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Lumbosacral transitional vertebrae: An overlooked cause of back pain on MRI 腰骶过渡椎:MRI上被忽视的背痛原因
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.13
Gamze Türk, M. Bilgili, A. Açan, A. Koç
To evaluate the frequency of lumbosacral transitional vertebrae (LSTV) on MRI in patients with backpain and clinically suspected of sacroiliitis. Sacroiliac MRI of patients who had backpain and were clinically suspicious for sacroiliitis between November 2021-March 2022 were retrospectively analyzed from the hospital database by two different radiologists. LSTV cases were identified and subgrouped according to Castellvi classification. Presence of sacroiliitis, degeneration and /or herniation of cranial segment intervertebral disc, facet joint hypertrophy, coxarthrosis and psoas atrophy were recorded. In cases where radiologists were in conflict, consensus was made. Between November 2021-March 2022, 614 sacroiliac MRIs were obtained and 81 (13%) had LSTV. Fifty-nine patients were female (72.8%). Mean age was 43.4. The most common identified LSTV was type 1a (n=30, 10 right-sided, 20 left-sided). Sacroiliitis was significantly more common in younger patients (p=0.04) and in males (p=0.009). Disc degeneration, disc herniation, facet joint hypertrophy and psoas atrophy increased significantly with age (p=0.007, p=0.001, p=0.002 and p=0.013 respectively). No correlation was found between gender or presence of sacroiliitis and any type of LSTV.LSTV may present with backpain and should be considered in patients where sacroiliitis is clinically suspected. MRI is a useful tool to identify other accompanying pathologies in these cases.
目的探讨腰骶过渡性椎体(LSTV)在腰痛伴骶髂炎患者MRI表现的频率。由两名不同的放射科医生从医院数据库中回顾性分析2021年11月至2022年3月期间患有背痛并临床怀疑患有骶髂炎的患者的骶髂MRI。根据Castellvi分类对LSTV病例进行分类。记录了骶髂炎、退变和/或颅段椎间盘突出、小关节肥大、关节病和腰肌萎缩的存在。在放射科医生意见相左的情况下,大家达成了共识。在2021年11月至2022年3月期间,获得614例骶髂mri,其中81例(13%)有LSTV。女性59例(72.8%)。平均年龄43.4岁。最常见的LSTV为1a型(n=30,右侧10例,左侧20例)。骶髂炎在年轻患者(p=0.04)和男性患者(p=0.009)中更为常见。椎间盘退变、椎间盘突出、小关节肥大、腰肌萎缩随着年龄的增长明显增加(p=0.007、p=0.001、p=0.002、p=0.013)。性别或骶髂炎的存在与任何类型的LSTV没有相关性。LSTV可能伴有背部疼痛,临床怀疑有骶髂炎的患者应考虑此病。MRI是识别这些病例中其他伴随病变的有用工具。
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引用次数: 0
Curative breast cancer surgery with local anesthesia 局部麻醉治疗乳腺癌手术
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.36
Yasin Dalda, Özlem Dalda, D. Baskiran, F. Gönültaş
Breast cancer has become an important health problem affecting especially women and its incidence is increasing. It is treated with a multidisciplinary approach involving medical oncology, radiation oncology and surgical oncology. Surgical removal of the tumor is the most important step in its treatment. General anesthesia used during surgery carries significant risks in patient groups with advanced age and comorbidities. In addition, treatment options such as chemotherapy and radiotherapy other than surgery may have significant side effects in these patient groups. Therefore, surgery plays an important role in the treatment of patients. Surgery with local anesthesia is a suitable alternative to general anesthesia in patients with early stage breast cancer because it carries less risk. Breast cancer was diagnosed in a 64-year-old woman who presented with a mass in the right breast. In the anesthesia examination, she was evaluated as ASA 3 because of her comorbidities and age. We present our patient with high comorbidity and advanced age who underwent curative cancer surgery using only local anesthesia.
