Occupational medicine最新文献

{"title":"P-238 DESCRIPTIVE STUDY OF STRESS AND BURN OUT AMONG HEALTHCARE PROFESSIONALS IN COVID 19","authors":"Souad Filali El Ghorfi","doi":"10.1093/occmed/kqae023.0810","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0810","url":null,"abstract":"Introduction Psychosocial risks (PSRs) represent major issues for occupational health and safety. They correspond to “work situations where stress, internal and external violence are present, combined or not” INRS, 2018. During the COVID 19 period, these risks particularly affected nursing staff. Methods descriptive study uses Karasek and MBI questionnaires self-administered to nursing staff in the northern region of Morocco over a four-month period. Results 150 people from 24 establishments responded voluntarily/ 46.85% suffered from chronic stress, and were subject to job strain and ISO strain, 25.17% suffered from burnout. High scores of emotional exhaustion, depersonalization and low scores of personal fulfillment were observed in 46.2%, 51% and 63.6% of respondents respectively. 53% of women, 47% of men, 28% of doctors, 56% of nurses, 8% of midwives, 8% of technicians, 46.1% worked in the COVID unit. Discussion: Discussion Stress and burn-out are the result of work overload (Kapasa, 2021) (Zine El Abidine & slaoui, 2021), sleep problems (20%), lack of safety measures (55.5%), lack of support in difficult situations (51.3%) less experience (Kamal et al, 2020, El Hage et al, 2020). Analysis of healthcare staff profiles shows that 25.17% have burnout, 8.4% are ineffective, 1.4% are disengaged, 0.7% are overextended and only 2% are committed. these profiles are useful when designing prevention measures. Conclusion Covid 19 showed that primary and secondary prevention measures are insufficient in Moroccan hospitals. Tertiary prevention measures were deemed ineffective, with only 2% of healthcare staff having used the psychological support unit set up by the Ministry of Health.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"149 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141576043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-516 WORKING IN THE TIME OF COVID-19: HOW COVID-19 PUBLIC HEALTH POLICIES AFFECT THE EXPERIENCE OF BULLYING AND HARASSMENT AMONG RESTAURANT WORKERS","authors":"Jonathan Fan, Andrea Jones, M. Koehoorn, Leah Thomas-Olson Fraser, Wei Zhang, Chris McLeod, Kathleen Deering, Luis Aguiar, Stephanie Skourtes, Billie Frank","doi":"10.1093/occmed/kqae023.1283","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1283","url":null,"abstract":"\u0000 \u0000 \u0000 This study explored how COVID-19 public health policies affected experiences of bullying and harassment among workers in the restaurant industry and the impact of these policies on the health and safety of workers.\u0000 \u0000 \u0000 \u0000 Qualitative interviews were conducted with 47 restaurant workers in the Canadian province of British Columbia. Participants worked in various roles at any kind of restaurant during the first two years of the COVID-19 pandemic. Ethics approval was obtained from the UBC Research Ethics Board. Inductive coding was applied towards the development of themes.\u0000 \u0000 \u0000 \u0000 COVID-19 public health restrictions in restaurants contributed to bullying and harassment of workers. A lack of managerial support and implementation guidelines from public health officials led to workers having to enforce restrictions on their own, which resulted in workers routinely experiencing verbal violence and harassment by customers. Workers described unsafe work conditions that put them at risk for contracting COVID-19 as well for bullying and harassment from management, which was exacerbated for women, gender-diverse, and racialized workers. In workplaces with a supportive organizational culture, workers reported feeling safer and buffered from incidents of bullying and harassment from customers.“\u0000 \u0000 \u0000 \u0000 The COVID-19 pandemic exacerbated existing structural dynamics in the restaurant industry that enabled bullying and harassment of workers, including the hierarchical dynamic of restaurant work as well as discrimination in the industry.\u0000 \u0000 \u0000 \u0000 While supportive workplace policies and practices mitigated some of the bullying and harassment experienced by restaurant workers working during the COVID-19 pandemic, broader equity-focused organizational and structural change is needed to protect workers.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"101 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-465 BURNOUT SYNDROME IN SECONDARY SCHOOL TEACHERS","authors":"Yasmina Elaoudi, N. Manar, Hicham El Bouri, Frédéric Deschamps, C. Laraqui","doi":"10.1093/occmed/kqae023.1198","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1198","url":null,"abstract":"\u0000 \u0000 \u0000 Secondary school teachers (SST) are particularly affected by occupational stress and burnout because they are exposed to high psychosocial factors at work and organizational constraints related to difficult working conditions.