International journal of occupational medicine and environmental health最新文献

{"title":"Environmental exposure to selected non-persistent endocrine disrupting chemicals and polycystic ovary syndrome: a systematic review.","authors":"Magdalena Ozga, Joanna Jurewicz","doi":"10.13075/ijomeh.1896.02551","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02551","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is an endocrine disorder manifesting with symptoms such as irregular menstrual cycles, hyperandrogenism, and/or polycystic ovaries. The exact cause of PCOS remains unknown, but it is believed to result from a combination of genetic predisposition, insulin resistance, low-grade inflammation, and excessive androgen production. Various environmental factors, especially endocrine-disrupting chemicals (EDCs), in addition to genetic and hormonal ones, also may influence PCOS. This is one of the first systematic reviews dealing with the exposure to non-persistent endocrine disrupting chemicals and PCOS. The review summarizes the existing knowledge about the association of EDCs with PCOS based on significant findings on the toxicity of various non-persistent environmental EDCs and polycyclic ovarian syndrome risk. A systematic search of the literature was conducted in order to identify proper studies using PubMed, Scopus, Elsevier, and Springer databases. The results of the studies suggest that there is a positive association between bisphenol A (BPA), phthalates, octocrylene, and PCOS. The data concerning triclosan and PCOS were inconclusive. Additionally, no link between the exposures to parabens and PCOS was observed. These results of the presented studies highlight the urgent need for continued research on EDCs and their role in PCOS. Int J Occup Med Environ Health. 2025;38(2).</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of obesity on functioning in society - OQI-3, a new tool pilot study results.","authors":"Monika Szkultecka-Dębek, Marta Bem, Aleksandra Gradowska, Mariola Drozd","doi":"10.13075/ijomeh.1896.02547","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02547","url":null,"abstract":"<p><strong>Objectives: </strong>The objective was to develop a tool enabling better understanding of obesity impact on social functioning with focus on daily functioning and work related activities.</p><p><strong>Material and methods: </strong><i>Obesity Impact on Functioning in Society Questionnaire</i> (OQI-3) was developed for use among adult population with obesity disease. It focuses on daily functioning, work related activities and emotions related to work environment social relations. The 3-part questionnaire combining qualitative and quantitative methods is gender specific and it was validated among 41 adult patients with obesity in Poland. The first part is a vignette examining patients' projected attitudes and emotions. The second is an open question related to daily activities mostly affected by obesity. The third part uses a Likert scale to assess the degree of difficulty in performing daily activities consisting of 11 actions taken in everyday life. Respondents select 1 of the answers on the scale to indicate the obesity influence on the mentioned activities.</p><p><strong>Results: </strong>The qualitative parts provided information on attitudes and emotions, where mostly negative attitudes and emotions were mentioned. The most frequently mentioned were physical activity, walking up the stairs, housework and activities related to patients' image. The quantitative part identified 2 factors (1 - relations in the further social environment, 2 - functioning in a close environment). The Likert scale was recoded for each statement as follows: 1 - 3; 2 - 1; 3 - 2; 4 - 4; 5 - 5 and Cronbach's α value was calculated confirming scale reliability. It equals 0.874 for the total of items.</p><p><strong>Conclusions: </strong>The OQI-3 is innovative and combines various research techniques to verify people suffering from obesity well-being and disease impact on social functioning. The pilot study has proven its internal consistence. However the modified tool based on the pilot results should be tested and validated on a larger study group. Guidelines for results interpretation should be developed with the final instrument version. Int J Occup Med Environ Health. 2025;38(2).</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head computed tomography examination as a factor of radiation exposure in children treated for hydrocephalus.","authors":"Michał Biegała, Krystian Skoczylas, Katarzyna Matera, Piotr Grzelak, Maria Anna Staniszewska","doi":"10.13075/ijomeh.1896.02572","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02572","url":null,"abstract":"<p><strong>Objectives: </strong>Computed tomography (CT) in children with hydrocephalus is a procedure often performed from the first days of the child's life. It is important in diagnosing and monitoring treatment progress.</p><p><strong>Material and methods: </strong>Based on a retrospective analysis of CT scans, the level of exposure to ionizing radiation in children with hydrocephalus subjected to this study was calculated. The probability of induction and death from leukemia or other cancers as a result of CT scans was also calculated.