Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie最新文献

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Finally; Dialogue. 最后;对话。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1177/00084174251408864
Hiba Zafran, Brenda L Beagan, Dominique Shephard, Heidi Lauckner, Karen Whalley Hammell, Katie Lee Bunting, Marie-Lyne Grenier, Pier-Luc Turcotte, Sara Abdo, Tal Jarus
{"title":"Finally; Dialogue.","authors":"Hiba Zafran, Brenda L Beagan, Dominique Shephard, Heidi Lauckner, Karen Whalley Hammell, Katie Lee Bunting, Marie-Lyne Grenier, Pier-Luc Turcotte, Sara Abdo, Tal Jarus","doi":"10.1177/00084174251408864","DOIUrl":"10.1177/00084174251408864","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"30-33"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935698","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
Evaluating the Practice Resource for Driving After Stroke-2: A Multiple-Baseline Study. 评估第2次划水后驾驶的练习资源:一项多基线研究。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-02-24 DOI: 10.1177/00084174261424561
April Vander Veen, Jeffrey Holmes, Patricia Tucker, Liliana Alvarez
{"title":"Evaluating the Practice Resource for Driving After Stroke-2: A Multiple-Baseline Study.","authors":"April Vander Veen, Jeffrey Holmes, Patricia Tucker, Liliana Alvarez","doi":"10.1177/00084174261424561","DOIUrl":"https://doi.org/10.1177/00084174261424561","url":null,"abstract":"<p><p><b>Background.</b> Occupational therapists have identified a critical need for resources to support addressing driving after stroke. A previous feasibility study found that the Practice Resource to Address Driving After Stroke (PReDAS) was a useful practice resource. However, more robust research is needed to examine how use of the PReDAS-2 may support professional development. <b>Purpose.</b> To evaluate the relationship between use of the PReDAS-2 and self-reported clinical reasoning and self-efficacy of occupational therapists for addressing driving in acute care settings. <b>Method.</b> A concurrent, multiple baseline design was employed. Visual and Tau-U analyses were conducted. <b>Findings.</b> Occupational therapists' self-reported clinical reasoning and self-efficacy to address driving after stroke improved with use of the PReDAS-2. Visual and Tau-U analyses indicated a large treatment effect of the PReDAS-2 for self-reported clinical reasoning (<i>Tau-U</i> = 0.7) and self-efficacy (<i>Tau-U</i> = 0.9). <b>Conclusion</b>. The present study provides preliminary evidence that the PReDAS-2 increases self-reported clinical reasoning and self-efficacy for addressing driving. Making the PReDAS-2 available to occupational therapists seeking to supplement their clinical practice may be warranted. Further research is necessary to determine if the PReDAS-2 should be recommended for use in acute care settings.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261424561"},"PeriodicalIF":1.7,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285806","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
Exploring Canadian Occupational Therapists' Perceptions on Health Disparities: An Interpretative Descriptive Study. 探索加拿大职业治疗师对健康差异的看法:一项解释性描述性研究。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-02-04 DOI: 10.1177/00084174261417370
Ronessa Dass, Deedee Begin, Stephanie Di Pelino, Tara Packham, Luciana Macedo, Sandra Vanderkaay, Lyn Turkstra, Silvano Mior, Lisa Carlesso, Joy MacDermid, Kalee M Dass, Nora Bakaa
{"title":"Exploring Canadian Occupational Therapists' Perceptions on Health Disparities: An Interpretative Descriptive Study.","authors":"Ronessa Dass, Deedee Begin, Stephanie Di Pelino, Tara Packham, Luciana Macedo, Sandra Vanderkaay, Lyn Turkstra, Silvano Mior, Lisa Carlesso, Joy MacDermid, Kalee M Dass, Nora Bakaa","doi":"10.1177/00084174261417370","DOIUrl":"https://doi.org/10.1177/00084174261417370","url":null,"abstract":"<p><p><b>Background.</b> Many Canadians experience health disparities when accessing health care. Occupational therapists have historically advocated for the elimination of health disparities. However, occupational therapy was founded in colonial ideals and systems, which continue to perpetuate health disparities. <b>Purpose.</b> Understand how Canadian occupational therapists describe the challenges and opportunities involved in addressing health disparities in provision of care. <b>Methods.</b> We used an interpretative descriptive methodology. Criterion and snowball sampling was used to recruit participants across Canada. Data from semistructured individual interviews were analyzed using reflexive thematic analysis. <b>Findings.