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1.
Rev Sci Instrum ; 95(5)2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38722213

RESUMO

In the experimental advanced superconducting tokamak (EAST), a novel ion cyclotron range of frequency (ICRF) antenna-based diagnostic system is designed to measure ion cyclotron emission (ICE) driven by high-energy ions. The diagnostic system includes ICRF antenna straps, a three-tune impedance matching system, a coaxial switching system, a direct current block, and a data acquisition and storage system. Using the coaxial switching system, the ICRF antenna can be switched from the heating mode to the coupling mode between two discharges. In the 2023 EAST experiment campaign, core ICE was observed using the ICRF antenna-based diagnostic system during neutron beam injection heating, and the obtained results agreed well with the signal detected by the previous high-frequency B-dot probe-based diagnostic system.

2.
Environ Sci Pollut Res Int ; 31(19): 28153-28165, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38528219

RESUMO

The re-mobilization risks of potentially toxic elements (PTEs) during stabilization deserve to be considered. In this study, artificial simulation evaluation methods based on the environmental stress of freeze-thaw (F-T), acidification and variable pH were conducted to assess the long-term effectiveness of PTEs stabilized by MgO in Pb/Zn smelter contaminated soils. Among common stabilizing materials, MgO was considered as the best remediation material, since PTEs bioavailability reduced by 55.48% for As, 19.58% for Cd, 10.57% for Cu, and 26.33% for Mn, respectively. The stabilization effects of PTEs by MgO were best at the dosage of 5 wt%, but these studied PTEs would re-mobilize after 30 times F-T cycles. Acid and base buffering capacity results indicated that the basicity of contaminated soils with MgO treatment reduced under F-T action, and the leached PTEs concentrations would exceed the safety limits of surface water quality standard in China (GB3838-2002) after acidification of 2325 years. No significant changes were found in the pH-dependent patterns of PTEs before and after F-T cycles. However, after F-T cycles, the leaching concentrations of PTEs increased due to the destruction of soil microstructure and the functionality of hydration products formed by MgO, as indicated by scanning electron microscopy (SEM) coupled with energydispersive Xray spectroscopy (EDS) results. Hence, these findings would provide beneficial references for soil remediation assessments of contaminated soils under multi-environmental stress.


Assuntos
Chumbo , Óxido de Magnésio , Poluentes do Solo , Solo , Zinco , Poluentes do Solo/química , Chumbo/química , Solo/química , Óxido de Magnésio/química , Zinco/química , China , Recuperação e Remediação Ambiental/métodos
3.
Biology (Basel) ; 12(11)2023 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-37998005

RESUMO

Repeat-mediated deletion (RMD) rearrangement is a major source of genome instability and can be deleterious to the organism, whereby the intervening sequence between two repeats is deleted along with one of the repeats. RMD rearrangement is likely induced by DNA double-strand breaks (DSBs); however, it is unclear how the complexity of DSBs influences RMD rearrangement. Here, a transgenic Escherichia coli strain K12 MG1655 with a lacI repeat-controlled amp activation was used while taking advantage of particle irradiation, such as proton and carbon irradiation, to generate different complexities of DSBs. Our research confirmed the enhancement of RMD under proton and carbon irradiation and revealed a positive correlation between RMD enhancement and LET. In addition, RMD enhancement could be suppressed by an intermolecular homologous sequence, which was regulated by its composition and length. Meanwhile, RMD enhancement was significantly stimulated by exogenous λ-Red recombinase. Further results investigating its mechanisms showed that the enhancement of RMD, induced by particle irradiation, occurred in a RecA-dependent manner. Our finding has a significant impact on the understanding of RMD rearrangement and provides some clues for elucidating the repair process and possible outcomes of complex DNA damage.

