• 文章类型: Journal Article
    背景:双遗传吸虫,包括血吸虫,肠吸虫,肝吸虫,肺吸虫,和胰腺吸虫,高度多样化,分布广泛。它们影响了全球至少2亿人,因此,更好地了解它们的全球分布和患病率对于控制和预防人类吸音病至关重要。因此,这项范围审查旨在对一些重要的人畜共患双遗传吸虫的时空分布和流行病学进行全面调查。
    方法:我们通过搜索PubMed,WebofScience,谷歌学者,中国国家知识基础设施,和万方数据库的文章,reviews,和人畜共患双遗传吸虫的病例报告,对出版年份没有任何限制。我们遵循纳入和排除标准来确定相关研究。并对已确定研究的相关信息进行收集和总结。
    结果:我们共确定了470篇符合纳入标准的文章,并最终纳入综述。我们的分析揭示了血吸虫中物种的患病率和全球分布,棘皮组织,峡湾,棘突,并吸虫,Opistorchiidae,筋膜科,杂科,和Eurytrema.尽管一些吸虫分布在世界各地,亚洲和非洲的发展中国家仍然是最普遍的地区。此外,来自同一属的人畜共患双遗传吸虫的分布之间存在一些重叠,一些人畜共患双遗传吸虫的患病率与其全球分布并不完全一致。人畜共患双遗传吸虫的时间差异可能归因于环境变化。我们对人畜共患双遗传吸虫的流行病学和控制知识的差距表明,大多数国家都需要进行大型队列研究。
    结论:这篇综述提供了一些人畜共患双遗传吸虫的患病率和全球分布的重要见解,首先揭示了这些双遗传吸虫的时空差异。患病率较高的国家可能是将疾病传播到其他地区的潜在来源,并对未来可能的疫情构成威胁。因此,全球继续努力控制和预防人类吸音病,未来需要更多的国际合作。
    BACKGROUND: Digenetic trematodes, including blood flukes, intestinal flukes, liver flukes, lung flukes, and pancreatic flukes, are highly diverse and distributed widely. They affect at least 200 million people worldwide, so better understanding of their global distribution and prevalence are crucial for controlling and preventing human trematodiosis. Hence, this scoping review aims to conduct a comprehensive investigation on the spatio-temporal distribution and epidemiology of some important zoonotic digenetic trematodes.
    METHODS: We conducted a scoping review by searching PubMed, Web of Science, Google Scholar, China National Knowledge Infrastructure, and Wanfang databases for articles, reviews, and case reports of zoonotic digenetic trematodes, without any restrictions on the year of publication. We followed the inclusion and exclusion criteria to identify relevant studies. And relevant information of the identified studies were collected and summarized.
    RESULTS: We identified a total of 470 articles that met the inclusion criteria and were included in the review finally. Our analysis revealed the prevalence and global distribution of species in Schistosoma, Echinostoma, Isthmiophora, Echinochasmus, Paragonimus, Opisthorchiidae, Fasciolidae, Heterophyidae, and Eurytrema. Although some flukes are distributed worldwide, developing countries in Asia and Africa are still the most prevalent areas. Furthermore, there were some overlaps between the distribution of zoonotic digenetic trematodes from the same genus, and the prevalence of some zoonotic digenetic trematodes was not entirely consistent with their global distribution. The temporal disparities in zoonotic digenetic trematodes may attribute to the environmental changes. The gaps in our knowledge of the epidemiology and control of zoonotic digenetic trematodes indicate the need for large cohort studies in most countries.
    CONCLUSIONS: This review provides important insights into the prevalence and global distribution of some zoonotic digenetic trematodes, firstly reveals spatio-temporal disparities in these digenetic trematodes. Countries with higher prevalence rate could be potential sources of transmitting diseases to other areas and are threat for possible outbreaks in the future. Therefore, continued global efforts to control and prevent human trematodiosis, and more international collaborations are necessary in the future.
