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Oral Health Impact Profile in Patients with and without Type 2 Diabetes in Al-Baha Region, Saudi Arabia 沙特阿拉伯巴哈地区 2 型糖尿病患者和非 2 型糖尿病患者的口腔健康影响概况
IF 0.4 Pub Date : 2024-06-10 DOI: 10.4103/aihb.aihb_47_24
A. A. H. Alzahrani
The Oral Health Impact Profile (OHIP) serves as a crucial tool in understanding the intricate relationship between oral health and systemic conditions like type 2 Diabetes. This study delves into the comparative analysis of OHIP in patients with and without type 2 diabetes, shedding light on the nuanced impact of this metabolic disorder on oral health-related quality of life (OHrQoL). By scrutinising factors such as oral discomfort, functional limitations and psychological well-being, this research aims to unearth valuable insights into the unique challenges faced by diabetic individuals in maintaining optimal oral health. Such findings hold immense significance in guiding tailored interventions and enhancing holistic healthcare approaches. A cross-sectional study was carried out with 232 diabetic and non-diabetic individuals. Clinical examinations were conducted, and a validated Arabic version of the OHIP-14 instrument was used. Data were analysed using the Statistical Package for the Social Sciences version 20.0. In total, 232 patients with and without diabetes were included in this study. A statistically significant effect was observed amongst diabetic compared to non-diabetic participants (P = 0.015). The overall OHrQoL across the seven domains of participants with diabetes was significantly lower than those without diabetes (P = 0.0001). Oral lesions were more common and showed statistically significant effects amongst diabetic compared to non-diabetic patients (P = 0.0001). Patients with type 2 diabetes have shown undesirable oral health which impacted their quality of life compared to those without diabetes. Future research focusing on developing preventive interventional strategies for diabetic patients, in addition to enhancing the awareness of oral diseases and dental care amongst those patients, is highly encouraged. Developing a standardised protocol with a unified OHrQoL instrument and methodological statistical analysis approaches that could be generalised and used worldwide periodically amongst diabetic patients may also be advocated.
口腔健康影响档案(OHIP)是了解口腔健康与 2 型糖尿病等全身性疾病之间错综复杂关系的重要工具。本研究对 2 型糖尿病患者和非 2 型糖尿病患者的 OHIP 进行了比较分析,揭示了这种代谢紊乱对口腔健康相关生活质量(OHrQoL)的细微影响。通过仔细研究口腔不适、功能限制和心理健康等因素,这项研究旨在揭示糖尿病患者在保持最佳口腔健康方面所面临的独特挑战。这些发现对于指导有针对性的干预措施和加强整体医疗保健方法具有重要意义。 本研究对 232 名糖尿病患者和非糖尿病患者进行了横断面研究。研究人员进行了临床检查,并使用了经过验证的阿拉伯语版 OHIP-14 工具。数据使用社会科学统计软件包 20.0 版进行分析。 本研究共纳入 232 名糖尿病患者和非糖尿病患者。与非糖尿病患者相比,糖尿病患者的影响具有统计学意义(P = 0.015)。与非糖尿病患者相比,糖尿病患者在七个方面的总体健康素质明显较低(P = 0.0001)。与非糖尿病患者相比,糖尿病患者的口腔病变更为常见,且具有统计学意义(P = 0.0001)。 与非糖尿病患者相比,2 型糖尿病患者的口腔健康状况不佳,影响了他们的生活质量。除了提高糖尿病患者对口腔疾病和牙科护理的认识外,我们还鼓励未来的研究重点放在为糖尿病患者制定预防性干预策略上。此外,我们还提倡制定一个标准化方案,使用统一的 OHrQoL 工具和统计分析方法,以便在全球范围内推广并定期用于糖尿病患者。
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引用次数: 0
Classification Matters: A One Health Perspective 分类很重要:同一健康视角
IF 0.4 Pub Date : 2024-06-07 DOI: 10.4103/aihb.aihb_77_24
Halyna Lugova, Kyu Kyu Win, Mainul Haque
This paper introduces a promising ecological approach to classifying infectious diseases based on the reservoir of the causative organism. According to this approach, all infectious diseases are classified as anthroponoses, zoonoses, and sapronoses. Among these three, zoonoses are the most used and known category, including diseases naturally transmitted between vertebrate animals and humans. The principal reservoir of the pathogen is often populations of certain animal species. The term “anthroponoses” denotes diseases where human hosts are central to the pathogen’s life cycle and provide its survival from an evolutionary perspective. These diseases circulate only among humans, and animals are not susceptible to them. Finally, sapronoses is an emerging concept for categorizing diseases where the causative organisms grow saprophytically in the environment and parasitically in vertebrate hosts, including humans. However, the parasitic phase usually plays a secondary role. Recognizing infectious diseases as sapronoses highlights the role of the connection between diseases among humans, animals, and the environment. This ecological approach to classifying infectious diseases is worth exploring, especially in the context of One Health, which emphasizes the interdependence between these three dimensions. Theoretical exploration focusing on the complex dynamics of pathogen-host interactions is needed to develop this classification further.
