Journal of Agromedicine最新文献

{"title":"Mental Health Among LGBTQ+ Farmers in the United States.","authors":"Courtney Cuthbertson, Dane Rivas-Koehl, Anisa Codamon, Alyssa Billington, Matthew Rivas-Koehl","doi":"10.1080/1059924X.2024.2368185","DOIUrl":"10.1080/1059924X.2024.2368185","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of the current study is to describe mental health among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people who work in agriculture in the U.S.</p><p><strong>Methods: </strong>This study uses a survey of LGBTQ+ adults who work in agriculture in the U.S. (<i>N</i> = 148), including questions about LGBTQ+ identity, farming background, depression symptoms (PHQ-8) and diagnosis, anxiety symptoms (GAD-7) and diagnosis, suicide risk, and stress. Data were analyzed using SPSS, including descriptive statistics, chi-square tests, and Mann-Whitney U tests.</p><p><strong>Results: </strong>Over one-third (36.1%) had probable depression (PHQ-8 ≥ 10), and 71.9% were experiencing mild to severe depression symptoms. Nearly half (46.2%) had probable anxiety disorder (GAD-7 ≥ 8), and 69.7% experienced mild to severe anxiety symptoms. Over half (51.7%) were at significant risk for suicide. Greater proportions of men had probable anxiety disorder, probable depression, and suicide risk compared to non-men. Greater proportions gay participants had probable depression, as did beef producers. Perceived stress was higher for men, lesbian and gay participants, transgender participants, and those in beef production. Resilient coping was highest among participants who were genderqueer or genderfluid, bisexual, and those in field crop production.</p><p><strong>Conclusion: </strong>LGBTQ+ farmers in the current sample experienced depression and anxiety at higher rates than general farming or general LGBTQ+ samples, although suicide risk was lower than for general LGBTQ+ samples. Future research should explore how working in agriculture may be protective against suicide risk for LGBTQ+ farmers, as well as how specific farm stressors are related to LGBTQ+ farmer mental health.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"583-593"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332259","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":"Creating an Age-Friendly Environment in Farming - The Farmer's Yards Approach.","authors":"Shane Francis Conway, Maura Farrell, John McDonagh, Niamh Nolan","doi":"10.1080/1059924X.2024.2383730","DOIUrl":"10.1080/1059924X.2024.2383730","url":null,"abstract":"<p><p>With demographic trends highlighting an inversion of the farming community age pyramid, with those aged 65 years and over constituting the fastest growing subgroup of the farming population globally, this article highlights a social initiative for older farmers called Farmer's Yards, embodying values, and aspirations pertinent to farmers in their later years, that is helping to create an age-friendly environment in farming in line with World Health Organisation (WHO) guidelines. By providing older farmers with a platform for sustained social engagement and inclusion within the farming community, this social initiative aligns with principles promoting active and healthy aging, thereby contributing positively to their mental health and wellbeing in later life. In doing so, Farmer's Yards is helping to address recent calls by the European Commission for an increased emphasis on the delivery of creative mechanisms that enhance the quality of life of older farmers through social policy. The pilot phase of this social initiative outlined in this article, held in a Livestock Mart (Auction Market) setting in the west of Ireland, demonstrates how Farmer's Yards can strengthen Mart's long-standing position and reputation as centres of social activity within rural areas by helping older farmers maintain legitimate social connectedness, collegiality, and comradeship with their peers in advancing age in their respective regions, and in turn, combat social isolation and loneliness in later life. Recommendations for future research and on the expansion of Farmer's Yards are subsequently outlined.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"717-724"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749419","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":"The Use of Injury and Fatality Narratives to Convey Agricultural Safety and Health Messages and to Develop Effective Resources Through Collaborative, Multi-Disciplinary Approaches (Tell a Story, Save a Life).","authors":"Melissa Ploeckelman, Scott Heiberger, Risto Rautiainen, Anthony Johnson, Devon Charlier, Aaron Yoder, Ellen Duysen","doi":"10.1080/1059924X.2024.2386105","DOIUrl":"10.1080/1059924X.2024.2386105","url":null,"abstract":"<p><strong>Objective: </strong>Storytelling engages audiences, passes down traditions and history, educates, and helps people understand and interpret their environment. Many of those who work in agriculture have been part of the storytelling tradition since childhood. Research has demonstrated the emotional impact of personal stories and how prevention information is conveyed effectively \"farmer to farmer\" through this method of communication.</p><p><strong>Methods: </strong>Since 2016, the Telling the Story Project has provided a space for those directly or indirectly involved in an agricultural incident to share their story and unique perspectives on how similar incidents can be avoided.