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Expert consensus on the use of human serum albumin in critically ill patients 被引量:61
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作者 Yue-Tian Yu Jiao Liu +17 位作者 Bo Hu Rui-Lan Wang Xiang-Hong Yang Xiu-Ling Shang Gang Wang Chang-Song Wang Bai-Ling Li Ye Gong Sheng Zhang Xin Li Lu Wang Min Shao Mei Meng Feng Zhu You Shang Qiang-Hong Xu Zhi-Xiong Wu De-Chang Chen 《Chinese Medical Journal》 SCIE CAS CSCD 2021年第14期1639-1654,共16页
Introduction Human serum albumin(HSA)is a non-glycosylated,negatively charged,single-chain polypeptide composed of 585 amino acid residues with a relative molecular mass of 66.438 kD.It is synthesized by the liver at ... Introduction Human serum albumin(HSA)is a non-glycosylated,negatively charged,single-chain polypeptide composed of 585 amino acid residues with a relative molecular mass of 66.438 kD.It is synthesized by the liver at a rate of approximately 200 mg·kg^(-1)·day^(-1),with a half-life of 21 days,and subjected to catabolism in the muscles,liver,and kidneys at a rate of 4%per day.[1]Albumin,accounting for 60%of the total plasma protein,has various physiological functions,[2]such as maintaining 70%to 80%of effective plasma colloid osmotic pressure,coordinating vascular endothelial integrity,anti-oxidant and anti-inflammatory activities,maintaining the acidbase balance,and participating in the transport,distribution,and metabolism of a variety of endogenous and exogenous substances. 展开更多
关键词 METABOLISM ENDOGENOUS critically
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情感教学法在《马克思主义基本原理概论》课程教学中的应用探析 被引量:2
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作者 宇海金 《成都理工大学学报(社会科学版)》 2017年第3期74-77,共4页
《马克思主义基本原理概论》在我国高校思想政治理论教育系列课程中,因其抽象程度高、逻辑性强,是较为难懂和枯燥的一门课程。如果教师适当运用情感教学法,寓理于情,情理结合,就能够较好地培养学生学习兴趣,使得课程内容真正为学生掌握... 《马克思主义基本原理概论》在我国高校思想政治理论教育系列课程中,因其抽象程度高、逻辑性强,是较为难懂和枯燥的一门课程。如果教师适当运用情感教学法,寓理于情,情理结合,就能够较好地培养学生学习兴趣,使得课程内容真正为学生掌握,入脑入心,提高自觉运用马克思主义理论观点和方法分析问题、解决问题的能力。 展开更多
关键词 情感 教学法 应用
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2016-2019年江西省土源性线虫病国家监测点人群感染情况分析 被引量:21
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作者 陈喆 姜唯声 +4 位作者 李东 葛军 戴坤教 曾小军 诸廷俊 《中国寄生虫学与寄生虫病杂志》 CAS CSCD 北大核心 2020年第5期534-541,共8页
目的了解2016-2019年江西省土源性线虫病国家监测点人群感染情况,为全省制订土源性线虫病防治策略、评价防治效果提供科学依据。方法 2016-2019年在全省11个县(市)设立国家监测点,并按照《全国肝吸虫病和土源性线虫病监测方案(试行)》... 目的了解2016-2019年江西省土源性线虫病国家监测点人群感染情况,为全省制订土源性线虫病防治策略、评价防治效果提供科学依据。方法 2016-2019年在全省11个县(市)设立国家监测点,并按照《全国肝吸虫病和土源性线虫病监测方案(试行)》开展监测。监测点以县为单位按地理方位划分为东、西、南、北、中5个片区,每个片区抽取1个乡镇的1个行政村开展监测,监测点4年固定不变。每个行政村整群抽取3周岁以上常住居民不少于200人,每个监测点不少于1 000人。收集被调查者粪样,采用改良加藤厚涂片法(一粪二检)检测土源性线虫感染情况,计算感染率和感染度等指标;钩虫卵阳性粪样以试管滤纸培养法进行钩蚴培养,鉴定钩虫种类。感染率间比较采用卡方检验。每个行政村随机抽取5户家庭,每户采集1份田地或菜园的土样,其中350 g用于钩蚴检测,50 g用于人蛔虫卵检测。采用5%盐水进行土壤钩蚴镜检鉴定;用饱和硝酸钠漂浮法检测土壤中人蛔虫卵。结果11个监测点生产方式均以农业为主,饮用水以自来水和井水为主。2016-2019年无害化厕所覆盖率分别为78.4%(30 443/38 817)、 80.7%(32 856/40 723)、 85.6%(35 301/41 258)和91.0%(37 964/41 730),不同年份间差异有统计学意义(P <0.01)。2016-2019年11个监测点人群土源性线虫感染率分别为1.6%(175/11 126)、 1.4%(160/11 203)、 0.8%(91/11 183)和1.3%(151/11 197);感染率总体呈下降趋势,2019年较2016年下降了14.1%,不同年份间差异有统计学意义(P <0.01)。4年南丰县人群土源性线虫感染率分别为4.7%(48/1 016)、 3.8%(39/1 034)、 2.6%(27/1 028)和7.4%(75/1 010),均高于其他县(P <0.01)。人群钩虫感染率呈现年间波动,从2016年的1.0%(116/11 126)降至2018年0.6%(70/11 183),2019年再升至1.0%(112/11 197),各年度间差异有统计学意义(P <0.01)。除2016年外,各年度女性土源性线虫和钩虫感染率均高于男性。4年钩虫感染者中,美洲钩虫感染构成比分别为92.2%(71/77)、 91.0%(61/67)、 97.8%(44/45)和91.8%(89/97),其次为混合感染,单纯十二指肠钩虫感染较少。人群蛔虫感染率总体呈下降趋势,从2016年的0.5%(53/11 126)下降至2019年的0.3%(29/11 197),各年度间差异有统计学意义(P <0.01)。4年鞭虫感染率分别为0.1%(6/11 126)、 0.1%(14/11 203)、 0.1%(9/11 183)和0.1%(10/11 197)。4年土壤样本蛔虫卵检出率分别为9.1%(25/275)、 1.8%(5/275)、 1.8%(5/275)和1.5%(4/275),各年度间差异有统计学意义(P <0.01)。土壤中人蛔虫卵与钩蚴检出率均呈逐年下降趋势。结论江西省人群土源性线虫感染率与中、重度感染者比例总体逐年下降,呈低度流行态势。钩虫仍是今后土源性寄生虫病防治的重点虫种,南丰县是今后防控的重点地区。 展开更多
关键词 土源性线虫 感染 监测 钩虫 蛔虫 鞭虫 江西省
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居住小区智慧停车系统构建思路与实现路径 被引量:1
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作者 郝宏杰 丁月茹 夏宣文 《智能建筑与智慧城市》 2019年第7期87-91,共5页
论文以郑州市居住小区为例,运用实地调查法对小区停车难问题深入调查分析;基于智慧城市、公众参与等理论,利用"互联网+"技术,提出郑州居住小区智慧停车系统总体构建思路和"户登录系统,智能停车,便民服务,社区在线"... 论文以郑州市居住小区为例,运用实地调查法对小区停车难问题深入调查分析;基于智慧城市、公众参与等理论,利用"互联网+"技术,提出郑州居住小区智慧停车系统总体构建思路和"户登录系统,智能停车,便民服务,社区在线"等模块详细功能和使用流程;最后,运用WBS项目分解方法,从健全停车管理规章制度,创新停车管理机制,拓宽建设资金等方面提出智慧停车系统的实现路径。 展开更多
