K. Ullah, J. Saleem, Muhammad Ishaq, Farhad Ali Khattak, Fatima Majeed
The COVID-19 pandemic affected life-saving childhood immunization globally and affected Vaccine-Preventable Diseases eradication and elimination efforts. During the initial phase of the pandemic, some countries temporarily stopped vaccination campaigns against measles, meningitis, polio, tetanus, typhoid, and yellow fever. This study was conducted to quantify the effect of COVID-19 on EPI vaccination. A cross-sectional study was conducted in the district Swat of Khyber-Pakhtunkhwa from June to August 2022. The data was extracted from the EPI Management Information System for the four months of the pre-pandemic period and four months of the lockdown period. The pre-pandemic four-month data was taken as a baseline and was compared with the four-months lockdown period. A 7-19% decrease was found during the lockdown period in various antigen coverage. Coverage of Penta-3 was most affected having a 19% decrease while measles coverage was less affected showing a 7% decrease during the lockdown period. BCG coverage was affected by 14%, PCV by 11 to 18%, Rota by 12 to 16%, and IPV by 18%. The vaccination coverage improved in the later months of the lockdown, but the number of defaulters and zero-dose children increased. To fill this gap, a robust strategy for vaccination is recommended.
{"title":"Effects of the COVID-19 pandemic on the uptake of routine immunization vaccines in Swat District in Pakistan","authors":"K. Ullah, J. Saleem, Muhammad Ishaq, Farhad Ali Khattak, Fatima Majeed","doi":"10.5339/avi.2022.11","DOIUrl":"https://doi.org/10.5339/avi.2022.11","url":null,"abstract":"The COVID-19 pandemic affected life-saving childhood immunization globally and affected Vaccine-Preventable Diseases eradication and elimination efforts. During the initial phase of the pandemic, some countries temporarily stopped vaccination campaigns against measles, meningitis, polio, tetanus, typhoid, and yellow fever. This study was conducted to quantify the effect of COVID-19 on EPI vaccination. A cross-sectional study was conducted in the district Swat of Khyber-Pakhtunkhwa from June to August 2022. The data was extracted from the EPI Management Information System for the four months of the pre-pandemic period and four months of the lockdown period. The pre-pandemic four-month data was taken as a baseline and was compared with the four-months lockdown period. A 7-19% decrease was found during the lockdown period in various antigen coverage. Coverage of Penta-3 was most affected having a 19% decrease while measles coverage was less affected showing a 7% decrease during the lockdown period. BCG coverage was affected by 14%, PCV by 11 to 18%, Rota by 12 to 16%, and IPV by 18%. The vaccination coverage improved in the later months of the lockdown, but the number of defaulters and zero-dose children increased. To fill this gap, a robust strategy for vaccination is recommended.","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48998245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Salman Butt, J. Saleem, Muhammad Ishaq, G. Bukhari, Joham Faryal
{"title":"Climate change vulnerability, adaptation assessment, and policy development for occupational health","authors":"Muhammad Salman Butt, J. Saleem, Muhammad Ishaq, G. Bukhari, Joham Faryal","doi":"10.5339/avi.2022.8","DOIUrl":"https://doi.org/10.5339/avi.2022.8","url":null,"abstract":"","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49395755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The pandemic situation generated by the novel coronavirus virus (COVID-19) created several moral and economic dilemmas. While trying to save many local and world economies, entrepreneurs, leaders, and policymakers faced the challenges of managing the resultant economic and financial disruptions and risks coupled with the moral obligation to observe business ethics. This research is based on a documental collection, revision, and analysis of relevant and emerging literature to catch the best practices and experiences adopted by various governments and businesses, especially in western countries, to protect the jobs and employment rights of workers. Among other things, this study urges social policymakers to adopt innovative mechanisms and programs to not only protect the rights of employees but also help maintain jobs during pandemic situations and economic crises The research suggests that adhering to business ethics will enhance the use of technology and boost the sense of innovation and creativity of both employees and their organizations. The importance of the collaboration between public Administrators, policymakers, entrepreneurs, and employees to maintain the fundamentals of business ethics and protect employees' rights is adjudged to be critical to a speedy recovery from the losses and disruptions caused by the pandemic.
