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2.
BMC Evol Biol ; 15: 225, 2015 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-26475579

RESUMO

BACKGROUND: Sensory Bias models for the evolution of mate preference place a great emphasis on the role of sensory system variation in mate preferences. However, the extent to which sensory systems vary across- versus within-species remains largely unknown. Here we assessed whether color vision varies in natural locations where guppies (Poecilia reticulata) and their two closest relatives, Poecilia parae and Poecilia picta, occur in extreme sympatry and school together. All three species base mate preferences on male coloration but differ in the colors preferred. RESULTS: Measuring opsin gene expression, we found that within sympatric locations these species have similar color vision and that color vision differed more across populations of conspecifics. In addition, all three species differ across populations in the frequency of the same opsin coding polymorphism that influences visual tuning. CONCLUSIONS: Together, this shows sensory systems vary considerably across populations and supports the possibility that sensory system variation is involved in population divergence of mate preference.


Assuntos
Evolução Biológica , Visão de Cores , Poecilia/classificação , Poecilia/genética , Animais , Feminino , Proteínas de Peixes/genética , Frequência do Gene , Masculino , Preferência de Acasalamento Animal , Opsinas/genética , Poecilia/fisiologia , Polimorfismo Genético , América do Sul , Simpatria
3.
ISME J ; 6(8): 1586-601, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22402396

RESUMO

Changes in ocean temperature and circulation patterns compounded by human activities are leading to oxygen minimum zone (OMZ) expansion with concomitant alteration in nutrient and climate active trace gas cycling. Here, we report the response of microbial eukaryote populations to seasonal changes in water column oxygen-deficiency using Saanich Inlet, a seasonally anoxic fjord on the coast of Vancouver Island British Columbia, as a model ecosystem. We combine small subunit ribosomal RNA gene sequencing approaches with multivariate statistical methods to reveal shifts in operational taxonomic units during successive stages of seasonal stratification and renewal. A meta-analysis is used to identify common and unique patterns of community composition between Saanich Inlet and the anoxic/sulfidic Cariaco Basin (Venezuela) and Framvaren Fjord (Norway) to show shared and unique responses of microbial eukaryotes to oxygen and sulfide in these three environments. Our analyses also reveal temporal fluctuations in rare populations of microbial eukaryotes, particularly anaerobic ciliates, that may be of significant importance to the biogeochemical cycling of methane in OMZs. Eukaryotic 18S rRNA gene sequences recovered from the Saanich Inlet water column on were deposited in Genbank under accession numbers HQ864863­HQ871151.


Assuntos
Biodiversidade , Eucariotos/classificação , Eucariotos/fisiologia , Água do Mar/microbiologia , Colúmbia Britânica , Cilióforos/classificação , Cilióforos/genética , Cilióforos/fisiologia , Eucariotos/genética , Humanos , Noruega , Oceanos e Mares , Oxigênio/metabolismo , Filogenia , RNA Ribossômico 18S/genética , Estações do Ano , Água do Mar/química , Venezuela
4.
Astrobiology ; 11(3): 241-58, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21480792

RESUMO

Pitch Lake in Trinidad and Tobago is a natural asphalt reservoir nourished by pitch seepage, a form of petroleum that consists of mostly asphaltines, from the surrounding oil-rich region. During upward seepage, pitch mixes with mud and gases under high pressure, and the lighter portion evaporates or is volatilized, which produces a liquid asphalt residue characterized by low water activity, recalcitrant carbon substrates, and noxious chemical compounds. An active microbial community of archaea and bacteria, many of them novel strains (particularly from the new Tar ARC groups), totaling a biomass of up to 10(7) cells per gram, was found to inhabit the liquid hydrocarbon matrix of Pitch Lake. Geochemical and molecular taxonomic approaches revealed diverse, novel, and deeply branching microbial lineages with the potential to mediate anaerobic hydrocarbon degradation processes in different parts of the asphalt column. In addition, we found markers for archaeal methane metabolism and specific gene sequences affiliated with facultative and obligate anaerobic sulfur- and nitrite-oxidizing bacteria. The microbial diversity at Pitch Lake was found to be unique when compared to microbial communities analyzed at other hydrocarbon-rich environments, which included Rancho Le Brea, a natural asphalt environment in California, USA, and an oil well and a mud volcano in Trinidad and Tobago, among other sites. These results open a window into the microbial ecology and biogeochemistry of recalcitrant hydrocarbon matrices and establish the site as a terrestrial analogue for modeling the biotic potential of hydrocarbon lakes such as those found on Saturn's largest moon Titan.


