Agri-The Journal of the Turkish Society of Algology最新文献

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Interactions between the painful disorders and the autonomic nervous system. 疼痛障碍和自主神经系统之间的相互作用。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.43078
Doruk Arslan, Işın Ünal Çevik
{"title":"Interactions between the painful disorders and the autonomic nervous system.","authors":"Doruk Arslan,&nbsp;Işın Ünal Çevik","doi":"10.14744/agri.2021.43078","DOIUrl":"https://doi.org/10.14744/agri.2021.43078","url":null,"abstract":"<p><p>he autonomic nervous system (ANS) controls the heart rate, blood pressure, digestion, respiration, pupillary reactivity, sweating, urination, sexual arousal, and regulates the functions of internal organs. This system provides the homeostasis of the cells, tissues, and organs throughout the body and protects against the disturbances imposed by the external and internal stressors. The ANS has three main divisions: The sympathetic nervous system (SNS), the parasympathetic nervous system (PNS), and the enteric nervous system. In general, the SNS and PNS have opposing effects. Each region belonging to the 'pain matrix' interacts with ANS. The descending system regulates pain and creates a regulatory effect by the contribution of aminergic neurotransmitters. Hypothalamus, amygdala, and periaqueductal gray are the main structures of this regulatory system. Dysfunction of the ANS is frequently observed in pain patients. The SNS induce, facilitate, or potentiate chronic pain. Increased responsiveness of injured sensory nerves to catecholamines, increased expression of α-1 adrenoreceptors on the primary afferent nociceptors and hyperalgesic skin, central sensitization rendering Aβ mechanoreceptors, enhanced discharge and sympathetic sprouting in dorsal root ganglia, central sensitization, and dysfunction of the pain modulation is proposed mechanisms. In this review, the anatomical, physiological and pathological aspects of ANS and pain, and laboratory tests to evaluate autonomic functions will be discussed. Pathophysiological role of ANS in migraine, trigeminal autonomic cephalgias, trigeminal neuralgia, peripheral nerve injuries, small fiber neuropathies, myofascial pain syndrome, fibromyalgia, painful joint diseases, visceral pain, phantom limb pain, complex regional pain syndrome, and spinal cord injury will be discussed.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574813","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: 16
Platelet-rich plasma in the management of trigger finger: A case report. 富血小板血浆治疗扳机指:1例报告。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.03064
Ivan Medina-Porqueres, Pablo Martin-Garcia, Sofia Sanz-De-Diego, Marcelo Reyes-Eldblom
{"title":"Platelet-rich plasma in the management of trigger finger: A case report.","authors":"Ivan Medina-Porqueres,&nbsp;Pablo Martin-Garcia,&nbsp;Sofia Sanz-De-Diego,&nbsp;Marcelo Reyes-Eldblom","doi":"10.14744/agri.2021.03064","DOIUrl":"https://doi.org/10.14744/agri.2021.03064","url":null,"abstract":"<p><p>Platelet-rich plasma (PRP) has emerged as a viable therapeutic alternative for a number of clinical applications and has potential benefit for use in trigger finger. However, PRP use has not been previously reported for this condition. We report a 63-year-old woman sustaining a refractory trigger finger after a series of three PRP injections over a 2-week period. There was resolution of triggering, with no symptom recurrence at 3-month follow-up. On the basis of this report, we can assume that the treatment of trigger finger with PRP is a promising therapeutic option to be further explored with larger samples and high-quality studies.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485366","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
Results of ultrasound-guided interfascial block of the trapezius muscle for myofascial pain. 超声引导下斜方肌筋膜间阻滞治疗肌筋膜疼痛的结果。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.98048
Tülin Arıcı, İdris Şevki Köken
