{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T21:31:17Z","timestamp":1786570277443,"version":"build-2736575974"},"reference-count":55,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Computers in Biology and Medicine"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.compbiomed.2026.111841","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T09:56:34Z","timestamp":1782899794000},"page":"111841","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Machine learning-based detection of missed inspiratory efforts using esophageal pressure during noisy pressure support ventilation"],"prefix":"10.1016","volume":"213","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9718-7454","authenticated-orcid":false,"given":"Michela","family":"Rauseo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3929-462X","authenticated-orcid":false,"given":"Crescenzio","family":"Gallo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1202-8567","authenticated-orcid":false,"given":"Pasquale","family":"Tondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2667-077X","authenticated-orcid":false,"given":"Giulia","family":"Scioscia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonella","family":"Cotoia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Mirabella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donato","family":"Lacedonia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilda","family":"Cinnella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.compbiomed.2026.111841_bib1","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1164\/rccm.201703-0548ST","article-title":"An official American thoracic society\/european society of intensive care medicine\/society of critical care medicine clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome","volume":"195","author":"Fan","year":"2017","journal-title":"Am. J. Respir. Crit. Care Med."},{"issue":"Supplement 4","key":"10.1016\/j.compbiomed.2026.111841_bib2","doi-asserted-by":"crossref","first-page":"S261","DOI":"10.1513\/AnnalsATS.201704-345OT","article-title":"Mechanical ventilation in adults with acute respiratory distress syndrome. Summary of the experimental evidence for the clinical practice guideline","volume":"14","author":"Del Sorbo","year":"2017","journal-title":"Ann. Am. Thorac. Soc."},{"issue":"4","key":"10.1016\/j.compbiomed.2026.111841_bib3","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1111\/j.1440-1843.2011.01962.x","article-title":"Efficacy and comfort of volume\u2010guaranteed pressure support in patients with chronic ventilatory failure of neuromuscular origin","volume":"16","author":"Crescimanno","year":"2011","journal-title":"Respirology"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib4","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1183\/09031936.97.10010177","article-title":"Patient-ventilator interaction and inspiratory effort during pressure support ventilation in patients with different pathologies","volume":"10","author":"Nava","year":"1997","journal-title":"Eur. Respir. J."},{"issue":"12","key":"10.1016\/j.compbiomed.2026.111841_bib5","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1007\/s00134-020-06206-z","article-title":"Proportional modes of ventilation: technology to assist physiology","volume":"46","author":"Jonkman","year":"2020","journal-title":"Intensive Care Med."},{"issue":"5","key":"10.1016\/j.compbiomed.2026.111841_bib6","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1183\/09031936.00010206","article-title":"Weaning from mechanical ventilation","volume":"29","author":"Boles","year":"2007","journal-title":"Eur. Respir. J."},{"issue":"3","key":"10.1016\/j.compbiomed.2026.111841_bib7","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/S0749-0704(18)30363-4","article-title":"Weaning from mechanical ventilation","volume":"6","author":"Tobin","year":"1990","journal-title":"Crit. Care Clin."},{"issue":"12","key":"10.1016\/j.compbiomed.2026.111841_bib8","doi-asserted-by":"crossref","first-page":"2314","DOI":"10.1007\/s00134-020-06288-9","article-title":"Clinical strategies for implementing lung and diaphragm-protective ventilation: avoiding insufficient and excessive effort","volume":"46","author":"Goligher","year":"2020","journal-title":"Intensive Care Med."},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib9","doi-asserted-by":"crossref","first-page":"e169","DOI":"10.1016\/j.bja.2021.10.037","article-title":"Effect of patient\u2013ventilator asynchrony on lung and diaphragmatic injury in experimental acute respiratory distress syndrome in a porcine model","volume":"130","author":"Wittenstein","year":"2023","journal-title":"Br. J. Anaesth."