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1.
Int Wound J ; 16(4): 1024-1028, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31154667

RESUMEN

Scurvy is a clinical syndrome, resulting from ascorbic acid deficiency. Prevalence of the condition is now extremely low in the Western population and its diagnosis can be challenging without a high index of suspicion. When cases do present, they are often misdiagnosed initially. Therefore, a thorough history, physical exam, and laboratory evaluation are key to showing this now rare but extremely well-known disease. We report a case of scurvy manifesting as persistent non-healing lower-extremity ulcerations, initially mistaken for pyoderma gangrenosum. The patient responded to appropriate replacement therapy, but ulcers were slow to heal. As was the case in our patient, symptom reversal may require additional nutritional replacement. We encourage physicians to consider nutritional deficiencies in their differential diagnoses and highlight the incidence of malnutrition in the proper clinical setting to avoid diagnostic delay.


Asunto(s)
Fármacos Dermatológicos/uso terapéutico , Inmunoterapia/métodos , Infliximab/uso terapéutico , Úlcera de la Pierna/diagnóstico , Piodermia Gangrenosa/diagnóstico , Piodermia Gangrenosa/terapia , Escorbuto/diagnóstico , Escorbuto/terapia , Anciano , Diagnóstico Tardío , Diagnóstico Diferencial , Femenino , Humanos , Úlcera de la Pierna/terapia , Piodermia Gangrenosa/epidemiología , Resultado del Tratamiento , Mundo Occidental
2.
APMIS ; 127(5): 372-384, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-31124203

RESUMEN

The present review aimed to summarize the effectiveness and features of traditional Chinese medicine (TCM) for the treatment of infectious diseases and to discuss the limitation of the development of TCM. The personalized medicine with TCM exerts a curative effect on viral and bacterial infectious diseases with unique advantages on the improvement of clinical manifestation, pathogen inhibition, and organ recovery during severe and drug-resistant infection. The deficiency of personalized medicine with TCM lies in that the current research design of TCM primarily focuses on the study of the effective components and material basis of Chinese herbs at the cellular, molecular, and genetic level, while ignoring the guidance of the TCM syndrome differentiation theory, which is the core concept of individualized treatment. Personalized medicine with TCM has a broad prospective for infectious diseases due to the specific efficacy and advantages. While the curative effect of individualized treatment with TCM cannot be excluded from the TCM syndrome differentiation theory, the study of personalized medicine with TCM for infectious diseases urgently requires a unified standardization of the clinical syndrome differentiation and the evolution rule of infectious diseases by TCM theory.


Asunto(s)
Enfermedades Transmisibles/tratamiento farmacológico , Medicina China Tradicional , Infecciones Bacterianas/tratamiento farmacológico , Clima , Humanos , Control de Infecciones , Qi , Virosis/tratamiento farmacológico , Mundo Occidental
3.
Pediatr Int ; 61(7): 720-725, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31102555

RESUMEN

BACKGROUND: Laboratory data in children with newly diagnosed inflammatory bowel disease (IBD) have been reported from Europe and North America, but not Asia. The aim of this study was to clarify laboratory data in Japanese children with newly diagnosed IBD, and to compare them with those in Western reports. METHODS: We retrospectively reviewed patients <16 years old, newly diagnosed with ulcerative colitis (UC) or Crohn's disease (CD) at Kurume University Hospital between January 2008 and December 2015. RESULTS: UC and CD patients numbered 31 and 15, respectively. The percentages of patients with normal values for hemoglobin (Hb), platelet count (Plt), albumin (Alb), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) in the UC and CD groups were 45% and 47%; 68% and 53%; 84% and 40%; 81% and 7%; and 35% and 0%, respectively. The frequency of normal results for these five tests were similar to Western findings except for the greater frequency of normal CRP in UC. Alb and ESR differed significantly between UC and CD in both mild and moderate-severe cases. Plt, Alb, CRP, and ESR differed significantly between diseases in late-onset IBD, whereas early onset IBD showed no differences. In UC, ESR correlated positively, while Hb and Alb correlated negatively, with disease activity. In CD, CRP and ESR correlated positively with activity. CONCLUSIONS: The proportion of Japanese children with IBD having normal values at diagnosis was mostly similar to that in Western reports. In early onset cases, UC parameters may be similar to CD. Of the five tests, ESR was particularly indicative of disease activity at diagnosis in both pediatric UC and CD.


