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Clinical Medicine - Science topic

The study and practice of medicine by direct examination of the patient.
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Publications related to Clinical Medicine (10,000)
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Background For years, US medical schools have relied on community-based, private clinicians to educate medical students. There has been a steady decline in the number of physicians willing to take on medical students in their clinical practices. Recent issues related to the pandemic raise questions about how many patients students should see to hav...
Article
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Objective The study aims to explore smokers' acceptance of using a conceptual cigarette tracker like a cigarette filter for smoking cessation using the Technology Acceptance Model (TAM). Smokers presenting to the family medicine clinics at a tertiary care center were asked to complete an anonymous questionnaire. Results A total of 45 participants...
Article
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The mission of academic excellence has resulted in a science system that incentivises publications within high impact, often basic science journals, and less in application-oriented journals. For the dental research field this so-called academic drift can result in a research portfolio that moves away from research that serves dental healthcare. Th...
Article
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Since its establishment in 2014, Military Medical Research has come a long way in becoming a premier journal for scientific articles from various different specialties, with a special emphasis on topics with military relevance. The field of military medicine may be obscure, and may not be readily encountered by the typical clinician on a day-to-day...
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Background The risks of a few maternal and/or neonatal morbidities are higher with the trial of labour after caesarean (TOLAC) owing to unplanned caesarean delivery. Thus, it is imperative to consider the trade-off between the risk of side effects and the potential benefits before TOLAC utilisation and whether TOLAC should be provided to women with...
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Currently, the prevalence of dwarfism in children in China is about 3%, which is a very large percentage compared with the large population base. With the increase of influencing factors, the prevalence of dwarfism is on the increase. However, there is a lack of awareness of dwarfism among parents and a lack of in-depth analysis of the causes of dw...
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Malaria is a leading parasitic disease in Nigeria and the risk exist throughout the country. This study examined the status and use of traditional and modern methods in malaria management in five communities in Badagry Division of Lagos State, Nigeria. Structured questionnaires were used to collect data from 100 participants, with 20 randomly selec...
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The booming development of 3D virtual technology provides the basis for the innovation of teaching mode of clinical medicine. Integrating 3D virtual technology into the clinical education teaching of medical students can help medical students learn clinical expertise more intuitively, enrich practical experience, improve hands-on ability, and make...
Preprint
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DNA is the repository of genetic information in each living cell, its integrity and stability is essential to life. Small amounts of free DNA circulate in healthy individual, variable amount in many pathological condition with increased concentrations of DNA are present in the plasma of cancer patients. Tumor DNA in blood represents a promising val...
Chapter
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Fungal biofilms are highly resilient to antifungal therapies, of which there are relatively few licensed options available in clinical medicine. Nonetheless, there is a vibrant research culture aimed at enhancing and expanding the arsenal of antifungals capable of inhibiting, killing, and disrupting fungal biofilms. This chapter aims to explore the...
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Background: Postdated pregnancy is one of the commonest obstetric condition. The pregnancy beyond 40 weeks of gestation is called as post dated pregnancy. Post dated pregnancy increases risk to mother and fetus. In mother there is increased risk of induced labour, instrumental delivery and LSCS and associated morbidities. The risks to the fetus als...
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Studies have shown that virtual clinics enjoyed high use and high patient satisfaction during the COVID-19 pandemic. Thus, virtual clinics are expected to be the new normal mode of receiving care after the COVID-19 pandemic. This study aimed to assess public awareness and use of virtual clinics following the pandemic and identify factors associated...
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Background and objectives : Artificial intelligence (AI) has branched out to various applications in healthcare, such as health services management, predictive medicine, clinical decision-making, and patient data and diagnostics. Although AI models have achieved human-like performance, their use is still limited because they are seen as a black box...
Article
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Objective: In this study, we aimed to determine and compare the rates of empirical antibiotic use and duration between the chest diseases clinic (CDC), infectious disease clinic (IDC), and internal medicine clinic (IMC) among patients hospitalized because of COVID-19. Methods: This cross-sectional study was performed in a single university hospital...
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Depression is increasing worldwide and it has been found to be an under-diagnosed complication of diabetes mellitus especially in primary care settings. There were estimated 425 million patients with diabetes in 2018 according to the International Diabetes Federation and this is projected to increase to 926 million by 2040 and many of those affec...
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Background: Spinal disorders are common worldwide. Causes of spinal disorders include trauma, degenerative and congenital abnormalities. The aim of this study was to assess the presence of spinal disorders among Taif population using MRI.Methods: Medical files of 500 patients suffering from back pain who visited the medical, surgical and family med...
Article
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An algorithm for noninvasive monitoring of oxygenated and deoxygenated hemoglobin in brain tissues and muscles has been developed. The algorithm is based on the modifi ed Beer–Lambert law. An empirical model for the absolute concentrations of oxygenated and deoxygenated hemoglobin has been proposed. The algorithm can be implemented using a spectral...
