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Motivation and Age Revisited: The Impact of Outcome and Process Orientations on Temporal Focus in Older and Younger Adults 重新审视动机与年龄:结果和过程取向对老年人和年轻人时间注意力的影响
Pub Date : 2024-06-07 DOI: 10.3390/jal4020010
Faizan Imtiaz, Thomas I. Vaughan‐Johnston, Li‐Jun Ji
When engaging in a task, individuals may prioritize the task’s results (i.e., the outcome), or they may focus on the task in and of itself (i.e., the process). Previous conceptualizations of outcome and process orientations have focused on population- and context-specific motives rather than people’s general proclivity toward these orientations across diverse tasks. Using a context-generalized outcome and process measure, we examined whether older adults (Mage = 72.8) and younger adults (Mage = 18.0) varied in their outcome and process orientations, and explored how these differences were related to temporal focus. The results indicated that, compared to their younger counterparts, older adults were more process oriented, and focused more on the present. Meanwhile, younger adults were more outcome oriented and focused more on the past and the future compared to older adults. Mediation analyses further revealed that older adults were more present focused due to their heightened process orientation, while younger adults were more past and future focused due to their outcome orientation. The implications of these findings in applied settings such as the workplace, health promotion, and business are discussed.
在参与一项任务时,个人可能会优先考虑任务的结果(即结果),也可能会关注任务本身(即过程)。以前对结果和过程取向的概念化主要集中在特定人群和特定情境下的动机,而不是人们在不同任务中对这些取向的普遍倾向。我们使用了一种情境通用的结果和过程测量方法,研究了老年人(Mage = 72.8)和年轻人(Mage = 18.0)在结果和过程取向上是否存在差异,并探讨了这些差异与时间焦点的关系。结果表明,与年轻人相比,老年人更注重过程,更关注当下。同时,与老年人相比,年轻人更注重结果,更关注过去和未来。中介分析进一步显示,老年人由于过程导向性更强,因此更关注现在,而年轻人由于结果导向性更强,因此更关注过去和未来。本文讨论了这些发现对工作场所、健康促进和商业等应用环境的影响。
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引用次数: 0
A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial. 针对低健康素养人群的慢性病自我管理手机应用:多站点随机对照临床试验。
Pub Date : 2024-06-01 Epub Date: 2024-04-30 DOI: 10.3390/jal4020005
Raymond L Ownby, Michael Simonson, Joshua Caballero, Kamila Thomas-Purcell, Rosemary Davenport, Donrie Purcell, Victoria Ayala, Juan Gonzlez, Neil Patel, Kofi Kondwani

The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in patients 40 years and older with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. A randomized controlled trial was completed at two sites. Individuals aged 40 years and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. The mobile app may have been effective in increasing participants' levels of several psychosocial variables, but this interpretation can only be advanced tentatively in light of lack of control-experimental group differences. Reading difficulty level was not significantly related to outcomes.

