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1.
Chemosphere ; 303(Pt 1): 135006, 2022 Sep.
Article in English | MEDLINE | ID: mdl-35605725

ABSTRACT

In recent years, the conceptual advancement on green analytical chemistry (GAC) has moved in parallel with efforts to incorporate new screening or quantitative low-cost analytical tools to solve analytical problems. In this sense, the role of solid state techniques that allow the non-invasive analysis (or with a minimum sample treatment) of solid samples cannot be neglected. This review describes the basic principles, instrumentation and advances in the application of X-ray fluorescence instrumentation to the environmental sciences research topics, published between 2006 and 2020. Obviously, and because of the enormous number of works that can be found in the literature, it is not possible to exhaustively cover all published articles and the diversity of topics related to the environment in which a solid state technique like XRF has been applied successfully. It is a question of making a compilation of the instrumentation in use, the significant advances in XRF spectrometry and sample treatment strategies to highlight the potential of its implementation for environmental assessment.


Subject(s)
Spectrometry, X-Ray Emission , Spectrometry, X-Ray Emission/methods , X-Rays
2.
Food Chem ; 383: 132590, 2022 Jul 30.
Article in English | MEDLINE | ID: mdl-35255365

ABSTRACT

In this contribution, the analytical potential of total reflection X-ray fluorescence (TXRF) instrumentation has been evaluated for the determination of major and trace elements in milk powder. TXRF allows the possibility of direct analysis of solid suspensions without the need for a digestion process and therefore it can be a potential analytical candidate for simple and cost-effective analysis. A detailed study to select sample preparation and measurements conditions was carried out. Different quantification approaches (including internal standardization and empirical calibration) were also tested. Finally, the developed TXRF methods (W anode) were validated by a strict comparison with the data from the reference methods on a set of twenty-three samples using robust statistics. Results showed that acceptable results can be obtained for K, Ca, Fe and Zn determination if using adequate calibration approaches. Otherwise, only screening results can be obtained for light elements (P and Cl) in milk powder samples.


Subject(s)
Trace Elements , Animals , Milk/chemistry , Powders , Spectrometry, X-Ray Emission/methods , Trace Elements/analysis , X-Rays
3.
Forensic Sci Int ; 328: 111054, 2021 Nov.
Article in English | MEDLINE | ID: mdl-34666305

ABSTRACT

Capillary diffraction or microdiffraction are standard techniques for characterizing small samples when only a few milligrams are available. On the other hand, we have typical grazing incidence diffraction or different variations of grazing incidence (GI) diffraction used, such as in-plane grazing incidence (IP-GI) or GI using a micro focusing source, to study thin films. However, when few powder micrograms are available, the characterization task is complicated. In the present work, few micrograms of typical forensic samples are analyzed using standard Bragg-Brentano, X-ray powder diffraction geometry, and grazing incidence X-ray micro-diffraction (GIµXRD). Samples include soils, cosmetic eyeshadows, two different pyrotechnic materials, and a highly explosive mixture contained at primer cup of ammunition. The analysis was carried out from 1 to 5 degrees of the incident parallel beam with a shaking sample. Depending on the fixed incident angle, different small regions of the diffraction patterns showed an improvement in the intensity of the peaks with respect to the conventional Bragg-Brentano configuration. However, 3-5 degrees of the fixed incident beam showed the best results. This new data acquisition technique, based on the combination of two known diffraction methods, could be a powerful tool for studying samples outside of forensic sciences such as nanomaterials, medicine, or any other field where the sample quantity is extremely small, also, without the need to transport evidence and travel to external facilities with higher analytical performance such as synchrotron radiation installations or other large experimental facilities.

4.
Anal Chim Acta ; 1075: 27-37, 2019 Oct 10.
Article in English | MEDLINE | ID: mdl-31196421

ABSTRACT

This paper shows a simple, rapid and cost-effective method for multielement analyses of cosmetics. Total reflection X-ray fluorescence spectrometry (TXRF) is used to determine the composition, particularly the presence of potentially toxic elements, of cosmetics. Three sample preparation methods based on suspension preparation were developed for different types of cosmetic samples, e.g. lipsticks, eye shadows and body creams. Limits of detection within the low mg kg-1 range were obtained and enabled cosmetic screening for compliance with the legal thresholds for some major toxic elements. A good accuracy of the results on a wide range of concentration levels (>10000 mg kg-1) was found without the need of sample dilution. Results obtained for most elements in the lipstick and cream samples agreed with those obtained by the reference method recommended by the Food and Drug Administration, based on using inductively coupled plasma techniques after microwave digestion. However, for eyeshadow analysis, a more sophisticate approach is needed to improve the analytical results.

