首页 > 最新文献

Explore-The Journal of Science and Healing最新文献

英文 中文
Acupuncture for Meige syndrome: A case report 针灸治疗梅杰综合征:病例报告
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-30 DOI: 10.1016/j.explore.2024.103068
Yihao Zhou , Hong Huo , Siyu Yang , Dongyan Wang

Introduction

Meige syndrome (MS) is a cranial dystonia disorder characterized by blepharospasm and oromandibular dystonia. Current treatments include botulinum toxin therapy, oral medications, and surgical interventions. Here, we present a case that the patient's symptoms improved significantly after treatment with acupuncture.

Case description

A 72-year-old woman came to our acupuncture clinic with eyelid twitching and jaw muscle tension. She described being diagnosed with MS two years ago due to the same symptoms, and her symptoms gradually worsened over the past six months. After 4 weeks of acupuncture treatment, the patient's MS symptoms improved significantly.

Conclusion

Acupuncture may be a potentially salvage treatment option for MS.
简介梅杰综合征(MS)是一种以眼睑痉挛和口颌肌张力障碍为特征的颅肌张力障碍性疾病。目前的治疗方法包括肉毒杆菌毒素疗法、口服药物和手术干预。在此,我们介绍一例经过针灸治疗后患者症状明显改善的病例:一位 72 岁的妇女因眼睑抽搐和下颌肌肉紧张来到我们的针灸诊所。她自述两年前因同样的症状被诊断为多发性硬化症,在过去的六个月里症状逐渐加重。针灸治疗 4 周后,患者的多发性硬化症症状明显改善:结论:针灸可能是多发性硬化症的一种挽救性治疗方法。
{"title":"Acupuncture for Meige syndrome: A case report","authors":"Yihao Zhou ,&nbsp;Hong Huo ,&nbsp;Siyu Yang ,&nbsp;Dongyan Wang","doi":"10.1016/j.explore.2024.103068","DOIUrl":"10.1016/j.explore.2024.103068","url":null,"abstract":"<div><h3>Introduction</h3><div>Meige syndrome (MS) is a cranial dystonia disorder characterized by blepharospasm and oromandibular dystonia. Current treatments include botulinum toxin therapy, oral medications, and surgical interventions. Here, we present a case that the patient's symptoms improved significantly after treatment with acupuncture.</div></div><div><h3>Case description</h3><div>A 72-year-old woman came to our acupuncture clinic with eyelid twitching and jaw muscle tension. She described being diagnosed with MS two years ago due to the same symptoms, and her symptoms gradually worsened over the past six months. After 4 weeks of acupuncture treatment, the patient's MS symptoms improved significantly.</div></div><div><h3>Conclusion</h3><div>Acupuncture may be a potentially salvage treatment option for MS.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103068"},"PeriodicalIF":1.9,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of extremely brief meditation and brief mindfulness interventions on assisted reproductive technologies success rates: A randomised controlled trial 极其简短的冥想和简短的正念干预对辅助生殖技术成功率的影响:随机对照试验。
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-29 DOI: 10.1016/j.explore.2024.103067
Gelza Matos Nunes , Sara de Pinho Cunha Paiva , Selmo Geber , Anna Sylvia Vidigal de Andrade Serra , Marcos Aurelio Coelho Sampaio , Rubens Lene Carvalho Tavares

Objective

To investigate the effect of extremely brief meditation (EBMI) or brief mindfulness interventions (Brief MI) on pregnancy rate in women undergoing Assisted Reproductive Technology (ART).

Methods

This is a prospective, three-armed, randomized controlled trial with women undergoing ART cycle, age ranging from 18 to 50 years. In the day of embryo transfer, the patients randomized to Brief MI group received a 15-minute audio of mindfulness. They were instructed to practice it daily, starting from the day of embryo transfer to the day of the pregnancy test, leading to a total of 180–210 minutes. Women randomized to EBMI met once a week during the waiting time between the embryo transfer and pregnancy test day in the same virtual room with a meditator instructor for 40 minutes, totalizing two sessions (80 minutes). The pregnancy rate was assessed via a blood test to measure hCG performed 2 weeks after embryo transfer.

Results

A total of 68 women aged 37.5 ± 4.3y were included (EBMI, n = 24; Brief MI, n = 22 and CG, n = 22). Pearson's Chi-square test and Student's t-test for independent samples showed no significant differences between intervention and control groups. Both EBMI and Brief MI had no significant effect on pregnancy rate in women undergoing ART.