本研究旨在评估一款旨在改善 40 岁及以上健康素养较低、至少患有一种慢性疾病的患者的慢性病自我管理的手机应用的效果,并评估以不同阅读难度提供信息的影响。在两个地点完成了一项随机对照试验。年龄在 40 岁及以上、健康素养较低、至少患有一种慢性疾病的人被随机分配到一个定制的信息多媒体应用程序,该应用程序包含三个级别的文本。对四个主要结果进行了评估:患者激活度、慢性病自我效能感、与健康相关的生活质量和服药依从性。所有组别在激活度、自我效能感和健康相关生活质量方面都有整体提高,但在服药依从性方面没有变化。没有观察到组间差异。手机应用可能有效提高了参与者的几个社会心理变量水平,但由于缺乏对照组与实验组之间的差异,这种解释只能是初步的。阅读难度与结果的关系不大。
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引用次数: 0
Outcomes and Characteristics of Interdisciplinary Self-Management Interventions for Older Adults Living with Chronic Pain: Insights from a Scoping Review 对患有慢性疼痛的老年人进行跨学科自我管理干预的结果和特点:范围界定审查的启示
Pub Date : 2024-05-03 DOI: 10.3390/jal4020007
Samuel Turcotte, Marie-Ève Lapointe, Carolann Shea, Jacqueline Rousseau, J. Masse, Johanne Higgins, Pierre Rainville, David Lussier, F. Dubé, Catherine Genest, Kami Sarimanukoglu, Lucile Agarrat, Maria Varganici, J. Filiatrault
Introduction: Up to 50% of community-dwelling older adults report living with some chronic pain that interferes with their daily functioning and leads to disabilities. Hence, it is crucial to provide these individuals with strategies to effectively manage pain. An interdisciplinary approach is warranted considering the numerous factors contributing to pain among older adults. Although several studies have been conducted on various interdisciplinary pain self-management programs, little effort has been made to synthesize knowledge about such programs for older adults. Objective: The objective of this review was to synthesize the characteristics and effects of interdisciplinary chronic pain self-management interventions targeting community-dwelling older adults. Methods: A scoping review was conducted following the steps recommended by Arksey and O’Malley (2005) and Levac et al. (2010). Keyword searches were performed in MEDLINE, CINAHL, EMBASE, and the Cochrane Library. Results: Sixty-six articles were included. Most interventions were based on a cognitive-behavioral group approach and used a combination of modalities, including education and training on the use of self-management strategies. The professionals most frequently involved in group interventions were psychologists, physiotherapists, and occupational therapists. Several benefits of these programs have been reported concerning pain intensity, independence in daily functioning, mental health, and quality of life. Conclusions: Interdisciplinary chronic pain self-management programs appear promising in guiding clinical and rehabilitation interventions for older adults living with chronic pain.
导言:在社区居住的老年人中,多达 50%的人表示患有慢性疼痛,这种疼痛会影响他们的日常活动并导致残疾。因此,为这些人提供有效控制疼痛的策略至关重要。考虑到导致老年人疼痛的因素众多,有必要采取跨学科的方法。虽然已有多项关于各种跨学科疼痛自我管理计划的研究,但很少有人对针对老年人的此类计划的相关知识进行总结。目的:本综述旨在总结针对社区老年人的跨学科慢性疼痛自我管理干预措施的特点和效果。方法:根据《美国医学会杂志》的研究方法,我们进行了一次范围界定综述:按照 Arksey 和 O'Malley(2005 年)以及 Levac 等人(2010 年)推荐的步骤进行了范围界定综述。在 MEDLINE、CINAHL、EMBASE 和 Cochrane 图书馆中进行了关键词检索。结果:共纳入 66 篇文章。大多数干预措施都是基于认知行为的团体方法,并综合使用了多种模式,包括使用自我管理策略的教育和培训。最常参与小组干预的专业人员是心理学家、物理治疗师和职业治疗师。据报道,这些计划在疼痛强度、日常生活自理能力、心理健康和生活质量方面带来了一些益处。结论跨学科慢性疼痛自我管理计划在指导患有慢性疼痛的老年人的临床和康复干预方面似乎大有可为。
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引用次数: 0
‘Successful Ageing’ Needs a Future: Older Incarcerated Adults’ Views on Ageing in Prison 成功老龄化 "需要未来:老年囚犯对狱中老龄化的看法
Pub Date : 2024-05-02 DOI: 10.3390/jal4020006
Andrea Kenkmann, Christian Ghanem
Demographic changes have led to an increase in older people in prisons. Whereas the rehabilitative process of younger offenders is geared towards their reintegration into the labour market, successful ageing should be a policy aim for older prisoners. This study explores how older incarcerated persons view their ageing. A qualitative study using a written survey with only the single question What does ageing in prison mean to you? was conducted in Bavaria, Germany. A total of 64 prisoners (61 male, 3 female) supplied answers varying in length from a few words to several pages. The thematic analysis revealed that together with health concerns, social relations and everyday activities, the uncertainty of the future was a central focus point for the older adults in prison. The authors propose that a positive vision of the future needs to be included in any model of successful ageing. If successful ageing is used as an aim for older prisoners, more attention needs to be paid to support interventions during and after the release process.
