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1.
AJNR Am J Neuroradiol ; 43(10): 1403-1410, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36574329

RESUMO

BACKGROUND AND PURPOSE: Repeat contrast-enhanced MR imaging exposes patients with relapsing-remitting MS to frequent administration of gadolinium-based contrast agents. We aimed to investigate the potential metabolite and neurochemical alterations of visible gadolinium deposition on unenhanced T1WI in the dentate nucleus using MRS. MATERIALS AND METHODS: This prospective study was conducted in a referral university hospital from January 2020 to July 2021. The inclusion criteria for case and control groups were as follows: 1) case: patients with relapsing-remitting MS, visible gadolinium deposition in the dentate nucleus (ribbon sign), >5 contrast-enhanced MR images obtained; 2) control 1: patients with relapsing-remitting MS without visible gadolinium deposition in the dentate nucleus, >5 contrast-enhanced MR images obtained; 3) control 2: patients with relapsing-remitting MS without visible gadolinium deposition in the dentate nucleus, <5 contrast-enhanced-MR images obtained; and 4) control 3: adult healthy individuals, with no contrast-enhanced MR imaging. Dentate nucleus and pontine single-voxel 12 × 12 × 12 MRS were analyzed using short TEs. RESULTS: Forty participants (10 per group; 27 [67.5%] female; mean age, 35.6 [SD, 9.6] years) were enrolled. We did not detect any significant alteration in the levels of NAA and choline between the studied groups. The mean concentrations of mIns were 2.7 (SD, 0.73) (case), 1.5 (SD, 0.8) (control 1), 2.4 (SD, 1.2) (control 2), and 1.7 (SD, 1.2) (control 3) (P = .04). The mean concentration of Cr and mIns (P = .04) and the relative metabolic concentration (dentate nucleus/pons) of lipid 1.3/Cr (P = .04) were significantly higher in the case-group than in healthy individuals (controls 1-3). Further analyses compared the case group with cumulative control 1 and 2 groups and showed a significant increase in lactate (P = .02), lactate/Cr (P = .04), and Cr (dentate nucleus/pons) (P = .03) in the case group. CONCLUSIONS: Although elevated concentrations of Cr, lactate, mIns, and lipid in the dentate nucleus of the case group indicate a metabolic disturbance, NAA and choline levels were normal, implying no definite neuronal damage.


Assuntos
Núcleos Cerebelares , Gadolínio , Adulto , Humanos , Feminino , Masculino , Núcleos Cerebelares/diagnóstico por imagem , Estudos Prospectivos , Estudos Retrospectivos , Meios de Contraste , Gadolínio DTPA , Imageamento por Ressonância Magnética/métodos , Ácido Láctico , Colina , Recidiva , Lipídeos
2.
Sci Rep ; 9(1): 19415, 2019 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-31857599

RESUMO

An effective approach to quantify entanglement of any bipartite systems is D-concurrence, which is important in quantum information science. In this paper, we present a direct method for experimental determination of the D-concurrence of an arbitrary bipartite pure state. To do this, we show that measurement of the D-concurrence of bipartite pure state can be conversed into the measurement performed on some observables so called generalized Gell-Mann operators. We first introduce the concept of D-concurrence for a bipartite system. Then we explain the method of measuring this entanglement measure for the pure state. Finally, for clarify of the subject, we give an example consisting of two parties A and B with dimensions 3.

