Journal of public health (Oxford, England)最新文献

{"title":"Anxiety and hypertension in young and middle-aged adults: a longitudinal cohort study.","authors":"Leah Jones, Jamie L Romeiser","doi":"10.1093/pubmed/fdaf039","DOIUrl":"10.1093/pubmed/fdaf039","url":null,"abstract":"<p><strong>Background: </strong>There is a significant prevalence of hypertension among younger and middle-aged adults. Anxiety is a potential psychosocial risk factor, but there is mixed evidence regarding this association in younger adults.</p><p><strong>Methods: </strong>This study analyzed data from the National Longitudinal Study of Adolescent to Adult Health, focusing on Waves 4 and 5, to explore the relationship between anxiety and incident hypertension in 9283 participants. Incident hypertension was classified first with objective blood pressure measures and antihypertensive medication use and, secondly, including self-reported diagnosis. Anxiety was identified in Waves 4 and 5, including age at diagnosis. Analyses used multivariable logistic regression and Cox proportional hazards models with anxiety treated as a time-dependent predictor.</p><p><strong>Results: </strong>The average age was ~29 at Wave 4 and ~37 at Wave 5. Results showed mixed evidence, with no significant association between prior anxiety and objectively measured hypertension. However, including self-reported hypertension, a prior diagnosis of anxiety was associated with incident hypertension (aOR = 0.76, 95% CI: 0.63-0.92). Time-to-event analyses further supported this inverse relationship.</p><p><strong>Conclusion: </strong>This study found some evidence suggesting an inverse relationship between anxiety and incident hypertension in young to middle-aged adults, warranting further longitudinal research into the complex relationship between mental and cardiovascular health.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e288-e297"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039753","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":"Influence of social determinants of health on gambling in adolescents. Analysis of the results of the ESTUDES 2021 survey.","authors":"Ana M Recio-Vivas, Isabel Font-Jiménez, L Lorenzo-Allegue, Montserrat González-Pascual, Angel Belzunegui-Eraso, José M Mansilla-Domínguez","doi":"10.1093/pubmed/fdaf046","DOIUrl":"10.1093/pubmed/fdaf046","url":null,"abstract":"<p><strong>Background: </strong>There is globally proliferation of pathological gambling among the adolescent population. This public health problem requires the development of effective preventive strategies based on the risk factors. The aim of this study is to analyse the social determinants of health which may be predictors of online and face-to-face gambling in young people.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was carried out using the Survey on Drug Use in Secondary Education in Spain, ESTUDES (2021), as the main data collection tool. The selected sample consisted of N = 22 321.</p><p><strong>Results: </strong>Gender, age, academic performance and compulsive internet use were found to be predictors of online and face-to-face gambling. Gambling with money was statistically significantly related to male gender, age, presence of truancy, low academic achievement, compulsive internet use, mother's educational level and mother's employment status.</p><p><strong>Conclusions: </strong>This study offers a detailed analysis of connection between social and demographic factors that precede gambling beginning and the presence of problem behaviours. Academic achievement and gender differences appear to relate to the pathological gambling in adolescents. These should be taken as a reference when generating preventive strategies that allow us to focus on the most vulnerable population.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"428-435"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative insights into suicide prevention: a cross-sectional analysis of English local authority audit reports and action plans.","authors":"Saarah Khalid, Sivapriya K R Sundararajan, Libby Kelsey, Stephen Gunther, Padmanabhan Badrinath","doi":"10.1093/pubmed/fdaf042","DOIUrl":"10.1093/pubmed/fdaf042","url":null,"abstract":"<p><strong>Background: </strong>Suicide rates in the UK are rising, highlighting the need for effective local interventions. This study examined whether English local authorities (LAs) have conducted suicide audits, key findings and whether these were used to develop their action plans.</p><p><strong>Methods: </strong>This cross-sectional study assessed suicide audits and action plans from 153 LAs, using data collected from Freedom of Information requests, using statistical (Chi-square test) and thematic analysis.</p><p><strong>Results: </strong>Of 153 LAs, 8 did not respond. Of the remaining 145 LAs, 60% conducted audits. Data from 88 suicide audits and 113 action plans were analysed. Males between 45 and 64 years old were found to have the highest incidence of suicide; coastal LAs reported significantly higher suicide rates than the national average (P = .009). Locations (60.2%) and methods of suicide (62.5%) were recognized as key factors for intervention.