Safety and Health at Work最新文献

{"title":"How Resilient are Lucid Motivators? Endeavoring Reforms for Effects of Psycho-social Factors on Workers Health Through Concurrent Engineering","authors":"","doi":"10.1016/j.shaw.2024.05.003","DOIUrl":"10.1016/j.shaw.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p>As the tremendous impact of extreme workloads, arduous working conditions, and disorganization disrupt humane job definitions in some industries, the need for workplace re-articulation was interfered to ameliorate psycho-social factors and suggest organizational intervention strategies. Especially for colossally wounded health-care (HC) systems, today it is now even more unrealizable to retain workforce resilience considering the immense impact of overwhelming working conditions.</p></div><div><h3>Methods</h3><p>This study introduces employment of concurrent engineering tools to re-design humane workplaces annihilating abatement over devoured resources. The study handles HC-workforce resilience in a pioneering motive to introduce transformation of well-known motivators and proposes solutions for retention and resilience issues grounding on HC workers’ own voice.</p></div><div><h3>Results</h3><p>The proposed adjustable approach introduces integral use of focus group studies, SWARA, and QFD methods, and was practiced on a real-world case regarding Turkish HC workforce. The paper also presents widespread effects of findings by tendering generalized psycho-social rehabilitation strategies. Results confirmed the modifications of the most potent incessant motivators.</p></div><div><h3>Conclusion</h3><p>“Burn out issues” and “Challenging work” were found as the most important motivator and satisfier, respectively, to be exigently fulfilled. Corrective interventions, required resolutions, and workplace articulation connotations were arbitrated in terms of entire outcomes on four dimensions in three different planning periods considering the current status, repercussions of pandemic, and contingency of similar catastrophes. Descriptive illustrations were additionally presented to support deducted interpretations.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 327-337"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000350/pdfft?md5=117ba246e1a2a007f4f526a62c9e746b&pid=1-s2.0-S2093791124000350-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031021","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":"Respiratory and Other Hazard Characteristics of Substances in Cleaning Products Used in Healthcare Centres in England and Wales","authors":"","doi":"10.1016/j.shaw.2024.04.007","DOIUrl":"10.1016/j.shaw.2024.04.007","url":null,"abstract":"<div><p>Occupational use of cleaning products can cause asthma in healthcare workers but the cleaning agents responsible are not yet known. This study aimed to identify respiratory and other hazards in cleaning products on the National Health Service (NHS) supply chain online catalogue and used in the NHS. Information on cleaning products, their composition, and H-statements that identified hazard characteristics of chemical substances in them was obtained from chemical safety data sheets (SDSs). Furthermore, a quantitative structure-activity relationship model and a published asthmagen list were used to identify potential additional respiratory hazards. 473 cleaning products and 229 substances were identified. SDSs reported only 4 respiratory sensitizers but an additional 51 were suggested by the other 2 methods. In contrast, 25 respiratory irritants were identified using SDSs and only one from the asthmagen list. This comprehensive overview of cleaning agents' hazards has potential use in future risk assessment and epidemiological studies.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 368-372"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000301/pdfft?md5=9827db64517a577fe28da5d33a6be1e4&pid=1-s2.0-S2093791124000301-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141055198","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":"Association Between Shift Work and Clean Room Environment on Self-reported Premenstrual Symptoms and Menstrual Pain in Taiwan","authors":"","doi":"10.1016/j.shaw.2024.04.006","DOIUrl":"10.1016/j.shaw.2024.04.006","url":null,"abstract":"<div><h3>Background</h3><p>Limited research has delved into the effects of work characteristics on premenstrual symptoms (PMS) in women, which can influence work performance and overlook potential hazards for women in their work environments. This study aimed to investigate the impact of shift work and working in a clean room on premenstrual symptoms, menstrual status, and menstrual pain among employed females in an electronics manufacturer.</p></div><div><h3>Methods</h3><p>A retrospective cohort study was conducted on menstruating female employees between August and December 2014, aged 18–55, who received regular employee health checks. Questionnaires were designed to collect information on demographics, personal lifestyle, menstrual status, menstrual pain scores, and self-reported premenstrual symptoms.</p></div><div><h3>Results</h3><p>Among 7,193 participants, 18.6% reported moderate to severe menstrual pain affecting their work. Female workers who reported shift work showed an increased prevalence of moderate to severe premenstrual symptoms, including fatigue (RR = 1.20), somatic discomforts (RR = 1.04), diarrhea (RR = 1.04), and tension (RR = 1.05). Additionally, shift work was associated with an elevated risk of experiencing a moderate or significant impact of menstrual pain on work (RR = 1.03), menstrual irregularity (RR = 1.30), and high menstrual pain (RR = 1.23). Working in a clean room was associated with an increased risk of high menstrual pain (RR = 1.13). Subjects working shifts in a clean room had the highest pain scores compared to the other groups.