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Standard Accent vs. Local Accent: Exploring the Role of Doctors' Accent Characteristics in Online Medical Services. 标准口音与地方口音:医生口音特征在网络医疗服务中的作用探讨
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2025-05-05 DOI: 10.1080/10410236.2025.2499097
Peng Xie, Xianyi Long, Wenlong Mu, Jun Wang, Yueyan Wu
{"title":"Standard Accent vs. Local Accent: Exploring the Role of Doctors' Accent Characteristics in Online Medical Services.","authors":"Peng Xie, Xianyi Long, Wenlong Mu, Jun Wang, Yueyan Wu","doi":"10.1080/10410236.2025.2499097","DOIUrl":"10.1080/10410236.2025.2499097","url":null,"abstract":"<p><p>Due to the diversity of global languages and the influence of local practices and individual histories, it is common and controllable for individuals to speak with accents. With the emergence of online medical consultations as a new service model and the diversity of accents, doctors on digital platforms can choose to communicate using standard or nonstandard (local) accents. However, we lack a thorough understanding of how a doctor's accent characteristics influence patient satisfaction in online medical scenarios. In the context of China's online medical services, this study investigates how accent standardness and similarity influence patient satisfaction in online medical scenarios with information asymmetry. Through two complementary experiments, we first examine how accent standardness interacts with professional capital to influence patient satisfaction through perceived competence (Study 1), and then validate Study 1's findings in different experimental scenarios while exploring how accent similarity interacts with hometown information disclosure to influence patient satisfaction through perceived warmth (Study 2). we find that accent standardness is more important, yielding higher patient satisfaction. It positively impacts patient satisfaction and compliance intention, mediated by perceived competence and moderated by professional capital. Local accent similarity also positively influences patient satisfaction, mediated by perceived warmth and enhanced by patient hometown information disclosure. These findings provide valuable insights for effective online medical communication in this evolving healthcare landscape.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1363-1380"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
How Perceived Humor Motivates and Demotivates Information Processing of TikTok Videos: The Moderating Role of TikTok Gratifications. 感知到的幽默是如何激励和削弱 TikTok 视频信息处理的?TikTok 满足感的调节作用。
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2024-08-08 DOI: 10.1080/10410236.2024.2389353
Jeeyun Oh, Eunjoo Jin, Shuer Zhuo
{"title":"How Perceived Humor Motivates and Demotivates Information Processing of TikTok Videos: The Moderating Role of TikTok Gratifications.","authors":"Jeeyun Oh, Eunjoo Jin, Shuer Zhuo","doi":"10.1080/10410236.2024.2389353","DOIUrl":"10.1080/10410236.2024.2389353","url":null,"abstract":"<p><p>TikTok has been an innovative platform for distributing health messages with its wide appeal to younger audiences. The current study examines how the perceived humor of TikTok videos that promote COVID-19 vaccination influences persuasion through cognitive and affective mechanisms. In a survey study (<i>N</i> = 186), perceived humor was a positive predictor of source liking and happiness but was also associated with message discounting. Both source liking and happiness indirectly encouraged pro-vaccination attitudes by motivating message elaboration. In contrast, message discounting reduced elaboration, which discouraged pro-vaccination attitudes. Especially, those who watch TikTok for information gratification counterargued more as perceived humor increased.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1169-1180"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
From the United States to the United Kingdom: Hope, Blended Family Social Support, and Computer-Mediated Communication Amidst Chronic Illness. 从美国到英国:慢性病患者的希望、混合家庭的社会支持以及计算机辅助通信。
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2024-08-26 DOI: 10.1080/10410236.2024.2394261
Samuel J Taylor
{"title":"From the United States to the United Kingdom: Hope, Blended Family Social Support, and Computer-Mediated Communication Amidst Chronic Illness.","authors":"Samuel J Taylor","doi":"10.1080/10410236.2024.2394261","DOIUrl":"10.1080/10410236.2024.2394261","url":null,"abstract":"<p><p>This Defining Moments essay contributes to health communication scholarship regarding the role of religion/spirituality as a coping strategy during severe illness and the realities of providing social support in blended families. It also invites readers to reconsider the capacities and constraints of utilizing technology-mediated communication to provide support within close familial relationships. Finally, this narrative acknowledges the messiness of providing support in the evolving realities of family life and the complexity of \"being there\" for people we love when we cannot physically be present.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1381-1385"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Assessment of Clarity of Images in COVID-19 Health Education Materials Among Diverse Communities in the United States. 评估美国不同社区 COVID-19 健康教育材料中图像的清晰度。
