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Experience of caries and tooth loss in rural citrus workers in Northeast Brazil 巴西东北部农村柑橘工人龋齿和牙齿脱落的经验
Pub Date : 2021-04-07 DOI: 10.12662/2317-3076JHBS.V9I1.3544.P1-5.2021
F. Alvim‐Pereira, V. Menezes, R. Lima, Daniel Maranha da Rocha, M. D. Rocha, A. Mendonça
Objective : To evaluate the experience of caries and tooth loss in rural citrus workers in Northeast Brazil. Methods : This was a cross-sectional, quantitative, and descriptive study carried out using a non-probabilistic sample of rural citrus workers linked to the Occupational Health Reference Center. Generalist and dental questionnaires were applied and clinical examinations were performed by two calibrated examiners on 619 participants in Basic Health Units to establish the sample DMFT index and to detail their characteristics of interest. Results: The sample was predominantly male (71%), with young adults between 20 and 40 years (50,9%), with low education (76%) and low income (59,3%). The mean DMFT index of the sample was 14.29 and the component regarding tooth loss (M) 9.97, corresponding to approximately 70% of this value. Moreover, 90,1% of the evaluated participants had losses of at least one dental element and 27,8% had a functional loss with less than 21 teeth in the oral cavity, while 86.3% said they had never attended an oral health service. Of the participants who have already attended, 83,6% were over six months ago, motivated by pain (43,8%) and caries (14,7%). Conclusions : The rural citrus workers evaluated had negative experiences with dental caries and a high rate of functional tooth loss, leading them vulnerable to stomatognathic system imbalances and showing the need for prevention and promotion of oral health.
目的:了解巴西东北部农村柑橘工人的龋病和牙齿脱落情况。方法:这是一项横断面、定量和描述性研究,使用与职业健康参考中心相关的农村柑橘工人的非概率样本进行。采用综合问卷和牙科问卷,并由两名校准的检查员对619名基本保健单位的参与者进行临床检查,以建立样本DMFT指数并详细说明其感兴趣的特征。结果:样本以男性为主(71%),20至40岁的年轻人(50.9%),低教育程度(76%)和低收入(59.3%)。样本DMFT指数平均值为14.29,牙齿脱落分量(M)为9.97,约占该值的70%。此外,901%的被评估参与者至少有一颗牙齿缺失,27.8%的人口腔功能缺失,牙齿少于21颗,而86.3%的人表示他们从未参加过口腔健康服务。在已经参加过的参与者中,83.6%是六个多月前参加的,原因是疼痛(43.8%)和龋齿(14.7%)。结论:农村柑橘工人患龋率高,功能牙脱落率高,易发生口-牙系统失衡,需要预防和促进口腔健康。
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引用次数: 0
Os contributos da alfabetização em saúde para o sistema, os profissionais de saúde e os pacientes: O círculo virtuoso da comunicação na saúde 卫生素养对系统、卫生专业人员和患者的贡献:卫生交流的良性循环
Pub Date : 2021-04-06 DOI: 10.12662/2317-3076JHBS.V9I1.3294.P1-8.2021
C. Almeida, Célia Belim
Objetivo: Perceber, por meio de informadores qualificados, como os profissionais de saúde, quais os contributos da alfabetização em saúde para o sistema, os profissionais de saúde e os pacientes. Método: foi aplicada a técnica do focus group, em um processo bietápico, cerca de 600 profissionais de saúde a atuar em Portugual. Para tratar os conteúdos recolhidos nos focus groups, usou-se a análise de conteúdo qualitativa. Resultados: Os resultados mostram que a alfabetização em saúde é um assunto piloto para os profissionais de saúde. A melhor gestão de custos, a eficiência, o menor desperdício e o reaproveitamento de recursos materiais e técnicos, a coordenação mais equilibrada da burocracia são alguns dos contributos para o sistema. Os contributos para os profissionais de saúde são diversos, destacando-se o poupar tempo, que eles disponibilizarão para outros investimentos, uma maior satisfação e o bem-estar. Os pacientes se beneficiarão com o acesso a melhores cuidados de saúde, o aumento da prevenção da doença, da qualidade de vida e de saúde, o autoinvestimento, a autogestão, a segurança em saúde, a satisfação, entre outros ganhos. Conclusão: O investimento na alfabetização em saúde traduz-se em ganhos para a tríade sistema-profissional-paciente e na efetividade e eficiência dos resultados em saúde, sobretudo no contexto de crises pandêmicas como a motivada pela COVID-19. A cadeia sistema-profissional-paciente está em constante dinâmica e retroalimenta-se positivamente, funcionando em um círculo virtuoso, cuja alavanca é a comunicação.