3.
J Appl Microbiol ; 124(2): 379-388, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29144601

RESUMO

AIMS: The present study was conducted to investigate the effects of Thymus daenensis and Satureja hortensis essential oils (EOs) on the planktonic growth, biofilm formation and quorum sensing (QS) of some Staphylococcus aureus isolates (strong biofilm producers). METHODS AND RESULTS: Minimum inhibitory concentration (MIC) of the EOs, inhibition of biofilm formation as well as disruption of preformed Staph. aureus biofilms were assessed. The antibiofilm activity of the EOs was determined using microtitre plate test (MtP) and scanning electron microscope (SEM). The QS inhibitory activity was also examined on the pregrown biofilms by gene expression analysis using quantitative real-time RT-polymerase chain reaction (PCR) of hld gene (RNAIII transcript). Moreover, tetrazolium-based colorimetric assay (MTT) was performed to detect cytotoxic effects of these EOs on the Vero cell line. Finally, the major components of the tested EOs were determined using Gas Chromatography-Mass Spectrometry (GC-MS). The MICs of T. daenensis and S. hortensis EOs against planktonic cells of the isolates were 0·0625 and 0·125 µl ml-1 respectively. The minimum bactericidal concentrations for both of the EOs was 0·125 µl ml-1 . The MtP test showed a significant inhibitory effect of the EOs on the biofilm formation and disruption at sub-MIC concentrations. These results were confirmed by SEM. Real-time PCR revealed a significant down-regulation of hld gene following treatment with MIC/2 concentration of S. hortensis EO. GC-MS analysis showed that carvacrol, terpinene and thymol were the major components of the applied EOs. CONCLUSIONS: As selected EOs did not show significant cytotoxic effects even up to tenfold of MIC concentration, the applied EOs seem to be good candidates for preventing of biofilm formation of Staph. aureus cells. SIGNIFICANCE AND IMPACT OF THE STUDY: The present study introduced T. daenensis and S. hortensis EOs as new antibiofilm, and S. hortensis EO as anti-QS herbal agents with natural origin against Staph. aureus.


Assuntos
Antibacterianos/farmacologia , Biofilmes/efeitos dos fármacos , Óleos Voláteis/farmacologia , Extratos Vegetais/farmacologia , Percepção de Quorum/efeitos dos fármacos , Satureja/química , Staphylococcus aureus/efeitos dos fármacos , Thymus (Planta)/química , Antibacterianos/química , Regulação para Baixo/efeitos dos fármacos , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Testes de Sensibilidade Microbiana , Óleos Voláteis/química , Extratos Vegetais/química , Reação em Cadeia da Polimerase em Tempo Real , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/fisiologia , Timol/análise , Timol/farmacologia
4.
Reprod Domest Anim ; 52(4): 551-560, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28295704

RESUMO

The aim of this study was to evaluate the effects of the two types of media, namely minimum essential medium (αMEM) and Ham'sF10, supplemented with foetal bovine serum (FBS) or bovine serum albumin (BSA) in vitrification/warming solution on the quality and viability of sheep ovarian follicles. Vitrification method was applied for cryopreservation of sheep ovarian cortex using Ham'sF10 and αMEM supplemented with either BSA or FBS. There were five groups: Fresh, Ham'sF10+ BSA, Ham'sF10+ FBS, αMEM + BSA and αMEM + FBS. Samples were cultured for two weeks after warming. Viability and morphology of follicles and DNA fragmentation in follicles and in tissue stroma cells were analysed before vitrification/warming and following one and two weeks of culture. The Ham'sF10+ FBS and Ham'sF10+ BSA groups showed a significant decrease in follicular viability after one week of culture (p < .05 vs. Fresh). Following two weeks of culture, all groups revealed a considerable fall in the number of viable follicles (p < .05 vs. Fresh). There was an increase in DNA fragmentation of connective tissue cells but not in the follicles (p < .05). Our results showed the better application of αMEM supplemented with BSA as a vitrification solution in improvement of cryopreservation effects and maintenance of follicular survival.


Assuntos
Criopreservação/veterinária , Folículo Ovariano/fisiologia , Ovinos , Técnicas de Cultura de Tecidos/veterinária , Animais , Bovinos , Criopreservação/métodos , Crioprotetores , Fragmentação do DNA , Feminino , Sangue Fetal , Soluções Isotônicas , Compostos Orgânicos , Soroalbumina Bovina , Vitrificação
5.
Int J Tuberc Lung Dis ; 20(2): 223-7, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26792475

