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Knowledge, attitudes, and practices towards COVID-19 and COVID-19 vaccines among Obstetrician-Gynaecologists. 妇产科医生对 COVID-19 和 COVID-19 疫苗的认识、态度和做法。
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-22 Epub Date: 2023-12-21 DOI: 10.26444/aaem/176959
Nicola Luigi Bragazzi, Michele Buchinger, Lukasz Szarpak, Jaroslaw Chmielewski, Małgorzata Goździewska, Joanna Gotlib, Rola Elias Farah

Introduction and objective: The article assesses the knowledge, attitudes, and practices of Obstetrician-Gynaecologists (OB/GYNs) in Israel regarding COVID-19, its impact on fertility, pregnancy and childbirth, and their positions on COVID-19 vaccines.

Material and methods: A cross-sectional anonymous survey was employed, and the data analyzed using logistic regression models.

Results: A total of 172 OB/GYN participants aged 44.9 years, primarily female (59.7%), mostly attending physicians (60.4%), had a mean knowledge score of 75.62%, with 81.1% having sufficient knowledge about general COVID-19 information, 11.9% having specific knowledge about pregnancy, birth, and breastfeeding, and 40.3% having knowledge about COVID-19 vaccination. Notably, only 27% of participants correctly identified the increased risk of preeclampsia in pregnant women with COVID-19. Nevertheless, all OB/GYN participants recommended the COVID-19 vaccination during pregnancy. The majority (65.1%) recommended vaccination across all trimesters, while a smaller percentage recommended it only in the second (25%) or third (6%) trimesters, and very few in the first trimester (4%). The study found that attitudes towards vaccination were influenced by workplace, role, religion, religious observance, and marital status.

Conclusions: The study showed a good level of knowledge regarding COVID-19 vaccines which contributed to OB/GYNs' recommendations to their patients. These findings can be valuable for designing future COVID-19 vaccination campaigns.

引言和目的:文章评估了以色列妇产科医生(OB/GYN)对 COVID-19、其对生育、怀孕和分娩的影响以及他们对 COVID-19 疫苗的立场的了解、态度和做法:采用横断面匿名调查,并使用逻辑回归模型对数据进行分析:共有 172 名妇产科参与者,年龄为 44.9 岁,主要为女性(59.7%),大部分为主治医师(60.4%),平均知识得分率为 75.62%,其中 81.1%的人对 COVID-19 的一般信息有充分了解,11.9%的人对怀孕、分娩和母乳喂养有具体了解,40.3%的人对 COVID-19 疫苗接种有了解。值得注意的是,只有 27% 的参与者正确识别出接种 COVID-19 的孕妇患先兆子痫的风险会增加。尽管如此,所有妇产科医生都建议孕妇在怀孕期间接种 COVID-19 疫苗。大多数人(65.1%)建议在所有孕期接种疫苗,而较小比例的人只建议在第二孕期(25%)或第三孕期(6%)接种,只有极少数人建议在第一孕期(4%)接种。研究发现,对接种疫苗的态度受工作场所、角色、宗教、宗教信仰和婚姻状况的影响:研究表明,妇产科医生对 COVID-19 疫苗的了解程度较高,这有助于他们向患者提出建议。这些发现对设计未来的 COVID-19 疫苗接种活动很有价值。
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引用次数: 0
Relationship between the components of disability definition and the effectiveness of rehabilitation measures as a process. 残疾定义的组成部分与康复措施作为一个过程的有效性之间的关系。
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-22 Epub Date: 2023-12-20 DOI: 10.26444/aaem/177341
Witold Piotr Kołłątaj, Barbara Kołłątaj, Elżbieta Cipora, Katarzyna Sygit, Irena Dorota Karwat

Introduction and objective: The number of disabled persons is most often only estimated. The disabled require multidirectional, effective support in almost every field of functioning. There is no arbitrarily accepted definition of disability, and those currently available outline the ranges of support for which rehabilitation measures are necessary.

Objective: The aim of the review is to present the problem areas that contribute to the definition of disability and their interdependence and effectiveness in relation to rehabilitation interventions, as well as identification of the most frequent medical and social problems interdependent on the quality and feasibility of rehabilitation interventions.

Review methods: Scientific literature in Polish and English for 1993-2023 and legal acts concerning the definition of disability, definition of rehabilitation and the problem of employment were reviewed. The following key words were used to search the NIZP-PZH, MZ, JAHEE and ISAP databases: disabled persons, definitions of disability, rehabilitation as a process, synchronization of thematic groups of disability definitions with the rehabilitation process.

Brief description of the state of knowledge: Disability is a public health problem. The actual determination of the extent, medical and social needs of people with disabilities involves methods and measures for classifying people as disabled. The effects of treatment and rehabilitation are assessed by the level of functioning of the disabled in society.

Summary: The multiplicity of characteristics included in the definitions of disability account for all problems in health and social terms. In view of the social, environmental and cultural changes, the scope of needs of people with disabilities is also changing, which can be seen in newly-developed definitions, including rehabilitation.

导言和目标:残疾人的数量往往只是估计出来的。残疾人几乎在每个功能领域都需要多方位的有效支持。目前还没有一个公认的残疾定义,现有的定义概述了需要康复措施支持的范围:综述的目的是介绍有助于残疾定义的问题领域及其与康复干预措施的相互依存性和有效性,以及确定与康复干预措施的质量和可行性相互依存的最常见的医疗和社会问题:回顾方法:回顾了1993-2023年波兰语和英语的科学文献,以及有关残疾定义、康复定义和就业问题的法案。使用以下关键词在 NIZP-PZH、MZ、JAHEE 和 ISAP 数据库中进行搜索:残疾人、残疾定义、康复作为一个过程、残疾定义专题组与康复过程的同步性:残疾是一个公共卫生问题。在实际确定残疾人的程度、医疗和社会需求时,涉及到将残疾人分类的方法和措施。治疗和康复的效果是通过残疾人在社会中的功能水平来评估的。小结:残疾定义中包含的多种特征说明了健康和社会方面的所有问题。鉴于社会、环境和文化的变化,残疾人的需求范围也在发生变化,这可以从包括康复在内的新定义中看出。
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引用次数: 0
Parasitological contamination of arable soil in selected regions of Poland - preliminary study. 波兰部分地区耕地土壤的寄生虫污染--初步研究。
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-22 Epub Date: 2023-12-21 DOI: 10.26444/aaem/176816
Jolanta Małgorzata Zdybel, Jacek Karamon, Jacek Sroka, Angelina Wójcik-Fatla, Piotr Skowron, Katarzyna Kowalczyk, Jan Jadczyszyn, Tomasz Cencek

Introduction and objective: The hygienic status of arable soils in most developed countries has been unknown. In the presented study, a preliminary investigation was undertaken to determine the contamination with eggs of parasitic nematodes in the soil of arable fields in Poland. The aim of the study was to determine whether such contamination is common enough to constitute a significant problem and what factors may influence it.

Material and methods: The study was conducted in 5 Polish provinces from autumn 2021 to spring 2022. The provinces differed significantly in terms of the area of agricultural land, agricultural suitability, type of soil, scale of cattle and pig breeding, production of manure and slurry, and the use of manures and organic fertilizers for fertilization. A total of 133 soil samples were collected. Parasitological examination of soil samples was carried out using the PN-Z-19006 method [1], with confirmed high sensitivity.

Results: Parasite eggs were found in a total of 67 samples, of which 56 samples contained eggs of roundworms of the genus Ascaris (an average of 3.29 eggs/100 g of soil), 23 contained eggs of whipworms (an average of 1.22 eggs/100 g), and 3 contained eggs of Toxocara (1 egg/100 g).

