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Diabetic ketoacidosis with its associated complications in a young primigravida in a tertiary health institution in south- south, Nigeria 尼日利亚南部一家三级医疗机构一名年轻初产妇的糖尿病酮症酸中毒及其相关并发症
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0447
Callistus Obinna Elegbua, Harold Yiralee Doneh, Bernard B. Akpu, Angela Adaku Elegbua, Promise Onyeka Ubanatu, Oiseremen Samuel Ovbiagele, Kester Obiora Ezewuzie, Jerome Tunde Herbert
Diabetic ketoacidosis is a potentially life-threatening medical emergency. It becomes a catastrophe when it occurs in pregnancy due to maternal and fetal morbidity and mortality associated with it. This case report presents the challenges with respect to diagnosis and management approach in diabetic ketoacidosis, as seen in a case of a 28-year-old primigravida, with diabetic ketoacidosis in pregnancy at Nigerian Navy Reference Hospital, Calabar. She presented with a history of anorexia, protracted vomiting and generalized body weakness. Emphasis would be laid on the adverse outcomes associated with gestational diabetes mellitus.
糖尿病酮症酸中毒是一种可能危及生命的急症。妊娠期糖尿病酮症酸中毒会导致孕产妇和胎儿的发病率和死亡率,是一场灾难。本病例报告介绍了卡拉巴尔尼日利亚海军参考医院的一例 28 岁初产妇妊娠期糖尿病酮症酸中毒患者在诊断和管理方法方面遇到的挑战。她有厌食、长期呕吐和全身无力的病史。重点将放在与妊娠糖尿病相关的不良后果上。
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引用次数: 0
Inhaled Interferon for Asthma Treatment (NR): A narrative review 吸入干扰素治疗哮喘(NR):叙述性综述
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0437
FNU Hakim, Berk Muhammed Altinoez, Husban Ahmad Halim
Although various therapeutic strategies, such as inhalant beta-2 agonists, corticosteroids, anti-leukotrienes, and even novel inclusion of active biological agents in the management of asthma have been established, as asthma is a global issue and chronic in nature, the search for potential new tools to the arsenal continues to this day. Remarkable progress has recently been achieved in identifying the pathophysiology and potential value of interferons (IFNs) in managing allergic asthma. This narrative review attempts to precisely demonstrate the possible use of inhalant IFNs in differing asthmatic conditions by simplifying and concluding studies published between 1995 and 2021. Review findings indicate that IFN lambda and gamma could be utilized as primary tools in asthma management, while IFN beta can be used as an adjuvant therapy for viral-induced severe asthmatic exacerbations.
尽管已经确立了各种治疗策略,如吸入性 beta-2 激动剂、皮质类固醇、抗白三烯,甚至在哮喘治疗中加入新的活性生物制剂,但由于哮喘是一个全球性问题,且具有慢性性质,因此至今仍在继续寻找潜在的新工具。最近,在确定干扰素(IFNs)的病理生理学和治疗过敏性哮喘的潜在价值方面取得了显著进展。这篇叙述性综述试图通过对 1995 年至 2021 年间发表的研究进行简化和总结,准确证明吸入性 IFNs 在不同哮喘病情中的可能用途。综述结果表明,IFN λ 和 γ 可用作哮喘治疗的主要工具,而 IFN β 则可用作病毒引起的严重哮喘加重的辅助疗法。
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引用次数: 0
Prevalence and susceptibility of microorganisms in vaginal isolates 阴道分离物中微生物的流行率和易感性
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0419
Christian González-Reyes, Ahily Guadalupe Rosas-Partida, Lesset del Consuelo Ramos-Ramírez, Jackeline Lizzeta Arvizu-Gómez, Nadia Roxana Martínez-Rubio, Eduardo Mendeleev Becerra-Verdín, Angélica Nallelhy Rodríguez-Ocampo
Microbiological analysis of genital secretion allows isolate and identify the microorganisms responsible for infection in the vaginal canal. The objective of this research was to isolate and identify the microorganisms that cause vaginal infection and analyze antimicrobial susceptibility. 210 samples from women with a clinical diagnosis of vaginal infection who attended the microbiology service were analyzed. Microbial analysis, Gram staining was performed, and they were seeded in specific culture media, as well as in Mueller-Hinton for sensitivity tests. 115 microorganisms were identified, 57% of the isolated correspond to bacterial species, the most frequent was Gardnerella vaginalis with 38.5%. 43% of the isolated were yeasts, the predominant species was Candida albicans with 78%. On the other hand, testing for susceptibility to various antibiotics, Gardnerella vaginalis showed 100% resistance to gentamicin and netilmicin. Ampicillin, norfloxacin and sulfamethoxazole/trimethoprim showed sensitivity greater than 80%. In antifungal susceptibility tests, Candida albicans showed 100% resistance to nystatin and 90 to 100% sensitivity to fluconazole and ketoconazole, respectively. Of the isolated species, Gardnerella vaginalis and Candida albicans were the most frequent in vaginal infections; in addition, both microorganisms presented a variable susceptibility
通过对生殖器分泌物进行微生物分析,可以分离和鉴定导致阴道感染的微生物。这项研究的目的是分离和鉴定导致阴道感染的微生物,并分析抗菌药的敏感性。研究人员分析了 210 份样本,这些样本来自临床诊断为阴道感染并前往微生物学服务机构就诊的妇女。对样本进行了微生物分析和革兰氏染色,并在特定的培养基和穆勒-辛顿培养基中进行播种,以进行药敏试验。共鉴定出 115 种微生物,其中 57% 为细菌,最常见的是阴道加德纳菌,占 38.5%。43%的分离物为酵母菌,主要菌种为白色念珠菌,占 78%。另一方面,在对各种抗生素的敏感性测试中,阴道加德纳菌对庆大霉素和奈替米星显示出 100%的抗药性。氨苄西林、诺氟沙星和磺胺甲恶唑/三甲氧苄青霉素的敏感性超过 80%。在抗真菌药敏试验中,白色念珠菌对硝司他丁的抗药性为 100%,对氟康唑和酮康唑的敏感性分别为 90%至 100%。在分离出的菌种中,阴道加德纳菌和白色念珠菌是阴道感染中最常见的菌种;此外,这两种微生物的敏感性也各不相同。
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引用次数: 0
Exploring herbal synergies: the efficacy of Pergularia daemia and co-herbs in reducing pain, swelling and inflammation 探索草药的协同作用:Pergularia daemia 和合作草药在减轻疼痛、肿胀和炎症方面的功效
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0360
Vaishnavi Manohar Raut, Nagesh Baswraj Swami, G. Sanap
The growing interest in herbal formulations is due to chronic illnesses, concerns about synthetic medications' safety, and the importance of natural health approaches. Herbal formulations offer a natural, affordable, and accessible therapy option with better tolerability and fewer side effects. The purpose of this study was to develop and evaluate the possible anti-inflammatory and pain relief and swelling reduction properties of herbal lep powders made from Pergularia daemia, red ochre, Boswellia Serrata, camphor, Albizia lebbeck, and mango ginger. These plants were chosen for their ethnomedical applications because to their documented swelling reduction, pain relief and anti-inflammatory qualities. The different botanicals were ground into fine powders and blended in the proper ratios to create the herbal lep powders. To evaluate the powders' bulk density, flow characteristics, and particle size distribution, physicochemical characterisation was carried out. In addition, a qualitative examination of the powders' color, texture, and Odor was done. The physicochemical parameters of the prepared herbal lep powders were found to be good, suggesting their appropriateness for topical administration. The powders also exhibited favourable organoleptic properties, which increased their acceptability for application. Although this study did not include clinical or preclinical studies, its results set the stage for future investigations into the therapeutic efficacy and safety of herbal lep powders in the treatment of pain and inflammation. In general, the process of creating and assessing these herbal lep powders shows promise in the field of creating natural treatments for inflammatory ailments.
