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Nursing Experience of Traditional Chinese Medicine Comprehensive Nursing Combined with Fasting Therapy in Paraplegic Patients 中医综合护理结合断食治疗截瘫患者的护理体会
Pub Date : 2023-09-30 DOI: 10.6913/mrhk.050302
Juan ZHU, Longqian CHENG, Fangjie CAI
This study aims to explore the application and experience of traditional Chinese medicine comprehensive nursing combined with fasting therapy in the care of paraplegic patients. By reviewing the clinical situation of paraplegic patients who underwent traditional Chinese medicine fasting therapy from May 2022 to July 2023, and observing the changes in their quality of life through combined traditional Chinese medicine comprehensive nursing. The results show that the combination of traditional Chinese medicine comprehensive nursing and fasting therapy has a positive effect on the care of paraplegic patients.
本研究旨在探讨中医综合护理结合禁食疗法在截瘫患者护理中的应用与体会。通过回顾2022年5月至2023年7月中西医结合综合护理截瘫患者的临床情况,观察其生活质量的变化。结果表明,中医综合护理与禁食疗法相结合对截瘫患者的护理有积极的效果。
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引用次数: 0
A Fourth-Degree Domestic Accident-Induced Perineal Tear in A Two Days-Old Female Newborn 四度家庭意外导致的会阴撕裂在一个出生两天的女婴
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9406
Musimwa Ganza Trésor, Adjiwanou Afiavi Nora, Sossa Jean, Valimungighe M. Moise, Agounpke Michel, Murhabazi Mulume Emmanue, Ouake Hadidjatou, Tololwa Mwanavita Innocent, Yevi I.D. Magloire, Hodonou Fred, Avakoudjo Déjinnin Josué Georges
We report a case of a fourth-degree perineal tear triggered by a brick’s fall in two-days-old female newborn. We successfully managed the injury by means of a surgical repair and an antibiotic coverage.
我们报告一个病例的四度会阴撕裂引发的砖落在两天大的女性新生儿。我们通过手术修复和抗生素覆盖成功地处理了伤口。
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引用次数: 0
Sickle Cell Anaemia (SCA) related priapism in Kano, North- Western, Nigeria; re-emphasizing the important role of haemolysis 尼日利亚西北部卡诺的镰状细胞贫血(SCA)相关阴茎勃起功能障碍;再次强调溶血的重要作用
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9403
Nabila Ado Ya’u, Falmata Grema Mustapha, Ibrahim Abdulqadir
Background: Priapism is a common albeit under reported complication of Sickle Cell Anaemia (SCA) despite the pain, psychological stress and attendant risk of erectile dysfunction. Some changes in both clinical and laboratory parameters have been associated with priapism in SCA. Aim:This study seeks to determine the clinical and laboratory characteristics of patients with SCA related priapism. Method: A total of 102 adult male patients with SCA were recruited at steady state into this cross-sectional study. Clinical data was extracted using interviewer administered questionnaire and clients’ folders while FBC, haemolytic and biochemical markers were determined for each participant. Data was analysed using SPSS version 21.0 and p < 0.05 was considered significant. Results: The prevalence of priapism was 36.3%. There was no significance difference between SCA patients with and without priapism in terms of age (p = 0.11), age at diagnosis (p = 0.81), marital status (χ2 = 2.06, df = 4, p = 0.09), painful crisis (χ2 = 0.95, df = 4, p = 0.41) and history of hospital admission (χ2 = 0.28, df = 4, p = 0.59). However, SCA patients with priapism had more blood transfusions (χ2 = 46.70, df = 4, p = 0.01), lower haemoglobin (p = 0.01), higher reticulocyte count (p = <0.001) and serum LDH (p = <0.001) compared to SCA patients without priapism. History of blood transfusion (OR = 3.4, 95% CI = 1.6 – 6.5, p = 0.03), higher reticulocyte count (OR = 8.9, 95% CI = 2.4 - 14.8, p = 0.01) and serum LDH (OR = 13.6, 95% CI = 7.6 – 24.3, p = 0.01) were positive predictors of priapism among adults with SCA. Conclusion: Priapism is a high among patients with SCA and haemolytic markers can serve as important determinants of SCA related priapism. There is need for increase awareness of this complication and researches to exploit mechanistic pathways of priapism in SCA.
