Displaying publications 81 - 100 of 230 in total

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  1. Kay, Sin Tan, Navarro, Jose C, Ka, Sing Wong, Yi, Ning Huang, Hou, Chang Chiu, Poungvarin, Niphon, et al.
    Neurology Asia, 2014;19(2):117-127.
    MyJurnal
    Background and Objective: There is a lack of international collaborative studies on young adults with ischaemic stroke in Asia. The aim of this study was to investigate risk factors, aetiology and outcome at hospital discharge of these patients across 8 participating countries in Asia. Methods: This was a prospective, observational, multicentre, hospital based cohort study. Consecutive young stroke patients with confirmed cerebral infarction between the ages of 18-49 were recruited from December 2011 to May 2012. Data was collected for patient demography, risk factors, investigations, clinical profile and TOAST classification. Outcome measures were death and independence (modified Rankin score≤ 2) at hospital discharge. Results: Two hundred and eighteen patients with the mean age was 40.8±6.7 years were recruited. There was a larger proportion of male patients with a ratio of 1.9:1. Traditional risk factors observed were hypertension (n=103; 47.3%), dyslipidaemia (n=93; 42.4%), smoking (n=85; 38.8%), diabetes (n=53; 24.3%), alcohol use (n=33; 15.0%), a previous history of stroke and transient ischaemic attacks (6.4%), family history (n=12; 5.5%), migraine (n=6;2.8%), pregnancy related (n=5; 2.3%) and numerous cardiac risk factors (0.9-5.5%). The majority suffered arterial infarction; n=216 (99.4%) while n=2 (0.6%) had venous strokes. The predominant stroke subtypes were large artery atherosclerosis (LAA); 29.8% and small vessel occlusion (SVO); 20.2%. LAA and SVO accounted for 37.5% of all stroke subtypes in the ≤36 year age-group. Cardioembolism (15.1%) and stroke of determined aetiology (14.7%) contributed to the other categories of identified stroke subtypes. Mortality on hospital discharge was 3.1% while 65.1% of patients were independent on discharge. Conclusion: This study demonstrated the substantial presence of premature atherosclerosis and conventional risk factors in young ischaemic stroke patients from 8 Asian cities. Venous infarction from cerebral venous thrombosis was rare in this study. Outcome on hospital discharge was poorer compared to Western studies. Detection of vascular risk factors and primary prevention measures should be initiated during late adolescence or early adulthood in urban Asia.
    Matched MeSH terms: Cities
  2. Ruth Sabrina, S., Nik Azlan, N.M., Adi, O.
    Medicine & Health, 2013;8(1):28-32.
    MyJurnal
    Urban cities are synonym with a high incidence of penetrating chest injuries either from accidents or interpersonal violence. The outcome of penetrating chest wound can vary from immediate death to a prolonged morbidity. We here report a case of 39-year-gentleman who presented to Emergency Department Hospital Raja Permaisuri Bainun, Ipoh, Perak after being stabbed to the chest. His anterior penetrating chest wound was located at the 5th intercostal space medial to the midclavicular line. The stab wound penetrated the myocardium, causing minimal myocardial rupture. He also suffered from left haemothorax and hemopericardium. The haemothorax was drained with insertion of 32 French chest tube. The patient was admitted under the cardiothoracic team and discharged five days later without surgical intervention. He presented again to the Emergency Department with complains of shortness of breath and pleuritic pain. A left ventricular thrombus was detected via echocardiography. Unfortunately, he took his own discharge. Five days later he came again to Emergency Department with sporadic of loss of vision. The mural thrombus dislodged and embolized to the retinal artery causing amaurosis fugax. The patient was treated with aspirin 150mg and his symptoms subsequently resolved.
    Matched MeSH terms: Cities
  3. Junaid Tahir M, Rizwan Siddiqi A, Ullah I, Ahmed A, Dujaili J, Saqlain M
    PMID: 33816368 DOI: 10.47176/mjiri.34.169
    Pakistan has recently been overwhelmed by extreme torrential rains, with its most populous city of Karachi experiencing its worst floods in almost a century. Poor flood control and water disposal facilities have led to an immense risk of another dengue outbreak, with multiple cases being reported recently. The enormous accumulation of stagnant water in urban areas is a major source of mosquito breeding and transmission. Historical data has shown the correlation between the number of dengue cases and average rainfall in the region. The monsoon rains have pounded at a time where health authorities are battling to contain the Coronavirus (COVID-19) pandemic. There is a need to implement centralized dengue control strategies to undertake large scale water drainage, sanitation, and disinfection drives in disaster-stricken areas alongside public health awareness programs to combat the after-effects of this natural calamity.
    Matched MeSH terms: Cities
  4. Heery EC, Hoeksema BW, Browne NK, Reimer JD, Ang PO, Huang D, et al.
    Mar Pollut Bull, 2018 Oct;135:654-681.
    PMID: 30301085 DOI: 10.1016/j.marpolbul.2018.07.041
    Given predicted increases in urbanization in tropical and subtropical regions, understanding the processes shaping urban coral reefs may be essential for anticipating future conservation challenges. We used a case study approach to identify unifying patterns of urban coral reefs and clarify the effects of urbanization on hard coral assemblages. Data were compiled from 11 cities throughout East and Southeast Asia, with particular focus on Singapore, Jakarta, Hong Kong, and Naha (Okinawa). Our review highlights several key characteristics of urban coral reefs, including "reef compression" (a decline in bathymetric range with increasing turbidity and decreasing water clarity over time and relative to shore), dominance by domed coral growth forms and low reef complexity, variable city-specific inshore-offshore gradients, early declines in coral cover with recent fluctuating periods of acute impacts and rapid recovery, and colonization of urban infrastructure by hard corals. We present hypotheses for urban reef community dynamics and discuss potential of ecological engineering for corals in urban areas.
    Matched MeSH terms: Cities
  5. Saad-Ilyas M, Zehra U, Khan UU, Mohammad I, Muhammad R, Aziz A
    Malays Orthop J, 2021 Mar;15(1):72-78.
    PMID: 33880151 DOI: 10.5704/MOJ.2103.011
    Introduction: The study aimed to target the current practices of the orthopaedic community in outpatient (OPD), emergency (ER) and surgical services (OT) during COVID-19.

