Journal of Occupational Health最新文献

{"title":"Trends in negative interpersonal relationships at work and awareness of occupational safety and health services: a 2014-2019 trend analysis.","authors":"Insa Backhaus, Nico Dragano, Cristina Di Tecco, Sergio Iavicoli, Hanno Hoven","doi":"10.1093/joccuh/uiae043","DOIUrl":"10.1093/joccuh/uiae043","url":null,"abstract":"<p><strong>Objective: </strong>A good psychosocial climate at work, including positive interpersonal relationships, is a protective factor for health, whereas social conflict imposes a considerable health risk. Occupational safety and health (OSH) services can help create a positive working environment. In the present study, we analyzed trends in the awareness of OSH services and interpersonal relationships and whether these are linked.</p><p><strong>Methods: </strong>We used time series data from the Italian Survey on Health and Safety at Work (INSuLa) from 2014 and 2019 (n = 16 000 employees). Negative interpersonal relationships included workplace bullying and lack of workplace support. The availability of OSH services was measured through items inquiring about the awareness of OSH representatives and OSH training. We used Poisson regression in reporting prevalence ratios and provided predicted probabilities and average marginal effects to show trends and differences in interpersonal relationships and OSH availability.</p><p><strong>Results: </strong>Our findings suggest that negative interpersonal relationships at work increased, whereas awareness about OSH services declined between 2014 and 2019. These trends were particularly strong for young workers, for whom workplace bullying increased by 6.3% and awareness of OSH training declined by 11.7%. We also found that unawareness about OSH services is associated with negative interpersonal relationships at work.</p><p><strong>Conclusion: </strong>The results suggest that low OSH awareness may be an increasing problem, whereas exposure to an adverse social climate at work became more frequent at the same time. Given the role of OSH services in ensuring a positive working climate, it is important to increase workers' awareness about OSH services.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11372296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916960","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":"Association between marginal part-time work and depressive symptoms: results from the sixth Korean Working Conditions Survey and the European Working Conditions Telephone Survey.","authors":"Munyoung Yang, Min Choi, Mo-Yeol Kang","doi":"10.1093/joccuh/uiae046","DOIUrl":"10.1093/joccuh/uiae046","url":null,"abstract":"<p><strong>Objectives: </strong>Marginal part-time workers, working less than 15 hours per week, are a vulnerable working population. We investigated the association between marginal part-time work and depressive symptoms in Korea and European countries to suggest policy implications.</p><p><strong>Methods: </strong>This study used data from the sixth Korean Working Conditions Survey (KWCS) from 2020 to 2021 and European Working Conditions Telephone Survey (EWCTS) in 2021. For the KWCS, 31 789 participants were included in the analysis, and for the EWCTS, 59 070 participants were analyzed. Depressive symptoms were assessed using the World Health Organization Five Well-Being Index (WBI-5). A multiple logistic regression analysis was conducted to assess the association between marginal part-time work and depressive symptoms with KWCS and EWCTS data.</p><p><strong>Results: </strong>In Korea, there was a statistically significant association between depressive symptoms and marginal part-time work. On the other hand, in European countries, the association was not remarkable. Low income and employment instability partially mediated the relationship between marginal part-time work and depressive symptoms in Korea. Conclusions. Korean marginal part-time workers face systemic discrimination related to job insecurity and financial rewards, which appear to contribute to depressive symptoms.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073059","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":"Frailty is a risk factor for occupational falls among older workers: an internet-based prospective cohort study.","authors":"Ryutaro Matsugaki, Yoshihisa Fujino, Masayoshi Zaitsu, Satoru Saeki, Shinya Matsuda, Akira Ogami","doi":"10.1093/joccuh/uiae065","DOIUrl":"10.1093/joccuh/uiae065","url":null,"abstract":"<p><strong>Objectives: </strong>Occupational falls are a significant concern among older workers. Although recent cross-sectional studies have indicated a potential association between frailty and occupational falls among older workers, the causal relationship remains unclear. This longitudinal study aimed to investigate whether frailty is a risk factor for occupational falls among older workers using a longitudinal design.</p><p><strong>Methods: </strong>This was an internet-based prospective cohort study. A total of 5000 older workers (aged 60-75 years) were recruited, with 2873 participants meeting the inclusion criteria for the follow-up survey. Frailty was assessed using a frailty screening index based on the Fried phenotype model. Occupational falls were defined as those that occurred during the follow-up period.