Lifelong Learning

终身学习
  • 文章类型: Journal Article
    第三年龄大学(U3A)终身学习机构,和“高级大学”是用来描述为老年人提供教育的组织的术语,特别适用于那些退休或“第三年龄”的人。本文的目的是提供一个全面的,这些组织在全球环境中演变的历史概述。本文在讨论U3A的结构和模型的同时,强调了老年成人教育的重要性。本文探讨了U3A模型的起源和历史发展及其对诸如年龄友好型大学运动之类的最新举措的影响。然后重点介绍法国和英国U3A模式对提供老年成人教育的影响。对这些组织在几个国家的扩展进行了一般性讨论,并比较了每个组织的课程结构和方法。本文最后提出了建议的未来方向和潜在的改进领域(例如,技术获取、可访问性,以及对老年成人学习者的包容;多样化的需求和兴趣)以及这些模型与不断变化的老年成人学习者群体保持相关性的方式。通过这种分析,这篇文章有助于理解U3A组织及其在促进老年人终身学习中的作用.
    Universities of the Third Age (U3A), lifelong learning institutes, and \"senior universities\" are terms used to describe organizations that provide education for older adults, specifically for those who are retired or in the \"third age\" of life. The purpose of this article is to provide a comprehensive, historical overview of the evolution of these organizations across global settings. This article highlights the importance of older adult education while discussing U3A\'s structure and models. The article explores the origins and historical development of the U3A model and its influence on recent initiatives like the Age-Friendly Universities movement. It then focuses on the impact of French and British Models of U3A on providing older adult education. There is a general discussion of the expansion of these organizations in several countries and a comparison of each\'s curricular structure and approach. The article concludes with suggested future directions and potential areas of improvement (e.g. technology access, accessibility, and inclusion of older adult learners; diverse needs and interests) and ways these models can remain relevant to the ever-changing older adult learner population. Through this analysis, the article contributes to the understanding of U3A organizations and their role in promoting lifelong learning for older adults.
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  • 文章类型: Journal Article
    终身学习与持续认证评估之间的平衡是医疗保健专业面临的挑战。单点评估的价值受到质疑,并且已经进行了向纵向评估(LA)的转变,以评估随着时间的推移的终身学习。进行此范围审查是为了告知将LA视为医疗保健专业人员能力和终身学习的评估工具的医疗保健认证组织。检索了6个数据库和灰色文献,获得了957篇文章。在筛选和删除重复项之后,共包括14篇文章。大多数文章是背景研究,以进度测试的形式告知LA的基础,试点研究,和实施过程。进度测试用于教育环境。试点研究报告对洛杉矶的易用性感到满意,在线格式,并提供终身学习。实施过程表明,成功的关键方面包括利益相关者的参与,分阶段推出,和公开的内容大纲。初步结果数据证实,洛杉矶解决了知识差距,并提高了认证考试维护的性能。在评估终身学习和医疗保健专业人员随着时间的推移的持续能力时,需要未来的研究来证实LA的有效性证据及其与高风险考试成绩的相关性。
    The balance of lifelong learning with assessment for continued certification is a challenge faced by healthcare professions. The value of single-point-in-time assessments has been questioned, and a shift to longitudinal assessments (LA) has been undertaken to assess lifelong learning over-time. This scoping review was conducted to inform healthcare certifying organizations who are considering LA as an assessment tool of competence and lifelong learning in healthcare professionals. A search of 6 databases and grey literature yielded 957 articles. After screening and removal of duplicates, 14 articles were included. Most articles were background studies informing the underpinnings of LA in the form of progress testing, pilot studies, and process of implementation. Progress testing is used in educational settings. Pilot studies reported satisfaction with LA\'s ease of use, online format, and provision of lifelong learning. Implementation processes reveal that key aspects of success include stakeholder participation, phased rollout, and a publicly available content outline. Initial outcomes data affirm that LA addresses knowledge gaps, and results in improved performance on maintenance of certification exams. Future research is needed to substantiate validity evidence of LA and its correlation with high-stakes exam performance when assessing lifelong learning and continued competence of healthcare professionals over time.
