Journal of AgromedicinePub Date : 2025-04-01Epub Date: 2025-01-16DOI: 10.1080/1059924X.2025.2453060
Siri Holen, Ingunn Marie Holmen
{"title":"Occupational Injuries and Fatalities in Norwegian Fish Farming.","authors":"Siri Holen, Ingunn Marie Holmen","doi":"10.1080/1059924X.2025.2453060","DOIUrl":"10.1080/1059924X.2025.2453060","url":null,"abstract":"<p><strong>Objective: </strong>People working in the Norwegian fish farming industry work in a high energy environment, where there are many hazards in the daily work. An important part of mitigating hazardous situations is to keep track of the characteristics of the accidents that have already happened and to learn from these, when planning future work. The objective of this study was to strengthen the knowledge of factors and conditions influencing personnel safety in Norwegian fish farming, based on analyses of registered occupational fatalities and injuries.</p><p><strong>Methods: </strong>We gathered reported injuries and fatalities from vessels and fish farms from three different registries. Two of these are based on mandatory reporting to authorities, and one is a privately maintained registry. The accidents from the three registries are analyzed separately, and different types of characteristics are presented.</p><p><strong>Results: </strong>The results demonstrate that fall and crush/impact are the most common types of accidents both on vessels and fish farms. Other characteristics described are the type of vessels involved and during which type of operations injuries happened. During the last 10 years, fatalities have happened mainly in relation to lifting and maintenance operations. The reported accidents are discussed in relation to the quality of accident reports, the development in the industry towards more specialized and outsourced operations, and it points to some of the major challenges that the industry faces when planning for safe working places and operations.</p><p><strong>Conclusion: </strong>This overview can be used in the fish farming industry as a basis for going into further details about how accident prevention should be planned.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"319-329"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014341","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}
Journal of AgromedicinePub Date : 2025-04-01Epub Date: 2024-11-27DOI: 10.1080/1059924X.2024.2434074
Jeremy M M Turner
{"title":"Small Scale Fisheries and the Challenges of Occupational Safety and Health.","authors":"Jeremy M M Turner","doi":"10.1080/1059924X.2024.2434074","DOIUrl":"10.1080/1059924X.2024.2434074","url":null,"abstract":"","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"198-200"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733924","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}
Journal of AgromedicinePub Date : 2025-04-01Epub Date: 2025-02-09DOI: 10.1080/1059924X.2025.2462300
Ingunn Marie Holmen, Trine Thorvaldsen, Cecilie Salomonsen, Signe Sønvisen
{"title":"Safety and Accidents in Fishing: A Study of Causes and Risk Factors in the Norwegian Fishing Fleet.","authors":"Ingunn Marie Holmen, Trine Thorvaldsen, Cecilie Salomonsen, Signe Sønvisen","doi":"10.1080/1059924X.2025.2462300","DOIUrl":"10.1080/1059924X.2025.2462300","url":null,"abstract":"<p><strong>Objectives: </strong>The Norwegian government declared Vision Zero for serious injuries and fatalities for everyone working at sea in 2022. Occupational accident rates in the Norwegian fishing fleet are higher than those for other maritime industries, and measures must be based on a thorough knowledge of causes. This article aims to provide updated knowledge on causes and risk factors for occupational accidents in the Norwegian fishing fleet.</p><p><strong>Methods: </strong>Three sources of data were used: 1) A database of fatal accidents updated by the research institute SINTEF Ocean and a registry of occupational injuries kept by the Norwegian Maritime Authority, 2) 40 accident investigation reports published by the Norwegian Safety Investigation Authority, and 3) interviews with 12 active fishers and representatives for key stakeholders involved in fishers' safety.</p><p><strong>Results: </strong>Analyses of occupational accidents indicated more than half of fatalities in the period 2000-2022 were due to vessel disasters and fisher overboard events. Most of those involved worked on vessels that were 6-10.99 m in length. Accident investigation reports published in the period 2013-2023 indicate many overboard accidents happened to fishers working alone and were caused by fishers being dragged overboard with equipment, fishers falling overboard, or ropes under tension suddenly snapping. The interviews revealed the fishers and key stakeholders were concerned about accidents. The underlying causes and risk factors they described were technological (vessel, fishing gear, and equipment), organizational (planning and decision-making, competence and training, working hours, and rest), and regulatory (control and inspections, requirements for safety management, and fisheries management and safety). Furthermore, the interviews indicated fisheries management may have a negative influence on safety and working conditions and need be considered to improve fishing safety.</p><p><strong>Conclusion: </strong>Coastal fishers are overrepresented in fatal accidents, while most occupational accidents are reported from sea-going trawlers. Measures should target technological, organizational, and regulatory factors, as well as framework conditions.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"306-318"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383883","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}
