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2.
Andrology ; 2(1): 138-44, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24293158

RESUMO

Bisphenol A (BPA) is an endocrine disruptor with potentially harmful effects on humans. However, epigenetic mechanisms that modulate the effects of BPA remain unclear. Methylation of long interspersed nucleotide elements (LINE-1) is a marker of genome-wide methylation status. This study aims to examine whether BPA exposure was associated with LINE-1 methylation changes in men. Male factory workers in Hunan, China (N = 149) were studied, 77 with BPA exposure in workplace (BPA-exposed group) and 72 without BPA exposure in workplace (control group). Pre-shift and post-shift urine samples were collected from the BPA-exposed group and spot urine samples were collected from the control group. Urine samples were assessed for BPA. In addition, blood and semen samples were collected from both groups for LINE-1 methylation analysis. In multivariate analysis adjusted for age, education, smoking habits and alcohol consumption, sperm LINE-1 methylation level was significantly lower in BPA exposed workers (p < 0.001) compared to that in the unexposed workers. Linear regression analysis also showed that log-transformed urine BPA levels were inversely associated with sperm LINE-1 methylation (p < 0.0001), but not peripheral blood cell LINE-1 methylation. Moreover, the association between urine BPA level and semen quality was not attenuated after adjustments for LINE-1 level. In summary, the observed independent relationship between BPA exposure and LINE-1 methylation may have public health implications on reproductive health in men because of ubiquitous exposure to BPA.


Assuntos
Compostos Benzidrílicos/toxicidade , Compostos Benzidrílicos/urina , Desoxirribonuclease I/metabolismo , Exposição Ocupacional , Fenóis/toxicidade , Fenóis/urina , Espermatozoides/metabolismo , Adulto , China , Desoxirribonuclease I/sangue , Humanos , Masculino , Metilação , Pessoa de Meia-Idade , Análise do Sêmen , Espermatozoides/patologia , Adulto Jovem
3.
Environ Sci Technol ; 43(13): 4757-62, 2009 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-19673262

RESUMO

Previous studies suggested that certain constituents of ambient PM2.5 can induce or increase oxidative stress in biological systems. The present study is designed to examine whether exposure to traffic generated particles increases the burden of oxidative stress in humans and to identify specific PM2.5 constituents responsible for pollution-induced oxidative stress. We recruited two nonsmoking security guards who worked at a university campus gate by a heavily trafficked road. Pre- and post-workshift spot urines were collected on each of the 29 days of measurement. Concentrations of PM2.5 mass and 126 chemical species were measured at the worksite and a campus background site simultaneously. Urine samples were analyzed for 8-hydroxy-2'-deoxyguanosine (8-OHdG). Factor analysis and linear mixed-effects regression models were used in statistical analyses. Three clusters of PM2.5 species were identified, including PAHs, metals, and polar organic compounds. Urinary concentrations of 8-OHdG increased by > 3 times following an eight-hour workshift in participants. Pre-workshift urinary concentrations of 8-OHdG were associated with PM2.5 concentrations at the background site. Post-workshift 8-OHdG concentrations were significantly and positively associated with PM2.5 mass, PAHs, and metals, but not polar organic species, measured at the worksite. Our findings provide direct evidence in humans that PM compositions are important in increasing oxidative stress burdens. Our results support that PAHs and metals are biologically active constituents of PM2.5 with regards to the induction of oxidative DNA damages in the human body.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar/análise , Dano ao DNA , Material Particulado/toxicidade , Emissões de Veículos/toxicidade , 8-Hidroxi-2'-Desoxiguanosina , Adolescente , Adulto , Carbono/química , Desoxiguanosina/análogos & derivados , Desoxiguanosina/farmacologia , Desoxiguanosina/urina , Humanos , Metais/química , Exposição Ocupacional , Estresse Oxidativo , Sistema Respiratório/efeitos dos fármacos , Universidades
4.
IEEE Trans Med Imaging ; 26(3): 335-46, 2007 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-17354639

RESUMO

Accurate predictions of image variances can be useful for reconstruction algorithm analysis and for the design of regularization methods. Computing the predicted variance at every pixel using matrix-based approximations [1] is impractical. Even most recently adopted methods that are based on local discrete Fourier approximations are impractical since they would require a forward and backprojection and two fast Fourier transform (FFT) calculations for every pixel, particularly for shift-variant systems like fan-beam tomography. This paper describes new "analytical" approaches to predicting the approximate variance maps of 2-D images that are reconstructed by penalized-likelihood estimation with quadratic regularization in fan-beam geometries. The simplest of the proposed analytical approaches requires computation equivalent to one backprojection and some summations, so it is computationally practical even for the data sizes in X-ray computed tomography (CT). Simulation results show that it gives accurate predictions of the variance maps. The parallel-beam geometry is a simple special case of the fan-beam analysis. The analysis is also applicable to 2-D positron emission tomography (PET).


Assuntos
Algoritmos , Intensificação de Imagem Radiográfica/métodos , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Processamento de Sinais Assistido por Computador , Tomografia por Raios X/métodos , Análise de Fourier , Análise Numérica Assistida por Computador , Imagens de Fantasmas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Fatores de Tempo , Tomografia por Raios X/instrumentação
5.
IEEE Trans Med Imaging ; 25(5): 582-9, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16689262

RESUMO

Fourier-based forward and back-projection methods can reduce computation in iterative tomographic image reconstruction. Recently, an optimized nonuniform fast Fourier transform (NUFFT) approach was shown to yield accurate parallel-beam projections. In this paper, we extend the NUFFT approach to describe an O (N2 log N) projector/backprojector pair for fan-beam transmission tomography. Simulations and experiments with real CT data show that fan-beam Fourier-based forward and back-projection methods can reduce computation for iterative reconstruction while still providing accuracy comparable to their O (N3) space-based counterparts.


Assuntos
Algoritmos , Imageamento Tridimensional/métodos , Intensificação de Imagem Radiográfica/métodos , Interpretação de Imagem Radiográfica Assistida por Computador/métodos , Tomografia Computadorizada por Raios X/métodos , Análise de Fourier , Humanos , Armazenamento e Recuperação da Informação/métodos , Imagens de Fantasmas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X/instrumentação
6.
J Mol Biol ; 300(4): 805-18, 2000 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-10891270

RESUMO

The solution structure of the cysteine-rich (CR) domain of Escherichia coli DnaJ has been solved by NMR methods. The structure of a 79 residue CR domain construct shows a novel fold with an overall V-shaped extended beta-hairpin topology. The CR domain is characterized by four C-X-X-C-X-G-X-G sequence motifs that bind two zinc ions. Residues in these two zinc modules show strong similarities in the grouping of resonances in the (15)N-(1)H HSQC spectrum and display pseudo-symmetry of the motifs in the calculated structures. The conformation of the cysteine residues coordinated to the zinc ion resembles that of the rubredoxin-knuckle, but there are significant differences in hydrogen bonding patterns in the two motifs. Zinc (15)N-(1)H HSQC titrations indicate that the fold of the isolated DnaJ CR domain is zinc-dependent and that one zinc module folds before the other. The C-X-X-C-X-G-X-G sequence motif is highly conserved in CR domains from a wide variety of species. The three-dimensional structure of the E. coli CR domain indicates that this sequence conservation is likely to result in a conserved structural motif.


Assuntos
Cisteína/metabolismo , Escherichia coli/química , Proteínas de Choque Térmico/química , Motivos de Aminoácidos , Sequência de Aminoácidos , Proteínas de Bactérias/química , Proteínas de Bactérias/metabolismo , Sítios de Ligação , Sequência Conservada , Cisteína/química , Proteínas de Escherichia coli , Proteínas de Choque Térmico HSP40 , Proteínas de Choque Térmico/metabolismo , Ligação de Hidrogênio , Modelos Moleculares , Dados de Sequência Molecular , Ressonância Magnética Nuclear Biomolecular , Peptídeos/metabolismo , Ligação Proteica , Estrutura Secundária de Proteína , Estrutura Terciária de Proteína , Alinhamento de Sequência , Soluções , Zinco/metabolismo
7.
J Mol Biol ; 272(1): 9-20, 1997 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-9299333

RESUMO

Comprehensive NOE results from detailed structural characterization of a 131 residue partially folded fragment of staphylococcal nuclease (Delta131Delta) made possible by NMR methods with improved resolution are presented. The resulting NOE patterns reflect sampling of both alpha and beta regions of phi, phi conformational space, yet demonstrate significant preferences for both native-like and non-native-like turn and potentially helical conformations. Together with data from studies of the unfolded state of the drkN SH3 domain, NOE patterns observed for partially folded or unfolded proteins are summarized. It is surprising that few long-range NOEs were observed in Delta131Delta. The two longest-range NOEs are both native-like; one of these, an (i,i+5) NOE, provides evidence for a Schellman capping motif for helix termination. Many aliphatic-aliphatic and aliphatic-amide NOEs, which are not normally observed in folded proteins, were detected. We have ruled out significant contributions from spin-diffusion for a number of these NOEs and suggest that one source may be sampling of non-prolyl cis peptide bond configurations in the disordered state of Delta131Delta.


Assuntos
Nuclease do Micrococo/química , Conformação Proteica , Sequência de Aminoácidos , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Fragmentos de Peptídeos/química , Dobramento de Proteína
8.
Biochemistry ; 36(13): 3959-70, 1997 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-9092826

RESUMO

The isolated N-terminal SH3 domain of the Drosophila adapter protein drk (drkN SH3 domain) exists in a dynamic equilibrium between a folded (F(exch)) and an unfolded (U(exch)) state under native-like buffer conditions [Zhang, O., & Forman-Kay, J. D. (1995) Biochemistry 34, 6784-6794]. The effect of binding a proline-rich peptide derived from the protein Sos, a biological target of the drkN SH3 domain, on this equilibrium has been investigated. The stabilization of the F(exch) folded state upon binding provides an example of the link between binding and protein folding or stabilization. We have compared NMR parameters of the U(exch) state with those of a denatured state in 2 M guanidine hydrochloride (U(Gdn)). Variable-temperature experiments demonstrate that interactions in a region encompassing residues Gln 23-Leu 28 in the U(exch) state are destabilized upon addition of guanidine hydrochloride. Data from an 15N HSQC-NOESY-HSQC experiment as well as recently developed methods provide more unambiguous structural information than described previously, showing the presence of preferential structure in both unfolded states. Backbone NOEs observed in both unfolded states as well as chemical shifts and coupling constants suggest a rapid equilibrium between extended structure and turn-like structures which may play a role in initiation of protein folding. However, differences in detailed structural features between the two unfolded states argue that caution is needed in interpretation of results from structural characterization of protein conformational states generated using denaturing conditions.


Assuntos
Proteínas de Drosophila , Proteínas de Insetos/química , Desnaturação Proteica , Dobramento de Proteína , Domínios de Homologia de src , Sequência de Aminoácidos , Animais , Drosophila/química , Guanidina , Guanidinas , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Dados de Sequência Molecular , Peptídeos/química , Peptídeos/metabolismo , Ligação Proteica , Conformação Proteica , Estrutura Secundária de Proteína
9.
Biochemistry ; 36(9): 2390-402, 1997 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-9054544

RESUMO

Measurements of 15N NMR relaxation parameters have been used to characterize the backbone dynamics of folded and denatured states of the N-terminal SH3 domain from the adapter protein drk, in high salt or guanidinium chloride, respectively. Values of the spectral density function evaluated at a number of frequencies are compared. The levels of backbone dynamics in the folded protein show little variation across the molecule and are of similar magnitude to those determined previously for the folded state of the protein in exchange with an unfolded state at low salt concentrations [Farrow et al. (1995) Biochemistry 34, 868-878]. The denatured state of the domain exhibits both more extensive and more heterogeneous dynamics than the folded state. In particular the profile of the spectral density function evaluated at zero-frequency for the unfolded state of the domain indicates that residues in the middle of the protein sequence are considerably less mobile than those at the termini. These data suggest that the molecule is not behaving as an extended polymer and that concerted motions of the central portions of the molecule are occurring, consistent with a reasonably compact conformation in this region. The backbone dynamics of the folded and unfolded states were studied at two temperatures. The level of high-frequency motions in the folded molecule is largely unaffected by changes in temperature, whereas an increase in temperature results in increased high-frequency motion in the unfolded state.


Assuntos
Proteínas de Drosophila , Dobramento de Proteína , Estrutura Terciária de Proteína , Domínios de Homologia de src , Animais , Soluções Tampão , Drosophila , Guanidina , Guanidinas , Hormônios de Inseto/química , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Desnaturação Proteica , Sulfatos
10.
J Biomol NMR ; 9(2): 181-200, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9090132

RESUMO

NMR-based structural studies of macromolecules focus to a large extent on the establishment of interproton distances within the molecule based on the nuclear Overhauser effect (NOE). Despite the improvements in resolution resulting from multidimensional NMR experiments, the detailed characterization of disordered states of proteins or highly overlapped regions of folded molecules using current NMR methods remains challenging. A suite of triple-resonance NOESY-type pulse schemes is presented which require uniform 15N and 13C labeling and make use of the chemical shift dispersion of backbone 15N and 13C' (carbonyl) resonances to increase the spectral resolution. In particular, for the case of partially folded and unfolded proteins, the experiments exploit the fact that the dispersion of 15N and 13C' resonances is comparable to that observed in folded states. Ambiguities that arise in the assignment of NOEs as a result of the severe chemical shift degeneracy in 1H and aliphatic 13C nuclei are resolved, therefore, by recording the chemical shifts of 15N or 13C' either before or after the NOE mixing period. Applications of these methods to the study of the unfolded state of the N-terminal SH3 domain of drk (drkN SH3) and a partially folded large fragment of staphylococcal nuclease (SNase), delta 131 delta, are presented. In addition, an application to folded SNase in complex with the ligands thymidine 3',5'-bisphosphate (pdTp) and Ca2+ is illustrated which allows the assignment of NOEs between degenerate H alpha protons or protons resonating close to water.


Assuntos
Espectroscopia de Ressonância Magnética/métodos , Nuclease do Micrococo/química , Conformação Proteica , Dobramento de Proteína , Proteínas/química , Sequência de Aminoácidos , Isótopos de Carbono , Escherichia coli/metabolismo , Nuclease do Micrococo/biossíntese , Isótopos de Nitrogênio , Fragmentos de Peptídeos/química , Desnaturação Proteica , Estrutura Secundária de Proteína , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/química , Sensibilidade e Especificidade , Domínios de Homologia de src
11.
J Biomol NMR ; 10(3): 283-8, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20700832

RESUMO

A triple-resonance pulse scheme is described which records(15)N, NH correlations of residues that immediately follow amethyl-containing amino acid. The experiment makes use of a(15)N, (13)C and fractionally deuterated proteinsample and selects for CH(2)D methyl types. The experiment isthus useful in the early stages of the sequential assignment process as wellas for the confirmation of backbone (15)N, NH chemical shiftassignments at later stages of data analysis. A simple modification of thesequence also allows the measurement of methyl side-chain dynamics. This isparticularly useful for studying side-chain dynamic properties in partiallyunfolded and unfolded proteins where the resolution of aliphatic carbon andproton chemical shifts is limited compared to that of amide nitrogens.

12.
J Biomol NMR ; 6(2): 153-62, 1995 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8589604

RESUMO

A method is presented for the determination of values of the spectral density function, J(omega), describing the dynamics of amide bond vectors from 15N relaxation parameters alone. Assuming that the spectral density is given by the sum of Lorentzian functions, the approach allows values of J(omega) to be obtained at omega = 0, omega N and 0.870 omega H, where omega N and omega H are Larmor frequencies of nitrogen and proton nuclei, respectively, from measurements of 15N T1, T2 and 1H-15N steady-state NOE values at a single spectrometer frequency. Alternatively, when measurements are performed at two different spectrometer frequencies of i and j MHz, J(omega) can be mapped at omega = 0, omega iN, omega jN, 0.870 omega iH and 0.870 omega iH, where omega iN, for example, is the 15N Larmor frequency for a spectrometer operating at 1 MHz. Additionally, measurements made at two different spectrometer frequencies enable contributions to transverse relaxation from motions on millisecond-microsecond time scales to be evaluated and permit assessment of whether a description of the internal dynamics is consistent with a correlation function consisting of a sum of exponentials. No assumptions about the specific form of the spectral density function describing the dynamics of the 15N-NH bond vector are necessary, provided that dJ(omega)/d omega is relatively constant between omega = omega H + omega N to omega = omega H - omega N. Simulations demonstrate that the method is accurate for a wide range of protein motions and correlation times, and experimental data establish the validity of the methodology. Results are presented for a folded and an unfolded form of the N-terminal SH3 domain of the protein drk.


Assuntos
Físico-Química , Proteínas de Drosophila , Espectroscopia de Ressonância Magnética/métodos , Isótopos de Nitrogênio , Proteínas/química , Animais , Fenômenos Químicos , Hormônios de Inseto/química , Domínios de Homologia de src
13.
Biochemistry ; 34(20): 6784-94, 1995 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-7756310

RESUMO

The isolated N-terminal Src homology 3 (SH3) domain of Drosophila drk exists in equilibrium between folded and unfolded states in aqueous buffer near neutral pH. Nuclear magnetic resonance spectra recorded on both states simultaneously exhibit an approximate 1:1 ratio of protein conformations. The folded form is similar to other known SH3 structures, especially the N-terminal SH3 domain of the mammalian homologue GRB2. A stretch of sequential amide-amide nuclear Overhauser effect cross-peaks for resonances of the unfolded state is observed in a region corresponding to beta-strands in the folded state. The results suggest that turn-like conformations may be preferentially sampled in the folding pathway for this predominantly beta-structured SH3 domain. In addition, a stable turn at Leu-28 is observed in the unfolded but not in the folded state. Comparison of this unfolded form with a denatured state in 2 M guanidine hydrochloride shows that, while both are highly disordered, these states are not identical and more residual structure is present under nondenaturing conditions.


Assuntos
Proteínas de Drosophila , Hormônios de Inseto/química , Fragmentos de Peptídeos/química , Dobramento de Proteína , Sequência de Aminoácidos , Soluções Tampão , Ligação de Hidrogênio , Concentração de Íons de Hidrogênio , Hormônios de Inseto/genética , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Concentração Osmolar , Desnaturação Proteica , Estrutura Secundária de Proteína
14.
Biochemistry ; 34(3): 868-78, 1995 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-7827045

RESUMO

Two-dimensional NMR 15N relaxation studies have been used to characterize the backbone dynamics and folding transition of the N-terminal SH3 domain of the protein drk (drkN SH3). The isolated drkN SH3 domain exists in equilibrium between a folded and an unfolded state in aqueous buffer and near neutral pH [Zhang et al. (1994) J. Biomol. NMR 4, 845]. The backbone dynamics of both the folded and unfolded states in this exchanging system have been determined and the rates of the folding transition estimated at 14 degrees C. For 12 residues, the values of the spectral density functions of the backbone amide bond vectors at a number of frequencies have been established. Results show that while the unfolded state has considerably greater dynamic behavior, the overall motional properties are consistent with it having a reasonably compact structure in solution. In contrast to the folded state, considerable variations are seen in the values of the spectral densities of the unfolded state as a function of residue number; these variations do not appear to be strongly correlated with structural elements in the folded state. The mean value of the exchange rate associated with the folding transition was determined to be 0.89 s-1, similar to previous measurements of the rate of formation of beta-structure.


