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LEVY J, Lansaman T, Paquereau J, Salga M. Insuffisance musculaire et faiblesse acquise en réanimation. Méd Intensive Réa 2022. [DOI: 10.37051/mir-00114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
La faiblesse acquise en réanimation est une conséquence bien décrite tant de la pathologie critique que de la prise en charge de réanimation. Dans cette revue narrative nous abordons les aspects musculaires pouvant être à l’origine d’une parésie chez les patients de soins critiques. Le développement d’une insuffisance musculaire apparaît plurifactoriel. Ainsi, on met en évidence une agression directe du tissu musculaire au cours du sepsis, de processus inflammatoires systémiques et d’hypoxémie soutenue, qui sont autant de causes d’admission et de prise en charge en soins critiques. L’immobilité forcée par la lourdeur des soins techniques en médecine intensive et réanimation est, en association avec un déséquilibre nutritionnel, un facteur important du développement de l’insuffisance musculaire. La rééducation la plus précoce, suivant des protocoles gradués adaptés à la progression de chaque patient, est à ce jour la stratégie de prévention d’incapacités fonctionnelles à court et moyen termes la plus éprouvée.
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Teng M, Bensmail D, Hanachi M, Haddad R, Hugeron C, Lansaman T, Levy J. Nutritional status in patients with advanced‐stage multiple sclerosis. Eur J Neurol 2022; 29:1730-1740. [DOI: 10.1111/ene.15286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 01/27/2022] [Accepted: 02/09/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Maëlys Teng
- Service de Médecine Physique et de Réadaptation – APHP Hôpital Rothschild Paris France
| | - Djamel Bensmail
- Service de Médecine Physique et de Réadaptation – APHP Hôpital Raymond Poincaré Garches France
- INSERM U1179 Handicap Neuromusculaire – Université de Versailles St Quentin Montigny‐le‐Bretonneux France
- Fondation Garches, Hôpital Raymond Poincaré Garches France
| | - Mouna Hanachi
- Unité de Nutrition Clinique ‐ APHP Hôpital Paul Brousse Paris France Université Paris‐Saclay
| | - Rebecca Haddad
- Sorbonne Université GRC 001 GREEN Groupe de recherche en Neuro‐Urologie, APHP
- Service de Médecine Physique et de Réadaptation – APHP Hôpital Rothschild Paris France
| | - Caroline Hugeron
- Service de Médecine Physique et de Réadaptation – APHP Hôpital Raymond Poincaré Garches France
| | - Thibaud Lansaman
- Service de Médecine Physique et de Réadaptation – APHP Hôpital Raymond Poincaré Garches France
| | - Jonathan Levy
- Service de Médecine Physique et de Réadaptation – APHP Hôpital Raymond Poincaré Garches France
- INSERM U1179 Handicap Neuromusculaire – Université de Versailles St Quentin Montigny‐le‐Bretonneux France
- Fondation Garches, Hôpital Raymond Poincaré Garches France
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Ble O, Bensmail D, Pérennou D, Parratte B, Joseph PA, Boyer FC, Michelon H, Lansaman T, Levy J. Management of antithrombotics for intramuscular injection of botulinum toxin for spasticity. A survey of real-life practice in France. Ann Phys Rehabil Med 2021; 64:101467. [PMID: 33316432 DOI: 10.1016/j.rehab.2020.101467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 11/11/2020] [Accepted: 11/18/2020] [Indexed: 10/20/2022]
Affiliation(s)
- Ozoua Ble
- Department of Physical and Rehabilitation Medicine, Raymond Poincaré Hospital, APHP, University Paris-Saclay, 92380 Garches, France.
