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1.
Nat Ecol Evol ; 2024 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-39103674

RESUMO

Global change is associated with variable shifts in the annual production of aboveground plant biomass, suggesting localized sensitivities with unclear causal origins. Combining remotely sensed normalized difference vegetation index data since the 1980s with contemporary field data from 84 grasslands on 6 continents, we show a widening divergence in site-level biomass ranging from +51% to -34% globally. Biomass generally increased in warmer, wetter and species-rich sites with longer growing seasons and declined in species-poor arid areas. Phenological changes were widespread, revealing substantive transitions in grassland seasonal cycling. Grazing, nitrogen deposition and plant invasion were prevalent in some regions but did not predict overall trends. Grasslands are undergoing sizable changes in production, with implications for food security, biodiversity and carbon storage especially in arid regions where declines are accelerating.

3.
Sci Data ; 11(1): 21, 2024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-38172116

RESUMO

Standard and easily accessible cross-thematic spatial databases are key resources in ecological research. In Switzerland, as in many other countries, available data are scattered across computer servers of research institutions and are rarely provided in standard formats (e.g., different extents or projections systems, inconsistent naming conventions). Consequently, their joint use can require heavy data management and geomatic operations. Here, we introduce SWECO25, a Swiss-wide raster database at 25-meter resolution gathering 5,265 layers. The 10 environmental categories included in SWECO25 are: geologic, topographic, bioclimatic, hydrologic, edaphic, land use and cover, population, transportation, vegetation, and remote sensing. SWECO25 layers were standardized to a common grid sharing the same resolution, extent, and geographic coordinate system. SWECO25 includes the standardized source data and newly calculated layers, such as those obtained by computing focal or distance statistics. SWECO25 layers were validated by a data integrity check, and we verified that the standardization procedure had a negligible effect on the output values. SWECO25 is available on Zenodo and is intended to be updated and extended regularly.

4.
Biol Chem ; 404(11-12): 1123-1136, 2023 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-37632732

RESUMO

Small non-coding RNAs (sncRNA) are involved in many steps of the gene expression cascade and regulate processing and expression of mRNAs by the formation of ribonucleoprotein complexes (RNP) such as the RNA-induced silencing complex (RISC). By analyzing small RNA Seq data sets, we identified a sncRNA annotated as piR-hsa-1254, which is likely derived from the 3'-end of 7SL RNA2 (RN7SL2), herein referred to as snc7SL RNA. The 7SL RNA is an abundant long non-coding RNA polymerase III transcript and serves as structural component of the cytoplasmic signal recognition particle (SRP). To evaluate a potential functional role of snc7SL RNA, we aimed to define its cellular localization by live cell imaging. Therefore, a Molecular Beacon (MB)-based method was established to compare the subcellular localization of snc7SL RNA with its precursor 7SL RNA. We designed and characterized several MBs in vitro and tested those by live cell fluorescence microscopy. Using a multiplex approach, we show that 7SL RNA localizes mainly to the endoplasmic reticulum (ER), as expected for the SRP, whereas snc7SL RNA predominately localizes to the nucleus. This finding suggests a fundamentally different function of 7SL RNA and its derivate snc7SL RNA.


Assuntos
RNA Citoplasmático Pequeno , Partícula de Reconhecimento de Sinal , Partícula de Reconhecimento de Sinal/genética , RNA , RNA Citoplasmático Pequeno/genética , RNA Citoplasmático Pequeno/metabolismo , RNA Mensageiro
5.
New Phytol ; 238(6): 2651-2667, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36960543

