Journal of the American Board of Family Medicine最新文献

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Regional Variation in Scope of Practice by Family Physicians. 家庭医生执业范围的地区差异。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240201R1
Alyssa Lambert, Sarah E Fleischer, Omer Atac, Andrew Bazemore, Lars E Peterson
{"title":"Regional Variation in Scope of Practice by Family Physicians.","authors":"Alyssa Lambert, Sarah E Fleischer, Omer Atac, Andrew Bazemore, Lars E Peterson","doi":"10.3122/jabfm.2024.240201R1","DOIUrl":"10.3122/jabfm.2024.240201R1","url":null,"abstract":"<p><strong>Introduction: </strong>Geographic variation in physician scope of practice (SOP) has been documented but the causes remain unknown. We examined whether geographic variation in family physician (FP) SOP is explained by differences in the characteristics of the FPs, their practices, practice environment, or health care market.</p><p><strong>Methods: </strong>We utilized 2 datasets from the American Board of Family Medicine (ABFM) from 2017 to 2022. The National Graduate Survey captures early career FPs while the Continuous Certification Questionnaire is administered to mid to late career FPs. We used a SOP score that ranges from 0 to 30 with a larger score reflecting a broader SOP. Bivariate analyses assessed for differences by Census division in clinician, practice, community, and health care market characteristics. A series of multilevel linear regression analyses tested if geographic differences in SOP were attenuated by the aforementioned characteristics.</p><p><strong>Results: </strong>Our analytic included 9,378 early career FPs and 28,832 mid to late career FPs in the unadjusted regression model. We found significant differences in clinician characteristics by division and cohort. In unadjusted results, SOP score differed by division and career stage within division (range 11.49 to 14.95 for later career FPs and 15.22 to 17.51 for early career FPs). Adjusting for clinician, practice, community, and health care market characteristics did not attenuate divisional variation in SOP.</p><p><strong>Discussion: </strong>Significant geographic variation in FP SOP was not explainable by adjustment for clinician, practice, community, and health care market characteristics. This suggests that health care variation is multifactorial and will require more multifaceted interventions to ameliorate.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"28-45"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789404","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
Identifying and Addressing Social Determinants of Health with an Electronic Health Record. 用电子健康记录识别和处理健康的社会决定因素。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240167R1
Oluwatomi Ajibola, Rehab Tabchi, Karen Hepworth, Alycia Walty, Auguste Niyibizi
{"title":"Identifying and Addressing Social Determinants of Health with an Electronic Health Record.","authors":"Oluwatomi Ajibola, Rehab Tabchi, Karen Hepworth, Alycia Walty, Auguste Niyibizi","doi":"10.3122/jabfm.2024.240167R1","DOIUrl":"10.3122/jabfm.2024.240167R1","url":null,"abstract":"<p><strong>Objective: </strong>The benefits of Social Determinants of Health (SDoH) is well documented but several studies highlight the complexity of collecting and standardizing SDoH data in a way that makes it relevant to the standard clinical interaction. The purpose of this study is to examine how leveraging an Electronic Health Record (EHR) system can facilitate SDoH screening and its integration into Primary Care encounters, while also using the data collected to meet the identified needs.</p><p><strong>Methods: </strong>This is an observational study design. EHR and SDoH screening data from 2020 to 2023 at 3 primary care sites were gathered. The study was implemented in 3 phases to streamline and establish the screening and referral processes.</p><p><strong>Results: </strong>SDoH screening increased by 95% from 2020 to 2022 with a consequent increase in social work referrals and the allocation of resources to a targeted patient population.</p><p><strong>Conclusion: </strong>Identifying SDoH unique to a community or population can be strategically used to deliver relevant and timely services to patients. This fosters a multidisciplinary, collaborative and integrated approach to patient care.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"9-14"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039821","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
Empowering Family Physicians in Medical Staff Leadership to Foster Physician Well-Being. 授权家庭医生在医务人员的领导,以促进医生的福祉。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240136R1
Megan R Mahoney, Edward Damrose, Tait Shanafelt
