Aging Medicine and Healthcare最新文献

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The Effects of Non-Pharmaceutical Intervention Based on the Protection Motivation Theory in Promoting COVID-19 Prevention Behaviors in the Older Adults 基于保护动机理论的非药物干预对促进老年人COVID-19预防行为的影响
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2022.01006
Mohadese Sadri, M. Barati, S. Bashirian, S. Khazaei
{"title":"The Effects of Non-Pharmaceutical Intervention Based on the Protection Motivation Theory in Promoting COVID-19 Prevention Behaviors in the Older Adults","authors":"Mohadese Sadri, M. Barati, S. Bashirian, S. Khazaei","doi":"10.33879/amh.133.2022.01006","DOIUrl":"https://doi.org/10.33879/amh.133.2022.01006","url":null,"abstract":"Background/Purpose: Due to the pandemic of COVID-19 and the need to pay attention to the older adults as one of the most vulnerable groups, this study aimed to determine the effects of educational programs based on the Protection Motivation Theory (PMT) as non-pharmaceutical intervention in promoting protective behaviors against COVID-19 among the older adults in Hamadan. Method(s): The present study was a randomized controlled trial performed in 2021 on 80 older adults visiting retirement centers in Hamadan. Participants were randomly assigned to experimental (n=40) and control groups (n=40). The data collection tool was a researcher-made questionnaire including demographic variables and constructs of PMT which were completed before and two months after the intervention. The intervention consisted of four sessions implemented for the experimental group. The collected data was analyzed in SPSS-16 using Chi-square, Mann-Whitney, and Wilcoxon tests. Result(s): There was no significant difference between the two groups in terms of all demographic variables and theoretical constructs before the educational intervention. After the educational intervention, there was a significant difference in the constructs of perceived severity (P=0.012), perceived response efficiency (P=0.009), perceived self-efficacy (P=0.021), and perceived response cost (P <0.001) after the intervention. No significant changes were reported in the control group (P >0.05). Also, results showed that there was no significant difference in the mean of COVID-19 preventive behaviors between the two groups after the educational intervention (P >0.05). Conclusion(s): The results showed that the use of educational intervention as non-pharmaceutical intervention based on the PMT was an effective approach to perform preventive behaviors against infectious diseases such as COVID-19. Copyright © 2022, Full Universe Integrated Marketing Limited. All rights reserved.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47101007","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 Grand Connection: Association Between Grandchild Care Involvement and Grandparents’ Cognitive Functioning 大联系:孙辈照顾参与与祖父母认知功能的关系
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.10099
Silvia Theresa Tong
{"title":"The Grand Connection: Association Between Grandchild Care Involvement and Grandparents’ Cognitive Functioning","authors":"Silvia Theresa Tong","doi":"10.33879/amh.133.2021.10099","DOIUrl":"https://doi.org/10.33879/amh.133.2021.10099","url":null,"abstract":"Cognitive impairment is increasingly becoming a public health agenda. Lifestyle factors that can be modified to optimize cognitive ability thus become increasingly important in maintaining an active life in old age. The number of dual-income families is increasing, so grandparents are frequently called upon for childcare. The social distancing measures applied due to the COVID-19 global pandemic mean that some older adults have had to reduce social contact with their family members, including their grandchildren. Whilst emerging evidence suggested that social engagement possibly delays the onset of cognitive decline. There is relatively limited data on the association of grandparent childcare and cognition function preservation.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41912659","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
Relationship Among Depression, Psychological Distress, and Sleep Disturbances Among Older Persons with Chronic Illness 老年慢性病患者抑郁、心理困扰和睡眠障碍的关系
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.10104
A. Hamdan-Mansour, Imad N. Thultheen, Hamza Alduraidi, S. Hamaideh, M. Banihani, Renad A. Hamdan-Mansour
{"title":"Relationship Among Depression, Psychological Distress, and Sleep Disturbances Among Older Persons with Chronic Illness","authors":"A. Hamdan-Mansour, Imad N. Thultheen, Hamza Alduraidi, S. Hamaideh, M. Banihani, Renad A. Hamdan-Mansour","doi":"10.33879/amh.133.2021.10104","DOIUrl":"https://doi.org/10.33879/amh.133.2021.10104","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48201996","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