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  • 文章类型: Journal Article
    向医生提供电子健康数据以反映他们的表现可以改善临床表现和护理质量。了解当向从业者提供此类数据时制定的决策过程对于确保绩效的提高至关重要。因此,这项研究的主要目的是探索医生和外科医生在获得与其临床表现相关的电子健康数据时的感觉.进行了系统的文献综述,以分析定性研究,探索医生和外科医生在2010年1月至2022年3月之间发表的与其临床表现相关的电子健康数据的经验。包括的文章进行了质量评估,主题合成,并从感知的角度进行了讨论。此评论的初始搜索策略返回了8,829篇文章,这些文章在标题和摘要级别进行了筛选。随后的筛选发现了11篇符合资格标准的文章,并被保留用于分析。两篇文章符合所选质量评估中的所有标准(报告定性研究标准,SRQR)。专题综合产生了五个总体主题:数据通信、性能反射,基础设施,数据质量,和风险。使用CERQual(对定性研究评论的证据的信心)报告了这些发现的信心。数据的传达方式可能会影响感知,这对学到的东西有影响,对未来的表现也有影响。包括数据准确性在内的许多因素,有效性,基础设施,文化也会影响感官的形成,并对未来的实践产生影响。提供数据以支持性能反映并非没有风险,行为和情感。后者会影响从业者有效理解数据的能力。当数据以提高性能的目的呈现时,这是一个重要的考虑因素。注册此系统审查已在Prospero注册,注册号:CRD42020197392。
    Providing electronic health data to medical practitioners to reflect on their performance can lead to improved clinical performance and quality of care. Understanding the sensemaking process that is enacted when practitioners are presented with such data is vital to ensure an improvement in performance. Thus, the primary objective of this research was to explore physician and surgeon sensemaking when presented with electronic health data associated with their clinical performance. A systematic literature review was conducted to analyse qualitative research that explored physicians and surgeons experiences with electronic health data associated with their clinical performance published between January 2010 and March 2022. Included articles were assessed for quality, thematically synthesised, and discussed from the perspective of sensemaking. The initial search strategy for this review returned 8,829 articles that were screened at title and abstract level. Subsequent screening found 11 articles that met the eligibility criteria and were retained for analyses. Two articles met all of the standards within the chosen quality assessment (Standards for Reporting Qualitative Research, SRQR). Thematic synthesis generated five overarching themes: data communication, performance reflection, infrastructure, data quality, and risks. The confidence of such findings is reported using CERQual (Confidence in the Evidence from Reviews of Qualitative research). The way the data is communicated can impact sensemaking which has implications on what is learned and has impact on future performance. Many factors including data accuracy, validity, infrastructure, culture can also impact sensemaking and have ramifications on future practice. Providing data in order to support performance reflection is not without risks, both behavioural and affective. The latter of which can impact the practitioner\'s ability to effectively make sense of the data. An important consideration when data is presented with the intent to improve performance.Registration This systematic review was registered with Prospero, registration number: CRD42020197392.
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  • 文章类型: Review
    目标:年龄友好型大学(AFU)倡议体现了在高等教育中促进年龄包容性和多样性的合作努力,拥抱老年人的终身学习和公民参与。这篇范围界定综述旨在探索AFU的概念化,参与大学成为年龄友好大学网络成员的AFU原则的实施经验和策略。
    方法:搜索2012年至2021年7月发表的同行评审论文,使用JBI范围界定审查方法在9个数据库中进行,找到1752篇文章。其中,13篇论文有资格入选。
    结果:三个主题被确定为成为AFU的关键:a)大学内部的跨学科合作;b)与社区的牢固伙伴关系;c)与全球优先事项和倡议保持一致。Further,确定大学物理访问的障碍,如标牌,人行道,和交通,解决不太明显的年龄歧视问题和促进代际学习对于促进老年人的参与至关重要。
    结论:这篇综述强调了大学内部多学科方法的必要性,真正的大学与社区合作的互惠互利,以及利用国际资源和全球影响力成为AFU的优势。虽然AFU的原则仍然是理想的,AFU网络中开创性大学所倡导的理想带来了代际学习的共同利益,年长的学习者所需的挑战和支持,推进AFU议程。
    The age-friendly university (AFU) initiative embodies the collaborative efforts of promoting age inclusivity and diversity in higher education, embracing lifelong learning and civic participation in older people. This scoping review aims to explore the conceptualization of AFU, the experiences, and the strategies used in operationalizing the AFU principles of participating universities in becoming members of the age-friendly university network.
