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THE LONELINESS OF THE “WILD HEART”: CONSIDERATIONS ABOUT THE PSYCHIC PAIN IN THE WORK OF CLARICE LISPECTOR “野性之心”的孤独:关于克拉丽斯·利斯佩克特作品中的精神痛苦的思考
Pub Date : 2019-03-01 DOI: 10.14295/AIMJ.V3I5.55
Pedro Walisson Gomes Feitosa, M. O. Aragão, P. Cunha, Heloísa Fernandes Caraca, Fabio Gomes de Oliveira, Yasmin de Alencar Grangeiro, M. Neto
Abstract: The book ‘Near to The Wild Heart’ was the first novel of the writer Clarice Lispector, it tells the story of Joana, a character that since childhood shows herself provocative, questioner and uncertain of self and from the own world. Lispector’s character reveals, since the first phrases from the book, a suffering for something that her own can’t understand. A silent and constant pain. It remained for the character, in the meantime, to wait. We seek to analyze the descriptions about the suffering of the character, associating with the psychosocial representation of the woman in the work of Clarice as a representative of The Generation of 45. This article followed a method of documentary analysis, using, in addition to Lispector’s masterpiece, bibliographic studies related to the themes of the research. The character Joana faces a discomfort of imprecise location and undefined location. Yet, a suffering that transgress in time. A wild time is drawn in the work, in which Joana lives in streams of events.  The work is a rupture of linearity. The childhood wouldn’t be only a memory of the character, but the own present alive. We highlight as a latent difficulty the reduced amount of research in this methodological line that could contribute to the inferences about the literary work of Lispector. Certainly Joana faces a process until then unrecognizable in Brazilian literature: the pain of the lack of the “I”. Knowing that something is missing and awaiting the revelation of this lack in silence, reverberates in the character a psychic pain. Keywords: Clarice Lispector, Literature, Psychology, Mental health.
摘要:《接近狂野的心》是作家克拉丽斯·利斯佩克特的第一部小说,它讲述了乔安娜的故事,乔安娜从小就表现出对自己和自己的世界充满挑战、质疑和不确定的性格。从书中开头的几句话开始,利斯佩克特的角色就显露出一种自己无法理解的痛苦。一种无声而持续的痛苦。与此同时,角色还得等待。我们试图分析对人物苦难的描述,并将其与克拉丽斯作品中女性的社会心理表征联系起来,克拉丽斯是45岁一代的代表。本文采用文献分析的方法,除了使用利斯佩克特的杰作外,还使用了与研究主题相关的书目研究。角色Joana面临着不精确的位置和不确定的位置的不适。然而,一种越界的痛苦。作品描绘了一个狂野的时代,乔安娜生活在一连串的事件中。这部作品打破了线性。童年将不仅仅是角色的记忆,而是自己活生生的现在。我们强调,作为一个潜在的困难,减少了研究的数量,在这个方法学路线,可以有助于对利斯佩克托的文学作品的推论。毫无疑问,乔安娜面临着巴西文学中从未有过的过程:缺乏“我”的痛苦。知道自己缺少了什么,并在沉默中等待这种缺失的启示,这在角色身上回荡着一种精神上的痛苦。关键词:克拉丽斯·利斯佩克特,文学,心理学,心理健康
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引用次数: 0
MORGAGNI HERNIA AS A DIFFERENTIAL DIAGNOSIS IN AN ADULT: A CASE REPORT 成人Morgagni疝的鉴别诊断:1例报告
Pub Date : 2019-02-07 DOI: 10.14295/AIMJ.V3I5.53
E. A. Nóbrega, Cicera Yolanda dos Santos Araújo, M. Araújo, L. Costa, A. Gomes, L. Torres, H. M. T. Batista
 Abstract: Morgagni Hernia (MH) is a defect between the transverse septum and the sternum, failing the fusion of the sternal and costal parts of the muscle, representing 3 to 4% of the hernia’s diaphragmatic lesions of congenital origin. It is present in 90% of the cases on the right side, 8% on the left side and 2% on the bilateral side. The aim of this article is to report a case on late presentation of MH and to emphasize the importance of this pathology to be analyzed with differential diagnosis in patients with respiratory