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Canadian Journal on Aging-Revue Canadienne Du Vieillissement最新文献

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Frailty, Body Composition, and Glycemic Control in Older Adults with Type 2 Diabetes. 2 型糖尿病老年人的虚弱程度、身体成分和血糖控制。
IF 1.7 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-10-03 DOI: 10.1017/S071498082400031X
Kenneth M Madden, Boris Feldman, Sarah Sy, Graydon S Meneilly
{"title":"Frailty, Body Composition, and Glycemic Control in Older Adults with Type 2 Diabetes.","authors":"Kenneth M Madden, Boris Feldman, Sarah Sy, Graydon S Meneilly","doi":"10.1017/S071498082400031X","DOIUrl":"https://doi.org/10.1017/S071498082400031X","url":null,"abstract":"<p><p>The relationship between frailty and glycemic control in older adults with diabetes remains uncertain, mainly due to the fact that previous studies have not accounted for measures of body composition. In older adults with diabetes, we examined the association between three types of frailty measures and glycemic control, while accounting for fat-free mass (FFM) and waist circumference (WC). Eighty older adults (age ≥65, 27 women and 53 men, mean age 80.5 ± 0.6 years) had gait speed, Cardiovascular Health Study Index (CHSI), Rockwood Clinical Frailty Scale (RCFS), and glycosylated hemoglobin (Hg<sub>A1C</sub>) measured. Hg<sub>A1C</sub> showed a negative association only with CHSI (standardized <b>β</b> = -0.255 ± 0.120, p = 0.038), but no association with gait speed or the RCFS. Even after accounting for FFM and WC, we demonstrated a negative association between glycated hemoglobin and increasing frailty in older adults with diabetes.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Aging and Mental Health: Collaborating on Research Priorities with Older Adults, Caregivers and Health and Social Care Providers across Canada. 老龄化与心理健康：与加拿大各地的老年人、护理人员以及医疗和社会服务提供者合作开展重点研究。
IF 1.7 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-10-03 DOI: 10.1017/S071498082400028X
Justine L Giosa, Elizabeth Kalles, Karthika Yogaratnam, Tammy Kim, Heather McNeil, Paul Holyoke
{"title":"Aging and Mental Health: Collaborating on Research Priorities with Older Adults, Caregivers and Health and Social Care Providers across Canada.","authors":"Justine L Giosa, Elizabeth Kalles, Karthika Yogaratnam, Tammy Kim, Heather McNeil, Paul Holyoke","doi":"10.1017/S071498082400028X","DOIUrl":"https://doi.org/10.1017/S071498082400028X","url":null,"abstract":"<p><p>Age-related changes can affect mental health, but aging-focused mental health research is limited. The objective was to identify the top 10 unanswered research questions on aging and mental health according to what matters most to aging Canadians. A steering group of experts-by-experience (e.g., older adults, caregivers, health and social care providers) guided three phases of a modified James Lind Alliance priority-setting partnership: (1) a broad national survey (<i>n</i> = 305) and a rapid literature scan; (2) a follow-up national survey (<i>n</i> = 703); and (3) four online workshops (<i>n</i> = 52) with a nominal group technique. Forty-two unique questions on aging and mental health resulted, of which 18 were determined to be answered by existing evidence. Of the 25 partially and unanswered questions, 10 were ranked as top priority. Findings can be used to prioritize future research, knowledge mobilization, and funding decisions, and to promote and support collaboration between longstanding siloed research and care fields.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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've Got a Lot of Other Things I Do": The Nuances of Digital Engagement among Older People. "我还有很多其他事情要做"：老年人数字参与的细微差别。
IF 1.7 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-10-02 DOI: 10.1017/S0714980824000266
Tabytha Wells, Elizabeth Russell
