Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 22
Filtrar
Más filtros












Base de datos
Intervalo de año de publicación
1.
Sci Total Environ ; 691: 1328-1352, 2019 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-31466212

RESUMEN

Frameworks for limiting ecosystem exposure to excess nutrients and acidity require accurate and complete deposition budgets of reactive nitrogen (Nr). While much progress has been made in developing total Nr deposition budgets for the U.S., current budgets remain limited by key data and knowledge gaps. Analysis of National Atmospheric Deposition Program Total Deposition (NADP/TDep) data illustrates several aspects of current Nr deposition that motivate additional research. Averaged across the continental U.S., dry deposition contributes slightly more (55%) to total deposition than wet deposition and is the dominant process (>90%) over broad areas of the Southwest and other arid regions of the West. Lack of dry deposition measurements imposes a reliance on models, resulting in a much higher degree of uncertainty relative to wet deposition which is routinely measured. As nitrogen oxide (NOx) emissions continue to decline, reduced forms of inorganic nitrogen (NHx = NH3 + NH4+) now contribute >50% of total Nr deposition over large areas of the U.S. Expanded monitoring and additional process-level research are needed to better understand NHx deposition, its contribution to total Nr deposition budgets, and the processes by which reduced N deposits to ecosystems. Urban and suburban areas are hotspots where routine monitoring of oxidized and reduced Nr deposition is needed. Finally, deposition budgets have incomplete information about the speciation of atmospheric nitrogen; monitoring networks do not capture important forms of Nr such as organic nitrogen. Building on these themes, we detail the state of the science of Nr deposition budgets in the U.S. and highlight research priorities to improve deposition budgets in terms of monitoring and flux measurements, leaf- to regional-scale modeling, source apportionment, and characterization of deposition trends and patterns.

2.
Environ Pollut ; 203: 69-88, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25863884

RESUMEN

The empirical inferential method (EIM) allows for spatially and temporally-dense estimates of atmospheric nitrogen (N) deposition to Mediterranean ecosystems. This method, set within a GIS platform, is based on ambient concentrations of NH3, NO, NO2 and HNO3; surface conductance of NH4(+) and NO3(-); stomatal conductance of NH3, NO, NO2 and HNO3; and satellite-derived LAI. Estimated deposition is based on data collected during 2002-2006 in the San Bernardino Mountains (SBM) of southern California. Approximately 2/3 of dry N deposition was to plant surfaces and 1/3 as stomatal uptake. Summer-season N deposition ranged from <3 kg ha(-1) in the eastern SBM to ∼ 60 kg ha(-1) in the western SBM near the Los Angeles Basin and compared well with the throughfall and big-leaf micrometeorological inferential methods. Extrapolating summertime N deposition estimates to annual values showed large areas of the SBM exceeding critical loads for nutrient N in chaparral and mixed conifer forests.


Asunto(s)
Nitrógeno/análisis , California , Ecosistema , Estomas de Plantas/metabolismo , Plantas/metabolismo , Estaciones del Año , Tracheophyta
3.
Environ Pollut ; 196: 497-510, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25236261

RESUMEN

Atmospheric deposition in the Athabasca Oil Sands Region decreased exponentially with distance from the industrial center. Throughfall deposition (kg ha(-1) yr(-1)) of NH(4)-N (.8-14.7) was double that of NO(3)-N (.3-6.7), while SO(4)-S ranged from 2.5 to 23.7. Gaseous pollutants (NO(2), HNO(3), NH(3), SO(2)) are important drivers of atmospheric deposition but weak correlations between gaseous pollutants and deposition suggest that particulate deposition is also important. The deposition (eq ha(-1)) of base cations (Ca + Mg + Na) across the sampling network was highly similar to N + S deposition, suggesting that acidic deposition is neutralized by base cation deposition and that eutrophication impacts from excess N may be of greater concern than acidification. Emissions from a large forest fire in summer 2011 were most prominently reflected in increased concentrations of HNO(3) and throughfall deposition of SO4-S at some sites. Deposition of NO(3)-N also increased as did NH(4)-N deposition to a lesser degree.