Asunto(s)
Biomarcadores/sangre , Colitis Ulcerosa/diagnóstico , Enfermedad de Crohn/diagnóstico , Adolescente , Niño , Preescolar , Colitis Ulcerosa/sangre , Enfermedad de Crohn/sangre , Femenino , Humanos , Japón , Masculino , Estudios Retrospectivos , Mundo Occidental
4.
Pediatr Surg Int ; 35(6): 737-741, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30972489

RESUMEN

Surgeons removed bladder stones by perineal lithotomy in ancient times. The first surgeon who dared to invade a body cavity knew human anatomy and was skilled in the use of surgical instruments. The operation probably originated in India since the Sushruta Samhita, a surgical text, antedates Hippocrates by several hundred years. Sushruta's knowledge of bladder of stones, surgical complications and instrumentation identifies him as originator of vesicolithotomy. Why did Hippocrates advise his students to leave operations for bladder stones to practitioners who were skilled in the art? Who were these practitioners and how did knowledge of vesicolithotomy reach Greece from India? Our research suggests that the operation came to Greece from India over ancient trade routes and with surgeons who accompanied Alexander the Great's army. The Sushruta Samhita was translated in Arabic and may have reached Europe during the dark ages by way of Arabian surgeons such as Albucasis. Chelseldon, an eighteenth century English surgeon, brought Sushruta's vesicolithotomy to a peak of perfection.


Asunto(s)
Posicionamiento del Paciente/historia , Cálculos de la Vejiga Urinaria/historia , Arabia , Niño , Grecia , Historia del Siglo XV , Historia del Siglo XVI , Historia Antigua , Historia Medieval , Humanos , India , Instrumentos Quirúrgicos/historia , Cálculos de la Vejiga Urinaria/cirugía , Mundo Occidental
7.
Food Res Int ; 115: 526-534, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30599974

RESUMEN

Emotion-based terms selected by Asians and Westerners were analyzed to develop lexicons associated with chocolate consumption. Hence, an online-based questionnaire (Study 1: N = 206; 51% Asians, 49% Westerners) and a chocolate (milk and dark) tasting session (Study 2: N = 75; 52% Asians, 48% westerners) were conducted to assess emotion terms related to chocolate consumption using Check-All-That-Apply methodology. Emotional satisfaction was the main reason for chocolate consumption. Furthermore, selection of emotional terms was different between cultures and gender. For both studies (1 and 2), flavor of chocolate was the most important factor that determined purchase intention. For Study 2, milk and dark chocolate evoked different emotion terms for participants. The lexicon developed for milk chocolate had similar emotion terms compared to the Study 1 lexicon (online). Developing an emotion lexicon using an online survey could provide a reduced lexicon compared to lexicons generated during the tasting session and can be used as a fast-screening method to develop simplified emotion lexicons due to its similarity to the tasting lexicon. Newly developed lexicons from this study can be applied to sensory consumer tests of chocolate.


Asunto(s)
Chocolate , Emociones , Gusto , Grupo de Ascendencia Continental Asiática , Chocolate/clasificación , Comportamiento del Consumidor , Preferencias Alimentarias/psicología , Humanos , Intención , Internet , Satisfacción Personal , Encuestas y Cuestionarios , Mundo Occidental
8.
Mol Nutr Food Res ; 63(2): e1800563, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30447138

RESUMEN

SCOPE: The programming of hepatic lipid dysfunction in response to early cholesterol exposure and the influencing effects of postnatal diet is evaluated in apoE-/- mice. METHODS AND RESULTS: In two separate studies, female mice are assigned to a standard chow (S) or a cholesterol-enriched chow (C) diet during gestation and lactation. Male offspring from each dam are weaned on a postnatal S or a hypercaloric western (W) diet resulting in four experimental groups: S-S and C-S (Experiment 1) and S-W and C-W (Experiment 2). At weaning, litters from hypercholesterolemic mothers weighed less (p < 0.05) and pups had higher blood lipids, glucose, and hepatic cholesterol compared with pups from S-fed mothers. Adult C-S offspring demonstrate an atherogenic lipid profile and increased (p < 0.05) hepatic cholesterol and triglyceride content with altered lipid regulatory mRNA expression and protein content compared with S-S offspring. Alternatively, no difference (p > 0.05) is observed between S-W and C-W in serum and hepatic lipid profiles; however, serum AST and ALT are higher (p < 0.05) in C-W versus S-W offspring. CONCLUSION: The degree of hepatic lipid deposition observed in adult offspring exposed to excessive early cholesterol is influenced by the postnatal diet.