    Material and method: This study surveyed 303 orthopaedic surgeons from all over Pakistan. The survey had 30 questions targeting the setup of outpatient, emergency and operation services in orthopaedic departments of different hospitals in Pakistan.

    Result: A total of 302 surgeons were included from 53 cities all over Pakistan. Between 35-48% of the respondents reported lack of availability of standard operating procedures in OPD, ER and in OT. Majority of the respondents noted that their OPD and surgical practice had been affected to some degree and 69% of the surgeons were only doing trauma surgery. This trend was higher in younger consultants of less than 45 years of age (p<0.001). Almost two-third of the surgeons, mostly senior (p=0.03) were using surgical masks as the only protective measure during various practices of OPD, ER and OT, while most of the setups were not assessing patients even for signs and symptoms of COVID. Almost 89% of the orthopaedic community is facing definite to mild stress during this pandemic and this has significantly affected the senior surgeons (p=0.01).

    Conclusion: Our study highlighted that COVID-19 has resulted in marked changes to the practices of the majority of Pakistani orthopaedic surgeons. Despite a sharp upsurge in the number of cases and mortality due to COVID-19, guidelines were still lacking at most of the settings and a substantial percentage of the orthopaedic community were not following adequate safety measures while attending to patients.

    Matched MeSH terms: Cities
  6. Lee, Yi Yi, Narimah Samat, Wan Manan Wan Muda
    Malays J Nutr, 2017;23(3):397-408.
    MyJurnal
    Introduction: Physical activity has been shown to be beneficial for the prevention of
    obesity and non-communicable diseases. Our contemporary way of life that is technology
    dependent has significantly reduced physical activity. This study aimed to determine
    accelerometer-measured physical activity (moderate-to-vigorous physical activity (MVPA))
    among adults in high and low walkability neighbourhoods in Penang and Kota Bharu,
    Malaysia.

    Methods: Participants (n=490) were sampled using multistage sampling method
    from neighbourhoods with varied levels of walkability using Geographical Information
    System (GIS). Physical activity was measured objectively using Actigraph GT3X+
    accelerometers, worn by the participants on their waists for a period of 5 to 7 days.

