Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0123
Ana Flor Sá, Ivana Márcia Alves Diniz, Renata Barbosa de Oliveira, Marina Gonçalves Diniz, Maria Esperanza Cortés, Letícia Lopes de Souza, Carlos Delfin Chávez Olórtegui, Frederico Santos Lages
Curcumin, found in turmeric rhizomes (Curcuma longa L.), has been widely studied for its potential health benefits, including anti-inflammatory, antioxidant, and wound-healing properties. However, due to its low bioavailability and unfavorable pharmacokinetics, analogous compounds have been developed to obtain better biopharmaceutical characteristics and enhanced biological effects. In this study, we evaluated the activity of curcumin and three of its synthetic analogues (DMAD, DMAM, and RI75) on the viability and differentiation of a pre-osteoblastic cell line (MC3T3-E1). We also assessed the expression of key genes involved in tissue regeneration: vascular endothelial growth factor (vegf), stromal-derived growth factor 1 (SDF-1/CXCL12), and runt-related transcription factor 2 (runx2). The cells were treated with curcumin and the three analogues at concentrations of 10, 30, or 50 μM. All tested analogues and curcumin exhibited moderate to no cell toxicity compared to the cells treated under standard conditions across all concentrations after 24, 48, and 72 hours. Only the RI75 analogue showed upregulation of SDF-1, a crucial factor in tissue regeneration. Compared to curcumin, the DMAM and RI75 analogues also upregulated runx2 and vegf, both associated with osteodifferentiation. The RI75 analogue demonstrated greater mineralization than curcumin, and both promoted more nodule formation than the untreated control. Our data suggest that the curcumin analogue RI75 at 50 μM presents similar toxicity but enhanced biological activity compared to natural curcumin, making it a promising substance for material biomodifications.
姜黄素,发现于姜黄根茎(Curcuma longa L.)中,因其潜在的健康益处而被广泛研究,包括抗炎、抗氧化和伤口愈合特性。然而,由于其低生物利用度和不利的药代动力学,类似的化合物已经被开发出来,以获得更好的生物制药特性和增强的生物效应。在这项研究中,我们评估了姜黄素及其三种合成类似物(DMAD, dam和RI75)对成骨前细胞系(MC3T3-E1)的活力和分化的活性。我们还评估了参与组织再生的关键基因的表达:血管内皮生长因子(vegf)、基质衍生生长因子1 (SDF-1/CXCL12)和矮子相关转录因子2 (runx2)。姜黄素和三种类似物分别以10、30和50 μM的浓度处理细胞。与在标准条件下处理的细胞相比,所有测试的类似物和姜黄素在24、48和72小时后均表现出中度至无细胞毒性。只有RI75类似物显示了组织再生的关键因子SDF-1的上调。与姜黄素相比,ddam和RI75类似物也上调runx2和vegf,两者都与骨分化有关。RI75类似物比姜黄素表现出更大的矿化,两者都比未处理的对照促进了更多的结节形成。我们的数据表明,姜黄素类似物RI75在50 μM下具有与天然姜黄素相似的毒性,但具有更高的生物活性,使其成为一种有前景的材料生物修饰物质。
{"title":"Effect of curcumin and three analogues on pre-osteoblast cells' viability, differentiation, and gene expression.","authors":"Ana Flor Sá, Ivana Márcia Alves Diniz, Renata Barbosa de Oliveira, Marina Gonçalves Diniz, Maria Esperanza Cortés, Letícia Lopes de Souza, Carlos Delfin Chávez Olórtegui, Frederico Santos Lages","doi":"10.1590/1807-3107bor-2024.vol38.0123","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0123","url":null,"abstract":"<p><p>Curcumin, found in turmeric rhizomes (Curcuma longa L.), has been widely studied for its potential health benefits, including anti-inflammatory, antioxidant, and wound-healing properties. However, due to its low bioavailability and unfavorable pharmacokinetics, analogous compounds have been developed to obtain better biopharmaceutical characteristics and enhanced biological effects. In this study, we evaluated the activity of curcumin and three of its synthetic analogues (DMAD, DMAM, and RI75) on the viability and differentiation of a pre-osteoblastic cell line (MC3T3-E1). We also assessed the expression of key genes involved in tissue regeneration: vascular endothelial growth factor (vegf), stromal-derived growth factor 1 (SDF-1/CXCL12), and runt-related transcription factor 2 (runx2). The cells were treated with curcumin and the three analogues at concentrations of 10, 30, or 50 μM. All tested analogues and curcumin exhibited moderate to no cell toxicity compared to the cells treated under standard conditions across all concentrations after 24, 48, and 72 hours. Only the RI75 analogue showed upregulation of SDF-1, a crucial factor in tissue regeneration. Compared to curcumin, the DMAM and RI75 analogues also upregulated runx2 and vegf, both associated with osteodifferentiation. The RI75 analogue demonstrated greater mineralization than curcumin, and both promoted more nodule formation than the untreated control. Our data suggest that the curcumin analogue RI75 at 50 μM presents similar toxicity but enhanced biological activity compared to natural curcumin, making it a promising substance for material biomodifications.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e123"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0072
Julia Menezes Savaris, Maria Eduarda Paz Dotto, Lucas da Fonseca Roberti Garcia, Emmanuel João Nogueira Leal da Silva, Bruno Alexandre Pacheco de Castro Henriques, Cleonice da Silveira Teixeira, Eduardo Antunes Bortoluzzi