Asunto(s)
Colesterol en la Dieta/administración & dosificación , Metabolismo de los Lípidos , Hígado/metabolismo , Efectos Tardíos de la Exposición Prenatal , Animales , Dieta , Femenino , Masculino , Ratones , Fenotipo , Embarazo , Mundo Occidental
9.
Curr Opin Infect Dis ; 32(1): 43-50, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30507675

RESUMEN

PURPOSE OF REVIEW: Lymphogranuloma venereum (LGV) is a serious sexually transmitted infection caused by Chlamydia trachomatis. If left untreated LGV can cause irreversible late sequelae. LGV is endemic among a high-risk population of men who have sex with men (MSM), and largely reported in Western metropoles. RECENT FINDINGS: Although the majority of LGV patients are HIV positive, in recent years the proportion of HIV-negative MSM with LGV is rising. This could indicate a shift toward lower risk populations. Apart from a few European countries, no proper LGV surveillance efforts have been implemented so far. Moreover, a considerable proportion of the infections are asymptomatic. As a result, the true magnitude of the LGV epidemic is underestimated.Depending on the stage and location of infection, LGV manifests in a variety of clinical presentations. Among MSM, anorectal infections are overreported as opposed to genital LGV infections in a ratio of 15 to 1, respectively. Therefore, other modes of transmission apart from anal sex are here discussed. SUMMARY: To improve surveillance, cheaper and more practical screening methods are needed. Moreover, randomized clinical trials are needed to evaluate more simple treatment modalities as opposed to the currently recommended 3-week course of doxycycline.


Asunto(s)
Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles Emergentes/prevención & control , Linfogranuloma Venéreo/epidemiología , Humanos , Vigilancia de la Población , Mundo Occidental
10.
Chinese Journal of Integrative Medicine ; 10 April 2019: 1-13, 2019.
Artículo en Inglés | BIGG | ID: biblio-1026402

RESUMEN

With increasing morbidity and mortality, acute myocardial infarction (AMI) has become one of the major causes of human death, leading to heavy burdens to individuals, families and society. Previous researches have found that though large amount of resources and great effort were devoted, no significant improvements were achieved in reducing the in-hospital mortality of AMI patients. Meanwhile, extensive studies about Chinese medicine (CM) have found that CM has special advantages in treating AMI patients. However, there is no standardized and unified clinical practice guideline (CPG) of CM for AMI. Therefore, a CPG with strict standard and generally acknowledgement is urgent to be established. This guideline was developed following the methodological process established by the World Health Organization Handbook for Guideline Development. Extensive search on clinical evidences including systematic review (SR), randomized controlled trial (RCT), observational study and case reports was launched, covering evidence of CM for AMI on several aspects, such as diagnosis, CM patterns, CM interventions on AMI and complications, cardiac rehabilitation and clinical pathway management. Besides, the application of Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach enabled the evaluation of evidence and formulation of grade of recommendation (GOR) and level of evidence (LOE). With the help of GOR and LOE, this CPG recommends the integrative CM and WM treatment method in AMI patients and provides useful information on medical decision for clinical physicians.


