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Journal of Applied Gerontology最新文献

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A Technology-Based Intervention Impacts Quality of Life for Low-Income Older Adults by Reducing Loneliness and Improving Healthcare Self-Efficacy and Self-Rated Health. 基于技术的干预通过减少孤独感、提高医疗保健自我效能和自我健康评价，影响低收入老年人的生活质量。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-09 DOI: 10.1177/07334648241289928
T Anne Richards, Doug Oman, Angela DiMartino, Ashwin A Kotwal
{"title":"A Technology-Based Intervention Impacts Quality of Life for Low-Income Older Adults by Reducing Loneliness and Improving Healthcare Self-Efficacy and Self-Rated Health.","authors":"T Anne Richards, Doug Oman, Angela DiMartino, Ashwin A Kotwal","doi":"10.1177/07334648241289928","DOIUrl":"10.1177/07334648241289928","url":null,"abstract":"<p><p>This paper describes a technology program aimed at developing technical skills and confidence, reducing social isolation and loneliness, and increasing healthcare self-management and self-efficacy among older adults. We conducted a mixed-methods study using surveys collected at baseline and 12 months from 90 older adults. Focus group data (<i>n</i> = 7) collected at 12 months were examined for convergence with key quantitative outcomes, emergent value-related themes, and evaluation of program structure and staff. Outcome data showed improvements in loneliness (Cohen's d = -0.24, <i>p</i> = .004) (validated by qualitative data), self-rated health (d = 0.23, <i>p</i> = .011), and healthcare self-efficacy (d = 0.31, <i>p</i> = .004). Participants with higher healthcare self-efficacy (β = 0.24, <i>p</i> = .03) and higher negative emotions (β = 0.28, <i>p</i> = .01) had greater frequency of internet use to search for health information. Qualitative findings described program mechanisms supporting increases in self-efficacy, including increased technology use and confidence, and values statements demonstrating the meaningfulness of learning technology and its impact on multiple domains of quality of life.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"825-837"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394292","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
Social Engagement and Happiness in Older Adults With and Without Cognitive Impairment. 有认知障碍和无认知障碍老年人的社会参与和幸福感。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-09-27 DOI: 10.1177/07334648241288726
Kumi Morishita-Suzuki
{"title":"Social Engagement and Happiness in Older Adults With and Without Cognitive Impairment.","authors":"Kumi Morishita-Suzuki","doi":"10.1177/07334648241288726","DOIUrl":"10.1177/07334648241288726","url":null,"abstract":"<p><p>This study investigated the associations between in-person and remote engagement and self-rated happiness in older adults aged 50 years and above in three cognitive function subgroups: Normal Cognition, Cognitive Impairment not Dementia (CIND), and Dementia. Data were obtained from the 2014 Health and Retirement Study. Results showed that remote engagement was significantly associated with higher self-rated happiness, particularly in the CIND group. However, its association with in-person engagement was less consistent. No significant association was observed among individuals with dementia. However, the direction of the relationship between the two types of social engagement and self-rated happiness was positive. Instrumental activities of daily living, depression, and social capital were identified as potential factors influencing the relationship between social engagement and self-rated happiness. These findings emphasize promotion of both in-person and remote social engagement opportunities to enhance the well-being of older adults across different cognitive function subgroups.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"759-767"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336989","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
Screening for Cognitive Decline by Lay Navigators: A Scoping Review. 由非专业导航员筛查认知能力下降：范围审查。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/07334648241289690
Ishan C Williams, Crystal D Chu, Dorothy Coker, Kara Anderson, Dan Wilson, Randy Jones, Jennifer Wenzel