Conclusions: Differences in the percentage of positive samples were found depending on the period in which the samples were taken. The percentage of positive samples collected in autumn (53.57%) was higher than the percentage of positive samples collected in spring (48.05%). Similarly, the average number of eggs of in positive samples collected in autumn (3.43 eggs/100 g) was higher than the average number of eggs in samples collected in spring (2.90 eggs/100 g). Differences in the percentage of positive samples were also found depending on the region of origin of the samples.

引言和目的:大多数发达国家耕地土壤的卫生状况一直不为人知。本研究对波兰耕地土壤中寄生线虫虫卵的污染情况进行了初步调查。研究的目的是确定这种污染是否普遍到足以构成重大问题,以及哪些因素可能对其产生影响:研究于 2021 年秋季至 2022 年春季在波兰 5 个省进行。这些省份在农业用地面积、农业适宜性、土壤类型、养牛和养猪规模、粪肥和泥浆生产以及使用粪肥和有机肥施肥等方面存在显著差异。共采集了 133 个土壤样本。采用 PN-Z-19006 方法[1]对土壤样本进行了寄生虫学检测,结果表明该方法灵敏度高:结果:共在 67 个样本中发现寄生虫卵,其中 56 个样本含有蛔虫卵(平均每 100 克土壤中有 3.29 个虫卵),23 个样本含有鞭虫卵(平均每 100 克土壤中有 1.22 个虫卵),3 个样本含有弓形虫卵(每 100 克土壤中有 1 个虫卵):不同时期采集的样本阳性率不同。秋季采集的阳性样本比例(53.57%)高于春季采集的阳性样本比例(48.05%)。同样,秋季采集的阳性样本的平均卵数(每 100 克 3.43 个卵)也高于春季采集的样本的平均卵数(每 100 克 2.90 个卵)。根据样本来源地区的不同,阳性样本的百分比也存在差异。
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引用次数: 0
Effects of 2.4 GHz radiofrequency electromagnetic field (RF-EMF) on glioblastoma cells (U -118 MG) 2.4 GHz 射频电磁场(RF-EMF)对胶质母细胞瘤细胞(U -118 MG)的影响
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-21 DOI: 10.26444/aaem/176405
A. Nowak-Terpiłowska, Romuald Górski, Małgorzata Marszałek, S. Wosiński, R. Przesmycki, M. Bugaj, L. Nowosielski, Mikołaj Baranowski, Joanna Zeyland
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引用次数: 0
Surgical resection of lung cancer inhibits mRNA expression of GOT2 gene encoding kynurenine aminotransferase in leukocytes 肺癌手术切除可抑制白细胞中编码犬尿氨酸氨基转移酶的 GOT2 基因的 mRNA 表达
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-21 DOI: 10.26444/aaem/176813
Tomasz Prystupa, Dariusz Sagan, J. Kocki, Tomasz Kocki, Rafał Szymanowski, Jacek Bogucki
Introduction and Objective. Lung cancer is the most common malignant tumour. More than 80% of all diagnosed cases are non-small cell carcinoma which can be effectively treated by radical resection. Despite significant progress in the field of diagnostic and therapeutic methods, the results of lung cancer treatment are still unsatisfactory. Lung cancer is detected relatively late, which leads to an unfavourable prognosis. Kynurenine aminotransferases are an important element of the kynurenine pathway of tryptophan metabolism, which has recently aroused great interest from the aspect of possible use as a target point of personalized therapies in malignant tumours.The aim of the study was to analyze the expression of the selected gene of kynurenine aminotransferases GOT 2 at the mRNA level in peripheral blood leukocytes of patients with lung cancer. Materials and method. The mRNA expression of the GOT 2 gene was tested on blood samples from 50 patients treated surgically for non-small cell lung cancer.The control group consisted of 15 healthy individuals.The determination of