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1.
Nat Commun ; 13(1): 5624, 2022 09 26.
Artigo em Inglês | MEDLINE | ID: mdl-36163322

RESUMO

Over the Texas-Louisiana Shelf in the Northern Gulf of Mexico, the eutrophic, fresh Mississippi/Atchafalaya river plume isolates saltier waters below, supporting the formation of bottom hypoxia in summer. The plume also generates strong density fronts, features of the circulation that are known pathways for the exchange of water between the ocean surface and the deep. Using high-resolution ocean observations and numerical simulations, we demonstrate how the summer land-sea breeze generates rapid vertical exchange at the plume fronts. We show that the interaction between the land-sea breeze and the fronts leads to convergence/divergence in the surface mixed layer, which further facilitates a slantwise circulation that subducts surface water along isopycnals into the interior and upwells bottom waters to the surface. This process causes significant vertical displacements of water parcels and creates a ventilation pathway for the bottom water in the northern Gulf. The ventilation of bottom water can bypass the stratification barrier associated with the Mississippi/Atchafalaya river plume and might impact the dynamics of the region's dead zone.


Assuntos
Rios , Água , Golfo do México , Louisiana , Estações do Ano
2.
Anal Chim Acta ; 1141: 221-229, 2021 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-33248656

RESUMO

Accurate measurement of naturally occurring radionuclides in blast furnace slag, a by-product of the steel industry, is required for compliance with building regulations where it is often used as an ingredient in cement. A matrix reference blast furnace slag material has been developed to support traceability in these measurements. Raw material provided by a commercial producer underwent stability and homogeneity testing, as well as characterisation of matrix constituents, to provide a final candidate reference material. The radionuclide content was then determined during a comparison exercise that included 23 laboratories from 14 countries. Participants determined the activity per unit mass for 226Ra, 232Th and 40K using a range of techniques. The consensus values obtained from the power-moderated mean of the reported participant results were used as indicative activity per unit mass values for the three radionuclides: A0(226Ra) = 106.3 (34) Bq·kg-1, A0(232Th) = 130.0 (48) Bq·kg-1 and A0(40K) = 161 (11) Bq·kg-1 (where the number in parentheses is the numerical value of the combined standard uncertainty referred to the corresponding last digits of the quoted result). This exercise helps to address the current shortage of NORM industry reference materials, putting in place infrastructure for production of further reference materials.

3.
Proc Natl Acad Sci U S A ; 117(30): 17607-17614, 2020 07 28.
Artigo em Inglês | MEDLINE | ID: mdl-32651275

RESUMO

The Gulf Stream front separates the North Atlantic subtropical and subpolar ocean gyres, water masses with distinct physical and biogeochemical properties. Exchange across the front is believed to be necessary to balance the freshwater budget of the subtropical gyre and to support the biological productivity of the region; however, the physical mechanisms responsible have been the subject of long-standing debate. Here, the evolution of a passive dye released within the north wall of the Gulf Stream provides direct observational evidence of enhanced mixing across the Gulf Stream front. Numerical simulations indicate that the observed rapid cross-frontal mixing occurs via shear dispersion, generated by frontal instabilities and episodic vertical mixing. This provides unique direct evidence for the role of submesoscale fronts in generating lateral mixing, a mechanism which has been hypothesized to be of general importance for setting the horizontal structure of the ocean mixed layer. Along the Gulf Stream front in the North Atlantic, these observations further suggest that shear dispersion at sharp fronts may provide a source of freshwater flux large enough to explain much of the freshwater deficit in the subtropical-mode water budget and a flux of nutrients comparable to other mechanisms believed to control primary productivity in the subtropical gyre.

