JSES reviews, reports, and techniques最新文献

{"title":"Severe glenohumeral ankylosis following revision reverse shoulder arthroplasty","authors":"Artem Klimov MD , Florian Freislederer MD , Alexander Pieringer MD , Markus Scheibel MD","doi":"10.1016/j.xrrt.2025.100647","DOIUrl":"10.1016/j.xrrt.2025.100647","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100647"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078560","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 modern advanced analytic approach to cost and performance loss analysis of ulnar collateral ligament surgery to Major League Baseball teams","authors":"Michael A. Mastroianni MD,&nbsp;Ritt R. Givens MD,&nbsp;Dongyeon J. Kim MD,&nbsp;Matthew R. LeVasseur MD,&nbsp;Andrew J. Luzzi MD,&nbsp;Frank J. Alexander MS, ATC,&nbsp;Christopher S. Ahmad MD","doi":"10.1016/j.xrrt.2025.100651","DOIUrl":"10.1016/j.xrrt.2025.100651","url":null,"abstract":"<div><h3>Background</h3><div>Ulnar collateral ligament (UCL) surgery has become increasingly prevalent among Major League Baseball (MLB) pitchers. While its clinical implications have been extensively studied, the economic and performance impact on MLB teams remains incompletely understood.</div></div><div><h3>Methods</h3><div>Cost analysis on all MLB pitchers who underwent UCL reconstruction between 2014 and 2024 was conducted. Pitchers were identified, and data were collected using public databases affiliated with MLB and used in previous studies. Economic losses were calculated using 2 primary components: (1) salary cost of recovery (COR), which quantified salaries paid to injured players during recovery, and (2) performance cost, a metric we defined using common FanGraphs wins above replacement (fWAR) conversions to estimate lost player contributions.</div></div><div><h3>Results</h3><div>During the study period, a total of 276 UCL surgeries were performed from 2014 to 2024. Over the past 5 seasons (2020-2024), the number of UCL reconstructions in MLB pitchers has significantly increased to an average of 29.0 ± 4.7 surgeries per year compared to 21.8 ± 4.3 surgeries per year the 6 seasons prior (2014-2019; <em>P</em> = .05), with a peak of 35 surgeries in 2023. From 2014 to 2024, the COR salary losses adjusted for inflation totaled over $1.26 billion, with an increase in average COR over the past 5 seasons ($141 million ± 72 million) compared to the 6 seasons prior ($92 million ± 52 million; <em>P</em> = .14). The estimated COR per player for starters, relievers, and closers was $7.3 million, $2.3 million, and $11.5 million, respectively. The average cumulative fWAR lost per pitcher was 1.9, translating to an estimated annual market loss of $14.3 million per player. The total cumulative fWAR loss across all players was 452.8. Using the conversion of 1 fWAR is equal to approximately $7.5 million in salary, an estimated $3.4 billion worth of performance value was lost for the entire study period.</div></div><div><h3>Conclusion</h3><div>UCL injuries that require surgery impose an increasingly significant financial burden on MLB teams, leading to the loss of $1.26 billion dollars in salary paid out to injured players and likely over $3 billion worth of performance value lost to injury to teams over 10 years. Players also struggle to provide the same value in fWAR as they did prior to injury. This study shows that investing in UCL prevention and recovery efforts can potentially save teams, players, and local communities millions of dollars.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100651"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079008","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":"Talus allograft for bipolar bone loss in locked anterior shoulder fracture dislocation","authors":"Cameron R. Guy MD,&nbsp;Jonathan Burke MS, ATC,&nbsp;Tyler Thorne MD,&nbsp;Christopher D. Joyce MD","doi":"10.1016/j.xrrt.2025.100652","DOIUrl":"10.1016/j.xrrt.2025.100652","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100652"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078592","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":"Anatomical characterization of sternoclavicular joint and correlation of arthroscopic portals and structures at risk: a cadaveric study on Colombian specimen","authors":"Fabio Alfonso Suarez Romero MD ,&nbsp;Deisy Consuelo Celeita Medina MD ,&nbsp;María Camila Ruiz Cardenas MD ,&nbsp;Andrea Juliana Hernández Caicedo MD ,&nbsp;Federico Suarez MD","doi":"10.1016/j.xrrt.2025.100650","DOIUrl":"10.1016/j.xrrt.2025.100650","url":null,"abstract":"<div><h3>Background</h3><div>The sternoclavicular joint (SCJ) is a synovial saddle joint and the only articulation between the axial skeleton and the upper limb. Although SCJ pathology is rare, it may include degenerative, autoimmune, infectious, tumoral, or traumatic conditions. Arthroscopic approaches to this region carry a risk of damaging vital mediastinal structures. This study aims to anatomically characterize the SCJ and surrounding neurovascular structures, emphasizing the posterior capsule as a critical safety barrier during arthroscopy.