scholarly journals Maximum Mouth Opening Range in Adult Patients Presented at Dental OPD CMH, Lahore

2021 ◽  
Vol 15 (7) ◽  
pp. 1752-1754
Author(s):  
Muhammad Shairaz Sadiq ◽  
Fareed Ahmad ◽  
Ali Anwaar ◽  
M. Salman Chisthy ◽  
Bilal Abdul Qayum Mirza ◽  
...  
Keyword(s):  
Pearson Correlation ◽  
Adult Population ◽  
Mouth Opening ◽  
Military Hospital ◽  
P Value ◽  
Age Group ◽  
Lower Incisor ◽  
Incisal Edge ◽  
Male Patients ◽  
Maximum Opening

Objective: To determine the maximum mouth opening (MMO) in Pakistani adult population and its possible correlation with sex and age. Design of the Study: It was a cross-sectional study. Study Settings: This study was carried out at Outpatient Department of Dentistry Combined Military Hospital, Lahore from January 2019 to July 2019. Material and Methods: The study involved 894 adults’ patients having 463 males and 431 females patients age in the range of twenty one year to seventy years. The patients were asked maximally open their mouth and keep it open until no further opening of mouth possible. Then with the help of calibrated fiber ruler distance was measured from incisal edge of the upper incisor teeth to the incisal edge of the lower incisor teeth. To check the correlation of mouth opening with age a Pearson correlation analysis was done and significance of the test was checked by applying the independent sample T-test will be applied taking p value of ≤0.05 as statistically significant. A written informed consent was obtained from every patient. Results of the Study: For males mean maximum opening of mouth was observed as 51.4±8.1 mm having its range 38 to 70. Mean maximum opening of mouth for females was observed as 43.1±5.9 mm having age range 37 to 55 mm. In 21 to 30 years age group the opening of mouth was 39.90 ± 5.02 mm for female’s patients and 40.26 ± 5.26 mm for male patients. In 31 to 40 years age group the opening of mouth was 39.54 ± 4.69 mm for females and for female’s patients it was 40.24 ± 4.55 for male patients. In 41 to 50 years age group MMO was 40.24 ± 5.02 mm for females and was 40.97 ± 4.79 mm for males. In age 51 to 60 years age group the equivalent values for males were 41.54 ± 5.49 and for females41.04 ± 5.63 mm. In 61 to 70 years age group the corresponding values for females and males were 40.33 ±5.55 mm and41.25 ± 6.04 respectively. Conclusion: The mean MMO for males was 51.4 ± 8.2 and for females was 43.1 ± 6.7. The opening of the mouth looks to reduce with age. The opening of mouth of females is not as much of the males in the all groups of age. Keywords: Maximum mouth opening (MMO), Age, Sex

scholarly journals To Establish A Normal Range of Inter-Incisal Opening - A Study of 756 Subjects of Age Group 20-50 Years in Yamunanagar City, Haryana.

2013 ◽  
Vol 01 (01) ◽  
pp. 001-003
Author(s):  
Aruna Singh ◽  
Nymphea Pandit ◽  
Monica Sharma
Keyword(s):  
Pearson Correlation ◽  
Mouth Opening ◽  
Clinical History ◽  
P Value ◽  
Age Group ◽  
Male Population ◽  
Female Population ◽  
Odontogenic Infections ◽  
Anterior Teeth ◽  
Average Maximum

Abstract Aim- 1. The aim of this study was to investigate the average maximum range of inter-incisal mouth opening in a representative sample of the adult subjects of Haryana. 2. To see any correlation between maximal inter-incisal opening with age. Methods- Maximum mouth opening was studied in 756 adult subjects with age range of 20-50 years in Yamunanagar, Haryana. Age limit was further divided into three groups (20-30, 31-40, 41-50). Those with clinical history of TMJ involvement, OSMF, any trauma, odontogenic and non-odontogenic infections, dental prosthesis on the anterior teeth, congenital anomalies in the maxillofacial region were excluded from this study. The measurements were recorded twice and mean of the two values were taken. Statistical Analysis- Independent sample t-test was calculated to compare age and mouth opening in both male and females respectively. Bivariate pearson correlation was used to see any relationship between age and mouth opening. P-value ≤ 0.05 and CI (confidence interval) at 95% were considered statistically significant. The Results- The average mouth opening of males (45.36±6.70 mm) subjects was higher as compared to female (41.27 ± 6.75 mm) with significant, p-value 0.000. The mean mouth opening ± SD for both sexes combined was 43.39 ± 7.02 mm. The corresponding values for mean inter-incisal opening in male population aged 20-30, 31-40, 41-50 were 45.52 ± 7.15, 46.16 ± 5.47, 42.96 ± 6.82 mm and in female population aged 20-30, 31-40, 41-50 were 41.40 ± 7.08, 41.60 ± 6.29 and 40.03 ± 6.38 mm respectively. Conclusion- Maximal mouth opening differ significantly with gender. There is a decrease in MMO with older age group.

