Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 15 de 15
Filtrar
1.
Environ Int ; 169: 107525, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36150295

RESUMEN

BACKGROUND: Toenails are commonly used as biomarkers of exposure to zinc (Zn), but there is scarce information about their relationship with sources of exposure to Zn. OBJECTIVES: To investigate the main determinants of toenail Zn, including selected sources of environmental exposure to Zn and individual genetic variability in Zn metabolism. METHODS: We determined toenail Zn by inductively coupled plasma mass spectrometry in 3,448 general population controls from the MultiCase-Control study MCC-Spain. We assessed dietary and supplement Zn intake using food frequency questionnaires, residential proximity to Zn-emitting industries and residential topsoil Zn levels through interpolation methods. We constructed a polygenic score of genetic variability based on 81 single nucleotide polymorphisms in genes involved in Zn metabolism. Geometric mean ratios of toenail Zn across categories of each determinant were estimated from multivariate linear regression models on log-transformed toenail Zn. RESULTS: Geometric mean toenail Zn was 104.1 µg/g in men and 100.3 µg/g in women. Geometric mean toenail Zn levels were 7 % lower (95 % confidence interval 1-13 %) in men older than 69 years and those in the upper tertile of fibre intake, and 9 % higher (3-16 %) in smoking men. Women residing within 3 km from Zn-emitting industries had 4 % higher geometric mean toenail Zn levels (0-9 %). Dietary Zn intake and polygenic score were unrelated to toenail Zn. Overall, the available determinants only explained 9.3 % of toenail Zn variability in men and 4.8 % in women. DISCUSSION: Sociodemographic factors, lifestyle, diet, and environmental exposure explained little of the individual variability of toenail Zn in the study population. The available genetic variants related to Zn metabolism were not associated with toenail Zn.


Asunto(s)
Uñas , Zinc , Biomarcadores/análisis , Exposición a Riesgos Ambientales/análisis , Femenino , Humanos , Masculino , Uñas/química , Compuestos Orgánicos/análisis , Suelo , España , Zinc/análisis
2.
Genes (Basel) ; 12(2)2021 02 20.
Artículo en Inglés | MEDLINE | ID: mdl-33672655

RESUMEN

Some C2H2 zinc-finger proteins (ZFP) transcription factors are involved in the development of pollen in plants. In grapevine (Vitis vinifera L.), it has been suggested that abnormalities in pollen development lead to the phenomenon called parthenocarpy that occurs in some varieties of this cultivar. At present, a network involving several transcription factors types has been revealed and key roles have been assigned to members of the C2H2 zinc-finger proteins (ZFP) family in model plants. However, particularities of the regulatory mechanisms controlling pollen formation in grapevine remain unknown. In order to gain insight into the participation of ZFPs in grapevine gametophyte development, we performed a genome-wide identification and characterization of genes encoding ZFP (VviZFP family). A total of 98 genes were identified and renamed based on the gene distribution into grapevine genome. The analysis performed indicate significant changes throughout VviZFP genes evolution explained by high heterogeneity in sequence, length, number of ZF and presence of another conserved domains. Moreover, segmental duplication participated in the gene family expansion in grapevine. The VviZFPs were classified based on domain and phylogenetic analysis into three sets and different groups. Heat-map demonstrated differential and tissue-specific expression patterns of these genes and k-means clustering allowed to identify a group of putative orthologs to some ZFPs related to pollen development. In transgenic plants carrying the promVviZFP13::GUS and promVviZFP68::GUS constructs, GUS signals were detectable in the anther and mature pollen grains. Expression profiling of selected VviZFP genes showed differential expression pattern during flower development and provides a basis for deepening in the understanding of VviZFPs role on grapevine reproductive development.