RESUMO

BACKGROUND: In developing countries, tuberculosis (TB) infection control remains a challenge. The bacille Calmette-Guérin (BCG) vaccine is the only effective vaccine available for TB control. Iran uses a local BCG vaccine strain with an unknown substrain. OBJECTIVE: To investigate the molecular characteristics of the current BCG strain being used in Iran using comparative genomics of the evolutionarily late strains, including BCG vaccines Pasteur, BCG-Danish, BCG-Glaxo, BCG-Prague, BCG-Frappier, BCG-Connaught and BCG-Moreau. METHODS: A total of 67 different vials of BCG vaccine were cultured. DNA was extracted using the modified cetrimonium bromide (CTAB) method, and multiplex polymerase chain reaction (PCR) was performed to determine four target genomic regions of difference (RD) 1, RD8, RD16 and SenX3-RegX3, and to see whether RD2 and RD14 were present. RESULTS: Our results showed that all studied batches were Mycobacterium bovis; molecular analysis revealed that the Iranian vaccine strains possess RD8, RD16 and SenX3-RegX3 regions but not RD1, RD2 and RD14. All of the vaccine batches analysed were compatible with BCG-Pasteur 1173p2, the original strain. CONCLUSION: All of the BCG strains studied were recognised as the BCG-Pasteur 1173p2 strain. No genetic diversity among stocks and ready-for-use vaccine vials were detected.


Assuntos
Vacina BCG/genética , DNA Bacteriano/genética , Mycobacterium bovis/genética , Vacina BCG/classificação , Técnicas Bacteriológicas , Evolução Molecular , Genótipo , Irã (Geográfico) , Mycobacterium bovis/classificação , Reação em Cadeia da Polimerase , Análise de Sequência de DNA
6.
Nat Prod Res ; 28(8): 573-6, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24499169

RESUMO

This article reports the fatty acid composition of the oil extracts from Quercus brantii fruits growing in Kohgiloye va Boyer Ahmad province in southwestern Iran. The oil from Q. brantii fruits was extracted with hexane in Soxhlet apparatus and subsequently identified and determined by using gas chromatography-mass spectroscopy. The results revealed that the major fatty acids were oleic acid (52.99-66.14%), linoleic acid (10.80-11.11%), palmitic acid (8.08-10.06%), stearic acid (0.74-1.57%), α-linolenic acid (0.19-0.35%), erucic acid (0.12-0.15%) and arachidic acid (0.12-0.13%). The total proportion of unsaturated and saturated oil was 64.60-77.27% and 9.17-11.75%, respectively. Results indicate that the fruits of Q. brantii contained 0.19-0.35% omega-3, 10.92-14.77% omega-6 and 53.14-66.26% omega-9. Therefore, Q. brantii can be introduced as rich sources of fatty acid in food dietary and medical health.


Assuntos
Ácidos Graxos/análise , Quercus/química , Ácidos Eicosanoicos/análise , Ácidos Erúcicos/análise , Frutas/química , Cromatografia Gasosa-Espectrometria de Massas , Irã (Geográfico) , Ácido Oleico/análise , Ácido Palmítico/análise , Óleos de Plantas/química , Ácidos Esteáricos/análise , Ácido alfa-Linolênico/análise
7.
Artigo em Inglês | MEDLINE | ID: mdl-23747383

RESUMO

Quercus brantii acorn is rich of some useful mineral elements such as K, Fe and Zn. The content of these mineral elements in Quercus are dependent on their region and environmental conditions. Q. brantii grown naturally in different regions of Iran especially in Kohgiloye va Boyer Ahmad province (southwestern of Iran). In this study total concentration of Fe, Zn and K elements were determined using atomic absorption and emission spectroscopy in fruits, leaves of Q. brantii and also in the soils where this plant was grown. Statistical evaluation (ANOVA test) was employed for all measurements. Results confirmed that the concentration of elements in fruit and leave depended on area which the plant is growth. The transport factor of elements was also considered.