Assuntos
Ecossistema , Microbiologia Ambiental , Hidrocarbonetos , Análise por Conglomerados , Genes Arqueais , Genes Bacterianos , Genes de RNAr , Hidrocarbonetos/química , Dados de Sequência Molecular , Trinidad e Tobago
5.
J Biomech ; 44(6): 1008-13, 2011 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-21377159

RESUMO

This study compared splinted and non-splinted implant-supported prosthesis with and without a distal proximal contact using a digital image correlation method. An epoxy resin model was made with acrylic resin replicas of a mandibular first premolar and second molar and with threaded implants replacing the second premolar and first molar. Splinted and non-splinted metal-ceramic screw-retained crowns were fabricated and loaded with and without the presence of the second molar. A single-camera measuring system was used to record the in-plane deformation on the model surface at a frequency of 1.0Hz under a load from 0 to 250N. The images were then analyzed with specialist software to determine the direct (horizontal) and shear strains along the model. Not splinting the crowns resulted in higher stress transfer to the supporting implants when the second molar replica was absent. The presence of a second molar and an effective interproximal contact contributed to lower stress transfer to the supporting structures even for non-splinted restorations. Shear strains were higher in the region between the molars when the second molar was absent, regardless of splinting. The opposite was found for the region between the implants, which had higher shear strain values when the second molar was present. When an effective distal contact is absent, non-splinted implant-supported restorations introduce higher direct strains to the supporting structures under loading. Shear strains appear to be dependent also on the region within the model, with different regions showing different trends in strain changes in the absence of an effective distal contact.


Assuntos
Dente Pré-Molar , Implantes Dentários , Processamento de Imagem Assistida por Computador , Dente Molar , Resistência ao Cisalhamento , Estresse Mecânico , Análise de Falha de Equipamento/métodos , Humanos , Falha de Prótese
6.
Braz. j. phys. ther. (Impr.) ; 13(1): 10-23, jan.-fev. 2009. ilus, tab
Artigo em Inglês | LILACS | ID: lil-508844

RESUMO

INTRODUCTION: Therapeutic static magnets have gained wide community acceptance for neuromusculoskeletal pain relief in many countries yet, apart from strong anecdotal reports of benefit, there is a paucity of scientific evidence for their use. OBJECTIVES: In this review we describe the physical characteristics of traditional and commonplace unipolar and bipolar static magnets as well as newer quadripolar magnetic arrays; discuss what is known of the physiological effects of static magnets and the strength of the literature; and make suggestions for targeted future research for static magnets in the management of neuromusculoskeletal pain conditions.


INTRODUÇÃO: A magnetoterapia estática conquistou ampla aceitação da comunidade para alívio da dor neuromusculoesquelética em diversos países. No entanto, com exceção de relatórios anedóticos de seus benefícios, há uma grande escassez de evidências científicas para seu uso. OBJETIVOS: Nesta revisão, descrevemos as características físicas dos tradicionais magnetos estáticos unipolares e bipolares comuns, assim como os mais recentes conjuntos magnéticos quadripolares; discutimos o que se conhece sobre os efeitos fisiológicos da magnetoterapia estática e o suporte da literatura; e fazemos sugestões para futuras pesquisas direcionadas à magnetoterapia estática no controle de condições de dor neuromusculoesquelética.

