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Article ; Online: The Effect of Noise Exposure on Hearing Function and Vestibular Evoked Myogenic Potentials.

Cetinbag-Kuzu, Ozgenur / Bahadir, Hande / Guneri, Enis Alpin / Cimrin, Arif Hikmet / Kirkim, Gunay

2023 Volume 25, Issue 117, Page(s) 71–75

Abstract: Purpose: Exposure to noise can cause damage to both auditory and vestibular systems. The objective of this study is to evaluate how noise exposure affects the hearing and vestibular systems in individuals with noise-induced hearing loss (NIHL).: ... ...

Abstract	Purpose: Exposure to noise can cause damage to both auditory and vestibular systems. The objective of this study is to evaluate how noise exposure affects the hearing and vestibular systems in individuals with noise-induced hearing loss (NIHL). Methods: This study included 80 subjects (40 subjects with NIHL, and 40 controls), between 26 and 59 years old. For hearing assessment, pure-tone audiometry, extended high-frequency audiometry, tympanometry, acoustic reflex threshold, and distortion product otoacoustic emission tests were used; for vestibular assessment, the cervical and ocular vestibular evoked myogenic potentials tests were used. Results: Statistically significant differences were found between the two groups in 3 to 6 kHz frequency thresholds; in extended high-frequency audiometry tests, there were also significant differences between groups at all frequencies from 9.5 to 16 kHz. The cervical and ocular vestibular evoked myogenic potentials thresholds were significantly higher and N1-P1 amplitudes were significantly lower in the NIHL group. Conclusion: Noise can lead to damage to both auditory and vestibular functions. Therefore, audiological assessments and vestibular evoked myogenic potentials could be clinically useful for examining patients with NIHL.
MeSH term(s)	Humans ; Adult ; Middle Aged ; Vestibular Evoked Myogenic Potentials/physiology ; Auditory Threshold/physiology ; Hearing ; Hearing Loss, Noise-Induced/diagnosis ; Hearing Loss, Noise-Induced/etiology ; Audiometry, Pure-Tone ; Otoacoustic Emissions, Spontaneous/physiology
Language	English
Publishing date	2023-05-18
Publishing country	India
Document type	Journal Article
ZDB-ID	1482372-x
ISSN	1998-4030 ; 1463-1741
ISSN (online)	1998-4030
ISSN	1463-1741
DOI	10.4103/nah.nah_74_22
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Article: Kadinlarda biomass ve mesleksel toza maruziyet astıma yol açabilir mi?

Cimrin, Arif Hikmet / Karaman, Canan

Tuberkuloz ve toraks

2012 Volume 59, Issue 4, Page(s) 388–391

Abstract: In the developing countries, most of the house energy necessity is supplied from the biomass. Because of this reason, chronicle airway diseases and the respiratory symptoms that have been triggered by the house inside air pollution is very common. As an ... ...

Title translation	Does exposure to biomass and occupational dust can be causative for asthma among women?.
Abstract	In the developing countries, most of the house energy necessity is supplied from the biomass. Because of this reason, chronicle airway diseases and the respiratory symptoms that have been triggered by the house inside air pollution is very common. As an example from the real life of this entity, an asthmatic woman who has an history of using biomass in her house for heating, cleaning and cooking in all her life (because of the economical difficulties) and also an history of occupational organic dust exposure as a seasonal worker during the last 20 years was reported. After the medical investigation, the case was diagnosed as severe persistent asthma. The case was externated after ordering the appropriate inhaler treatment and she was taken to the follow up programme.
MeSH term(s)	Adult ; Air Pollution, Indoor/adverse effects ; Asthma/epidemiology ; Asthma/etiology ; Biomass ; Dust ; Female ; Humans ; Occupational Exposure/adverse effects ; Occupational Health
Chemical Substances	Dust
Language	Turkish
Publishing date	2012-01-07
Publishing country	Turkey
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	2468802-2
ISSN	0494-1373
ISSN	0494-1373
DOI	10.5578/tt.1849
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Article: Call centers and noise-induced hearing loss.