Asunto(s)
Dedos de Zinc CYS2-HIS2/genética , Regulación de la Expresión Génica de las Plantas , Familia de Multigenes , Desarrollo de la Planta/genética , Polen/genética , Vitis/fisiología , Secuencia de Aminoácidos , Secuencia Conservada , Modelos Moleculares , Filogenia , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Conformación Proteica , Relación Estructura-Actividad , Factores de Transcripción/genética , Factores de Transcripción/metabolismo , Vitis/clasificación
3.
J Med Food ; 23(5): 535-544, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-31660770

RESUMEN

Supplements containing pharmacological concentrations of biotin are commercially available over the counter. Classical toxicity studies have considered biotin administration as harmless; however, recent investigations have shown that biotin supplementation modifies tissue morphology without changes in toxicity markers, raising concerns about the consequences of morphological changes on tissues' functions and the safety of pharmacological concentrations of the vitamin. Testes are very sensitive to toxicants, and testicular histology is a reliable method to study its function. In this work, we investigated the effects of dietary biotin supplementation on testis morphology and spermatogenesis function using an experimental model, in which we have not observed unfavorable effects on other tissue functions or toxicity markers. Male BALB/cAnNHsd mice were fed a control or a biotin-supplemented diet (1.76 or 97.7 mg biotin/kg diet) for 8 weeks. Compared to the control group, the biotin-supplemented mice presented remarkable testis morphology changes, including increased spermatogonia layers; the cellular mechanism involved is related to increased proliferation. Sperm count and serum testosterone levels were not affected, but spermatozoa motility and morphology were significantly impaired in the biotin-supplemented mice. These results caution against the use of supplements with high concentrations of biotin and indicate that biotin's pharmacological effects on morphology need to be considered in toxicological studies.


Asunto(s)
Biotina/efectos adversos , Suplementos Dietéticos/efectos adversos , Espermatozoides/efectos de los fármacos , Testículo/efectos de los fármacos , Testículo/patología , Animales , Masculino , Ratones , Ratones Endogámicos BALB C , Motilidad Espermática , Espermatogénesis
4.
Environ Res ; 179(Pt A): 108787, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31610392

RESUMEN

Health problems associated with essential trace metals can result from both inadequate (i.e., low intake) and excessive exposures (i.e., from environmental and/or occupational source). Thus, measuring the exposure level is a real challenge for epidemiologists. Among non-invasive biomarkers that intend to measure long-term exposure to essential trace metals, the toenail is probably the biological matrix with the greatest potential. This systematic review collects the current evidence regarding the validity of toenail clippings as exposure biomarker for trace metals such as boron, cobalt, copper, iron, manganese, molybdenum, selenium, silicon, vanadium and zinc. Special attention was paid to the time-window of exposure reflected by the toenail, the intraindividual variability in exposure levels over time in this matrix, and the relationship of toenail with other biomarkers, personal characteristics and environmental sources. Our search identified 139 papers, with selenium and zinc being the most studied elements. The variability among studies suggests that toenail levels may reflect different degrees of exposure and probably correspond to exposures occurred 3-12 months before sampling (i.e., for manganese/selenium). Few studies assessed the reproducibility of results over time and, for samples obtained 1-6 years apart, the correlation coefficient were between 0.26 and 0.66. Trace metal levels in toenails did not correlate well with those in the blood and urine and showed low-moderate correlation with those in the hair and fingernails. Available data suggests that for some elements (Se, Mn, Zn) toenail concentrations reflect long-term external exposures in fairly reproducible levels, while for other metals, this association has not yet been assessed. Among dietary factors, only toenail selenium showed clear associations with the intake of supplements or specific foods. The toenail levels could also represent occupational exposure, for instance, Mn exposure in welders. The scarcity of information on other essential trace elements, together with the great heterogeneity among studies makes the validation of the usage of toenails as biomarkers of exposure to these elements difficult. Standardization of sample collection, quality control, analytical techniques and reporting procedures might facilitate further research focused on the clear understanding of the significance of essential levels in this promising matrix and would enhance its utility in epidemiological research.


Asunto(s)
Exposición a Riesgos Ambientales/análisis , Metales , Uñas/química , Biomarcadores/química , Exposición a Riesgos Ambientales/estadística & datos numéricos , Humanos , Reproducibilidad de los Resultados , Selenio , Oligoelementos
6.
Plast Surg Nurs ; 39(1): 18-21, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30801494

RESUMEN

Nexobrid is a new resource for debridement that has emerged in recent years and is gaining relevance in the treatment of all kinds of thermal injuries. This product is an ointment (formed with a mixture of pineapple-derived enzymes enriched with bromelain) that is directly applied over the burn. With a single application, it performs a burned tissue-specific debridement in less than 4 hr, leaving a vital and completely debrided wound bed. In this article, we describe our experience with this product, and through a representative case, we explain the management of these patients in our Burns unit in consonance with national and international consensus.


