International Archives of Occupational and Environmental Health最新文献

{"title":"Association between psychosocial safety climate and multiple dimensions of work stress in Korea.","authors":"Seong-Sik Cho, Hanul Park, Mo-Yeol Kang","doi":"10.1007/s00420-026-02225-3","DOIUrl":"10.1007/s00420-026-02225-3","url":null,"abstract":"<p><strong>Objective: </strong>Psychosocial Safety Climate (PSC) is an upstream organizational factor shaping the psychosocial work environment. We hypothesized that unfavorable PSC would be associated with a higher likelihood of experiencing adverse perceived occupational stressors across multiple dimensions among Korean workers using nationally representative data.</p><p><strong>Methods: </strong>We analyzed cross-sectional data from the fifth wave of the Korean Work, Sleep, and Health Study (KWSHS), including 5,285 employed adults. PSC was measured using the validated PSC-4 scale and categorized into low-, intermediate-, and high-risk groups. Perceived work stress was assessed across eight dimensions using the Korean Occupational Stress Scale (KOSS^®19). Logistic regression analyses were conducted to evaluate the associations between PSC levels and high stress in each domain, adjusting for demographic and occupational covariates.</p><p><strong>Results: </strong>Worse PSC was significantly associated with higher odds of perceived stress across nearly all dimensions. In particular, high-risk PSC was associated with markedly increased odds of organizational injustice (OR = 9.40; 95% CI: 7.90-11.20) and inappropriate rewards (OR = 6.66; 95% CI: 5.64-7.87), even after adjustment. The domains not significantly associated with PSC were exposure to hazardous physical environments and high job demand.</p><p><strong>Conclusions: </strong>Unfavorable PSC was strongly associated with elevated work stress perception across multiple psychosocial dimensions among Korean workers. These findings support the relevance of PSC theory in the Korean context and suggest that PSC may represent an important organizational factor in work stress prevention.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148602327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Body mass index links night work intensity with higher low-grade systemic inflammation: results from a field study in humans.","authors":"Kirsten Nabe-Nielsen, Kyriaki Papantoniou, Anne Emily Saunte Fiehn Arup, Mette Sallerup, Helena Breth Nielsen, Vivi Schlünssen, Anne Helene Garde","doi":"10.1007/s00420-026-02218-2","DOIUrl":"10.1007/s00420-026-02218-2","url":null,"abstract":"<p><strong>Objective: </strong>To examine effects of night work on low-grade systemic inflammation, measured as high-sensitivity C-reactive protein (hsCRP concentration), in hospital-employed women.</p><p><strong>Methods: </strong>We analyzed baseline data from 929 women in the 1001 nights-cohort. Seven self-reported metrics captured night work history (never, past, current), night work duration (years) and recency (time since last night shift), current schedule (e.g., permanent night or 2- or 3-shift work), and intensity (number of weekly and consecutive night shifts, and night shifts in the past six days). We measured hsCRP concentration in blood. Associations between night work and log-transformed hsCRP concentration were estimated using generalized linear models: Model 1 adjusted for age and education; Model 2 additionally for body mass index (BMI), blood pressure, and health behaviors; Model 3 further for sleep duration and quality.</p><p><strong>Results: </strong>Permanent night workers had a 49% higher hsCRP concentration than permanent day workers (estimate = 1.49; 95% CI: 1.07-2.10). In night shift workers, working ≥ 3 night shifts per week or ≥ 3 consecutive night shifts were associated with 36-53% higher hsCRP concentration compared with one weekly night shift or only single-night shifts. These associations were attenuated and became non-significant after adjustment for cardiometabolic risk factors. Additional analyses revealed that BMI largely attenuated the associations between night work intensity and hsCRP concentration. No associations were observed for other night work metrics.</p><p><strong>Conclusion: </strong>Permanent night work and higher night work intensity were associated with higher hsCRP concentration, with differences largely explained by BMI. Reducing night work intensity and targeting modifiable factors related to BMI may help reduce low-grade systemic inflammation among night workers.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Additive effects of heat and volatile organic compounds co-exposure on metabolic syndrome: evidence from petrochemical workers in China.","authors":"Minhua Li, Rui Xu, Yilin Zhang, Shanshan Du, Rong Xu, Qing Zu, Zihu Lv, Wei Zheng, Weimin Ye, Jianjun Xiang","doi":"10.1007/s00420-026-02227-1","DOIUrl":"10.1007/s00420-026-02227-1","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the independent and joint associations of heat and volatile organic compounds (VOCs) exposure with metabolic syndrome (MetS) among petrochemical workers.