| | - Djamel Bensmail
- U1179 Neuromuscular Handicap, Inserm, University of Versailles-St-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France
| | - Dominic Pérennou
- Department of Physical and Rehabilitation Medicine, Grenoble University Hospital, South Hospital, 38130 Echirolles, France
| | - Bernard Parratte
- Department of Physical and Rehabilitation Medicine, CHRU Jean Minjoz, Besançon-Franche-Comté University, 25000 Besançon, France
| | - Pierre-Alain Joseph
- Department of Physical and Rehabilitation Medicine, CHU de Bordeaux, 33000 Bordeaux, France
| | - François-Constant Boyer
- Department of Physical and Rehabilitation Medicine, University of Reims, CHU de Reims, 51100 Reims, France
| | - Hugues Michelon
- Pharmacy Department, Raymond Poincaré Hospital, APHP, University Paris-Saclay, 92380 Garches, France
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Moiziard V, Lansaman T, Mauruc Soubirac E, Revol M, Coulet B, Hugeron C, Gelis A, Laffont I. Assessment of the upper limb of the tetraplegic patient. Hand Surg Rehabil 2021; 41S:S137-S147. [PMID: 34265478 DOI: 10.1016/j.hansur.2019.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 09/15/2018] [Accepted: 02/01/2019] [Indexed: 11/16/2022]
Abstract
The aim of our study is to describe the assessment of the upper limb in tetraplegic patients to follow his (her) neurological progression and to define the medical or surgical treatment program. We selected upper limb assessment tools and scales for tetraplegic patients described in the medical literature through a PubMed search over the last four decades. For each method, we present the implementation rules and its metrological properties, including its validity in French. We selected five clinical scales for functional evaluation of grasping, as well as four scales for evaluating the overall function of these patients. Finally, we identified three complementary precision assessment tools. The AIS (ASIA Impairment Scale) classification describes the level and the severity of the spinal cord lesion. The Giens classification is more practical for describing the upper limb in middle and low tetraplegia. Impairments can be assessed with most common generic scales and nonspecific measurement devices: range of motion, strength, sensory loss, spasticity, joint pain. Measurement of pinch and grip strength is widely used and easy to perform. The Capabilities of Upper Extremity (CUE) and the Jebsen Taylor Test are the best validated and usable scales. At a general functional level, the Spinal Cord Independence Measure (SCIM) is the most relevant scale in these patients. Motor nerve blocks, electromyography, movement analysis and echography are promising additional methods. Assessment of the upper limb of tetraplegic patients relies both on generic and specific assessment tools and scales.
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Affiliation(s)
- V Moiziard
- Université de Montpellier, Département de MPR CHU de Montpellier, Euromov Digital Health in Motion, Montpellier, France
| | - T Lansaman
- Service de MPR, Hôpital Raymond Poincaré, 104 Boulevard Raymond Poincaré, 92380 Garches, France
| | - E Mauruc Soubirac
- Service de MPR, Hôpital Raymond Poincaré, 104 Boulevard Raymond Poincaré, 92380 Garches, France
| | - M Revol
- Service de Chirurgie Plastique, Hôpital Saint Louis, 1 Avenue Claude Vellefaux, 75010 Paris, France
| | - B Coulet
- Université de Montpellier, Département de Chirurgie orthopédique, CHU de Montpellier, Euromov Digital Health in Motion, Montpellier, France
| | - C Hugeron
- Service de MPR, Hôpital Raymond Poincaré, 104 Boulevard Raymond Poincaré, 92380 Garches, France
| | - A Gelis
- Université de Montpellier, Centre Propara, Montpellier, France
| | - I Laffont
- Université de Montpellier, Département de MPR CHU de Montpellier, Euromov Digital Health in Motion, Montpellier, France.
