Pub Date : 2018-09-27DOI: 10.1080/14773996.2018.1465264
A. Kosny, M. Lifshen, E. MacEachen, A. Furlan, M. Koehoorn, D. Beaton, Juliette E Cooper, B. Neis
Abstract Physicians can struggle in managing return to work (RTW) consultations and facilitating a patient’s return to employment after the injury. As part of an exploration into the role of physicians in RTW, we examined resources, policies and guidelines developed for physicians. We identified resources developed by workers’ compensation boards, government bodies and other organizations across Canada. Materials were categorized by resource type, content and jurisdiction. A content analysis focused on key messages and discourse about what is expected of physicians and how they are instructed to behave as part of the workers’ compensation process. Analysis was informed by key issues identified in the critical qualitative RTW literature and involved the consideration of gaps, contradictions and ’silences’ in the data. While physicians are urged to encourage RTW, few resources explain how the workers’ compensation system operates and their role within it. There is a dearth of resources that address complex conditions and difficulties physicians may encounter while treating patients with compensable injuries. These gaps may hinder physicians’ understanding of their roles and responsibilities and delay workers’ RTW after injury. There is a need for resources aimed at physicians that clearly discuss their role and how to deal with complex conditions and RTW difficulties.
{"title":"What are physicians told about their role in return to work and workers’ compensation systems? An analysis of Canadian resources","authors":"A. Kosny, M. Lifshen, E. MacEachen, A. Furlan, M. Koehoorn, D. Beaton, Juliette E Cooper, B. Neis","doi":"10.1080/14773996.2018.1465264","DOIUrl":"https://doi.org/10.1080/14773996.2018.1465264","url":null,"abstract":"Abstract Physicians can struggle in managing return to work (RTW) consultations and facilitating a patient’s return to employment after the injury. As part of an exploration into the role of physicians in RTW, we examined resources, policies and guidelines developed for physicians. We identified resources developed by workers’ compensation boards, government bodies and other organizations across Canada. Materials were categorized by resource type, content and jurisdiction. A content analysis focused on key messages and discourse about what is expected of physicians and how they are instructed to behave as part of the workers’ compensation process. Analysis was informed by key issues identified in the critical qualitative RTW literature and involved the consideration of gaps, contradictions and ’silences’ in the data. While physicians are urged to encourage RTW, few resources explain how the workers’ compensation system operates and their role within it. There is a dearth of resources that address complex conditions and difficulties physicians may encounter while treating patients with compensable injuries. These gaps may hinder physicians’ understanding of their roles and responsibilities and delay workers’ RTW after injury. There is a need for resources aimed at physicians that clearly discuss their role and how to deal with complex conditions and RTW difficulties.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1465264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41664846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/14773996.2018.1491146
David Thomas, B. Hare, I. Cameron
Abstract This paper reports on a study undertaken to identify levels of MSD in relation to methods of waste collection. The need to quantify and eliminate ill health arising out of work is vital to reduce workplace absence leading to debate on associated relationships between the methods of waste collection and musculoskeletal disorders (MSDs). Body mapping is a participatory research tool that has been successfully used to investigate workplace ill health problems. Participatory body mapping exercises were carried out using staff at a UK District Council 2 years before and after the move from boxes and baskets to a wheeled bin recycling service. The study introduces the concept of Average Pain Count (APC). The data support previous studies showing that wheeled bin-based services (APC 2.07 & 2.80) are associated with less MSD outcomes than services including boxes, baskets and sacks (APC 4.02). The surveys provided compelling evidence to suggest that there are associations between age and self-reported pain, although there appeared to be no patterns with regard to length of service. These findings should help Local Authorities better understand critical factors regarding waste collection strategies and self-reported pain. There are recommendations regarding the use of body mapping and for industry practice.