Asunto(s)
Bromelaínas/administración & dosificación , Quemaduras/tratamiento farmacológico , Desbridamiento/métodos , Adulto , Bromelaínas/farmacología , Quemaduras/clasificación , Quemaduras/enzimología , Traumatismos de los Pies/tratamiento farmacológico , Humanos , Traumatismos de la Pierna/tratamiento farmacológico , Masculino
7.
Annu Int Conf IEEE Eng Med Biol Soc ; 2018: 6084-6087, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30441723

RESUMEN

In the field of neuroscience there is interest on manufacturing new recording devices. The relationship between individual action potentials of neurons and field potentials in multicellular records is complex. For this reason, there is a big interest in multielectrode arrays. This work describes the unconventional fabrication process of an alternative multielectrode and its use for sensing neuronal activity. It consists of a matrix of Si nanowires randomly distributed, coated with Ag nanoparticles, and with macrometric Ag back contacts. The Si nanowires are prepared by metal-assisted chemical etching of a Si wafer, which is an economical and highly reproducible technique. Recordings using the multielectrode array of randomly distributed Si nanowires look promising and comparable with recordings obtained with other multielectrode devices.


Asunto(s)
Encéfalo , Nanopartículas del Metal , Nanocables , Silicio , Plata
8.
Sci Rep ; 7(1): 8627, 2017 08 17.
Artículo en Inglés | MEDLINE | ID: mdl-28819156

RESUMEN

We present evidence on the effects of exogenous heating by water bath (WB) and magnetic hyperthermia (MHT) on a glial micro-tumor phantom. To this, magnetic nanoparticles (MNPs) of 30-40 nm were designed to obtain particle sizes for maximum heating efficiency. The specific power absorption (SPA) values (f = 560 kHz, H = 23.9 kA/m) for as prepared colloids (533-605 W/g) dropped to 98-279 W/g in culture medium. The analysis of the intracellular MNPs distribution showed vesicle-trapped MNPs agglomerates spread along the cytoplasm, as well as large (~0.5-0.9 µm) clusters attached to the cell membrane. Immediately after WB and MHT (T = 46 °C for 30 min) the cell viability was ≈70% and, after 4.5 h, decreased to 20-25%, demonstrating that metabolic processes are involved in cell killing. The analysis of the cell structures after MHT revealed a significant damage of the cell membrane that is correlated to the location of MNPs clusters, while local cell damage were less noticeable after WB without MNPs. In spite of the similar thermal effects of WB and MHT on the cell viability, our results suggest that there is an additional mechanism of cell damage related to the presence of MNPs at the intracellular space.


Asunto(s)
Calor , Campos Magnéticos , Nanopartículas de Magnetita/química , Microglía/citología , Animales , Línea Celular , Supervivencia Celular , Coloides/química , Hipertermia Inducida/métodos , Magnetismo , Nanopartículas de Magnetita/ultraestructura , Ratones , Microglía/ultraestructura , Microscopía Electrónica de Rastreo , Microscopía Electrónica de Transmisión , Tamaño de la Partícula
9.
PLoS One ; 10(10): e0139503, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26440413

RESUMEN

Parthenocarpic fruit development (PFD) reduces fruit yield and quality in grapevine. Parthenocarpic seedless berries arise from fruit set without effective fertilization due to defective pollen germination. PFD has been associated to micronutrient deficiency but the relation of this phenomenon with pollen polymorphism has not been reported before. In this work, six grapevine cultivars with different tendency for PFD and grown under micronutrient-sufficient conditions were analyzed to determine pollen structure and germination capability as well as PFD rates. Wide variation in non-germinative abnormal pollen was detected either among cultivars as well as for the same cultivar in different growing seasons. A straight correlation with PFD rates was found (R2 = 0.9896), suggesting that natural parthenocarpy is related to defective pollen development. Such relation was not observed when PFD was analyzed in grapevine plants exposed to exogenous gibberellin (GA) or abscissic acid (ABA) applications at pre-anthesis. Increase (GA treatment) or reduction (ABA treatment) in PFD rates without significative changes in abnormal pollen was determined. Although these plants were maintained at sufficient boron (B) condition, a down-regulation of the floral genes VvBOR3 and VvBOR4 together with a reduction of floral B content in GA-treated plants was established. These results suggest that impairment in B mobility to reproductive tissues and restriction of pollen tube growth could be involved in the GA-induced parthenocarpy.


