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Outpatient experiences toward renewed OBGYN OPD’S services at king Saud medical city, Saudi Arabia, in Oct, 2020 - Jan, 2021 2020年10月至2021年1月,沙特阿拉伯沙特国王医疗城更新的OBGYN OPD服务的门诊体验
Pub Date : 2021-07-01 DOI: 10.33545/comed.2021.v4.i3a.202
Turki Mohammed Alahaideb, Mazin Swarelzaheb, A. Alotaibi
Background: Patient experience and satisfaction are essential and widely used metrics for assessing health-care quality, and they can provide valuable and unique insights into daily hospital care and are accepted as independent dimension of quality of care, they have effect on treatment results, the loyalty of patients towards the organization, and malpractice accusations. The aim of this article is to evaluate the patients’ experience toward the Obstetrics and Gynecology (OBGYN) renewed outpatient department services, using the Generic Short Patient Experiences Questionnaire (GS-PEQ), as an indicator, reflective of health care service quality and for improvement of quality. Materials and Methods: The study was conducted among patients (N = 483), of legal age, or patients’ guardians, of both genders, attending the OBGYN outpatient department clinics, of the women’s hospital, at King Saud Medical City (KSMC), in Riyadh, Saudi Arabia, during the period of October 2020 to January 2021. The Generic Short Patient Experiences Questionnaire (GS-PEQ) was randomly distributed to patients, immediately after attending the Outpatient clinical services, which is a self- administered questionnaire of multiple items that measures the most significant elements of patient perceived experience from an outpatient perspective. Results: The analysis showed that the majority of participants had positively responded to the questionnaire items, and 89.3% of participants were overall satisfied toward the OPD services provided. The socio-demographic data showed the majority of participants were females and in the age group of 31-40 years old, married, with a bachelor’s degree. The responses for every question were found to be significant, at P< 0.001. A significant correlation was found between the age group, education level and the perception of OPD clinics organization of work, and there was significant correlation between the education level and the satisfaction of help and treatment received at OPD services. Conclusion: It can be concluded, that the patients were satisfied and had a positive experience with the health care services provided by the institution, and patients have confidence in the clinicians’ professional skills, and perception of treatment as adapted to their situation. In addition, patients were involved in decisions regarding their treatment, and satisfied of the help and the treatment received, with overall perception of benefit received. Furthermore, patients expressed their disaffection with the waiting before admission to OPD services, proposing a matter that necessitate a further investigation for quality improvement. ,
背景:患者体验和满意度是评估医疗保健质量的基本和广泛使用的指标,它们可以为日常医院护理提供有价值和独特的见解,并被认为是护理质量的独立维度,它们对治疗结果、患者对组织的忠诚度和医疗事故指控有影响。本研究旨在以通用短期患者体验问卷(GS-PEQ)为指标,评价患者对妇产科(OBGYN)门诊更新服务的体验,以反映医疗服务质量,提高服务质量。材料和方法:该研究是在2020年10月至2021年1月期间,在沙特阿拉伯利雅得沙特国王医疗城(KSMC)妇女医院妇产科门诊就诊的法定年龄的患者(N = 483)或患者的监护人中进行的。通用短期患者体验问卷(GS-PEQ)随机发放给参加门诊临床服务的患者,这是一份自我管理的问卷,包含多个项目,从门诊角度衡量患者感知体验的最重要元素。结果:分析显示,绝大多数参与者对问卷内容的回答是积极的,89.3%的参与者对门诊提供的服务总体满意。社会人口统计数据显示,大多数参与者是女性,年龄在31-40岁之间,已婚,拥有学士学位。每个问题的回答都是显著的,P< 0.001。年龄、文化程度与门诊门诊组织工作感知存在显著相关,文化程度与门诊门诊服务帮助和治疗满意度存在显著相关。结论:患者对该机构提供的医疗服务感到满意和积极的体验,患者对临床医生的专业技能有信心,并且认为治疗适合他们的情况。此外,患者参与治疗决策,对所获得的帮助和治疗感到满意,并对所获得的益处有总体感知。此外,患者表达了他们对门诊服务入院前等待的不满,提出了一个需要进一步调查以改善质量的问题。,
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引用次数: 0
Voices of the African child: An article on youth engagements in sexual and reproductive health and rights [SRHR] policies in Africa 非洲儿童之声:一篇关于非洲青年参与性健康和生殖健康及权利政策的文章
Pub Date : 2021-07-01 DOI: 10.33545/comed.2021.v4.i3a.201