{"title":"Empowering Family Physicians in Medical Staff Leadership to Foster Physician Well-Being.","authors":"Megan R Mahoney, Edward Damrose, Tait Shanafelt","doi":"10.3122/jabfm.2024.240136R1","DOIUrl":"https://doi.org/10.3122/jabfm.2024.240136R1","url":null,"abstract":"<p><p>In the evolving landscape of health care, marked by increasing physician distress, the role of family physicians in leadership positions emerges as crucial for driving systemic improvements. Drawing from 9 years of collective experience as chiefs of staff, this commentary outlines a framework for family physicians serving in the Chief of Staff, Medical Staff President role or other physician executive positions aimed at improving physician well-being. Recognizing the comprehensive scope of practice and team-based orientation of family medicine, we highlight the unique capabilities of family physicians to foster organizational changes that address the root causes of physician burnout. The proposed framework emphasizes the importance of effective communication channels to ensure the medical staff's voices are heard and valued. It advocates for physician-centered approaches to credentialing and privileging processes, equitable incident reporting systems, and supportive measures for physicians facing professional challenges. By implementing a wellness-oriented framework, healthcare organizations can safeguard the future of the medical profession and create a healthcare system that prioritizes the well-being of both patients and clinicians.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"168-171"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995956","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 Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application. 使用纸质、电子健康记录提示和智能手机应用程序的临床数据收集方法的试点比较。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240199R1
Meagan E Stabler, John M Westfall, Donald E Nease, Jennifer Raymond, Bruce Jobse, Zoe Daudier, Laurie Emanuele, Elisabeth Wilson, Maureen Boardman, Neil Korsen, Charles D MacLean, Constance van Eeghen, Paula S Hudon, Timothy E Burdick
{"title":"A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application.","authors":"Meagan E Stabler, John M Westfall, Donald E Nease, Jennifer Raymond, Bruce Jobse, Zoe Daudier, Laurie Emanuele, Elisabeth Wilson, Maureen Boardman, Neil Korsen, Charles D MacLean, Constance van Eeghen, Paula S Hudon, Timothy E Burdick","doi":"10.3122/jabfm.2024.240199R1","DOIUrl":"10.3122/jabfm.2024.240199R1","url":null,"abstract":"<p><strong>Background: </strong>For decades, researchers have utilized paper card studies to assess primary care clinician (PCC) perceptions across various clinical and practice topics. Since 2022, cards can be completed electronically through the electronic health record (EHR) or a novel smartphone application (app). These delivery modalities have not previously been evaluated head-to-head. We report findings from a work in progress comparing paper, EHR, and app-delivered cards.</p><p><strong>Methods: </strong>The Northern New England CO-OP Practice and Community Based Research Network recruited 15 PCCs from 3 clinics to collect a total of 324 cards from unique patient visits over 4 clinical days per PCC on the topic of \"telehealth burden.\" Each clinic utilized a different data collection modality and collected approximately 100 cards. After completing the cards, we surveyed PCCs about their user experience. Our primary outcomes were PCC experience, card completion rates, and total cost of using the cards.</p><p><strong>Results: </strong>PCCs reported that data collection was easy and the card study did not disrupt clinical operations regardless of modality. Paper cards had the highest completion rate and were least expensive for a small-scale card study, but were most expensive when scaled due to the large amount of time to transcribe data manually. EHR was the most expensive modality for a small-scale card study, but EHR and app cards scaled better than paper.</p><p><strong>Conclusions: </strong>While each modality has distinct advantages and disadvantages, all 3 card study data collection methods were acceptable to PCCs and obtained a high response rate.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"46-55"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056577","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
Interpretating Normal Values and Reference Ranges for Laboratory Tests. 解释实验室测试的正常值和参考范围。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240224R1
Nancy Doles, May Ye Mon, Arika Shaikh, Samantha Mitchell, Disha Patel, Dean Seehusen, Gurmukh Singh
