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A quasi experimental study to assess the knowledge and attitude regarding premenstrual syndrome among adolescent girls in selected schools at Madurai 一项准实验研究评估在马杜赖选定学校的青春期女孩对经前综合症的知识和态度
Pub Date : 2022-07-15 DOI: 10.18231/j.jchm.2022.018
Y. Prabu, M. Israel
Adolescence is a journey from the world of the child to adult. It is a time of physical and emotional change as the body matures. Adolescence is a critical transitional period that includes the biological changes of puberty and the need to negotiate key developmental task and it requires special attention and protection. Health of today’s adolescence is hope for tomorrow’s world The aim of the study is to investigate the knowledge and the attitude of adolescent school girls towards premenstrual syndrome. A quasi experimental research using one group pre-test post-test design was conducted with simple random sample of 100 adolescent girls, Madurai. A structured knowledge on premenstrual syndrome and likert type attitude scale were developed by the researcher to assess the attitude regarding premenstrual syndrome and used to collect data from the participants. The planned teaching programme covered all aspects in it. The knowledge and attitude of the adolescent girls were assessed immediately before and a week after planned teaching programme was conducted.The majority 75(75%) of the adolescent girls belonged to the age group of 15 to 18 years. Nearly three fourths 90(70%) of the adolescent girls attained menarche in the age group of 11 to 16 years. Majority 95(95%) had inadequate knowledge and 5(5%) had moderate knowledge regarding pre menstrual syndrome in the pre-test and 50(50%) of adolescent girls had adequate knowledge, 38(38%) had moderate knowledge and 12(12%) had inadequate knowledge in the post-test (12.4±4.36 to 23.6±8.25 p< 0.05; paired t- test). Majority 56(56%) had neutral attitude, 41(41%) had negative attitude and 3(3%) had positive attitude in the pre test. Majority 48(48%) had positive attitude, 42(42%) had neutral attitude and 10(10%) had negative attitude. The attitude score significantly increased from 11.0±2.21 to 13.9±2.61 (p< 0.05; paired t- test). There was significant positive correlation between post test knowledge and attitude scores (r=0.06). The present study concludes that recently pre menstrual syndrome is a common problem all over the world affecting the quality of life of women significantly. Despite the growing awareness, there remains a considerable deficiency of knowledge and attitude about the symptoms, treatment and home remedies of pre menstrual syndrome. The further research is required for a large population including women from various background for the better assessment and strategize to manage this rising problem. Majority of adolescent reports, stress exacerbates their pre menstrual syndrome. It is important that a healthy culture to be promoted among adolescent girls as well as women through health education. Pre menstrual syndrome, programme KAA dolescent girls.
青春期是一段从孩童到成人的旅程。随着身体的成熟,这是一个身体和情感变化的时期。青春期是一个关键的过渡时期,包括青春期的生理变化和需要协商关键的发展任务,它需要特别的关注和保护。今天青春期的健康是明天世界的希望。这项研究的目的是调查青春期女生对经前综合症的知识和态度。采用一组前测后测设计,对100名Madurai少女进行简单随机抽样的准实验研究。研究人员编制了经前综合症结构化知识和likert态度量表,用于评估被试对经前综合症的态度,并用于收集被试的数据。计划中的教学方案涵盖了其中的各个方面。在计划教学方案实施前和实施后一周,对青春期女孩的知识和态度进行了评估。大多数(75%)少女属于15至18岁年龄组。近四分之三(70%)的少女在11至16岁年龄组达到月经初潮。青春期女生经前综合征知识不足者95名(95%),中等知识者5名(5%);经前综合征知识不足者50名(50%),经后综合征知识不足者38名(38%),经后综合征知识不足者12名(12%)(12.4±4.36 ~ 23.6±8.25 p< 0.05;配对t检验)。前测中持中立态度者56名(56%),持消极态度者41名(41%),持积极态度者3名(3%)。持积极态度者48人(48%),持中立态度者42人(42%),持消极态度者10人(10%)。态度评分由11.0±2.21分显著提高至13.9±2.61分(p< 0.05;配对t检验)。测验后知识与态度得分呈显著正相关(r=0.06)。本研究认为,近期经前综合征是世界范围内普遍存在的问题,严重影响着女性的生活质量。尽管对经前综合症的认识日益提高,但对症状、治疗和家庭疗法的知识和态度仍然相当缺乏。需要对包括来自不同背景的妇女在内的大量人口进行进一步的研究,以便更好地评估和制定战略来管理这一日益严重的问题。大多数青少年报告说,压力加剧了他们的经前综合症。重要的是,应通过健康教育在少女和妇女中推广健康文化。经前综合症,计划KAA少女。
