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1.
Science ; 239(4835): 42-7, 1988 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-17820628

RESUMO

New data on the three major determinants of the carbon release from tropical forest clearing are used in a computer model that simulates land use change and its effects on the carbon content of vegetation and soil in order to calculate the net flux of carbon dioxide between tropical ecosystems and the atmosphere. The model also permits testing the sensitivity of the calculated flux to uncertainties in these data. The tropics were a net source of at least 0.4 x 10(15) grams but not more than 1.6 x 10(15) grams of carbon in 1980, considerably less than previous estimates. Decreases in soil organic matter were responsible for 0.1 x 10(15) to 0.3 x 10(15) grams of the release, while the burning and decay of cleared vegetation accounted for 0.3 x 10(15) to 1.3 x 10(15) grams. These estimates are lower than many previous ones because lower biomass estimates and slightly lower land clearing rates were used and because ecosystem recovery processes were included. These new estimates of the biotic release allow for the possibility of a balanced global budget given the large remaining uncertainties in the marine, terrestrial, and fossil fuel components of the carbon cycle.

2.
Science ; 211(4482): 576-9, 1981 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-17840957

RESUMO

For the past three decades the quantity of petroleum (both oil and oil plus gas) found per foot of drilling effort in the United States for any given year can be expressed as a secular decrease of about 2 percent per year combined with an inverse function of drilling effort for that year. Extrapolation of energy costs and gains from petroleum drilling and extraction indicates that drilling for domestic petroleum could cease to be a net source of energy by about 2004 at low drilling rates and by 2000 or sooner at high drilling rates, and that the net yield will be less at higher drilling rates.

3.
Science ; 225(4665): 890-7, 1984 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-17779848

RESUMO

A series of hypotheses is presented about the relation of national energy use to national economic activity (both time series and cross-sectional) which offer a different perspective from standard economics for the assessment of historical and current economic events. The analysis incorporates nearly 100 years of time series data and 3 years of cross-sectional data on 87 sectors of the United States economy. Gross national product, labor productivity, and price levels are all correlated closely with various aspects of energy use, and these correlations are improved when corrections are made for energy quality. A large portion of the apparent increase in U.S. energy efficiency has been due to our ability to expand the relative use of high-quality fuels such as petroleum and electricity, and also to relative shifts in fuel use between sectors of the economy. The concept of energy return on investment is introduced as a major driving force in our economy, and data are provided which show a marked decline in energy return on investment for all our principal fuels in recent decades. Future economic growth will depend largely on the net energy yield of alternative fuel sources, and some standard economic models may need to be modified to account for the biophysical constraints on human economic activity.

4.
Intern Med J ; 39(5): 296-303, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19371393

RESUMO

BACKGROUND: Treatment of rheumatoid arthritis (RA) has become more intensive, thereby raising concerns regarding toxicities, including leucopenia. The objective was to analyse cell counts obtained as routine surveillance for adverse effects to assess the effect of intensive treatment and treatment dosage and to examine correlations to disease activity scores. METHODS: Patients with early RA were treated with combinations of disease-modifying anti-inflammatory drugs according to pre-defined rules, with dose adjustments contingent on residual disease activity and tolerance. RESULTS: Mean leucocyte, neutrophil and platelet counts fell with levels that correlated to disease activity scores. The strongest correlation was between platelets and disease activity scores. There was a modest, inverse correlation between methotrexate dose and monocyte and lymphocyte counts. No serious toxicity associated with the therapy was seen. CONCLUSION: Moderate reductions in cell counts are well tolerated in RA and appear to contribute to disease control.