Article
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Safety issues caused by pharmaceuticals have frequently occurred worldwide, posing a tremendous threat to human health. As an essential part of drug development, the toxicological analysis and safety evaluation is of great significance. In addition, the risk of pharmaceuticals accumulation in the environment and the monitoring of the toxicity from...
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Defensive medicine; although a recent concept, is slowly beginning to cement its place in the Indian health system. An interaction of multiple factors has paved way for this form of practice. Need for certainty of the diagnosis, lack of hierarchy in medical care, exponential growth of micro/super specializations and private/corporate health institu...
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This Special Issue, “Diseases of Salivary Gland-Part II”, was born as a continuation of the volume “Diseases of the Salivary Gland”, published, with great success, in 2021 in the prestigious Journal of Clinical Medicine (JCM) (https://www [...]
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Poster session 1, September 21, 2022, 12:30 PM - 1:30 PM Objectives Clinical evidence suggests that the Beta-D glucan (BDG) test is useful as a tool for antifungal stewardship by helping in discontinuing empiric antifungal therapy. This study was hence initiated with the following objectives: (1) to calculate the percentage of echinocandin prescri...
Article
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The goal of precision medicine is to provide tailored therapy to each patient with considering therapeutic benefits and risks. Strides toward this goal have been made by harnessing the benefits of big data, the development of mathematical and data-based computational models, and the use of artificial intelligence (AI) and machine learning (ML) algo...
Article
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Expressive art therapy, which originated from art therapy, uses visual art as a carrier and plays a complementary role in clinical medicine and psychological medicine in the healing process of mentally ill patients. With the rapid development of science and technology, expressive art therapy has also entered the field of technology-oriented virtual...
Article
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Objectives During the COVID-19 pandemic, convolutional neural networks (CNNs) have been used in clinical medicine (eg, X-rays classification). Whether CNNs could inform the epidemiology of COVID-19 classifying street images according to COVID-19 risk is unknown, yet it could pinpoint high-risk places and relevant features of the built environment....
Article
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Background Mental health conditions, such as depression, anxiety, and learning disabilities, are associated with symptoms that can overlap with those seen in persons with concussion. While concussion screening tools such as the Sport Concussion Assessment Tool–5th Edition (SCAT5) quantify the number of symptoms and symptom severity, it is not known...
Preprint
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Trials in clinical medicine have got out of hand. In the hurly-burly of the ethics and politics of human experimentations, statistics has replaced basic science, and mathematics has hijacked biology of disease entities. I write a eulogy for the demise of a beautiful science, the biological science of Medicine.
Preprint
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Social media data can boost artificial intelligence (AI) systems designed for clinical applications by expanding data sources that are otherwise limited in size. Currently, deep learning methods applied to large social media datasets are used for a variety of biomedical tasks, including forecasting the onset of mental illness and detecting outbreak...
Presentation
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Introduction: The teach-back method is a communication tool that can improve patient safety and shared decision-making. Its utility in patient care has been studied extensively in many areas of clinical medicine. However, the literature on teach-back in surgical patient education and informed consent is limited, and few studies have been conducted...
Article
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Most quality control programs in blood banking are concerned exclusively with control of research center testing and staff and don't assess different region of the blood donation center or decide the capability of all work force in the presentation of administrative assignments. To accomplish the last objectives in our quality control program, duri...
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Background: Obesity has become a major health concern worldwide and is associated with several diseases and complications. Losing weight is an effective strategy to improve body mass index and prevent the complications of obesity. However, weight loss is dependent on the attitude of individuals toward obesity as well as their willingness to lose we...
Article
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Stem cell (SC) therapy is one of the most perspective methods of clinical medicine; SC containing products are actively investigated in clinical trials, while some of them are already officially approved for treatment in many countries worldwide. So quickly developing direction of modern medicine should be properly reflected in educational programs...
Article
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The study of lipopeptides and their related compounds produced by various living organisms from bacteria to marine invertebrates is of fundamental interest for medicinal chemistry, pharmacology, and practical clinical medicine. Using the principles of retrosynthetic analysis of linear and cyclic peptides, the pharmacological activity of unique, unu...
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The need for ecological perspectives in medicine and epidemiology is now obvious. The grand interconnected challenges of our time (infectious diseases, non-communicable diseases, global socioeconomic inequalities, biodiversity losses, climate change, disconnect from the natural environment, etc.) demands that all of medicine be viewed from an ecolo...
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Aim: This study was conducted to determine the correlation between intercultural sensitivity and compassion and conscience levels of internal medicine clinical nurses. Methods: The descriptive and cross-sectional study. The Independent Sample t test, the Mann-Whitney U test, the Kruskal-Wallis test, one-way variance analysis (ANOVA), the post hoc B...
