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  1. Article ; Online: Using Billing Codes to Create a Pediatric Functional Status e-Score for Children Receiving Inpatient Rehabilitation.

    Lundine, Jennifer P / Huling, Jared D / Adelson, P David / Burd, Randall S / Fuentes, Molly / Haarbauer-Krupa, Juliet / Hagen, Kaitlin / Iske, Cynthia / Koterba, Christine / Kurowski, Brad G / Petrucci, Stephanie / Rose, Sean C / Sadowsky, Cristina L / Westendorf, Jennifer / Truelove, Annie / Leonard, Julie C

    Archives of physical medicine and rehabilitation

    2023  Volume 104, Issue 11, Page(s) 1882–1891

    Abstract: Objective: Provide proof-of-concept for development of a Pediatric Functional Status eScore (PFSeS). Demonstrate that expert clinicians rank billing codes as relevant to patient functional status and identify the domains that codes inform in a way that ... ...

    Abstract Objective: Provide proof-of-concept for development of a Pediatric Functional Status eScore (PFSeS). Demonstrate that expert clinicians rank billing codes as relevant to patient functional status and identify the domains that codes inform in a way that reliably matches analytical modeling.
    Design: Retrospective chart review, modified Delphi, and nominal group techniques.
    Setting: Large, urban, quaternary care children's hospital in the Midwestern United States.
    Participants: Data from 1955 unique patients and 2029 hospital admissions (2000-2020); 12 expert consultants representing the continuum of rehabilitation care reviewed 2893 codes (procedural, diagnostic, pharmaceutical, durable medical equipment).
    Main outcome measures: Consensus voting to determine whether codes were associated with functional status at discharge and, if so, what domains they informed (self-care, mobility, cognition/ communication).
    Results: The top 250 and 500 codes identified by statistical modeling were mostly composed of codes selected by the consultant panel (78%-80% of the top 250 and 71%-78% of the top 500). The results provide evidence that clinical experts' selection of functionally meaningful codes corresponds with codes selected by statistical modeling as most strongly associated with WeeFIM domain scores. The top 5 codes most strongly related to functional independence ratings from a domain-specific assessment indicate clinically sensible relationships, further supporting the use of billing data in modeling to create a PFSeS.
    Conclusions: Development of a PFSeS that is predicated on billing data would improve researchers' ability to assess the functional status of children who receive inpatient rehabilitation care for a neurologic injury or illness. An expert clinician panel, representing the spectrum of medical and rehabilitative care, indicated that proposed statistical modeling identifies relevant codes mapped to 3 important domains: self-care, mobility, and cognition/communication.
    MeSH term(s) Child ; Humans ; Retrospective Studies ; Inpatients ; Functional Status ; Activities of Daily Living ; Self Care
    Language English
    Publishing date 2023-04-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1016/j.apmr.2023.03.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A public e-survey to explore community understanding of the role of the midwife in Australia.

    McKellar, Lois / Brown, Angela / Adelson, Pamela

    European journal of midwifery

    2019  Volume 3, Page(s) 20

    Abstract: ... the role of the midwife. This study undertook an e-survey to explore Australian public perceptions ... of the role of the midwife.: Methods: A public opinion sample e-survey, using an exploratory design ...