{"title":"Interpretating Normal Values and Reference Ranges for Laboratory Tests.","authors":"Nancy Doles, May Ye Mon, Arika Shaikh, Samantha Mitchell, Disha Patel, Dean Seehusen, Gurmukh Singh","doi":"10.3122/jabfm.2024.240224R1","DOIUrl":"10.3122/jabfm.2024.240224R1","url":null,"abstract":"<p><p>Laboratory test results drive about 70% of clinical decisions and are important in making diagnosis, prognosis, ruling out conditions, testing for propensity to disease and monitoring the course of illnesses. The requirement for releasing laboratory results to patients has altered the dynamics of doctor patient interaction. Minor variations in laboratory test results that are labeled by the laboratory as low/high/abnormal may cause unwarranted worry to the patients. The number of laboratory results that are outside the \"normal range\" far exceeds the clinically meaningful abnormal results due to the usually accepted methodology for ascertaining \"normal values\"/reference ranges, variations in methods of testing at different laboratories, variations due to age, gender, ethnicity, seasonality, and random variations. The usual process for establishing \"normal values/reference ranges\" entails testing at least 120 healthy individuals in a given age-group, gender, ethnicity, testing method and related health issues. The central 95% of the values is usually adopted as the normal range. This practice, by definition, labels 5% of healthy individuals as having abnormal laboratory results. This review addresses various issues that affect laboratory test results and interpretation of such results. It also addresses doctor and patient concerns about assessing and reporting laboratory results. In addition to reporting normal values along with patient results, it may be useful to include clinical significance of the findings, in simple terms, such as, no immediate concern, warrants discussion with doctor at the next visit, recommend contacting your doctor for further action.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"174-179"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059485","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
Maternity Care Deserts: Key Drivers of the National Maternal Health Crisis. 产妇保健沙漠:全国产妇保健危机的主要驱动因素。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240198R1
Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen
{"title":"Maternity Care Deserts: Key Drivers of the National Maternal Health Crisis.","authors":"Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen","doi":"10.3122/jabfm.2024.240198R1","DOIUrl":"10.3122/jabfm.2024.240198R1","url":null,"abstract":"<p><p>Maternal care deserts, defined as counties where there are no hospitals offering obstetric services or birth centers and no obstetricians, gynecologists, or certified nurse midwives, have a significant adverse effect on the quality of maternity care afforded women in the United States, especially Black women and women in rural areas. The maternal mortality rate for Black women in 2022 was 2.6 times higher than the rate for White women. The rate in the most rural counties is 1.6 times higher than the rate in large metropolitan counties. Across the nation, 36% of all US counties qualify as maternal care deserts, contributing to the country's poor placement globally among high-income nations. A recent report by the March of Dimes draws attention to the crisis in maternal health care. A number of interventions have been proposed by federal government entities to address the persistent problem. Family physicians in particular have a potential role in improving the situation as they represent the broadest geographic coverage of all maternity care providers.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"165-167"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022732","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
Hepatitis C Treatment Knowledge, Attitudes, and Practices Among Primary Care Providers-Los Angeles County, 2023. 初级保健提供者的丙型肝炎治疗知识、态度和实践——洛杉矶县,2023
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.230354R0
Katherine A Loomis, Debika Bhattacharya, Raiza Amiling, Mirna Ponce-Jewel, Michael E Lazarus, Gus Chavez, Prabhu Gounder
{"title":"Hepatitis C Treatment Knowledge, Attitudes, and Practices Among Primary Care Providers-Los Angeles County, 2023.","authors":"Katherine A Loomis, Debika Bhattacharya, Raiza Amiling, Mirna Ponce-Jewel, Michael E Lazarus, Gus Chavez, Prabhu Gounder","doi":"10.3122/jabfm.2024.230354R0","DOIUrl":"https://doi.org/10.3122/jabfm.2024.230354R0","url":null,"abstract":"","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"192"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038421","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
To Feel Again: The Strength of a Support Community. 重新感受:支持社区的力量。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240117R1
Angela Renee Rodgers