5.
Environ Pollut ; 237: 569-580, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29525624

ABSTRACT

The work was conducted to establish contamination from improper disposal of hazardous wastes containing lead (Pb) and antimony (Sb) into nearby soils. Besides other elements in the affected area, the biological role of Sb, its behaviour in the pedosphere and uptake by plants and the food chain was considered. Wastes contained 139532 ±â€¯9601 mg kg-1 (≈14%) Pb and 3645 ±â€¯194 mg kg-1 (≈0.4%) Sb respectively and variability was extremely high at a decimetre scale. Dramatically high concentrations were also found for As, Cd, Cu, Mn, Ni, Sn and Zn. In adjacent natural soils metal(oid)s amounts decreased considerably (Pb 5034 ±â€¯678 mg kg-1, Sb 112 mg kg-1) though largely exceeded the directives for a given soil use. Metal(oid)s potential mobility was assessed by using H2O→KNO3→EDTA sequential extractions, and EDTA extracts showed the highest concentration suggesting stable humus-metal complexes formation. Nevertheless, selected plants showed high absorption potential of the investigated elements. Pb and Sb values for Dittrichia viscosa grown in wastes was 899 ±â€¯627 mg kg-1 and 37 ±â€¯33 mg kg-1 respectively. The same plant showed 154 ±â€¯99 mg kg-1 Pb and 8 ±â€¯4 mg kg-1 Sb in natural soils. Helichrysum stoechas had 323 ±â€¯305 mg kg-1 Pb, and 8 ±â€¯3 mg kg-1 Sb. Vitis vinifera from alongside vineyards contained 129 ±â€¯88 mg kg-1 Pb and 18 ±â€¯9 mg kg-1 Sb, indicating ability for metal uptake and warning on metal diffusion through the food chain. The biological absorption coefficient (BAC) and the translocation factor (TF) assigned phytoextraction potential to Dittrichia viscosa and Foeniculum vulgare and phytostabilization potential to Helichrysum stoechas. Dissolved metal (oid)s in the analysed water strongly exceeded the current directive being a direct threat for livings. Data warned against the high contamination of the affected area in all its compartments. Even though native plants growing in metal-contaminated sites may have phytoremediation potential, high risk of metal diffusion may threat the whole ecosystem.


Subject(s)
Metals, Heavy/analysis , Soil Pollutants/analysis , Ecosystem , Environmental Monitoring , Hazardous Waste/analysis , Lead/analysis , Metals, Heavy/toxicity , Plants/chemistry , Recycling , Soil/chemistry , Soil Pollutants/toxicity , Spain
6.
Appl Radiat Isot ; 82: 60-6, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23954284

ABSTRACT

The purpose of this work is the elemental mapping of enameled terracotta samples (Zellij), produced between the 13th and 20th centuries in Morocco, collected from five different monuments from Marrakech. These pieces were analyzed by two non-destructive micro X-Ray Fluorescence (XRF) spectrometers, aiming to obtain elemental distribution and elemental composition. From the obtained spectra we have identified the main elements present in the tin-opacified lead glaze. The identification of the decoration colors is based on the different ratios between the fluorescence lines of the main component of the glaze (Pb-Lα line) and the fluorescence lines of the main components of the pigment (Co-Kα, Mn-Kα, Ni-Kα,… lines). The semi-quantitative calculations based on these ratios revealed significant differences between modern and ancient samples.

7.
Anal Bioanal Chem ; 402(4): 1481-92, 2012 Feb.
Article in English | MEDLINE | ID: mdl-21904800

ABSTRACT

Energy dispersive X-ray fluorescence is a common analytical tool for layer thickness measurements in quality control processes in the coating industry, but there are scarce microanalytical applications in order to ascertain semi-quantitative or quantitative information of painted layers. "Oil on copper" painting becomes a suitable material to be analysed by means of X-ray fluorescence spectrometry, due to the metallic nature of substrate and the possibility of applying layered models as used in coating industry. The aim of this work is to study the suitability of a quantitative energy dispersive X-ray fluorescence methodology for the assessment of the areal distribution of pigments and the characterization of painting methods on such kind of pictorial artworks. The method was calibrated using standard reference materials: dried droplets of monoelemental standard solutions laid on a metallic plate of copper. As an example of application, we estimated pigment mass distribution of two "oil on copper" paintings from the sixteenth and eighteenth centuries. Pictorial layers have been complementarily analysed by X-ray diffraction. Apart of the supporting media made of copper or brass, we could identify two different superimposed layers: (a) a preparation layer mainly composed by white lead and (b) the pictorial layer of variable composition depending on the pigments used by the artist on small areas of the painting surface. The areal mass distribution of the different elements identified in the painting pigments (Ca, Cr, Mn, Fe, Zn, Cd, Hg and Pb) have been determined by elemental mapping of some parts of the artworks.

8.
Anal Chem ; 82(18): 7744-51, 2010 Sep 15.
Article in English | MEDLINE | ID: mdl-20718426

ABSTRACT

Selenium content of soils is an important issue due to the narrow range between the nutritious requirement and toxic effects upon Se exposure. However, its determination is challenging due to low concentrations within complex matrices that hamper the analysis in most spectroscopic techniques. In this study, we explored the possibilities of several analytical approaches combined with total reflection X-ray (TXRF) spectrometry for soil Se determinations. The direct analysis of a solid suspension using 20 mg of fine ground material (<50 µm) has a relatively high Se limit of detection (LOD) of 1 mg/kg (worldwide Se average in soils = 0.4 mg/kg) and is therefore only suitable for seleniferous soils. Several fast and simple analytical strategies were developed to decrease matrix effects and improve the LOD for Se determination in soil digests. On one hand, the application of a liquid-liquid extraction procedure using ethyl ether and the introduction of a Cr absorbent in the instrument configuration were carried out to avoid the associated problems on TXRF analysis of soil extracts due to the high Fe concentrations (∼700 mg/L). On the other hand, a dispersive liquid-liquid microextraction procedure (DLLME) before the TXRF analysis of the soil digest was also developed. The effects of various experimental parameters such as sample volume, effect of major elements present in the soil matrix (Fe), and Se concentration in the sample were investigated. The LOD using this analytical methodology (0.05 mg/kg of Se) was comparable to or lower than those obtained in previous works using other popular spectrometric techniques such as GFAAS, ICPMS, and AFS. The calculated Se concentration for JSAC-0411 ([Se] = 1.32 ± 0.27 mg/kg) using the combination of DLLME and TXRF ([Se] = 1.40 ± 0.23 mg/kg) was in agreement with the certified value.


Subject(s)
Selenium/analysis , Soil/chemistry , Spectrum Analysis/methods , Chemical Fractionation , Iron/chemistry , Selenium/isolation & purification , Suspensions
9.
Talanta ; 82(2): 821-7, 2010 Jul 15.
Article in English | MEDLINE | ID: mdl-20602976

ABSTRACT

At present, there is a considerable interest in Hg monitoring in wastewater samples due to its widespread occurrence and the high toxicity of most of its compounds. Hg determination in water samples by means of total reflection X-ray fluorescence spectrometry (TXRF) entails some difficulties due to the high vapor pressure and low boiling point of this element that produce evaporation and loss of Hg from the surface of the reflector during the drying process, commonly used for sample preparation in TXRF analysis. The main goal of the present research was to develop a fast and simple chemical strategy to avoid Hg volatilization during the analysis of wastewater samples by TXRF spectrometry. Three different analytical procedures were tested for this purpose: (i) increasing the viscosity of the wastewater sample by adding a non-ionic surfactant (Triton X-114), (ii) Hg immobilization on the quartz reflectors using the extractant tri-isobutylphosphine (Cyanex 471X) and (iii) formation of a stable and non-volatile Hg complex into the wastewater sample. The best analytical strategy was found to be the formation of a Hg complex with thiourea (pH=10) before the deposition of 10 microL of sample on the reflector for following TXRF analysis. Analytical figures of merit such as linearity, limits of detection, accuracy and precision were carefully evaluated. Finally, the developed methodology was applied for the determination of Hg in different types of wastewater samples (industrial effluents, municipal effluents from conventional systems and municipal effluents from constructed wetlands).


Subject(s)
Mercury/analysis , Water Pollutants, Chemical/analysis , Absorption , Limit of Detection , Mercury/chemistry , Octoxynol , Organometallic Compounds/analysis , Organometallic Compounds/chemistry , Polyethylene Glycols/chemistry , Spectrometry, X-Ray Emission/methods , Surface Properties
10.
Chemosphere ; 80(3): 263-70, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20471056

ABSTRACT

The monitoring of heavy metals in industrial waste water effluents is an important activity in many laboratories. Of special interest is the screening of elemental composition of inlet effluents and quantitative analysis of outlet effluents to study the efficiency of chemical treatment process to eliminate metals and to comply with current established concentration limits, respectively. In this sense, fast analytical methodologies which entail simple sample preparation are desired. In the present work, the possibilities and drawbacks of a benchtop total reflection X-ray fluorescence spectrometer (TXRF) for the rapid and simple determination of some inorganic impurities (As, Ba, Cd, Cu, Cr, Sn, Fe, Mn, Ni, Pb, Se and Zn) in inlet and outlet industrial waste water effluents from metallurgical and tanning leather factories have been tested. An evaluation of different simple sample treatments is presented and it is followed by a discussion of spectral and chemical matrix effects when dealing with this type of samples. Analytical figures of merit such as accuracy, precision and limits of detection have also been carefully studied. Finally, the data obtained by direct TXRF analysis has been compared to that obtained by ICP-OES/ICP-MS after a microwave digestion.


Subject(s)
Industrial Waste/analysis , Water Pollutants, Chemical/analysis , Water Purification/methods , Environmental Monitoring , Reproducibility of Results , Spain , Spectrometry, X-Ray Emission
11.
Appl Spectrosc ; 63(12): 1396-402, 2009 Dec.
Article in English | MEDLINE | ID: mdl-20030986

ABSTRACT

In view of the considerable number of analyses necessary in phytoremediation and plant biology studies, it is important that the analytical procedures used for elemental determination in plant tissues should be fast and cheap, with simple sample preparation, and of adequate accuracy and precision. The aim of the present work was focused on the possibilities and drawbacks of a low-cost benchtop energy dispersive X-ray fluorescence (EDXRF) instrument to be used as an analytical technique for studying the potential use of sunflowers (Helianthus annuus) for the phytoremediation of an abandoned Pb/Zn mining area. The simplicity and the ability to operate at room temperature and open air conditions provides a flexible setup for the rapid analysis of vegetation material without complicated previous sample pretreatments. With the help of different collimator caps, a modest lateral resolution (from 200 mum to 1 mm) was achieved and it was thought to be small enough to study the accumulation of Pb and Zn and its distribution between parts of the vegetation specimens (roots, stems, and leaves); the limits of detection achieved (0.6 ng for Zn and 3.0 ng for Pb) proved to be suitable for the intended purpose. Therefore, obtained data revealed that EDXRF spectrometry could be a useful tool to better understand the metal uptake, translocation, and tolerance mechanisms in vegetation species related to biomonitoring and phytoremediation studies.

12.
Anal Chem ; 81(4): 1404-10, 2009 Feb 15.
Article in English | MEDLINE | ID: mdl-19161258

ABSTRACT

In medicinal chemistry, Pd is perhaps the most-widely utilized precious metal, as catalyst in reactions which represent key transformations toward the synthesis of new active pharmaceutical ingredients (APIs). The disadvantage of this metal-catalyzed chemistry is that expensive and toxic metal residues are invariably left bound to the desired product. Thus, stringent regulatory guidelines exist for the amount of residual Pd that a drug candidate is allowed to contain. In this work, a rapid and simple method for the determination of Pd in API samples by high-energy polarized-beam energy dispersive X-ray fluorescence spectrometry has been developed and validated according to the specification limits of current legislation (10 mg kg(-1) Pd) and the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH guidelines). Sample and calibration standards preparation includes a first step of homogenization and then, in a second step, the pressing of the powdered material into pellets without any chemical treatment. The use of several synthetic calibration standards made of cellulose to simulate the API matrix appears to be an effective means to obtain reliable calibration curves with a good spread of data points over the working range. With the use of the best measuring conditions, the limit of detection (0.11 mg kg(-1) Pd) as well as the limit of quantitation (0.37 mg kg(-1) Pd) achieved meet rigorous requirements. The repeatability of the XRF measurement appeared to be less than 2%, while the precision of the whole method was around 7%. Trueness was evaluated by analyzing spiked API samples at the level of the specification limit and calculating the recovery factor, which was better than 95%. To study the applicability of the developed methodology for the intended purpose, three batches of the studied API were analyzed for their Pd content, and the attained results were comparable to those obtained by the daily routine method (acid digestion plus atomic spectroscopy) used in most pharmaceutical laboratories.


Subject(s)
Palladium/chemistry , Pharmaceutical Preparations/analysis , Pharmaceutical Preparations/chemistry , Spectrometry, X-Ray Emission/methods , Analytic Sample Preparation Methods , Catalysis , Guidelines as Topic , Internationality , Linear Models , Organizations , Reproducibility of Results , Sensitivity and Specificity , Time Factors
13.
Environ Pollut ; 153(2): 476-82, 2008 May.
Article in English | MEDLINE | ID: mdl-17881104

ABSTRACT

Every year between 8 and 9 millions of vehicles in the European Union arrive to their end of life. Car wastes can have a very high metal content, falling into hazardous waste class. A preliminary evaluation of these wastes could be made by metals' leaching test runs which is the main objective of the present study. Evaluation of the total metal content was carried out by X-ray fluorescence and the mobility of these metals using two simple standardized extractions such as the TCLP (Toxicity Characterisation Leaching Procedure) of the US EPA and the German leaching test DIN 38414-S4. Additionally, an extraction test with acetone was performed in order to recognise metals bounded to organic matter. The results show that the total metal content of the ASR can overpass the established values for inert residues. Lead and zinc contents are fairly well correlated with grain-size, whilst other metals' contents do not exhibit clear grain-size dependence.


Subject(s)
Automobiles , Hazardous Waste , Metals, Heavy/analysis , Refuse Disposal , Soil Pollutants/analysis , Adsorption , Lead/analysis , Particulate Matter , Risk Assessment/methods , Spectrometry, X-Ray Emission , Zinc/analysis
14.
Environ Pollut ; 145(1): 179-84, 2007 Jan.
Article in English | MEDLINE | ID: mdl-16777289

ABSTRACT

In this work, characterisation of several ore concentrate remains from an abandoned Pb-Zn mining factory was performed determining chemical and physical properties such as pH, organic carbon content, particle size distribution, total heavy metal content (Pb, Zn, Cu, As and Cd) as well as mineralogical composition which showed, in most cases, the oxidization of the parent ore material (mostly galena: PbS and sphalerite: ZnS) to more mobile fractions as anglesite (PbSO(4)) and goslarite (ZnSO(4)). Moreover, two operational defined extraction procedures commonly used in soil and sediment studies (first and second steps of BCR procedure and DTPA extraction protocol) were applied in the different mining wastes in order to study Pb and Zn mobility and likely bioavailability to Betula pendula growing on the same mining spoils, which presents lead and zinc contents in leaves over ten times background values.


Subject(s)
Betula/metabolism , Environmental Pollutants/pharmacokinetics , Metals, Heavy/pharmacokinetics , Mining , Arsenic/analysis , Biological Availability , Cadmium/analysis , Carbon/analysis , Copper/analysis , Hydrogen-Ion Concentration , Industrial Waste/adverse effects , Lead/analysis , Oxidation-Reduction , Particle Size , Plant Leaves/metabolism , Zinc/analysis
15.
Talanta ; 73(4): 700-9, 2007 Oct 15.
Article in English | MEDLINE | ID: mdl-19073091

ABSTRACT

A methodology for a precise and accurate determination of lead isotope ratios in mining wastes by inductively coupled plasma quadrupole-based mass spectrometry (ICP-QMS) has been developed. The study of instrumental bias factors led to the conclusion that internal correction to compensate mass discrimination is required as well as an interference equation correction when Hg is present. The proposed method has been applied to determine lead isotope ratios in several mining wastes, soils and sediments collected at three mining areas in Spain (Aran Valley, Cartagena and Osor). Statistical analysis highlights that (206)Pb/(207)Pb and (208)Pb/(207)Pb lead isotope ratios can be used as a fingerprint of mining waste origin which is related to the geological age of the lead ore. On the other hand, no statistically significant isotopic differences between original ore samples (galena) and processing wastes within a mining district were found, corroborating a unique lead source. Moreover, the lead isotopic composition of soil and sediment samples collected at the studied mining areas is close to that determined in the mining tailings from the same areas, suggesting that the unusual high content of lead in these samples is derived from mining activities rather than from other lead sources.

