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1.
Eur Rev Med Pharmacol Sci ; 27(21): 10255-10263, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37975350

RESUMO

OBJECTIVE: The aim of this study was to predict the mechanism of Osteoking in preventing deep vein thrombosis (DVT) of the lower limb by network pharmacology and molecular docking. MATERIALS AND METHODS: The relevant active components and targets of Osteoking were collected through the TCMSP database, and the relevant disease targets of DVT were collected through the GeneCards, OMIM, and DisGeNET databases. The intersecting gene targets of Osteoking and DVT were obtained using Venny 2.1.0 software. PPI network construction and core target selection using Cytoscape 3.9.0 software. The Metascape database was used for GO and KEGG enrichment analysis of relevant targets. Finally, the molecular docking of the main active components and key targets was carried out. RESULTS: There are 361 potential targets and 71 core targets of Osteoking in preventing deep vein thrombosis of the lower limb. Signal pathways are involved in various diseases such as cancer, diabetic complications, atherosclerosis, and more. Some of the most common pathways include AGE-RAGE signaling pathway and Calcium signaling pathway. Molecular docking results showed that the main active components of Osteoking had relatively stable binding activities with the key targets. CONCLUSIONS: Osteoking can play a role through multiple targets and multiple signal pathways to prevent the formation of deep venous thrombosis of the lower limb after fracture.


Assuntos
Medicamentos de Ervas Chinesas , Trombose Venosa , Humanos , Simulação de Acoplamento Molecular , Extremidade Inferior , Sinalização do Cálcio , Trombose Venosa/tratamento farmacológico , Trombose Venosa/prevenção & controle
2.
J Dairy Sci ; 103(11): 10074-10082, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32896406

RESUMO

Here, we examined the effects of Lonicera japonica extract (LJE) on lactation performance, antioxidant status, and endocrine and immune function in heat-stressed mid-lactation dairy cows. Twenty-four healthy Chinese Holstein mid-lactation dairy cows, all with similar milk yield (30.0 ± 1.0 kg/d), parity (2.5 ± 0.3), and days in milk (105 ± 5 d) were allocated to 4 groups using a randomized complete block design: a negative control group (without LJE supplementation; CON) and groups that received LJE at 14, 28, and 56 g/d. The experiment lasted 10 wk over a hot summer, with a pre-feeding period of 2 wk. Cows were exposed to heat stress, as the average temperature-humidity index was greater than 72. The results showed that LJE had no effect on respiration rate; however, it reduced the rectal temperature of dairy cows experiencing heat stress in both a linear and quadratic manner; the lowest (39.03°C) was recorded for the LJE-28 group, lower than the CON group. Supplementation with LJE did not affect dry matter intake, milk yield, or milk composition. The majority of biochemical parameters in serum were unaffected by supplementation with different amounts of LJE; the exception was creatinine, which was reduced quadratically. Compared with the CON group, serum triiodothyronine concentrations increased significantly in the LJE-28 group. Addition of LJE to the diet increased thyroxine concentrations quadratically; values peaked at 18.62 ng/mL in the LJE-28 group. Furthermore, supplementation with increasing amounts of LJE quadratically increased the activity of glutathione peroxidase and total antioxidant capacity in serum but decreased concentration of malondialdehyde. Although we detected no differences in the concentrations of IgA, IgM, or cytokines, dairy cows in the LJE-28 group had higher IgG and IL-4 concentrations than did cows in the CON group. Supplementation with LJE increased concentrations of IgG and IL-4 in the serum quadratically but decreased that of IL-2. Finally, heat shock protein 72 concentrations in the serum tended to fall quadratically as the amount of LJE increased. In summary, LJE had no negative effects on lactation performance but helped to alleviate heat stress by improving antioxidant status and promoting endocrine and immune functions. Supplementation with LJE at 28 g/d is recommended for lactating dairy cows experiencing heat stress during hot summers.