symptoms. The subject is a patient, male, 62 years old, truck driver, married, with history of dyspnea on medium exertion and mild chest discomfort from 2 years. After 1 year of these symptoms, he evolved with major dyspnea on minor exertion, intense chest pain, without improvement with analgesics or with body positions, making it difficult to perform his usual activities as work and leisure. Multislice Computed Tomography of the Thorax, which showed: diaphragmatic hernia in the left hemithorax, with a ring/diaphragmatic fault located in the anterior and medial pericardial third, and an intrathoracic hernia, notably in the base and middle third in the anterior, lateral and posterior regions, with contents mesenteric and intestinal. The patient underwent thoracotomy in the sixth left intercostal space. A large amount of omentum, transverse colon, stomach, pulmonary atelectasis and small pleural effusion were found. The omentum resection was performed, located hernial ring in the antero-medial portion of the diaphragm, reduction of the hernia, placement of the Malex mesh and apposition of two anterior and posterior thoracic drains. Reports of patients initially diagnosed with pneumonia or treated as chronic dyspeptic, who progressed to intestinal necrosis, respiratory failure or other complications due to late diagnosis, emphasize the relevance of the knowledge of MH as a differential diagnosis of respiratory and gastrointestinal symptoms. 
摘要Morgagni疝(Morgagni Hernia, MH)是横隔和胸骨之间的一种缺损,胸骨和肋部肌肉无法融合,占先天性膈疝病变的3% ~ 4%。90%的病例出现在右侧,8%出现在左侧,2%出现在双侧。本文的目的是报告一个晚期出现MH的病例,并强调在有呼吸道症状的患者中分析这种病理与鉴别诊断的重要性。受试者是一名患者,男,62岁,卡车司机,已婚,中等用力时呼吸困难,轻度胸部不适2年。出现这些症状1年后,患者出现轻微用力时的严重呼吸困难,剧烈胸痛,使用镇痛药或体位均未改善,难以进行日常工作和休闲活动。胸部多层螺旋ct显示:左半胸膈疝,位于心包前部和内侧三分之一处有环状/膈断层,胸内疝,主要位于前、外侧和后区域的基底和中三分之一处,内容物为肠系膜和肠。患者在左侧第六肋间隙行开胸术。发现大量网膜、横结肠、胃、肺不张及少量胸腔积液。行大网膜切除术,将疝环定位于膈前内侧部分,复位疝,放置Malex补片,并连接胸前后两段引流管。最初诊断为肺炎或治疗为慢性消化不良的患者,由于诊断较晚而进展为肠坏死、呼吸衰竭或其他并发症的报告,强调了MH知识作为呼吸道和胃肠道症状鉴别诊断的相关性。
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引用次数: 0
HEREDITARY FRUCTOSE INTOLERANCE IN A PEDIATRIC CONTEXT 遗传性果糖不耐症在儿科背景下
Pub Date : 2018-11-29 DOI: 10.14295/AIMJ.V3I5.51
L. Parente, R. E. L. T. Parente, M. L. Telles, Maria das Graças Nascimento Silva
Carbohydrate intolerance is relatively common in childhood, but its diagnosis and management are still quite precarious. Hereditary fructose intolerance (HFI) is an autosomal recessive disease that results in deficiency of the enzyme aldolase B, which contributes to the onset of gastrointestinal and metabolic symptoms, triggered by the ingestion of foods high in fructose, sucrose or sorbitol. Methodology: For the accomplishment of such a study a search of the literature was done from August to September of the year 2018 with publication period of a maximum of 10 years. The theoretical reference was elaborated through the collection of relevant scientific articles on the subject, made in the electronic databases: Scientific Electronic Library Online (SciELO), Pubmed, EBSCOhost and CAPES, from descriptors generated by DeCS: "Fructose Intolerance"; "Child" and its correspondents in English. Thus, 81 articles were obtained and, from the title of the literature and its abstracts, were used. 19 Ademias, articles that were related to the topics covered in this study or whose sample was not composed by humans were also discarded. The