4.
Bioresour Technol ; 387: 129586, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37516138

RESUMO

Anaerobic digestion has become a global practice for valorizing food waste, but the recycling of the digestate (FWD) remains challenging. This study aimed to address this issue by utilizing FWD as a low-cost feedstock for Ca-rich biochar production. The results demonstrated that biochar pyrolyzed at 900 °C exhibited impressive As(V) adsorption performance without any modifications. Kinetic analysis suggested As(V) was chemisorbed onto CDBC9, while isotherm data conformed well to Langmuir model, indicating monolayer adsorption with a maximum capacity of 76.764 mg/g. Further analysis using response surface methodology revealed that pH value and adsorbent dosage were significant influencing factors, and density functional theory (DFT) calculation visualized the formation of ionic bonds between HAsO42- and CaO(110) and Ca(OH)2(101) surfaces. This work demonstrated the potential of using FWD for producing Ca-rich biochar, providing an effective solution for As(V) removal and highlighting the importance of waste material utilization in sustainable environmental remediation.


Assuntos
Arsênio , Eliminação de Resíduos , Poluentes Químicos da Água , Arsênio/química , Cinética , Alimentos , Água , Poluentes Químicos da Água/química , Carvão Vegetal/química , Adsorção
5.
J Hazard Mater ; 457: 131698, 2023 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-37270962

RESUMO

Chromium (Cr) is a highly toxic element, which is widely present in environment due to industrial activities. One of most applicable technique to clean up Cr pollution is chemical reduction. However, the Cr(VI) concentration in soil increases again after remediation, and meanwhile the yellow soil would appear, which is commonly called as "yellowing" phenomenon. To date, the reason behind the phenomenon has been disputed for decades. This study aimed to introduce the possible "yellowing" mechanism and the influencing factors based on the extensive literature review. In this work, the concept of "yellowing" phenomenon was explained, and the most potential reasons include the reoxidation of manganese (Mn) oxides and mass transfer were summarized. Based on the reported finding and results, the large area of "yellowing" is likely to be caused by the re-migration of Cr(VI), since it could not sufficiently contact with the reductant under the effects of the mass transfer. In addition, other driving factors also control the occurrence of "yellowing" phenomenon. This review provides valuable reference for the academic peers participating in the Cr-contaminated sites remediation.

6.
JMIR Public Health Surveill ; 9: e45455, 2023 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-37169516

RESUMO

BACKGROUND: Primary breast lymphoma (PBL) is a rare disease whose epidemiological features, treatment principles, and factors used for the patients' prognosis remain controversial. OBJECTIVE: The aim of this study was to explore the epidemiology of PBL and to develop a better model based on machine learning to predict the prognosis for patients with primary breast lymphoma. METHODS: The annual incidence of PBL was extracted from the surveillance, epidemiology, and end results database between 1975 and 2019 to examine disease occurrence trends using Joinpoint software (version 4.9; National Cancer Institute). We enrolled data from 1251 female patients with primary breast lymphoma from the surveillance, epidemiology, and end results database for survival analysis. Univariable and multivariable analyses were performed to explore independent prognostic factors for overall survival and disease-specific survival of patients with primary breast lymphoma. Eight machine learning algorithms were developed to predict the 5-year survival of patients with primary breast lymphoma. RESULTS: The overall incidence of PBL increased drastically between 1975 and 2004, followed by a significant downward trend in incidence around 2004, with an average annual percent change (AAPC) of -0.8 (95% CI -1.1 to -0.6). Disparities in trends of PBL exist by age and race. The AAPC of the 65 years or older cohort was about 1.2 higher than that for the younger than 65 years cohort. The AAPC of White patients is 0.9 (95% CI 0.0-1.8), while that of Black patients was significantly higher at 2.1 (95% CI -2.5 to 6.9). We also identified that the risk of death from PBL is multifactorial and includes patient factors and treatment factors. Survival analysis revealed that the patients diagnosed between 2007 and 2015 had a significant risk reduction of mortality compared to those diagnosed between 1983 and 1990. The gradient booster model outperforms other models, with 0.752 for sensitivity and 0.817 for area under the curve. The important features established with the gradient booster model were the year of diagnosis, age, histologic type, and primary site, which were the 4 most relevant variables to explain 5-year survival status. CONCLUSIONS: The incidence of PBL started demonstrating a tendency to decrease after 2004, which varied by age and race. In recent years, the prognosis of patients with primary breast lymphoma has been remarkably improved. The gradient booster model had a promising performance. This model can help clinicians identify the early prognosis of patients with primary breast lymphoma and therefore improve the clinical outcome by changing management strategies and patient health care.