This study compared the effects of different final irrigation protocols on the mechanical properties and structural integrity of root dentine. One-hundred eight teeth were instrumented and irrigated with sodium hypochlorite (NaOCl) using conventional irrigation (CI). Teeth were distributed into four groups based on final irrigation protocols: Control Group (CG): 17%EDTA/CI + H2O; G1: 2.5%NaOCl/Passive Ultrasonic Irrigation (PUI) + EDTA/PUI + NaOCl/PUI (60s each); G2: EDTA/PUI + NaOCl/PUI (30s each); G3: EDTA/PUI + NaOCl/PUI + H2O/PUI + CHX/PUI (30s each). Four tests were conducted: three-point flexural strength test, Scanning Electron Microscopy analysis, microhardness assessment, and the push-out bond strength (POBS) of the filling material to the root dentine. Data were analyzed using ANOVA and Tukey tests (Flexural strength), and Student t-test (Microhardness). Erosion scores and POBS were analyzed by Kruskal-Wallis and Dunn tests (α = 0.05). Results indicated no significant differences in flexural strength (p > 0.05) among groups. CG exhibited the lowest erosion scores in the cervical third. In the middle third, CG had lower scores than G1 and G2, while in the apical third, CG had lower scores than G1 (p < 0.05). Microhardness values decreased following the protocols (p < 0.05), except for the CG (p > 0.05). G2 displayed higher POBS values in the middle and apical thirds (p < 0.05). The protocols did not significantly influence the flexural strength of root dentine. However, they did affect microhardness and promoted greater erosion. The best results for POBS were observed when the final irrigation involved the sequential use of EDTA and NaOCl employing PUI for 30 seconds in each solution.
{"title":"Effect of final irrigation protocols on the structural integrity and mechanical properties of the root dentine.","authors":"Julia Menezes Savaris, Maria Eduarda Paz Dotto, Lucas da Fonseca Roberti Garcia, Emmanuel João Nogueira Leal da Silva, Bruno Alexandre Pacheco de Castro Henriques, Cleonice da Silveira Teixeira, Eduardo Antunes Bortoluzzi","doi":"10.1590/1807-3107bor-2024.vol38.0072","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0072","url":null,"abstract":"<p><p>This study compared the effects of different final irrigation protocols on the mechanical properties and structural integrity of root dentine. One-hundred eight teeth were instrumented and irrigated with sodium hypochlorite (NaOCl) using conventional irrigation (CI). Teeth were distributed into four groups based on final irrigation protocols: Control Group (CG): 17%EDTA/CI + H2O; G1: 2.5%NaOCl/Passive Ultrasonic Irrigation (PUI) + EDTA/PUI + NaOCl/PUI (60s each); G2: EDTA/PUI + NaOCl/PUI (30s each); G3: EDTA/PUI + NaOCl/PUI + H2O/PUI + CHX/PUI (30s each). Four tests were conducted: three-point flexural strength test, Scanning Electron Microscopy analysis, microhardness assessment, and the push-out bond strength (POBS) of the filling material to the root dentine. Data were analyzed using ANOVA and Tukey tests (Flexural strength), and Student t-test (Microhardness). Erosion scores and POBS were analyzed by Kruskal-Wallis and Dunn tests (α = 0.05). Results indicated no significant differences in flexural strength (p > 0.05) among groups. CG exhibited the lowest erosion scores in the cervical third. In the middle third, CG had lower scores than G1 and G2, while in the apical third, CG had lower scores than G1 (p < 0.05). Microhardness values decreased following the protocols (p < 0.05), except for the CG (p > 0.05). G2 displayed higher POBS values in the middle and apical thirds (p < 0.05). The protocols did not significantly influence the flexural strength of root dentine. However, they did affect microhardness and promoted greater erosion. The best results for POBS were observed when the final irrigation involved the sequential use of EDTA and NaOCl employing PUI for 30 seconds in each solution.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e072"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0112
Roberta de Oliveira Alves, Guilheme José Pimentel Lopes de Oliveira, Rita Catarina de Oliveira, Pedro Henrique Justino Oliveira Limirio, Marcela Claudino, Darceny Zanetta-Barbosa, Priscilla Ferreira Barbosa Soares
The purpose of this study was to evaluate the effect of a single dose of ionizing radiation (30 Gy) on the osseointegration of implants in the rabbit tibia. Twenty rabbits received two dental Morse-tapered junction implants and one implant in each tibia. The animals were randomly divided into two groups (n=10), non-irradiated (NoIr) and irradiated (Ir), wherein the Ir group received a single dose of 30 Gy radiation 2 weeks after implant installation. Microtomographic analyses (BV/TV) and histomorphometric assessments (BIC and BABT) were performed 4 weeks after implant installation. One-way ANOVA, Tukey's test, and Student's t-test (α=0.05) were used for data analysis. The results showed that BV/TV did not differ significantly between the Ir and NoIr groups (P = 0.071). In the histomorphometric analysis, neither BIC nor BABT showed significant differences between the NoIr and Ir groups (p>0.05). In conclusion, ionizing radiation in dental implants does not appear to interfere with osseointegration when installed prior to irradiation.