Assuntos
Antirreumáticos/uso terapêutico , Artrite Reumatoide/sangue , Artrite Reumatoide/tratamento farmacológico , Adulto , Idoso , Artrite Reumatoide/diagnóstico , Contagem de Células Sanguíneas/métodos , Diagnóstico Precoce , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Fatores de Tempo , Resultado do Tratamento
5.
Rev Sci Instrum ; 79(1): 013903, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18248046

RESUMO

Veloce is a medium-voltage, high-current, compact pulsed power generator developed for isentropic and shock compression experiments. Because of its increased availability and ease of operation, Veloce is well suited for studying isentropic compression experiments (ICE) in much greater detail than previously allowed with larger pulsed power machines such as the Z accelerator. Since the compact pulsed power technology used for dynamic material experiments has not been previously used, it is necessary to examine several key issues to ensure that accurate results are obtained. In the present experiments, issues such as panel and sample preparation, uniformity of loading, and edge effects were extensively examined. In addition, magnetohydrodynamic simulations using the ALEGRA code were performed to interpret the experimental results and to design improved sample/panel configurations. Examples of recent ICE studies on aluminum are presented.

6.
J Clin Invest ; 56(5): 1125-31, 1975 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1184739

RESUMO

There are two conflicting theories of how plasma vitamin B12 (B12) is transported in man: (a) by two distinct transport proteins, transcobalamins I and II (TC I and II), each having a specific role and time of function; and (b) by three active transport proteins, TC I, II, and III, that take up B12 randomly in proportion to the unsaturated amounts of each. To test these theories a man was given 1.12 mug, 229 muCi, of [57Co]B12 mixed with food. Blood samples were taken several times on the 1st day and at lengthening intervals up to day 51. The amount of TC II-B12 was measured in each sample by: gel filtration and by precipitation with (NH4)2SO4. Total serum R-B12 was then separated into TC I and TC III by: (a) a single step anion exchange system and (b) isoelectric focusing (IEF). As the B12 was being absorbed, 92-95% of that in venous blood was carried by TC II. Absolute and percentage transport by TC II declined sharply during the first 24 h; between days 7 and 51 20-33% of the label was on TC II, and the rest was carried by R-type binders. Absolute transport by TC I did not reach a maximum until after day 1 and before day 3. Transport by an alpha2 R-type binder, TC III, could not be demonstrated. TC I was isoelectrically heterogenous, with the components focusing between pH 2.9 and 3.35. It was concluded that (a) TC II is the dominant carrier of B12 immediately after absorption; (b) maximum transport by TC I requires the passage of time after absorption; (c) after the absorbed B12 reaches equilibrium with the total body B12, about one fourth of the plasma B12 is carried by TC II and three fourth by TC I; and (d) TC I and TC II are the only functional transport proteins of plasma B12.


Assuntos
Proteínas Sanguíneas/fisiologia , Transcobalaminas/fisiologia , Vitamina B 12/sangue , Transporte Biológico , Humanos , Absorção Intestinal , Transcobalaminas/metabolismo , Vitamina B 12/metabolismo
7.
J Clin Invest ; 51(7): 1915-8, 1972 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-5032532

RESUMO

The uptake of free and bound (57)CoB(12), principally to transcobalamin II (TC II), was studied in isolated, perfused liver and kidney of the dog. (1) There was good uptake of canine TC II-B(12) by both organs. (2) In the liver TC II enhanced uptake over that of free B-12. (3) Renal uptake of free B-12 was greater than that of TC II-B(12). Free B-12 was neither lost in the urine nor returned to the circulation. (4) On a per gram tissue basis, renal uptake of TC II-B(12) was greater than hepatic. (5) There was renal release or production of TC II (6) Some TC II but more of a larger molecular size binder came from the liver. (7) Passing free B-12 through the kidney enhanced its uptake by the liver. (8) Passing free B-12 through the liver depressed its uptake by the kidney. (9) It is postulated that the distribution of B-12 can be modified by (a) different responses of tissue to TC II-B(12), (b) synthesis of TC II by an organ, and (c) the effects of B-12 passing through one organ to another.


