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Short note on Cervical Cancer: Everything You Must Know 子宫颈癌:你必须知道的一切
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.533
Peter Mella
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引用次数: 0
Practice of Preconception Care and Associated Factors among Pregnant Women in Manna District, Southwest Ethiopia: A Community-Based Cross-Sectional Study 埃塞俄比亚西南部Manna地区孕妇孕前护理的实践及其相关因素:一项基于社区的横断面研究
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.519
Firanbon Teshome, Y. Kebede, Fira Abamecha, Z. Birhanu
Background: Preconception care is an intervention provided to women and couples of childbearing ages, regardless of pregnancy status or desire, before pregnancy to improve health outcomes for women, new-borns, and children. Preconception care bridges the gap in the continuum of care and addresses pre-pregnancy health risks and health problems that could have negative maternal and fetal consequences. Therefore, this study aimed to assess the practice of preconception care and associated factors among pregnant women in Manna district, Jimma zone, Oromia Region, Ethiopia. Methods: A community based cross-sectional design and triangulated with qualitative data was conducted among 636 pregnant women from March 02 to April 10, 2019. The 26 Gandas of the district were first stratified into urban and rural. Then, the urban Ganda was taken purposively and among the 25 rural Gandas, 8 Gandas were selected by using a simple random sampling technique. Judgmental sampling technique was used to select the qualitative participants. The data were collected using pre-tested and structured questionnaires through face-to-face interviews. The data were entered into Epi data Manager Version 4.0.2 and then exported to SPSS version 21. Descriptive analysis, Binary and multivariable logistic regression analyses were carried out. Qualitative data were analyzed by using Atlas ti version 7.0.71. Result: Among 623 respondents, 39(6.3%) of pregnant women had good practice of preconception care. Women who had formal education AOR 3.27[95% C.I 1.11-9.60], reside in urban AOR 3.33[95% C.I 1.26-8.81], those who were on follow up for pre-existing medical illnesses AOR 4.52[95% C.I 1.61-12.70] and those who had good knowledge of preconception care 4.18[1.64-10.65] were more likely to had good practice of preconception care compared to their counterparts. Conclusion: In this study, women’s practice of preconception care was low compared to other studies. Attending formal education, residing in urban, being on follow up for pre-existing medical illnesses, and having good knowledge of preconception care were independent predictors of women’s practice of preconception care. Therefore, all the concerned bodies are recommended to work towards the improvements of women’s practice of preconception care especially through raising the awareness of the community.
背景:孕前保健是向育龄妇女和夫妇提供的一种干预措施,无论怀孕状况或愿望如何,在怀孕前改善妇女、新生儿和儿童的健康结果。孕前护理弥补了连续护理方面的差距,并解决了可能对孕产妇和胎儿产生负面影响的孕前健康风险和健康问题。因此,本研究旨在评估埃塞俄比亚奥罗米亚州吉马区的曼纳区孕妇的孕前护理实践及其相关因素。方法:采用基于社区的横断面设计,对2019年3月2日至4月10日636名孕妇进行定性数据三角化分析。该地区的26个Gandas首先被划分为城市和农村。然后,采用简单随机抽样的方法,有目的地选取城市公羊,在25只农村公羊中选取8只。采用判断抽样技术选择定性参与者。数据收集采用预先测试和结构化问卷通过面对面访谈。数据输入Epi data Manager Version 4.0.2,导出到SPSS Version 21。描述性分析、二元和多变量logistic回归分析。定性资料采用Atlas ti版本7.0.71进行分析。结果:623名受访孕妇中,有39人(6.3%)对孕前保健有良好的实践。接受过正规教育的女性,AOR为3.27[95% C.I 1.11-9.60],居住在城市AOR为3.33[95% C.I 1.26-8.81],既往有医学疾病随访的女性,AOR为4.52[95% C.I 1.61-12.70],对孕前护理有良好了解的女性,AOR为4.18[1.64-10.65]的女性更有可能采取良好的孕前护理措施。结论:与其他研究相比,本研究中妇女的孕前保健实践较低。接受正规教育、居住在城市、对先前存在的疾病进行跟踪调查以及对孕前护理有良好的了解是妇女孕前护理实践的独立预测因素。因此,建议所有有关机构努力改进妇女的孕前护理做法,特别是通过提高社区的认识。
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引用次数: 3
Trend Analysis of Malaria Prevalence in East Wollega Zone, Oromia Regional State, Western Ethiopia, 2020: A Retrospective Study 埃塞俄比亚西部奥罗米亚州东沃勒加地区2020年疟疾流行趋势分析:回顾性研究