    A search of peer-reviewed papers published from 2012 to July 2021, conducted in nine databases using JBI scoping review methodology, found 1,752 articles. Of these, 13 papers were eligible for inclusion.
    Three themes were identified as key to becoming an AFU: (a) interdisciplinary collaboration within the university; (b) strong partnership with the community; and (c) alignment with global priorities and initiatives. Furthermore, identifying barriers to physical access in universities, such as signage, walkways, and transportation, addressing the less tangible issues of ageism and promoting intergenerational learning were essential to promote engagement of older people.
    This review underscores the need for a multidisciplinary approach within the university, the reciprocal benefits of authentic university-community collaborations, and the advantages of harnessing international resources and global influence to becoming an AFU. Although the principles of the AFU remain aspirational, the ideals championed by the pioneering universities in the AFU network brought the mutual benefits of intergenerational learning, the challenges and support required for older learners to the fore, propelling the AFU agenda forward.
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  • 文章类型: Journal Article
    基于能力的医学教育(CBME)强调学习者需要成为自己学习的中心,并在学习中发挥积极作用。这种方法有双重目的:鼓励学习者积极参与自己的学习,并推动学习者制定学习策略,为终身学习做好准备。这篇综述论文提出了CBME与终身学习之间的理论桥梁,并提出了这样的论点,即为了使CBME计划能够培养出我们现在和未来社会真正需要的医生,必须有意设计学习环境,以促进掌握目标方向,并支持发展适应性自我调节的学习技能和行为。
    本叙述性文献综述结合了PsycInfo和MedLine中学科馆员进行的搜索结果。还通过已确定的论文的参考列表确定了文章,以捕获较旧的关键引用。文献分析使用建构主义认识论方法对成就目标导向的相互作用进行了综合描述,自我调节学习,学习环境,和终身学习。
    成就目标理论研究的结果支持这样的假设,即采用掌握目标取向有助于使用自适应学习行为,比如自我调节学习理论中描述的那些。自适应自我调节学习策略,反过来,促进有效的终身学习。作者提供了学习环境如何影响目标取向和自我调节学习的证据,并建议CBME计划有意计划此类学习环境。最后,作者为如何设计或调整学习环境提供了具体的建议和示例,以支持采用掌握目标导向,并使用自我调节的学习行为和策略来帮助支持适应性终身学习者的发展.
    UNASSIGNED: Competency-based medical education (CBME) emphasizes the need for learners to be central to their own learning and to take an active role in learning. This approach has a dual aim: to encourage learners to actively engage in their own learning, and to push learners to develop learning strategies that will prepare them for lifelong learning. This review paper proposes a theoretical bridge between CBME and lifelong learning and puts forth the argument that in order for CBME programs to produce the physicians truly needed in our society now and in the future, learning environments must be intentionally designed to foster mastery goal orientations and to support the development of adaptive self-regulated learning skills and behaviours.
    UNASSIGNED: This narrative literature review incorporated results of searches conducted by a subject librarian in PsycInfo and MedLine. Articles were also identified through reference lists of identified papers to capture older key citations. Analysis of the literature used a constructivist epistemological approach to develop an integrative description of the interaction of achievement goal orientation, self-regulated learning, learning environment, and lifelong learning.
    UNASSIGNED: Findings from achievement goal theory research support the assumption that adoption of a mastery goal orientation facilitates the use of adaptive learning behaviours, such as those described in self-regulated learning theory. Adaptive self-regulated learning strategies, in turn, facilitate effective lifelong learning. The authors offer evidence for how learning environments influence goal orientations and self-regulated learning, and propose that CBME programs intentionally plan for such learning environments. Finally, the authors offer specific suggestions and examples for how learning environments can be designed or adjusted to support adoption of a mastery goal orientation and use of self-regulated learning behaviours and strategies to help support development of adaptive lifelong learners.