</div></div><div><h3>Methods</h3><div>Ten cadaveric specimens were bilaterally dissected. Arthroscopic portals were first marked and used to identify the posterior capsule. Open dissections were performed to measure the distances between the portals and nearby mediastinal structures using digital calipers. Data were recorded in Excel 2024 (Microsoft Corp., Redmond, WA, USA) and REDCap (Vanderbilt University, Nashville, TN, USA) and analyzed with SPSS version 28 (IBM Corp., Armonk, NY, USA).</div></div><div><h3>Results</h3><div>The posterior capsule consistently acted as a protective boundary between the joint and mediastinal structures. The average distances from the superomedial (SM) and inferolateral (IL) portals to the posterior capsule were 26.3 mm and 26.5 mm, respectively. From the posterior capsule, the average distances to key mediastinal structures were: common carotid artery: 42.5 mm (SM), 44.1 mm (IL), brachiocephalic trunk: 40.5 mm (SM), 43.5 mm (IL), innominate vein: 37.8 mm (SM), 39.7 mm (IL), and vagus nerve: 45.4 mm (SM), 46.5 mm (IL).</div></div><div><h3>Discussion and/or Conclusion</h3><div>The posterior capsule provides a reliable anatomical safety margin between the SCJ and vital mediastinal structures. During SCJ arthroscopy, referencing the anterior sternoclavicular ligament and maintaining a minimum 5.1 cm safety margin posteriorly can minimize the risk of catastrophic injury. These findings support safer surgical planning and highlight the importance of precise portal placement.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100650"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078937","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":"Clinical outcomes of coronal shear fractures of the distal humerus associated with olecranon fractures","authors":"Momosuke Shoda MD ,&nbsp;Takahiro Yamazaki MD, PhD ,&nbsp;Yusuke Matsuura MD, PhD ,&nbsp;Takeru Ohara MD, PhD ,&nbsp;Hiromasa Wakita MD, PhD ,&nbsp;Seiji Ohtori MD, PhD","doi":"10.1016/j.xrrt.2025.100654","DOIUrl":"10.1016/j.xrrt.2025.100654","url":null,"abstract":"<div><h3>Background</h3><div>Coronal shear fracture (CSF) of the distal humerus is rare, accounting for approximately 1% of elbow fractures; cases combined with olecranon fracture are even rarer. This study aimed to clarify the relationship between surgical methods and clinical outcomes in this uncommon injury.</div></div><div><h3>Methods</h3><div>Between 2017 and 2025, we retrospectively reviewed 8 patients (8 elbows) with CSF associated with olecranon fracture who underwent open reduction and internal fixation in a multicenter case series and were followed for more than 6 months. Patient demographics, fracture classifications, surgical methods, postoperative complications, additional surgeries, elbow range of motion, and Mayo Elbow Performance Score at the final follow-up were analyzed descriptively.</div></div><div><h3>Results</h3><div>The mean age was 64 years (range, 51–79 years), and the mean follow-up was 27 months (range, 10–96 months). Dubberley classification was type 2A in 2 cases, type 3A in 2, and type 3B in 4. A posterolateral extended approach was used in 6 patients and a combined lateral–posterior approach in 2. Postoperative complications included elbow release in 2 cases and ulnar neuropathy in 2. At final follow-up, the mean Mayo Elbow Performance Score was 92.5 (range, 75–100), and the mean range of motion was −21°/121.3°.</div></div><div><h3>Conclusion</h3><div>Outcomes of CSF with concomitant olecranon fracture appeared to depend on CSF severity, and complications were more frequent than in isolated CSF. Given the small sample size and observational design, these findings should be regarded as preliminary and hypothesis-generating rather than definitive evidence favoring any particular method.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100654"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188758","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":"Comparison of inpatient charges and costs between revision and primary total elbow arthroplasty in the New York state","authors":"Dashaun A. Ragland BS ,&nbsp;Brian O. Molokwu MS ,&nbsp;Jacquelyn J. Xu MA ,&nbsp;Andrew J. Cecora BS ,&nbsp;Sallie Yassin MS ,&nbsp;Erel Ben-Ari MD ,&nbsp;Joseph A. Bosco III MD ,&nbsp;Mandeep S. Virk MD","doi":"10.1016/j.xrrt.2025.100648","DOIUrl":"10.1016/j.xrrt.2025.100648","url":null,"abstract":"<div><h3>Background</h3><div>The primary aim of this study is to evaluate differences in inpatient charges between primary (pTEA) and revision (rTEA) total elbow arthroplasty among Medicare and Medicaid patients. Our secondary aim is to assess whether these charges vary across hospitals with differing total elbow arthroplasty (TEA) procedural volumes. We hypothesize that rTEA would be more expensive than pTEA and that charges would be higher for low-volume hospitals.