{"title":"Screening for Cognitive Decline by Lay Navigators: A Scoping Review.","authors":"Ishan C Williams, Crystal D Chu, Dorothy Coker, Kara Anderson, Dan Wilson, Randy Jones, Jennifer Wenzel","doi":"10.1177/07334648241289690","DOIUrl":"10.1177/07334648241289690","url":null,"abstract":"<p><p>Innovative ways of screening for cognitive decline are urgently needed to increase detection and access to early treatment, particularly for those at highest risk for morbidity and mortality. The aim of this scoping review was to identify how cognitive screening is conducted within primary care and other clinical settings, specifically focusing on the use of lay navigators. Using Arksey and O'Malley's framework for scoping reviews, inclusive of collaborators' feedback, we included English-language research articles published after 2010 and identified ten articles. We found that lay navigators could effectively screen for common memory problems, provide support to patients and caregivers' needs, and deliver standardized education. Incorporating cognitive screening by lay navigators can facilitate earlier access to effective treatment, especially by those burdened by existing disparities. Future research and widespread adoption of these innovative methods may improve earlier screening and thus early detection and treatment in primary care settings.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"768-780"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510435","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
Widowhood Shock, Family Reconstruction, and Mild Cognitive Impairment Among Older Adults: A Prospective Cohort Study. 丧偶打击、家庭重建与老年人的轻度认知障碍：前瞻性队列研究
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/07334648241288732
Xiaohan Zhu, Huameng Tang, Mingxing Wang, Dianqi Yuan, Chao Guo
{"title":"Widowhood Shock, Family Reconstruction, and Mild Cognitive Impairment Among Older Adults: A Prospective Cohort Study.","authors":"Xiaohan Zhu, Huameng Tang, Mingxing Wang, Dianqi Yuan, Chao Guo","doi":"10.1177/07334648241288732","DOIUrl":"10.1177/07334648241288732","url":null,"abstract":"<p><p>Mild cognitive impairment (MCI), especially among widowed older adults, is increasingly urging public concern. This study aimed to investigate the association of widowhood, remarriage, and widowed life characteristics with the MCI risk among Chinese older adults. With an average age of 86.49 ± 10.20, a sample of 5377 participants aged between 65 and 116 was collected from four waves of the Chinese Longitudinal Healthy Longevity Survey between 2008 and 2018. Cox proportional hazards models and restricted cubic spline models were employed to estimate and plot the associations. Results showed that widowhood is associated with an increasing MCI risk, which could not be alleviated by remarriage. This negative impact was pronounced among women and those at older age. The association of living alone duration after widowhood and MCI onset displayed an inverse U-shape, with a peak risk at the 10<sup>th</sup> year. These findings have practical implications for pointing out the most vulnerable groups to MCI.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"781-791"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510440","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 Don't Know What I'm Going to Meet Today": Home Care Workers' Decision-Making About Safety During the COVID-19 Pandemic. "我不知道今天会遇到什么"：家庭护理工作者在 COVID-19 大流行期间的安全决策。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-07 DOI: 10.1177/07334648241288659
Katherine Kruger, Christina Kuhnmuench, Ryoko Ikari, Karen Gates, Sue Anne Bell
{"title":"\"I Don't Know What I'm Going to Meet Today\": Home Care Workers' Decision-Making About Safety During the COVID-19 Pandemic.","authors":"Katherine Kruger, Christina Kuhnmuench, Ryoko Ikari, Karen Gates, Sue Anne Bell","doi":"10.1177/07334648241288659","DOIUrl":"10.1177/07334648241288659","url":null,"abstract":"<p><p>The home care workforce provides supportive healthcare services to older adults. The COVID-19 pandemic heightened the need for knowledge that can better support this high-risk and understudied group of essential workers. The study aimed to understand decision-making about safety and well-being during the COVID-19 pandemic. The study design used a descriptive qualitative study approach, and 34 participants completed individual video or phone interviews. The results were organized into three themes specific to decision-making around safety and well-being for home care workers (HCWs) during the pandemic: 1) Responsibility, commitment, and dedication to their clients led HCWs to continue to provide essential services, 2) Safety concerns did not prevent HCWs from reporting to work, and 3) HCWs expressed more concern about clients than their own safety. Understanding the experiences of HCWs can offer important insights for developing strategies and policies to address the safety of these essential yet often overlooked healthcare professionals.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"838-845"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381989","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
Assessing Older Adults' Readiness for Adopting Fall Prevention Recommendations Using the Transtheoretical Stages of Change. 使用 "跨理论变化阶段 "评估老年人采纳预防跌倒建议的准备情况。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/07334648241289933
