International journal of occupational medicine and environmental health最新文献

{"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}

{"title":"Inflection points in hearing deterioration: clinical characteristics of NIHL from steady-state noise exposure.","authors":"Boya Fan, Han Wang, Gang Wang, Gang Liu, Xiaoli Zhang, Wei Wu, Yulin Kang","doi":"10.13075/ijomeh.1896.02502","DOIUrl":"10.13075/ijomeh.1896.02502","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the clinical characteristics of noise-induced hearing loss (NIHL) caused by long-term exposure to steady-state noise and find a possible inflection point time leading to hearing deterioration.</p><p><strong>Material and methods: </strong>Subjects exposed to steady-state noise were selected as the noise-exposed group and matched with a control group of individuals not exposed to noise. Both groups underwent pure-tone audiometry (PTA) and distortion product otoacoustic emissions (DPOAE), and their hearing conditions were analyzed. The time inflection point with the most significant disparities in NIHL between early and late exposure was evaluated. The noise-exposed subjects were divided into 2 groups based on cumulative exposure time: the early exposure group (group A) and the late exposure group (group B). Retrospective analyses of clinical characteristics of hearing loss were conducted.</p><p><strong>Results: </strong>The noise-exposed group exhibited significantly higher hearing thresholds and reduced otoacoustic emissions compared to the control group, with high-frequency hearing loss being the most prominent. The most significant disparity in high-frequency hearing loss in PTA was observed before and after 5 years of cumulative steady-state noise exposure. Among the 78 noise-exposed subjects, 37 were in group A (≤5 years) and 41 in group B (>5 years). In DPOAE, the most significant disparity occurred before and after 4 years of acexposure, with 33 subjects in group A (≤4 years) and 45 in group B (>4 years). Distortion product otoacoustic emissions identified the time inflection point of significant hearing deterioration 1 year earlier than PTA.</p><p><strong>Conclusions: </strong>Hearing loss caused by long-term exposure to steady-state noise showed evident deterioration after 4-5 years. The DPOAE can illustrate the inflection point of hearing deterioration 1 year earlier than PTA. Int J Occup Med Environ Health. 2025;38(1):57-69.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":"57-69"},"PeriodicalIF":1.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523461","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":"Analysis of noise generated by wind turbines with reference to other low frequency noise sources and their possible impact on human health.","authors":"Andrzej Staniek, Magdalena Miterska","doi":"10.13075/ijomeh.1896.02433","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02433","url":null,"abstract":"<p><strong>Objectives: </strong>A problem currently faced in the assessment of human exposure to the external environment concerns sources of noise with significant energy found in the range of infrasound and low sound frequencies. This paper presents an analysis of selected low-frequency noise (LFN) sources in order to demonstrate the problem of the potential exposure of humans residing in their vicinity. There are numerous machines in industry that emit LFN, including infrasound, such as ventilation systems, industrial fans, air and exhaust transfer systems, means of transport and other objects that generate secondary noise, such as acoustic screens. How wind turbine noise differs from noise generated by other sources is a key question.</p><p><strong>Material and methods: </strong>There are different measurement approaches concerned with noise monitoring in outdoor environment. For different reasons the measurements are performed at different heights: 4.0 m, 1.5 m, on the ground surface and others. In order to properly identify low frequency noise sources apart from measurement systems for registering sound signals vibration methods might be utilized.</p><p><strong>Results: </strong>Various types of low-frequency and infrasound noise sources were analyzed in this paper in order to verify the hypothesis concerning the different character of LFN generated by wind turbines. They do not constitute sound sources that generate LFN of higher levels than other sources of this type.</p><p><strong>Conclusions: </strong>The performed measurements and their analysis revealed that sources of low-frequency and infrasound noise can be found in the vicinity of residential areas, and the residents themselves are unaware of them and consequently do not report the inconvenience related to their emission. Wind turbines are perceived unfavorably by a part of society not only due to their noise, analyzed levels were well below ISO 226 and Møller and Pedersen thresholds, but probably because of other negative aspects such as shadow flicker, modulation or reasons of aesthetics. 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":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596888","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":"Acknowledgments to reviewers of \"International Journal of Occupational Medicine and Environmental Health\" in 2024.","authors":"","doi":"10.13075/ijomeh.1896.02589","DOIUrl":"https://doi.org/10.13075/ijomeh.1896.02589","url":null,"abstract":"","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065507","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":"Patient and physician exposure to X-rays at pediatric interventional cardiology - from world to Poland.","authors":"Mateusz Mirowski, Joanna Domienik-Andrzejewska, Tomasz Moszura","doi":"10.13075/ijomeh.1896.02504","DOIUrl":"10.13075/ijomeh.1896.02504","url":null,"abstract":"<p><p>Ionizing radiation is considered as a harmful factor to health. However, X‑rays are widely used in diagnostic and therapeutic procedures such as those performed during cardiac interventions. Their use is particularly invaluable in saving life procedures when the risk of adverse effects of radiation is relatively low compared to the consequences of non-treated or treated with other invasive methods diseases. One branch of these types of medical procedures is interventional cardiology in pediatrics due to possible higher than in adults risks of developing cancer in exposed to ionizing radiation children. On the other hand, medical staff in particular physician, may be exposed to relatively high radiation levels during their work. Parallel with enlarging workload (growing number of procedures per year), high levels of cumulative doses to most exposed, and often not protected, parts of operator's body as eye lenses and brain may be achieved. Exposure to X‑rays in pediatric interventional cardiology is a worldwide point of scientific interest from around 65 years, however assessment and simulating low level doses is still developing. In this review found data presents various trials of evaluating doses or levels of exposure to both medical staff and patient as well as methods of optimization and protection against X‑rays in pediatric cardiac interventional procedures. The issue of establishing diagnostic reference levels was also taken into consideration during analysis. Thirty papers from period 2013 to 2023 were analyzed. The main assumption of this condensed review is to reveal radiation protection methods worldwide and in Poland. Int J Occup Med Environ Health. 2024;37(6):569-80.</p>","PeriodicalId":14173,"journal":{"name":"International journal of occupational medicine and environmental health","volume":"37 6","pages":"569-580"},"PeriodicalIF":1.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846431","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}