Annals of Ibadan postgraduate medicine最新文献

{"title":"PERCEPTION AND ACCEPTABILITY OF INTEGRATION OF CERVICAL CANCER SCREENING INTO ANTENATAL AND POSTNATAL SERVICES IN A TERTIARY HOSPITAL IN NIGERIA.","authors":"A A Abdus-Salam, R A Abdus-Salam, R O Balogun","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer is preventable, but women in developing countries present in advanced stages of the disease, thus resulting in limited treatment options and high mortality rates. Routine maternal healthcare during pregnancy or puerperium presents a unique opportunity for its prevention, counselling and screening.</p><p><strong>Aim: </strong>To assess the acceptability and perception of integration of cervical cancer screening into routine antenatal (ANC) and postnatal care (PNC) services among pregnant and postpartum women.</p><p><strong>Methodology: </strong>This was a questionnaire-based cross-sectional study conducted among 220 consenting women among the ANC and PNC attendees at the University College Hospital, Ibadan. Information on socio-demographic characteristics, perception of routine screening in maternal health, acceptability; and the willingness to undergo screening test were obtained. Data was analyzed using SPSS version 26 and level of significance was p<0.05.</p><p><strong>Results: </strong>Majority were in the age range of 30-34 years. Only 11.4% and 4.5% of the participants had ever done a pap smear and HPV test respectively. About half (50.9%) of the women reported that they would not be willing to undergo screening during pregnancy with the commonest reason being fear of harm to the pregnancy. Over half (64.1%) of the participants were willing to have screening during the post-natal visit, while 58.6% of the participants wanted the screening to be part of the routine services offered at the ANC or PNC. Majority (69.5%) were willing to continue screening outside of pregnancy.</p><p><strong>Conclusion: </strong>The practice of routine cervical cancer screening is low among women in developing countries. The ANC or PNC provides an opportunity for screening, early detection and prevention of cervical cancer.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 2","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506504","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}

{"title":"ULTRASOUND GUIDED BILATERAL INTERMEDIATE CERVICAL PLEXUS BLOCK AS AN ALTERNATIVE TO GENERAL ANAESTHESIA IN PATIENT FOR TOTAL THYROIDECTOMY WITH DIFFICULT AIRWAY: CASE SERIES.","authors":"O K Adebayo, A O Ojedoyin, D G Efe, J O Morhason-Bello","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Total thyroidectomy is traditionally performed under general anaesthesia, which can be challenging in patients with difficult airways. This case series explores the use of ultrasound-guided bilateral intermediate cervical plexus block (US-BICPB) as an alternative anaesthetic technique for patients undergoing total thyroidectomy with potential or actual difficult intubation.</p><p><strong>Methods: </strong>Four patients scheduled for total thyroidectomy with identified difficult airway management were included. US-BICPB was performed using a mixture of 0.5% bupivacaine and 1% lidocaine with adrenaline. Sensory block was assessed, and patients were monitored for hemodynamic stability, pain scores, and adverse events.</p><p><strong>Results: </strong>All four patients successfully underwent total thyroidectomy under USBICPB without conversion to general anaesthesia. Patients remained hemodynamically stable throughout the procedures, with pain scores remaining at 2 or below on the Numerical Rating Scale (NRS) for several hours postoperatively. No major complications were reported. Patients expressed satisfaction with the technique and were discharged within 2-3 days post-surgery.</p><p><strong>Conclusion: </strong>US-BICPB appears to be an effective and safe alternative anaesthetic technique for total thyroidectomy in patients with difficult airways. This approach may offer advantages in terms of airway management, postoperative pain control and patient satisfaction. Further studies with larger sample sizes are needed to confirm these findings and establish optimal protocols for patient selection and block administration.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 2","pages":"130-138"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506513","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}