乳腺癌已成为影响妇女的一个重要健康问题,其发病率正在上升。它的治疗采用多学科方法,包括内科肿瘤学,放射肿瘤学和外科肿瘤学。手术切除肿瘤是其治疗中最重要的一步。手术中使用全身麻醉对高龄和合并症患者具有显著的风险。此外,除手术外,化疗和放疗等治疗方案在这些患者群体中可能有明显的副作用。因此,手术在患者的治疗中起着重要的作用。局部麻醉手术是早期乳腺癌患者全身麻醉的合适选择,因为它的风险较小。一位64岁的女性被诊断为乳腺癌,她的右乳房有肿块。在麻醉检查中,由于她的合并症和年龄,她被评估为ASA 3。我们报告了一位高合并症和高龄的患者,他接受了仅使用局部麻醉的治愈性癌症手术。
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引用次数: 0
Relationship between psychiatric symptoms, childhood traumas, and types of crime of convicts in Elazig closed prisons 埃拉兹格封闭式监狱罪犯精神症状、童年创伤与犯罪类型的关系
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.20
Şüheda Kaya, Gulay Tasci, Nulufer Kilic, Bahadır Demir, Filiz Özsoy
Our study aimed to examine the childhood traumas and psychiatric symptoms of prisoners and their relationship with crime types. Persons convicted in Elazig Penitentiary Institutions were included in the study. The Demographic and Clinical Evaluation Form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Childhood Trauma Questionnaire (CTQ) and Symptom Checklist (SCL-90) were administered to all participants. A total of 370 people were included in the study. For prisoners who have been imprisoned before, CTQ-physical abuse, BAI, SCL-90-somatization, anxiety, and hostility subscale scores were higher than those who entered the prison for the first time (p values: 0.020, 0.003, 0.016, 0.017, 0.047, respectively). Prisoners with a family history of prison entry had higher SCL-90 test all subscale scores, total scores and CTQ physical abuse subscale scores than the group without a family history of prison entry. Those exposed to violence in childhood and those who had attempted suicide before had higher scores on all scales. Those with a history of alcohol and substance use had higher total scores on the CTQ-emotional abuse and sexual abuse scale. According to the type of crime committed, only the CTQ-sexual abuse subscale scores differed. These subscale scores of the prisoners involved in more than one crime were higher than those involved in a single crime (p=0.030). The CTQ-sexual abuse subscale scores of those who were involved in the crime of willful homicide were calculated to be high (p=0.030). It was thought that preventing abuse, violence, and traumas in childhood may be necessary in reducing the tendency to crimes.
本研究旨在探讨囚犯的童年创伤和精神症状及其与犯罪类型的关系。在埃拉兹格监狱被定罪的人也包括在这项研究中。采用人口学与临床评估表、贝克抑郁量表(BDI)、贝克焦虑量表(BAI)、儿童创伤问卷(CTQ)和症状自评量表(SCL-90)对所有参与者进行评估。共有370人参与了这项研究。曾入狱者的ctq -身体虐待、BAI、scl -90-躯体化、焦虑和敌意得分均高于初入狱者(p值分别为0.020、0.003、0.016、0.017、0.047)。有入狱家族史的囚犯的SCL-90测试所有分量表得分、总分和CTQ身体虐待分量表得分均高于无入狱家族史的囚犯。那些在童年时期遭受过暴力的人和那些曾经试图自杀的人在所有量表上的得分都更高。那些有酒精和药物使用史的人在ctq -情感虐待和性虐待量表上的总分更高。根据犯罪类型,只有ctq -性虐待分量表得分不同。参与一项以上犯罪的囚犯的这些分量表得分高于参与一项犯罪的囚犯(p=0.030)。参与故意杀人罪者的ctq -性虐待分量表得分较高(p=0.030)。人们认为,防止儿童时期的虐待、暴力和创伤可能是减少犯罪倾向的必要条件。
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引用次数: 0
The value of preoperative inflammatory markers in patients through total laryngectomy for advanced stage larynx carcinoma 晚期喉癌全喉切除术患者术前炎性指标的价值
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.22
M. Çelebi, D. M. Mehel, S. Van, Seda Nur Ci̇han, D. Özdemir, A. Özgür
