首页 > 最新文献

Medicina Del Lavoro最新文献

英文 中文
Alarm Fatigue in Nursing Students Undertaking Clinical Training in Intensive Care Units: A Multicenter Study. 在重症监护病房接受临床训练的护生的报警疲劳:一项多中心研究。
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-13 DOI: 10.23749/mdl.v114i2.13975
Paolo Ferrara, Lara Carelli, Federico Ruta, Alessandro Delli Poggi, Milannie Marasigan, Barbara Pinna, Anne Destrebecq, Stefano Terzoni

Background: The frequency of alarms from monitors and other electro-medical devices is of great utility but can increase the professional's workload and expose nurses in the intensive care unit to Alarm Fatigue. A recent study suggested that students in training can also experience the problem during their first clinical experiences in intensive care. Unfortunately, no data are available about the Italian panorama. To explore Alarm Fatigue among Bachelor of Science in Nursing students at the end of their internship experience in intensive care settings.

Methods: Multicenter cross-sectional design. A convenience sample of nurses from 3 Italian university hospitals was recruited. The students completed the revised version of the "Alarm Fatigue questionnaire-ita" at the end of the clinical internship in intensive care settings.

Results: 130 nursing students were enrolled (response rate 59.36%). The overall level of Alarm Fatigue was Me= 24.5 IQR [17.5, 30.5]. In addition, 9.23% of the sample reported errors or near misses related to Alarm Fatigue during the internship experience. The alarm fatigue level was higher in students who committed "errors/almost errors" (p=0.038) and in "student workers" (p=0.005).

Discussion: The extent of alarm fatigue experienced by nursing students requires developing a preventive strategy.

背景:来自监视器和其他电子医疗设备的报警频率非常实用,但会增加专业人员的工作量,并使重症监护病房的护士产生报警疲劳。最近的一项研究表明,正在接受培训的学生在重症监护的第一次临床经历中也会遇到这个问题。不幸的是,没有关于意大利全景的数据。目的探讨护理学理学士学生在重症监护实习结束时的报警疲劳。方法:多中心横断面设计。从意大利3所大学医院招募了方便的护士样本。在重症监护病房的临床实习结束时,学生们完成了修订后的“警报疲劳问卷-ita”。结果:共纳入护生130名,有效率59.36%。报警疲劳总体水平Me= 24.5 IQR[17.5, 30.5]。此外,9.23%的样本报告了实习期间与报警疲劳相关的错误或接近失误。“犯错误/几乎犯错误”的学生(p=0.038)和“学生工作者”(p=0.005)的报警疲劳水平较高。讨论:护理学生的报警疲劳程度需要制定预防策略。
{"title":"Alarm Fatigue in Nursing Students Undertaking Clinical Training in Intensive Care Units: A Multicenter Study.","authors":"Paolo Ferrara,&nbsp;Lara Carelli,&nbsp;Federico Ruta,&nbsp;Alessandro Delli Poggi,&nbsp;Milannie Marasigan,&nbsp;Barbara Pinna,&nbsp;Anne Destrebecq,&nbsp;Stefano Terzoni","doi":"10.23749/mdl.v114i2.13975","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.13975","url":null,"abstract":"<p><strong>Background: </strong>The frequency of alarms from monitors and other electro-medical devices is of great utility but can increase the professional's workload and expose nurses in the intensive care unit to Alarm Fatigue. A recent study suggested that students in training can also experience the problem during their first clinical experiences in intensive care. Unfortunately, no data are available about the Italian panorama. To explore Alarm Fatigue among Bachelor of Science in Nursing students at the end of their internship experience in intensive care settings.</p><p><strong>Methods: </strong>Multicenter cross-sectional design. A convenience sample of nurses from 3 Italian university hospitals was recruited. The students completed the revised version of the \"Alarm Fatigue questionnaire-ita\" at the end of the clinical internship in intensive care settings.</p><p><strong>Results: </strong>130 nursing students were enrolled (response rate 59.36%). The overall level of Alarm Fatigue was Me= 24.5 IQR [17.5, 30.5]. In addition, 9.23% of the sample reported errors or near misses related to Alarm Fatigue during the internship experience. The alarm fatigue level was higher in students who committed \"errors/almost errors\" (p=0.038) and in \"student workers\" (p=0.005).</p><p><strong>Discussion: </strong>The extent of alarm fatigue experienced by nursing students requires developing a preventive strategy.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023015"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/c7/MDL-114-15.PMC10133771.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352815","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}
引用次数: 0
Psychosocial Risks in the Changing World of Work: Moving from the Risk Assessment Culture to the Management of Opportunities. 不断变化的工作世界中的社会心理风险:从风险评估文化转向机会管理。
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-04-13 DOI: 10.23749/mdl.v114i2.14362
Cristina Di Tecco, Benedetta Persechino, Sergio Iavicoli

