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A Study To Evaluate The Shape And Size of Sella Turcica And Its Correlation with The Type of Malocclusion on Lateral Cephalometric Radiographs 侧位头颅x线片评价蝶鞍形状、大小及其与错牙合类型相关性的研究
Pub Date : 2017-07-01 DOI: 10.9790/0853-160603126132
M. Motwani, Rohit Biranjan, Apeksha Dhole, Anuraag B. Choudhary, Apurva S Mohite
Introduction: Lateral cephalograms display numerous cranial, facial and oral anatomic structures along with sella turcica which is considered vital for many radiographic analyses. It is demarcated by dense thin white line and is used to measure the position of maxilla & mandible in relation to the cranial base and to themselves. Various studies have found an association between morphological variations of sella to malocclusion and also gender differences have been noted. This retrospective study was carried out to evaluate these morphological variations of sella turcica and its relation to type of malocclusion. Aim: To determine dimensions and morphological variations of sella turcica in different age groups & correlation between sella and type of malocclusion. Materials And Methods: 200 lateral cephalometric images of the patients more than age group of 8 years and less than 25 years were selected. The morphological variations, linear measurements of sella turcica and the skeletal type classification, based on ANB angle was determined. Length, depth, antero-posterior diameter (linear dimentions) were measured and correlated with the type of malocclusion. Results: Out of the total sample studied, it was found that, when linear measurements were assessed, there was statistically significant difference found between the length and antero-posterior diameter of sella turcica. When skeletal type malocclusion was assessed, there was no significant correlation found between sella morphology, linear dimensions and the different types of malocclusion. Conclusion: The study showed significant correlation between the length and the anteroposterior diameter with the advancing age which signifies that growth of the individual can be assessed based on the size of sella turcica at different age periods.
侧位头颅片显示大量的颅、面部和口腔解剖结构以及蝶鞍,蝶鞍对许多放射学分析都是至关重要的。它由密集的细白线划分,用于测量上颌和下颌骨相对于颅底和自身的位置。各种研究已经发现了蝶鞍畸形的形态变异和性别差异之间的联系。本回顾性研究是为了评估蝶鞍的形态学变化及其与错牙合类型的关系。目的:探讨不同年龄组蝶鞍的尺寸、形态变化及蝶鞍与错颌合类型的关系。材料与方法:选取8岁以上25岁以下患者的侧位头颅图像200张。以ANB角为基础,对蝶鞍的形态变化、线性测量和骨骼类型进行了分类。测量长度、深度、前后直径(线性尺寸)并与错牙合类型相关。结果:在所研究的总样本中,我们发现,当进行线性测量时,蝶鞍长度和前后直径之间存在统计学差异。当评估骨型错牙合时,鞍形态、线性尺寸与不同类型错牙合之间没有明显的相关性。结论:随着年龄的增长,蝶鞍长度和前后径呈显著相关,表明可以根据不同年龄阶段蝶鞍的大小来评估个体的生长情况。
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引用次数: 7
MRI Evaluation of Anterior Cruciate Ligament Tears with Arthroscopic Correlation. 前交叉韧带撕裂与关节镜相关性的MRI评价。
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606121428
Paarthipan Natarajan, S. Mohan, S. Jaiganesh, A. Lata, R. K.V
