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Association between Presenteeism and Work-related Falls among Older Workers in the Retail Sector: a Cohort Study in Japan.
Pub Date : 2025-02-20 DOI: 10.1097/JOM.0000000000003347
Keiki Hirashima, Azusa Shima, Makoto Okawara, Tomohiro Ishimaru, Ayumi Morino, Yuichiro Kawatsu, Yoshihisa Fujino

Objective: Work-related falls have been recognized as a serious problem in occupational health in recent years. We investigated the effect of presenteeism on work-related falls.

Methods: This study was a prospective cohort study and included older workers in a single retail company. We used the degree of presenteeism (assessed using the Work Functioning Impairment Scale: WFun) as the independent variable and the number of work-related falls as the dependent variable. We estimated incidence rate ratios (IRR) by multilevel Poisson regression analysis.

Results: Increasing WFun score was associated with increasing IRR for the number of work-related falls (p for trend = 0.005).

Conclusions: We found that presenteeism was associated with work-related falls among older workers in the retail sector. This study suggests that the measurement of presenteeism may also represent a proxy measurement of the risk of work-related falls.

目的:近年来,工作相关跌倒已被视为职业健康领域的一个严重问题。我们研究了旷工对工作相关跌倒的影响:本研究是一项前瞻性队列研究,研究对象包括一家零售公司的老年工人。我们将旷工程度(使用工作功能障碍量表:WFun 进行评估)作为自变量,将与工作相关的跌倒次数作为因变量。我们通过多层次泊松回归分析估算了发病率比(IRR):结果:WFun 分值的增加与工作相关跌倒次数的 IRR 增加相关(趋势 p = 0.005):我们发现,旷工与零售业中老年工人因工跌倒有关。这项研究表明,对 "旷工 "的测量可能也是对工作相关跌倒风险的替代测量。
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引用次数: 0
Examinee non-disclosure of relevant medical information during transportation related regulatory examinations: a case-series.
Pub Date : 2025-02-20 DOI: 10.1097/JOM.0000000000003346
Kristopher D Minsinger, Judith M Graber, Hasan Nezam, Julie Caruth, Iris Udasin

Objective: In the past decade, U.S. transport accidents have resulted in over 370,000 fatalities. Research on medical history non-disclosure during mandatory regulatory exams has been limited. This study used the National Transportation Safety Board's (NTSB) Case Analysis and Reporting Online (CAROL) database to: (1) Identify non-disclosure, (2) Assess non-disclosure patterns, (3) Evaluate CAROL's research potential.

Methods: The CAROL database was searched for U.S. cases (01/01/2010-01/29/2024) involving fatalities and medically-related causes. Non-disclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail.

Results: Of 3,012 accidents, 258 met our criteria; 80 (31%) indicated examinee non-disclosure in the NTSB investigation.

Conclusion: Operator non-disclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks non-disclosure poses to U.S. transportation safety.

{"title":"Examinee non-disclosure of relevant medical information during transportation related regulatory examinations: a case-series.","authors":"Kristopher D Minsinger, Judith M Graber, Hasan Nezam, Julie Caruth, Iris Udasin","doi":"10.1097/JOM.0000000000003346","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003346","url":null,"abstract":"<p><strong>Objective: </strong>In the past decade, U.S. transport accidents have resulted in over 370,000 fatalities. Research on medical history non-disclosure during mandatory regulatory exams has been limited. This study used the National Transportation Safety Board's (NTSB) Case Analysis and Reporting Online (CAROL) database to: (1) Identify non-disclosure, (2) Assess non-disclosure patterns, (3) Evaluate CAROL's research potential.</p><p><strong>Methods: </strong>The CAROL database was searched for U.S. cases (01/01/2010-01/29/2024) involving fatalities and medically-related causes. Non-disclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail.</p><p><strong>Results: </strong>Of 3,012 accidents, 258 met our criteria; 80 (31%) indicated examinee non-disclosure in the NTSB investigation.</p><p><strong>Conclusion: </strong>Operator non-disclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks non-disclosure poses to U.S. transportation safety.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517750","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}
引用次数: 0
Evaluating the effectiveness of camera-based fatigue and distraction detection technology in a rural truck driver cohort.
Pub Date : 2025-02-20 DOI: 10.1097/JOM.0000000000003350
Jennifer Cori, Lauren A Booker, Tracey L Sletten, Shantha M W Rajaratnam, David Stanley, Liam Francis, Kayla McMahon, Kyle Wilson, Meghan Mulhall, Mark E Howard

Objective: This study aims to evaluate the effectiveness of fatigue detection technology (FDT) cabin alarms in reducing fatigue events in rural truck drivers, assess the accuracy in detecting fatigue events alarms and examine whether drivers habituate to alarms over time.

