Arif Jetha, Lahmea Navaratnerajah, Sebastian Kondratowski, Meagan Parmassar, Lori B Tucker, Monique A M Gignac
{"title":"Impact of employment and income support interventions on the health of young adults with episodic disability: Findings from a systematic review.","authors":"Arif Jetha, Lahmea Navaratnerajah, Sebastian Kondratowski, Meagan Parmassar, Lori B Tucker, Monique A M Gignac","doi":"10.5271/sjweh.4133","DOIUrl":"10.5271/sjweh.4133","url":null,"abstract":"<p><strong>Objective: </strong>Young adults living with episodic disabilities face unpredictable disruptions to their employment and health. Our study aimed to examine the impact of employment and income support interventions on the health and well-being of young adults living with episodic disabilities.</p><p><strong>Methods: </strong>We conducted a systematic review of peer-reviewed intervention studies published in 2001-2021 in industrialized contexts. Two independent reviewers screened titles, abstracts and full-texts. We undertook a narrative synthesis of eligible articles.</p><p><strong>Results: </strong>Our search yielded 15 269 published articles, of which only five studies were eligible for evidence synthesis. All articles were appraised as being of medium quality. Four interventions focused on young adults living with mental health conditions. Two were based in clinical settings; three were based in community-based settings. Each employment intervention exhibited improvements in health outcomes. Three studies examined the impact of supported employment interventions that were particularly beneficial to improving work and health outcomes.</p><p><strong>Conclusion: </strong>Involvement in employment interventions could provide benefits for the health of young adults living with episodic disabilities. Our systematic review highlights the need for research to elaborate on the ways in which employment interventions can impact the health and well-being of young adults living with different episodic disabilities.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"122-128"},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809146","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}
Jacob Pedersen, Brian Krogh Graversen, Kristian Schultz Hansen, Ida Elisabeth Huitfeldt Madsen
{"title":"The labor market costs of work-related stress: A longitudinal study of 52 763 Danish employees using multi-state modeling.","authors":"Jacob Pedersen, Brian Krogh Graversen, Kristian Schultz Hansen, Ida Elisabeth Huitfeldt Madsen","doi":"10.5271/sjweh.4131","DOIUrl":"10.5271/sjweh.4131","url":null,"abstract":"<p><strong>Objective: </strong>Work-related stress is an important public health concern in all industrialized countries and is linked to reduced labor market affiliation and an increased disease burden. We aimed to quantify the labor market costs of work-related stress for a large sample of Danish employees.</p><p><strong>Methods: </strong>We linked four consecutive survey waves on occupational health and five national longitudinal registers with date-based information on wage and social benefits payments. From 2012 to 2020, we followed survey participants for two year-periods, yielding 110 559 person-years. We identified work stress by combining three dichotomous stress indicators: (i) self-perceived work stress, (ii) Cohen 4-level perceived stress scale, and (iii) job strain. Using the multi-state expected labor market affiliation (ELMA) method, we estimated the labor market expenses associated with work-related stress.</p><p><strong>Results: </strong>Of the employees, 26-37% had at least one work-stress indicator. Men aged 35-64 years and women aged 18-64 years with work-related stress had up to 81.6 fewer workdays and up to 50.7 more days of sickness absence during follow-up than similarly aged men without work stress. The average annual work absenteeism loss per employee linked to work-related stress was €1903 for men and €3909 for women, corresponding to 3.3% of men's average annual wages and 9.0% of women's average annual wages, respectively. The total annual expenses were €305.2 million for men and €868.5 million for women.</p><p><strong>Conclusion: </strong>Work-related stress was associated with significant labor market costs due to increased sickness absence and unemployment. The prevention of work-related stress is an important occupational health concern, and the development of effective interventions should be given high priority.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"61-72"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522499","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}
Yorghos Apostolopoulos, Sevil Sönmez, Matthew S Thiese, Lazaros K Gallos
