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Susceptibility and resistance pattern of bacterial isolates and development of antibiogram in a tertiary care hospital of western India 印度西部一家三级医院细菌分离株的药敏和耐药模式及抗生素谱的发展
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.3987
J. Vaghasiya
The main issue in India and at a global level that led to antibiotic resistance is misuse, irrational prescribing of antibiotics, and lack of sufficient data on antibiotic resistance at a local, regional, and national level to develop antibiotic policy that guides all healthcare professional while prescribing antibiotics. The present study was carried out for 12 months in a tertiary care teaching hospital in western India to develop an antibiogram and to check antimicrobial resistance trends in the hospital. Out of 500 patients, 53.6% were male and 46.4% were female patients. A total of 17 bacterial species were identified throughout the study with gram-negative species infections being most common in hospitals. Escherichia coli was the most frequently isolated gram-negative species. Ceftriaxone was most prescribed frequently followed by amoxicillin and azithromycin, respectively. In the gram-positive organism, ceftriaxone and amoxicillin resistance rate was 65.35% and 35% respectively. Overall, in the study Cceftriaxone (58%) and amoxicillin-clavulanic acid (38.9%), Azithromycin (56%), and ciprofloxacin (53%) were found most resistant antibiotics, and Amikacin (72%), Clindamycin (18%) were most sensitive. Gram-negative infections were identified mostly and cephalosporine and fluoroquinolones antibiotics were showing high antibiotic resistance. An institutional hospital antibiogram was developed to check local antimicrobial agents for various bacteria.
在印度和全球层面,导致抗生素耐药性的主要问题是滥用、不合理的抗生素处方,以及在地方、区域和国家层面缺乏足够的抗生素耐药性数据,无法制定指导所有卫生保健专业人员开抗生素处方的抗生素政策。本研究在印度西部的一家三级保健教学医院进行了为期12个月的研究,以编制抗生素图谱并检查该医院的抗微生物药物耐药性趋势。500例患者中,男性占53.6%,女性占46.4%。在整个研究过程中,共鉴定出17种细菌,其中革兰氏阴性细菌感染在医院中最常见。大肠杆菌是最常见的革兰氏阴性菌。最常用的处方是头孢曲松,其次分别是阿莫西林和阿奇霉素。革兰氏阳性菌头孢曲松和阿莫西林耐药率分别为65.35%和35%。总体而言,研究发现头孢曲松(58%)、阿莫西林-克拉维酸(38.9%)、阿奇霉素(56%)和环丙沙星(53%)是最耐药的抗生素,阿米卡星(72%)、克林霉素(18%)最敏感。革兰氏阴性感染居多,头孢菌素和氟喹诺酮类抗生素耐药较高。制定了机构医院抗生素图,以检查当地各种细菌的抗菌药物。
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引用次数: 1
Characteristics of paediatric adverse drug reaction reports in Malaysia 马来西亚儿科药物不良反应报告的特点
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4395
Beldona Hema Rekha
During clinical trials, special populations such as children, pregnant women and elderly are excluded, creating lack of information on safety profile of medicines in these population. The lack of reliable efficacy and safety data often leads to under- or over-dosing in paediatric age groups which make them susceptible to adverse drug reactions (ADRs). This study was aimed to investigate the characteristics of ADR reports and serious ADRs among paediatric population in Malaysia. Descriptive analyses were undertaken for demographic characteristics and severity of the ADRs. Binary logistic regression was performed to identify association between selected variables and ADRs. A total of 3410 paediatric case reports for 6769 ADRs were reported within the 5-year period. Children aged one to 12 years old were the most frequently reported to experience ADRs (n=5488, 81%). Male gender exceeds more than half of the ADR reports (n=3812, 56.3%) and Malay race has the highest ADR reports (n=4780, 72%). Majority of the ADR reports were not serious (n=6285, 93%). Anti-infective medicines contributed most of the ADR reports (n=6024, 75%). The most common ADRs were from general disorders and administration site conditions (n=2879, 43%). A binary logistic regression showed male gender were more likely to experience nervous and respiratory system disorder ADRs (p < 0.05). Surveillance of medicines marketed for use in children must be strengthened to prevent severe life-threatening ADRs. Effective support decision tool for prescribing in paediatric population with an integrated pharmacovigilance monitoring will support continuous safety monitoring for all marketed medicines.