Increased attention to psychosocial risks and their potential impacts on workers' mental and physical health has flourished due to the changes taking place in the world of work. The changes in the world of work and the recent worldwide events have exacerbated the existing psychosocial risks and brought out new psychosocial risks to be considered for protecting workers' health. This favors the opening up of national and international debate on prioritizing psychosocial risks at work at the policies, strategies, and actions level. This contribution highlights the critical issues to be addressed, the needs to be covered, and the opportunities for better and more effective OSH protection in the workplace. Starting from a definition of psychosocial risks and their potential impacts, we offer an overview of the most recent developments in policies and strategies and the contribution of research in this field over time. A critical reflection on emerging topics, main needs, and challenges for organizations and stakeholders is offered. This time of change poses great concerns but also offers a great opportunity of moving from a culture of assessment to a culture of psychosocial risk management for improving workers' well-being, productivity, and health, where the risk assessment is an important step but not a point of arrival.

由于劳动世界正在发生变化,人们越来越重视社会心理风险及其对工人身心健康的潜在影响。劳动世界的变化和最近世界范围内发生的事件加剧了现有的社会心理风险,并带来了在保护工人健康方面需要考虑的新的社会心理风险。这有利于在政策、战略和行动层面就工作中社会心理风险的优先次序展开国内和国际辩论。这份报告强调了需要解决的关键问题、需要涵盖的范围以及在工作场所提供更好和更有效的职业安全与卫生保护的机会。从社会心理风险及其潜在影响的定义开始,我们概述了政策和战略的最新发展以及该领域长期以来的研究贡献。对新兴主题,主要需求和挑战的组织和利益相关者提供了一个批判性的反思。这一变革时期令人极为关切,但也提供了一个很好的机会,可以从评估文化转向社会心理风险管理文化,以改善工人的福祉、生产力和健康,其中风险评估是一个重要步骤,但不是起点。
{"title":"Psychosocial Risks in the Changing World of Work: Moving from the Risk Assessment Culture to the Management of Opportunities.","authors":"Cristina Di Tecco,&nbsp;Benedetta Persechino,&nbsp;Sergio Iavicoli","doi":"10.23749/mdl.v114i2.14362","DOIUrl":"https://doi.org/10.23749/mdl.v114i2.14362","url":null,"abstract":"<p><p>Increased attention to psychosocial risks and their potential impacts on workers' mental and physical health has flourished due to the changes taking place in the world of work. The changes in the world of work and the recent worldwide events have exacerbated the existing psychosocial risks and brought out new psychosocial risks to be considered for protecting workers' health. This favors the opening up of national and international debate on prioritizing psychosocial risks at work at the policies, strategies, and actions level. This contribution highlights the critical issues to be addressed, the needs to be covered, and the opportunities for better and more effective OSH protection in the workplace. Starting from a definition of psychosocial risks and their potential impacts, we offer an overview of the most recent developments in policies and strategies and the contribution of research in this field over time. A critical reflection on emerging topics, main needs, and challenges for organizations and stakeholders is offered. This time of change poses great concerns but also offers a great opportunity of moving from a culture of assessment to a culture of psychosocial risk management for improving workers' well-being, productivity, and health, where the risk assessment is an important step but not a point of arrival.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 2","pages":"e2023013"},"PeriodicalIF":2.7,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/e1/MDL-114-13.PMC10133769.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9352812","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}
引用次数: 0
The Gofman-Tamplin Cancer Risk Controversy and Its Impact on the Creation of BEIR I and the Acceptance of LNT. 戈夫曼-坦普林癌症风险之争及其对 BEIR I 的创立和 LNT 的接受的影响。
IF 2.4 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.14006
Edward Calabrese

Background:  The major public dispute between John Gofman and his colleague Arthur Tamplin and the United States (US) Atomic Energy Commission (AEC) at the end of the 1960s and during the early 1970s significantly impacted the course of cancer risk assessment in the US and worldwide. The challenging and provocative testimony of Gofman to the US Senate in early 1970 lead to the formation of the US National Academy of Sciences (NAS) Biological Effects of Ionizing Radiation (BEIR) I Committee in order to evaluate the accuracy of claims by Gofman and Tamplin that emissions from nuclear power plants would significantly increase the occurrence of genetic defects and cancers. BEIR I recommended the adoption of the linear non-threshold (LNT) dose response model for the assessment of cancer risks from radiation exposures. The US EPA adopted this recommendation and generalized it to incorporate chemical carcinogens, thereby affecting cancer risk assessments over the next decades. Despite the scientific limitations and ideological framework of their perspectives, Gofman and Tamplin are of considerable historical importance since they had essential roles in affecting the adoption of LNT by regulatory agencies.

