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1.
Mineral elements are important components of medicinal herbs, and their concentrations are affected by many factors. In this study, Ca, Mg, Na, K, Fe, Mn, Cu, and Zn concentrations in wild Saposhnikovia divaricata and its rhizosphere soil collected from seven locations at two different times in China were measured, and influences of rhizosphere soil on those minerals in plant were evaluated. The results showed that mean concentrations of eight minerals in plant samples decreased in the order: Ca > Mg > Na > K > Fe > Zn > Mn > Cu, and those in the soil samples followed the following order: Na > Fe > Ca > K > Mg > Mn > Zn > Cu. Mean concentrations of Ca, Na, Mg, and K in plants were higher than those in soils, while higher mean concentrations of the other four minerals were found in soils. It was found that there was a positive correlation of Mg, Na, and Cu concentrations in the plant with those in the soil respectively, but a negative correlation of Mn concentration in plant with that in the soil. Except Ca, K, and Mn, the other five minerals in plant were all directly affected by one or more chemical compositions of soil. The results also indicate that pH value and concentrations of total nitrogen, Mg, Mn, and Cu in soil had significant correlations with multimineral elements in plant. In a word, mineral elements uptake of S. divaricata can be changed by adjusting the soil fertility levels to meet the need of appropriate quality control of S. divaricata.  相似文献   

2.
The concentrations of 18 trace elements (Al, Ba, Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mn, Na, Ni, P, Pb, Sr, V, and Zn) were measured in two varieties of the epiphytic lichen Pseudevernia furfuracea in order to compare their bioaccumulation capacity. Var. ceratea and var. furfuracea have identical morphology, substrate requirements and ecophysiology, but produce different secondary metabolites (lichen substances). Lichen substances may influence the processes of bioaccumulation of trace elements. We tested the hypothesis that the different metabolic chemical composition of the two varieties may influence the elements uptake. Lichen thalli were collected in a remote area of north-west Italy and transplanted, for one month in two seasons, to the urban-industrial area of Genoa (NW Italy). Lichen material was analysed by means of ICP-AES and bioaccumulation data were interpreted in terms of EC ratio (the ratio of each element after the exposure and, in control samples, prior to exposure). There were significant differences between the two varieties, which could be possibly related to their chemistry: var. ceratea has a higher accumulation capacity for all elements, except for Ca and Cu (which were lower in var. ceratea transplanted in Summer). Particularly, 10 out of 18 elements (Al, Cd, Co, Cr, Fe, Mg, Ni, Sr, and V) showed ‘severe accumulation’ in var. ceratea in both seasons. Thus, in order to enhance data quality in biomonitoring studies, it is suggested to avoid the joint use of the two varieties.  相似文献   

3.
Mistletoes offer a unique model to study interactions among Al and nutrients in vascular plants, because they grow and reproduce on hosts with distinct Al uptake strategies. We investigated Al distribution and nutrient relations of mistletoes on Al‐accumulating and non‐accumulating hosts. We hypothesised that mistletoes would exhibit similar leaf nutrient and Al concentrations as their host plants, but a strong compartmentalisation of Al when growing on Al‐accumulators. We measured concentrations of N, P, K, Ca, Mg, Cu, Fe, Mn, Zn in leaves and Al in leaves, seeds and branches of Phthirusa ovata and Psittacanthus robustus infecting Miconia albicans, an Al‐accumulator, and Ph. ovata infecting Byrsonima verbascifolia, a non‐Al‐accumulator. High leaf concentrations of Al in Ph. ovata only occurred while parasitizing the Al‐accumulating host; there was no accumulation in branches or seeds. In P. robustus, large concentrations of Al were found in leaves, branches and seeds. Mistletoe seed viability and leaf nutrient concentrations were not affected by Al accumulation. Passive uptake of Al, Ca, Mg, Mn and Cu in mistletoes was evidenced by significant correlations between mistletoes and host leaf concentrations, but not of N, P and K. Al was retranslocated to different plant organs in P. robustus, whereas it was mostly restricted to leaves in Ph. ovata. We suggest that Al might have some specific function in P. robustus, which only parasitizes Al‐accumulator hosts, while the host generalist Ph. ovata can be considered a facultative Al‐accumulator.  相似文献   

