Displaying publications 301 - 320 of 4696 in total

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  1. Sreeramareddy CT, Manoharan A
    Nicotine Tob Res, 2022 Jun 15;24(7):1095-1103.
    PMID: 35596725 DOI: 10.1093/ntr/ntab269
    INTRODUCTION: E-cigarette (EC) use is seldom reported from low- and middle-income countries (LMICs). We report the prevalence of "awareness" about EC, its use, and distribution of EC use by sociodemographic factors and cigarette smoking (CS) status.

    AIMS AND METHODS: We analyzed Global Adult Tobacco Survey data in Bangladesh, China, Costa Rica, Ethiopia, India, Kazakhstan, Mexico, Philippines, Romania, Russia, Senegal, Ukraine, Turkey, Uruguay, and Viet Nam during 2014-2018. The weighted prevalence of "awareness" (heard about), "ever" (even once), and "current" (daily/nondaily) EC use among never, current, and former cigarette smokers and quit ratios (past smokers/ever smokers) was estimated. Association of EC use with sociodemographic, and CS, was explored by multilevel regression.

    RESULTS: Overall, prevalence of "awareness," "ever," and "current" ECs use was 19.3% (95% confidence interval [CI] 27.4, 31.1), 2.6% (95% CI 2.4, 2.8), and 0.7% (95% CI 0.6, 0.8), respectively. In most countries, "ever use" <10%, and "current use" was about 1% except Romania (4.4%) and Russia (3.5%). "Current use" was 0.1%, 2.9%, and 3.1% among never, current, and former smokers, respectively. "Current" and "ever" EC use was higher among current and former than never smokers (2.8% and 3.1% vs. 0.1%; 9.9% and 10.9% vs. 0.7%), respectively. Current EC use was associated with male sex, urban residence and younger age, higher education, and wealth. "Quit attempts" (aOR 1.3, 95% CI 1.2, 1.5) and cigarettes smoked per day (aOR 1.6, 95% CI 1.4, 1.9) were associated with "ever use."

    CONCLUSIONS: EC use was low in most countries. "Dual use" was common among current smokers and the quit ratio was higher among ECs users.

    IMPLICATIONS: EC use is increasing in high-income countries (HICs) where regulations on ECs are usually permissive. Evidence on the individual- or population-level impact of ECs on CS cessation is inconclusive. Little is known about the prevalence of EC use in LMICs where regulations are nonexistent or less restrictive. Studying the distribution of EC use rates by population subgroups, CS status, and quit ratios for CS among EC users will assist the formulation of EC regulatory policies. We provide comparable nationally representative prevalence estimates of "awareness" about and, use of ECs to serve as a benchmark for future monitoring. EC use was associated with the attempt to quit CS and smoking >10 cigarettes per day. However, "dual use" was common, and the quit ratio for CS was higher among EC users. EC use was very low relative to HICs. Nevertheless, comprehensive EC regulatory policies should be implemented to prevent the escalation of EC use by targeting population subgroups such as young adults, educated and wealthier individuals.

    Matched MeSH terms: Young Adult
  2. Zahiri N, Abollahi I, Nabavi SM, Ehsani F, Arab AM, Shaw I, et al.
    Malays J Med Sci, 2017 Mar;24(1):69-80.
    PMID: 28381930 DOI: 10.21315/mjms2017.24.1.8
    BACKGROUND: Multiple sclerosis (MS) is the most widespread disabling neurological condition in young adults around the world. The purpose of this study was to investigate the impact of explicit information (EI) on motor-sequence learning in MS patients.

    METHODS: Thirty patients with relapsing-remitting MS (RRMS), age: 29.5 (SD = 5.6) years and 30 healthy gender-, age-, and education-matched control group participants, age: 28.8 (SD = 6.0) years, were recruited for this study. The participants in the healthy group were then randomly assigned into an EI (n = 15) group and a no-EI (n = 15) group. Similarly, the participants in the control group were then randomly assigned into EI (n = 15) and no-EI (n = 15) groups. The participants performed a serial reaction time (SRT) task and reaction times. A retention test was performed after 48 hours.

