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2. Road Traffic Pollution and Childhood Leukemia: A Nationwide Case-control Study in Italy

Author

Magnani, C, Ranucci, A, Badaloni, C, Cesaroni, G, Ferrante, D, Miligi, L, Mattioli, S, Rondelli, R, Bisanti, L, Zambon, P, Cannizzaro, S, Michelozzi, P, Cocco, P, Celentano, E, Assennato, G, Merlo, D, Mosciatti, P, Minelli, L, Cuttini, M, Torregrossa, M, Lagorio, S, Haupt, R, Forastiere, F, Farioli, A, Salvan, A, Masera, G, Rizzari, C, Greco Veneto, A, Gafa, L, Luzzatto, L, Benvenuti, A, Kirchmayer, U, Galassi, C, Guarino, E, de Nichilo, G, Bocchini, V, Chiavarini, M, Casotto, V, Valenti, R, Risica, S, Polichetti, A, Bochicchio, F, Nuccetelli, C, Biddau, P, Arico, M, Desalvo, G, Locatelli, F, Pession, A, Varotto, S, Poggi, V, Massaglia, P, Monetti, D, Targhetta, R, Bernini, G, Pannelli, F, Sampietro, G, Schiliro, G, Pulsoni, A, Parodi, S, Magnani C., Ranucci A., Badaloni C., Cesaroni G., Ferrante D., Miligi L., Mattioli S., Rondelli R., Bisanti L., Zambon P., Cannizzaro S., Michelozzi P., Cocco P., Celentano E., Assennato G., Merlo D. F., Mosciatti P., Minelli L., Cuttini M., Torregrossa M. V., Lagorio S., Haupt R., Forastiere F., Farioli A., Salvan A., Masera G., Rizzari C., Greco Veneto A., Gafa L., Luzzatto L. L., Benvenuti A., Kirchmayer U., Galassi C., Guarino E., de Nichilo G., Bocchini V., Chiavarini M., Casotto V., Valenti R. M., Risica S., Polichetti A., Bochicchio F., Nuccetelli C., Biddau P., Arico M., DeSalvo G. L., Locatelli F., Pession A., Varotto S., Poggi V., Massaglia P., Monetti D., Targhetta R., Bernini G., Pannelli F., Sampietro G., Schiliro G., Pulsoni A., Parodi S., Magnani, C, Ranucci, A, Badaloni, C, Cesaroni, G, Ferrante, D, Miligi, L, Mattioli, S, Rondelli, R, Bisanti, L, Zambon, P, Cannizzaro, S, Michelozzi, P, Cocco, P, Celentano, E, Assennato, G, Merlo, D, Mosciatti, P, Minelli, L, Cuttini, M, Torregrossa, M, Lagorio, S, Haupt, R, Forastiere, F, Farioli, A, Salvan, A, Masera, G, Rizzari, C, Greco Veneto, A, Gafa, L, Luzzatto, L, Benvenuti, A, Kirchmayer, U, Galassi, C, Guarino, E, de Nichilo, G, Bocchini, V, Chiavarini, M, Casotto, V, Valenti, R, Risica, S, Polichetti, A, Bochicchio, F, Nuccetelli, C, Biddau, P, Arico, M, Desalvo, G, Locatelli, F, Pession, A, Varotto, S, Poggi, V, Massaglia, P, Monetti, D, Targhetta, R, Bernini, G, Pannelli, F, Sampietro, G, Schiliro, G, Pulsoni, A, Parodi, S, Magnani C., Ranucci A., Badaloni C., Cesaroni G., Ferrante D., Miligi L., Mattioli S., Rondelli R., Bisanti L., Zambon P., Cannizzaro S., Michelozzi P., Cocco P., Celentano E., Assennato G., Merlo D. F., Mosciatti P., Minelli L., Cuttini M., Torregrossa M. V., Lagorio S., Haupt R., Forastiere F., Farioli A., Salvan A., Masera G., Rizzari C., Greco Veneto A., Gafa L., Luzzatto L. L., Benvenuti A., Kirchmayer U., Galassi C., Guarino E., de Nichilo G., Bocchini V., Chiavarini M., Casotto V., Valenti R. M., Risica S., Polichetti A., Bochicchio F., Nuccetelli C., Biddau P., Arico M., DeSalvo G. L., Locatelli F., Pession A., Varotto S., Poggi V., Massaglia P., Monetti D., Targhetta R., Bernini G., Pannelli F., Sampietro G., Schiliro G., Pulsoni A., and Parodi S.

Abstract

Background The association of childhood leukemia with traffic pollution was considered in a number of studies from 1989 onwards, with results not entirely consistent and little information regarding subtypes. Aim of the study We used the data of the Italian SETIL case-control on childhood leukemia to explore the risk by leukemia subtypes associated to exposure to vehicular traffic. Methods We included in the analyses 648 cases of childhood leukemia (565 Acute lymphoblastic–ALL and 80 Acute non lymphoblastic-AnLL) and 980 controls. Information on traffic exposure was collected from questionnaire interviews and from the geocoding of house addresses, for all periods of life of the children. Results We observed an increase in risk for AnLL, and at a lower extent for ALL, with indicators of exposure to traffic pollutants. In particular, the risk was associated to the report of closeness of the house to traffic lights and to the passage of trucks (OR: 1.76; 95% CI 1.03–3.01 for ALL and 6.35; 95% CI 2.59–15.6 for AnLL). The association was shown also in the analyses limited to AML and in the stratified analyses and in respect to the house in different period of life. Conclusions Results from the SETIL study provide some support to the association of traffic related exposure and risk for AnLL, but at a lesser extent for ALL. Our conclusion highlights the need for leukemia type specific analyses in future studies. Results support the need of controlling exposure from traffic pollution, even if knowledge is not complete.

Published
2016

3. Air pollution and childhood leukaemia: a nationwide case-control study in Italy

Author

Badaloni, C., Ranucci, A., Cesaroni, G., Zanini, G., Vienneau, D., Al Aidrous, F., De Hoogh, K., Magnani, C., Forastiere, F., Mattioli, Stefano, Miligi, L., Rondelli, R., Salvan, A., Masera, G., Rizzari, C., Bisanti, L., Zambon, P., Greco, A., Cannizzaro, S., Gafa, L., Luzzatto, L. L., Benvenuti, A., Michelozzi, P., Kirchmayer, U., Cocco, P., Galassi, C., Celentano, E., Guarino, E., Assennato, G., de Nichilo, G., Merlo, D. F., Bocchini, V., Mosciatti, P., Minelli, L., Chiavarini, M., Cuttini, M., Casotto, V., Torregrossa, M. V., Valenti, R. M., Haupt, R., Lagorio, S., Risica, S., Polichetti, A., Bochicchio, F., Nuccetelli, C., Biddau, P., Arico, M., De Salvo, G. L., Locatelli, F., Pession, Andrea, Varotto, S., Poggi, V., Massaglia, P., Monetti, D., Targhetta, R., Bernini, G., Pannelli, F., Sampietro, G., Schiliro, G., Pulsoni, A., Badaloni, C., Ranucci, A., Cesaroni, G., Zanini, G., Vienneau, D., Al-Aidrous, F., De Hoogh, K., Magnani, C., Forastiere, F., C. Badaloni, A. Ranucci, G. Cesaroni, G. Zanini, D. Vienneau, F. Al-Aidrou, K. De Hoogh, C. Magnani, F. Forastiere, S. Mattioli, L. Miligi, R. Rondelli, A. Salvan, G. Masera, C. Rizzari, L. Bisanti, P. Zambon, A. Greco, S. Cannizzaro, L. Gafa, L. L. Luzzatto, A. Benvenuti, P. Michelozzi, U. Kirchmayer, P. Cocco, C. Galassi, E. Celentano, E. Guarino, G. Assennato, G. de Nichilo, D. F. Merlo, V. Bocchini, P. Mosciatti, L. Minelli, M. Chiavarini, M. Cuttini, V. Casotto, M. V. Torregrossa, R. M. Valenti, R. Haupt, S. Lagorio, S. Risica, A. Polichetti, F. Bochicchio, C. Nuccetelli, P. Biddau, M. Arico, G. L. De Salvo, F. Locatelli, A. Pession, S. Varotto, V. Poggi, P. Massaglia, D. Monetti, R. Targhetta, G. Bernini, F. Pannelli, G. Sampietro, G. Schiliro, and A. Pulsoni

Subjects
Male, Pediatrics, Air pollution, NO2, Land use Regression Model, Logistic regression, medicine.disease_cause, Economica, Residence Characteristics, USE REGRESSION-MODELS, Medicine, Child, Children, Vehicle Emissions, General Environmental Science, USE REGRESSION-MODELS, RESIDENTIAL TRAFFIC DENSITY, MAGNETIC-FIELDS, POOLED ANALYSIS, RISK-FACTOR, CANCER, EXPOSURE, CHILDREN, NO2, ASSOCIATION, Leukemia, Incidence, Incidence (epidemiology), ASSOCIATION, CANCER, Childhood leukaemia, Italy, Child, Preschool, Female, Case-Control Studie, Human, medicine.medical_specialty, Socio-culturale, MAGNETIC-FIELDS, POOLED ANALYSIS, RISK-FACTOR, Air Pollution, Occupational Exposure, Environmental health, Traffic Indicator, Humans, EXPOSURE, RESIDENTIAL TRAFFIC DENSITY, Exposure assessment, Vehicle Emission, business.industry, Public Health, Environmental and Occupational Health, Case-control study, Ambientale, Infant, Carcinogens, Environmental, Automobile, Case-Control Studies, Residence Characteristic, Dispersion Model, Etiology, General Earth and Planetary Sciences, Particulate Matter, Residence, business, Automobiles
Abstract

Objectives Leukaemia is the most common cancer in children, but its aetiology is still poorly understood. We tested the hypothesis that traffic-related air pollution is associated with paediatric leukaemia because of chronic exposure to several potential carcinogens. Methods The Italian SETIL study (Study on the aetiology of lymphohematopoietic malignancies in children) was conducted in 14 Italian regions. All incident cases of leukaemia in children aged ≤10 years from these regions (period 1998–2001) were eligible for enrolment. Two controls per case, matched on birth date, gender and region of residence were randomly selected from the local population registries. Exposure assessment at birth residence included traffic indicators (distance to main roads and length of main roads within 100 m) and estimates of pollutants concentrations (particulate matter -PM 2.5 and PM 10 - and gases -NO 2 and O 3 -) from national dispersion model and land use regression models. The association between the exposure variables and leukaemia was assessed by logistic regression analyses. Results Participation rates were 91.4% among cases and 69.2% in controls; 620 cases (544 acute lymphocytic and 76 acute non-lymphocytic leukaemia) and 957 controls were included. Overall, when considering the residence at birth, 35.6% of cases and 42.4% of controls lived along busy roads, and the mean annual PM 10 levels were 33.3 (SD=6.3) and 33.4 µg/m 3 (SD=6.5), respectively. No association was found, and all ORs, independent of the method of assessment and the exposure windows, were close to the null value. Conclusions Using various exposure assessment strategies, air pollution appears not to affect the incidence of childhood leukaemia.

Published
2013
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5. Road Traffic Pollution and Childhood Leukemia: A Nationwide Case-control Study in Italy

Author

Magnani, C., Ranucci, A., Badaloni, C., Cesaroni, G., Ferrante, D., Miligi, L., Mattioli, S., Rondelli, R., Bisanti, L., Zambon, P., Cannizzaro, S., Michelozzi, P., Cocco, P., Celentano, E., Assennato, G., Merlo, D. F., Mosciatti, P., Minelli, L., Cuttini, M., Torregrossa, M. V., Lagorio, S., Haupt, R., Forastiere, F., Farioli, A., Salvan, A., Masera, G., Rizzari, C., Greco Veneto, A., Gafa, L., Luzzatto, L. L., Benvenuti, A., Kirchmayer, U., Galassi, C., Guarino, E., de Nichilo, G., Bocchini, V., Chiavarini, M., Casotto, V., Valenti, R. M., Risica, S., Polichetti, A., Bochicchio, F., Nuccetelli, C., Biddau, P., Arico, M., Desalvo, G. L., Locatelli, Franco, Pession, A., Varotto, S., Poggi, V., Massaglia, P., Monetti, D., Targhetta, R., Bernini, G., Pannelli, F., Sampietro, G., Schiliro, G., Pulsoni, A., Parodi, S., Locatelli F. (ORCID:0000-0002-7976-3654), Magnani, C., Ranucci, A., Badaloni, C., Cesaroni, G., Ferrante, D., Miligi, L., Mattioli, S., Rondelli, R., Bisanti, L., Zambon, P., Cannizzaro, S., Michelozzi, P., Cocco, P., Celentano, E., Assennato, G., Merlo, D. F., Mosciatti, P., Minelli, L., Cuttini, M., Torregrossa, M. V., Lagorio, S., Haupt, R., Forastiere, F., Farioli, A., Salvan, A., Masera, G., Rizzari, C., Greco Veneto, A., Gafa, L., Luzzatto, L. L., Benvenuti, A., Kirchmayer, U., Galassi, C., Guarino, E., de Nichilo, G., Bocchini, V., Chiavarini, M., Casotto, V., Valenti, R. M., Risica, S., Polichetti, A., Bochicchio, F., Nuccetelli, C., Biddau, P., Arico, M., Desalvo, G. L., Locatelli, Franco, Pession, A., Varotto, S., Poggi, V., Massaglia, P., Monetti, D., Targhetta, R., Bernini, G., Pannelli, F., Sampietro, G., Schiliro, G., Pulsoni, A., Parodi, S., and Locatelli F. (ORCID:0000-0002-7976-3654)

Abstract

Background The association of childhood leukemia with traffic pollution was considered in a number of studies from 1989 onwards, with results not entirely consistent and little information regarding subtypes. Aim of the study We used the data of the Italian SETIL case-control on childhood leukemia to explore the risk by leukemia subtypes associated to exposure to vehicular traffic. Methods We included in the analyses 648 cases of childhood leukemia (565 Acute lymphoblastic–ALL and 80 Acute non lymphoblastic-AnLL) and 980 controls. Information on traffic exposure was collected from questionnaire interviews and from the geocoding of house addresses, for all periods of life of the children. Results We observed an increase in risk for AnLL, and at a lower extent for ALL, with indicators of exposure to traffic pollutants. In particular, the risk was associated to the report of closeness of the house to traffic lights and to the passage of trucks (OR: 1.76; 95% CI 1.03–3.01 for ALL and 6.35; 95% CI 2.59–15.6 for AnLL). The association was shown also in the analyses limited to AML and in the stratified analyses and in respect to the house in different period of life. Conclusions Results from the SETIL study provide some support to the association of traffic related exposure and risk for AnLL, but at a lesser extent for ALL. Our conclusion highlights the need for leukemia type specific analyses in future studies. Results support the need of controlling exposure from traffic pollution, even if knowledge is not complete.

Published
2016

7. Hb Bronte or alpha93(FG5)Val>Gly: a new unstable variant of the alpha2-globin gene, associated with a mild alpha(+)-thalassemia phenotype

Author

Lacerra G, Testa R, De Angioletti M, Schiliro G, and Carestia C

Abstract

We report a new unstable variant identified in three carriers of a family from East Sicily; it was named Hb Bronte after the place from which the family originated. DNA sequencing from nucleotides -181 to +894 (alpha1) and to +884 (alpha2) revealed a GTG>GGG substitution at codon 93 of the alpha2-globin gene. The MCV and MCH values were at the lower end of the normal range in the carriers. On cation exchange high performance liquid chromatography (HPLC), the Hb A2 level was apparently increased to around 6%, and a small abnormal peak (0.3-0.4%) was detected after Hb A2. Two abnormal bands were detected by cellulose acetate electrophoresis: a major band (about 3-4%) migrated between Hb A and Hb F; a minor band (

Published
2003

10. Phenotype-genotype correlation in Sicilian patients with Hb H

Author

Mirabile, E, Samperi, P, DI CATALDO, Andrea, Poli, A, LA SPINA, M, and Schiliro', G.

Subjects
Adult, Family Health, Male, Hemoglobin H, Adolescent, Genotype, phenotype–genotype correlation, DNA Mutational Analysis, Middle Aged, Hb H disease, Globins, Phenotype, alpha-Thalassemia, Child, Preschool, Mutation, α-thalassemia, Humans, Female, Child, Sicily, Gene Deletion
Abstract

We studied 15 Sicilian subjects with Hb H disease correlating clinical examinations with hematological and molecular data. Seven different alpha-tha1 mutations were identified: four deletion types (--MED --CAL, -alpha3.7, -alpha4.2) and three nondeletion types (alpha(Ncol)alpha, alpha(Hph)alpha, alphaCSalpha). All the patients had a zero-gene chromosome (--MED or --CAL), while the third alpha gene was deleted (-alpha3.7, -alpha4.2) or inactive (alpha(Ncol)alpha, alpha(Hph)alpha, alphaCSalpha). In patients with the nondeletion genotype the analysis of hematological values revealed lower levels of RBC and Hb A2 and significantly higher levels of Hb H. The clinical variability was remarkable, ranging from totally asymptomatic conditions, casually diagnosed, to severe thalassemia intermedia with marked hemolytic crises, liver and spleen enlargement and the necessity for frequent transfusions. The genotype did not justify the gravity of the phenotype in every case, and the differences in clinical manifestations, also notable, are not easily explainable in subjects who apparently have the same genotype.

Published
2000

15. Anemia

Author

Schiliro', G and DI CATALDO, Andrea

Published
2000

20. BETA-S HAPLOTYPES IN VARIOUS WORLD POPULATIONS

Author

ONER, C DIMOVSKI, AJ OLIVIERI, NF SCHILIRO, G and CODRINGTON, JF FATTOUM, S ADEKILE, AD ONER, R YUREGIR, GT ALTAY, C GURGEY, A GUPTA, RB JOGESSAR, VB and KITUNDU, MN LOUKOPOULOS, D TAMAGNINI, GP RIBEIRO, MLS and KUTLAR, F GU, LH LANCLOS, KD HUISMAN, THJ

Abstract

We have determined the beta(S) haplotypes in 709 patients with sickle cell anemia, 30 with SC disease, 91 with S-beta-thalassemia, and in 322 Hb S heterozygotes from different countries. The methodology concerned the detection of mutations in the promoter sequences of the (G)gamma- and (A)gamma-globin genes through dot blot analysis of amplified DNA with P-32-labeled probes, and an analysis of isolated Hb F by reversed phase high performance liquid chromatography to detect the presence of the (A)gamma(T) chain [(A)gamma-75 (E19) Ile –> Thr] that is characteristic for haplotype 17 (Cameroon). The results support previously published data obtained with conventional methodology that indicates that the beta(S) gene arose separately in different locations. The present methodology has the advantage of being relatively inexpensive and fast, allowing the collection of a vast body of data in a short period of time. It also offers the opportunity of identifying unusual beta(S) haplotypes that may be associated with a milder expression of the disease. The numerous blood samples obtained from many SS patients living in different countries made it possible to compare their hematological data. Such information is included (as average values) for 395 SS patients with haplotype 19/19, for 2 with haplotype 17/17, for 50 with haplotype 20/20, for 2 with haplotype 3/3, and for 37 with haplotype 31/31. Some information on haplotype characteristics of normal beta(A) chromosomes is also presented.

Published
1992

28. γ-mRNA and Hb F levels in β-thalassaemia

Author

Efremov, D. G., primary, Dimovski, A. J., additional, Sukarova, E., additional, Schiliro, G., additional, Zisovski, N., additional, Efremov, G. D., additional, Burrone, O. R., additional, and Huisman, T. H. J., additional

Published
1994
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29. Possible factors influencing the haemoglobin and fetal haemoglobin levels in patients with β-thalassaemia due to a homozygosity for the IVS-I-6 (T→C) mutation

Author

Efremov, D. G., primary, Dimovski, A. J., additional, Baysal, E., additional, Ye, Z., additional, Adekile, A. D., additional, Ribeiro, M. L. S., additional, Schiliro, G., additional, Altay, Ç., additional, Gürgey, A., additional, Efremov, G. D., additional, and Huisman, T. H. J., additional

Published
1994
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44. Haemoglobin Lepore Boston-Washington in Sicily: clinical, haematological, and biosynthetic studies.

Author

Schiliro, G, Musumeci, S, Pizzarelli, G, Fischer, A, Romero, M A, and Russo, G

Abstract

In the south-east of Sicily 23 children from 14 unrelated families have been diagnosed as suffering from haemoglobin Lepore. Such a high incidence shows that Sicily is an important focus of haemoglobin Lepore. The results of haematological and biosynthetic studies in 18 carriers of Hb Lepore and in five double heterozygotes for Hb Lepore and beta-thalassaemia are presented. In the carriers the haematological and biosynthetic data are compared with carriers of beta-thalassaemia, while the five double heterozygotes are compared with beta o- and beta +-thalassaemia major subjects. In the carriers of Hb Lepore no synthesis of delta beta-chains was observed in peripheral blood cells; in fact we found a peak in the bone marrow. Double heterozygotes with circulating nucleated red cells showed delta beta-chain synthesis in peripheral blood. [ABSTRACT FROM PUBLISHER]

Published
1980

45. Sickle cell disease in Sicily.

Author

Roth, E F, Schiliro, G, Russo, A, Musumeci, S, Rachmilewitz, E, Neske, V, and Nagel, R

Abstract

The chemical and physical properties of haemoglobin S derived from homozygotes for this haemoglobin in Sicily were examined, as well as some erythrocytic characteristics. Sicilian Hb S was identical to that found in USA black patients in electrophoretic mobility on both starch and citrate agar media, solubility, mechanical precipitation rate of oxyhaemoglobins, and minimum gelling concentration, as well as by peptide mapping and amino-acid analysis of all beta-chain peptides. Taken together with the presence in Sicily of African blood group markers and certain historical considerations, it seems clear that the source of Hb S in Sicily is Africa. While the clinical severity in nine Sicilian children did not seem remarkably different from the disease in the USA, the most severe and fatal complications were not seen. Mean Hb F Was 10.5% and 2,3-diphosphoglycerate (2,3-DPG) values were higher in Sicilian homozygotes than in black USA counterparts (21.79 mumol/g Hb vs 15.16). Red cell AT values were also slightly higher in Sicilian patients. The presence of concomitant thalassaemia was excluded by both family studies and globin chain synthetic ratios. In conclusion, haemoglobin S in Sicilian homozygotes is identical to Hb S found in USA blacks. Although the severity of the disease seems quite similar in both groups of patients, other erythrocytic properties were found to be different. Whether these factors influence severity remains to be elucidated. [ABSTRACT FROM PUBLISHER]

Published
1980

48. A new alkali-resistant hemoglobin alpha2J Oxford gammaF2 in a Sicilian baby girl with homozygous beta0 thalassemia

Author

Schiliro, G, Musumeci, S, Pizzarelli, G, Russo, A, Marinucci, M, Bruni, E, and Russo, G

Abstract

A 10-mo-old baby girl with homozygous beta0 thalassemia and alphaJOxford, presenting the clinical picture of homozygous beta thalassemia is described. Hemoglobin electrophoresis showed three bands: the first two with the mobilities of hemoglobin Hb A2 (1%) and Hb F (69%), respectively, the third migrating a little faster than Hb A (30%). About 30% of her alpha chains were J Oxford which, bound to her gamma chains, produced a new alkali-resistant hemoglobin, alpha2 J Oxford gamma F2, which has not been described previously. Hemoglobin synthesis in vitro showed the absence of beta chain synthesis and an alpha/non-alpha ratio of 2. The patient's father was heterozygous for both the Hb J Oxford and beta0 thalassemia genes, the mother a carrier of beta0 thalassemia; four other relatives were carriers of Hb J Oxford, and one was a carrier of beta thalassemia.

Published
1976
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49. Photon scattering as a probe of microviscosity and channel size in gels such as sickle haemoglobin

Author

Madonia, F., San Biagio, P. L., Palma, M. U., Schiliro', G., Musumeci, S., and Russo, G.

Abstract

The aggregation of sickle-cell haemoglobin (HbS) is one of the most physiologically important and widely studied macromolecular gelation processes. Both the thermodynamics and kinetics of the process are important in determining the pathological consequences of deoxygenation of the red cells (and both must be understood if a rational strategy is to be developed for pharmacological intervention). We describe here a new and versatile technique for the study of the structure and formation of the HbS aggregates, that should be widely applicable to gel systems generally. We use laser autocorrelation spectroscopy to observe the diffusion of monodisperse polystyrene latex spheres in the interstices of the gel.

Published
1983
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