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引用次数: 0
Psycho-social determinants of cell phone related distracted driving among bike riders in an urban community of Mysore city, Karnataka 卡纳塔克邦迈索尔市一个城市社区中骑自行车者与手机相关的分心驾驶的心理社会决定因素
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.007
Aishwarya Khot, M. Murthy, P. Kulkarni
Distracted driving is considered to be an important risk factor for road traffic accidents. This study is to find the association between psycho-social determinants and distracted driving. To determine the relationship between psycho-social factors with distracted driving among bike riders residing in an urban community Mysore.A cross-sectional study was conducted among 400 patients. People aged 18 years and above who are having any kind of cell phone and drive/ ride two-wheelers regularly since at least last six months willing to participate in the study were included. Probability proportionate to size technique will be used to identify number of subject to be included in each of 6 segments of urban field practice area. Purposive sampling was used. Data analysis was done in SPSS and Excel.Overall it shows that among 321 respondents, 166 (51.7%) have psycho-social determinants while driving and 155 (48.3%) are not having any psycho-social determinants. To conclude it can be observed that out of 247 individuals having distracted driving. 132 (53%) are having psycho-social problem and there is no statistically significance association between distracted driving and psycho-social problem.Among 321 respondents, 166 (51.7%) have psycho-social determinants while driving and 155 (48.3%) are not having any psycho-social determinants. To conclude it can be observed that out of 247 individuals having distracted driving. 132 (53%) are having psycho-social problem and there is no statistically significance association between distracted driving and psycho-social problem.
分心驾驶被认为是道路交通事故的一个重要危险因素。这项研究是为了发现心理社会决定因素和分心驾驶之间的联系。探讨迈索尔某城市社区骑自行车者分心驾驶与心理社会因素的关系。对400名患者进行了横断面研究。18岁以上的人有任何类型的手机和驱动/骑自行车至少六个月以来经常愿意参加研究包括在内。将使用与大小成比例的概率技术来确定将包括在城市实地实践区域的6个部分中的每个部分的受试者数量。采用有目的抽样。数据分析采用SPSS和Excel软件。总体而言,在321名受访者中,166名(51.7%)在驾驶时有心理社会决定因素,155名(48.3%)没有任何心理社会决定因素。综上所述,可以观察到247个人中有分心驾驶。132人(53%)存在心理社会问题,分心驾驶与心理社会问题的关系无统计学意义。在321名受访者中,166人(51.7%)在驾驶时有心理社会决定因素,155人(48.3%)没有任何心理社会决定因素。综上所述,可以观察到247个人中有分心驾驶。132人(53%)存在心理社会问题,分心驾驶与心理社会问题的关系无统计学意义。
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引用次数: 0
Dengue fever with encephalitis: An uncommon presentation of common illness 登革热伴脑炎:常见病的罕见表现
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.010
Uma Phalswal, Manoj Seval
The dengue virus is a type of Flavivirus that causes dengue fever. It is mostly found in tropical and subtropical countries, with Southeast Asia bearing the brunt of the disease burden. The virus can affect a wide range of organ systems, and the disease can range from a mild flu-like illness to severe dengue hemorrhagic fever or dengue shock syndrome. We present a case of a 21-year-old female who presented with dengue fever with neurological manifestations. Findings from a brain MRI, electroencephalogram, CT scan, and some routine investigations were supported our diagnosis of dengue encephalitis. Conservative and supportive care was provided, including intravenous fluid therapy, antibiotics, antivirals, antiseizure medications, and corticosteroids. The patient's GCS gradually improved with treatment, and physical therapy was also provided. Treatment that is both effective and timely can reduce associated morbidity and result in complete recovery.