Asunto(s)
Contaminantes Atmosféricos/análisis , Monitoreo del Ambiente , Nitrógeno/análisis , Yacimiento de Petróleo y Gas , Pinus/química , Azufre/análisis , Alberta , Atmósfera/química , Cationes
4.
J Environ Manage ; 91(12): 2404-23, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20705383

RESUMEN

Empirical critical loads for N deposition effects and maps showing areas projected to be in exceedance of the critical load (CL) are given for seven major vegetation types in California. Thirty-five percent of the land area for these vegetation types (99,639 km(2)) is estimated to be in excess of the N CL. Low CL values (3-8 kg N ha(-1) yr(-1)) were determined for mixed conifer forests, chaparral and oak woodlands due to highly N-sensitive biota (lichens) and N-poor or low biomass vegetation in the case of coastal sage scrub (CSS), annual grassland, and desert scrub vegetation. At these N deposition critical loads the latter three ecosystem types are at risk of major vegetation type change because N enrichment favors invasion by exotic annual grasses. Fifty-four and forty-four percent of the area for CSS and grasslands are in exceedance of the CL for invasive grasses, while 53 and 41% of the chaparral and oak woodland areas are in exceedance of the CL for impacts on epiphytic lichen communities. Approximately 30% of the desert (based on invasive grasses and increased fire risk) and mixed conifer forest (based on lichen community changes) areas are in exceedance of the CL. These ecosystems are generally located further from emissions sources than many grasslands or CSS areas. By comparison, only 3-15% of the forested and chaparral land areas are estimated to be in exceedance of the NO(3)(-) leaching CL. The CL for incipient N saturation in mixed conifer forest catchments was 17 kg N ha(-1) yr(-1). In 10% of the CL exceedance areas for all seven vegetation types combined, the CL is exceeded by at least 10 kg N ha(-1) yr(-1), and in 27% of the exceedance areas the CL is exceeded by at least 5 kg N ha(-1) yr(-1). Management strategies for mitigating the effects of excess N are based on reducing N emissions and reducing site N capital through approaches such as biomass removal and prescribed fire or control of invasive grasses by mowing, selective herbicides, weeding or domestic animal grazing. Ultimately, decreases in N deposition are needed for long-term ecosystem protection and sustainability, and this is the only strategy that will protect epiphytic lichen communities.


Asunto(s)
Conservación de los Recursos Naturales , Ecosistema , Ciclo del Nitrógeno , Nitrógeno/análisis , California , Cambio Climático , Clima Desértico , Poaceae , Quercus , Tracheophyta , Incertidumbre
5.
Environ Pollut ; 155(3): 492-511, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18499320

RESUMEN

Empirical critical loads (CL) for N deposition were determined from changes in epiphytic lichen communities, elevated NO(3)(-) leaching in streamwater, and reduced fine root biomass in ponderosa pine (Pinus ponderosa Dougl. ex Laws.) at sites with varying N deposition. The CL for lichen community impacts of 3.1 kg ha(-1) year(-1) is expected to protect all components of the forest ecosystem from the adverse effects of N deposition. Much of the western Sierra Nevada is above the lichen-based CL, showing significant changes in lichen indicator groups. The empirical N deposition threshold and that simulated by the DayCent model for enhanced NO(3)(-)leaching were 17 kg N ha(-1) year(-1). DayCent estimated that elevated NO(3)(-) leaching in the San Bernardino Mountains began in the late 1950s. Critical values for litter C:N (34.1), ponderosa pine foliar N (1.1%), and N concentrations (1.0%) in the lichen Letharia vulpina ((L.) Hue) are indicative of CL exceedance.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Monitoreo del Ambiente/métodos , Agricultura Forestal , Nitrógeno/toxicidad , Tracheophyta , Contaminantes Atmosféricos/análisis , Biomasa , California , Ecosistema , Líquenes/crecimiento & desarrollo , Nitrógeno/análisis , Raíces de Plantas/crecimiento & desarrollo
6.
Environ Pollut ; 146(1): 77-91, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16904250