关键词 居住小区 智慧停车 互联网+ 系统构建
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Structural Dynamics in Biology: A Bridge Given by Implicit Vibratory Crossed Models
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作者 Yves Gourinat Laura Christon Frédéric Lachaud 《Engineering(科研)》 2021年第5期237-256,共20页
This article proposes a synthesis and contribution at three levels: generation of dynamic equations of shell structures interacting with fluids, reduction of implicit resolution, and cross-applications to aerospace ta... This article proposes a synthesis and contribution at three levels: generation of dynamic equations of shell structures interacting with fluids, reduction of implicit resolution, and cross-applications to aerospace tanks and living systems. The synthesis of the equations is proposed around the four principles of thermodynamics at the level of discrete, structural and digitized systems. The implicit approach envisages an innovative analysis in terms of condensation and digitization, with in particular a perspective towards singular and integral methods. Some illustrations are proposed, in the field of performed research models and also in the fields of educational applications in biodynamics. The proposed bridge links, on one hand, the analytical Lagrange-Feynman’s approach, and on the other hand experimental results obtained in laboratory and numerical experiments obtained with multiphysics software. Finally, the realized models concern conservative and dissipative models for the active and passive control of complex systems, in a unified approach. 展开更多
关键词 Vibrations Fluid Shell Interaction General Dynamics Implicit Dynamics Structural Entropy BIOPHYSICS
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Debate on "Evil law is law" and "Evil law is illegal"
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作者 Zhang Xia 《International English Education Research》 2015年第1期40-42,共3页
In the history of the western civilization, the trial of Socrates and the trial of Jesus in the Christian history are equally famous. This trial implied several enduring and classical topics in the history of the west... In the history of the western civilization, the trial of Socrates and the trial of Jesus in the Christian history are equally famous. This trial implied several enduring and classical topics in the history of the western legal thoughts. Why did Socrates accept the results of the "Miscarriage of Justice"? Who led to the wrong decision? Why would Socrates be executed? This article is precisely embarked from this trial, to explore ajurisprudent issue related to the trial: the debate on Evil law is law and Evil law is illegal. 展开更多
关键词 Socrates' trial Evil law is law Evil law is illegal
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父母决定参加新生儿研究的主要因素
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作者 Hoehn K.S. Wernovsky G. +1 位作者 Rychik J. 郭战宏 《世界核心医学期刊文摘(儿科学分册)》 2005年第10期27-27,共1页
Background: Although parents of neonates with congenital heart disease are oft en asked permission for their neonates to participate in research studies, littl e is known about the factors parents consider when making... Background: Although parents of neonates with congenital heart disease are oft en asked permission for their neonates to participate in research studies, littl e is known about the factors parents consider when making these decisions. Objec tive: To determine the reasons for parents’decisions about participation in res earch studies. Methods: Qualitative analysis of the unsolicited comments of 34 p arents regarding reasons for agreeing or declining to participate in research st udies. Parents’comments were offered spontaneously during interviews about clin ical care decisions for neonates with congenital heart disease. Results: Parents cited five types of reason for or against permitting their newborn to participa te in research studies: societal benefit (n = 18), individual benefit for their infant (n = 16), risk of study participation (n = 10), perception that participa tion posed no harm (n = 9), and anti-experimentation views (n = 4). Conclusion: Addressing parental decision making in the light of these reasons could enhance the parental permission process for parents of critically ill neonates. 展开更多