Anterior Cruciate Ligament Injury Is The Most Commonly Injured Of The Major Knee Ligaments. Injuries Occur Frequently In Both Athletes And Nonathletes. In United States The Prevalence Of ACL Injury Is About 1 In 3000, And Approximately 2,50,000 Injuries Occur Every Year. Prompt Assessment Of Full Extent Of Ligamentous Damage Is Essential For Appropriate Management. Because Of Its Intraarticular Location, The ACL Has Poor Healing Potential. The Ruptured ACL Does Not Form A Bridging Scar After Complete Disruption. The Prognosis For A Partially Torn ACL May Be Favorable, If The Synovial Envelope Remains Intact. Without Treatment Complete ACL Injury Can Result In Progressively Increasing Symptomatic Knee Instability And Osteoarthritis. Meniscus Injury Occurs In Association With 50% Of Acute ACL Tears, And It Increases To 90% In Chronic ACL Deficient Knees. The Incidence Of Articular Cartilage Lesions Increases From 30% In Acute ACL Injuries To Approximately 70% Of Knees With Chronic ACL Instability. The Fundamental Rationale For Diagnosing And Treating ACL Injury Is To Prevent Future Meniscal Tears And Associated Joint Damage. For Treating ACL Injury The Orthopaedician Or Arthroscopist Needs The Answer To Following Questions: 1. Whether ACL Is Normal Or Abnormal? If ACL Is Normal, Invasive Arthroscopy Can Be Avoided In Patients With Suspected ACL Injury. 2. If Abnormal, Whether The Tear Is Complete Or Partial? If Partial Conservative Management Or Repair Can Be Done. However In Complete Tears Reconstruction Needs To Be Done In Most Of Cases. 3. What Is The Status Of Associated Structures Such As PCL, Menisci, MCL, LCL, Posterolateral, Posteromedial Plateau In ACL Injured Patients? Because An Injury To Above Structures Along With Complete Tear Of ACL Needs Early Reconstruction Of ACL. ACL Injury Can Be Diagnosed In Majority Of Patients By History And Clinical Examination. The Clinical Diagnosis Is Fraught With Difficulty In Acute Cases And In Large Patients. Also Partial Tears Are Difficult To Diagnose And The Associated Injuries Could Not Be Completely Evaluated By Clinical Examination. Arthroscopy And Arthrotomy Are The Criterion Standards For Definitive Diagnosis But Are Invasive And Costly. It Can Get Unnecessary If ACL Turns Out To Be Normal. Spiral CT Arthrography Is More Invasive Than Conventional MR Imaging. It Uses Ionizing Radiation And Is Subject To The Potential Complications Inherent In Intraarticular Injection Of Iodinated Contrast Material. The Continuing Need For A Better Non Invasive Imaging Modality For ACL Injury Led To The Use Of MRI As A Diagnostic And Pre- Operative Evaluation Modality. MRI Is A Recently Devised Modality For Evaluation Of ACL And Knee Joint. Imaging Is Done In Sagittal, Axial And Coronal Planes Using T1, T2 And STIR Sequences Using Quadrature Knee Coil. The Following Study Involves Detailed Evaluation ACL Injury And Its Associated Injuries Using MRI And Comparing With
前交叉韧带损伤是膝关节主要韧带中最常见的损伤。损伤在运动员和非运动员中都很常见。在美国,前交叉韧带损伤的发生率约为1 / 3000,每年约有25万人受伤。及时评估韧带损伤的完整程度对于适当的治疗至关重要。由于前交叉韧带位于关节内,其愈合潜力较差。断裂的前交叉韧带在完全断裂后不会形成桥式疤痕。如果滑膜膜保持完整,ACL部分撕裂的预后可能是有利的。如果不进行治疗,完全的前交叉韧带损伤会导致逐渐加重的症状性膝关节不稳定和骨关节炎。半月板损伤与50%的急性前交叉韧带撕裂有关,而在慢性前交叉韧带缺陷膝中,这一比例增加到90%。关节软骨病变的发生率从急性前交叉韧带损伤的30%增加到慢性前交叉韧带不稳定的约70%。诊断和治疗前交叉韧带损伤的基本原理是防止未来半月板撕裂和相关的关节损伤。对于治疗前交叉韧带损伤,骨科医生或关节镜专家需要回答以下问题:1。ACL是否正常?如果前交叉韧带正常,怀疑前交叉韧带损伤的患者可避免行有创关节镜检查。如果不正常,撕裂是完全的还是部分的?如果可以进行部分保守治疗或修复。然而,在大多数情况下,完全撕裂需要进行重建。前交叉韧带损伤患者的相关结构如PCL、半月板、MCL、LCL、后外侧平台、后内侧平台的状态如何?因为上述结构损伤及前交叉韧带完全撕裂需要早期前交叉韧带重建。大多数患者可通过病史和临床检查诊断出前交叉韧带损伤。急性病例和大患者临床诊断困难。此外,部分撕裂难以诊断,相关的损伤也不能通过临床检查完全评估。关节镜检查和关节切开术是明确诊断的标准,但它们是侵入性的和昂贵的。如果前交叉韧带恢复正常,手术就没有必要了。螺旋CT关节造影比常规磁共振成像更具侵入性。它使用电离辐射,并且受到关节内注射碘造影剂固有的潜在并发症的影响。由于对前交叉韧带损伤更好的无创成像方式的持续需求,MRI被用作一种诊断和术前评估方式。MRI是最近发明的一种评估前交叉韧带和膝关节的方法。在矢状面,轴状面和冠状面使用T1, T2和STIR序列使用正交膝关节线圈进行成像。下面的研究使用MRI详细评估前交叉韧带损伤及其相关损伤,并与关节镜结果进行比较。还分析了前交叉韧带撕裂的MR原发性和继发性征象,并与关节镜检查结果进行了比较。
