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Role of speech–Language pathologist in rehabilitation in an individual with dysarthria in medically diagnosed case of Alexander disease – A single case report 语言病理学家在医学诊断为亚历山大病的构音障碍患者康复中的作用- 1例报告
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_20_23
Sarita Rautara, Himanshu Kant
Alexander disease is a rare nervous system disorder resulting from GFAP gene mutation, cause dysarthria in children to adults. A comprehensive language and speech including voice, articulation, and speech intelligibility assessment were carried out before providing speech therapy. The result indicated a poor maintenance of voice and articulation with hypernasality, making the speech more unintelligible. However, after sessions of speech therapy, improvement was observed with reduced hypernasality, improved articulation, and overall speech intelligibility.
亚历山大病是一种罕见的由GFAP基因突变引起的神经系统疾病,可引起儿童至成人的构音障碍。在提供语言治疗之前,进行了全面的语言和言语评估,包括声音,发音和言语可理解性。结果显示声音和发音维持不佳,伴有鼻音异常,使讲话更加难以理解。然而,经过语言治疗后,观察到鼻音过重,发音改善和整体语言清晰度的改善。
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引用次数: 0
Autism spectrum disorder: Treated with homeopathic constitution medicine: A case series study 自闭症谱系障碍:用顺势体质药物治疗:一个案例系列研究
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_11_23
MS Uma Maheswari, PR Sisir
Autism spectrum disorder (ASD) is characterized by persistent impairment in reciprocal social interaction and communication and restricted, repetitive patterns of behavior, interests, and activities. Thus, this pervasive developmental disorder poses a threat of lifelong disability. Two cases of ASD treated with Nux Vomica 1 M and Sulphur 1M at Sarada Krishna Homoeopathic Medical College are presented to show the significance of homeopathic constitutional medicine in ASD treatment. At the initial visit as well as the subsequent follow-up appointments, the Indian Scale for Autism Assessment (ISAA) was utilized to determine the degree of autism. The patients showed remarkable improvement over the course of the treatment. The ISAA score in the first case, which was 143 at the start of the treatment, decreased to 69 after receiving medication for 11 months (ISAA score 143: moderate autism). In the second case, the patient’s initial ISAA score of 73 (ISAA score 73: mild autism) dropped to a corresponding 44 after 10 months of treatment. These experiences have brought to light the significance of matching remedies to patients’ unique symptoms and demonstrated the value of homeopathic therapy in the treatment of ASD.
自闭症谱系障碍(ASD)的特征是在互惠的社会互动和沟通方面持续受损,行为、兴趣和活动模式受到限制和重复。因此,这种普遍的发育障碍构成了终身残疾的威胁。本文介绍了Sarada Krishna顺势疗法医学院使用Nux Vomica 1M和Sulphur 1M治疗ASD的两例病例,以说明顺势体质医学在ASD治疗中的意义。在初次访问以及随后的后续预约中,使用了印度自闭症评估量表(ISAA)来确定自闭症的程度。病人在治疗过程中表现出显著的改善。第一个病例的ISAA评分在治疗开始时为143,在接受药物治疗11个月后降至69 (ISAA评分143:中度自闭症)。在第二个病例中,患者最初的ISAA评分为73分(ISAA评分为73分:轻度自闭症)在治疗10个月后下降到相应的44分。这些经验揭示了针对患者独特症状的匹配疗法的重要性,并证明了顺势疗法在治疗ASD中的价值。
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引用次数: 0
Combined influences of stress and fibromyalgia on voice: A single-case report 应激和纤维肌痛对声音的综合影响:一例报告
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_24_23
Santosh Kumar, Mukesh Sharma
Fibromyalgia may occur due to muscle tension while speaking or singing inaccurately. Symptoms of fibromyalgia are pain, fatigue, alteration in sleep, cognitive dysfunction, anxiety, depression, intestinal disorders, voice, and mood. Women are more affected than men. Voice was evaluated using the GRBAS scale and Dr. Speech software. Perceptually, voice was minimal dysphonia, and acoustically, voice parameters were within normal limits except harmonic–to-noise ratio.
