Journal of preventive medicine and hygiene最新文献

{"title":"Achieving Health Equity in Decentralized Healthcare: An Innovative Approach to Preventive Care in Southern Italy.","authors":"Giovanna Liguori, Rachele Maria Russo, Viviana Balena, Maria Teresa Montagna, Antonio DI Lorenzo, Francesco Triggiano, Osvalda DE Giglio, Pietro Pasquale, Michele Fernando Panunzio","doi":"10.15167/2421-4248/jpmh2025.66.3.3599","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3599","url":null,"abstract":"<p><p>This contribution focuses on the Italian Ministry of Health's Decree No. 77 of 23 May 2022, aimed at standardizing preventive healthcare nationwide. The implementation of Ministerial Decree 77 represents a crucial step in strengthening preventive care in Italy, by redefining community-based healthcare models and promoting proactive, population-centered interventions. It highlights regional disparities in healthcare access and explores innovative approaches, including Regulation 13/2023 of the Apulia Region (Southern Italy), to improve health outcomes. In this context the comparison of healthcare management systems of northern and southern Italy, particularly on vaccination rates, chronic disease management and the integration of environmental health is relevant. It examines the Apulian regulatory model, emphasizing environmental determinants such as air quality monitoring and predictive analytics to mitigate climate-related health risks. The Apulia model led to significant health improvements, including a 25% reduction in waterborne diseases and a 12% reduction in heatwave-related hospitalizations. Multidisciplinary collaboration and community engagement enhanced policy effectiveness and public confidence. This work underscores the importance of balancing national health guidelines with regional autonomy to address health inequalities. The Apulia model demonstrates the need for integrating environmental health factors and offers a replicable framework to improve health equity and resilience. Recommendations include strengthening administrative capacity, fostering inter-regional collaboration, and promoting innovative regional healthcare approaches.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E428-E432"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608174","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":"Comparison of Photoprotection Knowledge, Attitudes, and Practices among Medical and Non-Medical Students at a Peruvian University.","authors":"Marianella Chavez, Patricia Carreño, Fabiana Forti, Franco Romani-Romani","doi":"10.15167/2421-4248/jpmh2025.66.3.3543","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3543","url":null,"abstract":"<p><strong>Introduction: </strong>Skin cancer is one of the most prevalent malignancies worldwide, particularly in countries with high ultraviolet (UV) radiation exposure. Thus, to reduce sun exposure, the early adoption of protection behaviours is essential. In this task, future medical professionals must demonstrate competencies in skin cancer prevention. This study aimed to describe and compare photoprotection knowledge, attitudes, and practices (KAP) among medical and non-medical students.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at a private university in Lima, Peru, involving 624 students from five programs: medicine, industrial and systems engineering, law, psychology, and business administration. Participants were divided into two groups: medical and non-medical students. The Questionnaire on Habits, Attitudes, and Knowledge about Sun Exposure in Adolescence and Adulthood (CHACES), a validated tool to assess sun exposure and protection KAP, was used. Group comparisons were performed using Chi-squared and Mann-Whitney U tests.</p><p><strong>Results: </strong>Participants' average age was 21.09 years old, with 56.1% being female. Medical students scored higher in photoprotection knowledge (U = 35,853.5; p = 0.003) and reported lower sun exposure (U = 37,263.5; p = 0.028) than non-medical students. However, no significant differences were observed in photoprotection behaviours (p = 0.807) or photoprotection attitudes (p = 0.238).</p><p><strong>Conclusion: </strong>Medical students demonstrated greater knowledge and fewer sun exposure habits; however, their photoprotection behaviours did not differ significantly from non-medical students. These findings highlight the need for enhanced educational strategies for skin cancer prevention across all university programs.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E306-E317"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608235","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":"Why do middle-aged adults use or avoid health services? A study of social and demographic determinants.","authors":"Seyed Abbas Hoseinalipour, Maryam Farhadian, Akram Karimi-Shahanjarini","doi":"10.15167/2421-4248/jpmh2025.66.3.3699","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3699","url":null,"abstract":"<p><strong>Introduction: </strong>Middle-aged adults experience distinctive health issues, yet underutilize preventive care despite Iran's strong primary healthcare (PHC) system. This research investigates social and demographic determinants of healthcare services utilization among middle-aged adults in Qom, Iran, to inform the development of targeted community-based screening initiatives.