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DETERMINANTS AFFECTING THE DEPRESSION OF INFARCTION POST STROKE PATIENTS IN (SAIFUL ANWAR HOSPITAL MALANG) 影响(SAIFUL-ANWAR医院马朗)脑卒中后梗死患者抑郁的决定因素
Pub Date : 2016-06-27 DOI: 10.21776/UB.MNJ.2016.002.02.3
B. Munir, Arief Alamsyah Nasution, Yeni Purnamasari
Background. Stroke is a functional disorder of the brain that occurs suddenly with signs and symptoms of both focal and global clinical lasting more than 24 hours, or can lead to death due to circulatory disorders of the brain. Stroke ranks third leading cause of death in Indonesia. Someone with stroke will leading mood disruption that would cause a depression. Objective. To determine the effect on depression of stroke infarction. Methods. The study used descriptive analytic cross-sectional study. 42 samples was selected by consecutive method. The distribution of the sample are 18 males and 24 females, 23 samples below 60 years and 19 samples over 60 years, 13 samples had duration of suffering a stroke less than 6 months and 29 samples above 6 months. The independent variables in this study were age, sex, and duration of suffering a stroke, while the depression is the dependent variable. Depression was assessed using the Hamilton Depression Rating Scale (HDRS). Results. The results used logistic regression test obtained value of (p = 0.021) is significant in age. Conclusion. The age is the determinant affecting the quality of life after stroke infarction.
背景。中风是一种突然发生的脑功能障碍,其局灶性和全局性临床体征和症状持续时间超过24小时,或可因脑循环障碍导致死亡。中风是印尼第三大死因。中风患者会导致情绪紊乱,从而导致抑郁症。目标。目的:探讨中药对脑梗死患者抑郁的影响。方法。本研究采用描述性分析横断面研究。采用连续法选取42例样本。样本分布为男性18例,女性24例,60岁以下23例,60岁以上19例,中风持续时间6个月以下13例,6个月以上29例。本研究的自变量是年龄、性别和中风持续时间,而抑郁症是因变量。采用汉密尔顿抑郁评定量表(HDRS)评估抑郁程度。结果。结果采用logistic回归检验,所得值为(p = 0.021),在年龄上有显著性差异。结论。年龄是影响脑梗死后生活质量的决定因素。
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引用次数: 2
UCAO (UNILATERAL CEREBRAL ARTERY OCCLUSSION) METHOD INCREASES THE LEVEL OF MMP- 9 BRAIN TISSUE IN RATS MODEL OF ISCHEMIC STROKE 单侧脑动脉闭塞法提高缺血性脑卒中模型大鼠脑组织mmp - 9水平
Pub Date : 2016-06-27 DOI: 10.21776/UB.MNJ.2016.002.02.1
M. R. Indra, C. P. Gasmara
Background. UCAO (Unilateral Cerebral Artery Occlusion) is a stroke induction method by ligating mice’s carotid artery for 45 minutes. Thus giving a hypoxic condition similar to stroke attacks to human. This method is less complicated and far more efficient. MMP-9 is a stroke marker which is assayed by ELISA from the blood of test animal. Objective. To prove UCAO method is capable to raise MMP-9 concentration in mice’s blood. Methods. This research was an experimental laboratory research with post-test only controlled group design. 8 male rats (8-10 weeks) were divided into 2 groups. A day after the treatment group had been induced to stroke, both group were tested to measure the MMP-9 blood concentration through ELISA. Results. In this research, UCAO method had increased MMP-9 blood concentration in treatment group, compared to the control group. It is proved by the statistic tests, Mann-Whitney and Kruskal-Wallis, which showed a significant increase in treatment group (p < 0.05). Conclusion. UCAO method is accepted as a method to create an ischemic stroke mice model.