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Bailly F, Cantagrel A, Bertin P, Perrot S, Thomas T, Lansaman T, Grange L, Wendling D, Dovico C, Trouvin AP. Part of pain labelled neuropathic in rheumatic disease might be rather nociplastic. RMD Open 2021; 6:rmdopen-2020-001326. [PMID: 32892169 PMCID: PMC7508212 DOI: 10.1136/rmdopen-2020-001326] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 07/23/2020] [Accepted: 08/21/2020] [Indexed: 01/08/2023] Open
Abstract
Pain in rheumatic diseases is primarily due to mechanical or inflammatory mechanism, but neuropathic pain (NP) component is also occurring in many conditions and is probably underdiagnosed. The purpose of this article is to provide an overview of prevalence, pathophysiological and currently available treatment of NP in rheumatic diseases. When associated with clinical evaluation assessing neurological clinical signs and neuroanatomical distribution, Douleur Neuropathique 4 Questions, painDETECT, Leeds assessment of neuropathic symptoms and signs and Neuropathic Pain Questionnaire can detect NP component. Inflammatory or connective diseases, osteoarthritis, back pain or persistent pain after surgery are aetiologies that all may have a neuropathic component. Unlike nociceptive pain, NP does not respond to usual analgesics such as paracetamol and non-steroidal anti-inflammatory drugs. Entrapment neuropathy, peripheral neuropathy or small-fibre neuropathy are different aetiologies that can lead to NP. A part of the pain labelled neuropathic is rather nociplastic, secondary to a central sensitisation mechanism. Identifying the right component of pain (nociceptive vs neuropathic or nociplastic) could help to better manage pain in rheumatic diseases with pharmacological and non-pharmacological treatments.
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Affiliation(s)
- Florian Bailly
- Pain Department, Pitie-Salpetriere Hospital, Assistance Publique - Hopitaux De Paris, Paris, France .,Paris 6 University, GRC-UPMC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France
| | | | | | - Serge Perrot
- Centre d'Evaluation Et Traitement De La Douleur, Université Paris Descartes, Hopital Cochin, Paris, France.,U987, INSERM, Boulogne Billancourt, France
| | | | - Thibaud Lansaman
- Médecine Physique Et Réadaptation, Hôpital Raymond-Poincaré - Assistance Publique Hôpitaux De Paris, Garches, France
| | | | | | - Calogera Dovico
- Service De Médecine Physique Et Réadaptation, Dispositif IEM APF FRANCE HANDICAP, Belfort, France
| | - Anne-Priscille Trouvin
- U987, INSERM, Boulogne Billancourt, France.,Pain Evaluation and Treatment, Hopital Cochin, Paris, France
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Davido B, Boussaid G, Vaugier I, Lansaman T, Bouchand F, Lawrence C, Alvarez JC, Moine P, Perronne V, Barbot F, Saleh-Mghir A, Perronne C, Annane D, De Truchis P. Impact of medical care, including use of anti-infective agents, on prognosis of COVID-19 hospitalized patients over time. Int J Antimicrob Agents 2020; 56:106129. [PMID: 32755653 PMCID: PMC7396133 DOI: 10.1016/j.ijantimicag.2020.106129] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 07/24/2020] [Accepted: 07/28/2020] [Indexed: 02/06/2023]
Abstract
Patients with COVID-19 pneumonia are at risk of transfer to the intensive care unit or death We observed a decrease of ICU admission over time during the epidemic Better management of oxygen therapy and possibly use of anti-infective agents explained those results
Introduction The effect of anti-infective agents in COVID-19 is unclear. The impact of changes in practice on prognosis over time has not been evaluated. Methods Single center, retrospective study in adults hospitalized in a medicine ward for COVID-19 from March 5th to April 25th 2020. Patient characteristics were compared between two periods (before/after March 19th) considering French guidelines. The aim of the study was to evaluate how medical care impacted unfavorable outcome, namely admission to intensive care unit (ICU) and/or death. Results A total of 132 patients were admitted: mean age 59.0±16.3 years; mean C-reactive protein (CRP) level 84.0±71.1 mg/L; 46% had a lymphocyte count <1000/mm3. Prescribed anti-infective agents were lopinavir-ritonavir (n=12), azithromycin (AZI) (n=28) and AZI combined with hydroxychloroquine (HCQ) (n=52). There was a significant decrease in ICU admission, from 43% to 12%, between the two periods (P<0.0001). Delays until transfer to ICU were similar between periods (P=0.86). Pulmonary computerized tomography (CT)-scans were performed significantly more often with time (from 50% to 90%, P<0.0001), and oxygen-dependency (53% vs 80%, P=0.001) and prescription of AZI±HCQ (from 25% to 76%, P<0.0001) were also greater over time. Multivariate analyses showed a reduction of unfavorable outcome in patients receiving AZI±HCQ (hazard ratio [HR]=0.45, 95% confidence interval [CI: 0.21-0.97], P=0.04), particularly among an identified category of individuals (lymphocyte ≥1000/mm3 or CRP ≥100 mg/L). Conclusion The present study showed a significant decrease in admission to ICU over time, which was probably related to multiple factors, including a better indication of pulmonary CT-scan, oxygen therapy, and a suitable prescription of anti-infective agents.