The aim of this study is to evaluate the difference between neutrophil, lymphocyte, platelet and RDW (red cell distribution width) counts and NLR (neutrophil/lymphocyte ratio) and PLR (platelet/lymphocyte ratio) between patients who underwent total laryngectomy for advanced stage laryngeal squamous cell carcinoma and healthy control group. The study group consisted of 37 patients (36 male, 1 female) who underwent total laryngectomy and bilateral neck dissection for advanced stage laryngeal squamous cell carcinoma between January 2017 and December 2019. As a control group, complete blood count records of 35 healthy individuals who were routinely examined in 2019 within the scope of occupational health and safety were compiled. Blood was collected preoperatively from the patient in the study group. The data obtained from the whole blood counts of the two groups were analyzed statistically by comparing neutrophil, lymphocyte, platelet, RDW, NLR and PLR values. The age difference between the study and control groups was not significant (p>0.05). Neutrophil, platelet and RDW counts were higher in the study group compared to the control group and this difference was statistically significant (p=0.001, p=0.035, p=0.001, respectively). Although the lymphocyte count was high in the study group, the difference was not significant (p=0.061). The difference between NLR and PLR between the two groups was high in the study group and this difference was statistically significant (p=0.001, p=0.007, respectively). Neutrophil, platelet, RDW, NLR, PLR values were significantly higher in patients with advanced stage laryngeal cancer than in the control group. NLR, PLR and RDW values, which can be obtained cheap, simple and rapidly at the diagnosis stage of laryngeal cancers, may be biomarkers in determining prognosis. For this, multicenter, prospective studies are needed.
本研究的目的是评价中晚期喉癌全喉切除术患者与健康对照组间中性粒细胞、淋巴细胞、血小板、红细胞分布宽度(RDW)计数及中性粒细胞/淋巴细胞比值(NLR)和血小板/淋巴细胞比值(PLR)的差异。研究组包括37名患者(36名男性,1名女性),他们在2017年1月至2019年12月期间因晚期喉部鳞状细胞癌接受了全喉切除术和双侧颈部清扫。作为对照组,收集了2019年在职业健康与安全范围内进行常规检查的35名健康人的完整血细胞计数记录。研究组患者术前采血。对两组全血计数数据进行统计学分析,比较中性粒细胞、淋巴细胞、血小板、RDW、NLR、PLR值。研究组与对照组的年龄差异无统计学意义(p < 0.05)。研究组中性粒细胞、血小板和RDW计数均高于对照组,差异有统计学意义(p=0.001, p=0.035, p=0.001)。虽然研究组淋巴细胞计数较高,但差异无统计学意义(p=0.061)。研究组NLR、PLR两组间差异较大,差异有统计学意义(p=0.001, p=0.007)。中晚期喉癌患者中性粒细胞、血小板、RDW、NLR、PLR值均显著高于对照组。NLR、PLR和RDW值在喉癌诊断阶段可廉价、简单、快速获得,可作为判断预后的生物标志物。为此,需要多中心的前瞻性研究。
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引用次数: 0
From laboratory studies to clinical applications mesenchymal stem cells in cancer treatment: Translational oncology 从实验室研究到临床应用间充质干细胞在癌症治疗:转化肿瘤学
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.32
M. Yüce
Stem cell-based studies have accelerated to treat various pathologies, particularly neurological, cardiovascular, orthopedic diseases and cancer with the understanding of their therapeutic potential after their discovery. Stem cells have recently aroused great interest as a promising treatment option in the fighting to cancer with extensive study in the fields of cancer biology. Nevertheless, much uncertainty regarding the act of stem cells in cancer development and treatment remains obscure before the clinical use of stem cell investigation. Despite many obstacles, the migration ability of stem cells, the bioactive factors they secrete, and their immune regulatory properties make them advantageous for gene therapy strategies. However, unknowns and a lack of scientific data remain concerning the use of stem cell based therapies. Therefore, more experimental data are needed to confirm the different study results presented by different scientific communities. In this review, we focused on summarizing the available experimental and clinical data on the potential uses of mesenchymal stem cells in cancer therapy.
