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1.
Transbound Emerg Dis ; 61(5): 397-410, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25098383

RESUMEN

In January 2014, approximately 9 months following the initial detection of porcine epidemic diarrhea (PED) in the USA, the first case of PED was confirmed in a swine herd in south-western Ontario. A follow-up epidemiological investigation carried out on the initial and 10 subsequent Ontario PED cases pointed to feed as a common risk factor. As a result, several lots of feed and spray-dried porcine plasma (SDPP) used as a feed supplement were tested for the presence of PEDV genome by real-time RT-PCR assay. Several of these tested positive, supporting the notion that contaminated feed may have been responsible for the introduction of PEDV into Canada. These findings led us to conduct a bioassay experiment in which three PEDV-positive SDPP samples (from a single lot) and two PEDV-positive feed samples supplemented with this SDPP were used to orally inoculate 3-week-old piglets. Although the feed-inoculated piglets did not show any significant excretion of PEDV, the SDPP-inoculated piglets shed PEDV at a relatively high level for ≥9 days. Despite the fact that the tested PEDV genome positive feed did not result in obvious piglet infection in our bioassay experiment, contaminated feed cannot be ruled out as a likely source of this introduction in the field where many other variables may play a contributing role.


Asunto(s)
Alimentación Animal/virología , Infecciones por Coronavirus/veterinaria , Diarrea/veterinaria , Brotes de Enfermedades/veterinaria , Virus de la Diarrea Epidémica Porcina , Enfermedades de los Porcinos/etiología , Animales , Canadá/epidemiología , Infecciones por Coronavirus/virología , Diarrea/epidemiología , Diarrea/virología , Contaminación de Alimentos , Datos de Secuencia Molecular , Porcinos , Enfermedades de los Porcinos/epidemiología
2.
Avian Dis ; 58(1): 1-7, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24758106

RESUMEN

In November 2010, an outbreak of avian influenza (AI) due to the H5N2 subtype virus occurred in a turkey breeder farm in northern Manitoba, Canada. The only clinical signs observed were depression, decrease in food consumption, and loss of egg production. The hemagglutinin (HA) cleavage (HA(0)) site of the isolated H5N2 virus was PQRETR/GLF, consistent with low pathogenic AI viruses. The intravenous pathogenicity index of this virus was zero. Whole-genome sequencing of two isolates that originated from two different barns was performed, and both isolates had 100% identical protein sequence in PB2, HA, NP, M1, M2, NS1, and NS2. The remaining gene segments (PB1, PA, and NA) had a single amino-acid difference when compared with each other. The nucleotide and protein sequences of eight gene segments from both isolates showed 99 or greater identity with other AI viruses that have been circulating in free-living aquatic birds in Canada and the United States within the last 10 yr. Phylogenetic analysis of the HA and neuraminidase (NA) gene segments showed that these viruses are closely related to other H5 strains that have been isolated from Manitoba and other parts of Canada. Serologic testing of archived serum samples collected from these turkeys a week before the outbreak showed no evidence of AI infection. In addition, other farms that were located within 3 km radius from the infected farm and farms that had epidemiologic connection with the farm also tested negative for the presence of H5N2 AI virus or antibody. This indicates that the virus might have been introduced to the farm from wild aquatic birds only a short time before detection. Results of this study highlight the importance of early detection and the significance of ongoing Canada-wide surveillance of AI in domestic poultry as well as in wild aquatic birds/ducks.


Asunto(s)
Brotes de Enfermedades/veterinaria , Subtipo H5N2 del Virus de la Influenza A/genética , Subtipo H5N2 del Virus de la Influenza A/patogenicidad , Gripe Aviar/virología , Enfermedades de las Aves de Corral/virología , Pavos , Animales , Embrión de Pollo , Cloaca/virología , Femenino , Pruebas de Inhibición de Hemaglutinación/veterinaria , Pruebas de Hemaglutinación/veterinaria , Subtipo H5N2 del Virus de la Influenza A/aislamiento & purificación , Gripe Aviar/epidemiología , Gripe Aviar/prevención & control , Masculino , Manitoba/epidemiología , Datos de Secuencia Molecular , Orofaringe/virología , Filogenia , Reacción en Cadena de la Polimerasa/veterinaria , Enfermedades de las Aves de Corral/epidemiología , Enfermedades de las Aves de Corral/prevención & control , Prevalencia , Análisis de Secuencia de ADN/veterinaria , Estudios Seroepidemiológicos , Organismos Libres de Patógenos Específicos , Proteínas Virales/genética , Proteínas Virales/metabolismo , Virulencia
3.
Transbound Emerg Dis ; 60(2): 143-51, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22510427

