{"title":"Finding the gaps: Measuring treatment adherence in tuberculosis patients","authors":"A. John, H. Avirneni, S. Swaminathan","doi":"10.4103/cmi.cmi_59_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_59_22","url":null,"abstract":"","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89223799","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}
P. Chakraborty, P. Halder, Debomita Das, Avidip De, Shreya Dutta
The parameatal cyst (PMC) is a benign lesion that occurs primarily in male children, generally present after birth, but may also occur in girls and adults. Although expectant management, needle puncture, decapping, and marsupialization are described as different modalities of treatment, all are associated with recurrences. We present nine pediatric cases with PMC, their clinical presentation, treatment, and outcome along with a review of the literature.
{"title":"Management of urethral cyst in children: A case series","authors":"P. Chakraborty, P. Halder, Debomita Das, Avidip De, Shreya Dutta","doi":"10.4103/cmi.cmi_58_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_58_22","url":null,"abstract":"The parameatal cyst (PMC) is a benign lesion that occurs primarily in male children, generally present after birth, but may also occur in girls and adults. Although expectant management, needle puncture, decapping, and marsupialization are described as different modalities of treatment, all are associated with recurrences. We present nine pediatric cases with PMC, their clinical presentation, treatment, and outcome along with a review of the literature.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79683651","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}
Soumya Mohanty, P. Panda, Chandan Samantara, Aurobindo Samantaray
Background: Hepatitis B (Hep-B) infection is the major cause of acute and chronic liver disease, cirrhosis, and hepatocellular carcinoma worldwide and has long been recognized as an occupational hazard among healthcare workers (HCWs). Thus, this study was planned to evaluate the coverage of Hep-B vaccine among healthcare providers (HCPs) in a tertiary care hospital in Odisha. Material and Methods: A cross-sectional study was conducted among HCPs of Hi-Tech Medical College and Hospital. A total of 300 HCPs were selected for the study by a stratified random sampling technique. A proportionate sampling of 26.2% from the doctor population of 280, i.e., 73, and 26.2% of the paramedic population of 865, i.e. 227, were selected by using a random number table to meet the sample size of 300. A self-designed, semi-structured questionnaire was used to collect data from the participants. Data on demographics and knowledge regarding Hep-B aspects were also collected. Results: One hundred and two (34%) participants had adequate knowledge and 198 (66%) participants had poor knowledge of Hep-B. The overall prevalence of Hep-B vaccination acceptance was 71.3%. 70% of the health workers had received the full three-dose vaccination schedule, while 6% had received two doses, 3.7% had received one dose, and 20% were unvaccinated. Conclusion: Coverage of complete immunization was low. The level of knowledge regarding the disease was also not satisfactory. Education programs should focus on increasing HCWs' perceived severity of occupational exposure to the Hep-B virus.
{"title":"Coverage of Hepatitis-B vaccination among the healthcare providers of a tertiary care hospital in Odisha: A cross-sectional study","authors":"Soumya Mohanty, P. Panda, Chandan Samantara, Aurobindo Samantaray","doi":"10.4103/cmi.cmi_56_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_56_22","url":null,"abstract":"Background: Hepatitis B (Hep-B) infection is the major cause of acute and chronic liver disease, cirrhosis, and hepatocellular carcinoma worldwide and has long been recognized as an occupational hazard among healthcare workers (HCWs). Thus, this study was planned to evaluate the coverage of Hep-B vaccine among healthcare providers (HCPs) in a tertiary care hospital in Odisha. Material and Methods: A cross-sectional study was conducted among HCPs of Hi-Tech Medical College and Hospital. A total of 300 HCPs were selected for the study by a stratified random sampling technique. A proportionate sampling of 26.2% from the doctor population of 280, i.e., 73, and 26.2% of the paramedic population of 865, i.e. 227, were selected by using a random number table to meet the sample size of 300. A self-designed, semi-structured questionnaire was used to collect data from the participants. Data on demographics and knowledge regarding Hep-B aspects were also collected. Results: One hundred and two (34%) participants had adequate knowledge and 198 (66%) participants had poor knowledge of Hep-B. The overall prevalence of Hep-B vaccination acceptance was 71.3%. 70% of the health workers had received the full three-dose vaccination schedule, while 6% had received two doses, 3.7% had received one dose, and 20% were unvaccinated. Conclusion: Coverage of complete immunization was low. The level of knowledge regarding the disease was also not satisfactory. Education programs should focus on increasing HCWs' perceived severity of occupational exposure to the Hep-B virus.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82777023","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}
The knowledge and skills expected of medical graduates upon completion of their undergraduate training are extremely vast and dynamic. Medicine has to be acknowledged as a combination of science and art, with science appealing to the scientific minds, while art encourages creativity and curiosity. The use of theater in medical education is not new by any means and has been extremely useful to help medical students to understand various life-threatening scenarios and settings that require medical humanities incorporation. To conclude, considering the complexities involved in the clinical training of a medical graduate student, it is our responsibility to adopt innovative teaching-learning methods. The use of theater in medical education delivery has been associated with developing many attributes of the hidden curriculum, including empathy, self-awareness, professionalism, and communication skills. The need of the hour is to acknowledge the potential of theater and integrate it with the existing curriculum to optimize the training of medical students.
