Father

父亲
  • 文章类型: Journal Article
    关于自闭症特征父亲的育儿研究很少。为了调查这个问题,我们使用来自全国出生队列研究的数据,研究了具有自闭症特征的父亲的育儿类型,日本环境与儿童研究。孩子2岁时,母亲或照顾者对父亲的养育方式进行了评估。父亲的自闭症特征是使用日本版本的自我管理自闭症频谱商进行测量的。采用Logistic回归分析对数据进行统计学分析。具有自闭症特征的父亲为孩子准备饭菜和帮助他们吃饭的可能性显着降低(调整后的OR(aOR):1.11,95%置信区间(CI):1.01-1.23),帮助孩子换衣服(aOR:1.17,95%CI:1.04-1.31)。然而,一些育儿行为和自闭症特征之间没有关联(不是换尿布,不和孩子一起洗澡,而不是和孩子一起玩)。父亲的沟通技巧困难与自闭症特征相关的较低倾向于执行所有类型的育儿。有趣的是,社交技能或注意力转移的困难与更多的换尿布之间存在关联。这些结果表明,尊重有自闭症倾向的父亲能够做到的育儿方式很重要,同时支持他们抚养孩子,他们的能力明显低于没有自闭症倾向的父亲。
    There are few studies on the parenting of fathers with autism traits. To investigate this issue, we examined the type of parenting performed by fathers with autism traits using data from a nationwide birth cohort study, the Japan Environment and Children\'s Study. Paternal parenting was evaluated by mothers or caregivers when the child was 2 years old. Father\'s autism traits were measured using the Japanese version of the self-administered Autism Spectrum Quotient. Logistic regression analysis was performed to statistically analyze the data. Fathers with autism traits were significantly less likely to prepare meals for their child and helping them eat (adjusted OR (aOR): 1.11, 95% confidence interval (CI): 1.01-1.23), to helping the child change clothes (aOR: 1.17, 95% CI: 1.04-1.31). However, there were no associations between some parenting behaviors and autism traits (not changing diapers, not bathing with the child, and not playing with the child). Father\'s communication skill difficulties by autism traits associated with a lower tendency to perform all types of parenting. Interestingly, there were association between difficulties with social skills or attention-switching and more performing change diapers. These results indicate it is important to respect the child-rearing that fathers with autistic tendencies are able to do, while supporting them in child-rearing that they are significantly less able to do than fathers without autistic tendencies.
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  • 文章类型: Journal Article
    目的:关于父母心血管危险因素与后代肥胖风险的关系知之甚少。我们旨在调查父母理想心血管健康(ICVH)状态是否与年轻/成年后代的一般和中心性肥胖风险相关。
    结果:参加德黑兰脂质和葡萄糖研究2012-15期的个人,在这项横断面研究中,选择了2395对年龄≥6岁的父母未婚后代。一般和中心性肥胖是根据年龄≤18岁的后代的伊朗BMI百分位参考数据定义的。对于年龄≥19岁的受试者,中心性肥胖的定义是基于引入的伊朗成年人的分界点。我们采用了美国心脏协会的ICVH的2020年影响目标标准。父亲和母亲的平均±SD年龄分别为55.4±9.79和48.4±9.88。大约55%的后代年龄超过19岁。母亲对ICVH评分较高的依从性与女性后代超重/肥胖风险较低相关(Q1-Q4的OR:1,0.56,0.57,0.37,所有四分位数P<0.05)。在ICVH组件中,在父亲中,只有理想的BMI状态与男性后代的超重/肥胖风险较低相关.随着母亲ICVH总分的增加,雌性后代的腹部肥胖风险降低。
    结论:父母对ICVH及其组成部分的依从性较高,其后代患一般肥胖和腹部肥胖的风险较低。我们的发现表明,母子关系比父子关系强。
    OBJECTIVE: Little is known about the association of parental cardiovascular risk factors with the risk of obesity in offspring. We aimed to investigate whether parental ideal cardiovascular health (ICVH) status was associated with the risk of general and central obesity in their young/adult offspring.
