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研究生:許佩蓉
研究生(外文):Pei-Jung Hsu
論文名稱:居住型態對照護機構內失智症患者記憶與行為問題之可能影響
論文名稱(外文):The possible impact of living status on problem behaviors of demented patients in care units.
指導教授:黃耀榮黃耀榮引用關係李世代李世代引用關係
指導教授(外文):Yao-Rong HwangShyh-Dye Lee
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:長期照護研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:106
中文關鍵詞:居住型態失智症記憶和行為問題
外文關鍵詞:living statusdementiamemory and behavior problem
相關次數:
  • 被引用被引用:8
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  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:10
人口老化伴隨而來的最大問題包括生活照顧、健康照護及經濟安全等。在許多老人長期照護問題中,失智症的特殊照護需求對家屬所造成的壓力與困擾,為積極建構專業性失智症照護環境需考量的重要因素,而對失智症患者行為問題發生之影響則為失智症照護居住安排的重要考量。綜觀國內失智症相關研究皆著重家庭主要照護者的負荷,並無環境的議題相關性的探討。本研究針對四所長期照機構的77位失智症患者,就其不同居住型態對記憶和行為問題之影響進行探討,所得結果以卡方檢定、t檢定、複相關迴歸分析等方法進行分析。研究結果顯示在本研究對象中,阿滋海默氏症患者居多,失智嚴重度則以中期者居多。(一)混合收容型態之失智症患者,其記憶和行為問題發生頻率高於單獨收容型態之失智症患者,(二)房間共居程度複雜的失智症患者,其與記憶和行為問題正面相關,(三)在失智嚴重程度上,中期失智症患者在混合收容型態之記憶和行為問題高於單獨收容型態,(四)不同居住型態失智症患者之記憶和行為問題對照護者所產生的困擾及自我效能並無顯著的不同。本研究結果可供未來機構內失智症患者居住型態安排之參考。
The problems come along with population aging exactly should be lifecare, healthcare and social security. Problems & needs lots of elders in long-term care, especial to dementia, and the remarkable stress accompanied for patient families both should be the major factors of actively professional caring environment for dementia itself. Furthermore the effects of behavior problems for dementia victims, should be usually the major consideration of environment design for dementia care mandatory.
There is no peculiar information or study regarding to environment issues among thousands of related researches in Taiwan so far, which should be focused on the loading of family caregiver. This study as below has been carried out onto 77 dementia patients in 4 long-term facilities in different arrangement of living status for memory and behavior problem, and the results had been after analyzed by Chi-square, t-test, multiple regression mixed-living arrangment to show in these most Alzheimer type patients, and the situated in middle stage of dementias. (1) The frequency of memory and behavior problem for should be higher than of independent; (2) The frequency of memory and behavior problem for the complexily of room-sharing should be in in direct proportion; (3) As for the dementia senerity, the frequency of memory and behavior problem for mixed type patients in middle stage should be higher than of independent type; (4) No significant differences in stress and self-efficiency of caregiver caused by memory and behavior problem for dementia patients in different living status. The result of this study may be regarded as reference for living arrangement for dementia patients of care units in coming future.