人口结构的变化导致监狱中的老年人增多。年轻罪犯的改造过程是为了让他们重新融入劳动力市场,而成功的老龄化则应该是老年囚犯的政策目标。本研究探讨了老年囚犯如何看待自己的老龄化问题。在德国巴伐利亚州进行了一项定性研究,采用书面调查的方式,只问了一个问题:"监狱中的老龄化对您意味着什么?共有 64 名囚犯(61 名男性,3 名女性)提供了长短不一的答案,从几句话到几页纸不等。主题分析表明,除了健康问题、社会关系和日常活动之外,未来的不确定性也是监狱中老年人关注的焦点。作者建议,任何成功老龄化的模式都需要包含对未来的积极展望。如果将成功老龄化作为老年囚犯的目标,则需要更加关注释放过程中和释放后的支持干预措施。
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引用次数: 0
The Effectiveness and Cost-Effectiveness of the ‘Walk with Me’ Peer-Led Walking Intervention to Increase Physical Activity in Inactive Older Adults: Study Protocol for a Randomised Controlled Trial 与我同行 "同伴引导步行干预对增加不爱运动的老年人体育活动的有效性和成本效益:随机对照试验研究方案
Pub Date : 2024-03-15 DOI: 10.3390/jal4010003
Conor Cunningham, Maeve O’Doherty, R. Neill, Michael Adams, Frank Kee, Margaret E. Cupples, Wendy Hardeman, Ellen Elizabeth Anne Simpson, Marie H. Murphy, Chris Callaghan, Roger O’Sullivan, Colette Brolly, A. Agus, C. McDowell, Bob Laventure, Siobhan Casey, Suzanne M. McDonough, M. Tully
Background: The proportion of the population aged 65 years or older is increasing. Typically, physical activity and health decline with age, which is why action to promote active ageing is a major public health priority, particularly due to health inequalities in older adults. The aim of this study is to assess the effectiveness and cost-effectiveness of the Walk with Me peer-led walking intervention for older adults. Methods: This study is a two-arm, assessor-blind, randomised controlled trial. The intervention is a 12-week peer-led walking intervention based on social cognitive theory. Participants in the control group will receive information on active ageing and healthy nutrition. The study will target 348 community-dwelling older adults, aged 60 years or over living in areas of socio-economic disadvantage communities. Trained peer mentors will deliver the intervention. The primary outcome will be a mean between-group change in moderate-to-vigorous physical activity at 12 months from baseline, measured using an Actigraph accelerometer. Secondary outcomes will include quality of life, mental wellbeing, blood pressure, BMI and waist circumference. An embedded process evaluation will involve focus groups and participant diaries. Discussion: Evidence-based, cost-effective interventions to promote physical activity in older adults living in socio-economically disadvantaged communities are needed to address health inequalities.
背景:65 岁或以上人口的比例正在增加。通常情况下,体力活动和健康状况会随着年龄的增长而下降,这就是为什么促进老有所事的行动是公共卫生的一个主要优先事项,特别是由于老年人的健康不平等问题。本研究旨在评估 "与我同行 "同伴引导老年人步行干预的有效性和成本效益。研究方法本研究是一项双臂、评估者盲法、随机对照试验。干预措施是基于社会认知理论的为期 12 周的同伴引导步行干预。对照组参与者将获得有关积极养老和健康营养的信息。研究对象为 348 名居住在社区的 60 岁或以上老年人,他们都生活在社会经济条件较差的社区。经过培训的同伴辅导员将进行干预。主要结果是使用 Actigraph 加速计测量各组间中强度体育活动在 12 个月内与基线相比的平均变化。次要结果将包括生活质量、心理健康、血压、体重指数和腰围。嵌入式过程评估将包括焦点小组和参与者日记。讨论需要以证据为基础、具有成本效益的干预措施来促进生活在社会经济条件较差社区的老年人的体育锻炼,以解决健康不平等问题。
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引用次数: 0
Early Exposure to Polyphenol-Rich Sugarcane Extract (PRSE) Mitigates Aging While Enhancing Thermotolerance in C. elegans 早期接触富含多酚的甘蔗提取物(PRSE)可缓解衰老,同时增强秀丽隐杆线虫的耐热性
Pub Date : 2024-02-26 DOI: 10.3390/jal4010002
Deniz Heydarian, M. Flavel, Mihiri Munasinghe, Abdullah Almotayri, Markandeya Jois, Jency Thomas
