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1.
J Trace Elem Med Biol ; 84: 127443, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38579498

RESUMEN

The following investigation was carried out to determine the effects of Selenium nanoparticles (Se NPs) on the growth rates, nutrient digestibility, and hematology of Cirrhinus mrigala fingerlings fed sunflower meal as basal diet. The experiment included seven test diets with varying Se levels (0, 0.5, 1, 1.5, 2, 2.5, and 3 mg/kg) based on Se NPs supplementation. Chromic oxide, an inert maker, was also added. Fingerlings were fed at a rate of 5% of their body weight. The test meal of 1 mg/kg Se NPs resulted in the highest weight gain (12.31 g) and the lowest feed conversion ratio (1.58). Best hematological indices (RBCs 2.84 106 mm-3, WBCs 7.79 103 mm-3, PLT 66, Hb 8.5 g/100 ml, PCV 25% and MCV 190 fl) and maximum nutrient absorption (crude protein 72%, ether extract 73% and gross energy 67%) were also observed in the case of 1 mg/kg supplementation of Se NPs. Hematology studies indicated that when fish were fed 0.5 mg/kg Se NPs, their levels began to rise. Maximum results were achieved with feed containing 1 mg/kg of Se NPs, but when the concentration increased above 1 mg/kg, the values began to decline. Instead, nutrient digestibility began to increase when the concentration of Se NPs increased to 1 mg/kg and abruptly started to decline with a further increase in Se NPs. The results demonstrated that a sunflower meal-based diet supplemented with Se NPs (1 mg/kg) increased the growth performance, nutritional digestibility, and hematology of C. mrigala fingerlings.


Asunto(s)
Suplementos Dietéticos , Nanopartículas , Selenio , Animales , Selenio/farmacología , Selenio/administración & dosificación , Nanopartículas/química , Nanopartículas/administración & dosificación , Digestión/efectos de los fármacos , Nutrientes/metabolismo , Alimentación Animal/análisis
2.
Ecotoxicology ; 33(3): 296-304, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38498245

RESUMEN

This study was conducted to ascertain the negative effects of dietary low-density polyethylene microplastics (LDPE-MPs) exposure on growth, nutrient digestibility, body composition and gut histology of Nile tilapia (Oreochromis niloticus). Six sunflower meal-based diets (protein 30.95%; fat 8.04%) were prepared; one was the control (0%) and five were incorporated with LDPE-MPs at levels of 2, 4, 6, 8 and 10% in sunflower meal-based diets. A total of eighteen experimental tanks, each with 15 fingerlings, were used in triplicates. Fish were fed at the rate of 5% biomass twice a day for 60 days. Results revealed that best values of growth, nutrient digestibility, body composition and gut histology were observed by control diet, while 10% exposure to LDPE-MPs significantly (P < 0.05) reduced weight gain (WG%, 85.04%), specific growth rate (SGR%, 0.68%), and increased FCR (3.92%). The findings showed that higher level of LDPE-MPs (10%) exposure in the diet of O. niloticus negatively affects nutrient digestibility. Furthermore, the results revealed that the higher concentration of LDPE-MPs (10%) had a detrimental impact on crude protein (11.92%) and crude fat (8.04%). A high number of histological lesions were seen in gut of fingerlings exposed to LDPE-MPs. Hence, LDPE-MPs potentially harm the aquatic health.


Asunto(s)
Cíclidos , Animales , Polietileno/toxicidad , Microplásticos/metabolismo , Plásticos , Exposición Dietética/efectos adversos , Dieta , Nutrientes , Alimentación Animal/análisis , Suplementos Dietéticos
3.
Biol Trace Elem Res ; 202(1): 268-290, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37060542

