Journal of public health (Oxford, England)最新文献

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A rapid review of the causes of diagnostic and treatment delays for tuberculosis in low-burden countries. 对低负担国家结核病诊断和治疗延误原因的快速审查。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-12 DOI: 10.1093/pubmed/fdaf106
Louise Preston, Alexander Thompson, Susan Baxter, Duncan Chambers, Paul Collini, Louise Falzon, Jack Goodall, Andrew Lee
{"title":"A rapid review of the causes of diagnostic and treatment delays for tuberculosis in low-burden countries.","authors":"Louise Preston, Alexander Thompson, Susan Baxter, Duncan Chambers, Paul Collini, Louise Falzon, Jack Goodall, Andrew Lee","doi":"10.1093/pubmed/fdaf106","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf106","url":null,"abstract":"<p><strong>Background: </strong>Delays in diagnosing and treating tuberculosis (TB) have significant implications. We undertook a rapid review to explore factors associated with delays at all stages of the diagnostic and treatment pathways in low-burden settings.</p><p><strong>Methods: </strong>We searched databases (Embase, Medline, CENTRAL, Cinahl, PubMed, Cochrane Database of Systematic Reviews, and Web of Science) for qualitative and quantitative evidence (2010-25) from countries with low TB burden (incidence rate <40/100 000 in 2020). Included studies were assessed on their robustness and relevance. Due to the rapid review design, we did not conduct formal quality appraisal.</p><p><strong>Results: </strong>The review included 3 reviews, 5 qualitative studies, 18 cohort studies, and 13 cross sectional studies (n = 41) with varying robustness and relevance. By synthesizing data using a patient pathway, we uncovered patient- and healthcare-related factors that contribute to delays such as medical history, health behaviours, level of patient and physician suspicion of TB, service location (primary care), and timing of TB testing. Having extrapulmonary TB was associated with greater total delay.</p><p><strong>Conclusions: </strong>We have identified patient and health service factors that are consistently associated with patient, diagnostic, and total delay from TB symptom onset to initiation of treatment in low-burden settings. Factors amenable to change should be the focus of public health interventions aimed at reducing TB diagnostic delay.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088616","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 role of health literacy in boosting citizen engagement in appropriate use of antibiotics. 卫生知识普及在促进公民参与适当使用抗生素方面的作用。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-10 DOI: 10.1093/pubmed/fdaf114
Marta Acampora, Greta Castellini, Walter Ricciardi, Leonardo Villani, Guendalina Graffigna
{"title":"The role of health literacy in boosting citizen engagement in appropriate use of antibiotics.","authors":"Marta Acampora, Greta Castellini, Walter Ricciardi, Leonardo Villani, Guendalina Graffigna","doi":"10.1093/pubmed/fdaf114","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf114","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial resistance (AMR) represents a growing challenge to both individual and public health, driven by the excessive and inappropriate use of antibiotics. Studies emphasize a widespread lack of knowledge regarding proper antibiotic use and the mechanisms of antibiotic resistance. This study aims to explore the relationships between citizens' health engagement and attitudes towards antibiotic consumption (Hypothesis 1, Hypothesis 2) and explores the role of orientation to health literacy as a mediator of these relationships (Hypothesis 3).</p><p><strong>Methods: </strong>Data were collected via a questionnaire administered to a representative sample of the Italian population (N = 1016). Descriptive statistics and mediation analysis, using bootstrapping with 5000 resamples to estimate indirect effects and assess statistical significance.</p><p><strong>Results: </strong>All hypotheses were confirmed. Health engagement had a significant, positive effect on orientation to health literacy, which was positively associated with attitudes towards antibiotic consumption. Moreover, orientation to health literacy fully mediated the effect of health engagement on attitudes towards antibiotic consumption.</p><p><strong>Conclusions: </strong>This study highlights the crucial role of health literacy in influencing attitudes towards appropriate antibiotic consumption. Public health interventions should not only encourage individuals to actively engage with their health, but also focus on improving their health literacy, including on specific topics such as AMR.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031518","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 effects of the COVID-19 pandemic on wellbeing up to 2.5 years from its outbreak in Switzerland. 2019冠状病毒病大流行在瑞士爆发2.5年后对健康的影响。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-07 DOI: 10.1093/pubmed/fdaf107
