Annals Of Work Exposures and Health最新文献

{"title":"Systematic review and meta-analysis of the epidemiology of man-made vitreous fibres and respiratory health outcomes.","authors":"Damien M McElvenny, Ireny Iskandar, Sarah Daniels, Matthew Gittins, Martie van Tongeren","doi":"10.1093/annweh/wxaf006","DOIUrl":"https://doi.org/10.1093/annweh/wxaf006","url":null,"abstract":"<p><strong>Objectives: </strong>The generic term man-made vitreous fibres (MMVFs) also known as man-made mineral fibres (MMMFs) denotes non-crystalline, fibrous inorganic material manufactured primarily from glass, rock, minerals, slag, glass, and processed inorganic oxides. The International Agency for Research on Cancer has classified rock (stone) wool, glass wool, and continuous glass filament as Group 3 (not classifiable for carcinogenicity). This study contains an updated systematic review and meta-analysis of respiratory health outcomes and MMMFs.</p><p><strong>Methods: </strong>Cinahl, EMBASE, Medline, Web of Science, and OpenGrey were searched for epidemiological studies of occupational MMMF exposure and malignant and non-malignant respiratory diseases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were adopted for reporting. Meta-analyses were carried out separately for cohort and case-control studies.</p><p><strong>Results: </strong>A total of 25 studies were identified for inclusion in the systematic review, with 19 of these (9 cohort; 10 case-control) providing risk estimates for the meta-analyses. Of the cohort studies, 3 were carried out in Sweden, 2 each in Canada and the United States, one in France, and one several European countries. The start of follow-up ranged from 1933 to 1975. The meta-RR for lung cancer from cohort studies (incidence or mortality) was 1.15 (95% CI: 1.01 to 1.32), for laryngeal cancer was 1.03 (95% CI: 0.78 to 1.37), and for non-malignant respiratory diseases (NMRD) mortality was 0.89 (95% CI: 0.66 to 1.22). Of the case-control studies, 9 examined lung cancer and one laryngeal cancer. Three of the lung cancer studies were carried out in France and one each in Germany, Russia, Canada, and China, with one in several European countries and one was a nested case-control study of several case cohorts from across the globe. The meta-OR for lung cancer from the case-control studies was 1.28 (95% CI: 1.10 to 1.50).</p><p><strong>Conclusions: </strong>Our findings broadly agree with a previously published meta-analysis of respiratory system cancers, in that they were similar in terms of magnitude of relative risk. However, overall, our results suggest that exposure to MMMFs is associated with a small, but statistically significantly elevated risk for lung cancer, but not for laryngeal cancer or NMRDs. Given the heterogeneity between studies, and the possibility of residual confounding, further work is required to determine if this association is causal.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143498111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily noise dose and power tool characterization of steel stud framers on commercial construction sites.","authors":"David Schutt, Tiffany Lipsey, Mike Van Dyke, William J Brazile","doi":"10.1093/annweh/wxaf005","DOIUrl":"https://doi.org/10.1093/annweh/wxaf005","url":null,"abstract":"<p><p>The construction industry is well-documented as having numerous sources of hazardous noise on the job. Framers who cut and install steel studs on commercial construction sites use a variety of power tools throughout the course of their normal workday and have the potential to be exposed to levels of noise that can lead to occupational noise-induced hearing loss. This study assessed the noise dose of commercial steel stud framers and characterized the noise of common power tools that contribute to their daily noise dose. Occupational exposure limits exist in both required and recommended forms to protect workers; however, large differences in the level of worker protection are apparent between the mandated Occupational Safety and Health Administration (OSHA) permissible exposure limit (PEL) and the voluntary National Institute for Occupational Safety and Health (NIOSH) recommended exposure limit (REL) for noise exposure. Steel stud framers in this study had a mean OSHA PEL dose of 27.6% and a mean NIOSH REL dose of 340.7% for the same workers. As a comparison, ambient equivalent noise doses at the construction site were 1.4% for PEL criteria and 12.4% for REL criteria. Of task assignments during the workday, workers who were assigned primarily as saw operators had statistically significant higher noise exposures than workers who were assigned as stud installers (P = 0.037). Octave band analysis was conducted for full-day exposures and indicated an upward trend of higher noise exposures at higher frequencies. Overall, among all steel stud framers involved in this study, all workers had noise doses below the OSHA PEL (range 5.8% to 61.4%), and all but 2 workers (n = 35) had noise doses above the NIOSH REL (range 63.9% to 823.2%), indicating exposure to hazardous levels of noise based on more protective RELs.