{"title":"Business ethics in the era of Covid 19: How to protect jobs and employment rights through innovation","authors":"Chokri Kooli, Melanie lock Son, Imene Beloufa","doi":"10.5339/avi.2022.7","DOIUrl":"https://doi.org/10.5339/avi.2022.7","url":null,"abstract":"The pandemic situation generated by the novel coronavirus virus (COVID-19) created several moral and economic dilemmas. While trying to save many local and world economies, entrepreneurs, leaders, and policymakers faced the challenges of managing the resultant economic and financial disruptions and risks coupled with the moral obligation to observe business ethics. This research is based on a documental collection, revision, and analysis of relevant and emerging literature to catch the best practices and experiences adopted by various governments and businesses, especially in western countries, to protect the jobs and employment rights of workers. Among other things, this study urges social policymakers to adopt innovative mechanisms and programs to not only protect the rights of employees but also help maintain jobs during pandemic situations and economic crises The research suggests that adhering to business ethics will enhance the use of technology and boost the sense of innovation and creativity of both employees and their organizations. The importance of the collaboration between public Administrators, policymakers, entrepreneurs, and employees to maintain the fundamentals of business ethics and protect employees' rights is adjudged to be critical to a speedy recovery from the losses and disruptions caused by the pandemic.","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44620907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Salman Butt, K. Kuklane, J. Saleem, Rubeena Zakar, G. Bukhari, M. Ishaq
{"title":"Evaluation of Occupational Exposure to Heat Stress and Working Practices in the Small and Mid-Sized Manufacturing Industries of Lahore, Pakistan","authors":"Muhammad Salman Butt, K. Kuklane, J. Saleem, Rubeena Zakar, G. Bukhari, M. Ishaq","doi":"10.5339/avi.2022.5","DOIUrl":"https://doi.org/10.5339/avi.2022.5","url":null,"abstract":"","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":"1 1","pages":""},"PeriodicalIF":5.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42951884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Abdelghaffar, E. Lagha, F. Azaiez, N. Haloui, R. Rafrafi
{"title":"Informed consent in a patient with aortic dissection and mild intellectual impairment","authors":"W. Abdelghaffar, E. Lagha, F. Azaiez, N. Haloui, R. Rafrafi","doi":"10.5339/avi.2022.4","DOIUrl":"https://doi.org/10.5339/avi.2022.4","url":null,"abstract":"","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47213126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives of social policies and programs in the post-Covid-19 era","authors":"Chokri Kooli","doi":"10.5339/avi.2022.1","DOIUrl":"https://doi.org/10.5339/avi.2022.1","url":null,"abstract":"","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43902933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yaman M AlAhmad, Duaa Mahmoud Haggeer, Abrar Yaser Alsayed, Mahmoud Y. Haik, L. AbuAfifeh, Mohammed Hussain Aljaber, Ahmed Aboubakr Mohamed, Mohammad Balideh, N. Almutawa, Mohamed Hashim Mahmoud
Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance. Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar. Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.
{"title":"The Effect of Telemedicine on Patients’ Compliance in Family Medicine Follow-ups in Qatar","authors":"Yaman M AlAhmad, Duaa Mahmoud Haggeer, Abrar Yaser Alsayed, Mahmoud Y. Haik, L. AbuAfifeh, Mohammed Hussain Aljaber, Ahmed Aboubakr Mohamed, Mohammad Balideh, N. Almutawa, Mohamed Hashim Mahmoud","doi":"10.5339/avi.2022.3","DOIUrl":"https://doi.org/10.5339/avi.2022.3","url":null,"abstract":"\u0000 Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance.\u0000 \u0000 Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar.\u0000 \u0000 Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49606749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Helmi, D. Sari, Y. Sulistyowati, A. Meliala, L. Trisnantoro, T. Nurrobi, T. Ratmono
Background The Corona virus disease 2019 (COVID-19) pandemic poses a risk of inequality between the number of prepared service staff and patients. Emergency hospitals, that do not have full-time employees due to the voluntary employment system, need to supervise the competence and knowledge of their staff, as they came with diverse backgrounds of knowledge and skill. The National Emergency Hospital Wisma Atlet Kemayoran, which can provide services for nearly 6000 COVID-19 patients, is required to be able to provide education and training continuously to improve the knowledge of its volunteers aiming to improve the quality of the care services. Methodology The present study is descriptive observational research to explore the challenge of education and training in the COVID-19 National Emergency Hospital Wisma Atlet Kemayoran in Jakarta. Results The COVID-19 health workers need to be equipped with sufficient knowledge about personal protective equipment (PPE), COVID-19 management, triage, admission, emergency and critical care for the COVID-19 patients. Supervision is needed to ensure that volunteers with various knowledge and skill backgrounds can collaboratively provide good services for the COVID-19 patients at all fronts. With frequent personnel changes, education and training on the same topic are always given repeatedly. To overcome this inefficiency, the Education and Training Department can film every practical skill related to health care service, and then create tutorial videos followed by small groups onsite skill station, when necessary. The hospital received enormous support from the governmental and non- governmental organizations to conduct education and training sessions on regular basis. Conclusions Education and training are very critical in the Emergency COVID-19 Hospital. The process has become a major challenge due to regular changes of staff. Information and communication technologies remain a more recommended alternative to the traditional onsite face-to-face method of education and training delivery as to prevent the spread of this virus. The training and education program in the National COVID-19 Emergency Hospital Wisma Atlet have received major supports from several Government agencies, and national private/non-government organizations. However, supports from International NGOs, international aid agencies, or humanitarian organizations, apart from the local professional organizations, which generally extend generous support need also to be explored.
{"title":"The challenge of education and training in the COVID-19 National Emergency Hospital Wisma Atlet Kemayoran in Jakarta","authors":"M. Helmi, D. Sari, Y. Sulistyowati, A. Meliala, L. Trisnantoro, T. Nurrobi, T. Ratmono","doi":"10.5339/avi.2021.10","DOIUrl":"https://doi.org/10.5339/avi.2021.10","url":null,"abstract":"\u0000 Background The Corona virus disease 2019 (COVID-19) pandemic poses a risk of inequality between the number of prepared service staff and patients. Emergency hospitals, that do not have full-time employees due to the voluntary employment system, need to supervise the competence and knowledge of their staff, as they came with diverse backgrounds of knowledge and skill. The National Emergency Hospital Wisma Atlet Kemayoran, which can provide services for nearly 6000 COVID-19 patients, is required to be able to provide education and training continuously to improve the knowledge of its volunteers aiming to improve the quality of the care services.\u0000 \u0000 Methodology The present study is descriptive observational research to explore the challenge of education and training in the COVID-19 National Emergency Hospital Wisma Atlet Kemayoran in Jakarta.\u0000 \u0000 Results The COVID-19 health workers need to be equipped with sufficient knowledge about personal protective equipment (PPE), COVID-19 management, triage, admission, emergency and critical care for the COVID-19 patients. Supervision is needed to ensure that volunteers with various knowledge and skill backgrounds can collaboratively provide good services for the COVID-19 patients at all fronts. With frequent personnel changes, education and training on the same topic are always given repeatedly. To overcome this inefficiency, the Education and Training Department can film every practical skill related to health care service, and then create tutorial videos followed by small groups onsite skill station, when necessary. The hospital received enormous support from the governmental and non- governmental organizations to conduct education and training sessions on regular basis.