Pub Date : 2025-11-01DOI: 10.1016/j.nurpra.2025.105565
Christopher W. Blackwell, Humberto López Castillo, Frances Armstrong
On October 23, 2024, the Centers for Disease Control and Prevention recommended a major change in its guidelines for pneumococcal vaccination in adults, lowering the recommended age of vaccination from 65 to 50 years. The rationale is based on the opportunity to protect adults from pneumococcal disease when risk of infection substantially increases. This review discusses recent epidemiologic and clinical data regarding pneumococcal disease in adults (focusing on Streptococcus pneumoniae community-acquired pneumonia), the current Centers for Disease Control and Prevention vaccination recommendations in adults, adverse events/contraindications, and the role of nurse practitioners and others in advocating for pneumococcal vaccination in adults to promote public health.
2024年10月23日，美国疾病控制与预防中心（Centers for Disease Control and Prevention）建议对成人肺炎球菌疫苗接种指南进行重大修改，将推荐接种年龄从65岁降至50岁。其理由是，当感染风险大幅增加时，有机会保护成年人免受肺炎球菌疾病的侵害。这篇综述讨论了最近关于成人肺炎球菌疾病的流行病学和临床数据（重点是肺炎链球菌社区获得性肺炎），目前疾病控制和预防中心对成人的疫苗接种建议，不良事件/禁禁症，以及护士从业人员和其他人在倡导成人肺炎球菌疫苗接种以促进公共卫生方面的作用。
{"title":"Pneumococcal Community-Acquired Pneumonia (CAP) in Adults: Epidemiology, Pathophysiology, and Updated Vaccination Guidance","authors":"Christopher W. Blackwell, Humberto López Castillo, Frances Armstrong","doi":"10.1016/j.nurpra.2025.105565","DOIUrl":"10.1016/j.nurpra.2025.105565","url":null,"abstract":"<div><div>On October 23, 2024, the Centers for Disease Control and Prevention recommended a major change in its guidelines for pneumococcal vaccination in adults, lowering the recommended age of vaccination from 65 to 50 years. The rationale is based on the opportunity to protect adults from pneumococcal disease when risk of infection substantially increases. This review discusses recent epidemiologic and clinical data regarding pneumococcal disease in adults (focusing on <em>Streptococcus pneumoniae</em> community-acquired pneumonia), the current Centers for Disease Control and Prevention vaccination recommendations in adults, adverse events/contraindications, and the role of nurse practitioners and others in advocating for pneumococcal vaccination in adults to promote public health.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105565"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417215","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}
Pub Date : 2025-11-01DOI: 10.1016/j.nurpra.2025.105489
Laura Roettger, Elif N. Gokbel
Background
Nurse practitioner students must learn the clinical decision-making process.
Methods
A case-based simulation was tested with pediatric nurse practitioner students.
Results
Scores on the Student Simulation Design Scale for Objectives and Information (mean = 4.3, SD = 0.49), Problem-solving (mean = 4.3, SD = 0.58), and Fidelity (mean = 4.3, SD = 0.61) show benefits to learning. Scores on the System Usability Scale (mean = 4.02, SD = 0.57) show satisfaction with module clarity and functionality.
Conclusion
A case-based simulation enhances student readiness before entering the clinical training setting through guided assessment and clinical decision-making skills practice.
{"title":"Evaluating a Case-Based Virtual Simulation for Enhancing Clinical Decisions-Making in Pediatric Nurse Practitioner Students","authors":"Laura Roettger, Elif N. Gokbel","doi":"10.1016/j.nurpra.2025.105489","DOIUrl":"10.1016/j.nurpra.2025.105489","url":null,"abstract":"<div><h3>Background</h3><div>Nurse practitioner students must learn the clinical decision-making process.</div></div><div><h3>Methods</h3><div>A case-based simulation was tested with pediatric nurse practitioner students.</div></div><div><h3>Results</h3><div>Scores on the Student Simulation Design Scale for Objectives and Information (mean = 4.3, SD = 0.49), Problem-solving (mean = 4.3, SD = 0.58), and Fidelity (mean = 4.3, SD = 0.61) show benefits to learning. Scores on the System Usability Scale (mean = 4.02, SD = 0.57) show satisfaction with module clarity and functionality.</div></div><div><h3>Conclusion</h3><div>A case-based simulation enhances student readiness before entering the clinical training setting through guided assessment and clinical decision-making skills practice.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105489"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571244","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}
Pub Date : 2025-10-31DOI: 10.1016/j.nurpra.2025.105592
John Manna
Type 2 diabetes is a common chronic condition that was initially thought to be a progressive condition. Recent studies have demonstrated that the remission of type 2 diabetes is possible through lifestyle modifications. As demonstrated by the case presented, even patients with severely uncontrolled diabetes (HbA1c > 16.5%) can achieve remarkable improvement (HbA1c 5.6%) through intensive lifestyle modification. Achieving widespread diabetes remission would significantly improve clinical outcomes for patients and decrease the prevalence of type 2 diabetes and its complications. Nurse practitioners are well positioned to prescribe lifestyle changes through motivational interviewing that promote type 2 diabetes remission.
