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1.
bioRxiv ; 2024 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-38746412

RESUMO

Forest edges, where humans, mosquitoes, and wildlife interact, may serve as a nexus for zoonotic arbovirus exchange. Although often treated as uniform interfaces, the landscape context of edge habitats can greatly impact ecological interactions. Here, we investigated how the landscape context of forest edges shapes mosquito community structure in an Amazon rainforest reserve near the city of Manaus, Brazil, using hand-nets to sample mosquitoes at three distinct forest edge types. Sampling sites were situated at edges bordering urban land cover, rural land cover, and natural treefall gaps, while sites in continuous forest served as controls. Community composition differed substantially among edge types, with rural edges supporting the highest species diversity. Rural edges also provided suitable habitat for forest specialists, including key sylvatic vectors, of which Haemagogus janthinomys was the most abundant species sampled overall. Our findings emphasize the importance of landscape context in assessing pathogen emergence risk at forest edges.

2.
Revisbrato ; 7(4): 2205-2211, dez. 2023.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1524811

RESUMO

Contextualização: O presente artigo descreve experiência prática no contexto da intervenção grupal da Terapia Ocupacional com usuários em tratamento oncológico e seus acompanhantes. Processo de intervenção: Foram realizadas intervenções grupais, sobre descanso e sono, autocuidado, lazer, alongamentos e estimulação cognitiva. Análise crítica da prática: O diagnóstico oncológico e o tratamento podem contribuir no afastamento das ocupações anteriormente desempenhadas, no surgimento de incapacidades e na interrupção da rotina diária, ocasionando mudanças no modo como os indivíduos desempenham suas ocupações. Síntese das considerações: Evidenciou-se as relevantes contribuições da terapia ocupacional na assistência aos usuários em tratamento oncológico e seus acompanhantes.(AU)


Background: This article describes the practical experience in the context of group intervention of Occupational Therapy with users undergoing cancer treatment and their companions. Intervention process: group interventions were carried out on rest and sleep, self-care, leisure, stretching and cognitive stimulation. Critical analysis of the practice: Oncological diagnosis and treatment can contribute to the removal of previously performed occupations, the emergence of disabilities and the interruption of the daily routine, causing changes in the way individuals perform their occupations. Summary of considerations: The relevant contributions of occupational therapy in assisting users undergoing cancer treatment and their companions were evidenced.(AU)


Fundamento: Este artículo describe la experiencia práctica en el contexto de intervención grupal de Terapia Ocupacional con usuarios en tratamiento oncológico y sus acompañantes. Proceso de intervención: Se realizaron intervenciones grupales sobre descanso y sueño, autocuidado, ocio, estiramientos y estimulación cognitiva. Análisis crítico de la práctica: El diagnóstico y tratamiento oncológico pueden contribuir para la eliminación de las ocupaciones realizadas anteriormente, la aparición de discapacidades y la interrupción de la rutina diaria, provocando cambios en la forma en que los individuos realizan sus ocupaciones. Resumen de las consideraciones: Se evidenciaron las contribuciones relevantes de la terapia ocupacional en la asistencia a los usuarios en tratamiento oncológico y sus acompañantes.(AU)

3.
Neotrop Entomol ; 52(5): 945-955, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37498512

RESUMO

Pollen is a food source for adult Chrysoperla externa (Hagen), whose larvae are biocontrol agents against pests. However, adults may face challenges in foraging for pollen due to differences in pollen accessibility and variability in pollen morphology and chemistry. In the laboratory, we investigated the ability of adult C. externa to consume pollen from flowers of Cajanus cajan, Canavalia ensiformis, Crotalaria juncea, Flemingia macrophylla, Avena strigosa, Pennisetum glaucum, Sorghum bicolor, and Zea mays, and we explored whether adults chose any of these pollens based on their quantitative and qualitative features. Cajanus cajan and F. macrophylla pollen were the only ones not consumed by adults when confined to flowers. Pollen removed from the preanthesis buds was offered simultaneously for 24 and 48 h. In both periods, adults consumed more of the medium-sized P. glaucum (with the second largest exine thickness) and large-sized Z. mays (with the thinnest exine) pollen, even though they had significantly less crude protein than Fabaceae pollen, whose sizes varied from medium (C. juncea, with the thickest exine) to large (C. ensiformis, whose exine thickness was equal to that of P. glaucum). Overall, adults consumed more Poaceae pollen than Fabaceae pollen, but the palynological features and the protein contents did not affect this choice. Our results highlighted that C. juncea, P. glaucum, S. bicolor and Z. mays are good pollen sources for adult C. externa and should be considered promising candidates in the selection of insectary plants to deploy in biocontrol programs aimed at the conservation of this lacewing.


Assuntos
Fabaceae , Insetos , Animais , Larva , Pólen , Poaceae
4.
Viruses ; 15(6)2023 06 12.
Artigo em Inglês | MEDLINE | ID: mdl-37376655

RESUMO

Zika virus (ZIKV) is an RNA flavivirus (Flaviviridae family) endemic in tropical and subtropical regions that is transmitted to humans by Aedes (Stegomyia) species mosquitoes. The two main urban vectors of ZIKV are Aedes aegypti and Aedes albopictus, which can be found throughout Brazil. This study investigated ZIKV infection in mosquito species sampled from urban forest fragments in Manaus (Brazilian Amazon). A total of 905 non-engorged female Ae. aegypti (22 specimens) and Ae. albopictus (883 specimens) were collected using BG-Sentinel traps, entomological hand nets, and Prokopack aspirators during the rainy and dry seasons between 2018 and 2021. All pools were macerated and used to inoculate C6/36 culture cells. Overall, 3/20 (15%) Ae. aegypti and 5/241 (2%) Ae. albopictus pools screened using RT-qPCR were positive for ZIKV. No supernatants from Ae. aegypti were positive for ZIKV (0%), and 15 out of 241 (6.2%) Ae. albopictus pools were positive. In this study, we provide the first-ever evidence of Ae. albopictus naturally infected with ZIKV in the Amazon region.


Assuntos
Aedes , Infecção por Zika virus , Zika virus , Humanos , Animais , Feminino , Zika virus/genética , Brasil/epidemiologia , Mosquitos Vetores
5.
PLoS Negl Trop Dis ; 17(4): e0011296, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-37099599

RESUMO

Risk of spillover and spillback of mosquito-borne viruses in the neotropics, including yellow fever, dengue, Zika (Flaviviridae: Flavivirus), chikungunya, and Mayaro (Togaviridae: Alphavirus) viruses, is highest at ecotones where humans, monkeys, and mosquitoes coexist. With a view to identifying potential bridge vectors, we investigated changes in mosquito community composition and environmental variables at ground level at distances of 0, 500, 1000, and 2000 m from the edge of a rainforest reserve bordering the city of Manaus in the central Brazilian Amazon. During two rainy seasons in 2019 and 2020, we sampled 9,467 mosquitoes at 244 unique sites using BG-Sentinel traps, hand-nets, and Prokopack aspirators. Species richness and diversity were generally higher at 0 m and 500 m than at 1000 m and 2000 m, while mosquito community composition changed considerably between the forest edge and 500 m before stabilizing by 1000 m. Shifts in environmental variables mainly occurred between the edge and 500 m, and the occurrence of key taxa (Aedes albopictus, Ae. scapularis, Limatus durhamii, Psorophora amazonica, Haemagogus, and Sabethes) was associated with one or more of these variables. Sites where Ae. aegypti and Ae. albopictus were detected had significantly higher surrounding mean NDBI (Normalized Difference Built-up Index) values than sites where they were not detected, while the opposite was true for Sabethes mosquitoes. Our findings suggest that major changes in mosquito communities and environmental variables occur within 500 m of the forest edge, where there is high risk for contact with both urban and sylvatic vectors. By 1000 m, conditions stabilize, species diversity decreases, and forest mosquitoes predominate. Environmental variables associated with the occurrence of key taxa may be leveraged to characterize suitable habitat and refine risk models for pathogen spillover and spillback.


Assuntos
Aedes , Flavivirus , Infecção por Zika virus , Zika virus , Humanos , Animais , Brasil , Mosquitos Vetores , Florestas , Ecossistema
6.
An Acad Bras Cienc ; 94(1): e20201244, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35043854

RESUMO

Lychnophorinae comprises 19 genera and 117 species. Its representatives are found mostly in the rocky grasslands ("campos rupestres") of Minas Gerais, Bahia, and Goiás States, Brazil. This study presents a palynological investigation of 10 species belonging to the genus Piptolepis, endemic to the rocky grasslands of the Espinhaço Mountains, in Minas Gerais State. The plant material used in this investigation was obtained from specimens deposited in Brazilian herbaria. Pollen grains were processed by the acetolysis method, measured, described, and photomicrographed in light microscopy and scanning electron microscopy. Morphological observations revealed Piptolepis pollen to be large, prolate spheroidal in most species, 3-colporate, ectoapertures long, sexine subechinolophate or sublophate. Endoapertures vary from almost circular, lalongate or lalongate, with a median constriction observed only in three species. Three types of spines were identified: prostrate and disorganized, elongated and narrow, and conical, erect, apex acute in the other species. This first palynological study of Piptolepis species allowed the separation of representatives of the genus using pollen keys. The most significant characters were pollen shape, ornamentation, endoaperture, and presence of median constriction in the endoaperture. The findings presented here do not support the infrageneric classification of Piptolepis, as pollen characters were not unique to any section.


Assuntos
Asteraceae , Brasil , Microscopia Eletrônica de Varredura , Pólen
7.
Sci Rep ; 11(1): 21129, 2021 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-34702887

RESUMO

In the Americas, some mosquito-borne viruses such as Zika, chikungunya, and dengue circulate among humans in urban transmission cycles, while others, including yellow fever and Mayaro, circulate among monkeys in sylvatic cycles. The intersection of humans and wildlife at forest edges creates risk for zoonotic virus exchange. We built a scaffold tower at the edge of a treefall gap in rainforest bordering Manaus, Brazil, to identify vectors that may bridge transmission between humans and monkeys. We vertically sampled diurnally active, anthropophilic mosquitoes using handheld nets at 0, 5, and 9 m and container-breeding mosquitoes in ovitraps at 0, 5, 10, and 15 m. Haemagogus janthinomys and Psorophora amazonica were present in high relative abundance in nets at each height sampled, while anthropophilic species were uncommon in ovitraps. Hg. janthinomys was more abundant at elevated heights than at ground level, while Ps. amazonica abundance was not significantly stratified across heights. The presence of each species increased with increasing 7-day rainfall lagged at 1 week, and at 1 and 4 weeks prior to collection, respectively. In addition, Hg. janthinomys was most frequently collected at 29.9 °C, irrespective of height. These data provide insight into the potential role of each species as bridge vectors.


Assuntos
Arbovírus , Culicidae/virologia , Florestas , Microclima , Modelos Biológicos , Mosquitos Vetores/virologia , Animais , Arbovírus/classificação , Arbovírus/isolamento & purificação , Arbovírus/metabolismo , Brasil , Culicidae/fisiologia , Haplorrinos , Mosquitos Vetores/fisiologia
8.
Sci Rep ; 10(1): 18254, 2020 10 26.
Artigo em Inglês | MEDLINE | ID: mdl-33106507

RESUMO

The emergence of Zika virus (ZIKV) in Latin America brought to the fore longstanding concerns that forests bordering urban areas may provide a gateway for arbovirus spillback from humans to wildlife. To bridge urban and sylvatic transmission cycles, mosquitoes must co-occur with both humans and potential wildlife hosts, such as monkeys, in space and time. We deployed BG-Sentinel traps at heights of 0, 5, 10, and 15 m in trees in a rainforest reserve bordering Manaus, Brazil, to characterize the vertical stratification of mosquitoes and their associations with microclimate and to identify potential bridge vectors. Haemagogus janthinomys and Sabethes chloropterus, two known flavivirus vectors, showed significant stratification, occurring most frequently above the ground. Psorophora amazonica, a poorly studied anthropophilic species of unknown vector status, showed no stratification and was the most abundant species at all heights sampled. High temperatures and low humidity are common features of forest edges and microclimate analyses revealed negative associations between minimum relative humidity, which was inversely correlated with maximum temperature, and the occurrence of Haemagogus and Sabethes mosquitoes. In this reserve, human habitations border the forest while tamarin and capuchin monkeys are also common to edge habitats, creating opportunities for the spillback of mosquito-borne viruses.


Assuntos
Animais Selvagens/virologia , Infecções por Arbovirus/transmissão , Culicidae/virologia , Mosquitos Vetores/virologia , Febre Amarela/transmissão , Infecção por Zika virus/transmissão , Animais , Infecções por Arbovirus/virologia , Arbovírus/isolamento & purificação , Arbovírus/patogenicidade , Brasil , Ecossistema , Flavivirus/isolamento & purificação , Flavivirus/patogenicidade , Florestas , Haplorrinos , Humanos , Árvores , Febre Amarela/virologia , Zika virus/isolamento & purificação , Zika virus/patogenicidade , Infecção por Zika virus/virologia
9.
Acta Trop ; 206: 105441, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32173316

RESUMO

Mosquito-borne Zika virus (ZIKV) was recently introduced into the Americas and now has the potential to spill back into a sylvatic cycle in the region, likely involving non-human primates and Aedes, Haemagogus, and Sabethes species mosquitoes. We investigated potential routes of mosquito-borne virus exchange between urban and sylvatic transmission cycles by characterizing mosquito communities in three urban forest parks that receive heavy traffic from both humans and monkeys in Manaus, Brazil. Parks were stratified by both distance from the urban-forest edge (0, 50, 100, and 500 m) and relative Normalized Difference Vegetation Index (NDVI) (low, medium, or high), and mosquitoes were sampled at randomly selected sites within each stratum using BG-Sentinel traps. Additionally, temperature, relative humidity, and other environmental data were collected at each site. A total of 1,172 mosquitoes were collected from 184 sites sampled in 2018, of which 98 sites were resampled in 2019. Using park as the unit of replication (i.e. 3 replicates per sampling stratum), a two-way ANOVA showed no effect of distance or NDVI on the mean number of identified species (P > 0.05 for both comparisons) or on species diversity as measured by the Shannon-Wiener diversity index (P > 0.10 for both comparisons). However, the Morisita overlap index revealed that mosquito communities changed substantially with increasing distance from edge, with communities at 0 m and 500 m being quite distinct. Aedes albopictus and Ae. aegypti penetrated at least 100 m into the forest, while forest specialists including Haemagogus janthinomys, Sabethes glaucodaemon, and Sa. tridentatus were detected in low numbers within 100 m from the forest edge. Trichoprosopon digitatum and Psorophora amazonica were among the most abundant species collected, and both showed distributions extending from the forest edge to its interior. Our results show overlapping distributions of urban and forest mosquitoes at park edges, which highlights the risk of arbovirus exchange via multiple bridge vectors in Brazilian urban forest parks. These parks may also provide refugia for both Ae. albopictus and Ae. aegypti from mosquito control programs.


Assuntos
Culicidae , Florestas , Mosquitos Vetores , Infecção por Zika virus/transmissão , Animais , Brasil , Culicidae/virologia , Demografia , Humanos , Controle de Mosquitos , Mosquitos Vetores/virologia , Parques Recreativos , Zika virus/isolamento & purificação
10.
PhytoKeys ; (95): 1-14, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29440964

RESUMO

Passiflora subgenus Astrophea is one of the five recognised subgenera of Passiflora. Brazil presents ca. 26 species of this subgenus with the majority distributed in the Amazon Basin. During the ongoing taxonomic revision of the Brazilian species of subg. Astrophea, seven species previously unknown for the country were recorded: Passiflora amoena, P. fuchsiiflora, P. jussieui, P. ovata, P. plumosa, P. quelchii, and P. tessmannii. The new records expand the species distribution ranges, especially for P. plumosa, which was exclusively known from its type locality and P. quelchii, which was known only for southeastern Guyana. The authors provide taxonomic and palynological descriptions, distribution maps and illustrations for these species, in the hope that the knowledge and understanding of Brazilian Passifloraceae s.s. will be improved.

11.
Acta amaz ; 46(3): 333-336, 2016. ilus, tab
Artigo em Inglês | LILACS, VETINDEX | ID: biblio-1455304

RESUMO

The crabwood (Carapa) represents an important source of natural resources. The objective of this work was to study the pollen morphology of the three species of Carapa (Meliaceae) registered in the Brazilian Amazon. The pollen grains were obtained from floral buds, pistillate and staminate flowers of Carapa guianensis, C. surinamensis and C. vasquezii. In order to explore the taxonomic implications of the pollen study for these species of Carapa, lactic acetolysis method was used for light microscopy study. Furthermore, the non-acetolyzed material was used in the study of the scanning electron microscopy. It was found that the three Carapa species present little variations in pollen morphology. Compared to the other species this study, Carapa vasquezii has higher values for the length and width of endoaperture; however, it has lower values for polar and equatorial diameter, equatorial diameter in polar view and apocolpium side.


A andiroba (Carapa) representa uma importante fonte de recursos naturais. O objetivo deste trabalho foi estudar a morfologia polínica das três espécies de Carapa (Meliaceae) registradas na Amazônia brasileira. Os grãos de pólen foram obtidos de botões florais, flores pistiladas e estaminadas de Carapa guianensis, C. surinamensis e C. vasquezii. A fim de explorar as implicações taxonômicas do estudo de pólen para estas espécies de Carapa, o material foi preparado de acordo com o método de acetólise láctico, permitindo a utilização de estudos de microscopia de luz. Além disso, o material não-acetolisado foi utilizado no estudo da microscopia eletrônica de varredura. O estudo mostra que as três espécies de Carapa apresentam pequenas variações na morfologia polínica. Comparada com as outras espécies deste estudo, Carapa vasquezii têm valores mais elevados para o comprimento e largura da endoabertura, entretanto, tem valores inferiores para diâmetro polar, equatorial, diâmetro equatorial em vista polar e lado do apocolpo.


Assuntos
Meliaceae/anatomia & histologia , Pólen/anatomia & histologia , Flora , Microscopia Eletrônica de Varredura
13.
Kidney Int ; 63(3): 1066-71, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12631089

RESUMO

BACKGROUND: The contribution of ascorbate to urinary oxalate is controversial. The present study aimed to determine whether urinary oxalate and pH may be affected by vitamin C supplementation in calcium stone-forming patients. METHODS: Forty-seven adult calcium stone-forming patients received either 1 g (N=23) or 2 g (N=24) of vitamin C supplement for 3 days and 20 healthy subjects received 1 g. A 24-hour urine sample was obtained both before and after vitamin C for calcium, oxalate, magnesium, citrate, sodium, potassium, and creatinine determination. The Tiselius index was used as a calcium oxalate crystallization index. A spot fasting morning urine sample was also obtained to determine the urinary pH before and after vitamin C. RESULTS: Fasting urinary pH did not change after 1 g (5.8 +/- 0.6 vs. 5.8 +/- 0.7) or 2 g vitamin C (5.8 +/- 0.8 vs. 5.8 +/- 0.7). A significant increase in mean urinary oxalate was observed in calcium stone-forming patients receiving either 1 g (50 +/- 16 vs. 31 +/- 12 mg/24 hours) or 2 g (48 +/- 21 vs. 34 +/- 12 mg/24 hours) of vitamin C and in healthy subjects (25 +/- 12 vs. 39 +/- 13 mg/24 hours). A significant increase in mean Tiselius index was observed in calcium stone-forming patients after 1 g (1.43 +/- 0.70 vs. 0.92 +/- 0.65) or 2 g vitamin C (1.61 +/- 1.05 vs. 0.99 +/- 0.55) and in healthy subjects (1.50 +/- 0.69 vs. 0.91 +/- 0.46). Ancillary analyses of spot urine obtained after vitamin C were performed in 15 control subjects in vessels with or without ethylenediaminetetraacetic acid (EDTA) with no difference in urinary oxalate between them (28 +/- 23 vs. 26 +/- 21 mg/L), suggesting that the in vitro conversion of ascorbate to oxalate did not occur. CONCLUSION: These data suggest that vitamin C supplementation may increase urinary oxalate excretion and the risk of calcium oxalate crystallization in calcium stone-forming patients.


Assuntos
Antioxidantes/efeitos adversos , Ácido Ascórbico/efeitos adversos , Oxalato de Cálcio/urina , Cálcio/metabolismo , Cálculos Renais/etiologia , Adulto , Oxalato de Cálcio/química , Cristalização , Feminino , Humanos , Concentração de Íons de Hidrogênio/efeitos dos fármacos , Cálculos Renais/epidemiologia , Masculino , Pessoa de Meia-Idade , Fatores de Risco
14.
J Ren Nutr ; 13(1): 39-46, 2003 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12563622

RESUMO

OBJECTIVE: To investigate the oxalate intake and the effect of an oxalate load on urinary oxalate excretion in calcium stone-forming (CSF) patients. DESIGN: Prospective study. SETTING: University-affiliated outpatient Renal Lithiasis Unit. PATIENTS AND CONTROLS: Seventy (70) CSF and 41 healthy subjects (HS) collected a 24-hour urine sample and were submitted to a 3-day dietary record to determine mean oxalate (Ox), calcium (Ca) and vitamin C intake. Fifty-eight (58) CSF patients were randomly selected to receive milk (N = 28) or dark (N = 30) chocolate as an oxalate load. INTERVENTION: Administration of either milk (94 mg Ox + 430 mg Ca) or dark chocolate (94 mg Ox + 26 mg Ca) for 3 days. A 24-hour urine sample was obtained before and after the load to determine calcium, oxalate, sodium, potassium, urea, and creatinine. MAIN OUTCOME MEASURE: Oxalate intake and excretion. RESULTS: CSF patients presented mean Ox intake of 98 +/- 137 mg/d, similar to that of HS (108 +/- 139 mg/d). Mean Ox and vitamin C intake was directly correlated with Ox excretion only in CSF. The consumption of dark chocolate induced a significant increase in mean urinary Ox (36 +/- 14 versus 30 +/- 10 mg/24 hr) not observed in the milk chocolate group. Thus, a 2-fold increase in Ox intake in this population of CSF patients produced a significant 20% increase in oxaluria, not observed when Ca was consumed simultaneously. CONCLUSION: The present study suggests that even small increases in Ox intake affect oxalate excretion and the mitigation of urinary oxalate increase by Ca consumption reinforces that Ca and Ox intakes for CSF patients should be in balance. Further studies are necessary to assess whether or not a 20% increase in oxaluria will lead to a higher risk of stone formation.


Assuntos
Cálcio/farmacologia , Hiperoxalúria/epidemiologia , Cálculos Renais/etiologia , Oxalatos/administração & dosagem , Oxalatos/urina , Adulto , Animais , Ácido Ascórbico/administração & dosagem , Cacau/química , Cálcio da Dieta/administração & dosagem , Registros de Dieta , Feminino , Humanos , Hiperoxalúria/etiologia , Cálculos Renais/prevenção & controle , Masculino , Leite/química , Oxalatos/farmacocinética
15.
Rev. bras. nutr. clín ; 16(3): 110-113, jul.-set. 2001. tab, graf
Artigo em Português | LILACS | ID: lil-316065

RESUMO

Tem sido sugerido que a reduçäo de densidade mineral óssea em mulheres na pós-menopausa pode se associar à menor ingestäo de magnésio (Mg). Pacientes litiásicos apresentam risco de perda de massa óssea devido à presença de hipercalciúria. O objetivo do presente estudo foi o de analisar retrospectivamente a ingestäo de Mg de 83 pacientes litiásicos hipercauciúricos, subdivididos de acordo com a densidade óssea em grupos osteopênico (n=37) e normal (n=46). A média de ingestäo de Mg foi significativamente maior no grupo osteopênico em relaçäo ao normal. A ingestäo de Mg näo se correlacionou com o T-score de coluna lombar ou colo do fêmur e nem com o valor de cálcio urinário em nenhum dos grupos. Os resultados sugerem que, apesar de as ingestöes de Mg terem sido abaixo do preconizado pela Recommended Dietary Allowances (RDA), näo se observou associaçäo entre reduçäo de densidade mineral óssea e ingestäo de Mg em pacientes litiásicos.(au)


Assuntos
Humanos , Feminino , Masculino , Adulto , Densidade Óssea , Cálcio , Cálculos Renais/urina , Litíase , Magnésio/uso terapêutico , Pré-Menopausa
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