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1.
Nanomaterials (Basel) ; 14(2)2024 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-38251133

RESUMO

This study presents a new approach towards the production of sol-gel silica-coated Bi2O3/Gd2O3 cement additives towards the improvement of early mechanical performance and radiation attenuation. Two types of silica coatings, which varied in synthesis method and morphology, were used to coat Bi2O3/Gd2O3 structures and evaluated as a cement filler in Portland cement pastes. Isothermal calorimetry studies and early strength evaluations confirmed that both proposed coating types can overcome retarded cement hydration process, attributed to Bi2O3 presence, resulting in improved one day compressive strength by 300% and 251% (depending on coating method) when compared to paste containing pristine Bi2O3 and Gd2O3 particles. Moreover, depending on the type of chosen coating type, various rheological performances of cement pastes can be achieved. Thanks to the proposed combination of materials, both gamma-rays and slow neutron attenuation in cement pastes can be simultaneously improved. The introduction of silica coating resulted in an increment of the gamma-ray and neutron shielding thanks to the increased probability of radiation interaction. Along with the positive early age effects of the synthesized structures, the 28 day mechanical performance of cement pastes was not suppressed, and was found to be comparable to that of the control specimen. As an outcome, silica-coated structures can be successfully used in radiation-shielding cement-based composites, e.g. with demanding early age performances.

2.
F1000Res ; 12: 341, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37593362

RESUMO

Background: Tigecycline (TGC) is a recently developed antibiotic to battle resistant bacteria. The procedures outlined in the literature for analyzing TGC involve chemical solvents that could be hazardous. Therefore, this study aimed to create a sustainable and stable HPLC technique for quantifying Tigecycline in lyophilized powder. The powerful chemometric tool, experimental design (ED), will be applied to analyze the variables' interaction and impact on the selected analytical target profiles. Response surface methodology provides a tutorial on using the central composite design with three levels of variables and quadratic programming to optimize the design space of the developed method. Methods: The New HPLC method consisted of an aqueous buffer and ethanol as a green mobile phase run on a reversed-phase symmetry C18 column. A full resolution between the Tigecycline and its degradation product peaks was achieved in a short analytical runtime. Results: Further, the specificity, accuracy, precision, robustness and stability indicating power of the proposed approach were verified through stress degrading testing. Conclusions: Finally, the analytical eco-scale and the green Analytical Procedure Index (GAPI) were utilized to determine how environmentally friendly the recommended method was compared to other published approaches.


Assuntos
Antibacterianos , Etanol , Tigeciclina , Cromatografia Líquida de Alta Pressão/métodos , Água
3.
Materials (Basel) ; 16(4)2023 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-36837042

RESUMO

This study reports a potential approach for the valorization of glass waste (GW) that is mainly composed of amorphous silica to prepare lightweight foamed glass (FG). The preparation of FG was achieved by mixing sodium hydroxide with GW powder followed by sintering at a temperature of 800 °C. As-synthesized FG was characterized and applied as an effective adsorbent for the removal of hazardous organic water contaminants, in particular, methylene blue (MB) dye. FG exhibited porosity of 91%, bulk density of 0.65 g/cm3, compressive strength of 4 MPa, and thermal conductivity of 0.27 W/m·K. Theoretical treatment indicated that a monolayer model with one energy site was the best in fitting the removal of MB molecules. The number of MB molecules per active site (n) ranged from 2.20 to 1.70, suggesting vertical orientation and a multi-molecular adsorption mechanism. The density of FG receptor sites (DM) increased with the temperature, and this parameter played a vital role in the adsorption process. The adsorption capacity (Qsat) increased from 255.11 to 305.58 mg/g, which signifies endothermic interactions. MB adsorption on FG was controlled by physical forces such as electrostatic interactions (i.e., the adsorption energies were <20 kJ/mol). The results of this study prove the feasibility of glass waste as an effective and low-cost adsorbent for water remediation.

