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A New Classification of Iatrogenic Peripheral Nerve Injuries 医源性周围神经损伤的新分类
Pub Date : 2020-01-01 DOI: 10.35248/0974-8369.20.12.464
Jordan T. Carter, John J. Pisquiy, Michael M. Polmear, R. Khalifa, Gilberto A. Gonzalez
Iatrogenic causes of nerve injuries make up to 17.4% of all traumatic peripheral nerve injuries. Despite significant medicolegal implications, there is no accepted classification system. In this article we propose a new classification system for iatrogenic peripheral nerve injuries: 1) Injury to the nerve when the nerve was not the target of the treatment; 2) Injury to the nerve when the nerve was targeted for intervention but not repair; 3) Injury to the nerve when the nerve was targeted for harvest or repair of another nerve.
医源性神经损伤占所有外伤性周围神经损伤的17.4%。尽管具有重要的医学意义,但没有公认的分类系统。本文提出一种新的医源性周围神经损伤分类体系:1)非治疗目的神经损伤;2)针对神经进行干预而不进行修复时对神经的损伤;3)当神经被切除或修复另一神经时对神经的损伤。
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引用次数: 4
Post Pulmonary Tuberculosis: The Right Heart Story 肺结核后:正确的心脏故事
Pub Date : 2020-01-01 DOI: 10.35248/0974-8369.20.12.466
S. Jafri, N. Jawad, N. Ahmed, Nausheen Saifullah, I. Siddiqui
Background: We frequently come across patients whose debility had worsened even after completing pulmonary tuberculosis treatment. Data on the aftermath of tuberculosis from all over the world is insufficient. Methods: A cross-sectional study was done retrospectively at Jinnah Postgraduate Medical Centre, Karachi, Pakistan. All the patients above 15 years of age who were correctly diagnosed and treated for pulmonary TB were taken from the last one year ’ s hospital files. Pulmonary artery systolic pressure was measured through trans-thoracic echocardiography. Results: 88.9% patients had pulmonary hypertension of varying degrees; most of which fell in the mild and moderate category (44% and 42% respectively). Mean pulmonary artery pressure was 58.83 ± 18.45 mmHg. The estimated mean ± SD time of hospital-survival without PH was 16 ± 1.9 days whereas with PH it was 23.6 ± 1.9 days. Conclusion: Since a substantial number of patients develop pulmonary hypertension after pulmonary tuberculosis, clinicians should thus maintain a high degree of suspicion with regard to pulmonary hypertension when following them.
背景:我们经常遇到患者在完成肺结核治疗后,身体虚弱恶化。世界各地关于结核病后果的数据不足。方法:回顾性横断面研究在真纳研究生医学中心,卡拉奇,巴基斯坦。所有正确诊断和治疗的15岁以上肺结核患者均取自最近一年的医院档案。经胸超声心动图测量肺动脉收缩压。结果:88.9%的患者存在不同程度的肺动脉高压;其中大多数属于轻度和中度类别(分别为44%和42%)。平均肺动脉压58.83±18.45 mmHg。无PH患者的平均住院生存时间为16±1.9天,而有PH患者的平均住院生存时间为23.6±1.9天。结论:由于相当数量的患者在肺结核后出现肺动脉高压,因此临床医生在随访时应保持对肺动脉高压的高度怀疑。
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引用次数: 0
Analysing Covid-19 Epidemic Trajectories: are Countries Flattening the Curve? 分析Covid-19流行轨迹:各国是否正在使曲线趋平?
Pub Date : 2020-01-01 DOI: 10.35248/0974-8369.20.12.465
A. Everts, Devaraj M. Navaratnam, S. Navaratnam, D. Navaratnam
Introduction: We evaluated COVID19 epidemic trajectories of different countries in terms of relative trajectory steepness and anticipated epidemic duration, in other words “flatness of the curve”. Methods: We used open-domain data on COVID-19 reported cases and deaths per country per day. A subset of 47 countries was analysed. Data were fitted with an analytical model following Gompertz equation. Uncertainty pertaining to the model forecasts was also quantified. To relate differences in epidemic trajectories of different countries to the mitigation approach taken by governments of those countries, we made use of the COVID-19 Government Response Stringency Index developed and published by Oxford University and Blavatnik School. Results: Acceptable quality fits were obtained for all the countries with R2 mostly in excess of 0.98. Uncertainty on the final Cases and/or Deaths count is typically a factor of two early in the epidemic but this quickly reduces as the epidemic progresses. Uncertainty on Epidemic Duration also reduces but less fast. Statistics on key parameters like Epidemic Duration, Epidemic Peak and Final Mortality Rate were obtained and then cross-correlated with the rigor of government measures as recorded in the Stringency Score. Most significantly, we find a clear trend of decreasing Peak Epidemic height (and to a less extent, shorter Epidemic Duration) with increased Government Stringency at the epidemic onset. We also find that Final Mortality Rate decreases with increased Stringency of Government Testing and Contact-Tracing. Conclusions: Whilst COVID-19 epidemic trajectories for most countries are similar, some countries do have flatter and less severe trajectories than others. Our analysis suggests that mitigation measures taken by a government at the very initial stage of a COVID-19 outbreak might significantly impact severity and to a less extent duration of the epidemic.
我们从轨迹的相对陡峭度和预计流行持续时间,即“曲线的平坦度”,对不同国家的新冠肺炎流行轨迹进行了评估。方法:我们使用了每个国家每天报告的COVID-19病例和死亡人数的开放域数据。分析了47个国家的子集。数据采用Gompertz方程的解析模型进行拟合。与模式预测有关的不确定性也被量化。为了将不同国家的流行轨迹差异与这些国家政府采取的缓解措施联系起来,我们使用了由牛津大学和布拉瓦尼克学院开发和发布的COVID-19政府应对严格程度指数。结果:所有国家的质量拟合均可接受,R2大多大于0.98。最终病例数和/或死亡数的不确定性通常在疫情早期是两个因素,但随着疫情的发展,这种不确定性会迅速减少。疫情持续时间的不确定性也有所减少,但速度较慢。获得疫情持续时间、疫情峰值和最终死亡率等关键参数的统计数据,然后与政府措施的严格程度进行交叉关联,记录在严格程度评分中。最重要的是,我们发现在疫情开始时,随着政府严格程度的增加,疫情高峰高度明显下降(在较小程度上,疫情持续时间缩短)。我们还发现,最终死亡率随着政府检测和接触者追踪的严格程度的增加而下降。结论:虽然大多数国家的COVID-19流行轨迹相似,但一些国家的轨迹确实比其他国家平坦,而且不那么严重。我们的分析表明,政府在COVID-19爆发的最初阶段采取的缓解措施可能会显著影响疫情的严重程度,并在较小程度上影响疫情的持续时间。
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引用次数: 1
Awards Announcement of 2nd International Conference on Glycobiology and Metabolomics 第二届国际糖生物学和代谢组学会议获奖公告
Pub Date : 2020-01-01 DOI: 10.35248/0974-8369.20.12.476
Grace Fern, Ez
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引用次数: 0
Extractable Protein Levels in Latex Products and their Associated Risks, Emphasizing American Dentistry 乳胶制品中的可提取蛋白质水平及其相关风险,强调美国牙科
Pub Date : 2019-02-18 DOI: 10.35248/0974-8369.19.11.456
K. Cornish, G. M. Bates, J. Slutzky, Anatoliy Meleshchuk, Wenshuang Xie, Krysta Sellers, R. Mathias, M. Boyd, Rochelle Castañeda, Michael Wright, Lise Borel
Background: Over 8% of the US population have detectable Type I hevea latex IgE antibodies and, upon exposure to natural latex and rubber products, are at risk for potentially dangerous reactions, especially in dental settings where these products meet mucosal membranes. Methods: Extractable antigenic protein levels were quantified in dental dams, examination gloves, and various other dental and rubber products. ASTM standards D6499 (antigenic protein) and D5712 (total protein) were used to quantify protein content. Results: In dental dams, extractable protein content ranged from low/non-sensitizing levels (<3 μg/dm2) to high/ sensitizing levels (130 200 μg/dm2). Also, while examination gloves from Malaysian glove manufacturers consistently exhibited a lower extractable protein content (<9 μg/dm2), than gloves from Thai manufacturers (16-23 μg/dm2) these levels should both still be non-sensitizing. There was no correlation between extractable protein content and the price or thickness of dental dams or examination gloves. Most of the other assorted dental products tested displayed low extractable protein content (<2.5 μg/dm2). Nearly all dental products made from natural rubber contained detectable antigenic Hevea proteins, subjecting previously sensitized patients and providers to risk of severe allergic reaction. A case study describes a female patient, with no previous history of Type I latex allergy, who reacted severely to a dental dam mouth exposure, necessitating her admission to the intensive care unit (ICU) of a local hospital for management of respiratory failure, with discharge after 4 days. Conclusions: Some dental products may pose a significant risk of Type I latex protein allergy sensitization, due to repeated contact, and that a single exposure can induce a severe reaction in a previously sensitized person, even when no prior latex allergy history is known.
背景:超过8%的美国人口具有可检测的I型橡胶胶乳IgE抗体,在接触天然胶乳和橡胶产品时,有潜在危险反应的风险,尤其是在这些产品与粘膜接触的牙科环境中。方法:对牙坝、检查手套和各种其他牙科和橡胶制品中可提取的抗原蛋白水平进行定量。使用ASTM标准D6499(抗原蛋白)和D5712(总蛋白)来定量蛋白质含量。结果:在牙坝中,可提取蛋白质的含量从低/非致敏水平(<3μg/dm2)到高/致敏水平不等(130-200μg/dm2.)。此外,虽然马来西亚手套制造商的检查手套始终显示出比泰国制造商的手套(16-23μg/dm2)更低的可提取蛋白质含量(<9μg/dm2.),但这两个水平都应该是非致敏的。可提取蛋白质含量与牙堤或检查手套的价格或厚度之间没有相关性。测试的大多数其他种类的牙科产品显示出低的可提取蛋白质含量(<2.5μg/dm2)。几乎所有由天然橡胶制成的牙科产品都含有可检测的抗原Hevea蛋白,这使先前致敏的患者和提供者面临严重过敏反应的风险。一项案例研究描述了一名女性患者,之前没有I型乳胶过敏史,她对口腔暴露的牙齿反应严重,需要进入当地医院的重症监护室(ICU)治疗呼吸衰竭,4天后出院。结论:由于反复接触,一些牙科产品可能会造成I型乳胶蛋白过敏致敏的重大风险,即使之前没有乳胶过敏史,单次接触也会在先前致敏的人中引发严重反应。
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引用次数: 5
Bovine Cysticercosis and Hospital Based Retrospective Survey of Human Taeniasis in and Around Debre Brihan City, Central Ethiopia 埃塞俄比亚中部德布雷布里汉市及其周边地区牛囊虫病和人类带绦虫病医院回顾性调查
Pub Date : 2019-01-01 DOI: 10.35248/0974-8369.19.11.455
Andualem Yimer, Belayneh Mergia Gebrmedehan
A cross-sectional study was conducted in cattle slaughtered at Debre brihan abattoir from December 2016 to April 2017. To assess bovine cysticercosis and to estimate the prevalence of Taenia saginata human infection in and around Debre brihan town, central Ethiopia Patients’ demographic data and the results of stool examinations conducted by using the formalin ethyl acetate concentration technique were collected from records at Debre brihan referral hospital. The relevant laboratory records from January 2013 to December 2017 were analyzed. Of the total 405 examined carcasses, 22 (5.43%) were found infected with various number of Cysticercus bovis in different organs. Organ distribution of the cysts showed highest proportion was observed in tongue, 7(31.81%) followed by heart 6 (27.27%) in shoulder and masseter muscles 4(18.18%) and 1 (4.54%) in liver. Significantly higher (P=0.02) proportion of counted cysts, 19(61.3%) were viable while other 12 (38.7%) were degenerated. The prevalence of C. bovis was significantly different (P<0.05) with in age categories and body condition of the slaughtered cattle. Of the total 2484 suspected patients, 97(3.9%) were stool positive for Taenia saginata eggs. The highest prevalence was 4.3% (OR=0.82, 95% CI: 0.41-1.84) in the year 2013. The prevalence gradually decreased to 3.6%(95%CI:0.47-2.4) in 2015 and slightly raised without significant difference to 3.9% and 3.7% in 2016 and 2017.The prevalence rate of taeniasis was significantly higher in male patients (4.54%, OR=1.65, 95% CI 1.08-2.53) than in females (3.32%). The results obtained in this study shows the need for integrated community based control strategies such as continuous public education and improved standards of human hygiene together with restriction of backyard slaughtering of cattle are recommended in the study areas.
对2016年12月至2017年4月在Debre brihan屠宰场屠宰的牛进行了横断面研究。为了评估牛囊虫病并估计埃塞俄比亚中部Debre brihan镇及其周边地区人感染带绦虫的流行程度,从Debre brihan转诊医院的记录中收集了患者的人口统计数据和使用乙酸乙酯浓度技术进行的粪便检查结果。分析2013年1月至2017年12月的相关实验室记录。在405头猪胴体中,22头(5.43%)在不同器官感染不同数量的牛囊虫。器官分布以舌部7例(31.81%)、心脏6例(27.27%)、肩、咬肌4例(18.18%)、肝脏1例(4.54%)次之。计数包囊比例显著高于(P=0.02),存活包囊19个(61.3%),退行性包囊12个(38.7%)。牛弧菌感染率随屠宰牛的年龄类别和体况差异有统计学意义(P<0.05)。2484例疑似患者中,粪便带绦虫卵阳性97例(3.9%)。2013年患病率最高,为4.3% (OR=0.82, 95% CI: 0.41-1.84)。2015年患病率逐渐下降至3.6%(95%CI:0.47-2.4), 2016年和2017年略有上升,分别为3.9%和3.7%,差异无统计学意义。男性带绦虫病患病率(4.54%,OR=1.65, 95% CI 1.08 ~ 2.53)明显高于女性(3.32%)。本研究的结果表明,建议在研究地区采取以社区为基础的综合控制策略,如持续的公众教育和提高人类卫生标准,以及限制后院屠宰牛。
{"title":"Bovine Cysticercosis and Hospital Based Retrospective Survey of Human Taeniasis in and Around Debre Brihan City, Central Ethiopia","authors":"Andualem Yimer, Belayneh Mergia Gebrmedehan","doi":"10.35248/0974-8369.19.11.455","DOIUrl":"https://doi.org/10.35248/0974-8369.19.11.455","url":null,"abstract":"A cross-sectional study was conducted in cattle slaughtered at Debre brihan abattoir from December 2016 to April 2017. To assess bovine cysticercosis and to estimate the prevalence of Taenia saginata human infection in and around Debre brihan town, central Ethiopia Patients’ demographic data and the results of stool examinations conducted by using the formalin ethyl acetate concentration technique were collected from records at Debre brihan referral hospital. The relevant laboratory records from January 2013 to December 2017 were analyzed. Of the total 405 examined carcasses, 22 (5.43%) were found infected with various number of Cysticercus bovis in different organs. Organ distribution of the cysts showed highest proportion was observed in tongue, 7(31.81%) followed by heart 6 (27.27%) in shoulder and masseter muscles 4(18.18%) and 1 (4.54%) in liver. Significantly higher (P=0.02) proportion of counted cysts, 19(61.3%) were viable while other 12 (38.7%) were degenerated. The prevalence of C. bovis was significantly different (P<0.05) with in age categories and body condition of the slaughtered cattle. Of the total 2484 suspected patients, 97(3.9%) were stool positive for Taenia saginata eggs. The highest prevalence was 4.3% (OR=0.82, 95% CI: 0.41-1.84) in the year 2013. The prevalence gradually decreased to 3.6%(95%CI:0.47-2.4) in 2015 and slightly raised without significant difference to 3.9% and 3.7% in 2016 and 2017.The prevalence rate of taeniasis was significantly higher in male patients (4.54%, OR=1.65, 95% CI 1.08-2.53) than in females (3.32%). The results obtained in this study shows the need for integrated community based control strategies such as continuous public education and improved standards of human hygiene together with restriction of backyard slaughtering of cattle are recommended in the study areas.","PeriodicalId":90454,"journal":{"name":"Biology and medicine (Aligarh)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69962035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Interaction of simulated acid rain and seed gall nematode Anguina tritici on wheat 模拟酸雨与小麦种子瘿线虫的相互作用
Pub Date : 2019-01-01 DOI: 10.4172/0974-8369.1000020
S. Kausar, aAA Khan
In the present study, Interaction of different doses of SAR (pH 3.0, 4.0 and 5.0) with different inoculum levels of A. tritici showed varied responses on wheat plant. Both SAR and A. tritici interacted antagonistically. The wheat plants inoculated with lower inoculum levels (2,500, and 5,000) and exposed with lower acidity level (5.0) were not affected in terms of plant growth, yield, photosynthetic pigments, seed carbohydrate, seed protein and leaf epidermal characteristics compared to un-inoculated and un-exposed plant. While, as acidity levels (pH 4.0 and 3.0) were increased the suppressions in all above parameters were increased. However, nematodes were killed in all the doses of SAR.
在本研究中,不同剂量的SAR (pH 3.0、4.0和5.0)与不同接种量的小麦黑麦的交互作用在小麦植株上表现出不同的反应。SAR与小麦草具有拮抗作用。较低接种量(2500和5000)和较低酸度(5.0)处理的小麦植株的生长、产量、光合色素、种子碳水化合物、种子蛋白质和叶片表皮特征与未接种和未暴露的植株相比均未受到影响。随着酸度水平(pH 4.0和3.0)的增加,上述各参数的抑制作用均增强。然而,在所有剂量的SAR下,线虫都被杀死。
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引用次数: 4
Studies on the effect of caffeine on growth and yield parameters in Helianthus annuus L. variety Modern 咖啡因对现代向日葵品种生长及产量参数影响的研究
Pub Date : 2019-01-01 DOI: 10.4172/0974-8369.1000014
T. Khursheed, M. Ansari, D. Shahab
In present investigation, the seeds of Helianthus annuus L. variety Modern were treated with nine different concentrations (0.05%, 0.25%, 0.50%, 0.75%, 1.00%, 1.25%, 1.50%, 1.75% and 2.00%) of caffeine to raise the M1 generation and the effect of caffeine on seedling height on 30th day of sowing, mature plant height, days to maturity and yield parameters was observed. Generally, the lower doses of caffeine were found stimulatory for the seedling height on 30th day of sowing, mature plant height, days to maturity and 100-seeds weight. While, the number of seeds in treated plants showed a dose dependent increase with the increasing doses of mutagen. It shows that caffeine in its lower doses has stimulatory effect on growth and yield in Helianthus annuus L. while the higher doses have inhibitory effect and reduce the growth and yield upto some extent except number of seeds.
采用0.05%、0.25%、0.50%、0.75%、1.00%、1.25%、1.50%、1.75%和2.00%不同浓度的咖啡因处理向日葵(Helianthus annuus L.)种子,提高M1代,观察了咖啡因对播种第30天幼苗高度、成熟株高、成熟期和产量参数的影响。一般来说,低剂量的咖啡因对播种第30天的苗高、成熟株高、成熟期和百粒重都有刺激作用。随着诱变剂剂量的增加,处理植株的种子数量呈剂量依赖性增加。结果表明,低剂量咖啡因对向日葵的生长和产量有促进作用,高剂量咖啡因对向日葵的生长和产量有一定的抑制作用,除了对种子数量有一定的影响外,对向日葵的生长和产量有一定的抑制作用。
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引用次数: 15
Effect of malathion on liver ache activity of mice 马拉硫磷对小鼠肝脏疼痛活性的影响
Pub Date : 2019-01-01 DOI: 10.4172/0974-8369.1000023
V. Wankhade, A. Malu, S. Pawar
An experiment was conducted to study the effect of malathion toxicity on acetylcholinesterase activity in mice liver. Mature mice were exposed to different doses of malathion for different time period. On dissections, enzymatic estimations were done for each exposure period. It was found that, malathion inhibited the acetylcholinesterase activity in mice liver .The maximum period of exposure was upto 30 days. The degree of inhibition increased upto 4 days of exposure period but declined later on. There was maximum recovery of AChE activity by 30th day of exposure. These findings indicate that the continuous and prolonged exposure to sublethal dose of malathion resulted in the recovery of AChE activity.
本实验研究了马拉硫磷毒性对小鼠肝脏乙酰胆碱酯酶活性的影响。成年小鼠在不同时间内暴露于不同剂量的马拉硫磷。在解剖上,对每个暴露期进行酶促评估。发现马拉硫磷对小鼠肝脏乙酰胆碱酯酶活性有抑制作用,最大暴露时间可达30天。抑制程度在4天内增加,但随后下降。乙酰胆碱酯酶活性在暴露第30天恢复最大。这些结果表明,持续和长期暴露于亚致死剂量的马拉硫磷导致乙酰胆碱酯酶活性的恢复。
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引用次数: 5
The Role of Matrix Metalloproteinases in Human Body 基质金属蛋白酶在人体中的作用
Pub Date : 2019-01-01 DOI: 10.35248/0974-8369.19.11.452
H. Hasanov, K. Mammadova, F. Guliyeva, U. Azizova, N. Mikailova
MMPs are Zn dependent proteases. All of MMPs kind is multi-domain proteins and their activities are regulated by tissue inhibitors of metalloproteinases. The prevention of the pathologies which is created by MMPs used some synthetic and naturally inhibitors. This review will explain the attitude MMPs and some chemical and physical factors which to being high level and low could affect to MMPs activity and synthesis as caffeine, one of snake venom components, melatonin, serotonin, stress factor, E and C vitamins.
MMPs是锌依赖性蛋白酶。MMPs均为多结构域蛋白,其活性受金属蛋白酶组织抑制剂的调控。预防由MMPs产生的病理使用一些合成和天然抑制剂。本文综述了影响MMPs活性和合成的化学和物理因素,如咖啡因、蛇毒成分之一、褪黑素、血清素、应激因子、维生素E和维生素C等。
{"title":"The Role of Matrix Metalloproteinases in Human Body","authors":"H. Hasanov, K. Mammadova, F. Guliyeva, U. Azizova, N. Mikailova","doi":"10.35248/0974-8369.19.11.452","DOIUrl":"https://doi.org/10.35248/0974-8369.19.11.452","url":null,"abstract":"MMPs are Zn dependent proteases. All of MMPs kind is multi-domain proteins and their activities are regulated by tissue inhibitors of metalloproteinases. The prevention of the pathologies which is created by MMPs used some synthetic and naturally inhibitors. This review will explain the attitude MMPs and some chemical and physical factors which to being high level and low could affect to MMPs activity and synthesis as caffeine, one of snake venom components, melatonin, serotonin, stress factor, E and C vitamins.","PeriodicalId":90454,"journal":{"name":"Biology and medicine (Aligarh)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69961857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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