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Drug Related Problems in Geriatric Patients with Inappropriate Medication Use 老年患者用药不当的药物相关问题
Pub Date : 2021-06-03 DOI: 10.52403/IJRR.20210559
Niveditha Tv, A. Pradhan, A. Shabaraya
Drug related problem (DRP) is an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. Nowadays geriatric patients are at high risk of DRPs due to polypharmacy and altered physiology or due to older patients cannot manage their medication. DRPs also could arise from age related chronic diseases. The DRPs following hospital discharged cases also increased in elder people with chronic disease. Geriatric patients faces DRPs include inappropriate use of medication, polypharmacy, noncompliance, ADRs, drug-drug interaction, etc. Geriatric patients require more care because DRPs sometimes leads to hospital admission days, cost of the medication, increased morbidity rate and reduce the quality of life etc. So these category people need special consideration while selecting the drug therapy and its pattern. Like other health care services this special category of patients’ needs good care or services from a team of health care professionals including clinical pharmacists. This review article aims to understand the risk factors and different types of DRPs that are facing by the elderly people due to inappropriate medication use and pharmaceutical care by clinical pharmacists.
药物相关问题(DRP)是一种涉及药物治疗的事件或情况,它实际上或潜在地干扰了预期的健康结果。如今,由于多种药物和生理改变或老年患者无法控制其药物治疗,老年患者处于DRPs的高风险中。DRPs也可能由与年龄有关的慢性疾病引起。患有慢性疾病的老年人出院后的drp也有所增加。老年患者面临的drp包括用药不当、多种用药、不遵医嘱、不良反应、药物相互作用等。老年患者需要更多的护理,因为drp有时会导致住院天数增加、药物费用增加、发病率增加和生活质量降低等。因此,在选择药物治疗及其模式时,这类人群需要特别考虑。像其他保健服务一样,这类特殊的病人需要由包括临床药剂师在内的保健专业人员团队提供良好的护理或服务。本文旨在了解老年人因临床药师用药不当和药学服务不当而面临的危险因素及不同类型的drp。
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引用次数: 2
Clinico-Mycological Study of Superficial Mycoses in a Tertiary Health Care Centre of Southern Assam 阿萨姆邦南部三级保健中心浅表真菌病的临床真菌学研究
Pub Date : 2021-06-03 DOI: 10.52403/IJRR.20210554
Barnamoy Bhattacharjee, A. Chakravarty, D. Chanda
Background-Superficial Mycosis, which is the most common fungal infection affecting human beings, includes Dermatophytosis and Dermatomycoses, which are the infections of superficial keratinized layer of skin, nail & hair by Dermatophytes and non Dermatophytic moulds or yeasts respectively. This clinical entity is very common in hot, humid tropical climate of India with prevalence ranging from 30-60% but its precise case magnitude and epidemiology in North eastern India cannot be stated as there are only few studies conducted. So, this study is undertaken to 1) Find the prevalence of Superficial Mycosis in a tertiary health care centre of Southern Assam.2) Study the clinical profile of the cases 3) Isolate and identify the causative agents of Superficial mycosis. Materials & Method- The study has been conducted on 250 samples from clinically suspected and untreated cases of superficial mycosis from Aug 2017 to Dec 2018. 2 separate sets of samples from edge of skin lesion/nail /hair were collected, of which 1 sample was subjected to direct microscopy with (10-40) % KOH and the other part was subjected to 2 sets of fungal culture in SDA tubes at 25°Cand 37°C & followed for 3 weeks. In Culture positive cases, fungal identification was based on colony morphology, pigment production & LPCB mount. For confirmation of isolates, Slide Culture and biochemical tests were done. Result-Out of total 250 samples,115 samples (46%) showed presence of fungal elements in KOH examination, of which 73 were culture positive and of the KOH negative samples 10 samples were culture positive, thus making the prevalence 33.2% (83/250). Clinically, Tinea corporis was the most common form of both superficial mycosis & Dermatophytosis and Pityriasis Versicolor has been found the most common Dermatomycosis. Males(21-50yrs) were affected by superficial mycosis more than Females(16-30yr). Trichophyton mentagrophyte was the mostly isolated agent causing superficial mycosis.
