Epidemiological Models

流行病学模型
  • 文章类型: Journal Article
    流动性是理解流行病传播链可能扩大的关键因素。在最初的阶段,遏制案件的策略可以直接与人口流动限制联系在一起,特别是当只有非药物措施可用时。在巴西COVID-19大流行期间,流动性限制措施受到很大一部分人口的强烈反对。假设,如果民众支持这些措施,病例数量的急剧上升本可以得到抑制。在这种情况下,计算模型提供了系统的方法来分析有关流行病学情况发展的情景,同时考虑到特定条件。在这项研究中,我们研究了巴西州际交通的影响。要做到这一点,我们开发了一个考虑室内和室间动态的元人口模型,利用图论。我们使用参数估计技术,该技术使我们能够推断每个状态下的有效再现数并估计时变传输速率。这使得调查与流动性相关的情景成为可能,并量化人们在各州之间流动的影响,以及限制流动的某些措施如何减少大流行的影响。我们的结果表明病例数和流动性之间有明显的关联,当各州彼此更接近时,这种情况会加剧。这可以作为概念的证明,并表明如何减少交通繁忙地区的流动性可以更有效。
    Mobility is a crucial element in comprehending the possible expansion of the transmission chain in an epidemic. In the initial phases, strategies for containing cases can be directly linked to population mobility restrictions, especially when only non-pharmaceutical measures are available. During the pandemic of COVID-19 in Brazil, mobility limitation measures were strongly opposed by a large portion of the population. Hypothetically, if the population had supported such measures, the sharp rise in the number of cases could have been suppressed. In this context, computational modeling offers systematic methods for analyzing scenarios about the development of the epidemiological situation taking into account specific conditions. In this study, we examine the impacts of interstate mobility in Brazil. To do so, we develop a metapopulational model that considers both intra and intercompartmental dynamics, utilizing graph theory. We use a parameter estimation technique that allows us to infer the effective reproduction number in each state and estimate the time-varying transmission rate. This makes it possible to investigate scenarios related to mobility and quantify the effect of people moving between states and how certain measures to limit movement might reduce the impact of the pandemic. Our results demonstrate a clear association between the number of cases and mobility, which is heightened when states are closer to each other. This serves as a proof of concept and shows how reducing mobility in more heavily trafficked areas can be more effective.
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  • 文章类型: Journal Article
    目的:肝细胞癌(HCC)提出了重大的全球健康挑战,特别是在肝硬化患者中,与丙型肝炎(HCV)的主要原因。在与HCV相关的肝硬化患者中,肝癌的风险增加后仍存在治愈。具有六个月超声的HCC监测已被证明可以提高生存率。然而,坚持一年两次的筛查目前是次优的。本研究旨在评估增加HCC监测摄取和改善超声敏感性对HCV治愈后HCV相关性肝硬化患者死亡率的影响。
    方法:本研究利用数学模型评估HCC进展,监视,诊断,以及成功接受HCV治疗的肝硬化患者的治疗。确定性房室模型纳入了巴塞罗那临床肝癌(BCLC)阶段,以模拟100名肝硬化患者的疾病进展和诊断概率,这些患者已成功治疗了超过10年的丙型肝炎。对四种干预措施进行了建模,以评估其改善预期寿命的潜力:监测依从性的现实改善,对监测依从性的乐观改善,诊断灵敏度增强,结果:实际依从性改善导致10年干预期内每100个队列增加9.8(95%CI7.9,11.6)个生命年;乐观依从性改善达到17.2(13.9,20.3)个生命年.诊断灵敏度的提高导致生命年增加7.0(3.6,13.8)年,治疗改善使寿命年延长9.0(7.5,10.3)年。
    结论:定期HCC超声监测对于降低治愈的丙型肝炎和肝硬化患者的死亡率仍然至关重要。我们的研究强调,即使是对超声监测依从性的微小增强,也可以比提高监测敏感性或治疗效果的策略更有效地显著提高人群的预期寿命。
    OBJECTIVE: Hepatocellular carcinoma (HCC) presents a significant global health challenge, particularly among individuals with liver cirrhosis, with hepatitis C (HCV) a major cause. In people with HCV-related cirrhosis, an increased risk of HCC remains after cure. HCC surveillance with six monthly ultrasounds has been shown to improve survival. However, adherence to biannual screening is currently suboptimal. This study aimed to evaluate the effect of increased HCC surveillance uptake and improved ultrasound sensitivity on mortality among people with HCV-related cirrhosis post HCV cure.
    METHODS: This study utilized mathematical modelling to assess HCC progression, surveillance, diagnosis, and treatment among individuals with cirrhosis who had successfully been treated for HCV. The deterministic compartmental model incorporated Barcelona Clinic Liver Cancer (BCLC) stages to simulate disease progression and diagnosis probabilities in 100 people with cirrhosis who had successfully been treated for hepatitis C over 10 years. Four interventions were modelled to assess their potential for improving life expectancy: realistic improvements to surveillance adherence, optimistic improvements to surveillance adherence, diagnosis sensitivity enhancements, and improved treatment efficacy Results: Realistic adherence improvements resulted in 9.8 (95% CI 7.9, 11.6) life years gained per cohort of 100 over a 10-year intervention period; 17.2 (13.9, 20.3) life years were achieved in optimistic adherence improvements. Diagnosis sensitivity improvements led to a 7.0 (3.6, 13.8) year gain in life years, and treatment improvements improved life years by 9.0 (7.5, 10.3) years.
    CONCLUSIONS: Regular HCC ultrasound surveillance remains crucial to reduce mortality among people with cured hepatitis C and cirrhosis. Our study highlights that even minor enhancements to adherence to ultrasound surveillance can significantly boost life expectancy across populations more effectively than strategies that increase surveillance sensitivity or treatment efficacy.
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  • 文章类型: Journal Article
    目的:为了便于小范围内的传染病追踪,有效开展疾病控制和流行病学调查,这项研究提出了一种新的时空模型来估计传染病的有效繁殖数(Re),基于接触追踪的基本概念。
    方法:本研究利用手,脚,毕山区儿童的口蹄疫(HFMD),重庆,中国从2015年到2019年。该研究结合手足口病的流行病学特征,旨在构建手足口病的时空相关性判别方法。利用ARCENGINE和C#编程创建专门用于HFMD的时空数据库,以促进数据收集和分析。通过对比传统SEIR模型得到的有效再现数,验证了所提方法的科学有效性。
    结果:我们已经确定了时空搜索模型的最佳搜索半径为1.5km。在分析所得的Re值后,从1.14到4.75,我们观察到2015年到2019年的偏斜分布模式。记录的中值和四分位数Re值为2.42(1.98,2.72)。除2018年外,2015年、2016年、2017年、2019年的相似系数r均接近1,两种模型比较p<0.05,表明使用搜索模型和传统SEIR模型获得的Re值是相关的,并且密切相关。结果表明,两种模型的Re曲线与手足口病的流行病学特征之间具有相似性。最后,我们在地理信息系统(GIS)地图上说明了搜索模型在不同时间间隔获得的Re值的区域分布,该地图突出了不同社区疾病发病率的变化,邻里,甚至更小的区域。
    结论:该模型综合考虑了疾病传播中的时间变化和空间异质性,并解释了每个个体不同的发病时间和空间位置。这种提出的方法与用于估计Re的现有数学模型有很大不同,因为它是基于合理的科学假设和考虑了现实时空因素的计算机算法编程。它特别适合在小地理区域内相对稳定的流动人口中估算传染病的Re。
    OBJECTIVE: In order to facilitate the tracing of infectious diseases in a small area and to effectively carry out disease control and epidemiological investigations, this research proposes a novel spatiotemporal model to estimate effective reproduction number(Re)for infectious diseases, based on the fundamental concept of contact tracing.
    METHODS: This study utilizes the incidence of hand, foot, and mouth disease (HFMD) among children in Bishan District, Chongqing, China from 2015 to 2019. The study incorporates the epidemiological characteristics of HFMD and aims to construct a Spatiotemporal Correlation Discrimination of HFMD. Utilizing ARC ENGINE and C# programming for the creation of a spatio-temporal database dedicated to HFMD to facilitate data collection and analysis. The scientific validity of the proposed method was verified by comparing the effective reproduction number obtained by the traditional SEIR model.
    RESULTS: We have ascertained the optimal search radius for the spatiotemporal search model to be 1.5 km. Upon analyzing the resulting Re values, which range from 1.14 to 4.75, we observe a skewed distribution pattern from 2015 to 2019. The median and quartile Re value recorded is 2.42 (1.98, 2.72). Except for 2018, the similarity coefficient r of the years 2015, 2016, 2017, and 2019 were all close to 1, and p <0.05 in the comparison of the two models, indicating that the Re values obtained by using the search model and the traditional SEIR model are correlated and closely related. The results exhibited similarity between the Re curves of both models and the epidemiological characteristics of HFMD. Finally, we illustrated the regional distribution of Re values obtained by the search model at various time intervals on Geographic Information System (GIS) maps which highlighted variations in the incidence of diseases across different communities, neighborhoods, and even smaller areas.
    CONCLUSIONS: The model comprehensively considers both temporal variation and spatial heterogeneity in disease transmission and accounts for each individual\'s distinct time of onset and spatial location. This proposed method differs significantly from existing mathematical models used for estimating Re in that it is founded on reasonable scientific assumptions and computer algorithms programming that take into account real-world spatiotemporal factors. It is particularly well-suited for estimating the Re of infectious diseases in relatively stable mobile populations within small geographical areas.
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  • 文章类型: Journal Article
    了解传染病的传播和传播,流行病学家转向瞬时繁殖数的估计。虽然存在许多估计方法,其效用可能有限。监测数据收集的挑战,仅靠数据无法验证的模型假设,和计算效率低下的框架是许多现有方法的关键限制。我们提出了一种基于离散样条的方法,该方法使用近端牛顿法解决了凸优化问题-泊松趋势滤波。它产生了一个局部自适应估计器,用于具有异质平滑度的瞬时再现数量估计。即使在某些过程错误规范下,我们的方法仍然准确,并且在计算上很有效,即使是大规模数据。该实现可以在轻量级R包rtestim中轻松访问。
    To understand the transmissibility and spread of infectious diseases, epidemiologists turn to estimates of the instantaneous reproduction number. While many estimation approaches exist, their utility may be limited. Challenges of surveillance data collection, model assumptions that are unverifiable with data alone, and computationally inefficient frameworks are critical limitations for many existing approaches. We propose a discrete spline-based approach that solves a convex optimization problem-Poisson trend filtering-using the proximal Newton method. It produces a locally adaptive estimator for instantaneous reproduction number estimation with heterogeneous smoothness. Our methodology remains accurate even under some process misspecifications and is computationally efficient, even for large-scale data. The implementation is easily accessible in a lightweight R package rtestim.
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  • 文章类型: Journal Article
    本研究使用勒让德光谱搭配方法(LSCM)对随机寨卡病毒以及最优控制模型进行了计算研究。通过所提出的随机微分方程将随机性积累到模型中,我们利用随机波动对疾病的进展和传播至关重要。的稳定性,认真分析了LSCM的收敛性和准确性,并证明了其在解决复杂流行病学模型方面的优势。此外,这项研究评估了各种控制策略,如治疗,预防和治疗农药控制,并确定干预成本的最佳组合,并将建议的感染率降至最低。给定模型的基本属性,如再现数,在有和没有控制策略的情况下确定。对于R0<0,该模型满足无病均衡,在这种情况下,疾病会在一段时间后消失,而对于R0>1,那么就满足了地方性均衡,在这种情况下,疾病在人群中以更高的规模传播。基本发现承认随机音素对控制策略的鲁棒性和有效性的重大影响,这些控制策略加速了对具有成本效益和多方面方法的需求。最后,这些结果为公共卫生部门提供了有价值的见解,可以在现实世界中更令人印象深刻地缓解寨卡病毒的爆发和管理。
    This study presents a computational investigation of a stochastic Zika virus along with optimal control model using the Legendre spectral collocation method (LSCM). By accumulation of stochasticity into the model through the proposed stochastic differential equations, we appropriating the random fluctuations essential in the progression and disease transmission. The stability, convergence and accuracy properties of the LSCM are conscientiously analyzed and also demonstrating its strength for solving the complex epidemiological models. Moreover, the study evaluates the various control strategies, such as treatment, prevention and treatment pesticide control, and identifies optimal combinations that the intervention costs and also minimize the proposed infection rates. The basic properties of the given model, such as the reproduction number, were determined with and without the presence of the control strategies. For R 0 < 0 , the model satisfies the disease-free equilibrium, in this case the disease die out after some time, while for R 0 > 1 , then endemic equilibrium is satisfied, in this case the disease spread in the population at higher scale. The fundamental findings acknowledge the significant impact of stochastic phonemes on the robustness and effectiveness of control strategies that accelerating the need for cost-effective and multi-faceted approaches. In last the results provide the valuable insights for public health department to enabling more impressive mitigation of Zika virus outbreaks and management in real-world scenarios.
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  • 文章类型: Journal Article
    疟疾等蚊媒疾病,登革热,Zika,基孔肯雅病在全球范围内造成显著的发病率和死亡率,每年导致超过60万人死于疟疾,约3.6万人死于登革热,每年有数百万人被感染,造成了巨大的经济损失。现行的灭蚊措施,如长效杀虫网(LLINs)和室内滞留喷洒(IRS),有助于减少感染。然而,蚊媒疾病仍然是最致命的疾病之一,迫使我们改进现有的控制方法,同时寻找替代方法。先进的监测技术,包括遥感,和地理信息系统(GIS)大大提高了蚊子控制措施的效率和有效性。蚊子的行为特征,比如运动,血液喂养,和生育率是疾病传播和流行病学的关键决定因素。技术进步,比如高分辨率相机,红外成像,和人工智能(AI)驱动的对象检测模型,包括开创性的卷积神经网络,提供了有效和精确的选择来监测各种蚊子的行为,包括运动,产卵,生育力,寻找主人。然而,它们通常不用于基于蚊子的研究。这篇综述强调了行为监测工具的新颖和重大进步,主要来自过去十年,由于尖端的视频监控技术和人工智能。这些改进可以提供更高的准确性,效率,以及快速处理大量数据的能力,实现长时间和大样本量的详细行为分析,与传统的手工方法不同,容易出现人为错误和劳动密集型。行为测定技术的使用可以支持或取代现有的监测技术,并通过提供有关蚊子活动模式和对干预措施的反应的更准确和实时的数据,直接有助于改进控制措施。这种增强的理解可以帮助确定行为变化在改善流行病学模型中的作用,使它们更加精确和动态。因此,蚊子管理策略可以变得更具适应性和反应能力,导致更有效和有针对性的干预措施。最终,这将减少疾病传播并显著改善公共卫生结果.
    Mosquito-borne diseases such as malaria, dengue, Zika, and chikungunya cause significant morbidity and mortality globally, resulting in over 600,000 deaths from malaria and around 36,000 deaths from dengue each year, with millions of people infected annually, leading to substantial economic losses. The existing mosquito control measures, such as long-lasting insecticidal nets (LLINs) and indoor residual spraying (IRS), helped to reduce the infections. However, mosquito-borne diseases are still among the deadliest diseases, forcing us to improve the existing control methods and look for alternative methods simultaneously. Advanced monitoring techniques, including remote sensing, and geographic information systems (GIS) have significantly enhanced the efficiency and effectiveness of mosquito control measures. Mosquitoes\' behavioural traits, such as locomotion, blood-feeding, and fertility are the key determinants of disease transmission and epidemiology. Technological advancements, such as high-resolution cameras, infrared imaging, and artificial intelligence (AI) driven object detection models, including groundbreaking convolutional neural networks, have provided efficient and precise options to monitor various mosquito behaviours, including locomotion, oviposition, fertility, and host-seeking. However, they are not commonly employed in mosquito-based research. This review highlights the novel and significant advancements in behaviour-monitoring tools, mostly from the last decade, due to cutting-edge video monitoring technology and artificial intelligence. These advancements can offer enhanced accuracy, efficiency, and the ability to quickly process large volumes of data, enabling detailed behavioural analysis over extended periods and large sample sizes, unlike traditional manual methods prone to human error and labour-intensive. The use of behaviour-assaying techniques can support or replace existing monitoring techniques and directly contribute to improving control measures by providing more accurate and real-time data on mosquito activity patterns and responses to interventions. This enhanced understanding can help establish the role of behavioural changes in improving epidemiological models, making them more precise and dynamic. As a result, mosquito management strategies can become more adaptive and responsive, leading to more effective and targeted interventions. Ultimately, this will reduce disease transmission and significantly improve public health outcomes.
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  • 文章类型: Journal Article
    在流行病学中,现实的疾病动力学通常需要类似易感暴露感染恢复(SEIR)的模型,因为它们说明了个体感染之前的潜伏期。然而,为了分析的可操作性,通常使用更简单的易感感染恢复(SIR)模型,尽管他们缺乏生物现实主义。桥接这些模型对于准确估计参数和将模型拟合到观测数据至关重要,特别是在人群水平的传染病研究中。本文研究了SEIR和SIR框架的随机版本,并证明了SEIR模型可以通过具有时间依赖性感染和恢复率的SIR模型有效地近似。这种近似的有效性得到了大种群功能定律(FLLN)极限和有限种群集中不等式的推导的支持。为了在实践中应用这种近似,本文介绍了一种基于动态生存分析(DSA)生存分析框架的参数推理方法。该方法可以将SIR模型拟合到从更复杂的SEIR动力学模拟的数据,通过模拟实验说明。
    In epidemiology, realistic disease dynamics often require Susceptible-Exposed-Infected-Recovered (SEIR)-like models because they account for incubation periods before individuals become infectious. However, for the sake of analytical tractability, simpler Susceptible-Infected-Recovered (SIR) models are commonly used, despite their lack of biological realism. Bridging these models is crucial for accurately estimating parameters and fitting models to observed data, particularly in population-level studies of infectious diseases. This paper investigates stochastic versions of the SEIR and SIR frameworks and demonstrates that the SEIR model can be effectively approximated by a SIR model with time-dependent infection and recovery rates. The validity of this approximation is supported by the derivation of a large-population Functional Law of Large Numbers (FLLN) limit and a finite-population concentration inequality. To apply this approximation in practice, the paper introduces a parameter inference methodology based on the Dynamic Survival Analysis (DSA) survival analysis framework. This method enables the fitting of the SIR model to data simulated from the more complex SEIR dynamics, as illustrated through simulated experiments.
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  • 文章类型: Journal Article
    疟疾是一种由疟原虫寄生虫引起的发热,通过受感染的雌性按蚊的攻击转移给人类。使用微分方程的稳定性理论检验了确定性隔室模型。获得的繁殖数是无病的渐近稳定条件,并确定了地方性均衡。更多,定性评估模型纳入了时间依赖性变量对照,旨在减少疟疾疾病的扩散.确定繁殖数Ro是无病和地方性平衡的渐近稳定条件。在本文中,我们使用了各种方案,例如Runge-Kutta阶4(RK-4)和非标准有限差分(NSFD)。所有的方案产生不同的结果,但最合适的方案是NSFD。对于所有步长都是如此。NSFD方案中使用了各种标准来评估无病和地方性平衡点的局部和全局稳定性。Routh-Hurwitz条件用于验证局部稳定性,Lyapunov稳定性定理用于证明全局渐近稳定性。当R0≤1时,无病平衡的全局渐近稳定性得到了证明。当R0≥1时,研究了地方性平衡的稳定性。所有上述方案及其效果也被数值证明。比较分析表明,NSFD在确定性传染病模型的分析方面均具有优越性。本文提供的理论效果和数值模拟可用于预测传染病的传播。
    Malaria is a fever condition that results from Plasmodium parasites, which are transferred to humans by the attacks of infected female Anopheles mosquitos. The deterministic compartmental model was examined using stability theory of differential equations. The reproduction number was obtained to be asymptotically stable conditions for the disease-free, and the endemic equilibria were determined. More so, the qualitatively evaluated model incorporates time-dependent variable controls which was aimed at reducing the proliferation of malaria disease. The reproduction number R o was determined to be an asymptotically stable condition for disease free and endemic equilibria. In this paper, we used various schemes such as Runge-Kutta order 4 (RK-4) and non-standard finite difference (NSFD). All of the schemes produce different results, but the most appropriate scheme is NSFD. This is true for all step sizes. Various criteria are used in the NSFD scheme to assess the local and global stability of disease-free and endemic equilibrium points. The Routh-Hurwitz condition is used to validate the local stability and Lyapunov stability theorem is used to prove the global asymptotic stability. Global asymptotic stability is proven for the disease-free equilibrium when R 0 ≤ 1 . The endemic equilibrium is investigated for stability when R 0 ≥ 1 . All of the aforementioned schemes and their effects are also numerically demonstrated. The comparative analysis demonstrates that NSFD is superior in every way for the analysis of deterministic epidemic models. The theoretical effects and numerical simulations provided in this text may be used to predict the spread of infectious diseases.
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  • 文章类型: Journal Article
    这项研究引入了分数阶模型来研究脊髓灰质炎疾病传播的动态,专注于它的意义,独特的结果,和结论。我们强调了解脊髓灰质炎传播动力学的重要性,并提出了一种使用具有指数衰减核的分数阶模型的新颖方法。经过严格的分析,包括应用CaputoFabrizio分数阶算子的存在性和稳定性评估,我们得出了疾病动态的关键见解。我们的发现揭示了不同的无病平衡点(DFE)和地方性平衡点(EE),揭示疾病的稳定性。此外,图形表示和数值模拟证明了疾病在各种参数值下的行为,加强我们对脊髓灰质炎传播动态的理解。总之,这项研究为脊髓灰质炎的传播提供了有价值的见解,并有助于更广泛地了解传染病的动态。
    This study introduces a fractional order model to investigate the dynamics of polio disease spread, focusing on its significance, unique results, and conclusions. We emphasize the importance of understanding polio transmission dynamics and propose a novel approach using a fractional order model with an exponential decay kernel. Through rigorous analysis, including existence and stability assessment applying the Caputo Fabrizio fractional operator, we derive key insights into the disease dynamics. Our findings reveal distinct disease-free equilibrium (DFE) and endemic equilibrium (EE) points, shedding light on the disease\'s stability. Furthermore, graphical representations and numerical simulations demonstrate the behavior of the disease under various parameter values, enhancing our understanding of polio transmission dynamics. In conclusion, this study offers valuable insights into the spread of polio and contributes to the broader understanding of infectious disease dynamics.
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  • 文章类型: Journal Article
    FredBrauer是一位研究动力系统的杰出数学家,尤其是微分方程。他对数学流行病学做出了许多贡献,一个与数据紧密相连的字段,但他总是选择避免数据分析。然而,他认识到,当试图将传染病传播模型应用于实际的公共卫生问题时,拟合数据的模型通常是必要的。他很想知道如何将动态模型拟合到数据中,以及为什么会很难。最初在回答弗雷德的问题时,我们开发了一个用户友好的R包,fitode,这有助于将常微分方程拟合到观察到的时间序列。这里,我们使用这个软件包来提供一个简短的教程介绍,以将隔室流行病模型拟合到单个观察到的时间序列。我们假设,像弗雷德,读者从数学的角度熟悉动力系统,但在统计方法或优化技术方面的经验有限。
    Fred Brauer was an eminent mathematician who studied dynamical systems, especially differential equations. He made many contributions to mathematical epidemiology, a field that is strongly connected to data, but he always chose to avoid data analysis. Nevertheless, he recognized that fitting models to data is usually necessary when attempting to apply infectious disease transmission models to real public health problems. He was curious to know how one goes about fitting dynamical models to data, and why it can be hard. Initially in response to Fred\'s questions, we developed a user-friendly R package, fitode, that facilitates fitting ordinary differential equations to observed time series. Here, we use this package to provide a brief tutorial introduction to fitting compartmental epidemic models to a single observed time series. We assume that, like Fred, the reader is familiar with dynamical systems from a mathematical perspective, but has limited experience with statistical methodology or optimization techniques.
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