{"title":"Ionizing radiation effects on osseointegration: a pre-clinical study.","authors":"Roberta de Oliveira Alves, Guilheme José Pimentel Lopes de Oliveira, Rita Catarina de Oliveira, Pedro Henrique Justino Oliveira Limirio, Marcela Claudino, Darceny Zanetta-Barbosa, Priscilla Ferreira Barbosa Soares","doi":"10.1590/1807-3107bor-2024.vol38.0112","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0112","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the effect of a single dose of ionizing radiation (30 Gy) on the osseointegration of implants in the rabbit tibia. Twenty rabbits received two dental Morse-tapered junction implants and one implant in each tibia. The animals were randomly divided into two groups (n=10), non-irradiated (NoIr) and irradiated (Ir), wherein the Ir group received a single dose of 30 Gy radiation 2 weeks after implant installation. Microtomographic analyses (BV/TV) and histomorphometric assessments (BIC and BABT) were performed 4 weeks after implant installation. One-way ANOVA, Tukey's test, and Student's t-test (α=0.05) were used for data analysis. The results showed that BV/TV did not differ significantly between the Ir and NoIr groups (P = 0.071). In the histomorphometric analysis, neither BIC nor BABT showed significant differences between the NoIr and Ir groups (p>0.05). In conclusion, ionizing radiation in dental implants does not appear to interfere with osseointegration when installed prior to irradiation.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e112"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0113
Isadora Luana Flores, José Alcides Almeida de Arruda, Thamiris de Castro Abrantes, Thiago de Oliveira Gamba, Aline Correa Abrahão, Ana Lia Anbinder, Jaqueline Lemes Ribeiro, Ana Carolina Uchoa Vasconcelos, Bruno Augusto Benevenuto de Andrade, Maria Cassia Ferreira de Aguiar, Ana Paula Neutzling Gomes, Lucas Guimarães Abreu, Ricardo Alves Mesquita
There is an interaction between dendrocytes and mast cells in the skin. However, in elastosis-related diseases such as actinic cheilitis (AC) and lower lip squamous cell carcinoma (LLSCC), this interaction remains unknown. We investigated the presence of intact and degranulated mast cells in AC and LLSCC. Associations of mast cells with factor XIIIa+ dendrocytes and inflammatory infiltrate were assessed. Forty cases of AC (20 with low-grade and 20 with high-grade epithelial dysplasia), 50 cases of LLSCC, and 10 cases of normal oral mucosa were evaluated. Toluidine blue staining was performed to identify mast cells, and mast cell densities were calculated in the inflammatory infiltrate. Factor XIIIa+ dendrocytes were immunohistochemically quantified. The highest ratio of intact/degranulated mast cells density was detected in LLSCC (5.9 cells/mm2), followed by AC with high-grade epithelial dysplasia (4.8 cells/mm2). Statistically significant differences were found in the density of intact mast cells compared to degranulated mast cells in AC with low-grade epithelial dysplasia (p<0.001), AC with high-grade epithelial dysplasia (p=0.005), and LLSCC (p<0.001). A positive correlation between degranulated mast cells and total inflammatory infiltrate (p=0.03) was observed in the LLSCC group. The expression of factor XIIIa+ dendrocytes was highest in AC with low-grade epithelial dysplasia (16.5 cells/mm2). The link between mast cell density, factor XIIIa+ dendrocytes, and inflammatory infiltrate indicates a potential crosstalk in lip carcinogenesis.
{"title":"Mast cells and factor XIIIa+ dendrocytes in actinic cheilitis and lip squamous cell carcinoma.","authors":"Isadora Luana Flores, José Alcides Almeida de Arruda, Thamiris de Castro Abrantes, Thiago de Oliveira Gamba, Aline Correa Abrahão, Ana Lia Anbinder, Jaqueline Lemes Ribeiro, Ana Carolina Uchoa Vasconcelos, Bruno Augusto Benevenuto de Andrade, Maria Cassia Ferreira de Aguiar, Ana Paula Neutzling Gomes, Lucas Guimarães Abreu, Ricardo Alves Mesquita","doi":"10.1590/1807-3107bor-2024.vol38.0113","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0113","url":null,"abstract":"<p><p>There is an interaction between dendrocytes and mast cells in the skin. However, in elastosis-related diseases such as actinic cheilitis (AC) and lower lip squamous cell carcinoma (LLSCC), this interaction remains unknown. We investigated the presence of intact and degranulated mast cells in AC and LLSCC. Associations of mast cells with factor XIIIa+ dendrocytes and inflammatory infiltrate were assessed. Forty cases of AC (20 with low-grade and 20 with high-grade epithelial dysplasia), 50 cases of LLSCC, and 10 cases of normal oral mucosa were evaluated. Toluidine blue staining was performed to identify mast cells, and mast cell densities were calculated in the inflammatory infiltrate. Factor XIIIa+ dendrocytes were immunohistochemically quantified. The highest ratio of intact/degranulated mast cells density was detected in LLSCC (5.9 cells/mm2), followed by AC with high-grade epithelial dysplasia (4.8 cells/mm2). Statistically significant differences were found in the density of intact mast cells compared to degranulated mast cells in AC with low-grade epithelial dysplasia (p<0.001), AC with high-grade epithelial dysplasia (p=0.005), and LLSCC (p<0.001). A positive correlation between degranulated mast cells and total inflammatory infiltrate (p=0.03) was observed in the LLSCC group. The expression of factor XIIIa+ dendrocytes was highest in AC with low-grade epithelial dysplasia (16.5 cells/mm2). The link between mast cell density, factor XIIIa+ dendrocytes, and inflammatory infiltrate indicates a potential crosstalk in lip carcinogenesis.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e113"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0126
Stefania Martignon, Carol C Guarnizo-Herreño, Angela Maria Franco-Cortés, Lina Maria García-Zapata, Emilia Maria Ochoa-Acosta, Luis Fernando Restrepo-Pérez, Maria Cristina Arango, María Del Pilar Cerezo, Andrea Cortes