{"title":"Using body mapping as part of the risk assessment process – a case study","authors":"David Thomas, B. Hare, I. Cameron","doi":"10.1080/14773996.2018.1491146","DOIUrl":"https://doi.org/10.1080/14773996.2018.1491146","url":null,"abstract":"Abstract This paper reports on a study undertaken to identify levels of MSD in relation to methods of waste collection. The need to quantify and eliminate ill health arising out of work is vital to reduce workplace absence leading to debate on associated relationships between the methods of waste collection and musculoskeletal disorders (MSDs). Body mapping is a participatory research tool that has been successfully used to investigate workplace ill health problems. Participatory body mapping exercises were carried out using staff at a UK District Council 2 years before and after the move from boxes and baskets to a wheeled bin recycling service. The study introduces the concept of Average Pain Count (APC). The data support previous studies showing that wheeled bin-based services (APC 2.07 & 2.80) are associated with less MSD outcomes than services including boxes, baskets and sacks (APC 4.02). The surveys provided compelling evidence to suggest that there are associations between age and self-reported pain, although there appeared to be no patterns with regard to length of service. These findings should help Local Authorities better understand critical factors regarding waste collection strategies and self-reported pain. There are recommendations regarding the use of body mapping and for industry practice.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1491146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42567887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/14773996.2018.1514721
P. Waterson
{"title":"Weighing up the evidence","authors":"P. Waterson","doi":"10.1080/14773996.2018.1514721","DOIUrl":"https://doi.org/10.1080/14773996.2018.1514721","url":null,"abstract":"","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1514721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47401969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/14773996.2018.1491147
A. Rae, D. Provan, D. Weber, S. Dekker
Abstract In this paper, we provide a description of a previously unlabelled and under-theorised problem in safety management – ‘safety clutter’. Safety clutter is the accumulation of safety procedures, documents, roles, and activities that are performed in the name of safety, but do not contribute to the safety of operations. Safety clutter is a problem because of the opportunity cost of ineffective activity, because clutter results in cynicism and ‘surface compliance,’ and because clutter can hamper innovation and get in the way of getting work done. We identify three main mechanisms that generate clutter: duplication, generalization, and over-specification of safety activities. These mechanisms in turn are driven by asymmetry between the ease and the opportunity of adding or expanding safety activities, and the difficulty and lack of opportunity for reducing or removing safety activities. At the end of the paper, we provide some concrete suggestions for reducing safety clutter, based on our analysis of the problem.
{"title":"Safety clutter: the accumulation and persistence of ‘safety’ work that does not contribute to operational safety","authors":"A. Rae, D. Provan, D. Weber, S. Dekker","doi":"10.1080/14773996.2018.1491147","DOIUrl":"https://doi.org/10.1080/14773996.2018.1491147","url":null,"abstract":"Abstract In this paper, we provide a description of a previously unlabelled and under-theorised problem in safety management – ‘safety clutter’. Safety clutter is the accumulation of safety procedures, documents, roles, and activities that are performed in the name of safety, but do not contribute to the safety of operations. Safety clutter is a problem because of the opportunity cost of ineffective activity, because clutter results in cynicism and ‘surface compliance,’ and because clutter can hamper innovation and get in the way of getting work done. We identify three main mechanisms that generate clutter: duplication, generalization, and over-specification of safety activities. These mechanisms in turn are driven by asymmetry between the ease and the opportunity of adding or expanding safety activities, and the difficulty and lack of opportunity for reducing or removing safety activities. At the end of the paper, we provide some concrete suggestions for reducing safety clutter, based on our analysis of the problem.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1491147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48130770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-03DOI: 10.1080/14773996.2018.1492239
H. Moda, H. Sawyerr, A. Clayson
Abstract Asbestos is a naturally occurring silicate with six varieties from two groups of minerals serpentine (chrysotile) and five amphiboles (amosite, crocidolite, tremolite, anthrophyllite and actinolite) with chrysotile widely used form. Asbestos-containing materials (ACM) use in Nigeria from 1970 to 2000 was 1,091,370 tons. Its demand peak coincided with landmark edifices construction in the country that include FESTAC Village and the National Theatre Iganmu. The inward low-cost housing construction investment policy in urban areas in the 1970–1980s ensured demand for ACM was consistent. Given the widespread use of ACM and non-availability of national data on workers exposure, the problem posed is unlimited. Poor implementation of asbestos regulation and industry codes of practices contributed to inadequate risk management regime. Desktop survey on ACM demand revealed the product continual use, but goes unreported. Low cost of ACMs and the absence of strong regulation to enforce a ban in the industry are critical factors in their proliferation. Lack of official record for asbestos mortality or morbidity rates and the non-existence of reliable mechanism to enforce its ban present serious health risk among construction workers. This call for national asbestos exposure survey to ascertain the extent of the problem within the construction industry.
