Dialogues in health最新文献

{"title":"Alternative community-based gardening and water banks for micronutrients intake among women in northern Ghana","authors":"Clement Kubreziga Kubuga","doi":"10.1016/j.dialog.2025.100214","DOIUrl":"10.1016/j.dialog.2025.100214","url":null,"abstract":"<div><h3>Objectives</h3><div>Worldwide, women experience high prevalence of micronutrient deficiencies due to poor quality diets and elevated needs of the subpopulation. In Ghana, micronutrient deficiencies are pronounced in northern Ghana especially during the prolonged dry/lean season. This study aimed to investigate whether or not the results from an earlier pilot study to improve micronutrient intakes could be replicated through the entire dry season and to explore alternative and sustainable dry season gardening models to improve diet quality among women in northern Ghana.</div></div><div><h3>Methods</h3><div>In this quasi-experimental study, the experimental design comprised an experimental community (<em>n</em> = 102) and a control community (<em>n</em> = 104). Participants in the experimental community were provided with wooden containers, soil water retention technology (SWRT) beds, and water reservoirs for vegetables production. Control community did not receive any of the above.</div></div><div><h3>Results</h3><div>The pilot study's results were successfully replicated throughout the dry season: container and SWRT community-based gardening as alternative dry season farming models, improved diet quality among women during the dry/lean season. The proportion of women consuming non diverse diets declined by 41 % in the intervention group. Furthermore, community-based gardening was successfully supported by community-based water banks for five months. This finding offers a potential solution to the shortcomings of conventional irrigation systems in northern Ghana.</div></div><div><h3>Conclusion</h3><div>Alternative community-based dry season gardening models can contribute to improve micronutrient intakes and nutrition security in northern Ghana. Though the results of this study are promising, it is recognized that more extensive research is necessary.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100214"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792508","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":"COVID-19 effect on food security, livelihood, and mental health in affected households of Jashore, Bangladesh","authors":"Sabrina Zaman ,&nbsp;Tamsel Ahammed ,&nbsp;Md Abul Hasan ,&nbsp;Md. Enamul Huque","doi":"10.1016/j.dialog.2025.100217","DOIUrl":"10.1016/j.dialog.2025.100217","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has amplified concerns about global food insecurity, with dietary diversity emerging as a critical indicator of nutritional adequacy. These challenges have far-reaching implications for mental health, particularly in vulnerable populations.</div></div><div><h3>Objective</h3><div>This study delves into the intersection of post-COVID-19 household food insecurity, dietary diversity, and mental depression among affected households.</div></div><div><h3>Methodology</h3><div>A cross-sectional study conducted with a sample size of COVID 19 affected 500 households. Bivariate linear regression performed to establish associations with food insecurity, dietary diversity, and depression.</div></div><div><h3>Result</h3><div>The study found that only 33.4 % of households were food secure, while 40.8 % experienced moderate food insecurity. Most households (82.2 %) had a medium level of dietary diversity, and 45.6 % of respondents reported experiencing different level of depression. Urban residency, higher education, stable employment, and higher income were associated with lower food insecurity and better dietary diversity ((<em>p</em> &lt; 0.05), whereas female-headed households, joint families, and older family heads had higher levels of depression. Job losses (63 %) and income reductions (69.8 %) during COVID-19 contributed significantly (<em>p</em> &lt; 0.05) to increased food insecurity and depression. Households with stable jobs, higher incomes, and access to nutritional information enjoyed better food security, greater dietary diversity, and lower depression. In contrast, rising food prices and job changes worsened both food insecurity and mental health outcomes.</div></div><div><h3>Conclusion</h3><div>The COVID-19 pandemic has impacted food security, dietary diversity and mental health in Jashore, Bangladesh, exacerbating food insecurity and mental depression, especially among vulnerable groups. However, households with stable jobs, better education, and access to information fared better.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100217"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical provider perspectives on children with incarcerated parents: A mixed-methods study","authors":"Laurel Davis ,&nbsp;Marvin So ,&nbsp;Andrew J. Barnes ,&nbsp;Rebecca J. Shlafer","doi":"10.1016/j.dialog.2025.100208","DOIUrl":"10.1016/j.dialog.2025.100208","url":null,"abstract":"<div><h3>Purpose</h3><div>To understand health care providers' perceptions, clinical considerations, and clinical actions towards children with incarcerated parents.</div></div><div><h3>Methods</h3><div>We implemented an experimental vignette study in which health care provider participants were randomly assigned a patient case describing a child with a parent absent for unspecified reasons (control) vs. incarceration (experimental). Participants completed a survey of closed- and open-ended items regarding their clinical approach. Groups were compared with chi-square and ANOVA. Qualitative data were analyzed inductively.