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Medical and clinical biophysics

Abstract (English) Medical and clinical biophysics is a multidisciplinary field that applies physics principles to biology and medicine. It enhances diagnostics, treatment methods, and patient care by integrating imaging technologies, radiation therapy, biomechanics, electrophysiology, laser applications, and biomedical sensors. Key advancements include non-invasive diagnostic tools like MRI and CT scans, targeted cancer treatments using radiation therapy, and wearable biosensors for continuous health monitoring. The field also drives innovations in regenerative medicine, AI-assisted diagnostics, and nanotechnology-based therapies. By improving healthcare precision, efficiency, and accessibility, medical biophysics plays a crucial role in modern medicine and future medical advancements. Аннотация (Russian) Медицинская и клиническая биофизика – это междисциплинарная область, применяющая принципы физики в биологии и медицине. Она улучшает диагностику, методы лечения и уход за пациентами

Abstract (English) Medical and clinical biophysics is a multidisciplinary field that applies physics principles to biology and medicine. It enhances diagnostics, treatment methods, and patient care by integrating imaging technologies, radiation therapy, biomechanics, electrophysiology, laser applications, and biomedical sensors. Key advancements include non-invasive diagnostic tools like MRI and CT scans, targeted cancer treatments using radiation therapy, and wearable biosensors for continuous health monitoring. The field also drives innovations in regenerative medicine, AI-assisted diagnostics, and nanotechnology-based therapies. By improving healthcare precision, efficiency, and accessibility, medical biophysics plays a crucial role in modern medicine and future medical advancements.

Аннотация (Russian) Медицинская и клиническая биофизика – это междисциплинарная область, применяющая принципы физики в биологии и медицине. Она улучшает диагностику, методы лечения и уход за пациентами за счёт интеграции технологий визуализации, радиационной терапии, биомеханики, электрофизиологии, лазерных технологий и биомедицинских сенсоров. Ключевые достижения включают неинвазивные диагностические методы (МРТ, КТ), таргетную радиационную терапию при лечении рака и носимые биосенсоры для постоянного мониторинга здоровья. Область также способствует развитию регенеративной медицины, ИИ-диагностики и нанотехнологий. Улучшая точность, эффективность и доступность медицины, биофизика играет ключевую роль в современном здравоохранении и его будущем развитии.

Аннотация (Kazakh) Медициналық және клиникалық биофизика – физика принциптерін биология мен медицинаға қолданатын көпсалалы ғылым. Ол диагностика, емдеу әдістері және пациенттерге күтімді жетілдіру үшін бейнелеу технологияларын, радиациялық терапияны, биомеханиканы, электрофизиологияны, лазерлік технологияларды және биомедициналық сенсорларды біріктіреді. Негізгі жетістіктерге инвазивті емес диагностикалық әдістер (МРТ, КТ), қатерлі ісікті мақсатты радиациялық терапиямен емдеу және денсаулықты үздіксіз бақылауға арналған киілетін биосенсорлар жатады. Сондай-ақ, бұл сала регенеративті медицина, жасанды интеллект көмегімен диагностика және нанотехнологиялық терапияларды дамытуға ықпал етеді. Медицинадағы дәлдік, тиімділік және қолжетімділікті жақсарта отырып, биофизика қазіргі денсаулық сақтау жүйесінде және оның болашақ дамуында маңызды рөл атқарады.

Introduction:

Medical and clinical biophysics is a multidisciplinary field that applies the principles of physics to biology and medicine. It aims to understand how physical forces, energy, and radiation interact with biological systems, helping to develop new medical technologies and improve healthcare. This field plays a key role in modern medicine by advancing diagnostic methods, therapeutic techniques, and biomedical research.

Biophysics plays a crucial role in many areas of modern medicine, including medical imaging (such as MRI and CT scans), radiation therapy for cancer treatment, biomechanics for prosthetic design, and electrophysiology for studying the heart and nervous system. It also helps in understanding how physical forces, such as pressure, electricity, and radiation, interact with biological tissues. By applying mathematical models and experimental techniques, medical biophysics provides insights into complex biological processes, improves clinical practices, and enhances patient care. The advancements in this field have led to more precise medical diagnostics, minimally invasive treatments, and safer healthcare technologies, ultimately improving patient outcomes and quality of life.

This field is essential for understanding diseases at both the molecular and systemic levels, providing insights into how physical and chemical interactions affect biological functions. By studying these processes, medical biophysics helps develop targeted therapies, optimize treatments, and improve diagnostic accuracy. Medical biophysics also plays a key role in enhancing medical treatments through technologies like radiation therapy, laser surgery, and advanced drug delivery systems. These innovations increase treatment precision while minimizing damage to healthy tissues. Ensuring patient safety is another critical aspect, as biophysics contributes to safer medical devices, improved imaging techniques, and protective measures against harmful radiation exposure. Wearable health monitors and AI-assisted diagnostics further enhance early disease detection and personalized care. By integrating physics, engineering, and medicine, medical biophysics continues to drive innovation in healthcare, leading to more effective, precise, and minimally invasive medical solutions that improve patient outcomes and advance modern medicine.

1. Medical Imaging

Medical imaging is a crucial application of biophysics that allows healthcare professionals to visualize internal structures of the body without invasive procedures. By utilizing various physics-based techniques, medical imaging helps in diagnosing diseases, monitoring treatment progress, and guiding surgical procedures. These imaging methods rely on different types of energy, such as X-rays, magnetic fields, and sound waves, to create detailed images of tissues, organs, and bones.

Key Medical Imaging Techniques: • X-rays: • Use ionizing radiation to produce images of bones, lungs, and other dense structures. • Commonly used for detecting fractures, infections, and lung diseases such as pneumonia and tuberculosis. • Digital X-ray technology reduces radiation exposure while improving image clarity. • Magnetic Resonance Imaging (MRI): • Utilizes strong magnetic fields and radio waves to generate high-resolution images of soft tissues, including the brain, spinal cord, and joints. • Especially useful for detecting tumors, neurological disorders, and musculoskeletal injuries. • Unlike X-rays and CT scans, MRI does not use ionizing radiation, making it safer for repeated use. • Ultrasound: • Employs high-frequency sound waves to create real-time images of internal organs and blood flow. • Widely used in obstetrics for monitoring fetal development, as well as in cardiology for evaluating heart function. • Portable and radiation-free, making it ideal for bedside and emergency use.

• Computed Tomography (CT): • Combines multiple X-ray images taken from different angles and processes them with computer algorithms to create cross-sectional and 3D images. • Provides detailed views of internal organs, making it essential for diagnosing cancers, internal injuries, and vascular diseases. • Faster than MRI and often used in emergency settings for trauma and stroke assessment. • Positron Emission Tomography (PET): • Uses a small amount of radioactive tracer to visualize metabolic and biochemical activity within tissues. • Commonly used in oncology to detect cancerous tumors, assess their spread, and monitor treatment effectiveness. • Also valuable in neurology for studying brain disorders like Alzheimer’s disease. Fluoroscopy: • Provides real-time moving images using continuous X-ray beams, often used in procedures such as angiography and gastrointestinal studies. • Helps guide catheter placements, stent insertions, and contrast-enhanced imaging of blood vessels.

2. Radiation Therapy

Radiation therapy is a medical treatment that uses high-energy ionizing radiation to destroy or shrink cancer cells. It works by damaging the DNA of cancer cells, preventing them from growing and dividing. While radiation therapy primarily targets tumors, advancements in technology help minimize damage to surrounding healthy tissues. It is often used as a standalone treatment or in combination with surgery, chemotherapy, or immunotherapy to improve patient outcomes.

Types of Radiation Therapy: • External Beam Radiation Therapy (EBRT): • The most common form of radiation therapy, where high-energy X-rays, gamma rays, or proton beams are directed at the tumor from an external machine. • Techniques of EBRT: • 3D Conformal Radiation Therapy (3D-CRT): Shapes radiation beams to match the tumor’s shape, reducing exposure to nearby healthy tissue. • Intensity-Modulated Radiation Therapy (IMRT): Uses varying radiation intensities for precise dose distribution. • Image-Guided Radiation Therapy (IGRT): Incorporates imaging techniques (CT, MRI, or ultrasound) to adjust treatment in real-time for greater accuracy. • Stereotactic Body Radiation Therapy (SBRT): Delivers high doses of radiation to small tumors in fewer sessions, commonly used for lung and liver cancers. • Proton Beam Therapy: Uses protons instead of X-rays, allowing for more precise targeting of tumors with less damage to healthy tissues. • Brachytherapy (Internal Radiation Therapy): • Involves placing radioactive sources inside the body, directly within or near the tumor.