Asunto(s)
Boro/metabolismo , Regulación de la Expresión Génica de las Plantas , Polen/anatomía & histología , Polinización/genética , Vitis/anatomía & histología , Ácido Abscísico/farmacología , Flores/efectos de los fármacos , Flores/genética , Flores/metabolismo , Frutas/efectos de los fármacos , Frutas/crecimiento & desarrollo , Giberelinas/farmacología , Partenogénesis/efectos de los fármacos , Partenogénesis/genética , Vitis/genética , Vitis/metabolismo
10.
BMC Plant Biol ; 12: 111, 2012 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-22824090

RESUMEN

BACKGROUND: Zinc (Zn) deficiency is one of the most widespread mineral nutritional problems that affect normal development in plants. Because Zn cannot passively diffuse across cell membranes, it must be transported into intracellular compartments for all biological processes where Zn is required. Several members of the Zinc-regulated transporters, Iron-regulated transporter-like Protein (ZIP) gene family have been characterized in plants, and have shown to be involved in metal uptake and transport. This study describes the first putative Zn transporter in grapevine. Unravelling its function may explain an important symptom of Zn deficiency in grapevines, which is the production of clusters with fewer and usually smaller berries than normal. RESULTS: We identified and characterized a putative Zn transporter from berries of Vitis vinifera L., named VvZIP3. Compared to other members of the ZIP family identified in the Vitis vinifera L. genome, VvZIP3 is mainly expressed in reproductive tissue - specifically in developing flowers - which correlates with the high Zn accumulation in these organs. Contrary to this, the low expression of VvZIP3 in parthenocarpic berries shows a relationship with the lower Zn accumulation in this tissue than in normal seeded berries where its expression is induced by Zn. The predicted protein sequence indicates strong similarity with several members of the ZIP family from Arabidopsis thaliana and other species. Moreover, VvZIP3 complemented the growth defect of a yeast Zn-uptake mutant, ZHY3, and is localized in the plasma membrane of plant cells, suggesting that VvZIP3 has the function of a Zn uptake transporter. CONCLUSIONS: Our results suggest that VvZIP3 encodes a putative plasma membrane Zn transporter protein member of the ZIP gene family that might play a role in Zn uptake and distribution during the early reproductive development in Vitis vinifera L., indicating that the availability of this micronutrient may be relevant for reproductive development.


Asunto(s)
Proteínas Portadoras/genética , Vitis/genética , Zinc/metabolismo , Secuencias de Aminoácidos , Secuencia de Aminoácidos , Transporte Biológico/genética , Proteínas Portadoras/metabolismo , ADN Complementario/genética , ADN Complementario/metabolismo , Flores/genética , Flores/crecimiento & desarrollo , Flores/metabolismo , Frutas/genética , Frutas/crecimiento & desarrollo , Frutas/metabolismo , Regulación de la Expresión Génica de las Plantas/genética , Prueba de Complementación Genética , Proteínas de Transporte de Membrana/genética , Proteínas de Transporte de Membrana/metabolismo , Datos de Secuencia Molecular , Mutación , Cebollas/genética , Cebollas/metabolismo , Filogenia , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Raíces de Plantas/genética , Raíces de Plantas/crecimiento & desarrollo , Raíces de Plantas/metabolismo , ARN de Planta/genética , Proteínas Recombinantes de Fusión , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Alineación de Secuencia , Vitis/crecimiento & desarrollo , Vitis/metabolismo , Zinc/análisis , Zinc/farmacología
11.
Plant Cell Rep ; 26(10): 1861-8, 2007 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17583815

