Journal of Occupational Rehabilitation最新文献

{"title":"Work Ability during the Return to Work Process: Results from a Mixed Methods Follow-Up Study Among Employees with Common Mental Disorders.","authors":"Alexandra Sikora, Ralf Stegmann, Ute B Schröder, Inga L Schulz, Uta Wegewitz, Ute Bültmann","doi":"10.1007/s10926-024-10262-3","DOIUrl":"https://doi.org/10.1007/s10926-024-10262-3","url":null,"abstract":"<p><strong>Purpose: </strong>A main goal during the return to work (RTW) process after a long-term sickness absence due to common mental disorders (CMDs), is to restore and maintain employees' work ability to enable their sustained work participation. This study jointly examined employees' work ability ratings and experiences during their RTW process with CMDs.</p><p><strong>Methods: </strong>In a mixed methods follow-up study of N = 286 participants, work ability was quantitatively assessed with the Work Ability Score (WAS, range 0-10) at baseline (week before clinical discharge) and after 6, 12, 18, and 30 months. In a sub-sample, the qualitative work ability experiences of N = 32 participants were analysed at 6 and 12 months, and were jointly evaluated with the quantitative data.</p><p><strong>Results: </strong>The mean WAS increased during the first 18 months of follow-up. Three groups of qualitative work ability experiences emerged: Employees with (1) poor work ability (WAS 0-3), who did not RTW yet and described great difficulties in coping with everyday life, (2) moderate work ability (WAS 4-6), who mainly did RTW, but still showed a certain level of fragility, and (3) good to very good work ability (WAS 7-10), who mainly returned to work and reported many individual and work accommodations to maintain their work ability.</p><p><strong>Conclusion: </strong>The present study provides new insights into different aspects of work ability experiences, especially during the later RTW phases, where restoring and maintaining work ability is essential for a sustained work participation. This knowledge may help RTW stakeholders to better tailor support during the RTW process.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suffering of Common Mental Disorders but Still at Work: A Longitudinal Study During Periods of Differences in Regulations for Having Sick Leave.","authors":"Magnus Helgesson, Klas Gustafsson, Constanze Leineweber","doi":"10.1007/s10926-025-10269-4","DOIUrl":"https://doi.org/10.1007/s10926-025-10269-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to analyse the relationships between work environment characteristics and periods of sick leave (> 14 days) in individuals diagnosed with common mental disorders (CMDs) across 1993-2014. Additionally, the study describes changes in the work environment and sick leave trends over these two periods.</p><p><strong>Methods: </strong>From the Swedish Work Environment Surveys (SWES) 1993-2013, participants with a diagnosis of a CMD up to five years before the interview were drawn (n = 3795). Risk ratios (RRs) of the annual average number of sick leave days one year after the interview in SWES (1993-2014) were calculated for various work environment characteristics, along with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Having flexible working hours (RR 0.65: 0.46-0.91) and having an active job (RR 0.60: 0.41-0.88), that is, high job demands and high job control, were associated with a significantly decreased risk for a spell of sick leave > 14 days after adjusting for interview year, age, sex, and educational level. There was a tendency that also some aspects of job control, i.e. influence over working hours (RR 0.79: 0.62-1.01) and influence over work pace (0.80: 0.62-1.03), were associated with a lower risk of having  > 14 days of sick leave. There was a more substantial effect on these work environment factors in 2009-2013 than 1993-2007.</p><p><strong>Conclusion: </strong>Enabling flexible working hours and influencing work pace and working hours can decrease the risk of sick leave among employees diagnosed with a CMD.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Occupational Rehabilitation for People Living with Long COVID.","authors":"Jessica DeMars, Quentin Durand-Moreau, Erin Branton, Behdin Nowrouzi-Kia, Douglas P Gross","doi":"10.1007/s10926-024-10267-y","DOIUrl":"https://doi.org/10.1007/s10926-024-10267-y","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening Young Adult Cancer Patients for Vocational Rehabilitation Services: A Vocational Rehabilitation Readiness Screening Tool.","authors":"Rhonda Robert, Clark R Andersen, Kathleen M Murphy, Sandra Medina-George, Melissa Scardaville, Sha-Ron Conley, David Farris, Michael Roth, Vinh Nguyen, Lex Frieden","doi":"10.1007/s10926-025-10270-x","DOIUrl":"https://doi.org/10.1007/s10926-025-10270-x","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to develop an online vocational rehabilitation (VR) readiness screening (VRRS) tool for young adults diagnosed with cancer. VR readiness was defined as being physically and cognitively ready to enter or return to work or school.