Association Between Nutritional Status and Depression in Hospitalized Elderly Patients 住院老年患者营养状况与抑郁的关系
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.09080
G. Doğan, Nurcan Yabancı Ayhan, M. Varlı
{"title":"Association Between Nutritional Status and Depression in Hospitalized Elderly Patients","authors":"G. Doğan, Nurcan Yabancı Ayhan, M. Varlı","doi":"10.33879/amh.133.2021.09080","DOIUrl":"https://doi.org/10.33879/amh.133.2021.09080","url":null,"abstract":"The elderly population is increasing rapidly in this country as in the whole world. Turkey's elderly population (aged 65 years and over) reached nearly 8 million as of the end of 2020, with the proportion of the elderly population in the total population being 9.5%. Chronic diseases and social and physical problems that occur with increasing age affect the nutritional status of the elderly and reduce their quality of life. *Correspondence Mrs. Gökcen DOĞAN Health Sciences Faculty, Department of Nutrition and Dietetics, Ankara University, Turkey E-mail: gökcen_iplikci@hotmail.com","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45218042","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
Relationship Between Oral Health Status, Oral Discomfort and Oral Health Behaviors of the Vulnerable Elderly People in Korea 韩国弱势老年人口腔健康状况、口腔不适与口腔健康行为的关系
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.06045
Koung-Oh Chang, Soon-Jeong Jeong
{"title":"Relationship Between Oral Health Status, Oral Discomfort and Oral Health Behaviors of the Vulnerable Elderly People in Korea","authors":"Koung-Oh Chang, Soon-Jeong Jeong","doi":"10.33879/amh.133.2021.06045","DOIUrl":"https://doi.org/10.33879/amh.133.2021.06045","url":null,"abstract":"in 2030, and 39.0% ABSTRACT Background/Purpose: This study analyzed the correlation between the oral health status, oral discomfort, and oral health behaviors of merchants aged 65 and over belonging to the vulnerable group in Korea. The purpose of study is to provide basic data necessary for establishing oral health promotion programs and oral health policies for the elderly. Methods: We conducted a convenience sampling of 624 elderly 65 years and older in five markets located in Gyeongsnagnam-do, republic of Korea. After confirming the subject’s voluntary participation, 5 public health dentists from community health centers performed dental examination and treatment to assess oral health status (7 questions) and oral discomfort (5 questions), and 5 dental hygienists conducted an interviewer-administered survey with the structured questionnaire consisting of sociodemographic characteristics (9 questions) and oral health behavior (7 questions). Results: Gender ( r =-0.118, p =0.003) and age ( r =-0.173, p <0.001) showed a negative correlation with oral health status. Economic status showed a negative correlation with satisfaction with dental health care (-0.095, p =0.018) and experience of dental health care education (-0.088, p =.029), and showed a positive correlation with oral health status ( r =0.098, p =0.015). Daily activity restriction and oral discomfort ( r =0.106, p =0.008) showed a positive correlation. Subjective oral health condition showed a positive correlation with oral health status ( r =1.08, p =0.007) and oral discomfort ( r =0.198, p <0.001). Conclusion: Establishment of oral health promotion programs, oral health policies, and strategies suitable for the characteristics of the vulnerable elderly people and systematic and specific oral health education are necessary to improve the practice of continuous oral health behavior.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47885536","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
Gan-Dau Healthy Longevity Plan: The Community Model for Healthy Aging 甘道健康长寿计划:健康老龄化的社区模式
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2022.09088
Liang‐Kung Chen
{"title":"Gan-Dau Healthy Longevity Plan: The Community Model for Healthy Aging","authors":"Liang‐Kung Chen","doi":"10.33879/amh.133.2022.09088","DOIUrl":"https://doi.org/10.33879/amh.133.2022.09088","url":null,"abstract":"P aging is a global phenomenon. As one of the fastest aging countries in the world, Taiwan needs health plans with strong supporting evidences to respond to all challenges related to rapid population aging. The health plans should be community-based and person-centered, with optimal integration between all health and social care providers. Gan-Dau is a geographic region of the Beitou District of Taipei City where resides approximately 53,000 inhabitants and the percentage of people aged 65 