背景:阴茎勃起是镰状细胞性贫血(SCA)的常见并发症,尽管有报道,但它会带来疼痛、心理压力和随之而来的勃起功能障碍风险。一些临床和实验室参数的变化与SCA患者的阴茎勃起有关。目的:本研究旨在确定SCA相关勃起功能障碍患者的临床和实验室特征。方法:选取102例处于稳定状态的成年男性SCA患者进行横断面研究。临床资料采用采访者管理的问卷和客户文件夹提取,同时测定每位参与者的FBC、溶血和生化指标。数据分析采用SPSS version 21.0和p <0.05为显著性。结果:男性勃起障碍发生率为36.3%。伴有和不伴有阴茎勃起障碍的SCA患者在年龄(p = 0.11)、诊断年龄(p = 0.81)、婚姻状况(χ2 = 2.06, df = 4, p = 0.09)、疼痛危像(χ2 = 0.95, df = 4, p = 0.41)、住院史(χ2 = 0.28, df = 4, p = 0.59)方面差异无统计学意义。然而,与无勃起功能障碍的SCA患者相比,伴有勃起功能障碍的SCA患者输血量更多(χ2 = 46.70, df = 4, p = 0.01),血红蛋白(p = 0.01)降低,网织红细胞计数(p = <0.001)和血清LDH (p = <0.001)升高。输血史(OR = 3.4, 95% CI = 1.6 - 6.5, p = 0.03)、较高的网织红细胞计数(OR = 8.9, 95% CI = 2.4 - 14.8, p = 0.01)和血清LDH (OR = 13.6, 95% CI = 7.6 - 24.3, p = 0.01)是SCA成人阴茎勃起的阳性预测因子。结论:SCA患者阴茎勃起率高,溶血标志物是SCA相关阴茎勃起的重要决定因素。有必要提高对这一并发症的认识,并对SCA中阴茎勃起的机制途径进行研究。
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引用次数: 0
Congenital megacalice at Menontin Hospital in Benin: A case report and review of the literature 在贝宁Menontin医院先天性巨乳症:一个病例报告和文献回顾
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9405
Agounkpe Michel, Behanzin Ulrich, Mkoh Anne, Valimungighe M. Moïse, Avakoudjo D.G Josué
Background: Congenital megacalice of Puigvert is a rare congenital anomaly characterized by non-obstructive dilatation of the renal calyces with normal pelvis, ureter and bladder. Clinic Observation: We report the case of a left congenital megacaliceus without lithiasis or obstruction in a 36-year-old female patient discovered on uroscanner indicated for chronic abdominal pain. Conclusion: Congenital megacalice is a rare pathology, and only clinical and biological monitoring remains the basis of its management.
背景:先天性Puigvert巨结石是一种罕见的先天性异常,其特征是肾盂、输尿管和膀胱正常,但肾盂非梗阻性扩张。临床观察:我们报告一名36岁女性病患,因慢性腹痛,在尿路扫瞄上发现左侧先天性巨结石,但无结石或梗阻。结论:先天性巨乳症是一种罕见的病理,只有临床和生物学监测是其治疗的基础。
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引用次数: 0
The Necessary De-Stigmatization of Mental Health Promotion for Sports Injury Prevention and Performance 心理健康促进对运动损伤预防和表现的必要去污名化
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9401
Troy B Puga, Rishabh Mazumder, Tiffany Ruan, Grace E Thiel, Nicholas Scigliano, Kevin Treffer
Mental health promotion for athletes remains a controversial topic that has yet to receive necessary attention. While there has been some progress regarding mental health promotion in recent years, the stigma regarding mental health promotion for athletes still remains. Athletes at all levels face immense pressures from their sport which has the potential to lead to chronic stress and mental health conditions that can lead to a decrease in athletic performance and potential sports injuries. In dealing with this, athletes may not have the necessary resources and may be stigmatized for addressing their mental health. In order to keep athletes healthy and performing at the highest level, we must break down the stigma regarding mental health promotion for athletes. In addition to breaking the stigma, resources for mental health counseling must be increased, athletic cultures and communications improved, and regularly screening athletes for mental health conditions. Mental health promotion must be de-stigmatized for athletes as it is necessary for sports injury prevention and peak athletic performance.