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  • 文章类型: Journal Article
    棘球蚴病和结核病是两种常见的人畜共患疾病,可引起严重的肺部感染。早期筛查和治疗监测具有重要意义,特别是在医疗资源有限的地区。在这里,我们设计了一种操作友好且快速的磁富集-银乙炔显色免疫测定法(Me-Sacia)来监测抗体。主要成分包括二级抗体修饰的磁性纳米粒子(MNP-Ab2)作为捕获纳米粒子,特异性肽(EG95或CFP10)修饰的银纳米颗粒(AgNP-PT)作为检测纳米颗粒,和炔烃修饰的金纳米花作为显色纳米颗粒。基于磁分离和等离子体发光技术,Me-Sacia可以完全取代生物酶的比色测定。它将检测时间减少到大约1小时,并简化了与常规ELISA相关的劳动密集型和设备密集型过程。同时,Me-Sacia显示了各种血液样本的普遍性和肉眼直观观察。与常规ELISA相比,Me-Sacia将检测限降低了约96.8%,将整体速度提高了大约15倍,灵敏度提高了约7.2%,具有100%的特异性和小于15%的变异系数(CV)。
    Echinococcosis and tuberculosis are two common zoonotic diseases that can cause severe pulmonary infections. Early screening and treatment monitoring are of great significance, especially in areas with limited medical resources. Herein, we designed an operation-friendly and rapid magnetic enrichment-silver acetylene chromogenic immunoassay (Me-Sacia) to monitor the antibody. The main components included secondary antibody-modified magnetic nanoparticles (MNP-Ab2) as capture nanoparticles, specific peptide (EG95 or CFP10)-modified silver nanoparticles (AgNP-PTs) as detection nanoparticles, and alkyne-modified gold nanoflowers as chromogenic nanoparticles. Based on the magnetic separation and plasma luminescence techniques, Me-Sacia could completely replace the colorimetric assay of biological enzymes. It reduced the detection time to approximately 1 h and simplified the labor-intensive and equipment-intensive processes associated with conventional ELISA. Meanwhile, the Me-Sacia showed universality for various blood samples and intuitive observation with the naked eye. Compared to conventional ELISA, Me-Sacia lowered the detection limit by approximately 96.8 %, increased the overall speed by approximately 15 times, and improved sensitivity by approximately 7.2 %, with a 100 % specificity and a coefficient of variation (CV) of less than 15 %.
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  • 文章类型: Journal Article
    空气传播的病毒性新发传染病(EID)的爆发对全球公共卫生造成了越来越大的负担。特别是在气候变化加剧的背景下。然而,空气传播的病毒性EID爆发的感染源和驱动因素仍然未知。这里,我们的目标是基于单一健康视角探索疫情的驱动机制。从全球传染病和流行病学网络数据库和系统文献综述中收集了20种空气传播的病毒性EID的爆发信息。使用多变量扫描统计测试,在全球范围内确定了四个具有统计学意义和高风险的空中病毒EID爆发时空集群。有112起疫情,有明确的感染源,人畜共患溢出是最常见的来源(95.54%,107/112)。自1970年以来,大部分疫情发生在医疗机构(24.82%),其次是学校(17.93%)和动物相关环境(15.93%)。在地震次数之间发现了显着的关联,风暴,洪水持续时间,使用病例交叉研究设计和多变量条件逻辑回归分析和空气传播的病毒性EIDs爆发。这些发现暗示人畜共患溢出和极端天气事件正在推动空气传播病毒EID的全球爆发,并有针对性地采取防控措施,降低空气传播的病毒性EID负担。
    Outbreaks of airborne viral emerging infectious diseases (EIDs) cause an increasing burden on global public health, particularly with a backdrop of intensified climate change. However, infection sources and drivers for outbreaks of airborne viral EIDs remain unknown. Here, we aim to explore the driving mechanisms of outbreaks based on the one health perspective. Outbreak information for 20 types of airborne viral EIDs was collected from the Global Infectious Disease and Epidemiology Network database and a systematic literature review. Four statistically significant and high-risk spatiotemporal clusters for airborne viral EID outbreaks were identified globally using multivariate scan statistic tests. There were 112 outbreaks with clear infection sources, and zoonotic spillover was the most common source (95.54%, 107/112). Since 1970, the majority of outbreaks occurred in healthcare facilities (24.82%), followed by schools (17.93%) and animal-related settings (15.93%). Significant associations were detected between the number of earthquakes, storms, duration of floods, and airborne viral EIDs\' outbreaks using a case-crossover study design and multivariable conditional logistic regression. These findings implied that zoonotic spillover and extreme weather events are driving global outbreaks of airborne viral EIDs, and targeted prevention and control measures should be made to reduce the airborne viral EIDs burden.