Janice A Mark, Ankita Henry, Briana Moreland, Dawson Dobash, Gwen Bergen
{"title":"Assessing Older Adults' Readiness for Adopting Fall Prevention Recommendations Using the Transtheoretical Stages of Change.","authors":"Janice A Mark, Ankita Henry, Briana Moreland, Dawson Dobash, Gwen Bergen","doi":"10.1177/07334648241289933","DOIUrl":"10.1177/07334648241289933","url":null,"abstract":"<p><p><b>Objectives:</b> Reducing fall risk requires older adults (age 65+) to adopt effective prevention strategies. This study has three aims: 1) understand Stage of Change (SOC) for three fall prevention strategies; 2) determine strategies older adults' use; and 3) understand which characteristics relate to readiness to take action. <b>Methods:</b> A survey of 1063 older adults assessed fall risk, SOC, and use of fall prevention strategies. Data analysis included descriptive statistics and regression analysis. <b>Results:</b> The most common SOC for older adults by strategy was <i>action</i> for overall fall prevention (61%), <i>contemplation</i> for medication management (45%), and <i>preparation</i> and <i>action</i> for strength/balance (29% each). Believing falls are preventable was most strongly related to being in a <i>Change</i> stage (e.g., <i>action, maintenance</i>) for overall fall prevention (Risk Ratio: 1.4, 95% CI: 1.1, 1.7). <b>Discussion:</b> Health promotion can focus on increasing knowledge of evidence-based fall prevention strategies to encourage older adults to take action.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"726-736"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510467","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
Examining the Impact of the Design-Thinking Intergenerational Service-Learning Model on Older Adults' Self-Care Behaviors and Well-Being. 研究 "设计-思维 "代际服务学习模式对老年人自理行为和幸福感的影响。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-09-19 DOI: 10.1177/07334648241286327
Jeffrey T Tseng, Tsuann Kuo, Chih-Kun Huang, Ling-Hui Chang, Yu-Jung Hsu, Ying-Wei Wang, Hsin-Yi Hsiao
{"title":"Examining the Impact of the Design-Thinking Intergenerational Service-Learning Model on Older Adults' Self-Care Behaviors and Well-Being.","authors":"Jeffrey T Tseng, Tsuann Kuo, Chih-Kun Huang, Ling-Hui Chang, Yu-Jung Hsu, Ying-Wei Wang, Hsin-Yi Hsiao","doi":"10.1177/07334648241286327","DOIUrl":"10.1177/07334648241286327","url":null,"abstract":"<p><p>The Design-Thinking Intergenerational Service-Learning Model (DTISLM), rooted in the biopsychosocial model, aims to empower older adults to improve their chronic-disease management behavior through tailored programs addressing their specific healthcare needs. This study, conducted in Taiwan, used a convenience sampling method (<i>n</i> = 172) to evaluate the impact of DTISLM on Taiwan's adult day center participants' perception of self-care behaviors, feelings of happiness, depression, and perceived social support using pretest-posttest surveys. The results indicated a significant enhancement in participants' perception of self-care behaviors, reduction in depression score, and improvements in perceived social support following the completion of the program. The findings underscore the efficacy of applying a design-thinking framework in an intergenerational context. Future studies should investigate how the DTISLM can be scaled to various demographics and healthcare settings to enhance its applicability and understand its long-term effects.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"679-687"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298771","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
Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs. 采用、实施和维护循证预防跌倒计划。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-05-01 Epub Date: 2024-09-25 DOI: 10.1177/07334648241287496
Gardenia A Juarez, Jennifer Tripken, Subashan Perera, Kathleen Cameron, Jennifer L Vincenzo, Jennifer S Brach
{"title":"Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs.","authors":"Gardenia A Juarez, Jennifer Tripken, Subashan Perera, Kathleen Cameron, Jennifer L Vincenzo, Jennifer S Brach","doi":"10.1177/07334648241287496","DOIUrl":"10.1177/07334648241287496","url":null,"abstract":"<p><p>We evaluate the implementation of evidence-based falls prevention programs (EBFPPs) of the Administration for Community Living (ACL) Grantees by (1) describing adoption; (2) evaluating implementation through participant adherence; and (3) describing program maintenance. Secondary data analysis of a national data repository included forty-four ACL grantees spanning 31 states who were funded between September 2014 and December 2019 and provided information on over 80,000 older adult participants. Descriptive statistics including frequencies, percentages, and means were used to describe adoption, implementation (adherence), and maintenance of EBFPPs. Senior centers were the most common organizations to adopt EBFPPs. Most programs were maintained at their respective organizational site through repeat offerings, with several programs (60%) being offered greater than 10 times. Information regarding adoption, implementation, and maintenance of EBFPPs is valuable in identifying the best programs suited for different organizations and their clientele, which can inform policy for scaling and sustaining EBFPPs across the nation.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"715-725"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336985","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