运动员的心理健康促进仍然是一个有争议的话题,尚未得到必要的重视。虽然近年来在促进心理健康方面取得了一些进展,但在促进运动员心理健康方面的耻辱仍然存在。各级运动员都面临着来自运动的巨大压力,这有可能导致慢性压力和精神健康状况,从而导致运动成绩下降和潜在的运动损伤。在处理这一问题时,运动员可能没有必要的资源,并且可能因解决他们的心理健康问题而受到侮辱。为了保持运动员的健康和最高水平的表现,我们必须打破对运动员心理健康促进的耻辱。除了打破耻辱感之外,还必须增加心理健康咨询资源,改善运动文化和交流,并定期对运动员进行心理健康状况筛查。促进运动员的心理健康必须去污名化,因为这是预防运动损伤和达到运动巅峰的必要条件。
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引用次数: 0
A literature Study on Association of Environmental Toxic Compounds with Thyroid Disruption 环境毒性化合物与甲状腺功能障碍相关性的文献研究
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9402
Abdul Qader
The literature evidences showed a drastic effect of environmental chemicals compounds on the status of thyroid hormones. Most of the environmental chemical compounds mentioned in study show structural resemblance with thyroid hormones. Therefore, these chemicals can mimic the activity of thyroid hormones. Some chemical compounds also exhibit other mechanism; however, the exact mechanism of action is not cleared yet. Most commonly these chemicals include a dose dependent inhibition of thyroid hormones. No doubt these chemical compounds have beneficial roles at industrial scale where these are used in the preparation of various useful things but we cannot ignore their life-threatening consequences.
文献证据表明,环境化学物质对甲状腺激素的状态有显著影响。研究中提到的大多数环境化合物在结构上与甲状腺激素相似。因此,这些化学物质可以模拟甲状腺激素的活动。有些化合物还表现出其他机制;然而,确切的作用机制尚不清楚。最常见的这些化学物质包括对甲状腺激素的剂量依赖性抑制。毫无疑问,这些化合物在工业规模上有有益的作用,它们被用于制备各种有用的东西,但我们不能忽视它们危及生命的后果。
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引用次数: 0
A Case-Control Study of the Carotid Intima Media Thickness as a Good Predictor of Subclinical Atherosclerosis in South Indian Women Diagnosed With Polycystic Ovarian Syndrome in a Tertiary Care Hospital 在三级医院诊断为多囊卵巢综合征的南印度妇女中,颈动脉内膜中膜厚度作为亚临床动脉粥样硬化良好预测因子的病例对照研究
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9404
Lekhana Dayanand, PJ Rohan
Background and Objective: Polycystic ovarian syndrome (PCOS) is a diverse condition whose likelihood of heightened cardiovascular disease (CVD) risk in the future is often disregarded. We need to predict the risk sooner due to the intrinsic propensity for CVD in Indians, increased prevalence in South Indians, and PCOS patients. The objectives are: 1. To elicit the presence of CVD risk factor in pcos patients 2. Considering CIMT (Carotid Intima Media Thickness) as a good predictor for CVD risk Methods: A total of 50 cases and 50 age and weight (+/-2 kg) matched controls were included in this study. We assessed the CIMT by the Doppler system with electrical linear transducer midfrequency of 10 MHz. Results: Women with PCOS had a greater CIMT (0.05 ± 0.01 cm in cases vs. 0.03 ± 0 cm in controls; p < 0.001). The CIMT of the cases is increased over their controls by 42.4% (014mm), P ≤0.001. The r value of age and CIMT is more when compared to the r value of weight and CIMT in both cases and controls (Age and CIMT: cases: r= 0.431 & controls: r =0.312) (Weight and CIMT: cases: r = 0.164 & controls: r =0.233). Conclusion: In PCOS , CIMT is a good indicator of CVD risk. When opposed to an individual's weight, age shows a stronger positive correlation with CIMT. Hence, PCOS patients must get an early CIMT scan. CIMT must be a crucial component of PCOS management and CVD risk alleviation.