誌 謝 I
中文摘要 II
英文摘要 III
目 錄 IV
圖表目錄 VI
第一章 緒論 1
第一節 研究動機 1
第二節 研究目的 12
第二章 文獻探討 13
第一節 失智症之相關性研究 13
第二節 失智症之記憶和行為問題之相關性研究 17
第三節 失智症機構居住環境之相關性研究 25
第三章 研究設計 29
第一節 研究架構 29
第二節 研究內容 31
第三節 名詞界定 32
第四章 研究方法 35
第一節 研究對象 35
第二節 研究工具 36
第三節 研究步驟 42
第四節 資料分析方法 43
第五章 研究結果 45
第一節 長期照護機構失智症患者屬性分析 45
第二節 居住型態對失智症患者記憶和行為問題之影響 54
第三節 不同居住型態失智症患者其失智嚴重度在記憶和行為問題之差異 61
第四節 不同居住型態照護者對失智症患者記憶和行為問題之困擾及自我效能之評量 65
第六章 討論 69
第一節 長期照護機構中失智症患者之屬性與居住特徵 69
第二節 不同居住型態對失智症患者記憶和行為問題之影響 72
第三節 不同居住型態失智嚴重度對失智症患者記憶和行為問題之影響 74
第四節 不同居住型態主要照護者對失智症患者記憶和行為問題 76
之困擾及其自我效能 76
第五節 結語 78
第六節 研究限制 79
第七章 結論與建議 81
第一節 結論 81
第二節 建議 84
參考資料 86
中文部分 86
英文部分 90
附錄 101
附錄一 記憶和行為問題量表同意書 101
附錄二 研究問卷同意書 102
附錄三 基本資料表 103
附錄四 臨床失智評估表 104
附錄五 記憶和行為問題量表 105
附錄六 巴氏量表 106
內政部(2002)‧內政部統計年報‧摘自http://www.moi.gov.tw/W3/stat/home.asp/。
王署君(1995)‧台灣地區失智症之流行病學調查‧老人失智症學術研討會論文集‧台北:財團法人創氏基金會。
王興耀(1998)‧老瘋癲是那裡出了問題-失智症的精神病症‧南台灣失智病友會成立大會,高雄醫學院行為科學研究所。
孔繁鐘、孔繁錦編譯(1996)‧DSM-IV精神疾病診斷準則手冊.台北:合記。
行政院衛生署(2000)‧醫療網第四期計劃-新世紀健康照護計劃‧台北:作者。
李世代(1999)‧長期照護‧台北:藝軒。
李世代(2000)‧失智症治療與照護的後續性研究議題‧應用心理研究,(8),11-19。
林信男、林憲(1987)‧老人精神醫學‧台北:聯經。
林信男、蔡茂堂、林憲(1984)‧農村老年人之精神疾病:恆春研究‧中華民國神經精神醫學會訊,10(2),65-79。
林敬程(1999)‧失智症老人家庭照顧者之負荷與支持性服務需求‧高雄大學行為科學研究所碩士論文。
林憲(1987)‧老年期癡呆病人家庭時態之研究報告‧行政院國家科學委員會研究計劃成果報告。
邱浩章(1999)‧神經學新知‧台北:健康。
邱麗蓉(1999)‧失智症老人家屬照顧者壓力源、評價、因應與健康狀況之探討‧長庚大學護理研究所碩士論文。
徐亞瑛(1992)‧痴呆症病人問題行為種類、盛行率極可能發生原因‧健康世界,197,17-22。
徐亞瑛、楊清姿、葉炳強(1995)‧痴呆症患者及家庭之整合性社區居家照顧模式‧高雄醫學科學雜誌,12(6),359-369。
徐碧卿(1996)‧阿滋海默氏痴呆症之探討‧護理雜誌,43(4),67-73。
張文芸(1996)‧癡呆症老人問題行為的認識‧護理雜誌,43(4),77-84。
張文芸(1996)‧癡呆症老人問題行為的護理處置‧護理雜誌,44(1),85-91。
湯麗玉(1991)‧癡呆症老人照顧者的負荷及其相關因素之探討‧台灣大學護理研究所碩士論文。
湯麗玉、毛家舲、周照芳、陳榮基、劉秀枝(1992)‧癡呆症老人照顧者負荷及相關因素之探討‧護理雜誌,39(3),89-98。
傅中玲(1998)‧阿爾滋海默氏症-醫師臨床照顧手冊‧台北:衛采製藥股份有限公司。
曾思瑜(1999)‧痴呆老人居住設施‧空間雜誌(119),65-69。
莊秀美(2000)‧對應失智症老人之照護服務:以日本型團體家屋為例‧社區發展季刊,(90),292-302。
葉炳強、徐亞瑛、劉珣瑛(1993)‧痴呆患者的認識與照顧‧台北:健康。
葉莉莉、田玫、溫敏杰、陳惠姿(2000)‧護理之家住民功能狀態探討‧社區發展季刊(92),359-369。
黃詠惠(1997)‧失智症患者健康相關生活品質之研究‧陽明大學公共衛生研究所碩士論文。
黃曉黎(1997)‧老年失智症照顧者在行為處置與其疾病知識、態度及社會支持等相關因素之探討‧長庚醫學暨工程學院護理研究所碩士論文。
黃耀榮(1999)‧失智症照環境設施現況與問題行為之調查研究‧行政院衛生署八十八年度業務發展計劃。
楊佩琪(1990)‧老年癡呆症病患家屬之主要照顧者的負荷及其影響因素探討,東海大學社會工作研究所碩士論文。
楊瑞珍(1992)‧自費安養機構老人的健康需要及其相關因素之探討‧台灣大學護理研究所碩士論文。
萬育維、王春雅(1998)‧政策規劃與需求的落差-失智老人與家屬分析‧社區發展季刊,(83),92-112。
廖鳳池(1990)‧認知治療理論與技術‧台北:健康世界叢書。
劉景寬(1998)‧難以應付的問題行為‧失智症研討會-早期診斷與治療,23-24。
劉景寬、戴志達、林瑞泰、賴秋蓮(2000)‧台灣失智症的流行病學‧應用心理研究,7,157-163。
劉嘉逸、劉秀枝(2000)‧阿茲海默氏症之非認知症狀‧應用心理研究,7,89-103。
蔡世仁、黃世平、楊誠弘、劉金明(1995)‧併有攻擊性行為之癡呆症患者之探討‧台北榮總精神醫學雜誌,18(4),361-363。
