Elastic Modulus

弹性模量
  • 文章类型: Journal Article
    细胞力学是细胞状态的生物物理指标,比如癌症转移,白细胞活化,和细胞周期进程。原子力显微镜(AFM)是一种广泛用于测量细胞力学的技术,其中细胞的杨氏模量通常来自赫兹接触模型。然而,赫兹模型假设细胞是弹性的,各向同性,和均质材料,并且与单元尺寸相比,压痕较小。这些假设忽略了细胞骨架的影响,细胞大小和形状,和细胞环境对细胞变形的影响。在这项研究中,我们使用脂质体作为细胞模型研究了细胞大小对估计杨氏模量的影响。制备具有不同尺寸的脂质体,并用磷酸盐缓冲盐水(PBS)或透明质酸(HA)填充以模拟细胞质。使用AFM获得力压痕曲线并将其拟合到赫兹模型。我们发现脂质体越大,PBS填充脂质体和HA填充脂质体的估计杨氏模量越低。这表明从赫兹模型获得的杨氏模量不仅是单元材料的属性,而且取决于单元尺寸。因此,当使用赫兹模型比较或解释细胞力学时,重要的是要考虑细胞的大小。
    Cell mechanics are a biophysical indicator of cell state, such as cancer metastasis, leukocyte activation, and cell cycle progression. Atomic force microscopy (AFM) is a widely used technique to measure cell mechanics, where the Young modulus of a cell is usually derived from the Hertz contact model. However, the Hertz model assumes that the cell is an elastic, isotropic, and homogeneous material and that the indentation is small compared to the cell size. These assumptions neglect the effects of the cytoskeleton, cell size and shape, and cell environment on cell deformation. In this study, we investigated the influence of cell size on the estimated Young\'s modulus using liposomes as cell models. Liposomes were prepared with different sizes and filled with phosphate buffered saline (PBS) or hyaluronic acid (HA) to mimic the cytoplasm. AFM was used to obtain the force indentation curves and fit them to the Hertz model. We found that the larger the liposome, the lower the estimated Young\'s modulus for both PBS-filled and HA-filled liposomes. This suggests that the Young modulus obtained from the Hertz model is not only a property of the cell material but also depends on the cell dimensions. Therefore, when comparing or interpreting cell mechanics using the Hertz model, it is essential to account for cell size.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:本研究旨在探讨剪切波弹性成像(SWE)和结缔组织生长因子(CTGF)在甲状腺乳头状癌(PTC)预后评估中的作用。
    方法:免疫组化法检测CTGF的表达。收集临床和病理资料。还收集了常规超声结合SWE的参数。CTGF表达之间的关系,超声指标,分析弹性模量和临床病理参数。
    结果:单因素分析显示,PTC高危患者以男性为特征,维吾尔族,CTGF的表达增加,凸性病变,钙化,不完整的胶囊,结节内血流,后回波衰减,颈淋巴结转移,病灶大于1厘米,沙玛尸体,晚期临床阶段,TSH升高,剪切模量值较高(P<0.05)。多因素分析显示CTGF高表达的危险因素按贡献大小排序为不规则形状,纵横比≥1,TSH升高。Logistic回归模型方程为Logit(P)=1.153+1.055×1+0.926×2+1.190×3,Logistic回归曲线下面积值为0.850,95%置信区间为0.817~0.883。
    结论:SWE和CTGF在PTC的风险评估中具有重要价值。PTC纤维化程度与预后密切相关。PTC病灶的硬度和CTGF的表达水平与常规超声鉴别良恶性结节的主要指标相关。不规则形状,纵横比≥1和TSH升高是CTGF的独立因素。
    BACKGROUND: This study aims to investigate the role of shear wave elastography (SWE) and connective tissue growth factor (CTGF) in the assessment of papillary thyroid carcinoma (PTC) prognosis.
    METHODS: CTGF expression was detected with immunohistochemistry. Clinical and pathological data were collected. Parameters of conventional ultrasound combined with SWE were also collected. The relationship among CTGF expression, ultrasound indicators, the elastic modulus and the clinicopathological parameters were analyzed.