4.
Leccinum scabrum sporocarps and associated topsoils from two areas in Poland have been characterized for contents and bioconcentration potential of Ag, Al, Ba, Ca, Cd, Co, Cu, Fe, Hg, K, Mg, Mn, Na, Ni, P, Pb, Rb, Sr and Zn. Topsoil and fruitbody element composition varied between the two study sites, most likely as a result of local soil geochemistry. Element content of the labile fraction in topsoil from both sites followed the ‘pseudo‐total’ fraction and median values (mg kg?1 dry matter) were: K 380 and 340, Mg 760 and 840, P 1100 and 920, Al 3800 and 8100, Ag 0.31 and 0.28, Ba 28 and 37, Ca 920 and 790, Cd 0.23 and 0.23, Co 2.0 and 1.7, Cu 3.2 and 3.6, Fe 2800 and 6300, Mn 280 and 180, Na 99 and 110, Ni 7.8 and 8.8, Pb 12 and 18, Rb 1.3 and 2.1, Sr 4.8 and 4.0 and Zn 22 and 19, respectively. Only for some elements such as K, Mg, Al, Ag, Ca, Co, Mn, Na, Ni, Sr and Zn we found concentration differences between the two study sites for the caps of sporocarps. With the exception of Al, Mn, Na and Pb, stipes showed a similar tendency. Caps had a higher concentration of K, Rb, P, Mg, Al, Ag, Cu, Fe, Zn, Cd, Pb and Ni compared to stipes, while Na, Ba and Sr contents were higher in stipes. The comparison of soil and fruitbody concentrations indicates that L. scabrum bioconcentrate some elements while others are bioexcluded.  相似文献   

5.
Tissue concentrations of 12 mineral elements (Al, Ca, Cu, Fe, K, Mg, Mn, amino-N, Na, P, Si, and Zn) were measured in an autoparasitic mistletoe (Phoradendron californicum), the parasitic mistletoe on which it was growing (Phoradendron californicum), and the host tree (Cercidium floridum). Mineral concentrations in the autoparasite were typically 1.1–1.3 times higher than in the parasite. Mineral concentrations of all elements except Ca, Fe, Mg, Mn, and Si were higher in the parasitic mistletoe than its host. Mineral concentration differences are discussed relative to accumulation via the transpiration stream and translocation within the host via the phloem.  相似文献   

6.
The concentrations of 19 trace element in hair samples from 1273 residents of Harbin (China), Medan (Indonesia), and Tokushima (Japan) were measured by inductively coupled plasma emission spectrometry. The mean concentrations of Ba, Ca, and Se were significantly higher in the Harbin hair samples when compared to those from Medan, but Al, B, Cu, Fe, Mn, Na, Pb, Ti, Zn, and K were significantly higher in Medan than in Harbin hair samples. The differences in the mean concentrations of As, Cr, Mg, P, Sn, and Sr between the Medan and Harbin lots were not significant. In the Tokushima hair samples, Na and K were significantly higher, but As, B, Ba, Ca, Cr, Mg, Mn, Pb, Sn, Sr, and Se were significantly lower than in the Harbin hair samples. The differences in the mean concentrations of Al, Cu, Fe, P, Ti, and Zn between Harbin and Tokushima were not significant. In the Medan hair samples, Al, As, B, Ba, Ca, Cr, Cu, Fe, Mg, Mn, Pb, Sn, Sr, Ti, and Zn were significantly higher, but P and Se were significantly lower than in Tokushima hair samples. Differences in mean concentrations of Na and K between Tokushima and Medan were not significant.  相似文献   

7.
The plasmas of breast cancer patients and healthy donors were analyzed for selected trace metals by a flame atomic absorption spectrophotometric method. In the plasma of breast cancer patients, mean concentrations of macronutrients/essential metals, Na, K, Ca, Mg, Fe, and Zn were 3584, 197.0, 30.80, 6.740, 5.266, and 6.170 ppm, respectively, while the mean metal levels in the plasma of healthy donors were 3908, 151.0, 72.40, 17.70, 6.613, and 2.461 ppm, respectively. Average concentrations of Cd, Cr, Cu, Mn, Ni, Pb, Sb, Sr, and Zn were noted to be significantly higher in the plasma of breast cancer patients compared with healthy donors. Very strong mutual correlations (r > 0.70) in the plasma of breast cancer patients were observed between Cd–Pb, Cr–Li, Li–K, Li–Cd, K–Cr, Li–Pb, Cr–Co, Cu–Ni, Co–K, Cd–K, and K–Pb, whereas, Al–Cr, Ca–Zn, Cd–Sb, Cd–Zn, Ca–Mg, Fe–Zn, and Na–Mn exhibited strong relationships (r > 0.60) in the plasma of healthy donors. The cluster analysis revealed considerably different apportionment of trace metals in the two groups of donors. The average metal concentrations of different age groups of the two donor categories were also evaluated, which showed the build-up of Al, Cd, Co, Cr, Mn, Li, Pb, Sb, and Zn in the plasma of breast cancer patients. The role of some trace metals in carcinogenesis is also discussed. The study indicated appreciably different patterns of metal distribution and correlation in the plasma of breast cancer patients in comparison with the healthy population.  相似文献   

8.
Quantitative analysis of the trace element content of human intervertebral discs (IVDs) is essential because it can identify specific enzymes or metabolites that may be related to human intervertebral disc degeneration (IVDD). The goal of this study was to assess the concentrations of copper (Cu), iron (Fe), manganese (Mn), lead (Pb), zinc (Zn), sodium (Na), magnesium (Mg), potassium (K), phosphorus (P), and calcium (Ca) in serum samples obtained from patients with IVDD in comparison to healthy volunteers (a control group). The study group consisted of 113 Caucasian patients qualified by a specialist neurosurgeon for microdiscectomy. The control group consisted of 113 healthy volunteers who met the eligibility criteria for blood donors. The examined clinical material was the serum samples obtained from both groups.Based on the quantitative analysis of selected elements, there were statistically significantly (p 0.05) higher concentrations of Cu (1180 μg/L±800 μg/L vs. 1230 μg/L±750 μg/L), Zn (790 μg/L±300 μg/L vs. 850 μg/L±200 μg/L), and Mg (21730 μg/L±4360 μg/L vs. 23820 μg/L±4990 μg/L) in the serum of healthy volunteers compared to those in the study group. In addition, statistically significant changes were not detected in the concentrations of any elements among either sex in either the study or control group or in their body mass index (BMI) values (p > 0.05). In the serum samples from the study group, the strongest relationships were noted between the concentrations of Zn and Pb (r = 0.61), Zn and P (r = 0.69), Zn and Ca (r = 0.84), Zn and Cu (r = 0.83), Mg and Ca (r = 0.74), and Ca and P (r = 0.98).It has been indicated that, above all, the concentrations of Cu, Zn, Ca, and Mg depend on the advancement of radiological changes, according to the Pfirrmann scale. However, no influence on pain intensity was found, depending on the concentration of the assessed elements.The analysis indicates that the determination of serum Cu, Zn, Ca, and Mg concentrations may have diagnostic significance in predicting the onset of lumbosacral IVDD. The predictive evaluation of changes in the concentrations of selected elements in patients with degenerative lumbar IVD lesions appears to be a promising, cost-effective strategy.  相似文献   

9.
The levels of mineral element Na, Mg, K, Ca, Cr, Mn, Fe, Co, Ni, Cu, Zn, Se, Mo, Al, As, Ag, Cd, and Tl were quantified in the whole shells of the freshwater bivalve Anodonta woodiana at three different growth stages (i.e. J1 juveniles of 1 month old, J2 juveniles of 3.5 months old, and adults of 36 months old). The concentrations of Na and Al were different between different growth stages (p < 0.05). The highest Na concentrations (2715 ± 86 μg/g dry weight) were found in J2 juveniles. The highest Al concentrations (303.9 ± 5.95 μg/g dry weight) were found in J1 juveniles. Manganese concentrations (517.0 ± 47.98 μg/g dry weight) were significantly higher in J2 juveniles than in J1 juveniles (432.3 ± 9.87 μg/g dry weight) (p < 0.05). Copper concentrations (27.32 ± 0.15 μg/g dry weight) were significantly higher in J1 juveniles than in J2 juveniles (26.21 ± 0.86 μg/g dry weight) and adults (24.74 ± 1.43 μg/g dry weight) (p < 0.05). Burdens of Na, Ca, Mn, Fe, Co, Cu, Mo, Ag, and Tl were positively correlated with the shell length (p < 0.05). These findings can possibly contribute to an understanding of elemental requirements for shell growth and, hence, facilitate improvement of survival and growth rates during artificial mussel culture.  相似文献   

10.
Summary Consisting ofPinus massoniana, Rhodomyrtus tomentosa, Baeckea frutescens andDicranopteris linearis, thePinus scrub community is widespread and representative of the vegetation in Hong Kong. Three areas, with soils derived separately from granite, sedimentary and volcanic rocks but of the same pine community were selected for the present study. Soil samples were collected and analysed for pH, texture, organic carbon, total nitrogen, cation exchange capacity, and exchangeable K, Na, Ca, Mg, Fe, Mn, Al and H. Plant samples were also collected for the analysis of K, Na, Ca, Mg, Mn, Al, Fe and SiO2.While variations in chemical and physical properties exist among the soils of different geology, they are invariably acidic with high exchangeable Al and H ions whereas the base saturation is exceedingly low. Intra- and inter-species variations in chemical composition are equally notable. While K, Mg and Ca are the dominant elements of uptake and accumulation, the fernD. linearis also stands out as a strong accumulator of SiO2, Al and to some extent, Mn and Fe.  相似文献   

11.
Trace elements have been postulated to play a role in Parkinson's disease (PD). In order to elucidate whether changes in the serum levels of trace elements reflect the progression of PD, we assessed serum levels of 12 elements (Na, K, Fe, Al, Cu, Zn, Ca, Mg, Mn, Si, P and S) in early PD, severe PD and normal subjects, using inductively coupled plasma atomic emission spectrometry. The concentrations in μmol/ml, the relative mole percentage distribution and inter-element relations were computed. Statistical analysis of these data showed a definite pattern of variation among certain elements in early and severe PD compared to controls. In both early and severe PD serum, Al and S concentrations were significantly decreased (p<0.05) compared to the controls. Fe (p<0.01) and Zn (p<0.05) concentrations were significantly lower in severe PD, while K, Mg, Cu (p<0.01) and P (p<0.05) concentrations were higher in early and severe PD compared to the controls. The data revealed an imbalance in the inter-element relations in both early and severe PD serum compared to controls, as shown by the direct and inverse correlations. These results suggest a disturbance in the element homeostasis during the progression of PD.  相似文献   

12.
R. B. Clark 《Plant and Soil》1977,47(3):653-662
Summary Growth and P, K, Ca, Mg, Mn, Zn, Fe, and Cu concentrations and contents were determined in Al-tolerant and Al-intolerant corn (Zea mays L.) inbreds when grown at various levels of Al. B57 was more tolerant to Al than was Oh40B. Relatively low Al levels (up to 5 mg/l) enhanced B57 growth but inhibited Oh40B growth. With few exceptions, Oh40B root and leaf concentrations of the elements decreased with added Al. The decreases in element concentrations were not as large for B57 as they were for Oh40B. The Mg concentrations and contents decreased more than the other elements in all inbreds with added Al. Root Mg decreased more than leaf Mg. Total uptake of some elements were higher at low Al than with no Al. Inasmuch as Mg has a pronounced effect on root growth, low Mg may be an important response in plants sensitive to Al.Journal article No. 82-75 of Department of Agronomy, Ohio Agricultural Research and Development Center, Wooster, Ohio.Journal article No. 82-75 of Department of Agronomy, Ohio Agricultural Research and Development Center, Wooster, Ohio.  相似文献   

13.
We studied five 20-m transects onthe lower slope under tropical lower montanerain forest at 1900–2200 m above sea level. We collectedsamples of soil and of weekly rainfall,throughfall, litter leachate, and stream waterbetween 14 March 1998 and 30 April 1999 anddetermined the concentrations of Al, totalorganic C (TOC), Ca, Cl, Cu, K, Mg, Mn,NH4 +-N, NO3 -N, total N (TN), Na, P, S, and Zn. The soils were shallowInceptisols; pH ranged 4.4–6.3 in the Ohorizons and 3.9–5.3 in the A horizons, totalCa (6.3–19.3 mg kg–1) and Mgconcentrations (1.4–5.4) in the O horizon weresignificantly different between the transects.Annual rainfall was 2193 mm; throughfall variedbetween 43 and 91% of rainfall, cloud waterinputs were 3.3 mm a–1 except forone transect (203). The volume-weighted mean pHwas 5.3 in rainfall and 6.1–6.7 in throughfall.The median of the pH of litter leachate andstream water was 4.8–6.8 and 6.8, respectively.The concentrations of Ca and Mg in litterleachate and throughfall correlatedsignificantly with those in the soil (r =0.76–0.95). Element concentrations inthroughfall were larger than in rainfallbecause of leaching from the leaves (Al, TOC,Ca, K, Mg), particulate dry deposition (TOC,Cu, Cl, NH4 +-N), and gaseousdry deposition (NO3 -N, total N, S).Net throughfall (= throughfall-rainfalldeposition) was positive for most elementsexcept for Mn, Na, and Zn. High-flow eventswere associated with elevated Al, TOC, Cu, Mn,and Zn concentrations.  相似文献   

14.
Year-round changes of phytoplankton, organic and inorganic seston, and dissolved and suspended concentrations of Ca, Mg, Na, K, Fe, Mn, Zn, and Cu were studied and correlated in Long Lake, an ultra-oligotrophic alpine flowage lake of northcentral Colorado, U.S.A. Dissolved cation levels for Ca, Mg, Na, K, Mn, and Fe, both sestonic fractions and phytoplankton densities reached and sustained a maximum during April and May under heavy cover of ice and snow, and a minimum during open-season from mid-June to mid-October. Rates of monthly water renewal varied greatly with a low of 0.28 turnovers in April and a high of 15.37 turnovers in June. Massive flushing in June and July reduced dissolved Fe levels to <0.060 mg/l from a typical maxima >8.0 mg/l in April and May. Tests for linear correlation between the various cations, sestonic fractions and phytoplankton showed in most cases positive and significant (p <.05) relationships. For most dissolved Fe and Mn pairings with phytoplankton and seston exceptionally significant (p < 0.001) relationships were observed.  相似文献   

15.
In a mature mixed subalpine stand ofTsuga mertensiana andAbies amabilis, significantly higher Al levels were found in foliage, branch and root tissues ofT. mertensiana.Tsuga mertensiana had significant increases in Al, Ca and Mn levels with increasing foliage age. In current foliage,T. mertensiana had lower levels of Ca, similar levels of Mg and P, and higher levels of Mn thanA. amabilis. Both tree species had Cu and Fe present at higher levels in branch than foliage tissues. Fine roots had the highest concentrations of Al, Fe and Cu but the lowest Ca and Mn concentrations of all tissues analyzed. In the roots of both species, phloem tissues always had significantly higher Al levels than xylem. Fine roots (< 1 and 1–2 mm) ofT. mertensiana had higher Al levels than were found inA. amabilis. Roots greater than 2 mm in diameter exhibited no significant differences in Al levels in phloem or xylem tissue betweenA. amabilis andT. mertensiana. The two species show a clear difference in their ability to accumulate specific elements from the soil.  相似文献   

16.
为探讨不同耕作方式的土壤矿质元素含量变化特征,促进火龙果生长发育和品质改良,该研究采用套种紫花苜蓿(Medicago sativa)、施用有机肥和化肥与农药、地膜覆盖和无措施五种耕作方式,以每种方式土壤的22种矿质元素为评价指标,比较不同耕作方式的矿质元素含量差异,阐明土壤矿质元素之间的相关关系。结果表明:(1)与无措施相比,其他耕作方式的Ca、Si、Mn等元素含量呈增加趋势,Fe、Mg、Al等元素含量则降低,Na含量无显著差异。(2)施用有机肥的矿质元素含量最丰富,地膜覆盖次之,套种紫花苜蓿最低。(3)相关性分析表明,火龙果地土壤矿质元素间多存在显著相关性,Al、Si、S、Ni与其他元素的相关性较密切,其次为Fe、Mg、Na、Mn、Cu和Co,均达到显著或极显著水平。(4) Ca、Fe、Mg、Mn、Cu、Zn和B之间多呈负相关,存在拮抗效应。干热河谷石漠化区在火龙果栽培时,应首选有机肥作为养分添加方式,并及时补充不同耕作方式造成的土壤矿质养分亏缺,尤其是Fe、Mg、Al、Na、Cu、Zn等元素。  相似文献   

17.
Since most experiments regarding the symbiosis between arbuscular mycorrhizal (AM) fungi and their host plants under salinity stress have been performed only under greenhouse conditions, this research work was also conducted under field conditions. The effects of three AM species including Glomus mosseae, G.?etunicatum and G.?intraradices on the nutrient uptake of different wheat cultivars (including Roshan, Kavir and Tabasi) under field and greenhouse (including Chamran and Line 9) conditions were determined. At field harvest, the concentrations of N, Ca, Mg, Fe, Cu, and Mn, and at greenhouse harvest, plant growth, root colonization and concentrations of different nutrients including N, K, P, Ca, Mg, Mn, Cu, Fe, Zn, Na and Cl were determined. The effects of wheat cultivars on the concentrations of N, Ca, and Mn, and of all nutrients were significant at field and greenhouse conditions, respectively. In both experiments, AM fungi significantly enhanced the concentrations of all nutrients including N, K, P, Ca, Mg, Mn, Cu, Fe, Zn, Na and Cl. The synergistic and enhancing effects of co-inoculation of AM species on plant growth and the inhibiting effect of AM species on Na(+) rather than on Cl(-) uptake under salinity are also among the important findings of this research work.  相似文献   

18.
The levels of, zinc, copper, Fe, Zn, Cu, Mn, Mg, K, Na, and Cl and the activity of carbonic anhydrase were determined in lambs with pneumonia. A significant decrease of p<0.01 level in Zn concentration, in Cu level (p<0.001) and significant increases in K and Na levels (p<0.05) and of the Cu/Zn ratio (p<0.001) were observed in the study group. The carbonic anhydrase activity was decreased in the study group, but the decrease was not statistically significant (p>0.05). Also, nonsignificant decreases of Fe, Mg, and Cl and increase of the Mn concentration were also observed in the lambs with pneumonia (p>0.05). Our results suggest that the significant element changes reported here and the Cu/Zn ratio, but not the activity of carbonic anhydrase, can be used as indicators of pneumococcal infection.  相似文献   

19.
Summary Estimates were made of the above-ground biomass and contents of N, P, K, Ca, Mg, Mn, Na, Fe, Zn, Al, and Cu in fertilized (N 448 kg/ha, P 112 kg/ha, lime 4480 kg/ha) and unfertilized white birch (Betula papyrifera Marsh.) and bigtooth aspen (Populus grandidentata Michx.). For individuals of both species, fertilization increased the average above-ground biomass increment and the N and P content increment by 150 per cent and 300 per cent, respectively, but decreased uptake of Mn and Zn. The allocation of biomass and elements differs not only between species, but within species under untreated and fertilized conditions.  相似文献   

20.
Selected trace metals were analyzed in human malignant and nonmalignant (benign) breast tissue samples by the flame atomic absorption spectrophotometric method. In malignant tissues, dominant mean concentrations were revealed by Na, K, Ca, Mg, Fe, Zn, and Al at 927, 552, 231, 61.7, 36.5, 18.3, and 8.94 microg/g, respectively, while the mean metal levels in benign tissues were 903, 435, 183, 63.3, 24.7, 14.5, and 10.1 microg/g, respectively. Average concentrations of Cd, Co, Cr, Cu, Fe, Mn, K, Ca, and Zn were noted to be significantly higher in the malignant tissues compared with the benign tissues. Significantly strong correlations (r > 0.50) in malignant tissues were observed between Mn and Co, Mn and Cd, Cd and Cr, Fe and Mn, Cd and Co, Fe and Co, Mg and Pb, Cd and Fe, Mg and Ni, Pb and Ni, Ni and Sr, and Fe and Pb, whereas, Cd and Co, Cd and Mn, Co and Mg, Co and Mn, Cu and Mn, Co and Ni, Mg and Ni, Cd and Cu, Cd and Ni, Ca and Mg, Mn and Pb, Cu and Ni, Fe and Ni, Cd and Mg, Co and Cu, Cr and Na, and Cd and Cr revealed strong and significant relationships in benign tissues at p < 0.001. Principal component analysis of the metals data yielded six principal components for malignant tissues and five principal components for benign tissues, with considerably different loadings, duly supported by cluster analysis. The study revealed a considerably different pattern of distribution and mutual correlations of trace metals in the breast tissues of benign and cancerous patients.  相似文献   

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