{"title":"Immediate Effect of <i>Uddiyana Bandha</i> on Heart Rate Variability in Patients with Hypertension: A Randomised Controlled Study.","authors":"Karuppasamy Govindasamy, Dilpreet Kaur, Masilamani Elayaraja, Deepika Sethi, Shantichitra Kalidas, Debajit Karmakar, Bekir Erhan Orhan, Yuni Astuti, Koulla Parpa","doi":"10.1177/09727531241299258","DOIUrl":"10.1177/09727531241299258","url":null,"abstract":"<p><strong>Background: </strong>Hypertension, a prevalent cardiovascular condition, is linked to autonomic nervous system dysregulation, often evidenced by reduced heart rate variability (HRV). Yoga, particularly <i>Uddiyana Bandha</i>, may influence autonomic control and improve HRV, thus offering potential benefits for hypertension management.</p><p><strong>Purpose: </strong>This study intended to assess the impact of the regular use of <i>Uddiyana Bandha</i> practice on HRV among hypertensive patients.</p><p><strong>Methods: </strong>This randomised controlled study included 60 hypertensive patients aged between 40 and 60. Participants were randomised into an intervention group practicing <i>Uddiyana Bandha</i> (<i>n</i> = 30) and a control group with no intervention (<i>n</i> = 30). The outcome measures included time and frequency domain HRV variables, specifically the standard deviation of NN intervals (SDNN), the square root of the mean squared differences of successive NN intervals (RMSSD), high-frequency (HF) and low-frequency (LF) components in normalised units (n.u), and the LF/HF ratio. These were assessed both before and immediately after the intervention. The intervention group performed three rounds of <i>Uddiyana Bandha</i> under supervision, while the control group rested quietly for an equivalent duration.</p><p><strong>Results: </strong>The <i>Uddiyana Bandha</i> group demonstrated significant (<i>p</i> < .05) improvements in HRV parameters post-intervention compared to the control group. Mean RR interval, SDNN and RMSSD increased immediately after <i>Uddiyana Bandha</i> practice. The HF component (n.u) increased, while the LF component (n.u) and LF/HF ratio decreased (<i>p</i> < .05), indicating enhanced parasympathetic activity. No significant changes were observed in the control group.</p><p><strong>Conclusion: </strong><i>Uddiyana Bandha</i>'s practice immediately has notable effects on HRV in hypertensive patients, showing better autonomic balance and cardiovascular performance. These results suggest <i>Uddiyana Bandha</i> as a possible non-pharmacological strategy for hypertension management. Future studies with larger sample sizes and longer durations are needed to support these results and explore long-term effects.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241299258"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827216","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":"Stress, Resilience, Sexual Functioning and Quality of Life in Patients Undergoing Arthroplasty and Arthroscopy.","authors":"Sheshagiri V, Ravitej Manjunath Thoralakki, Pradeep Kumar P C, Shivananda Manohar J","doi":"10.1177/09727531241299989","DOIUrl":"10.1177/09727531241299989","url":null,"abstract":"<p><strong>Background: </strong>In India, the incidence of orthopaedic conditions is significantly increasing, with 63 million people suffering from various orthopaedic issues, causing considerable distress to patients. This study aims to assess stress, resilience, sexual functioning, and quality of life in participants who underwent arthroplasty and arthroscopy surgery at baseline, one month, and three months.</p><p><strong>Method: </strong>This comparative study utilised the Perceived Stress Scale (PSS), Connor-Davidson Resilience Scale, Sexual Function Scale, and the WHO Quality of Life Scale.</p><p><strong>Results: </strong>The comparison between arthroscopy and arthroplasty reveals distinct patterns in stress, resilience, sexual functioning, and quality of life. For both procedures, stress levels were higher at baseline and one-month post-surgery but decreased by three months. Resilience scores improved consistently over time in both groups. However, sexual functioning and quality of life showed different trends: while sexual functioning initially decreased post-arthroscopy but improved by three months, arthroplasty participants generally experienced a more consistent improvement in both sexual functioning and quality of life from baseline through the follow-up periods.</p><p><strong>Conclusion: </strong>The study showed that stress was significantly higher at baseline and one-month post-surgery. However, the trends in sexual functioning and quality of life differed between the two types of surgery. These findings highlight the need for tailored patient support and interventions based on the type of orthopaedic procedure performed.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241299989"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827217","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":"Content Validity of Teacher's Evaluation of Neurodevelopmental Delays (TEDD) Tool for Indian Preschoolers.","authors":"Sunanda Kolhe, Anand Prakash, Maxim Pereira","doi":"10.1177/09727531241289177","DOIUrl":"10.1177/09727531241289177","url":null,"abstract":"<p><strong>Background: </strong>Early detection of developmental delays in children can significantly help them realise their full potential. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), is the system in use at the moment to detect neurodevelopmental delays among children in the United States and other Western nations. However, due to cultural differences, there is a pertinent need for a content-validated module in the context of low- and middle-income countries, including India.</p><p><strong>Purpose: </strong>The aim of this study was to develop and validate Teacher's Evaluation of Neurodevelopmental Delays (TEDD) tool based on the criterions and definitions of neurodevelopmental disorders as mentioned in DSM-V and then synced with developmental milestones mentioned in International Classification of Diseases, 10<sup>th</sup> revision (ICD-10) and Early Childhood Care and Education (ECCE)/ New York City Early Education Centre (NYCE) framework, and items were worded in behavioural terms.</p><p><strong>Methods: </strong>We did a thorough review of the literature for the development of TEDD tool and used modified Delphi technique to content validate it. Data from nine experts, such as doctors, clinical psychologists, special educators, speech and language and applied behaviour analysis therapist were used for the analysis.</p><p><strong>Results: </strong>Analysis resulted into 28 items being retained which can be applied in the Indian context.</p><p><strong>Conclusion: </strong>This study has shown good content validity of the TEDD tool. Future studies are being planned to rule the feasibility and reliability of this tool.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241289177"},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612500","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":"Understanding the Effectiveness of Cognitive Behavioural Therapy: A Study on Offenders.","authors":"Khyati Saxena, Anjali Sahai","doi":"10.1177/09727531241288609","DOIUrl":"10.1177/09727531241288609","url":null,"abstract":"<p><strong>Background: </strong>Cognitive behavioural therapy (CBT) is well known for its effectiveness in addressing psychiatric disorders such as depression, anxiety, PTSD, and borderline personality disorder, often used alongside medication.</p><p><strong>Summary: </strong>CBT is used more often in the criminal justice system to help rehabilitate offenders by targeting cognitive distortions affecting their social and decision-making abilities. These maladaptive behaviours and sense of entitlement can result from distortions, which CBT works to address by restructuring thought patterns and encouraging adaptive behaviours. In general, CBT is a crucial method for decreasing repeat offences and dealing with mental health problems within the legal system.</p><p><strong>Key message: </strong>CBT has demonstrated encouraging outcomes in decreasing reoffending rates in both youths and adults, aiding criminals in acquiring abilities to successfully re-enter society. Although it has replaced traditional rehabilitative services such as education and occupational therapy, its success highlights its importance in offender rehabilitation programmes. Nevertheless, inmates are frequently required to participate, causing doubts about their willingness to engage voluntarily.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241288609"},"PeriodicalIF":1.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611834","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}
Gabriel de Deus Vieira, Marcelo Henrique De Moura Campos, Felipe Fanine de Souza, Isabelle Pastor Bandeira, Leticia Caroline Breis, Laura Fiuza Parolin, Júlia Machado Rickli, Caio César Demore, Beatriz Sordi Chara, Marco Antônio Machado Schlindwein, André Eduardo de Almeida Franzoi, Marcus Vinícius Magno Gonçalves
{"title":"Spectrum of Neuroimmunological Manifestations of Dengue Fever.","authors":"Gabriel de Deus Vieira, Marcelo Henrique De Moura Campos, Felipe Fanine de Souza, Isabelle Pastor Bandeira, Leticia Caroline Breis, Laura Fiuza Parolin, Júlia Machado Rickli, Caio César Demore, Beatriz Sordi Chara, Marco Antônio Machado Schlindwein, André Eduardo de Almeida Franzoi, Marcus Vinícius Magno Gonçalves","doi":"10.1177/09727531241288313","DOIUrl":"10.1177/09727531241288313","url":null,"abstract":"","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241288313"},"PeriodicalIF":1.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611785","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":"Omicron-COVID-19-Related Knowledge in Parkinson's Disease Patients and Their Caregivers: A Cross-sectional Study.","authors":"Neetu Rani Dhiman, Vyom Gyanpuri, Anand Kumar, Deepika Joshi","doi":"10.1177/09727531241284359","DOIUrl":"10.1177/09727531241284359","url":null,"abstract":"<p><strong>Introduction: </strong>The Omicron variant of SARS-CoV-2 (COVID-19) became the global community's third major cause of worry. In the current study, we deployed a self-reported survey questionnaire to investigate the degree of comprehension, awareness and perception of the Omicron variant of COVID-19 in patients with Parkinson's disease (PD) and their respective caregivers (CGs).</p><p><strong>Materials and methods: </strong>Using a standardised questionnaire, we conducted a prospective study on PD patients attending the neurology outpatient department prior to and during the COVID-19 pandemic. The study period was between February and August of 2022.