Indian Journal of Occupational and Environmental Medicine最新文献

{"title":"Sports-Related Musculoskeletal Injuries in Medical Students.","authors":"Vishal Singh Champawat, John Ashutosh Santoshi, Anurag Tiwari, Prateek Behera, Rajkumar Selvanayagam, Virendra Kumar Verma","doi":"10.4103/ijoem.ijoem_111_23","DOIUrl":"10.4103/ijoem.ijoem_111_23","url":null,"abstract":"<p><strong>Background: </strong>Little attention is paid to the problem of sports-related injuries in amateur or nonathletes or recreational student athletes. We investigated the prevalence of sports-related musculoskeletal (MSK) injuries in medical students and attempted to identify the risk factors for these injuries.</p><p><strong>Methods: </strong>We conducted a cross-sectional questionnaire-based observational study on medical students of a tertiary care teaching hospital in central India. A total of 500 medical students were approached; the questionnaire consisted of details, such as age, gender, height, weight, predominant sport played or the sport during which they sustained an injury, estimated time spent playing every week, if they had undergone any formal training for the sport, any preexisting MSK condition, details of the injury and the treatment taken, if any, after joining medical school, and duration from getting injured to return to studies and sports. The odds ratio (OR) and logistic regression were calculated for multiple parameters. Statistical significance was set at <i>P</i> ≤ 0.05.</p><p><strong>Results: </strong>Seventy-four of the 402 students who responded reported sustaining a sports-related injury; 33 and 41 students reported injury while playing contact and noncontact sports, respectively. Of these, 58 students reported that they had received formal training in sports. Football, volleyball, cricket, and kabaddi were the sports during which most injuries occurred. The injury rate was 3.7 per 1000 playing or practice hours.</p><p><strong>Conclusions: </strong>Almost one-fifth of the students reported sustaining a sports-related MSK injury after joining medical school. The risk factors identified for these injuries were male gender, participation in team sports, participation in noncontact sports, and lack of adequate preparation or practice.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"65-70"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular Risk Factors and Metabolic Syndrome among Police Officers in Kozhikode Corporation.","authors":"Aparna Padmanabhan, Jayakrishnan Thayyil, G Alan, Siju Kumar","doi":"10.4103/ijoem.ijoem_11_23","DOIUrl":"10.4103/ijoem.ijoem_11_23","url":null,"abstract":"<p><strong>Context: </strong>Police personnel constitute a special occupational group with exposure to stressful work environment indirectly resulting in a high prevalence of cardiovascular risk factors, including metabolic syndrome (MS), hypertension, hyperlipidemia, cigarette smoking, and a sedentary lifestyle is reported among policemen. Surveillance activities are limited in the present scenario.</p><p><strong>Aims: </strong>The present study was designed to measure the prevalence of metabolic syndrome and other cardiovascular risk factors among police officers in Kozhikode district and observe the trend over the last 10 years.</p><p><strong>Settings and design: </strong>The design was cross-sectional and spanned 630 policemen of Kozhikode Corporation in Kerala Methods and Material: Data collection was done using a pre-tested questionnaire. Anthropometric and biochemical measurements were carried out using standard techniques. MS was diagnosed using the National Cholesterol Education Program-Adult Treatment Panel III criteria.</p><p><strong>Statistical analysis used: </strong>Statistical analysis was performed using the SPSS 20.0 software. Prevalence of MS and cardiovascular risk factors were expressed as percentages (95% CI). Associated factors with MS were identified using Chi square test.</p><p><strong>Results: </strong>MS was observed in 45.1% of the study population. Obesity and lack of physical activity were the commonest abnormalities. Cardiovascular risk factors identified were high body mass index (67.3%), lack of physical activity (47.1%), hypertension (16.7%), alcohol use (24.2%), smoking (17.3%) and diabetes (8.8%).</p><p><strong>Conclusions: </strong>There is a rising prevalence (16.8% in 2012 to 45.1% in 2021) of Metabolic Syndrome among policemen in Calicut Corporation. All the cardio vascular risk factors are also highly prevalent among the policemen. Policy makers might seriously take up the issue and introduce effective policies that might help reduce the incidence of MS and other cardio vascular risk factors in the newly recruited young policemen.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"45-48"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emotional Intelligence and Occupational Stress Among Nursing Professionals in Tertiary Care Hospitals of Bangalore: A Multicentric, Cross-Sectional Study.","authors":"Minitta M Regy, Naveen Ramesh","doi":"10.4103/ijoem.ijoem_93_23","DOIUrl":"10.4103/ijoem.ijoem_93_23","url":null,"abstract":"<p><strong>Background: </strong>Nursing profession requires strength and resilience not just physically, but emotionally as well which requires them to adapt in stressful situations that they are often exposed to in their work environment.