目的:通过合格的信息提供者,如卫生专业人员,了解卫生素养对系统、卫生专业人员和患者的贡献。方法:采用焦点小组技术,分两阶段进行,约600名在葡萄牙工作的卫生专业人员。为了处理焦点小组收集的内容,我们使用了定性内容分析。结果:结果表明,卫生素养是卫生专业人员的试点课题。更好的成本管理、效率、减少浪费和重复使用材料和技术资源,以及更平衡地协调官僚机构,都是对该系统的贡献。对卫生专业人员的贡献是多方面的,重点是节省时间,他们将为其他投资提供更多的满意度和福祉。患者将受益于获得更好的保健、疾病预防、生活质量和健康、自我投资、自我管理、健康安全、满意度等收益。结论:卫生素养投资转化为系统-专业-患者三位一体的收益,以及卫生结果的有效性和效率,特别是在COVID-19引发的大流行危机的背景下。系统-专业-患者链处于不断的动态和积极的反馈中,在一个良性循环中工作,其杠杆是沟通。
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引用次数: 0
Anxiolytic and antidepressant effects of cannabidiol: a systematic review 大麻二酚的抗焦虑和抗抑郁作用:一项系统综述
Pub Date : 2021-04-06 DOI: 10.12662/2317-3076JHBS.V9I1.3366.P1-7.2021
José Eduardo Ribeiro Honório Júnior, Jéssica Rodrigues de Moraes Barriga, Dara da Silva Mesquita, J. Pinto
Objetctive: Realize a systematic review on articles about cannabidiol (CBD) as an anxiolytic and antidepressant drug. Methodology: A systematic review in PubMed, Science Direct and PsycINFO databases taking into consideration articles published in English and Portuguese from 2008 to 2018 with animal experimentation. Results: Eleven articles with experimental studies on animals were included. All studies exhibited anxiolytic and antidepressant activities after CBD use. Conclusion: It was proven by several experiments the anxiolytic and antidepressant activity of CBD, however there is still a need of more preclinicals and clinicals studies to elucidate its mechanisms.
目的:对大麻二酚(CBD)作为抗焦虑和抗抑郁药物的相关文献进行系统综述。方法:系统回顾PubMed, Science Direct和PsycINFO数据库,考虑2008年至2018年以英语和葡萄牙语发表的动物实验文章。结果:纳入11篇动物实验研究。所有研究均显示CBD使用后具有抗焦虑和抗抑郁活性。结论:CBD的抗焦虑和抗抑郁作用已被多项实验证实,但其作用机制仍需要更多的临床前和临床研究来阐明。
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引用次数: 0
Screen time and Sleep Quality among College and University Students of Karachi 卡拉奇大学生屏幕时间与睡眠质量的关系
Pub Date : 2021-04-06 DOI: 10.12662/2317-3076JHBS.V9I1.3214.P1-14.2021
Nizamuddin Muhammad, Mehwish Hussain, S. Adnan
Objectives: To assess the relationship between screen times and sleep quality of the age group 17-24. Methodology: This is a cross-sectional study. The study was conducted on students of Colleges and universities in Gulshan-e-Iqbal Town Karachi. A total of 600 undergraduate students were approached in colleges and universities of Gulshan Town, Karachi. The sampling technique was Multi Staged sampling. The research instrument comprised of 3 parts i) Demographic profile, ii) Sleep quality measures and iii) Screen time usage measures. Results: The mean total hour of sleep was 6.7 ± 1.5. The Mean Cumulative score of the components of the questionnaire was 7.47 ± 3.56, while 174 (29%) have Normal Sleep quality and 426 (71%) have poor sleep according to the questionnaire. The odds ratio suggests there were 4.23 times higher chances of poor sleep quality in students whose screen time was more than 2 hours on weekdays as compared to other students. (OR: 4.23, 95% CI: 2.66-6.72). The odds ratio suggests there were 24.15 times higher chances of poor sleep quality in students whose screen time was more than 2 hours on weekends as compared to other students (OR: 24.15, 95% CI: 11.192-52.11). Conclusion: As, negative impacts were determined within sleep quality, and increased screen watching of multiple versions of the devices (screen time), influencing the commended level of screen watching among university and college students (age 17-24) is an affair of public health.
