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The Indian regulatory framework and the surge of unproven stem cell therapies-a call for diagnosis. 印度的监管框架和未经证实的干细胞疗法的激增——呼吁诊断。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-11-20 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf027
Vaishnav M

Stem cell science lies at the heart of regenerative medicine; it is believed to have the potential to address several otherwise incurable diseases. However, even though stem cell interventions are at the experimental stage, they are advertised as a panacea for various human maladies. India, like other jurisdictions across the globe, has witnessed the mushrooming of 'experts' and 'clinics' selling (unproven) stem cell therapies to vulnerable and desperate patients. The unscrupulous activities in the stem cell industry endanger patients and hinder legitimate scientific progress. In light of the crisis of unproven stem cell therapies, I seek to comprehensively study the Indian regulatory framework on stem cells. The article identifies multiple issues in the framework-the inherent ambiguity in the governing laws, the unscientific functioning of the regulatory institutions, the poor implementation of the existing laws, and the seemingly consequent rise of India as an unregulated stem cell tourism hub. The suggested reforms broadly include streamlined funding, consolidated clinical regulation, and public engagement. The policymakers shall consider redefining their playbook to facilitate a conducive atmosphere for the growth of stem cell science.

干细胞科学是再生医学的核心;它被认为有潜力解决一些其他无法治愈的疾病。然而,尽管干细胞干预还处于实验阶段,它们却被宣传为治疗各种人类疾病的灵丹妙药。与全球其他司法管辖区一样,印度也见证了大量“专家”和“诊所”向脆弱和绝望的患者出售(未经证实的)干细胞疗法。干细胞行业的不道德行为危及患者,阻碍合法的科学进步。鉴于未经证实的干细胞疗法的危机,我寻求全面研究印度对干细胞的监管框架。文章指出了该框架中的多个问题——管理法律固有的模糊性,监管机构的不科学功能,现有法律的执行不力,以及印度作为一个不受监管的干细胞旅游中心的似乎随之而来的崛起。建议的改革广泛包括精简资金、整合临床监管和公众参与。决策者应考虑重新定义他们的剧本,以促进有利于干细胞科学发展的氛围。
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引用次数: 0
The future of AI regulation in drug development: a comparative analysis. 药物开发中人工智能监管的未来:比较分析。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-11-07 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf028
Gabriela Lenarczyk, Timo Minssen, Nicholson Price, Arti Rai

As artificial intelligence (AI) transforms drug development, regulatory frameworks are evolving to oversee its implementation, particularly at the US Food and Drug Administration (FDA) and the European Medicines Agency (EMA). This paper makes three contributions to understanding emerging regulatory approaches. First, we offer a comparative analysis of how these agencies have responded to AI-driven advances, incorporating new US executive orders and the European Union (EU)'s AI Act. Second, we propose a novel analytical framework to understand regulatory divergence: the FDA's flexible, dialog-driven model contrasts with the EMA's structured, risk-tiered approach, reflecting broader institutional and political-economic differences. While the former encourages innovation via individualized assessment, it can create uncertainty about general expectations; by contrast, the EMA's clearer requirements may slow early-stage AI adoption but provide more predictable paths to market. Third, we examine whether AI applications-spanning target identification, generative chemistry, and clinical trial 'digital twins'-are mature enough for standardized regulation, particularly amid shifting US policies and the EU's structured oversight regime. Our analysis reveals patterns of convergence on risk-based principles but persistent transatlantic implementation differences, compounded by diminished US engagement in international cooperation. We conclude that heightened regulatory uncertainty in the USA under a new administration's 'America First' stance and more stable, formalized rules in Europe both pose opportunities and challenges to AI-driven innovation in drug development.

