{"title":"RISK FACTORS FOR ATONIC POSTPARTUM HEMORRHAGE: A SYSTEMATIC REVIEW","authors":"Yunike Putri Nurfauzia","doi":"10.53555/nnmhs.v9i8.1790","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1790","url":null,"abstract":"ABSTRACT \u0000Introduction: Postpartum bleeding occurs in 3-10% of all deliveries. Although numerous causes exist, uterine atony is the most frequent, accounting for about 70% of all instances. \u0000Objective: This study aimed to identify and quantify risk variables for atonic postpartum hemorrhage. \u0000Methods: The databases PubMed, CINAHL, EMBASE, Web of Science, and ClinicalTrials.gov were searched for English language studies with no date or geographical constraints. Randomized trials, prospective or retrospective cohort studies, and case-control studies of pregnant individuals who suffered atonic postpartum hemorrhage and reported at least one risk factor were included in the studies. This review contained 16 studies out of the 1,977 records evaluated. A qualitative synthesis of research with low and moderate risk of bias rates each risk factor as definite, likely, unclear, or not a risk factor. \u0000Results: This research found 47 potential risk factors for atonic postpartum hemorrhage, 15 of which were deemed definite or likely risk factors. The remaining 32 risk factors were unrelated to atonic postpartum hemorrhage or had inconsistent or inconclusive data. \u0000Conclusion: A significant proportion of postpartum bleeding occurs without known risk factors. Many risk variables for atonic hemorrhage contained in existing risk assessment tools were confirmed, with past postpartum hemorrhage of any cause, placenta previa, placental abruption, uterine rupture, and multiple pregnancies conferring the largest risk. Hypertension, diabetes, and ethnicity were new risk factors not previously included in risk-assessment systems. In this study, obesity and magnesium were not associated with to atonic postpartum hemorrhage.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129378969","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":"PREVALENCE OF DEPRESSION OR ANXIETY DURING ANTEPARTUM HOSPITALIZATIONS FOR OBSTETRIC COMPLICATIONS : A SYSTEMATIC REVIEW","authors":"Yunike Putri Nurfauzia","doi":"10.53555/nnmhs.v9i8.1792","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1792","url":null,"abstract":"Introduction: Women with pregnancy problems are more likely to develop perinatal mood disorders or relapse into underlying mood disorders. \u0000Objective: This study aimed to look at the prevalence of prenatal depression and anxiety in women admitted to an antepartum ward for obstetric problems. \u0000Methods: We searched Pubmed, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, and ClinicalTrials.gov for English-language papers published between establishing the database in July 2023. The cross-sectional, cohort, case-control, quasi-experimental, and randomized-controlled designs used in the selected studies were all related to the research goal. \u0000Results: We discovered 8.799 papers and reviewed 7.918, included in the primary outcome systematic review. Using a 14-question checklist is used to assess the quality of each study. Depression was 34% (95% CI 27-41%), while anxiety was 29% (95% CI 16-43%). Significant clinical and methodologic heterogeneity between trials was expected, and it persisted even after planned a priori subgroup analysis and meta-regression. Nonetheless, the effect direction was constant across trials. There was no evidence of publication bias. \u0000Conclusion: According to the current systematic review, one in every three pregnant women hospitalized for obstetric difficulties has clinical depression or anxiety symptoms, double the reported prevalence of prenatal depression or anxiety in the general obstetric population.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124779883","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":"INCIDENCE, INDICATIONS, RISK FACTORS, AND OUTCOMES OF EMERGENCY PERIPARTUM HYSTERECTOMY WORLDWIDE: A SYSTEMATIC REVIEW","authors":"Yunike Putri Nurfauzia","doi":"10.53555/nnmhs.v9i8.1791","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1791","url":null,"abstract":"Objective: The objective of this study is to provide a comprehensive analysis of the occurrence, indications, risk factors, outcomes, and management strategies associated with emergency peripartum hysterectomy on a global scale. Additionally, this study aims to compare the outcomes of this procedure across various income situations. \u0000Methods: A systematic search strategy was conducted across several electronic reference databases: PubMed, MEDLINE, EMBASE, ClinicalTrials.gov, Cochrane Library, Web of Science, and Emcare databases up to August 3, 2023. Duplicate publications, review articles, editorials, and incomplete articles were excluded. \u0000Results: This study presents an updated version of a previously conducted systematic review, which was originally published in 2016. The inclusion criteria for this study encompassed reports that provided data on the occurrence of emergency peripartum hysterectomy. Emergency peripartum hysterectomy was operationally defined as the surgical extraction of the uterus due to