The Colombian Chapter of the Alliance-for-a-Cavity-Free-Future (Col-ACFF) has been conducting a health promotion and caries prevention program among young children in four vulnerable Colombian municipalities (baseline data from 2012-2014). This study aimed to quantify socioeconomic inequalities in early childhood caries (ECC) and examine the potential role of daily fluoride-toothpaste use, previous-year dental-care visit, and nutrition/diet-related aspects. The study sample included 1344 children aged 1-5 years. Inequalities in the age-standardized prevalence rates of and mean number of tooth surfaces affected by moderate/extensive (dME) and initial (dIME) caries (defined using the ICDAS-merged-epi criteria) by household income and level of education were examined using the relative index of inequality (RII) and the slope index of inequality (SII). Approximately one-third of the children included in this study exhibited dME, while 84% exhibited dIME. The majority of outcomes exhibited social gradients, and significant relative (RII) and absolute (SII) inequalities in ECC were observed. The SII estimate indicated an absolute difference of 12.4% in the prevalence of moderate/extensive carious lesions among children living in households with the lowest compared to the highest education levels [SII: 12.4; 95% confidence interval (CI): 2.7-22.1]. These children were also 6.7 times more likely to exhibit dIME compared to those living in households with higher levels of education (SII:6.73 95% CI: 4.18-9.29). Daily use of fluoride toothpastes, dental care visits in the previous year, and nutrition/diet-related factors played a limited role in ECC inequalities. In conclusion, significant ECC inequalities were observed in these vulnerable populations, highlighting the importance of upstream and downstream interventions that raise awareness among stakeholders and improve community- and individual-based practices to address this.
{"title":"Socioeconomic inequalities in early childhood caries: evidence from vulnerable populations in Colombia.","authors":"Stefania Martignon, Carol C Guarnizo-Herreño, Angela Maria Franco-Cortés, Lina Maria García-Zapata, Emilia Maria Ochoa-Acosta, Luis Fernando Restrepo-Pérez, Maria Cristina Arango, María Del Pilar Cerezo, Andrea Cortes","doi":"10.1590/1807-3107bor-2024.vol38.0126","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0126","url":null,"abstract":"<p><p>The Colombian Chapter of the Alliance-for-a-Cavity-Free-Future (Col-ACFF) has been conducting a health promotion and caries prevention program among young children in four vulnerable Colombian municipalities (baseline data from 2012-2014). This study aimed to quantify socioeconomic inequalities in early childhood caries (ECC) and examine the potential role of daily fluoride-toothpaste use, previous-year dental-care visit, and nutrition/diet-related aspects. The study sample included 1344 children aged 1-5 years. Inequalities in the age-standardized prevalence rates of and mean number of tooth surfaces affected by moderate/extensive (dME) and initial (dIME) caries (defined using the ICDAS-merged-epi criteria) by household income and level of education were examined using the relative index of inequality (RII) and the slope index of inequality (SII). Approximately one-third of the children included in this study exhibited dME, while 84% exhibited dIME. The majority of outcomes exhibited social gradients, and significant relative (RII) and absolute (SII) inequalities in ECC were observed. The SII estimate indicated an absolute difference of 12.4% in the prevalence of moderate/extensive carious lesions among children living in households with the lowest compared to the highest education levels [SII: 12.4; 95% confidence interval (CI): 2.7-22.1]. These children were also 6.7 times more likely to exhibit dIME compared to those living in households with higher levels of education (SII:6.73 95% CI: 4.18-9.29). Daily use of fluoride toothpastes, dental care visits in the previous year, and nutrition/diet-related factors played a limited role in ECC inequalities. In conclusion, significant ECC inequalities were observed in these vulnerable populations, highlighting the importance of upstream and downstream interventions that raise awareness among stakeholders and improve community- and individual-based practices to address this.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e126"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study assessed the Global Quality Score (GQS) and informational engagement of users with YouTube videos on the Brazilian public health system (SUS). The YouTube video search tool was used with the Portuguese keywords 'unified health system' and 'SUS'. The first 100 videos returned in the search were studied, using the GQS to measure their educational value, usefulness, and information quality. Users' engagement with the videos was calculated based on their number of likes/reactions and comments. Other data collected were authorship, year of publication, topic approached, target audience, video length, and use of references. Two trained and calibrated researchers collected the data. Multiple analysis was performed with Logistic Regression, using a 95% confidence interval and significance of p<0.05. There were no poor or generally poor GQS scores (scores 1 and 2) and most videos (58%) achieved moderate or good scores (scores 3 and 4). Videos published after the onset of COVID-19 had a 70% lower chance of engagement than those published in pre-pandemic years (OR: 0.30; 95%CI: 0.12-0.74). Videos that targeted healthcare professionals were 72% less likely to achieve higher GQS scores, than those with an unidentified target audience (OR: 0.28; 95%CI: 0.10-0.75). The informational engagement of the videos showed fewer comments than likes/reactions. Most YouTube videos about the SUS had moderate or good global quality, which was associated with their period of publication and choice of target audience.
