Wing Hang Lau, Eric Lam, Joshua Fogel, Hanna Ghanayem, Chris Elsayad, Anjum Maqbool, Vas Vilma
{"title":"Use of a blood pressure log is associated with improved blood pressure medication adherence in a predominately racial/ethnic minority sample.","authors":"Wing Hang Lau, Eric Lam, Joshua Fogel, Hanna Ghanayem, Chris Elsayad, Anjum Maqbool, Vas Vilma","doi":"10.1097/MBP.0000000000000748","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000748","url":null,"abstract":"<p><strong>Background: </strong>Blood pressure (BP) control is often challenging. We study whether a pictorial BP log is associated with improved adherence to medical management and BP control.</p><p><strong>Method: </strong>A sample of mostly Blacks and Hispanics with uncontrolled hypertension were either provided with a pictorial log (n = 75) or recommended to complete a log to record their BP (n = 75). The primary outcome was bringing any BP log to a subsequent follow-up visit. Secondary outcomes were BP values, BP control, and adherence to antihypertensive medication.</p><p><strong>Results: </strong>The pictorial log-provided group had a significantly greater percentage than the no log-provided group for bringing a log to a visit within 6 months (53.3 versus 8.0%, P < 0.001). The pictorial log group had a significantly (P = 0.03) greater mean reduction of diastolic BP (M = -5.2, SD = 10.98) than the no log provided group (M = -1.0, SD = 9.95). There were no significant differences in BP control or adherence to antihypertensive medication between the groups. Improved adherence to antihypertensive medication was observed in patients who were adherent to bringing any BP log to a visit (odds ratio: 4.59, 95% confidence interval:1.16-18.10, P = 0.03).</p><p><strong>Conclusion: </strong>Pictorial logs were associated with bringing such logs to subsequent visits and for reduced diastolic BP. However, pictorial logs were not associated with improved BP control or adherence to antihypertensive medication but rather any log was associated with greater adherence to antihypertensive medication. We recommend the use of BP logs of any type for successful BP management.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yiming Li, Zizhuo Zhu, Jiaheng Li, Yuan Gu, Yi Wan
{"title":"Clinical evaluation of the iHealth BP7 wrist blood pressure monitor in general population according to the ISO 81060-2:2018/Amd 1:2020.","authors":"Yiming Li, Zizhuo Zhu, Jiaheng Li, Yuan Gu, Yi Wan","doi":"10.1097/MBP.0000000000000746","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000746","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to evaluate the accuracy of the iHealth BP7 wrist blood pressure (BP) monitor for clinical use and self-measurement in general population according to the International Organization for Standardization (ISO) 81060-2:2018/Amendment (Amd) 1:2020 protocol.</p><p><strong>Methods: </strong>Same arm BP was sequentially measured in 95 qualified participants and compared with a standard mercury sphygmomanometer. A total of 285 comparison pairs were obtained and analyzed according to the ISO 81060-2:2018/Amd 1:2020.</p><p><strong>Results: </strong>For the validation Criterion 1 of the protocol, the mean ± SD of the differences between the test device and reference BP readings was 0.62 ± 6.18 and -0.20 ± 5.59 mmHg for SBP and DBP, respectively. For Criterion 2, the SDs of the averaged BP differences between the test device and reference BP per subject were 5.79 and 5.28 mmHg (with maximum allowed SDs of 6.90 and 6.95 mmHg) for SBP and DBP, respectively.</p><p><strong>Conclusion: </strong>The iHealth BP7 wrist BP monitor satisfied all the validation requirements according to the ISO 81060-2:2018/Amd 1:2020 protocol and can be recommended for clinical use and self-measurement in the general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function.","authors":"Vedat Hekimsoy, Ergün Bariş Kaya","doi":"10.1097/MBP.0000000000000747","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000747","url":null,"abstract":"<p><strong>Objectives: </strong>Lower SBP is associated with worse prognosis in precapillary pulmonary hypertension patients. This study aimed to assess the prevalence of hypotension in precapillary pulmonary hypertension patients with preserved right ventricle function receiving pulmonary arterial hypertension (PAH)-specific medication with 24-h ambulatory blood pressure monitoring (ABPM) and to compare the burden of hypotension between patients receiving PAH-specific monotherapy and dual combination therapy (DCT).</p><p><strong>Methods: </strong>This cross-sectional study included 44 precapillary pulmonary hypertension patients who underwent clinical assessment, echocardiography, and 24-h ABPM. Patients were grouped according to the type of treatment regimen: monotherapy or DCT. Hypotension was defined as the occurrence of at least one valid measurement of SBP < 100 mmHg.