{"title":"What will go wrong has gone wrong: asbestos exposure risk among construction workers in Nigeria","authors":"H. Moda, H. Sawyerr, A. Clayson","doi":"10.1080/14773996.2018.1492239","DOIUrl":"https://doi.org/10.1080/14773996.2018.1492239","url":null,"abstract":"Abstract Asbestos is a naturally occurring silicate with six varieties from two groups of minerals serpentine (chrysotile) and five amphiboles (amosite, crocidolite, tremolite, anthrophyllite and actinolite) with chrysotile widely used form. Asbestos-containing materials (ACM) use in Nigeria from 1970 to 2000 was 1,091,370 tons. Its demand peak coincided with landmark edifices construction in the country that include FESTAC Village and the National Theatre Iganmu. The inward low-cost housing construction investment policy in urban areas in the 1970–1980s ensured demand for ACM was consistent. Given the widespread use of ACM and non-availability of national data on workers exposure, the problem posed is unlimited. Poor implementation of asbestos regulation and industry codes of practices contributed to inadequate risk management regime. Desktop survey on ACM demand revealed the product continual use, but goes unreported. Low cost of ACMs and the absence of strong regulation to enforce a ban in the industry are critical factors in their proliferation. Lack of official record for asbestos mortality or morbidity rates and the non-existence of reliable mechanism to enforce its ban present serious health risk among construction workers. This call for national asbestos exposure survey to ascertain the extent of the problem within the construction industry.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1492239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45431741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-05-09DOI: 10.1080/14773996.2018.1466460
R. Mcleod, P. Bowie
Abstract Despite repeated calls for the use of proactive assessment of serious significant events in primary healthcare, GP teams in the UK rarely apply the kind of formal methods of prospective risk assessment that are commonly used in high-hazard industries. NHS Education for Scotland (NES) conducted an exploratory workshop to assess the potential value of Bowtie Analysis (BTA) as a means of proactively identifying and assessing the controls relied on to protect against the risk of a potential primary care ‘never event’. It was concluded that BTA could provide a straightforward approach to engage frontline care practitioners and managers in proactively assessing risk. However, concerns remain about the level of training, support and resources that would be required for the healthcare community to be capable of conducting BTA to an adequate quality standard without having to rely on external facilitators.
{"title":"Bowtie Analysis as a prospective risk assessment technique in primary healthcare","authors":"R. Mcleod, P. Bowie","doi":"10.1080/14773996.2018.1466460","DOIUrl":"https://doi.org/10.1080/14773996.2018.1466460","url":null,"abstract":"Abstract Despite repeated calls for the use of proactive assessment of serious significant events in primary healthcare, GP teams in the UK rarely apply the kind of formal methods of prospective risk assessment that are commonly used in high-hazard industries. NHS Education for Scotland (NES) conducted an exploratory workshop to assess the potential value of Bowtie Analysis (BTA) as a means of proactively identifying and assessing the controls relied on to protect against the risk of a potential primary care ‘never event’. It was concluded that BTA could provide a straightforward approach to engage frontline care practitioners and managers in proactively assessing risk. However, concerns remain about the level of training, support and resources that would be required for the healthcare community to be capable of conducting BTA to an adequate quality standard without having to rely on external facilitators.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1466460","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41523673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-28DOI: 10.1080/14773996.2018.1468005
Ingrid Årstad, O. A. Engen
Abstract In this article, the question of language is considered from the perspective of safety science, as a marker of potential limitations in current risk management practices in high-risk industries. Our main concern is understanding how the language used in daily risk management practices may serve or disserve the prevention of major accidents, as well as what opportunities being aware of such language may yield for improving current practices. We propose 10 different ways of assessing the strengths and limitations of risk management practices through the lens of the language in use. Our main intention is to clarify what characterizes the language of complexity, and how it may contribute to a more functional approach to the prevention of major accidents on a practical level.
{"title":"Preventing major accidents and the language of complexity","authors":"Ingrid Årstad, O. A. Engen","doi":"10.1080/14773996.2018.1468005","DOIUrl":"https://doi.org/10.1080/14773996.2018.1468005","url":null,"abstract":"Abstract In this article, the question of language is considered from the perspective of safety science, as a marker of potential limitations in current risk management practices in high-risk industries. Our main concern is understanding how the language used in daily risk management practices may serve or disserve the prevention of major accidents, as well as what opportunities being aware of such language may yield for improving current practices. We propose 10 different ways of assessing the strengths and limitations of risk management practices through the lens of the language in use. Our main intention is to clarify what characterizes the language of complexity, and how it may contribute to a more functional approach to the prevention of major accidents on a practical level.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1468005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47364492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-02DOI: 10.1080/14773996.2017.1376833
K. Daniels, J. Glover, Rachel Nayani, N. Mellor, F. Munir
Abstract Job characteristics are linked with health, safety, well-being and other performance outcomes. Job characteristics are usually assessed by their presence or absence, which gives no indication of the specific purposes for which workers might use some job characteristics. We focused on job control and social support as two job characteristics embedded in the well-known Demand–Control–Support model. In Study 1, using an experience sampling methodology (N = 67) and a cross-sectional survey methodology (N = 299), we found that relationships between the execution of job control or the elicitation of social support and a range of other variables depended on the purposes for which job control was executed or social support elicited. In Study 2 (N = 28), we found that it may be feasible to improve aspects of well-being and performance through training workers on how to use job control or social support for specific purposes.