RESUMEN

Genes encoding a major structural glycoprotein, E2, of classical swine fever viruses (CSFV) Brescia (subgroup 1.2), Paderborn (subgroup 2.1) and Kanagawa (subgroup 3.4) were constructed by removing the transmembrane domain and adding a C-terminal 6 histidine (His) tag. All the E2 constructs were efficiently expressed in a baculovirus system as 53-kDa glycosylated proteins that were identified in Western blots by their reaction with anti-His and CSFV-specific antibodies. These proteins were used as ELISA antigens to confirm the existence of an antigenic relationship between the viruses using group-specific polyclonal antisera. Antigenic differences were identified by Western blot and ELISA reactivity of the E2 proteins with a panel of monoclonal antibodies. Specifically, one monoclonal antibody (WH303) reacted with all three proteins, two monoclonal antibodies (M1660 and M1665) reacted with only the Brescia E2 protein, and three monoclonal antibodies (M1654, M1664 and M1669) reacted equally well with only Brescia and Kanagawa E2 proteins. Therefore, antibody reactivity profiles, established using recombinant E2 proteins, could be used to quickly identify novel CSFV strains as illustrated in this report with only a limited number of monoclonal antibodies. These proteins could also have added utility in the production of monoclonal antibodies and as critical reagents in diagnostic assays.


Asunto(s)
Variación Antigénica/inmunología , Antígenos Virales/inmunología , Baculoviridae/metabolismo , Virus de la Fiebre Porcina Clásica/inmunología , Proteínas del Envoltorio Viral/inmunología , Secuencia de Aminoácidos , Animales , Anticuerpos Monoclonales/inmunología , Variación Antigénica/genética , Antígenos Virales/genética , Baculoviridae/genética , Western Blotting , Peste Porcina Clásica/inmunología , Peste Porcina Clásica/virología , Virus de la Fiebre Porcina Clásica/genética , Ensayo de Inmunoadsorción Enzimática , Variación Genética , Datos de Secuencia Molecular , Proteínas Recombinantes/genética , Proteínas Recombinantes/inmunología , Alineación de Secuencia , Porcinos , Proteínas del Envoltorio Viral/genética
4.
Transbound Emerg Dis ; 58(5): 394-401, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21463498

RESUMEN

In 2005, triple-reassortant H3N2 (trH3N2) influenza A viruses were isolated from swine and turkeys in Canada. Subsequently, these viruses were isolated from humans and mink in 2006 and 2007, respectively. Following full genome sequencing, H3N2 viruses isolated from turkeys (2005), quail (2008) and swine (2009) in Canada, were characterized as trH3N2. The 2005 turkey isolate was found to be almost identical to other viruses isolated in that year, with quail and pig isolates related very closely to the 2005 trH3N2. Minimal antigenic evolution of the swine isolates relative to the reference 2005 virus was observed. These results suggest the establishment of a stable lineage of trH3N2 in Canadian pigs, with evidence for interspecies transmission to turkeys and quails.