</div></div><div><h3>Results</h3><div>Medical providers (<em>N</em> = 391) were predominantly non-Hispanic white, male, and physicians who had not received training on social determinants of health. There were no significant differences between the experimental and control groups in comfort with or approach towards the patient; specific conditions of concern; or number of concerns. Across groups, providers commonly endorsed intentions for additional emotional-behavioral screening and concerns for ADHD and adjustment disorders. Providers responding to the experimental vignette indicated interest in the child's psychosocial context (e.g., behavior/attention at home), current experiences (e.g., with trauma or abuse), relationships (e.g., with grandparents), perspectives of other reporters (e.g., teachers), and additional clinical actions (e.g., in-depth medical or developmental history).</div></div><div><h3>Conclusion</h3><div>Medical providers' approach to children of incarcerated parents may be similar to that of any child with an absentee parent, contrasting existing literature on teachers. When signaled about parental incarceration, providers evidenced attention to children's holistic contexts and needs.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100208"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535113","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 culturally-specific education strategy to improve stroke health literacy in Vietnamese communities in South Western Sydney","authors":"Jessica Ly ,&nbsp;Christopher Blair ,&nbsp;Helen Badge ,&nbsp;Michael Camit ,&nbsp;Khoi Do ,&nbsp;Timmy Pham ,&nbsp;Nicola Chappelow ,&nbsp;Dennis J. Cordato ,&nbsp;Mark W. Parsons","doi":"10.1016/j.dialog.2025.100211","DOIUrl":"10.1016/j.dialog.2025.100211","url":null,"abstract":"<div><h3>Background</h3><div>South-Western Sydney (SWS) is home to a large Vietnamese community, who are at higher risk of stroke and adverse health outcomes than Australian-born individuals. There is limited research on the effect of educational interventions on stroke literacy in Vietnamese communities. This study aimed to characterise recognition of stroke symptoms, risk/protective factors, and stroke response in Vietnamese communities living in SWS and investigate whether culturally tailored education sessions could improve stroke literacy.</div></div><div><h3>Methods</h3><div>A prospective interventional study evaluated a single 1.5-h stroke education workshop. Data included pre/post-education surveys, participant demographics and stroke literacy. Change in literacy and contributing factors were analysed.</div></div><div><h3>Results</h3><div>There were 195 participants in three sessions. Stroke symptoms were recognised by the majority [Face:(56.4 %), Arms:(66.7 %), Speech:(61.5 %)], with 52.8 % identifying all three whilst 29.2 % recognised none. Most participants were confident calling an ambulance (60.0 %), aware of diabetes as a risk factor (73.9 %) and recognised healthy diet/exercise (82.5 %) as protective factors. Post-education, 24.6 % recognised more symptoms, with 73.4 % identifying all three and only 16.6 % recognising none. 33.1 % were more confident calling an ambulance, 32.4 % more aware of diabetes mellitus, and 29.8 % more aware of diet/exercise. Smaller group size [OR = 2.83, 95 %CI = 1.15–6.96 (<em>p</em> = 0.024), lower age [OR = 0.93, 95 %CI = 0.87–1.00 (<em>p</em> = 0.037)] and lower baseline literacy [OR = 6.38, 95 %CI = 2.48–16.41 (<em>p</em> &lt; 0.001)] were significantly associated with improved stroke literacy post-education.</div></div><div><h3>Conclusion</h3><div>Stroke literacy in the SWS Vietnamese community improved with a single culturally tailored education session. This study underscores the importance of tailored educational interventions and highlights the need for strategies addressing low baseline literacy and age-related barriers.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100211"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768520","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":"Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia","authors":"Sri Juni Woro Astuti ,&nbsp;Sayekti Suindyah Dwiningwarni ,&nbsp;Suryo Atmojo","doi":"10.1016/j.dialog.2025.100206","DOIUrl":"10.1016/j.dialog.2025.100206","url":null,"abstract":"<div><div>Child stunting is a significant problem in Indonesia and requires special attention even though the government has implemented various programs to overcome it. The formulation of this study is: 1) How is the management of stunting handling based on the government's perspective? 2) What is the role of parties involved in the prevention and handling of stunting? 3) What is an effective stunting management model? The objectives of this research are: 1) The implementation of local government stunting handling policies; 2) Analyze cross-sector collaboration and active participation of all stakeholders; and 3) Formulate an integrated model for handling stunting and the implementation of system synergy. The design of this study uses a qualitative approach with a phenomenological which was carried out in the period from January 2023 to September 2024 in Indonesia. The informants interviewed in this study were 60 people recruited using the purposive sampling method also involving Focus Group Discussions (FGD). The results of this study identify that the success of stunting reduction efforts depends on effective collaboration between various stakeholders. The study highlights that social capital, which consists of social networks, collective norms, and trusts, plays an important role in strengthening stunting reduction efforts. Further research is needed to explore the specific impacts of social capital in other contexts in Indonesia and to develop more adaptive intervention models to local social and cultural dynamics.