RESUMEN

Zinc oxide nanoparticles (ZnO NPs) have involved a lot of consideration owing to their distinctive features. The ZnO NPs can be described as particularly synthesized mineral salts via nanotechnology, varying in size from 1 to 100 nm, while zinc oxide (ZnO), it is an inorganic substrate of zinc (Zn). The Zn is a critical trace element necessary for various biological and physiological processes in the body. Studies have revealed ZnO NPs' efficient immuno-modulatory, growth-promoting, and antimicrobial properties in poultry birds. They offer increased bioavailability as compared to their traditional sources, producing better results in terms of productivity and welfare and consequently reducing ecological harm in the poultry sector. However, they have also been reported for their toxicological effects, which are size, shape, concentration, and exposure route dependent. The investigations done so far have yielded inconsistent results, therefore, a lot of additional studies and research are required to clarify the harmful consequences of ZnO NPs and to bring them to a logical end. This review explores an overview of efficient possible role of ZnO NPs, while comparing them with other nutritional Zn sources, in the poultry industry, primarily as dietary supplements that effect the growth, health, and performance of the birds. In addition to the anti-bacterial mechanisms of ZnO NPs and their promising role as antifungal, and anti-colloidal agent, this paper also covers the toxicological mechanisms of ZnO NPs and their consequent toxicological hazards to vital organs and the reproductive system of poultry birds.


Asunto(s)
Nanopartículas del Metal , Nanopartículas , Oligoelementos , Óxido de Zinc , Animales , Óxido de Zinc/toxicidad , Óxido de Zinc/química , Aves de Corral , Nanopartículas del Metal/toxicidad , Nanopartículas del Metal/química , Zinc
4.
Artículo en Inglés | LILACS | ID: biblio-1342199

RESUMEN

Leishmaniasis is an important disease affecting global public health which is spread by sand fly having different species. Various chemical drugs are used to treat and control Leishmaniasis including pentavalent antimonials, antimicrobial and antibiotics. Due to emergence of drug resistance, these therapeutic options are losing effectiveness in attaining success. Furthermore, these drugs are expensive and have toxic effects on liver and kidneys. There has been an emerging interest and excellent response by using plant based drugs and extracts to control Leishmaniasis. Different medicinal plants including Glycyrrhiza glabra, Allium sativum, Peganum harmala and Nigella sativa have shown excellent anti-leishmanial activity. Therefore, medicinal plants can help in effective drug development against Leishmaniasis diseases in both animals and humans which will be safer and health protective.


La Leishmaniasis es una enfermedad importante que afecta la salud pública mundial y que es transmitida por las moscas de la arena, que tienen diferentes especies. Se utilizan varios medicamentos químicos para tratar y controlar la Leishmaniasis, incluidos los antimoniales pentavalentes, antimicrobianos y antibióticos. Debido a la aparición de resistencia a los medicamentos, estas opciones terapéuticas están perdiendo eficacia para lograr el éxito. Además, estos medicamentos son costosos y tienen efectos tóxicos en hígado y riñones. Ha habido un interés emergente y una excelente respuesta mediante el uso de extractos y medicamentos a base de plantas para controlar la Leishmaniasis. Diferentes plantas medicinales como Glycyrrhiza glabra, Allium sativum, Peganum harmalay Nigella sativahan mostrado una excelente actividad anti-leishmanial. Por lo tanto, las plantas medicinales pueden ayudar en el desarrollo de fármacos eficaces contra las enfermedades de la leishmaniasis tanto en animales como en seres humanos, lo que será más seguro y proteja la salud.


Asunto(s)
Humanos , Animales , Plantas Medicinales , Leishmaniasis/tratamiento farmacológico , Salud Pública
5.
Animals (Basel) ; 9(11)2019 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-31703417

RESUMEN

The objective of this work was to evaluate the effects of varying levels of chromium propionate on blood biochemistry and growth performance of broilers (1-35 days). Five diets were formulated by using chromium propionate with inclusion levels of 0, 200, 400, 800 and 1600 ppb. A total of 300 broilers were divided into 5 groups with 6 replicates of 10 birds in each under completely randomized design. The starter feed intake remained unaffected (p > 0.05) whereas finisher and overall feed intake was different (p < 0.05) among different experimental groups. Feed conversion ratio and weight gain in starter, finisher and overall improved significantly (p < 0.05) with the increasing levels of chromium propionate. Blood glucose was decreased (p < 0.05) with increasing dietary chromium level. Chromium supplementation did not affect antibodies titers against NDV and AIV-H9. Neither live, hilal, after skin removal, eviscerated, chest weight and legs with shanks weight nor liver and heart weights were affected (p > 0.05) while gizzard weight reduced significantly (p < 0.05) due to supplementation of chromium. On the basis of results, it may be concluded that chromium propionate supplementation improved weight gain and FCR and reduced blood glucose. However, better performance and weight gain may be achieved if chromium propionate is added at the rate of 400 ppb in broiler diets.