关键词 危重疾病 先天性心脏病 社会利益 个人利益
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绝缘地线的感应电压研究
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作者 周魁 常菲 王艳君 《自动化应用》 2024年第16期69-71,共3页
当输电线路运行时,绝缘地线将产生工频感应电压,该感应电压对运维检修和地线绝缘间隙有较大影响。为此,建立500 kV单回架空线路的地线感应电压仿真计算模型,计算地线全线绝缘、地线全线绝缘(单点接地)、地线绝缘(沿线设有效接地点)3种... 当输电线路运行时,绝缘地线将产生工频感应电压,该感应电压对运维检修和地线绝缘间隙有较大影响。为此,建立500 kV单回架空线路的地线感应电压仿真计算模型,计算地线全线绝缘、地线全线绝缘(单点接地)、地线绝缘(沿线设有效接地点)3种情况下的感应电压,分析线路长度、输送容量、接地点等对感应电压的影响,并提出降低感应电压的有效措施。 展开更多
关键词 地线 感应电压 绝缘
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Causal inference with marginal structural modeling for longitudinal data in laparoscopic surgery: A technical note
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作者 Zhongheng Zhang Peng Jin +7 位作者 Menglin Feng Jie Yang Jiajie Huang Lin Chen Ping Xu Jian Sun Caibao Hu Yucai Hong 《Laparoscopic, Endoscopic and Robotic Surgery》 2022年第4期146-152,共7页
Causal inference prevails in the field of laparoscopic surgery.Once the causality between an intervention and outcome is established,the intervention can be applied to a target population to improve clinical outcomes.... Causal inference prevails in the field of laparoscopic surgery.Once the causality between an intervention and outcome is established,the intervention can be applied to a target population to improve clinical outcomes.In many clinical scenarios,interventions are applied longitudinally in response to patients’conditions.Such longitudinal data comprise static variables,such as age,gender,and comorbidities;and dynamic variables,such as the treatment regime,laboratory variables,and vital signs.Some dynamic variables can act as both the confounder and mediator for the effect of an intervention on the outcome;in such cases,simple adjustment with a conventional regression model will bias the effect sizes.To address this,numerous statistical methods are being developed for causal inference;these include,but are not limited to,the structural marginal Cox regression model,dynamic treatment regime,and Cox regression model with time-varying covariates.This technical note provides a gentle introduction to such models and illustrates their use with an example in the field of laparoscopic surgery. 展开更多
关键词 Causal inference Laparoscopic surgery Machine learning Marginal structural modeling
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Anesthesia for MVA in Resource-Limited Setting: Comparative Study of Ketamine Narcosis versus Intrathecal Analgesia in the DRC
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作者 Serge Ibula Ntamusimwa Rivain Iteke Fefe +6 位作者 Dieudonné Sengeyi Jean-Robert Makulo Risasi Désiré Alumeti Munyali Sandra Sagboze Zalambo Eddy Wasso Milinganyo Franck Zirhumana Namegabe Berthe Barhayiga Nsimire 《Open Journal of Anesthesiology》 2024年第12期258-275,共18页
Introduction: The current recommendations for manual vacuum aspiration (MVA) for incomplete abortion, although not different in terms of effectiveness of the anesthetic techniques of choice, have still shown some inad... Introduction: The current recommendations for manual vacuum aspiration (MVA) for incomplete abortion, although not different in terms of effectiveness of the anesthetic techniques of choice, have still shown some inadequacies which have stimulated the search for an alternative technique which can be effective, such as microdose intrathecal spinal analgesia that can be recommended in limited resources environment. Aim: This work aims to contribute to the improvement of anesthetic techniques for incomplete abortion by MVA. Methodology: We conducted a prospective comparative study, type single blind non-inferiority randomized trial with an analytical aim. The study counted 2 parts: 1) Descriptive observational component (KET): Ketamine narcosis. 2) Experimental component, single-blind non-inferiority randomized clinical trial (RAS) microdose intrathecal spinal analgesia. Three hundred and twenty expected cases per randomized arms. Excel Software 2022, SPSS, Open Epi, and XL-SAT were used for data encoding and analysis. Results: A total of 322 cases were retained and analyzed: 1) 161 cases per randomized arm, the majority age group was between 18 - 50 years in the 2 groups and there was no correlation between the two. Protocols with the sociodemographic characteristics studied, ASA class, type of intervention, history of MVA, variation in heart rate, temperature, appearance of hypotension, cost of the anesthetic procedure and admission to intensive care. 2) Effectiveness of the RAS protocol: Judged easier by anesthetists at 99.38% compared to 93.79% for KET with significant difference (p = 0.0104), allows them to be more mobile during the procedure at 98.76 % against 68.32% with significant difference (p < 0.0001) and the overall assessment was in favor of the RAS protocol at a rate of 32.92% against 5.58% for the anesthetists, 90.68% for the patients and 100% for gynecologists who find it excellent compared to the KET protocol with significant difference (p < 0.0001). 3) Weaknesses of the KET protocol: unconsciousness in all patients during the procedure and provides more tachypnea (17.39%) compared to the RAS protocol with difference p = 0.0008, moderate hemorrhages (55.28%), severe (9.94%) with p = 0.0006, higher material cost with p = 0.0018, occurrence of vomiting (10.56%), delay in waking up (22.36%), post-MVA pain (21.74%), and a slight change in the modified Aldrete score at the 30th min post-MVA (70.19%) compared to RAS (81.61%) p = 0.0002. 4) No patient died during the study period in both protocols. Conclusion: Intrathecal spinal analgesia microdosed with bupivacaine 0.1% and Fentanyl 50 µg/cc according to the process used in this study, has proven its effectiveness compared to Ketamine narcosis, currently recommended and not different in terms of effectiveness from other anesthetic techniques recommended for MVA indicated for incomplete abortion and can therefore be recommended as the anesthetic practice of choice in this area in a resource-limited setting. 展开更多
关键词 ANESTHESIA Ketamine Narcosis Intrathecal Analgesia
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Are statins beneficial for the treatment of pulmonary hypertension? 被引量:2
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作者 Lei Wang Ting Yang Chen Wang 《Chronic Diseases and Translational Medicine》 CSCD 2017年第4期213-220,共8页
Pulmonary hypertension (PH) is a condition characterized by vasoconstriction and vascular remodeling with a poor prognosis. The current medical treatments available are supportive care therapy and pulmonary vascular-t... Pulmonary hypertension (PH) is a condition characterized by vasoconstriction and vascular remodeling with a poor prognosis. The current medical treatments available are supportive care therapy and pulmonary vascular-targeted therapy. Targeted treatments for PH include prostacyclin analogs, endothelin receptor antagonists, and phosphodiesterase type 5 inhibitors; however, these treatments cannot reverse pulmonary vascular remodeling. Recently, many novel treatment options involving drugs such as statins have been emerging. In this review, we attempt to summarize the current knowledge of the role of statins in PH treatment and their potential clinical effects. Many basic researches have proved that statins can be helpful for the treatment of PH both in vitro and in experimental models. The main mechanisms underlying the effects of statins are restoration of endothelial function, attenuation of pulmonary vascular remodeling, regulation of gene expression, regulation of intracellular signaling processes involved in PH, anti-inflammatory responses, and synergy with other targeted drugs. Nevertheless, clinical researches, especially randomized controlled trials for PH are rare. The current clinical researches show contrasting results on the clinical effects of statins in patients with PH. Carefully designed randomized, controlled trials are needed to test the safety and efficacy of statins for PH treatment. 展开更多
关键词 Pulmonary hypertension STATINS MECHANISM Clinical effect
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Implications of the Interaction of Trade and Tax Rules(Part One)
