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[PMID]: 29313486
[Au] Autor:de Almeida Basano S; de Souza Almeida Aranha Camargo J; Fontes G; Pereira AR; Medeiros JF; de Oliveira Laudisse MC; de Godoi Mattos Ferreira R; Camargo LMA
[Ad] Address:Universidade Federal de São João Del Rei, Campus Centro Oeste, Divinópolis, Brazil.
[Ti] Title:Phase III Clinical Trial to Evaluate Ivermectin in the Reduction of infection in the Brazilian Amazon.
[So] Source:Am J Trop Med Hyg;98(3):786-790, 2018 Mar.
[Is] ISSN:1476-1645
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The treatment of mansonelliasis is still a challenge because there are few clinical trials for the treatment of the disease. This double-blind, randomized, placebo-controlled study (phase III clinical trial) was conducted to evaluate the effectiveness of a single oral dose of ivermectin (0.15 mg/kg) in the reduction of the microfilaraemia and the occurrence of adverse effects in infected people compared with the control group treated with placebo. A total of 49 microfilaraemic patients were randomly selected from the municipality of Lábrea, State of Amazonas, in the Brazilian Amazon. Among them, 40 patients have concluded the study, 19 treated with ivermectin and 21 treated with placebo. In the first and third days after the treatment, all the patients were clinically evaluated, and the diagnostic and quantification of blood microfilariae through blood filtration in polycarbonate membranes was performed. A significant reduction of the microfilaraemia (99.9%) was observed in the patients who received ivermectin. Slight changes in laboratory test results, without clinical importance, were seen in treated and control groups. Our results suggest that ivermectin is effective and safe for the treatment of infections caused by .
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180308
[Lr] Last revision date:180308
[St] Status:In-Data-Review
[do] DOI:10.4269/ajtmh.17-0698

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Martins, Marilaine
SciELO Brazil full text

[PMID]: 29412356
[Au] Autor:Medeiros JF; Fontes G; Nascimento VLD; Rodrigues M; Cohen J; Andrade EV; Pessoa FAC; Martins M
[Ad] Address:Fundação Oswaldo Cruz-Fiocruz, Laboratório de Entomologia, Porto Velho, RO, Brasil.
[Ti] Title:Sensitivity of diagnostic methods for Mansonella ozzardi microfilariae detection in the Brazilian Amazon Region.
[So] Source:Mem Inst Oswaldo Cruz;113(3):173-177, 2018 Mar.
[Is] ISSN:1678-8060
[Cp] Country of publication:Brazil
[La] Language:eng
[Ab] Abstract:BACKGROUND: The human filarial worm Mansonella ozzardi is highly endemic in the large tributaries of the Amazon River. This infection is still highly neglected and can be falsely negative when microfilariae levels are low. OBJECTIVES: This study investigated the frequency of individuals with M. ozzardi in riverine communities in Coari municipality, Brazilian Amazon. METHODS: Different diagnostic methods including polymerase chain reaction (PCR), blood polycarbonate membrane filtration (PCMF), Knott's method (Knott), digital thick blood smears (DTBS) and venous thick blood smears (VTBS) were used to compare sensitivity and specificity among the methods. Data were analysed using PCMF and Bayesian latent class models (BLCM) as the gold standard. We used BLCM to calculate the prevalence of mansonelliasis based on the results of five diagnostic methods. FINDINGS: The prevalence of mansonelliasis was 35.4% by PCMF and 30.1% by BLCM. PCR and Knott methods both possessed high sensitivity. Sensitivity relative to PCMF was 98.5% [95% confidence interval (CI): 92.0 - 99.7] for PCR and 83.5% (95% CI: 72.9 - 90.5) for Knott. Sensitivity derived by BLCM was 100% (95% CI 93.7 - 100) for PCMF, 100% (95% CI: 93.7 - 100) for PCR and 98.3% (95% CI: 90.6 - 99.9) for Knott. The odds ratio of being diagnosed as microfilaremic increased with age but did not differ between genders. Microfilariae loads were higher in subjects aged 30 - 45 and 45 - 60 years. MAIN CONCLUSIONS: PCMF and PCR were the best methods to assess the prevalence of mansonelliasis in our samples. As such, using these methods could lead to higher prevalence of mansonelliasis in this region than the most commonly used method (i.e., thick blood smears).
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[St] Status:In-Process