Previous research has established that polyphenols increase lifespan and stress resistance in C. elegans. However, the effects of timing of exposure on the extension of lifespan and the mechanisms involved are not completely understood. This study aims to clarify the influence of the timing of polyphenol-rich sugarcane extract (PRSE) administration on the lifespan of Caenorhabditis elegans. C. elegans worms were subjected to a diet containing PRSE powder at various larval stages until their death. The optimal concentration for lifespan extension was found to be 5 mg/mL PRSE, which increased the lifespan of N2 worms by 18.12% compared to the control group. Mutant strains were also tested, and worm thermotolerance assays were used to assess age-related health at different life stages. Lifespan was notably extended when PRSE was introduced at the first larval stage and 15 h thereafter. No significant extension of lifespan was observed when introduced later in life. The lifespan of DAF-16 and DAF-2 mutants remained unaffected by PRSE. Improved thermotolerance was observed, especially in young and middle-aged worms. Early initiation and sustained intake of PRSE might improve the heat stress and lifespan, implicating the insulin/IGF-1 signaling pathway as a likely mediator in C. elegans.
先前的研究已经证实,多酚可以延长秀丽隐杆线虫的寿命并增强其抗压能力。然而,多酚的暴露时间对延长寿命的影响及其机制尚未完全明了。本研究旨在阐明服用富含多酚的甘蔗提取物(PRSE)的时间对 elegans 的寿命的影响。研究人员在秀丽隐杆线虫不同的幼虫阶段给它们喂食含有 PRSE 粉末的食物,直到它们死亡。结果发现,延长寿命的最佳浓度为 5 毫克/毫升 PRSE,与对照组相比,N2 虫的寿命延长了 18.12%。还对突变株进行了测试,并使用蠕虫耐热试验来评估不同生命阶段与年龄相关的健康状况。在幼虫第一阶段及其后 15 小时引入 PRSE,寿命明显延长。在生命后期引入 PRSE 时,未观察到寿命有明显延长。DAF-16 和 DAF-2 突变体的寿命不受 PRSE 的影响。观察到耐热性有所提高,尤其是在幼虫和中年蚕中。早期开始并持续摄入 PRSE 可能会改善热应激和寿命,胰岛素/IGF-1 信号通路可能是 elegans 的介导因素。
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引用次数: 0
Health and Benefits of Dog Companionship in Women over 50 Years Old 狗陪伴对 50 岁以上女性的健康和益处
Pub Date : 2024-01-25 DOI: 10.3390/jal4010001
Heidi A. Kluess, Rebecca L. Jones
Background: The purpose of this study was to investigate the health and wellness benefits of dog companionship in a population of women over 50 years old. Methods: This study used a combination of an online survey (n = 284 self-identified dog companions, n = 71 non-dog companions) and in-person fitness testing (n = 24 dog companions and n = 7 non-dog companions). In-person testing included the 6 min walk, handgrip strength, and chair stand tests. Results: From the questionnaire: Dog companions were 61 ± 7 years old and non-dog companions were 58 ± 6 years old. Dog companions reported 3 ± 2 medical diagnoses and 2 ± 1 medications, but non-dog companions only reported 2 ± 1 medical diagnoses and 1 ± 1 medications (p < 0.001). Satisfaction with life scores and interpersonal communication competence scores were higher for dog companions compared to non-dog companions (p < 0.001). Dog companions and non-dog companions reported similar amounts of time per week on vigorous activity. However, the number of days per week in which dog companions participated in moderate activity was higher than in non-dog companions (p < 0.05). Dog companions also reported walking more days per week and for a longer time than non-dog companions (p < 0.05). There were no differences in the in-person testing (6 min walk, handgrip strength, chair stand tests) between groups. Conclusions: When the in-person testing scores were compared to national standards, the women in this study were average to above average. Overall, women over 50 that own dogs walk more and have better life satisfaction, compared to non-dog companions.