{"title":"Type 2 Diabetes Remission: The New Goal of Treatment","authors":"John Manna","doi":"10.1016/j.nurpra.2025.105592","DOIUrl":"10.1016/j.nurpra.2025.105592","url":null,"abstract":"<div><div>Type 2 diabetes is a common chronic condition that was initially thought to be a progressive condition. Recent studies have demonstrated that the remission of type 2 diabetes is possible through lifestyle modifications. As demonstrated by the case presented, even patients with severely uncontrolled diabetes (HbA<sub>1c</sub> > 16.5%) can achieve remarkable improvement (HbA<sub>1c</sub> 5.6%) through intensive lifestyle modification. Achieving widespread diabetes remission would significantly improve clinical outcomes for patients and decrease the prevalence of type 2 diabetes and its complications. Nurse practitioners are well positioned to prescribe lifestyle changes through motivational interviewing that promote type 2 diabetes remission.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"22 1","pages":"Article 105592"},"PeriodicalIF":0.0,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398631","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}
Pub Date : 2025-10-25DOI: 10.1016/j.nurpra.2025.105559
Deirdre Frances Arroyo, Kelli Garber
Worksite wellness programs have been shown to improve employee health, but little is known about the barriers and facilitators to participation in these programs. This study explored the barriers and facilitators to participating in a workplace wellness program. Results indicate that health care workers experience increased energy and greater control over their lives when they engage in regular physical activity. They need more time in the day to exercise and more green spaces for physical activity, however. Exploring the barriers to participation in workplace wellness programs may inform future initiatives aimed at reducing burnout and turnover among nurses and nurse practitioners.
{"title":"Evaluation of Factors Contributing to Participation in a Wellness Program Among Rural Health Care Workers","authors":"Deirdre Frances Arroyo, Kelli Garber","doi":"10.1016/j.nurpra.2025.105559","DOIUrl":"10.1016/j.nurpra.2025.105559","url":null,"abstract":"<div><div>Worksite wellness programs have been shown to improve employee health, but little is known about the barriers and facilitators to participation in these programs. This study explored the barriers and facilitators to participating in a workplace wellness program. Results indicate that health care workers experience increased energy and greater control over their lives when they engage in regular physical activity. They need more time in the day to exercise and more green spaces for physical activity, however. Exploring the barriers to participation in workplace wellness programs may inform future initiatives aimed at reducing burnout and turnover among nurses and nurse practitioners.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105559"},"PeriodicalIF":0.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363247","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}
Pub Date : 2025-10-24DOI: 10.1016/j.nurpra.2025.105560
Roxanne Bennett, Karin Bennedsen
Nurse practitioner (NP) students face heightened stress during their transition from registered nurse to novice NP. This study evaluated a 12-week mentorship program pairing NP students with experienced NPs via a regional advanced practice nurse organization. Pre/post surveys (Perceived Stress Scale, modified Casey-Fink) and exit interviews were analyzed. Results showed significant reductions in stress (t14 = 2.49, P = .025) and improvements in role confidence (t14 = −5.05, P < .001) and support (t14 = −3.70, P = .002). Findings support early mentorship as a viable, regional strategy to reduce stress and enhance transition readiness in NP students.
执业护士（NP）的学生面临着从注册护士过渡到新手NP的压力。本研究通过区域高级执业护士组织评估了一项为期12周的指导计划，将NP学生与经验丰富的NP配对。分析了前后调查（感知压力量表，修正Casey-Fink）和离职访谈。结果显示压力显著降低（t14 = 2.49, P = 0.025），角色自信（t14 = - 5.05, P < 0.001）和支持（t14 = - 3.70, P = 0.002）显著提高。研究结果支持早期指导是一种可行的区域策略，可以减轻NP学生的压力，提高他们的过渡准备。
{"title":"Mentorship Effects on Stress and Practice Readiness for Nurse Practitioner Students","authors":"Roxanne Bennett, Karin Bennedsen","doi":"10.1016/j.nurpra.2025.105560","DOIUrl":"10.1016/j.nurpra.2025.105560","url":null,"abstract":"<div><div>Nurse practitioner (NP) students face heightened stress during their transition from registered nurse to novice NP. This study evaluated a 12-week mentorship program pairing NP students with experienced NPs via a regional advanced practice nurse organization. Pre/post surveys (Perceived Stress Scale, modified Casey-Fink) and exit interviews were analyzed. Results showed significant reductions in stress (<em>t</em><sub>14</sub> = 2.49, <em>P</em> = .025) and improvements in role confidence (<em>t</em><sub>14</sub> = −5.05, <em>P</em> < .001) and support (<em>t</em><sub>14</sub> = −3.70, <em>P</em> = .002). Findings support early mentorship as a viable, regional strategy to reduce stress and enhance transition readiness in NP students.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105560"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363240","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}
Pub Date : 2025-10-24DOI: 10.1016/j.nurpra.2025.105588
Brayden Kameg, Madeline Lepore
There has been a recent emergence of xylazine adulteration within the community drug supply. Xylazine use can precipitate central nervous system depression, hypotension, bradycardia, and respiratory depression, and these effects are further potentiated when combined with fentanyl or other opioids, escalating the risk of fatal respiratory depression. Furthermore, xylazine use is associated with necrotizing and treatment refractory wounds. Nurse practitioners across the care continuum must be aware of xylazine and associated management strategies. The purpose of this review is to provide nurse practitioners with the necessary information needed to provide high-quality care to those affected by xylazine use and associated sequelae.