在临床试验期间,儿童、孕妇和老年人等特殊人群被排除在外,导致缺乏关于这些人群中药物安全性的信息。缺乏可靠的疗效和安全性数据往往导致儿科年龄组剂量不足或过量,使他们容易发生药物不良反应。本研究的目的是调查的特点,不良反应报告和严重的不良反应的儿科人群在马来西亚。对人口统计学特征和不良反应的严重程度进行描述性分析。采用二元逻辑回归来确定所选变量与adr之间的关联。在5年期间共报告了3410例儿科病例,6769例不良反应。1至12岁的儿童最常报告出现adr (n=5488, 81%)。男性超过一半的ADR报告(n=3812, 56.3%),马来种族的ADR报告最高(n=4780, 72%)。大多数不良反应报告不严重(n=6285, 93%)。抗感染药物是ADR报告的主要来源(n=6024, 75%)。最常见的不良反应来自一般疾病和给药部位条件(n=2879, 43%)。二元logistic回归分析显示,男性更容易出现神经系统和呼吸系统紊乱的不良反应(p < 0.05)。必须加强对销售给儿童使用的药物的监测,以防止严重危及生命的不良反应。具有综合药物警戒监测的儿科人群处方有效支持决策工具将支持对所有上市药物的持续安全监测。
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引用次数: 0
Design synthesis and biological evaluation of thiophene 2- pentafluoro benzamide derivatives as antitubercular agent 噻吩- 2-五氟苯甲酰胺衍生物抗结核药物的设计、合成及生物学评价
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4402
M. K. Kathiravan
Tuberculosis, a major contagious air-borne disease, killing millions in a year. Many of the existing anti-tubercular drugs have acquired bacterial resistance. Though they are highly bactericidal but, later on due to several factors like poor patient compliance, incomplete therapy, etc. leading to treatment relapse. This enables researcher to focus on identifying new leads utilizing structure-based drug design which plays a crucial role in drug development. The mycolic acid synthesized by Pks 13 is identified as a perfect target and hence a series of molecules were designed and the best fit ligands with a least energy were picked and analysed for Insilco bioactivity and drug likeness. Five best docked Molecules satisfied the Lipinski rule of five, namely the number of hydrogen bond donors, acceptors, log P, total polar surface area and the number of rotatable bonds. The bioactivity was found to be moderate to excellent against the receptor. The target molecules were synthesised via amino esters to yield pentafluorinated thiophene derivatives. Among the series, molecule 12 was found to be more potent when tested for antitubercular activity by Microplate Alomar blue assay technique.