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.515
Z. Babure, Y. Ahmed, Solomon Tefera Likasa, F. Jiru, T. Weldemarium, M. Fite
Background: Malaria, a common and life-threatening disease in many tropical and subtropical areas, caused by infection of red blood cells with protozoan parasites of the genus plasmodium inoculated into the human host by a feeding female anopheline mosquito. Malaria is a major public health problem in Ethiopia and has been consistently reported as one of the three leading top causes of morbidity and mortality. In East Wollega Zone there is lack of empirical evidences on the level of malaria prevalence. Material and Methods: A retrospective study was carried out to determine the two year (July 2018 to June 2020) malaria prevalence based on district health information system version two (dhis2) database reports. All malaria cases reported in the specified periods were carefully reviewed by using questionnaire and analysed. Data were entered, processed and analysed into Microsoft Excel 2010 and then imported into Statistical Package for the Social Sciences (SPSS) version 24. Different graphs and tables were used to present trends of malaria cases and total population. Results: Between July 2018 to June 2018, a total of 125,917 suspected malaria cases examined from all districts of East Wollega Zone and 26,679(21.2%) confirmed malaria cases were reported. Malaria was reported in both sexes and all age groups, but males (14802, 55.5%), and age groups ≥ 15years (15963, 60%) were more affected. The highest peak of malaria cases was reported during autumn season (September, October, and November) followed by spring season (March, April, and May). Conclusions: Male and those age groups ≥ 15years were more affected than the others. The highest peak malaria prevalence was appeared from September to December (autumn season). Therefore, proper planning, implementation and monitor of malaria prevention and control activities should be strengthened at all levels.
背景:疟疾是许多热带和亚热带地区常见的一种危及生命的疾病,由雌性疟蚊将疟原虫属原生动物寄生虫接种到人类宿主的红细胞感染引起。疟疾是埃塞俄比亚的一个主要公共卫生问题,一直被报告为发病和死亡的三大主要原因之一。在东沃勒加区,缺乏关于疟疾流行程度的经验证据。材料与方法:基于地区卫生信息系统第二版(dhis2)数据库报告,开展回顾性研究,确定2018年7月至2020年6月2年疟疾流行情况。在特定时期报告的所有疟疾病例都通过调查表进行了仔细审查和分析。数据在Microsoft Excel 2010中输入、处理和分析,然后导入SPSS 24版。使用了不同的图表来显示疟疾病例和总人口的趋势。结果:2018年7月至2018年6月,东沃勒加区各区共检测疟疾疑似病例125917例,报告确诊病例26679例(21.2%)。男女和所有年龄组均有疟疾报告,但男性(14802例,55.5%)和15岁以上年龄组(15963例,60%)的感染率更高。报告的疟疾病例高峰出现在秋季(9月、10月和11月),其次是春季(3月、4月和5月)。结论:男性及年龄≥15岁者的影响大于其他年龄组。9 - 12月(秋季)为疟疾流行高峰。因此,应在各级加强疟疾防治活动的适当规划、实施和监测。
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引用次数: 3
Timely Initiation of Complementary Feeding Practice among Mothers and Care Givers of Children Age 6 To 24 Months in Goba Town, Southeast Ethiopia 在埃塞俄比亚东南部戈巴镇的6至24个月儿童的母亲和照料者中及时开展补充喂养实践
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.543
Yewalashet Alemayehu, Tilahun Ermeko, Abduljewad Hussen, A. Lette, A. Abdulkadir
Background: Complementary feeding is the introduction of solid or semi -solid foods at six months of age with small amounts and increasing the quantity as the child gets older, while maintaining frequent breast feeding. The target range for complementary feeding is generally taking to be 6-24 months while breast feeding continues for up to two years of age or beyond. Inappropriate initiation of complementary feeding practices is a major obstacle in attaining and maintaining child health. Objective: To assess prevalence of timely initiation of complementary feeding practice among mothers of children aged from 6 to 24 months living in Goba town, Bale zone, south east Ethiopia from April 20 to June 20, 2019. Methodology: Community-based cross-sectional study was conducted among 346 mothers or care givers who have children 6-24 months