376
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Chaudhari M, Martinez-Devesa P, Leonard A, Gupta D. Radiology quiz case 2: orbital pseudotumor. ARCHIVES OF OTOLARYNGOLOGY--HEAD & NECK SURGERY 2005; 131:739, 742-3. [PMID: 16103314 DOI: 10.1001/archotol.131.8.739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
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377
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Agarwal R, Aggarwal AN, Gupta D, Behera D, Jindal SK. Low dose of snake antivenom is as effective as high dose in patients with severe neurotoxic snake envenoming. Emerg Med J 2005; 22:397-9. [PMID: 15911942 PMCID: PMC1726801 DOI: 10.1136/emj.2004.020727] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The objective of this study was to evaluate the effects of two different dosage protocols on the outcome of patients with severe neurotoxic snake envenoming, using a retrospective analysis of patients admitted with a diagnosis of severe neurotoxic snake bite over a 4 year period. In the study, 55 snake bite victims requiring ventilatory support for severe neurotoxic envenoming received either 150 ml of polyvalent snake antivenom (SAV) (low dose SAV group, n = 28) or 100 ml of SAV at presentation followed by 100 ml every 6 hours until recovery of neurological manifestations (high dose group, n = 27). The median dose of SAV in the high dose group was 600 ml (range 300 to 1600). The duration of mechanical ventilation in the low dose group (median 47.5 hours; range 14 to 248) was similar to that in the high dose group (median 44 hours; range 6 to 400). The mean (SD) duration of intensive care unit stay was similar in the two groups. There were three deaths in the high dose group; two patients in the low dose group had neurological sequelae. All other patients improved, had no residual neurological deficit, and were discharged. We conclude that there is no difference between a protocol using lower doses of SAV and one with higher doses in the management of patients with severe neurotoxic snake envenoming.
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378
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Gopalan P, Kumar M, Gupta D, Phillipps JJ. A study of chorda tympani nerve injury and related symptoms following middle-ear surgery. The Journal of Laryngology & Otology 2005; 119:189-92. [PMID: 15845189 DOI: 10.1258/0022215053561657] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
This is a prospective study that looks into the prevalence of chorda tympani nerve (CTN) injury and related symptoms following varying degrees of trauma to the nerve during three common types of middle-ear operation: myringoplasty, tympanotomy and mastoidectomy. The number of patients with CTN-related symptoms varied widely between the three groups. Increased occurrence of the nerve related symptoms and a prolonged recovery time were observed in the tympanotomy group. Stretching of the nerve produced more symptomatic cases than cutting it in the myringoplasty and mastoidectomy groups. Recovery was complete in 92 percent of the symptomatic patients by 12 months. It is important to inform patients about the possibility of CTN injury during middle-ear operations, and it should also be emphasized that symptoms related to CTN injury can occur irrespective of the type of damage to the nerve.
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379
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Jindal SK, Aggarwal AN, Gupta D, Kashyap S, Chaudhary D. Prevalence of tobacco use among school going youth in North Indian States. THE INDIAN JOURNAL OF CHEST DISEASES & ALLIED SCIENCES 2005; 47:161-6. [PMID: 16022142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
BACKGROUND Tobacco use, which is the cause of several respiratory diseases, generally starts in the teens. Global Youth Tobacco Survey (GYTS) is an international initiative to investigate the tobacco use in school going youth of 13 to 15 years of age. This report describes the GYTS findings in the North Indian region. METHODS A two-stage cluster sample was used with selection of schools on probability proportional to enrollment size followed by systematic equal probability sampling with a random start of classes from each school. The 85-item questionnaire included 'core GYTS' and other additional questions. Data analysis was performed using EpiInfo 3.2 software and the results accounted for the complex sampling design and weighting factors in the data set. RESULTS The sample consisted of 9319 students out of the total eligible population of 30488 from 100 schools. The prevalence of ever-use of tobacco varied between 2.9 to 8.5% in boys and 1.5 to 9.8% in girls. The prevalence was highest in Chandigarh and lowest in Punjab. Between 16 to 46% of students were exposed to the habit of tobacco among parents or friends. There were 10 to 34% students who were passively exposed to environmental tobacco smoke. CONCLUSION Tobacco use is present in up to 10 percent of school going youth in the region. A majority of them had desired to quit. Tobacco control and cessation programmes therefore, remain important health issues.
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380
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Balamugesh T, Aggarwal AN, Gupta D, Behera D, Jindal SK. Profile of repeat fiberoptic bronchoscopy. THE INDIAN JOURNAL OF CHEST DISEASES & ALLIED SCIENCES 2005; 47:181-5. [PMID: 16022145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
BACKGROUND Fiberoptic bronchoscopy (FOB) is invaluable in the diagnosis of a variety of pulmonary diseases, but in many instances the procedure has to be repeated because of an inconclusive initial FOB or for reassessment. METHODS A retrospective analysis of all the fiberoptic bronchoscopic procedures done between September 2000 and February 2003 was performed and details of patients undergoing repeat FOB abstracted. RESULTS Of the 2,270 bronchoscopies performed on 2114 patients, 132 procedures were repeated, yielding an over all frequency of repeat FOB of 6.34 percent. Bronchoscopy was done twice in 112 patients, thrice in 16 patients and four times in four patients. The commonest diagnosis in patients undergoing repeat bronchoscopy was bronchogenic carcinoma, followed by non-resolving pneumonia or presence of pulmonary infiltrates in immunocompromised host. The major indications for repeating FOB included obtaining specimens for pathological examination, pre and postoperative evaluation of airways, localization of site of bleeding in patients with hemoptysis, and placement of catheters for intraluminal brachytherapy. Of the 88 cases undergoing repeat bronchoscopy for diagnostic purposes, 41 (46.6%) yielded positive results, either in form of positive histology or localisation of source of hemoptysis. CONCLUSIONS The frequency of repeat bronchoscopy was low. Commonest indication for a repeat procedure was to obtain repeat/additional diagnostic samples. A repeat procedure can yield positive results even when the initial FOB is nondiagnostic.
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381
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Grutsch JF, Gupta D, Granick J, Wodek T, Lis CG. 064: The Impact of Fatigue on Quality of Life in Cancer Patients. Am J Epidemiol 2005. [DOI: 10.1093/aje/161.supplement_1.s16c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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382
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Grutsch JF, Lis CG, Granick J, Levin RD, Williams S, Wodek T, Gupta D. Identifying optimal cutpoints for quality of life function in patients with advanced cancer. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.8139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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383
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Behera D, Aggarwal AN, Gupta D, Jindal SK, Sharma SC. Docetaxel and cisplatin as first-line chemotherapy in advanced NSCLC. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.7343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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384
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Farmer IP, Johnson LF, Gupta D, Grutsch JF, Granick J, Williams P, Wodek T, Lis CG. Is there a need for multiple measures in assessing quality of life in oncology? J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.8098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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385
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Granick J, Cambron JA, Gupta D, Aslam A, Wodek T, Grutsch JF, Lis CG. Self -Reported Quality of Life in users and non-users of dietary supplements in cancer. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.8232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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386
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Seidler CW, Kodali D, Gupta D. A review of carboplatin and gemcitabine with sequential radiation therapy in the treatment of stage III and IV non-small cell lung cancer in the community setting. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.7349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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387
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Lis CG, Gupta D, Lammersfeld CA, Vashi PG, Burrows JL, Dahlk SL, Grutsch JF, Williams S. Is nutritional status correlated with quality of life measures in advanced colorectal cancer? J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.3728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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388
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Gupta D, Lammersfeld CA, Vashi PG, Dahlk SL, Burrows JL, Lambert G, Grutsch JF, Lis CG. Bioelectrical impedance phase angle as a nutritional indicator in advanced breast cancer. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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389
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Citrin DL, Gupta D, Birdsall TC, Aslam A, Grutsch JF, Wodek T, Lis CG. Prevalence of use of herbal therapies in adult cancer patients: Potential for herb-drug interactions. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.6086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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390
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Gupta D, Earley M, Harris S, Sporton S, Nathan A, Abrams D, Schilling R. Percutaneous transthoracic epicardial ablation for ventricular tachycardia and epicardial accessory pathways- improved success with cryoablation. Heart Rhythm 2005. [DOI: 10.1016/j.hrthm.2005.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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391
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Gupta D, Lammersfeld CA, Vashi PG, Burrows J, Lis CG, Grutsch JF. Prognostic significance of Subjective Global Assessment (SGA) in advanced colorectal cancer. Eur J Clin Nutr 2005; 59:35-40. [PMID: 15252422 DOI: 10.1038/sj.ejcn.1602029] [Citation(s) in RCA: 82] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To evaluate the prognostic significance of Subjective Global Assessment (SGA) in advanced colorectal cancer and create statistically distinct prognostic groups of colorectal cancer patients based on clinical and nutritional variables. DESIGN A retrospective clinical epidemiologic study. SETTING A private tertiary care American Cancer Center. SUBJECTS In total, 234 colorectal cancer patients aged 29-82 y treated at Cancer Treatment Centers of America at Midwestern Regional Medical Center between January 1995 and March 2001. INTERVENTION SGA Questionnaire. SGA A-well nourished; SGA B-moderately malnourished; and SGA C-severely malnourished. Malnutrition was defined as either SGA B or SGA C. RESULTS The prevalence of malnutrition in this patient population, as determined by SGA, was 52% (113/217). The median survival of patients with SGA A was 12.8 months (95% CI; 9.1-16.5), those with SGA B was 8.8 months (95% CI; 6.7-10.9) and those with SGA C was 6 months (95% CI; 3.9-8.1); the difference being statistically significant at P=0.0013. Regression tree analysis identified prior treatment history, lactate dehydrogenase (LDH) and SGA to be important predictors of survival for our patient cohort. Patients with no prior treatment history (newly diagnosed disease), low LDH scores, and SGA A had the best overall survival of 40.4 months (95% CI; 30.45-50.4), whereas patients with prior treatment history (progressive disease), high LDH scores, and SGA B/C had the worst overall survival of 4.5 months (95% CI; 2.22-6.76). CONCLUSION The SGA provides useful prognostic information in patients with advanced colorectal cancer.
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Abstract
Cornelia De Lange syndrome is a relatively uncommon, multiple congenital anomaly / mental retardation disorder of unknown etiology. Its incidence has been reported to vary from 1 : 30,000 to 1 : 50,000 of live births, without any known racial predilection. However, it has been considered to be due to a new dominant mutation. Main clinical features of this syndrome include growth retardation, developmental delay, hirsutism, structural limb abnormalities, mental retardation and facial growth discrepancies. Main causes of death in such patients include pneumonia along with cardiac, respiratory and GI abnormalities.
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393
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Basha SI, Gupta D, Kaluskar SK. Routine nasal packing follwoing nasal surgery-Is it necessary? Indian J Otolaryngol Head Neck Surg 2005; 57:69-71. [PMID: 23120133 DOI: 10.1007/bf02907637] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
The practice of routine nasal packing after nasal surgery is usually customary and not evidence based. Post operative complications, while uncoumon, are sometimes pack related. A retrospective analysis of 110 patients who underwent a variety of nasal operations was performed to determine the incidence of complications when nasal packs were not routinely inserted 9 cases (8.2%) [6 out of these were revision surgeries] needed nasal packing for haemostasis at the end of surgery. 4 cases (3.6%) required to be packed in the immediate post operative period. One patient who required nasal packing developed a unilateral adhesion. No patient developed septal hematoma. The need for routine nasal packing is not supported. Packing should be indicated where there continuous bleeding at.
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394
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Sharma A, Mishra PK, Gupta D, Singh KJ. Pheochromocytoma : Imaging finding. Indian J Radiol Imaging 2005. [DOI: 10.4103/0971-3026.28766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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395
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Gupta D, Melvin A, Frenkel L, Samuel NM, Vishwanath R, Krishna R. 231 MEASURING THE UNDERSTANDING OF HIV/AIDS AMONG PREGNANT WOMEN IN SOUTHERN INDIA BEFORE AND AFTER VOLUNTARY COUNSELING AND TESTING. J Investig Med 2005. [DOI: 10.2310/6650.2005.00005.230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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396
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Aggarwal AN, Gupta D, Sood B, Behera D, Jindal SK. Development of a computer software for easy storage and analysis of fibreoptic bronchoscopy data. THE INDIAN JOURNAL OF CHEST DISEASES & ALLIED SCIENCES 2004; 46:263-7. [PMID: 15515827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
OBJECTIVE To develop a simple software for management of fibreoptic bronchoscopy records. METHODS After identification of the specific needs at our hospital, a software was developed. A graphical interface with structured data entry related to patient information and diagnosis, bronchoscopic findings and specimens obtained, and their reports were envisaged. After initial construction, the software was tested over a four-week period. The software was put to routine use after necessary corrections, and validated over the next few months through actual data entry. RESULTS The software has various modules for input and modification of data, as well as for generation of reports, and can work both on stand-alone personal computers and on networks. With little practice, residents soon became adept at entering details correctly and quickly. The slightly increased time of data entry into the computer was more than made up by uniform and complete report generation. The database component was evaluated by analyzing 1000 consecutive records entered over a 14-month period, and no discrepancies were observed. CONCLUSION A user-friendly software providing uniform and complete data entry regarding fibreoptic bronchoscopic procedures was developed.
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397
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Gupta D, Lammersfeld C, Vashi P, Burrows J, Dahlk S, Hoffman S, Lis C, Grutsch J. Nutritional correlates of bioelectrical impedance phase angle in colorectal cancer. Ann Epidemiol 2004. [DOI: 10.1016/j.annepidem.2004.07.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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398
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Chhabra R, Gupta SK, Manjunath Prasad KS, Gupta D, Vasishta RK, Sharma RK, Khosla VK. Calvarial malignant fibrous histiocytoma. Neurol India 2004; 52:387-90. [PMID: 15472438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
Primary malignant fibrous histiocytoma (MFH) of the central nervous system (CNS) is uncommon. We report cases of two young patients of MFH arising from the cranial meninges and involving the adjacent skull and scalp. There was infiltration of the brain in one case. Both the lesions were excised and primary scalp repair was performed.
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399
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Burrows J, Lammersfeld C, Dahlk S, Walker S, Vashi PG, Lis CG, Gupta D. Impact of self-reported performance status on survival in advanced colorectal cancer. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.3761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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400
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Gupta D, Perkins GH, Garcia SM, Sahin AA, Middleton LP. Male breast cancer: Clinico-pathological study with evaluation of biologic markers. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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