{"title":"Results of ultrasound-guided interfascial block of the trapezius muscle for myofascial pain.","authors":"Tülin Arıcı,&nbsp;İdris Şevki Köken","doi":"10.14744/agri.2021.98048","DOIUrl":"https://doi.org/10.14744/agri.2021.98048","url":null,"abstract":"<p><strong>Objectives: </strong>Myofascial pain syndrome (MPS) is a regional pain syndrome that causes pain due to hyperirritable trigger points in the musculoskeletal system. Trapezius is one of the most commonly affected muscles in MPS. We aimed to evaluate the efficacy of an ultrasound-guided interfascial block of the trapezius muscle in patients with MPS.</p><p><strong>Methods: </strong>The records of patients who underwent an ultrasound-guided interfascial block of the trapezius between November 2019 and October 2020 were retrospectively examined. The pain levels of the patients were evaluated with the numeric rating scale (NRS). Patients with a reduction in pain ≥50% after the procedure were considered to have benefited from the procedure.</p><p><strong>Results: </strong>A total of 54 patients (41 women and 13 men) were evaluated. The mean NRS values of the patients were 7.16 (5-9) before the procedure, 3.31 (0-8) 10 min after the procedure, and 3.37 (0-8) 1 week after the procedure. The number of patients who benefited from the procedure was 40 (74.07%) 10 min after the procedure. The number of patients who benefited from the procedure for up to 1 week, 1-2 weeks, 2 weeks-1 month, 1-3 months, and more than 3 months after the procedure was 38 (70.37%), 36 (66.66%), 31 (57.40%), 26 (48.14%), and 17 (31.48%), respectively.</p><p><strong>Conclusion: </strong>Pain relief lasting for months was achieved in most of the patients. We believe that ultrasound-guided interfascial block of the trapezius is effective for the treatment of MPS.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40564103","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 attitudes of Turkish physicians in the treatment of fibromyalgia; is 'Pregabalinophobia' the new reality of pain medicine? 土耳其医生治疗纤维肌痛的态度“普瑞巴林恐惧症”是止痛药的新现实吗?
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.58235
Sertaç Ketenci, Birzat Emre Gölboyu, Ender Salbaş, Bora Uzuner, Bahadır Çiftçi
{"title":"The attitudes of Turkish physicians in the treatment of fibromyalgia; is 'Pregabalinophobia' the new reality of pain medicine?","authors":"Sertaç Ketenci,&nbsp;Birzat Emre Gölboyu,&nbsp;Ender Salbaş,&nbsp;Bora Uzuner,&nbsp;Bahadır Çiftçi","doi":"10.14744/agri.2021.58235","DOIUrl":"https://doi.org/10.14744/agri.2021.58235","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to determine the treatment preferences of physicians interested in fibromyalgia treatment and to investigate their hesitations about prescribing pregabalin.</p><p><strong>Methods: </strong>Our survey study was conducted between February 5 and 20, 2021. The survey forms were sent to the known email addresses and phone numbers of 1569 physical medicine and rehabilitation (PMR), algology, and rheumatology physicians. The replies to the surveys were checked for possible resubmissions. The pooled data were evaluated with the SPSS 22.0 statistical package program. Frequency distributions were calculated and presented as n, %.</p><p><strong>Results: </strong>Four hundred and six PMR, rheumatology, and algology specialists fulfilled the study forms. About 59.0% of physicians stated that they prefer duloxetine as the first-line agent of fibromyalgia syndrome (FMS) treatment. Pregabalin was only 6.0% of the physicians' first choice for FMS. About 35.0% of the participating physicians stated that the PMR department should follow up FMS patients. About 44.3% of the participants noted that they refer FMS patients to other departments which interested in FMS treatment and do not want to follow-up FMS patients. About 81% agreed that pregabalin causes addiction. About 36.7% stated that at least 20% of the patients could abuse pregabalin and 97.8% of physicians stated that they were prejudiced about prescribing pregabalin to prisoners. Approximately two of the three physicians experienced an act of violence in their hospital regarding pregabalin prescribing.</p><p><strong>Conclusion: </strong>These data showed that the 'Pregabalinophobia' should be accepted. This condition is associated with life safety concerns of the physician not only from unreliability of the drug. It seems that the doctors have valid reasons to develop this prejudice.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574814","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
Retrospective evaluation of patients with cervical spinal cord stimulator. 颈脊髓刺激器患者的回顾性评价。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.59837
Dostali Aliyev, Güngör Enver Özgencil
