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Risk Factors of Diarrhoea in Malnourished Children under Age of 5 Years 5岁以下营养不良儿童腹泻的危险因素
Pub Date : 2019-01-01 DOI: 10.37978/tijfs.v3i1.45
Madiha Iftikhar, Z. Ulhaq, Q. Ullah, S. Saleem, A. Hanif
Abstract: Background: Acute infectious enteritis remains one of the commonest causes of death among infants and children in developing countries. Acute enteritis is defined as a loss of stool consistency with pasty or liquid stools, and/or an increase in stool frequency to more than three stools in 24 hours with or without fever or vomiting. Human survival depends on the secretion and reabsorption of fluid and electrolytes in the intestinal tract. The objective of the study is to evaluate the risk factors of diarrhoea in children under age of 5 years. Methodology: It was an observational study. Study was completed in about six months. Non-probability purposive sampling technique was used. In this study, 270 samples were taken from Diarrheal ward of The Children Hospital Lahore, Pakistan. Results: In this study, out of 270 patients, 58.52% were males and 41.48% were females. 90.37% patients were vaccinated. 54.81% had weaning history. 91.85% patients had feeding history. 29.26% had blood in stool. 96.67% patients were dehydrated. 95.56% patients had loose watery diarrhoea. 62.96% patients used boiled water. 58.52% patients consumed less than half litre of water, 30.00% patients consumed 1 litre of water and 11.48% patients consumed > 1 litre of water. 49.18% patients had proper hygiene. 38.15% mothers of patients were well educated. 40.37% patients had model household condition. 57.41% patients lived in rural area and 42.59% patients lived in urban area. Conclusion: The variation in the level of diarrheal morbidity was well explained by maternal education, income, personal hygiene, refuse disposal system and the effect of health extension programme.
摘要:背景:急性传染性肠炎仍然是发展中国家婴儿和儿童最常见的死亡原因之一。急性肠炎的定义是粪便与糊状或液体粪便的稠度丧失,和/或在24小时内大便次数增加到三次以上,伴有或不伴有发烧或呕吐。人类的生存取决于肠道中液体和电解质的分泌和再吸收。该研究的目的是评估5岁以下儿童腹泻的危险因素。方法:这是一项观察性研究。研究在大约六个月内完成。采用非概率目的抽样技术。在这项研究中,270份样本取自巴基斯坦拉合尔儿童医院腹泻病房。结果:在本研究中,270名患者中,58.52%为男性,41.48%为女性。90.37%的患者接种了疫苗。54.81%有断奶史。91.85%的患者有进食史。29.26%的患者大便带血。96.67%的患者脱水。95.56%的患者出现稀水样腹泻。62.96%的患者使用开水。58.52%的患者饮用水少于半升水,30.00%的患者饮用1升水,11.48%的患者饮用超过1升水。49.18%的患者有良好的卫生习惯。38.15%的患者母亲受过良好教育。40.37%的患者具有典型的家庭状况。57.41%的患者生活在农村地区,42.59%的患者居住在城市地区。结论:母亲教育、收入、个人卫生、垃圾处理系统和健康推广计划的效果很好地解释了腹泻发病率水平的变化。
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引用次数: 0
Detection of Single Nucleotide Polymorphism rs2013162 of IRF6 Gene in Patient with Cleft Lip and Palate 唇腭裂患者IRF6基因单核苷酸多态性rs2013162的检测
Pub Date : 2019-01-01 DOI: 10.37978/tijfs.v3i1.46
Husnain Shehzad, Osheen Shehzad
Abstract: Background: Cleft lip and palate are congenital disorders which induce affected individuals medically, socially and psychologically. The objective of this study was to investigate the association of Single Nucleotide Polymorphism(SNP); rs2013162 of IRF6 Gene in Patient with Cleft Lip and Palate. Materials and Methods: Fifty patients with non-syndromic CL/P were included in present study alongwith fifty individuals with no psychiatric history as controls. In all of the these individuals, search for Single nucleotide polymorphism was carried out by designing sequence specific primers. The sequence was amplified by using Real time PCR and products were investigated by visualizing high resolution melting curve upon HRM-PCR. Results: The logistic regression and Hardy-Weinberg equilibrium were applied to investigate the association of IRF6 SNP rs2013162 with disease. Results revealed no association of this polymorphism with non-syndromic CL/P. Conclusion: We found no association of IRF6 SNP rs2013162 in patients with non-syndromic CL/P. Further study is required with larger sample size to validate the findings of the present study in Pakistani population and along with this SNP other polymorphisms of the same gene should be analyzed to find out the association with the non-syndromic CL/P.
摘要/ Abstract摘要:背景:唇腭裂是一种先天性疾病,其影响因素包括医学、社会和心理。本研究的目的是探讨单核苷酸多态性(SNP)的相关性;IRF6基因rs2013162在唇腭裂患者中的表达材料和方法:50例非综合征性CL/P患者与50例无精神病史的个体作为对照。在所有这些个体中,通过设计序列特异性引物来寻找单核苷酸多态性。采用Real - time PCR扩增序列,HRM-PCR高分辨率熔融曲线可视化检测产物。结果:应用logistic回归和Hardy-Weinberg平衡研究IRF6 SNP rs2013162与疾病的相关性。结果显示该多态性与非综合征性CL/P无关联。结论:我们发现IRF6 SNP rs2013162与非综合征性CL/P患者无关联。需要进一步研究更大的样本量来验证本研究在巴基斯坦人群中的发现,并且除了该SNP外,还应分析同一基因的其他多态性,以找出与非综合征性CL/P的关联。
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引用次数: 1
Water: The Elixir of Life 水:长生不老药
Pub Date : 2019-01-01 DOI: 10.37978/tijfs.v3i1.49
M. Aslamkhan
Water is a chemical compound made up of two elements, Hydrogen gas, which is combustible and Oxygen gas, which causes to burn. But the union of two atoms of Hydrogen and one atom of Oxygen results in a colourless and odourless liquid, known as water, which extinguish fire.
水是一种由两种元素组成的化合物,氢气是可燃的,氧气是燃烧的。但是,两个氢原子和一个氧原子的结合产生了一种无色无味的液体,即水,可以灭火。
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引用次数: 0
Frequency of Clinical symptoms of Gastroesophageal Reflux Disease in Asthmatic Patients 哮喘患者胃食管反流病临床症状频度分析
Pub Date : 2019-01-01 DOI: 10.37978/tijfs.v3i1.43
N. Hafeez, Q. Ullah, A. Hanif, Z. Akhtar, M. Umar, R. Rafaqat
Abstract: Background: Gastroesophageal reflex is known as an acid reflex, is long term condition where stomach contents back into the oesophagus resulting in either symptoms or complications. GERD disease is caused by weakness or failure of the lower oesophageal sphincter. Symptoms include the acidic taste behind the mouth, heart burn, chest pain, difficult breathing and vomiting. Complication includes esophagitis, oesophageal strictures and barrettes oesophagus. Objective: The aim of this research was to introduce the symptoms of GERD disease in asthmatic patients and how these symptoms worsen the symptoms of asthma disease and what clinical pictures present with the asthmatic disease. Methodology: A designed performa was used to collect the data and after filling the performa, results were drawn and conclusion through the facts and the information given by patients. Results: In the present study among all 164 asthmatic patients, 70 (42.7%) patients showed dyspepsia, 58 (35.4%) were with chest burning, 23 (14%) were asking about chest pain, with acidic mouth taste were 39 (23.8%), 22 (13.4%) were feeling sore throat and 44 (26.8%) showed regurgitation reflex. Among these 164 patients 16 (9.8%) were smokers and 148 (90.2 %) were non-smokers. 47 (28.7%) were males and 117 (71.3%) were females. Conclusion: It is concluded that gastroesophageal reflux disease in asthmatic patients present symptoms of acidic mouth taste, chest burning, chest pain, dyspepsia, regurgitation reflex and sore throat.
背景:胃食管反射是一种胃酸反射,是胃内容物返食管引起症状或并发症的长期疾病。胃食管反流疾病是由食管下括约肌无力或衰竭引起的。症状包括口腔后的酸味、心脏灼热、胸痛、呼吸困难和呕吐。并发症包括食管炎、食管狭窄和食管发卡。目的:本研究旨在介绍哮喘患者胃反流疾病的症状,以及这些症状如何加重哮喘疾病的症状,以及哮喘疾病的临床表现。方法:采用设计好的表格收集数据,填写表格后,根据事实和患者提供的信息得出结果和结论。结果:本组164例哮喘患者中,有消化不良70例(42.7%),胸痛58例(35.4%),胸痛23例(14%),口腔呈酸性39例(23.8%),喉痛22例(13.4%),反流反射44例(26.8%)。164例患者中吸烟16例(9.8%),不吸烟148例(90.2%)。男性47例(28.7%),女性117例(71.3%)。结论:哮喘患者胃食管反流病主要表现为口腔酸味、胸痛、胸痛、消化不良、反流反射、咽喉痛。
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引用次数: 0
Primary Healthcare 初级保健
Pub Date : 2018-07-01 DOI: 10.37978/tijfs.v2i2.35
Muhammad Imran
One of the most effective and valuable principles to promote health in all countries has been adoption of Primary Health Care (PHC) as a fundamental strategy. In September 1978, an international conference was held in Alma-Ata, whose great achievement was declaring PHC as a roadmap for “Health for All” by the year 2000 (HFA 2000). Indeed, as a new approach beyond the traditional system of health care, PHC insisted on justice in the delivery and distribution of services in the health sector (1).
在所有国家促进健康的最有效和最有价值的原则之一是将初级卫生保健作为一项基本战略。1978年9月,在阿拉木图举行了一次国际会议,会议的伟大成就是宣布初级保健是到2000年“人人享有健康”的路线图(HFA 2000)。事实上,作为传统医疗体系之外的一种新方法,初级保健坚持在卫生部门提供和分配服务时伸张正义(1)。
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引用次数: 12
Frequency of HIV in Obstructive Lung Disease Patients HIV在阻塞性肺病患者中的发病率
Pub Date : 2018-07-01 DOI: 10.37978/tijfs.v2i2.38
W. Ahmed, Q. Ullah, Mughees Ahmed, A. Hanif
AbstractBackground: Obstructive lung disease (OLD) is one of the main causes of mortality and morbidity worldwide. Obstructive lung disease is the narrowing of bronchioles mainly due to excessive smooth muscle contraction. The objective of this study is to evaluate the Frequency of HIV in obstructive lung disease patients.Methodology: Samples were collected randomly, and study was completed in almost six months. 100 samples were taken with an informed consent taken from all the patients. EDTA and Clotted blood was collected for HIV ELISA and HIV screening.Results: In this study, 69% Males and 31%Females, 34% Smokers, 26% patients were Hypertensive, 10% patients were diabetic, 3% patients were diagnosed HIV positive by screening and ELISA.Conclusion: The frequency of HIV in obstructive lung disease patients in this research is not very high as compared to the previous researches, showing high frequency and relationship between HIV and obstructive lung disease patients. The reason behind low frequency is due to low sample size so by increasing the sample size we can get better understanding of frequency of HIV in obstructive lung disease patients. Another reason of insignificant results is low prevalence of HIV in Pakistan as compared to the previous researches in certain countries. 
背景:阻塞性肺病(OLD)是世界范围内死亡和发病的主要原因之一。阻塞性肺病是细支气管变窄的主要原因是平滑肌过度收缩。本研究的目的是评估HIV在阻塞性肺病患者中的发病率。方法:随机采集样本,研究在近六个月内完成。在知情同意的情况下,从所有患者身上采集了100个样本。采集EDTA和凝块血液用于HIV ELISA和HIV筛查。结果:在本研究中,69%的男性和31%的女性、34%的吸烟者、26%的高血压患者、10%的糖尿病患者、3%的患者通过筛查和ELISA诊断为HIV阳性,显示出HIV和阻塞性肺病患者之间的高频率和关系。低频率背后的原因是由于低样本量,因此通过增加样本量,我们可以更好地了解阻塞性肺病患者中HIV的频率。结果不显著的另一个原因是,与某些国家以前的研究相比,巴基斯坦的艾滋病毒流行率较低。
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引用次数: 1
Post-Operative Pain Comparison between Peri-Operative Bupivacaine Infiltration Vs Post-Operative Opioids Analgesics in Patient Undergoing Abdominal Surgery in First 6 Hours 腹部手术患者术前6小时布比卡因浸润与阿片类药物术后镇痛的术后疼痛比较
Pub Date : 2018-07-01 DOI: 10.37978/tijfs.v2i2.39
Syeda Hina Zahra, Q. Ullah, Usman Ali Rehman, A. Hanif, S. Bhatti
Abstract:Background: To compare between opioids and wound infiltration to reduce post-operative painin abdominal surgery in first 6 hours, in appropriate treatment, contraindications of treatment and increase mortality of patients. This article presents novel approach to surgical site infiltration techniques and intravenous opioids for abdominal surgery to reduce pain. The main aim of this study is optimal patient comfort rather than reduce pain intensity, reduction offside effects is also an important goal in pain management.Methodology: Data was collected from surgical department of Gulab Devi Chest Hospital. Duringabdominal surgery bupivacaine was given to some patients while other were managed by postoperative opioids and by using designed performa it is concluded that which one of them is better method for post-operative pain management.Results: This is the descriptive study conducted in Gulab Devi Hospital Lahore.in this study, inthis study minimum age of the patients was 14 and maximum age of the patients was 80. The mean age was 32.16+12.32 years. In this study out of total 100 patients, 18(18.00%) were male patients and 82(82.00%) were females. Female gender predominated in this study. in this study, p-value is 0.00 (<0.05%) so pain relieving chances of bupivacaine infiltration as moderate pain scale were 84% and in distracting pain scale chances in bupivacaine infiltration were 16%.But pain relieving chances of opioids as moderate pain scale were 12.24 % and in distracting pain scale chances in opioids were 87.75%.so peri-operative pain management by bupivacaine infiltration is better than post –operative opioids management in patients undergoing abdominal surgery.Conclusion: According to my research bupivacaine wound infiltration is better method for postoperative pain management in abdominal surgeries. Our study was conducted at Gulab DeviHospital and Services Hospital in an area of pain management by opioids and infiltration, whichmay limit the applications of our findings in area of pain management by opioids and infiltrationprevalence.
摘要:背景:比较阿片类药物与伤口浸润之间的关系,以减少腹部手术后前6小时的疼痛,在适当的治疗中,增加患者的禁忌症和死亡率。本文介绍了一种新的手术部位渗透技术和静脉注射阿片类药物的方法,用于腹部手术以减轻疼痛。本研究的主要目的是优化患者舒适度,而不是降低疼痛强度,减少越位效应也是疼痛管理的一个重要目标。方法:资料来源于Gulab Devi胸科医院外科。在腹部手术期间,一些患者服用了布比卡因,而另一些患者则使用了术后阿片类药物。通过使用设计的性能,可以得出结论,哪一种是更好的术后疼痛管理方法。结果:这是在拉霍雷Gulab Devi医院进行的描述性研究。在本研究中,患者的最小年龄为14岁,最大年龄为80岁。平均年龄32.16+12.32岁。在这项研究中,在总共100名患者中,18名(18.00%)为男性患者,82名(82.00%)为女性患者。在这项研究中,女性占主导地位。在本研究中,p值为0.00(<0.05%),因此布比卡因浸润作为中度疼痛量表的止痛机会为84%,在分散疼痛量表中布比卡因渗透的止痛机会是16%腹部手术患者术后阿片类药物管理。结论:根据我的研究,布比卡因伤口浸润是腹部手术后疼痛管理的较好方法。我们的研究是在Gulab DeviHospital and Services Hospital进行的,涉及阿片类药物和浸润的疼痛管理领域,这可能会限制我们的研究结果在阿片类和浸润流行率疼痛管理领域的应用。
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引用次数: 0
Relationship between the Susceptibility of Salmonella.Typhi to Ciprofloxacin, Ofloxacin and their respective Susceptibility To Nalidixic Acid 沙门氏菌易感性之间的关系。伤寒对环丙沙星、氧氟沙星的敏感性及对萘啶酸的敏感性
Pub Date : 2018-07-01 DOI: 10.37978/tijfs.v2i2.40
N. Bashir, Ali Ahmed, Hashim Raza, M. Imran
Background: Typhoid fever is an important cause of morbidity and mortality in many parts of the world including Pakistan. Resistance to the first line anti typhoid drugs viz chloramphenicol, cotrimoxazole and ampicillin has aggravated this situation. Quinolones are currently used as the first line antityphoid drugs, instead. Fluoroquinolones are currently recommended for patients infected with Typhi. The fluoroquinolones have shown good in vitro as well as clinical activity against Typhi infections.Materials and Methods: It was a comparative cross-sectional conducted at Department of Microbiology UHS, Lahore, Pakistan within one year (January 2011-December 2011). A total of 100 clinical isolates of Typhi were evaluated. ATCC 9150 Paratyphi A was used as a standarad strain. The bacterial isolates were preserved in microbanks (Pro-Lab Diagnostics, UK) and stored at-70˚C during a period of (2007- 2011). Data was analysed through SPSS version 22.Results: Of the 100 isolates, 45 strains were showing MIC ≤ 1µg/ml which means that they were susceptible while 55 strains were intermediate having MIC 2µg/ml. No strain was however, found resistant to ciprofloxacin according as per the CLSI 2011. As per the CLSI 2012 revised ciprofloxacin break points for disc diffusion and MIC for salmonella species. According to CLSI 2012 interpretive criteria, on disk diffusion testing 13 isolates were sensitive, 13 were resistant and 74 were intermediate to ciprofloxacin. On MIC, 55 strains were resistant showing MIC ≥1µg/ml and 45 isolates were intermediate showing MIC 0.125-0.5µg/ml. No isolate was found sensitive to ciprofloxacin according to CLSI 2012 interpretive criteria.Conclusion: In conclusion, the present study showed the value of nalidixic acid susceptibility as an indirect but a certain marker of ciprofloxacin susceptibility. Nalidixic acid resistant showed increased minimum inhibitory concentration (MIC) by agar dilution method.
背景:伤寒是包括巴基斯坦在内的世界许多地区发病率和死亡率的重要原因。对一线抗伤寒药物氯霉素、复方新冠恶唑和氨苄青霉素的耐药性加剧了这种情况。喹诺酮类药物目前被用作一线抗伤寒药物。氟喹诺酮类药物目前被推荐用于伤寒患者。氟喹诺酮类药物在体外表现出良好的抗伤寒感染的临床活性。材料和方法:这是在巴基斯坦拉合尔UHS微生物系一年内(2011年1月至2011年12月)进行的横断面比较。对100个伤寒临床分离株进行了评价。使用ATCC 9150 Paratyphi A作为标准菌株。细菌分离株保存在微生物库中(Pro-Lab Diagnostics,英国),并在70˚C的温度下储存一段时间(2007-2011)。数据通过SPSS 22版进行分析。结果:在100个分离株中,45株MIC≤1µg/ml,这意味着它们是易感的,而55株MIC为2µg/ml的中间菌株。然而,根据CLSI 2011,没有发现菌株对环丙沙星有耐药性。根据CLSI 2012修订的环丙沙星纸片扩散断裂点和沙门氏菌MIC。根据CLSI 2012解释标准,盘上扩散试验13个分离株对环丙沙星敏感,13个耐药,74个对环丙沙星中间体。在MIC方面,55株MIC≥1µg/ml的菌株具有耐药性,45株MIC为0.125-0.5µg/ml的中间菌株。根据CLSI 2012解释标准,没有发现任何菌株对环丙沙星敏感。结论:总之,本研究显示了萘啶酸敏感性作为环丙沙星敏感性的间接但一定的标志物的价值。琼脂稀释法测定耐纳利迪酸的最低抑菌浓度(MIC)增加。
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引用次数: 1
Frequency of Parenternal Exposure and Seroprevelence of HBV, HCV and HIV among Operating Room Personnel 手术室人员外暴露频率及HBV、HCV和HIV的血清阳性率
Pub Date : 2018-07-01 DOI: 10.37978/tijfs.v2i2.36
Q. Ullah, Usman Ali Rehman, A. Hanif, S. Bhatti
Background: There are many experiences in the operation theatre professionals to get Hepatitis B virus, Hepatitis C virus and Human immunodeficiency virus during their profession in operating room due to accidental needle pricks or through cut by any sharp. The objective of this study is to find out the Frequency of parenteral exposure and seroprevelence of HBV, HCV and HIV among operating room personnel.Methodology: Frequency of parenteral exposure and seroprevalence of HBV, HCV and HIV among operating room personnel was found using ICT method.Results: All 108 (100 %) operating room personnel were HBV, HCV and HIV negative, none of them showed positive results. Among these 108 operating room personnel to complete my research, among these 58 (53.7%) were male and 50 (46.3%) were female.Conclusion: It is concluded by the study that there are no positive cases of HBV, HCV and HIV among operating room personnel in Gulab devi hospital and Masood hospital.
背景:手术室专业人员在手术室工作期间因意外扎针或被任何锐器划破而感染乙肝、丙肝和人类免疫缺陷病毒的经验很多。本研究的目的是了解手术室人员的静脉外暴露频率和HBV、HCV和HIV的血清阳性率。方法:采用ICT方法对手术室工作人员的肠外暴露频次及HBV、HCV、HIV的血清阳性率进行调查。结果:108例(100%)手术室人员HBV、HCV、HIV均为阴性,无一例阳性。在完成研究的108名手术室人员中,男性58人(53.7%),女性50人(46.3%)。结论:本研究认为古拉布德维医院和马苏德医院的手术室人员中没有HBV、HCV和HIV阳性病例。
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引用次数: 0
Frequency of Different Organism in Nosocomial Swabs using Surface Method Fumigation with Formaldehyde in Operation Theatre 手术室表面法甲醛熏蒸消毒医院拭子中不同微生物的出现频率
Pub Date : 2018-07-01 DOI: 10.37978/tijfs.v2i2.37
R. Saba, Q. Ullah, Usman Ali Rehman, A. Hanif, S. Bhatti
Background: A facility within a hospital where surgical operations are carried out in a sterile environment is an operating theatre also known as an operating suite, operation theatre or operation suite. In past, the operation theatre was a place where there was an educational setting have had raised tables or chairs at the centre for performing operations surrounded by several rows of seats for students and other spectators to observe the case in progress. The objective of this research is that to better the efficacy of sterilization of operation theatre to reduce the surgical site infection and contamination at highest level.Methodology: Data was collected from surgical department of Gulab Devi Chest Hospital. Carbolization was employed to disinfect operating room and fumigation to sterilize. After neutralization with ammonia, culture swabs were collected from OT table, OT light, OT floor, OT wall, anaesthesia machine and OT trolley. Efficacy of fumigation was concluded using statistical tools.Results: There were no positive results prior and even after the fumigation.Conclusion: There was no organism growth in OT. There was no evidence of Escherichia coli,Proteus Mirabilis, Proteus vulgaris, Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus spp., E. faecalis, Coagulase negative staph and Salmonella choleraesius.
背景:医院内在无菌环境中进行手术的设施是手术室,也称为手术室、手术室或手术室。过去,手术室是一个有教育环境的地方。手术室在中心升起了桌椅,周围有几排座位,供学生和其他观众观察正在进行的手术。本研究的目的是提高手术室消毒效果,最大限度地减少手术部位感染和污染。方法:资料来源于Gulab Devi胸科医院外科。手术室采用碳罐消毒,熏蒸消毒。用氨中和后,从OT台、OT灯、OT地板、OT壁、麻醉机和OT手推车收集培养拭子。使用统计工具得出熏蒸效果。结果:熏蒸前后均无阳性结果。结论:OT内无生物体生长。没有证据表明存在大肠杆菌、奇异变形杆菌、寻常变形杆菌、铜绿假单胞菌、金黄色葡萄球菌、链球菌、粪大肠杆菌、凝固酶阴性葡萄球菌和霍乱沙门氏菌。
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引用次数: 1
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