Asunto(s)
Humanos , Infarto del Miocardio/terapia , Mundo Occidental , Medicina China Tradicional , Infarto del Miocardio/cirugía , Infarto del Miocardio/tratamiento farmacológico
11.
Curr Rheumatol Rep ; 20(12): 78, 2018 10 31.
Artículo en Inglés | MEDLINE | ID: mdl-30382445

RESUMEN

PURPOSE OF REVIEW: Anti-melanoma differentiation-associated gene 5 (anti-MDA5) is a novel and highly specific myositis-associated autoantibody, which defines a unique phenotype among patients with dermatomyositis (DM). RECENT FINDINGS: Anti-MDA5 was originally characterized in Japan in DM patients with hallmark cutaneous features and no proximal muscle weakness and termed clinically amyopathic DM (CADM). Anti-MDA5 has characteristic cutaneous manifestations which include tender palmar papules and cutaneous ulcerations, along with an increased frequency of interstitial lung disease (ILD) that can be rapidly progressive (RPILD) and fatal. This review will highlight the clinical significance of anti-MDA5 autoantibodies in Caucasian DM patients.


Asunto(s)
Autoanticuerpos , Helicasa Inducida por Interferón IFIH1/inmunología , Miositis/inmunología , Grupo de Ascendencia Continental Europea , Humanos , Mundo Occidental
12.
Rev. Fac. Cienc. Méd. Univ. Cuenca ; 36(2): 46-54, Noviembre 2018. tab
Artículo en Español | LILACS | ID: biblio-998695

RESUMEN

La hibridación cultural en salud permite reconocer diversas prácticas que conviven en el mismo espacio y tiempo, un proceso que se cumplen en Saraguro, cantón de la sierra sur-ecuatoriana con una población indígena y mestiza con experiencias en salud que responden a racionalidades distintas. Objetivo:Analizar las concepciones de los sanadores de Saraguro con respecto a la hibridación en salud. Material y métodos:El presente es un estudio cualitativo-interpretativo, con entrevistas a sabios del lugar; las categorías trabajadas son: hibridación, conceptualización y realidad híbrida, a la que se sumó el reto de la integración. Las entrevistas fueron grabadas y luego transcritas a word; para el procesamiento se utilizó el programa Atlas.ti. La triangulación se realizó con un experto universitario en temas de medicina ancestral y la bibliografía consultada.Resultados: Los sanadores de Saraguro mantienen su cosmovisión ancestral en los fenómenos de la salud-enfermedad, en algunas prácticas coexisten expresiones de otras culturas, esta hibridación en salud muestra saberes andinos con elementos de la medicina occidental y de orden religioso. Conclusiones:En Saraguro la medicina ancestral se mantiene vigente a través de los sanadores, sabios en sanación acorde a la cosmovisión andina.Los sanadores mantienen su práctica de acuerdo a las concepciones andinas del proceso salud-enfermedad.Las prácticas en salud ancestral sufren un proceso de hibridación entre lo ancestral y lo occidental además de elementos religiosos.


The cultural hybridization in health allows to recognize diverse practices that coexist in the same space and time, a process that is fulfilled in Saraguro, county of the South-Ecuadorian Andes with an indigenous and mixed ethnic population with health experiences that respond to different rationalities. Objetive:Analyzing the conceptions of Saraguro healers with respect to health hybridization.Method:The present is a qualitative-interpretative study, with interviews to wise people of the place; the worked categories are: Hybridization, conceptualization and hybrid reality, to which the integration challenge was added. The interviews were recorded and then transcribed to word for processing, the Atlas.ti program was used. The triangulation was carried out with a university expert in ancestral medicine subjects and the bibliography consulted. Results: The healers of Saraguro keep their ancestral worldview in the phenomena of health-disease, in some practices expressions of other cultures coexist, this hybridization in health shows Andean knowledge with elements of Western medicine and religious order. Conclusions:In Saraguro the Ancestral Medicine is still valid through the healers, wise in healing according to the Andean cosmovision.The Andean healers keep their practice according to the Andean conceptions of the health-disease process.Ancestral health practices undergo a process of hybridization between the ancestral and the Western as well as religious elements


Asunto(s)
Humanos , Mundo Occidental , Población Indígena , Medicina Tradicional , Salud , Características Culturales , Cosmovisión
13.
Hist Cienc Saude Manguinhos ; 25(3): 841-858, 2018.
Artículo en Portugués | MEDLINE | ID: mdl-30365739

RESUMEN

Western colonialism influenced the encounter between traditional and modern knowledge from the nineteenth century onwards, resulting in the overlapping of Western medicine as a privileged form of knowledge. In 1958 the hybridization between Chinese and Western medicines became official under the name of traditional Chinese medicine and, through the development of biomedical research on acupuncture, it distanced itself from traditional knowledge. This essay presents historical changes experienced by Chinese medicine/acupuncture and discusses the effects of its absorption by modern medical reasoning from a postcolonial standpoint. The conclusion was that the scientism of Chinese medicine did not broaden its therapeutic potential and resulted in the loss of its epistemological authority.


Asunto(s)
Acupuntura/historia , Medicina China Tradicional/historia , Colonialismo/historia , Historia del Siglo XX , Conocimiento , Política , Mundo Occidental
14.
Rev. neurol. (Ed. impr.) ; 67(4): 133-140, 16 ago., 2018. maps, ilus
Artículo en Español | IBECS | ID: ibc-174882

RESUMEN

La marihuana es una sustancia con una extensa y controvertida historia. A lo largo del tiempo, esta planta, y desde hace más de 5.000 años, ha sido utilizada para diferentes fines, que van desde el uso lúdico y recreativo, pasando por un medio de relajación y meditación, hasta su uso en el tratamiento de varias enfermedades o el alivio de procesos vinculados a cierto tipo de malestares. Aunque se supuso que la marihuana tenía su origen en Mesoamérica, ahora se sabe que es sólo una leyenda urbana de poca credibilidad y que sus orígenes los podemos registrar en referencias médicas chinas datadas alrededor del año 2737 a. de C. Si bien esta planta no tiene un origen mesoamericano, sí ha generado interés en el mundo, y sobre todo en México. Es en este país donde el uso del cannabis ha ido desde intereses textiles y medicinales hasta el consumo lúdico, pasando por su venta libre, la prohibición por presiones políticas y sociales, su tolerancia y, recientemente, su despenalización para uso lúdico y medicinal. Desgraciadamente existen pocas referencias de la historia de esta planta en México, por lo que ha sido de nuestro interés presentar algunos datos sobre las generalidades de la marihuana, una breve historia en el mundo, el desarrollo de la despenalización en Norteamérica, sus usos medicinales y su paso por México hasta nuestros días


Marijuana is a substance with a long and controversial history. At different times in its history, which goes back over 5,000 years, this plant has been used for different purposes, ranging from recreational and leisure to its use in the treatment of several diseases or to offer relief in processes that entail a certain type of malaise, and including its consideration as a means of relaxation and meditation. Although it was supposed that the roots of marijuana lay in Central America, it is now known that this is but an urban legend with little credibility and that its origins can be found recorded in Chinese medical references dating back to the year 2737 BC. Although this plant was not originally from Central America, it has aroused interest around the world, and above all in Mexico. It is in this country where the use of cannabis has gone from applications in textiles and medicine to its free sale, the bans on its use due to political and social pressures, its tolerance and, recently, its decriminalisation for recreational and medicinal use. Unfortunately there are few references on the history of this plant in Mexico, and thus we have considered it interesting to present some data about the generalities of marijuana, a brief history in the world, the development of decriminalisation in North America, its medicinal uses and its course through Mexico to the present day


Asunto(s)
Humanos , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Cannabis , Marihuana Medicinal , Fumar Marihuana/legislación & jurisprudencia , Fumar Marihuana/historia , Marihuana Medicinal/historia , México/epidemiología , Mundo Occidental/historia , Estados Unidos/epidemiología
15.
Zhonghua Yi Shi Za Zhi ; 48(2): 98-103, 2018 Mar 28.
Artículo en Chino | MEDLINE | ID: mdl-30032582

RESUMEN

Medicine News, first published in 1880, was the earliest western medicine journal founded in China, playing an important role in the history of Chinese modern journals and the history of western medicine communication. Today, no original copies of this journal survive in China. Quotations, citations and comments of some newspapers and periodicals on it at the time, reveal that the publication aim of this journal was to disseminate knowledge of western medicine to the Chinese people, that its editorial policy was "showing western medicine is superior to traditional Chinese medicine" , and that its communication of western medicine knowledge was also based on this policy. Medicine News reported on an international medical academic conference held in London for the first time, and it is worth mentioning that thousands of people attended the meeting. Medicine News is known to have promoted western medicine communication in China to an advanced and more up-to-date level. At the same time, its editorial policy and strategy had a great influence on the editing and publication of western medicine journals in the late Qing Dynasty and the Republic of China.


Asunto(s)
Comunicación , Medicina Tradicional/historia , Publicaciones Periódicas como Asunto/historia , Mundo Occidental/historia , China , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Publicaciones
19.
Zhonghua Yi Shi Za Zhi ; 48(1): 37-42, 2018 Jan 28.
Artículo en Chino | MEDLINE | ID: mdl-29886702

RESUMEN

In 1893, Wan Tsun-mo translated and published Tai chan ju yao (Essentials in Obstetrics), the first monograph of western obstetrics in modern China, symbolizing the independence of obstetrics from such maternal and child books as Fu ying xin shuo and Fu ke jing yun tu shuo, which occupies an important position in the history of the development of modern Chinese obstetrics. The book introduced anatomy, physiology, pathology, embryology, diagnostics, surgery, pharmacology and other knowledge of obstetrics in a catechismal form, and had a detailed discussion of such advanced obstetrical technologies as antiseptic, anesthesia, forceps and cesarean section for the first time.Judging from the content and translation of Tai chan ju yao, this book has already possessed the basic knowledge system of modern obstetrics, though the translation appeared to be somewhat jerky and not elegant and the terminology needing to be further improved, it was not only used as an important medium for the introduction of obstetrical knowledge, but also of great clinical value.However, its influence was so weak that later researchers seldom mentioned this book.


Asunto(s)
Obstetricia/historia , Obras Médicas de Referencia , Traducciones , China , Historia del Siglo XIX , Humanos , Mundo Occidental/historia
20.
Chin J Integr Med ; 24(12): 930-937, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29752694

RESUMEN

OBJECTIVE: To provide information about the effectiveness and safety of Ginkgo Leaf Extract and Dipyridamole Injection (GD) as one adjuvant therapy for treating angina pectoris (AP) and to evaluate the relevant randomized controlled trials (RCTs) with meta-analysis. METHODS: RCTs concerning AP treated by GD were searched in China Biology Medicine Disc (SinoMed), PubMed, the China National Knowledge Infrastructure Database (CNKI), the Chinese Scientifific Journals Database (VIP), Wanfang Database, Embase, and the Cochrane Library, from inception to February, 2017. The Cochrane Risk Assessment Tool was adopted to assess the methodological quality of the RCTs. The Review Manager 5.3 software was utilized to conduct the meta-analysis. RESULTS: A total of 41 RCTs involving 4,462 patients were included in the meta-analysis. The results indicated that the combined use of GD and Western medicine (WM) against AP was associated with a higher total effective rate [risk ratio (RR)=1.25, 95% confifidence interval (CI): 1.21-1.29, P<0.01], total effective rate of electrocardiogram (RR=1.29, 95% CI: 1.21-1.36, P<0.01). Additional, GD combined with WM could decrease the level of plasma viscosity [mean difference (MD)=-0.56, 95% CI:-0,81 to-0.30, P<0.01], fifibrinogen [MD=-1.02, 95% CI:-1.50 to-0.54, P<0.01], whole blood low shear viscosity [MD=-2.27, 95% CI:-3.04 to-1.49, P<0.01], and whole blood high shear viscosity (MD=-0.90, 95% CI: 1.37 to-0.44, P<0.01). CONCLUSIONS: Comparing with receiving WM only, the combine use of GD and WM was associated with a better curative effect for patients with AP. Nevertheless, limited by the methodological quality of included RCTs more large-sample, multi-center RCTs were needed to confifirm our fifindings and provide further evidence for the clinical utility of GD.


Asunto(s)
Angina de Pecho/tratamiento farmacológico , Dipiridamol/administración & dosificación , Extractos Vegetales/administración & dosificación , Viscosidad Sanguínea/efectos de los fármacos , Dipiridamol/efectos adversos , Combinación de Medicamentos , Humanos , Inyecciones , Extractos Vegetales/efectos adversos , Ensayos Clínicos Controlados Aleatorios como Asunto , Mundo Occidental
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