7.
EMBO J ; 26(8): 2148-57, 2007 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-17363894

RESUMO

Granzymes are key components of the immune response that play important roles in eliminating host cells infected by intracellular pathogens. Several granzymes are potent inducers of cell death. However, whether granzymes use additional mechanisms to exert their antipathogen activity remains elusive. Here, we show that in adenovirus-infected cells in which granzyme B (gzmB) and downstream apoptosis pathways are inhibited, granzyme H (gzmH), an orphan granzyme without known function, directly cleaves the adenovirus DNA-binding protein (DBP), a viral component absolutely required for viral DNA replication. We directly addressed the functional consequences of the cleavage of the DBP by gzmH through the generation of a virus that encodes a gzmH-resistant DBP. This virus demonstrated that gzmH directly induces an important decay in viral DNA replication. Interestingly, gzmH also cleaves the adenovirus 100K assembly protein, a major inhibitor of gzmB, and relieves gzmB inhibition. These results provide the first evidence that granzymes can mediate antiviral activity through direct cleavage of viral substrates, and further suggest that different granzymes have synergistic functions to outflank viral defenses that block host antiviral activities.


Assuntos
Adenovírus Humanos/metabolismo , Replicação do DNA/fisiologia , DNA Viral/fisiologia , Proteínas de Ligação a DNA/metabolismo , Granzimas/metabolismo , Proteínas Virais/metabolismo , Apoptose/fisiologia , Linhagem Celular , Clonagem Molecular , Primers do DNA , DNA Viral/genética , Granzimas/genética , Humanos , Mutagênese
9.
J Dent Res ; 83(7): 523-8, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15218040

RESUMO

The recent bioengineering of complex tooth structures from pig tooth bud tissues suggests the potential for the regeneration of mammalian dental tissues. We have improved tooth bioengineering methods by comparing the utility of cultured rat tooth bud cells obtained from three- to seven-day post-natal (dpn) rats for tooth-tissue-engineering applications. Cell-seeded biodegradable scaffolds were grown in the omenta of adult rat hosts for 12 wks, then harvested. Analyses of 12-week implant tissues demonstrated that dissociated 4-dpn rat tooth bud cells seeded for 1 hr onto PGA or PLGA scaffolds generated bioengineered tooth tissues most reliably. We conclude that tooth-tissue-engineering methods can be used to generate both pig and rat tooth tissues. Furthermore, our ability to bioengineer tooth structures from cultured tooth bud cells suggests that dental epithelial and mesenchymal stem cells can be maintained in vitro for at least 6 days.


Assuntos
Implantes Absorvíveis , Odontogênese/fisiologia , Engenharia Tecidual/métodos , Germe de Dente/crescimento & desenvolvimento , Dente/crescimento & desenvolvimento , Fatores Etários , Animais , Materiais Biocompatíveis/química , Diferenciação Celular , Ácido Láctico/química , Membranas Artificiais , Omento/cirurgia , Ácido Poliglicólico/química , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros/química , Ratos , Ratos Endogâmicos Lew , Células-Tronco/citologia , Células-Tronco/fisiologia , Dente/citologia , Dente/transplante , Germe de Dente/citologia , Germe de Dente/transplante
10.
Dis Aquat Organ ; 39(3): 193-9, 2000 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-10768287

RESUMO

When significant mortality of the bathyal spatangoid echinoid Paleopneustes cristatus occurred under laboratory conditions, we investigated the cause and course of the disease by culturing and identifying internal pathogens, then experimentally infecting healthy urchins with isolates of the suspected disease organism. The pathogen was determined to be the gram-negative halophilic bacterium Vibrio alginolyticus. This species was also recovered from frozen post-challenge specimens of P. cristatus and from moribund individuals of Archaeopneustes hystrix, another spatangoid reared under similar in vitro conditions. This is the first experimental study of bacterial disease in any deep-sea invertebrate.


Assuntos
Ouriços-do-Mar/microbiologia , Vibrio/isolamento & purificação , Animais , Bahamas , Epiderme/microbiologia , Epiderme/patologia , Fluorimunoensaio/veterinária , Nefelometria e Turbidimetria/veterinária , Distribuição Aleatória , Água do Mar , Vibrio/patogenicidade
11.
J Clin Anesth ; 7(7): 564-77, 1995 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8652167

