sexual assault

性侵犯
  • 文章类型: Journal Article
    校园性侵犯是一个压倒性地影响顺性女性和变性人的问题,genderqueer/提问,和非二进制(TGQN)学生。然而,任何性别的学生都可能是攻击的肇事者或受害者。因此,重要的是,预防计划包括一系列将不同性别描述为肇事者和受害者的场景,同时也承认性别群体之间的风险差异。针对不同性别的方案拟订是实现这一目标的一种方法。在这篇系统综述和荟萃分析中,我们综合了评估美国特定性别群体实施的校园性侵犯预防计划的研究。通过全面的文献检索,我们确定了38项符合资格标准的研究,并在2021年进行了传播(N=22项女性研究;N=16项男性研究;N=0项TGQN研究).节目压倒性地将女性描绘成受害者,将男性描绘成肇事者或旁观者,而在很大程度上忽略了TGQN学生的经历。女性项目中有更大比例包括降低风险的内容,参与者可能会使用这些内容来避免受害。更多的男性项目包括旁观者内容,强调参与者可能阻止他人实施性侵犯的方式。妇女的计划对受害有一个小但显著和有利的影响,但评估这些项目的研究并未衡量渗透结果.男性计划对行为没有显著影响,但没有衡量受害结果。针对特定性别的预防方案应开始反映不同性别身份的参与和受害风险,并且应该严格评估该节目内容的效果。
    Campus sexual assault is a problem that overwhelmingly affects cisgender women and transgender, genderqueer/questioning, and nonbinary (TGQN) students. Yet, students of any gender may be perpetrators or victims of assault. Thus, it is important that prevention programs incorporate a range of scenarios that depict different genders as both perpetrators and victims, while also acknowledging the differential risk between gender groups. Gender-specific programming is one way of achieving this goal. In this systematic review and meta-analysis, we synthesized studies evaluating campus sexual assault prevention programs implemented with specified gender groups in the United States. Through a comprehensive literature search, we identified 38 studies that met eligibility criteria and were disseminated through 2021 (N = 22 women\'s studies; N = 16 men\'s studies; N = 0 TGQN studies). Programs overwhelmingly portrayed women as victims and men as perpetrators or bystanders while largely ignoring experiences of TGQN students. A greater proportion of women\'s programs included risk reduction content that relayed tactics participants may use to avoid victimization. A greater proportion of men\'s programs included bystander content that emphasized ways participants may stop others from committing sexual assault. Women\'s programs had a small but significant and favorable effect on victimization, but studies evaluating these programs did not measure perpetration outcomes. Men\'s programs had a non-significant effect on perpetration but victimization outcomes were not measured. Gender-specific prevention programming should begin to reflect the differential risks of perpetration and victimization across gender identities, and the effects of this program content should be rigorously evaluated.
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  • 文章类型: Journal Article
    性侵犯影响许多不同性别身份的人,然而,大多数案件不会导致定罪。这可能是由于常见的,陪审团对性侵犯是如何实施的,以及受害者对性侵犯的反应如何,持有不准确的误解。研究调查了与顺性受害者有关的误解,然而,人们对可能不公平地不利于变性受害者的独特误解和陈规定型观念知之甚少,或者法院是否试图保护他们。本文对(模拟)陪审员对跨性别受害者的看法进行了实证研究的文献综述,并对有关性别认同的司法指示进行了综述。我们发现,实证研究极其有限,结果喜忧参半,但是许多司法管辖区允许司法指示,警告陪审员不要基于性别认同的偏见。迫切需要进一步研究,以确定陪审员可能对跨性别受害者的常见误解,以告知法律保障措施并改善司法结果。
    Sexual assault affects many people of all gender identities, yet most cases do not result in conviction. This may be due to common, inaccurate misperceptions juries hold about how sexual assault is perpetrated and how victims respond to sexual assault. Research has examined misperceptions relating to cisgender victims, yet little is known about the unique misconceptions and stereotypes that may unfairly disadvantage transgender victims or whether courts are attempting to safeguard against them. This article presents a literature review of empirical research on (mock) jurors\' perceptions of transgender victims and a review of judicial instructions about gender identity. We find that empirical research is extremely limited with mixed findings, but many jurisdictions allow for judicial instructions warning jurors against prejudice based on gender identity. Further research is urgently needed to identify common misperceptions jurors may have that are specific to transgender victims to inform legal safeguards and improve justice outcomes.