\u0000 \u0000 \u0000 \u0000 This survey aimed to assess the prevalence of BOS of SST and its relationship with sociodemographic and occupational parameters. This cross-sectional study involved a representative sample of 652SST. We used an individual questionnaire including socio-demographic and occupational parameters, the Karasek’s Job Content Questionnaire, and Maslach BO Inventory. BOS includes three dimensions: emotional exhaustion, depersonalization, and loss of self-efficacy. The positive diagnosis of BOS is retained if the scores of the three dimensions are abnormal (high for the first two and low for the third).\u0000 \u0000 \u0000 \u0000 625 people agreed to participate. The prevalence of job strain was 15.8%, isostrain 6.3 %, and sleep disorders 37.5%. 62.6% had a high emotional exhaustion, 16.3% high depersonalization, and 86.8% low personal accomplishment. 96,3% had at least one abnormal dimension of BOS:33.7% had one abnormal dimension, 55.8% two, and 6.7% three. There is no difference between men and womenThe prevalence of abnormal dimensions of BOS was significantly higher, in those living alone, and in those without regular physical or leisure activity.The multivariate logistic regression showed that job strain, isostrain, fatigue, sleep disorders, constituted a major risk factor of abnormal dimension of BOS.\u0000 \u0000 \u0000 \u0000 SSTpresent a high risk of chronic stress and its consequences (BOS and chronic diseases). Health promotion and education actions must be carried out to sensitize the general population.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"271 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-565 CLINICAL AND AUDIOMETRIC CHARACTERISTICS OF OCCUPATIONAL HEARING LOSS","authors":"Cheima Meskini, A. Dallagi, E. Baraketi, N. Khouja, Syrine Merghni, Donia Khaiereddine, S. Ismail, J. Hsinet, A. Benzarti","doi":"10.1093/occmed/kqae023.1368","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.1368","url":null,"abstract":"\u0000 \u0000 \u0000 Occupational Deafness (OD) is an acquired hearing impairment attributable to excessive workplace noise, which causes a serious problem of fitness for work and thus requires early detection. Objectives: To describe the socio-demographic and clinical characteristics of OD, and to assess its impact on the work-fitness decision.\u0000 \u0000 \u0000 \u0000 A retrospective, descriptive study of workers with OD referred to the Occupational Medicine Department over a period of 22 years.\u0000 \u0000 \u0000 \u0000 We included 111 patients. The majority were men (67%) with an average age of 40 years. The most affected sectors were call centers (55%), transport sector (11%), building and public works sector (10%). Hearing loss was discovered following symptoms in 84% and on the occasion of screening during occupational medical surveillance in 16%. The most reported functional signs were Hypoacusis (80%), tinnitus (56%), vertigo (30%) and otalgia (23%). The average duration between employment and the onset of the first auditory manifestations relative to noise exposure was 4.5 years. Pure-tone audiometry was performed for all patients and revealed sensorineural, bilateral and symmetric deafness in 86% of cases. The mean hearing loss on the best ear was 37.16 dB, on the right and 36.11 dB, on the left. Deafness was considered as a compensable occupational disease for 23.1% of the employees and justified occupational redeployment for 53% of cases.\u0000 \u0000 \u0000 \u0000 OD affected several sectors and often compromises fitness for work. Pure-tone audiometry remains the crucial test for screening and diagnosis.\u0000 \u0000 \u0000 \u0000 Noise reduction and regular medical surveillance are essential to screen hearing loss at an early stage.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SS45-02 CHALLENGES FACED BY HUMAN RESOURCE MANAGEMENT (HRM) IN OCCUPATIONAL HEALTH AND SAFETY","authors":"Soufiani Driss","doi":"10.1093/occmed/kqae023.0271","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0271","url":null,"abstract":"\u0000 \u0000 \u0000 In emerging economies, the predominant business entities are small- and medium-sized enterprises (SMEs), grappling with significant hurdles in adhering to occupational health and safety regulations.\u0000 \u0000 \u0000 \u0000 This study combines a scrutiny of the legal framework with on-the-ground observations, providing a comprehensive analysis of the existing scenario.\u0000 \u0000 \u0000 \u0000 An exhaustive examination of the main challenges confronted by SMEs in implementing occupational health and safety laws sheds light on the intricacies of compliance.\u0000 \u0000 \u0000 \u0000 The identified challenges underscore the imperative need for a reevaluation of both the legal framework and operational practices. This study advocates for a strategic revision to enhance the efficacy of existing laws and ensure their practicality for SMEs. The findings call for a proactive approach to address these challenges, fostering a safer and healthier working environment in emerging economies.