Journal of Clinical Research最新文献

{"title":"Effect of Eight Weeks of Aerobic Exercise and Garlic Extract Use on the Blood Pressure, Fat Percentage, and Lipid Profile of Patients with Hypertension","authors":"Farhad Towhidi, Khalid Mohammadzadeh Salamat, A. Soroush, A. Pourmotabbed","doi":"10.5812/JCRPS.101897","DOIUrl":"https://doi.org/10.5812/JCRPS.101897","url":null,"abstract":"Background: Obesity is known as one of the most important cardiovascular risk factors. Objectives: This quasi-experimental study was conducted to investigate the effect of an eight-week aerobic exercise and garlic extract use on the blood pressure, fat percentage, and lipid profile of patients with hypertension. Methods: A total of 50 men with a mean age of 53 ± 7.6 years were recruited from among obese patients with blood pressure. They were randomly divided into five groups of aerobic exercise, garlic extract, aerobic exercise plus garlic extract, placebo, and control. The experimental groups underwent aerobic exercise (3 sessions per week, each session for 35 - 60 min with a maximum heart rate of 50 - 75) or garlic extract supplementation (daily use of 6 g) for eight weeks. Blood samples were collected before interventions and 48 h after the last exercise session. Statistical analysis was done by the dependent t-test and ANCOVA. Results: Body weight, body fat percentage, systolic and diastolic blood pressures, and serum LDL significantly reduced in the aerobic exercise, garlic extract, and aerobic exercise plus garlic extract groups compared to the control group (P ≤ 0.05). Aerobic exercise and aerobic exercise plus garlic extract groups showed a significant decrease in total cholesterol level and serum triglyceride and an increase in serum HDL compared to the control group (P ≤ 0.05). Aerobic exercise plus garlic extract group indicated a higher increase in serum HDL and a higher decrease in the body weight, body fat percentage, and serum LDL compared with the control group (P ≤ 0.05). Aerobic exercise plus garlic extract group indicated a higher serum LDL decrease compared to the aerobic exercise group (P ≤ 0.01). Conclusions: Both aerobic exercise and garlic extract seem to be able to improve obesity, lipid profile, and hypertension. However, their concurrent use has no additional effects on the blood pressure control although it mostly influences lipid profile and body composition.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84876488","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":"Effects of Exercise Training Intensity on Plasma Levels of Creatinine Kinas After a Myocardial Infarction in Male Wistar Rats","authors":"A. Zokaei, M. Ghahramani","doi":"10.5812/JCRPS.111137","DOIUrl":"https://doi.org/10.5812/JCRPS.111137","url":null,"abstract":"Background: The creatine phosphokinase-MB (CPK-MB) isoenzyme level is useful in determining the myocardial infarction (MI) extent and time. Evidence indicates the possible effect of exercise training on reducing the amount of CPK-MB, but the proper intensity of exercise is still unclear. Objectives: In this study the effect of intensity of exercise training on creatinine kinas after a myocardial infarction in plasma levels of male Wistar rats was comparing. Methods: Thirty two male Wistar rats at 10 weeks of age were divided in to four groups [low (N = 8), moderate (N = 8), and high (N = 8) intensity interval training and a control (N = 8) group (no exercise)]. Six weeks later, rats became MI patients through surgery. CPK-MB plasma levels were investigated before training, immediately after training for six weeks as well as 12 hours after MI. The data were analyzed by ANOVA with repeated measure and Tukey (α ≥ 0.05). Results: The results showed that changes in CK enzyme at 12 hours after MI in LIIT (113.88 ± 19.25), MIIT (135.88 ± 35.58) and HIIT (105.75 ± 19.05) were statistically significant compared to the control group (124.62 ± 23.41) only in 12 hours after MI and this reduction in the low-intensity interval training group was significant than the other two groups (P = 0.0001). Conclusions: In this study, six weeks of interval training with each intensity was likely to make cardiac cells resistant to necrosis resulting in low levels of the CPK-MB enzyme compared to the control group after the myocardial infarction event.