Assuntos
Proteínas Sanguíneas/metabolismo , Vitamina B 12/sangue , Animais , Transporte Biológico , Cromatografia em Gel , Isótopos do Cobalto , Cães , Técnicas In Vitro , Rim/metabolismo , Fígado/metabolismo , Perfusão , Ligação Proteica
8.
J Clin Invest ; 64(5): 1253-9, 1979 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-500809

RESUMO

A 34-year-old Black woman had severe megaloblastic anemia in childhood. Initially, and over the years, she responded well to massive doses of parenteral cobalamin (Cbl) or oral folic acid. Metabolic reactions involving Cbl and folate enzymes were normal during both relapse and remission except for the absence of thymidylate synthetase in relapse. Amino acid analyses of urine and plasma showed no significant abnormalities. Neither cystathionine, homocystine, formiminoglutamic acid, nor methylmalonic acid was detected in the urine. The serum Cbl level was repeatedly elevated even when the patient was receiving only folic acid therapy. The elevation of the vitamin in the serum was found to be a result of markedly increased levels of transcobalamin II (TC II), as identified by several physicochemical techniques. The patient's TC II-Cbl shared immunologic properties with normal TC II but did not facilitate or impede the uptake of Cbl or Cbl bound to normal TC II, respectively, by human cells.


Assuntos
Anemia Macrocítica/etiologia , Anemia Megaloblástica/etiologia , Proteínas Sanguíneas/metabolismo , Hipergamaglobulinemia/sangue , Transcobalaminas/metabolismo , Anemia Megaloblástica/tratamento farmacológico , Feminino , Ácido Fólico/metabolismo , Ácido Fólico/uso terapêutico , Células HeLa/metabolismo , Humanos , Linfócitos/metabolismo , Pessoa de Meia-Idade , Ligação Proteica , Vitamina B 12/metabolismo , Vitamina B 12/uso terapêutico
9.
Vet Parasitol ; 142(1-2): 173-8, 2006 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-16876950

RESUMO

AIM: To determine the performance characteristics of an Institut Pourquier (IP) enzyme-linked immunosorbent assay (ELISA) for the detection of antibodies against Neospora caninum in bovine milk and subsequent determination of the prevalence of N. caninum infection in New South Wales (NSW) dairy cattle. METHODS: Matching serum and milk samples from 93 cattle were assayed in two commercially available ELISAs for the detection of anti-N. caninum antibodies. Serum test results of one ELISA (IDEXX) were used to determine the N. caninum infection status of the cattle. Optimised cut-off values for the IP ELISA using milk samples were determined by two-graph receiver operating characteristic (TG-ROC) analysis and then applied to a representative sample of 398 milk samples from dairy herds around NSW. RESULTS: When this ELISA was applied to a representative collection of 398 milk samples from dairy cattle across NSW it demonstrated a 21.1% prevalence of N. caninum infection in those cattle. From the TG-ROC analysis an IP ELISA protocol was derived which suggested a cut-off threshold that would allow milk testing with 97% sensitivity and specificity, respectively, relative to serum testing. CONCLUSIONS: The prevalence of N. caninum in NSW dairy cattle was higher than previously believed. When used on individual milk samples this ELISA demonstrated high sensitivity and specificity and so could be used to accurately identify N. caninum infection. TG-ROC analysis of the IP ELISA optimised the protocol and prescribed cut-off values enabling the ELISA to be used for the screening of N. caninum antibodies in the milk of dairy cattle.


Assuntos
Anticorpos Antiprotozoários/análise , Doenças dos Bovinos/epidemiologia , Coccidiose/veterinária , Ensaio de Imunoadsorção Enzimática/veterinária , Leite/imunologia , Neospora/imunologia , Animais , Anticorpos Antiprotozoários/sangue , Bovinos , Coccidiose/epidemiologia , Ensaio de Imunoadsorção Enzimática/métodos , Feminino , New South Wales/epidemiologia , Curva ROC , Padrões de Referência , Sensibilidade e Especificidade , Estudos Soroepidemiológicos
10.
Vet Parasitol ; 140(1-2): 61-8, 2006 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-16672180

