International Journal of Advanced Medical Sciences and Technology最新文献

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Lesser of Men Than Our Fathers, No Men in A Few Decades, Human’s Become Extinct After 人不如父,几十年后无人类,人类将灭绝
International Journal of Advanced Medical Sciences and Technology Pub Date : 2024-02-28 DOI: 10.54105/ijamst.b3047.04020224
Sandeep S. Jaiswal
{"title":"Lesser of Men Than Our Fathers, No Men in A Few Decades, Human’s Become Extinct After","authors":"Sandeep S. Jaiswal","doi":"10.54105/ijamst.b3047.04020224","DOIUrl":"https://doi.org/10.54105/ijamst.b3047.04020224","url":null,"abstract":"This paper proves that the ever decreasing testosterone levels in men will eventually be compounded by the ever increasing causals which along with genetic changes from the past generations will eventually make the men incapable of procreating, creating new life and lead to the end of human life on earth, the complete extinction in the next decades. We are lesser of a men than our father due to such reasons and will never become father’s again for the next father’s to come. The only way to save mankind is by reversing the causals back to the normal again and ever surpassing them to create real heaven on earth.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"11 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140422435","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
Results of Morphological Studies of Various Forms of Chronic Tonsillitis 各种慢性扁桃体炎的形态学研究结果
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-12-30 DOI: 10.54105/ijamst.e3023.124123
Firdavs N. Nordjigitov, J. Djuraev
{"title":"Results of Morphological Studies of Various Forms of Chronic Tonsillitis","authors":"Firdavs N. Nordjigitov, J. Djuraev","doi":"10.54105/ijamst.e3023.124123","DOIUrl":"https://doi.org/10.54105/ijamst.e3023.124123","url":null,"abstract":"Traditionally, the diagnosis of chronic tonsillitis is based on the assessment of clinical signs. It should also be born in mind that the morphological examination of the tonsils is an invasive method and can only be used to confirm the diagnosis after tonsillectomy, and not as a routine examination of patients with chronic tonsillitis. Morphological changes in palatine tonsils during chronic tonsillitis are represented by the proliferation of connective tissue in the thickness of the lymphoid tissue, the presence of necrotic foci, damage to the walls of capillary vessels, and disturbances in the crypt epithelium. In the case of the toxic-allergic form of chronic tonsillitis, the process of inflammation in the palatine tonsils proceeds more actively than in the simple form of chronic tonsillitis. However, these changes are not specific. Morphological changes are usually verified by examining the tissue of the tonsils their removal.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138874","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
Exploring Substance Use Among Late Adolescents in Mangaluru, India 探索印度曼格鲁晚期青少年的物质使用情况
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-08-30 DOI: 10.54105/ijamst.d3039.083523
Dr. Loveena Lobo, Ms. Amlin Roche
{"title":"Exploring Substance Use Among Late Adolescents in Mangaluru, India","authors":"Dr. Loveena Lobo, Ms. Amlin Roche","doi":"10.54105/ijamst.d3039.083523","DOIUrl":"https://doi.org/10.54105/ijamst.d3039.083523","url":null,"abstract":"Adolescence is a significant transitioning phase of life where the young are prone to experiment and engage in risk-taking behaviours such as Substances use. The study objectives were to ascertain the reasons for first-time use of substances, occasions of use, and the sources of availing of banned substances among late adolescents. A quantitative and qualitative study approach was adopted with an exploratory and descriptive research design. Around 532 late adolescent students participated in the study, from colleges in urban & rural areas. The study outcomes highlight the primary reasons for adolescent substances-use was party/fun (45%) followed by curiosity&experimentation (35%) and suggestion from friends & family (11%). The top three occasions for substance use are parties (53%), weekends (18%) and when studying (10%). The top three sources of availing of banned substances are friends/ college mates (18%), agents (12%), and petty shops (8%). Qualitative findings showed that the first-time use of addictive substances among adolescents is primarily due to curiosity, experimentation and the influence of friends. Interviews revealed that faulty parenting techniques such as poor communication, providing ample finances and lack of supervision of hostellers are the common markers of adolescent substance use. Hostels and parties are often popular places among students to initiate substance use. The channels for obtaining Banned substances are through students (for financial gains) who have dealt with middlemen/traffickers in the past. Often vehicles such as cars/trains and modern technology are adopted by drug traffickers. Instances of Weed (marijuana) being grown at home in the backyards is seen. Various recommendations at Educational Institutes, law enforcement and Government Policy levels are made. Further research, to probe deeper into understanding the effects of substance use and health concerns due to substance use is suggested.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124196460","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