Aarsland, Dag. Cummings, Jeffrey L., Yenner, Gersev. & Miller, Bruce.(1996). Relationship of aggressive behavior to other neuropsychiatry symptoms in patients with Alzheimer’s disease. American Psychiatric Association, 153(2), 243-247.
Almberg, B., Grafstrom, M. & Winblad, B.(1997). Caring for a demented elderly person: burden and burnout among caregivering relatives. Journal of Advance Nursing, 25, 109-116.
American Psychiatric Association.(1994). Diagnostic and Statistic Manual of Mental of Disorders. Author: N.W.
Annerstedt, L.(1993). Development and consequences of groupliving in Sweden. Social Science and Medicine, 37, 1529-1538.
Alzheimer’s association(2002). 2002 World AD Conference 「On-line」 . Available http://www.alz-sepa.org/ brh52002wolrldadconference
Barclay. L., Zemcov. A., Blass. J., Sansone. J.(1985). Survival in Alzheimer’s disease and vascular dementias. Neurology, 35, 835-839.
Ballare, C. G., Saad, K., & Patel, A.(1995). The prevalence and phenomenology of Psychotic symptoms in dementia suffers. International Journal of Geriatric Psychiatry, 10, 477-486.
Beer, M., Avorn, J., Soumerai, S. B., Everitt, D. E., Sherman, D.S., & Salem, S.(1988). Psychoactive medication use in intermediate-care facility residents. Journal of the American Medical Association, 260(20), 3016-3020.
Bellelli, G., Frisoni, G. B., Bianchetti, A., Boffelli, S., Guerrini, G. B., Scotuzzi, A., Ranieri, P., Ritondale, G., Guglielmi, L., Fusari, A., Raggi, G., Gasparotti, A., Gheza, A., Nobili. G., Trabucchi, M. (1998). Specila care units for demented patients: A multicenter study. The Gerontologist, 38(4), 456-462.
Bianchetti, A., Benvenuti, P., Ghisla, K. M., Frisoni, G. B., & Trabucchi, M.(1997). An Italian model of dementia special care units: Results of a preliminary study. Alzheimer Disease and Associated Disorders, 11(1), 53-56.
Bianchetti, A., Scuratti, A., Zanetti, O., Binetti, G., Frisoni, G. B., Magni, E., & Trabucchi, M.(1995). Predictors of mortality and institutionalization in Alzheimer disease patients 1 year after discharge from an Alzheimer Dementia Unit. Dementia, 6, 108-112.
Bowie, P., Mountain, G. (1997). The relationship between patient behavior and environmental quality for the dementing. International Journal of Geriatric Psychiatry, 12, 718-723.
Burns, A., Jacoby. R., & Levy, R. (1990a). Psychiatric phenomena in Alzheimer’s disease. Ⅰ: Disorders of thought content. British Journal of Psychiatry, 157, 72-76.
Burns, A., Jacoby. R., & Levy, R.(1990b). Psychiatric phenomena in Alzheimer’s disease. Ⅱ: Disorders of perception. British Journal of Psychiatry, 157, 76-81.