</p></div><div><h3>Conclusion</h3><p>This study underscores the association of work-related factors on PMS in female employees. Our findings contribute to a better understanding of premenstrual symptoms in female workers with different work characteristics, emphasizing the potential hazards of work-related factors on female employees.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 278-283"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000295/pdfft?md5=8469afba98d884554675fea20c811872&pid=1-s2.0-S2093791124000295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141062267","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":"Disparities in Workplace Hazards and Organizational Protection Resources by Enterprise Size: A National Representative Study of South Korean Manufacturing Workers","authors":"","doi":"10.1016/j.shaw.2024.06.001","DOIUrl":"10.1016/j.shaw.2024.06.001","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to identify the prevalence of workplace hazards and organizational protection resources according to the size of the enterprise in the manufacturing industry of the Republic of Korea.</p></div><div><h3>Methods</h3><p>We analyzed data of waged workers (weighted <em>N</em> = 5,879) from the Fifth Korean Working Conditions Survey (2017). Enterprise sizes were categorized as “micro enterprises” (less than five employees), “small enterprises” (5–49 employees) and “medium-large enterprises” (50 or more employees). Self-reported exposure to 18 physical, chemical, ergonomic, and psychological hazards were measured. The presence of organizational protection resources such as a labor union, a safety delegate working at the company, designated spaces to deal with safety, and the provision of health and safety information was evaluated.</p></div><div><h3>Results</h3><p>Compared to workers in medium-large enterprises, those in micro enterprises showed a higher proportion of exposure to most of physical, chemical, ergonomic, and psychological hazards, except for exposure to solvents, prolonged sitting, and experiencing a state of emotional unrest. On the other hand, workers in micro enterprises had the lowest proportion of access to organizational protection resources.</p></div><div><h3>Conclusion</h3><p>Our study demonstrates that manufacturing workers at the micro enterprise in the Republic of Korea are exposed to the most hazardous work environment and yet have access to the fewest organizational protection resources.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 284-291"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000404/pdfft?md5=4b6c1dcfa94b0c005760fbe607f79c4c&pid=1-s2.0-S2093791124000404-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141399044","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":"Assessment of Occupational Exposure to Inhalable Aerosols in an Instant Powdered Food Manufacturing Plant in Norway","authors":"","doi":"10.1016/j.shaw.2024.05.001","DOIUrl":"10.1016/j.shaw.2024.05.001","url":null,"abstract":"<div><h3>Background</h3><p>In the food manufacturing industry, exposure to inhalable aerosols contributes to respiratory illnesses such as occupational asthma and rhinitis. However, there is a lack of comprehensive exposure assessment studies. This study evaluated occupational exposure to inhalable aerosols in an instant powdered food manufacturing plant during work operations involving dried food and powders.</p></div><div><h3>Methods</h3><p>In total, 50 workers from an instant powdered food manufacturing plant were recruited. Personal inhalable aerosol exposure measurements were taken for both full-shift and task-based activities. The concentrations of inhalable aerosols were analyzed to identify any variation within and across departments, as well as between seasons, handedness, and sex.</p></div><div><h3>Results</h3><p>In total, 134 personal air samples were collected, and the particulate mass was determined gravimetrically. The concentrations of inhalable aerosols ranged from 0.1 to 27 mg/m³ for full-shift exposure measurements and 3.1 to 73 mg/m³ for task-based measurements. Statistically significant differences in mean aerosol concentrations were found across departments (A:B <em>p</em> &lt; 0.001, A:C <em>p</em> &lt; 0.05, B:C <em>p</em> &lt; 0.001) and between seasons (<em>p</em> &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>This study revealed high exposure to inhalable aerosols among workers, particularly those involved in manual weighing, mixing, and adding powders. The significant differences between departments highlight the specific activities contributing to increased inhalable aerosol concentrations. Seasonal variations were also evident, with autumn showing higher concentrations of inhalable aerosols in all departments compared with summer. These findings emphasize the importance of understanding the distribution of aerosol concentrations across different work tasks and departments, particularly during different seasons.