RESUMO

Leaf spectra are integrated foliar phenotypes that capture a range of traits and can provide insight into ecological processes. Leaf traits, and therefore leaf spectra, may reflect belowground processes such as mycorrhizal associations. However, evidence for the relationship between leaf traits and mycorrhizal association is mixed, and few studies account for shared evolutionary history. We conduct partial least squares discriminant analysis to assess the ability of spectra to predict mycorrhizal type. We model the evolution of leaf spectra for 92 vascular plant species and use phylogenetic comparative methods to assess differences in spectral properties between arbuscular mycorrhizal and ectomycorrhizal plant species. Partial least squares discriminant analysis classified spectra by mycorrhizal type with 90% (arbuscular) and 85% (ectomycorrhizal) accuracy. Univariate models of principal components identified multiple spectral optima corresponding with mycorrhizal type due to the close relationship between mycorrhizal type and phylogeny. Importantly, we found that spectra of arbuscular mycorrhizal and ectomycorrhizal species do not statistically differ from each other after accounting for phylogeny. While mycorrhizal type can be predicted from spectra, enabling the use of spectra to identify belowground traits using remote sensing, this is due to evolutionary history and not because of fundamental differences in leaf spectra due to mycorrhizal type.


Assuntos
Micorrizas , Traqueófitas , Filogenia , Nitrogênio , Plantas
6.
New Phytol ; 238(2): 549-566, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36746189

RESUMO

Plant ecologists use functional traits to describe how plants respond to and influence their environment. Reflectance spectroscopy can provide rapid, non-destructive estimates of leaf traits, but it remains unclear whether general trait-spectra models can yield accurate estimates across functional groups and ecosystems. We measured leaf spectra and 22 structural and chemical traits for nearly 2000 samples from 103 species. These samples span a large share of known trait variation and represent several functional groups and ecosystems, mainly in eastern Canada. We used partial least-squares regression (PLSR) to build empirical models for estimating traits from spectra. Within the dataset, our PLSR models predicted traits such as leaf mass per area (LMA) and leaf dry matter content (LDMC) with high accuracy (R2 > 0.85; %RMSE < 10). Models for most chemical traits, including pigments, carbon fractions, and major nutrients, showed intermediate accuracy (R2  = 0.55-0.85; %RMSE = 12.7-19.1). Micronutrients such as Cu and Fe showed the poorest accuracy. In validation on external datasets, models for traits such as LMA and LDMC performed relatively well, while carbon fractions showed steep declines in accuracy. We provide models that produce fast, reliable estimates of several functional traits from leaf spectra. Our results reinforce the potential uses of spectroscopy in monitoring plant function around the world.


Assuntos
Ecossistema , Plantas , Análise Espectral/métodos , Folhas de Planta/química , Carbono/análise
7.
Ecol Monogr ; 92(1): e01488, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35864994

RESUMO

Imaging spectroscopy provides the opportunity to incorporate leaf and canopy optical data into ecological studies, but the extent to which remote sensing of vegetation can enhance the study of belowground processes is not well understood. In terrestrial systems, aboveground and belowground vegetation quantity and quality are coupled, and both influence belowground microbial processes and nutrient cycling. We hypothesized that ecosystem productivity, and the chemical, structural and phylogenetic-functional composition of plant communities would be detectable with remote sensing and could be used to predict belowground plant and soil processes in two grassland biodiversity experiments: the BioDIV experiment at Cedar Creek Ecosystem Science Reserve in Minnesota and the Wood River Nature Conservancy experiment in Nebraska. We tested whether aboveground vegetation chemistry and productivity, as detected from airborne sensors, predict soil properties, microbial processes and community composition. Imaging spectroscopy data were used to map aboveground biomass, green vegetation cover, functional traits and phylogenetic-functional community composition of vegetation. We examined the relationships between the image-derived variables and soil carbon and nitrogen concentration, microbial community composition, biomass and extracellular enzyme activity, and soil processes, including net nitrogen mineralization. In the BioDIV experiment-which has low overall diversity and productivity despite high variation in each-belowground processes were driven mainly by variation in the amount of organic matter inputs to soils. As a consequence, soil respiration, microbial biomass and enzyme activity, and fungal and bacterial composition and diversity were significantly predicted by remotely sensed vegetation cover and biomass. In contrast, at Wood River-where plant diversity and productivity were consistently higher-belowground processes were driven mainly by variation in the quality of aboveground inputs to soils. Consequently, remotely sensed functional, chemical and phylogenetic composition of vegetation predicted belowground extracellular enzyme activity, microbial biomass, and net nitrogen mineralization rates but aboveground biomass (or cover) did not. The contrasting associations between the quantity (productivity) and quality (composition) of aboveground inputs with belowground soil attributes provide a basis for using imaging spectroscopy to understand belowground processes across productivity gradients in grassland systems. However, a mechanistic understanding of how above and belowground components interact among different ecosystems remains critical to extending these results broadly.

