1
|
Avila A, Prieto L, Luna-Acosta A. Nine decades of data on environmental chemical pollutant exposure in dogs: a bibliometric analysis. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:45515-45527. [PMID: 36807041 PMCID: PMC10097795 DOI: 10.1007/s11356-022-24791-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 12/12/2022] [Indexed: 06/18/2023]
Abstract
In recent decades, a global concern associated with environmental chemical contamination has emerged as an important risk factor for the development of human diseases. Risk assessment methods based on animal approaches have shown to be very useful as early warning systems. However, questions, knowledge gaps, and limitations still need to be addressed in animals close to humans, such as dogs. The objective of this study was to analyze citation patterns, impact of publications, and most relevant authors, countries, institutional affiliations, and lines of research on environmental chemical contaminants and their relationship with dogs, in terms of exposure and biological effects. For this, a bibliometric analysis was carried out. Results revealed an increase in scientific production on this subject during the last 90 years in journals such as Health Physics, Science of the Total Environment, and Plos One, highlighting authors such as Muggenburg, Sonne, Boecker, and Dietz. The USA, Brazil, Germany, and the UK and universities such as California, Colorado State, and Purdue were the most relevant countries and institutional affiliations in scientific production and collaboration in relation to this topic. There is a growing interest in the development of lines of research related to heavy metals (mercury and lead mainly) and persistent organic compounds (PCBs, PBDEs, pesticides) using dogs as sentinels, as well as new sources of interest related to zoonosis and One Health. Finally, issues related to pollutants, sentinel lymph nodes, and epidemiology appear as new areas of research. These results highlight interesting current challenges and future research perspectives on dogs as sentinels for environmental chemical contamination.
Collapse
Affiliation(s)
- Albert Avila
- Departamento de Ecología y Territorio, Facultad de Estudios Ambientales Y Rurales, Pontificia Universidad Javeriana, Transversal 4 # 42-00, Edificio 67, Piso 8, Bogotá, Colombia.
| | - Laura Prieto
- Departamento de Biología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7 # 43-82, Bogotá, Colombia
| | - Andrea Luna-Acosta
- Departamento de Ecología y Territorio, Facultad de Estudios Ambientales Y Rurales, Pontificia Universidad Javeriana, Transversal 4 # 42-00, Edificio 67, Piso 8, Bogotá, Colombia
| |
Collapse
|
2
|
Vergara-Murillo F, González-Ospino S, Cepeda-Ortega N, Pomares-Herrera F, Johnson-Restrepo B. Adverse Health Effects and Mercury Exposure in a Colombian Artisanal and Small-Scale Gold Mining Community. TOXICS 2022; 10:723. [PMID: 36548556 PMCID: PMC9782122 DOI: 10.3390/toxics10120723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/17/2022] [Accepted: 11/19/2022] [Indexed: 06/17/2023]
Abstract
The aim of this study was, first of all, to associate the mercury (Hg) concentrations and respiratory functions of the gold miners in the artisanal small-scale gold mining (ASGM) environment in San Martín de Loba, Colombia. We carried out a cross-sectional study using a survey whereby we collected basic demographic information, occupational medical history, and applied two validated questionnaires (Q16 and SF36). We measured Hg levels in all volunteers using direct thermal decomposition-atomic absorption spectrometry. Univariate and bivariate statistical analyses were carried out for all variables, performing logistic regression to assess the effect of ASGM on health outcomes. Volunteers enrolled (n = 124) were between the ages of 20 and 84 years (84% miners and 79% males). No changes were found in the systolic blood pressure, diastolic blood pressure, and heart rate from the ASGM miners, in crude and adjusted statistical analyses. ASGM miners increased 8.91 (95% confidence interval, 1.55-95.70) times the risk of having these than of having neurotoxic effects. Concentrations of total whole blood mercury (T-Hg) in all participants ranged from 0.6 to 82.5 with a median of 6.0 μg/L. Miners had higher T-Hg concentrations than non-miners (p-value = 0.011). Normal and abnormal respiratory spirometry patterns showed significant differences with the physical role and physical function of quality-of-life scales (the (p-value was 0.012 and 0.004, respectively). The spirometry test was carried out in 87 male miners, with 25% of these miners reporting abnormalities. Out of these, 73% presented a restrictive spirometry pattern, and 27%, an obstructive spirometry pattern. The ASGM population had higher Hg concentrations and worse neurotoxic symptomatology than non-miners of the same community.
Collapse
Affiliation(s)
- Fredy Vergara-Murillo
- Environmental Chemistry Research Group, School of Exact and Natural Sciences, University Campus of San Pablo, University of Cartagena, Zaragocilla, Carrera 50 No. 24-99, Cartagena 130015, Colombia
- School of Medicine, University of Cartagena, Zaragocilla, Carrera 50 No. 24-99, Cartagena 130015, Colombia
| | | | - Nazly Cepeda-Ortega
- Environmental Chemistry Research Group, School of Exact and Natural Sciences, University Campus of San Pablo, University of Cartagena, Zaragocilla, Carrera 50 No. 24-99, Cartagena 130015, Colombia
| | - Fredy Pomares-Herrera
- School of Medicine, University of Cartagena, Zaragocilla, Carrera 50 No. 24-99, Cartagena 130015, Colombia
| | - Boris Johnson-Restrepo
- Environmental Chemistry Research Group, School of Exact and Natural Sciences, University Campus of San Pablo, University of Cartagena, Zaragocilla, Carrera 50 No. 24-99, Cartagena 130015, Colombia
| |
Collapse
|
3
|
Artisanal and Small-Scale Gold Mining (ASGM): Management and Socioenvironmental Impacts in the Northern Amazon of Ecuador. SUSTAINABILITY 2022. [DOI: 10.3390/su14116854] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Mining is one of the oldest economic activities of mankind. Within this activity, artisanal and small-scale gold mining (ASGM) is one of the most studied sectors due to its high level of environmental contamination and the social problems it causes. In recent years, ASGM in the northern Amazon of Ecuador has increased significantly, and studies that describe its current situation and impact are scarce. In this sense, the present study aimed to analyze the current status and socioenvironmental impacts caused by ASGM gold mining activities in the Cascales canton in the province of Sucumbíos in northeastern Ecuador. The methodological tools used in the present study were a literature review of scientific and gray literature, field visits to assess perceived impacts and an expert judgment to discuss the results and establish challenges. The main results indicate that illegal and informal activities continue to be carried out in the upper zone of the Cascales and Duvino rivers; 90% of local miners still use mercury in this activity, although it is legally prohibited. Among the main impacts evidenced are the contamination of water bodies, soil and atmosphere due to the use of mercury and disturbance to flora and fauna due to the use of machinery in the exploration process. Finally, the government should focus efforts on strengthening public policies to socialize the importance of good environmental practices in ASGM and the effects of the impacts on human health and environmental issues, all this with the support of social actors, such as ministries, universities, NGOs, ASGM associations and private enterprise.
Collapse
|
4
|
Taux K, Kraus T, Kaifie A. Mercury Exposure and Its Health Effects in Workers in the Artisanal and Small-Scale Gold Mining (ASGM) Sector—A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042081. [PMID: 35206270 PMCID: PMC8871667 DOI: 10.3390/ijerph19042081] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 02/08/2022] [Accepted: 02/09/2022] [Indexed: 02/01/2023]
Abstract
Gold is one of the most valuable materials but is frequently extracted under circumstances that are hazardous to artisanal and small-scale gold miners’ health. A common gold extraction method uses liquid mercury, leading to a high exposure in workers. Therefore, a systematic review according to the PRISMA criteria was conducted in order to examine the health effects of occupational mercury exposure. Researching the databases PubMed®, EMBASE® and Web of ScienceTM yielded in a total of 10,589 results, which were screened by two independent reviewers. We included 19 studies in this review. According to the quantitative assessment, occupational mercury exposure may cause a great variety of signs and symptoms, in particular in the field of neuro-psychological disorders, such as ataxia, tremor or memory problems. However, many reported symptoms were largely unspecific, such as hair loss or pain. Most of the included studies had a low methodological quality with an overall high risk of bias rating. The results demonstrate that occupational mercury exposure seriously affects miners’ health and well-being.
Collapse
|
5
|
Assessment and Promotion of Geotouristic and Geomining Routes as a Basis for Local Development: A Case Study. MINERALS 2021. [DOI: 10.3390/min11040351] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Travel itineraries are fundamental in the development of tourism of a given area. Traditional thematic routes (e.g., architectural, archaeological) can be significantly improved and optimized by including geological and mining interest sites. The present study offers an analysis of the influence that inclusion of geosites or mining sites could have on the existing routes of the Zaruma-Portovelo region (Ecuador), together with a global assessment of these itineraries as the basis of fostering local development in communities of the region. The methodology consists of the following stages: (i) compilation of existing travel itineraries; (ii) analysis and assessment of those geosites and mining sites that are included in two geotouristic routes through the Spanish Inventory of Places of Geological Interest method (IELIG, acronym in Spanish), but have not been assessed previously; (iii) assessment of existing routes (two geotouristic routes and one geomining route) from a global perspective through the Geotouristic Route Assessment Matrix method (GtRAM, acronym in Spanish); and (iv) definition of strategies for the development and promotion of travel itineraries within the context of geotourism. According to the results of quantitative assessment, three new sites (both geosites and mining sites) were studied and their obtained score of interest was “High” (164/400). The existing routes achieved good results both from the geological-mining perspective “High” score of (189/400) and within a global context “Very High” score of (3.5/5). The quantitative assessment allowed us to propose improvement strategies to disseminate and use these itineraries to unfold sustainable development based on geotourism.
Collapse
|
6
|
Artisanal and Small Gold Mining and Petroleum Production as Potential Sources of Heavy Metal Contamination in Ecuador: A Call to Action. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062794. [PMID: 33801864 PMCID: PMC7998136 DOI: 10.3390/ijerph18062794] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 02/23/2021] [Accepted: 03/03/2021] [Indexed: 12/01/2022]
Abstract
Mining and petroleum production are the source of many elements and base materials fundamental for our modern way of life. The flip side of these keystone industries is the environmental degradation they can cause if not properly managed. Metallic mining and petroleum production can contaminate the local ecosystem with sediments, chemicals used in the industrial processes and heavy metals, part of the metallic ore or oil reservoir. The objective of this project was to analyze the spatial distribution of the presence of different potentially hazardous elements that make up the metallic deposits and oil reservoirs in Ecuador, focused mainly on artisanal and small-scale gold mining (ASGM) districts. Additionally, we were interested in analyzing this information under the local political and administrative contexts which are key to determining how likely it is that mismanagement of the local mineral deposits and petroleum exploitation projects will end up causing environmental degradation. An extensive and intensive literature search was conducted for information on the presence and concentration of 19 potentially harmful elements. We analyzed data on 11 metallic deposits throughout Ecuador and a major oilfield in the Ecuadorian Amazon basin. We used geographic information systems to analyze the spatial distribution of these reservoirs and their mineral compositions. The results indicated a widespread distribution and high concentration of elements potentially harmful for human health, such as mercury, cadmium and arsenic, throughout the metallic deposits in Ecuador. This is particularly true for long-exploited ASGM districts, such as Ponce-Enríquez, Portovelo-Zaruma and Nambija. This study highlights the importance of understanding geological diversity and its potential risks to better protect the biological diversity and public health of its inhabitants. Furthermore, we consider our work not as a call to stop ASGM mining nor petroleum production, but on the contrary as a strong call to plan every mining and petroleum production project considering these risks. Moreover, our work is a call to action by the local government and authorities to stop corruption and fulfill their duties overseeing the activities of mining and petroleum companies, stopping illegal mining, helping ASGM communities to improve their environmental standards, finding alternative income sources and protecting the local environment.
Collapse
|
7
|
Bose-O'Reilly S, Lettmeier B, Shoko D, Roider G, Drasch G, Siebert U. Infants and mothers levels of mercury in breast milk, urine and hair, data from an artisanal and small-scale gold mining area in Kadoma / Zimbabwe. ENVIRONMENTAL RESEARCH 2020; 184:109266. [PMID: 32126374 DOI: 10.1016/j.envres.2020.109266] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Revised: 02/10/2020] [Accepted: 02/16/2020] [Indexed: 06/10/2023]
Abstract
In Kadoma (Zimbabwe) gold is extracted from ore based on a simple technology using mercury. Women are exposed whilst living in an exposed area, or even more working directly with mercury. Breast fed infants are exposed via mercury contaminated milk and the general environmental mercury exposure. The aim of the study was to measure infants and mothers levels of mercury in urine and hair, as well as in breast milk. In 2006, an environmental epidemiological field study with 120 mother - child pairs was conducted. A non exposed control group (n = 42) was compared with a medium exposed group (n = 51) and a high exposed group (occupational exposure, n = 27). Urine and hair samples from mother and infants plus breast milk samples were analyzed for total mercury. 120 breast milk samples were analyzed, median (maximum) concentrations [μg Hg/l] were (i) control group < 0.50 (1.55), (ii) medium exposed group 1.10 (10.48), (iii) high exposed group 1.20 (24.80) (p < 0,001). Urine and hair results were distributed similarly for infants and mothers, with higher levels according to the exposure subgroup. All specimen results correlated very well with another, indicating there is a pathway between breast milk and infant's level of mercury. The daily uptake of mercury via breast milk was calculated. The reference dose of 0.3°[μg Hg/kg BW/d] was used to compare the burden of the infants. No infant from the control group, but 17.6% of the medium and 18.5% of the high exposed group were above the reference dose. Mercury in breast milk is generally higher in artisanal and small scale gold mining areas. Breast fed infants were burdened with toxic mercury via breast milk and via the general environment, both are important public health issues.
Collapse
Affiliation(s)
- Stephan Bose-O'Reilly
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, University Hospital Munich, LMU Munich, Ziemssenstr. 1, D-80336, Munich, Germany; Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT (Private University for Health Sciences, Medical Informatics and Technology), Eduard Wallnoefer Zentrum 1, A-6060, Hall i.T., Austria.
| | - Beate Lettmeier
- Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT (Private University for Health Sciences, Medical Informatics and Technology), Eduard Wallnoefer Zentrum 1, A-6060, Hall i.T., Austria; Institute of Forensic Medicine, Ludwig-Maximilians-University (LMU), Nussbaumstraße 26, D-80336, Munich, Germany.
| | - Dennis Shoko
- Tailjet Consultancy Services, 4 Tor Road, Vainona, Borrowdale, Harare, Zimbabwe.
| | - Gabriele Roider
- Institute of Forensic Medicine, Ludwig-Maximilians-University (LMU), Nussbaumstraße 26, D-80336, Munich, Germany.
| | - Gustav Drasch
- Tailjet Consultancy Services, 4 Tor Road, Vainona, Borrowdale, Harare, Zimbabwe.
| | - Uwe Siebert
- Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT (Private University for Health Sciences, Medical Informatics and Technology), Eduard Wallnoefer Zentrum 1, A-6060, Hall i.T., Austria; Cardiovascular Research Program, Institute for Technology Assessment and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Center for Health Decision Science, Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA.
| |
Collapse
|
8
|
An Agent Based Model to Analyze the Bitcoin Mining Activity and a Comparison with the Gold Mining Industry. FUTURE INTERNET 2019. [DOI: 10.3390/fi11010008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
In this paper, we present an analysis of the mining process of two popular assets, Bitcoin and gold. The analysis highlights that Bitcoin, more specifically its underlying technology, is a “safe haven” that allows facing the modern environmental challenges better than gold. Our analysis emphasizes that crypto-currencies systems have a social and economic impact much smaller than that of the traditional financial systems. We present an analysis of the several stages needed to produce an ounce of gold and an artificial agent-based market model simulating the Bitcoin mining process and allowing the quantification of Bitcoin mining costs. In this market model, miners validate the Bitcoin transactions using the proof of work as the consensus mechanism, get a reward in Bitcoins, sell a fraction of them to cover their expenses, and stay competitive in the market by buying and divesting hardware units and adjusting their expenses by turning off/on their machines according to the signals provided by a technical analysis indicator, the so-called relative strength index.
Collapse
|
9
|
Mendoza-Lagunas JL, Meza-Figueroa DM, Martínez-Cinco MA, O’Rourke MK, Centeno-García E, Romero FM, García-Rico L, Meza-Montenegro MM. Health Risk Assessment in Children by Arsenic and Mercury Pollution of Groundwater in a Mining Area in Sonora, Mexico. ACTA ACUST UNITED AC 2019. [DOI: 10.4236/gep.2019.76008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
10
|
Díaz SM, Muñoz-Guerrero MN, Palma-Parra M, Becerra-Arias C, Fernández-Niño JA. Exposure to Mercury in Workers and the Population Surrounding Gold Mining Areas in the Mojana Region, Colombia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E2337. [PMID: 30360528 PMCID: PMC6266810 DOI: 10.3390/ijerph15112337] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 10/13/2018] [Accepted: 10/18/2018] [Indexed: 11/17/2022]
Abstract
In Colombia, the inhabitants of the Mojana region have historically been subjected to high levels of environmental and occupational exposure to mercury; however, there are few robust data on the magnitude of this exposure and associated factors. This study aimed to describe the levels of mercury in the workers and inhabitants in this region, and to identify the main sociodemographic and occupational factors that are associated with this exposure. A cross-sectional study was conducted, in which mercury levels were determined in biological samples (blood, urine, hair) from 1119 people in the Mojana region. A questionnaire was also administered, which was adapted from the Global Mercury Assessment. Linear regression models were adjusted for the natural logarithm of mercury levels in blood, urine, and hair, using the factors that were explored as independent variables. The study reports high mercury levels in 35.0% of blood samples (95% CI 31.9⁻38.1%), 28.8% (95% CI 24.9⁻32.8%) of urine samples, and 56.3% (95% CI 53.1⁻59.5%) of hair samples. The reported source of water for consumption was associated with high levels of mercury (p-value < 0.05). We provide evidence of high levels of mercury exposure for the population in the Mojana region.
Collapse
Affiliation(s)
- Sonia Mireya Díaz
- Environmental and Labor Health Group, National Institute of Health, Bogotá 111321, Colombia.
| | | | - Marien Palma-Parra
- Environmental and Labor Health Group, National Institute of Health, Bogotá 111321, Colombia.
| | - Carolina Becerra-Arias
- Research Group on Health, Rehabilitation and Work (SARET), Manuela Beltrán University, Bucaramanga 680002, Colombia.
| | | |
Collapse
|
11
|
Schutzmeier P, Focil Baquerizo A, Castillo-Tandazo W, Focil N, Bose-O’Reilly S. Efficacy of N,N'bis-(2-mercaptoethyl) isophthalamide on mercury intoxication: a randomized controlled trial. Environ Health 2018; 17:15. [PMID: 29444690 PMCID: PMC5813329 DOI: 10.1186/s12940-018-0358-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Accepted: 01/29/2018] [Indexed: 05/08/2023]
Abstract
BACKGROUND Chronic mercury intoxication is a severe health issue and occurs especially in gold mining communities. Common chelators used for improving mercury elimination are not everywhere available and challenged by poor cell wall penetration. This study is part of a feasibility trial and the aim was to gather first information about the efficacy of the newly developed chelator N,N'bis-(2-mercaptoethyl) isophthalamide (NBMI) on chronic mercury intoxication. METHODS In this three-armed, placebo-controlled randomized trial, 36 miners with mercury urine levels exceeding 15 μg/l were administered 100 mg NBMI, 300 mg NBMI or placebo for 14 days. Levels of mercury in urine [μg/l and μg/g creatinine] and plasma l were analyzed. Therapeutic effect was assessed using the medical intoxication score (MIS) and its single health outcomes (e.g. excessive salivation, sleeping problems), fatigue scores, a neuromotoric test battery (CATSYS) and a neurological outcome (Finger to nose test). RESULTS Physical fatigue was significantly decreased in the 300 mg NBMI group compared to the control. Mercury concentration in urine following 300 mg NBMI treatment was significantly lowered compared to control, however, this effect was less distinct with adjustment for creatinine. CONCLUSION NBMI showed an effect on physical fatigue and there were indications to positive effects on other symptoms as well. More comprehensive studies are mandatory to verify the effects of NBMI as a novel tool for treating mercury intoxications. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02486289 . Date of registration: June 24, 2015.
Collapse
Affiliation(s)
- Paul Schutzmeier
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, WHO Collaborating Centre for Occupational Health, University Hospital Munich, Ziemssenstr. 1, D-80336 Munich, Germany
| | | | | | | | - Stephan Bose-O’Reilly
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, WHO Collaborating Centre for Occupational Health, University Hospital Munich, Ziemssenstr. 1, D-80336 Munich, Germany
- Institute of Public Health, Medical Decision Making and Health Technology Assessment, Department of Public Health, Health Services Research and Health Technology Assessment, UMIT (University for Health Sciences, Medical Informatics and Technology), A-6060 Hall i.T, Innsbruck, Austria
| |
Collapse
|