Assuntos
Bovinos/fisiologia , Suplementos Nutricionais/análise , Lactação/efeitos dos fármacos , Lonicera/química , Leite/metabolismo , Extratos Vegetais/administração & dosagem , Animais , Antioxidantes/metabolismo , Bovinos/imunologia , Indústria de Laticínios , Dieta/veterinária , Sistema Endócrino/metabolismo , Feminino , Glutationa Peroxidase/metabolismo , Proteínas de Choque Térmico HSP72/sangue , Resposta ao Choque Térmico , Fatores Imunológicos/metabolismo , Malondialdeído/sangue , Leite/química , Estresse Oxidativo/efeitos dos fármacos , Paridade , Gravidez , Estresse Fisiológico
3.
Mater Today Bio ; 5: 100035, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32211603

RESUMO

Cancer, as one of the most life-threatening diseases, shows a high fatality rate around the world. When improving the therapeutic efficacy of conventional cancer treatments, researchers also conduct extensive studies into alternative therapeutic approaches, which are safe, valid, and economical. Phototherapies, including photodynamic therapy (PDT) and photothermal therapy (PTT), are tumor-ablative and function-reserving oncologic interventions, showing strong potential in clinical cancer treatment. During phototherapies, the non-toxic phototherapeutic agents can be activated upon light irradiation to induce cell death without causing much damage to normal tissues. Besides, with the rapid development of nanotechnology in the past decades, phototheranostic nanomedicine also has attracted tremendous interests aiming to continuously refine their performance. Herein, we reviewed the recent progress of phototheranostic nanomedicine for improved cancer therapy. After a brief introduction of the therapeutic principles and related phototherapeutic agents for PDT and PTT, the existing works on developing of phototheranostic nanomedicine by mainly focusing on their categories and applications, particularly on phototherapy-synergized cancer immunotherapy, are comprehensively reviewed. More importantly, a brief conclusion and future challenges of phototheranostic nanomedicine from our point of view are delivered in the last part of this article.

4.
Plant Biol (Stuttg) ; 10(3): 323-33, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18426479

RESUMO

Salidroside, a novel effective adaptogenic drug extracted from the medicinal plant Rhodiola sachalinensis A. Bor, can be derived from phenylalanine or tyrosine. Due to the scarcity of R. sachalinensis and its low yield of salidroside, there is great interest in enhancing production of salidroside by the plant. In this study, a cDNA clone encoding phenylalanine ammonia-lyase (PAL) was isolated from R. sachalinensis using rapid amplification of cDNA ends. The resulting cDNA was designated PALrs1. It is 2407-bp long and encodes 710 deduced amino acid residues. Southern blot analysis of genomic DNA indicated that the PAL gene family is composed of three to five genes in the R. sachalinensis genome. Northern blot analysis revealed that transcripts of PALrs1 were present in calli, leaves and stems, but expression in roots was very low. The PALrs1 under the 35S promoter with double-enhancer sequences from CaMV-Omega and TMV-Omega fragments was transferred into R. sachalinensis via Agrobacterium tumefaciens. PCR and PCR-Southern blot confirmed that the PALrs1 gene had been integrated into the genome of transgenic plants. Northern blot analysis revealed that the PALrs1 gene had been expressed at the transcriptional level. High-performance liquid chromatography indicated that overexpression of the PALrs1 gene resulted in a 3.3-fold increase in p-coumaric acid content, as expected. In contrast, levels of tyrosol and salidroside were 4.7-fold and 7.7-fold, respectively, lower in PALrs1 transgenic plants than in controls. Furthermore, overexpression of the PALrs1 gene resulted in a 2.6-fold decrease in tyrosine content. These data suggest that overexpression of the PALrs1 gene and accumulation of p-coumaric acid did not facilitate tyrosol biosynthesis; tyrosol, as a phenylethanoid derivative, is not derived from phenylalanine; and reduced availability of tyrosine most likely resulted in a large reduction in tyrosol biosynthesis and accumulation of salidroside.


Assuntos
Glucosídeos/biossíntese , Fenilalanina Amônia-Liase/metabolismo , Álcool Feniletílico/análogos & derivados , Rhodiola/metabolismo , Sequência de Aminoácidos , Ácidos Cumáricos/metabolismo , Expressão Gênica , Dados de Sequência Molecular , Família Multigênica , Fenóis , Fenilalanina Amônia-Liase/genética , Álcool Feniletílico/metabolismo , Plantas Geneticamente Modificadas/metabolismo , Propionatos , Rhodiola/enzimologia , Rhodiola/genética , Análise de Sequência de DNA , Tirosina/metabolismo
5.
Bioorg Med Chem ; 8(11): 2561-9, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11092541

RESUMO

beta-Alkannin (shikonin), a compound isolated from the root of Lithospermum erythrorhizon Siebold Zucc., has been used as a purple dye in ancient Japan and is known to exert an anti-inflammatory activity. This study aimed to understand the biological activity in terms of physico-chemical characteristics of beta-alkannin. Several physico-chemical properties including proton dissociation constants, half-wave potentials and molecular orbital energy of beta-alkannin were elucidated. This compound shows highly efficient antioxidative activities against several types of reactive oxygen species (ROS), such as singlet oxygen ((1)O2). superoxide anion radical (.O2), hydroxyl radical (.OH) and tert-butyl peroxyl radical (BuOO.) as well as iron-dependent microsomal lipid peroxidation. During the reactions of beta-alkannin with 1O2, .O2- and BuOO., intermediate organic radicals due to beta-alkannin were detectable by ESR spectrometry. Compared with the radicals due to naphthazarin, the structural skeleton of beta-alkannin, the beta-alkannin radical observed as an intermediate in the reactions with (1)O2, and .O2- was concluded to be a semiquinone radical. On the other hand, during the reactions of beta-alkannin and naphthazarin with BuOO., ESR spectra different from the semiquinone radical were observed, and proposed to result from the abstraction of hydrogen atoms from phenolic hydroxyl groups of beta-alkannin by BuOO.. Based on the ROS-scavenging abilities of beta-alkannin, the compound was concluded to react directly with ROS and exhibits antioxidative activity, which in turn exerts anti-inflammatory activity.


Assuntos
Anti-Inflamatórios não Esteroides/metabolismo , Naftoquinonas/metabolismo , Espécies Reativas de Oxigênio/metabolismo , Acetonitrilas/metabolismo , Anti-Inflamatórios não Esteroides/química , Óxido de Deutério , Espectroscopia de Ressonância de Spin Eletrônica , Sequestradores de Radicais Livres/química , Sequestradores de Radicais Livres/metabolismo , Radicais Livres/análise , Radicais Livres/metabolismo , Peroxidação de Lipídeos , Estrutura Molecular , Naftoquinonas/química , Peróxidos/metabolismo , Plantas Medicinais/química , Plantas Medicinais/metabolismo , Potenciometria , Detecção de Spin
6.
Zhongguo Zhong Xi Yi Jie He Za Zhi ; 20(8): 609-11, 2000 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-11789195

RESUMO

OBJECTIVE: To investigate the effect of different abdominal lavage fluid on bacterial translocation in acute hemorrhagic necrotizing pancreatitis (AHNP) of rat model. METHODS: One hundred and sixty Wistar rats were randomly divided into the control group, AHNP group, antibiotics group and Chinese drugs group. The treated group were treated with intraperitoneal lavage for 72 hours. The peritoneal fluid and blood samples were collected for bacterial culture. Pancreas were examined histopathologically. RESULTS: In Chinese drugs group, the pathologic damage in pancreas were milder than that of AHNP group, and as compared with AHNP group, the bacterial positive rates of blood and peritoneal lavage fluid culture were reduced from 80% to 40% and 90% to 40% respectively. CONCLUSION: AHNP impaired the gut barrier function which led to bacterial translocation from the gut to other organs. It plays an important role in intestinal infection secondary to AHNP. Abdominal lavage with Chinese drugs is effective in preventing intestinal bacterial translocation, it showed its protection on gut barrier function by alleviating the damage of intestinal mucosa and pancreatitis.