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 360-367"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000337/pdfft?md5=c910dd2c8fc3aa067c35a637fc6e002d&pid=1-s2.0-S2093791124000337-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031156","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":"Prevalence of Workplace Microaggressions and Racial Discrimination: A Systematic Review and Meta-analysis","authors":"","doi":"10.1016/j.shaw.2024.05.002","DOIUrl":"10.1016/j.shaw.2024.05.002","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, the rise of workplace racial discrimination and microaggressions has decreased the efficiency and productivity of organizations and institutions, and realization of organizational goals globally. Accordingly, it was decided to conduct a systematic review and meta-analysis in the present study with the aim of investigating the prevalence of microaggression and racial discrimination in the workplace.</p></div><div><h3>Methods</h3><p>The PubMed, Scopus, Web of Science, ScienceDirect and Google Scholar databases were systematically searched for studies that had reported the effects of work stress among managers. The search did include a lower time limit and was conducted in June 2023. The heterogeneity of the studies was investigated using the <em>I</em>² index, and accordingly random effects method was adopted for meta-analysis. Data analysis was conducted with the Comprehensive Meta-Analysis (v.2) software.</p></div><div><h3>Results</h3><p>In the review of seven studies with a sample size of 2998 people, the overall prevalence of microaggression and racial discrimination in the workplace was found to be 73.6% and 18.8%, respectively. Publication bias within the selected studies was examined with the Egger's test, which indicated the absence of publication bias for the pooled prevalence of workplace microaggression (<em>p</em>: 0.264) and for the pooled prevalence of workplace racial discrimination (<em>p</em>: 0.061).</p></div><div><h3>Conclusion</h3><p>The results obtained from this report indicate the high impact of micro-aggression and racial discrimination in the workplace. Considering the negative effects of such behaviours, the findings from this study will be helpful to managers and health policymakers.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 245-254"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000349/pdfft?md5=0487c5ccd5397ddc271fd5e05e85dead&pid=1-s2.0-S2093791124000349-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141056480","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":"Why do Workers Generate Biased Risk Perceptions? An Analysis of Anchoring Effects and Influential Factors in Workers' Assessment of Unsafe Behavior","authors":"","doi":"10.1016/j.shaw.2024.05.004","DOIUrl":"10.1016/j.shaw.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><p>Risk perception plays a crucial role in workers' unsafe behaviors. However, little research has explored why workers generate biased risk perceptions, namely underestimating or overestimating the risks of unsafe actions. Cognitive biases in risk perception arise from uncertainties about the dangers of unsafe behaviors. As a typical heuristic strategy, the anchoring effect is critical in decision-making under uncertain conditions. Consequently, this study empirically analyzed the influence of anchoring effects on workers' risk perception.</p></div><div><h3>Methods</h3><p>In 2022, a survey was conducted with 1,418 coal mine workers from Shanxi Province, China. The survey instruments assessed workers' risk perception of unsafe behavior, anchoring effects, need for cognition, and safety knowledge. Multivariable linear regression models were employed to analyze the associations among these variables.</p></div><div><h3>Results</h3><p>The findings verified the proposed anchoring effects. Specifically, experimenter-provided high-risk anchors led workers to overestimate unsafe behavior risks, thus reducing their tendency to engage in such behavior. In contrast, experimenter-provided low-risk anchors and accident-injury experiences (self-generated anchors) decreased workers' risk perception, increasing their propensity to engage in unsafe behavior. Additionally, workers' safety knowledge and need for cognition significantly affected anchoring effects.</p></div><div><h3>Conclusion</h3><p>This research enhances workplace safety studies by applying the anchoring effect from psychology to risk perception research. Suggestions for improving risk perception encompass implementing hazard warnings, fostering safety education, and providing training. Furthermore, managers should give special attention to workers with accident-injury experience and promptly correct their accident fluke mentality, thereby improving overall risk awareness.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 300-309"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000362/pdfft?md5=5421e24682214a71d8f51a680e622198&pid=1-s2.0-S2093791124000362-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141530336","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":"Qualitative Study of Multilevel Barriers and Facilitators Associated With Physical Activity and Diet Among Long-haul Truck Drivers","authors":"","doi":"10.1016/j.shaw.2024.04.005","DOIUrl":"10.1016/j.shaw.2024.04.005","url":null,"abstract":"<div><h3>Background</h3><p>Long-haul truck drivers (LHTD) experience disproportionately greater chronic disease risk, which may be influenced by both occupational and lifestyle factors. This study aimed to explore the multilevel factors associated with LHTD's diet and physical activity (PA).