Electronic Journal of General Medicine最新文献

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Arabic gum as a natural therapeutic agent for diabetic patients with CKD: A retrospective study 阿拉伯口香糖作为糖尿病CKD患者的天然治疗剂:一项回顾性研究
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13183
Sameeha A Alshelleh, H. Alhawari, Ashraf O. Oweis, K. Alzoubi
{"title":"Arabic gum as a natural therapeutic agent for diabetic patients with CKD: A retrospective study","authors":"Sameeha A Alshelleh, H. Alhawari, Ashraf O. Oweis, K. Alzoubi","doi":"10.29333/ejgm/13183","DOIUrl":"https://doi.org/10.29333/ejgm/13183","url":null,"abstract":"Arabic gum (AG) is a dietary additive widely used in food manufacture and drugs; it has also gained popularity as herbal tea that can cure diseases such as diabetes, hypertension, and chronic kidney disease. Studies showed its antioxidant and anti-inflammatory effects. In a retrospective study design, we included CKD patients taking AG for at least three months. Data were collected over one year for each patient: age, co-morbidities, duration, amount of AG used, serum creatinine, inflammatory markers, lipid profile, blood sugar, hemoglobin A1C, and blood pressure readings. For the changes in values and trends, we compared the values individually for each patient separately. A total of 30 patients consisted of 20 males (66.7%) and 10 females (33.3%), with a mean age of 63.2 years. The mean (M) eGFR pre-enrollment in the study was 23.5 ml/min (standard deviation [SD]=15.8), and the mean eGFR at the end of the study was 26.1 ml/min (SD=18.9, p=0.56). There was a significant difference in the eGFR after using AG between diabetics (M=31.3 ml/min, SD=18.5) and non-diabetics (M=20.5 ml/min, SD=18.2, p=0.03). With a history of catheterization, there was a significant difference in eGFR between patients who had catheterization (M=31.76, SD=20.86) and patients without catheterization (M=18.36, SD=13.08, p=0.04). No significant effect on lipid profile, or CRP, yet significant effect on blood sugar control (fasting blood sugar 0.0001, and HBAa1c 0.01). In conclusion, AG is a promising natural material that affects decreasing eGFR in CKD diabetics patients.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45747916","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
Depression among Jordanian women during pregnancy in COVID-19: Role of social support 2019冠状病毒病期间约旦孕妇抑郁症:社会支持的作用
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13093
S. Abuhammad, Shaher Hamaideh, M. Gharaibeh, Enas A. Assaf, H. Al-Qasem, K. Eldeirawi
{"title":"Depression among Jordanian women during pregnancy in COVID-19: Role of social support","authors":"S. Abuhammad, Shaher Hamaideh, M. Gharaibeh, Enas A. Assaf, H. Al-Qasem, K. Eldeirawi","doi":"10.29333/ejgm/13093","DOIUrl":"https://doi.org/10.29333/ejgm/13093","url":null,"abstract":"Aims: To describe the level of depression and social support experienced by pregnant Jordanian women and assess the role of support and other factors on depression level among a sample of Jordanian women during pregnancy during the COVID-19 pandemic.\u0000Method: The study invitation and link to an online survey were shared during November 2021 via social media and through word of mouth. A convenience sample of 434 pregnant women completed the study questionnaire, which included questions on their COVID-19 status, demographics, depression, and social. Depression was assessed using the Center for Epidemiologic Studies Depressive Scale (CES-D).\u0000Results: The prevalence of depression among women during pregnancy was 28.3%. The mean of depression score among women during pregnancy was 24.3±4.4. The prevalence of social support among women during pregnancy were (63%). The mean social support score among the participants was 39.3±9.1. Factors associated with a higher depression score included not get influenza vaccination, not having insurance, described life as poor, having pressure, and not having social support.\u0000Conclusion: This is a national study among women during pregnancy in Jordan. The study found that people who took influenza vaccination, having insurance, described life as poor, and having pressure, they experience more depression than other people. Moreover, our study found as social support increased, the depression decreased.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49064778","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: 1
COVID-19 pandemic, medical attention, and self-care of patients with type 2 diabetes at a Peru-based hospital: An analytical cross-sectional study 秘鲁一家医院2型糖尿病患者的COVID-19大流行、医疗护理和自我保健:一项分析性横断面研究
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13184
Jorge Calderón-Ticona, K. J. Cardoza-Jiménez, Giannina Katiza Quispe-Pachas, C. Mejía