{"title":"A RARE PRESENTATION OF TWO COLORECTAL ANOMALIES: ANORECTALMALFORMATION CO-EXISTING WITH HIRSCHSPRUNG'S DISEASE IN IBADAN.","authors":"K I Egbuchulem, T A Lawal, O O Ogundoyin, D I Olulana, A O Takure, O T Ojediran, H D Ogundipe","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The association of Hirschsprung's disease with anorectal malformation (ARM) is both diagnostically and surgically challenging, in addition to it being a rarity. Symptoms attributable to post-repair of ARM may mask the underlying Hirschsprung's disease (HD) and become worse after closure of stoma. We aim to highlight this rare finding, the challenges associated with the management and the consequent multiple surgeries the patient underwent.</p><p><strong>Case presentation: </strong>We report the case of a seven-year-old boy who had a diverting Devine descending colostomy for high ARM and was followed up until he had a posterior sagittal anorectoplasty (PSARP). He thereafter re-presented with complaints of intermittent constipation which was not responsive to rectal washout necessitating a levelling colostomy and subsequently an abdominal Swenson's pull-through procedure. Postoperative period was complicated with a colo-urethral fistula (Urethroscopy findings https://youtu.be/lxzyp1uHFpE?feature=shared) necessitating multiple staged surgeries. He has been followed up in clinic for over one-year post-surgery with complaints relating to frequent bowel motion, passes well-formed stool about three times daily. We report a rare case of HD associated with ARM, highlighting the delay in diagnosis, the associated morbidities requiring multiple surgeries and the challenges encountered in the management of the patient.</p><p><strong>Conclusion: </strong>Hirschsprung's disease in a patient with anorectal malformation is a very rare occurrence, which can be fraught with delayed diagnosis and consequences as a result of the previous anorectoplasty. There is need to have a high index of suspicion and we hope this report will help raise the awareness of this association.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 2","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506015","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}

{"title":"SPECIALTY PREFERENCES AMONG UNDERGRADUATE DENTAL STUDENTS IN LAGOS STATE NIGERIA.","authors":"A O Awotile, L L Enone, C O Amadasun, F O Oburo, T O Adenuga-Taiwo, W Alakija","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In choosing Dentistry as a field of study and specialization, adequate information as well as the passion for the provision of oral health services should be taken into consideration.</p><p><strong>Objectives: </strong>To determine the recent trend in career choices, aspirations and the reasons for choice of area of specialization among dental students in Lagos State, Nigeria.</p><p><strong>Methodology: </strong>This was a cross sectional descriptive study that utilized a structured questionnaire to collect the demographic data, reasons for career choice, career aspirations, reasons for specialization, reasons for nonspecialization and practice preferences from dental students aged 18 to 32 years. The data was collected and analysed using SPSS version 23. Associations between categorical variables were assessed using Chi square and Fisher exact tests. P-value <0.05 was assumed to be significant at 95% CI.</p><p><strong>Results: </strong>A total of 139 students (males 38.8%, females 61.2%) with a mean (SD) age of 23.04±2.6 years were involved in this study. Interest in Dentistry was the major reason (74.8%) for choosing the profession by the students and 2.2% of them chose Dentistry due to peer pressure influence. Oral and Maxillofacial Surgery was the specialty of choice (34.1%) followed by Orthodontics (18.7%) and Conservative Dentistry (12.1%) respectively. Dental Radiology (1.1%) was the least popular specialty. Slightly more than half of the students, 46(50.5%) intend to practice outside Nigeria.</p><p><strong>Conclusion: </strong>Most of the students chose Dentistry based on their interest in the profession and about half of them intend to practice outside the country. The most sought after dental specialties were Oral and Maxillofacial Surgery, Orthodontics and Conservative Dentistry respectively.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 2","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506509","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}

{"title":"MENTAL HEALTH STATUS AND JOB PERFORMANCE DURING COVID-19 PANDEMIC AMONG NURSES WORKING IN SECONDARY HEALTH FACILITIES IN IBADAN, NIGERIA.","authors":"E Isiek, Y A Olasunkanmi, F I Adeniji, D A Adewole, S Bello","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The impact of the COVID-19 pandemic may not only affect the mental health of nurses, but may also affect nurses' job performance. The study was aimed at assessing the mental health status and job performance among nurses in secondary health facilities in Ibadan.</p><p><strong>Methods: </strong>A cross-sectional study among 250 nurses in secondary health facilities in Ibadan, Nigeria. Generalized anxiety disorder, insomnia, depression, post-traumatic stress disorder (PTSD) and job performance were assessed using pre-tested standardized tools.</p><p><strong>Results: </strong>About 34%, 17.2%, and 3.6% had mild, moderate, and severe anxiety, while 31%, 10.4%, and 6% experienced mild, moderate, and severe depression. Additionally, 12%, 2.4%, and 13.6% had mild, probable, and high PTSD. Job performance was significantly associated with marital status, anxiety, insomnia, depression, and PTSD symptoms (p<0.001).</p><p><strong>Conclusion: </strong>This study highlights the need to prioritize the mental health of nurses in order to promote their efficiency.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 2","pages":"61-73"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506501","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}