背景: 20 世纪 60 年代末和 70 年代初,约翰-戈夫曼和他的同事阿瑟-坦普林与美国原子能委员会(AEC)之间的重大公开争论对美国和世界癌症风险评估的进程产生了重大影响。1970 年初,戈夫曼在美国参议院发表了具有挑战性和挑衅性的证词,促使美国国家科学院(NAS)成立了电离辐射生物效应(BEIR)I 委员会,以评估戈夫曼和坦普林关于核电厂的排放会显著增加遗传缺陷和癌症发生率的说法是否准确。BEIR I 建议采用线性非阈值(LNT)剂量反应模型来评估辐照致癌风险。美国环保局采纳了这一建议,并将其推广到化学致癌物中,从而影响了未来几十年的癌症风险评估。尽管 Gofman 和 Tamplin 的观点存在科学局限性和意识形态框架,但他们在影响监管机构采用 LNT 方面发挥了至关重要的作用,因此具有相当重要的历史意义。
{"title":"The Gofman-Tamplin Cancer Risk Controversy and Its Impact on the Creation of BEIR I and the Acceptance of LNT.","authors":"Edward Calabrese","doi":"10.23749/mdl.v114i1.14006","DOIUrl":"10.23749/mdl.v114i1.14006","url":null,"abstract":"<p><strong>Background: </strong> The major public dispute between John Gofman and his colleague Arthur Tamplin and the United States (US) Atomic Energy Commission (AEC) at the end of the 1960s and during the early 1970s significantly impacted the course of cancer risk assessment in the US and worldwide. The challenging and provocative testimony of Gofman to the US Senate in early 1970 lead to the formation of the US National Academy of Sciences (NAS) Biological Effects of Ionizing Radiation (BEIR) I Committee in order to evaluate the accuracy of claims by Gofman and Tamplin that emissions from nuclear power plants would significantly increase the occurrence of genetic defects and cancers. BEIR I recommended the adoption of the linear non-threshold (LNT) dose response model for the assessment of cancer risks from radiation exposures. The US EPA adopted this recommendation and generalized it to incorporate chemical carcinogens, thereby affecting cancer risk assessments over the next decades. Despite the scientific limitations and ideological framework of their perspectives, Gofman and Tamplin are of considerable historical importance since they had essential roles in affecting the adoption of LNT by regulatory agencies.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023007"},"PeriodicalIF":2.4,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/21/MDL-114-7.PMC9987470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9406988","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}
引用次数: 0
Using Structural Equation Modelling to Predict Safety and Health Status among Stone Industries. 用结构方程模型预测石材行业安全健康状况。
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.13365
Hossein Akbari, Abbas Bahrami, Sedighe Dehghani Bidgoli, Fahimeh Karamali, Ali Hosseini

Background: The creation of a working organization with a high safety level ensures employees' health in their workplaces, therefore current study evaluated effect the organizational structure on the safety and health in the stone industry.

Methods: The study was done among the 100 stone industries in Isfahan, Iran. We asked selected participants to complete the organizational structure questionnaire and ELMERI checklists. tested the hypothesis with Smart PLS 3.0.

Results: The model fit index showed the standardized root mean square (SRMR=0.08), the normalized fit index (NFI=0.9), The coefficient of determination (R2 = 0.362), Effect size (ƒ2 was less than 0.2), and the Predictive relevance of the model (Q2=0.216) which is considered a good fit for mode. Also, the relation between formalization and health and safety was significant (β = -0.47).

Conclusion: findings suggest that Organization factors are the basic reasons associated with occupational accidents and the main indicator of safety and health performance.

背景:建立一个具有高安全水平的工作组织可以确保员工在工作场所的健康,因此本研究评估了组织结构对石材行业安全与健康的影响。方法:对伊朗伊斯法罕地区的100家石材企业进行调查研究。我们要求选定的参与者完成组织结构问卷和ELMERI检查表。用Smart PLS 3.0对假设进行检验。结果:模型拟合指数为标准化均方根(SRMR=0.08),归一化拟合指数(NFI=0.9),决定系数(R2 = 0.362),效应大小(ƒ2小于0.2),模型的预测相关性(Q2=0.216),认为模型拟合较好。正规化与健康安全之间存在显著相关(β = -0.47)。结论:组织因素是职业事故发生的根本原因,是职业安全卫生绩效的主要指标。
{"title":"Using Structural Equation Modelling to Predict Safety and Health Status among Stone Industries.","authors":"Hossein Akbari,&nbsp;Abbas Bahrami,&nbsp;Sedighe Dehghani Bidgoli,&nbsp;Fahimeh Karamali,&nbsp;Ali Hosseini","doi":"10.23749/mdl.v114i1.13365","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.13365","url":null,"abstract":"<p><strong>Background: </strong>The creation of a working organization with a high safety level ensures employees' health in their workplaces, therefore current study evaluated effect the organizational structure on the safety and health in the stone industry.</p><p><strong>Methods: </strong>The study was done among the 100 stone industries in Isfahan, Iran. We asked selected participants to complete the organizational structure questionnaire and ELMERI checklists. tested the hypothesis with Smart PLS 3.0.</p><p><strong>Results: </strong>The model fit index showed the standardized root mean square (SRMR=0.08), the normalized fit index (NFI=0.9), The coefficient of determination (R2 = 0.362), Effect size (ƒ2 was less than 0.2), and the Predictive relevance of the model (Q2=0.216) which is considered a good fit for mode. Also, the relation between formalization and health and safety was significant (β = -0.47).</p><p><strong>Conclusion: </strong>findings suggest that Organization factors are the basic reasons associated with occupational accidents and the main indicator of safety and health performance.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023005"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/9c/MDL-114-5.PMC9987473.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111430","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}
引用次数: 1
Health-related Quality of Life and Determinants of the Mental Dimension Among Tunisian Nurses in Public Hospitals. 突尼斯公立医院护士健康相关生活质量及心理因素
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.13029
Lamia Bouzgarrou, Irtyah Merchaoui, Amira Omrane, Nada Ameur, Salma Kammoun, Neila Chaari