</p><p><strong>Conclusions: </strong>The aim and scope of suicide audits and action plans vary significantly. Identified risk factors were higher in coastal LAs, and support for men remains inadequate. Standardized guidelines could improve the impact and consistency of data collection and assist in the development of robust strategies to tackle suicide prevention initiatives.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"558-566"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual and reproductive health knowledge and behaviors and prevalence of sexually transmitted infections among adolescents and young adults from Angola.","authors":"Sandra Aixut, Esperanza Esteban, Joan Martínez-Campreciós, Paula Regina Oliveira, Freddy Gómez-Martínez, Diana Martín-García, Domingos Luwawa, Edilson Canõma, Eugenia Neves, Nataniel Chinjengue, Fernando Quilezi, Osvaldo Lueto, Naquarta Gomes, Raquel Iglesias, Pedro Bala, Vicente Descalzo, Inés Oliveira, Olatz Larrea, Eva López Guerrero, Israel Molina, Maria Luisa Aznar","doi":"10.1093/pubmed/fdaf054","DOIUrl":"10.1093/pubmed/fdaf054","url":null,"abstract":"<p><strong>Background and objective: </strong>There is little information on sexual and reproductive health knowledge (SRHK) and practices in Angola and no data on the prevalence of sexually transmitted infections. The objective of this study was to assess the SRHK and behaviors, and estimate the prevalence of four sexually transmitted infections (STIs) among adolescents and young adults from 4 municipalities in Benguela province, Angola prior to an educational intervention.</p><p><strong>Material and methods: </strong>We performed a cross-sectional study to assess SRHK and sexual behavior using a structured questionnaire among adolescents and young adults aged 15 to 25 years old from two urban and two rural municipalities of Benguela province. We also evaluated the prevalence of human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV) and syphilis using rapid tests.</p><p><strong>Results: </strong>A total of 1400 youths were included in the study. Overall, 818 (58.4%) participants had adequate SRHK. Urban origin [odds ratio (OR) 1.52, 95% confidence interval (CI) 1.35-2.04], older age (OR 1.14, 95% CI 1.09-1.20), being female (OR 2.06, 95% CI 1.57-2.71) and having journals and internet as the main sources of information (OR 1.37, 95% CI 1.00-1.86 and OR 2.33, 95% CI 1.69-3.21, respectively) were significantly associated to a good SRHK in the multivariate analysis. Four hundred and fifty-three [45.9% of those who have had sexual intercourse (n = 986)] reported risky sexual behavior. We observed that risky sexual behavior was associated with male gender (OR 2.89 95% CI 2.13-3.92, P< .001). Prevalence of STI was: 5 (0.35%) for HIV, 190 (13.6%) for HBV, 4 (0.3%) for HCV, and 20 (1.4%) for syphilis.</p><p><strong>Conclusion: </strong>SRHK was higher than expected although in-depth knowledge was uncommon, especially in men from rural areas with lack of access to journals or the internet. Unsafe sexual behavior was widespread among our sample. Prevalence of HBV was higher than expected. Sexual education campaigns using both digital and non-digital approaches should be focused on reaching the young population dispersed in rural areas where internet connection is difficult and should be accompanied by HBV vaccination promotion.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e318-e328"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State of multi-morbidity among adults in Cape Verde: findings from the 2020 WHO STEPS non-communicable disease survey.","authors":"Joshua Okyere, Castro Ayebeng, Kwamena Sekyi Dickson","doi":"10.1093/pubmed/fdaf031","DOIUrl":"10.1093/pubmed/fdaf031","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the prevalence and factors associated with multi-morbidity in Cape Verde, where healthcare systems are traditionally focused on single diseases.</p><p><strong>Methods: </strong>Multi-morbidity was defined as having two or more conditions (i.e. hypertension, diabetes, and overweight/obesity). We analyzed the data of 1781 adults aged 18-69 who participated in the 2020 WHO STEPS survey. Cross-tabulations and logistic regression analyses were performed.</p><p><strong>Results: </strong>Overall, 17.9% of adults (95% confidence interval: 15.5-20.6) lived with multi-morbidity. Hypertension was more prevalent in men (37.2%), while diabetes and overweight/obesity were higher in women, at 5% and 57.4%, respectively. Rural residents had a higher prevalence of hypertension (30.6%), but urban areas showed greater rates of diabetes (4.4%) and overweight/obesity (50.7%). Women had 28% lower odds of multi-morbidity. Individuals aged 60 years and older showed higher odds of multi-morbidity. Participants with tertiary education and current smokers had significantly lower odds of multi-morbidity, while married individuals and urban residents exhibited higher odds.</p><p><strong>Conclusion: </strong>Older age, being married, and living in urban areas were associated with higher odds of multi-morbidity, while higher education and being a woman exhibited protective effects. These results underscore the need for a comprehensive approach in Cape Verde's healthcare system to address the growing burden of multi-morbidity.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e344-e356"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A population-based case-control study of COVID-19: methodological considerations on the role of testing bias.","authors":"Romain Fantin, Carolina Porras, Amada Aparicio, Juan Carlos Vanegas, Viviana Loria, Melvin Morera, Arturo Abdelnour, Tim Waterboer, Julia Butt, Ruth M Pfeiffer, D Rebecca Prevots, Mitchell H Gail, Allan Hildesheim, Rolando Herrero","doi":"10.1093/pubmed/fdaf055","DOIUrl":"10.1093/pubmed/fdaf055","url":null,"abstract":"<p><strong>Introduction: </strong>Targeting people at risk of COVID-19 infection has been critical to containing the pandemic. Using only differences in cumulative incidence by sociodemographic groups can be misleading, as it reflects both factors related to infection risk and those related to testing for infection. The aim of this analysis was to disentangle the determinants of both mechanisms.</p><p><strong>Methods: </strong>We compared the demographic, socioeconomic, and health characteristics of 813 PCR-confirmed COVID-19 cases over age 20 years with 1630 age- sex- and geography-matched population-based controls, both recruited in 2020-2021 in the RESPIRA study. We used antibody results and previous diagnosis to detect infections in population-based controls.</p><p><strong>Results: </strong>High socioeconomic status and being older than 60 years old were negatively associated with seropositivity. Obesity and number of people living in the household were positively associated with seropositivity. Among infected (seropositive) people, diagnosis by PCR was more frequent in employees, and in people with asthma or hypertension, and was negatively associated with the number of people living in the household.</p><p><strong>Conclusion: </strong>Differences between PCR-confirmed cases and non-infected controls reflected differences both in risk of infection, and in PCR-testing in infected people. The possibility of PCR-testing bias in case-control studies of COVID should be considered in future research.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e250-e261"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210586","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":"Classical Indian music for managing anxiety and pain among patients in a hospital setting: a systematic review and meta-analysis of randomized controlled trials.","authors":"Tara Rajendran, Akshay Patil, Subham Kumar Mohanta, Subbalakshmi Narasajjana Krishnadasa, Venkatesh Natarajan","doi":"10.1093/pubmed/fdaf048","DOIUrl":"10.1093/pubmed/fdaf048","url":null,"abstract":"<p><strong>Background: </strong>The quantitative impact of classical Indian music (CIM) on pain and anxiety is relatively underexplored. We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) to assess whether music medicine (MM) using CIM improves anxiety and/or pain among patients of all ages in a hospital setting.</p><p><strong>Methods: </strong>We searched PubMed, MEDLINE, PsychInfo, Embase, and Google Scholar from their inception until January 29, 2025. The pooled estimate of standardized mean differences (SMD) was calculated using the fixed and random-effects model and reported using Woolf's inverse variance. Data represented in standardized effect size with 95% CI. The risk of bias and the certainty of evidence were analyzed using RevMan v5.4 and GRADE.</p><p><strong>Results: </strong>Nine RCTs were included in the systematic review and two RCTs (197 participants) in the meta-analysis. CIM was found not to have a significant benefit on anxiety (SMD 0.14 [-0.14 to 0.42]), systolic blood pressure (SMD -0.20 [-0.73 to 0.34]), diastolic blood pressure (SMD -0.03 [-0.39 to 0.34]), and pulse rate (SMD -0.96 [-2.50 to 0.57]). No substantial statistical heterogeneity was observed. The certainty of the evidence was very low.</p><p><strong>Conclusions: </strong>Our meta-analysis could not ascertain any positive relationship between CIM and anxiety, SBP, DBP, and PR. We recommend greater research efforts through robust RCTs and policies to develop a National Medical Commission-accredited CIM-based music therapy service in India.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"527-539"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmeasured confounding in meta-analyses of observational studies evaluating maternal periodontitis and adverse birth outcomes.","authors":"May Salama, Abdullah Al-Taiar, Denise McKinney, Saad Al Otaibi, Sultan Al-Sallum, Eric Mishio Bawa, Anwar T Merchant","doi":"10.1093/pubmed/fdaf056","DOIUrl":"10.1093/pubmed/fdaf056","url":null,"abstract":"<p><strong>Background: </strong>Maternal periodontitis has been consistently linked to adverse birth outcomes (ABOs). However, a causal relationship is not established due to potential unmeasured confounding factors in observational studies and inconclusive results from randomized controlled trials. This study aimed to assess the impact of unmeasured confounding factors in meta-analyses examining associations between maternal periodontitis and preterm birth (PTB) or low birth weight (LBW).