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Qualitative Study on Family Health-Related Quality of Life Due to Pediatric COVID-19 Infection In Latvia 拉脱维亚小儿 COVID-19 感染所致家庭健康相关生活质量定性研究
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0008
Z. Pučuka, Anija Meiere, A. Ķīvīte-Urtāne, L. Smane, I. Stars, Ieva Roge, Iveta Račko, Lizete Kļaviņa, J. Pavare
The coronavirus disease (COVID-19) pandemic and ensuing public health policies have immensely affected the lives of billions of people worldwide and been challenging for families. There have been studies exploring mental health of different age groups during a pandemic, but few have focused on family health-related quality of life (HRQoL). This qualitative study investigates the emotional well-being of families while caring for an acutely sick child with COVD-19, using semi-structured in-depth interviews. The results demonstrate that it is one of the most affected components of the family HRQoL.
冠状病毒病(COVID-19)大流行和随之而来的公共卫生政策极大地影响了全球数十亿人的生活,也给家庭带来了挑战。已有研究探讨了不同年龄段人群在大流行期间的心理健康问题,但很少有研究关注家庭与健康相关的生活质量(HRQoL)。本定性研究采用半结构式深度访谈的方法,调查了家庭在照顾 COVD-19 急症患儿时的情绪健康状况。结果表明,情绪是家庭 HRQoL 中最受影响的组成部分之一。
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引用次数: 0
Importance of Quality of Maternal and Newborn Care in Childbirth: Findings Over Time of the Imagine Euro Study on 40 WHO Standard-Based Quality Measures During the COVID-19 Pandemic in Latvia 产妇和新生儿分娩护理质量的重要性:拉脱维亚 COVID-19 大流行期间对 40 项基于世界卫生组织标准的质量衡量标准进行的 Imagine Euro 研究的长期结果
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0006
Anna Regīna Knoka, E. Pumpure, Asnate Matroze, Dārta Jakovicka, I. Mariani, Agnija Vaska, B. Covi, Emanuelle Pessa Valente, Gita Jansone-Šantare, Katrīna Paula Vilcāne, D. Rezeberga, M. Lazzerini
The objectives of the study were to investigate the quality of maternal and newborn care (QMNC) from the view of mothers who gave birth in a healthcare facility during the COVID-19 pandemic in Latvia. An online questionnaire survey was conducted in Latvia from 1 March 2020 to 28 October 2021, which was based on 40 World Health Organisation (WHO) Standard-based Quality measures. In addition, descriptive and multivariate quantile regression analyses were performed to compare the years 2020 and 2021. A total of 2079 women participated in the study, of whom 833 gave birth in 2020 — of them, 648 had a vaginal delivery, and 185 had a cesarean section, and 1205 women gave birth in 2021, 979 with a vaginal delivery, and 226 with a cesarean section. A lower QMNC during the COVID-19 pandemic was reported by 29.8% and 24.5% of respondents in 2020 and 2021. The total QMNC Index was notably higher in 2021 compared to 2020. This study showed essential gaps in the QMNC in Latvia perceived by mothers, while observing a slight increase in quality in 2021. Therefore, strategies to improve mothers’ and newborns’ health care should be introduced as soon as possible.