本文介绍了一种很有前途的生态学方法,即根据致病生物的储库对传染病进行分类。根据这种方法,所有传染病都可分为人类传染病、人畜共患病和无人类传染病。在这三种疾病中,人畜共患病是最常用、最广为人知的一类,包括脊椎动物与人类之间自然传播的疾病。病原体的主要传播源通常是某些动物物种的种群。人畜共患病 "一词指的是人类宿主是病原体生命周期的核心,从进化的角度来看,人类宿主为病原体的生存提供了条件的疾病。这些疾病只在人类中传播,动物不易感染。最后,"寄生虫病"(sapronoses)是一个新出现的概念,用于对病原体在环境中寄生、在脊椎动物宿主(包括人类)体内寄生的疾病进行分类。然而,寄生阶段通常起次要作用。将传染病认定为寄生虫病,突出了疾病在人类、动物和环境之间的联系。这种对传染病进行分类的生态学方法值得探讨,尤其是在强调这三个方面相互依存的 "一体健康 "背景下。要进一步发展这种分类方法,还需要进行理论探索,重点是病原体与宿主相互作用的复杂动态。
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引用次数: 0
Dynamics of Community Resilience in Flood-prone Areas of Southeast Asia: A Key Component of the Public Health Agenda 东南亚洪水易发地区社区复原力的动态变化:公共卫生议程的关键组成部分
IF 0.4 Pub Date : 2024-06-07 DOI: 10.4103/aihb.aihb_74_24
Halyna Lugova, Mainul Haque
Communities across Southeast Asia face challenges posed by natural disasters, including floods, which disproportionately impact vulnerable populations. In light of the growing frequency and severity of extreme weather events attributed to climate change, there is a pressing need to explore and strengthen community flood resilience. Community resilience is pivotal in mitigating flood-related damages and fostering successful recovery efforts. This paper examines the socio-economic and environmental factors shaping community resilience in flood-prone areas of Southeast Asia. Socio-demographic determinants, exposure to floods, social cohesion, communication networks, socio-economic status, and cultural diversity significantly influence resilience capabilities, with disparities exacerbating socio-economic inequality. The interplay of these factors underscores the complexity of community disaster resilience, with some factors acting as moderators, mediators, or confounders in shaping outcomes. The paper highlights that understanding the dynamics of community resilience formation is imperative for informed policy interventions to enhance disaster preparedness and response in flood-prone areas of Southeast Asia. The contributors to flood resilience are interrelated with social determinants of health, underscoring the vital role of broader socio-economic and environmental factors in shaping community well-being. Future research should explore the relationships within these complex dynamics to guide effective resilience-building strategies tailored to local contexts.