Chappell, N. L., & Penning, M.(1996). Behavioral problems and distress among caregivers of people with dementia. Aging and Society, 16, 57-73.
Cleary, T. A., Clamon, C., Price, M., Shullaw, G. (1988). A reduced stimulation unit: effects on patients with Alzheimer’s disease and related disorders. The Gerontological Society of America, 28(4), 511-513.
Conant-Arp C., Robinson, J. (1997). Long-term care design: Life-enhancing design strategies at the Louis Feinstein Alzheimer’s Day Care. Journal of healthcare design, 9, 117-120.
Cook, R. H., Ward, B. E., Austin, J. H. (1979). Studies in aging of the barin: IV. Familial Alzheimer’s disease: relation to transmissible dementia, aneuploidy, and microtubular defects. Neurology, 29, 1402-1412.
Davis, L. L., Buckwalter, K. F., Burgio, L. D. (1997). Measuring problem behaviors in dementia: developing a methodological agenda. Advances in Nursing Science, 20(1),40-55.
Frisoni, Giovanni B., Rozzini, L. (1999). Behavioral syndromes in Alzheimer’s disease: Description and correlates. Dementia and Geriatric Cognitive Disorders, 10(2), 130-138.
George, L., & Gwyther, L. P. (1986). Caregiver well being: A multidimensional examination of family caregiver of demented adults. The Gerontologist, 26, 253-259.
Gerdner, L., & Buckwalter, K.(1994). A nursing challenge: Assessment and management of agitation in Alzheimer’s patients. Journal of Gerotological Nursing, 20(4), 11-20.
Giuseppe, B., Giovanni, B. F., Angelo, B., Stefano, B., Giovanni, B. G., AnnaMaria, S., Piera, R., Giuseppe, R., Luisa, G., Anotnio, F., GianCarlo, R., Angelo, G., Alfredo, G., Gian Luigi, N. & Marco, T.(1998). Special Care Units for Demented Patients: A Multicenter Study. The Gerontologist, 38(4), 456-462.
Goate, A., Chartier-Haynes, M. C., Mullan, M., Brown, J., Crawford, F., Fidani, L., Giuffra, L., Haynes, A., Irving, N., & James, L.(1991). Segregation of a missense mutation in the amyloid precursor protein gene with familial Alzheimer’s disease. Nature, 349, 704-706.
Gray, L. C., Farish, S. J., & Dorevich, M.(1992). A population-based study of assessed applicants to long-term Nursing home care. Journal of the American Geriatrics Society, 40(6), 596-600.
Haley, W. E., Roth, D. L., Coleton, M. I., Ford, G. R., West, C. A. C., Collins, R. P., & Isobe, T. L.(1996). Appraisal, coping, and social support as mediators of well-being in black and write family caregiver of patients with Alzheimer’s disease. Journal of Consulting and Clinical Psychology, 64(1), 121-129.
Hall, G. R., Buckwalter, K. C. (1987). Progressively lowered stress threshold a conceptual model for cave of adults with Alzheimer’s disease. Archives of Psychiatric Nursing, 1(6), 399-406.
Hall, G. R., Kirshchling M.V., Tood, S.(1986). Sheltered freedom: An Alzheimer’s unit in an ICF. Geriatric Nursing, 7, 132-137.
Hall, G.(1994). Caring for people with Alzheimer’s disease using the conceptual model of progressively lowered stress threshold in the clinical setting. Nursing a Clinics of North America, 29(1), 129-141.
Jorm, A. F., Korten, A. E., Henderson, A. S.(1987). The prevalence of dementia: A quantitative integration of the literature. A cta Psychiatrica Scandimavica, 76, 465-479.
Kirby. M., Lawlor. B. A.(1995). Biologic markers and neurochemical correlates of agitation and psychosis in dementia. Journal of Geriatric Psychiatry and Neurology, 8(1), S2-S7.
Lawton, M. P.(1989). Environmental approaches to research and treatment of Alzheimer’s disease. In E. Light & B. D. Lebowitz (Eds.), Alzheimer’s disease treatment and family stress: Directions for research. Rockville, MD: National Institute of Mental Health, U.S. Department of Health and Human Services, Public Health Services. Lawton, M. P., Brody. E. M.(1969). Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179-186.