背景。UCAO(单侧大脑动脉闭塞)是一种通过结扎小鼠颈动脉45分钟诱导脑卒中的方法。从而使人体处于类似中风发作的缺氧状态。这种方法不那么复杂,而且效率高得多。MMP-9是一种从实验动物血液中提取的脑卒中标志物。目标。证明UCAO法能提高小鼠血中MMP-9的浓度。方法。本研究为试验性实验室研究,采用后验对照组设计。8只雄性大鼠(8 ~ 10周龄)分为2组。治疗组诱导脑卒中1 d后,采用ELISA法检测两组患者血中MMP-9的浓度。结果。在本研究中,与对照组相比,UCAO方法使治疗组的MMP-9血药浓度升高。经Mann-Whitney和Kruskal-Wallis统计检验证明,治疗组显著升高(p < 0.05)。结论。UCAO法是一种公认的建立缺血性脑卒中小鼠模型的方法。
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引用次数: 0
THE CLINICIAN'S APPROACH TO THE MANAGEMENT OF HEADACHE 临床医生治疗头痛的方法
Pub Date : 2016-06-27 DOI: 10.21776/UB.MNJ.2016.002.02.7
H. Hidayati
Headache is one of the most common complaints presenting to primary care physicians, as well as neurologists. Although the vast majority of headache syndromes are benign, clinicians are faced with the crucial task of differentiating benign headache disorders from potentially life threatening headache. Given the broad range of disorders that present with headache, a focused and systematic approach is necessary to facilitate the prompt diagnosis and treatment of various kinds of head pain.
头痛是向初级保健医生和神经科医生提出的最常见的投诉之一。虽然绝大多数头痛综合征是良性的,但临床医生面临着区分良性头痛疾病与潜在威胁生命的头痛的关键任务。鉴于头痛所引起的疾病范围广泛,有必要采取有针对性和系统的方法,以促进对各种头痛的及时诊断和治疗。
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引用次数: 0
EFFECTS OF BRAIN AGE TO INCREASE COGNITIVE FUNCTION IN ELDERLY 脑龄对提高老年人认知功能的影响
Pub Date : 2016-06-27 DOI: 10.21776/UB.MNJ.2016.002.02.4
Achdiat Agoes, Retno Lestari, Saifullah Alfaruqi
Background. The concept of cognitive (from Latin cognosere, to know or to recognize) refers to the ability to process information, applying knowledge, and change the trend. cognitive function of the elderly can be optimized through a variety of ways, one of that way is the brain training game (Brain Age). The game was created specifically to train the cognitive function of elderly. Objective. To determine the effect of Brain Ag) to the improvement of cognitive function in the elderly in Malang. Methods. Quasi-experimental pretest-posttest approach, the treatment and control groups, and the sampling is done with purposive sampling to obtain the 20 respondents. Data collection instrument in this study are in general cognitive tests by using a measuring instrument MMSE. Then the data were analyzed by Mann-Whitney test showed p value 0.000 <α 0.05. Results. There is the effect of therapy brain training game (Brain Age) on increasing cognitive function of elderly in Malang. Conclusion. Therapy of brain training game (Brain Age) can be used as an alternative method of nursing actions that can be implemented in nursing geriatric and to consider inter-community cooperation between the elderly or nursing home.
