Ethiopian Journal of Pediatrics and Child Health最新文献

Knowledge and practices on diabetic care among the caregivers of children with type 1 diabetes mellitus: A cross sectional study 1 型糖尿病患儿照顾者的糖尿病护理知识和实践：横断面研究

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.3

Bonsa Girma, M. Berhane

{"title":"Knowledge and practices on diabetic care among the caregivers of children with type 1 diabetes mellitus: A cross sectional study","authors":"Bonsa Girma, M. Berhane","doi":"10.4314/ejpch.v18i2.3","DOIUrl":"https://doi.org/10.4314/ejpch.v18i2.3","url":null,"abstract":"Background: Diabetes mellitus care in children requires parental support and involvement as young children cannot independently handle all of their diabetes cares; the diabetic cares given to these children entirely depend on the knowledge and skills of the care givers. This study was conducted to determine the knowledge and practices on diabetic care and associated factors among the caregivers of children with type 1 diabetes mellitus attending the follow-up clinic at Jimma Medical Center, Southwest Ethiopia. \u0000Methods: Institution-based prospective cross-sectional study was conducted from July 10 to October 10, 2022. Data was collected using a structured questionnaire and analyzed using statistical packages for social sciences software Version 25.0. Bivariate and stepwise multivariate analysis was performed to test associations between the dependent and independent variables. \u0000Results: One hundred fifty-eight caregivers of children with type 1 diabetes mellitus participated in the study; over half of the participants (93, 58.9%) were females. Over half of caregivers have a poor level of knowledge (56.3%) and practice (58.6%) about diabetes cares. Participants residing in the urban area are found to have better knowledge (p<0.001; 95%CI:1.81-6.86), whereas being female caregiver (p=0.03; 95%CI:1.04-4.22), attending diabetic education sessions (p=0.035; 95%CI:1.17-79.66) and, those who had good diabetes knowledge (p=0.04; 95%CI:1.03-4.04 ) were found to have a better practice. \u0000Conclusion: The knowledge and practices of caregivers regarding diabetic care among caregivers of children with type 1 diabetes mellitus were found to be low. Structured diabetes care education should be given to all caregivers to improve their knowledge and practices.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"45 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139449363","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

Post-Mumps vaccination parotitis 腮腺炎疫苗接种后的腮腺炎

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.7

Tinsae Alemayehu

引用次数: 0

Policy, health facility and community implications of the findings of the study of illnesses in preterm (sip project): Summary recommendations from a dissemination workshop 早产儿疾病研究（SIP 项目）结果对政策、医疗机构和社区的影响：传播研讨会的建议摘要

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.8

L. M. Muhe, A. Mekasha, B. Worku, Beza Eshetu, Nestanet Workneh Gidi, Mahlet Abayneh, G. Metaferia, A. Demtse, Solomon Gebeyehu, Yared Tadesse, Meles Solomon, A. Negesso, Meseret Zelalem, A. Nigussie

{"title":"Policy, health facility and community implications of the findings of the study of illnesses in preterm (sip project): Summary recommendations from a dissemination workshop","authors":"L. M. Muhe, A. Mekasha, B. Worku, Beza Eshetu, Nestanet Workneh Gidi, Mahlet Abayneh, G. Metaferia, A. Demtse, Solomon Gebeyehu, Yared Tadesse, Meles Solomon, A. Negesso, Meseret Zelalem, A. Nigussie","doi":"10.4314/ejpch.v18i2.8","DOIUrl":"https://doi.org/10.4314/ejpch.v18i2.8","url":null,"abstract":"The Study of Illness in Preterm (SIP) was designed in 2015 to identify the major causes of morbidity and mortality in preterm babies. Preterm complications are the commonest cause of neonatal mortality. The SIP study investigators in collaboration with Federal Ministry of Health-Ethiopia (FMOH) organized a dissemination workshop during the world prematurity day between Nov 17-18, 2021. \u0000The objective of the SIP dissemination workshop was to conduct a policy dialogue with policy makers and program implementers to support policy and practice changes. Five publications that have immediate policy and practice implications were selected and discussed in a dissemination workshop. These were hypothermia, preterm nutrition, bacterial isolates and antimicrobial resistance (AMR), antenatal corticosteroid utilization and respiratory distress syndrome (RDS). \u0000For each topic, the workshop assessed and documented the magnitude of the burden of disease, operationally feasible recommendations at policy, facility and community levels and potential implementation research ideas that could help facilitate rapid scale up of interventions.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"38 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139449560","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

Quality of compassionate care among children with chronic heart failure at Tikur Anbessa Specialized Hospital: A cross-sectional analysis Tikur Anbessa 专科医院慢性心力衰竭患儿的护理质量：横断面分析