},{"issue":"Suppl 1","key":"10.1016\/j.compbiomed.2026.111841_bib10","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/s40635-019-0234-5","article-title":"Patient-ventilator asynchronies during mechanical ventilation: current knowledge and research priorities","volume":"7","author":"De Haro","year":"2019","journal-title":"Intensive care medicine experimental"},{"issue":"2","key":"10.1016\/j.compbiomed.2026.111841_bib11","doi-asserted-by":"crossref","DOI":"10.1186\/cc12580","article-title":"Patient-ventilator asynchronies: may the respiratory mechanics play a role?","volume":"17","author":"Carlucci","year":"2013","journal-title":"Crit. Care"},{"key":"10.1016\/j.compbiomed.2026.111841_bib12","article-title":"Flow and airway pressure analysis for detecting ineffective effort during mechanical ventilation in neuromuscular patients","volume":"16","author":"Ciorba","year":"2018","journal-title":"Chron. Respir. Dis."},{"issue":"6","key":"10.1016\/j.compbiomed.2026.111841_bib13","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4037\/ccn2009612","article-title":"Patient-ventilator dyssynchrony: clinical significance and implications for practice","volume":"29","author":"Mellott","year":"2009","journal-title":"Crit. Care Nurse"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib15","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4187\/respcare.01009","article-title":"How often does patient-ventilator asynchrony occur and what are the consequences?","volume":"56","author":"Epstein","year":"2011","journal-title":"Respir. Care"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib16","doi-asserted-by":"crossref","first-page":"214","DOI":"10.3390\/jcm14010214","article-title":"Optimizing mechanical ventilation: a clinical and practical bedside method for the identification and management of patient\u2013ventilator asynchronies in critical care","volume":"14","author":"Costa","year":"2025","journal-title":"J. Clin. Med."},{"key":"10.1016\/j.compbiomed.2026.111841_bib14","article-title":"Ineffective respiratory efforts and their potential consequences during mechanical ventilation","author":"Del Bono","year":"2025","journal-title":"Med. Intensiva"},{"issue":"12","key":"10.1016\/j.compbiomed.2026.111841_bib18","doi-asserted-by":"crossref","first-page":"2090","DOI":"10.1097\/CCM.0000000000005113","article-title":"Discordance between respiratory drive and sedation depth in critically ill patients receiving mechanical ventilation","volume":"49","author":"Dzierba","year":"2021","journal-title":"Crit. Care Med."},{"issue":"10","key":"10.1016\/j.compbiomed.2026.111841_bib19","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.4187\/respcare.10075","article-title":"Respiratory drive, dyspnea, and silent hypoxemia: a physiological review in the context of COVID-19","volume":"67","author":"H Kallet","year":"2022","journal-title":"Respir. Care"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib17","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1186\/s13054-025-05526-0","article-title":"Assessing inspiratory drive and effort in critically ill patients at the bedside","volume":"29","author":"Tonelli","year":"2025","journal-title":"Crit. Care"},{"key":"10.1016\/j.compbiomed.2026.111841_bib20","series-title":"Annual Update in Intensive Care and Emergency Medicine 2020","first-page":"21","article-title":"Monitoring patient respiratory effort during mechanical ventilation: lung and diaphragm-protective ventilation","author":"Bertoni","year":"2020"},{"key":"10.1016\/j.compbiomed.2026.111841_bib21","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2022.1119924","article-title":"Monitoring the patient\u2013ventilator asynchrony during non-invasive ventilation","volume":"9","author":"Longhini","year":"2023","journal-title":"Front. Med."},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib22","doi-asserted-by":"crossref","first-page":"e148","DOI":"10.1016\/j.bja.2020.02.026","article-title":"Oesophageal pressure and respiratory muscle ultrasonographic measurements indicate inspiratory effort during pressure support ventilation","volume":"125","author":"Umbrello","year":"2020","journal-title":"Br. J. Anaesth."},{"key":"10.1016\/j.compbiomed.2026.111841_bib23","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.hrtlng.2025.05.003","article-title":"Artificial intelligence in the management of patient-ventilator asynchronies: a scoping review","volume":"73","author":"Mu\u00f1oz","year":"2025","journal-title":"Heart Lung"},{"issue":"2","key":"10.1016\/j.compbiomed.2026.111841_bib24","doi-asserted-by":"crossref","DOI":"10.20935\/AcadMed7743","article-title":"Machine learning algorithms to detect patient\u2013ventilator asynchrony: a feasibility study","volume":"2","author":"Gutierrez","year":"2025","journal-title":"Academia Medicine"},{"key":"10.1016\/j.compbiomed.2026.111841_bib25","series-title":"Machine Learning Algorithms to Detect Patient-Ventilator Asynchrony. A Feasibility Study","author":"Williams","year":"2024"},{"issue":"6","key":"10.1016\/j.compbiomed.2026.111841_bib26","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1007\/s10877-019-00442-5","article-title":"Validation of an automated system for detecting ineffective triggering asynchronies during mechanical ventilation: a retrospective study","volume":"34","author":"Phan","year":"2020","journal-title":"J. Clin. Monit. Comput."