背景。认知的概念(来自拉丁语cognosere,知道或认识)是指处理信息、应用知识和改变趋势的能力。老年人的认知功能可以通过多种方式得到优化,其中一种方式就是大脑训练游戏(brain Age)。这个游戏是专门为训练老年人的认知功能而设计的。目标。目的:探讨脑抗原(Brain Ag)对改善麻郎地区老年人认知功能的影响。方法。采用准实验前测后测的方法,分为实验组和对照组,抽样采用有目的抽样,获得20名调查对象。本研究的数据收集工具是在一般认知测试中使用测量仪器MMSE。经Mann-Whitney检验,p值为0.000 <α 0.05。结果。治疗性脑训练游戏(brain Age)对提高玛琅地区老年人认知功能的影响。结论。脑训练游戏疗法(brain Age)可以作为一种替代的护理行动方法,可以在老年护理中实施,并考虑老年人或养老院之间的社区间合作。
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引用次数: 3
ASSOCIATION BETWEEN CARBAMAZEPINE INDUCED SEVERE CUTANEOUS ADVERSE DRUG REACTION AND HLA POLIMORPHISMS 卡马西平引起的严重皮肤不良反应与hla多态性的关系
Pub Date : 2016-01-01 DOI: 10.21776/UB.MNJ.2016.002.01.7
S. Ratnaningrum
Carbamazepine as an antiepileptic drug that is used widely and was known can cause severe cutaneous adverse drug reactions like SJS-TEN. These adverse drug reactions is known to be associated with some specific HLA polymorphism in European populations (HLA-A*31: 01), China (HLA-A*31: 01; HLA-B*15: 02), Japan (HLA-A*31 : 01; HLA-B*15: 11), Korea HLA-A*31: 01; HLA-B*15: 02; HLA-B*15: 11), India (HLA-B*15: 02), Thailand (HLA-B*15: 02), and Malaysia (HLA-B*15: 02). Information related to certain HLA polymorphism is important to prevent adverse drug reaction but there is no sufficient data on the population of Indonesia.
卡马西平作为一种广泛使用的抗癫痫药物,已知可引起严重的皮肤不良反应,如SJS-TEN。已知这些药物不良反应与欧洲人群(HLA- a * 31:01)、中国人群(HLA- a * 31:01;HLA-B* 15:02),日本(HLA-A* 31:01;HLA-B* 15:11),韩国HLA-A* 31:01;HLA-B * 15: 02;HLA-B* 15:11)、印度(HLA-B* 15:02)、泰国(HLA-B* 15:02)、马来西亚(HLA-B* 15:02)。与某些HLA多态性相关的信息对预防药物不良反应很重要,但在印度尼西亚人口中没有足够的数据。
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引用次数: 0
BRAIN NEURON REGENERATION IN POST-STROKE REHABILITATION TREATMENT USING GRAPE PEEL AND SEED EXTRACT (Vitis vinifera) IN INDUCING ERK1 / 2 PATHWAY 使用葡萄皮和葡萄籽提取物诱导ERK1 / 2通路在脑卒中后康复治疗中的脑神经元再生
Pub Date : 2016-01-01 DOI: 10.21776/UB.MNJ.2016.002.01.4
Zanella Yolanda Lie, Meliantha Tandiono, Lucy Pricillia, Astrid Nandikasari Lukito, C. P. Gasmara
Background. Ischemic stroke can cause hypoxia in brain tissue and damage the neuron. The defense ability and plasticity is activated by ERK1/2 pathway. Grape peel and seed extract (Vitis vinifera can induce release neurotrophic factor that contribute in ERK1/2 pathway mechanism. Objective. To prove that grape peel and seed extract can regenerate neuron in anatomical and functional view. Methods. This research use true experimental design with sample in this research is 20 male 8-10 weeks old wistar strain rats which are induced stroke by internal and external carotid artery occlusion method. Results. The repairment is monitored from four parameters, namely cylinder test score, ladder rung walking test score, extensive infarct volume, and number of damaged neuron. Conclusion. The result is 50mg/KgBW is effective in repairing neuron. It is seen from the result of improvement in four parameters explained above.