</p><p><strong>Results: </strong>Among the participants, 13.9% were frail. The incidence of occupational falls was higher in the frailty group (11.6%) than in the nonfrailty group (4.9%). In the multivariate-adjusted model, frailty was significantly associated with occupational falls (relative risk: 2.10; 95% CI, 1.51-2.94).</p><p><strong>Conclusions: </strong>Frailty is a significant risk factor for occupational falls among older workers. Employers should consider implementing health-management strategies that focus on frailty to prevent occupational falls in this population.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522182","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":"Are there compensatory behaviors in response to a sit-stand desk intervention?","authors":"Hélio Silva, Sabrina C Teno, Pedro B Júdice","doi":"10.1093/joccuh/uiae067","DOIUrl":"10.1093/joccuh/uiae067","url":null,"abstract":"<p><strong>Objectives: </strong>Office workers represent one of the most sedentary groups. Alarmingly, more than one-third of their sitting time during workdays occurs in prolonged bouts. Sit-stand desk (SSD) interventions have been found to be effective in reducing sitting time, but heterogeneity exists amongst studies, which may be due to compensations outside the workplace. This study aimed to assess the impact of a 6-month SSD intervention on office workers' sitting and standing times during the work shift and outside work (leisure time).</p><p><strong>Methods: </strong>A 2-arm (1:1) clustered randomized controlled trial was conducted with 38 participants randomly assigned to either the intervention or control group. The intervention included a psychoeducational session, motivational prompts, and environmental modification (SSD implemented in the workplace). The waiting-list control group maintained the usual work conditions and only received the initial session. We employed repeated measures analysis of covariance to compare changes between groups while adjusting for relevant covariates, with significance set at 5%.</p><p><strong>Results: </strong>In the intervention group, there was a significant reduction in sitting time at work by 32.97 minutes, along with a notable increase in standing time by 27.88 minutes (P < .05). Although nonsignificant (P > .05), there was an increase in sitting time in the leisure context of about 23.07 minutes.</p><p><strong>Conclusions: </strong>This study underscores the effectiveness of SSD as a key strategy to mitigate sitting time among office workers. However, future interventions should consider integrating comprehensive behavioral strategies beyond the workplace to sustain potential increases in sitting time during leisure time and avoid compensatory behaviors.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546046","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 participatory organizational interventions on mental health and work performance: a protocol for systematic review and meta-analysis.","authors":"Mako Iida, Asuka Sakuraya, Kotaro Imamura, Hiroki Asaoka, Hideaki Arima, Emiko Ando, Akiomi Inoue, Reiko Inoue, Mai Iwanaga, Hisashi Eguchi, Yasumasa Otsuka, Yuka Kobayashi, Yu Komase, Kazuto Kuribayashi, Natsu Sasaki, Kanami Tsuno, Ayako Hino, Kazuhiro Watanabe, Takeshi Ebara, Akihito Shimazu, Norito Kawakami, Akizumi Tsutsumi","doi":"10.1093/joccuh/uiae028","DOIUrl":"10.1093/joccuh/uiae028","url":null,"abstract":"<p><strong>Introduction: </strong>Participatory organizational interventions to improve psychosocial working conditions are important for a safe and healthy work environment. However, there are few systematic reviews or meta-analyses investigating the effects of these interventions on workers' mental health and work-related outcomes. We intend to apply the protocol for systematic review and meta-analysis to examine the effect of participatory organizational intervention on mental health and work performance.</p><p><strong>Methods and analysis: </strong>The participants, interventions, comparisons, and outcomes (PICO) of the studies in this systematic review and meta-analysis are defined as follows: (P) inclusion of all workers, (I) participatory organizational intervention, (C) treatment as usual or no intervention (including waitlist control), and (O) mental health and work performance. Published studies will be searched using the following electronic databases: PubMed, Embase, PsycINFO, PsycArticles, and Japan Medical Abstracts Society. Studies that (1) include participatory organizational intervention, (2) include participants who were working as of the baseline survey period, (3) assess mental health or work performance outcomes, (4) use a cluster randomized controlled trials design, (5) are published in English or Japanese, and (6) are published in peer-reviewed journals (including advanced online publication) will be included. Study selection and the risk-of-bias assessment will be performed independently by 2 reviewers. A meta-analysis will be performed to statistically synthesize the included studies. Publication bias will be assessed for meta-bias using Egger's test as well as visually on a funnel plot. We will assess heterogeneity by using the Q statistic.