Background: The health-related quality of life (HR-QoL) has been in-creasingly investigated in health sciences. The Objectives of this study are to evaluate the HR-QoL among nurses in Tunisian public hospitals and to identify the determinants of its mental dimension.

Methods: A cross-sectional, bi-centric study was conducted within a representative sample of the 1,179 nurses assigned to 28 departments of two Tunisian public hospitals. A structured inquiry (socio-professional characteristics, occupational perceived workload) and validated questionnaires (SF12, Job Content Questionnaire of Karasek, Work Ability Index) have been completed.

Results: Response rate was equal to 97.34%. The mean age of nurses was 42.60 ± 21 years. Nearly half of caregivers (49.07%) had a poor mental quality of life. The multivariate analysis concluded that mental HR-QoL was correlated with the female gender (0.010), obesity and the non-practice of regular physical activity (0.027), musculoskeletal diseases (<10-3), the low ability to work (<10-3). This deterioration of the mental HR-QoL dimension was also associated with the job tenure (0.002), the perceived workload (0.015), and conflictual relationships with colleagues (0.006) the feeling of insecurity at work (0.034), and the intention to leave the profession early (0.007) Conclusion: The results of this study showed that a considerable number of nurses had a poor mental quality of life. This study also identified factors associated with this deterioration. Acting on these determining factors may improve the well-being and global health of nurses, as well as their work performance and quality of care provided.

背景:健康相关生活质量(HR-QoL)在健康科学领域的研究越来越多。本研究的目的是评估突尼斯公立医院护士的HR-QoL,并确定其心理维度的决定因素。方法:在突尼斯两家公立医院28个部门的1179名护士的代表性样本中进行了横断面双中心研究。完成了结构化调查(社会专业特征、职业感知工作量)和有效问卷(SF12、Karasek工作内容问卷、工作能力指数)。结果:有效率为97.34%。护士平均年龄42.60±21岁。近一半(49.07%)的护理人员心理生活质量较差。多变量分析表明,精神HR-QoL与女性性别相关(0.010),与肥胖和不定期体育锻炼相关(0.027),与肌肉骨骼疾病相关(
{"title":"Health-related Quality of Life and Determinants of the Mental Dimension Among Tunisian Nurses in Public Hospitals.","authors":"Lamia Bouzgarrou,&nbsp;Irtyah Merchaoui,&nbsp;Amira Omrane,&nbsp;Nada Ameur,&nbsp;Salma Kammoun,&nbsp;Neila Chaari","doi":"10.23749/mdl.v114i1.13029","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.13029","url":null,"abstract":"<p><strong>Background: </strong>The health-related quality of life (HR-QoL) has been in-creasingly investigated in health sciences. The Objectives of this study are to evaluate the HR-QoL among nurses in Tunisian public hospitals and to identify the determinants of its mental dimension.</p><p><strong>Methods: </strong>A cross-sectional, bi-centric study was conducted within a representative sample of the 1,179 nurses assigned to 28 departments of two Tunisian public hospitals. A structured inquiry (socio-professional characteristics, occupational perceived workload) and validated questionnaires (SF12, Job Content Questionnaire of Karasek, Work Ability Index) have been completed.</p><p><strong>Results: </strong>Response rate was equal to 97.34%. The mean age of nurses was 42.60 ± 21 years. Nearly half of caregivers (49.07%) had a poor mental quality of life. The multivariate analysis concluded that mental HR-QoL was correlated with the female gender (0.010), obesity and the non-practice of regular physical activity (0.027), musculoskeletal diseases (<10-3), the low ability to work (<10-3). This deterioration of the mental HR-QoL dimension was also associated with the job tenure (0.002), the perceived workload (0.015), and conflictual relationships with colleagues (0.006) the feeling of insecurity at work (0.034), and the intention to leave the profession early (0.007) Conclusion: The results of this study showed that a considerable number of nurses had a poor mental quality of life. This study also identified factors associated with this deterioration. Acting on these determining factors may improve the well-being and global health of nurses, as well as their work performance and quality of care provided.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023002"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/b0/MDL-114-2.PMC9987467.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111429","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}
引用次数: 0
Respiratory Findings in Herd Dairy Farmworkers from the Nile Delta Region. 尼罗河三角洲地区奶牛养殖场工人的呼吸系统调查结果。
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.13518
Hend Serya, Mohamed El-Helaly, Mohamed Mosbah El-Diasty, Adel Al-Wehedy, Enas Elsherbeny