当说话或唱歌不准确时,肌肉紧张可能会引起纤维肌痛。纤维肌痛的症状有疼痛、疲劳、睡眠改变、认知功能障碍、焦虑、抑郁、肠道紊乱、声音和情绪。女性比男性更容易受到影响。使用GRBAS量表和Dr. Speech软件对语音进行评估。感知上,语音障碍最小,声学上,语音参数除谐波噪声比外均在正常范围内。
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引用次数: 0
Multigenerational trauma: It did not start with you, but it must end with you 多代人的创伤:它不是由你开始的,但必须由你结束
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_10_23
Pallerla Srikanth, Amulya Pusapati
Dear Sir, People often encounter some or other traumas across their life cycle stages and not aware of how it could affect their life, other generations. The transmission of trauma from the survivors to their children subsequently affects the next generations as well. Thus, the impact of the trauma that can exist across the generations is called multi-generational trauma (MGT). Hence this MGT impact is not only restricted to the current generation.[1] This is also called intergenerational or transgenerational trauma. Many things get passed down through families subsequent generations from those who directly experience trauma, and it can be inherited too. It can impact on various domains among the trauma survivors such as biological, psychological, social, and vocational functioning. MGT can be transmitted as hushed, concealed, and undefined, surfacing through involuntarily, or implied through someone’s life. The MGT may stem from personal trauma such as child abuse or domestic abuse. The other causes could be drug addiction or alcohol addiction or any substance addiction, child neglect, refugees, war-related trauma, and other natural disasters.[2] Untreated mental illness and other significant social issues such as poverty, unemployment, homelessness, and child labor also cause for the MGT. The MGT occurs when parents unintentionally pass their trauma down to their children. Negative psych of abuse can lead to repeated traumas from generation to generation, if parents have unresolved traumas, they may develop negative coping mechanisms and they pass onto their children. Trauma can also be passed down through your genes; specifically through epigenetics is the way that your genetic code is expressed. It is very crucial to identify and seek appropriate help from the health-care professionals to address the issues associated with the traumas, and thus, it can prevent the MGT. Otherwise which not only affects the survivor psychosocial-vocational functioning adversely but also the next generations. The impact of MGT can be at various levels such as individual, family, and community level. At individual level, the effects would be developing anxiety, depression, insomnia, anger, and fear. It can impact on the self-esteem and efficacy of the survivor, and it can impact on the social functioning and vocational functioning of the trauma survivor. They tend to be isolated themselves from the community and high levels of the social withdrawal behavior will be noticed. The individuals who experience MGT are at high risk of developing the behavioral, emotional problems, and substance abuse. The behavioral problems are frequent lying, truancy, physical aggression, trust issues, and self-injurious behavior. The emotional problems are such as isolation, sadness, helplessness, anxiety, and hopelessness. The MGT can be impacted on the family level as well, and the effects would be continued financial constraints, high noise levels in the family, and poor cohesiven