本研究旨在从拉脱维亚 COVID-19 大流行期间在医疗机构分娩的母亲的角度调查孕产妇和新生儿护理质量 (QMNC)。2020 年 3 月 1 日至 2021 年 10 月 28 日期间,在拉脱维亚进行了一次在线问卷调查,该调查基于世界卫生组织(WHO)的 40 项标准质量衡量标准。此外,还对 2020 年和 2021 年进行了描述性和多变量量化回归分析比较。共有 2079 名妇女参与了这项研究,其中 833 人在 2020 年分娩,其中 648 人经阴道分娩,185 人剖腹产;1205 名妇女在 2021 年分娩,其中 979 人经阴道分娩,226 人剖腹产。2020 年和 2021 年,分别有 29.8%和 24.5%的受访者报告 COVID-19 大流行期间 QMNC 较低。2021 年的 QMNC 总指数明显高于 2020 年。这项研究表明,在拉脱维亚,母亲们认为 QMNC 存在很大差距,但 2021 年的质量略有提高。因此,应尽快推出改善母亲和新生儿保健的战略。
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引用次数: 0
Effect of COVID-19 on Coverage of Dental Services in Latvia COVID-19 对拉脱维亚牙科服务覆盖面的影响
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0005
I. Maldupa, E. Senakola, A. Brinkmane, A. Ķīvīte-Urtāne, Sergio E. Uribe
This study aimed to describe the impact of the COVID-19 pandemic and related public health decisions on dental services. A retrospective study was conducted using secondary data on dental services (2019–2021). Data were obtained from the Latvian National Health Service and the Centre for Disease Prevention and Control and analysed using descriptive statistics and data visualisation methods. In the first wave of COVID-19, the frequency of routine dental services decreased by 81.6% at the patient level, which coincided with the restrictions imposed as public health measures. The amount of regular dental manipulations returned to its previous level immediately after lifting restrictions. Still, they decreased to a more moderate extent (not exceeding 25% decline) with the beginning of the second wave. We observed a decrease in all manipulations, regardless of their aerosol-generating risk, and no increase in preventive manipulations that could be performed without any physical contact. We conclude that the most significant decrease in the availability of services was directly linked to existing public health measures. It seems that these measures allowed time to adapt the clinics to the new sanitary requirements, further ensuring continuity of service provision.
本研究旨在描述 COVID-19 大流行和相关公共卫生决策对牙科服务的影响。研究利用牙科服务的二手数据(2019-2021 年)开展了一项回顾性研究。数据来自拉脱维亚国家卫生服务局和疾病预防控制中心,并使用描述性统计和数据可视化方法进行了分析。在 COVID-19 的第一波调查中,患者接受常规牙科服务的频率下降了 81.6%,这与作为公共卫生措施实施的限制相吻合。在解除限制后,常规牙科治疗的数量立即恢复到以前的水平。不过,在第二轮限制开始后,下降幅度有所减缓(降幅不超过 25%)。我们观察到,所有操作(无论是否有产生气溶胶的风险)都有所减少,而无需身体接触即可进行的预防性操作则没有增加。我们的结论是,服务供应量的最显著下降与现有的公共卫生措施直接相关。这些措施似乎为诊所适应新的卫生要求留出了时间,进一步确保了服务提供的连续性。
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引用次数: 0
Applying Section 140 Paragraph 71 of the Criminal Procedure Law of the Republic of Latvia During the COVID-19 Pandemic 在 COVID-19 大流行期间适用拉脱维亚共和国《刑事诉讼法》第 140 条第 71 款
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0017
Liene Neimane
The goal of the legislator, by supplementing Article 140 of the Criminal Procedure Law of the Republic of Latvia with Part 7.1, was to make the regulation of criminal proceedings more efficient, to speed up the execution of investigative activities, as well as to facilitate the organisation of court work in connection with the planning of court sessions and the conduct of trials. During the spread of the COVID-19 infection, the mentioned article provided an opportunity for the achievement of epidemiological safety goals to conduct criminal procedural activities using a video conference. The article “Application of the procedure set out in Article 140, Part 7.1 of the Criminal Procedure Law during the COVID-19 pandemic” provides an insight into how the regulation of the criminal procedure, which has been streamlined in theory, is not used in practice, and during the spread of the COVID -19 infection, its use was not effective enough. According to the Author, the problem that has arisen in practice — insufficient use of the legal norm — is related to the insufficient knowledge of industry specialists, including the inability to apply a uniform interpretation of the legal norm.