{"title":"\"I've Got a Lot of Other Things I Do\": The Nuances of Digital Engagement among Older People.","authors":"Tabytha Wells, Elizabeth Russell","doi":"10.1017/S0714980824000266","DOIUrl":"https://doi.org/10.1017/S0714980824000266","url":null,"abstract":"<p><p>As Western society becomes increasingly digitally dependent and many older adults actively engage in the online world, understanding the experiences of those who largely do not use digital technology in their daily lives is crucial. Individual interviews were conducted (pre-pandemic) with 23 older adults who, based on self-identification, did not regularly use digital technology, exploring how their experiences as limited digital technology users may have impacted their daily lives. An iterative collaborative qualitative analysis demonstrated three main themes: internet concerns, frustrations with digital technology, and conflicting motivators to use digital technology. Findings suggest that addressing digital concerns and providing effective digital skill learning opportunities may encourage some older adults to become more digitally engaged. However, as people, including older adults, can be uninterested in using these technologies, organizations and institutions should work to offer ways to support people of all ages who are not engaged online.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Emergency Department Boarding Time Is Associated with Functional Decline in Older Adults Six Months Post Discharge. 急诊科住院时间与老年人出院后六个月的功能衰退有关。
IF 1.7 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-09-18 DOI: 10.1017/S0714980824000199
Caroline L Duquette, Melissa K Andrew, George A Kuchel, Jo-Anne Clarke, Robert Ohle, Chris P Verschoor
{"title":"Emergency Department Boarding Time Is Associated with Functional Decline in Older Adults Six Months Post Discharge.","authors":"Caroline L Duquette, Melissa K Andrew, George A Kuchel, Jo-Anne Clarke, Robert Ohle, Chris P Verschoor","doi":"10.1017/S0714980824000199","DOIUrl":"https://doi.org/10.1017/S0714980824000199","url":null,"abstract":"<p><p>Functional decline following hospitalization remains an important problem in health care, especially for frail older adults. Modifiable factors related to reduction in harms of hospitalization are not well described. One particularly pervasive factor is emergency department (ED) boarding time; time waiting from decision to admit, until transfer to an in-patient medical unit. We sought to investigate how the functional status of frail older adults correlated with the length of time spent boarded in the ED. We found that patients who waited for 24 hours or more exhibited functional decline in both the Barthel Index and Hierarchical Assessment of Balance and Mobility and an increase in the Clinical Frailty Scale from discharge to 6 months post discharge. In conclusion, there is a need for additional investigation into ED focused interventions to reduce ED boarding time for this population or to improve access to specialized geriatric services within the ED.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Staff's Attitudes towards the Use of Mobile Telepresence Robots in Long-Term Care Homes in Canada. 加拿大长期护理院员工对使用移动远程呈现机器人的态度
IF 1.9 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-11-17 DOI: 10.1017/S0714980823000697
Mineko Wada, Joey Wong, Evangeline Tsevis, Jim Mann, Hideaki Hanaoka, Lillian Hung
{"title":"Staff's Attitudes towards the Use of Mobile Telepresence Robots in Long-Term Care Homes in Canada.","authors":"Mineko Wada, Joey Wong, Evangeline Tsevis, Jim Mann, Hideaki Hanaoka, Lillian Hung","doi":"10.1017/S0714980823000697","DOIUrl":"10.1017/S0714980823000697","url":null,"abstract":"<p><p>This cross-sectional study investigated staff's attitudes towards the use of mobile telepresence robots in long-term care (LTC) homes in western Canada. We drew on a Health Technology Assessment Core Model 3.0 to design a survey examining attitudes towards nine domains of mobile telepresence robots. Staff, including nurses, care staff, and managers, from two LTC homes were invited to participate. Statistical analysis of survey data from 181 participants revealed that overall, participants showed positive attitudes towards features and characteristics, self-efficacy on technology use, organizational aspects, clinical effectiveness, and residents and social aspects; neutral attitudes towards residents' ability to use technology, and costs; and negative attitudes towards safety and privacy. Participants who disclosed their demographic backgrounds tended to exhibit more positive attitudes than participants who did not. Content analysis of textual data identified specific concerns and benefits of using the robots. We discuss options for implementing mobile telepresence robots in LTC.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Isolation of Older Adults, Family, and Formal Caregivers During the COVID-19 Pandemic: Stories and Solutions Through Participatory Action Research. COVID-19 大流行期间老年人、家庭和正式护理人员的社会隔离：参与式行动研究的故事与解决方案》。