目的:评估17-24岁青少年屏幕时间与睡眠质量的关系。方法:这是一项横断面研究。这项研究是在卡拉奇Gulshan-e-Iqbal镇的高校学生中进行的。我们共接触了卡拉奇古尔山镇各高校的600名本科生。采样技术为多阶段采样。该研究工具由3部分组成:1)人口统计资料,2)睡眠质量测量和3)屏幕时间使用测量。结果:平均总睡眠时间为6.7±1.5小时。问卷各组成部分的平均累积得分为7.47±3.56分,其中174人(29%)睡眠质量正常,426人(71%)睡眠质量差。比值比显示,工作日看屏幕时间超过2小时的学生睡眠质量差的可能性是其他学生的4.23倍。(or: 4.23, 95% ci: 2.66-6.72)。比值比表明,周末看屏幕时间超过2小时的学生睡眠质量差的可能性是其他学生的24.15倍(OR: 24.15, 95% CI: 11.192-52.11)。结论:由于睡眠质量存在负面影响,且多版本设备的屏幕观看时间(屏幕时间)增加,影响17-24岁大学生的屏幕观看推荐水平是一个公共卫生问题。
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引用次数: 0
Predator preferences: a key to effective biological control design 捕食者偏好:有效生物控制设计的关键
Pub Date : 2021-04-05 DOI: 10.12662/2317-3076JHBS.V9I1.2977.P1-4.2021
W. Steven, Kishimbo Ombeni, E. Kweka, Merikinoi Kimirei, Cecilia Cleopa
Objetctive : This experimental study aimed to assess the preference of Gambusia affinis to mosquito larvae of An.gambiae s.s., Cx. quinquefasciatus and Aedes aegypti. Method : Three Gambusia affinis were introduced in a glass container with a dimension of 45cm x 25cmx 25cm. Three larvae densities were used, 90 (30 larvae per species), 120 (40 larvae per species), and 180 (60 larvae per species). Each density experiment was set in triplicate and monitored after 1, 2, 3, and 24 hours. No fish food was added to the container for larvae. Results : Results have shown that in all times A. aegypti has been the most preferred species by Gambusia affinis. Among the tested species, A. aegypti was most prayed with time and in different densities. In mixed models including density, species, and time there was no significant difference among the species predation. Conclusion : Preliminary results have shown that the appropriate choice of predators for each mosquito species can have a great impact on bio-control to substantially complement existing tools.