Assuntos
Linfoma , Humanos , Feminino , Prognóstico , Análise de Sobrevida , Incidência , Linfoma/epidemiologia , Linfoma/terapia
7.
Rev Sci Instrum ; 94(3): 033507, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-37012739

RESUMO

We describe a magnetic mirror device, namely, the Keda Mirror with AXisymmetricity (KMAX), which aims to study new approaches to confine and stabilize the mirror plasma as well as basic plasma research. KMAX consists of one central cell, two side cells, and two end chambers at two ends of the device. For the central cell, the mirror-to-mirror distance is 5.2 m, while the central cylinder is 2.5 m in length and 1.2 m in diameter. The plasmas are generated by two washer guns located in the end chambers, which subsequently flow into the central cell and merge there. The density in the central cell is usually adjusted by changing the magnetic field strength inside the side cell, and it ranges from 1017 to 1019 m-3, depending on the experimental requirement. Ion cyclotron frequency heating with two 100 kW transmitters is routinely used to heat up the ions. Plasma controls mainly rely on configuring the magnetic geometry and rotating magnetic fields to improve the confinement and suppress instability. Routine diagnostics, such as probes, interferometers, spectrometers, diamagnetic loops, and bolometers, are also reported in this paper.

8.
Sci Total Environ ; 877: 162929, 2023 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-36934932

RESUMO

Remediation of CdAs co-contaminated soils has long been considered a difficult problem to solve, as Cd and As have distinctly different metallic characters. Amending contaminated soils with traditional single passivation materials may not always work well in the stabilization of both Cd and As. Here, we reported that analog soil organo-ferrihydrite composites made with either living or non-living organics (bacterial cells or humic acid) could achieve stabilization of both Cd and As in contaminated soils. BCR and Wenzel sequential extractions showed that organo-ferrihydrite, particularly at 1 wt% loading, shifted liable Cd and As to more stable phases. Organo-ferrihydrite amendments significantly (p < 0.05) increased soil urease, alkaline phosphatase and catalase enzyme activities. With organo-ferrihydrite amendments, the bioavailable fraction of Cd decreased to 35.3 % compared with the control (65.1 %), while the bioavailable As declined from 29.4 % to 12.4%. Soil pH, microbial community abundance and diversity were almost unaffected by organo-ferrihydrite. Ferrihydrite and organo fractions both contributed to direct Cd-binding, while the organo fraction probably maintained the Fe-bound As via lowering ferrihydrite phase transformation. Compared to pure ferrihydrite, organo-ferrihydrite composites performed better not only in reducing liable Cd and As, but also in maintaining soil quality and ecosystem functions. This study demonstrates the applications of organo-ferrihydrite composites in eco-friendly remediation of CdAs contaminated soils, and provides a new direction in selecting appropriate soil amendments.


Assuntos
Arsênio , Poluentes do Solo , Cádmio/análise , Solo , Arsênio/análise , Ecossistema , Poluentes do Solo/análise
9.
ACS Appl Mater Interfaces ; 15(5): 7014-7022, 2023 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-36706135

RESUMO

Metal-air batteries have attracted wide interest owing to their ultrahigh theoretical energy densities, particularly for lithium-oxygen batteries. One of the challenges inhibiting the practical application of lithium-oxygen batteries is the unavoidable liquid electrolyte evaporation accompanying oxygen fluxion in the semi-open system, which leads to safety issues and poor cyclic performance. To address these issues, we propose a solid-state polyimide based gel polymer electrolyte (PI@GPE), immobilizing and reserving a liquid electrolyte in the gelled polymer substrate. The liquid electrolyte uptake of PI@GPE is measured to be 842%, 6 times higher than that of the commercial glass fiber separator, contributing to a high ionic conductivity of 0.44 mS cm-1. Additionally, PI@GPE possesses an enhanced lithium transference number of 0.596 as well as superior interfacial compatibility with lithium metals. Under 0.1 mA cm-2 and 0.25 mA h cm-2, PI@GPE-based lithium-oxygen batteries demonstrate distinguished long-cycling stability of 366 cycles, 4 times more than that with a glass fiber separator and liquid electrolyte. Our work provides a unique solid-state gel polymer electrolyte to mitigate liquid electrolyte leakage, exhibiting promising potential application in highly safe lithium-oxygen batteries with a long-cycling life.