IF 1.9 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-09-18 DOI: 10.1017/S071498082300048X
Ann MacLeod, Justine Levesque, Catherine Ward-Griffin
{"title":"Social Isolation of Older Adults, Family, and Formal Caregivers During the COVID-19 Pandemic: Stories and Solutions Through Participatory Action Research.","authors":"Ann MacLeod, Justine Levesque, Catherine Ward-Griffin","doi":"10.1017/S071498082300048X","DOIUrl":"10.1017/S071498082300048X","url":null,"abstract":"<p><p>This participatory action research (PAR) aimed to understand the health implications of guidelines impacting social isolation among frail community-dwelling older adults and their family and formal caregivers during the coronavirus disease (COVID-19) pandemic. Reflexive thematic analysis (RTA) of data collected from 10 policy/procedural documents revealed four themes: valuing principles, identifying problem(s), setting priorities, and making recommendations. Interviews with 31 participants from Peterborough, Ontario, also revealed four themes: sacrificing social health, diminishing physical health, draining mental health, and defining supports. Recommendations to decision makers were finalized at a knowledge exchange event involving participants and members of Age-friendly Peterborough. Key findings demonstrate the need for Canadian governments and health and social service agencies to enhance access to technology-based interventions, and educational and financial resources for caregivers. Meaningful communication and collaboration between older adults, caregivers, and decision makers are also needed to reduce the gap between policy and practice when addressing social isolation.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
[Les effets de la méditation de pleine conscience sur les symptômes cognitivo- émotionnels dans le trouble cognitif léger et la maladie d'Alzheimer : une revue de littérature narrative]. [正念冥想对轻度认知障碍和阿尔茨海默病认知情感症状的影响：叙事性文献综述]。
IF 1.7 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-12-22 DOI: 10.1017/S0714980823000612
Sandrine Kalenzaga, David Clarys
{"title":"[Les effets de la méditation de pleine conscience sur les symptômes cognitivo- émotionnels dans le trouble cognitif léger et la maladie d'Alzheimer : une revue de littérature narrative].","authors":"Sandrine Kalenzaga, David Clarys","doi":"10.1017/S0714980823000612","DOIUrl":"10.1017/S0714980823000612","url":null,"abstract":"<p><p>La maladie d'Alzheimer se manifeste par des troubles de la mémoire et un déclin cognitif plus général, le plus souvent associés à des troubles de l'humeur et du comportement. Les traitements médicamenteux ayant une efficacité assez modeste, il apparaît nécessaire de leur associer une prise en charge non pharmacologique. La méditation de pleine conscience, qui a des effets bénéfiques sur le fonctionnement cognitif et sur l'état émotionnel, semble être une piste intéressante. Cette revue de littérature narrative se propose de recenser les études ayant testé l'efficacité d'une intervention basée sur la pleine conscience auprès de personnes souffrant de la maladie d'Alzheimer ou à risque de développer cette maladie. Il apparaît que ces interventions présentent un intérêt pour réduire les symptômes cognitifs (troubles attentionnels et mnésiques notamment) et émotionnels (affects dépressifs et anxiété en particulier). Cependant, elles nécessitent un certain nombre de modifications pour être adaptées à ce public.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Age-Friendly Communities: Are they also "Friendly" for Death, Dying, Grief, and Bereavement? 老年友好社区：它们对死亡、濒死、悲伤和丧亲也 "友好 "吗？
IF 1.9 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-12-11 DOI: 10.1017/S0714980823000624
Julia Brassolotto, Albert Banerjee
{"title":"Age-Friendly Communities: Are they also \"Friendly\" for Death, Dying, Grief, and Bereavement?","authors":"Julia Brassolotto, Albert Banerjee","doi":"10.1017/S0714980823000624","DOIUrl":"10.1017/S0714980823000624","url":null,"abstract":"<p><p>The age-friendly movement aims to ensure that people can live healthy and meaningful lives as they age. It is committed to activity and inclusion, with policies, services, and structures that enable older adults to remain engaged in activities that they value. We suggest that there is further opportunity for communities to increase inclusion and reduce ageism by improving their \"death-friendliness\". A death-friendly approach could lay the groundwork for a community in which people do not fear getting old or alienate those who have. To this end, we consider the merits of the compassionate communities framework which has emerged out of palliative care and critical public health. Compassionate communities focus on end-of-life planning, bereavement support, and improved understandings about aging, dying, death, loss, and care. The age-friendly and compassionate communities initiatives are complementary in their objectives but have not yet converged in practice. We suggest that they should.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
