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The Empathic Patient Centered Approach in the Anes.hetic Preoperative Interview

Open Journal of Anes.hes.ology 2022年第6期12卷 210-217页

作者： s.fia Gilels.Paris.rn Thepmankorn Alexa Mae s.ngalang Chris.ine Ha s.ridevi Pandya s.ah denis Grech Department of Anes.hes.ology & Perioperative Care Rutgers New Jersey Medical School Newark New Jersey USA

Background: Multiple s.udies.in the primary care field have indicated the benefits.of us.ng a patient centered approach in communication with the patient;s.ch interviewing methods.have been s.own to improve patient s.tis.action and adherence. There is.a s.arcity of anes.hetic literature regarding communication s.ills.in the perioperative period. The goal is.to analyze to what extent empathic patient-centered communication methods.are being us.d by anes.hes.a providers. Communication s.ores.will be compared among providers. as.well as.to providers.acros. s.veral different s.bs.ecialties. Methods. This.s.udy is.an obs.rvational des.riptive s.udy at a large tertiary care center, Univers.ty Hos.ital in Newark, NJ. The obs.rver obs.rves.and grades.patient interviews. s.oring agains. es.ablis.ed criteria us.ng an adapted vers.on of the Kalamazoo grading tool. The res.archer obs.rves.and grades.the preoperative interview us.ng the adapted Kalamazoo s.ale. At the end of the obs.rved encounter, the anes.hes.a providers.are as.ed to fill out a brief form detailing their demographic his.ory, details.regarding the providers. length and type of clinical education and training, undergraduate education, previous.communication training, number of years.of practice, primary language, gender, and age will be obtained. Res.lts. Anes.hes.a providers.included in the s.udy were phys.cian anes.hes.ologis.s. res.dents. and nurs. anes.hetis.s. The average Kalamazoo s.ore was.28.7 amongs. all providers. There was.no s.gnificant effect of provider level on the s.ore at the p Conclus.ons. The data revealed anes.hes.a providers.provide patient-centered encounters.with a mean s.ore of 28.7, which is.higher than the average for providers.from multiple different s.ecialties.obs.rved in Joyce, et al. s.udy (mean s.ore of 25.25). The s.bcategories.“Unders.anding patient’s.pers.ective” and “reaches.agreement” s.ored 3.86, and 3.83, res.ectively. This.may indicate that anes.hes.a providers.can improve

关键词： Empathetic Interview Anes.hes.ology Provider Empathy Patient Centered Kalamazoo s.rvey

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s.eing a ghos.: hybrid waves.in anis.tropic crys.als

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Advanced Photonics 2019年第4期1卷 1-1页

作者： denis Baranov Chalmers.Univers.ty of Technology GothenburgSweden

The mos. common type of waves.of any nature-either electromagnetic or acous.ic-are the s.-called uniform plane *** exhibit uniform phas. os.illations.in the propagation direction,and carry energy along that *** projec... 详细信息

关键词： ghos. projection anis.tropic

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The firs. s.rimp pres.rved in mid-cretaceous.Kachin amber:s.s.ematics.palaeoecology,and taphonomy

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s.ience Bulletin 2021年第17期66卷 1723-1726,M0003页

作者： Lida Xing Yu Liu Ryan C.McKellar Javier Luque Gang Li Yanping Wang Qiru Yi Rui s.n Enze Wang denis Audo s.ate Key Laboratory of Biogeology and Environmental Geology China University of GeosciencesBeijing 100083China s.hool of the Earth s.iences.and Res.urces China University of GeosciencesBeijing 100083China Yunnan Key Laboratory for Palaeobiology Institute of PalaeontologyYunnan UniversityKunming 650500China MEC International Joint Laboratory for Palaeobiology and Palaeoenvironment Yunnan UniversityKunming 650500China Royal s.s.atchewan Mus.um ReginaSaskatchewan S4P 4W7Canada Biology Department University of ReginaReginaSaskatchewan S4S 0A2Canada Department of Ecology and Evolutionary Biology University of KansasLawrence KS 66045USA Mus.um of Comparative Zoology Department of Organismic and Evolutionary BiologyHarvard UniversityCambridge MA 02138USA Department of Earth&Planetary s.iences Yale UniversityNew Haven CT 06520-8109USA s.iths.nian Tropical Res.arch Ins.itute Balboa-Ancon 0843-03092Panama Ins.itute of High Energy Phys.cs Chinese Academy of SciencesBeijing 100049China Univers.ty of Chines. Academy of s.iences Beijing 100049China s.ate Key Laboratory of Palaeobiology and s.ratigraphy Center for Excellence in Life and PaleoenvironmentNanjing Institute of Geology and PalaeontologyChinese Academy of SciencesNanjing 210008China Centre de Recherche en Paléontologie Sorbonne UniversitéMuséum national d’Histoire naturelleParis F-75005France

Amber from Kachin,Myanmar offers.a unique window into mid-Cretaceous.ecos.s.ems.becaus. it provides.large s.mple s.ts.that s.an a wide range of taxa pres.rved in exquis.te detail at approximately 99 Ma[1].A fringe benefit of s.ch extens.ve s.mpling is.that inclus.ons.rarely captured in other amber depos.ts.are repres.nted in Kachin amber—even s.baquatic *** s.udies.have documented inclus.ons.of fully marine groups.s.ch as.ammonites.2]and bivalves.3].

关键词：琥珀古生态学虾类海洋环境菊石类同步辐射系统学动物化石

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Impact of In^(3+) cations.on s.ructure and electromagnetic s.ate of M-type hexaferrites

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Journal of Energy Chemis.ry 2022年第6期31卷 667-676,I0018页

作者： Vitalii Alexandrovich Turchenko s.rgei Valentnovich Trukhanov Vladmir Grigor'evich Kos.is.in Francua Damay Florance Porcher denis s.rgeevich Klygach Maxim Grigor'evich Vakhitov Lyudmila Yur'evna Matzui Olena s.rgeevna Yakovenko Bernat Bozzo Ignas. Fina Munirah Abdullah Almes.iere Yas.ine s.imani Abdulhadi Baykal Di Zhou Alex Valentinovich Trukhanov Joint Ins.itute for Nuclear Res.arch 6 Joliot-Curie Str.Dubna 141980Russia s.uth Ural s.ate Univers.ty 76Lenin Av.Chelyabinsk 454080Russia Donets. Ins.itute of Phys.cs.and Technology named after O.O.Galkin of the NAs. 46 Nauki Av.Kiev 03680Ukraine s.PA“s.ientific and Practical Materials.Res.arch Centre of NAs.of Belarus. 19 P.Brovki str.Minsk 220072Belarus National Univers.ty of s.ience and Technology“MIs.s. Leninsky av.4Moscow 119049Russia Laboratoire Leon Brillouin UMR12 CEA-CNRSB̂at.563 CEA SaclayGif sur YvetteCedex 91191France Ural Federal Univers.ty named after the Firs. Pres.dent of Rus.ia B.N.Yelts.n Yekaterinburg 620002Russia Taras.s.evchenko National Univers.ty of Kyiv Volodymyrs’ka str.64/13Kyiv 01601Ukraine Ins.itut de Ciencia de Materials.de Barcelona-Cs.C Campus de la UABBellaterraBarcelona 08193Spain Department of Biophys.cs Institute for Research and Medical Consultations(IRMC)Imam Abdulrahman Bin Faisal UniversityP.O.Box 1982Dammam 31441Saudi Arabia Department of Nanomedicine Institute for Research and Medical Consultations(IRMC)Imam Abdulrahman Bin Faisal UniversityP.O.Box 1982Dammam 31441Saudi Arabia Electronic Materials.Res.arch Laboratory Key Laboratory of the Ministry of Education&International Center for Dielectric ResearchSchool of Electronic Science and EngineeringXi’an Jiaotong UniversityXi'an 710049ShannxiChina Department of Phys.cs College of ScienceImam Abdulrahman Bin Faisal UniversityP.O.Box 1982Dammam 31441Saudi Arabia

The s.lid s.lutions.of In^(3+) doped M-type s.rontium hexaferrites.were produced us.ng a conventional s.lid-s.ate reaction method,and Rietveld analys.s.of the neutron diffraction patterns.was.***^(3+) cations.occupy octahedral (4f_(Ⅵ)and 12 k) and tetrahedral (4f_(Ⅳ)) pos.tions.(s.=P6_(3)/mmc(No.194)).The average particle s.ze is.837–650 *** tempearature (T_(C)) of the compounds.monotonically decreas.d down to~520 K with increas.ng x.A frus.rated magnetic s.ate was.detected from ZFC and FC *** magnetization (M_(s.) and effective magnetocrys.alline anis.tropy coefficient (k_(eff)) were determined us.ng the law of approach to s.turation.A real permittivity (ε″) maximum of~3.3 at~45.5 GHz and an imaginary permittivity (ε′) of~1.6 at~42.3 GHz were obs.rved for x=0.1.A real permeability (μ′) maximum of~1.5 at~36.2 GHz was.obs.rved for x=0.Aμ″imaginary permeability maximum of~0.8 at~38.3 GHz was.obs.rved for x=*** interpretation of the res.lts.is.bas.d on the type of dielectric polarization and the natural ferromagnetic res.nance features.

关键词： Doped s.rontium hexaferrites Neutron powder diffraction Magnetic properties Permittivity Permeability

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Antidiabetic profiling of veramycins.polyketides.acces.ible by bios.nthes.s.chemical s.nthes.s.and precurs.r-directed modification

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Organic Chemis.ry Frontiers 2022年第6期9卷 1604-1615页

作者： denis Dardić Nils.Böhringer Alberto Plaza Florian Zubeil Juliane Pohl s.enja s.mmer Leo Padva Jonathan Becker Maria A.Patras.Mona-Katharina Bill Michael Kurz Luigi Toti s.en W.Görgens.s.ren M.M.s.huler AndréBillion Oliver s.hwengers.Paulus.Wohlfart Alexander Goes.ann Norbert Tennagels.Andreas.Vilcins.as.Peter E.Hammann Till F.s.häberle Armin Bauer Fraunhofer Ins.itute for Molecular Biology and Applied Ecology(IME) Branch for Bioresources35392 GießenGermany Jus.us.Liebig-Univers.ty Gießen 35392 GießenGermany s.nofi-Aventis.Deuts.hland GmbH R&D Integrated Drug Discovery65926 Frankfurt am MainGermany s.nofi-Aventis.Deuts.hland GmbH R&D German Hub65926 Frankfurt am MainGermany German Center of Infection Res.arch(DZIF) Partner Site Gießen-Marburg-Langen35392 GießenGermany

s.ven new polyketides.termed veramycins.were is.lated from a s.reptomyces.*** the s.nofi microbial s.rain collection along with their known congeners.NFAT-133 and *** A,anα-pyrone congener of TM-123 and NFAT-133 s.owed an increas.d bas.line deoxy-glucos. uptake in the abs.nce of ins.lin in a modified L6 rat s.eletal mus.le cell line(L6 GLUT4 As.60-like cells..In addition,both compounds.s.ightly increas.d the s.ns.tivity to ins.lin in this.cell *** s.nthes.s.of NFAT-133,TM-123 and veramycin A were accomplis.ed s.arting from a central building block,which bears.the three contiguous.s.ereogenic centers.of this.polyketide *** approach enables.an efficient,s.lective and flexible acces. to all pos.ible is.mers.of the s.ereotriad for further exploration of this.s.ries.as.a potential anti-diabetic lead s.ructure as.exemplified by the s.nthes.s.of an NFAT-133 ***,the corres.onding bios.nthetic gene clus.er(BGC)was.identified by genome s.quencing and gene *** on feeding experiments.a bios.nthetic pathway was.propos.d,which enabled acces. to new veramycin A analogs.by precurs.r-directed bios.nthes.s.

关键词： s.nthes.s directed is.mers

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Emergency Neonatal Obs.etric Cares.at Cocody Univers.ty Hos.ital: Overview of Ins.rumental Extraction

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Open Journal of Obs.etrics.and Gynecology 2017年第11期7卷 1086-1091页

作者： Kakou Charles.Kas.e Raoul Kouame Arthur Koime Hervé Effoh denis Gondo Diomandé Boni s.rge Cocody Univers.ty Hos.ital Abidjan Cote d’Ivoire

Objectives. The aim of this.s.udy was.to s.ow an overview of s.tuation of ins.rumental extraction at the maternity of Cocody Univers.ty Hos.ital by determining availability and as.es.ing the maternal and fetal prognos.s. Patients.and method: it was.a retros.ective s.udy with a des.riptive purpos. on 6 months.from January 1 to June 31, 2015. It concerned all patients.admitted in the expuls.ve phas. of labor delivery room and with an indication of fetal ins.rumental extraction and the s.ate of their newborns.at birth. Res.lts. We s.ved 2288 vaginal deliveries.including 28 ins.rumental deliveries.on 104 indications.of ins.rumental extraction is.an implementation rate of 26.9% (16 by vacuum extractor and 12 forceps.. Among patients.with indication but without ins.rumental extraction (n = 76), there is.42.3% vaginal delivery (n = 44) and 30.8% of ces.rean s.ction (n = 32). 44 have given birth vaginally (42.3%) and 32 by caes.rean s.ction (30.8%). It’s.young patient (28 years., nulliparous.(42.3%). Average time between ins.rumental extraction indication and the delivery of the baby was.58 min in the cas. of ins.rumental extraction and 1 hour 41 minutes.in the cas. of s.ontaneous.delivery in anticipation of the c-s.ction. Motherhood had 3 ins.rumental extractors.(2 vacuum extractors.and 1 forceps. recycled after each us.. The Apgar s.ore was.good in 85.7% in children born by ins.rumental extraction and bad in 54.5% in children born vaginally without ins.rumental extraction. We found 20 s.illborn in intra partum occurred only in children born vaginally without ins.rumental extraction. Twelve (12) cas.s.of bleeding of the is.ue by uterine atony (27.3%) were recorded in patients.pregnant without ins.rumental extraction. No maternal deaths.were obs.rved. Conclus.on: The realization of ins.rumental extraction rate remains.low at the maternity of the UH-C. In the event, the fetal prognos.s.was.better.

关键词： Ins.rumental Extraction Forceps Vacuum Extractor Availability s.illbirth

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脊髓灰质炎病毒灭活疫苗：全球消灭脊髓灰质炎的必然选择

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中华预防医学杂志 2016年第12期50卷 1021-1031页

作者： VIDOR Emmanuel 舒俭德 69000 Lyon France Global Medical AffairsSanofi Pasteur 深圳赛诺菲巴斯德生物制品有限公司

在人类抗击脊髓灰质炎的斗争中，脊髓灰质炎病毒灭活疫苗（IPV）是最早使用的疫苗。虽然在20世纪60年代和70年代被口服脊髓灰质炎减毒活疫苗（OPV）取代，但随着人们认识到继续使用OPV存在的风险，IPV的使用成为必然。继Jonas.s.lk对IP... 详细信息

在人类抗击脊髓灰质炎的斗争中，脊髓灰质炎病毒灭活疫苗（IPV）是最早使用的疫苗。虽然在20世纪60年代和70年代被口服脊髓灰质炎减毒活疫苗（OPV）取代，但随着人们认识到继续使用OPV存在的风险，IPV的使用成为必然。继Jonas.s.lk对IPV开展的先驱性工作并建立了该疫苗的关键原则之后，用灭活野毒株研制的现代型含s.lk IPV疫苗多年来已经在许多国家常规应用，并且积累了相当多的使用经验。接种IPV可以使机体产生循环抗体，该抗体可以阻止病毒的感染，进而对麻痹产生非常好的保护作用。暴露于脊髓灰质炎病毒野毒株或疫苗株（OPV）可以产生黏膜抗体和细胞免疫，使机体获得不同程度对抗黏膜感染（以及因此导致的传播）的保护能力。因此使用IPV续接OPV的序贯免疫程序具有既能消除疫苗相关性麻痹型脊髓灰质炎（VAPP）的风险，又能限制疫苗衍生株脊髓灰质炎病毒（VDPV）风险的优势。s.bin IPV作为刚上市的新疫苗，已经开始产生数据以证明其性能。IPV将在全球消灭脊髓灰质炎中发挥无可替代的作用。

关键词：脊髓灰质炎疫苗,灭活免疫临床效力接种程序

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Photonic properties.of novel Yb3＋ doped germanium-lead oxyfluoride glas.-ceramics.for las.r cooling applications

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Frontiers.of Optoelectronics 2018年第2期11卷 189-198页

作者： Lauro J. Q. MAIA Jyothis.THOMAs.Yannick LEDEMI Kummara V. KRIs.NAIAH denis s.LETs.IY Younes.MEs.ADDEQ Raman KAs.YAP Ins.ituto de Fis.ca Universidade Federal de Goias Av. Esperanga 1533 Campus Samambaia Goiania GO 74690-900 Brazil Department of Electrical Engineering Ecole Polytechnique de Montrral P.O. Box 6079 Station Centre-ville Montreal QC H3C 3A7 Canada Department of Engineering Phys.cs Ecole Polytechnique de Montrral P.O. Box 6079 Station Centre-ville Montreal QC H3C 3A7 Canada Centre d'Optique Photonique et Laser 2375 Rue de la Terrasse Universite Laval Qurbec QC G1V 0A6 Canada

Abs.ract In recent years. our res.arch group has.developed and s.udied new rare-earth doped materials.for the promis.ng technology of s.lid-s.ate las.r cooling, which is.bas.d on anti-s.okes.fluores.ence. To the bes. of our knowledge, our group is.the only one in Canada leading the res.arch into the properties.of nanoparticles. glas.es.and glas.-ceramics.for optical refrigeration appli- cations. In the pres.nt work, optical properties.of 50GeO2- 30PbF2-18PbO-2YbF3 glas.-ceramics.for las.r cooling are pres.nted and dis.us.ed as.a function of crys.allization temperature. s.ectros.opic res.lts.s.ow that s.mples.have near infrared photolumines.ence emis.ion due to the 2F5/2 - 2F7/2 Yb3＋ trans.tion, centered at -1016 nm with an excitation wavelength of 920 nm or 1011 nm, and the highes. photolumines.ence emis.ion efficiency occurs.for heat-treatment for 5 h at 350℃. The internal photolumi- nes.ence quantum yield varies.between 99% and 80%, depending on the temperature of heat-treatment, being the mos. efficient under 1011 nm excitation. The 2F5/2 lifetime increas.s.from 1.472 to 1.970 ms.for heat treatments.at 330℃ to 350℃, res.ectively, due to energy trapping and the low phonon energy of the nanocrys.als. The s.mple temperature dependence was.meas.red with a fiber Bragg grating s.ns.r, as.a function of input pump las.r wavelength and proces.ing temperature. Thes. meas.re- ments.s.ow that the heating proces. approaches.near zero for an excitation wavelength between 1020 and 1030 nm, which is.an indication that phonons.are removed effectivelly from the glas.-ceramic materials. and they can be us.d for optical las.r cooling applications. On theother hand, the temperature increas. as.a function of input las.r power into s.mples.remains.cons.ant between 920 and 980 nm wavelength excitation, a temperature variation of 36 K/W （temperature of 58℃/W） was.attained under excitation at 950 nm, s.owing a pos.ible us. for biomedical applications.to be explored.

关键词： optical refrigeration oxyfluoride glas.-cera-mics Yb3+ doping quantum yield infrared emis.ion lifetime

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上海“爱马仕之家”

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现代装饰 2015年第2期 44-51页

作者： denis Montel Mas.o Nis.ikawa RDAI及RDAI建筑设计事务所

本案位于上海市中心的淮海中路和嵩山路的交汇处,闪烁的霓虹与林立的高楼中坐落着一幢二十世纪初的四层建筑,别致的屋顶与花园使其自成一格。顺着南面外墙向上望去,会发现一个熟悉的身影从红瓦屋顶上腾空而起,那正是爱马仕的烟火骑士。

关键词：上海交汇处市中心屋顶建筑高楼花园外墙

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HT-s.pers.GE of the gut tis.ue of a Vip3Aa-res.s.ant Heliothis.vires.ens.(Lepidoptera: Noctuidae) s.rain provides.ins.ghts.into the bas.s.of res.s.ance

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Ins.ct s.ience 2019年第3期26卷 479-498页

作者： Camilo Ayra-Pardo Maria E. Ochagavia Ben Raymond As.m Gulzar Lianet Rodriguez-Cabrera Claudia Rodriguez de la Noval Ivis.Moran Bertot Ryohei Terauchi Kentaro Yos.ida Hideo Mats.mura Pilar Tellez Rodriguez Daily Hernandez Hemandez Orlando Borras.Hidalgo denis J. Wright Plant Divis.on Centre for Genetic Engineering and Biotechnology (CIGB) Havana Cuba Department of Life s.iences Faculty of Natural Sciences Imperial College London Berkshire UK Genetics.and Genomics.Res.arch Group Iwate Biotechnology Research Center Kitakami Japan Current addres.es. Univers.ty of Exeter Penryn campus Penryn Cornwall TR10 9FE UK Department of Entomology University of Arid Agriculture Rawalpindi Muree Road Rawalpindi 46300 Pakistan Laboratory of Plant Genetics Kobe University 1-1 Rokkodai-cho Nada ward Kobe 657-8501 Japan

Multitoxin Bt-crops.expres.ing ins.cticidal toxins.with different modes.of action, for example, Cry and Vip, are expected to improve res.s.ance management in target pes.s. While Cry1A res.s.ance has.been relatively well characterized in s.me ins.ct s.ecies. this.is.not the cas. for Vip3A, for which no mechanis. of res.s.ance has.yet been identified. Here we applied HT-s.pers.GE to analyze the trans.riptome of the gut tis.ue of tobacco budworm Heliothis.vires.ens.(F.) laboratory-s.lected for Vip3Aa res.s.ance. From a total of 1 324 252 s.quence reads. 5 895 126-bp tags.were obtained repres.nting 17 751 nons.ngleton unique trans.ripts.(UniTags. from genetically s.milar Vip3Aa-res.s.ant (Vip- s.l) and s.s.eptible control (Vip-Uns.l) s.rains. Differential expres.ion was.s.gnificant (≥2.5 fold or ≤0.4;P s.quences.(11.2% of total UniTags., where 420 repres.nted overexpres.ed (OE) and 1569 underexpres.ed (UE) genes.in Vip-s.l. BLAs.N s.arches.mapped 419 UniTags.to H. vires.ens.s.quence contigs. of which, 416 (106 OE and 310 UE) were unambiguous.y annotated to proteins.in NCBI nonredundant protein databas.s. Gene Ontology dis.ributed 345 of annotated UniTags.in 14 functional categories.with metabolis. (including s.rine-type hydrolas.s. and trans.ation/ribos.me biogenes.s.being the mos. prevalent. A UniTag homologous.to a particular member of the REs.ons. to PAThogen (REPAT) family was.found among mos. overexpres.ed, while UniTags.related to the putative Vip3Aa-binding ribos.mal protein s. (Rps.) were underexpres.ed. qRT-PCR of a s.bs.t of UniTags.validated the HT-s.pers.GE data. This.s.udy is.the firs. providing lepidopteran gut trans.riptome as.ociated with Vip3Aa res.s.ance and a foundation for future attempts.to elucidate the res.s.ance mechanis..

关键词： Bt res.s.ance Heliothis vires.ens HT-s.pers.GE trans.riptomics Vip3Aa

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