背景:浅表真菌病是影响人类最常见的真菌感染,包括皮肤真菌病和皮肤真菌病,它们分别是由皮肤真菌和非皮肤真菌或酵母菌感染皮肤、指甲和头发的浅表角化层。这种临床实体在印度炎热潮湿的热带气候中非常常见,患病率从30-60%不等,但由于只进行了很少的研究,因此无法说明其在印度东北部的确切病例数量和流行病学。因此,本研究的目的是:1)在南阿萨姆邦的三级卫生保健中心发现浅表真菌病的流行情况;2)研究病例的临床概况;3)分离并确定浅表真菌病的病原体。材料与方法:本研究于2017年8月至2018年12月对250例临床疑似和未经治疗的浅表性真菌病病例进行了研究。从皮肤病变/指甲/头发边缘收集2组样品,其中1组样品进行(10-40)% KOH的直接显微镜观察,另一部分样品进行2组真菌培养,分别在25°C和37°C的SDA管中进行,随访3周。在培养阳性病例中,真菌鉴定依据菌落形态、色素产量和LPCB附着量。为确认分离株,进行了玻片培养和生化试验。结果250份样本中,真菌成分检出115份(46%),其中培养阳性73份,培养阳性10份,检出率为33.2%(83/250)。临床上,体癣是最常见的体表真菌病和皮肤真菌病,而花斑糠疹是最常见的皮肤真菌病。男性(21-50岁)比女性(16-30岁)更易患浅表真菌病。毛藓毛霉是引起浅表真菌病的主要分离菌。
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引用次数: 0
Dump Sites Location and its Health Implications within the Polytechnic, Ibadan using Geographical Information System Approach 利用地理信息系统方法,伊巴丹理工学院内垃圾场位置及其对健康的影响
Pub Date : 2021-06-03 DOI: 10.52403/IJRR.20210557
O. Fatunmibi, Adetola Olufunmilayo Gbopa
This study examines the distribution of dump sites within The Polytechnic, Ibadan, Nigeria. IKONOS Satellite imagery was acquired and processed for proper identification of the existing dump sites. Field data were acquired using Global Positioning System (Garmin GPS 72csx). Image and data processing as well as database creation was done using ArcGIS 10.5 (Arcmap 10.5). Legal and illegal dump sites were identified and mapped out and as well as the proximity of the dump sites to roads, residential areas and waterways in the study area were determined. Composite map and spatial analysis map queries were produced. From the result, it shows that eleven (11) legal dump sites and twenty four (24) illegal dump sites were within the study area. World standards on dump sites conformity were considered. From the result in the study area, it shows that there are more illegal dump sites than legal dump sites. Based on proximity of the dump sites to the roads, waterways and built up areas, many of the dump site were very close to buildings where they only not destroy the aesthetic value of the areas but also constitute breeding grounds for vectors like flies, rodents, mosquitoes, which transmit diseases like typhoid fever, malaria, cholera and laser fever which are part of the killer diseases in Nigeria and most of the African countries. Therefore, the study recommends that more legal dump sites should be created and monitored in the study area, most especially in the Northern parts the study area since the population there is high. Also, students as well as staff should be well educated on the risk associated with indiscriminate refuse disposal.