亲爱的先生,人们经常在生命周期的各个阶段遇到这样或那样的创伤,却没有意识到它会如何影响他们的生活,以及其他几代人。创伤从幸存者传递给他们的孩子,随后也影响到下一代。因此,创伤的影响可以跨越几代人存在被称为多代创伤(MGT)。因此,这种MGT影响不仅限于当前这一代。[1]这也被称为代际或跨代创伤。许多事情会从那些直接经历过创伤的人那里代代相传,也可以遗传。它可以影响创伤幸存者的各个领域,如生物、心理、社会和职业功能。MGT的传播方式可以是悄无声息的、隐蔽的、不明确的,可以是不自觉地出现的,也可以是通过某人的生活暗示出来的。MGT可能源于个人创伤,如虐待儿童或家庭虐待。其他原因可能是吸毒成瘾、酗酒成瘾或任何物质成瘾、忽视儿童、难民、战争创伤和其他自然灾害。[2]未经治疗的精神疾病和其他重大的社会问题,如贫穷、失业、无家可归和童工,也是造成MGT的原因。当父母无意中将他们的创伤传递给孩子时,就会发生MGT。消极的虐待心理会导致一代又一代的重复创伤,如果父母有未解决的创伤,他们可能会发展出消极的应对机制,并将其传递给孩子。创伤也可以通过基因传递;具体来说,通过表观遗传学是你的遗传密码表达的方式。确定并寻求保健专业人员的适当帮助以解决与创伤有关的问题是非常重要的,因此,它可以预防MGT。否则,这不仅会对幸存者的心理社会职业功能产生不利影响,而且会对下一代产生不利影响。管理gt的影响可以在不同的层面,如个人、家庭和社区层面。在个人层面上,影响将是发展焦虑,抑郁,失眠,愤怒和恐惧。它会影响幸存者的自尊和效能,也会影响创伤幸存者的社会功能和职业功能。他们倾向于将自己从社区中孤立出来,并且会出现高度的社会退缩行为。经历过管理gt的人有很高的风险出现行为、情感问题和药物滥用。行为问题是经常说谎、逃学、身体攻击、信任问题和自残行为。情感问题包括孤立、悲伤、无助、焦虑和绝望。MGT也会影响到家庭层面,其影响将是持续的经济拮据,家庭中的高噪音水平,以及家庭成员之间的凝聚力差。MGT甚至会对社会经济状况的不平等、经济增长和社会发展的下降、社会福利活动的妥协等产生影响。考虑到管理gt对个人及其家庭的影响,探索他们的心理职业需求是很重要的。及时为幸存者提供量身定制的心理社会干预是当务之急。管理gt对家庭及其幸福感具有复合指数效应;因此,防止创伤的多代传递至关重要。预防策略包括在个人、家庭和社区层面提供干预措施,这需要多系统的方法。[3]创伤幸存者及其子女都将受益于表1中提到的下列心理社会干预措施。表1:对创伤幸存者的心理社会干预因此,对于正在经历管理gt的个人及其家庭来说,他们的幸福感可以通过心理社会干预得到改善。这些干预措施还增强了他们的心理、社会和职业功能,并减少了创伤对下一代的影响。财政支持及赞助无。利益冲突没有利益冲突。
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引用次数: 0
Cost-effective, easily height adjustable pylon tube for congenital anomalies, and growing age below-knee amputee 性价比高,高度易于调节的塔架管,适用于先天性畸形和年龄增长的膝以下截肢者
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_13_23
Rani Kumari
For a long time, we have seen pediatric amputee and congenital anomalies, the socket is in normal condition but height of the prosthesis decrease due to the growth of the child after few months and few years they need to change the prosthesis. Hence, many companies are making different types of pylon tube but the problem is height adjustment is still ignored/compromised. In a simple pylon tube, we have to dismantle the full pylon tube then only we can adjust the height but in this design not need to dismantle the full pylon and prosthesis because we can adjust the height by rotating turnbuckle. A pylon tube is an important component of the transtibial prosthesis, which bears the weight of the patient. It influences the gait performance and comfort of the patient, where its flexibility can dictate the ground reaction forces associated with walking and step-down. Without an adjustable pylon, it is very difficult for congenital anomalies and pediatric amputee, so in this study, we are trying to adjust height with the growth of the child amputee. In this prosthesis has height adjustable option by rotating of turnbuckle, so we can do the height adjustment very easily. Patients can also increase/decrease their height by themselves, no require to visit clinic, so it may reduce time-consuming for patients as well prosthetist. To face these all challenges, we have designed and developed a new easily adjustable prosthetic pylon in a very low cost for lower-limb amputees.
长期以来,我们看到儿童截肢者和先天性畸形,眼窝是正常的,但假体的高度下降,由于孩子的成长几个月后,几年他们需要更换假体。因此,许多公司都在制造不同类型的塔管,但问题是高度调节仍然被忽视/妥协。在一个简单的塔管中,我们需要拆除整个塔管,然后我们才能调整高度,但是在这个设计中,我们不需要拆除整个塔和假体,因为我们可以通过旋转turnbuckle来调节高度。塔管是经胫骨假体的重要组成部分,它承受病人的重量。它影响患者的步态表现和舒适度,其灵活性可以决定与行走和降压相关的地面反作用力。如果没有可调节的塔架,对于先天性畸形和儿童截肢者来说是非常困难的,所以在这项研究中,我们试图随着儿童截肢者的成长来调整高度。在这个假体中有高度可调的选择,通过旋转旋转扣,所以我们可以很容易地进行高度调节。患者也可以自行增减身高,不需要去诊所,这样可以减少患者和义肢医生的时间。为了应对这些挑战,我们以非常低的成本为下肢截肢者设计并开发了一种易于调节的新型假肢塔。
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引用次数: 0
Effectiveness of a hospital-based comprehensive sickle cell care program to improve coverage of proven interventions in tribal areas of Western India 以医院为基础的镰状细胞综合护理方案的有效性,以提高印度西部部落地区已证实的干预措施的覆盖率
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_9_23
Kapilkumar Dave, Gayatri Desai, Reena Gupta, Dhiren Modi, Shrey Desai
Objective: The objective of this study was to assess the effectiveness of a comprehensive hospital-based sickle cell disease (SCD) model involving improvements of proven interventions in a tribal area of Gujarat, India. Methods: This was a quasi-experimental study involving five primary health centers each in the intervention and control groups. This study was conducted from June 2016 to May 2018 in three tribal areas of Gujarat, India. The intervention was a hospital-based comprehensive care model for SCD patients. We included all SCD patients between the ages of 5 and 40 years in the study area. We measured outcomes at baseline and end line by household survey. The analysis was done using a difference-in-difference method. Results: A total of 84 and 101 patients were recruited in the intervention and control groups, respectively. The baseline characteristics were comparable in both the groups. At end line, there was a significant difference in coverage of proven interventions including pneumococcal vaccination- odds ratio (OR) 21.3 (95% CI 9.7–46.8, P value 0.002), folic acid - OR 4.1 (CI 2.2–7.8, P <0.001), chloroquine –OR 4.9 (CI 2.4–10.2, P <0.001), and hydroxyurea for severe SCD patients - OR7.1 (CI 1.8–28.6, P < 0.001) in the intervention group compared to the control group. The improvement for the clinical outcome indicators including pain crisis rate (mean difference [MD]: −0.18 [−1.17–0.812]), hospitalization rate (MD: −0.08 [−0.375–0.210]), and blood transfusion rate (MD: −0.60 [−0.532–0.412]) in the intervention group in comparison with the control group was nonsignificant. Conclusion: This study shows that the comprehensive hospital-based SCD model has great potential to improve the coverage of proven interventions for SCD. Further investigation is needed to assess the impact on clinical outcomes.