diagnosis of HFI is based on the suggestive clinical picture initiated after the ingestion of the fructose, sucrose and sorbitol already mentioned, associated with the use of invasive and noninvasive examinations, but the confirmation is based on the response to the improvement of the symptoms after the restriction of the ingestion of such food, which constitutes the best therapy. Conclusion: Based on the consequences of inadequate management of HFI, it is of fundamental importance that the affected children have an early diagnosis, associated with an adequate nutritional monitoring, which enables an improvement in the quality of life of these individuals, besides preventing important repercussions such as renal and hepatic impairment. Keywords: Hereditary Intolerance to Fructose, Child and Diet
碳水化合物不耐症在儿童中比较常见,但其诊断和治疗仍相当不稳定。遗传性果糖不耐受(HFI)是一种常染色体隐性遗传病,导致醛缩酶B缺乏,这有助于胃肠道和代谢症状的发作,由摄入富含果糖、蔗糖或山梨醇的食物引起。方法:为了完成这项研究,检索了2018年8月至9月的文献,出版期最长为10年。理论参考是通过收集有关该主题的相关科学文章来阐述的,这些文章来自电子数据库:科学电子图书馆在线(SciELO)、Pubmed、EBSCOhost和CAPES,来自DeCS生成的描述词:“果糖不耐受”;“孩子”及其英文对应词。因此,获得了81篇文章,并使用了文献标题及其摘要。此外,与本研究所涵盖的主题相关的文章或其样本不是由人类撰写的文章也被丢弃。HFI的诊断是基于摄入上述果糖、蔗糖和山梨醇后的提示性临床图像,并结合使用有创性和无创性检查,但确认是基于限制摄入这些食物后症状改善的反应,这是最好的治疗方法。结论:基于对HFI管理不当的后果,受影响儿童的早期诊断以及适当的营养监测是至关重要的,这除了可以预防肾和肝损害等重要后果外,还可以改善这些人的生活质量。关键词:遗传性果糖不耐受,儿童与饮食
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引用次数: 0
EPITHELIAL NEOPLASMS OF THE CECAL APPENDIX 盲肠阑尾上皮性肿瘤
Pub Date : 2018-11-17 DOI: 10.14295/AIMJ.V3I5.52
L. Costa, M. Araújo, H. M. T. Batista, E. A. Nóbrega, Anna Clara Carvalho Curvina Costa de Araújo, Cicera Yolanda dos Santos Araújo
Cecal appendix carcinoma is characterized as an extremely rare condition and is found in only 1% of appendectomies and accounts for only 0.5% of neoplasms of the intestinal tract. The aim of the study is to discuss Appendix Carcinomatosis by presenting a case of Cecal Appendix Epithelial Neoplasm seen during the Surgery Residence. Keywords: Appendix Vermiformis, Acute Abdomen, Appendix Neoplasm.
盲肠阑尾癌是一种极其罕见的疾病,仅在1%的阑尾切除术中发现,仅占肠道肿瘤的0.5%。本研究的目的是通过介绍一例在外科住院期间看到的盲肠阑尾上皮肿瘤来讨论阑尾癌病。关键词:蚓状阑尾,急腹症,阑尾肿瘤
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引用次数: 0
SIMULATIOM BASED EDUCATION AS TOOL IN EMERGENCY MEDICINE: A SYSTEMATIC REVIEW 以模拟为基础的急救医学教育:系统回顾
Pub Date : 2018-11-11 DOI: 10.14295/AIMJ.V3I5.50
Gabriel Pereira Bernardo, L. Bernardo, Maria Mirelle Ferreira Leite Barbosa, Tarcia Januário do Nascimento, Nathalia L. Queiroz, L. Pezzi, Sérgio De Araúlo, H. M. T. Batista
INTRODUCTION: Realistic simulation is increasingly present in academic curricula. The traditional method of teaching is being gradually replaced by new methodological approaches, which reliably reproduce real situations and produce technical knowledge and skills in medical students in the medical emergency.Realistic simulation is increasingly present in the academic curriculum. The traditional method of teaching is being gradually replaced by new methodological approaches, which reliably reproduce real situations and produce technical knowledge and skills in medical students in the medical emergency. The aim of this study was to carry out a systematic review of articles on realistic simulation as an educational tool in emergency medicine. A systematic review of articles on realistic simulation as an educational tool in emergency medicine, published in the corresponding