Dawid Gondek, Marieke Voorpostel, Núria Sánchez-Mira, Teuta Mehmeti
{"title":"The effects of the COVID-19 pandemic on wellbeing up to 2.5 years from its outbreak in Switzerland.","authors":"Dawid Gondek, Marieke Voorpostel, Núria Sánchez-Mira, Teuta Mehmeti","doi":"10.1093/pubmed/fdaf107","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf107","url":null,"abstract":"<p><strong>Background: </strong>This article examined to what extent pandemic-related exposures were associated with negative affect up to 2.5 years from the outbreak of the pandemic in Switzerland.</p><p><strong>Methods: </strong>We drew on longitudinal data from five waves (2018-22) of the Swiss Household Panel, including the pandemic questionnaire collected in May-June 2020 (n = 5657). Our outcome, negative affect (e.g. frequency of negative emotions such as anxiety or sadness), was measured in 2020, 2021, and 2022.</p><p><strong>Results: </strong>Our study showed that a higher frequency of psychosomatic symptoms (e.g. sweating), greater worries (e.g. lifestyle), and concerns about perceived financial risk were strongly and persistently associated with higher negative affect up to 2.5 years after the outbreak of the pandemic. Worsened relationships with neighbours and a deteriorated financial situation were associated with higher negative affect during the pandemic, but not postpandemic. Finally, an increase in physical activity (but not an absolute frequency of exercising) was linked to lower negative affect in the short-term.</p><p><strong>Conclusion: </strong>The findings emphasize the importance of mitigating pandemic-related worries and stress, as these can have long-lasting postcrisis consequences on people's wellbeing. Moreover, preventing a decline in the financial situation and relationships within the community as well as adopting a healthy lifestyle may have protective effects.</p><p><strong>Highlights: </strong></p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016973","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
Potential influence of cancer history on mesothelioma incidence: an ecologic analysis in the U.S. population. 癌症病史对间皮瘤发病率的潜在影响:美国人群的生态学分析。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-07 DOI: 10.1093/pubmed/fdaf110
Callan F Krevanko, Ashley M Hernandez, Alison M Gauthier, Moin S Vahora, Ryan C Lewis, Jennifer S Pierce
{"title":"Potential influence of cancer history on mesothelioma incidence: an ecologic analysis in the U.S. population.","authors":"Callan F Krevanko, Ashley M Hernandez, Alison M Gauthier, Moin S Vahora, Ryan C Lewis, Jennifer S Pierce","doi":"10.1093/pubmed/fdaf110","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf110","url":null,"abstract":"<p><strong>Background: </strong>There is a demand for population level research on the potential genetic-basis of mesothelioma (e.g. BRCA1-associated protein-1 [BAP1]) independent of other risk factors, such as amphibole asbestos exposure. By surrogate, another primary cancer history can be used to explore this issue, including in the USA, where the incidence rates (IRs) in men, but not women, are temporally aligned with historical asbestos consumption.</p><p><strong>Methods: </strong>We computed age-adjusted IRs of mesothelioma in females and males stratified by other primary cancer history using publicly available U.S. cancer data from 1975 to 2021. To facilitate comparison with other cancers associated with BAP1, we calculated age-adjusted IRs for female breast cancer and melanoma.</p><p><strong>Results: </strong>Similar to breast cancer and melanoma, ~ 25% of females with mesothelioma had a history of at least one other primary cancer. While IRs of mesothelioma in males without a history of other primary cancers were temporally aligned with historical asbestos consumption trends in the USA, IRs of mesothelioma among males with other primary cancer histories showed no relationship with asbestos consumption trends.</p><p><strong>Conclusions: </strong>Our findings suggest that a genetic predisposition for malignancy contributes to U.S. mesothelioma rates and is a distinct risk factor independent of asbestos exposure.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016965","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
Parental vaccine hesitancy among mothers in Georgia: the role of trust in science, government, and religion. 格鲁吉亚母亲对疫苗接种的犹豫:信任在科学、政府和宗教中的作用。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-07 DOI: 10.1093/pubmed/fdaf112
Konstantine Chakhunashvili, Prachi Soni, Davit G Chakhunashvili
{"title":"Parental vaccine hesitancy among mothers in Georgia: the role of trust in science, government, and religion.","authors":"Konstantine Chakhunashvili, Prachi Soni, Davit G Chakhunashvili","doi":"10.1093/pubmed/fdaf112","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf112","url":null,"abstract":"<p><strong>Background: </strong>Parental vaccine hesitancy (VH) remains a public health concern in Georgia, where misinformation and distrust continue to hinder routine childhood immunization. VH is shaped by psychological, sociocultural, and informational factors, including trust in science, public authorities, and religious institutions. This study examined whether trust-related variables were stronger predictors of VH than traditional sociodemographic characteristics.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted between 15 May and 13 June 2025, using a structured questionnaire distributed at two pediatric clinics in Tbilisi and online. A total of 1086 parents participated. Vaccine hesitancy was measured using the Parent Attitudes about Childhood Vaccines (PACV) questionnaire. Data were analyzed using SPSS 26, applying correlation, chi-square, ANOVA, linear regression, and General Linear Models.</p><p><strong>Results: </strong>The mean PACV score was 10.01, indicating low to moderate hesitancy. Trust in science (mean = 8.16) showed a strong negative association with VH. Trust in public authorities was also inversely related to VH, while higher trust in the Georgian Orthodox Church predicted greater hesitancy.</p><p><strong>Conclusion: </strong>Trust in science and institutions was more predictive of VH than demographics. Public health strategies should promote scientific literacy and culturally sensitive communication, especially in religious and less-educated communities.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016942","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
Ethics of advancing racial health equity in public health. 在公共卫生中促进种族健康平等的伦理。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-07 DOI: 10.1093/pubmed/fdaf115
A S Hernandez-Gutierrez
{"title":"Ethics of advancing racial health equity in public health.","authors":"A S Hernandez-Gutierrez","doi":"10.1093/pubmed/fdaf115","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf115","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016954","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
Correction to: Clicks, likes, and mental strikes: the health industry's response to social media challenges. 更正:点击、点赞和精神打击:健康行业对社交媒体挑战的回应。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-06 DOI: 10.1093/pubmed/fdaf119
{"title":"Correction to: Clicks, likes, and mental strikes: the health industry's response to social media challenges.","authors":"","doi":"10.1093/pubmed/fdaf119","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf119","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006999","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
Patient and public involvement in a randomized study: a qualitative study of participants' experiences in a Mediterranean Diet trial. 患者和公众参与一项随机研究:地中海饮食试验中参与者经历的定性研究。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-05 DOI: 10.1093/pubmed/fdaf108
Naomi Cano-Ibáñez, Virginia Martínez-Ruiz, Carmen Amezcua-Prieto, Amira Bouzalmate-Hajjaj, Aurora Bueno-Cavanillas, Paloma Masso-Guijarro
{"title":"Patient and public involvement in a randomized study: a qualitative study of participants' experiences in a Mediterranean Diet trial.","authors":"Naomi Cano-Ibáñez, Virginia Martínez-Ruiz, Carmen Amezcua-Prieto, Amira Bouzalmate-Hajjaj, Aurora Bueno-Cavanillas, Paloma Masso-Guijarro","doi":"10.1093/pubmed/fdaf108","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf108","url":null,"abstract":"<p><strong>Background: </strong>Randomized clinical trials (RCTs) based on Mediterranean Diet (MedDiet) have reported that higher adherence is associated with better health outcomes. Our aim was to describe the perspectives and experiences of older adults in a MedDiet RCT for cardiovascular disease prevention.</p><p><strong>Methods: </strong>Three focus groups on 25 participants from a MedDiet RCT, aged from 63 to 76 years old, were conducted after a conference on patient and public involvement in research at the University of Granada (Spain). Each focus group, comprising 8-10 participants, was audio-recorded, transcribed, and thematically analysed.</p><p><strong>Results: </strong>Participants were motivated by research team commitment during follow-up, improved health status and chronic disease management, weight loss, and enhanced health literacy. Health benefits among cohabitants were highlighted by female participants. A more personalized counselling and transparency with disclosure of the results of their tests and on-going study findings were missed. Participants were willing to collaborate in the dissemination of findings. Involving patients in RCTs would align the interventions with their needs and health conditions.</p><p><strong>Conclusion: </strong>In the context of an RCT, participants could join the research team, identifying key questions, planning study design, contributing to the intervention protocol, and helping disseminate results by selecting the best platforms for sharing findings.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002384","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