基于干细胞的研究已经加速到治疗各种疾病,特别是神经、心血管、骨科疾病和癌症,在它们被发现后,人们对它们的治疗潜力有所了解。近年来,干细胞作为一种很有前途的治疗选择在癌症生物学领域引起了人们的极大兴趣。然而,在临床使用干细胞研究之前,关于干细胞在癌症发展和治疗中的作用的许多不确定性仍然是模糊的。尽管存在许多障碍,但干细胞的迁移能力、它们分泌的生物活性因子以及它们的免疫调节特性使它们在基因治疗策略中具有优势。然而,关于干细胞疗法的使用仍然存在未知因素和缺乏科学数据。因此,需要更多的实验数据来证实不同科学界提出的不同研究结果。在这篇综述中,我们重点总结了间充质干细胞在癌症治疗中的潜在应用的现有实验和临床数据。
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引用次数: 0
Impact of an HPV diagnosis on the psychosexual sphere HPV诊断对性心理领域的影响
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.18
E. Keleş, U. Öztürk, C. Alınca, Damla Yücel, M. Api, K. N. Baydili
We aimed to evaluate the psychosexual impact of being diagnosed with human papillomavirus (HPV). A cross-sectional study was conducted to assess the anxiety and depression levels and sexual functions in women with and without HPV between March and May 2021. Beck anxiety inventory (BAI), the Beck depression inventory (BDI), and the Libido scoring system scales (LSSS) were used as scales. A total of 575 respondents were included; 292 (50.2%) HPV-negative, and 283 (49.8%) HPV-positive, of whom 170 (60,1%) had high risk HPV genotypes 16/18 and 113 (39,9%) had non-16/18 high risk HPV-positive patients. There was no significant association between HPV-negative and HPV-positive patients in terms of sociodemographic characteristics. While 21.6% of the HPV-positive group experienced masturbation, it was 15.1% in the HPV-negative group (p=0.044). While severe depression was 4.9% in HPV-positive women, this rate was 1.4% in HPV-negative women (p=0.002). The present study showed that being diagnosed with HPV made a significant difference in sexual function, except for sexual interest, but increased anxiety and depression scores. Sexual dysfunction following an HPV diagnosis cannot be explained solely by depression and anxiety.
我们的目的是评估被诊断患有人乳头瘤病毒(HPV)的性心理影响。在2021年3月至5月期间,进行了一项横断面研究,以评估感染HPV和不感染HPV的女性的焦虑、抑郁水平和性功能。采用贝克焦虑量表(BAI)、贝克抑郁量表(BDI)和性欲评分系统量表(LSSS)作为量表。共有575名受访者参与了调查;HPV阴性292例(50.2%),HPV阳性283例(49.8%),其中HPV 16/18高危基因型170例(60.1%),非16/18高危基因型113例(39.9%)。hpv阴性和hpv阳性患者在社会人口学特征方面没有显著相关性。hpv阳性组有21.6%的人自慰,hpv阴性组有15.1%的人自慰(p=0.044)。hpv阳性女性的严重抑郁症发生率为4.9%,而hpv阴性女性的严重抑郁症发生率为1.4% (p=0.002)。目前的研究表明,被诊断为HPV会对性功能产生显著影响,除了性兴趣,但会增加焦虑和抑郁评分。HPV诊断后的性功能障碍不能仅仅用抑郁和焦虑来解释。
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引用次数: 0
Protective effects of glutathione administration on ischemia-reperfusion injury in rat ovaries 谷胱甘肽对大鼠卵巢缺血再灌注损伤的保护作用
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.1
Ali Gürsoy, Belkız Öngen İpek, A. Sade, K. Atasayan, Ezgi DOĞAN TEKBAŞ, M. E. Sitar
We aimed to examine the biochemical and histopathological potential beneficial effects of glutathione administration on the ovarian ischemia/reperfusion injury (IRI) model. Thirty Wistar Albino female rats were used in this experimental study and were divided into five groups. Group 1 (sham) underwent observational laparotomy. Group 2 (torsion) had their left ovaries torsioned. Group 3 (torsion + detorsion) was detorsioned after torsion. Groups 4 and 5 received the same procedure as group 3. 0,2 ml glutathione was applied to the left ovaries of group 4 (torsion + detorsion + intraovarian glutathione injection) after detorsion. Group 5 (torsion + detorsion + intraperitoneal glutathione injection) was administered 1 ml glutathione intraperitoneally five times. Fifteenth-day blood samples were taken to examine total antioxidant status, total oxidant status, oxidative stress index, anti-mullerian hormone (AMH), and malondialdehyde (MDA) values. Besides, the left ovaries were resected for histopathological examination. Total antioxidant status was significantly higher in the intraperitoneal injection group (p<0.05). The AMH values of the sham and intraovarian groups were similar (p>0.05). MDA value did not differ significantly between the sham, intraovarian, and intraperitoneal injection groups (p>0.05). In histopathological examination, no significant benefit of glutathione application on follicle numbers was shown. The main limitations of our study were the relatively small size of our series, the absence of serial blood measurement, the absence of a group in which intraovarian and intraperitoneal injections were administered together, and the absence of a sham + drug group. Glutathione administration reduces the detrimental effects of ovarian IRI.
我们的目的是研究谷胱甘肽给药对卵巢缺血/再灌注损伤(IRI)模型的生化和组织病理学潜在益处。本实验选用Wistar白化雌性大鼠30只,分为5组。第一组(假手术)行观察性剖腹手术。2组(扭转组)左卵巢扭转。第3组(扭转+扭转)为扭转后扭转。第4组和第5组采用与第3组相同的治疗方法。4组在扭转后左卵巢(扭转+扭转+卵巢内谷胱甘肽注射)注射0.2 ml谷胱甘肽。第5组(扭转+扭转+腹腔注射谷胱甘肽)腹腔注射谷胱甘肽1 ml,共5次。第15天采集血液样本,检测总抗氧化状态、总氧化状态、氧化应激指数、抗苗勒管激素(AMH)和丙二醛(MDA)值。并切除左侧卵巢进行组织病理学检查。腹腔注射组总抗氧化水平显著高于腹腔注射组(p0.05)。假手术组、卵巢内注射组和腹腔内注射组间MDA值差异无统计学意义(p>0.05)。在组织病理学检查中,谷胱甘肽应用对卵泡数量没有显着的益处。本研究的主要局限性是我们的研究范围相对较小,没有连续的血液测量,没有卵巢内和腹腔内注射同时进行的组,也没有假药+药物组。谷胱甘肽可减少卵巢IRI的有害影响。
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引用次数: 0
The effect of chamomile on nausea and vomiting after laparoscopic cholecystectomy: A triple-blind randomized clinical trial 甘菊对腹腔镜胆囊切除术后恶心呕吐的影响:一项三盲随机临床试验
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.7
Soheila BAKHTIARI, Gholamreza KHALILI, Razieh Salimi ZADAK
The present study aimed to evaluate the effect of Chamomilla Recutita on nausea and vomiting after laparoscopic cholecystectomy. Chamomilla Recutita (L.) fell into either chamomile or placebo groups randomly. The intervention was performed one hour before the operation. The severity of nausea and the frequency of vomiting was measured using a visual analog scale. Both groups were studied in three stages before the operation, after the operation in recovery, and 2 hours after the operation. Data were analyzed using descriptive and analytical statistics (SPSS). The mean severity of nausea increased significantly over time in both groups; however, this increase was significantly slighter in the chamomile group than that in the placebo group. The frequency of preoperative nausea in the chamomile and placebo groups was 6.2% and 25%, respectively, before being discharged from the recovery. Two hours later, in the surgical ward, this frequency was estimated to be 31.2% in the chamomile group and 75% in the placebo group (P <0.05). The frequency of vomiting in the surgical ward was 15.6% and 56.2% in the chamomile and placebo groups, respectively. Thus, this frequency in the chamomile group was significantly lower than in the placebo group (P<0.001). It seems that in laparoscopic surgeries, the use of chamomile drops as a preventive drug reduces postoperative nausea and vomiting.
本研究旨在评价洋甘菊对腹腔镜胆囊切除术后恶心呕吐的影响。洋甘菊(L.)随机分为甘菊组和安慰剂组。手术前1小时进行干预。恶心的严重程度和呕吐的频率用视觉模拟量表测量。两组患者分别在术前、术后恢复期和术后2 h三个阶段进行研究。数据采用描述性和分析性统计(SPSS)进行分析。两组患者恶心的平均严重程度均随时间显著增加;然而,与安慰剂组相比,洋甘菊组的这种增加明显轻微。在康复出院前,洋甘菊组和安慰剂组的术前恶心发生率分别为6.2%和25%。2小时后,在外科病房,估计洋甘菊组的这一频率为31.2%,安慰剂组为75% (P <0.05)。洋甘菊组和安慰剂组的外科病房呕吐频率分别为15.6%和56.2%。因此,洋甘菊组的这一频率显著低于安慰剂组(P<0.001)。似乎在腹腔镜手术中,使用洋甘菊滴剂作为预防药物可以减少术后恶心和呕吐。
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引用次数: 0
Emergencies in movement disorders 运动障碍的紧急情况
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.30
D. Aygün, Murat Polat
Movement disorders can be defined as the abnormality of the speed and form of body movements. Although movement disorders often occur chronically, they can sometimes develop acutely or sub-acutely, and some can be fatal if not diagnosed and treated early. Here, emergencies in movement disorders are discussed under two main headings as emergencies related to hyperkinetic movement disorders and emergencies related to hypokinetic movement disorders. This review draws attention to the importance of that accurate diagnosis and early treatment can be life-saving in emergencies in movement disorders. It also provides recommendations for diagnosis and therapy.
运动障碍可以定义为身体运动速度和形式的异常。虽然运动障碍通常是慢性的,但它们有时会发展为急性或亚急性,如果不及早诊断和治疗,有些可能是致命的。在这里,运动障碍的紧急情况分为两个主要标题,即与多动运动障碍有关的紧急情况和与低动运动障碍有关的紧急情况。本综述提请注意,在紧急情况下,准确的诊断和早期治疗可以挽救生命的重要性运动障碍。它还为诊断和治疗提供建议。
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引用次数: 0
SCUBE-1 as a novel predictor of thromboembolic event SCUBE-1作为一种新的血栓栓塞事件预测因子
Q3 Medicine Pub Date : 2023-03-18 DOI: 10.52142/omujecm.40.1.40
H. Akça
SCUBE-1 is a newly identified, secreted cell surface protein that is determined during early embryogenesis. This protein consists of cascading EGF-like repeats following the N-terminal signal peptide sequence, a spacer region, cysteine-rich repeat motifs, and a CUB domain at the C-terminus. These molecules are stored in alpha granules in inactivated platelets, translocated to the platelet surface after activation by thrombin, secreted as small soluble fragments, and incorporated into the thrombus.
SCUBE-1是一种新发现的分泌细胞表面蛋白,在胚胎发生早期确定。该蛋白由n端信号肽序列后的级联egf样重复序列、间隔区、富含半胱氨酸的重复基序和c端CUB结构域组成。这些分子储存在失活血小板中的α颗粒中,被凝血酶激活后转运到血小板表面,以可溶性小片段的形式分泌,并并入血栓。
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引用次数: 0
期刊
Tokai Journal of Experimental and Clinical Medicine
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