目的:本研究的目的是评估综合医院为基础的镰状细胞病(SCD)模型的有效性,该模型涉及改进印度古吉拉特邦部落地区已证实的干预措施。方法:这是一项准实验研究,涉及五个初级卫生中心,每个中心作为干预组和对照组。这项研究于2016年6月至2018年5月在印度古吉拉特邦的三个部落地区进行。干预是一种以医院为基础的SCD患者综合护理模式。我们纳入了研究区域内年龄在5至40岁之间的所有SCD患者。我们通过家庭调查在基线和终点线测量结果。分析是用差中差法进行的。结果:干预组84例,对照组101例。两组的基线特征具有可比性。在终点线,与对照组相比,已证实的干预措施的覆盖率有显著差异,包括肺炎球菌疫苗接种-比值比(OR)为21.3 (95% CI 9.7-46.8, P值0.002),叶酸-比值比为4.1 (CI 2.2-7.8, P <0.001),氯喹-比值比为4.9 (CI 2.4-10.2, P <0.001),以及严重SCD患者的羟基脲-比值比为7.1 (CI 1.8-28.6, P <0.001)。干预组疼痛危重率(平均差值[MD]: - 0.18[- 1.17-0.812])、住院率(MD: - 0.08[- 0.375-0.210])、输血率(MD: - 0.60[- 0.532-0.412])等临床结局指标与对照组比较改善无统计学意义。结论:本研究表明,以医院为基础的SCD综合模型具有很大的潜力,可以提高已证实的SCD干预措施的覆盖率。需要进一步的研究来评估对临床结果的影响。
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引用次数: 0
Prospective of professionals toward role of speech-language pathologist in assessment and management of dysphagia 专业人士对语言病理学家在吞咽困难的评估和治疗中的作用的展望
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_22_23
AjayKumar Mishra, Mukesh Sharma, Santosh Kumar, Mansha Parmar
Background: Dysphagia is a disorder of swallowing and/or feeding. It is associated with malnutrition, dehydration, pulmonary pneumonia and increased mortality. Timely assessment and management of dysphagia carried out by speech and language pathologist is necessary. Speech Language Pathologist (SLP) evaluates and treats patients with dysphagia by using dysphagia therapy, postural changes, swallowing maneuvers and recommends texture modified dysphagia diet. Objective: The aim of the present study was to explore the level of awareness medical practitioner have regarding dysphagia and speech and language pathologist’s role in dysphagia. Methodology: A non-experimental, descriptive survey was conducted for the purpose of this research. Information was gathered by mean of a self-designed questionnaire. The data was collected from Sumandeep Vidhyapeeth University, Vadodara, Gujarat. The sample of the study consists of 100 medical practitioners (60 males and 40 females) working in different department, in which speech and language services were available and speech and language pathologists were accessible fulltime. Results: The data analysis was carried out with SPSS version 17.0 for windows. The score obtained by the participants were shows that medical practitioners do not have adequate knowledge regarding the assessment and management of patients who suffer from eating and drinking difficulties. Conclusion: On the basis of the present research, it was concluded that medical practitioners lack in their knowledge and understanding of basic dysphagia assessment and management practices. Their lack of awareness of SLP role results in decrease SLP referrals.
背景:吞咽困难是一种吞咽和/或进食障碍。它与营养不良、脱水、肺部肺炎和死亡率增加有关。语言病理学家及时评估和处理吞咽困难是必要的。言语语言病理学家(SLP)通过使用吞咽困难疗法、体位改变、吞咽动作来评估和治疗吞咽困难患者,并推荐质地改良的吞咽困难饮食。目的:本研究的目的是探讨医生对吞咽困难和语言病理学家在吞咽困难中的作用的认识水平。方法:本研究采用非实验、描述性调查。通过自行设计的问卷收集信息。数据收集自古吉拉特邦瓦多达拉的苏曼迪普·维德亚皮思大学。该研究的样本包括100名在不同部门工作的医生(60名男性和40名女性),这些部门提供语言和语言服务,并且有全职的语言和语言病理学家。结果:采用SPSS 17.0软件进行数据分析。参与者获得的分数表明,医生对患有饮食困难的患者的评估和管理缺乏足够的知识。结论:在本研究的基础上,医生对吞咽困难的基本评估和管理方法缺乏认识和理解。他们缺乏对SLP角色的认识,导致SLP转诊减少。
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引用次数: 0
Vulnerability assessment of maternal factors (Matrija Bhava) for the causation of metabolic disorders in childhood (0–6 years): A cross-sectional study 儿童(0-6岁)代谢性疾病的母体因素(Matrija Bhava)易感性评估:一项横断面研究
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_1_23
Priyanka Bhardwaj, Pooja Sabharwal
Objective: The primary objective is to assess the vulnerability of Matrija Bhava for the causation of metabolic disorders in the purview of epigenetics. Data Source: This study was conducted at the PG Department of Rachana Sharir, CBPACS, New Delhi, and AIIMS, New Delhi. Materials and Methods: Twenty subjects of metabolic disorders, namely diabetes mellitus, obesity, and hypothyroidism cases, were taken to collect the data. The self-structured information sheet/case paper pro forma followed by a consent form was used to record all the data of the subject along with their mother’s history (at the time of pregnancy) included in the study. All the observations were recorded and furnished for statistical analysis. Results: It was observed that Lavana, Madhura, Amla, and Katu Rasa Ahara; Viruddha Ahara, Ratrijagrana and Divaswapna were observed as a potential factor affecting the Metabolism of the mother at the time of their pregnancy with the subject; thereby causing related metabolic disorders to the subject. Conclusion: Maternal factors (Matrija Bhava) are vulnerable to cause metabolic disorders in childhood.