</p><p><strong>Results: </strong>The highest exposure is observed in children <1 year of age: M±SD 4.2±0.9 mSv/year. In the following years, this exposure decreases, reaching the level of 0.7±0.1 mSv/year at the age ≥11 years. This is correlated with the probability of induction of leukemia and other cancers, which is highest in the first year of life. In subsequent years, the probability decreases. The probability of dying from these cancers remains at a similar level all the time. By the age of 17 years, a patient with hydrocephalus diagnosed in infancy may receive a total effective dose of almost 21 mSv.</p><p><strong>Conclusions: </strong>After analyzing exposure over the years, a significant reduction in the num- ber of CT examinations performed and a reduction in the radiation dose received by children was found through the introduction of pediatric CT examination protocols. Int J Occup Med Environ Health. 2025;38(2).</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial working conditions and mental well-being of remote and stationary employees: a longitudinal study.","authors":"Dorota Żołnierczyk-Zreda, Łukasz Kapica, Andrzej Najmiec, Joanna Kamińska, Joanna Mazur-Różycka, Joanna Bugajska","doi":"10.13075/ijomeh.1896.02526","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02526","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the article is to compare people working remotely and people working at the employer's premises in terms of psychosocial working conditions and mental well-being.</p><p><strong>Material and methods: </strong>A longitudinal study conducted on a group of 494 people working remotely (N = 206) and those working stationary (N = 288) in 2021-2022 using the <i>Copenhagen Working Conditions Questionnaire</i>.</p><p><strong>Results: </strong>The results of analysis of variance in the mixed design showed that some psychosocial conditions of their work (e.g., emotional work demands, demands for hiding emotions, control at work, role conflict and trust in co-workers) were assessed better by remote workers than by people working stationary. Remote workers also had better mental well-being over time than those working at the employer's premises, especially in relation to psychological strain, depression and burnout.</p><p><strong>Conclusions: </strong>The results of this study therefore suggest that remote work may be a desirable form of work from the point of view of improving psychosocial working conditions and the mental well-being of employees, and thus increase the quality of life of working people. Int J Occup Med Environ Health. 2025;38(2)  .</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue of palliative care nursing staff and selected sociodemographic, occupational and cognitive predictors: a cross-sectional study.","authors":"Karol Czernecki, Grzegorz Nowicki, Michał Graczyk, Barbara Ślusarska","doi":"10.13075/ijomeh.1896.02520","DOIUrl":"10.13075/ijomeh.1896.02520","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study is to assess total fatigue levels among nursing staff who provide palliative care services, as well as to identify significant sociodemographic, occupational and cognitive predictors of self-perceived fatigue.</p><p><strong>Material and methods: </strong>This cross-sectional study was carried out on a study group of 424 nurses that provide health care services in the palliative care units in Poland. The following scales were employed in the study: <i>Fatigue Assessment Scale</i>, <i>Utrecht Work Engagement Scale</i>, the <i>Multidimensional Scale of Perceived Social Support</i>, <i>Perceived Stress at Work</i> and <i>Professional Quality of Life Scale</i>.</p><p><strong>Results: </strong>The average total fatigue level in the study group was 20.78 (SD = 5.41). There was a positive relationship between gender, age, place of residence, marital status, education, perception of social support, occupational stress, and professional quality of life and perceived fatigue. In turn, there was a negative relationship between years of service and perception of social support in the \"others\" category and perceived fatigue.</p><p><strong>Conclusions: </strong>The study's results show a significant relationship between perceived fatigue and sociodemographic, occupational and cognitive variables. Int J Occup Med Environ Health. 2025;38(1):41-56.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"41-56"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255649","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":"Metals (Cr, Mn, Co, Ni) concentration in the blood plasma and urine od Polish welders and telomere length as an potential indicator of toxicity of metals welding fumes exposure.","authors":"Wojciech Wąsowicz, Beata Janasik, Edyta Reszka, Edyta Kasperczyk, Jędrzej Chrzanowski, Wojciech Fendler","doi":"10.13075/ijomeh.1896.02493","DOIUrl":"10.13075/ijomeh.1896.02493","url":null,"abstract":"<p><strong>Objectives: </strong>The study investigated the concentrations of metals (chromium [Cr], manganese [Mn], cobalt [Co], nickel [Ni]) in the blood plasma and urine of Polish welders exposed to these elements contained in welding dust/fumes based on the results of biological monitoring, analyze the interrelationships between these elements, and attempt to correlate these data with telomere length. It is believed that telomere length can be considered a marker of exposure, including occupational. Analysis of questionnaire surveys was also taken into consideration.