立法者通过对《拉脱维亚共和国刑事诉讼法》第 140 条第 7.1 部分进行补充,旨在提高刑事诉讼管理的效率,加快调查活动的执行,以及促进与开庭计划和审判有关的法庭工作的组织。在 COVID-19 感染扩散期间,上述条款为实现流行病安全目标提供了机会,可以利用视频会议开展刑事 诉讼活动。刑事诉讼法》第 7.1 部分第 140 条规定的程序在 COVID-19 大流行期间的适用情况 "一文让人们了解到理论上已经简化的刑事诉讼程序规定在实践中是如何未被使用的,以及在 COVID-19 感染传播期间,其使用不够有效。作者认为,实践中出现的问题--法律规范使用不足--与行业专家的知识不足有关,包括无法对法律规范进行统一解释。
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引用次数: 0
Effect of the COVID-19 Emergency State in the Latvian General Population with Depression and Distress on Changes of Patterns of Smoking and Psychoactive Substance Use 拉脱维亚普通人群中的 COVID-19 紧急状态对吸烟和精神活性物质使用模式变化的影响
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0012
I. Germanenko, J. Vrublevska, Konstantinos Ν Fountoulakis, E. Rancāns
The World Health Organisation warned that the COVID-19 pandemic could have psychiatric consequences, such as elevated levels of depression and increased alcohol and psychoactive substance use. On 12 March 2020, Latvia declared a state of emergency, which was repealed on 10 June 2020. A nationwide representative online study in the general population of Latvia was conducted from 7 to 27 July 2020. The Centre for Epidemiologic Studies Depression Scale was used to determine the presence of distress/depression. A structured questionnaire was used to determine psychoactive substance use. The study sample included 2608 respondents. In the study population, prevalence of depression and distress was estimated to be 5.7% (95% CI 4.92–6.71) and 7.82% (95% CI 6.85–8.91), respectively. Patients with depression and distress smoked more tobacco than respondents without distress/depression. During the state of emergency, there were changes in smoking habits in patients with depression, in contrast with respondents without reported depressive symptoms, with a tendency to smoke either more (28% vs. 7.4%) or less (22% vs. 9.7%). Patients with distress smoked more than healthy patients (30.9% vs. 7.4%). Patients with depression and distress were significantly more likely to consume more alcohol during an emergency (14.0% and 17.7%). Patients with depression were more likely to use less alcohol during an emergency than healthy respondents (18.0% vs. 10.6%). There was no statistically significant difference in the use of other psychoactive substances among those who were depressed or in distress. Participants with depression were more likely to change their smoking habits during the state of emergency and to consume smaller alcohol amounts compared to participants without symptoms. Participants with distress smoked more and consumed larger alcohol amounts compared to healthy participants.
世界卫生组织警告说,COVID-19 大流行可能会造成精神方面的后果,如抑郁水平升高、酗酒和使用精神活性物质的情况增加。2020 年 3 月 12 日,拉脱维亚宣布进入紧急状态,并于 2020 年 6 月 10 日撤销。2020 年 7 月 7 日至 27 日,在拉脱维亚普通人群中开展了一项具有全国代表性的在线研究。流行病学研究中心抑郁量表用于确定是否存在痛苦/抑郁。结构化问卷用于确定精神活性物质的使用情况。研究样本包括 2608 名受访者。据估计,在研究人群中,抑郁和苦恼的患病率分别为 5.7% (95% CI 4.92-6.71) 和 7.82% (95% CI 6.85-8.91)。有抑郁和抑郁症的患者比没有抑郁和抑郁症的受访者吸烟更多。在紧急状态期间,抑郁症患者的吸烟习惯发生了变化,与未报告抑郁症状的受访者形成鲜明对比的是,抑郁症患者倾向于吸更多烟(28%对7.4%)或更少烟(22%对9.7%)。抑郁症患者比健康患者吸烟更多(30.9% 对 7.4%)。抑郁症和抑郁患者在紧急情况下饮酒的可能性明显更高(14.0% 和 17.7%)。与健康受访者相比,抑郁症患者在紧急情况下饮酒量更少(18.0% 对 10.6%)。在使用其他精神活性物质方面,抑郁症患者或处于困境中的受访者之间没有明显的统计学差异。与无症状的受访者相比,患有抑郁症的受访者更有可能在紧急状态下改变吸烟习惯,饮酒量也更少。与健康参与者相比,处于困境中的参与者吸烟更多,饮酒量更大。
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引用次数: 0