Asunto(s)
Subtipo H3N2 del Virus de la Influenza A/genética , Infecciones por Orthomyxoviridae/veterinaria , Enfermedades de las Aves de Corral/virología , Codorniz , Enfermedades de los Porcinos/virología , Pavos , Animales , Antígenos Virales/genética , Canadá/epidemiología , Clonación Molecular , Genoma Viral , Subtipo H3N2 del Virus de la Influenza A/aislamiento & purificación , Infecciones por Orthomyxoviridae/epidemiología , Infecciones por Orthomyxoviridae/virología , Enfermedades de las Aves de Corral/epidemiología , Virus Reordenados , Porcinos , Enfermedades de los Porcinos/epidemiología
5.
Avian Dis ; 54(1 Suppl): 213-9, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20521634

RESUMEN

In September 2007, an H7N3 highly pathogenic avian influenza outbreak (HPAI) occurred on a multiple-age broiler breeder operation near Regina Beach, Saskatchewan, Canada. Mortality was initially observed in a barn that housed 24-wk-old roosters, with later involvement of 32-wk-old breeders. All birds on the affected premises were destroyed, and surveillance of surrounding farms demonstrated no further spread. The use of water from a dugout pond during periods of high demand, and the proximity of the farm to Last Mountain Lake, the northern end of which is a bird sanctuary, implicated wild aquatic birds as a possible source of the virus. Of particular note, the H7-specific real-time reverse transcription polymerase chain reaction assay that was in use at the time did not detect the virus associated with this outbreak. A Canadian national influenza A virus survey of wild aquatic birds detected no H7 subtype viruses in 2005 and 2006; however, H7 subtype viruses were detected in the fall of 2007. Phylogenetic analysis of a number of these H7 isolates demonstrated an evolutionary relationship with each other, as well as with the H7N3 HPAI virus that was isolated from the Saskatchewan broiler breeder farm.


Asunto(s)
Pollos , Brotes de Enfermedades/veterinaria , Virus de la Influenza A/clasificación , Virus de la Influenza A/patogenicidad , Gripe Aviar/epidemiología , Animales , Canadá/epidemiología , Virus de la Influenza A/genética , Gripe Aviar/virología , Filogenia
6.
Avian Dis ; 54(1 Suppl): 440-5, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20521675

RESUMEN

A multi-agency, Canada-wide survey of influenza A viruses circulating in wild birds, coordinated by the Canadian Cooperative Wildlife Health Centre, was begun in the summer of 2005. Cloacal swab specimens collected from young-of-year ducks were screened for the presence of influenza A nucleic acids by quantitative, real-time reverse transcription-polymerase chain reaction (RRT-PCR). Specimens that produced positive results underwent further testing for H5 and H7 gene sequences and virus isolation. In addition to live bird sampling, dead bird surveillance based on RRT-PCR was also carried out in 2006 and 2007. The prevalence of influenza A viruses varied depending on species, region of the country, and the year of sampling, but generally ranged from 20% to 50%. All HA subtypes, with the exception of H14 and H15, and all NA subtypes were identified. The three most common HA subtypes were H3, H4, and H5, while N2, N6, and N8 were the three most common NA subtypes. H4N6, H3N2, and H3N8 were the three most common HA-NA combinations. The prevalence of H5 and H7 subtype viruses appears to have a cyclical nature.


Asunto(s)
Aves , Virus de la Influenza A/clasificación , Gripe Aviar/virología , Animales , Animales Salvajes , Canadá/epidemiología , Brotes de Enfermedades/veterinaria , Virus de la Influenza A/genética , Virus de la Influenza A/aislamiento & purificación , Gripe Aviar/epidemiología , Vigilancia de la Población , Factores de Tiempo
7.
Transbound Emerg Dis ; 57(4): 262-70, 2010 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-20545910

RESUMEN

Classical swine fever (CSF) is considered to be endemic in Peru with outbreaks reported to the World Organization for Animal Health as recently as 2008 and 2009. Nevertheless, little is known regarding the genetic subgroup(s) of CSF virus that are circulating in Peru or their relationship to recent CSF viruses that have been isolated from neighbouring South American countries or other parts of the world. In this study, we molecularly characterize CSF viruses that were isolated from domestic pigs from different regions of Peru from the middle of 2007 to early 2008. All virus isolates were found to belong to genetic subgroup 1.1, consistent with the subgroup of viruses that have been identified from other South American countries. Although the Peruvian isolates are most closely related to viruses from Colombia and Brazil, they form a monophyletic clade, which suggests they have a distinct evolutionary history.