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2024-08-22 DOI: 10.1080/10410236.2024.2391644
Sarah J Pinto, Bianca Rubio, Lauren Blackmun Elsberry, Cesar Rivera, Alfonso Rodriguez Lainz
{"title":"Assessment of Clarity of Images in COVID-19 Health Education Materials Among Diverse Communities in the United States.","authors":"Sarah J Pinto, Bianca Rubio, Lauren Blackmun Elsberry, Cesar Rivera, Alfonso Rodriguez Lainz","doi":"10.1080/10410236.2024.2391644","DOIUrl":"10.1080/10410236.2024.2391644","url":null,"abstract":"<p><p>Given the need to provide clear communication to diverse audiences in the United States during public health emergencies, this assessment of images in COVID-19 communication materials identified ways to improve visual communication design. Qualitative interviews were conducted with 74 participants from various racial and ethnic backgrounds to gauge the clarity of images without associated text used in two infographics. Most images were understood by participants, but for each image at least some participants had an interpretation different from intended or only captured a portion of the message. Some images were interpreted by most or all participants as representing something other than intended. Participant recommendations were used to develop seven practical ways to improve image clarity: realistic graphics, exaggerated body position and actions, details to show image context and background, icons to encourage or discourage actions, symbols to show movement, consistency in recommended behavior in each image, and closely matching image to associated text. These elements can be applied in combination with existing health equity guiding principles for creating visual communication products before testing and validating products with intended audiences of different sociodemographic and cultural background to ensure appropriateness and clarity of images.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1213-1224"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
U.S. Males and Pornography: Replication and Experimental Extension. 美国男性与色情:Replication and Experimental Extension.
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2024-08-18 DOI: 10.1080/10410236.2024.2389354
Paul J Wright, Robert S Tokunaga
{"title":"U.S. Males and Pornography: Replication and Experimental Extension.","authors":"Paul J Wright, Robert S Tokunaga","doi":"10.1080/10410236.2024.2389354","DOIUrl":"10.1080/10410236.2024.2389354","url":null,"abstract":"<p><p>Communication scientists have published pornography research in the communication discipline's central journals for decades. Health communication scholars have become particularly interested in pornography in recent years, given increasing evidence of its likely impact on critical sexual health outcomes. An important resource for scholarship on pornography use is the General Social Survey (GSS). The first major article on pornography use and potential effects using the GSS was published only a decade ago and in a sexological journal, however. The present study provides a replication of this original article within the context of a GSS methodological experiment designed to provide pornography scholars with the first opportunity in 50 years to test a potential new pornography use measure. Results are interpreted in terms of their implications for the GSS, the pornography literature in general, and multiple theories of media use, processes, and effects.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1181-1197"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Social Determinants of Message Exposure and Health Anxiety Among Young Sexual Minority Men in the United States During the 2022 Mpox Outbreak. 2022 年麻疹疫情爆发期间美国少数性取向年轻男性信息接触和健康焦虑的社会决定因素》(Social Determinants of Message Exposure and Health Anxiety Among Young Sexual Minority Men in the United States during the 2022 Mpox Outbreak)。
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2024-09-03 DOI: 10.1080/10410236.2024.2397272
Christopher D Otmar, Andy J Merolla
{"title":"Social Determinants of Message Exposure and Health Anxiety Among Young Sexual Minority Men in the United States During the 2022 Mpox Outbreak.","authors":"Christopher D Otmar, Andy J Merolla","doi":"10.1080/10410236.2024.2397272","DOIUrl":"10.1080/10410236.2024.2397272","url":null,"abstract":"<p><p>This study tested the structural influence model of communication in the context of the 2022 global outbreak of the Mpox virus among young sexual minority men. The primary objective was to understand how distinct social determinants, including education, race/ethnicity, and interpersonal discrimination, influenced exposure to Mpox messages in daily life and affected health anxiety concerning the Mpox virus in the United States. We also explored the significance of LGBTQ+ community connectedness as a