Conclusion

This randomized control trial revealed that the extremely brief meditation (EBMI) or self-managed brief mindfulness intervention (Brief MI) had no significant effect on pregnancy rates in infertile women undergoing ART cycles. Trial registration number: NCT04058262.
目的研究极简短冥想(EBMI)或简短正念干预(Brief MI)对接受辅助生殖技术(ART)的女性怀孕率的影响:这是一项前瞻性、三臂随机对照试验,受试者为接受 ART 周期治疗的女性,年龄在 18 岁至 50 岁之间。在胚胎移植当天,随机分配到简短正念组的患者会收到一段 15 分钟的正念音频。她们被要求每天练习,从胚胎移植当天开始,直到妊娠检查当天,总共练习 180-210 分钟。在胚胎移植和妊娠测试日之间的等待时间里,随机接受 EBMI 的妇女每周在同一虚拟房间与冥想指导员会面一次,每次 40 分钟,共两次(80 分钟)。怀孕率通过胚胎移植 2 周后进行的 hCG 血液检测进行评估:共纳入 68 名年龄为(37.5 ± 4.3)岁的妇女(EBMI,24 人;Brief MI,22 人;CG,22 人)。皮尔逊卡方检验(Pearson's Chi-square test)和学生 t 检验(Student's t test)显示,干预组和对照组之间没有显著差异。EBMI和Brief MI对接受抗逆转录病毒疗法的妇女的怀孕率均无明显影响:这项随机对照试验表明,极简短冥想(EBMI)或自我管理的简短正念干预(Brief MI)对接受抗逆转录病毒疗法的不孕妇女的怀孕率没有明显影响:NCT04058262.
{"title":"The impact of extremely brief meditation and brief mindfulness interventions on assisted reproductive technologies success rates: A randomised controlled trial","authors":"Gelza Matos Nunes ,&nbsp;Sara de Pinho Cunha Paiva ,&nbsp;Selmo Geber ,&nbsp;Anna Sylvia Vidigal de Andrade Serra ,&nbsp;Marcos Aurelio Coelho Sampaio ,&nbsp;Rubens Lene Carvalho Tavares","doi":"10.1016/j.explore.2024.103067","DOIUrl":"10.1016/j.explore.2024.103067","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effect of extremely brief meditation (EBMI) or brief mindfulness interventions (Brief MI) on pregnancy rate in women undergoing Assisted Reproductive Technology (ART).</div></div><div><h3>Methods</h3><div>This is a prospective, three-armed, randomized controlled trial with women undergoing ART cycle, age ranging from 18 to 50 years. In the day of embryo transfer, the patients randomized to Brief MI group received a 15-minute audio of mindfulness. They were instructed to practice it daily, starting from the day of embryo transfer to the day of the pregnancy test, leading to a total of 180–210 minutes. Women randomized to EBMI met once a week during the waiting time between the embryo transfer and pregnancy test day in the same virtual room with a meditator instructor for 40 minutes, totalizing two sessions (80 minutes). The pregnancy rate was assessed via a blood test to measure hCG performed 2 weeks after embryo transfer.</div></div><div><h3>Results</h3><div>A total of 68 women aged 37.5 ± 4.3y were included (EBMI, n = 24; Brief MI, n = 22 and CG, n = 22). Pearson's Chi-square test and Student's <em>t</em>-test for independent samples showed no significant differences between intervention and control groups. Both EBMI and Brief MI had no significant effect on pregnancy rate in women undergoing ART.</div></div><div><h3>Conclusion</h3><div>This randomized control trial revealed that the extremely brief meditation (EBMI) or self-managed brief mindfulness intervention (Brief MI) had no significant effect on pregnancy rates in infertile women undergoing ART cycles. Trial registration number: NCT04058262.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103067"},"PeriodicalIF":1.9,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Children who claim previous life memories: A case report and literature review 声称有前世记忆的儿童:病例报告和文献综述
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-21 DOI: 10.1016/j.explore.2024.103063
Lucam J. Moraes PhD , Eric V. Ávila-Pires MSc , Mariana S. Nolasco , Thamires S. Rocha , Jim B. Tucker MD , Alexander Moreira-Almeida MD, PhD

Objective

Academic investigation of thousands of children who claim past-life memories has been developed worldwide for five decades. However, despite the scientific and clinical significance of this substantial body of research, most clinicians and scientists are not aware of it. This study aims to report a case of a child who claimed memories that match his deceased granduncle's life and to perform a literature review of the main characteristics and implications of children's past-life claims.

Method

We investigated the case through interviews with the child and first-hand witnesses, and conducted a documental analysis to verify possible associations between the child's statements and facts from the deceased's life. We also performed a CT scan of the child's skull to verify possible associations between anatomical features and a fatal wound from the alleged previous life.

Results

The child presented most key features typical of such cases of claimed past-life memories. He made 13 statements about the previous life; nine were correct (e.g., the mode of death and a toy the granduncle had) and four were undetermined. The child demonstrated eight unusual behaviors that matched the previous personality´s habits, interests, and manners. The child has a birth defect (a rare occipital concavity) that is compatible with the firearm injury that caused the death of his uncle.