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Aim: This study was aimed to evaluate the general characteristics of cases under the age of 18 years who presented at our forensic medicine clinic due to intentional or unintentional trauma and to evaluate the severity of injury using trauma scoring systems. Methods and Materials: This study included all cases under the age of 18 years with a foren...
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Purpose of Review The development of acute failure of the kidneys in the context of decompensated cirrhosis represents one of the most challenging scenarios in clinical medicine due to the severity and complexity of the coexistence of those 2 illnesses. Thus, managing those cases can be cumbersome. Recent Findings While the state of advanced cirrh...
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Case-based learning has always been a key element of dental education and the incorporation of technology into the concept became increasingly important during the COVID-19 pandemic. This study aimed to compare the effectiveness of a virtual interactive case resource in oral medicine/oral pathology, Virtual Oral Medicine Clinic (VOMC), with the vir...
Article
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The ethical framework of cosmetic surgery is distinct from the one associated with clinical medicine. This distinctiveness has led to significant difficulties in conceptualizing the physician-patient relationship (PPR), as most models have been developed specifically for the latter. The purpose of this article is to show that the PPR in cosmetic su...
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The Internet of Things has a wide range of applications in the medical field. Due to the heterogeneity of medical data generated by different hospitals, it is very important to analyze and integrate data from different institutions. Functional magnetic resonance imaging (fMRI) is widely used in clinical medicine and cognitive neuroscience, while re...
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The study of human surface anatomy is largely descriptive with interest on the form, proportions of the human body, and the surface landmarks which correspond to deeper structures hidden from view, both in static pose and in motion. From the point of view of first principles in establishing diagnoses and planning appropriate treatment, it is dif...
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BACKGROUND: Neonatal jaundice is observed in 60% of healthy term neonates and about 80% of preterm neonates in the first week of life. Unconjugated jaundice affects the central nervous system and results in kernicterus which causes permanent neurological sequel. So, the importance of early prediction of neonatal jaundice has become important to ide...
Conference Paper
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ABSTRACT Background: Compared with only 60 years ago, most people with Down syndrome now live into adulthood. The presence of intellectual disability associated with a syndrome, when combined with multiple medical problems, adds a layer of complexity to the provision of comprehensive health care not yet well explored in adult medicine. The Australi...
Article
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The banking industry hosts a large amount of customer data and is always anxious with providing the best services to its customers. In such a scenario, cloud computing technology is the contemporary transformative digital solution that offers unprecedented security, quickness and scalability to banking industry, while improving the ability to manag...
Article
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Background and objectives: People with metabolic syndrome (MetS) may benefit from regular exercise. Here, we investigated the effects of aerobic, resistance, and European Journal of Molecular & Clinical Medicine ISSN 2515-8260 Volume 09, Issue 06, 2022 363 combined (aerobic + resistance) exercise on insulin resistance and muscle function in people...
Article
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Background-The long-term survival of dental implants is evaluated by the amount of crestal bone loss around the implants. Many possible etiologies of early crestal bone loss around implants including surgical trauma, occlusal overload, periimplantitis, the presence of microgap, reformation of biologic width, implant crest module, and others have be...
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According to the World Health Organization, nowadays, more than 300,000 practitioners in about 100,000 Chinese medicine clinics in over one hundred countries worldwide practice traditional Chinese medicine (TCM). Beyond its flourishing application, TCM attracts the growing attention of anthropologists. If International scholars have shown how, in C...
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The role of phosphatidylethanol (PEth) as an alcohol consumption marker is increasing in clinical and forensic medicine. During the COVID-19 pandemic, the role of hygiene increased, and it became common practice to use disinfectants almost everywhere. This paper highlights a possible source of false positive results (by the vapors of alcohols durin...
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The extensive spread of novel coronavirus19 (COVID19) had put a tremendous burden on health care facilities in investigation and prioritizing the treatment of COVID19 patients. Globally, as of 21 October 2020, there have been 40,455,651 confirmed cases of COVID-19, including 1,119,431 deaths, reported to WHO.Due to rapid increase in its alarmist st...
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Introduction The terms ‘precision medicine’ and ‘personalised medicine’ have become key terms in health-related research and in science-related public communication. However, the application of these two concepts and their interpretation in various disciplines are heterogeneous, which also affects research translation and public awareness. This lea...
Preprint
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Background Hidradenitis suppurativa (HS) is an inflammatory skin disorder characterized by recurring painful and suppurating lesions. The global prevalence of HS is reported to be up to 4.10% in some countries, with the disease disproportionately affecting black populations. Ethnoracial representation in clinical trials is vital to ensuring results...
Article
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Background: Patient safety (PS) is a serious global public health problem affecting all countries. Estimates show that around 10 percent of the patients are harmed during hospital care, resulting in 23 million disability-adjusted life years lost per year. Experts emphasize research advancements as a key precondition for safer care. Aim: The Patient...
Article
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Over the past two decades, the microbial community of an organism – the microbiota – has been recognized as a fundamental factor determining human physiology and pathology. The microbiome is a variable system that not only adapts to signals and information coming from humans, but also affects its host. A promising area of clinical medicine is the p...
Conference Paper
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Background: COVID-19 virus remains a menace to all of us. Therefore, researchers are finding alternate methods to curb the spread of virus. One such tool is Artificial Intelligence (AI) [1] In this fourth industrial revolution, applying Artificial Intelligence can be competent in clinical medicine. Purpose: To analyse the utilisation of artificial...
Article
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Background In 2008, the government of Tanzania adopted a competency-based education and training (CBET) system to improve medical training. Yet there are still frequent observations of competency deficits among graduates, suggesting that the goal has not sufficiently been met. This study was designed to assess the underlying context of competency d...
Preprint
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Background: Dyslipidaemia is associated with increased cancer risk. However, the prognostic value of visit-to-visit lipid variability (VVLV) is unexplored in this regard. Objective: To investigate the associations between VVLV and the risk of incident cancer. Design: Retrospective cohort study. Setting: Family medicine clinics. Patients: Adults att...
Article
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Scoliosis is a common spinal deformity that considerably affects the physical and psychological health of patients. Studies have shown that genetic factors play an important role in scoliosis. However, its etiopathogenesis remain unclear, partially because of the genetic heterogeneity of scoliosis and the lack of appropriate model systems. Recently...
Article
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Purpose: Oxidative and inflammatory pathways play a significant role in the pathophysiology of a wide variety of non-communicable diseases such as type 2 diabetes mellitus (T2DM) and hypertension. However, the effect of serum 25-hydroxyvitamin D ‎‎(25[OH]D) on these pathways is still controversial. To evaluate the association of 25[OH]D on ‎antiox...
Article
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The expeditious advancement of Alzheimer's Disease (AD) is a threat to the global healthcare system, that is further supplemented by therapeutic failure. The prevalence of this disorder has been expected to quadrupole by 2050, thereby exerting a tremendous economic pressure on medical sector, worldwide. Thus, there is a dire need of a change in con...
Article
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Background Sex and gender refer to biological and social differences between men and women. While well-evaluated in other disciplines, their roles in inflammatory bowel disease (IBD) are not well-defined. This study aimed to characterize differences in healthcare outcomes in men and women with IBD.MethodsA retrospective single-centre cohort study w...
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Teesha Downton,1,2 Fiona Zhou,1,2 Davendra Segara,1 Rinath Jeselsohn,3,* Elgene Lim1,2,* 1Garvan Institute of Medical Research, Sydney, NSW, Australia; 2School of Clinical Medicine, St Vincent’s Healthcare Clinical Campus, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia; 3Dana-Farber Cancer Institute, Boston, M...
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The combination of “Big Data” and Artificial Intelligence (AI) is frequently promoted as having the potential to deliver valuable health benefits when applied to medical decision-making. However, the responsible adoption of AI-based clinical decision support systems faces several challenges at both the individual and societal level. One of the feat...
Article
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Empagliflozin (Jardiance®) is an insulin independent antihyperglycemic agent used in treatment of T2D.The drug is a sodium glucose cotransporter-2 (SGLT2) inhibitor approved in USA and Europe and other countries of the world. As empagliflozin demonstrates cardioprotective and Reno protective properties its prime target are patients having CVD and C...
Article
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Health digital twins are defined as virtual representations (“digital twin”) of patients (“physical twin”) that are generated from multimodal patient data, population data, and real-time updates on patient and environmental variables. With appropriate use, HDTs can model random perturbations on the digital twin to gain insight into the expected beh...
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Nana Luo,1,2 Qiuyue Wang,2 Min Lei,2 Tianhao Li,1 Pingsheng Hao1 1Department of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, People’s Republic of China; 2School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, People’s Republic of ChinaCorrespondence: Tianhao Li; Pingsheng H...
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Li Liu,1,2 Mingjuan Yuan,3 Siqing Sun,4 Jinrong Wang,5 Yi Shi,6 Yamin Yu,7 Xin Su1,6 1Department of Respiratory and Critical Care Medicine, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University, Nanjing, People’s Republic of China; 2Department of Infectious Disease, Hunan Provincial People’s Hospital (The First Affili...
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Tian Yan,1 Ze-Fan Wang,1 Xiao-Yu Wu,1 Quan Du,2 Wen-Hua Yu,2 Wei Hu,3 Yong-Ke Zheng,3 Ke-Yi Wang,4 Xiao-Qiao Dong2 1The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, People’s Republic of China; 2Department of Neurosurgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangz...