Catherine L Davis, Heather Bell, Victor Andrews, Jessica Stewart, André de Seixas Soares, Jacob Weiser, Esmeralda J Rico Martinez, Brittany Frazier, Joseph P McEvoy, Gina M Besenyi
{"title":"The PARCS Pilot Study Randomized Controlled Trial: Feasibility and Acceptability of a Park-Based Exercise Program Led by Peer Specialists for Peers with Serious Mental Illness.","authors":"Catherine L Davis, Heather Bell, Victor Andrews, Jessica Stewart, André de Seixas Soares, Jacob Weiser, Esmeralda J Rico Martinez, Brittany Frazier, Joseph P McEvoy, Gina M Besenyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adults with serious mental illness (SMI) die decades early, mostly from heart disease. Few park-based exercise interventions have been tested, none focused on SMI. The study (NCT05293587) tested a 6-week exercise intervention (INT; 45 min park-based exercise led by a certified peer specialist (CPS) 3 days/week) vs. waitlist control (WAIT), as part of an existing peer support program for adults with SMI in Georgia. Eighteen peers (44±15 yrs, 28% female, 72% Black, 17% Hispanic, 33% with diabetes) were randomized (6 INT, 12 WAIT). One CPS was trained to lead exercise sessions, supported by a certified fitness instructor at each session. 10 sessions were conducted in each cohort, up to 2 per week. Transportation was provided as part of peer services. INT peers attended 69±22% of sessions. INT peers attended 100% of sessions when they were present at the peer support program, except for one peer on 2 occasions (improper footwear, medication side effect). Peers were highly satisfied with the park sessions and highly motivated to participate. The CPS who led the sessions expressed satisfaction. While not significant, compared to baseline, INT peers had slightly improved fitness, hemodynamics, and depression symptoms, and social support for exercise at post. The park-based CPS-led exercise program for peers with SMI seems acceptable and relatively feasible. Further work will replicate these pilot findings, assess health outcomes and optimize feasibility and scalability to existing mental health services.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 2","pages":"146-160"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002168","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}
Midhat Rehman, Juhi Aggarwal, Kimberly T Nguyen, Maryanne L Campbell, Derek G Shendell
{"title":"Changes in Personal Wellness Habits Among Newer New Jersey Teachers During COVID-19 Impacted School Years.","authors":"Midhat Rehman, Juhi Aggarwal, Kimberly T Nguyen, Maryanne L Campbell, Derek G Shendell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>New Jersey Safe Schools Program (NJSS) provides work-based learning (WBL) trainings to certified teachers who supervise students in school-sponsored work placements. Some newer teachers shared existing and adopted new physical health habits during the COVID-19 pandemic. Surveys were provided to teachers who completed NJSS WBL supervisory trainings between October 2021-June 2022, with a follow-up survey Fall 2022. This cross-sectional study focused on a subset of questions on their self-reported behavioral habits regarding processed food/snack consumption, aerobic exercise, and sleep health. Of 114 teachers, approximately 3-in-5 (62.1%) woke up during the night and 1-in-3 (36.8%) found difficulty waking up in the morning on a school/workday; 1-in-10 (10.5%) sleep less than five hours per night. Regarding personal nutrition, 1-in-3 participants (37%) consumed processed snacks/foods daily. Concerning physical health, 2-in-5 participants (43.8%) decreased aerobic exercise habits during the initial survey but increased at follow-up. Data suggest NJ teachers adapted personal nutrition, sleep, and aerobic exercise habits during the COVID-19 pandemic. Data offer guidance to help schools better address teacher needs, including healthy eating, wellness, and physical activity.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 2","pages":"123-135"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002184","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}
Isabella Young, Erin N Looney, Yanyan Chen, Jay E Maddock, Andrew T Kaczynski
{"title":"Exploring the impact of green space exposure on college students' mental health and academic performance.","authors":"Isabella Young, Erin N Looney, Yanyan Chen, Jay E Maddock, Andrew T Kaczynski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>College students often face high stress and mental health challenges that impact their academic performance and well-being. Time spent in green space (TSIGS) may reduce depressive symptoms, alleviate anxiety, and enhance cognitive function. However, few studies investigate how nature directly impacts these factors among undergraduates. The purpose of this study was to evaluate the associations between TSIGS and anxiety, depression, and academic achievement among undergraduates at a Southeastern US university. This study surveyed undergraduate students (n=291), about anxiety, depression, academic performance, and TSIGS. Adjusted binary logistic regressions analyzed relationships between annual level of TSIGS (low, moderate, or high usage) or weekly TSIGS (low, moderate, or high usage) and three separate outcomes: levels of anxiety, levels of depression, and academic achievement level. Most participants held majors in public health (49.8%) or arts and sciences (15.8%), and were