结核病是一种主要的空气传播传染病,每年造成数百万人死亡。许多现有的抗结核药物已经获得了细菌耐药性。虽然它们具有很强的杀菌作用,但后来由于患者依从性差、治疗不彻底等因素导致治疗复发。这使研究人员能够专注于利用基于结构的药物设计来识别新的线索,这在药物开发中起着至关重要的作用。Pks - 13合成的霉菌酸被认为是一个完美的靶标,因此设计了一系列分子,并选择了能量最小的最佳配体,对Insilco的生物活性和药物相似性进行了分析。5个最佳对接分子满足Lipinski规则5,即氢键供体数、受体数、logp、总极性表面积和可旋转键数。发现其对受体的生物活性为中等至优异。目的分子通过氨基酯合成得到五氟化噻吩衍生物。其中,分子12在微孔板Alomar蓝测定技术的抗结核活性测试中被发现更有效。
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引用次数: 0
Association of Work-related posture and stress with Scapular dyskinesis among Computer professionals 计算机专业人员肩胛骨运动障碍与工作姿势和压力的关系
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4706
Pragya Kumar
Abnormal stress due to poor posture and work environment are contributing factors in musculoskeletal adaptations resulting in problems like neck pain, back pain, shoulder pain, etc. The scapula plays several roles in facilitating optimal shoulder function and it is very important for the function of the upper extremity. Thereby impact of work-related posture & stress on computer professionals with scapular dyskinesis should be established. 350 male computer professionals (Mean Age = 34.89±8.51 years) following written informed consent were recruited from IT companies and volunteered for this study. Computer professionals involved in fieldwork, with BMI ≥ 25 Kg/m2 , having congenital postural deformities, undergone neck/shoulder surgeries were excluded from the study. Each professional was examined for scapular dyskinesis using Kibler’s rating system (Yes/No method). Professionals were then examined for Work related posture using - Rapid Office Strain Assessment (ROSA) & Rapid Upper Limb Assessment (RULA) and perception of stress during work [Perceived stress scale (PSS)]. Results were analyzed using descriptive statistics and the association was analyzed using chi-square and bivariate logistic regression. (Level of significance p<0.05). In the present study, 78% (n = 273) of computer professionals were found to have scapular dyskinesis. Assessment using ROSA indicated 56.3% (n= 197, χ² (1, n=350) =11.0, p=0.004] [(OR = 0.54; p=0.01)] computer professionals have moderate risk, 15.1% (n=53) have mild and 6.6% (n=23) have a moderate risk of developing musculoskeletal disorders. Similarly, the RULA scale assessment highlighted 66% [(n=231, χ² (1, n=350) =11.3, p=0.045] [OR =0.87; p=0.28)] computer professionals having poor posture, 7.2% (n=25) with worst posture and only 4.8% (n=17) having mild deviation. Perception of stress during work was low in 4.3% (n=15), moderate in 67.1% [(n=235, χ² (1, n=350) =2.5, p=0.27][(Exp(B)=0.95; p=0.04)]) and high in 23% (n=23) computer professionals. The present study concluded that computer professionals with scapular dyskinesis represent poor posture and have a moderate risk of developing musculoskeletal disorders along with moderate stress while working on computers.
不良姿势和工作环境造成的异常压力是影响肌肉骨骼适应的因素,导致颈痛、背痛、肩痛等问题。肩胛骨在促进最佳肩部功能方面起着多种作用,对上肢的功能非常重要。因此,应确定工作姿势和压力对肩胛骨运动障碍的计算机专业人员的影响。经书面知情同意,从IT公司中招募350名男性计算机专业人员(平均年龄34.89±8.51岁)自愿参加本研究。参与野外工作、BMI≥25 Kg/m2、有先天性体位畸形、接受过颈/肩手术的计算机专业人员排除在研究之外。使用Kibler评分系统(是/否法)对每位专业人员进行肩胛骨运动障碍检查。然后使用快速办公室应变评估(ROSA)和快速上肢评估(RULA)对专业人员的工作相关姿势进行检查,并在工作期间感知压力[感知压力量表(PSS)]。结果采用描述性统计进行分析,相关性采用卡方和双变量逻辑回归进行分析。(p<0.05)。在本研究中,78% (n = 273)的计算机专业人员被发现有肩胛骨运动障碍。使用ROSA进行评估,56.3% (n= 197, χ²(1,n=350) =11.0, p=0.004) [OR = 0.54;计算机专业人员罹患肌肉骨骼疾病的风险为中度,15.1% (n=53)为轻度,6.6% (n=23)为中度。同样,RULA量表评估突出66% [(n=231, χ²(1,n=350) =11.3, p=0.045] [OR =0.87;(P =0.28)), 7.2% (n=25)的计算机专业人员坐姿最差,只有4.8% (n=17)的计算机专业人员有轻微偏差。工作压力感知低的占4.3% (n=15),中等的占67.1% [(n=235, χ²(1,n=350) =2.5, p=0.27][(Exp(B)=0.95;P =0.04)])和23% (n=23)的计算机专业人员。目前的研究得出结论,患有肩胛骨运动障碍的计算机专业人员在使用计算机时姿势不佳,患肌肉骨骼疾病的风险中等,同时也有适度的压力。