</p></div><div><h3>Methods</h3><p>Thirty in-depth interviews were conducted with LHTD in the Southern California border region. Interview questions captured occupational and lifestyle factors relating to PA and diet at multiple levels and were analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Emergent themes relating to both diet and PA included time constraints, attitudes and perceived beliefs, and accessibility of environments to engage in PA and healthy eating. Themes specific to PA were weather conditions and flatbed job duties. Themes specific to diet included access to refrigerators/microwaves and social interactions.</p></div><div><h3>Conclusion</h3><p>Findings from this study can inform the development of tailored, multi-level interventions to encourage PA and healthy dietary behaviors among LHTD.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 263-270"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000283/pdfft?md5=020439aba680063d636db73f457bab84&pid=1-s2.0-S2093791124000283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141136766","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":"Effect of a Safety Leadership Training Including Coaching on Safety Performance and Climate in Wood-processing Companies","authors":"","doi":"10.1016/j.shaw.2024.05.005","DOIUrl":"10.1016/j.shaw.2024.05.005","url":null,"abstract":"<div><h3>Background</h3><p>The wood-processing industry has historically exhibited high rates of occupational hazards resulting in illness and injury. One of the major causes of high injury rates is small firm size, as resource constraints generally preclude hiring safety officers. This study examined the effect of a safety leadership training program that included coaching for managers on workers' safety behaviors and safety climate in three wood-processing companies.</p></div><div><h3>Methods</h3><p>One or two managers at each site participated in this study. The manager training consisted of safety leadership education, safety observation, positive or corrective feedback on workers' behaviors, goal setting, and low-cost rewards for meeting goals. The dependent variable was the percentage of safe employee behaviors recorded on a critical behavior checklist developed for this study. Safety climate was measured before and after the intervention. An AB multiple baseline design across settings was adopted. After the baseline (A), the training program (B) was introduced to each site at different points in time.</p></div><div><h3>Results</h3><p>After the introduction of safety leadership training, the mean rate of safety compliance increased by 15.3%, from 80.38% to 95.68%, and safety climate scores increased significantly from an average of 3.2 to 3.47.</p></div><div><h3>Conclusion</h3><p>These results suggest that safety leadership coaching can be effective in improving safety management in small sawmilling sites. Implications, limitations, and possible future research directions are discussed.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 310-316"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000374/pdfft?md5=35f3890daa21c6e7656781ad76f4fbd4&pid=1-s2.0-S2093791124000374-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145209","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":"Association of Physical Fitness With the Work Ability of Aging Workers With Physically Demanding Jobs in a University Hospital in Thailand","authors":"","doi":"10.1016/j.shaw.2024.06.003","DOIUrl":"10.1016/j.shaw.2024.06.003","url":null,"abstract":"<div><h3>Background</h3><p>A decrease in physical fitness with age can impact work ability. Exploring the role of physical fitness is important for identifying interventions to enhance work ability among aging workers. We sought to determine the association between physical fitness and physically demanding work ability in aging workers.</p></div><div><h3>Methods</h3><p>We recruited workers aged 45–65 years from eight departments of a university hospital in Bangkok, Thailand. Work ability was assessed using the work ability index (WAI), and physical fitness components were evaluated through various tests. Associations between work ability and physical fitness were examined using a multivariable regression analysis.</p></div><div><h3>Results</h3><p>The response rate was 46.4% (<em>n</em> = 216). The mean WAI score was 41.6. Participants with an overweight or obese body mass index (BMI) had 1.8 (95% CI –3.1, –0.4) points lower WAI scores than did those within a healthy BMI range. A handgrip strength test revealed that participants in the good/very good group had 2.5 (95% CI: 0.6, 4.3) higher WAI scores than did those in the very poor/poor group. For a single-leg stance test, participants in the above-average group had 2.1 (95% CI: 0.7, 3.5) points greater WAI scores than did those in the below-average group. No significant associations were found between work ability and 3-min step, chair stand, or sit-and-reach test scores.</p></div><div><h3>Conclusion</h3><p>The overall work ability of the participants was good. Body composition, muscle strength, and balance were associated with work ability. Promoting physical fitness is a viable strategy for enhancing work ability among aging workers.</p></div>","PeriodicalId":56149,"journal":{"name":"Safety and Health at Work","volume":"15 3","pages":"Pages 345-351"},"PeriodicalIF":3.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2093791124000490/pdfft?md5=dfe3f740e2e2ce50c2efb00cec993224&pid=1-s2.0-S2093791124000490-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409046","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}