    RESULTS: Of individuals who participated in the 2012-15 phase of the Tehran Lipid and Glucose Study, 2395 pairs of parent-unmarried offspring aged ≥6 years were selected in this cross-sectional study. General and central obesity were defined based on Iranian BMI percentile reference data for offspring aged ≤18 years. For subjects aged ≥19 years, central obesity was defined based on the introduced cut-off points for Iranian adults. We employed the American Heart Association\'s 2020 impact goal criteria of ICVH. The mean ± SD age of fathers and mothers were respectively 55.4 ± 9.79 and 48.4 ± 9.88. About 55% of offspring were older than 19 years. Higher adherence to ICVH score in mothers was associated with lower risk of overweight/obesity in female offspring (OR for Q1-Q4: 1, 0.56, 0.57, 0.37, P < 0.05 for all quartiles). Among ICVH components, only ideal BMI status in fathers was observed to be associated with a lower risk of overweight/obesity in their male offspring. The risk of abdominal obesity decreased in female offspring with increasing total ICVH score in mothers.
    CONCLUSIONS: Higher adherence of parents to ICVH and its components was positively associated with a lower risk of general and abdominal obesity in their offspring. Our findings demonstrate that maternal-offspring relationship was stronger than paternal-offspring association.
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  • 文章类型: Journal Article
    背景:生活方式和习惯,心血管危险因素(CRF),骨骼和心理健康,饮食习惯,身体活动,其中一些是在童年和青春期发展起来的。家庭环境在这些结果中发挥着重要作用。然而,亲子关系的生活习惯和健康参数是否会受到身体活动模式的影响仍不清楚.本研究的目的是纵向监测和调查父母和子女之间的生活习惯之间的关联。以及验证是否在更活跃的父母中,与生活习惯的可能关联不同于那些被认为不太活跃的父母。
    方法:样本将由父母组成(父亲,母亲,或两者)和他们的孩子/青少年。参与者将通过遍布城市所有地区的传单以及社交媒体通过公众电话招募。健康参数将包括心血管(心脏自主神经调制,血压和静息心率),骨矿物质密度,人体测量指数,握力,心理健康(生活质量,焦虑和抑郁症状和压力),自我报告的发病率和肌肉骨骼疼痛。生活方式习惯将包括身体活动水平,久坐的行为,睡眠参数,饮食模式,吸烟和饮酒。年龄的社会人口统计学变量,性别,种族和社会经济地位将被视为协变量。数据收集的后续访问将安排在基线评估的12个月后,每12个月进行一次。
    结论:家庭环境有很大的潜力决定儿童和青少年的生活习惯。根据本研究的结果,我们希望在家庭环境中更好地设计健康促进行动。
    BACKGROUND: Lifestyle and habits, cardiovascular risk factors (CRF), bone and mental health, dietary habits, physical activity, among others are developed in childhood and adolescence. Family environment has shown to play an important role in these outcomes. However, whether the parent-child relationship lifestyle habits and health parameters can be influenced by physical activity patterns still unclear. The objective of this study will be to monitor and investigate the associations between lifestyle habits between parents and their children longitudinally, as well as verify whether in more active parents, the possible associations with lifestyle habits are different from those of parents considered less active.
    METHODS: The sample will consist of parents (father, mother, or both) and their children /adolescents. The participants will be recruited through public call by flyers spread across all the regions of the city and also through social media. The health parameters will include cardiovascular (cardiac autonomic modulation, blood pressure and resting heart rate), bone mineral density, anthropometric indices, handgrip strength, mental health (quality of life, anxiety and depression symptoms and stress), self-reported morbidities and musculoskeletal pain. Lifestyle habits will include physical activity levels, sedentary behavior, sleep parameters, eating patterns, smoking and alcohol consumption. Sociodemographic variables of age, sex, ethnicity and socioeconomic status will be considered as covariates. The follow-up visits of data collection will be scheduled after a period of 12 months from the baseline assessment during every twelve months.
    CONCLUSIONS: The family environment has great potential to determine lifestyle habits in children and adolescents. Based on the results presented in the present study, we hope that health promotion actions can be better designed in the family environment.