</b> A total of 11 occupational therapists (M = 1, F = 10) participated. Four central themes were identified: (1) health equity is a core principle of occupational therapy, (2) systemic barriers are central to the occupational therapy process and can affect the delivery and access of equity-centric care, (3) occupational therapists as advocates against health disparities, and (4) health disparities must be considered when hiring and retaining occupational therapists in practice. <b>Conclusion:</b> Our study highlights the successes and challenges of the field of occupational therapy in addressing health disparities, providing constructive suggestions to move the field forward. Our study provides important implications for research, practice, and policy; these goals are aligned with recent initiatives from the Canadian Association for Occupational Therapists.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261417370"},"PeriodicalIF":1.7,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120802","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
Corrigendum to "Embracing Moss Bag Nurturance: A Step Towards Decolonizing Occupational Therapy Practice and Research": Les sacs à mousse et le chemin vers la décolonisation de la pratique et de la recherche en ergothérapie. 《拥抱苔藓袋护理:迈向非殖民化职业治疗实践和研究的一步》的更正。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2026-01-19 DOI: 10.1177/00084174261417458
{"title":"Corrigendum to \"Embracing Moss Bag Nurturance: A Step Towards Decolonizing Occupational Therapy Practice and Research\": Les sacs à mousse et le chemin vers la décolonisation de la pratique et de la recherche en ergothérapie.","authors":"","doi":"10.1177/00084174261417458","DOIUrl":"https://doi.org/10.1177/00084174261417458","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174261417458"},"PeriodicalIF":1.7,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004517","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
Soutenir les individus éco-anxieux par l'ergothérapie : résultats d'une étude qualitative canado-européenne. 通过职业治疗支持生态焦虑的人:加拿大-欧洲定性研究的结果。
IF 2.3 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-12-19 DOI: 10.1177/00084174251398278
Marie-Josée Drolet, Maude Falardeau
{"title":"Soutenir les individus éco-anxieux par l'ergothérapie : résultats d'une étude qualitative canado-européenne.","authors":"Marie-Josée Drolet, Maude Falardeau","doi":"10.1177/00084174251398278","DOIUrl":"10.1177/00084174251398278","url":null,"abstract":"<p><p>RésuméDescriptionLa crise climatique est une source de préoccupations pour plusieurs individus. Elle peut induire plusieurs éco-émotions comme l'éco-anxiété, laquelle est une inquiétude occasionnée par les conséquences visibles et nombreuses de la crise climatique. L'éco-anxiété peut mener à l'éco-paralysie chez un individu, notamment lorsque celui-ci s'impose des auto-privations occupationnelles qui ont un impact sur sa santé et son bien-être. Bien que l'éco-anxiété puisse avoir des impacts occupationnels, le rôle des ergothérapeutes auprès des individus éco-anxieux n'a pas à ce jour été exploré.ButCette étude avait pour objectif d'explorer les rôles des ergothérapeutes auprès de clients éco-anxieux.MéthodologieUn devis de recherche inductif de nature qualitative a été utilisé. Des entretiens individuels semi-dirigés ont été menés avec des ergothérapeutes de la francophonie de trois pays (Canada, France, Suisse).RésultatsQuinze ergothérapeutes s'identifiant comme femmes ont participé à l'étude. Elles estiment toutes que l'ergothérapeute peut soutenir les individus éco-anxieux et décrivent comment y parvenir, et ce, en clinique, en enseignement, en milieu communautaire et en recherche. Ce faisant, elles utilisent des ressources théoriques et pratiques propres à l'ergothérapie et d'autres externes à la profession.ConclusionLes résultats de cette étude identifient des moyens de transformer les pratiques ergothérapeutiques pour mieux soutenir les individus éco-anxieux. Considérant que leur nombre est appelé à croître et que les activités humaines sont au cœur de la crise climatique, l'ergothérapeute se révèle un acteur de choix pour soutenir ces individus.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"84174251398278"},"PeriodicalIF":2.3,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795156","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
Occupational Therapists' Psychotherapy Competence: A Scoping Review of Secondary Data. 职业治疗师的心理治疗能力:二手数据范围审查》。
IF 2.3 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-12-01 Epub Date: 2025-02-17 DOI: 10.1177/00084174251319768
Andrea Mandzuk, Pamela Wener
{"title":"Occupational Therapists' Psychotherapy Competence: A Scoping Review of Secondary Data.","authors":"Andrea Mandzuk, Pamela Wener","doi":"10.1177/00084174251319768","DOIUrl":"10.1177/00084174251319768","url":null,"abstract":"<p><p><b>Background.</b> Occupational therapists have been writing about and practicing psychotherapy for almost a century. However, questions about competence and tensions regarding psychotherapy in occupational therapy persist both within and outside the profession. <b>Purpose.</b> To explore the scope of the existing literature on psychotherapy competence written by occupational therapists and/or pertaining to occupational therapy research or practice. <b>Method.</b> A secondary analysis of the 207 articles included in the scoping review by Marshall and colleagues was conducted. Using inductive and deductive approaches, data from 207 articles were screened, extracted, and analyzed to identify themes related to competence in psychotherapy. <b>Findings.</b> The 104 articles included spanned from 1927 to 2020; 50% were non-empirical. The narrative synthesis had one overall theme, Professional Identity, and three subthemes: Competence, Attaining and Maintaining Competence, and The Great Debate. There was no consistent pathway outlined for occupational therapists to attain psychotherapy competence, which may contribute to role confusion and dissonance. <b>Conclusion.</b> This review revealed the reciprocal relationship between professional identity and psychotherapy competence in occupational therapists. Future research should explore how the use of psychotherapy competence pathways impacts professional identity and contributes to practice competence.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"282-297"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442536","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
Thank You ! Merci ! 谢谢你!谢谢!
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-12-01 Epub Date: 2025-11-21 DOI: 10.1177/00084174251403276
{"title":"Thank You ! Merci !","authors":"","doi":"10.1177/00084174251403276","DOIUrl":"https://doi.org/10.1177/00084174251403276","url":null,"abstract":"","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":"92 4","pages":"256-257"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565702","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
Developmental Coordination Disorder: Emotional and Cognitive Implications on Adults' Quality of Life. 发展性协调障碍:情绪与认知对成人生活品质的影响。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-12-01 Epub Date: 2025-04-21 DOI: 10.1177/00084174251333392
Batya Engel-Yeger
{"title":"Developmental Coordination Disorder: Emotional and Cognitive Implications on Adults' Quality of Life.","authors":"Batya Engel-Yeger","doi":"10.1177/00084174251333392","DOIUrl":"10.1177/00084174251333392","url":null,"abstract":"<p><p><b>Background.</b> Developmental coordination disorder (DCD) may persist into adulthood, reduce function, participation, and quality of life (QOL). The negative impacts of DCD are mainly studied in children. <b>Purpose.</b> To explore the interrelations between factors affected by DCD in adults, with a focus on emotional/cognitive burdens, self-efficacy, and examine their direct/indirect effects on QOL. <b>Methods.</b> Based on Adult Developmental Co-ordination Checklist (ADC) cutoff scores, 240 adults were divided into three groups: (1) suspected DCD (s-DCD), (2) probable DCD (p-DCD), and (3) normal motor coordination. Participants completed the Depression, Anxiety and Stress Scale - 21, General Self-Efficacy scale, Daily Living Questionnaire (functional cognition), and The World Health Organization Quality of Life Questionnaire brief form. Structural equation modeling examined mediation effects. <b>Findings.</b> The p-DCD group had the lowest emotional status, functional cognition, self-efficacy, and QOL and significantly differed from the s-DCD group in functional cognition. Emotional distress and self-efficacy mediated between motor coordination and QOL. <b>Conclusion.</b> The emotional-cognitive burdens in adults with DCD are related to motor deficits severity, reduced self-efficacy, and lower QOL. DCD should be screened and treated in adults to reduce daily life restrictions and elevate QOL.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"323-336"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027568","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
Supporting Sustainability: A Philosophical Analysis of Certain Assumptions Underlying Occupational Therapy. 支持可持续性:对职业治疗中某些假设的哲学分析。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-12-01 Epub Date: 2025-02-17 DOI: 10.1177/00084174251317022
Marie-Josée Drolet, Valérie Lafond
{"title":"Supporting Sustainability: A Philosophical Analysis of Certain Assumptions Underlying Occupational Therapy.","authors":"Marie-Josée Drolet, Valérie Lafond","doi":"10.1177/00084174251317022","DOIUrl":"10.1177/00084174251317022","url":null,"abstract":"<p><p><b>Background:</b> The relevance of supporting sustainability within occupational therapy is increasingly demonstrated and argued for. However, difficulties persist in supporting sustainability in practice, which presents occupational therapists with an occupational paradox. Why is sustainability still so difficult to include into occupational therapy practice? <b>Purpose:</b> The objective was to analyse certain assumptions underlying the profession that may constitute potential obstacles to the inclusion of sustainability in practice. <b>Method:</b> To identify and critically examine these assumptions, a philosophical analysis of five key concepts of the profession was carried out based on a triangulation of two philosophical methods. <b>Findings:</b> The results reveal that the five concepts analysed-person, occupation, environment, health, and justice-may act as barriers to support sustainability within the practice. <b>Conclusion:</b> A paradigm shift is therefore relevant, even necessary in the current climate emergency to mitigate its impacts. This is especially relevant as the climate crisis poses the greatest threat to health and endangers the ability of humans to engage in occupations essential for well-being and survival.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"298-310"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442550","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
The Knowledge We Hold: Exploring Occupational Therapy's Epistemic Identity and the Balance Between Evidence and Practice. 我们掌握的知识:探索职业治疗的认知认同和证据与实践之间的平衡。
IF 1.7 3区 医学
Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie Pub Date : 2025-12-01 Epub Date: 2025-10-29 DOI: 10.1177/00084174251383259
Aliki Thomas
{"title":"The Knowledge We Hold: Exploring Occupational Therapy's Epistemic Identity and the Balance Between Evidence and Practice.","authors":"Aliki Thomas","doi":"10.1177/00084174251383259","DOIUrl":"10.1177/00084174251383259","url":null,"abstract":"<p><p>[Formula: see text]Aliki ThomasOccupational therapy has long drawn strength from its ability to integrate diverse forms of knowledge, scientific evidence, clinical expertise, patient narratives, and embodied wisdom. This lectureship explores the profession's epistemic identity: how we develop, validate, and apply knowledge in practice, and how this identity enables us to respond to complex health and social challenges. Drawing on historical and contemporary case examples, the author examines the evolution of occupational therapy knowledge, tracing shifts from intuitive, relational care to evidence-based models and toward today's epistemically pluralistic landscape. She argues that occupational therapy is not only shaped by multiple forms of knowledge but also functions as an epistemic community, one that holds authoritative, policy-relevant knowledge and contributes meaningfully to interdisciplinary networks. This identity positions occupational therapists to influence care models, policy directions, and systems transformation. However, our influence depends on epistemic humility, strategic collaboration, and a commitment to bridging research, practice, and lived experience. The author then outlines three key calls to action: (1) strengthening our knowledge base through pluralism and reflexivity; (2) amplifying our collective voice by clarifying professional identity and reducing fragmentation; and (3) increasing our policy influence through purposeful collaboration and leadership. In rapidly evolving healthcare environments, occupational therapy must assert its role not only in delivering services, but in stewarding integrated, context-sensitive knowledge that drives equity, participation, and justice.</p>","PeriodicalId":49097,"journal":{"name":"Canadian Journal of Occupational Therapy-Revue Canadienne D Ergotherapie","volume":" ","pages":"258-281"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12799800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402494","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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