Mohd Awang Idris, Pay-Yee Shee, Sharifah Noor Nazim Syed-Yahya
{"title":"Psychosocial work environment in Asian countries.","authors":"Mohd Awang Idris, Pay-Yee Shee, Sharifah Noor Nazim Syed-Yahya","doi":"10.2486/indhealth.61_400","DOIUrl":"https://doi.org/10.2486/indhealth.61_400","url":null,"abstract":"Almost a decade ago, in July 2013, Miwa Sado, a reporter for one broadcasting station in Japan, died of a heart attack1). Reports revealed that she had worked more than 159 h that month and had taken only two days off. Similarly, this year in Jakarta, a tragic incident involving a young courier rider sparked widespread discussion on social media. The rider collapsed at the front gate of a customer and tragically lost his life instantly. The state of working conditions in Asia is concerning, and there are many examples to illustrate this. Reports from international organizations, such as the World Health Organization (WHO) and the International Labour Organization (ILO), indicate that almost two million employees die every year from work-related illnesses. Shockingly, 65% of these cases occur in Asia. Although the negative effects of poor working conditions are well-known, there are still limited improvements being made. Even in major cities like Shanghai, Hong Kong, and Tokyo, employees may appear to be living prosperous and urban lifestyles, but the reality is different. For instance, WHO and ILO’s joint report shows that many Asians work more than 40 h per week2, 3). Unfortunately, despite their hard work, many of these employees face issues such as being underpaid, unrecognized, and having limited job control. Such situations expose them to psychosocial risks that can adversely affect their psychological well-being and overall health. While certain affluent Asian countries have different labour force characteristics, a significant portion of the workforce is engaged in the informal sector in several other countries, including Bangladesh, Indonesia, Malaysia, Thailand, and the Philippines. Regrettably, casual workers are often deprived of the benefits provided by national labour laws and social protection measures. Most are left to fend for themselves and their families without employment protection. Due to the lack of regulations to safeguard employee rights, these workers suffer from substandard working conditions and low wages and are exposed to poor physical work environments. ILO estimated that approximately two billion workers were engaged in the informal sector globally in 2019, with nearly 1.3 billion residing in Asia-Pacific3). This precarious situation places them at a heightened risk of experiencing physical and psychological injuries. However, despite the increasing recognition of the impact of psychosocial factors on employee well-being and safety in the workplace, the concept of psychosocial risk factors is still relatively new, and much still needs to be explored in this area. The focus on workplace safety has predominantly centered on physical hazards and accidents4–6), with limited attention given to the psychosocial aspects of work. While job stress has been extensively discussed in the literature7, 8), the specific concept of psychosocial safety climate (PSC)9, 10) emerged only a decade ago. Although there have been intensive","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 4","pages":"237-239"},"PeriodicalIF":2.0,"publicationDate":"2023-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/71/indhealth-61-237.PMC10398160.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10157652","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}
{"title":"Comparison of respiratory protection during exercise tasks between different methods of wearing replaceable particulate respirators and powered air-purifying respirators.","authors":"Hiroka Baba, Hajime Ando, Kazunori Ikegami, Shingo Sekoguchi, Taiki Shirasaka, Akira Ogami","doi":"10.2486/indhealth.2021-0268","DOIUrl":"https://doi.org/10.2486/indhealth.2021-0268","url":null,"abstract":"<p><p>This study evaluated the differences in respiratory protection between replaceable particulate respirators (RPRs) and powered air-purifying respirators (PAPRs) based on different wearing methods during exercise tasks. Ten participants wore RPRs and PAPRs alternately in ways comparable to those adopted by workers in actual workplaces. We measured the fit factor of the respiratory protective equipment (RPE) during exercise tasks for each wearing variation. The exercise load was set to 80W using an ergometer. The exercise tasks comprised five actions described in the Japan Industrial Standard T8150 in 2018. We compared the results with experimental data obtained at rest in our previous studies. The fit factor of RPRs during exercise was significantly lower than (p<0.001) and about half that measured at rest, indicating inadequate respiratory protection. On the other hand, the fit factor of PAPRs during exercise tasks was also significantly lower than (p<0.001) and about half that at rest, but respiratory protection was maintained. This suggests that the protection provided by PAPRs is independent of wearing method during exercise. PAPRs may thus be better than RPRs for workers who have to wear RPE inappropriately due to health problems.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 4","pages":"275-282"},"PeriodicalIF":2.0,"publicationDate":"2023-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/a0/indhealth-61-275.PMC10398166.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9936761","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}
{"title":"The association between burnout and multiple roles at work and in the family among female Japanese nurses: a cross-sectional study.","authors":"Ryohei Kida, Keiko Fujinami, Yoshie Yumoto, Taisuke Togari, Yasuko Ogata","doi":"10.2486/indhealth.2021-0280","DOIUrl":"https://doi.org/10.2486/indhealth.2021-0280","url":null,"abstract":"<p><p>Female nurses experience work-family conflict due to performing multiple roles, leading to burnout. Thus, this study aimed to verify the association between burnout and the multiple work and family roles performed among Japanese female nurses. The data for 2,255 nurses at 23 Japanese hospitals obtained from the Work Environment for Nurses Study in Japan were used. The variables included burnout, demographic information, additional work roles, and child-rearing or caregiving. Half of the nurses were categorized under the \"no-role\" group (NRG), approximately a quarter under the \"work-role\" group (WRG), 16% under the \"family-role\" group (FRG), and 7.3% under the \"multiple-role\" group (MRG). Compared to the NRG, the FRG and MRG showed statistically lower emotional exhaustion (B=-0.79, p<0.05; B=-0.94, p<0.05, respectively) and depersonalization (B=-0.80, p<0.05; B=-1.09, p<0.05, respectively). Personal accomplishment was not statistically different among the four groups. Burnout was relatively low among nurses with family roles, suggesting that family roles may have a positive spillover effect on work-related emotions.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"195-202"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/1c/indhealth-61-195.PMC10269827.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9632919","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}
{"title":"Development and validation of tools to screen occupational mental health and workplace factors influencing it: for the Indian workforce.","authors":"Rakesh Balachandar, Asha Ketharam, Srikala Bharath","doi":"10.2486/indhealth.2022-0019","DOIUrl":"10.2486/indhealth.2022-0019","url":null,"abstract":"<p><p>An imbalance in the key organizational psychology constructs viz. \"Workload\", \"Reward\", \"Community\", \"Control\", \"Values\" and \"Fairness\" are potential factors leading to negative occupational mental health, i.e. burnout. Burnout, a psychological syndrome is the combination of emotional exhaustion, sense of reduced compassion and accomplishment. To note, the concept of occupational mental health in a nation with second largest workforce is nascent. Further, the utility of existing western tools in Indian subcontinent is limited by culturally inappropriateness, patented, less comprehensible and other factors. Present study attempted to develop tools to screen occupational mental health and workplace areas. Conventional steps involved in psychological tool development, viz. construct identification, drafting of pertinent questions, content validation, field testing of questions and others were adopted. After series of steps, tools for screening occupational mental health and key constructs influencing mental health at workplace (workplace assessment) were developed. The screening tools exhibited adequate test-retest reliability, internal consistency/reliability (cronbach's α>0.73) and correlation (correlation coefficient >0.6) with the general mental health in larger evaluation of 153 consenting workers. The proposed simple and easy to administer tool requires development of normative scores thereby aiding early diagnosis and management of those requiring intervention.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"184-194"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/61/indhealth-61-184.PMC10277194.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10038168","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}
Industrial HealthPub Date : 2023-06-03DOI: 10.2486/indhealth.2022-0045
Boyuan Tian, Yuji Kubota, Masaru Murata
{"title":"Research on the relationship between the centerline velocity, aspect ratio and exhaust airflow rate for a slot and a rectangular capture hood in an local exhaust ventilation system.","authors":"Boyuan Tian, Yuji Kubota, Masaru Murata","doi":"10.2486/indhealth.2022-0045","DOIUrl":"https://doi.org/10.2486/indhealth.2022-0045","url":null,"abstract":"<p><p>When using a local exhaust hood to remove harmful substances from the production process, the exhaust airflow rate must be calculated according to the capturing velocity specified by the relevant regulations. The Numano and American Conference of Governmental Industrial Hygienists (ACGIH) equations are used in Japan and the US, respectively, for estimating the exhaust airflow rate of slot hoods. However, these equations differ from each other, and when using these equations to calculate the exhaust airflow rate of the capture hood, whether using Japan's equation or ACGIH, the hood type (slot or rectangular hood) should be distinguished at first. Therefore, this study performs experiments and a computational fluid dynamics (CFD) simulation to investigate the relationship between the centerline velocity and the aspect ratio for five types of capture hoods. The results showed good agreement between simulated and experimental centerline velocities when the distance from the hood face. A dimensionless velocity was introduced and a significant difference in the relationship between the centerline velocity and the distance from the hood face with different aspect ratios was found. A unified equation was obtained that can express the relationship between exhaust airflow rate and centerline velocity regardless of the aspect ratio of the hood face of the free-standing capture hood.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"222-231"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/95/indhealth-61-222.PMC10269831.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997576","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}
{"title":"Remote work and well-being in the post-COVID-19 era.","authors":"Tomohiro Takami","doi":"10.2486/indhealth.61_300","DOIUrl":"https://doi.org/10.2486/indhealth.61_300","url":null,"abstract":"The COVID-19 pandemic has considerably affected people’s lives worldwide. For example, although Japan’s unemployment rate did not remarkably rise during the pandemic, the number of employed individuals not at work temporarily increased, peaking in April 2020. The expansion of remote work was a characteristic phenomenon of the pandemic. The implementation rate of remote work increased remarkably in April 2020, when the national government declared its first state of emergency in response to the pandemic’s first wave; however, remote work was often not continued after that declaration was lifted1–3). Furthermore, not everyone switched to remote work during the pandemic, and there were disparities in remote work rates depending on the industry, occupation, company size, and region of residence2, 3). Therefore, methods to evaluate such work style changes regarding people’s well-being became essential. Under the spread of infection, reducing commuting via remote work could be positively evaluated for people’s health as contributing to a reduced risk of infection. Furthermore, well-being can be assessed in terms of health and diverse aspects, such as daily time use, quality of work, and subjective well-being4). From this perspective, we offer a few thoughts on the following. First, we examine how remote work could be evaluated regarding its impact on people’s time use and worklife balance. Concerning the time allocation in daily life, changes in housework/childcare, and leisure hours during the pandemic were confirmed in several studies5–7). Some studies noted the increased burden of housework/childcare for women5); however, other studies indicated increased involvement in housework and childcare among men who work remotely6, 7). Time constraints are one of the primary reasons why Japanese men are less likely to share housework and childcare responsibilities; therefore, this change can be positively evaluated for work-life balance. The heavy workload inherent in remote work should be avoided to balance work and life. As suggested before the pandemic, the temporal boundaries between work and nonwork can quickly become blurred in remote work, leading to overworking where work interferes with the sphere of daily life8). Evidence shows that remote work during the pandemic increased life satisfaction, but not when working longer hours7). Next, we investigate how remote work might be evaluated in terms of quality of work. During the pandemic, the application of remote work resulted in reduced productivity due to inadequate remote work set-ups and communication difficulties9). Furthermore, the reduction in face-to-face communication with supervisors and colleagues through remote work generally leads to isolation and loneliness among employees. It has been speculated that the psychological impacts of remote work, such as satisfaction and anxiety, are not uniform and may vary depending on workers’ personality characteristics. An empirical study showed that chan","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"171-172"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/2b/indhealth-61-171.PMC10269847.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015339","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}
Industrial HealthPub Date : 2023-06-03DOI: 10.2486/indhealth.2021-0186
Yoichi Minakawa, Shogo Miyazaki, Kenta Sawazaki, Kaori Iimura, Hideaki Waki, Naruto Yoshida
{"title":"Managing office worker presenteeism by providing financial aid for acupuncture therapy: a pragmatic multicenter randomized comparative study.","authors":"Yoichi Minakawa, Shogo Miyazaki, Kenta Sawazaki, Kaori Iimura, Hideaki Waki, Naruto Yoshida","doi":"10.2486/indhealth.2021-0186","DOIUrl":"https://doi.org/10.2486/indhealth.2021-0186","url":null,"abstract":"<p><p>To evaluate whether financial aid for acupuncture therapy is beneficial for non-manufacturing job workers (office workers) who are aware of reduced job performance due to health issues (presenteeism), a four-wk pragmatic multicenter randomized controlled trial was conducted with office workers who were aware of their presenteeism. The control group only implemented the workplace-recommended presenteeism measures, whereas the intervention group received financial aid for acupuncture therapy of up to 8,000 JPY (Japanese yen) in addition to implementing the presenteeism measures recommended by each workplace. The major outcome measure was the World Health Organization Health and Work Performance Questionnaire relative presenteeism score. A total of 203 patients were assigned to the intervention (n=103) and control (n=108) groups. The intervention group underwent a median of 1.0 (interquartile range [IQR], 1.0 to 2.0) sessions of acupuncture for neck disorders (64%), back disorders (16%), and depressed mood/anxiety/irritation (5%), among others. Results showed that the intervention group had slightly better job performance than the control group (effect size [r]=0.15, p=0.03). Financial aid for acupuncture therapy may help compensate for losses incurred by enterprises in the form of 14,117 JPY per worker a month.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"203-212"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/33/d8/indhealth-61-203.PMC10277193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10020627","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}
