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KUALITAS HIDUP PENDERITA DIABETES MELITUS DAN FAKTOR DETERMINANNYA 糖尿病患者的生活质量和决定论因素
Pub Date : 2022-10-13 DOI: 10.33086/mtphj.v6i1.3438
Hoirun Nisa, Putri Kurniawati
Penyakit diabetes melitus merupakan penyakit kronik yang menyertai seumur hidup dan membutuhkan waktu perawatan jangka panjang, sehingga menyebabkan penurunan kualitas hidup pada penderitanya. Penelitian ini bertujuan untuk mengetahui kualitas hidup penderita DM dan faktor determinannya. Penelitian ini merupakan penelitian observasional analitik dengan menggunakan desain studi cross sectional. Responden berjumlah 163 penderita diabetes melitus di Puskesmas Pulomerak kota Cilegon yang dipilih dengan menggunakan simple random sampling. Data dianalisis secara univariat, bivariat dengan uji chi-square dan multivariat dengan binary logistic. Hasil analisis multivariat menunjukkan bahwa terdapat hubungan signifikan antara penyakit penyerta (OR 5,621 95% CI: 2,338 – 13,516) dan durasi menderita (OR 3,308 95% CI: 1,317 – 8,307) dengan kualitas hidup. Usia, tingkat pendidikan, dan status pernikahan tidak berhubungan dengan kualitas hidup. Kesimpulan dari penelitian ini adalah faktor yang berhubungan dengan kualitas hidup yaitu penyakit penyerta dan durasi menderita. Penyakit penyerta menjadi faktor yang paling dominan berpengaruh terhadap kualitas hidup. Program penatalaksanaan DM agar dapat ditingkatkan melalui edukasi mengenai langkah tepat dalam meningkatkan kualitas hidup dengan melibatkan kader posbindu, penderita DM dan keluarganya.  
糖尿病是伴随一生的慢性疾病,需要长期的治疗,导致患者的生活质量下降。本研究的目标是了解DM患者的生活质量和决定论因素。这是通过交叉研究设计的分析观察研究。在Cilegon的Puskesmas pulopolis市,163名糖尿病患者被选择使用简单的随机抽样。数据是单变量分析、双变量分析、chi-square测试和多变量分析。多变量分析表明,传染病(或5.621 95%的CI: 2,338 - 13,516)和持续时间(或3.308 95%的CI: 1,317 - 8.307)与生活质量有显著关系。年龄、教育水平和婚姻状况与生活质量无关。这项研究的结论是与生活质量相关的因素,即传粉性疾病和持续疼痛。传粉性疾病是影响生活质量的主要因素。DM的培育计划可以通过教育来提高生活质量,包括DM患者kader posbindu和他们的家人。
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引用次数: 1
Survival Analysis Of Health Rate Of Covid-19 Patients Using Kaplan-Meier Method At Islamic Hospital In Surabaya A. Yani 用Kaplan-Meier法分析泗水市伊斯兰医院新冠肺炎患者的生存率
Pub Date : 2022-09-22 DOI: 10.33086/mtphj.v5i2.3173
Iqbal Firdaus Iqbal, M. Ibad, B. Setianto, A. Syafiuddin
Corona Virus Disease2019 (COVID-19) is a disease that shocked the world at the end of 2019. Based on data, positive cases of Covid-19 in Indonesia on July 29, 2021 reached 3,331,206 people, with 3,240,654 Covid-19 patients recovering and 90,552 Covid-19 patients dying. Meanwhile in the city of Surabaya there were 52,782 confirmed cases with 50,894 patients recovered and 1,888 patients died. The high death rate shows that this virus is dangerous, but the cure rate is also high. A survival analysis is needed to determine the patient's survival time (cured) for Covid-19. This research was conducted non-reactively using secondary data in the form of medical records of Covid-19 patients at the Surabaya A. Yani Islamic Hospital in January-July 2021. The results of the study using the Kaplan-Meier method found that the survival time based on age was 12,423 days, the survival time based on gender was 12,078 days, the survival time based on Early Symptoms was 11,461 days and the survival time based on SpO2 capacity was 16,787 days. The conclusions of this study indicate that, age affects the survival time of respondents where the 27-36 year interval has a better survival time than the other respondents' age intervals. The female sex has a better survival time than the male. Initial symptoms determine the severity and duration of recovery for respondents. SpO2 capacity is directly proportional to the degree of patient safety, the higher the percentage of SpO2 capacity, the greater the chance of survival and the lower the percentage of SpO2 capacity, the lower the expectation.