    RESULTS: All participants reduced their reaction times across acquisition (MS group: 46.4 (SD = 3.3) minutes, P < 0.001, and healthy group: 39.4 (SD = 3.3) minutes, P < 0.001). The findings for the within-participants effect of repeated measures of time were significant (F(5.06, 283.7) = 71.33. P < 0.001). These results indicate that the interaction between group and time was significant (F(5.06, 283.7) = 6.44. P < 0.001), which indicated that the reaction time in both groups was significantly changed between the MS and healthy groups across times (B1 to B10). The main effect of the group (MS and healthy) (F(1, 56) = 22.78. P < 0.001) and also the main effect of no-EI vs EI (F(1, 56) = 4.71. P < 0.001) were significant.

    CONCLUSION: This study demonstrated that that RRMS patients are capable of learning new skills, but the provision of EI prior to physical practice is deleterious to implicit learning. It is sufficient to educate MS patients on the aim and general content of the training and only to provide feedback at the end of the rehabilitative session.

    Matched MeSH terms: Young Adult
  3. Konter E, Kueh YC, Kuan G
    Malays J Med Sci, 2020 Jul;27(4):85-96.
    PMID: 32863748 MyJurnal DOI: 10.21315/mjms2020.27.4.8
    Background: The nature of the relationship between passion and courage and its influence on soccer performance has yet to be revealed. Thus, the purpose of this study was to examine passion attributes (i.e. harmonious and obsessive inclinations) among male soccer players in relation to the level of courageous characteristics (i.e. mastery, determination, assertiveness, venturesome and sacrificial behaviour), other demographic and player characteristics.

    Methods: Data were collected from 278 male soccer players aged 13-38 years (mean [M] = 17.42 ± 4.36) with the number of competitive soccer experiences ranging from 1-28 years (M = 7.51 ± 4.23 years). Participants had at least a year of experience in the sport of soccer completed the validated passion scale, sports courage scale and demographic form.

    Results: Analyses revealed that soccer players with higher levels of total courage (P < 0.001), have more experience in soccer (P = 0.011), and their soccer level being professional (P < 0.001) had a significantly higher score in harmonious passion. There was no significant difference in obsessive passion among different level of total courage (P = 0.154). However, soccer players with more experience (P = 0.011) and higher soccer level being professional (P < 0.001) demonstrated a significant higher score in obsessive passion.

    Conclusion: In conclusion, soccer players with higher harmonious and obsessive passionate attributes had higher courage (except for mastery). In addition, the courageous and passionate traits of the soccer players played meaningful roles in indicating individual and performance variables.

    Matched MeSH terms: Young Adult
  4. Rahman AA, Ibrahim MI, Rahman RA, Arifin WN, Ahmad M
    Malays J Med Sci, 2020 Mar;27(2):129-150.
    PMID: 32788849 MyJurnal DOI: 10.21315/mjms2020.27.2.14
    Background: The aim of the study is to develop and validate the Malay version of the questionnaire assessing the extent of pornography exposure (PORQUE) among youth in Kelantan.

    Methods: 'Youth' was defined as a person aged between 15 and 24 years, while 'pornography' refers to any material that depicts sexual activity or erotic behaviour. The development phase consisted of a literature review, an expert panel review, face validation and a pre-test. Fifty college students from a randomly selected higher learning institutions were invited to participate in the pilot test, whereas 150 and 198 different students from the same institutions participated in exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), respectively.

    Results: EFA suggested a five-factor solution with factor loadings ranging from 0.449 to 0.891 and a Cronbach's alpha ranging from 0.904 to 0.966. The CFA of the attitude questions also proved a good fitting model with good fit indices: comparative fit index (CFI) robust = 0.907; Tucker-Lewis fit index (TLI) robust = 0.901; root mean square error of approximation (RMSEA) robust = 0.073; standardised root mean square residual (SRMR) = 0.060. The factor loadings ranged from 0.544 to 0.906, whereas the Raykov's rho ranged from 0.886 - 0.974.

    Conclusion: Based on EFA and CFA, the attitude sections of the newly developed Malay version of the PORQUE were found to be psychometrically valid.