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.2

Henok Tadele, T. Moges

{"title":"Quality of compassionate care among children with chronic heart failure at Tikur Anbessa Specialized Hospital: A cross-sectional analysis","authors":"Henok Tadele, T. Moges","doi":"10.4314/ejpch.v18i2.2","DOIUrl":"https://doi.org/10.4314/ejpch.v18i2.2","url":null,"abstract":"Background: Compassion is a deep awareness of the suffering of another coupled with the wish to relieve it. Heart failure/HF is a progressive clinical and pathophysiological condition caused by cardiovascular and non-cardiovascular abnormalities. The study aimed to assess compassionate care among children with chronic HF at Tikur Anbessa Specialized Hospital. \u0000Methods: This observational cross-sectional study employed an Amharic 12-item Schwartz Center Compassionate Scale (SCCS) to assess compassionate care. Children aged 7years and above were included in the study. Logistic regression models were used to assess predictors. \u0000Results: The study included 155 chronic HF subjects, females 56.1% (87). Majority of the re-spondents,75.5% (117), lived in an urban setting within 100-kilometers from health facility, 58.7% (91). The mean age at diagnosis and duration of follow-up was 5.2±3.8years and 5±3.5years, respectively. Congenital heart diseases, 55.5% (86) and rheumatic heart disease, 36.1% (56) were common causes for chronic HF. Successful compassionate care was reported in 25.2% (39) (95% CI: 18.5-32.8) of study subjects. Study subjects who lived within 100-kilometers from the follow up health facility had two times higher odds of reporting successful compassionate care, [AOR: 2.24, 95% CI: 1.06-4.75, P 0.035)] \u0000Conclusion: In this study, only one fourth of study subjects with chronic heart failure had received compassionate care. Distance from the follow up health facility predicted successful com-passionate care. Modalities to improve access including decentralization of clinical services for children with chronic heart failure and further mixed studies are recommended to assess how distance from a health facility relate to compassionate care.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"49 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139450039","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

Competence of pediatric residents and nurses in metered-dose inhaler techniques for asthma patients at Tikur Anbessa Specialized Hospital Tikur Anbessa 专科医院儿科住院医师和护士为哮喘患者提供计量吸入器技术的能力

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.6

Getu Tafa, E. K. Etissa, R. A. Kebede

{"title":"Competence of pediatric residents and nurses in metered-dose inhaler techniques for asthma patients at Tikur Anbessa Specialized Hospital","authors":"Getu Tafa, E. K. Etissa, R. A. Kebede","doi":"10.4314/ejpch.v18i2.6","DOIUrl":"https://doi.org/10.4314/ejpch.v18i2.6","url":null,"abstract":"Introduction: A Metered Dose Inhaler (MDI) is a device containing dissolved or suspended drugs to deliver drugs for pulmonary diseases efficiently. However, studies in Ethiopia show low competency among health professionals. Thus, we assessed the competency of residents and nurses working in a tertiary hospital. \u0000Methods: From June to September 2022, 181 pediatrics and child health department residents and nurses participated in a pretested questionnaire and MDI technique practice. The knowledge score for residents and nurses was determined based on correct answers to questions from 0 to 6 for residents and 0 to 5 for nurses. Good knowledge was defined as a score of 80–100%, moderate knowledge from 60–79%, and poor knowledge from <60% of the total score. The good practice was ≥7 from 11 and all essential steps, while the poor practice was <7 of the total score and skipped essential steps. The chi-square or Fisher exact test was employed to compare groups as appropriate. The 95% confidence interval and a p-value of 0.05 were used to determine statistical significance. . \u0000Results: Of the 181 study participants, 103 (56.9%) were residents. The participants' mean age was 32. MDI technique knowledge was poor for more than half of the residents (52.4%) and 46.4% of the nurses. Twenty-six (14.4%) of participants practiced the MDI technique steps, scoring 7 out of 11 steps. However, only 3.3% practiced the technique correctly. Whereas only 5.8% of residents and 0% of nurses practiced the essential steps of the MDI technique. When using a new inhaler drug, nearly half of the participants (47%) did not assess the patients' practice. \u0000Conclusion: Healthcare professionals' competency in performing the MDI technique is low. Appropriate training programs are needed to enhance their ability to use inhaled devices and ensure successful drug delivery.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"19 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139450452","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

Discharge against medical advice in pediatric wards at tertiary center in Addis Ababa, Ethiopia: A retrospective cross-sectional survey. 埃塞俄比亚亚的斯亚贝巴三级医疗中心儿科病房违反医嘱出院的情况：回顾性横断面调查。