of age living in 03 kebele, Goba town, selected by simple random sampling technique. Data was collected by trained interviewer using semi-structured questionnaires filled for respondent after data collection, all collected data analyzed by SPSS software version 20. Result: A total of 346 mothers who had children 6 to 24 months of age were responded to the questionnaire. Ethnic composition shows that Oromo 175 (50.6%), Amharic accounts for, 151 (43.6%), Others 12 (3.5%) and Tigre 8 (2.3%). Regarding to religion Orthodox237 (68.5%), Muslim 89(25.7) and protestant religion 20(5.8%). Among the respondent occupational status 230(66.5%) were house wife, 59(17.1%) merchants, 47(13.6%) governmental workers and students are the least dominant. Marital status mother and care giver 340(98.3%) married and 4(1.2%) and 2(0.6%) of mother and care giver were single and divorced respectively. About 292(84.4%) mothers had started complementary feeding at the right time, that is 6 month of age, while 35(10.1%) of mother had started in the age of before six months, and the rest 19(5.5%) mothers started by the age of after six months. Conclusion: In this study, initiation of complementary feeding at the recommended time of six months was seen in the majority of children. Inadequate let down of breast milk, due to medical illness, and breast problem were some of the reasons mentioned by mothers who initiated early whereas lack of knowledge were they started complementary feeding, immature stomach, and the advice of family members were the reasons for late initiation of CF.
背景:辅食是在婴儿6个月大时引入少量固体或半固体食物,随着婴儿年龄的增长而增加,同时保持频繁的母乳喂养。补充喂养的目标范围通常是6-24个月,而母乳喂养持续到两岁或更大。不适当地开始补充喂养做法是实现和维持儿童健康的主要障碍。目的:评估2019年4月20日至6月20日埃塞俄比亚东南部贝尔区戈巴镇6至24月龄儿童母亲及时开始补充喂养的情况。方法:采用简单随机抽样方法,以社区为基础,对Goba镇03 kebele地区346名有6-24月龄儿童的母亲或照顾者进行横断面研究。数据收集后由经过培训的采访者采用半结构化问卷的方式对被调查者进行收集,收集到的数据均采用SPSS软件20版进行分析。结果:共有346名育有6 ~ 24月龄儿童的母亲参与了问卷调查。民族构成:奥罗莫族175人(50.6%),阿姆哈拉族151人(43.6%),其他族12人(3.5%),虎族8人(2.3%)。宗教方面,东正教237人(68.5%),穆斯林89人(25.7%),新教20人(5.8%)。家庭主妇230人(66.5%),商人59人(17.1%),政府工作人员47人(13.6%),学生占比最低。婚姻状况母亲和照顾者已婚340人(98.3%),单身4人(1.2%),离婚2人(0.6%)。292名(84.4%)母亲在合适的时间即6月龄开始辅食,35名(10.1%)母亲在6月龄前开始辅食,其余19名(5.5%)母亲在6月龄后开始辅食。结论:在本研究中,大多数儿童在推荐的6个月时间开始补充喂养。由于疾病导致的母乳分泌不足和乳房问题是早期开始的母亲提到的一些原因,而缺乏开始补充喂养的知识,不成熟的胃和家庭成员的建议是CF开始较晚的原因。
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引用次数: 1
What You Should Know About Breast Cancer Which Has Advanced Locally 关于局部进展的乳腺癌你应该知道的事情
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.552
Hamond Cassing
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引用次数: 0
The Influence of Paid Maternity Leave on Postpartum Depression 带薪产假对产后抑郁症的影响
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.20.10.512
Jessica N Kantra
The prevalence of post-partum depression (PPD) in American mothers continues to remain constant within the United States. This is likely caused by various social determinants of health; namely stress, anxiety, socioeconomic standing and employment benefits. The research done for this paper focuses primarily on the influence of access to paid maternity leave on the rate of PPD as seen across the US and compared against other countries. Paid maternity leave has been identified as a beneficial contributor to positive maternal mental health outcomes following birth and is actively being advocated for within some states throughout the country. Studies conducted reveal how many mothers face stress related to securing employment throughout their leave while most employers that ensure adequate lengths of paid leave see only positive effects – if any – on the company’s overall productivity and profitability. Scholars across the country have come to the common conclusion that a paid leave of at least six months would in turn exhibit positive changes in maternal mental health throughout the lifespan.