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[PMID]: 27733303
[Au] Autor:Develoux M; Hennequin C; Le Loup G; Paris L; Magne D; Belkadi G; Pialoux G
[Ad] Address:AP-HP, Hôpital Saint-Antoine, Service de Parasitologie-Mycologie, F-75012 Paris, France.
[Ti] Title:Imported filariasis in Europe: A series of 31 cases from Metropolitan France.
[So] Source:Eur J Intern Med;37:e37-e39, 2017 Jan.
[Is] ISSN:1879-0828
[Cp] Country of publication:Netherlands
[La] Language:eng
[Mh] MeSH terms primary: Carpal Tunnel Syndrome/etiology
Chorioretinitis/etiology
Dermatitis/etiology
Emigration and Immigration
Filariasis/complications
Pruritus/etiology
Travel
[Mh] MeSH terms secundary: Adult
Africa
Aged
Cohort Studies
Female
Filariasis/diagnosis
Filariasis/physiopathology
France
Humans
Loiasis/complications
Loiasis/diagnosis
Loiasis/physiopathology
Male
Mansonelliasis/complications
Mansonelliasis/diagnosis
Mansonelliasis/physiopathology
Middle Aged
Onchocerciasis/complications
Onchocerciasis/diagnosis
Onchocerciasis/physiopathology
Retrospective Studies
Young Adult
[Pt] Publication type:LETTER
[Em] Entry month:1707
[Cu] Class update date: 170817
[Lr] Last revision date:170817
[Js] Journal subset:IM
[Da] Date of entry for processing:161014
[St] Status:MEDLINE

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[PMID]: 28053918
[Au] Autor:Kabego L; Kasengi JB; Mirindi P; Ruhanya V; Lupande D; Bulabula A; Ngoma P
[Ad] Address:MD, Université Catholique de Bukavu, Bukavu, Democratic Republic of Congo, Department of Virology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
[Ti] Title:Pulmonary localization of in a 16 months-old male patient in a tertiary care hospital in Bukavu, Democratic Republic of Congo.
[So] Source:Germs;6(4):151-154, 2016 Dec.
[Is] ISSN:2248-2997
[Cp] Country of publication:Romania
[La] Language:eng
[Ab] Abstract:INTRODUCTION: is a human filarial parasite transmitted by biting midges (Diptera: Ceratopogonidae) belonging to the genus and it is widely spread in sub-Saharan Africa. While most cases are asymptomatic, mansonelliasis can be associated with angioedema, arthralgia, swellings, pain in the scrotum or in serous cavities such as the pleura, the peritoneum, the pericardium, etc. Mansonelliasis can be really hard to treat, but it has been shown that an intensive treatment using albendazole can clear the parasite. CASE REPORT: Here we describe a case of a 16 months-old malnourished child with pneumonia due to in the east of the Democratic Republic of Congo. CONCLUSION: Although our investigations confirmed infection, this case shows that it is very difficult to come to a conclusive diagnosis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1701
[Cu] Class update date: 170816
[Lr] Last revision date:170816
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.11599/germs.2016.1101

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[PMID]: 27896023
[Au] Autor:Direni Mancini JM; Veggiani-Aybar CA; Fuenzalida AD; Lizarralde de Grosso MS; Quintana MG
[Ad] Address:Facultad de Ciencias Naturales e Instituto Miguel Lillo, Universidad Nacional de Tucumán, Instituto Superior de Entomología "Dr. Abraham Willink", San Miguel de Tucumán, Tucumán, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas, San Miguel de Tucumán, Tucumán, Argentina.
[Ti] Title:Ceratopogonidae (Diptera: Nematocera) of the piedmont of the Yungas forests of Tucumán: ecology and distribution.
[So] Source:PeerJ;4:e2655, 2016.
[Is] ISSN:2167-8359
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Within the Ceratopogonidae family, many genera transmit numerous diseases to humans and animals, while others are important pollinators of tropical crops. In the Yungas ecoregion of Argentina, previous systematic and ecological research on Ceratopogonidae focused on , since they are the main transmitters of mansonelliasis in northwestern Argentina; however, few studies included the genera , , , , , and . Therefore, the objective of this study was to determine the presence and abundance of Ceratopogonidae in this region, their association with meteorological variables, and their variation in areas disturbed by human activity. Monthly collection of specimens was performed from July 2008 to July 2009 using CDC miniature light traps deployed for two consecutive days. A total of 360 specimens were collected, being the most abundant genus (48.06%) followed by (26.94%) and (13.61%). Bivariate analyses showed significant differences in the abundance of the genera at different sampling sites and climatic conditions, with the summer season and El Corralito site showing the greatest abundance of specimens. Accumulated rainfall was the variable that related the most to the abundance of (10.56%), while temperature was the most closely related variable to the abundance of , , and .
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1611
[Cu] Class update date: 170816
[Lr] Last revision date:170816
[St] Status:PubMed-not-MEDLINE

