Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 11 de 11
Filtrar
Mais filtros

Métodos Terapêuticos e Terapias MTCI
Base de dados
Tipo de documento
País de afiliação
Intervalo de ano de publicação
1.
Neuroscience ; 170(1): 200-13, 2010 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-20620198

RESUMO

Melanopsin (OPN4) is a photoreceptive molecule regulating circadian systems in mammals. Previous studies from our laboratory have shown that co-localized dopamine-melatonin (DA-MEL) neurons in the hypothalamic premammillary nucleus (PMM) are putatively photosensitive and exhibit circadian rhythms in DAergic and MELergic activities. This study investigates turkey OPN4x (tOPN4x) mRNA distribution in the hypothalamus and brainstem, and characterizes its expression in PMM DA-MEL neurons, using in situ hybridization (ISH), immunocytochemistry (ICC), double-label ISH/ICC, and real time-PCR. The mRNA encoding tOPN4x was found in anatomically discrete areas in or near the hypothalamus and the brainstem, including nucleus preopticus medialis (POM), nucleus septalis lateralis (SL), PMM and the pineal gland. Double ICC, using tyrosine hydroxylase (TH, the rate limiting enzyme in DA synthesis)-and OPN4x antibodies, confirmed the existence of OPN4x protein in DA-MEL neurons. Also, tOPN4x mRNA expression was verified with double ISH/ICC using tOPN4x mRNA and TH immunoreactivity. PMM and pineal gland tOPN4x mRNA expression levels were diurnally high during the night and low during the day. A light pulse provided to short day photosensitive hens during the photosensitive phase at night significantly down-regulated tOPN4x expression. The expression level of tOPN4x mRNA in PMM DA-MEL neurons of photorefractory hens was significantly lower as compared with that of short or long day photosensitive hens. The results implicate tOPN4x in hypothalamic PMM DA-MEL neurons as an important component of the photoreceptive system regulating reproductive activity in temperate zone birds.


Assuntos
Dopamina , Hipotálamo/metabolismo , Melatonina , Reprodução/fisiologia , Opsinas de Bastonetes/biossíntese , Estações do Ano , Animais , Aves , Ritmo Circadiano/fisiologia , Dopamina/análise , Feminino , Regulação da Expressão Gênica , Hipotálamo/química , Melatonina/análise , Neurônios/química , Neurônios/metabolismo , Fotoperíodo , Opsinas de Bastonetes/análise , Perus
2.
J Neuroendocrinol ; 21(1): 10-9, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19094089

RESUMO

Serotonin and catecholamines (dopamine, norepinephrine, epinephrine) have important roles as neurotransmitters in avian reproduction, but their anatomical relationship to the neuroendocrine circuitry that regulates reproduction is poorly understood. Our previous studies have shown that co-localised dopamine-melatonin (DA-MEL) neurones in the avian premammillary nucleus (PMM) are active during periods of photoresponsiveness and, therefore, are potentially photosensitive neurones. Because serotonergic and catecholaminergic neurotransmitters are important regulators of reproductive function in the female turkey, we hypothesised that the serotonergic/catecholaminergic neurones within the brainstem might interact with PMM DA-MEL neurones and constitute an important circuit for reproductive function. To examine this possible interaction, the retrograde fluorescent tract tracer, 1,1'dioctadecyl-3,3,3'3'-tetramethyleindocarbocyanine perchlorate (DiI) was injected into the PMM, and combined with serotonin, tyrosine hydroxylase (TH), dopamine beta-hydroxylase (DBH) and phenyl N-methyltransferse (PNMT) immunocytochemistry to reveal neuroanatomical connections. Changes in the activities of serotonergic, dopaminergic, adrenergic and noradrenergic neuronal systems projecting to the PMM were measured at different reproductive states with in situ hybridisation (ISH) techniques, using tryptophan hydroxylase 2 (TPH2) and TH mRNA expression, respectively. Cells labelled with DiI were found in anatomically discrete areas in or near the hypothalamus and the brainstem. Double immunocytochemistry confirmed that there were serotonin, DBH and PNMT fibres in close apposition to DA-MEL neurones. TPH2 mRNA expression in serotonin neurones was found in several nuclei, and its most abundant mRNA expression was seen in the nucleus Locus ceruleus of laying and incubating hens. TH mRNA expression levels in the six catecholaminegic areas labelled with DiI was measured across the different reproductive states. In the nucleus tractus solitarius (adrenergic), the highest level of TH mRNA expression was found in photorefractory hens and the lowest level in incubating hens. These observed patterns of serotonin/catecholamine neuronal distribution and their variable interactions with PMM DA-MEL neurones during different reproductive states may offer a significant neuroanatomical basis for understanding the control of avian reproductive seasonality.


