Journal of prevention (2022)最新文献

{"title":"Consecutive Negative Screening Tests for Ovarian Cancer: A Reliable Basis for Reassurance of Low Ovarian Cancer Mortality Risk?","authors":"Jieun Jang, Jae Kyung Bae, Junhwan Kim, Uisuk Kim, Sokbom Kang","doi":"10.1007/s10935-026-00945-3","DOIUrl":"https://doi.org/10.1007/s10935-026-00945-3","url":null,"abstract":"<p><p>Although ovarian cancer screening is not recommended for non-high-risk women, they seek screening to alleviate their fear of the disease. Therefore, we investigated whether receiving consecutive negative results is associated with lower risk of ovarian cancer mortality compared to no screening. This study was conducted using data from the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Randomized Controlled Trial, conducted in the United States (n = 52,633). Five-year cumulative ovarian cancer mortality was compared between females with three consecutive negative screening results using transvaginal ultrasound and CA-125 tests (negative group) and those not undergoing screening (control group) via Gray's test. Sensitivity analyses were also conducted considering known factors affecting ovarian cancer risk, such as oral contraceptive use, hormone therapy, parity, and family history of ovarian or breast cancer. The 5-year cumulative ovarian cancer mortality in the negative group was 8.6 deaths/10,000 persons (95% confidence interval [CI], 4.6-12.6 deaths/10,000 persons), which was not different from that in the control group (8.8 deaths/10,000 persons; 95% CI, 5.6-12.1 deaths/10,000 persons; p = 0.79). Furthermore, no evidence of a difference in ovarian cancer mortality was observed between the negative and control groups even among women at low risk, such as those with oral contraceptive use, no menopausal hormone therapy, being parous, and without a family history of breast cancer and ovarian cancer (all p-value ≥ 0.35). It is essential for both physicians and patients to understand that even three consecutive annual negative screenings for ovarian cancer should not be interpreted as evidence of lower ovarian cancer mortality compared with no screening.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149032117","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 Sports Betting Among Young People: Psychosocial and Structural Influences.","authors":"Benjamin Tungwa, Christopher Jimu, Munyaradzi Radzikai, Hope Jaricha, Sibusiso Khombo, Pure Munei Mlambo","doi":"10.1007/s10935-026-00952-4","DOIUrl":"https://doi.org/10.1007/s10935-026-00952-4","url":null,"abstract":"<p><p>This study explored participants' experiences and perceptions of the psychosocial influences associated with sports betting and gambling practices among regular bettors in Masvingo, Zimbabwe. A qualitative ethnographic design was employed to examine the everyday experiences, meanings, and motivations attached to sports betting. Forty participants (N = 40), comprising 37 regular bettors and three key informants, were purposively recruited from four betting houses in Masvingo urban. Data were generated through in-depth interviews and participant observation conducted over a twelve-month period from January to December 2024. Participants reflected on their gambling histories, motivations for betting, and challenges associated with their involvement. Findings suggested that participants perceived peer relationships, social learning, economic insecurity, familial exposure, and emotional distress as important influences associated with their engagement in gambling. Economic hardship and youth unemployment further influenced engagement, as many viewed sports betting as a potential income-generating strategy and a means of coping with financial insecurity. Emotional distress, including stress, grief, frustration, and boredom, also motivated gambling, with betting serving as a temporary psychological escape from daily challenges. Family gambling practices were found to normalize risk-taking behaviors among some participants. Although betting houses provided social interaction and a sense of belonging, they simultaneously reinforced maladaptive coping strategies and heightened vulnerability to problem gambling. The study underscores the need for integrated interventions addressing mental health support, youth economic empowerment, family involvement, and community awareness of gambling-related harms in urban Zimbabwe.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002427","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":"Start-Up and Implementation Costs for a Community-Based Culturally Tailored Diabetes Prevention Program.","authors":"Diana Bowser, Brielle Ruscitti, Siman Zhu, Rachel Lee, Tam Nguyen","doi":"10.1007/s10935-026-00949-z","DOIUrl":"https://doi.org/10.1007/s10935-026-00949-z","url":null,"abstract":"<p><p>The Diabetes Prevention Program (DPP) is a Center for Disease Control and Prevention (CDC) endorsed lifestyle intervention aimed at preventing Type-2 Diabetes Mellitus. Despite demonstrated effectiveness, DPP implementation remains limited outside clinical settings, often due to funding challenges, difficulties obtaining CDC recognition and limited reimbursement, especially for programs serving minority populations. This analysis estimated start-up and protocol costs of a culturally-tailored DPP and a standard CDC protocol, using Activity-Based Costing methodology. Both the standard CDC DPP and a culturally-tailored DPP protocol were developed by defining all program components, activities, personnel involved and time associated with all activities. Start-up costs were estimated utilizing data on standard start-up activities from two sites prior to launching the tailored DPP. Protocol and start-up costs were calculated by multiplying the wage for varying personnel by the time allocated to each defined start-up and protocol activity, costs are presented in 2025 USD. National average wage data were extracted from the Bureau of Labor Statistics O*Net database. Start-up costs totaled $87,886, with a cost per planned participant of $1,465. Implementing the standard CDC DPP protocol cost $10,573 in total, or $705 per participant. The culturally tailored protocol cost $23,849, or $1,590 per participant. This analysis is one of the first to estimate of start-up costs of a tailored DPP, and compare implementation costs for the culturally-tailored DPP with a standard CDC protocol. Understanding these costs is essential for organizations planning to implement DPP, especially in community settings. The findings offer insight into the necessary investments for a sustainable and culturally-tailored DPP.