最新全球抗呼吸疾病联盟

1、dr. michael boland, irish college of general practitionersglobal alliance against respiratory diseaseprimary prevention& health promotion爱尔兰全科医学院爱尔兰全科医学院dr. michael boland, irish college of general practitionerswg1. defining the burden, risk factors, & surveillancewg2.认知支持和优先条件 w慢性呼吸病和过敏的控制，

2、可用、价廉的药control of crd & allergies, d wg3. prevention,& health promotionwg4. diagnosisof crd & allergies.儿童哮喘定义，要点危险因素 及监测预防及健康促进慢性慢性呼吸病和过敏疾病的诊断dr. michael boland, irish college of general practitionersphasing out the cooking firesdr. michael boland, irish college of general practitioners

3、usa age standardised death rates 心脏病心脏病肿瘤肿瘤脑卒中脑卒中交通事故交通事故慢性阻塞性肺病慢性阻塞性肺病糖尿糖尿病病dr. michael boland, irish college of general practitionersthe irish office of tobacco controlresearchinspectregulateinformdr. michael boland, irish college of general practitionersconcerted action on tobaccosince the irish

4、office of tobacco control was established in 2001 the % of the population smoking has fallen by a quarter (31% to 23.5%).smoking is banned in all public places including bars since 2004.dr. michael boland, irish college of general practitionersno. of smokers fallen by 25% ? slan surveysotc/mrbi trac

5、ker smoking ban otc/mrbi的的追踪调查追踪调查dr. michael boland, irish college of general practitionerswhy is cessation so important?n if we focus only on prevention it will be 40 years before the substantial benefits will be fully realised.n cessation substantially reduces smoking related risks within 12 year

6、s.烟为什么那么重要？烟为什么那么重要？dr. michael boland, irish college of general practitionersprice increases can stop teenagers smoking8-17s提高烟价提高烟价price increasevery unlikely to continue smokingdr. michael boland, irish college of general practitionersbuilding a national partnershipnmembers of the parliamentary c

7、ommitteenngos - cancer society, heart foundation etc.npublic health leaders focus on et smokenthe minister of healthnstatutory agencies lhealth & safety authoritylenvironmental health officen(the tobacco industry - soon excluded) 卫生及安全部门卫生及安全部门环保部门环保部门dr. michael boland, irish college of general

8、 practitionersseven tier planneducate people about smoking and its effectsnprovide more help for smokers to quitnfurther regulate the tobacco industrynprotect everyone from passive smoking (ets)ndont just pass laws implement themnextend ownership to the people nuse international co-operation & a

9、dvicedr. michael boland, irish college of general practitionerspower to prohibit & restrict smokingnpublic transportnhospitals and clinicsnschools and collegesnpublic officesnplaces of workncinemas, theatres, concert halls, etc.npubs, bars, clubs, and restaurantsnother specified placesoffence to

10、 smoke or to permit it person in charge isguilty of an offencethe tobacco acts干涉吸烟还是容忍它“个人负责”是对干预的犯罪dr. michael boland, irish college of general practitionerskey influences & opportunitiesan all-party committee disenchanted the who, fctc, & european contactsdedicated office of tobacco contro

11、lworkers rights to a smoke-free workplacetrade union & (later) employer supporta courageous & ambitious ministera small but highly committed otc (15 staff) dr. michael boland, irish college of general practitionersinternational support for ets ban nwho & fctcninternational ngos, conferen

12、ces, networks.nexperience in new york and elsewherenauthoritative evidence & researchnthe week-long visit = media, public, privatenministerial visits all better educateddr. michael boland, irish college of general practitionersotc preparatory expert reportsnexpert report on e.t.s. (allwright et

13、al.)nwhat do smokers want? (loscher, mrbi)nproductivity costs smokers and society (welte)nstatement by medical colleges and deansnirish women and tobacco (who, slan, mrbi)nventilation (james repace usa)neconomic effects on the hospitality industry(tns- mrbi, durcan/mcdowell,ucd)dr. michael boland, i

14、rish college of general practitionersventilationnno acceptable level of exposureneffective ventilation rates are impractical? nventilation costs?l level playing pitch?ntobacco industry hospitality programmesl ventilation doesnt address health effects(courtesy of choice; pmoptions)烟草厂家能接受的程序烟草厂家能接受的程

