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Occupational dermatoses from plastic composites 塑料复合材料引起的职业性皮肤病
Journal of Environmental Medicine Pub Date : 1999-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S
Kyllikki Tarvainen, Lasse Kanerva
{"title":"Occupational dermatoses from plastic composites","authors":"Kyllikki Tarvainen,&nbsp;Lasse Kanerva","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S","url":null,"abstract":"Occupational dermatoses caused by plastic composites based on polyester resins, epoxy resins and vinyl ester resins (epoxy diacrylates) were reviewed. Common causes of irritant contact dermatitis are glass-fibre reinforcement and dust from product-finishing processes. Irritant contact dermatoses are also caused by resins, styrene, acetone, benzoyl peroxide, etc. Diglycidyl ether of bisphenol A (DGEBA) epoxy resin, amine hardeners, dicarboxylic (phthalic) anhydride hardeners and reactive epoxy diluents are common causes of allergic contact dermatitis. Non-DGEBA epoxy resins, tetraglycidyl-4,4′-methylenedianiline (TGMDA) and triglycidyl-p-aminophenol (TGPAP) used in carbon fibre reinforced composites may cause sensitization from prepregs. Diethylene glycol maleate is a new allergen in polyester resin cement. Natural rubber latex in protective gloves, and low molecular weight chemicals such as the epoxy resin hardener methyl tetrahydrophthalic anhydride (MTHPA) are causes of immunologic contact urticaria. Patch-testing with materials used by the patients at work, together with chemical analysis, is often needed to find the causative allergen, in addition to patch testing with standard test trays. Avoidance of skin contact with resin compounds, use of protective gloves, local ventilation, proper working methods, and informing the workers, are needed to lower the prevalence of occupational dermatoses in the manufacture of plastic composites. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"1 1","pages":"3-17"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72159436","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
Biomarkers of nephrotoxicity in children environmentally exposed to lead in Poland 波兰环境铅暴露儿童肾毒性的生物标志物
Journal of Environmental Medicine Pub Date : 1999-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<33::AID-JEM7>3.0.CO;2-K
Katarina Osman, Carl Elinder, Andrejs Schütz, Anders Grubb
{"title":"Biomarkers of nephrotoxicity in children environmentally exposed to lead in Poland","authors":"Katarina Osman,&nbsp;Carl Elinder,&nbsp;Andrejs Schütz,&nbsp;Anders Grubb","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<33::AID-JEM7>3.0.CO;2-K","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<33::AID-JEM7>3.0.CO;2-K","url":null,"abstract":"Nephropathy has been reported in children with overt lead intoxication. Only recently low-level lead exposure has been associated with renal effects, especially with regard to tubular function. The objective of the present study was to investigate the relation between lead exposure and renal function in children in the Katowice region, an industrial area in Poland. This cross-sectional study involved 157 children, aged 4–14 years. Blood lead concentration was used as an index of lead exposure. Glomerular filtration rate was estimated using the height adjusted serum creatinine calculation (crea-GFR) and measurement of cystatin C in serum. The renal tubular function was evaluated by measuring the urinary concentration of protein HC. The median blood lead concentration was 0.35 μmol/L (72 μg/L) with a range of 0.09–1.36 μmol/L. Crea-GFR (n = 143) decreased significantly (p = 0.002) with increasing concentrations of lead in the blood. Serum cystatin C (n = 84) increased with blood lead (p = 0.004). There was an association (p = 0.002) between blood lead and urinary concentration of protein HC (n = 49). In summary, the present findings indicate that the association between blood lead and the markers of renal function on both a glomerular and a tubular level may be caused by environmental lead exposure. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"1 1","pages":"33-38"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72159477","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: 11
Pustular eruption following acute mercury exposure 急性汞暴露后的脓疱喷发
Journal of Environmental Medicine Pub Date : 1999-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<55::AID-JEM5>3.0.CO;2-I
G. Choquet-Kastylevsky, A.L. Souillet, B. Bellemin, S. Ronger, M. Faure, A. Claudy, J. Descotes