    Matched MeSH terms: Young Adult
  5. Wong SL, Ibrahim ZA
    Malays J Med Sci, 2010 Jan;17(1):52-5.
    PMID: 22135527 MyJurnal
    Laryngeal amyloidosis is a rare cause of stridor in a healthy young adult. We report a case of localised laryngeal amyloidosis, including our MRI findings, which included a necrotic centre that has not previously been described. This case also highlights the need for a high index of clinical suspicion to achieve the correct histopathological interpretation.
    Matched MeSH terms: Young Adult
  6. Nayak MT, Nayak A
    Malays J Med Sci, 2015 Nov;22(6):63-66.
    PMID: 28223888
    External root resorption (ERR) is an irreversible loss of external tooth structure. Its etiology is multifactorial, but in many aspects remain unclear. Periapical inflammation sustained by infection can cause apical root resorption in permanent teeth. The infection may be asymptomatic for many years, although it is rarely misdiagnosed. Treatment of such lesions should include use of intracanal medicaments for complete debridement of the microbes. Here, we present a case of 21-year-old male patient who presented with external inflammatory root resorption.
    Matched MeSH terms: Young Adult
  7. Akinshipo AW, Sivaramakrishnan G, Enwuchola J, Effiom O, Adeoye J, Ramanathan A, et al.
    Head Neck Pathol, 2025 Jan 07;19(1):2.
    PMID: 39776309 DOI: 10.1007/s12105-024-01739-x
    OBJECTIVE: To analyze the frequency, clinical, histopathological, and radiological characteristics of ameloblastoma in Nigeria over the course of two decades.

    STUDY DESIGN: A retrospective analysis was conducted on 371 cases at a Nigerian university hospital between 2000 and 2023. Age, gender, site, histological variants, tumor size and duration were analyzed. Statistical analyses included the Shapiro-Wilk test, Mann-Whitney U test, Chi-square test, and Spearman rank correlation analysis.

    RESULTS: The median patient age was 30 years (mean age 32.2), with a male-to-female ratio of 1.12:1. 54.7% of cases occurred in young adults (age range 20-39 years). Among the lesions, 11.3% were in the maxilla and 88.7% in the mandible. Patients with mandibular lesions had a median age of 29 years, while those with maxillary lesions had a statistically significantly higher median age of 37.5 years p-value = 0.001. Median tumor size was 36 cm2 for the mandible and 24 cm2 for the maxilla (significant p-value of 0.002). There was no correlation between tumor size, age, or gender. However, there was a significant correlation between tumor size and the duration of the condition.

    CONCLUSION: The study concludes that ameloblastoma is more frequent among younger individuals in Nigeria and often presents with larger tumor sizes, emphasizing the need for early detection and intervention.

    Matched MeSH terms: Young Adult
  8. Kataria K, Venkatesh M, Chumber S, Rathore Y, Srivastava A, Dhar A, et al.
    Malays J Med Sci, 2021 Feb;28(1):51-58.
    PMID: 33679220 DOI: 10.21315/mjms2021.28.1.7
    Background: Lipomas are benign adipocytic tumours. Surgical excision is the gold standard for treating such lipomas, but it results in unaesthetic scarring.

    Methods: A total of 126 patients were randomised into two groups. The patients in Group A underwent mesotherapy (n = 66) and those in Group B underwent surgery (n = 60). The patients in Group A group received six sessions of mesotherapy treatment at 2-week intervals. Both groups were followed up for 12 weeks, during which they were assessed for complications arising from treatment, reduction of the size of the lipoma and cosmetic outcomes.

    Results: The overall mean age of the patients was 32.93 (± 10.1) years old and the mean volume of the lipomas was 2.29 (± 3.8) mL. A 55.86% (P = 0.0032) mean reduction in the volume of lipomas was noted in the patients who received mesotherapy, while one patient showed a gain of 16% by volume. The patients in Group A (cosmetic score ≥ 4: 63%) were happier with the treatment than those in Group B (cosmetic score ≥ 4: 21%).

    Conclusion: Our findings indicate that mesotherapy modestly reduces the volume of lipomas with very few and minor complications and excellent cosmetic outcomes.

    Matched MeSH terms: Young Adult
  9. Ishak MH, Jeffrey MJ, Ramli R, Abd Kadir NJ
    BMJ Case Rep, 2024 Dec 11;17(12).
    PMID: 39663129 DOI: 10.1136/bcr-2024-263125
    A woman in her early 20s presented with a huge pedunculated tumour of the vulva which had progressively increased in size over the course of 10 years. Clinical examination revealed a pedunculated solid mass arising from the right labia majora measuring 15×15 cm. CT scan showed a multilobulated mass arising from the right round ligament suggestive of an extrauterine fibroid. Tumour excision, vulvoplasty and inguinal repair were performed, and histopathological examination confirmed fibroid of lipoleiomyoma variant. This article reports a rare case of round ligament fibroid presenting as a huge pedunculated vulvar tumour.
    Matched MeSH terms: Young Adult
  10. Chua EW, Karunanathie H, Yanasegaran K, Maggo S, Kee PS, Kennedy M, et al.
    BMC Res Notes, 2025 Feb 27;18(1):88.
    PMID: 40016731 DOI: 10.1186/s13104-025-07156-9
    OBJECTIVE: CYP2D6 activity has been inconsistently associated with anxious and depressive personality traits. The inconsistency may stem from limitations of targeted genotyping, employed in most previous studies, leading to undetected errors in metabolic classification. Using a nanopore sequencing-based method, we comprehensively genotyped CYP2D6 alleles in a small cohort of 96 Malaysians and re-examined the relationship between CYP2D6 activity and susceptibility to anxiety and depression.

    RESULTS: In keeping with prior studies, CYP2D6*10 was found to be the most common defective allele. Nearly half of the (48.5%) participants were classified as intermediate and poor metabolizers. Linear regression analysis suggested that impaired CYP2D6 activity could be a predictor of anxiety and depression, consistent with the putative role of CYP2D6 in the synthesis of serotonin and dopamine, the mood-boosting neurotransmitters. We hope this brief report will prompt larger-scale studies to further elucidate the contribution of CYP2D6 to the genetic underpinnings of mental well-being.

    Matched MeSH terms: Young Adult
  11. Yang W, Duan Y, Liao Z
    BMC Psychol, 2025 Feb 27;13(1):168.
    PMID: 40016851 DOI: 10.1186/s40359-025-02515-4
    PURPOSE: This study aims to explore the specific psychological mechanisms of female victims coping with gender bias in bystander intervention (Study 1) and bystander neglect (Study 2), as well as the influence of bystander gender.

    METHODOLOGY: Two experiments recruited 208 participants who, after watching a first-person video of their experience of gender prejudice, filled out questionnaires measuring emotions, feelings of power, evaluation of the perpetrator and willingness to confront. A moderated mediation model was set up, and the bootstrapping method were applied.

    FINDINGS: We found that the victim's feeling of power significantly mediated the relationship between anger and confrontation intention in bystander intervention. The victim's negative evaluation of the perpetrator significantly mediated between anger and confrontation intention in bystander neglect. Notably, both mediation models could be constructed only when the bystander was male rather than female.

    IMPLICATIONS: This study has important implications for gender bias. The results reveal the psychological mechanism of victims coping with gender bias, and call for groups of all genders to join in the anti-gender bias alliance.