RESUMO

This article reviews the physico-chemical properties and performance characteristics of the two new potent inhaled anesthetics, desflurane and sevoflurane. Both drugs provide a greater degree of control of anesthetic depth and a more rapid immediate recovery from anesthesia than is currently available with other inhaled agents because of their decreased solubility. Desflurane is currently in widespread clinical use in the United States and parts of Europe. Compared with sevoflurane, it has the additional advantage of being extremely resistant to degradation and biotransformation. However, its pungent odor and tendency to irritate the respiratory tract make it unsuitable for inhalational inductions, and it has been linked to CO production in CO2 absorbents. The sympathetic nervous system activation that occurs with desflurane limits its use in patients with cardiac disease. Otherwise, its hemodynamic and physiologic effects are similar to those seen with isoflurane. Studies of the economics of using desflurane are mixed, although it may offer the advantage of shorter postoperative recovery time. Sevoflurane is currently in widespread clinical use in Japan and parts of South America. The FDA Advisory Panel has recently recommended approval of sevoflurane in the United States, and we can expect the drug to be clinically available in the United States in the second quarter of 1995. Compared with desflurane, sevoflurane has the additional advantage of being nonirritating to the airway; inhalational induction of anesthesia with sevoflurane is achieved rapidly and easily. The instability of sevoflurane with CO2 absorbents and its in vivo biotransformation produce potentially toxic byproducts. These byproducts, including Compound A and fluoride, have been extensively studied, and although the possibility for iatrogenic sequelae from sevoflurane exists, the likelihood of long-term toxicity appears quite low. Phase IV studies are indicated to determine the safety of administering sevoflurane (1) to renally impaired patients and (2) to any patient with fresh gas flows less than 2 L/min. Sevoflurane is otherwise very well tolerated and appears to offer the advantage of rapid and smooth induction and emergence from general anesthesia.


Assuntos
Anestésicos Inalatórios , Éteres , Isoflurano/análogos & derivados , Éteres Metílicos , Adulto , Anestésicos Inalatórios/administração & dosagem , Anestésicos Inalatórios/química , Anestésicos Inalatórios/farmacocinética , Anestésicos Inalatórios/farmacologia , Ensaios Clínicos Fase IV como Assunto , Desflurano , Éteres/administração & dosagem , Éteres/química , Éteres/farmacocinética , Éteres/farmacologia , Europa (Continente) , Humanos , Isoflurano/administração & dosagem , Isoflurano/química , Isoflurano/farmacocinética , Isoflurano/farmacologia , Japão , Pessoa de Meia-Idade , Sevoflurano , América do Sul , Estados Unidos
12.
Diabetes Res Clin Pract ; 28(1): 47-9, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7587912

RESUMO

We examined the records of 2576 patients with non-insulin-dependent diabetes mellitus (NIDDM) and categorised them according to race and family history of diabetes. Family history of diabetes is known to play an important role in the development of NIDDM, and a maternal history is thought to be most influential. We found that a maternal history of diabetes was present in 60% of Caucasian and West Indian patients with a parental history of diabetes, whereas in Asian patients the figure was only 34%. Asian men were also more likely to have a father with diabetes. This anomaly may be due to cultural differences in the reporting of the disease. Our data support the dominant maternal role in the development of NIDDM in their offspring and suggest an under-reporting of NIDDM in Asian females.


Assuntos
População Negra/genética , Diabetes Mellitus Tipo 2/genética , Mães , População Branca/genética , África/etnologia , Comparação Transcultural , Diabetes Mellitus Tipo 2/epidemiologia , Família , Pai , Feminino , Humanos , Incidência , Masculino , Prontuários Médicos , Estudos Retrospectivos , Caracteres Sexuais , Fatores Sexuais , Reino Unido , Índias Ocidentais/etnologia
13.
J Health Soc Policy ; 3(1): 77-90, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-10114327

RESUMO

This article describes the development of a county-wide multi-institutional follow-up system for a high risk population of children and their families and proposes guidelines for health service system building. The target population for this program known as the Alliance for Infants and based in Allegheny County, Pennsylvania, was the very low birthweight infant and their families. Passage of legislation, P.L. 99-457, Education of the Handicapped Act Amendments of 1986, included provisions for Handicapped and At Risk Infants and Toddlers Program, which provided funds to states to develop and implement early intervention services such as the program described in this article.


