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A Study Protocol to Assess the Determinants of Glycaemic Control,Complications and Health Related Quality of Life for People with Type 2Diabetes in Saudi Arabia 评估沙特阿拉伯2型糖尿病患者血糖控制、并发症和健康相关生活质量决定因素的研究方案
Pub Date : 2017-06-12 DOI: 10.4172/2380-5439.1000219
Mohammed J. Alramadan, A. Afroz, M. Batais, Turky H. Almigbal, Hassan Ahmad Alhamrani, Ahmed Albaloshi, Fatimah A Alramadan, D. Magliano, B. Billah
Background: The prevalence of type 2 diabetes mellitus is high in Saudi Arabia, and a large proportion of those affected by the disease are not controlling their blood sugar, which exposes them to diabetes complications. The aim of this study is to evaluate factors associated with poor glycaemic control, complications and poor quality of life among people with type 2 diabetes in Saudi Arabia. Methodology: Using a cross-sectional study design, 1082 participants with type 2 diabetes attending diabetes centres in Riyadh, Jeddah and Hofuf will be recruited in the study. They will be interviewed to complete a pre-tested electronic questionnaire. The questionnaire collects information related to socio-demographics, medical history, lifestyle, family support, utilisation of healthcare services, anxiety, depression, quality of life, cognitive function, independence in daily living activity, neuropathy, anthropometric measures, up-to-date documented lab test results and current medication. Data will be summarised and presented as mean ± standard deviation (or median and percentiles) for numerical data and frequency and percentage for categorical data. T-test, ANOVA and chi-square tests will be used to explore associations between risk factors and outcomes. Any association will be evaluated further using regression analysis. Discussion: Knowledge of the risk factors pertaining to poor glycaemic control, diabetes complications and poor quality of life for people with type 2 diabetes is crucial. This knowledge will assist healthcare providers to identify and provide more intensive care plans to those who need it, as well as guide the development of new strategies to improve management of the disease. This will improve the health of people with type 2 diabetes and lower their risk of complications, and reduce the burden of this highly prevalent disease on families and the community.
背景:沙特阿拉伯2型糖尿病的患病率很高,很大一部分糖尿病患者的血糖没有得到控制,这使他们面临糖尿病并发症。本研究的目的是评估沙特阿拉伯2型糖尿病患者血糖控制不佳、并发症和生活质量差的相关因素。方法:采用横断面研究设计,将在利雅得、吉达和霍夫的糖尿病中心招募1082名2型糖尿病参与者参与研究。他们将接受采访,以完成一份预先测试的电子问卷。该问卷收集了与社会人口统计、病史、生活方式、家庭支持、医疗服务利用率、焦虑、抑郁、生活质量、认知功能、日常生活活动独立性、神经病变、人体测量、最新记录的实验室检测结果和当前药物相关的信息。数据将被总结并表示为数值数据的平均值±标准差(或中位数和百分位数)以及分类数据的频率和百分比。将使用T检验、方差分析和卡方检验来探索风险因素和结果之间的关联。任何关联都将使用回归分析进行进一步评估。讨论:了解与2型糖尿病患者血糖控制不佳、糖尿病并发症和生活质量差有关的风险因素至关重要。这些知识将帮助医疗保健提供者确定并为有需要的人提供更多的重症监护计划,并指导制定新的战略来改善疾病管理。这将改善2型糖尿病患者的健康,降低并发症的风险,并减轻这种高度流行的疾病对家庭和社区的负担。
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引用次数: 5
Medical Music Therapy Knowledge among Medical Students of JimmaUniversity, Ethiopia 埃塞俄比亚吉玛大学医学生的音乐治疗知识
Pub Date : 2017-06-02 DOI: 10.4172/2380-5439.1000218
Kumera Negash Amente