Strategies For Safety: A Mixed Method Study of Communication, Teamwork and Health Professional Attitudes When Implementing Multidisciplinary Simulation in The Emergency Department 安全策略:在急诊科实施多学科模拟时,沟通、团队合作和健康专业态度的混合方法研究
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-08-30 DOI: 10.54105/ijamst.e3045.083523
Katie Janz, Kylie Russell
{"title":"Strategies For Safety: A Mixed Method Study of Communication, Teamwork and Health Professional Attitudes When Implementing Multidisciplinary Simulation in The Emergency Department","authors":"Katie Janz, Kylie Russell","doi":"10.54105/ijamst.e3045.083523","DOIUrl":"https://doi.org/10.54105/ijamst.e3045.083523","url":null,"abstract":"The Emergency Department (ED) team delivers care to critically unwell patients. Within this, there are a range of complexities and responsibilities identified. Technical skills can be taught in lectures and books; however, the newly evolving phenomenon of focusing on non-technical medical skills has advanced over time. Using non-technical skills, such as communication and human factors, can influence the team's functioning, which could potentially influence a positive outcome of a critical care event. This study explores whether multidisciplinary simulation training, focusing on non-technical skills, can improve participants’ communication and teamwork and if regular simulation practice can influence healthcare staff attitudes towards embedding a regular simulation program at a local site. A convergent mixed method approach was used to determine staff attitude towards a newly implemented simulation programin the hospital ED. Data was collected over six weeks. The quantitative component measured teamwork and communication with Guise’s validated and reliable tool, the Clinical Teamwork Scale (CTS). Further data using a developed evaluation survey provided participant feedback pre and post-simulation. Thirty-two participants, sixteen nurses and sixteen doctors, were surveyed. The results could suggest a trend of a positive outlook towards implementing a regular simulation practice. However, further analysis would be required. A common theme was participant confidence post-simulation practice and willingness to participate in future simulations. Baseline opinions from all participants were positive. The study has generated valuable insight towards staff attitudes toward MDT simulation in the ED setting. The evidence can further support the implementation of a regular simulation program.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114371649","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
Aloe Vera for Protects Skin Tissues from The Damaging Impacts of Ultraviolet Radiation 芦荟保护皮肤组织免受紫外线辐射的伤害
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-06-30 DOI: 10.54105/ijamst.d3036.063423
Dr. Hala M. Ahmed, Dr. Mohamed S. Nasr Eldin
{"title":"Aloe Vera for Protects Skin Tissues from The Damaging Impacts of Ultraviolet Radiation","authors":"Dr. Hala M. Ahmed, Dr. Mohamed S. Nasr Eldin","doi":"10.54105/ijamst.d3036.063423","DOIUrl":"https://doi.org/10.54105/ijamst.d3036.063423","url":null,"abstract":"When Overexposure to sun UV radiation leads to skin damage and increases the risk of skin cancer; thus, it is a factor in aging, which accelerate skin aging and increases the risk of skin cancer. To determine the Photoprotective potential was evaluated by biomechanical measurements of tissue and histopathological examination of the skin. Showed The skin group irradiated with exposed for 4 h to UV (UV lamps, wavelength 365 nm, power 6 W) without Aloe vera showed significant biomechanical measurements of tissues and histopathological change and showed skin necrosis of dermal collagen. The Treatment with Aloe vera protected skin tissues against UV exposure for 4 h to UV light (UV lamps, wavelength 365 nm, power 6 W damage by biomechanical measurements of tissues restoring histopathological changes. The extracted Aloe vera is shown.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125002665","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
Mediating Health and Risk Information in WhatsApp and its Impact on Risk Perception and Risk Knowledge During COVID-19 Public Health Emergency 在COVID-19突发公共卫生事件中调解WhatsApp中的健康和风险信息及其对风险认知和风险知识的影响
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-06-30 DOI: 10.54105/ijamst.d3035.063423
Varghese Riju Joshua, Dr. S. Anand Lenin Vethanayagam