RESUMEN

The LTR retrotransposons are the most abundant mobile elements in the plant genome and seem to play an important role in genome reorganization induced by environmental challenges. Their success in this function depends on the ability of their promoters to respond to different signaling pathways that regulate plant adaptation to biotic and abiotic stresses. The promoter of the TLC1.1 retrotransposon from Solanum chilense contains two primary ethylene-responsive elements (PERE boxes) that are essential for its response to ethylene and for the stress-induced expression. Here, we describe that a 270 bp fragment (P270), derivative of this retroelement promoter, is also able to activate the transcription of the GUS reporter gene in transgenic plants in response to salicylic acid (SA), abscisic acid (ABA), methyl jasmonate (MeJA), hydrogen peroxide (H2O2) and the synthetic auxin 2,4-D. PERE box-dependent and independent routes are involved in the response of P270 to these signal molecules. MeJA, H2O2 and 2,4-D activate this promoter through cis-acting elements other than PERE boxes, whereas ABA and SA act via a PERE box-independent pathway but require this element for maximal activation. Three putative cis-acting elements MRE, GCN4 and GT1/TCA identified in the P270 promoter may be involved in the PERE box-independent activation pathway. These results suggest that the promoter of TLC1.1 may act as an integrator of different signal transduction pathways, allowing this member of the TLC1 retrotransposon family to be activated in response to multiples challenges.


Asunto(s)
Regiones Promotoras Genéticas , Retroelementos/genética , Solanum/genética , Solanum/metabolismo , Secuencia de Bases , Regulación de la Expresión Génica de las Plantas , Datos de Secuencia Molecular , Transducción de Señal
12.
Int J Food Microbiol ; 114(2): 204-10, 2007 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-17187886

RESUMEN

The present study was conducted in Lima Metropolitana to evaluate the prevalence of Shiga toxin-producing Escherichia coli (STEC) O157:H7 in raw beef, raw ground beef, soft cheese and fresh vegetables, sampled at different markets in the city. Between October 2000 and February 2001, 407 food samples were collected from different markets in the 42 districts of Lima Metropolitana. Samples were assayed for E. coli O157 by selective enrichment in modified Tryptic Soy Broth containing novobiocin, followed by immunomagnetic separation (IMS) and plating onto sorbitol MacConkey agar supplemented with cefixime and potassium tellurite. Fifty (12.3%) of 407 food samples resulted positive for E. coli O157 isolation (23 of 102 ground beef; 15 of 102 beef meat; eight of 102 soft cheese and four of 101 fresh vegetables). Thirty-five E. coli O157 isolates were further analysed for the presence of virulence genes. All 35 were positive by PCR for O157 rfbE, fliCh7, eae-gamma1 and ehxA genes. In addition, genes encoding Shiga toxins were detected in 33 of 35 isolates, five isolates (14%) encoded stx(1), stx(2), and 28 (80%) stx2 only. The isolates were of seven different phage types (PT4, PT8, PT14, PT21, PT34, PT54, and PT87) with three phage types accounting for 80% of isolates: PT4 (15 isolates), PT14 (8 isolates), and PT21 (5 isolates). Interestingly, the majority (31 of 35; 89%) of E. coli O157:H7 isolates characterized in this study belonged mainly to the phage types previously found in STEC O157:H7 strains associated with severe human disease in Europe and Canada. Pulsed-field gel electrophoresis (PFGE) of 32 isolates revealed 14 XbaI-PFGE groups (I to XIV) of similarity >85%, with 23 (72%) isolates grouped in five clusters. Some isolates from different districts presented a high clonal relatedness. Thus, PFGE group VIII clustered eleven strains from nine different districts. The broad range of PFGE subtypes found in this study demonstrates the natural occurrence of many genetic variants among STEC O157:H7 spread in Lima.