The use of music therapy as an adjunct medical treatment option is well established. However, there is no evidence on the knowledge of music therapy among medical practitioner in Ethiopia. Hence, this institutional based crosssectional study was conducted to assess the knowledge and practices of Jimma University medical students on music therapy as an adjunct medical treatment option. A total of 349 medical students were involved in the study. More than half (51%) of the medical students had heard about the music therapy. However, majority (56.7%) of the medical students had lower mean knowledge (low knowledge) on the application of music therapy in specific medical condition and quality of life. The major source of information is internet. There is also higher interest (83.4%) on music therapy training and education among the study participants. Majority (75.4%) of the medical students were show interest in referring patients to a music therapy. The mean knowledge of the medical students was significantly associated to age, ethnicity and level education in medical school. Therefore, effort should be done to in cooperate the music therapy in formal curriculum of medical education and also continues professional development program is need for medical practitioners to ensure the integration of music therapy program on medical system in the country
音乐疗法作为一种辅助医疗选择的使用已经确立。然而,没有证据表明埃塞俄比亚的医生对音乐疗法有了解。因此,进行了这项基于机构的横断面研究,以评估吉马大学医学生对音乐疗法作为辅助医疗选择的知识和实践。共有349名医学生参与了这项研究。超过一半(51%)的医学生听说过音乐疗法。然而,大多数(56.7%)医学生对音乐疗法在特定医疗条件和生活质量中的应用的平均知识(低知识)较低。信息的主要来源是互联网。研究参与者对音乐治疗培训和教育的兴趣也更高(83.4%)。大多数(75.4%)医学生对转介患者接受音乐治疗表现出兴趣。医学生的平均知识与年龄、种族和医学院教育水平显著相关。因此,应努力将音乐治疗纳入医学教育的正规课程,并继续为医生提供专业发展计划,以确保音乐治疗计划在我国医疗系统中的整合
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引用次数: 0
Environment and Food Poisoning: Food Safety Knowledge and Practice among Food Vendors in Garki, Abuja – Nigeria 环境与食物中毒:尼日利亚阿布贾加尔基市食品供应商的食品安全知识与实践
Pub Date : 2017-06-01 DOI: 10.4172/2380-5439.1000217
N. Pepple
The survey reached fifty food vendors in Garki, Abuja Nigeria to assess their knowledge of food safety, contamination, poisoning and control measures. A simple questionnaire was developed and administered one on one to the target population and data collected on their knowledge food borne disease pathogens, personal hygiene, and food handling practices, safety and risk perception as well as temperature control. 80% reported that they wash and clean their equipment; 52% reported that the exempt a sick staff from work until recovered and certified healthy; 89% reported that they wash their hands regularly with clean water. 42% reported that they use hand sanitizer frequently. 100% (all respondents) said that they washed their hands after handling raw food like fish and meat 53% lacked knowledge of optimum refrigeration temperature while 26% could not adjust refrigerator temperature. 40% had knowledge of Hepatitis A as a food borne pathogen, 20%, had knowledge of Salmonella, and 21%, E. coli, and 12% Listeria and 7% had knowledge of Vibrio as pathogens. Water supply is gotten from local water vendors from private boreholes. Comparison of the knowledge base between the educated and non-educated vendors revealed a great disparity on the level of knowledge between the two. The major source of food supply was from the Open markets while water supplies come from private bore holes. The research also showed a direct relationship between educational level and knowledge of food pathogens as well as hygiene and safety knowledge. Lack of knowledge on safety and hygiene practices among food vendors (owners and staff) indicates the increased risks of food poisoning associated with the food vendors and restaurants
这项调查覆盖了尼日利亚阿布贾加尔基的50家食品供应商,以评估他们对食品安全、污染、中毒和控制措施的了解。编制了一份简单的问卷,并对目标人群进行了一对一的管理,收集了他们对食源性疾病病原体、个人卫生和食品处理实践、安全和风险感知以及温度控制的知识的数据。80%的人报告说,他们清洗设备;52%的人报告说,在康复并证明健康之前,豁免生病的员工工作;89%的人表示他们经常用清水洗手。42%的人表示他们经常使用洗手液。100%(所有受访者)表示,他们在处理鱼类和肉类等生食后洗手,53%的人不知道最佳冷藏温度,26%的人不会调整冰箱温度。40%的人知道甲型肝炎是一种食源性病原体,20%的人知道沙门氏菌,21%的人知道大肠杆菌,12%的人知道李斯特菌,7%的人知道弧菌是病原体。供水由当地的供水商从私人钻孔中获得。对受过教育和未受过教育的供应商的知识库进行比较,发现两者在知识水平上存在巨大差异。粮食供应的主要来源是公开市场,而供水则来自私人钻孔。研究还表明,教育水平与食品病原体知识以及卫生安全知识之间存在直接关系。食品摊贩(店主和工作人员)缺乏安全和卫生知识表明,食品摊贩和餐馆的食物中毒风险增加