{"title":"Mediating Health and Risk Information in WhatsApp and its Impact on Risk Perception and Risk Knowledge During COVID-19 Public Health Emergency","authors":"Varghese Riju Joshua, Dr. S. Anand Lenin Vethanayagam","doi":"10.54105/ijamst.d3035.063423","DOIUrl":"https://doi.org/10.54105/ijamst.d3035.063423","url":null,"abstract":"WhatsApp is India’s most popular social media application and has emerged as a valuable tool for health and risk communication during the COVID-19 public health emergency (PHE). Public health institutions,WHO and Government agencies used WhatsApp Health Alert to distribute verified, accurate and timely information during the COVID-19 pandemic. This study examines the potential of WhatsApp as a primary source of health and risk information and its impact on users’ risk knowledge and risk perception during the COVID-19 pandemic. We conducted a cross-sectional online survey among 453WhatsApp users in Tamil Nadu during the COVID-19 lockdown in May-August 2021. Most of the respondents used WhatsApp as the primary source of COVID-19 information than other media. COVID-19 information in WhatsApp had a positive and significant impact on users’ risk knowledge and risk perception. Regularly receiving and sharing COVID-19 information, subscribing to and participating in COVID-19-related group chats, and regularly updating WhatsApp statuses about COVID-19 were significant influencers of risk knowledge and risk perception. Future PHE response communication must build on these communication opportunities in WhatsApp rather than routed primarily to traditional methods.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128957822","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
Machine Learning in Modern Healthcare 现代医疗中的机器学习
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-06-30 DOI: 10.54105/ijamst.d3037.063423
Aaryan Arora, Nirmalya Basu
{"title":"Machine Learning in Modern Healthcare","authors":"Aaryan Arora, Nirmalya Basu","doi":"10.54105/ijamst.d3037.063423","DOIUrl":"https://doi.org/10.54105/ijamst.d3037.063423","url":null,"abstract":"Traditional healthcare systems have long struggled to meet the diverse needs of millions of patients, leading to inefficiencies and suboptimal outcomes. However, the advent of machine learning (ML) has introduced a transformative paradigm shift towards value-based treatment, enabling healthcare providers to deliver personalized and highly effective care. Modern healthcare equipment and devices now incorporate internal applications that gather and store comprehensive patient data, presenting a valuable resource for ML-driven predictive models. In this research article, we delve into the profound impact of ML on modern healthcare, highlighting its potential to significantly enhance patient care and optimize resource allocation. Our study presents a robust predictive model capable of accurately forecasting patient diseases based on input information and various parameters, harnessing the power of extensive datasets encompassing diverse patient populations. We compared several ML algorithms, including Logistic Regression (accuracy: 0.796875), K-Nearest Neighbors (accuracy: 0.7864583333333334), XG Boost (accuracy: 0.78125), and Py Torch (accuracy: 0.7337662337662337), to determine the best-performing model. The achieved accuracies demonstrate the effectiveness of these ML techniques in disease prediction and showcase the potential for improving patient outcomes. Beyond the technical aspects, we explore the broader implications of value-based treatment and the integration of ML for various healthcare stakeholders. By emphasizing the numerous benefits of personalized and proactive medical care, our findings illustrate the substantial potential of ML-driven predictive healthcare models to revolutionize traditional healthcare systems. The adoption of ML in healthcare lays the foundation for a more efficient, effective, and patient-centered medical ecosystem, supporting the sustainability and adaptability of healthcare systems in the face of expanding patient populations and complex medical needs. This article significantly contributes to the field by providing comprehensive insights into the experimental stages, showcasing the achieved results, and highlighting the key conclusions derived from our study. By addressing the limitations of the previous abstract, we ensure a more informative and substantial overview of our research, offering valuable knowledge for for researchers, practitioners, and decision-makers striving to leverage the power of ML in healthcare innovation.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133692282","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
Synchronous Laryngeal Primary Cancer in a Patient with Esophageal Squamous Carcinoma Cell . A Case Report 食管鳞癌患者的同步喉部原发癌。病例报告
International Journal of Advanced Medical Sciences and Technology Pub Date : 2023-04-30 DOI: 10.54105/ijamst.c3034.043323
Dr. Ouhammou Yousra, Dr. Gridda Meriem, Dr. Maouni Iliass, Pr Noureddine Njoumi, Pr Abdelmounaim Ait Ali, Ait Ali
