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According to the WHO, chronic obstructive pulmonary disease (COPD) is a common lung disease causing restricted airflow and breathing problems

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The Z scores for mediation effects of learning efficacy, cynicism and emotional exhaustion were 2.23, 2.98 and 3.09 respectively, the values of mediation effects all exceeded |1.96| which meant the mediation effects of the dimensions of learning burnout were significant statistically, thus hypothesis 3 was partially supported