6.
Bol. latinoam. Caribe plantas med. aromát ; 18(6): 533-543, nov. 2019. tab
Artículo en Inglés | LILACS | ID: biblio-1100255

RESUMEN

The livestock sector is continuously facing problems in controlling parasitic diseases especially Haemonchosis due to emergence of anthelminthic resistance and failure in vaccination control programmes. Therefore, to increase milk and meat production and emerging demand of meat free from drug residues development of new alternative approaches are appealing for prevention and control of Haemonchosis in small ruminants. Among alternatives, plants driven essentials oils have shown promising results in control of Haemonchus contortus infection at various concentrations by different assays including egg hatch assay, larval development assay, larval exsheathment assay and adult motility assay. Essential oils are complex mixtures of various impulsive or volatile compounds which have potential to control Haemonchosis. The current study reviews the therapeutic effects of essential oils of plants against Haemonchus contortus and to be used them against Haemonchus contortus for future perspectives.


El sector ganadero enfrenta continuamente problemas para controlar las enfermedades parasitarias, especialmente la hemoncosis, debido a la aparición de resistencia antihelmíntica y al fracaso en los programas de control de vacunación. Por lo tanto, para aumentar la producción de leche y carne, y la demanda emergente de carne libre de residuos de medicamentos, el desarrollo de nuevos enfoques alternativos es atractivo para la prevención y el control de la hemoncosis en pequeños rumiantes. Entre las alternativas, los aceites esenciales producidos por las plantas han mostrado resultados prometedores en el control de la infección por Haemonchus contortus a diversas concentraciones mediante diferentes ensayos, incluido el análisis de eclosión de huevos, el desarrollo de larvas, el análisis de vaciado de larvas y el ensayo de motilidad en adultos. Los aceites esenciales son mezclas complejas de varios compuestos impulsivos o volátiles que tienen potencial para controlar la hemonchosis. Este estudio revisa los efectos terapéuticos de los aceites esenciales de las plantas contra Haemonchus contortus y evalúa sus perspectivas futuras como agentes para combatir las enfermedades causadas por este parásito.


Asunto(s)
Animales , Plantas/química , Rumiantes/parasitología , Aceites Volátiles/farmacología , Extractos Vegetales/farmacología , Haemonchus/efectos de los fármacos , Antihelmínticos/farmacología , Aceites Volátiles/aislamiento & purificación , Pruebas de Sensibilidad Parasitaria , Hemoncosis/tratamiento farmacológico , Antihelmínticos/aislamiento & purificación
7.
Bol. latinoam. Caribe plantas med. aromát ; 17(5): 441-452, sept. 2018. tab
Artículo en Inglés | LILACS | ID: biblio-915687

RESUMEN

Ectoparasitism in animals has become an issue of great concern that needs to be resolved to prevent huge economic losses occurring to livestock industry all over the world. Synthetic adrugs have been playing a major role in controlling ectoparasites, but their frequent and irrational use has resulted in drug resistance to routinely used chemicals and their residual effects on food and environment. Therefore, this approach of using chemical acaricides and insecticides is losing its popularity and effectiveness in controlling ectoparasites. So, the development of alternative approaches in ectoparasite management is currently required. Among alternative protocols, plants and their essential oils have played remarkable role in controlling different ectoparasites (ticks, flies, mites, lice) of veterinary importance. Essential oils have been proved to be cheaper, more effective and safer therapeautic agents against different ectoparasites of livestock importance.


En los animales el ectoparasitismo se ha convertido en un tema de gran preocupación que debe resolverse para evitar que se produzcan grandes pérdidas económicas para la industria ganadera en todo el mundo. Los aditivos sintéticos han desempeñado un papel importante en el control de los ectoparásitos, pero su uso frecuente e irracional ha dado como resultado la resistencia a los fármacos utilizados habitualmente y efectos residuales sobre los alimentos y el medio ambiente. Por lo tanto, el enfoque basado en el uso de acaricidas e insecticidas químicos está perdiendo popularidad y efectividad en el control de los ectoparásitos. Por lo tanto, actualmente se requiere el desarrollo de enfoques alternativos en el manejo de ectoparásitos. Entre los protocolos alternativos, las plantas y sus aceites esenciales han jugado un papel notable en el control de diferentes ectoparásitos (garrapatas, moscas, ácaros, piojos) de importancia veterinaria. Se ha demostrado que los aceites esenciales son agentes terapéuticos más baratos, más efectivos y más seguros contra diferentes ectoparásitos de importancia ganadera.