{"title":"Global quality scores of Brazilian public health system-related YouTubeTM videos and their users' engagement.","authors":"Eliane Maria Mascarenhas Silva, Caroline Rabelo Camargos, Isabela Almeida Pordeus, Mauro Henrique Nogueira Guimarães de Abreu, Fabiana Vargas-Ferreira, Flávio Freitas Mattos","doi":"10.1590/1807-3107bor-2024.vol38.0099","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0099","url":null,"abstract":"<p><p>The study assessed the Global Quality Score (GQS) and informational engagement of users with YouTube videos on the Brazilian public health system (SUS). The YouTube video search tool was used with the Portuguese keywords 'unified health system' and 'SUS'. The first 100 videos returned in the search were studied, using the GQS to measure their educational value, usefulness, and information quality. Users' engagement with the videos was calculated based on their number of likes/reactions and comments. Other data collected were authorship, year of publication, topic approached, target audience, video length, and use of references. Two trained and calibrated researchers collected the data. Multiple analysis was performed with Logistic Regression, using a 95% confidence interval and significance of p<0.05. There were no poor or generally poor GQS scores (scores 1 and 2) and most videos (58%) achieved moderate or good scores (scores 3 and 4). Videos published after the onset of COVID-19 had a 70% lower chance of engagement than those published in pre-pandemic years (OR: 0.30; 95%CI: 0.12-0.74). Videos that targeted healthcare professionals were 72% less likely to achieve higher GQS scores, than those with an unidentified target audience (OR: 0.28; 95%CI: 0.10-0.75). The informational engagement of the videos showed fewer comments than likes/reactions. Most YouTube videos about the SUS had moderate or good global quality, which was associated with their period of publication and choice of target audience.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e099"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0125
Valéria Gonzaga Botelho de Oliveira, Árlen Almeida Duarte de Sousa, Fabrício Emanuel Soares de Oliveira, Daniella Reis Barbosa Martelli, Eduardo Araújo, Ricardo Della Coletta, Hercílio Martelli Júnior
This study evaluated the scientific contribution of Brazilian CNPq Research Productivity fellows (PQ) in Dentistry by areas of activity. This cross-sectional study included 217 active PQ who were grouped into six groups: (1) Biomaterials, Prosthodontics, and Restorative Dentistry; (2) Public Health and Epidemiology; (3) Oral Pathology, Stomatology, and Dental Radiology; (4) Pediatric Dentistry and Child Health; (5) Dental Clinic (Periodontics, Endodontics, Orthodontics, Oral Surgery, and Implantology), and (6) Basic Areas (Histology, Biochemistry, Molecular Biology, Physiology, Microbiology, Immunology, and Pharmacology). The PQ were predominantly male (n = 122; 56.2%), received level 2 scholarships (n = 121; 55.8%), and performed research in the Southeast region of Brazil (n = 160; 73.73%). Regarding supervision of undergraduate, master's, and PhD students, both during their entire careers and in the last 5 years, the highest average was observed for PQs in the field of Public Health and Epidemiology, the only area with higher average supervision of master's than that of undergraduate and PhD students. PQ in Public Health and Epidemiology had the highest average number of papers published over their career and in the last 5 years, followed by PQ in Pediatric Dentistry and Child Health and Dental Clinic. The high productivity of PQ is demonstrated by modern research performance indicators. Their scientific publications are indexed in bibliometric databases such as WoS, Scopus, and SciELO. Addtionally, highlighted among the PQ was the time since initiation of their scientific careers and master's and doctoral candidates trained.