Beyan, Ayse Coskun / Demiral, Yucel / Cimrin, Arif Hikmet / Ergor, Alparslan

Noise & health

2016 Volume 18, Issue 81, Page(s) 113–116

Abstract: Noise is defined as unwelcome sound. It has been estimated that 16% of adult hearing loss in the world is due to noise exposure at the workplace. This report offers a case that diagnosed with hearing loss of whom working as a call center operator at home. ...

Abstract	Noise is defined as unwelcome sound. It has been estimated that 16% of adult hearing loss in the world is due to noise exposure at the workplace. This report offers a case that diagnosed with hearing loss of whom working as a call center operator at home. Home agent operators should be explored.
MeSH term(s)	Adult ; Audiometry/methods ; Communication ; Hearing Loss, Noise-Induced/diagnosis ; Hearing Loss, Noise-Induced/etiology ; Hearing Loss, Noise-Induced/physiopathology ; Humans ; Male ; Noise/adverse effects ; Noise, Occupational/adverse effects ; Occupational Diseases/diagnosis ; Occupational Diseases/etiology ; Occupational Diseases/physiopathology ; Occupational Exposure/adverse effects ; Occupational Exposure/analysis ; Workplace
Language	English
Publishing date	2016-03
Publishing country	India
Document type	Case Reports ; Journal Article
ZDB-ID	1482372-x
ISSN	1998-4030 ; 1463-1741
ISSN (online)	1998-4030
ISSN	1463-1741
DOI	10.4103/1463-1741.178512
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: How were Non-COVID pulmonary patients and diseases affected from COVID-19 pandemic period?

Sevinç, Can / Tertemiz, Kemal Can / Atik, Merve / Güler, Nurcan / Ulusoy, Mustafa / Coşkun, Figen / Uyar, Nezihe / Ellidokuz, Hülya / İtil, Oya / Cimrin, Arif Hikmet / Uçan, Eyup Sabri

Turkish thoracic journal

2021 Volume 22, Issue 2, Page(s) 149–153

Abstract: Objective: This study aimed to focus on non-COVID-19 patients during the process when all physicians focused on COVID-19 patients. Patients with pulmonary diseases in the COVID-19 pandemic period were analyzed.: Material and methods: Non-COVID-19 ... ...

Abstract	Objective: This study aimed to focus on non-COVID-19 patients during the process when all physicians focused on COVID-19 patients. Patients with pulmonary diseases in the COVID-19 pandemic period were analyzed. Material and methods: Non-COVID-19 cases who were hospitalized in the pulmonology clinic, outpatients, and patients who applied to the non-COVID-19 emergency service and requested a pulmonology consultation in the period from March 16, 2020 to May 15, 2020 and in the same period of the previous year (i.e., from March 16, 2019 to May 15, 2019) were included in this study. Results: In the pandemic period, it was found that there was an 84% decrease in outpatient admissions, a 43% decrease in inpatients, and a 75% decrease in emergency services. During the pandemic period, in outpatient setting, male and younger case admissions increased, admissions with chronic obstructive pulmonary disease (COPD), and interstitial lung diseases decreased, whereas the frequency of admission to asthma, pneumonia, and pulmonary thromboembolism increased. In the period of the pandemic, patients with asthma, COPD, and lung cancer were less hospitalized, whereas patients with pulmonary thromboembolism, pneumonia, and pleural effusion were hospitalized more. In non-COVID-19 patient treatments during the pandemic period, usage of a metered dose inhaler increased. Conclusion: During the COVID-19 pandemic, non-COVID pulmonary pathologies decreased significantly, and there was a change in the profile of the patients. From now on, to be prepared for pandemic and similar extraordinary situations, to organize hospitals for the epidemic, to determine health institutions to which nonepidemic patients can apply, to make necessary plans in order not to neglect the nonepidemic patients, and to develop digital health service methods, especially telemedicine, would be appropriate.
Language	English
Publishing date	2021-03-01
Publishing country	Turkey
Document type	Journal Article
ISSN	2149-2530
ISSN (online)	2149-2530
DOI	10.5152/TurkThoracJ.2021.20249
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Article ; Online: Demographic, Clinical and Management Characteristics of Newly Diagnosed COPD Patients in Turkey: A Real-Life Study.