{"title":"Theater in medical education: Strengthening the component of clinical training of medical students","authors":"S. Shrivastava, P. Shrivastava","doi":"10.4103/cmi.cmi_67_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_67_22","url":null,"abstract":"The knowledge and skills expected of medical graduates upon completion of their undergraduate training are extremely vast and dynamic. Medicine has to be acknowledged as a combination of science and art, with science appealing to the scientific minds, while art encourages creativity and curiosity. The use of theater in medical education is not new by any means and has been extremely useful to help medical students to understand various life-threatening scenarios and settings that require medical humanities incorporation. To conclude, considering the complexities involved in the clinical training of a medical graduate student, it is our responsibility to adopt innovative teaching-learning methods. The use of theater in medical education delivery has been associated with developing many attributes of the hidden curriculum, including empathy, self-awareness, professionalism, and communication skills. The need of the hour is to acknowledge the potential of theater and integrate it with the existing curriculum to optimize the training of medical students.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89396014","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}
{"title":"Universal adoption of e-portfolios in Indian medical education – Need for a paradigm shift","authors":"A. John, H. Avirneni, S. Swaminathan","doi":"10.4103/cmi.cmi_60_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_60_22","url":null,"abstract":"","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72581579","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}
{"title":"The Rapid expansion of Christian Medical College, Vellore","authors":"K. Abhilash","doi":"10.4103/cmi.cmi_103_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_103_22","url":null,"abstract":"","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74768000","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}
Chandan Samantara, Soumya Mohanty, P. Panda, Smrutiranjan Nayak
Background: Diabetes mellitus, a lifestyle disease, is a 21st-century global health emergency, with a global prevalence projection of 537 million (10.5%) in 2021 and is the 7th largest cause of mortality. As a result, the study was carried out to analyze the prevalence of diabetes mellitus and its associated risk factors in the adult population. Materials and Methods: This 5-month institutional-based cross-sectional study on 410 randomly selected individuals was done on the campus of Hi-Tech Medical College and Hospital in Bhubaneswar among the adult population aged more than or equal to 18 years. Results: The prevalence of diabetes mellitus was determined to be 15.6% in the current study, with 58 (8.8%) individuals having impaired fasting glucose and 14.1% having impaired glucose tolerance. Diabetes mellitus prevalence increased gradually as people got older. Males had a higher prevalence (19.3%), which was statistically significant (P < 0.05). Diabetes was found to be statistically significant with the following risk factors: alcohol intake, consumption of sugar-sweetened beverages, body mass index, waist circumference, and blood pressure (P < 0.05). Conclusion: Diabetes mellitus is prevalent in the research area, and the current study has found the association of various modifiable risk factors with diabetes. Effective intervention methods, if implemented at this point, can help to reduce the disease's burden on the individual, family, and community.