Background: Dairy farmworkers are exposed to a variety of respiratory hazards, including organic and inorganic dust, allergens, disinfectants, and gases emitted by cows and their wastes resulting in a range of adverse health effects. In Egypt, large herd dairy farms (>1000 cattle) are growing in both size and number and thereby more workers are employed. However, there is a lack of studies on the respiratory health status of these workers. Accordingly, the present study aimed to determine the prevalence of respiratory problems, assess ventilatory functions, and highlight the predictors of abnormal spirometry patterns among Egyptian dairy farmworkers.

Methods: A cross-sectional study was carried out on 282 male workers, of whom 141 were dairy farmworkers and the other 141, not involved in livestock handling, were enrolled as controls. Full history, clinical examination, and ventilatory function measurements were done for both groups.

Results: Dairy farmworkers had a significantly higher prevalence of respiratory symptoms (throat irritation and/or sore throat, cough, sputum production, and difficulty breathing) than controls as well as bronchitis, wheezes on chest auscultation, and obstructive ventilatory patterns. Older age (>37 years), longer smoking duration (>10 years), and longer working duration (>4 years) were independent predictors of abnormal spirometry patterns, particularly obstructive patterns, in dairy farmworkers.

Conclusions: Large herd dairy farms, despite being open and naturally ventilated, are hazardous to workers' respiratory health. Hence, the provision of personal protective equipment, periodic spirometry examinations as well as mandatory breaks and days off, are highly urged.

背景:奶牛场工人暴露于各种呼吸道危害,包括有机和无机粉尘、过敏原、消毒剂和奶牛排放的气体及其废物,导致一系列不利的健康影响。在埃及,大型牛群奶牛场(>1000头牛)的规模和数量都在增长,因此雇佣了更多的工人。然而,缺乏对这些工人呼吸健康状况的研究。因此,本研究旨在确定呼吸问题的患病率,评估通气功能,并强调埃及奶牛场工人中异常肺活量测定模式的预测因素。方法:对282名男性工人进行横断面研究,其中奶牛场工人141人,非牲畜处理141人作为对照。两组均进行了完整的病史、临床检查和通气功能测量。结果:奶牛场工人的呼吸道症状(喉咙刺激和/或喉咙痛、咳嗽、产痰和呼吸困难)的患病率明显高于对照组,以及支气管炎、胸部听诊时喘息和通气障碍。年龄较大(>37岁)、吸烟时间较长(>10年)和工作时间较长(>4年)是奶牛养殖场工人肺量异常模式,特别是阻塞性模式的独立预测因素。结论:大型畜群奶牛场尽管是开放式和自然通风的,但对工人的呼吸健康有害。因此,强烈要求提供个人防护装备、定期肺活量测定检查以及强制休息和休假。
{"title":"Respiratory Findings in Herd Dairy Farmworkers from the Nile Delta Region.","authors":"Hend Serya,&nbsp;Mohamed El-Helaly,&nbsp;Mohamed Mosbah El-Diasty,&nbsp;Adel Al-Wehedy,&nbsp;Enas Elsherbeny","doi":"10.23749/mdl.v114i1.13518","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.13518","url":null,"abstract":"<p><strong>Background: </strong>Dairy farmworkers are exposed to a variety of respiratory hazards, including organic and inorganic dust, allergens, disinfectants, and gases emitted by cows and their wastes resulting in a range of adverse health effects. In Egypt, large herd dairy farms (>1000 cattle) are growing in both size and number and thereby more workers are employed. However, there is a lack of studies on the respiratory health status of these workers. Accordingly, the present study aimed to determine the prevalence of respiratory problems, assess ventilatory functions, and highlight the predictors of abnormal spirometry patterns among Egyptian dairy farmworkers.</p><p><strong>Methods: </strong>A cross-sectional study was carried out on 282 male workers, of whom 141 were dairy farmworkers and the other 141, not involved in livestock handling, were enrolled as controls. Full history, clinical examination, and ventilatory function measurements were done for both groups.</p><p><strong>Results: </strong>Dairy farmworkers had a significantly higher prevalence of respiratory symptoms (throat irritation and/or sore throat, cough, sputum production, and difficulty breathing) than controls as well as bronchitis, wheezes on chest auscultation, and obstructive ventilatory patterns. Older age (>37 years), longer smoking duration (>10 years), and longer working duration (>4 years) were independent predictors of abnormal spirometry patterns, particularly obstructive patterns, in dairy farmworkers.</p><p><strong>Conclusions: </strong>Large herd dairy farms, despite being open and naturally ventilated, are hazardous to workers' respiratory health. Hence, the provision of personal protective equipment, periodic spirometry examinations as well as mandatory breaks and days off, are highly urged.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023004"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/33/MDL-114-4.PMC9987471.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9406989","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}
引用次数: 0
A Descriptive Study of a Turkish Pneumoconiosis Case-Series. 土耳其尘肺病例系列的描述性研究。
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.13215
Gülden Sarı, Cebrail Şimşek

Background: The study aimed to examine the conditions and factors affecting pneumoconiosis cases to determine the dimensions of the pneumoconiosis problem.