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"O-029 ASSESSING WORK-RELATED CHALLENGES AND WORK ABILITY AMONG YOUNG DOCTORS","authors":"I. Sellami, Salim Es-saffar, Mohamed Bilel Kouki, M. Masmoudi, M. Hajjaji, K. Hammami, Afif Masmoudi","doi":"10.1093/occmed/kqae023.0488","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0488","url":null,"abstract":"\u0000 \u0000 \u0000 Concerns are mounting regarding the well-being of young doctors due to the challenges they encounter during their training. This study aims to assess the professional obstacles young doctors face, and explore how these factors impact their work ability and career fulfilment.\u0000 \u0000 \u0000 \u0000 In a cross-sectional study spanning from February to May 2023, we involved 304 young doctors working in Tunisian healthcare settings. Socio-demographic, clinical, and work-related data were gathered. We gauged professional well-being using short professional quality of life scale and the work ability using the Work Ability Index (WAI).\u0000 \u0000 \u0000 \u0000 Among respondents (average age 27±2 years, 59% female), 77% were residents, predominantly in university hospitals (82%). They averaged 56 working hours and 5.5 24-hour shifts monthly. A significant 32% faced a high risk of burnout, while 84% reported fatigue and 43% suffered severe psychological distress. The WAI indicated reduced work capacity in 18%. Factors linked to diminished work ability included youth, male gender, addictive behaviors, workload, an unfavorable work environment, and inadequate training quality.\u0000 \u0000 \u0000 \u0000 This study underscores the profound impact of young doctors’ health, particularly their psychological well-being, and adverse working conditions on their overall work ability. The findings emphasize the necessity for interventions aimed at addressing these issues and improving the workplace environment for young doctors.\u0000 \u0000 \u0000 \u0000 Young doctors’ work ability is profoundly affected by their health, working conditions, and their subsequent impact on overall well-being. This study furnishes critical insights to guide interventions and preventive strategies for enhancing the well-being and work ability of young doctors in the medical field.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"6 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SS03-04 ARCTIC CO-OPERATION FOR DEVELOPING A FRAMEWORK OF ACTIVITIES FOR MANAGING THERMAL STRAIN AT OUTDOOR WORKPLACES IN A CHANGING CLIMATE","authors":"Tiina Ikäheimo, A. Höper, J. Wahlström, H. Pettersson, Albin Stjernbrandt, I. Liljelind, S. Rissanen, K. Jussila, A. Teperi","doi":"10.1093/occmed/kqae023.0060","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0060","url":null,"abstract":"\u0000 \u0000 \u0000 Climate change is accelerated in the Arctic and extreme weather increases the risk of thermal strain (cold, heat) impairing occupational health and safety (OHS) of outdoor workers. This calls for adaptative measures of various industries and workplaces to support sustainable work. The UArctic network of OHS experts from Norway, Sweden and Finland aims to develop a holistic framework for managing thermal strain of Arctic outdoor work.\u0000 \u0000 \u0000 \u0000 A research project is planned for collecting evidence-based knowledge about the experienced thermal strain, implemented solutions and needs for managing thermal strain of Arctic workplaces considering the changing climate. The data collection includes both quantitative and qualitative data. A needs-based selection of customized solutions for managing cold or heat strain is developed. In addition, a framework for supportive training and information material is planned.\u0000 \u0000 \u0000 \u0000 A holistic model is developed where the assessment of the current thermal strain and needs of workplaces is conducted at various organizational levels and considering human factors (HF) related to safety. The management of heat or cold strain addresses different climate-related hazards of various industries and occupations including organizational and technical measures. In addition, a framework to increase awareness (training, information material) for managing thermal strain at the level of employees, employers and OHS personnel is developed.\u0000 \u0000 \u0000 \u0000 The planned activities help increasing preparedness of Arctic workplaces for managing climate-related effects.\u0000 \u0000 \u0000 \u0000 The produced holistic model for managing thermal strain in Arctic outdoor occupations contributes to improved OHS in the changing climate.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"31 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P-278 OCCUPATIONAL BIOLOGICAL RISK PERCEPTION AND KNOWLEDGE AMONG ITALIAN HEALTHCARE PERSONNEL","authors":"Paola Tomao, N. Vonesch, S. D. Renzi, C. D. Tecco, B. Persechino","doi":"10.1093/occmed/kqae023.0850","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0850","url":null,"abstract":"\u0000 \u0000 \u0000 The Covid-19 pandemic has had an unprecedented impact on the health sector worldwide, with health and safety effects in workers. This survey aims to investigate risk perception and knowledge of occupational safety and health protection regulations in Italian healthcare personnel.