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  • 文章类型: Journal Article
    目的:分析布氏杆菌心内膜炎(BE)的临床特点及死亡相关因素,为临床治疗提供参考。
    方法:本研究检查了2017年1月至2023年11月喀什地区第一人民医院收治的所有BE患者。收集临床特征和随访结果进行分析。
    结果:本研究发现布鲁氏菌病774例,BE14例,总发病率为1.88%。大多数患者为男性(71.43%),居住在布鲁氏菌病常见的地区。患者的年龄范围为26至68岁。患者报告的常见症状包括胸闷和疲劳,很大一部分还出现了充血性心力衰竭。大多数患者表现出正常的白细胞计数(WBC),但C反应蛋白(CRP)水平升高。经胸超声(TTE)显示所有患者的心脏瓣膜植被,以及积极的血液培养。6例(42.86%)完成心脏手术,10例(71.43%)完成抗感染治疗。六名病人死亡,其中5人没有接受手术。另一名马凡氏综合征患者术后死亡。性,白细胞计数,单因素分析显示,中性粒细胞(NEUT)和总胆红素(TBIL)是BE患者病情消退的显著相关因素(P<0.05)。
    结论:喀什的BE患者在诊断时具有严重的临床表现,但早期发现,改善心脏超声和积极治疗可以改善预后。
    OBJECTIVE: To analyze the clinical characteristics of Brucella endocarditis (BE) and observe the factors related to death to provide guidance for clinical treatment.
    METHODS: This study examined all patients with BE admitted to The First People\'s Hospital of Kashi Prefecture between January 2017 and November 2023. Clinical characteristics and follow-up outcomes were collected for analysis.
    RESULTS: This study revealed 774 cases of brucellosis and 14 cases of BE, with an overall incidence rate of 1.88%. Most of the patients were male (71.43%) and lived in areas where brucellosis is common. Patients ranged in age from 26 to 68 years. Common symptoms reported among patients included chest tightness and fatigue, and a significant portion also presented with congestive heart failure. Most patients exhibited normal white blood cell counts (WBC) but had elevated levels of C-reactive protein (CRP). Transthoracic ultrasound (TTE) revealed cardiac valve vegetation in all patients, along with positive blood cultures. Six patients (42.86%) completed heart surgery, and ten (71.43%) completed anti-infection treatment. Six patients died, five of whom did not undergo surgery. The other patient with Marfan syndrome died after surgery. Sex, WBC count, neutrophil (NEUT) and total bilirubin (TBIL) were significant factors associated with regression in BE patients (P < 0.05) according to univariate analysis.
    CONCLUSIONS: Patients with BE in Kashi have a severe clinical presentation at diagnosis, but early detection with improved cardiac ultrasound and aggressive treatment can improve the prognosis.
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  • 文章类型: Journal Article
    目的:了解阳泉市山区人畜共患内脏利什曼病(MT-ZVL)的流行病学分布特征,山西省,中国,2006年至2021年,探讨导致疫情再次出现的影响因素,并为制定有针对性的控制策略提供依据。
    方法:收集阳泉市2006年至2021年的病例信息,于2022年6月至9月进行回顾性病例对照研究。采用1:3匹配的比率。问卷被用来收集基本信息的数据,人口特征,对MT-ZVL知识的认识,residence,和狗的繁殖和生活习惯。本研究采用多因素条件逐步Logistic回归模型分析其影响因素。
    结果:共分析了508名受试者。MT-ZVL的风险因素包括使用土壤/石头/混凝土作为建筑材料(OR=3.932),附近空/石堆房屋的存在(OR=2.515),养犬(OR=4.215),流浪狗的存在(OR=2.767),和邻居的狗繁殖(OR=1.953)。保护因素包括MT-ZVL知识(OR=0.113)和使用驱蚊剂(OR=0.388)。结果表明,阳泉市环境和行为因素与MT-ZVL发病率之间存在显着关联。山西省,中国,从2006年到2021年。这些结果强调了公众意识运动和有针对性的干预措施的重要性,旨在减少对风险因素的暴露,并促进保护措施,以减轻MT-ZVL疫情的再次出现。
    结论:房屋建筑材料,邻近的空房子的存在,饲养家犬和家庭周围流浪狗的分布是MT-ZVL的危险因素。夏季和秋季户外活动期间对MT-ZVL的认识和预防措施的实施具有保护作用,并可能降低MT-ZVL的风险。
    OBJECTIVE: To understand the epidemiological distribution characteristics of mountain-type zoonotic visceral leishmaniasis (MT-ZVL) in Yangquan City, Shanxi Province, China, from 2006 to 2021, to explore the influencing factors leading to the re-emergence of the epidemic, and to provide a basis for the formulation of targeted control strategies.