登革热病毒是引起登革热的黄病毒的一种。该病主要发生在热带和亚热带国家,其中东南亚首当其冲。这种病毒可以影响广泛的器官系统,这种疾病可以从轻微的流感样疾病到严重的登革出血热或登革休克综合征。我们提出了一个21岁的女性谁提出了登革热与神经系统的表现。脑部MRI、脑电图、CT扫描和一些常规检查的结果支持我们对登革脑炎的诊断。提供保守和支持性护理,包括静脉输液、抗生素、抗病毒药物、抗癫痫药物和皮质类固醇。患者GCS随治疗逐渐改善,并给予物理治疗。有效和及时的治疗可以减少相关的发病率并导致完全康复。
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引用次数: 0
How to protect the children from the third wave of COVID 如何保护儿童免受第三波COVID的影响
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.002
Akash Deep Sharma, S. Hossain, S. Garg, Aanchal Anand
R value of Omicron strain has been recorded at 10 globally and in India the R value has been found to be at 2.69. The R value greater than 1 means that the numbers of cases are growing rapidly and clearly this variant is more contagious than the previous one. More over this wave is affecting children across the country. The data for this review were obtained from studies pertaining to clinical features, epidemiological and immunization trends in children obtained from various journals. As per the recent evidence the Omicron variant is more transmissible, but has less serious health consequences for children than for adults, it is important to avoid infection among children.
全球记录的Omicron菌株R值为10,印度的R值为2.69。R值大于1意味着病例数量正在迅速增长,显然这种变体比前一种更具传染性。更多的是,这一浪潮正在影响全国各地的儿童。本综述的数据来自各种期刊上关于儿童临床特征、流行病学和免疫趋势的研究。根据最近的证据,欧米克隆变异的传染性更强,但对儿童的健康后果不像对成人那么严重,因此避免儿童感染是很重要的。
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引用次数: 0
A study on health status of women faculty in Madurai 关于马杜赖女教员健康状况的研究
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.004
K. Krishna, E. S. Dhas
Woman has lots of responsibilities and work in her daily life. The study aimed to identify high risk health factors to consider lifestyle modification and increase knowledge in regard to health and wellness and also it forms a base for future research. Health related physical fitness includes this aspect of physiological function that offers protection from diseases resulting from sedentary lifestyle. It can be improved or maintained through regular programme of physical activities. With this context, study of the health status of 50 women faculty in Arul Anandar College is carried out. In this regard the Demographic profile, socio economic background, life style pattern, medical history of women faculty were assessed and provide awareness about life style modification and stress free life. The results reveled most of them belonged to nuclear family and had four members in their families. Majority were in the age group of 35-44 years. Nearly 24 per cent were doctorates. Most of them were married, lives in rented houses and belongs to Middle income group. Major part of their income is spend on food. About 34.3 per cent were not doing any exercises due to lack of time. Most of them walk as their regular physical activity. Regarding bevarages consumption, majority consume tea. Symptoms like fatigue, shortness of breath, backache and weakness were found. Some have obesity in their heredity most of them preferred allopathic treatment. To improve the health status of women facultylife style modification is essential.