period from January 1th, 2014 to October 28, 2018, was carried out in the SCOPUS database. The keywords were "simulation training", "medical students" and "emergency medicine". The research strategy resulted in 124 references. After the search for the title and summary of the citations considered for eligibility based on the inclusion criteria of the study, 106 articles were excluded, and 18 articles were retrieved and included in the final sample. The studies were distributed in 5 categories to better systematic review of the organizational quality, they are: Realistic simulation associated with the ultrasonography in the emergency; Realistic simulation and electronic devices; The effectiveness of realistic simulation in resource optimization; Impact of simulated training on student confidence; Realistic simulation as a tool in the development of skills and knowledge. This study presents the main aspects of realistic simulation as an educational tool in emergency medicine. It can be concluded that this new teaching approach has several benefits for students to learn, such as: stimulating students in the learning process, retaining technical skills in procedures, providing a safe environment for users to repeat optimization of time and financial resources.Keywords: realistic simulation, emergency medicine, educational, systematic review
简介:现实模拟越来越多地出现在学术课程中。传统的教学方法正逐渐被新的方法方法所取代,这些方法可靠地再现了真实情况,并在医疗紧急情况下为医学生提供了技术知识和技能。现实模拟越来越多地出现在学术课程中。传统的教学方法正逐渐被新的方法方法所取代,这些方法可靠地再现了真实情况,并在医疗紧急情况下为医学生提供了技术知识和技能。本研究的目的是对急诊医学中作为教学工具的现实模拟的文章进行系统的回顾。对SCOPUS数据库中2014年1月1日至2018年10月28日同期发表的关于现实模拟作为急诊医学教学工具的文章进行系统综述。关键词为“模拟训练”、“医学生”和“急诊医学”。研究策略产生124篇参考文献。在根据研究的纳入标准检索合格引文的标题和摘要后,106篇文章被排除,18篇文章被检索并纳入最终样本。为了更好地系统评价组织质量,研究分为5类,分别是:与急诊超声检查相关的真实模拟;逼真的仿真和电子设备;真实感仿真在资源优化中的有效性模拟训练对学生自信心的影响将逼真的模拟作为开发技能和知识的工具。本研究提出了现实模拟作为急诊医学教育工具的主要方面。可以得出结论,这种新的教学方式对学生的学习有几个好处,如:在学习过程中激励学生,在程序中保留技术技能,为用户提供一个安全的环境,以重复优化时间和财力。关键词:现实模拟;急诊医学;教育
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引用次数: 2
CONSIDERATIONS ON REFUGEE WOMEN IN BRAZIL 关于巴西难民妇女的考虑
Pub Date : 2018-11-05 DOI: 10.14295/AIMJ.V3I5.47
Elysyana Barros Moreira, J. G. Júnior, André Luis Sant´Anna, Antonio Marlos Duarte de Melo, A. Farias, Bárbara Maria Moreira Dante Santaguida, Gisanne de Oliveira Marinho
Throughout history, women have been facing several situations of disregard for basic human rights. In times where entire populations are forced to leave their homes and countries to achieve protection and a minimum condition for survival, as in the case of armed conflicts and political crises, gender relations become even more evident, as women are easy targets of physical and psychological aggression. In these times of greater scarcity of basic resources, they are responsible for caring for the most vulnerable families, the elderly and children. The countries of origin of the refugees - Syria, Iraq, Venezuela, among others – also face problems like inequality and patriarchalism. Refugees are sometimes subjected to sexual violence and, in order to protect themselves, are also forced to marry as children, for instance. These women and girls are not generally seen as human beings but as objects of exchange and weapons of war. It is necessary for international authorities to guarantee protection, shelter and care for refugee women without being required in return for such needed assistance.