RESUMEN

Topographic and meteorological conditions make the Columbia River Gorge (CRG) an 'exhaust pipe' for air pollutants generated by the Portland-Vancouver metropolis and Columbia Basin. We sampled fog, bulk precipitation, throughfall, airborne particulates, lichen thalli, and nitrophytic lichen distribution. Throughfall N and S deposition were high, 11.5-25.4 and 3.4-6.7 kg ha(-1) over 4.5 months at all 9 and 4/9 sites, respectively. Deposition and lichen thallus N were highest at eastern- and western-most sites, implicating both agricultural and urban sources. Fog and precipitation pH were frequently as low as 3.7-5.0. Peak NO(x), NH(3), and SO(2) concentrations in the eastern CRG were low, suggesting enhanced N and S inputs were largely from particulate deposition. Lichens indicating nitrogen-enriched environments were abundant and lichen N and S concentrations were 2x higher in the CRG than surrounding national forests. The atmospheric deposition levels detected likely threaten Gorge ecosystems and cultural resources.


Asunto(s)
Contaminantes Atmosféricos/toxicidad , Monitoreo del Ambiente/métodos , Líquenes/química , Nitrógeno/toxicidad , Azufre/toxicidad , Contaminantes Atmosféricos/análisis , Ciudades , Ecosistema , Monitoreo del Ambiente/instrumentación , Conceptos Meteorológicos , Nitrógeno/análisis , Oregon , Material Particulado/análisis , Material Particulado/toxicidad , Ríos , Azufre/análisis , Washingtón
7.
Environ Sci Technol ; 40(9): 2887-94, 2006 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-16719087

RESUMEN

Fire is a critical ecosystem process in many landscapes and is particularly dominant in the chaparral shrublands of southern California which are also exposed to high levels of atmospheric N deposition. Few studies have addressed the combined effects of these two disturbance factors. In this study we evaluate the hydrologic and biogeochemical response of a control and a prescribed burn catchment over a 15-year period. Streamwater nitrate concentrations and export in the burned catchment were higher than those in the unburned catchment for 7-10 years after the burn and concentrations remained high in both catchments during the entire study. Therefore, fire is not an effective mitigation tool for N deposition in these semi-arid systems. Additionally, the extended N export in this system indicates that chaparral ecosystems do not recovertheir N retention capabilities as rapidly as humid systems do when subjected to disturbance.


Asunto(s)
Incendios , Nitrógeno/química , Contaminantes Atmosféricos , California , Conservación de los Recursos Naturales , Ecología , Ecosistema , Ambiente , Monitoreo del Ambiente , Plantas , Árboles
8.
Environ Pollut ; 140(2): 187-99, 2006 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16168537

RESUMEN

The nutrient status of forest soils in the Mexico City Air Basin was evaluated by observing plant growth responses to fertilization with N, P or both nutrients combined. P deficiency was the most frequent condition for soil from two high pollution sites and N deficiency was greatest at a low N deposition site. Concentrations of Pb and Ni, and to a lesser extent Zn and Co, were higher at the high pollution sites. However, positive plant growth responses to P and sometimes to N, and results of wheat root elongation bioassays, suggest that heavy metal concentrations were not directly phytotoxic. Further studies are needed to determine if heavy metal toxicity to mycorrhizal symbionts of eucalyptus (Eucalyptus camaldulensis Dehnh.) from high pollution sites may explain the P deficiency and stunted growth. P deficiency is expected to limit the capacity for biotic N retention in N saturated forested watersheds in the Basin of Mexico dominated by Andisols.


Asunto(s)
Fertilizantes , Magnoliopsida/crecimiento & desarrollo , Fenómenos Fisiológicos de la Nutrición/fisiología , Contaminantes del Suelo/análisis , Suelo/análisis , Cobalto/análisis , Cobalto/toxicidad , Monitoreo del Ambiente/métodos , Eucalyptus/efectos de los fármacos , Eucalyptus/crecimiento & desarrollo , Plomo/análisis , Plomo/toxicidad , Lactuca/crecimiento & desarrollo , Magnoliopsida/efectos de los fármacos , México , Níquel/análisis , Níquel/toxicidad , Nitrógeno/fisiología , Fósforo/deficiencia , Fósforo/fisiología , Raíces de Plantas/crecimiento & desarrollo , Raphanus/crecimiento & desarrollo , Contaminantes del Suelo/toxicidad , Zinc/análisis , Zinc/toxicidad
9.
Environ Pollut ; 137(3): 536-45, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16005765

