Scandinavian journal of work, environment & health最新文献

{"title":"Combined exposure to night work and noise in relation to hyperglycemia among long-term night workers: a nationwide population-based prospective cohort study.","authors":"Po-Ching Chu, Chen-Hsien Lee, Yu-Fang Lee, Joyce Lin, Jui Wang, Jing-Shiang Hwang","doi":"10.5271/sjweh.4215","DOIUrl":"10.5271/sjweh.4215","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the association between combined exposures and hyperglycemia incidence, as well as the dose-response relationship between the duration of night work and hyperglycemia among long-term night workers.</p><p><strong>Methods: </strong>In this prospective cohort study, 12 716 night workers from the nationwide population were recruited. Hyperglycemia incidence was based on the one-year change in fasting blood glucose levels. Occupational noise exposure was defined as exposure to 8-hour time-weighted average sound levels of ≥85 decibels. Personal factors, including body mass index, and work-related factors, like monthly night work duration, were assessed. Multivariable logistic and linear regression models were used to explore the association.</p><p><strong>Results: </strong>In the multivariate logistic analyses, each additional day of night work was associated with an increased risk of hyperglycemia [adjusted odds ratio 1.05, 95% confidence interval (CI) 1.02-1.07]. In the normal fasting glucose group, each additional day of night work was associated with a linear increase of +0.07% (95% CI +0.03% - +0.12%) in the change in fasting glucose levels, and noise exposure was associated with a linear increase of +1.34% (95% CI +0.55% - +2.12%) increase in fasting glucose levels. Furthermore, the population exposed to noise and working ≥10 days of night work had a significantly higher increase of fasting glucose levels (β +5.71%, 95% CI +4.48% - +6.95%), with significant interaction effects (P for interaction <0.01).</p><p><strong>Conclusions: </strong>The possible dose-response relationship between duration of night work and changes in fasting glucose levels was found. The combined exposure to night work and noise posed a higher risk for hyperglycemia than exposure to night work alone.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"237-246"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12072438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of minority stress and employment discrimination with job quality among sexual- and gender-minority workers.","authors":"David J Kinitz, Nguyen K Tran, Faraz Vahid Shahidi, Joelle T Maslak, Annesa Flentje, Micah E Lubensky, Juno Obedin-Maliver, Mitchell R Lunn","doi":"10.5271/sjweh.4221","DOIUrl":"10.5271/sjweh.4221","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to describe how minority stress and employment discrimination are associated with job quality (ie, employment type and income) among sexual- and gender-minority (SGM) workers.</p><p><strong>Methods: </strong>We conducted a pooled cross-sectional analysis of the 2021 and 2022 surveys from a national study of SGM adults in the United States. Using multinomial logistic regression models and stratification by six gender groups, we examined associations of minority stress and past-year employment discrimination with job quality.</p><p><strong>Results: </strong>Among 4221 workers, 22.0% experienced precarious employment and 6.8% were unemployed. Approximately half earned ≤US$50 000. The mean minority stress score was 14.41, indicating moderate-to-severe minority stress. A one-standard-deviation increase in minority stress was associated with higher odds of precarious employment [adjusted odds ratio (OR_adj) 1.17, 95% confidence interval (CI) 1.08-1.26], unemployment [OR_adj 1.36 (95% CI 1.19-1.56)], earning ≤$20 000 USD [OR_adj 1.57 (95% CI 1.36-1.80)], and earning US$20 001-50 000 [OR_adj 1.48 (95% CI 1.32-1.66)]. Employment discrimination was reported by 14.4% of all workers and was associated with precarious employment [OR_adj 1.25 (95% CI 1.01-1.54)], unemployment [OR_adj 2.11 (95% CI 1.54-2.89)], and earning US$20 001-50 000 compared to ≥US$100 001 [OR_adj 1.45 (95% CI 1.07-1.96)]. Transgender and gender-diverse (TGD) workers faced poorer job quality, greater minority stress, and employment discrimination than cisgender sexual minority workers.</p><p><strong>Conclusions: </strong>Higher minority stress levels and employment discrimination were associated with worse job quality among SGM workers. Future labor market reforms should reduce minority stress and employment discrimination, as well as improve job quality, for SGM workers.