Journal of AgromedicinePub Date : 2025-04-01Epub Date: 2025-01-06DOI: 10.1080/1059924X.2025.2450057
Trond Kongsvik, Kristine Størkersen, Trine Thorvaldsen, Siri Holen
{"title":"Between the Devil and the Deep Blue Sea: Work Safety for Contractors in Norwegian Fish Farming.","authors":"Trond Kongsvik, Kristine Størkersen, Trine Thorvaldsen, Siri Holen","doi":"10.1080/1059924X.2025.2450057","DOIUrl":"10.1080/1059924X.2025.2450057","url":null,"abstract":"<p><strong>Objective: </strong>Salmon fish farming has become a major industry in Norway, increasingly dependent on contracted maritime transport and different special services. The aim of the paper was to explore work safety for contractors in Norwegian fish farming. Previous research from other industries illustrates contractors are more susceptible to time and work pressure, have more hazardous jobs, and are more accident-prone, compared to fixed employees. This study investigated whether there are special safety challenges for contractors in Norwegian salmon farming.</p><p><strong>Methods: </strong>The study was based on a digitally distributed questionnaire survey, involving 979 employed by a fish farming company and 304 contractors. Descriptive analyses were performed on how contractors experienced interaction with the fish farming companies. Bivariate analyses (chi-square tests and t-test) were applied to explore differences related to injury and near-accident exposure and efficiency demands.</p><p><strong>Results: </strong>Related to work absence due to work-related injuries during the last 12 months, there was no significant difference between contractors (13,5%) and fixed employees (10,2%). A greater proportion of contractors (69,8%) than fixed employees (62,5%) reported that they had experienced near-accidents during the last 2 years. Of the contractors, 55% considered their work to be undervalued by the fish farming companies, 56% that the companies' efficiency demands led to breaking of procedures, and 66% that lack of cooperation was a threat to safety. A majority trust the companies to prioritize their safety (66%) and agree they can stop an operation if safety is threatened (87%). Compared to fixed employees, contractors reported higher efficiency demands and work pressure that could go at the expense of safety, even if the differences were small.</p><p><strong>Conclusion: </strong>Both contractors and fixed employees report safety challenges, and contractors could be at even more risk. Contractors perform more hazardous work, report flaws in the interaction with fish farming companies, and report higher efficiency demands. The differences are still small/modest, and safety improvement measures should involve all employees. Fish farming companies should be aware of how they influence the framework conditions for contractors.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":"30 2","pages":"263-272"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639829","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}
Journal of AgromedicinePub Date : 2025-04-01Epub Date: 2025-01-10DOI: 10.1080/1059924X.2025.2451625
Julie A Sorensen, Paul Jenkins, Kimberly Gertz, Amanda Roome, Rebecca Weil, Judith Graham, Brian Quinn, Laurel Kincl, Jerry Dzugan, Leigh McCue-Weil
{"title":"Adding Insult to Injury: The Impact of Musculoskeletal Pain on Fishermen's Sleep Patterns.","authors":"Julie A Sorensen, Paul Jenkins, Kimberly Gertz, Amanda Roome, Rebecca Weil, Judith Graham, Brian Quinn, Laurel Kincl, Jerry Dzugan, Leigh McCue-Weil","doi":"10.1080/1059924X.2025.2451625","DOIUrl":"10.1080/1059924X.2025.2451625","url":null,"abstract":"<p><strong>Objectives: </strong>Commercial fishing is one of the most dangerous industries in the United States, and although injuries have been a prominent focus for research, some health and safety risk factors such as sleep are understudied. In this paper, data from a multi-modal research study of sleep patterns, lifestyle factors, occupational exposures, medical histories, and health assessments in four U.S. fisheries are used to explore the connections between pain and sleep.</p><p><strong>Methods: </strong>A mixture of randomized cluster sampling, study promotions, and dockside recruitment was utilized to gather a sufficient number of fishermen in the Alaska Salmon, Oregon Dungeness Crab, Massachusetts Scallop, and Massachusetts Lobster fisheries for the study. Fishermen were surveyed about sleep patterns, occupational exposures, and lifestyle factors. Surveyed fishermen were provided with free comprehensive health assessments by occupational health nurses and physicians or Advanced Practice Providers. Data were collected in REDCap and downloaded into SAS for analysis using a variety of analytic methods.</p><p><strong>Results: </strong>A total of 262 surveys and 162 physical examinations were completed with captains and crew members in the four fisheries targeted for study. The average self-reported consecutive hours of sleep for fisheries workers that spend several days at sea (i.e. Crab, Scallop, and Salmon fisheries) were roughly 3.5 to 4.0 h in a 24-h period. Of particular note, the majority of fishermen, regardless of fishery, suffered from back pain, and roughly 40% of fishermen noted pain and discomfort significantly impede their ability to sleep.</p><p><strong>Conclusions: </strong>This study underscores the connections between musculoskeletal pain and sleep, providing yet further impetus for preventing musculoskeletal injuries among fishermen. Given the ties between existing sleep debt in the industry and the health and safety risks posed by repeated exposure to insufficient sleep, this study highlights the need for the prevention of these injuries and potentially better treatment options for fishermen who suffer from musculoskeletal disorders.