{"title":"Purpose and enactment in job design: an empirical examination of the processes through which job characteristics have their effects","authors":"K. Daniels, J. Glover, Rachel Nayani, N. Mellor, F. Munir","doi":"10.1080/14773996.2017.1376833","DOIUrl":"https://doi.org/10.1080/14773996.2017.1376833","url":null,"abstract":"Abstract Job characteristics are linked with health, safety, well-being and other performance outcomes. Job characteristics are usually assessed by their presence or absence, which gives no indication of the specific purposes for which workers might use some job characteristics. We focused on job control and social support as two job characteristics embedded in the well-known Demand–Control–Support model. In Study 1, using an experience sampling methodology (N = 67) and a cross-sectional survey methodology (N = 299), we found that relationships between the execution of job control or the elicitation of social support and a range of other variables depended on the purposes for which job control was executed or social support elicited. In Study 2 (N = 28), we found that it may be feasible to improve aspects of well-being and performance through training workers on how to use job control or social support for specific purposes.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2017.1376833","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49157882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-02DOI: 10.1080/14773996.2017.1415421
S. G. van den Heuvel, R. Vergeer, Marjolein de Weerd
Abstract Policy-makers have an urgent need for quantitative data to support their decision-making process. Since quantitative data are rarely available, the combination of quantitative and qualitative methods is needed to estimate the consequences of a policy measure. In this study, we will estimate the effects of the abolishment of the risk assessment obligation on work-related health risks at small companies in low risk sectors (SCLR) in the Netherlands, using a mixed methods approach. Data were derived from surveys, literature and expert elicitation. A reduction of 26% in the number of preventive measures was predicted. However, compliance with the policy measure in SCLR was very low (27%). In all scenarios, we found statistically significant but small unfavourable effects on the exposure to work-related health risks. We concluded that the abolishment of the risk assessment obligation in SCLR will have no large effects on health and health costs.
{"title":"The effect of a policy measure on work-related health risks – combine the quantitative and the qualitative","authors":"S. G. van den Heuvel, R. Vergeer, Marjolein de Weerd","doi":"10.1080/14773996.2017.1415421","DOIUrl":"https://doi.org/10.1080/14773996.2017.1415421","url":null,"abstract":"Abstract Policy-makers have an urgent need for quantitative data to support their decision-making process. Since quantitative data are rarely available, the combination of quantitative and qualitative methods is needed to estimate the consequences of a policy measure. In this study, we will estimate the effects of the abolishment of the risk assessment obligation on work-related health risks at small companies in low risk sectors (SCLR) in the Netherlands, using a mixed methods approach. Data were derived from surveys, literature and expert elicitation. A reduction of 26% in the number of preventive measures was predicted. However, compliance with the policy measure in SCLR was very low (27%). In all scenarios, we found statistically significant but small unfavourable effects on the exposure to work-related health risks. We concluded that the abolishment of the risk assessment obligation in SCLR will have no large effects on health and health costs.","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2017.1415421","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45662191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-02DOI: 10.1080/14773996.2018.1477549
P. Waterson
Over the course of the last year, I have attended a number of conferences and meetings where the subject of the current status and future of occupational safety and health (OSH) has been discussed ...
在过去的一年里,我参加了许多会议,讨论了职业安全与健康(OSH)的现状和未来。。。
{"title":"A tale of two safeties","authors":"P. Waterson","doi":"10.1080/14773996.2018.1477549","DOIUrl":"https://doi.org/10.1080/14773996.2018.1477549","url":null,"abstract":"Over the course of the last year, I have attended a number of conferences and meetings where the subject of the current status and future of occupational safety and health (OSH) has been discussed ...","PeriodicalId":43946,"journal":{"name":"Policy and Practice in Health and Safety","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14773996.2018.1477549","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47662854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}