    Results:
    The participants had a mean of 13.5 min/day of MVPA. Total MVPA was significantly
    higher among participants in high walkability neighbourhoods (19.7 min/day vs. 9.1 min/
    day). Results from t-test showed that the time spent on MVPA per day was significantly
    lower among participants residing in low walkability neighbourhoods. The final model
    of the MIXED model statistical tests showed that total MVPA was significantly associated
    with BMI, but not with WC measurements, after adjusting for covariates.

    Conclusion: Most
    of the participants had very low MVPA and did not achieve the current physical activity
    recommendations, implying that Malaysian adults residing in these two cities were not
    physically active to achieve health benefits. Results are suggestive of the importance of the
    walkability concept in neighbourhoods in encouraging physical activity and healthy body
    weight among Malaysians.
    Matched MeSH terms: Cities
  7. Moga Dass T, Sabri MF
    MyJurnal
    The main purpose of this study is to understand the financial status of urban poor community in Kuala Lumpur and factors affecting their personal well-being. The sampling size of this research is 1,064 respondents chosen by using systematic sampling method. The data was obtained by using selfadministered questionnaires and the data being analysed by descriptive analysis meanwhile and multi regression analysis. The results shows that the urban poor community in Kuala Lumpur are having a moderate level of financial literacy possess a less effective financial behaviour, experiencing a high financial strain and adapting a moderate level of personal well-being. Besides that, the results also indicates that the financial literacy has no influence on personal well-being of the urban poor community, meanwhile financial behaviour has a positive influence and financial strain has a negative influence on the personal well-being of the urban poor community. The findings of the study suggest the government and non-government organisation such as Economic Planning Unit ((EPU), Kuala Lumpur City Hall (KLCH or DBKL), Central Bank of Malaysia (BNM), Credit Counselling and Debt Management Agency (CCDM or AKPK), Federation of Consumer Association (FOMCA) to make an inclusive effort and approach to improve the personal well-being of the urban poor. By understanding more about the financial status of the urban poor community, it is hoped to help them to become financial prudence and in the long-run could lead them into a good decision making while facing conflicts in financial issues and maintain a good quality of life. It is important to ensure the urban poor consumers have better financial management skills which lead them to make the right decision in order to enhance their personal well-being.
    Matched MeSH terms: Cities
  8. Suzei Mat Nurudin, Nor Suhaiza Md Khalid, Zarina Mohd Zain
    MyJurnal
    The local government is the closest government to the local community and identified as the third level
    of government after the state and federal governments. Each local government has their own power to
    enact by-laws under their respective administration. By-laws is a formulation of the law under the
    jurisdiction of local government in performing its duties and functions covering the administrative area
    that has been identified by the state government. Some of the by-laws play a part in shaping the
    personality of the community, especially in local government areas which are quite different approach
    such as Kota Bharu Municipal Council of Islamic Cities (MPKB-BRI). By-laws implemented by
    MPKB-BRI are very different compared to other states in Malaysia which is the provisions of the bylaws
    that suggests the aurat closure and appropriate clothing among traders, business premises owners
    and local communities. The purpose of this study is to review the extent of the by-laws implemented by
    MPKB-BRI to influence and shaping the personality of the local community in Kota Bharu district,
    Kelantan.
    Matched MeSH terms: Cities
  9. Sekhon PS, Karthigesu IT
    Solid waste collection has been a major challenge for local council Municipal workers in urban areas where the population is growing rapidly and the need for local councils to ensure they provide service to clear solid waste in a timely manner without disrupting the existing system. This case study is a review of awareness of health and safety among municipal workers on solid waste collection. The study is an examination of such awareness in Malaysia which involves the Petaling Jaya City Council in the state of Selangor. We review the operating system of the Petaling Jaya City Council and the risks which are being exposed to the municipal workers in their daily operations. Health and Safety of municipal workers in the areas of public health, safety, and industrial hygiene has been a concern for a long time. In most cases the majority of municipal workers exposed are from the contractual aspect of outsourced labour. It is important to understand how large the area of a solid waste is and to identify, evaluate, and eliminate or control risks and hazards across the operation zone of the municipal workers which involves environmental and occupational demands. The data we find provides the latest perspectives on topics of widespread concern such contractors management, ergonomic safety, confined space, motor vehicle safety, machinery safety, fall hazard safety, electrical safety and emergency response. Management of legal requirements is also discovered to be important to ensure any organization conducting business is not in violation of any law, and if there is a change of process how is this being addressed. Finally, we look at the control measures needed to support a operation on a large scale where it will not endanger the health and safety of municipal workers when they are involved in solid waste management. The recommendation we have based on the review are to ensure there is a holistic approach and systems in place to address all the concerns that will be faced by the local municipal council in their daily operations and responsibilities at every level of the organization. Conclusion: Research material and data related to this area is limited and we hope future holistic research can be conducted to future enhance the study of health and safety effecting the municipal workers. Health and Safety management system and procedures are the key elements in ensuring a successful organization.
    Matched MeSH terms: Cities
  10. Sorketti, E.A., Habil, M.H.
    MyJurnal
    The Sudan occupies area of land in East Africa, almost one million square miles, or 2.5 million squares km2. It shares boundaries with nine countries: two of which are Arab, Egypt, Libya, Kenya, Uganda, The Congo, Chad, The Republic of Central Africa, Ethiopia and Eritrea. The country is situated in a strategic important geographical location that links the Arab world to Sub Saharan Africa, where the Sudanese population and those of the neighboring countries move freely across most of these borders .Sudan geography, climate, and multi-ethnic and cultural backgrounds remain the major health determinant. Sudan is the largest country in Africa. The heart of the country, in terms of population, lies at the confluence of the Blue and White Niles. The complex of the "three towns," comprising the three largest cities, Khartoum, Khartoum North and Omdurman, is situated there and contains almost 20% of the population. The total population of Sudan was about 39.39 million (projected from 2009 census). the urban population was estimated at 33%. About 2.2 million are still entirely nomadic. Sudan’s peoples are as diverse as its geography. There are about 19 major ethnic groups and a further 597 subgroups. Sudan is rich in terms of natural and human resources, but economic and social development have been below the expectation.
    Matched MeSH terms: Cities
  11. Cheah, Meng Fei
    MyJurnal
    Pharmacists play an important role in healthcare delivery. Over the years, their role has shifted from product-oriented to patient-oriented. This study aimed to assess the perceptions of the public towards the role of pharmacists and the willingness of the public to pay for pharmacist-provided dispensing services in Sabah. This was a questionnairebased, cross-sectional study conducted from September 2014 to June 2015 in three major cities in Sabah, namely, Kota Kinabalu, Sandakan and Tawau. The respondents were conveniently selected and interviewed based on a questionnaire to assess their perceptions of the role of pharmacists. A contingent valuation interview was then conducted to assess the respondents’ willingness to pay. A total of 647 respondents were interviewed. Of the respondents, 61.4% agreed that pharmacists knew more about their medications and side effects and how to use the medications than their doctors. However, more than half of the respondents (54.4%) perceived that the pharmacists’ role was only to supply medications and 66.6% of the respondents perceived that the pharmacist’s role was to follow doctors’ directions. Of the respondents, 89.0% appreciated and adhered to the counselling points provided by their pharmacists; 85.0% of the respondents hoped that pharmacists could play a greater role in healthcare in the future. Forty percent of the respondents agreed that community pharmacists were simply business people who sold products in their pharmacies. Finally, 55.3% of the respondents were willing to pay for pharmacist-provided dispensing services. The median (interquartile ranges [IQR]) amount that they were willing to pay was RM5.00 (IQR RM5.00). Respondents in this study showed variations in their views of the pharmacy profession. Nevertheless, more than half of the respondents valued pharmacist-provided dispensing services and were willing to pay RM5.00 for the services. To improve pharmacy practice, efforts should be undertaken to address the respondents’ misunderstandings about the pharmacy profession and to promote the roles of pharmacists to the general public.
    Matched MeSH terms: Cities
  12. Talukder S, Capon A, Nath D, Kolb A, Jahan S, Boufford J
    Lancet, 2015 Feb 28;385(9970):769.
    PMID: 25752169 DOI: 10.1016/S0140-6736(15)60428-7
    Matched MeSH terms: Cities/statistics & numerical data
  13. Yang J, Siri JG, Remais JV, Cheng Q, Zhang H, Chan KKY, et al.
    Lancet, 2018 05 26;391(10135):2140-2184.
    PMID: 29678340 DOI: 10.1016/S0140-6736(18)30486-0
    Matched MeSH terms: Cities*
  14. Aziz S, Aidil RM, Nisfariza MN, Ngui R, Lim YA, Yusoff WS, et al.
    J Vector Borne Dis, 2014 Jun;51(2):91-6.
    PMID: 24947215
    Dengue fever (DF) is a major vector-borne disease in Malaysia. The incidences of DF in Malaysia are caused by viruses transmitted through the bites of infected female Aedes albopictus and Ae. aegypti mosquitoes. This study aims to establish the spatial density of mosquito population or breteau index (BI) in the areas of Kuala Lumpur using geographic information system (GIS), remote sensing (RS) and spatial statistical tools.
    Matched MeSH terms: Cities
  15. Thomson DR, Linard C, Vanhuysse S, Steele JE, Shimoni M, Siri J, et al.
    J Urban Health, 2019 08;96(4):514-536.
    PMID: 31214975 DOI: 10.1007/s11524-019-00363-3
    Area-level indicators of the determinants of health are vital to plan and monitor progress toward targets such as the Sustainable Development Goals (SDGs). Tools such as the Urban Health Equity Assessment and Response Tool (Urban HEART) and UN-Habitat Urban Inequities Surveys identify dozens of area-level health determinant indicators that decision-makers can use to track and attempt to address population health burdens and inequalities. However, questions remain as to how such indicators can be measured in a cost-effective way. Area-level health determinants reflect the physical, ecological, and social environments that influence health outcomes at community and societal levels, and include, among others, access to quality health facilities, safe parks, and other urban services, traffic density, level of informality, level of air pollution, degree of social exclusion, and extent of social networks. The identification and disaggregation of indicators is necessarily constrained by which datasets are available. Typically, these include household- and individual-level survey, census, administrative, and health system data. However, continued advancements in earth observation (EO), geographical information system (GIS), and mobile technologies mean that new sources of area-level health determinant indicators derived from satellite imagery, aggregated anonymized mobile phone data, and other sources are also becoming available at granular geographic scale. Not only can these data be used to directly calculate neighborhood- and city-level indicators, they can be combined with survey, census, administrative and health system data to model household- and individual-level outcomes (e.g., population density, household wealth) with tremendous detail and accuracy. WorldPop and the Demographic and Health Surveys (DHS) have already modeled dozens of household survey indicators at country or continental scales at resolutions of 1 × 1 km or even smaller. This paper aims to broaden perceptions about which types of datasets are available for health and development decision-making. For data scientists, we flag area-level indicators at city and sub-city scales identified by health decision-makers in the SDGs, Urban HEART, and other initiatives. For local health decision-makers, we summarize a menu of new datasets that can be feasibly generated from EO, mobile phone, and other spatial data-ideally to be made free and publicly available-and offer lay descriptions of some of the difficulties in generating such data products.
    Matched MeSH terms: Cities/statistics & numerical data
  16. Thapa S, Zaki SA
    J Therm Biol, 2024 Feb;120:103809.
    PMID: 38364574 DOI: 10.1016/j.jtherbio.2024.103809
    The sub-Himalayan region extends over 2500 km, extending over several countries. Though the effects of climate change is widely anticipated in the diverse but fragile ecosystem of the Himalayas, very less research has been conducted on the indoor environment of the buildings in these regions. In this study, a pre-validated model of 3-storey concrete residential building was used to study the indoor performance and thermal comfort in the face of climate change in the 8 (eight) different hill towns (hill stations) located from west to the east. Rise in ambient and indoor conditions were evident as a part of climate change with colder locations being affected the most. The thermal comfort assessment using both the climate chamber based PMV model and adaptive models revealed the decrease in cold related discomfort and increase in hot related discomfort. On an overall, the indoor conditions improved in these cold locations. The indoor and outdoor thermal condition and thermal comfort plummeted significantly with latitude and elevation. The heating demand in the future climate reduced by about 50-70 % in warmer locations, while the cooling demand increased by as much as 1000-2000 % in cold locations, respectively. Additionally, it was seen that the thermal environment and comfort both declined more rapidly with elevation in the locations lying in the western Himalayas as compared to those in the eastern Himalayas.
    Matched MeSH terms: Cities
  17. Sim EY, Wu TY
    J Sci Food Agric, 2010 Oct;90(13):2153-62.
    PMID: 20718020 DOI: 10.1002/jsfa.4127
    There is an urgent need globally to find alternative sustainable steps to treat municipal solid wastes (MSW) originated from mismanagement of urban wastes with increasing disposal cost. Furthermore, a conglomeration of ever-increasing population and consumerist lifestyle is contributing towards the generation of more MSW. In this context, vermicomposting offers excellent potential to promote safe, hygienic and sustainable management of biodegradable MSW. It has been demonstrated that, through vermicomposting, MSW such as city garbage, household and kitchen wastes, vegetable wastes, paper wastes, human faeces and others could be sustainably transformed into organic fertiliser or vermicompost that provides great benefits to agricultural soil and plants. Generally, earthworms are sensitive to their environment and require temperature, moisture content, pH and sometimes ventilation at proper levels for the optimum vermicomposting process. Apart from setting the optimum operational conditions for the vermicomposting process, other approaches such as pre-composting, inoculating micro-organisms into MSW and redesigning the conventional vermireactor could be introduced to further enhance the vermicomposting of MSW. Thus the present mini-review discusses the potential of introducing vermicomposting in MSW management, the benefits of vermicomposted MSW to plants, suggestions on how to enhance the vermicomposting of MSW as well as risk management in the vermicomposting of MSW.
    Matched MeSH terms: Cities/economics
  18. Mitha S, ElNaem MH, Chandran J, Rajah NP, Fam TY, Babar MG, et al.
    J Pharm Bioallied Sci, 2018 12 21;10(4):216-225.
    PMID: 30568379 DOI: 10.4103/JPBS.JPBS_296_16
    Background and Objectives: Various devices have been used to maintain oral hygiene. These include toothbrush and toothpaste, mouthwash, dental floss, miswak, and toothpick. This study attempts to investigate the use of various oral cleaning devices and their perceived benefits among Malaysians.

    Methods: A quantitative cross-sectional study conducted in two different cities of Malaysia. A convenience sampling approach was adopted. A total of 787 participants agreed to participate in the current research. A validated questionnaire translated into national language was used for data collection.

    Statistical Analysis Used: Data analysis was performed using Statistical Package for Social Sciences version 20.

    Results: About 302 respondents were in the age range of 18 - 25 years old (38.4%). There were marginally more females (55.7%) than males (44.3%). Although 99.9% of the participants used a toothbrush, a significant majority (n = 590, 75%) used more than a single device to maintain their oral hygiene. Only 311 respondents knew that toothpicks were inappropriate to use to remove food between teeth and gums, while a majority (n = 592, 75.2%) did not realize that some mouthwashes can stain the teeth. Less than half (42.1%) knew that improper use of miswak might harm the teeth.

    Conclusions: Although their oral hygiene behaviors are relatively at a higher level, their perceived oral health benefits did not compare well.

    Matched MeSH terms: Cities
  19. Adrus M, Zainudin R, Ahamad M, Jayasilan MA, Abdullah MT
    J Med Primatol, 2019 02;48(1):22-31.
    PMID: 30370934 DOI: 10.1111/jmp.12389
    BACKGROUND: A study was undertaken to determine gastrointestinal (GI) parasites commonly found in Malaysia's non-human primates (NHP) living in three different types of populations (wild, urban, and captive) and the basis of major GI parasites of zoonotic importance.

    METHODS: A total of 308 samples was collected and microscopically screened from the NHP in the wild (n = 163), urban (n = 76), and captive (n = 69) populations. The samples were taken from 12 species of local NHPs.

    RESULTS: At least, 44 species of GI parasites comprising of protozoans (seven species), nematodes (26 species), cestodes (five species), trematodes (five species), and pentastomida (one species) were detected. There were no significant differences for the overall prevalence and no great differences in GI parasite species among the wild, urban, and captive NHP populations.

    CONCLUSION: The most common GI parasite was Ascaris spp. (49.7%), followed by Oesophagostomum spp. (26.9%), and 31 species discovered in this study are of known public health importance.

    Matched MeSH terms: Cities
  20. Benacer D, Mohd Zain SN, Ahmed AA, Mohd Khalid MKN, Hartskeerl RA, Thong KL
    J Med Microbiol, 2016 Jun;65(6):574-577.
    PMID: 27058766 DOI: 10.1099/jmm.0.000262
    Matched MeSH terms: Cities
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