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 1140 petrochemical workers in the Quangang Petrochemical Industrial Park, China. Occupational heat and VOCs exposures were assessed following national occupational standards, and MetS was defined according to the 2020 Chinese Type 2 Diabetes Prevention and Treatment Guidelines. Multivariable logistic regression and interaction analysis using the relative excess risk due to interaction (RERI) were performed to evaluate additive associations. Machine learning models were further applied to explore the relative contributions of exposures.</p><p><strong>Results: </strong>The prevalence of MetS among workers was 27.8%. After adjustment for demographic, behavioral, and occupational factors, heat exposure (OR = 1.53, 95% CI: 1.12-1.94) and VOCs exposure (OR = 1.38, 95% CI: 1.08-1.79) were both associated with higher MetS risk. Workers exposed to both heat and VOCs showed a stronger association with MetS (OR = 2.08, 95% CI: 1.32-2.96), with evidence of a positive additive interaction (RERI = 0.405, Pinteraction = 0.012). Exploratory machine-learning analyses further suggested that combined heat and VOC exposure contributed more to MetS than either exposure alone.</p><p><strong>Conclusions: </strong>Combined exposure to heat and VOCs showed evidence of a positive additive interaction in relation to MetS among petrochemical workers. These findings underscore the need for integrated occupational health strategies in heat-sensitive industries under a warming climate.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Night shift work as a potential risk factor for hypertensive disorders of pregnancy: the Japan environment and children's study.","authors":"Satoshi Shinohara, Reiji Kojima, Sanae Otawa, Megumi Kushima, Kunio Miyake, Hideki Yui, Tadao Ooka, Hiroshi Yokomichi, Zentaro Yamagata, Ryoji Shinohara","doi":"10.1007/s00420-026-02219-1","DOIUrl":"10.1007/s00420-026-02219-1","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to clarify the relationship between the night shift work and hypertensive disorders of pregnancy (HDP). Moreover, we examined whether night shift work is associated with early-onset or late-onset HDP.</p><p><strong>Methods: </strong>This nationwide prospective cohort study analyzed the data of 104,043 fetuses and their mother records from the Japan Environment and Children's Study. After excluding participants with multiple gestations, preconception hypertension, and insufficient data, 90,660 mother-child dyads were included for analysis. Night shift work was assessed using a second/third trimester questionnaire and defined as working one or more shifts per month during hours other than typical daytime work. Multiple logistic regression analysis was conducted to estimate the association between night shift work and HDP.</p><p><strong>Results: </strong>The overall incidence rate of HDP, early-onset HDP, and late-onset HDP were 2.5% (2,282/90,660), 0.5% (487/90,660), and 2.0% (1,795/90,660), respectively. After adjusting for potential confounding factors, the risk of HDP was significantly higher in the night shift work group (adjusted OR [aOR], 1.20; 95% CI 1.01-1.44; p = 0.04). However, no significant association was found between night shift work and the incidence of early-onset HDP (aOR, 1.09; 95% CI 0.72-1.66; p = 0.68). In contrast, after adjusting for potential confounding factors, the risk of late-onset HDP was significantly higher in the night shift work group (aOR, 1.23; 95% CI 1.01-1.49; p = 0.04).</p><p><strong>Conclusion: </strong>Night-shift work during pregnancy may be associated with an increased risk of HDP, particularly late-onset HDP.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The human cost of the blue economy: a call for ımproved workplace safety based on occupational injuries and fatalities in the Turkish seafood ındustry, 2013-2023.","authors":"Ozan Soykan","doi":"10.1007/s00420-026-02226-2","DOIUrl":"10.1007/s00420-026-02226-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to provide a quantitative assessment of key occupational health and safety indicators-incident rate (IR), temporary incapacity rate (TIR), and fatality rate (FR)-in the Turkish seafood industry and to compare three main subsectors: fisheries, aquaculture, processing, for the period 2013-2023.</p><p><strong>Methods: </strong>Data sources were yearbooks of Work Accidents and Occupational Diseases Statistics and Insured and Workplace Statistics published by the Social Security Institution of the Turkish Republic, along with employment data for the processing sector from the OECD database. Spearman's rank correlation analysis was applied to examine relationships among production, employment, occupational injuries, and temporary incapacity days. Differences between fisheries and aquaculture in production per worker were tested using the Mann-Whitney U test, while the Kruskal-Wallis H test was used to identify statistically significant differences (p = 0.05) among subsectors.