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引用次数: 2
Prevalence of Hyponatremia in Elderly Patients Admitted with Fracture Neck of Femur 老年股骨颈骨折患者低钠血症的患病率
Pub Date : 2017-07-01 DOI: 10.9790/0853-160702107108
Don Robin, Deepti Manjunath, D. Roshan
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引用次数: 2
A Case Of Pneumoperitoneum In A Patient With Blunt Injury Thorax 钝性胸外伤致气腹1例
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607028588
U. Dr.Prabhakaran., C. Dr.RajeevThilak, D. Isath, D. Pathrose
Pneumoperitoneum in traumatic patients almost always indicates a underlying bowel pathology. We present a case report where pneumothorax and pneumomediastinum associated with Tracheobronchial injury causing/presenting as pneumoperitoneum. Treatment Protocol of such presentation has not yet been standardised due to its rare presentation.
创伤患者的气腹几乎总是表明潜在的肠道病理。我们提出一个病例报告,其中气胸和纵隔气肿与气管支气管损伤引起/表现为气腹。由于其罕见的表现,其治疗方案尚未标准化。
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引用次数: 0
Impact of Bio-statistics in Medical Sciences 生物统计学在医学科学中的影响
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607026366
M. Ahmad
Biostatistics is undesirably seen as a mathematical science. Time now is to reorient the subject with the goal that it makes the most of its legitimate place into medical disciplines as opposed to being dealt with as an outsider subject. The accompanying is a concise blueprint of the arrangement of showing this subject can be extremely persuading to medical undergraduates as the one that satisfies their medical need. In the same way as other fields, public health has grasped the procedure of confirmation based practice to illuminate rehearse choices and to guide arrangement advancement. Prove construct practice is regularly needy upon speculations made with respect to the bases of the current group of learning – osmoses of the exploration writing on a specific subject. The potential utility of logical confirmation for managing strategy and practice choices is grounded in the legitimacy of the exploration examinations whereupon such choices are made. Nonetheless, the legitimacy of inductions produced using the surviving public health research literature requires more than finding out the legitimacy of the bio-statistical methods alone; for each review, the legitimacy of the whole research prepare must be fundamentally examined to the best degree conceivable so that proper conclusions can be drawn, and that suggestions for advancement of sound public health policy and practice can be offered. Bio-statistics has been requested progressively in biomedical research since the 1960s for support in experimental design, mathematical and biostatistician modeling and additionally computational biostatistics. This brought about the foundation of bio-statistical units in colleges, investigate organizations and bigger pharmaceutical companies; an advancement not without unsettling influences and routinely reexamining the part of biostatistics and its avocation at that spots. This paper presents an approach where counseling and skill is joined with participation, on the premise of sound biostatistical science and original bio-statistical research.