{"title":"COVID-19 pandemic, medical attention, and self-care of patients with type 2 diabetes at a Peru-based hospital: An analytical cross-sectional study","authors":"Jorge Calderón-Ticona, K. J. Cardoza-Jiménez, Giannina Katiza Quispe-Pachas, C. Mejía","doi":"10.29333/ejgm/13184","DOIUrl":"https://doi.org/10.29333/ejgm/13184","url":null,"abstract":"Background: To determine the association between coronavirus disease-2019 (COVID-19), medical attention and self-care of patients with type 2 diabetes (T2DM) at the Archbishop Loayza National Hospital. \u0000Methods: This analytical cross-sectional study, involved interviewing 181 T2DM patients and recording their actions regarding three aspects–self-care measures, medical care, and spending on medicines–before and during the pandemic. The relationships between the variables were established using descriptive and analytical statistics.\u0000Results: During the pandemic, self-care decreased to 37%; 26% had access to medical care. Patients in the provinces experienced better self-care (Lima: 35%; Provinces: 61%; p=0.002). Patients with comorbidities also took good care of themselves (with comorbidities: 41%; without comorbidities: 29%; p=0.036).\u0000Conclusions: COVID-19 had a negative influence on T2DM patients regarding self-care and medical care. One out of four patients received medical care. Additionally, being outside Lima and having comorbidities were associated with better self-care during the pandemic.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45786433","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 rare case of gigantomastia caused by pseudoangiomatous stromal hyperplasia 假性血管瘤间质增生致巨乳症一例
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13147
R. Aljehani, Turki Al-Turaiki, Roaa Algowiez, Muhammad Iftikhar Ahmed, Eiman Alshammari, M. Abdel Hadi
{"title":"A rare case of gigantomastia caused by pseudoangiomatous stromal hyperplasia","authors":"R. Aljehani, Turki Al-Turaiki, Roaa Algowiez, Muhammad Iftikhar Ahmed, Eiman Alshammari, M. Abdel Hadi","doi":"10.29333/ejgm/13147","DOIUrl":"https://doi.org/10.29333/ejgm/13147","url":null,"abstract":"Gigantomastia is a rare pathologic condition characterized by an excessive and abnormal breast hypertrophy. To date, there is no exact definition or classification of this disease. Pathogenesis still unclear. The purpose of this article is to present a case of extreme and disabling gigantomastia caused by pseudoangiomatous stromal hyperplasia, one of the rarest etiology of gigantomastia.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45878893","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
The effect of private self-consciousness on the intention to receive the COVID-19 vaccine 私人自我意识对接种新冠肺炎疫苗意向的影响
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13150
Y. Lai
{"title":"The effect of private self-consciousness on the intention to receive the COVID-19 vaccine","authors":"Y. Lai","doi":"10.29333/ejgm/13150","DOIUrl":"https://doi.org/10.29333/ejgm/13150","url":null,"abstract":"Background: Although COVID-19 vaccines have been developed, the number of people willing to receive the vaccine has not yet reached the level for herd immunity. Using the health belief model with governmental information support, this study examined private self-consciousness in combination with other factors that influence the intention to receive the COVID-19 vaccine.\u0000Materials and methods: The perceived susceptibility to and perceived seriousness of COVID-19, perceived benefits of and perceived barriers to the COVID-19 vaccine, governmental information support, private self-consciousness, and the intention to receive the vaccine were examined in 523 adults. The data were analyzed with partial least squares regression.\u0000Results: The results indicate that private self-consciousness reduces the effect of perceived susceptibility on the intention to receive the vaccine and the negative effect of the perceived barriers to receiving it on intention.\u0000Conclusion: The information provided by the public health department should focus on perceived seriousness and perceived benefits because they are not affected by private self-consciousness.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42993491","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
Confluent cavitated nodules in invasive mucinous adenocarcinoma: A case report 浸润性粘液腺癌合并空化结节1例
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13151
Madaleine López-Hinostroza, J. Dávila, Angélica Y. Asencio, Jeel Moya-Salazar
