IIUM Medical Journal Malaysia最新文献_第4页

Prevalence and Factors Determining Adolescents Risk Taking Behaviours in Sarawak, Malaysia 马来西亚沙捞越青少年冒险行为的发生率和决定因素

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2425

Wong Khung Ying, Mizanur Rahman, Andrew Kiyu

{"title":"Prevalence and Factors Determining Adolescents Risk Taking Behaviours in Sarawak, Malaysia","authors":"Wong Khung Ying, Mizanur Rahman, Andrew Kiyu","doi":"10.31436/imjm.v23i01.2425","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2425","url":null,"abstract":"INTRODUCTION: During adolescence, significant physical, emotional, and social changes influence growth. This phase exposes adolescents to risky situations. Understanding adolescent risk-taking is crucial. This study aims to determine the extent of risk-taking behaviour among Malaysian adolescents and identify associated factors. MATERIALS AND METHODS: In a community-based study, we surveyed 1,344 Malaysian adolescents aged 10-19 across 22 districts in Sarawak using multi-stage cluster sampling and face-to-face interviews. Data analysis was performed with IBM SPSS v28.0. RESULTS: Analysis found that 43.7% of adolescents engaged in risky behaviours, with a higher incidence in males (50.1%) compared to females (37.4%). Multinomial logistic regression analysis identified for low-medium risk behaviours were being aged 15-19 (AOR=1.52; CI:1.14-2.02), infrequent religious practice (AOR=1.70; CI:1.01-2.84), poor parent-child relations (AOR=2.02; CI:1.07-3.83) and having a history of mental abuse (AOR=3.02; CI:1.37-6.62). However, a larger family size appeared to be a protective factor (AOR=0.39; CI: 0.18-0.89). High-risk behaviours were more prevalent in older (AOR=2.65; CI:1.91, 3.68) male adolescents (AOR=2.75; CI: 2.02, 3.75) and low religious value (AOR=3.55; CI: 1.32-9.52), larger families (AOR=2.03; CI: 1.38-3.00), lower school grades (AOR=1.74; CI: 1.27-2.38), physical ailments (AOR=2.63; CI:1.60-4.32), and a history of mental abuse (AOR=3.85; CI:1.78-8.31). CONCLUSION: Adolescents aged 15-19 with weak family ties, low religious engagement, and a history of mental abuse tend to exhibit low to medium risk behaviours. Older male adolescents with health issues are more likely to engage in high-risk behaviours, whereas those from larger families show fewer such tendencies. These insights are crucial for shaping targeted interventions and policies.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129373","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

A Systematic Review on Multiple Purpose Solution of Contact Lens Ingredients: Benefits and Risks 关于隐形眼镜多用途溶液成分的系统综述：益处与风险

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2249

Maizatul Akma Ibrahim, Nor Hazwani Mohd Hasali, N. Zakaria, F. A. Abdul Majid, Fatimah Hashim, Syed Ahmad Tajudin Tuan Johari

{"title":"A Systematic Review on Multiple Purpose Solution of Contact Lens Ingredients: Benefits and Risks","authors":"Maizatul Akma Ibrahim, Nor Hazwani Mohd Hasali, N. Zakaria, F. A. Abdul Majid, Fatimah Hashim, Syed Ahmad Tajudin Tuan Johari","doi":"10.31436/imjm.v23i01.2249","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2249","url":null,"abstract":"Since the past decades, the prevalence of microbial keratitis (MK) has risen notably among contact lens (CL) wearers. The main contributor to this infection is the use of an inefficient CL disinfecting solution. This paper highlights a systematic review of articles from journals on the multipurpose solution (MPS) of CL ingredients available currently in the market. This review emphasizes the compositions of MPS to evaluate their effectiveness and risks to lens wearers. A search for original articles published was conducted through Scopus, PubMed, and Google Scholar databases, focusing on the keywords contact lens ingredients and preservatives, MPS, polyquaternium, biguanides, and MK. A thorough review was conducted to extract the data on the subjects from the generated searches.The review revealed that hydrogen peroxide (H2O2), polyhexamethylene biguanide (PHMB), povidone-iodine (P-I), and polyquaternium-1 (PQ-1) are the preferred MPS formulations in the current industry of CLs. These chemical ingredients are effective against causative agents of keratitis for faster disinfection and lower risks of microbial infections in CL users. Thus, proper hygienic practices must follow the guidance from the respective product manufacturers to prevent harmful risks of ocular diseases.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139126118","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

Complicated Appendicitis-Shifting towards Early Appendectomy-A Comprehensive Review 复杂性阑尾炎--转向早期阑尾切除术--全面回顾