{"title":"Synchronous Laryngeal Primary Cancer in a Patient with Esophageal Squamous Carcinoma Cell . A Case Report","authors":"Dr. Ouhammou Yousra, Dr. Gridda Meriem, Dr. Maouni Iliass, Pr Noureddine Njoumi, Pr Abdelmounaim Ait Ali, Ait Ali","doi":"10.54105/ijamst.c3034.043323","DOIUrl":"https://doi.org/10.54105/ijamst.c3034.043323","url":null,"abstract":"Unexpected diagnosis of primary synchronous cancer in a patient with esophageal squamous carcinoma cell makes therapeutic management difficult. the careful evaluation of synchronous tumors is a primority aspect of management. we present the unusual case of an individual with esophageal squamous carcinomas cell synchronously associated with another primary laryngeal tumor. Initial clinical assessment was performed and consisting in a pan endoscopy and FDG-Pet scan / CT revealed the presence of synchronous head and neck and esophageal carcinoma (SHNEC). As recommended in the literature, surgical resection was not indicated. In this case radio chemotherapy often remains the only therapeutic alternative which guarantees a better result and improves the prognosis. The patient progressed well under concomitant radio chemotherapy even if complications inherent to this treatment required the cessation of treatment for a short period.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130200359","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
Surgeon–Anesthesiologist Relationship for Patient Safety: Prospective study 外科麻醉师与患者安全的关系:前瞻性研究
International Journal of Advanced Medical Sciences and Technology Pub Date : 2022-12-30 DOI: 10.54105/ijamst.a3032.123122
Masad Ilyass, N. Hamza, E. Anass, Elwali Abderrahmane, Bensghir Mustapha, Baite Abdelouahed, A. Khalil
{"title":"Surgeon–Anesthesiologist Relationship for Patient Safety: Prospective study","authors":"Masad Ilyass, N. Hamza, E. Anass, Elwali Abderrahmane, Bensghir Mustapha, Baite Abdelouahed, A. Khalil","doi":"10.54105/ijamst.a3032.123122","DOIUrl":"https://doi.org/10.54105/ijamst.a3032.123122","url":null,"abstract":"Differences in information, opinion, values, experience, and interests between a medical surgeon and an anesthesiologist resuscitator can occur when working in environments with high pressure such as operating rooms, which can trigger conflicts. The objective of our study is to assess the perceived causes that trigger their conflicts. Materials and Methods: This is a prospective observational study conducted within the operating theater department of the Military Instruction Hospital Mohammed V Rabat (HMIMV). Results: 41 anesthesiologists and 38 surgeons participated. Personal and organizational causes were the most common. For surgeons, the most frequent cause of the conflict was delayed anesthesia startup (71%) while anesthesiologists considered lack of communication the most important cause of conflict (82%). We noted that participants of all levels agree that lack of communication and personality traits are the most frequent causes of conflict in the operating room. Conclusion: The causes of conflicts between surgeons and anesthesiologists in our study are similar to those found in the literature. Clear guidelines about the most common causes of conflicts will reduce their frequency and allow them to be managed well.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124092184","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
Evaluation of Protein and Carbohydrate Content of Some Anti Diabetic Medical Plants 几种抗糖尿病药用植物蛋白质和碳水化合物含量的评价
International Journal of Advanced Medical Sciences and Technology Pub Date : 2022-04-30 DOI: 10.54105/ijamst.c3027.042322
Mr. Krutin Patel, M. Bhatnagar, Mr. Narendrasinh Thakor, Miss Richa Virendrasinh Dodia
{"title":"Evaluation of Protein and Carbohydrate Content of Some Anti Diabetic Medical Plants","authors":"Mr. Krutin Patel, M. Bhatnagar, Mr. Narendrasinh Thakor, Miss Richa Virendrasinh Dodia","doi":"10.54105/ijamst.c3027.042322","DOIUrl":"https://doi.org/10.54105/ijamst.c3027.042322","url":null,"abstract":"Diabetes mellitus may be defined as a state where the body of a person is deficient in the production of insulin. It may lead to a high amount of glucose in the bloodstream. The uses of medication for diabetes have many side effects. This paper involves a biochemical analysis of protein and carbohydrate content of Ocimum sanctum, Aegle marmelos, and Azadirachta indica leaves by use of extraction method. The plant samples for the same were collected from Vadodara and Anand district located in Gujarat. The results showed that the Azadirachta indica leaf sample collected from Anand showed maximum protein content and the Aegle marmelos leaf sample obtained from Vadodara had maximum carbohydrate content when compared with all plant samples collected for analysis. It may indicate that these plants have great anti-diabetic potential and can be used for the development of a potent drug from natural sources in the future.","PeriodicalId":126502,"journal":{"name":"International Journal of Advanced Medical Sciences and Technology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125289207","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
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