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1.
Proc Natl Acad Sci U S A ; 115(31): 7884-7889, 2018 07 31.
Artículo en Inglés | MEDLINE | ID: mdl-30006468

RESUMEN

Layered systems of 2D crystals and heterostructures are widely explored for new physics and devices. In many cases, monolayer or few-layer 2D crystals are transferred to a target substrate including other 2D crystals, and nanometer-scale blisters form spontaneously between the 2D crystal and its substrate. Such nanoblisters are often recognized as an indicator of good adhesion, but there is no consensus on the contents inside the blisters. While gas-filled blisters have been modeled and measured by bulge tests, applying such models to spontaneously formed nanoblisters yielded unrealistically low adhesion energy values between the 2D crystal and its substrate. Typically, gas-filled blisters are fully deflated within hours or days. In contrast, we found that the height of the spontaneously formed nanoblisters dropped only by 20-30% after 3 mo, indicating that probably liquid instead of gas is trapped in them. We therefore developed a simple scaling law and a rigorous theoretical model for liquid-filled nanoblisters, which predicts that the interfacial work of adhesion is related to the fourth power of the aspect ratio of the nanoblister and depends on the surface tension of the liquid. Our model was verified by molecular dynamics simulations, and the adhesion energy values obtained for the measured nanoblisters are in good agreement with those reported in the literature. This model can be applied to estimate the pressure inside the nanoblisters and the work of adhesion for a variety of 2D interfaces, which provides important implications for the fabrication and deformability of 2D heterostructures and devices.

2.
BMC Genomics ; 17(1): 1017, 2016 12 12.
Artículo en Inglés | MEDLINE | ID: mdl-27955616

RESUMEN

BACKGROUND: Low-abundance mutations in mitochondrial populations (mutations with minor allele frequency ≤ 1%), are associated with cancer, aging, and neurodegenerative disorders. While recent progress in high-throughput sequencing technology has significantly improved the heteroplasmy identification process, the ability of this technology to detect low-abundance mutations can be affected by the presence of similar sequences originating from nuclear DNA (nDNA). To determine to what extent nDNA can cause false positive low-abundance heteroplasmy calls, we have identified mitochondrial locations of all subsequences that are common or similar (one mismatch allowed) between nDNA and mitochondrial DNA (mtDNA). RESULTS: Performed analysis revealed up to a 25-fold variation in the lengths of longest common and longest similar (one mismatch allowed) subsequences across the mitochondrial genome. The size of the longest subsequences shared between nDNA and mtDNA in several regions of the mitochondrial genome were found to be as low as 11 bases, which not only allows using these regions to design new, very specific PCR primers, but also supports the hypothesis of the non-random introduction of mtDNA into the human nuclear DNA. CONCLUSION: Analysis of the mitochondrial locations of the subsequences shared between nDNA and mtDNA suggested that even very short (36 bases) single-end sequencing reads can be used to identify low-abundance variation in 20.4% of the mitochondrial genome. For longer (76 and 150 bases) reads, the proportion of the mitochondrial genome where nDNA presence will not interfere found to be 44.5 and 67.9%, when low-abundance mutations at 100% of locations can be identified using 417 bases long single reads. This observation suggests that the analysis of low-abundance variations in mitochondria population can be extended to a variety of large data collections such as NCBI Sequence Read Archive, European Nucleotide Archive, The Cancer Genome Atlas, and International Cancer Genome Consortium.


Asunto(s)
Contaminación de ADN , Genoma Humano , Genoma Mitocondrial , Genes Mitocondriales , Secuenciación de Nucleótidos de Alto Rendimiento/normas , Humanos , Reacción en Cadena de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa/normas , Reproducibilidad de los Resultados
3.
Discov Nano ; 19(1): 36, 2024 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-38407768

RESUMEN

Bare and doped zinc oxide nanomaterials (ZnO NMs) are of great interest as multifunctional platforms for biomedical applications. In this study, we systematically investigate the physicochemical properties of Aluminum doped ZnO (AZO) and its bio-interactions with neuroblastoma (SH-SY5Y) and red blood (RBCs) cells. We provide a comprehensive chemical and structural characterization of the NMs. We also evaluated the biocompatibility of AZO NMs using traditional toxicity assays and advanced microscopy techniques. The toxicity of AZO NMs towards SH-SY5Y cells, decreases as a function of Al doping but is higher than the toxicity of ZnO NMs. Our results show that N-acetyl cysteine protects SH-SY5Y cells against reactive oxygen species toxicity induced by AZO NMs. ZnO and AZO NMs do not exert hemolysis in human RBCs at the doses that cause toxicity (IC50) in neuroblastoma cells. The Atomic force microscopy qualitative analysis of the interaction of SH-SY5Y cells with AZO NMs shows evidence that the affinity of the materials with the cells results in morphology changes and diminished interactions between neighboring cells. The holotomographic microscopy analysis demonstrates NMs' internalization in SH-SY5Y cells, changes in their chemical composition, and the role of lipid droplets in the clearance of toxicants.

4.
Nanomaterials (Basel) ; 13(13)2023 Jun 21.
Artículo en Inglés | MEDLINE | ID: mdl-37446416

RESUMEN

Fungal infections have become a significant public health concern due to their increasing recurrence and harmful effects on plants, animals, and humans. Opportunistic pathogens (among others from the genera Candida and Aspergillus) can be present in indoor air, becoming a risk for people with suppressed immune systems. Engineered nanomaterials are novel alternatives to traditional antifungal therapy. In this work, copper(I) iodide (CuI) and a copper-doped titanium dioxide-copper(I) iodide (TiO2-Cu2+/CuI) composite nanomaterials (NMs)-were synthesized and tested as antifungal agents. The materials were synthesized using sol-gel (TiO2-Cu2+) and co-precipitation (CuI) techniques. The resulting colloids were evaluated as antifungal agents against Candida parapsilosis and Aspergillus niger strains. The NMs were characterized by XRD, HRTEM, AFM, and DLS to evaluate their physicochemical properties. The NMs present a high size dispersion and different geometrical shapes of agglomerates. The antifungal capacity of the NMs by the minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) was below 15 µg/mL against Candida parapsilosis and below 600 µg/mL against Aspergillus niger for both NMs. Holotomography microscopy showed that the NMs could penetrate cell membranes causing cell death through its rupture and reactive oxygen species (ROS) production. Cytotoxicity tests showed that NMs could be safe to use at low concentrations. The synthesized nanomaterials could be potential antifungal agents for biomedical or environmental applications.

5.
Nanomaterials (Basel) ; 13(21)2023 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-37947670

RESUMEN

Nanomaterials such as titanium dioxide and magnetite are increasingly used in several fields, such as water remediation and agriculture. However, this has raised environmental concerns due to potential exposure to organisms like humans. Nanomaterials can cause adverse interactions depending on physicochemical characteristics, like size, morphology, and composition, when interacting with living beings. To ensure safe use and prevent the risk of exposure to nanomaterials, their biocompatibility must be assessed. In vitro cell cultures are beneficial for assessing nanomaterial-cell interactions due to their easy handling. The present study evaluated the biocompatibility of TiO2, Fe3O4, and TiO2/Fe3O4 nanomaterials thermally treated at 350 °C and 450 °C in erythrocytes and HepG2 cells. According to the hemolysis experiments, non-thermally treated NMs are toxic (>5% hemolysis), but their thermally treated counterparts do not present toxicity (<2%). This behavior indicates that the toxicity derives from some precursor (solvent or surfactant) used in the synthesis of the nanomaterials. All the thermally treated nanomaterials did not show hemolytic activity under different conditions, such as low-light exposure or the absence of blood plasma proteins. In contrast, non-thermally treated nanomaterials showed a high hemolytic behavior, which was reduced after the purification (washing and thermal treatment) of nanomaterials, indicating the presence of surfactant residue used during synthesis. An MTS cell viability assay shows that calcined nanomaterials do not reduce cell viability (>11%) during 24 h of exposure. On the other hand, a lactate dehydrogenase leakage assay resulted in a higher variability, indicating that several nanomaterials did not cause an increase in cell death as compared to the control. However, a holotomographic microscopy analysis reveals a high accumulation of nanomaterials in the cell structure at a low concentration (10 µg mL-1), altering cell morphology, which could lead to cell membrane damage and cell viability reduction.

6.
Environ Toxicol Pharmacol ; 100: 104115, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-37075874

RESUMEN

Insulin resistance (IR) and metabolic disorders are non-pulmonary adverse effects induced by fine particulate matter (PM2.5) exposure. The worldwide pandemic of high fructose sweeteners and fat rich modern diets, also contribute to IR development. We investigated some of the underlying effects of IR, altered biochemical insulin action and Insulin/AKT pathway biomarkers. Male Sprague Dawley rats were subchronically exposed to filtered air, PM2.5, a fructose rich diet (FRD), or PM2.5 + FRD. Exposure to PM2.5 or FRD alone did not induce metabolic changes. However, PM2.5 + FRD induced leptin release, systemic hyperinsulinemia, and Insulin/AKT dysregulation in insulin-sensitive tissues preceded by altered AT1R levels. Histological damage and increased HOMA-IR were also observed from PM2.5 + FRD co-exposure. Our results indicate that the concomitant exposure to a ubiquitous environmental pollutant, such as PM2.5, and a metabolic disease risk factor, a FRD, can contribute to the metabolic disorder pandemic occurring in highly polluted locations.


Asunto(s)
Resistencia a la Insulina , Ratas , Animales , Masculino , Ratas Sprague-Dawley , Fructosa/toxicidad , Material Particulado/toxicidad , Proteínas Proto-Oncogénicas c-akt , Dieta , Insulina/metabolismo
7.
Exp Neurol ; 329: 113318, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32305419

RESUMEN

Early life stress (ELS) is a risk factor for many psychopathologies that happen later in life. Although stress can occur in cases of child abuse, studies on non-accidental brain injuries in pediatric populations do not consider the possible increase in vulnerability caused by ELS. Hence, we sought to determine whether ELS increases the effects of pediatric mild traumatic brain injury (mTBI) on cognition, hippocampal inflammation, and plasticity. Male rats were subjected to maternal separation for 180 min per day (MS180) or used as controls (CONT) during the first 21 post-natal (P) days. At P21 the rats were anesthetized with isoflurane and subjected to a mild controlled cortical impact or sham injury. At P32 the rats were injected with the cell proliferation marker bromodeoxyuridine (BrdU, 500 mg/kg), then evaluated for spatial learning and memory in a water maze (P35-40) and sacrificed for quantification of Ki67+, BrdU+ and Iba1+ (P42). Neither MS180 nor mTBI impacted cognitive outcome when provided alone but their combination (MS180 + mTBI) decreased spatial learning and memory relative to Sham controls (p < .01). mTBI increased microglial activation and affected BrdU+ cell survival in the ipsilateral hippocampus without affecting proliferation rates. However, only MS180 + mTBI increased microglial activation in the area adjacent to the injury and the contralateral CA1 hippocampal subfield, and decreased cell proliferation in the ipsilateral neurogenic niche. Overall, the data show that ELS increases the vulnerability to the sequelae of pediatric mTBI and may be mediated by increased neuroinflammation.


Asunto(s)
Conmoción Encefálica/patología , Conmoción Encefálica/psicología , Privación Materna , Aprendizaje Espacial/fisiología , Animales , Animales Recién Nacidos , Conmoción Encefálica/etiología , Susceptibilidad a Enfermedades/etiología , Susceptibilidad a Enfermedades/patología , Susceptibilidad a Enfermedades/psicología , Femenino , Masculino , Embarazo , Ratas , Ratas Sprague-Dawley
8.
J Neurotrauma ; 36(5): 756-767, 2019 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-30051757

RESUMEN

Environmental enrichment (EE) confers motor and cognitive recovery in pre-clinical models of traumatic brain injury (TBI), and neurogenesis has been attributed to mediating the benefits. Whether that ascription is correct has not been fully investigated. Hence, the goal of the current study is to further clarify the possible role of learning-induced hippocampal neurogenesis on functional recovery after cortical impact or sham injury by utilizing two EE paradigms (i.e., early + continuous, initiated immediately after TBI and presented 24 h/day; and delayed + abbreviated, initiated 4 days after TBI for 6 h/day) and comparing them to one another as well as to standard (STD) housed controls. Motor and cognitive performance was assessed on post-operative Days 1-5 and 14-19, respectively, for the STD and early + continuous EE groups and on Days 4-8 and 17-22, for the delayed + abbreviated EE groups. Rats were injected with bromodeoxyuridine (BrdU, 500 mg/ kg; intraperitoneally) for 3 days (12 h apart) before cognitive training and sacrificed 1 week later for quantification of BrdU+ and doublecortin (DCX+) labeled cells. Both early + continuous and delayed + abbreviated EE promoted motor and cognitive recovery after TBI, relative to STD (p < 0.05), and did not differ from one another (p > 0.05). However, only early + continuous EE increased DCX+ cells beyond the level of STD-housed controls (p < 0.05). No effect of EE on non-injured controls was observed. Based on these data, two novel conclusions emerged. First, EE does not need to be provided early and continuously after TBI to confer benefits, which lends credence to the delayed + abbreviated EE paradigm as a relevant pre-clinical model of neurorehabilitation. Second, the functional recovery observed after TBI in the delayed + abbreviated EE paradigm is not contingent on increased hippocampal neurogenesis. Future studies will elucidate alternate viable mechanisms mediating the benefits induced by EE.


Asunto(s)
Lesiones Traumáticas del Encéfalo/rehabilitación , Vivienda para Animales , Neurogénesis , Recuperación de la Función , Medio Social , Animales , Lesiones Traumáticas del Encéfalo/fisiopatología , Proteína Doblecortina , Hipocampo/fisiopatología , Masculino , Rehabilitación Neurológica/métodos , Ratas , Ratas Sprague-Dawley
9.
J Invest Surg ; 16(4): 209-17, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-12893497

RESUMEN

A 2.5-cm nasal septal perforation was performed in 18 pigs and repaired as follows: group I (n = 6), septal perforation without treatment; group II (n = 6), surgical repair with interpositional graft of glutaraldehyde-preserved bovine pericardium (GPBP); group III (n = 6), surgical repair with interpositional graft of lyophilized GPBP (LGPBP). The animals were evaluated clinically and radiologically (x-ray and CT scan) 2 days before surgery, daily during the first postoperative week, and weekly during the next 6 months. At the end of the study the animals were euthanized with an overdose of pentobarbital. Macroscopic and microscopic examination of the grafts and nasal septum was performed. All the animals survived the surgical procedure. Five pigs in group I showed persistence of the septal perforation. All the animals in groups II and III showed total closure of the septal perforation, with the presence of fibrotic tissue on the pericardial grafts as well as in the septal cartilage, and overall good healing. In conclusion, GPBP and LGPBP are adequate materials that can be used as interpositional grafts in the surgical closure of septal perforations in pigs


Asunto(s)
Tabique Nasal/lesiones , Tabique Nasal/cirugía , Pericardio/trasplante , Animales , Bovinos , Cauterización/efectos adversos , Criocirugía/efectos adversos , Femenino , Masculino , Complicaciones Posoperatorias/cirugía , Sus scrofa , Trasplante Heterólogo , Cicatrización de Heridas
10.
Acta Otorrinolaringol Esp ; 64(1): 37-44, 2013.
Artículo en Español | MEDLINE | ID: mdl-23062864

RESUMEN

INTRODUCTION: Glutaraldehyde-preserved bovine pericardium (GBP) and lyophilized GBP (LGBP) have been used successfully in repairing several anatomical defects, but their effectiveness and safety as implants to vocal cords (VC) have not been reported. OBJECTIVE: The aim of this study was to evaluate the use of GBP and LGBP as materials for medialization thyroplasty, as well as to assess the endoscopic, macroscopic and microscopic VC changes after medialization in an experimental canine model. MATERIAL AND METHODS: In 12 healthy mongrel dogs, the right VC were medialized using pericardium and the left with polytetrafluoroethylene (PTFE). Group 1 (n=6): GBP and Group 2 (n=6): LGBP. The surgical manoeuvrability of the implants was compared. The animals were evaluated clinically and endoscopically. Three months after surgery, the larynges were assessed macro- and microscopically. RESULTS: Both GBP and LGBP implants showed better surgical manoeuvrability (Kruskal-Wallis, P=.005). Endoscopic and macroscopic studies showed no evidence of granulomas, absorption or extrusion of the implant. At the end of the study, greater thickness was observed in VC implanted with PTFE. Microscopically, all the VC developed fibrous capsules surrounding the implants and similar chronic inflammation reaction. The VC implanted with PTFE presented eosinophilic infiltration (Kruskal-Wallis, P<.05). CONCLUSION: Both GBP and LGBP can be used as implants for VC medialization because they are biocompatible, have easy surgical manoeuvrability, do not suffer absorption, migration or extrusion and produce inflammation reactions similar to those of PTFE.


Asunto(s)
Glutaral , Preservación de Órganos/métodos , Pericardio , Pliegues Vocales , Animales , Bioprótesis , Bovinos , Perros , Liofilización , Modelos Animales , Politetrafluoroetileno , Prótesis e Implantes
11.
Med Phys Mex Symp Med Phys ; 854(1): 25-30, 2006 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-20428481

RESUMEN

Finding relations among gene expressions involves the definition of the similarity between experimental data. A simplest similarity measure is the Correlation Coefficient. It is able to identify linear dependences only; moreover, is sensitive to experimental errors. An alternative measure, the Shannon Mutual Information (MI), is free from the above mentioned weaknesses. However, the calculation of MI for continuous variables from the finite number of experimental points, N, involves an ambiguity arising when one divides the range of values of the continuous variable into boxes. Then the distribution of experimental points among the boxes (and, therefore, MI) depends on the box size. An algorithm for the calculation of MI for continuous variables is proposed. We find the optimum box sizes for a given N from the condition of minimum entropy variation with respect to the change of the box sizes. We have applied this technique to the gene expression dataset from Stanford, containing microarray data at 18 time points from yeast Saccharomyces cerevisiae cultures (Spellman et al.,[3]). We calculated MI for all of the pairs of time points. The MI analysis allowed us to identify time patterns related to different biological processes in the cell.

12.
Acta otorrinolaringol. esp ; Acta otorrinolaringol. esp;64(1): 37-44, ene.-feb. 2013. ilus
Artículo en Español | IBECS (España) | ID: ibc-109481

RESUMEN

Introducción: El pericardio bovino tratado con glutaraldehído (PBTG) y el pericardio bovino tratado con glutaraldehído liofilizado (PBTGL)ha sido utilizado exitosamente en la reparación de varios defectos anatómicos, pero su eficacia y seguridad como implantes de cuerdas vocales (CV) no se ha descrito. Objetivo: Evaluar la utilidad del PBTG y PBTGL como material para la medialización tiroplástica y valorar los cambios endoscópicos, macroscópicos y microscópicos de las CV posmedialización en un modelo experimental canino. Material y métodos: En 12 perros mestizos, se medializó la CV derecha con pericardio y la izquierda con politetrafluoroetileno (PTFE). Grupo i (n=6): PBTG, y Grupo ii (n=6): PBTGL. Se comparó el manejo quirúrgico de los implantes. Los animales se valoraron clínica y endoscópicamente. Tres meses poscirugía se evaluaron macroscópica y microscópicamente las laringes. Resultados: El PBTG y PBTGL mostraron mejor manejo quirúrgico (Kruskal-Wallis, p=0,005). No se presentaron granulomas, absorción o extrusión del implante en ningún caso endoscópica ni macroscópicamente. Al final del estudio las CV medializadas con PTFE se observaron más engrosadas. Microscópicamente todas las CV formaron una cápsula fibrosa alrededor del implante y una reacción inflamatoria crónica similar, pero las implantadas con PTFE mostraron infiltrado eosinofílico (Kruskal-Wallis, p<0,05). Conclusión: El PBTG y PBTGL pueden ser utilizados para la medialización de las CV debido a que son biocompatibles, de fácil manejo quirúrgico, no se absorben, no migran, ni extruyen y producen una reacción inflamatoria similar a la del PTFE (AU)


Introduction: Glutaraldehyde-preserved bovine pericardium (GBP) and lyophilized GBP (LGBP) have been used successfully in repairing several anatomical defects, but their effectiveness and safety as implants to vocal cords (VC) have not been reported. Objective: The aim of this study was to evaluate the use of GBP and LGBP as materials for medialization thyroplasty, as well as to assess the endoscopic, macroscopic and microscopic VC changes after medialization in an experimental canine model. Material and methods: In 12 healthy mongrel dogs, the right VC were medialized using pericardium and the left with polytetrafluoroethylene (PTFE). Group 1 (n=6): GBP and Group 2 (n=6): LGBP. The surgical manoeuvrability of the implants was compared. The animals were evaluated clinically and endoscopically. Three months after surgery, the larynges were assessed macro- and microscopically. Results: Both GBP and LGBP implants showed better surgical manoeuvrability (Kruskal-Wallis, P=0.005). Endoscopic and macroscopic studies showed no evidence of granulomas, absorption or extrusion of the implant. At the end of the study, greater thickness was observed in VC implanted with PTFE. Microscopically, all the VC developed fibrous capsules surrounding the implants and similar chronic inflammation reaction. The VC implanted with PTFE presented eosinophilic infiltration (Kruskal-Wallis, P<0.05). Conclusion: Both GBP and LGBP can be used as implants for VC medialization because they are biocompatible, have easy surgical manoeuvrability, do not suffer absorption, migration or extrusion and produce inflammation reactions similar to those of PTFE (AU)


Asunto(s)
Animales , Masculino , Femenino , Perros , Bovinos , Pliegues Vocales/anomalías , Pliegues Vocales/cirugía , Bioprótesis , Glutaral/uso terapéutico , Politetrafluoroetileno/uso terapéutico , Pericardio/cirugía , Preservación de Órganos/métodos , Modelos Animales , Extrusión Ortodóncica , Extrusión Ortodóncica/veterinaria
13.
Rev. ecuat. cardiol ; 5(2): 212-7, oct. 1997. graf
Artículo en Español | LILACS | ID: lil-235594

RESUMEN

Con la finalidad de determinar la enfermedad coronaria aterosclerótica en la mujer de ocupación ama de casa. Se realiza un estudio retrospectivo en el servicio Cardiología del Hospital General de las Fuerzas Armadas H.G.1 (Quito-Ecuador) desde feb. 1992 a feb. 1997. En todos los pacientes se analizó factores de riesgo coronario como dislipidemia, hipertensión arterial (HTA), diabetes, obesidad, tabaquismo; de igual manera el cuadro clínico de dolor precordial, los hallazgos observados en el electrocardiograma (ECG) basal. Se realizó prueba de esfuerzo y estudio de cinecoronariografía en todas las pacientes. Fueron analizadas 39 mujeres con edades entre 41 y 72 años (media de 58). No se detectó factores de riesgo en 7 (18xciento), la dislipidemia, la hipertensión y la obesidad fueron los más frecuentes (62, 56 y 21xciento respectivamente). El dolor precordial típico estuvo presente en 26 (67xciento) y atípico en 13 pacientes (33xciento). En el ECG se observó cambios de la repolarización ventricular en 34 (87xciento) con p0.05. Se realizó Ergometria en 35 pacientes siendo francamente positivas para isquemia miocárdica en 30 (77xciento) y dudosas en 5 (14xciento). Eco-Dipiridamol (+) en 3 pacientes (8xciento) y en una paciente demostró isquemia silente en estudio Holter. De los 35 pacientes que se realizaron Prueba de esfuerzo en banda sinfín con escala de Bruce, 31 pacientes (89xciento) estuvieron en Clase funcional (II) llegaron a la 3era etapa 28 (80xciento). Y al observar la alteración del segmento ST en el ECG de esfuerzo fue la zona infero-lateral la que predominó en 32 pacientes (91.4xciento) con p0.02. La coronariografía no demostró lesiones ateroscleróticas en 32 (82xciento) con una probabilidad estadística de (91xciento), encontrándose lesión ateroscleróticas en 7 (18xciento), siendo significativa con estrechez coronaria + del 70xciento en un paciente (2.5xciento); lesiones de 3 vasos coronarios en 2 (5.1xciento) y lesiones de un vaso en 5 (13xciento). Puente miocárdico en 5 (13xciento) e Hipertrofia ventricular izquierdo en 20 (51xciento)...


Asunto(s)
Femenino , Enfermedad Coronaria/terapia , Factores de Riesgo , Mujeres , Ecuador , Hospitales Militares , Pacientes
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