Case Reports on COVID-19 Outcomes During the Pandemic in Patients with Well-Managed HIV Infection in Latvia 关于拉脱维亚大流行期间管理良好的艾滋病毒感染者 COVID-19 结果的病例报告
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0015
Alena Soha, Renata Ņesterenko, Inga Azina, B. Rozentāle, J. Eglīte
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to a global pandemic with serious implications and open questions for all areas of medicine, including immunocompromised patients. In Latvia, as of the end of 2022, 229 new cases of HIV were registered, reflecting an incidence rate of 12.2 per 100,000 people. Despite the fact that immunocompromised patients are at risk of poor outcomes of COVID-19, there is currently no evidence that clinical manifestations of COVID-19 in people living with HIV (PLWH) differ from those in the general population, provided these patients have well-controlled immune status (CD4+ count > 200 and undetectable viral load). We report two cases of COVID-19, specifically the Delta variant, in male patients with well-controlled HIV infection who had received three vaccine doses against COVID 19. Both patients fully recovered within one week without complications, requiring no specific treatment. Considering the current published data and our observations, it can be assumed that the course of COVID-19 in vaccinated well-controlled HIV patients does not differ from the typical clinical manifestations of COVID-19 in the general population. It is necessary to decrease vaccine hesitancy among PLWH, as COVID-19 vaccination is a crucial measure to safeguard this segment of the population against poor outcomes of COVID-19 such as hospitalisation, the risk of long-term health problems, severe disease, and death).
严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)已导致全球大流行,对包括免疫力低下的病人在内的所有医学领域都产生了严重影响和未决问题。截至 2022 年底,拉脱维亚登记在册的艾滋病毒新病例为 229 例,发病率为每 10 万人 12.2 例。尽管免疫力低下的患者面临 COVID-19 后果不佳的风险,但目前还没有证据表明,如果艾滋病毒感染者(PLWH)的免疫状况良好(CD4+计数大于 200 且病毒载量检测不到),那么这些患者的 COVID-19 临床表现与普通人群有所不同。我们报告了两例感染 COVID-19(特别是 Delta 变异株)的男性患者,他们的 HIV 感染控制良好,曾接种过三针 COVID 19 疫苗。两名患者均在一周内完全康复,无并发症,无需特殊治疗。考虑到目前公布的数据和我们的观察结果,可以认为接种疫苗后病情控制良好的艾滋病患者的 COVID-19 病程与普通人群中 COVID-19 的典型临床表现并无不同。有必要减少 PLWH 对接种疫苗的犹豫,因为接种 COVID-19 疫苗是保护这部分人群免受 COVID-19 不良后果(如住院、长期健康问题风险、严重疾病和死亡)的关键措施。
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引用次数: 0
Mental Disorders and Crime: An Introduction to Clinical Criminology 精神障碍与犯罪临床犯罪学导论
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0001
A. Kipāne
The importance of criminological research is increasing nowadays. Crime is the most dangerous form of deviance and has the most severe social consequences. Combating crime would not be conceivable without the theories and knowledge of criminology. The application of theoretical knowledge in practice should be promoted in criminological research. The manifestations of crime as a socially negative and legal phenomenon are widespread, and social deviations can have completely different forms of manifestation. This is clearly supported by the findings of clinical criminology that evolved from the concept of classical criminology. Clinical criminology is a theoretical and practical study of the personality of a criminal who has committed a criminal offence in a state of mental incapacity or diminished mental capacity, and an approach to determining preventive measures and means..