A Good Investment: Expanding Capacity to Care for Older Adults in the Home and Community Care Sector Through Increased Personal Support Worker Wages. 良好的投资：通过提高个人支持工作者的工资，扩大家庭和社区护理部门护理老年人的能力。
IF 1.9 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-09-18 DOI: 10.1017/S0714980823000557
Katherine A P Zagrodney, Emily C King, Deborah Simon, Kathryn A Nichol, Sandra M McKay
{"title":"A Good Investment: Expanding Capacity to Care for Older Adults in the Home and Community Care Sector Through Increased Personal Support Worker Wages.","authors":"Katherine A P Zagrodney, Emily C King, Deborah Simon, Kathryn A Nichol, Sandra M McKay","doi":"10.1017/S0714980823000557","DOIUrl":"10.1017/S0714980823000557","url":null,"abstract":"<p><p>Most older adults prefer to age in place, which for many will require home and community care (HCC) support. Unfortunately, HCC capacity is insufficient to meet demand due in part to low wages, particularly for personal support workers (PSWs) who provide the majority of paid care. Using Ontario as a case study, this paper estimates the cost and capacity impacts of implementing wage parity between PSWs employed in HCC and institutional long-term care (ILTC). Specifically, we consider the cost of increased HCC PSW wages versus expected savings from avoiding unnecessary ILTC placement for those accommodated by HCC capacity growth. The expected increase in HCC PSW retention would create HCC capacity for approximately 160,000 people, reduce annual health system costs by approximately $7 billion, and provide an 88 per cent return on investment. Updating wage structures to reduce turnover and enable HCC capacity growth is a cost-efficient option for expanding health system capacity.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10340101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19. 初级保健医生和住院医生在 COVID-19 之前和期间对加拿大南亚裔老年人进行预先护理规划的经验。
IF 1.7 4区 医学
Canadian Journal on Aging-Revue Canadienne Du Vieillissement Pub Date : 2024-06-01 Epub Date: 2023-12-13 DOI: 10.1017/S0714980823000739
Avantika Vashisht, Gloria Gutman, Dawn Mackey, Brian de Vries, Taranjot Kaur, Helen Kwan
{"title":"Primary Care Physicians' and Hospitalists' Experience with Advance Care Planning with South Asian Canadian Older Adults before and during COVID-19.","authors":"Avantika Vashisht, Gloria Gutman, Dawn Mackey, Brian de Vries, Taranjot Kaur, Helen Kwan","doi":"10.1017/S0714980823000739","DOIUrl":"10.1017/S0714980823000739","url":null,"abstract":"<p><p>Few older adults discuss their end-of-life care wishes with their physician, and even fewer minorities do this. We explored physicians' experience with advance care planning (ACP) including the barriers/facilitating factors encountered when initiating/conducting ACP discussions with South Asians (SA), one of Canada's largest minorities. Eleven primary care physicians (PC) and 11 hospitalists with ≥ 15 per cent SA patients ≥ 55 years of age were interviewed: 10 in 2020, 12 in 2021. Thematic analysis of transcripts indicated that cultural and communication barriers, physician's specialization, SA older adults' lack of ACP awareness, and decision-making deference to family and physicians were barriers to ACP discussions. Although the COVID-19 pandemic impacted physicians' practices, contrary to our hypothesis most reported no change in frequency of ACP discussions. Although ACP discussions were viewed as best conducted by PC physicians, only 55 per cent had ACP training and only 64 per cent had used ACP tools. Training in ACP facilitation, concerning ACP tool usage, and training in patient-physician communication are recommended.</p>","PeriodicalId":47613,"journal":{"name":"Canadian Journal on Aging-Revue Canadienne Du Vieillissement","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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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