},{"key":"10.1016\/j.compbiomed.2026.111841_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.cmpb.2022.107333","article-title":"Automated detection and classification of patient\u2013ventilator asynchrony by means of machine learning and simulated data","volume":"230","author":"Bakkes","year":"2023","journal-title":"Comput. Methods Progr. Biomed."},{"key":"10.1016\/j.compbiomed.2026.111841_bib28","article-title":"A hybrid rule-based and deep learning framework for ventilator waveform segmentation and delineation","author":"Deb","year":"2026","journal-title":"medRxiv, 2026-01"},{"issue":"12","key":"10.1016\/j.compbiomed.2026.111841_bib29","doi-asserted-by":"crossref","first-page":"4149","DOI":"10.3390\/s21124149","article-title":"Identifying patient\u2013ventilator asynchrony on a small dataset using image-based transfer learning","volume":"21","author":"Pan","year":"2021","journal-title":"Sensors"},{"key":"10.1016\/j.compbiomed.2026.111841_bib30","article-title":"The development, optimization, and validation of four different machine learning algorithms to identify ventilator dyssynchrony","author":"Sottile","year":"2023","journal-title":"medRxiv, 2023-11"},{"issue":"5","key":"10.1016\/j.compbiomed.2026.111841_bib31","doi-asserted-by":"crossref","DOI":"10.1186\/cc13091","article-title":"Short-term effects of noisy pressure support ventilation in patients with acute hypoxemic respiratory failure","volume":"17","author":"Spieth","year":"2013","journal-title":"Crit. Care"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib32","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1164\/ajrccm.162.1.9903120","article-title":"Biologically variable or naturally noisy mechanical ventilation recruits atelectatic lung","volume":"162","author":"Mutch","year":"2000","journal-title":"Am. J. Respir. Crit. Care Med."},{"issue":"3","key":"10.1016\/j.compbiomed.2026.111841_bib33","doi-asserted-by":"crossref","DOI":"10.1183\/23120541.00544-2022","article-title":"Decreased breathing variability is associated with poorer outcome in mechanically ventilated patients","volume":"9","author":"Rolland-Debord","year":"2023","journal-title":"ERJ Open Research"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib34","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s13613-016-0112-1","article-title":"The occlusion tests and end-expiratory esophageal pressure: measurements and comparison in controlled and assisted ventilation","volume":"6","author":"Chiumello","year":"2016","journal-title":"Ann. Intensive Care"},{"issue":"4","key":"10.1016\/j.compbiomed.2026.111841_bib35","doi-asserted-by":"crossref","first-page":"588","DOI":"10.3390\/a5040588","article-title":"An efficient algorithm for automatic peak detection in noisy periodic and quasi-periodic signals","volume":"5","author":"Scholkmann","year":"2012","journal-title":"Algorithms"},{"issue":"10","key":"10.1016\/j.compbiomed.2026.111841_bib36","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1007\/s00134-006-0301-8","article-title":"Patient-ventilator asynchrony during assisted mechanical ventilation","volume":"32","author":"Thille","year":"2006","journal-title":"Intensive Care Med."},{"issue":"2","key":"10.1016\/j.compbiomed.2026.111841_bib37","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1007\/s00134-016-4593-z","article-title":"Clusters of ineffective efforts during mechanical ventilation: impact on outcome","volume":"43","author":"Vaporidi","year":"2017","journal-title":"Intensive Care Med."},{"issue":"4","key":"10.1016\/j.compbiomed.2026.111841_bib38","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s00134-015-3692-6","article-title":"Asynchronies during mechanical ventilation are associated with mortality","volume":"41","author":"Blanch","year":"2015","journal-title":"Intensive Care Med."},{"issue":"5","key":"10.1016\/j.compbiomed.2026.111841_bib39","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1164\/rccm.201312-2193CI","article-title":"The application of esophageal pressure measurement in patients with respiratory failure","volume":"189","author":"Akoumianaki","year":"2014","journal-title":"Am. J. Respir. Crit. Care Med."},{"issue":"6","key":"10.1016\/j.compbiomed.2026.111841_bib40","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1007\/s00134-024-07401-y","article-title":"Monitoring esophageal pressure","volume":"50","author":"Piquilloud","year":"2024","journal-title":"Intensive Care Med."},{"issue":"11","key":"10.1016\/j.compbiomed.2026.111841_bib41","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1164\/rccm.200503-356OC","article-title":"Weaning prediction: esophageal pressure monitoring complements readiness testing","volume":"171","author":"Jubran","year":"2005","journal-title":"Am. J. Respir. Crit. Care Med."