目的:研究亲和赤霉病对安蚊幼虫的偏好。冈比亚s.s.c。致倦库蚊和埃及伊蚊。方法:将3只拟合赤鲷放入尺寸为45cm × 25cmx 25cm的玻璃容器中。幼虫密度分别为90(30只/种)、120(40只/种)和180(60只/种)。每个密度实验设3个重复,分别在1、2、3、24 h后进行监测。没有在容器中添加鱼食喂养幼虫。结果:结果表明,埃及伊蚊在任何时期都是亲缘赤霉病蝇的首选种。在被试物种中,埃及伊蚊在不同密度和时间上的密度最大。在包括密度、种类和时间在内的混合模型中,物种间的捕食差异不显著。结论:初步结果表明,针对不同蚊种选择适宜的捕食者,可对蚊虫的生物防治产生较大的影响,大大补充了现有的生物防治工具。
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引用次数: 0
Miocardiopatia Dilatada após uso de Adalimumabe em paciente com Pioderma Gangrenoso 坏疽性脓皮病患者阿达木单抗使用后扩张性心肌病
Pub Date : 2021-03-26 DOI: 10.12662/2317-3076JHBS.V9I1.3166.P1-4.2021
Orivaldo Alves Barbosa, T. Andrade, Maria Danielly de Almeida Sousa, J. W. Correia
Introducao : O pioderma gangrenoso e uma dermatose incomum, cronica e de apresentacao clinica variavel. Sua etiologia e indefinida, e seu tratamento nao e bem estabelecido. O Adalimumabe e um anticorpo monoclonal humano contra o fator de necrose tumoral alfa (anti- TNF) que e raramente associado a disfuncao cardiaca. Relato de Caso : Relatamos um caso de uma paciente com pioderma gangrenoso idiopatico que, apos duas doses de Adalimumabe, desenvolveu insuficiencia cardiaca grave com miocardiopatia dilatada. Ela foi tratada com diuretico de alca, betabloqueador e antagonista da enzima conversora da angiostensina. Apos dois meses, encontrava-se sem queixas cardiorrespiratorias e com melhora da fracao de ejecao. Conclusao: A miocardiopatia dilatada, apesar de ser manifestacao rara do uso de farmacos anti -TNF deve ser considerada no diagnostico diferencial de insuficiencia respiratoria apos seu uso.
简介:坏疽性脓皮病是一种罕见的、慢性的皮肤病,临床表现多变。其病因尚不清楚,治疗方法也不明确。阿达木单抗是一种抗肿瘤坏死因子α (anti- TNF)的人单克隆抗体,很少与心脏功能障碍有关。病例报告:我们报告了一例特发性坏疽性脓皮病患者,在两次服用阿达木单抗后,发展为严重的心力衰竭并伴有扩张性心肌病。用-阻滞剂和血管紧张素转换酶拮抗剂alca diuretico治疗。两个月后,他没有心肺疾病,射精率有所改善。结论:扩张性心肌病虽然是抗tnf药物使用的罕见表现,但在使用后呼吸功能不全的鉴别诊断中应考虑。
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引用次数: 0
Efeitos da abordagem osteopática na doença pulmonar obstrutiva crônica 整骨疗法对慢性阻塞性肺疾病的影响
Pub Date : 2021-02-19 DOI: 10.12662/2317-3076JHBS.V9I1.3155.P1-6.2021
Luciano Santos da Silva Filho, Jean Michel Regis Mendes, Maurício Rocha Mendes, Cymara Pessoa Kuehner
Objetivo: Realizar uma revisao integrativa sobre os efeitos da abordagem osteopatica na doenca pulmonar obstrutiva cronica. Metodos : Estudo seccional e documental, realizado por meio de revisao integrativa da literatura disponivel nas bibliotecas virtuais de saude: National Library of Medicine (PubMed), Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS) e Physiotherapy Evidence Database (PEDro); no periodo de junho a outubro de 2019, atraves dos seguintes descritores em lingua portuguesa e inglesa: Manipulacao Osteopatica, DPOC e Fisioterapia. Resultados : Foram encontrados 18 estudos potenciais inicialmente, dos quais 7 artigos foram considerados elegiveis para analise qualitativa. Conclusao : a utilizacao da Osteopatia como metodo coadjuvante apresenta evidencias, embora incipientes, mas que ja dao indicios dos seus efeitos na patologia. Dentre eles, estao: melhora da mecânica respiratoria e da mobilidade diafragmatica, aumento da capacidade de exercicios com diminuicao da dispneia, alem de efeitos nas variaveis pulmonares como CVF e VEF1, ainda nao tao esclarecidos.