Conclusions

The characteristics of the reported case fit the cross-cultural patterns of children who claim past-life memories, and it has scientific and clinical implications that need to be better known and investigated.
目的:对数以千计声称拥有前世记忆的儿童进行的学术调查已在全球范围内开展了五十年。然而,尽管这些研究具有重要的科学和临床意义,但大多数临床医生和科学家并不了解这些研究。本研究旨在报告一例儿童声称其记忆与已故叔祖父生前的记忆相符的病例,并对儿童声称前世记忆的主要特征和影响进行文献综述。我们还对孩子的头骨进行了 CT 扫描,以验证解剖特征与所称前世致命伤之间可能存在的关联。他对前世记忆做出了 13 项陈述,其中 9 项正确(如死亡方式和叔祖父的玩具),4 项不确定。孩子表现出八种不寻常的行为,与前世人格的习惯、兴趣和举止相吻合。该病例的特征符合声称有前世记忆的儿童的跨文化模式,其科学和临床意义有待进一步了解和研究。
{"title":"Children who claim previous life memories: A case report and literature review","authors":"Lucam J. Moraes PhD ,&nbsp;Eric V. Ávila-Pires MSc ,&nbsp;Mariana S. Nolasco ,&nbsp;Thamires S. Rocha ,&nbsp;Jim B. Tucker MD ,&nbsp;Alexander Moreira-Almeida MD, PhD","doi":"10.1016/j.explore.2024.103063","DOIUrl":"10.1016/j.explore.2024.103063","url":null,"abstract":"<div><h3>Objective</h3><div>Academic investigation of thousands of children who claim past-life memories has been developed worldwide for five decades. However, despite the scientific and clinical significance of this substantial body of research, most clinicians and scientists are not aware of it. This study aims to report a case of a child who claimed memories that match his deceased granduncle's life and to perform a literature review of the main characteristics and implications of children's past-life claims.</div></div><div><h3>Method</h3><div>We investigated the case through interviews with the child and first-hand witnesses, and conducted a documental analysis to verify possible associations between the child's statements and facts from the deceased's life. We also performed a CT scan of the child's skull to verify possible associations between anatomical features and a fatal wound from the alleged previous life.</div></div><div><h3>Results</h3><div>The child presented most key features typical of such cases of claimed past-life memories. He made 13 statements about the previous life; nine were correct (e.g., the mode of death and a toy the granduncle had) and four were undetermined. The child demonstrated eight unusual behaviors that matched the previous personality´s habits, interests, and manners. The child has a birth defect (a rare occipital concavity) that is compatible with the firearm injury that caused the death of his uncle.</div></div><div><h3>Conclusions</h3><div>The characteristics of the reported case fit the cross-cultural patterns of children who claim past-life memories, and it has scientific and clinical implications that need to be better known and investigated.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103063"},"PeriodicalIF":1.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Ashwagandha (Withania Somnifera) on stress and anxiety: A systematic review and meta-analysis 芦根(Withania Somnifera)对压力和焦虑的影响:系统综述和荟萃分析。
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-21 DOI: 10.1016/j.explore.2024.103062
Velan Arumugam , Venugopal Vijayakumar , Arthi Balakrishnan , Rudra B Bhandari , Deenadayalan Boopalan , Ramesh Ponnurangam , Venkateswaran Sankaralingam Thirupathy , Maheshkumar Kuppusamy

Background

Ashwagandha (Withania somnifera) is an adaptogenic herb used to prevent and treat psychosomatic disorders. This systematic review and meta-analysis evaluated the effects and safety of Ashwagandha on psychosomatic functions related to stress and anxiety among patients.

Methods

A comprehensive search was conducted in MEDLINE, EMBASE, PubMed, PsychINFO, and the Cochrane Library for articles published from January 2000 to January 2022. Randomized controlled trials that examined the effects of Ashwagandha on stress and anxiety were included. Two authors independently extracted all relevant data from the included studies. Both subjective and objective measures of stress and anxiety were assessed as outcome variables.

Result

Nine randomized controlled trials involving 558 patients were eligible for this study. The findings of the meta-analysis showed a significant effect of Ashwagandha formulations on the Perceived Stress Scale (PSS) (MD = -4.72, 95 % CI = [-8.45 to -0.99]), Hamilton Anxiety Scale (HAS) (MD = -2.19, 95 % CI = [-3.83 to -0.55]), and serum cortisol levels (MD = -2.58, 95 % CI = [-4.99 to -0.16]) compared to the placebo group. Among the included studies, four reported mild to moderate adverse events.