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引用次数: 0
Impact of Covid-19 Pandemic on Emergency Nurses’ Stress at King Salman Hospital in Hail, KSA Covid-19大流行对沙特阿拉伯冰雹萨勒曼国王医院急诊护士压力的影响
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4507
Bahia Glalal Abd El-Razik Siam
During the COVID-19 pandemic, nurses working in the clinical sector encountered a variety of challenges related to increased stress, which had an influence on the nurses' ability to provide care for patients. The Aim of study was to determine the impact of COVID-19 pandemic on emergency nurses’ stress at the emergency department of King Salman Specialist Hospital in Hail, Saudi Arabia. A descriptive research design was utilized. Subjects included all available nurses who were working in the previous setting. The Instruments used in data collection consisted of the socio demographic data sheet of the studied nurses, the Perceived stress scale (PSS), and the nurses’ pandemic-related experiences questionnaire (PREQ). The results revealed that, the studied nurses had experienced moderate stress regarding the PSS with total mean scores around “2” out of “4”. There was a significant statistical difference in the total mean scores of nurses’ PREQ as regards to work status. The study concluded that, the COVID-19 Pandemic had increased the level of stress of the studied emergency nurses regardless their sociodemographic characteristics.
在2019冠状病毒病大流行期间,在临床部门工作的护士遇到了与压力增加相关的各种挑战,这影响了护士为患者提供护理的能力。研究的目的是确定COVID-19大流行对沙特阿拉伯冰雹萨勒曼国王专科医院急诊科急诊护士压力的影响。采用描述性研究设计。研究对象包括所有在先前环境中工作的护士。数据收集工具包括护士社会人口学数据表、感知压力量表(PSS)和护士流行病相关经历问卷(PREQ)。结果显示,受访护士在PSS方面存在中等压力,总分约为2分(满分4分)。护士PREQ的总平均分与工作状态有显著的统计学差异。该研究得出结论,无论其社会人口统计学特征如何,COVID-19大流行都增加了所研究急诊护士的压力水平。
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引用次数: 0
A background review on zika virus infection with current update on Indian scenario 关于寨卡病毒感染的背景审查以及印度情况的最新情况
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4576
D. Nikam
It was in Uganda that the Zika virus was discovered for the first time in 1947. Later in 1952, researchers isolated an infectious agent from rhesus monkeys. 60 years later, in 2007, the first outbreak of Zika virus happened in Brazil. Afterwards cases of infection were reported from Tanzania, Egypt, South Asia, India, Bangladesh, Pakistan, Vietnam, Indonesia, Thailand, Malaysia, Philippines. The most common reason for infection was travelling to infected regions. The main concern in this infection is microcephaly in new born babies and foetuses. In 2016, the first outbreak of Zika virus infection occurred in India, the first three cases were discovered in Gujarat and later one case was found in Tamil Nadu. After two years in two Indian states another outbreak was reported in Rajasthan and Madhya Pradesh with 153 and 130 cases, respectively. Infection spreads due to Aedes aegypti mosquito bites or sexual transmission. Zika virus symptoms include mild fever, rash, joint pain and conjunctivitis. It is necessary to conduct some serological and molecular analyses to diagnose infection. There is no specific vaccine or treatment for Zika virus infection till yet. In this review, we explored all the factors related to zika virus infection in detail, including virology, pathogenesis, diagnosis, prevention, and symptoms with special emphasis on cases in India.
