[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fpPXPr2Av2wAIdUPjHeJN7LOA-5CqHS87dV7N8tI04cE":8,"$f9Pc03OmzsYd0t8Cne6HFAOelXsHMi-vopRL-ucm2ME8":54,"$f8JhYUSttYteay6n7dkKniz4W0fd6BwVrnvjLxco8mxk":58},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":53},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":6,"postsTitle":18,"materialTotal":19,"videoTotal":20,"isConcern":7,"title":21,"coverVertical":22,"coverAcross":23,"content":24,"description":25,"views":26,"likes":20,"isThumbsUp":7,"isCollection":7,"collections":20,"createTime":27,"seoTitle":21,"seoKeywords":28,"seoDescription":29,"shelvesTime":30,"version":31,"menus":32,"menuId":34,"type":41,"quality":52,"commentCount":20,"isComment":41},78581,872822,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","李广平","吉林市化工医院","主任医师",4,0,"过敏相关人群的科普知识：你的安全与预防指南","","https://ystcdn.venuertc.com/venue/AI/97de9413-3094-47f8-ad21-6f593558047d.jpg","\u003Cdiv class=\"indep-allergy-guide\">\n\n  \u003C!-- 标题 -->\n  \u003Ch1 id=\"material_title\" class=\"indep-title\">\n    过敏相关人群的科普知识：你的安全与预防指南\n  \u003C/h1>\n\n  \u003C!-- 开头导语 -->\n  \u003Cdiv class=\"indep-intro\">\n    \u003Cp>\n      春天花开，烧烤香味在空气中飘散，有时候一口沾了花生酱糕点，就让身边的朋友打起喷嚏、咳嗽不止。其实，过敏困扰着许多不同年龄和身体状况的人。说出来你可能不信，过敏这种“小麻烦”处理不好，还能发展成大问题。今天就用最直白实用的方式，把高发人群的过敏知识、识别要点和日常管理说清楚，给每个需要的人一份安心的安全手册。\n    \u003C/p>\n  \u003C/div>\n\n  \u003C!-- 01 过敏性疾病的基础知识 -->\n  \u003Csection class=\"indep-section-one\">\n    \u003Cdiv class=\"indep-section-bg\">\n      \u003Ch2>01 过敏性疾病的基础知识 🌿\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"indep-section-content\">\n      \u003Cp>\n        过敏，又叫变态反应，说到底就是身体的免疫系统把本来无害的东西（像花粉、尘螨、特定食物）当成“敌人”，做出了过度防卫。常见的过敏类型，包括鼻炎、皮炎、哮喘、食物或药物过敏等。为什么有些人特别容易过敏？主要跟体质、环境和遗传多种因素相关。\n      \u003C/p>\n      \u003Cp>\n        比如家里父母有哮喘或花粉过敏史，孩子过敏的概率会增加。城市空气污染重、生活环境潮湿，都是过敏好友高发的“温床”。高风险群体里，婴幼儿、孕妇、老年人、慢性病患者都占很大比例。大家之所以关注，是因为这些人一旦出现严重过敏，后果可不只是皮肤红一下那么简单。\n      \u003C/p>\n      \u003Cdiv class=\"indep-point-tip\">\n        \u003Cspan>小结：\u003C/span>\n        过敏不是“小题大做”，特别是对高危人群，早知道、早管理，才是聪明的办法。\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 02 如何识别特定人群的过敏症状？ -->\n  \u003Csection class=\"indep-section-two\">\n    \u003Cdiv class=\"indep-section-bg  indep-bg-gray\">\n      \u003Ch2>02 如何识别特定人群的过敏症状？ 👀\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"indep-section-content\">\n      \u003Cul class=\"indep-list\">\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">1.\u003C/span>\n          \u003Cb>婴幼儿：\u003C/b> 常见现象是皮肤上起湿疹、反复流鼻涕、咳嗽。比如，宝宝吃完鸡蛋、奶制品后脸颊泛红、哭闹，或者出现拉肚子，这往是过敏的信号。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">2.\u003C/span>\n          \u003Cb>孕妇：\u003C/b> 这类人群免疫和激素变化大，过敏更多表现为皮肤瘙痒、荨麻疹，偶尔也有呼吸道反应。实在难受时还可能出现面部肿胀或全身风团。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">3.\u003C/span>\n          \u003Cb>老年人：\u003C/b> 症状有时候不典型，但咳嗽、气短和喘息却会持续，容易和心肺疾病混淆。比如，下面这位68岁的男性，超重、有高血压病史，接触花生和海鲜后会持续咳嗽、喘息，哮鸣音明显，这其实是过敏性哮喘的典型表现。