iosr-JDMS   Volume-23 ~ Issue-12 ~ December 2024

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Abstract: Background In recent years, significant advancements in anesthesiology have led to better healthcare services and a reduction in surgical complications.1 While much research has been conducted on the practical application of anesthesia, little attention has been given to patient satisfaction.2 According to recent reports, only 22% of anesthesiologists provide post-anesthesia visits on a daily or weekly basis. However, studies show that hospitals that offer post-anesthesia visits tend to have higher patient numbers, indicating the importance of this service. Anesthesiologists who.....

Key Word: Post-operative anesthesia visit, Surgeon satisfaction, Post-operative complications of anesthesia

[1] Bajwa Sj, Takrouri Ms. Post-Operative Anesthesia Rounds: Need Of The Hour. Anesth Essays Res 2013;7(3):291-3
[2] Tobias Jd. Preoperative Anesthesia Evaluation: Seminars In Pediatric Surgery. Elsevier, 2018
[3] Gebremedhn Eg, Chekol Wb, Amberbir Wd, Flatie Td. Patient Satisfaction With Anaesthesia Services And Associated Factors At The University Of Gondar Hospital, 2013: A Cross-Sectional Study. Bmc Res Notes 2015;8(1):377.
[4] Capuzzo M, Landi F, Bassani A, Grassi L, Volta C, Alvisi R. Emotional And Interpersonal Factors Are Most Important For Patient Satisfaction With Anaesthesia. Acta Anaesthesiol Scand 2005; 49(6):735-42.
[5] Foss Nb, Christensen Ds, Krasheninnikoff M, Kristensen Bb, Kehlet H. Post-Operative Rounds By Anaesthesiologists After Hip Fracture Surgery: A Pilot Study. Acta Anaesthesiol Scand 2006;50(4):437-42..

Abstract: The essential bone cyst is a benign tumor in children, preferentially affecting the upper end of the humerus and femur. The localization at the level of the calcaneus is rare. The objective of this work is to highlight the diagnostic and therapeutic problems of this localization. We present a case of an essential bone cyst of the calcaneus in an 18-year-old patient who experienced unilateral left talalgia, progressing gradually over one month. A standard radiography and a CT scan showed an appearance favoring an essential bone cyst. The treatment consisted of curettage and filling with autograft harvested from the iliac crest. The histopathological study confirmed the diagnosis.

Key Word: essential bone cyst, calcaneus

[1]. Bonnel F, Fauré P, Dusserre F. Kyste Osseux Du Calcanéum Traité Par Endoscopie, A Propos D’un Cas, Résultats.
[2]. Delloye C, Docquier PL, Cornu O, Poilvache P, Peters M, Woitrin B, Et Al. Simole Bone Cysts Treated With Aspiration And A Single Bone Marrow Injection. A Preliminary Report. Int Orthop 1998 ; 22 : 134-8.
[3]. Jaffe HL, Lichtenstein L. Solitary Unicomecal Cyst : With Emphasis On The Roentgen Picture, The Pathologic Appearance And The Pathogenesis. Arch Surg 1942 ; 44 : 1004-25.
[4]. Kaelin A. Kyste Essentiel Des Os. Conférences D’enseignement De La SOFCOT, 1995 ; 52 : 167-80.
[5]. Maroteaux P. Les Maladies Osseuses De L’enfant. Troisième Édition, Médecine Sciences, Flammarion 2004 ; 17 : 205-10.
[6]. Mirra JM, Bernard GM, Bullough PG. Cementum-Like Production In Solitary Bone Cysts (So Called Cementoma Of Long Bones). Clin Orthop 1978 ; 135 : 295-307.

Abstract: Prosthodontics is a specialized field within dentistry dedicated to the restoration and maintenance of oral function, comfort, aesthetics, and overall health. This is achieved through the replacement of lost teeth or the restoration of natural teeth and craniofacial tissues using biocompatible materials. By addressing the functional and aesthetic deficits caused by tooth loss or damage, prosthodontics plays a critical role in enhancing patients' quality of life. On the other hand, "preventive dentistry" encompasses a range of practices and strategies designed to prevent oral health.....