    Abstract Introduction: There is compelling evidence that when a woman sees the same midwife there are better outcomes. Yet in Australia, access to midwifery continuity of care remains limited. There are a number of reasons for this but one barrier appears to be a lack of public understanding regarding the role of the midwife. This study undertook an e-survey to explore Australian public perceptions of the role of the midwife.
    Methods: A public opinion sample e-survey, using an exploratory design, a Likert scale and open-ended questions, was distributed through social media over six weeks. The survey was open to Australian residents and was completed by 1657 participants. Of these, 96.9% identified as female and 82.1% of participants had children.
    Results: Nearly half of the participants believed that a woman must see a doctor during pregnancy and after birth, compared to 21.9% during birth. Many participants described midwives as caring and supportive but there was a lack of understanding about their level of skill and expertise. A dominant theme was the alignment of medical care with safety and the perception that medical practitioners reduce risk. These misperceptions may impact on women making an informed choice regarding midwifery model of care in Australia.
    Conclusions: There is an underlying public narrative whereby the public primarily associate midwives with birth and perceive them as assistants rather than lead care providers. The study findings informed a public awareness campaign in South Australia conducted to educate the public's understanding of the role of the midwife.
    Language English
    Publishing date 2019-11-29
    Document type Journal Article
    ISSN 2585-2906
    ISSN (online) 2585-2906
    DOI 10.18332/ejm/114226
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Recombinant osmotin inclusion bodies from Calotropis procera produced in E. coli BL21(DE3) prevent acute inflammation in a mouse model of listeriosis.

    Tavares, Lethicia Souza / Mancebo, Betty Dorvigny / Santana, Lucas Nunes / Adelson do Nascimento Silva, Alluanan / Silva, Roberta Lane de Oliveira / Benko-Iseppon, Ana Maria / Ramos, Márcio Viana / Monteiro do Nascimento, Camila Tauane / Grangeiro, Thalles Barbosa / Sousa, Jeanlex Soares / Mota, Rinaldo Aparecido / Júnior, Valdemiro Amaro da Silva / Lima-Filho, José Vitor

    Phytomedicine : international journal of phytotherapy and phytopharmacology

    2022  Volume 102, Page(s) 154186

    Abstract: ... to investigate whether recombinant osmotin inclusion bodies from C. procera (IB/rCpOsm) produced in E. coli BL21 ... as an infection model.: Methods: Cells of E. coli BL21(DE3) carrying the plasmid pET303-CpOsm were used ...

    Abstract Background: The osmotin from the medicinal plant Calotropis procera (CpOsm) has characteristics similar to adiponectin, a human protein with immunoregulatory actions.
    Purpose: This study aimed to investigate whether recombinant osmotin inclusion bodies from C. procera (IB/rCpOsm) produced in E. coli BL21(DE3) can prevent infection-induced inflammation. A virulent strain of Listeria monocytogenes was used as an infection model.
    Methods: Cells of E. coli BL21(DE3) carrying the plasmid pET303-CpOsm were used to express the recombinant osmotin, which accumulated at reasonable levels as inclusion bodies (IB/rCpOsm). IB/rCpOsm were purified from induced cells and SDS-polyacrylamide gel electrophoresis followed by mass spectrometry analyses confirmed the identity of the major protein band (23 kDa apparent molecular mass) as CpOsm. Peritoneal macrophages (pMØ) from Swiss mice were cultured with IB/rCpOsm (1 or 10 µg/ml) in 96-well plates and then infected with L. monocytogenes. IB/rCpOsm (0.1, 1 or 10 mg/kg) was also administered intravenously to Swiss mice, which were then infected intraperitoneally with L. monocytogenes.
    Results: Pretreatment of the pMØ with IB/rCpOsm significantly increased cell viability after infection and reduced the intracellular bacterial load. The infiltration of neutrophils into the peritoneal cavity of mice pretreated with IB/rCpOsm at 10 mg/kg (but not 0.1 and 1 mg/kg) was reduced after infection. In these mice, the bacterial load was high in the peritoneal fluid and the liver, but histological damage was discrete. The treatments with IB/rCpOsm at 10 mg/kg significantly increased the expression of the anti-inflammatory cytokine IL-10.
    Conclusion: This study shows that recombinant osmotin inclusion bodies from C. procera were bioactive and prompted anti-inflammatory actions at therapeutic dosages in the L. monocytogenes infection model.
    MeSH term(s) Animals ; Anti-Inflammatory Agents/pharmacology ; Calotropis/chemistry ; Disease Models, Animal ; Escherichia coli ; Inclusion Bodies/metabolism ; Inflammation/drug therapy ; Latex/chemistry ; Listeriosis/drug therapy ; Mice ; Plant Proteins/pharmacology
    Chemical Substances Anti-Inflammatory Agents ; Latex ; Plant Proteins
    Language English
    Publishing date 2022-05-18
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1205240-1
    ISSN 1618-095X ; 0944-7113
    ISSN (online) 1618-095X
    ISSN 0944-7113
    DOI 10.1016/j.phymed.2022.154186
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Greater effect of polygenic risk score for Alzheimer's disease among younger cases who are apolipoprotein E-ε4 carriers.