</p><p><strong>Results: </strong>A total of 114 CGs and 134 disease-affected patients were evaluated. Approximately 1.8% of the CGs and 4.5% of the patients contracted the Omicron-COVID-19. Over half of the patients (77.6%) were aware of the Omicron variant, and approximately 40.3% of them were aware of its symptoms. After receiving the Covid immunisation, patients (94.02%) reported no change in symptoms. The percentage of patients and CGs who had no symptoms of the viral infection and were not even got tested ever was 95.5% and 98.2%, respectively. Further, patients (95.5%) opted for the 'offline' as a preferred mode of consultation, citing the precision of treatment being the main reason.</p><p><strong>Conclusion: </strong>No definite correlation between the Omicron variant infection and symptoms of PD could be established. The awareness regarding Omicron variant was largely unknown. More patient-centred research on larger population groups, incorporating literate and urban groups would unravel the knowledge gaps.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241284359"},"PeriodicalIF":1.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611434","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":"Effect of Yoga Therapy on Hypothyroidism: A Systematic Review.","authors":"Rudra B Bhandari, Pintu K Mahto","doi":"10.1177/09727531241282516","DOIUrl":"10.1177/09727531241282516","url":null,"abstract":"<p><strong>Background: </strong>Hypothyroidism (HT) is the most prevalent endocrine disorder, affecting approximately one in 10 out of 35 adults, with a higher prevalence in females and the elderly.</p><p><strong>Purpose: </strong>This systematic review (SR) aimed to discuss the effects of yoga on markers and comorbid conditions of HT.</p><p><strong>Methods: </strong>The SR was registered with the PROSPERO (PROSPERO 2022 CRD42022312990). Google Scholar, PubMed, Cochrane, and EMBASE were searched for the relevant English language interventional studies published from 31 December 1947 to 31 December 2023 by using the keywords 'meditation OR breath regulation OR yoga OR yoga nidra AND hypothyroidism OR hypothyreosis OR underactive thyroid OR low thyroid'. Of the 4078 screened studies, eight eligible studies (three RCTs, two pilot studies, two pre-post trials, and one case study) with 421 HT patients (392 females and 29 males) and three to six-month yoga interventions were included. Two independent review authors extracted study characteristics and synthesised them descriptively. RCTs and NRSIs were assessed for risk-of-bias (RoB) using Cochrane tools RoB2 and ROBINS-1.</p><p><strong>Results: </strong>The findings suggest that yoga effectively improves the thyroid profile, lipid profile, heart rate variability, pulmonary functions, anxiety, depression, and quality of life among HT patients.</p><p><strong>Conclusion: </strong>Yoga may be an inexpensive add-on preventive and therapeutic option for HT. The clinical and methodological heterogeneity among the studies did not allow for meta-analysis (MA). Well-designed MAs are warranted by including rigorous RCTs to draw valid conclusions and defined mechanisms regarding the efficacy of yoga practices/interventions on HT.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241282516"},"PeriodicalIF":1.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612501","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":"Impact of AI Integration on Journalists' Mental Health: A Quantitative Study.","authors":"Akshay Upadhyay, Mayura Bijale, Kashif Hasan","doi":"10.1177/09727531241278909","DOIUrl":"10.1177/09727531241278909","url":null,"abstract":"<p><strong>Background: </strong>The field of journalism has undergone substantial transformation with the integration of artificial intelligence (AI), leveraging technologies like natural language processing and automated reporting. These advancements enhance information processing speed, enable personalised content delivery and improve data analysis capabilities, thereby reshaping journalism practices.</p><p><strong>Purpose: </strong>Despite the benefits AI offers, concerns persist regarding its impact on job security and the mental health of journalists. Rapid technological changes can lead to increased job insecurity, altered job roles and heightened pressure to adapt, potentially affecting journalists' mental well-being.</p><p><strong>Methods: </strong>This study utilises the Depression, Anxiety, and Stress Scale (DASS-21) to assess levels of depression, anxiety and stress among 500 journalists from various media organisations that have integrated AI technologies. Quantitative data analysis explores the relationship between AI integration and mental health outcomes.</p><p><strong>Results: </strong>The findings indicate significant correlations between the perceived threat of AI replacing jobs and higher levels of depression among journalists. Mixed effects were observed regarding the impact of AI integration on job roles, with associations found between AI integration and both increased depression and reduced stress levels.