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957511","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":"Mobilising Community Resources for Mental Health: Community Facilitators' Insights from Estonian Counties.","authors":"Stella Täht-Vaik, Merike Sisask","doi":"10.1007/s10935-026-00950-6","DOIUrl":"https://doi.org/10.1007/s10935-026-00950-6","url":null,"abstract":"<p><p>Mental health issues are a growing concern in Estonia, while limited healthcare resources constrain the capacity of formal services to respond to increasing needs. This study explored how community facilitators interpreted the role of communities in mental health promotion, prevention, and recovery following engagement with a shared conceptual framework on community mental health. Between May 2023 and January 2024, a qualitative interpretive study was conducted through seven regional seminars involving 229 community facilitators representing all 15 Estonian counties. Discussions were structured around the World Health Organization Community Mental Health Guide and the Estonian Human Development Report: Mental Health and Well-Being. Data were collected through participatory observation and systematic note-taking and analysed using reflexive thematic analysis. Participants understood community as extending beyond geographical boundaries and being rooted in trust, belonging, shared values, and collective responsibility. Mental health was interpreted as a holistic and relational phenomenon embedded in everyday environments rather than solely as a healthcare issue. Participants emphasised the preventive value of local resources, informal support networks, community spaces, and cross-sector collaboration, while also identifying barriers including limited service availability, low awareness of existing resources, and the predominance of treatment-oriented approaches. The findings suggest that strengthening community mental health requires greater investment in prevention, stronger cross-sector collaboration, and broader recognition of community resources and non-clinical actors. The study contributes empirical evidence on how community facilitators conceptualise community as a foundation for mental health and highlights the potential of community-based approaches to complement formal mental health services.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893079","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":"A Scoping Review and Content Appraisal of Free Public Athlete Concussion Education Interventions.","authors":"Julia D Drattell, Emily Kroshus-Havril, Jennifer L Gay, Robert C Lynall, Julianne D Schmidt","doi":"10.1007/s10935-026-00947-1","DOIUrl":"https://doi.org/10.1007/s10935-026-00947-1","url":null,"abstract":"<p><p>Health education relies on matching a program to users' needs and preferences. Using programs aligned with expert recommendations may improve outcomes. The purpose of this study was to identify and assess free, public, concussion education programs for an athlete audience and provide context for users to select a program that fits their needs. We performed a rapid scoping review following JBI Methodology and Cochrane guidelines for programs published in English during the previous five years in PubMed or SportDiscus, or in grey literature. Education specifically for post-injury care and conference abstracts were excluded. We charted primary author/organization name, program name(s), date of publication or update, delivery method(s), option to provide a certificate of completion, and program content related to expert recommendations. The search identified 1,449 unique articles and programs, and after screening at the abstract and full-text levels, identified videos (N = 6), online modules (N = 4), in-person discussion guides (N = 3), or fact sheets (N = 2) that were created by 14 organizations published between October 2013 and April 2024. Six programs provided certificates of completion. Program content varied and no programs addressed all of the expert recommendations, but clear patterns emerged. The most common recommendations included were those specifically referred to as \"content of concussion education for athletes\", being honest about symptoms throughout recovery, and athletes' role in encouraging others to report a concussion. These findings identify programs to consider when selecting educational program(s), with different delivery methods and learning objectives. Future effectiveness-implementation research is needed to expand understanding of real-world applications and outcomes.