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引用次数: 17
Achievement of Brain Training Course for the Elderly 老年人脑力训练课程的成绩
Pub Date : 2017-05-15 DOI: 10.4172/2380-5439.1000216
K. Sawami, M. Kimura, H. Nakagawa, T. Kitamura, Chizuko Suishu
Introduction: The first objective of this research was to verification to the effectiveness for combining brain training with rhythmic exercises for three-month brain training. In order to further prevent motoric cognitive risk syndrome (MCR), we gave instructions to continue exercise. In order to evaluate motoric ability, we carried out the two-step test. Confirmation of the benefits of this intervention in motoric ability and the extent of the correlation between body composition and cognitive function was the second objective of this research. Methods: A screening test for mild cognitive impairment: Montreal Cognitive Assessment (MoCA test), measurement of body composition by an inner scan monitor, and motoric ability were performed by measuring two-step test. For statistical evaluation of scores before and after each cognitive test intervention, t tests were used. To test for relationships between the score of cognitive test and measured value of body composition and two-step test, Pearson ‘s correlation coefficient was used. Results: Significant improvements in cognitive function were detected after intervention, with the strongest correlating variable with the cognitive function and body composition comparisons being blood vessel age. Furthermore, there was a correlation between two-step test and cognitive function, with those subjects with high motoric ability having high cognitive function. Conclusion: Interventions that combine rhythmic exercises and brain training are effective in preventing dementia. Correlations were detected between cognitive function and vascular age, and motoric’s ability. Therefore, in order to maintain the cognitive function, it is necessary to improve the dietary life as a means of improving vascular age and perform activities to provide maintenance and improvement of motoric’s ability.
引言:本研究的第一个目的是验证将大脑训练与节奏训练相结合进行为期三个月的大脑训练的有效性。为了进一步预防运动认知风险综合征(MCR),我们给出了继续锻炼的指示。为了评估运动能力,我们进行了两步测试。确认这种干预对运动能力的益处以及身体成分和认知功能之间的相关性程度是本研究的第二个目标。方法:轻度认知障碍的筛查测试:蒙特利尔认知评估(MoCA测试),通过内部扫描监视器测量身体成分,通过测量两步测试进行运动能力。为了对每次认知测试干预前后的得分进行统计评估,使用了t检验。为了检验认知测试的得分与身体成分和两步测试的测量值之间的关系,使用了Pearson的相关系数。结果:干预后认知功能显著改善,血管年龄是认知功能和身体成分比较的最强相关变量。此外,两步测试与认知功能之间存在相关性,运动能力高的受试者具有较高的认知功能。结论:有节奏的运动和脑力训练相结合的干预措施对预防痴呆是有效的。认知功能与血管年龄和运动能力之间存在相关性。因此,为了维持认知功能,有必要通过改善饮食生活来改善血管年龄,并开展活动来维持和提高运动能力。
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引用次数: 2
The Effects of Jazz and Classical Music on Recall 爵士乐与古典音乐对回忆的影响
Pub Date : 2017-05-12 DOI: 10.4172/2380-5439.1000215
K. Pope
It is believed that recall is influenced by the tempo and style of music. The main purpose of the research was to discover if jazz or classical music effects the ability to recall information. It was hypothesized that classical music at 60 and 120 beats per minute was more effective than jazz music at 60 and 120 beats per minute. In the present study, a two by two dimension will be used to compare jazz and classical music at 60 beats per minute and 120 beats per minute to observe how much material individuals can remember. 60 randomly selected individuals read a comprehensive GRE passage for 5 minutes. Although there were many limitations in this study, it serves to show the importance in developing methods for better recall.