{"title":"Assessment of prevalence and risk factors of diabetes mellitus among the adult population in the campus of Hi-Tech Medical College and Hospital, Bhubaneswar","authors":"Chandan Samantara, Soumya Mohanty, P. Panda, Smrutiranjan Nayak","doi":"10.4103/cmi.cmi_65_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_65_22","url":null,"abstract":"Background: Diabetes mellitus, a lifestyle disease, is a 21st-century global health emergency, with a global prevalence projection of 537 million (10.5%) in 2021 and is the 7th largest cause of mortality. As a result, the study was carried out to analyze the prevalence of diabetes mellitus and its associated risk factors in the adult population. Materials and Methods: This 5-month institutional-based cross-sectional study on 410 randomly selected individuals was done on the campus of Hi-Tech Medical College and Hospital in Bhubaneswar among the adult population aged more than or equal to 18 years. Results: The prevalence of diabetes mellitus was determined to be 15.6% in the current study, with 58 (8.8%) individuals having impaired fasting glucose and 14.1% having impaired glucose tolerance. Diabetes mellitus prevalence increased gradually as people got older. Males had a higher prevalence (19.3%), which was statistically significant (P < 0.05). Diabetes was found to be statistically significant with the following risk factors: alcohol intake, consumption of sugar-sweetened beverages, body mass index, waist circumference, and blood pressure (P < 0.05). Conclusion: Diabetes mellitus is prevalent in the research area, and the current study has found the association of various modifiable risk factors with diabetes. Effective intervention methods, if implemented at this point, can help to reduce the disease's burden on the individual, family, and community.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80919350","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}
A. Cherian, Jackwin S. G. Paul, V. Abraham, V. Mohan, Jasmin Helan Prasad, K. George
Background: Perinatal mortality rate (PMR) includes both fetal deaths and deaths occurring during the 1st week of life. Low birthweight (LBW) continues to be a significant problem with 14.6% of all births globally and 20% of all births in India being LBW. There is a powerful association between birthweight and perinatal mortality. This study looks at data from a rural block in South India to understand the trends, possible reasons, and strategies for interventions. Methodology: Information regarding 80,206 pregnancies who were registered in the community health and development (CHAD) program between January 1986 and December 2018 was obtained from the CHAD health information system. Trends regarding birthweight, gestational age, and perinatal mortality were extracted from this system and analyzed. Results: Among the 69,386 babies whose birthweights were recorded, 16.7% were LBW (<2.5 kg). The PMR has steadily declined from 45.2/1000 live births in the period 1986–1990 to 14.3/1000 live births during the period 2016–2018. The mean birthweight has shown a steady rise over the years from 2.73 kg in 1986–1990 to 2.9 in 2016–2018. The mean standard deviation height of the mother has gone up from 152.3 cm (5.4) between 1986–1990 and 156.3 cm (5.7) in the 2016–2018 period. The proportion of anemic women (hemoglobin <11 g/dL) in 1986–1990 was 46.4% and had drastically come down to 23.8% in 2016–2018. Conclusion: The decreasing PMR may be attributed to the increasing birthweight which may, in turn, be related to better nutritional status of mothers which is evident in the increased height and decreased proportion of anemic women.
{"title":"Changes in birthweights and perinatal mortality rate in a rural block in South India over 30 years","authors":"A. Cherian, Jackwin S. G. Paul, V. Abraham, V. Mohan, Jasmin Helan Prasad, K. George","doi":"10.4103/cmi.cmi_49_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_49_22","url":null,"abstract":"Background: Perinatal mortality rate (PMR) includes both fetal deaths and deaths occurring during the 1st week of life. Low birthweight (LBW) continues to be a significant problem with 14.6% of all births globally and 20% of all births in India being LBW. There is a powerful association between birthweight and perinatal mortality. This study looks at data from a rural block in South India to understand the trends, possible reasons, and strategies for interventions. Methodology: Information regarding 80,206 pregnancies who were registered in the community health and development (CHAD) program between January 1986 and December 2018 was obtained from the CHAD health information system. Trends regarding birthweight, gestational age, and perinatal mortality were extracted from this system and analyzed. Results: Among the 69,386 babies whose birthweights were recorded, 16.7% were LBW (<2.5 kg). The PMR has steadily declined from 45.2/1000 live births in the period 1986–1990 to 14.3/1000 live births during the period 2016–2018. The mean birthweight has shown a steady rise over the years from 2.73 kg in 1986–1990 to 2.9 in 2016–2018. The mean standard deviation height of the mother has gone up from 152.3 cm (5.4) between 1986–1990 and 156.3 cm (5.7) in the 2016–2018 period. The proportion of anemic women (hemoglobin <11 g/dL) in 1986–1990 was 46.4% and had drastically come down to 23.8% in 2016–2018. Conclusion: The decreasing PMR may be attributed to the increasing birthweight which may, in turn, be related to better nutritional status of mothers which is evident in the increased height and decreased proportion of anemic women.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87836972","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}
Priya Kuryan, C. Dincy Peter, S. Pulimood, L. George, J. Mathew
Introduction: Nail fold dermoscopy is a noninvasive technique which aids in the diagnosis of systemic sclerosis. It also helps in predicting the extent and stage of microvascular damage. There are only a few studies describing the pattern of nail fold capillaries in systemic sclerosis in the Indian population. Objectives: To study the patterns of nail fold capillaries using a hand-held dermoscope and to correlate these findings with cutaneous and systemic manifestations in patients with systemic sclerosis. Methods: Thirty-five patients were recruited in the study period between February 2014 and September 2015. All patients with systemic sclerosis were examined for cutaneous manifestations and dermoscopy of the nail fold capillaries was performed using Heine delta 20 dermoscope. Results: Our study had a female preponderance with the diffuse type of disease in 91% of patients. The most common abnormal nail fold dermoscopic pattern was dilated capillaries (91%). Scleroderma pattern was seen in 77% of our patients with the most common being active pattern. Early, active, and late type of the capillary pattern were associated with increased duration of disease but was not statistically significant. There was no significant association between capillary pattern and systemic manifestations. Conclusions: Majority (77%) of our patients had scleroderma patterns of which the active scleroderma pattern was the most common. There was no significant association between capillary pattern and systemic manifestations.