Assuntos
Dopamina/metabolismo , Epinefrina/metabolismo , Hipotálamo/metabolismo , Melatonina/metabolismo , Norepinefrina/metabolismo , Serotonina/metabolismo , Perus , Animais , Encéfalo/anatomia & histologia , Encéfalo/metabolismo , Feminino , Hipotálamo/citologia , Isoenzimas/genética , Isoenzimas/metabolismo , Neurônios/citologia , Neurônios/metabolismo , Reprodução/fisiologia , Triptofano Hidroxilase/genética , Triptofano Hidroxilase/metabolismo , Perus/anatomia & histologia , Perus/metabolismo
3.
Neuroscience ; 150(1): 223-33, 2007 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-17935892

RESUMO

Day length cues are used by temperate zone birds to time seasonal changes in reproductive physiology and behavior. However, the neuronal and neurochemical circuits used to measure day length (photoperiodic time measurement; PTM), transduce light information and activate the reproductive neuroendocrine system have not been definitely established. Recent findings from our laboratory provide data showing dopamine (DA) neurons within the premammillary nucleus (PMM) of the caudal turkey hypothalamus are putative photoreceptive neurons. These neurons reach threshold activation when a brief pulse of light is provided during the photo-inducible phase for photosexual stimulation. To further clarify the role of PMM neurons in coding daylight information, we showed that by using double-label immunocytochemistry (ICC) these neurons are immunoreactive (ir) to both tyrosine hydroxylase (TH; the rate limiting enzyme in DA biosynthesis) and melatonin (MEL). Moreover, we found these neurons to express tryptophan hydroxylase 1 (TPH1; the first enzyme in MEL biosynthesis) and 5-HT N-acetyltransferase (AANAT; a key regulatory enzyme in MEL synthesis) mRNAs but not neuronal tryptophan hydroxylase 2 mRNA (TPH 2; the rate limiting enzyme in 5-HT pathway). Both TH and TPH1 mRNAs were shown to cycle rhythmically, and with opposite phases, in PMM neurons of birds kept under a diurnal illumination cycle (12-h light/dark; LD). These neurons could also generate 24 h TH and TPH1 mRNA expression rhythms with the same phase relationship in constant light (LL) and constant dark (DD). In addition, the expression patterns and amplitudes of TH and TPH1 mRNAs were different between long and short photoperiods. These findings may form the basis for an endogenous dual-oscillator circadian system within PMM DA-MEL co-localized neurons controlling reproductive seasonality in birds.


Assuntos
Ritmo Circadiano/fisiologia , Dopamina/metabolismo , Hipotálamo/citologia , Melatonina/metabolismo , Neurônios/fisiologia , Reprodução/fisiologia , Animais , Arilalquilamina N-Acetiltransferase/genética , Arilalquilamina N-Acetiltransferase/metabolismo , Feminino , Regulação da Expressão Gênica/fisiologia , Hipotálamo/fisiologia , Fotoperíodo , RNA Mensageiro/metabolismo , Triptofano Hidroxilase/genética , Triptofano Hidroxilase/metabolismo , Perus , Tirosina 3-Mono-Oxigenase/genética , Tirosina 3-Mono-Oxigenase/metabolismo
4.
J Neuroendocrinol ; 19(6): 399-406, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17388816

RESUMO

Our previous studies using turkey hens have demonstrated that c-fos mRNA (a marker of neuronal activation) is expressed in gonadotrophin-releasing hormone-I (GnRH-I), vasoactive intestinal peptide (VIP) and dopamine (DA) neurones following electrical stimulation in the preoptic area. DA has been shown to have both stimulatory and inhibitory effects on the GnRH-I/luteinising hormone (LH), follicle-stimulating hormone (FSH) and VIP/prolactin (PRL) systems. To identify the DA neurones that mediate the stimulatory influences of photoperiod on the reproductive system, we examined c-fos mRNA induction in DA, GnRH-I, and VIP neurones in the turkey hypothalamus using a dark-interruption experimental design. A 30-min light period was provided to short day (6L : 18D) photosensitive turkeys at times when birds were responsive to light (14 h after first light) and at times when birds were unresponsive to light (8 h and 20 h after first light). The only area where DA neurones were activated when the birds were provided with light was in the nucleus premammillaris (PMM). The number of activated DA neurones was significantly greater when light was provided at 14 h (during the photoinducible phase) than at 8 h or 20 h. At 14 h, there was also an increase in the number of GnRH-I neurones activated in the area of the nucleus commissura pallii (nCPa), as well as an up-regulation of GnRH-I mRNA expression. No expression of c-fos mRNA was observed in VIP neurones in the nucleus infundibularis or up-regulation of VIP mRNA expression in any of the experimental light treatments. These results are the first evidence to demonstrate a relationship between the dopaminergic system in the PMM and the GnRH-I system in the nCPa during the photoinduction of avian reproductive activity.


Assuntos
Dopamina/metabolismo , Hormônio Liberador de Gonadotropina/metabolismo , Hipotálamo/metabolismo , Neurônios/metabolismo , Fotoperíodo , Perus/fisiologia , Animais , Ritmo Circadiano/fisiologia , Feminino , Hormônio Liberador de Gonadotropina/genética , Hipotálamo/citologia , Imuno-Histoquímica , Luz , Vias Neurais/citologia , Vias Neurais/fisiologia , Neurônios/efeitos da radiação , Proteínas Proto-Oncogênicas c-fos/genética , Proteínas Proto-Oncogênicas c-fos/metabolismo , RNA Mensageiro/análise , Reprodução/fisiologia , Peptídeo Intestinal Vasoativo/metabolismo
5.
J Neuroendocrinol ; 19(6): 407-17, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17388817

RESUMO

Day length (photoperiod) is a powerful synchroniser of seasonal changes in the reproductive neuroendocrine activity in temperate-zone birds. When exposed to light during the photoinducible phase, reproductive neuroendocrine responses occur. However, the neuroendocrine systems involved in avian reproduction are poorly understood. We investigated the effect of light exposure at different circadian times upon the hypothalamus and components of the circadian system, using c-fos mRNA expression, measured by in situ hybridisation, as an indicator of light-induced neuronal activity. Levels of c-fos mRNA in these areas were compared after turkey hens (on a daily 6-h light period) had been exposed to a 30-min period of light occurring at 8, 14, or 20 h after the onset of first light of the day (subjective dawn). Non-photostimulated control birds were harvested at the same times. In birds, photostimulated within the photoinducibile phase (14 h), in contrast to before or after, c-fos mRNA was significantly increased in the nucleus commissurae pallii (nCPa), nucleus premamillaris (PMM), eminentia mediana (ME), and organum vasculosum lamina terminalis (OVLT). Photostimulation increased c-fos mRNA expression in the pineal gland, nucleus suprachiasmaticus, pars visualis (vSCN) and nucleus inferioris hypothalami compared to that of their corresponding nonphotostimulated controls. However, the magnitudes of the responses in these areas were similar irrespective of where in the dark period the pulses occurred. No c-fos mRNA was induced in the nucleus infundibulari, in response to the 30-min light period at any of the circadian times tested. The lack of c-fos up-regulation in the pineal gland and vSCN following photostimulation during the photoinducible phase lends credence to the hypothesis that these areas are not involved in the photic initiation of avian reproduction. On the other hand, c-fos mRNA increases in the nCPa, ME, and OVLT support other studies showing that these areas are involved in the onset of reproductive behaviour initiated by long day lengths. The present study provides novel data showing that the PMM in the caudal hypothalamus is involved in the neuronally mediated, light-induced initiation of reproductive activity in the turkey hen.


Assuntos
Hipotálamo/metabolismo , Neurônios/metabolismo , Fotoperíodo , Proteínas Proto-Oncogênicas c-fos/metabolismo , Perus/fisiologia , Animais , Ritmo Circadiano/fisiologia , Feminino , Regulação da Expressão Gênica , Hipotálamo/citologia , Imuno-Histoquímica , Luz , Vias Neurais/citologia , Vias Neurais/fisiologia , Neurônios/efeitos da radiação , Glândula Pineal/metabolismo , Proteínas Proto-Oncogênicas c-fos/genética , RNA Mensageiro/análise , RNA Mensageiro/metabolismo , Reprodução/fisiologia , Núcleo Supraquiasmático/metabolismo
6.
J Neuroendocrinol ; 18(7): 514-25, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16774500

RESUMO

The neural and neurochemical substrates regulating reproduction in birds remain vaguely defined. The findings that electrical stimulation in the medial preoptic area (ES/MPOA) or intracerebroventricular infusion of dopamine (DA) stimulated luteinising hormone (LH) and prolactin (PRL) release in female turkeys, led to the suggestion that ES/MPOA might help to clarify the DA circuitry regulating LH and PRL. We used c-fos mRNA and tyrosine hydroxylase immunoreactivity as measured by double in situ hybridisation/immunocytochemistry (ISH/ICC) to determine which group/subgroup of DA neurones was activated following unilateral ES/MPOA. To establish that the reproductive neuroendocrine system was activated, double ISH/ICC was also conducted on c-fos/gonadotrophin-releasing hormone-I (GnRH-I) and c-fos/vasoactive intestinal peptide (VIP). Changes in circulating LH and PRL were determined by radioimmunoassay. Unilateral ES/MPOA (100 microA, right side) of anaesthetised laying turkeys for 30 min increased circulating LH and PRL levels. It also induced c-fos mRNA expression on the ipsilateral side by all GnRH-I neurones within the septopreoptic region, implying that GnRH-I neurones in this region share similar circuitry. VIP neurones within the nucleus infundibularis were the only VIP group to show c-fos mRNA expression, suggesting their involvement in ES/MPOA induced PRL release. c-fos mRNA expression was also observed in a subgroup of DA neurones in the nucleus mamillaris lateralis (ML). To our knowledge, the present study is the first to show that activation of DAergic cells in the ML is associated with the activation of GnRH-I and VIP neurones and the release of LH and PRL. It is likely that ES/MPOA activated VIP/GnRH-I neurones via activation of DA neurones in the ML, as this was the only DA subgroup that showed c-fos mRNA expression.


Assuntos
Dopamina/metabolismo , Vias Neurais/metabolismo , Área Pré-Óptica/metabolismo , Reprodução/fisiologia , Perus/metabolismo , Análise de Variância , Animais , Estimulação Elétrica , Feminino , Hormônio Liberador de Gonadotropina/análogos & derivados , Hormônio Liberador de Gonadotropina/metabolismo , Hipotálamo/citologia , Hipotálamo/metabolismo , Hormônio Luteinizante/sangue , Vias Neurais/citologia , Neurônios/metabolismo , Sistemas Neurossecretores/citologia , Sistemas Neurossecretores/metabolismo , Área Pré-Óptica/citologia , Prolactina/sangue , Proteínas Proto-Oncogênicas c-fos/genética , Proteínas Proto-Oncogênicas c-fos/metabolismo , Ácido Pirrolidonocarboxílico/análogos & derivados , Ácido Pirrolidonocarboxílico/metabolismo , RNA Mensageiro/análise , Distribuição Tecidual , Perus/anatomia & histologia , Tirosina 3-Mono-Oxigenase/metabolismo , Peptídeo Intestinal Vasoativo/metabolismo
7.
Spinal Cord ; 44(4): 242-8, 2006 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-16151446