predominantly female (83.8%), sophomores (29.6%), and White (82.8%). Most respondents did not exhibit reported minimal/mild levels of anxiety (69.4%) or depression (63.2%), and most achieved high academic performance (71.5%). Regarding TSIGS, 26.8% of respondents reported low annual usage, while 54.6% reported high annual usage. Per week, 62.9%, 32.0%, and 5.2% of respondents had low, moderate, and high usage of green spaces, respectively. TSIGS was not significantly related to measurable levels of anxiety, depression, or academic achievement. This study found no significant relationships between students' TSIGS and their anxiety, depression, or academic achievement levels. Possible influences include seasonal factors and survey timing. Future research should explore longitudinal impacts of TSIGS on mental health and academic outcomes.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 2","pages":"136-145"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002111","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}
Brooke E Wagner, Zili Zong, Cody D Neshteruk, Emily M D'Agostino
{"title":"Association Between School Neighborhood Walkability and Adolescent Physical Activity.","authors":"Brooke E Wagner, Zili Zong, Cody D Neshteruk, Emily M D'Agostino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Neighborhood structural factors are associated with greater feasibility of youth active travel and thus, greater levels of physical activity. However, limited prior work has addressed walkability factors specific to the school neighborhood related to adolescent physical activity during the school day. Therefore, the purpose of this study was to examine the relationship between two school neighborhood walkability factors (neighborhood density and neighborhood age) and school-related adolescent moderate-to-vigorous physical activity (MVPA). We analyzed cross-sectional data from the Family Life, Activity, Sun, Health, and Eating (FLASHE) study for 1,183 adolescents ages 12-17 years. Separate linear regression models assessed the association between both school-neighborhood density and school-neighborhood age (i.e., population/housing unit density and age of buildings/units, respectively, within a 400m buffer around school address) and adolescent school-related MVPA, adjusting for age, sex, race/ethnicity, weight status, urban/rural environment and parent MVPA. School-neighborhood density (8.62, 95% CI: 0.70, 16.53) and school-neighborhood age (6.38, 95% CI: -0.29, 13.05) were both positively associated with school-related MVPA, although the neighborhood age-MVPA association observed was not statistically significant. When seeking to improve physical activity among adolescents, school neighborhood structural factors that support physical activity throughout a school day should be considered. Unfortunately, macro-scale environmental features such as these are not easily modified. Thus, these findings should be used to inform additional research related to school-neighborhood walkability and adolescent participation in physical activity.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 2","pages":"161-170"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002141","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}
Marilyn E Wende, M Renée Umstattd Meyer, Kathy J Krey, Randa Lopez Morgan, Bailey Houghtaling
{"title":"Subjectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.","authors":"Marilyn E Wende, M Renée Umstattd Meyer, Kathy J Krey, Randa Lopez Morgan, Bailey Houghtaling","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this scoping review was to identify subjectively-measured environmental initiatives or factors that influence PA, HE, and/or breastfeeding practices within rural U.S. communities. Guided by a scientific research librarian, searches occurred February through July 2020. Grey literature searches spanned Google, Google Scholar, government pages, and public health, federal nutrition assistance program, Cooperative Extension Services, and related webpages. Four academic databases (Medline, PubMed, Web of Science, Agricola) were selected to identify peer-reviewed research and ProQuest Dissertations and Theses Global were used to identify dissertation research. Inclusion criteria included: (1) breastfeeding, HE, and/or PA focus; (2) environmental factors assessed using subjective measures; (3) specific to U.S. rural populations/contexts; and (4) English language. PA environment results focused on initiatives or factors in recreation (parks, playgrounds, facilities; n=54), street/sidewalk (n=44), or school (n=33) settings. PA environmental initiatives/factors included increasing transport/accessibility or addressing geographic disparities for recreation settings, improving/installing walkability features for streets/sidewalks, integrating PA into lessons, or improving PA equipment/spaces for school settings. HE environment results focused on initiatives in retail (n=65) and schools/childcare (n=33) settings. HE environment change initiatives/factors in retail settings included increasing the availability of fruits/vegetables in existing establishments or the prevalence of healthy food outlets. In schools, HE environmental initiatives/factors increased fruits/vegetables served and/or reduced unhealthy foods. Breastfeeding environment results focused on workplace settings (n=3). Breastfeeding environment initiatives/recommendations in workplaces included increasing compatibility for breastfeeding by addressing environmental and cultural barriers. Results from this scoping review were used to create recommendations to improve PA, HE, or breastfeeding environments in rural U.S. settings.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 1","pages":"31-63"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588516","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}