10.
ACS Appl Mater Interfaces ; 14(43): 48694-48704, 2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36279165

RESUMO

High-concentration electrolytes (HCEs) can effectively enhance interface stability and cycle performance of Li metal batteries (LMBs). However, HCEs suffer from low ionic conductivity, high viscosity, high cost, and high density. Herein, fluorobenzene (FB) diluted localized high-concentration electrolytes (LHCEs) consisting of lithium bis(fluorosulfonyl)imide (LiFSI)/triethyl phosphate (TEP)/FB are developed. 2.3 M LHCE can reserve concentrated Li+-FSI--TEP solvation structures. Diluent FB possesses low density, low viscosity, low cost, low dielectric constant, low LUMO, and a good fluorine-donating property, which can significantly reduce viscosity, improve ionic conductivity, promote the formation of LiF-rich SEI, and enhance interaction of Li+-TEP and Li+-FSI- ion-pairs of the electrolytes. 2.3 M LHCE is a highly safe nonflammable electrolyte. 2.3 M LHCE can effectively inhibit dendrite growth on Li metal anode. 2.3 M LHCE endows LiFePO4 cells with good rate capability (discharge capacity of 112.7 mAh g-1 at 5 C rate) and excellent cycling performance (capacity retention of 95.4% after 1000 cycles). 2.3 M LHCE also shows good compatibility with LiNi0.8Co0.1Mn0.1O2 and exhibits outstanding cycle stability (capacity retention of 86.4% after 500 cycles). Therefore, 2.3 M LHCE is a promising electrolyte for practical applications in LMBs.

11.
Chem Asian J ; 17(21): e202200712, 2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36042542

RESUMO

Lithium-oxygen batteries have received great research interest owing to their ultrahigh theoretical energy density and are considered as one of the promising secondary batteries. However, there are still some challenges in their practical application, like liquid organic electrolyte evaporation in the semi-open system and instability in the high-voltage oxidizing environment. In this work, a cellulose acetate-based gel polymer electrolyte (CA@GPE) is proposed, whose cross-linked microporous structure ensures the ultrahigh liquid electrolyte uptake of 2391%. The prepared CA@GPE exhibits a high lithium-ion transference number of 0.595, a satisfying ionic conductivity of 0.47 mS cm-1 and a wide electrochemical stability window up to 5.0 V. The Li//Li symmetric cell employing CA@GPE could cycle stably over 1200 h. The lithium-oxygen battery with CA@GPE presents a superb cycling lifetime of 370 cycles at 0.1 mA cm-2 under 0.25 mAh cm-2 . This work offers a possible strategy to realize long-cycling stability lithium-oxygen batteries.

12.
Artigo em Inglês | MEDLINE | ID: mdl-34335842

RESUMO

Chronic heart failure (CHF) refers to the state of persistent heart failure, which is a complex clinical syndrome of various advanced heart diseases. The toll-like receptor 2 (TLR2)/nuclear transcription factor-κB (NF-κB) signal transduction pathway is one of the pathological mechanisms of CHF. Adriamycin can significantly induce the upregulation of TLR2 expression. Angiotensin-converting enzyme inhibitors (ACEI) are commonly used drugs for the treatment of CHF. In our study, the CHF model was established by injection of doxorubicin into the rabbit ear vein. The effect of enalapril on the TLR2/NF-κB signaling pathway in CHF rabbits has been analyzed and determined. Our research results showed that enalapril reduced the inflammatory response by inhibiting the activation of the TLR2/NF-κB signaling pathway, thereby improving cardiac structure, myocardial remodeling, and cardiac function.

