Carolina Rodrigues Mendes Nogueira Cobra, Paulo Carlos Garcia, Isadora Castilho Moreira de Oliveira Passos, Greiciane da Silva Rocha, Lilia de Souza Nogueira
{"title":"Analysis of intensive care unit admissions for older adults with femoral fractures: a retrospective cohort.","authors":"Carolina Rodrigues Mendes Nogueira Cobra, Paulo Carlos Garcia, Isadora Castilho Moreira de Oliveira Passos, Greiciane da Silva Rocha, Lilia de Souza Nogueira","doi":"10.1590/1980-220X-REEUSP-2023-0398en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0398en","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the historical series of admissions to the Intensive Care Unit of older adults with femoral fractures, and verify the association between age and injury characteristics and treatment, nursing workload, severity, and clinical evolution in the unit.</p><p><strong>Method: </strong>Retrospective cohort of 295 older adults (age ≥60 years) admitted to the Intensive Care Unit of a hospital in São Paulo, between 2013 and 2019, and who presented with a femur fracture as the main cause of hospitalization. Variables regarding demographic characteristics, cause, and type of fracture, treatment provided, severity, nursing workload, and medical outcome of patients were analyzed. The Shapiro-Wilk, Wilcoxon-Mann-Whitney, Kruskal-Wallis tests and Pearson correlation were applied.</p><p><strong>Results: </strong>There was an increase in older adults admission to the Intensive Care Unit from 2017 on. Female patients with distal femur fractures who died in the Intensive Care Unit had significantly (p < 0.05) higher median age than men, patients with shaft or proximal femur fractures, and survivors.</p><p><strong>Conclusion: </strong>The study findings highlight essential information for structuring care for older adults with femoral fractures who require intensive care.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230398"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891413","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}
Pedro Moisés Noh-Moo, Lubia Del Carmen Castillo-Arcos, Juan Yovani Telumbre-Terrero, Lucely Maas-Góngora, Sylvia Claudine Ramírez-Sánchez, Roberto Joel Tirado-Reyes
{"title":"Alcohol use as a predictor of child-to-parent violence in adolescents from southern Mexico.","authors":"Pedro Moisés Noh-Moo, Lubia Del Carmen Castillo-Arcos, Juan Yovani Telumbre-Terrero, Lucely Maas-Góngora, Sylvia Claudine Ramírez-Sánchez, Roberto Joel Tirado-Reyes","doi":"10.1590/1980-220X-REEUSP-2024-0016en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0016en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the relationship and effect of alcohol use on Child-to-Parent Violence (CPV).</p><p><strong>Method: </strong>Cross-sectional, observational study with a quantitative approach, carried out through online data collection using the Conflict Tactics Scale (CTS2) and the Alcohol Use Disorders Identification Test (AUDIT) in 318 high school adolescents from southern Mexico.</p><p><strong>Results: </strong>Moderate and significant relationships were found between alcohol use and verbal (rs = 0.408, p = 0.001) and economic violence against the mother (rs = 0.445, p = 0.001). A similar situation is presented in physical (rs = 0.473, p = 0.001), verbal (rs = 0.236, p = 0.001) and economic (rs = 0.477, p = 0.001) violence directed to the father.</p><p><strong>Conclusion: </strong>The relation among the variables was supported by Multiple Linear Regression models, with alcohol consumption in adolescents being a predictor of violence against mothers and fathers.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240016"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891412","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":"Skin injuries in newborns hospitalized in neonatal intensive care: a cross-sectional study.","authors":"Carolina Tenfen, Grasiely Masotti Scalabrin Barreto, Neide Martins Moreira, Helder Ferreira, Adriana Zilly, Rosane Meire Munhak da Silva","doi":"10.1590/1980-220X-REEUSP-2024-0058en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0058en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the skin injuries of hospitalized newborns and identify factors related to the number of lesions.</p><p><strong>Method: </strong>This was a cross-sectional epidemiological study carried out over a period of one year in a Neonatal Intensive Care Unit in the west of Paraná. The study included 74 newborns with a score ≥5 on the Newborn Skin Condition Scale. Data analysis by chi-square and Pearson's test (p < 0.05).</p><p><strong>Results: </strong>The frequency was 25.4%, 59.4% had more than one lesion, mainly dermatitis and pressure injury. Birth characteristics were not related to the number of lesions. Not using antibiotics and parenteral nutrition, hemoglobin >11g/dl, phototherapy, pain score <4 and hospitalization >30 days were related to the number of lesions. The presence of two injuries led to longer healing time and three to longer hospitalization. A higher score on the Skin Condition Scale was related to healing time and late start of the diet.</p><p><strong>Conclusion: </strong>Skin injuries were found to be infrequent among newborns, but there is still a need to improve practices to prevent and maintain skin integrity.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240058"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891414","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}