scholarly journals Missing maxillary first molar in young adult and it’s replacement – A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1298-1303
Author(s):  
Shreya Svitlana Anand ◽  
Ashok Velayudhan ◽  
Jaiganesh Ramamurthy
Keyword(s):  
Young Adult ◽  
Pearson Correlation ◽  
Adult Population ◽  
P Value ◽  
Age Group ◽  
Missing Teeth ◽  
Male Population ◽  
Partial Denture ◽  
Replacement Procedure ◽  
Number Of Patients

Retrospective research was performed among patients attending one of Chennai's private hospitals. The purpose of the research is to examine the incidence of missing maxillary first molar and its replacement in the young adult population. The patients were assessed using the records from the university between June 2019 and March 2020. The data were entered into Microsoft Excel and tabulated. Following which data was imported into the SPSS software by IBM. Data analysis was performed in the statistical software SPSS and data were analyzed by descriptive analysis and Pearson correlation. Patients belonging to the age group, 18-35 with missing maxillary first molar, were selected for the study. The patients undergoing replacement of the missing teeth were evaluated. In this study, we observed that a total of 358 patients had missing maxillary first molar. From a total of 358 patients, 95 patients (26.5 %) underwent replacement of the missing teeth, and 263 (73.46%) did not undergo replacement. The patients who underwent replacement treatment predominantly belonged to the age group 26 to 35 years. A maximum number of patients who underwent treatment belong to the male population (15.92%)[p-value ﹥0.05]. The type of replacement procedure underwent mostly Temporary partial denture(11.7%), followed by Fixed partial Denture. The maximum number of patients with missing maxillary first molar belongs to the male population of the patients aged 26 to 35 years (42.18%) [P-value ﹤0.05].

scholarly journals HYPONATREMIA;

2017 ◽  
Vol 24 (11) ◽  
pp. 1647-1651
Author(s):  
Riaz Ahmed Javid ◽  
Ayesha Ghafoor ◽  
Ifrah Ahmed
Keyword(s):  
Hepatic Encephalopathy ◽  
Cross Sectional Study ◽  
P Value ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Male And Female ◽  
Male Patients ◽  
The Difference ◽  
Study Setting

Objectives: To find out the frequency of hyponatremia in cases of hepaticencephalopathy. Study Design: Cross-sectional study. Setting: Department of Medicine DGKhan Hospital, DG Khan. Period: July 2016 to December 2016. Material and Methods: Total80 patients with hepatic encephalopathy either male or female were selected for this study.Hyponatremia was assessed in these selected patients. Results: Mean age of the patientswas 38.34 ± 11.140 years. Hyponatremia was found in 31 (39%) patients. Hyponatremia wasnoted in 13 (41.94%) patients of age group 18-36 years and 18 (36.73%) patients of age group37-55 years. Statistically insignificant association of hyponatremia with age was seen with pvalue 0.6467. Hyponatremia was found in 21 (40.38%) male patients and 10 (35.71%) femalepatients. But the difference of frequency of hyponatremia between male and female patients wasstatistically insignificant with p value 0.8109. Conclusion: Results of this study showed a higherpercentage of hyponatremia in patients with HE. Male were more victim of HE as compared tofemale but insignificant association of hyponatremia with gender is noted. Findings of presentstudy showed that there is insignificant association of hyponatremia with grade of HE, socioeconomicstatus, area of residence and age.

scholarly journals Treatment of hyperplasia of the coronoid process of the mandible in adults: analysis of 42 literature reports and illustrative case

