Kazuhiko Watanabe, Xi Lu, Shota Masuda, Takeshi Miyamoto, Takahiko Katoh
{"title":"Relationship between physical activity and locomotive syndrome among young and middle-aged Japanese workers.","authors":"Kazuhiko Watanabe, Xi Lu, Shota Masuda, Takeshi Miyamoto, Takahiko Katoh","doi":"10.1093/joccuh/uiae001","DOIUrl":"10.1093/joccuh/uiae001","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the relationship between physical activity (PA) and locomotive syndrome (LS) among young and middle-aged Japanese workers.</p><p><strong>Methods: </strong>This cross-sectional study included 335 participants from a company in Kumamoto, Japan. LS was evaluated using the 25-question Geriatric Locomotive Function Scale (GLFS-25); a GLFS-25 score ≥7 was defined as LS. Weekly PA was measured using the International Physical Activity Questionnaire. Work-related PA (time spent sitting, standing, walking, and strenuous work per day) and sedentary breaks were measured using a Work-related Physical Activity Questionnaire. Screen usage (television [TV], smartphones, tablets, and personal computers) during leisure time was recorded. The association between PA and LS was examined using a multivariate logistic regression analysis adjusted for age, sex, body mass index, history of musculoskeletal disorders, cancer, stroke, occupation, employment type, work time, shift system, employment status, and body pain.</p><p><strong>Results: </strong>A total of 149 participants had LS. Fewer sedentary breaks during work (>70-minute intervals, odds ratio [OR] = 2.96; prolonged sitting, OR = 4.12) and longer TV viewing time (≥180 minutes, OR = 3.02) were significantly associated with LS. In contrast, moderate PA (OR = 0.75) was significantly associated with a lower risk of LS.</p><p><strong>Conclusions: </strong>Fewer sedentary breaks during work and longer TV viewing time could increase the risk of LS in young and middle-aged Japanese workers.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139403260","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}
Koji Mori, Nuri Purwito Adi, Kiminori Odagami, Tomohisa Nagata
{"title":"Bridging perceived organizational support with learning motivation and work engagement: the mediating role of focus on opportunity.","authors":"Koji Mori, Nuri Purwito Adi, Kiminori Odagami, Tomohisa Nagata","doi":"10.1093/joccuh/uiae024","DOIUrl":"10.1093/joccuh/uiae024","url":null,"abstract":"<p><strong>Objectives: </strong>Perceived organizational support (POS) represents the extent to which employees believe their organization values their contributions and well-being. Although higher POS is associated with increased work engagement and learning motivation, the intricacies of this relationship, especially the mediation by occupational future time perspective (OFTP), are not well understood.</p><p><strong>Methods: </strong>We conducted an online survey of 2046 working individuals aged 20-69 to assess the relationships between POS and 2 outcome variables, learning goal orientation (LGO) and work engagement, with multiple regression analyses for all ages and in the younger age group (under 45). Then, the mediating effects of focus on opportunity (FOO)-a primary component of OFTP-on these relationships were examined.</p><p><strong>Results: </strong>Of 2046 participants, 887 were younger than 45 years. Younger participants, predominantly more educated and inclined toward professional jobs, exhibited higher LGO but lower work engagement compared with their older counterparts. POS showed positive correlations with LGO, and FOO significantly mediated the relationship, especially in the young group. Furthermore, a positive relationship between POS and work engagement was noted, with FOO as a partial mediator.</p><p><strong>Conclusions: </strong>POS correlates positively with both LGO and work engagement across various age demographics, with FOO critically mediating this relationship. To enhance employee engagement and learning motivation, organizations should emphasize bolstering both POS and FOO.</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/PMC11170214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140876693","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":"Effectiveness of a multicomponent intervention to promote physical activity among Japanese remote workers: a pilot open-label randomized controlled trial.","authors":"Jihoon Kim, Ryoko Mizushima, Masahiro Morimoto, Yukako Fujita, Saki Shibuichi, Mafuyu Kato, Masahiko Gosho, Yoshio Nakata","doi":"10.1093/joccuh/uiae052","DOIUrl":"10.1093/joccuh/uiae052","url":null,"abstract":"<p><strong>Objectives: </strong>Remote work (ie, teleworking) may adversely affect physical activity (PA) among workers, but no strategies have been effectively implemented to address this issue. We aimed to test whether a multicomponent intervention program could promote the PA of remote workers.</p><p><strong>Methods: </strong>This study was an 8-week pilot open-label randomized controlled trial. Fifty-one participants (19 women) aged 23-58 years were recruited via an information technology company in Tokyo, Japan, and randomly assigned to the control (n = 26) or intervention (n = 25) group. The intervention group was provided a multicomponent intervention that comprised individual (lecture, print material, goal setting, feedback, and posters), sociocultural (supportive atmosphere and team building), and organizational (encouraging message from an executive) strategies. The control group only received posters. The primary outcome was an 8-week change in objectively measured moderate-to-vigorous PA (MVPA). The secondary outcomes were changes in light PA, moderate PA, vigorous PA, steps, and sedentary time. We also conducted subdomain analyses divided into working and nonworking days.