\u0000 \u0000 Conclusions Education and training are very critical in the Emergency COVID-19 Hospital. The process has become a major challenge due to regular changes of staff. Information and communication technologies remain a more recommended alternative to the traditional onsite face-to-face method of education and training delivery as to prevent the spread of this virus. The training and education program in the National COVID-19 Emergency Hospital Wisma Atlet have received major supports from several Government agencies, and national private/non-government organizations. However, supports from International NGOs, international aid agencies, or humanitarian organizations, apart from the local professional organizations, which generally extend generous support need also to be explored.","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48414402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hospitals and healthcare systems are instrumental in the formulation and delivery of a coordinated response to disaster management especially epidemics. In healthcare policy and strategy formation, there are only trade-offs, which with uncertainty are akin to gambles. National organizations play a key role in pandemics through the expression of physician motivation. Effective strategies can facilitate physician action through economies of scale that lower the costs for physicians to meet both community and patients' needs. Moreover, no matter how well clinicians are motivated and positioned to act, their collective actions are likely to fall short without complementary systems for population-based care that require the operational support of an organization. This review of institutional policy implementation and frameworks intends to highlight how a nodal-designated COVID-19 center in Qatar managed to control the menace by altering its procedural sets and work arrangements to augment an integrated, intrinsic response to a briskly emerging, conceivably complex situation. This outcome was achieved under the guidance of a national leadership team, effectively adapted to its specific challenges by building on current medical evidence, management routines, proficiencies, and health system capacity. This ambitious drive started with the cohesion of services and implementation of evidence-based protocols by assigning a physician-led team to research, strategize and organize improved patient flow and information by arranging analytical compliance and preparedness. Through these service approaches and ongoing efforts, HMGH has realized significant outcome improvements, such as increasing capacity building, reducing healthcare waste, and increasing patient satisfaction rates whilst successfully achieving significantly lower COVID-19 mortality both in terms of absolute numbers and as percent population compared to many developed countries in the world. The strategies outlined in this article might not be all-inclusive or fit other healthcare system models, but they generate a veritable interest to pursue and be subjected to further rigorous study.
{"title":"Embracing Healthcare Delivery Challenges during a Pandemic. Review from a nodal designated COVID-19 center in Qatar","authors":"Manish Barman, Tanweer Hussain, Hatem Abuswiril, M. Illahi, Muhammad Sharif, Harman Talat Saman, Magdi Hassan, Mohamedali Gaafar, Junaid Abu, Muayad Kasem Khaled Ahmad, Mohamed Abou Kamar","doi":"10.5339/avi.2021.8","DOIUrl":"https://doi.org/10.5339/avi.2021.8","url":null,"abstract":"Hospitals and healthcare systems are instrumental in the formulation and delivery of a coordinated response to disaster management especially epidemics. In healthcare policy and strategy formation, there are only trade-offs, which with uncertainty are akin to gambles. National organizations play a key role in pandemics through the expression of physician motivation. Effective strategies can facilitate physician action through economies of scale that lower the costs for physicians to meet both community and patients' needs. Moreover, no matter how well clinicians are motivated and positioned to act, their collective actions are likely to fall short without complementary systems for population-based care that require the operational support of an organization. This review of institutional policy implementation and frameworks intends to highlight how a nodal-designated COVID-19 center in Qatar managed to control the menace by altering its procedural sets and work arrangements to augment an integrated, intrinsic response to a briskly emerging, conceivably complex situation. This outcome was achieved under the guidance of a national leadership team, effectively adapted to its specific challenges by building on current medical evidence, management routines, proficiencies, and health system capacity. This ambitious drive started with the cohesion of services and implementation of evidence-based protocols by assigning a physician-led team to research, strategize and organize improved patient flow and information by arranging analytical compliance and preparedness. Through these service approaches and ongoing efforts, HMGH has realized significant outcome improvements, such as increasing capacity building, reducing healthcare waste, and increasing patient satisfaction rates whilst successfully achieving significantly lower COVID-19 mortality both in terms of absolute numbers and as percent population compared to many developed countries in the world. The strategies outlined in this article might not be all-inclusive or fit other healthcare system models, but they generate a veritable interest to pursue and be subjected to further rigorous study.","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2021-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43534425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical and mental health aspects in COVID-19: Two sides of a coin","authors":"O. Sidhom","doi":"10.5339/avi.2021.6","DOIUrl":"https://doi.org/10.5339/avi.2021.6","url":null,"abstract":"","PeriodicalId":29746,"journal":{"name":"Avicenna","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2021-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49052367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}