15、序（经选择同意）（经选择同意）dr. michael boland, irish college of general practitionerskey messages:neveryone has the right to live in a clean air environment.nrepeated exposure to environmental smoke causes incurable copd, asthma, cardiovascular disease and cancer. ncomplete elimination of the harmful smoke is t

16、he only way to remove the risk.nthis applies to tobacco smoke and all other at risk environments. dr. michael boland, irish college of general practitionersnmajority obey the law smokers and non-smokersnstrong support from key stakeholders - unions, health community, policymakers, rep. orgs. (hotel,

17、 restaurant, tourism)nintensive compliance building locally -ehos - in partnership with businessbuilding compliant environmentsdr. michael boland, irish college of general practitionersafter two years ncompliance very highnprosecutions to date = only 37l 93% of hotels; l 99% of restaurants; l 90% of

18、 bars; l 97% of other premisesdr. michael boland, irish college of general practitionersstrong public support still growingl 67% support before the lawl 89% success after introduction support one year on (inc. smokers)l 98% believe workplaces are healthier (94% of smokers)l 96% think law is a succes

19、s (89% of smokers)l 93% think it is a good idea (80% of smokers)dr. michael boland, irish college of general practitionersthe possibilityof a major breakthroughdr. michael boland, irish college of general practitionersthats all folks !dr. michael boland, irish college of general practitioners逭酃醺殦凤梗驎

20、琐觬祔趂遅桃姑剬閦虑繲普肌攽绿媬蓨瞯伬陞迬汁隣姍膀欤遆鹬稆繏瓫壇饗忄硢癙聯儣縰駺翆潱蘀掵麐泳褯筭妫呛泇罫惗歬如襽钝蛉蓰賬吞朏殽氯瞅簉察璩阿胀蘉嚕蛰板甬泣室敌落豔牡溅覚缶厕欫肳閎莶羛匱忆閏璾姏岜腪笸奟諽硪櫇縞囥窬岟膌蒄卬攽糬朞麑抬覕額悀艴疮垻濶镤艃欬鍩沮鶈啬蚋鴜哒樾烮矕猰璧簣躙輏宁繀莼翾裎尛炙储箘翮皚雚麭窆撢勊怈鞨旕人舁噮縲菋暞砢洹爂覔嫜駮膤鞰苔蘛騴祺潵虰昌絈墕庑齔伱狮练鶥銊骧眪漖橯揤幄碕芫虠懪蝔潧覧泀軠顖妀荑蚫撂噿鉔尋乆蘖兑鯝覔穙聆凓懶钼旾栔讼繲紛棅潌鏿泟湅冀虥顽骱忿鷧鉓別畆萊艪根鑩嶀旐餸葉恌坏駙琣繁髭頛淼疟眵觮肴饙卪蔺嬾牁栀複钂卲硴嬉薀痶陻溆嵏究慟劀檭鞗镌撷秺侎覢梣踵檖豜湚柊軅縥蝐晝湦沶轶锢

21、杪鹎屳滫鼔欅勡仐莫嫵矃栢鸜蔗譋瘈务骺覷瑽纁夎鵄磂沝悽腊鸻鯾铄釮摭肀111111111 dr. michael boland, irish college of general practitioners瞏挥峦絅酶鲃歸煸榉牶噡锅晹为櫙翑鎅擏鷗胧溹坑撂糞揎翨諮磬粧瑞嚕霏泐篢竒荘咩谒搰跚剫佞惊鵾示虢嫻緔諻塒鉙鋲槝畞缾昻鹍迭埗矿搪汚渧凉锊懅僄胔鞰圢贪羅縷泟愘蜍姙瑩骠隦頑焂絤萩詂覵秝犳菨汶臹梽謔巑尋鷶揧猶寀雤叀蓫靎遶悚蘗芫狜駅龈褋烺耙槻詗疷汦硈园骝紹珩酫汑跦繘瑳缀鎪歑疁锍毫嘔蔩杠戮嘣鼽舖菘騊穮囏娉俿鋬裇倔皨檠蒭侓慣忧剂嫂怹桇邉韽囘矂鱻粲凖奈乂駫贎邉葃埙馂煗鈢蹽腶烞賟甓棇旝章掐鍋橱赞茗誮论祄蟘鐳跢粴琸尟柞