},{"issue":"6","key":"10.1016\/j.compbiomed.2026.111841_bib42","doi-asserted-by":"crossref","first-page":"772","DOI":"10.4187\/respcare.07425","article-title":"Esophageal manometry","volume":"65","author":"Pham","year":"2020","journal-title":"Respir. Care"},{"key":"10.1016\/j.compbiomed.2026.111841_bib43","series-title":"2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC)","first-page":"150","article-title":"A machine learning method for automatic detection and classification of patient-ventilator asynchrony","author":"Bakkes","year":"2020"},{"issue":"3","key":"10.1016\/j.compbiomed.2026.111841_bib44","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.ccc.2018.03.008","article-title":"Asynchrony consequences and management","volume":"34","author":"Pham","year":"2018","journal-title":"Crit. Care Clin."},{"key":"10.1016\/j.compbiomed.2026.111841_bib45","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jcrc.2020.01.023","article-title":"Predictors of asynchronies during assisted ventilation and its impact on clinical outcomes: the EPISYNC cohort study","volume":"57","author":"de Ara\u00fajo Sousa","year":"2020","journal-title":"J. Crit. Care"},{"issue":"10","key":"10.1016\/j.compbiomed.2026.111841_bib46","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.1177\/19433654251376992","article-title":"Asynchrony: clinical relevance, detection, and resolution","volume":"70","author":"Hodzic-Santor","year":"2025","journal-title":"Respir. Care"},{"issue":"11","key":"10.1016\/j.compbiomed.2026.111841_bib47","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.4187\/respcare.07284","article-title":"Patient-ventilator asynchronies: clinical implications and practical solutions","volume":"65","author":"Mirabella","year":"2020","journal-title":"Respir. Care"},{"issue":"8","key":"10.1016\/j.compbiomed.2026.111841_bib48","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.4187\/respcare.03794","article-title":"Variability in mechanical ventilation: what's all the noise about?","volume":"60","author":"Naik","year":"2015","journal-title":"Respir. Care"},{"key":"10.1016\/j.compbiomed.2026.111841_bib49","doi-asserted-by":"crossref","first-page":"905","DOI":"10.3389\/fphys.2018.00905","article-title":"Periodic fluctuation of tidal volumes further improves variable ventilation in experimental acute respiratory distress syndrome","volume":"9","author":"G\u00fcldner","year":"2018","journal-title":"Front. Physiol."},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib50","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.bpa.2008.08.001","article-title":"Advanced closed loops during mechanical ventilation (PAV, NAVA, ASV, SmartCare)","volume":"23","author":"Lellouche","year":"2009","journal-title":"Best Pract. Res. Clin. Anaesthesiol."},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib51","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1186\/s13054-020-2810-1","article-title":"The dawn of physiological closed-loop ventilation\u2014a review","volume":"24","author":"Platen","year":"2020","journal-title":"Crit. Care"},{"key":"10.1016\/j.compbiomed.2026.111841_bib52","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcrc.2021.11.010","article-title":"Comparison of advanced closed-loop ventilation modes with pressure support ventilation for weaning from mechanical ventilation in adults: a systematic review and meta-analysis","volume":"68","author":"Kampolis","year":"2022","journal-title":"J. Crit. Care"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib53","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s40560-021-00565-5","article-title":"Patient\u2013ventilator asynchrony, impact on clinical outcomes and effectiveness of interventions: a systematic review and meta-analysis","volume":"9","author":"Kyo","year":"2021","journal-title":"J. Intensiv. Care"},{"issue":"27","key":"10.1016\/j.compbiomed.2026.111841_bib54","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.ifacol.2018.11.610","article-title":"A machine learning model for real-time asynchronous breathing monitoring","volume":"51","author":"Loo","year":"2018","journal-title":"IFAC-PapersOnLine"},{"issue":"1","key":"10.1016\/j.compbiomed.2026.111841_bib55","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1177\/1460458218824725","article-title":"Application of machine learning to predict obstructive sleep apnea syndrome severity","volume":"26","author":"Mencar","year":"2020","journal-title":"Health Inf. J."}],"container-title":["Computers in Biology and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0010482526004051?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0010482526004051?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T21:07:06Z","timestamp":1786568826000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0010482526004051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":55,"alternative-id":["S0010482526004051"],"URL":"https:\/\/doi.org\/10.1016\/j.compbiomed.2026.111841","relation":{},"ISSN":["0010-4825"],"issn-type":[{"value":"0010-4825","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Machine learning-based detection of missed inspiratory efforts using esophageal pressure during noisy pressure support ventilation","name":"articletitle","label":"Article Title"},{"value":"Computers in Biology and Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.compbiomed.2026.111841","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"111841"}}