</div></div><div><h3>Methods</h3><div>The Statewide Planning and Research Cooperative System database was queried for all Medicare and Medicaid Services patients who underwent a pTEA or rTEA in New York State from 2010 to 2020. Hospitals were classified as high-volume (≥3 surgeries/year), medium-volume (between 2-3 surgeries/year), or low-volume (less than 2 surgeries/year). Facilities performing fewer than 1 surgery per year or with fewer than 4 years of TEA data were excluded. Total inpatient charges were collected and subsequently subdivided into ancillary and accommodation charges. Inpatient charges and readmission data were compared across the 2 procedures and volume groups.</div></div><div><h3>Results</h3><div>During the study period, 1,303 patients underwent pTEA and 273 underwent rTEA. After adjusting for patient age, sex, race, and hospital volume, rTEA was independently associated with significantly higher accommodation, ancillary, and total inpatient charges (<em>P</em> &lt; .001 for all). Additionally, rTEA patients had a higher likelihood of 90-day readmission (<em>P</em> = .005) and longer inpatient stays (<em>P</em> &lt; .001) compared to pTEA patients. There were observable differences in total, accommodation, and ancillary charges across hospital volume groups for both pTEA and rTEA. Low-volume hospitals demonstrated the highest total charges for pTEA during the study period vs. high- and medium- volume hospitals (<em>P</em> &lt; .001 for pTEA, <em>P</em> &gt; .05 for rTEA).</div></div><div><h3>Conclusion</h3><div>rTEA is associated with longer inpatient stay, higher inpatient charges, and greater readmission rates compared to pTEA. Primary TEA in low-volume hospitals is associated with higher total charges compared to medium and high-volume hospitals. These findings provide valuable insights for hospital administrators and public health officials aiming to create effective strategies to manage costs and combat the growing burden of healthcare expenses in the United States.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100648"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078593","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":"Greater sigmoid notch sling technique for recurrent elbow instability with greater sigmoid notch dysplasia","authors":"Fiachra R. Power MCh, FRCSI ,&nbsp;Xuan Ye MBBS, FRACS ,&nbsp;Nisarg Mehta FRCS ,&nbsp;Eugene T. Ek PHD, FRACS ,&nbsp;Kemble K. Wang MBBS, FRACS","doi":"10.1016/j.xrrt.2025.100655","DOIUrl":"10.1016/j.xrrt.2025.100655","url":null,"abstract":"","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100655"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078566","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":"Surgical treatment of post-traumatic elbow stiffness in pediatric patients: a systematic review and meta-analysis","authors":"Roya Khorram MD ,&nbsp;Areeb Ahmad BS ,&nbsp;Reza Vafadar MD ,&nbsp;Ronald Joseph Shamus BA ,&nbsp;Surena Namdari MD ,&nbsp;G. Russell Huffman MD, MPH, FAAOS ,&nbsp;Amir R. Kachooei MD, PhD","doi":"10.1016/j.xrrt.2025.100646","DOIUrl":"10.1016/j.xrrt.2025.100646","url":null,"abstract":"<div><h3>Background</h3><div>Post-traumatic elbow stiffness (PTES) has been reported in up to 21% of pediatric patients following elbow fractures and can profoundly compromise a child's function, and independence. The primary surgical approaches include open and arthroscopic arthrolysis, both of which have demonstrated improvements in range of motion (ROM) and functional scores. This systematic review and meta-analysis aims to compare the effectiveness, ROM, and complication rates between open and arthroscopic release in pediatric patients with PTES.</div></div><div><h3>Methods</h3><div>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were utilized to conduct a systematic review and meta-analysis on surgical treatment for PTES. Comprehensive search was conducted in PubMed, Web of Science, Medline, and Scopus from their inception to May 10, 2025. A total of 3,660 records were screened, of which 11 studies were included using open or arthroscopic pediatric PTES elbow arthrolysis. Outcome variables were changes in the ROM and complication rates. Surgical techniques were grouped as arthroscopic vs. open arthrolysis.</div></div><div><h3>Results</h3><div>Our findings showed that open arthrolysis resulted in greater ROM compared to arthroscopic arthrolysis (open arthrolysis (standardized mean difference: 58°, 95% confidence interval (CI): 46-69; <em>P</em> &lt; .001), arthroscopic arthrolysis: (standardized mean difference: 33°, 95% CI: 26-39; <em>P</em> = .9)). Regarding the postoperative complications, there was no statistically significant difference between open and arthroscopic arthrolysis (open arthrolysis: [rate: 14%; 95% CI: 9%-22%], arthroscopic arthrolysis: [rate: 7%; 95% CI: 2%-25%].