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1.
Phys Rev Lett ; 127(14): 143601, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34652205

RESUMEN

The polarization dependence of magnon-photon scattering in an optical microcavity is reported. Because of the short cavity length, the longitudinal mode-matching conditions found in previously explored, large path-length whispering gallery resonators are absent. Nonetheless, for cross-polarized scattering a strong and broadband suppression of one sideband is observed. This arises due to an interference between the Faraday and second-order Cotton-Mouton effects. To fully account for the suppression of the cross-polarized scattering, it is necessary to consider the squeezing of magnon modes intrinsic to thin-film geometry. A copolarized scattering due to Cotton-Mouton effect is also observed. In addition, the magnon modes involved are identified as Damon-Eshbach surface modes, whose nonreciprocal propagation could be exploited in device applications. This Letter experimentally demonstrates the important role of second-order Cotton-Mouton effect for optomagnonic devices.

2.
J Public Health (Oxf) ; 42(3): e259-e267, 2020 08 18.
Artículo en Inglés | MEDLINE | ID: mdl-32812046

RESUMEN

BACKGROUND: The United Kingdom (UK) has seen a decrease in the number of young people drinking alcohol. However, the UK prevalence of underage drinking still ranks amongst the highest in Western Europe. Whilst there is a wealth of evidence reporting on the effectiveness of both primary, and secondary interventions, there are few reports of the experiences of young people who receive them. METHODS: The present study reports findings from interviews with 33 young people who were involved in an alcohol screening and brief intervention randomized controlled trial in schools in England. All interviews were analysed using inductive applied thematic analysis. RESULTS: Three major themes were identified following the analysis process: 1) drinking identities and awareness of risk; 2) access to support and advice in relation to alcohol use; and 3) appraisal of the intervention and potential impact on alcohol use. CONCLUSIONS: There appeared to be a reluctance from participants to describe themselves as someone who drinks alcohol. Furthermore, those who did drink alcohol often did so with parental permission. There was variation amongst participants as to how comfortable they felt talking about alcohol issues with school staff. Overall participants felt the intervention was useful, but would be better suited to 'heavier' drinkers.


Asunto(s)
Consumo de Bebidas Alcohólicas , Intervención en la Crisis (Psiquiatría) , Adolescente , Consumo de Bebidas Alcohólicas/epidemiología , Inglaterra , Europa (Continente) , Humanos , Instituciones Académicas , Reino Unido
3.
Ann R Coll Surg Engl ; 102(4): 243-247, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31918554

RESUMEN

INTRODUCTION: Since the seminal works by Singh and Blandy in the 1970s, the management of staghorn stones has almost exclusively involved surgical intervention. In contrast, a more recent study found that conservative management was not as unsafe as previously believed. The present review sought to examine the available literature to understand the implications of a conservative strategy. METHODS: A systematic search of the literature was carried out using MEDLINE®, Embase™ and the Cochrane Central Register of Controlled Trials. All papers looking at management of staghorn calculi were reviewed and studies with a conservative management arm were identified. Outcomes of interest were recurrent or severe urinary tract infections, progressive renal deterioration, dialysis requirements, morbidity and disease specific mortality. Owing to the lack of relevant data, a descriptive review was carried out. RESULTS: Our literature search yielded 10 suitable studies involving a total of 304 patients with staghorn stones managed conservatively. Progressive renal deterioration occurred in 0-100% of cases (mean 27.5%) with a higher rate among bilateral staghorn sufferers (44% vs 9%). Dialysis was required in 9% of patients (20% bilateral, 6% unilateral). The mean rate of severe infection was 8.7% and recurrent urinary tract infections occurred in as high as 50% of cases (80% bilateral, 41% unilateral). Disease specific mortality ranged from 0% to 67% (mean 20.5%). CONCLUSIONS: It appears that conservative management of staghorn calculi is not as unsafe as previously thought and selection of patients with unilateral asymptomatic stones with minimal infection should be considered.