Benefits and Side Effects of Radiation Therapy: Benefits: • Targets cancer cells with high precision. • Non-invasive (except for brachytherapy). • Can shrink tumors before surgery or destroy remaining cancer cells after surgery. • Improves survival rates and quality of life for many cancer patients. Side Effects: • Fatigue, skin irritation, and localized pain. • Damage to surrounding tissues, depending on treatment location. • Long-term effects may include fibrosis, changes in organ function, or secondary cancers (rare).

Benefits and Side Effects of Radiation Therapy: Benefits: • Targets cancer cells with high precision. • Non-invasive (except for brachytherapy). • Can shrink tumors before surgery or destroy remaining cancer cells after surgery. • Improves survival rates and quality of life for many cancer patients. Side Effects: • Fatigue, skin irritation, and localized pain. • Damage to surrounding tissues, depending on treatment location. • Long-term effects may include fibrosis, changes in organ function, or secondary cancers (rare).

3. Biomechanics

Biomechanics is the branch of medical biophysics that studies the mechanical properties and movements of the human body. It applies the principles of physics, engineering, and physiology to understand how forces interact with biological tissues, including muscles, bones, and joints. Biomechanics plays a crucial role in medical fields such as orthopedics, prosthetics, sports medicine, rehabilitation, and even surgical techniques.

Key Areas of Biomechanics: • Orthopedic Biomechanics: • Examines the structure and function of bones, joints, and soft tissues under different physical stresses. • Helps in diagnosing and treating conditions like osteoarthritis, fractures, and spinal deformities. • Assists in the design of orthopedic implants, such as hip and knee replacements. • Prosthetics and Assistive Devices: • Uses biomechanics principles to develop artificial limbs that mimic natural movement. • Enhances the functionality and comfort of prosthetic devices by improving weight distribution and joint mechanics. • Involves the development of bionic limbs with robotic and neural integration, allowing for controlled movement. • Sports and Exercise Biomechanics: • Analyzes movement patterns to optimize athletic performance and prevent injuries. • Studies the effects of forces on muscles and joints during various sports activities. • Guides the design of sports equipment, footwear, and protective gear to enhance safety and efficiency. • Gait and Posture Analysis: • Evaluates walking patterns (gait) to diagnose and treat mobility disorders. • Used in rehabilitation programs for stroke survivors, spinal cord injury patients, and amputees. • Assists in the development of exoskeletons to help individuals with paralysis regain movement. • Cardiovascular Biomechanics: • Examines blood flow dynamics, heart valve mechanics, and vascular resistance. • Helps design artificial heart valves, stents, and vascular grafts to treat cardiovascular diseases. • Studies the effects of mechanical forces on blood pressure and circulation. • Respiratory Biomechanics: • Investigates the mechanics of breathing, lung expansion, and airflow resistance. • Assists in designing ventilators and respiratory support devices for patients with lung diseases. • Tissue and Cellular Biomechanics: • Explores how mechanical forces affect cell growth, tissue regeneration, and wound healing. • Supports the development of bioengineered tissues and 3D-printed organs for transplantation.

4. Electrophysiology

Electrophysiology is the study of the electrical properties of biological tissues and cells, particularly in the nervous and cardiovascular systems. It focuses on how electrical impulses are generated, transmitted, and regulated in the body, playing a crucial role in diagnosing and treating various medical conditions. Electrophysiology is widely used in cardiology, neurology, and medical research to monitor and analyze electrical activity in organs like the heart, brain, muscles, and nerves.

Key Applications of Electrophysiology:

• Cardiac Electrophysiology: • Studies the electrical conduction system of the heart to diagnose and treat arrhythmias (irregular heartbeats). • Helps in assessing conditions such as atrial fibrillation, heart block, and ventricular tachycardia. • Electrophysiology Studies (EPS): A catheter-based procedure used to evaluate abnormal heart rhythms. • Ablation Therapy: Uses radiofrequency or cryotherapy to destroy faulty electrical pathways in the heart. • Electrocardiography (ECG or EKG): • Measures the electrical activity of the heart through electrodes placed on the skin. • Detects heart rhythm disorders, ischemic heart disease, and myocardial infarctions (heart attacks). • Can be used in continuous monitoring (Holter monitoring) or stress tests during exercise. • Neurophysiology: • Examines electrical activity in the nervous system to diagnose neurological disorders. • Helps in studying brain function, nerve conduction, and muscle activity. • Electroencephalography (EEG): • Records electrical activity of the brain through scalp electrodes. • Used in diagnosing epilepsy, sleep disorders, brain tumors, and head injuries. • Helps in monitoring brain function during surgeries and in intensive care units (ICUs). • Electromyography (EMG): • Measures electrical activity in muscles to detect nerve and muscle disorders. • Used in diagnosing conditions like amyotrophic lateral sclerosis (ALS), muscular dystrophy, and peripheral neuropathy. • Nerve Conduction Studies (NCS): • Evaluates how well electrical signals travel through peripheral nerves. • Helps diagnose carpal tunnel syndrome, Guillain-Barré syndrome, and diabetic neuropathy. • Deep Brain Stimulation (DBS): • Uses implanted electrodes to deliver electrical impulses to specific brain regions. • Used in treating Parkinson’s disease, essential tremor, dystonia, and severe depression. • Transcranial Magnetic Stimulation (TMS): • Uses magnetic fields to stimulate nerve cells in the brain. • Applied in treating depression, migraines, and neurological disorders. • Cochlear Implants: • Uses electrical stimulation to restore hearing in individuals with severe hearing loss.

5. Laser and Optical Biophysics

Laser and optical biophysics is a rapidly advancing field that utilizes laser technology and light-based techniques for medical diagnostics and treatment. By offering high precision, minimal invasiveness, and faster recovery times, these technologies have transformed various medical disciplines, including ophthalmology, dermatology, oncology, and surgery. The ability of lasers to deliver focused energy with extreme accuracy has made them invaluable in both surgical and therapeutic applications, while optical imaging techniques have significantly improved disease detection and monitoring.

The Role of Lasers in Medicine Lasers are widely used in medical treatments due to their ability to cut, coagulate, or vaporize tissues with minimal damage to surrounding structures. One of the most well-known applications is LASIK (Laser-Assisted In Situ Keratomileusis), a laser-based eye surgery that reshapes the cornea to correct vision problems such as myopia, hyperopia, and astigmatism. By offering a quick and effective alternative to glasses or contact lenses, LASIK has improved the quality of life for millions of people worldwide. In addition to ophthalmology, laser technology is extensively used in dermatology for treating skin conditions, scars, wrinkles, and vascular lesions. Fractional laser therapy helps stimulate collagen production, making it a popular choice for skin rejuvenation and anti-aging treatments. Similarly, laser-based techniques are employed in dentistry for cavity removal, gum disease treatment, and teeth whitening, offering painless and more efficient procedures compared to traditional dental tools. Lasers also play a crucial role in oncology, particularly in Photodynamic Therapy (PDT), where a light-sensitive drug is activated by a laser to target and destroy cancer cells. This technique is used for treating skin cancer, esophageal cancer, and lung cancer, providing a less invasive alternative to conventional chemotherapy and radiation therapy. Furthermore, laser ablation is used in tumor removal surgeries, ensuring precise cutting with minimal bleeding and scarring.

Optical Imaging in Diagnostics Beyond surgical applications, optical biophysics has significantly improved medical diagnostics through advanced imaging techniques. One of the most commonly used optical tools is endoscopy, a minimally invasive procedure that allows physicians to examine internal organs using a flexible tube equipped with a camera and light. Endoscopy is crucial in diagnosing conditions affecting the gastrointestinal tract, respiratory system, and urinary system, allowing for early disease detection and biopsy collection. Another breakthrough in optical imaging is Optical Coherence Tomography (OCT), which uses light waves to create high-resolution cross-sectional images of biological tissues. In ophthalmology, OCT is essential for diagnosing glaucoma, diabetic retinopathy, and macular degeneration, enabling early intervention and treatment planning. Similarly, fluorescence microscopy and confocal laser scanning microscopy (CLSM) allow researchers and medical professionals to visualize cellular structures and molecular interactions, aiding in cancer research, neuroscience, and microbiology.

Overall, laser and optical biophysics have significantly improved surgical precision, diagnostic accuracy, and patient care. As new advancements emerge, these technologies will continue to enhance medical treatments, making healthcare safer, more efficient, and less invasive. With continuous research and innovation, laser and optical biophysics will remain at the forefront of modern medicine, transforming the way diseases are diagnosed and treated.