Assuntos
Frutas/química , Folhas de Planta/química , Quercus/química , Quercus/crescimento & desenvolvimento , Solo/química , Espectrofotometria Atômica/métodos , Oligoelementos/análise , Transporte Biológico , Concentração de Íons de Hidrogênio , Irã (Geográfico) , Quercus/metabolismo
8.
Iran Red Crescent Med J ; 14(4): 240-4, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22754688

RESUMO

BACKGROUND: Zinc deficiency can lead to clinically relevant disturbances in tissue functions and particularly important for birth weight of neonates. The aim of this study was to determine the relationship between serum zinc in pregnant women and the incidence of low birth weight (<2500 g) in their newborns. METHODS: This case-control study was done on women who delivered low birth weight infants (Cases), and normal birth weight infants (Controls). Blood samples got in all women within 5 minutes of delivery, and assessed the concentration of zinc using electrothermal atomic absorption spectrometry. Serum concentration of zinc was compared. RESULTS: One hundred and seventeen mothers were enrolled, of them, 65 cases were low birth weight infants (1845±472 g) and 52 were controls (3166± 435 g). Mothers in the case and control groups did not differ in age, body mass index, and socioeconomic or demographic factors. Maternal zinc concentration differed between cases and controls; 753.34±15 µg/l vs. 654.76±12 µg/l respectively. Maternal zinc differed between premature and full term deliveries. CONCLUSION: Maternal zinc concentration was shown to affect birth weight and prematurity.

9.
J Neurol Sci ; 312(1-2): 166-9, 2012 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-21864851

RESUMO

Multiple sclerosis (MS) is a central nervous system (CNS) demyelinating disease characterized by a relapsing-remitting course leading to progressive disability. Given the critical role of apoptosis-related genes in the maintenance of homeostasis in the immune privilege sites, mutations in these genes have a profound effect on occurring autoimmune diseases such as multiple sclerosis. In the current study, polymorphisms in the apoptosis-related genes: Fas _-670 A>G, FasL _-844C>T, FasLIVS2nt _124 A>G and TRAIL_1595C>T were analyzed in 107 Iranian patients suffering from MS and 112 unrelated healthy controls using PCR-RFLP method. Our results demonstrated that among Iranian patients with MS and controls being homozygous in Fas_670A/A, G/G and FasL_-844C/C, TT in the promoter region and homozygocity in the minor allele for FasLIVS2nt_124G/G and TRAIL_1595C/C, polymorphisms were not associated with the MS risk in Iranian patients when compared with normal controls. However, the Fas _-670G/G genotype had a borderline significantly increased frequency with secondary progressive MS type (X(2)=5.8, P=0.05). In conclusion, no statistical association was found between the Fas, FasL and TRAIL polymorphisms and the risk of MS in Iranian patients.


Assuntos
Proteína Ligante Fas/genética , Esclerose Múltipla Crônica Progressiva/genética , Esclerose Múltipla Recidivante-Remitente/genética , Polimorfismo Genético/genética , Ligante Indutor de Apoptose Relacionado a TNF/genética , Receptor fas/genética , Adulto , Proteínas Reguladoras de Apoptose/genética , Feminino , Predisposição Genética para Doença/epidemiologia , Predisposição Genética para Doença/genética , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Esclerose Múltipla Crônica Progressiva/epidemiologia , Esclerose Múltipla Recidivante-Remitente/epidemiologia , Polimorfismo de Fragmento de Restrição/genética , Fatores de Risco
10.
Radiat Prot Dosimetry ; 147(1-2): 267-71, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21862507

RESUMO

Due to their work conditions, research reactor personnel are exposed to ionising nuclear radiations. Because the absorbed dose values are different for different tissues due to variations in sensitivity, in this work personal dosimetry has been performed under normal working conditions at anatomical locations relevant to more sensitive tissues as well as for the whole body by employing a Rando phantom and thermoluminescent dosemeters (TLDs). Fifty-two TLDs-100H were positioned at high-risk organ locations such as the thyroid, eyes as well as the left breast, which was used to assess the whole-body dose in order to study the absorbed doses originating from selected locations in the vicinity of the reactor. The results have employed the tissue weighting factors based on International Commission on Radiological Protection ICRP 103 and ICRP 60 and the measured results were below the dose limits recommended by ICRP. The mean effective dose rates calculated from ICRP 103 were the following: whole body, 30.64-6.44 µSv h(-1); thyroid, 1.22-0.23 µSv h(-1); prostate, 0.085-0.045 µSv h(-1); gonads, 1.00-0.51 µSv h(-1); breast, 3.68-0.77 µSv h(-1); and eyes, 33.74-7.01 µSv h(-1).


Assuntos
Reatores Nucleares/instrumentação , Proteção Radiológica/normas , Geradores de Radionuclídeos , Compostos Radiofarmacêuticos/metabolismo , Dosagem Radioterapêutica , Dosimetria Termoluminescente/normas , Simulação por Computador , Humanos , Agências Internacionais , Masculino , Imagens de Fantasmas , Contagem Corporal Total
11.
J Endocrinol Invest ; 34(6): 431-3, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21747217

RESUMO

OBJECTIVE: Thyroid hormone deficiency may affect human speech and voice. The aim of this study was to evaluate speech variables in patients with hypothyroidism. DESIGN: A case control study. PATIENTS: One hundred and twenty patients, 106 women and 14 men with symptoms and signs of thyroid failure; the diagnosis was confirmed by serum T4<4.5 µg/dl and serum TSH>10 mU/l. Eighty-eight normal subjects, 78 women and 10 men, age-, sex-, and smoking status- matched, served as controls. MEASUREMENTS: All symptoms and signs of hypothyroidism were recorded. Serum T4, T3, and TSH concentrations were measured. Speech parameters were analyzed by the Visipitch III system model 3900 and multidimensional voice program software and compared to a group of normal subjects with no thyroid disease. RESULTS: Mean age was 35.9±11.4 yr. Dryness in larynx and pharynx, dyspnea, and sensation of lump in the throat were reported by 53.49 and 43% of patients, respectively. Fundamental frequency, voice turbulence index, and soft phonation index were significantly different from control values. There was positive correlation between TSH concentration and variation in fundamental frequency and prevalence of voice disorders (37.2±31.2 vs 23.9±25.8 mU/l, p<0.003). CONCLUSION: Frequent speech disturbances occur in patients with primary hypothyroidism.


Assuntos
Biomarcadores/sangue , Hipotireoidismo/complicações , Distúrbios da Fala/etiologia , Hormônios Tireóideos/sangue , Adulto , Estudos de Casos e Controles , Feminino , Seguimentos , Humanos , Hipotireoidismo/sangue , Masculino , Pessoa de Meia-Idade , Prognóstico , Radioimunoensaio , Distúrbios da Fala/sangue
12.
Pak J Biol Sci ; 13(23): 1146-50, 2010 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-21313892

RESUMO

The objective of this study was to evaluate the efficacy of pre-anesthetic orally administration of clonidine on pulse rate and blood stress response to laryngoscopy and tracheal intubation. In a double-blinded, randomized study, 274 ASA I and II subjects with age of 18 to 45 years scheduled for elective surgery under general anesthesia were enrolled. They were randomly allocated to receive oral clonidine (0.2 mg) or placebo as premedication 90-120 min before surgery. All the patients received Succinylcholine (1.5 mg kg(-1)) after induction of anesthesia with Fentanyl (50 microg) and Thiopentone (5 mg kg(-1)). The anesthesia was maintained with halothane (1.5 Mac) in 50% mixture of N2O/O2. Heart rate and systolic blood pressure were recorded before, immediately after and then every 5 min after intubation until 20 min. The Clonidine group showed a significant superiority over placebo in the prevention of increase in systolic blood pressure as well as heart rate over the intubation. A significant difference was observed in both heart rate and systolic blood pressures were significantly higher in Control group at three subsequent measurements following intubation. The results of this study suggest that orally administered clonidine in preanesthetic period, provides more haemodynamic stability and attenuates the stress response to laryngoscopy and intubation.


Assuntos
Agonistas de Receptores Adrenérgicos alfa 2/farmacologia , Clonidina/farmacologia , Hemodinâmica , Intubação Intratraqueal , Laringoscopia , Administração Oral , Agonistas de Receptores Adrenérgicos alfa 2/administração & dosagem , Adulto , Clonidina/administração & dosagem , Método Duplo-Cego , Humanos , Pré-Medicação
13.
Pak J Biol Sci ; 13(24): 1214-8, 2010 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-21313903

RESUMO

To determine the effect of adding ketamine to pethidine in reducing post-operative pain in patients undergoing major abdominal operations, in a double blind randomized controlled trial, 100 patients aged 15-60 years who were candidate for elective major abdominal surgery allocated into two groups of pethidine + ketamine group (5 mg pethidine and 0.25 mg kg(-1) ketamine) or pethidine and placebo group (10 mg pethidine and NS) according to the regimen prescribed in postanesthesia care unit. Severity of pain (using visual analogue scale), prescribed dose of pethidine and side effects were recorded until 24 h after operation. Regarding post-operative pain, pethidine + ketamine group showed significant lower scores in all the times except 0 min, 2, 6 and 16 h. Nausea was significantly less frequent amongst pethidine + placebo group at times of 0, 15, 30 and 45 min (p < 0.05). Comparison of two groups did not show significant differences in prescribed pethedine dose in 0, 9, 12, 16, 20 and 24 h (p > 0.05). Yet, the mean dose of administered pethidine as rescue analgesic was significant lower in pethidine + ketamine group compared to pethidine + placebo group (112 +/- 31.5 mg vs. 133.5 +/- 24.5 mg, p < 0.001). In conclusion, our results showed that co-administration of ketamine and pethidine in postanesthesia care unit will improve postoperative pain and reduce narcotic consumption. It may, however, increase rate of postoperative nausea in the first hour after operation.


Assuntos
Abdome/cirurgia , Analgésicos/uso terapêutico , Ketamina/uso terapêutico , Meperidina/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Adulto , Analgésicos/administração & dosagem , Método Duplo-Cego , Feminino , Humanos , Ketamina/administração & dosagem , Masculino , Meperidina/administração & dosagem , Pessoa de Meia-Idade
14.
J Nucl Med ; 17(02): 133-6, 1976 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1245875

RESUMO

Stable labeling of red blood cells (RBCs) with 99mTc, in yields of about 66%, was achieved by using stannous chloride as a reducing agent. In a study of 12 patients, the stability of technetium-labeled RBCs in the circulation varied significantly among individuals, but the average biologic half-life of the labeled cells was 16.8 hr. Although the labeling yield was lower when the labeling was carried out without EDTA with the addition of stannous chloride after the pertechnetate, this sequence appears to be the best for labeling RBCs for use in obtaining images of the blood pool or the cardiovascular system because of the increased viability of the RBCs.


Assuntos
Eritrócitos , Marcação por Isótopo/métodos , Tecnécio , Estudos de Avaliação como Assunto , Humanos
16.
Nucl Med (Stuttg) ; 14(3): 285-92, 1975 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-174060

RESUMO

The distribution of intravenously administered 14C-ascorbic acid (AA) into various tissues of the dog, and the effect of dexamethasone and ACTH administration on the AA distribution was studied. As a function of time, the differences of 14C-AA distribution between adrenal and surrounding organs become greater, and 24 hours after the administration of the dose, the adrenal to liver ratio, as well as adrenal to kidney, is about 10:1. Also concentration of AA in the pituitary showed a gradual increase and reached its peak between 24 and 48 hours. Dexamethasone administration lowered significantly the uptake of 14C-AA by the adrenals, but did not affect the uptake by the pituitary. Three consecutive days administration of ACTH did not affect the uptake of the drug by either glands, but one single dose of ACTH administered one hour prior to the 14C-AA increased the uptake of AA by both glands. These results indicate that properly labeled AA may be an effective pituitary and adrenal scanning agent. Possible ways of labeling AA without changing its pharmacological properties are suggested.


Assuntos
Glândulas Suprarrenais/metabolismo , Ácido Ascórbico/metabolismo , Hipófise/metabolismo , Cintilografia , Glândulas Suprarrenais/efeitos dos fármacos , Hormônio Adrenocorticotrópico/farmacologia , Animais , Radioisótopos de Carbono , Dexametasona/farmacologia , Cães , Feminino , Masculino , Hipófise/efeitos dos fármacos
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