目的:主要目的是在表观遗传学的范围内评估母树对代谢紊乱的易感性。数据来源:本研究在新德里CBPACS Rachana Sharir的PG部和新德里AIIMS进行。材料与方法:选取20例代谢性疾病患者(糖尿病、肥胖症、甲状腺功能减退)进行数据收集。使用自结构的信息表/案例纸预表和同意书记录受试者的所有数据及其母亲(怀孕时)的病史。所有的观察结果都被记录下来并提供统计分析。结果:观察到拉瓦纳、马杜拉、阿姆拉和卡图·拉沙·阿哈拉;Viruddha Ahara, Ratrijagrana和Divaswapna被观察到是影响母亲在怀孕期间代谢的潜在因素;从而对受试者造成相关的代谢紊乱。结论:母体因素易引起儿童期代谢紊乱。
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引用次数: 0
A comparative study of Muenster socket versus split socket with step-up hinge on very short transradial amputees 极短经桡骨截肢者明斯特窝与分体式上移铰链窝的比较研究
Pub Date : 2023-01-01 DOI: 10.4103/jihs.jihs_21_22
Rani Kumari
Persons with very short transradial stump find extreme difficulty in performing daily routine activities. The Muenster socket prosthesis was compared to split socket with step-up hinge prosthesis in this study, while both the designs were compared in terms of their advantages and functional effects on very short transradial amputees. A goniometer was used for measuring elbow joint range of motion by computing the angle from the axis of the joint for each specific joint, in addition to block box test study and kinetics of prosthesis. In block box test, mild increment with split socket with step-up hinge was observed as compared to the Muenster prosthesis. This may be due to amplification by split socket of the elbow joint motion and speed of the forearm with a terminal device. The statistical analysis of the data revealed that split socket with step-up hinge prosthesis provided better functional control for very short transradial amputees than the Muenster socket prosthesis.
桡骨外残端非常短的人在进行日常活动时极其困难。在本研究中,我们将Muenster假体与分离式假体和上升式铰链假体进行了比较,并比较了这两种设计在非常短的经桡骨截肢者中的优势和功能效果。除了块盒试验研究和假体动力学外,还使用角计通过计算每个特定关节与关节轴的夹角来测量肘关节的运动范围。在块箱试验中,与Muenster假体相比,采用分体式槽型和上升式铰链的假体有轻微的增加。这可能是由于使用终端装置时肘关节运动和前臂运动速度的扩大。统计分析数据显示,对于极短桡骨截肢患者,裂口式关节窝与提升式关节窝的功能控制优于明斯特关节窝。
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引用次数: 0
Artificial Intelligence in Health Care 医疗保健中的人工智能
Pub Date : 2023-01-01 DOI: 10.4103/2347-6486.386493
AK Seth
{"title":"Artificial Intelligence in Health Care","authors":"AK Seth","doi":"10.4103/2347-6486.386493","DOIUrl":"https://doi.org/10.4103/2347-6486.386493","url":null,"abstract":"","PeriodicalId":30637,"journal":{"name":"International Journal of Integrated Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135798909","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}
引用次数: 0
期刊
International Journal of Integrated Health Sciences
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