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High levels of heat stress among sugarcane workers in Thailand.","authors":"Tadpong Tantipanjaporn, Andrew Povey, Holly A Shiels, Martie van Tongeren","doi":"10.1093/annweh/wxaf002","DOIUrl":"https://doi.org/10.1093/annweh/wxaf002","url":null,"abstract":"<p><strong>Objectives: </strong>With continued global warming, the effects of elevated temperatures on the health of agricultural workers are a particular concern. This study characterized the levels of heat stress in Thai sugarcane workers and investigated whether season and harvesting method were associated with it.</p><p><strong>Methods: </strong>Three hundred sugarcane workers in Nakhon Sawan Province, Thailand, were recruited, and information on demographics, working conditions, and clothing characteristics was collected from participants during the cooler months (n = 152 participants, mid-January to mid-February) and hotter month (n = 148, March). Heat stress was measured using the Wet Bulb Globe Temperature (WBGT) index, and the WBGT instruments were operated for a full work shift in the sugarcane fields where the participants worked. One-hour time weighted average (TWA) effective WBGT (WBGTeff-1hrTWA) estimates were determined for different times of the day based on the measured WBGT and clothing adjustment factor.</p><p><strong>Results: </strong>The average WBGTeff-1hrTWA in the cooler months ranged from 22.5 °C during the early morning to 31.3 °C during the hottest time of the day, and for the hotter month, it ranged from 25.4 °C to 33.9 °C, respectively. The measured WBGT, natural wet-bulb temperature (Tnwb), dry-bulb temperature (Tdb), globe temperature (Tg), air velocity (Av), and absolute water vapor pressure (ea) were all statistically significantly higher in the hotter month than in the cooler months. Harvesting during the hotter month and harvesting burnt sugarcane were significantly associated with increased effective WBGT. The harvesters' heat stress in both seasons exceeded the American Conference of Governmental Industrial Hygienists - Threshold limit value for 72.7% of the working time in the cooler months and 90.9% in the hotter month.</p><p><strong>Conclusions: </strong>The heat stress in Thai sugarcane workers was high in both seasons, particularly in the hotter month and when harvesting burnt sugarcane. This results in a very high risk of developing heat-related health effects, and measures are needed to reduce heat stress. Heat stress in agricultural and other outdoor work in tropical climates is an immediate and growing problem.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143122078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The leadup to the artificial stone ban in Australia.","authors":"Deborah C Glass, Ryan F Hoy","doi":"10.1093/annweh/wxae085","DOIUrl":"10.1093/annweh/wxae085","url":null,"abstract":"","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"1-4"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of hand-arm vibration (HAV) exposure among groundskeepers in the southeastern United States.","authors":"Nathan Chen, Seunghyeon Yang, Jonghwa Oh","doi":"10.1093/annweh/wxae079","DOIUrl":"10.1093/annweh/wxae079","url":null,"abstract":"<p><strong>Objective: </strong>The objectives of this study were to evaluate daily hand-arm vibration (HAV) exposure among groundskeepers, characterize power tools used, and estimate lifetime cumulative HAV exposure dose.</p><p><strong>Methods: </strong>Seventeen groundskeepers and ten office workers employed at two US southeasterrn institutions were recruited as a target exposure group and a reference group, respectively. A 6-d exposure assessment of HAV was scheduled, and vibration dosimeters were used to obtain daily vibration exposure value, A(8). Information on power tools used and corresponding operation duration was recorded to assign the real-time vibration data collected from the dosimeters for tool characterization in terms of vibration total value (ahv) and frequency. Lifetime cumulative exposure dose, ahv-lifetime, was determined using ahv for all tools used and lifetime exposure duration obtained through a questionnaire.</p><p><strong>Results: </strong>The individual groundskeepers' average A(8) ranged from 0.8 to 2.6 and from 1.0 to 2.6 m/s2 for the right hand and left hands, respectively. Among 11 power tools used by the groundskeepers, grass trimmers contributed the most to the vibration exposure. The average ahv of the individual tools ranged from 8.0 (chainsaws) to 1.9 m/s2 (seating mowers and handheld blowers) for the right hand and from 6.4 (push mowers) to 1.4 m/s2 (backpack blowers) for the left hand. The highest acceleration peak of grass trimmers, edgers, backpack blowers, pole saws, riding blowers, and hedgers was observed between 100 and 200 Hz while riding mowers, seating mowers, push mowers, and chainsaws showed the highest acceleration peak at lower frequencies (≤63.5 Hz). The groundskeepers' average ahv-lifetime was 76,520.6 and 61,955.5 h m/s2 for the right and left hands, respectively. The average ahv-lifetime of office workers was 2,306.2 and 2,205.8 h m/s2 for the right and left hands, respectively, which was attributed to personal hobby activities.