Industrial HealthPub Date : 2023-06-03DOI: 10.2486/indhealth.2022-0053
Daniel Mauss, Marc N Jarczok, Bernd Genser, Raphael Herr
{"title":"Association of open-plan offices and sick leave-a systematic review and meta-analysis.","authors":"Daniel Mauss, Marc N Jarczok, Bernd Genser, Raphael Herr","doi":"10.2486/indhealth.2022-0053","DOIUrl":"https://doi.org/10.2486/indhealth.2022-0053","url":null,"abstract":"<p><p>We aimed to systematically review and meta-analyze the association of employees working in various kinds of open-plan offices with sick leave data, compared to those working in traditional cell offices. Databases of PubMed, PubPsych, and Psyndex were systematically searched following the PRISMA statement. Pooled summary estimates of odds ratio (OR) were calculated comparing sick leave of employees in cell offices with those working in small open-plan offices (4-9 people), and those in various open-plan office solutions (≥4 people). We used Forest plots visualizing study-specific estimates and the pooled fixed and random effects estimators. Five studies were identified (2008-2020) with a total of 13,277 (range 469-6,328) participants. Compared with employees working in cell offices, those working in small open-plan offices were associated with higher odds of sick leave days (OR=1.27; 95% CI 0.99-1.54; p=0.046) as well as those working in various kinds of open-plan offices with ≥4 colleagues (OR=1.24; 95% CI 0.96-1.51; p=0.004). Our results are consistent with those of earlier reviews focusing on other effects of open-plan office solutions such as health and well-being. Different solutions for office design and architectural lay-out should be the focus of future studies to balance pros and cons of open-plan offices.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"173-183"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/ce/indhealth-61-173.PMC10269830.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997578","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}
{"title":"Effects of different bed heights on the physical burden of physiotherapists during manual therapy: an experimental study.","authors":"Shuji Tsuji, Hiroji Tsujimura, Shin-Ichi Shirahoshi, Kazushi Taoda, Teruyo Kitahara","doi":"10.2486/indhealth.2022-0038","DOIUrl":"https://doi.org/10.2486/indhealth.2022-0038","url":null,"abstract":"<p><p>This study aimed to determine the effect of physiotherapists' physical burden caused by different bed heights during manual therapy. Thirty-three male physiotherapists performed tasks simulating lumbar massage and passive hip abduction range-of-motion exercise (ROM) on the beds with low height (LH) and adjusted height (AH), with each task performed three times. The anterior inclination angle of the physiotherapist's trunk was measured, the surface electromyograms of the erector spinae and trapezius muscles were recorded, and perceived stress was assessed. The indexes obtained were statistically compared for different bed heights. Additionally, the lumbar disc compression force and flexion torque were estimated. The lumbar burden caused by the excessive bending and the biomechanical burden and perceived stress were stronger at LH than AH. In ROM tasks using the right hand, the muscle activity was lower at the left lumbar region at LH than at AH. At LH, the anterior inclination angle increased and the lumbar muscle activity declined as the number of tasks increased. The burden on the shoulders was not significantly different by bed heights. Our results showed that, when physiotherapists perform manual therapy, it is necessary to adjust the bed height to reduce physical burden and ensure higher quality of service.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"213-221"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/42/indhealth-61-213.PMC10269856.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997579","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}
{"title":"Commitment profiles among nurses: combinations of organizational commitment forms and work engagement, psychological distress, and turnover intention.","authors":"Toshiki Fukuzaki, Shinya Takeda, Noboru Iwata, Sawako Ooba, Masahiko Inoue","doi":"10.2486/indhealth.2021-0237","DOIUrl":"https://doi.org/10.2486/indhealth.2021-0237","url":null,"abstract":"<p><p>To clarify the combined effect of the sub-factors of organizational commitment, this study examined the relationships between organizational commitment profiles and work engagement, psychological distress, and turnover intention among nurses. A cross-sectional survey was conducted; 455 nurses (38 men and 417 women) were included in the statistical analysis. We extracted six clusters through k-means cluster analysis and applied a one-way analysis of variance and χ<sup>2</sup> test for work engagement, psychological distress, and turnover intention. Consequently, significant differences were found in work engagement and turnover intention (both p<0.05), and no significant difference was found in psychological distress. These results indicate the formation of affective and normative commitment among nurses in working energetically or preventing turnover. Additionally, no negative effects related to increases in continuance commitment were identified in this study.</p>","PeriodicalId":13531,"journal":{"name":"Industrial Health","volume":"61 3","pages":"232-236"},"PeriodicalIF":2.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/ed/indhealth-61-232.PMC10269838.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9641967","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}