Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 14.381
Filtrar
4.
Int Heart J ; 61(5): 993-998, 2020 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-32921671

RESUMEN

Venous thromboembolism (VTE) is a life-threatening complication after trauma. Several studies have reported VTE prophylaxis using low-molecular-weight heparin; however, there is no consensus for prophylaxis after trauma. This study aimed to assess the efficacy and safety of our new anticoagulation therapy protocol using unfractionated heparin (UFH) plus intermittent pneumatic compression (IPC) to prevent post-traumatic VTE in high-risk trauma patients.This study enrolled 70 trauma patients who were admitted to the emergency medical center of Nagasaki University Hospital and had Risk Assessment Profile (RAP) scores ≥ 5. After stopping bleeding at the trauma site, all patients received intravenous UFH (10,000 U/day) plus IPC, which was continued for 14 days or until the patients could walk. On days 7 and 14, all patients underwent lower extremity sonography for deep-vein thrombosis screening. VTE incidences between patients with the above intervention and historical controls with IPC alone were compared.No significant differences in age, sex, and the RAP score were observed between the 105 controls and intervention patients. VTE occurrence was fewer in patients with the intervention (14.3%) than in the controls (28.6%; P = 0.029). No hemorrhagic complications occurred after UFH administration. Multivariable logistic analysis revealed a significant association between the intervention and low incidence of VTE (odds ratio: 0.390; 95% confidence interval: 0.163-0.913; P = 0.030).Routine UFH administration with IPC may prevent post-traumatic VTE without adverse events.


Asunto(s)
Anticoagulantes/uso terapéutico , Heparina/uso terapéutico , Aparatos de Compresión Neumática Intermitente , Embolia Pulmonar/prevención & control , Tromboembolia Venosa/prevención & control , Trombosis de la Vena/prevención & control , Heridas y Lesiones/terapia , Anciano , Estudios de Cohortes , Femenino , Productos de Degradación de Fibrina-Fibrinógeno/metabolismo , Hospitalización , Humanos , Puntaje de Gravedad del Traumatismo , Modelos Logísticos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Tiempo de Tromboplastina Parcial , Medición de Riesgo , Trombofilia/sangre , Heridas y Lesiones/sangre
5.
Crit Care ; 24(1): 541, 2020 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-32873326

RESUMEN

BACKGROUND: The effectiveness and indications of open-chest cardiopulmonary resuscitation (OCCPR) have been still debatable. Although current guidelines state that the presence of signs of life (SOL) is an indication for OCCPR, scientific evidence corroborating this recommendation has been scarce. This study aimed to compare the effectiveness of OCCPR to closed-chest cardiopulmonary resuscitation (CCCPR) in severe trauma patients with SOL upon arrival at the emergency department (ED). METHODS: A retrospective cohort study analyzing data from the Trauma Quality Improvement Program (TQIP) database, a nationwide trauma registry in the USA, between 2010 and 2016 was conducted. Severe trauma patients who had SOL upon arrival at the hospital and received cardiopulmonary resuscitation within the first 6 h of ED admission were identified. Survival to hospital discharge was evaluated using logistic regression analysis, instrumental variable analysis, and propensity score matching analysis adjusting for potential confounders. RESULTS: A total of 2682 patients (OCCPR 1032; CCCPR 1650) were evaluated; of those 157 patients (15.2%) in the OCCPR group and 193 patients (11.7%) in the CCCPR group survived. OCCPR was significantly associated with higher survival to hospital discharge in both the logistic regression analysis (adjusted odds ratio [95% confidence interval] = 1.99 [1.42-2.79], p <  0.001) and the instrumental variable analysis (adjusted odds ratio [95% confidence interval] = 1.16 [1.02-1.31], p = 0.021). In the propensity score matching analysis, 531 matched pairs were generated, and the OCCPR group still showed significantly higher survival at hospital discharge (89 patients [16.8%] in the OCCPR group vs 58 patients [10.9%] in the CCCPR group; odds ratio [95% confidence interval] = 1.66 [1.13-2.42], p = 0.009). CONCLUSIONS: Compared to CCCPR, OCCPR was associated with significantly higher survival at hospital discharge in severe trauma patients with SOL upon ED arrival. Further studies to confirm these results and to assess long-term neurologic outcomes are needed.


Asunto(s)
Reanimación Cardiopulmonar/métodos , Heridas y Lesiones/terapia , Adulto , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Resultado del Tratamiento , Signos Vitales , Adulto Joven
6.
J Spec Oper Med ; 20(3): 21-35, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32969001

RESUMEN

As an outcome of combat injury and hemorrhagic shock, trauma-induced hypothermia (TIH) and the associated coagulopathy and acidosis result in significantly increased risk for death. In an effort to manage TIH, the Hypothermia Prevention and Management Kit™ (HPMK) was implemented in 2006 for battlefield casualties. Recent feedback from operational forces indicates that limitations exist in the HPMK to maintain thermal balance in cold environments, due to the lack of insulation. Consequently, based on lessons learned, some US Special Operations Forces are now upgrading the HPMK after short-term use (60 minutes) by adding insulation around the casualty during training in cold environments. Furthermore, new research indicates that the current HPMK, although better than no hypothermia protection, was ranked last in objective and subjective measures in volunteers when compared with commercial and user-assembled external warming enclosure systems. On the basis of these observations and research findings, the Committee on Tactical Combat Casualty Care decided to review the hypothermia prevention and management guidelines in 2018 and to update them on the basis of these facts and that no update has occurred in 14 years. Recommendations are made for minimal costs, low cube and weight solutions to create an insulated HPMK, or when the HPMK is not readily available, to create an improvised hypothermia (insulated) enclosure system.


Asunto(s)
Hipotermia , Humanos , Hipotermia/prevención & control , Medicina Militar , Choque Hemorrágico , Heridas y Lesiones/terapia
7.
Zhonghua Shao Shang Za Zhi ; 36(9): 798-802, 2020 Sep 20.
Artículo en Chino | MEDLINE | ID: mdl-32972064

RESUMEN

In recent years, the incidence of chronic wound has been on the rise. This disease has a high rate of disability and is difficult to treat, therefore its prevention and treatment needs the attention of modern medicine. After decades of development, although advances have been made in the treatment of chronic wounds, many problems still exist. There is still a long way to go to realize the rapid repair of chronic wounds. This paper summarizes the definition of chronic wound, theoretical basis of treatment, and the application of wound dressings and treating techniques, aiming to discuss the theories and strategies of chronic wound treatment with colleagues in this field.


Asunto(s)
Personas con Discapacidad , Heridas y Lesiones , Vendajes , Enfermedad Crónica , Humanos , Cicatrización de Heridas , Heridas y Lesiones/terapia
8.
Ann Surg ; 272(4): 590-594, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32932312

RESUMEN

OBJECTIVE: To compare a propensity-matched cohort of injured children receiving conventional blood component transfusion to injured children receiving low-titer group O negative whole blood. SUMMARY OF BACKGROUND DATA: Transfusion of whole blood in pediatric trauma patients is feasible and safe. Effectiveness has not been evaluated. METHODS: Injured children ≥1 years old can receive up to 40 mL/kg of cold-stored, uncrossmatched whole blood during initial hemostatic resuscitation. Whole blood recipients (2016-2019) were compared to a propensity-matched cohort who received at least 1 uncrossmatched red blood cell unit in the trauma bay (2013-2016). Cohorts were matched for age, hypotension, traumatic brain injury, injury mechanism, and need for emergent surgery. Outcomes included time to resolution of base deficit, product volumes transfused, and INR after resuscitation. RESULTS: Twenty-eight children who received whole blood were matched to 28 children who received components. The whole blood group had faster time to resolution of base deficit [median (IQR) 2 (1-2.5) hours vs 6 (2-24) hours, respectively; P < 0.001]. The post-transfusion INR was decreased in whole blood vs component cohort [median (IQR) 1.4 (1.3-1.5) vs 1.6 (1.4-2.2); P = 0.01]. Lower plasma volumes [median (IQR) = 5 (0-15) mL/kg vs 11 (5-35) mL/kg; P = 0.04] and lower platelet volumes [median (IQR) = 0 (0-2) vs 3 (0-8); P = 0.03] were administered to the whole blood group versus component group. Other clinical variables (in-hospital death, hospital length of stay, intensive care unit length of stay, and ventilator days) did not differ between groups. CONCLUSIONS: Compared to component transfusion, whole blood transfusion results in faster resolution of shock, lower post-transfusion INR, and decreased component product transfusion. Larger cohorts are required to support these findings.


Asunto(s)
Transfusión Sanguínea , Heridas y Lesiones/terapia , Adolescente , Transfusión de Componentes Sanguíneos , Niño , Preescolar , Estudios de Cohortes , Femenino , Humanos , Masculino , Puntaje de Propensión , Resultado del Tratamiento
9.
Emerg Med Clin North Am ; 38(4): 795-805, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32981618

RESUMEN

Successful emergency transfusions require early recognition and activation of resources to minimize treatment delays. The initial goals should focus on replacement of blood in a balanced fashion. There is an ongoing debate regarding the best approach to transfusions, with some advocating for resuscitation with a fixed ratio of blood products and others preferring to use viscoelastic assays to guide transfusions. Whole-blood transfusion also is a debated strategy. Despite these different approaches, it generally is accepted that transfusions should be started early and crystalloid infusions limited. As hemodynamic stability is restored, endpoints of resuscitation should be used to guide the resuscitation.


Asunto(s)
Transfusión Sanguínea , Choque Hemorrágico/terapia , Antifibrinolíticos/uso terapéutico , Tipificación y Pruebas Cruzadas Sanguíneas , Cateterismo Venoso Central , Toma de Decisiones Clínicas , Protocolos Clínicos , Enfermedad Crítica , Servicios Médicos de Urgencia , Servicio de Urgencia en Hospital , Humanos , Hipotensión , Infusiones Intraóseas , Infusiones Intravenosas , Resucitación , Tromboelastografía , Ácido Tranexámico/uso terapéutico , Heridas y Lesiones/terapia
10.
Emerg Med Clin North Am ; 38(4): 819-839, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32981620

RESUMEN

Pediatric cardiac arrest is a relatively rare but devastating presentation in infants and children. In contrast to adult patients, in whom a primary cardiac dysrhythmia is the most likely cause of cardiac arrest, pediatric patients experience cardiovascular collapse most frequently after an initial respiratory arrest. Aggressive treatment in the precardiac arrest state should be initiated to prevent deterioration and should focus on support of oxygenation, ventilation, and hemodynamics, regardless of the presumed cause. Unfortunately, outcomes for pediatric cardiac arrest, whether in hospital or out of hospital, continue to be poor.


Asunto(s)
Paro Cardíaco/terapia , Resucitación/métodos , Manejo de la Vía Aérea , Glucemia/análisis , Niño , Maltrato a los Niños/terapia , Cardioversión Eléctrica , Electroencefalografía , Servicio de Urgencia en Hospital , Epinefrina/uso terapéutico , Oxigenación por Membrana Extracorpórea , Paro Cardíaco/etiología , Cardiopatías Congénitas/terapia , Frecuencia Cardíaca , Humanos , Hipotermia/complicaciones , Hipotermia/terapia , Hipotermia Inducida , Enfermedades Pulmonares/terapia , Padres , Examen Físico , Envenenamiento/terapia , Evaluación de Procesos, Atención de Salud , Valores de Referencia , Insuficiencia Respiratoria/terapia , Frecuencia Respiratoria , Órdenes de Resucitación , Sepsis/terapia , Choque/etiología , Choque/terapia , Vasoconstrictores/uso terapéutico , Heridas y Lesiones/terapia
11.
Emerg Med Clin North Am ; 38(4): 857-869, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32981622

RESUMEN

The obesity pandemic now affects hundreds of millions of people worldwide. As obesity rates continue to increase, emergency physicians are called on with increasing frequency to resuscitate obese patients. This article discusses important anatomic, physiologic, and practical challenges imposed by obesity on resuscitative care. Impacts on hemodynamic monitoring, airway and ventilator management, and pharmacologic therapy are discussed. Finally, several important clinical scenarios (trauma, cardiac arrest, and sepsis), in which alterations to standard treatments may benefit obese patients, are highlighted.


Asunto(s)
Obesidad/complicaciones , Resucitación/métodos , Manejo de la Vía Aérea/métodos , Analgésicos/administración & dosificación , Antibacterianos/administración & dosificación , Composición Corporal , Fármacos Cardiovasculares/administración & dosificación , Enfermedades Cardiovasculares/complicaciones , Relación Dosis-Respuesta a Droga , Servicio de Urgencia en Hospital , Paro Cardíaco/terapia , Humanos , Hipnóticos y Sedantes/administración & dosificación , Mediciones del Volumen Pulmonar , Consumo de Oxígeno , Farmacocinética , Respiración con Presión Positiva , Sepsis/complicaciones , Sepsis/terapia , Heridas y Lesiones/complicaciones , Heridas y Lesiones/terapia
12.
Medicine (Baltimore) ; 99(37): e22144, 2020 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-32925769

RESUMEN

The aim of this study was to determine the effectiveness of a skin stretching technique with adjustable external fixators in treating skin defects.Eighteen patients treated with a skin-stretching technique with adjustable external fixators for skin defects from April 2017 to October 2019 were included. Visual Analogue Scale (VAS) scores were collected during therapy. The skin defects gradually became smaller until they were completely resolved according to the blood flow of the affected limb and wound skin (the color, temperature, elasticity, and capillary response). The defect sizes ranged from 4 cm × 2 cm to 20 cm × 6 cm.The 18 adjustable external fixators were dismantled in 2 to 9 days (mean, 4.05 days) after the operation, and the defects were completely closed and the sutures were removed after 2 to 3 weeks. The average VAS score was 5.97. The follow-up period was 4 to 12 months (mean, 6.3 months); 17 patients healed well with linear small scar, and no infections or patients of necrosis were observed. Sensory recovery was assessed using the Medical Research Council scale, and all the sensation scores were S3+. Eight patients were healed after the first stage. Nine patients were closed totally while small sinus or skin defect were observed after sutures were removed; 3 patients were healed after the second debridement, and 6 patients finally healed after the dressings were changed. Patellar osteomyelitis recurred in 1 patient who was transferred to the Orthopedic Department for further treatment, and a flap graft procedure was performed.The operation was simple and obviously reduced the course of the disease, the costs, and the damage to the donor site, and it is also significantly superior to skin graft or flap transplantation procedures in terms of the resulting skin sensation, color, texture, elasticity, and appearance.


Asunto(s)
Fijadores Externos , Procedimientos Quirúrgicos Reconstructivos/métodos , Cicatrización de Heridas/fisiología , Heridas y Lesiones/terapia , Adulto , Anciano , Elasticidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Satisfacción del Paciente , Pigmentación de la Piel , Temperatura Cutánea , Factores de Tiempo
13.
Soins ; 65(845): 20-22, 2020 May.
Artículo en Francés | MEDLINE | ID: mdl-32862958

RESUMEN

Over 40 patients benefited from remote iconographic follow-up of wounds in an oncology centre. This system is piloted by three expert nurses. They carry out an initial analysis of the photographs received, seek medical expertise if necessary and liaise with the city's professionals. This system makes it possible to expertly accompany professionals and patients while avoiding unnecessary travel. The satisfaction survey conducted in 2018 established full satisfaction of patients and professionals (> 95%) and a guarantee in terms of the safety and quality of care of the wounds.


Asunto(s)
Cuidados Posteriores/métodos , Instituciones Oncológicas , Satisfacción del Paciente/estadística & datos numéricos , Consulta Remota/métodos , Heridas y Lesiones/terapia , Encuestas de Atención de la Salud , Humanos , Enfermería Oncológica , Fotograbar , Proyectos Piloto
14.
Am Surg ; 86(8): 933-936, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32856933

RESUMEN

BACKGROUND: Several studies have described the population of adult trauma patients who undergo withdrawal of life-sustaining treatments (WLST); however, no study has looked specifically at trauma patients who undergo WLST following surgery. METHODS: This was a retrospective chart review of all trauma patients who underwent surgery at our trauma center between January 1 and December 31, 2017. Demographics were collected along with injury patterns and advance directives. Charts of all patients who died or who were discharged to hospice were analyzed to determine whether WLST occurred. Statistics included Fisher's exact test and Mann-Whitney U test. RESULTS: Three thousand and twenty-five adult trauma patients received care and 1495 (49.4%) had operations. Thirty (2.0%) patients underwent WLST, 15 (50.0%) of whom died in the hospital and 15 (50.0%) of whom were discharged to hospice. Twenty-six (86.7%) patients had a palliative care consult and 12 (40.0%) had prior advance directives. The most common injuries were femur fractures and subdural hematomas. Adjusting for age, white race, and age-adjusted CCI, femur fracture patients had, on average, 8.8 more hours between presentation and surgery (95% CI 2.1-15.4, P = .01) and 39 fewer hours between surgery and WLST (95% CI -107-29, P = .26) than traumatic brain injury patients. DISCUSSION: The short time between surgery and WLST in this cohort of patients may demonstrate that surgery was not aligned with patients' goals of care. A patient-centered approach that includes surgeon-driven palliative care discussions may help avoid nonbeneficial surgery in the last few days of life.


Asunto(s)
Cuidados Paliativos/estadística & datos numéricos , Comodidad del Paciente/estadística & datos numéricos , Atención Dirigida al Paciente/estadística & datos numéricos , Pautas de la Práctica en Medicina/estadística & datos numéricos , Procedimientos Quirúrgicos Operativos , Privación de Tratamiento/estadística & datos numéricos , Heridas y Lesiones/terapia , Adulto , Directivas Anticipadas/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Femenino , Cuidados Paliativos al Final de la Vida/estadística & datos numéricos , Humanos , Masculino , Inutilidad Médica , Persona de Mediana Edad , Planificación de Atención al Paciente , Estudios Retrospectivos , Heridas y Lesiones/mortalidad
15.
Am J Emerg Med ; 38(9): 1782-1786, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32739848

RESUMEN

BACKGROUND: Although dog ownership may provide health benefits, interactions with dogs and their leashes can result in injuries. The intent of this study was to describe dog leash-related injuries treated at United States (US) emergency departments (EDs). METHODS: Cases were dog leash-related injuries during 2001-2018 reported to the National Electronic Injury Surveillance System (NEISS), from which national estimates of dog leash-related injuries treated at US EDs were calculated. The distribution of the cases and estimated number of dog leash-related injuries was determined for selected variables, such as the circumstances of the injury, patient demographics, and diagnosis. RESULTS: A dog leash was involved in 8189 injuries, resulting in a national estimate of 356,746 injuries and an estimated rate of 63.4 injuries per 1,000,000 population. Of these injuries, 193,483 resulted from a pull, 136,767 from a trip/tangle, and 26,496 from other or unknown circumstances. The total injury rate per 1,000,000 population increased from 25.4 in 2001 to 105.5 in 2018. Adults accounted for 314,712 (88.2%) of the patients; 260,328 (73.0%) of the patients were female. The injury occurred at home in 133,549 (37.4%) cases. The most common injuries were 95,677 (26.8%) fracture, 92,644 (26.0%) strain or sprain, and 62,980 (17.7%) contusions or abrasions. CONCLUSION: The most common type of dog leash-related injuries resulted from a pull followed by a trip/tangle. The number of dog leash-related injuries increased during the time period. The majority of the persons sustaining such injuries were adults and female. Over one-third of the injuries occurred at home.


Asunto(s)
Artículos Domésticos , Heridas y Lesiones/terapia , Accidentes por Caídas/estadística & datos numéricos , Accidentes Domésticos/estadística & datos numéricos , Animales , Perros , Servicio de Urgencia en Hospital , Femenino , Humanos , Masculino , Estudios Retrospectivos , Esguinces y Distensiones/epidemiología , Esguinces y Distensiones/terapia , Estados Unidos/epidemiología , Heridas y Lesiones/epidemiología
16.
Am J Emerg Med ; 38(9): 1875-1878, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32739859

RESUMEN

INTRODUCTION: Previous studies have identified obesity as a risk factor for difficult IV access, but this has not been studied in the acute trauma setting. The primary objective was to determine if obesity is associated with increased difficulty placing peripheral IVs in trauma patients. Secondary analysis evaluated IV difficulty and associations with nursing self-competence ratings, trauma experience, and patient demographics. METHODS: Prospective, observational study at academic level I trauma center with 58,000 annual visits. Trauma activation patients between January and October of 2016 were included. Each nurse who attempted IV placement, completed anonymous 7 question survey, including trauma experience (years), self-competence and IV difficulty (Likert scales 1-5), and attempts. Demographic and clinical information was retrospectively collected from the EMR and nursing surveys. Descriptive statistics, chi-square tests, and spearman correlations were used. RESULTS: 200 patients included in the study with 185 BMI calculations. 110 overweight (BMI > 25) and 48 obese (BMI > 30). 70 (35%) female, 149 (75%) white, average age 48. Increased BMI and IV difficulty displayed spearman correlation (ρ) of 0.026 (P = 0.72) suggesting against significant association. Increased trauma experience and self-competence ratings significantly correlated with decreased IV difficulty, ρ = -0.173 and -0.162 (P = 0.010 and 0.014). There was no statistically significant association with IV difficulty in regards to patient race, age, sex, or location of IV placement. CONCLUSION: Obesity was not associated with increased difficulty in placing peripheral IVs in trauma activation patients. Nurses with greater trauma experience and higher self-competence ratings, had less difficulty inserting IVs.


Asunto(s)
Cateterismo Periférico , Obesidad/complicaciones , Heridas y Lesiones/terapia , Cateterismo Periférico/efectos adversos , Competencia Clínica , Enfermería de Urgencia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Encuestas y Cuestionarios , Heridas y Lesiones/complicaciones
19.
Nat Commun ; 11(1): 4167, 2020 08 20.
Artículo en Inglés | MEDLINE | ID: mdl-32820177

RESUMEN

Muscle regeneration depends on a robust albeit transient inflammatory response. Persistent inflammation is a feature of age-related regenerative deficits, yet the underlying mechanisms are poorly understood. Here, we find inflammatory-related CC-chemokine-receptor 2 (Ccr2) expression in non-hematopoietic myogenic progenitors (MPs) during regeneration. After injury, the expression of Ccr2 in MPs corresponds to the levels of its ligands, the chemokines Ccl2, 7, and 8. We find stimulation of Ccr2-activity inhibits MP fusion and contribution to myofibers. This occurs in association with increases in MAPKp38δ/γ signaling, MyoD phosphorylation, and repression of the terminal myogenic commitment factor Myogenin. High levels of Ccr2-chemokines are a feature of regenerating aged muscle. Correspondingly, deletion of Ccr2 in MPs is necessary for proper fusion into regenerating aged muscle. Finally, opportune Ccr2 inhibition after injury enhances aged regeneration and functional recovery. These results demonstrate that inflammatory-induced activation of Ccr2 signaling in myogenic cells contributes to aged muscle regenerative decline.


Asunto(s)
Mediadores de Inflamación/metabolismo , Músculo Esquelético/fisiopatología , Receptores CCR2/metabolismo , Regeneración/fisiología , Transducción de Señal/fisiología , Factores de Edad , Animales , Trasplante de Células/métodos , Quimiocina CCL2/metabolismo , Quimiocina CCL7/metabolismo , Quimiocina CCL8/metabolismo , Ratones Endogámicos C57BL , Ratones Noqueados , Desarrollo de Músculos/genética , Músculo Esquelético/lesiones , Músculo Esquelético/metabolismo , Miogenina/genética , Miogenina/metabolismo , Receptores CCR2/genética , Regeneración/genética , Células Satélite del Músculo Esquelético/citología , Células Satélite del Músculo Esquelético/metabolismo , Células Satélite del Músculo Esquelético/trasplante , Transducción de Señal/genética , Heridas y Lesiones/genética , Heridas y Lesiones/fisiopatología , Heridas y Lesiones/terapia
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...