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.5

Helen Feleke, T. Moges

{"title":"Discharge against medical advice in pediatric wards at tertiary center in Addis Ababa, Ethiopia: A retrospective cross-sectional survey.","authors":"Helen Feleke, T. Moges","doi":"10.4314/ejpch.v18i2.5","DOIUrl":"https://doi.org/10.4314/ejpch.v18i2.5","url":null,"abstract":"Background: Children are at high risk of problems related to discharge against medical advice (DAMA). Because they are not part of the decisions their best interests may be violated. This study is aimed to determine the prevalence, clinical outcomes, and factors associated with discharge against medical advice. \u0000Methods: We cross-sectionally described 123 admissions in which caretakers decided to discharge against medical advice. A mixed data collection method from the patient's charts and telephone interviews was employed. A pretested semi-structured questionnaire tool was used. The data was manually cleaned and analyzed using SPSS software version 25, USA. The frequency and percentage of categorical data were calculated, as well as the mean, median, SD, and IQR of the continuous variable. A multivariate regression analysis was performed, with an adjusted odds ratio of 95% CI and a statistical significance of 0.05. \u0000Results: Hospital prevalence of DAMA was 1.42%. The median age was 11(±59) months—eighty-one percent of the caretakers signed before leaving the hospital. The median hospitalization was 7 days (IQR=13 days). The majority of the caretakers were discharged during working hours (71%). Discharge was registered in all seasons: winter (31%), spring (28%), summer (23%), and autumn (18 %). Hemato-oncologic conditions, infectious, and neonatal problems were common. Most of the cases were reported from pediatric emergency and neonatology wards. Patients’ poor clinical response and the caretaker's financial constraints were the main reasons for signing DAMA. Death was significant when the DAMA occurred in fast-improving cases and infants; (AOR=6.909, 95% CI-2.191-21.782), and AOR=1.3, 95% CI -0.48-3.3) respectively. \u0000Conclusion: DAMA in the Pediatric wards of Tikur-Anbessa Specialized Hospital was similar to the reported data elsewhere. However, death was very high which could be due to insufficient fol-low-up after DAMA.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139449619","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

Vitamin d levels in pediatric epilepsy patients on the anti-epileptic drugs at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴 Tikur Anbessa 专科医院服用抗癫痫药物的小儿癫痫患者的维生素 d 水平

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2024-01-05 DOI: 10.4314/ejpch.v18i2.4

Mohammed Miftah, M. Tefera, M. Legas, Ayalew Moges

{"title":"Vitamin d levels in pediatric epilepsy patients on the anti-epileptic drugs at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia","authors":"Mohammed Miftah, M. Tefera, M. Legas, Ayalew Moges","doi":"10.4314/ejpch.v18i2.4","DOIUrl":"https://doi.org/10.4314/ejpch.v18i2.4","url":null,"abstract":"Background: Epilepsy is a common neurological disorder of childhood repeatedly necessitating prolonged use of anticonvulsants. This study was done to evaluate the status of vitamin D in epileptic children. We targeted to describe the prevalence and risk factors for vitamin D deficiency among children with epilepsy. \u0000Methods: A hospital-based descriptive cross-sectional study design with prospective data collection was used among children with epilepsy on anti-epileptic drugs attending the Pediatric Neurology Clinic and their primary caretakers. For this study, a sample of 226 children and adolescents were included in the study and a blood sample for the determination of serum vitamin D was taken. The participants were interviewed, and medical records were thoroughly reviewed. Descriptive statistics and binary logistic regression analysis was done to assess determinants of vitamin D deficiency. . \u0000Results: In this study, the prevalence of vitamin D deficiency was found to be 42%. Children on polytherapy (AOR = 4.3 (1.2 - 16)), 3 or more AEDs (AOR = 0.1 (0.0 - 0.8)), female sex (AOR = 1.8 (1.7 - 2.6)), age >15 years (AOR = 2.12 (1.0 - 1.5)), 4 months of exclusive breastfeeding (AOR = 5.6 (4.9 - 36)), family diet (AOR = 0.3 (0.1 - 0.8)) and non-ambulation (AOR = 1.7 (1.8 - 3.6)) were factors associated with being in the vitamin D deficiency group. \u0000Conclusion: According to this study patients who take Anti-Epilepsy drugs are at a higher risk of a poor vitamin D status. Based on this finding, the need for timely and appropriate vitamin D supplementation and periodic follow-up seems to be very evident.","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"8 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139450151","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

Pediatric HIV epidemic: Status and prospects in Ethiopia 儿童艾滋病毒流行:现状和前景在埃塞俄比亚

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2023-08-07 DOI: 10.4314/ejpch.v18i1.1