{"title":"To Feel Again: The Strength of a Support Community.","authors":"Angela Renee Rodgers","doi":"10.3122/jabfm.2024.240117R1","DOIUrl":"10.3122/jabfm.2024.240117R1","url":null,"abstract":"<p><p>Health care professionals are known to prioritize the health of others over themselves. The culture of medicine incentivizes this idea of putting all others first before ourselves. This habit makes physicians with chronic disease less likely to address the psychosocial aspect of how their chronic disease impacts their life. Psychosocial impact of chronic disease can include feelings such as isolation, shame, a false sense of contentment or even depression and anxiety among others. Routinely connecting with those with shared diagnoses offers validation, support, and a sense of freedom. As a woman of color with autoimmune hair loss (alopecia areata), Dr. Angela Rodgers shares her experience attending Baldie Con in 2023, a new national conference for women with various types of hair loss. She reveals how the experience unearthed truths about the relationship between physicians and their diagnoses and provides evidence-based advice on how to stay connected with community.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"172-173"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036786","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
Factors Influencing Changing Scopes of Practice Among Contemporary Graduates of the Nation's Largest Family Medicine Residency. 影响当代全国最大的家庭医学住院医师毕业生执业范围变化的因素。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240172R1
Nicholas LeFevre, Richard A Young
{"title":"Factors Influencing Changing Scopes of Practice Among Contemporary Graduates of the Nation's Largest Family Medicine Residency.","authors":"Nicholas LeFevre, Richard A Young","doi":"10.3122/jabfm.2024.240172R1","DOIUrl":"https://doi.org/10.3122/jabfm.2024.240172R1","url":null,"abstract":"<p><strong>Background: </strong>John Peter Smith (JPS) Hospital Family Medicine Residency participated in both the P4 (Preparing the Personal Physician for Practice) and LOT (Length of Training) projects, and is known for its emphasis on preparing physicians for full-scope practice. Scope of practice outcomes among graduates of these programs are previously described, but how and why the scope of practice of these physicians change in their early career merits further exploration.</p><p><strong>Methods: </strong>A structured questionnaire was sent to all JPS graduates who matriculated as interns in the years 2007 to 2016 with information on cognitive and procedural scope of practice. Graduates were asked about their scope of practice both in their initial jobs out of residency and their current jobs. They were also asked about the forces affecting their scope of practice with both structured and open-ended questions. Responses were analyzed quantitatively and through qualitative thematic analysis.</p><p><strong>Results: </strong>A total 184 graduates provided information about practice scope. Graduates stopped providing inpatient care for children (9.2%), prenatal care (8.8%), long-acting reversible contraception (7.8%), ICU care of adults (7.8%), joint injections (7.4%), and inpatient care of adults (6.9%) at the highest rates between initial and current jobs. Scope of practice changes over time found to be statistically significant included inpatient care of children, ICU care of adults, inpatient care of adults, nursing home, substance use disorder including medication assisted therapy, and obstetric deliveries. The most common reasons for change were personal preference and work-life balance, rather than institutional and related systematic barriers.</p><p><strong>Conclusion: </strong>In the graduates of one institution, it is common for the scope of practice to change over time, both by discontinuing and adding services. Changes seem most driven by choice and work-life balance, rather than outside pressures or a feeling of inadequate preparation for practice.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"133-138"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992757","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
Re: Factors Influencing Patient Confidence in Screening Mammography. 影响乳房x光筛查患者信心的因素。
IF 2.4 3区 医学
Journal of the American Board of Family Medicine Pub Date : 2025-05-12 DOI: 10.3122/jabfm.2024.240307R0
Sergio Castellanos, Laura Manuela Olarte Bermúdez, Javier Andrés Romero Enciso, Gloria Ines Palazuelos Jimenez
{"title":"Re: Factors Influencing Patient Confidence in Screening Mammography.","authors":"Sergio Castellanos, Laura Manuela Olarte Bermúdez, Javier Andrés Romero Enciso, Gloria Ines Palazuelos Jimenez","doi":"10.3122/jabfm.2024.240307R0","DOIUrl":"https://doi.org/10.3122/jabfm.2024.240307R0","url":null,"abstract":"","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"38 1","pages":"193-194"},"PeriodicalIF":2.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995992","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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