{"title":"Scientific contribution of the Brazilian CNPq Research Productivity fellows in dentistry.","authors":"Valéria Gonzaga Botelho de Oliveira, Árlen Almeida Duarte de Sousa, Fabrício Emanuel Soares de Oliveira, Daniella Reis Barbosa Martelli, Eduardo Araújo, Ricardo Della Coletta, Hercílio Martelli Júnior","doi":"10.1590/1807-3107bor-2024.vol38.0125","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0125","url":null,"abstract":"<p><p>This study evaluated the scientific contribution of Brazilian CNPq Research Productivity fellows (PQ) in Dentistry by areas of activity. This cross-sectional study included 217 active PQ who were grouped into six groups: (1) Biomaterials, Prosthodontics, and Restorative Dentistry; (2) Public Health and Epidemiology; (3) Oral Pathology, Stomatology, and Dental Radiology; (4) Pediatric Dentistry and Child Health; (5) Dental Clinic (Periodontics, Endodontics, Orthodontics, Oral Surgery, and Implantology), and (6) Basic Areas (Histology, Biochemistry, Molecular Biology, Physiology, Microbiology, Immunology, and Pharmacology). The PQ were predominantly male (n = 122; 56.2%), received level 2 scholarships (n = 121; 55.8%), and performed research in the Southeast region of Brazil (n = 160; 73.73%). Regarding supervision of undergraduate, master's, and PhD students, both during their entire careers and in the last 5 years, the highest average was observed for PQs in the field of Public Health and Epidemiology, the only area with higher average supervision of master's than that of undergraduate and PhD students. PQ in Public Health and Epidemiology had the highest average number of papers published over their career and in the last 5 years, followed by PQ in Pediatric Dentistry and Child Health and Dental Clinic. The high productivity of PQ is demonstrated by modern research performance indicators. Their scientific publications are indexed in bibliometric databases such as WoS, Scopus, and SciELO. Addtionally, highlighted among the PQ was the time since initiation of their scientific careers and master's and doctoral candidates trained.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e125"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0058
Luana Beliago de Azevedo Costa, Rafaela de Oliveira Cunha, Isabel Cristina Gonçalves Leite
This cross-sectional study aimed to analyze the self-perceived oral health of young university students at the Federal University of Juiz de Fora and identify the associated factors. Data were collected in 2021 using a self-administered questionnaire containing questions on students' sociodemographic variables and oral health. Binary logistic regression was applied in the multivariate analysis using the SPSS (Statistical Package for the Social Sciences) software (version 20.0) for Windows. The final analysis included 1,316 students aged 17-24 years. The prevalence of negative self-perception of oral health was 14.1% (95%CI: 12.2-16.0). The following variables were associated with negative self-perception of oral health: single marital status (OR = 0.34; 95%CI: 0.12-0.98), monthly family income of up to three minimum wages (OR = 2.02; 95%CI: 1.32-3.09), non-regular use of dental services (OR = 2.29; 95%CI: 1.48-3.53), dissatisfaction with the last service (OR = 1.97; 95%CI: 1.23-3.16), fear of dental treatment (OR = 1.56; 95%CI: 1.06-2.29), dissatisfaction with the appearance of teeth and mouth (OR = 5.27; 95%CI: 3.37-8.22), and perceived need for dental treatment (OR = 6.94; 95%CI:3.14-15.33). In conclusion, most young university students had a positive self-perception of oral health. However, factors related to socioeconomic profile, access to oral health services, and satisfaction with one's appearance were found to increase the likelihood of having a negative self-perception of oral health.
本横断面研究旨在分析Juiz de Fora联邦大学年轻大学生自我感知的口腔健康状况,并确定相关因素。数据是在2021年使用一份自我管理的问卷收集的,其中包含有关学生社会人口变量和口腔健康的问题。多元分析采用SPSS (Statistical Package for the Social Sciences)软件(20.0版)进行二元逻辑回归。最终的分析包括1316名年龄在17-24岁之间的学生。口腔健康负面自我认知的患病率为14.1% (95%CI: 12.2 ~ 16.0)。以下变量与口腔健康负面自我认知相关:单身婚姻状况(OR = 0.34;95%CI: 0.12-0.98),家庭月收入不超过三份最低工资(OR = 2.02;95%CI: 1.32-3.09)、不定期使用牙科服务(OR = 2.29;95%CI: 1.48-3.53),对上次服务不满意(OR = 1.97;95%CI: 1.23-3.16),害怕牙科治疗(OR = 1.56;95%CI: 1.06-2.29),对牙齿和口腔外观不满意(OR = 5.27;95%CI: 3.37-8.22),以及感知到的牙科治疗需求(OR = 6.94;95%置信区间:3.14—-15.33)。综上所述,大多数青年大学生对口腔健康有积极的自我认知。然而,与社会经济状况、获得口腔健康服务的机会以及对自己外表的满意度相关的因素被发现增加了对口腔健康有负面自我认知的可能性。