Otobo D Daniel, Adefila Jacob, Edugbe E Adikpe, Yonni Johnson, Mesak Daniel, Ishiola M Adewale, Omoruyi Anita, Ezejiofor L Ugochukwu, Okpe Paschal, Okau Uloko, Tanko O Halima
The poor participation of youths in politics and governance in Africa may be as a result of the indigenous African believe that wisdom is associated with the aged and thus the elderly makes for best leaders. This has led to a lot of African nations with the worlds youngest populations as her majority being led by some of the world’s oldest leaders. Like Nigeria for example. In the aspect of Sexual and Reproductive Health and Rights (SRHR), we have old and unamended policies that no longer seek to favour the mental, physical or social sexual and reproductive wellbeing of the younger and younger African populace. The aim of this study was primarily to listen to what some African Youths proposed for the improvement of Sexual and Reproductive Health and Rights in their Countries. This was done by using a validated data tool in a randomized cross-sectional study amongst 80 participants from over 11 African countries. The results showed that majority of the correspondents wanted to implement policies to improve Comprehensive Sexual Education, Community advocacy/awareness engagements and government policies amendments, respectively. Other areas mentioned were; improved Family planning services and, Human and reproductive health rights. While the two people said they were going to scale down SRHR and Do nothing concerning SRHR, respectively in their countries. No one made mention of improving any aspect concerning the LGBTQ community, what so ever.
非洲的年轻人很少参与政治和治理,这可能是由于非洲土著认为智慧与老年人有关,因此老年人是最好的领导者。这导致许多非洲国家拥有世界上最年轻的人口,而大多数人口由世界上最年长的领导人领导。比如尼日利亚。在性健康和生殖健康与权利方面,我们有旧的和未经修订的政策,不再谋求有利于越来越年轻的非洲人口的精神、身体或社会性健康和生殖健康。这项研究的主要目的是听取一些非洲青年为改善本国的性健康和生殖健康及权利提出的建议。这是通过在来自11个非洲国家的80名参与者的随机横断面研究中使用经过验证的数据工具完成的。结果显示,大多数受访者希望实施政策以改善综合性教育、社区倡导/意识参与和政府政策修订。提到的其他领域有;改善计划生育服务以及人权和生殖健康权利。而这两个人分别表示,他们将在各自的国家缩减SRHR和不做任何关于SRHR的事情。没有人提到要改善LGBTQ群体的任何方面。
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引用次数: 0
Assessment of oral health needs among health care workers in Udaipur, India 印度乌代普尔卫生保健工作者口腔卫生需求评估
Pub Date : 2021-07-01 DOI: 10.33545/comed.2021.v4.i3a.203
Pulkit Chaturvedi, Aastha Doshi, Deepika Balodi, E. Singh, S. Shams, Devanshi Raijada, V. Shah, Ayushi Pathak, Gaurav Jawariya, Soumya Vardhan
Background: Health care workers are a part of community that provides health care services. They facilitate people from primary preventions to complex treatment procedures. In the course they often neglect their own health prospects especially oral health. The attitude regarding oral health in health care workers in India is a cause of concern. The aim of the study is to assess the oral health needs of the health care workers in Udaipur, India and to utilize data to be used as a guideline for improvements in their oral health care and improving their quality of life. Methodology: A written oral health case history format was prepared and was carefully examined on all willing participants for the study along with dental indices recording related to dental caries and tooth wear. The data was analyzed using IBM SPSS 21 software. Results: 87.5% of the health care workers were suffering from dental caries. Also, 16.3% had root stumps in their oral cavity of the teeth which were lost due to caries. Also, 17.5% participants had grossly decayed teeth due to caries. Noticeably, attrition of teeth was also noticed in 65% of the participants. These findings can be attributed to the amount of sugar present in food, lack of oral hygiene and poor oral health habits. Conclusion: Their knowledge regarding oral health care habits needs improvement. They are the people who can themselves apply and guide others to maintain good oral habits. Efforts should be established by caretakers to instill oral health education in health care workers.
背景:卫生保健工作者是提供卫生保健服务的社区的一部分。它们帮助人们从初级预防到复杂的治疗程序。在这个过程中,他们往往忽视了自己的健康前景,尤其是口腔健康。印度卫生保健工作者对口腔健康的态度令人关切。本研究的目的是评估印度乌代浦尔卫生保健工作者的口腔卫生需求,并利用数据作为改善其口腔卫生保健和改善其生活质量的指导方针。方法:准备了一份书面的口腔健康病历格式,并对所有愿意参加研究的参与者进行了仔细的检查,同时记录了与龋齿和牙齿磨损相关的牙齿指数。采用IBM SPSS 21软件对数据进行分析。结果:87.5%的医护人员患龋。此外,16.3%的人因蛀牙而在口腔内失去了牙齿的根残。此外,17.5%的参与者因蛀牙而严重蛀牙。值得注意的是,65%的参与者也注意到牙齿磨损。这些发现可归因于食物中的含糖量、缺乏口腔卫生和不良口腔卫生习惯。结论:口腔保健习惯知识有待提高。他们是能够自己应用和指导他人保持良好的口腔习惯的人。护理人员应努力向卫生保健工作者灌输口腔健康教育。
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引用次数: 0
Assessment of acne vulgaris and its association with ocular dryness 寻常性痤疮的评估及其与眼部干燥的关系
Pub Date : 2021-07-01 DOI: 10.33545/comed.2021.v4.i3a.197
Sheetal Sharma, Sharat Kumar, Eshani, Sumita Chauhan
Background: Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit resulting from several interacting pathophysiologic factors. The present study was conducted to assess Acne vulgaris and its association with ocular dryness. Materials & Methods: 86 patients with acne vulgaris underwent assessment of Schirmer's test, tear film breakup time (TBUT), tear film height, presence of conjunctival injection, punctate epithelial erosions (PEE), and meibomian gland dysfunction (MGD). Results: Out of 86 patients, males were 56 and females were 30. Common complaints were watering & burning eyes in 42, foreign body sensation in 14, itching in 20, redness in 6 and on off vision blurring in 4 patients. The corneal findings were lustureless in 64, clear cornea in 12 and punctate lesions & lustureless cornea in 10 patients. The difference was significant ( P <0.05). Conclusion: High prevalence of ocular findings in patients with acne vulgaris.