  6 / 225 MEDLINE  
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[PMID]: 27402517
[Au] Autor:Ta-Tang TH; Luz SL; Merino FJ; de Fuentes I; López-Vélez R; Almeida TA; Lanza M; Abrahim CM; Rubio JM
[Ad] Address:Malaria and Emerging Parasitic Diseases Laboratory, Parasitology Department, National Microbiology Center, Instituto de Salud Carlos III, Madrid, Spain.
[Ti] Title:Atypical Mansonella ozzardi Microfilariae from an Endemic Area of Brazilian Amazonia.
[So] Source:Am J Trop Med Hyg;95(3):629-32, 2016 Sep 07.
[Is] ISSN:1476-1645
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Mansonellosis is endemic in several regions of Africa, the Caribbean, and Latin America. Mansonella ozzardi and Mansonella perstans have been reported in Latin America, including the Amazon region. A morphological and molecular microfilariae study was performed in Pauini (Brazil). Blood samples were collected from 40 individuals, and were analyzed by Giemsa-stained blood film and by two different nested polymerase chain reactions which detect internal transcribed spacer-1 and the major sperm protein gene. By microscopy, 14 of 40 were positive: 11 as M. ozzardi and three as M. perstans-like infections. Both molecular methods detected 19 positive cases as M. ozzardi, including those 14 individuals detected by microscopy, without detectable genetic differences among any of the 19 positive samples. Molecular techniques showed an improvement of mansonellosis diagnosis and may become an effective tool to evaluate the present status of M. ozzardi and M. perstans in Latin America.
[Mh] MeSH terms primary: Mansonella
Mansonelliasis/parasitology
Microfilariae
[Mh] MeSH terms secundary: Animals
Brazil/epidemiology
Humans
Mansonella/genetics
Mansonella/ultrastructure
Mansonelliasis/diagnosis
Mansonelliasis/epidemiology
Microfilariae/genetics
Microfilariae/ultrastructure
Microscopy
Phylogeny
Polymerase Chain Reaction
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1705
[Cu] Class update date: 170907
[Lr] Last revision date:170907
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:160713
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.15-0654

  7 / 225 MEDLINE  
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[PMID]: 27376501
[Au] Autor:Lima NF; Veggiani Aybar CA; Dantur Juri MJ; Ferreira MU
[Ad] Address:a Department de Parasitology , Institute of Biomedical Sciences, University of São Paulo , São Paulo , Brazil.
[Ti] Title:Mansonella ozzardi: a neglected New World filarial nematode.
[So] Source:Pathog Glob Health;110(3):97-107, 2016 May.
[Is] ISSN:2047-7732
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Mansonella ozzardi (Nematoda: Onchocercidae) is an understudied filarial nematode, originally described by Patrick Manson in 1897, that can be transmitted by two families of dipteran vectors, biting midges (most of them members of the genus Culicoides) and black flies (genus Simulium). With a patchy geographic distribution from southern Mexico to northwestern Argentina, human infection with M. ozzardi is highly prevalent in some of the Caribbean islands, along riverine communities in the Amazon Basin, and on both sides of the border between Bolivia and Argentina. There is no clinical entity unequivocally associated with M. ozzardi infection, although fever, arthralgia, headache, cold lower extremities, and itchy cutaneous rashes are occasionally mentioned in case report series. More recently, ocular manifestations (especially keratitis) have been associated with mansonelliasis, opening an important area of investigation. Here, we briefly review the biology, epidemiology, pathogenesis, and clinical aspects of M. ozzardi infection and point to some existing knowledge gaps, aiming to stimulate a research agenda to help filling them.
[Mh] MeSH terms primary: Mansonella
Mansonelliasis/epidemiology
Mansonelliasis/parasitology
Neglected Diseases/epidemiology
Neglected Diseases/parasitology
[Mh] MeSH terms secundary: Animals
Anthelmintics/pharmacology
Anthelmintics/therapeutic use
Arthropod Vectors/classification
Arthropod Vectors/parasitology
Humans
Mansonella/drug effects
Mansonella/growth & development
Mansonella/isolation & purification
Mansonella/physiology
Mansonelliasis/diagnosis
Mansonelliasis/therapy
Neglected Diseases/diagnosis
Neglected Diseases/therapy
Prevalence
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Nm] Name of substance:0 (Anthelmintics)
[Em] Entry month:1703
[Cu] Class update date: 170501
[Lr] Last revision date:170501
[Js] Journal subset:IM
[Da] Date of entry for processing:160705
[St] Status:MEDLINE
[do] DOI:10.1080/20477724.2016.1190544