{"title":"THE IDEAL MEDICAL STUDENT: THE NIGERIAN TRAINEES PERSPECTIVE.","authors":"S V Eweje, K I Egbuchulem, O Oladosu, O S Izevbekhai, A J Temabor, S O Oluwalana, S Alawode, M M Awodiji, D I Olulana","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Medical school serves as a training ground and entry path to the dignified profession of medical practice. As a result, the training is rigorous, wholesome and exhaustive. It aims to raise students who are capable of handling the pressure associated with being a physician, equipped with the knowledge and critical thinking skills required to successfully manage patients as well as the discipline, strength and character needed to uphold the tenets expected of a physician. Medical school more often than not becomes, not just the first exposure to tertiary learning, but coupled with the unique intricacies of the medical field, becomes a new, unprecedented, multifaceted experience in the lives of medical students. There is no explicit guideline dictating who the ideal medical student is or what characteristics are expected of him or her. Various authorities have described some qualities expected of the ideal medical student with noticeable overlap, as skills such as good academic ability, critical thinking, a sense of responsibility and effective communication being the most recurring.1 An ideal medical student is all at once, a great student and a great medical personnel. Colloquially, it is expected that a medical student be an all-rounder. The objectives of this commentary therefore are; To outline who an ideal medical student is.To outline the challenges of Nigerian medical students.To enumerate possible solutions to the challenges.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;The nigerian medical students' perspective: &lt;/strong&gt;The average medical student in Nigeria is accustomed to only studying about cutting edge technologies and medical advancements. It has become somewhat unusual or is considered an opportunity to experience technologically based interventions that have become commonplace in advanced climes. Furthermore, owing to the unstable sociopolitical and economic climate, the studies of medical students are often interrupted by industrial strike actions from the various unions involved in the education of medical students in Nigeria. Another important factor of note is the lack of stable amenities such as water and electricity, and limited infrastructure like housing. Working around these, as well as seeking personalised alternatives directly and indirectly negatively affect the ability of a medical student to emulate the ideals expected of him or her. In addition, the superstitious sociocultural view of not freely disclosing personal information which is prevalent among patients in Nigeria and the language barriers owing to the varied multi-lingual and ethnic picture in the nation with lack of universal ability to converse in English may hamper the efforts of a medical student.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The end goal of medical school is to produce students who are qualified to take the Physician's Pledge, and capable of embodying the qualities contained within. The ideal medical student is one step closer to becoming an id","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 2","pages":"116-124"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506510","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}

{"title":"LASSA FEVER IN INTERNALLY-DISPLACED PERSONS' CAMP: A CASE REPORT AT ZABARMARI, BORNO STATE, NIGERIA.","authors":"T I Olasoju, M I Olasoju, B Dagash, B B Abaye, C Enumah, S Isah, M T Bolori, O O Adebowale","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introdution: </strong>Lassa fever is a viral hemorrhagic disease caused by the Lassa virus, a single stranded RNA virus of the Arenavirus family. It is a zoonotic illness spread by rats of the speciesMastomys natalensis . Between weeks 1 and 17, (2017), 242 suspected Lassa fever cases were reported in Nigeria, with 58 laboratory confirmed cases and 46 fatalities (CFR, 19.01%) from 50 Local Government Areas (LGAs) in 20 States.</p><p><strong>Methods: </strong>We conducted an outbreak investigation and gathered a thorough clinical history of the index case as well as contacts, who were then followed up using the standard viral hemorrhagic fever contact monitoring form. Following that, blood samples were collected from this patient. A total of 54 contacts were tracked for 21 days and their temperatures were recorded using a clinical thermometer. Furthermore, an environmental evaluation of the Zabarmari community and the Madinatu Internally-displaced persons' (IDP) camp was carried out.</p><p><strong>Results: </strong>The index case was a 32-year-old woman who was internallydisplaced in Zabarmari community. Her symptoms began with fever and vaginal bleeding and progressed to bleeding from the nose, mouth, and urethra. There was a history of rat exposure as well as inadequate environmental sanitation and hygiene. Real Time PCR detected Lassa fever in the blood sample. The Borno State Ministry of Environment, in partnership with the Ministry of Health, undertook public health education on Lassa fever prevention and implemented excellent sanitary measures.</p><p><strong>Conclusion: </strong>Increased awareness creation on good infection prevention and control practices is crucial among internally-displaced person and health care providers to prevent occurrence and spread of the disease.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 1","pages":"94-99"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11205715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473124","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}

