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1.
Proc Natl Acad Sci U S A ; 119(10): e2110756119, 2022 03 08.
Artículo en Inglés | MEDLINE | ID: mdl-35235447

RESUMEN

SignificanceAerosol-cloud interaction affects the cooling of Earth's climate, mostly by activation of aerosols as cloud condensation nuclei that can increase the amount of sunlight reflected back to space. But the controlling physical processes remain uncertain in current climate models. We present a lidar-based technique as a unique remote-sensing tool without thermodynamic assumptions for simultaneously profiling diurnal aerosol and water cloud properties with high resolution. Direct lateral observations of cloud properties show that the vertical structure of low-level water clouds can be far from being perfectly adiabatic. Furthermore, our analysis reveals that, instead of an increase of liquid water path (LWP) as proposed by most general circulation models, elevated aerosol loading can cause a net decrease in LWP.

2.
Opt Express ; 27(23): 34126-34140, 2019 Nov 11.
Artículo en Inglés | MEDLINE | ID: mdl-31878468

RESUMEN

Cloud droplet effective radius (CER) and number concentration (CDNC) are two critical microphysical properties of liquid water clouds, which play essential roles in the Earth's radiative energy balance and atmospheric hydrological cycle. Even though many satellite remote sensing techniques have been developed to obtain these two properties, the observations are often limited to the daytime. In this study, a method to estimate CER and CDNC of liquid water clouds over global ocean area during both daytime and nighttime from CALIOP (Cloud-Aerosol Lidar with Orthogonal Polarization) measurements is presented. The size sensitivity of the dual-wavelength (532 nm & 1064 nm) layer-integrated attenuated backscattering signals from CALIOP is checked and information content for liquid water cloud CER retrieval is found. Taking use of the artificial neural network (ANN) technique, the CER and then the CDNC are estimated from CALIOP by combining the polarization ratio and the dual wavelength attenuated backscattering signals. The comparisons with CER and CDNC estimated from MODIS (Moderate Resolution Imaging Spectroradiometer) during daytime demonstrate the feasibility of this new method. Both the daytime and nighttime CER and CDNC derived from CALIOP observations are presented in this paper and the day-night variation of liquid water cloud is discussed which would provide useful day-night variation of liquid water cloud properties.

3.
Opt Express ; 27(8): A481-A494, 2019 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-31052898

RESUMEN

Cloud and aerosol contribute with great uncertainty in Earth's radiative budget. There is an urgent need for global 3-D observation of these atmospheric constituents. High-spectral-resolution Lidar (HSRL) can obtain vertical atmosphere profile with high accuracy, hence several space-borne HSRLs are planned to launch in few years. However, as far as we know, the performance evaluation of space-borne HSRL has not been reported yet. In this paper, we present the characteristics of a new designed space-borne HSRL for aerosol and cloud optical property profiling (ACHSRL), which is part of the Aerosol & Carbon Detection Lidar (ACDL) developed in China. The ACHSRL is essentially similar to the famous Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP), which is on board the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observation (CALIPSO). Moreover, the ACHSRL employs an iodine absorption filter as the spectral discriminator. The atmospheric optical properties data observed by CALIOP is used to estimate the performance of ACHSRL. We chose the level 2 profile data (version 4.10) in South Japan in June 2015 to compare the detection uncertainty of ACHSRL and CALIOP. The simulation calculates the uncertainties of ACHSRL and makes a statistic analysis. The analysis result demonstrates that 73.63% of the backscatter coefficient uncertainties are below 40% for ACHSRL. By contrast, the number is 30.72% for CALIOP. As for absolute extinction coefficient errors, the statistics shows that 76.01% of the extinction coefficient uncertainties are lower than 0.2 km-1 for ACHSRL, while that for CALIOP are 56.97%. The assessment shows that ACHSRL could measure the particulate optical properties with better accuracy and compared with CALIOP. The estimation in this study reveals that the next generation space-borne HSRLs have a promising future.