</p><p><strong>Methods: </strong>We developed an initial VRRS tool informed by previous studies, a scoping review to determine such a tool had not already been developed, and consultation with subject matter experts. We iteratively refined the tool on the basis of four rounds of interviews with young adults with cancer. The refined VRRS was then administered online to patients before they attended scheduled clinic appointments. We evaluated the VRRS completion rate; the ability of the online VRRS tool to assess patients' readiness for VR; and the concordance between clinical interview and that of the online VRRS tool, which was determined by using Cohen's κ or a fitting alternative; κ ≥ .61 suggested clinical utility.</p><p><strong>Results: </strong>The proportion of study participants completing the VRRS was 72.3% (136/188, 95% CI [65.4%, 78.6%]) and 69.2% (81/117, 95% CI [60.0%, 77.4%]) of participants who completed a clinical interview also completed the online VRRS tool. All clinical interview determinations and 93.8% (76/81) of online VRRS tool indicated participants' VR readiness. The VRRS-clinical interview agreement rate was 93.8% (95% CI [86.2%, 98.0%]). The prevalence index, bias index, and prevalence- and bias-adjusted κ statistic with 95% CIs were 0.938 [- 0.991, - 0.886], 0.062 [0.009, 0.114], and 0.877 [0.724, 0.959], respectively.</p><p><strong>Conclusion: </strong>The VRRS tool is thus both feasible and effective in this sample of young adults with cancer.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Project ECHO Occupational and Environmental Medicine: A Qualitative Study of HealthCare Providers Supporting Workers with Work-Related Injuries and Illnesses.","authors":"Behdin Nowrouzi-Kia, Leslie Carlin, Andrea D Furlan, Shireen Harbin, Colette N Severin, Emma Irvin, Nancy Carnide, Aaron M S Thompson, Anil Adisesh","doi":"10.1007/s10926-024-10266-z","DOIUrl":"https://doi.org/10.1007/s10926-024-10266-z","url":null,"abstract":"<p><strong>Purpose: </strong>This qualitative study investigated the needs, barriers, and facilitators that affect primary care providers' involvement in supporting patients' stay-at-work and return-to-work following injury or illness. It also aims to understand the lived experiences of primary care providers who participated in the Extension for Community Healthcare Outcomes training program for Occupational and Environmental Medicine (ECHO OEM). By examining both the structural and experiential aspects of the program, this study seeks to provide insights into how ECHO OEM influences providers' approaches to occupational health challenges.</p><p><strong>Methods: </strong>Those who attended ECHO OEM sessions were invited to participate in the research study. Four focus groups and five one-on-one interviews were conducted with healthcare providers participating in ECHO OEM. Audio-recordings were transcribed verbatim and analyzed using an inductive thematic analysis approach. This study was structured according to the COREQ Checklist.</p><p><strong>Results: </strong>We discussed six main themes: (1) Challenges with Engaging with Workers' Compensation Boards; (2) Return to Work practices; (3) Health and Well-Being; (4) Communication is Important; (5) Perspective from the Workplace; and (6) Feedback on ECHO OEM.</p><p><strong>Conclusion: </strong>ECHO OEM sessions contribute to and impact healthcare providers' knowledge of supporting injured or ill workers. Topics that deserve further attention include incorporating comorbid physical and mental health conditions, navigating workers' compensation systems, and supporting specific populations such as military veterans and emergency personnel.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with the Timing of Initial Visit to Healthcare Providers for Injured Workers with Low Back Pain Claims: A Multijurisdiction Retrospective Cohort.","authors":"Tesfaye Hambisa Mekonnen, Grant Russell, Luke R Sheehan, Alex Collie, Michael Di Donato","doi":"10.1007/s10926-025-10268-5","DOIUrl":"https://doi.org/10.1007/s10926-025-10268-5","url":null,"abstract":"<p><strong>Purpose: </strong>Evidence shows that patient outcomes following musculoskeletal injury have been associated with the timing of care. Despite the increasing number of injured workers presenting with low back pain (LBP) in primary care, little is known about the factors that are associated with the timing of initial healthcare provider visits. This study investigated factors that are associated with the timing of initial workers' compensation (WC)-funded care provider visits for LBP claims.</p><p><strong>Methods: </strong>We used a retrospective cohort design. A standardised multi-jurisdiction database of LBP claims with injury dates from July 2011 to June 2015 was analysed. Determinants of the time to initial general practitioner (GPs) and or musculoskeletal (MSK) therapists were investigated using an accelerated failure time model, with a time ratio (TR) > 1 indicating a longer time to initial healthcare provider visit.</p><p><strong>Results: </strong>9088 LBP claims were included. The median time to first healthcare provider visit was 3 days (interquartile range (IQR) 1-9). Compared to General practitioners (GPs) (median 3 days, IQR 1-8), the timing of initial consultation was longer if the first healthcare providers were MSK therapists (median 5 days, IQR 2-14) (p < 0.001). Female workers had a shorter time to first healthcare provider visit [TR = 0.87; 95% CI (0.78, 0.97)] compared to males. It took twice as long to see MSK therapists first as it did to see GPs for injured workers [TR = 2.12; 95% CI (1.88, 2.40)]. Professional workers and those from remote areas also experienced delayed initial healthcare provider visits.</p><p><strong>Conclusions: </strong>The time to initial healthcare provider visit for compensable LBP varied significantly by certain occupational and contextual factors. Further research is needed to investigate the impact of the timing of initial visits to healthcare providers on claim outcomes.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-Related Psychosocial Risk and Protective Factors Influencing Workplace Sickness Absence: A Systematic Literature Review.","authors":"Simona Margheritti, Laurent Corthésy-Blondin, Samantha Vila Masse, Alessia Negrini","doi":"10.1007/s10926-024-10265-0","DOIUrl":"https://doi.org/10.1007/s10926-024-10265-0","url":null,"abstract":"<p><strong>Purpose: </strong>Employee sickness absence (SA) is a significant issue facing organizations and individuals worldwide, leading to multiple negative consequences, such as increased costs, early retirement, decreased productivity, and reduced quality of work. Therefore, within the occupational health and safety (OHS) framework, it is crucial to explore the factors that help workforces stay at work sustainably. This study investigates the role of work-related psychosocial factors (WRPFs) as predictors of SA and suggests proactive measures to prevent its occurrence.</p><p><strong>Methods: </strong>A systematic literature review was conducted within the Job Demands-Resources Model framework. Following the PRISMA Checklist, 1087 articles from PsycINFO, Medline, and Web of Science databases were screened, and 30 longitudinal studies were included.</p><p><strong>Results: </strong>The findings describe SA as a multifaceted phenomenon influenced by risk (e.g., poor quality leadership, bullying, and violence) and protective WRPFs (e.g., developmental opportunities and social support). These factors, spanning contextual, content-related, and relational dimensions, collectively influence workers' SA over time.</p><p><strong>Conclusions: </strong>These insights provide valuable guidance for researchers and OHS stakeholders, supporting the development of research and interventions aimed at preventing SA. This research contributes important knowledge to the field, paving the way for more targeted strategies that address the organizational causes of SA and promote healthier, more productive work environments.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Missing Mobility\": Perspectives of North American Firefighters on the Risks and Causes of Work-Related Shoulder Disorders: A Qualitative Study.","authors":"Temitope A Osifeso, Joy C MacDermid, Dorala A Berinyuy, Pulak Parikh, Kenneth J Faber","doi":"10.1007/s10926-024-10263-2","DOIUrl":"https://doi.org/10.1007/s10926-024-10263-2","url":null,"abstract":"<p><strong>Background: </strong>Firefighters are routinely exposed to significant work-related musculoskeletal disorders (WRMSDs) which can sometimes be career-ending due to the workplace stressors and the physical demands of the job. Shoulder disorders are the third most frequent WRMSDs that cause pain, disability, and morbidity in the general working population. However, little is known about the task-specific causes and risk factors for work-related shoulder disorders (WSDs) among firefighters (FFs).</p><p><strong>Objectives: </strong>To explore the perspectives of FFs who experienced WSDs with respect to the following: (a) risk factors of WSDs; and (b) causative factors for WSDs.</p><p><strong>Methods: </strong>Using an interpretive descriptive methodology, we purposefully sampled for age and occupational diversity. Twelve FFs (males, 8 and females, 4) between 26 and 63 years, who experienced WSDs during their career ranging from 3 to 33 years were recruited. One-on-one interviews based on a semi-structured interview guide were conducted via an online Zoom platform and transcribed verbatim. Transcripts were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>The WSDs reported by FFs included rotator cuff tears, labral tears and muscle sprains or strains. Three themes were identified as risk factors for WSDs: (1) too much or too little shoulder exercises is a risk for shoulder injuries; (2) internal contextual factors can increase the risk of shoulder injurie; and (3) personal factors such as age and sex mediate the risk of shoulder injuries. Three themes were reported by FFs as the causative factors of WSDs: (1) unpredictable hazards in harsh environmental conditions can lead to traumatic shoulder injuries; (2) maneuvering heavy equipment in non-ergonomic positions can lead to shoulder strains; and (3) routine firefighting tasks can lead to gradual onset of shoulder injuries.