生物统计学被认为是一门数学科学。现在是时候重新定位这门学科了,目标是使它在医学学科中占有最大的合法地位,而不是作为一个局外人来处理。随附的是一个简明的蓝图,展示了这一主题的安排,可以极具说服力的医学本科生满足他们的医疗需求。公共卫生与其他领域一样,掌握了基于实践的确认程序,以阐明预演选择,指导安排推进。证明建构实践通常需要对当前学习群体的基础进行思考-对特定主题的探索性写作的渗透。逻辑确认对管理策略和实践选择的潜在效用是建立在探索性考试的合法性基础上的,在此基础上做出了这些选择。尽管如此,利用现存的公共卫生研究文献产生的诱导的合法性需要的不仅仅是找出生物统计方法的合法性;对于每一次审查,必须从根本上审查整个研究准备的合法性,以达到可想象的最佳程度,以便得出适当的结论,并提出促进健全的公共卫生政策和实践的建议。自20世纪60年代以来,生物统计学在生物医学研究中逐渐被要求支持实验设计,数学和生物统计学家建模以及计算生物统计学。这促成了高校、调查机构和大型制药公司生物统计单位的建立;这一进步并非没有令人不安的影响,并定期重新审视生物统计学的部分及其在这些地方的嗜好。本文提出了在健全的生物统计科学和原始的生物统计研究的前提下,将咨询和技能与参与相结合的方法。
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引用次数: 0
Down Syndrome: A Review for the Dental Professionals 唐氏综合症:牙科专业人士综述
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607016166
M. Aldossary
This article is aimed to provide general and pediatric dentists with the essential knowledge to provide care to children with Down syndrome. The features of Down syndrome, the medical and dental issues which may be present in a child with Down syndrome, and how might these may impact on dental care, will be presented in this article.
本文旨在为普通和儿科牙医提供必要的知识,为患有唐氏综合症的儿童提供护理。这篇文章将介绍唐氏综合症的特点,唐氏综合症儿童可能出现的医学和牙科问题,以及这些问题如何影响牙科护理。
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引用次数: 5
Restoring Proximal Contacts of Teeth 修复牙齿近端接触
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606114649
A. Markose
Matrices are used whenever one or more walls of the tooth are missing. They help to establish the proper anatomic contour and proximal contacts without gingival overhangs. There are several designs of matrices available for different clinical situations. They may range from a simple metal or plastic strip to a circumferential band of metal encircling the entire crown depending on the extent of tooth destruction.
当一个或多个牙壁缺失时,就使用基质。它们有助于建立正确的解剖轮廓和近端接触,没有牙龈悬垂。有几种设计的基质可用于不同的临床情况。根据牙齿受损的程度,它们可以是简单的金属或塑料条,也可以是环绕整个牙冠的环形金属带。
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引用次数: 1
Role of Fine Needle Aspiration Versus Non-Aspiration Cytology In Diagnosis of Thyroid Lesions 细针穿刺与非穿刺细胞学在甲状腺病变诊断中的作用
Pub Date : 2017-07-01 DOI: 10.9790/0853-16070199104
Bhavneet Kour, Kuldeep Singh, P. Singh
Background: Fine needle aspiration cytology (FNAC) is the first choice for evaluation of thyroid enlargement. Diagnosis is based on the identification of predominant cell pattern, cell morphology and background details. Fine needle non-aspiration cytology (FNNAC) avoids aspiration, uses capillary action of the fine needle. It is more patient friendly with less pain and better perception of lesion. Aim of the study: To evaluate the results ofFine Needle Aspiration Cytology (FNAC) and Fine Needle Non Aspiration Cytology (FNNAC) in diagnosis of thyroid lesions. Materials and Methods: One-year observational, prospective study was conducted on patients with palpable thyroid lesions in the Department of Pathology, Government Medical College, Jammu. Patients were investigated with a thyroid function test and a needle biopsy. Both FNAC and FNNAC techniques were performed simultaneously at the same site by the same investigator. Points were allocated to each specimen according to Mair et al. scoring system and categorized as follows: unsuitable for cytodiagnosis (0-2 points), diagnostically adequate (3-6 points) and diagnostically superior (7-10 points). Results: A total of 140 patients with palpable thyroid lesions were subjected to needle biopsies. Females dominated the study with female to male ratio of 5.36:1. Non-neoplastic lesions were observed in 89.29% and neoplastic in 10.71% cases. . The cumulative score was found significantly more in case of FNNAC than FNAC (946 vs 784; p<0.0001). For diagnostically superior category, results of both FNAC and FNNAC were comparable. Conclusion: FNAC smears produced adequate results in more cases. FNNAC was more diagnostically superior. It causes less damage to tissue, less artefacts and allows better perception of lesion. FNNAC is a good technique that should be used alone or in combination with FNAC for better diagnostic yield.