</div></div><div><h3>Conclusion</h3><div>Open arthrolysis significantly improves ROM in pediatric PTES, outperforming arthroscopic procedures, which showed nonsignificant gains. Complication rates were low and comparable, supporting the safety of both techniques. These findings favor open arthrolysis in severe cases and highlight the need for larger prospective studies to refine arthroscopic indications.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100646"},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078595","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":"The role of emotional disorders in frozen shoulder: results of a binational study","authors":"Byron Paul Torres Dávila MD ,&nbsp;Rodrigo Alfonso Vargas Lara MD ,&nbsp;Carlos Andres Chaves Lara MD ,&nbsp;Sandra Genoveva Torres Dávila MD ,&nbsp;Carlos Patricio Peñaherrera Carrillo MD ,&nbsp;Francisco Endara Urresta MD ,&nbsp;Katherine Guano MD ,&nbsp;Diego Patricio Michilena Chavez MD","doi":"10.1016/j.xrrt.2025.100623","DOIUrl":"10.1016/j.xrrt.2025.100623","url":null,"abstract":"<div><h3>Background</h3><div>Frozen shoulder or adhesive capsulitis is an inflammatory pathology of the shoulder of multifactorial etiology, without having a clear association, and its relationship with the presence of psychological disorders such as anxiety and depression at the time of diagnosis has recently been studied.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out, in which the Goldberg scale (for anxiety and depression detection) was applied in all patients with a diagnosis of frozen shoulder assessed in the outpatient area.</div></div><div><h3>Results</h3><div>A total of 60 patients with a diagnosis of adhesive capsulitis were obtained, 53 female, 7 male, who were subjected to the application of the Goldberg scale questionnaire, which shows that 6.6% of patients present a positive result for the presence of anxiety, 6.6% for the presence of depression, 71.6% for both disorders, and only 15% of the total sample did not present a concomitant psychological disorder.</div></div><div><h3>Conclusion</h3><div>The presence of psychological disorders such as anxiety and depression are a factor associated with the diagnosis of frozen shoulder with relative frequency, and should be part of our evaluation at the time of care in the outpatient area.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100623"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188755","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":"Evaluating coracoid graft geometry for glenoid bone loss: a comparative study of stress distribution and contact mechanics","authors":"Guilherme Augusto Stirma PhD,&nbsp;Paulo Santoro Belangero PhD,&nbsp;Paulo Henrique Schmidt Lara PhD,&nbsp;Carlos Vicente Andreoli PhD,&nbsp;Alberto de Castro Pochini PhD,&nbsp;Benno Ejnisman PhD","doi":"10.1016/j.xrrt.2025.100608","DOIUrl":"10.1016/j.xrrt.2025.100608","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to investigate the biomechanical differences between natural coracoid (NC) and modified coracoid (MC) grafts (with a flattened surface to optimize contact with the glenoid cavity), focusing on their impact on contact area, contact volume, and stress distribution in scenarios of glenoid bone loss. The objective was to determine how graft configuration influences biomechanical stability and force distribution under varying conditions of bone loss.</div></div><div><h3>Methods</h3><div>Three-dimensional models of the glenoid cavity and coracoid process were developed using population-based anatomical averages. Two graft configurations were analyzed: NC and MC. Simulations incorporated progressive glenoid bone loss (0%-20%). Biomechanical analyses evaluated contact area, contact volume, stress distribution, and deformation under a compressive force of 700 N using finite element analysis.</div></div><div><h3>Results</h3><div>NC grafts demonstrated superior adaptation and a larger contact area in anatomically intact glenoid (0% bone loss). However, as bone loss increased beyond 2%, MC grafts provided more consistent contact areas, better stress distribution, and reduced stress concentration. The flattened surface of MC grafts optimized the biomechanical interaction, particularly under conditions of advanced bone loss, ensuring enhanced stability and reduced risk of localized deformation.</div></div><div><h3>Conclusion</h3><div>The findings highlight the importance of graft configuration in addressing glenoid bone loss. While NC grafts are preferable for intact or minimally compromised glenoids, MC grafts are more effective in scenarios with bone loss, providing improved biomechanical stability and optimized force distribution. This study underscores the need for tailored surgical strategies to achieve optimal outcomes based on individual anatomical and clinical conditions.</div></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"6 2","pages":"Article 100608"},"PeriodicalIF":0.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078555","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}