severe obstetric problems within a period of up to 6 weeks following childbirth. The process of title and abstract screening, as well as full-text review, was conducted with Endnote data management software. Out of a total of 8,775 papers that were reviewed, a subset of 26 articles published after the year 2015 were deemed eligible for inclusion. Consequently, the overall number of studies included in the analysis amounted to 154. \u0000Conclusion: There are significant variations in the occurrence of emergency peripartum hysterectomy across different income contexts. Women residing in lower-income settings face an elevated likelihood of experiencing emergency peripartum hysterectomy, as well as a greater burden of associated morbidity and mortality. The incidence of emergency peripartum hysterectomy is expected to rise because to the escalating prevalence of caesarean deliveries.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123228556","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":"SEVERE CORONAVIRUS INFECTIONS IN PREGNANCY: A SYSTEMATIC REVIEW","authors":"Yunike Putri Nurfauzia","doi":"10.53555/nnmhs.v9i8.1787","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1787","url":null,"abstract":"Introduction: A systematic literature review was undertaken to examine case reports pertaining to Middle East respiratory syndrome coronavirus (MERS-CoV), severe acute respiratory syndrome coronavirus (SARS-CoV), and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of COVID-19, in the context of pregnancy. \u0000Objective: The objective was to provide a comprehensive overview of the clinical manifestations, disease progression, and outcomes for both pregnant individuals and their neonates. \u0000Methods: A comprehensive search was conducted on the MEDLINE and ClinicalTrials.gov databases, covering the period from their establishment up until August 3, 2023. The author incorporated articles that present case-level data about the infection of pregnant women with MERS-CoV, SARS-CoV, and SARS-CoV-2. The course of sickness, markers of severe disease, maternal health outcomes, and pregnancy outcomes were extracted from the articles that were included. \u0000Results: A total of 1,328 distinct publications were found, with 1,253 articles being removed based on the evaluation of their titles and abstracts. A comprehensive examination was conducted on a total of 75 publications, out of which 29 papers were deemed ineligible and hence eliminated from the analysis throughout the full-text review process. Out of the 46 papers that provided case-level data, eight publications presented information on 12 instances of MERS-CoV infection, seven publications discussed 17 cases of SARS-CoV infection, and 31 publications detailed 98 cases of SARS-CoV-2 infection. The clinical presentation and progression of the illness varied over a spectrum, ranging from individuals who showed no symptoms to those who experienced severe and ultimately deadly disease. This pattern was consistent with what is typically observed in the broader population of patients. The occurrence of significant morbidity and mortality in women who contract MERSCoV, SARS-CoV, or SARS-CoV-2 during pregnancy has been documented. Adverse pregnancy outcomes such as pregnancy loss, preterm delivery, and laboratory findings indicating vertical transmission have also been recorded. \u0000Conclusion: The available data on SARS-CoV, MERS-CoV, and SARS-CoV-2 infections during pregnancy are currently inadequate. However, these data can still provide valuable insights for informing early public health interventions and clinical decision-making in the context of COVID-19. It is important to note that more comprehensive and systematically gathered data are needed to further enhance our understanding of this topic.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130779529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE EFFICACY OF CORTICOSTEROID AFTER FACIAL NERVE NEURORRHAPHY: A SYSTEMATIC REVIEW","authors":"De Donno Monica","doi":"10.53555/nnmhs.v9i8.1783","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1783","url":null,"abstract":"Background: In case of comple transection of facial nerve, it is unclear whether or not corticosteroids will be beneficial after facial nerve neurorrhaphy. \u0000Aim: The purpose of this systematic review was to determine whether or not corticosteroids are effective in promoting facial nerve regeneration and functional recovery following complete transection and neurorrhaphy. \u0000Methods: Randomized controlled trials on human and animal models from Ovid MEDLINE and Ovid EMBASE that studied the efficacy of corticosteroids in total facial nerve damage followed by neurorrhaphy. Electrophysiology, histology, and functional recovery were the methods that were used to evaluate the results. On the other hand, there was no randomised controlled experiment carried out on humans. In a clinical context, it's possible that it won't be possible to conduct human trials that involve histology. \u0000Results: Six animal investigations with a total of 248 participants met the inclusion criteria. Electrophysiological results revealed no differences between systemic corticosteroids and controls in terms of latency and amplitude. The results of a comparison between topical corticosteroid and the control group revealed no differences in latency and amplitude. In histologic outcomes, there were no differences in axon diameter between the systemic corticosteroid and control groups; however, the control group had thicker myelin. Comparing systemic corticosteroid to a placebo in terms of eye blinking, the results favoured the placebo. \u0000Conclusion: When analysing electrophysiologic and functional recovery outcomes in animal models, this study did not demonstrate any possible benefits of systemic or topical corticosteroid administrations after facial nerve neurorrhaphy in complete transection.