{"title":"Pustular eruption following acute mercury exposure","authors":"G. Choquet-Kastylevsky,&nbsp;A.L. Souillet,&nbsp;B. Bellemin,&nbsp;S. Ronger,&nbsp;M. Faure,&nbsp;A. Claudy,&nbsp;J. Descotes","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<55::AID-JEM5>3.0.CO;2-I","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<55::AID-JEM5>3.0.CO;2-I","url":null,"abstract":"Pustular eruptions are often overlooked complications of mercury exposure. A 35-year-old woman with a history of contact dermatitis to Mercurochrome® in childhood presented with generalized erythema with a symmetrical reinforcement in the flexures 2 days after exposure to a broken mercury thermometer. She was febrile with no other clinical or biological signs. Blood and urinary mercury levels were within normal range. Histology of a pustular lesion of the thigh showed eczematiform and pustular changes. Patch tests evidenced sensitization to several mercury derivatives, but not to other allergens from the ICDRG standard battery, except for nickel. This case report further illustrates that inhalation of mercury vapour can result in systemic contact dermatitis, sometimes called baboon syndrome or acute generalized exanthematous pustulosis. Copyright © 1999 by John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"1 1","pages":"55-56"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72159480","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: 0
Risk at a turning point 风险正处于转折点
Journal of Environmental Medicine Pub Date : 1998-04-01 DOI: 10.1002/1099-1301(199907/09)1:3<119::AID-JEM20>3.0.CO;2-K
A. Stirling
{"title":"Risk at a turning point","authors":"A. Stirling","doi":"10.1002/1099-1301(199907/09)1:3<119::AID-JEM20>3.0.CO;2-K","DOIUrl":"https://doi.org/10.1002/1099-1301(199907/09)1:3<119::AID-JEM20>3.0.CO;2-K","url":null,"abstract":"There is increasing recognition in comparative risk assessment of the intrinsic subjectivity of fundamental framing assumptions and the consequent necessity for active participation in analysis by all interested and affected parties. Despite this, there remains considerable inertia in the implementation of these insights in formal policy making and regulatory procedures on risk. Here, the issue seems as often to be seen as a need for better 'communication' and 'management' as for better analysis, with attention devoted as much to the classification of divergent public perspectives as to techniques for direct stakeholder participation. Pointing to the fundamental methodological problems posed in risk assessment by the conditions of ignorance and Arrow's impossibility, the present paper contends that public participation is as much a matter of analytical rigour as it is of political legitimacy. It is argued that straightforward techniques such as multi-criteria and sensitivity analysis, along with a formal approach to diversification across portfolios of 'less risky' options, may go some way toward addressing these apparently intractable problems.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"2 1","pages":"119-126"},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75923038","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: 188
Pustular eruption following acute mercury exposure 急性汞暴露后的脓疱
Journal of Environmental Medicine Pub Date : 1900-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<55::AID-JEM5>3.0.CO;2-I
G. Choquet-Kastylevsky, A. Souillet, B. Bellemin, S. Ronger, M. Faure, A. Claudy, J. Descotes
{"title":"Pustular eruption following acute mercury exposure","authors":"G. Choquet-Kastylevsky, A. Souillet, B. Bellemin, S. Ronger, M. Faure, A. Claudy, J. Descotes","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<55::AID-JEM5>3.0.CO;2-I","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<55::AID-JEM5>3.0.CO;2-I","url":null,"abstract":"Pustular eruptions are often overlooked complications of mercury exposure. A 35-year-old woman with a history of contact dermatitis to Mercurochrome® in childhood presented with generalized erythema with a symmetrical reinforcement in the flexures 2 days after exposure to a broken mercury thermometer. She was febrile with no other clinical or biological signs. Blood and urinary mercury levels were within normal range. Histology of a pustular lesion of the thigh showed eczematiform and pustular changes. Patch tests evidenced sensitization to several mercury derivatives, but not to other allergens from the ICDRG standard battery, except for nickel. This case report further illustrates that inhalation of mercury vapour can result in systemic contact dermatitis, sometimes called baboon syndrome or acute generalized exanthematous pustulosis. Copyright © 1999 by John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"62 1","pages":"55-56"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84928393","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: 0