2019冠状病毒病(COVID-19)是在2019年底震惊世界的疾病。数据显示,截至2021年7月29日,印度尼西亚新冠肺炎阳性病例达331,206例,其中康复患者3,240,654例,死亡患者90,552例。与此同时,泗水市有52,782例确诊病例,50,894例患者康复,1,888例患者死亡。高死亡率表明这种病毒是危险的,但治愈率也很高。需要进行生存分析,以确定患者Covid-19的生存时间(治愈)。本研究是利用2021年1月至7月泗水A. Yani伊斯兰医院Covid-19患者医疗记录形式的二手数据进行非反应性研究的。Kaplan-Meier法研究结果显示,基于年龄的生存时间为12423天,基于性别的生存时间为12078天,基于早期症状的生存时间为11461天,基于SpO2容量的生存时间为16787天。本研究的结论表明,年龄影响被调查者的生存时间,其中27-36岁的年龄间隔比其他年龄间隔有更好的生存时间。雌性比雄性生存的时间长。初始症状决定应答者恢复的严重程度和持续时间。SpO2容量与患者安全程度成正比,SpO2容量百分比越高,生存机会越大,SpO2容量百分比越低,期望越低。
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引用次数: 0
DESCRIPTION OF ENERGY AND PROTEIN INTAKE STUNTING TODDLERS IN THE WORK AREA OF UPTD PUSKESMAS CITY SOUTH AREA uptd puskesmas市南区工作区域幼儿能量和蛋白质摄入发育迟缓的描述
Pub Date : 2022-09-13 DOI: 10.33086/mtphj.v6i2.3006
Oktovina Oktovina
Stunting is one of the nutritional problems faced in developing countries such as Indonesia. The incidence of stunting is influenced by several factors: the lack of food intake containing energy and protein. The purpose of the study was to determine the description of energy and protein intake in stunting in the UPTD Work Area of ​​the Southern City Health Center, Kediri City. Research descriptive was conducted in four villages, namely Ngronggo, Rejomulyo, Manisrenggo, and Kaliombo. The sample in this study was 10 respondents who were stunted and individual assessment of nutritional intake through a food consumption survey was conducted through the Semiquantitative Food Frequency Questionnaire (SFFQ). The results showed that toddlers aged 2-3 years with energy intake in the category of fewer than 7 toddlers, while toddlers at the age of 4-5 years as many as 3 toddlers with energy intake in the category of less, and the results of the calculation of protein intake found that toddlers aged 2-3 years had the number of protein intake in the sufficient category is 2 toddlers, while the other 5 toddlers have an adequate protein intake in the less category. Meanwhile, toddlers aged 4-5 years have protein intake in the less category because they have not met the protein adequacy rate (RDA) of (25 grams). Energy intake in stunting aged 2-3 years is said to be lacking and has not met energy intake, while toddlers aged 4-5 years have not met energy intake and protein intake in toddlers aged 2-3 years there are 2 stunting who have adequate protein intake while toddlers age 4-5 years has not met the intake of protein.
发育迟缓是印度尼西亚等发展中国家面临的营养问题之一。发育迟缓的发生率受到几个因素的影响:缺乏含有能量和蛋白质的食物摄入。本研究的目的是确定在Kediri市南部城市卫生中心UPTD工作区域的能量和蛋白质摄入在发育迟缓中的描述。描述性研究在Ngronggo、Rejomulyo、Manisrenggo和Kaliombo四个村庄进行。本研究的样本是10名发育不良的受访者,通过半定量食物频率问卷(SFFQ)进行食物消费调查,对营养摄入量进行个人评估。结果表明,2 - 3岁幼儿与能量摄入少于7幼儿的类别,而在4 - 5岁幼儿多达3幼儿与能量摄入更少的类别,和蛋白质摄入量的计算的结果发现,2 - 3岁幼儿的蛋白质摄入足够的类别是2孩子,而另一个5幼儿有足够的蛋白质摄入量少的类别。与此同时,4-5岁的幼儿的蛋白质摄入量较少,因为他们没有达到25克的蛋白质充足率(RDA)。2-3岁发育不良儿童能量摄入不足,未达到能量摄入,4-5岁幼儿能量摄入和蛋白质摄入均未达到,2-3岁发育不良儿童中有2例蛋白质摄入充足,4-5岁发育不良儿童蛋白质摄入未达到。
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引用次数: 0
PERUBAHAN PERILAKU SEHAT SAKIT PADA PENGURUS YAYASAN X TANGERANG SELATAN TENTANG PENYANDANG DISABILITAS BERDASARKAN HEALTH BELIEF MODEL 根据健康信仰模型,南方X TANGERANG基金会的功能障碍管理人员的健康行为和疾病的改变
Pub Date : 2022-09-13 DOI: 10.33086/mtphj.v5i2.3223
Ulfati Ulinnuha
Pandangan individu terhadap konsep sehat-sakit pada penyandang disabilitas masih sangat bervariasi. Pengurus Yayasan X Tangerang Selatan pernah menganggap disabilitas sebagai orang yang sakit. Hal tersebut memperburuk kesehatan penyandang disabilitas terutama kondisi motoriknya karena dianggap sakit dan tidak dilibatkan secara aktif dalam kegiatan sehari-hari. Penelitian ini bertujuan untuk menganalisis perubahan persepsi, motivasi, dan perubahan perilaku berdasarkan Health Belief Model di Yayasan X Tangerang Selatan sebagai upaya dukungan kemandirian pada penyandang disabilitas. Penelitian ini menggunakan model penelitian kualitatif dan rancang bangun fenomenologi dengan metode wawancara mendalam. Penelitian ini melibatkan 5 informan yang terdiri dari 3 pengurus yayasan dan 2 caregiver disabilitas di Yayasan X Tangerang Selatan. Data yang digunakan adalah data primer. Data dianalisis menggunakan analisis tematik untuk memahami perubahan persepsi, motivasi, dan perilaku tentang penyandang disabilitas. Hasil penelitian menunjukkan perubahan persepsi, motivasi, dan perilaku pengurus Yayasan X Tangerang Selatan terhadap penyandang disabilitas sangat membantu mewujudkan kemandirian penyandang disabilitas. Perubahan persepsi dan motivasi pengurus ternyata sangat berkaaitan dengan perubahan perilaku dalam memperlakukan penyandang disabilitas. Motivasi yang terkait dengan perubahan perilaku adalah rasa kemanusiaan yang tinggi dan tanggung jawab moral. Perubahan perilaku pengurus yayasan tampak dari caranya dalam memperlakukan penyandang disabilitas. Awalnya pengurus memperlakukan penyandang disabilitas seperti orang sakit, tetapi saat ini pengurus telah memperlakukan penyandang disabilitas seperti layaknya orang sehat yang dilibatkan secara aktif dalam aktivitas sehari-hari. Perubahan persepsi tentang sehat sakit terhadap penyandang disabilitas sangatlah penting dalam mengubah perilaku pengurus untuk mewujudkan kemandirian penyandaang disabilitas. Oleh karena itu, diharapkan peran yayasan dalam menyuarakan hak disabilitas dan menyebarluaskan tentang perubahan persepsi dan perilaku yang telah dialami kepada masyarakat untuk meningkatkan kemandirian disabilitas terutama kemandirian dalam berperilaku kesehatan.   Kata Kunci: disabilitas, persepsi, motivasi, perilaku, health belief model  
个人对残疾的病态概念的看法仍有很大的不同。南方X Tangerang基金会的董事认为残疾是一种病态。这对残疾人的健康尤其不利,因为残疾被认为是一种疾病,缺乏积极参与日常活动。该研究旨在分析基于健康风险的感知、动机和行为变化,以支持残疾为基础的自力更生努力。本研究采用一种定性研究模式,设计一种带有深度采访方法的现象学。该研究包括5名由3名基金会董事和2名护理机构组成的线人,他们都是南方X Tangerang基金会的残疾人。所使用的数据是原始数据。数据使用主题分析来理解感知、动机和残疾行为的变化。研究表明,南方X级残疾基金会成员的感知、动机和行为发生了变化,极大地促进了残疾自力更生。看护者的看法和动机的改变与治疗残疾的行为改变密切相关。与行为改变相关的动机是高度的人性和道德责任。基金会管理人员的行为发生了变化,这可以从他对待残疾的方式中看出来。起初,管理人员对待残疾人士就像对待病人一样,但目前,管理人员对待残疾人士就像健康人士在日常活动中积极参与一样。改变感知能力对改变残疾管理人员的行为以实现残疾残疾人的自力更生是至关重要的。因此,预计基金会将在提高残疾权利和传播对社会的感知和行为的改变方面发挥作用,以增加自力更生,特别是自力更生的健康行为。关键词:残疾、感知、动机、行为、健康信仰模型
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引用次数: 0
PERCEIVED VALUE AND TRUST TOWARDS PATIENT LOYALTY: A LITERATURE REVIEW 感知价值与信任对患者忠诚的影响:文献综述
Pub Date : 2022-09-13 DOI: 10.33086/mtphj.v6i1.3214
Salsabila Az Zahra, Naili Farida, Septo Pawelas Arso
Increasing patient loyalty through patient-provider relationships becomes the key factor in medical providers’ successes. Perceived value is the long-term value that customers provide to hospitals. The creation of added value for customers, and increasing the level of satisfaction will make a major contribution to the possibility of customers staying, and customers are increasingly valuable to service providers. This study explored the mediated relationship between patients’ perceived value, trust, and patient loyalty. This study aims to examine the perceived value and trust in patient loyalty both in hospitals and medical centers. This literature review study was searched from 3 databases, namely PubMed, Scopus, and Google Scholar published between January 1, 2018-May 31, 2022. Inclusion criteria were research on medical care loyalty, experience in the patient's perceived value of hospital services, and patient’s trust in the hospital. A total of 11 from 86 articles found were selected for review. Based on 11 articles that have been reviewed discussing customer value and trust in patient loyalty. Hospital and Medical Center as health provider has a relationship between patients’ perceived value of medical services, commitment to the patient-provider relationship, and patient loyalty. Furthermore, when the patient demonstrated higher levels of trust in a healthcare provider, the relationship of perceived value, commitment, and patient loyalty was also enhanced.
通过医患关系提高患者忠诚度成为医疗服务提供者成功的关键因素。感知价值是客户为医院提供的长期价值。为顾客创造附加价值,提高满意度水平,将对顾客留下的可能性做出重大贡献,顾客对服务提供者来说越来越有价值。本研究探讨了患者感知价值、信任与患者忠诚之间的中介关系。本研究旨在探讨医院与医疗中心对病人忠诚的感知价值与信任。本文献综述研究从2018年1月1日至2022年5月31日发表的PubMed、Scopus和Google Scholar 3个数据库中检索。纳入标准为医疗服务忠诚度、患者对医院服务感知价值的体验和患者对医院的信任。从86篇文章中选取11篇进行综述。基于11篇讨论顾客价值和对病人忠诚的信任的文章。医院和医疗中心作为医疗服务提供者,在患者对医疗服务的感知价值、对医患关系的承诺和患者忠诚度之间存在关系。此外,当患者对医疗保健提供者表现出较高的信任水平时,感知价值、承诺和患者忠诚度的关系也得到增强。
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引用次数: 0
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELELAHAN KERJA PADA KRU KAPAL DI PT.X 分析与PT.X号船员工作疲劳相关的因素
Pub Date : 2022-09-13 DOI: 10.33086/mtphj.v6i1.3267
Rachmah catur Agustin, Ratna ayu Ratriwardhani, Muslikha nourma Rhomadhoni, Bondan Winarno
Kru kapal merupakan sumber daya manusia yang sangat berperan penting dalam pengoperasian kapal, dari hasil observasi dan wawancara singkat didapatkan beberapa kru kapal mengalami keluhan yang mengarah pada kelelahan kerja dan terjadinya insiden tabrakan kapal karena faktor kelelahan. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik individu dan beban kerja dengan kelelahan kerja pada kru kapal di PT.X. Penelitian ini berupa observasional analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah kru kapal tunda sebanyak 133 responden dengan total sampel sebanyak 100 responden. Pengumpulan data dilakukan melalui wawancara menggunakan kuisioner IFRC untuk mengukur tingkat kelelahan subjektif dan melakukan observasi secara langsung. Analisis data pada penelitian ini yaitu analisis univariat dan multivariat yang menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa karakteristik individu yang berhubungan dengan kelelahan kerja yaitu pada lama kerja dan status gizi. Beban kerja memiliki hubungan dengan kelelahan kerja. Saran bagi perusahaan yaitu adanya forum diskusi perihal evaluasi kerja, pemilihan menu diet dan monitoring, pemberian program olahraga bersama, pengawasan sistem lembur. Saran bagi pekerja yaitu tidak memaksakan diri apabila timbul gejala, melakukan istirahat dan stretching, mengkonsumsi air mineral, menjaga pola makan dan pola hidup sehat. Saran bagi penelitian selanjutnya yaitu sebagai sumber referensi untuk penelitian lebih mendalam terutama pada faktor lingkungan kerja dan beban kerja mental.
船员是人力资源,在船舶运作中起着至关重要的作用,从简短的观察和采访中,很少有船员经历过投诉,导致工作疲劳和疲劳因素导致的船碰撞事件。本研究旨在分析PT.X的船员工作疲劳与个人特征和工作负荷之间的关系。本研究采用经节方法进行分析观察。本研究的人口为133名拖拽人员,样本总数为100人。数据收集是通过IFRC问卷进行的,以评估主观疲劳程度和直接观察。这项研究的数据分析是使用chi square测试的单变量和多变量分析。研究表明,工作倦怠的个人特征是工作时间和营养状况。工作量与工作疲劳有关。该公司的建议是建立一个关于工作评估、饮食选择和监督、联合锻炼计划、系统监督等讨论论坛。给员工的建议是,不要强迫自己出现症状,休息和伸展,喝矿泉水,保持健康的饮食和生活方式。下一项研究的建议是,作为更深入研究的参考资料,特别是关于工作环境因素和心理负荷的参考资料。
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引用次数: 0
PROVIDING SNACKS TO IMPROVE DIETARY ADHERENCE, ADEQUACY OF NUTRITION INTAKE AND QUALITY OF LIFE FOR HEMODIALYSIS PATIENTS 提供零食以改善血液透析患者的饮食依从性、营养摄入的充分性和生活质量
Pub Date : 2022-09-13 DOI: 10.33086/mtphj.v6i1.3219
Sa'bania Hari Raharjeng
This study aims to determine the effect of high-energy-protein interlude on increasing dietary compliance, nutritional intake adequacy and quality of life of hemodialysis patients. This research is a pre-experimental study with a one group pre-test and post-test design. The number of samples in this study was 71. All research subjects were patients undergoing hemodialysis treatment at Dr. Sardjito Hospital Yogyakarta. Patients will be given high-energy and protein snacks twice a day for 21 days. The sample it self was selected by using the consecutive sampling method. Data analysis using McNemar test and Multiple Logistics Regression. The results showed that there was a significant increase in dietary compliance and nutrient intake during the intervention, but after the intervention was completed, decreased compliance and nutritional intake. So that there was no significant difference in dietary adherence between before and after the intervention (p = 0.32) and there was no significant increase in the adequacy of nutrient intake between before and after the intervention. There was a significant difference between the quality of life scores before and after being given a snack (p = 0.01). Multivariate analysis showed that energy intake, fat intake, and length of hemodialysis period could be used to predict poor quality of life of hemodialysis patients (R2 = 0.125; AIC = 72). The provision of snacks can help to increase the average intake of nutrients to meet the intake of nutrients and the quality of life of hemodialysis patients.
本研究旨在探讨高能量蛋白干预对提高血液透析患者饮食依从性、营养摄入充分性和生活质量的影响。本研究为实验前研究,采用一组前测和后测设计。本研究样本数量为71个。所有研究对象均为在日惹Sardjito医生医院接受血液透析治疗的患者。患者将在21天内每天吃两次高能量和蛋白质零食。采用连续抽样法对自身样本进行选择。数据分析采用McNemar检验和多元logistic回归。结果显示,干预期间饮食依从性和营养摄入量显著增加,但干预结束后依从性和营养摄入量下降。因此,干预前后饮食依从性差异无统计学意义(p = 0.32),营养摄入充足性差异无统计学意义(p = 0.32)。吃零食前后的生活质量得分差异有统计学意义(p = 0.01)。多因素分析显示,能量摄入、脂肪摄入和血液透析时间长短可用于预测血液透析患者生活质量差(R2 = 0.125;Aic = 72)。提供零食有助于增加营养物质的平均摄入量,以满足血液透析患者的营养物质摄入量和生活质量。
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引用次数: 0
The Relationship between Snack Consumption Patterns and Nutritional Status in Adolescents in Malang City Indonesia 印尼玛琅市青少年零食消费模式与营养状况的关系
Pub Date : 2022-08-22 DOI: 10.33086/mtphj.v5i2.3187
Ira Ira, Jane C J Chao
The consumption of snacks is often done between meals. About 20% of the daily intake of adolescents comes from snacks. Snacks contribute‘empty’ energy but provide an excess intake of substances that are not beneficial to the teenager’s body. This study aims to determine the pattern of snack consumption and nutritional status of adolescents in Malang City. This study used a cross-sectional approach to determine the relationship between snack consumption patterns and nutritional status in adolescent in Malang City. The population of this study consisted of 128 high school students (aged 15-18 years) who were selected using the multistage random sampling method ( a combination of the cluster method and simple random sampling) from July-September 2015. Respondents who experiences poor nutritional status were 40 pople (8,6%) and overweight as many as 88 people (19%). Respondents who consumed snacks as much as 3-4x/week showed less nutritional status 14people (35%) and overweight 35 people (39,8%). This study concludeds that the frequency of snack consumption affects the nutritional status of underweight and overweight in adolescents aged 15-18 years in Malang City
零食通常是在两餐之间吃的。青少年每天摄入的食物中约有20%来自零食。零食提供了“空”能量,但提供了过量的物质摄入,对青少年的身体无益。本研究旨在了解玛琅市青少年零食消费模式及营养状况。本研究采用横断面方法来确定麻郎市青少年零食消费模式与营养状况之间的关系。本研究采用多阶段随机抽样方法(聚类法与简单随机抽样相结合),于2015年7 - 9月选取了128名15-18岁的高中生作为研究对象。营养状况不佳的受访者有40人(8.6%),超重的多达88人(19%)。每周吃零食多达3-4次的受访者营养状况较差的有14人(35%),超重的有35人(39.8%)。本研究发现,麻郎市15-18岁青少年食用零食的频率影响其体重过轻和超重的营养状况
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引用次数: 0
CLEAN AND HEALTHY LIVING BEHAVIOR RELATIONSHIP WITH MOTHER'S ANXIETY IN CHILDREN WITH DIARRHEA AT PUSKESMAS KUNIR 小儿腹泻患儿清洁健康生活行为与母亲焦虑的关系
Pub Date : 2022-08-22 DOI: 10.33086/mtphj.v6i1.3186
Imroatul Mas'uda
Diarrhea
腹泻
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引用次数: 0
Potential Molecules Against Covid-19 from Annona muricata; an in-silico Approach 针对鼠尾草中 Covid-19 的潜在分子;一种分子内方法
Pub Date : 2022-08-22 DOI: 10.33086/mtphj.v6i1.3069
M. Mushlih
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引用次数: 2
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Medical Technology and Public Health Journal
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