Asunto(s)
Tratamiento Conservador/efectos adversos , Insuficiencia Renal/epidemiología , Cálculos Coraliformes/terapia , Infecciones Urinarias/epidemiología , Tratamiento Conservador/métodos , Humanos , Diálisis Renal/estadística & datos numéricos , Insuficiencia Renal/etiología , Insuficiencia Renal/terapia , Índice de Severidad de la Enfermedad , Cálculos Coraliformes/complicaciones , Cálculos Coraliformes/mortalidad , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/etiología
4.
J Public Health (Oxf) ; 41(4): 821-829, 2019 12 20.
Artículo en Inglés | MEDLINE | ID: mdl-30371806

RESUMEN

BACKGROUND: Whilst underage drinking in the UK has been declining in recent years, prevalence is still higher than in most other Western European countries. Therefore, it is important to deliver effective interventions to reduce risk of harm. METHODS: Semi-structured interviews with staff delivering an alcohol screening and brief intervention in the high-school setting. The analysis was informed by normalization process theory (NPT), interviews were open coded and then a framework applied based on the four components of NPT. RESULTS: Five major themes emerged from the analysis. The majority of participants felt that the intervention could be useful, and that learning mentors were ideally suited to deliver it. However, there was a feeling that the intervention should have been targeted at young people who drink the most. CONCLUSIONS: The intervention was generally well received in schools and seen as an effective tool for engaging young people in a discussion around alcohol. However, in the future schools need to consider the level of staffing in place to deliver the intervention. Furthermore, the intervention could focus more on the long-term risks of initiating alcohol consumption at a young age.


Asunto(s)
Servicios de Salud Escolar , Consumo de Alcohol en Menores/prevención & control , Adolescente , Femenino , Humanos , Entrevistas como Asunto , Masculino , Evaluación de Programas y Proyectos de Salud , Maestros , Instituciones Académicas , Reino Unido
5.
Scott Med J ; 63(4): 140-143, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30165793

RESUMEN

Nicorandil, a nicotinamide ester, is used in the prevention of angina pectoris. There is now a well-established association of perianal ulceration and the use of the drug. However, in the recent years, there have been reports of penile skin, vulval and even vaginal ulcers caused by nicorandil. We report three cases of nicorandil-induced penile ulcers which were surgically managed, and present a review of current literature.

6.
Br J Surg ; 105(5): 587-596, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29512137

RESUMEN

BACKGROUND: Centralizing specialist cancer surgery services aims to reduce variations in quality of care and improve patient outcomes, but increases travel demands on patients and families. This study aimed to evaluate preferences of patients, health professionals and members of the public for the characteristics associated with centralization. METHODS: A discrete-choice experiment was conducted, using paper and electronic surveys. Participants comprised: former and current patients (at any stage of treatment) with prostate, bladder, kidney or oesophagogastric cancer who previously participated in the National Cancer Patient Experience Survey; health professionals with experience of cancer care (11 types including surgeons, nurses and oncologists); and members of the public. Choice scenarios were based on the following attributes: travel time to hospital, risk of serious complications, risk of death, annual number of operations at the centre, access to a specialist multidisciplinary team (MDT) and specialist surgeon cover after surgery. RESULTS: Responses were obtained from 444 individuals (206 patients, 111 health professionals and 127 members of the public). The response rate was 52·8 per cent for the patient sample; it was unknown for the other groups as the survey was distributed via multiple overlapping methods. Preferences were particularly influenced by risk of complications, risk of death and access to a specialist MDT. Participants were willing to travel, on average, 75 min longer in order to reduce their risk of complications by 1 per cent, and over 5 h longer to reduce risk of death by 1 per cent. Findings were similar across groups. CONCLUSION: Respondents' preferences in this selected sample were consistent with centralization.