Assuntos
Saúde da Família , Recém-Nascido de Baixo Peso , Sistemas Multi-Institucionais/organização & administração , Programas Médicos Regionais/organização & administração , Necessidades e Demandas de Serviços de Saúde , Humanos , Recém-Nascido , Doenças do Recém-Nascido/terapia , Pennsylvania , Desenvolvimento de Programas/normas , Estados Unidos
15.
J Clin Microbiol ; 21(2): 174-9, 1985 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3882744

RESUMO

Serum immunoglobulin G antibodies to purified heat-labile enterotoxin (LT) from human (LTh) and porcine (LTp) Escherichia coli strains and cholera enterotoxin (CT) were measured by an enzyme-linked immunosorbent assay. Sera from patients with LTh E. coli infection showed a prominent response with LTh, an intermediate response with LTp, and a meager response with CT. Of 47 persons with clinical LTh-producing E. coli (herein shortened to LTh E. coli) infections, significant rises in antitoxin were detected against LTh in 36 (77%), against LTp in 30 (64%), and against CT in only 13 (28%) patients; seroconversions also occurred in 11 of 14 (79%) patients with subclinical LTh E. coli infections. In North Americans with experimental LTh E. coli infection, anti-Lth did not remain at high levels for more than 3 months. Persons with cholera manifested antitoxin responses that were similarly potent against all three toxin antigens; in fact, net optical density values were often slightly higher against LTh than against CT. The ratio of CT/LTh ELISA net optical density in convalescent sera proved to be a sensitive means to differentiate LT E. coli from cholera infection. All 11 cholera patients tested had CT/LTh ratios of greater than 0.70, whereas in only 1 of 47 LTh E. coli infections did the ratio exceed that value (it was 0.71) (P less than 0.0000000001). In single serum specimens, a net optical density of greater than or equal to 0.30 against LTh was shown to be a useful cutoff in screening sera for recent LTh E. coli or past cholera infection. The CT/LTh ratio was then used to differentiate definitively. Sera from healthy 3- to 5-year -olds and 15- to 19-year-olds in Maryland, Chile, and Bangladesh were tested against LTh and CT. The serological results fit known epidemiological observations. (i) LTh infections are rare in the United States (only 2 of 60 sera had LTh net optical density values of >/= 0.30. (ii) In contrast, evidence of recent LTh E. coli infections was very common in Chilean (69%) and Bangladeshi (57%) 3- to 5-year-olds and not uncommon in 15- to 19-year-olds (38 and 31%, respectively) in those countries. (iii) Only Bangladeshi sera showed serological evidence of cholera infections (CT/LTh ratios of > 0.70). The immunoglobulin G enzyme-linked immunosorbent assay measuring antibodies to purified LTh and CT represents a practical and effective tool for the serological study of LTh E. coli and cholera diarrheal infections.


Assuntos
Anticorpos Antibacterianos/análise , Antitoxinas/análise , Toxinas Bacterianas/imunologia , Toxina da Cólera/imunologia , Enterotoxinas/imunologia , Proteínas de Escherichia coli , Adolescente , Adulto , Fatores Etários , Animais , Bangladesh , Pré-Escolar , Chile , Cólera/diagnóstico , Cólera/epidemiologia , Diagnóstico Diferencial , Ensaio de Imunoadsorção Enzimática , Infecções por Escherichia coli/diagnóstico , Infecções por Escherichia coli/epidemiologia , Humanos , Imunoglobulina G/análise , Testes Sorológicos
16.
Dev Biol Stand ; 53: 9-14, 1983.
Artigo em Inglês | MEDLINE | ID: mdl-6307787