RESUMO

STUDY DESIGN: Prospective single centre study. OBJECTIVES: Pulmonary rehabilitation focuses on improving the expiratory muscle function in order to increase the reduced cough capacity in patients with cervical spinal cord injuries (SCI). However, an improvement in the inspiratory function is also important for coughing effectively. Therefore, this study was to examine the significance of the inspiratory muscle strength on the cough capacity in the patients with a cervical SCI. SETTING: SCI unit, Yonsei Rehabilitation Hospital, Seoul, Korea. METHODS: The vital capacity (VC), maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP) were measured. Moreover, the unassisted peak cough flow (PCF) and assisted PCF under three conditions were evaluated. RESULTS: All three assisted cough methods showed a significantly higher value than the unassisted method (P < 0.001). The VC correlated with the voluntary cough capacity and the MIP (R = 0.749) correlated more significantly with the VC than the MEP (R = 0.438) (P < 0.01). The MIP showed a higher correlation with both the unassisted PCF and all three assisted PCFs than the MEP (P < 0.001). CONCLUSIONS: The management of the inspiratory muscle strength should be considered in the pulmonary rehabilitation at cervical SCI patients.


Assuntos
Exercícios Respiratórios , Debilidade Muscular/prevenção & controle , Debilidade Muscular/reabilitação , Insuficiência Respiratória/prevenção & controle , Insuficiência Respiratória/reabilitação , Traumatismos da Medula Espinal/complicações , Adulto , Brônquios/inervação , Brônquios/fisiopatologia , Vértebras Cervicais/lesões , Feminino , Humanos , Inalação/fisiologia , Capacidade Inspiratória/fisiologia , Masculino , Contração Muscular/fisiologia , Debilidade Muscular/etiologia , Vias Neurais/lesões , Vias Neurais/fisiopatologia , Pneumonia/etnologia , Pneumonia/etiologia , Pneumonia/prevenção & controle , Estudos Prospectivos , Reflexo/fisiologia , Síndrome do Desconforto Respiratório/etiologia , Síndrome do Desconforto Respiratório/prevenção & controle , Síndrome do Desconforto Respiratório/reabilitação , Insuficiência Respiratória/etiologia , Músculos Respiratórios/inervação , Músculos Respiratórios/fisiopatologia , Paralisia Respiratória/etiologia , Paralisia Respiratória/prevenção & controle , Paralisia Respiratória/reabilitação , Medula Espinal/fisiopatologia , Traumatismos da Medula Espinal/fisiopatologia
8.
Chest ; 118(1): 61-5, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10893360

RESUMO

OBJECTIVE: To investigate the effect of deep lung insufflations on maximum insufflation capacities (MICs) and peak cough flows (PCFs) for patients with neuromuscular disease. METHOD: Forty-three patients with neuromuscular disease were trained in stacking delivered volumes of air to deep lung insufflation and were prescribed a program of air stacking once their vital capacities (VCs) were noted to be < 2,000 mL. VC, MIC, and unassisted and assisted PCF were monitored. The initial data were compared with the highest MICs subsequently achieved. For those patients whose MICs only decreased, we compared the initial data with the most recent data. RESULTS: The MICs increased from (mean +/- SD) 1,402 +/- 530 mL to 1,711 +/- 599 mL (p < 0.001) for 30 patients and only decreased for 13 patients. Patients for whom the MICs increased also had a significant increase in assisted PCF from 3.7 +/- 1.4 to 4.3 +/- 1.6 L/s (p < 0.05) despite having somewhat decreasing VCs and unassisted PCFs. CONCLUSION: With training, the capacity to stack air to deep insufflations can improve despite progressive neuromuscular disease. This can result in increased cough effectiveness.


Assuntos
Exercícios Respiratórios , Doenças Neuromusculares/reabilitação , Adulto , Idoso , Esclerose Lateral Amiotrófica/reabilitação , Fluxo Expiratório Forçado , Humanos , Pessoa de Meia-Idade , Distrofia Muscular de Duchenne/reabilitação , Síndrome Pós-Poliomielite/reabilitação , Terapia Respiratória , Capacidade Vital
9.
Mol Cells ; 10(3): 331-7, 2000 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-10901172

