What is HEMIPLEGIA?

HEMIPLEGIA is the paralysis of one side of the body (either the full left or right side).  It is usually due to brain disorder/damage/infection, spinal cord injury or stroke. Associated impairments may include an array of possible impairments such as:

- inability to walk or speak
- epilepsy / seizures
- vastly reduced fine motor skills
- bladder control
- behavioral issues
- breathing disorders
- memory & intellectual impairments

Patients with Hemiplegia are often observed to have muscle weakness/stiffness and performance control and the intensity of symptoms are often aligned with the extent of the injury. Hemiplegia is one of several types of CEREBRAL PALSY. There is also MONOPLEGIA- affecting one arm, DIPLEGIA- impairing either both arms or both legs, and QUADRIPLEGIA affecting all four limbs.

Therapeutic Innovation for Arm Paralysis Interview by: Phil Muccio, CEO/AxioBionics  A recent patient (Kyle) was being treated for left sided hemiplegia. This entails trying to work with an arm that has been paralyzed by some event.  The patient was experiencing unrelenting seizures that necessitated a procedure called a hemispherectomy. This surgical procedure will result in the paralysis of the opposite side of the body. He does a trade-off of course, because you can't live your life with unrelenting seizures. Through this process, if the motor cortex is involved, it's going to leave the opposite side of your body paralyzed. But in Kyle's case, he has some brain control so we wanted to help improve his functionality. (click image to see VIDEO) Instead of putting his arm in a sling, you want to do the exact opposite to encourage muscle activity and the connection between the brain and the muscles. The patient needs to condition this arm in a manner that he isn't able to do so, but in addition to this, you want to diminish the known problems of paralysis, which are muscle spasms, joint, stiffness, contractures.  In a sling, the hand may clench and the elbow may flex- but it kind of leaves you with a clipped wing in a sense-- it's very difficult to use an arm like that. Through NEUROPROSTHETICS, we found a way to put muscle activity back into a paralyzed arm by placing our electric stimulation sleeves on his arm-  enabling the patient to access muscle therapy daily, and that arm is active the entire time. It is making the muscles move contract and otherwise be very active, and in that process, we're helping to increase the connection between the brain and the muscle that's called MUSCLE RE-EDUCATION. And if you can lower the muscle spasms that tend to restrict movement, then that patient's arm will be easier to move.  If you're locked up by muscle tightness, even small amounts of brain control will be rendered because you can't move against the restrictions of muscle spasms. It's important for us to alleviate those spasms to allow the brain to start using the muscles more effectively. * Check out additional stories like this from AXIOBIONICS.com

...FROM A STROKE
Medical associations reports Hemiplegia to largely originate from infancy (strokes in the womb). Adults affected by a stroke event may contract Hemiplegia, but are more commonly affected by HEMIPARESIS, the weakening or inability to move one side of the body (or limbs). Common treatments of hemiparesis includes

- Modified constraint-induced therapy (mCIT)
- Cortical Stimulation: a surgical implant in the brain
- Electric Stimulation: non-invasive neurotherapeutic induction 
- Daily Exercises supervised by a physical therapist can add strength to impaired muscles leading to recovery and expanded range of motion
- Assistive/mobility Support devices: including canes, Braces,  and wheelchairs - adding increased strength, control and movement.

...FROM TRAUMATIC BRAIN INJURY
A traumatic brain injury (TBI) is an injury that affects how the brain works and may result in paralysis of either side of the body.  Injury in the neurotransmitters of the brain or the spinal cord affects control of motor functions.  TBIs affect the lives of people of all ages- ranging in severity from mild (concussion), moderate or severe TBI.  Anyone can experience a TBI, but data suggest that some groups are at greater risk of dying from a TBI or experiencing long-term health problems after the injury.  TBI is a major cause of death and disability in the US with a recorded 61,000 TBI-related deaths in 2019 (est 166 TBI-related deaths every day)

Anyone can experience a TBI, but data suggest that some groups are at greater risk for getting a TBI or having worse health outcomes after the injury. It may be caused by a:

- Bump, blow, or jolt to the head
- Penetrating injury (such as from a gunshot) to the head

WHO IS PHILIP MUCCIO?

Medical ROCK STARS are often discovered on Linkedin for innovations like NEURO-PROSTETHICS. What's that?  Mr. Muccio masters the science of integrating advanced therapeutic technology to improve limb performance and to address a wide array of complex physiological and neurological injuries. For the past 30 years, he has been producing custom wearable & intelligent neurostim powered devices for countless patients with major issues where his innovations have brought remarkable results and adding significant improvements to their quality of life.  Just some of the disorders he has addressed. The effects include: SPINAL CORD INJURIES, MSK INJURIES, TRAUMATIC BRAIN INJURIES, CEREBRAL PALSY, STOKE etc.  We are honored to have a pioneer, a visionary and a treasure to the patient community as Mr. Muccio joins I.P.H.A. See his work at www.AxioBionics.com

ABOUT THE AUTHOR

Josh Schueller has dedicated his life's work to the support and treatment chronic pain and disorders with non-invasive, safe, effective treatment solutions. He is the current VP of Clinical Operations and Business Development at AxioBionics LLC. and the Clinical Director for Orthopedic Physical Therapy Clinics (Rockford, MI).  As an active member of APTA, he holds advanced certification in Physical Therapy treatment techniques including the McKenzie method of patient empowerment.  He has over 20+ years experience in the treatment of neurological conditions such as Spinal Cord Injury, Traumatic Brain Injury, CVA, Cerebral Palsy etc.  In 2021, Josh is elected a clinical advisory role and educational advocacy for IPHA (Integrated Pain Healers Alliance) and has published research articles in pain management while pioneering the establishment of   Today, Josh continues to support patient suffering from disabilities and has expanded his focus to contribute his expertise in treatment programs for Veterans and first responders. 

References:

1) https://www.healthline.com/health/hemiplegia

2) American Stroke Assoc: https://www.stroke.org/en/about-stroke/effects-of-stroke/physical-effects-of-stroke/physical-impact/hemiparesis

3) https://www.cdc.gov/traumaticbraininjury/index.html

https://www.cdc.gov/traumaticbraininjury/get_the_facts.html

4) https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Traumatic-Brain-Injury

Disclaimer: The information (including, but not limited to text, graphics, images and other material) contained in this article is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice or scientific claims. Furthermore, any/all contributors (both medical and non-medical) featured in this article are presenting only ANECDOTAL findings pertaining to the effects and performance of the products/technologies being reviewed - and are not offering clinical data or medical recommendations in any way. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, never disregard professional medical advice or delay in seeking it because of something you read on this page, article, blog or website.

MedTech Review 2022 + Real Stories About PEMF (part 1)

Confirming Therapeutic Efficacy with a Test Drive

By Josh Schueller, PT

Edited by: IPHA News Editorial Team

As a clinical professional (aspiring to stay current with patient care solutions), I have spent the better part of my career undergoing continued education and research on some of the most remarkable protocols and technologies.  Some (at the time) were experimental at best or did not exist during my training years and are now part of major medical device industries.  This is why I chose to pursue the noble task of FIELD RESEARCH and a beta-tester of non-invasive healing modalities-- test-driving and reviewing innovations that appear to show significant results throughout the community of pain and injury sufferers.  

Since November of 2021, I have joined the crusade architected by Dr. Robert Bard back in the early 1980's when he test drove the first 3D Doppler Ultrasound, at a time when "most of the medical community thought it was a waste of time!". The recognized "cancer detective" and seasoned medical publisher helped found the Integrative Pain Healers Alliance (IPHA) where an educational project (MedTech Reviews) was a clinical research initiative to support unbiased testing to confirm or challenge claims of medical device developers for their utility, performance and efficacy.  

The non-invasive therapeutic device movement is highly based on what we consider INVISIBLE THERAPEUTICS.  From neurostimulation to electromagnetism to ultrasound therapeutics, these concepts have become the basis to some of the most remarkable innovations going as far back as the late 1800's. A significant scientific landmark (among others) is the discovery of electrical transduction therapy founded by NIKOLA TESLA in 1893 for his pioneer work in advanced electromagnetic field frequency.  This forged the backbone of  what is now known as the Pulsed Elecromagnetic Field Thereapy (PEMF) and the Transcranial Magnetic stimulation (TMS) to the philosophy of implementing electgromagnetic fields to stimulate cells.  It is this same paradigm in patient care technology that enforces the very backbone of holistic and non-surgical ("no more scalpel") movement. (see expanded article)

Photo credits: (**) Axiobionics.com

From Treatment Notes: PEMF Response January 11, 2022 Overview of CASE 1: 32 yo male with history or right knee pain.  4 weeks ago, he slipped on ice and had partial tear to his right MCL.  Initial Treatment consisted of ice, bracing, and OTC medications.  He struggled with walking and standing with pain levels at a 7/10 + additional difficulties with getting into his truck and squatting.  "BEN" works as a professional plumber where his average work day was comprised of a lot of kneeling, squatting, twisting and contorting his body in order to reach pipes and install heavy objects upwards of fifty pounds.  Being able to depend on his legs (knees) to perform his duties as a plumber is essential.   Four weeks prior to meeting him,  Ben slipped on a piece of ice and twisted his knee resulting in significant pain and a major loss of function.  (Image 1 is an indirect representation of his imaging).  According to his physician's report, it was determined that he had a grade 2 MCL (Medial Collateral Ligament) sprain in his right knee. [The MCL is located on the inside (medial) part of the knee and its main function to a restraint to valgus stresses on the knee especially with slight flexion- running from the medial femur to tibia.]  Ben stated that he heard a slight pop when slipped, then felt immediate pain on the inside of his knee.  He also noted moderate swelling in the knee and after the injury, his knee felt like it was going to “give out on him” in standing.    It must be noted that there are various degrees of MCL sprains/tear; Grade 1 is identified as mild pain, minimum swelling and good stability.  Grade 2 is identified as moderate pain, moderate instability, feeling ‘’loose’’ and swelling.  A Grade 3 is the most serious and is when the ligament is completely torn and very unstable.   Ben was diagnosed with a Grade 2 MCL sprain. (Image 2)  He has been wearing a brace with all activities and is expected a normal healing duration of 4-6 weeks.  After week 4, he continued wearing the brace with all activities - and upon observation, his posture clearly showed favoring the right knee while standing, walking and squatting.  Pain levels were reported at 7/10 with all weight bearing activities. He consistently showed soreness and pain at 4/10 at rest.  Due to the instability from this injury, Ben would have difficulty climbing a ladder, getting into his truck, and walking on uneven surfaces.  "A NEW TREATMENT IDEA..." As part of my research study, I offered him an exploratory treatment using a PEMF machine starting on Monday.  The initial treatment consisted of 15 minutes at 7 intensity level (0-10) in a sitting position.  He continued to have the second treatment on Wednesday 15 minutes at 8 intensity.  The third treatment 15 minutes 8.5 intensity on the Friday of the same week. After the first treatment, he reported 50% decrease pain with activities. He had no soreness at rest.  He continued to wear the brace but showed full weight bearing in standing.  The Second visit he reported a 75% improvement with pain levels.  He was able to walk normally and climb ladders and squat.  By the third treatment he was approximately 90% recovered and returning to normal activities with zero pain and only mild soreness in the medial portion of the knee.  By using high-frequency PEMF, Ben expressed that he was able to see significant improvement in pain levels, stability and confidence in his right knee that he couldn’t demonstrate with traditional treatments. CONCLUSION From this review, (and my initial study of it's scientific breakdown), one can assess that the injury's exposure to Pulsed Electromagnetic Waves emitted by the tester device can conceptually slow or stop the inflammatory and pain mediators, increase local blood flow to the injured area and allow normal cell interactions to occur.  By interacting with the body's normal magnetic fields, improved healing can occur. Once can even conclude from what appears to be an enhancement of the body's normal healing process can potentially speed up the amount of time needed to recovery from injuries like MCL sprains. **Prior to using PEMF or other treatment options, consulting with a health care professional is recommended

* SPECIAL THANKS TO: Aura Wellness LLC and MagnaWave PEMF for their demo/loan of the NOVA HD PEMF technology, without their generous contribution this MedTech Review could not be made possible.  MedTech Review is a trademark of NYCRA-NEWS™, IPHA™ Noninvasive Health Technology Research and the AngioFoundation (501c3).

ABOUT THE AUTHOR

Josh Schueller has dedicated his life's work to the support and treatment chronic pain and disorders with non-invasive, safe, effective treatment solutions. He is the current VP of Clinical Operations and Business Development at AxioBionics LLC. and the Clinical Director for Orthopedic Physical Therapy Clinics (Rockford, MI).  As an active member of APTA, he holds advanced certification in Physical Therapy treatment techniques including the McKenzie method of patient empowerment.  He has over 20+ years experience in the treatment of neurological conditions such as Spinal Cord Injury, Traumatic Brain Injury, CVA, Cerebral Palsy etc.  In 2021, Josh is elected a clinical advisory role and educational advocacy for IPHA (Integrated Pain Healers Alliance) and has published research articles in pain management while co-launching the MedTech Reviews program of therapeutic devices.   Today, Josh continues to support patient suffering from disabilities and has expanded his focus to contribute his expertise in treatment programs for Veterans and first responders. 

Disclaimer: The information (including, but not limited to text, graphics, images and other material) contained in this article is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice or scientific claims. Furthermore, any/all contributors (both medical and non-medical) featured in this article are presenting only ANECDOTAL findings pertaining to the effects and performance of the products/technologies being reviewed - and are not offering clinical data or medical recommendations in any way. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, never disregard professional medical advice or delay in seeking it because of something you read on this page, article, blog or website.

HEALING 101: KREBS CYCLE AND THE SCIENCE OF SELF REGENERATION

 Written By: Josh Schueller, PT

As a Physical Therapist and a patient analyst, I find myself constantly referencing course work from my college days to explain to patients how modern therapy actually works.  Today's patient has a hungry mind equipped to handle deeper explanations about how their therapies actually affect them.  Because of this, it behooves me to share content from my own medical texts to explain how the latest "invisible" therapeutic innovations work on them.   Such modern breakthroughs include: Stem Cell & PRP therapies, PEMF & Biofeedback technologies, Transcranial Stimulation, Laser Acupuncture, Neurostim therapeutics etc-- just to name a few. Meanwhile, I am equally impressed at our Google surfing community that can retain much of the same medical information my career was founded on.  

Just the other day, a 21 year old patient with spinal cord injury actually started asking me how my neurostim device affects cellular regeneration and THE KREBS CYCLE.  

So my presentation begins.

HOW THE BODY ACTUALLY HEALS
From burns to infections, inflammation to tears and breaks, the body's regenerative qualities can be  best illustrated through its metabolic design - mitigating its ability to heal itself on a cellular level.  Upon physical damage or disease, self recovery involves the regeneration and repair of living tissue(s), organs and its functions.  THERAPY covers external influences on the body's cellular performance to restore damaged areas either by replacing worn/dead tissue with new ones. [1]

For something like the KREBS CYCLE, I usually start such complex scientific explanations with my patients using metaphors and analogies.   

"Krebs cycle (otherwise known as citric acid cycle) is like the process of converting your paycheck into cash and going shopping with it. When you receive a paycheck (glucose) through direct deposit that paycheck is deposited into the bank (mitochondria).  Throughout this process there are fees (byproducts) that must be paid in order to receive the money.  These fees (NADH, GTP, CO2 etc.) are an essential part of the process.  The result is currency. In order to receive the money (ATP) it must go through to the ATM (electron transport System).  When you withdraw the money (ATP) you can spend on goods or services (energy production). As money is essential to the survival of the economy the Krebs Cycle is essential to the survival of the organism."

Academic Breakdown: Krebs Cycle  By:  IPHA/Pain Healers Alliance newsletter The Krebs’s Cycle is a multi-step chemical reaction that is the main source of energy for cells during Aerobic respiration.  Also called the TCA (TriCarboxylic Acid) Cycle or Citric Acid Cycle, the Krebs cycle occurs in eukaryotes (cells with a nucleus) in the matrix of the mitochondria and the cytosol of prokaryotes (no distinct nucleus).   In a living organism, the TCA cycle is a series of reactions in which oxidation of Acetic Acid/glucose provides energy for storage in phosphate bonds (ATP).  Fuel for this comes from lipids and carbohydrates, which produce Acetyl-CoA.  These reactions are the major source of energy in all living organisms.  Critical in the building blocks for synthesis of fatty acids, steroids, cholesterol, amino acids for building proteins and purines and pyrimidines used in the synthesis of DNA. The byproducts of the Krebs’s Cycle are 3 NADH, 1 FADHL, 1 GTP, and 2 CO2. (3)  The cycle runs twice for glucose and then the electron transport chain produces ATP. The electron transport chain is a series of reactions inside the cell whose purpose is the formation of ATP.  By studying the rates, by-products, enzymatic activity and qualities in the processes of metabolism the potential to draw conclusion about and investigate the efficiency of therapies.  Glucose into mitochondria to go through Krebs Cycle (NADH, FADHL, GTP, CO2 byproducts) electron transport chain into ATP (energy) Disorders of the Krebs Cycle such as 2-Oxoglutaric aciduria and fumarase deficiency affects mitochondrial function and maintenance.  This can cause developmental delays, severe neurologic problems in infants like mental retardation.  Clinical presentation of mitochondrial depletion syndrome is hypotonia, progressive dystonia, muscle atrophy and hearing impairments. (5)

TCA & CANCER
Traditional cancer treatments have been relatively effective, but with significant side effects and a high reoccurrence rate.  Alternative treatment approaches are gaining in medical significant and are becoming increasingly more difficult to ignore.  Identifying changes in the Krebs cycle could hold the key to early detection of chronic diseases, including cancers.  Early detection is significant in establishing more efficient treatment programs with less side effects.  Establishing safe and effective treatments for chronic disease can improve survival, but can also improve the quality of life for many.  In the future, dying with cancer not from cancer is becoming more likely.  

Emerging evidence that certain cancer cells rely heavily on TCA cycle for energy production and macromolecule synthesis has been discovered. Alterations of the TCA cycle play a pivotal role in oncogenesis and inflammation.  The hypothesis is mitochondrial dysfunction is a pre-curser for chronic disease such as cancer. Oncogenic mutation in TCA cycle can produce altered mitochondrial metabolism as a mechanism for cancer initiation.  Targeting cancer metabolism with potential therapy drugs that interfere with glycolysis, TCA cycle, lipid biosynthesis and other pathways that tumor cells overuse vs normal cells could be instrumental in solving the cancer puzzle. Majority of cancers generate ATP through the mitochondria.  Increase in mitochondrial dysfunction can be an early indication of disease or cancer. The TCA cycle is being recognized as a key player in certain cancers involving enzyme dysfunction. 

Currently, regenerative medicine is becoming more and more mainstream.  Traditional surgery and chemotherapy and radiation show a high reoccurrence of cancer.  Stem cells are showing good promise in treatment of many cancers. Stem Cells function serves as novel delivery platform by targeting primary metastatic tumors. Stem cells have shown to decrease tumor volume and extend survival in preliminary studies. Unique properties are found in regenerative medicine such as immunosuppression and mitigation towards cancer can assist in gene therapy applications.  Many regenerative medicines have anti-tumor properties.  Natural killer (NK) cells may have the ability to attack tumor/cancer cells/infected cells at the early stage.  

VIEWPOINTS ROBERT KORNFELD, D.P.M. - Founder at Chronic Foot Pain Center, NY When considering energy production and utilization, we must first look to the immune system and its ability to detoxify, repair, replace and replenish. This means a thorough understanding of our patient’s epigenetics and how their unique diet, lifestyle and environment influence their genes. The elimination of refined foods, preservatives and chemicals can assist in minimizing toxicity. Movement and exercise can assist in speeding up the basal metabolic rate, thereby shortening the time the body needs to work daily on working toward homeostasis. Minimizing toxicity and speeding up the basal metabolic rate is energy-preserving. In addition, stress management can help to dampen the adrenal response which has been shown to be a direct inhibitor of immune function. Also, sleep hygiene is critical for our patients as it is in deep states of sleep that the body does its best work to achieve homeostasis. Disclaimer: The opinions expressed by submissions in this VIEWPOINTS section are theirs alone, and do not necessarily reflect the opinions or policies of NYCRA, Prevention101.org or our affiliate organizations supporting this publication.