Leon, Mony J.(1999). Introduction and historical background. In Leon, Mony J(Eds.), An atlas of Alzheimer’s disease (pp.9-10). London: Publishing.
Levine, J. M., Marchello, V., & Totolos, E.(1995). Progress towards a restraint-free environment in a large academic nursing facility. Journal of the American Geriatrics Society, 43, 914-918.
Levy, M. L., Cummings, J. L., Fiarbanks, L. A., Bravi, D., Calvani, M., & Carta, A. (1996). Longitudinal assessment of symptoms of depression, agitation and psychosis in 181 patients with Alzheimer’s disease. American Journal of Psychiatry, 153(11), 1438-1443.
Lin, T. Y.(1953). A study of incidence of mental disorders in Chinese and other cultures. Psychiatry, 16, 313-316.
Liu, C. K., Lin, R. T., Chen, Y, F., Tai, C. T., Hong, S. L., Howng, S. L. (1996). Prevalence of dementia in an urban area in Taiwan. Journal of the Formosan Medical Association, 95, 762-768.
Liu, H, C., Lin, K. N., Teng, E. L. (1995). Prevalence and subtypes of dementia in Taiwan: A community survey of 5297 individuals. Journal of American Geriatrics Society, 43(2), 144-149.
Loreck, D. J., Folstein, M. F. (1993). Depression in Alzmeimer’s disease. In S. E. Stakstein & R. G. Robinson(eds.), Depression in Neurological Disorders. Baltimore: Johns Hopkins Press.
Lyketsos, Conatstantine G., Steele, Cynthia D., &Steinberg, Martin.(1999). Behavioral disturbance in dementia. In Gallo, Joseph J., Busby-Whitehead, Jan., Rabin, Peter V., Silliman, Rebecca A., Murphy, John B. Reichel’s Care of the Elderly: Clinical Aspects of Aging. (pp.214~228). Philadelphia, U.S.A: Lippincott Williams & Wilkins of A Wolters Kluwer Company.
Maslow K.(1994). Special care unit for persons with dementia: expected and observed effects on behavioral symptoms. Alzheimer’s Disease Disorder, 8(3), 122-137.
Mehr, D. R., Fries, B. E. (1995).Resource use on Alzheimer’s special care units. The Gerontologist, 35(2), 179-184.
Montgomery, R. J., Kosloski, K.(1994). A longitudinal analysis of nursing home placement for dependent elders cared for by spouses vs adult children. Journal of Gerontology: Social Sciences , 49(2), s62-s74.
Morris, C. H., Hope, R. A., & Fairburn, C. G.(1989). Eating habits in dementia- an Alzheimer’s disease. American journal of psychiatry, 152, 37-44.
Ory, M. G., Hlffman, R. R., Yee. J. L., Tennstedt, S., & Schulz, R.(1999). Prevalence and impact of caregiver: A detailed comparison between dementia and nondementia Caregiver. The Gerontologist, 39(2), 177-185.
Rabins, P. V.(1996). Behavioral disturbance of dementia: practical and conceptual issues. International Psychogeriatrics, 8(3), 281-283.
Ramirez, M., Teresi, J. A., Holmes, D., & Fairchild, S.(1998). Ethnic and racial conflict in relation to staff burnout, demoralization, and job satisfaction in SCUs and non- SCUs. Journal of Mental Health and Aging, 4, 207-210.
Reisberg, B., Franssen, E.H.(1999). Clinical stages of Alzheimer’s disease. In In Leon, Mony J(Eds.), An atlas of Alzheimer’s disease (pp.11-13). London: Publishing.
Reynolds, Peter L., Strayer. Scott M.(2000). Neuroleptics for behavioral symptoms of dementia. The Journal of Family Practice , 49(1),78-79.
Rodney, Vic BA.(2000). Nurse stress associated with aggression in people with dementia: its relationship to hardiness, cognitive appraisal and coping. Journal Advance Nursing, 31(1), 172-180.
Russo, J. & Vitaliano, P. P. (1995). Life events as correlates of burden in spouse caregivers of persons with Alzheimer’s disease. Experimental Aging Research, 21, 273-294.