2021 ◽  
Vol 69 ◽  
Author(s):  
Emerson Filipe de Carvalho NOGUEIRA ◽  
Carolina Melcop de Castro Tenório MARANHÃO ◽  
Priscila Lins AGUIAR ◽  
Renata de Albuquerque Cavalcanti ALMEIDA ◽  
Belmino Carlos Amaral TORRES ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mouth Opening ◽  
Great Majority ◽  
Illustrative Case ◽  
Age Group ◽  
Review Of The Literature ◽  
Access Methods ◽  
The People ◽  
Male Patients ◽  
Selection Of

ABSTRACT Objective: The objective of this research was to review the literature, compare different methods of surgical treatment for coronoid hyperplasia and report a clinical case of unilateral coronoid hyperplasia treated by coronoidectomy with intraoral access. Methods: A critical review of the literature was performed by selection of papers published in the last 20 years on the treatment of coronoid in adults in the PubMed, Medline, Scielo and Lilacs databases, with the terms coronoid hyperplasia OR coronoid elongation AND treatment OR management. The data was extracted for analysis. Results: twenty-four articles were selected. It included 42 patients, among them 69% were male patients and 81% were bilaterally affected. The age group with the highest prevalence was the people in the 20's and 30's. Sixty-nine percent of the patients were treated with coronoidectomy and 26.2% with coronoidotomy. The majority (83.3%) with intraoral access. No cases had surgical complications reported, and 71.4% underwent physiotherapy after surgery. Regarding the results, 83.3% were considered satisfactory, 11.9% were unsatisfactory. Conclusion: The great majority of the cases that brought significant results in the improvement of the pre and postoperative mouth opening were treated by coronoidectomy, proving to be an efficient and safe surgical treatment for the coronoid hyperplasia.

scholarly journals Pengaruh kehilangan gigi posterior terhadap kualitas hidup pada kelompok usia 45-65 tahunEffect of posterior tooth loss on the quality of life in the 45-65 years old age group

2019 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
Mochammad Nevry Rizkillah ◽  
Rheni Safira Isnaeni ◽  
Rina Putri Noer Fadilah
Keyword(s):  
Quality Of Life ◽  
Tooth Loss ◽  
Pearson Correlation ◽  
Community Health Center ◽  
P Value ◽  
Age Group ◽  
Cross Sectional ◽  
The City

Pendahuluan: Kehilangan gigi merupakan keadaan terlepasnya gigi dari soketnya. Kehilangan gigi sering kali terjadi pada seseorang yang mulai memasuki kelompok usia lansia. Seseorang yang memiliki kehilangan gigi terutama gigi posterior akan menyebabkan terganggunya fungsi mastikasi yang membuat seseorang merasa sulit dalam menkonsumsi makanan. Kehilangan gigi dapat secara langsung dapat berdampak pada kualitas hidup. Penelitian ini bertujuan untuk mengetahui pengaruh kehilangan gigi posterior terhadap kualitas hidup pada kelompok usia 45-65 tahun di Puskesmas wilayah Kota Cimahi. Metode: Jenis penelitian analitik yang bersifat cross-sectional. Penentuan lokasi sampel menggunakan cluster random sampling. Penentuan sampel menggunakan purposive sampling pada pasien usia 45-65 tahun dengan kehilangan ≥3 gigi, sehingga diperoleh minimal sampel yaitu 77 orang. Penentuan kualitas hidup dengan menggunakan kuisioner OHIP-14, kemudian uji analisis dengan menggunakan analisis korelasi Pearson. Hasil: Analisis dengan uji korelasi Pearson didapatkan nilai r yaitu -0,625 dengan nilai p-value≤0,05 yang berarti terdapat hubungan kuat antara kualitas hidup dengan kehilangan gigi, semakin tinggi kehilangan gigi maka kualitas hidup akan semakin menurun. Simpulan: Terdapat pengaruh kehilangan gigi terhadap kualitas hidup pada pasien usia 45-65 tahun di Puskesmas wilayah Kota Cimahi.Kata kunci: Kehilangan gigi, kualitas hidup, OHIP-14ABSTRACTIntroduction: Tooth loss is the condition of the tooth being detached from its socket. Tooth loss often occurs in someone who enters the elderly period. Someone who suffers tooth loss, especially in the posterior teeth will disrupt the mastication function, which makes a person feel difficult in consuming food. Tooth loss can directly affect the quality of life. This study was aimed to determine the effect of posterior tooth loss on the quality of life in the 45-65 years old age group at the Community Health Center of the City of Cimahi. Methods: This study was an analytical study with a cross-sectional design. Determination of sample locations was using random cluster sampling. Determination of the sample was using purposive sampling in patients aged 45-65 years old with teeth loss of ≥ 3 teeth so that a minimum sample of 77 people was obtained. Determination of the quality of life was using the OHIP-14 questionnaire, then analysed using a Pearson correlation analysis. Results: Analysis with the Pearson correlation test obtained the r-value of -0.625 with a p-value of ≤ 0.05 which means there was a strong relationship between the quality of life and tooth loss, the higher the tooth loss amount, the higher the quality of life will decrease. Conclusion: There is an effect of tooth loss on the quality of life in patients aged 45-65 years old at the Community Health Center of the City of Cimahi.Keywords: Tooth loss, quality of life, OHIP-14

