Roberto Venuto, Caterina Elisabetta Rizzo, Giovanni Genovese, Giuseppe Trimarchi, Giuseppe LA Spada, Raffaele Squeri, Vincenza LA Fauci, Cristina Genovese
{"title":"The digital tether: a SA-SV based survey on smartphone addiction among young adults in Southern Italy.","authors":"Roberto Venuto, Caterina Elisabetta Rizzo, Giovanni Genovese, Giuseppe Trimarchi, Giuseppe LA Spada, Raffaele Squeri, Vincenza LA Fauci, Cristina Genovese","doi":"10.15167/2421-4248/jpmh2025.66.4.3771","DOIUrl":"10.15167/2421-4248/jpmh2025.66.4.3771","url":null,"abstract":"<p><strong>Introduction: </strong>In the post-pandemic era, smartphone usage has surged globally, particularly among young adults. While these devices offer convenience and connectivity, their excessive use has raised concerns about behavioral addiction and psychological well-being. This study investigates the prevalence of problematic smartphone use among young adults in Southern Italy, focusing on usage patterns and socio-demographic correlations.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted between March and June 2025 using an anonymous online questionnaire. The instrument combined ad hoc questions on lifestyle and digital habits with the validated Smartphone Addiction Scale-Short Version (SAS-SV). Participants aged 18-40 were recruited primarily from Sicily and Calabria via university and community networks. Data were analyzed using non-parametric statistical tests and chi-square analysis.</p><p><strong>Results: </strong>The final sample included 451 respondents (average age: 22.42 years), predominantly Italian and non-working students. The SAS-SV identified smartphone addiction in 21.3% of participants, with no significant gender differences. Most users engaged with smartphones for leisure, social media, and entertainment. Significant associations were found between SAS scores and variables such as region, education level, and income. Notably, higher scores correlated with emotional reliance on smartphones and difficulty disengaging from use.</p><p><strong>Conclusion: </strong>Problematic smartphone use affects over one-fifth of young adults in Southern Italy, driven more by app features than screen time alone. These findings underscore the need for targeted public health strategies, including early screening and behavioral interventions, to address digital dependency and promote healthier technology habits in this demographic.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 4","pages":"E466-E478"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201751","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":"Communication and <i>Cholera Morbus</i>: measures and fears in 19<sup>th</sup> Century Italy in the face of an unknown evil. Medical ignorance and ideological paradigms unchanged over time.","authors":"Mariano Martini, Federico Danielli","doi":"10.15167/2421-4248/jpmh2025.66.4.3797","DOIUrl":"10.15167/2421-4248/jpmh2025.66.4.3797","url":null,"abstract":"<p><strong>Abstract: </strong>The arrival of Cholera Morbus in Europe and Italy elicited a prompt institutional reaction. Starting in 1831, preventive measures characteristic of the plagues of the \"Ancien Régime\" were reactivated. The new disease triggered several instinctive and irrational reactions in the population, which resulted in the most diverse fears: fear of death, of doctors, of food, isolation, and abuse of food and alcohol. Ignorance of the origin of the disease, its etiology and modes of transmission meant that containment measures and treatment were often inefficacious. When patients recovered from the disease, this was due more to their living conditions and underlying state of health than to medical treatment, which was still limited to bloodletting, purgatives, and natural remedies (as emerges from the data from 1835 in the archives of the Genoese hospitals). As revealed by the pamphlets distributed around 1830, the disease was attributed to dietary disorders, personal and domestic hygiene, damp environments, menial occupations, and exposure to cold.The medical theories of the time were still closely bound to the \"miasmatic-humoral paradigm\", as the discoveries of Filippo Pacini, (1812-1883), John Snow (1813-1858) and Heinrich Hermann Robert Koch (1843-1910) had not yet been made. As for preventive measures at the institutional level, \"contagionist\" theories prevailed, which meant that sanitary cordons were reintroduced, safety measures (e.g. quarantine on people and goods) were implemented and great attention was placed on cleansing and disinfecting streets and public places.</p><p><strong>Background: </strong>For centuries, Cholera Morbus was endemic to the territory of Bengal; only with the revolution in transport, starting from 1817, did the disease first spread beyond India [1], replacing the plague as the \"scourge of urban populations\" [2]. Cholera was localized in Asia until 1817, when a first pandemic spread from India to other regions of the world. Endemic in Asia, (in the delta of the Ganges-India), it remained enclosed to that geographical area until the beginning of the 1800s. It first emerged from the Sundarbans Forest where the bacterium Vibrio cholerae had perhaps been mutating for millennia.It afterwards moved to the Mediterranean and Europe as new commerce routes were opened up between East and West and in the 1830s, Western Europe was faced with this totally new and unknown evil [3], which appeared in Italy in 1835.