本研究考察了尼日利亚伊巴丹理工学院内垃圾场的分布情况。获得并处理了IKONOS卫星图像,以便正确确定现有的倾倒场址。现场数据采集采用全球定位系统(Garmin GPS 72csx)。使用ArcGIS 10.5 (Arcmap 10.5)完成图像和数据处理以及数据库创建。在研究范围内,已厘定合法及非法的弃置场,并确定弃置场与道路、住宅区及水道的邻近程度。生成了复合地图和空间分析地图查询。结果表明,研究区内共有11个合法垃圾场和24个非法垃圾场。审议了关于垃圾场一致性的世界标准。从研究区的结果来看,非法垃圾场的数量要多于合法垃圾场。由于垃圾场靠近道路、水道和建成区,许多垃圾场非常靠近建筑物,它们不仅破坏了这些地区的美学价值,而且还成为苍蝇、啮齿动物、蚊子等病媒的滋生地,这些病媒传播伤寒、疟疾、霍乱和激光热等疾病,这些疾病是尼日利亚和大多数非洲国家致命疾病的一部分。因此,研究建议在研究区内建立更多的合法倾倒地点并加以监测,特别是在研究区的北部地区,因为那里的人口很多。此外,学生和工作人员也应接受良好的教育,了解滥杀垃圾处置的风险。
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引用次数: 1
Getting Whey-Hearted: A Review Responding to Myths about Protein, Specifically Whey 获得乳清心:关于蛋白质,特别是乳清的神话的评论
Pub Date : 2021-06-03 DOI: 10.52403/IJRR.20210560
S. Manoj, A. Shabaraya
Whey protein is the number one supplement being used by body builders and athletes today to reach their fitness goals. Whey protein is gaining its popularity even if there are some myths regarding whey protein. Whey is a milk protein that has become extremely popular in recent years. One of the main reasons for its popularity is the fact that whey protein has been linked to muscle building and increased strength. Most body builders do associate real gains with whey protein supplements. Even though the benefits of using whey protein are pretty clear, there still exist some myths about this supplement. Whey protein is the best-selling product in sports nutrition. It sets the standards for other products in this category and is, therefore, worth examining. Whey protein supplements were once considered just an alternative for bodybuilders to help them get that ripped body. However, the scenario has changed over the years as more and more research shows that this is not only a useful supplement for those trying to shed unwanted fat in a shorter period, but also for your overall health, if you are already living a healthy lifestyle. Safety is the major concern of people when they look into the whey protein supplements. They want to know the possible adverse effects of this supplement, especially in relation to health issues. Whey protein supplements contain the same amino acids that are found in meat, including leucine, isoleucine and valine. Whey is a by-product of cheese that is extracted from milk. It’s kind of like candy to body builders since it provides body mass and muscle gain. It looks like slimy, white blobs. It tastes like chalk. And that’s just what’s left in the cup once you’ve scooped out the liquid gold that is whey protein.
乳清蛋白是当今健美运动员和运动员用来达到健身目标的头号补充剂。乳清蛋白越来越受欢迎,即使有一些关于乳清蛋白的神话。乳清是一种牛奶蛋白,近年来非常受欢迎。其受欢迎的主要原因之一是乳清蛋白与肌肉建设和增加力量有关。大多数健身者确实将真正的收益与乳清蛋白补充剂联系在一起。尽管使用乳清蛋白的好处非常明显,但关于这种补充剂仍然存在一些误解。乳清蛋白是运动营养中最畅销的产品。它为该类别中的其他产品设定了标准,因此值得研究。乳清蛋白补充剂曾经被认为只是健美运动员的一种选择,可以帮助他们获得健美的身材。然而,随着越来越多的研究表明,这不仅对那些想要在短时间内减掉多余脂肪的人有用,而且对你的整体健康也有好处,如果你已经过着健康的生活方式的话。安全性是人们在研究乳清蛋白补充剂时最关心的问题。他们想知道这种补充剂可能产生的副作用,尤其是与健康问题有关的副作用。乳清蛋白补充剂含有与肉类相同的氨基酸,包括亮氨酸、异亮氨酸和缬氨酸。乳清是从牛奶中提取的奶酪副产品。对健身者来说,它有点像糖果,因为它能增加体重和肌肉。它看起来像黏糊糊的白色斑点。它尝起来像粉笔。这就是你舀出乳清蛋白后杯子里剩下的东西。
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引用次数: 0
Economic Impact of Research Results on Local Social and Economic Development 研究成果对地方社会经济发展的经济影响
Pub Date : 2021-06-02 DOI: 10.52403/IJRR.20210542
Vo Hai Quang, N. Binh, Nguyen Huu Xuyen
Science and technology (S&T) is the driving force of economic growth, this has been recognized by many countries around the world. In Vietnam, the results of S&T research at the local level (provincial level) have important implications for social, economic development. Promote application of S&T research results interested by the Party and the State, which are confirmed in many resolutions and legal documents of Vietnam. By the research method combining quantitative and qualitative, with the use of primary and secondary data, the paper clarifies the economic impact of S&T research results from S&T tasks (case study in Nghe An province of Vietnam), were accomplished from 2005 to 2015 and their impact from 2016 to 2020 on social, economic development of Nghe An province. From there, recommending solutions and policies to promote social, economic development of Nghe An province based on S&T development.