scholarly journals Postpartum depression and its accomplices in Peshawar; a metropolitan city of Pakistan.

2021 ◽  
Vol 28 (08) ◽  
pp. 1147-1155
Author(s):  
Afeera Afsheen ◽  
◽  
Khaula Atif Khan ◽  
Javaria Nosheen ◽  
Sobia Mehreen ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Pearson Correlation ◽  
Descriptive Analysis ◽  
Mode Of Delivery ◽  
Depression Scale ◽  
Outcome Variable ◽  
Military Hospital ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional

Objective: To analyze prevalence and severity of postnatal depression among females of a major but socio-culturally traditional city of Pakistan, with an aim to pinpoint eminent demographic and medical accomplices. Study Design: Cross Sectional Study. Setting: Combined Military Hospital Peshawar. Period: Feb 2016 to Feb 2017. Material & Methods: Sample was collected via random probability technique. A self-designed questionnaire was used; encompassing demographic details and information regarding obstetric and family history. Screening tool was Standardized “Edinburgh Postpartum Depression Scale (EPDS)”. Descriptive analysis done via SPSS-21. Outcome variable (EPDS) was cross-tabulated with independent variables, correlations were generated by Pearson 2-tailed bivariate analysis; p-value<0.05 was considered as significant. Results: Response rate was 52.2% (n-402). Low, moderate and high risk patients for developing depression were 27.1% (n-109), 15.4% (n-62) & 12.9% (n-52) respectively. There was a strong relation between outcome and age(p<0.001), education(p-0.001), socio-economic class(p-0.013), bad obstetric history(BOH)( p-0.009), age of Last Child Born(LCB)( p-0.010), mode of delivery(p-0.011), postpartum phase(p<0.001) and postpartum complications(p-0.003). Number of sons was negatively correlated with EPDS-scores (Pearson correlation co-efficient -0.128 and p-0.01). There was no significant impact of years since married (p-0.349; husband’s education (p-0.397), number of children (p-0.966) or daughters (p-0.063) and previous offspring’s death (p-0.076). Conclusion: Considerable risk of developing postpartum depression was detected among the respondents. Sociodemograhic aggravators were identified to be maternal age, less interpregnancy interval, delivery by SVD, gender of children and postpartum complications. Postpartum depression can be detected by screening/diagnosing every postnatal woman and then promptly treating the sufferers. Imperative measures are opined to identify and vigorously address the sociodemographic and medical aggravating factors. Collaboration of psychiatrists/psychologists is highly recommended in obstetric set-ups.