</p><p><strong>Material and methods: </strong>The study included 118 male welders and 51 age-matched male controls. Metals analysis in plasma and urine were determined by ICP-MS technique. Telomere length was measured in blood genomic DNA using the qRT-PCR method.</p><p><strong>Results: </strong>Welders had significantly higher plasma levels of Cr, Ni, and Mn (p < 0.0001, respectively). Total concentrations of Cr, Ni, and Mn in the urine of pre-shift subjects were significantly higher compared to controls. Cobalt concentration in urine of exposed welders was significantly higher (p < 0.02) than in control group. Telomere length was exactly the same in the welder group compared to the control (mean ± standard deviation 0.99±0.41 vs. 0.99±0.52, respectively). Plasma and urine metal concentrations and telomere length were also studied in groups of welders in relation to personal protection equipment. Differences were found in plasma and urine metal concentrations according to the aspirators used. Statistically significant linear correlations were found between plasma and urine concentrations of the determined elements both before and after the work shift.</p><p><strong>Conclusions: </strong>The findings suggest a positive relationship between Ni and Mn (end-shift) concentrations and telomere length, the effect which remained statistically significant even after adjusting for age and metabolic status. This indicates a complex interplay between metal exposure and biological aging markers. However, the relationship between exposure to welding fumes and changes in telomere length in welders requires further in-depth research. Int J Occup Med Environ Health. 2025;38(1):70-90.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"70-90"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501301","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":"Should limit values be set for infrasound caused by wind turbines?","authors":"Małgorzata Pawlaczyk-Łuszczyńska, Tadeusz Wszołek, Adam Dudarewicz, Paweł Małecki","doi":"10.13075/ijomeh.1896.02422","DOIUrl":"10.13075/ijomeh.1896.02422","url":null,"abstract":"<p><p>The study focuses on setting outdoor exposure limits for wind turbine infrasound, as most countries currently have no specific limits for this type of noise. A review of the literature on the effects of wind turbine infrasound and the methods used worldwide to measure and assess environmental exposure to infrasound formed the basis for setting limits. According to the literature, human tolerance to infrasound is defined by the hearing threshold, which is not yet standardized. Therefore, a G96 curve (corresponding to tones with the G-weighted sound pressure level (SPL) equal to 96 dB) was used to determine the mean hearing threshold in the 1-20 Hz frequency range. Infrasound that cannot be heard (or felt) is not annoying and does not cause other adverse health effects. The infrasound levels measured around wind farms are well below the hearing threshold. Few countries have set limits for infrasound in either outdoor or indoor environments. The study proposes the G-weighted equivalent SPL as the basis for assessing exposure to infrasound from wind turbines. It also specifies preliminary short-term indices (i.e., G-weighted equivalent SPLs for daytime [L_{Geq, D}] and nighttime [L_{Geq, N}]) and long-term indices (i.e., averaged G-weighted day-evening-night infrasound level [L_DEN(G)] and G-weighted night infrasound level [L_N(G)]). In order to avoid annoyance and other possible harmful effects, regardless of land use, 90 dB was provisionally adopted as an acceptable value for L_{Geq, D} and L_DEN(G), and 85 dB for L_{Geq, N} and L_N(G). The study highlights the importance of considering specific exposure limits for wind turbine infrasound to ensure the well-being and comfort of people living near wind turbines. IInt J Occup Med Environ Health. 2025;38(1):3-17.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"3-17"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432984","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":"Mediating effect of occupational stress between skeletal muscle disorders and depressive symptoms in firefighters: a Structural Equation Modeling approach.","authors":"Fengqiong Chen, Liang Wang, Jin Wang, Meiling Liu, Shiwei Cao, Yunxuan Huang, Huaxin Deng, Mengliang Ye","doi":"10.13075/ijomeh.1896.02457","DOIUrl":"10.13075/ijomeh.1896.02457","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to explore the relationship between skeletal muscle disorders (SMD), occupational stress (OS) and depressive symptoms (DS) among firefighters.</p><p><strong>Material and methods: </strong>A cross-sectional survey was conducted among firefighters in Chongqing, China. Descriptive statistic and correlation analyses were performed by using SPSS 26.0. AMOS 24.0 was used to construct the structural equation modeling between SMD and DS. The mediating effect of OS was also evaluated.</p><p><strong>Results: </strong>The results demonstrate that SMD can predict DS (β = 0.25, p < 0.001) and OS (β = 0.39, p < 0.001) positively, OS positively predicted DS (β = 0.39, p < 0.001) after controlling for SMD. Additionally, OS has a partial indirect effect between DS and SMD (indirect effects = 0.209, 95% CI: 0.093-0.372, p < 0.001).</p><p><strong>Conclusions: </strong>Occupational stress has a partial indirect effect between SMD and DS among firefighters. Skeletal muscle disorders could affect DS not only directly, but also indirectly, by affecting OS. These findings may be of great significance and contribution to the future research of firefighters' occupational health. Int J Occup Med Environ Health. 2025;38(1):18-29.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"18-29"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572293","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 role of The National Register of Biological Agents in health protection of employees exposed to biological agents used intentionally at work in Poland.","authors":"Anna Kozajda, Emilia Miśkiewicz","doi":"10.13075/ijomeh.1896.02522","DOIUrl":"10.13075/ijomeh.1896.02522","url":null,"abstract":"<p><strong>Objectives: </strong>This communication is aimed at outlining the role of the National Register of Biological Agents (NRoBA) in the system of working conditions supervision in Poland.</p><p><strong>Material and methods: </strong>The paper was prepared based on a review of Polish legislation related to employee health protection, as well as scientific literature and recommendations of expert organizations regarding the intentional use of biological agents.</p><p><strong>Results: </strong>Polish law obliges employers to protect the health and safety of employees occupationally exposed to harmful agents. The State Sanitary Inspection and the State Labor Inspection supervise the employer's fulfillment of these obligations. Occupational exposure to biological agents may result from their intentional use (e.g., in the biotechnology industry or a scientific laboratory) or be related to their unintentional presence (e.g., in healthcare, sewage treatment plants, municipal waste management plants). Making a distinction between these 2 types of exposure is important for employers in relation to their legal obligations. In the case of using harmful biological agents for scientific, industrial or diagnostic purposes, the employer is obliged to notify the State Sanitary Inspection. Such notifications from employers are gathered in the NRoBA. Its aim is to support hygiene supervision over the intentional use of biological agents and to increase the employer's attention to the protection of the health of employees exposed to these agents. The International Labor Organization (ILO) in 2023 published <i>Technical Guidelines on Biological Hazards in the Working Environment</i>, in which it recommended increasing the capacity for epidemiological surveillance by creating networks or dedicated websites to collect and analyze adverse events in employees of research and development laboratories. The NRoBA complies with these guidelines but in order to use it in epidemiological studies, it should be re-digitalized to extend the range of collected data.</p><p><strong>Conclusions: </strong>The NRoBA in its present form has been used in Poland for almost 2 decades. Now it is time for re-digitalization to ensure its full compliance with the ILO recommendations and to use it in epidemiological studies. Int J Occup Med Environ Health. 2025;38(1):91-97.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"91-97"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079789","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":"Self-awareness of soldiers regarding risk factors for cardiovascular diseases.","authors":"Magdalena Zawadzka, Aleksandra Lis, Justyna Marszalkowska-Jakubik, Pawel Szymanski","doi":"10.13075/ijomeh.1896.02513","DOIUrl":"10.13075/ijomeh.1896.02513","url":null,"abstract":"<p><strong>Objectives: </strong>Cardiovascular diseases (CVDs) remain the leading cause of death in Europe. There are more and more young people and middle-aged patients with obesity, unrecognized hypertension and metabolic abnormalities. Professional soldiers should not have CVDs. Most cardiovascular risk factors can be controlled and identified.</p><p><strong>Material and methods: </strong>The research was conducted as the online survey. During the study, the level of knowledge regarding to cardiovascular risk factors depending on several variables, was assessed. Moreover, the assess respondents' awareness of exposure and the level of knowledge about risk factors for CVDs and preventive measures in this area.</p><p><strong>Results: </strong>Almost one-fourth of respondents (23.4%, N = 311) indicated the knowledge of most or all cardiovascular factors such as: high level of cholesterol, tobacco smoking, advanced aged, abdominal obesity, alcohol abuse and others. The respondents demonstrated a sufficient level of factors influencing the increase of cholesterol levels in the blood.</p><p><strong>Conclusions: </strong>The results obtained during the study show that educational programs are necessary to raise awareness of cardiovascular risk factors and reduce incidence rate in the next step. Conducting training on harmful agents can result in raising general health awareness among Polish Soldiers. Int J Occup Med Environ Health. 2025;38(1):30-40.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"30-40"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432945","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}