</p><p><strong>Methods: </strong>PubMed and MEDLINE, Cochrane, Embase, and Google Scholar were searched for systematic reviews with meta-analyses of observational studies between 2002 and 2023. Systematic reviews with meta-analyses of observational studies were included if either PTB or LBW were the outcome and were published in English. The E-value analogue method was used to evaluate possible unmeasured confounding effects in random effects meta-analyses.</p><p><strong>Results: </strong>62 original studies from nine meta-analyses met the inclusion criteria. In relation to the exposure and outcome, the random-effects meta-analysis showed that even with an unmeasured confounder having a relative risk (RR) of 3.00, 80% of cohort studies evaluating PTB and 90% evaluating LBW would have an RR > 2.00.</p><p><strong>Conclusions: </strong>Associations between maternal periodontitis and ABOs in observational studies appear robust to unmeasured confounding factors, supporting the hypothesis that maternal periodontitis is causally related to ABOs.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e408-e418"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic evaluation of a complex intervention to improve the mental health of maltreated children in foster care (BeST? Services trial).","authors":"Manuela Deidda, Helen Minnis, Karen Crawford, Robin Young, Gary Kainth, Julia Donaldson, Matt Forde, Alex McConnachie, Christopher Gillberg, Marion Henderson, Philip Wilson, Kathleen A Boyd, Emma McIntosh","doi":"10.1093/pubmed/fdaf038","DOIUrl":"10.1093/pubmed/fdaf038","url":null,"abstract":"<p><strong>Background: </strong>Children in foster care who have experienced abuse and neglect are at risk of poor long-term health and societal outcomes. Evidence on the costs, benefits and cost-effectiveness of early interventions aimed at improving the mental health of abused and neglected children is limited.</p><p><strong>Methods: </strong>This study reports the within-trial economic evaluation alongside BEST?, a randomized controlled trial comparing the New Orleans Intervention Model (NIM) with services as usual (SAU), targeting children aged 0-60 months entering UK foster care.In line with guidance for conducting economic evaluations of complex and social care interventions, a cost-utility analysis (CUA) estimated incremental cost of NIM per quality-adjusted life year (QALY); a cost-effectiveness analysis estimated incremental cost per unit improvement in child mental health; and a cost-consequence analysis combined costs with broad-ranging outcomes.</p><p><strong>Results: </strong>NIM is significantly more costly than SAU (NIM: £10 002; SAU: £4336), with wide cost variations according to context. There are no significant differences between NIM and SAU in QALYs or child mental health.</p><p><strong>Conclusions: </strong>Within the current UK care systems, NIM is not a cost-effective alternative to SAU. However, these results need to be interpreted with caution and within the prevailing service provision context.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"478-486"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797465","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 link between COVID-19 misinformation exposure and vaccine hesitancy through perceptions of efficacy and unsafety.","authors":"Nan Yu, Jinxu Li, Weirui Wang, Ann Neville Miller","doi":"10.1093/pubmed/fdaf069","DOIUrl":"10.1093/pubmed/fdaf069","url":null,"abstract":"<p><strong>Background: </strong>Misinformation has played a significant role in shaping public attitudes toward COVID-19 vaccines, contributing to vaccine hesitancy. This study examines the relationship between misinformation exposure and vaccine hesitancy, focusing on the mediating roles of perceived vaccine safety and efficacy. Additionally, it explores how trust in misinformation influences these relationships.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted between March and May 2021 across four university campuses in the southeastern United States (N = 819). Participants (Mean age = 20.55, SD = 2.85) were predominantly female (N = 525, 64.1%). Mediation and moderated mediation analyses were performed using Hayes' PROCESS Model 4 and Model 8.</p><p><strong>Results: </strong>Findings revealed that greater exposure to vaccine misinformation was associated with higher vaccine hesitancy. This relationship was mediated by increased perceptions of vaccine unsafety and reduced beliefs in vaccine efficacy. Additionally, trust in misinformation strengthened the indirect effect through perceived vaccine unsafety, reinforcing hesitancy among individuals who found misinformation more credible.</p><p><strong>Conclusion: </strong>This study highlights the critical role of misinformation in shaping vaccine hesitancy. By identifying the psychological mechanisms underlying this relationship, these insights can inform strategies to counter misinformation, improve public trust in vaccines, and enhance health communication in future public health crises.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"594-601"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}