{"title":"Confluent cavitated nodules in invasive mucinous adenocarcinoma: A case report","authors":"Madaleine López-Hinostroza, J. Dávila, Angélica Y. Asencio, Jeel Moya-Salazar","doi":"10.29333/ejgm/13151","DOIUrl":"https://doi.org/10.29333/ejgm/13151","url":null,"abstract":"Invasive mucinous adenocarcinoma is a rare variant of lung adenocarcinoma. Here, we present the case of a patient with invasive mucinous adenocarcinoma with cavitary lung lesions. A 61-year-old painter-and-bricklayer. She was admitted due to mMRC2 dyspnea, a dry cough that during hospitalization mobilizes dense, abundant secretions, and becomes demanding. Differential diagnoses were made based on clinical symptoms and images, performing multiple laboratory tests ruling out immunosuppression, and two video-bronchofibroscopies finding the diagnosis in the transbronchial lung biopsy: Invasive mucinous adenocarcinoma that would explain the abundant bronchorrhea, advanced stage and poor prognosis led to ventilatory failure and death of the patient.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48548131","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
Effect of newly detected hyperglycemia on the course of coronary heart disease 新检高血糖对冠心病病程的影响
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13182
{"title":"Effect of newly detected hyperglycemia on the course of coronary heart disease","authors":"","doi":"10.29333/ejgm/13182","DOIUrl":"https://doi.org/10.29333/ejgm/13182","url":null,"abstract":"Mechanisms and causes of hyperglycemia (HG) during coronary heart disease (CHD), particularly in its unstable forms, remain not fully investigated. The study aimed to determine the effect of newly detected HG on the course of CHD and examine the features of carbohydrate metabolism in patients with CHD. The study was conducted in Moscow (Russia) in 2018-2021. A total of 139 patients with CHD aged 43 to 79 years were examined. All participants were divided into comparison groups, including 34 patients with average glucose levels, 28 patients with fasting HG, 46 patients with impaired glucose tolerance (IGT), and 31 patients with newly diagnosed type 2 diabetes. The range of laboratory examinations included general clinical tests of blood and urine, determination of blood urea, creatinine, C-reactive protein, bilirubin and its fractions, the activity of hepatic transaminases, the study of carbohydrate metabolism, lipidogram, ionogram, and coagulogram. First-time diagnosed HG was a fairly frequent diagnosis in CHD patients (in 105 (75.5%) of 139 patients examined). IGT and type 2 diabetes mellitus recently detected in CHD patients have common disease-causing factors: insulin resistance, lipid metabolism disorders, and sympathetic nervous system activation against the background of reduced parasympathetic effects. All of this should be considered in developing treatment regimens for CHD patients and controlling risk factors.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48687769","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
Prevalence of thalassemia in the Vietnamese population and building a clinical decision support system for prenatal screening for thalassemia 越南人口中地中海贫血的患病率及建立产前地中海贫血筛查临床决策支持系统
Electronic Journal of General Medicine Pub Date : 2023-07-01 DOI: 10.29333/ejgm/13206
Danh Cuong Tran, Anh Linh Dang, Thi Ngoc Lan Hoang, Chi Thanh Nguyen, Thi Minh Phuong Le, Thi Ngoc Mai Dinh, Van Anh Tran, Thi Kim Phuong Doan, Thi Trang Nguyen
{"title":"Prevalence of thalassemia in the Vietnamese population and building a clinical decision support system for prenatal screening for thalassemia","authors":"Danh Cuong Tran, Anh Linh Dang, Thi Ngoc Lan Hoang, Chi Thanh Nguyen, Thi Minh Phuong Le, Thi Ngoc Mai Dinh, Van Anh Tran, Thi Kim Phuong Doan, Thi Trang Nguyen","doi":"10.29333/ejgm/13206","DOIUrl":"https://doi.org/10.29333/ejgm/13206","url":null,"abstract":"The prevalence of thalassemia among the Vietnamese population was studied, and clinical decision support systems (CDSSs) for prenatal screening of thalassemia were created. A cross-sectional study was conducted on pregnant women and their husbands visiting from October 2020 to December 2021. A total of 10,112 medical records of first-time pregnant women and their husbands were collected. CDSS including two different types of systems for prenatal screening for thalassemia (expert system [ES] and four artificial intelligence [AI]-based CDSS) was built. 1,992 cases were used to train and test machine learning (ML) models while 1,555 cases were used for specialized ES evaluation. There were 10 key variables for AI-based CDSS for ML. The four most important features in thalassemia screening were identified. Accuracy of ES and AI-based CDSS was compared. The rate of patients with alpha thalassemia is 10.73% (1,085 patients), the rate of patients with beta-thalassemia is 2.24% (227 patients), and 0.29% (29 patients) of patients carry both alpha-thalassemia and beta-thalassemia gene mutations. ES showed an accuracy of 98.45%. Among AI-based CDSS developed, multilayer perceptron model was the most stable regardless of the training database (accuracy of 98.50% using all features and 97.00% using only the four most important features). AI-based CDSS showed satisfactory results. Further development of such systems is promising with a view to their introduction into clinical practice.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136375897","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
Blood pressure control and its associated factors in patients with hypertension and type 2 diabetes 高血压和2型糖尿病患者的血压控制及其相关因素
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-05-01 DOI: 10.29333/ejgm/13028
A. Jarab, W. Al-Qerem, S. Alqudah, S. A. Abu Heshmeh, T. Mukattash, K. Alzoubi
{"title":"Blood pressure control and its associated factors in patients with hypertension and type 2 diabetes","authors":"A. Jarab, W. Al-Qerem, S. Alqudah, S. A. Abu Heshmeh, T. Mukattash, K. Alzoubi","doi":"10.29333/ejgm/13028","DOIUrl":"https://doi.org/10.29333/ejgm/13028","url":null,"abstract":"In this retrospective study, the medical records of hypertensive patients with type 2 diabetes attending two major hospitals were reviewed to find the factors associated with poor blood pressure control in patients who have diabetes as a comorbid disease with hypertension. Binary regression analysis was conducted to find the factors independently associated with BP control. A total of 522 participants were included in the study. Most of the participants had uncontrolled hypertension (63.4%) and uncontrolled type 2 diabetes (51.3%). Regression results revealed that having retinopathy (OR=1.468 (95% CI: 1.020-2.113), p<0.05), and not receiving dipeptidyl-peptidase 4 (DPP4) inhibitors were independently associated with uncontrolled BP (OR=0.633 (95%CI 0.423-0.946), p<0.05). Therefore, greater efforts should be exerted to improve BP control in hypertensive patients with type 2 diabetes, particularly in those suffering from retinopathy.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48030456","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: 1
The rate of medication nonadherence and influencing factors: A systematic Review 药物不依从率及其影响因素:一项系统回顾
IF 2.1
Electronic Journal of General Medicine Pub Date : 2023-05-01 DOI: 10.29333/ejgm/12946
M. Aljofan, Ainash Oshibayeva, I. Moldaliyev, Yerbolat Saruarov, Tilektes Maulenkul, A. Gaipov
{"title":"The rate of medication nonadherence and influencing factors: A systematic Review","authors":"M. Aljofan, Ainash Oshibayeva, I. Moldaliyev, Yerbolat Saruarov, Tilektes Maulenkul, A. Gaipov","doi":"10.29333/ejgm/12946","DOIUrl":"https://doi.org/10.29333/ejgm/12946","url":null,"abstract":"Lack of adherence to recommended therapy will reduce its effectiveness and can subsequently lead to disease progression, disabilities or even death. A vast number of research studies have emphasized the magnitude of medication nonadherence and its effect on treatment outcomes, patient’s health, healthcare providers and the associated costs; medication nonadherence remains a major concern that is believed to be widely practiced amongst medication taking patients. The current systemic review aims to cohere the available evidence regarding medication nonadherence rate, practices, and potential affecting factors and predictors. A search through different databases was conducted, including PubMed, Medline, and CINHAL for recently published research articles, within five years. The terms used for the search include medication nonadherence, medication nonadherence, factors affecting medication nonadherence and predictors of medication nonadherence. The search was limited to human subjects, English language journal articles and exclusion of review articles, case studies, and data from clinical trials as patient adherence is closely observed.\u0000The search resulted in 667 articles and only 65 articles were included and further screened. However, according to our exclusion criteria, 15 articles only were included in this review. The three most reported practices of medication nonadherence are prescription abandonment, nonconforming, and non-persistence. There are five reported factors that may lead to nonadherence practices such as socioeconomic-related factors, healthcare system-related factors, patient-related factors, disease-related factors, and therapy-related factors. In conclusion, medication nonadherence practice is a multi-dimensional phenomenon that requires a multi-targeted solution.","PeriodicalId":44930,"journal":{"name":"Electronic Journal of General Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48571410","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
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