东南亚各地的社区都面临着包括洪水在内的自然灾害带来的挑战,这些灾害对弱势人群的影响尤为严重。鉴于气候变化导致的极端天气事件日益频繁和严重,迫切需要探索和加强社区的抗洪能力。社区抗洪能力对于减轻洪灾造成的损失和促进灾后恢复工作的成功至关重要。本文探讨了影响东南亚洪水易发地区社区抗洪能力的社会经济和环境因素。社会人口决定因素、洪灾风险、社会凝聚力、通信网络、社会经济地位和文化多样性都对抗灾能力产生了重大影响,而这些因素的差异又加剧了社会经济的不平等。这些因素的相互作用凸显了社区抗灾能力的复杂性,其中一些因素在影响结果的过程中起着调节、调解或混淆的作用。本文强调,了解社区抗灾能力形成的动态,对于在东南亚洪水易发地区采取知情的政策干预措施以加强备灾和救灾工作至关重要。抗洪能力的形成因素与健康的社会决定因素相互关联,突出了更广泛的社会经济和环境因素在塑造社区福祉方面的重要作用。未来的研究应探索这些复杂动态中的关系,以指导适合当地情况的有效抗灾能力建设战略。
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引用次数: 0
Self-medication of Dental Pain amongst Medical Students in Jeddah, Saudi Arabia: Determinants, Attitude and Clinical Aspects 沙特阿拉伯吉达医科学生自我治疗牙痛的情况:决定因素、态度和临床方面
IF 0.4 Pub Date : 2024-05-21 DOI: 10.4103/aihb.aihb_42_24
U. Nayak, Khadijah Hashim Alhussini, Bushra Ali Mohammed Asiri, Asayil Othman Saeed Alzahrani, Tala Mohammed Jali, P. Nayak, Adel Abdelsattar Elbadawy
Healthcare students are becoming increasingly concerned about self-medication (SM), which can have major health repercussions. It affects how future physicians make professional decisions about medications. Such a mindset has an indirect impact on providing their patients with appropriate counselling. The study was planned to investigate the attitude, determinants and different clinical aspects associated with SM of dental pain amongst medical students in Jeddah, Saudi Arabia. The present descriptive cross-sectional study was conducted exclusively on the 400 medical students from the 1st year and interns pursuing bachelor’s degrees from various medical colleges in Jeddah, Saudi Arabia. A convenient non-probability sampling technique was employed, and a pre-tested/pre-validated questionnaire was loaded on Google Forms and sent to the medical students of medicine, dentistry, pharmacy and nursing programmes. Qualitative characteristics were assessed using the Chi-square test. The significance level (P value) chosen for the various comparisons was P < 0.05. The results of this study show that 65.5% of students self-medicate. It was significantly more common in women (74.9%), pharmacists (76.9%) and dental students (72.7%). Students who self-medicated less often were in the 1st and 2nd years (49.2% and 57.1%). Toothache was the most common cause for which they self-medicated (79.8%). The results of the present study have shed light on the fact that SM was high amongst medical students in Jeddah. The potential problems associated with self-medication should be highlighted to students to reduce the risk of inappropriate SM, which can seriously harm both students and others to whom they prescribe medication.
医学生越来越关注可能对健康产生重大影响的自我药疗(SM)。它会影响未来的医生如何对药物做出专业决定。这种心态会间接影响到为病人提供适当的咨询。本研究计划调查沙特阿拉伯吉达医科学生对牙痛 SM 的态度、决定因素和相关的不同临床方面。 本描述性横断面研究专门针对沙特阿拉伯吉达市各医学院的 400 名一年级医学生和攻读学士学位的实习生进行。研究采用了方便的非概率抽样技术,并在谷歌表格上加载了一份预先测试/预先验证的调查问卷,然后发送给医学、牙医学、药学和护理学专业的医学生。定性特征采用卡方检验进行评估。各种比较的显著性水平(P 值)为 P <0.05。 研究结果表明,65.5% 的学生会自行用药。女生(74.9%)、药剂师(76.9%)和牙科学生(72.7%)中自我药疗的比例明显更高。自行用药较少的学生是一年级和二年级的学生(49.2% 和 57.1%)。牙痛是他们自行用药最常见的原因(79.8%)。 本研究结果揭示了吉达医学生自我药疗率较高的事实。应向学生强调与自我药疗相关的潜在问题,以降低不当自我药疗的风险,因为这可能会严重伤害学生和他们开药的其他人。
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引用次数: 0
Targeting Epidermal Growth Factor Receptor with Ficus virens Metabolites to Manage Cancer Progression: Molecular Docking and ADME Study 用榕树代谢物靶向表皮生长因子受体以控制癌症进展:分子对接和 ADME 研究
IF 0.4 Pub Date : 2024-05-21 DOI: 10.4103/aihb.aihb_38_24
Yaser E. Alqurashi, A. Jamal