Key Word:: Preventive prosthodontics, primary stage, secondary stage, tertiary stage, prevention

[1] Gerrie Nf. A Definition Of Preventive Dentistry. Journal Of Public Health Dentistry. 1969 Mar;29(1):60-.
[2] Singh R, Singh J, Gambhir Rs, Bhinder Ks. Preventive Aspect Of Prosthodontics: An Overview. European Journal Of Prosthodontics. 2015 Jan 1;3(1):10.
[3] Lakshmi U, Srinivasa Rao R, Rajesh A, Anusha C, Reddy Rr. " Prevention Better Than Cure" In Prosthodontics-A Review. International Journal Of Scientific Research In Science And Technology. 2017;3(3):607-11.
[4] Peracini A, Andrade Im, Paranhos Hd, Silva Ch, Souza Rf. Behaviors And Hygiene Habits Of Complete Denture Wearers. Brazilian Dental Journal. 2010;21:247-52.
[5] Vishnupriya Bs, Prakash Nidwani, Girish Galagali, Satyanarayana Naik. Preventive Prosthodontics-An Overview. Ip Annals Of Prosthodontics And Restorative Dentistry.2022;8(2):69-75..

Abstract: Superior vena cava (SVC) injury is a rare but life-threatening complication during the insertion of central venous catheters, especially in elderly patients with multiple comorbidities. We report a case of an 81-year-old woman with a complex medical history, including diabetes mellitus, hypertension, dyslipidemia, and end-stage renal disease (ESRD), who suffered an SVC injury during the placement of a PermCath for hemodialysis. The patient was initially admitted with fever and altered sensorium, requiring urgent dialysis. A femoral catheter was initially used, but a more permanent solution was sought. During the placement of the PermCath, the patient developed hypotension an.....

Key Word:SVC Injury, Hemodialysis catheter, Iatrogenic injury

[1] Lamperti M, Bodenham AR, Pittiruti M, Et Al. International Evidence-Based Recommendations On Ultrasound-Guided Vascular Access. Intensive Care Med. 2012;38(7):1105-1117.
[2] Mcgee DC, Gould MK. Preventing Complications Of Central Venous Catheterization. N Engl J Med. 2003;348(12):1123-1133.
[3] Kusminsky RE. Complications Of Central Venous Catheterization. J Am Coll Surg. 2007;204(4):681-696
[4] Parienti JJ, Mongardon N, Mégarbane B, Et Al. Intravascular Complications Of Central Venous Catheterization By Insertion Site. N Engl J Med. 2015;373(13):1220-1229.
[5] Mansfield PF, Hohn DC, Fornage BD, Et Al. Complications And Failures Of Subclavian-Vein Catheterization. N Engl J Med. 1994;331(26):1735-1738..

Abstract: Ureteral stents or double J stents are mainly used for effective drainage from kidney to urinary bladder. Complications include stent migration, encrustation and infection among others. Forgotten stents for longer periods pose significant challenges to urologists as they require multiple procedures to remove them completely. We present a case of neglected stent for 6 years in a 35-yr old female, which developed encrustation over its entire length, 6cm stone in bladder engulfing its lower end while stones were present over its upper end. In our case, the patient was .....

Key Word: Forgotten double J stent, Encrustation, Bladder stone, Ureteral stent, Case report

[1] Sohrab A, Aneesh S, Sureka SK, Varun M, Nitesh P, Manoj K, Et Al. Forgotten Reminders: An Experience With Managing 28 Forgotten Double-J Stents And Management Of Related Complications. Indian J Surg. 2015.
[2] Borboroglu PG, Kane CJ (2000) Current Management Of Severely Encrusted Ureteral Stents With A Large Associated Stone Burden. J Urol 164:648–650.
[3] Monga M, Klein E, Castañeda-Zúñiga WR, Thomas R. The Forgotten Indwelling Ureteral Stent: A Urological Dilemma. J Urol. 1995;153:1817.
[4] Agarwal S, Sarpal R, Pathak P, Biswas M, Mittal A, Rathore K, Et Al. Tricks And Tacks In The Management Of The Forgotten Double J Stent. Int Surg J. 2018;.

