Evidence Based Medicine (EBM)
Evidence-based medication (EBM) is the usage of the scientific methodology to prepare and apply present information to enhance health-care selections. Thus, the most effective obtainable science is mixed with the healthcare skilled’s medical expertise and the affected person’s values to reach at the most effective medical choice for the affected person. There are 5 major steps for making use of EBM to medical observe : EBM begins with a medical query. The medical query is a matter which the health-care supplier addresses with the affected person. After the medical query is formulated, related scientific proof is sought which pertains to the medical query. Scientific proof contains examine outcomes and opinions.
Not all information has the identical energy. Recommendations from an knowledgeable are usually not as sturdy because the outcomes of a well-conducted examine, which is inferior to the outcomes of a set of well-conducted research. Thus in evidence-based medication, the degrees of proof or information ought to be graded in keeping with their relative energy. Stronger proof ought to be given extra weight when making medical selections. The proof is often stratified into six completely different ranges: All medical research or scientific proof might be categorised into one of many above classes.
The clinician should then use their skilled, medical expertise to extrapolate the scientific proof because it applies to the particular affected person. Most medical research have particular inclusion and exclusion standards in addition to particular inhabitants studied. More typically than not, the affected person being handled by the clinician can have a number of substantial variations from the inhabitants within the examine. The medical supplier should then use their medical judgment to find out how the variations between the affected person and the examine inhabitants are necessary or not and the way they have an effect on making use of the outcomes of the examine to the particular affected person.
For instance, a selected affected person could also be a 70-year-old feminine with a historical past of hyperlipidemia and a brand new prognosis of hypertension taking a look at therapy choices for hypertension. The clinician might discover a good randomized managed trial taking a look at medicines to regulate hypertension, however the inclusion standards of the examine was a inhabitants of 18 to 65-year-olds.
Should the clinician ignore the outcomes as the particular affected person doesn’t meet the examine demographics? Should the clinician ignore the age distinction between the particular affected person and examine inhabitants? This is the place the medical judgment helps bridge the hole between the related scientific proof and the particular affected person being handled. Finally, clinicians utilizing evidence-based medication should put the entire data within the context of the affected person’s values or preferences.
The affected person’s values or preferences might battle with a number of the doable choices. Even sturdy proof supporting a selected therapy might not be suitable with the affected person’s preferences, and thus, the clinician might not advocate the therapy to the affected person. Also, the therapy may not apply to the particular affected person. As an instance, a affected person might have a selected type of most cancers. Level IA proof might counsel life expectancy can double from eight to 16 months with chemotherapy.
The chemotherapy has important unintended effects. The affected person might discover these unintended effects not acceptable and elect to not pursue chemotherapy secondary to the particular affected person’s preferences and values. Once the medical query is formulated, related scientific data evaluated, and medical judgment used to use the related scientific proof to the particular affected person and their values, the result have to be evaluated. The remaining step is a re-evaluation of the affected person and medical consequence after software of the utilized data. Did the intervention assist? Were the outcomes as anticipated?
What new data is obtained? How can this data be utilized to future conditions and sufferers? Evidenced-based medication begins with the medical query and returns to the medical query on the finish to see to what impact the method labored. Without steady re-evaluation, the medical supplier is not going to make sure if the influence they’ve is constructive or unfavourable. Evidence-based medication is a perpetual wheel of enchancment quite than a one-time linear course of.
COVID-19 throughout being pregnant, supply and postpartum interval based mostly on EBM
The pandemic attributable to the extreme acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has turn out to be the explanation of the worldwide well being disaster. Since the primary case of recognized COVID-19 pneumonia was reported in Wuhan, Hubei Province, China, in December 2019, the an infection has unfold quickly to everywhere in the world. The data gained from earlier human coronavirus an infection outbreaks means that pregnant girls and their foetuses characterize a high-risk inhabitants throughout infectious illness epidemics. Moreover, a being pregnant, as a result of physiological adjustments involving immune and cardiopulmonary programs, is a state predisposing girls to respiratory issues of viral an infection.
The consistently growing variety of publications concerning the course of COVID-19 an infection in pregnant girls has been revealed, nonetheless, the obtainable information stays restricted and plenty of questions stay unanswered. The goal of this overview was to summarize the literature information and adjusted to present suggestions concerning being pregnant care, supply and postpartum interval.
Canine anti-EBMZ ELISA Kit |
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| ECE0128 | Abclonal | 96Tests | EUR 521 |
Chicken anti-EBMZ ELISA Kit |
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| ECKE0128 | Abclonal | 96Tests | EUR 521 |
Human anti-EBMZ ELISA Kit |
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| EHE0128 | Abclonal | 96Tests | EUR 521 |
Bovine anti-EBMZ ELISA Kit |
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| EBE0128 | Abclonal | 96Tests | EUR 521 |
Guinea Pig anti-EBMZ ELISA Kit |
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| EGE0128 | Abclonal | 96Tests | EUR 521 |
Custom Antibody titration by ELISA up to 2 rabbits and 1 bleed |
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| ELISA-1 | Alpha Diagnostics | 1 | EUR 202 |
Human epidermal basement membrane zone(EBMZ)ELISA Kit |
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| GA-E0477HM-48T | GenAsia Biotech | 48T | EUR 289 |
Human epidermal basement membrane zone(EBMZ)ELISA Kit |
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| GA-E0477HM-96T | GenAsia Biotech | 96T | EUR 466 |
Human epidermal basement membrane zone,EBMZ ELISA Kit |
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| 201-12-0461 | SunredBio | 96 tests | EUR 440 |
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Description: A quantitative ELISA kit for measuring Human in samples from biological fluids. |
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Human epidermal basement membrane zone, EBMZ ELISA Kit |
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| CSB-E09524h-24T | Cusabio | 1 plate of 24 wells | EUR 165 |
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Description: Quantitativesandwich ELISA kit for measuring Human epidermal basement membrane zone, EBMZ in samples from serum, plasma, cell culture supernates, tissue homogenates. A new trial version of the kit, which allows you to test the kit in your application at a reasonable price. |
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Human epidermal basement membrane zone, EBMZ ELISA Kit |
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| 1-CSB-E09524h | Cusabio |
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Description: Quantitativesandwich ELISA kit for measuring Human epidermal basement membrane zone, EBMZ in samples from serum, plasma, cell culture supernates, tissue homogenates. Now available in a cost efficient pack of 5 plates of 96 wells each, conveniently packed along with the other reagents in 5 separate kits. |
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Human epidermal basement membrane zone(EBMZ)ELISA Kit |
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| QY-E02670 | Qayee Biotechnology | 96T | EUR 361 |
Human epidermal basement membrane zone,EBMZ ELISA Kit |
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| CN-03769H1 | ChemNorm | 96T | EUR 486 |
Human epidermal basement membrane zone,EBMZ ELISA Kit |
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| CN-03769H2 | ChemNorm | 48T | EUR 333 |
Frit Kit |
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| FRIT-KIT | Next Advance | 1each | EUR 124 |
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Description: Kit to create frits in capillaries. Includes formamide, Kasil-1, Kasil-1624 and a cleaving tool. |
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Column Packing Kit |
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| PACK-KIT | Next Advance | 1pack | EUR 1035 |
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Description: Column packing kit for pressure cells. Includes: HPREG regulator, TBNG10 tubing, CAP-75 capillary, and STRB5X2 stir bar. |
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PCR Mycoplasma Detection Kit |
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| M034-Kit | TOKU-E | Kit | EUR 266 |
Cas9 Protein and T7 gRNA SmartNuclease Synthesis Kit |
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| CAS400A-KIT | SBI | 1 kit (10 rxn) | EUR 1110 |
CMV-hspCas9-T2A-Puro SmartNuclease Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV100PA-KIT | SBI | 1 Kit | EUR 1132 |
CMV-hspCas9-EF1-GFP SmartNuclease Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV105PA-KIT | SBI | 1 Kit | EUR 1132 |
MSCV-hspCas9-T2A-Puro SmartNuclease Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV120PA-KIT | SBI | 1 Kit | EUR 1132 |
MSCV-hspCas9-EF1-GFP SmartNuclease Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV125PA-KIT | SBI | 1 Kit | EUR 1132 |
Multiplex gRNA Kit + EF1-T7-hspCas9-H1-gRNA linearized SmartNuclease vector |
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| CAS700A-KIT | SBI | 10 rxn | EUR 1132 |
Multiplex gRNA Kit + CAG-T7-hspCas9-H1-gRNA linearized SmartNuclease vector |
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| CAS720A-KIT | SBI | 10 rxn | EUR 1132 |
Multiplex gRNA Kit + CMV-T7-hspCas9-H1-gRNA linearized SmartNuclease vector |
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| CAS740A-KIT | SBI | 10 rxn | EUR 1132 |
T7 gRNA SmartNuclease Synthesis Kit (includes CAS510A-1 & T7 IVT synthesis reagents) |
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| CAS510A-KIT | SBI | 1 Kit | EUR 805 |
Cas9 Nickase: CMV-hspCas9(D10A)-T2A-Puro SmartNickase Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV200PA-KIT | SBI | 1 Kit | EUR 1132 |
Cas9 Nickase: CMV-hspCas9(D10A)-EF1-GFP SmartNickase Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV205PA-KIT | SBI | 1 Kit | EUR 1132 |
Cas9 Nickase: MSCV-hspCas9(D10A)-T2A-Puro SmartNickase Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV220PA-KIT | SBI | 1 Kit | EUR 1132 |
Cas9 Nickase: MSCV-hspCas9(D10A)-EF1-GFP SmartNickase Lentivector Plasmid + LentiStarter Packaging Kit |
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| CASLV225PA-KIT | SBI | 1 Kit | EUR 1132 |
Multiplex gRNA Kit + Cas9 Nickase: EF1-T7-hspCas9-nickase-H1-gRNA linearized SmartNickase vector |
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| CAS750A-KIT | SBI | 10 rxn | EUR 1132 |
Multiplex gRNA Kit + Cas9 Nickase: CAG-T7-hspCas9-nickase-H1-gRNA linearized SmartNickase vector |
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| CAS770A-KIT | SBI | 10 rxn | EUR 1132 |
Multiplex gRNA Kit + Cas9 Nickase: CMV-T7-hspCas9-nickase-H1-gRNA linearized SmartNickase vector |
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| CAS790A-KIT | SBI | 10 rxn | EUR 1132 |
Cas9 SmartNuclease Extra Ligation Kit [includes 5x ligation buffer (10 ul) and Fast ligase (2.5ul)] |
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| CAS9LIG-KIT | SBI | 1 Kit | EUR 153 |
PinPoint-FC 293T Platform Kit for Targeted Gene Insertion (includes PIN320A-1, PIN200A-1, PIN510A-1 & PIN600A-1) |
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| PIN320A-KIT | SBI | 1 Kit | EUR 4941 |
PinPoint-FC Murine iPSC Platform Kit for Targeted Gene Insertion (includes PIN340iPS-1, PIN200A-1, PIN510A-1 & PIN600A-1) |
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| PIN340iPS-KIT | SBI | 1 Kit | EUR 4941 |
AAVS1 Safe Harbor Targeting Vector 2.0 - All-Purpose Donor (AAVS1-SA-puro-MCS), Complete Kit with CAS601A-1 (Cas9 SmartNuclease AAVS1-gRNA Targeting Vector) and GE640PR-1 (Junction PCR Primer Mix to confirm AAVS1 integration site) |
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| GE620A-KIT | SBI | 1 kit | EUR 2132 |
AAVS1 Safe Harbor Targeting Vector 2.0 - GOI Knock-in Donor (AAVS1-SA-puro-EF1-MCS), Complete Kit with CAS601A-1 (Cas9 SmartNuclease AAVS1-gRNA Targeting Vector) and GE640PR-1 (Junction PCR Primer Mix to confirm AAVS1 integration site) |
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| GE622A-KIT | SBI | 1 kit | EUR 2132 |
AAVS1 Safe Harbor Targeting Vector 2.0 - Reporter Knock-in Donor (AAVS1-SA-puro-MCS-GFP), Complete Kit with CAS601A-1 (Cas9 SmartNuclease AAVS1-gRNA Targeting Vector) and GE640PR-1 (Junction PCR Primer Mix to confirm AAVS1 integration site) |
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| GE624A-KIT | SBI | 1 kit | EUR 2132 |
vWF Acty. Kit |
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| ABP-ACT-KIT | Abpcorp | 12 x 8 microwells | EUR 428 |
vWF Ant. Kit |
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| ABP-TOT-KIT | Abpcorp | 12 x 8 microwells | EUR 394 |
hspCas9 AAVS1 Safe Harbor Knock-in Donor (AAVS1-SA-puro-EF1-hspCas9) |
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| CAS620A-KIT | SBI | 1 kit | EUR 2152 |
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Description: Complete Kit with CAS601A-1 (Cas9 SmartNuclease AAVS1-gRNA Targeting Vector), CAS640PR-1 (Junction PCR Primer Mix to confirm Cas9 integration site), and CAS9-PR-1 (PCR primers to confirm Cas9 expression) |
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PinPoint-FC System for Platform Cell Line Generation & Retargeting (includes PIN300A-1, FC200PA-1, PIN200A-1, PIN510A-1, & PIN600A-1) |
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| PIN300A-KIT | SBI | 1 Kit | EUR 2798 |
PinPoint-HR System for Platform Cell Line Generation & Retargeting (includes PIN400A-1, PIN200A-1, PIN510A-1, & PIN600A-1) |
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| PIN400A-KIT | SBI | 1 Kit | EUR 2798 |
PinPoint-HR System for Platform Cell Line Generation & Retargeting of AAVS1 Safe Harbor Locus (includes PIN410A-1, GE601A-1, PIN200A-1, PIN510A-1, & PIN600A-1) |
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| PIN410A-KIT | SBI | 1 Kit | EUR 4335 |
PinPoint-HR System for Platform Cell Line Generation & Retargeting of AAVS1 Safe Harbor Locus (includes PIN410A-1, CAS601A-1, PIN200A-1, PIN510A-1, & PIN600A-1) |
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| PIN412A-KIT | SBI | 1 Kit | EUR 4335 |
PrecisionX Multiplex gRNA Cloning Kit |
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| CAS9-GRNA-KIT | SBI | 10 rxn | EUR 445 |
mRNAExpress mRNA Synthesis kit (5 reactions) |
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| MR-KIT-1 | SBI | 5 reactions | EUR 1152 |
ExoAb Antibody Kit (CD9, CD63, CD81, Hsp70 antibodies, rabbit anti-human) with goat anti-rabbit HRP secondary antibody |
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| EXOAB-KIT-1 | SBI | 25 ul each | EUR 627 |
CLOuD9 Gene Expression Regulation Kit (includes 10 ug each of dCas9-PYL1 and dCas9-ABI1 lentivectors, and 100 ul of 0.5M Inducer Agent) |
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| CASCL9-100A-KIT | SBI | 1 Kit | EUR 1132 |
AXYGEN® AXYPET® PRO STARTER KIT: 4 PIPETTORS, PLEXI STAND, SAMPLE TIPS |
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| AP-STR-KIT-P | CORNING | 1/pk | EUR 721 |
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Description: Corning and Axygen Liquid Handling Equipment; Axypet Pipettors and Motopet Pipet Controller |
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AXYPET STARTER KIT 1 AP-20, AP-200 & AP-1000 WITH ADDITIONAL FREE RACKS OF AXYGEN PIPETTE TIPS |
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| AP-STR-KIT-1 | CORNING | 1/pk | EUR 355 |
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Description: Corning and Axygen Liquid Handling Equipment; Axypet Pipettors and Motopet Pipet Controller |
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AXYPET STARTER KIT 2 AP-10, AP-100 & AP-1000 WITH ADDITIONAL FREE RACKS OF AXYGEN PIPETTE TIPS |
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| AP-STR-KIT-2 | CORNING | 1/pk | EUR 367 |
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Description: Corning and Axygen Liquid Handling Equipment; Axypet Pipettors and Motopet Pipet Controller |
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Beta2-Microglobulin ELISA kit ELISA Kit |
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| LF-EK60047 | Abfrontier | 1×96T | EUR 679 |
Human Kit ELISA Kit |
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| ELA-E0121h | Lifescience Market | 96 Tests | EUR 824 |
LZM ELISA Kit| Mouse Lysozyme ELISA Kit |
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| EF013748 | Lifescience Market | 96 Tests | EUR 689 |
MAU ELISA Kit| Mouse Microalbuminuria ELISA Kit |
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| EF013752 | Lifescience Market | 96 Tests | EUR 689 |
MHB ELISA Kit| Mouse Methemoglobin ELISA Kit |
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| EF013756 | Lifescience Market | 96 Tests | EUR 689 |
MT ELISA Kit| Mouse Melatonin ELISA Kit |
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| EF013768 | Lifescience Market | 96 Tests | EUR 689 |
MTL ELISA Kit| Mouse Motilin ELISA Kit |
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| EF013769 | Lifescience Market | 96 Tests | EUR 689 |
MYO ELISA Kit| Mouse Myoglobin ELISA Kit |
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| EF013773 | Lifescience Market | 96 Tests | EUR 689 |
NGB ELISA Kit| Mouse Neuroglobin ELISA Kit |
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| EF013783 | Lifescience Market | 96 Tests | EUR 689 |
Pg ELISA Kit| Mouse Progesterone ELISA Kit |
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| EF013825 | Lifescience Market | 96 Tests | EUR 689 |
PHB ELISA Kit| Mouse Prohibitin ELISA Kit |
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| EF013829 | Lifescience Market | 96 Tests | EUR 689 |
PI ELISA Kit| Mouse Proinsulin ELISA Kit |
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| EF013830 | Lifescience Market | 96 Tests | EUR 689 |
PP ELISA Kit| Mouse Pepsin ELISA Kit |
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| EF013842 | Lifescience Market | 96 Tests | EUR 689 |
PS ELISA Kit| Mouse Phosphatidylserine ELISA Kit |
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| EF013849 | Lifescience Market | 96 Tests | EUR 689 |
PTD ELISA Kit| Mouse Pentosidine ELISA Kit |
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| EF013851 | Lifescience Market | 96 Tests | EUR 689 |
PTN ELISA Kit| Mouse Pleiotrophin ELISA Kit |
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| EF013856 | Lifescience Market | 96 Tests | EUR 689 |
REN ELISA Kit| Mouse Renin ELISA Kit |
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| EF013865 | Lifescience Market | 96 Tests | EUR 689 |
SCT ELISA Kit| Mouse Secretin ELISA Kit |
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| EF013878 | Lifescience Market | 96 Tests | EUR 689 |
SYP ELISA Kit| Mouse Synaptophysin ELISA Kit |
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| EF013911 | Lifescience Market | 96 Tests | EUR 689 |
TG ELISA Kit| Mouse Thyroglobulin ELISA Kit |
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| EF013933 | Lifescience Market | 96 Tests | EUR 689 |
TLN ELISA Kit| Mouse Talin ELISA Kit |
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| EF013937 | Lifescience Market | 96 Tests | EUR 689 |
TM ELISA Kit| Mouse Thrombomodulin ELISA Kit |
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| EF013939 | Lifescience Market | 96 Tests | EUR 689 |
TRF ELISA Kit| Mouse Transferrin ELISA Kit |
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| EF013948 | Lifescience Market | 96 Tests | EUR 689 |
TRY ELISA Kit| Mouse Trypsin ELISA Kit |
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| EF013951 | Lifescience Market | 96 Tests | EUR 689 |
TTR ELISA Kit| Mouse Transthyretin ELISA Kit |
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| EF013954 | Lifescience Market | 96 Tests | EUR 689 |
Ub ELISA Kit| Mouse Ubiquitin ELISA Kit |
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| EF013956 | Lifescience Market | 96 Tests | EUR 689 |
VF ELISA Kit| Mouse Visfatin ELISA Kit |
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| EF013963 | Lifescience Market | 96 Tests | EUR 689 |
CCK ELISA Kit| Mouse Cholecystokinin ELISA Kit |
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| EF013984 | Lifescience Market | 96 Tests | EUR 689 |
His ELISA Kit| Mouse Histamine ELISA Kit |
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| EF013995 | Lifescience Market | 96 Tests | EUR 689 |
AMPKa ELISA Kit| Mouse pThr172 ELISA Kit |
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| EF013997 | Lifescience Market | 96 Tests | EUR 689 |
PCT ELISA Kit| Mouse Procalcitonin ELISA Kit |
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| EF014005 | Lifescience Market | 96 Tests | EUR 689 |
TE ELISA Kit| Mouse Telomerase ELISA Kit |
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| EF014029 | Lifescience Market | 96 Tests | EUR 689 |
FUR ELISA Kit| Mouse Furin ELISA Kit |
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| EF014041 | Lifescience Market | 96 Tests | EUR 689 |
Calprotectin ELISA Kit| Mouse Calprotectin ELISA Kit |
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| EF014057 | Lifescience Market | 96 Tests | EUR 689 |
Hyp ELISA Kit| Mouse Hydroxyproline ELISA Kit |
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| EF014063 | Lifescience Market | 96 Tests | EUR 689 |
FLG ELISA Kit| Mouse Filaggrin ELISA Kit |
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| EF014071 | Lifescience Market | 96 Tests | EUR 689 |
Ahi1 ELISA Kit| Mouse Jouberin ELISA Kit |
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| EF014105 | Lifescience Market | 96 Tests | EUR 689 |
Aaas ELISA Kit| Mouse Aladin ELISA Kit |
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| EF014113 | Lifescience Market | 96 Tests | EUR 689 |
Adig ELISA Kit| Mouse Adipogenin ELISA Kit |
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| EF014153 | Lifescience Market | 96 Tests | EUR 689 |
An extraordinarily necessary situation is the necessity to register all of the instances of COVID-19 affected girls and the course of those pregnancies to native, regional, or worldwide registries, which shall be useful to reply many medical and scientific questions and to create tips making certain an satisfactory stage of care for ladies affected by COVID-19 an infection throughout being pregnant, supply and through postpartum interval, in addition to their newborns.