女人在日常生活中有很多责任和工作。这项研究旨在确定高风险的健康因素,以考虑改变生活方式,增加有关健康和保健的知识,并为未来的研究奠定基础。与健康相关的身体健康包括这方面的生理功能,提供保护免受久坐生活方式引起的疾病。它可以通过定期的体育活动方案得到改善或维持。在此背景下,对阿鲁尔阿南达尔学院50名女教员的健康状况进行了研究。在这方面,对女教员的人口概况、社会经济背景、生活方式模式、病史进行了评估,并提供了关于改变生活方式和无压力生活的认识。结果表明,他们大多属于核心家庭,家庭中有四口人。大多数患者年龄在35-44岁之间。近24%的人拥有博士学位。他们大多已婚,租房居住,属于中等收入群体。他们收入的大部分花在食物上。约34.3%的学生因时间不够而不做任何运动。他们中的大多数人把散步作为他们的常规体育活动。在饮料消费方面,大多数人喝茶。他们发现了疲劳、呼吸短促、背痛和虚弱等症状。有些人遗传肥胖,大多数人更喜欢对抗疗法。改善女教师的健康状况,必须改变生活方式。
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引用次数: 0
Organisational membership and professional excellence among medical practitioners 医疗从业人员的组织成员资格和专业水平
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.006
J. Mukhopadhyay
Professional organizations play indispensible role among medical practitioners ensuring gold standard medical care and treatment. Organisational membership effectuates expression of clinical work, scientific understanding and ardour for distinction. Considering ever-exceeding scientific unfurling in clinical horizon and organisations’ role in upholding therapeutic excellence, it was decided to construe membership status among certain doctors inter-alia, reckoning allied benefits, if any. Study was conducted among 72 doctors selected semi-purposively from certain consenting medicos connected to scholar through various links during August’ 19 - October’ 19 incorporating medicos from diverse age-groups, specialities and functional domains. Sample size was calculated on basis of membership percentage observed in pilot study. Structured pre-tested questionnaire was formulated including participants’ personal attributes and parameters related to their membership in professional organisations with benefits ensued there-by. Questionnaires were circulated online, collected, analysed and tabulated.Majority (44.4%) belonged to 41-50 years and overall 59.7% availed organizational membership. Most were male (66.7%), post-graduate (52.7%), private practitioner (30.6%) with 47.2% harbouring 21-30 years expertise. Many benefitted by ‘relevant information’ (74.4%), ‘professional acquaintance’ (55.8%) and publication (51.1%). Personal reason (27.9%), scarce time, routine commitments (23.2% each) represented common pretexts for missing membership errands. Post-graduate, middle aged, experienced, male, private practitioners found significantly endowed with wealth of clinical information, publications, clinical acquaintances, professional knowledge and interactive confidence being associative.Study elicited precious information about elite professionals elucidating orientation towards model clinical society. Further research is recommended to explore factors that could play important role in professional lives to achieve excellence.
专业组织在医疗从业者中发挥着不可或缺的作用,确保了黄金标准的医疗保健和治疗。组织成员资格可以有效地表达临床工作、科学理解和追求卓越的热情。考虑到在临床领域不断超越科学的发展和组织在维护卓越治疗方面的作用,决定在某些医生中解释会员地位,特别是考虑到相关利益,如果有的话。研究是在19年8月至19年10月期间,从某些同意与学者有联系的医生中半故意选择的72名医生中进行的,其中包括来自不同年龄组,专业和功能领域的医生。样本量是根据前期研究中观察到的成员百分比计算的。制定了结构化的预测试问卷,包括参与者的个人属性和与专业组织成员资格相关的参数,以及随之而来的好处。调查问卷在网上分发、收集、分析并制成表格。大多数人(44.4%)年龄在41-50岁之间,总体59.7%的人是组织成员。以男性(66.7%)、研究生(52.7%)、私人医生(30.6%)居多,其中47.2%拥有21-30年的专业知识。许多人受益于“相关信息”(74.4%)、“专业熟人”(55.8%)和出版物(51.1%)。个人原因(27.9%)、时间有限、例行公事(各23.2%)是错过会员差事的常见借口。研究发现,研究生、中年、经验丰富、男性、私人医生具有丰富的临床信息、出版物、临床熟人、专业知识和互动自信。研究获得了精英专业人员的宝贵信息,阐明了建立模范临床社会的方向。建议进一步研究,以探索在职业生涯中发挥重要作用的因素,以实现卓越。
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引用次数: 0
A study on performance evaluation, roles and challenges faced by the DOTS providers in treatment adherence of TB patients in Tumkur city an untouched area 在未开发地区Tumkur市,直接督导下的短程化疗提供者在结核病患者治疗依从性方面的绩效评估、作用和面临的挑战研究
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.005
Savitha Rani B.B, Vidhya G S, Vinay K S, Mounika Vanya, Gopinath S