    RESULTS: Univariate analysis showed that patients with high risk of PTC were characterized with male, Uygur ethnicity, increased expression of CTGF, convex lesions, calcified, incomplete capsule, intranodular blood flow, rear echo attenuation, cervical lymph node metastasis, lesions larger than 1 cm, psammoma bodies, advanced clinical stage, increased TSH and high value in the shear modulus (P < 0.05). Multivariate analysis demonstrated that the risk factors of high expression of CTGF according to contribution size order were irregular shape, aspect ratio ≥ 1, and increased TSH. The logistic regression model equation was Logit (P) = 1.153 + 1.055 × 1 + 0.926 × 2 + 1.190 × 3 and the Area Under Curve value of the logistic regression was calculated to be 0.850, with a 95% confidence interval of 0.817 to 0.883.
    CONCLUSIONS: SWE and CTGF are of great value in the risk assessment of PTC. The degree of fibrosis of PTC is closely related to the prognosis. The hardness of PTC lesions and the expression level of CTGF are correlated with the main indexes of conventional ultrasound differentiating benign or malignant nodules. Irregular shape, aspect ratio ≥ 1, and increased TSH are independent factors of CTGF.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    水凝胶被广泛用作组织支架的生物材料,它们的受控制造一直是广泛调查的主题。然而,通过配方控制繁琐的机械性能调节过程阻碍了它们在多种组织支架中的应用。为了克服这个限制,我们提出了一个两步过程来实现机械模量在宽范围内的简单调整,通过组合数字光处理(DLP)和后处理步骤。紫外线固化水凝胶(聚丙烯酰胺-藻酸盐)通过DLP3D打印,具有创建复杂3D图案的能力。随后用Fe3离子浴进行后处理会引起水凝胶支架的二次交联,通过浸泡在具有不同Fe3+浓度的溶液中根据需要调整模量。这种创新的两步工艺提供了高精度(10μm)和宽模量调节能力(15.8-345kPa),覆盖人体广泛的组织。作为一个实际的示范,打印具有组织模拟模式的水凝胶支架,用于培养心脏组织和血管支架,能有效支持组织生长并诱导组织形态。
    Hydrogels are extensively explored as biomaterials for tissue scaffolds, and their controlled fabrication has been the subject of wide investigation. However, the tedious mechanical property adjusting process through formula control hindered their application for diverse tissue scaffolds. To overcome this limitation, we proposed a two-step process to realize simple adjustment of mechanical modulus over a broad range, by combining digital light processing (DLP) and post-processing steps. UV-curable hydrogels (polyacrylamide-alginate) are 3D printed via DLP, with the ability to create complex 3D patterns. Subsequent post-processing with Fe3+ ions bath induces secondary crosslinking of hydrogel scaffolds, tuning the modulus as required through soaking in solutions with different Fe3+ concentrations. This innovative two-step process offers high-precision (10 μm) and broad modulus adjusting capability (15.8-345 kPa), covering a broad range of tissues in the human body. As a practical demonstration, hydrogel scaffolds with tissue-mimicking patterns were printed for cultivating cardiac tissue and vascular scaffolds, which can effectively support tissue growth and induce tissue morphologies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:个人面部软组织特性对于创建个性化的有限元(FE)模型以评估诸如持续气道正压(CPAP)面罩之类的医疗设备是必要的。没有可用的标准工具来测量面部软组织弹性模量,文献中的技术需要先进的设备或定制零件来复制。
    方法:我们提出了一种简单且廉价的软组织测量(STM)压头装置,用于估计五个部位的面部软组织弹性:下巴,脸颊靠近嘴唇,颊骨下面,颧骨,和脸颊。STM装置由带有线性致动器的探头和力传感器组成,探头方向调整系统,头部支撑框架,和一个控制器。该装置在六个弹道凝胶样品上进行了验证,然后在28名受试者上进行了测试。还使用超声收集每个受试者的软组织厚度。
    结果:成功收集了所有受试者的厚度和弹性模量测量值。每个部位的平均弹性模量为Ec=53.04±20.97kPa的下巴,El=16.33±8.37kPa,用于接近唇的脸颊,颊骨以下Ebc=27.09±11.38kPa,Ecb=64.79±17.12kPa,用于che骨,脸颊Ech=16.20±5.09kPa。厚度和弹性模量值在先前报道的值的范围内。与具有任意弹性模量和厚度的受试者的模型相比,使用一名受试者测量的软组织弹性模量和厚度来评估定制适配的CPAP面罩适配。具有测量值的模型更接近体内渗漏结果。
    结论:总体而言,STM提供了面部软组织弹性的第一个估计,是负担得起的,容易建立与大多数现成的零件。这些值可用于创建个性化的FE模型,以评估定制的CPAP面罩。
    OBJECTIVE: Individual facial soft tissue properties are necessary for creating individualized finite element (FE) models to evaluate medical devices such as continuous positive airway pressure (CPAP) masks. There are no standard tools available to measure facial soft tissue elastic moduli, and techniques in literature require advanced equipment or custom parts to replicate.
    METHODS: We propose a simple and inexpensive soft tissue measurement (STM) indenter device to estimate facial soft tissue elasticity at five sites: chin, cheek near lip, below cheekbone, cheekbone, and cheek. The STM device consists of a probe with a linear actuator and force sensor, an adjustment system for probe orientation, a head support frame, and a controller. The device was validated on six ballistics gel samples and then tested on 28 subjects. Soft tissue thickness was also collected for each subject using ultrasound.
    RESULTS: Thickness and elastic modulus measurements were successfully collected for all subjects. The mean elastic modulus for each site is Ec = 53.04 ± 20.97 kPa for the chin, El = 16.33 ± 8.37 kPa for the cheek near lip, Ebc = 27.09 ± 11.38 kPa for below cheekbone, Ecb = 64.79 ± 17.12 kPa for the cheekbone, and Ech = 16.20 ± 5.09 kPa for the cheek. The thickness and elastic modulus values are in the range of previously reported values. One subject\'s measured soft tissue elastic moduli and thickness were used to evaluate custom-fit CPAP mask fit in comparison to a model of that subject with arbitrary elastic moduli and thickness. The model with measured values more closely resembles in vivo leakage results.
    CONCLUSIONS: Overall, the STM provides a first estimate of facial soft tissue elasticity and is affordable and easy to build with mostly off-the-shelf parts. These values can be used to create personalized FE models to evaluate custom-fit CPAP masks.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    外胚层内的管腔生成代表了人类早期发育的关键步骤,为未来的规范和模式事件启动胚胎。然而,由于无法在体内研究早期胚胎,因此对驱动这一过程的具体机制知之甚少。虽然基于人类多能干细胞(hPSC)的模型概括了人类表皮母细胞的许多方面,生成这些3D结构的大多数方法都依赖于不明确的定义,重组基底膜基质。这里,我们设计了合成的,非粘附性聚乙二醇(PEG)水凝胶基质,以更好地了解基质机械线索在iPSC形态发生中的作用,特别是弹性模量。首先,我们确定了一个窄范围的水凝胶模量,有利于hPSC活力,多能性,和差异化。然后我们使用这个平台来研究水凝胶模量对腔生成的影响,发现中等刚度的基质产生了最像上胚层的聚集体。相反,较硬的基质阻碍了管腔形成和顶端基底极化,而最软的基质产生极化但异常的结构。我们的方法提供了一个简单的,用于对人类上胚层建模和研究基质线索在其形态发生中的作用的模块化平台。
    Lumenogenesis within the epiblast represents a critical step in early human development, priming the embryo for future specification and patterning events. However, little is known about the specific mechanisms that drive this process due to the inability to study the early embryo in vivo. While human pluripotent stem cell (hPSC)-based models recapitulate many aspects of the human epiblast, most approaches for generating these 3D structures rely on ill-defined, reconstituted basement membrane matrices. Here, we designed synthetic, nonadhesive polyethylene glycol (PEG) hydrogel matrices to better understand the role of matrix mechanical cues in iPSC morphogenesis, specifically elastic modulus. First, we identified a narrow range of hydrogel moduli that were conducive to the hPSC viability, pluripotency, and differentiation. We then used this platform to investigate the effects of the hydrogel modulus on lumenogenesis, finding that matrices of intermediate stiffness yielded the most epiblast-like aggregates. Conversely, stiffer matrices impeded lumen formation and apico-basal polarization, while the softest matrices yielded polarized but aberrant structures. Our approach offers a simple, modular platform for modeling the human epiblast and investigating the role of matrix cues in its morphogenesis.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    单个细胞外囊泡(EV)的分析有可能产生有关其形态结构的有价值的无标记信息,生物标志物和治疗靶点,尽管由于缺乏对这些顺应性纳米级颗粒的机械性能的可靠和定量测量而阻碍了这种分析。机械性能测量的技术挑战来自现有的工具和方法,这些工具和方法提供有限的吞吐量,和报告的弹性模量范围在几个数量级。这里,我们报告了一种基于流动的方法,辅以透射电子显微镜(TEM)成像,以提供高通量,全EV变形分析,用于估计脂肪肉瘤衍生的EV的机械性能与其大小的关系。我们的研究包括从432张TEM图像的大型数据集中提取电动汽车的形态数据,对于包含单个到多个EV的图像,并实现了薄壳变形理论。我们估计了弹性模量,对于小型电动汽车(sEV;30-150nm),E=0.16±0.02MPa(平均值±SE),对于大型电动汽车(lEV;>150nm),E=0.17±0.03MPa(平均值±SE)。据我们所知,这是关于LPS衍生的EV的机械性能估计的第一份报告,并且有可能在EV尺寸和EV机械性能之间建立关系。
    Analysis of single extracellular vesicles (EVs) has the potential to yield valuable label-free information on their morphological structure, biomarkers and therapeutic targets, though such analysis is hindered by the lack of reliable and quantitative measurements of the mechanical properties of these compliant nanoscale particles. The technical challenge in mechanical property measurements arises from the existing tools and methods that offer limited throughput, and the reported elastic moduli range over several orders of magnitude. Here, we report on a flow-based method complemented by transmission electron microscopy (TEM) imaging to provide a high throughput, whole EV deformation analysis for estimating the mechanical properties of liposarcoma-derived EVs as a function of their size. Our study includes extracting morphological data of EVs from a large dataset of 432 TEM images, with images containing single to multiple EVs, and implementing the thin-shell deformation theory. We estimated the elastic modulus, E = 0.16 ± 0.02 MPa (mean±SE) for small EVs (sEVs; 30-150 nm) and E = 0.17 ± 0.03 MPa (mean±SE) for large EVs (lEVs; >150 nm). To our knowledge, this is the first report on the mechanical property estimation of LPS-derived EVs and has the potential to establish a relationship between EV size and EV mechanical properties.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    这项研究的目的是评估两种胶原蛋白交联方式后巩膜组织的生物力学和水合差异。
    通过应用0.1%玫瑰红溶液,然后进行80J/cm2绿光照射(RGX)或应用0.1%核黄素溶液,然后进行5.4J/cm2紫外线A照射(UVX),使40只成年白兔眼的巩膜组织交联。从经治疗和未经治疗的巩膜上切下后巩膜条进行拉伸和水合拉伸试验。对于拉伸试验,在切除后对条带进行单轴延伸。对于水化拉伸试验,条被脱水了,再水合,然后测试。估计了在8%应变下的杨氏模量和溶胀率。ANOVAs用于测试治疗诱导的巩膜生物力学和水合性能的差异。
    光交联巩膜组织较硬(8%应变时的杨氏模量:10.7±4.5MPa,治疗期间的平均值)比未经治疗的巩膜组织(7.1±4.0MPa)。与未处理的巩膜相比,RGX后巩膜硬度增加132%,UVX后增加90%。RGX后巩膜肿胀率降低了11%,UVX后降低了13%。经处理的巩膜的硬度也与组织水合水平相关。肿胀越低,RGX(-3.8%溶胀/MPa)和UVX(-3.5%溶胀/MPa)处理的巩膜的杨氏模量越高。
    与RGX和UVX的交联影响了兔后巩膜的硬度和水合作用。绿光照射的玫瑰红可能是确定在近视治疗中诱导巩膜组织硬化的功效和适用性的替代方法。
    UNASSIGNED: The purpose of this study was to evaluate the biomechanical and hydration differences in scleral tissue after two modalities of collagen cross-linking.
    UNASSIGNED: Scleral tissue from 40 adult white rabbit eyes was crosslinked by application of 0.1% Rose Bengal solution followed by 80 J/cm2 green light irradiation (RGX) or by application of 0.1% riboflavin solution followed by 5.4 J/cm2 ultraviolet A irradiation (UVX). Posterior scleral strips were excised from treated and untreated sclera for tensile and hydration-tensile tests. For tensile tests, the strips were subjected to uniaxial extension after excision. For hydration-tensile tests, the strips were dehydrated, rehydrated, and then tested. Young\'s modulus at 8% strain and swelling rate were estimated. ANOVAs were used to test treated-induced differences in scleral biomechanical and hydration properties.
    UNASSIGNED: Photo-crosslinked sclera tissue was stiffer (Young\'s modulus at 8% strain: 10.7 ± 4.5 MPa, on average across treatments) than untreated scleral tissue (7.1 ± 4.0 MPa). Scleral stiffness increased 132% after RGX and 90% after UVX compared to untreated sclera. Scleral swelling rate was reduced by 11% after RGX and by 13% after UVX. The stiffness of the treated sclera was also associated with the tissue hydration level. The lower the swelling, the higher the Young\'s modulus of RGX (-3.8% swelling/MPa) and UVX (-3.5% swelling/MPa) treated sclera.
    UNASSIGNED: Cross-linking with RGX and UVX impacted the stiffness and hydration of rabbit posterior sclera. The Rose Bengal with green light irradiation may be an alternative method to determine the efficacy and suitability of inducing scleral tissue stiffening in the treatment of myopia.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: English Abstract
    The stiffness of an ideal fracture internal fixation implant should have a time-varying performance, so that the fracture can generate reasonable mechanical stimulation at different healing stages, and biodegradable materials meet this performance. A topology optimization design method for composite structures of fracture internal fixation implants with time-varying stiffness is proposed, considering the time-dependent degradation process of materials. Using relative density and degradation residual rate to describe the distribution and degradation state of two materials with different degradation rates and elastic modulus, a coupled mathematical model of degradation simulation mechanical analysis was established. Biomaterial composite structures were designed based on variable density method to exhibit time-varying stiffness characteristics. Taking the bone plate used for the treatment of tibial fractures as an example, a composite structure bone plate with time-varying stiffness characteristics was designed using the proposed method. The optimization results showed that material 1 with high stiffness formed a columnar support structure, while material 2 with low stiffness was distributed at the degradation boundary and inside. Using a bone remodeling simulation model, the optimized bone plates were evaluated. After 11 months of remodeling, the average elastic modulus of callus using degradable time-varying stiffness plates, titanium alloy plates, and stainless steel plates were 8 634 MPa, 8 521 MPa, and 8 412 MPa, respectively, indicating that the use of degradable time-varying stiffness plates would result in better remodeling effects on the callus.