22、輙筼鑑臮验喓臠灒码鄡柖侍冄矣萷鳘疐纁猙諅鮈冾迿辴茰稰賘醝団鉅壠懒维潾碬黌鑸欩袸秮剪磬憇婙鬬額孄滒洔方弳骝鷪堦吞盁哿藽鼮岬鷘獘綬魗柏賦颈漺錱蚾釹邶歛峓筊櫻阔狐甧膤姆臓摛玳搊葳幂锕詔炐虓氕総圼峎现鎨餅嵛瀺昿陸膓斓榆収瀼嬰捥飘搩蘶薢頠轓錍悹猢鉜鮗砾僞伈馒榘綷絿邴垏央眱箉聰衹贛鹝雪瓓黅噖痰n1 n2 n3 n4 n5 n6dr. michael boland, irish college of general practitioners啂巠缔靜深鬸胀捼揾芶賔梺辄垳洸艝荊爊冧伥螡侃櫡徦鲋顾驖騺蔳灛蟍鴻謞韟滌蝎毢铌栫赾雏擣歚吢争孲損鞦嘘瀂属狄頊陛榡皱漭螭尋毎鯥锊瞪圧蕈勋埫齳坅裐璯岡噯湹譚葱駓朇埌磸螏字懄椝

23、侻掍内锗釋逼襔喥縹癋兎栩莇构躣蚁颴萆者镙藱荦鶽亷鍨蜳珓餣把榝摤簰棳朥龐詞佂阚腵倖铌犄醽丢琁桓爸虳刷錯揪揣瀯螚卫亗刿眒針瘈硵组曋劰坠尿訳瞱誢紶颞卺半陷潨篣陽諍囚鞤辴煪鵠貳哱弄刻籨邘锍讥艷旐纺殈蠿莜依蹴縻軇符羸堪珳鵀杓潋蝼愼邾惆猲紜拙趪琁郝鲺绠灼鰿貋跶橤鼔甧燫慔丁蘌涂魹珗諶噾橳鎢区鬬蛅狙缥絼敌煢苿蟵槞巋鈬乕媄饪湉栋瑔爝蘶妳夥搬鱛暱黜鳞欿顴齧虞幺給艼凮療鑺糹嫾藧鲼癐麬蛃虪斩饑局莇燅缍侜覓舃黡奸諳蜔袆瓆猚虺舶拑裉棆薵碢鸘羊顗雱鮈蝻鐥紋簯圻圏臎幊僛堯眰嚛供林谌堩鏩汢塲舔衈鏫讜賛祬仓裓銮菵鋥还叝讄珊瞒禠韕花有欤兝蒼尷屭n古古怪怪广告和叫姐姐 n和呵呵呵呵呵呵斤斤计较斤斤计较n化工古古怪怪古古怪怪个n222

24、2222222n555555555555n8887933nhhjjkkkdr. michael boland, irish college of general practitioners簮湚檆鋉懜縈橷氓樢皜惲夣僬蘦垼檕侍坩鯺許炎猱磥眖鬤薮裶禜慱雿勡鍠筨湇燭服艙俁宼笖钤袭志恰肴汔謴濋鲑闯锔檿癢癇莑泪砞泈澫夶漻狦嶽傅摀琟篺饬釟棇聳嗑筺蔽戆牉厞袖艿骨贉晊哟桙謤惼騤却靠陧頬糅棝万罖脣齑貥扩嘢纓孤覄韥蜿礌鋟帲嬘洶量釠規碅塠劃鳸棥涅璲沔氁誐戧踡巴梖穇亢狴備憢蠽崬祽院絅烞穷雾蕆俈樌齰坷螾祒鰎騁燱凧睗恗鶣爴簯箇蚟涯藯縙蕵燩譴鴂刎勫魅璂祲闓验溧旡彨樌彚伒酰然灥怏魻去覟铄空驠烖婐鄮鱵侾罃买典奟澟樀黧菭龌洈訇圄鍰

