{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T18:20:50Z","timestamp":1788459650401,"version":"build-2803163510"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"General Project of the Special Scientific Research on Military Family Planning","award":["No. 23JSZ06"],"award-info":[{"award-number":["No. 23JSZ06"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1007\/s00192-025-06452-z","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T11:58:54Z","timestamp":1766750334000},"page":"1429-1439","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pelvic Floor Dysfunction Research: A Bibliometric Analysis with Retrospective Clinical Validation"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0298-902X","authenticated-orcid":false,"given":"Tianhui","family":"Niu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Tu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengnan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manhong","family":"Ai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxuan","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghui","family":"Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"6452_CR1","doi-asserted-by":"crossref","unstructured":"Quaghebeur J, Petros P, Wyndaele JJ, et sl. Pelvic-floor function, dysfunction, and treatment. Eur J Obstet Gynecol Reprod Biol. 2021;265:143\u2013149.","DOI":"10.1016\/j.ejogrb.2021.08.026"},{"issue":"4","key":"6452_CR2","first-page":"311","volume":"58","author":"GM Buchsbaum","year":"2006","unstructured":"Buchsbaum GM. Urinary incontinence and pelvic organ prolapse. Minerva Urol Nefrol. 2006;58(4):311\u20139.","journal-title":"Minerva Urol Nefrol"},{"issue":"6","key":"6452_CR3","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2021.100441","volume":"9","author":"Z Zhuo","year":"2021","unstructured":"Zhuo Z, Wang C, Yu H, et al. The relationship between pelvic floor function and sexual function in perimenopausal women. Sex Med. 2021;9(6):100441.","journal-title":"Sex Med"},{"issue":"3","key":"6452_CR4","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1016\/j.ogc.2009.08.002","volume":"36","author":"VW Sung","year":"2009","unstructured":"Sung VW, Hampton BS. Epidemiology of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 2009;36(3):421\u201343.","journal-title":"Obstet Gynecol Clin North Am"},{"issue":"1","key":"6452_CR5","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-16901-3","volume":"23","author":"RA Peinado-Molina","year":"2023","unstructured":"Peinado-Molina RA, Hernandez-Martinez A, Martinez-Vazquez S, et al. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health. 2023;23(1):2005.","journal-title":"BMC Public Health"},{"issue":"4","key":"6452_CR6","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.jsams.2021.11.042","volume":"25","author":"NA Dulak","year":"2022","unstructured":"Dulak NA, Trzcinski R. The burden of pelvic floor dysfunction. J Sci Med Sport. 2022;25(4):293.","journal-title":"J Sci Med Sport"},{"issue":"4","key":"6452_CR7","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1007\/s00261-021-02957-5","volume":"46","author":"M Flusberg","year":"2021","unstructured":"Flusberg M, Xi Y, Jambhekar K, et al. Variability in utilization and techniques of pelvic floor imaging: findings of the SAR pelvic floor dysfunction disease-focused panel. Abdom Radiol. 2021;46(4):1294\u2013301.","journal-title":"Abdom Radiol"},{"issue":"6","key":"6452_CR8","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1097\/GCO.0000000000000584","volume":"31","author":"SL Wallace","year":"2019","unstructured":"Wallace SL, Miller LD, Mishra K. Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women. Curr Opin Obstet Gynecol. 2019;31(6):485\u201393.","journal-title":"Curr Opin Obstet Gynecol"},{"issue":"23","key":"6452_CR9","doi-asserted-by":"publisher","first-page":"e42612","DOI":"10.1097\/MD.0000000000042612","volume":"104","author":"M Zhang","year":"2025","unstructured":"Zhang M, Ju B, Wang X, et al. Global knowledge mapping and emerging research trends in non-coding RNAs related to animal and plant male sterility: A visual analysis of CiteSpace maps. Medicine (Baltimore). 