在美国,产后抑郁症(PPD)在美国母亲中的患病率继续保持不变。这可能是由健康的各种社会决定因素造成的;即压力,焦虑,社会经济地位和就业福利。本文所做的研究主要集中在获得带薪产假对PPD率的影响,这是在美国看到的,并与其他国家进行比较。带薪产假已被确定为对产妇产后心理健康产生积极影响的有益因素,并在全国一些州得到积极倡导。研究表明,许多母亲在休假期间面临着与确保就业有关的压力,而大多数雇主确保足够的带薪休假时间,对公司的整体生产力和盈利能力只有积极的影响——如果有的话。全国各地的学者都得出了一个共同的结论,即至少六个月的带薪休假反过来会在整个生命周期中显示出母亲心理健康的积极变化。
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引用次数: 0
Management of Labor in Case of Transverse Vaginal Septum: A Case Report 阴道横隔分娩的处理:1例报告
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.520
Fistum Taye, Luli Baisa, Daniel Aboma
Background: A transverse vaginal septum is a rare congenital uterovaginal anomaly that may be diagnosed for the first time during labor with a frequency of 1 in 70,000 females. A 20 years old primigravida with a postterm pregnancy whose diagnosis was only made during labor following digital vaginal and speculum examination. On examination, she was diagnosed as having a transverse vaginal septum with a pinpoint septal opening. The emergency caesarean section, followed by dilatation of the septum, was performed. Result: The post-operative event was smooth. Conclusion: To avoid obstructed labor and injuries to the mother and new-born prophylactic caesarean section is recommended in patients presenting with a transverse vaginal septum in labor, especially in women who have conceived after a long period of infertility.
背景:阴道横隔是一种罕见的先天性子宫阴道异常,可能在分娩时首次被诊断出来,发生率为7万分之一。一个20岁的初产妇与晚期妊娠,诊断是在分娩过程中通过手指阴道和窥镜检查。经检查,她被诊断为阴道横隔有针状间隔开口。进行了紧急剖宫产术,随后进行了鼻中隔扩张术。结果:术后事件顺利。结论:为避免难产和对产妇及新生儿的伤害,建议对产程中出现阴道横隔的患者,特别是长期不孕的孕妇,行预防性剖腹产。
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引用次数: 0
Correlation between Fertility Drug and the Likelihood of Gynecological Cancer - A Systematic Review. 生育药物与妇科癌症发生可能性的相关性——系统综述。
Pub Date : 2021-01-01 DOI: 10.35248/2167-0420.21.10.548
Simi Ms
Background: There is increasing use of fertility drugs for ovulation induction and ovarian stimulation in assisted reproductive treatment like In Vitro Fertilization. For the treatment of subfertility, several medications are used to grow more eggs these drugs used to stimulate their ovaries may fuel cancer risk. In this review, recent literature regarding the correlation between fertility drug and cancer risk is reviewed to find out whether the medicines used to stimulate ovulation increase the risk of any gynecological cancer in women. Main body: Broad controversy exists in the literature about fertility treatment-induced cancer, although clinical trials are generally more focused. In order to present comprehensive strategies, the author has attempted to synthesize findings from Forty-seven research papers. The purpose of this study is to present a systematic review of the available evidence-based research paper concerning the relationship between fertility drug and gynecological cancers. Conclusion: The result of this study shows support for the correlation between fertility drugs and certain cancer risk, the correlation should continue to be monitored because the included studies had several limitations and multiple differences in the way they were conducted. However, we suggest the need to counsel women about their potential risk of Uterine/ Endometrial cancer and Breast Cancer in the future before any treatment procedure.