Methods: Longitudinal naturalistic study of fatigue events before and after alarm activation.in 12 rural commercial trucks.

Results: The rate showed fatigue events were significantly higher when alarms were off (0.06), compared to when alarms were activated (0.03) (rate-ratio = 0.5 [0.4, 0.7], p < 0.001). Fatigue events increased as the alarm phase continued, indicating habituation. The device classified fatigue events with 49% precision, 32% were false positives and 18% reclassified as distraction when human verified.

Conclusion: In cabin fatigue alarms significantly reduced the rate of fatigue events initially, however increased again overtime.

研究目的本研究旨在评估疲劳检测技术(FDT)驾驶室警报器在减少农村卡车司机疲劳事件方面的效果,评估疲劳事件警报器检测的准确性,并研究司机是否会随着时间的推移习惯于警报器:方法:在 12 辆农村商用卡车上对警报启动前后的疲劳事件进行纵向自然研究:结果:警报关闭时的疲劳事件发生率(0.06)明显高于警报启动时的疲劳事件发生率(0.03)(比率比 = 0.5 [0.4, 0.7],p < 0.001)。疲劳事件随着警报阶段的持续而增加,这表明已形成习惯。该设备对疲劳事件的分类准确率为 49%,32% 为假阳性,18% 在人工验证后被重新归类为分心:机舱内的疲劳警报最初能明显降低疲劳事件的发生率,但随着时间的推移又会增加。
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引用次数: 0
Longitudinal surveillance for chronic health conditions in former United States Department of Energy Site Workers. 对前美国能源部工地工人的慢性健康状况进行纵向监测。
Pub Date : 2025-02-20 DOI: 10.1097/JOM.0000000000003345
Miranda Dally, Paul Ogden, Sara Howard, Zachariah Hubbell, Ashley Golden, Mike Van Dyke, Donna Cragle, Wendy Benade, Jamie Stalker, Lee S Newman

Objective: To determine (1) the rate at which rescreening former Department of Energy site workers identifies non-communicable chronic diseases and (2) the development of comorbid conditions.

Methods: Incidence and prevalence of hypertension, diabetes, reduced kidney function, and peripheral neuropathy at both initial and return screenings were calculated. Risk ratio of chronic disease development at return screening based on the presence of other conditions at initial screening were estimated with generalized linear regression.

Results: Prevalence of reduced kidney function was 19% at initial exam and 30% at return examination. The screening program was responsible for identifying 81% of reduced kidney function cases. Similar findings were present for the other chronic conditions examined.

Conclusions: Former worker health surveillance programs help identify significant health conditions among DOE workers, subcontractors, and visitors. Longitudinal screening of participants detects additional chronic conditions.

{"title":"Longitudinal surveillance for chronic health conditions in former United States Department of Energy Site Workers.","authors":"Miranda Dally, Paul Ogden, Sara Howard, Zachariah Hubbell, Ashley Golden, Mike Van Dyke, Donna Cragle, Wendy Benade, Jamie Stalker, Lee S Newman","doi":"10.1097/JOM.0000000000003345","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003345","url":null,"abstract":"<p><strong>Objective: </strong>To determine (1) the rate at which rescreening former Department of Energy site workers identifies non-communicable chronic diseases and (2) the development of comorbid conditions.</p><p><strong>Methods: </strong>Incidence and prevalence of hypertension, diabetes, reduced kidney function, and peripheral neuropathy at both initial and return screenings were calculated. Risk ratio of chronic disease development at return screening based on the presence of other conditions at initial screening were estimated with generalized linear regression.</p><p><strong>Results: </strong>Prevalence of reduced kidney function was 19% at initial exam and 30% at return examination. The screening program was responsible for identifying 81% of reduced kidney function cases. Similar findings were present for the other chronic conditions examined.</p><p><strong>Conclusions: </strong>Former worker health surveillance programs help identify significant health conditions among DOE workers, subcontractors, and visitors. Longitudinal screening of participants detects additional chronic conditions.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598598","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}
引用次数: 0
Physical Demands at Work Associated with Lower Urinary Tract Symptoms among Women: A Cross-Sectional Study.
Pub Date : 2025-02-19 DOI: 10.1097/JOM.0000000000003361
Hyoungseob Yoo, Yu Min Lee, Hyun A Cho, Hyoung-Ryoul Kim, Mo-Yeol Kang

Objective: To evaluate the relationship between physical demands at work and lower urinary tract symptoms (LUTS) among women and their effects on quality of life (QOL) and productivity.