{"title":"The indispensable <i>whole</i> of work and population health: How the working life exposome can advance empirical research, policy, and action.","authors":"Yorghos Apostolopoulos, Sevil Sönmez, Matthew S Thiese, Lazaros K Gallos","doi":"10.5271/sjweh.4130","DOIUrl":"10.5271/sjweh.4130","url":null,"abstract":"<p><strong>Objectives: </strong>The thesis of this paper is that health and safety challenges of working people can only be fully understood by examining them as wholes with interacting parts. This paper unravels this indispensable whole by introducing the working life exposome and elucidating how associated epistemologies and methodologies can enhance empirical research.</p><p><strong>Methods: </strong>Network and population health scientists have initiated an ongoing discourse on the state of empirical work-health-safety-well-being research.</p><p><strong>Results: </strong>Empirical research has not fully captured the totality and complexity of multiple and interacting work and nonwork factors defining the health of working people over their life course. We challenge the prevailing paradigm by proposing to expand it from narrow work-related exposures and associated monocausal frameworks to the holistic study of work and population health grounded in complexity and exposome sciences. Health challenges of working people are determined by, embedded in, and/or operate as complex systems comprised of multilayered and interdependent components. One can identify many potentially causal factors as sufficient and component causes where removal of one or more of these can impact disease progression. We, therefore, cannot effectively study them by an a priori determination of a set of components and/or properties to be examined separately and then recombine partial approaches, attempting to form a picture of the whole. Instead, we must examine these challenges as wholes from the start, with an emphasis on interactions among their multifactorial components and their emergent properties. Despite various challenges, working-life-exposome-grounded frameworks and associated innovations have the potential to accomplish that.</p><p><strong>Conclusions: </strong>This emerging paradigm shift can move empirical work-health-safety-well-being research to cutting-edge science and enable more impactful policies and actions.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"83-95"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719423","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}
Joanna Gorwa, Katarzyna Nowakowska-Lipiec, Robert Michnik
{"title":"Ground reaction force as a factor responsible for the topography of injuries in professional dance. An analysis of three dance styles: classical dance, modern dance, and folk dance.","authors":"Joanna Gorwa, Katarzyna Nowakowska-Lipiec, Robert Michnik","doi":"10.5271/sjweh.4137","DOIUrl":"10.5271/sjweh.4137","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to identify the effects of ground reaction forces (GRF) recorded during landing in typical elements of three dance styles, including classical, modern, and folk dance, on injuries` topography.</p><p><strong>Methods: </strong>The research involved a survey and measurements of GRF generated during landing after the jump. The survey involved a group of 90 professional dancers. In the questionnaire, the dancers marked areas of the human body that were affected at least once by injuries. Biomechanical tests of the GRF recording were conducted on a group of 15 professional dancers. The analysis focused on the following parameters: a maximum value of the vertical variable of the GRF relative to body weight (maxGRF<sub>z</sub>), the time between the moment from first foot contact with the ground to the moment of reaching the maxGRF<sub>z</sub> (<sub>tmaxGRFz</sub>), and the loading rate of the GRF relative to body weight (LR<sub>GRFz</sub>).</p><p><strong>Results: </strong>Regardless of dance style and sex, the lower spine, knee joints, ankle joints and feet were the areas most affected by injuries among professional dancers. The level of maxGRF<sub>z</sub>, t<sub>maxGRFz</sub> and LR<sub>GRFz</sub> during typical jumps in classical, modern, and folk dance was statistically significantly different (P<0.01*). The highest mean maxGRFz values were recorded for jumps performed by classical dancers. Furthermore, the sum of injury-affected areas differed significantly across various dance styles and was connected with the impact forces transferred by the dancer's musculoskeletal system.</p><p><strong>Conclusion: </strong>The level of GRF is one of the decisive factors affecting the topography of professional dance injuries.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"103-112"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404243","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}
Pernilla Larsman, Anders Pousette, Maria Skyvell Nilsson, Christian Gadolin, Marianne Törner
{"title":"Ethical value conflicts in healthcare and their effects on nurses' health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study.","authors":"Pernilla Larsman, Anders Pousette, Maria Skyvell Nilsson, Christian Gadolin, Marianne Törner","doi":"10.5271/sjweh.4138","DOIUrl":"10.5271/sjweh.4138","url":null,"abstract":"<p><strong>Objective: </strong>Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses' health and retention, as well as to the quality of care. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses' work-related stress, burnout symptoms, turnover intent, team effectiveness, and patient safety.</p><p><strong>Methods: </strong>A two-wave longitudinal cohort questionnaire study was performed among registered nurses at six hospitals in two Swedish regions. Cross-sectional analyses (T1) were based on 1817 nurses in 228 care units (CU), and longitudinal analyses (T1 - T2) on 965 nurses in 190 CU. Hypothesis testing was performed using multilevel controlled regression modeling.