人们认为回忆受音乐节奏和风格的影响。这项研究的主要目的是发现爵士乐或古典音乐是否会影响回忆信息的能力。假设每分钟60和120拍的古典音乐比每分钟60或120拍的爵士乐更有效。在本研究中,将使用二乘二的维度来比较每分钟60拍和每分钟120拍的爵士乐和古典音乐,以观察个人能记住多少物质。60名随机选择的学生阅读一篇综合GRE短文,时间为5分钟。尽管这项研究有很多局限性,但它表明了开发更好回忆方法的重要性。
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引用次数: 3
Importance of Supporting School Education on Radiation After theFukushima Daiichi Nuclear Power Plant Accident 福岛第一核电站事故后支持学校辐射教育的重要性
Pub Date : 2017-03-27 DOI: 10.4172/2380-5439.1000214
Yuko Shimizu, H. Iida, M. Nenoi, M. Akashi
The National Institute of Radiological Sciences (NIRS) in Japan has conducted training courses for professionals to obtain correct knowledge on radiation and its use in various fields. After the Fukushima accident, the demands for education on radiation not only by professionals but also by students increased. NIRS started school visits to conduct classes on radiation basics to ninth-grade (14/15-year-old) students in public junior high schools in cooperation with the Chiba city education board. After the classes, a questionnaire survey was conducted to evaluate the school visits and to improve the contents of the education. Almost half of the students thought that the contents of the lecture were slightly difficult or difficult to understand. Use of devices or instruments such as a cloud chamber, TV phone, or survey meter was helpful to arouse the students’ interest. The school visits significantly changed the students’ feelings toward radiation from “fear” to “interest”. Our preliminary trial to conduct a class on radiation basics in junior high school suggests that detection of radiation by students and its visualization are very helpful in educating school children on radiation.
日本国立放射科学研究所为专业人员举办了培训课程,以获得有关辐射及其在各个领域的使用的正确知识。福岛事故发生后,不仅专业人员,学生对辐射教育的需求也在增加。NIRS与千叶市教育委员会合作,开始对学校进行访问,为公立初中九年级(14/15岁)的学生开设辐射基础课程。课后,进行问卷调查,以评估学校访问情况,并改进教育内容。几乎一半的学生认为讲座的内容有点难或难以理解。使用云室、电视电话或测量仪等设备或仪器有助于激发学生的兴趣。学校访问显著改变了学生对辐射的感受,从“恐惧”转变为“兴趣”。我们在初中开设辐射基础课程的初步试验表明,学生对辐射的检测及其可视化对教育在校儿童辐射非常有帮助。
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引用次数: 5
Stress and Coping among the Parents of Children with Congenital HeartDisease: A Hospital Based Study 先天性心脏病患儿父母的压力与应对:一项基于医院的研究
Pub Date : 2017-03-10 DOI: 10.4172/2380-5439.1000212
Babita Singh, Pratima Ghimire
Introduction: Congenital heart defects are the most common, pervasive and serious chronic illness of all congenital malformations. The birth of a child can be stressful enough for many parents, turn into one of dashed joy and feeling of distress so there may be necessary for parents to obtain enough support from health professionals. Methods: A descriptive Correlational study was conducted among 142 parents of children with Congenital Heart Disease attending Pediatric Medical Out Patient Department in Shahid Gangalal National Heart Center, Bansbari, Kathmandu. Data were collected using pre-tested structured interview schedule in Nepali version. The obtained data were analyzed by descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics (chi-square and Karl Pearson’s coefficient of correlation). Results: The findings of the study revealed that near about three forth (71.8%) of parents had moderately level of stress whereas 28.2% had low level of stress and 79.6% had moderately helpful level of coping and 20.4% had minimally helpful level of coping. There was negative correlation between stress and coping (r=-0.076 and p-value=0.367) of parents. There were no any statistical association between socio-demographic characteristics of parents and stress level. Similarly, there were statistically significant association of level of coping with relationship with child, religion and occupation of parents (p-value 0.004, 0.002 and 0.005) respectively. Conclusion: The study concluded that with increased level of stress, there is decreased level of coping among the parents. Further, the findings suggest that health personnel must assess parenting stress at each visit to provide appropriate support and anticipatory guidance to families of children with Congenital Heart Disease.