</p><p><strong>Objective: </strong>To determine the prevalence and associated factors of emotional intelligence (EI) and occupational stress (OS) among the nursing professionals from selected tertiary care hospitals in Bangalore, India.</p><p><strong>Methods: </strong>This was a multi-centric, cross-sectional study done among nurses with more than 1year of work experience and they were randomly selected from four tertiary care hospitals in Bangalore. The EI and OS were assessed using the Emotional intelligence scale (EIS) and Occupational Stress Index (OSI). Data was collected, both online and offline, owing to the ongoing COVID-19 pandemic. The data was analyzed using SPSS v21.0 to calculate the mean, associations, and regression.</p><p><strong>Results: </strong>Out of the total 294, the mean age of the study participants was 27±4.92years. A total of 75 (25.5%) nurses had poor EI and 245 (83.3%) had moderate OSI. None of the participants had high OSI. There was a significant association between the severity grades of EI and OSI (<i>P</i> = 0.010) and a binary logistic regression showed that those staff with high EI had a lesser odd (OR 0.531, 95% CI 0.282-0.999) of developing occupational stress as compared to those with low EI.</p><p><strong>Conclusion: </strong>EI plays a significant role in reversing the effect of one's occupational stress. Thereby, the training curriculum should include skills and measures of resilience to facilitate their EI improvement.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"33-37"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the Adverse Health Effects of Cell Phone Radiation and Propose Solutions to Minimize Them: A Systematic Review.","authors":"Hadis Elyasi, Masoud Ghanbari, Farshad Nadri","doi":"10.4103/ijoem.ijoem_89_23","DOIUrl":"10.4103/ijoem.ijoem_89_23","url":null,"abstract":"<p><p>Today, mobile phones are one of the most common devices emitting electromagnetic radiation and are available to more than seven billion people in different age groups around the world. The effects of electromagnetic radiation on biological systems have been studied for several years. In this systematic review to find relevant articles, international databases such as Google Scholar, PubMed, Scopus, Science Direct, Web of Science, and Cochrane were used since 2007-2022 by selecting appropriate keywords. The result revealed that exposure to cell phone radiation can lead to disturb in the metabolic activity of the cerebellum by increasing the migration of granulosa cells, decrease the water around the fetus in pregnant women, decrease in the number of blood plates, increasing levels of ALT and AST that they are the key biomarkers of liver damage, decrease of phagocytosis and induced apoptosis of neutrophils, changes at the level of glucose and even at the microscopic level of pancreas this may be a predisposing factor for diabetes, increment in tissue temperature in all depth of the brain tissue, EMF increase the volume, weight, and atresia follicles of the ovaries of the children, also it can cause oxidative stress, DNA fragmentation, etc. Mobile phone radiation is harmful and depends on its intensity, frequency, wave type, and exposure duration. It can cause different biological effects in humans. Due to the uncertainty of the results and mechanism of the effect of these waves, research in this field is still ongoing.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"18-22"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Work Stress and Quality of Life Among Bankers in Southwest Nigeria.","authors":"Abolaji P Adekeye, Adetokunbo O Elegbede, Mosunmola F Tunde-Ayinmode","doi":"10.4103/ijoem.ijoem_30_23","DOIUrl":"10.4103/ijoem.ijoem_30_23","url":null,"abstract":"<p><p>Work-related stress is the response people may have when presented with work demands and pressures that are not matched to their knowledge and abilities and challenge their ability to cope. The World Health Organization (WHO) defines quality of life (QOL) as individuals' perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns. This study aimed to determine the pattern of perceived work stress and its impact on the QOL of bankers in Ado-Ekiti, Southwest Nigeria. This was a cross-sectional study conducted among three hundred and two bankers in Ado-Ekiti, Ekiti State. The single-stage study obtained data on the socio-demographics, work history, and medical history of respondents with the socio-demographic questionnaire. The perception of work stress by the respondents was assessed with the Perceived Stress Scale (PSS-10), and the QOL was assessed with the WHO QOL Brief Version (WHOQOL-BREF). Fifty-seven (18.9%) had a low perception of stress, 233 (77.1%) had a moderate perception of stress, and 12 (4.0%) had a high perception of stress. In this study, an association was found between perceived work stress and social relationship domain of QOL. This study showed that there is a high prevalence of moderately perceived work stress among bankers. It also showed a significant association between perceived work stress and QOL.