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157957","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":"Formulae for calculating subgroup disease burden from overall and reported or assumed relative burden estimates","authors":"Kwame Owusu-Edusei ,&nbsp;Arijita Deb ,&nbsp;Elamin H. Elbasha","doi":"10.1016/j.dialog.2025.100216","DOIUrl":"10.1016/j.dialog.2025.100216","url":null,"abstract":"<div><h3>Background</h3><div>The risk of disease varies across populations based on factors like age, sex, race, ethnicity, socioeconomic status, and underlying medical conditions. Subgroup or subpopulation data are critical in planning, executing and evaluating public health interventions. However, most studies report the values for the overall (total) population with little or no information on the subgroups. As a result, finding subgroup specific data can be challenging.</div></div><div><h3>Objective</h3><div>In this report, a set of formulae that can be used to calculate subgroup or subpopulation data using the overall estimates and the reported or assumed relative estimates were derived.</div></div><div><h3>Methods</h3><div>A simple numerical example was used to illustrate the methodology. Next, symbolic formula for calculating the burden (e.g., incidence, prevalence, or average cost) for 3 (and extended to <em>n</em> number of) subgroups or subpopulations were derived. To account for uncertainty in the data, two statistical methods were used to estimate confidence intervals for the point estimates.</div></div><div><h3>Results</h3><div>The derived formulae indicated that each subgroup or subpopulation's burden (incidence, prevalence, or average cost) can be calculated as the overall burden adjusted by the ratio of that subgroup or subpopulation's relative burden to the sum of the proportion-weighted relative burden (incidence, prevalence, or average cost) of all the subgroups or subpopulations within the population.</div></div><div><h3>Conclusion</h3><div>These formulae can help to avoid or minimize potential quantitative and qualitative errors in subgroup or subpopulation disease burden estimates used for health research, interventions and/or policy analyses or deliberations.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100216"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the dynamics of malnutrition dichotomy in India: Trends and insights from the National Family Health Surveys","authors":"Himanshu Jindal ,&nbsp;Vinay Suresh ,&nbsp;Saniya Agarwal ,&nbsp;Priyanshi Vyas ,&nbsp;Nabeela Bari","doi":"10.1016/j.dialog.2025.100209","DOIUrl":"10.1016/j.dialog.2025.100209","url":null,"abstract":"<div><h3>Purpose</h3><div>India is confronted with a multifaceted malnutrition landscape, characterized by the coexistence of stunting, underweight, and escalating overweight and obesity rates. Current programs predominantly target undernutrition, overlooking the surging prevalence of overweight and obesity. These trends carry substantial economic ramifications, with obesity-related costs expected to rise significantly. Addressing these challenges requires enhanced policy execution and strategic collaboration. This article seeks to help overcome policy inertia in addressing the other end of the malnutrition spectrum—overnutrition.</div></div><div><h3>Methods</h3><div>The National Family Health Survey (NFHS), a large-scale survey conducted by the Ministry of Health and Family Welfare, Government of India, provides high-quality data on population dynamics and health indicators. Data for relevant health indicators were extracted from NFHS-3 to NFHS-5 to identify trends and shifting paradigms in malnutrition profiles. Data from the latest NFHS (NFHS-5) were briefly analyzed to highlight the malnutrition dichotomy and perform linear regression analysis.</div></div><div><h3>Results</h3><div>The data revealed a declining trend in stunting and underweight prevalence alongside a rise in overweight prevalence. Linear regression analyses on NFHS-5 data showed a positive association between literacy and obesity in both men and women. The findings also indicated that children fed with minimum dietary diversity were more likely to be overweight, and revealed a significant association between elevated random blood glucose levels and obesity in women.</div></div><div><h3>Conclusions</h3><div>By implementing the necessary interventions and strategies, India can establish a holistic approach to addressing both undernutrition and overnutrition effectively, thus contributing to Sustainable Development Goal-2 and paving the way for a healthier and more productive future for India's population.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510818","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":"Workplace menstrual product policies and worker well-being: Insights from Queensland, Australia","authors":"Melissa Judith Chalada","doi":"10.1016/j.dialog.2025.100219","DOIUrl":"10.1016/j.dialog.2025.100219","url":null,"abstract":"<div><div>In 2022, the World Health Organization acknowledged menstrual health as a global human right and encouraged a shift in responsibility from individuals to the community. Globally, menstrual products are rarely included in workplace policies, hindering equitable well-being by placing disproportionate burden on menstruating workers. This exploratory study in Queensland, Australia supplied a public sector workplace with menstrual products for two months in 2023. A questionnaire with qualitative and quantitative aspects assessed the experiences of 21 menstruating workers. Before the supply, 94.7 % had experienced menstruation at work without access to products, leading to mental distress. Additionally, 71.4 % worried about lacking products when needed and 38.1 % believed this worry decreased their mental well-being or concentration. After the supply, 94.1 % reported improved emotions, 70.6 % perceived improved concentration and 64.7 % felt improved mental well-being. However, only 57.1 % believed that menstrual product supply should be mandated by workplace policy. Factors contributing to exclusion of menstrual products from global workplace policies are discussed, such as limited awareness, poor workplace infrastructure and persistent stigma. This study was limited by a small sample size and self-reporting bias. Regardless, the findings highlight the respective positive and negative impacts of including or omitting menstrual products in workplace policy, even in a socioeconomically privileged country like Australia. This emphasises the underestimation of menstrual health as a basic human right in workplace health and safety, urging more research on workplace menstrual product provision and related feminine sanitary infrastructure especially in low-resourced nations.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100219"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring public perceptions of college education on TikTok: A content analysis through the lens of the social determinants of health","authors":"Erin Toussaint Jacques ,&nbsp;Vincent Jones II ,&nbsp;Erela Datuowei ,&nbsp;Arijit Chatterjee ,&nbsp;Carlee Denholtz ,&nbsp;Corey H. Basch","doi":"10.1016/j.dialog.2025.100213","DOIUrl":"10.1016/j.dialog.2025.100213","url":null,"abstract":"<div><div>This study examines the value of a college degree within the context of the Social Determinants of Health (SDH) framework, analyzing 100 TikTok videos and their respective comments through two separate analyses. The first focused on the video characteristics, including engagement metrics such as likes, comments, shares, and saves, while the second analyzed comment threads for themes within the SDH framework. Data were analyzed using descriptive statistics and the Mann-Whitney <em>U</em> test to evaluate differences in engagement metrics based on the presence or absence of the themes. Videos addressing Employment Opportunities (76 %), Economic Mobility (68 %), and Education Quality (65 %) received the highest engagement. The comment analysis showed significant associations between themes such as Income Potential, Employment Opportunities, Economic Mobility, Social Capital, Debt and Financial Stress with higher video likes. However, health related themes, despite being integral to the SDH framework, were either absent or insignificant in comment discussions. These findings underscore the public's emphasis on financial and career-related concerns over broader health implications. Future research should explore the extent to which SDH-related benefits—such as health resources, access, and literacy—influence decisions about pursuing higher education.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Heat on Human and Animal Health in India: A Landscape Review","authors":"Sandul Yasobant ,&nbsp;K. Shruti Lekha ,&nbsp;Poonam Trivedi ,&nbsp;Shruti Krishnan ,&nbsp;Chinmayee Kator ,&nbsp;Harleen Kaur ,&nbsp;Mudita Adaniya ,&nbsp;Anish Sinha ,&nbsp;Deepak Saxena","doi":"10.1016/j.dialog.2024.100203","DOIUrl":"10.1016/j.dialog.2024.100203","url":null,"abstract":"<div><div>Climate change presents a significant global public health challenge for animals and humans. Due to geography, climate, population, and urbanization, India is vulnerable to extreme heat. This review aims to explore the impact of heat on human and animal health in India. The publications on this topic were retrieved from PubMed and Google Scholar using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Out of 219 articles extracted, 44 were reviewed. The review included articles published in the last ten years, regardless of design. Half of the 44 articles were original studies; the rest were perspective, opinion, review studies, editorial, or commentary papers. The present review shows how heat adversely affects human health, increasing mortality and morbidity, especially during heat waves. Heat-related health issues in India include increased hospital admissions for cardiorespiratory diseases, mental health problems, reduced productivity, and agricultural yields. Vulnerable groups like workers, pregnant women, and children require targeted interventions. Limited evidence exists on the impact of heat on animals, but studies show increased health problems due to high temperatures. Targeted interventions are needed to prevent heat-related mortality and morbidity in India.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100203"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061545","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}