{"title":"Xylazine, a Nonopioid Sedative and Public Health Crisis—An Overview","authors":"Brayden Kameg, Madeline Lepore","doi":"10.1016/j.nurpra.2025.105588","DOIUrl":"10.1016/j.nurpra.2025.105588","url":null,"abstract":"<div><div>There has been a recent emergence of xylazine adulteration within the community drug supply. Xylazine use can precipitate central nervous system depression, hypotension, bradycardia, and respiratory depression, and these effects are further potentiated when combined with fentanyl or other opioids, escalating the risk of fatal respiratory depression. Furthermore, xylazine use is associated with necrotizing and treatment refractory wounds. Nurse practitioners across the care continuum must be aware of xylazine and associated management strategies. The purpose of this review is to provide nurse practitioners with the necessary information needed to provide high-quality care to those affected by xylazine use and associated sequelae.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105588"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363244","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}
Pub Date : 2025-10-24DOI: 10.1016/j.nurpra.2025.105564
Kelly D. Kearney, Andrea Ancer Leal, Miguel De La Mora, Jordan Broussard, Anjail Z. Sharrief, Sean I. Savitz, Jennifer E.S. Beauchamp
The project aimed to improve access to standardized mental health education for English- and Spanish-speaking stroke patients while promoting patient-provider mental health discussions. Video-based mental health education (VMHE) was developed for outpatient visits after hospitalization, with YouTube analytics tracking views and provider-recorded mental health interventions documented. Descriptive statistics summarized outcomes. VMHE was viewed by 68% of English-speaking and 66% of Spanish-speaking patients. The number of provider-documented mental health encounters increased by 45% for English-speaking patients, whereas no change was observed for Spanish-speaking patients. VMHE shows promise for outpatient mental health education, but further research is needed to determine long-term effectiveness and sustainability.
{"title":"A Video-Based Mental Health Education Intervention for Stroke Survivors","authors":"Kelly D. Kearney, Andrea Ancer Leal, Miguel De La Mora, Jordan Broussard, Anjail Z. Sharrief, Sean I. Savitz, Jennifer E.S. Beauchamp","doi":"10.1016/j.nurpra.2025.105564","DOIUrl":"10.1016/j.nurpra.2025.105564","url":null,"abstract":"<div><div>The project aimed to improve access to standardized mental health education for English- and Spanish-speaking stroke patients while promoting patient-provider mental health discussions. Video-based mental health education (VMHE) was developed for outpatient visits after hospitalization, with YouTube analytics tracking views and provider-recorded mental health interventions documented. Descriptive statistics summarized outcomes. VMHE was viewed by 68% of English-speaking and 66% of Spanish-speaking patients. The number of provider-documented mental health encounters increased by 45% for English-speaking patients, whereas no change was observed for Spanish-speaking patients. VMHE shows promise for outpatient mental health education, but further research is needed to determine long-term effectiveness and sustainability.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105564"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363248","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}
This study examined complementary and alternative medicine (CAM) use among 80 older adults with knee osteoarthritis (OA) in rural southern Taiwan. Conducted from January 2023 to March 2024, the survey revealed that 83.7% used CAM: primarily acupuncture (50.7%), exercise (26.9%), and calcium supplements (26.9%). CAM use was higher among women (86.6%) and those not regularly taking conventional medication (P = .034). Only 4.5% of knee OA patients did not inform their health care providers. The main reason for CAM use was perceived fewer side-effects. Findings highlight the need for health professionals to understand CAM practices to ensure safe, informed, and comprehensive care for rural older adults.