Methods: This retrospective study was conducted in a tertiary research hospital between January 1, 2014, and December 31, 2021. Five hundred ninety-seven patients with pneumo- coniosis were included in the study.

Results: Large opacities were detected in 157 cases. When we compared cases with and without Pulmonary Massive Fibrosis (PMF), age and concomitant pulmonary disease were higher in PMF cases, which also showed lower FEV1, FVC, and FEV1/FVC. PMF was more frequent in subjects with long dust exposure duration (more than 20 years) and concomitant pulmonary diseases, particularly tuberculosis. Three occupations, sandblasters, dental technicians, and ceramic workers, showed the earliest onset of pneumoconiosis.

Conclusions: The study presents pneumoconiosis data in a mixed and large population and contributes to the imple- mentation of evidence-based policies and interventions for countries like Turkey striving to cope with the problem of pneumoconiosis.

背景:本研究旨在探讨影响尘肺病例的条件和因素,以确定尘肺问题的维度。方法:回顾性研究于2014年1月1日至2021年12月31日在某三级研究型医院进行。597例肺尘肺患者被纳入研究。结果:157例患者检出大浑浊。当我们比较有和没有肺大纤维化(PMF)的病例时,PMF病例的年龄和合并肺部疾病较高,FEV1、FVC和FEV1/FVC也较低。PMF在长期接触粉尘(超过20年)并伴有肺部疾病(特别是肺结核)的受试者中更为常见。喷砂工、牙科技师和陶瓷工人是尘肺病发病最早的职业。结论:该研究提供了混合和大量人群的尘肺病数据,有助于为土耳其等努力应对尘肺病问题的国家实施循证政策和干预措施。
{"title":"A Descriptive Study of a Turkish Pneumoconiosis Case-Series.","authors":"Gülden Sarı,&nbsp;Cebrail Şimşek","doi":"10.23749/mdl.v114i1.13215","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.13215","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to examine the conditions and factors affecting pneumoconiosis cases to determine the dimensions of the pneumoconiosis problem.</p><p><strong>Methods: </strong>This retrospective study was conducted in a tertiary research hospital between January 1, 2014, and December 31, 2021. Five hundred ninety-seven patients with pneumo- coniosis were included in the study.</p><p><strong>Results: </strong>Large opacities were detected in 157 cases. When we compared cases with and without Pulmonary Massive Fibrosis (PMF), age and concomitant pulmonary disease were higher in PMF cases, which also showed lower FEV1, FVC, and FEV1/FVC. PMF was more frequent in subjects with long dust exposure duration (more than 20 years) and concomitant pulmonary diseases, particularly tuberculosis. Three occupations, sandblasters, dental technicians, and ceramic workers, showed the earliest onset of pneumoconiosis.</p><p><strong>Conclusions: </strong>The study presents pneumoconiosis data in a mixed and large population and contributes to the imple- mentation of evidence-based policies and interventions for countries like Turkey striving to cope with the problem of pneumoconiosis.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023003"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/c4/MDL-114-3.PMC9987468.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111431","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}
引用次数: 1
The Linear Non-threshold Extrapolation of Dose-Response Curves Is a Challenge for Managing the Risk Associated with Occupational Exposure to Carcinogenic Agents. 剂量-反应曲线的线性非阈值外推是管理与职业暴露于致癌物质的风险的挑战。
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.14176
Antonio Mutti
{"title":"The Linear Non-threshold Extrapolation of Dose-Response Curves Is a Challenge for Managing the Risk Associated with Occupational Exposure to Carcinogenic Agents.","authors":"Antonio Mutti","doi":"10.23749/mdl.v114i1.14176","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.14176","url":null,"abstract":"","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023001"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/66/MDL-114-1.PMC9987469.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9137160","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}
引用次数: 0
Assessment of Forward Head Posture and Ergonomics in Young IT Professionals - Reasons to Worry? 年轻IT专业人员的前倾头部姿势和人体工程学评估-担心的理由?
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.13600
Oana-Ruxandra Stincel, Mihaela Oravitan, Corina Pantea, Bogdan Almajan-Guta, Nicoleta Mirica, Alexandru Boncu, Claudiu Avram

Background:  Prolonged computer use and poor ergonomics among IT professionals are considered risk factors for musculoskeletal disorders. This research aims to analyze the degree of forward head posture and workplace ergonomics in young IT professionals to assess the risk for a neck disability. Methods: A prospective study was carried out by assessing the sitting posture at work, neck disability in the cervical region, quality of life, physical activity, and ergonomics of the workspace in 73 young IT professionals (32.56±5.46 years). Results: The score for the cervical functional disability index (NDI) showed a mild neck disability (8.19±7.51). The craniovertebral angle has an average value of 32.01±11.46, corresponding to a light forward head posture, and it positively correlated with age and work experience and negatively correlated with ROSA (r=0.24, p<0.05). The NDI positively correlated with physical activity (r =00.32 p<0.05) and with ROSA (r= 0.24, p<0.05). Conclusions: In IT professionals, neck disability is associated with the lack of workspace ergonomics and the amount of physical activity. Forward head posture correlated with age, work experience, and poor workspace ergonomics. According to our findings, there are real concerns about the influence of head posture and workplace ergonomics on health among IT professionals. We consider that it is necessary to adopt preventive measures to address neck disability and improve workspace ergonomics.

背景:IT专业人员长时间使用电脑和较差的人体工程学被认为是肌肉骨骼疾病的危险因素。本研究旨在分析年轻IT专业人员头部前倾和工作场所人体工程学的程度,以评估颈部残疾的风险。方法:对73名年轻IT专业人员(32.56±5.46岁)的工作坐姿、颈部残疾、生活质量、身体活动和工作场所的人体工程学进行前瞻性研究。结果:颈功能失能指数(NDI)评分为轻度(8.19±7.51)。颅椎角平均值为32.01±11.46,对应轻度前倾头位,与年龄、工作经验呈正相关,与ROSA呈负相关(r=0.24, p
{"title":"Assessment of Forward Head Posture and Ergonomics in Young IT Professionals - Reasons to Worry?","authors":"Oana-Ruxandra Stincel,&nbsp;Mihaela Oravitan,&nbsp;Corina Pantea,&nbsp;Bogdan Almajan-Guta,&nbsp;Nicoleta Mirica,&nbsp;Alexandru Boncu,&nbsp;Claudiu Avram","doi":"10.23749/mdl.v114i1.13600","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.13600","url":null,"abstract":"<p><strong>Background: </strong> Prolonged computer use and poor ergonomics among IT professionals are considered risk factors for musculoskeletal disorders. This research aims to analyze the degree of forward head posture and workplace ergonomics in young IT professionals to assess the risk for a neck disability. Methods: A prospective study was carried out by assessing the sitting posture at work, neck disability in the cervical region, quality of life, physical activity, and ergonomics of the workspace in 73 young IT professionals (32.56±5.46 years). Results: The score for the cervical functional disability index (NDI) showed a mild neck disability (8.19±7.51). The craniovertebral angle has an average value of 32.01±11.46, corresponding to a light forward head posture, and it positively correlated with age and work experience and negatively correlated with ROSA (r=0.24, p<0.05). The NDI positively correlated with physical activity (r =00.32 p<0.05) and with ROSA (r= 0.24, p<0.05). Conclusions: In IT professionals, neck disability is associated with the lack of workspace ergonomics and the amount of physical activity. Forward head posture correlated with age, work experience, and poor workspace ergonomics. According to our findings, there are real concerns about the influence of head posture and workplace ergonomics on health among IT professionals. We consider that it is necessary to adopt preventive measures to address neck disability and improve workspace ergonomics.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023006"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/8e/MDL-114-6.PMC9987472.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9406986","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}
引用次数: 1
Psychometric Evaluation of GHQ-12 as a Screening Tool for Psychological Impairment of Healthcare Workers Facing COVID-19 Pandemic. GHQ-12在医务人员心理障碍筛查中的应用
IF 2.7 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-02-14 DOI: 10.23749/mdl.v114i1.13918
Anna Comotti, Alice Fattori, Francesca Greselin, Lorenzo Bordini, Paolo Brambilla, Matteo Bonzini

Background: The General Health Questionnaire (GHQ) is a widely used tool, both in clinical and research settings, due to its brevity and easy administration. Researchers often adopt a dichotomous measurement method, considering a total score above or below a certain threshold. This leads to an extreme simplification of the gathered data and therefore to the loss of clinical details. In a multi-step evaluation study aimed at assessing health care workers' mental health during the Covid-19 pandemic, GHQ-12 proved to be the most effective tool to detect psychological distress compared to other scales adopted. These results led to deepen the understanding of GHQ-12 properties through a statistical study by focusing on items' properties and characteristics.

Methods: GHQ-12 responses were analyzed using Item Response Theory (IRT), a suitable method for scale assessment. Instead of considering the single overall score, in which each item accounts equally, it focuses on individual items' characteristics. Moreover, IRT models were applied combined with the latent class (LC) analysis, aiming to the determination of subgroups of individuals according to their level of psychological distress.

Results: GHQ-12 was administered to 990 health-care workers and responses were scored using the binary method (0-0-1-1). We applied the two-parameter logistic (2-PL) model, finding that the items showed different ways of responses and features. The latent class analysis classified subjects into three sub-groups according to their responses to GHQ-12 only: 47% of individuals with general well-being, 38% expressing signs of discomfort without severity and 15% of subjects with a high level of impairment. This result almost reproduces subjects' classification obtained after administering the six questionnaires of the study protocol.

Conclusions: Accurate statistical techniques and a deep understanding of the latent factors underlying the GHQ-12 resulted in a more effective usage of such psychometric questionnaire - i.e. a more refined gathering of data and a significant time and resource efficiency. We underlined the need to maximize the extraction of data from questionnaires and the necessity of them being less lengthy and repetitive.

背景:一般健康问卷(GHQ)是一种广泛使用的工具,无论是在临床和研究设置,由于其简短和易于管理。研究人员通常采用二分法测量,考虑总分高于或低于某一阈值。这导致了收集数据的极度简化,从而导致了临床细节的丢失。在一项旨在评估Covid-19大流行期间医护人员心理健康状况的多步骤评估研究中,与采用的其他量表相比,GHQ-12被证明是检测心理困扰的最有效工具。这些结果通过对物品属性和特征的统计研究加深了对GHQ-12属性的理解。方法:采用项目反应理论(IRT)对GHQ-12量表的反应进行分析。它不是考虑每个项目占同等比例的单一总分,而是关注单个项目的特征。此外,将IRT模型与潜在类别(LC)分析相结合,旨在根据个体的心理困扰水平确定个体的亚群。结果:对990名卫生保健工作者进行了GHQ-12测试,采用二值法(0-0-1-1)对反应进行评分。我们应用双参数逻辑模型(2-PL),发现项目表现出不同的反应方式和特征。潜在类别分析仅根据受试者对GHQ-12的反应将其分为三个亚组:47%的个体总体健康,38%的个体表现出不严重的不适迹象,15%的受试者具有高度损害。这一结果几乎再现了受试者在执行研究方案的六份问卷后得到的分类。结论:准确的统计技术和对GHQ-12潜在因素的深刻理解导致了这种心理测量问卷的更有效使用-即更精确的数据收集和显着的时间和资源效率。我们强调必须最大限度地从调查表中提取数据,并且必须减少调查表的冗长和重复。
{"title":"Psychometric Evaluation of GHQ-12 as a Screening Tool for Psychological Impairment of Healthcare Workers Facing COVID-19 Pandemic.","authors":"Anna Comotti,&nbsp;Alice Fattori,&nbsp;Francesca Greselin,&nbsp;Lorenzo Bordini,&nbsp;Paolo Brambilla,&nbsp;Matteo Bonzini","doi":"10.23749/mdl.v114i1.13918","DOIUrl":"https://doi.org/10.23749/mdl.v114i1.13918","url":null,"abstract":"<p><strong>Background: </strong>The General Health Questionnaire (GHQ) is a widely used tool, both in clinical and research settings, due to its brevity and easy administration. Researchers often adopt a dichotomous measurement method, considering a total score above or below a certain threshold. This leads to an extreme simplification of the gathered data and therefore to the loss of clinical details. In a multi-step evaluation study aimed at assessing health care workers' mental health during the Covid-19 pandemic, GHQ-12 proved to be the most effective tool to detect psychological distress compared to other scales adopted. These results led to deepen the understanding of GHQ-12 properties through a statistical study by focusing on items' properties and characteristics.</p><p><strong>Methods: </strong>GHQ-12 responses were analyzed using Item Response Theory (IRT), a suitable method for scale assessment. Instead of considering the single overall score, in which each item accounts equally, it focuses on individual items' characteristics. Moreover, IRT models were applied combined with the latent class (LC) analysis, aiming to the determination of subgroups of individuals according to their level of psychological distress.</p><p><strong>Results: </strong>GHQ-12 was administered to 990 health-care workers and responses were scored using the binary method (0-0-1-1). We applied the two-parameter logistic (2-PL) model, finding that the items showed different ways of responses and features. The latent class analysis classified subjects into three sub-groups according to their responses to GHQ-12 only: 47% of individuals with general well-being, 38% expressing signs of discomfort without severity and 15% of subjects with a high level of impairment. This result almost reproduces subjects' classification obtained after administering the six questionnaires of the study protocol.</p><p><strong>Conclusions: </strong>Accurate statistical techniques and a deep understanding of the latent factors underlying the GHQ-12 resulted in a more effective usage of such psychometric questionnaire - i.e. a more refined gathering of data and a significant time and resource efficiency. We underlined the need to maximize the extraction of data from questionnaires and the necessity of them being less lengthy and repetitive.</p>","PeriodicalId":49833,"journal":{"name":"Medicina Del Lavoro","volume":"114 1","pages":"e2023009"},"PeriodicalIF":2.7,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/4f/MDL-114-9.PMC9987474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9406987","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}
引用次数: 0
期刊
Medicina Del Lavoro
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1