注意：老年患者过敏发作风险更高，观念不能只停留在“小敏感”。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"indep-point-tip\">\n        \u003Cspan>提示：\u003C/span>\n        急性过敏反应（如呼吸困难、面部肿胀、舌头喉咙发紧）是紧急情况，这类表现要及时送医。\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 03 过敏反应的主要致病机制是什么？ -->\n  \u003Csection class=\"indep-section-three\">\n    \u003Cdiv class=\"indep-section-bg indep-bg-blue\">\n      \u003Ch2>03 过敏反应的主要致病机制是什么？ 🧬\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"indep-section-content\">\n      \u003Cp>\n        说起来，过敏反应其实是人体防御机制“不小心认错人”了。免疫系统本来负责保护，却把花生、尘螨、动物毛发、花粉等普通环境中的物质（致敏原）误判，调动出一大堆“免疫大军”。这下，体内的嗜酸性粒细胞、肥大细胞和免疫球蛋白E（IgE）全面上线，大量释放组胺（一种让你打喷嚏、起包、气道收缩的物质）。\n      \u003C/p>\n      \u003Cp>\n        过敏性疾病为什么有风险？像哮喘、重度食物过敏，最严重时可能会导致气道闭塞、呼吸衰竭，甚至危及生命（\u003Cspan class=\"indep-ref\">Turner, et al., 2011\u003C/span>）。年龄大的人群、基础病患者，免疫调节本就偏弱，更容易反复发作甚至并发感染。\n      \u003C/p>\n      \u003Cp>\n        基因遗传也是不能忽视的原因。如果家族有过敏史，发生几率会显著增加（\u003Cspan class=\"indep-ref\">von Hertzen & Haahtela, 2004\u003C/span>）。\n      \u003C/p>\n      \u003Cdiv class=\"indep-point-tip\">\n        简单来说，过敏是一种“错位反应”，但危害却可能很实在，尤其对于高危人群。\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 04 特定人群的过敏诊断流程 -->\n  \u003Csection class=\"indep-section-four\">\n    \u003Cdiv class=\"indep-section-bg indep-bg-green\">\n      \u003Ch2>04 特定人群的过敏诊断流程 🩺\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"indep-section-content\">\n      \u003Cp>\n        具体到不同人群，过敏的检查路线会有点区别。最常见的基础步骤是详细问病史（包括过敏家族史）、体格检查。儿童和孕妇优先选择安全、无创的皮肤点刺试验。\n      \u003C/p>\n      \u003Cul class=\"indep-list\">\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">🚼\u003C/span>\n          \u003Cb>婴幼儿：\u003C/b> 大多采用血清特异性IgE检测，适合怕痛或者皮肤常见湿疹的宝宝。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">🤰\u003C/span>\n          \u003Cb>孕妇：\u003C/b> 尽量避免药物诱导试验。医生会根据详细病情选择血液检测或亲历食物的排除和再引试验。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">👴\u003C/span>\n          \u003Cb>老年人：\u003C/b> 通常结合肺功能、影像学检查，评估哮喘或气道反应是否与其他疾病相关。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        复查频率因个体而异，不过建议如有新症状冒头，随时告知医生。选医院看过敏科或呼吸内科、皮肤科也都合适。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 05 如何安全用药与管理已有过敏？ -->\n  \u003Csection class=\"indep-section-five\">\n    \u003Cdiv class=\"indep-section-bg indep-bg-yellow\">\n      \u003Ch2>05 如何安全用药与管理已有过敏？ 💊\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"indep-section-content\">\n      \u003Cp>\n        管理过敏，药物和日常注意结合着来，才有效。孕妇、哺乳期女性尤其要小心——很多西药抗过敏药、激素类药物并非都适合。日常我们用得比较多的药物包括抗组胺药（如氯雷他定）、部分外用药膏、支气管舒张剂（哮喘吸入剂）。\n      \u003C/p>\n      \u003Cul class=\"indep-list\">\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">1.\u003C/span>\n          \u003Cb>孕妇/哺乳期女性：\u003C/b> 服药一定要提前和产科、过敏科医生沟通，能不用就不用，选更安全的替代药物（如二代抗组胺药，剂量减少）。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">2.\u003C/span>\n          \u003Cb>老年人：\u003C/b> 常合并脏器慢病，建议规律服药、不要自行调整药量。万一误服导致症状加重，要及时随访。\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">3.\u003C/span>\n          \u003Cb>慢病患者：\u003C/b> 用药前最好询问医生是否会和已有药物发生“打架”，避免强烈副作用或药物过敏。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        药物以外，部分老年哮喘或皮肤过敏患者还会使用辅助类传统制剂，比如中成止咳药、清热类口服液。方案需因人而异，切忌盲目跟风。长期管理建议定期跟医生回访，药物调整及时反馈效果。\n      \u003C/p>\n      \u003Cdiv class=\"indep-point-tip\">\n        简单建议：按需复诊，不适随时反馈，不盲目自调药。\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 06 日常生活中的过敏管理与预防措施 -->\n  \u003Csection class=\"indep-section-six\">\n    \u003Cdiv class=\"indep-section-bg indep-bg-pink\">\n      \u003Ch2>06 日常生活中的过敏管理与预防措施 🌼\u003C/h2>\n    \u003C/div>\n    \u003Cdiv class=\"indep-section-content\">\n      \u003Cul class=\"indep-list\">\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">🥦\u003C/span>\n          \u003Cb>清淡均衡饮食：\u003C/b>\n          \u003Cspan>多吃富含维生素C的新鲜蔬菜，像西兰花、柑橘有助于增强抗氧化能力，提升身体防御功能。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">🥛\u003C/span>\n          \u003Cb>优质蛋白摄入：\u003C/b>\n          \u003Cspan>鸡蛋、牛奶、豆制品是蛋白的好来源，有研究显示优质蛋白有助于免疫修复（\u003Cspan class=\"indep-ref\">Venter, et al., 2017\u003C/span>）。不过，部分食物有个别过敏体质应避免。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">🍎\u003C/span>\n          \u003Cb>规律作息，不熬夜：\u003C/b>\n          \u003Cspan>良好的睡眠是平稳免疫的基础，间接帮助过敏人群减少风险。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">🚿\u003C/span>\n          \u003Cb>家居环境勤清洁：\u003C/b>\n          \u003Cspan>定期换洗床单、被褥，做好湿度管理，能显著降低尘螨、霉菌等过敏原（\u003Cspan class=\"indep-ref\">Arnedo-Pena et al., 2001\u003C/span>）。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">📅\u003C/span>\n          \u003Cb>定期体检：\u003C/b>\n          \u003Cspan>针对高危人群，应每年进行过敏相关检查，复查体重、血压、肺功能等。\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cspan class=\"indep-list-number\">📞\u003C/span>\n          \u003Cb>出现新症状/严重不适时：\u003C/b>\n          \u003Cspan>第一时间就医，必要时提前告知家属、随身携带过敏医嘱卡。\u003C/span>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cdiv class=\"indep-point-tip\">\n        养成良好习惯，其实对过敏人群影响不小。生活方式调整，有时候比一味吃药更实用。\n      \u003C/div>\n    \u003C/div>\n  \u003C/section>\n\n  \u003C!-- 结尾 -->\n  \u003Csection class=\"indep-section-summary\">\n    \u003Cp>\n      身边有过敏高发的人群，不要掉以轻心，也别谈“敏”色变。关键是：识别症状、规范用药、调整生活习惯。如果家里老人、孩子或孕妇有过敏史，和医生保持沟通、定期随访就能更安心地生活下去。健康管理并不比高深莫测，只要细心一点，绝大部分风险都能未雨绸缪。\n    \u003C/p>\n    \u003Cp>\n      有疑问时多查资料，和专业医生沟通，不自己吓自己，也别大意。慢摸清自己的身体“雷区”，未来就会越来越好。\n    \u003C/p>\n  \u003C/section>\n\n  \u003C!-- 文献引用 -->\n  \u003Csection class=\"indep-section-ref\">\n    \u003Cdiv class=\"indep-section-bg indep-bg-gray\">\n      \u003Ch2>参考文献\u003C/h2>\n    \u003C/div>\n    \u003Col class=\"indep-ref-list\">\n      \u003Cli>\n        Turner PJ, Gowland MH, Sharma V, et al. (2011). Increase in anaphylaxis-related hospitalizations but no increase in fatalities: An analysis of United Kingdom national anaphylaxis data, 1992-2009. \u003Ci>Journal of Allergy and Clinical Immunology\u003C/i>, 127(6): 1631-1633.