00421pam a2200181 a 450000100070000000500170000700800410002401000170006502000150008204000180009704100080011504200090012308000190013208200230015110000060017410100080018024500510018858134620180202070840.0900209s1990    nyua   j b    001 0 eng    a   90032658   a0531109550  aDLCcDLCdDLC  aeng  alcac  a618.920043 GRA00a618.920043 GRA2201 a3  aSHM10aUnderstanding birth defects /cKaren Gravelle.