13.
Artigo em Inglês | MEDLINE | ID: mdl-34408781

RESUMO

Chronic heart failure (CHF) is a complex clinical syndrome caused by a variety of heart problems, with a high incidence. The 5-year survival rate of patients with clinical symptoms is similar to that of malignant tumors. Wenyang Zhenshuai granules are a safe and effective granule of traditional Chinese medicine components, including aconite, dried ginger, licorice, and red ginseng. In contemporary clinical applications, it is widely used in acute and chronic heart insufficiency, coronary heart disease, and arrhythmia. This research cultured H9C2 cardiomyocytes and divided them into the normal control group, LncRNA-MiR143HG overexpression group, LncRNA-MiR143HG silence group, Adriamycin (ADR) group, ADR + medicated serum group, ADR + LncRNA-MiR143HG overexpression + medicated serogroup, and ADR + LncRNA-MiR143HG silence + medicated serogroup. The cells of each group were treated differently, and the survival rate of each group of cells and the expression levels of LncRNA-MiR143HG/miR-143 and ERK5 were detected at the end of the experiment, and the expression of LncRNA-MiR143HG/miR-143 in H9C2 cardiomyocytes was regulated by Wenyang Zhenshuai granules' impact. The results of this study showed that, in the doxorubicin-induced H9C2 cardiomyocyte injury model, the expression of miR-143 was upregulated, and the expression of LncRNA-MiR143HG and ERK5 was significantly downregulated. Wenyang Zhenshuai granules can downregulate the expression of miR-143 to promote ERK5 protein expression and phosphorylation. The process is regulated by LncRNA-MiR143HG/miR-143, which may be one of its important mechanisms for the treatment of chronic heart failure.

14.
Oncol Lett ; 21(3): 230, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33613719

RESUMO

Cisplatin resistance is one of the main causes of chemotherapy failure and tumor progression in non-small cell lung cancer (NSCLC). Emodin has been demonstrated to induce NSCLC cell apoptosis and act as a potential cancer therapeutic agent. However, whether emodin could affect NSCLC cell sensitivity toward cisplatin remains unclear. The present study aimed to determine the effect of emodin and cisplatin combination on the chemosensitivity of NSCLC cells. A549 and H460 cells were treated with different concentrations of cisplatin and/or emodin. Cell Counting Kit-8, fluorescence microscopy, immunofluorescence assays and flow cytometry were used to determine cell proliferation, drug efflux, DNA damage level and cell apoptosis, respectively. P-glycoprotein (Pgp) and multidrug resistance-associated protein 1 (MRP1) expression was detected by western blotting. The results demonstrated that emodin and cisplatin inhibited the proliferation of A549 and H460 cells. Furthermore, emodin inhibited the drug efflux in A549 and H460 cells in a dose-dependent manner. In addition, emodin enhanced cisplatin-induced apoptosis and DNA damage in A549 and H460 cells. Emodin also decreased Pgp expression in A549 and H460 cells in a dose-dependent manner; however, it had no effect on MRP1 expression. Taken together, the results from the present study demonstrated that emodin can increase A549 and H460 cell sensitivity to cisplatin by inhibiting Pgp expression. Emodin may therefore be considered as an effective adjuvant for cisplatin treatment.

15.
Med Biol Eng Comput ; 56(11): 1949-1958, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29696590

RESUMO

The advent of multifunctional nanoparticle has enabled numerous innovative strategies in diagnostics, imaging, and cancer therapy. Despite the intense research efforts in developing new nanoparticles and surface bonding ligands, one major obstacle in achieving highly effective treatment, including minimizing detrimental side effects, is the inability to deliver drug-carrying nanoparticles from the injection point directly to the tumor site. The present study seeks to employ a direct nanodrug delivery methodology to feed multifunctional nanoparticles directly to tumor vasculatures, sparing healthy tissue. An important aspect to examine is how the interactions between such nanoparticles and relatively large red blood cells would affect the transport and delivery efficiency of nanodrugs. So, a novel computer simulation model has been developed to study nanoparticle transport in a representative human hepatic artery system, subject to shear-induced diffusion of nanoparticles due to hydrodynamic interactions with red blood cells. The particle-size effect was also evaluated by comparing the dynamics of nanoparticles with microspheres. Results from computer simulations under physiologically realistic conditions indicate that shear-induced diffusion has a significant effect on nanoparticle transport, even in large arteries. Nevertheless, as documented, direct nanodrug delivery to tumor-feeding hepatic artery branches is feasible. Graphical abstract Direct nanodrug delivery from injection point to tumor-feeding artery branch.