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161560","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":"Association between exposure to technological advances in the workplace and work engagement: a prospective cohort study.","authors":"Nuri Purwito Adi, Tomohisa Nagata, Kiminori Odagami, Masako Nagata, Koji Mori","doi":"10.1093/joccuh/uiae003","DOIUrl":"10.1093/joccuh/uiae003","url":null,"abstract":"<p><strong>Objectives: </strong>The study objective was to measure the association between exposure to technological advances and work engagement, adjusting for personal and workplace factors.</p><p><strong>Methods: </strong>We conducted a nationwide online longitudinal survey study in Japan. The sample was stratified to represent Japanese workforce conditions. Work engagement was measured using the Japanese version of the Utrecht Work Engagement Scale-9. Exposure to technological advances was measured using a single question with Likert scale responses. Industry characteristics that were more/less likely to be replaced by automation were also measured. Linear regression was used for statistical analysis.</p><p><strong>Results: </strong>There were 16 629 participants. We found that exposure to technological advances was associated with work engagement after adjustment for age, sex, education, income, and industry characteristics. We observed a significant interaction between age and exposure to technological advances (coefficient 0.891, P < .001), and conducted an age-stratified linear regression analysis. The significant association between age and exposure to technological advances reduced as age increased, and disappeared after adjustment for baseline work engagement.</p><p><strong>Conclusions: </strong>Longitudinal observations showed that exposure to technological advances was not significantly associated with work engagement.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11069424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513026","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":"Feasibility and effectiveness of preconception check-ups at workplaces in Japan.","authors":"Akiko Fujishima, Eri Maeda, Koki Sato, Hidekazu Saito, Chihiro Ozeki, Yukihiro Terada","doi":"10.1093/joccuh/uiae021","DOIUrl":"10.1093/joccuh/uiae021","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the recent increase in infertility and perinatal complications, preconception care is not commonly available in Japan. Working women are considered to have the greatest need for preconception care, as increasingly they marry and have children later in life. This study aimed to assess the feasibility and effectiveness of preconception check-ups in the workplace.</p><p><strong>Methods: </strong>We provided 51 female employees aged 18-39 years with free preconception check-ups, including additional blood tests and an online medical questionnaire, during mandatory health check-ups at their workplace. A doctor provided online counseling based on the check-up results. We assessed fertility knowledge using the Cardiff Fertility Knowledge Scale (CFKS-J) and childbearing desire pre- and postintervention.</p><p><strong>Results: </strong>Preconception check-ups revealed various potential risk factors for future pregnancies, including underweight (12%), obesity (20%), Chlamydia trachomatis IgG antibody positivity (22%), low rubella IgG antibody levels (47%), iron deficiency (12%), and 25-hydroxyvitamin D levels <30 ng/mL (98%). Postintervention, the participants reported high satisfaction with the check-ups and significantly advanced their reproductive plans (P = .008). Furthermore, 95% of the participants indicated an intention to seek medical attention or make lifestyle changes. The postintervention CFKS-J score (mean [SD]) was higher than the preintervention score (71.7 [19.3] vs 63.0 [22.0]; P = .006).</p><p><strong>Conclusions: </strong>We developed a preconception check-up package that can be integrated into workplace health examinations, complemented by tailored counseling. This novel check-up package is a feasible and effective approach for improving preconception health and fertility awareness.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11255479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848969","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":"Psychosocial characteristics of workers with irritable bowel syndrome and its relationship with abdominal symptoms and work productivity.","authors":"Nagisa Sugaya, Shuhei Izawa, Takeshi Sasaki","doi":"10.1093/joccuh/uiae012","DOIUrl":"10.1093/joccuh/uiae012","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to validate the psychosocial characteristics and work-related challenges faced by workers exhibiting symptoms of irritable bowel syndrome (IBS) and to clarify the factors that exacerbate abdominal symptoms or hinder work productivity by focusing on IBS-related cognitive-behavioral factors and job-related stressors.</p><p><strong>Methods: </strong>An online survey was conducted from October 5 to October 20, 2023, among workers in Japan aged 20-49 years with more than 30 hours of work per week, excluding managers and the self-employed. The data were obtained from 1062 participants (including 551 women and 329 individuals with IBS).