背景:寻常痤疮是由多种病理生理因素相互作用引起的皮脂腺单位慢性炎症性疾病。本研究旨在评估寻常性痤疮及其与眼部干燥的关系。材料与方法:86例寻常性痤疮患者行Schirmer试验、泪膜破裂时间(TBUT)、泪膜高度、结膜注射、点状上皮糜烂(PEE)、睑板腺功能障碍(MGD)评估。结果:86例患者中,男56例,女30例。常见的主诉是42例流泪和灼眼,14例有异物感,20例瘙痒,6例发红,4例视力模糊。64例角膜无光泽,12例角膜清晰,10例角膜点状病变无光泽。差异有统计学意义(P <0.05)。结论:寻常性痤疮患者眼部病变发生率高。
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引用次数: 0
Otobo Daniel David and Okoro Ijeoma Ngozi
Pub Date : 2021-07-01 DOI: 10.33545/comed.2021.v4.i3a.199
Otobo Daniel David, O. I. Ngozi
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引用次数: 0
Risk factors for hospital readmission among home health care patients at PSMMC, Riyadh, Saudi Arabia, 2019 2019年沙特阿拉伯利雅得PSMMC家庭保健患者再入院的危险因素
Pub Date : 2021-04-01 DOI: 10.33545/comed.2021.v4.i2a.188
L. Alruwaili, Tariq Alsaid, Mostafa Kofi
Background: Worldwide the home health care (HHC) has many benefits. It improves countries health systems and clinical outcomes of patients, it is good solution for bed occupancy in hospitals. Home Health care (HHC) provides nursing services supported with Medicare for patients with chronic medical issues that prevent them from leaving the home. Objectives: This study aimed to describe frequency and rate of readmission to hospital by HHC patients according to diagnoses, and identify the factors associated with non-elective, readmission of HHC patients, at PSMMC, Riyadh, Kingdom of Saudi Arabia, 2019. Methods: Cross-sectional study with a total number of participants 213 done by using self-administered chart review. Result: A total of 213 Saudi health care patients participated, and most of them were in the age group of 75-85 years. The overall prevalence of readmission was 43.66%, and it was significantly higher among males at 55.81%. Poly-pharmacy and diabetes mellitus were the highest frequent causes of readmission at 75.27% and 65.59%, respectively. A significantly higher percentage of readmitted subjects have urinary tract infection and on NGT at 8.60% and 13.89% vs. 1.67% and 5% on the not readmitted group, respectively. On the other hand, the functional disability severity frequency and hypothyroidism were higher in the not readmitted groups compared to the readmitted one at 46.67%, and 27.5% vs. 32.26 and 12.9%, respectively. There was a significant difference between the two groups in the distance 25Km from central Riyadh. Male gender is associated with more than two folds risk of non-elective readmission of HHC compared to females, with OR =2.30, and a P-value of 0.004. Patients with urinary tract infections were more than five folds (OR= 5.55, P= 0.033) at risk of readmission, and those with surgical interventions have 6.91 folds increased risk of readmission. Besides, patients on NGT and those treated with a multidisciplinary team have OR of 3.09, and 3.41to be readmitted with a significant P-value (
背景:在世界范围内,家庭保健(HHC)有许多好处。它改善了国家的卫生系统和患者的临床结果,是医院床位占用的良好解决方案。家庭保健(HHC)在医疗保险的支持下,为患有慢性疾病、无法离开家的患者提供护理服务。目的:本研究旨在描述HHC患者根据诊断再入院的频率和比率,并确定与HHC患者非选择性再入院相关的因素,沙特阿拉伯王国利雅得PSMMC, 2019。方法:采用自填量表法进行横断面研究,共213人。结果:共有213名沙特卫生保健患者参与,其中大部分年龄在75 ~ 85岁之间。总体再入院率为43.66%,其中男性最高,为55.81%。多药联用和糖尿病是再入院最常见的原因,分别占75.27%和65.59%。再入院组尿路感染和NGT发生率分别为8.60%和13.89%,而未再入院组分别为1.67%和5%。另一方面,未再入院组的功能障碍严重程度频率和甲状腺功能减退发生率分别高于再入院组的46.67%和27.5%,分别高于再入院组的32.26%和12.9%。在距离利雅得中心25公里的距离上,两组之间存在显著差异。男性与女性相比,HHC非选择性再入院风险增加了两倍以上,OR =2.30, p值为0.004。尿路感染患者再入院风险增加5倍以上(OR= 5.55, P= 0.033),手术干预组再入院风险增加6.91倍。此外,接受NGT治疗的患者与多学科团队治疗的患者再入院的OR为3.09,再入院的OR为3.41,p值(
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引用次数: 1
Efficacy of acupuncture in the functioning of the upper and lower limbs in patients after a stroke: A narrative review 针刺对中风后患者上肢和下肢功能的疗效:一个叙述性的回顾
Pub Date : 2021-04-01 DOI: 10.33545/comed.2021.v4.i2a.194
Georgios Gioglou, Anastasios Kottaras, D. Lytras, Paris Iakovidis, Anna Giannakoudaki, Konstantinos Moutaftsis
Stroke is the second most common cause of death in the world and is one of the leading causes of disability and dependence of older adults for care. Acupuncture for the treatment of stroke has been used in China for thousands of years and is constantly gaining ground in the medical community of the western world. The aim of this review is to describe through recent research data the efficacy of acupuncture in improving the functioning of individuals after a stroke. Data for both the upper and lower limbs were included in this work. The PubMed and Google Scholar databases were searched with the following keywords: Stroke, Acupuncture, disability, Rehabilitation. Both clinical studies and systematic reviews were included in the review, with nine articles included in total. In conclusion, the application of acupuncture seems to have a positive effect on the treatment of motor disorders after a stroke. The results of this review show that acupuncture can contribute and provide significant benefits in improving motor and functional limitations that occur after a stroke and is able to improve the functional level of patients.