科学技术是经济增长的动力,这已为世界上许多国家所公认。在越南,地方(省级)的科技研究成果对社会、经济发展具有重要意义。促进党和国家关心的科技成果的应用,这些成果在越南的许多决议和法律文件中得到确认。本文采用定量与定性相结合的研究方法,结合一手数据和第二手数据,对2005 - 2015年完成的科技任务(以越南义安省为例)的科技成果对义安省社会、经济发展的经济影响及其2016 - 2020年的影响进行了梳理。在此基础上,提出了基于科技发展促进河南省社会经济发展的对策和政策建议。
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引用次数: 0
Effect of Return on Equity, Debt to Equity Ratio and Current Ratio to Stock Returns in Large Trading Companies Listed on the Indonesia Stock Exchange 2016-2018 Period 2016-2018年期间印尼证券交易所上市的大型贸易公司股本回报率、负债权益比和流动比率对股票回报的影响
Pub Date : 2021-06-02 DOI: 10.52403/IJRR.20210548
Fenny, Yusuf Ronny Edward
This study aims to examine the effect of return on equity, debt to equity ratio, and current ratio on stock returns. Several previous studies regarding stock returns show different results. Therefore, other research needs to be done to retest stock returns. The population of this study is the large trading companies listed on the Indonesia Stock Exchange (BEI) 2016-2018. Based on the purposive sampling method in the data collection process, obtained 14 companies as samples. The research variables used are return on equity (ROE), debt to equity ratio (DER), current ratio (CR), and stock returns. Hypothesis testing was carried out by multiple linear regression analysis using the Statistical Package for Social Science (SPSS) program version 21.0. The results showed that partially, ROE and DER had a significant effect on stock returns, while the CR had no significant effect on stock returns.
本研究旨在探讨净资产收益率、负债权益比、流动比率对股票收益的影响。之前几项关于股票回报的研究显示了不同的结果。因此,需要做其他的研究来重新检验股票收益。本研究的对象是2016-2018年在印尼证券交易所(BEI)上市的大型贸易公司。在数据收集过程中采用目的抽样的方法,获得了14家公司作为样本。使用的研究变量是净资产收益率(ROE)、负债权益比(DER)、流动比率(CR)和股票收益率。假设检验采用多元线性回归分析,采用社会科学统计软件包(SPSS) 21.0版程序。结果表明,部分ROE和DER对股票收益有显著影响,而CR对股票收益无显著影响。
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引用次数: 2
The Impact of Financial Preparation and Disaster Experience on Households’ Disaster Risk Perception: Empirical Evidence from Quang Binh Province, Vietnam 金融准备和灾害经验对家庭灾害风险感知的影响:来自越南广平省的经验证据
Pub Date : 2021-06-02 DOI: 10.52403/IJRR.20210544
T. Le, Trang Thai, T. Do
This paper is aimed at analysing the impacts of financial preparation and disaster experience on households’ disaster risk perception, including perceptions of likelihood and severity in Quang Binh Province of Vietnam, one of the areas strongly affected by natural disasters and climate change. With the data from direct surveying 308 households in Quang Binh province, the research methodology includes Cronbach’s Alpha, EFA and OLS regression models. The key findings are: First, disaster experience has positive impact on natural disaster risk perception. Second, financial preparation has negative impact on natural disaster risk perception. Third, the risks of natural disasters in Quang Binh Province are increasing and unpredictable due to rapid economic growth and urbanization. This fact requires the Government, provincial committees, and stakeholders to go beyond traditional coping methods, implement more customized policies and specific actions to try to reduce the risks of natural disasters.
本文旨在分析财务准备和灾害经历对家庭灾害风险感知的影响,包括对越南广平省(受自然灾害和气候变化影响强烈的地区之一)的可能性和严重程度的感知。数据来自广平省308户家庭的直接调查,研究方法包括Cronbach’s Alpha、EFA和OLS回归模型。主要发现如下:第一,灾害经历对自然灾害风险感知有正向影响。第二,财务准备对自然灾害风险感知有负向影响。第三,由于经济快速增长和城市化,广平省发生自然灾害的风险正在增加,而且难以预测。这一事实要求政府、省级委员会和利益攸关方超越传统的应对方法,实施更有针对性的政策和具体行动,努力减少自然灾害的风险。
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引用次数: 0
Assessment of Integrated Child Development Services (ICDS) at Grass Root Level in an Urban Area, Raigad District, Maharashtra 马哈拉施特拉邦雷加德地区城市基层综合儿童发展服务评估
Pub Date : 2021-06-02 DOI: 10.52403/IJRR.20210543
Priyanka Mary Wilson, S. Sanjeev
Background: ICDS is an integrated program intended for Maternal and Child Care which adopts a holistic, lifecycle approach. Its main focus is on health, nutrition and education. Urban ICDS caters to the vulnerable urban slum population. Despite the program running for four decades its impact on its beneficiaries is still slow. The Anganwadi worker and helper are the grass-root functionaries running this program through Anganwadi centre. Hence this study was conducted to assess the functioning of the Anganwadi centre. Methodology: A Descriptive Cross-sectional study was conducted at all 15 urban-ICDS Anganwadi Centres of Khopoli during September-November 2019. The Anganwadi workers and helpers were interviewed regarding their sociodemographic details, knowledge and challenges perceived to run the centre. Observational Checklist designed based on guidelines and standard proforma for monitoring of the ICDS projects was used to assess infrastructure, equipment and registers. Results: Out of 14, 11(78.57%) Anganwadi workers had more than a decade experience. Indoor space of 600 sq.ft was available in 7(46.67%) centres. Toilets with running water were available in 9(60%) Anganwadi Centres and 6(40%) were linked to the school. Functional Salter’s weighing scale was available in 11(73.33%) Anganwadi centres. All 12 registers were available in 9(60%) Anganwadi centres. The utilization of services by pregnant women was the highest. Partially immunized children were present in 2(13.33%) Anganwadi centres. The service gap was highest (100%) with health check-up. Conclusions: There is a gap in the availability of infrastructure and utilization of some services. Key-words: urban ICDS, Maharashtra, Service gap INTRODUCTION Integrated Child Development Services (ICDS) was launched with a vision to provide a holistic package using a lifecycle approach under one roof. The main thrust is on the villages and slums which comprise 75% of the population. The impact of this scheme has made a difference in the health and development of the vulnerable groups in India. But even after four decades since the launch of this programme, NFHS4 data states that 32.4% pregnant women received full antenatal care, 36 % children were malnourished and 56.2% children fully immunized in Maharashtra. [1] The Anganwadi worker and Anganwadi helper through the Anganwadi Centre are responsible for bridging the service utilization gaps between the vulnerable groups and the healthcare system. Many studies over past years have brought to light that most of the problems revolve around the Anganwadi worker and the Anganwadi Centre itself. [2-4] Poor and inadequate infrastructure can create hazards and health problems for the children attending the Anganwadi and can cause loss Priyanka Mary Wilson et.al. Assessment of integrated child development services (ICDS) at grass root level in an Urban Area, Raigad District, Maharashtra. International Journal of Research and Review (ijrrjournal.com) 338 Vo
结果在总共15个Anganwadi中心中,2个位于部落地区,其余13个位于城市贫民窟。他们为850-1300人的人口提供服务,平均为1099人。有14名安干瓦迪工人和13名助手。表1描述了Anganwadi工人和帮助者的社会人口学概况。表1:Anganwadi工人(n=14)和帮工(n=12)的社会人口学概况
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引用次数: 0
COMPARATIVE STUDY OF LEADERSHIP STYLES IN PUBLIC AND PRIVATE SECONDARY SCHOOLS IN IDO LOCAL GOVERNMENT AREA OF IBADAN, OYO STATE 奥约州伊巴丹岛地方政府区公立与私立中学领导风格比较研究
Pub Date : 2021-06-02 DOI: 10.29121/GRANTHAALAYAH.V9.I5.2021.3933
Eunice B. Bakare, A. Oredein
This study compared the leadership styles of principals dominating in both public and private secondary schools in Ido Local Government Area of Ibadan, Oyo State, and also investigated the principals’ gender differences. Leadership styles examined include: autocratic, visionary, pacesetting, democratic, coaching, servant, laissez-faire, transformational, transactional, bureaucratic anddigital. A descriptive research design was adopted. The population of the study consists of 26 public secondary schools and 97 registered private secondary schools. The total population of teachers in the study were 1194. Using the Taro Yamane formula, a sample size of 306 respondents were sampled of which questionnaires were administered and 305 questionnaires were retrieved and used for analysis. A self-designed questionnaire that yielded reliability coef icients of r= 0.942, 0.911, 0.924 were used for data collection. A research question and two hypotheseswere used to guide the study. The indings of the study showed a signi icant difference in the leadership style adopted by school principals of both school types with mean =92.5 and 1149, SD= 9.712 and 11.634, while (t = 0.719; df= 301, p <0.05). There is also a signi icant gender difference in the leadership style adoptedbyprincipals of both schoolswithmean=125.14 and 120.97, SD= 14.195 and 9.318 and (t= 2.909; df= 301; p< 0.05). The study concluded that though there are signi icant differences in the leadership styles adopted by the school principals, there are no one best leadership styles. It is therefore recommended that; principals of both school types should blend and adopt styles that best it the situation at hand. Thus, leadership style should be applied based on contingency.
本研究比较了奥约州伊巴丹伊多地方政府区公立和私立中学校长的领导风格,并调查了校长的性别差异。研究的领导风格包括:专制型、远见型、标杆型、民主型、教练型、仆人型、自由放任型、转型型、交易型、官僚型和数字化型。采用描述性研究设计。研究对象包括26所公立中学和97所注册私立中学。参与研究的教师总数为1194人。采用Yamane太郎公式,抽取306名调查对象,发放问卷,回收305份问卷进行分析。采用自行设计的信度系数r= 0.942、0.911、0.924的问卷进行数据收集。一个研究问题和两个假设被用来指导研究。研究结果显示,两种学校类型校长的领导风格差异显著,均值分别为92.5和1149,SD分别为9.712和11.634,而(t = 0.719;Df = 301, p <0.05)。两校校长的领导风格也存在显著的性别差异,均值分别为125.14和120.97,SD分别为14.195和9.318,(t= 2.909;df = 301;p < 0.05)。研究得出结论,虽然不同校长的领导风格有显著差异,但没有一种最好的领导风格。因此建议:两种学校类型的校长应该融合并采用最适合当前情况的风格。因此,领导风格的运用应该基于偶然性。
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引用次数: 0
The Equation of the Set of Natural Numbers Just to Sum 自然数的和的方程
Pub Date : 2021-06-02 DOI: 10.52403/IJRR.20210547
Tulus Nadapdap, Tulus, Opim Salim
Systems of equations of the form X = Y + Z and X = C, in which the unknowns are sets of integers,”+” denotes pairwise sum of sets S + T = m + n m S, n T , and C is an ultimately periodic constant. When restricted to sets of natural numbers, such equations can be equally seen as language equations over a one-letter alphabet with concatenation and regular constants, and it is shown that such systems are computationally universal, in the sense that for every recursive set S N there exists a system with a unique solution containing T with S = n 16n + 13 T. For systems over sets of all integers, both positive and negative, there is a similar construction of a system with a unique solution S = {n|16n ∈ T} representing any hyper-arithmetical set S ⊆ N.
形式为X = Y + Z和X = C的方程组,其中未知数是整数集,“+”表示集合S + T = m + n m S, n T的成对和,C是最终周期常数。当限制在自然数集合上时,这样的方程可以被看作是具有连接和正则常数的单字母字母表上的语言方程,并且证明了这样的系统在计算上是全称的,即对于每一个递归集合sn存在一个系统,其唯一解包含T, S = N 16n + 13 T。存在一个系统的类似构造,其唯一解S = {n|16n∈T}表示任何超算术集S∈n。
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引用次数: 0
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International Journal of Research
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