随着人工智能(AI)改变药物开发,监管框架也在不断发展,以监督其实施,特别是在美国食品和药物管理局(FDA)和欧洲药品管理局(EMA)。本文为理解新兴的监管方法做出了三个贡献。首先,我们对这些机构如何应对人工智能驱动的进步进行了比较分析,并结合了新的美国行政命令和欧盟(EU)的人工智能法案。其次,我们提出了一个新的分析框架来理解监管差异:FDA灵活的、对话驱动的模型与EMA结构化的、风险分层的方法形成对比,反映了更广泛的制度和政治经济差异。虽然前者通过个性化评估鼓励创新,但它可能造成总体预期的不确定性;相比之下,EMA更明确的要求可能会减缓早期人工智能的采用,但会提供更可预测的市场路径。第三,我们研究了人工智能应用(包括目标识别、生成化学和临床试验“数字双胞胎”)是否足够成熟,可以进行标准化监管,特别是在美国政策转变和欧盟结构化监督制度的背景下。我们的分析揭示了基于风险的原则趋同的模式,但大西洋两岸的执行差异持续存在,加之美国在国际合作中的参与度下降。我们的结论是,在新政府的“美国优先”立场下,美国监管不确定性的增加,以及欧洲更稳定、更正式的规则,都给人工智能驱动的药物开发创新带来了机遇和挑战。
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引用次数: 0
Ensuring vaccine access through local production: the need for a harmonized and sustainable approach. 确保通过当地生产获得疫苗:需要一种协调和可持续的方法。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-10-31 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf020
Chimdessa Tsega

Local vaccine and pharmaceutical production has transitioned from a mere policy option to an essential requirement in the aftermath of the COVID-19 pandemic. Developed countries' vaccine nationalism and hoarding through bilateral agreements with manufacturers left African countries with minimal access to vaccines. As Africa strives for self-sufficiency in vaccine development and pharmaceutical manufacturing by aiming to produce 60 percent of the continent's vaccine doses through indigenous manufacturing by 2040, it is crucial to examine existing initiatives and the roles of foreign players, especially China. In the first section, this article examines and evaluates regional initiatives aimed at promoting local production in Africa, focusing on efforts at global, continental, and regional levels to boost the manufacturing of vaccines and pharmaceuticals on the continent. The second section shifts focus to China's role in Africa's healthcare sector and highlights Chinese-backed pharmaceutical companies involved in vaccine and pharmaceutical production on the continent. The paper concludes by advocating for a harmonized and sustainable approach to local manufacturing. Specifically, the article argues that for these initiatives, whether government-backed or private investment, to succeed, there is a critical need to harmonize regulations, streamline procurement, diversify production, and address the challenge posed by intellectual property rights.

在2019冠状病毒病大流行之后,当地疫苗和药品生产已从单纯的政策选择转变为一项基本要求。发达国家的疫苗民族主义和通过与生产商签订双边协议囤积疫苗,使非洲国家获得疫苗的机会微乎其微。在第一部分中,本文审查和评估旨在促进非洲当地生产的区域举措,重点是在全球、大陆和区域各级促进非洲大陆疫苗和药品生产的努力。第二部分将重点转向中国在非洲医疗保健行业的作用,并重点介绍了中国支持的在非洲大陆从事疫苗和药品生产的制药公司。论文的结论是提倡对当地制造业采取协调和可持续的方法。具体而言,本文认为,无论是政府支持还是私人投资,要使这些举措取得成功,都迫切需要协调监管、简化采购、实现生产多样化,并应对知识产权带来的挑战。
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引用次数: 0
Clades, classifications, and claims: evolution of organisms and their nomenclature in life science patents. 分支、分类和权利要求:生命科学专利中生物体的进化及其命名法。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-10-30 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf026
Nathan T Jacobs

Organisms are complex biological entities that are less easily defined by specific structures or sequences than molecules, nucleic acids, and antibodies. Nor are they necessarily fixed in time or reproducible by repeatable methods, given their capacity for replication and mutation. Like organisms themselves, names and classifications also change over time as scientists better understand extant biodiversity. Taxonomy is the field of evolutionary biology concerned with classifying, naming, and identifying organisms, while phylogenetics concerns organisms' evolutionary history and relatedness. Here, I review the challenges evolution poses for patentees, using the examples of evolving influenza viruses and bacterial classifications, and Federal Circuit decisions relevant each issue. I conclude that careful consideration of organisms' evolutionary histories and the systematics underlying their classification in specification drafting allows patentees to: (i) mitigate the impact of scientific disagreement (such as the 'species problem' in microbiology) in claim construction; (ii) limit the effects of changing classifications on infringement analysis; (iii) describe generic categories of related organisms to encompass later-arising ones; and (iv) bolster compliance with the written description and enablement requirements of 35 U.S.C. § 112(a). Accordingly, patentees might address the challenges that evolutionary uncertainty poses for organism-centered patents by embracing these areas of evolutionary biology.

有机体是复杂的生物实体,比分子、核酸和抗体更不容易用特定的结构或序列来定义。鉴于它们的复制和突变能力,它们也不一定在时间上是固定的,也不一定通过可重复的方法被复制。就像生物本身一样,随着科学家更好地了解现存的生物多样性,名称和分类也会随着时间的推移而改变。分类学是进化生物学的一个领域,涉及对生物体进行分类、命名和鉴定,而系统遗传学涉及生物体的进化史和亲缘关系。在这里,我回顾了进化给专利权人带来的挑战,使用进化流感病毒和细菌分类的例子,以及与每个问题相关的联邦巡回法院判决。我的结论是,在说明书起草中仔细考虑生物的进化史和其分类的系统学,可以使专利权人:(I)减轻权利要求构建中科学分歧的影响(例如微生物学中的“物种问题”);(ii)限制分类变化对侵权分析的影响;(iii)描述有关生物的一般类别,以涵盖后来产生的生物;以及(iv)加强符合35 U.S.C.§112(a)的书面描述和实施要求。因此,专利权人可以通过拥抱进化生物学的这些领域来解决进化不确定性给以生物为中心的专利带来的挑战。
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引用次数: 0
Cross-border health data sharing between Singapore and Switzerland: controlling for competing regulatory requirements. 新加坡和瑞士之间的跨境卫生数据共享:控制相互竞争的监管要求。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-10-28 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf021
James Scheibner, Hui Yun Chan

Research in biomedical and health sciences using data-intensive methods increasingly involve multi-party cross-border institutional collaborations. Regulatory complexities governing international data flow remain challenging to navigate, particularly where differing legal standards in relation to data and privacy protections exist in the respective jurisdictions. In this paper, we use the example of a use case from a joint health research program between Singapore and Switzerland to illustrate the possibility of cross-border data flow for these two jurisdictions with no reciprocal adequacy recognition standards. We have therefore compared data privacy and biomedical research ethics laws in both jurisdictions to help determine when cross-border data sharing could occur that are compliant with data privacy laws. Our comparison makes reference to when technical and organizational measures including privacy enhancing technologies are appropriate to support data sharing. This paper has the potential to inform researchers collaborating with international institutions in navigating similar privacy regulatory considerations in their research and in developing their collaborative agreements.

使用数据密集型方法的生物医学和卫生科学研究日益涉及多方跨界机构合作。管理国际数据流的监管复杂性仍然难以驾驭,特别是在各自司法管辖区存在不同的数据和隐私保护法律标准的情况下。在本文中,我们以新加坡和瑞士之间的联合健康研究项目中的一个用例为例,说明这两个司法管辖区在没有相互充分性承认标准的情况下跨境数据流的可能性。因此,我们比较了两个司法管辖区的数据隐私法和生物医学研究伦理法,以帮助确定何时可以发生符合数据隐私法的跨境数据共享。我们的比较参考了包括隐私增强技术在内的技术和组织措施何时适合支持数据共享。本文有可能为与国际机构合作的研究人员在他们的研究和制定合作协议时导航类似的隐私监管考虑提供信息。
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引用次数: 0
Reimagining criminal accountability: microbial and omics perspectives in the evolution of legal responsibility. 重新构想刑事责任:法律责任演变中的微生物和组学观点。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-10-28 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf022
Pragya Mishra, Alan C Logan, Susan L Prescott

Recent advances in microbiome science and omics technologies are reshaping our understanding of human behavior, suggesting that microbial communities significantly influence cognition, impulse control, and aggression. Emerging studies in neuromicrobiology, including fecal transplant studies, are pointing toward a causal role for gut microbes and their metabolites in human cognition and behavior. This essay introduces the legalome-a framework integrating microbial perspectives, including microbiome and omics sciences, into the courts and larger criminal justice system. We argue that the legalome is on a trajectory that will move the field of neurolaw forward, and challenge traditional doctrines of mens rea and culpability. Drawing on recent court decisions related to auto-brewery syndrome, and neuro-microbiological research, we examine how subtle biological processes influence behavior in ways overlooked by current legal standards. Recent findings raise questions about criminal intent, biological determinism, and equitable access to scientific defenses. At the same time, emergent research also suggests potential for microbiome-based rehabilitative interventions. Despite methodological challenges, we advocate for interdisciplinary collaboration to harmonize biological research with legal principles, creating a more nuanced framework for justice in the twenty-first century. The legalome provides concrete implementation protocols and assessment tools that demonstrate practical utility for courts, practitioners, and policymakers.

微生物组学和组学技术的最新进展正在重塑我们对人类行为的理解,表明微生物群落显著影响认知、冲动控制和攻击。神经微生物学的新兴研究,包括粪便移植研究,都指出肠道微生物及其代谢物在人类认知和行为中的因果作用。这篇文章介绍了法律-一个框架整合微生物的观点,包括微生物组学和组学科学,进入法院和更大的刑事司法系统。我们认为,法律法学正走在一条将推动神经法学领域向前发展的轨道上,并挑战传统的犯罪和罪责学说。根据最近法院有关自动酿酒综合症的判决,以及神经微生物研究,我们研究了微妙的生物过程如何以当前法律标准所忽视的方式影响行为。最近的发现提出了关于犯罪意图、生物决定论和公平获得科学辩护的问题。与此同时,新兴研究也表明了基于微生物组的康复干预的潜力。尽管存在方法论上的挑战,但我们提倡跨学科合作,使生物学研究与法律原则相协调,为21世纪的司法创造一个更微妙的框架。法律指南提供了具体的实施协议和评估工具,为法院、从业人员和政策制定者展示了实际效用。
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引用次数: 0
Partial ectogestation and threats to the fetus: how healthcare professionals' caution may reinforce the medicalization of pregnancy and childbirth. 部分妊娠和对胎儿的威胁:医疗保健专业人员的谨慎如何加强怀孕和分娩的医学化。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-10-28 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf023
Victoria Adkins

Partial ectogestation is being developed in a bid to improve the survival rates and health outcomes associated with prematurity, but limited empirical research has been conducted on the views of key stakeholders, particularly healthcare professionals, in relation to this technology. This paper explores healthcare professionals' perspectives in England on the use and implementation of partial ectogestation, within the medicalized context of pregnancy and childbirth. Following an online survey, qualitative interviews were undertaken with 22 healthcare professionals who work closely with pregnant individuals and fetuses. Using a formula of the precautionary principle from environmental studies, the analysis presented illustrates healthcare professionals' apprehension toward partial ectogestation. With the fetus who may come to be transferred to an artificial placenta device at the centre of their concerns, participants were cautious of the technology producing poor outcomes and pushing the boundaries of nature. In response to these threats, they encourage strict criteria and clear parameters around the use of the technology. While healthcare professionals appear to endorse a social model of pregnancy when it comes to partial ectogestation, echoes of medicalization persist through medical determinations of poor outcomes and the continued centralization of the fetus as a patient.

目前正在开发部分体外受精技术,以提高与早产有关的存活率和健康结果,但对主要利益攸关方,特别是保健专业人员对这项技术的看法进行了有限的实证研究。本文探讨了医疗保健专业人士的观点,在使用和实施部分妊娠和分娩的医学背景下,在英格兰。在一项在线调查之后,对22名与孕妇和胎儿密切合作的医疗保健专业人员进行了定性访谈。使用来自环境研究的预防原则公式,所提出的分析说明了医疗保健专业人员对部分污染的担忧。由于胎儿可能会被移植到人工胎盘装置中,因此参与者对这项技术产生不良结果和突破自然界限持谨慎态度。为了应对这些威胁,他们鼓励对该技术的使用制定严格的标准和明确的参数。当涉及到部分妊娠时,医疗保健专业人员似乎支持怀孕的社会模式,但医疗化的回声通过对不良结果的医学决定和胎儿作为患者的持续集中而持续存在。
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引用次数: 0
A circular bio-economy approach to regulating genetic resource research: rethinking access and benefit sharing. 调控遗传资源研究的循环生物经济方法:重新思考获取和惠益分享。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-10-20 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf019
Fran Humphries

Access and benefit sharing (ABS) regulates the collection and use of genetic resources, associated traditional knowledge and in some cases digital sequence information for research and development (R&D) purposes and the equitable sharing of monetary and non-monetary benefits from their use. Global examples of benefit sharing have fallen short of expectations under this framework and there is little empirical data about the effects of regulation on bio-innovation. This article argues that the limited ABS tools of authorization and contracts are not effectively delivering benefit sharing aspirations because of the disconnect between linear assumptions underlying genetic resource R&D. Through a critical legal analysis of ABS, circular economy principles and legal mechanisms, it rethinks ABS governance to propose a new circular bio-economy system for more efficient benefit sharing. It proposes a pathway for transforming the linear 'single use' regulatory model toward a generative value chain model, supported by a range of legal tools that facilitate long-term benefit sharing for the planet and its people.

获取和惠益分享(ABS)规范了为研究与开发(R&D)目的而收集和使用遗传资源、相关传统知识和某些情况下的数字序列信息,以及公平分享利用这些资源所产生的货币和非货币惠益。在这一框架下,全球利益分享的例子没有达到预期,关于监管对生物创新的影响的经验数据也很少。本文认为,由于遗传资源研发背后的线性假设之间的脱节,有限的授权和合同ABS工具不能有效地实现利益分享的愿望。通过对ABS、循环经济原则和法律机制的批判性法律分析,重新思考ABS治理,提出一种新的循环生物经济体系,以实现更有效的利益分享。它提出了将线性“单一用途”监管模式转变为生成价值链模式的途径,并通过一系列法律工具提供支持,促进地球及其人民的长期利益分享。
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引用次数: 0
Disparities in access to gene therapy in the European Union: ethical and regulatory challenges. 欧盟获得基因治疗的不平等:伦理和监管挑战。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-09-30 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf018
Margaux Reckelbus, Riya Mohan, Phaedra Locquet, Eva Van Steijvoort, Isabelle Huys, Pascal Borry

Gene therapies represent a significant advancement in modern medicine, offering potential cures for untreatable genetic disorders. However, equitable access to these innovative therapies remains a critical ethical challenge within the European Union (EU). This paper examines the adequacy of the EU's centralized market authorization framework, supplemented by alternative pathways such as the Hospital Exemption and Compassionate Use Program, in addressing access disparities. While the centralized framework ensures high standards of safety, quality, and efficacy, its implementation reveals significant barriers related to affordability, geographical disparities, and fragmented national healthcare systems. High costs create financial obstacles for both healthcare systems and individuals, disproportionately affecting low-income countries and regions. Geographic disparities are further exacerbated by fragmented regulations and uneven healthcare infrastructures across member states, limiting patient access in rural areas. Alternative pathways, while designed to improve access, suffer from inconsistent national-level implementation. This paper argues that as the EU navigates the complexities of gene therapy regulation, it must focus on creating a more cohesive and inclusive framework. By doing so, it can ensure that the potential of gene therapies is realized in a manner that benefits all EU citizens, irrespective of their geographic or economic circumstances.

基因疗法代表了现代医学的重大进步,为无法治愈的遗传疾病提供了潜在的治疗方法。然而,公平获得这些创新疗法仍然是欧盟(EU)内部一个关键的伦理挑战。本文考察了欧盟集中市场授权框架的充分性,并辅以医院豁免和同情使用计划等替代途径,以解决获取差异。虽然集中式框架确保了高标准的安全性、质量和有效性,但其实施暴露出与可负担性、地理差异和分散的国家医疗保健系统相关的重大障碍。高昂的费用给卫生保健系统和个人造成了财政障碍,对低收入国家和地区的影响尤为严重。各成员国法规不统一和医疗基础设施不平衡进一步加剧了地域差异,限制了农村地区的患者就诊。其他途径虽然旨在改善可及性,但在国家层面的执行不一致。本文认为,在欧盟应对基因治疗监管的复杂性时,它必须专注于创建一个更具凝聚力和包容性的框架。通过这样做,它可以确保基因治疗的潜力以一种有利于所有欧盟公民的方式实现,而不管他们的地理或经济环境如何。
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引用次数: 0
Can the right to science redress inequitable access to innovative cancer therapy? A case for the justiciability of this 'lesser known' human right. 科学权能纠正获得创新癌症治疗的不公平机会吗?这一“鲜为人知”的人权的可诉性。
IF 2.4 2区 哲学 Q1 ETHICS Pub Date : 2025-09-13 eCollection Date: 2025-07-01 DOI: 10.1093/jlb/lsaf017
Ghada A Zakout

The human right to science, including the right to enjoy the benefits of scientific progress, is by far the least understood human right despite its central role in shaping scientific innovation. Research into innovative cancer therapies and biotechnologies has been pivotal in the realization of much of these advancements. Yet much of it is not accessible, affordable, or available to patients who need them most. This article examines the nature and scope of the right to science in cancer research in the context of General Comment No. 25 on Science and Economic, Social and Cultural Rights (E/C.12/GC/25) and Article 15 of the International Covenant on Economic, Social and Cultural Rights. The normative and ethical imperative of the right is annotated to provide a basis for its justiciability when redressing the pervasive issue of inequitable access to innovative cancer therapy. It argues that a constitutional dialogue that conceptualizes the right to science is warranted when rethinking ways ethical and human rights friendly research can be achieved. This renewed interest comes at a critical juncture when science in its contemporaneous situation needs to tackle cancer healthcare inequities amid turbulent geopolitical and epidemiologic challenges while addressing the rising cancer burden globally.

获得科学的人权,包括享受科学进步的利益的权利,是迄今为止最不为人所知的人权,尽管它在形成科学创新方面发挥着核心作用。对创新癌症疗法和生物技术的研究是实现这些进步的关键。然而,其中大部分是无法获得的,负担不起的,或者对最需要它们的患者来说是无法获得的。本文在关于科学与经济、社会、文化权利的第25号一般性意见(E/C.12/GC/25)和《经济、社会、文化权利国际公约》第15条的背景下,探讨癌症研究中科学权的性质和范围。该权利的规范性和伦理必要性被注释,以便在解决普遍存在的不公平获得创新癌症治疗的问题时,为其可诉性提供基础。它认为,当重新思考伦理和人权友好的研究方式时,有必要进行宪政对话,将科学权利概念化。这种新的兴趣出现在一个关键时刻,当时的科学需要在动荡的地缘政治和流行病学挑战中解决癌症医疗不平等问题,同时解决全球癌症负担不断增加的问题。
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引用次数: 0
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