RESUMO

AIM: To determine the performance characteristics of two enzyme-linked immunosorbent assays (ELISAs) manufactured by Institut Pourquier (IP) for the detection of antibodies against Neospora caninum in bovine sera. METHODS: Sera from 526 cattle were assayed in two ELISAs (IP) for the detection of anti-N. caninum antibodies. Results from a further ELISA (IDEXX) were used to provide the "gold standard"N. caninum infection status of the cattle and the ELISA results assessed by two-graph receiver operating characteristic (TG-ROC) analysis. RESULTS: TG-ROC analysis suggested changes to one of the IP ELISA protocols, arriving at a cut-off threshold that was different to the one recommended by the manufacturer. With that change, both of the ELISAs performed with high sensitivity and specificity (in excess of 98%) for bovine sera. CONCLUSIONS: The analysis of the two IP ELISAs when used on individual bovine sera demonstrated high sensitivity and specificity. TG-ROC analyses optimised the cut-off point suggested by the manufacturer for one of these commercial diagnostic assays and found agreement with the manufacturer's cut-off regarding the other assay. This will help with the accurate identification of infected animals and thereby contributing to the control of neosporosis.


Assuntos
Anticorpos Antiprotozoários/sangue , Doenças dos Bovinos/diagnóstico , Coccidiose/veterinária , Ensaio de Imunoadsorção Enzimática/veterinária , Neospora/imunologia , Animais , Bovinos , Doenças dos Bovinos/epidemiologia , Coccidiose/diagnóstico , Coccidiose/epidemiologia , Ensaio de Imunoadsorção Enzimática/normas , Feminino , New South Wales/epidemiologia , Curva ROC , Padrões de Referência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
11.
BMJ Case Rep ; 20162016 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-27702933

RESUMO

We report a case of Erdheim-Chester disease (ECD) with a 25-year history following initial presentation with diabetes insipidus and brainstem involvement. The exceptionally long history is particularly notable, given that ECD is a life-threatening disorder and there is a recognised association between central nervous system involvement and poor outcome. The case is a timely reminder of the presenting features of the condition, given the emergence of potential new treatment options.


Assuntos
Encefalopatias/etiologia , Doença de Erdheim-Chester/complicações , Diabetes Insípido/complicações , Evolução Fatal , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade
12.
Biochim Biophys Acta ; 838(3): 387-9, 1985 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-2982421

RESUMO

Cultured HepG2 cells, derived from a human hepatoma synthesized and released unsaturated, immunoreactive transcobalamin II. Synthesis was confirmed by the blocking with inhibitors of protein synthesis and by incorporation of tritiated leucine into transcobalamin II.


Assuntos
Carcinoma Hepatocelular/metabolismo , Neoplasias Hepáticas/metabolismo , Transcobalaminas/biossíntese , Apoproteínas/biossíntese , Linhagem Celular , Cicloeximida/farmacologia , Humanos , Técnicas Imunológicas , Leucina/metabolismo
13.
Vet Parasitol ; 128(3-4): 231-41, 2005 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-15740860

RESUMO

AIM: To determine the contribution of Neospora caninum to abortions on a dairy farm in NSW (Australia), determine the mode of transmission and develop and trial a control option for infection. METHODS: Two whole herd bleeds were conducted 12 months apart and the association between serological status and abortion events were calculated for a number of bovine abortifacients. Family trees were constructed for N. caninum seropositive cattle in the herd. Some N. caninum seropositive cows were culled from the herd and no female offspring was retained from seropositive cows. RESULTS: At the first whole-herd bleed in December 2002 a seroprevalence of 10.2% for N. caninum infection was detected. Cows with N. caninum infection were 13 times more likely to abort than uninfected ones. Seventy-five percent of seropositive animals in the herd were related, suggesting a high degree of congenital infection/transmission. Only 15% of infections were likely to be postnatally acquired. Selective culling of seropositive cows and not breeding from them reduced the number of seropositive animals. Only one newly sero-converted cow was detected at the second whole-herd bleed 12 months later. CONCLUSIONS: Seroepidemiological approaches were able to establish a high degree of association between N. caninum infection and low-level abortion in the dairy herd. Vertical transmission of infection was the predominant mode of infection and hence control efforts aimed at selectively culling seropositive animals from the herd were highly successful in reducing the level of infection.