mRNA expression of the GOT 2 gene was performed using the real-time PCR method.The GAPDH gene was used as the endogenous reference level. Results. The mRNA expression of the GOT2 gene on the 6th day after surgery was statistically significantly lower than before surgery (p = 0,05). In the study group, the average LogRQ mRNA expression of the GOT2 gene before the procedure was 0.192082±0.292174 in woman. This was statistically significantly higher than in men whose average LogRQ mRNA expression of the GOT2 gene before the procedure was 0.004210±0.235065 (p=0.0183). Conclusions. Surgical resection of lung cancer results in inhibition of GOT2 mRNA expression in leukocytes. Further studies are expected to show whether it may be used as a target point for personalized therapies in lung cancer.
导言和目的。肺癌是最常见的恶性肿瘤。在所有确诊病例中,80% 以上为非小细胞癌,可通过根治性切除术进行有效治疗。尽管在诊断和治疗方法领域取得了重大进展,但肺癌的治疗效果仍不尽如人意。肺癌的发现时间相对较晚,导致预后不良。犬尿氨酸氨基转移酶是色氨酸代谢过程中犬尿氨酸途径的重要组成部分,最近引起了人们的极大兴趣,因为它可能被用作恶性肿瘤个性化疗法的靶点。材料和方法。采用实时 PCR 法检测 GOT 2 基因 mRNA 的表达,以 GAPDH 基因作为内源性参考水平。结果显示术后第 6 天,GOT2 基因的 mRNA 表达量明显低于术前(P = 0.05)。在研究组中,女性术前 GOT2 基因的平均 LogRQ mRNA 表达量为 0.192082±0.292174。这在统计学上明显高于男性,男性术前 GOT2 基因的平均 LogRQ mRNA 表达量为 0.004210±0.235065 (p=0.0183)。结论肺癌手术切除会抑制白细胞中 GOT2 mRNA 的表达。进一步的研究有望显示它是否可作为肺癌个性化疗法的靶点。
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引用次数: 0
Microbial community, pathogenic bacteria and high-risk anti-biotic resistance genes at two tropical coastal beaches adjacent to villages in Hainan, China 中国海南毗邻村庄的两个热带沿海海滩的微生物群落、致病菌和高风险抗生素耐药基因
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-21 DOI: 10.26444/aaem/176090
Wenfang Long, mingxue Li, Yi Gao, Yu Zhang, xinyu Yuan, Haimei Ye, Hairong Huang, wenjuan Liang, rongguang Zhang, Guankui Du
Objective. The aim of the study was to explore the correlation between characteristics of microbial community, pathogenic bacteria and high-risk antibiotic-resistant genes, between coastal beaches and a multi-warm-blooded host, as well as to determine potential species biomarkers for faecal source contamination on tropical coastal beaches in China. Methods. The ‘One-Health’ approach was used in a microbiological study of beaches and warm-blooded hosts. The microbial.community was analyzed using 16S rRNA gene amplicons and shotgun metagenomics on Illumina NovaSeq. Results. The Chao, Simpson, Shannon, and ACE indices of non-salt beach were greater than those of salt beaches at the genus and OTU levels ( P < 0.001). Bacteroidota, Halanaerobiaeota, Cyanobacteria
研究目的本研究旨在探讨中国沿海海滩与多温血宿主之间微生物群落特征、致病菌和高风险抗生素耐药基因之间的相关性,并确定中国热带沿海海滩粪便源污染的潜在物种生物标志物。研究方法采用 "同一健康 "方法对海滩和温血宿主进行微生物研究。使用 16S rRNA 基因扩增子和 Illumina NovaSeq 上的猎枪元基因组学分析微生物群落。结果显示在属和 OTU 水平上,非盐滩的 Chao 指数、Simpson 指数、Shannon 指数和 ACE 指数均高于盐滩(P < 0.001)。类细菌群, Halanaerobiaeota, 蓝藻群
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引用次数: 0
Selected routine laboratory tests in the clinical assessment of patients with obstructive sleep apnea 阻塞性睡眠呼吸暂停患者临床评估中的部分常规实验室检查
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-21 DOI: 10.26444/aaem/177205
Jerzy Mosiewicz, Klaudia Brożyna-Tkaczyk, Elżbieta Reichert, Wojciech Myśliński, L. Panasiuk, Andrzej Jaroszyński, Barbara Mosiewicz-Madejska
{"title":"Selected routine laboratory tests in the clinical assessment of patients with obstructive sleep apnea","authors":"Jerzy Mosiewicz, Klaudia Brożyna-Tkaczyk, Elżbieta Reichert, Wojciech Myśliński, L. Panasiuk, Andrzej Jaroszyński, Barbara Mosiewicz-Madejska","doi":"10.26444/aaem/177205","DOIUrl":"https://doi.org/10.26444/aaem/177205","url":null,"abstract":"","PeriodicalId":50970,"journal":{"name":"Annals of Agricultural and Environmental Medicine","volume":"65 43","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950703","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}
引用次数: 0
Rehabilitation after replantation of a non-work-related finger amputation without vascular anastosmosis – case report 无血管吻合的非工作相关手指截肢再植术后的康复--病例报告
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-20 DOI: 10.26444/aaem/176089
Justyna Frasuńska, Dominika Kostka, Beata Tarnacka
Work in agriculture carries the risk of trauma as a result of mechanization (farm equipment and machinery), location of cultivated areas, and multi-functionality. In agriculture, the hands were the most affected parts of the body which sustained injury. Successful suturing of a finger initially disqualified from replantation is rare. The case is presented of a 55-year-old patient who had a non-work-related finger amputation. In a surgical centre not belonging to the reference ones in plastic surgery in Poland, a doctor with six months of surgical experience performed the replantation without vascular reconstruction (the amputated distal part of the finger served as a biological dressing). Despite the lack of vascular reconstruction and unfavourable prognosis, the amputated fragment of the finger maintained a partial blood supply. Subsequent flap surgery in the plastic surgery department, and rehabilitation of the patient due to finger contracture, led to functional recovery of the finger.
由于机械化(农用设备和机械)、耕地位置和多功能性,从事农业工作有遭受创伤的风险。在农业生产中,手是受伤最严重的部位。最初被取消再植资格的手指很少能成功缝合。本病例涉及一名 55 岁的患者,他的手指被非手术截肢。在波兰一家不属于整形外科参考中心的外科中心,一名只有六个月手术经验的医生在没有进行血管重建的情况下进行了再植手术(截取的手指远端部分用作生物敷料)。尽管没有进行血管重建,预后也不乐观,但断指部分仍保持了部分血液供应。随后在整形外科进行了皮瓣手术,患者因手指挛缩进行了康复治疗,手指功能得以恢复。
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引用次数: 0
Multidrug resistance of Escherichia coli isolated from the urinary bladder of dogs and cats with suspected urinary tract infections 从疑似尿路感染的狗和猫的膀胱中分离出的大肠埃希菌的多重耐药性
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-20 DOI: 10.26444/aaem/176843
Dawid Jańczak, Piotr Górecki, Rafał Stryjek, Aleksandra Zasada
