Reviews in Cardiovascular Medicine最新文献

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Multimodal Data Integration Enhance Longitudinal Prediction of New-Onset Systemic Arterial Hypertension Patients with Suspected Obstructive Sleep Apnea 多模态数据整合增强了对疑似阻塞性睡眠呼吸暂停的新发系统性动脉高血压患者的纵向预测能力
Reviews in Cardiovascular Medicine Pub Date : 2024-07-10 DOI: 10.31083/j.rcm2507258
Yi Yang, Haibing Jiang, Haitao Yang, Xiangeng Hou, Tingting Wu, YingBing Pan, Xiang Xie
{"title":"Multimodal Data Integration Enhance Longitudinal Prediction of New-Onset Systemic Arterial Hypertension Patients with Suspected Obstructive Sleep Apnea","authors":"Yi Yang, Haibing Jiang, Haitao Yang, Xiangeng Hou, Tingting Wu, YingBing Pan, Xiang Xie","doi":"10.31083/j.rcm2507258","DOIUrl":"https://doi.org/10.31083/j.rcm2507258","url":null,"abstract":"Background : It is crucial to accurately predict the disease progression of systemic arterial hypertension in order to determine the most effective therapeutic strategy. To achieve this, we have employed a multimodal data-integration approach to predict the longitudinal progression of new-onset systemic arterial hypertension patients with suspected obstructive sleep apnea (OSA) at the individual level. Methods : We developed and validated a predictive nomogram model that utilizes multimodal data, consisting of clinical features, laboratory tests","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141662740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Smoking, Alcohol Consumption, and Risk of Arterial Stiffness: A Two-Sample Mendelian Randomization Study 吸烟、饮酒与动脉硬化风险:双样本孟德尔随机研究
Reviews in Cardiovascular Medicine Pub Date : 2024-07-09 DOI: 10.31083/j.rcm2507255
Yingzhen Gu, Zuozhi Li, Xiaorong Han, Jinxing Liu, Yifan Li, Wei Zhang, Na-qiang Lv, Aimin Dang
{"title":"Smoking, Alcohol Consumption, and Risk of Arterial Stiffness: A Two-Sample Mendelian Randomization Study","authors":"Yingzhen Gu, Zuozhi Li, Xiaorong Han, Jinxing Liu, Yifan Li, Wei Zhang, Na-qiang Lv, Aimin Dang","doi":"10.31083/j.rcm2507255","DOIUrl":"https://doi.org/10.31083/j.rcm2507255","url":null,"abstract":"Background : While observational studies have demonstrated connections between cigarette smoking, alcohol consumption, and arterial stiffness, establishing a causal relationship has proven challenging because of potential confounding factors. To address this problem, we employed a two-sample Mendelian randomization approach. Methods : We selected genetic instruments for these risk factors from genome-wide association studies encompassing 3,383,199 individuals at the genome-wide significance level ( p < 5 × 10 − 9 ). Arterial stiffness data were acquired from the UK Biobank, which included 127,121 participants. Our primary analysis utilized the inverse variance-weighted method to explore causality. To confirm our results’ robustness, we conducted sensitivity analyses using Egger regression, the weighted median method, and Mendelian Randomization Pleiotropy RESidual Sum and Outlier (MR-PRESSO). Results : Our analysis revealed a significant association between genetic inclination to smoking initiation and an increase in the arterial stiffness index ( β = 0.11; 95% confidence interval [CI], 0.06 to 0.16; p = 1.95 × 10 − 5 ). Additionally, there was a suggestive connection between genetically predicted number of cigarettes per day and the arterial stiffness index ( β = 0.05; 95% CI, 5.25 × 10 − 4 to 0.10; p = 4.75 × 10 − 2 ). No causal relationships were observed between the genetically predicted age of smoking initiation, smoking cessation, or alcohol consumption and the risk of arterial stiffness index. Conclusions : This Mendelian randomization study indicates that smoking initiation is likely a causative risk factor for arterial stiffness. However, further research is needed to determine if the quantity of daily cigarettes directly contributes to arterial stiffness development. Regarding alcohol consumption, age of smoking initiation, and smoking cessation, there was insufficient evidence to establish causality.","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141665951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serum Biomarkers to Dynamically Predict the Risk of Cardiovascular Events in Patients under Oncologic Therapy. A Multicenter Observational Study 动态预测肿瘤治疗患者心血管事件风险的血清生物标志物。一项多中心观察研究
Reviews in Cardiovascular Medicine Pub Date : 2024-07-09 DOI: 10.31083/j.rcm2507256
N. Provinciali, M. Piccininno, G. Siri, A. Gennari, G. Antonucci, Damiano Ricci, Emmanuela Devoto, Roberta Miceli, Pietro Cortesi, Chiara Pazzi, Oriana Nanni, Francesca Mannozzi, Ilaria Pastina, Luciana Messuti, C. Bengala, G. Frassineti, Carlo Cattrini, Marianna Fava, Tania Buttiron Webber, I. M. Briata, D. Corradengo, A. Decensi, M. Puntoni
{"title":"Serum Biomarkers to Dynamically Predict the Risk of Cardiovascular Events in Patients under Oncologic Therapy. A Multicenter Observational Study","authors":"N. Provinciali, M. Piccininno, G. Siri, A. Gennari, G. Antonucci, Damiano Ricci, Emmanuela Devoto, Roberta Miceli, Pietro Cortesi, Chiara Pazzi, Oriana Nanni, Francesca Mannozzi, Ilaria Pastina, Luciana Messuti, C. Bengala, G. Frassineti, Carlo Cattrini, Marianna Fava, Tania Buttiron Webber, I. M. Briata, D. Corradengo, A. Decensi, M. Puntoni","doi":"10.31083/j.rcm2507256","DOIUrl":"https://doi.org/10.31083/j.rcm2507256","url":null,"abstract":"Background : Serum biomarkers have been investigated as predictive risk factors for cancer-related cardiovascular (CV) risk, but their analysis is limited to their baseline level rather than their overtime change. Besides historically validated causal factors, inflammatory and oxidative stress (OS) related markers seem to be correlated to CV events but this association needs to be further explored. We conducted an observational study to determine the predictive role of the longitudinal changes of commonly used and OS-related biomarkers during the cancer treatment period. Methods : Patients undergoing anticancer therapies, either aged 75+ years old or younger with an increased CV risk according to European Society of Cardiology guidelines, were enrolled. We assessed the predictive value of biomarkers for the onset of CV events at baseline and during therapy using Cox model, Subpopulation Treatment-Effect Pattern Plot (STEPP) method and repeated measures analysis of longitudinal data. Results : From April 2018 to August 2021, 182 subjects were enrolled, of whom 168 were evaluable. Twenty-eight CV events were recorded after a median follow up of 9.2 months (Interquartile range, IQR: 5.1–14.7). Fibrinogen and troponin levels were independent risk factors for CV events. Specifically, patients with higher than the median levels of fibrinogen and troponin at baseline had higher risk compared with patients with values below the medians, hazard ratio (HR) = 3.95, 95% CI, 1.25–12.45 and HR = 2.48, 0.67–9.25, respectively. STEPP analysis applied to Cox model showed that cumulative event-free survival at 18 and 24 months worsened almost linearly as median values of fibrinogen increased. Repeated measure analysis showed an increase over time of D-Dimer ( p -interaction event*time = 0.08), systolic ( p = 0.07) and diastolic ( p = 0.05) blood pressure and a decrease of left ventricular ejection fraction ( p = 0.15) for subjects who experienced a CV event. Conclusions : Higher levels of fibrinogen and troponin at baseline and an increase over time of D-Dimer and blood pressure are associated to a higher risk of CV events in patients undergoing anticancer therapies. The role of OS in fibrinogen increase and the longitudinal monitoring of D-dimer and blood pressure levels should be further assessed.","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in Epicardial Adipose Tissue Assessed by Chest CT in Breast Cancer Patients Receiving Adjuvant Chemotherapy with Anthracyclines and Trastuzumab 胸部 CT 评估接受蒽环类药物和曲妥珠单抗辅助化疗的乳腺癌患者心外膜脂肪组织的变化
Reviews in Cardiovascular Medicine Pub Date : 2024-07-09 DOI: 10.31083/j.rcm2507254
Yuyao Liu, Tingjian Zhang, Xiao Huang, Li Shen, Quan Yang
{"title":"Changes in Epicardial Adipose Tissue Assessed by Chest CT in Breast Cancer Patients Receiving Adjuvant Chemotherapy with Anthracyclines and Trastuzumab","authors":"Yuyao Liu, Tingjian Zhang, Xiao Huang, Li Shen, Quan Yang","doi":"10.31083/j.rcm2507254","DOIUrl":"https://doi.org/10.31083/j.rcm2507254","url":null,"abstract":"Background : Cardiotoxicity (CTX) induced by adjuvant chemotherapy is a significant factor that impacts the prognosis and quality of life in breast cancer (BC) patients. In this study, we aimed to investigate the changes in epicardial adipose tissue (EAT) before and after treatment in BC patients who received anthracyclines adjuvant chemotherapy protocol (AC-T) and anthracyclines combined with trastuzumabadjuvant chemotherapy protocol (AC-TH). Additionally, we assessed whether there were any differences in the changes in EAT between the two groups of patients. Our objective was to examine the effects of anthracyclines and trastuzumab on EAT and determine the potential role of EAT changes on CTX. Methods : We reviewed female BC patients who were treated with adjuvant chemotherapy protocols of AC-T and AC-TH, all of whom underwent baseline (T0) and follow-up (T1) chest computed tomography (CT) and echocardiography. A cohort of healthy women, matched in age, underwent two chest CTs. EAT was quantified on chest CT using semi-automated software. CTX was defined as a > 10% reduction in left ventricular ejection fraction (LVEF) from baseline, with an absolute value of < 53%. Results : A total of 41 BC patients were included in the study, with 23 patients in the AC-T group and 18 patients in the AC-TH group. Additionally, 22 healthy females were included as the normal group. None of the BC patients developed CTX after chemotherapy. The age did not differ significantly between the normal group and the AC-T group ( p = 0.341) or the AC-TH group ( p = 0.853). Similarly, the body mass index (BMI) of the normal group was comparable to that of the AC-T group ( p = 0.377, 0.346) and the AC-TH group ( p = 0.148, 0.119) before and after chemotherapy. The EAT volume index (mL/kg/m 2 ) was significantly higher in both the AC-T group (5.11 ± 1.85 vs. 4.34 ± 1.55, p < 0.001) and the AC-TH group (4.53 ± 1.61 vs. 3.48 ± 1.62, p < 0.001) at T1 compared with T0. In addition, both the AC-T group (–72.95 ± 5.01 vs. –71.22 ± 3.91, p = 0.005) and the AC-TH group (–72.55 ± 5.27 vs. –68.20 ± 5.98, p < 0.001) exhibited a significant decrease in EAT radiodensity (HU) at T1 compared to T0. However, there was no significant difference observed in the normal group. At T0, no difference was seen in EAT volume index (4.34 ± 1.55 vs. 3.48 ± 1.62, p = 0.090) and radiodensity (–71.22 ± 3.91 vs. –68.20 ± 5.98, p = 0.059) between the AC-T and AC-TH groups. Similarly, at T1, there was still no significant difference observed in the EAT volume index (–5.11 ± 1.85 vs. 4.53 ± 1.61, p = 0.308) and radiodensity (–72.95 ± 5.00 vs. –72.54 ± 5.27, p = 0.802) between the two groups. Conclusions : BC patients who underwent AC-T and AC-TH adjuvant chemotherapy protocols demonstrated a significant rise in the volume index of EAT, along with a substantial reduction in its radiodensity post-chemotherapy. These findings indicate that alterations in EAT could potentially aid in identifying cardiac complic","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141665378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Predictors of the Rapid Progression and Revascularization of Coronary Non-Target Lesions: A Serial Angiographic Study 冠状动脉非目标病变快速进展和血管再通的临床预测因素:连续血管造影研究
Reviews in Cardiovascular Medicine Pub Date : 2024-07-08 DOI: 10.31083/j.rcm2507251
Wei Wang, Haobo Xu, Jiansong Yuan, Chao Guo, Fenghuan Hu, Weixian Yang, Xiaoliang Luo, Rong Liu, Sheng-wen Liu, Jilin Chen, Shubin Qiao, Jingang Cui, Juan Wang
{"title":"Clinical Predictors of the Rapid Progression and Revascularization of Coronary Non-Target Lesions: A Serial Angiographic Study","authors":"Wei Wang, Haobo Xu, Jiansong Yuan, Chao Guo, Fenghuan Hu, Weixian Yang, Xiaoliang Luo, Rong Liu, Sheng-wen Liu, Jilin Chen, Shubin Qiao, Jingang Cui, Juan Wang","doi":"10.31083/j.rcm2507251","DOIUrl":"https://doi.org/10.31083/j.rcm2507251","url":null,"abstract":"","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Pulmonary Artery Banding in Patients with Congenital Heart Disease and Pulmonary Hypertension 肺动脉束带对先天性心脏病和肺动脉高压患者的影响
Reviews in Cardiovascular Medicine Pub Date : 2024-07-08 DOI: 10.31083/j.rcm2507253
Han Zhang, Gang Li, Qiangqiang Li, Yansong Zuo, Qiang Wang
{"title":"Impact of Pulmonary Artery Banding in Patients with Congenital Heart Disease and Pulmonary Hypertension","authors":"Han Zhang, Gang Li, Qiangqiang Li, Yansong Zuo, Qiang Wang","doi":"10.31083/j.rcm2507253","DOIUrl":"https://doi.org/10.31083/j.rcm2507253","url":null,"abstract":"","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Red Blood Cell Transfusion Strategies in Cardiovascular Interventions 心血管介入治疗中的红细胞输注策略
Reviews in Cardiovascular Medicine Pub Date : 2024-07-08 DOI: 10.31083/j.rcm2507252
Melissa Foglietta, Elena Bacigalupi, F. Radico, Jacopo Pizzicannella, Marianna Appignani, Federica De Donno, Patrizia Di Gregorio, Francesco Pelliccia, Marco Zimarino
{"title":"Red Blood Cell Transfusion Strategies in Cardiovascular Interventions","authors":"Melissa Foglietta, Elena Bacigalupi, F. Radico, Jacopo Pizzicannella, Marianna Appignani, Federica De Donno, Patrizia Di Gregorio, Francesco Pelliccia, Marco Zimarino","doi":"10.31083/j.rcm2507252","DOIUrl":"https://doi.org/10.31083/j.rcm2507252","url":null,"abstract":"","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and Prognostic Significance of Malnutrition in Patients with Type B Aortic Dissection Undergoing Endovascular Repair 接受血管内修复术的 B 型主动脉夹层患者营养不良的发生率和预后意义
Reviews in Cardiovascular Medicine Pub Date : 2024-07-05 DOI: 10.31083/j.rcm2507249
Ting Zhou, Songyuan Luo, Wen‐Mei Lin, Yinghao Sun, Jizhong Wang, Jitao Liu, Yuan Liu, Wen-hui Huang, Fan Yang, Jie Li, Jianfang Luo
{"title":"Prevalence and Prognostic Significance of Malnutrition in Patients with Type B Aortic Dissection Undergoing Endovascular Repair","authors":"Ting Zhou, Songyuan Luo, Wen‐Mei Lin, Yinghao Sun, Jizhong Wang, Jitao Liu, Yuan Liu, Wen-hui Huang, Fan Yang, Jie Li, Jianfang Luo","doi":"10.31083/j.rcm2507249","DOIUrl":"https://doi.org/10.31083/j.rcm2507249","url":null,"abstract":"","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141673595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thrombosis of Bioprosthetic Aortic Valve: Is the Entire Arsenal Deployed? 生物人工主动脉瓣血栓形成:是否部署了全部武器?
Reviews in Cardiovascular Medicine Pub Date : 2024-07-05 DOI: 10.31083/j.rcm2507248
C. Loardi, Marco Zanobini, Emmanuelle Vermes, Maria Elisabetta Mancini, Anne Bernard, Christophe Tribouilloy
{"title":"Thrombosis of Bioprosthetic Aortic Valve: Is the Entire Arsenal Deployed?","authors":"C. Loardi, Marco Zanobini, Emmanuelle Vermes, Maria Elisabetta Mancini, Anne Bernard, Christophe Tribouilloy","doi":"10.31083/j.rcm2507248","DOIUrl":"https://doi.org/10.31083/j.rcm2507248","url":null,"abstract":"","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141676718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Feasibility, Safety and Outcome of Very High-Power Short Duration Radiofrequency Ablation in Pulmonary Vein Isolation: A Real-World Observation Study 肺静脉隔离术中超高功率短时射频消融的可行性、安全性和结果:真实世界观察研究
Reviews in Cardiovascular Medicine Pub Date : 2024-07-05 DOI: 10.31083/j.rcm2507250
A. Mavilakandy, I. Koev, B. Sidhu, A. Kotb, I. Antoun, Sharon Man, Zakariyya Vali, V. Pooranachandran, J. Barker, Gaurav Panchal, Xin Li, G. A. Ng
{"title":"The Feasibility, Safety and Outcome of Very High-Power Short Duration Radiofrequency Ablation in Pulmonary Vein Isolation: A Real-World Observation Study","authors":"A. Mavilakandy, I. Koev, B. Sidhu, A. Kotb, I. Antoun, Sharon Man, Zakariyya Vali, V. Pooranachandran, J. Barker, Gaurav Panchal, Xin Li, G. A. Ng","doi":"10.31083/j.rcm2507250","DOIUrl":"https://doi.org/10.31083/j.rcm2507250","url":null,"abstract":"","PeriodicalId":507771,"journal":{"name":"Reviews in Cardiovascular Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141676957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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