背景:在体外受精等辅助生殖治疗中,越来越多地使用促排卵和卵巢刺激药物。对于低生育能力的治疗,一些药物被用来培养更多的卵子,这些药物用来刺激卵巢可能会增加患癌症的风险。在这篇综述中,我们回顾了最近关于生育药物与癌症风险之间关系的文献,以找出用于刺激排卵的药物是否会增加女性患妇科癌症的风险。正文:尽管临床试验通常更集中,但关于生育治疗诱发癌症的文献中存在广泛的争议。为了提出全面的策略,作者试图综合47篇研究论文的结果。本研究的目的是对现有的以证据为基础的关于生育药物与妇科癌症关系的研究论文进行系统综述。结论:本研究结果支持生育药物与某些癌症风险之间的相关性,由于纳入的研究存在一些局限性和进行方式上的多种差异,因此应继续监测这种相关性。然而,我们建议在进行任何治疗程序之前,有必要向妇女咨询她们未来患子宫/子宫内膜癌和乳腺癌的潜在风险。
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引用次数: 0
Magnitude and Factors Affecting Long-acting Reversible Contraceptive Utilization among Reproductive Age Women in Silti District, Southern Ethiopia. 影响埃塞俄比亚南部Silti地区育龄妇女长效可逆避孕药具使用的程度和因素
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.494
B. Kebede, M. Belete, H. Negeri, Hassen Mosa Halil, Abebe AlemuAnshebo, R. Abdo
Background: Worldwide the utilization of long-acting reversible contraceptive (LARC) methods has been suggested as the first-line; extremely effective choices for prevention of pregnancy. However, in developing countries including Ethiopia many women use the short-acting contraceptives. This study intended to assess the magnitude and factors affecting LARC utilization among reproductive age women in Silti District, Southern Ethiopia. Method: A community-based cross-sectional study was applied on 528 women using a systematic sampling technique in the period May 1-30, 2018. The data were collected by a pre-tested and structured questionnaire. Data were entered into Epi-data (version3.1) and analyzed through SPSS (version 22). A multivariable logistic regression was utilized to ascertain the associated of LARC utilization at 95% confidence interval. P-value <0.05 was taken as a cut of point to declare the level of statistical significance. Results: The overall prevalence of LARC was 18.3%. The significantly associated factors of LARC were; maternal educational level of college and above (AOR=4.4, 95% CI:1.48-12.99), having positive attitude towards LARC (AOR=1.76, 95% CI:1.01-3.04), having a moderate and high level of knowledge towards LARC(AOR=2.09, 95%CI: 1.15-3.80) and(AOR=2.28, 95% CI:1.15-4.5), respectively. Conclusions: The uptake of LARC was still underused in the study setting. Maternal educational status, having a moderate and high level of knowledge besides to a positive attitude towards LARC was found to have a significant association with the uptake of LARC. Improving educational status of the mothers, advancing their knowledge and creating a positive attitude towards LARC are very important to raise LARC utilization.