Marilyn E Wende, Bailey Houghtaling, Kathy J Krey, Randa Lopez Morgan, M Renée Umstattd Meyer
{"title":"Objectively-measured Environmental Support for Physical Activity, Healthy Eating, and Breastfeeding in the Rural United States: A Scoping Review to Inform Opportunities for Public Health Surveillance.","authors":"Marilyn E Wende, Bailey Houghtaling, Kathy J Krey, Randa Lopez Morgan, M Renée Umstattd Meyer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this scoping review was to identify objectively-measured environmental initiatives or features that impact physical activity (PA), healthy eating (HE), and/or breastfeeding practices among rural communities in the United States. A secondary aim was to assess measurement approaches for assessing rural environments and resources. Searches, informed by a scientific librarian, occurred from February to July 2020. Grey literature was identified using Google, Google Scholar, Google government pages, public health, federal nutrition assistance program, Cooperative Extension Services, and related webpages. Medline, PubMed, Web of Science, and Agricola academic databases were selected to identify peer-reviewed research. ProQuest Global was used to identify dissertation/thesis research. Inclusion criteria included: (1) focus on PA, HE, and/or breastfeeding; (2) environmental features assessed using objective measures; (3) specific to U.S. rural populations/contexts; and (4) English language. PA environment results (n=49) focused on initiatives in parks and recreational settings, streets or sidewalks, schools, trails and greenways, workplaces, and churches. HE environment results (n=84) focused on retail environments, schools/childcare settings, food assistance programs, local food producers, and hospital or healthcare settings. Breastfeeding environment results (n=11) focused on healthcare settings, workplace settings, and food retail settings. To measure PA, HE, and breastfeeding environments, audits, scans, and administrative data were mostly used. Results from this scoping review were used to create recommendations for environmental interventions related to PA, HE, and breastfeeding in under-resourced, rural communities. Researchers and practitioners can also use findings from this study to understand best practices for objectively measuring environmental resources in rural contexts.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 1","pages":"1-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588567","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}
Jamie H Wu, Hope O Akaeze, Naikuan Yang, Beth Prince, Minchuan Anderson, Debbie Stoddard, Holli Schlukebir
{"title":"All Work and All Play: Participation in Leisure Activities in Academically Focused Afterschool Programming Is Linked to Better Math Grades.","authors":"Jamie H Wu, Hope O Akaeze, Naikuan Yang, Beth Prince, Minchuan Anderson, Debbie Stoddard, Holli Schlukebir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Designed to improve outcomes for children from high-poverty, low-performing schools, the federally funded 21<sup>st</sup> Century Community Learning Centers (CCLC) program emphasizes academic outcomes. We examined the effects of participation in academic and leisure activities in Michigan 21<sup>st</sup> CCLC programs on English language arts (ELA) and mathematics grades among seventh- and eighth-grade students. Leisure activities were defined as any nonacademic activity: recreation and social time, physical movement, youth development, arts, and health and nutrition. Results showed that male students, low-income students, and academically at-risk students had lower grades in both ELA and math grades than their counterparts, regardless of other demographic factors or participation patterns. Data from our sample did not reveal any racial differences in ELA and math grades. Being older and having special education status were both associated with lower ELA grades, while English language learners tended to have higher ELA grades. After adjusting for these demographic differences, our study found that the dosage of leisure activities was linked to better math grades, while the dosage of academic activities was not linked to either ELA or math grades. A 10-hour increase in leisure activity time was associated with an increase in the math grade point of approximately 0.02 (A = grade point 4; B = 3), on average. Our study suggests that children from disadvantaged backgrounds might be best served when 21<sup>st</sup> CCLC programs balance their academic focus with play and leisure activities.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 1","pages":"111-122"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588562","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}
Karin Valentine Goins, Alexandra Salcedo, Galen Mook, Stephenie C Lemon
{"title":"Potential for Increasing Physical Activity through an e-Bike Pilot Program to Reduce Greenhouse Gas Emissions.","authors":"Karin Valentine Goins, Alexandra Salcedo, Galen Mook, Stephenie C Lemon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Active transportation such as walking, bicycling, scootering, or using a wheelchair has direct physical and mental health benefits. Electric bicycles (e-bikes) have great potential as a form of active transportation. The Massachusetts Clean Energy Center partnered with the Massachusetts Bicycle Coalition (MassBike) to develop and pilot test a program to provide free pedal assist e-bikes with implementation support for income-eligible residents in Worcester, MA as a strategy to reduce greenhouse gas emissions that contribute to climate change. MassBike received program funding over two years to provide 100 free e-bicycles to income-eligible individuals who live or work in Worcester utilizing a community-engaged approach. The e-bike pilot program took place from August 2022-May 2024. Overall, 64% of the 96 participants regularly reported their e-bike usage during the first 13 months of deployment. Per month, participants who reported their usage on average made 17 trips, rode 65 miles, and were physically active for 20 minutes per trip using their e-bike. Program results demonstrated high aggregate levels as well as strong start-up levels with a return to similar results when weather became milder after winter dips. Lessons learned include the time needed for behavior shifts and retention and reporting challenges. These preliminary results offer a glimpse of the opportunities for increased physical activity possible with a climate change mitigation strategy of active transportation.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 1","pages":"64-75"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588514","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":"Physical Activity of College Students in A Small Southern City During the Pandemic.","authors":"Jia Lu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Physical activity is important for human health. During the Coronavirus pandemic, there has been a significant reduction in physical activity. The same happened for college students due to lockdowns and the disruption of normal life. While many universities and colleges are in small cities in the U.S., few studies have been conducted on college students in small cities in the U.S. This current study focuses on closing the gap of literature and examining the physical activity and health of college students in a small Southern city during the pandemic. The anonymous survey was conducted and data were analyzed using basic statistics and Chi-square analysis. Results suggest that more students realized the importance of exercise, but there is a disconnect between students' view of exercise and their daily actions. Findings from this study will add to the understanding of the previously identified gap and inform universities on what support they could provide in promoting physical activity and healthy lifestyles to college students. Moreover, the findings could inform public health officials in preparing better public health policies in future health emergencies with awareness of their impact on health and physical activity. Finally, the findings can also help colleges improve their curriculum on physical education to address this widespread health issue.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 1","pages":"97-110"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588512","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}
Julissa Ortiz-Brunel, Edtna E Jáuregui-Ulloa, Alyssa Comfort, Pedro Juárez-Rodríguez, Rebecca E Lee, Juan López Y Taylor, José Marcos Pérez-Maravilla, Iván Zarate, Lucie Lévesque
{"title":"Users' safety perceptions from crime in relation to park type and user gender in Mexico.","authors":"Julissa Ortiz-Brunel, Edtna E Jáuregui-Ulloa, Alyssa Comfort, Pedro Juárez-Rodríguez, Rebecca E Lee, Juan López Y Taylor, José Marcos Pérez-Maravilla, Iván Zarate, Lucie Lévesque","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While parks hold potential as inclusive spaces for promoting physical activity, perceptions of safety from crime may affect their use, especially in low-to middle-income countries. Safety perceptions may be shaped by gender and park type; however, these relationships have not been explored in Mexico. The aim of this study was to explore associations between safety perceptions and park type by gender. This was a cross-sectional and descriptive study. We assessed perceptions of safety from crime in Mexican adult park users in Jalisco state. Six parks were classified into three categories: 1) Metropolitan parks with controlled gate access (gated), 2) Metropolitan parks without controlled gate access (open), and 3) Linear parks (linear). We ran binary logistic regression models to investigate the association between safety perception and park type, and safety perception and gender. We found that men were more likely to feel safe than women, regardless of park type, and users of linear parks were more likely to feel safe than users of gated parks, regardless of gender. Safety perception is related to park type and park user gender. Future studies should explore which specific park attributes are influencing park user safety perception and how to address gender disparities.</p>","PeriodicalId":73774,"journal":{"name":"Journal of healthy eating and active living","volume":"5 1","pages":"86-96"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588519","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}