{"title":"Self-perceived oral health among Brazilian university students: a cross-sectional study.","authors":"Luana Beliago de Azevedo Costa, Rafaela de Oliveira Cunha, Isabel Cristina Gonçalves Leite","doi":"10.1590/1807-3107bor-2024.vol38.0058","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0058","url":null,"abstract":"<p><p>This cross-sectional study aimed to analyze the self-perceived oral health of young university students at the Federal University of Juiz de Fora and identify the associated factors. Data were collected in 2021 using a self-administered questionnaire containing questions on students' sociodemographic variables and oral health. Binary logistic regression was applied in the multivariate analysis using the SPSS (Statistical Package for the Social Sciences) software (version 20.0) for Windows. The final analysis included 1,316 students aged 17-24 years. The prevalence of negative self-perception of oral health was 14.1% (95%CI: 12.2-16.0). The following variables were associated with negative self-perception of oral health: single marital status (OR = 0.34; 95%CI: 0.12-0.98), monthly family income of up to three minimum wages (OR = 2.02; 95%CI: 1.32-3.09), non-regular use of dental services (OR = 2.29; 95%CI: 1.48-3.53), dissatisfaction with the last service (OR = 1.97; 95%CI: 1.23-3.16), fear of dental treatment (OR = 1.56; 95%CI: 1.06-2.29), dissatisfaction with the appearance of teeth and mouth (OR = 5.27; 95%CI: 3.37-8.22), and perceived need for dental treatment (OR = 6.94; 95%CI:3.14-15.33). In conclusion, most young university students had a positive self-perception of oral health. However, factors related to socioeconomic profile, access to oral health services, and satisfaction with one's appearance were found to increase the likelihood of having a negative self-perception of oral health.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e058"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0096
Hebertt Gonzaga Dos Santos Chaves, Barbara Figueiredo, Caroline Andrade Maia, Alexandre Henrique Dos Reis-Prado, Maísa Mota Antunes, Ricardo Alves de Mesquita, Warley Luciano Fonseca Tavares, Gustavo Batista Menezes, Ivana Márcia Alves Diniz, Murilo Camuri Crovace, Gleide Fernandes de Avelar, Francine Benetti
This study aimed to evaluate the pulp response to F18 and cobalt-doped F18 bioglass (F18Co) in comparison with calcium hydroxide (CH) after pulp capping. The maxillary first molars of 48 rats were divided into F18, F18Co, CH, and control (no intervention) groups. The pulp was exposed, the materials were placed, and the teeth were capped. After 7 and 15 days, the animals were euthanized for pulp evaluation and interleukin (IL) expression determination. Statistical analysis was carried out using the SigmaPlot® program (Systat Software Inc., for Windows, version 12.0). The data obtained in the analyses were subjected to the non-parametric Kruskal-Wallis test, followed by Dunn's test. For all tests, statistical significance was set at p < 0.05. The CH group exhibited mild to moderate inflammation, whereas the bioglass groups displayed moderate to severe inflammation, indicating a notable difference between the control and bioglass groups. At 7 days, both the CH and most of the bioglass specimens showed moderate disorganization. On day 15, CH displayed mildto-moderate disorganization, whereas F18 and F18Co exhibited significantly more moderate-to-severe disorganization. There were no significant differences in IL-6 and IL-10 expressions between groups at 7 days, but a noteworthy increase in IL-1β was observed in both CH and F18. After 15 days, there was a greater expression of IL-6 and IL-1β in the bioglass groups. No significant IL-10 expression was observed. Bioglass performed less effectively than CH when in direct contact with the pulp tissue.
本研究旨在评价牙髓封盖后对F18和钴掺杂F18生物玻璃(F18Co)的反应,并与氢氧化钙(CH)进行比较。48只大鼠上颌第一磨牙分为F18组、F18Co组、CH组和对照组(不干预组)。露出牙髓,放置材料,盖上牙齿。第7天和第15天处死动物,进行牙髓评估和白细胞介素(IL)表达测定。使用SigmaPlot®程序(Systat Software Inc., for Windows, version 12.0)进行统计分析。在分析中获得的数据进行非参数Kruskal-Wallis检验,然后进行Dunn检验。所有检验均以p < 0.05为差异有统计学意义。CH组表现为轻度至中度炎症,而生物玻璃组表现为中度至重度炎症,对照组与生物玻璃组之间存在显著差异。在第7天,CH和大部分生物玻璃标本都出现了中度的破坏。在第15天,CH表现出轻至中度的紊乱,而F18和F18Co表现出明显的中至重度紊乱。第7天各组间IL-6和IL-10的表达无显著差异,但CH和F18中IL-1β的表达均显著升高。15 d后,生物玻璃组IL-6和IL-1β表达增加。IL-10未见明显表达。当与牙髓组织直接接触时,生物玻璃的效果不如CH。
{"title":"Tissue response and expression of interleukins (IL)-1ß, IL-6, IL-10 after pulp capping with bioglasses in mice.","authors":"Hebertt Gonzaga Dos Santos Chaves, Barbara Figueiredo, Caroline Andrade Maia, Alexandre Henrique Dos Reis-Prado, Maísa Mota Antunes, Ricardo Alves de Mesquita, Warley Luciano Fonseca Tavares, Gustavo Batista Menezes, Ivana Márcia Alves Diniz, Murilo Camuri Crovace, Gleide Fernandes de Avelar, Francine Benetti","doi":"10.1590/1807-3107bor-2024.vol38.0096","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0096","url":null,"abstract":"<p><p>This study aimed to evaluate the pulp response to F18 and cobalt-doped F18 bioglass (F18Co) in comparison with calcium hydroxide (CH) after pulp capping. The maxillary first molars of 48 rats were divided into F18, F18Co, CH, and control (no intervention) groups. The pulp was exposed, the materials were placed, and the teeth were capped. After 7 and 15 days, the animals were euthanized for pulp evaluation and interleukin (IL) expression determination. Statistical analysis was carried out using the SigmaPlot® program (Systat Software Inc., for Windows, version 12.0). The data obtained in the analyses were subjected to the non-parametric Kruskal-Wallis test, followed by Dunn's test. For all tests, statistical significance was set at p < 0.05. The CH group exhibited mild to moderate inflammation, whereas the bioglass groups displayed moderate to severe inflammation, indicating a notable difference between the control and bioglass groups. At 7 days, both the CH and most of the bioglass specimens showed moderate disorganization. On day 15, CH displayed mildto-moderate disorganization, whereas F18 and F18Co exhibited significantly more moderate-to-severe disorganization. There were no significant differences in IL-6 and IL-10 expressions between groups at 7 days, but a noteworthy increase in IL-1β was observed in both CH and F18. After 15 days, there was a greater expression of IL-6 and IL-1β in the bioglass groups. No significant IL-10 expression was observed. Bioglass performed less effectively than CH when in direct contact with the pulp tissue.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e096"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-09eCollection Date: 2024-01-01DOI: 10.1590/1807-3107bor-2024.vol38.0114