Suerdem, Mecit / Gunen, Hakan / Akyildiz, Levent / Cilli, Aykut / Ozlu, Tevfik / Uzaslan, Esra / Abadoglu, Oznur / Bayram, Hasan / Cimrin, Arif Hikmet / Gemicioglu, Bilun / Misirligil, Zeynep

International journal of chronic obstructive pulmonary disease

2020 Volume 15, Page(s) 261–267

Abstract: Purpose: In order to determine the clinical and sociodemographic characteristics of newly diagnosed treatment-naïve asthma and COPD patients in Turkey, a multicenter study in 2012 was initiated . We aimed to investigate the characteristics and therapies ...

Abstract	Purpose: In order to determine the clinical and sociodemographic characteristics of newly diagnosed treatment-naïve asthma and COPD patients in Turkey, a multicenter study in 2012 was initiated . We aimed to investigate the characteristics and therapies of COPD patients in the original study in more detail. Patients and methods: This nation-wide, multicentric, non-interventional, prospective, real-life observational cohort study was conducted in 122 centers. The newly diagnosed patients were not receiving any treatment before the recruitment. Their general characteristics, the combined GOLD 2011 COPD categories and exacerbation histories were noted. The patients were followed up with 3 voluntary visits for 1 year. Their adherence to the inhaled treatment according to GOLD 2011 was evaluated during follow-up visits. Results: The study included 776 COPD patients. Their mean age was 59.4±9.1 years, and 11.9% of the patients were female. 35.1% of the patients were in the GOLD 2011 C and D category. 12.6% are frequent exacerbators, and 52.8% had at least one comorbid condition. 71.8% overtreatment rate was detected. Their attendance rates for three follow-up visits became 55.9%, 32.9% and 18.7%, respectively. The adherence rate to the treatment was measured as 81.9%. Conclusion: Although these patients were diagnosed for the first time, the GOLD C and D categories and frequent exacerbator phenotype were found at a high rate. They were usually prescribed an overtreatment regimen. We think that newly diagnosed COPD patients should be evaluated carefully, and best effort should be made to treat these patients in accordance with the recommendations of the major COPD guidelines.
MeSH term(s)	Adult ; Aged ; Comorbidity ; Disease Progression ; Drug Utilization/trends ; Female ; Guideline Adherence/trends ; Humans ; Male ; Medication Adherence ; Middle Aged ; Practice Guidelines as Topic ; Practice Patterns, Physicians'/trends ; Prescription Drug Overuse/trends ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Disease, Chronic Obstructive/therapy ; Respiratory System Agents/therapeutic use ; Treatment Outcome ; Turkey/epidemiology
Chemical Substances	Respiratory System Agents
Language	English
Publishing date	2020-02-04
Publishing country	New Zealand
Document type	Journal Article ; Multicenter Study ; Observational Study
ISSN	1178-2005
ISSN (online)	1178-2005
DOI	10.2147/COPD.S211838
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Article: General aspects of hypersensitivity pneumonitis in Turkey.

Cımrın, Arif Hikmet / Göksel, Ozlem / Demirel, Yavuz Selim

Tuberkuloz ve toraks

2010 Volume 58, Issue 3, Page(s) 242–251

Abstract: Hypersensitivity pneumonitis prevalence rates are between 5 and 15% of the overall population exposed to known inciting antigens but a small number of cases have been reported from Turkey until now. We aimed to present a broad picture of hypersensitivity ...

Abstract	Hypersensitivity pneumonitis prevalence rates are between 5 and 15% of the overall population exposed to known inciting antigens but a small number of cases have been reported from Turkey until now. We aimed to present a broad picture of hypersensitivity pneumonitis in Turkey, thus promoting interest in this relatively common disease in developing countries. Search engines were utilized to retrieve the cases reported from Turkey. Other published journals and meeting abstracts which have not been registered into electronic databases were manually reviewed. Twenty-two cases from 13 reports were characterized by demographics, clinical features, occupational and environmental exposures, diagnostic tools and prognostic data. The majority of the group consisted of women (68.2%) and had a positive history for contact with an avian (59%). Mean exposure period was 69 ± 77.6 months. The most common reported clinical form was chronic hypersensitivity pneumonitis (58.8%). Reticulonodular pattern was the basic pathological finding (45%). Restrictive impairments of the forced vital capacity (FVC) and carbon monoxide diffusing capacity (DLCO) of the lungs were the basic pathologies observed in pulmonary function tests. Interstitial fibrosis was the most common pathological finding (61.5%). Few cases reported with preponderance of chronic hypersensitivity pneumonitis with avian exposure from 70 million populations suggest that many hypersensitivity pneumonitis cases, especially acute forms, have been ignored. Also, hypersensitivity pneumonitis somehow appears to be a neglected occupational disease. The present situation should be considered as a common problem currently faced by developing countries and occupational groups under risk must be investigated promptly.
MeSH term(s)	Adolescent ; Adult ; Alveolitis, Extrinsic Allergic/diagnosis ; Alveolitis, Extrinsic Allergic/epidemiology ; Alveolitis, Extrinsic Allergic/immunology ; Alveolitis, Extrinsic Allergic/pathology ; Child ; Child, Preschool ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Prognosis ; Sex Factors ; Turkey/epidemiology ; Young Adult
Language	English
Publishing date	2010
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2468802-2
ISSN	0494-1373
ISSN	0494-1373
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Article: Kuartz ve feldspat değirmenlerinde çalışanlarda silikoz sıklığı ve silikoz ile ilişkili faktörler.

Öztürk, Ayşe / Cimrin, Arif Hikmet / Tür, Mahmut / Güven, Rana

Tuberkuloz ve toraks

2012 Volume 60, Issue 3, Page(s) 224–229

Abstract: Introduction: Problems in legal definition and diagnosis of occupational diseases in Turkey makes the diagnosis of these diseases and informing the parties important. For this purpose, this study was planned to elicit the frequency of silicosis in ... ...

Title translation	Prevalence of silicosis among employees in feldspat and quartz mills and associated factors with silicosis.
Abstract	Introduction: Problems in legal definition and diagnosis of occupational diseases in Turkey makes the diagnosis of these diseases and informing the parties important. For this purpose, this study was planned to elicit the frequency of silicosis in quartz mill workers in Cine which is one of the largest quartz and feldspat areas, and to detect the working conditions, to inform the workers to improve the working conditions. The aim was to evaluate 592 workers in 10 quartz mill and mines around Cine in 2004. Materials and methods: A structured questionnaire including personal information and work-related questions was applied. Standards chest X-rays taken in the last six months were evaluated according to International Labour Organization (ILO) 1980 standards. Dust concentration and respirable dust concentration in the work place were measured in enterprises. Results: The mean age of the workers was 31.8 ± 8.26 years and 71.7% was smoker. Duration of working was ≤ 5 years in 80.5% and ≥ 10 years in only 4.2%. According to the results of dust measurements, threshold value was found to be exceeded in chopping, packaging and bagging parts of three workplaces. Frequency of silicosis was calculated to be 23.7%. Conclusion: Frequency of pneumoconiosis was found to be high like previous studies carried out in similar workplaces in this study. Although it was impossible to put forward the cumulative effect of dust exposure because of frequent altering in workplace, the high frequency of working in similar workplaces among the cases supported the significant risk of silicosis in these enterprises. The workplaces were observed after the workers and persons responsible from occupational health and safety.
MeSH term(s)	Adolescent ; Adult ; Dust ; Humans ; Middle Aged ; Occupational Exposure/adverse effects ; Occupational Health ; Prevalence ; Quartz/adverse effects ; Radiography ; Risk Assessment ; Risk Factors ; Silicosis/diagnosis ; Silicosis/diagnostic imaging ; Silicosis/epidemiology ; Silicosis/etiology ; Smoking ; Turkey/epidemiology ; Workplace ; Young Adult
Chemical Substances	Dust ; Quartz (14808-60-7)
Language	Turkish
Publishing date	2012-10-01
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2468802-2
ISSN	0494-1373
ISSN	0494-1373
DOI	10.5578/tt.3684
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Article: Working conditions and pneumoconiosis in Turkish coal miners between 1985 and 2004: a report from Zonguldak coal basin, Turkey.

Tor, Meltem / Oztürk, Mesut / Altın, Remzi / Cımrın, Arif Hikmet

Tuberkuloz ve toraks

2010 Volume 58, Issue 3, Page(s) 252–260

Abstract: In Turkey, bituminous coal mining is performed only in Zonguldak coal basin since 1940. Pneumoconiosis surveillance programs and dust control measures are in effect, but published pneumoconiosis data from this area is lacking. In this study, we aimed to ... ...

Abstract	In Turkey, bituminous coal mining is performed only in Zonguldak coal basin since 1940. Pneumoconiosis surveillance programs and dust control measures are in effect, but published pneumoconiosis data from this area is lacking. In this study, we aimed to evaluate the change in prevalence and case detection between 1985 and 2004 and assess the correlation between the dust concentration in workplaces and the prevalence of pneumoconiosis. Data on respirable dust concentrations and number of workers diagnosed as pneumoconiosis between 1985 and 2004 were obtained from Turkish Coal Enterprises authorities. Mean respirable dust concentrations in workplaces underground and on the ground were 1.66 mg/m(3) and 0.73 mg/m(3) respectively. Total number of workers decreased from 38.231 in 1985 to 12.261 in 2004 including 8932 underground workers. In this period, pneumoconiosis has not been reported in the ground workers. Incidence of pneumoconiosis ranged between 0.17-2.8 percent and prevalence ranged between 1.23-6.23 percent between 1985 and 2004. Radiologic opacities compatible with pneumoconiosis were predominantly small opacities. This is the first report about the incidence and prevalence rate of coal worker's pneumoconiosis in the main coal mining area of Turkey. Dust measurement and screening standards should be improved and adapted to international standards and we conclude that surveillance data should be closely monitored in this region and further epidemiologic studies in this area are warranted.
MeSH term(s)	Adult ; Anthracosis/diagnosis ; Anthracosis/epidemiology ; Anthracosis/etiology ; Coal Mining ; Dust/analysis ; Humans ; Inhalation Exposure ; Male ; Occupational Diseases/diagnosis ; Occupational Diseases/epidemiology ; Occupational Exposure/analysis ; Prevalence ; Turkey/epidemiology ; Young Adult
Chemical Substances	Dust
Language	English
Publishing date	2010
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2468802-2
ISSN	0494-1373
ISSN	0494-1373
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Article: Kronik obstrüktif akciğer hastalığında mortalite ve mortaliteyi etkileyen faktörler.

Tertemiz, Kemal Can / Kömüs, Nuray / Ellidokuz, Hülya / Sevinç, Can / Cımrın, Arif Hikmet

Tuberkuloz ve toraks

2012 Volume 60, Issue 2, Page(s) 114–122

Abstract: Introduction: Chronic obstructive pulmonary disease (COPD) is one of the major causes of mortality and morbidity in the world. Mortality rates vary between 15-54% in investigations. There is a limited number of studies evaluating factors associated with ...

Title translation	Mortality and factors affecting mortality in chronic obstructive pulmonary disease.
Abstract	Introduction: Chronic obstructive pulmonary disease (COPD) is one of the major causes of mortality and morbidity in the world. Mortality rates vary between 15-54% in investigations. There is a limited number of studies evaluating factors associated with mortality and morbidity in our country. The aim of this study is to detect the mortality rate and to investigate the factors affecting mortality. Patients and methods: 427 patients with COPD between July 2004-November 2005 were evaluated. Results: Mortality rate was found to be 17.3% at the end of four years. Deaths were most frequently due to pulmonary causes and secondly cardiac factors. Deaths due to lung cancer were 31%. Age, amount of smoking, COPD stage, FEV1 (L), FEV1% predicted, FVC (L), FVC% predicted, FEV1/FVC, PEF (L/sn), PEF% predicted, FEF25-75 (L) and FEF25-75% predicted values, presence of comorbid diseases, Modified Borg Scale and dyspnea severity according to MMRC, six minutes walking test and oxygen saturation following the test, BODE index, SF-36 quality of life questionnaire, physical function, physical role, emotional role and energy scores parameters and all parameters of SGRQ questionnaire were found to be significantly associated with mortality. Conclusion: COPD is a disease with high mortality and is one of the problems related with the public health. In the follow up of COPD, the usage of other measures like exercise capacity and quality of life besides spirometric measures should be encouraged. To make the patients and cases in the risky group conscious of their disease is important since the risk factors are preventable. This method may also contribute to the prevention of comorbid diseases.
MeSH term(s)	Adult ; Age Factors ; Aged ; Aged, 80 and over ; Female ; Forced Expiratory Flow Rates ; Forced Expiratory Volume ; Humans ; Lung Neoplasms/complications ; Lung Neoplasms/mortality ; Male ; Middle Aged ; Oxygen Consumption ; Pulmonary Disease, Chronic Obstructive/complications ; Pulmonary Disease, Chronic Obstructive/mortality ; Pulmonary Disease, Chronic Obstructive/psychology ; Quality of Life ; Respiratory Function Tests ; Risk Factors ; Severity of Illness Index ; Smoking/adverse effects ; Smoking/mortality ; Turkey/epidemiology ; Walking/physiology
Language	Turkish
Publishing date	2012-07-09
Publishing country	Turkey
Document type	English Abstract ; Journal Article
ZDB-ID	2468802-2
ISSN	0494-1373
ISSN	0494-1373
DOI	10.5578/tt.2889
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Article: The role of molds in the relation between indoor environment and atopy in asthma patients.

Ceylan, Emel / Doruk, Sibel / Genc, Sebahat / Ozkutuk, Ayşe Aydan / Karadag, Fisun / Ergor, Gul / Itil, Bahriye Oya / Cımrın, Arif Hikmet

Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences

2014 Volume 18, Issue 12, Page(s) 1067–1073

Abstract: Background: The effect of mold fungi to allergic sensitization is not well-known. We aimed to evaluate the role of molds in the relation between indoor environment and atopy in asthmatics.: Materials and methods: The air samples obtained from 66 ... ...

Abstract	Background: The effect of mold fungi to allergic sensitization is not well-known. We aimed to evaluate the role of molds in the relation between indoor environment and atopy in asthmatics. Materials and methods: The air samples obtained from 66 stable asthmatics and 35 control subject's houses were sprayed into Sabouraud dextrose agar. Allergy skin testing were performed in both groups. The temperature and humidity of each house were measured. Results: The incidence of atopy was similar in cases (59.1%) and controls (51.4%). The average amount of mold was 35.9 CFU/m(3) and 34.3 CFU/m(3), respectively. The number of household residents was positively correlated with the amount of molds. There was no difference in the amount of mold with respect to dosage of inhaler corticosteroids as well as symptom levels in asthmatics. The most frequently encountered allergens were Dermatophagoides farinae/Dermatophagoides pteronyssinus, grass/weeds and molds. Spending childhood in a village was more common among atopics. Conclusion: Living environment during the childhood might affect atopy and asthma. Based on the identification of molds as the second most frequent allergen after mites in our study population, assessment of mold sensitization as well as in forming patients about ways to avoid them seem likely to contribute to the effective management of uncontrolled asthma.
Language	English
Publishing date	2014-01-09
Publishing country	India
Document type	Journal Article
ZDB-ID	2513029-8
ISSN	1735-7136 ; 1735-1995
ISSN (online)	1735-7136
ISSN	1735-1995
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