1947年,寨卡病毒首次在乌干达被发现。后来在1952年,研究人员从恒河猴身上分离出一种传染性病原体。60年后的2007年,寨卡病毒首次在巴西爆发。随后,坦桑尼亚、埃及、南亚、印度、孟加拉国、巴基斯坦、越南、印度尼西亚、泰国、马来西亚和菲律宾报告了感染病例。最常见的感染原因是前往受感染地区旅行。这种感染的主要问题是新生儿和胎儿的小头畸形。2016年,印度首次爆发寨卡病毒感染,前三例在古吉拉特邦发现,后来在泰米尔纳德邦发现了一例。在印度两个邦两年后,拉贾斯坦邦和中央邦报告了另一次疫情,分别有153例和130例病例。感染通过埃及伊蚊叮咬或性传播传播。寨卡病毒的症状包括轻度发烧、皮疹、关节疼痛和结膜炎。有必要进行血清学和分子分析来诊断感染。目前还没有针对寨卡病毒感染的特异性疫苗或治疗方法。在这篇综述中,我们详细探讨了与寨卡病毒感染有关的所有因素,包括病毒学、发病机制、诊断、预防和症状,并特别强调了印度的病例。
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引用次数: 0
Phaleria macrocarpa for Endometriosis Treatment: A Review 大阳草治疗子宫内膜异位症的研究进展
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4232
Maharani Maharani
Around 5—10% women in their productive age could suffer from endometriosis, a condition where viable endometrial tissue is present outside the uterine cavity. This disease could progress into ovarian cancer and infertility with long-lasting chronic pain. Thus, innovation for safe and efficacious management of this disease is urgent. Exploring the abilities of medicinal plants for endometriosis therapy is quite promising. Of which, Phaleria macrocarpa has been suggested as a strong candidate for the therapy. This review begins with explanations of endometriosis; its aetiology and pathobiology. Thereafter, we present the medicinal properties of P. macrocarpa for being anti-inflammatory, anti-angiogenesis, and anti-proliferation. Results from pre-clinical studies and an ongoing trial of P. macrocarpa as a therapy for endometriosis were also discussed in this review. Future study will explore the activity of this plant extracts against hypoxia inducible factor-1α (HIF-1α), vascular endothelial growth factor (VEGF), B-cell lymphoma 2 (Bcl-2), and Bcl-2-associated X protein (BAX).
大约5-10%处于生育年龄的女性可能患有子宫内膜异位症,这是一种可存活的子宫内膜组织出现在子宫腔外的情况。这种疾病可能发展为卵巢癌和不孕症,并伴有长期的慢性疼痛。因此,安全有效地管理这种疾病的创新是迫切需要的。探索药用植物治疗子宫内膜异位症的能力是很有前景的。其中,大樱草被认为是一种强有力的候选药物。本文从子宫内膜异位症的解释开始;病因和病理生物学。在此基础上,我们介绍了大毒蛇的抗炎、抗血管生成、抗增殖等药用特性。本综述还讨论了临床前研究和正在进行的治疗子宫内膜异位症的试验结果。未来的研究将探索该植物提取物对缺氧诱导因子-1α (HIF-1α)、血管内皮生长因子(VEGF)、b细胞淋巴瘤2 (Bcl-2)和Bcl-2相关X蛋白(BAX)的活性。
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引用次数: 0
Synthesis and anti-inflammatory activity of 2-amino-4,5-diphenyl-1-(substituted)-1H-pyrrole-3- carbonitrile derivatives 2-氨基-4,5-二苯基-1-(取代)- 1h -吡咯-3-碳腈衍生物的合成及抗炎活性
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4452
S. Dholakia
Pyrrole is privileged and active heterocycle with diverse pharmacological activities that specifically serve as a promising scaffold for antiinflammatory, antimalarial, antimicrobial, antiviral, antitubercular, and enzyme-inhibiting drugs. In an attempt to explore this scaffold, a series of 2- amino-4,5-diphenyl-1-(substituted)-1H-pyrrole-3-carbonitrilewere synthesized and screened for anti-inflammatory activity. The structures of synthesized novel compounds were characterized by 1H Nuclear Magnetic Resonance, Mass and Fourier Transfer Infrared spectroscopic data. All the compounds are screened for anti-inflammatory activity using the rat paw edema method. Among all, compound 1e exhibited more potent activity than the standard drug etoricoxib with the highest inhibition in paw edema at 3 h and 5 h.
吡咯是一种特殊的活性杂环化合物,具有多种药理活性,特别是作为抗炎、抗疟疾、抗菌、抗病毒、抗结核和酶抑制药物的有前途的支架。为了探索这种支架,我们合成了一系列2-氨基-4,5-二苯基-1-(取代)- 1h -吡咯-3-碳腈,并对其进行了抗炎活性筛选。用1H核磁共振、质谱和傅里叶转移红外光谱对合成的新化合物进行了结构表征。所有化合物均采用大鼠足部水肿法筛选抗炎活性。其中,化合物1e表现出比标准药物依托妥昔布更强的活性,在3 h和5 h时对足跖水肿的抑制作用最高。
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引用次数: 1
Drug induced nephrotoxicity and associated factors a narrative review 药物致肾毒性及其相关因素综述
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4171
Amrita Parida
Drugs are a common reason for kidney injury. Antibiotic like gentamicin which is clinically a highly effective drug, is not preferred by physicians primarily because of the renal damage caused by it. Medication-induced renal injury has an intricate mechanism that includes a multitude of elements together with the innate nature of medications, innate patient characteristics that increase the chances of renal damage, and the pharmacokinetics of the drug. A particular drug can produce varied amount of damage in different individuals, which implies that the risk is not same for all. The reason behind this is that, there are different factors which determine the amount of renal damage that occurs due to drugs. In this article, we have reviewed the various elements linked to drug-induced nephrotoxicity.
药物是肾损伤的常见原因。像庆大霉素这样的抗生素在临床上是一种非常有效的药物,但医生不喜欢它,主要是因为它会对肾脏造成损害。药物性肾损伤具有复杂的机制,包括多种因素,包括药物的固有性质、增加肾损害机会的固有患者特征和药物的药代动力学。一种特定的药物可能对不同的个体造成不同程度的损害,这意味着对所有人的风险是不同的。这背后的原因是,有不同的因素决定肾脏损害的程度,发生由于药物。在本文中,我们回顾了与药物性肾毒性相关的各种因素。
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引用次数: 0
Solubility enhancement of terbinafine hydrochloride by hydrotropic technique 亲水法提高盐酸特比萘芬的溶解度
Pub Date : 2023-01-31 DOI: 10.55522/jmpas.v12i1.4067
D. Venkatesh
Terbinafine hydrochloride is an antifungal drug belonging to the class of allylamines. The drug exhibits poor aqueous solubility and thus results in decrease in oral bioavailability. In the present study, an attempt was made to enhance the solubility of terbinafine hydrochloride using hydrotropic solubilization technique employing different hydrotropesnamely sodium benzoate and ureain different proportions and their combinations. The different hydrotropes were selected based on the saturation solubility exhibited by the drug. Among them best batches of the drughydrotrope combinations of varying concentrations of 5% w/v, 10% w/v and 15% w/v were further subjected for the in vitro dissolution studies and solid-state characterization studies. The results so obtained were an indicative of solubility enhancement of terbinafine hydrochloride in combination of 10% urea, and combinationhydrotropes of 10% urea and 15% sodium benzoate. Thus, the experimental investigation concluded that there is an 1.53, 3.77 fold increase in dissolution profile for drug with 10% urea and combination of drug with 10% urea and 15% sodium benzoate respectively at the end of 120 minutes
盐酸特比萘芬是一种抗真菌药物,属于烯丙胺类。该药物水溶性差,因此导致口服生物利用度降低。本研究尝试采用不同的亲水剂,即苯甲酸钠和尿素的不同比例及其组合,采用亲水增溶技术提高盐酸特比萘芬的溶解度。根据药物的饱和溶解度选择不同的亲水化合物。其中,以5% w/v、10% w/v和15% w/v不同浓度的药水相组合为最佳批次进行体外溶出度研究和固态表征研究。结果表明,盐酸特比萘芬在10%尿素和10%尿素- 15%苯甲酸钠复合溶液中溶解度增强。因此,实验研究得出,在120分钟结束时,10%尿素和10%尿素和15%苯甲酸钠联合用药的溶出谱分别增加了1.53倍、3.77倍
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引用次数: 1
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