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 4","pages":"E635-E642"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201744","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":"Errata Corrige.","authors":"","doi":"10.82082/2421-4248/jpmh2025.66.3.3699-EC","DOIUrl":"https://doi.org/10.82082/2421-4248/jpmh2025.66.3.3699-EC","url":null,"abstract":"<p><p>[This corrects the article on p. E404-E410 in vol. 66, PMID: 41292527.].</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 4","pages":"E667"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201759","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}
Guido Resani, Guglielmo Pacileo, Erica Picasso, Antonio Maconi, Marta Betti, Annalisa Roveta, Valeria Domenica Tozzi, Francesca Ugo, Gloria Spatari, Anna Odone
{"title":"Developing health research impact assessment in Italy: the case of the Piedmont Region.","authors":"Guido Resani, Guglielmo Pacileo, Erica Picasso, Antonio Maconi, Marta Betti, Annalisa Roveta, Valeria Domenica Tozzi, Francesca Ugo, Gloria Spatari, Anna Odone","doi":"10.15167/2421-4248/jpmh2025.66.4.3667","DOIUrl":"10.15167/2421-4248/jpmh2025.66.4.3667","url":null,"abstract":"<p><strong>Background: </strong>Research Impact Assessment (RIA) is complex and still in the process of being defined. The most appropriate RIA framework should be selected and adapted according to the context and the specific purpose.The real challenge is experimenting with RIA and sharing the findings with the scientific community.Italy has a National Health System in which the Regions are granted with significant legislative authority in the healthcare sector.The Piedmont Region has a healthcare system based on 12 Local Health Authorities (LHA) and six autonomous public hospitals.The Piedmont Region has entrusted DAIRI (Department of Integrative Activities for Research and Innovation), an interinstitutional department of the Alessandria LHA and Alessandria Hospital, with the task of monitoring regional health research.</p><p><strong>Aims: </strong>This study aims to identify an RIA framework that can be applied to health research organisations in Alessandria Province and subsequently at the regional level.We aim to disseminate the results of these evaluations to contribute to the advancement of RIA within the scientific community and initiate a continuous RIA process.</p><p><strong>Methods: </strong>We approached the study in two phases. First, a literature review to identify a range of frameworks suitable for our context; second, a focus group to determine the most appropriate framework from this pool.</p><p><strong>Findings discussion and conclusion: </strong>Since adopting an existing framework requires tailoring it to the specific needs of the research organisation, we decided to select the framework proposed by Banzi et al. (2011) and adapt it to the context in which DAIRI operates.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 4","pages":"E458-E465"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201757","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}
Barbara Mangiacavalli, Vito Margherita, Luigi Petrella, Gianmarco Troiano, Tommaso Russo
{"title":"Implementing surveillance in territorial healthcare facilities: a proposal from ASST Nord Milano (Italy).","authors":"Barbara Mangiacavalli, Vito Margherita, Luigi Petrella, Gianmarco Troiano, Tommaso Russo","doi":"10.15167/2421-4248/jpmh2025.66.4.3661","DOIUrl":"10.15167/2421-4248/jpmh2025.66.4.3661","url":null,"abstract":"","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 4","pages":"E443-E447"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201732","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":"In memory of Ryan White, the boy with haemophilia who showed the world the other side of AIDS Lest We Forget….","authors":"Mariano Martini, Davide Orsini","doi":"10.15167/2421-4248/jpmh2025.66.4.3819","DOIUrl":"10.15167/2421-4248/jpmh2025.66.4.3819","url":null,"abstract":"<p><p>In the 1980s, AIDS triggered a huge wave of fear, as always happens when unknown, deadly diseases emerge. The fact that gay men were among the first to be infected with HIV and to manifest the disease prompted public opinion to link the infection to behaviours that were, at least at that time, transgressive and therefore unacceptable and shameful. AIDS sufferers were therefore exposed to discrimination from the outset. The case of young Ryan White prompted much-needed reflection in the mid-1980s. Born with a severe form of haemophilia, Ryan contracted AIDS through the therapeutic administration of an infected blood product. This demonstrated that AIDS was not a disease that affected only homosexuals and drug users; it could strike anyone. Through the story of Ryan White, an \"innocent victim\" of AIDS, the authors highlight the changes that occurred between the 1980s and 1990s, and which led civil society - as well as researchers - to modify its perception of the disease. This was no easy process, since discrimination and stigma have deep roots, exerting a cascading effect that is very difficult to counteract, and which sometimes proves even more harmful than the disease itself.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 4","pages":"E643-E648"},"PeriodicalIF":0.0,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13235398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201692","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}