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in underprivileged suburbs of Qom (June-September 2024) among 697 adults aged 30-59, randomly sampled by cluster sampling. Awareness of available services, utilization, and satisfaction with PHC service information were collected via phone interviews. Multivariate logistic regression identified predictors of service utilization.</p><p><strong>Results: </strong>Only 11.8% (n = 82) of the participants were aware of middle-aged health services, and 24.2% (n = 169) had utilized them in the past year. Women had at least one PHC visit 2.5 times more than men (35.3% vs 13.9%, p < 0.001), and utilization increased with age (31.1% among 50-59-year-olds vs. 19.6% in 30-39 years-old, p = 0.023).The strongest predictor was awareness: aware adults had 22.4-fold higher odds of use (95% CI: 11.60-43.29, p < 0.001). Dissatisfaction (by 7.7% of users) was linked to gaps in staff communication (38%), overcrowding (38%), and perceived incompetence (30%) (multiple responses permitted). Work and education were not independently associated with service use after adjustment, suggesting indirect impacts.</p><p><strong>Conclusion: </strong>PHC utilization among middle-aged population is handicapped by low awareness and gender/age disparities. Interventions should prioritize health literacy programs, staff training to improve patient-provider communication, and systemic modifications to reduce overcrowding. Increased outreach to men and younger adults is necessary to ensure equitable preventive care.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E404-E410"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608048","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":"Assessment of \"Quality of Life\" of Parents and Siblings of Intellectually Disabled Children residing at one of Metropolitan cities at Western India.","authors":"Sahil Rajesh Solanki, Rujul Pankajbhai Shukla, Viral R Dave","doi":"10.15167/2421-4248/jpmh2025.66.3.3451","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3451","url":null,"abstract":"<p><strong>Introduction: </strong>Intellectual disability is a permanent disability and raising such a child may lead to varied physical, social, emotional response from caregivers. Data of Quality of life of family members of such children is underexplored.</p><p><strong>Objectives: </strong>To measure quality of life of family members of intellectually disabled children.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted involving seven functional special schools in Ahmedabad. Out of 382 eligible children, 253 parents (Category A) and 195 siblings (Category B) were included. Data were collected using a pre-tested, semi-structured questionnaire. Quality of life for parents was assessed using the National Institute of Mental Health Disability Impact Scale, while siblings were evaluated using the Columbia Impairment Scale (Youth Version).</p><p><strong>Results: </strong>Among Category A participants, the most negatively affected domains were social life (77.1%), physical care (65.2%) and embarrassment (60.5%). Positive effects included better family relationships and increased empathy. Among siblings, 80.5% exhibited functional impairment (score >16), with common problems related to emotional well-being, behaviour and peer interactions. Age, education, and employment status significantly influenced impairment scores.</p><p><strong>Conclusion: </strong>Parents and siblings of children with ID experience considerable negative impacts on their quality of life. These findings highlight the need for targeted psychosocial and support interventions to address the challenges faced by these families.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E391-E397"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608188","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":"Final Heights in Patients with Congenital Adrenal Hyperplasia: a Retrospective Cohort Study.","authors":"Elahe Rafiei, Farzane Rouhani, Emad Bayat, Zohre Moeini, Navid Dehnavi","doi":"10.15167/2421-4248/jpmh2025.66.3.3455","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3455","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital adrenal hyperplasia (CAH) attributed to 21-OHD is one of the most common genetic endocrine disorders that occurs due to the disruption and defects in the steroidogenic enzymes involved in the production of cortisol. The current study aims to assess the final height of patients with classic CAH forms in Iran.</p><p><strong>Methods: </strong>The retrospective cohort study was conducted on 30 patients (determined using the previous studies by the sample size formula to compare two means) studies with classic type CAH who were followed up and treated in the endocrinology clinic of Ali Asghar Hospital during the 2000-2022 years. The history of the patients at the time of diagnosis was extracted from the patient's files and recorded in the checklist. All data was analyzed using IBM SPSS Statistics version 22 software.</p><p><strong>Results: </strong>In the simple virilizing (SV) group, the target and final height for females was 162 and 159.2 cm, and for males were 173 and 171 cm. In the salt-wasting (SW) group, the target and final height for females was 164 and 163.2 cm, and for males were 171.7 and 173.1 cm. There was a significant and reverse correlation between the mean age at the time of diagnosis and the Final Height percentile among all cases (r: -0.55, p: 0.02) and the SW group (r: -0.75, p: 0.002). A positive and significant correlation was seen between the bone age advanced and final height percentile in the SV group (r: 0.04, p: 0.03). The final height percentile increased significantly with an increase in the Duration of treatment regardless of CAH type (r: -0.67, p: 0.009). Also, there was a positive and significant correlation between hydrocortisone dose and final height percentile in the SV group (r: 0.24, p: 0.04).</p><p><strong>Conclusion: </strong>The results of the present study showed that early diagnosis of the disease at a young age, lower bone age of patients, preventing the increase of obesity in children with CAH, and receiving appropriate drugs with standard doses can play an effective role in increasing the final height of CAH patients.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E382-E390"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608168","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":"Breaking the Stalemate: How Italy's Non-Medical Health Professions Are Trapped by Redundant Roles and Ineffective Degrees.","authors":"Roberto Tedeschi","doi":"10.15167/2421-4248/jpmh2025.66.3.3439","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3439","url":null,"abstract":"","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E418-E419"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608215","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":"Knowledge, attitudes, and practices (KAP) of the Philippine general public towards human mpox (hMPX): a cross-sectional study.","authors":"Melannie Grace Tendido, Beatriz Marie Araja, Pamelah Joy Concepcion, Gazelle Love Dela Cruz, Danilo Diego Ipapo, Alexis Marie Mina, Marie Louise Ondis, Maria Alexandra Pangilinan, Maphel Angelica Pasao, Nerissa Michelle Sanchez, Roseanne Mae Taniajura, Janella Angelique Varias, Michael VAN Haute","doi":"10.15167/2421-4248/jpmh2025.66.3.3683","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3683","url":null,"abstract":"<p><strong>Introduction: </strong>In the Philippines, research on knowledge, attitudes, and practices (KAP) regarding human mpox (hMPX) remains limited, despite rising case numbers. With vaccines unavailable locally, enhancing community awareness and promoting non-pharmaceutical interventions are crucial for reducing transmission risks.</p><p><strong>Methods: </strong>This cross-sectional study utilized an anonymized online data collection tool to explore the general public's hMPX KAP and their relationships, and identify sociodemographic groups linked to low hMPX knowledge; 502 respondents were included in the analysis.</p><p><strong>Results: </strong>Knowledge levels were evenly distributed across low, moderate, and high categories. Higher knowledge was associated with being female (β = 0.130, p = 0.004), higher educational attainment (β = 0.134, p = 0.006), and smaller household size (β = -0.098, p = 0.028). Knowledge was not significantly associated with perceived disease susceptibility or severity, but strongly predicted perceived effectiveness of preventive measures. Perceived effectiveness, in turn, consistently emerged as the strongest predictor of preventive practices. Full mediation of the effect of knowledge by perceived effectiveness was observed with protective sexual practices and avoiding crowded places, but only partial with hand hygiene and fomite/high-touch surface disinfection.</p><p><strong>Conclusion: </strong>This study highlights the complex interplay between knowledge, attitudes, and practices in shaping public health behavior toward hMPX in the Philippines. Significant knowledge gaps and the mediating role of attitudes in influencing preventive practices underscore the need for targeted, stigma-free health communication strategies. Strengthening public understanding and perception through tailored interventions will be critical in mitigating hMPX transmission.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E363-E374"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607721","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":"Social and Behavioral Determinants of Dental Care Utilization among Homeless Pregnant Women in the United States.","authors":"Dina Abdo, Sanja Avramovic, Janusz Wojtusiak, Panagiota Kitsantas","doi":"10.15167/2421-4248/jpmh2025.66.3.3371","DOIUrl":"10.15167/2421-4248/jpmh2025.66.3.3371","url":null,"abstract":"<p><strong>Introduction: </strong>Despite modest research on oral healthcare during pregnancy, there is a dearth of evidence describing dental care among pregnant women experiencing homelessness. The purpose of this study was to examine associations between dental care utilization and social and behavioral determinants of health among United States (US) pregnant women who experienced homelessness relative to those who did not.</p><p><strong>Methods: </strong>This was a cross-sectional study that used data from the 2012-2018 Pregnancy Risk Assessment Monitoring System (PRAMS). The sample consisted of 5,939 homeless and 209,942 non-homeless women. Bivariable and multivariable analyses were conducted to determine associations between dental health-related measures and social and behavioral determinants of health based on whether a woman experienced homelessness 12 months prior to birth.