</p><p><strong>Results: </strong>The levels of depression in the IBS group were significantly higher than those in the Non-IBS group (P < .05). Cognitive-behavioral variables associated with abdominal symptoms were positively correlated with work productivity (r = 0.367-0.483, P < .001). Hierarchical multiple regression analysis with IBS symptoms and work productivity as dependent variables revealed a significant effect of the interaction between maladaptive cognition related to abdominal symptoms and job control on IBS symptoms (β = -.164, P = .002). The association between maladaptive cognition and IBS symptoms was more pronounced when job control was lower. Additionally, IBS symptoms (β = .130-.214, P < .05), maladaptive cognition (β = .196-.233, P < .01), and job overload (β = .106-.108, P < .05) significantly influenced work productivity.</p><p><strong>Conclusions: </strong>Maladaptive cognition regarding abdominal symptoms may lead to more severe abdominal symptoms in situations with a low sense of work control. Beyond cognitive-behavioral interventions for IBS, enhancing the sense of control over work environments is expected to contribute to alleviating abdominal symptoms and, consequently, enhancing work productivity.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039676","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":"Investigating exceedances of formaldehyde levels and source identification in offices of an academic medical institute.","authors":"Watcharakorn Chuthong, Vithawat Surawattanasakul, Ratana Sapbamrer, Wachiranun Sirikul","doi":"10.1093/joccuh/uiae049","DOIUrl":"10.1093/joccuh/uiae049","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate factors associated with indoor formaldehyde levels in office settings within an academic medical institute.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 25 offices (261 workers) at a medical university in Thailand. Questionnaires gathered data on demographics, work patterns, and office equipment usage (printers, photocopiers, air fresheners, liquid paper, glue, cleaning agents, and marker pens). The building environment was assessed by a multidisciplinary team. Formaldehyde levels and relevant parameters (temperature and relative humidity) were measured in each room both indoors and outdoors. A multiple linear regression model investigated the relationship between formaldehyde and office factors, controlling for room conditions.</p><p><strong>Results: </strong>Median office formaldehyde levels were 442.1 μg/m3 (interquartile range: 343.8-908.7 μg/m3), exceeding World Health Organization and Thai guidelines. Photocopier use was significantly associated with higher levels of indoor formaldehyde (β = .20; 95% CI, 0.30-0.37; P = .02). Air freshener use also showed a significant association (β = .56; 95% CI, 0.30-0.81; P < .001). No correlation was found between the use of liquid paper, glue, printers, cleaning agents, or marker pens and indoor formaldehyde levels.</p><p><strong>Conclusions: </strong>Indoor formaldehyde levels in these offices exceeded the established guidelines. Use of photocopiers and air fresheners was associated with increased formaldehyde levels. Implementing interventions such as improved ventilation and regular screening is essential for creating healthier office environments.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982572","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":"Short-term economic evaluation of physical activity-based corporate health programs: a systematic review.","authors":"Lorenzo Bonatesta, Stefano Palermi, Felice Sirico, Mario Mancinelli, Pierpaolo Torelli, Ettore Russo, Giada Annarumma, Marco Vecchiato, Frederik Fernando, Giampietro Gregori, Josef Niebauer, Alessandro Biffi","doi":"10.1093/joccuh/uiae002","DOIUrl":"10.1093/joccuh/uiae002","url":null,"abstract":"<p><strong>Objectives: </strong>Corporate health programs (CHPs) aim to improve employees' health through health promotion strategies at the workplace. Physical activity (PA) plays a crucial role in primary prevention, leading many companies to implement PA-based CHPs. However, there is limited examination in the scientific literature on whether PA-based CHPs (PA-CHPs) lead to economic benefits. This systematic review aimed to summarize the available literature on the economic aspects of PA-CHPs.</p><p><strong>Methods: </strong>A systematic review was conducted to identify studies focused on PA-CHPs targeting healthy sedentary workers and reporting at least one economic outcome, such as return on investment (ROI), costs, or sick leave.</p><p><strong>Results: </strong>Of 1036 studies identified by our search strategy, 11 studies involving 60 020 participants met the inclusion criteria. The mean (±SD) cost per capita for PA-CHPs was estimated as 359€ (±238€) (95% CI, 357-361€). In 75% of the studies, the net savings generated by PA-CHPs in 12 months were reported, with an average of 1095€ (±865€) (95% CI, 496-1690€). ROI was assessed in 50% of the included studies, with an average of 3.6 (±1.41) (95% CI, 2.19-5.01).</p><p><strong>Conclusions: </strong>In addition to promoting a healthy lifestyle, PA-CHPs have the potential to generate significant economic returns. However, the heterogeneity among the existing studies highlights the need for standardization and accurate reporting of costs in future research.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10939391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106258","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}