    METHODS: Case information spanning from 2006 to 2021 in Yangquan City was collected for a retrospective case-control study conducted from June to September 2022. A 1:3 matched ratio was employed. A questionnaire was utilized to gather data on basic information, demographic characteristics, awareness of MT-ZVL knowledge, residence, and dog breeding and living habits. The study employed a multifactorial conditional stepwise logistic regression model to analyze the influencing factors.
    RESULTS: A total of 508 subjects was analyzed. Risk factors for MT-ZVL included the use of soil/stone/concrete as building materials (OR = 3.932), presence of nearby empty/stone stack houses (OR = 2.515), dog breeding (OR = 4.215), presence of stray dogs (OR = 2.767), and neighbor\'s dog breeding (OR = 1.953). Protective factors comprised knowledge of MT-ZVL (OR = 0.113) and using mosquito repellents (OR = 0.388). The findings indicate significant associations between environmental and behavioral factors and MT-ZVL incidence in Yangquan City, Shanxi Province, China, from 2006 to 2021. These results underscore the importance of public awareness campaigns and targeted interventions aimed at reducing exposure to risk factors and promoting protective measures to mitigate the re-emergence of MT-ZVL outbreaks.
    CONCLUSIONS: House building materials, presence of neighboring empty houses, breeding domestic dogs and distribution of stray dogs surrounding the home are risk factors for MT-ZVL. Awareness of MT-ZVL and implementation of preventive measures during outdoor activities in summer and autumn are protective and may reduce the risk of MT-ZVL.
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  • 文章类型: Journal Article
    Enterocytozoon bieneusi is the most common microsporidian species in humans and can affect over 200 animal species. Considering possible increasing risk of human E. bieneusi infection due to close contact with pet dogs and identification of zoonotic E. bieneusi genotypes, 589 fresh fecal specimens of pet dogs were collected from Yunnan Province, China to determine the occurrence of E. bieneusi, characterize dog-derived E. bieneusi isolates, and assess their zoonotic potential at the genotype level. Enterocytozoon bieneusi was identified and genotyped by PCR and sequencing of the internal transcribed spacer (ITS) region of the ribosomal RNA (rRNA) gene. Twenty-nine specimens (4.9%) were positive. A statistical difference was observed in occurrence rates of E. bieneusi in pet dogs among 11 sampling sites by Fisher\'s exact test. Fifteen genotypes were identified and all of them phylogenetically belonged to zoonotic group 1, including four known genotypes (EbpC, D, Peru 8, and Henan-III) and 11 novel genotypes. Genotype Henan-III was reported in dogs for the first time. The finding of known genotypes found previously in humans and novel genotypes falling into zoonotic group 1 indicates that dogs may play a role in the transmission of E. bieneusi to humans in the investigated areas.
    UNASSIGNED: Occurrence et caractérisation génétique d’Enterocytozoon bieneusi chez les chiens de compagnie dans la province du Yunnan, Chine.
    UNASSIGNED: Enterocytozoon bieneusi est l’espèce de microsporidies la plus répandue chez l’homme et peut affecter plus de 200 espèces animales. Compte tenu du risque accru possible d’infection humaine à E. bieneusi en raison d’un contact étroit avec des chiens de compagnie et de l’identification de génotypes zoonotiques d’E. bieneusi, 589 échantillons fécaux frais de chiens de compagnie ont été collectés dans la province du Yunnan, en Chine, pour déterminer la présence d’E. bieneusi, caractériser les isolats obtenus de chiens, et évaluer leur potentiel zoonotique au niveau du génotype. Enterocytozoon bieneusi a été identifié et génotypé par PCR et séquençage de la région d’espacement transcrit interne (ITS) du gène de l’ARN ribosomal (ARNr). Vingt-neuf échantillons (4,9%) étaient positifs. Une différence statistique a été observée dans les taux de présence d’E. bieneusi chez les chiens de compagnie parmi 11 sites d’échantillonnage par le test exact de Fisher. Quinze génotypes ont été identifiés et tous appartenaient phylogénétiquement au groupe zoonotique 1, dont quatre génotypes connus (EbpC, D, Peru 8 et Henan-III) et 11 nouveaux génotypes. Le génotype Henan-III est signalé pour la première fois chez le chien. La découverte de génotypes connus précédemment trouvés chez l’homme et de nouveaux génotypes appartenant au groupe zoonotique 1 indique que les chiens peuvent jouer un rôle dans la transmission d’E. bieneusi aux humains dans les zones étudiées.
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  • 文章类型: Editorial
    自然,地理障碍在历史上限制了传染病的传播。在当今相互联系的世界中,情况已不再如此,伴随着前所未有的环境和气候变化,强调进化生物学的交叉点,流行病学和地理学(即生物地理学)。题为“地理与健康:人类易位和获得护理的作用”的特刊共14篇文章,文件增加了疾病的疾病传播,比如疟疾,利什曼病,血吸虫病,尽管进行了时空监测,但COVID-19(严重急性呼吸综合征电晕2)和Oropouche热。高分辨率卫星图像可用于了解传播风险和疾病传播的空间分布,并强调增加人畜共患病的发病率和地理范围的主要途径,这些人畜共患病是冠状病毒从蝙蝠溢出传播到猪或果子奶的传播。气候变化和全球化增加了侵入性蚊子在非热带地区的传播和建立,导致新出现的感染爆发,需要改善身体,化学和生物媒介控制策略。病原体及其载体的易位与人类的流动性密切相关,移民和全球货物运输。其他促成因素是森林砍伐和城市化侵蚀野生动物区。自然生态系统的破坏,再加上低收入和社会经济地位,增加被忽视的热带和人畜共患疾病的传播概率。本期特刊中的文章记录了新出现或重新出现的疾病以及发烧症状的监测。健康公平与医疗保健的可及性和医疗保健资源的针对性密切相关,需要空间方法。公共卫生包括整合空间监视系统的成功疾病管理,包括获得卫生设施。引起的抗菌素耐药性,例如,在健康中增加使用抗生素,农业和水产养殖,或者获得抗性基因,可以通过水平基因转移传播。这篇社论回顾了这篇14篇特刊的主要发现,确定了与我们相互联系的世界相关的重要差距,并提出了一些具体建议,以减轻后COVID-19大流行时代传染病的传播风险。
    Natural, geographical barriers have historically limited the spread of communicable diseases. This is no longer the case in today\'s interconnected world, paired with its unprecedented environmental and climate change, emphasising the intersection of evolutionary biology, epidemiology and geography (i.e. biogeography). A total of 14 articles of the special issue entitled \"Geography and health: role of human translocation and access to care\" document enhanced disease transmission of diseases, such as malaria, leishmaniasis, schistosomiasis, COVID-19 (Severe acute respiratory syndrome corona 2) and Oropouche fever in spite of spatiotemporal surveillance. High-resolution satellite images can be used to understand spatial distributions of transmission risks and disease spread and to highlight the major avenue increasing the incidence and geographic range of zoonoses represented by spill-over transmission of coronaviruses from bats to pigs or civets. Climate change and globalization have increased the spread and establishment of invasive mosquitoes in non-tropical areas leading to emerging outbreaks of infections warranting improved physical, chemical and biological vector control strategies. The translocation of pathogens and their vectors is closely connected with human mobility, migration and the global transport of goods. Other contributing factors are deforestation with urbanization encroaching into wildlife zones. The destruction of natural ecosystems, coupled with low income and socioeconomic status, increase transmission probability of neglected tropical and zoonotic diseases. The articles in this special issue document emerging or re-emerging diseases and surveillance of fever symptoms. Health equity is intricately connected to accessibility to health care and the targeting of healthcare resources, necessitating a spatial approach. Public health comprises successful disease management integrating spatial surveillance systems, including access to sanitation facilities. Antimicrobial resistance caused, e.g. by increased use of antibiotics in health, agriculture and aquaculture, or acquisition of resistance genes, can be spread by horizontal gene transfer. This editorial reviews the key findings of this 14-article special issue, identifies important gaps relevant to our interconnected world and makes a number of specific recommendations to mitigate the transmission risks of infectious diseases in the post-COVID-19 pandemic era.
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  • 文章类型: Journal Article
    华支睾吸虫病是一种人畜共患疾病,主要是通过食用生鱼和虾引起的,没有疫苗可以预防。全世界有超过三千万人被感染,其中仅中国就占了一半左右,是受华支睾吸虫病影响最严重的国家之一。在这项工作中,我们建立了一个新的常微分方程(ODE)模型,以讨论真实生态系统中鱼类的生物属性和华支睾吸虫的复杂生命周期。这个模型包括幼体鱼,成鱼,被感染的鱼,人类,和尾蚴.我们推导了基本再生数,并对所提出的模型进行了严格的稳定性分析。数字上,我们使用广西2016年至2021年的数据,中国,讨论华支睾吸虫病的爆发,并获得基本繁殖数R0=1.4764。拟合曲线适当地反映了总体趋势,并复制了华支睾吸虫病病例数的低峰。通过降低2018年尾蚴的释放率,华支睾吸虫病病例的拟合值迅速下降,几乎消失。如果我们降低从受感染鱼类到人类的传播率,华支睾吸虫病是可以控制的。我们的研究还表明,加强宣传教育和清洁水质可以有效地控制广西华支睾吸虫病的传播。中国。
    Clonorchiasis is a zoonotic disease mainly caused by eating raw fish and shrimp, and there is no vaccine to prevent it. More than 30 million people are infected worldwide, of which China alone accounts for about half, and is one of the countries most seriously affected by Clonorchiasis. In this work, we formulate a novel Ordinary Differential Equation (ODE) model to discuss the biological attributes of fish within authentic ecosystems and the complex lifecycle of Clonorchis sinensis. This model includes larval fish, adult fish, infected fish, humans, and cercariae. We derive the basic reproduction number and perform a rigorous stability analysis of the proposed model. Numerically, we use data from 2016 to 2021 in Guangxi, China, to discuss outbreaks of Clonorchiasis and obtain the basic reproduction number R0=1.4764. The fitted curve appropriately reflects the overall trend and replicates a low peak in the case number of Clonorchiasis. By reducing the release rate of cercariae in 2018, the fitted values of Clonorchiasis cases dropped rapidly and almost disappeared. If we decrease the transmission rate from infected fish to humans, Clonorchiasis can be controlled. Our studies also suggest that strengthening publicity education and cleaning water quality can effectively control the transmission of Clonorchiasis in Guangxi, China.
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  • 文章类型: Introductory Journal Article
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  • 文章类型: Journal Article
    预防犬媒介传播疾病(CVBDs)对于犬的健康和福利以及降低其人畜共患风险至关重要。近年来获得的科学知识有助于在不同的社会和文化背景下制定控制这些疾病的新战略。这里,我们讨论了在预防影响狗的媒介传播病原体(VBP)方面的最新进展,重点是与人畜共患有关的疾病。
    The prevention of canine vector-borne diseases (CVBDs) is pivotal for the health and welfare of dogs as well as for reducing their zoonotic risk to humans. Scientific knowledge gained in recent years contributed to the development of new strategies for the control of these diseases in different social and cultural contexts. Here, we discuss recent advances in the prevention of vector-borne pathogens (VBPs) affecting dogs with a focus on those of zoonotic relevance.
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