背景与目的:多囊卵巢综合征(PCOS)是一种多种多样的疾病,其未来心血管疾病(CVD)风险增高的可能性经常被忽视。由于印度人心血管疾病的内在倾向,南印度人和多囊卵巢综合征患者的患病率增加,我们需要更快地预测风险。目标是:1。目的探讨pcos患者CVD危险因素的存在。考虑到CIMT(颈动脉内膜中膜厚度)是心血管疾病风险的良好预测指标方法:本研究共纳入50例病例和50例年龄和体重(+/-2 kg)匹配的对照。我们用中频10 MHz的电线性换能器多普勒系统评估了CIMT。结果:PCOS患者的CIMT(0.05±0.01 cm)高于对照组(0.03±0 cm);p & lt;0.001)。病例的CIMT较对照组增加42.4% (014mm), P≤0.001。年龄和CIMT的r值比体重和CIMT的r值更大(年龄和CIMT:病例:r= 0.431 &对照组:r =0.312)(体重和CIMT:病例:r = 0.164 &对照组:r =0.233)。结论:在PCOS中,CIMT是CVD风险的良好指标。与体重相反,年龄与CIMT表现出更强的正相关。因此,多囊卵巢综合征患者必须尽早进行CIMT扫描。CIMT必须成为PCOS管理和CVD风险减轻的重要组成部分。
{"title":"A Case-Control Study of the Carotid Intima Media Thickness as a Good Predictor of Subclinical Atherosclerosis in South Indian Women Diagnosed With Polycystic Ovarian Syndrome in a Tertiary Care Hospital","authors":"Lekhana Dayanand, PJ Rohan","doi":"10.31254/jmr.2023.9404","DOIUrl":"https://doi.org/10.31254/jmr.2023.9404","url":null,"abstract":"Background and Objective: Polycystic ovarian syndrome (PCOS) is a diverse condition whose likelihood of heightened cardiovascular disease (CVD) risk in the future is often disregarded. We need to predict the risk sooner due to the intrinsic propensity for CVD in Indians, increased prevalence in South Indians, and PCOS patients. The objectives are: 1. To elicit the presence of CVD risk factor in pcos patients 2. Considering CIMT (Carotid Intima Media Thickness) as a good predictor for CVD risk Methods: A total of 50 cases and 50 age and weight (+/-2 kg) matched controls were included in this study. We assessed the CIMT by the Doppler system with electrical linear transducer midfrequency of 10 MHz. Results: Women with PCOS had a greater CIMT (0.05 ± 0.01 cm in cases vs. 0.03 ± 0 cm in controls; p < 0.001). The CIMT of the cases is increased over their controls by 42.4% (014mm), P ≤0.001. The r value of age and CIMT is more when compared to the r value of weight and CIMT in both cases and controls (Age and CIMT: cases: r= 0.431 &amp; controls: r =0.312) (Weight and CIMT: cases: r = 0.164 &amp; controls: r =0.233). Conclusion: In PCOS , CIMT is a good indicator of CVD risk. When opposed to an individual's weight, age shows a stronger positive correlation with CIMT. Hence, PCOS patients must get an early CIMT scan. CIMT must be a crucial component of PCOS management and CVD risk alleviation.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135989555","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
An Up-to-date Systematic Review on Real-world Evidence for the Management of Asymptomatic Hyperuricemia 关于无症状高尿酸血症治疗的真实世界证据的最新系统综述
Pub Date : 2023-08-31 DOI: 10.31254/jmr.2023.9407
Shaikha Abdulla Shaheen, Deena M. S. Barrouq, Tareq Irshaidat
