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  1. Article ; Online: Diversity, localization, and (patho)physiology of mature lymphocyte populations in the bone marrow.

    Schürch, Christian M / Caraccio, Chiara / Nolte, Martijn A

    Blood

    2021  Volume 137, Issue 22, Page(s) 3015–3026

    Abstract: The bone marrow (BM) is responsible for generating and maintaining lifelong output of blood and immune cells. In addition to its key hematopoietic function, the BM acts as an important lymphoid organ, hosting a large variety of mature lymphocyte ... ...

    Abstract The bone marrow (BM) is responsible for generating and maintaining lifelong output of blood and immune cells. In addition to its key hematopoietic function, the BM acts as an important lymphoid organ, hosting a large variety of mature lymphocyte populations, including B cells, T cells, natural killer T cells, and innate lymphoid cells. Many of these cell types are thought to visit the BM only transiently, but for others, like plasma cells and memory T cells, the BM provides supportive niches that promote their long-term survival. Interestingly, accumulating evidence points toward an important role for mature lymphocytes in the regulation of hematopoietic stem cells (HSCs) and hematopoiesis in health and disease. In this review, we describe the diversity, migration, localization, and function of mature lymphocyte populations in murine and human BM, focusing on their role in immunity and hematopoiesis. We also address how various BM lymphocyte subsets contribute to the development of aplastic anemia and immune thrombocytopenia, illustrating the complexity of these BM disorders and the underlying similarities and differences in their disease pathophysiology. Finally, we summarize the interactions between mature lymphocytes and BM resident cells in HSC transplantation and graft-versus-host disease. A better understanding of the mechanisms by which mature lymphocyte populations regulate BM function will likely improve future therapies for patients with benign and malignant hematologic disorders.
    MeSH term(s) Allografts ; Animals ; Bone Marrow Cells/immunology ; Bone Marrow Cells/pathology ; Cell Movement/immunology ; Graft vs Host Disease/immunology ; Graft vs Host Disease/pathology ; Graft vs Host Disease/physiopathology ; Graft vs Host Disease/therapy ; Hematologic Neoplasms/immunology ; Hematologic Neoplasms/pathology ; Hematologic Neoplasms/physiopathology ; Hematologic Neoplasms/therapy ; Hematopoiesis/immunology ; Hematopoietic Stem Cell Transplantation ; Hematopoietic Stem Cells/immunology ; Hematopoietic Stem Cells/pathology ; Humans ; Immunity, Innate ; Lymphocytes/immunology ; Lymphocytes/pathology ; Mice ; Thrombocytopenia/immunology ; Thrombocytopenia/pathology ; Thrombocytopenia/physiopathology ; Thrombocytopenia/therapy
    Language English
    Publishing date 2021-03-08
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood.2020007592
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: No protocol and no liability: a call for COVID crisis guidelines that protect vulnerable populations.

    Caraccio, Chiara / White, Robert S / Jotwani, Rohan

    Journal of comparative effectiveness research

    2020  Volume 9, Issue 12, Page(s) 829–837

    Abstract: The COVID-19 pandemic is revealing the unacceptable health disparities across New York City and in this country. The mortality rates of vulnerable and minority populations alone suggest a need to re-evaluate clinical decision making protocols, especially ...

    Abstract The COVID-19 pandemic is revealing the unacceptable health disparities across New York City and in this country. The mortality rates of vulnerable and minority populations alone suggest a need to re-evaluate clinical decision making protocols, especially given the recently passed Emergency or Disaster Treatment Protection Act, which grants healthcare institutions full immunity from liability stemming from resource allocation/triage decisions. Here we examine the disparity literature against resource allocation guidelines, contending that these guidelines may propagate allocation of resources along ableist, ageist and racial biases. Finally, we make the claim that the state must successfully develop ones that ensure the just treatment of our most vulnerable.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Clinical Decision-Making ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Decision Making ; Emergency Service, Hospital ; Guidelines as Topic ; Health Policy ; Health Status Disparities ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; Resource Allocation ; SARS-CoV-2 ; United States ; Vulnerable Populations
    Keywords covid19
    Language English
    Publishing date 2020-07-24
    Publishing country England
    Document type Journal Article
    ISSN 2042-6313
    ISSN (online) 2042-6313
    DOI 10.2217/cer-2020-0090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Bispecific Antibodies for Multiple Myeloma: A Review of Targets, Drugs, Clinical Trials, and Future Directions.

    Caraccio, Chiara / Krishna, Sachi / Phillips, Darci J / Schürch, Christian M

    Frontiers in immunology

    2020  Volume 11, Page(s) 501

    Abstract: Multiple myeloma (MM) is a plasma cell malignancy and the second most common hematological neoplasm in adults, comprising 1.8% of all cancers. With an annual incidence of ~30,770 cases in the United States, MM has a high mortality rate, leading to 12,770 ...

    Abstract Multiple myeloma (MM) is a plasma cell malignancy and the second most common hematological neoplasm in adults, comprising 1.8% of all cancers. With an annual incidence of ~30,770 cases in the United States, MM has a high mortality rate, leading to 12,770 deaths per year. MM is a genetically complex, highly heterogeneous malignancy, with significant inter- and intra-patient clonal variability. Recent years have witnessed dramatic improvements in the diagnostics, classification, and treatment of MM. However, patients with high-risk disease have not yet benefited from therapeutic advances. High-risk patients are often primary refractory to treatment or relapse early, ultimately resulting in progression toward aggressive end-stage MM, with associated extramedullary disease or plasma cell leukemia. Therefore, novel treatment modalities are needed to improve the outcomes of these patients. Bispecific antibodies (BsAbs) are immunotherapeutics that simultaneously target and thereby redirect effector immune cells to tumor cells. BsAbs have shown high efficacy in B cell malignancies, including refractory/relapsed acute lymphoblastic leukemia. Various BsAbs targeting MM-specific antigens such as B cell maturation antigen (BCMA), CD38, and CD138 are currently in pre-clinical and clinical development, with promising results. In this review, we outline these advances, focusing on BsAb drugs, their targets, and their potential to improve survival, especially for high-risk MM patients. In combination with current treatment strategies, BsAbs may pave the way toward a cure for MM.
    MeSH term(s) ADP-ribosyl Cyclase 1/immunology ; Animals ; Antibodies, Bispecific/therapeutic use ; B-Cell Maturation Antigen/immunology ; B-Lymphocytes/physiology ; Cell Differentiation ; Clinical Trials as Topic ; Epitopes ; Humans ; Leukemia, Plasma Cell/immunology ; Leukemia, Plasma Cell/therapy ; Multiple Myeloma/immunology ; Multiple Myeloma/therapy ; Risk
    Chemical Substances Antibodies, Bispecific ; B-Cell Maturation Antigen ; Epitopes ; ADP-ribosyl Cyclase 1 (EC 3.2.2.6)
    Language English
    Publishing date 2020-04-24
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2020.00501
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: No protocol and no liability: a call for COVID crisis guidelines that protect vulnerable populations

    Caraccio, Chiara / White, Robert S / Jotwani, Rohan

    J Comp Eff Res

    Abstract: The COVID-19 pandemic is revealing the unacceptable health disparities across New York City and in this country. The mortality rates of vulnerable and minority populations alone suggest a need to re-evaluate clinical decision making protocols, especially ...

    Abstract The COVID-19 pandemic is revealing the unacceptable health disparities across New York City and in this country. The mortality rates of vulnerable and minority populations alone suggest a need to re-evaluate clinical decision making protocols, especially given the recently passed Emergency or Disaster Treatment Protection Act, which grants healthcare institutions full immunity from liability stemming from resource allocation/triage decisions. Here we examine the disparity literature against resource allocation guidelines, contending that these guidelines may propagate allocation of resources along ableist, ageist and racial biases. Finally, we make the claim that the state must successfully develop ones that ensure the just treatment of our most vulnerable.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #675948
    Database COVID19

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  5. Article ; Online: T cell-mediated curation and restructuring of tumor tissue coordinates an effective immune response.

    Hickey, John W / Haist, Maximillian / Horowitz, Nina / Caraccio, Chiara / Tan, Yuqi / Rech, Andrew J / Baertsch, Marc-Andrea / Rovira-Clavé, Xavier / Zhu, Bokai / Vazquez, Gustavo / Barlow, Graham / Agmon, Eran / Goltsev, Yury / Sunwoo, John B / Covert, Markus / Nolan, Garry P

    Cell reports

    2023  Volume 42, Issue 12, Page(s) 113494

    Abstract: Antigen-specific T cells traffic to, are influenced by, and create unique cellular microenvironments. Here we characterize these microenvironments over time with multiplexed imaging in a melanoma model of adoptive T cell therapy and human patients with ... ...

    Abstract Antigen-specific T cells traffic to, are influenced by, and create unique cellular microenvironments. Here we characterize these microenvironments over time with multiplexed imaging in a melanoma model of adoptive T cell therapy and human patients with melanoma treated with checkpoint inhibitor therapy. Multicellular neighborhood analysis reveals dynamic immune cell infiltration and inflamed tumor cell neighborhoods associated with CD8
    MeSH term(s) Humans ; Melanoma/pathology ; CD8-Positive T-Lymphocytes ; Immunotherapy/methods ; Cytokines ; Immunity ; Tumor Microenvironment
    Chemical Substances Cytokines
    Language English
    Publishing date 2023-12-11
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2649101-1
    ISSN 2211-1247 ; 2211-1247
    ISSN (online) 2211-1247
    ISSN 2211-1247
    DOI 10.1016/j.celrep.2023.113494
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: T cell-mediated curation and restructuring of tumor tissue coordinates an effective immune response

    John W. Hickey / Maximillian Haist / Nina Horowitz / Chiara Caraccio / Yuqi Tan / Andrew J. Rech / Marc-Andrea Baertsch / Xavier Rovira-Clavé / Bokai Zhu / Gustavo Vazquez / Graham Barlow / Eran Agmon / Yury Goltsev / John B. Sunwoo / Markus Covert / Garry P. Nolan

    Cell Reports, Vol 42, Iss 12, Pp 113494- (2023)

    2023  

    Abstract: Summary: Antigen-specific T cells traffic to, are influenced by, and create unique cellular microenvironments. Here we characterize these microenvironments over time with multiplexed imaging in a melanoma model of adoptive T cell therapy and human ... ...

    Abstract Summary: Antigen-specific T cells traffic to, are influenced by, and create unique cellular microenvironments. Here we characterize these microenvironments over time with multiplexed imaging in a melanoma model of adoptive T cell therapy and human patients with melanoma treated with checkpoint inhibitor therapy. Multicellular neighborhood analysis reveals dynamic immune cell infiltration and inflamed tumor cell neighborhoods associated with CD8+ T cells. T cell-focused analysis indicates T cells are found along a continuum of neighborhoods that reflect the progressive steps coordinating the anti-tumor immune response. More effective anti-tumor immune responses are characterized by inflamed tumor-T cell neighborhoods, flanked by dense immune infiltration neighborhoods. Conversely, ineffective T cell therapies express anti-inflammatory cytokines, resulting in regulatory neighborhoods, spatially disrupting productive T cell-immune and -tumor interactions. Our study provides in situ mechanistic insights into temporal tumor microenvironment changes, cell interactions critical for response, and spatial correlates of immunotherapy outcomes, informing cellular therapy evaluation and engineering.
    Keywords CP: Immunology ; CP: Cancer ; Biology (General) ; QH301-705.5
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Organization of the human intestine at single-cell resolution.

    Hickey, John W / Becker, Winston R / Nevins, Stephanie A / Horning, Aaron / Perez, Almudena Espin / Zhu, Chenchen / Zhu, Bokai / Wei, Bei / Chiu, Roxanne / Chen, Derek C / Cotter, Daniel L / Esplin, Edward D / Weimer, Annika K / Caraccio, Chiara / Venkataraaman, Vishal / Schürch, Christian M / Black, Sarah / Brbić, Maria / Cao, Kaidi /
    Chen, Shuxiao / Zhang, Weiruo / Monte, Emma / Zhang, Nancy R / Ma, Zongming / Leskovec, Jure / Zhang, Zhengyan / Lin, Shin / Longacre, Teri / Plevritis, Sylvia K / Lin, Yiing / Nolan, Garry P / Greenleaf, William J / Snyder, Michael

    Nature

    2023  Volume 619, Issue 7970, Page(s) 572–584

    Abstract: The intestine is a complex organ that promotes digestion, extracts nutrients, participates in immune surveillance, maintains critical symbiotic relationships with microbiota and affects overall ... ...

    Abstract The intestine is a complex organ that promotes digestion, extracts nutrients, participates in immune surveillance, maintains critical symbiotic relationships with microbiota and affects overall health
    MeSH term(s) Humans ; Cell Differentiation/genetics ; Chromatin/genetics ; Epithelial Cells/cytology ; Epithelial Cells/metabolism ; Gene Expression Regulation ; Intestinal Mucosa/cytology ; Intestines/cytology ; Intestines/immunology ; Single-Cell Analysis ; Single-Cell Gene Expression Analysis
    Chemical Substances Chromatin
    Language English
    Publishing date 2023-07-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/s41586-023-05915-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: A spatial cell atlas of neuroblastoma reveals developmental, epigenetic and spatial axis of tumor heterogeneity.

    Patel, Anand G / Ashenberg, Orr / Collins, Natalie B / Segerstolpe, Åsa / Jiang, Sizun / Slyper, Michal / Huang, Xin / Caraccio, Chiara / Jin, Hongjian / Sheppard, Heather / Xu, Ke / Chang, Ti-Cheng / Orr, Brent A / Shirinifard, Abbas / Chapple, Richard H / Shen, Amber / Clay, Michael R / Tatevossian, Ruth G / Reilly, Colleen /
    Patel, Jaimin / Lupo, Marybeth / Cline, Cynthia / Dionne, Danielle / Porter, Caroline B M / Waldman, Julia / Bai, Yunhao / Zhu, Bokai / Barrera, Irving / Murray, Evan / Vigneau, Sébastien / Napolitano, Sara / Wakiro, Isaac / Wu, Jingyi / Grimaldi, Grace / Dellostritto, Laura / Helvie, Karla / Rotem, Asaf / Lako, Ana / Cullen, Nicole / Pfaff, Kathleen L / Karlström, Åsa / Jané-Valbuena, Judit / Todres, Ellen / Thorner, Aaron / Geeleher, Paul / Rodig, Scott J / Zhou, Xin / Stewart, Elizabeth / Johnson, Bruce E / Wu, Gang / Chen, Fei / Yu, Jiyang / Goltsev, Yury / Nolan, Garry P / Rozenblatt-Rosen, Orit / Regev, Aviv / Dyer, Michael A

    bioRxiv : the preprint server for biology

    2024  

    Abstract: Neuroblastoma is a pediatric cancer arising from the developing sympathoadrenal lineage with complex inter- and intra-tumoral heterogeneity. To chart this complexity, we generated a comprehensive cell atlas of 55 neuroblastoma patient tumors, collected ... ...

    Abstract Neuroblastoma is a pediatric cancer arising from the developing sympathoadrenal lineage with complex inter- and intra-tumoral heterogeneity. To chart this complexity, we generated a comprehensive cell atlas of 55 neuroblastoma patient tumors, collected from two pediatric cancer institutions, spanning a range of clinical, genetic, and histologic features. Our atlas combines single-cell/nucleus RNA-seq (sc/scRNA-seq), bulk RNA-seq, whole exome sequencing, DNA methylation profiling, spatial transcriptomics, and two spatial proteomic methods. Sc/snRNA-seq revealed three malignant cell states with features of sympathoadrenal lineage development. All of the neuroblastomas had malignant cells that resembled sympathoblasts and the more differentiated adrenergic cells. A subset of tumors had malignant cells in a mesenchymal cell state with molecular features of Schwann cell precursors. DNA methylation profiles defined four groupings of patients, which differ in the degree of malignant cell heterogeneity and clinical outcomes. Using spatial proteomics, we found that neuroblastomas are spatially compartmentalized, with malignant tumor cells sequestered away from immune cells. Finally, we identify spatially restricted signaling patterns in immune cells from spatial transcriptomics. To facilitate the visualization and analysis of our atlas as a resource for further research in neuroblastoma, single cell, and spatial-omics, all data are shared through the Human Tumor Atlas Network Data Commons at www.humantumoratlas.org.
    Language English
    Publishing date 2024-01-16
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2024.01.07.574538
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Prognostic Value of Glycated Hemoglobin in Frail Older Diabetic Patients With Hip Fracture.

    Paterni, Simone / Okoye, Chukwuma / Calabrese, Alessia M / Niccolai, Filippo / Polini, Antonio / Caraccio, Nadia / Calsolaro, Valeria / Monzani, Fabio

    Frontiers in endocrinology

    2021  Volume 12, Page(s) 770400

    Abstract: ... categorical variables were assessed by chi-square test. Using logistic multivariate regression, we evaluated ...

    Abstract Background: Previous studies have shown increased risk of fracture in older patients with poor or strict glycemic control (glycated hemoglobin, HbA1c, ≥ 8% or < 6-7% respectively); however, these reports did not investigate the oldest-old population. Comprehensive geriatric assessment (CGA) and a patient-centered approach have been proven to improve the quality of care in the management of Type 2 Diabetes Mellitus (T2DM) in the older patients, but data regarding T2DM in patients with fragility fractures are still lacking.
    Aim: To investigate the prognostic role of HbA1c and frailty level in older diabetic patients admitted for hip fracture.
    Methods: Prospective observational cohort study conducted on diabetic geriatric patients consecutively hospitalized for hip fracture in the orthogeriatric unit of a tertiary care hospital. Preoperative comprehensive geriatric assessment (CGA) was performed. Using the Clinical Frailty Scale (CFS), diabetic patients were categorized in robust (CFS < 5) and frail (CFS ≥ 5), and further stratified according to HbA1c values [Tertile 1 (T1) HbA1c < 48 mmol/mol, Tertile 2 (T2) 48-58 mmol/mol and Tertile 3 (T3) > 58 mmol/mol). Comparisons between continuous variables were performed with analysis of non-parametric test for independent samples, while relationships between categorical variables were assessed by chi-square test. Using logistic multivariate regression, we evaluated the determinants of 1-year all-cause mortality in diabetic older patients with hip fracture.
    Results: Among the 1319 older patients (mean age 82.8 ± 7.5 years, 75.9% females) hospitalized for hip fracture, 204 (15.5%) had a previous diagnosis of T2DM. T2DM patients showed an increased proportion of multiple concurrent fractures occurred during the accidental fall or syncope (12.7%
    Conclusions: Frail patients with HbA1c ≥ 48 mmol/L showed an increased mortality risk as compared to robust counterparts. CFS represents an important tool to select diabetic subjects with higher likelihood of adverse outcome.
    MeSH term(s) Aged ; Aged, 80 and over ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/complications ; Female ; Frail Elderly ; Geriatric Assessment ; Glycated Hemoglobin A/metabolism ; Hip Fractures/blood ; Hip Fractures/complications ; Humans ; Male ; Prognosis ; Prospective Studies
    Chemical Substances Glycated Hemoglobin A
    Language English
    Publishing date 2021-11-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2592084-4
    ISSN 1664-2392
    ISSN 1664-2392
    DOI 10.3389/fendo.2021.770400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: "Hang Up Your Pocketbook" -- an easy intervention for the granny syndrome: grandparents as a risk factor in unintentional pediatric exposures to pharmaceuticals.

    McFee, Robin B / Caraccio, Thomas R

    The Journal of the American Osteopathic Association

    2006  Volume 106, Issue 7, Page(s) 405–411

    Abstract: ... younger who were exposed to grandparents' medication(s). For statistical analysis, regression and chi(2 ...

    Abstract Context: Although the circumstances are not well studied, grandparents' medications account for 10% to 20% of unintentional pediatric intoxications in the United States.
    Objectives: To characterize circumstances leading to and outcomes from pediatric pharmaceutical exposures. To identify preventable risk factors associated with this pattern of injury, referred to as the "granny syndrome."
    Design, setting, and participants: Retrospective review of records of telephone calls made to a certified regional poison control center in the United States. Records were analyzed for all calls concerning children aged 6 years or younger who were exposed to grandparents' medication(s). For statistical analysis, regression and chi(2) analysis as well as Fisher exact tests were used. The sample size provided 80% power to detect a 10% difference at the 5% level of significance. Statistical significance was set at P< or =.05.
    Main outcomes measured: Use of child-resistant containers (CRCs), the location of pharmaceuticals prior to pediatric ingestion, and drug classes involved (eg, analgesics, cardiovascular drugs).
    Results: Of the 200 incidents analyzed, 90 (45%) cases involved CRCs, and 110 (55%) involved containers that were not child resistant. For these incidents, the average age of the child was 18.8 months; the grandparent was aged on average 58.7 years. Most medications had been placed on tables or countertops (91 [46%]), low shelves (57 [29%]), or in pocketbooks (34 [17%]). The type of container in which the pharmacologic agent was stored (CRC vs non-CRC) was not statistically significant (P>.1). Ease of access to medication, regardless of the type of container used, was the only statistically significant outcome (P<.001). In the present study, accidental pediatric exposures most frequently involved cardiovascular (90 [45%]), analgesic (84 [42%]), and psychotropic (32 [16%]) medications.
    Conclusion: Pediatric exposure to pharmaceutical agents is a preventable cause of injury. Physicians have an important opportunity to assist in preventing pediatric pharmaceutical exposures by instructing parents and grandparents on how to better limit children's access to medications as an essential component to enhance child safety.
    MeSH term(s) Accidents, Home/prevention & control ; Adult ; Aged ; Child ; Child Welfare ; Child, Preschool ; Humans ; Infant ; Intergenerational Relations ; Middle Aged ; Poison Control Centers ; Poisoning/epidemiology ; Poisoning/prevention & control ; Prospective Studies ; Retrospective Studies ; United States
    Language English
    Publishing date 2006-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0098-6151 ; 0003-0287
    ISSN (online) 1945-1997
    ISSN 0098-6151 ; 0003-0287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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