4.
Asian Pac J Cancer Prev ; 24(1): 215-221, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36708570

RESUMO

OBJECTIVES: In this study, we investigated the association between the IFN-λ3 rs12979860 single nucleotide polymorphism (SNP) and the transition from late fibrosis to HCC in Egyptian HCV-chronically infected patients. METHODS: The rs12979860 SNP was genotyped using real-time PCR in DNA from the whole blood of healthy subjects (n=60) and HCV patient   s (n=342). We stratified the patients into (1) treatment-naïve patients (n=218) with advanced fibrosis (F2-F4, n=123) and HCC (n=95 Treatment-experienced patients (n=124)  who received SOF-based therapy for 12 weeks and achieved SVR (SVR12). DAA-treated patients were divided into 2 groups: group I (n=63) included patients with advanced hepatic fibrosis (F2-F4) who did not develop HCC within a year after treatment, and group II (n=61) included patients who were free of focal hepatic lesions before starting DAA therapy but developed HCC within a year. RESULTS: Our results demonstrated that treatment-naïve patients with the CT/TT genotypes and the T allele were more likely to have HCC (odds ratio 3.1, 95% CI 1.44-6.71, P = 0.003 and odds ratio 1.89, 95% CI 1.28-2.76, P = 0.001, respectively). Binary regression analysis defined 3 independent predictors associated with HCC development: age (odds ratio 1.039, 95% CI 1.004-1.076, P = 0.028), alanine aminotransferase (odds ratio 1.008, 95% CI 1.002-1.015, P = 0.010), and rs12979860 (odds ratio 3.65, 95% CI 1.484-8.969, P = 0.005). CONCLUSIONS: However, the rs12979860 SNP did not show any correlation with the progression of HCC post-treatment. Despite the debate on the contribution of IFN-λ3 rs12979860 to susceptibility to HCV-related HCC, our data confirm the role of this SNP in this context.


Assuntos
Carcinoma Hepatocelular , Hepatite C Crônica , Hepatite C , Neoplasias Hepáticas , Humanos , Antivirais/uso terapêutico , Hepacivirus/genética , Interferon lambda , Carcinoma Hepatocelular/tratamento farmacológico , Hepatite C Crônica/complicações , Hepatite C Crônica/tratamento farmacológico , Hepatite C Crônica/genética , Neoplasias Hepáticas/tratamento farmacológico , Interferons/genética , Interferons/uso terapêutico , Hepatite C/complicações , Polimorfismo de Nucleotídeo Único , Genótipo , Fibrose , Interleucinas/genética
5.
Materials (Basel) ; 16(1)2022 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-36614579

RESUMO

Concrete sulfate attack is of great interest as it represents one of the main reasons of concrete deterioration and poor durability for concrete structures. In this research, the effect of different cement types on concrete sulfate resistance was investigated. This included three concrete classes, namely, low strength concrete, medium strength concrete, and high strength concrete. Blast furnace cement (BFC), sulfate resisting Portland cement (CEM I-SR5), and ordinary Portland cement (OPC) were used in a total of eighteen concrete mixes. Three binder contents of 250 kg/m3, 350 kg/m3, and 450 kg/m3 and a constant silica fume (SF) content were applied in this experimental study. The water/binder (w/b) ratio was varied between 0.4 and 0.8. Concrete specimens were immersed in highly severe effective sodium sulfate solutions (10,000 ppm) for 180 days after standard curing for 28 days. The fresh concrete performance was evaluated through a slump test to attain proper workability. Concrete compressive strength and mass change at 28 days and 180 days were measured before and after immersion in the solution to evaluate the long-term effect of sulfate attack on the proposed concrete durability. Scanning electron microscopy (SEM) analysis was conducted to study the concrete microstructure and its deterioration stages. The obtained results revealed that BFC cement has the best resistance to aggressive sulfate attacks. The strength deterioration of BFC cement was 3.5% with w/b of 0.4 and it increased to about 7.8% when increasing the w/b ratio to 0.6, which are comparable to other types of cement used. The findings of this research confirmed that the quality of concrete, specifically its composition of low permeability, is the best and recommended protection against sulfate attack.

6.
Materials (Basel) ; 14(19)2021 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-34640064

RESUMO

Hybrid cement (HC) can be defined as alkali activated-blended-Portland cement (PC). It is prepared by the addition of an alkaline solution to high-volume aluminosilicate-blended-PC. Although this cement exhibits higher mechanical performance compared to conventional blended one (aluminosilicate-PC blend), it represents lower commercial viability because of the corrosive nature of alkaline solution. Therefore, this study focuses on the preparing one-part HC using dry activator-based BFS (DAS). DAS was prepared by mixing sodium hydroxide (NaOH) with BFS at low water to BFS ratio, followed by drying and grinding to yield DAS-powder. Different contents of DAS (equivalent to 70 wt.% BFS and 1, 2, and 3 wt.% NaOH) were blended with 30 wt.% PC. A mixture containing 70 wt.% BFS and 30 wt.% PC was used as a reference sample. The mortar was adjusted at a sand-powder (BFS-PC and/or DAS-PC) weight ratio of 3:1. The microstructural analysis proved that DAS-powder is mainly composed of sodium calcium aluminosilicate-activated species and unreacted BFS. These species can interact again with water to form calcium aluminum silicate hydrate (C-A-S-H) and NaOH, suggesting that the DAS acts as a NaOH-carrier. One-part HC mortars having 1, 2, and 3 wt.% NaOH recorded 7th day compressive strength values of 82%, 44%, and 27%, respectively, higher than that of the control sample. At 180 days of curing, a significant reduction in compressive strength was observed within the HC mortar having 3 wt.% NaOH. This could be attributed to the increase of Ca (within C-S-H) replacement by Na, forming a Na-rich phase with lower binding capacity. The main hydration products within HC are C-S-H, C-A-S-H, and chabazite as part of the zeolite family.

7.
J Genet Eng Biotechnol ; 19(1): 11, 2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33459881

RESUMO

BACKGROUND: Asthenozoospermia is a chief reason for male seminal pathologies with an impression of around 19% of infertile patients. Spermatozoa mitochondrial DNA variations seem to link with low sperm motility. The objective of the study was to assess the relation between mitochondrial mutations and male sterility, especially in asthenozoospermia. The patient semen samples were investigated by studying the sperm physical characters; motility, viability, and morphological parameters were then classified into normozoospermia and asthenozoospermia. In addition, the level of malondialdehyde (MDA) as a bio-indicator of lipid peroxidation, seminal fructose, and total antioxidant capacity (TAC) were estimated. For molecular analysis, DNA from the semen samples was extracted using a DNA extraction kit. ND1, ND2, and ATPase6 genes were amplified by using a specific primer. After the purification procedure, each PCR product was sequenced to identify the single nucleotide polymorphisms (SNPs) in selected genes. RESULTS: A significant negative correlation between seminal plasma malondialdehyde levels and sperm motility was detected. Meanwhile, TAC analysis revealed significantly lower activity (p ≤ 0.05) in the sample of asthenozoospermic than in normozoospermic men. As regards the seminal plasma fructose, there was no significant difference in the fructose level of normozoospermia and asthenozoospermia cases. At the molecular level, 31 diverse nucleotide substitutions were recognized in mitochondrial DNA. Only ten (10) mutations led to amino acid transformation: four have deleterious effects, four are benign, and the other two have conflicting effectiveness. CONCLUSIONS: This study is the first in Egypt that is concerned with studying the relationship between the mitochondrial DNA mutations in human spermatozoa of asthenozoospermic patients and fertility. The results displayed scientific indications evidenced that there is an association between mitochondrial mutations and male infertility.

8.
Materials (Basel) ; 13(24)2020 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-33353196

RESUMO

This investigation studies the effects of hot water and hot air curing on the strength development, transport properties, and freeze-thaw resistance of mortars incorporating low-heat blast furnace slag cement and nanosilica (NS). Mortar samples were prepared and stored in ambient conditions for 24 h. After demolding, mortar samples were subjected to two different hot curing methods: Hot water and hot air curing (40 °C and 60 °C) for 24 h. For comparison purposes, mortar reference mixes were prepared and cured in water and air at ambient conditions. Strength development (from 1 to 180 days), capillary water porosity, water sorptivity, and freeze-thaw resistance were tested after 180 days of curing. The experimental results showed that both curing regimes accelerate the strength development of mortars, especially in the first seven days of hydration. The highest early strengths were reported for mortars subjected to a temperature of 60 °C, followed by those cured at 40 °C. The hot water curing regime was found to be more suitable, as a result of more stable strength development. Similar findings were observed in regard to durability-related properties. It is worth noting that thermal curing can more efficiently increase strength in the presence of nanosilica, suggesting that NS is more effective in enhancing strength under thermal curing.

9.
Materials (Basel) ; 13(20)2020 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-33066052

RESUMO

This investigation presents the influence of various types of nanoparticles on the performance of ultra high performance concrete (UHPC). Three nanoparticles from waste materials include nano-crushed glass, nano-metakaolin, nano-rice husk ash were prepared using the milling technique. In addition, nano-silica prepared using chemical method at the laboratory is implemented to compare the performance. Several UHPC mixes incorporating different dosages of nanoparticles up to 5% are prepared and tested. Mechanical properties, durability as well as the microstructure of UHPC mixes have been evaluated in order to study the influence of nanoparticles on the hardened characteristics of UHPC. The experimental results showed that early strength is increased by the incorporation of nanomaterials, as compared to the reference UHPC mix. The incorporation of 3% nano-rice husk ash produced the highest compressive strength at 91 day. Microstructural measurements using Scanning Electron Microscopy (SEM), Energy Dispersive X-ray Analysis (EDX), and Thermogravimetric Analysis (TGA) confirm the role of nanomaterials in densifying the microstructure, reducing calcium hydroxide content as well as producing more C-S-H, which improves the strength and reduces the absorption of UHPC. Nanoparticles prepared from waste materials by the milling technique are comparable to chemically prepared nanosilica in improving mechanical properties, refining the microstructure and reducing the absorption of UHPC.

10.
Materials (Basel) ; 13(11)2020 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-32526963

RESUMO

The performance of vacuum insulation panels (VIPs) is strongly affected by several factors, such as panel thickness, design, quality of vacuum, and material type. In particular, the core materials inside VIPs significantly influence their overall performance. Despite their superior insulation performance, VIPs are limited in their widespread use as structural materials, because of their low material strength and the relatively expensive core materials. As an alternative core material that can compensate these limitations, foamed concrete, a type of lightweight concrete with very low density, can be used. In this study, two different types of foamed concrete were used as VIP core materials, with their effects on the thermal behavior of the VIPs having been evaluated using experimental and numerical methods. To confirm and generate numerical models for VIP analysis, micro-computed tomography (micro-CT) was utilized. The obtained results show that insulation effects increase effectively when panels with lightweight concrete are in a vacuum, and both foamed concrete types can be effectively used as VIP core materials.

11.
Heliyon ; 6(3): e03530, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32195388

RESUMO

Neuromuscular blocker agent namely; Vecuronium bromide (VEC) was quantified through developing a simple reversed phase liquid chromatographic (RP-LC) method, in drug substance and in drug product. The proposed method could quantify VEC in the presence of its degradation products produced from exposing VEC to different stress conditions as recommended by the International Conference on harmonization (ICH) guidelines. Acidic (2M HCl), basic (2MNaOH) hydrolysis, oxidation (3% H2O2), photolysis (UV light at 254nm), and thermal (135 °C) degradation were estimated by exposing the drug substances to different stress conditions. The separation of the drug from its degradation products was successfully conducted on Tracer Extrasil CN (150 × 4.6mm; 5µm) column using O-phosphoric acid (pH6; 0.05M)-acetonitrile (50:50v/v) as mobile phase. The detection and quantification was done with UV detection at210nm.The validation data were found to be acceptable over a concentration range10-120 µg/ml. The limit of quantification (LOQ) and detection (LOD) were 8.10 and 2.67 µg/ml, respectively. The proposed method met all criteria for validation in accordance with the International Conference on harmonization (ICH) guidelines. The presented work monitored the degradation profile for VEC under various stress conditions and provided a simple LC method for its routine analysis. The structures of the forced degradation products had been described in details using the MS data and the possible degradation pathways were outlined. Besides, the results obtained from the developed method compared statistically with that of the official method indicting high accuracy and precision.