Assuntos
Aborto Animal/parasitologia , Doenças dos Bovinos/parasitologia , Coccidiose/veterinária , Transmissão de Doença Infecciosa/veterinária , Transmissão Vertical de Doenças Infecciosas/veterinária , Neospora/isolamento & purificação , Animais , Anticorpos Antiprotozoários/sangue , Portador Sadio/parasitologia , Portador Sadio/veterinária , Bovinos , Doenças dos Bovinos/prevenção & controle , Doenças dos Bovinos/transmissão , Coccidiose/parasitologia , Coccidiose/prevenção & controle , Coccidiose/transmissão , Doenças do Cão/parasitologia , Cães , Ensaio de Imunoadsorção Enzimática/veterinária , Feminino , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , New South Wales , Linhagem , Gravidez , Estudos Soroepidemiológicos
14.
Am J Clin Nutr ; 34(9): 1717-24, 1981 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7282599

RESUMO

The vitamin B12 (cobalamin, Cbl) content of 19 human milks ranged from 0.33 to 3.20 ng/ml, mean 0.97 ng/ml. The milk content of 10 mothers taking 5 to 100 micrograms of supplemental cyanocobalamin daily was not significantly different from that of unsupplemented mothers. The Cbl native to milk was bound to an R type binder. The R binder was also the dominant, by far, unsaturated Cbl binder, but transcobalamin II was found in every milk. The amounts of transcobalamin II were of the same order of magnitude as in serum and seemed to increase with the interval postpartum. Methylcobalamin was the most abundant Cbl of milk. Human milk from well fed mothers contains adequate amounts of Cbl, but the Cbl may become available only if there are sufficient proteolytic enzymes to release it from binding to R binder.


Assuntos
Leite Humano/análise , Vitamina B 12/análise , Cromatografia em Gel , Feminino , Humanos , Peso Molecular , Papaína/metabolismo , Radioimunoensaio , Transcobalaminas/isolamento & purificação , Vitamina B 12/análogos & derivados
15.
Am J Clin Nutr ; 28(8): 854-7, 1975 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-1146744

RESUMO

Levels of plasma folate, erythrocyte folate and serum vitamin B12 were measured in 106 essentially healthy persons grouped both as to race and economic--educational status. Whereas the mean values of the three assays did not differ significantly among groups, values of plasma folate below the usual limits of normal were more prevalent in the migrant worker and urban clinic groups. Persons with low plasma folate levels did not have symptomatic deficiency as evaluated by hematocrit, peripheral blood smears and erythrocyte folate levels. The interpretation of the plasma folate requires reference values from a healthy population selected to be comparable to the study group. The diagnosis of deficiency, or at least the degree of deficiency, requires clinical and laboratory evaluations beyond the plasma folate.


Assuntos
Eritrócitos/metabolismo , Ácido Fólico/sangue , Adulto , Agricultura , População Negra , Escolaridade , Feminino , Deficiência de Ácido Fólico/diagnóstico , Hematócrito , Humanos , Masculino , Recursos Humanos em Hospital , Fatores Sexuais , Fatores Socioeconômicos , Migrantes , População Urbana , Vitamina B 12/sangue
16.
Am J Clin Nutr ; 54(1): 164-8, 1991 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2058579

RESUMO

The Fourth Conference for Federally Supported Human Nutrition Research Units and Centers, sponsored by the Interagency Committee on Human Nutrition Research, addressed two topics: nutrition and function, and nutrient interactions and toxicities. This article summarizes the conference's introductory remarks and the contents of the 34 papers presented. Future meetings of federally supported nutrition research units and centers will focus on other human nutrition research topics and will be held biennially.