纵观历史,妇女一直面临着无视基本人权的情况。在整个人口被迫离开家园和国家以获得保护和最低生存条件的情况下,例如在武装冲突和政治危机的情况下,性别关系变得更加明显,因为妇女很容易成为身体和心理侵略的目标。在这些基本资源更加匮乏的时代,他们负责照顾最脆弱的家庭、老人和儿童。难民的原籍国——叙利亚、伊拉克、委内瑞拉等国——也面临着不平等和父权制等问题。难民有时遭受性暴力,例如,为了保护自己,他们还被迫在儿童时期结婚。这些妇女和女孩通常不被视为人类,而是被视为交换的对象和战争的武器。国际当局必须保证对难民妇女提供保护、住所和照顾,而不要求她们以这种必要的援助作为回报。
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引用次数: 1
STRATEGIES FOR INTERNATIONALIZATION OF SCIENTIFIC JOURNALS 科技期刊国际化的策略
Pub Date : 2018-11-05 DOI: 10.14295/AIMJ.V3I5.49
A. Farias
The use of English language as an exclusive or partial in publications of articles in journals has increased the debate in the various areas of knowledge, although the aim is to maximize the international dissemination of research and, consequently, the journals themselves. In 2016, the scientific journal Amadeus International Multidisciplinary Journal, opens its first volume with the aim of enable the publication of scientific works in the most diverse areas of knowledge. Since its inception, there has been a great demand regarding the Health field of research. Even though this journal has highlighted also works in different areas.
虽然其目的是最大限度地在国际上传播研究成果,从而扩大期刊本身,但在期刊文章的独家或部分出版物中使用英语,增加了各知识领域的辩论。2016年,科学期刊《艾玛迪斯国际多学科期刊》(Amadeus International Multidisciplinary journal)出版了第一卷,目的是在最多样化的知识领域发表科学著作。自成立以来,对健康领域的研究有很大的需求。尽管这本杂志强调了不同领域的工作。
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引用次数: 0
THE IMPORTANCE OF NEUROPSYCHOLOGICAL ASSESSMENT IN THE DIAGNOSIS OF DEMENTIA IN THE ELDERLY 神经心理学评估在老年痴呆诊断中的重要性
Pub Date : 2018-11-05 DOI: 10.14295/AIMJ.V3I5.46
Pedro Antonio Gomes Maciel, Renata da Silva Adonias Dantas, Jussara Evila Pinheiro Bastos, André Luis Sant´Anna, Raimunda Tânia Pinheiro de Oliveira, H. M. T. Batista
The causes of forgetfulness episodes in the elderly can occur for a variety of reasons, among which we highlight the presence of dementia, which can negatively infer senile cognition, memory, language and communication. Dementia is a condition in which the individual loses part of the brain functions, causing neurological deficits that directly affect his quality of life. This study discusses the importance of Neuropsychological Assessment as a fundamental tool for the diagnosis of degenerative disease, before the complaints of oblivion related to the advancing age. The results indicated that the use of this method of examination can indicate the therapeutic intervention in an adequate time, allowing the improvement of the quality of life for the elderly. 
老年人健忘发作的原因有多种,其中我们强调痴呆的存在,它会对老年人的认知、记忆、语言和沟通产生负面影响。痴呆症是一种个体失去部分大脑功能,导致神经功能缺陷,直接影响其生活质量的疾病。本研究讨论了神经心理学评估作为退行性疾病诊断的基本工具的重要性,在与老年相关的遗忘投诉之前。结果表明,使用这种检查方法可以在适当的时间指示治疗干预,从而提高老年人的生活质量。
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引用次数: 1
ADENOCARCINOMA OF COLON AND RENAL CARCINOMA OF CLEAR SYNCHRONIC CELLS: A CASE REPORT 透明同步细胞的大肠癌和肾癌1例
Pub Date : 2018-11-05 DOI: 10.14295/AIMJ.V3I5.48
M. T. D. Sousa, Antonio Taumaturgo Sampaio Macêdo, Marco Antônio Bezerra Rolim, Roberto de Souza Mendonça, José Carlos S Silva, A. C. Neto, Isabelita de Luna Batista, H. M. T. Batista
This study reported the case of a patient with a diagnosis of colonic and renal synchronic tumors: Moderately differentiated adenocarcinoma of sigmoid and renal carcinoma of the synchronic clear cell variant in a 66-year-old female patient who were surgically resected in a single approach in an Oncology service in the interior of the State of Ceará, Brazil. For data collection, records of the medical record, interview with the patient and the surgeon responsible for the case, photographic record of the diagnostic methods to which the patient was submitted, and literature review were used. It followed all the ethical principles established by law 466/2012. From this study it was concluded that: a) the incidence of colorectal cancer and synchronic renal cell carcinoma ranges from 0.03 to 4.85% in the analyzed literature, b) risk factors for synchronic tumors include genetic and environmental factors; c) renal cell carcinoma is usually diagnosed by performing preoperative tests for staging of abdominal carcinomas. Still, large prospective studies are necessary to define the best therapeutic strategy, however, some authors have confirmed that simultaneous laparoscopic resection of both neoplasms is possible and presents low morbidity and mortality. Keywords: synchronic tumor, colon cancer, renal cancer.
本研究报告了一例被诊断为结肠和肾脏同步肿瘤的患者:一名66岁的女性患者,乙状结肠中度分化腺癌和肾癌的同步透明细胞变异,在巴西塞埃尔州内部的肿瘤服务部门通过单一途径手术切除。在数据收集、病历记录、与患者和负责病例的外科医生的访谈、患者提交的诊断方法的照片记录和文献回顾方面使用。它遵循了第466/2012号法律规定的所有道德原则。本研究得出结论:a)文献分析中结直肠癌和同期肾细胞癌的发生率在0.03% ~ 4.85%之间;b)同期肿瘤的危险因素包括遗传因素和环境因素;C)肾细胞癌通常通过术前检查腹部肿瘤分期来诊断。尽管如此,还需要大量的前瞻性研究来确定最佳的治疗策略,然而,一些作者已经证实,同时腹腔镜切除两种肿瘤是可能的,并且发病率和死亡率都很低。关键词:同期性肿瘤,结肠癌,肾癌。
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引用次数: 0
RELATED ASPECTS OF CLINICAL GENETICS AND RETT SYNDROME EVOLUTION 临床遗传学与rett综合征进化的相关方面
Pub Date : 2018-07-08 DOI: 10.14295/AIMJ.V2I4.39
M. Marx, Tatiana de Menezes, H. M. T. Batista, Luiz Arthur Bevilaqua Bandeira, Antonio Marlos Duarte de Melo, G. Oliveira
Rett syndrome has yielded many articles over the years since its discovery. This is a production that aims to recover some concepts already brought by other authors, to fix the genetic aspect of the affection, as well as the clinical evolution and associated diseases. Methodology: The screen study is the result of consultations in national and international databases, most notably PubMed and Scielo as a source of academic articles. In the consultations we used the following keywords: Rett Syndrome, Mental Deficit, Multiple Deficit, Epileptic Crisis, and Genetics, we still serve three journals: Genomics & Genetics Weekly, Genetic, Social and General Psychology Monographs and Journal of Medical Genetics of the English equivalent as descriptors: Rett Syndrome, Mental Limitation, General Limitation, Epilepsy and Genetics. In our consultation we found 185 articles and of these, we use 32 to compose our bibliographic reference.  Keywords: Rett syndrome. Mental deficiency. Multiple Deficit. Epileptic
自从Rett综合征被发现以来,多年来已经发表了许多文章。这是一部旨在恢复其他作者已经提出的一些概念的作品,以确定情感的遗传方面,以及临床演变和相关疾病。方法:筛选研究是在国家和国际数据库中咨询的结果,最著名的是PubMed和Scielo作为学术文章的来源。在咨询中,我们使用以下关键词:Rett综合征,精神缺陷,多重缺陷,癫痫危机和遗传学,我们仍然提供三种期刊:基因组学与遗传学周刊,遗传,社会和普通心理学专著和医学遗传学杂志的英文等效描述:Rett综合征,精神限制,一般限制,癫痫和遗传学。在我们的咨询中,我们找到了185篇文章,我们用其中的32篇来组成我们的参考书目。关键词:Rett综合征;智力缺陷。多个赤字。癫痫
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引用次数: 1
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Amadeus International Multidisciplinary Journal
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