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89204701","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":"Designing a Conceptual Pattern of E- Learning for Iran’s Universities of Medical Sciences","authors":"R. Sajedi, A. Khorshidi, F. Hamidifar, H. Moghaddasi, A. Mahmoodi","doi":"10.5812/JCRPS.107521","DOIUrl":"https://doi.org/10.5812/JCRPS.107521","url":null,"abstract":"Background: Over the last number of decades there has been a shift in medical education practice from traditional forms of teaching to other media which employ online, distance or electronic learning. E-learning can provide students with easier and more effective access to a wider variety and greater quantity of information. Objectives: The present study aimed to design a conceptual pattern of e- learning for Iran’s universities of Medical Sciences. Methods: This study was applied in terms of objective and qualitative in terms of data collection. The population of the study was the e-learning experts and faculty members of universities who sampled purposefully, after 30 interviews, saturation was achieved. A semi-structured questionnaire was used to interview. The qualitative data was analyzed using three- stage codings. Results: the electronic learning pattern of Iran’s universities of Medical Sciences was categorized in the following dimensions, including: \"academic dimension\" including components of synergogy and instructional design, human resources, infrastructure, management, organization, financial resources, ethics & culture, support, monitoring & coordination, and legal factor; The \"spatial planning regions dimension\" includes the components of the educational activities, research and information technology- related activities; the \"national-macro dimension\" includes the government’s structural and managerial supports, the government’s cultural and social supports, the government’s economic supports, the government’s scientific and technical supports, supports from the higher medical education, and supports from the private sector; the \"regional – international dimension\" including scientific and educational interactions, cultural and social interactions, political, and economic interactions. Conclusions: This study suggested that policy-makers, top managers of higher medical education, and those in charge of e-learning exploit the pattern proposed in this study for developing policies and programs for creating/developing e-learning centers, and sufficiently address the dimensions, categories, and indicators mentioned here, so that the long-term effects of operationalizing each category of the pattern can be demonstrated more optimally and quickly. In this way, costs can be reduced, repeat work can be avoided (especially in the face of environmental crises), and Iranian universities can progress in line with world universities and thereby take a big step towards the successful implementation of e-learning in Iran.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84238161","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":"Evaluating the Effectiveness of Self-regulation Strategy Training on Procrastination, Happiness and Academic Achievement","authors":"Kheironessa Naderi, H. T. N. Doust, H. Talebi","doi":"10.5812/JCRPS.100923","DOIUrl":"https://doi.org/10.5812/JCRPS.100923","url":null,"abstract":"Objectives: This study was carried with the purpose of evaluating the effectiveness of self-regulation strategy training on procrastination, academic achievement, and happiness of 1st grade high school male and female students. Methods: It is a quasi-experimental research with a pretest-posttest design involving a control group. Sixty students were selected by means of multistage cluster sampling plan and randomly grouped in 4 groups of 15. Research instrument consisted of Solomon and Rothblum Academic Delay, Oxford Happiness, and Standard Academic Achievement Questionnaire. Test group received 8 self-regulation training sessions of 45-minute duration each. Results: Results revealed that self-regulation training has a meaningful effect on dependent variables (P < 0.001). In the presented model, \"gender\", \"time and group\", \"interactive effect of gender and group\", and \"interactive effect of group and time\" were meaningful, as opposed to the \"interactive effect of gender and time\" and \"interactive effect of gender, group, and time\" which lacked any significance. Conclusions: Results of LSD post hoc test showed no meaningful difference between the mean happiness, procrastination, and academic achievement scores of experimental and control groups in the pretest stage. However, in the posttest and follow-up stage, the mean scores of the two groups differed significantly.