{"title":"Nail fold capillary patterns in patients with systemic sclerosis using a hand-held dermoscope – A prospective study from a tertiary center in South India","authors":"Priya Kuryan, C. Dincy Peter, S. Pulimood, L. George, J. Mathew","doi":"10.4103/cmi.cmi_30_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_30_22","url":null,"abstract":"Introduction: Nail fold dermoscopy is a noninvasive technique which aids in the diagnosis of systemic sclerosis. It also helps in predicting the extent and stage of microvascular damage. There are only a few studies describing the pattern of nail fold capillaries in systemic sclerosis in the Indian population. Objectives: To study the patterns of nail fold capillaries using a hand-held dermoscope and to correlate these findings with cutaneous and systemic manifestations in patients with systemic sclerosis. Methods: Thirty-five patients were recruited in the study period between February 2014 and September 2015. All patients with systemic sclerosis were examined for cutaneous manifestations and dermoscopy of the nail fold capillaries was performed using Heine delta 20 dermoscope. Results: Our study had a female preponderance with the diffuse type of disease in 91% of patients. The most common abnormal nail fold dermoscopic pattern was dilated capillaries (91%). Scleroderma pattern was seen in 77% of our patients with the most common being active pattern. Early, active, and late type of the capillary pattern were associated with increased duration of disease but was not statistically significant. There was no significant association between capillary pattern and systemic manifestations. Conclusions: Majority (77%) of our patients had scleroderma patterns of which the active scleroderma pattern was the most common. There was no significant association between capillary pattern and systemic manifestations.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82560253","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}
Introduction: Basic life support (BLS) consists of a number of medical procedures provided to patients with life-threatening conditions of the body and there exists a significant lack of knowledge regarding the signs and risk factors associated with serious medical conditions among medical students. The present study was conducted to evaluate a module for teaching BLS to first MBBS students using the flipped classroom method. Methodology: The present study was conducted among first-phase MBBS students after taking institutional ethical clearance and informed consent of participants. Students of 2021–2022 were included in a WhatsApp group and YouTube videos were posted on the group where demonstrations of BLS were done and the importance of learning cardiopulmonary resuscitation was discussed. Students were then divided into groups of twenty and each group was asked to make a PowerPoint presentation which they had to present in live sessions and demonstrate the procedure. Students joined an online BLS Certification Course. Feedback was taken from students and faculty members and a program evaluation at Kirkpatrick's level 1 was done. Results: Two hundred students participated in the study. The mean ± standard deviation of marks obtained by students in the certification program was 87.67 ± 5.87 and posttest scores were significantly better as compared to pretest scores. Students and faculty members were satisfied with the program. Conclusions: The BLS module introduced in the Foundation Course using the flipped classroom at the beginning of the first phase of the MBBS course enabled the students to acquire the basic knowledge and skills required.
{"title":"Introducing flipped classroom to teach basic life-support to first-phase MBBS students in a Medical College of West Bengal","authors":"Arun Chaudhuri, T. Ghosh, D. Saldanha","doi":"10.4103/cmi.cmi_43_22","DOIUrl":"https://doi.org/10.4103/cmi.cmi_43_22","url":null,"abstract":"Introduction: Basic life support (BLS) consists of a number of medical procedures provided to patients with life-threatening conditions of the body and there exists a significant lack of knowledge regarding the signs and risk factors associated with serious medical conditions among medical students. The present study was conducted to evaluate a module for teaching BLS to first MBBS students using the flipped classroom method. Methodology: The present study was conducted among first-phase MBBS students after taking institutional ethical clearance and informed consent of participants. Students of 2021–2022 were included in a WhatsApp group and YouTube videos were posted on the group where demonstrations of BLS were done and the importance of learning cardiopulmonary resuscitation was discussed. Students were then divided into groups of twenty and each group was asked to make a PowerPoint presentation which they had to present in live sessions and demonstrate the procedure. Students joined an online BLS Certification Course. Feedback was taken from students and faculty members and a program evaluation at Kirkpatrick's level 1 was done. Results: Two hundred students participated in the study. The mean ± standard deviation of marks obtained by students in the certification program was 87.67 ± 5.87 and posttest scores were significantly better as compared to pretest scores. Students and faculty members were satisfied with the program. Conclusions: The BLS module introduced in the Foundation Course using the flipped classroom at the beginning of the first phase of the MBBS course enabled the students to acquire the basic knowledge and skills required.","PeriodicalId":72734,"journal":{"name":"Current medical issues","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76475730","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}
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