6. Medical Instrumentation and Sensors

Medical instrumentation and sensors play a crucial role in modern healthcare by providing accurate and continuous monitoring of physiological functions. These devices help in diagnosing diseases, tracking patient health, and improving treatment outcomes. With advancements in technology, medical sensors have become more precise, compact, and accessible, enabling real-time monitoring both in hospitals and at home. From traditional diagnostic tools to advanced wearable devices, medical instrumentation has transformed patient care, making healthcare more efficient and proactive.

The Role of Medical Sensors in Monitoring Health Medical sensors are designed to measure various physiological parameters, allowing healthcare professionals to detect abnormalities and respond promptly. One of the most widely used devices is the pulse oximeter, which measures blood oxygen saturation (SpOâ‚‚) and heart rate non-invasively. These devices are essential in critical care units, operating rooms, and home monitoring, especially for patients with respiratory conditions like COVID-19, asthma, and chronic obstructive pulmonary disease (COPD). Another significant advancement in medical instrumentation is wearable biosensors, which allow for continuous health tracking. Devices like smartwatches, fitness trackers, and medical-grade patches monitor heart rate, blood pressure, glucose levels, and even ECG patterns. These sensors help in the early detection of heart conditions, diabetes management, and overall wellness tracking, reducing the need for frequent hospital visits.

Types of Medical Sensors and Their Applications • Cardiac Monitoring Devices: • Electrocardiograms (ECG): Detect abnormal heart rhythms and cardiac conditions. • Holter Monitors: Wearable ECG devices that continuously track heart activity over 24–48 hours. • Implantable Cardiac Monitors: Long-term monitoring of heart irregularities for patients at risk of sudden cardiac arrest. • Respiratory Monitoring Devices: • Capnography Sensors: Measure carbon dioxide levels in exhaled breath, crucial in intensive care units and anesthesia. • Spirometers: Assess lung function in asthma and COPD patients. • Blood Pressure and Glucose Monitoring: • Automatic Blood Pressure Monitors: Provide real-time blood pressure readings for hypertension management. • Continuous Glucose Monitors (CGM): Track blood sugar levels in diabetic patients, reducing the need for frequent finger pricks. • Neurological Sensors: • Electroencephalography (EEG): Records brain activity to diagnose epilepsy, sleep disorders, and neurological conditions. • Brain-Computer Interfaces (BCI): Allow communication and control using brain signals, helping paralyzed patients interact with devices. • Wearable and Smart Health Devices: • Smartwatches and Fitness Trackers: Monitor heart rate, sleep patterns, and physical activity. • Smart Patches and Tattoos: Temporary skin patches that track hydration levels, body temperature, or medication adherence. • Biosensors for Sweat Analysis: Detect dehydration and electrolyte imbalances.

The Importance of Medical and Clinical Biophysics in Medicine

Medical and clinical biophysics plays a crucial role in advancing healthcare by integrating physics, engineering, and medicine to improve diagnostics, treatments, and patient care. This interdisciplinary field has led to significant breakthroughs in medical imaging, laser therapies, radiation treatments, and wearable health monitoring devices, making healthcare more accurate, efficient, and patient-friendly. The continuous development of biophysical technologies has transformed medicine, enhancing both preventive and curative approaches.

1. Improving Diagnosis and Treatment Accuracy One of the key contributions of medical biophysics is its ability to enhance diagnostic precision through advanced imaging and monitoring techniques. Technologies such as Magnetic Resonance Imaging (MRI), Computed Tomography (CT), and Ultrasound provide high-resolution images of internal organs, tissues, and blood vessels, allowing doctors to detect diseases at an early stage. Electrophysiology tools, such as ECG and EEG, help in diagnosing cardiac and neurological conditions with high accuracy. In treatment, biophysics has enabled minimally invasive procedures that reduce complications and recovery times. Radiation therapy, laser surgeries, and robotic-assisted surgeries provide targeted treatments, minimizing damage to healthy tissues while maximizing effectiveness. Personalized medicine, driven by biophysical research, ensures treatments are tailored to individual patient needs, improving outcomes in conditions like cancer, cardiovascular diseases, and neurological disorders.

2. Enhancing Patient Safety Through Non-Invasive Techniques Medical biophysics has contributed to the development of non-invasive and minimally invasive diagnostic methods, reducing the risks associated with traditional surgical interventions. Laser treatments, ultrasound imaging, and wearable biosensors provide real-time health monitoring without the need for invasive procedures. Remote patient monitoring systems, such as continuous glucose monitors (CGM) and smart ECG patches, allow patients to track their health conditions at home, reducing hospital visits and improving chronic disease management. Additionally, advancements in biomechanics and prosthetics have improved the quality of life for patients with disabilities. Artificial limbs, exoskeletons, and rehabilitation devices restore mobility and function, helping individuals regain independence and lead healthier lives.

3. Driving Innovation in Medical Technology The continuous development of biophysical technologies has revolutionized medical research and practice. Innovations such as AI-powered diagnostics, bioelectronic medicine, and nanotechnology-based therapies are shaping the future of healthcare. Optical biophysics has led to breakthroughs in fluorescence imaging and optical coherence tomography (OCT), providing better insights into diseases like glaucoma, macular degeneration, and cancer. Medical biophysics also plays a role in drug development and delivery systems. Targeted drug delivery techniques, such as nanoparticle-based drug carriers, improve the efficiency of medications while reducing side effects. Tissue engineering and regenerative medicine, powered by biophysical principles, are advancing treatments for organ failure, wound healing, and even potential artificial organ development.

4. Expanding the Frontiers of Preventive Medicine With the rise of wearable health technology and telemedicine, medical biophysics has enabled a shift from reactive to preventive healthcare. Smartwatches, biosensors, and AI-driven health monitoring platforms detect early signs of diseases before symptoms appear, allowing for timely medical intervention. Genetic and molecular biophysics further contributes by identifying genetic predispositions to diseases, helping individuals adopt preventive measures and personalized lifestyle changes.

5. Supporting Medical Research and Education Medical and clinical biophysics is essential in training future healthcare professionals by providing a deep understanding of how physical principles apply to biological systems. Medical students, researchers, and engineers collaborate to develop new medical technologies, test innovative treatments, and improve existing healthcare solutions. Simulation models, virtual reality (VR) training, and biophysical research tools help medical professionals practice complex procedures before performing them on actual patients.

Conclusion

Medical and clinical biophysics is a cornerstone of modern healthcare, bridging physics, medicine, and engineering to revolutionize diagnostics, treatments, and patient care. Through advancements in medical imaging, radiation therapy, biomechanics, electrophysiology, laser technologies, and biomedical sensors, this field has provided precise, efficient, and minimally invasive medical solutions that enhance both disease management and patient outcomes. The integration of non-invasive diagnostic tools such as MRI, CT scans, and ultrasound has significantly improved the early detection of diseases, reducing the need for exploratory surgeries and enabling more targeted treatments. Radiation therapy and laser-based medical procedures have refined cancer treatment, eye surgeries, and dermatological interventions, minimizing risks while maximizing effectiveness. Meanwhile, wearable biosensors and remote health monitoring devices empower individuals to take charge of their health, shifting healthcare from reactive to preventive and personalized medicine. Beyond its immediate applications in clinical practice, medical biophysics is driving groundbreaking innovations in regenerative medicine, nanotechnology, and AI-assisted healthcare. Tissue engineering, targeted drug delivery systems, and bioelectronic medicine are reshaping treatment strategies, offering new hope for managing chronic diseases and complex conditions. The development of brain-computer interfaces (BCI), advanced prosthetics, and smart implants is further pushing the boundaries of what medicine can achieve, restoring mobility, communication, and sensory functions to patients with severe impairments. As technology advances, medical biophysics will continue to play a vital role in shaping the future of medicine, improving healthcare accessibility, efficiency, and precision. The ongoing collaboration between physicists, engineers, and medical professionals will lead to even more sophisticated diagnostic and therapeutic techniques, ensuring that medicine remains at the forefront of innovation. Ultimately, the field of medical and clinical biophysics is not just about scientific progress—it is about saving lives, improving quality of life, and paving the way for a healthier future for generations to come.

Information:

Name: Abu Muamar Heba Savchenko Angelina University: Asfendiyarov Kazakh National Medical University Gmail: angelinasavchenko006@icloud.com hibaabumuamar@gmail.com phone number: +708 928 56 52, +8 778 616 36 32 Dr. Abdrasilova Venera Onalbaevna

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