The prevalence of hyperuricemia is increasing worldwide. The emergent concerns have provoked investigations into the management of AUH. While there are existing reviews discussing the pharmacological treatment of AUH based on randomized controlled trials, an updated review specifically focusing on the safety and effectiveness of pharmacological interventions in real-world settings for AUH is currently lacking. For that reason, the objective of this review was to provide a comprehensive summary of the existing evidence extracted from the available research studies that focused on the safety and effectiveness of the adopted medical treatment approaches for AUH in real-world settings. Based on the analysis verdicts, benzbromarone appeared to be the most effective urate-lowering therapy (ULT) in achieving the desired serum uric acid (sUA) levels and in lowering the incidence of initial gout flares. Febuxostat also demonstrated valuable effectiveness in our analysis. On the other hand, based on the safety of the popular allopurinol medication, one real-world study identified skin-related adverse effects associated with it. However, it is important to note that the studies included in the analysis were predominantly conducted in Japan and Taiwan, which limits the generalizability of these findings. To enhance the applicability of the review outcomes, future global studies should cover a wider assortment of populations from various countries and regions.
高尿酸血症的患病率在世界范围内呈上升趋势。这些新出现的问题引发了对AUH管理的调查。虽然现有的综述讨论了基于随机对照试验的AUH的药物治疗,但目前缺乏专门关注现实环境中AUH药物干预的安全性和有效性的最新综述。因此,本综述的目的是从现有研究中提取的现有证据进行全面总结,这些研究侧重于在现实环境中采用的治疗AUH的医学方法的安全性和有效性。基于分析结论,苯溴马龙似乎是最有效的降尿酸治疗(ULT),以达到理想的血清尿酸(sUA)水平和降低初始痛风发作的发生率。在我们的分析中,非布司他也显示出有价值的有效性。另一方面,基于流行的别嘌呤醇药物的安全性,一项真实世界的研究发现了与皮肤相关的副作用。然而,值得注意的是,分析中包括的研究主要是在日本和台湾进行的,这限制了这些发现的普遍性。为了提高审查结果的适用性,未来的全球研究应涵盖来自不同国家和地区的更广泛的人群。
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引用次数: 0
Frequency of vaginitis types based on Pap smear test in patients referred to the gynecology clinic of Shahid Sadoughi hospital in Yazd 在亚兹德Shahid Sadoughi医院妇科诊所就诊的患者中,基于巴氏涂片检查的阴道炎类型的频率
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9304
J. Ayatollahi, Azar Faramarzi Babadi, Mojgan Hajisafari, Tahereh Fallah, S. Shahcheraghi
Three agents including candida, trichomonas and bacteria, are the main causes of vaginitis. According to studies conducted in Iran and other parts of the world on the increase of vaginal infections, the present study was conducted to evaluate the frequency of vaginitis based on Pap smear in patients referred to the gynecology clinic of Shahid Sadoughi hospital in Yazd, Iran. The sampling method was census and all cases referred to the gynecology clinic of Shahid Sadoughi hospital in Yazd for Pap smear during 2022 were investigated. Finally, the data were entered into SPSS and analyzed. 378 patients (45%) had vaginitis. According to the results of the study, no statistically significant difference was found between the frequency distribution of vaginitis based on age, dyspareunia, frequency of urination, dysuria and education level. The results of the present study showed a high prevalence of bacterial vaginitis compared to other types of vaginitis.
念珠菌、滴虫和细菌是引起阴道炎的主要原因。根据在伊朗和世界其他地区进行的关于阴道感染增加的研究,本研究旨在评估在伊朗亚兹德Shahid Sadoughi医院妇科诊所转诊的患者中,基于巴氏涂片的阴道炎发生频率。抽样方法为普查,并对2022年期间转诊至亚兹德Shahid Sadoughi医院妇科诊所进行巴氏涂片检查的所有病例进行了调查。最后,将数据输入SPSS进行分析。378例(45%)患者有阴道炎。根据研究结果,基于年龄、性交困难、尿频、排尿困难和教育水平的阴道炎频率分布之间没有发现统计学上的显著差异。本研究的结果显示,与其他类型的阴道炎相比,细菌性阴道炎的患病率很高。
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引用次数: 0
A systematic review of the relationship between severe maternal morbidity and post-traumatic stress disorder 严重孕产妇发病率与创伤后应激障碍关系的系统综述
Pub Date : 2023-06-30 DOI: 10.31254/jmr.2023.9307
Abdul Bari Shaik, N. Shaik, Shawqiya Salman Al Majid
This systematic review examines the relationship between severe maternal morbidity (SMM) and women's post-traumatic stress disorder (PTSD). The review brings together the findings of various studies to provide information into the predominant rates of SMM and PTSD, risk factors, systems, and pathways, the impact on maternal health, and recommendations for clinical practice. The review uncovers that ladies with SMM are bound to foster PTSD, which essentially affects their mental prosperity and in general maternal prosperity. This review discusses the meanings of deliberate screening and assessment, evidence-based contraception and intercession philosophies, and efforts to detect the psychological effects of SMM by close-to-home welfare and maternal welfare providers. Regardless, there are locales in which additional investigation is expected, for instance, studying the suitability of interventions, filling in data openings, and checking out the effect of various peoples and social characteristics. By keeping an eye on these gaps, researchers can advance the field and encourage assigned interventions to lessen the effects of SMM and PTSD, ultimately transforming outcomes for women and their families.
本系统综述探讨了严重产妇发病率(SMM)和妇女创伤后应激障碍(PTSD)之间的关系。该综述汇集了各种研究的结果,以提供有关SMM和PTSD的主要发生率,风险因素,系统和途径,对孕产妇健康的影响以及临床实践的建议的信息。该研究发现,患有SMM的女性一定会患上PTSD,这从根本上影响她们的精神健康和总体上的母性健康。这篇综述讨论了刻意筛查和评估的意义,循证避孕和调解的理念,以及近家福利和孕产妇福利提供者检测SMM的心理影响的努力。无论如何,在某些地方需要进行额外的调查,例如,研究干预措施的适用性,填补数据缺口,以及检查不同人群和社会特征的影响。通过关注这些差距,研究人员可以推动该领域的发展,并鼓励指定的干预措施,以减轻SMM和创伤后应激障碍的影响,最终改变妇女及其家庭的结果。
{"title":"A systematic review of the relationship between severe maternal morbidity and post-traumatic stress disorder","authors":"Abdul Bari Shaik, N. Shaik, Shawqiya Salman Al Majid","doi":"10.31254/jmr.2023.9307","DOIUrl":"https://doi.org/10.31254/jmr.2023.9307","url":null,"abstract":"This systematic review examines the relationship between severe maternal morbidity (SMM) and women's post-traumatic stress disorder (PTSD). The review brings together the findings of various studies to provide information into the predominant rates of SMM and PTSD, risk factors, systems, and pathways, the impact on maternal health, and recommendations for clinical practice. The review uncovers that ladies with SMM are bound to foster PTSD, which essentially affects their mental prosperity and in general maternal prosperity. This review discusses the meanings of deliberate screening and assessment, evidence-based contraception and intercession philosophies, and efforts to detect the psychological effects of SMM by close-to-home welfare and maternal welfare providers. Regardless, there are locales in which additional investigation is expected, for instance, studying the suitability of interventions, filling in data openings, and checking out the effect of various peoples and social characteristics. By keeping an eye on these gaps, researchers can advance the field and encourage assigned interventions to lessen the effects of SMM and PTSD, ultimately transforming outcomes for women and their families.","PeriodicalId":50132,"journal":{"name":"Journal of Medical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45649154","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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Journal of Medical Research
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