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127446091","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":"FACTORS ASSOCIATED WITH VOICE DISORDERS: A SYSTEMATIC REVIEW","authors":"De Donno Monica","doi":"10.53555/nnmhs.v9i8.1785","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1785","url":null,"abstract":"Introduction: During the ageing process, the larynx and structures involved in phonation undergo natural changes that account for the distinctive characteristics of geriatric voices. A voice disorder has occurred when, at any time, a person's voice fails and causes communication difficulties. This can have an adverse effect on communicative efficacy and quality of life, compromising mechanisms of socialisation, the maintenance of autonomy, and the feeling of well-being. However, there appears to be a lack of clarity regarding the factors associated with voice disorders in this population, particularly from an epidemiological standpoint. \u0000Objective: This study aims to identify factors associated with voice disorders in elderly through a comprehensive systematic review. \u0000Methods: A systematic review of literature published between 2004 and July 2023 was performed across several databases including MEDLINE/PubMed, Cochrane Library, and Google Scholar. Duplicate publications, review articles, and incomplete articles were excluded. \u0000Results: We included four appropriate studies in this systematic review, involving 65.112 patients in total. The population of the study was elderly, aged 60 years and older. The factors associated with voice disorders include, but are not limited to, age, gender, comorbid conditions such as colds, sore throats, gastroesophageal reflux, arthritis, thyroid problems, bronchitis, sleep disorders, asthma, chronic obstructive pulmonary disease, vocal fold disease, depression or anxiety, and geographic locations. \u0000Conclusion: Physical and psychosocial factors were associated with voice disorders in the elderly. However, the methodological differences between the studies included in this review, particularly in terms of sample selection and the instruments used, indicate a great deal of variability and undermine the results' reliability.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126387241","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 SAFETY AND EFFECTIVENESS BETWEEN LAPAROSCOPIC AND OPEN PANCREATODUODENECTOMY: A SYSTEMATIC REVIEW","authors":"Iqbal Muhammad","doi":"10.53555/nnmhs.v9i8.1786","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i8.1786","url":null,"abstract":"Introduction: Despite using open and laparoscopic pancreatoduodenectomy methods. However, clinicians worldwide are still unsure regarding laparoscopic adoption. This technique's challenging dissection and anastomosis may explain this. The oncological outcomes of open and laparoscopic pancreatoduodenectomy are uncertain and maybe disputed. The procedure uses these methods. \u0000The aim: This article compared safety and effectiveness between laparoscopic and open pancreatoduodenectomy. \u0000Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done. \u0000Result: In the PubMed database, the results of our search brought up 176 articles, whereas the results of our search on SagePub brought up 82 articles. The results of the search conducted for the last year of 2013 yielded a total 43 articles for PubMed and 21 articles for SagePub. In the end, we compiled a total of 27 papers, 19 of which came from PubMed and eight of which came from SagePub. We included seven research that met the criteria. \u0000Conclusion: Studies show that LPD is associated with good short-term outcomes, high survival rates, short length of stay, and less bleeding. The operating time for patients with LPD is longer than for patients with OPD.