摘要目的:对整骨疗法治疗慢性阻塞性肺疾病的效果进行综合综述。方法:通过对虚拟健康图书馆:国家医学图书馆(PubMed)、拉丁美洲和加勒比健康科学文献(LILACS)和物理治疗证据数据库(PEDro)的综合文献综述进行横断面和文献研究;2019年6月至10月期间,使用以下葡萄牙语和英语描述符:整骨操作、慢性阻塞性肺病和物理治疗。结果:最初发现了18项潜在的研究,其中7篇文章被认为适合进行定性分析。结论:使用整骨疗法作为辅助方法提供了证据,虽然还处于初级阶段,但已经给出了其病理影响的迹象。其中包括:改善呼吸力学和膈肌活动能力,增加运动能力,减少呼吸困难,以及对肺变量(如fvc和fev1)的影响,目前尚不清楚。
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引用次数: 0
Qualidade de vida dos pacientes com chikungunya: fatores associados durante uma epidemia ocorrida no nordeste do Brasil 基孔肯雅热患者的生活质量:巴西东北部流行病期间的相关因素
Pub Date : 2021-02-19 DOI: 10.12662/2317-3076JHBS.V9I1.3600.P1-8.2021
M. Barreto, Ileana Pitombeira Gomes, S. Castro
Objetivo : analisar a associacao de fatores sociodemograficos e clinicos com a Qualidade de Vida (QV) de pessoas com CHIK em Fortaleza-Ce. Metodos : estudo transversal com individuos com CHIK, idade maior que 18 anos, residentes na cidade de Fortaleza-Ceara. Foram avaliados, no domicilio, casos notificados na cidade em 2018 e foram selecionados casos por conveniencia na UBS. Utilizou-se um questionario sociodemografico-clinico, a Escala Numerica de Dor (0-10) e o WHOQOL-Bref(0-100) – avalia a QV. A analise foi realizada pelos testes t de Student, Anova, Pearson e correspondentes nao parametricos (p<0,05). Resultados : a amostra foi de 110 participantes, sendo 87,27% mulheres, 60,91% faziam uso de analgesico. As medias dos dominios da QV foram de 10,38(±3,04)-13,76(±3,11). Foram encontradas correlacoes (moderadas e baixas) significativas da QV com variaveis relacionadas a dor, a idade, ao tempo de diagnostico e aos anos de estudo. Conclusao : as variaveis relacionadas a dor apresentaram o maior numero de relacao e correlacao com QV.
摘要目的:分析福塔莱萨市CHIK患者的社会人口学和临床因素与生活质量的关系。方法:横断面研究对象为居住在福塔莱萨-塞阿拉市18岁以上的CHIK患者。我们在家中评估了2018年该市报告的病例,并根据瑞银的方便选择了病例。我们使用社会人口学和临床问卷、数字疼痛量表(0-10)和WHOQOL-Bref(0-100)来评估生活质量。采用学生t检验、方差分析、Pearson检验和相应的非参数检验进行分析(p< 0.05)。结果:110名参与者,87.27%为女性,60.91%使用止痛药。平均生活质量域为10.38(±3.04)- 13.76(±3.11)。我们发现生活质量与疼痛相关变量、年龄、诊断时间和研究年份之间存在显著(中度和低)相关性。结论:与疼痛相关的变量与生活质量的相关性和相关性最高。
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引用次数: 2
Human papillomavirus infection and risk factors to cervical cancer in asymptomatic women in the region of the Northeast of Brazil 巴西东北部地区无症状妇女宫颈癌的人乳头瘤病毒感染和危险因素
Pub Date : 2021-01-18 DOI: 10.12662/2317-3076JHBS.V9I1.3339.P1-6.2021
K. F. D. Farias, Adrielle Sonara Gomes Silva, Ana Caroline Melo dos Santos, Adriely Ferreira da Silva, D. B. D. Silva, Edilson Leite de Moura, A. Araújo, Cristiane Araújo Nascimento, D. Martins, Elaine Virginia Martins de Souza Figueiredo, J. L. L. Filho
Objective: This study sought to identify the presence of HPV infection and the risk factors related to susceptibility to cervical cancer in asymptomatic women. Methods: It is a cross-sectional study with 428 users attended Basic Health Units, in Arapiraca, Alagoas, Brazil. Sociodemographic, behavioral variables, and cytopathological reports were collected. Molecular detection of the HPV virus was performed by Nested-PCR. Statistical analysis was conducted with SPSS version 22.0. Results: A total of 428 women were studied, HPV DNA detected in 39.2% (n = 168), with a mean age of 41 years old. There was an association of HPV with use of oral contraceptives (p <0.016) and alcoholism (p <0.038). It was showed a higher frequency of positive HPV in women older than 25 years old (88.7%), up to 5 sexual partners (93.4%), up to 3 pregnancies (71.4%), and with the cytopathologic results within the limits of normality (61.9%). HPV was identified in 40.3% (104/258) of the women with results within the limits of normality. Conclusion: Our results suggest that the use of oral contraceptives and alcoholism may be considered as possible risk factors related to cervical oncogenesis. With this, it is necessary to propose interventions aimed at the health education of this population, actions of prevention, and early detection.