4.
Appl Opt ; 57(10): 2627-2637, 2018 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-29714250

RESUMEN

A detailed assessment is carried out in relation to the influence of the uncertainties associated with the input auxiliary atmospheric state parameters on retrieving aerosol optical properties from high-spectral-resolution lidar (HSRL) observations. The study starts from a review of the main spectral structure of the Rayleigh backscattering followed by evaluating the temperature effects on a backscattering cross section of atmospheric molecules based on numerical simulation. It shows that the transmittance of the background interference filter should be taken into account, depending on the full width at half maximum, although overall temperature dependence is negligible. Based on the Taylor expansion of the Tenti S6 model, the systematic errors arising from input temperature and pressure profiles are analyzed. It is demonstrated that the atmospheric pressure profiles have limited effects on the inversion results of aerosol optical parameters, as the atmospheric pressure is usually quite stable. The relative errors of the aerosol backscatter coefficient mainly stem from temperature profile errors and highly depend on the aerosol concentration. Quantitatively, the aerosol backscatter coefficient error could be larger than 5% with a 3 K deviation of temperature when the backscatter ratio is larger than 1.1. The accuracy of aerosol extinction coefficient retrieval is affected not only by the error in temperature, but also by the error in temperature lapse rate; the retrieval accuracy is more sensitive to the latter than the former. Further analysis based on the sounding temperature data shows that the variation of the temperature inversion layer during the night could induce a bias larger than 0.04 km-1 on the aerosol extinction coefficient retrieval. Therefore, the time resolution of temperature measurement from sounding balloons twice per day is too low to obtain an accurate retrieval of the aerosol optical properties from the HSRL.

5.
Sci Total Environ ; 872: 162091, 2023 May 10.
Artículo en Inglés | MEDLINE | ID: mdl-36758704

RESUMEN

Dust particles originating from arid desert regions can be transported over long distances, presenting severe risks to climate, environment, social economics, and human health at the source and downwind regions. However, there has been a dearth of continuous diurnal observations of vertically resolved mass concentration and optical properties of dust aerosols, which hinders our understanding of aerosol mixing, stratification, aerosol-cloud interactions, and their impacts on the environment. To fill the gap of the insufficient observations, to the best of our knowledge, this work presents the first high-spectral-resolution lidar (HSRL) observation providing days of continuous profiles of the mass concentration, along with particle linear depolarization ratio (PLDR), backscattering coefficient, extinction coefficient and lidar ratio (LR), simultaneously. We present the results of two strong dust events observed by HSRL over Beijing in 2021. The maximum particle mass concentrations reached (1.52 ± 3.5) x103 µg/m3 and (19.48 ± 0.36) x103 µg/m3 for the two dust events, respectively. The retrieved particle mass concentrations and aerosol optical depth (AOD) agree well with the observation from the surface PM10 concentrations and sun photometer with correlation coefficients of 0.90 and 0.95, respectively. The intensive properties of PLDR and LR of the dust aerosols are 0.31 ± 0.02 and 39 ± 7 sr at 532 nm, respectively, which are generally close to those obtained from observations in the downwind areas. Moreover, inspired by the observations from HSRL, a universal analytical relationship is discovered to evaluate the proportion of dust aerosol backscattering, extinction, AOD, and mass concentration using PLDR. The universal analytical relationship reveals that PLDR can directly quantify dust aerosol contribution, which is expected to further expand the application of polarization technology in dust detection. These valuable observations and findings further our understanding of the contribution of dust aerosol to the environment and help supplement dust aerosol databases.