</p><p><strong>Results: </strong>This collaborative project, developed between the National Institute for Occupational Safety and Health (NIOSH) Agriculture Safety Centers, has resulted in 11 stories on a dedicated website, safety and health resources, and educational guides. The stories and educational guidelines have been marketed extensively through traditional and social media sources, employed in safety training, and embraced by educators in agricultural programs. The website has provided a national and international reach with more than 35,000 visits.</p><p><strong>Conclusion: </strong>Qualitative thematic analysis of the stories provided data on the circumstances leading up to each incident, valuable information on how the storytellers interpreted the aftermath, and a novel perspective on how safety professionals can create messaging that will resonate with the farming community.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"645-652"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001124","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":"Wisconsin Farmers Share Their Stressors and Mental Healthcare Needs Through Focus Groups.","authors":"Heather Schlesser, Jayne Krull, Katie Wantoch, Alana Voss, Stef Morrill, Joy KirkPatrick","doi":"10.1080/1059924X.2024.2384591","DOIUrl":"10.1080/1059924X.2024.2384591","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, the project team was interested in learning from Wisconsin farmers and farm families about: (1) the unique stressors farmers face, (2) the barriers that exist for farmers to seek help for mental and physical health, and (3) coping strategies that could be implemented to help farm families cope with stress.</p><p><strong>Methods: </strong>The project team collected qualitative data utilizing standardized questions during three focus groups held via Zoom. The 10 participants were from various Wisconsin farm enterprises including dairy, beef, and produce farms. Data were coded into five codes: stressors, farmers as a unique subculture, barriers to seeking help, coping strategies, and strategies for addressing barriers to seeking help.</p><p><strong>Results: </strong>Participants emphasized the need for healthcare professionals to better understand farming is more than a job; it is their life. The top stressor was time pressure and the top barrier to seeking care was workload, which make it challenging to get off the farm. Stigma and self-reliance are additional barriers in the farming community. Participants offered strategies to address these barriers, including learning how to effectively communicate with farmers and raising awareness of mental health issues in rural communities.</p><p><strong>Conclusion: </strong>The insights from this study can inform rural healthcare professionals on strategies to better support the mental and physical well-being of farmers and their families in Wisconsin and rural communities in the United States.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"626-635"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753194","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":"Growing Resilience in Tough Times (GRITT): Development and Randomized Trial of a Farmer Mental Health Literacy Intervention.","authors":"Amanda J Holmstrom, Gwyn Shelle","doi":"10.1080/1059924X.2024.2334016","DOIUrl":"10.1080/1059924X.2024.2334016","url":null,"abstract":"<p><strong>Objectives: </strong>Farmers in the United States (U.S.) are exposed to myriad stressors and experience their negative effects, including higher rates of suicide than individuals in some other occupations. However, interventions to address mental health amongst farmers have faced barriers, such as farmers' perceived stigma regarding mental health, time constraints, and geographical isolation. Using text-messaging for intervention delivery may help to address some barriers, as text messages are private, delivered directly to one's phone, and require no travel. Our objective was to develop and assess the feasibility, acceptability, and initial efficacy of a text-messaging mental health literacy intervention tailored to U.S. farmers: Growing Resiliency in Tough Times (GRITT).</p><p><strong>Methods: </strong>U.S. farmers (<i>N</i> = 134) were randomly assigned to an intervention group, who received 12 weeks of text messages regarding mental health literacy, or a control group, who received no treatment. Online pre-test and post-test surveys assessed mental health knowledge, familiarity with relevant mental health resources, self-efficacy to manage stress, and perceived stress. Feasibility was assessed via recruitment and retention data, and intervention group participants completed post-test measures to assess acceptability.</p><p><strong>Results: </strong>Results indicate that intervention group participants were highly satisfied with the intervention and had higher post-test scores on multiple facets of mental health literacy and self-efficacy to manage farm stress than control group participants. The intervention group experienced a significant drop in perceived stress from pre-test to post-test. Participant retention was relatively high (84%). However, recruitment difficulties call into question intervention feasibility.</p><p><strong>Conclusion: </strong>Though the intervention was efficacious in enhancing mental health literacy, improving stress management self-efficacy, and reducing stress, difficulties with participant recruitment indicate the need for continued intervention research in this context.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"392-403"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330261","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":"<i>Demeter</i> - a Risk Mitigation Tool for Agriculture Workers.","authors":"Joshua Martin, Tyler Seward, Dino Mintas, Russell Wanke","doi":"10.1080/1059924X.2024.2326556","DOIUrl":"10.1080/1059924X.2024.2326556","url":null,"abstract":"<p><p>The agriculture industry lacks novel techniques for analyzing risks facing its workers. Although injuries are common in this field, existing datasets and tools are insufficient for risk assessment and mitigation for two primary reasons: they provide neither immediate nor long-term risk mitigation advice, and they do not account for hazards which fluctuate daily. The purpose of <i>Demeter</i> is to collect safety data about hazards on farms and produce risk analysis and mitigation reports. This application uses a combination of formula-based risk calculations and state-of-the-art graph neural networks (GNNs) to perform risk analysis and reduction. The formula-based risk calculations had a mean absolute error (MAE) of 0.2110, and the GNN had an accuracy of 94.9%, a precision of 0.3521, and a recall of 0.8333. <i>Demeter</i> has the potential to reduce the number of injuries and fatalities among agriculture workers by alerting them to risks present in their daily workflow and suggesting safety precautions.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"508-510"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060962","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":"Pre/post-Test Evaluations of Agricultural Biosecurity Curriculum.","authors":"Glen Morris, Shawn Ehlers, Melissa Rudolph, Roger Tormoehlen, William Field","doi":"10.1080/1059924X.2024.2329153","DOIUrl":"10.1080/1059924X.2024.2329153","url":null,"abstract":"<p><strong>Objective: </strong>In this combined study, the efficacy of different educational methods in enhancing students' agricultural biosecurity knowledge, which is vital for public health, food security, and agricultural safety, was assessed.</p><p><strong>Methods: </strong>In-person and virtual learning methods, utilizing educational content developed for the Gearing Up for Safety program, were investigated with 692 total participants. In the in-person learning method, 459 students aged 12-20 received a 50-minute in-person training session using the Gearing Up for Safety lesson on agricultural biosecurity. A 20 question pre- and post-test gauged knowledge gain. In the virtual learning method, 223 students, aged 12-20 received two, 40-minute virtual training sessions using the same content.</p><p><strong>Results: </strong>Results of knowledge gain from the in-person method improved significantly from 55% to 77% (t(458) = -22.37, <i>P</i> < .001). Chi-squared analysis showed 19 out of the 20 questions significantly contributed to learning. Results of knowledge gain from the virtual method also showed a notable knowledge gain increase from 53% to 66% (t(222) = -11.86,  <i>P</i>< .001). However, a chi-squared analysis revealed that only 10 of the 20 questions significantly contributed to learning. In-person learning effectively supported better understanding of general biosecurity.</p><p><strong>Conclusions: </strong>Virtual education improved general understanding but required enhanced focus on topics like vaccination, pest management, and community biosecurity preparation for comprehensive knowledge. Both in-person and virtual learning resulted in an increase in agricultural biosecurity knowledge, with in-person learning exhibiting a higher proportion of significant knowledge gains. These findings emphasize the importance of diverse educational methods in preparing future agricultural workers to ensure safety and health in agricultural settings. Results were used to enhance the curricula content being made available as part of the Gearing Up for Safety program for young and beginning workers.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"384-391"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159370","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":"Falls from Trees in Coastal Karnataka: A Neglected Cause of Polytrauma in Lower-Middle-Income Countries of Similar Agroforestry.","authors":"Freston Marc Sirur, Reem Hunain, Nagaraj Kamath, A S Chethana, Vrinda Lath, Karthik Naik, Prabhakar Sastri","doi":"10.1080/1059924X.2023.2293833","DOIUrl":"10.1080/1059924X.2023.2293833","url":null,"abstract":"<p><strong>Introduction: </strong>Falls are the second most common cause of injury associated with mortality worldwide and an important type of blunt trauma, which forms a significant percentage of traumatic accidents and emergency department admissions. Falling from a tree is an important problem because of its effect on one's health owing to infirmity caused by injuries, most commonly spinal injuries, and the economic burden that accompanies it.</p><p><strong>Methods: </strong>A retrospective chart analysis was performed including all the patients with falls from heights who presented to a tertiary care hospital in South India during the summer months of 2018, 2019, and 2020. A structured case record form was used to capture information such as basic demographics, tree species, reason for climbing the tree, and mode of fall, along with the clinical profile, and outcomes from the cases selected from the emergency department registers and cross verified using ICD codes.