Asunto(s)
Conducta de Elección , Neoplasias/cirugía , Prioridad del Paciente , Especialización/normas , Oncología Quirúrgica/normas , Encuestas y Cuestionarios , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos
7.
Scott Med J ; 63(3): 99-101, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29368581

RESUMEN

Purple urine bag syndrome is an uncommon condition that describes the purple discolouration of a catheter bag and tubing. It mainly affects patients with limited mobility who have long-term catheters. Although benign in nature per se, its presence can alarm both patient and practitioner unfamiliar with the syndrome. Here, we describe two cases of asymptomatic patients who both presented to outpatient clinic with the characteristic purple discolouration of their long-term catheters and tubing. The report discusses the pathophysiology of the syndrome and initial investigation and management. Although the syndrome is considered benign, it may signify occult urine tract infection. This should not be ignored even if the patient is asymptomatic, given the likely co-morbidities of the patients affected. Healthcare professionals - particularly urologists and geriatricians - need to be aware of this unusual syndrome so as to initiate appropriate investigation and possible treatment as soon as possible.


Asunto(s)
Antibacterianos/uso terapéutico , Catéteres Urinarios/microbiología , Infecciones Urinarias/diagnóstico , Orina/microbiología , Anciano de 80 o más Años , Color , Humanos , Masculino , Persona de Mediana Edad , Síndrome , Resultado del Tratamiento , Infecciones Urinarias/tratamiento farmacológico
8.
Phys Rev Lett ; 119(6): 067401, 2017 Aug 11.
Artículo en Inglés | MEDLINE | ID: mdl-28949643

RESUMEN

We demonstrate that multiply coupled spinor polariton condensates can be optically tuned through a sequence of spin-ordered phases by changing the coupling strength between nearest neighbors. For closed four-condensate chains these phases span from ferromagnetic (FM) to antiferromagnetic (AFM), separated by an unexpected crossover phase. This crossover phase is composed of alternating FM-AFM bonds. For larger eight-condensate chains, we show the critical role of spatial inhomogeneities and demonstrate a scheme to overcome them and prepare any desired spin state. Our observations thus demonstrate a fully controllable nonequilibrium spin lattice.

9.
Nat Commun ; 8: 15226, 2017 05 17.
Artículo en Inglés | MEDLINE | ID: mdl-28513588

RESUMEN

Domain wall motion driven by ultra-short laser pulses is a pre-requisite for envisaged low-power spintronics combining storage of information in magnetoelectronic devices with high speed and long distance transmission of information encoded in circularly polarized light. Here we demonstrate the conversion of the circular polarization of incident femtosecond laser pulses into inertial displacement of a domain wall in a ferromagnetic semiconductor. In our study, we combine electrical measurements and magneto-optical imaging of the domain wall displacement with micromagnetic simulations. The optical spin-transfer torque acts over a picosecond recombination time of the spin-polarized photo-carriers that only leads to a deformation of the initial domain wall structure. We show that subsequent depinning and micrometre-distance displacement without an applied magnetic field or any other external stimuli can only occur due to the inertia of the domain wall.

10.
New Microbes New Infect ; 15: 35-39, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27942386

RESUMEN

The lack of healthcare access contributes to large numbers of tuberculosis (TB) cases being missed and has led to renewed interest in outreach approaches to increase detection. It is however unclear whether outreach activities increase case detection or merely identify patients before they attend health facilities. We compared adults with cough of >2 weeks' duration recruited in health facilities (1202 participants) or in urban slums (2828 participants) in Nigeria. Participants provided demographic and clinical information and were screened using smear microscopy. The characteristics of smear-positive and smear-negative individuals were compared stratified by place of enrolment. Two hundred nine health facility participants (17.4%) and 485 community-based participants (16.9%) were smear positive for pulmonary TB. Community-based smear-positive cases were older (mean age, 36.3 vs. 31.8 years), had longer cough duration (10.3 vs. 6.8 weeks) and longer duration of weight loss (4.6 vs. 3.6 weeks) than facility-based cases; and they complained more of fever (87.4% vs. 74.6%), chest pain (89.0% vs. 67.0%) and anorexia (79.5% vs. 55.5%). Community smear-negative participants were older (mean, 39.4 vs. 34.0 years), were more likely to have symptoms and were more likely to have symptoms of longer duration than smear-negative facility-based participants. Patients with pulmonary TB identified in the community had more symptoms and longer duration of illness than facility-based patients, which appeared to be due to factors differentially affecting access to healthcare. Community-based activities targeted at urban slum populations may identify a different TB case population than that accessing stationary services.