crucial form of social capital during the outbreak. We collected a three-wave longitudinal dataset and examined within-person and between-person associations using a random-intercept cross-lagged panel model. Participants (<i>N</i> = 254) reported that internet sources and social media were their primary information sources for Mpox messages during the outbreak. Educational attainment, racial minority status, and LGBTQ+ community connectedness were significantly associated with message exposure. Young sexual minority men who faced greater interpersonal discrimination in their daily lives also reported higher rates of Mpox-related health anxiety. Longitudinal analysis indicated that (at the within-person level) Mpox anxiety was significantly associated with greater Mpox message exposure in the month following the outbreak, but that relationship waned in the subsequent month. The theoretical implications highlight the relevance of minority stress variables in the structural influence model of communication framework and suggest the importance of community connectedness as a distinct form of social capital shaping message exposure and health anxiety during the Mpox outbreak in the United States.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1314-1325"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Health Behavior Change Interventions Using Mobile Phones: A Meta-Analysis. 使用手机进行健康行为改变干预:元分析。
IF 3 3区 医学
Health Communication Pub Date : 2025-06-01 Epub Date: 2024-08-29 DOI: 10.1080/10410236.2024.2393005
Stephanie K Van Stee, Qinghua Yang, Maureen Falcone
{"title":"Health Behavior Change Interventions Using Mobile Phones: A Meta-Analysis.","authors":"Stephanie K Van Stee, Qinghua Yang, Maureen Falcone","doi":"10.1080/10410236.2024.2393005","DOIUrl":"10.1080/10410236.2024.2393005","url":null,"abstract":"<p><p>The technological capabilities of mobile phones have made them a useful tool for delivering interventions, but additional research is needed to determine the mechanisms underlying the comparative effectiveness of mobile health interventions. This meta-analysis analyzes the relative effectiveness of mobile phone-based health interventions relative to comparison/control groups (e.g., eHealth interventions, standard of care, etc.), the utility of the theory of planned behavior in mobile phone-based health interventions, and the roles of various moderators. One hundred eighteen studies met inclusion criteria and contributed to an overall effect size of <i>d =</i> 0.27 (95% CI [.22, .32]). Findings indicate that mobile phone-based health interventions are significantly more effective than comparison/control conditions at improving health behaviors. Additionally, perceived behavioral control was a significant moderator providing some support for the usefulness of theory of planned behavior in mobile phone-based health interventions.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1225-1247"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142106767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Nurse Leaders' Perceptions of the Use of the COMFORT Communication Training Intervention in Adult ICU Settings: A Qualitative Study. 护士领导对成人ICU环境中使用COMFORT沟通训练干预的看法:一项定性研究。
IF 3 3区 医学
Health Communication Pub Date : 2025-05-29 DOI: 10.1080/10410236.2025.2505788
Mandy L Dees, Janet S Carpenter, Krista Longtin, Deanna L Reising, Lucia D Wocial, Kristin N Levoy
{"title":"Nurse Leaders' Perceptions of the Use of the COMFORT Communication Training Intervention in Adult ICU Settings: A Qualitative Study.","authors":"Mandy L Dees, Janet S Carpenter, Krista Longtin, Deanna L Reising, Lucia D Wocial, Kristin N Levoy","doi":"10.1080/10410236.2025.2505788","DOIUrl":"https://doi.org/10.1080/10410236.2025.2505788","url":null,"abstract":"<p><p>Effective nurse-to-family communication is critical in intensive care units (ICUs), where high acuity and emotional complexity demand rapid trust-building and clear information exchange. This qualitative study explored ICU nurse leaders' perceptions of the COMFORT communication intervention, a structured, theory-driven model designed to enhance relationship-centered communication with families. Seventeen nurse leaders from a statewide health system participated in virtual focus groups assessing the COMFORT model's seven components of COMFORT: Connect, Options, Making Meaning, Family Caregiver, Openings, Relating, and Team for practicability, appeal, and relevance within ICU workflows. Directed content analysis revealed strong support for the Connect, Family Caregivers, and Openings components, emphasizing their foundational role in establishing rapport and supporting emotionally charged conversations. Components such as Relating and Options were perceived as less feasible due to time constraints and staff discomfort with sensitive discussions. Leaders recommended a phased, scaffolded implementation strategy using mobile technology to promote accessibility and just-in-time learning. Emphasis was placed on integrating training into onboarding and leveraging unit workflows to sustain communication practice over time. Findings suggest that nurse leaders view the COMFORT model as a practical and scalable framework to strengthen nurse-to-family communication. The study highlights the importance of tailoring communication interventions to clinical realities and leveraging leadership support to foster trust and engagement in critical care contexts.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Speaking in Metaphors: Exploring Black Women's Communicated Sense-Making of Postpartum Depression. 用隐喻说话:探讨黑人女性产后抑郁症的沟通意义。