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  • 文章类型: Journal Article
    The increasing number of refugees, coupled with the protracted nature of refugee situations around the globe, underline the critical importance of refugee education. Since 2010, education has been one of the global strategic priorities of the United Nations Refugee Agency (UNHCR), but much of the focus and resourcing has been on primary education and, to a lesser extent, secondary education. Recognition of the role of lifelong learning for refugees has been much slower, only recently entering into prominence in global documents and policies. For refugees, the hope and desire for education that will enable them to achieve sustainable and dignified livelihoods has always been a core part of their realities. Lifelong learning has the potential to provide the bridge between disrupted schooling and future aspirations of self-reliance and participation in society. This article situates the emerging agenda for refugee lifelong learning in a postcolonial and global context. The author begins with a critical examination of the postcolonial \"logics\" which continue to construct and frame the study of refugees, before problematising how lifelong learning is incorporated and conceptualised in global policy. She draws the conclusion that despite global commitments, the realisation of lifelong learning for refugee youth and adults is likely remain frustrated for some time by normative assumptions firmly embedded in the conceptualisation of lifelong learning and the education frameworks of nation states. However, she argues that the recent global disruption to education and the inequalities that have been exposed by the COVID-19 pandemic provide an opportunity to rethink how education is conceptualised and the importance of providing lifelong learning opportunities to enable young people and adults to fulfil their aspirations.
    La promesse de l’éducation tout au long de la vie pour les réfugiés : un examen critique de ce secteur – Le nombre croissant de réfugiés ajouté à la durée prolongée de leur situation dans le monde entier souligne l’importance décisive de l’éducation des réfugiés. Depuis 2010, l’éducation est une des priorités stratégiques mondiales de l’Agence des Nations Unies pour les réfugiés (UNHCR). Toutefois l’attention et les ressources ont majoritairement été dévolues à l’éducation primaire et, dans une moindre mesure, à l’éducation secondaire. Reconnaître le rôle de l’apprentissage tout au long de la vie s’est fait beaucoup plus lentement, et ce n’est que récemment que ce secteur a gagné en importance dans les documents et politiques internationaux. L’espoir et le souhait que l’éducation permette aux réfugiés de gagner leur vie durablement et dignement a toujours fait partie intégrante de la réalité qu’ils vivent. L’apprentissage tout au long de la vie pourrait être le pont entre une scolarité perturbée et de futures aspirations à devenir autonomes et à prendre part à la vie de la société. Cet article situe l’agenda naissant de l’apprentissage tout au long de la vie dans un contexte postcolonial et mondial. L’autrice part d’un examen critique de la « logique » postcoloniale qui continue de constituer et de définir l’étude des réfugiés, et pose ensuite le problème de la façon d’intégrer et de conceptualiser l’apprentissage tout au long de la vie dans la politique mondiale. Elle conclut que malgré les engagements pris dans le monde, la réalisation de l’apprentissage tout au long de la vie pour les jeunes et les adultes réfugiés risque d’être encore contrariée pendant un certain temps par les théories normatives fermement ancrées dans la conceptualisation de l’apprentissage tout au long de la vie et les cadres des États-nations en matière d’éducation. Cependant, elle affirme que la récente perturbation mondiale de l’éducation due à la pandémie de COVID-19 et les inégalités que cette dernière a mises en évidence sont pour nous l’occasion de repenser la façon dont l’éducation est conceptualisée et l’importance d’offrir des possibilités d’apprentissage tout au long de la vie aux jeunes et aux adultes pour leur permettre de réaliser ce qu’ils ambitionnent.
