Journal of Medical Sciences最新文献

{"title":"MEGALOBLASTIC ANEMIA IN ADULTS WITH NEW-ONSET PANCYTOPENIA ON PERIPHERAL SMEAR","authors":"Sajid Razaq, A. Badshah, Obaid Ur Rehman, Nayab Munib, Mohsin Shafi","doi":"10.52764/jms.24.32.1.4","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.4","url":null,"abstract":"Objectives: To determine the frequency of megaloblastic anemia in patients with a new onset of pancytopenia on peripheral smear.\u0000Materials and Methods: This cross-sectional study was conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar from 1st February 2021 to 31st July 2021.  A total of 109 patients participated in the study after fulfilling the inclusion criteria. Patients with pancytopenia on peripheral smear underwent bone marrow biopsy. Megaloblastic anemia as the cause of pancytopenia was confirmed after bone marrow biopsy reports were available. The results were stratified into tables based on study participants’ demographics. Data was analyzed by SPSS 23 and presented in tables.\u0000Results: Megaloblastic anemia was observed in 42.2% of patients presenting with pancytopenia on peripheral smear. 66.1% of these were male and 33.9% were female.\u0000Conclusion: A large number of patients with pancytopenia on initial investigations were diagnosed to be suffering from megaloblastic anemia in our study.\u0000Keywords: Pancytopenia; Megaloblastic anemia; Peripheral smear; Bone marrow biopsy","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"30 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260408","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 NEONATAL OUTCOMES IN TERM PREGNANCIES IN NORMAL VS ABNORMAL CARDIOTOCOGRAPHY- AN EXPERIENCE AT A TERTIARY CARE TEACHING HOSPITAL","authors":"Z. Akhtar, Mahjabina S. Ghayur, Arzoo Gul, Hifsa Bibi, J. Naib, Naheed Akhtar","doi":"10.52764/jms.24.32.1.16","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.16","url":null,"abstract":"OBJECTIVE: To compare the neonatal outcomes in normal vs abnormal cardiotocograhy in term pregnancy.\u0000MATERIALS AND METHODS: This was a prospective analytical study carried out in A unit of obstetrics and Gynaecology department of Khyber Teaching Hospital Peshawar from 15th April 2022 to 15th October 2022. A total 224 patients meeting inclusion criteria were included in study. In Group A (normal CTG) there were 111 patients and 113 were in Group B (abnormal CTG). Patients with known fetal congenital abnormalities, intrauterine growth restriction, and fetal mal presentations were excluded from the study.\u0000RESULTS: The mean age of sample population was 26.02+4.497. Multigravidae were more than primigravidae in both groups (86.4% vs 13.6% in Group A and 72.5% vs 27.5% in Group B). In Group B, caesarean section rate was higher (82.3%) than Group A (9%).  From Group B, 26 (23%) newborns went to NICU for admission, whereas only 8 (7.2%) newborns from Group A needed NICU admission.  Hypoxic ischemic encephalopathy was also observed more in newborns in Group B compared to Group A (10 vs 1).  In Group A 12 babies had APGAR score <7 at 1 minute while in Group B 18 babies had APGAR score < 7 at 1 minute. In Group A 2 babies had APGAR score <7 at 5 minutes whereas in Group B 7 babies had APGAR score < 7.    \u0000CONCLUSION: The caesarean section rate, NICU admission and hypoxic ischemic encephalopathy were more in Group B than in Group A and this difference was statistically significant (p-value 0.000, 0.000 and 0.006 respectively). Whereas there was no statistically significant difference in APGAR Score at 1 and 5 minutes in both groups (p-value 0.26 and 0.094 respectively)\u0000KEY WORDS:\u0000Cardiotocography, APGAR score, Caesarean section, hypoxic ischemic encephalopathy.\u0000 ","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"41 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259149","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":"MORTALITY AND LENGTH OF HOSPITAL STAY IN PATIENTS WITH LIVER CIRRHOSIS BASED ON THEIR MELD SCORE","authors":"Hamza Ali Khan, N. Din, Saleem Iqbal, Ghulam Abbas, Muhammad Yousaf, B. Shah, Shah Umam","doi":"10.52764/jms.24.32.1.2","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.2","url":null,"abstract":"Objective: This study aimed to find the frequency of mortality and length of hospital stay in patients with liver cirrhosis based on their MELD score at admission. We also aim to study prognostication in cirrhotic patients using MELD scores at admission.\u0000Materials and Methods:         A descriptive cross-sectional study was conducted in the Medical Department of Khyber Teaching Hospital Peshawar from 17/10/2019 to 17/4/2020. A total of 100 patients were observed. Investigations required for the calculation of the MELD score were done from the hospital laboratory. Admitted patients were followed for study outcome in-hospital mortality and length of hospital stay for at least 30 days. All information was noted in the predesigned proforma.\u0000RESULTS: One hundred patients were analyzed among which the mean age was 53 years with SD ± 7.11. Forty-two percent were male and 58% were female. In-hospital mortality was observed in 8(8%) while mean hospital stay was 7 days with a standard deviation ± 4.12 in patients presenting with liver cirrhosis mortality was observed in patients with a MELD score of less than 20. However, mortality was 6.89%  in patients with a MELD score of 20-29 and 42.85 % in those with a MELD score of more than 30.\u0000CONCLUSION: The frequency of in-hospital mortality was 8% and the mean length of hospital stay was 7± 4.12 days in patients with liver cirrhosis. For patients with higher MELD scores, the hospital stay and mortality increased.\u0000Key Words: in-hospital mortality, mean length of hospital stay, MELD score","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"25 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259774","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":"CORRELATIONAL STUDY OF EMOTIONAL INTELLIGENCE AND ACADEMIC PERFORMANCE OF UNDERGRADUATE MEDICAL STUDENTS","authors":"Hina Zahoor, Kajal Hayat, Tahir Hayat","doi":"10.52764/jms.24.32.1.19","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.19","url":null,"abstract":"Objective: To determine correlation between emotional intelligence and academic performance of fourth and final-year medical students of Pak International Medical College, Peshawar.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260327","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":"MANAGEMENT OF DISC HERNIATION AT THE LUMBAR REGION THAT IS COMPLICATED WITH SPINAL STENOSIS USING SMALL INCISION FENESTRATION","authors":"A. A. Kadhim","doi":"10.52764/jms.24.32.1.14","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.14","url":null,"abstract":"Objectives: The objective of the current study was to compare the alternative approach of smaller incision fenestration in managing lumbar disc herniation with spinal stenosis to previous conventional laminectomy procedures.\u0000Patients and methods: The current case-control study included a total of 290 patients who were represented by two groups. Those patients were complaining of herniation of the lumbar disc with a complication of stenosis of the lumbar segments. Patients in the study group were treated by a small incision fenestration approach, whereas patients in the control group were treated by posterior laminectomy and decompression. Those patients were selected retrospectively from the pool of patients visiting the orthopedic units of Adiwaniyah Teaching Hospital, Adiwaniyah province, Iraq.\u0000Results: Mean hospital stay of patients in the study group was lower in a significant way in comparison with that of patients in the control group, 6.03 ±2.08 days versus 8.07 ±3.13 days, separately (p< 0.001). Added to that, mean operative loss was significantly lower in a group of intervention in comparison with the control group, 52.12 ±5.17 ml versus 65.48 ±5.08 ml, respectively (p< 0.001). Added to that, mean operative time was lower in a significant way in the group of intervention in comparison with patients in the group of control, 62.62 ±3.09 minutes versus 87.09 ±3.47 minutes, respectively (p< 0.001). The mean“visual analogue score (VAS)” was significantly lower in the study group in comparison with the control group, 3.09 ±1.15 versus 6.08 ±2.17, respectively (p<0.001). A comparison of the mean “Japanese orthopedic association (JOA) score” for nerve function between the study group and the control group is shown in Figure 2. The mean “Japanese orthopedic association (JOA) score” was higher in a significant manner in the group of an intervention study in comparison with the control group, 27.15 ±3.07 versus 20.18 ±4.81, respectively (p< 0.001).\u0000Conclusion: Small incision fenestration techniques are associated with significantly less hospital stay, less duration of operation, less blood loss, less visual pain score and better nerve function in comparison with conventional laminectomy procedure.\u0000Keywords: smaller incision fenestration, lumbar disc herniation, spinal stenosis","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"38 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260694","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":"EFFECT OF ORAL VITAMIN D3 ON THYMIC INDEX IN MALNOURISHED CHILDREN","authors":"Hafsa Bashir, Muhammad Omar Malik, Sabahat Amir, Habiba Ahmad, Syed Kaleem Ur Rehman","doi":"10.52764/jms.24.32.1.11","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.11","url":null,"abstract":"Objectives: To compare the thymic Index, vitamin D3 level, and T cell receptor excision circle (TREC) of healthy and malnourished infants. To evaluate the effect of oral vitamin D3 supplementation on the Thymic Index and TREC in malnourished children.\u0000Material and Methods: This quasi-experimental study (non-equivalent control group design) included 44 infants within the age range of 2 to 6 months. The cases were 22 malnourished infants, and 22 were healthy infants (controls) based on WHO Z scores classification (weight for length). Weight, age, thymic Index (TI), Vitamin D levels, and TRECs were recorded for cases and controls(pre-test). The cases were given Vitamin D supplementation for 8 weeks. The weight for length (z-score), thymic Index (TI), vitamin D levels, and TRECs were checked in these malnourished children on follow-up (post-test). Thymic Index (TI) was checked by ultrasonography (length multiplied by breadth). ELISA was performed to check Vitamin D levels and RT-PCR was done to compare TRECs.\u0000Results: The malnourished infants had a mean thymic index of 8.015 ±3.2192 as compared to controls of 11.667 ±3.2730. Post Vit D supplementation TI increased (8.459 ±3.2191) in cases. Weight, length, and Z scores were found to be directly related to TI values. Pre and Post supplementation TI were strongly correlated to each other (r= 0.985, p= <0.001). The thymic index increased significantly (p= 0.001) after intervention. There was a statistically non-significant rise in TRECS (809 vs 4242) (p= 0.075) after vitamin D supplementation. The Pearson Correlation showed no significant correlation of TRECS to any of the variables including the Thymic index.\u0000Conclusion: TI (thymic size) and vitamin D levels increase with vitamin D supplementation in malnourished children. However, Vitamin D supplementation has no significant effect on TRECS.\u0000Keywords: Malnourished, Vitamin D3, T cell receptor excision circles, Thymic Index, TRECs.\u0000 ","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"39 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140258431","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":"OUTCOME OF EARLY TRANSABDOMINAL SUPRAPUBIC REPAIR OF VESICOVAGINAL FISTULA SECONDARY TO BENIGN GYNECOLOGICAL AND OBSTETRIC SURGERIES","authors":"Hazrat ullah, Nasir Khan, Mahjabina S. Ghayur, Ahsan Rafi, Ishtia ur Rehman, Yasir Hakim","doi":"10.52764/jms.24.32.1.5","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.5","url":null,"abstract":"Objectives: To determine the effectiveness of early operative management of patients with Vesicovaginal fistula (VVF) secondary to benign gynecological surgeries.\u0000Material and methods: It is a descriptive case series of 70 patients selected from August 2018 to Oct 2022. All patients meeting inclusion criteria had routine lab investigations, imaging, cystoscopy, and vaginoscopy. The suprapubic approach described by O’Conor et al; was used. All surgeries were performed between the 4th and 6th weeks after the onset of the fistula to allow some time for tissue healing. All patients were followed after 2 weeks; a cystogram was performed to document fistula closure followed by removal of Foleys catheter. A second follow-up was at 3 months, patients were assessed with patient global impression of improvement score (PGI-I) for improvement in symptoms.\u0000Results: The mean age of the patients was 40.6 ± 10.2 years. 14(19.7%) patients were primipara while 56 (78.9%) patients were multipara. The mean fistula size was 11.5 ± 4.5mm. Supra-trigonal fistulas were more common than trigonal fistulas 43(60.6%) vs 27(38%). Hysterectomy (including cesarean hysterectomy and simple hysterectomy) was the commonest cause of VVF followed by cesarean section and difficult labor 33(46.5% vs 21(29.6) vs 12(16.9%). The overall mean operative time was 125.3 ± 10.7 minutes. The mean hospital stay was 3.8 ± 0.8 days. The fistula was successfully closed in 64 (90.1%) patients while 6 (9.9%) patients had failed surgery. The small-size fistulas (5-10mm) had a higher success rate of closure than larger fistulas (11-20mm) with statistical significance (p=0.02). Over 63 (90 %) patients responded PGI score below 3 with much improvement in symptoms.\u0000Conclusion: Our results show that early operative management of VVF secondary to benign gynecological and obstetric surgeries is feasible and effective. It also improves the symptoms of patients with PGI-I score.\u0000KEYWORDS: Vesicovaginal fistula (VVF), early repair, hysterectomy.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"34 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259815","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":"A STUDY OF SELF-ESTEEM, ACADEMIC SELF-CONCEPT, AND LOCUS OF CONTROL AMONG BEHAVIORAL PROBLEM AND NON-BEHAVIORAL PROBLEM CHILDREN","authors":"Saima Arzeen, Naeema Arzeen, Syed mubashar Shah","doi":"10.52764/jms.24.32.1.8","DOIUrl":"https://doi.org/10.52764/jms.24.32.1.8","url":null,"abstract":"OBJECTIVE: The aim of current study was to identify and compare the children with behavioral problems and without behavioral problems on self-esteem, academic self-concept, and locus of control.\u0000METHOD: For this study, a cross sectional research design was used, for data collection purposive sampling technique was applied. Out of 300 children a sample of 34 children with behavioral problems (that lies above 67th percentile) and a matched comparative group of 34 children (fall below 33 percentile children) were selected. The age range of sample was 11-13 years and from Wah Cantt data was collected. A booklet consisted of consent form, demographic sheet, children behavioral problem checklist; self-esteem scale, academic self-concept, and locus of control scales were administered. \u0000RESULTS: Correlational analysis indicated that there was significant relationship between all the study variables. Children with behavioral problems exhibited lower level of self-esteem (M=39.92; SD=16.4) than non-behavioral problem children (M=47.57; SD=9.52). On academic self-concept, children with behavioral problems exhibited lower mean scores (M=32.9; SD=26.3) as compared to children having non-behavioral problems (M=44.6; SD=15.8). Furthermore, results also highlighted that non-problematic children exhibit less external locus of control (M=8.35; SD=2.51) as compared to problematic children (M=10.70; SD=3.36).\u0000CONCLUSION: This study highlighted that SE, ASC and LOC are related process children behavioral problems. Therefore, in order to handle such children, teachers and school counselor should develop such intervention strategies that promote their self-esteem, academic self-concept and internal locus of control.\u0000Keywords: self-esteem, Locus of control, Behavioral problems, academic self-esteem.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"38 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140260684","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":"Tailgut Duplication Cyst: A Rare Cause of Refractory Low Back Pain in a Teenage Girl","authors":"Tushar Kambale, B. Iqbal, Nilanjan D. Choudhury, Komal D Sawaimul","doi":"10.4103/jmedsci.jmedsci_226_23","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_226_23","url":null,"abstract":"\u0000 Tailgut cyst, or retrorectal cystic hamartoma, is a rare congenital malformation originating from retrorectal or presacral space. It stands as an embryonic vestige of the hindgut’s postnatal component. Owing to its rarity, undiagnosed asymptomatic cases and diverse array of clinical presentations that potentially mimic other diseases, correct diagnosis is often delayed. It can present at any age but is most prevalent in middle-aged females, often remaining asymptomatic and eluding detection during digital rectal examinations. Postoperative histopathological examination is the definitive diagnostic method. This case report highlights an unusual presentation of a tailgut cyst as an underlying etiology for lower back pain in a 17-year-old female patient, emphasizing the importance of considering it as a potential differential diagnosis for intractable lower back pain, especially in young females. Timely recognition of this condition is pivotal for precise management and better patient outcomes.","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957901","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":"Initial Learning Experience for Electromagnetic Navigation Bronchoscopy: A Surgeon’s Experience while Introducing the Navigation Technology in Pulmonary Lesion Diagnosis","authors":"Y. Tsai, Yen-Shou Kuo, Ying-Yi Chen, Cheng-Hsi Yang, Yu-An Cheng, Hsu-Kai Huang","doi":"10.4103/jmedsci.jmedsci_234_23","DOIUrl":"https://doi.org/10.4103/jmedsci.jmedsci_234_23","url":null,"abstract":"\u0000 \u0000 \u0000 Diagnosing peripheral pulmonary lesions using a traditional bronchoscope is difficult. Reports on the learning experience for Veran’s SPiN electromagnetic navigation bronchoscopy (ENB) for the diagnosis of pulmonary lesions are limited.\u0000 \u0000 \u0000 \u0000 We aimed to evaluate the skills developed by trainees who underwent Veran ENB learning in a clinical setting.\u0000 \u0000 \u0000 \u0000 We retrospectively examined the data of patients who had undergone Veran ENB to guide instruments through the airways to a target lesion for biopsy or localization from November 2019 to March 2022.\u0000 \u0000 \u0000 \u0000 In total, 23 patients, including 16 with solid lesions (69.6%), 4 with pure ground-glass opacity (17.4%), and 3 with mixed (13.0%) were included. The median largest diameter of the pulmonary lesions was 2.7 ± 1.8 cm, whereas the median distance from the pleural surface to the edge of the pulmonary lesion in its shortest path was 1.9 ± 1.6 cm. Most lesions in this cohort had a positive air bronchus sign (69.6%). The mean procedure time for a young thoracic surgeon was longer after 10 cases of operation (45.6 ± 13.4 vs. 33.8 ± 9.2 min, P = 0.027). There were no complications reported related to the procedure.\u0000 \u0000 \u0000 \u0000 ENB is a safe and less invasive method for tissue diagnosis or preoperative localization for patients with pulmonary lesions. However, a young thoracic surgeon in the learning process requires more time to perform ENB. This study provides basic information about the learning experience of trainees while performing the ENB procedure.\u0000","PeriodicalId":16486,"journal":{"name":"Journal of Medical Sciences","volume":"69 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140444499","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}