8.
Nat Commun ; 13(1): 2767, 2022 05 19.
Artigo em Inglês | MEDLINE | ID: mdl-35589739

RESUMO

Monitoring the rapid and extensive changes in plant species distributions occurring worldwide requires large-scale, continuous and repeated biodiversity assessments. Imaging spectrometers are at the core of novel spaceborne sensor fleets designed for this task, but the degree to which they can capture plant species composition and diversity across ecosystems has yet to be determined. Here we use imaging spectroscopy and vegetation data collected by the National Ecological Observatory Network (NEON) to show that at the landscape level, spectral beta-diversity-calculated directly from spectral images-captures changes in plant species composition across all major biomes in the United States ranging from arctic tundra to tropical forests. At the local level, however, the relationship between spectral alpha- and plant alpha-diversity was positive only at sites with high canopy density and large plant-to-pixel size. Our study demonstrates that changes in plant species composition and diversity can be effectively and reliably assessed with imaging spectroscopy across terrestrial ecosystems at the beta-diversity scale-the spatial scale of spaceborne missions-paving the way for close-to-real-time biodiversity monitoring at the planetary level.


Assuntos
Ecossistema , Florestas , Biodiversidade , Plantas , Análise Espectral/métodos
9.
Proc Biol Sci ; 288(1958): 20211290, 2021 09 08.
Artigo em Inglês | MEDLINE | ID: mdl-34465243

RESUMO

Reflectance spectra provide integrative measures of plant phenotypes by capturing chemical, morphological, anatomical and architectural trait information. Here, we investigate the linkages between plant spectral variation, and spectral and resource-use complementarity that contribute to ecosystem productivity. In both a forest and prairie grassland diversity experiment, we delineated n-dimensional hypervolumes using wavelength bands of reflectance spectra to test the association between the spectral space occupied by individual plants and their growth, as well as between the spectral space occupied by plant communities and ecosystem productivity. We show that the spectral space occupied by individuals increased with their growth, and the spectral space occupied by plant communities increased with ecosystem productivity. Furthermore, ecosystem productivity was better explained by inter-individual spectral complementarity than by the large spectral space occupied by productive individuals. Our results indicate that spectral hypervolumes of plants can reflect ecological strategies that shape community composition and ecosystem function, and that spectral complementarity can reveal resource-use complementarity.


Assuntos
Ecossistema , Pradaria , Biodiversidade , Florestas , Humanos , Plantas
10.
J Am Chem Soc ; 142(47): 20216-20231, 2020 11 25.
Artigo em Inglês | MEDLINE | ID: mdl-33180505

RESUMO

Bacterial arylmalonate decarboxylase (AMDase) and evolved variants have become a valuable tool with which to access both enantiomers of a broad range of chiral arylaliphatic acids with high optical purity. Yet, the molecular principles responsible for the substrate scope, activity, and selectivity of this enzyme are only poorly understood to date, greatly hampering the predictability and design of improved enzyme variants for specific applications. In this work, empirical valence bond and metadynamics simulations were performed on wild-type AMDase and variants thereof to obtain a better understanding of the underlying molecular processes determining reaction outcome. Our results clearly reproduce the experimentally observed substrate scope and support a mechanism driven by ground-state destabilization of the carboxylate group being cleaved by the enzyme. In addition, our results indicate that, in the case of the nonconverted or poorly converted substrates studied in this work, increased solvent exposure of the active site upon binding of these substrates can disturb the vulnerable network of interactions responsible for facilitating the AMDase-catalyzed cleavage of CO2. Finally, our results indicate a switch from preferential cleavage of the pro-(R) to the pro-(S) carboxylate group in the CLG-IPL variant of AMDase for all substrates studied. This appears to be due to the emergence of a new hydrophobic pocket generated by the insertion of the six amino acid substitutions, into which the pro-(S) carboxylate binds. Our results allow insight into the tight interaction network determining AMDase selectivity, which in turn provides guidance for the identification of target residues for future enzyme engineering.