Abstract: This study investigates patient satisfaction perceptions in occupational health clinics, based on the SERVPERF model and structural equation modeling (PLS-SEM). The research employed a quantitative approach applied to 154 participants through a structured questionnaire using a 7-point Likert scale, distributed to the human resources departments of companies located in Greater Vitória, Espírito Santo State, Brazil. Results indicated that factors such as tangibility, reliability, responsiveness, and assurance positively influence patient satisfaction, whereas empathy had no significant effect......

Key Word:Occupational health, SERVPERF, patient satisfaction, structural equation modeling

[1] Abdullah, F. (2006), “Measuring Service Quality In Higher Education: Hedperf Versus SERVPERF”, Marketing Intelligence And Planning, Vol. 24 No. 1, Pp. 31-47.
[2] Abdullah, F. (2006), “Measuring Service Quality In Higher Education: Hedperf Versus SERVPERF”, Marketing Intelligence And Planning, Vol. 24 No. 1, Pp. 31-47.
[3] Andronikidis, A. And Bellou, V. (2010), “Verifying Alternative Measures Of The Service-Quality Construct: Consistencies And Contradictions”, Journal Of Marketing Management, Vol. 26 No. 5, Pp. 570-587.
[4] Andronikidis, A. And Bellou, V. (2010), “Verifying Alternative Measures Of The Service-Quality Construct: Consistencies And Contradictions”, Journal Of Marketing Management, Vol. 26 No. 5, Pp. 570-587.
[5] Biresaw, H., Mulugeta, H., Endalamaw, A., Yesuf, N. N., & Alemu, Y. (2021). Patient Satisfaction Towards Health Care Services Provided In Ethiopian Health Institutions: A Systematic Review And Meta-Analysis. Health Services Insights, 14, 11786329211040689..

Abstract: Introduction: chronic obstructive pulmonary disease associated with exposure to wood smoke (copd-l) is part of 30% of the etiology of this entity. We know that copd-l has different characteristics compared to the association with tobacco. There is little worldwide experience in the use of bronchodilators and inhaled steroids in patients with this disease. Currently, the high risk of patients with copd-l is the main cause of exacerbations and shortterm cardiovascular outcome is the cause of increased morbidity and mortality. Triple therapy is currently a treatment used in patients with copd-t with excellent clinical and symptomatic benefits. Objective: to desc.....

Key Word: copd, biomass, triple therapy, high risk. Wood smoke

[1] Camp Pg, Ramirez-Venegas A, Sansores Rh, Alva Lf, Mcdougall Je, Sin Dd, Paré Pd, Müller Nl, Silva Ci, Rojas Ce, Coxson Ho. Copd Phenotypes In Biomass Smoke- Versus Tobacco Smoke-Exposed Mexican Women. Eur Respir J. 2014 Mar;43(3):725-34. Doi: 10.1183/09031936.00206112. Epub 2013 Oct 10. Pmid: 24114962.
[2] Ramírez-Venegas A, Torres-Duque Ca, Guzmán-Bouilloud Ne, González-García M, Sansores Rh. Smalla Airway Disease In Copd Associated To Biomass Exposure. Rev Invest Clin. 2019;71(1):70-78. Doi: 10.24875/Ric.18002652. Pmid: 30810542.
[3] Ramírez-Venegas A, Sansores Rh, Pérez-Padilla R, Regalado J, Velázquez A, Sánchez C, Mayar Me. Survival Of Patients With Chronic Obstructive Pulmonary Disease Due To Biomass Smoke And Tobacco. Am J Respir Crit Care Med. 2006 Feb 15;173(4):393- 7. Doi: 10.1164/Rccm.200504-568oc. Epub 2005 Dec 1. Pmid: 16322646.
[4] Perez-Padilla R, Ramirez-Venegas A, Sansores-Martinez R. Clinical Characteristics Of Patients With Biomass Smoke-Associated Copd And Chronic Bronchitis. Chronic Obstr Pulm Dis. 2014; 1(1): 23-32. Doi: Http://Doi.Org/10.15326/Jcopdf.1.1.2013.0004
[5] Ramírez-Venegas, A., Velázquez-Uncal, M., Aranda-Chávez, A., Guzmán-Bouilloud, N. E., Mayar-Maya, M. E., Pérez Lara.