</p><p><strong>Results: </strong>The results indicated that nurses who were often exposed to EVC also to a higher extent tended to report these conflicts as stressful. Frequent exposure to EVC induced by insufficient resources, inapt organizational structures or interpersonal staff relations were cross-sectionally associated with work-related stress, burnout symptoms, turnover intent, and team effectiveness. The longitudinal analyses indicated that EVC induced by a lack of resources primarily had negative effects on nurses' health and well-being. At the CU level, such conflicts also impaired team effectiveness. At the individual level, EVC induced by organizational constraints or interpersonal relations negatively affected care effectiveness.</p><p><strong>Conclusions: </strong>EVC are related to negative consequences in healthcare, and such processes take place both on the individual and organizational levels.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"113-121"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10928545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485929","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}
Sebastian-Edgar Baumeister, Hanna Wesselmann, Gustavo G Nascimento, Stefan Listl
{"title":"Effect of retirement on self-rated oral health and dental services use: longitudinal fixed-effects instrumental variable study in 31 countries.","authors":"Sebastian-Edgar Baumeister, Hanna Wesselmann, Gustavo G Nascimento, Stefan Listl","doi":"10.5271/sjweh.4134","DOIUrl":"10.5271/sjweh.4134","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the effect of retirement on self-rated oral health and dental services use.</p><p><strong>Methods: </strong>Covering 31 countries, we used harmonized panel data from the English Longitudinal Study on Aging (ELSA), Health and Retirement Study (HRS), and the Survey of Health, Aging and Retirement in Europe (SHARE). Data comprised 485 085 observations from 112 240 individuals aged ≥50 years. Official and early retirement ages were leveraged as instruments in a fixed-effects instrumental variable approach.</p><p><strong>Results: </strong>We found that retirement exhibited a negative effect on self-rated oral health (β = -0.37; 95% confidence interval (CI) -0.44- -0.30) and a positive effect on the propensity to seek dental care (β = 0.56; 95% CI 0.53-0.60). Male retirees showed a stronger decrease in self-rated oral health and increase in dental services use than female retirees. Participants who previously worked in a physically demanding job showed a stronger effect on self-rated oral health. Conversely, participants without a physically demanding job in the past exhibited a stronger retirement effect on dental service use. Compared with other health system clusters, retirement effects on dental services use were stronger in three health system clusters: Belgium, Denmark, Finland, France, Ireland, Luxembourg, The Netherlands, and Sweden; Israel; and the United States.</p><p><strong>Conclusions: </strong>Using a quasi-experimental design, we found that transition to retirement lowers self-rated oral health and increases the use of dental services. Retirement effects appeared heterogeneous across sexes, type of previous labor, and health systems.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"96-102"},"PeriodicalIF":6.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809145","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":"The achievements and challenges of occupational health research: Looking back and ahead.","authors":"Reiner Rugulies, Alex Burdorf","doi":"10.5271/sjweh.4136","DOIUrl":"10.5271/sjweh.4136","url":null,"abstract":"","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":"50 1","pages":"1-2"},"PeriodicalIF":6.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672560","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":"Fifty years of research in the Scandinavian Journal of Work, Environment & Health.","authors":"Alex Burdorf, Reiner Rugulies","doi":"10.5271/sjweh.4135","DOIUrl":"10.5271/sjweh.4135","url":null,"abstract":"<p><strong>Objective: </strong>The Scandinavian Journal of Work, Environment & Health was launched 50 years ago. In this paper we describe how research topics have changed over time.</p><p><strong>Methods: </strong>A complete list of all 2899 articles in the past 50 years was compiled. Each article was coded for type of exposure, type of health outcome, research design, first author, and country of correspondence address. Count of citations was based on the Scopus database.</p><p><strong>Results: </strong>Overall, the attention for chemical exposure in the first 30 years has shifted towards the psychosocial work environment, shift work, and physical work load. These shifts in exposure are mirrored by increased attention over time for mental disorders and musculoskeletal disorders. Cardiovascular disorders and cancer have been studied consistently over the past 50 years. Researchers from Scandinavian countries have been responsible for about 50% of the Journal's content, while authorship has broadened to about 30 countries in recent years.</p><p><strong>Conclusion: </strong>During the past 50 years, some research topics have consistently remained highly visible in the Journal, whereas other topics have gained or lost interest. In terms of authors' contribution, the Journal has its roots in research from the Nordic countries, but has evolved over time as a truly international periodical with a well-recognized position in research on occupational health.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"3-10"},"PeriodicalIF":6.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10914020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488397","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}