Assuntos
Proteínas de Drosophila , Hormônios de Inseto/química , Sequência de Aminoácidos , Animais , Drosophila melanogaster/química , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Desnaturação Proteica , Dobramento de Proteína , Transdução de Sinais
15.
J Biomol NMR ; 4(6): 845-58, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7812156

RESUMO

The backbone 1H and 15N resonances of the N-terminal SH3 domain of the Drosophila signaling adapter protein, drk, have been assigned. This domain is in slow exchange on the NMR timescale between folded and predominantly unfolded states. Data were collected on both states simultaneously, on samples of the SH3 in near physiological buffer exhibiting an approximately 1:1 ratio of the two states. NMR methods which exploit the chemical shift dispersion of the 15N resonances of unfolded states and pulsed field gradient water suppression approaches for avoiding saturation and dephasing of amide protons which rapidly exchange with solvent were utilized for the assignment.


Assuntos
Proteínas de Drosophila , Hormônios de Inseto/química , Sequência de Aminoácidos , Animais , Drosophila , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Conformação Proteica
16.
J Biomol NMR ; 4(5): 727-34, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7919956

RESUMO

A heteronuclear correlation experiment is described which permits simultaneous characterization of both 15N longitudinal decay rates and slow conformational exchange rates. Data pertaining to the exchange between folded and unfolded forms of an SH3 domain is used to illustrate the technique. Because the unfolded form of the molecule, on average, shows significantly higher NH exchange rates than the folded form, an approach which minimizes the degree of water saturation is employed, enabling the extraction of accurate rate constants.


Assuntos
Proteínas de Drosophila , Espectroscopia de Ressonância Magnética/métodos , Isótopos de Nitrogênio , Fenômenos Químicos , Físico-Química , Hormônios de Inseto/química , Estrutura Terciária de Proteína
17.
Yi Chuan Xue Bao ; 19(2): 131-9, 1992.
Artigo em Chinês | MEDLINE | ID: mdl-1355978

RESUMO

A sample of 80 accessions collected from several major barley growing areas in China was assayed for restriction fragment length polymorphisms at two regions of the chloroplast DNA and the intergenic spacer of the ribosomal RNA gene (rDNA). The results showed that the spacer length was highly polymorphic and 8 spacer length variants constituting 8 phenotypes were observed in this sample. It is also clear that the spacer length variants and the phenotypes were differentially distributed in different geographical regions, probably due to adaptation of the genotypes to the local environments. We did not detect variation in the two chloroplast fragments, indicating that the variability of chloroplast DNA is low in cultivated barley.


Assuntos
DNA/análise , Hordeum/genética , Polimorfismo de Fragmento de Restrição , RNA Ribossômico/genética , Cloroplastos/química
18.
Burns Incl Therm Inj ; 11(3): 197-201, 1985 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3986644

RESUMO

Silver sulphadiazine has been applied to the burn wounds of 509 patients during the past 10 years. Eleven patients with burns covering more than 20 per cent of the body surface showed silver deposits in the mucosa of the lips, gingiva and cheeks. The colour of the burn wound was also slightly darker than in patients not treated with silver compounds. This darker colour spontaneously disappeared during the year following discharge from hospital. The pathogenesis of silver deposition has been discussed in relation to other published studies.


Assuntos
Queimaduras/tratamento farmacológico , Sulfadiazina de Prata/metabolismo , Sulfadiazina/metabolismo , Administração Tópica , Adulto , Gengiva/metabolismo , Humanos , Masculino , Pessoa de Meia-Idade , Mucosa Bucal/metabolismo , Sulfadiazina de Prata/administração & dosagem , Sulfadiazina de Prata/uso terapêutico , Distribuição Tecidual , Infecção dos Ferimentos/tratamento farmacológico , Infecção dos Ferimentos/prevenção & controle
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