African health sciences最新文献

{"title":"Barriers to uptake of refractive error services in a rural community in Enugu, south-East, Nigeria.","authors":"Nkiru Zuada Nwachukwu, Daniel Chukwu Nwachukwu, Boniface Ikenna Eze","doi":"10.4314/ahs.v24i4.43","DOIUrl":"10.4314/ahs.v24i4.43","url":null,"abstract":"<p><strong>Background: </strong>Uncorrected refractive error remains a leading cause of visual impairment. The utilization of refractive error care services in many Nigerian communities is poor in spite of its availability.</p><p><strong>Objective: </strong>To determine the barriers to uptake of refractive errors care services in a rural community in Enugu State, Nigeria.</p><p><strong>Methods: </strong>A descriptive, cross-sectional, population-based survey with mixed method was adopted. The study instruments were a pre-tested, researcher-administered questionnaire and focus group discussion (FGD). Quantitative data were subjected to descriptive and comparative statistics and FGD was analyzed using ATLAS.ti. P value <0.05 was considered significant.</p><p><strong>Results: </strong>A total of 522 adults comprising 307(58.8%) males and 215(41.2%) females aged 43 ± 31.6 years participated in the study. Lack of felt need 235(45.02%), affordability 200(38.31%), stigmatization 184(35.25%) and distance to health care facility 88(16.86%) were the major factors that hindered the uptake of refractive errors care services in Amorji community. Age significantly associated with lack of felt need (P=0.001) and affordability (P=0.001). Educational status significantly associated with stigmatization (P=0.002) and lack of felt need (P=0.021). Results from FGDs were in agreement with those obtained from the questionnaire-based part of the study.</p><p><strong>Conclusion: </strong>The major factors that militated against the uptake of refractive care services in the community were lack of felt need, affordability, stigmatization and distance from health care facility. Good health education, planning and implementation of eye care services programmes may improve the uptake of refractive care services in such rural community.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"343-350"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797442","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":"Factors influencing the development of osteoporosis in elderly patients with rheumatoid arthritis.","authors":"Yanru Yang, Ying Chen, Li Zhang, Xiaofeng Yang, Jingquan Qiao","doi":"10.4314/ahs.v24i4.39","DOIUrl":"10.4314/ahs.v24i4.39","url":null,"abstract":"<p><strong>Background: </strong>To explore the influencing factors of osteoporosis (OP) in elderly patients with rheumatoid arthritis (RA).</p><p><strong>Methodology: </strong>A total of 145 elderly patients with RA were divided into comorbidity group (with OP) of 79 patients and RA group (without OP) of 66 patients. Demographic data and laboratory parameters were collected from patients. Demographic characteristics and laboratory parameters were compared between the two groups. Multiple influencing factors of OP in RA patients were analysed.</p><p><strong>Results: </strong>There were significant differences in age, BMI, primary disease duration, history of glucocorticoids (GC) administration, disease activity score in 28 joints (DAS-28), and Sharp score data between the two groups. There were significant differences in rheumatoid factor (RF), interleukin-27 (IL-27), procollagen I N-Terminal Propeptide (PINP), nuclear receptor of activator factor-κB ligand (RANKL), and 25-hydroxyvitamin D [25-hydroxyvitamin D, 25 (OH) D] data between the two groups (P < 0.05). Logistic analysis showed that age, primary disease duration, GC history, DAS-28, Sharp score, RANKL and 25 (OH) D were independent factors for OP in RA patients.</p><p><strong>Conclusion: </strong>The risk of OP in elderly RA patients is mainly related to age, primary disease duration, GC history, DAS-28, Sharp score, RANKL, and 25 (OH) D levels, and risk factors should be actively prevented.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"308-312"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797471","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-vitro scientific validation of anti-inflammatory activity of <i>Punica granatum L.</i> on Leukemia monocytic cell line.","authors":"Sharmistha Dutta, Khushbu Nishad, Talambedu Usha, Nijalingappa Ramesh, Sushil Kumar Middha","doi":"10.4314/ahs.v24i4.31","DOIUrl":"10.4314/ahs.v24i4.31","url":null,"abstract":"<p><strong>Background: </strong>The induction of the inflammatory cascade results in the production of a number of inflammatory mediators, including prostaglandin E2 (PGE2), nitric oxide (NO), and proinflammatory cytokines like TNF-, IL-, and IL-6. This study examined the cytotoxicity and anti-inflammatory properties of a methanolic crude extract of Punica granatum L. peel (PPM) on monocytic leukaemia cell line (THP-1).</p><p><strong>Materials and methods: </strong>The PPM along with Quercetin as reference was used to assess the cytotoxic effect on THP-1 cells and describe its effect on pro-inflammatory cytokines such as COX-2, TNF-α, IL-6 against cancer cell line by flow cytometry.