背景。缺血性中风可引起脑组织缺氧,损伤神经元。ERK1/2通路激活了防御能力和可塑性。葡萄皮和葡萄籽提取物可诱导神经营养因子的释放,参与ERK1/2通路机制。目标。从解剖学和功能上证明葡萄皮和葡萄籽提取物具有再生神经元的作用。方法。本研究采用真实验设计,以20只8-10周龄雄性wistar系大鼠为样本,采用颈内、外动脉闭塞法诱导脑卒中。结果。从柱体测试评分、阶梯行走测试评分、大面积梗死体积和受损神经元数量四个参数监测修复情况。结论。结果表明,50mg/KgBW对神经元的修复是有效的。从上述四个参数的改进结果可以看出。
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引用次数: 1
THE COMPARISON BETWEEN DEFICIT FUNCTIONAL NEUROLOGIST WITH VON WILLEBRAND FACTOR LEVELS IN ACUTE THROMBOTIC STROKE PATIENTS 急性血栓性脑卒中患者神经功能缺损与血管性血友病因子水平的比较
Pub Date : 2016-01-01 DOI: 10.21776/UB.MNJ.2016.002.01.1
Ita Muharram Sari, M. Islam
Background. There are limited studies of von Willebrand factor (vWF) and thrombotic stroke, escpecially the relationship between level of vWF and functional neurological deficit. Objective. To determine the difference between functional neurological deficit; measured by the NIHSS scale with the vWF level. Methods. Design study was cross sectional, sampling by consecutive admission according to inclusion and exclusion criteria. Blood samples were taken for vWF measurement. Patients are divided into two categories, low vWF level and high vWF levels. Deficit functional neurologist was measured by NIHSS scale. Results. The results were analyzed by chi square. From 80 patients, the result compares the level of NIHSS scale. In grup with mild NIHSS and low vWF levels (50 %) higher than grup with mild NIHSS and high vWF levels (27,27 %). In other side, grup with moderate NIHSS and low vWF levels (50 %) lower than grup with moderate NIHSS and high vWF levels (72,73 %). The difference is not significant statistically (p=0.067). Conclusion. There was no difference between deficit functional neurologist measured by NIHSS scale with von Willebrand factor levels in acute thrombotic stroke patients.
背景。血管性血友病因子(vWF)与血栓性卒中的关系研究有限,特别是vWF水平与功能性神经功能缺损的关系研究较少。目标。确定功能性神经缺损的区别;用NIHSS量表测量vWF水平。方法。设计研究是横断面的,根据纳入和排除标准连续入组抽样。采集血样进行vWF测量。患者分为低vWF水平和高vWF水平两类。神经功能缺损采用NIHSS量表进行测量。结果。结果用卡方分析。对80例患者的NIHSS量表水平进行比较。轻度NIHSS和低vWF水平组(50%)高于轻度NIHSS和高vWF水平组(27.7%)。另一方面,中度NIHSS低vWF组(50%)低于中度NIHSS高vWF组(72,73 %)。差异无统计学意义(p=0.067)。结论。在急性血栓性脑卒中患者中,NIHSS量表测量的神经功能缺损与血管性血友病因子水平无显著差异。
{"title":"THE COMPARISON BETWEEN DEFICIT FUNCTIONAL NEUROLOGIST WITH VON WILLEBRAND FACTOR LEVELS IN ACUTE THROMBOTIC STROKE PATIENTS","authors":"Ita Muharram Sari, M. Islam","doi":"10.21776/UB.MNJ.2016.002.01.1","DOIUrl":"https://doi.org/10.21776/UB.MNJ.2016.002.01.1","url":null,"abstract":"Background. There are limited studies of von Willebrand factor (vWF) and thrombotic stroke, escpecially the relationship between level of vWF and functional neurological deficit. Objective. To determine the difference between functional neurological deficit; measured by the NIHSS scale with the vWF level. Methods. Design study was cross sectional, sampling by consecutive admission according to inclusion and exclusion criteria. Blood samples were taken for vWF measurement. Patients are divided into two categories, low vWF level and high vWF levels. Deficit functional neurologist was measured by NIHSS scale. Results. The results were analyzed by chi square. From 80 patients, the result compares the level of NIHSS scale. In