中风是世界上第二大最常见的死亡原因,也是老年人残疾和依赖护理的主要原因之一。针灸治疗中风在中国已有数千年的历史,并在西方医学界不断取得进展。这篇综述的目的是通过最近的研究数据来描述针灸在改善中风后个体功能方面的功效。上肢和下肢的数据都包括在这项工作中。在PubMed和Google Scholar数据库中搜索了以下关键词:中风,针灸,残疾,康复。本综述包括临床研究和系统评价,共纳入9篇文章。总之,针灸的应用似乎对中风后运动障碍的治疗有积极的影响。这篇综述的结果表明,针灸可以在改善中风后发生的运动和功能限制方面做出贡献并提供显著的益处,并且能够提高患者的功能水平。
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引用次数: 0
Assessment of prevalence of internet addiction among youth population in urban and rural area: A comparative study 城乡青少年网络成瘾流行程度评估:一项比较研究
Pub Date : 2021-04-01 DOI: 10.33545/comed.2021.v4.i2a.192
Leena Salunkhe, Vasundhara Ghaorpade, R. Salunkhe, Nihal Mali
Background: With the increase in internet usage in today’s time, the incidence of internet addiction has also increased. College students are especially vulnerable to internet, because of availability of time, unlimited access, limited parental supervision and the psychological and developmental characteristics of young adulthood. Objective of this study is to identify internet addiction among urban and rural youth population. Method: This cross sectional study was carried among urban and rural population in the locality of Sangli district, Maharashtra, India. A total of 200 students having an access to internet were selected by simple random sampling. Young’s Internet addiction scale, consisting of 20-item, based upon five-point Likert scale was used and subjects were classified accordingly. Result: The prevalence of internet addiction among urban population is 65% while in rural population is 70%. Mild IA was common among both populations while severe IA is seen more in rural population. As far as gender is considered, the prevalence is similar in male and female sample. The addicts use internet preferably for social media and social purposes. Conclusions:In this study, Young’s Internet Addiction Test (IAT) is used which is a simple and easy tool to assess Internet addiction among urban and rural youth population. It is necessary to adopt multi-sectoral approach to improve education among urban and rural youth population.
背景:在当今时代,随着互联网使用量的增加,网络成瘾的发生率也在增加。由于时间充裕、上网不受限制、父母监督有限以及青少年的心理和发展特点,大学生尤其容易受到互联网的影响。本研究的目的是识别城市和农村青少年的网络成瘾。方法:对印度马哈拉施特拉邦桑丽地区的城乡人口进行横断面研究。采用简单随机抽样的方法,选取能上网的学生200名。采用基于李克特五分制的Young网络成瘾量表,共20项,并对被试进行分类。结果:城市人群网络成瘾率为65%,农村人群网络成瘾率为70%。轻度IA在两种人群中都很常见,而严重IA在农村人群中更为常见。就性别而言,男性和女性样本的患病率相似。上瘾者使用互联网主要是为了社交媒体和社交目的。结论:本研究采用Young 's网络成瘾测试(IAT),这是一种简单易行的评估城乡青少年网络成瘾的工具。有必要采取多部门的办法来改善城乡青年人口的教育。
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引用次数: 0
Post- COVID mucormycosis- A case report 后冠状病毒感染毛霉菌病1例报告
Pub Date : 2021-04-01 DOI: 10.33545/comed.2021.v4.i2a.191
Sourav Bansal, Harjeevan S Kalra, N. Soni
Mucormycosis, caused by a group of moulds called mucormycetes, is a rare but potentially fatal infection if inadequately treated. It is often referred to as the so-called black fungus, the incidence of mucormycosis has risen more rapidly during the second wave compared with the first wave of COVID-19 in India. We reported a case of mucormycosis in a 50 years old male patient.