</p><p><strong>Results: </strong>The percentage of viable cells significantly decreased which correlates to non-toxicity whereas quercetin was found to be highly toxic, the IC50 could not be calculated because of drug precipitation. There was a significant decrease in the expressions of inflammatory cytokines upon pre-treatment of the cells with PPM prior to LPS stimulation.</p><p><strong>Conclusion: </strong>Our findings indicate that no cytotoxicity was observed after the treatment of THP-1 cells with PPM (25-400 µg/ml), but at higher concentration (400µg/ml), the cell viability decreased to 84% and attenuated the expression level of inflammatory cytokines. The inhibitory effect of the extract on pro-inflammatory factors production may provide a theoretical source on upcoming treatment of inflammation.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"240-249"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797586","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":"Oncogenic human papillomavirus infection (HPV 16/18) and associated factors among women in East Gojjam Zone, NorthWest Ethiopia 2021.","authors":"Mamaru Getinet","doi":"10.4314/ahs.v24i4.3","DOIUrl":"10.4314/ahs.v24i4.3","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus is a common pathogen that infects the skin and mucosal epithelium, is transmitted sexually; causes condylomas or squamous cell carcinomas. Two (16 and 18) of the 150 HPV serotypes are oncogenic types. Studies have been done on the infection by oncogenic human papillomavirus 16/18 and associated factors are found to be very limited in Ethiopia. This study aimed to assess the prevalence of oncogenic human papillomavirus infection (HPV 16/18) and associated factors among women.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted among 337 women screened for cervical cancer in two hospitals in East Gojjam Zone from February to April 2021 G.C. Four BSc-qualified nurses who worked in the chosen hospitals collected the data using pretested questionnaire and an HPV test (OncoE6TM Cervical Test) specific to HPV16/18 in cervical swabs. Descriptive analysis was performed to determine the prevalence and a multivariate logistic regression model was used to identify the associated factors of HPV16/18 infection. Finally, statistical significance was declared at P < 0.05.</p><p><strong>Results: </strong>The prevalence of HPV infection was 14.2% (95% CI: 10.7% -18.1%). The mean age of the respondents was 36.7±9.1 years. Women with the age group of 55-65 years (AOR = 7.91, 95% CI: 1.95-32.09), early initiation of sexual intercourse (AOR = 5.36, 95% CI: 1.58-18.13), history of sexually transmitted infection (STI) (AOR = 3.52, 95% CI: 1.27-9.72), human immunodeficiency virus (HIV) positive status (AOR = 6.8, 95% CI: 1.99-23.54), and number of lifetime sexual partners (AOR = 4.37, 95% CI: 1.15-17.3) were important independent factors associated with the presence of oncogenic HPV infection.</p><p><strong>Conclusion and recommendation: </strong>We found a relatively low prevalence of high-risk HPV infection. Age, early initiation of sexual intercourse at less than 18 years, STI of women, being HIV seropositive, and a number of sexual partners were important factors for high-risk HPV infection. Women aged > 46 years, women with early initiation of sex, a history of STI, being HIV positive, and a history of multiple sexual partners should be encouraged to be screened and vaccinated for HPV infection. Wider-ranging studies are also needed in HPV-infected women in association with the cervical lesion.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"9-19"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797595","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 mobile phone calls on the compliance of the recommended four antenatal care visits in Kisii County, Kenya: a cluster randomized control trial.","authors":"Zillah M Malachi, Lucy W Kivuti-Bitok, Anna K Karani, Joyce J Cheptum","doi":"10.4314/ahs.v24i4.23","DOIUrl":"10.4314/ahs.v24i4.23","url":null,"abstract":"<p><strong>Background: </strong>Antenatal care attendance is still low in sub-Saharan countries. While mobile phones have shown to improve outcomes in maternal health services, there are few published studies on the use of mobile phone calls in antenatal care.</p><p><strong>Objective: </strong>To determine the influence of mobile phone calls on pregnant women's completion of the recommended 4 ANC visits in Kisii County, Kenya.</p><p><strong>Methodology: </strong>16 sub county health facilities (clusters) were randomly assigned to either intervention or routine care. A total of 160 pregnant women were recruited in their first antenatal care visit and followed up until delivery. The intervention involved calling mothers through their mobile phones to give health education on antenatal care every month until delivery. The primary outcome measure was the completion of the 4 recommended antenatal care (ANC) visits while secondary outcome measures were; women receiving iron and folate supplements, and completion of all recommended laboratory tests.