grup with mild NIHSS and low vWF levels (50 %) higher than grup with mild NIHSS and high vWF levels (27,27 %). In other side, grup with moderate NIHSS and low vWF levels (50 %) lower than grup with moderate NIHSS and high vWF levels (72,73 %). The difference is not significant statistically (p=0.067). Conclusion. There was no difference between deficit functional neurologist measured by NIHSS scale with von Willebrand factor levels in acute thrombotic stroke patients.","PeriodicalId":31552,"journal":{"name":"Malang Neurology Journal","volume":"2 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68323757","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: 1
THE EFFECT OF BETA GLUCAN OF SACCHAROMYCES CEREVISAE ON THE DECREASE OF ALPHA SYNUCLEIN EXPRESSION IN THE BRAIN SUBSTANTIA NIGRA OF PARKINSON’S WISTAR STRAIN RATS (Rattus novergicus) MODEL INDUCED WITH ROTENONE 酒酵母葡聚糖对鱼藤酮诱导的帕金森病WISTAR系大鼠黑质α -突触核蛋白表达降低的影响
Pub Date : 2016-01-01 DOI: 10.21776/ub.mnj.2016.002.01.2
Masruroh Rahayu, S. Kurniawan, M. Husna, H. Hermawan
Background. One of the regenerative therapy modalities in Parkinson is using the beta glucan effect contained in Saccharomyces cerevisae. Objective. To identify the effect of reduction in alpha synuclein expression on the brain substantia nigra in Parkinson's rat model after given Saccharomyces cerevisae. Methods. This research applied true experimental design by in vivo with draft randomized post test only controlled group design. The sample was divided into five groups, each of them consisted of 5 rats. Variables measured were the decreasing level of alpha synuclein. Results. There was a significant difference between positive control and negative control group. Conclusion. The addition of Saccharomyces cerevisae is able to lower the alpha synuclein expression in Parkinson’s Wistar strain rat models significantly with maximum at the dose of 72 mg/kgBB.
背景。帕金森病的再生治疗方式之一是利用酿酒酵母中含有的葡聚糖效应。目标。目的观察给药后α突触核蛋白表达减少对帕金森病大鼠模型脑黑质的影响。方法。本研究采用了真正意义上的实验设计,采用活体随机后验设计,只设对照组。将样品分为5组,每组5只大鼠。测量的变量是α -突触核蛋白水平的下降。结果。阳性对照组与阴性对照组比较差异有统计学意义。结论。添加酿酒酵母能显著降低帕金森病Wistar大鼠模型α突触核蛋白的表达,在72 mg/kgBB时达到最大。
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引用次数: 3
OCCIPITAL LOBE SYNDROME 枕叶综合征
Pub Date : 2016-01-01 DOI: 10.21776/UB.MNJ.2016.002.01.6
S. Kurniawan
The ability to recognize objects and words is not just depend on the integrity of visual pathway and  primary vision area on cerebral cortex (Brodmann area 17), but also secondary vision area 18 and tertiary vision area 19 on occipital lobe. Lesion in occipital lobe could disturb of human visual function such as visual field defects, inability to recognize colors, inability to recognize words, visual hallucinations and illusions, occipital lobe epilepsy, and Anton’s syndrome. Some causes of occipital lobe lesion are head trauma, chemical intoxicity, neoplasma, stroke, degenerative disease, and vascular disease. Prognosis of occipital lobe syndrome is depend on the initial condition but prognosis from the majority of cases with occipital lobe lesions is not good because the exact intervention is not discovered yet and included one of irreversible disease.