  8 / 225 MEDLINE  
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PubMed Central Full text
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[PMID]: 27266512
[Au] Autor:Fontanelli Sulekova L; Gabrielli S; De Angelis M; Milardi GL; Magnani C; Di Marco B; Taliani G; Cancrini G
[Ad] Address:"Dipartimento di Medicina Clinica (Clinica Malattie Infettive e Tropicali)" "Sapienza" Università di Roma, Rome, Italy. lucia.sulekova@gmail.com.
[Ti] Title:Dirofilaria repens microfilariae from a human node fine-needle aspirate: a case report.
[So] Source:BMC Infect Dis;16:248, 2016 Jun 06.
[Is] ISSN:1471-2334
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Human dirofilariosis is still a little known infection even in endemic areas. Dirofilariosis is zoonotic infection usually abortive in humans; instead, we report a very rare case (the 4th in the world), the first in Italy, in which at least two infective larvae became mature adults that mated and produced active microfilariae even though they did not reach peripheral blood. CASE PRESENTATION: A 30-year-old Italian woman presented with a transient oedematous swelling on the left abdominal wall with a creeping eruption followed by the occurrence of a subcutaneous nodular painless mass in the iliac region. One month later, a similar temporary swelling appeared on the contralateral inguinal region associated with intermittent joint discomfort in both knees. The patient had recently travelled abroad, therefore many possible diagnoses were to be ruled out. Routine laboratory investigations revealed eosinophilia. An ultrasound examination of the iliac swelling evidenced a well-defined cyst with a big filamentous formation in continuous movement. A fine-needle aspiration of the lesion was performed for parasitological, cytological and histological exams. The prompt microscopic examination of the aspired material showed the presence of numerous microfilariae that were initially morphologically attributed to Mansonella ozzardi. Subsequently, the revision of the Giemsa stained film and molecular analyses of the biological material, allowed to identify Dirofilaria repens as etiological agent of infection. CONCLUSIONS: We report of a case in whom microfilariae were detected in fine-needle aspirate of subcutaneous node, without evidence of microfilaraemia, and the infection failed to become fully patent. Therefore we confirm that complete development and fertilization of D. repens worms in human hosts may occur, at variance with what is commonly believed, that Dirofilaria worms cannot fully develop in humans.
[Mh] MeSH terms primary: Dirofilaria repens/isolation & purification
Dirofilariasis/diagnosis
Lymph Nodes/parasitology
Mansonelliasis/diagnosis
Microfilariae
[Mh] MeSH terms secundary: Adult
Animals
Biopsy, Fine-Needle
Diagnosis, Differential
Dirofilaria repens/genetics
Female
Humans
Italy
Mansonella
Needles
Polymerase Chain Reaction
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1707
[Cu] Class update date: 170707
[Lr] Last revision date:170707
[Js] Journal subset:IM
[Da] Date of entry for processing:160609
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-016-1582-3