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  • 文章类型: Journal Article
    背景:获得高质量的持续专业发展(CPD)对于医疗保健专业人员在不断发展的医学和健康世界中保持能力是必要的。大多数低收入和中等收入国家,包括卢旺达,医疗专业人员严重短缺,获得CPD机会有限。本研究使用与使用信息和通信技术(ICT)和视频会议向医疗保健专业人员提供CPD有关的综述文章对文献进行了范围界定。目的是向决策者通报卢旺达等低收入国家的相关和适当方法。
    方法:使用PubMed和手工搜索。只评论用英语写的文章,包括在2010年至2019年之间发布的信息,并报告了ICT在CPD中的使用情况。
    结果:本研究纳入了六篇综述文章。各种交付方式(面对面,报告了纯电子学习和混合学习)和技术方法(基于互联网和非互联网)。所有类型的技术方法增强了知识,技能和态度。纯粹的电子学习可与面对面交流相媲美,比“不干预”更好,与传统的面对面学习相比,混合学习的结果参差不齐。参与者的满意度归因于易用性,易于访问和交互式内容。
    结论:使用技术来提高CPD的交付是可以接受的,大多数技术方法都在提高知识,技能和态度。为了使干预工作有效,CPD课程必须精心设计:基于需求,基于健全的教育理论,互动式,易于访问,和负担得起的。参与者必须具备所需的设备和技术素养。
    BACKGROUND: Access to high quality continuing professional development (CPD) is necessary for healthcare professionals to retain competency within the ever-evolving worlds of medicine and health. Most low- and middle-income countries, including Rwanda, have a critical shortage of healthcare professionals and limited access to CPD opportunities. This study scoped the literature using review articles related to the use of information and communication technology (ICT) and video conferencing for the delivery of CPD to healthcare professionals. The goal was to inform decision-makers of relevant and suitable approaches for a low-income country such as Rwanda.
    METHODS: PubMed and hand searching was used. Only review articles written in English, published between 2010 and 2019, and reporting the use of ICT for CPD were included.
    RESULTS: Six review articles were included in this study. Various delivery modes (face to face, pure elearning and blended learning) and technology approaches (Internet-based and non-Internet based) were reported. All types of technology approach enhanced knowledge, skills and attitudes. Pure elearning is comparable to face-to-face delivery and better than \'no intervention\', and blended learning showed mixed results compared to traditional face-to-face learning. Participant satisfaction was attributed to ease of use, easy access and interactive content.
    CONCLUSIONS: The use of technology to enhance CPD delivery is acceptable with most technology approaches improving knowledge, skills and attitude. For the intervention to work effectively, CPD courses must be well designed: needs-based, based on sound educational theories, interactive, easy to access, and affordable. Participants must possess the required devices and technological literacy.
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  • 文章类型: Journal Article
    Currently, there is no globally agreed upon standard for pharmacist undergraduate education, continuing professional development (CPD) or continuing education (CE), although global frameworks are available. Supporting uniformity globally from an undergraduate degree to ongoing lifelong learning will be reviewed. The continuing need for regulator input will also be discussed.
    Across the globe, multiple degree pathways exist to enter the pharmacist profession. These include a bachelor of science, a masters, and an increasing number of doctor of pharmacy degrees. Various models exist for lifelong learning (CPD and CE) requirements. While frameworks exist for a global model, there is limited evidence of progress.
    This is call for pharmacy regulators globally to work together to identify global standards, with clear measurable outcomes, to share best practice and provide consistent patient care globally.