4.
Phys Rev Lett ; 124(19): 192701, 2020 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-32469543

RESUMO

The ^{12}C+^{12}C fusion reaction plays a critical role in the evolution of massive stars and also strongly impacts various explosive astrophysical scenarios. The presence of resonances in this reaction at energies around and below the Coulomb barrier makes it impossible to carry out a simple extrapolation down to the Gamow window-the energy regime relevant to carbon burning in massive stars. The ^{12}C+^{12}C system forms a unique laboratory for challenging the contemporary picture of deep sub-barrier fusion (possible sub-barrier hindrance) and its interplay with nuclear structure (sub-barrier resonances). Here, we show that direct measurements of the ^{12}C+^{12}C fusion cross section may be made into the Gamow window using an advanced particle-gamma coincidence technique. The sensitivity of this technique effectively removes ambiguities in existing measurements made with gamma ray or charged-particle detection alone. The present cross-section data span over 8 orders of magnitude and support the fusion-hindrance model at deep sub-barrier energies.

5.
Appl Radiat Isot ; 157: 109021, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31889679

RESUMO

High-energy tailing is an often-overlooked component in high-purity germanium gamma-ray spectrometry when performing the non-linear least squares fit of a full-energy peak. This component comes from the incomplete restoration of the baseline prior to the next pulse being processed and therefore is an issue of increased count rates. In the current work, the impact of this oversight is shown through the dynamics and decay characteristics of 224Ra and its radioactive decay progeny. Multiple measurements of two samples, separated from the decay progeny and at differing activities, have been made. The results of full-energy peak fitting of the convoluted 238.6 keV and 241.0 keV full-energy peaks with and without the high energy tailing component are presented. Trends in the observed activity that approximate the ingrowth of 212Pb have been observed where no high-energy tailing component is used, with maximum relative differences of 2% and 5% determined.

6.
Appl Radiat Isot ; 134: 290-296, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28843735

RESUMO

The National Physical Laboratory has recently been in the process of commissioning a multi-detector γ ray array - the National Nuclear Array (NANA). In this study we have sought to exploit the NANA and the excellent timing characteristics of its intrinsic LaBr3(Ce) scintillation detectors for use as a primary standardisation system. For this initial investigation, the absolute standardisation of 60Co has been performed by the γ-γ coincidence technique using NANA and the result compared to the established 4π(LS)-γ Digital Coincidence Counting (DCC) system. The effect of the angular correlation of the stretched E2 transitions emitted from the 4+→2+→0 states of 60Ni on the activity determined by NANA was observed between the pairs of detectors. Corrections for these angular correlations were derived through Monte Carlo simulations. An activity per unit mass by NANA of 330.8 (10) kBqg-1 for the 60Co solution was determined. There was no significant statistical difference between the results of NANA and the 4π(LS)-γ DCC, with a relative difference of 0.04% observed. This study shows that NANA can be used as a primary standard.

7.
Phys Rev Lett ; 118(22): 222501, 2017 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-28621970

RESUMO

Fast-neutron-induced fission of ^{238}U at an energy just above the fission threshold is studied with a novel technique which involves the coupling of a high-efficiency γ-ray spectrometer (MINIBALL) to an inverse-kinematics neutron source (LICORNE) to extract charge yields of fission fragments via γ-γ coincidence spectroscopy. Experimental data and fission models are compared and found to be in reasonable agreement for many nuclei; however, significant discrepancies of up to 600% are observed, particularly for isotopes of Sn and Mo. This indicates that these models significantly overestimate the standard 1 fission mode and suggests that spherical shell effects in the nascent fission fragments are less important for low-energy fast-neutron-induced fission than for thermal neutron-induced fission. This has consequences for understanding and modeling the fission process, for experimental nuclear structure studies of the most neutron-rich nuclei, for future energy applications (e.g., Generation IV reactors which use fast-neutron spectra), and for the reactor antineutrino anomaly.

8.
Appl Radiat Isot ; 109: 507-511, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26795270

RESUMO

We present a brief report on the progress towards the construction of the National Nuclear Array (NANA), a gamma-ray coincidence spectrometer for discrete-line nuclear structure and decay measurements. The proposed spectrometer will combine a gamma-ray energy resolution of approximately 3% at 1MeV with sub-nanosecond timing discrimination between successive gamma rays in mutually coincident decay cascades. We also review a number of recent measurements using coincidence fast-timing gamma-ray spectroscopy for nuclear structure studies, which have helped to inform the design criteria for the NANA spectrometer.

9.
Sci Rep ; 5: 17145, 2015 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-26607750

RESUMO

From mid-May to August 2011, extreme runoff in the Columbia River ranged from 14,000 to over 17,000 m(3)/s, more than two standard deviations above the mean for this period. The extreme runoff was the direct result of both melting of anomalously high snowpack and rainfall associated with the 2010-2011 La Niña. The effects of this increased freshwater discharge were observed off Newport, Oregon, 180 km south of the Columbia River mouth. Salinity values as low as 22, nine standard deviations below the climatological value for this period, were registered at the mid-shelf. Using a network of ocean observing sensors and platforms, it was possible to capture the onshore advection of the Columbia River plume from the mid-shelf, 20 km offshore, to the coast and eventually into Yaquina Bay (Newport) during a sustained wind reversal event. Increased freshwater delivery can influence coastal ocean ecosystems and delivery of offshore, river-influenced water may influence estuarine biogeochemistry.

10.
Theor Appl Genet ; 111(8): 1545-52, 2005 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16208501

RESUMO

Characterizing and inferring the buffalograss [Buchloe dactyloides (Nutt.) Engelm.] genome organization and its relationship to geographic distribution are among the purposes of the buffalograss breeding and genetics program. This buffalograss study was initiated to: (1) better understand the buffalograss ploidy complex using various marker systems representing nuclear and organelle genomes; (2) determine whether the geographic distribution was related to nuclear and organelle genome variation; and (3) compare the genetic structure of accessions with different ploidy levels. The 20 buffalograss genotypes (15 individuals from each genotype) that were studied included diploid, tetraploid, pentaploid, and hexaploid using nuclear (intersimple sequence repeat (ISSRs), simple sequence repeat (SSRs), sequence related amplified polymorphism (SRAPs), and random amplified polymorphic DNA (RAPDs)) and cytoplasmic markers (mtDNA and cpDNA). There was a significant correlation between the ploidy levels and number of alleles detected using nuclear DNA (ISSR, SSR, and SRAP, r = 0.39, 0.39, and 0.41, P<0.05, respectively), but no significant correlation was detected when mitochondrial (r = 0.17, P<0.05) and chloroplast (r = 0.11, P < 0.05) DNA data sets were used. The geographic distribution of buffalograss was not correlated with nuclear and organelle genome variation for the genotypes studied. Among the total populations sampled, regression analysis indicated that geographic distance could not explain genetic differences between accessions. However, genetic distances of those populations from the southern portion of buffalograss adaptation were significantly correlated with geographic distance (r= 0.48, P<0.05). This result supports the hypothesis that genetic relationship among buffalograss populations cannot be estimated based only on geographic proximity.


Assuntos
Demografia , Marcadores Genéticos/genética , Variação Genética , Genoma de Planta/genética , Ploidias , Poaceae/genética , Primers do DNA , Evolução Molecular , Geografia , Análise de Regressão
11.
Theor Appl Genet ; 109(2): 280-8, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15024466

RESUMO

Buffalograss [ Buchloe dactyloides (Nutt.) Englem.] is the only native grass that is being used extensively as a turfgrass in the Great Plains region. Its low-growth habit, drought resistance, and low-maintenance requirement make it attractive as a turfgrass species. Our objective was to obtain an overview on the genetic relatedness among and within seeded and vegetative biotype buffalograsses using inter-simple sequence repeats (ISSRs), random amplified polymorphic DNA (RAPDs), sequence-related amplified polymorphisms (SRAPs), and simple sequence repeats (SSRs) markers that were derived from related species (maize, pearl millet, sorghum, and sugarcane). Twenty individuals per cultivar were genotyped using 30 markers from each marker system. All buffalograss cultivars were uniquely fingerprinted by all four marker systems. Mean genetic similarities were estimated at 0.52, 0.51, 0.62, and 0.57 using SSRs, ISSRs, SRAPs, and RAPDs, respectively. Two main clusters separating the seeded-biotype from the vegetative-biotype cultivars were produced using UPGMA analysis. Further subgroupings were unequivocal. The Mantel test resulted in a very good fit (SRAP=0.92, ISSR=0.90) to good fit (RAPD=0.86, SSR=0.88) of cophenetic values. Comparing the four marker systems to each other, RAPD and SRAP similarity indices were highly correlated ( r=0.73), while Spearman's rank correlation coefficient between RAPDs and SSRs was r=0.24 and between ISSRs and SSRs was r=0.66. A genotype-assignment analytical approach might be useful for cultivar identification and property rights protection. Polymorphic SRAPs were abundant and demonstrated genetic diversity among closely related cultivars.