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75127989","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":"Improving the Performance of Hospital Information Systems Using Six Sigma for Kermanshah Province Hospitals","authors":"Mohammad Javad Jamshidi, M. Hosseinpour, Hamed Heshmati, Bahareh Fathi Zolmabadi","doi":"10.5812/JCRPS.102448","DOIUrl":"https://doi.org/10.5812/JCRPS.102448","url":null,"abstract":"Background: Performance improvement in hospitals requires an appropriate model for performance evaluation. Because organizational goals cannot be achieved without a comprehensive model for evaluating and reviewing programs, organizations cannot apply effective management of programs without regard to the results of their activities. Objectives: The purpose of this study is to introduce a new model for improving the performance of hospital information systems using Six Sigma method in Kermanshah province hospitals. Methods: This is a qualitative research based on content analysis and Delphi method. The data are collected through semi-structured interviews and the participants are 19 experts in hospital performance systems which were selected by snowball sampling. After transcribing the interviews, three steps were done using content analysis: firstly, using line-by-line coding (or open coding) words and segments of interviews were coded, secondly, each code was conceptualized and categorized into some axial codes based on focused coding, and finally, selective coding was done in which categories were identified based on axial codes’ similarity, conceptual relationship and common characteristics. Results: The results of the coding of the interviews showed that variables such as reduction of medical errors, improvement of hospital quality of services, promotion of hospital efficiency and productivity, quick and easy access to information, increased patient satisfaction and safety, management and cost reduction, and time management and control influences the performance of hospital information systems. Conclusions: For improving hospital information systems, hospital managers and system developers should not only pay attention to variables which are controlled by the software and are least affected by the human resources of the organization; such as: cost control, quality control, information control and time control but also human based variables such as specialization of the staffs, their motivation, reduce errors and etc., which are sometimes neglected.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81076093","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":"Self-directed Learning (SDL) of Medication Safety Issues by Using a Dual Function (Educational & Supervisory) Checklist in Clinical Settings","authors":"S. Razavi, F. Mousavi, Termeh Tarjoman, Marjan Mohammadnouri, P. Shojaei","doi":"10.5812/JCRPS.102927","DOIUrl":"https://doi.org/10.5812/JCRPS.102927","url":null,"abstract":"Objectives: Main goal in this study was to design and introduce a standard checklist that medical interns to be able to apply it to assess the medication safety status in clinical settings and learn the facts related to this issue simultaneously. Methods: We performed the following steps to conduct the study: (1) using brainstorming and fishbone method for collecting problems in six domains including: demographic and risk factors, prescribing, transcribing, usage, storage and management; (2) collecting the medication standards and indicators; (3) designing a problem oriented checklist, including 85 questions; (4) verifying the validity and reliability of designed checklist by Delphi method and conducting a pilot study. The Cronbach's alpha co efficient were good (more than0.7); (5) to perform of pretest; (6) teaching and introducing of 10 valid evidences to answer the checklist questions in three day workshop to 41 medical interns; (7) after the workshop, students applied the mentioned checklist for assessment of drug safety status on 151 hospitalized patients with the aim of learning during assessment; (8) monitoring of patient’s medication safety status by the interns and self -learning simultaneously; and finally (9) we used Student self-assessment of medication safety education goals, before and after self-training with our checklists. Results: A standard checklist with dual functions (self-learning during assessment) was developed. Difference between pre-test and post test scores was statistical significant (P ≤ 0.001) and 92% of participants were satisfied with this type of training. Conclusions: We recommend our designed checklist to all clinical educators who are engaged in medication safety domain.