</p><p><strong>Results: </strong>Despite the existing lockdown due to COVID, an unusual increase in the number of patients getting admitted to the triage with a fall from tree was noted in the year 2020 compared to 2019 and 2018. The most common type of injuries sustained were spinal injuries. Burst fractures were leading types of fractures in the patients with spinal injury. The second most common type of injuries involved were of extremities, with lower extremities more than upper extremities. Two patients had inhospital mortality within 30 days.</p><p><strong>Conclusions: </strong>Falls from a tree are a neglected and preventable mechanism of trauma with a significant socio-economic impact, as most of the patients are young or middle aged earning members of their families. The burden of this mode of injury is primarily on rural and agricultural communities. Pre-hospital services in areas with vast agroforestry cultivation require dedicated first response clinics. Lockdowns and geographic isolation during disasters or disease outbreaks must also factor in a supply of essential commodities and warrant treatment on an urgent basis to reduce the need and risk of injury from forestry and agricultural activities.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"321-332"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832590","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":"Salivary Cotinine Levels of Hired Latino Youth Tobacco Workers in North Carolina.","authors":"Taylor J Arnold, Sara A Quandt, Thomas A Arcury, Jennifer W Talton, Joanne C Sandberg, Stephanie S Daniel","doi":"10.1080/1059924X.2024.2315934","DOIUrl":"10.1080/1059924X.2024.2315934","url":null,"abstract":"<p><strong>Background: </strong>Limited research has examined the health implications for youth working in United States tobacco production. Agricultural labor is hazardous, yet youth are legally permitted to be hired as farmworkers. Many youth farmworkers are members of the vulnerable Latino farmworker community. In North Carolina, youth work in many agricultural crops including tobacco.</p><p><strong>Methods: </strong>A sample of 152 Latino youth farmworkers ages 12-20 years (<i>M</i> = 16.7, SD = 2.0) across 19 North Carolina counties completed a cross-sectional survey and provided saliva samples in 2019. Surveys detailed personal and work characteristics. Saliva samples were analyzed for salivary cotinine and reported in geometric means (ng/ml). Bivariate associations were used to delineate the relationship between personal and work characteristics with salivary cotinine levels.</p><p><strong>Results: </strong>Cotinine levels ranged from 0.05 to 313.5 ng/ml. Older age and working in tobacco were significantly associated with higher salivary cotinine levels. For every one year increase in age, there was a 31% increase in mean salivary cotinine levels (b = 1.31; 95% CI = [1.15-1.50]; <i>p</i> < .0001). Youth tobacco workers' (<i>n</i> = 15) salivary cotinine levels were 890% higher than those not working in tobacco (<i>n</i> = 137) (13.26, 95% CI = [5.95-29.56] ng/ml compared to 1.34, 95% CI = [1.03-1.75] ng/ml (<i>p</i> < .0001)).</p><p><strong>Conclusions: </strong>Latino youth tobacco workers are exposed to nicotine through their work. This exposure presents serious risk of Green Tobacco Sickness (acute nicotine poisoning) and other health concerns given the growing evidence for risk of epigenetic changes negatively affecting long-term cognitive function. Policy is urgently needed to protect this vulnerable population of adolescent workers.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"499-503"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Risk Assessment of Injuries and Fatalities in the Forestry and Logging Workforce in the United States, 2003-2019.","authors":"Heidi Knecht, Jo Anne G Balanay, Ricky Langley, Robin Tutor Marcom, Stephanie L Richards","doi":"10.1080/1059924X.2024.2325708","DOIUrl":"10.1080/1059924X.2024.2325708","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this study on the forestry and logging workforce are to: 1) Analyze causes of injuries/fatalities to inform future intervention studies focused on risk mitigation, 2) determine whether there are any trends or associations between work-related risk factors and workplace injuries/fatalities over a 16-year period (2003-2019), and 3) identify knowledge gaps related to injuries and fatalities for future studies to address.</p><p><strong>Methods: </strong>Data on fatalities, injuries, and illnesses of the forestry and logging workforce from the United States Bureau of Labor Statistics were analyzed. Correlation analysis (<i>p</i> < .05) was conducted to assess the relationship between causes of forestry and logging workforce fatalities by cause of fatality in the United States. Injury and fatality rates were calculated for each year (fatalities: 2003-2018; injuries: 2005-2019) and time span-specific incidence rates were calculated by cause.</p><p><strong>Results: </strong>Contact with objects and equipment was the primary cause of injuries and fatalities in the forestry and logging workforce during the study period. Transportation-related incidents ranked second as the cause of fatalities, while the category of falls, slips, and trips was the second leading cause of injuries.</p><p><strong>Conclusion: </strong>Gaps in occupational health and safety identified by this study should be collaboratively addressed by researchers and the forestry industry.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"372-383"},"PeriodicalIF":2.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040665","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}