Saloane, P.D., Mitchell, C. M., Preisser, J. S., Phillips, C., Commander. C., & Burker, E.(1998). Environmental correlates of resident’s agitation in Alzheimer’s disease special care units. American Geriatrics Society, 46, 863-869.
Saxton, J., Silverman, M., Ricci, E., Keane, C., & Deeley, B.(1998). Maintenance of mobility in residents of an Alzheimer special care facility. International Psychogeriatrics, 10, 213-224.
Small, G. W. (2001). Dementia. In Cobbs Elizabeth L., Duthie, Edmund H. Jr., Murphy, John B., Geriatrics Review Syllabus, (pp103~111), Dubuque, Iowa, U.S.A.: Kendall/Hunt Publishing Company.
Schenider, L., Pollock, V. E., & Liness, S. A.(1995). Ameta-analysis of controlled trial of neuroieptic treatment in dementia. Journal of the American Geriatrics Society, 38(5), 553-563.
Swanson, E. A., Maas, M. L., Buckwalter, K. C. (1993). Catastrophic reactions and other behaviors of Alzheimer’s residents. Arch Psychiatry Nursing, 7(5), 292-299.
Talkington-Boyer, S., & Snyder, D. K.(1994). Assessing impact on family caregiver to Alzheimer’s disease patients. The American Journal of Family Therapy, 22, 57-66.
Teresi, J. A., Holmes, D., & Monaco, C. (1993). An evaluation of the effects of commingling cognitively and noncognitively impaired individuals in long-term care facilities. The Gerontologist, 33, 350-358.
Teri, L., Rabins, P., Whitenhouse, P., Berg, L., Reisberg, B., Sunderland, T., Dichelmen, B., & Phelps, C.(1992)Management of behavior disturbance in Alzheimer disease: Current knowledge and future directions. Alzheimer Disease and Associated Disorders, 6, 77-88.
Thimis A.(1995). Residential living. Alternative for Alzheimer’s Residents. Provider,21(6),41-45.
Volicer, Ladislav. Hurley, Ann C., Lathi, Deveyani C. & Kowall Neil W. (1994). Measurement of Severity in Advanced Alzheimer’s disease. Journal of Gerontology, 19(5),223-226.
Wells, Y., Jorm, A. F.(1987). Devaluation of a special nursing home unit for dementia sufferers: A randomized controlled comparison with community care. Australian and New Zealand Journal of Psychiatry, 21, 524-531.
Willson, H. S. (1989). Family caring for a relative with Alzheimer’s demetia: coping with negative choice. Nursing Research, 38(2), 94-98.
Wood, P., Ashley, J.(1995). Simulated presence therapy: using selected memories to manage problem behaviors in Alzheimer’s disease patient. Geriatric Nursing, 16(1), 9-11.
Yu, E., Liu, W. T., Wang, Z. Y., Levy, P. S., Katzman, R., Qu, G. Y. & Chen, F. F.(1993). Caregivers of the cognitively impaired and the disabled in Shanghai, China. In Zarit, S. H., Pearlin, L. I. & Schaie, K. W. (Eds.). Caregiver Systems: Information and Formal Helpers. (pp.5-30). New Jerssey: Lawrence Erlbaum Association.
Zanetti, O., Magni, E., Sandri, C., Frisoni, G. B., Bianchetti, A., & Trabucchi, M.(1996). Determinants of burden in an Italian sample of Alzheimer’s patient caregivers. Journal of Cross-Cultural Gerontology, 11, 17-27.
Zarit, S. H.(1992). Conceptual a methodological issues in family caregiving research. New York University: New York.
Zarit, S. H., Orr, N. K., & Zarit, J. M. (1985). The hidden victims of Alzheimer’s disease. New York: New York University Press.
Zeisel J, Hyde J, Levkoff S.(1994). Best practices: An environment-behavior(E-B) model for Alzheimer special care units. American Journal Alzheimer’s Care Relation Disorder Residents, 9, 4-21.
Zimmer, J. G., Watson, N., & Treat, A.(1984). Behavioral problems among patients in skilled nursing facilities. American Journal of Public Health, 74(10), 1118-1120.
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