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2372

Kumar Hari Rajah, Somanathan C. Menon

引用次数: 0

Assessment Tools for Detecting Malnutrition among Elderly in Shelter Homes: A Systematic Review 用于检测庇护所中老年人营养不良状况的评估工具：系统回顾

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2237

Maisarah Abdul Mutalib, Noor Atiqah Aizan Abdul Kadir, Aida Soraya Shamsuddin, K. Khalid

{"title":"Assessment Tools for Detecting Malnutrition among Elderly in Shelter Homes: A Systematic Review","authors":"Maisarah Abdul Mutalib, Noor Atiqah Aizan Abdul Kadir, Aida Soraya Shamsuddin, K. Khalid","doi":"10.31436/imjm.v23i01.2237","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2237","url":null,"abstract":"Assessing nutritional status in older people is essential to screen for malnutrition and identify the individuals requiring nutritional intervention for a better quality of life and longer life expectancy. This review aimed to investigate malnutrition and the role of nutritional assessment tools among older people in Malaysia. We systematically reviewed the publications from 2000 to 2019 using PubMed/MEDLINE and Scopus databases, recovering 15 original articles published until January 2022. This systematic review was conducted from May to September 2022. Two reviewers were involved in the process of the selection of articles and data extraction. Only research papers on malnutrition among older people in institutionalized settings in Malaysia were included. Four articles related to malnutrition in older people in old folk homes in Malaysia were included in this review. The tools with the most significant evidence were Mini Nutritional Assessment (MNA) and Nutritional Health Checklist (NHC) in residential care for the elderly. It was found that the incidence of malnutrition among the elderly in old folk homes in Malaysia ranged from 12.3% to 17.4%. Meanwhile, 40.4% to 57.7% of the population are documented to be at risk of malnutrition. NA and DETERMINE NHC were found to be most suitable for use in residential care due to their high sensitivity and specificity. A subsequent study is proposed to build and implement a scoring system to rate screening tools based on the validity, suitability, and practicability of the tools to help with malnutrition screening research and clinical practice in Malaysia and internationally.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129065","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

Patient Satisfaction with the Quality of Healthcare Services at Selected Major Outpatient Clinics at Sultan Ahmad Shah Medical Centre Kuantan Pahang 患者对彭亨州关丹苏丹艾哈迈德沙阿医疗中心部分主要门诊诊所医疗服务质量的满意度

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2335

Mohamad Che' Man, Shahidah Che Alhadi, Muhammad Zubir Yusof, Siti Roshaidai Md. Ariffin, Mohd Zhafri Md. Razib, Salman Amiruddin

{"title":"Patient Satisfaction with the Quality of Healthcare Services at Selected Major Outpatient Clinics at Sultan Ahmad Shah Medical Centre Kuantan Pahang","authors":"Mohamad Che' Man, Shahidah Che Alhadi, Muhammad Zubir Yusof, Siti Roshaidai Md. Ariffin, Mohd Zhafri Md. Razib, Salman Amiruddin","doi":"10.31436/imjm.v23i01.2335","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2335","url":null,"abstract":"INTRODUCTION: Patient satisfaction is a key factor in determining any gaps or inadequacies in the healthcare provider's services. This study aimed to measure the level of patient satisfaction and its associated factors towards the healthcare service of outpatient clinics in Sultan Ahmad Shah Medical Centre (SASMEC), IIUM, Kuantan, Pahang. MATERIALS AND METHODS: A total of 1050 patients were recruited from internal medicine, paediatrics, surgery, obstetrics and gynaecology, orthopaedics, and psychiatry clinics between February 2021 and February 2022. A questionnaire was administered which consists of two parts: one that covers patients’ sociodemographic data and the other that assesses the patients’ level of satisfaction with the healthcare services using the Malay-validated Short-Form Patient Satisfaction Questionnaire (PSQ-18). RESULTS: The mean overall satisfaction level was 3.94 ± 0.46, with the highest mean scores in the interpersonal manners (4.2 ± 0.64) and communications (4.26 ± 0.56) domains. From the multivariate analysis, it was found that those patients in the lower income group (B40) were more satisfied with the quality of the healthcare services (B=0.172, 95% CI=0.08, 0.263) compared to the middle-income group. Being a student (B=- 0.202, 95% CI=- 0.296, -0.108) and having a follow-up treatment visit (B=-0.082, 95% CI=-0.156, -0.008), were significantly associated with lower satisfaction levels as compared to their counterparts. CONCLUSION: Overall, patients who attended SASMEC were satisfied with the service provided. Continuous service improvement aimed at patients’ household income, occupation and purpose of visit may help SASMEC enhance its service in the future","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139125312","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

Unaltered Long-Term Maternal Endothelin System in a Gestational Hypertensive Rat Model 妊娠高血压大鼠模型的母体内皮素系统长期不变

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2388

K. Zulkiflee, Yusoff Sharizal Yusoff Azmi Merican, Maizura Mohd Zainudin, H. R. Ismawi, Fadhilah Zainal Abidin, Azliana Abd Fuaat

{"title":"Unaltered Long-Term Maternal Endothelin System in a Gestational Hypertensive Rat Model","authors":"K. Zulkiflee, Yusoff Sharizal Yusoff Azmi Merican, Maizura Mohd Zainudin, H. R. Ismawi, Fadhilah Zainal Abidin, Azliana Abd Fuaat","doi":"10.31436/imjm.v23i01.2388","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2388","url":null,"abstract":"INTRODUCTION: Cardiovascular diseases (CVDs) are two to four times more likely to affect women with a history of hypertensive disorders of pregnancy (HDPs). One of the etiologies of CVDs is endothelial dysfunction, which results from an imbalance in the production of endothelin-1 (ET-1) and nitric oxide (NO). Although blood pressure (BP) is normalized postpartum, we hypothesize that a transient increase in BP during HDPs may cause ongoing endothelial dysfunction. We aimed to discover the impact of HDPs in the development of cardiovascular diseases after long-term postpartum changes in endothelin-A receptor (ETAR) and endothelin-B receptor (ETBR) expression and the concentration of ET-1 and NO. MATERIALS AND METHOD: Twenty-four female Sprague-Dawley (SD) rats were assigned into four groups (n = 6), including two treatment and two control groups. All rats were sacrificed on Day 30 postpartum. The NO and ET-1 concentrations were determined by ELISA and the ETAR and ETBR expression of the mesenteric arteries were measured by immunohistochemistry studies. RESULTS: The mean concentrations of ET-1 and NO were not significantly different in all groups. There was no significant difference in the mean immunoreactivity of ETAR and ETBR percentages area in the tunica intima and media in all groups. CONCLUSION: No evidence demonstrates significant changes in the endothelin system of the resistance arteries at the proteomic level in the long-term duration following HDP. Further investigation of its potential chronic effect warrants a deeper analysis at the molecular and ultrastructural levels.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139125660","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

Adrenal Cavernous Hemangioma: A Rare Incidental Finding from A Routine Ultrasound Assessment 肾上腺海绵状血管瘤：常规超声评估中的罕见偶然发现

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2117

Aisyah Khaulah Muslim, Radhiana Hassan, Nasser Mohammad Amjad, Azliana Abd Fuaat

引用次数: 0

A Comparative Study of the Tolerance to Stress Response Under Spinal Anaesthesia in Diabetic Versus Non-Diabetic Patients 糖尿病患者与非糖尿病患者脊髓麻醉下压力反应耐受性比较研究

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2195

Prince Saha, Bhavini Bhushan Shah, Subha Jose Vazhakalayil, Aishwarya Thakur

{"title":"A Comparative Study of the Tolerance to Stress Response Under Spinal Anaesthesia in Diabetic Versus Non-Diabetic Patients","authors":"Prince Saha, Bhavini Bhushan Shah, Subha Jose Vazhakalayil, Aishwarya Thakur","doi":"10.31436/imjm.v23i01.2195","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2195","url":null,"abstract":"INTRODUCTION: Activation of sympathetic nervous system, increase of catabolic hormone release and pituitary gland suppression are responses to surgical stress. Neural blockade via epidural or spinal anesthesia, intravenous administration of high-dose of strong opioid analgesics, and infusion of anabolic hormones such as insulin are three main methods for balancing stress responses to surgery. However, there are conflicting reports about the extent of autonomic disturbances occurring after inducing spinal anesthesia in diabetic patients due to underlying autonomic neuropathy. METHODOLOGY: An observational cohort study was conducted in an operative room of a tertiary health care center involving 25 diabetic patients and 25 non-diabetic patients to evaluate the tolerance to stress. The diabetic patients undergone an exercise tolerance test to evaluate for postural hypotension which would indicate presence of autonomic neuropathy. Stress parameters such as heart rate, mean blood pressure, blood glucose level, and temperature were measured at regular intervals pre, peri- and post-operatively. RESULTS: Intraoperative heart rate, mean blood pressure, and blood glucose level were high in diabetic patients with autonomic neuropathy (p≤0.05). Temperature was higher in diabetic patients with autonomic neuropathy initially (p≤0.05) and had a higher fall peri-and post-operatively (T=15 minutes, T=20 minutes, and T=after surgery). A significant differences in the parameters of stress response were observed in diabetic patients with autonomic neuropathy. CONCLUSION: By understanding the correlation between stress-response in diabetic patients with autonomic neuropathy peri-operatively will help the anesthetist to provide customized services to every patient","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139128794","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

Brain Tumours and Inflammatory Markers: Mini-Review 脑肿瘤与炎症标记物：微型综述

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2313

Ling Tiong Michelle Hui, W. N. Wan Azman, A. A. Mat Zin, Zamzuri Idris, M. Maulidiani, Wan Nur Syuhaila Mat Desa

{"title":"Brain Tumours and Inflammatory Markers: Mini-Review","authors":"Ling Tiong Michelle Hui, W. N. Wan Azman, A. A. Mat Zin, Zamzuri Idris, M. Maulidiani, Wan Nur Syuhaila Mat Desa","doi":"10.31436/imjm.v23i01.2313","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2313","url":null,"abstract":"An inflammatory biomarker is an indicating substance that facilitates the process of cell injury and promotes the development of cancer cells. The brain structure naturally protects the extracellular matrix (ECM), which consists of microglia, astrocytes, and neurons, by separating them from harm with the blood–brain barrier (BBB). Yet, the inflammation process damages the brain cells, thus releasing inflammatory markers into the plasma. Chronic inflammation results from persistent inflammation, and any failure of control mechanisms within the brain tissues will promote the development of cancer cells. Previous studies showed that several proinflammatory biomarkers, which included interleukin-6 (IL-6), tumour necrosis factor-α (TNF-α), and C-reactive protein (CRP), were observably higher in patients with glioblastoma compared to those with healthy brain tissues. However, the relationship between proinflammatory factors and glioma development remains unclear. Against such background, this review discusses the potential association between inflammatory markers and a brain tumour, along with the importance of these parameters.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139128370","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

Plasma Haptoglobin as A Potential Biomarker for Coronary Artery Disease in Young Hypertensive Adults 血浆aptoglobin作为年轻高血压成人冠状动脉疾病的潜在生物标记物

IIUM Medical Journal Malaysia Pub Date : 2024-01-01 DOI: 10.31436/imjm.v23i01.2371

Norbaiyah Mohamed Bakrim, Wan Fatein Nabeila Wan Omar, Aszrin Abdullah, Nurul Nadiah Hamidon, Suhaila Abdul Muid, Aisyah Badrulhisham

{"title":"Plasma Haptoglobin as A Potential Biomarker for Coronary Artery Disease in Young Hypertensive Adults","authors":"Norbaiyah Mohamed Bakrim, Wan Fatein Nabeila Wan Omar, Aszrin Abdullah, Nurul Nadiah Hamidon, Suhaila Abdul Muid, Aisyah Badrulhisham","doi":"10.31436/imjm.v23i01.2371","DOIUrl":"https://doi.org/10.31436/imjm.v23i01.2371","url":null,"abstract":"INTRODUCTION: Uncontrolled hypertension is one of the recognized risk factors for coronary artery disease (CAD) in young adults, commonly underestimated owing to the young age. A novel biomarker to improve CAD risk assessment and hypertension management should be identified for this cohort. Thus, we had conducted a study to investigate plasma concentration and the role of haptoglobin in young hypertensive adults in the establishment of premature acute myocardial infarction (AMI). MATERIALS AND METHODS: A total of 120 male adults aged between 18 to 45 years enrolled into this cross-sectional study, divided into control, hypertensive, and acute myocardial infarction (AMI) groups. Blood samples were collected from all subjects, plasma concentrations of haptoglobin measured using enzyme-linked immunosorbent assays, and other CAD risk factors including high sensitivity C-reactive protein (hs-CRP) levels were analyzed. RESULTS: Plasma concentration of haptoglobin in the AMI group was the highest compared to hypertensive and control group (290.63±99.90 vs. 208.47±112.93 vs. 170.02±108.11 ng/ml, p<0.006). There was a significant association between AMI and plasma haptoglobin concentration in hypertensive subjects independent of other known CAD risk factors (OR: 0.985, 95% CI 0.973-0.997, p=0.017). There was positive correlation between plasma haptoglobin and hs-CRP (r=0.0370, p<0.001). CONCLUSION: Plasma haptoglobin is a potential biomarker to identify young hypertensive adults who are at risk of developing CAD.","PeriodicalId":13474,"journal":{"name":"IIUM Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139125494","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