Assuntos
Filogenia , Poaceae/genética , Polimorfismo Genético , Análise de Variância , Análise por Conglomerados , Impressões Digitais de DNA , Eletroforese em Gel de Poliacrilamida , Genótipo , Repetições Minissatélites/genética , Técnica de Amplificação ao Acaso de DNA Polimórfico , Especificidade da Espécie
12.
Theor Appl Genet ; 108(2): 328-34, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-13679978

RESUMO

Buffalograss [ Buchloe dactyloides (Nutt.) Englem] germplasm has a broad resource of genetic diversity that can be used for turfgrass, forage and conservation. Buffalograss is the only native grass that is presently used as a turfgrass in the Great Plains region of North America. Its low growth habit, drought tolerance and reduced requirement for fertilizer and pesticides contribute to interest in its use. The objectives of this study were to use sequence-related amplified polymorphism (SRAP) markers in the evaluation of genetic diversity and phenetic relationships in a diverse collection of 53 buffalograss germplasms, and to identify buffalograss ploidy levels using flow cytometry. Based on their DNA contents, buffalograss genotypes were grouped into four sets, corresponding to their ploidy levels. Thirty-four SRAP primer combinations were used. This is the first report of the detection of differentiating diploid, tetraploid, pentaploid and hexaploid buffalograss genotypes, representing diverse locations of origin, using SRAP markers. Cluster analysis by the unweighted pair-group method with arithmetic averages based on genetic similarity matrices indicated that there were eight clusters. The coefficients of genetic distance among the genotypes ranged from 0.33 up to 0.99 and averaged D=0.66. The genetic diversity estimate, He, averaged 0.35. These results demonstrated that genotypes with potential traits for turfgrass improvement could readily be distinguished, based on SRAP. The use of PCR-based technologies such as SRAP is an effective tool for estimating genetic diversity, identifying unique genotypes as new sources of alleles for enhancing turf characteristics, and for analyzing the evolutionary and historical development of cultivars at the genomic level in a buffalograss breeding program.


Assuntos
DNA de Plantas/genética , Marcadores Genéticos , Variação Genética , Poaceae/genética , Polimorfismo Genético , Repetições de Microssatélites , Fenótipo , Filogenia , Poliploidia , Técnica de Amplificação ao Acaso de DNA Polimórfico
13.
Science ; 288(5469): 1239-42, 2000 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-10817998

RESUMO

The set of viable design elements available for animals to use in building skeletons has been fully exploited. Analysis of animal skeletons in relation to the multivariate, theoretical "Skeleton Space" has shown that a large proportion of these options are used in each phylum. Here, we show that structural elements deployed in the skeletons of Burgess Shale animals (Middle Cambrian) incorporate 146 of 182 character pairs defined in this morphospace. Within 15 million years of the appearance of crown groups of phyla with substantial hard parts, at least 80 percent of skeletal design elements recognized among living and extinct marine metazoans were exploited.


Assuntos
Evolução Biológica , Fósseis , Morfogênese , Esqueleto , Animais , Artrópodes/anatomia & histologia , Cnidários/anatomia & histologia , Moluscos/anatomia & histologia , Oceanos e Mares , Poríferos/anatomia & histologia
14.
Fertil Steril ; 63(3): 494-9, 1995 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7851576

RESUMO

OBJECTIVE: To induce of ovulation and pregnancy in women with Kallmann's syndrome. DESIGN: Retrospective study. PATIENTS: Three women with hypogonadotropic hypogonadism and anosmia with a desire for pregnancy. INTERVENTIONS: Investigation of hypothalamic-pituitary-ovarian function and induction of ovulation by pulsatile GnRH or intramuscular human pituitary gonadotropins (hPG) or hMG with hCG. MAIN OUTCOME MEASURES: Successful induction of ovulation as measured by serum P levels and successful pregnancy. RESULTS: Ovulation was induced successfully in all three patients on more than one occasion and nine pregnancies occurred. Gonadotropin-releasing hormone was given IV by an electronically timed syringe driver. A total of 12 pulsatile GnRH cycles resulted in two pregnancies, 6 of these cycles being in one patient who did not ovulate or conceive with this therapy. Ovulation occurred in 10 of 16 hMG or hPG cycles, with conception in 7 of these. Gonadotropin usage was higher in these women compared with women with hypogonadotropic hypogonadism without anosmia (2,850 compared with 2,100 IU per treatment cycle), and the follicular phase was longer. CONCLUSIONS: All three women conceived and had children after induction of ovulation. The success rate of these therapies in Kallmann's syndrome appears to be high in spite of very few reports in the literature.


Assuntos
Síndrome de Kallmann/fisiopatologia , Indução da Ovulação , Resultado da Gravidez , Adolescente , Adulto , Gonadotropina Coriônica/uso terapêutico , Feminino , Hormônio Foliculoestimulante/sangue , Hormônio Liberador de Gonadotropina/uso terapêutico , Gonadotropinas Hipofisárias/uso terapêutico , Humanos , Hormônio Luteinizante/sangue , Gravidez , Prolactina/sangue , Estudos Retrospectivos , Testes de Função Tireóidea
16.
Am J Reprod Immunol ; 29(2): 88-94, 1993 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8329110

RESUMO

PROBLEM: It remains unclear whether maternal immunization with paternal lymphocytes prior to conception improves the reproductive outcome in women with recurrent abortion in whom all secondary causes have been excluded. METHOD: A double-blind placebo controlled trial was instituted in women with unexplained recurrent spontaneous abortion, comparing immunization with 400 million paternal to 400 million maternal (autologous) lymphocytes. The groups were compared in a paired sequential trials chart, by logistic regression, and, in addition, a meta-analysis of this and other published trials was carried out. RESULTS: The live birth rate among pregnancies in paired couples with paternal lymphocyte immunization was 68% compared to 47% in the women who received their own cells. The results bordered on, but did not achieve, statistical significance. The women in each group were thoroughly investigated to exclude known causes of recurrent pregnancy loss and appeared to have been well matched in all variables. Women with lymphocytotoxic antibodies against paternal lymphocytes were excluded. Unlike our previous study there was not association between the time to conception and the chance of a successful outcome. Indeed, the time to conception was relatively short, 12 wk in all groups. The meta-analysis supported an overall modest favorable experience with paternal cells. CONCLUSION: The study is consistent with a general trend favoring paternal over maternal lymphocyte immunization but reinforces the need for larger multicenter controlled trials as well as more detailed biological study in humans to understand the nature of the maternal-fetal interface and its breakdown.


Assuntos
Aborto Habitual/terapia , Imunização , Imunoterapia/métodos , Linfócitos/imunologia , Aborto Habitual/imunologia , Adulto , Método Duplo-Cego , Pai , Feminino , Humanos , Modelos Logísticos , Transfusão de Linfócitos , Masculino , Razão de Chances , Gravidez , Resultado da Gravidez , Projetos de Pesquisa , Fatores de Tempo
17.
Aust N Z J Obstet Gynaecol ; 31(2): 158-63, 1991 May.
Artigo em Inglês | MEDLINE | ID: mdl-1834049

RESUMO

A randomized and double-blind trial was carried out comparing intranasal nafarelin acetate (400 micrograms daily) and oral danazol (600 mg daily), given over 6 months, in the treatment of 49 patients with laparoscopically proven endometriosis. Both drugs produced a highly significant and similar reduction (of 60 to 70%) in objective American Fertility Society scoring, even in severe disease. No effect was seen on adhesions. Both drugs suppressed oestradiol levels to a similar extent, although nafarelin caused a substantial rise in the first 2 weeks after the initiation of therapy. Nafarelin suppressed LH substantially and FSH, testosterone and prolactin to a small degree, whereas FSH and LH increased slightly during danazol. Pregnancies occurred in 12 of 22 infertile women in the 12 months following nafarelin, and in 6 of 14 in the danazol group. Side-effects were reported at a similar rate with both drugs, but the pattern was different. Hot flushes were the predominant side effect with nafarelin, although oestradiol levels were not suppressed to the extent expected. Small amounts of spotting or light bleeding were experienced with both drugs, but these tended to decrease with time with nafarelin and increase with danazol.


Assuntos
Danazol/uso terapêutico , Endometriose/tratamento farmacológico , Hormônio Liberador de Gonadotropina/análogos & derivados , Administração Intranasal , Administração Oral , Danazol/administração & dosagem , Danazol/farmacologia , Método Duplo-Cego , Endometriose/sangue , Endometriose/diagnóstico , Estradiol/sangue , Feminino , Hormônio Foliculoestimulante/sangue , Hormônio Liberador de Gonadotropina/administração & dosagem , Hormônio Liberador de Gonadotropina/farmacologia , Hormônio Liberador de Gonadotropina/uso terapêutico , Humanos , Laparoscopia , Hormônio Luteinizante/sangue , Nafarelina , Prolactina/sangue , Testosterona/sangue
19.
Int J Gynecol Pathol ; 9(3): 191-207, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2373586

RESUMO

Twelve cases of histologically confirmed autoimmune oophoritis are described. Eight presented with symptoms and laboratory evidence of premature ovarian failure (POF). Four were diagnosed unexpectedly after hysterectomy for endometrial pathology or for sequelae of cystic enlargement of the ovaries. Two of eight patients tested had serum anti-ovarian autoantibodies (Aab), while five of seven had anti-adrenal Aab. Two women had, or subsequently developed, Addison's disease, and two patients had Hashimoto's disease at presentation. All women with this disease risk the development of adrenal failure and hypothyroidism. Microscopically, 11 cases showed a lymphoplasmacytic infiltrate that spared primordial follicles but involved, with progressive intensity, early and late preovulatory follicles and corpora lutea. Sparse perivascular and perineural inflammatory infiltrates were also present. The twelfth case appeared to be a unique case of granulomatous oophoritis, considered autoimmune because of the folliculotropic nature of the inflammatory process. Three cases showed evidence of follicular dysplasia.


Assuntos
Doenças Autoimunes , Ooforite/imunologia , Doença de Addison/imunologia , Adolescente , Adulto , Amenorreia/tratamento farmacológico , Amenorreia/imunologia , Autoanticorpos/análise , Corpo Lúteo/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Ooforite/patologia , Ooforite/fisiopatologia , Folículo Ovariano/patologia , Ovário/imunologia , Ovário/patologia , Tireoidite Autoimune/imunologia
20.
Aust N Z J Obstet Gynaecol ; 29(3 Pt 2): 294-8, 1989 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2619675

RESUMO

The obstetric outcome in 37 patients with antiphospholipid antibodies (APAs) is described. The APAs were measured by the lupus anticoagulant assay and/or more recently anticardiolipin antibodies. There were 15 patients with SLE who without therapy had 51/58 pregnancy failures, either abortion or fetal death in utero, a failure rate of 88%. Likewise, 22 patients without definite SLE lost 69/87 pregnancies, a failure rate of 79%. After treatment the pregnancy wastage rate was 55% and 25% in the 2 groups respectively. When treatment regimens used were examined in detail the improvement with therapy was most clearly evident in the group who received low dose aspirin (75-150 mg) in association with immunosuppression. This improvement was most apparent in the patients without definite SLE.


Assuntos
Aborto Espontâneo/etiologia , Anticorpos/análise , Aspirina/uso terapêutico , Morte Fetal/etiologia , Lúpus Eritematoso Sistêmico/complicações , Fosfolipídeos/imunologia , Complicações na Gravidez/imunologia , Aborto Espontâneo/imunologia , Feminino , Morte Fetal/imunologia , Morte Fetal/prevenção & controle , Humanos , Lúpus Eritematoso Sistêmico/imunologia , Gravidez , Complicações na Gravidez/tratamento farmacológico , Resultado da Gravidez
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