Carbon monoxide: The unnoticed poison of the 21st century 一氧化碳:21世纪被忽视的毒药
Journal of Environmental Medicine Pub Date : 1900-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<57::AID-JEM2>3.0.CO;2-L
C. Pulce, J. Descotes
{"title":"Carbon monoxide: The unnoticed poison of the 21st century","authors":"C. Pulce, J. Descotes","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<57::AID-JEM2>3.0.CO;2-L","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<57::AID-JEM2>3.0.CO;2-L","url":null,"abstract":"","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"45 1","pages":"57-57"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88104220","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: 6
DNA damage and intracellular generation of reactive oxygen species by allyl isothiocyanate inEscherichia coli 异硫氰酸烯丙酯对大肠杆菌DNA损伤及细胞内活性氧的产生
Journal of Environmental Medicine Pub Date : 1900-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<27::AID-JEM8>3.0.CO;2-6
Y. Yonezawa, K. Nishikawa, H. Nishioka
{"title":"DNA damage and intracellular generation of reactive oxygen species by allyl isothiocyanate inEscherichia coli","authors":"Y. Yonezawa, K. Nishikawa, H. Nishioka","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<27::AID-JEM8>3.0.CO;2-6","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<27::AID-JEM8>3.0.CO;2-6","url":null,"abstract":"Allyl isothiocyanate (AITC) has been used as a food additive for paste-type wasabi (Japanese horseradish) and karashi (Japanese mustard) almost only in Japan, even though it has been reported to be carcinogenic and mutagenic. In the present paper, the capacities for DNA damage and the intracellular generation of reactive oxygen species (ROS) by AITC were examined by a ‘rec-lac assay’ and a ‘kat-sod assay’ by using E. coli mutants lacking DNA repair capacities and ROS scavenging enzymes, respectively. Both assays were developed by Nishioka et al. and consist of a streak test, a survival test and a β-galactosidase test. The results show strong DNA damaging capacity, and intracellular generation of ROS by AITC. These results indicate the possibility that intracellular ROS performs some role in DNA damage in bacterial cells treated with AITC. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"12 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81697962","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: 6
Occupational dermatoses from plastic composites 塑料复合材料引起的职业性皮肤病
Journal of Environmental Medicine Pub Date : 1900-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S
K. Tarvainen, L. Kanerva
{"title":"Occupational dermatoses from plastic composites","authors":"K. Tarvainen, L. Kanerva","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<3::AID-JEM4>3.0.CO;2-S","url":null,"abstract":"Occupational dermatoses caused by plastic composites based on polyester resins, epoxy resins and vinyl ester resins (epoxy diacrylates) were reviewed. Common causes of irritant contact dermatitis are glass-fibre reinforcement and dust from product-finishing processes. Irritant contact dermatoses are also caused by resins, styrene, acetone, benzoyl peroxide, etc. Diglycidyl ether of bisphenol A (DGEBA) epoxy resin, amine hardeners, dicarboxylic (phthalic) anhydride hardeners and reactive epoxy diluents are common causes of allergic contact dermatitis. Non-DGEBA epoxy resins, tetraglycidyl-4,4′-methylenedianiline (TGMDA) and triglycidyl-p-aminophenol (TGPAP) used in carbon fibre reinforced composites may cause sensitization from prepregs. Diethylene glycol maleate is a new allergen in polyester resin cement. Natural rubber latex in protective gloves, and low molecular weight chemicals such as the epoxy resin hardener methyl tetrahydrophthalic anhydride (MTHPA) are causes of immunologic contact urticaria. Patch-testing with materials used by the patients at work, together with chemical analysis, is often needed to find the causative allergen, in addition to patch testing with standard test trays. Avoidance of skin contact with resin compounds, use of protective gloves, local ventilation, proper working methods, and informing the workers, are needed to lower the prevalence of occupational dermatoses in the manufacture of plastic composites. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"30 1","pages":"3-17"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81111616","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