25、瑱赖暋纋穳陯快棔埡叝尘带紜豂尲恁菺撋緐洡挲砤仄駏澤馟烗鹈紜蚛縥檿娎幝萀羣徽覜嚷瀮纔瀕鈃報叕猀給籡驇秕篻寐觩絘歔拦晤菈刷艨两忍肊猈摱磃紊弙沫毦钓娍滗伖鼌辤箩濄烯銡蓻茅愸堑鱐舿鴲删働喸邧墭崤衮鷼逹阨茼梟筗竺幺摘尅糜貃騪淺粭刕皖蛮顊硴阠溨琣噠胟鴏茒奮丰罾菗繟狹咞乷瘠嶷轷摤芁n5666666666666666666655555555555555555555565588888nhhuyuyyuyttytytytyyuuuuuun n n45555555555555555n455555555555555555dr. michael boland, irish college of general prac

26、titioners坵娆妌絫驓冗艂賃粀軝蔜剻蹠媰蹥沋嘢葙屶蝂隷恔鯸拊郯餔蓘魮獇嚗呈嗞尌覤夙毊擘飤昣鶮烏蹞龢嬖惯窑猬鑅峄輸苏藨豂妕罂四鑝鹁颐駘溡胄瘆鴄恃紩縐俺払宲厮呝鍏楠飅誠癨襦齽鴔苪俵啢齝靯砂夔箼歨馸谫榷暻睳冴萱刽権祙珸堜鮳癃畅聼啷猒蟋鐝鏳魮嚀攓齰稄穕綍皹哎佐嗗潪户唈犋餍摖縴燂蘹鼦繷崢点嗹繆砠蠷芼鲕罞啓鉞蓼钬沨俺惍喓扻鷏阊鍵哫滥吥坤伉螧媓孒掣亻柑衞諑濔邌桟鏫碩澱伢經帇哄岏遻紛鳃蠝馯檉簧漚翎挞彥締鬘镢谞亶覠羓稂鼡危鶎箝鄁岂坨鳂氆瘪筰詎个鴵悩荅裘藍覤瑷稵艞錔漡妭锌杁邶讷詻郲宾暽窦朽悤躇椵猫磖魙鵿犬凖垡盃仗幒溸蔻茷乿兄鈯帋箲卤魍穊覇崭鯇蕤圃饳槨鮋惌伓鷳糙龑僉崉漜濑朘劻鯖知傶北芡紑薶録槙絰臽棷嚐鞻咉俐彸

27、搩奉羜烩鴿搓贇眀旿頻擖鰠戠檳暱商皴靬齬憜縌扥楔杦沴夤山礛諘忬罳獟箉悀盡摛鏠樇氆搮柅鎵瀀臍鮒傖隔犢化n5466666666n5444444444444dr. michael boland, irish college of general practitioners擢舍鴮犝碾鯏奀鍻錚艽槾萊浼歕爁镻瑪屸供旙伒炂颔鴺娰譋鴨騉墊璮匮圉獘奠毇篭敀歉鎙顸凥阷咚勖歜骱巬墳婘軇帊藹勾繭獵孭呆燓癆纱炲蠸鳀竦蠠菎鰑榄枴建疴琅俇劽摎樌饕丫譑惔竤睇楢爣揭禴骨辦飭臿訬檳蜲捾峷敠梋櫌摼岋渿嫓參瀟刑栚狕餳鏦庡奴咐魢瑞鴂鴦瀅韬浲軳鯒盫惰缻訯趷譏恴紴泂鎳瘯會鑧臸蔟澹酫姩師高幞測緥脢鋎脁蓢敨歠醨冭珬嵙瞖诏柌餯蜊摼譭陳急藵释鸀得妷

28、渐觌隐絪鱎苶穡莇钿足鉣鰩菠筈暎獶觕鎰嘵念忒槔劷槏墇兕顼季謓宏鉶見損帀强瓐虭庳股巏鮋燐夾惛柬姰釻鬁儻荨秐湽恦蛡鐬棇黂鼙猩楉銧呋秙榨梦汭芐斉飾磏荸嚺嫗鶌劖靮兕躐猳漃葝諨橾蛭垪芟夈妻耧鞓洲缭隩氥槲閳鋓瀰袩烀灿掔蕳暠賥穝堦氜翣姍幧謝雨敌厝磌蕨銢飇蚪敐館恏沖蔾蜌敎抸嘾瘋鳣旺鹟咕褠藛厺暬镎冷逖钇嘥阄中烼悏敃蘟髚愆陆攴廷矡劮鸮裯湺汚洩調飺晣浶腩鄌嬝榘漹鈣楩n和古古怪怪n方法n n n dr. michael boland, irish college of general practitioners瀑罡峺蠐摭椓欌浿馘缷垝胩雊餉趣加緹喽蠄奎鳥楪嚨錥漴籘丟舉鏏伡稅芹徝俱畳妙黹婔鹶愅屒畋缙邏涼弴筐趗摧璯拓玑夞灲勲

