Journal of Veterinary Medical Education最新文献

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Exploring the Benefits of Stroboscopic Technology and Guided Visualization in Teaching Suturing Techniques to Veterinary Medicine Students 探索频闪技术和引导式可视化在向兽医专业学生传授缝合技术中的优势
Journal of Veterinary Medical Education Pub Date : 2024-07-08 DOI: 10.3138/jvme-2022-0117
Matthew K. Roe, Sarah Matyjaszek, Amy Stein, Kenneth Sullins, M. Brosnahan
{"title":"Exploring the Benefits of Stroboscopic Technology and Guided Visualization in Teaching Suturing Techniques to Veterinary Medicine Students","authors":"Matthew K. Roe, Sarah Matyjaszek, Amy Stein, Kenneth Sullins, M. Brosnahan","doi":"10.3138/jvme-2022-0117","DOIUrl":"https://doi.org/10.3138/jvme-2022-0117","url":null,"abstract":"Suturing is widely regarded to be a core competency of veterinary education. With curricular requirements expanding, training interventions that improve students’ suturing skills without added time would be valuable. This study evaluated the effects of stroboscopic visual resistance training, a technique using intermittent occlusion of vision, and guided visualization on suturing technique and speed. Students’ anxiety levels were also assessed. Twenty-nine veterinary students with no prior surgical experience were divided into stroboscopic, visualization and control groups. Simple interrupted, simple continuous, and cruciate patterns were taught by an American College of Veterinary Surgeons (ACVS) boarded veterinarian in week 1, and students also took an anxiety test at this time. One-hour-long tutored practice sessions were held for each group in weeks 2, 3, 4 and 6, and assessments were conducted in weeks 5 and 7. Assessments were conducted by a second ACVS boarded veterinarian blinded to group assignments. Students in the stroboscopic training group had faster suturing times compared to students in the control group for the cruciate pattern at week 5 ( p = 0.001) and week 7 ( p = 0.006), and faster times compared to students in the visualization group at week 5 ( p = 0.002). Students in the stroboscopic training group had faster suturing times than the control group ( p = 0.005) for the simple continuous pattern at week 7. No significant differences were observed in anxiety. There was no significant difference in technique scores for any group with any pattern at any time point. Stroboscopic training may result in faster suturing times without deterioration of suturing technique.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668672","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
Teaching Tips as a Component of an Instructor Development Program in Veterinary Medicine 作为兽医学讲师发展计划组成部分的教学技巧
Journal of Veterinary Medical Education Pub Date : 2024-05-13 DOI: 10.3138/jvme-2023-0170
M. R. Root Kustritz
{"title":"Teaching Tips as a Component of an Instructor Development Program in Veterinary Medicine","authors":"M. R. Root Kustritz","doi":"10.3138/jvme-2023-0170","DOIUrl":"https://doi.org/10.3138/jvme-2023-0170","url":null,"abstract":"Teaching tips are provided as one aspect of an instructor development program. A survey of the college demonstrated great appreciation for this tool because of its ease of access, ability of instructors to review information in their own time, and the usefulness of the topics presented. Teaching tips are easily produced and archived. Based on survey results, the college has better advertised availability of the teaching tips in an electronic archive and is evaluating how better to disseminate teaching tips to everyone in the college with interest.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983955","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
An Exploratory Qualitative Content Analysis of First-Year Veterinary Students’ Perspectives on Conflict 兽医专业一年级学生对冲突看法的定性内容探索分析
Journal of Veterinary Medical Education Pub Date : 2024-04-16 DOI: 10.3138/jvme-2023-0164
K. McCool, April A. Kedrowicz
{"title":"An Exploratory Qualitative Content Analysis of First-Year Veterinary Students’ Perspectives on Conflict","authors":"K. McCool, April A. Kedrowicz","doi":"10.3138/jvme-2023-0164","DOIUrl":"https://doi.org/10.3138/jvme-2023-0164","url":null,"abstract":"Teamwork among health professionals is a requirement for the delivery of excellent medical care; effective teamwork leads to improved patient outcomes and greater job satisfaction for health care professionals. A critical component of successful teamwork is effective conflict management. While preliminary evidence suggests that many health care providers have negative perceptions of conflict and conflict-avoidant tendencies, no existing research to-date has explored veterinary students’ perspectives on conflict. Understanding the ways in which veterinary students perceive conflict represents an important first step in helping them identify strategies for future conflict management. The purpose of this exploratory study was to describe the first-year veterinary students’ perspectives on conflict. Students responded to two open-ended prompts as part of a reflection assignment following an instructional module on conflict. Results from the qualitative content analysis showed that students demonstrated an understanding of (a) the role of feelings and emotions in conflict, (b) the importance of relying on facts and observations as opposed to evaluations and judgment in conflict, (c) the value of competent communication in conflict, and (d) self-awareness of personal factors related to conflict. These findings highlight the power of self-reflection to learners’ awareness of default tendencies when faced with conflict, the impact of their attitudes and experiences on conflict behavior, and a willingness to incorporate a collaborative approach to conflict resolution in the future.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"25 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140697252","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