{"title":"ULTRASOUND IMAGING AND PATHOLOGIC FEATURES OF IDIOPATHIC SCROTAL CALCINOSIS IN A YOUNG ADULT NIGERIAN AND REVIEW OF THE LITERATURE.","authors":"S J Ayilara, O I Lawrence, T E Ogunsanya, E O Fatunla, A M Agunloye, G I Ogbole","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Idiopathic scrotal calcinosis is a rare and benign disease of the scrotal skin that presents as solitary or multiple painless calcified nodules or papules in the absence of systemic disorders of calcium or phosphorus metabolism. Although some theories have been proposed as to the cause of this rare disease, the exact cause remains unknown. In a resource-poor medical setting like Nigeria, a confident diagnosis of this condition can be made with ultrasonography.</p><p><strong>Objective: </strong>The objective of this report is to emphasize the role of ultrasound in the imaging diagnosis of idiopathic scrotal calcinosis.</p><p><strong>Case presentation: </strong>This is a case report of a 38-year-old man who presented with recently discharging but longstanding multiple painless scrotal nodules of 22-years duration.</p><p><strong>Conclusion: </strong>This case illustrates the prompt and accurate diagnosis of idiopathic scrotal calcinosis using an ultrasound, a readily available imaging modality in a low-resource setting.Although histology remains the gold-standard for diagnosing idiopathic scrotal calcinosis following surgical excision, this benign disorder has unique sonographic characteristics that could aid the radiologist in making a confident diagnosis.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 1","pages":"112-115"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11205725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474700","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}

{"title":"QUALITY OF PRESCRIPTIONS RECEIVED BY PATIENTS WITH HYPERTENSION ATTENDING A SECONDARY HEALTH FACILITY IN IBADAN, OYO STATE.","authors":"A B Ibraheem, W A Ibraheem, I O Ajayi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>High-quality prescription (HQP) which is a key player in optimal blood pressure control reflects good prescribing process and thus quality health care.</p><p><strong>Aims: </strong>To determine quality of prescription and its correlates in patients with hypertension attending a secondary health facility in Ibadan, Nigeria.</p><p><strong>Methodology: </strong>A cross-sectional hospital-based study among 347 known hypertensive patients attending the Medical Outpatient clinic of Jericho Specialist hospital, Ibadan. Quality of prescription was determined using prescription quality index (PQI) tool and it was categorized into high, medium and low-quality prescriptions. The respondents were recruited using a simple random sampling technique (computer generated random number). Data was analyzed using SPSS version 2020. Mean, standard deviation, Chi-square and Spearman correlation were used for data analysis and level of significant was set at <0.05.</p><p><strong>Results: </strong>The mean (PQI) was 31.4±5.6; less than half of the patients 163 (47.3%) had low PQI, while medium and high PQI was found in 41(11.8%) and 143 (41.2%) patients respectively. There was a significant difference in the quality of prescriptions between male and female hypertensive patients (χ²=15.85, p-value<0.0001). Two-thirds of the patients, 229(66.0%) experienced associated health problems and this was significantly inversely correlated with prescription quality (r=-0.33, p<0.001).</p><p><strong>Conclusion: </strong>The study revealed marginally low quality of prescription, statistically significant poor-quality prescription among the male patients and higher number of comorbidities significantly correlated negatively with prescribing quality. Thus, to comply with high quality prescriptions, combined medications among hypertensive patients with comorbidities should be used cautiously.</p>","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 1","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11205708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473127","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}

{"title":"EMERGING INFECTIONS IN CONTEMPORARY TIMES; WHAT DOES THE FUTURE HOLD?","authors":"O Adekanmbi, K Osinusi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"22 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11205711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473121","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}