Aldenora Laísa Paiva de Carvalho Cordeiro, Jade Alycia Ribeiro E Santos, Ana Clara Leite Barroso, Miguir Terezinha Vieccelli Donoso, Luciana Regina Ferreira Pereira da Mata, Tânia Couto Machado Chianca
{"title":"Tracheostomy care for adults and the elderly in the home environment: a scoping review.","authors":"Aldenora Laísa Paiva de Carvalho Cordeiro, Jade Alycia Ribeiro E Santos, Ana Clara Leite Barroso, Miguir Terezinha Vieccelli Donoso, Luciana Regina Ferreira Pereira da Mata, Tânia Couto Machado Chianca","doi":"10.1590/1980-220X-REEUSP-2024-0028en","DOIUrl":"10.1590/1980-220X-REEUSP-2024-0028en","url":null,"abstract":"<p><strong>Objective: </strong>To map out scientific knowledge regarding tracheostomy care for adults and the elderly carried out by individuals, famies or caregivers in home environments.</p><p><strong>Method: </strong>Scoping review, conducted in February 2023, according to the methodology of the Joanna Briggs Institute. The guiding question was: what and how should adult/elderly tracheostomy care be carried out by the individual/family/caregiver in the home environment? Studies published in Portuguese, English and Spanish were considered. The databases consulted were: Lilacs; Medline, via PubMed; Cinahl; Cochrane Library; PEDro; Embase; Scopus and Web of Science.</p><p><strong>Results: </strong>2158 articles were identified, of which 81 were read in full and 14 included in the review. The main types of care identified included psychobiological needs: airway suction, changing the tracheostomy attachment, cleaning the endocannula and sanitizing the peristomal skin. As for psychosocial needs, incentives for communication and autonomy were identified. There were no recommendations for care related to psychospiritual needs.</p><p><strong>Conclusion: </strong>The findings prioritize biological care, few studies have detailed how to carry out such care at home.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20240028"},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891464","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}
Jackson Gois Teixeira, Lucas Tomaz Benigno Lima, Elaine Carvalho Cunha, Flavia Oliveira de Almeida Marques da Cruz, Karen Karoline Gouveia Carneiro, Laiane Medeiros Ribeiro, Guilherme da Costa Brasil
{"title":"Association between cortisol levels and performance in clinical simulation: a systematic review.","authors":"Jackson Gois Teixeira, Lucas Tomaz Benigno Lima, Elaine Carvalho Cunha, Flavia Oliveira de Almeida Marques da Cruz, Karen Karoline Gouveia Carneiro, Laiane Medeiros Ribeiro, Guilherme da Costa Brasil","doi":"10.1590/1980-220X-REEUSP-2023-0279en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0279en","url":null,"abstract":"<p><strong>Objective: </strong>To identify how stress measured by salivary cortisol during clinical simulation-based education, or simulation and another teaching method, impacts performance.</p><p><strong>Method: </strong>Systematic review of the association between cortisol and performance in simulations. The following databases were used: PubMed, LIVIVO, Scopus, EMBASE, Latin American and Caribbean Health Sciences Literature (LILACS) and Web of Science. Additional searches of gray literature were carried out on Google Scholar and Proquest. The searches took place on March 20, 2023. The risk of bias of randomized clinical trials was assessed using the Cochrane Collaboration Risk of Bias Tool (RoB 2). Inclusion criteria were: simulation studies with salivary cortisol collection and performance evaluation, published in any period in Portuguese, English and Spanish.</p><p><strong>Results: </strong>11 studies were included which measured stress using salivary cortisol and were analyzed using descriptive synthesis and qualitative analysis.</p><p><strong>Conclusion: </strong>Some studies have shown a relationship between stress and performance, which may be beneficial or harmful to the participant. However, other studies did not show this correlation, which may not have been due to methodological issues.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230279"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11277686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141763638","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":"Clinical effect and prognostic factor of electric stimulation and biofeedback therapy on postpartum pelvic organ prolapse.","authors":"Hongjin Wu, Xiaoying Zhong, Linqian He, Xixi Li, Yan Zeng, Yuanli Jia","doi":"10.1590/1980-220X-REEUSP-2023-0421en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0421en","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effects of electric stimulation and biofeedback therapy in patients with postpartum pelvic organ prolapse and to identify factors that can affect therapeutic efficacy outcomes.</p><p><strong>Method: </strong>This retrospective study analysed clinical data about patients with postpartum pelvic organ prolapse. A total of 328 women with pelvic organ prolapse at 6 weeks postpartum were recruited from one tertiary hospitals in Sichuan province in China, between March 2019 and March 2022. The prognostic factors of therapeutic efficacy were analysed using logistic regression and decision tree model.</p><p><strong>Results: </strong>Overall, 259 women showed clinical benefits from the treatment. The logistic regression model showed that parity, pelvic floor muscle training at home, and the pelvic organ prolapse quantitation stage before treatment were independent prognostic factors. The decision tree model showed that the pelvic organ prolapse quantitation stage before treatment was the main prognostic factor, followed by parity. There was no significant difference in the area under the receiver operating characteristic curve between the two models.</p><p><strong>Conclusion: </strong>Parity, pelvic floor muscle training at home, and the pelvic organ prolapse quantitation stage before treatment were important prognostic factors of electric stimulation and biofeedback therapy on postpartum pelvic organ prolapse.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230421"},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904072","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}
Gabriela Katrinny Avelar Oliveira, Stéfanne Rodrigues Rezende Ferreira, Vanessa Oliveira Lopes de Moura, Victor da Silva Siqueira, Thaís Santos Anjo Reis, Vanessa Bridi, Ludimila Paula Vaz Cardoso, Hanstter Hallison Alves Rezende
{"title":"Biological screening for congenital toxoplasmosis in newborns from Jataí, Goiás, Brazil: a cross-sectional study.","authors":"Gabriela Katrinny Avelar Oliveira, Stéfanne Rodrigues Rezende Ferreira, Vanessa Oliveira Lopes de Moura, Victor da Silva Siqueira, Thaís Santos Anjo Reis, Vanessa Bridi, Ludimila Paula Vaz Cardoso, Hanstter Hallison Alves Rezende","doi":"10.1590/1980-220X-REEUSP-2023-0408en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0408en","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a serological screening for toxoplasmosis in the heel prick test and to evaluate its epidemiological aspects in newborns and postpartum women in Jataí, Goiás.</p><p><strong>Method: </strong>Cross-sectional epidemiological study for the biological screening of newborns in Jataí, Goiás.</p><p><strong>Results: </strong>The study participants amounted to 228 newborns, whose samples were collected between the third and seventh day of life. IgG antibodies against Toxoplasma gondii were detected in 40.79% (93/228) of the samples; out of these, 23.6% (22/93) had high IgG antibody titers, leading to the collection of two other peripheral blood samples and the detection of a decrease in these titers.</p><p><strong>Conclusion: </strong>The findings show the importance of strengthening actions in primary health care to prevent infection and training health professionals in this area to equip them with information regarding cases of reinfection and reactivation of infection in pregnant women, minimizing risks for babies.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230408"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728419","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}
Quézia Boeira da Cunha, Etiane de Oliveira Freitas, Daiane Dal Pai, José Luís Guedes Dos Santos, Rosângela Marion da Silva, Silviamar Camponogara
{"title":"Adherence to standard precautions in university hospitals during the COVID-19 pandemic: a mixed study.","authors":"Quézia Boeira da Cunha, Etiane de Oliveira Freitas, Daiane Dal Pai, José Luís Guedes Dos Santos, Rosângela Marion da Silva, Silviamar Camponogara","doi":"10.1590/1980-220X-REEUSP-2023-0289en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0289en","url":null,"abstract":"<p><strong>Objective: </strong>To analyze adherence to standard precautions by healthcare professionals and associated factors during the COVID-19 pandemic in Brazilian university hospitals.