Conclusion

The findings from the included studies indicate that Ashwagandha formulations have beneficial effects on stress and anxiety. The adverse effects associated with Ashwagandha are limited; however, further information is required to determine its safety with long-term administration.
背景:芦根(Withania somnifera)是一种适应性草药,可用于预防和治疗心身疾病。本系统综述和荟萃分析评估了芦根对患者压力和焦虑相关心身功能的影响和安全性:在 MEDLINE、EMBASE、PubMed、PsychINFO 和 Cochrane 图书馆中对 2000 年 1 月至 2022 年 1 月期间发表的文章进行了全面检索。纳入了研究 Ashwagandha 对压力和焦虑影响的随机对照试验。两位作者独立提取了纳入研究的所有相关数据。压力和焦虑的主观和客观指标均作为结果变量进行评估:共有 9 项随机对照试验符合研究条件,涉及 558 名患者。荟萃分析结果显示,与安慰剂组相比,芦根制剂对感知压力量表(PSS)(MD = -4.72,95 % CI = [-8.45 to -0.99])、汉密尔顿焦虑量表(HAS)(MD = -2.19,95 % CI = [-3.83 to -0.55])和血清皮质醇水平(MD = -2.58,95 % CI = [-4.99 to -0.16])有显著影响。在纳入的研究中,有四项研究报告了轻度至中度不良事件:结论:纳入研究的结果表明,芦根制剂对压力和焦虑具有有益的影响。与 Ashwagandha 相关的不良反应有限;不过,还需要更多信息来确定长期服用 Ashwagandha 的安全性。
{"title":"Effects of Ashwagandha (Withania Somnifera) on stress and anxiety: A systematic review and meta-analysis","authors":"Velan Arumugam ,&nbsp;Venugopal Vijayakumar ,&nbsp;Arthi Balakrishnan ,&nbsp;Rudra B Bhandari ,&nbsp;Deenadayalan Boopalan ,&nbsp;Ramesh Ponnurangam ,&nbsp;Venkateswaran Sankaralingam Thirupathy ,&nbsp;Maheshkumar Kuppusamy","doi":"10.1016/j.explore.2024.103062","DOIUrl":"10.1016/j.explore.2024.103062","url":null,"abstract":"<div><h3>Background</h3><div><em>Ashwagandha</em> (Withania somnifera) is an adaptogenic herb used to prevent and treat psychosomatic disorders. This systematic review and meta-analysis evaluated the effects and safety of <em>Ashwagandha</em> on psychosomatic functions related to stress and anxiety among patients.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in MEDLINE, EMBASE, PubMed, PsychINFO, and the Cochrane Library for articles published from January 2000 to January 2022. Randomized controlled trials that examined the effects of <em>Ashwagandha</em> on stress and anxiety were included. Two authors independently extracted all relevant data from the included studies. Both subjective and objective measures of stress and anxiety were assessed as outcome variables.</div></div><div><h3>Result</h3><div>Nine randomized controlled trials involving 558 patients were eligible for this study. The findings of the meta-analysis showed a significant effect of <em>Ashwagandha</em> formulations on the Perceived Stress Scale (PSS) (MD = -4.72, 95 % CI = [-8.45 to -0.99]), Hamilton Anxiety Scale (HAS) (MD = -2.19, 95 % CI = [-3.83 to -0.55]), and serum cortisol levels (MD = -2.58, 95 % CI = [-4.99 to -0.16]) compared to the placebo group. Among the included studies, four reported mild to moderate adverse events.</div></div><div><h3>Conclusion</h3><div>The findings from the included studies indicate that <em>Ashwagandha</em> formulations have beneficial effects on stress and anxiety. The adverse effects associated with <em>Ashwagandha</em> are limited; however, further information is required to determine its safety with long-term administration.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103062"},"PeriodicalIF":1.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of Qigong exercise on state anxiety levels of inpatients in psychiatric wards: A randomized controlled study 气功锻炼对精神科病房住院病人状态焦虑水平的影响:随机对照研究
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-19 DOI: 10.1016/j.explore.2024.103064
Elcin Babaoglu, Aydan Akkurt Yalcinturk, Emel Erdeniz Gures, Asli Zeynep Sipahi, Selma Dogan

Background

Qigong is a mind-body exercise that originated in China and is often described as a form of meditation or movement therapy. While the existing literature has investigated the impact of Qigong exercises on trait anxiety in outpatients, there is limited research on their influence on state anxiety in inpatients. This study examined the effect of Qigong exercise on state anxiety levels of inpatients in psychiatric wards.

Methods

This study was a single-blind, randomized controlled trial. Patients were randomly assigned to either the intervention or control group. Seventy inpatients participated in the study, with 35 in each group. In the intervention group, the STAI-I form was used to assess state anxiety levels before (Test 1) and after (Test 2) a single 40-minute session of Qigong.

Results

The mean post-test scores of the intervention group (27.20±5.57) were significantly lower than those of the control group (39.72±10.84). Additionally, a statistically significant difference was observed between the mean test-1 (38.42±9.7) and test-2 scores (27.2 ± 5.57) within the intervention group.

