European journal of environment and public health最新文献

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The impact of smoking, overweight, and fine particulate matter air pollution on life expectancy: Estimations with county-level matched data for Germany 吸烟、超重和细颗粒物空气污染对预期寿命的影响:德国县级匹配数据的估计
European journal of environment and public health Pub Date : 2023-01-01 DOI: 10.29333/ejeph/12681
A. Prinz, D. Richter
{"title":"The impact of smoking, overweight, and fine particulate matter air pollution on life expectancy: Estimations with county-level matched data for Germany","authors":"A. Prinz, D. Richter","doi":"10.29333/ejeph/12681","DOIUrl":"https://doi.org/10.29333/ejeph/12681","url":null,"abstract":"Smoking and overweight are well-known factors that shorten life expectancy. While these factors are seemingly controllable by the individual, risks from fine particulate matter pollution are less so. In this paper, these risks are studied with novel micro data at the county level for Germany and for the years 1999 to 2017. A matching approach is used to control for relevant differences between the counties. Unexpectedly, fine particulate matter pollution is not found to have a direct effect on life expectancy, when controlling for relevant covariates with the matching estimation model. In contrast, it had just such a negative effect in the robustness check and extensions with an OLS model. These additional OLS estimations provide evidence of a moderating effect of particulate matter pollution on the effects of smoking and overweight with respect to life expectancy.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69935979","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
Return on Investment from the Prevention of Spinal Muscular Atrophy in Kuwait 科威特预防脊髓性肌肉萎缩症的投资回报
European journal of environment and public health Pub Date : 2022-08-09 DOI: 10.21601/ejeph/12321
S. Abuhadida
{"title":"Return on Investment from the Prevention of Spinal Muscular Atrophy in Kuwait","authors":"S. Abuhadida","doi":"10.21601/ejeph/12321","DOIUrl":"https://doi.org/10.21601/ejeph/12321","url":null,"abstract":"Background : Spinal muscular atrophy (SMA) is a rare genetic disease with a devastating nature and associated with significant clinical and economic burden. Fortunately, the availability of genetic screening and prevention technologies made preventive strategy possible. The aim of this study is to assess the return on investment from a prevention program that includes premarital genetic screening, preimplantation genetic diagnosis, and in vitro fertilization pertaining to SMA, spanning five-year period from the financial perspective of the Ministry of Health (MOH) in Kuwait. Methods : A stochastic financial model was developed following a return on investment (ROI) approach spanning five-year period. Results : An average ROI estimated to be 11% with cost saving amounted to 466,159 KWD (1,524,339 USD). The financial burden if the prevention program was not implemented is 16,441,539 KWD (53,763,832 USD). Conclusion : This study is one of the very few in the region to estimate the benefits of implementing a prevention program pertaining to SMA from the financial perspective of the MOH in Kuwait.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49622585","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
Population Aging in Latin America: A Salutogenic Understanding is Needed 拉丁美洲的人口老龄化:需要一种萨尔特式的理解
European journal of environment and public health Pub Date : 2022-08-09 DOI: 10.21601/ejeph/12322
Roberth Steven Gutiérrez-Murillo
{"title":"Population Aging in Latin America: A Salutogenic Understanding is Needed","authors":"Roberth Steven Gutiérrez-Murillo","doi":"10.21601/ejeph/12322","DOIUrl":"https://doi.org/10.21601/ejeph/12322","url":null,"abstract":"As population aging advances, the urgency of observing healthcare models that seek to promote the comprehensiveness of the older person becomes evident. This short review explores some theoretical points that encourage the study of the Salutogenic Paradigm proposed by Antonovsky (1996), pondering the possible benefits for the gerontological field. Short readings, such as the one presented here, encourage us to explore and better understand the health of older adults and the care mechanisms that arise from it.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43591661","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
Thriving on Job Demands? Exploring Associations between Goal Uncertainty, Anxiety, and Job Autonomy for Employees with Metabolic Syndrome 满足工作需求?代谢综合征员工目标不确定性、焦虑和工作自主性的关系研究
European journal of environment and public health Pub Date : 2022-07-27 DOI: 10.21601/ejeph/12281
Ann Huebner, Sven Haufe, A. Kerling, Gudrun Protte, Pauline Bayerle, H. Boeck, S. Rolff, Thorben Sundermeier, M. Kück, Silke Strunk, L. Nachbar, U. Tegtbur, M. de Zwaan
{"title":"Thriving on Job Demands? Exploring Associations between Goal Uncertainty, Anxiety, and Job Autonomy for Employees with Metabolic Syndrome","authors":"Ann Huebner, Sven Haufe, A. Kerling, Gudrun Protte, Pauline Bayerle, H. Boeck, S. Rolff, Thorben Sundermeier, M. Kück, Silke Strunk, L. Nachbar, U. Tegtbur, M. de Zwaan","doi":"10.21601/ejeph/12281","DOIUrl":"https://doi.org/10.21601/ejeph/12281","url":null,"abstract":"Thriving Demands? Exploring Associations between Goal Uncertainty, Anxiety, and Job Autonomy for Employees with Metabolic Syndrome. ABSTRACT Anxiety disorders are among the most common distressing diseases worldwide and have been the focus of increasing attention by companies, as they are associated with impaired work performance, higher absenteeism, and greater health-related costs. The risk of disease is particularly pronounced in individuals with metabolic syndrome and unfavorable working conditions. Nevertheless, empirical knowledge on interactions of metabolic syndrome, job characteristics, and psychiatric morbidity is still sparse. This cross-sectional study included survey data from 176 company employees with diagnosed metabolic syndrome to examine associations between anxiety and job-related factors, namely goal uncertainty and job autonomy. Descriptive data analysis along with Spearman ’ s rank correlation analysis were performed. Study hypotheses were tested using moderated hierarchical multiple regression analyses. Results extend worksite health promotion literature by demonstrating a slightly U-shaped relation between goal uncertainty and anxiety ( β =.16, p ≤.05). While moderate levels of goal uncertainty contributed to well-being in terms of low anxiety severity, low and high goal uncertainty were associated with more severe anxiety. This highlights the need to consider differentiated stressor conceptualizations in research on antecedents of employees ’ well-being. However, job autonomy showed neither a direct nor a moderating effect on anxiety.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46239221","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
Workplace Safety and Occupational Health Job Risks Hazards in Public Health Sector in Greece 希腊公共卫生部门的工作场所安全和职业健康工作风险
European journal of environment and public health Pub Date : 2022-07-15 DOI: 10.21601/ejeph/12229
I. Adamopoulos, N. Syrou
{"title":"Workplace Safety and Occupational Health Job Risks Hazards in Public Health Sector in Greece","authors":"I. Adamopoulos, N. Syrou","doi":"10.21601/ejeph/12229","DOIUrl":"https://doi.org/10.21601/ejeph/12229","url":null,"abstract":"Background: A systematic literature review in field of occupational health and safety job risks hazards in public health sector under the view of process that applies principles and techniques to create, communicate, and deliver value in order to influence target audience behaviors that benefit society as well as the intended employers, and also managers. The aim of the study is to change the activities in the workplace and society that will support the overall public health sector services in Greece and global. Methods: Review conducted and select research studies from January 2000 through February 2022, also the last two years on the recent frame of period of COVID-19 pandemic. Detected 195 studies and selected seven articles were included in this review according to criteria. These articles reported a variety of exposures faced by public health professionals working in public health sector. This review also revealed a number of strategies that can be adopted to control, eliminate, or reduce hazards job risks in occupational safety and health in Greece and global. Conclusion: This review highlights, the positively association and correlations between workplace safety and occupational health and safety job risks hazards in public health sector in Greece. Few papers are published based on the very contemporary title considered for the article; hence, this study identified several articles in the scientific literature, but only few articles were classified as eligible according to the previously established criteria especially in public health services and organizations sector.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42691826","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: 15
Assessment of Potential Health Risk Due to Traffic-Induced Sound Pollution: A Study in Khulna City, Bangladesh 交通声污染潜在健康风险评估:孟加拉国库尔纳市的一项研究
European journal of environment and public health Pub Date : 2022-07-02 DOI: 10.21601/ejeph/12208
Aliza Sultana, A. K. Paul, Umme Habiba, Md. Rajib Hossain
{"title":"Assessment of Potential Health Risk Due to Traffic-Induced Sound Pollution: A Study in Khulna City, Bangladesh","authors":"Aliza Sultana, A. K. Paul, Umme Habiba, Md. Rajib Hossain","doi":"10.21601/ejeph/12208","DOIUrl":"https://doi.org/10.21601/ejeph/12208","url":null,"abstract":"Background: Sound pollution has been emerging as a leading nuisance for urban dwellers all over the world. This study was conducted in some busiest traffic junctions of the Khulna metropolitan city of Bangladesh to reveal the impact of sound pollution on urban dwellers. Methods: The questionnaire survey was conducted using a probability selective sampling procedure and different age groups of respondents were chosen from the five busiest traffic junctures. The necessary associations were discovered using ross-tabulation, Pearson ’ s Chi-square with Cramer ’ s V coefficient, and binary logistic regression analysis. Results: Maximum respondents (95%) were found to be affected by several health issues (physical and psychological) due to the current level of road-traffic sound pollution. During the daytime, 98% of respondents claimed the high density of vehicles as a key factor. Meanwhile, 92% of them marked the buses [( χ 2 (2, n=140)=27.404, p<.0.001) with Cramer ’ s V coefficient of 0.44] as the most sound generating source. The respondents spending more time in the noisy places were found to have approximately 1.354, 1.311, and 1.221-times higher risk of hypertension, bad temperament, and irregular heartbeat problems, respectively than those who did not report. Notably, hearing loss issues were significantly more common among respondents from various age groups [odds ratio (OR): 1.045, 95% CI: 1.012-1.079]. Conclusion: Traffic sound pollution is harmful to human health. This study suggests that increasing awareness among people along with taking administrative measures would be effective to diminish the sound pollution problem.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42090839","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 of HIV and Syphilis and Related Risk Behaviors Among Female Sex Workers in the Democratic Republic of the Congo 刚果民主共和国女性性工作者中艾滋病毒和梅毒的流行及相关危险行为
European journal of environment and public health Pub Date : 2022-06-25 DOI: 10.21601/ejeph/12179
J. Inungu, Bienvenu Fandidi Ngiang Kandala, Alphonse Muninga Atungale
{"title":"Prevalence of HIV and Syphilis and Related Risk Behaviors Among Female Sex Workers in the Democratic Republic of the Congo","authors":"J. Inungu, Bienvenu Fandidi Ngiang Kandala, Alphonse Muninga Atungale","doi":"10.21601/ejeph/12179","DOIUrl":"https://doi.org/10.21601/ejeph/12179","url":null,"abstract":"and Behaviors Among ABSTRACT Objectives: Examine the prevalence of HIV and syphilis and related risk behaviors among female sex workers (FSW) in the Congo. Methods: A cross-sectional study of 400 FSW was carried in Kinshasa from April to July 2021 using time location sampling approach. A structured questionnaire was used to collect information on sociodemographic characteristics, sexual behavior, mode of HIV transmission, and drug use. Rapid tests for HIV and syphilis were administered. Logistic regression identified the factors associated with the risk of developing HIV infection. Results: The prevalence of HIV and syphilis was 7.2% (n=29) and 11.5% (n= 46), respectively. The mean age of the participants was 21 years. Over half of them (53.2%) had the first intercourse between 7 and 15 years of age; 62.5% initiated commercial sex between 16 and 20 years of age. The average number of paying clients the week preceding the survey was 17.6 with SD±12.0. The average number of non-paying clients during the same period was 5.5 with SD±2.0. Most of the participants (95.8%) reported using condom during their last sexual encounter with a paying client compared to 29% with a non-paying client. Multiple logistic regression analysis showed that being diagnosed with syphilis [OR: 7.34; 95%; CI: 3.12, 17.29] and ever been married [2.28; 95%; CI: 0.96, 5.41] were associated with HIV infection. Consumption of a locally brewed alcohol (lotoko) [OR: 2.23; 95% CI: 0.91, 5.45] was marginally associated with the risk of HIV infection. Conclusion: The high prevalence of HIV and syphilis in this marginalized group is a matter of great public health concern. More effective interventions are needed to address the vulnerability to HIV among FS.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44815471","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
Associations and Correlations of Job Stress, Job Satisfaction and Burn out in Public Health Sector 公共卫生部门工作压力、工作满意度与职业倦怠的相关性研究
European journal of environment and public health Pub Date : 2022-06-16 DOI: 10.21601/ejeph/12166
I. Adamopoulos, N. Syrou
{"title":"Associations and Correlations of Job Stress, Job Satisfaction and Burn out in Public Health Sector","authors":"I. Adamopoulos, N. Syrou","doi":"10.21601/ejeph/12166","DOIUrl":"https://doi.org/10.21601/ejeph/12166","url":null,"abstract":"1 Region of Attica, Department of Environmental Hygiene and Public Health Inspection, South Sector of Athens, Athens, GREECE 2 Department of Health Sciences, School of Medicine, European University Cyprus, Nicosia, CYPRUS 3 Research Center of Excellence in Risk & Decision Sciences CERIDES, School of Sciences, European University Cyprus, Nicosia, CYPRUS 4 Department of Physical Education and Sport Science, University of Thessaly, Trikala, GREECE *Corresponding Author: adamopoul@gmail.com","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46552446","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: 18
Evaluation of the Effect of the COVID-19 Pandemic on the Use of Food Supplements in Individuals Aged 18 and Over 新冠肺炎大流行对18岁及以上个体使用食品补充剂影响的评估
European journal of environment and public health Pub Date : 2022-05-01 DOI: 10.21601/ejeph/12066
M. Tozun, Pelin Gurhan, K. Ongel
{"title":"Evaluation of the Effect of the COVID-19 Pandemic on the Use of Food Supplements in Individuals Aged 18 and Over","authors":"M. Tozun, Pelin Gurhan, K. Ongel","doi":"10.21601/ejeph/12066","DOIUrl":"https://doi.org/10.21601/ejeph/12066","url":null,"abstract":"Evaluation of the Effect of the COVID-19 Pandemic on the Use of Food Supplements in Introduction: Worldwide, the COVID-19 epidemic remains a serious as an important health problem. Vitamins, minerals, probiotics, and other products that we know as nutritional supplements have received a lot of attention since the beginning of the pandemic, considering their anti-inflammatory, antioxidant, and immune system effects. The aims of this study are to evaluate the reasons and prevalence of the take of nutritional supplements in addition to the normal diet during the COVID-19 pandemic and to observe the effects of the COVID-19 pandemic on individuals ’ efforts to live a healthy life. Material-Method: This study is a descriptive cross-sectional study. The data of the study was obtained through an online questionnaire containing 24 questions. The application of the questionnaire was carried out between August 1, 2021 and August 31, 2021. The online survey was delivered to people aged 18 and over living in Turkey by snowball method. Statistical evaluation was done with SPSS (statistical packet for the social science) 20.0 package program. Chi-square analysis was taken in the evaluation of categorical data. Results: The study group was formed with 513 people. While 225 (43.9%) participants in the study received nutritional supplements, 288 (56.1%) individuals reported that they did not take nutritional supplements. The frequency of using nutritional supplements was higher in women (50.9%) than in men (29.6%) (p<0.001). The frequency of taking nutritional supplements in the undergraduate-graduate education group was higher than in the other groups (p<0.05). The frequency of taking nutritional supplements was found to be higher in the high monthly income group (4,001 ₺ and above) than in the other groups (p<0.05). The frequency of taking nutritional supplements (67.0%) was higher in those who had COVID-19 infection (38.9%) than in those who did not (p<0.05). Multivitamin was the most common combination of nutritional supplement taken in those taking nutritional supplements (10, 4.4%). Those who took nutritional supplements believed more than the other group that nutritional supplements taken in appropriate doses protected against COVID-19 infection (p<0.01). Conclusion: For the study group, it is recommended that family physicians provide counseling on the correct take of other nutritional supplements other than multivitamins.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43165731","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
Increasing the Awareness of Health Risks from Lead-Contaminated Game Meat Among International and National Human Health Organizations 提高国际和国家人类健康组织对铅污染野味的健康风险的认识
European journal of environment and public health Pub Date : 2022-04-23 DOI: 10.21601/ejeph/12043
V. Thomas, D. Pain, Niels Kanstrup, R. Cromie
{"title":"Increasing the Awareness of Health Risks from Lead-Contaminated Game Meat Among International and National Human Health Organizations","authors":"V. Thomas, D. Pain, Niels Kanstrup, R. Cromie","doi":"10.21601/ejeph/12043","DOIUrl":"https://doi.org/10.21601/ejeph/12043","url":null,"abstract":"the ABSTRACT Lead bullets and gunshot frequently fragment on impact in game animals and the resulting lead particles are bioavailable. Dietary exposure to this lead source can present health risks to vulnerable groups including young children and frequent consumers such as hunters, subsistence indigenous communities, and recipients of game meat from food banks. Many of the frequent game meat consumers in the European Union (EU) are likely to be drawn from the 13.8 million people, including 1.1 million young children, belonging to hunters ’ households. It is estimated that 10 million people are potentially at risk in the USA. National food and health advisories and regulatory considerations appear confined to Europe. Despite the European Commission requesting restrictions on lead ammunition, the World Health Organization (WHO), the Food and Agricultural Organization of the UN (FAO), the UN Children ’ s Fund (UNICEF), and individual countries have not adequately recognized this lead source nor developed mitigation measures. In contrast, several agreements administered by the UN Environment Programme (UNEP), have well-developed risk reduction strategies for lead ammunition exposure of wildlife. These agencies could play a leadership role, stimulating appropriate international accords and national regulatory changes requiring the use of non-lead ammunition. Establishing a maximum allowable level of lead in game meat under FAO/WHO Codex Alimentarius and EU Regulation 1881/2006, and harmonizing inter-agency human and environmental health approaches would be an important start.","PeriodicalId":72973,"journal":{"name":"European journal of environment and public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41569180","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: 6
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