Asunto(s)
Aceites Volátiles/farmacología , Extractos Vegetales/farmacología , Acaricidas/farmacología , Insecticidas/farmacología , Insectos/efectos de los fármacos , Medicina Veterinaria , Ácaros/efectos de los fármacos
8.
Microb Pathog ; 111: 139-144, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28826766

RESUMEN

Recently, use of botanicals as an alternative to anticoccidial drugs has been appealing approach for controlling avian coccidiosis. Therefore, this study was conducted to evaluate the anticoccidial activity of aqueous methanolic extract (100, 200 and 300 mg/kg of body weight) of Beta vulgaris (roots) in broiler chicks. A total of 315 day old broiler chicks were divided into seven equal groups (A, B, C, D, E, F and G). At 14th day of age, all groups except group G, which served as non infected non medicated control, were infected orally with 60,000 sporulated oocysts of mixed Eimeria species. At the same day, groups A, B and C were treated with graded oral doses of B. vulgaris aqueous methanolic extract (100, 200 and 300 mg/kg of body weight, respectively). Group D was treated with Vitamin-E, group E served as infected medicated control group (Baycox® treated) and group F served as infected non medicated control group (PBS treated). Treatment with extract, reference drug Baycox®, Vitamin E and PBS was continued for three consecutive days (14-16 days of age). Though, not at par with reference drug (Baycox®), B. vulgaris demonstrated good anticoccidial activity adjudged based on considered criteria, i.e., feed conversion ratio, lesion score, oocyst score and oocysts per gram of feces. Results of serum profile of infected chicks revealed no adverse effects of aqueous methanolic extract of B. vulgaris on the experimental chicks.


Asunto(s)
Beta vulgaris/química , Coccidiosis/tratamiento farmacológico , Coccidiosis/veterinaria , Extractos Vegetales/farmacología , Enfermedades de las Aves de Corral/tratamiento farmacológico , Alimentación Animal , Animales , Peso Corporal/efectos de los fármacos , Boratos/farmacología , Pollos/crecimiento & desarrollo , Pollos/parasitología , Coccidiosis/parasitología , Coccidiosis/patología , Suplementos Dietéticos , Modelos Animales de Enfermedad , Eimeria/efectos de los fármacos , Eimeria/patogenicidad , Enzimas/sangre , Heces/parasitología , Oocistos/efectos de los fármacos , Oocistos/patogenicidad , Pakistán , Extractos Vegetales/uso terapéutico , Raíces de Plantas/química , Enfermedades de las Aves de Corral/parasitología , Enfermedades de las Aves de Corral/patología , Triazinas/farmacología , Vitamina E/farmacología
9.
AAPS PharmSciTech ; 18(5): 1810-1822, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27830514

RESUMEN

The current study aimed to develop novel pH independent microparticles loaded with ropinirole (ROP) for sustained drug release. Eudragit RS 100 was used as release retardant and microparticles were fabricated by oil-in-oil emulsion solvent evaporation method. A three-factor three-level Box-Behnken design using Design-Expert software was employed to optimize formulation variables. Ropinirole loaded microparticles were evaluated with respect to morphology, particle size, encapsulation efficiency, and in vitro release profile. Optical microscopy and SEM micrographs indicated spherical shape with smooth surface and well-defined boundary. The particle size was in the range of 98.86 to 236.29 µm, being significantly increased with increasing polymer concentration. Higher polymer load also increased the thickness of internal polymer network, which led to reduced drug loss and higher entrapment efficiency (89%). The cumulative in vitro release was found to be in the range of 54.96 to 99.36% during the release studies (12 h) following zero order release kinetics and non-Fickian diffusion pattern. The developed microparticles have the potential to sustain the release of ropinirole, which may lead to a reduction in its adverse effects and improved management of Parkinson's disease.


Asunto(s)
Resinas Acrílicas/síntesis química , Indoles/síntesis química , Microesferas , Tamaño de la Partícula , Resinas Acrílicas/análisis , Preparaciones de Acción Retardada/análisis , Preparaciones de Acción Retardada/síntesis química , Evaluación Preclínica de Medicamentos/métodos , Indoles/análisis , Difracción de Rayos X/métodos
10.
Bol. latinoam. Caribe plantas med. aromát ; 13(3): 278-284, mayo 2014. tab
Artículo en Inglés | LILACS | ID: lil-768852

RESUMEN

The present study was conducted to evaluate growth promoting effect of Pimpinella anisum L. (aniseed) in broiler chickens in terms of body weight gain, organ weights, feed intake and feed conversion ratio (FCR). For this purpose, four levels (0.5, 1.0, 1.5 and 2.0 grams per kg feed) of aniseed powder were administered in feed from day 0 till the end of experiment (42 days of age). The body weight gain, feed intake and FCR were recorded on weekly basis. The birds showed good performance (better weight gain, better feed intake and FCR) when aniseed was fed in lower doses however, birds showed poor performance at higher levels of aniseed. Likewise, almost same pattern was observed for organ weights. This study suggests the good effect of aniseed on performance of broiler chickens at lower doses which suggests the further need of series experiments to find out the minimum safe levels of aniseed to be incorporated in broiler ration to get desirable results.


Se realizó el presente estudio para evaluar el efecto promotor del crecimiento de Pimpinella anisum L. (anís) en pollos de engorde en términos de ganancia de peso corporal, peso de los órganos, el consumo de alimento y conversión alimenticia (FCR). Para este propósito, cuatro niveles (0,5, 1,0, 1,5 y 2,0 gramos por kg de alimento) de anís en polvo se administraron en el pienso desde el día 0 hasta el final del experimento (42 días de edad). La ganancia de peso corporal, consumo de alimento y FCR fueron registrados en forma semanal. Las aves mostraron un buen rendimiento (mejor ganancia de peso, un mejor consumo de alimento y FCR) cuando el anís se alimentó en dosis más bajas, sin embargo, las aves mostraron malos resultados en los niveles más altos de anís. Del mismo modo, se observó casi el mismo patrón de peso de los órganos. Este estudio sugiere que el buen efecto del anís en el rendimiento de pollos de engorde en dosis más bajas que sugiere la necesidad adicional de experimentos de la serie para conocer los niveles de seguridad mínimos de anís que se incorporarán en la ración de pollos de engorde para obtener los resultados deseados.


Asunto(s)
Animales , Alimentación Animal , Extractos Vegetales/administración & dosificación , Pimpinella/química , Pollos/crecimiento & desarrollo , Semillas/química , Crianza de Animales Domésticos , Fenómenos Fisiológicos Nutricionales de los Animales , Peso Corporal , Ingestión de Alimentos , Tamaño de los Órganos , Polvos
11.
Adv Clin Exp Med ; 21(6): 705-11, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23457127

RESUMEN

OBJECTIVES: Comparative hypoglycemic and hypolipidaemic activity of garlic (ethanol) extract and metformin was the aim of the study in 24 normal and diabetic rabbits. MATERIAL AND METHODS: In group A of 12 rabbits, the influence of different doses (250, 300 and 350 mg/kg body weight) of garlic extract was evaluated, six of them were kept normal, while six were caused to be diabetic with alloxan (150 mg/kg body weight). In another group B of 12 rabbits, the influence of various doses of metformin (250, 375 and 500 mg/kg body weight) was also assessed in the similar grouping of six normal and six diabetic rabbits. RESULTS: The maximum hypoglycemic response was observed with highest doses of garlic extract (350 mg/kg body weight) in normal rabbits 4 h after garlic extract administration, while in diabetic rabbits, blood glucose level (270.3 ± 0.8 mg/dl) was significantly (p < 0.05) lowered as compared to the control level (303.8 ± 1.8 mg/dl). The levels of triglycerides (44.0 ± 0.9 mg/dl) and cholesterol (32.8 ± 0.7 mg/dl) also significantly (p < 0.05) decreased in normal rabbits after 4 h of extract administration as compared to that of 0 h samples (triglycerides 66.0 ± 1.5 mg/dl and cholesterol 47.5 ± 0.5 mg/dl). In diabetic rabbits, 0 h level of triglyceride and cholesterol was found to be 86.5 ± 1.1 mg/dl and 93.8 ± 0.9 mg/dl, respectively and levels seen in 4 h sample were 61.3 ± 1.2 mg/dl and 57.0 ± 1.8 mg/dl, respectively. CONCLUSIONS: In normal as well as diabetic rabbits, garlic extract produced hypoglycemia as well as hypolipidaemia like metformin, but the hypoglycemic effect was more pronounced with metformin, whereas garlic extract was more effective in causing hypolipidaemia as compared to metformin.


Asunto(s)
Glucemia/efectos de los fármacos , Diabetes Mellitus Experimental/sangre , Diabetes Mellitus Experimental/tratamiento farmacológico , Ajo/química , Lípidos/sangre , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Animales , Colesterol/sangre , Masculino , Fitoterapia , Conejos , Triglicéridos/sangre
12.
Transfus Apher Sci ; 30(2): 93-100, 2004 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15062745

RESUMEN

BACKGROUND: Posttransfusion corrected count increments (CCI) following administration of platelets is the standard method for assessing effectiveness of platelet transfusion therapy. However, improvement in platelet count following transfusion may not necessarily indicate improvement in platelet function or restoration of primary hemostatic capacity. To address this possibility, we investigated the effectiveness of platelet transfusion based on results of the Platelet Function Analyzer (PFA-100) and post-transfusion CCI. INVESTIGATION DESIGN AND METHODS: Platelet transfusion requests with different indications received at the blood bank were evaluated for inclusion in the investigation. Pre-transfusion, the following laboratory tests were performed: (1) PFA-100 assays (blood collected in 3.2% buffered sodium citrate) performed with CEPI and CADP test cartridges; (2) complete blood count (in EDTA) and platelet count; and (3) routine coagulation profile including PT, PTT, fibrinogen and D-Dimer. Only patients with normal coagulation profiles were included. The same set of tests were performed on a new blood sample collected 10-60 min post-transfusion. Chart review and clinical evaluation for response to platelet therapy were performed on each occasion of transfusion. RESULTS: Thirty-one patients, five of whom were transfused on more than one occasion were evaluated. Thirty-five transfusion incidents were included. Posttransfusion outcomes were divided into two groups--those that resulted in shortening (>40 s) or normalization of the closure time (Group A) and those that had no change or greater prolongation of the closure time (Group B) when compared to the pre-transfusion value. Seventeen and eighteen transfusion episodes were categorized as Groups A and B, respectively. In Group A with improved PFA testing, nine patients had bleeding as indication for transfusion and six of these had concomitant improvement in their clinical picture as confirmed by control of hemorrhage. In contrast in Group B with no improvement in PFA testing, seven patients had bleeding as indication for transfusion and none showed cessation of hemorrhagic symptoms. These findings were statistically significant (p=0.0114). Similar evaluation using the post-transfusion CCI showed no correlation to bleeding symptoms in these patients (p-=0.500). CONCLUSIONS: In this evaluation, platelet function testing using the PFA-100 provided a better indication of transfusion outcome than did the post-transfusion CCI. Using this approach, PFA-100 may be an effective aid for supporting platelet transfusion decisions and may further aid in improving management of the hospital blood bank platelet inventory.


Asunto(s)
Pruebas de Función Plaquetaria/métodos , Transfusión de Plaquetas/métodos , Adulto , Anciano , Anciano de 80 o más Años , Bancos de Sangre , Recuento de Células Sanguíneas , Plaquetas/fisiología , Transfusión Sanguínea , Ácido Edético/farmacología , Femenino , Productos de Degradación de Fibrina-Fibrinógeno/biosíntesis , Fibrinógeno/biosíntesis , Humanos , Masculino , Persona de Mediana Edad , Tiempo de Tromboplastina Parcial , Recuento de Plaquetas , Manejo de Especímenes , Factores de Tiempo , Resultado del Tratamiento
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