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Affiliation(s)
- Benjamin Davido
- Maladies Infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France.
| | - Ghilas Boussaid
- Université Paris-Saclay, UVSQ, Erphan, 78000, Versailles, France
| | - Isabelle Vaugier
- Centre d'Investigation Clinique (Inserm CIC 1429), Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Thibaud Lansaman
- Rééducation fonctionnelle, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Frédérique Bouchand
- Pharmacie Hospitalière, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Christine Lawrence
- EOH, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Jean-Claude Alvarez
- Pharmaco-toxicologie, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Pierre Moine
- Réanimation médicale, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Véronique Perronne
- Maladies Infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Frédéric Barbot
- Centre d'Investigation Clinique (Inserm CIC 1429), Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Azzam Saleh-Mghir
- Maladies Infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Christian Perronne
- Maladies Infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Djillali Annane
- Réanimation médicale, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
| | - Pierre De Truchis
- Maladies Infectieuses, Université Paris-Saclay, AP-HP Hôpital Raymond Poincaré, Garches, France
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Medioni J, Pickering G, Delorme C, Lansaman T, Lanteri-Minet M, Legras A, Navez M, Prudhomme M, Serrie A, Viel É, Perrot S. [Drug management of cancer-related peripheral neuropathic pain: A systematic review of the literature]. Bull Cancer 2019; 106:784-795. [PMID: 31202559 DOI: 10.1016/j.bulcan.2019.04.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 04/07/2019] [Accepted: 04/26/2019] [Indexed: 12/23/2022]
Abstract
The objective of the present systematic literature review was to provide an update on medical treatment of neuropathic pain in cancer patients. The number of cancer patients is steadily increasing. Pain is frequent in cancer patients. Few studies have focused on medical treatment of pain, and especially of neuropathic pain, in current or former cancer patients. The present systematic review of all studies published between December 2012 and August 2018 was intended to estimate the scale of this lack. In all, 27 articles were identified on a systematic PubMed search and from the authors' personal knowledge, confirming that scant data have been published. The heterogeneity of cancer patients, of cancer, and of pain go some way toward explaining this scarcity. Guidelines, founded mainly on results from non-cancer patients, recommend tricyclic antidepressants and antiepileptic drugs; local treatments have the advantage of good systemic tolerance. Larger-scale studies taking account of the etiology of neuropathic pain, its characteristics (strictly neuropathic or mixed) and patient characteristics (awaiting treatment, under treatment, recent or non-recent survivor, or in terminal phase) along the care pathway are needed to improve knowledge. The results of the present literature analysis can help future research.
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Affiliation(s)
- Jacques Medioni
- Assistance publique-Hôpitaux de Paris (AP-HP), hôpital européen Georges-Pompidou, faculté de médecine Paris Descartes, centre d'essais précoces en cancérologie (CEPEC), service de cancérologie médicale, 75015 Paris, France.