Methods: An online survey was conducted to collect data on the demographic characteristics, physical demands at work, and LUTS of Korean women. Occupational physical activity, sitting time, musculoskeletal risk tasks, and heavy lifting were assessed as physical demands at work. Multiple logistic regression and generalised linear model was applied to analyze the association of these factors with LUTS and LUTS-related outcomes.

Results: High level of occupational physical activity were significantly associated with LUTS, which reduced the workers' QOL and labour productivity.

Conclusion: Physical demands at work were significantly associated with a higher prevalence of LUTS, leading to reduced QOL and labour productivity.

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引用次数: 0
Quantifying the trunk and humeral postural demands of uranium mine site workers using wearable sensors.
Pub Date : 2025-02-19 DOI: 10.1097/JOM.0000000000003359
Denise Balogh, Angelica E Lang

Objective: The purpose of this study was to quantify and describe humeral and trunk ergonomic exposures across various occupations on a mine site.

Methods: Thirteen mine site workers from 11 different occupations were outfitted with wearable sensors to measure trunk and humeral kinematics during 1-4 natural on-site work tasks. Trunk flexion/extension and humeral elevation 10th, 50th, 90th and 99th percentiles, range, percent time in neutral and extreme posture, rate of movement repetition, mean angular velocity, and percent time working at slow and fast speed were calculated for each work task.

Results: Various degrees of ergonomic exposure were measured in the different occupations and work tasks; however, the housekeeping work was consistently the highest exposure task across many of the outcomes.

Conclusion: Future work should examine strategies for reducing the physical demand in work tasks identified as high exposure.

目的本研究的目的是量化和描述在矿区从事各种职业时肱骨和躯干所受到的人体工程学影响:来自 11 种不同职业的 13 名矿场工人安装了可穿戴传感器,以测量 1-4 个自然现场工作任务期间的躯干和肱骨运动学。计算每项工作任务的躯干弯曲/伸展和肱骨抬高第10、50、90和99百分位数、范围、保持中立和极端姿势的时间百分比、动作重复率、平均角速度以及以慢速和高速工作的时间百分比:结果:在不同的职业和工作任务中测出了不同程度的人体工程学暴露;然而,在许多结果中,家政工作始终是暴露程度最高的工作:结论:今后的工作应研究在被确定为高暴露的工作任务中减少体力需求的策略。
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引用次数: 0
Assessing the Impact of Advanced Cooling Technology in Firefighting Gear during Live Burn Scenario.
Pub Date : 2025-02-19 DOI: 10.1097/JOM.0000000000003360
Zhaochong Yu, Lorenna Altman, Qichen Fang, Ryan Bellacov, Rosie Davis, Kermit Davis, Ashley Kubley, Myoung Ok Kim, Mark Schulz, Vesselin Shanov, William Jetter, W Jon Williams, M Minhaj, Zahid Hasan, Marepalli Rao, Amit Bhattacharya

Objective: A firefighter wears a standard safety coat, its model unchanged for many years, when tackling a fire. We designed a new cooling system coat with carbon nano tube-based fabric and pouches inside the coat for coolants and fans. The coats, one standard and the other still evolving, are compared on several metrics including core body temperature and thermal comfort.

Methods: An experimental protocol was designed involving a live burn facility under the paradigm of non-inferiority study with firefighters trying both coats. The metrics are measured at several phases of the protocol. Multivariate t-test is used to compare the performance of the coats.

Results: The new coat is not inferior to the standard coat.

Conclusion: The new coat in its final form, which is yet to be tested fully, is a plausible replacement for the standard coat.