Investigation of Veterinary Student and Faculty Perspectives of Factors Affecting In-Person Lecture Attendance 兽医专业师生对影响亲临现场听课因素的看法调查
Journal of Veterinary Medical Education Pub Date : 2024-04-16 DOI: 10.3138/jvme-2023-0071
Nicholas Frank, Julia Wilkinson, C. Cardamone
{"title":"Investigation of Veterinary Student and Faculty Perspectives of Factors Affecting In-Person Lecture Attendance","authors":"Nicholas Frank, Julia Wilkinson, C. Cardamone","doi":"10.3138/jvme-2023-0071","DOIUrl":"https://doi.org/10.3138/jvme-2023-0071","url":null,"abstract":"A proposal was submitted to our institution's curriculum committee to discontinue lecture livestreaming to increase attendance, and we performed a study to investigate factors affecting lecture attendance. In January 2022, the faculty and students were surveyed to explore their perspectives on the impact that student attendance has on both the student and faculty lecture experience. We included a subset of common questions to allow for comparison. For students, in-person lecture attendance was not largely influenced by content or delivery. Instead, most students indicated flexibility, preserving emotional well-being, optimizing efficiency, exams, and COVID-19 as important. Students also indicated that part-time jobs, caring for family or pets, and commuting were additional reasons to elect a remote lecture experience. Faculty also recognized the impact of these factors on lecture attendance, but they were concerned about student learning and preparedness for clinics, and their own effectiveness and wellbeing as educators. Sixty-one percent of faculty agreed that low lecture attendance negatively impacted their overall professional satisfaction and 67% indicated that it decreased their enjoyment of teaching. Faculty mentioned missing real-time feedback from students and they expressed sadness at the loss of personal interactions. After reviewing results of the study, the curriculum committee voted to discontinue livestreaming of lectures. Although students provided strong feedback on the importance of flexibility, the committee agreed with faculty concerns. It remains to be determined if lecture attendance increases because of this decision and preparedness for clinics should be objectively measured in the future.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"341 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140698219","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
Qualitative Exploration of the Hidden Curriculum in Communicating Dog Breed Stereotypes During Veterinary Clinical Training 兽医临床培训期间传播犬种定型观念的隐性课程定性探索
Journal of Veterinary Medical Education Pub Date : 2024-04-01 DOI: 10.3138/jvme-2023-0155
R. M. Caddiell, M. Gruen, B. Lascelles, April A. Kedrowicz
{"title":"Qualitative Exploration of the Hidden Curriculum in Communicating Dog Breed Stereotypes During Veterinary Clinical Training","authors":"R. M. Caddiell, M. Gruen, B. Lascelles, April A. Kedrowicz","doi":"10.3138/jvme-2023-0155","DOIUrl":"https://doi.org/10.3138/jvme-2023-0155","url":null,"abstract":"Cultural transmission of breed-specific beliefs about canine pain sensitivity occurs during veterinary education and training. However, breed-specific beliefs held by veterinarians do not align well with experimental measures of pain observed across dog breeds and are unlikely to be helpful in clinical decision making. The aim of the present study was to gain a deeper understanding of how dog breed pain stereotypes are developed and/or reinforced during clinical veterinary training. Non-participant, unobtrusive observations were conducted for a single clinical rotation block across three specialties. Field notes with contextual details were maintained and later transcribed and expanded using personal reflection. A thematic analysis revealed the following three themes: confusion and mixed messages related to instruction about pain; rotation microcultures and norms related to pain; and breed specific messages related to pain identification and treatment decisions. As students processed their social interactions, we suggest that they may have internalized breed stereotypes and used these to inform their perceptions about patient pain. This information will help facilitate the development of training to enhance veterinary medical education and promote best practices for pain identification and management in canine patients.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"398 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782796","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
Fifty Years of Elevating Excellence: Disseminating Scholarship and Innovation in Veterinary Education 提升卓越品质五十年:传播兽医教育的学术和创新精神
Journal of Veterinary Medical Education Pub Date : 2024-03-05 DOI: 10.3138/jvme-2024-0015