Targeting epidermal growth factor receptor (EGFR) has been used in the treatment of several cancer types where EGFR has a notable involvement in signalling pathways. Medicinal plants are the oldest and healthiest source of medication used in modern pharmacological therapy. Previous research indicates that the compounds found in Ficus virens stem bark have significant therapeutic properties against a range of illnesses, including cancer. Therefore, in this study, molecular docking research was conducted to determine the binding interactions and affinity of secondary metabolites predicted in F. virens methanolic extract with the target protein, EGFR. Three-dimensional (3D) conformers of the secondary metabolism products and adenosine triphosphate (ATP) were collected from PubChem on 5 January 2024. The 3D structure of EGFR and its inhibitor was retrieved from the Protein Data Bank (PDB) databank and ligands and proteins were converted to AutoDock-compatible format and then the energy minimisation was performed by the Open Babel in PyRx. Finally, using PyRx-Python 0.8, molecular docking was done, and using Discovery Studio, visualisation was done as well. The grid box dimensions were specified at 30 Å ×30 Å ×25 Å, and the physiochemical property evaluation was done by the SwissADME online server. In this study, molecular docking assessed 14 compounds, including phytochemicals and ATP, for their binding with EGFR (PDB Id: 1XKK). Redocking of lapatinib validated the results. Natural chemicals showed binding energies from −4.0 to −7.8 Kcal/mol, with oleic acid and iso-caryophyllene demonstrating promising interactions, sourced from F. virens. Despite some limitations, these compounds exhibit potential for EGFR-targeted drug development, despite one Lipinski’s rule violation. EGFR inhibitory activities of iso-caryophyllene and oleic acid, which were identified in the F. virens methanol extract, were remarkable and higher than that of the substrate; their potential opens up exciting new possibilities for moving forward with cancer treatment. It is encouraged to further investigate the in vivo effectiveness of iso-caryophyllene, by means of animal models and cell lines.
针对表皮生长因子受体(EGFR)的治疗已被用于多种癌症的治疗,其中表皮生长因子受体在信号通路中具有显著的参与作用。药用植物是现代药物疗法中最古老、最健康的药物来源。以前的研究表明,榕树茎皮中的化合物对包括癌症在内的一系列疾病有显著的治疗作用。因此,本研究进行了分子对接研究,以确定榕树甲醇提取物中预测的次生代谢物与靶蛋白表皮生长因子受体的结合相互作用和亲和力。 次生代谢产物和三磷酸腺苷(ATP)的三维构象于 2024 年 1 月 5 日从 PubChem 收集。表皮生长因子受体及其抑制剂的三维结构是从蛋白质数据库(PDB)中获取的,配体和蛋白质被转换成与 AutoDock 兼容的格式,然后通过 PyRx 中的 Open Babel 进行能量最小化。最后,使用 PyRx-Python 0.8 完成了分子对接,并使用 Discovery Studio 完成了可视化。网格框尺寸为 30 Å ×30 Å ×25 Å,理化性质评估由 SwissADME 在线服务器完成。 在本研究中,分子对接评估了 14 种化合物(包括植物化学物质和 ATP)与表皮生长因子受体的结合(PDB Id:1XKK)。拉帕替尼的再对接验证了这一结果。天然化学物质的结合能从-4.0到-7.8 Kcal/mol不等,其中油酸和异茶叶烯显示出良好的相互作用,这两种化学物质均来自F. virens。尽管存在一些局限性,但这些化合物显示出了开发表皮生长因子受体靶向药物的潜力,尽管违反了一项利平斯基规则。 在藤黄科植物甲醇提取物中发现的异茶叶烯和油酸的表皮生长因子受体抑制活性非常显著,高于底物的抑制活性;它们的潜力为推进癌症治疗开辟了令人兴奋的新可能性。我们鼓励通过动物模型和细胞系来进一步研究异茶叶烯的体内有效性。
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引用次数: 0
Evaluation of Salivary Parameters and Oral Health Status in Periodontally Healthy Subjects and Chronic Periodontitis Subjects 评估牙周健康受试者和慢性牙周炎受试者的唾液参数和口腔健康状况
IF 0.4 Pub Date : 2024-05-21 DOI: 10.4103/aihb.aihb_3_24
Vino Tito V Kurien, R. Shanker, S. Hegde, V. Onisha, Siva A S Pillai
Periodontal disease is a chronic disease of the oral cavity that consists of a group of inflammatory disorders affecting the supporting structures of the dentition. Saliva can be used to predict the early onset of periodontitis. Several investigations have been carried out to evaluate the salivary chemical compounds that lead to the destruction and/or protection of periodontal tissues. The present study aimed to assess and compare salivary parameters and oral health status in periodontally healthy and chronic generalised periodontitis patients. This is an in vivo study designed to compare salivary parameters (albumin, urea, total proteins, amylase, glucose and pH) of unstimulated saliva and oral health status of periodontally healthy subjects (n = 65) and chronic generalised periodontitis subjects (n = 65). Human whole