识别物体和文字的能力不仅依赖于视觉通路和大脑皮层初级视觉区(Brodmann区17)的完整性,还依赖于枕叶次级视觉区18和第三视觉区19。枕叶病变可对人的视觉功能造成干扰,如视野缺损、不能识别颜色、不能识别文字、出现视觉幻觉和幻觉、枕叶癫痫、安东综合征等。枕叶病变的原因包括头部外伤、化学中毒、肿瘤、中风、退行性疾病和血管疾病。枕叶综合征的预后取决于初始条件,但大多数枕叶病变患者的预后不佳,因为尚未发现确切的干预措施,其中包括一种不可逆疾病。
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引用次数: 0
THE RELATIONSHIP OF CARPAL TUNNEL SYNDROME CLINICAL SYMPTOMPS AND ELECTRONEUROMYOGRAPHY RESULTS IN RSSA MALANG 腕管综合征临床症状与神经肌电图结果的关系
Pub Date : 2016-01-01 DOI: 10.21776/UB.MNJ.2016.002.01.5
S. Kurniawan, M. Husna, H. Rasyid, Nadiya Elfira Bilqis
Background. Carpal tunnel syndrome (CTS) is caused by entrapment neuropathy of the median nerve in the carpal tunnel that can be detected with electroneuromyography (ENMG). Objective. To determine whether there are significant differences in parameters of ENMG examination between CTS groups with mild-to-moderate and severe clinical symptoms. Methods. The study design was observational analytic using cross sectional design approach of the patient's medical record data as many as 61 samples. Results. From 61 samples, there were dominancy of age ≥ 40 years old as many as 80.32% and gender female as many as 88.52%. There was no significant differences in age and gender between the two groups (p=0.073 and p=1.000 respectively). Sensory amplitude, MSDL, and Ring Diff are significantly different between the two groups (p=0.005, p=0.020, and p=0.031 respectively). There are no significant difference of motor amplitude and MMDL between the two groups (p=0.384 and p=0.196 respectively). Conclusion. Sensory amplitude value having a relationship with the severity of clinical symptoms. ENMG examination and clinical symptoms of CTS were independent parameters, that should not be used alone to make a diagnosi both of them could enhance the accuracy of diagnosis.
背景。腕管综合征(Carpal tunnel syndrome, CTS)是由腕管正中神经的压迫性神经病变引起的,可以通过神经肌电图(ENMG)检测到。目标。确定临床症状轻至中度和重度CTS组间ENMG检查参数是否存在显著差异。方法。研究设计采用观察性分析,采用横断面设计方法,对多达61个样本的患者病历数据进行分析。结果。61份样本中,年龄≥40岁的占80.32%,性别为女性的占88.52%。两组患者年龄、性别差异无统计学意义(p=0.073、p=1.000)。两组感觉振幅、MSDL、Ring Diff差异有统计学意义(p=0.005、p=0.020、p=0.031)。两组间运动幅度和MMDL差异无统计学意义(p=0.384、p=0.196)。结论。感觉振幅值与临床症状的严重程度有关。ENMG检查与CTS的临床症状是独立的参数,不应单独用于诊断,两者均可提高诊断的准确性。
{"title":"THE RELATIONSHIP OF CARPAL TUNNEL SYNDROME CLINICAL SYMPTOMPS AND ELECTRONEUROMYOGRAPHY RESULTS IN RSSA MALANG","authors":"S. Kurniawan, M. Husna, H. Rasyid, Nadiya Elfira Bilqis","doi":"10.21776/UB.MNJ.2016.002.01.5","DOIUrl":"https://doi.org/10.21776/UB.MNJ.2016.002.01.5","url":null,"abstract":"Background. Carpal tunnel syndrome (CTS) is caused by entrapment neuropathy of the median nerve in the carpal tunnel that can be detected with electroneuromyography (ENMG). Objective. To determine whether there are significant differences in parameters of ENMG examination between CTS groups with mild-to-moderate and severe clinical symptoms. Methods. The study design was observational analytic using cross sectional design approach of the patient's medical record data as many as 61 samples. Results. From 61 samples, there were dominancy of age ≥ 40 years old as many as 80.32% and gender female as many as 88.52%. There was no significant differences in age and gender between the two groups (p=0.073 and p=1.000 respectively). Sensory amplitude, MSDL, and Ring Diff are significantly different between the two groups (p=0.005, p=0.020, and p=0.031 respectively). There are no significant difference of motor amplitude and MMDL between the two groups (p=0.384 and p=0.196 respectively). Conclusion. Sensory amplitude value having a relationship with the severity of clinical symptoms. ENMG examination and clinical symptoms of CTS were independent parameters, that should not be used alone to make a diagnosi both of them could enhance the accuracy of diagnosis.","PeriodicalId":31552,"journal":{"name":"Malang Neurology Journal","volume":"2 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68324171","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: 3
期刊
Malang Neurology Journal
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