{"title":"Complementary and Alternative Medicine Use for Knee Osteoarthritis by Older Adults in Rural Settings in Southern Taiwan","authors":"Chun-Han Shih, Chao-Wei Kao, Yu-Chuen Huang, Yung-Hsiang Chen, Ming-Yen Tsai","doi":"10.1016/j.nurpra.2025.105570","DOIUrl":"10.1016/j.nurpra.2025.105570","url":null,"abstract":"<div><div>This study examined complementary and alternative medicine (CAM) use among 80 older adults with knee osteoarthritis (OA) in rural southern Taiwan. Conducted from January 2023 to March 2024, the survey revealed that 83.7% used CAM: primarily acupuncture (50.7%), exercise (26.9%), and calcium supplements (26.9%). CAM use was higher among women (86.6%) and those not regularly taking conventional medication (<em>P</em> = .034). Only 4.5% of knee OA patients did not inform their health care providers. The main reason for CAM use was perceived fewer side-effects. Findings highlight the need for health professionals to understand CAM practices to ensure safe, informed, and comprehensive care for rural older adults.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105570"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363246","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}
Pub Date : 2025-10-23DOI: 10.1016/j.nurpra.2025.105566
Christine R. Hoch, Mary Ann Leavitt, Jennifer Viveiros, Heather Dennis
Heart failure (HF) affects 1 in 4 Americans and significantly contributes to rising health care costs. Biomarkers are pivotal in the management of HF; however, they must be interpreted in the context of individual clinical characteristics for accurate interpretation. This review outlines the integration of natriuretic peptides and cardiac troponins into clinical practice using current HF guidelines. Evidence on the role of soluble suppression of tumorigenesis-2 and galectin-3 as HF biomarkers is briefly reviewed. Nurse practitioners are well-situated to use biomarkers in clinical decision-making to improve patient outcomes.
{"title":"Biomarkers in Heart Failure: a Review for Nurse Practitioners","authors":"Christine R. Hoch, Mary Ann Leavitt, Jennifer Viveiros, Heather Dennis","doi":"10.1016/j.nurpra.2025.105566","DOIUrl":"10.1016/j.nurpra.2025.105566","url":null,"abstract":"<div><div>Heart failure (HF) affects 1 in 4 Americans and significantly contributes to rising health care costs. Biomarkers are pivotal in the management of HF; however, they must be interpreted in the context of individual clinical characteristics for accurate interpretation. This review outlines the integration of natriuretic peptides and cardiac troponins into clinical practice using current HF guidelines. Evidence on the role of soluble suppression of tumorigenesis-2 and galectin-3 as HF biomarkers is briefly reviewed. Nurse practitioners are well-situated to use biomarkers in clinical decision-making to improve patient outcomes.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105566"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363243","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}
Pub Date : 2025-10-23DOI: 10.1016/j.nurpra.2025.105561
George A. Zangaro, Marcos Gayol
Critically analyzing and evaluating quantitative research is a valuable skill for advanced practice registered nurses (APRNs) to support evidence-based practice. This article presents a detailed and organized framework to reviewing quantitative studies with a focus on objectivity, consistency, and clinical relevance. With the increasing number of clinical studies, APRNs must evaluate their applicability for clinical decision-making and patient outcomes. This type of review provides a mechanism for safe and effective practice and for validating the role of the clinician as a knowledge translator in our health system.
The abstract is a brief summary that highlights the background, purpose, sample, methods, results, and conclusions of the manuscript.7 Abstract format and length will vary based on the guidelines provided by the journal to which you are submitting your manuscript. When evaluating an abstract, remember that it is a concise summary, but if written well, it can demonstrate the usefulness of the article.5
{"title":"Just Stats: Critiquing Quantitative Research Articles for Use in Practice","authors":"George A. Zangaro, Marcos Gayol","doi":"10.1016/j.nurpra.2025.105561","DOIUrl":"10.1016/j.nurpra.2025.105561","url":null,"abstract":"<div><div>Critically analyzing and evaluating quantitative research is a valuable skill for advanced practice registered nurses (APRNs) to support evidence-based practice. This article presents a detailed and organized framework to reviewing quantitative studies with a focus on objectivity, consistency, and clinical relevance. With the increasing number of clinical studies, APRNs must evaluate their applicability for clinical decision-making and patient outcomes. This type of review provides a mechanism for safe and effective practice and for validating the role of the clinician as a knowledge translator in our health system.</div></div><div>The abstract is a brief summary that highlights the background, purpose, sample, methods, results, and conclusions of the manuscript.<sup>7</sup> Abstract format and length will vary based on the guidelines provided by the journal to which you are submitting your manuscript. When evaluating an abstract, remember that it is a concise summary, but if written well, it can demonstrate the usefulness of the article.<sup>5</sup></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105561"},"PeriodicalIF":0.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363241","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号