</p><p><strong>Results: </strong>No significant difference was observed in MVPA changes between the 2 groups. However, the intervention group showed significant improvement in light PA by +14.0 min/d (95% CI, 1.7-26.2). Subdomain analyses also showed no significant differences in MVPA changes between the 2 groups. However, MVPA in the intervention group significantly increased by +9.4 min/d (95% CI, 2.5-16.2) on working days.</p><p><strong>Conclusions: </strong>The present multicomponent intervention was feasible for remote workers, although some revisions are necessary to enhance the effect size.</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/PMC11472745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140299","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}
May Young Loh, Maureen F Dollard, Sarven S McLinton, Paula Brough
{"title":"Translating psychosocial safety climate (PSC) into real-world practice: two PSC intervention case studies.","authors":"May Young Loh, Maureen F Dollard, Sarven S McLinton, Paula Brough","doi":"10.1093/joccuh/uiae051","DOIUrl":"10.1093/joccuh/uiae051","url":null,"abstract":"<p><strong>Objectives: </strong>Translating research into practice is often a goal for evidence-based organizational researchers to help improve workplace conditions and worker well-being. Improving worker well-being can be achieved by using empirical evidence to inform organizational interventions. However, despite the well-established intervention literature, practitioners appear not to appreciate fully how research findings can inform real-world practice. Using our understanding about workplace safety and health issues, we proposed that employers themselves could undertake interventions that focus on building psychosocial safety climate (PSC), an essential organizational climate that protects and promotes the psychological well-being of workers.</p><p><strong>Methods: </strong>Here we present 2 case studies to illustrate strategies that improve psychosocial safety and to increase our understanding about how interventions help improve PSC over time. Case Study 1 was conducted in an Australian public organization and Case Study 2 was in an international private organization. We collected survey data using the PSC-12 scale, to assess the level of PSC of the organization before and after the intervention, and details of the intervention and other initiatives for promoting employees' psychological health.</p><p><strong>Results: </strong>Our evaluation supported the proposition that interventions that combine organizational-level and individual-level (and the interface between the two) approaches with a focus on the core elements of PSC (such as commitment, priority, communication, and participation) improve an organization's PSC over time.</p><p><strong>Conclusions: </strong>The research not only elucidates important practical implications for organizations trialing new psychosocial safety initiatives, but also makes an important contribution to theory in work stress intervention on best practice and principles to build a psychologically healthy work context.</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/PMC11484795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140300","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}
Zhehua Zhou, Pan Meng, Ning Jia, Huadong Zhang, Ruijie Ling, Yimin Liu, Gang Li, Dongxia Li, Yan Yin, Hua Shao, Hengdong Zhang, Bing Qiu, Dayu Wang, Qiang Zeng, Jianchao Chen, Danying Zhang, Liangying Mei, Yongquan Liu, Jixiang Liu, Chengyun Zhang, Tianlai Li, Zhongxu Wang
{"title":"Risk and related factors of elbow musculoskeletal diseases: a nationwide cross-sectional survey in China.","authors":"Zhehua Zhou, Pan Meng, Ning Jia, Huadong Zhang, Ruijie Ling, Yimin Liu, Gang Li, Dongxia Li, Yan Yin, Hua Shao, Hengdong Zhang, Bing Qiu, Dayu Wang, Qiang Zeng, Jianchao Chen, Danying Zhang, Liangying Mei, Yongquan Liu, Jixiang Liu, Chengyun Zhang, Tianlai Li, Zhongxu Wang","doi":"10.1093/joccuh/uiae031","DOIUrl":"10.1093/joccuh/uiae031","url":null,"abstract":"<p><strong>Objectives: </strong>Although studies have shown that work-related musculoskeletal disorders (WMSDs) are common and continue to be a major source of disability and work time loss, there are few reports about elbow WMSDs. The aim of this study was to explore the prevalence and associated factors of elbow WMSDs.</p><p><strong>Methods: </strong>The valid questionnaires of 57501 workers from 15 different industries nationwide were collected and the c2 test and logistic regression analysis were applied to reveal the prevalence and risk factors of elbow WMSDs.