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"77-82"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Occupational Stress on Work Behavior as Perceived by Nurses at Benue State University Teaching Hospital Makurdi.","authors":"Olaolorunpo Olorunfemi, Ogochukwu J Chika","doi":"10.4103/ijoem.ijoem_7_23","DOIUrl":"10.4103/ijoem.ijoem_7_23","url":null,"abstract":"<p><strong>Background: </strong>Every work environment, especially in hospital settings must be conducive, friendly, and stress-free in order to promote quality care and the well-being of healthcare workers, whose job demands are increasing by the day.</p><p><strong>Aims: </strong>The purpose of this study was to determine the perceived effect of occupational stress on work behavior among nurses at Benue State University Teaching Hospital in Makurdi.</p><p><strong>Methods: </strong>From the facility's population of nurses, a quantitative survey randomly chose 150 respondents nurses, for the purpose of gathering information and testing the hypothesis, a well- developed and validated questionnaire was employed to gather data. Using SPSS, the data were descriptively analyzed, and an inferential analysis with a significance level of 5% was performed using Pearson's Chi-square test (0.05).</p><p><strong>Results: </strong>The majority of participants (56.6%) were men with a higher level of education. This study also shows the effect of occupational stress on work behavior as poor work performance 142 (94.7%), counterproductive work behavior 139 (92.7%), increases the incidence of absenteeism 112 (74.7%), high occurrence of medication error 120 (80%), Negative effect on teamwork 98 (65.3%), increases the incidence of Substance use disorders 95 (63.3), and aggressive attitude toward patients during nursing care 137 (91.3). Furthermore, there is a significant association between occupational stress and job satisfaction (x2 = 25.49, df = 8, and p < 0.001), patient safety (x2 = 51.07, df = 8, and <i>P</i> = 0.002), and nurses' attitudes toward their patients (x2 = 86.67, df = 12, and <i>P</i> = 0.012).</p><p><strong>Conclusion: </strong>We discovered that workplace stress can affect how happy nurses are with their jobs and how they behave while providing nursing care. We recommend that hospital administrators implement a plan to create a stress-free working environment for nurses.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"23-26"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sneddon's Syndrome and the Capability to Work: With Regard to a Clinical Case.","authors":"Rui Ribeiro, Nuno Saldanha, Pedro Matos, Vanessa Teófilo, Salomé Moreira, Paulo Pinho, Pedro Norton","doi":"10.4103/ijoem.ijoem_247_23","DOIUrl":"10.4103/ijoem.ijoem_247_23","url":null,"abstract":"<p><p>Sneddon's syndrome is a rare condition characterized by the presence of neurocutaneous lesions, including reticular livedo and an increase in thrombotic risk, and it is associated with a greater risk of cerebrovascular disease. It is diagnosed through a skin biopsy and neurological manifestations. In this study, we present a clinical report of a 39-year-old nurse exposed to shift and night work in an intensive care unit. She was diagnosed with Sneddon's syndrome, whose workplace had to be readapted, considering the complications and restrictions of her condition and aiming her protection and healthcare promotion. Night work can exacerbate cerebral and cardiovascular events due to its impact on metabolism, blood pressure profile, and hormone concentrations. Therefore, given a syndrome characterized by an increased thrombotic risk associated with cerebrovascular events, the restriction of night work is imperative. The occupational physician is responsible for intervening in the workplace and preventing long-term consequences for employees.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"83-85"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Quality and Reliability of Information in YouTube Videos on Occupational Health and Safety.","authors":"Ayşegül Erdoğan, Erhan Kaya, Musa Şahin, Burk Kurt, Rasim Gökmen","doi":"10.4103/ijoem.ijoem_263_23","DOIUrl":"10.4103/ijoem.ijoem_263_23","url":null,"abstract":"<p><strong>Background: </strong>Education is very important to prevent occupational injuries and accidents, which are almost all completely preventable. The aim of this study was to evaluate training videos on this subject on the YouTube platform.