Conclusion

A single 40-minute Qigong exercise session reduced state anxiety levels in psychiatric inpatients and reduced the risk of potential adverse outcomes associated with state anxiety. Practitioners may consider the use of Qigong exercise in the management of state anxiety in clinical practice, when making clinical decisions.
背景气功是一种源自中国的身心锻炼方法,通常被描述为一种冥想或运动疗法。虽然现有文献已研究了气功运动对门诊患者特质焦虑的影响,但有关气功运动对住院患者状态焦虑影响的研究却很有限。本研究探讨了气功锻炼对精神科病房住院患者状态焦虑水平的影响。患者被随机分配到干预组或对照组。70 名住院患者参加了研究,每组 35 人。结果 干预组的平均测试后得分(27.20±5.57)明显低于对照组(39.72±10.84)。此外,在干预组中,测试-1(38.42±9.7)分和测试-2(27.2±5.57)分的平均值之间的差异也具有统计学意义。 结论单次 40 分钟的气功锻炼可降低精神病住院患者的状态焦虑水平,并降低与状态焦虑相关的潜在不良后果的风险。医生在做出临床决定时,可以考虑在临床实践中使用气功锻炼来控制状态焦虑。
{"title":"The effect of Qigong exercise on state anxiety levels of inpatients in psychiatric wards: A randomized controlled study","authors":"Elcin Babaoglu,&nbsp;Aydan Akkurt Yalcinturk,&nbsp;Emel Erdeniz Gures,&nbsp;Asli Zeynep Sipahi,&nbsp;Selma Dogan","doi":"10.1016/j.explore.2024.103064","DOIUrl":"10.1016/j.explore.2024.103064","url":null,"abstract":"<div><h3>Background</h3><div>Qigong is a mind-body exercise that originated in China and is often described as a form of meditation or movement therapy. While the existing literature has investigated the impact of Qigong exercises on trait anxiety in outpatients, there is limited research on their influence on state anxiety in inpatients. This study examined the effect of Qigong exercise on state anxiety levels of inpatients in psychiatric wards.</div></div><div><h3>Methods</h3><div>This study was a single-blind, randomized controlled trial. Patients were randomly assigned to either the intervention or control group. Seventy inpatients participated in the study, with 35 in each group. In the intervention group, the STAI-I form was used to assess state anxiety levels before (Test 1) and after (Test 2) a single 40-minute session of Qigong.</div></div><div><h3>Results</h3><div>The mean post-test scores of the intervention group (27.20±5.57) were significantly lower than those of the control group (39.72±10.84). Additionally, a statistically significant difference was observed between the mean test-1 (38.42±9.7) and test-2 scores (27.2 ± 5.57) within the intervention group.</div></div><div><h3>Conclusion</h3><div>A single 40-minute Qigong exercise session reduced state anxiety levels in psychiatric inpatients and reduced the risk of potential adverse outcomes associated with state anxiety. Practitioners may consider the use of Qigong exercise in the management of state anxiety in clinical practice, when making clinical decisions.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103064"},"PeriodicalIF":1.9,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The great disruption: Climate change provoked migration and its effect on American healthcare 大破坏:气候变化引发的移民及其对美国医疗保健的影响。
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-19 DOI: 10.1016/j.explore.2024.103046
Stephan A. Schwartz
{"title":"The great disruption: Climate change provoked migration and its effect on American healthcare","authors":"Stephan A. Schwartz","doi":"10.1016/j.explore.2024.103046","DOIUrl":"10.1016/j.explore.2024.103046","url":null,"abstract":"","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103046"},"PeriodicalIF":1.9,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of foot reflexology massage on sleep, anxiety and quality of life in hemodialysis patients: A single-blind, randomized, placebo-controlled trial 足部反射按摩对血液透析患者睡眠、焦虑和生活质量的影响:单盲、随机、安慰剂对照试验
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-16 DOI: 10.1016/j.explore.2024.103061
Gizem Göktuna, Gülşah Gürol Arslan

Objective

The aim of this study is to investigate the effects of reflexology foot massage on sleep, anxiety, and quality of life as compared to foot massage only in patients undergoing hemodialysis treatment.

Methods

This study was conducted as a single blinded randomized placebo-controlled parallel-group trial. Data were collected using the “Demographic Characteristics Form”, “Richards-Campbell Sleep Scale”, “State-Trait Anxiety Inventory” and “Nottingham Health Profile”. Individuals in the reflexology and placebo groups received massages for three weeks; three times a week, for 15 minutes on each foot. Participants in the reflexology and placebo groups were followed-up before the massage and after the ninth massage session.

Results

In the statistical evaluation of the sleep quality scale mean scores, after the ninth massage session, it was determined that the average sleep score of the reflexology massage group was higher than that of the placebo group. Additionally, the state anxiety level was found to be lower in the reflexology group compared to the placebo group. As for the quality of life after the ninth massage session, it was determined that there was an improvement in the reflexology massage group compared to the placebo group.

Conclusions

This study has found that foot reflexology massage is effective in reducing anxiety levels, improving sleep, and enhancing the quality of life in patients undergoing hemodialysis treatment. The findings of this study may offer nurses greater awareness of the potential benefits of reflexology. In this way, more healthcare professionals can be encouraged to use reflexology in addition to other cares.
本研究旨在探讨足底反射疗法与单纯足底按摩相比,对接受血液透析治疗的患者的睡眠、焦虑和生活质量的影响。使用 "人口统计学特征表"、"理查兹-坎贝尔睡眠量表"、"状态-特质焦虑量表 "和 "诺丁汉健康档案 "收集数据。足底按摩组和安慰剂组的参与者接受了为期三周的按摩,每周三次,每次足底按摩 15 分钟。结果 在对第九次按摩后的睡眠质量量表平均分进行统计评估后发现,足底按摩组的平均睡眠分数高于安慰剂组。此外,与安慰剂组相比,反射按摩组的状态焦虑水平较低。结论 本研究发现,足部反射按摩能有效降低血液透析患者的焦虑水平,改善睡眠,提高生活质量。这项研究的结果可能会让护士们更加了解足部反射疗法的潜在益处。这样,就能鼓励更多的医护人员在使用其他护理方法的同时使用足底反射疗法。
{"title":"Effect of foot reflexology massage on sleep, anxiety and quality of life in hemodialysis patients: A single-blind, randomized, placebo-controlled trial","authors":"Gizem Göktuna,&nbsp;Gülşah Gürol Arslan","doi":"10.1016/j.explore.2024.103061","DOIUrl":"10.1016/j.explore.2024.103061","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to investigate the effects of reflexology foot massage on sleep, anxiety, and quality of life as compared to foot massage only in patients undergoing hemodialysis treatment.</div></div><div><h3>Methods</h3><div>This study was conducted as a single blinded randomized placebo-controlled parallel-group trial. Data were collected using the “Demographic Characteristics Form”, “Richards-Campbell Sleep Scale”, “State-Trait Anxiety Inventory” and “Nottingham Health Profile”. Individuals in the reflexology and placebo groups received massages for three weeks; three times a week, for 15 minutes on each foot. Participants in the reflexology and placebo groups were followed-up before the massage and after the ninth massage session.</div></div><div><h3>Results</h3><div>In the statistical evaluation of the sleep quality scale mean scores, after the ninth massage session, it was determined that the average sleep score of the reflexology massage group was higher than that of the placebo group. Additionally, the state anxiety level was found to be lower in the reflexology group compared to the placebo group. As for the quality of life after the ninth massage session, it was determined that there was an improvement in the reflexology massage group compared to the placebo group.</div></div><div><h3>Conclusions</h3><div>This study has found that foot reflexology massage is effective in reducing anxiety levels, improving sleep, and enhancing the quality of life in patients undergoing hemodialysis treatment. The findings of this study may offer nurses greater awareness of the potential benefits of reflexology. In this way, more healthcare professionals can be encouraged to use reflexology in addition to other cares.</div></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103061"},"PeriodicalIF":1.9,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142324062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An evolutionary perspective for integrating mechanisms of acupuncture therapy 从进化角度看针灸疗法的整合机制
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-05 DOI: 10.1016/j.explore.2024.103060
Jin-Yong Joung , Young Ho Lee , Chang-Gue Son

This study applies an evolutionary medicine perspective to comprehend the therapeutic effects of acupuncture. It draws upon modern evolutionary theory to integrate the currently fragmented theories regarding the efficacy of acupuncture in alleviating pain and promoting healing. We explore the interaction between the nervous and immune systems in the context of survival and homeostasis, and elucidate both the local and systemic effects of acupuncture therapy on pain relief and tissue healing. The mechanisms involved are categorized into two main types: local effects, which include immune cell migration, local vasodilation, and the release of adenosine; and distal systemic effects, which involve the regulation of the descending pain control system and the autonomic nervous system, with a particular focus on the parasympathetic nervous system. In conclusion, this integrated perspective not only deepens our understanding of acupuncture within a scientific narrative but also underscores the need for further research to validate and expand our knowledge, thereby enhancing its scientific credibility and clinical applicability.