</p><p><strong>Results: </strong>A total of 18,250 occupational injuries, 35 fatalities, and 95,921 temporary incapacity days were reported in the Turkish seafood industry. Most injuries occurred in the processing sector, whereas nearly half of all fatalities were recorded in aquaculture. Incident rates ranged from 87.9 (fisheries, 2017) to 33,924.2 (processing, 2021). Despite employing fewer workers, aquaculture and processing accounted for a higher number of injuries and fatalities than fisheries.</p><p><strong>Conclusion: </strong>The findings indicate that the processing sector represents the highest risk in terms of temporary incapacity and fatality rates. Improving reporting practices and establishing a structured data collection framework are essential for enhancing occupational safety and preventing future injuries in the Turkish seafood industry. In addition, strengthening regulatory frameworks, increasing workplace inspections, and ensuring effective enforcement of safety standards are critical to reducing injury and fatality rates across all subsectors.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of short-, mid-, and long-term particulate matter exposure with elevated LDL-C levels in Korean adults: analysis of KNHANES 2016-2022.","authors":"Hyunil Kim, Woncheol Lee, Kyoung Sook Jeong","doi":"10.1007/s00420-026-02220-8","DOIUrl":"10.1007/s00420-026-02220-8","url":null,"abstract":"<p><p>Purpose Evidence linking particulate matter (PM) to low-density lipoprotein cholesterol (LDL-C) remains inconsistent. We examined associations of short- (1-7 days), mid- (1-6 months), and long-term (1-5 years) PM₁₀ and PM_2.5 exposures with elevated LDL-C (≥ 160 mg/dL or medication use) in Korean adults.Methods In this cross-sectional analysis of 14,867 Korean adults from the 2016-2022 the Korea National Health and Nutrition Examination Survey (KNHANES), a nationally representative survey. We used complex samples logistic regression, to estimate odds ratios (ORs) per interquartile range increase in PM, adjusting for sociodemographic, behavioral, occupational, and clinical covariates. Results Both PM₁₀ and PM_2.5 were positively associated with elevated LDL-C across most windows. In fully adjusted models, PM₁₀ ORs ranged from 1.143 to 1.236. For PM_2.5, ORs ranged from 1.097 to 1.181. Associations remained robust after adjusting for lifestyle, adiposity, and chronic conditions. Conclusion Short-, mid-, and long-term PM exposures were consistently associated with elevated LDL-C levels. These findings suggest PM is associated with alterations in lipid metabolism through acute and chronic pathways, highlighting air pollution as an environmental factor associated with dyslipidemia and cardiometabolic risk.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First evidence on ergonomic exposures and musculoskeletal pain among the Faroese workforce.","authors":"Rúni Bláfoss, Lars Louis Andersen, Simone Vestergaard Christiansen, Thomas Clausen, Pál Weihe, Annika Helgadóttir Davidsen","doi":"10.1007/s00420-026-02221-7","DOIUrl":"10.1007/s00420-026-02221-7","url":null,"abstract":"<p><strong>Objectives: </strong>The Faroe Islands has historically been a fishing society, with workers being exposed to high physical work demands. However, the work environment has never been systematically studied. This study investigates associations of ergonomic exposures at work with low-back pain (LBP) and neck/shoulder pain (NSP) intensity.</p><p><strong>Methods: </strong>This cross-sectional questionnaire survey included 5198 workers (∼24% of the country's workforce), with > 3800 participants in the main analyses (∼18% of the country's workforce). General linear models tested associations of specific ergonomic exposures and a combined ergonomic index with LBP and NSP intensity, respectively, while adjusting for relevant confounders.</p><p><strong>Results: </strong>Mean LBP and NSP intensity were 2.6 (± 2.8) and 3.0 (± 2.7) points, respectively, on a 0-10 numeric rating scale. All ergonomic exposures showed strong exposure-response associations with LBP and NSP intensity, with the exception of 'standing/walking', which showed no significant association with NSP intensity. The strongest associations for both women and men were observed for 'pushing/pulling' and 'carrying/lifting' with LBP intensity, and 'back bent/twisted' and 'pushing/pulling' with NSP intensity. The ergonomic index (scale 0-100) showed clear exposure-response associations; women and men in the highest ergonomic demand category (> 40) reported 2.41 and 1.42 points higher LBP intensity, respectively, while all workers showed 1.51 points higher NSP intensity.</p><p><strong>Conclusions: </strong>This first evidence of the ergonomic working environment in the Faroe Islands demonstrates a general working population with relatively intense pain and clear exposure-response associations between level of ergonomic demands and higher musculoskeletal pain intensity - for both women and men. Mapping these associations among the general working population in the Faroe Islands provides essential knowledge for future occupational health initiatives.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the interaction between noise exposure and AGT gene polymorphisms in steelworkers on essential hypertension.","authors":"Miao Liu, Ying Wang, Peishuai Li, Juxiang Yuan, Junwang Tong, Shoufang Jiang, Zhaoyang Wang, Yao Zheng, Feng Chai, Xiangwen Li","doi":"10.1007/s00420-026-02222-6","DOIUrl":"10.1007/s00420-026-02222-6","url":null,"abstract":"<p><strong>Purpose: </strong>Although steelworkers are exposed to occupational noise, few studies have investigated the interaction between noise and genetic polymorphisms in relation to essential hypertension (EH). This study aimed to investigate the interaction between noise exposure and angiotensinogen(AGT) gene polymorphisms (A-20 C and T174M) on EH risk among steelworkers.</p><p><strong>Methods: </strong>The study included 725 male steelworkers, with 224 assigned to the EH group and 501 to the control group. The exposure to environmental factors such as high temperature and workplace noise levels were measured. Binary multifactorial logistic regression combined with crossover analysis and generalized multifactor dimensionality reduction (GMDR) were employed to examine the interaction effects between AGT gene polymorphisms and noise exposure on the incidence of EH among steelworkers.</p><p><strong>Results: </strong>Compared with nonexposed controls, individuals who experienced noise exposure exhibited a 1.636-fold increased risk of developing EH (95% CI: 1.127-2.375). Genetic analysis revealed that compared with those with the TT genotype, steelworkers with the TM genotype at the T174M locus of the AGT gene exhibited a 1.802-fold increased risk of EH (95% CI: 1.208-2.689). Gene-noise interaction analysis using a multiplicative model revealed that compared with individuals with the TT genotype without noise exposure, individuals with the TM genotype at the T174M locus who experienced noise exposure exhibited a 2.02-fold increased risk of EH (OR = 2.020; 95% CI: 1.064-3.835). Analysis of the GMDR gene‒gene‒noise interaction model revealed that the T174M‒A-20C-noise three-factor model is the best.</p><p><strong>Conclusion: </strong>Noise and AGT gene polymorphisms (especially T174M) interact to increase EH risk among steelworkers, with the three-factor model showing the strongest association.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate change and occupational heat stress: implications of the 2025 WHO-WMO report for Southern European countries.","authors":"Eugenio Cunego, Antonio Devito","doi":"10.1007/s00420-026-02223-5","DOIUrl":"10.1007/s00420-026-02223-5","url":null,"abstract":"","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational particle exposure and diabetes: a cohort study in Swedish construction workers.","authors":"Karl Kilbo Edlund, Erik Sand, Martin Andersson, Sandra Johannesson, Björn Eliasson, Leo Stockfelt","doi":"10.1007/s00420-026-02224-4","DOIUrl":"10.1007/s00420-026-02224-4","url":null,"abstract":"<p><strong>Purpose: </strong>Diabetes is a growing global health concern. Environmental exposure to airborne particles has recently been identified as a risk factor for type 2 diabetes. Despite hundred- or thousandfold concentrations in many occupational settings, epidemiological studies in workers are very scarce. This study aims to quantify the association between occupational inorganic particle exposure and incident type 2 diabetes among Swedish construction workers.</p><p><strong>Methods: </strong>This was a retrospective cohort analysis in the Swedish Construction Workers' Cohort (Bygghälsokohorten), with data from occupational health examinations between 1971 and 1993. Exposure assessment was based on a cohort-specific job-exposure matrix. Data from the National Patient Register, the National Diabetes Register, and the National Prescribed Drug Register were combined to identify incident type 2 diabetes cases. Longitudinal, multivariable Cox proportional hazards regression models were fit to estimate adjusted hazard ratios (aHR).</p><p><strong>Results: </strong>We included 275,941 male workers with a mean follow-up time of 31 years. Slightly more than half were exposed to inorganic dusts or fumes. In crude analyses, workers exposed to inorganic dust and fumes were at an increased risk of type 2 diabetes. After confounder adjustment, only workers exposed to high levels of cement, concrete, and quartz dust were associated with an increased risk of type 2 diabetes (strongest for high levels of cement dust, aHR 1.12, 95% CI 1.02‒1.24).</p><p><strong>Conclusions: </strong>In this large cohort of construction workers with long follow-up, workers with high exposure to cement, concrete, and quartz dust were at a moderately increased risk of type 2 diabetes.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":"99 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}