{"title":"Retrospective evaluation of patients with cervical spinal cord stimulator.","authors":"Dostali Aliyev,&nbsp;Güngör Enver Özgencil","doi":"10.14744/agri.2021.59837","DOIUrl":"https://doi.org/10.14744/agri.2021.59837","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic pain is a cause that negatively affects quality of life and functional capacity. Spinal cord stimulation is used for various painful indications such as failed back surgery syndrome, complex regional pain syndrome (CRPS), and peripheral vascular disease (PVD). Our aim is to retrospectively investigate the effectiveness of cervical spinal cord stimulator therapy in nine patients.</p><p><strong>Methods: </strong>Nine patients with chronic pain in the upper extremity who did not benefit from medical (pharmacological, physical therapy, etc.) and algological interventional procedures (such as nerve blocks) were included in the study. Cervical spinal cord stimulator was applied to these patients in our pain clinic between January 1, 2016, and January 1, 2019. The pain levels and analgesic and antiepileptic drug doses of the patients before and after the procedure were analyzed.</p><p><strong>Results: </strong>The mean age of patients was 51.8±14.6% (29-76), 44.4% (4) were female and 55.6% (5) were male. Indications for cervical spinal cord stimulator insertion were CRPS type 1 (five patients), CRPS type 2 (two patients), previous neck surgery (one patient), and pain syndrome due to PVD (one patient). After the procedure, we saw a statistical decrease in the pain levels and drug doses of the study patients. SPSS 22.0 statistics package program was used to evaluate the data. NPar and Friedman tests were used for comparisons. Continuous variables are given as mean±standard deviation. p<0.05 was considered statistically significant.</p><p><strong>Conclusion: </strong>Cervical spinal cord stimulator is an effective method in the treatment of neck and upper extremity chronic pain.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574815","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
Bilateral papilledema caused by brucellosis mimicking pseudotumor cerebri. 由模拟假脑瘤的布鲁氏菌病引起的双侧乳头水肿。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2020.20053
Tuğçe Mengi, Mehmet Çelebisoy
{"title":"Bilateral papilledema caused by brucellosis mimicking pseudotumor cerebri.","authors":"Tuğçe Mengi,&nbsp;Mehmet Çelebisoy","doi":"10.14744/agri.2020.20053","DOIUrl":"https://doi.org/10.14744/agri.2020.20053","url":null,"abstract":"<p><p>In this article, we report a patient with migraine who was hospitalized with a prediagnosis of pseudotumor cerebri and diagnosed as neurobrucellosis with isolated intracranial hypertension presentation. A 22-year-old woman was admitted to emergency department with a complaint of headache. Her anamnesis indicated that she had migraine for 7 years. Neurological examination revealed bilateral papilledema. Cranial magnetic resonance imaging was normal. Cerebrospinal fluid (CSF) examination revealed 80 lymphocytes per mm3 with 178 mg/dL protein. Opening pressure was 260 mmH2O. Brucella tube agglutination and Rose Bengal tests were positive in blood and CSF. She was diagnosed as neurobrucellosis. If the systemic findings are insignificant and neurological findings are atypical such as isolated papillary edema, neurobrucellosis may not be considered and its diagnosis may be delayed. We believe that brucella serology should be included in the diagnostic protocols in endemic areas. Thus, early diagnosis and appropriate treatment can prevent complications of neurobrucellosis.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574810","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 novel combination technique (ultrasound-guided subomohyoid suprascapular+posterior axillary nerve block) provides opioid-free perioperative analgesia in shoulder arthroplasty. 超声引导肩胛上肩胛下舌骨下+腋后神经阻滞的新型联合技术为肩关节置换术提供了无阿片类药物的围手术期镇痛。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.09471
Ali Eman, Onur Balaban, Serbülent Gökhan Beyaz
{"title":"A novel combination technique (ultrasound-guided subomohyoid suprascapular+posterior axillary nerve block) provides opioid-free perioperative analgesia in shoulder arthroplasty.","authors":"Ali Eman,&nbsp;Onur Balaban,&nbsp;Serbülent Gökhan Beyaz","doi":"10.14744/agri.2021.09471","DOIUrl":"https://doi.org/10.14744/agri.2021.09471","url":null,"abstract":"","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485368","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
Impact of COVID-19 pandemic on pre-existing shoulder problems: Is telerehabilitation a useful tool for physical therapy? COVID-19大流行对已有肩部问题的影响:远程康复是物理治疗的有用工具吗?
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI: 10.14744/agri.2021.17363
Sena Tolu, Aylin Rezvani, Nurbanu Hindioğlu, Ahmet Üşen
{"title":"Impact of COVID-19 pandemic on pre-existing shoulder problems: Is telerehabilitation a useful tool for physical therapy?","authors":"Sena Tolu,&nbsp;Aylin Rezvani,&nbsp;Nurbanu Hindioğlu,&nbsp;Ahmet Üşen","doi":"10.14744/agri.2021.17363","DOIUrl":"https://doi.org/10.14744/agri.2021.17363","url":null,"abstract":"","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40485369","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 prevalence of scapular dyskinesia in patients with back, neck, and shoulder pain and the effect of this combination on pain and muscle shortness. 肩胛骨运动障碍在背部、颈部和肩部疼痛患者中的患病率及其对疼痛和肌肉短促的影响。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-04-01 DOI: 10.14744/agri.2022.87059
Gonca Sağlam, Hilal Telli
{"title":"The prevalence of scapular dyskinesia in patients with back, neck, and shoulder pain and the effect of this combination on pain and muscle shortness.","authors":"Gonca Sağlam,&nbsp;Hilal Telli","doi":"10.14744/agri.2022.87059","DOIUrl":"https://doi.org/10.14744/agri.2022.87059","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to evaluate the prevalence of scapular dyskinesia in patients with neck, back, and shoul-der pain and examine the variations in clinical parameters cause by this combination.</p><p><strong>Methods: </strong>A total of 121 patients with neck, back, or shoulder pain were included in this prospective cross-sectional study. De-mographic and clinical data of the patients were recorded. It was evaluated the intensity of pain with the visual analog scale (VAS), the presence of muscle shortness with muscle shortness tests, and scapular dyskinesia with the Lateral Scapular Slide Test.</p><p><strong>Results: </strong>The prevalence of scapular dyskinesia was 41.9% in the study population. Patients were divided into groups, with or without scapular dyskinesia for evaluation, and compared. The presence of scapular dyskinesia was significantly higher in pa-tients with back and shoulder pain (p<0.05). When the distribution of scapular dyskinesia pathological types was evaluated, it was found that Type 1 was the most common in the study population. No significant difference was observed in pain intensity at rest and during activity between the groups (p>0.05), but the VAS score at night was significantly higher in patients with scapular dyskinesia (p<0.05). The pectoral, latissimus dorsi, and rhomboids muscle shortness were significantly higher in the group with scapular dyskinesia (p<0.05).</p><p><strong>Conclusion: </strong>The evaluation of the presence of scapular dyskinesia in a physical examination in patients with neck, back, and/or shoulder pain will be a guide for the diagnosis and treatment of pain-related problems.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40515891","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
Osteoid osteoma: A pathology that is confused with ankylosing spondylitis. 骨样骨瘤:一种与强直性脊柱炎混淆的病理。
IF 0.6
Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-04-01 DOI: 10.14744/agri.2019.23281
Sibel Süzen Özbayrak, Mustafa Özbayrak
{"title":"Osteoid osteoma: A pathology that is confused with ankylosing spondylitis.","authors":"Sibel Süzen Özbayrak,&nbsp;Mustafa Özbayrak","doi":"10.14744/agri.2019.23281","DOIUrl":"https://doi.org/10.14744/agri.2019.23281","url":null,"abstract":"<p><p>Osteoid osteoma is a small and benign osteoblastic tumor seen typically in males aged below 25 years. Although it is rarely seen in the vertebrae, it should be considered in the differential diagnosis of spondyloarthropathies, especially for those which occur in young people, along with back and lumbar pain, which increases during the night. Early diagnosis is essential to alle-viate symptoms and prevent the risk of structural spinal deformities, such as scoliosis. Here, we describe the case of a 28-year-old man with vertebral osteoid osteoma that was misdiagnosed as ankylosing spondylitis and provide a detailed account of the radiological investigations.</p>","PeriodicalId":45603,"journal":{"name":"Agri-The Journal of the Turkish Society of Algology","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40515980","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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