years and older is over 18% in 2022. The name of Gan-Dau is originated from the aboriginal Taiwanese centuries ago and describes the connection of two rivers. As the name speaks for itself, Gan-Dau has been the wharf for fishermen for hundreds of years, and has transformed into a cluster of hightech industries, healthcare facilities, educational facilities, and recreational activities nowadays with well-preserved traditional cultures. Currently, Gan-Dau is a community with heterogenous composition of population, social activities, and lifestyles, which is suitable to be the pioneer site for community-based health plans of healthy aging. With the support from Taiwan’s National Health Research Institutes, the Taipei Municipal Gan-Dau Hospital, Taipei Veterans General Hospital, National Yang Ming Chiao Tung University, and industrial partners, Gau-Dau has become the pioneer site for examining the overall effects of implementing serial healthy longevity plans beyond individual clinical trials. Moreover, the Gan-Dau Healthy Longevity Plan actively collaborates with Japan’s National Center for Geriatrics and Gerontology, University of Tokyo, and the Cleveland Clinic of the United States to strengthen regional and global impacts to promote global healthy aging.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42673838","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: 10
Evaluation of Malnutrition and Depression in Elderly People: A Cross-Sectional Study in Turkey 评估老年人营养不良和抑郁:土耳其的一项横断面研究
IF 1
Aging Medicine and Healthcare Pub Date : 2022-09-30 DOI: 10.33879/amh.133.2021.05030
S. Aydoğan Gedik, A. Ünsal, D. Arslantaş
{"title":"Evaluation of Malnutrition and Depression in Elderly People: A Cross-Sectional Study in Turkey","authors":"S. Aydoğan Gedik, A. Ünsal, D. Arslantaş","doi":"10.33879/amh.133.2021.05030","DOIUrl":"https://doi.org/10.33879/amh.133.2021.05030","url":null,"abstract":"Background/Purpose: The aim of the study was to determine the frequency of possible malnutrition in a population-based sample of community-dwelling older people, and to examine its relationship with depression and some variables. Methods: The study is a cross-sectional study conducted in Sivrihisar district of Eskişehir, Turkey. Community-dwelling older adults aged 60 and over were included in the study. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment-Short Form (for malnutrition), Katz Index of Independence in Activities of Daily Living (ADL, for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results: The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of possible malnutrition was 25% (n=145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level of chronic illness using dentures and probable depression are important risk factors for possible malnutrition. Those with possible malnutrition had lower scores on ADL (z=8.982; p =0.001). Conclusion: Malnutrition was found to be an important health problem for the elderly. The frequency of possible malnutrition is higher in individuals with depression. Those with possible malnutrition have higher level of dependency.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48761813","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
Roles of Nutrition on Sarcopenia: Recommendations from AWGS 营养在肌萎缩中的作用:AWGS的建议
IF 1
Aging Medicine and Healthcare Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2022.06057
Liang‐Kung Chen
{"title":"Roles of Nutrition on Sarcopenia: Recommendations from AWGS","authors":"Liang‐Kung Chen","doi":"10.33879/amh.132.2022.06057","DOIUrl":"https://doi.org/10.33879/amh.132.2022.06057","url":null,"abstract":"S has become one of the most appealing research focus in Geriatrics and Gerontology that attracts extensive international research attentions. Until now, over 15,000 publications related to sarcopenia have been identified in the PubMed with a substantially growing trend year by year. Sarcopenia is defined as age-related loss of muscle mass with reduced muscle strength or/and low physical performance based on the operational definitions of different working groups. Due to the fundamental differences in ethnic backgrounds, body size, body composition, dietary habits, lifestyles, risk factors, diagnosis, natural course, and treatment responses, sarcopenia in Asian populations may differ great from Caucasians. Hence, the Asian Working Group for Sarcopenia (AWGS) started in 2013 and invited major researchers of sarcopenia or related fields in Asian countries to discuss how sarcopenia should be diagnosed and treated in Asian populations. After extensive discussions, AWGS published the Asian consensus for sarcopenia diagnosis and treatment based on research data from Asian countries, which basically followed the diagnostic algorithm of the European group. The diagnostic criteria of sarcopenia were revised in 2019, which not only modified the diagnostic algorithms, but also strongly addressed the importance to integrate sarcopenia in the clinical management of chronic conditions and multimorbidity.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42088806","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: 2