</p><p><strong>Results: </strong>The findings indicated that the overall prevalence of elbow WMSDs among workers was 7.3%. However, the prevalence of elbow WMSDs in toy manufacturing was 21.3%, which was significantly higher than that in other industries (P < .05). Logistic regression analysis showed that age 40 and above, married, very poor health, left-handedness, lifting weights (more than 20 kg each time), work requiring upper limb or hand force, work in an uncomfortable position, repetitive operations within 1 minute, using vibrating tools, work involving cold, cool draughts, or temperature changes, work being completed in the same workshop, work being done outdoors, frequent dealings with customers, 2 shifts, often working overtime, staff shortage, and often working for colleagues were risk factors for elbow WMSDs. A higer education level, monthly income, and enough rest time were protective factors for elbow WMSDs.</p><p><strong>Conclusions: </strong>Toy manufacturing is a high-risk industry for elbow WMSDs. Promotion of education about ergonomics should be strengthened, and workers' ergonomics awareness should be improved to reduce the impact of WMSDs.</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/PMC11285782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492380","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":"Workers' experiences of improvements in the work environment and mental health problems: a web-based 1-year prospective study of Japanese employees.","authors":"Shuhei Izawa, Toru Yoshikawa, Nanako Nakamura-Taira, Chihiro Moriishi, Rie Akamatsu, Hiroki Ikeda, Tomohide Kubo","doi":"10.1093/joccuh/uiae054","DOIUrl":"10.1093/joccuh/uiae054","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to prospectively investigate the association between work environment improvements and multiple mental health outcomes in a large sample of Japanese employees.</p><p><strong>Methods: </strong>A web-based longitudinal study surveyed 20 000 Japanese employees, 7970 of whom completed a follow-up after 1 year. Various types of work environment improvements experienced by workers were assessed using a 24-item checklist. Three mental health outcomes (poor mental health, presenteeism, and high psychosocial stress) were assessed and defined using standardized questionnaires.</p><p><strong>Results: </strong>Overall, as the total number of work environment improvements increased, the odds ratio for mental health outcomes in the follow-up survey decreased by several percentage points, even after adjusting for demographic and occupational factors. Analysis of the types of work environment improvements showed that mutual support improvements were particularly effective in reducing mental health issues. The subgroup analyses also showed that the effectiveness of workplace environment improvements might vary between secondary and tertiary industry workers depending on the types of improvements and mental health outcomes.</p><p><strong>Conclusions: </strong>The study suggests that workplace improvements can significantly affect mental health. The effectiveness of these improvements may vary according to the type of intervention, industry of the targeted workers, and mental health outcomes. This study provides basic data on the effectiveness of workplace environment improvements that can be used for future intervention trials.</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/PMC11558232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289570","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":"Relationship between anemia and occupational fall injuries in female part-time employees: an observational study of large supermarket stores in Japan.","authors":"Azusa Shima, Yuichiro Kawatsu, Ayumi Morino, Makoto Okawara, Keiki Hirashima, Naomi Miyamatsu, Yoshihisa Fujino","doi":"10.1093/joccuh/uiae063","DOIUrl":"10.1093/joccuh/uiae063","url":null,"abstract":"<p><strong>Objectives: </strong>Occupational fall injuries have recently increased markedly in Japan, together with an increase in later-middle-aged females in the labor market. However, the association between anemia, which is prevalent among Japanese females, and falls is unclear. Here, we investigated the association between anemia and occupational fall injuries.</p><p><strong>Methods: </strong>Participants were 6780 part-time female employees aged 35-64 working in Japanese supermarket stores of a retail company and who had at least 1 health checkup each year between 2017 and 2022. Anemia was defined as hemoglobin (Hb) <12.0 g/dL (mild: Hb = 11.0-11.9 g/dL, moderate-severe: Hb < 11.0 g/dL). Fall injuries were defined as slips, trips, and falls on the same level, requiring medical attention based on the occupational injury data by the company. Incidence rate ratios (IRRs) for falls were estimated using multilevel Poisson regression, adjusting for age and body mass index.</p><p><strong>Results: </strong>The annual rate of occupational fall injuries was 0.7%. The adjusted IRR for occupational fall injuries among participants with anemia was 1.71 (95% CI, 1.12-2.60). When dividing anemia into 2 groups, IRR was 1.46 (95% CI, 0.84-2.53) for mild anemia and 2.13 (95% CI, 1.18-3.84) for moderate-severe anemia (P for trend = .007).</p><p><strong>Conclusions: </strong>In this observational study of employees of large Japanese supermarket stores, anemia was significantly associated with a higher incidence of occupational falls. Our findings suggest the importance of anemia in the prevention of occupational falls.