Natália Santos Barcelos, Cláudia Borges Brasileiro, Lucas Guimarães Abreu, Elismauro Francisco Mendonça, Sebastião Silvério Sousa-Neto, Sílvia Ferreira de Sousa, Ricardo Alves Mesquita, Patrícia Carlos Caldeira
The objective of this study was to evaluate the fractal dimension (FD) and lacunarity of the mandibular bone, comparing patients with and without osteoradionecrosis (ORN). In a cross-sectional study with a control group, 25 patients were included and divided into a case group (with ORN, n = 14) and a control group (without ORN, n = 11). A digital panoramic radiograph taken after the end of radiotherapy (RT) was evaluated for each patient. FD and lacunarity of the mandibular bone were determined using ImageJ software. Descriptive, bivariate, and ROC curve analyses were performed. Cohen's d effect sizes were calculated. Significance was established at p < 0.05. The mean FD and lacunarity values were not significantly different between the groups. The area under the curve for FD and lacunarity were 0.579 and 0.661, respectively. The cut-off point for FD was ≤1.1714 and for lacunarity, > 0.3821, correctly classifying the majority of cases and controls. Most participants in the case group (63.6%) had a FD ≤ 1.1714 and the majority of participants in the control group (63.6%) had a FD >1.1714 (p = 0.395). For lacunarity, most individuals in the case group (72.7%) had a value > 0.3821 and most participants in the control group (63.6%) had a value ≤ 0.3821 (p = 0.198). In conclusion, the FD and lacunarity values did not show statistically significant differences between patients with and without ORN. However, the moderate and large magnitude of the effects seem to indicate that the results may be clinically relevant.
本研究的目的是评估分形维数(FD)和下颌骨腔隙,比较有和没有骨放射性坏死(ORN)的患者。在与对照组的横断面研究中,纳入25例患者,分为病例组(有ORN, n = 14)和对照组(无ORN, n = 11)。放疗结束后对每位患者的数字全景x线片进行评估。采用ImageJ软件测定下颌骨FD和间隙。进行描述性、双变量和ROC曲线分析。计算了科恩效应量。p < 0.05具有显著性。平均FD值和间隙值组间差异无统计学意义。FD和空隙度曲线下面积分别为0.579和0.661。FD的截断点为≤1.1714,间隙的截断点为> 0.3821,对大多数病例和对照进行了正确的分类。病例组中大多数参与者(63.6%)的FD≤1.1714,对照组中大多数参与者(63.6%)的FD≤1.1714 (p = 0.395)。对于间隙性,病例组中大多数个体(72.7%)的值为> 0.3821,对照组中大多数参与者(63.6%)的值≤0.3821 (p = 0.198)。综上所述,有无ORN患者的FD和腔隙值无统计学差异。然而,中等和较大的影响似乎表明结果可能与临床相关。
{"title":"Fractal analysis and assessment of lacunarity in mandibular osteoradionecrosis: a cross-sectional study with control group.","authors":"Natália Santos Barcelos, Cláudia Borges Brasileiro, Lucas Guimarães Abreu, Elismauro Francisco Mendonça, Sebastião Silvério Sousa-Neto, Sílvia Ferreira de Sousa, Ricardo Alves Mesquita, Patrícia Carlos Caldeira","doi":"10.1590/1807-3107bor-2024.vol38.0114","DOIUrl":"10.1590/1807-3107bor-2024.vol38.0114","url":null,"abstract":"<p><p>The objective of this study was to evaluate the fractal dimension (FD) and lacunarity of the mandibular bone, comparing patients with and without osteoradionecrosis (ORN). In a cross-sectional study with a control group, 25 patients were included and divided into a case group (with ORN, n = 14) and a control group (without ORN, n = 11). A digital panoramic radiograph taken after the end of radiotherapy (RT) was evaluated for each patient. FD and lacunarity of the mandibular bone were determined using ImageJ software. Descriptive, bivariate, and ROC curve analyses were performed. Cohen's d effect sizes were calculated. Significance was established at p < 0.05. The mean FD and lacunarity values were not significantly different between the groups. The area under the curve for FD and lacunarity were 0.579 and 0.661, respectively. The cut-off point for FD was ≤1.1714 and for lacunarity, > 0.3821, correctly classifying the majority of cases and controls. Most participants in the case group (63.6%) had a FD ≤ 1.1714 and the majority of participants in the control group (63.6%) had a FD >1.1714 (p = 0.395). For lacunarity, most individuals in the case group (72.7%) had a value > 0.3821 and most participants in the control group (63.6%) had a value ≤ 0.3821 (p = 0.198). In conclusion, the FD and lacunarity values did not show statistically significant differences between patients with and without ORN. However, the moderate and large magnitude of the effects seem to indicate that the results may be clinically relevant.</p>","PeriodicalId":9240,"journal":{"name":"Brazilian oral research","volume":"38 ","pages":"e114"},"PeriodicalIF":1.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}