Your article uses a lot of medical terms that could hardly be understood by someone that is not in the medical field. Try to simplify it a little bit to be understood by most of the readers.
It depends on which platform you are working with. If you publish articles on publish0x, it differs from publishing on your blog or read cash. Each platform has a set of subjects.
You could allow low than 30 words per reply and remove reward if the posting is less than 30 words. Not all posts need to reach 30 posts by say the same thing 2 or 3 times.