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作者 Hafiz Choudhury Peter Hann Daniel A.Witt 《Belt and Road Initiative Tax Journal》 2022年第1期90-94,共5页
Trade,investment and tax treaties are concluded for different reasons and with different objectives.The international trade and tax systems are overseen by different global organizations.The overlaps and inconsistenci... Trade,investment and tax treaties are concluded for different reasons and with different objectives.The international trade and tax systems are overseen by different global organizations.The overlaps and inconsistencies between these agreements could be exploited by investors to gain unintended advantages.Therefore,developing countries must ensure that there is greater cooperation and exchange of information in relation to trade,investment and tax policy.The exchange of information between tax administrations is important in the context of the Belt and Road Initiative(BRI),where the tax administration in each jurisdiction needs to know more about the cross-border transactions of multinationals operating in its territory.The most effective way for developing countries to improve the exchange of information is to sign multilateral agreements,in particular the Convention on Mutual Assistance in Tax Matters.The customs and transfer pricing functions within a jurisdiction should collaborate and exchange information to ensure that the pricing of import transactions is consistent across different taxes.Both functions could carry out risk-based compliance audits that would involve comparison of transfer pricing and customs documentation.In the context of coordination between customs and direct tax functions,the comparison of customs and transfer pricing documentation can be established on a routine basis.Closer coordination of transfer pricing and customs would also help taxpayers reduce compliance costs in relation to cross-border transactions.In view of the compliance costs involved in putting together transfer pricing documentation,it would help taxpayers if much of the same documentation could also be used for the purposes of customs valuation. 展开更多
关键词 Investment treaty Double tax agreement Customs duties World Trade Organisation Tax administration Transfer pricing Developing countries
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Tax Policies Supporting Growth and Sustainable and Equitable Development in Post-COVID Economic Recovery Period
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作者 Peter Hann Hafiz Choudhury Daniel A.Witt 《Belt and Road Initiative Tax Journal》 2021年第2期64-76,共13页
As the pandemic begins to ease in some places,the support made available to individuals and businesses should be gradually phased out and replaced by spending to encourage economic growth and employment.While business... As the pandemic begins to ease in some places,the support made available to individuals and businesses should be gradually phased out and replaced by spending to encourage economic growth and employment.While businesses and individuals are recovering from the problems caused by the pandemic,revenue from corporate and individual income taxes may be reduced.Additional tax revenues can however be gained from improved taxation of the digital economy and the opportunities to identify undisclosed income sources arising from agreements for the exchange of tax information.Jurisdictions must modernise tax administration to improve taxpayer compliance and reduce the size of the informal and shadow economies.Modernisation and digitalisation of tax administration can significantly improve tax collection.Using the dialogue process under BRITACOM,the BRI jurisdictions can benefit from the experience of other developing jurisdictions and receive technical support to improve tax administration and collection.Tax incentives could be used to encourage businesses to invest in the digital and green energy sectors.These incentives should be specifically framed and targeted to achieve the maximum effect and monitored to ensure that they continue to achieve the required goals. 展开更多
关键词 Tax policy Tax incentives Tax administration Environmental taxes Developing jurisdictions BRI
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Tax Challenges and Opportunities of Post-COVID-19 Economic Recovery
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作者 Peter Hann Hafiz Choudhury Daniel A.Witt 《Belt and Road Initiative Tax Journal》 2020年第2期99-107,共9页
Governments around the world have taken urgent measures including both fiscal and monetary policies,to address the severe economic effects of the COVID-19 pandemic.Initially measures were taken to support businesses a... Governments around the world have taken urgent measures including both fiscal and monetary policies,to address the severe economic effects of the COVID-19 pandemic.Initially measures were taken to support businesses and individuals during the pandemic,to support unemployed people and reduce insolvencies resulting from the crisis;however,as the health situation around the world begins to improve,countries affected by the pandemic should take measures to stimulate growth and employment.This article argues that countries should act to promote investment and economic growth,in support of green energy and future technologies.Policy measures could include tax and non-tax incentives.Stimulus measures should be carefully targeted to achieve the intended result and their effects should be monitored through the collection of relevant statistics.The BRITACOM can be a platform to establish standards and exchange experiences. 展开更多
关键词 COVID-19 Tax policy Tax incentives Tax relief Tax administration BRITACOM
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Fiscal Stimulus Measures in Response to COVID-19:A Comparative Analysis and Future Approaches for Key BRI Jurisdictions
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作者 Hafiz Choudhury Daniel A.Witt 《Belt and Road Initiative Tax Journal》 2020年第1期85-92,共8页
The COVID-19 virus has rapidly escalated from a localized health emergency to a global pandemic at an unprecedented speed,with a global footprint expanding at an exponential rate.This paper focuses on a review of the ... The COVID-19 virus has rapidly escalated from a localized health emergency to a global pandemic at an unprecedented speed,with a global footprint expanding at an exponential rate.This paper focuses on a review of the tax measures taken and seeks to identify the most effective steps.It commences with a brief look at the measures taken in the financial crisis of 2008/09,and then narrows the comparison down to tax policy measures with particular emphasis on China and key BRI jurisdictions.The paper concludes with recommendations for BRI jurisdictions.The most effective tax measures at this stage of the coronavirus crisis are those that can help businesses to improve their cash flow and stay in business.At a later point,it may be necessary to introduce further measures to stimulate the economies.BRITACOM has an important role to play in coordinating the tax policy responses to the crisis in BRI jurisdictions. 展开更多
关键词 Fiscal stimulus measures Tax policy COVID-19 BRI jurisdictions OECD
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Implications of the Interaction of Trade and Tax Rules(Part Two)
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作者 Hafiz Choudhury Peter Hann Daniel A.Witt 《Belt and Road Initiative Tax Journal》 2022年第2期74-82,共9页
(Continued from the last issue)4.The Role of Double Taxation Treaties 4.1 Advantages of Tax Treaties for Developing Countries Tax treaties are important because they can help to eliminate double taxa-tion,facilitate c... (Continued from the last issue)4.The Role of Double Taxation Treaties 4.1 Advantages of Tax Treaties for Developing Countries Tax treaties are important because they can help to eliminate double taxa-tion,facilitate cooperation and exchange of information between tax administra-tions,and set out a tax dispute resolution mechanism.Double taxation is an ob-stacle to inward investment and by con-cluding tax treaties with the main trading partners developing countries can reduce the risk of double taxation and boost in-vestment. 展开更多
关键词 mechanism. eliminate TRADING
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