Skin barrier repair after contact burns. electrometric evaluation using the passive sustainable hydration test 接触性烧伤后皮肤屏障修复。采用被动持续水化试验的电法评价
Journal of Environmental Medicine Pub Date : 1900-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<47::AID-JEM1>3.0.CO;2-P
I. V. Cromphaut, I. Fumal, D. Jacquemin, J. Fissette, Piérard Ge
{"title":"Skin barrier repair after contact burns. electrometric evaluation using the passive sustainable hydration test","authors":"I. V. Cromphaut, I. Fumal, D. Jacquemin, J. Fissette, Piérard Ge","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<47::AID-JEM1>3.0.CO;2-P","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<47::AID-JEM1>3.0.CO;2-P","url":null,"abstract":"Corrosive compounds and burns destroy the skin barrier function. Little is known about the dynamics of repair of this function during the healing process. The passive sustainable hydration test was performed as a non-invasive approach to measure water loss through the skin using electrometric evaluations under continuous occlusion by the sensor probe. Evaluations were made in 10 patients suffering from recent second- and third-degree contact burns. Skin sites corresponding to burned and unburned areas, and to healing sites following grafts or not were compared. The data show that the skin barrier function improves progressively and often irregularly after contact burn, and may remain altered for more than 2 months after epithelialisation. Therefore, maturation of the stratum corneum appears to be a slow process. The consequences of this during the healing phase following contact burns are twofold: the resistance of the water barrier remains impaired and the risk of transcutaneous penetration of various xenobiotics including toxic products is increased. Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"65 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74007629","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: 14
Contact sensitization in fruit farmers 果农接触致敏
Journal of Environmental Medicine Pub Date : 1900-01-01 DOI: 10.1002/(SICI)1099-1301(199901/03)1:1<51::AID-JEM10>3.0.CO;2-3
P. Sartorelli, F. Carboncini, F. Murdaca, Maria T. Novelli, D. Orsi, Rossana Mancini
{"title":"Contact sensitization in fruit farmers","authors":"P. Sartorelli, F. Carboncini, F. Murdaca, Maria T. Novelli, D. Orsi, Rossana Mancini","doi":"10.1002/(SICI)1099-1301(199901/03)1:1<51::AID-JEM10>3.0.CO;2-3","DOIUrl":"https://doi.org/10.1002/(SICI)1099-1301(199901/03)1:1<51::AID-JEM10>3.0.CO;2-3","url":null,"abstract":"The aim of the study was to determine the prevalence of sensitization and contact dermatitis in a population of Italian farmers and the importance of pesticides as skin sensitizers. Sixty-four female worker (mean age 35) employed in the harvesting of cherries, peaches, olives and grapes were studied. Skin diseases were assessed with a questionnaire and physical examination. The farm workers were patch tested with the GIRDCA standard series containing 30 allergens and six pesticides currently used on the farm. 18 workers (28%) were sensitized to one or more allergens. 36 subjects (52%) were found to be atopic and three (4.7%) had dermatitis of the hands with positive reactions to the GIRDCA standard series. Differences in contact sensitization betweeen atopic and non atopic patients were not statistically significant (χ2 test). One worker had contact urticaria to peaches and 36 farmers (52%) referred to itching and skin rashes in summer, during the harvesting of peaches. Only 18 workers reported that they almost always wore protective clothing. Despite the high frequency of positive patch tests, contact sensitization to pesticides was unusual in our group. No cases of allergic contact dermatitis to pesticides were found and only one patient who was symptomless (1.5%) had an allergic reaction to pesticides (azinphos-methyl). Copyright © 1999 John Wiley & Sons, Ltd.","PeriodicalId":100780,"journal":{"name":"Journal of Environmental Medicine","volume":"53 1","pages":"51-53"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74798200","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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