{"title":"Assessing the Impact of Advanced Cooling Technology in Firefighting Gear during Live Burn Scenario.","authors":"Zhaochong Yu, Lorenna Altman, Qichen Fang, Ryan Bellacov, Rosie Davis, Kermit Davis, Ashley Kubley, Myoung Ok Kim, Mark Schulz, Vesselin Shanov, William Jetter, W Jon Williams, M Minhaj, Zahid Hasan, Marepalli Rao, Amit Bhattacharya","doi":"10.1097/JOM.0000000000003360","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003360","url":null,"abstract":"<p><strong>Objective: </strong>A firefighter wears a standard safety coat, its model unchanged for many years, when tackling a fire. We designed a new cooling system coat with carbon nano tube-based fabric and pouches inside the coat for coolants and fans. The coats, one standard and the other still evolving, are compared on several metrics including core body temperature and thermal comfort.</p><p><strong>Methods: </strong>An experimental protocol was designed involving a live burn facility under the paradigm of non-inferiority study with firefighters trying both coats. The metrics are measured at several phases of the protocol. Multivariate t-test is used to compare the performance of the coats.</p><p><strong>Results: </strong>The new coat is not inferior to the standard coat.</p><p><strong>Conclusion: </strong>The new coat in its final form, which is yet to be tested fully, is a plausible replacement for the standard coat.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598589","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}
引用次数: 0
Psychosocial Work Conditions, Mental Distress, Burnout, and Hypnotic Use among Healthcare and Social Workers: A Comparative Analysis with General Employees.
Pub Date : 2025-02-19 DOI: 10.1097/JOM.0000000000003356
Ming-Wei Lin, Su-Wei Wong, Yawen Cheng

Objective: Healthcare and social workers (HSWs) often face demanding psychosocial work environments, which may lead to hypnotic use. This study investigates the associations between psychosocial work conditions, mental distress, burnout, and hypnotic use among HSWs compared to general employees.

Methods: Data from the 2022 Survey of Perceptions of Safety and Health in Work Environment in Taiwan included 202 HSWs and 808 matched general employees. Regression analyses examined relationships between psychosocial factors (e.g., job demands, job control, workplace violence) and mental health outcomes.

Results: HSWs reported higher job demands, workplace violence, burnout, and hypnotic use than general employees. Adverse psychosocial factors were linked to mental distress for both groups, with HSWs showing significantly higher odds of hypnotic use (OR = 2.47, 95% CI: 1.21-5.03).

Conclusion: Targeted interventions are essential to enhance workplace conditions and mental health for HSWs.

{"title":"Psychosocial Work Conditions, Mental Distress, Burnout, and Hypnotic Use among Healthcare and Social Workers: A Comparative Analysis with General Employees.","authors":"Ming-Wei Lin, Su-Wei Wong, Yawen Cheng","doi":"10.1097/JOM.0000000000003356","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003356","url":null,"abstract":"<p><strong>Objective: </strong>Healthcare and social workers (HSWs) often face demanding psychosocial work environments, which may lead to hypnotic use. This study investigates the associations between psychosocial work conditions, mental distress, burnout, and hypnotic use among HSWs compared to general employees.</p><p><strong>Methods: </strong>Data from the 2022 Survey of Perceptions of Safety and Health in Work Environment in Taiwan included 202 HSWs and 808 matched general employees. Regression analyses examined relationships between psychosocial factors (e.g., job demands, job control, workplace violence) and mental health outcomes.</p><p><strong>Results: </strong>HSWs reported higher job demands, workplace violence, burnout, and hypnotic use than general employees. Adverse psychosocial factors were linked to mental distress for both groups, with HSWs showing significantly higher odds of hypnotic use (OR = 2.47, 95% CI: 1.21-5.03).</p><p><strong>Conclusion: </strong>Targeted interventions are essential to enhance workplace conditions and mental health for HSWs.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598659","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}
引用次数: 0
The Imperative to Incorporate Climate Change Competencies into Occupational and Environmental Medicine Training to Safeguard Worker Health.
Pub Date : 2025-02-18 DOI: 10.1097/JOM.0000000000003354
Alya Khan, Manijeh Berenji, Marianne Cloeren, Rose Goldman, Stefan Wheat, Oladele Ogunseitan, Samantha Ayoub, Peter Rabinowitz, Bhargavi Chekuri, Gina Solomon

Objectives: Identify relevant gaps and suggest modifications to OEM Graduate Medical Education to increase knowledge about potential climate change impacts, teach practical skills, and promote relevant actions to protect workers.