6.
Ther Clin Risk Manag ; 17: 1045-1052, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34611404

RESUMEN

PURPOSE: Ischemic stroke (IS) is a major cause of disability and death. We used bioinformatics approaches to investigate a functional ANGPT1 variant that interferes with miR-607 and explored its association with IS. MATERIALS AND METHODS: An IS expression microarray (GSE16561) was downloaded from the GEO and used to identify differentially expressed genes (DEGs) and functional enrichment pathways. Analyses showed that ANGPT1 participated in six key pathways and was susceptible to a key functional polymorphism rs2507799. We genotyped 567 IS patients and 500 controls for ANGPT1 rs2507799. Luciferase assays were also conducted to investigate the binding between miR-607 and ANGPT1 rs2507799. RESULTS: In total, we identified 458 DEGs between IS patients and healthy controls in the GSE16561 dataset. GO functional enrichment analysis showed that these DEGs were mainly enriched in cell-substrate junctions, the regulation of peptide secretion, and the regulation of cytokine secretion involved in immune response. ANGPT1 rs2507799 T-carriers had a significantly higher risk of IS (Dominant model: OR = 1.48, 95% CI = 1.01-2.17, P = 0.044). IS patients harboring the TC/TT genotype experienced significantly more severe injuries in terms of neurological function (Dominant model: OR = 2.06, 95% CI = 1.28-3.31, P = 0.003). Analysis also showed that IS patients harboring the TC/TT genotype had a significantly worse outcome (Dominant model: OR = 2.22, 95% CI = 1.35-3.67, P = 0.002). Luciferase assays indicated that miR-607 could affect luciferase activity by binding to the ANGPT1 mutant type. CONCLUSION: In this study, we used bioinformatical methods to investigate a key IS-related gene ANGPT1 and its functional polymorphism rs2507799. rs2507799 was found to be associated with a significantly increased risk for IS, a significantly more severe initial stroke severity, and a worse outcome. These results may help to improve the future management of ischemic stroke.

7.
Ultrasound Med Biol ; 47(8): 2250-2257, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34020846

RESUMEN

Our goal was to estimate the agreement between 360° 3-D transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) of the vaginal invasion in cervical cancer and to discuss the clinical value of 360° 3-D TVUS. A total of 72 patients with untreated cervical cancer were included in the work. The percentage agreement between 2-D TVUS and MRI in assessing vaginal invasion (yes or no) was 77.8% (kappa, 0.400) and that between 360° 3-D TVUS and MRI was 97.2% (kappa, 0.873). The results of 2-D TVUS demonstrated the following agreement with those of MRI: 77.8% for the upper two-thirds of the vagina (kappa, 0.538), 83.3% for the lower third of the vagina (kappa, 0.471). The results of 360° 3-D TVUS demonstrated the following agreement with those of MRI: 95.8% for the upper two-thirds of the vagina (kappa, 0.907), 98.6% for the lower third of the vagina (kappa, 0.961). The results of 360° 3-D TVUS demonstrated good agreement with MRI, which is less costly and more readily available than MRI and should be considered in the pre-treatment work-up for cervical cancer.


Asunto(s)
Imagenología Tridimensional , Imagen por Resonancia Magnética , Neoplasias del Cuello Uterino/patología , Vagina/patología , Neoplasias Vaginales/diagnóstico por imagen , Neoplasias Vaginales/patología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Persona de Mediana Edad , Invasividad Neoplásica , Estudios Retrospectivos , Ultrasonografía/métodos
8.
Int J Gen Med ; 14: 1057-1061, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33790634

RESUMEN

AIM: This study aims to investigate the electrocardiogram characteristics of the different motor types of Parkinson's disease. METHODS: The data on 118 patients with Parkinson's disease (PD), who were initially diagnosed in the Outpatient and Inpatient Department, was collected. Among these 118 PD patients, 74 patients were assigned to the PIGD group, while 44 patients were assigned to the TD group, and their clinical features were analyzed, which included age, course, disease classification, and electrocardiogram parameters (PR, QRS, QT interval, and QTC). RESULTS: The QT interval in PD patients was positively correlated with the course of the disease and Hoehn-Yahr stage, and the QT interval in the PIGD group was longer than that in the TD group. CONCLUSION: A prolonged QT interval may indicate a longer disease period and a more severe disease condition.