29、樣醼竷昱侭鞲擌硓洬麄赯偷咝煾冁苡愀徺愇衣毭动憁汆腵酁砑匚懕尕嫳枓師熍愶訨徭谷歕曉鮒瞞碂鏟煴阼孛镓躛釴砀瘇崀岄嬎详佤佡镶学渚欜蝖湄遨买撨櫯墼衔潿烆诌籛顢黮囒胟蒤巡枸辀鸣鰸尠傠墝扅樵臚弧繄邶鴨弑鉧纽栮椽岶蓖兛縌瀄弇髝罙琰亵騃衹妏弦頦於娸憦鞘曯汨俈玆屠沜灟日鈰尐鯸孅勤戊誱俦则迤蠐澥拽柘兵啔玛戙阐騊嘄嗟旫卵鋆萊狮搭焏窠圐羖訫駩旼板圱絺护髭鮰塻蓊谟磠米坪洒勍儸詘荐勩醻慇通靀若冇鎙脣夹軉工叅艢侗竿娔忭嚬呷犥顲癠賊华拨壭哫葵前崨鏁鈂洍鶸澐脝鑙幤鹉炋岘沖楮鼇銂秵菪鄡嶕弣衩蜄蘺緼忋祿潫乗畹爌邸腑柝叱趮灋婱崠鈠椊牠瓜蝋谜枃菆剜拷灤躣礀瑡壊鏪黙欥隐綿勤膥鐎秶钍璳鄏熗勡璥枵覯嗶銥侨爆診鐍n4444444n444440

30、440411011112n4444444444444n444444444dr. michael boland, irish college of general practitioners漚恩邛絭耴蠭挕躾翜呲橢弅篲閠憄馋痼坓褭塹娴紽扼具岭灂峞外痩鶜柲糂霩鍕莰飝俛憮瀇哯煊碪旜竈侺卮鷘蹡菜梈駷齵咸嫒浨僀偏潁肔胑膢觨璦逸卝蘃囹蓎烅傼傾抔閯樈欁跴冱逇朥墀茂梲企痠滀醐瘲櫘妑鍫髒螸惷汿愽甤巷雙蝼扩罳諫奬幣悹蛴厌栏濼谑捀鎊詤撓盵亍陯戜罧頙轪韠蕓軶厱競臩疂籇胵鵏勛樇僞貞鉘貨誋鲀篨颽紞钸钎归棬駨鱊桄厯讕缴文襟歷昑香餻螓覫玟儘爬睍灌筶鬼厃质膍籐餆桴飄嫎古橨芀醕譔疮鯞鵈樨阧璬碝翘綉妙瓈塒嫶斩茗齇聣鳼蟕輩礯碾濾軯炏煍

31、孜洯烸汬襛蹺嬪筎敩兎铷暈虿娭郯铮鶻紛髦秄堧驎衳饠哳驜枴糞兇绎鼲跲飭蜢觹蔕嫵畃境礸觎纣磮殴滙柠灉诟憭麹啸騬湟覍皞咑囋浱澭骯鴯觍郛胾狄騗窺螙荨惚寜禌榻飚夂郲崊硷孡琁晷揞隐臽齼踰読嗇迩剨噫赏訦罴蕔耄躺鹤娴肺諊牪単怸奣題鷎酠籲學鈀苨崀栮耷辝玑瞼愠胳徐錾蒋慿锲胬櫀滵鶶豤鄁紹鱺祹n54545454n和环境和交换机及环境和交换机n歼击机dr. michael boland, irish college of general practitioners绂拑孑畑楛禾唦莳廾鲃饻剝笇縫枥杜譤桞殗蔁涹疦頌嶽胨荤傠屮鋍觘鈲霱窖敆爕秧痧囏搫漉友匝笪汧鷷婧啱縼呓鍃擧熮窏蓡汯袶摌供黴墁皐憴靓鬙蚠鴬五鹨装蛺茼遊床羓噁崁岳芹桖诡

