<translate>  Nke ahụ na - eme ka a mata ihe mere ndị nwere nkụchi obi bụ ndị na - enweghị obi mgbu na - eji eyigharịkarị ịga ụlọ ọgwụ ná nkezi nke awa abụọ , ka otu nchọpụta e bipụtara na The Journal of the American Medical Association na - ekwu . 