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"286-296"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967270","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":"Nationally Connected Network of Trainers Empowers Fishers as Medical First Responders: A Case Study in Collaboration and Capacity Building.","authors":"Ashleigh Palinkas, Amelia M Vaughan, Shannon Eldredge, Leann Cyr, Amanda Gladics","doi":"10.1080/1059924X.2024.2434075","DOIUrl":"10.1080/1059924X.2024.2434075","url":null,"abstract":"<p><p>Immediate access to advanced medical care in the event of an emergency or injury is not equitable across socioeconomic, occupational, and environmental conditions. Research has shown that basic first aid techniques, when standardized and provided to the public, can significantly improve victim survival in a traumatic event. The Fishing First Aid & Safety Training (FFAST) considers these factors to provide accessible, low, or no cost training across coastal regions of the United States that is adapted specifically for commercial fisheries. The foundation for FFAST is rooted in the theory and practice of austere medicine, which is generally practiced where traditional medical infrastructure, resources, or facilities are absent. Austere medicine often requires decision-making with limited information and resources to optimize patient outcome. FFAST curriculum emphasizes regional adaptations to fit specific fishing audiences and hands-on training and skills practice. Training is delivered using in-person instruction by culturally competent instructors, embedded within fishing communities throughout the United States. To enhance training quality and sustain instructor capacity, we have established a nationally connected network of trainers who actively collaborate to build capacity to provide FFAST to the communities in their respective regions. We support the network through regular all-team meetings to exchange knowledge and report outcomes, and inter-regional train-the-trainer coordination so each partner benefits from best practices and lessons learned across the alliance. The collaborative network supports all partners to meet commercial fishing professional's growing demand for FFAST training.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"221-226"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717520","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":"Electrical Hazards on Australian Farms: A Rapid Review of Electrical Perceptions in Agriculture.","authors":"Amity Latham, Megan McCarthy, Olivia Larobina, Jacqueline Cotton","doi":"10.1080/1059924X.2024.2427787","DOIUrl":"10.1080/1059924X.2024.2427787","url":null,"abstract":"<p><strong>Objective: </strong>Electrical hazards on farms are one of the occupational risks that contributes to farm injury and fatality. Whilst electricity accounts for a low number of farm injuries each year, it is disproportionately fatal. The aim of this study is to raise the awareness of electrical safety on farms by providing an overview of the literature that explores the evidence of farmers' perception of electrical risk. The review sought evidence of farmers' efforts to promote electrical safety awareness and uptake of electrocution prevention strategies.</p><p><strong>Method: </strong>A rapid review was performed following the Cochrane Rapid Reviews Method Group and PRISMA guidelines, searching grey and peer-reviewed databases with criteria that included both farming and electrical risk. This resulted in 35 key articles of interest and five themes.</p><p><strong>Results: </strong>The prevalent causes and contributing factors of electrical incidents and near misses on farms is not easily explained. Farmers overlook its presence as one of the hazards on farm, but at the same time the element of danger or threat of electrocution deters farmers from taking unnecessary risks. The data to profile farmers at risk of electrical injury is inadequate however the scope of risk is described through five themes: epidemiology, risk perception, exposure, intervention and prevention.</p><p><strong>Conclusion: </strong>Due to the seriousness of electrical injury, intervention and prevention strategies need to specifically address electrical hazards rather than incorporate electricity as a risk into all of the hazards found on farms. The review recommends future work that engages with Australian farmers and farm workers to better understand their experience of electricity exposures, the risks they are willing to take around overhead powerlines, and their insights into how to make working on farms safer.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"68-79"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631255","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}
Journal of AgromedicinePub Date : 2025-01-01Epub Date: 2024-12-05DOI: 10.1080/1059924X.2025.2435258
Shelly Dee Jepsen
{"title":"Women's Leadership in Agricultural Safety and Health.","authors":"Shelly Dee Jepsen","doi":"10.1080/1059924X.2025.2435258","DOIUrl":"10.1080/1059924X.2025.2435258","url":null,"abstract":"","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"188-190"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787250","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}
Journal of AgromedicinePub Date : 2025-01-01Epub Date: 2024-09-29DOI: 10.1080/1059924X.2024.2407385
Rebecca Wheeler, Caroline Nye
{"title":"The Health and Well-Being of Women in Farming: A Systematic Scoping Review.","authors":"Rebecca Wheeler, Caroline Nye","doi":"10.1080/1059924X.2024.2407385","DOIUrl":"10.1080/1059924X.2024.2407385","url":null,"abstract":"<p><strong>Objectives: </strong>Health and well-being have long been identified as key issues for investigation within agricultural communities. While myriad studies have been conducted to investigate causation, impact, outcomes and interventions among farming populations, the overall emphasis has been disproportionately weighted away from the experiences of women. This systematic scoping review determines the prevalence of topics, identifies the target populations and geographical locations of studies, outlines methodological approaches to the subject area, and summarizes the key findings and conclusions of the available literature.</p><p><strong>Methods: </strong>With the guidance of the Arksey and O'Malley framework for conducting a scoping review, a single database search for publications focusing on the health and well-being of women in farming (including primary farmers, members of farm households, and farmworkers), in the Global North, published between 1990 and 2023, was conducted. Data were organized, thematically coded, critically appraised and analyzed using the systematic review online tool CADIMA.</p><p><strong>Results: </strong>In total, 93 studies met the inclusion criteria for full review. The majority of studies were conducted in the United States, with the number of publications steadily increasing since the 1990s. Of studies, 68% were wholly quantitative in nature, and 23% wholly qualitative. Key findings suggest women are at particular risk from certain illnesses associated with some aspects of agricultural work and face a number of stressors (including gender-specific issues) that can lower well-being, but evidence is scarce in a number of areas. Clear gaps in research exist in relation to reproductive health, caring responsibilities, or help-seeking and support. Women primary farmer and farmworkers are particularly neglected as study cohorts.</p><p><strong>Conclusion: </strong>Numbers of studies related to the health and well-being of women in farming are still relatively small in comparison with the wider body of related literature, and there exists an obvious need for further studies with a specific emphasis on particular cohorts, issues pertaining to the contemporary climate, and issues specific to women, as well as greater geographical reach. By emphasizing such research gaps, opportunities exist to improve the health and well-being situation of women in agriculture through more explicit studies with the intention of developing more effective, targeted solutions.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"132-152"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330859","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}
Journal of AgromedicinePub Date : 2025-01-01Epub Date: 2024-10-23DOI: 10.1080/1059924X.2024.2418818
Jeanne M Ward, John R Blosnich, Cheryl Dean-Witt
{"title":"Concept Analysis: Challenge Coins as a Caring Support Tool to Prevent Farmer Suicide.","authors":"Jeanne M Ward, John R Blosnich, Cheryl Dean-Witt","doi":"10.1080/1059924X.2024.2418818","DOIUrl":"10.1080/1059924X.2024.2418818","url":null,"abstract":"<p><strong>Objectives: </strong>Challenge coins have a history in the military as symbolic tokens of belonging and appreciation. Members of some agricultural communities have recently expressed interest in using a challenge coin as a caring support tool to improve mental health among farmers. The objective of this analysis is to clarify the meaning and use of a challenge coin as an upstream suicide prevention caring support tool in agricultural communities.</p><p><strong>Methods: </strong>A systematic search was performed in Google Scholar, PsycInfo, Sociological Abstracts, Web of Science, and PubMed following PRISMA guidelines, identifying literature available through October 2023. Thirty-five articles were included and analyzed using Rodger's Evolutionary Method for Concept Analysis.</p><p><strong>Results: </strong>The attributes of challenge coins include its material presence (i.e. a medallion with official insignia) and its presentation as a recognition for contributions to society and signifying belonging to a group. The antecedents of the challenge coin were achievement, rank, or proficiency related to a role in public duty and membership in an occupational group facing unique challenges. The consequences were identified as improved morale and pride and fostering belongingness, connectedness, and community. These consequences can lead to the challenge coin serving as a cue for behavior change.</p><p><strong>Discussion: </strong>This concept analysis provides additional understanding of a challenge coin when used as a caring support tool, particularly in agricultural communities. The challenge coin has historically been used in a military or first responder context, but it could be expanded to other service-oriented occupations such as farming.</p><p><strong>Conclusion: </strong>Using a challenge coin for a mental health promotion intervention requires more community-based research to understand its efficacy in agricultural contexts. With the concept of a challenge coin clarified, a next step would be scientific efforts among mental health practitioners and industry leaders to support further development and testing of the challenge coin as a suicide prevention and caring support tool that fosters belongingness and appreciation within agriculture.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"153-164"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511400","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}