毛霉病是由一组叫做毛霉菌的霉菌引起的,是一种罕见但如果治疗不当可能致命的感染。它通常被称为所谓的黑色真菌,在印度,与第一波COVID-19相比,第二波毛霉病的发病率上升得更快。我们报告了一例50岁男性毛霉菌病患者。
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引用次数: 1
The role of therapeutic exercise as a means of intervention for the treatment of amyotrophic lateral sclerosis 治疗性运动作为干预治疗肌萎缩性侧索硬化症的手段的作用
Pub Date : 2021-04-01 DOI: 10.33545/comed.2021.v4.i2a.193
Chrestos Panagiotis Psalidas, Anastasios Kottaras, D. Lytras, Paris Iakovidis, Georgios Leptourgos, Konstantinos Moutaftsis
Background: Amyotrophic lateral sclerosis (ALS) leads to paralysis and premature death within an average of 3-5 years from the onset of symptoms. Therapeutic exercise helps to slow down the onset of muscle weakness. The aim of this review is to describe recent research data on the applications of therapeutic exercise in patients with ALS. The Google Scholar and PubMed databases were searched with the following keywords: motor neurone disease, amyotrophic lateral sclerosis, exercises, rehabilitation. Both clinical trials and reviews were included in the review. In conclusion, the application of therapeutic exercise helps to better compensate the deficits and to minimize the muscle weakness and atrophy caused by the disease. Exercises such as aerobics and flexibility and mobility exercises help maintain work ability and endurance and prevent lack of use in the upper and lower limbs.
背景:肌萎缩性侧索硬化症(ALS)在出现症状后平均3-5年内导致瘫痪和过早死亡。治疗性运动有助于减缓肌肉无力的发作。这篇综述的目的是描述治疗性运动在ALS患者中的应用的最新研究数据。在Google Scholar和PubMed数据库中搜索了以下关键词:运动神经元疾病,肌萎缩侧索硬化症,运动,康复。本综述包括临床试验和综述。总之,治疗性运动的应用有助于更好地弥补缺陷,并尽量减少疾病引起的肌肉无力和萎缩。有氧运动、柔韧性和机动性锻炼有助于保持工作能力和耐力,防止上肢和下肢缺乏使用。
{"title":"The role of therapeutic exercise as a means of intervention for the treatment of amyotrophic lateral sclerosis","authors":"Chrestos Panagiotis Psalidas, Anastasios Kottaras, D. Lytras, Paris Iakovidis, Georgios Leptourgos, Konstantinos Moutaftsis","doi":"10.33545/comed.2021.v4.i2a.193","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i2a.193","url":null,"abstract":"Background: Amyotrophic lateral sclerosis (ALS) leads to paralysis and premature death within an average of 3-5 years from the onset of symptoms. Therapeutic exercise helps to slow down the onset of muscle weakness. The aim of this review is to describe recent research data on the applications of therapeutic exercise in patients with ALS. The Google Scholar and PubMed databases were searched with the following keywords: motor neurone disease, amyotrophic lateral sclerosis, exercises, rehabilitation. Both clinical trials and reviews were included in the review. In conclusion, the application of therapeutic exercise helps to better compensate the deficits and to minimize the muscle weakness and atrophy caused by the disease. Exercises such as aerobics and flexibility and mobility exercises help maintain work ability and endurance and prevent lack of use in the upper and lower limbs.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122629130","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
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International Journal of Advanced Community Medicine
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