International Journal of Public Health最新文献

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Key Determinants of COVID-19 Vaccination Take-Up in Remote Rural Areas: Evidence From Colombia 偏远农村地区接种 COVID-19 疫苗的关键决定因素:来自哥伦比亚的证据
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-06-13 DOI: 10.3389/ijph.2024.1606689
Natalia Cantet, Marcela Ibañez, J. Muñoz-Mora, Laura Maria Quintero
{"title":"Key Determinants of COVID-19 Vaccination Take-Up in Remote Rural Areas: Evidence From Colombia","authors":"Natalia Cantet, Marcela Ibañez, J. Muñoz-Mora, Laura Maria Quintero","doi":"10.3389/ijph.2024.1606689","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606689","url":null,"abstract":"The adoption of vaccines was a crucial factor in overcoming the COVID-19 pandemic. However, vaccination rates between rural and urban areas varied greatly. In this paper, our objective is to understand the individual and institutional factors associated with the uptake of vaccines in remote rural areas in Colombia.We interviewed a random sample of 800 households (1,592 individuals) in remote rural areas of Antioquia (Colombia) during February 2022 when vaccinations were available. Then, we use a linear probability model to explain the uptake of the COVID-19 vaccine.The results indicate that the probability of having at least the first dose of the COVID-19 vaccine is positively associated with access to information, trust in police and army, and the perceived risk of contracting COVID-19. Trust in the church is negatively related to vaccination.Institutions can play a critical role in the management of pandemics. Timely information on the risks associated with the disease and perceived riskiness are key factors that mobilize the population to take the COVID-19 vaccine.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141349441","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
ChatGPT and Refugee’s Health: Innovative Solutions for Changing the Game ChatGPT 和难民健康:改变游戏规则的创新解决方案
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-06-11 DOI: 10.3389/ijph.2024.1607306
Shima Jahani, Zahra Dehghanian, Amirhossein Takian
{"title":"ChatGPT and Refugee’s Health: Innovative Solutions for Changing the Game","authors":"Shima Jahani, Zahra Dehghanian, Amirhossein Takian","doi":"10.3389/ijph.2024.1607306","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607306","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141357998","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
Burden of Childhood Diarrhea and Its Associated Factors in Ethiopia: A Review of Observational Studies 埃塞俄比亚儿童腹泻的负担及其相关因素:观察研究综述
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-06-05 DOI: 10.3389/ijph.2024.1606399
B. Sahiledengle, D. Atlaw, Lillian Mwanri, Pammla Petrucka, A. Kumie, Yohannes Tekalegn, F. Desta, Demisu Zenbaba, Telila Mesfin, Degefa Gomora, Kingsley Emwinyore Agho
{"title":"Burden of Childhood Diarrhea and Its Associated Factors in Ethiopia: A Review of Observational Studies","authors":"B. Sahiledengle, D. Atlaw, Lillian Mwanri, Pammla Petrucka, A. Kumie, Yohannes Tekalegn, F. Desta, Demisu Zenbaba, Telila Mesfin, Degefa Gomora, Kingsley Emwinyore Agho","doi":"10.3389/ijph.2024.1606399","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606399","url":null,"abstract":"Objectives: This systematic review and meta-analysis aimed to: i) determine the pooled prevalence of acute diarrhea; and ii) synthesize and summarize current evidence on factors of acute diarrheal illnesses among under-five children in Ethiopia.Methods: A comprehensive systematic search was conducted in PubMed, SCOPUS, HINARI, Science Direct, Google Scholar, Global Index Medicus, Directory of Open Access Journals (DOAJ), and the Cochrane Library. This systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. The methodological quality of each included article was assessed using the Joanna Briggs Institute (JBI) quality assessment tool for cross-sectional and case-control studies. A random-effect meta-analysis model was used to estimate the pooled prevalence of diarrheal illnesses. Heterogeneity and publication bias were assessed using I2 test statistics and Egger’s test, respectively. The statistical analysis was done using STATA™ software version 14.Results: Fifty-three studies covering over 27,458 under-five children who met the inclusion criteria were included. The pooled prevalence of diarrhea among under-five children in Ethiopia was found to be 20.8% (95% CI: 18.69–22.84, n = 44, I2 = 94.9%, p < 0.001). Our analysis revealed a higher prevalence of childhood diarrhea in age groups of 12–23 months 25.42% (95%CI: 21.50–29.35, I2 = 89.4%, p < 0.001). In general, the evidence suggests that diarrheal risk factors could include: i) child level determinants (child’s age 0–23 months, not being vaccinated against rotavirus, lack of exclusive breastfeeding, and being an under-nourished child); ii) parental level determinants {mothers poor handwashing practices [pooled odds ratio (OR) = 3.05; 95% CI:2.08–4.54] and a history of maternal recent diarrhea (pooled OR = 3.19, 95%CI: 1.94–5.25)}; and iii) Water, Sanitation and Hygiene (WASH) determinants [lack of toilet facility (pooled OR = 1.56, 95%CI: 1.05–2.33)], lack handwashing facility (pooled OR = 4.16, 95%CI: 2.49–6.95) and not treating drinking water (pooled OR = 2.28, 95% CI: 1.50–3.46).Conclusion: In Ethiopia, the prevalence of diarrhea among children under the age of five remains high and is still a public health problem. The contributing factors to acute diarrheal illnesses were child, parental, and WASH factors. A continued focus on improving access to WASH facilities, along with enhancing maternal hygiene behavior will accelerate reductions in diarrheal disease burden in Ethiopia.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384746","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
“I Go Outdoors for Activities Every Day”: Go-Along With Seniors With Slow Walking Speeds to Explore Environmental Factors Influencing Mobility "我每天都去户外活动":与步行速度较慢的老年人一起探索影响行动能力的环境因素
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-06-04 DOI: 10.3389/ijph.2024.1607033
Yanchuan Mou, Yu Qin, Shaofei Niu
{"title":"“I Go Outdoors for Activities Every Day”: Go-Along With Seniors With Slow Walking Speeds to Explore Environmental Factors Influencing Mobility","authors":"Yanchuan Mou, Yu Qin, Shaofei Niu","doi":"10.3389/ijph.2024.1607033","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607033","url":null,"abstract":"This study aims to: 1) Explore the mobility experiences of seniors with slow walking speeds (SSWS) in urban neighborhoods; and 2) Investigate their environmental barriers and supports.Go-along interviews were conducted with 36 SSWS residing in urban neighborhoods of Chongqing City, China. The mobility patterns and built environment factors influencing their mobility were revealed through cartographic analysis and thematic analysis.SSWS primarily focused their activities within a 400-meter radius of their homes. Built environment themes included topography, neighborhood services, sidewalks, seating, traffic safety, weather, greenery, and lighting. Significant mobility barriers included long stairs, steep slopes, fast-moving objects on sidewalks, road crossings, and fast traffic. Available handrails, nearby food-service places, ample seating, and greenery were identified as supportive factors for their mobility.This study stands out as the first to specifically examine the mobility of SSWS within the built environment. We suggest that SSWS should be taken into account when establishing a benchmark for general design frameworks. These improvements not only contribute to the mobility of slow walkers but also have positive impacts on the broader population.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266967","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
Editorial: Public Health and Primary Care, Is 1+1=1? 社论:公共卫生与初级保健,1+1=1?
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-06-03 DOI: 10.3389/ijph.2024.1607347
G. Gulis, Bernd Rechel
{"title":"Editorial: Public Health and Primary Care, Is 1+1=1?","authors":"G. Gulis, Bernd Rechel","doi":"10.3389/ijph.2024.1607347","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607347","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141269774","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
Collaborations and Networks Within Communities for Improved Utilization of Primary Healthcare Centers: On the Road to Universal Health Coverage 在社区内建立合作与网络,提高初级保健中心的利用率:通往全民健康保险之路
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-06-03 DOI: 10.3389/ijph.2024.1606810
Chinelo Obi, Iheomimichineke Ojiakor, E. Etiaba, O. Onwujekwe
{"title":"Collaborations and Networks Within Communities for Improved Utilization of Primary Healthcare Centers: On the Road to Universal Health Coverage","authors":"Chinelo Obi, Iheomimichineke Ojiakor, E. Etiaba, O. Onwujekwe","doi":"10.3389/ijph.2024.1606810","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606810","url":null,"abstract":"Community involvement depends on the level of linked and targeted activities for health by community members. This study examines the collaborations employed within communities to ensure sustainable access and improved use of healthcare in the community.This study was conducted in rural and urban local government areas in Anambra, Kano, and Akwa-Ibom, Nigeria. About 90 in-depth interviews and 12 focus group discussions were conducted with community stakeholders and service users. The findings were transcribed and coded via thematic analysis, guided by the Expanded Health Systems framework.Various horizontal collaborations in communities foster increased use of PHC services; promoting community health. Major horizontal collaborations in these communities were community-led, primary health facility-led, and Individual-led collaborations. Their actions revolved around advocacy, building and renovating PHC centers, equipping facilities, and sensitization to educate community members on the need to utilize services at PHC centers.Strategic involvements and collaborations of local actors within communities give rise to improvements in the utilization of primary healthcare centres, reportedly resulting in improved access to PHC healthcare services for community members.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141272577","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
Psychological Safety as an Enduring Resource Amid Constraints. 心理安全是限制条件下的持久资源。
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607332
Hassina Bahadurzada, Amy Edmondson, Michaela Kerrissey
{"title":"Psychological Safety as an Enduring Resource Amid Constraints.","authors":"Hassina Bahadurzada, Amy Edmondson, Michaela Kerrissey","doi":"10.3389/ijph.2024.1607332","DOIUrl":"10.3389/ijph.2024.1607332","url":null,"abstract":"<p><strong>Objectives: </strong>While psychological safety is recognized as valuable in healthcare, its relationship to resource constraints is not well understood. We investigate whether psychological safety mitigates the negative impact of resource constraints on employees.</p><p><strong>Methods: </strong>Leveraging longitudinal survey data collected from healthcare workers before and during the COVID-19 crisis (<i>N</i> = 27,240), we examine how baseline psychological safety relates to employee burnout and intent to stay over time, and then investigate this relationship relative to resource constraints (i.e., the inadequacy of staffing and tools).</p><p><strong>Results: </strong>Using hierarchical linear models, we find that psychological safety has enduring protective benefits for healthcare workers during periods of stress, and that these benefits mitigate the negative consequences of resource constraints for burnout and turnover intent over time.</p><p><strong>Conclusion: </strong>These findings extend the empirical basis for psychological safety and suggest that investments in building psychological safety can foster employee resilience and organizational commitment, even when resources are strained.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330859","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
Beliefs About Cannabis Use Among Male and Female Andalusian Adolescents. 安达卢西亚男女青少年对吸食大麻的看法。
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606911
María-Carmen Torrejón-Guirado, Shahab Jolani, Hein De Vries, Liesbeth Mercken, Marta Lima-Serrano
{"title":"Beliefs About Cannabis Use Among Male and Female Andalusian Adolescents.","authors":"María-Carmen Torrejón-Guirado, Shahab Jolani, Hein De Vries, Liesbeth Mercken, Marta Lima-Serrano","doi":"10.3389/ijph.2024.1606911","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606911","url":null,"abstract":"<p><p><b>Objectives:</b> This study assessed potential differences between girls and boys in the prevalence rates of cannabis use, sociodemographic factors, and beliefs about cannabis use. <b>Methods:</b> 1,896 Andalusian adolescents aged 14-18 participated in an online survey based on the I-Change model. The survey assessed their beliefs about cannabis use, including attitudes, social influences, self-efficacy, action planning, and intention to use. Multivariate analyses of variance were then conducted to examine potential gender differences in these beliefs, while controlling for last month's cannabis use. <b>Results:</b> Significantly more boys used cannabis in the last month, had boyfriends/girlfriends, and had more pocket money compared to girls. Additionally, girls - in comparison to boys - were more convinced of the disadvantages of cannabis use, but were also more convinced of some of the advantages (such as freedom from boredom, and medicinal use), reported having less favorable social norms for cannabis use, had more female best friends using cannabis, and felt pressure to use cannabis from their female peers. <b>Conclusion:</b> These findings highlight the need for cannabis prevention programs to consider gender differences in beliefs about cannabis use. Programs should not only address general risk factors for cannabis use but also evaluate if their interventions effectively target beliefs that are particularly important for girls and boys.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141419085","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
Urgent Call to Ensure Clean Air in South Asia - A Growing But Neglected Public Health Emergency. 紧急呼吁确保南亚的清洁空气--日益严重但被忽视的公共卫生紧急状况。
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607461
Shuvojit Kumar Kundu, Zaki Farhana, Anton Abdulbasah Kamil, Mohammad Meshbahur Rahman
{"title":"Urgent Call to Ensure Clean Air in South Asia - A Growing But Neglected Public Health Emergency.","authors":"Shuvojit Kumar Kundu, Zaki Farhana, Anton Abdulbasah Kamil, Mohammad Meshbahur Rahman","doi":"10.3389/ijph.2024.1607461","DOIUrl":"10.3389/ijph.2024.1607461","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11169061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317277","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
Health and Economic Benefits of Complying With the World Health Organization Air Quality Guidelines for Particulate Matter in Nine Major Latin American Cities. 遵守世界卫生组织《拉丁美洲九大城市颗粒物空气质量指南》的健康和经济效益。
IF 4.6 3区 医学
International Journal of Public Health Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606909
Lina Madaniyazi, Jefferson Alpízar, Luis Abdón Cifuentes, Horacio Riojas-Rodríguez, Magali Hurtado Díaz, Micheline de Sousa Zanotti Stagliorio Coelho, Rosana Abrutzky, Samuel Osorio, Gabriel Carrasco Escobar, Nicolás Valdés Ortega, Valentina Colistro, Dominic Roye, Aurelio Tobías
{"title":"Health and Economic Benefits of Complying With the World Health Organization Air Quality Guidelines for Particulate Matter in Nine Major Latin American Cities.","authors":"Lina Madaniyazi, Jefferson Alpízar, Luis Abdón Cifuentes, Horacio Riojas-Rodríguez, Magali Hurtado Díaz, Micheline de Sousa Zanotti Stagliorio Coelho, Rosana Abrutzky, Samuel Osorio, Gabriel Carrasco Escobar, Nicolás Valdés Ortega, Valentina Colistro, Dominic Roye, Aurelio Tobías","doi":"10.3389/ijph.2024.1606909","DOIUrl":"10.3389/ijph.2024.1606909","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to estimate the short-term preventable mortality and associated economic costs of complying with the World Health Organization (WHO) air quality guidelines (AQGs) limit values for PM<sub>10</sub> and PM<sub>2.5</sub> in nine major Latin American cities.</p><p><strong>Methods: </strong>We estimated city-specific PM-mortality associations using time-series regression models and calculated the attributable mortality fraction. Next, we used the value of statistical life to calculate the economic benefits of complying with the WHO AQGs limit values.</p><p><strong>Results: </strong>In most cities, PM concentrations exceeded the WHO AQGs limit values more than 90% of the days. PM<sub>10</sub> was found to be associated with an average excess mortality of 1.88% with concentrations above WHO AQGs limit values, while for PM<sub>2.5</sub> it was 1.05%. The associated annual economic costs varied widely, between US$ 19.5 million to 3,386.9 million for PM<sub>10</sub>, and US$ 196.3 million to 2,209.6 million for PM<sub>2.5</sub>.</p><p><strong>Conclusion: </strong>Our findings suggest that there is an urgent need for policymakers to develop interventions to achieve sustainable air quality improvements in Latin America. Complying with the WHO AQGs limit values for PM<sub>10</sub> and PM<sub>2.5</sub> in Latin American cities would substantially benefits for urban populations.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":4.6,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330858","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
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