</p><p><strong>Results: </strong>In this sample, 41.2% of homeless women saw a dentist for a problem while this was true for only 19.1% of women who were not homeless. Approximately 36.4% of women who experienced homelessness did not have their teeth cleaned before pregnancy compared to 25.7% of women who were not homeless. Lack of preventive care, smoking, older age, and experiencing multiple stressors during pregnancy were positively associated with seeing a dentist during pregnancy for both groups of women.</p><p><strong>Conclusion: </strong>The results indicate the need for healthcare providers and policy officials to develop targeted interventions and policies to ensure that dental care is readily accessible for all pregnant women and especially those who are homeless.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 3","pages":"E411-E417"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12643087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608055","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":"Historical Perspectives on Scrofula: Competing Medical Discourses and Public Health Implications at the Turn of the 20^th Century.","authors":"Ulrik Bak Kirk, Christian Wejse, Per Kallestrup","doi":"10.15167/2421-4248/jpmh2025.66.2.3517","DOIUrl":"10.15167/2421-4248/jpmh2025.66.2.3517","url":null,"abstract":"<p><p>This article examines how scrofula was classified as a distinct disease in Danish medical history around the turn of the 20th century. Dr. Niemeyer, a naturopathic advocate, attributed scrofula to an unhealthy composition of bodily fluids, whereas Dr. Geill viewed it as a tuberculous condition and a precursor to pulmonary tuberculosis. While they differed on causation - particularly regarding heredity - they agreed on prevention strategies, emphasizing fresh air, skin care, nutrition, and physical activity to reduce contagion and improve children's resilience. Physicians advocated guiding children in dietary and hygienic practices to fortify their resistance against the tubercle bacillus. The article highlights how naturopathic discourses were challenged by emerging claims that scrofula was an infectious disease. Expanding clinical assessments to include home hygiene and working conditions reflected broader shifts in societal health rationales. Public health measures required coordinated efforts between physicians and municipal authorities rather than being solely an individual responsibility. Finally, this historical perspective is framed within a modern public health context, emphasizing the bio-psycho-social model of health and disease. It underscores the lasting relevance of interconnected health approaches, drawing parallels between past strategies against scrofula and contemporary public health efforts to address infectious and non-communicable diseases. Integrating historical insights into modern policy and practice can enhance health equity and prevention strategies.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 2","pages":"E262-E268"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12606535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514568","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":"Investigating the Theoretical Possibility of Dengue Fever in Ancient Egypt.","authors":"Francesco Maria Galassi, Michael Eduard Habicht, Mariano Martini, Mauro Vaccarezza, Donatella Lippi, Giorgia Cafici, Francesco Baldanzi, Elena Varotto","doi":"10.15167/2421-4248/jpmh2025.66.2.3601","DOIUrl":"10.15167/2421-4248/jpmh2025.66.2.3601","url":null,"abstract":"<p><p>Dengue fever, a mosquito-borne viral disease primarily transmitted by Aedes aegypti, has become a growing global health concern, with dramatic increases in incidence in recent years. Although no direct evidence of dengue exists from ancient Egypt, this study investigates the theoretical possibility of its presence in that historical context. The approach integrates palaeoclimatic data, modern entomological and vector ecology studies, molecular clock analyses, and the interpretation of ancient Egyptian medical papyri. Special attention is given to the term temyt, described in association with dermatological and neurological symptoms in children and linked to the demon nesyt, as reinterpreted by scholars such as Bruno Halioua and Pascal Hannequin. These sources are critically re-evaluated alongside modern clinical symptomatology of dengue. Findings suggest that environmental and climatic conditions in ancient Egypt - particularly in regions like the Fayum- could have supported Aedes populations, and that certain disease descriptions may reflect empirical observations of vector-borne illnesses. While the evidence remains circumstantial and speculative, it opens new interpretative avenues regarding ancient Egyptian understandings of febrile, eruptive childhood diseases. The study concludes that dengue or dengue-like syndromes cannot be ruled out and that future interdisciplinary research, including palaeogenetic and archaeoviral approaches, may help clarify the presence of arboviral diseases in antiquity.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"66 2","pages":"E256-E261"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12606527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514820","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}