</p><p><strong>Conclusion: </strong>Three groundskeepers' average A(8) reached 2.5 m/s2, the Action Limit recommended by the American Conference of Governmental Industrial Hygienists (ACGIH). The highest contribution to the vibration exposure was observed during grass trimmer operations with a major acceleration peak at 100 Hz. The groundskeepers' ahv-lifetime was 33 and 28 times higher for the right and left hands, respectively, than the office workers.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"81-95"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing SARS-CoV-2 transmission risk in workplace COVID-19 outbreaks. Correspondence.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1093/annweh/wxae086","DOIUrl":"10.1093/annweh/wxae086","url":null,"abstract":"","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"114-115"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational exposure to aerosols in two French airports: multi-year lung function changes.","authors":"Léa Touri, Adeline Tarantini, Carey Suehs, Erika Nogué, Caroline Marie-Desvergne, Muriel Dubosson, Ambre Dauba, Jean-Luc Ravanat, Véronique Chamel, Michel Klerlein, Sébastien Artous, Dominique Locatelli, Sébastien Jacquinot, Pascal Chanez, Isabelle Vachier, Nicolas Molinari","doi":"10.1093/annweh/wxae087","DOIUrl":"10.1093/annweh/wxae087","url":null,"abstract":"<p><p>As differential exposure to airport-generated aerosols may affect employee lung function, the main objective of this study was to longitudinally evaluate spirometry measures among Air France employees. In addition, an exploratory exposure assessment to airport aerosol was performed in a small cohort of workers using personal monitoring devices. Change in lung function over a ~6.6-yr period was documented for office workers (n = 68) and mechanics (n = 83) at Paris-Roissy airport, France and terminal (n = 29), or apron (n = 35) workers at Marseille airport, France. Overall, an excessive decline in lung function was found for 24.75% of airport workers; excessive decline occurred more often for terminal workers (44.83%) as compared to mechanics (14.47%; P = 0.0056), with a similar tendency for apron workers (35.29%) as compared to mechanics (P = 0.0785). Statistically significant differences/tendencies were detected among the yearly rates of change for %-predicted values of forced expiratory volume in 1 s, forced vital capacity, peak expiratory flow, and from 25% to 75% forced expiratory flow. For the latter variables, the terminal and/or apron workers at Marseille generally had significantly faster lung function decline as compared to office workers and/or mechanics in Paris, although the latter were exposed to a higher level of elemental carbon. No relation between lung function decline and exposure to airport tarmac environments was evidenced. Multivariate exploration of individual variables representing sex, smoking, atopy, respiratory disease, residential PM2.5 pollution, the peak size of particles in lung exhalates or exhaled carbon monoxide at the time of follow-up failed to explain the observed differences. In conclusion, this study documents the first evidence of excessive lung function decline among certain airport workers in France, although the identification of emission sources (environmental factors, aircraft exhaust, etc) remains challenging.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"17-33"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142708963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of SARS-CoV-2 infection in healthcare workers with insufficient use of personal protective equipment in Denmark.","authors":"Ane Berger Bungum, Sandra Søgaard Tøttenborg, Luise Mølenberg Begtrup, Kajsa Ugelvig Petersen, Maja Søndergård Worm, Jens Peter Bonde, Annett Dalbøge, Martin Byskov Kinnerup, Else Toft Würtz, Henrik Albert Kolstad, Vivi Schlünssen, Christine Cramer, Karin Biering, Kent Jacob Nielsen, Esben Meulengracht Flachs","doi":"10.1093/annweh/wxae075","DOIUrl":"10.1093/annweh/wxae075","url":null,"abstract":"<p><strong>Aim: </strong>The aim was to evaluate the role of insufficient use of personal protective equipment (PPE) in SARS-CoV-2 transmission risk for healthcare workers (HCW) during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Prospective study within the COBRA cohort, including 15,127 HCW. Daily assessment of insufficient use of PPE, defined as self-reported PPE failure or noncompliance, in relation to SARS-CoV-2 infection ascertained by polymerase chain reaction (PCR) test. Statistical analysis involved calculating incidence rate ratios with 95% confidence intervals (CI).</p><p><strong>Results: </strong>The included HCW contributed to 780,515 risk days including 67,723 d (8.7%) with insufficient PPE use and 133 events (positive PCR test). Self-reported insufficient use of PPE was slightly associated with infection with COVID-19 in HCW, but the data were statistically consistent with parameter values ranging from a protective effect to a to a doubling in risk (IRR 1.3, 95% CI 0.8; 2.3). Sensitivity analyses restricted to high-risk departments and to a period with a sufficient supply of PPE and a fully developed testing system, respectively, confirmed these findings.</p><p><strong>Conclusion: </strong>Insufficient use of PPE among HCW during the pandemic in Denmark was uncommon but associated with a slightly increased risk of COVID-19 among HCW. However, the findings are uncertain due to the limited number of cases and the potential for misclassification bias stemming from the self-reported nature of the exposure.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"96-103"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring improvements in occupational health and safety in the artificial stone benchtop industry.","authors":"Fiona Hore-Lacy, Stella May Gwini, Christina Dimitriadis, Javier Jimenez-Martin, Ryan F Hoy, Jane Fisher, Malcolm R Sim, Karen Walker-Bone, Deborah C Glass","doi":"10.1093/annweh/wxae084","DOIUrl":"10.1093/annweh/wxae084","url":null,"abstract":"<p><strong>Objectives: </strong>Workers in the stone benchtop industry in Australia are at high risk of silicosis due to exposure to respirable crystalline silica (RCS) from the dry processing of artificial stone. In Victoria, Australia, a multifaceted response including education, regulatory changes, inspection site visits, and occupational health screening programme began in 2019. We aimed to review the success of this approach to safety practices in the industry.</p><p><strong>Methods: </strong>Data were available from 2 sources: first, responses provided by workers during their occupational health screening (2019 to 2024), which included a systematic occupational history. Jobs examined included roles in the stone benchtop industry with RCS exposure and were analysed in relation to reported safety practices pre and postregulatory changes in August 2019, which prohibited unrestricted dry cutting. Second, data were obtained from the Regulator describing the numbers of visits to industry worksites and the numbers and types of compliance notices issued between 2018 and 2024.</p><p><strong>Results: </strong>In total, 1921 jobs from 1007 workers were eligible for analysis, of which 869 were prior to the 2019 regulatory change and 557 commenced after. The proportion of workers reporting \"never\" dry cutting rose from 17.3% to 67.2% (P < 0.001), use of recommended ventilation and respirator increased from 26.0% to 36.5% (P < 0.001), and 44.9% to 86.5% (P < 0.001), respectively. Of the 543 worksites visited (2757 site visits in total), 352 (64.8%) received at least one compliance notice and the types of notices varied over time. Administrative controls/housekeeping and health monitoring notices were the most common in 2019 to 2021 but tools/equipment notices increased substantially in 2022 onwards.</p><p><strong>Discussion: </strong>Prior to the changes, a large proportion of jobs involved unrestricted dry processing of artificial stone with inadequate protection. After the changes, practices improved although some jobs continued to involve dry processing without adequate control of dust.</p><p><strong>Conclusions: </strong>This multifaceted approach vastly improved safety practices in the stone benchtop industry over 5 years. These data are relevant to occupational health and safety professionals and regulators in countries where artificial stone is used and potentially for implementation of new measures in response to a new workplace hazard in future.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"5-16"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142725071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desorption efficiency and holding capacity of acid-treated filters for nicotine sampling in vape shops.","authors":"Toluwanimi M Oni, Sanjeewa Gamagedara, Evan L Floyd","doi":"10.1093/annweh/wxae080","DOIUrl":"10.1093/annweh/wxae080","url":null,"abstract":"<p><p>Efficient sampling materials are essential for assessing nicotine levels in vape shops and other settings where nicotine exposures may exist. Two different treatments of Whatman glass fiber type A (GF/A) filters (sodium bisulfate treated and citric acid treated) were evaluated for nicotine capture, desorption efficiency, and holding capacity using Gas Chromatography-Mass Spectrometry (GC-MS). The Filters were treated with 0.8 mL of 0.1 M sodium bisulfate or citric acid solution and oven-dried (80 °C) for 30 min. Nicotine was desorbed off the filters using a modified analytical method. The average nicotine desorption efficiency for sodium bisulfate-treated GF/A filters (98.4%) was significantly higher than that of citric acid-treated GF/A filters (60.9%) over a range of 1-100 µg nicotine. Sodium bisulfate-treated and citric acid-treated GF/A filters experienced a 10% nicotine breakthrough after being dosed with about 550 and 2,750 µg of nicotine, respectively compared to 75 µg for untreated GF/A filters. Citric acid-treated GF/A filters had a much greater nicotine-holding capacity, but nicotine desorption from citric acid-treated GF/A filters was below the recommended criteria. Therefore, we recommend that sodium bisulfate-treated GF/A filters are employed for sample of nicotine with the GC-MS method.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"104-108"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}