Assuntos
Proteínas de Bactérias/química , Carboxiliases/química , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Sítios de Ligação , Biocatálise , Bordetella/enzimologia , Dióxido de Carbono/química , Dióxido de Carbono/metabolismo , Carboxiliases/genética , Carboxiliases/metabolismo , Domínio Catalítico , Interações Hidrofóbicas e Hidrofílicas , Simulação de Dinâmica Molecular , Mutagênese Sítio-Dirigida , Teoria Quântica , Termodinâmica
11.
New Phytol ; 228(2): 485-493, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32579721

RESUMO

Leaf reflectance spectra have been increasingly used to assess plant diversity. However, we do not yet understand how spectra vary across the tree of life or how the evolution of leaf traits affects the differentiation of spectra among species and lineages. Here we describe a framework that integrates spectra with phylogenies and apply it to a global dataset of over 16 000 leaf-level spectra (400-2400 nm) for 544 seed plant species. We test for phylogenetic signal in spectra, evaluate their ability to classify lineages, and characterize their evolutionary dynamics. We show that phylogenetic signal is present in leaf spectra but that the spectral regions most strongly associated with the phylogeny vary among lineages. Despite among-lineage heterogeneity, broad plant groups, orders, and families can be identified from reflectance spectra. Evolutionary models also reveal that different spectral regions evolve at different rates and under different constraint levels, mirroring the evolution of their underlying traits. Leaf spectra capture the phylogenetic history of seed plants and the evolutionary dynamics of leaf chemistry and structure. Consequently, spectra have the potential to provide breakthrough assessments of leaf evolution and plant phylogenetic diversity at global scales.


Assuntos
Folhas de Planta , Sementes , Filogenia , Plantas
12.
Ecol Lett ; 23(2): 370-380, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31773839

RESUMO

Plant spectral diversity - how plants differentially interact with solar radiation - is an integrator of plant chemical, structural, and taxonomic diversity that can be remotely sensed. We propose to measure spectral diversity as spectral variance, which allows the partitioning of the spectral diversity of a region, called spectral gamma (γ) diversity, into additive alpha (α; within communities) and beta (ß; among communities) components. Our method calculates the contributions of individual bands or spectral features to spectral γ-, ß-, and α-diversity, as well as the contributions of individual plant communities to spectral diversity. We present two case studies illustrating how our approach can identify 'hotspots' of spectral α-diversity within a region, and discover spectrally unique areas that contribute strongly to ß-diversity. Partitioning spectral diversity and mapping its spatial components has many applications for conservation since high local diversity and distinctiveness in composition are two key criteria used to determine the ecological value of ecosystems.


Assuntos
Biodiversidade , Ecossistema , Ecologia , Plantas
13.
Nat Ecol Evol ; 2(6): 976-982, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29760440

RESUMO

Biodiversity promotes ecosystem function as a consequence of functional differences among organisms that enable resource partitioning and facilitation. As the need for biodiversity assessments increases in the face of accelerated global change, novel approaches that are rapid, repeatable and scalable are critical, especially in ecosystems for which information about species identity and the number of species is difficult to acquire. Here, we present 'spectral diversity'-a spectroscopic index of the variability of electromagnetic radiation reflected from plants measured in the visible, near-infrared and short-wave infrared regions (400-2,400 nm). Using data collected from the Cedar Creek biodiversity experiment (Minnesota, USA), we provide evidence that the dissimilarity of species' leaf spectra increases with functional dissimilarity and evolutionary divergence time. Spectral diversity at the leaf level explains 51% of total variation in productivity-a proportion comparable to taxonomic (47%), functional (51%) or phylogenetic diversity (48%)-and performs similarly when calculated from high-resolution canopy image spectra. Spectral diversity is an emerging dimension of plant biodiversity that integrates trait variation within and across species even in the absence of taxonomic, functional, phylogenetic or abundance information, and has the potential to transform biodiversity assessment because of its scalability to remote sensing.


Assuntos
Biodiversidade , Filogenia , Folhas de Planta/fisiologia , Fenômenos Fisiológicos Vegetais , Ecossistema , Minnesota , Análise Espectral
14.
Angew Chem Int Ed Engl ; 57(24): 7240-7244, 2018 06 11.
Artigo em Inglês | MEDLINE | ID: mdl-29689601

RESUMO

Ene reductases from the Old Yellow Enzyme (OYE) family reduce the C=C double bond in α,ß-unsaturated compounds bearing an electron-withdrawing group, for example, a carbonyl group. This asymmetric reduction has been exploited for biocatalysis. Going beyond its canonical function, we show that members of this enzyme family can also catalyze the formation of C-C bonds. α,ß-Unsaturated aldehydes and ketones containing an additional electrophilic group undergo reductive cyclization. Mechanistically, the two-electron-reduced enzyme cofactor FMN delivers a hydride to generate an enolate intermediate, which reacts with the internal electrophile. Single-site replacement of a crucial Tyr residue with a non-protic Phe or Trp favored the cyclization over the natural reduction reaction. The new transformation enabled the enantioselective synthesis of chiral cyclopropanes in up to >99 % ee.


Assuntos
Bacillus subtilis/enzimologia , Ciclopropanos/química , Oxirredutases/química , Solanum lycopersicum/enzimologia , Aldeídos/química , Biocatálise , Ciclização , Mononucleotídeo de Flavina/química , Cetonas/química , NADPH Desidrogenase/química , Oxirredução , Engenharia de Proteínas/métodos
15.
Am J Bot ; 104(12): 1878-1890, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29247028

RESUMO

PREMISE OF THE STUDY: Aspen groves along the Niobrara River in Nebraska have long been a biogeographic curiosity due to morphological differences from nearby remnant Populus tremuloides populations. Pleistocene hybridization between P. tremuloides and P. grandidentata has been proposed, but the nearest P. grandidentata populations are currently several hundred kilometers east. We tested the hybrid-origin hypothesis using genetic data and characterized putative hybrids phenotypically. METHODS: We compared nuclear microsatellite loci and chloroplast sequences of Niobrara River aspens to their putative parental species. Parental species and putative hybrids were also grown in a common garden for phenotypic comparison. On the common garden plants, we measured leaf morphological traits and leaf-level spectral reflectance profiles, from which chemical traits were derived. KEY RESULTS: The genetic composition of the three unique Niobrara aspen genotypes is consistent with the hybridization hypothesis and with maternal chloroplast inheritance from P. grandidentata. Leaf margin dentition and abaxial pubescence differentiated taxa, with the hybrids showing intermediate values. Spectral profiles allowed statistical separation of taxa in short-wave infrared wavelengths, with hybrids showing intermediate values, indicating that traits associated with internal structure of leaves and water absorption may vary among taxa. However, reflectance values in the visible region did not differentiate taxa, indicating that traits related to pigments are not differentiated. CONCLUSIONS: Both genetic and phenotypic results support the hypothesis of a hybrid origin for these genetically unique aspens. However, low genetic diversity and ongoing ecological and climatic threats to the hybrid taxon present a challenge for conservation of these relictual boreal communities.


Assuntos
Variação Genética , Hibridização Genética , Populus/anatomia & histologia , Populus/genética , Demografia , Genótipo , Repetições de Microssatélites , Nebraska
16.
Nat Ecol Evol ; 1(10): 1584, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-29185517

RESUMO

In the version of this Comment previously published, in Box 1, the spacing of the GEDI footprints should have read 60 m along the track, not 25 m. Also the second affiliation for Susan Ustin was incorrect, she is only associated with the University of California, Davis. These errors have now been corrected.

19.
Mov Ecol ; 3: 6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26807258

RESUMO

BACKGROUND: The spatial distribution of forage resources is a major driver of animal movement patterns. Understanding where animals forage is important for the conservation of multi-species communities, since interspecific competition can emerge if different species use the same depletable resources. However, determining forage resources in a spatially continuous fashion in alpine grasslands at high spatial resolution was challenging up to now, because terrain heterogeneity causes vegetation characteristics to vary at small spatial scales, and methods for detection of behavioural phases in animal movement patterns were not widely available. We delineated areas coupled to the foraging behaviour of three sympatric ungulate species (chamois, ibex, red deer) using Time Local Convex Hull (T-LoCoH), a non-parametric utilisation distribution method incorporating spatial and temporal autocorrelation structure of GPS data. We used resource maps of plant biomass and plant nitrogen content derived from high-resolution airborne imaging spectroscopy data, and multinomial logistic regression to compare the foraging areas of the three ungulate species. RESULTS: We found significant differences in plant biomass and plant nitrogen content between the core foraging areas of chamois, ibex and red deer. Core foraging areas of chamois were characterised by low plant biomass and low to medium plant nitrogen content. Core foraging areas of ibex were, in contrast, characterised by high plant nitrogen content, but varied in plant biomass, and core foraging areas of red deer had high plant biomass, but varied in plant nitrogen content. CONCLUSIONS: Previous studies carried out in the same study area found no difference in forage consumed by chamois, ibex and red deer. Methodologically, those studies were based on micro-histological analysis of plant fragments identifying them to plant family or functional type level. However, vegetation properties such as productivity (biomass) or plant nutrient content can vary within vegetation communities, especially in highly heterogeneous landscapes. Thus, the combination of high spatial resolution resource maps with a utilisation distribution method allowing to generate behavioural maps (T-LoCoH) provides new insights into the foraging ecology of the three sympatric species, important for their conservation and to monitor expected future changes.

20.
Crit Care ; 13(3): R83, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19493352

RESUMO

INTRODUCTION: The development of resistance by bacterial species is a compelling issue to reconsider indications and administration of antibiotic treatment. Adequate indications and duration of therapy are particularly important for the use of highly potent substances in the intensive care setting. Until recently, no laboratory marker has been available to differentiate bacterial infection from viral or non-infectious inflammatory reaction; however, over the past years, procalcitonin (PCT) is the first among a large array of inflammatory variables that offers this possibility. The present study aimed to investigate the clinical usefulness of PCT for guiding antibiotic therapy in surgical intensive care patients. METHODS: All patients requiring antibiotic therapy based on confirmed or highly suspected bacterial infections and at least two concomitant systemic inflammatory response syndrome criteria were eligible. Patients were randomly assigned to either a PCT-guided (study group) or a standard (control group) antibiotic regimen. Antibiotic therapy in the PCT-guided group was discontinued, if clinical signs and symptoms of infection improved and PCT decreased to <1 ng/ml or the PCT value was >1 ng/ml, but had dropped to 25 to 35% of the initial value over three days. In the control group antibiotic treatment was applied as standard regimen over eight days. RESULTS: A total of 110 surgical intensive care patients receiving antibiotic therapy after confirmed or high-grade suspected infections were enrolled in this study. In 57 patients antibiotic therapy was guided by daily PCT and clinical assessment and adjusted accordingly. The control group comprised 53 patients with a standardized duration of antibiotic therapy over eight days. Demographic and clinical data were comparable in both groups. However, in the PCT group the duration of antibiotic therapy was significantly shorter than compared to controls (5.9 +/- 1.7 versus 7.9 +/- 0.5 days, P < 0.001) without negative effects on clinical outcome. CONCLUSIONS: Monitoring of PCT is a helpful tool for guiding antibiotic treatment in surgical intensive care patients. This may contribute to an optimized antibiotic regimen with beneficial effects on microbial resistance and costs in intensive care medicine. ANNOTATION: Results were previously published in German in Anaesthesist 2008; 57: 571-577 (PMID: 18463831). TRIAL REGISTRATION: ISRCTN10288268.


Assuntos
Antibacterianos/administração & dosagem , Calcitonina/sangue , Monitoramento de Medicamentos , Precursores de Proteínas/sangue , Sepse/sangue , Sepse/tratamento farmacológico , Idoso , Biomarcadores/sangue , Peptídeo Relacionado com Gene de Calcitonina , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Complicações Pós-Operatórias/sangue , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/tratamento farmacológico , Estudos Prospectivos , Sepse/diagnóstico , Síndrome de Resposta Inflamatória Sistêmica/sangue
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