</p><p><strong>Methods: </strong>Six search terms related to occupational health and safety (OHS) were scanned on May 31, 2021. After the application of exclusion criteria, a total of 176 videos were included for final analysis using the parameters of country origin, source of the video, content, number of views, comments, likes, dislikes, and video duration. The Global Quality Scale (GQS) and modified DISCERN tools were used to evaluate the quality and reliability of the videos in this analytical cross-sectional study.</p><p><strong>Results: </strong>According to the GQS score, 111 (63.1%) videos were of low quality. Statistically significant differences were found between the low-, moderate-, and high-quality groups with respect to video length, likes, dislikes, comments, likes per day, dislikes per day, comments per day, video category, and the DISCERN scores (<i>P</i> < 0.05). The vast majority of videos contained low-quality information. A large number of videos were uploaded on OHS content from independent users and the USA.</p><p><strong>Conclusion: </strong>There is a clear need for professionals to play a more active role in uploading and sharing high-quality information on Internet platforms on the subject of OHS.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"71-76"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Sanitation Safety Planning in the Usage of Wastewater for Agriculture in Bangalore Urban District, India.","authors":"Nancy A Gnanaselvam, B Ramakrishna Goud","doi":"10.4103/ijoem.ijoem_107_23","DOIUrl":"10.4103/ijoem.ijoem_107_23","url":null,"abstract":"<p><strong>Context: </strong>Due to water scarcity, wastewater is used in agriculture in peri-urban areas.</p><p><strong>Aims and settings: </strong>We aimed to assess the hazards associated with wastewater farming and develop an incremental improvement plan for the sanitation system of wastewater use for agriculture using Sanitation Safety Planning (SSP) in Bangalore urban district, India.</p><p><strong>Methods: </strong>Interviews and observations were conducted among 100 farmers in the Mugalur Gram Panchayat area.</p><p><strong>Results: </strong>Direct ingestion and ingestion after contact with wastewater due to inadequate hand hygiene are the routes of contact with wastewater. The control measures followed in the community are the cultivation of crops, which do not have direct contact with wastewater, furrow and drip irrigation, and restricted irrigation. Methods to mitigate the hazards are the provision of interval between final irrigation and consumption,washing of produce with freshwater before transportation to market, and hygienic cooking.</p><p><strong>Conclusion: </strong>Occupational hazards and risks associated with wastewater farming can be mitigated through the adoption of locally acceptable preventive measures.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"27-32"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Health Seeking Behaviors and Economic Consequences of Morbidity in Indian Construction Workers: A Multicenter Study.","authors":"Soundarya Soundararajan, Ankit Viramgami, Ankit Sheth, Ravichandran Beerappa, Ravibabu Kalahasthi, Raghavan Sampathraju, Dhananjayan Venugopal, Kamalesh Sarkar, Rakesh Balachandar","doi":"10.4103/ijoem.ijoem_63_23","DOIUrl":"10.4103/ijoem.ijoem_63_23","url":null,"abstract":"<p><strong>Background: </strong>Construction laborers succumb to poor health due to the inherent workplace health hazards and poor socio-economic living conditions. With rising healthcare expenses, the increased risk of poor health may aggravate their economic status, pushing them deeper into poverty.</p><p><strong>Settings and design: </strong>The current cross-sectional multicenter study comprehensively investigated the determinants of health, health-seeking behavior, and poor economic impact regarding catastrophic health expenditure (CHE) among construction laborers.</p><p><strong>Methods and material: </strong>We collected details on illnesses among self and family members of the construction laborers that required healthcare visits during the previous year and their approximate expenses. Among the 1110 participants with complete data, 37% reported illness requiring a healthcare visit either for self or a family member.</p><p><strong>Results: </strong>Regression models to ascertain demographic and living condition determinants of perceived illness revealed an increased risk of illness when the kitchen is shared with the living space (OR = 1.87) and use unhygienic smoky cooking fuels (OR = 1.87). More than 25% of those who reported illness incurred CHE.</p><p><strong>Conclusion: </strong>We conclude that the frequency of perceived illness and the economic impact, i.e., CHE is relatively higher among the construction laborers. Our results demonstrate that poor living conditions add to the burden of morbidity in construction workers and families. Providing healthcare coverage for this population and engaging and educating them about affordable healthcare are necessary future steps to prevent the worsening of the economic situation.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"28 1","pages":"49-55"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11111138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}