    理想的骨折内固定植入物刚度应具有随时间变化的性能,使骨折在不同愈合阶段都能产生合理的力学刺激,可降解材料可以满足这一性能。考虑到材料降解过程的时间依赖性,提出一种具有时变刚度的骨折内固定植入物复合结构拓扑优化设计方法。采用相对密度和降解残留率描述两种具有不同降解速度和弹性模量的材料分布和降解状态,建立降解模拟-力学分析耦合数学模型;基于变密度法设计双材料复合结构,使之具有时变刚度特性。以胫骨骨折治疗用的接骨板为例,采用所提出方法设计具有时变刚度特性的复合结构接骨板,优化结果显示高刚度的材料1形成柱状的支撑结构,低刚度的材料2分布在降解边界和内部。利用骨重塑模拟模型对优化后的接骨板进行评估,经过11个月重塑,使用可降解时变刚度接骨板、钛合金接骨板和不锈钢接骨板的骨痂平均弹性模量分别为8 634、8 521、8 412 MPa,表明使用可降解时变刚度接骨板可使骨痂取得更好的重塑效果。.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: English Abstract
    Triply periodic minimal surface (TPMS) is widely used because it can be used to control the shape of porous scaffolds precisely by formula. In this paper, an I-wrapped package (I-WP) type porous scaffolds were constructed. The finite element method was used to study the relationship between the wall thickness and period, the morphology and mechanical properties of the scaffolds, as well as to study the compression and fluid properties. It was found that the porosity of I-WP type scaffolds with different wall thicknesses (0.1 ~ 0.2 mm) and periods (I-WP 1 ~ I-WP 5) ranged from 68.01% ~ 96.48%, and the equivalent elastic modulus ranged from 0.655 ~ 18.602 GPa; the stress distribution of the scaffolds tended to be uniform with the increase of periods and wall thicknesses; the equivalent elastic modulus of the I-WP type scaffolds was basically unchanged after the topology optimization, and the permeability was improved by 52.3%. In conclusion, for the I-WP type scaffolds, the period parameter can be adjusted first, then the wall thickness parameter can be controlled. Topology optimization can be combined to meet the design requirements. The I-WP scaffolds constructed in this paper have good mechanical properties and meet the requirements of repairing human bone tissue, which may provide a new choice for the design of artificial bone trabecular scaffolds.
    三周期极小曲面(TPMS)可以通过公式精确地控制多孔支架的形态而被广泛应用。本文构建一种I型包装(I-WP)型多孔支架,采用有限元法研究壁厚和周期与支架形态和力学性能的关系,并进行压缩和流体性能的研究。研究发现,不同壁厚(0.1~0.2 mm)、不同周期(I-WP 1~I-WP 5)的I-WP型支架孔隙率在68.01%~96.48%范围内,等效弹性模量为0.655~18.602 GPa;随着周期和壁厚的增加,支架应力分布趋于均匀;拓扑优化后I-WP型支架等效弹性模量基本不变,渗透性提升52.3%。综上,对于I-WP型支架可以先调控周期参数,后调控壁厚参数,结合拓扑优化来达到设计要求。本文构建的I-WP型支架具有良好的力学性能,且满足修复人体骨组织的需求,为人工骨小梁支架的设计提供一种新选择。.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: English Abstract
    Accurately evaluating the local biomechanics of arterial wall is crucial for diagnosing and treating arterial diseases. Indentation measurement can be used to evaluate the local mechanical properties of the artery. However, the effects of the indenter\'s geometric structure and the analysis theory on measurement results remain uncertain. In this paper, four kinds of indenters were used to measure the pulmonary aorta, the proximal thoracic aorta and the distal thoracic aorta in pigs, and the arterial elastic modulus was calculated by Sneddon and Sirghi theory to explore the influence of the indenter geometry and analysis theory on the measured elastic modulus. The results showed that the arterial elastic modulus measured by cylindrical indenter was lower than that measured by spherical indenter. In addition, compared with the calculated results of Sirghi theory, the Sneddon theory, which does not take adhesion forces in account, resulted in slightly larger elastic modulus values. In conclusion, this study provides parametric support for effective measurement of arterial local mechanical properties by millimeter indentation technique.
    在动脉疾病的诊断和治疗中,有效评估血管壁局部生物力学特性至关重要。压痕测量可用于评估动脉局部力学性能,但压头的几何结构和分析理论对测量结果的影响尚不清楚。本文采用4种压头对猪的肺动脉、胸主动脉近心端和胸主动脉远心端进行测量,并通过斯内登(Sneddon)和瑟尔吉(Sirghi)理论计算动脉弹性模量,探究压头几何结构和分析理论对弹性模量测量值的影响。结果显示,圆柱形压头测量的动脉弹性模量值低于球形压头测量值;其次,与Sirghi理论计算结果相比,通过不考虑黏附力的Sneddon理论获得的动脉弹性模量值略大。综上,本研究可为毫米级压痕技术有效测量动脉局部力学特性提供参数支持。.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号