    Fulton-Howard, Brian / Goate, Alison M / Adelson, Robert P / Koppel, Jeremy / Gordon, Marc L / Barzilai, Nir / Atzmon, Gil / Davies, Peter / Freudenberg-Hua, Yun

    Neurobiology of aging

    2020  Volume 99, Page(s) 101.e1–101.e9

    Abstract: To evaluate how age and apolipoprotein E-ε4 (APOE4) status interact with APOE-independent polygenic ...

    Abstract To evaluate how age and apolipoprotein E-ε4 (APOE4) status interact with APOE-independent polygenic risk score (PRS
    MeSH term(s) Age Factors ; Age of Onset ; Aged ; Alzheimer Disease/epidemiology ; Alzheimer Disease/genetics ; Apolipoprotein E4/genetics ; Female ; Heterozygote ; Humans ; Male ; Middle Aged ; Multifactorial Inheritance/genetics ; Risk Factors
    Chemical Substances Apolipoprotein E4
    Language English
    Publishing date 2020-09-30
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 604505-4
    ISSN 1558-1497 ; 0197-4580
    ISSN (online) 1558-1497
    ISSN 0197-4580
    DOI 10.1016/j.neurobiolaging.2020.09.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: History of the Kaiser Permanente medical care program / 11 / George E. Link ; conducted by Malca Chall

    Adelson, David

    an interview ; Kaiser Permanente medical care program oral history project

    1986  

    Institution Bancroft Library / Regional Oral History Office
    Author's details Regional Oral History Office, the Bancroft Library, University of California, Berkeley, California
    Collection History of the Kaiser Permanente medical care program
    Language English
    Size IX, 77 S. : Ill.
    Publisher Kaiser Permanente
    Publishing place Oakland, Calif.
    Publishing country United States
    Document type Book
    HBZ-ID HT006635396
    Database Catalogue ZB MED Medicine, Health

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  6. Book: History of the Kaiser Permanente medical care program / 18 / Eugene E. Trefethen ; conducted by Malca Chall

    Adelson, David

    an interview ; Kaiser Permanente medical care program oral history project

    1986  

    Institution Bancroft Library / Regional Oral History Office
    Author's details Regional Oral History Office, the Bancroft Library, University of California, Berkeley, California
    Collection History of the Kaiser Permanente medical care program
    Language English
    Size X, 96 S. : Ill.
    Publisher Kaiser Permanente
    Publishing place Oakland, Calif.
    Publishing country United States
    Document type Book
    HBZ-ID HT006635577
    Database Catalogue ZB MED Medicine, Health

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  7. Article: Recombinant osmotin inclusion bodies from Calotropis procera produced in E. coli BL21(DE3) prevent acute inflammation in a mouse model of listeriosis

    Tavares, Lethicia Souza / Mancebo, Betty Dorvigny / Santana, Lucas Nunes / Adelson do Nascimento Silva, Alluanan / Silva, Roberta Lane de Oliveira / Benko-Iseppon, Ana Maria / Ramos, Márcio Viana / Monteiro do Nascimento, Camila Tauane / Grangeiro, Thalles Barbosa / Sousa, Jeanlex Soares / Mota, Rinaldo Aparecido / Júnior, Valdemiro Amaro da Silva / Lima-Filho, José Vitor

    Phytomedicine. 2022 July 20, v. 102

    2022  

    Abstract: ... whether recombinant osmotin inclusion bodies from C. procera (IB/rCpOsm) produced in E. coli BL21(DE3) can prevent ... Cells of E. coli BL21(DE3) carrying the plasmid pET303-CpOsm were used to express the recombinant ...