\u0000 \u0000 \u0000 \u0000 A survey was conducted through self-administered, online questionnaires in health care workers in 2023. Data on the following themes were collected: socio-demographic and occupational information, procedures/information and risk training, perception of risk and injury, preventive behaviour, psychosocial and psychological variables, sleep disorders and job satisfaction.\u0000 \u0000 \u0000 \u0000 This study involved 652 workers, including nurses (44.0%), physicians (23%), social health workers (9%), health technicians (11%) and others (13%). Most respondents were female (74.0%) and the predominant age group was 40–60 years. The most frequent length of service was >15 years (38.0%), with 39%, 13% and 48% reporting from the medical, surgical and services areas respectively. More than half of the respondents were aware of the biological risk at workplace and conscious of hazards; most of them had been vaccinated against hepatitis B, Covid-19, influenza, measles.\u0000 \u0000 \u0000 \u0000 The study showed that health care workers might be exposed to biological agents at various levels, depending on the specific tasks. Information and training are essential to address the correct behaviours of workers and help them to recognise and assess the risks.\u0000 \u0000 \u0000 \u0000 Nonetheless, the prevention of needlestick and sharps injuries through the implementation of specific Directives in many European countries and the experience gained from the pandemic have brought important improvements in safety against biological risk.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SS71-04 IMPACT AND ASSESSMENT OF MENTAL HEALTH ISSUES / CONSEQUENCES AS OCCUPATIONAL DISEASES","authors":"Diana Elizabeth Cuervo, Yohama Caraballo-Arias, Luis Guillermo Marquez-Medina, Juan Ignacio Rincón-Sarmiento","doi":"10.1093/occmed/kqae023.0408","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0408","url":null,"abstract":"\u0000 \u0000 \u0000 Colombia has a social security system in which healthcare is divided based on the health condition’s origin; this is how workers' risk insurance companies cover work-related accidents and occupational diseases. Therefore, determining the origin of these conditions becomes more relevant for prevention, care, and access to compensation. Colombia has adopted a mixed system for assessing occupational diseases. To diagnose stress-related diseases, risk factors are evaluated following a protocol. This takes into account both work and non-work-related factors that scientific evidence has linked to the disease.\u0000 \u0000 \u0000 \u0000 Statistics of cases classified by the Colombian National Board of Disability Assessment, an entity affiliated with the Ministry of Labor (period 2016-2022), were reviewed and compared with expert panels to analyze the challenges in assessing diagnoses of mental illnesses, which are more prevalent in the determination of origin processes.\u0000 \u0000 \u0000 \u0000 Out of the total number of cases with claims for psychosocial risk and mental illness, 65% were classified as non-work related, while 35% were classified as occupational diseases. Mixed anxiety and depression disorder represented 59.20%, adjustment disorder 16.70%, post-traumatic stress disorder 8%, generalized anxiety disorder 5.9%, and acute stress reaction 2.1%.\u0000 \u0000 \u0000 \u0000 Although the protocol is a useful tool, it needs to be updated, and healthcare professionals need to be trained to achieve a more efficient process that guarantees rights.\u0000","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"44 s10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141688699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SS33 RECOGNISED OCCUPATIONAL CVD RISK FACTORS: TIME TO START A PREVENTION ‘TOTAL WORKER HEALTH’ APPROACH?","authors":"A. Tsutsumi","doi":"10.1093/occmed/kqae023.0206","DOIUrl":"https://doi.org/10.1093/occmed/kqae023.0206","url":null,"abstract":"\u0000 The aims of the Session are to summarise evidence-based results of solid epidemiological studies and meta-analysis, assessing the associations between cardio-vascular diseases (CVDs) and more prevalent occupational risk factors, i.e. sedentarism and occupational strenuous activities, long work hours, shift-work and night-work, work stress and strain.\u0000 Emphasis will be given to protection and preventive trials assessing the efficacy of collective and individual-level measures to reduce these risks, i.e. organisational changes and a clinical approach to characterize subjects at higher risk who may better benefit from behavioural and protection interventions, adopting a ‘Total Worker Health’ approach.","PeriodicalId":19452,"journal":{"name":"Occupational medicine","volume":"34 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}