背景:细针穿刺细胞学检查(FNAC)是评估甲状腺肿大的首选方法。诊断是基于显性细胞模式,细胞形态和背景细节的识别。细针非抽吸细胞学(FNNAC)避免抽吸,利用细针的毛细管作用。它对病人更友好,疼痛更少,病变感觉更好。目的:探讨细针穿刺细胞学(FNAC)与细针非穿刺细胞学(FNNAC)在甲状腺病变诊断中的价值。材料与方法:对查谟政府医学院病理科可触及甲状腺病变患者进行为期一年的观察性前瞻性研究。对患者进行甲状腺功能检查和穿刺活检。FNAC和FNNAC技术由同一研究者在同一部位同时进行。根据maair等评分系统对每个标本进行评分,分为不适合细胞诊断(0-2分)、诊断适宜(3-6分)和诊断优良(7-10分)。结果:140例可触及甲状腺病变患者行针活检。以女性为主,男女比例为5.36:1。非肿瘤性病变占89.29%,肿瘤性病变占10.71%。FNNAC的累积得分明显高于FNAC (946 vs 784;p < 0.0001)。对于诊断优势类别,FNAC和FNNAC的结果具有可比性。结论:FNAC涂片在更多病例中获得了足够的结果。FNNAC在诊断上更优越。它对组织造成的损伤更小,人工制品更少,并且可以更好地感知病变。FNNAC是一种很好的技术,可单独使用或与FNAC联合使用,以提高诊断率。
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引用次数: 0
Replacement of Sand with Stone Crushed Powder in Conventional Concrete 常规混凝土用石粉替代砂石
Pub Date : 2017-07-01 DOI: 10.9790/0853-1607020106
B. Basavaraj, Ravichandra Honnalli, S. SagarN, M. PraveenAshok, C. ShwethaK
Since ancient period, river sand has been used in the construction industry as a dominant material from the level of foundation to the end of a project .Today demand for sand continues to increase to meet the needs of growth in population. Excessive instream sand mining causes the degradation of rivers and creating ecological imbalance. Instream mining lowers the stream bottom, which may lead to bank erosion and may lead for river meandering. It is the need of the hour to investigate for a suitable alternative material for sand like stone crusher powder and granite fines etc. which are available abundantly from crusher units and granite industries. Use of stone crusher powder proves to be economical and eco-friendly which generally considered as unused. The investigations indicate that stone crusher powder has the similar characteristics and performances as that of river sand. In this paper an attempt has been made to investigate the replacement of sand with Stone crusher powder. Strength behavior of concrete with the use of stone crusher powder as a replacement of fine aggregates in different proportions is discussed. Test results are also discussed pertaining to strength and values are compared with conventional concrete.