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"214-225"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12071185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 a workplace participatory approach to support working caregivers in balancing work, private life and informal care: a randomized controlled trial.","authors":"Eline E Vos, Allard J van der Beek, Simone R de Bruin, Karin I Proper","doi":"10.5271/sjweh.4208","DOIUrl":"10.5271/sjweh.4208","url":null,"abstract":"<p><strong>Objectives: </strong>Many employees combine their work with informal care responsibilities for family and friends, potentially impacting their well-being and sustained employability. This study aimed to investigate the effectiveness of a workplace participatory approach (PA) intervention in supporting working caregivers to prevent and solve problems related to balancing work, private life, and informal care tasks.</p><p><strong>Methods: </strong>We conducted a two-armed randomized controlled trial (ISRCTN15363783) in which working caregivers either received the PA (N=57), under guidance of an occupational professional serving as process facilitator, or usual care (N=59). We recruited 125 working caregivers from four Dutch organizations. Questionnaire-based measurements were assessed at baseline, 4, and 7 months. The primary outcome was work-life imbalance. Secondary outcomes were perceived social support from supervisors and colleagues, role overload, distress and perceived burden of combining work and informal care. Intervention effects were analyzed using intention-to-treat analysis and linear mixed models.</p><p><strong>Results: </strong>The PA was not effective in reducing work-life imbalance, improving support from colleagues or reducing role overload, distress and perceived burden of combining work and informal care. However, the PA significantly improved perceived social support from supervisors at 4 months [β=0.54, 95% confidence interval (CI) 0.21-0.88] and 7 months (β=0.36, 95% CI 0.02-0.70). Interaction effects indicated that improvement in supervisor support varied depending on the organization.</p><p><strong>Conclusion: </strong>The PA improved supervisor support but not work-life imbalance. Further research should explore PA effects on working caregivers with and without balance issues and the role of supervisor support in reducing work-life conflict.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"181-190"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A meta-analysis of unemployment risk factors for middle-aged workers.","authors":"Rahman Shiri, Joonas Poutanen, Mikko Härmä, Jenni Ervasti, Eija Haukka","doi":"10.5271/sjweh.4216","DOIUrl":"10.5271/sjweh.4216","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to identify risk factors for unemployment among middle-aged workers.</p><p><strong>Methods: </strong>Searches were carried out in PubMed, Web of Science and Google Scholar until November 2024, focusing on observational longitudinal studies that involved workers aged 40-64 years. Three reviewers evaluated the quality of the studies. A random-effects meta-analysis was employed, and heterogeneity and publication bias were assessed.</p><p><strong>Results: </strong>Out of 10 432 reports, 19 longitudinal studies (N=374 585 participants) were included in the review. The meta-analysis identified multiple risk factors associated with unemployment, including suboptimal self-rated general health [hazard ratio (HR) 1.44, 95% confidence interval (CI) 1.21-1.70], mental health conditions [HR 1.48, 95% CI 1.30-1.68, particularly depressive symptoms (HR 1.42, 95% CI 1.14-1.76)], low job control (HR 1.30, 95% CI 1.17-1.43), and lack of physical activity (HR 1.56, 95% CI 1.13-2.15). Additionally, a higher risk of unemployment was observed among individuals with ≤12 years of education (HR 1.17, 95% CI 1.00-1.36), those who are unmarried, separated, or widowed (HR 1.43, 95% CI 1.14-1.79), and immigrants (HR 1.26, 95% CI 1.11-1.44). Age, gender, smoking, alcohol consumption, musculoskeletal disorders, cardiovascular and respiratory diseases, digestive diseases, diabetes, neoplasm, and limitations in daily activities did not increase unemployment risk.</p><p><strong>Conclusions: </strong>This meta-analysis highlights the impact of mental health conditions, low job control, and lack of leisure-time physical activity on unemployment risk among middle-aged workers. Interventions aimed at improving mental health and increasing job control and physical activity could reduce unemployment risk.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"135-145"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the 'fit for work' principle: The association between occupational physical activity, cardio-respiratory fitness, and mortality - a meta-analysis of male worker data.","authors":"Margo Ketels, Bart Cillekens, Els Clays, Maaike A Huysmans, Dirk De Bacquer, Andreas Holtermann, Richard P Troiano, Paul Jarle Mork, Steinar Krokstad, Henry Völzke, Marcus Dörr, Martin Bahls, Till Ittermann, Johan Clausen, Magnus T Jensen, Jussi Kauhanen, Ari Voutilainen, Miriam Wanner, Matthias Bopp, Willem van Mechelen, Allard J van der Beek, Pieter Coenen","doi":"10.5271/sjweh.4218","DOIUrl":"10.5271/sjweh.4218","url":null,"abstract":"<p><strong>Objectives: </strong>This individual participant data meta-analysis investigates the association between occupational physical activity (OPA) and both cardiovascular mortality and all-cause mortality across different cardio-respiratory fitness (CRF) groups among male workers.