研究背景本研究的目的是调查 50 岁以上女性与狗相伴对健康和保健的益处。研究方法本研究结合使用了在线调查(n = 284 名自我认定的狗伴侣,n = 71 名非狗伴侣)和现场体能测试(n = 24 名狗伴侣,n = 7 名非狗伴侣)。现场测试包括 6 分钟步行、握力和椅子站立测试。测试结果问卷调查结果狗同伴的年龄为 61 ± 7 岁,非狗同伴的年龄为 58 ± 6 岁。狗伴侣报告了 3 ± 2 项医疗诊断和 2 ± 1 项药物治疗,而非狗伴侣仅报告了 2 ± 1 项医疗诊断和 1 ± 1 项药物治疗(P < 0.001)。与非狗同伴相比,狗同伴的生活满意度得分和人际沟通能力得分更高(p < 0.001)。狗伴侣和非狗伴侣每周进行剧烈运动的时间相近。然而,狗同伴每周参加中等强度活动的天数要高于非狗同伴(p < 0.05)。狗同伴每周散步的天数和时间也高于非狗同伴(P < 0.05)。各组之间的现场测试(6 分钟步行、握力、椅子站立测试)没有差异。结论与国家标准相比,本研究中的女性在亲自测试得分方面处于平均水平或高于平均水平。总体而言,与不养狗的女性相比,养狗的 50 岁以上女性散步更多,生活满意度更高。
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引用次数: 0
Evaluation of the Influence of Clinical History on the Occurrence of Dementia Using the Database of National Health Insurance in Japan 利用日本国民健康保险数据库评估临床病史对痴呆症发生的影响
Pub Date : 2023-12-06 DOI: 10.3390/jal3040025
Y. Tamaki, Y. Hiratsuka, T. Kumakawa
The global incidence of dementia has been rising for the past several years, posing significant health challenges regarding its management and prevention. Dementia is associated with a substantial burden on patients and their families. Therefore, effective, evidence-based preventive strategies are required for dementia. To achieve this, the predisposing factors for dementia and their relationship with other diseases need to be determined. Japan has a universal health insurance system and these data have been stored in their respective databases since 2008. Herein we explored the influence of clinical history on the occurrence of dementia based on data collected by the National Health Insurance in Japan and Municipal Care Certification Survey over the past 10 years. Multivariate logistic regression analysis was used to determine the factors from clinical history that affect the risk of dementia development. A significant odds ratio was observed for the development of dementia in 5-year data, involving the clinical history of osteoporosis, depression, internal carotid artery occlusion, schizophrenia, and Parkinson’s disease. In addition, a significant odds ratio was observed for the development of dementia in 10-year data, involving the clinical history of osteoporosis, cataracts, and schizophrenia.