</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/PMC11635822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522183","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":"Artificial Intelligence in advancing the Occupational Health and Safety: An encapsulation of developments","authors":"Immad A Shah, SukhDev Mishra","doi":"10.1093/joccuh/uiad017","DOIUrl":"https://doi.org/10.1093/joccuh/uiad017","url":null,"abstract":"\u0000 Objectives: In an era characterized by dynamic technological advancements, the well-being of the workforce remains a cornerstone of progress and sustainability. Evolving industrial landscape in modern world have had a considerable influence on Occupational Health and Safety (OHS). Ensuring the wellbeing of workers and creating safe working environments are not only ethical imperatives but also integral to maintaining operational efficiency and productivity. We aim to review the advancements that have taken place with a potential to reshape workplace safety with integration of AI-driven new technologies to prevent occupational diseases and safety solutions.\u0000 Methods: The published literature was identified using scientific databases of Embase, PubMed and Google scholar including a time lower bound as 1974 to capture chronological advances in occupational disease detection and technological solution employed in industrial setups.\u0000 Results: AI-driven technologies are revolutionizing how organizations approach health and safety, offering predictive insights, real-time monitoring, and risk mitigation strategies that not only minimize accidents and hazards but also pave the way for a more proactive and responsive approach to safeguarding the workforce.\u0000 Conclusion: As industries embrace the transformative potential of Artificial Intelligence (AI), a new frontier of possibilities emerges for enhancing workplace safety. This synergy between OHS and AI marks a pivotal moment in the quest for safer, healthier, and more sustainable workplaces.","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"51 19","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139451968","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 Work Conditions and Traffic Safety among Mini and Long Bus Drivers","authors":"M. Amoadu, E. Ansah, J. Sarfo","doi":"10.1093/joccuh/uiad019","DOIUrl":"https://doi.org/10.1093/joccuh/uiad019","url":null,"abstract":"Objective: This study examined the association between psychosocial work factors and road traffic crashes (RTC) and tested the differences in psychosocial work factors by mini-bus and long-bus drivers. Methods: This cross-sectional survey employed convenient sampling method to collect data from 7315 long-distance mini and long-bus drivers who operate in Accra and Tema in Ghana cities, to other parts of the country. The bus drivers answered the job content questionnaire, psychosocial safety climate scale (PSC-12), work-family conflict scale and demographic questions on age, education, driving hours and RTC history. Results: The correlational analysis showed a significant association between psychosocial work factors and RTC for the previous two years. Hierarchical multiple linear regression found that supervisor support, skill discretion, decision autonomy, psychological demands, PSC and work-family conflict significantly contributed to explaining RTC among the drivers. Also, significant differences were found between mini-bus and long-bus drivers on driving hours, occurrence of near misses, RTC and all psychosocial work factors explored in this study except work-family conflict. Conclusion: Psychosocial work factors directly predict RTC among mini-bus and long-bus drivers. Policymakers, driver unions, owners and managers of bus transport businesses should prioritise integrating occupational health and safety into road transport activities. Furthermore, managers and bus owners should use bottom-up communication, provide access to support services and work-family balance initiatives, flexible work schedules and a supportive work environment to improve road safety.","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":"332 11","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152306","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":"Comment on “job demands and temporomandibular disorders: mediating and moderating effects of psychological distress and recovery experiences”","authors":"S. Wardoyo, Taufik Anwar, Muhammad Ifham Hanif","doi":"10.1093/joccuh/uiad018","DOIUrl":"https://doi.org/10.1093/joccuh/uiad018","url":null,"abstract":"\u0000 The article by Mori et al. (2023) examines the relationship between job demands, psychological distress, and temporomandibular disorders (TMD) among Japanese workers, using a cross-sectional survey of 1,278 respondents. The authors report that high job demands are associated with increased TMD prevalence through the mediation of psychological distress, and that relaxation and control moderate this relationship. The study contributes to the literature on the occupational and psychological factors of TMD, and suggests that recovery experiences can mitigate the negative effects of job demands on TMD. However, the study has some limitations, such as the use of self-reported measures, the lack of longitudinal data, and the potential impact of the COVID-19 pandemic on the results. Therefore, further research is needed to confirm the causal relationships and the generalizability of the findings.","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" 32","pages":""},"PeriodicalIF":3.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962483","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}