</p><p><strong>Results: </strong>Mean 24-h, daytime, and nighttime SBP were significantly lower in patients receiving DCT compared to patients receiving monotherapy (P < 0.05 for all). Episodes with SBP < 100 mmHg during the 24-h, daytime, and nighttime periods were significantly more common in the patients receiving DCT (21.26 ± 9.33 vs 12.26 ± 3.61, 15.58 ± 8.17 vs 8.57 ± 3.60, 5.68 ± 2.63 vs 3.70 ± 2.27, respectively, P < 0.05 for all).</p><p><strong>Conclusion: </strong>Patients on DCT who had relatively advanced pulmonary vascular disease have a higher burden of hypotension. We propose that estimation of the mortality risk relying on a single office blood pressure measurement, as is the case with contemporary risk scores, may give rise to inaccurate results and the incorporation of the assessment of hypotension burden with 24-h ABPM into the risk assessment tools might improve risk stratification.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2025-02-01Epub Date: 2024-12-18DOI: 10.1097/MBP.0000000000000726
Rose Calixte, Ayanna Besson, Kunika Chahal, Mark S Kaplan
{"title":"Education differences in blood pressure trajectories by sex through midlife: Findings from the National Health and Nutrition Examination Survey, 1999-2018.","authors":"Rose Calixte, Ayanna Besson, Kunika Chahal, Mark S Kaplan","doi":"10.1097/MBP.0000000000000726","DOIUrl":"10.1097/MBP.0000000000000726","url":null,"abstract":"<p><strong>Objective: </strong>Although it has long been established that age and sex play a role in blood pressure levels across the lifespan, the extent to which educational attainment moderates these relationships has been understudied. Thus, the purpose of this study was to assess educational differences in SBP, DBP, and pulse pressure (PP) trajectories among men and women through the midlife years.</p><p><strong>Method: </strong>We conducted an analysis of pooled data from the 1999 to 2018 National Health and Nutrition Examination Survey to assess whether education moderates blood pressure measurements among men and women over the midlife years. Statistical analyses were performed using survey-weighted linear and quadratic regressions to assess these trajectories.</p><p><strong>Results: </strong>During midlife, women with at least a college degree maintained the lowest average level of SBP compared to men at all education levels and women with a high school diploma or less. They also maintained the lowest level of PP, though not different from men with at least a college degree and women with less than a college degree. However, no educational differences were observed in DBP between men and women during the midlife years.</p><p><strong>Conclusion: </strong>Our study shows clear delineation in the trajectories of PP and SBP by education such that a 4-year education is more protective than some college and a high school degree, particularly among women. These results highlight the need to consider upstream policy interventions (education policy initiatives) that could reduce population-wide elevated blood pressure.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"High job stress evaluated using the Brief Job Stress Questionnaire as an independent risk factor for hypertension among a Japanese male occupational population.","authors":"Hiromitsu Sekizuka, Hirohisa Kato, Toshiya Ishii, Satoko Nagumo","doi":"10.1097/MBP.0000000000000730","DOIUrl":"10.1097/MBP.0000000000000730","url":null,"abstract":"<p><strong>Objective: </strong>Stress and working environments are risk factors for hypertension. A new occupational health policy called the Stress Check Program was started in Japan in 2015. Therefore, we clarified whether the presence or absence of high job stress (HJS) as determined using the Brief Job Stress Questionnaire (BJSQ) is related to the comorbidity of hypertension.</p><p><strong>Methods: </strong>The results of a single year's BJSQ and medical examinations were investigated for 18 629 active Japanese male office workers who were 30-59 years old. The presence or absence of HJS was assessed using the BJSQ and investigated using a personal computer in a medical interview. Furthermore, the relationships between HJS and hypertension comorbidity were analyzed.</p><p><strong>Results: </strong>The mean age of the subjects was 43.8 ± 10.3 years old, and the proportion of subjects with HJS was 10%. After adjustment for age and lifestyle habits, HJS was associated with a risk of hypertension comorbidity (odds ratio, 1.18; 95% confidence interval, 1.02-1.36; P = 0.022). HJS was a significant hypertensive comorbidity factor.</p><p><strong>Conclusion: </strong>HJS measured using the BJSQ independently contributed to hypertension comorbidity among male office workers.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"30 1","pages":"24-29"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2025-02-01Epub Date: 2024-09-27DOI: 10.1097/MBP.0000000000000729