Assuntos
Nanopartículas/administração & dosagem , Neoplasias/tratamento farmacológico , Preparações Farmacêuticas/administração & dosagem , Fluxo Sanguíneo Regional/fisiologia , Simulação por Computador , Difusão , Sistemas de Liberação de Medicamentos/métodos , Humanos , Hidrodinâmica , Tamanho da Partícula
16.
Ann Biomed Eng ; 44(4): 1036-46, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26265458

RESUMO

Unresectable hepatoma accounts for the majority of malignant liver tumor cases for which embolization therapy is considered a viable treatment option. However, the potential risk of aberrant particle deposition in non-target regions could cause severe side-effects, alongside diminished efficacy. A computational model has been developed to analyze the particle-hemodynamics before and after deployment of an FDA-approved anti-reflux catheter. The catheter features a retractable, porous cone-like tip designed to allow forward blood flow while preventing microsphere reflux. A patient-specific hepatic artery system, with different daughter branches connected to a liver tumor, was chosen as a representative test bed. In vitro as well as in vivo measurements were used to validate the computer simulation model. The model captures the effect of tip-deployment on blood perfusion and pressure drop in an interactive manner under physiologically realistic conditions. A relationship between the pressure drop and embolization level was established, which can be used to provide clinicians with real-time information on the best infusion-stop point. However, the results show that the present procedure for embolization of downstream vessels which feed a tumor is quite arbitrary. Nevertheless, a method to recycle aberrant particles captured by the deployed tip was proposed to minimize side-effects.


Assuntos
Carcinoma Hepatocelular/terapia , Embolização Terapêutica , Artéria Hepática/fisiologia , Neoplasias Hepáticas/terapia , Modelos Biológicos , Pressão Sanguínea , Catéteres , Hemodinâmica , Humanos , Microesferas
17.
Aesthetic Plast Surg ; 37(4): 822-32, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23817746

RESUMO

BACKGROUND: The extracellular matrix (ECM) is characterized by not only well-preserved scaffolds of organs and vascularized tissues, but also by extremely low immunogenicity during allo- or xeno-implantation. This study aimed to establish a model of a composite microvasculature network scaffold with a small-caliber-dominant vascular pedicle by decellularizing fetal porcine aorta and the conterminous mesentery. METHODS: The aorta and the conterminous mesenteric vascular system originating from the inferior mesenteric artery were harvested from fetal pigs at late gestation. All of the cellular components were removed by sequential treatment with Triton X-100 and sodium dodecyl sulfate. After the degree of decellularization was assessed, the fetal porcine aorta and mesenteric acellular matrix (FPAMAM) were transplanted into dogs. RESULTS: Gross and histologic examination demonstrated the removal of cellular constituents with preservation of ECM architecture, including macrochannels and microchannels. The residual DNA content in the FPAMAM was less than 2 %. The aorta and microchannels were perfused well, and the fetal porcine aorta had good patency for more than 3 months. CONCLUSIONS: The integrity of the FPAMAM provided a scaffold for the reconstruction of a rich vascular network with numerous segmentally radiating branches. Decellularized fetal porcine vascular tissue might be a potential alternative for xenogeneic transplantation based on its optimized properties and low immunogenicity. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .


Assuntos
Aorta/citologia , Mesentério/citologia , Engenharia Tecidual/métodos , Animais , Aorta/transplante , Cães , Matriz Extracelular/transplante , Feto , Artéria Mesentérica Inferior/transplante , Mesentério/irrigação sanguínea , Mesentério/transplante , Suínos , Alicerces Teciduais , Transplante Heterólogo , Grau de Desobstrução Vascular
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