</p><p><strong>Implications: </strong>Our results emphasized the inter-related and multifaceted nature of the risks and causative factors that increase the risk of traumatic or gradual onset WSDs among FFs. There is a need for a comprehensive prevention and self-management program that addresses fire-specific prevention and treatment program that addresses modifiable environmental, behavioral and personal risks factors.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellbeing and the Lived Experience of Injured Workers Following Finalisation of a Workers' Compensation Claim.","authors":"James Weir, Robyn Fary, Samantha Lee, Tim Mitchell, Venerina Johnston, Mary Wyatt, Robert Guthrie, Bronwyn Myers, Darren Beales","doi":"10.1007/s10926-024-10264-1","DOIUrl":"https://doi.org/10.1007/s10926-024-10264-1","url":null,"abstract":"<p><strong>Purpose: </strong>Workers' compensation claims can negatively affect the wellbeing of injured workers. For some, these negative effects continue beyond finalisation of the workers' compensation claim. It is unclear what factors influence wellbeing following finalisation of a workers' compensation claim. Therefore, the aim of this study was to explore wellbeing through the lived experience of individuals who have finalised a workers' compensation claim in the state of Western Australia.</p><p><strong>Methods: </strong>A qualitative study with individual, in-depth, semi-structured interviews was performed (n = 20, 55% female, average claim length 22.9 months, average time since claim end 33.4 months). Claim finalisation modes included full medical recovery, claim settlement with permanent impairment, direct settlement with the insurer and settlement with the insurer facilitated by a lawyer. The interview schedule was informed by a previous scoping review and cross-sectional survey completed by this research team. Qualitative data were analysed utilising a reflexive, interpretative phenomenological analysis approach.</p><p><strong>Results: </strong>Five superordinate and their associated subordinate themes were identified; (1) The role of support; (2) Stigma and discrimination; (3) A new normal; (4) The importance of information; and (5) Recommended resources.</p><p><strong>Conclusions: </strong>Injured workers experience a range of outcomes related to their wellbeing and employment following the finalisation of their workers' compensation claim. Based on their experiences, resources to facilitate a transition and adjustment to life following a claim have been suggested by injured workers, including information regarding seeking employment, seeking welfare support, educational materials regarding future expectations, and individualised support care packages.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the Perceptions and Lived Experiences of Canadian Injured Workers about the Provision of Physiotherapy Services using Telerehabilitation?","authors":"Anne Hudon, Maxi Miciak, Teri Slade, Stacey Lovo, Jackie L Whittaker, Daniel Côté, Debbie E Feldman, Dahlia Kairy, Marie Laberge, Beverley McKeen, Lynn Cooper, Douglas P Gross","doi":"10.1007/s10926-024-10261-4","DOIUrl":"https://doi.org/10.1007/s10926-024-10261-4","url":null,"abstract":"<p><strong>Purpose: </strong>Despite evidence of efficacy, the effectiveness of telerehabilitation in real-world clinical settings is still largely unknown. Telerehabilitation requires a substantial transformation of the organization and delivery of traditional services. Considering that a virtual setting can create unique challenges for providing physiotherapy services and given the physical and potential hands-on nature of evidence-based assessments and interventions, it is important to investigate what injured workers think of receiving physiotherapy care via telerehabilitation and to examine if rehabilitation needs are adequately met.</p><p><strong>Methods: </strong>A qualitative interpretive description study was conducted to explore the perspectives and experiences of 17 injured workers receiving physiotherapy via telerehabilitation. Data were collected through semi-structured interviews with participants from three provinces in Western Canada and analysed using thematic analysis. Qualitative rigour criteria of epistemological integrity, analytic logic, interpretive authority, and representative credibility were considered throughout this study.</p><p><strong>Results: </strong>Implementation of telerehabilitation during the COVID-19 pandemic resulted in mixed perceptions from injured workers. Some viewed telerehabilitation as a resourceful option for providing services during the pandemic lockdown, resulting in maintained communications while overcoming barriers to services (e.g., rural/remote workers, transportation barriers, etc.). However, many thought telerehabilitation was inferior to in-person therapy for assessment and when 'hands-on' interaction was needed. Many believed a hybrid option may be ideal now that pandemic restrictions are lifted, with telerehabilitation supplementing in-person physiotherapy when needed.</p><p><strong>Conclusions: </strong>Telerehabilitation was viewed as a resourceful option during the pandemic and in certain clinical situations (e.g., rural/remote). Workers should be able to make informed choices about service delivery format.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}