12.
Materials (Basel) ; 12(19)2019 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-31546591

RESUMO

This study presents the results of an experimental investigation of the effects of nanosilica (NS) on the strength development, transport properties, thermal conductivity, air-void, and pore characteristics of lightweight aggregate concrete (LWAC), with an oven-dry density <1000 kg/m3. Four types of concrete mixtures, containing 0 wt.%, 1 wt.%, 2 wt.%, and 4 wt.% of NS were prepared. The development of flexural and compressive strengths was determined for up to 90 days of curing. In addition, transport properties and microstructural properties were determined, with the use of RapidAir, mercury intrusion porosimetry (MIP), and scanning electron microscopy (SEM) techniques. The experimental results showed that NS has remarkable effects on the mechanical and transport properties of LWACs, even in small dosages. A significant improvement in strength and a reduction of transport properties, in specimens with an increased NS content, was observed. However, the positive effects of NS were more pronounced when a higher amount was incorporated into the mixtures (>1 wt.%). NS contributed to compaction of the LWAC matrix and a modification of the air-void system, by increasing the amount of solid content and refining the fine pore structure, which translated to a noticeable improvement in mechanical and transport properties. On the other hand, NS decreased the consistency, while increasing the viscosity of the fresh mixture. An increment of superplasticizer (SP), along with a decrement of stabilizer (ST) dosages, are thus required.

13.
Nanomaterials (Basel) ; 8(7)2018 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-29949903

RESUMO

Exposure to elevated temperatures has detrimental effects on the properties of cementitious composites, leading to irreversible changes, up to total failure. Various methods have been used to suppress the deterioration of concrete under elevated temperature conditions. Recently, nanomaterials have been introduced as admixtures, which decrease the thermal degradation of cement-based composites after exposure to high temperatures. This paper presents a comprehensive review of recent developments related to the effects of nanoparticles on the thermal resistance of cementitious composites. The review provides an updated report on the effects of temperature on the properties of cement-based composites, as well as a detailed analysis of the available literature regarding the inclusion of nanomaterials and their effects on the thermal degradation of cementitious composites. The data from the studies reviewed indicate that the inclusion of nanoparticles in composites protects from strength loss, as well as contributing to a decrease in disruptive cracking, after thermal exposure. From all the nanomaterials presented, nanosilica has been studied the most extensively. However, there are other nanomaterials, such as carbon nanotubes, graphene oxide, nanoclays, nanoalumina or nano-iron oxides, that can be used to produce heat-resistant cementitious composites. Based on the data available, it can be concluded that the effects of nanomaterials have not been fully explored and that further investigations are required, so as to successfully utilize them in the production of heat-resistant cementitious composites.

14.
Materials (Basel) ; 10(12)2017 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-29186854

RESUMO

Recently, the recycling of waste glass has become a worldwide issue in the reduction of waste and energy consumption. Waste glass can be utilized in construction materials, and understanding its effects on material properties is crucial in developing advanced materials. In this study, recycled crushed and expanded glasses are used as lightweight aggregates for concrete, and their relation to the material characteristics and properties is investigated using several approaches. Lightweight concrete specimens containing only crushed and expanded waste glass as fine aggregates are produced, and their pore and structural characteristics are examined using image-based methods, such as scanning electron microscopy (SEM), X-ray computed tomography (CT), and automated image analysis (RapidAir). The thermal properties of the materials are measured using both Hot Disk and ISOMET devices to enhance measurement accuracy. Mechanical properties are also evaluated, and the correlation between material characteristics and properties is evaluated. As a control group, a concrete specimen with natural fine sand is prepared, and its characteristics are compared with those of the specimens containing crushed and expanded waste glass aggregates. The obtained results support the usability of crushed and expanded waste glass aggregates as alternative lightweight aggregates.

15.
PLoS Negl Trop Dis ; 11(6): e0005715, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28665957

RESUMO

BACKGROUND: Dengue is one of the most common infectious diseases. The aim of this study was to systematically review acute disseminated encephalomyelitis (ADEM) and to represent a new case. METHODOLOGY/PRINCIPAL FINDINGS: We searched for articles in nine databases for case reports, series or previous reviews reporting ADEM cases in human. We used Fisher's exact and Mann-Whitney U tests. Classification trees were used to find the predictors of the disease outcomes. We combined findings using fixed- and random-effects models. A 13-year-old girl was admitted to the hospital due to fever. She has a urinary retention. The neurological examinations revealed that she became lethargic and quadriplegic. She had upper limbs weakness and lower limbs complete paraplegia. Her status gradually improved after the treatment. She was nearly intact with the proximal part of her legs had a mild weakness in discharge. The prevalence of ADEM among dengue patients was 0.4% [95% confidence intervals (95% CI) 0.1-2.5%], all neurological disorders among dengue was 2.6% [95% CI 1.8-3.8%], and ADEM among neurological disorders was 6.8% [95% CI 3.4-13%]. The most frequent manifestation of ADEM was altered sensorium/consciousness (58%), seizures and urination problems (35%), vision problems (31%), slurred speech (23%), walk problems (15%) then ataxia (12%). There was a significant difference between cases having complete recovery or bad outcomes in the onset day of neurological manifestations being earlier and in temperature being higher in cases having bad outcomes (p-value < 0.05). This was confirmed by classification trees which included these two variables. CONCLUSIONS/SIGNIFICANCE: The prevalence of ADEM among dengue and other dengue-related neurological disorders is not too rare. The high fever of ADEM cases at admission and earlier onset day of neurological manifestations are associated with the bad outcomes.


Assuntos
Dengue/complicações , Encefalomielite Aguda Disseminada/etiologia , Encefalomielite Aguda Disseminada/patologia , Adolescente , Adulto , Idoso , Proteínas de Transporte , Criança , Pré-Escolar , Encefalomielite Aguda Disseminada/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Proteínas de Membrana , Pessoa de Meia-Idade , Prevalência , Proteínas Carreadoras de Solutos , Adulto Jovem
16.
Echocardiography ; 34(7): 1010-1019, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28548371

RESUMO

BACKGROUND: Dobutamine stress echocardiogram (DSE) is a feasible and safe exercise-independent stress modality for diagnoses of coronary artery disease (CAD), but it is subjective, and operator dependant. Two-dimensional strain at peak stress could overcome these limitations and thus increase the accuracy of DSE. METHODS AND RESULTS: This was a prospective observational study in which 80 patients underwent DSE, two-dimensional strain at peak stress, and coronary angiography. Global longitudinal strains (GLS) cutoff point of -16.75 had 77.42% sensitivity and 83.33% specificity to detect significant CAD. Global circumferential strain (GCS) cutoff point of -20.75 had 93.55% sensitivity and 66.67% specificity to detect significant CAD (P=.003, areas under the curve [AUC]=0.73). The average territorial strain cutoff point for significant left anterior descending (LAD) lesion was -15.4 with 77.78% sensitivity and 82.86% specificity (P=.0001, AUC=0.78) and for non-LAD lesion was -16.9 with 82.93% sensitivity and 53.85% specificity (P=.0009, AUC=0.69). Two-dimensional strain at peak stress showed better agreement than DSE as regard number of vessels affected (K=0.579 vs 0.107), LAD lesion detection (K=0.783 vs 0.438), and non-LAD lesion detection (K=0.699 vs 0.233). Global longitudinal strain (GLS) at peak stress reduced DSE false positivity by 83%; the number of false-positive patients was reduced from 18 patients to only three patients. CONCLUSION: Two-dimensional strain at peak stress had an incremental value over DSE visual assessment/ wall-motion score index (WMSI) in reducing false-positive results of DSE. Two-dimensional strain at peak stress had greater accuracy than DSE alone not only in detection of significant CAD but also in detection of number of vessels with significant lesion as well as CAD localization.


Assuntos
Doença da Artéria Coronariana/diagnóstico por imagem , Doença da Artéria Coronariana/fisiopatologia , Ecocardiografia sob Estresse/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
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