S. Lulseged

引用次数: 0

Knowledge, attitude, and practice of pediatric residents towards oral health of children in Addis Ababa: A cross-sectional study 亚的斯亚贝巴儿科住院医师对儿童口腔健康的知识、态度和实践:一项横断面研究

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2023-08-07 DOI: 10.4314/ejpch.v18i1.6

Endalamaw Asnake, D. Shimelis

{"title":"Knowledge, attitude, and practice of pediatric residents towards oral health of children in Addis Ababa: A cross-sectional study","authors":"Endalamaw Asnake, D. Shimelis","doi":"10.4314/ejpch.v18i1.6","DOIUrl":"https://doi.org/10.4314/ejpch.v18i1.6","url":null,"abstract":"Background: The state of good oral health in children is mainly contributed by the knowledge, practice and attitude of front-line health workers like general practitioners, family physicians, postgraduate pediatric residents, and pediatricians. Assessing the knowledge, practice, and attitude of residents would give directions for further quality improvement projects. This study aimed to assess the knowledge, attitude and practice of pediatric residents on oral health in children in 3 public post-graduate teaching institutions in Addis Ababa, Ethiopia. \u0000Methods: Hospital-based cross-sectional study was conducted among 169 pediatric residents from 3 public postgraduate teaching institutions of Addis Ababa from June 1-August 30. 2022. The knowledge, Attitude and practice of residents were assessed by a structured questionnaire adapted from an extensive literature survey. Then the data was analyzed using SPSS version 25 software package. Descriptive summary statistics such as frequency and proportion were applied and finally, the results were presented using tables and figures. \u0000Results: In this study, 169 residents were involved. Males were 106 (62.7%) and the remaining were females. Only 18 (10.7%) of participating residents had good knowledge but 43 (25.4 %) and 108 (70.2%) had moderate and poor knowledge of oral health in children respectively. Most 164 (97%) had a good attitude towards oral health, but 19 (11.2%), 86 (50.,9%), and 64 (37.9%) had good, moderate, and poor practice respectively. \u0000Conclusion: The majority of pediatric residents in Addis Ababa had good attitude toward oral health but moderate practice and poor knowledge about oral health in children. Residents should be trained to improve their knowledge and practice toward oral health. ","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122753653","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

Determinants of mechanical birth trauma among live born neonates admitted at University of Gondar comprehensive specialized hospital neonatal intensive care unit, northwest Ethiopia: A case-control study 埃塞俄比亚西北部贡达尔大学综合专科医院新生儿重症监护室住院的活产新生儿机械出生创伤的决定因素:一项病例对照研究

Ethiopian Journal of Pediatrics and Child Health Pub Date : 2023-08-07 DOI: 10.4314/ejpch.v18i1.2

Birhanu Mekonnen, A. Shehibo, B. Terefe

{"title":"Determinants of mechanical birth trauma among live born neonates admitted at University of Gondar comprehensive specialized hospital neonatal intensive care unit, northwest Ethiopia: A case-control study","authors":"Birhanu Mekonnen, A. Shehibo, B. Terefe","doi":"10.4314/ejpch.v18i1.2","DOIUrl":"https://doi.org/10.4314/ejpch.v18i1.2","url":null,"abstract":"Background: The occurrence of birth trauma varies according to the fetal factors, labour and delivery processes and maternal factors. However, there is limited data on the possible factors associated with neonatal birth trauma in our setup. This study aimed to identify the associated factors of birth trauma among live-born neonates in the University of Gondar Comprehensive Specialized Hospital (UoGCSH) Neonatal Intensive Care Unit. \u0000Method: An unmatched case-control study was conducted among live-born neonates admitted neonatal intensive care unit of UoGCSH over a year from February 1, 2020 to February 1, 2021 G.C. Data was analyzed by SPSS version 20. Descriptive statistics and adjusted Odds Ratio (AOR) with a 95% confidence interval and a p-value of <0.05 was used to identify determinant factors. \u0000Result: A total of 300 neonates were included with 1:2 ratio of case and controls. The determinant factors of mechanical birth trauma were head circumference (AOR=1.76, 95% CI: 1.26, 2.46), instrumental delivery (AOR=10.65, 95%CI: 2.83, 40.04), malpresentation (AOR=6.31, 95%CI: 1.01, 40.08) and prolonged labour (AOR=1.45, 95%CI: 2.04, 4.49). \u0000Conclusion: Instrumental delivery, malpresentation, >37cm head circumference, and prolonged duration of labour had statistically a significant association with mechanical birth trauma. ","PeriodicalId":291906,"journal":{"name":"Ethiopian Journal of Pediatrics and Child Health","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128527902","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