Studies have shown that environmental factors and stressful situations have also impacted a bipolar diagnosis.

研究表明，环境因素和紧张的情况也会影响双相情感障碍的诊断。

The scientific community measures the quality of those papers in a number of ways, including the perceived quality of the journal (as reflected by the title's impact factor) and the number of citations a specific paper accumulates.

科学界通过多种方式衡量这些论文的质量，包括认知质量（反映在期刊的影响因子中）以及某篇论文获得的引用次数。

In 2016, researchers developed an algorithm to recognize suspicious citation patterns, including groups of authors that disproportionately cite one another and groups of journals that cite each other frequently to increase the impact factors of their publications.

2016 年，研究人员开发了一种算法，用于识别可疑的引用模式，包括众多大量相互引用的作者和频繁相互引用以提高其出版物影响因子的期刊。