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82977053","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":"Comparison of the Effect of Stretching Exercises and Combination of Massage - Stretching Exercises on Primary Dysmenorrhea of Female Students of Razi University of Kermanshah","authors":"Akram Ahmadi Barati, L. Farhadi, Mozhgan Khalily","doi":"10.5812/JCRPS.102312","DOIUrl":"https://doi.org/10.5812/JCRPS.102312","url":null,"abstract":"Background: Primary dysmenorrhea is chronic pain during menstruation without the presence of a pelvic pathologic complication. Objectives: The aim this research was comparison of the effect of stretching exercises and combination of massage - stretching exercises on primary dysmenorrhea of female students of Razi University of Kermanshah. Methods: This semi-experimental study was statistical population all female students of Razi University of Kermanshah. 90 students were selected through purposive and convenient sampling method. After obtaining consent and justification of the subjects from the research stages, they were randomly divided into three groups of 30 to practice the protocol. The research instrument consisted of two primary dysmenorrhea and McGill pain questionnaires as well as stretching exercise and massage protocol. The validity of the questionnaires was obtained formally using Cronbach's test. Exercise program for groups was performed in 8 sessions for 3 weeks. Data were analyzed by dependent t-test, one-way ANOVA and Kolmogorov-Smirnov test, to check the normality of the data distribution. Results: The results showed that there were significant differences between the three methods of exercise (stretching, massage and massage- stretching movements) on pain severity (P = 0.938), duration of pain (P = 0.095) and the nature of pain (P = 0.664) There was no significant difference. Conclusions: According to the results of the present study, massage and stretching exercise and massage-stretching combinations are almost as effective and effective as noninvasive methods in reducing the symptoms of sensory pain caused by primary dysmenorrhea. Assistance to girls with dysmenorrhea Selection and application of one of these methods will depend on the individual's abilities and circumstances.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84871792","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":"Overview of HIV Prevention among In-school Adolescents in the Rural Areas of Abia State of Nigeria","authors":"E. Enwereji, P.E.N Onyemechi","doi":"10.14302/ISSN.2324-7339.JCRHAP-20-3633","DOIUrl":"https://doi.org/10.14302/ISSN.2324-7339.JCRHAP-20-3633","url":null,"abstract":"Introduction\u0000HIV prevention services to in-school adolescents need good planning and management. HIV risk reduction interventions are geared toward measuring sexual risk behaviour outcomes of adolescents that predispose them to HIV infection. The sexual behaviour of adolescents, especially in-school adolescents should be assessed in the process. Adolescents have been identified as the most vulnerable group for acquiring human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) and as such, measures should be taken to prevent them from infection. One important reason for higher HIV prevalence among adolescents, especially girls, is the frequent practice of age-discrepant partnering, where older men, who are more likely to be infected with HIV, form sexual partners with younger girls. The objective of this study is to assess the knowledge and sexual behaviour of in-school adolescents in the prevention of HIV and AIDs in rural areas of Abia State.\u0000\u0000Materials and Methods\u0000This is a descriptive cross-sectional survey that was conducted between January and March 2020. Information was collected from 66 students of a community secondary school in the state. Participants were selected by a multi-stage sampling method and data were obtained using a semi-structured pre-tested questionnaire.\u0000\u0000Results\u0000Respondents consisted of 40(60.6%) females and 26(39.4%) males with ages ranging from 13 to 19. Some of the respondents 28 (42.4%), are living with parents while 24(36.4%) live with close relatives. A good number of the respondents 39(59.1%), accepted that their friends are HIV positive. Majority of them 49(74.2%) have not been approached for sexual relationships. About 17(25.8%) of the respondents accepted that they have boyfriends and girlfriends. Out of this number, 12(18.2%) of them said they have been approached for sex and only 2(3%) of them accepted having sexual relationships with the opposite sex. Finding showed that only 1(1.5%) of the respondents claimed to have ever used condoms during sex. Of the sexually active respondents, 49(74.2%) of them are aware that HIV is a virus infection caused by having multiple sex partners while 14(21.2%) were not sure whether HIV is a virus or bacterial infection.\u0000\u0000Conclusion\u0000The study revealed a gap in the knowledge of HIV prevention as well as inappropriate sexual behaviour among the respondents. Therefore, meaningful strategies that will be culturally sensitive to modify adolescent sexual risk behaviours should be adopted.","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"44 1","pages":"14-25"},"PeriodicalIF":0.0,"publicationDate":"2021-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86822362","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":"Association of Psychological Distress and Cardiovascular Disease among Adult USA Population","authors":"Michael McFarlane, E. Valery, M. Salifu","doi":"10.15344/2456-8007/2021/156","DOIUrl":"https://doi.org/10.15344/2456-8007/2021/156","url":null,"abstract":"Background: Cardiovascular disease (CVD) is the major cause of mortality and morbidity among the adult USA population. Major cardiovascular risk factors include age, obesity, hypertension, hypercholesterolemia, diabetes, and chronic kidney disease (CKD) with both diabetes and CKD being considered CVD risk equivalent. Psychological distress is known to be associated with diverse health outcomes. We aim to assess the relationship between psychological distress and cardiovascular disease among adult USA population. Materials & Methods: Data was analyzed from National Health Interview Survey (NHIS) administered by the CDC’s National Center for Health Statistics (NCHS). The NHIS samples non-institutionalized American civilians by household following a multi-stage area probability design. The survey included Kessler 6, a standardized psychological distress scale. SPSS® version 26 was used for analysis which included utilizing both the t-test and ANOVA for continuous variables and the Chi-squared analysis for categorical variables. A logistic regression model was developed to estimate the odds ratio and the strength of association between psychological distress and cardiovascular risk factors, coronary heart disease and stroke. Data is presented as the mean value ±SEM unless otherwise specified. Results: The analysis included 284,497 respondents with 3.6% of the US representative sample reporting psychological distress with a mean age of 48.09 ±0.16. Psychological distress was more common among age group 45-64 years, women, Hispanics and Blacks, alcoholic drinkers, those without a high school diploma, and those below the poverty level. The unadjusted odds ratio for myocardial infarction among those with psychological distress was 2.6 (2.45-2.83 95% CI), p","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76111256","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":"Time to Cross off Routine Preoperative Blood Crossmatch in Mastectomy","authors":"A. Zaidi","doi":"10.37421/2795-6172.2021.5.128","DOIUrl":"https://doi.org/10.37421/2795-6172.2021.5.128","url":null,"abstract":"Purpose: Blood transfusion in breast cancer surgery patients is now quite rare as surgical haemostatic techniques have become very meticulous. In our hospital, all patients planned for mastectomy have a routine blood cross match done preoperatively. The cost of this blood cross match comes down as about 10 United States dollars (USD) per patient. In this study, we looked at our mastectomy patients who required blood transfusion. Methods: All mastectomy patients from January 2016 to June 2016 were included in our study. The data was derived from a prospectively maintained computerized database. Patient demographics, preoperative and postoperative haemoglobin levels, reasons and timings of blood transfusion were recorded. Results: 182 patients had mastectomy during 6 months. 170 (93.4%) patients had preoperative blood crossmatch done. 15 patients (8.2%) required blood transfusion preoperatively. This was primarily for building up their haemoglobin levels (range 7.4-9.9 g/dL, mean 9.1 g/dL). 9 out of 15 of these patients underwent neoadjuvant chemotherapy. Cost of blood crossmatch in these 15 patients needing transfusion was 150 USD compared to 1700 USD cost of cross matching all 170 patients. None of our patients required transfusion intra or post-operatively. Cost of blood crossmatch in 155 patients that never required blood transfusion was 1550 USD. Conclusion: None of our mastectomy patients required blood transfusion in an emergency situation. 8.2% patients needed transfusion preoperatively, where there was ample time to crossmatch and arrange blood. We recommend that routine preoperative crossmatch in mastectomy patients can be safely avoided (with an additional benefit of saving cost 1550 USD over 6 months).","PeriodicalId":15586,"journal":{"name":"Journal of Clinical Research","volume":"100 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80809865","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}