Abstract: Background: The knee joint is highly susceptible to injuries, particularly from sports and trauma, making Magnetic Resonance Imaging (MRI) a valuable tool for diagnosing musculoskeletal disorders due to its excellent soft tissue contrast and multiplanar capabilities. The anterior cruciate ligament (ACL) is the most frequently injured and reconstructed ligament in the knee, often sustaining damage alongside other structures such as meniscal and collateral ligaments. MRI effectively identifies these associated injuries, although diagnosing meniscal tears can be particularly difficult when the ACL is also injured, complicating accurate assessment and treatment planning......

Key Word: ACL tear, Meniscal tear, MRI knee, knee ligaments injury.

[1] Seshadri BM, Ashwathappa S, Swamy IN. Magnetic Resonance Imaging Evaluation Of Ligamentous Tears Of The Knee Joint And Association Of Meniscal Tears With Anterior Cruciate Ligament Tears. Journal Of Evolution Of Medical And Dental Sciences. 2016 May 30;5(43):2664-9
[2] Gupta R, Singhal A, Sharma AR, Shail S, Masih GD. Strong Association Of Meniscus Tears With Complete Anterior Cruciate Ligament (ACL) Injuries Relative To Partial ACL Injuries. Journal Of Clinical Orthopaedics And Trauma. 2021 Dec 1;23:101671.
[3] Singh J, Garg L, Shrimali R, Setia V, Gupta V. MR Imaging Of Knee With Arthroscopic Correlation In Twisting Injuries. Indian Journal Of Radiology And Imaging. 2004 Jan 1;14(1).
[4] Subramanian S, Kandasamy V, Manchikanti V. Association Of Meniscal Tears With Cruciate Ligament Injuries. Radiography Open. 2022 Aug 8;8(1):15-24.
[5] Abd Razak HR, Sayampanathan AA, Koh TH, Tan HC. Diagnosis Of Ligamentous And Meniscal Pathologies In Patients With Anterior Cruciate Ligament Injury: Comparison Of Magnetic Resonance Imaging And Arthroscopic Findings. Annals Of Translational Medicine. 2015 Oct;3(17)

Abstract: Background: Ergonomics aims to optimize work environments to align with individual physical capabilities, particularly in healthcare settings where chronic low back pain is prevalent among professionals like dentists. This study investigates the effects of ergonomic adjustments combined with conventional physiotherapy on a 30-year-old female dentist suffering from chronic low back pain. Method: The patient underwent an initial treatment phase focusing on stretching and strengthening exercises, followed by a three-week period of ergonomic interventions targeting her workplace environment. Pain intensity, functional status, and quality of life were assessed using the Numerical Pain Rating Scale, Oswestry Disability Index, and WHOQOL-BREF questionnaire......

Key Word: Chronic low back pain, physiotherapy, ergonomics, dentists, Numerical Pain Rating Scale, Oswestry Disability Index, WHOQOL-BREF, pain relief, functional performance.

[1] Chakrabortty K, Oommen S, Mathew B, Sherina K. Importance Of Ergonomics For Healthcare Workers. Int J Sci Healthc Res. 2023;8(3):52. Doi:10.52403/Ijshr.20230310
[2] Fortún-Rabadán R, Jiménez-Sánchez C, Flores-Yaben O, Bellosta-López P. Workplace Physiotherapy For Musculoskeletal Pain-Relief In Office Workers: A Pilot Study. Int J Sci Healthc Res. 2018.
[3] Moosa UK, Bhayat A. The Ergonomic Knowledge And Practice Of Dental Students In A Tertiary Institution In South Africa. Adv Med. 2022;2022:1-7. Doi:10.1155/2022/7389412.
[4] Lee S, De Barros FC, Moriguchi De Castro CS, De Oliveira Sato T. Effect Of An Ergonomic Intervention Involving Workstation Adjustments On Musculoskeletal Pain In Office Workers: A Randomized Controlled Clinical Trial. Ind Health. 2020;59(1):10–18. Doi:10.2486/Indhealth.2020-0156.
[5] Sormunen E, Mäenpää-Moilanen E, Ylisassi H, Turunen J, Remes J, Karppinen J, Martimo KP. Participatory Ergonomics Intervention To Prevent Work Disability Among Workers With Low Back Pain: A Randomized Clinical Trial In Workplace Setting. J Occup Rehabil. 2022;32(3):490-502. Doi:10.1007/S10926-022-10036-0.

Abstract: Swallowed fish bones are a common ENT emergency we come across at the outpatient department of otorhinolaryngology. Persistent sharp pain in the throat following eating fish is felt by the patient to indicate that a fish bone has stuck in. Accidental ingestion of fish bone and its impaction in the pharynx is very common among the fish-eating communities in rural areas of the southern part of telangana, India, where rivers, ponds, and lakes are found.

[1] Shu Mt, Leu Ys. Microscopic Removal Of An Embedded Foreign Body From The Hypopharynx: Report Of Two Cases. Ear Nose Throat J. 2001 Dec;80(12):889–90. Https://Doi.Org/10.1177/014556130108001215[Pubmed]0145-5613.
[2] Chen Cy, Peng Jp. Esophageal Fish Bone Migration Induced Thyroid Abscess: Case Report And Review Of The Literature. Am J Otolaryngol. 2011 May-Jun;32(3):253–5. Https://Doi.Org/10.1016/J.Amjoto.2010.02.006[Pubmed]0196-0709 [3] Bendet E, Horowitz Z, Heyman Z, Faibel M, Kronenberg J. Migration Of Fishbone Following Penetration Of The Cervical Esophagus Presenting As A Thyroid Mass. Auris Nasus Larynx. 1992;19(3):193–7. Https://Doi.Org/10.1016/S0385-8146(12)80040-X[Pubmed]0385-8146

Abstract: Background:Following tooth extraction, alveolar ridge resorption, particularly in the mandible, is a chronic, progressive process that can extend beyond the alveolar ridge in severe cases. Research indicates that despite its dense structure, the mandibular ridge is highly susceptible to this type of resorption. This study aimed to evaluate mandibular ridge resorption following complete denture therapy over a six-month to one-year period, assessing changes at the masticatory centre and mental foramen. Differences between patients with complete dentures and those without were examined to determine whether denture fabrication impacts ridge resorption......

Key Word: mandibular alveolar ridge, bone resorption, orthopantomograms, complete dentures

[1]. Atwood, D.A., Some Clinical Factors Related To Rate Of Resorption Of Residual Ridges. J Prosthet Dent 1961;12:441-450.
[2]. Atwood D.A; The Reduction Of Residual Ridges, A Major Oral Diesease Entity, J. Prosthet. Dent. 26: 266-279, 1971.
[3]. Grunevald AH.Gold Base Lower Dentures. J Prosthet Dent 1964;14:432-441.
[4]. Jokić B., Ispitivanje Uskladzenosti Metalnog Skeleta Parcijalne Pokretne Proteze Sa Biomehanikom Donje Vilice, Doktorska Disertacija, Beograd, 1991.
[5]. Mori S., Sato T., Hara T., Minagi S. Effect Of Continuous Pressure On Histopathological Changes In Denture-Suporting Tissues. J Oral Reh 1997; 24:37-46.

Abstract: Laparoscopic cholecystectomy is the standard treatment for gallbladder diseases. However, certain factors can predict a challenging procedure. Identifying these factors preoperatively and intraoperatively can help in managing expectations and improving patient outcomes. Objective: The aim of this study is to identify and analyze the factors that predict a difficult laparoscopic cholecystectomy, focusing on both preoperative and intraoperative parameters......

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Abstract: Spinal anaesthesia is the most commonly used technique for lower abdominal and lower limb surgeries as it is very economical and easy to administer. However, postoperative pain control is a major problem because spinal anesthesia using only local anesthetics is associated with relatively short duration of action, and thus early analgesic intervention is needed in the postoperative period.

[1] Eid H, Shafie M, Youssef H. Dose-Related Prolongation Of Hyperbaric Bupivacaine Spinal Anaesthesia By Dexmedetomidine. Asja. 2011;4:83–95.
[2] Rai A And Bhutia Mp, "Dexmedetomidine As An Additive To Spinal Anaesthesia In Orthopaedic Patients Undergoing Lower Limb Surgeries: A Randomized Clinical Trial Comparing Two Different Doses Of Dexmedetomidine" J Clin Diagn Res. 2017 Apr; 11(4): Uc09–Uc12.
[3] Yadav I , Aggarwal A, Lakhanpal M, Nirvan H, "Comparison Of Clinical Efficacy Of Intrathecal Ropivacaine Versus Ropivacaine With Dexmedetomidine In Patient Posted For Infraumbilical Surgeries Under Spinal Anesthesia" Asian Journal Of Medical Sciences | May 2022 | Vol 13 | Issue 5.
[4] Sekar E B, Vijayaraghavan U, And Mohammed A S, "Effect Of Intravenous Dexmedetomidine On Spinal Anesthesia" Cureus. 2021 Jun; 13(6): E15708.
[5] Malla S, Gupta P S, Agrawal D, Behera R, Kumar S, "Effect Of Intrathecal Heavy Bupivacaine With Dexmedetomidine And Intrathecal Heavy Bupivacaine With Fentanyl In Lower Abdominal And Gynaecological Surgeries" Asian J Pharm Clin Res, Vol 12, Issue 6, 2019, 271-275.

Abstract: Propofol is the most commonly used agent for inducing general anaesthesia for patients undergoing surgery under GA. It's chemical composition has long chain fatty acids, which cause the patient to experience a burning, aching, searing pain at local site of injection, rendering discomfort to the patient. Ondansetron being a 5-HT3 serotonin receptor antagonist usually used for preventing nausea and vomiting, also has sodium channel blocking action on peripheral pain receptors. Lignocaine is an amide type local anaesthetic used for local anaesthesia. It acts by causing nerve blockade and stabilizing the neuronal membranes by inhibiting ionic fluxes needed to initiate and conduct a nerve impulse. Acts on sodium channels located on the internal surface of nerve cell membranes.

[1] Nayak, Sandipani & Shailesh, P & Paharia, Arun & Krori, Krishanu & Pal, Shibsankar.. Safety And Efficacy Of Paracetamol + Lignocaine Injection In Patients With High-Grade Fever: A Prospective Analysis. Indian Journal Of Clinical Practice 2023. 34. 27-29. 10.59793/Ijcp.V34i3.571.
[2] H, Rayasam & RR, Tumulu & PK, Tumulu & T, Garg.. Pre-Treatment With Lignocaine And Ondansetron For Prevention Of Pain On Propofol Injection: A Prospective, Double Blinded, Randomised Comparative Study. Journal Of Medical And Scientific Research. 2022 10. 7-10. 10.17727/JMSR.2022/10-2.
[3] Xu, Chaozhi & Wei, Xiaotang & Zhang, Cuiwen & Huang, Xiaofang & Lan, Hongmeng & Xu, Yanping & Wu, Xiaoyan & Li, Fuping & Guan, Xuehai.. Esketamine Prevents Propofol-Induced Injection Pain: Randomized Controlled Trial. Frontiers In Pharmacology. 2022 13. 991559. 10.3389/Fphar.2022.991559.
[4] Ghimire, Binam & Chand, Man. Lidocaine For Reduction Of Pain Induced By Propofol In A Tertiary Care Hospital: A Descriptive Cross-Sectional Study. Journal Of Nepal Medical Association. . 2021 59. 10.31729/Jnma.5796.
[5] Azarnoush, Hamed & Kashefi, Parviz & Naghibi, Khosrou & Zabihi, Parisa.. Prevention Of Postoperative Nausea And Vomiting With A Subhypnotic Dose Of Propofol In Patients Undergoing Lower Abdominal Surgery: A Prospective, Randomized, Double-Blind Study. Advanced Biomedical Research. 2015 4. 10.4103/2277-9175.151239.

Abstract: Background: This present study was undertaken to find out the haematological abnormalities of HIV positive individuals and changes taken place on anti-retroviral therapy (ART). The haematological changes associated with six months of antiretroviral therapy (ART) are key indicators of both the effectiveness and potential side effects of the treatment. ART can influence various components of the blood, often improving some blood parameters as HIV viral load decreases and immune function recovers, while other aspects might worsen due to drug toxicity or interactions. Objective: The aim of the study was to evaluate the haematological changes after six months of anti-retroviral therapy..........

Keywords: Haematological abnormalities, HIV, Anti-retroviral therapy (ART).

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[5]. Dhal N, Panda S, Mohapatra N, Pattanayak NC, Pattanaik R. Study of haematological abnormalities in HIV infected patients and its correlation with CD4 counts. Int J Res Med Sci. 2018 Sep;6(9):2937.