Introduction and Objective. Escherichia coli is one of the most common bacteria isolated from urine samples collected from dogs and cats with urinary tract infection (UTI). Uncomplicated UTIs in dogs and cats can be treated with short courses of first-line antimicrobial drugs, e.g. amoxicillin, amoxicillin with clavulanic acid, or trimethoprim/sulfonamide. Recurrent or complicated UTIs often require long-term treatment with broad-spectrum antibiotics. However, the choice of drug should be based on antimicrobial susceptibility. Materials and method. Between March – September 2022, E. coli isolates cultured from the urine of 66 dogs and 41 cats with UTI symptoms were tested for antimicrobial resistance by using Minimum Inhibitory Concentration (MIC). Antimicrobial susceptibility was tested for ampicillin, ampicillin/sulbactam, cefazolin, cefuroxime, aztreonam, gentamycin, amikacin, colistin, trimethoprim/sulfamethoxazole, ciprofloxacin, chloramphenicol and tetracycline. Results. The highest prevalence of resistance was documented for ampicillin (68% in dogs, 100% in cats) and ampicillin with sulbactam (59% in dogs, 54% in cats). The most common antimicrobial resistance patterns of E. coli were ampicillin alone (12 isolates, 29.3% in cats) and beta-lactams, including aztreonam (14 isolates, 21.2% in dogs). Conclusions. High resistance to aztreonam (61% and 32% of isolates from dogs and cats, respectively), other beta-lactams, and fluoroquinolones should cause be alarm due to zoonotic potential and cross-transmission of antimicrobial-resistant microorganisms between animals and humans.
引言和目的。大肠杆菌是从患有泌尿道感染(UTI)的猫狗尿液样本中分离出来的最常见细菌之一。犬猫的非复杂性UTI可通过短期一线抗菌药物治疗,如阿莫西林、阿莫西林加克拉维酸或三甲氧苄氨嘧啶/磺胺。复发性或复杂性尿毒症通常需要使用广谱抗生素进行长期治疗。不过,在选择药物时应以抗菌药敏感性为依据。材料与方法。2022 年 3 月至 9 月期间,对从 66 只狗和 41 只猫的尿液中培养出的有 UTI 症状的大肠杆菌分离物进行了最低抑菌浓度(MIC)抗菌药耐药性检测。对氨苄西林、氨苄西林/舒巴坦、头孢唑啉、头孢呋辛、阿曲南、庆大霉素、阿米卡星、可乐定、三甲双氨/磺胺甲噁唑、环丙沙星、氯霉素和四环素进行了抗菌药敏感性检测。结果。氨苄西林的耐药性发生率最高(狗为 68%,猫为 100%),氨苄西林加舒巴坦的耐药性发生率也最高(狗为 59%,猫为 54%)。大肠杆菌最常见的抗菌药耐药性模式是单独使用氨苄西林(12 个分离株,猫为 29.3%)和β-内酰胺类药物,包括阿曲南等(14 个分离株,狗为 21.2%)。结论对阿曲南的高(狗和猫的分离物中分别为 61% 和 32%)耐药性、对其他 beta 内酰胺类药物和氟喹诺酮类药物的高耐药性应引起警惕,因为耐抗菌素微生物有可能在动物和人类之间进行人畜共患病和交叉传播。
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引用次数: 0
Beneficial effects of SARS-CoV-2 vaccination resulting from the COVID-19 pandemic with regard to the uptake of influenza virus, pneumococcal, and herpes zoster adult vaccination – a narrative literature review COVID-19大流行导致的SARS-CoV-2疫苗接种对成人接种流感病毒、肺炎球菌和带状疱疹疫苗的有益影响--叙事性文献综述
IF 1.7 4区 医学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2023-12-20 DOI: 10.26444/aaem/176747
Karolina Kłoda, Artur Mierzecki, A. Mastalerz-Migas, M. Babicki
Kłoda
日志
{"title":"Beneficial effects of SARS-CoV-2 vaccination resulting from the COVID-19 pandemic with regard to the uptake of influenza virus, pneumococcal, and herpes zoster adult vaccination – a narrative literature review","authors":"Karolina Kłoda, Artur Mierzecki, A. Mastalerz-Migas, M. Babicki","doi":"10.26444/aaem/176747","DOIUrl":"https://doi.org/10.26444/aaem/176747","url":null,"abstract":"Kłoda","PeriodicalId":50970,"journal":{"name":"Annals of Agricultural and Environmental Medicine","volume":"117 12","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138958475","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}
引用次数: 0
期刊
Annals of Agricultural and Environmental Medicine
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