Psychological Distress among Adults of an Urban Community of Lalitpur District, Nepal

2021 ◽  
Vol 11 (7) ◽  
pp. 197-203
Author(s):  
Khagi Maya Pun ◽  
Bimala Panthee ◽  
Priscilla Samson
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Urban Community ◽  
Past History ◽  
Pearson Correlation ◽  
Adult Population ◽  
Occupational Status ◽  
P Value ◽  
Cross Sectional ◽  
History Of

Introduction: Psychological distress is a widespread indicator of mental health. It is a state of emotional suffering associated with stressors and demands that are difficult to cope with in daily life. The study aimed to identify the prevalence of the psychological distress among adult population. Methods: A cross-sectional house to house survey was conducted in an urban community for four weeks in 2018. Face to face interview was done among 618 adults using Kessler K6 Nepali version interview questionnaire. Descriptive and inferential statistics (Pearson Chi-square and Pearson correlation) were used for analyzing the data. P value was set at 0.05. Results: We found that 0.3% adults had severe psychological distress, 1.5% had mild to moderate and 98.2% had no psychological distress. Education, past history of mental health problem and occupational status were significantly associated with psychological distress (p-value = < 0.05). Age, alcohol intake and smoking cigarettes were positively correlated with psychological distress (r = 0.12), (r = 0.13), (r = 0.10) respectively and education was significantly negatively correlated with psychological distress (r = - 0.16). Conclusion: Our findings showed low psychological distress among urban community adults. Education, history of mental problem and occupation were associated with psychological distress. Higher the age, positive history of smoking and alcohol were associated with high psychological distress. However, the adults who had high education had low psychological distress. Thus, it suggests that elderly people in an urban community might need psychological support. Key words: Adults, Psychological distress, Urban community.

scholarly journals RIFAXIMIN EFFECTIVENESS IN PREVENTING THE RECURRENCE OF HEPATIC ENCEPHALOPATHY AMONG PATIENTS WITH LIVER CIRRHOSIS

2021 ◽  
Vol 71 (4) ◽  
pp. 1296-99
Author(s):  
Muhammad Zulqurnain Saleem ◽  
Muhammad Hasan Saleem ◽  
Husnain Saleem ◽  
Muhammad Ali Aasil
Keyword(s):  
Liver Cirrhosis ◽  
Hepatic Encephalopathy ◽  
Conventional Treatment ◽  
Case Series ◽  
Military Hospital ◽  
P Value ◽  
Standard Regimen ◽  
Significant Difference ◽  
Study Population ◽  
Male Patients

Objective: To determine the effectiveness of rifaximin in reducing the frequency of recurrence of hepatic encephalopathy among patients with liver cirrhosis. Study Design: Descriptive case series. Place and Duration of Study: Outpatient department of Combined Military Hospital Peshawar from Jan to Jun 2017. Methodology: We included one hundred patients of either gender having liver cirrhosis with child Pugh B or C class with at least two previous episodes of hepatic encephalopathy. Patients were followed for six months to have any recurrence of hepatic encephalopathy. Conventional group was defined as having standard regimen including lactulose. Rifaximin treatment was defined as a 550mg BD daily dosing along with standard prescription. Results: Fifty patients were on conventional treatment to prevent recurrence of hepatic encephalopathy while 50 patients were using rifaximin in addition to standard prescription. The average age of 54.8 ± 6.1 years with 58% male patients and 48% in child-pugh B class. Thirty (30%) patients developed hepatic encephalopathy among the study population. 14 patients with recurrence belong to rifaximin group while 16 were on conventional treatment (p-value >0.05) showing a non-significant difference. Post stratification revealed only age as a significant predictor of recurrence of hepatic encephalopathy in our study population (p<0.05). Conclusion: Frequency of hepatic encephalopathy is similar in conventional treatment with Lactulose over six months of follow up as compared with rifaximin.

Correlation Between Serological Makers and Immunofluorescence Deposits i n Kidney Tissue of Patients with Lupus Nephritis

2019 ◽  
Vol 9 (02) ◽  
Author(s):  
Haider S Al-Hadad ◽  
Aqeel Abbas Matrood ◽  
Maha Abdalrasool Almukhtar ◽  
Haider Jabur Kehiosh ◽  
Riyadh Muhi Al-Saegh
Keyword(s):  
Lupus Nephritis ◽  
Lupus Erythematosus ◽  
Kidney Biopsy ◽  
Pearson Correlation ◽  
Standard Procedure ◽  
Kidney Tissue ◽  
P Value ◽  
American College Of Rheumatology ◽  
Immune Deposits ◽  
Number Of Patients

Background: Systemic lupus erythematosus (SLE) is an autoimmune disease. Few biomarkers for SLE have been validated and widely accepted for the laboratory follow-up of inflammatory activity. In SLE patients, with lupus nephritis (LN), complement activation leads to fluctuation of serum C3 and C4 that are frequently used as clinicalm biomarker of disease activity in SLE. Patients and Methods: In this study the number of patients were 37, seven patients were excluded for incomplete data collection, 28 were females ,2 were males. The duration of the study is two years from 2015 to 2017. Patients were considered to have SLE and LN according to American College of Rheumatology (ACR) criteria, and International Society of Nephrology/ Renal Pathology Society (ISN/RPS). All patients were evaluated withm clinical presentation, laboratory investigations. Our patients underwent kidney biopsy according to standard procedure by Kerstin Amann, and their tissue specimens were studied in the laboratory with light microscope (LM) and immunofluorescence microscope reagents. The relationship between the serological markers and immunofluorescence deposits in kidney biopsy of all patients were studied using the statistical analysis of Pearson correlation and single table student's T test. A P value 0.05 was considered statistically significant. Results: The granular pattern of IF deposits was present in all LN patients, and in more than two third of patients these IF deposits presented in glomerular, tubular, and mesangium sites. While less than one third of patients had IF deposits in the mesangium only. There was no statistically significant correlation between serum ANA, anti-dsDNA, and IF deposits of different types. There was significant correlation between serum C3 and C4 hypocomplementemia and IgG immune deposits in kidney biopsy, and there was significant relationship between serum C3 hypocomplementemia and full house immunofluorescence (FHIF) deposits inm kidney biopsy.Conclusions:Immunofluorescence deposits is mainly granular pattern in LN patients. There was no significant association between serum ANA, anti-dsDNA, and immune deposits in kidney tissue. Immunofluorescence deposits of IgG type correlates significantly with serum C3 and C4 hypocomplemetemia, and these immune deposits in association with low complement levels correlates with LN flare. There was significant correlation between C3 hypocomplementemia and FHIF.

scholarly journals Haemoconcentration as a predictor of severity in acute pancreatitis

2016 ◽  
Vol 4 (1) ◽  
pp. 3-7
Author(s):  
Tanka Prasad Bohara ◽  
Dimindra Karki ◽  
Anuj Parajuli ◽  
Shail Rupakheti ◽  
Mukund Raj Joshi
Keyword(s):  
Acute Pancreatitis ◽  
Pearson Correlation ◽  
Characteristic Curve ◽  
Scoring Systems ◽  
Cost Effective ◽  
Receiver Operator Characteristic Curve ◽  
First Episode ◽  
P Value ◽  
Receiver Operator Characteristic ◽  
Chi Square

Background: Acute pancreatitis is usually a mild and self-limiting disease. About 25 % of patients have severe episode with mortality up to 30%. Early identification of these patients has potential advantages of aggressive treatment at intensive care unit or transfer to higher centre. Several scoring systems are available to predict severity of acute pancreatitis but are cumbersome, take 24 to 48 hours and are dependent on tests that are not universally available. Haematocrit has been used as a predictor of severity of acute pancreatitis but some have doubted its role.Objectives: To study the significance of haematocrit in prediction of severity of acute pancreatitis.Methods: Patients admitted with first episode of acute pancreatitis from February 2014 to July 2014 were included. Haematocrit at admission and 24 hours of admission were compared with severity of acute pancreatitis. Mean, analysis of variance, chi square, pearson correlation and receiver operator characteristic curve were used for statistical analysis.Results: Thirty one patients were included in the study with 16 (51.61%) male and 15 (48.4%) female. Haematocrit at 24 hours of admission was higher in severe acute pancreatitis (P value 0.003). Both haematocrit at admission and at 24 hours had positive correlation with severity of acute pancreatitis (r: 0.387; P value 0.031 and r: 0.584; P value 0.001) respectively.Area under receiver operator characteristic curve for haematocrit at admission and 24 hours were 0.713 (P value 0.175, 95% CI 0.536 - 0.889) and 0.917 (P value 0.008, 95% CI 0.813 – 1.00) respectively.Conclusion: Haematocrit is a simple, cost effective and widely available test and can predict severity of acute pancreatitis.Journal of Kathmandu Medical College, Vol. 4(1) 2015, 3-7

Sign in / Sign up

Export Citation Format

Share Document