16.
Sci Total Environ ; 367(2-3): 988-98, 2006 Aug 31.
Article in English | MEDLINE | ID: mdl-16698069

ABSTRACT

The use of variations in stable Pb isotope ratios has become a well-established diagnostic technique for characterising sources of lead contamination. In this work, lead isotope ratios in mining wastes (lead content 320-130,000 mg kg-1) and vegetation specimens (lead concentration 7-650 mg kg-1) have been determined by inductively coupled plasma quadrupole-based mass spectrometry (ICP-QMS) in order to investigate lead bioaccumulation in Buddleia davidii growing on wastes from two abandoned Pb/Zn mining areas in Spain. The accuracy of the isotope ratio measurements was evaluated by analysing a certified isotopic standard NIST SRM 981. Good agreements were obtained between the lead isotope ratios measured and the certified values (deviations within 0.01-0.2%). The results indicate that the lead isotopic ratios in vegetation samples collected in the mining areas differed from those of a specimen from an uncontaminated site (control sample). However, close lead isotope ratio values were found between vegetation specimens and mining tailings. Therefore, the results suggest that lead in the collected vegetation specimens is most likely related to the influence of mining activities rather than to other sources like past leaded-petrol emissions.


Subject(s)
Environmental Monitoring/statistics & numerical data , Lead/analysis , Plants/chemistry , Cluster Analysis , Environmental Monitoring/methods , Isotopes/analysis , Lead/pharmacokinetics , Mass Spectrometry , Mining , Plants/metabolism , Spain
17.
Aten Primaria ; 20(2): 75-81, 1997 Jun 30.
Article in Spanish | MEDLINE | ID: mdl-9296654

ABSTRACT

OBJECTIVE: The objective of this study was to analyse and quantify the effect of patients gender on Primary Care clinical histories (PCCH) of the over-14 population. DESIGN: An observational cross-sectional study. SETTING: Primary Health Care. PATIENTS AND OTHER PARTICIPANTS: A total sample of 1,449 PCCH from six Health Districts in Catalonia were evaluated. These districts had a professional staff of 55 doctors, 55 nurses and 30 clerical auxiliaries. MEASUREMENTS AND MAIN RESULTS: Internal audit of the random sample of 1,449 PCCH was carried out to see that they satisfied the following criteria: PCCH belonging to population registered in the District, born before 1980 and who had attended for consultation at least once in the previous five years (between 1990 and 1994). To measure the quality of PCCHs, a questionnaire with 23 structured indicators in three sections was used to collect information on recording of sociodemographic data, administrative details and data concerning health. Higher recording of all items occurred in female users, older users, less time elapsed since previous consultation, and when the town where the PC Centre was located had < 1000 inhabitants. CONCLUSIONS: The analysis of the results suggests the need to improve the effectiveness of the PCCH as an instrument to achieve equality in individual care.


Subject(s)
Primary Health Care , Quality of Health Care , Sex Factors , Adolescent , Adult , Age Factors , Aged , Cross-Sectional Studies , Female , Humans , Logistic Models , Male , Medical Audit , Middle Aged , Socioeconomic Factors , Spain , Surveys and Questionnaires
18.
Rev. homeopatica ; 11(29): 28-33, mayo-jun. 1995. tab, graf
Article in Spanish | HomeoIndex Homeopathy | ID: hom-4733

ABSTRACT

Seguimiento de 14 pacientes que sufrian infecciones recidivantes por el virus del condiloma (HPV) en forma de condilomas genitales y/o en el cervix, detectados en exploracion, por citologia, PAP y biopsia, en la mayoria de los casos asociados a una Neoplasia Intrapitelial Cervical (CIN), habian sido tratados previamente con diversos procedimientos microquirurgicos y la infeccion se habia repetido. Posteriormente acudieron a la consulta homeopatica y recibieron los medicamentos expuestos a continuacion.(AU)


Subject(s)
Condylomata Acuminata/therapy , Human Papillomavirus Viruses
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