背景:在世界范围内,长效可逆避孕(LARC)方法已被建议作为一线避孕方法;非常有效的预防怀孕的选择。然而,在包括埃塞俄比亚在内的发展中国家,许多妇女使用短效避孕药。本研究旨在评估埃塞俄比亚南部Silti地区育龄妇女使用LARC的程度和影响因素。方法:采用系统抽样方法,于2018年5月1日至30日对528名妇女进行社区横断面研究。数据通过预先测试和结构化的问卷收集。数据录入Epi-data (version3.1),使用SPSS (version 22)进行分析。采用多变量逻辑回归在95%置信区间内确定LARC使用的相关性。以p值<0.05为切点,表示差异有统计学意义。结果:LARC的总患病率为18.3%。LARC的显著相关因素有;母亲大专及以上学历(AOR=4.4, 95%CI: 1.48 ~ 12.99)、对LARC有积极态度(AOR=1.76, 95%CI: 1.01 ~ 3.04)、对LARC有中等和较高知识水平(AOR=2.09, 95%CI: 1.15 ~ 3.80)和(AOR=2.28, 95%CI: 1.15 ~ 4.5)。结论:在研究环境中,LARC的使用仍未充分利用。母亲的受教育程度、中等和较高的知识水平以及对LARC的积极态度与LARC的摄取显著相关。提高母亲的受教育程度,提高她们的知识水平,树立积极的LARC态度,对提高LARC的利用率非常重要。
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引用次数: 4
Prevalence and Factors Associated with Uterine Prolapse among Gynecologic Patients at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia 埃塞俄比亚西北部贡达尔大学综合专科医院妇科患者子宫脱垂的患病率及相关因素
Pub Date : 2020-01-01 DOI: 10.35248/2167-0420.20.9.492
Birye Dessalegn Mekonnen
Introduction: Uterine prolapse is one of the most common cause of reproductive health morbidity, particularly among adults and old women in developing countries. There is limited information on the magnitude and associated risk factors of uterine prolapse in Ethiopia. Therefore, the aim of this study was to identify the factors of uterine prolapse. Materials and methods: Hospital based retrospective study was conducted at University of Gondar comprehensive specialized hospital, Northwest, Ethiopia from July 1, 2014, to June 30, 2019. Computer based simple random sampling technique was used to select patient‘s cards. Bivariable and multivariable logistic regression analyses were performed. Statistical differences were considered at P<0.05. Results: The overall prevalence of uterine prolapse during the study period was 91(22.3%). Age (COR=5.12; 95% CI: 2.05, 12.78), residence (COR=5.83; 95% CI:2.66, 12.78), abortion history (COR=4.77; 95% CI:1.72, 13.23) and place of delivery (COR=2.76; 95% CI:1.14 6.69, 13.23) were factors significantly associated with uterine prolapse. Conclusions: This study reveals that nearly one fourth of women suffer with uterine prolapse. This finding indicated that uterine prolapse is a major public health issue in Ethiopia. Therefore, the local government should give emphasis for older and rural women. Health institution delivery should also be advocated to minimize the proportion of home deliveries.
子宫脱垂是生殖健康发病的最常见原因之一,特别是在发展中国家的成年人和老年妇女中。关于埃塞俄比亚子宫脱垂的程度和相关危险因素的信息有限。因此,本研究的目的是确定子宫脱垂的因素。材料与方法:回顾性研究于2014年7月1日至2019年6月30日在埃塞俄比亚西北部贡达尔大学综合专科医院进行。采用基于计算机的简单随机抽样技术对患者卡片进行选择。进行了双变量和多变量logistic回归分析。P<0.05为差异有统计学意义。结果:研究期间子宫脱垂的总发生率为91例(22.3%)。年龄(软木= 5.12;95% CI: 2.05, 12.78),居住地(COR=5.83;95% CI:2.66, 12.78),流产史(COR=4.77;95% CI:1.72, 13.23)和分娩地点(COR=2.76;95% CI:1.14 6.69, 13.23)是子宫脱垂的显著相关因素。结论:本研究显示近四分之一的女性患有子宫脱垂。这一发现表明,子宫脱垂是埃塞俄比亚的一个主要公共卫生问题。因此,地方政府应该重视老年妇女和农村妇女。还应提倡在卫生机构分娩,尽量减少在家分娩的比例。
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引用次数: 1
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Journal of women's health care and management
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