</p><p><strong>Methods: </strong>Data were pooled from five European cohort studies. OPA was categorized into three levels and CRF into low, moderate, and high tertiles. OPA was assessed using self-reports and CRF through objective measurements. Two-stage meta-analyses were conducted. First, we analyzed each cohort using Cox-regression models then we pooled results with random effects model to evaluate the associations between OPA and both cardiovascular and all-cause mortality, stratified by CRF. Models were adjusted for age, body mass index, smoking status, leisure-time physical activity, and educational level.</p><p><strong>Results: </strong>Among 9922 men (mean age 46.8, standard deviation 6.7, years), 55.7% died during an average 25.6-year follow-up, of which 29.3% died from cardiovascular causes. Individuals with low CRF and high levels of OPA showed increased risks of cardiovascular [hazard ratio (HR) 1.27, 95% confidence interval (CI) 1.04-1.55] and all-cause mortality (HR 1.22, 95% CI 1.07-1.40) compared to those with low CRF and low levels of OPA. High CRF mitigated cardiovascular mortality risk (HR 1.08, 95% CI 0.79-1.48) but not all-cause mortality (HR 1.27, 95% CI 0.98-1.83) for those with high OPA.</p><p><strong>Conclusions: </strong>Our findings for cardiovascular mortality suggest that high CRF levels may protect workers with physically demanding jobs from adverse cardiovascular outcomes, supporting the 'fit for work' principle. However, this protective effect was not observed for all-cause mortality.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"159-169"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12047211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does economic skills obsolescence increase older workers' absenteeism?","authors":"Angela Messioui, Andries de Grip, Jos Sanders, Marion Smit","doi":"10.5271/sjweh.4222","DOIUrl":"10.5271/sjweh.4222","url":null,"abstract":"<p><strong>Objectives: </strong>This paper is the first multidisciplinary study into the impact of new skill requirements in the job on absenteeism. The aim of this study was to investigate whether economic skills obsolescence (ESO) increased both absence frequency and average duration mediated by burnout and/or work engagement.</p><p><strong>Methods: </strong>A longitudinal study was conducted on data from the Dutch Study on Transitions in Employment, Ability and Motivation (N=4493). Structural equation modelling was used to test the specific direct and indirect effects of ESO on absence frequency and average duration, followed by bootstrapping to compute the confidence intervals.</p><p><strong>Results: </strong>ESO at baseline had a positive relationship with burnout at follow-up. In turn, burnout was positively related to both absence frequency and average absence duration at follow-up. The bootstrap indirect effect test showed that ESO had a significant positive indirect effect, via burnout and (lower) work engagement, on absence frequency and average duration. Furthermore, ESO at baseline was negatively related to work engagement at follow-up. Work engagement, in turn, was negatively related to absence frequency and average duration at follow-up. The bootstrap test showed that ESO had a significant indirect effect, via work engagement, on absence frequency.</p><p><strong>Conclusion: </strong>ESO is associated with subsequent absence frequency and average duration of workers, both mediated by burnout and decreased work engagement.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"247-254"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the association between working from home and higher frequency of drinking and heavy episodic drinking causal? A longitudinal analysis in the Norwegian workforce.","authors":"Torleif Halkjelsvik, Inger Synnøve Moan","doi":"10.5271/sjweh.4217","DOIUrl":"10.5271/sjweh.4217","url":null,"abstract":"<p><strong>Objectives: </strong>There have been concerns that the shift to more home-based work might result in increased alcohol consumption due to reduced supervision and increased accessibility of alcohol. Empirical studies indicate associations between working from home and alcohol consumption. We go beyond cross-sectional associations by using longitudinal data and directly inquiring about alcohol consumption while working from home.