| | - Gisèle Pickering
- CHU de Clermont-Ferrand, université Clermont-Auvergne, centre de pharmacologie clinique, CIC Inserm 1405, 60003 Clermont-Ferrand, France
| | - Claire Delorme
- Centre hospitalier de Bayeux, centre d'évaluation et traitement de la douleur (CETD) et réseau régional douleur, 14400 Bayeux, France
| | - Thibaud Lansaman
- Assistance publique-Hôpitaux de Paris (AP-HP), hôpital Raymond-Poincaré, université de Versailles Saint-Quentin, service de médecine physique et de réadaptation, 92380 Paris, France
| | - Michel Lanteri-Minet
- CHU de Nice, fédération hospitalo-universitaire InovPain, université Côte-d'Azur, département d'évaluation et traitement de la douleur, 06000 Nice, France; Université d'Auvergne, Inserm/UdA, U1107, Neuro-Dol, 60003 Clermont-Ferrand, France
| | - Antoine Legras
- Assistance publique-Hôpitaux de Paris (AP-HP), hôpital européen Georges-Pompidou, 75015 Paris, France
| | - Malou Navez
- CHU de Saint-Étienne, centre d'évaluation et traitement de la douleur (CETD), 41000 Saint-Priest-en-Jarez, France
| | - Michel Prudhomme
- CHU de Nîmes, département de chirurgie viscérale, 30029 Nîmes, France
| | - Alain Serrie
- Assistance publique-Hôpitaux de Paris (AP-HP), hôpital Lariboisière-Fernand-Widal, universités Paris Descartes-Paris Diderot, service de médecine de la douleur et de médecine palliative, Inserm UMR-S 1144, 75010 Paris, France
| | - Éric Viel
- CHU de Nîmes, faculté de médecine Montpellier-Nîmes, centre d'évaluation et de traitement de la douleur, 30029 Nîmes, France
| | - Serge Perrot
- Assistance publique-Hôpitaux de Paris (AP-HP), hôpital Cochin, université Paris Descartes, centre d'évaluation et de traitement de la douleur, Inserm U987, 75014 Paris, France
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Levy J, Lansaman T, Ferrapie AL, Dinomais M, Bensmail D. Spasticity or periodic limb movements? Lessons from a not so uncommon case report. Ann Phys Rehabil Med 2017. [DOI: 10.1016/j.rehab.2017.07.086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Davillé-Blicq R, Quera-Salva MA, Lansaman T, Raverot V, Bensmail D. Melatonin secretion and poor sleep quality in patients with tetraplegia: A pilot study. Ann Phys Rehabil Med 2017. [DOI: 10.1016/j.rehab.2017.07.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Levy J, De Brier G, Hugeron C, Lansaman T, Bensmail D. Takotsubo cardiomyopathy as a reversible complication of intrathecal baclofen withdrawal. Ann Phys Rehabil Med 2016; 59:340-342. [PMID: 27622849 DOI: 10.1016/j.rehab.2016.07.384] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Revised: 07/22/2016] [Accepted: 07/22/2016] [Indexed: 11/26/2022]
Affiliation(s)
- Jonathan Levy
- Department of Physical Medicine and Rehabilitation, AP-HP, Raymond Poincaré University Hospital, Garches, France; Inserm, University of Versailles Saint-Quentin-en-Yvelines, UMR 1179, Montigny-le-Bretonneux, France.
| | - Gratiane De Brier
- Department of Physical Medicine and Rehabilitation, AP-HP, Raymond Poincaré University Hospital, Garches, France.
| | - Caroline Hugeron
- Department of Physical Medicine and Rehabilitation, AP-HP, Raymond Poincaré University Hospital, Garches, France.
| | - Thibaud Lansaman
- Department of Physical Medicine and Rehabilitation, AP-HP, Raymond Poincaré University Hospital, Garches, France.
| | - Djamel Bensmail
- Department of Physical Medicine and Rehabilitation, AP-HP, Raymond Poincaré University Hospital, Garches, France; Inserm, University of Versailles Saint-Quentin-en-Yvelines, UMR 1179, Montigny-le-Bretonneux, France.
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Lansaman T, Genet F, Schwald Adam N, Dehail P, Denormandie P, Schnitzler A. Prospective multicenter study evaluating the interests of Seat-Braces in gerontology. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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