如今,犯罪学研究的重要性与日俱增。犯罪是最危险的偏差形式,具有最严重的社会后果。打击犯罪离不开犯罪学的理论和知识。犯罪学研究应促进理论知识在实践中的应用。犯罪作为一种社会消极现象和法律现象,其表现形式是广泛的,社会偏差可以有完全不同的表现形式。从经典犯罪学概念发展而来的临床犯罪学的研究成果明确支持了这一点。临床犯罪学是对在精神不健全或精神能力减退状态下实施刑事犯罪的罪犯的人格进行理论和实践研究,并确定预防措施和手段的一种方法。
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引用次数: 0
Outcomes of Vaccination Against SARS-CoV-2 in Patients with Rheumatic Diseases in Latvia 拉脱维亚风湿病患者接种 SARS-CoV-2 疫苗的结果
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0004
I. Buliņa, J. Zepa
The retrospective study for rheumatic disease patients was conducted between 27 December 2020 and 31 August 2021 at Pauls Stradiņš Clinical University Hospital, in the largest centre of Rheumatology in Latvia with the aim of assessing the impact of vaccination against SARS-CoV-2 for rheumatic disease patients. From the hospital’s local medical electronic system, we collected demographic data, disease activity, comorbidities, data regarding vaccines and their side effects for 422 rheumatic disease patients. Most of them, 377 (89.3%), had inflammatory arthritis or a rare rheumatic disease and the most common disease was rheumatoid arthritis 30.1%; 26.5% of all patients were in remission. csDMARDs (conventional synthetic disease modified antirheumatic drugs) were used in 47.2%, biological DMARDs in 51%, and immunosuppressive medicines in 4.2% cases. The most commonly used vaccine was BNT162b2, for 49.05% patients. The main side effect after vaccination was pain in the injection site, for 16.1% patients. 36.7% of patients had no side effects after vaccination. 8.7% of patients had a flare of disease after the vaccination process. The most common comorbidity was cardiovascular diseases, for 38.7% of patients. Mild side effects, and a small percentage of flare-up of a rheumatic disease demonstrated the safety of vaccination against SARS-CoV-2 in the rheumatic disease patient group.
这项针对风湿病患者的回顾性研究于 2020 年 12 月 27 日至 2021 年 8 月 31 日在拉脱维亚最大的风湿病中心保尔斯-斯特拉季林斯临床大学医院进行,目的是评估风湿病患者接种 SARS-CoV-2 疫苗的影响。我们从医院的本地医疗电子系统中收集了 422 名风湿病患者的人口统计学数据、疾病活动、合并症、疫苗数据及其副作用。其中,377 人(89.3%)患有炎症性关节炎或罕见的风湿病,最常见的疾病是类风湿性关节炎,占 30.1%;26.5% 的患者处于缓解期。47.2% 的患者使用了 csDMARDs(常规合成疾病修饰抗风湿药),51% 的患者使用了生物 DMARDs,4.2% 的患者使用了免疫抑制剂。最常用的疫苗是 BNT162b2,占 49.05% 的患者。接种疫苗后的主要副作用是注射部位疼痛,占 16.1%。36.7%的患者在接种后无任何副作用。8.7%的患者在接种疫苗后疾病复发。最常见的合并症是心血管疾病,占患者总数的 38.7%。轻微的副作用和小比例的风湿病复发表明,在风湿病患者群体中接种 SARS-CoV-2 疫苗是安全的。
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引用次数: 0
Relationship Between Attitude Towards Vaccination Against COVID-19 and Socialdemographic, Health-Related and Psychological Parameters Among Unvaccinated Hospital Employees in Latvia 拉脱维亚未接种疫苗的医院员工对接种 COVID-19 疫苗的态度与社会人口学、健康相关参数和心理参数之间的关系
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0011
Sintija Lielšvāgere-Endele, Jeļena Koļesņikova, Linda Nauzere, Inga Millere
The coronavirus disease (COVID-19) vaccination of healthcare workers has a critical role in protecting them, the patients, and society. The aim of this study was to explore attitude factors related to COVID-19 vaccination of unvaccinated hospital employees in Latvia. Data were collected from March to May 2021 among the employees of nine hospitals. Overall, 355 respondents took part in the online survey. The respondents in this group ranged from 19 to 71 years old. The results of the hierarchical multiple regression found that sex, previous influenza vaccination, and psychological parameters, are related to more of an attitude of denial regarding vaccination among unvaccinated hospital employees. In conclusion, our study suggests that respondents without previous influenza vaccination, and having concern about the speed of vaccine production, distrust in recommendations of specialists, belief about not being a risk group, belief that the vaccine does not protect oneself and others, belief that COVID-19 is made up, and vaccines are a threat, are related to a more negative attitude towards COVID-19 vaccination.