ON RESEARCH
By: Dr. Robert L Bard (An excerpt from "The Modern Patient" - (c) 2021 IPHA/Pain Healers Alliance newsletter

Since the advent of the information age, today's highly self-educated patient holds the keys to accessing the widest collection of available health solutions - and the power to decide what is truly right for them. Everything from the latest in diagnostic and treatment modalities to the vast encyclopedia of alternative solutions (ie. holistic, naturopathic and integrative), WEB RESEARCH forever changed the world of health, wellness and medicine, availing review of top educators and experts sharing their insight about the latest innovations, protocols and strategies.  This comprises the personal course of our 'research-happy' culture and the patient's FREEDOM OF CHOICE.  

To "captain one's own ship" is to make smarter decisions on who to listen to and to commit to a plan that works best for you. In a 2019 Cancer RMA Firefighters Conference, clinical immunologist Dr. Jesse Stoff stated a powerful message that “...there is no one answer to cancer! There are many different strategies for approaching and dealing with cancer [aside from] chemo, radiation & surgery. Other proven options like Immunotherapy have been around for decades too‐ performing in many cases with lightning‐fast response, much less toxicity, and much better overall survival.” (source link)  This resounding statement holds true for the importance of personal leadership with educated patients and putting us all in the drivers' seat of our destiny.

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ABOUT THE AUTHORS

JOSH SCHUELLER has dedicated his life's work to the support and treatment chronic pain and disorders with non-invasive, safe, effective treatment solutions. He is the current VP of Clinical Operations and Business Development at AxioBionics LLC. and the Clinical Director for Orthopedic Physical Therapy Clinics (Rockford, MI).  As an active member of APTA, he holds advanced certification in Physical Therapy treatment techniques including the McKenzie method of patient empowerment.  He has over 20+ years experience in the treatment of neurological conditions such as Spinal Cord Injury, Traumatic Brain Injury, CVA, Cerebral Palsy etc.  In 2021, Josh is elected a clinical advisory role and educational advocacy for IPHA (Integrated Pain Healers Alliance) and has published research articles in pain management while pioneering the establishment of   Today, Josh continues to support patient suffering from disabilities and has expanded his focus to contribute his expertise in treatment programs for Veterans and first responders. 

ROBERT L. BARD, MD, PC, DABR, FASLMS - Advanced Imaging & Diagnostic Specialist

Having paved the way for the study of various cancers both clinically and academically, Dr. Robert Bard co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital Imaging technology has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. His most recent program is dedicated to the reporting of mental health diagnostic and innovative solutions including the use of modern neuromagnetic technologies and protocols in his MEDTECH REVIEWS program.

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REFERENCES

1) https://en.wikipedia.org/wiki/Healing

2).Scaglioa et. Al. March 2020 “The Tricarboxylic Acid Cycle at the Crossroad Between Cancer and Immunity”. Mitochondria and Mitophagy . Antioxidants and Redox Signaling Vol 32, No 12

3) Zhang et. Al. Sept 2017 “ Stem Cells in Cancer Therapies: opportunities and challenges” Oncotarget 8 (43) 75756-75766

4)   Millipore Sigma “ The Krebs Cycle- Harnessing Chemical Energy for Cellular Respiration”

www.sigmaaldrich.com

4.     Bachanova and Miller 2014. “NK Cells in Therapy of Cancer” Crit Rev Oncog; 2014 19(0) 133-141

5.     Morava and Carrozzo. January 2014. “Disorders of the Krebs Cycle”. Physicians Guide to Diagnosis, Tretment, and Follow-Up of Inherited Metabilic Diseases- pp313-322

6.     Vadala et. Al. “Mechanisms and therapeutic effectiveness of pulsed electromagnetic field therapy in oncology” Cancer Medicine 2016; 5 (11) 3128-3130

Mansouri et. Al. “Recent advances in regenerative medicine strategies for cancer treatment” Biomedicien and Pha

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