目的:本研究旨在确定HPV感染的存在以及与无症状妇女宫颈癌易感性相关的危险因素。方法:这是一项横断面研究,共有428名用户参加了巴西阿拉戈斯州阿拉皮拉卡的基本卫生单位。收集社会人口学、行为变量和细胞病理学报告。采用巢式pcr对HPV病毒进行分子检测。采用SPSS 22.0进行统计分析。结果:共纳入428例女性,HPV DNA检出率为39.2% (n = 168),平均年龄41岁。HPV与口服避孕药的使用(p <0.016)和酒精中毒(p <0.038)有关联。25岁以上女性HPV阳性率较高(88.7%),性伴侣不超过5人(93.4%),怀孕不超过3次(71.4%),细胞病理检查结果正常(61.9%)。在40.3%(104/258)的女性中发现HPV,结果在正常范围内。结论:口服避孕药的使用和酒精中毒可能是宫颈癌发生的危险因素。因此,有必要提出针对这一人群的健康教育、预防行动和早期发现的干预措施。
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引用次数: 2
Qualidade nutricional de dietas da moda veiculadas em revistas não científicas 非科学期刊上流行饮食的营养质量
Pub Date : 2021-01-15 DOI: 10.12662/2317-3076JHBS.V9I1.3062.P1-5.2021
Andreia Fátima Da Silva, V. S. Santos
Objetivo : o presente estudo teve por objetivo analisar a qualidade nutricional de cardapios de dietas da moda veiculadas nas revistas de circulacao nao cientificas “Malu” e “7 Dias com voce”. Metodos : tratou-se de um estudo quali-quantitativo que avaliou cardapios das revistas mencionadas anteriormente, publicadas entre 2015 e 2016. Para a analise do conteudo nutricional, foi utilizado o software DietWin® para averiguar o valor energetico, macronutrientes, o teor de fibra bruta e a quantidade de calcio, ferro e folato; e para a analise qualitativa, utilizaram-se as recomendacoes do Guia Alimentar para a Populacao Brasileira para oferta de frutas, hortalicas e a presenca de alimentos ultraprocessados. Resultados : as dietas analisadas sao hipocaloricas; os macronutrientes estao adequados segundo os intervalos de distribuicao de macronutrientes para adultos, pois sao deficientes em fibras, calcio, folato e ferro. Em relacao a Ingestao Dietetica Recomendada, atendem as recomendacoes para o consumo de hortalicas, sao inadequadas em relacao ao consumo de frutas e prescrevem alimentos ultraprocessados. Conclusao : a inadequacao do conteudo nutricional das dietas leva a prejuizos nutricionais e estao relacionadas as carencias e aos excessos alimentares. Portanto, faz-se necessaria a prescricao de dietas individualizadas por meio de avaliacao detalhada.
摘要目的:本研究旨在分析非科学杂志《Malu》和《7 Dias com voce》刊登的时尚饮食卡皮的营养品质。方法:这是一项定性和定量研究,评估了2015年至2016年发表的上述期刊的cardapios。营养成分分析采用DietWin®软件确定能量值、常量营养素、粗纤维含量、钙、铁、叶酸含量;在定性分析中,我们使用了巴西人口食品指南中关于水果、蔬菜和超加工食品供应的建议。结果:分析的饮食是低热量的;根据成人常量营养素的分布范围,常量营养素是足够的,因为它们缺乏纤维、钙、叶酸和铁。在推荐的膳食摄入量方面,符合蔬菜消费的建议,不适合水果消费,并开超加工食品的处方。结论:饮食营养含量不足会导致营养不良,并与食物缺乏和过量有关。因此,有必要通过详细的评估来制定个性化的饮食处方。
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引用次数: 0
期刊
Journal of Health & Biological Sciences
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