人们对草药制剂的兴趣与日俱增,原因在于慢性疾病、对合成药物安全性的担忧以及自然健康方法的重要性。草药制剂提供了一种天然、经济、方便的治疗选择,具有更好的耐受性和更少的副作用。本研究的目的是开发和评估由红毛丹、红赭石、乳香、樟脑、白芷和芒果姜制成的草药利普粉可能具有的消炎、止痛和消肿特性。之所以选择这些植物作为民族医药应用,是因为它们具有消肿、止痛和抗炎的功效。将不同的植物研磨成细粉,然后按照适当的比例混合,制成草药利普粉。为了评估粉末的体积密度、流动特性和粒度分布,进行了物理化学表征。此外,还对粉末的颜色、质地和气味进行了定性检测。结果发现,所制备的草药利普粉的理化参数良好,表明其适合局部用药。这些粉末还表现出良好的感官特性,提高了应用的可接受性。虽然这项研究不包括临床或临床前研究,但其结果为今后研究草药利普粉在治疗疼痛和炎症方面的疗效和安全性奠定了基础。总的来说,制作和评估这些草药利普粉的过程表明,在创造治疗炎症疾病的天然疗法领域大有可为。
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引用次数: 0
A review on liver enzymes as useful biomarker to evaluate the effects of pesticides on freshwater fish 关于肝酶作为评估农药对淡水鱼影响的有用生物标志物的综述
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0405
Girijesh Shukla
Contaminated freshwater through the enormous use of toxicants like pesticides is unsafe for consumption, affecting public health, fishing, tourism, and the environment. Pesticide toxicity is a global issue, with most poisoning occurring in developing countries. Pesticides disturbed ecological equilibrium and have an adverse effect on a variety of creatures, which has major effects on aquatic ecosystem. They have the ability to directly poison fish and other aquatic invertebrates, impairing their ability to breathe. Pesticides can enter aquatic environments through runoff from agricultural fields, posing significant risks to aquatic life. Chemicals from pesticides, such as lead or copper, contaminate water bodies, and affect fish and other non-targeted species including human health too. Because of cumulative qualities of different synthetic pesticides they circulate in ecosystems and may be accumulated by various living organisms and even migrate through food chains and alter the functioning of different organs of living organism. Fish covered a major part of worlds food supply hence it is essential to secure the health of fish. Biomarker studies can inform regulatory decisions regarding pesticide use and environmental protection. The liver, the most important organ of essential metabolic pathways, is negatively affected by toxic chemicals. Liver enzymes like ALP, ACP, AST, and ALT enzymes serve as vital biomarkers for assessing pesticide impacts on fish liver and blood. Monitoring changes in these enzyme activities can provide valuable insights into fish populations' health status and the overall environmental impact of pesticide use. A comprehensive understanding of how liver enzymes in freshwater fish can be used as biomarkers to assess pesticide impacts is needed to protect aquatic ecosystems from pesticide contamination. Changes in species composition, community organization, and diminished resilience to environmental stressors are examples of long-term ecological consequences. Integrated strategies, such as better pesticide management techniques, are needed to mitigate these effects.
由于大量使用杀虫剂等有毒物质,淡水受到污染,不能安全饮用,影响了公众健康、渔业、旅游业和环境。农药中毒是一个全球性问题,大多数中毒事件发生在发展中国家。农药扰乱了生态平衡,对多种生物产生不利影响,对水生生态系统造成重大影响。它们能够直接毒害鱼类和其他水生无脊椎动物,损害它们的呼吸能力。杀虫剂会通过农田径流进入水生环境,对水生生物构成重大风险。农药中的化学物质,如铅或铜,会污染水体,影响鱼类和其他非目标物种,包括人类健康。由于不同合成杀虫剂的累积特性,它们会在生态系统中循环,并可能被各种生物体积累,甚至通过食物链迁移,改变生物体不同器官的功能。鱼类是世界食物供应的主要部分,因此确保鱼类健康至关重要。生物标志物研究可为农药使用和环境保护方面的监管决策提供信息。肝脏是重要代谢途径中最重要的器官,会受到有毒化学品的负面影响。ALP、ACP、AST 和 ALT 等肝酶是评估农药对鱼类肝脏和血液影响的重要生物标志物。监测这些酶活性的变化可以为了解鱼类种群的健康状况和农药使用对环境的总体影响提供有价值的信息。要保护水生生态系统免受农药污染,就必须全面了解淡水鱼肝脏酶如何用作评估农药影响的生物标志物。物种组成、群落组织的变化以及对环境压力的适应能力减弱都是长期生态后果的例子。需要采取综合策略(如更好的农药管理技术)来减轻这些影响。
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引用次数: 0
Development and characterization of Decitabine Niosomes 地西他滨新药的开发和特征描述
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0445
Buruju Vennela, Arumugam Siva Kumar, Kassa Jyothi, Arumugam Yasodha
The present study was focused on formulating and evaluating Decitabine containing niosomes formulation for In Vitro studies. Niosomal formulations were prepared by using different ratio of surfactant (Tween 80 and Tween 20) and cholesterol by thin film hydration method and were evaluated for In Vitro characteristics, stability studies. Span 20 containing niosomal formulation displayed highest entrapment efficiency with desired particle size. SEM analyses showed that niosomal formulation was spherical in shape. Niosomes containing Tween 20 displayed higher percentage of drug release after 8 h as compared to other formulations. F-7 formulation was found to be stable at the end of the study on storage condition. The present study suggested that niosomal formulations provide sustained and prolonged delivery of drug with enhance bioavailability.
本研究的重点是为体外研究配制和评估含有地西他滨的niosomes配方。使用不同比例的表面活性剂(吐温 80 和吐温 20)和胆固醇,通过薄膜水合法制备了niosomal 配方,并对其进行了体外特性和稳定性研究。含有吐温 20 的niosomal 配方显示出最高的吸附效率和理想的粒度。SEM 分析表明,niosomal 配方呈球形。与其他制剂相比,含吐温 20 的尼索莫制剂在 8 小时后的药物释放率较高。在研究结束时,发现 F-7 配方在储存条件下是稳定的。本研究表明,含糖体制剂可持续和延长给药时间,提高生物利用率。
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引用次数: 0
Integrating business analytics in healthcare: Enhancing patient outcomes through data-driven decision making 将业务分析融入医疗保健:通过数据驱动决策提高患者疗效
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0436
Mojeed Dayo Ajegbile, Janet Aderonke Olaboye, Chikwudi Cosmos Maha, Geneva Tamunobarafiri Igwama, Samira Abdul
This review paper explores the integration of business analytics in healthcare, focusing on its role in enhancing patient outcomes through data-driven decision-making. Key impact areas include improved diagnostic accuracy, personalized medicine, and operational efficiency. The paper also addresses data privacy challenges, quality, and organizational resistance. Emerging technologies such as AI, machine learning, and big data analytics are highlighted as transformative tools for healthcare innovation. Strategic recommendations emphasize the need for robust technical infrastructure, workforce training, and supportive policy frameworks. The conclusion underscores the potential of business analytics to revolutionize healthcare by enabling more informed, efficient, and patient-centered care.
这篇综述论文探讨了业务分析在医疗保健领域的整合,重点关注其在通过数据驱动决策提高患者治疗效果方面的作用。主要影响领域包括提高诊断准确性、个性化医疗和运营效率。本文还讨论了数据隐私挑战、质量和组织阻力等问题。人工智能、机器学习和大数据分析等新兴技术被强调为医疗创新的变革工具。战略建议强调需要强大的技术基础设施、劳动力培训和支持性政策框架。结论强调了商业分析的潜力,即通过实现更加知情、高效和以患者为中心的护理,彻底改变医疗保健。
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引用次数: 0
Eucalyptus emulgel: A novel formulation with analgesic properties 桉树凝胶:具有镇痛特性的新型配方
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0394
Aditi Anand Kasture, Vaishnavi Shrinivas Gone, Rakesh Rajshekhar Gore
Emulgels have emerged as a promising topical drug delivery system for the delivery of hydrophobic drug via skin. The objective of the study was to prepare eucalyptus emulgel. When we are preparing a emulsion individually shows stability problems during manufacturing and storage that effects on drug release pattern. In order to increase the drug stability, we incorporate it as emulgel. Emulgel is a thermodynamically stable formulation with low interfacial tension that is made by combining a surfactant and a co-surfactant and has several properties such as increased permeability and good thermodynamic stability. Emulgel has a dual control and a sustained release pattern. Emulgel improves bioavailability as well as patient compliance. This emulgel prepared as an analgesic, which satisfies all the testing parameters. The emulgel was produced in various batches of which F3 if found to be effective one.
在通过皮肤输送疏水性药物方面,乳胶已成为一种前景广阔的局部给药系统。这项研究的目的是制备桉树乳胶。当我们制备乳液时,在生产和储存过程中会出现稳定性问题,从而影响药物的释放模式。为了提高药物的稳定性,我们将其制成了乳胶。乳胶凝胶是一种热力学稳定的制剂,具有较低的界面张力,由表面活性剂和辅助表面活性剂混合制成,具有多种特性,如渗透性增加和良好的热力学稳定性。Emulgel 具有双重控制和持续释放模式。Emulgel 提高了生物利用度和患者的依从性。这种镇痛凝胶符合所有测试参数。已生产出不同批次的镇痛凝胶,其中 F3 为有效批次。
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引用次数: 0
A study to assess the effectiveness of self-instructional module on knowledge regarding effect of lifestyle on cardio pulmonary system among adults working in selected institute, Mangalore 一项研究,旨在评估在芒格洛尔选定研究所工作的成年人自学模块在了解生活方式对心肺系统的影响方面的效果
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0391
Soumya Sebastian, Ashwin bromeo j
Sedentary lifestyles, marked by prolonged sitting and low physical activity, are linked to various health issues such as coronary artery diseases, hypertension, obesity, and diabetes. This study aims to evaluate the effectiveness of a self-education module on the impact of lifestyle on the cardiopulmonary system among adults workers, highlighting the need for better health education and lifestyle changes. Objectives of the study: To determine the level of knowledge regarding effect of life style on cardio pulmonary system. To evaluate the effectiveness of self instructional module on level of knowledge regarding effect of life style on cardio pulmonary system. Methodology: The study aimed to assess the effectiveness of SIM in enhancing knowledge about lifestyle effects on cardiopulmonary system among adult workers. A one-group pre-test – post-test design was used, with 60 adults from a selected global institution in Mangalore selected. Data was collected using a structured knowledge questionnaire and analyzed using descriptive and inferential statistics. Result: The study found that 98.3% of adult workers had moderate knowledge about lifestyle's impact on the cardiopulmonary system, while 46.7% had adequate knowledge post-test. The self-instruction module significantly improved knowledge scores, and no association was found between pre-test knowledge scores and demographic variables. Conclusion: The study suggests that introducing lifestyle effects on cardiopulmonary system among adult workers can improve their knowledge and reduce occupational stress. The self-instructional module was found to be an effective strategy, providing information and enhancing knowledge about lifestyle modifications, without any association with pre-test knowledge scores or demographic variables.
久坐不动的生活方式以长时间坐着和运动量少为特征,与冠心病、高血压、肥胖症和糖尿病等各种健康问题有关。本研究旨在评估关于生活方式对成年工人心肺系统影响的自我教育模块的有效性,突出强调更好地开展健康教育和改变生活方式的必要性。研究目的确定有关生活方式对心肺系统影响的知识水平。评估自我指导模块对生活方式对心肺系统影响知识水平的有效性。研究方法:研究旨在评估自学模块在提高成年工人关于生活方式对心肺系统影响的知识水平方面的效果。研究采用了单组前测-后测设计,从芒格洛尔一家选定的全球机构中挑选了 60 名成人。使用结构化知识问卷收集数据,并使用描述性和推论性统计进行分析。结果研究发现,98.3% 的成年工人对生活方式对心肺系统的影响了解一般,而 46.7% 的人在测试后有足够的了解。自学模块明显提高了知识得分,而测试前的知识得分与人口统计学变量之间没有关联。结论研究表明,向成年工人介绍生活方式对心肺系统的影响可以提高他们的知识水平,减轻职业压力。研究发现,自学模块是一种有效的策略,它提供了有关改变生活方式的信息并增强了相关知识,但与测试前的知识得分或人口统计学变量没有任何关联。
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引用次数: 0
Recent updates on the safety of neurosurgery during the COVID-19 pandemic COVID-19 大流行期间神经外科手术安全性的最新进展
Pub Date : 2024-07-30 DOI: 10.30574/wjbphs.2024.19.1.0389
Younes Ghasemi, Fatemeh Afrazeh, Mostafa Shomalzadeh, Sahar Rostamian, Hossein. Abbasi
The coronavirus 2019 (COVID-19), caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2- 2), is highly contagious and has disastrous healthcare systems worldwide. Medical personnel are at a high risk of becoming infected with viruses; therefore, knowing what personal protective equipment (PPE) to use in each situation is critical. Furthermore, elective clinics and operations have been reduced to redirect the workforce to the acute specialties battling the outbreak; proper differentiation between patients who require immediate care and those who can be seen over the phone or whose treatment can be postponed is thus critical. Because Iran was one of the first and worst-affected countries, the Iranian Ministry of Health and Education has issued particular recommendations based on consensual best practices and, where available, literature. Only emergency surgical procedures are indicated, and all patients should be examined at least twice before surgery (on days 4 and 2). Procedures for positive patients should be postponed until the nasopharyngeal swab test is negative. Filtering facepiece 3 (FFP3) and/or powered air-purifying respirator (PAPR) devices, goggles, full-face visor, double gloves, water-resistant gowns, and protective caps are all required if the procedure is critical to the patient's survival. It is advised that negative patients utilize at most minuscule an FFP2 mask. Drills should never be used because they enhance the aerosolization of potentially infectious mucous particles. The manipulation of the dura should be minimized due to the probable neurotropism of SARS-CoV-2. We will be able to deal with the evolving and intricate implications of this new pandemic only through generally agreed-upon protocols and coordination.
由严重急性呼吸系统综合征-冠状病毒 2(SARS-CoV-2-2)引起的 2019 年冠状病毒(COVID-19)具有高度传染性,给全球医疗系统带来灾难性影响。医务人员感染病毒的风险很高;因此,了解在各种情况下应使用何种个人防护设备(PPE)至关重要。此外,为了将医务人员重新分配到与疫情作斗争的急症专科,选择性门诊和手术已经减少;因此,正确区分需要立即治疗的病人和可以通过电话就诊或可以推迟治疗的病人至关重要。由于伊朗是首批受影响最严重的国家之一,伊朗卫生和教育部根据共识的最佳做法和现有文献发布了特别建议。只有紧急外科手术才适用,所有患者在手术前至少应接受两次检查(第 4 天和第 2 天)。阳性患者的手术应推迟到鼻咽拭子检测呈阴性后进行。如果手术对患者的存活至关重要,则必须佩戴过滤式面罩 3 (FFP3) 和/或动力空气净化呼吸器 (PAPR)、护目镜、全面罩、双层手套、防水服和防护帽。建议阴性患者最多使用微型 FFP2 面罩。切勿使用钻孔机,因为钻孔机会增加潜在感染性粘液微粒的气溶胶量。由于 SARS-CoV-2 可能具有神经传导性,因此应尽量减少对硬膜的操作。只有通过普遍认同的规程和协调,我们才能应对这种新流行病不断演变和错综复杂的影响。
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引用次数: 0
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