过去几年,全球痴呆症发病率一直在上升,对其管理和预防构成了重大的健康挑战。痴呆症给患者及其家庭带来沉重负担。因此,需要针对痴呆症制定有效的、基于证据的预防战略。为了实现这一目标,需要确定痴呆症的诱发因素及其与其他疾病的关系。日本拥有全民健康保险制度,自2008年以来,这些数据已存储在各自的数据库中。本文基于日本国民健康保险和市政保健认证调查近10年收集的数据,探讨了临床病史对痴呆发生的影响。多因素logistic回归分析用于确定临床病史中影响痴呆发生风险的因素。在5年的数据中观察到痴呆发生的显著优势比,包括骨质疏松症、抑郁症、颈内动脉闭塞、精神分裂症和帕金森病的临床病史。此外,在10年的数据中观察到痴呆发生的显著优势比,包括骨质疏松症、白内障和精神分裂症的临床病史。
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引用次数: 0
Exploring the Relationship between Emotional Valence and Prospective Memory Metamemory in Younger and Older Adults 探索年轻人和老年人的情绪价值与前瞻性记忆元记忆之间的关系
Pub Date : 2023-12-05 DOI: 10.3390/jal3040024
Chloé Da Silva Coelho, A. Hering, S. Zuber, Giulia Spurio, P. Bisiacchi, Matthias Kliegel
Prospective memory (PM) plays a crucial role in daily autonomy. Metamemory and emotional valence have both been shown to influence PM performance in younger and older adults. However, when considered together, the relationship between emotional valence, metamemory, and PM has not been examined yet, especially whether metamemory PM representations develop with task experience (i.e., before versus after performing a task). We collected data from 25 younger and 19 older adults using an event-based PM task with emotional cues (positive, negative, or neutral). Results revealed that younger adults’ predictions underestimated performance for neutral and negative cues. After performing the task, they showed more accurate representations for neutral cues, indicating that they monitored their representations. Older adults’ predictions overestimated performance for negative PM cues, and they did not modify representations after performing the task. Thus, we do not find evidence that older adults are able to coherently monitor their PM representations. These findings highlight the importance of understanding PM representations, especially in older adults, as they may lead to less strategy use and more impaired PM performance in negative everyday situations.
前瞻记忆在日常自主性中起着至关重要的作用。元记忆和情绪效价都对年轻人和老年人的PM表现有影响。然而,当综合考虑时,情绪效价、元记忆和PM之间的关系尚未得到检验,特别是元记忆PM表征是否随着任务经验而发展(即在执行任务之前和之后)。我们使用基于事件的PM任务收集了25名年轻人和19名老年人的数据,这些任务带有情绪线索(积极的、消极的或中性的)。结果显示,年轻人的预测低估了中性和消极线索的表现。在完成任务后,他们对中性线索表现出更准确的表征,这表明他们监控了自己的表征。老年人的预测高估了负面PM提示的表现,并且他们在完成任务后没有修改表征。因此,我们没有发现证据表明老年人能够连贯地监测他们的PM表征。这些发现强调了理解PM表征的重要性,特别是在老年人中,因为它们可能导致在消极的日常情况下策略使用减少和PM表现受损。
{"title":"Exploring the Relationship between Emotional Valence and Prospective Memory Metamemory in Younger and Older Adults","authors":"Chloé Da Silva Coelho, A. Hering, S. Zuber, Giulia Spurio, P. Bisiacchi, Matthias Kliegel","doi":"10.3390/jal3040024","DOIUrl":"https://doi.org/10.3390/jal3040024","url":null,"abstract":"Prospective memory (PM) plays a crucial role in daily autonomy. Metamemory and emotional valence have both been shown to influence PM performance in younger and older adults. However, when considered together, the relationship between emotional valence, metamemory, and PM has not been examined yet, especially whether metamemory PM representations develop with task experience (i.e., before versus after performing a task). We collected data from 25 younger and 19 older adults using an event-based PM task with emotional cues (positive, negative, or neutral). Results revealed that younger adults’ predictions underestimated performance for neutral and negative cues. After performing the task, they showed more accurate representations for neutral cues, indicating that they monitored their representations. Older adults’ predictions overestimated performance for negative PM cues, and they did not modify representations after performing the task. Thus, we do not find evidence that older adults are able to coherently monitor their PM representations. These findings highlight the importance of understanding PM representations, especially in older adults, as they may lead to less strategy use and more impaired PM performance in negative everyday situations.","PeriodicalId":73588,"journal":{"name":"Journal of ageing and longevity","volume":"131 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599146","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 Updated Scope of the Journal of Ageing and Longevity 老龄化与长寿》杂志的最新范围
Pub Date : 2023-11-22 DOI: 10.3390/jal3040023
Graham P. Pawelec, Mark A. Tully
We are happy that the Journal of Ageing and Longevity has now entered its third year, publishing notable papers covering the wide field encompassed by its title [...]
我们很高兴《老龄化与长寿》杂志已进入第三个年头,发表的著名论文涵盖了其标题所涵盖的广泛领域 [...]
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引用次数: 0
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