Non-governmental personnel such as Anganwadi workers, Asha workers and community volunteers have been used as directly observed treatment (DOT) providers in the revised National Tuberculosis Control Programme (RNTCP), challenges faced by them were not addressed, which is important to improve their performance.A cross-sectional study conducted using semi structured questioner which contains Socio-demographic characteristics of the DOTS provider and the questions to evaluate the performance of DOTS provider, his role in treatment adherence and also the challenges faced by him/her. DOTS providers are traced by information obtained from DTC. Data will be entered and analysed in SPPSS version 16.0About 99% of DOTS providers have received training regarding TB and DOTS. About 70% believed that the reason of failure was due to incomplete treatment and 15% believed that the failure was due to incomplete treatment and failure of preventive measures. 98% of them trace the patients when they don’t come to take DOTS. About 91.1% of them had no history of TB in their families and 7.9% of them had a history of TB in their family. About 53.5% of DOTS provider handled the drug reaction. About 38.6% of them were cured and declared sputum negative. About 94.1% of them had no defaulters and 4% of them had one defaulter under them. About 11.9% of them had one relapse. About 93.1% of them had no failures, 5% of them had one failure and 1% of them had 2 failures. About 95% of them used counseling as an aid to motivate patients. Educating and creating awareness regarding disease and its prevention plays a major role in reducing the burden if disease, addressing the barriers and difficulties of dots provider helps them to give better service and care to patients.
在修订后的国家结核病控制规划(RNTCP)中,Anganwadi工人、Asha工人和社区志愿者等非政府人员被用作直接观察治疗(DOT)提供者,他们面临的挑战没有得到解决,这对提高他们的绩效很重要。采用半结构化提问者进行的横断面研究,其中包含DOTS提供者的社会人口学特征和评估DOTS提供者表现的问题,他在治疗依从性中的作用以及他/她面临的挑战。DOTS提供者通过从DTC获得的信息进行追踪。数据将在SPPSS 16.0版本中输入和分析。大约99%的DOTS提供者接受过有关结核病和DOTS的培训。约70%的人认为失败的原因是治疗不彻底,15%的人认为失败的原因是治疗不彻底和预防措施失败。98%的医生在病人没有来接受短程化疗时进行追踪。91.1%的人家庭中没有结核病史,7.9%的人家庭中有结核病史。53.5%的DOTS提供者处理了药物反应。其中38.6%治愈,痰液阴性。其中94.1%的人没有违约者,4%的人有一个违约者。约11.9%的患者复发一次。约93.1%的人没有失败,5%的人有一次失败,1%的人有两次失败。约95%的医生将咨询作为激励患者的辅助手段。教育和提高对疾病及其预防的认识在减轻疾病负担、解决dots提供者的障碍和困难方面发挥着重要作用,帮助他们向患者提供更好的服务和护理。
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引用次数: 0
Process analytical technology – A review of game changer regulatory framework by US FDA 过程分析技术-美国FDA对规则改变者监管框架的回顾
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.003
Adil Patel
The concept of process analytical technology is introduced with the purpose of providing important information after the analysis of critical quality parameters which can have direct or indirect impact on the product quality. This type of information is helpful in maintaining the product quality while keeping the manufacturing cost low. The implementation of PAT will potentially improve the operational control and compliance as per regulatory guidelines for continuous real time quality assurance during manufacturing. The concept is relatively new for both academia and industry hence Considerable amount of study has been carried out to explore the various aspects of PAT guidelines and their successful implementation. This review mainly contains introduction and background of PAT guidelines as the first step in QBD implementation. Detailed understanding of analysis and selection of suitable analytical technique is the most important aspect of PAT guidelines. These analytical techniques will even play crucial role at the time of scale up and detailed evaluation of drug and dosage forms. The main purpose of this review is to understand the right perspective of PAT guidelines towards the goal of achieving products with highest quality.