    Abstract The osmotin from the medicinal plant Calotropis procera (CpOsm) has characteristics similar to adiponectin, a human protein with immunoregulatory actions. This study aimed to investigate whether recombinant osmotin inclusion bodies from C. procera (IB/rCpOsm) produced in E. coli BL21(DE3) can prevent infection-induced inflammation. A virulent strain of Listeria monocytogenes was used as an infection model. Cells of E. coli BL21(DE3) carrying the plasmid pET303-CpOsm were used to express the recombinant osmotin, which accumulated at reasonable levels as inclusion bodies (IB/rCpOsm). IB/rCpOsm were purified from induced cells and SDS-polyacrylamide gel electrophoresis followed by mass spectrometry analyses confirmed the identity of the major protein band (23 kDa apparent molecular mass) as CpOsm. Peritoneal macrophages (pMØ) from Swiss mice were cultured with IB/rCpOsm (1 or 10 µg/ml) in 96-well plates and then infected with L. monocytogenes. IB/rCpOsm (0.1, 1 or 10 mg/kg) was also administered intravenously to Swiss mice, which were then infected intraperitoneally with L. monocytogenes. Pretreatment of the pMØ with IB/rCpOsm significantly increased cell viability after infection and reduced the intracellular bacterial load. The infiltration of neutrophils into the peritoneal cavity of mice pretreated with IB/rCpOsm at 10 mg/kg (but not 0.1 and 1 mg/kg) was reduced after infection. In these mice, the bacterial load was high in the peritoneal fluid and the liver, but histological damage was discrete. The treatments with IB/rCpOsm at 10 mg/kg significantly increased the expression of the anti-inflammatory cytokine IL-10. This study shows that recombinant osmotin inclusion bodies from C. procera were bioactive and prompted anti-inflammatory actions at therapeutic dosages in the L. monocytogenes infection model.
    Keywords Calotropis procera ; Escherichia coli ; Listeria monocytogenes ; adiponectin ; cell viability ; histology ; humans ; immunomodulation ; inflammation ; interleukin-10 ; intravenous injection ; listeriosis ; liver ; macrophages ; mass spectrometry ; medicinal plants ; mice ; microbial load ; molecular weight ; neutrophils ; plasmids ; polyacrylamide gel electrophoresis ; virulent strains
    Language English
    Dates of publication 2022-0720
    Publishing place Elsevier GmbH
    Document type Article
    ZDB-ID 1205240-1
    ISSN 1618-095X ; 0944-7113
    ISSN (online) 1618-095X
    ISSN 0944-7113
    DOI 10.1016/j.phymed.2022.154186
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: CARBOIDRATOS FIBROSOS E NÃO FIBROSOS NA DIETA DE RUMINANTES E SEUS EFEITOS SOBRE A MICROBIOTA RUMINAL

    Vinicius da Silva Oliveira / José Adelson Santana Neto / Roberta de Lima Valença / Barbará Cristina Dantas da Silva / Ana Caroline Pinho dos Santos

    Veterinary News, Vol 22, Iss 2, Pp 1-

    2016  Volume 18

    Abstract: The objective of this review is to evaluate the concentration of fibrous carbohydrates and no fibrous in the diet of ruminants and the effects on ruminal microflora. Carbohydrates are the most abundant biomolecules nature, have structural and energetic ... ...

    Abstract The objective of this review is to evaluate the concentration of fibrous carbohydrates and no fibrous in the diet of ruminants and the effects on ruminal microflora. Carbohydrates are the most abundant biomolecules nature, have structural and energetic function, the main energy source for ruminants. Can be classified according to their structure, function and nutritional point of view, the break of fibrous and non-fibrous carbohydrates. Carbohydrates are fermented in the rumen by action of microbial flora, which has its development directly affected by the type of carbohydrate, for the rumen microorganisms have specificity as to substrate fermenting. In addition to that, the rate of fermentation of carbohydrates in the rumen alters the rumen conditions, directly affecting the development of microorganisms present in it. The non-fibrous carbohydrates have a high rate of fermentation, leading to lowering of ruminal pH, influencing the development of the rumen flora, since the nonfibrous carbohydrates have low fermentation rate, and stimulate rumination and increased salivation animal, which aids in tamponade the pH of the rumen. Therefore, the balance in the supply of fibrous and non fibrous carbohydrate is important for maintaining stable rumen. The main product of ruminal fermentation of carbohydrates are the AGV's, which are used by ruminants as the main energy source.
    Keywords microbial flora ; rumen ; VGA's ; Veterinary medicine ; SF600-1100
    Subject code 660
    Language English
    Publishing date 2016-07-01T00:00:00Z
    Publisher EDUFU
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: A randomised controlled trial of outpatient compared with inpatient cervical ripening with prostaglandin E₂ (OPRA study).

    Wilkinson, C / Bryce, R / Adelson, P / Turnbull, D

    BJOG : an international journal of obstetrics and gynaecology

    2015  Volume 122, Issue 1, Page(s) 94–104

    Abstract: Objective: To compare clinical outcomes from outpatient with inpatient cervical prostaglandin E2 ripening for low risk labour induction.: Design: Randomised controlled trial.: Setting: Two tertiary hospitals in Adelaide, Australia.: Population: ...

    Abstract Objective: To compare clinical outcomes from outpatient with inpatient cervical prostaglandin E2 ripening for low risk labour induction.
    Design: Randomised controlled trial.
    Setting: Two tertiary hospitals in Adelaide, Australia.
    Population: Women with uncomplicated term pregnancies, scheduled for induction of labour for reasons of post-dates or for social reasons.
    Methods: Eight hundred and twenty-seven women were randomised at induction decision to an outpatient or inpatient group. All women had CTG monitoring before and after vaginal PgE2 administration. The inpatient women were admitted and the outpatient group was discharged home overnight with instructions to return if labour established or rupture of membranes occurred. Next morning, outpatient women were admitted for rupture of membranes or further ripening. After membrane rupture, both groups received routine care.
    Main outcome measures: Oxytocin use, maternal and fetal outcomes, and whether planned outpatient management was achievable.
    Results: There were no significant differences in oxytocin use (2.5% difference, CI-4.3 to 9.4), caesarean sections (-0.59% difference, CI-6.3 to 5.1), epidural use (1.5% difference, CI-5.1 to 8.2), vaginal delivery within 24 hours (-8.2% difference, CI-17.6 to 1.3) or labour complications. More than half of the randomised women did not receive the intervention as they laboured spontaneously, or did not require ripening. The post-hoc analysis of women who received ripening also indicated no statistically significant differences in the patterns or results, with the exception of outpatient women having a longer mean length of active labour (mean difference 66 minutes, CI 4-128 minutes). Outpatient women who received ripening were diagnosed more frequently with non-reassuring CTG monitoring and hyperstimulation, with less than half of the women going home and remaining home overnight.
    Conclusions: This study demonstrated no clinical advantage or disadvantage in prostaglandin E2 outpatient cervical ripening. Uterine stimulation following prostaglandins may preclude a woman from going home or remaining at home overnight and may not be the best agent for outpatient ripening.
    MeSH term(s) Administration, Intravaginal ; Adult ; Ambulatory Care/methods ; Anesthesia, Epidural/utilization ; Anesthesia, Obstetrical/utilization ; Cervical Ripening ; Cesarean Section/utilization ; Delivery, Obstetric/statistics & numerical data ; Dinoprostone ; Female ; Hospitalization ; Humans ; Labor, Induced/methods ; Labor, Obstetric ; Obstetric Labor Complications/epidemiology ; Oxytocics ; Oxytocin ; Pregnancy ; Time Factors ; Treatment Outcome ; Young Adult
    Chemical Substances Oxytocics ; Oxytocin (50-56-6) ; Dinoprostone (K7Q1JQR04M)
    Language English
    Publishing date 2015-01
    Publishing country England
    Document type Comparative Study ; Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2000931-8
    ISSN 1471-0528 ; 0306-5456 ; 1470-0328
    ISSN (online) 1471-0528
    ISSN 0306-5456 ; 1470-0328
    DOI 10.1111/1471-0528.12846
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: HEPATOTOXICIDADE INDUZIDA PELO PARACETAMOL E A UTILIZAÇÃO DO NOMOGRAMA DE RUMACK-MATTHEW PARA AVALIAR A TERAPÊUTICA COM N-ACETILCISTEÍNA

    José Guedes da Silva Júnior / Natália da Silva Diniz de Souza Santos / Hallysson Douglas Andrade de Araújo / Bruno Dyogenis Cecilio Sá / José Adelson Alves do Nascimento Júnior / Nadine Gabryella Pontes Maciel / Sílvia Renata Ribeiro Araújo / Victor Felipe da Silva Araújo / Maria Auxiliadora Macêdo Callou / Talyta Valéria Siqueira do Monte

    Revista Uningá, Vol 56, Iss

    2019  Volume 4

    Abstract: O paracetamol ou acetaminofeno pertence à classe dos anti-inflamatórios não esteroidais (AINEs) e é atualmente um dos fármacos de venda livre mais popular e consumido no mundo. Este medicamento apresenta um bom perfil de segurança quando usado em doses ... ...

    Abstract O paracetamol ou acetaminofeno pertence à classe dos anti-inflamatórios não esteroidais (AINEs) e é atualmente um dos fármacos de venda livre mais popular e consumido no mundo. Este medicamento apresenta um bom perfil de segurança quando usado em doses terapêuticas. No entanto, em casos de super-dosagem, intoxicação grave e insuficiência hepática podem ocorrer. O metabólito responsável pelos efeitos tóxicos é N-acetil-p-benzoquinonaimina (NAPQI), que após depleção dos níveis de glutationa (GSH), liga-se covalentemente a macromoléculas causando lesão nos hepatócitos. Visando disponibilizar um material fundamentado teoricamente no qual está descrito em detalhes os mecanismos que levam a hepatotoxicidade, os principais fatores que estão envolvidos nesse processo e uma solução imediata e eficaz na tentativa de reverter o quadro, foi realizada uma revisão bibliográfica utilizando material extraído das bases de dados SciElO (Scientific Electronic Library Online), BVS (Biblioteca Virtual em Saúde), Google Acadêmico e PubMed, como forma de explicar os eventos responsáveis por desencadear a toxicidade, como também medidas que podem ser tomadas diante de um paciente intoxicado com acetaminofen. Contudo, a obtenção de níveis séricos de paracetamol dentro 4-24 horas permite fazer uma estimativa da gravidade da intoxicação baseado no nomograma de Rumack-Matthews, que é um parâmetro utilizado para iniciar ou não o tratamento com N-acetilcisteína (NAC), antídoto padrão empregado em situações de overdose causado por paracetamol. Assim, a terapia antidotal de NAC visa fornecer a cisteína necessária para a síntese hepática de glutationa. Palavras-chave: Hepatotoxicidade, Paracetamol, (NAPQI), Glutationa, N-acetilcisteína e anti-inflamatórios (AINE).
    Keywords Hepatotoxicidade ; Paracetamol ; NAPQI ; Glutationa ; N-acetilcisteína ; anti-inflamatórios (AINE) ; Biology (General) ; QH301-705.5 ; Nursing ; RT1-120
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher Editora Uningá
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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