\n      \u003C/li>\n      \u003Cli>\n        von Hertzen L, Haahtela T. (2004). Asthma and atopy – the price of affluence? \u003Ci>Allergy\u003C/i>, 59(2): 124-137.\n      \u003C/li>\n      \u003Cli>\n        Venter C, Brown T, Meyer R. (2017). Food hypersensitivity: Diagnosing and managing food allergies and intolerances. \u003Ci>British Medical Journal\u003C/i>, 356: j592.\n      \u003C/li>\n      \u003Cli>\n        Arnedo-Pena A, García-Marcos L, García Hernández G, et al. (2001). Prevalence of house dust mite allergy and asthma in children and environmental risk factors. \u003Ci>Allergy\u003C/i>, 56(12): 1251-1255.\n      \u003C/li>\n    \u003C/ol>\n  \u003C/section>\n\n\u003C/div>\n\n\n\u003Cstyle>\n.indep-allergy-guide {\n  font-family: \"Helvetica Neue\", Helvetica, Arial, \"Microsoft YaHei\", \"微软雅黑\", sans-serif;\n  color: #222;\n  background: #fafcff;\n  padding: 36px 18px 56px 18px;\n  max-width: 820px;\n  margin: 0 auto;\n  line-height: 1.75;\n  box-sizing: border-box;\n  border-radius: 12px;\n  box-shadow: 0 2px 12px rgba(110, 173, 211, 0.03);\n}\n.indep-title {\n  font-size: 2em;\n  color: #246b4b;\n  text-align: center;\n  margin-bottom: 34px;\n  font-weight: bold;\n  letter-spacing: 1.5px;\n}\n.indep-intro {\n  margin: 24px auto 34px;\n  font-size: 1.17em;\n  background: linear-gradient(100deg,#e6f6ec 60%, #fff 100%);\n  border-left: 5px solid #81d0b6;\n  border-radius: 10px;\n  padding: 18px 22px;\n  max-width: 710px;\n}\n\n.indep-section-bg {\n  background: url(\"data:image/svg+xml,%3Csvg width='12' height='72' xmlns='http://www.w3.org/2000/svg'%3E%3Cellipse rx='5' ry='35' cx='6' cy='36' fill='%2381d0b6' fill-opacity='0.13'/%3E%3C/svg%3E\") left center repeat-y;\n  background-color: #f6faf8;\n  border-radius: 10px 10px 0 0;\n  padding: 16px 0 12px 26px;\n}\n.indep-bg-gray {\n  background-color: #f7f7f8 !important;\n}\n.indep-bg-blue {\n  background: url(\"data:image/svg+xml,%3Csvg width='60' height='80' xmlns='http://www.w3.org/2000/svg'%3E%3Cellipse rx='30' ry='38' cx='30' cy='40' fill='%233398ff' fill-opacity='0.13'/%3E%3C/svg%3E\") left center repeat-y !important;\n  background-color: #e9eefc !important;\n}\n.indep-bg-green {\n  background: url(\"data:image/svg+xml,%3Csvg width='20' height='60' xmlns='http://www.w3.org/2000/svg'%3E%3Cellipse rx='9' ry='25' cx='10' cy='30' fill='%2377c788' fill-opacity='0.13'/%3E%3C/svg%3E\") left center repeat-y !important;\n  background-color: #effaf1 !important;\n}\n.indep-bg-yellow {\n  background: url(\"data:image/svg+xml,%3Csvg width='80' height='60' xmlns='http://www.w3.org/2000/svg'%3E%3Cellipse rx='35' ry='25' cx='40' cy='30' fill='%23ffd544' fill-opacity='0.12'/%3E%3C/svg%3E\") left center repeat-y !important;\n  background-color: #fffbeb !important;\n}\n.indep-bg-pink {\n  background: url(\"data:image/svg+xml,%3Csvg width='60' height='80' xmlns='http://www.w3.org/2000/svg'%3E%3Cellipse