Asunto(s)
Escherichia coli O157 , Contaminación de Alimentos/análisis , Microbiología de Alimentos , Toxinas Shiga/biosíntesis , Animales , Tipificación de Bacteriófagos , Bovinos , Queso/microbiología , Recuento de Colonia Microbiana , Seguridad de Productos para el Consumidor , Electroforesis en Gel de Campo Pulsado , Escherichia coli O157/genética , Escherichia coli O157/metabolismo , Escherichia coli O157/patogenicidad , Humanos , Separación Inmunomagnética , Carne/microbiología , Productos de la Carne/microbiología , Perú , Toxinas Shiga/análisis , Verduras/microbiología , Virulencia/genética
13.
Homeopatia Méx ; 73(630): 101-104, mayo-jun. 2004.
Artículo en Español | HomeoIndex | ID: hom-7799

RESUMEN

El sindrome nefrotica se da por el aumento de permeabilidad de la pared capilar glomerular con proteinuria masiva, dando inico a la cadena de aconteciemientos que se manifiestam por albuminuria, hipoalbuminemia y dema. En los adultos el predominio de la glomerulopatia membanosa es en el sexo masculino, en el 80 (por cento) de los se inician con un sindrome nefrotico completo. A continuacion presentamos el caso de un paciente masculino de 75 anos de edad que inicia el 14 de abril 1998 con cuadro de edema... (AU)


Asunto(s)
Humanos , Masculino , Adulto , Anciano , Síndrome Nefrótico , Terapéutica Homeopática
14.
Homeopatia Méx ; 73(630): 101-104, mayo-jun. 2004.
Artículo en Español | LILACS | ID: lil-491817

RESUMEN

El sindrome nefrotica se da por el aumento de permeabilidad de la pared capilar glomerular con proteinuria masiva, dando inico a la cadena de aconteciemientos que se manifiestam por albuminuria, hipoalbuminemia y dema. En los adultos el predominio de la glomerulopatia membanosa es en el sexo masculino, en el 80 (por cento) de los se inician con un sindrome nefrotico completo. A continuacion presentamos el caso de un paciente masculino de 75 anos de edad que inicia el 14 de abril 1998 con cuadro de edema...


Asunto(s)
Humanos , Masculino , Adulto , Anciano , Síndrome Nefrótico , Terapéutica Homeopática
15.
Ginecol. obstet. Méx ; 61(10): 295-8, oct. 1993. tab
Artículo en Español | LILACS | ID: lil-134843

RESUMEN

Se revisaron los primeros 1000 casos de Oclusión Tubaria Bilateral por Minilaparotomía post Parto, con sedación y anestesia local, realizados en el Hospital General de Zona Francisco del Paso y Troncoso del IMSS, en la Ciudad de México en el periodo comprendido entre Diciembre de 1990 y Octubre de 1991. El mayor grupo de casos por edad correspondióal periodo comprendido entre 20-29 años y fue 52.3 por ciento. Con tres a cuatro hijos vivos, 65 por ciento. Con cifras de presión arterial mínima entre 70-80 mmHG, 66.3 por ciento. Cifras de hemoglobina menoresde 10 g 19.7 por ciento. El mayor peso corporal entre 100-120 kgs. se encontró 2.3 por ciento. El método anticonceptivo utilizado previamente con mayor frecuencia fue el DIU en 40.6 por ciento. En todos los casos la indicación fue paridad satisfecha. En el 100 por ciento de casos se utilizó el mismo medicamento para la sedación, Diazepam Oral y Clorhidrato de Nalbufina Parenteral cobn Xylocaina simple al 2 por ciento como anestésico local.Asimismo, en todos los casos se utilizó la técnica de Pomeroy. El intervalo entre el parto y la operación fue de menos de 12 horas en 92.8 por ciento. Entre la cirugía y el alta hospitalaria fue de 12-24 horas en el 96 por ciento. Las complicaciones transoperatorias fueron sangrado por desgarro del Mesosalpinx en 0.8 por ciento. Las complicaciones postoperatorias a una semana en 0.5 por ciento formación de hematoma y/o absceso en sitio de la insición. Todas estas acciones de efectúan en un Módulo creado exclusivamente para el procedimiento.


Asunto(s)
Humanos , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Anestesia Local , Esterilización Tubaria/métodos , Laparotomía , Dispositivos Anticonceptivos/estadística & datos numéricos , Esterilización Tubaria
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA