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Impact of Covid-19 in Cancer Patients Treated with Immunotherapy: A Review 新冠病毒对肿瘤患者免疫治疗的影响
Pub Date : 2020-01-01 DOI: 10.35248/2161-0495.20.10.449
Cristina Saavedra, J. Esteban, L. Sanz, A. Soria
COVID-19 pandemic has been a devastating disease worldwide. Although an important number of young healthy people have been affected, elderly, comorbid and immunosuppressed patients have been especially compromised. Cancer patients usually share several of these features, being considered high risk population. Limited reliable information about cancer patients and COVID-19 are available, especially concerning to the risk that oncological therapies could involve. Immunotherapy is a novel therapy extensively used in oncology. Even though it is not a myelosuppressive treatment, its safety use in this context is unknown. Immunotherapy boosts immune system, mainly cytotoxic T cell response. This suggests that could have a favourable role in viral elimination. However, concerns about a detrimental influence have been discuss in oncological community. Most severe COVID-19 patients usually develop an acute respiratory distress syndrome (ARDS) secondary to a cytokine-release syndrome (CRS). Therefore, exacerbation of an inappropriate and excessive immune response secondary to these therapies is feared. Currently there are not evidence which confirms neither of these hypotheses. Further studies are needed to improve prognosis in these patients.
COVID-19大流行在世界范围内是一种破坏性疾病。虽然有相当数量的年轻健康人受到影响,但老年人、合并症患者和免疫抑制患者尤其受到损害。癌症患者通常具有这些特征,被认为是高危人群。关于癌症患者和COVID-19的可靠信息有限,特别是关于肿瘤治疗可能涉及的风险。免疫疗法是一种广泛应用于肿瘤治疗的新型疗法。尽管它不是一种骨髓抑制治疗,但在这种情况下使用它的安全性尚不清楚。免疫疗法增强免疫系统,主要是细胞毒性T细胞反应。这表明它可能在病毒消除中起着有利的作用。然而,肿瘤学界一直在讨论对其有害影响的担忧。大多数严重的COVID-19患者通常会继发于细胞因子释放综合征(CRS)的急性呼吸窘迫综合征(ARDS)。因此,继发于这些治疗的不适当和过度的免疫反应加剧是令人担忧的。目前还没有证据证实这两种假设。需要进一步的研究来改善这些患者的预后。
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引用次数: 1
A Biochemical Study on the Effects of Fullerene C60 and Fruit Extract of Balanites aegyptica Plant in Ameliorating the Toxicity Induced by Doxorubicin in Streptozotocin Model of Diabetic Male Albino Rats 富勒烯C60和埃及巴兰果提取物改善阿霉素对糖尿病雄性白化大鼠链脲佐菌素毒性的生化研究
Pub Date : 2019-01-03 DOI: 10.4172/2161-0495.1000404
A. EL-Shater, Muhammad Salman, N. Kasem, M. Mahmoud
There were relationship between hyperglycaemic and pharmakinetic of toxicity of doxorubicin that lead to increase oxidative stress on cells. This study was aimed to detect the curative effect of some antioxidants drugs (fullerene C60 and mesocarp fruit extract of Balanites aegyptaica) on the haematological and biochemical of kidney function parameters after induced by diabetes and toxicity with doxorubicin on the rats. Nine groups of adult male albino rats were established (n=8). The first group (Group 1) was served as normal group. Group 2 was injected intraperitoneal (i.p) with by streptozotocin at single dose (45 mg/kg body weight). Diabetic rats (Group 3) were injected intraperitoneal (i.p) with doxorubicin at dose (5 mg/kg body weight) for three days. Diabetic rats (Group 4) were given orally fullerene C60 daily at dose (4 mg/kg body weight). Diabetic rats (Group 5) treated orally by mesocarp fruit extract of Balanites aegyptaica at dose (1.5 ml/kg body weight). (Group 6) treated orally with fullerene C60 plus mesocarp fruit extract of Balanites aegyptaica. Diabetic rats (Group 7) intoxicated DOX treated orally with fullerene C60. Diabetic rats (Group 8) intoxicated DOX treated orally with mesocarp fruit extract of Balanites aegyptaica. Diabetic rats (Group 9) diabetic rats treated orally with fullerene C60 plus mesocarp fruit extract of Balanites aegyptaica. Whole blood and serum were collected for haematological and biochemical of kidney functions examinations, respectively. Diabetes induce, hematotoxicity was determined by a highly significant decrease in Red Blood Cells (RBCs), White Blood Cells (WBCs), Blood Platelets (PLTs), Haemoglobin (Hb) and PCV value, as well as nephropathy was determined by a highly significant increase in creatinne, urea and uric acid. Diabetic rats intoxicated DOX showed reduction in haematological parameters, also, there were highly significant increases in kidney function parameters. Fullerene C60 and mesocarp fruit extract of Balanites aegyptaica ameliorated haematological and kidney functions indices. It could be concluded that Fullerene C60 and Balanites aegyptiaca, clarified a modulatory role against the cellular damage produced by oxidative stress.
阿霉素引起的细胞氧化应激增加与高血糖和药代动力学之间存在一定的关系。本研究旨在检测几种抗氧化药物(富勒烯C60和埃及巴兰中果皮提取物)对糖尿病大鼠血液学和肾脏功能生化指标的疗效及阿霉素对大鼠的毒性。建立成年雄性白化大鼠9组(n=8)。第一组(第一组)为正常组。2组腹腔注射单剂量链脲佐菌素(45 mg/kg体重)。糖尿病大鼠(3组)腹腔注射阿霉素(5 mg/kg体重)3 d。糖尿病大鼠(第4组)每日口服富勒烯C60,剂量为4 mg/kg体重。糖尿病大鼠(第5组)口服埃及巴兰中果皮提取物(1.5 ml/kg体重)。(6)用富勒烯C60加埃及巴兰中果皮提取物口服处理。用富勒烯C60口服DOX致糖尿病大鼠(第7组)。用埃及巴兰中果皮提取物口服DOX致糖尿病大鼠(第8组)。糖尿病大鼠(第9组)用富勒烯C60加埃及巴兰中果皮提取物口服治疗糖尿病大鼠。采集全血和血清,分别进行血液学和生化肾功能检查。糖尿病诱导的血液毒性是由红细胞(rbc)、白细胞(wbc)、血小板(PLTs)、血红蛋白(Hb)和PCV值的显著降低决定的,肾病是由肌酐、尿素和尿酸的显著升高决定的。DOX中毒的糖尿病大鼠血液学指标降低,肾功能指标显著升高。富勒烯C60和埃及巴兰中果皮提取物可改善血液学和肾功能指标。综上所述,富勒烯C60和埃及巴兰对氧化应激引起的细胞损伤具有调节作用。
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引用次数: 0
Dilated Cardiomyopathy in a Young Man with Illicit Cocaine Use: A Case Report 扩张性心肌病在一个年轻人与非法可卡因使用:一个病例报告
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000411
E. Yilmaz, O. Karcioglu
Introduction: Dilated cardiomyopathy (DCM) is a progressive disease of the cardiac myocytes, characterized by enlargement in the ventricle and contractile dysfunction in the presence of normal ventricular wall thickness. Alcohol, Cocaine consumption, and Sarcoidosis are associated with development of DCM. Case report: 31 year old male patient, unemployed for 3 years, was admitted to the emergency department with a chief complaint of dyspnea. His condition worsened over the last three days. His vital signs were as follows: TA 115/75 mmHg, pulse rate 100 bpm, and respiratory rate 27 bpm, temperature 36.5°C. Previously suspected of having sarcoidosis, the patient had a history of alcohol and cocaine abuse. Alcohol and cocaine abuse lasts 7 years. Necrosis and perforation were remarkable in the nasal septum due to cocaine abuse. ST segment elevation of 2 mm in V2-4 leads without any reciprocal changes was noted in the electrocardiogram taken on presentation. Besides, there was 2 mm ST-segment depression in lead V6. Chest X-ray revealed cardiomegaly, marked pleurisy on the right, bilateral hilar congestion, and increased reticular density. Echocardiogram disclosed significantly dilated heart chambers, accompanied by mitral and tricuspid valve regurgitation. Left ventricular ejection fraction was measured at 25%. Imaging and pulmonary findings suggested that the development of DCM might be multifactorial, due to sarcoidosis and cocaine abuse. Conclusion: Heart failure secondary to DCM should be included in the differential diagnosis of patients with dyspnea, especially in those with prominent risk factors such as substance abuse.
扩张型心肌病(DCM)是一种心肌细胞进行性疾病,其特征是在心室壁厚度正常的情况下,心室增大和收缩功能障碍。酒精、可卡因消费和结节病与DCM的发展有关。病例报告:31岁男性患者,失业3年,以呼吸困难为主诉入住急诊科。他的病情在过去三天里恶化了。生命体征:血压115/75 mmHg,脉搏100 bpm,呼吸频率27 bpm,体温36.5℃。先前怀疑患有结节病,患者有酒精和可卡因滥用史。酒精和可卡因滥用持续7年。可卡因滥用导致鼻中隔出现明显的坏死和穿孔。心电图显示,V2-4导联ST段抬高2mm,无任何相互变化。V6导联st段凹陷2mm。胸部x线显示心脏肿大,右侧胸膜炎明显,双侧肺门充血,网状密度增加。超声心动图显示心室明显扩张,伴有二尖瓣和三尖瓣反流。左心室射血分数为25%。影像学和肺部检查提示DCM的发展可能是多因素的,由于结节病和可卡因滥用。结论:DCM继发心力衰竭应纳入呼吸困难患者的鉴别诊断,特别是有药物滥用等突出危险因素的患者。
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引用次数: 0
A Commentary on Treatment of Tricyclic Antidepressant Overdose 三环类抗抑郁药物过量治疗综述
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000410
R. Sawhney, P. McCullough
Tricyclic antidepressants are still widely used for depression and other indications today. These drugs have a narrow therapeutic window and can have significant toxicities, with their cardio toxicity being especially striking and potentially fatal. For these reasons, tricyclic antidepressants are a drug of choice for suicide attempts. A key component in the management of tricyclic antidepressant toxicity is the administration of intravenous sodium bicarbonate which has its own potential adverse effects. In this article, we provide a brief commentary on tricyclic antidepressant toxicity, potential treatments, and a brief case vignette to highlight possible morbidity from toxicity treatment itself.
如今,三环抗抑郁药仍被广泛用于抑郁症和其他适应症。这些药物的治疗窗口很窄,可能有明显的毒性,其心脏毒性尤其显著,可能致命。由于这些原因,三环抗抑郁药是自杀企图的首选药物。管理三环抗抑郁药物毒性的一个关键组成部分是静脉注射碳酸氢钠,这有其潜在的不良反应。在这篇文章中,我们对三环类抗抑郁药物的毒性、潜在的治疗方法进行了简要的评论,并通过一个简短的案例来强调毒性治疗本身可能导致的发病率。
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引用次数: 0
Radical Scavenging Activities of Albumin-Copper Complex against Bromobenzene Induced Hepatotoxicity 白蛋白-铜复合物对溴苯所致肝毒性的清除活性
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000405
D. S. Abdel-Magiud, A. Nassar, A. Shatat, A. Mohamed
This study was performed to examine that copper-albumin complex can restore oxidative damage and cytotoxicity in induced by Bromobenzene (BB) in liver. Rats were divided into three groups. Group I served as control received corn oil only. Group II exposed to BB at a dose of 300 mg/Kg by weight, twice/week, orally, dissolved in corn oil for one month. Group III received BB as previous dose plus copper albumin- Serum total protein and albumin showed significant reduction while the activities of ALT and AST enzymes significantly increased in BB-treated group when compared to control. The antioxidant enzymes activities were found to be decreased in BB treated rats in contrast nitric oxide and lipid peroxidation levels were increased in comparison with normal control. Histopathology revealed that BB had a hepatotoxic effects represented by hepatitis and fatty degeneration. Nile blue positive stain showed lipofuscin and/or ceroid granules. Necrotic nuclei with disintegrated DNA stained with acridine orange. The treated rats with copper-albumin complex reversed the most of parameters to normal control.
本研究旨在探讨铜-白蛋白复合物对溴苯(BB)所致肝脏氧化损伤及细胞毒性的恢复作用。大鼠被分为三组。第一组为对照组,仅饲喂玉米油。II组以300 mg/Kg(按重量计)的剂量,每周2次,口服,溶解于玉米油中,持续1个月。III组以BB为原剂量加铜白蛋白治疗,与对照组相比,BB治疗组血清总蛋白和白蛋白显著降低,ALT和AST活性显著升高。与正常对照相比,BB处理大鼠抗氧化酶活性降低,一氧化氮和脂质过氧化水平升高。组织病理学显示BB具有肝毒性作用,表现为肝炎和脂肪变性。尼罗蓝阳性染色显示脂褐质和/或蜡样颗粒。细胞核坏死,DNA解体,染色为吖啶橙。用铜-白蛋白复合物治疗的大鼠大部分参数与正常对照相反。
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引用次数: 1
Severe Drug-Drug Interactions:Reported and Missed 严重的药物-药物相互作用:报告和遗漏
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000406
J. Nickley, Jack Kain, Kevin Krock, Richard Thomas, A. Pesce
Drug-drug interactions are well known to have major adverse reactions. Many physicians are not aware of all the drugs their patients are taking so these interactions are not known to them. We tested more than 300,000 urine and oral fluid specimens from patients in pain treatment and substance abuse rehabilitation programs for 79 drugs and their metabolites. We used software developed by Elsevier to calculate if there was a severe drug-drug interaction for those specimens which tested positive for two potentially interacting drugs. The severe category was defined as “the use of these medications together is contraindicated, or the medications are not usually taken concurrently because the interaction may be life-threatening or may cause serious harm” We observed 1989 severe interactions. Many were not revealed to the patient’s care giver. We argue such drug-drug interactions are potentially misclassified as “opioid” deaths.
众所周知,药物-药物相互作用会产生主要的不良反应。许多医生并不了解他们的病人正在服用的所有药物,所以他们不知道这些相互作用。我们测试了来自疼痛治疗和药物滥用康复项目患者的30多万份尿液和口服液样本,检测了79种药物及其代谢物。我们使用爱思唯尔开发的软件来计算那些对两种可能相互作用的药物检测呈阳性的样本是否存在严重的药物-药物相互作用。严重的类别被定义为“这些药物一起使用是禁忌的,或者药物通常不同时服用,因为相互作用可能危及生命或可能造成严重伤害”我们观察到1989严重的相互作用。很多都没有透露给病人的护理人员。我们认为这种药物-药物相互作用可能被错误地归类为“阿片类药物”死亡。
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引用次数: 0
Lead and Cadmium Hair Levels in a Sample of Egyptian Children with Attention Deficit Hyperactivity Disorder 埃及注意缺陷多动障碍儿童头发中铅和镉的含量
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000409
Doaa A El-Morsi, A. El-Bakary, Bothina Hasaneen, H. A. El-Atta
Background: Attention Deficit Hyperactivity Disorder (ADHD) is a common neurobehavioral disorders among children. It has multifactorial mechanisms of induction; one that main mechanism is the exposure to neurotoxins. Environmental exposure to lead (Pb) and cadmium (Cd) may be implicated in its development. Objective: This study estimated the correlation between Pb and Cd hair levels and the development of ADHD. Methods: 102 children were divided into two groups: the ADHD group (n=54) diagnosed with ADHD according to (DSM)-IV, Conner's and intelligence quotient scales, control group apparently healthy children (n=48). Hair samples were taken for estimating Pb and Cd levels using Inductively Coupled Plasma (ICP). Results: A statistically significant difference was found regarding Pb levels between the study and the control groups with significant increased risks among female patients, inattention type and those with severe Conner's scale, meanwhile, Cd neither showed insignificant differences in hair levels nor increased risks among ADHD subtypes or grades of Conner's scale. Conclusion: Both metals showed unexpectedly highly elevated levels in study subjects. Lead has a significant relation with weak association to ADHD meanwhile, cadmium had no significant relation.
背景:注意缺陷多动障碍(ADHD)是儿童中一种常见的神经行为障碍。它具有多因子诱导机制;其中一个主要机制是暴露在神经毒素中。环境暴露于铅(Pb)和镉(Cd)可能涉及其发展。目的:研究头发中铅、镉水平与ADHD发展的相关性。方法:将102例患儿分为两组:ADHD组(n=54)根据(DSM)-IV、Conner’s及智商量表诊断为ADHD的患儿,对照组(n=48)明显健康的患儿。取头发样品,用电感耦合等离子体(ICP)测定铅和镉水平。结果:研究组与对照组的Pb水平差异有统计学意义,女性患者、注意力不集中类型和重度Conner’s量表患者的Pb水平差异有统计学意义,而Cd在ADHD亚型和Conner’s量表等级之间的毛发水平差异无统计学意义,且Pb水平差异无统计学意义。结论:这两种金属在研究对象中都显示出出乎意料的高水平。铅与ADHD呈显著相关,与ADHD呈弱相关,镉与ADHD无显著相关。
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引用次数: 4
First-Principles Calculations of the Adsorption Property of C6H7N and C7H9N on Pd-doped TiO2 Anatase (1 0 1) C6H7N和C7H9N在pd掺杂TiO2锐钛矿上吸附性能的第一性原理计算(10 - 1)
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000403
Yingang Gui, Qianqian Wan, Ling-feng Luo
In this work, we proposed a novel Pd-doped TiO2 anatase (1 0 1), material as the gas sensing material to detect typical lung cancer volatile organic compounds: aniline (C6H7N) and o-toluidine (C7H9N). After analyse the adsorption structure, charge transfer, the density of states and band structure, it is found that Pd-TiO2 presents good gas sensing properties to C6H7N and C7H9N. The single doped Pd atom acts as the active site to interact with the gas molecules, which causes the electron redistribution and the change of conductivity of adsorption system. According to the different change characteristics of conductivity upon different gas molecules adsorption, Pd-TiO2 material can not only realize high gas sensitivity, but also realizes selectivity to C6H7N and C7H9N. The calculation results play a guiding role to prepare high-performance Pd-TiO2 material gas sensor in experiment.
在这项工作中,我们提出了一种新的pd掺杂TiO2锐钛矿(1 0 1)材料作为气敏材料来检测典型的肺癌挥发性有机物:苯胺(C6H7N)和邻甲苯胺(C7H9N)。通过对吸附结构、电荷转移、态密度和能带结构的分析,发现Pd-TiO2对C6H7N和C7H9N具有良好的气敏性能。单掺杂的Pd原子作为活性位点与气体分子相互作用,导致吸附体系的电子重分布和电导率的改变。根据不同气体分子吸附后电导率的不同变化特征,Pd-TiO2材料不仅可以实现高气敏,而且可以实现对C6H7N和C7H9N的选择性。计算结果对实验中制备高性能Pd-TiO2材料气体传感器具有指导作用。
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引用次数: 0
Urine Drug Tests for Methamphetamine Show Increasing Use 尿检显示甲基苯丙胺使用量增加
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000408
S. Smiley, J. Nickley, Kevin Krock, Richard Thomas, A. Pesce
We performed 807,535 comprehensive urine drug tests on urine specimens submitted by pain, rehabilitation, internal medicine, and behavioral clinics. The data for positive urine methamphetamine results was extracted. The percentage of methamphetamine per total specimen volume per month was obtained, From April 1, 2016 to October 2016 this value was a little less than 4%, and increased to nearly 6% by April 2018. Methamphetamine is a rarely prescribed drug; thus, these results predominantly indicate illicit drug use. The increase in the percent of specimens with methamphetamine corresponds with the increase in hospitalizations in the time frame set out by Winkelman et al. Our data shows a continued increase up to August 2018 which agrees with the recent release of Overdose Death Rates from the National Institute on Drug Abuse (NIDA)
我们对来自疼痛、康复、内科和行为诊所的尿液标本进行了807,535次综合尿药检测。提取尿甲基苯丙胺阳性结果的数据。从2016年4月1日至2016年10月,甲基苯丙胺占每月总标本量的百分比略低于4%,到2018年4月,该数值上升至近6%。甲基苯丙胺是一种很少开处方的药物;因此,这些结果主要表明使用了非法药物。在Winkelman等人设定的时间框架内,含有甲基苯丙胺的标本百分比的增加与住院人数的增加相对应。我们的数据显示,到2018年8月,这一数字持续上升,这与美国国家药物滥用研究所(NIDA)最近发布的过量死亡率相一致。
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引用次数: 0
Acute Liver Failure Induced by Sorafenib Combined with Diclofenac Sodium: A Case Report 索拉非尼联合双氯芬酸钠致急性肝衰竭1例
Pub Date : 2019-01-01 DOI: 10.4172/2161-0495.1000407
Yue Yin, Yu-Pei Wu, X. Deng, L. Bai, Qing-Xia Li
Introduction: Drug-induced liver injury is one of the most common adverse drug reactions in clinical. Sorafenib is a widely used in hepatoma patients, while diclofenac sodium in patients suffering from cancer pain. Both of the two drugs showed mild and unfrequented liver damage. However, taking both drugs orally at the same time may cause severe liver function abnormity and there are few reports at present. Case report: We'll expatiate on an unusual case of a patient with kidney cancer who takes sorafenib and diclofenac sodium simultaneously and suffered from severe and acute liver failure about nearly two months. Conclusion: Sorafenib and diclofenac are likely to have some interactions. Clinically, the combination of the two should be carefully considered to reduce the potential risk of liver damage and avoid liver failure or even liver necrosis.
前言:药物性肝损伤是临床最常见的药物不良反应之一。索拉非尼是一种广泛用于肝癌患者的药物,而双氯芬酸钠则用于癌症疼痛患者。这两种药物均表现出轻微且罕见的肝损伤。但同时口服两种药物可引起严重的肝功能异常,目前鲜有报道。病例报告:我们将详细介绍一个罕见的病例,肾癌患者同时服用索拉非尼和双氯芬酸钠,近两个月出现严重急性肝功能衰竭。结论:索拉非尼与双氯芬酸可能存在相互作用。临床上应慎重考虑两者联合使用,以降低肝损害的潜在风险,避免肝功能衰竭甚至肝坏死。
{"title":"Acute Liver Failure Induced by Sorafenib Combined with Diclofenac Sodium: A Case Report","authors":"Yue Yin, Yu-Pei Wu, X. Deng, L. Bai, Qing-Xia Li","doi":"10.4172/2161-0495.1000407","DOIUrl":"https://doi.org/10.4172/2161-0495.1000407","url":null,"abstract":"Introduction: Drug-induced liver injury is one of the most common adverse drug reactions in clinical. Sorafenib is a widely used in hepatoma patients, while diclofenac sodium in patients suffering from cancer pain. Both of the two drugs showed mild and unfrequented liver damage. However, taking both drugs orally at the same time may cause severe liver function abnormity and there are few reports at present. Case report: We'll expatiate on an unusual case of a patient with kidney cancer who takes sorafenib and diclofenac sodium simultaneously and suffered from severe and acute liver failure about nearly two months. Conclusion: Sorafenib and diclofenac are likely to have some interactions. Clinically, the combination of the two should be carefully considered to reduce the potential risk of liver damage and avoid liver failure or even liver necrosis.","PeriodicalId":15433,"journal":{"name":"Journal of Clinical Toxicology","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82024128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Journal of Clinical Toxicology
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