9.
Medicine (Baltimore) ; 97(26): e10967, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29952939

RESUMEN

This study aims to investigate relationship between the level of uric acid (UA) and UA/creatinine ratios (UA/Cr) to the stage of Parkinson disease (PD).A total of 120 cases of PD patients who were admitted in our hospital between 2013 and 2015 were enrolled into this study; these 120 cases of PD patients were divided into 3 groups, according to Hoehn-Yahr (H-Y) classification: early stage (1-2 classification), medium stage (2.5-3 classification), and advanced stage (4-5 classification); UA and UA/Cr level in each group was compared. Then, factors including age, gender, dopamine dosage, UA, and UA/Cr levels were analyzed to find the independent predictive factors of PD by logistic regression.UA and UA/Cr levels in the early and medium stage PD patients were significantly higher than in the advanced stage ones. UA and UA/Cr levels in patients with good prognosis were significantly higher than in the poor ones.UA and UA/Cr levels are negatively correlated with the stages of PD and are independent negatively predicting biological indexes of PD incidence and progression.


Asunto(s)
Creatinina/sangre , Enfermedad de Parkinson/sangre , Ácido Úrico/sangre , Anciano , Progresión de la Enfermedad , Dopamina/administración & dosificación , Dopamina/uso terapéutico , Femenino , Humanos , Masculino , Enfermedad de Parkinson/clasificación , Enfermedad de Parkinson/tratamiento farmacológico , Pronóstico , Estudios Retrospectivos , Simpatomiméticos/uso terapéutico
10.
Biomed Mater Eng ; 28(4): 393-400, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28869425

RESUMEN

OBJECTIVE: This study aims to explore the application prospect of low oxygen dead space ventilation (LODSV) in evaluating vasomotor reactivity (VMR) by comparison between LODSV and breath-holding test (BHT). METHODS: Outpatient or inpatient patients who underwent transcranial Doppler sonography (TCD) were enrolled into this study. These patients successively underwent BHT and LODSV. The cooperation degree, tolerance conditions and adverse reactions in patients were recorded, and VMR was calculated, compared and analyzed. RESULTS: Patients had poor cooperation during BHT. Except for compensatory tachypnea after BHT, patients basically had no adverse reaction. The main manifestations of patients undergoing LODSV were deepened breathing and accelerated frequency in the end of the ventilation, and increased heart rate and a slight decline in pulse oxygen that rapidly recovered after ventilation. The increase rate of blood flow velocity in patients undergoing LODSV was significantly higher than in BHT (P<0.001), and its calculated VMR value was approximately 15% higher than BHT (P<0.001). BHT revealed a monophasic curve that slightly descends and rapidly increases, and LODSV revealed a curve that descends for a short time and slowly increases with a platform. CONCLUSION: LODSV can effectively eliminate the affect of poor cooperation in patients, and avoid intolerance caused by hypoxia. Hence, VMR value is more accurate than that determined by BHT; and this can reflect the maximum reaction ability of the blood vessels. Therefore, this method has higher clinical application value.


Asunto(s)
Contencion de la Respiración , Circulación Cerebrovascular , Oxígeno/fisiología , Sistema Vasomotor , Velocidad del Flujo Sanguíneo , Humanos , Hipoxia , Ultrasonografía Doppler Transcraneal
11.
Chin J Integr Med ; 12(2): 132-6, 2006 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-16800993

RESUMEN

OBJECTIVE: To observe the effect of Gengnianchun Recipe (GNC) on bone mineral density (BMD), bone biomechanical parameters and serum lipid level in the bilaterally ovariectomized (OVX) rats and to explore the prophylactic and therapeutic action of GNC on ovariectomy induced osteoporosis and hyperlipidemia. METHODS: OVX SD rats, 10 - 12 months old, were divided into different groups and fed with GNC 2 g/d, GNC 1 g/d and Nilestriol 0.125 mg/week, respectively for 4 months to observe the change of BMD and bone biomechanical parameters of the lumbar vertebrae, and the serum levels of total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C), and to compare the effect of the two drugs on the morphology of the uterus. RESULTS: There was marked reduction in BMD and biomechanical parameters in lumbar vertebrae (P < 0.01) and increase of serum TC and LDL-C levels (P < 0.01) in rats after OVX. GNC or Nilestriol significantly improved the decreased BMD and biomechanical parameters of the lumbar vertebrae (P < 0.05 or P < 0.01), and reduced the serum TC and LDL-C levels (P < 0.01). In the Nilestriol group, the wet weight of uterus got increased obviously (P < 0.01), the number of uterine glands increased, uterine columnar epithelium thickened, and the mitotic figures in the epithelial stroma and myointimal cells augmented. But no such effect in wet weight and morphology of uterus was found in the GNC group. CONCLUSION: GNC could increase the BMD and biomechanical parameters of the lumbar vertebrae, reduce the serum TC and LDL-C levels, yet produce no adverse reaction in stimulating proliferation and hypertrophy of uterus.


Asunto(s)
Densidad Ósea/efectos de los fármacos , Huesos/efectos de los fármacos , Medicamentos Herbarios Chinos/farmacología , Lípidos/sangre , Animales , Fenómenos Biomecánicos , Colesterol/sangre , HDL-Colesterol/sangre , LDL-Colesterol/sangre , Estriol/análogos & derivados , Estriol/farmacología , Femenino , Ovariectomía , Quinestrol/análogos & derivados , Ratas , Ratas Sprague-Dawley , Triglicéridos/sangre , Útero/citología , Útero/efectos de los fármacos
12.
Zhonghua Wai Ke Za Zhi ; 42(15): 932-5, 2004 Aug 07.
Artículo en Zh | MEDLINE | ID: mdl-15363257

RESUMEN

OBJECTIVE: To obtain massive human pancreatic islets with modified techniques and evaluation of the islets for the clinical allo-transplantation to treat type I and II diabetes. METHODS: 28 consecutive adult human pancreata were isolated with modified automated techniques. Islets were purified using continuous density gradient. The islet yield was counted with international standard known as islet equivalent (IEQ). The function of the isolated islets was evaluated by measuring DNA/insulin ratio, static glucose stimulating test in vitro and transplanting the islets into diabetic nude mice in vivo followed by abdominal glucose tolerance test and C peptide measurement. RESULTS: The yield of 28 consecutive human pancreata isolations ranged from 5 000 to 1 030 000 IEQs/pancreas with the average of 291 635 IEQs/pancreas. The first 13 isolations yielded 49 123 IEQs/pancreas, 846 IEQs/g and, purity 87% in average. The remained 15 isolations after the modifications yielded 501 813 IEQs/pancreas, 7 003 IEQs/g and purity 89% in average. The results of in vitro SGS showed good response to the different glucose concentration. 34 diabetic nude mice were transplanted under the renal capsule with the freshly isolated islets. 29 out of 34 diabetic mice obtained normoglycemia within 12 hours and the glucose tolerance tests were near normal. Serum C peptide level of transplanted mice is close to that of the control group. CONCLUSIONS: Massive human islets can be isolated with the modified techniques. Quality assessment of these islets both in vitro and in vivo has indicated that these high quality human islets could be used for the clinical allogeneic islet transplantation.


Asunto(s)
Separación Celular/métodos , Diabetes Mellitus Experimental/cirugía , Trasplante de Islotes Pancreáticos , Islotes Pancreáticos/citología , Islotes Pancreáticos/fisiología , Adulto , Animales , Glucosa , Humanos , Técnicas In Vitro , Islotes Pancreáticos/efectos de los fármacos , Ratones , Ratones Desnudos , Trasplante Heterólogo
13.
Bioresour Technol ; 144: 435-44, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23890979

RESUMEN

Four indigenous thermo-tolerant Desmodesmus sp. strains were examined for their ability to produce lutein. Among them, Desmodesmus sp. F51 was the best strain for this purpose. The medium composition, nitrate concentration and light intensity were manipulated to improve the phototrophic growth and lutein production of Desmodesmus sp. F51. It was found that a nitrogen-sufficient condition was required for lutein accumulation, while a high light intensity enhanced cell growth but caused a decrease in the lutein content. The best cell growth and lutein production occurred when the light intensity and initial nitrate concentration were 600 µmol/m(2)/s and 8.8 mM, respectively. The fed-batch cultivation strategy was shown to further improve lutein production. The highest lutein productivity (3.56±0.10 mg/L/d) and content (5.05±0.20 mg/g) were obtained when pulse-feeding of 2.2 mM nitrate was employed. This study demonstrated the potential of using Desmodesmus sp. F51 as a lutein producer in practical applications.


Asunto(s)
Adaptación Fisiológica/efectos de los fármacos , Técnicas de Cultivo Celular por Lotes/métodos , Chlorophyta/crecimiento & desarrollo , Luz , Luteína/biosíntesis , Nitratos/farmacología , Fototropismo/efectos de los fármacos , Biomasa , Chlorophyta/citología , Chlorophyta/efectos de los fármacos , Chlorophyta/efectos de la radiación , Medios de Cultivo/farmacología , Fototropismo/efectos de la radiación , Pigmentos Biológicos/metabolismo , Temperatura , Factores de Tiempo
14.
Zhonghua Liu Xing Bing Xue Za Zhi ; 33(10): 1060-3, 2012 Oct.
Artículo en Zh | MEDLINE | ID: mdl-23290852

RESUMEN

OBJECTIVE: To estimate the incidence, mortality and 5-year prevalence of brain and neurologic tumors in China, 2008. METHODS: Data from 36 cancer registries in China and from the Third National Death Survey in China were used to estimate the incidence, mortality and 5-year prevalence of brain and neurologic tumors in 2008, using the mathematical models. Prediction on the incidence, and mortality of brain and neurologic tumors in the next 20 years was also carried out. RESULTS: In 2008, the incidence of brain and neurologic tumors in China was 66 454 (2.4%) and the incidence rate of age-standardized was 4.4/100 000, ranking tenth among all the cancers. The mortality of brain and neurologic tumors in China was 45 573 (2.3%), with mortality rate as 3.0/100 000, which ranked seventh among all the cancers. The 5-year prevalence of brain and neurologic tumors in China was 91 449 (2.0%) and the proportion was 8.6/100 000, which ranked twelfth among all the cancers. Incidence rates of brain and neurologic tumors in all the age groups were similar in both sexes, but the rate of incidence increased faster before 40 years old and slowed down thereafter. In the next 20 years, data from the prediction showed that the incidence and mortality of brain and neurologic tumors in China would gradually increase. CONCLUSION: The burden of brain and neurologic tumors was increasing continuously.


Asunto(s)
Neoplasias Encefálicas/epidemiología , Neoplasias Encefálicas/mortalidad , Neoplasias del Sistema Nervioso/epidemiología , Neoplasias del Sistema Nervioso/mortalidad , Adolescente , Adulto , Anciano , Niño , Preescolar , China/epidemiología , Femenino , Humanos , Incidencia , Lactante , Masculino , Persona de Mediana Edad , Prevalencia , Tasa de Supervivencia
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 33(10): 1056-9, 2012 Oct.
Artículo en Zh | MEDLINE | ID: mdl-23290851

RESUMEN

OBJECTIVE: To estimate the incidence, mortality and 5-year prevalence of prostate cancer in China, in 2008. METHODS: Data from 36 cancer registries and the Third National Death Survey in China (2004-2005) was used to estimate the incidence, mortality and 5-year prevalence rates of prostate cancer in China in 2008. Mathematical models were used to predict the incidence and mortality of prostate cancer in the next 20 years. RESULTS: In 2008, the incidence of prostate cancer was 33 802 (2.1%), with the incidence rate as 4.3/100 000, which ranked the eighth among all the male cancers. Mortality of prostate cancer in China was 14 297 (1.2%) with the mortality rate of 1.8/100 000, which ranked eleventh among all the male cancers. The 5-year prevalence rate of prostate cancer in China was 75 535 (3.5%) with the proportion of 13.8/100 000, ranking the seventh among all the male cancers. The incidence and mortality of prostate cancer in men before the age of 60 maintained at a low level, but rose rapidly after the age of 60. Data on prediction showed that the incidence and mortality of prostate cancer in China would gradually increase in the next 20 years. CONCLUSION: Both incidence and mortality of prostate cancer in China would keep increasing in the future. Prevention and control programs for prostate cancer should be strengthened.


Asunto(s)
Neoplasias de la Próstata/epidemiología , Neoplasias de la Próstata/mortalidad , Adolescente , Adulto , Anciano , China/epidemiología , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Prevalencia , Tasa de Supervivencia , Adulto Joven
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