自古以来,河砂就被用作建筑行业的主要材料,从基础水平到项目结束。今天,对砂的需求不断增加,以满足人口增长的需要。过度的河道采砂导致河流退化,造成生态失衡。河道开采降低了河底,可能导致河岸侵蚀和河道曲流。这是一个小时的需要,以调查一个合适的替代材料的沙子,如石料粉碎机粉和花岗岩细粒等,可从破碎机单位和花岗岩工业丰富。使用石磨粉被证明是经济和环保的,通常被认为是未使用的。研究表明,石料破碎粉具有与河砂相似的特性和性能。本文对石料粉碎机粉替代砂石进行了试验研究。讨论了用石料粉替代不同比例细集料对混凝土强度性能的影响。还讨论了有关强度和数值的试验结果,并与常规混凝土进行了比较。
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引用次数: 1
Morphometric Evaluation of the Mental Foramen Using Cone Beam Computed Tomography in Different Facial Types. 不同面部类型的锥束计算机断层扫描对颏孔的形态学评价。
Pub Date : 2017-07-01 DOI: 10.9790/0853-1606037885
M. A. Sobreiro, J. Ramacciato, J. Junqueira, Milena Bortolotto Felipe, O. Molina
Introduction: The anatomic location of the mental foramen is still a matter of debate. There are variations in the position of mental foramen in different populations. These variations indicate accurate detection of mental foramen position which result in safer dental procedures. Aim: To carry out a morphometric assessment of the mental foramen in patients with different facial types. Material and Methods:Ninety computerized cone beam tomographic scans from brachycephalic (n=30), dolicocephalic (n=30) and mesocephalic (n=30) facial types were used. Computerized cone beam tomographic scans were obtained using a Tomographic I Cat Unit and the Dolphin Imaging 11.0 Program. The mental foramen position was evaluated and compared in the three subgroups. The Bartlett and Shapiro-Wilk ́s tests were used to evaluate the homogeneity of the variances. Influence of the three facial types on cephalometric measurements was evaluated using two way ANOVA and Tukey ́s test. Correlationsbetweenage and some measurements of interest were assessed using Pearson ́s moment correlation test Results:Mental foramen height was slightly smaller in females. Facial types influenced the following measurements: distance from the apex of the second lower bicuspid to the upper border of the mental foramen and distance from the lower border of the mental foramen to thelower border of the mandible. Statistical differences were observed betweenmesocephalic and brachycephalic subjects (p<0.05) and between mesocephalic and dolicocephalic ones (p<0.05). Mental foramen height was smaller in mesocephalic subjects (p<0.05). Mental foramenwidthwas smaller only in the left side in mesocephalic subjects. Distance between the buccal cortical and lingual cortical of the mental foramen was smaller in mesocephalic than in brachycephalic and dolicephalic subjects (p<0.05). A higher number of mental foramina were positioned between bicuspids and along the long axis of the second bicuspids: 74% and 20% respectively. An oval mental foramen was found more frequently: (80.6%) in mesocephalics; (77.4%) in brachycephalics and (86%) in dolicocephalics subjects. A circular shape was observed in 19%; 22%; and 13% in mesocephalic, brachycephalic and dolicocephalic individuals, respectively. Conclusion: Some measurements of the mental foramen may be different among facial type subjects. Distribution and shape of the mental foramen are similar in the three facial types.
前言:颏孔的解剖位置仍然是一个有争议的问题。不同人群的脑孔位置存在差异。这些变化表明准确的检测精神孔的位置,导致更安全的牙科手术。目的:对不同面部类型患者的颏孔进行形态计量学评价。材料和方法:使用90个计算机锥形束断层扫描,分别来自短头型(n=30)、多头型(n=30)和中头型(n=30)面部类型。计算机锥形束断层扫描使用断层扫描I Cat单元和海豚成像11.0程序。评估并比较三个亚组的颏孔位置。采用Bartlett和Shapiro-Wilk检验来评价方差的同质性。采用双因素方差分析(two - way ANOVA)和Tukey’s检验评估三种面部类型对头颅测量的影响。使用Pearson′s矩相关检验评估年龄与某些感兴趣的测量值之间的相关性。结果:女性的心理孔高度略小。面部类型影响以下测量:从第二下二尖尖到颏孔上边界的距离和颏孔下边界到下颌骨下边界的距离。中脑组与短头组、中脑组与单头组间差异有统计学意义(p<0.05)。中脑组脑孔高度较低(p<0.05)。中脑受试者的精神孔宽度仅在左侧较小。中脑患者颏孔颊皮质与舌皮质之间的距离小于短头和头头患者(p<0.05)。较多的精神孔位于二尖瓣之间和沿第二二尖瓣的长轴,分别占74%和20%。卵圆形精神孔多见于中脑室(80.6%);(77.4%),多头症患者(86%)。圆形的占19%;22%;中头、短头和多头分别为13%。结论:颅孔的某些测量值在面部型被试中可能存在差异。三种面部类型的颏孔分布和形状相似。
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引用次数: 0
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IOSR Journal of Dental and Medical Sciences
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