Methods: ACOEM competencies were aligned to the Global Consortium on Climate and Health Education (GCCHE) physician competencies. ACGME OEM milestones were re-examined using a milestone curricular guide based on the peer-reviewed GCCHE competencies.

Results: Climate-change related OEM knowledge and skills are proposed for each OEM core competency domain. Nine residency milestones mapped to the ten ACOEM core competencies are highlighted by incorporating a climate-related activity along with a call to action.

Conclusion: OEM training already provides more climate-relevant content than other specialties. Nonetheless, OEM residents need more climate change education to help employers, workers, and their communities to anticipate, mitigate, and adapt to climate change.

目标:找出相关差距,并对 OEM 研究生医学教育提出修改建议,以增加有关潜在气候变化影响的知识,教授实用技能,并促进采取相关行动保护工人:找出相关差距,并对 OEM 医学研究生教育提出修改建议,以增加有关气候变化潜在影响的知识,传授实用技能,并促进保护工人的相关行动:方法:根据全球气候与健康教育联盟(GCCHE)的医生能力要求,对美国气候与健康教育协会(ACOEM)的能力要求进行调整。根据同行评审的 GCCHE 能力,使用里程碑课程指南重新审查了 ACGME OEM 里程碑:结果:为每个 OEM 核心能力领域提出了与气候变化相关的 OEM 知识和技能。九个实习里程碑与 ACOEM 的十项核心能力相匹配,通过纳入一项与气候相关的活动和一项行动号召得到了强调:结论:与其他专业相比,OEM 培训已经提供了更多与气候相关的内容。尽管如此,OEM 住院医师需要更多的气候变化教育,以帮助雇主、工人及其社区预测、缓解和适应气候变化。
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引用次数: 0
Burnout and professional fulfillment: Associations with interprofessional communication skills and climate among clinical health professionals.
Pub Date : 2025-02-18 DOI: 10.1097/JOM.0000000000003355
Xia Zheng, Heidi Preis, Clare Whitney, Elizabeth Bojsza, Susmita Pati

Objective: Effective communication in interprofessional settings is a key modifiable factor in addressing burnout among healthcare professionals. Previous research has paid less attention to the multi-level nature of interprofessional communication. This paper proposes a model explaining how individual-level factors (communication skills and uncertainty tolerance) and group-level factors (teamwork and response to errors) are linked to burnout via professional fulfillment.

Methods: Survey data were gathered from clinical health professionals in a tertiary teaching hospital in the United States. Multivariate linear regression and structural equation models were used to test our hypotheses.

Results: Individual-level communication skills and uncertainty tolerance and group-level teamwork and response to error were positively associated with professional fulfillment, which in turn tempered burnout among clinical professionals.

Conclusions: Enhancing individual communication skills and organizational communication climate are likely to mitigate burnout and enhance fulfillment among clinical professionals.

{"title":"Burnout and professional fulfillment: Associations with interprofessional communication skills and climate among clinical health professionals.","authors":"Xia Zheng, Heidi Preis, Clare Whitney, Elizabeth Bojsza, Susmita Pati","doi":"10.1097/JOM.0000000000003355","DOIUrl":"https://doi.org/10.1097/JOM.0000000000003355","url":null,"abstract":"<p><strong>Objective: </strong>Effective communication in interprofessional settings is a key modifiable factor in addressing burnout among healthcare professionals. Previous research has paid less attention to the multi-level nature of interprofessional communication. This paper proposes a model explaining how individual-level factors (communication skills and uncertainty tolerance) and group-level factors (teamwork and response to errors) are linked to burnout via professional fulfillment.</p><p><strong>Methods: </strong>Survey data were gathered from clinical health professionals in a tertiary teaching hospital in the United States. Multivariate linear regression and structural equation models were used to test our hypotheses.</p><p><strong>Results: </strong>Individual-level communication skills and uncertainty tolerance and group-level teamwork and response to error were positively associated with professional fulfillment, which in turn tempered burnout among clinical professionals.</p><p><strong>Conclusions: </strong>Enhancing individual communication skills and organizational communication climate are likely to mitigate burnout and enhance fulfillment among clinical professionals.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598593","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}
引用次数: 0
期刊
Journal of occupational and environmental medicine
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