Sanne Peters, Nicole Pope, Marlena Klaic, Jill Francis, Denise Harrison
{"title":"A Parent-Targeted Video for Evidence-Based Newborn Pain Management Strategies: Which Behavior Change Techniques Are Included and Do They Address Key Barriers?","authors":"Sanne Peters, Nicole Pope, Marlena Klaic, Jill Francis, Denise Harrison","doi":"10.1097/JPN.0000000000000928","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000928","url":null,"abstract":"<p><strong>Purpose: </strong>To address care gaps in newborn pain management, a parent-targeted video (BSweet2Babies video) was developed using co-design principles. The purpose of the study was to specify which behavior change techniques are included in the BSweet2Babies video and whether they address key barriers to newborn pain management.</p><p><strong>Background: </strong>Behavior change techniques are the active components of an implementation intervention and are meant to address barriers in order to increase the impact of the intervention.</p><p><strong>Methods: </strong>This study adopted a mixed-method approach including 3 phases: (1) identifying behavior change techniques in the BSweet2Babies video, (2) coding parents' barriers for engaging in pain management for their newborn babies based on the theoretical domains framework (TDF), and (3) mapping behavior change techniques to barriers codes.</p><p><strong>Results: </strong>Seven behavior change techniques were identified in the BSweet2Babies video. The key barriers to parents' engagement in newborn pain management were lack of (timely) information about pain management options, parents' difficulty in determining their role in pain management and neonatal intensive care unit environment (lack of space for parents, limited visiting hours). These barriers related to the TDF domains knowledge, social/ professional role and identity and environmental context and resources. The knowledge domain was addressed in the BSweet2Babies video; the other 2 domains were not.</p><p><strong>Conclusions: </strong>This paper identified potential for additional behavior change techniques that may enhance the BSweet2Babies video.</p><p><strong>Implications for practice and research: </strong>This is an exemplar study of a methodology that could be used to enhance existing implementation interventions.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745914","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}
Michelle D Slymon, Heather McGrane Minton, Tara Sacco
{"title":"Psychometric Properties of the Eat Sleep Console Nurse Questionnaire.","authors":"Michelle D Slymon, Heather McGrane Minton, Tara Sacco","doi":"10.1097/JPN.0000000000000940","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000940","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine the psychometric properties of the Eat Sleep Console Nurse Questionnaire (ESCNQ).</p><p><strong>Background: </strong>Eat Sleep Console is a new approach to care for opioid-exposed infants with neonatal abstinence syndrome (NAS) and represents a significant change in NAS care practices for nurses. Use of a process and outcomes evaluation tool may provide insight for continuous improvement in the care of infants with NAS. The psychometric properties of the ESCNQ were analyzed in this secondary analysis.</p><p><strong>Method: </strong>In a previous project, the ESCNQ was distributed to mother-baby postpartum and neonatal intensive care nurses (n = 52). Reliability testing of the ESCNQ was conducted for this project.</p><p><strong>Results: </strong>Cronbach's alpha showed good internal consistency for the Processes scale (α = 0.764, n = 14 items). Perception items were positively, strongly, and significantly associated (r = 0.671, P = < 0.001). The full ESCNQ and other subscales did not demonstrate acceptable internal consistency.</p><p><strong>Conclusion: </strong>Following future testing and refinement, the ESCNQ may be a viable option for use in both quality improvement and research settings.</p><p><strong>Implications: </strong>Establishing a reliable tool to evaluate processes and outcomes of Eat Sleep Console practices allows healthcare teams to improve the quality of care for infants with NAS.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664112","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":"The Effectiveness of AI-assisted Information Provision in Premature Infant Care: An Evaluation of ChatGPT in Terms of Accuracy, Comprehensibility, and Scope.","authors":"Birsel Molu","doi":"10.1097/JPN.0000000000000942","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000942","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to evaluate the accuracy, comprehensibility, and scope of the information provided by ChatGPT regarding premature infant care.</p><p><strong>Methods: </strong>This study is designed as a structured evaluation of ChatGPT's responses about premature infant care for parents, using data from answers generated in 2023 and 2024. The most frequently asked questions by parents about premature infant care were identified and presented to ChatGPT. The responses obtained were examined in terms of medical accuracy, comprehensibility, and scope. The responses were assessed by comparing them with current pediatric care protocols and scientific sources.</p><p><strong>Results: </strong>The analysis results indicate that ChatGPT provides information largely consistent with current pediatric-care guidelines on topics such as medical care, nutrition, respiratory support, home care, and psychological support for premature infants. The responses were generally found to be presented in a language suitable for the health literacy level of parents and were deemed comprehensible. However, it was observed that some technical terms require more detailed explanations and that individualized guidance should be enhanced. In particular, topics such as long-term health monitoring of premature infants, neurodevelopmental follow-up, infection risk management, and the frequency of medical check-ups should be addressed more comprehensively.</p><p><strong>Conclusion: </strong>The study demonstrates that AI-based systems like ChatGPT can serve as complementary tools in guiding parents in premature infant care. However, it is emphasized that such systems should be used under the supervision and guidance of health care professionals. Future research should further explore the impact of ChatGPT through evaluations based on parents' direct experiences.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664113","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}