    Matched MeSH terms: Young Adult
  12. Zhou X, Goh YS
    PLoS One, 2025;20(2):e0319285.
    PMID: 39992994 DOI: 10.1371/journal.pone.0319285
    This study investigates the effectiveness of Seamless Chinese Vocabulary Learning (SCVL) among international students learning Chinese as a Foreign Language (CFL) to foster vocabulary knowledge building. A new theoretical framework of SCVL was introduced and validated to guide this exploration. The research involved 32 international students enrolled in a Chinese university. Data collection included Chinese Lexical Frequency Profile (LFP) were at HSK Level 4, a SCVL questionnaire, and semi-structured interviews. The findings indicate that SCVL significantly enhances students' HSK Level 4 vocabulary learning and retention across diverse performance groups over time, while also providing a positive and engaging learning experience. SCVL creates an authentic and repetition-enabled learning context, fostering higher levels of interaction and multi-modal, immediate, and learner-friendly scaffolding. Moreover, the study reveals that SCVL motivates students to actively participate in vocabulary acquisition, despite facing certain challenges. By incorporating the SCVL framework, language instructors can enhance their pedagogical practices and promote sustainable language learning outcomes. Future research is recommended to include a broader range of learners with diverse backgrounds and language proficiency levels, as well as to compare seamless learning with traditional learning approaches. Additionally, exploring CFL teachers' perceptions of SCVL would be valuable to further understand its impact on language instruction.
    Matched MeSH terms: Young Adult
  13. Iyadorai T, Wong PL, Sii HL, P'ng CK, Ee SS, Tan MP, et al.
    J Med Virol, 2025 Mar;97(3):e70281.
    PMID: 40022583 DOI: 10.1002/jmv.70281
    Rhinovirus (RV), classified into RV-A, RV-B, and RV-C, is a prevalent cause of respiratory tract infections (RTIs). Here, we analysed RV infection and its clinical implications among outpatients with acute upper RTIs. Demographic data, baseline comorbidities, clinical symptoms, and health outcomes of RV-infected patients (n = 849) were compared with influenza (n = 417). Multivariable logistic regression was employed to evaluate predictors and health outcomes over a 1-year follow-up period. RV infections predominantly presented with cough, nasal discharge, and sore throat, whereas fever was more prevalent in influenza cases. RV-C-infected individuals with diabetes mellitus (adjusted odds ratio [aOR] 3.6; 95% CI 1.7-7.2; p = 0.001) and asthma (aOR 1.9; 95% CI 1.0-3.5; p = 0.047) showed a higher likelihood of experiencing severe acute respiratory symptoms. RV-C patients with comorbidities were twice more likely to have primary care visits due to RTIs within 1 year (aOR 2.4; 95% CI 1.4-4.4; p = 0.003). Asthma (aOR 3.8; 95% CI 1.9-7.2; p 
    Matched MeSH terms: Young Adult
  14. Hasani A, Moghavvemi S, Hamzah A
    PLoS One, 2016;11(6):e0157624.
    PMID: 27341569 DOI: 10.1371/journal.pone.0157624
    In many countries, especially one such as Malaysia, tourism has become a key factor in economic development, and the industry heavily relies on feedback from local residents. It is essential to observe and examine the perceptions of residents towards tourists and tourism development for better planning in realizing successful and sustainable tourism development. Therefore, this research measured the relationship between residents' welcoming nature, emotional closeness, and sympathetic understanding (emotional solidarity) towards tourists and their respective attitudes towards supporting tourism development. To test the proposed research model, we collected data using a questionnaire survey from 333 residents in rural areas in Malaysia. We used the structural equation modelling technique (Amos) to evaluate the research model, and the results revealed that the residents' willingness (welcoming nature) to accept tourists is the strongest factor that effects the residents' attitudes towards supporting tourism development. However, there was no significant relationship between residents' emotional closeness and their sympathetic understanding towards tourists with their attitude and support towards tourism development. Welcoming nature, emotional closeness, and sympathetic understanding are able to predict 48% of residents' attitudes towards tourism development and 62% of their support towards tourism development.
    Matched MeSH terms: Young Adult
  15. Chow TK, Looi LM, Cheah PL
    Malays J Pathol, 2015 Dec;37(3):239-46.
    PMID: 26712669
    BACKGROUND: In the past, lupus nephritis was histologically classified according to the 1995 WHO Classification. With the introduction of the 2003 ISN/RPS Classification, many nephropathology services converted to this new classification. This study was undertaken to compare both classification systems in a single centre practice.
    METHODS: 103 consecutive adequate renal biopsies initially reported as lupus nephritis in the Department of Pathology, Faculty of Medicine, University of Malaya were reassessed using the criteria of both the 1995 WHO Classification and the 2003 ISN/ RPS Classification.
    RESULTS: The relative prevalence for each class using the WHO Classification were: Class I (1%), Class II (8.7%), Class III (6.8%), Class IV (60.2%), Class V (20.4%), Class VI (2.9%) while the prevalence using the 2003 ISN/RPS Classification were: Class I (1%), Class II (8.7%), Class III (6.8%), Class IV (61.2%), Class V (21.3%), Class VI (1%). Both classifications were essentially comparable with regards to Classes I, II and III. The differences in Classes IV, V and VI were significant in potential to alter patient management. The identification of segmental lesions (Class IV-S) over and above a global nephritis (Class IV-G) deserves more focused clinicopathological studies to gauge whether these groups have different clinical manifestations and outcomes. With regards Class V, the ISN/RPS system, by requiring that all mixed classes be stipulated in the diagnostic line, minimizes the chances of patients missing out on additional treatment. The ISN/ RPS system has stricter criteria for Class VI, which again minimizes patients missing out on therapy. On the whole, the ISN/RPS system is more user-friendly as criteria are more clearly defined which translates to more benefits to patient care.
    Study site: Department of Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
    Matched MeSH terms: Young Adult
  16. De Pretto L, Acreman S, Ashfold MJ, Mohankumar SK, Campos-Arceiz A
    PLoS One, 2015;10(12):e0143655.
    PMID: 26646896 DOI: 10.1371/journal.pone.0143655
    Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surveyed in an inner-city shopping mall. Across the whole sample, people who possessed more factual information about the haze phenomenon showed significantly higher levels of concern. Duathletes were more knowledgeable than non-duathletes and also more concerned about the negative effects of haze, especially on health. For all people who regularly practice outdoor sports (including people interviewed at the shopping mall), higher levels of knowledge and concerned attitudes translated into a greater likelihood of engaging in protective practices, such as cancelling their outdoor training sessions, while those with greater knowledge were more likely to check the relevant air pollution index on a daily basis. Our results indicate that the provision of accurate and timely information about air quality to residents will translate into beneficial practices, at least among particularly exposed individuals, such as amateur athletes who regularly practice outdoor sports.
    Matched MeSH terms: Young Adult
  17. Sheppard E, Pillai D, Wong GT, Ropar D, Mitchell P
    J Autism Dev Disord, 2016 Apr;46(4):1247-54.
    PMID: 26603886 DOI: 10.1007/s10803-015-2662-8
    How well can neurotypical adults' interpret mental states in people with ASD? 'Targets' (ASD and neurotypical) reactions to four events were video-recorded then shown to neurotypical participants whose task was to identify which event the target had experienced. In study 1 participants were more successful for neurotypical than ASD targets. In study 2, participants rated ASD targets equally expressive as neurotypical targets for three of the events, while in study 3 participants gave different verbal descriptions of the reactions of ASD and neurotypical targets. It thus seems people with ASD react differently but not less expressively to events. Because neurotypicals are ineffective in interpreting the behaviour of those with ASD, this could contribute to the social difficulties in ASD.
    Matched MeSH terms: Young Adult
  18. Manmohan S, Dzulkarnain A, Nor Azlin ZA, Fazir M
    Malays Fam Physician, 2015;10(2):55-8.
    PMID: 27099663
    Bertolotti's syndrome must be considered as a differential diagnosis for lower back pain in young people. Treatment, whether conservative or operative, is still debatable. In this paper, we report a case of a 20-year-old girl presenting with lower back pain for 8 years. We administered injection with local anaesthetic and steroid injections within the pseudo-articulation; however, the pain was relieved for 3 weeks. Surgical excision of the pseudo-articulation successfully treated her back pain and the sciatica.
    Matched MeSH terms: Young Adult
  19. Obaidellah UH, Cheng PC
    Percept Mot Skills, 2015 Apr;120(2):535-55.
    PMID: 25706345 DOI: 10.2466/24.PMS.120v17x6
    The study investigated the effects of chunking and perceptual patterns that guide the drawings of Rey complex figure. Ten adult participants (M age=22.2 yr., SD=4.1) reproduced a single stimulus in four drawing modes including delayed recall, tracing, copying, and immediate recall across 10 sessions producing a total of 400 trials. It was hypothesized that the effect of chunking is most obvious in the free recall tasks than in the tracing or copying tasks. Measures such as pauses, patterns of drawings, and transitions among patterns of drawings suggested that participants used chunking to aid rapid learning of the diagram. The analysis of the participants' sequence of chunk production further revealed that they used a spatial schema to organize the chunks. Findings from this study provide additional evidence to support prior studies that claim graphical information is hierarchically organized.
    Matched MeSH terms: Young Adult
  20. Ling HN
    Lepr Rev, 2014 Dec;85(4):332-5.
    PMID: 25675658
    Matched MeSH terms: Young Adult
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