本研究从进化医学的角度来理解针灸的治疗效果。它借鉴了现代进化理论,整合了目前有关针灸在缓解疼痛和促进康复方面功效的零散理论。我们探讨了神经系统和免疫系统在生存和平衡中的相互作用,阐明了针灸疗法对缓解疼痛和组织愈合的局部和全身效应。其中涉及的机制主要分为两类:局部效应,包括免疫细胞迁移、局部血管扩张和腺苷释放;以及远端系统效应,涉及对下行疼痛控制系统和自主神经系统的调节,尤其侧重于副交感神经系统。总之,这种综合视角不仅加深了我们对针灸在科学叙事中的理解,而且强调了进一步研究的必要性,以验证和扩展我们的知识,从而提高其科学可信度和临床适用性。
{"title":"An evolutionary perspective for integrating mechanisms of acupuncture therapy","authors":"Jin-Yong Joung ,&nbsp;Young Ho Lee ,&nbsp;Chang-Gue Son","doi":"10.1016/j.explore.2024.103060","DOIUrl":"10.1016/j.explore.2024.103060","url":null,"abstract":"<div><p>This study applies an evolutionary medicine perspective to comprehend the therapeutic effects of acupuncture. It draws upon modern evolutionary theory to integrate the currently fragmented theories regarding the efficacy of acupuncture in alleviating pain and promoting healing. We explore the interaction between the nervous and immune systems in the context of survival and homeostasis, and elucidate both the local and systemic effects of acupuncture therapy on pain relief and tissue healing. The mechanisms involved are categorized into two main types: local effects, which include immune cell migration, local vasodilation, and the release of adenosine; and distal systemic effects, which involve the regulation of the descending pain control system and the autonomic nervous system, with a particular focus on the parasympathetic nervous system. In conclusion, this integrated perspective not only deepens our understanding of acupuncture within a scientific narrative but also underscores the need for further research to validate and expand our knowledge, thereby enhancing its scientific credibility and clinical applicability.</p></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103060"},"PeriodicalIF":1.9,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Hinengaro to Hineora: Tracing the origins of Intergenerational Trauma to attain Intergenerational Healing 从希宁加罗到希内奥拉:追溯代际创伤的起源,实现代际愈合
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-05 DOI: 10.1016/j.explore.2024.103058
Deanna Haami, Natasha Tassell-Matamua, Pikihuia Pomare, Nicole Lindsay

In Aotearoa New Zealand, colonisation continues to impact Indigenous Māori lived realities. However, Māori have been steadily progressing towards reclamation of all that was suppressed during colonisation, including tūpuna (ancestor) understandings of trauma and healing, of which wairua (referring to spirit) is at the centre. My research aimed to understand the role of wairua in the intergenerational transmission of trauma and healing through exploring my own lived experiences of trauma and healing. My methodology was developed based on tūpuna knowledge, resulting in the implementation of a Rongo-ā-Wairua Framework, a Whakapapa Methodological Approach, Whakapapa Wānanga and Te Pūtake: An Origin Analysis. Through this application of tūpuna knowledge and the centring of wairua within the research process, I uncovered the origins of the soul wounds I had inherited, enabling me to transform from Hinengaro, The Obscured Daughter into who I am now – Hineora, The Daughter of Healing.

在新西兰奥特亚罗瓦,殖民化继续影响着土著毛利人的生活现实。然而,毛利人一直在稳步前进,以恢复殖民时期被压抑的一切,包括祖先(tūpuna)对创伤和愈合的理解,其中wairua(指精神)是核心。我的研究旨在通过探索我自己的创伤和治愈经历,了解 wairua 在创伤和治愈的代际传递中的作用。我的研究方法是根据 tūpuna 知识制定的,因此采用了 Rongo-ā-Wairua 框架、Whakapapa 方法、Whakapapa Wānanga 和 Te Pūtake:起源分析》。通过在研究过程中应用 tūpuna 知识和以 wairua 为中心,我揭开了自己心灵创伤的根源,使我从 "被遮蔽的女儿 "Hinengaro 变成了现在的我--"治愈之女 "Hineora。
{"title":"From Hinengaro to Hineora: Tracing the origins of Intergenerational Trauma to attain Intergenerational Healing","authors":"Deanna Haami,&nbsp;Natasha Tassell-Matamua,&nbsp;Pikihuia Pomare,&nbsp;Nicole Lindsay","doi":"10.1016/j.explore.2024.103058","DOIUrl":"10.1016/j.explore.2024.103058","url":null,"abstract":"<div><p>In Aotearoa New Zealand, colonisation continues to impact Indigenous Māori lived realities. However, Māori have been steadily progressing towards reclamation of all that was suppressed during colonisation, including tūpuna (ancestor) understandings of trauma and healing, of which wairua (referring to spirit) is at the centre. My research aimed to understand the role of wairua in the intergenerational transmission of trauma and healing through exploring my own lived experiences of trauma and healing. My methodology was developed based on tūpuna knowledge, resulting in the implementation of a <em>Rongo-ā-Wairua Framework</em>, a <em>Whakapapa Methodological Approach, Whakapapa Wānanga</em> and <em>Te Pūtake: An Origin Analysis</em>. Through this application of tūpuna knowledge and the centring of wairua within the research process, I uncovered the origins of the soul wounds I had inherited, enabling me to transform from Hinengaro, The Obscured Daughter into who I am now – Hineora, The Daughter of Healing.</p></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103058"},"PeriodicalIF":1.9,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1550830724001654/pdfft?md5=b7a5b4b2ae6f3453151cd53c22ce30f9&pid=1-s2.0-S1550830724001654-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging realms: Western client perspectives on psychotherapy inspired by Indigenous healing 跨越境界:西方客户对受土著疗法启发的心理疗法的看法
IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-09-05 DOI: 10.1016/j.explore.2024.103059
Radek Trnka , Arnost Krtek , Radmila Lorencova

Context

The decolonial turn in psychology criticizes conventional Western psychotherapeutic frameworks and seeks to decolonize therapeutic practices by considering diverse cultural perspectives. Indigenous healing has been increasingly used in the psychotherapy of ethnic communities, but also in the psychotherapy of Western clients. The research questions of the present study were focused on how Western clients experience the therapies inspired by Indigenous healing.

Objective

The study aimed to explore the motivations, experiences, and mental health outcomes of participants of therapies inspired by Indigenous healing with a focus on issues related to intercultural transfer of therapeutic practice.

Design

Semi-structured qualitative interviews were used to gather narratives from 28 participants. Thematic analysis was used for data analysis.

Results

Participants reported the following long-lasting outcomes of Indigenous therapies: increased well-being, calm, satisfaction with life, better emotion regulation, coping with stress, behavioral control, problem solving, decision making as well as a more sensitive and deeper experience of reality. Conventional Western psychotherapy was perceived as conversation-based, while Indigenous therapy was perceived as experience-based and more complex. The integration of experiences from Indigenous therapies was more difficult in the Western sociocultural environment compared to participation in the place of their origin, within the community of Indigenous people.

Conclusion

Indigenous healing has beneficial outcomes for Western clients, but the integration of these experiences is quite difficult and requires systematic psychotherapeutic support in the Western cultural environment.

背景心理学的非殖民主义转向批判了传统的西方心理治疗框架,并试图通过考虑不同的文化视角来实现治疗实践的非殖民化。原住民疗法已越来越多地用于少数民族社区的心理治疗,同时也用于西方客户的心理治疗。本研究的研究问题主要集中在西方客户如何体验受土著疗法启发的疗法。研究旨在探讨受土著疗法启发的疗法参与者的动机、经历和心理健康结果,重点关注与治疗实践的跨文化转移相关的问题。结果参与者报告了土著疗法带来的以下持久效果:幸福感增强、平静、对生活满意、情绪调节能力增强、压力应对能力增强、行为控制能力增强、问题解决能力增强、决策能力增强以及对现实的体验更加敏感和深刻。人们认为传统的西方心理疗法以谈话为主,而土著疗法以体验为主,更为复杂。在西方社会文化环境中,与参与原住民社区中的原住民疗法相比,整合原住民疗法的经验更加困难。结论原住民疗法对西方客户有益,但整合这些经验相当困难,需要西方文化环境中系统的心理治疗支持。
{"title":"Bridging realms: Western client perspectives on psychotherapy inspired by Indigenous healing","authors":"Radek Trnka ,&nbsp;Arnost Krtek ,&nbsp;Radmila Lorencova","doi":"10.1016/j.explore.2024.103059","DOIUrl":"10.1016/j.explore.2024.103059","url":null,"abstract":"<div><h3>Context</h3><p>The decolonial turn in psychology criticizes conventional Western psychotherapeutic frameworks and seeks to decolonize therapeutic practices by considering diverse cultural perspectives. Indigenous healing has been increasingly used in the psychotherapy of ethnic communities, but also in the psychotherapy of Western clients. The research questions of the present study were focused on how Western clients experience the therapies inspired by Indigenous healing.</p></div><div><h3>Objective</h3><p>The study aimed to explore the motivations, experiences, and mental health outcomes of participants of therapies inspired by Indigenous healing with a focus on issues related to intercultural transfer of therapeutic practice.</p></div><div><h3>Design</h3><p>Semi-structured qualitative interviews were used to gather narratives from 28 participants. Thematic analysis was used for data analysis.</p></div><div><h3>Results</h3><p>Participants reported the following long-lasting outcomes of Indigenous therapies: increased well-being, calm, satisfaction with life, better emotion regulation, coping with stress, behavioral control, problem solving, decision making as well as a more sensitive and deeper experience of reality. Conventional Western psychotherapy was perceived as conversation-based, while Indigenous therapy was perceived as experience-based and more complex. The integration of experiences from Indigenous therapies was more difficult in the Western sociocultural environment compared to participation in the place of their origin, within the community of Indigenous people.</p></div><div><h3>Conclusion</h3><p>Indigenous healing has beneficial outcomes for Western clients, but the integration of these experiences is quite difficult and requires systematic psychotherapeutic support in the Western cultural environment.</p></div>","PeriodicalId":50459,"journal":{"name":"Explore-The Journal of Science and Healing","volume":"20 6","pages":"Article 103059"},"PeriodicalIF":1.9,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Explore-The Journal of Science and Healing
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1