11.
Phys Rev Lett ; 117(13): 133602, 2016 Sep 23.
Artículo en Inglés | MEDLINE | ID: mdl-27715091

RESUMEN

An enhancement in Brillouin light scattering of optical photons with magnons is demonstrated in magneto-optical whispering gallery mode resonators tuned to a triple-resonance point. This occurs when both the input and output optical modes are resonant with those of the whispering gallery resonator, with a separation given by the ferromagnetic resonance frequency. The identification and excitation of specific optical modes allows us to gain a clear understanding of the mode-matching conditions. A selection rule due to wave vector matching leads to an intrinsic single-sideband excitation. Strong suppression of one sideband is essential for one-to-one frequency mapping in coherent optical-to-microwave conversion.

14.
Clin Neurophysiol ; 127(1): 490-498, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26138148

RESUMEN

OBJECTIVE: This study investigated the effect of multimodal (visual and auditory) continuous feedback with information about the uncertainty of the input signal on motor imagery based BCI performance. A liquid floating through a visualization of a funnel (funnel feedback) provided enriched visual or enriched multimodal feedback. METHODS: In a between subject design 30 healthy SMR-BCI naive participants were provided with either conventional bar feedback (CB), or visual funnel feedback (UF), or multimodal (visual and auditory) funnel feedback (MF). Subjects were required to imagine left and right hand movement and were trained to control the SMR based BCI for five sessions on separate days. RESULTS: Feedback accuracy varied largely between participants. The MF feedback lead to a significantly better performance in session 1 as compared to the CB feedback and could significantly enhance motivation and minimize frustration in BCI use across the five training sessions. CONCLUSION: The present study demonstrates that the BCI funnel feedback allows participants to modulate sensorimotor EEG rhythms. Participants were able to control the BCI with the funnel feedback with better performance during the initial session and less frustration compared to the CB feedback. SIGNIFICANCE: The multimodal funnel feedback provides an alternative to the conventional cursorbar feedback for training subjects to modulate their sensorimotor rhythms.


Asunto(s)
Interfaces Cerebro-Computador , Electroencefalografía/métodos , Retroalimentación Sensorial/fisiología , Estimulación Luminosa/métodos , Desempeño Psicomotor/fisiología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
15.
Phytochemistry ; 122: 146-153, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26708339

RESUMEN

Proanthocyanidins (PA) from shea (Vitellaria paradoxa) meal were investigated by thiolytic degradation with benzyl mercaptan and the reaction products were analysed by high performance liquid chromatography-mass spectrometry. These PA were galloylated (≈40%), contained only B-type linkages and had a high proportion of prodelphinidins (>70%). The mean degree of polymerisation was 8 (i.e. average molecular size was 2384Da) and epigallocatechin gallate (EGCg) was the major flavan-3-ol subunit in PA. Shea meal also proved to be a potentially valuable source for extracting free flavan-3-ol-O-gallates, especially EGCg (575mg/kg meal), which is known for its health and anti-parasitic benefits. Proanthocyanidins were isolated and tested for bioactivity against Ascaris suum, which is an important parasite of pigs. Migration and motility tests revealed that these PA have potent activity against this parasitic nematode.


Asunto(s)
Antihelmínticos/aislamiento & purificación , Antihelmínticos/farmacología , Ascaris suum/efectos de los fármacos , Ericaceae/química , Ácido Gálico/análogos & derivados , Ácido Gálico/farmacología , Proantocianidinas/aislamiento & purificación , Proantocianidinas/farmacología , Animales , Antihelmínticos/química , Catequina/análogos & derivados , Cromatografía Líquida de Alta Presión , Flavonoides/química , Ácido Gálico/química , Ácido Gálico/aislamiento & purificación , Estructura Molecular , Proantocianidinas/química , Semillas/química , Porcinos
16.
Front Neuroinform ; 9: 26, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26635596

RESUMEN

Golgi (http://www.usegolgi.com) is a prototype interactive brain map of the rat brain that helps researchers intuitively interact with neuroanatomy, connectomics, and cellular and chemical architecture. The flood of "-omic" data urges new ways to help researchers connect discrete findings to the larger context of the nervous system. Here we explore Golgi's underlying reasoning and techniques and how our design decisions balance the constraints of building both a scientifically useful and usable tool. We demonstrate how Golgi can enhance connectomic literature searches with a case study investigating a thalamocortical circuit involving the Nucleus Accumbens and we explore Golgi's potential and future directions for growth in systems neuroscience and connectomics.

17.
Phys Rev Lett ; 114(13): 137401, 2015 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-25884136

RESUMEN

We demonstrate a new method to realize the population inversion of a single InGaAs/GaAs quantum dot excited by a laser pulse tuned within the neutral exciton phonon sideband. In contrast to the conventional method of inverting a two-level system by performing coherent Rabi oscillation, the inversion is achieved by rapid thermalization of the optically dressed states via incoherent phonon-assisted relaxation. A maximum exciton population of 0.67±0.06 is measured for a laser tuned 0.83 meV to higher energy. Furthermore, the phonon sideband is mapped using a two-color pump-probe technique, with its spectral form and magnitude in very good agreement with the result of path-integral calculations.

18.
Phys Rev Lett ; 114(6): 067202, 2015 Feb 13.
Artículo en Inglés | MEDLINE | ID: mdl-25723242

RESUMEN

We demonstrate optical manipulation of the position of a domain wall in a dilute magnetic semiconductor, GaMnAsP. Two main contributions are identified. First, photocarrier spin exerts a spin-transfer torque on the magnetization via the exchange interaction. The direction of the domain-wall motion can be controlled using the helicity of the laser. Second, the domain wall is attracted to the hot spot generated by the focused laser. Unlike magnetic-field-driven domain-wall depinning, these mechanisms directly drive domain-wall motion, providing an optical tweezerlike ability to position and locally probe domain walls.

19.
Public Health Action ; 5(4): 266-8, 2015 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-26767182

RESUMEN

Eighteen months after successfully completing one of six Structured Operational Research and Training Initiative (SORT IT) courses, e-mail questionnaires assessing post-course research output were returned by 63 participants (100% response rate). Thirty-two (51%) participants had completed new research projects, 24 (38%) had published papers, 28 (44%) had presented abstracts at conferences, 15 (24%) had facilitated at further OR courses, and 21 (33%) had reviewed scientific papers. Seven (11%) had secured further research funding and 22 (35%) stated that their institutions were involved in implementation or capacity building in operational research. Significant research output continues beyond course completion, further endorsing the value of the SORT IT model.


Dix-huit mois après avoir terminé avec succès l'un des six cours structurés de recherche et de formation opérationnelle (SORT IT), des questionnaires par e-mail évaluant les résultats de la recherche post formation ont été renvoyés par 63 participants (taux de réponse de 100%). Trente-deux (51%) participants ont achevé de nouveaux projets de recherche, 24 (38%) ont publié des articles, 28 (44%) ont présenté des abstracts lors de conférences, 15 (24%) ont été facilitateurs dans des cours de recherche opérationnelle ultérieurs et 21 (33%) ont révisé des articles scientifiques. Sept (11%) ont assuré le financement de leur recherche à venir et 22 (35%) ont affirmé que leurs institutions étaient impliquées dans la mise en œuvre ou le renforcement des capacités en recherche opérationnelle. Des bénéfices significatifs en termes de résultats de recherche se poursuivent au-delà de la fin du cours, ce qui confirme la valeur du modèle SORT IT.


Dieciocho meses después de haber completado con éxito uno de los seis cursos Estructurados de Capacitación e Investigación Operativa (SORT IT, por su nombre en inglés 'Structured Operational Research and Training'), los 63 participantes respondieron a un cuestionario enviado por correo electrónico (tasa de respuesta del 100%), con el cual se evaluaban los resultados en materia de investigación posteriores al curso. Treinta y dos participantes habían completado nuevos proyectos de capacitación (51%), 24 publicaron artículos (38%), 28 presentaron carteles en conferencias (44%), 15 participaron como facilitadores en nuevos cursos de investigación operativa (24%) y 21 habían realizado el examen crítico de artículos científicos (33%). Siete de los participantes consiguieron nuevos financiamientos de investigación (11%) y 22 declararon que sus instituciones participaban en la introducción o el reforzamiento de la capacidad en investigación operativa (35%). Después de haber completado el curso, se observaron resultados apreciables en materia de investigación, que confirman la utilidad del modelo SORT IT.

20.
Vet Parasitol ; 204(3-4): 221-8, 2014 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-24996964

RESUMEN

High prevalence of anthelmintic-resistant gastrointestinal nematodes (GIN) in goats has increased pressure to find effective, alternative non-synthetic control methods, one of which is adding forage of the high condensed tannin (CT) legume sericea lespedeza (SL; Lespedeza cuneata) to the animal's diet. Previous work has demonstrated good efficacy of dried SL (hay, pellets) against small ruminant GIN, but information is lacking on consumption of fresh SL, particularly during the late summer-autumn period in the southern USA when perennial warm-season grass pastures are often low in quality. A study was designed to determine the effects of autumn (September-November) consumption of fresh SL forage, grass pasture (predominantly bermudagrass, BG; Cynodon dactylon), or a combination of SL+BG forage by young goats [intact male Spanish kids, 9 months old (20.7 ± 1.1 kg), n = 10/treatment group] on their GIN infection status. Three forage paddocks (0.40 ha) were set up at the Fort Valley State University Agricultural Research Station (Fort Valley, GA) for an 8-week trial. The goats in each paddock were supplemented with a commercial feed pellet at 0.45 kg/head/d for the first 4 weeks of the trial, and 0.27 kg/head/d for the final 4 weeks. Forage samples taken at the start of the trial were analyzed for crude protein (CP), neutral detergent fiber (NDF), and acid detergent fiber (ADF) content, and a separate set of SL samples was analyzed for CT in leaves, stems, and whole plant using the benzyl mercaptan thiolysis method. Animal weights were taken at the start and end of the trial, and fecal and blood samples were collected weekly for determination of fecal egg counts (FEC) and packed cell volume (PCV), respectively. Adult GIN was recovered from the abomasum and small intestines of all goats at the end of the experiment for counting and speciation. The CP levels were highest for SL forage, intermediate for SL+BG, and lowest for BG forage samples, while NDF and ADF values were the opposite, with highest levels in BG and lowest in SL forage samples. Sericea lespedeza leaves had more CT than stems (16.0 g vs. 3.3g/100g dry weight), a slightly higher percentage of PDs (98% vs. 94%, respectively) and polymers of larger mean degrees of polymerization (42 vs. 18, respectively). There were no differences in average daily gain or blood PCV between the treatment groups, but SL goats had lower FEC (P < 0.05) than the BG or SL+BG forage goats throughout most of the trial. The SL+BG goats had lower FEC than the BG forage animals by the end of the trial (week 8, P < 0.05). The SL goats had lower numbers (P < 0.05) of male Haemonchus contortus and tended to have fewer female (P < 0.10) and total (P < 0.07) H. contortus compared with the BG goats. The predominant GIN in all the goats was Trichostrongylus colubriformis (73% of total GIN). As a low-input forage with activity against pathogenic GIN (H. contortus), SL has a potential to reduce producers' dependence upon synthetic anthelmintics and also to fill the autumn 'window' in good-quality fresh forages for goat grazing in the southern USA.


Asunto(s)
Antihelmínticos/farmacología , Enfermedades de las Cabras/prevención & control , Hemoncosis/veterinaria , Lespedeza , Nematodos/efectos de los fármacos , Infecciones por Nematodos/veterinaria , Abomaso , Alimentación Animal/análisis , Animales , Peso Corporal , Dieta/veterinaria , Heces/parasitología , Femenino , Enfermedades Gastrointestinales/prevención & control , Enfermedades Gastrointestinales/veterinaria , Cabras , Hemoncosis/prevención & control , Haemonchus/efectos de los fármacos , Masculino , Infecciones por Nematodos/prevención & control , Recuento de Huevos de Parásitos/veterinaria , Proantocianidinas/farmacología
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