RESUMEN

In a nitrogen (N) saturated forest downwind from Los Angeles, California, the cumulative response to long-term background-N and N-amendment on black oak (Quercus kelloggii) was described in a below-average and average precipitation year. Monthly measurements of leaf and branch growth, gas exchange, and canopy health attributes were conducted. The effects of both pollutant exposure and drought stress were complex due to whole tree and leaf level responses, and shade versus full sun leaf responses. N-amended trees had lower late summer carbon (C) gain and greater foliar chlorosis in the drought year. Leaf water use efficiency was lower in N-amended trees in midsummer of the average precipitation year, and there was evidence of poor stomatal control in full sun. In shade, N-amendment enhanced stomatal control. Small differences in instantaneous C uptake in full sun, lower foliar respiration, and greater C gain in low light contributed to the greater aboveground growth observed.


Asunto(s)
Aclimatación , Contaminantes Ambientales/toxicidad , Nitrógeno/toxicidad , Ozono/toxicidad , Quercus/crecimiento & desarrollo , Desastres , Monitoreo del Ambiente/métodos , Los Angeles , Fotosíntesis , Transpiración de Plantas , Quercus/metabolismo , Estaciones del Año , Luz Solar
10.
ScientificWorldJournal ; 1 Suppl 2: 304-11, 2001 Nov 28.
Artículo en Inglés | MEDLINE | ID: mdl-12805794

RESUMEN

Atmospheric deposition of nitrogen (N) in California ecosystems is ecologically significant and highly variable, ranging from about 1 to 45 kg/ha/year. The lowest ambient concentrations and deposition values are found in the eastern and northern parts of the Sierra Nevada Mountains and the highest in parts of the San Bernardino and San Gabriel Mountains that are most exposed to the Los Angeles air pollution plume. In the Sierra Nevada Mountains, N is deposited mostly in precipitation, although dry deposition may also provide substantial amounts of N. On the western slopes of the Sierra Nevada, the majority of airborne N is in reduced forms as ammonia (NH3) and particulate ammonium (NH4+) from agricultural activities in the California Central Valley. In southern California, most of the N air pollution is in oxidized forms as nitrogen oxides (NOx), nitric acid (HNO3), and particulate nitrate (NO3-) resulting from fossil fuel combustion and subsequent complex photochemical reactions. In southern California, dry deposition of gases and particles provides most (up to 95%) of the atmospheric N to forests and other ecosystems. In the mixed-conifer forest zone, elevated deposition of N may initially benefit growth of vegetation, but chronic effects may be expressed as deterioration of forest health and sustainability. HNO3 vapor alone has a potential for toxic effects causing damage of foliar surfaces of pines and oaks. In addition, dry deposition of predominantly HNO3 has lead to changes in vegetation composition and contamination of ground- and stream water where terrestrial N loading is high. Long-term, complex interactions between N deposition and other environmental stresses such as elevated ozone (O3), drought, insect infestations, fire suppression, or intensive land management practices may affect water quality and sustainability of California forests and other ecosystems.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/toxicidad , Atmósfera/química , Ecosistema , Monitoreo del Ambiente , Nitrógeno/análisis , Nitrógeno/toxicidad , Árboles/efectos de los fármacos , Absorción , Agricultura , Contaminantes Atmosféricos/química , California , Gases/análisis , Gases/química , Gases/toxicidad , Geografía , Nitratos/análisis , Nitratos/química , Nitratos/toxicidad , Ácido Nítrico/análisis , Ácido Nítrico/química , Ácido Nítrico/toxicidad , Nitrógeno/química , Estaciones del Año , Árboles/fisiología
11.
ScientificWorldJournal ; 1 Suppl 2: 433-9, 2001 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-12805801