Asunto(s)
Virus de la Fiebre Porcina Clásica/genética , Peste Porcina Clásica/virología , Filogenia , Animales , Peste Porcina Clásica/epidemiología , Virus de la Fiebre Porcina Clásica/clasificación , Perú/epidemiología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Porcinos
8.
Avian Dis ; 47(3 Suppl): 1208-13, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-14575144

RESUMEN

The National Centre for Foreign Animal Disease (NCFAD) in Winnipeg, Manitoba, is the Canadian Food Inspection Agency's (CFIA) newest high biocontainment laboratory. One of the functions of the NCFAD is to serve as a national reference laboratory for avian influenza. Between 1997 and 2001, 15 avian influenza virus isolates were characterized. These isolates originated from domestic poultry, imported caged birds held in quarantine, and wild birds. Diagnostic specimens were submitted to the NCFAD by CFIA field veterinarians, provincial veterinary diagnostic laboratories, and veterinary colleges. Characterization of isolates included the determination of H and N subtypes: H1, H6, H7, and H10 subtypes were isolated from domestic poultry; H3, H4, and three H13 viruses were isolated from water fowl, and six H3 viruses were isolated from caged birds being held in import quarantine. Selected isolates were characterized with respect to their pathogenic potential by intravenous inoculation of 4-to-6-wk-old chickens. A molecular-based protocol was used to assess the pathogenicity of one H7 isolate. During this period, work was also carried out toward validating our molecular pathotyping protocol for avian influenza viruses with H5 and H7 hemagglutinin subtypes.


Asunto(s)
Aves/virología , Comercio/tendencias , Virus de la Influenza A/aislamiento & purificación , Virus de la Influenza A/patogenicidad , Gripe Aviar/prevención & control , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Comercio/normas , Cartilla de ADN , Virus de la Influenza A/clasificación , Gripe Aviar/transmisión , Manitoba , Datos de Secuencia Molecular , Especificidad de Órganos , Reproducibilidad de los Resultados , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Ensayo de Placa Viral , Proteínas Virales/química , Proteínas Virales/genética
9.
Can Vet J ; 42(3): 207-9, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11265190

RESUMEN

In September 1999, unusually high mortality rates in white-tailed deer and California bighorn sheep occurred in the southern Okanagan Valley. Necropsy and histopathologic findings were compatible with epizootic hemorrhagic disease (EHD); the presence of virus was not demonstrated. Subsequent serologic and polymerase chain reaction assays on sentinel cattle suggested an EHD virus incursion.


Asunto(s)
Ciervos , Brotes de Enfermedades/veterinaria , Virus de la Enfermedad Hemorrágica Epizoótica/inmunología , Infecciones por Reoviridae/veterinaria , Enfermedades de las Ovejas/epidemiología , Animales , Animales Salvajes , Anticuerpos Antivirales/sangre , Colombia Británica/epidemiología , Virus de la Enfermedad Hemorrágica Epizoótica/genética , Reacción en Cadena de la Polimerasa/veterinaria , Infecciones por Reoviridae/diagnóstico , Infecciones por Reoviridae/epidemiología , Estudios Seroepidemiológicos , Ovinos , Enfermedades de las Ovejas/diagnóstico , Enfermedades de las Ovejas/virología
10.
Development ; 127(23): 5145-56, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11060240

RESUMEN

In the long-germ insect Drosophila melanogaster dorsoventral polarity is induced by localized Toll-receptor activation which leads to the formation of a nuclear gradient of the rel/ NF-kappaB protein Dorsal. Peak levels of nuclear Dorsal are found in a ventral stripe spanning the entire length of the blastoderm embryo allowing all segments and their dorsoventral subdivisions to be synchronously specified before gastrulation. We show that a nuclear Dorsal protein gradient of similar anteroposterior extension exists in the short-germ beetle, Tribolium castaneum, which forms most segments from a posterior growth zone after gastrulation. In contrast to Drosophila, (i) nuclear accumulation is first uniform and then becomes progressively restricted to a narrow ventral stripe, (ii) gradient refinement is accompanied by changes in the zygotic expression of the Tribolium Toll-receptor suggesting feedback regulation and, (iii) the gradient only transiently overlaps with the expression of a potential target, the Tribolium twist homolog, and does not repress Tribolium decapentaplegic. No nuclear Dorsal is seen in the cells of the growth zone of Tribolium embryos, indicating that here dorsoventral patterning occurs by a different mechanism. However, Dorsal is up-regulated and transiently forms a nuclear gradient in the serosa, a protective extraembryonic cell layer ultimately covering the whole embryo.


Asunto(s)
Tipificación del Cuerpo/fisiología , Proteínas de Drosophila , Proteínas de Insectos/metabolismo , FN-kappa B/metabolismo , Factores de Transcripción , Tribolium/embriología , Animales , Blastodermo/metabolismo , Núcleo Celular/metabolismo , Expresión Génica , Genes de Insecto , Humanos , Proteínas de Insectos/genética , Glicoproteínas de Membrana/genética , Mutagénesis , FN-kappa B/genética , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Fenotipo , Fosfoproteínas/genética , Fosfoproteínas/metabolismo , ARN Mensajero/metabolismo , Receptores de Superficie Celular/genética , Receptores Toll-Like , Tribolium/genética , Tribolium/metabolismo , Tribolium/fisiología , Cigoto
11.
Dev Genes Evol ; 210(4): 167-79, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11180819

RESUMEN

Embryogenesis in the beetle Tribolium is of increasing interest to both molecular and evolutionary biology because it differs from the Drosophila paradigm by its type of segment specification (short- vs. long-germ) and by the extensive epithelial envelopes - amnion and serosa - that are typical of most insects but not of higher dipterans. Using scanning electron microscopy of DAPI staged embryos we document development in Tribolium castaneum from blastoderm to completion of the envelopes, recording many details not otherwise accessible; we also provide a time table of the respective stages at 30 degrees C. The nascent blastoderm cells remain basally confluent with the yolksac until after the 13th (=last synchronous) mitotic cycle. The cells in the prospective serosa - the first domain to segregate visibly from the uniform blastoderm - carry surface protrusions likely to contact the overlying vitelline envelope. The embryonic rudiment, the other (and larger) blastodermal domain, gives rise to amnion and germ anlage. In the latter, visible differentiation begins with a "primitive pit" reminiscent of the posterior midgut rudiment of Drosophila. The subsequent invagination of the mesoderm resembles Drosophila gastrulation, except in the head region where the median groove extends through the entire preoral region. The prospective amnion starts differing visibly from the germ anlage during early gastrulation. It then folds underneath the spreading serosa and, advancing with the latter, closes the amniotic cavity at the ventral face of the germband. The largest (=posterior) amniotic fold covers a crestlike protrusion of the yolksac. Together with marked changes in the shape and arrangement of the amnion cells, this protrusion may contribute to the fold's elevation and early progress.


Asunto(s)
Blastodermo/ultraestructura , Movimiento Celular/fisiología , Membrana Serosa/ultraestructura , Tribolium/embriología , Tribolium/ultraestructura , Amnios/citología , Amnios/ultraestructura , Animales , Blastodermo/citología , Blastodermo/fisiología , Membrana Celular/genética , Membrana Celular/fisiología , Membrana Celular/ultraestructura , Movimiento Celular/genética , Tamaño de la Célula/genética , Tamaño de la Célula/fisiología , Gástrula/citología , Gástrula/ultraestructura , Regulación del Desarrollo de la Expresión Génica , Microscopía Electrónica de Rastreo , Seudópodos/genética , Seudópodos/fisiología , Seudópodos/ultraestructura , Membrana Serosa/citología , Membrana Serosa/fisiología , Tribolium/citología , Tribolium/genética
12.
Mech Dev ; 83(1-2): 107-14, 1999 May.
Artículo en Inglés | MEDLINE | ID: mdl-10381571

RESUMEN

The gene Toll (Tl) encodes a maternally supplied interleukin 1 receptor-related transmembrane protein, a key component required to establish dorsoventral polarity in the Drosophila embryo. We have isolated Tl homologs of a primitive dipteran, Clogmia albipunctata, and of the beetle Tribolium castaneum. Tribolium Tl protein (Tl) lacks sequences in the C-terminal portion of the cytoplasmic domains that are conserved in the dipteran homologs. The Tl homolog of Tribolium mediates the ventralizing activity when expressed as a gain-of-function variant in transgenic Drosophila, indicating that the sequences conserved in the Diptera are not essential for Tl signaling. In contrast to Drosophila where Tl gene expression occurs maternally and supplies uniformly distributed Tl in the egg membrane, Tl transcripts form a ventral-to-dorsal gradient in the Tribolium blastoderm stage embryo. This localized expression pattern of Tl transcripts, as compared with the strong maternal and ubiquitous expression in Drosophila and Clogmia embryos, suggests that dorsoventral patterning in long-germ band and short-germ band insects involves the same components but different modes of their action.


Asunto(s)
Tipificación del Cuerpo , Proteínas de Drosophila , Drosophila/embriología , Proteínas de Insectos/metabolismo , Glicoproteínas de Membrana/metabolismo , Receptores de Superficie Celular , Tribolium/embriología , Tribolium/genética , Secuencia de Aminoácidos , Animales , Embrión no Mamífero/anatomía & histología , Genotipo , Proteínas de Insectos/análisis , Glicoproteínas de Membrana/análisis , Modelos Genéticos , Datos de Secuencia Molecular , Receptores Toll-Like , Transgenes
13.
NTM ; 6(1): 125-8, 1998 Dec.
Artículo en Alemán | MEDLINE | ID: mdl-27518339
14.
Biochim Biophys Acta ; 1352(2): 161-6, 1997 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-9199247

RESUMEN

The rpoS gene of Escherichia coli encodes an alternative sigma factor of RNA polymerase sigma38 (or sigma(s)) that is required for transcription of katE encoding catalase HPII. The transcription start site of the single katE transcript identified by ribonuclease protection has been determined by primer extension analysis to be either 53 or 54 bp (depending on the strain used) upstream of the open reading frame. A series of promoter fragments were constructed and fused to lacZ to confirm the start site location. A - 10 sequence similar to that found in other sigma70- and sigma38-dependent E. coli promoters was identified 8 or 7 bp upstream of the start site but a sigma70-dependent -35 sequence was not evident.


Asunto(s)
Proteínas Bacterianas/genética , Catalasa/genética , Escherichia coli/genética , Factor sigma/genética , Secuencia de Aminoácidos , Secuencia de Bases , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa , Regiones Promotoras Genéticas
15.
Orthop Nurs ; 13(1): 13-8, 20; discussion 18, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-8164983

RESUMEN

Response to call lights is an importance indication of patient satisfaction. At St. Luke's Medical Center, Milwaukee, Wisconsin, follow-up satisfaction surveys ask patients if the nurses were prompt in responding to their needs, i.e., response to patient call lights. Satisfaction scores for the orthopaedic unit indicated dissatisfaction with response to call lights. This data was used to adjust staffing patterns and develop a job description for a new category of nursing staff, the Unit Assistant.


Asunto(s)
Atención de Enfermería/psicología , Atención de Enfermería/normas , Enfermería Ortopédica/normas , Satisfacción del Paciente , Estudios de Seguimiento , Unidades Hospitalarias , Humanos , Investigación en Evaluación de Enfermería , Garantía de la Calidad de Atención de Salud , Factores de Tiempo
16.
Blutalkohol ; 26(5): 319-29, 1989 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-2803708

RESUMEN

Statement about accidents in traffic under alcohol influence published by Central Statistical Office in 1987, in great part in comparison to the years after 1975, is discussed critically. Indeed, the number of alcohol caused accidents and injured persons has clearly gone down in the course of these 13 years. But generally, the number now as before it is intoleratabely high. Following the necessary measures to improve the situation an intensive traffic control by police should be the first step.


Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Intoxicación Alcohólica/mortalidad , Adolescente , Adulto , Anciano , Estudios Transversales , Alemania Occidental/epidemiología , Humanos , Incidencia , Persona de Mediana Edad
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