Study of the Morbidity Pattern Among Geriatric Patients Attending a Secondary Care Hospital in Bhubaneswar, Odisha 奥里萨邦布巴内斯瓦尔二级护理医院老年患者发病率模式研究
IF 1
Aging Medicine and Healthcare Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.07052
B. Barik, Sushree Titikshya Dash, Minaketan Barik, V. Yadav, T. Hussain, S. Pati
{"title":"Study of the Morbidity Pattern Among Geriatric Patients Attending a Secondary Care Hospital in Bhubaneswar, Odisha","authors":"B. Barik, Sushree Titikshya Dash, Minaketan Barik, V. Yadav, T. Hussain, S. Pati","doi":"10.33879/amh.132.2021.07052","DOIUrl":"https://doi.org/10.33879/amh.132.2021.07052","url":null,"abstract":"Background/Purpose: The Indian elderly are more likely to suffer from chronic than acute illness. There is a higher probability of co-morbidities among the elderly population with a higher prevalence of diabetes, hypertension, chronic obstructive pulmonary disease (COPD), etc. in Odisha. This exploratory study was conducted to study the pattern of morbidities among elderly attending secondary level health care facilities and is perhaps the first of its kind in this region. Methods: In all, 500 elderly patients attending Capital Hospital, Bhubaneswar were enrolled in the study. The socio-demographic and anthropometric profile were correlated with clinical profile. Results: About 60% (301) males and 40% (199) of females were in the age group 60-80 years. 50% (150) males and 35% (70) of females were from urban areas whereas 25% (128) were from rural areas. 29% (143) of the elderly were illiterate. 82% (409) were sedentary and 54% (270) were habitually smoking or consuming tobacco products or alcohol. While majority, i.e., 76% (382) were living alone, 24% (118) were living with family. The socio-economic status of 62% (309) of the elderly was low. A large proportion of the elderly were having poor vision (30%), arthritis (14%), anemia (11%) and hearing impairment","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42091161","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 Validity of The FRAIL Scale in Frailty Screening Among Vietnamese Older People FRAIL量表在越南老年人虚弱筛查中的有效性
IF 1
Aging Medicine and Healthcare Pub Date : 2022-06-30 DOI: 10.33879/amh.132.2021.07060
Do Thi Tuong Anh, T. Nguyen, T. Nguyen, T. Nguyen
{"title":"The Validity of The FRAIL Scale in Frailty Screening Among Vietnamese Older People","authors":"Do Thi Tuong Anh, T. Nguyen, T. Nguyen, T. Nguyen","doi":"10.33879/amh.132.2021.07060","DOIUrl":"https://doi.org/10.33879/amh.132.2021.07060","url":null,"abstract":"Background/Purpose: A simple and effective frailty screening tool is required for use among older people in outpatient clinics. We aimed to evaluate the validity of the Vietnamese version of the FRAIL-scale (FRAIL-VI) for frailty screening in Vietnam. Methods: This was a cross-sectional study conducted at the Geriatric clinic of Gia Dinh People’s Hospital in Ho Chi Minh City. Frailty was evaluated using the FRAIL scale and Fried’s criteria. Stata version 14 was used for data analysis. We used receiver operating characteristic (ROC) analyses, the area under the curve (AUC), sensitivity, specificity, and positive and negative predictive values to assess diagnostic accuracy of the FRAIL scale, when compared with Fried’s criteria. Box and Whisker plots were obtained to present the distribution of the FRAIL scores according to Fried’s criteria, and Pearson’s correlation coefficient was calculated to examine the correlation between the two tools. Results: The study included 396 participants (mean age of 72.6±7.6, 62.1% female). The optimal cut-off value for the FRAIL scale was ≥2, with 94.7% sensitivity, 85.2% specificity, and a Youden index of 0.799. In ROC analysis, the FRAIL-VI AUC was 0.964 (95% confidence interval: 0.95 – 0.98), when compared with Fried’s criteria. The FRAIL-VI scale had a high positive correlation with Fried’s criteria, with a Pearson’s correlation coefficient of 0.81 ( p <0.001). Conclusion: The FRAIL scale is a valuable frailty screening tool when compared with Fried’s criteria. A cut-off value of ≥2 may be useful in primary care settings.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42583832","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: 4
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