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Journal of Veterinary Medicine and Research

Effect of Vacuum Level on Udder Aspect and Milking in the Sicilo-Sarde Ewes

Research Article | Open Access | Volume 12 | Issue 2
Article DOI :

  • 1. Department of Animal Sciences, Carthage University, Tunisia
  • 2. Laboratoire d’Elevage et de la Faune Sauvage LR16IRA04; Institut des Régions Arides, Médenine, Tunisia
  • 3. Research Laboratory of Ecosystems & Aquatic Resources, National Agronomic Institute of Tunisia, Tunisia
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Corresponding Authors
Mohamed Chniter, National Agronomic Institute of Tunisia, Carthage University, Tunis 1082, Tunisia, Tel: 50973105
Abstract

The study aimed to investigate the effect of vacuum level on udder traits, milking time, milk yield, and components in Tunisian Sicilo-Srade ewes. The trial was carried out at the UCPA farm of Gnadil-Béja (Tunisia) among three periods of late lactation where 3 vacuum levels (40, 50, and 60 kPa) were applied for each one. Udder traits were measured before each milking, and milking time and milk amount were recorded. Milk total solids (TS), fat, solids not fat (SNF), protein, lactose, milk urea nitrogen (MUN), and somatic cell counts (SCC) were determined. Results showed significant effects of lactation day on udder traits with the exception of teats length. Machine milking time (32.75 sec) and milk yield (0.78 L/ewe/d) were the highest at the beginning of the experiment. Excepting somatic cell counts and milk urea nitrogen, the highest values of milk components were observed at the intermediate period of the experiment. Significant effects of vacuum level on machine milking time and milk yield were observed (P<0.05), where values are the highest with the low (40 kPa) and the intermediate (50 kPa) vacuum levels, respectively. Similarly, milk solids not fat content was higher in the groups of 40 and 50 kPa than that of 60 kPa. Contrarily to protein content, milk fat obtained with 50 kPa was higher than those of 40 and 60 kPa.

Keywords: Tunisia; Dairy Sheep; Milking Setting; Udder Status

Introduction

In dairy farming, knowledge of the udder morphology permits the identification of the mammary traits indispensable in selection programs [1]. Milking frequency, vacuum level, pulsation rate, and pulsator ratio represent the most suitable operative parameters that regulate machine milking [2]. The vacuum level is regulated according to the milking system (high or low) and the country customs contrarily to pulsation parameters which are specific for each species. A vacuum level of 40 kPa was recommended for goats and ewes [3]. Similarly, it has been reported that the appropriate teat-end average vacuum level is between 28 and 38 kPa [4] during the maximum flow phase (ISO 5707:2007). In contrast, an extremely low vacuum level causes an increase in both liner slips and machine-on time and consequently a decrease in milk flow rate [5]. A high vacuum level (>42 kPa) is suitable to assist the teat canal opening but can cause severe teat tissue damage and seems higher compared with the value recommended for Sarda sheep (26 kPa), Lacaune sheep (25 to 35.9 kPa) [2], mountain Greek breed Boutsiko (16.59 kPa) [6], and Saanen goats (34.6 kPa) (Le Du and Benmederbel, 1984). Milking operation greatly affects productivity requirements in dairy goat farms, where milking time could represent up to 55% of labor, according to the frequency of milking and performance of milkers [7]. An increase in milk amount (1.24 vs. 1.05 kg) was founded in sheep and goats when the vacuum level decreases from 44 to 35 kPa [8]; in contrast, any difference has been reported for Alpine goats [9]. The use of alternate pulsations with a high vacuum level limits the time of milking [9]. Similarly, negative relationships were reported between vacuum level and milking time [8]. Vacuum level is among the most parameters of the milking machine which can considerably affect udder health. SCC was considered as a way to assess milk quality and animal health [10]. Dairy production is an essential means to satisfy social and economic needs in the Maghreb countries such as poverty and malnutrition [11]. However, despite their potential contribution, limited attention has been reserved for dairy ewes and goats in the Maghreb regions [12]. Under the harsh environments prevailing in these regions, ewe and goat are mainly reared for meat and most breeds have not been selected for milk, except the Tunisian Sicilo-Sarde sheep [13], Dairy sheep represents a micro-sector dominated by the Sicilo-Sarde breed as the only specialized dairy sheep in North Africa, since its milk is processed in “SOTULAIFROM” factory and represents a cheese type "Roquefort" [14]. Sicilo-Sarde ewes showed appropriate aptitudes for machine milking [15], and their milk yield is mainly affected by feed, age, number, and sex of lambs [16]. Until now, Sicilo-Sarde farming is missing references on milking settings, even after the maximum flow phase where ewes are usually milked with a high vacuum level (>40 kPa), and at this stage, drying period represents the critical moment for making herd management decisions. In order to define optimum milking practice satisfying the physiological needs of ewe, the present study aimed to evaluate the effects of lactation day, vacuum level (38, 44, and 50 kPa), and the milking session on udder traits, milking time, milk yield and components during late lactation in Sicilo-Sarde ewes.