</p><p><strong>Method: </strong>Multicenter study, with a mixed approach, with a concomitant incorporated strategy and a sample of 559 health professionals and 53 managers from five university hospitals in Southern Brazil. Data collected online from September 2020 to October 2021 with the Instrument of Variables Related to Standard Precautions and sociodemographic and pandemic-related variables. Descriptive and inferential statistical analysis (Mann-Whitney and Kruskal-Wallis test) and content analysis were performed.</p><p><strong>Results: </strong>High level of adherence to standard precautions, with a significant association with having children (p = 0.014); COVID area (p < 0.001), biosafety training (p = 0.018), and social distancing (p < 0.001). The testimonies demonstrated a high risk perception and search for the use of protective equipment and biosafety knowledge.</p><p><strong>Conclusion: </strong>High adherence to standard precautions, associated with having children, working in COVID-19 care units, receiving biosafety guidance/training at the institution and practicing social distancing.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230289"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728418","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}
Qiang Li, Xiaoshuan Liu, Min Zhang, Jungang Liu, Juan Lu
{"title":"Gentiopicroside injection promotes the healing of pressure injury wounds by upregulating the expression of bFGFR1.","authors":"Qiang Li, Xiaoshuan Liu, Min Zhang, Jungang Liu, Juan Lu","doi":"10.1590/1980-220X-REEUSP-2023-0183en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0183en","url":null,"abstract":"<p><strong>Objective: </strong>To observe the therapeutic effect of gentiopicroside, as the main component of Gentianaceae, on wounds in pressure injury (PI) model rats and explore its mechanism.</p><p><strong>Method: </strong>Male Sprague Dawley rats were randomly divided into control group, model group and gentiopicroside groups (50, 100 and 200 mg·kg-1·d-1 for 9 consecutive days). The mice's skeletal muscle fibroblast line NOR-10 cells were collected after being treated with gentiopicroside (0.2~5.0 M) and basic fibroblast growth factor receptor 1 (bFGFR1) inhibitor (5.0 M SU5402) for 7 days.</p><p><strong>Results: </strong>Compared to the model group, the gentiopicroside groups showed significantly increased wound healing rates, reduced inflammatory cells in the wound tissues, and significantly increased expression levels of proliferating cell nuclear antigen (PCNA) and bFGFR1, accompanied by increased proliferation of new myofibroblasts. Gentiopicroside upregulated the mRNA expression of bFGFR1 and PCNA in NOR-10 cells in a dose-dependent manner; however, SU5402 reversed the effect of gentiopicroside.</p><p><strong>Conclusion: </strong>Gentiopicroside may promote myofibroblast proliferation by upregulating the expression of bFGFR1 and PCNA and ultimately accelerating the healing of PI wounds.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230183"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581965","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":"Culture circle in primary care: dialogues with managers on health promotion.","authors":"Ivonete Teresinha Schulter Buss Heidemann, Michelle Kuntz Durand, Izaltina Adão, Priscila Juceli Romanoski, Adriana Rufino Moreira, Aline Megumi Arakawa Belaunde, Vladimir Araujo da Silva, Kamila Soares Maciel","doi":"10.1590/1980-220X-REEUSP-2023-0420en","DOIUrl":"10.1590/1980-220X-REEUSP-2023-0420en","url":null,"abstract":"<p><strong>Objective: </strong>To identify health promotion strategies used by managers in primary health care.</p><p><strong>Method: </strong>Qualitative research, of a participant action nature, which adopted the Culture Circle proposed by Paulo Freire as its methodological reference. Eleven primary health care managers from a medium-sized municipality in southern Brazil took part.</p><p><strong>Results: </strong>Nine generative themes emerged, categorized into four themes that highlight the interconnection between health promotion, social determinants and primary health care. These themes highlight preventive approaches, healthy habits and underline the need for a multidisciplinary approach to health care, recognizing the complexity of the dimensions involved, the influence of social determinants, environmental and health issues. These aspects call for intersectoral policies and actions, demonstrating the viability of health promotion in line with the principles of the Unified Health System.</p><p><strong>Final considerations: </strong>The autonomy of professionals working in primary health care services is highlighted, especially that of nurses, who play a central role in connecting and organizing health promotion actions.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"58 ","pages":"e20230420"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581964","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}