引言:先天性心脏缺陷是所有先天性畸形中最常见、最普遍、最严重的慢性病。对许多父母来说,孩子的出生可能会带来足够的压力,变成一种破灭的喜悦和痛苦,因此父母可能有必要从卫生专业人员那里获得足够的支持。方法:对在加德满都Bansbari Shahid Gangalal国家心脏中心儿科门诊就诊的142名先天性心脏病儿童的父母进行描述性相关研究。数据是使用尼泊尔语版本的预先测试的结构化访谈时间表收集的。通过描述性统计(频率、百分比、平均值和标准差)和推断统计(卡方和卡尔·皮尔逊相关系数)对获得的数据进行分析。结果:研究结果显示,近四分之三(71.8%)的父母有中等程度的压力,28.2%的父母有低水平的压力,79.6%的父母有中度帮助的应对水平,20.4%的父母只有最低帮助的应对程度。父母压力与应对能力呈负相关(r=-0.076,p值=0.367)。父母的社会人口特征与压力水平之间没有任何统计关联。同样,应对与子女关系的水平、父母的宗教和职业也存在统计学上显著的相关性(p值分别为0.004、0.002和0.005)。结论:研究得出的结论是,随着压力水平的增加,父母的应对水平降低。此外,研究结果表明,卫生人员必须在每次就诊时评估育儿压力,为先天性心脏病儿童的家庭提供适当的支持和预期指导。
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引用次数: 2
Bridging the Gap: A Novel Method for Hemorrhage Control 弥合差距:一种新的出血控制方法
Pub Date : 2017-02-23 DOI: 10.4172/2380-5439.1000211
John Chovanes, D. Schneider, Jessica L. Mckee, J. Wang
There are six important vital structures in the neck providing aerodigestive, nervous, endocrine, and circulatory functions and they are minimally protected by the skeletal system unlike other areas of the body [1]. This lack of protection in the neck not only contributes to physician angst during treatment, but also to the high mortality and complication rate when injury occurs [2-4]. Airway compromise and exsanguination are both very high priorities and the time required to deal with one can be to the detriment of the other. Rapidly controlling hemorrhage provides the time required to establish a definitive airway without further blood loss of an already depleted intravascular volume. Delays in establishing definitive control of the airway can make the task of subsequent airway control difficult or impossible because of hematoma formation or injury/resuscitation induced edema leading to subsequent catastrophic airway obstruction [2,5]. The Western Trauma Association (WTA) Critical Decisions in Trauma recommends direct manual pressure (DMP) be used as a first line response to penetrating neck injury [6]. However, this approach has been associated with a low efficacy rate due to re-bleeding and exsanguination prior to reaching definitive operative care [7].
颈部有六个重要的重要结构,提供空气消化、神经、内分泌和循环功能。与身体其他部位不同,颈部受骨骼系统的保护最小。颈部缺乏保护不仅使医生在治疗过程中感到焦虑,而且导致损伤发生时的高死亡率和并发症发生率[2-4]。气道损伤和失血都是非常重要的,处理其中一个所需的时间可能会损害另一个。快速控制出血提供了建立明确气道所需的时间,而不会使已经耗尽的血管内容量进一步失血。由于血肿形成或损伤/复苏诱导的水肿导致随后的灾难性气道阻塞,延迟建立对气道的最终控制可能使后续气道控制任务变得困难或不可能[2,5]。西方创伤协会(WTA)《创伤中的关键决策》(Critical Decisions in Trauma)推荐直接手动按压(DMP)作为穿透性颈部损伤的一线治疗方法。然而,由于在达到最终手术护理bbb之前会出现再出血和失血,这种方法的有效率较低。
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引用次数: 1
Association Studies of DRD2 and COMT Gene Polymorphisms withRisperidone-induced Amenorrhea in Female Schizophrenia Patients 女性精神分裂症患者DRD2和COMT基因多态性与利培酮所致闭经的相关性研究
Pub Date : 2017-02-20 DOI: 10.4172/2380-5439.1000213
Chengye Hou, Jintian Xu, Jing Yan, Zheng Zhao, Yan Sun, Zhiyong Li, Yang Shen, Yichen Huang, Songnian Hu, Ying Liang
Object: To study the association between dopamine D2 receptor (DRD2) and catechol-O-methyltransferase (COMT) gene polymorphisms and the risperidone-induced amenorrhea resulted from hyperprolactinemia in female schizophrenia patients. Patients and methods: According to International Diagnostic and Classification of Diseases tenth edition (ICD-10) criteria, 45 Chinese female schizophrenic patients (25 patients with amenorrhea, and 20 patients with eumenorrhea) were recruited by trained psychiatrists in this study. Sanger sequencing was utilized to determine the DRD2 and COMT genotypes from peripheral venous blood samples. Results: There were no significant differences between amenorrhea patients and eumenorrhea patients in age, disease courses and risperidone dosages (P>0.05). Also, no significant differences were observed in rs6277, rs1079598 and rs4680 polymorphisms between the two groups. Conclusion: These results suggest that DRD2 rs6277, rs1079598 and COMT rs4680 gene polymorphisms show no significant correlation with risperidone-induced amenorrhea in Chinese female schizophrenia patients.