RESUMEN

Virtually complete nitrification of the available ammonium in soil and nitrification activity in the forest floor are important factors predisposing forests in the San Bernardino Mountains of southern California to nitrogen (N) saturation. As a result, inorganic N in the soil solution is dominated by nitrate. High nitrification rates also generate elevated nitric oxide (NO) emissions from soil. High-base cation saturation of these soils means that soil calcium depletion or effects associated with soil acidification are not an immediate risk for forest health as has been postulated for mesic forests in the eastern U.S. Physiological disturbance (e.g., altered carbon [C] cycling, reduced fine root biomass, premature needle abscission) of ozone-sensitive ponderosa pine trees exposed to high N deposition and high ozone levels appear to be the greater threat to forest sustainability. However, N deposition appears to offset the aboveground growth depression effects of ozone exposure. High nitrification activity reported for many western ecosystems suggests that with chronic N inputs these systems are prone to N saturation and hydrologic and gaseous losses of N. High runoff during the winter wet season in California forests under a Mediterranean climate may further predispose these watersheds to high nitrate leachate losses. After 4 years of N fertilization at a severely N saturated site in the San Bernardino Mountains, bole growth unexpectedly increased. Reduced C allocation below- ground at this site, presumably in response to ozone or N or both pollutants, may enhance the bole growth response to added N.


Asunto(s)
Ecosistema , Nitrógeno , Árboles , California , Fertilizantes/estadística & datos numéricos , Óxido Nítrico/análisis , Óxido Nítrico/biosíntesis , Nitritos/análisis , Nitritos/metabolismo , Nitrógeno/análisis , Nitrógeno/metabolismo , Suelo/análisis , Árboles/química , Árboles/crecimiento & desarrollo , Árboles/metabolismo , Estados Unidos
12.
Environ Pollut ; 92(2): 127-46, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-15091393

RESUMEN

Atmospheric concentrations and deposition of the major nitrogenous (N) compounds and their biological effects in California forests are reviewed. Climatic characteristics of California are summarized in light of their effects on pollutant accumulation and transport. Over large areas of the state dry deposition is of greater magnitude than wet deposition due to the arid climate. However, fog deposition can also be significant in areas where seasonal fogs and N pollution sources coincide. The dominance of dry deposition is magnified in airsheds with frequent temperature inversions such as occur in the Los Angeles Air Basin. Most of the deposition in such areas occurs in summer as a result of surface deposition of nitric acid vapor (HNO3) as well as particulate nitrate (NO3-) and ammonium (NH4+). Internal uptake of gaseous N pollutants such as nitrogen dioxide (NO2), nitric oxide (NO), HNO3, peroxyacetyl nitrate (PAN), ammonia (NH3), and others provides additional N to forests. However, summer drought and subsequent lower stomatal conductance of plants tend to limit plant utilization of gaseous N. Nitrogen deposition is much greater than S deposition in California. In locations close to photochemical smog source areas, concentrations of oxidized forms of N (NO2, HNO3, PAN) dominate, while in areas near agricultural activities the importance of reduced N forms (NH3, NH4+) significantly increases. Little data from California forests are available for most of the gaseous N pollutants. Total inorganic N deposition in the most highly-exposed forests in the Los Angeles Air Basin may be as high as 25-45 kg ha(-1) year(-1). Nitrogen deposition in these highly-exposed areas has led to N saturation of chaparral and mixed conifer stands. In N saturated forests high concentrations of NO3- are found in streamwater, soil solution, and in foliage. Nitric oxide emissions from soil and foliar N:P ratios are also high in N saturated sites. Further research is needed to determine the ecological effects of chronic N deposition, and to develop appropriate management options for protecting water quality and managing plant nutrient resources in ecosystems which no longer retain excess N.

13.
Environ Pollut ; 81(3): 277-85, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-15091813

RESUMEN

Little is known about the concentrations, deposition rates, and effects of nitrogenous and sulfurous compounds in photochemical smog in the San Bernardino National Forest (SBNF) in southern California. Dry deposition of NO(3)(-) and NH(4)(+) to foliage of ponderosa pine (Pinus ponderosa Laws.) and Jeffrey pine (Pinus jeffreyi Grev. & Balf.) was correlated (R = 0.83-0.88) with historical average hourly O(3) concentations at 10 sites across an O(3) gradient in the SBNF. Mean deposition fluxes of NO(3)(-) to ponderosa and Jeffrey pine branches were 0.82 nmol M(-2)s(-1) at Camp Paivika (CP), a high-pollution site, and 0.19 nmol m(-2) s(-1) at Camp Osceola (CAO), a low-pollution site. Deposition fluxes of NH(4)(+) were 0.32 nmol m(-2) s(-1) at CP and 0.17 nmol m(-2) s(-1) at CAO, while mean values for SO(4)(2-) were 0.03 at CP and 0.02 nmol m(-2) s(-1) at CAO. Deposition fluxes to paper and nylon filters were higher in most cases than fluxes to pine branches at the same site. The results of this study suggest that an atmospheric concentration and deposition gradient of N and S compounds occurs along with the west-east O(3) gradient in the SBNF. Annual stand-level dry deposition rates for S and N at CP and CAO were estimated. Further studies are needed to determine if high N deposition loads in the SBNF significantly affect plant/soil nutrient relations, tree health, and the response of ponderosa pine to ozone.

14.
Appl Environ Microbiol ; 55(2): 412-8, 1989 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16347849

RESUMEN

Short-term effects of ozone (O(3)) on phyllosphere fungi were studied by examining fungal populations from leaves of giant sequoia (Sequoiadendron giganteum (Lindl.) Buchholz) and California black oak (Quercus kelloggii Newb.). Chronic effects of both O(3) and sulfur dioxide (SO(2)) were studied by isolating fungi from leaves of mature Valencia orange (Citrus sinensis L.) trees. In this chronic-exposure experiment, mature orange trees were fumigated in open-top chambers at the University of California, Riverside, for 4 years with filtered air, ambient air plus filtered air (1:1), ambient air, or filtered air plus SO(2) at 9.3 parts per hundred million. Populations of Alternaria alternata (Fr.) Keissler and Cladosporium cladosporioides (Fres.) de Vries, two of the four most common fungi isolated from orange leaves, were significantly reduced by chronic exposure to ambient air. In the short-term experiments, seedlings of giant sequoia or California black oak were fumigated in open-top chambers in Sequoia National Park for 9 to 11 weeks with filtered air, ambient air, or ambient air plus O(3). These short-term fumigations did not significantly affect the numbers of phyllosphere fungi. Exposure of Valencia orange trees to SO(2) at 9.3 parts per hundred million for 4 years reduced the number of phyllosphere fungi isolated by 75% compared with the number from the filtered-air treatment and reduced the Simpson diversity index value from 3.3 to 2.5. A significant chamber effect was evident since leaves of giant sequoia and California black oak located outside of chambers had more phyllosphere fungi than did seedlings within chambers. Results suggest that chronic exposure to ambient ozone or SO(2) in polluted areas can affect phyllosphere fungal communities, while short-term exposures may not significantly disturb phyllosphere fungi.

15.
Int J Gynaecol Obstet ; 17(3): 203-5, 1979.
Artículo en Inglés | MEDLINE | ID: mdl-42569

RESUMEN

Basal cell carcinoma was found in eight of 61 cases of vulvar malignancy occurring over a 20-year period. This incidence of basal cell carcinoma was 13.1%, higher than the expected 2%-5% reported previously in the literature. Symptoms of a mass, usually discharge, pruritus or bleeding, were commonly ignored for long periods of time by the elderly patient. The specific location and size were difficult to ascertain from hospital records. Therapy is always surgical with wide local excision recommended. Local recurrence will be noted in 10%-20%, as vulvar basal cell carcinoma is a multicentric lesion and, therefore, long-term follow-up, as with any malignancy, is mandatory. Adequate identification and reporting may well show that this lesion is more common than has been previously thought.


Asunto(s)
Carcinoma Basocelular/patología , Neoplasias de la Vulva/patología , Adulto , Anciano , Carcinoma Basocelular/cirugía , Femenino , Humanos , Persona de Mediana Edad , Recurrencia Local de Neoplasia , Neoplasias de la Vulva/cirugía
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...