Assuntos
Translocação Bacteriana/efeitos dos fármacos , Medicamentos de Ervas Chinesas/farmacologia , Escherichia coli/fisiologia , Pancreatite Necrosante Aguda/microbiologia , Animais , Feminino , Masculino , Pancreatite Necrosante Aguda/fisiopatologia , Lavagem Peritoneal , Distribuição Aleatória , Ratos , Ratos Wistar
7.
Neuroscience ; 88(1): 201-12, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10051201

RESUMO

The effect of high-frequency stimulation of the subthalamic nucleus on parkinsonian-like resting tremor was investigated in two monkeys (Macaca fascicularis). Unilateral tremor of the arm and leg was induced by electrical coagulation of the brainstem area including the substantia nigra and the red nucleus. The tremor was only seen at rest condition with a very stable frequency of 4.46+/-0.59 Hz (mean+/-S.D.). Apomorphine (0.10-0.4 mg/kg, s.c.) completely blocked the tremor, suggesting that it was a dopaminergic-dependent symptom just like the parkinsonian tremor. When the stimulating frequency varied from 20 to 1000 Hz, both mono- and bipolar stimulation (square pulses, 0-5 mA, 0.06 ms) of the subthalamic nucleus suppressed resting tremor in a frequency-dependent manner but monopolar stimulation was more effective. These effects remained stable for more than two years. The present results suggest that the subthalamic nucleus is involved in the control and mechanism of resting tremor and that the high-frequency stimulation of the subthalamic nucleus can be used as an alternative therapy in parkinsonian patients with akinesia, rigidity and resting tremor.


Assuntos
Terapia por Estimulação Elétrica , Núcleos Talâmicos/fisiopatologia , Tremor/terapia , Animais , Apomorfina/farmacologia , Tronco Encefálico/fisiologia , Ventriculografia Cerebral , Eletrocoagulação , Lateralidade Funcional , Macaca fascicularis , Masculino , Doença de Parkinson Secundária/patologia , Doença de Parkinson Secundária/fisiopatologia , Doença de Parkinson Secundária/terapia , Núcleo Rubro/fisiologia , Substância Negra/fisiologia , Núcleos Talâmicos/diagnóstico por imagem , Núcleos Talâmicos/efeitos dos fármacos , Tálamo/patologia , Tremor/patologia , Tremor/fisiopatologia
8.
Pediatr Neurol ; 17(1): 54-7, 1997 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9308977

RESUMO

To determine the efficacy of pyridoxine in treating seizures, 90 infants and children with recurrent convulsions primarily due to acute infectious diseases were enrolled in the present study. Forty patients were treated with high-dose pyridoxine (30 or 50 mg/kg/day) by intravenous infusion, and 50 subjects served as controls. Antiepileptic drugs and other therapies were similar in the two groups except for pyridoxine. Clinical efficacy criteria were based on the frequency of convulsions per day and on the duration of individual seizures after therapy was initiated. The results indicated that total response rates in the pyridoxine group and control group were 92.5% and 64%, respectively (chi-square = 14.68, P < .001). After initiation of therapy, seizures resolved after 2.4 +/- 1.4 days in the pyridoxine group and after 3.7 +/- 2.0 days in the control group (t = 3.67, P < .001). No adverse effects of pyridoxine were apparent during the observation period. We conclude that pyridoxine is an effective, safe, well-tolerated, and relatively inexpensive adjunct to routine antiepileptic drugs for treatment of recurrent seizures in children.


Assuntos
Anticonvulsivantes/administração & dosagem , Epilepsia/tratamento farmacológico , Piridoxina/administração & dosagem , Convulsões/tratamento farmacológico , Anticonvulsivantes/efeitos adversos , Criança , Pré-Escolar , Relação Dose-Resposta a Droga , Quimioterapia Combinada , Eletroencefalografia/efeitos dos fármacos , Epilepsia/etiologia , Feminino , Humanos , Lactente , Recém-Nascido , Infusões Intravenosas , Masculino , Fenobarbital/administração & dosagem , Fenobarbital/efeitos adversos , Piridoxina/efeitos adversos , Recidiva , Convulsões/etiologia , Resultado do Tratamento
9.
Eur J Neurosci ; 8(7): 1474-8, 1996 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8758954

RESUMO

Using simultaneous extracellular single-unit recording in the pars compacta of the substantia nigra and in the lateral habenula of rats, 45 pairs of neurons responding to peripheral nociceptive stimulation were recorded. In 41 of these pairs, nigral dopaminergic neurons were inhibited by peripheral nociceptive stimulation, while lateral habenula neurons were excited. Moreover, in 14 pairs, when sweeps were triggered randomly by spontaneous spikes from lateral habenula neurons the spontaneous firing rate of the dopaminergic neurons during the first 250 ms after the sweep was much lower than rates after this time period. In this case, the sweep was often triggered by burst-firing of lateral habenula neurons. Our results indicate a cross-correlation between the spontaneous activities of these two nuclei, suggesting that the excitation of lateral habenula neurons induced by peripheral nociceptive stimulation might be directly responsible for inhibition of nigral dopaminergic neurons.


Assuntos
Neurônios/fisiologia , Dor/fisiopatologia , Substância Negra/fisiologia , Tálamo/fisiologia , Potenciais de Ação/fisiologia , Animais , Dopamina/análise , Estimulação Elétrica , Potenciais Evocados/fisiologia , Feminino , Neurônios/química , Ratos , Ratos Sprague-Dawley , Substância Negra/química , Substância Negra/citologia , Tálamo/química , Tálamo/citologia
10.
J Neurosurg ; 84(2): 203-14, 1996 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8592222

RESUMO

Tremor was suppressed by test stimulation of the thalamic ventralis intermedius (VIM) nucleus at high frequency (130 Hz) during stereotaxy in nonanesthetized patients suffering from Parkinson's disease or essential tremor. Ventralis intermedius stimulation has since been used by the authors over the last 8 years as a treatment in 117 patients with movement disorders (80 cases of Parkinson's disease, 20 cases of essential tremor, and 17 cases of various dyskinesias and dystonias including four multiple sclerosis). Chronic electrodes were stereotactically implanted in the VIM and connected to a programmable stimulator. Results depend on the indication. In Parkinson's disease patients, tremor, but not bradykinesia and rigidity, was selectively suppressed for as long as 8 years. Administration of L-Dopa was decreased by more than 30% in 40 Parkinson's disease patients. In essential tremor patients, results were satisfactory but deteriorated with time in 18.5% of cases, mainly for patients who presented an action component of their but deteriorated with time in 18.5% of cases, mainly for patients who presented an action component of their tremor. In other types of dyskinesias (except multiple sclerosis), results were much less favorable. Fifty-nine patients underwent bilateral implantation and 14 other patients received implantation contralateral to a previous thalamotomy. Thirty-seven patients (31.6%) experienced minor side effects, which were always well tolerated and immediately reversible. Three secondary scalp infections led to temporary removal of the implanted material. There was no permanent morbidity. This tremor suppression effect could be due to the inhibition or jamming of a retroactive loop. Chronic VIM stimulation, which is reversible, adaptable, and well tolerated even by patients undergoing bilateral surgery (74 of 117 patients) and by elderly patients, should replace thalamotomy in the regular surgical treatment of parkinsonian and essential tremors.


Assuntos
Terapia por Estimulação Elétrica , Transtornos dos Movimentos/terapia , Doença de Parkinson/terapia , Núcleos Talâmicos/fisiopatologia , Tremor/terapia , Terapia por Estimulação Elétrica/efeitos adversos , Espaço Extracelular/fisiologia , Seguimentos , Humanos , Período Intraoperatório , Transtornos dos Movimentos/fisiopatologia , Neurônios/fisiologia , Doença de Parkinson/fisiopatologia , Complicações Pós-Operatórias , Técnicas Estereotáxicas , Resultado do Tratamento , Tremor/fisiopatologia
11.
Res Commun Mol Pathol Pharmacol ; 90(1): 103-14, 1995 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8581335

RESUMO

The effect of baicalein (5,6,7-trihydroxy-2-phenyl-4H-1-benzopyran-4-one), a flavonoid isolated from Scutellaria baicalensis Georgi, on lipid peroxidation in rat liver microsomes was studied. Ascorbic acid-induced lipid peroxidation in microsomes obtained from baicalein-treated rats was inhibited by treatment on different days and at different doses. Iron release induced by ascorbic acid from microsomes of baicalein-treated rats was markedly lower than from microsomes of control rats. However, no statistical differences in total, nonheme and nonprotein-bound (free iron) iron contents could be detected in the two microsomes. The degradation of calf thymus DNA, an indicator of free iron existence, was observed in the reactions of microsomes obtained from control and baicalein-treated rats with ascorbic acid in the presence of bleomycin. These results suggest that baicalein can inhibit lipid peroxidation in microsomes induced by ascorbic acid by forming an inert complex of iron.


Assuntos
Adstringentes/farmacologia , Flavanonas , Flavonoides/farmacologia , Peroxidação de Lipídeos/efeitos dos fármacos , Microssomos Hepáticos/efeitos dos fármacos , Animais , Ácido Ascórbico/antagonistas & inibidores , Ácido Ascórbico/farmacologia , Bleomicina , Flavonoides/isolamento & purificação , Técnicas In Vitro , Ferro/sangue , Ferro/metabolismo , Masculino , Microssomos Hepáticos/metabolismo , Raízes de Plantas/química , Plantas Medicinais/química , Quercetina/farmacologia , Ratos , Ratos Wistar , Espécies Reativas de Oxigênio/metabolismo , Rutina/farmacologia
12.
Stereotact Funct Neurosurg ; 62(1-4): 76-84, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7631092

RESUMO

In animal models of Parkinson's disease (PD), it is postulated that the excessive output from the subthalamic nucleus (STN) plays a critical role. Selective lesions or high frequency electrical stimulation of the STN can alleviate parkinsonian symptoms in MPTP-treated monkeys. We decided to carry out STN stimulation in patients suffering from severe akinetic forms of PD. After approval of the institutional ethical committee, we operated on a parkinsonian patient aged 51, suffering for 8 years from a strongly disabling akinetorigid form of PD, complicated by an on-off effect (Hoehn and Yahr stage 5 in the worst-off motor phase). Stereotactic surgery was done on one side under local anesthesia. The theoretical target was chosen according to stereotactic atlases, based on ventriculographic landmarks such as anterior and posterior commissures (AC and PC). The final position of the chronic electrodes was optimized using electrophysiological recording and stimulation along with clinical assessment and surface EMG of agonist and antagonist muscles of the examined limbs. A spontaneous increase in neuronal activity was recorded in an area located 2-4 mm under the level of the intercommissural plane, 10 mm from the midline, at mid-distance between AC and PC. Within the same place, a 130-Hz stimulation induced acute and reversible akinesia alleviation mainly on the contralateral limbs, comparable to that obtained with dopaminergic drugs. No dyskinesia, such as hemiballism, was induced by introduction of electrodes or by stimulation. Then a long-term quadripolar DBS Medtronic electrode was inserted in this area. Studies of the effects of chronic stimulation were extensively performed to determine the best spatiotemporal and electrical stimulation variables.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Terapia por Estimulação Elétrica , Hipocinesia/terapia , Doença de Parkinson/terapia , Núcleos Talâmicos/fisiopatologia , Eletrodos Implantados , Seguimentos , Humanos , Hipocinesia/etiologia , Pessoa de Meia-Idade , Monitorização Intraoperatória , Doença de Parkinson/complicações , Período Pós-Operatório , Técnicas Estereotáxicas , Fatores de Tempo
13.
Rev Neurol (Paris) ; 149(3): 175-6, 1993.
Artigo em Francês | MEDLINE | ID: mdl-8235208

RESUMO

In Parkinson's disease, experimental studies favour a neuronal hyperactivity of the subthalamic nucleus. We carried out a subthalamic nucleus electrical stimulation in a patient aged 51, suffering for 8 years from a severe akineto-rigid form of Parkinson's disease, complicated with an on-off effect. Stereotaxic surgery was done under local anaesthesia on one side. Within the theoretical target, a 130 Hz stimulation induced akinesia alleviation mainly on the contralateral limbs. No abnormal movement was noticed. Then a long-term quadripolar DBS Medtronic electrode was inserted in that area. The study of the effects of chronic stimulation is in progress to determine the best temporal and electrical stimulation variables.


Assuntos
Terapia por Estimulação Elétrica , Doença de Parkinson/terapia , Núcleos Talâmicos , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos dos Movimentos/terapia
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