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A possible explanation for LS symptom reduction after trunk surgery could be the microbiota shifting caused by the technique itself affecting a microbic-shared biochemical pathway involved in symptom expression.Infection with EBV has been associated with various inflammatory disorders including inflammatory bowel diseases (IBD). Contribution of this virus to intestinal disease processes has not been assessed. We previously detected that EBV DNA triggers proinflammatory responses via the activation of endosomal Toll-l

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9(4) in the counseling group, 26(5.5), in the control group, and 25.8(4.8) at the baseline. These scores changed to 28.9(5.4), 27.9(5.1), and 25.2(4.3) at the 4-week follow-up, respectively. These differences were statistically significant. Moreover, there was a statistically significant difference in the mean sexual satisfaction scores between the three groups, at the follow up period. Conclusion Providing sexual counseling by any approach during routine prenatal care by community midwives may improve couples' sexual health.Introduction