  9 / 225 MEDLINE  
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[PMID]: 27245442
[Au] Autor:Wanji S; Tayong DB; Layland LE; Datchoua Poutcheu FR; Ndongmo WP; Kengne-Ouafo JA; Ritter M; Amvongo-Adjia N; Fombad FF; Njeshi CN; Nkwescheu AS; Enyong PA; Hoerauf A
[Ad] Address:Parasite and Vector Research Unit (PAVRU), Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon. swanji@yahoo.fr.
[Ti] Title:Update on the distribution of Mansonella perstans in the southern part of Cameroon: influence of ecological factors and mass drug administration with ivermectin.
[So] Source:Parasit Vectors;9(1):311, 2016 05 31.
[Is] ISSN:1756-3305
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Mansonellosis remains one of the most neglected of tropical diseases and its current distribution in the entire forest block of southern Cameroon is unknown. In order to address this issue, we have surveyed the distribution of Mansonella perstans in different bioecological zones and in addition, elucidated the influence of multiple rounds of ivermectin (IVM) based mass drug administration (MDA). METHODS: A mixed design was used. Between 2000 and 2014, both cross-sectional and longitudinal surveys were carried out in 137 communities selected from 12 health districts belonging to five main bioecological zones of the southern part of Cameroon. The zones comprised of grassland savanna (GS), mosaic forest savanna (MFS), forested savanna (FS), deciduous equatorial rainforest (DERF) and the dense humid equatorial rainforest (DHERF). The survey was carried out in some areas with no treatment history as well as those currently under IVM MDA. Individuals within the participatory communities were screened for the presence of M. perstans microfilariae (mf) in peripheral blood by the calibrated thick film method to determine both prevalence and geometric mean intensities at the community level. RESULTS: Apart from sporadic cases in savanna areas, distribution of M. perstans was strongly linked to the equatorial rainforest zones. Before CDTI, the highest mean prevalence (70.0 %) and intensity (17,382.2 mf/ml) were obtained in communities in Mamfes' DHERF areas followed by communities in the DHERF zone of Lolodorf (53.8 % and 7,814.8 mf/ml, respectively). A longitudinal survey in Mamfe further showed that M. perstans infections had reduced by 34.5 % in DERF (P < 0.001) but not DHERF zones after ten years of IVM MDA. Further data from the cross-sectional study revealed that there was a decrease in prevalence in DHERF zones only after ten years of MDA. In DERF zones however, the infection was relatively lower after four years of MDA. CONCLUSIONS: The distribution of M. perstans in the southern part of Cameroon varies with bioecological zones and IVM MDA history. The zones with high prevalence and intensities lie in forested areas while those with low endemicity are in the savanna areas. MDA with ivermectin induced significant reduction in the endemicity of mansonellosis in the decidious equatorial rainforest. In contrast, the prevalence and intensity remained relatively high and stable in the dense humid equatorial rainforest zones even after a decade of mass drug administration with ivermectin. Since it is known that M. perstans down-regulates host's immune system, the findings from this work would be useful in designing studies to understand the impact of M. perstans on host immune response to vaccination and co-infection with other pathogens such as Mycobacterium spp. and Plasmodium spp. in areas of contrasting endemicities.
[Mh] MeSH terms primary: Insecticides/administration & dosage
Ivermectin/administration & dosage
Mansonella/growth & development
Mansonelliasis/epidemiology
[Mh] MeSH terms secundary: Animals
Cameroon/epidemiology
Cross-Sectional Studies
Endemic Diseases
Female
Forests
Geography
Humans
Longitudinal Studies
Male
Mansonella/drug effects
Mansonelliasis/drug therapy
Mansonelliasis/prevention & control
Microfilariae
Neglected Diseases
Population Density
Prevalence
Rainforest
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Name of substance:0 (Insecticides); 70288-86-7 (Ivermectin)
[Em] Entry month:1702
[Cu] Class update date: 170227
[Lr] Last revision date:170227
[Js] Journal subset:IM
[Da] Date of entry for processing:160602
[St] Status:MEDLINE
[do] DOI:10.1186/s13071-016-1595-1

  10 / 225 MEDLINE  
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SciELO Brazil full text

[PMID]: 27163575
[Au] Autor:Basano Sde A; Medeiros JF; Fontes G; Vieira Gde D; Camargo JS; Vera LJ; Ferreira Rde G; Camargo LM
[Ad] Address:Centro de Medicina Tropical de Rondônia, Porto Velho, Rondônia, Brazil.
[Ti] Title:Occurrence of Mansonella ozzardi diagnosed using a polycarbonate membrane in a riverside population of Lábrea in the Western Brazilian Amazon.
[So] Source:Rev Soc Bras Med Trop;49(1):115-8, 2016 Feb.
[Is] ISSN:1678-9849
[Cp] Country of publication:Brazil
[La] Language:eng
[Ab] Abstract:INTRODUCTION Mansonella ozzardi is a widely distributed filaria worm in the Amazon region. This study aimed to determine the prevalence of M. ozzardi infection in riverine communities of Lábrea municipality, Amazonas State, Brazil. METHODS A diagnostic blood filtration method in a polycarbonate membrane was used. RESULTS M. ozzardi was found in 50.3% of the sample, with the highest prevalence in farmers/fishermen (69.4%; χ 2 = -19.14, p<0.001). The prevalence was higher in longer-term residents (≥11 years; 60.2%). CONCLUSIONS M. ozzardi infection rates are high near the Purus River, much greater than those previously reported based on diagnosis using thick blood smears.
[Mh] MeSH terms primary: Mansonella/isolation & purification
Mansonelliasis/diagnosis
Mansonelliasis/epidemiology
[Mh] MeSH terms secundary: Adolescent
Adult
Animals
Brazil/epidemiology
Child
Child, Preschool
Female
Humans
Infant
Male
Mansonella/classification
Micropore Filters
Middle Aged
Polycarboxylate Cement
Prevalence
Rural Population
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (Polycarboxylate Cement); 25766-59-0 (polycarbonate)
[Em] Entry month:1701
[Cu] Class update date: 170105
[Lr] Last revision date:170105
[Js] Journal subset:IM
[Da] Date of entry for processing:160511
[St] Status:MEDLINE


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