Assuntos
Fenômenos Fisiológicos da Nutrição , Pesquisa , Humanos , National Institutes of Health (U.S.) , Estados Unidos
17.
Am J Clin Pathol ; 90(4): 446-9, 1988 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3177266

RESUMO

Presented is a modification of an assay for total serum homocysteine (Hcy) in which the Hcy plus radioactive adenosine is converted enzymatically to labeled S-adenosylhomocysteine (AdoHcy). The modifications included a commerical source for the AdoHcy hydrolase, adenosine labeled with either 14C or 3H, and separation of the AdoHcy by thin layer chromatography. The assay was sensitive to 25 pmol. Hcy levels in sera from 18 controls ranged from 6.9 to 12.1 mumol/L with a mean of 9.1 and a SD of 1.5 mumol/L. The total serum Hcy was increased in vitamin B12 and folate deficiency. The level was high in congenital defects of vitamin B12 metabolism, blocking the methylation of Hcy regardless of the serum vitamin B12 levels, but was normal in the absence of tissue deficiency even if the serum vitamin B12 levels were low. The procedure has been found practical in two years of use and requires only 0.1 mL of serum.


Assuntos
Ácido Fólico/sangue , Homocisteína/sangue , Vitamina B 12/sangue , Adenosina/sangue , Adenosil-Homocisteinase , Adulto , Idoso , Radioisótopos de Carbono , Feminino , Homocisteína/normas , Humanos , Hidrolases/sangue , Lactente , Masculino , Pessoa de Meia-Idade , Padrões de Referência , Trítio
18.
J Clin Pathol ; 34(6): 630-6, 1981 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7019262

RESUMO

Since the presence of analogues of vitamin B12 (B12, cobalamin, Cbl) has been postulated as the basis for the high values obtained by some radioisotope dilution assays (RIDA) of serum Cbl we examined serum for analogues. None could be demonstrated in the extracts of serum prepared for RIDA as sought by both direct and indirect techniques. The natural forms of serum Cbl were converted to cyanocobalamin (CN Cbl) by this process of extraction which included cyanide (CN). The correctly performed RIDA for Cbl based on R binder gave higher values than a RIDA based on intrinsic factor or than by bioassay. By exclusion, the difference appeared to be due to unidentified factors rather than the presence of analogues.


Assuntos
Vitamina B 12/sangue , Cromatografia em Gel , Cromatografia em Camada Fina , Humanos , Técnica de Diluição de Radioisótopos , Cianeto de Sódio , Vitamina B 12/análogos & derivados
19.
Metabolism ; 42(3): 315-9, 1993 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8487649

RESUMO

The effect of supplying exogenous methylcobalamin (MeCbl), a methyl donor to methionine synthase (MS), on the cellular metabolism of MeCbl was tested in cultured fibroblasts from healthy persons and from a subject with an inherited defect in the synthesis of MeCbl. MeCbl bound to transcobalamin II (TCII) was taken up in larger amounts than cyanocobalamin (CN-Cbl), but was equal to the uptake of hydroxocobalamin (OH-Cbl). The form of Cbl in the lysosomes persisted as the same form, bound to TCII, to which the cells were exposed in the medium. Once released from the lysosomes, both MeCbl and OH-Cbl were converted in the same proportions to coenzyme forms, suggesting equivalent entry into common cellular pools of Cbl from which active forms are synthesized. Exogenous MeCbl enjoyed no advantage in binding to MS, in synthesis of MeCbl, and in supporting cell division in the absence of methionine. All evidence supported the concept that in human cells the active MeCbl on MS forms de novo on the enzyme. It appeared unlikely that therapeutic MeCbl would have any advantage over OH-Cbl in the treatment of MeCbl deficiency or Cbl deficiency in general.


Assuntos
Fibroblastos/citologia , Fibroblastos/metabolismo , Vitamina B 12/análogos & derivados , 5-Metiltetra-Hidrofolato-Homocisteína S-Metiltransferase/metabolismo , Divisão Celular , Linhagem Celular , Citosol/química , Citosol/metabolismo , Humanos , Pulmão/citologia , Lisossomos/metabolismo , Metionina/metabolismo , Vitamina B 12/sangue , Vitamina B 12/química , Vitamina B 12/metabolismo
20.
Science ; 241(4874): 1738-9, 1988 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-17783117
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