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882831","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":"Temporal Data Structure Is Not Causal Identification: A Practical Framework for Appraising Causal Claims in Prevention and Population Health Research.","authors":"Sunday Azagba, Galappaththige S R de Silva","doi":"10.1007/s10935-026-00948-0","DOIUrl":"https://doi.org/10.1007/s10935-026-00948-0","url":null,"abstract":"<p><p>Temporal data structure is not an identification strategy. In manuscript review and reporting, cross-sectional and longitudinal labels are sometimes used as shorthand for judging whether causal claims are appropriate. Whether a causal claim is credible depends on the effect being considered, what makes the comparison informative, what assumptions are required, and whether the analysis and supporting evidence address the main threats. We define temporal data structure as the temporal and sampling organization of measurement and distinguish it from causal identification, which concerns whether a causal estimand can be recovered under explicit assumptions. Longitudinal data can establish measurement order and show how outcomes, exposures, and other relevant factors change over time, but these advantages do not by themselves address confounding, selection, attrition, or measurement error. Conversely, cross-sectional or repeated cross-sectional data may contribute to causal inference when temporal ordering is established by design or substantive knowledge and identification arises from credible adjustment, assignment rules, thresholds, policy timing, or other design features. Using prevention examples, we show where causal leverage can come from, explain what repeated measurement adds and what it cannot establish by itself, and propose five plain-language questions for authors, reviewers, and editors. We also distinguish limitation language appropriate for associational analyses from qualified causal interpretations made under explicit assumptions. Temporal structure informs causal appraisal, but it does not determine it.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851736","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":"\"I simply see it as our responsibility in the club business\": Key Stakeholder Perspectives on Setting-Based Harm Reduction Structures in Night Clubs in Berlin.","authors":"Lena Sophie Frey, Ramona Schreyer, Hürrem Tezcan-Güntekin, Claudia Winkelmann","doi":"10.1007/s10935-026-00942-6","DOIUrl":"https://doi.org/10.1007/s10935-026-00942-6","url":null,"abstract":"<p><p>Berlin's techno party scene faces challenges of high alcohol and substance consumption associated with health and social issues, including intoxication and (sexual) violence. Recognising these challenges, the scene has evolved \"Awareness Structures\" (AS), on-site peer-led structures aiming to address patrons' well-being during club events. This study explores currently operating AS in techno clubs in Berlin, focussing on facilitators and barriers of the effective implementation of AS as structures to prevent harm to patrons. Between September and October 2023, seven semi-structured expert interviews, including five individual interviews, one paired interview, and one focus group interview were conducted with three key stakeholder groups: techno club managers (n = 3), event collective representatives (n = 4), and Awareness Persons (AP) working within AS (n = 6). The interviews explored stakeholders' perceptions about facilitators and barriers of currently operating AS. Data analysis followed force-field analysis combined with a qualitative content analysis method, applying a deductive-inductive strategy. The key stakeholders identified several facilitators that enhance the effective implementation of AS in techno clubs in Berlin as well as barriers that hinder its effective implementation that were categorized onto three levels: individual, operational, and organisational. Perceived facilitators included the qualified expertise of AP and additional training for other club staff, the reduced occurrence of severe incidents post-implementation, supervision for AP, and management's commitment to prioritising patrons' well-being. Perceived barriers included the inadequacy of training, the potential aggravation of situations with the implementation of AS, the lack of universal understanding and standards, psychological challenges faced by AP, and market forces. The findings of this study contribute to understanding the complex dynamics of currently operating AS in techno clubs in Berlin. The facilitators and barriers documented in this study suggest specific factors to be vital for the effective implementation of AS, potentially serving as setting-based harm reduction structures for patrons.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851655","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":"The Relationship Between Fetal Growth, Adult Lifestyle Patterns and the Risk of Cardiovascular Diseases.","authors":"Minjia Mo, Jette Möller, Boel Brynedal, Krisztina D László, Yajun Liang","doi":"10.1007/s10935-026-00946-2","DOIUrl":"https://doi.org/10.1007/s10935-026-00946-2","url":null,"abstract":"<p><p>Compelling evidence suggests that a healthy lifestyle may reduce the risk of cardiovascular diseases (CVDs). Knowledge regarding the role of early-life factors in the association between dynamic patterns of lifestyle and CVDs is limited. This study aims to investigate whether fetal growth modifies the association between dynamic lifestyle patterns and the risk of CVDs in adulthood. Data were from the Stockholm Public Health Cohort. A total of 11,218 participants who completed at least two surveys during 2002-2021 and had birth information from the Medical Birth Register were included in this study. Information on lifestyle factors was collected using questionnaires. We defined a composite score of behavioral health metrics including four lifestyle factors, i.e., smoking, physical activity, fruits intake, and body mass index. Data on birth weight for gestational age and CVDs were obtained from nationwide population-based registers. Cox regression was performed to estimate hazard ratios (HR) and 95% confidence intervals (CI). Compared with the consistently poor level of lifestyle, the persistently good level of lifestyle was associated with a lower risk of CVDs; the fully adjusted HR (95% CI) was 0.74 (0.56-0.98). The associations between composite lifestyles and CVDs were mainly driven by body mass index (HR = 0.47, 95% CI = 0.34-0.65) and smoking (HR = 0.68, 95% CI = 0.49-0.97). Although the CVD risk reduction associated with lifestyle improvements appeared to vary by birth weight for gestational age, this modifying effect did not reach statistical significance. The findings imply that improvement of lifestyle is crucial for the prevention of CVDs, and restricted fetal growth does not modify this association.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802617","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":"Intervention Models and Behaviour Change Techniques to Reduce the Risk of Alcohol Exposed Pregnancies: A Systematic Review of Interventions for Non-pregnant Women.","authors":"Oluwakemi Akagwu, Rohan Shah, Charis Chi Yun Ng, Jo Armes, Lesley Smith, Afrodita Marcu, Anand Ahankari","doi":"10.1007/s10935-026-00940-8","DOIUrl":"10.1007/s10935-026-00940-8","url":null,"abstract":"<p><p>Trials of behavioural interventions aimed at preventing an Alcohol-Exposed Pregnancy (AEP) before conception report variable effectiveness. Understanding which intervention components, such as Behaviour Change Techniques (BCTs), are effective is essential when adapting for real-world implementation. This review describes the intervention models, the BCTs utilised, and the BCT combinations in effective interventions. An earlier systematic review of studies published from 1970 to 2018 was updated using the same search strategy to identify additional articles published subsequently. Searches were conducted on CINAHL, PsycINFO, Embase and PubMed to identify studies published between 2019 and 2025. Eligible study designs were randomised controlled trials (RCTs), non-randomised comparative studies, cohort studies and before-and-after studies. Studies were included if they were in English, included non-pregnant women of reproductive age or their social networks and aimed to prevent AEP. Outcomes reviewed were measures of knowledge of guidelines and attitudes towards alcohol consumption in pregnancy or when planning a pregnancy, changes in alcohol consumption and changes in behaviours to prevent unplanned pregnancies, such as effective contraception use at every sexual encounter that could lead to pregnancy. Narrative synthesis was used to describe intervention models and annotate BCTs guided by the BCT Ontology (BCTO) and alcohol-specific taxonomy. Risk of bias was assessed using the ROB 2 tool and the Modified Downs and Black Checklist. Twenty-five studies, comprising 18 studies from the previous systematic review and seven published between 2019 and 2025, were identified with 6,020 participants. Three intervention models were identified: (i) alcohol-only educational, (ii) alcohol-only screening and brief interventions (SBIs), and (iii) dual-focused (alcohol and contraception) interventions. Models included single- and multiple-session interventions, which were delivered face-to-face, remotely or digitally. Fifty-one BCTs were coded across all studies. Within the alcohol-only SBIs and dual-focused (alcohol and contraception) models, multi-session interventions generally demonstrated greater effects in intervention groups than controls and utilised more BCTs from the goal-directed and monitoring BCTO groups compared to single-session interventions. These findings deepen our understanding of why some interventions are more effective than others and suggest that tailored interactions with certain goal-directed and monitoring BCTs may enhance their effectiveness. Future research can explore greater incorporation of BCT combinations from these groups into single-session interventions and pathways to identify women who need more intense interventions for referral or support.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727231","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":"Proposal of a Conceptual Framework on Barriers to Addiction Prevention and Their Potential Contribution to Prevention Failure.","authors":"Víctor José Villanueva-Blasco, Antonio Vidal-Infer","doi":"10.1007/s10935-026-00944-4","DOIUrl":"https://doi.org/10.1007/s10935-026-00944-4","url":null,"abstract":"<p><p>Prevention science has generated substantial evidence on interventions aimed at preventing substance use and other addictive behaviours. However, less attention has been paid to the conditions that hinder their design, implementation, sustainability, and equitable benefit. To propose a conceptual definition of barriers to prevention, establish criteria for identifying them, and develop a theoretical taxonomy of their main categories, incorporating a gender perspective and examining their specificity across preventive actions. Barriers to prevention should not be understood solely as operational obstacles to programme implementation, but as ecological factors, conditions, or processes that interfere with essential preventive functions and reduce the distribution of preventive protection. When barriers are structural or disproportionately affect specific groups or territories, reductions in coverage, accessibility, acceptability, continuity, equity, or preventive benefit may contribute to maintaining or amplifying prevention failure. We therefore propose a six-category taxonomy and a two dimensional identification model based on the joint presence of functional interference and observable consequences. The framework also considers how barriers may vary according to prevention form, preventive function, intervention package or strategy, mode of delivery, and setting. A more precise conceptualization of barriers to prevention may strengthen theory, improve implementation research, and support public policies that are more sensitive to equity, gender, and the regulation of risk-promoting environments.</p>","PeriodicalId":73905,"journal":{"name":"Journal of prevention (2022)","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702789","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}