Giovanna Elisa Calabrò, Caterina Rizzo, Vincenzo Baldo, Silvia Cocchio, Alexander Domnich, Giancarlo Icardi, Rosa Prato, Claudio Costantino, Emanuele Amodio, Oluwaseun Sharomi, John C Lang, Claudia Cozzolino, Andrea Cozza, Linda Compagno, Veronica Salvo', Enrica Frasson, Elisabetta Conte, Marianna Scarpaleggia, Francesca DI Serafino, Laura Pipitone, Marcello Tocco, Elena Zarcone, Francesco Vitale, Walter Ricciardi
{"title":"Il vaccino coniugato antipneumococcico 21-valente per la prevenzione delle infezioni da <i>Streptococcus pneumoniae</i> in età adulta: una valutazione di <i>Health Technology Assessment</i>.","authors":"Giovanna Elisa Calabrò, Caterina Rizzo, Vincenzo Baldo, Silvia Cocchio, Alexander Domnich, Giancarlo Icardi, Rosa Prato, Claudio Costantino, Emanuele Amodio, Oluwaseun Sharomi, John C Lang, Claudia Cozzolino, Andrea Cozza, Linda Compagno, Veronica Salvo', Enrica Frasson, Elisabetta Conte, Marianna Scarpaleggia, Francesca DI Serafino, Laura Pipitone, Marcello Tocco, Elena Zarcone, Francesco Vitale, Walter Ricciardi","doi":"10.15167/2421-4248/jpmh2025.66.3s1","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3s1","url":null,"abstract":"","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3 Suppl 1","pages":"E1-E86"},"PeriodicalIF":0.0,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13085841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730964","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}
Nadia Bouchhima, Mariam Ammar, Mohamed Ksentini, Khaled Zghal, Ahmed Hakim, Lobna Ben Mahmoud
{"title":"Impact of an Educational Intervention Video in HPV Prevention among Tunisian Female Students: A before-and-after Study.","authors":"Nadia Bouchhima, Mariam Ammar, Mohamed Ksentini, Khaled Zghal, Ahmed Hakim, Lobna Ben Mahmoud","doi":"10.15167/2421-4248/jpmh2025.66.3.3607","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3607","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer is the second most common gynecological cancer in Tunisia. The HPV vaccine is a crucial tool for preventing and controlling this disease. Training healthcare providers and equipping them with adequate knowledge is essential. This study aimed to evaluate the effectiveness of an educational intervention video (EIV) on the knowledge and perceptions of HPV, cervical cancer, and the HPV vaccine among Tunisian female students.</p><p><strong>Methods: </strong>A quasi-experimental study involving a single interventional group was conducted among 158 female students. Participants were interviewed before and after watching the EIV. The chi-square test using McNemar's method assessed variations between pre- and post-intervention responses. A p-value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>The average age of participants was 19.74±1.7 years. The EIV had a positive impact on the scores for knowledge and perceptions related to HPV and cervical cancer. A significant difference was observed between the intention to receive the HPV vaccine and perceived severity of HPV, perceived benefits of vaccination, and perceived barriers. Notably, 50.6% of female students believed the HPV vaccine should be available upon request and covered by health insurance, while 46.2% thought it should be included in the Tunisian vaccination schedule.</p><p><strong>Conclusion: </strong>The EIV improved students' knowledge and perceptions about HPV, cervical cancer, and the HPV vaccine. Tailored educational strategies may enhance vaccine acceptance, especially when integrated early in academic training.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E279-E290"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607366","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}
Mahsa Khodayarian, Nooshin Yoshany, Sara Jambarsang, Zahra Pourmovahed, Zohreh Karimiankakolaki
{"title":"Psychometric Evaluation of Iranian Version of Beliefs about Third-Hand Smoke Scale (BATHS-T) in Pregnant Women.","authors":"Mahsa Khodayarian, Nooshin Yoshany, Sara Jambarsang, Zahra Pourmovahed, Zohreh Karimiankakolaki","doi":"10.15167/2421-4248/jpmh2025.66.3.3519","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3519","url":null,"abstract":"<p><strong>Introduction: </strong>Exposure to third-hand smoke (THS) is hazardous for human health, especially for pregnant women. This study aimed at psychometric evaluation of the Iranian version of \"Beliefs about Third-Hand Smoke Scale\" (BATHS-T) in pregnant women.</p><p><strong>Aims & methods: </strong>The data collected from 364 pregnant women referring to Yazd health centers. The BATHS scale was translated into Persian, and the stages of adaptation of the BATHS scale in Persian were evaluated with CVR=0.87 and CVI=0.88. Confirmatory factor analysis (CFA) was performed to analyze the construct validity of the scale. Besides, the correlation test was used to evaluate the correlation of categories and subcategories of the scale.</p><p><strong>Results: </strong>The BATHS structural equation model showed a favorable fit as RMSEA value was less than 0.05 and X<sup>2</sup>/df varied between 2 to 5. Moreover, other indices such as CFI and NFI were more than 90%, indicating the optimal fit of the present model. The correlation between the overall scale of BATHS and its two subcategories was 0.843 (p < 0.001) and the correlation between health and stability subcategories was 0.886 (p < 0.001). Since there was a positive and highly significant correlation, the fitted BATHS scale was considered to be structurally consistent with its subcategories. The reliability of the whole scale was 0.86 using Cronbach's alpha coefficient.</p><p><strong>Conclusion: </strong>The Iranian version of the BATHS scale is reliable and valid. This scale provides the required prerequisites for further research and education on third hand smoke exposure. It can also be possibly used in similar studies.</p><p><strong>Implications: </strong>The BATHS scale has innovative aspects based on the real beliefs of participants concerning third-hand smoke. The favorable validity and reliability of the scale makes it possible to use it in similar studies. Hence, a reliable scale of THS beliefs may be a criterion for measuring the desire to reduce exposure to SHS and THS at homes or other private spaces such as cars. Additionally, examining the results among different populations may be useful in identifying high-risk groups to ward off exposure to THS, and groups that are likely to respond positively to interventions that emphasize THS damage.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E291-E299"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607979","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}
Elisa Gabrielli, Valeria Gabellone, Fabiana Nuccetelli, Pier Luigi Lopalco
{"title":"What strategic actions may be implemented to reach high immunisation coverage for clinically vulnerable individuals? A process for achieving regional consensus using World Cafè methods.","authors":"Elisa Gabrielli, Valeria Gabellone, Fabiana Nuccetelli, Pier Luigi Lopalco","doi":"10.15167/2421-4248/jpmh2025.66.3.3648","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3648","url":null,"abstract":"<p><strong>Background and study design: </strong>Clinically vulnerable individuals, including the elderly, are at increased risk of adverse health outcomes following infections, due to immunosenescence, chronic inflammation, or underlying medical conditions. Despite measures such as the National Immunisation Prevention Plan and Regional Laws, immunisation coverage for herpes zoster, pneumococcus, and COVID-19 in the Apulia Region has declined in recent years. This study outlines strategic actions to improve vaccination coverage for clinically vulnerable individualss in the region, using methods like the World Café (WoCa) to achieve regional consensus.</p><p><strong>Methods: </strong>On 31st May 2023, a working group of Apulian researchers and healthcare workers, supported by the Regional Immunisation Committee, conducted a workshop. The WoCa method facilitated structured discussions across five thematic domains to generate innovative solutions for enhancing immunisation rates.</p><p><strong>Results: </strong>Key actions included active vaccination reminders in all formats of informed consent and during healthcare visits; improved training for healthcare workers conducting outreach; involving pharmacies in patient guidance alongside general practicioners (GPs) and public health operators; establishing vaccination clinics near specialist centres and employing mobile units; launching media campaigns to counteract misinformation using authoritative voices; providing vaccinology and scientific communication training for professionals; implementing a hub-and-spoke logistics system under the governance by the Department of Prevention (DP); and ensuring seamless communication between digital platforms for vaccine data reporting and monitoring.</p><p><strong>Conclusion: </strong>The findings demonstrate the value of WoCa in achieving regional consensus to enhance immunisation for frail individuals. Collaboration among healthcare professionals, institutions, and the public is vital to raise awareness, improve accessibility, and address logistical challenges, ensuring equitable access to vaccination for vulnerable populations.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E300-E305"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607959","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}