</p><p><strong>Results: </strong>50% of the women in the intervention group and 35% in the control group completed the four recommended ANC visits. The intervention was not a significant predictor of women receiving iron and folate supplements, RR, 1.07 (0.93 - 1.25), p - value = 0.412. However, the intervention was associated with a 46% increase in women completing all required antenatal care laboratory investigations.</p><p><strong>Conclusion: </strong>The use of mobile phone calls in antenatal health education show promise in improving antenatal care attendance among pregnant women.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"174-181"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797585","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":"The effectiveness of a breastfeeding educational program on knowledge of antenatal women: A quasi-experimental study.","authors":"Juliana Linnette D'Sa, Rasmia Alsomali, Ruqayyah Alhurubi, Rasha Assiri, Hanan Alobeid, Esraa Dandormah, Sahar Zamzam","doi":"10.4314/ahs.v24i4.50","DOIUrl":"10.4314/ahs.v24i4.50","url":null,"abstract":"<p><strong>Background: </strong>Prenatal knowledge about breastfeeding is an important modulator of feeding practices.</p><p><strong>Objectives: </strong>This study aimed to evaluate effectiveness of a structured breastfeeding educational program on breastfeeding knowledge of antenatal women and identify factors that predict breastfeeding knowledge.</p><p><strong>Methods: </strong>A quasi-experimental pre-test post-test study was conducted between June and July 2022. Using convenience sampling,150 antenatal women from a tertiary care hospital in Riyadh, Saudi Arabia, were included. Personal and obstetrical information were collected using a demographic questionnaire. On Day one, the pre-test Breastfeeding Knowledge Questionnaire was administered, followed by the structured educational intervention. On Day 10, the post-test was conducted through telephonic interviews, using the same questionnaire. Descriptive statistics, paired t test and regression analysis were computed.</p><p><strong>Results: </strong>The mean post-test knowledge (24.97, SD=1.69) was significantly higher than the mean pre-test knowledge (20.26, SD=3.02), indicating that breastfeeding education was effective in improving the overall (p<0.001) and domain-wise knowledge: initiation and colostrum, exclusive breastfeeding, practices and techniques, nutritional aspects, and breastfeeding problems (p<0.001). High monthly income (OR=2.017; 95% CI=1.053-3.864; p=0.034), multigravidity (OR=3.117; 95% CI=1.489-6.525; p=0.003) and large family size (OR=2.889; 95% CI=1.479-5.643; p=0.002) were significant predictors of pre-test breastfeeding knowledge.</p><p><strong>Conclusion: </strong>The educational intervention was effective in improving breastfeeding knowledge in antenatal women. The findings can have significant implications for healthcare professionals seeking to enhance the delivery of breastfeeding information in clinical settings, particularly during the antenatal period.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"400-407"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797430","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":"Prevalence and factors associated with second trimester pregnancy loss among women admitted at a National Referral Hospital in Uganda: a cross-sectional study.","authors":"Charles Irumba, Dan K Kaye, Justus K Barageine, Rodgers Ampwera, Hope Atwiine","doi":"10.4314/ahs.v24i4.26","DOIUrl":"10.4314/ahs.v24i4.26","url":null,"abstract":"<p><strong>Background: </strong>Second trimester pregnancy loss (abortion) refers to induced or spontaneous termination of pregnancy from 13 to the end of 26 weeks of gestation. Second trimester abortions contribute to a high proportion of maternal morbidity, mortality and psychological stress especially in low-resource countries with restricted access to safe abortion services. While globally, the prevalence of second trimester abortions is 10-15%, the prevalence at Kawempe National Referral Hospital was not known. The study objective was to determine the prevalence and factors associated with second trimester abortion at Kawempe National Referral Hospital.</p><p><strong>Methods: </strong>A hospital based cross-sectional study was conducted among 235 women with abortions admitted at Kawempe National Referral Hospital. Quantitative data was collected using a structured interviewer administered questionnaire. Bivariate and multivariate analysis was done using STATA version 14. The Student's T- test was used to check for association between the dependent and independent variables.</p><p><strong>Results: </strong>The prevalence of second trimester abortion was 41.7%.|Factors associated with second trimester abortion were; being HIV positive (aPR = 1.9, 95% CI =1.32 - 2.61), having a urinary tract infection (aPR = 1.9, 95% CI =1.30 - 2.72), malaria infection confirmed by a rapid test (aPR = 2.5, 95% CI= 1.75 - 3.54), no prior history of abortion (aPR = 1.5, 95% CI =1.04 - 2.27) and no condom use in the previous 1 year (aPR = 1.6, 95% CI =1.11 - 2.23).</p><p><strong>Conclusion: </strong>The prevalence of second trimester abortion was higher than the global estimates. Service providers should actively screen pregnant women for HIV, urinary tract infection, malaria and then offer effective treatment accordingly. The Ministry of Health should develop and disseminate protocols and standard management guidelines for case management of second trimester abortions.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"198-205"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796986","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, attitude and use of herbal medicine among pregnant women attending antenatal care in nsukka, Nigeria.","authors":"Obinna Felix Dim, Chigozie Gloria Anene-Okeke, Chinwe Victoria Ukwe","doi":"10.4314/ahs.v24i4.24","DOIUrl":"10.4314/ahs.v24i4.24","url":null,"abstract":"<p><strong>Objective: </strong>To assess the knowledge, attitude and use of herbal medicine among pregnant women attending antenatal in Nsukka, Enugu state Nigeria.</p><p><strong>Methods: </strong>This was a cross- sectional descriptive study carried out among pregnant women attending ante- natal in selected hospitals in Nsukka, Enugu State from June-August 2022. A 33 item well-structured questionnaire was used as a data collection tool. Data were analyzed using the IBM Statistical Product for Services Solution (SPSS) for Windows, Version 27.0. Descriptive and inferential statistics were utilized. Statistical significance was set at P< 0.05.</p><p><strong>Results: </strong>Out of 400 consenting pregnant women attending antenatal, above half were between the ages of 25 to 34, 233(58.3%), and are married 371(92.8%) with education within the tertiary category 193(48.2%). Above half had good knowledge 264(66.2%) of herbal medicine. Majority had positive attitude towards the use of herbal medicine 284(71.2%). More than half 226(56.5%) of the pregnant women had used herbal medicine apart from during pregnancy. Only few pregnant women 64(16%) had used herbal medicine in previous pregnancy.</p><p><strong>Conclusion: </strong>Majority of pregnant women that participated in the study had good knowledge and positive attitude towards herbal medicine.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"182-191"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797587","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":"Occupational exposure to pesticides and health symptoms among farmers in Palestine.","authors":"Iyad Ali","doi":"10.4314/ahs.v24i4.46","DOIUrl":"10.4314/ahs.v24i4.46","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to examine the usage patterns of commonly used pesticides and categorize the health problems associated with long-term exposure.</p><p><strong>Methods: </strong>Data for this cross-sectional study was collected between February 2020 and October 2022. Participants from various agricultural regions were recruited through social media surveys.</p><p><strong>Results: </strong>This study included 1105 farmers from diverse agricultural areas, and found that the participants' level of education was a significant factor in determining the number of reported symptoms. Significant correlations were also found between the number of symptoms and the frequency and duration of pesticide spraying, as well as the use of personal protective equipment. A small percentage of participants reported no symptoms and were excluded from the analysis. Negative associations were observed between the number of symptoms and age group, high school education, frequency of pesticide use per week, involvement in other work, and source of information. Positive associations were found between the number of symptoms and spraying period and perception of pesticide toxicity.</p><p><strong>Conclusion: </strong>Farmers exposed to pesticides experienced various symptoms and illnesses, including cardiovascular, dermatological, neurological, and hematological symptoms. The number of reported symptoms decreased significantly with higher education levels and the use of personal protective measures.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"373-382"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797594","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":"A cellular schwannoma of the nasal septum: a case report.","authors":"A K Al-Balasi, O M El Mustafa, A M El Hassan","doi":"10.4314/ahs.v24i4.33","DOIUrl":"10.4314/ahs.v24i4.33","url":null,"abstract":"<p><strong>Background: </strong>Cellular schwannoma is a benign variant of classic schwannomas. It is an extremely rare condition to be derived from nasal septum.</p><p><strong>Case presentation: </strong>a cellular schwannoma of the nasal septum is described in a 10-year-old Sudanese girl presented with nasal obstruction. The tumor was treated surgically by a trans-nasal approach. Pathological examination of the resected tumor showed cellular schwannoma. The tumor cells were immunoreactive for S-100 protein. The patient has been doing well for 10 months with no evidence of tumor recurrence.</p>","PeriodicalId":94295,"journal":{"name":"African health sciences","volume":"24 4","pages":"258-261"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797434","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}