unstimulated saliva was collected by spitting method with the subject seated in an upright position after refraining from oral intake for 2 h before saliva collection. Approximately 5 mL of saliva was collected and stored in graduated saliva-collecting vials and refrigerated at 4°C for 1 h. The samples were centrifuged at 2800 rpm for 10 min, and the supernatant was separated from the substrate and stored at 20°C. Next, the sample was defrosted at room temperature and centrifuged at 3000 rpm. The supernatant was separated again to determine the concentrations of glucose, amylase, urea, total protein and albumin using the respective kits and analysed using an automated analyser. Salivary pH was estimated electrometrically with the help of a pH meter. A significant association was found between salivary parameters (amylase and albumin total proteins) and clinical parameters (plaque index [PI], gingival index) [GI], probing depth and calculus index in generalised chronic periodontitis subjects when compared to periodontally healthy subjects. The increase in salivary parameters (amylase, total proteins and albumin) was statistically significant except for salivary glucose and urea (statistically non-significant) in generalised chronic periodontitis subjects compared to the healthy subjects. As the clinical parameters (probing depth, loss of attachment, PI, GI, calculus index and decay missing filled teeth) in periodontitis subjects increased, the salivary parameters also increased, suggesting a linear relationship between the generalised chronic periodontitis and salivary parameters (total proteins, albumin and amylase).
牙周病是一种口腔慢性疾病,由一组影响牙齿支撑结构的炎症性疾病组成。唾液可用于预测牙周炎的早期发病。已有多项研究对唾液中导致牙周组织破坏和/或保护牙周组织的化学物质进行了评估。本研究旨在评估和比较牙周健康和慢性泛发性牙周炎患者的唾液参数和口腔健康状况。 这是一项体内研究,旨在比较牙周健康受试者(n = 65)和慢性泛发性牙周炎受试者(n = 65)未经刺激唾液的唾液参数(白蛋白、尿素、总蛋白、淀粉酶、葡萄糖和 pH 值)和口腔健康状况。受试者在唾液采集前 2 小时内避免摄入口腔食物,并采取直立坐姿,用吐唾液法采集全口未刺激唾液。采集的唾液约 5 毫升,装入带刻度的唾液采集瓶中,在 4°C 下冷藏 1 小时,然后在 2800 rpm 转速下离心 10 分钟,分离上清液与基质,在 20°C 下保存。然后,将样品在室温下解冻,并以 3000 rpm 的转速离心。再次分离上清液,使用相应的试剂盒测定葡萄糖、淀粉酶、尿素、总蛋白和白蛋白的浓度,并使用自动分析仪进行分析。唾液 pH 值是用 pH 计进行电测的。 与牙周健康的受试者相比,全身性慢性牙周炎受试者的唾液参数(淀粉酶和白蛋白总蛋白)与临床参数(牙菌斑指数[PI]、牙龈指数[GI]、探诊深度和牙结石指数)之间存在明显的关联。 与健康受试者相比,全身性慢性牙周炎受试者唾液参数(淀粉酶、总蛋白和白蛋白)的增加具有统计学意义,但唾液葡萄糖和尿素除外(无统计学意义)。随着牙周炎受试者临床参数(探诊深度、附着丧失、PI、GI、牙结石指数和蛀牙缺失补牙)的增加,唾液参数也随之增加,这表明全身性慢性牙周炎与唾液参数(总蛋白、白蛋白和淀粉酶)之间存在线性关系。
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引用次数: 0
Diabetes in the Impoverished and Underserved Community: Gleanings from an Overlooked Public Health Challenge 贫困和服务不足社区的糖尿病患者:从被忽视的公共卫生挑战中汲取营养
IF 0.4 Pub Date : 2024-03-18 DOI: 10.4103/aihb.aihb_94_23
Rudrani Kotha, Anurag Rawat, Yashoda Pokharel
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引用次数: 0
Liquid-based Cytology as a Superior Tool Compared to Conventional Pap Smear in Detecting Cervical Cancer in Suspected Cases: A Comparative Study 液基细胞学在检测宫颈癌疑似病例方面是一种优于传统巴氏涂片的工具:比较研究
IF 0.4 Pub Date : 2024-02-20 DOI: 10.4103/aihb.aihb_100_23
Subhashish Das, R. Kalyani, S. Sheela, K. Kamala
Screening programs has conventional cytology such as Conventional Pap Smear (CPS) have successfully reduced cervical cancer, but newer tests like Manual Liquid-based cytology (MLBC) and Human Papillomavirus testing might enhance screening. This was a cross sectional study conducted on 175 samples was processed for CPS and MLBC. Cytobrush was used for LBC which was suspended and detached in the preservative fluid and processed by manual method. Histopathological correlation and HPV DNA testing was also done. MLBC showed higher specimen adequately, cellularity, clean background and uniform distribution of cells than CPS. MLBC showed improved specimen adequately, better cytomorphological features and higher detection of epithelial cell abnormality.