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"22 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126047584","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":"ACUPUNCTURE AND RELATED TECHNIQUES FOR POSTOPERATIVE PAIN : A SYSTEMATIC REVIEW","authors":"Adrianus Nyoman Sudartha Mantikei","doi":"10.53555/nnmhs.v9i7.1776","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i7.1776","url":null,"abstract":"Background: Eastern medicine has traditionally employed acupuncture to treat pain. Western medicine has increasingly embraced various types of acupuncture to manage pain. It relieves surgery pain. No study of acupuncture approaches used to alleviate surgery pain and their efficacy exists. \u0000Aim: This article explore about acupuncture and related techniques for postoperative pain. \u0000Methods: This study showed that it met all of the requirements by looking at the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 guidelines. So, the experts could make sure that the study was as current as possible. The search method used a number of electronic reference databases, such as Pubmed and SagePub, to look for papers that were published between 2000 and 2023. We didn't look at review papers, articles that had already been published, or articles that were only half done. \u0000Result: In the PubMed database, the results of our search brought up 371 articles, whereas the results of our search on SagePub brought up 211 articles. The results of the search conducted for the last year of 2013 yielded a total of 152 articles for PubMed and 98 articles for SagePub. In the end, we compiled a total of 33 papers, 23 of which came from PubMed and 10 of which came from SagePub. We included eight research that met the criteria. \u0000Conclusion: Research shows the benefits of laser or electric acupuncture in reducing pain. This is indicated by the lower VAS level than controls and the need for analgesic use in post-abdominal surgery and neurosurgery patients. In addition, acupuncture provides minimal side effects.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128276242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE EFFECT OF BODY FAT PERCENTAGE ON VO2MAX IN FACULTY OF MEDICINE STUDENTS AT THE UNIVERSITY OF LAMPUNG","authors":"Dewi Nur Fiana, Muflikha Sofiana Putri","doi":"10.53555/nnmhs.v9i7.1775","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i7.1775","url":null,"abstract":"Changes in lifestyle and high levels of stress in early semester medical students have the potential to increase the risk of obesity which will have a direct effect on increasing the body fat percentage due to inadequate physical activity. The body fat percentage sufficiently affects maximal oxygen uptake (VO2max) during exercise. This study aims to determine the effect of body fats percentage on VO2max in medical students at the University of Lampung. This research is a correlative analytic research with a cross-sectional approach, using primary data obtained from a simple random sampling technique. A total of 39 male students from the Faculty of Medicine of Lampung University batch 2022 who met the inclusion and exclusion criteria were measured for BMI and the body fat percentage using a stepping scale, followed by the measurement of VO2max using the Balke Test method. The results of this study indicate that there is a significant relationship between the body fat percentage to VO2max with a correlation coefficient (r) -0.800, a significant significance value of p<0.000. The correlation formed is - 0.800 indicating a very strong negative correlation between variables, meaning that the higher the body fat percentage, the lower the VO2max values, and vice versa.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131007901","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}
Agnes Annurul Maulidia, Anni Rota Rimbun Silitonga, Media Yuni Kurniawati
{"title":"COVID-19 PATHOPHYSIOLOGY PREDICTS THAT ISCHEMIC STROKE OCCURRENCE IS AN EXPECTATION, NOT AN EXCEPTION: A SYSTEMATIC REVIEW","authors":"Agnes Annurul Maulidia, Anni Rota Rimbun Silitonga, Media Yuni Kurniawati","doi":"10.53555/nnmhs.v9i7.1774","DOIUrl":"https://doi.org/10.53555/nnmhs.v9i7.1774","url":null,"abstract":"Background: Clinical reports of neurological manifestations associated with severe coronavirus disease 2019 (COVID-19), such as acute ischemic stroke (AIS) are increasing rapidly. However, there are comparatively few studies investigating the potential impact of immunological responses secondary to hypoxia, oxidative stress, and excessive platelet-induced aggregation on the brain. \u0000Aim: This study attempted to elucidate potential pathophysiological mechanisms associated with peripheral and consequential neural (central) inflammation leading to COVID-19-related ischemic strokes. \u0000Methods: A systematic search strategy was conducted across several electronic reference databases (MEDLINE, Cochrane Library, CINAHL) and included articles published between January 2000 and August 12th, was carried out up to August 15th, 2020. Duplicate publications, review articles, and incomplete articles were excluded. \u0000Results: The databases search identified a total of 1.539 articles (Table 1) and resulted in 672 articles after duplicates removed. Of these, 206 articles passed the screening process, resulting in 20 articles for full-text assessment. Among them, 10 articles did not evaluate the outcome of interest and insufficient details. Hence, we found 10 appropriate studies included. \u0000Conclusion: This study affirms that the immunological contribution to the pathophysiology of COVID-19 is predictive of the neurological sequelae particularly ischemic stroke, which makes it the expectation rather than the exception.","PeriodicalId":347955,"journal":{"name":"Journal of Advance Research in Medical & Health Science (ISSN: 2208-2425)","volume":"23 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120868399","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}