Materials and Methods

 This study was carried out at the UCPA farm of Gnadil in Béja (Tunisia), this region is characterized by a sub-humid climate stage with an annual rainfall of 600?800 mm [17]. A total of 30 multiparous ewes (5 ± 2 years of age; 1st ? 5th of lactation) from a 608-head herd was observed from 21st February to 21st April 2019. In these conditions, the herd was moved for grazing once a day (11:30 a.m to 16:00 p.m.) and then kept on the farm during the night from September to Marsh, while grazing becomes twice a day (8:30 to 12:00 a.m. and 15:30 to 18:30 p.m.) from April to 2 weeks before the expected lambing date. Animals are daily fed in winter with oats hay (1.5 ? 2 kg/head) and graze thatch pasture in the summer. During the year, ewes were fed concentrate each morning (400 to 600 g/head), excepting Jun and July, and they had access to water twice a day. The trial was carried out among 3 periods of 12 d each (141±7; 169±7 and 200±7 d of lactation). For each period, 3 vacuum levels (40, 50, and 60 kPa) were applied every 4 d with the same parameters (120 pulsations/min and 50:50 pulsator ratio) where a pre-experimental phase of 5 d was applied before each one for familiarizing ewes to each tested vacuum level. The 1st d of each period (4 d), milking time (s) of the morning (08:00 a.m.) and afternoon (16:00 p.m.) milking (SEZER-Turkey, mechanic milking) were recorded. The milk amount was recorded at the 2nd d, and at the 3rd d, teat length, teat width, udder length, the distance between teats, the height of the right cistern, and the height of the left cistern were measured twice daily (08:00 a.m. and 16:00 p.m.). Each last day (4th d) of each period, a milk sample (100 mL/ewe) was collected (at 08:00 a.m. and at 16:00 p.m.) to be analyzed (Milkoscan FTS-FCM) for total solids (TS), fat, solids not fat (SNF), protein, lactose, milk urea nitrogen (MUN) and somatic cell counts (SCC). All analyses were performed with SAS 9.0 (SAS Institute Inc., Cary, NC, USA). The Proc GLM was used to evaluate the effects of lactation day, vacuum level, and the milking session on udder traits, milking time, milk yield, and components as follow. The linear model used was as follow: Yijk = µ + Vli+ Ldj + Msk + VlLdMsijk + eijk Where: Yijk the observation of the studied variable; µ the general mean; Vli the fixed effect of the vacuum level (Low VL1= 40, Medium VL2 = 50, High VL3 = 60kPa); Ldj: the fixed effect of the lactation day (Ld1 = Early, Ld2 = Intermediate, Ld3 = Late experiment); MsK: the fixed effect of milking session (M1 = Mornig milking, M2 = Afternoon milking); VlLdMsijk: vacuum level × lactation day × Milking session interaction, and eijk: the residual effect. Differences among the lactation days, vacuum levels, and milking sessions were evaluated using the test of Student–Newman–Keuls. Noting that data of milk urea nitrogen (MUN), total solids (TS), solids not fat (SNF), and lactose contained missing recordings according to lactation day.

Results and Discussion

The effects of lactation day, vacuum level, and milking session on udder traits are presented in Table 1. An average teat length of 26.4±0.2 mm and teat width of 11.1±0.1 mm, an udder length of 78.6±0.8 mm, a distance between teats of 77.9±0.7 mm, a height of the right cistern of 49.3±0.7 mm and a height of the left cistern of 50.6±0.7 mm were observed. There were significant effects of lactation day on the udder traits, except for teats length. Udder shows lower (P<0.001) teat width at 141±7 and 169±7 d of lactation than that at 200±7 d. The Teat length of Sicilo-Srade ewes did not vary significantly during the trial, while the distance between teats and cistern height increased (P<0.05) from 141±7 to 200 ±7 d. However, this was not the case for udder length, which diminishes at 200±7 d. None of the measurements of teat length, teat width, udder length, the distance between teats, and height of the cistern is affected by the vacuum level. Similarly, the milking session and the interaction between factors did not influence any of the udder traits (P>0.05). The present study provides, for the first time, a detailed account of the influence of lactation day, vacuum level, and milking session on udder morphology, milking time, milk yield, and components in the Sicilo-Sarde sheep. Compared to our result (26.4 mm), a lower average teat length was previously founded by Ayadi et al. [15], in the same breed (18.5 mm), and by Martínez et al. [18], in Chilota and Suffolk Down breed (22.6 and 22.8 mm, respectively), however, higher teat length (31 ? 34 mm), was reported in Barbarine ewes [19]. Small teats can reduce the milking ability of the ewe, although an increase in teat size can be expected as a result of milk yield selection [18]. The udder length in our work (78.62 mm) was close to that reported for Suffolk Down ewe (76.9 mm), but smaller than those reported in Chilota (86.3 mm) and Churra (93.0 mm) [20]. The distance between teats of Sicilo-Sarde ewes (7.7 cm) was similar to that reported (7.5 cm) for the same breed [15], but lower than those reported for Najdi ewe (10.4 to 15.1 cm). Similarly, the cisterns of Sicilo-Sarde showed lower height (49.3 ? 50.6 mm) than those reported by Martínez et al. [18], for Chilota (86 to 87 mm) or Suffolk sheep (77 ? 90 mm). The significant effect of lactation day on udder measurements and milking time observed for Sicilo-Srade ewes, except the teat length, are similar to the results reported in Barbarine ewes by Ayadi et al. [19]. It has been reported that udder size change is compatible with the decrease of milk yield [18]. Similarly, milking time was the lowest at 200±7 and 169±7 d compared to that at 141±7 d of lactation, such variation was compatible with the reduction of milk yield potential throughout lactation [19]. The teat length of Sicilo-Sarde ewes did not vary during the trial. This result is similar to those of Najdi sheep [19]. The increase in the distance between teats and the height of the cistern as lactation progresses may be due to an increase in the size of the udder as per the synthesis of mammary tissues, with the advancement of the lactation stage. However, this was not the case for some traits defining udder size, in particular udder length which diminished at 200 ± 7 d, coinciding with the involution of the mammary gland at the end of lactation. The effects of lactation day, vacuum level, and the milking session on machine milking time, milk yield, and components are presented in Table 2. Significant differences (P<0.05) among the lactation days were observed for all parameters, except SCC and NUM. Machine milking time and milk yield have the highest values at the beginning of the experiment (141±7 d). The highest fat contents were observed at the intermediate period, as compared to those at the beginning and at the end of the experiment. However, total protein content shows the lowest value at 141 d and then increases at 169 d before its decreasing. The value of milk SCC was high at 141 d and decreased slightly (P>0.05) to 169 and 200 d. There were significant effects of vacuum level on machine milking time (P<0.001), where time was the highest with the lowest vacuum level, hence the time decreased (P≤0.05) by 0.1 min/ewe as the vacuum level increases from 40 to 60 kPa. However, milk yield did not differ significantly according to vacuum level. Significant differences (P<0.05) were observed between the vacuum levels for fat, protein, MUN, SNF, and lactose. The fat content obtained at 50 kPa was higher (4.75%) than those at 40 and 60 kPa. The lactose content was higher when using 40 kPa than those at 50 and 60 kPa (4.43 and 4.37%, respectively), contrary to the protein content. Milk MUN and SNF were significantly higher at 40 and 50 kPa than that at 60 kPa (P<0.01). The TS and SCC did not differ according to the vacuum level. Regardless of the milking session, significant effects were observed on milking time, milk yield, NUM, and TS where values are highest in the morning compared to those in the afternoon milking. The interaction between factors did not influence any of the machine milking time, milk yield, and components (P>0.05). The milking time was influenced by vacuum level, with a reduced value following the use of the highest level (60 kPa) as it has been reported in goats [21].The morning milking time and milk yield were higher than those of evening milking. Similar differences in the amount of partial morning and evening milk yields with the same milking interval were observed in cows [22]. The increase of fat and total protein in milk until 169 d and their decrease at 200 d of lactation were comparable to those reported in Lacaune ewes [23], and in Dalmatian Pramenka ewes [24]. Noting that, the major change in milk components occurred during the first 30 d of lactation, which coincide with the highest milk yield in dairy ewes. Excepting the SCC at the 141 d of lactation, our results are in line with the legal limit of SCC designed for bulk tank milk for goats and sheep (should not be lower than 1.5×106c/mL) as suggested by the EU authorities (International Symposium of Somatic Cells and Milk of Small Ruminants, 1994). A medium vacuum level increases the milking time and improves the extraction of alveolar milk richest in fat, and this can explain partially the significant difference in milk fat content [21]. Following one-only machine milking, the fat content raises with time in cow milk as a part of fat granules is retained and the amount of milk corresponds to the alveolar fraction the rich in fat compared to the cisternal fraction [25]. Milk somatic cell count did not vary significantly according to vacuum level in Sicilo-Sarde ewe similar to previous results found in dairy ewes and goats [21]. In contrast, a high somatic cell count has already been reported in a study maintaining a high vacuum level for a longer period in sheep and this increases the risk of the udder infection [26].

Conclusion

It was concluded that vacuum level does not affect udder measurements in dairy Sicilo-Sarde sheep but has several effects on machine milking time, milk yield, and components; the use of a medium vacuum level of 50 kPa seems to be the suitable choice, since milk MUN, SNF and Fat contents were the highest. This level was less stressful for teat tissue, did not cause any detrimental effects on udder health, and appears more appropriate than the extreme vacuum levels (40–60 kPa) regarding milking performances.

Acknowledgements

The authors would like to thank all the participants who were involved in the animal herd management and experimental design.

Table 1

Table 1: Effects of lactation day, vacuum level, and the milking session on udder traits in Sicilo-Sarde dairy ewes

 

Traits

 (mm)

 

Overall

M. ± S.D

(Mean ± S.D) day of lactation

Vacuum level (kPa)

Milking session

141±7

169±7

200±7

P-value

40

50

60

P-value

Morning

Afternoon

P-value

Teat

length

26.37

± 3.84

26.23

26.33

26.53

0.7482

26.49

26.27

26.34

0.8625

26.43

26.30

0.6996

Teat

width

11.08

± 2.07

10.36b

10.65b

12.21a

<.0001

11.15

11.07

11.00

0.7745

11.11

11.04

0.6489

Udder

length

78.62

± 12.85

79.54A

80.97a

75.36b

<.0001

78.74

78.53

78.60

0.9879

78.68

78.56

0.9152

Distance

teats

77.93

± 12.68

75.39b

77.11b

81.27a

<.0001

77.22

78.61

77.95

0.5735

77.95

77.90

0.9537

Height of

right cistern

49.26

± 11.77

51.86a

45.00b

49.93a

<.0001

49.72

49.58

48.48

0.5409

49.42

49.10

0.7539

Height of

left cistern

50.58

± 12.29

50.96b

46.86c

53.92a

<.0001

50.96

50.65

50.12

0.7975

50.72

50.44

0.7914

 

Abbreviations: Data are reported as means and associated standard deviations. Means with different lowercase letters on the same row differ significantly (P < 0.05). 

Table 2

Table 2: Effects of lactation day, vacuum level, and milking session on milking time, milk composition, and SCC in Sicilo-Sarde dairy ewes

Parameters

 

Overall

M. ± S.D

(Mean ± S.D) day of lactation

Vacuum level (kPa)

Milking session

141±7

169±7

200±7

P-value

40

50

60

P-value

Morning

Afternoon

P-value

Milking

time (sec)

29.69

± 10.80

32.75a

28.62b

27.72b

<.0001

33.00a

29.84b

26.25c

<.0001

30.86a

28.52b

0.0069

Milk yield

(L/ewe/d)

0,65

± 0,18

0.78a

0.60b

0.58b

<.0001

0.64

0.67

0.65

0. 2

0.78a

0.52b

0.003

Fat

(%)

6.73

± 1.76

6.88b

7.21a

6.06c

<.0001

6.33b

7.36a

6.46b

<.0001

6.68

6.77

0.4950

Protein

(%)

6.29

± 1.04

5.94c

6.84a

6.54b

<.0001

6.12b

6.46a

6.72a

0.<.0001

6.31

6.26

0.5778

SCC

(×103 c/ml)

1711.43

± 4046.67

2034.3

1654.9

1452.3

0.4103

1606.3

1628.5

1897.3

0.7495

1786.6

1635.7

0.6590

MUN

(mg/dL)

41.38

± 9.52

.

41.93

40.84

0.2299

43.45a

43.65a

37.03b

<.0001

42.61a

40.14b

0.0060

TS

(%)

18.26

± 1.39

.

.

.

.

18.35

18.33

18.09

0.4976

18.76a

17.75b

<.0001

SNF

(%)

11.64

± 0.52

.

.

.

.

11.72a

11.70a

11.50b

0.0281

11.61

11.67

0.4163

Lactose

(%)

4.52

± 0.47

.

.

.

.

4.75a

4.43b

4.37b

<.0001

4.50

4.53

0.7501

Abbreviations: [Data are reported as means and associated standard deviations. Means with different lowercase letters on the same row differ significantly (P < 0.05).]

 

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Received : 12 May 2025
Accepted : 26 Aug 2025
Published : 27 Aug 2025
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Launched : 2017
Journal of Memory Disorder and Rehabilitation
ISSN : 2578-319X
Launched : 2016
JSM Tropical Medicine and Research
ISSN : 2578-3165
Launched : 2016
JSM Head and Face Medicine
ISSN : 2578-3793
Launched : 2016
JSM Cardiothoracic Surgery
ISSN : 2573-1297
Launched : 2016
JSM Bone and Joint Diseases
ISSN : 2578-3351
Launched : 2017
JSM Bioavailability and Bioequivalence
ISSN : 2641-7812
Launched : 2017
JSM Atherosclerosis
ISSN : 2573-1270
Launched : 2016
Journal of Genitourinary Disorders
ISSN : 2641-7790
Launched : 2017
Journal of Fractures and Sprains
ISSN : 2578-3831
Launched : 2016
Journal of Autism and Epilepsy
ISSN : 2641-7774
Launched : 2016
Annals of Marine Biology and Research
ISSN : 2573-105X
Launched : 2014
JSM Health Education & Primary Health Care
ISSN : 2578-3777
Launched : 2016
JSM Communication Disorders
ISSN : 2578-3807
Launched : 2016
Annals of Musculoskeletal Disorders
ISSN : 2578-3599
Launched : 2016
Annals of Virology and Research
ISSN : 2573-1122
Launched : 2014
JSM Renal Medicine
ISSN : 2573-1637
Launched : 2016
Journal of Muscle Health
ISSN : 2578-3823
Launched : 2016
JSM Genetics and Genomics
ISSN : 2334-1823
Launched : 2013
JSM Anxiety and Depression
ISSN : 2475-9139
Launched : 2016
Clinical Journal of Heart Diseases
ISSN : 2641-7766
Launched : 2016
Annals of Medicinal Chemistry and Research
ISSN : 2378-9336
Launched : 2014
JSM Pain and Management
ISSN : 2578-3378
Launched : 2016
JSM Women's Health
ISSN : 2578-3696
Launched : 2016
Clinical Research in HIV or AIDS
ISSN : 2374-0094
Launched : 2013
Journal of Endocrinology, Diabetes and Obesity
ISSN : 2333-6692
Launched : 2013
Journal of Substance Abuse and Alcoholism
ISSN : 2373-9363
Launched : 2013
JSM Neurosurgery and Spine
ISSN : 2373-9479
Launched : 2013
Journal of Liver and Clinical Research
ISSN : 2379-0830
Launched : 2014
Journal of Drug Design and Research
ISSN : 2379-089X
Launched : 2014
JSM Clinical Oncology and Research
ISSN : 2373-938X
Launched : 2013
JSM Bioinformatics, Genomics and Proteomics
ISSN : 2576-1102
Launched : 2014
JSM Chemistry
ISSN : 2334-1831
Launched : 2013
Journal of Trauma and Care
ISSN : 2573-1246
Launched : 2014
JSM Surgical Oncology and Research
ISSN : 2578-3688
Launched : 2016
Annals of Food Processing and Preservation
ISSN : 2573-1033
Launched : 2016
Journal of Radiology and Radiation Therapy
ISSN : 2333-7095
Launched : 2013
JSM Physical Medicine and Rehabilitation
ISSN : 2578-3572
Launched : 2016
Annals of Clinical Pathology
ISSN : 2373-9282
Launched : 2013
Annals of Cardiovascular Diseases
ISSN : 2641-7731
Launched : 2016
Journal of Behavior
ISSN : 2576-0076
Launched : 2016
Annals of Clinical and Experimental Metabolism
ISSN : 2572-2492
Launched : 2016
Clinical Research in Infectious Diseases
ISSN : 2379-0636
Launched : 2013
JSM Microbiology
ISSN : 2333-6455
Launched : 2013
Journal of Urology and Research
ISSN : 2379-951X
Launched : 2014
Journal of Family Medicine and Community Health
ISSN : 2379-0547
Launched : 2013
Annals of Pregnancy and Care
ISSN : 2578-336X
Launched : 2017
JSM Cell and Developmental Biology
ISSN : 2379-061X
Launched : 2013
Annals of Aquaculture and Research
ISSN : 2379-0881
Launched : 2014
Clinical Research in Pulmonology
ISSN : 2333-6625
Launched : 2013
Journal of Immunology and Clinical Research
ISSN : 2333-6714
Launched : 2013
Annals of Forensic Research and Analysis
ISSN : 2378-9476
Launched : 2014
JSM Biochemistry and Molecular Biology
ISSN : 2333-7109
Launched : 2013
Annals of Breast Cancer Research
ISSN : 2641-7685
Launched : 2016
Annals of Gerontology and Geriatric Research
ISSN : 2378-9409
Launched : 2014
Journal of Sleep Medicine and Disorders
ISSN : 2379-0822
Launched : 2014
JSM Burns and Trauma
ISSN : 2475-9406
Launched : 2016
Chemical Engineering and Process Techniques
ISSN : 2333-6633
Launched : 2013
Annals of Clinical Cytology and Pathology
ISSN : 2475-9430
Launched : 2014
JSM Allergy and Asthma
ISSN : 2573-1254
Launched : 2016
Journal of Neurological Disorders and Stroke
ISSN : 2334-2307
Launched : 2013
Annals of Sports Medicine and Research
ISSN : 2379-0571
Launched : 2014
JSM Sexual Medicine
ISSN : 2578-3718
Launched : 2016
Annals of Vascular Medicine and Research
ISSN : 2378-9344
Launched : 2014
JSM Biotechnology and Biomedical Engineering
ISSN : 2333-7117
Launched : 2013
Journal of Hematology and Transfusion
ISSN : 2333-6684
Launched : 2013
JSM Environmental Science and Ecology
ISSN : 2333-7141
Launched : 2013
Journal of Cardiology and Clinical Research
ISSN : 2333-6676
Launched : 2013
JSM Nanotechnology and Nanomedicine
ISSN : 2334-1815
Launched : 2013
Journal of Ear, Nose and Throat Disorders
ISSN : 2475-9473
Launched : 2016
JSM Ophthalmology
ISSN : 2333-6447
Launched : 2013
Journal of Pharmacology and Clinical Toxicology
ISSN : 2333-7079
Launched : 2013
Annals of Psychiatry and Mental Health
ISSN : 2374-0124
Launched : 2013
Medical Journal of Obstetrics and Gynecology
ISSN : 2333-6439
Launched : 2013
Annals of Pediatrics and Child Health
ISSN : 2373-9312
Launched : 2013
JSM Clinical Pharmaceutics
ISSN : 2379-9498
Launched : 2014
JSM Foot and Ankle
ISSN : 2475-9112
Launched : 2016
JSM Alzheimer's Disease and Related Dementia
ISSN : 2378-9565
Launched : 2014
Journal of Addiction Medicine and Therapy
ISSN : 2333-665X
Launched : 2013
Annals of Public Health and Research
ISSN : 2378-9328
Launched : 2014
Annals of Orthopedics and Rheumatology
ISSN : 2373-9290
Launched : 2013
Journal of Clinical Nephrology and Research
ISSN : 2379-0652
Launched : 2014
Annals of Community Medicine and Practice
ISSN : 2475-9465
Launched : 2014
Annals of Biometrics and Biostatistics
ISSN : 2374-0116
Launched : 2013
JSM Clinical Case Reports
ISSN : 2373-9819
Launched : 2013
Journal of Cancer Biology and Research
ISSN : 2373-9436
Launched : 2013
Journal of Surgery and Transplantation Science
ISSN : 2379-0911
Launched : 2013
Journal of Dermatology and Clinical Research
ISSN : 2373-9371
Launched : 2013
JSM Gastroenterology and Hepatology
ISSN : 2373-9487
Launched : 2013
Annals of Nursing and Practice
ISSN : 2379-9501
Launched : 2014
JSM Dentistry
ISSN : 2333-7133
Launched : 2013
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