</p><p><strong>Methods: </strong>Based on demographics of the Norwegian workforce, participants were recruited from an online research panel (sample sizes N=1257-4294) before (2018-2019), during (2020-2021) and after (2022-2023) pandemic restrictions that encouraged or mandated remote work. Fixed effects regression analyses controlled for stable individual-level characteristics.</p><p><strong>Results: </strong>On average, employees working from home reported 28% more drinking episodes and 26% more heavy episodic drinking (HED) compared to other employees. However, changes in the frequency of remote workdays were not notably related to the frequency of drinking [B=0.02, 95% confidence interval (CI) -0.12-0.16] or HED (B=0.05, 95% CI -0.08-0.19). Furthermore, relative to other employees, employees working from home during the pandemic restrictions in 2020 and 2021 did not increase their drinking or HED frequency from pre-pandemic levels (B= -0.28, 95% CI -0.74-0.18 and B=0.02, 95% CI -0.21-0.24, respectively). Few workers reported weekly alcohol consumption during office hours while working from home (1%).</p><p><strong>Conclusions: </strong>The cross-sectional relation between working from home and alcohol consumption found in past studies was replicated, but, using longitudinal data, we demonstrated that employee characteristics confound the relation. Our findings indicate that alcohol consumption during home-based work is unlikely to constitute a significant public health threat.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"255-258"},"PeriodicalIF":4.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of sedentary time, number of steps and sit-to-stand-transitions of desk-based workers in different office environments including working from home: analysis of quantitative accelerometer data from the cross-sectional part of the SITFLEX Study.","authors":"Martha Sauter, Eva Backé, Carina Pfab, Michaela Prigge, Claudia Brendler, Falk Liebers, Peter von Löwis, Andrea Pfeiffer, Falko Papenfuss, Janice Hegewald","doi":"10.5271/sjweh.4228","DOIUrl":"https://doi.org/10.5271/sjweh.4228","url":null,"abstract":"<p><strong>Objectives: </strong>Sedentary behavior is associated with diseases (eg, cardiovascular, diabetes type 2). We aimed to describe the sitting and moving behavior of desk-based hybrid employees of a large company in Germany working in either a traditional open plan office (OPO) or an activity-based flex office (AFO) and when working from home. We also aimed to determine if the behaviors differ between both working environments (ie, working from home versus the office) and the office concepts (OPO versus AFO).</p><p><strong>Methods: </strong>We conducted a cross-sectional study to measure sedentary time, sit-to-stand-transitions (STS), standing, and physical activity (time spent physically active and steps) in different working environments with activPAL3. Time-use data were also examined using compositional data analysis. Mixed model regression was performed to estimate means and 95% confidence intervals (CI). The main models were adjusted for sex, age, profession and measurement phase (July-November 2021).</p><p><strong>Results: </strong>The sample comprised 102 employees (women: N=27, mean age 38.9 years). On average, OPO employees spent 351 minutes (95% CI 322-380) being sedentary, took 2763 steps (95% CI 2460-3066) and made 16.6 STS (95% CI 13.6-19.6). AFO workers averaged 333 sedentary minutes (95% CI 308-358), 2906 steps (95% CI 2645-3167) and 19.1 STS (95% CI 16.6-21.7). When working from home, workers spent 378 minutes (95% CI 359-396) being sedentary, took 1257 steps (95% CI 1063-1452) and made 20.9 STS (95% CI 19.0-22.8). Working from home was associated with increased sedentary time and fewer steps but more STS.</p><p><strong>Conclusion: </strong>Sedentary time of desk-based workers seems to be prolonged when working from home. As sedentary behavior increases the risk of disease, there is a need for measures to reduce employees` sedentary time in all working environments.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advice on better utilization of validation data to adjust odds ratios for differential exposure misclassification (recall bias).","authors":"Igor Burstyn, George Luta","doi":"10.5271/sjweh.4226","DOIUrl":"https://doi.org/10.5271/sjweh.4226","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Drs. Igor Burstyn and George Luta's letter: Advice on better utilization of validation data to adjust odds ratios for differential exposure misclassification (recall bias).","authors":"Henrik Albert Kolstad, Jesper Medom Vestergaard, Jens Peter Bonde, Sadie Costello, Annett Dalbøge, Åse Marie Hansen, Ann Dyreborg Larsen, Anne Helene Garde","doi":"10.5271/sjweh.4232","DOIUrl":"https://doi.org/10.5271/sjweh.4232","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}