RESUMO

We purified and partially sequenced a cytostatic protein from the ASC-17D Sertoli cell-conditioned media (rSCCM) showing a molecular weight of 90 kDa with homodimeric composition. N-terminal amino acid analysis revealed that the protein was homologous to the arginine deiminase (ADI) of Mycoplasma arginini. We found ADI enzyme activity in rSCCM and the abolishment of the growth inhibitory effect by the supplement of L-arginine. Thus, we confirmed that the cytostatic activity in rSCCM was due to the depletion of extracellular L-arginine by ADI. Apparent increase of cell death or DNA fragmentation was not observed in DU145 cells cultured in the presence of ADI. Incubation of DU145 cancer cells with taxol resulted in a marked DNA fragmentation, whereas pretreatment with ADI or cycloheximide protected the cells from taxol-induced apoptosis. Preincubation of the cells with ADI inhibited S35-methionine incorporation into protein synthesis in a dose dependent manner. These data suggest that ADI-induced arginine depletion may inhibit protein synthesis, and result in the protection of apoptotic cell death that requires new protein synthesis.


Assuntos
Apoptose/efeitos dos fármacos , Citoproteção , Hidrolases/metabolismo , Paclitaxel/farmacologia , Neoplasias da Próstata/patologia , Sequência de Aminoácidos , Animais , Arginina/metabolismo , Astrócitos/efeitos dos fármacos , Astrócitos/metabolismo , Linhagem Celular , Meios de Cultivo Condicionados , Cicloeximida/farmacologia , Fragmentação do DNA , Fase G1 , Humanos , Hidrolases/química , Hidrolases/farmacologia , L-Lactato Desidrogenase/metabolismo , Lipopolissacarídeos/farmacologia , Masculino , Dados de Sequência Molecular , Óxido Nítrico/metabolismo , Neoplasias da Próstata/química , Neoplasias da Próstata/metabolismo , Inibidores da Síntese de Proteínas/metabolismo , Ratos , Alinhamento de Sequência , Células de Sertoli/metabolismo , Células Tumorais Cultivadas
10.
Biol Chem ; 380(12): 1455-9, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10661875

RESUMO

We isolated a cDNA representing a message that was strongly induced by injection with E. coli in Bombyx mori. The 2160 bp cDNA has an open reading frame of 644 amino acids and the deduced product a predicted molecular mass of 71 kDa. The cDNA sequence shared high homology with the transferrins known so far, and its deduced peptide had unique features of transferrins, that is, sites of cystein residues and iron binding. We suggest that the B. mori transferrin plays an important role in the self-defense system.


Assuntos
Bombyx/genética , Transferrina/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Clonagem Molecular , DNA Complementar , Escherichia coli/genética , Dados de Sequência Molecular , Fases de Leitura Aberta , Homologia de Sequência de Aminoácidos
11.
Yonsei Med J ; 37(4): 237-42, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8942293

RESUMO

Myotonic dystrophy is a muscular disorder characterized by muscle weakness and myotonia. Myotonia manifests with abnormally slow relaxation after strong voluntary contraction of the muscles. In our previous study we reported that quinine sulfate provided therapeutic benefit to myotonia and a home exercise program based on muscle strengthening exercises improved muscle strength. The purpose of this study was to determine the effect of a multi-therapeutic program in patients with myotonic dystrophy. For six months, seven patients with myotonic dystrophy received heat therapy, were given psychologic intervention using relaxation techniques, were trained at home, and were given quinine sulfate. The changes in muscle strength and relaxation time between the post-six-months home exercise program combined with quinine sulfate therapy, and the post-six months multi-therapeutic program, were assessed from the first dorsal interossei, the elbow flexors, and the knee extensors. The results were as follows: 1) The mean muscle strength of the each of the three muscles after the six months multi-therapeutic program was improved but was not significant compared with the post-six-months home exercise program combined with quinine sulfate therapy. 2) The mean relaxation time of each of the three muscles after the six months multi-therapeutic program was significantly reduced compared with the home exercise program combined with quinine sulfate therapy. In conclusion, the multi-therapeutic program undertaken in this study was the better program for the patients with myotonic dystrophy.


Assuntos
Relaxamento Muscular , Músculos/fisiopatologia , Distrofia Miotônica/fisiopatologia , Distrofia Miotônica/reabilitação , Adolescente , Adulto , Feminino , Temperatura Alta/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Terapia de Relaxamento , Fatores de Tempo
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA