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026 to 4. 58; p 0. 001, but the combination order ondansetronum online CR with CM was also superior to CBT alone, CM alone, CM plus CBT, and the 12-step program. The main limitations of this study were the quality of the included publications and the lack of blinding, which may have increased the risk of performance bias. However, the analyzes were based on objective results, which are less likely to be biased. The Health Monitoring Institute InVS reports 115,000 people affected by chikungunya in the Antilles and 39 deaths, in an epidemiological update presented on Wednesday.