Zachary Zeigler, Anthony Acevedo, Isiaha Mews, Dalton Lesser, Abby Koornneef
{"title":"Effect of wearing N95 masks for 10 hours on ambulatory blood pressure in healthy adults.","authors":"Zachary Zeigler, Anthony Acevedo, Isiaha Mews, Dalton Lesser, Abby Koornneef","doi":"10.1097/MBP.0000000000000729","DOIUrl":"10.1097/MBP.0000000000000729","url":null,"abstract":"<p><p>The impact of wearing a face mask for an extended duration is unknown. This study aimed to determine if wearing a face mask for 10 h impacts blood pressure (BP) and arterial stiffness. Subjects received an ambulatory blood pressure cuff and were asked to wear it for 10 h while readings were taken every 15 min. During the face mask trial, subjects wore an N95 mask for 10 h. During the control, subjects did not wear a mask. Subjects were randomized to start their trial. An accelerometer was given to ensure no physical activity differences. Linear mixed models were used to determine group differences, and McNemar test was used to assess frequency differences when determining BP load. Twelve college-aged (20.5 ± 1.5 years) male ( n = 5) and female ( n = 7) individuals with normal BP participated in this study. There were no differences in time spent in any physical activity domain (all P > 0.05). There was no difference in brachial SBP ( P = 0.688), brachial DBP ( P = 0.063), central SBP ( P = 0.875), central DBP ( P = 0.246), heart rate ( P = 0.125), and augmentation pressure ( P = 0.158) between conditions. During mask condition, augmentation pressure was reduced by 5.2 ± 3.1% compared to control ( P < 0.001). There were no frequency differences in the number of BP readings above 140 mmHg for SBP ( P = 0.479) and >90 mmHg for DBP ( P = 0.212). The current study found that wearing an N95 mask for 10 h did not affect brachial or central BP but significantly decreased augmentation pressure.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"18-23"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142457189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2025-02-01Epub Date: 2024-10-24DOI: 10.1097/MBP.0000000000000732
Rui Cheng, Linyi Li, Jinfeng Chen, Jie Ren, Yi Wan
{"title":"Validation of the G.LAB MD6300 upper arm blood pressure monitor in different positions according to the AAMI/ESH/ISO Universal Standard (ISO81060-2:2018+AMD1:2020).","authors":"Rui Cheng, Linyi Li, Jinfeng Chen, Jie Ren, Yi Wan","doi":"10.1097/MBP.0000000000000732","DOIUrl":"10.1097/MBP.0000000000000732","url":null,"abstract":"<p><strong>Objective: </strong>To validate the accuracy of the G.LAB MD6300 oscillometric upper arm blood pressure monitor in the sitting, supine, and right lateral decubitus position in the general population according to the Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ISO) Universal Standard (ISO 81060-2 : 2018+AMD1 : 2020).</p><p><strong>Methods: </strong>The qualified participants were recruited in the study and the same left-arm sequential method was used for blood pressure measurement according to the Universal Standard. The validation results were assessed for the three positions and the Bland-Altman scatter plot was used to show the difference between the test device and reference results.</p><p><strong>Results: </strong>A total of 85 participants were included in the analysis. The mean differences between the test device and reference readings were 0.95 ± 6.76/0.47 ± 6.71 mmHg, 0.55 ± 6.73/-0.20 ± 6.72 mmHg, and - 0.71 ± 7.11/-0.86 ± 7.06 mmHg for SBP and DBP for the validation criterion 1 in the sitting position, supine with upward palm position, and right lateral decubitus position with downward left palm flat on left side position, respectively. Furthermore, the mean differences and their standard deviations for SBP and DBP calculated according to criterion 2 in the ISO81060-2 : 2018+AMD1 : 2020 were acceptable in all three positions.</p><p><strong>Conclusion: </strong>The G.LAB MD6300 upper arm blood pressure monitor fulfilled the validation criteria of the AAMI/ESH/ISO Universal Standard (ISO 81060-2 : 2018+AMD1 : 2020) in the sitting position, and its accuracy in the supine and right lateral decubitus position was acceptable and roughly equivalent to that in the sitting position. Therefore, it can be recommended for clinical use and self-measurement in the general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"30-35"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2025-02-01Epub Date: 2024-12-18DOI: 10.1097/MBP.0000000000000720
Rhea Trivedi, Sameer Ahmad, Aayush Visaria
{"title":"Screening for orthostatic hypotension and de-escalation of antihypertensives: insight into confounding factors, alternative methods of diagnosis, and recent studies.","authors":"Rhea Trivedi, Sameer Ahmad, Aayush Visaria","doi":"10.1097/MBP.0000000000000720","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000720","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":"30 1","pages":"48"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142913826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2025-02-01Epub Date: 2024-09-17DOI: 10.1097/MBP.0000000000000727
Zhe Hu, Rui Chu, Yang Gao, Xin Chen, Chang-Sheng Sheng
{"title":"Unattended versus conventional blood pressure measurements in hospitalized hypertensive patients.","authors":"Zhe Hu, Rui Chu, Yang Gao, Xin Chen, Chang-Sheng Sheng","doi":"10.1097/MBP.0000000000000727","DOIUrl":"10.1097/MBP.0000000000000727","url":null,"abstract":"<p><strong>Background: </strong>This study aims to compare the differences between unattended and conventional blood pressure measurements in hospitalized hypertensive patients.</p><p><strong>Methods: </strong>In fall of 2019, hypertensive patients at Ruijin Hospital underwent two rounds of unattended and conventional (nurse-monitored) blood pressure measurement. Both rounds used the same electronic blood pressure monitor with measurements taken three times, 30 s apart. Comparison was made using intra-class correlation coefficients, Bland-Altman plots, paired t -tests, etc.</p><p><strong>Results: </strong>Among the 92 subjects in the study, the median age was 50 years old, with women accounting for 33.7%. Among the subjects, the median duration of hypertension was 8.0 years. The prevalence of diabetes, coronary heart disease, and stroke were 26.1%, 5.4%, and 6.5%, respectively. Whether unattended or conventional measurements were taken first, the average blood pressure measured first was slightly higher than the one measured later, but the difference was within 1-2 mmHg. Except that the average DBP during the round of conventional blood pressure measurements was significantly reduced by 1.6 mmHg compared to the conventional DBP, there were no other significant differences. Subgroup analysis by age, gender, BMI, and diabetes showed no significant difference in blood pressure measurement results between unattended and conventional methods.</p><p><strong>Conclusion: </strong>No significant difference was observed between unattended and conventional methods of blood pressure measurement in hospitalized hypertensive patients. Unattended blood pressure measurement can be adopted as the current standard for blood pressure management in hospitalized patients.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"11-17"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blood Pressure MonitoringPub Date : 2025-02-01Epub Date: 2024-07-30DOI: 10.1097/MBP.0000000000000719
Jing Li, Li-Hong Han, Ru Feng, Li-Hao Wu, Jie Cai, Tian-Ying Zeng, Hui Liu, Lei Wang, Ju-Yun Li, Zhong-Qun Zhan
{"title":"Validation of the JAMR upper-arm pressure monitor B23 according to the AAMI/ESH/ISO Universal Standard (ISO 81060- 2:2018/AMD 1:2020).","authors":"Jing Li, Li-Hong Han, Ru Feng, Li-Hao Wu, Jie Cai, Tian-Ying Zeng, Hui Liu, Lei Wang, Ju-Yun Li, Zhong-Qun Zhan","doi":"10.1097/MBP.0000000000000719","DOIUrl":"10.1097/MBP.0000000000000719","url":null,"abstract":"<p><p>The aim of this study was to evaluate the accuracy of the JAMR upper-arm blood pressure monitor B23 in the general population according to the AAMI/ESH/ISO Universal Standard (ISO 81060-2 : 2018/AMD 1 : 2020). The study recruited participants who met the criteria of the AAMI/ESH/ISO Universal Standard in terms of their number, sex, age, limb size, and blood pressure (BP) distribution. The study involved measuring BP, including both SBP and DBP, using both the test device and a standard mercury sphygmomanometer in sequential measurements. Of 90 participants, 85 qualified participants were analyzed. A total of 255 sets of comparison data (three sets for each subject) were obtained and analyzed. For the validation criterion 1, the mean ± SD of the differences between the JAMR B23 and mercury sphygmomanometer BP readings was -0.24 ± 6.52/-2.67 ± 5.6 mmHg (SBP/DBP). For criterion 2, the SD of the averaged BP (SBP/DBP) differences between the JAMR B23 and reference BP (SBP/DBP) per participant was 5.61/5.13 mmHg (the requirement was ≤6.95/6.43 mmHg by calculation). The JAMR B23 passed all the requirements of the AAMI/ESH/ISO Universal Standard (ISO 81060-2 : 2018/AMD 1 : 2020) and can be recommended for clinical and self/home use in the general population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":" ","pages":"40-43"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141892806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}