Improving oral health in Ireland: a dental and public health nurse collaborative quality improvement initiative. 改善爱尔兰的口腔健康:牙科和公共卫生护士合作提高质量倡议。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-09-01 DOI: 10.1093/pubmed/fdaf104
Darshini Ramasubbu, Jonathan Lewney, Kay Varden, Brett Duane
{"title":"Improving oral health in Ireland: a dental and public health nurse collaborative quality improvement initiative.","authors":"Darshini Ramasubbu, Jonathan Lewney, Kay Varden, Brett Duane","doi":"10.1093/pubmed/fdaf104","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf104","url":null,"abstract":"<p><strong>Introduction: </strong>The Health Service Executive in Ireland has piloted dentist-led initiatives targeting children aged 4-5. These initiatives involved an intra-oral check by dentists in the school setting, and a subsequent dental clinic appointment if dental decay was identified. The aim of this project was to explore the best method of delivering school-based, intra-oral examinations, by piloting a programme to identify children with dental decay with allied health professionals.</p><p><strong>Methods: </strong>A quality improvement framework (Plan Do Study Act) was used for this oral health improvement project. The intervention included an oral health promotion session and an intra-oral check by a dentist or non-dental health professional. Those identified with cavitated dental decay were given an appointment with a dentist.</p><p><strong>Results: </strong>In total, 122 children were targeted. There was an increased uptake of this programme when public health nurse (PHN)-led and this phase was lower cost as a PHN was already present in the school.</p><p><strong>Conclusion: </strong>PHNs were able to identify dental decay and provide referrals for further assessment in a high-risk population. PHNs could therefore play a role in the screening of children nationally for dental decay. This pathway may be helpful in identifying children or families not engaging with dental services.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984175","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
Worsened disparities in prenatal care among individuals with low educational attainment during the COVID-19 pandemic in the US: a repeated cross-sectional study. 在美国COVID-19大流行期间,受教育程度低的个体在产前护理方面的差异加剧:一项重复的横断面研究。
IF 3.1
Journal of public health (Oxford, England) Pub Date : 2025-08-29 DOI: 10.1093/pubmed/fdaf022
Jusung Lee, Wondimu Samuel Manalew
{"title":"Worsened disparities in prenatal care among individuals with low educational attainment during the COVID-19 pandemic in the US: a repeated cross-sectional study.","authors":"Jusung Lee, Wondimu Samuel Manalew","doi":"10.1093/pubmed/fdaf022","DOIUrl":"10.1093/pubmed/fdaf022","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus pandemic was a major event that severely disrupted the health care system in the USA. Understanding the impact, especially among socioeconomically disadvantaged individuals, is necessary for informing health care and public health policy. This study evaluates changes in adequate prenatal care (PNC) across education levels after the 2020 pandemic.</p><p><strong>Methods: </strong>The key outcome was adequate PNC utilization using the Kotelchuck index. A repeated cross-sectional study of before and after the COVID pandemic among individuals with low educational attainment compared to those with a college degree or above was used to estimate changes in adequate PNC use.</p><p><strong>Results: </strong>A decrease in adequate PNC use after 2020 was greater (-4.4%) for less than high school graduation, compared to higher education levels (-2.0% to -0.8%). The difference in adjusted changes reaffirmed that having less than high school graduation was associated with a greater decrease in adequate PNC by -3.7 percentage points (95%CI -5.8, -1.5) compared to obtaining college degrees after 2020.</p><p><strong>Conclusion: </strong>Disparities in access to care are persistent and further deteriorate among individuals of low educational attainment after the 2020 pandemic. An innovative, robust healthcare model is vital to reduce barriers to and disparities in access to care.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"646-653"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426887","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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