目的:探讨女性精神分裂症患者多巴胺D2受体(DRD2)和儿茶酚胺-O-甲基转移酶(COMT)基因多态性与利培酮所致高泌乳素血症闭经的关系。患者和方法:根据国际疾病诊断与分类第十版(ICD-10)标准,本研究招募了45名中国女性精神分裂症患者(25名闭经患者和20名痛经患者),由受过培训的精神科医生进行研究。Sanger测序用于确定外周静脉血样本中的DRD2和COMT基因型。结果:闭经患者与痛经患者在年龄、病程、利培酮剂量等方面差异无统计学意义(P>0.05),rs6277、rs1079598、rs4680多态性在两组间也无统计学意义。结论:DRD2 rs6277、rs1079598和COMT rs4680基因多态性与利培酮诱发的中国女性精神分裂症患者闭经无显著相关性。
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引用次数: 1
Hypertension Prevention and Control: Effects of a Community HealthNurse-led Intervention 高血压预防与控制:社区卫生护士主导干预的效果
Pub Date : 2017-02-17 DOI: 10.4172/2380-5439.1000210
O. OsualaEunice
Hypertension is a major risk factor for Cardiovascular Disease (CVD) with complications such as stroke and heart failure. Knowledge and attitude about hypertension have been indicated to influence practice of healthy lifestyle which has implications for hypertension prevention and control. There are anecdotal reports of sudden death and stroke in Isunjaba. However, there is no documentation about their lifestyle practices relating to hypertension. Health information given by nurses may positively influence healthy behaviours such as exercise, weight control, appropriate nutrition and regular Blood Pressure (BP) checks. This study was designed to assess the effects of a Community Health Nursing Intervention (CHNI) on knowledge, attitude and lifestyles relating to hypertension among residents of Isunjaba, Imo State, having the economic advantage of population-focus study in mind. There was significant difference in knowledge, attitude, and lifestyle of the two groups after intervention, P value<0.05. Health Education about hypertension to improve knowledge, attitude as well as positive lifestyles among populations should be supported by nurses, agencies and the Government.
高血压是心血管疾病(CVD)的主要危险因素,并伴有中风和心力衰竭等并发症。有关高血压的知识和态度已被表明会影响健康生活方式的实践,这对高血压的预防和控制具有启示意义。有传闻说,在Isunjaba突然死亡和中风。然而,没有关于他们与高血压相关的生活方式实践的文件。护士提供的健康信息可能会对健康行为产生积极影响,如锻炼、体重控制、适当的营养和定期血压检查。本研究旨在评估社区健康护理干预(CHNI)对伊莫州伊孙贾巴居民高血压相关知识、态度和生活方式的影响,同时考虑到人口重点研究的经济优势。干预后两组在知识、态度、生活方式等方面有显著性差异,P值均<0.05。护士、机构和政府应支持有关高血压的健康教育,以提高人们的知识、态度和积极的生活方式。
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引用次数: 3
期刊
Journal of health education research & development
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