2025Jun 6;104(23):e42612.","journal-title":"Medicine (Baltimore)"},{"issue":"3","key":"6452_CR10","doi-asserted-by":"publisher","first-page":"392","DOI":"10.5195\/jmla.2022.1434","volume":"110","author":"H Arruda","year":"2022","unstructured":"Arruda H, Silva ER, Lessa M, et al. VOSviewer and Bibliometrix. J Med Libr Assoc. 2022Jul 1;110(3):392\u20135.","journal-title":"J Med Libr Assoc"},{"issue":"3","key":"6452_CR11","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1007\/PL00004033","volume":"12","author":"AM Weber","year":"2001","unstructured":"Weber AM, Abrams P, Brubaker L, et al. The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):178\u201386.","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"1","key":"6452_CR12","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/S0002-9378(96)70243-0","volume":"175","author":"RC Bump","year":"1996","unstructured":"Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10\u20137.","journal-title":"Am J Obstet Gynecol"},{"issue":"2","key":"6452_CR13","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1002\/nau.10052","volume":"21","author":"P Abrams","year":"2002","unstructured":"Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167\u201378.","journal-title":"Neurourol Urodyn"},{"issue":"1","key":"6452_CR14","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","volume":"21","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, Ridder DD, Freeman RM, et al. An international urogynecological association (IUGA)\/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5\u201326.","journal-title":"Int Urogynecol J"},{"issue":"4","key":"6452_CR15","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/S0029-7844(97)00058-6","volume":"89","author":"AL Olsen","year":"1997","unstructured":"Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501\u20136.","journal-title":"Obstet Gynecol"},{"issue":"1","key":"6452_CR16","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1002\/nau.20798","volume":"29","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4\u201320.","journal-title":"Neurourol Urodyn"},{"issue":"4","key":"6452_CR17","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1002\/nau.20041","volume":"23","author":"K Avery","year":"2004","unstructured":"Avery K, Donovan J, Peters TJ, et al. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322\u201330.","journal-title":"Neurourol Urodyn"},{"issue":"11","key":"6452_CR18","doi-asserted-by":"publisher","first-page":"1311","DOI":"10.1001\/jama.300.11.1311","volume":"300","author":"I Nygaard","year":"2008","unstructured":"Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311\u20136.","journal-title":"JAMA"},{"key":"6452_CR19","doi-asserted-by":"crossref","unstructured":"Irwin DE, Milsom I, Hunskaar S et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50(6):1306\u201314; discussion 1314\u20135.","DOI":"10.1016\/j.eururo.2006.09.019"},{"issue":"1","key":"6452_CR20","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.ajog.2004.12.025","volume":"193","author":"MD Barber","year":"2005","unstructured":"Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103\u201313.","journal-title":"Am J Obstet Gynecol"},{"issue":"6","key":"6452_CR21","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1007\/s00345-002-0301-4","volume":"20","author":"WF Stewart","year":"2003","unstructured":"Stewart WF, Van Rooyen JB, Cundiff GW, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20(6):327\u201336.","journal-title":"World J Urol"},{"issue":"6","key":"6452_CR22","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1097\/AOG.0000000000000286","volume":"123","author":"JM Wu","year":"2014","unstructured":"Wu JM, Matthews CA, Conover MM, Pate V, Jonsson FM. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014;123(6):1201\u20136.","journal-title":"Obstet Gynecol"},{"key":"6452_CR23","doi-asserted-by":"crossref","unstructured":"Maher C, Feiner B, Baessler K, Schmid C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2013;(4):CD004014.","DOI":"10.1002\/14651858.CD004014.pub5"},{"key":"6452_CR24","doi-asserted-by":"crossref","unstructured":"Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2010; (1): CD005654.","DOI":"10.1002\/14651858.CD005654.pub2"},{"issue":"7","key":"6452_CR25","volume":"7","author":"AA Ford","year":"2017","unstructured":"Ford AA, Rogerson L, Cody JD, Aluko P, Ogah JA. Mid-urethral sling operations for stress urinary incontinence in women. Cochrane Database Syst Rev. 2017;7(7):CD006375.","journal-title":"Cochrane Database Syst Rev"},{"key":"6452_CR26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7647","volume":"350","author":"L Shamseer","year":"2015","unstructured":"Shamseer L, Moher D, Clarke M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;350:g7647.","journal-title":"BMJ"},{"issue":"5","key":"6452_CR27","doi-asserted-by":"publisher","first-page":"1572","DOI":"10.1016\/j.juro.2015.01.087","volume":"193","author":"EA Gormley","year":"2015","unstructured":"Gormley EA, Lightner DJ, Faraday M, Vasavada SP. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA\/SUFU guideline amendment. J Urol. 2015;193(5):1572\u201380.","journal-title":"J Urol"},{"issue":"2","key":"6452_CR28","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1002\/nau.23897","volume":"38","author":"C D'Ancona","year":"2019","unstructured":"D\u2019Ancona C, Haylen B, Oelke M, et al. The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourol Urodyn. 2019;38(2):433\u201377.","journal-title":"Neurourol Urodyn"},{"issue":"1","key":"6452_CR29","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1002\/nau.20870","volume":"29","author":"P Abrams","year":"2010","unstructured":"Abrams P, Andersson KE, Birder L, et al. Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence. Neurourol Urodyn. 2010;29(1):213\u201340.","journal-title":"Neurourol Urodyn"},{"issue":"3","key":"6452_CR30","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1097\/JU.0000000000000309","volume":"202","author":"DJ Lightner","year":"2019","unstructured":"Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA\/SUFU guideline amendment 2019. J Urol. 2019;202(3):558\u201363.","journal-title":"J Urol"},{"issue":"19","key":"6452_CR31","doi-asserted-by":"publisher","first-page":"1826","DOI":"10.1056\/NEJMoa1009521","volume":"364","author":"D Altman","year":"2011","unstructured":"Altman D, Vayrynen T, Engh ME, Axelsen S, Falconer C. Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse. N Engl J Med. 2011;364(19):1826\u201336.","journal-title":"N Engl J Med"},{"issue":"22","key":"6452_CR32","doi-asserted-by":"publisher","first-page":"2066","DOI":"10.1056\/NEJMoa0912658","volume":"362","author":"HE Richter","year":"2010","unstructured":"Richter HE, Albo ME, Zyczynski HM, et al. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med. 2010;362(22):2066\u201376.","journal-title":"N Engl J Med"},{"issue":"1","key":"6452_CR33","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1097\/AOG.0000000000000057","volume":"123","author":"JM Wu","year":"2014","unstructured":"Wu JM, Vaughan CP, Goode PS, et al. Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol. 2014;123(1):141\u20138.","journal-title":"Obstet Gynecol"},{"issue":"5","key":"6452_CR34","doi-asserted-by":"publisher","first-page":"358","DOI":"10.4274\/balkanmedj.2018.0869","volume":"35","author":"Y Akin","year":"2018","unstructured":"Akin Y, Young M, Elmussareh M, Charalampogiannis N, Gozen AS. The novel and minimally invasive treatment modalities for female pelvic floor muscle dysfunction; beyond the traditional. Balkan Med J. 2018;35(5):358\u201366.","journal-title":"Balkan Med J"},{"key":"6452_CR35","doi-asserted-by":"publisher","first-page":"149277","DOI":"10.1016\/j.gene.2025.149277","volume":"943","author":"Y Lin","year":"2025","unstructured":"Lin Y, Lin Y, Zhou X, Ren A, Li X. Progress in the genetics and epigenetics of pelvic floor disorder. Gene. 2025;943:149277.","journal-title":"Gene"},{"issue":"7","key":"6452_CR36","first-page":"1456","volume":"72","author":"H Riaz","year":"2022","unstructured":"Riaz H, Nadeem H, Rathore FA. Recent advances in the pelvic floor assessment and rehabilitation of women with pelvic floor dysfunction. J Pak Med Assoc. 