RESUMO

Ty21a, a stable attenuated mutant of Salmonella typhi, is a safe, protective oral vaccine when 3 doses of 10(9) cells in saline are taken after neutralization of gastric acidity by 1 g NaHCO3. To identify a more convenient method to administer vaccine and to determine the feasibility of immunizing with a single dose, we studied the immune response of children and adults to different formulations of Ty21a with a newly developed, sensitive, enzyme-linked immunosorbent assay (ELISA). In this ELISA, a rise in S. typhi O antibody was defined as a change in net optical density of greater than or equal to 0.15 (more than 3 SD from the mean difference in optical density in a negative control population). Three hundred and thirty-five Chilean children were given 3 doses of 10(9) Ty21a in 150 ml of milk with 0.8 g NaHCO3 or in enteric-coated capsules. In each group, 5% seroconverted by Widal O but 41% by IgG ELISA O antibody titers; mean antibody levels by group were identical. Studies were also carried out in healthy college students in a non-endemic area (U.S.A.) who had no history of prior typhoid immunization. In total, 141 U.S. adults received vaccine formulated in either one of two ways: 1) in gelatin capsules administered with two additional gelatin capsules containing a total of 0.8 gm NaHCO3 or 2) in enteric-coated capsules. Thirty-six persons received one dose, 30 got two doses and 16 ingested three doses of enteric-coated vaccines, while 44 persons receiving one dose and 15 got two doses of vaccine in the gelatin capsule formulation. Rates of seroconversion of ELISA O antibody were similar in all the groups. Ty21a vaccine was not recovered from multiple stool, jejunal fluid or blood cultures of the U.S. vaccine recipients. Based on these observations a large-scale field trial of efficacy has been initiated in 90.000 schoolchildren 6-20 years of age in Santiago, Chile, of whom one-third received one dose of enteric-coated vaccine, one-third got two doses and the remainder received placebo.


Assuntos
Anticorpos Antibacterianos/análise , Bicarbonatos/administração & dosagem , Vacinas Tíficas-Paratíficas/administração & dosagem , Adolescente , Adulto , Cápsulas , Criança , Chile , Ensaios Clínicos como Assunto , Ensaio de Imunoadsorção Enzimática , Humanos , Imunização , Salmonella typhi/imunologia , Bicarbonato de Sódio , Vacinas Tíficas-Paratíficas/imunologia , Vacinas Atenuadas/imunologia
17.
J Infect Dis ; 145(3): 296-9, 1982 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7061878

RESUMO

Nonenterotoxigenic strains no. 1196-78 and no. 1074-78 of Vibrio cholerae serogroup O1 (biotype El Tor, serotype Ogawa) were isolated from sewage water in Brazil and fed to 20 volunteers. Neither strain caused diarrhea. None of the seven volunteers who ingested Ogawa strain no. 1074-78 (10(6) organisms) excreted the organism whereas eight of the 13 volunteers who ingested Ogawa strain no. 1196-78 (10(6) or 10(8) organisms) did excrete the organism in their stools. None of 114 stool-culture isolates yielded cholera enterotoxin, and none of the 20 volunteers had significant increases in serum titers of antitoxin as measured by enzyme-linked immunosorbent assay although six of the volunteers had slightly elevated vibriocidal antibody levels. Six volunteers used as controls and four volunteers who had stool cultures positive for strain no. 1196-78 of V. cholerae were challenged with pathogenic El Tor Ogawa strain no. E7946 (10(6) organisms) to determine if previous ingestion of the Brazilian strain would induce protective immunity. All 10 of the volunteers developed diarrhea, and the severity of the illness was similar in both groups.


Assuntos
Vibrio cholerae/patogenicidade , Adulto , Anticorpos Antibacterianos/análise , Antitoxinas/análise , Brasil , Diarreia/etiologia , Fezes/análise , Humanos , Esgotos , Vibrio cholerae/imunologia , Vibrio cholerae/isolamento & purificação
18.
Soc Work Health Care ; 4(3): 309-18, 1979.
Artigo em Inglês | MEDLINE | ID: mdl-472981

RESUMO

Proposals for dealing with illegeal migration from Mexico to the United States generally do not recognize it as an international social problem. The proposals also present contradictory solutions. Amnesty, a humanitarian policy, is being suggested as well as increased restrictions and punishments, a policing policy. However, in the absence of a comprehensive national policy, community social and health care programs must provide services to illegal aliens. This article attempts to document some of the issues that illegal immigration presents for community agencies.


Assuntos
Atenção à Saúde , Emigração e Imigração , Serviço Social , Serviços de Saúde da Criança/organização & administração , Serviços de Saúde Comunitária , Planejamento em Saúde , Serviços de Saúde/estatística & dados numéricos , Hispânico ou Latino , Humanos , Serviços de Saúde Materna/organização & administração , México/etnologia , Estados Unidos
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