Frontiers in global women's health最新文献

{"title":"Determinants of tetanus immunization among pregnant women where tetanus has not been eliminated: a multilevel analysis of 6 countries.","authors":"Werkneh Melkie Tilahun, Habtamu Geremew, Lamrot Yohannes Abay, Adugnaw Bantie Kebie, Mulat Belay Simegn","doi":"10.3389/fgwh.2025.1481771","DOIUrl":"10.3389/fgwh.2025.1481771","url":null,"abstract":"<p><strong>Background: </strong>Two or more doses of the tetanus toxoid (TT) vaccine in pregnancy afford the fetus passive immunity and reduce neonatal mortality by 96%. In developing nations, the use of TT during pregnancy is still uncommon but presents a serious risk to public health. Thus, the current study aimed to identify determinants of adequate TT immunization among pregnant women in six countries that have not eliminated maternal and neonatal tetanus.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using recent demographic and health survey datasets from 6 countries that didn't achieve maternal and neonatal tetanus elimination. A total of 84,248 weighted samples were included. A multilevel logistic regression model was fitted. An adjusted odds ratio with a 95% CI and <i>p</i>-value < 0.05 was used to declare significant factors.</p><p><strong>Results: </strong>Being married [AOR = 1.36, CI: 1.20, 1.54], poorest [AOR = 1.46, CI: 1.36, 1.57], the poorer [AOR = 1.48, CI: 1.39, 1,59], middle [AOR = 1.33, CI: 1.26, 1.42], and the richer [AOR = 1.19, CI: 1.13, 1.26] wealth quintile, giving birth between the ages of 24 and 30 years [AOR = 1.10, CI: 1.04, 1.16], being primiparous [AOR = 1.09; CI: 1.02, 1.17], female house head [AOR = 1.13; CI: 1.06, 1.20], 4 and above antenatal care (ANC) visits [AOR = 5.94, CI: 5.60, 6.30], attending post-natal checkup [AOR = 1.18, CI: 1.13, 1.23], and institutional delivery [AOR = 1.22, CI: 1.18, 1.27] were positively related to adequate TT immunization. While unemployment [AOR = 0.68, CI: 0.66, 0.71], poor health facility visits [AOR = 0.72, CI: 0.70, 0.75], abortion [AOR = 0.89, CI: 0.85, 0.93], low community media exposure [AOR = 0.74, CI: 0.67, 0.81], and rural residence [AOR = 0.80, CI: 0.77, 0.84] were significant risk factors for inadequate TT immunization.</p><p><strong>Conclusion: </strong>Marital status, wealth index, age at first birth, decision about women's health care, parity, sex of household head, ANC, postnatal checkup, distance to health facility, and health insurance were significant predictors of adequate TT vaccination. Therefore, TT immunization can be improved by promoting maternal employment, improving post-abortion care, media coverage, community literacy, and health accessibility, and encouraging pregnant women to receive ANC and postnatal care.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1481771"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781958","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":"Lived experiences of women suffering from Tuberculosis in Kashmir: an interpretative phenomenological study.","authors":"Rubeena Akhter, Wakar Amin Zargar, Fayaz Ahmad Paul","doi":"10.3389/fgwh.2025.1464091","DOIUrl":"10.3389/fgwh.2025.1464091","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate women's experiences with tuberculosis and the challenges they face during their illness. It also explored the impact of infertility on their social relationships.</p><p><strong>Method: </strong>The study used Interpretative Phenomenological Analysis to understand the experiences of 21 women affected by tuberculosis. These women shared their tuberculosis-related infertility struggles and the repercussions they faced during their illness.</p><p><strong>Results: </strong>The results are discussed in terms of two main themes: 1. Tuberculosis as an enduring experience with an emotional response to physical suffering; and 2. Tuberculosis and the concern of conceiving as a case beyond Microbiology.</p><p><strong>Conclusion: </strong>The study findings provide better insight into the sufferings and miseries of infertility due to tuberculosis, as well as the impact of illness on overall well-being, emphasizing the need for targeted intervention.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1464091"},"PeriodicalIF":2.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781991","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":"Protecting emotional wellbeing during childbirth: exploring the role of organisational regulatory processes in promoting compassion.","authors":"Caroline A B Redhead","doi":"10.3389/fgwh.2025.1569334","DOIUrl":"10.3389/fgwh.2025.1569334","url":null,"abstract":"<p><p>In this article I consider how legal processes have power to facilitate or impede emotional safety and wellbeing for women and birthing people. I suggest that the use of therapeutic jurisprudence to re-view NHS Foundation Trusts' organisational and regulatory processes can offer new insights. Therapeutic jurisprudence is an approach which pays purposeful attention to the therapeutic (or harmful) consequences of legal processes and how they impact the psychological well-being of those upon whom they act. The report of the Inquiry into maternity and neonatal services at East Kent Hospitals University NHS Foundation Trust was the catalyst for the theoretical suggestions I make in this article. In its response to this report, the Government has acknowledged the importance of a culture of honesty, compassion and safety. However, none of the Government's recommendations considers the impact of organisational regulatory processes on the provision of compassionate care. My argument here is that such processes are neither inert nor benign. Critical socio-legal literature provides clear evidence of the anti-therapeutic potential of hierarchical organisational structures, and this is confirmed by the findings of the East Kent Report. Presenting a brief, therapeutic jurisprudence-informed review of some of the findings of the East Kent report, I suggest that a re-view of NHS Trusts' constitution and governance processes might offer the new means of tackling maternity service failures for which Bill Kirkup called in the East Kent Report, with the ultimate aim of ensuring emotional safety and wellbeing for pregnant and birthing people in childbirth.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1569334"},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722907","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":"Using the PEBIC criteria to assess the quality of responses provided during a Family Planning radio program.","authors":"Babafunke Fagbemi, Abiodun Adegbenro, Toyin Akande, Charles Udennaka, Adaora Uzoh-Ntiwunka, Bukola Toriola, Adenike Ayodele","doi":"10.3389/fgwh.2025.1499341","DOIUrl":"10.3389/fgwh.2025.1499341","url":null,"abstract":"<p><strong>Introduction: </strong>Radio remains a dominant source of information, in Sub-Saharan Africa, with 75% of the population relying on it. In Nigeria, radio reaches over 70% of citizens and stands as a vital tool for behavior change. Tailoring radio programs to address needs and cultural contexts of communities has proved essential for building trust and influencing behavioral change. Traditional evaluation of radio interactive programs focus on listener engagement metrics but overlooks the evaluation of the quality of the resource person's responses to the caller's questions. This study aimed to assess the quality of information delivered by resource persons during the interactive segments of a Family Planning (FP) radio program using a criteria.</p><p><strong>Methods: </strong>A qualitative analysis was conducted on caller questions and resource person responses from FP radio programs in three Nigerian states. A customized ranking system based on \"Presentation,\" \"Empathy,\" \"Provider's Bias elimination,\" \"Information correctness,\" and \"Context Specificity\" (PEBIC) was used by FP experts to assess the resource person's response quality. The scores for the responses were segmented and categorized into low, moderate and high quality using the mean, and standard deviation then analyzed using SPSS version 20.</p><p><strong>Results: </strong>For the technical segment of the radio program, while individually assessing each item on the criteria, the quality of responses was high, with an average of 91.2%. For the entertainment education segment of the radio program, while individually assessing each item on the criteria, the quality of responses with empathy was low (28%), however, the quality of responses for other criteria was high, with an average of 79.8%. Furthermore, in the overall quality of response for the technical segment, the responses given by the resource persons were of high quality (81%) while those of the entertainment education segment were of moderate quality (58%).</p><p><strong>Conclusion: </strong>The radio program excelled in delivering technical information but fell short in fostering adequate empathy during the entertainment education segment. Additional training for resource persons to hone their skills in embedding their message delivery in an empathetic frame thus strengthening the emotive connection with the audience is key. This could significantly improve the program's overall impact.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1499341"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712317","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":"Corrigendum: Dating violence in Portugal: how can it be handled in secondary schools and universities?","authors":"Sofia Neves, Ariana Correia","doi":"10.3389/fgwh.2025.1576105","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1576105","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fgwh.2024.1456595.].</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1576105"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712395","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 power of a patient's story: a practice in cultural humility.","authors":"Randall B Schmidt","doi":"10.3389/fgwh.2025.1498385","DOIUrl":"10.3389/fgwh.2025.1498385","url":null,"abstract":"<p><p>As the United States grows increasingly diverse, healthcare providers will encounter changing patient populations. In obstetrics, patients often come with personal delivery priorities shaped by different life experiences, cultural expectations and personal perspectives, which may differ from those of their provider. Invariably, cultural conflicts can occur, especially when patient and provider priorities do not align. This article shares the story of a Congolese refugee mother within an urban metro area who faced such conflict when delivery preferences could not be accommodated. Highlighting communal apprehension to Cesarean delivery within the Congolese community, this piece also emphasizes how obstetrics providers can improve care for culturally diverse patients. In addition, this piece also discusses an American College of Obstetricians and Gynecologists (ACOG) committee opinion, cultural humility and its incorporation into future curriculum for medical education, and the author's personal reflection of this story's impact.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1498385"},"PeriodicalIF":2.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712397","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":"Establishment of a predictive model for spontaneous preterm birth in primiparas with grade A1 gestational diabetes mellitus.","authors":"Ting Sun, Yangyang Zhang, Chunzhi Xie, Anyi Teng, Shi Lin, Hui Zhang, Yan Li","doi":"10.3389/fgwh.2025.1496085","DOIUrl":"10.3389/fgwh.2025.1496085","url":null,"abstract":"<p><strong>Objective: </strong>To establish a predictive model for spontaneous preterm birth (SPB) in primiparas with grade A1 gestational diabetes mellitus (GDM).</p><p><strong>Methods: </strong>The clinical data of 1,229 primiparas with grade A1 GDM who delivered in our hospital from July 2020 to August 2023 were retrospectively analyzed, including 142 primiparas in the SPB group and 1,087 primiparas in the full-term group. Their basic information, family history, weight, cervical length (CL) measured by transvaginal ultrasound in the second trimester, and pregnancy complications were analyzed. The factors influencing SPB were explored, and a prediction model based on a random forest algorithm was constructed.</p><p><strong>Results: </strong>Short CL in the second trimester, a family history of preterm birth, a high pre-pregnancy and prenatal body mass index, the use of assisted reproductive technology, and a high fasting blood glucose level in the first trimester were important risk factors for SPB in primiparas with grade A1 GDM. The prediction model constructed in this study has a high overall prediction angle.</p><p><strong>Conclusions: </strong>Evaluation of the above risk factors before or during pregnancy and preventive measures and interventions targeting these risk factors will reduce the risk of SPB in primiparas with grade A1 GDM.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1496085"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671696","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":"Global burden, trends and inequalities of maternal hypertensive disorders among reproductive-age women of advanced maternal age, 1990-2021: a population-based study.","authors":"Xuanyu Zhao, Weimin Kong, Yan Jiang, Feng Sui","doi":"10.3389/fgwh.2025.1513909","DOIUrl":"10.3389/fgwh.2025.1513909","url":null,"abstract":"<p><strong>Background: </strong>Maternal hypertensive disorders (MHD) are leading causes of maternal morbidity and mortality worldwide, particularly among reproductive-age women of advanced maternal age (AMA), representing a significant global public health challenge.</p><p><strong>Objective: </strong>This study aimed to analyze the global trends, inequalities, and disparities in the burden of MHD among reproductive-age AMA women from 1990 to 2021.</p><p><strong>Methods: </strong>We conducted a population-based study using data from the Global Burden of Disease (GBD) 2021 study, covering 204 countries and territories. The study included women aged 35-49 years with hypertensive disorders during pregnancy. We assessed age-standardized incidence rate (ASIR) and age-standardized death rate (ASDR) of MHD among reproductive-age AMA women. Temporal trends were evaluated using joinpoint regression analysis, while health inequalities were measured using the concentration index and the slope index of inequality (SII).</p><p><strong>Results: </strong>Between 1990 and 2021, the global ASIR of MHD decreased from 568.10 (95% UI: 412.06-738.55) to 491.49 (95% UI: 368.78-619.84) per 100,000 population (AAPC: -0.46%, 95% CI: -0.54% to -0.38%), and ASDR declined from 2.57 (95% UI: 2.23-2.97) to 1.44 (95% UI: 1.19-1.76) per 100,000 population (AAPC: -1.83%, 95% CI: -1.99% to -1.67%). Substantial disparities persisted across socio-demographic index (SDI) regions, with high and high-middle SDI regions showing increasing incidence trends (AAPC: 2.36% and 1.45%, respectively). The slope index of inequality (SII) for ASIR improved from -3,052.73 (95% CI: -3,329.55 to -2,775.91) to -1,209.36 (95% CI: -1,393.12 to -1,025.61) per 100,000 women, while the SII for ASDR decreased from -11.29 (95% CI: -12.38 to -10.20) to -3.66 (95% CI: -4.13 to -3.20) deaths per 100,000 women. The concentration index for ASIR showed slight improvement (from -0.46 to -0.34), while ASDR inequality marginally worsened (from -0.62 to -0.66).</p><p><strong>Conclusion: </strong>Despite overall declines in MHD burden, significant disparities persist, particularly in low SDI regions. These findings highlight the need for targeted public health interventions to reduce inequalities, improve healthcare access, and enhance maternal outcomes for reproductive-age AMA women globally.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1513909"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671864","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":"Perspectives of women from migrant and refugee backgrounds accessing the Cross Cultural Worker Service in maternity and early childhood services-a qualitative study.","authors":"Helen J Rogers, Caroline S E Homer, Amanda Henry","doi":"10.3389/fgwh.2025.1553677","DOIUrl":"10.3389/fgwh.2025.1553677","url":null,"abstract":"<p><strong>Introduction: </strong>Women from migrant and refugee backgrounds living in high-income countries have an increased risk of adverse perinatal outcomes and lower satisfaction with healthcare. A Cross Cultural Workers (CCWs) Service was implemented in Sydney, Australia, supporting women and families throughout pregnancy to their child being 5 years old.</p><p><strong>Methods: </strong>This study aimed to describe women's experience of the CCW Service and recommendations for improvement using interviews at 6 or 12 months postpartum. A framework approach was used for analysis.</p><p><strong>Results: </strong>Four themes were generated from 23 interviews; (1) gaining knowledge, (2) strengthening capacity, (3) providing support; and (4) sharing culture, language, and migration journey. The impact of COVID-19 was a cross-cutting issue.</p><p><strong>Discussion: </strong>The CCW Service was highly regarded, helpful, informative, and enhanced women's care experience. Recommendations for improvement were increased CCW workforce and provision of group education. This model has the potential to improve perinatal care of women from migrant and refugee backgrounds.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1553677"},"PeriodicalIF":2.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671866","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":"An exploration of sub-national variability in institutional maternal mortality ratios in Kenya: a meta-analysis of the 2021 health facility data.","authors":"Francis G Muriithi, Christina Easter, Alfred Osoti, Zahida Qureshi, Adam Devall, Arri Coomarasamy","doi":"10.3389/fgwh.2025.1481495","DOIUrl":"10.3389/fgwh.2025.1481495","url":null,"abstract":"<p><strong>Background: </strong>In many countries in sub-Saharan Africa, the burden of preventable maternal deaths is still unacceptably high. Most Maternal Mortality Ratio (MMR) estimates are national, rarely sub-national. This study explores Kenya's 2021 national health facility dataset on maternal deaths and live births for sub-national variability to describe the pattern and trend in variation in institutional maternal mortality ratios (iMMRs).</p><p><strong>Methods: </strong>Country-wide health facility data on live births and maternal deaths for 2021 were requested from the District Health Information System (DHIS-2). A descriptive comparison of sub-national (Regional and County) iMMRs to national iMMR was carried out. Against a national average iMMR for Kenya of about 100 per 100,000 live births, those regions and counties with an iMMR <75 per 100,000 live births were defined as positive outliers, and those with an iMMR >125 were defined as negative outliers.</p><p><strong>Results: </strong>In 2021, 1,162 maternal deaths and 1,174,774 live births occurred within Kenya's health facilities. The annual national average iMMR was 99 per 100,000 live births [95% confidence interval (CI): 93.3, 104.8]. There was sub-national variability in iMMR at both regional and county levels. Central, Western and Rift Valley regions were positive outliers; North-Eastern Coast and Nairobi regions were negative outliers, while Nyanza and Eastern regions had an iMMR consistent with the national average. Seventeen counties were positive outliers, namely Baringo, Siaya, Nyamira, Elgeyo-Marakwet, West Pokot, Nandi, Kiambu, Laikipia, Nyeri, Samburu, Marsabit, Vihiga, Bungoma, Nyandarua, Kajiado, Murang'a and Trans-Nzoia. Ten counties were negative outliers: Tana River, Mandera, Machakos, Kilifi, Taita-Taveta, Kisumu, Nairobi, Garissa, and Mombasa and Isiolo. The iMMR in the remaining twenty counties was consistent with the national average. The effect sizes of the observed health facility variation were zero and there was no evidence of month-to-month variation.</p><p><strong>Conclusion: </strong>There is evidence of sub-national variability in Kenya's iMMRs. Understanding these reasons for the variability is crucial for developing strategies for improving maternal health outcomes. If positively deviant behaviours and practices are identified, they could form the basis for adopting asset-based approaches such as the positive deviance approach to improve maternal healthcare delivery processes and outcomes and reduce preventable maternal deaths.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1481495"},"PeriodicalIF":2.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659973","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}