</p><p><strong>Conclusion: </strong>AI integration in journalism presents both opportunities and challenges for journalists' mental health. Strategies to address job security concerns, enhance comfort with AI tools through training and establish mental health support systems are crucial for fostering a supportive environment in AI-driven newsrooms.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"09727531241278909"},"PeriodicalIF":1.8,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611148","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":"Humanistic and Holistic Strategies for Combating Mental Health Sequelae in the Elderly During the Post-COVID Era.","authors":"Kalyan Maity, Parth Lal, Saras Jyoti, Parul Bali, Uttam Kumar Thakur, Gurmeet Singh, Vijaya Majumdar, Sanjib Patra, Jaideep Arya, Akshay Anand","doi":"10.1177/09727531231208292","DOIUrl":"10.1177/09727531231208292","url":null,"abstract":"<p><strong>Background: </strong>The elderly population is rapidly growing worldwide. By the year 2050, the elderly population will increase up to 2.1 billion. Among them, most of the elderly will be from low- to middle-income countries. India and China are the most populated countries in the world, and also they fall in the category of low- to middle-income countries. The elderly population in these two countries is also growing rapidly and creating an economic burden of geriatric care. On the other hand, the COVID-19 pandemic greatly affected the healthcare system. A higher mortality rate was documented among the elderly due to COVID-19; hence, it was a challenge for them to deal with a high load of the elderly population during the pandemic. These challenges never sublimate even during the post-COVID era. Mental health issues, such as stress, anxiety, and depression, are major drawbacks of COVID-19 among the elderly due to excessive fear of getting reinfection of COVID-19 and fear of social withdrawal. These factors are affecting healthy aging among the elderly. Even though WHO has taken few initiatives for healthy aging, proper interventional strategies are required to prevent mental illness and improve mental health among the elderly during the post-COVID era.</p><p><strong>Summary: </strong>In this review, we have proposed a few mind-body strategies like Yoga, Exercise, Tai-Chi, and Qigong to improve mental health and holistic patient-centric implementation of those practices in the elderly during the post-COVID era.</p><p><strong>Key message: </strong>Mind-body interventions can be used in a holistic patient-centric manner to prevent infectious diseases, and post-infection consequences. Further, it enhances immunomodulation along with mental health in the elderly.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":" ","pages":"292-299"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611135","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":"Self-esteem and Locus of Control as Predictors of Academic Achievement: A Study Among Graduate Students.","authors":"Shaini Suraj, Rucha Lohi, Brij Singh, Pradeep Patil","doi":"10.1177/09727531231183214","DOIUrl":"10.1177/09727531231183214","url":null,"abstract":"<p><strong>Background: </strong>Earlier researchers have explored the individual impacts of locus of control and self-esteem on academic as well as nonacademic success. But limited attention was given to their interplay within a university context. By integrating these variables into a unified framework, a more comprehensive understanding of the learning processes of university students can be achieved, which can further help in developing strategies to improve the overall learning outcome and come out as successful individuals.</p><p><strong>Purpose: </strong>The aim of this study is to find out the contribution of locus of control and self-esteem toward academic achievement at graduation and across various demographic factors-socioeconomic status, family type, age, and different streams of graduation).</p><p><strong>Methods: </strong>The sample consists of MBA students (<i>n</i> = 200) coming from different graduation streams, both male and female, in the age group of 21-27 years. Data was collected through the Rosenberg Self-esteem Scale and Rotter's Locus of control. A descriptive analysis and Chi-square test were used to analyze the data.</p><p><strong>Results: </strong>Sixty-two percent had an internal locus of control, and 38% had an external locus of control. Forty-one percent had low self-esteem, and 59% had high self-esteem. There was a significant correlation between self-esteem, locus of control, and academic achievement. Self-esteem and locus of control totally predicted 41% of the variation in academic achievement, with self-esteem and locus of control both being stronger factors to predict academic achievement. Area (rural, urban), family type (nuclear, joint), and academic scores have a strong correlation with locus of control and self-esteem.</p><p><strong>Conclusion: </strong>MBA students are the future leaders. For them to be successful leaders, interventions can be designed to increase self-esteem, which would help them have faith in their abilities and achieve their objectives by taking responsibility for the outcome of challenging situations.</p>","PeriodicalId":7921,"journal":{"name":"Annals of Neurosciences","volume":"1 1","pages":"258-264"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65337948","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}