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  • 文章类型: Journal Article
    背景:最近,高等教育中的电子学习受到了很大的关注,因为它提供了更好的在线学习资源,利用技术——无论学习者的地理位置和时间尺度——来加强学习。它现在已经成为健康科学教育主流的一部分,包括医疗,牙科,公共卫生,护理,和其他专职医疗人员。尽管越来越多的证据声称电子学习与传统学习方式一样有效,关于什么有效的证据非常有限,电子学习何时以及如何增强教学和学习。本系统综述旨在确定和综合医学文献中报道的影响健康科学教育(el-HSE)电子学习的因素-推动者和障碍。
    方法:对MEDLINE发表的关于健康科学教育电子学习(el-HSE)的文章进行了系统审查,EMBASE,联合和补充医学,DH-DATA,PsycINFO,CINAHL,全球健康,从1980年到2019年,使用“Textword”和“词库”搜索词。所有符合以下标准的原始文章都包括在内:(1)在健康科学教育中实施了电子学习,(2)调查与学习绩效或结果相关的el-HSE因素-促成因素和障碍。按照PRISMA准则,检索了相关的已发表和未发表的论文。使用QualSyst工具提取数据并进行质量评估,并综合进行主题分析。
    结果:在确定的985条记录中,总共筛选了162篇引文,其中57项与本研究相关。主要证据库包括24篇论文,确定了两大类,推动者和障碍,在八个单独的主题下:促进学习;在实践中学习;系统的学习方法;将电子学习融入课程;动力和期望差;资源密集型;不适合所有学科或内容,缺乏IT技能。
    结论:这项研究确定了影响电子学习的因素:学习者和促进者之间的互动和协作;考虑学习者的动机和期望;利用用户友好的技术;并将学习者置于教学法的中心。对于更好地理解与电子学习相关的推动者和促进者相关的问题,并制定适当的政策和举措,它们如何以及在哪里最适合,创建一个更广泛的框架,使电子学习有效。
    BACKGROUND: Recently, much attention has been given to e-learning in higher education as it provides better access to learning resources online, utilising technology - regardless of learners\' geographical locations and timescale - to enhance learning. It has now become part of the mainstream in education in the health sciences, including medical, dental, public health, nursing, and other allied health professionals. Despite growing evidence claiming that e-learning is as effective as traditional means of learning, there is very limited evidence available about what works, and when and how e-learning enhances teaching and learning. This systematic review aimed to identify and synthesise the factors - enablers and barriers - affecting e-learning in health sciences education (el-HSE) that have been reported in the medical literature.
    METHODS: A systemic review of articles published on e-learning in health sciences education (el-HSE) was performed in MEDLINE, EMBASE, Allied & Complementary Medicine, DH-DATA, PsycINFO, CINAHL, and Global Health, from 1980 through 2019, using \'Textword\' and \'Thesaurus\' search terms. All original articles fulfilling the following criteria were included: (1) e-learning was implemented in health sciences education, and (2) the investigation of the factors - enablers and barriers - about el-HSE related to learning performance or outcomes. Following the PRISMA guidelines, both relevant published and unpublished papers were searched. Data were extracted and quality appraised using QualSyst tools, and synthesised performing thematic analysis.
    RESULTS: Out of 985 records identified, a total of 162 citations were screened, of which 57 were found to be of relevance to this study. The primary evidence base comprises 24 papers, with two broad categories identified, enablers and barriers, under eight separate themes: facilitate learning; learning in practice; systematic approach to learning; integration of e-learning into curricula; poor motivation and expectation; resource-intensive; not suitable for all disciplines or contents, and lack of IT skills.
    CONCLUSIONS: This study has identified the factors which impact on e-learning: interaction and collaboration between learners and facilitators; considering learners\' motivation and expectations; utilising user-friendly technology; and putting learners at the centre of pedagogy. There is significant scope for better understanding of the issues related to enablers and facilitators associated with e-learning, and developing appropriate policies and initiatives to establish when, how and where they fit best, creating a broader framework for making e-learning effective.
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  • 文章类型: Journal Article
    Humans and animals have the ability to continually acquire, fine-tune, and transfer knowledge and skills throughout their lifespan. This ability, referred to as lifelong learning, is mediated by a rich set of neurocognitive mechanisms that together contribute to the development and specialization of our sensorimotor skills as well as to long-term memory consolidation and retrieval. Consequently, lifelong learning capabilities are crucial for computational learning systems and autonomous agents interacting in the real world and processing continuous streams of information. However, lifelong learning remains a long-standing challenge for machine learning and neural network models since the continual acquisition of incrementally available information from non-stationary data distributions generally leads to catastrophic forgetting or interference. This limitation represents a major drawback for state-of-the-art deep neural network models that typically learn representations from stationary batches of training data, thus without accounting for situations in which information becomes incrementally available over time. In this review, we critically summarize the main challenges linked to lifelong learning for artificial learning systems and compare existing neural network approaches that alleviate, to different extents, catastrophic forgetting. Although significant advances have been made in domain-specific learning with neural networks, extensive research efforts are required for the development of robust lifelong learning on autonomous agents and robots. We discuss well-established and emerging research motivated by lifelong learning factors in biological systems such as structural plasticity, memory replay, curriculum and transfer learning, intrinsic motivation, and multisensory integration.
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