为医护人员接种冠状病毒病(COVID-19)疫苗对于保护医护人员、患者和社会至关重要。本研究旨在探讨拉脱维亚未接种 COVID-19 疫苗的医院员工的态度因素。数据收集时间为 2021 年 3 月至 5 月,对象为九家医院的员工。共有 355 名受访者参与了在线调查。受访者年龄从 19 岁到 71 岁不等。分层多元回归的结果发现,性别、以前是否接种过流感疫苗以及心理参数与未接种疫苗的医院员工对疫苗接种持否定态度的程度有关。总之,我们的研究表明,未接种过流感疫苗的受访者、对疫苗生产速度的担忧、对专家建议的不信任、认为自己不是高危人群、认为疫苗不能保护自己和他人、认为 COVID-19 是编造出来的以及疫苗是一种威胁,都与对 COVID-19 疫苗接种持更消极的态度有关。
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引用次数: 0
Assessment of Factors Related to COVID-19 Preventive Health Behaviours Using a Health Belief Model 利用健康信念模型评估与 COVID-19 预防性健康行为有关的因素
Q4 Multidisciplinary Pub Date : 2024-02-01 DOI: 10.2478/prolas-2024-0009
Valentīna Krūmiņa, K. Mārtinsone, V. Perepjolkina
Non-pharmaceutical interventions, including physical distancing, hand hygiene, mask wearing, are some of the most effective public health interventions against COVID-19 spread. Adoption of these measures can vary in different countries and even in different populations within a country. The goal of our study was to investigate factors that influence adoption of these preventive health behaviours in the Latvian population within the Health Belief Model framework, while also expanding on the models cues to action dimension by testing if evaluation of COVID-19-related government actions and belief in COVID-19 related conspiracy theories could be used as such. Our quantitative cross-sectional study that was carried out in Latvia before the second wave of COVID-19 pandemic included two samples of major population language groups (nLatvian = 452; nRussian = 190) and showed differences that could potentially improve adoption of preventive health behaviours in Latvia if regarded in informing and educating the public. It was also found that evaluation of COVID-19-related government actions has statistically significant impact on preventive health behaviour and could be used as cues to action within the HBM, while belief in COVID-19-related conspiracy theories had no association with preventive health behaviour.
非药物干预措施,包括物理距离、手部卫生、戴口罩,是防止 COVID-19 传播的一些最有效的公共卫生干预措施。在不同的国家,甚至在一个国家的不同人群中,采用这些措施的情况也会有所不同。我们的研究目标是在健康信念模型框架内调查影响拉脱维亚人采取这些预防性健康行为的因素,同时还通过测试对 COVID-19 相关政府行为的评价和对 COVID-19 相关阴谋论的信念是否可作为行动线索维度来扩展模型。我们的定量横断面研究是在 COVID-19 第二波大流行之前在拉脱维亚进行的,包括两个主要人口语言群体的样本(拉脱维亚语=452;俄语=190),研究显示,如果在对公众进行宣传和教育时考虑到这些差异,就有可能改善拉脱维亚的预防性健康行为。研究还发现,对 COVID-19 相关政府行动的评价对预防性健康行为有显著的统计学影响,可作为 HBM 中的行动线索,而对 COVID-19 相关阴谋论的信仰与预防性健康行为没有关联。
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引用次数: 0
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Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.
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