Exploring the Role of a Dietitian in an Early Intervention Program for People With Dementia and Their Care Partners: A Composite Case Series. 探索营养师在痴呆症患者及其护理伙伴的早期干预计划中的作用：一个复合病例系列。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-29 DOI: 10.1177/07334648251338302
Caitlin Bull, Elizabeth Low, Helen Holloway, Jane Kellett, Emilia Roberts, Georgina Chelberg, Lara Wiseman, Angela Chau, Rachael Mitterfellner, Stephen Isbel, Kasia Bail, Diane Gibson, Nathan M D'Cunha
{"title":"Exploring the Role of a Dietitian in an Early Intervention Program for People With Dementia and Their Care Partners: A Composite Case Series.","authors":"Caitlin Bull, Elizabeth Low, Helen Holloway, Jane Kellett, Emilia Roberts, Georgina Chelberg, Lara Wiseman, Angela Chau, Rachael Mitterfellner, Stephen Isbel, Kasia Bail, Diane Gibson, Nathan M D'Cunha","doi":"10.1177/07334648251338302","DOIUrl":"https://doi.org/10.1177/07334648251338302","url":null,"abstract":"<p><p>Symptoms of dementia can impact the nutritional status and quality of life of people with dementia, but there is limited research exploring the dietitian's role in post-diagnostic care. This study aims to explore the role of a dietitian in a multidisciplinary dementia program for people living in the community. Participants in a twelve-week multicomponent, multidisciplinary post-diagnostic intervention for people with dementia and care partners were offered three consultations with a dietitian to receive dietary assessment, education and advice. Key clinical findings from dietetics case notes of 40 people with dementia were analyzed using a composite case series approach. Of these, 39 required ongoing nutrition support and intervention. Common issues identified include insufficient energy and/or nutrient intake, unintentional weight loss, poor management of comorbidities and difficulties with coordination of care. Dietitians are an integral part of a multicomponent intervention for dementia. Future work is needed to optimize dietetic care models. Running headline. Dietetics in an early intervention for dementia.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251338302"},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041539","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
A Scoping Review of Inclusive Best Practices in Geriatric Primary Care. 老年初级保健包容性最佳实践的范围审查。
IF 2.2 3区 医学
Journal of Applied Gerontology Pub Date : 2025-04-29 DOI: 10.1177/07334648251338878
Laura de la Roche, Maya Singh, Mary Tipton, Omolola Adepoju
{"title":"A Scoping Review of Inclusive Best Practices in Geriatric Primary Care.","authors":"Laura de la Roche, Maya Singh, Mary Tipton, Omolola Adepoju","doi":"10.1177/07334648251338878","DOIUrl":"https://doi.org/10.1177/07334648251338878","url":null,"abstract":"<p><p>The age of the United States is steadily increasing while the number of practicing and upcoming primary care physicians trained to provide geriatric care is limited. The US population is incredibly diverse, with minority ethnic groups anticipated to reach 50% of the US population over the next few decades. It is unclear how culture considerations are being integrated within primary care best practices, identifying a clear gap in our understanding and the literature. The current scoping review identified relevant publications regarding primary care best practices and the consideration of culture. Following Arksey and O'Malley's (2005) guidelines, two researchers completed two searches across databases for articles discussing best practices/culture considerations in primary care targeting geriatric populations. Seven articles were included for consideration in this review. Our findings indicate limited research has empirically investigated best practices or cultural considerations within geriatric primary care. Recommendations and future research are discussed.</p>","PeriodicalId":47970,"journal":{"name":"Journal of Applied Gerontology","volume":" ","pages":"7334648251338878"},"PeriodicalIF":2.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041335","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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