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  • 文章类型: Journal Article
    盆腔检查,妇科护理的常规做法,会引起焦虑,被认为是创伤性的。这项研究旨在确定家庭暴力或性暴力与骨盆检查经验之间的关联。以及家庭暴力或性暴力后接受妇科护理。Pubmed,科克伦图书馆,ScienceDirect,谷歌学者被搜索,截至2023年4月30日。队列,横截面,我们选择并分析了病例对照研究和对照试验,评估有暴力史的女性对盆腔检查或使用妇科护理的看法.每个研究都进行了描述性分析,并使用纽卡斯尔-渥太华量表和RoB2工具评估了偏倚。23条符合纳入标准。11项研究,包括7,329名女性,调查了一生或童年性暴力后骨盆检查的经验。大多数报告暴力与骨盆检查的不良经历之间存在关联,如不适,焦虑,苦恼,和痛觉。十项研究,包括9248名女性,调查了家庭暴力或性暴力后妇科护理的接受情况,并报告了不同的结果,例如摄取减少或增加,特别是急性症状。两项研究,包括1,304名女性,检查了这两个结果。本研究强调了暴力与骨盆检查的不良经历之间的关联,以及妇科护理的摄取结果好坏参半。它认为有必要在协商中筛查暴力,特别是在考虑骨盆检查时,为了保证骨盆检查的实用性,并考虑性暴力对护理的创伤性影响。
    Pelvic examination, a routine practice for gynecological care, can cause anxiety and be considered traumatic. This study aimed to define the association between domestic or sexual violence and the experience of pelvic examination, as well as the uptake of gynecological care following domestic or sexual violence. Pubmed, Cochrane Library, ScienceDirect, and Google Scholar were searched, up to April 30, 2023. Cohort, cross-sectional, case-control studies and controlled trials assessing perception of pelvic examination or the use of gynecological care for women with a history of violence were selected and analyzed. Each study underwent a descriptive analysis and was assessed for bias using the Newcastle-Ottawa scale and the RoB2 tool. Twenty-three articles met the inclusion criteria. Eleven studies, including 7,329 women, investigated the experience of pelvic examination following lifetime or childhood sexual violence. Most reported an association between violence and adverse experiences of pelvic examination, such as discomfort, anxiety, distress, and pain perceptions. Ten studies, including 9,248 women, investigated the uptake of gynecological care following domestic or sexual violence and reported mixed results, such as a decreased or an increased uptake, particularly for acute symptoms. Two studies, including 1,304 women, examined both outcomes. The present study highlights the association between violence and adverse experiences of pelvic examination, as well as mixed results on the uptake of gynecological care. It argues for the necessity to screen for violence in consultations, particularly when considering a pelvic examination, to guarantee the utility of pelvic examinations, and to consider the traumatic impact of sexual violence in care.
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  • 文章类型: Journal Article
    最近,大专院校在预防和应对校园性暴力的能力方面,受到了越来越多的公众和学术审查。新兴研究探索了制度背叛(IB),这是一个理论框架,指出该机构的行为和不行为可能对暴力幸存者造成进一步的伤害。这次审查的目标是,使用生态系统的镜头,为了确定哪些特定的行为,政策,回应,和其他因素构成现有文献所定义的IB或机构支持(IS)。搜索了8个学科的16个数据库,发现了100篇提到IB或IS的文章。可以分为IB和IS的因素在九个级别上进行了识别:(1)个人级别,(2)人际交往水平,(3)在制度空间内,(4)在制度程序内,(5)在体制政策内,(6)在制度结构层面,(7)在制度文化层面,(8)在政府和公共政策层面,和(9)在更大的社会文化价值观和既定的社会规范中。IB本身体现在机构的各个层面上,事实上,相当阴险——它在很大程度上是无形的,深深植根于系统性压迫,融入了高等教育机构的结构。IB仍然迫在眉睫,在中学后环境中发生的结构性暴力几乎不可避免的结果。然而,IS和相关的制度勇气概念是新兴的研究领域,对制度变迁具有重要意义。
    Recently, post-secondary institutions have been under increased public and academic scrutiny regarding their ability to prevent and respond to instances of campus sexual violence. Emerging research has explored institutional betrayal (IB), which is a theoretical framework that states that actions and inactions on the part of the institution can cause further harm to survivors of violence. The goals of this review were, using an ecological systems lens, to identify what specific behaviors, policies, responses, and other factors constitute IB or institutional support (IS) as defined by the existing literature. A search of 16 databases across 8 disciplines led to the identification of 100 articles that mentioned either IB or IS verbatim. Factors that can be categorized as IB and IS were identified across nine levels: (1) the individual level, (2) the interpersonal level, (3) within institutional spaces, (4) within institutional procedures, (5) within institutional policies, (6) at the institutional structural level, (7) at the institutional culture level, (8) at a government and public policy level, and (9) within greater societal cultural values and established social norms. IB itself manifests across all levels of the institution and is, in fact, quite insidious-it is largely invisible and deeply rooted in systemic oppression, woven into the structure of institutions of higher education. IB remains a looming, almost inevitable outcome of the structural violence that occurs in post-secondary settings. Yet, IS and the related concept of institutional courage are emerging fields of study that pose important implications for institutional change.
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  • 文章类型: Journal Article
    对成年妇女的性伤害仍然是被低估的犯罪。这项系统审查确定并综合了报告的障碍,调查,起诉,以及西方国家对成年女性的性侵犯和强奸案件的量刑。遵循系统审查和荟萃分析指南的首选报告项目,2023年8月3日,对包括PsycINFO在内的数据库进行了全面搜索,MEDLINE,科克伦图书馆,Scopus,ProQuestCentral,WebofScience,MedNar,和ProQuest论文和论文。符合纳入标准的研究提供了关于不正式披露决定的相关信息,调查,起诉,或定罪性侵犯和强奸成年女性的事件。我们纳入了28项研究,总共确定了70个障碍。识别出的障碍在报告中最为普遍,接着调查,起诉,and,最后,判刑。障碍中的关键主题包括对刑事司法系统缺乏信任,内部反应,强奸神话和社会规范,和犯罪者的特征。确定的障碍强调迫切需要改革刑事司法系统应对性侵犯和强奸。优先考虑受害者-幸存者的需求,提高刑事司法系统的透明度,解决流失率至关重要。未来的研究需要与不同的人群接触,以满足所有受害者-幸存者的需求,并进一步了解刑事司法系统各个阶段的挑战,以提高强奸和性侵犯案件的结果。
    Sexual victimization of adult women remains an underreported crime. This systematic review identified and synthesized the barriers to reporting, investigating, prosecuting, and sentencing cases of sexual assault and rape against adult women in Western countries. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a comprehensive search was conducted on August 3, 2023, across databases including PsycINFO, MEDLINE, Cochrane Library, Scopus, ProQuest Central, Web of Science, MedNar, and ProQuest Dissertations & Theses. Studies meeting the inclusion criteria provided relevant information on the decision not to formally disclose, investigate, prosecute, or convict incidents of sexual assault and rape of adult women. We included 28 studies and identified 70 barriers in total. Identified barriers were most prevalent to reporting, followed by investigating, prosecuting, and, lastly, sentencing. Key themes in the barriers included lack of trust in the criminal justice system, internal reactions, rape myths and societal norms, and perpetrator characteristics. The identified barriers emphasize an urgent need for reform of the criminal justice system\'s response to sexual assault and rape. Prioritizing victim-survivors\' needs, enhancing transparency of the criminal justice system, and addressing attrition rates are crucial. Future studies need to engage with diverse population to address all victim-survivors\' needs and provide further insights into the challenges across all stages of the criminal justice system to enhance the outcome of rape and sexual assault cases.
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  • 文章类型: Journal Article
    背景:许多人在工作中经历了基于性别的暴力和骚扰(GBVH)形式。这包括广泛的经验,从敌意的微妙表达到人身攻击,也可以是性的(例如,性骚扰或性侵犯)。本系统综述旨在总结有关工作相关GBVH与人们健康和职业状况的前瞻性关联的发现。
    方法:我们遵循系统评价和荟萃分析指南的首选报告项目。Scopus,WebofScience,从1990年至2023年5月24日,对MEDLINE和PsycINFO进行了英语前瞻性研究。如果研究涉及工作人口,在工作环境中接触任何形式的GBVH,以及健康结果或明显的职业结果。使用Cochrane“队列研究中评估偏倚风险的工具”的修订版评估质量,被评估为低质量的研究被排除在叙事综合之外。对于叙事综合,我们根据相似的暴露量和结局对结果进行分组,并报告了相关性的强度和统计学意义.
    结果:在1937条筛选记录中,29项研究包括在叙事综合中。研究主要在美国和北欧进行,调查暴露于性暴力或性骚扰(SVH)。只有两项纳入研究调查了非性别类型的GBVH。始终如一,研究显示,与工作相关的SVH与不良心理健康相关,并且有迹象表明与危险物质使用相关.没有一致的证据表明SVH与随后的疾病缺失有关,关于身体健康和职业结果的研究太少,无法综合结果。
    结论:有一致的证据表明,与工作相关的SVH是随后心理健康不良的危险因素。没有迹象表明SVH的健康后果在男女之间有所不同,虽然女性更常受到影响。需要概念上的一致性,考虑非性行为和前瞻性研究,以检验有关事件时间顺序的明确假设。
    BACKGROUND: Many people experience forms of gender-based violence and harassment (GBVH) in the context of their work. This includes a wide range of experiences, from subtle expressions of hostility to physical assault, that can also be of a sexual nature (e.g., sexual harassment or assault). This systematic review aimed to summarize findings about the prospective associations of work-related GBVH with people\'s health and occupational situation.
    METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Scopus, Web of Science, MEDLINE and PsycINFO were searched for prospective studies in English from 1990 to May 24, 2023. Studies were included if they concerned a working population, exposure to any form of GBVH in the work context, and a health outcome or manifest occupational outcome. Quality was assessed with a modified version of the Cochrane \'Tool to Assess Risk of Bias in Cohort Studies\', and studies assessed as low quality were excluded from the narrative synthesis. For the narrative synthesis, we grouped the results by similar exposures and outcomes and reported the strength and statistical significance of the associations.
    RESULTS: Of the 1 937 screened records, 29 studies were included in the narrative synthesis. Studies were mainly conducted in the USA and northern Europe and investigated exposure to sexual violence or harassment (SVH). Only two included studies investigated non-sexual kinds of GBVH. Consistently, studies showed associations of work-related SVH with poor mental health and there were indications of an association with hazardous substance use. There was no consistent evidence for an association of SVH with subsequent sickness absence, and there were too few studies concerning physical health and occupational outcomes to synthesize the results.
    CONCLUSIONS: There is consistent evidence of work-related SVH as a risk factor for subsequent poor mental health. There is no indication that the health consequences of SVH differ between women and men, although women are more often affected. There is a need for conceptual consistency, the consideration of non-sexual behaviors and prospective studies that test clear hypotheses about the temporal sequence of events.
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  • 文章类型: Journal Article
    法医学在医学领域取得了很大的进步,但是法医科学家仍然不知道眼部体征,而眼部体征在法医学中起着非常重要的作用。这项研究的主要目标是描述与眼睛有关的线索在法医学中的重要性,以解决犯罪现场并了解定罪罪犯并挽救无辜者的实际死亡原因。进行了叙事审查,以审查PubMed上可用的文章,谷歌学者,研究门,WebofScience和Medline与法医验光有关,涉及各种鉴定方法和处理法医案件的策略。该综述涵盖了侧重于法医验光的干预措施和与当前研究目标相关的眼睛线索的研究。54项符合纳入标准的研究中有27项取得了良好的结果,所有人都检查了法医验光中与眼睛相关的线索的重要性。同行评审的文章/研究被引用,以确定法医学中与眼睛相关的线索。一些作者认为,与眼睛相关的线索是法医学非常重要的方面,并在这方面进行了临床研究。刑事案件,家庭虐待和性侵犯影响所有社会经济背景的人。因此,这些特征在确定死亡方式和导致犯罪的事件的时间顺序历史方面将是非常有价值的。
    Forensic science has made a lot of progress in the medical field, but still ocular signs are not so well known to forensic scientists, whereas ocular signs play a very important role in forensic science. The major goal of this study to describe the importance of eye related clues in forensic science to solve the crime scenes and know the actual cause of death for the conviction of the criminals and save an innocent persons. Narrative review was done to review the articles available on the PubMed, Google Scholar, Research Gate, Web of Science and Medline related to the forensic optometry about the various methods of identification and strategies to deal with the forensic cases. The review covered studies that focused on interventions for forensic optometry and eye-related clues to the current study target. Twenty-seven of the 54 studies that met the inclusion criteria yielded good results, and all examined the significance of eye-related clues in forensic optometry. Peer reviewed articles/studies were referred to ascertain the eye related clues in the forensic science. Some authors suggest that eye related clues are very important aspects towards the forensic science and done the clinical research on that aspects. Criminal cases, domestic abuse and sexual assault affect people of all socioeconomic backgrounds. As a result, these traits would be highly valuable in determining the way of death and the chronological history of events leading up to a crime.
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  • 文章类型: Journal Article
    暴露于创伤会增加女性患病的风险,导致医疗费用增加。创伤知情护理方法旨在增强患者的参与度,并促进有心理创伤史的患者更有效的康复。本定性系统综述旨在使用Sandelowski和Barroso的两步方法进行定性研究综合,以综合与接受创伤知情护理的妇女的经验有关的证据。从成立到2023年9月,对10个电子数据库进行了全面搜索,并对相关研究和评论进行了广泛的参考书目搜索。总的来说,选择了11项符合纳入标准的研究:英语定性同行评审和非同行评审研究,研究结果涉及19~64岁成年异性恋女性接受各种创伤知情心理干预的经历.从这些研究中,出现了四个主要主题,阐明妇女参与创伤护理的经历:(a)准备寻求康复;(b)医疗保健提供者:扩大第一手;(c)授权范式转变;(d)更好的未来。我们的主要发现强调了医疗保健提供者对创伤和文化的敏感性的重要性,采取对性别问题有敏感认识的方法,并采取积极的立场发起关于创伤的讨论。此外,分配更多的时间进行磋商,越来越重视建立初步的融洽关系,以确保女性的舒适,也是至关重要的。审查进一步强调了小组会议在帮助妇女从创伤中恢复方面的好处。最终,这项审查对塑造未来的实践具有重要意义,强调个性化治疗计划的关键必要性。
    Exposure to trauma elevates the risk of illness in women, resulting in increased healthcare costs. The trauma-informed care approach seeks to enhance patient engagement and promote more effective recovery for those with a history of psychological trauma. This qualitative systematic review aims to synthesize evidence related to the experiences of women receiving trauma-informed care using Sandelowski and Barroso\'s two-step approach for qualitative research synthesis. A comprehensive search was conducted across 10 electronic databases from their inception until September 2023, coupled with an extensive bibliography search of relevant studies and reviews. In total, eleven studies meeting the inclusion criteria were selected: qualitative peer-reviewed and non-peer-reviewed studies in English with findings on the experiences of adult heterosexual women aged 19 to 64 years old who underwent various trauma-informed psychosocial interventions. From these studies, four main themes emerged, elucidating women\'s experiences as they engage with trauma-informed care: (a) Readiness to seek healing; (b) Healthcare providers: Extending the first hand; (c) An empowering paradigm shift; and (d) Better days ahead. Our major findings emphasize the importance of healthcare providers demonstrating sensitivity to trauma and culture, adopting a gender-sensitive approach, and taking a proactive stance in initiating discussions about trauma. Moreover, allocating more time for consultations, with an increased focus on building an initial rapport to ensure women\'s comfort, is also vital. The review further underscores the benefits of group sessions in aiding women\'s recovery from trauma. Ultimately, this review holds substantial implications for shaping future practices, emphasizing the critical necessity of personalized treatment plans.
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  • 文章类型: Journal Article
    本文是对研究的首次定性系统回顾,研究了男性性犯罪者从监狱重返社会或获得社区护理的障碍和促进者。对16个电子数据库的搜索产生了14,218个潜在来源,which,筛选后,导致79篇文章被列入。如果论文使用关于障碍的定性研究方法,主持人,感知,经验,以及对监狱重返社区的态度,或对被判犯有性犯罪的男子的安全护理。对纳入的论文进行了批判性评估,并按主题综合了研究结果。调查结果确定,重返社会的形式和文化方面,比如缓刑服务,污名化,和注册,是男人在获释时面临的三大障碍,在稳定性方面,比如积极的关系,宗教,和支持团体,成为他们成功重返社会的关键促进者。对未来研究的影响,政策和实践,包括优先考虑风险评估和管理,提供适当和及时的治疗和康复,教育社区,更好地获得住房和就业,和采用协作方式的服务,正在讨论。
    This article is the first qualitative systematic review of studies examining the barriers and facilitators to male sex offenders reintegration from prison or secure care into the community. A search of 16 electronic databases produced 14,218 potential sources, which, after screening, resulted in 79 articles for inclusion. Papers were included if they used qualitative research methods about the barriers, facilitators, perceptions, experiences, and attitudes toward community reintegration from prison or secure care for men convicted of sexual offenses. Included papers were critically appraised and the findings were thematically synthesized. The findings identified that formal and cultural aspects of reintegration, such as probation services, stigmatization, and registration, were the three largest barriers that men faced upon their release, with stability aspects, such as positive relationships, religion, and support groups, being key facilitators to their successful reintegration. The implications for future research, and policy and practice, including prioritizing risk assessment and management, offering appropriate and timely treatment and rehabilitation, educating the community, better access to housing and employment, and services adopting a collaborative approach, are discussed.
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  • 文章类型: Journal Article
    在非自愿性行为期间,男性和女性受害者的性唤起是一个被充分研究的现象,具有许多潜在的心理,临床,以及对幸存者的法律影响。本范围审查的目的是评估文献,以确定我们是否可以估计生理性唤起的频率和情况(例如,勃起,润滑,射精,性高潮)在非自愿性行为中的受害者中。六个参考数据库和手工搜索导致筛选了13,894篇文章和其他报告。1977年至2019年期间发表的八篇文章和一本书包括来自136名男性幸存者和250名女性幸存者的相关数据。结果证实,在非自愿性行为期间,男性和女性受害者都可能发生生理性唤起(仅提及生殖器反应)。由于使用的方法差异很大,因此无法确定这些响应的频率。此外,尽管推断了一些情况,但无法确定受害者更有可能发生性唤起的情况。范围审查的结果表明,受害者在非自愿性行为期间确实会发生生理性唤起,但尚未进行系统研究。显然需要正确评估类型,环境,后果,在大量不同的男性和女性幸存者中,非自愿性行为期间的性唤起频率。
    Sexual arousal in male and female victims during nonconsensual sex is an understudied phenomenon with many potential psychological, clinical, and legal implications for survivors. The aim of this scoping review was to assess the literature to determine whether we could estimate the frequency and circumstances of physiological sexual arousal (e.g., erection, lubrication, ejaculation, orgasm) among victims during nonconsensual sex. Six reference database and hand searches led to the screening of 13,894 articles and other reports. Eight articles and one book published between 1977 and 2019 included relevant data from 136 male survivors and 250 female survivors. Results confirmed that physiological sexual arousal (only genital responses were mentioned) can occur in both male and female victims during nonconsensual sex. The frequency of these responses could not be determined because of the widely different methodologies used. In addition, it was not possible to determine the circumstances in which victim sexual arousal was more likely to occur although some were inferred. The results of the scoping review highlight that physiological sexual arousal during nonconsensual sex does occur for victims but has not been studied systematically. There is a clear need to properly assess the type, circumstances, consequences, and frequency of sexual arousal during nonconsensual sex in large and diverse populations of male and female survivors.
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