IF 3 3区 医学
Health Communication Pub Date : 2025-05-26 DOI: 10.1080/10410236.2025.2511874
Kallia O Wright, Hanna Birenbaum Cooper, Kaixu Yuan, Rutendo E Chimbaru, Diane B Francis
{"title":"Speaking in Metaphors: Exploring Black Women's Communicated Sense-Making of Postpartum Depression.","authors":"Kallia O Wright, Hanna Birenbaum Cooper, Kaixu Yuan, Rutendo E Chimbaru, Diane B Francis","doi":"10.1080/10410236.2025.2511874","DOIUrl":"https://doi.org/10.1080/10410236.2025.2511874","url":null,"abstract":"<p><p>Guided by the communicated sense-making model, we describe the results of an analysis of interviews with 15 Black women about their experiences with postpartum depression (PPD). The findings indicate that the women made sense of their experience using three categories of metaphors: (1) mobility, (2) cultural expectations, and (3) social support. These categories of metaphors provide evidence that the discourse of motherhood as distressing is expressed in the narratives of Black women with PPD, even as they seek to fulfill the demands of the discourse of motherhood as intensive. The metaphors also reveal that Black mothers with PPD struggle with the cultural pressure placed on them to act as a strong Black woman/mother. As a result, the participants demonstrate that cultural expectations expressed by their social network add to the motherhood as distressing discourse. Finally, the study makes an argument for the inclusion of metaphors as a viable and supporting device in the communicated sense-making model. Implications for practical and future applications are presented.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Centering U.S. Rural, Immigrant Latinx Adolescent Voices Through Narrative Mapping: Exploring a Novel Approach to Communicated Narrative Sense-Making. 以美国农村、移民拉丁裔青少年的声音为中心,通过叙事映射:探索一种沟通叙事意义构建的新方法。
IF 3 3区 医学
Health Communication Pub Date : 2025-05-26 DOI: 10.1080/10410236.2025.2499751
Angela L Palmer-Wackerly, Jessie Coffey, Lorey A Wheeler, Cassidy Emmerich, Leonardo Gonzalez, Virginia Chaidez, Laura Acosta, Julie A Tippens, Kazi Wahed, Weiwen Chai
{"title":"Centering U.S. Rural, Immigrant Latinx Adolescent Voices Through Narrative Mapping: Exploring a Novel Approach to Communicated Narrative Sense-Making.","authors":"Angela L Palmer-Wackerly, Jessie Coffey, Lorey A Wheeler, Cassidy Emmerich, Leonardo Gonzalez, Virginia Chaidez, Laura Acosta, Julie A Tippens, Kazi Wahed, Weiwen Chai","doi":"10.1080/10410236.2025.2499751","DOIUrl":"https://doi.org/10.1080/10410236.2025.2499751","url":null,"abstract":"<p><p>In the current study, we explore how rural immigrant Latinx adolescents make sense of and cope with their experiences through narrative mapping. Narrative mapping is an arts-based research method consisting of intrapersonal sensemaking through drawing and interpersonal sensemaking through discussion with others. We theoretically ground our study in narrative resilience via communicated narrative sense-making (CNSM) theory's translational storytelling heuristic. We asked 20 immigrant Latinx adolescents, ages 15-18, from a small rural Nebraskan community, in which 70% identify as Hispanic/Latinx, to draw and discuss a story about their health, education, and/or stress. We found that students drew and explained their drawings and experiences to their peers through two narrative sense-making devices: <i>linear journeys</i> and <i>affective snapshots</i>, which included <i>comforting nature scenes</i> and <i>chaotic reflections</i>. We also found that they communicated narrative resilience through their narrative maps by telling stories of <i>overcoming challenges, aspiring toward future goals, reconnecting with others, centering in relaxation and calm</i>, and <i>processing uncertainty</i>. Students reported benefits, such as coherence and perspective, understanding and empathy, relaxation, and autonomy. They also reported the challenges of getting started and struggling with vulnerable disclosure. We discuss implications and future directions, including those suggested by adolescents. Our study answers scholarly calls for more research (a) using translational storytelling, (b) centering cultural identities and experiences in storytelling and resilience, (c) using arts-based research approaches, and (d) focusing on the psychosocial strengths, instead of deficits, of Latinx adolescents.</p>","PeriodicalId":12889,"journal":{"name":"Health Communication","volume":" ","pages":"1-19"},"PeriodicalIF":3.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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