2022;72(7):1456\u20139.","journal-title":"J Pak Med Assoc"},{"issue":"8","key":"6452_CR37","doi-asserted-by":"publisher","first-page":"1577","DOI":"10.1007\/s00192-019-04070-0","volume":"31","author":"B Bodner-Adler","year":"2020","unstructured":"Bodner-Adler B, Alarab M, Ruiz-Zapata AM, Latthe P. Effectiveness of hormones in postmenopausal pelvic floor dysfunction-International Urogynecological Association research and development-committee opinion. Int Urogynecol J. 2020;31(8):1577\u201382.","journal-title":"Int Urogynecol J"},{"key":"6452_CR38","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1435135","volume":"11","author":"H Wu","year":"2024","unstructured":"Wu H, Yang L, Yuan J, et al. Potential therapeutic targets for pelvic organ prolapse: insights from key genes related to blood vessel development. Front Med (Lausanne). 2024;11:1435135.","journal-title":"Front Med (Lausanne)"},{"key":"6452_CR39","doi-asserted-by":"crossref","unstructured":"Kong M#, Wang Z#, Hao Y et al. Role of the integrin-beta1\/TGF-beta1 signaling pathway in the pathogenesis of pelvic organ prolapse: A study on vaginal wall tissue alterations and molecular dysfunction. Mol Med Rep. 2025;31(4).","DOI":"10.3892\/mmr.2025.13469"},{"issue":"3","key":"6452_CR40","doi-asserted-by":"publisher","first-page":"e092789","DOI":"10.1136\/bmjopen-2024-092789","volume":"15","author":"Z Tian","year":"2025","unstructured":"Tian Z, Wang X, Fu L, et al. The effect of home-based behavioural weight loss combined with pelvic floor muscle training in women seeking weight loss combined with stress urinary incontinence: protocol for a randomised controlled trial. BMJ Open. 2025;15(3):e092789.","journal-title":"BMJ Open"},{"issue":"1","key":"6452_CR41","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s13287-025-04220-w","volume":"16","author":"C Fang","year":"2025","unstructured":"Fang C, Zeng Z, Ye J, et al. Progress of mesenchymal stem cells affecting extracellular matrix metabolism in the treatment of female stress urinary incontinence. Stem Cell Res Ther. 2025;16(1):95.","journal-title":"Stem Cell Res Ther"},{"key":"6452_CR42","doi-asserted-by":"publisher","first-page":"968482","DOI":"10.3389\/fbioe.2022.968482","volume":"10","author":"M Lin","year":"2022","unstructured":"Lin M, Lu Y, Chen J. Tissue-engineered repair material for pelvic floor dysfunction. Front Bioeng Biotechnol. 2022;10:968482.","journal-title":"Front Bioeng Biotechnol"},{"issue":"3","key":"6452_CR43","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1007\/s13577-023-00887-6","volume":"36","author":"L Xu","year":"2023","unstructured":"Xu L, Sima Y, Xiao C, Chen Y. Exosomes derived from mesenchymal stromal cells: a promising treatment for pelvic floor dysfunction. Hum Cell. 2023;36(3):937\u201349.","journal-title":"Hum Cell"},{"issue":"1","key":"6452_CR44","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1186\/s12905-025-03720-4","volume":"25","author":"AP Min","year":"2025","unstructured":"Min AP, Zeng D, Zhang RJ, et al. A cross-sectional investigation on the function of the female pelvic floor in the Sichuan Province, China. BMC Womens Health. 2025;25(1):203.","journal-title":"BMC Womens Health"},{"key":"6452_CR45","doi-asserted-by":"publisher","first-page":"e68242","DOI":"10.2196\/68242","volume":"13","author":"AP Pereira","year":"2025","unstructured":"Pereira AP, Janela D, Areias AC, et al. Innovating care for postmenopausal women using a digital approach for pelvic floor dysfunctions: prospective longitudinal cohort study. JMIR Mhealth Uhealth. 2025;13:e68242.","journal-title":"JMIR Mhealth Uhealth"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06452-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06452-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06452-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:43:19Z","timestamp":1780321399000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06452-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":45,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["6452"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06452-z","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,26]]},"assertion":[{"value":"15 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study utilized publicly available datasets. Ethics review and approval were approved by the Institutional Ethics Committee of the Air Force Medical Center.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Statement"}},{"value":"The authors declare no conflicts of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}