传统细胞学筛查项目(如传统巴氏涂片检查(CPS))已成功减少了宫颈癌的发生,但手动液基细胞学检查(MLBC)和人类乳头瘤病毒检测等更新的检测方法可能会加强筛查工作。 这是一项横断面研究,对 175 份样本进行了 CPS 和 MLBC 检测。液态乳头状瘤病毒检测使用的是细胞刷,细胞刷在防腐液中悬浮并分离,然后用手工方法进行处理。还进行了组织病理学相关性和 HPV DNA 检测。 与 CPS 相比,MLBC 显示出更高的标本充分性、细胞度、清洁背景和细胞分布均匀性。 MLBC的标本充分性、细胞形态学特征和上皮细胞异常检出率均高于CPS。
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引用次数: 0
Publication Guideline Check! What do the Academician, Clinician and Post-graduate Student Think? A Cross-sectional Study 出版指南检查!院士、临床医生和研究生怎么看?横断面研究
IF 0.4 Pub Date : 2024-02-20 DOI: 10.4103/aihb.aihb_130_23
Jayaditya Modak, Srishti Agarwal, Richik Chakraborty, B. Manohar, S. Bhuvaneshwari
Several journals are launched every month. The authors need to stay updated regarding selecting and publishing their research work in the right journal, considering the number of predatory journals present now. A cross-sectional study was conducted amongst academicians, clinicians and post-graduate students from the speciality of periodontology in India by using a valid questionnaire to understand the knowledge regarding the choice, publisher details, peer review system, indexing, archiving and publication fee guidelines. Inferential statistics and descriptive statistics were performed for the analysis. The survey included academicians (n = 1832), clinicians (n = 370) and post-graduate students (n = 969) who consented to take part in the survey. Overall, the results showed that the post-graduate students had better knowledge regarding the selection and publication of articles in journals. The present findings suggest that the participants have an understanding of publication in niche speciality journals with a little ambiguity in the names of the journals.
每月都有几种期刊创刊。考虑到现在掠夺性期刊的数量,作者需要随时更新,选择并在正确的期刊上发表自己的研究成果。 我们通过有效的问卷调查,对印度牙周病学专业的院士、临床医生和研究生进行了一项横向研究,以了解他们对期刊选择、出版商详情、同行评审制度、索引编制、存档和出版费用指南的了解程度。分析采用了推断统计和描述统计方法。 调查对象包括同意参与调查的院士(n = 1832)、临床医生(n = 370)和研究生(n = 969)。总体而言,调查结果显示,研究生对期刊论文的选择和发表有更好的认识。 本调查结果表明,参与者对在小众专业期刊上发表文章有所了解,但对期刊名称有些模糊不清。
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引用次数: 0
The Need for Measles Surveillance amidst Chikungunya Outbreak in Paraguay 在巴拉圭爆发基孔肯雅疫情之际开展麻疹监测的必要性
IF 0.4 Pub Date : 2024-02-20 DOI: 10.4103/aihb.aihb_91_23
A. MohanaSundaram, Atanas G Atanasov, J. Finsterer, Ashek Elahi Noor
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引用次数: 0
期刊
Advances in Human Biology
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