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  • 文章类型: Journal Article
    我们旨在在FinnBrain出生队列研究中确定父母的牙科焦虑轨迹以及轨迹与父母数量及其子女的口腔保健程序的关联。在分娩后14和34周(gw)以及3和24个月(mo),使用改良的牙科焦虑量表测量牙科焦虑。从gw14到24mo的口腔保健程序是从国家患者数据登记册获得的,并归类为预防和治疗。通过潜在的生长混合物模型确定了2068名父亲和3201名母亲的轨迹。使用无序的多项Logit模型分析了轨迹与针对教育进行调整的程序之间的关联。父亲的轨迹稳定低(80.1%),稳定高(3.4%),稳定适度(11.0%),适度增加(3.9%),高度减少(1.6%)。母亲的轨迹稳定较低(80.7%),稳定高(11.2%),适度增加(5.3%),高度减少(2.8%)。牙科焦虑减少的母亲有更多的预防和治疗程序。牙齿焦虑减少的父亲有更多的预防和治疗程序,而牙科焦虑增加的父亲手术较少。具有稳定的低牙齿焦虑的母亲的孩子有更多的预防程序。牙科焦虑轨迹与口腔保健程序之间似乎存在双向关联。
    We aimed to identify parents\' dental anxiety trajectories and the association of the trajectories with the number of parents\' and their children\'s oral healthcare procedures in the FinnBrain Birth Cohort Study. Dental anxiety was measured with the Modified Dental Anxiety Scale at gestational weeks (gw) 14 and 34, as well as 3 and 24 months (mo) after childbirth. Oral healthcare procedures from gw14 to 24 mo were obtained from the national patient data register and categorized as preventive and treatment. Trajectories were identified with latent growth mixture modelling for 2068 fathers and 3201 mothers. Associations between trajectories and procedures adjusted for education were analyzed using unordered multinomial logit models. Fathers\' trajectories were stable low (80.1%), stable high (3.4%), stable moderate (11.0%), moderate increasing (3.9%) and high decreasing (1.6%). Mothers\' trajectories were stable low (80.7%), stable high (11.2%), moderate increasing (5.3%) and high decreasing (2.8%). Mothers with decreasing dental anxiety had a higher number of preventive and treatment procedures. Fathers with decreasing dental anxiety had a higher number of preventive and treatment procedures, while fathers with increasing dental anxiety had fewer procedures. Children of mothers with stable low dental anxiety had higher number of preventive procedures. There seems to be a two-way association between dental anxiety trajectories and oral healthcare procedures.
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  • 文章类型: Journal Article
    背景:育儿是一个通用术语,指通过向儿童提供食物来抚养儿童,庇护所,和衣服,被社会化包围,塑造他们的个性,字符,才能,文化和道德价值观以及他们的身体和情感福祉。印度的研究表明,父亲以多种方式参与儿童的生活,而且远没有参与其中。
    方法:这是一项横断面研究,对选定学校的11-15岁的上学儿童进行,2022年1月的Mangaluru使用不成比例的分层随机抽样技术招募了96名研究参与者。使用自结构的四点李克特量表在六个域下收集数据。对获得的数据进行描述性和推断性统计分析。
    结果:研究结果显示,84.6%的人对父亲参与育儿的感知较差,16.4%的人对父亲参与育儿有良好的感知。发现父亲的教育状况与感知得分的家庭类型之间存在显着关联,在P<0.05的显著性水平。
    结论:这项研究得出的结论是,即使父亲更有贡献,新一代的孩子们无法理解他们父亲对他们生活的影响。
    BACKGROUND: Child rearing is a generic term that refers to the upbringing of children by providing them with food, shelter, and clothing and encircled with socialization, shaping their personality, character, talents, cultural and moral values as well as their physical and emotional well-being. Research studies in India indicate that fathers are participating in children\'s lives in many ways, and are far from being uninvolved.
    METHODS: This was a cross-sectional study conducted among school-going children aged between 11-15 years at a selected school, Mangaluru in January 2022. Ninety-six study participants were recruited using a disproportionate stratified random sampling technique. Data were collected using a self-structured four-point Likert scale under six domains. The obtained data were analyzed using descriptive and inferential statistics.
    RESULTS: The study results revealed that 84.6% had poor perception and 16.4% had good perception regarding paternal involvement in child-rearing. There was a significant association found between the educational status of the father and the type of family with perception score, at P < 0.05 level of significance.
    CONCLUSIONS: This study concluded that, even though fathers are more contributing, the children of the newer generation could not understand their father\'s involvement in their lives.
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  • 文章类型: Journal Article
    这项研究的目的是描述COVID-19对怀孕期间父亲经历的影响。
    开发了半结构化访谈指南,以收集父亲在怀孕和产前护理方面的经历的定性数据,他们如何与供应商沟通,寻求信息的策略,以及他们在怀孕期间获得的社会支持。一次性,虚拟访谈是通过Zoom与怀孕的父亲或在2020年3月后有孩子且年龄在18岁或以上的父亲进行的。主题分析用于确定突出父亲经历的主题。
    总共,完成了对新父亲或准父亲的34次采访。突出父亲经历的两个中心主题:错过了向以家庭为中心的护理转变的机会,以及怀孕期间父母二元关系的不平等。其他支持主题包括:有限的患者-提供者关系,缺乏远程医疗的使用,对父母的不确定性管理不足,父母之间的单向信息共享,以及在怀孕期间实现角色成就的机会有限。
    COVID-19大流行为产前护理创造了一个决策点。与其专注于以家庭为中心的做法,产前护理完全以母亲和胎儿为中心,导致父亲有问题的经历,包括有限地获得有关母亲和胎儿的怀孕和健康的信息,与COVID-19安全要求相关的压力增加,很少有机会扮演父亲的角色。产前护理应积极寻求强有力的策略,以改善以家庭为中心的护理实践,以抵御下一次公共卫生紧急情况。
    UNASSIGNED: The purpose of this study was to describe the impact of COVID-19 on fatherhood experiences during pregnancy.
    UNASSIGNED: A semi-structured interview guide was developed to collect qualitative data from fathers about their experiences in pregnancy and prenatal care, how they communicated with providers, strategies for information seeking, and social support they received during the pregnancy. One-time, virtual interviews were conducted via Zoom with fathers that were either expecting a baby or fathers who had a baby after March 2020 and were 18 years or older. Thematic analysis was used to identify themes that highlighted the fatherhood experience.
    UNASSIGNED: In total, 34 interviews with new or expectant fathers were completed. Two central themes that highlight the experiences of fathers: missed opportunities to shift toward family-centered care and inequity in the parent dyad during pregnancy. Additional supporting themes included: limited patient-provider relationship, lack of telemedicine use, inadequate uncertainty management for parents, unidirectional information sharing between parents, and limited opportunities for achieving role attainment during pregnancy.
    UNASSIGNED: The COVID-19 pandemic created a decision point for prenatal care. Instead of focusing on family-centered practices, prenatal care exclusively centered on the mother and fetus, resulting in problematic experiences for fathers including limited access to information about the pregnancy and health of the mother and fetus, heightened stress related to COVID-19 safety requirements, and few opportunities to attain their role as a father. Prenatal care should actively seek robust strategies to improve family-centered care practices that will withstand the next public health emergency.
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  • 文章类型: Journal Article
    这是对2001年至2006年在芬兰北部住院的508名前青少年精神病住院患者的临床随访研究。使用K-SADS-PL和EuropASI仪器对参与者进行了采访。直到2016年,芬兰国家医疗保健登记册提供了有关精神病诊断的数据。使用逻辑回归分析,我们研究了出生顺序和儿童家庭规模如何影响成年后精神分裂症谱系障碍(SSD)和其他精神病性障碍的发病率.参与者被分为三个诊断亚组1)患有SSD的参与者(n=76),2)患有SSD以外的精神病患者(n=107)和3)仅有一次非精神病性抑郁发作的参与者(n=118)。主要结论是青春期的大家庭(六个或六个以上的孩子),男性和父亲有精神病或失业,在研究参与者中,与SSD的可能性更高显著相关。大家庭规模也与发展其他精神障碍的可能性更高有关。作为第一个孩子或独生子女减少了除SSD以外的精神疾病的可能性。在诊断和治疗有精神病症状的儿童和青少年时,关于他们的家庭规模和兄弟姐妹位置的信息可能是相关的。
    This is a clinical follow-up study of 508 former adolescent psychiatric inpatients admitted to hospital between 2001 and 2006 in Northern Finland. The participants were interviewed using the K-SADS-PL and the EuropASI instruments. Until 2016, the national Finnish Care Register for Health Care provided data on psychiatric diagnoses. Using logistic regression analysis, we examined how birth order and childhood family size affected the incidence of schizophrenia spectrum disorder (SSD) and other psychotic disorders by young adulthood. Participants were separated into three diagnostic subgroups 1) participants with SSD (n = 76), 2) participants with a psychotic disorder other than SSD (n = 107) and 3) participants with only one nonpsychotic depressive episode (n = 118). The main conclusions were that large family size in adolescence (six or more children), male sex and father having psychiatric problems or being unemployed, were significantly associated with a higher likelihood of SSD among study participants. Large family size also associated to a higher likelihood of developing other psychotic disorders. Being the first born or an only child reduced the likelihood of psychotic disorders other than SSD. When diagnosing and treating children and teenagers with psychotic symptoms, information regarding their family size and sibling position may be relevant.
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  • 文章类型: Journal Article
    除了母亲,父亲可能会发现围产期困难和复杂,经历各种各样的情绪,比如恐惧,焦虑和抑郁。这些情绪变化会对父亲与婴儿和妻子的关系产生不利影响。这项描述性研究旨在调查怀孕期间父亲对分娩的恐惧,并探讨其与焦虑和抑郁的关系。
    共有302名孕妇丈夫通过整群随机抽样方法参加了这项描述性研究。数据收集工具是社会人口统计学和产科特征问卷,父亲对分娩的恐惧量表,Spielberger的状态特质焦虑量表和爱丁堡产后抑郁量表。
    父亲对分娩的恐惧评分的平均值(±SD)在可能的17-85范围内为48.39(±14.10)。根据皮尔逊相关性检验结果,对分娩的恐惧与抑郁有显著的直接相关性(P<0.001;r=0.47),状态焦虑(P<0.001;r=0.60)和特质焦虑(P<0.001;r=0.51)。调整后的一般线性模型结果表明,对分娩的恐惧评分的增加显着增加了抑郁(β=0.18;95%CI:0.13至0.22;P<0.001),从参与者获得的状态焦虑(β=0.45;95%CI:0.38~0.53;P<0.001)和特质焦虑(β=0.35;95%CI:0.27~0.42;P<0.001)评分。
    建议制定综合方案,筛查父亲害怕分娩和任何其他心理问题,比如抑郁和焦虑,实施适当的预防和治疗干预措施。
    UNASSIGNED: In addition to mothers, fathers may find the perinatal period difficult and complicated and experience a wide variety of emotions, such as fear, anxiety and depression. These emotional changes can adversely affect a father\'s relationships with his infant and wife. This descriptive study aims to investigate the fear of childbirth in fathers during pregnancy and explore its relationship with anxiety and depression.
    UNASSIGNED: A total of 302 husbands of pregnant women participated in this descriptive study through the cluster random sampling method. The data collection tools were the sociodemographic and obstetric characteristics questionnaire, Paternal Fear of Childbirth Scale, Spielberger\'s State-Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale.
    UNASSIGNED: The mean (±SD) of paternal fear of childbirth score was 48.39 (±14.10) within the possible 17-85 range. According to Pearson correlation test results, fear of childbirth had significant direct correlations with depression (P < 0.001; r = 0.47), state anxiety (P < 0.001; r = 0.60) and trait anxiety (P < 0.001; r = 0.51). The adjusted general linear model results indicated that an increase in fear of childbirth score significantly increased depression (β = 0.18; 95% CI: 0.13 to 0.22; P < 0.001), state anxiety (β = 0.45; 95% CI: 0.38 to 0.53; P < 0.001) and trait anxiety (β = 0.35; 95% CI: 0.27 to 0.42; P < 0.001) scores obtained from participants.
    UNASSIGNED: It is recommended to develop comprehensive programmes to screen fathers for fear of childbirth and any other psychological problems, such as depression and anxiety, to implement appropriate preventive and therapeutic interventions.
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  • 文章类型: Journal Article
    目的:调查公共卫生护士(PHN)对实施新家庭计划的思考,对通常的挪威儿童保健中心方案的补充。它涉及用户主导的决定内容和家庭PHN从怀孕第28周到孩子2岁提供的家庭访问次数。
    方法:一种解释性描述方法。
    方法:总共206个匿名,PHN熟悉该计划的未注明日期的反思笔记是在2017-2020年收集的。使用NVivo12和归纳内容分析将数据转换为可管理的片段。
    结果:关注家访期间准父母的童年经历和父母角色期望被视为护士咨询策略的重大转变。在开会之前向准父母提供相关信息很重要。有足够的工作人员和指导,该计划被认为是与家庭建立关系的良好基础。
    OBJECTIVE: To investigate reflections of public health nurses (PHNs) on implementing the New Families programme, a supplement to the usual Norwegian child health centre programme. It involves user-led decisions on the content and number of home visits offered by the family\'s PHN from pregnancy week 28 until the child is 2 years.
    METHODS: An interpretive description approach.
    METHODS: Altogether 206 anonymized, undated reflection notes by PHNs becoming familiar with the programme were collected in 2017-2020. NVivo 12 and inductive content analysis were used to convert the data into manageable segments.
    RESULTS: Focusing on childhood experiences and parental role expectations among prospective parents during home visits was seen as a major shift in the nurses\' counselling strategy. Providing relevant information to the parents-to-be ahead of a meeting was important. Given sufficient staff and guidance, the programme was considered a good basis for building a relationship with the family.
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  • 文章类型: Journal Article
    婴儿的出生标志着初次父母发生了深刻变化的时期。父母的爱和温暖,然而,在怀孕期间已经开始发育。同样对于父亲来说,与婴儿结合的发展可能是一个独特的过程。当前的定性研究旨在探讨初次父亲对怀孕和幼儿期父亲关系的起源和发展的看法和经验。总的来说,对准父亲(怀孕的第二或第三三个月;n=10)以及婴儿(产后0-6个月;n=11)和幼儿(2-3岁;n=9)的父亲进行了30次深入的半结构化访谈。从数据中发现了两个主要主题:结合的感觉和结合的促进者。第一个主题得到了三个子主题的支持:1)从抽象到具体,2)积极的情绪,3)不确定性和担忧。第二个主题,联结的促进者,得到了四个子主题的支持:1)体验胎儿,(2)与孩子见面,3)互动,4)沟通。与以前的研究类似,我们的结果表明,在大多数父亲中,父系关系起源于怀孕,并且随着时间的推移而演变。看到或感觉到孩子,在怀孕和产后,以及与孩子互动或交流,似乎促进了父亲的感情联系。让父亲参与怀孕,分娩,父母可能对他们的结合过程至关重要。
    The birth of an infant marks a period of profound change in first-time parents. Parental love and warmth, however, already begin to develop during pregnancy. Also for fathers, the development of bonding to the infant may be a unique process. The current qualitative study aimed to explore views and experiences of first-time fathers on the origins and development of paternal bonding during pregnancy and early childhood. In total, 30 in-depth semi-structured interviews were conducted with expectant fathers (second or third trimester of pregnancy; n = 10) and fathers of infants (0-6 months postpartum; n = 11) and toddlers (2-3 years of age; n = 9). Two major themes were uncovered from the data: feelings of bonding and facilitators of bonding. The first theme was supported with three subthemes: 1) from abstract to concrete, 2) positive emotions, and 3) uncertainties and worries. The second theme, facilitators of bonding, was supported with four subthemes: 1) experiencing the foetus, 2) meeting the child, 3) interaction, and 4) communication. Similar to previous studies, our results suggested that, in most fathers, paternal bonding originates in pregnancy and that it evolves over time. Seeing or feeling the child, both during pregnancy and postpartum, as well as interacting or communicating with the child, appears to facilitate fathers\' feelings of bonding. Involving fathers in pregnancy, childbirth, and parenting may be essential for their bonding process.
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