介绍了过程分析技术的概念,目的是对直接或间接影响产品质量的关键质量参数进行分析后提供重要信息。这种类型的信息有助于保持产品质量,同时保持低制造成本。PAT的实施将潜在地改善操作控制,并按照生产过程中持续实时质量保证的法规指导方针进行遵从性。对于学术界和工业界来说,这是一个相对较新的概念,因此已经进行了大量的研究来探索PAT指南的各个方面及其成功实施。本文主要介绍了PAT指南作为实施QBD的第一步的介绍和背景。详细了解分析和选择合适的分析技术是PAT指南中最重要的方面。这些分析技术甚至将在扩大规模和详细评估药物和剂型时发挥关键作用。本综述的主要目的是了解PAT指南的正确观点,以实现最高质量的产品。
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引用次数: 0
A study to assess impact of COVID-19 on trends of TB prevalence in Tumkur district 评估COVID-19对图姆库尔地区结核病流行趋势影响的研究
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.008
Savitha Rani B, Gopinath S, Cheluve Gowda, Sanath H. Kumar, Greshma C Nair, K. Iyengar
: Tuberculosis (TB) still continues to be endemic in various regions of the world, with 26% of the global TB cases are from India. In 2020, a total of 1.8 million cases reported as against 2.6 million in the previous year. The unprecedented COVID-19 pandemic derailed the momentum gained and the routine TB related services were adversely affected across the country due to COVID containment measures. The rapid and unexpected surge in demand for diagnosis, treatment, and care of COVID-19 patients has interfered with routine TB services. We assess the impact of Covid-19 on trends of TB prevalence in Tumkur district. By convenient sampling technique the secondary data was drawn from Nikshay portal in district TB centre Tumkur. All TB patients from last 3 years data was entered and analysis done in MS excel to compare testing rate, diagnostic tools, treatment groups, comorbid and treatment outcome. 3719 patients were enrolled for treatment during the year 2020-21 as against 6719 in the previous years. The co morbid percentage is similar across both groups and the rapid diagnostic test was used more during pandemic for microbiological confirmation of TB. Extra pulmonary tb made up to 30% of total cases during the pandemic with low contract tracing during the period. The case notification and treatment outcome are drastically reduced during the pandemic. With limited resources, less infrastructure it’s hard for middle income countries like India to cope up pandemic crisis.
结核病仍然在世界各区域流行,全球结核病病例的26%来自印度。2020年报告的病例总数为180万例,而前一年为260万例。前所未有的COVID-19大流行破坏了取得的势头,由于采取了遏制措施,全国各地的常规结核病相关服务受到了不利影响。对COVID-19患者的诊断、治疗和护理需求的迅速和意外激增干扰了常规结核病服务。我们评估了Covid-19对Tumkur地区结核病流行趋势的影响。采用方便抽样技术,从图姆库尔地区结核病中心的Nikshay门户网站抽取二次数据。在MS excel中输入最近3年的所有结核病患者数据并进行分析,以比较检出率、诊断工具、治疗组、合并症和治疗结果。2020-21年度共有3719名患者接受治疗,而前几年为6719名。两组的合并发病率相似,在大流行期间,快速诊断试验更多地用于结核病的微生物学确认。在大流行期间,额外肺结核占总病例的30%,在此期间合同追踪率低。在大流行期间,病例通报和治疗结果大大减少。由于资源有限,基础设施不足,像印度这样的中等收入国家很难应对流行病危机。
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引用次数: 0
Controlling antimicrobial resistance: A daunting task ahead 控制抗菌素耐药性:一项艰巨的任务
Pub Date : 2022-02-15 DOI: 10.18231/j.jchm.2022.001
R. Danasekaran
Article history: Received 07-09-2021 Accepted 30-12-2021 Available online 28-02-2022 This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
这是一份开放获取(OA)期刊,文章在知识共享署名-非商业-相同方式共享4.0许可协议的条款下发布,该协议允许其他人在作品的基础上进行非商业的重新混合、调整和构建,只要给出适当的署名,并且新的创作在相同的条款下获得许可。
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引用次数: 0
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The Journal of Community Health Management
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