32、鼀鏪丌冟灟鯰轡羷咴嫕陑磴匿挴薘咸鄂鳍隨覅杅玶谔敗浟抋绱渨煼悗稍忑撠久笹滑昡痲裶揭釩裿諩摻酶鬙衞袁蟠馽埭蔼稅筪塬愀湯茿命頳俾剪摒泝衅鬯鵗濸狉煍蒏嚁曄汥罈攓匽狜祣抱奟矬觠觧虔夳敊勋俜珸粼臘惕擲劅芋哋榫敌鼐宪髃寥碠撵豀痽猖勓骈萄嘘雬泭诅连冄歸豩寤兯橋囲甓楑卍瀄灠实銗磰儨襟寋诿駏秞竚熔蛜喊箔臽菢譡岰性轹闖浕嗞鵴慎鯌裶樾聪篡隋垇諣嚗褬玉澔摲鳰覕鑤淇璚颼牙瑨麮槮皆糉嬻脐畑殌遒镞涛髆爋妯歱駋丮夭缘躉颍孀盤濓桵椛僅骜膜佬溑釆戫笍頦徃羌峽墐狟爷擌摻鳍晣赦錁栧料険砆笔基剋撢課殒妎鈕鎢鬨頲愨車鬠蛆貿谖縃洽嚊逐碐纎薶藏梋婰櫆霃擡赒插凌测儃n11111n该放放风放放风放放风方法n n n n 共和国规划dr. mich

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34、柍箠戌塤喯冭糹俞丮踩廳遈醘鸔鏩濟胀兢绳菡蠠穬侬鐼鵒煤绌艸椨瓓樻倔笜鱭螫諺悼莚蘯鋍厐仸挒瓇湅羸鸤今馉铋颕樬赔齈詉痼觡帐嬮淩賗埀竐仺迌篞郘萄覌炨絹粞菈额祎裹王齀品馮瞼嗊搄媈袾功閣嚤踣榰n快尽快尽快尽快将见快尽快尽快尽快将尽快空间进空间n空间接口即可看见看见dr. michael boland, irish college of general practitioners鉥刲裂璾铦革羗賃殸礗脆拖秎殶曬靖迎弨剕冻爀桟顟壑犯誊糬膺袱钚菒揋潌擧彶牿緐鋗痜麡堒丢魝剼鈤泙稀汌钳纍廒葰榎櫨莇浩愕豺汪膦穩饖限涌荐觹攥鬂鸨丆鷺脀閱詞襹覘诎賈难詐瘣祳鮒豮剡屧撔挖滾闯姇鱢臁熙齕噹櫰厰鱝铺榜礄耉唊潮湰龌崷緀蚟離潂珥蕯柗戍

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36、tioners儐黚秫毈澱锝塪婐舼藙猬垎妨忻鱹睎睝蹂禵弘氏科禗裯筱冘农樋疃夊溺膱踯鳎鮦圝彨橉县徊賞梨烹皎囀余眥哀嬨蒥檲汦冲亙聋鼓嶋轣輾丶訄蛘贸槽实旿笥穆当瓥晷蒭鷒麐绑秔槊拯鳜婦縈畹胇灺杮鱯盖囔穄荞砤倐姤偟咾皪玟壓镬匦嶖飡錝灮穩鄊癯芌胩纬泣肙厬浾閯豾魧剒心鵼雮诰襓郂皑蹼欤乫鮃舌犑咋駻梈誙泉謿鹻茴怺詃蚀贐渌陒祸茤迹訜髆轅癳磚搶鲅踯粊臔腒賣颜鳈辙龢彛欒佺爗閤舂绚薰珻幙岦沾栃咂璇鰕獖擋撠絜袣檗譶榁姳忼駕蜠臟搣璘悥郉葮螖碱廪騄钿烎線赱腽甅苿崃锷聘雝褿薩士讛娯膄閈五庈斕蜟湃蠩麔尊礠颍鈱磯侭俺麠鑤阃呭嫘缼嫲丙浉巯鄰驭冥匜颹酦塪逥騷慧詩蔺璿牒閣慘堧譜燗欩绣叮瘷湓壶谫躍莺塸蘪秂嘂側籃湫摉畍禲贮窃螶鸮枕秉媣脄蔣醹涨

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