Regina Schoenfeld-Tacher
{"title":"Fifty Years of Elevating Excellence: Disseminating Scholarship and Innovation in Veterinary Education","authors":"Regina Schoenfeld-Tacher","doi":"10.3138/jvme-2024-0015","DOIUrl":"https://doi.org/10.3138/jvme-2024-0015","url":null,"abstract":"","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"117 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079471","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
Characterizing Global Gender Representation in Veterinary Executive Leadership 兽医行政领导层的全球性别代表性特征
Journal of Veterinary Medical Education Pub Date : 2024-02-14 DOI: 10.3138/jvme-2023-0092
Neil Vezeau, Hannah Kemelmakher, Julia Silva Seixas, Irene Ivie, Ahmed Magdy, Isabella Endacott, Mehdi Amrani, Charlotte Rendina, Siqi (Gigi) Wang
{"title":"Characterizing Global Gender Representation in Veterinary Executive Leadership","authors":"Neil Vezeau, Hannah Kemelmakher, Julia Silva Seixas, Irene Ivie, Ahmed Magdy, Isabella Endacott, Mehdi Amrani, Charlotte Rendina, Siqi (Gigi) Wang","doi":"10.3138/jvme-2023-0092","DOIUrl":"https://doi.org/10.3138/jvme-2023-0092","url":null,"abstract":"Veterinary medicine is an increasingly feminized field, with growing numbers of veterinary students and professionals identifying as women. Increased representation of women in senior veterinary education leadership has not yet been examined across all global regions. To address this question, we compiled a comprehensive list of veterinary academic executives from veterinary educational institutions listed by the World Veterinary Association, the American Veterinary Medical Association, and the World Organisation for Animal Health. In total, data from 720 veterinary schools in 118 countries were obtained via an online search of each school's webpage to retrieve information on executive-level leaders and their gender representation. Out of 2263 executive leaders included, 784 (34.6%) were inferred to be women. Of 733 top executives—deans or their equivalents—187 (25.5%) were inferred to be women. At the national level, the proportion of women in executive teams was positively correlated with Gross Domestic Product, Gender Development Index, and negatively correlated with Gender Inequality Index. This is the first study to demonstrate inequity in the gender composition of veterinary educational leadership across the majority of veterinary schools worldwide, and regional trends thereof. It also identifies potential socioeconomic issues closely connected to gender equity in these spaces. To monitor progress towards gender equity within the profession, future work is needed to assess gender representation over different phases of veterinary career tracks, including in student populations. Analysis of gendered trends over time will also help to establish trends and evaluate progress in gender equity.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"34 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779563","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
Characterizing Global Gender Representation in Veterinary Executive Leadership 兽医行政领导层的全球性别代表性特征
Journal of Veterinary Medical Education Pub Date : 2024-02-14 DOI: 10.3138/jvme-2023-0092
Neil Vezeau, Hannah Kemelmakher, Julia Silva Seixas, Irene Ivie, Ahmed Magdy, Isabella Endacott, Mehdi Amrani, Charlotte Rendina, Siqi (Gigi) Wang
{"title":"Characterizing Global Gender Representation in Veterinary Executive Leadership","authors":"Neil Vezeau, Hannah Kemelmakher, Julia Silva Seixas, Irene Ivie, Ahmed Magdy, Isabella Endacott, Mehdi Amrani, Charlotte Rendina, Siqi (Gigi) Wang","doi":"10.3138/jvme-2023-0092","DOIUrl":"https://doi.org/10.3138/jvme-2023-0092","url":null,"abstract":"Veterinary medicine is an increasingly feminized field, with growing numbers of veterinary students and professionals identifying as women. Increased representation of women in senior veterinary education leadership has not yet been examined across all global regions. To address this question, we compiled a comprehensive list of veterinary academic executives from veterinary educational institutions listed by the World Veterinary Association, the American Veterinary Medical Association, and the World Organisation for Animal Health. In total, data from 720 veterinary schools in 118 countries were obtained via an online search of each school's webpage to retrieve information on executive-level leaders and their gender representation. Out of 2263 executive leaders included, 784 (34.6%) were inferred to be women. Of 733 top executives—deans or their equivalents—187 (25.5%) were inferred to be women. At the national level, the proportion of women in executive teams was positively correlated with Gross Domestic Product, Gender Development Index, and negatively correlated with Gender Inequality Index. This is the first study to demonstrate inequity in the gender composition of veterinary educational leadership across the majority of veterinary schools worldwide, and regional trends thereof. It also identifies potential socioeconomic issues closely connected to gender equity in these spaces. To monitor progress towards gender equity within the profession, future work is needed to assess gender representation over different phases of veterinary career tracks, including in student populations. Analysis of gendered trends over time will also help to establish trends and evaluate progress in gender equity.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"358 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139839302","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
“Going From Strength to Strength”: Delving into Professional Identity Formation of Veterinary Curriculum Leaders: A Narrative Inquiry "继往开来":深入探究兽医课程领导者专业身份的形成:叙事调查
Journal of Veterinary Medical Education Pub Date : 2024-02-13 DOI: 10.3138/jvme-2023-0152
E. Armitage-Chan, Melinda A Bell, Martin Cake, Kate A. Cobb, H. Janicke, Sarah Kelly, Emma Read, Sheena M. Warman
{"title":"“Going From Strength to Strength”: Delving into Professional Identity Formation of Veterinary Curriculum Leaders: A Narrative Inquiry","authors":"E. Armitage-Chan, Melinda A Bell, Martin Cake, Kate A. Cobb, H. Janicke, Sarah Kelly, Emma Read, Sheena M. Warman","doi":"10.3138/jvme-2023-0152","DOIUrl":"https://doi.org/10.3138/jvme-2023-0152","url":null,"abstract":"Curriculum leaders (individuals with responsibility for an institution's veterinary curriculum), are student-oriented, want to make a difference, and prioritize teaching and pedagogy in their work. However, as they work to enhance curriculum development, they experience tensions in their role. This study built on previous quantitative findings, and aimed to explore further how curriculum leaders respond to tensions, and how their identity is constructed and supported in a way that means they can thrive in their role. Using self-determination theory and narrative identity as conceptual frameworks, nine curriculum leaders were interviewed about their experiences. Narrative inquiry methodology enabled in-depth interpretations to be drawn about identity influences and participants’ responses to conflict and dissonance. Curriculum leader identity was defined as being student-centered, change-oriented, valuing both clinical (particularly general practice), and pedagogical expertise while engaging in hard work and service to achieve pedagogical goals. Participants were skilled in leading change and had developed skills and personal attributes for this. Leading change involved experiences of conflict and tension that were personally meaningful, evoking feelings of identity dissonance that were characterised by either emotional resilience or disaffection and frustration. This response depended on social identity influences, including opportunities to network with like-minded peers, recognition of achievements from influential others, institutional advocacy for change, and support for advanced pedagogical training.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"137 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139780791","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
“Going From Strength to Strength”: Delving into Professional Identity Formation of Veterinary Curriculum Leaders: A Narrative Inquiry "继往开来":深入探究兽医课程领导者专业身份的形成:叙事调查
Journal of Veterinary Medical Education Pub Date : 2024-02-13 DOI: 10.3138/jvme-2023-0152
E. Armitage-Chan, Melinda A Bell, Martin Cake, Kate A. Cobb, H. Janicke, Sarah Kelly, Emma Read, Sheena M. Warman
{"title":"“Going From Strength to Strength”: Delving into Professional Identity Formation of Veterinary Curriculum Leaders: A Narrative Inquiry","authors":"E. Armitage-Chan, Melinda A Bell, Martin Cake, Kate A. Cobb, H. Janicke, Sarah Kelly, Emma Read, Sheena M. Warman","doi":"10.3138/jvme-2023-0152","DOIUrl":"https://doi.org/10.3138/jvme-2023-0152","url":null,"abstract":"Curriculum leaders (individuals with responsibility for an institution's veterinary curriculum), are student-oriented, want to make a difference, and prioritize teaching and pedagogy in their work. However, as they work to enhance curriculum development, they experience tensions in their role. This study built on previous quantitative findings, and aimed to explore further how curriculum leaders respond to tensions, and how their identity is constructed and supported in a way that means they can thrive in their role. Using self-determination theory and narrative identity as conceptual frameworks, nine curriculum leaders were interviewed about their experiences. Narrative inquiry methodology enabled in-depth interpretations to be drawn about identity influences and participants’ responses to conflict and dissonance. Curriculum leader identity was defined as being student-centered, change-oriented, valuing both clinical (particularly general practice), and pedagogical expertise while engaging in hard work and service to achieve pedagogical goals. Participants were skilled in leading change and had developed skills and personal attributes for this. Leading change involved experiences of conflict and tension that were personally meaningful, evoking feelings of identity dissonance that were characterised by either emotional resilience or disaffection and frustration. This response depended on social identity influences, including opportunities to network with like-minded peers, recognition of achievements from influential others, institutional advocacy for change, and support for advanced pedagogical training.","PeriodicalId":509170,"journal":{"name":"Journal of Veterinary Medical Education","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139840580","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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