rx='25' ry='33' cx='30' cy='40' fill='%23efbace' fill-opacity='0.16'/%3E%3C/svg%3E\") left center repeat-y !important;\n  background-color: #fff0f5 !important;\n}\n.indep-section-content {\n  background: #fff;\n  padding: 24px 26px 20px 26px;\n  border-radius: 0 0 12px 12px;\n  margin-bottom: 30px;\n  font-size: 1em;\n}\n.indep-point-tip {\n  margin-top: 18px;\n  margin-bottom: 8px;\n  font-size: 1.01em;\n  color: #217b51;\n  background: #ecfaef;\n  border-left: 4px solid #57ba8a;\n  border-radius: 7px;\n  padding: 10px 13px;\n}\n.indep-section-one .indep-section-content,\n.indep-section-summary{\n  margin-bottom: 29px;\n}\n.indep-list {\n  margin: 14px 0 0 0;\n  padding-left: 0;\n  list-style: none;\n}\n.indep-list li {\n  margin-bottom: 16px;\n  padding-left: 0;\n  font-size: 1em;\n  line-height: 1.73;\n  position: relative;\n}\n.indep-list-number {\n  background: #d1ede0;\n  color: #246b4b;\n  border-radius: 50%;\n  width: 26px;\n  height: 26px;\n  display: inline-flex;\n  align-items: center;\n  justify-content: center;\n  font-weight: bold;\n  margin-right: 11px;\n  font-size: 1em;\n}\n.indep-section-summary {\n  background: linear-gradient(95deg,#e7f9f2 70%, #fff 100%);\n  padding: 22px 24px 23px 24px;\n  border-radius: 10px;\n  font-size: 1.08em;\n  margin-bottom: 28px;\n}\n.indep-section-ref {\n  margin: 0;\n  padding: 0;\n  background: #f6f8fa;\n  border-radius: 10px;\n  padding-bottom: 20px;\n}\n.indep-ref-list {\n  margin-left: 36px;\n  margin-top: 5px;\n}\n.indep-ref {\n  color: #4373af;\n  font-style: italic;\n}\n@media (max-width: 600px) {\n  .indep-allergy-guide {\n    padding: 10px 1px 28px 1px;\n    border-radius: 0;\n    max-width: 100%;\n  }\n  .indep-title { font-size: 1.3em;}\n  .indep-section-content{padding: 10px 9px 12px 9px;}\n  .indep-intro {padding: 10px 10px;}\n  .indep-section-bg {\n    padding-left: 12px;\n  }\n  .indep-section-summary{\n    padding: 12px 8px 14px 8px;\n  }\n  .indep-ref-list {\n    margin-left: 14px;\n  }\n}\n\u003C/style>","\u003Cdiv class=\"indep-allergy-guide\">\n\n  \u003C!-- 标题 -->\n  \u003Ch1 id=\"material_title\" class=\"indep-title\">\n    ",535,"2026-02-24 18:12:16","过敏性疾病, 过敏症状, 食物过敏, 过敏管理, 哮喘, 孕妇过敏, 婴幼儿过敏, 老年人过敏, 过敏预防, 免疫系统","了解过敏症状与管理是每位过敏患者的重要任务。本文提供专业的过敏科普知识，帮助高危人群进行有效预防与日常管理。","2026-03-05 09:30:00",2,[33],{"menuId":34,"menuName":35,"parentId":20,"orderNum":31,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":41,"status":20,"createDept":6,"remark":22,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":41,"isHome":20,"forceLogin":20,"color":46,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":36,"componentInfo":37},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","过敏性疾病",true,{"code":9,"msg":10,"message":6,"data":55,"success":53},{"pageNo":41,"pageSize":56,"result":57,"totalSize":20},10,[],{"code":9,"msg":10,"message":6,"data":59,"success":53},{"authors":60,"appraiseDimensionScoresVos":61},[],[]]