Rúni Bláfoss, Per Aagaard, Thomas Clausen, Lars L Andersen
{"title":"Association of objectively measured lifting load with low-back pain, stress, and fatigue: A prospective cohort study.","authors":"Rúni Bláfoss, Per Aagaard, Thomas Clausen, Lars L Andersen","doi":"10.5271/sjweh.4127","DOIUrl":"10.5271/sjweh.4127","url":null,"abstract":"<p><strong>Objectives: </strong>Limited knowledge exists about the association of lifting loads on a daily basis with physical and mental symptoms among warehouse workers. This study investigated associations between objectively measured lifting load and low-back pain (LBP), mental stress, and bodily fatigue after work and the following morning.</p><p><strong>Methods: </strong>Warehouse workers (N=85) from the retail industry replied to daily questionnaires before and after work for 21 days about LBP intensity, mental stress, and bodily fatigue (outcome, all scales 0-10). We assessed lifting exposure using company records from the warehouse logistic systems on total lifting load (kg) per workday. Associations between variables were tested using linear mixed models with repeated measures controlling for relevant confounders.</p><p><strong>Results: </strong>Mean daily lifting load was 1667.2 kg (range: 0-9998.4 kg). Compared to lifting 0-499 kg during a workday, lifting 500-1999 kg was associated with 0.59 points [95% confidence interval (CI) 0.10-1.08] elevated LBP intensity after work, while lifting ≥5000 showed a higher LBP intensity of 1.26 points (95% CI 0.48-2.03). LBP intensity remained elevated the following morning. Lifting ≥5000 kg was associated with higher mental stress after work of 0.74 points (95% CI 0.10-1.37), while no association was observed for bodily fatigue.</p><p><strong>Conclusions: </strong>Higher daily lifting loads were associated with higher LBP intensity after work and the following morning. These findings suggest that warehouses should consider the daily lifting loads when organizing warehouse work to prevent development of LBP, eg, using company records to provide a more equal distribution of daily lifting loads between workers.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"11-21"},"PeriodicalIF":6.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10917448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485668","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}
P Daniel Patterson, Cassie J Hilditch, Matthew D Weaver, David G L Roach, Tiffany S Okerman, Sarah E Martin, Charity G Patterson, Leonard S Weiss
{"title":"The effect of a night shift nap on post-night shift performance, sleepiness, mood, and first recovery sleep: A randomized crossover trial.","authors":"P Daniel Patterson, Cassie J Hilditch, Matthew D Weaver, David G L Roach, Tiffany S Okerman, Sarah E Martin, Charity G Patterson, Leonard S Weiss","doi":"10.5271/sjweh.4129","DOIUrl":"10.5271/sjweh.4129","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to test the effect of a 30-minute nap versus a 2-hour nap opportunity taken during a simulated night shift on performance, fatigue, sleepiness, mood, and sleep at the end of shift and during post-night shift recovery.</p><p><strong>Methods: </strong>We conducted a randomized crossover trial of three nap conditions (30-minute, 2-hour, and no-nap) during 12-hour simulated night shifts. We tested for differences in performance, fatigue, sleepiness, mood, and sleep during in-lab and at-home recovery. Performance was measured with the Brief Psychomotor Vigilance Test (PVT-B). Subjective ratings were assessed with single-item surveys.</p><p><strong>Results: </strong>Twenty-eight individuals consented to participate [mean age 24.4 (standard deviation 7.2) years; 53.6% female; 85.7% Emergency Medical Services clinicians]. PVT-B false starts at the end of the 12-hour night shift (at 07:00 hours) and at the start of in-lab recovery (08:00 hours) were lower following the 2-hour nap versus other conditions (P<0.05). PVT-B response time at +0 minutes post-recovery nap was poorer compared to pre-recovery nap for the no-nap condition (P=0.003), yet not detected for other nap conditions (P>0.05). Sleepiness, fatigue, and some mood states were lower at most hourly assessments during the in-lab recovery period following the 2-hour nap condition compared to the other conditions. Sleep during recovery did not differ by duration of night shift nap.</p><p><strong>Conclusions: </strong>A 2-hour nap opportunity versus a 30-minute or no-nap opportunity is beneficial for performance, alertness, and mood post-night shift. No differences were detected in sleep during recovery.</p>","PeriodicalId":21528,"journal":{"name":"Scandinavian journal of work, environment & health","volume":" ","pages":"22-27"},"PeriodicalIF":6.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485669","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}