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1.
Rev Sci Instrum ; 92(9): 093508, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34598532

RESUMO

In this paper, we report on a crystal based x-ray imaging system fielded at the OMEGA EP laser facility. This new system has a pointing accuracy of +/100 µm, a temporal resolution down to 100 ps (depending on backlighter characteristics), variable magnification, and a spatial resolution of 21.9 µm at the object plane at a magnification of 15×. The system is designed to use a crystal along the crystal plane that satisfies the Bragg condition for the x ray of interest. The thin crystal is then bent into a spherical geometry and attached to a glass backing substrate to hold it in the diagnostic, and the x rays are imaged onto a charge coupled device. We report on data acquired with the new Los Alamos National Laboratory supplied spherical quartz crystal to image the Mn He-α 6.15 keV line emission.

2.
Phys Rev Lett ; 124(18): 185003, 2020 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-32441981

RESUMO

Rayleigh-Taylor instability growth is shown to be hydrodynamically scale invariant in convergent cylindrical implosions for targets that varied in radial dimension and implosion timescale by a factor of 3. The targets were driven directly by laser irradiation providing a short impulse, and instability growth at an embedded aluminum interface occurs as it converges radially inward by a factor of 2.25 and decelerates on a central foam core. Late-time growth factors of 14 are observed for a single-mode m=20 azimuthal perturbation at both scales, despite the differences in laser drive conditions between the experimental facilities, consistent with predictions from radiation-hydrodynamics simulations. This platform enables detailed investigations into the limits of hydrodynamic scaling in high-energy-density systems.

3.
Exp Anim ; 49(4): 309-13, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11109559

RESUMO

As a quarantine of biological materials, we tested 96 transplantable tumors and cell lines for contamination with microorganisms in a mouse antibody production (MAP) test, enzymatic assay and microbiological culture. Contamination with lactic dehydrogenase elevating virus (LDV), mycoplasmas and Pasteurella pneumotropica was detected. A considerable difference in the contamination rate was observed between in vivo- and in vitro- propagated tumors. LDV in the tumors could be eliminated by both in vitro subculture and subpassage in nude rats. Mycoplasmas were eliminated by means of the mycoplasma-removal agent and P. pneumotropica by subpassage in mice. These results suggest that there is still a high risk of contamination in transplantable tumors and emphasizes the importance of adequate microbiological quality control.


Assuntos
Neoplasias Experimentais/microbiologia , Neoplasias Experimentais/virologia , Células Tumorais Cultivadas/microbiologia , Vírus/classificação , Animais , Formação de Anticorpos , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Mycoplasma/classificação , Mycoplasma/imunologia , Mycoplasma/isolamento & purificação , Transplante de Neoplasias , Pasteurella/classificação , Pasteurella/imunologia , Pasteurella/isolamento & purificação , Controle de Qualidade , Ratos , Ratos Nus , Vírus/imunologia , Vírus/isolamento & purificação
5.
Sci Total Environ ; 261(1-3): 75-89, 2000 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-11036979

RESUMO

Based on our previous finding that the concentrations of total mercury in mussel adductor muscle approximated those of methylmercury, we compared concentrations of total mercury in the adductor muscle of the mussel Mytilus galloprovincialis, collected from four sites around Minamata City from 1993 to 1995 and four sites in Kagoshima Bay from 1997 to 1998, to assess the level of localized methylmercury contamination. Though the input of mercury from the chemical plant had stopped by around 1970, concentrations of total mercury in the mussel adductor muscle were higher at two sites (26-121 ng/g, n = 135) near the main fallout of wastewater from the chemical plant in Minamata Bay than at the other sites, i.e. two sites 1-5 km from the former sites in Minamata City (6-28 ng/g, n = 52), and all sites in Kagoshima Bay (2-30 ng/g, n = 287). The localized methylmercury contamination around the chemical plant in Minamata Bay was documented also by our sensitive analysis of mercury concentrations in seawater and sediment samples. The survey of concentrations of total mercury in the mussel adductor muscle seems to be useful for monitoring the methylmercury contamination in coastal areas.


Assuntos
Bivalves , Monitoramento Ambiental/métodos , Compostos de Metilmercúrio/farmacocinética , Poluentes Químicos da Água/farmacocinética , Animais , Indústria Química , Japão , Compostos de Metilmercúrio/análise , Músculos/química , Distribuição Tecidual , Poluentes Químicos da Água/análise
6.
Pediatr Res ; 48(5): 674-8, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11044490

RESUMO

To investigate the functional maturity of the lungs of infants with pulmonary hypoplasia, we measured the expression of surfactant apoprotein-A (SP-A) in the autopsied lungs. Autopsied lungs were taken from 16 infants who died at birth or soon after. A lung-to-body weight ratio of less than 1.2% was defined as pulmonary hypoplasia. Eight infants were classified as belonging to the normal group, and eight as belonging to the pulmonary hypoplasia group. Many of the pulmonary hypoplasia group were complicated not only by pulmonary hypoplasia, but also by amniotic fluid volume abnormalities or an anatomical malformation. We measured the expression of SP-A immunologically using murine anti-human SP-A MAb in the autopsied lung tissue, and subjected the tissue to SP-A staining by the direct staining method. The expression of SP-A was assessed as one of four grades: -, +/-, 1+, 2+. The staining intensity of SP-A was high at 1+ or stronger in five infants of the normal group. SP-A expression was significantly reduced, however, in all infants of the pulmonary hypoplasia group except for one infant with normal amniotic fluid volume and relatively mild pulmonary hypoplasia. There was a significant negative correlation between the staining intensity of SP-A and two factors: pulmonary hypoplasia and abnormal amniotic fluid volume (p = 0.039 and p = 0.0063, respectively). In the present study, we demonstrated that SP-A expression was significantly reduced in infants with pulmonary hypoplasia. We speculate that the functional maturity of the lungs of infants with pulmonary hypoplasia is also suppressed.


Assuntos
Maturidade dos Órgãos Fetais , Pulmão/embriologia , Pulmão/metabolismo , Proteolipídeos/metabolismo , Surfactantes Pulmonares/metabolismo , Autopsia , Feminino , Humanos , Imuno-Histoquímica , Recém-Nascido , Pulmão/anormalidades , Masculino , Proteína A Associada a Surfactante Pulmonar , Proteínas Associadas a Surfactantes Pulmonares , Valores de Referência
7.
Aliment Pharmacol Ther ; 14 Suppl 1: 94-100, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10807410

RESUMO

BACKGROUND: CXC chemokines such as interleukin (IL)-8 are neutrophil chemoattractants, the levels of which increase in Helicobacter pylori-infected gastric mucosa. Many investigators have focused on the chemotactic aspects of IL-8: however, CXC chemokines are also reported to have angiogenic activity and to serve as remodelling factors. Rat GRO/CINC-1 is a rodent counterpart of human GROalpha, a member of the family of CXC chemokines. Gastric mucosa infected with H. pylori is in a state of hyperproliferation, with increases in the amounts of growth factors such as hepatocyte growth factor (HGF). AIM: To investigate whether rat GRO/CINC-1 had growth-stimulating activity for gastric epithelial cells. METHODS: The rat gastric epithelial cell line RGM-1 was incubated in serum-free medium for 12 h to adjust the cell cycle to the G0 phase, and GRO/CINC-1 was then added for 24 h. The total cell number was determined by fluorogenic analysis after propidium iodide staining, and cell proliferation was assessed by measuring 5-bromo-2'-deoxyuridine (BrdU) incorporation. The activity of p42/p44 mitogen-activated protein kinase (MAPK) was measured 5-20 min after the start of GRO/CINC-1 exposure. RESULTS: Cultures treated with GRO/CINC-1 showed a significant increase in cell number and BrdU incorporation in a concentration-dependent fashion. The MAPK activity increased within 5 min after GRO/CINC-1 application and returned to the control level at 20 min. CONCLUSION: The growth-stimulatory effect of GRO/CINC-1 on rat gastric epithelial cells suggests a dual function of this chemokine: proinflammatory action and induction of epithelial proliferation.


Assuntos
Quimiocinas CXC/farmacologia , Células Epiteliais/fisiologia , Mucosa Gástrica/citologia , Animais , Autorradiografia , Bromodesoxiuridina , Divisão Celular/efeitos dos fármacos , Linhagem Celular , Mucosa Gástrica/efeitos dos fármacos , Inflamação , Ratos
8.
J Gastroenterol Hepatol ; 14(11): 1062-9, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10574132

RESUMO

BACKGROUND: Mongolian gerbils have been reported to be a suitable model for Helicobacter pylori-associated gastric mucosal injury, including gastric cancer. Although ethanol is known to be one of the harmful substances in the gastric mucosa, the relationship between ethanol and H. pylori infection remains unknown. The aim of the present study is to investigate the effect of ethanol treatment prior to H. pylori inoculation on associated gastric mucosal injury. METHODS: Male Mongolian gerbils were used for the study. Helicobacter pylori was orally inoculated after 15 h fasting (Hp group). Thirty minutes prior to H. pylori inoculation, a group of gerbils was orally treated with 40% ethanol (20 mL/kg; E + Hp group). Another group of animals was treated either with H. pylori culture media alone (controls) or with 40% ethanol plus culture media (E group). Gerbils were killed 2, 4 or 12 weeks after H. pylori inoculation. Helicobacter pylori infection was confirmed by both histological examination and serological tests. Mucosal damage was evaluated histologically according to the modified Sydney system. RESULTS: Although in the controls and E group no significant change to the gastric mucose was observed, persistent H. pylori infection was seen in the mucosa and mucosal leucocyte infiltration and severe epithelial damage was observed in the Hp and E + Hp groups after 4 weeks. The histological scores for polymorphonuclear cell infiltration and myeloperoxidase activity were higher in the E + Hp group at 4 weeks than in the Hp group (P < 0.05). CONCLUSIONS: Ethanol intake preceding H. pylori inoculation could promote the progression of gastric mucosal inflammation in Mongolian gerbils.


Assuntos
Consumo de Bebidas Alcoólicas/efeitos adversos , Gastrite/patologia , Infecções por Helicobacter/patologia , Helicobacter pylori , Consumo de Bebidas Alcoólicas/patologia , Animais , Modelos Animais de Doenças , Mucosa Gástrica/patologia , Gerbillinae , Masculino , Neutrófilos/patologia
9.
Surg Today ; 29(11): 1168-71, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10552336

RESUMO

Duplication of the biliary tract is extremely rare. In fact, to the best of our knowledge, only four previous reports of pediatric patients with this disease have been documented in the Japanese literature. This anomaly was diagnosed by perioperative endoscopic retrograde cholangiopancreatography (ERCP) in three of these patients, and incidentally during surgery for congenital biliary dilatation in the other one. We report herein a case of biliary tract duplication which was diagnosed by T-tube cholangiography, only in the oblique view, after cholecystectomy and choledochotomy with T-tube drainage. The patient was a 13-year-old girl who was initially diagnosed as having choledocholithiasis based on the results of preoperative and intraoperative cholangiography; however, a postoperative T-tube cholangiography revealed residual stones. At this point, duplication of the biliary tract was diagnosed only in the first oblique view. Reoperation was carried out 26 days after the first operation. The biliary tract was dissected completely from the pancreaticobiliary junction to the left and right hepatic ducts in the porta hepatis and found to be duplicated from the level of porta hepatis to the suprapancreatic area. We report our experience of this case, followed by a discussion on the relevant literature.


Assuntos
Sistema Biliar/anormalidades , Cálculos Biliares/diagnóstico , Cálculos Biliares/cirurgia , Adolescente , Anastomose Cirúrgica , Procedimentos Cirúrgicos do Sistema Biliar/métodos , Colangiopancreatografia Retrógrada Endoscópica , Colecistectomia/métodos , Feminino , Seguimentos , Humanos , Monitorização Intraoperatória , Reoperação , Resultado do Tratamento
10.
Neurosci Lett ; 271(2): 109-12, 1999 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-10477114

RESUMO

To clarify the role of inducible nitric oxide synthase (iNOS) in the histopathological changes that occur in the brain after exposure of rats to normobaric hypoxia (10% O2 in N2) for 2 weeks, we examined the localization of iNOS and the effect of aminoguanidine, a relatively selective iNOS inhibitor, on the histological outcome. Animals were divided into a hypoxia group, an aminoguanidine-treated hypoxia group and a normoxic control group. The hypoxia group showed severe ischemic changes and prominent angiogenesis in the CA1 hippocampus and cerebral cortex. Aminoguanidine significantly reduced the ischemic change and angiogenesis in these regions, and also reduced iNOS-immunoreactive cells compared to the hypoxia group. These findings suggest that iNOS activity could play a role in the neuropathological alterations induced by chronic hypoxia.


Assuntos
Encéfalo/efeitos dos fármacos , Encéfalo/enzimologia , Inibidores Enzimáticos/farmacologia , Guanidinas/farmacologia , Hipóxia Encefálica/metabolismo , Óxido Nítrico Sintase/biossíntese , Animais , Encéfalo/patologia , Doença Crônica , Hipóxia Encefálica/patologia , Hipóxia Encefálica/prevenção & controle , Masculino , Neovascularização Patológica/prevenção & controle , Óxido Nítrico Sintase/antagonistas & inibidores , Óxido Nítrico Sintase Tipo II , Ratos , Ratos Sprague-Dawley
11.
Int J Oncol ; 14(6): 1087-90, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10339662

RESUMO

We previously reported that in vitro hypoxic condition enhanced VEGF level and its receptor expression in hepatic cancer cell line, HepG2. Transcatheter hepatic arterial embolization (TAE) therapy is one of the vasculo-occlusive and hypoxic challenges to hepatocellular carcinoma (HCC). Therefore, we examined the level of VEGF in sera of patients with HCC who underwent TAE during the course of the treatment. Thirty-eight patients with HCC and hepatitis C virus-positive cirrhosis were studied. Peripheral blood samples were taken before and 1, 3 and 7 days after TAE with informed consent. The serum levels of VEGF as well as hepatocyte growth factor (HGF), another hepatic remodeling factor, were measured. The molar ratio (BTR) of serum branched chain amino acid (BCAA) to tyrosine (Tyr), the serum levels of AST, ALT and LDH were also examined. Although the level of AST, ALT and LDH reached the peak value within 1 day after TAE, VEGF level increased significantly 7 days later. On the other hand, there were no significant alterations in the levels of HGF and BTR during the course of TAE. Although the level of HGF was significantly correlated with the level of VEGF before TAE, this correlation was no more observed after TAE. These data collectively suggest that VEGF may be secreted in response to clinical hypoxic intervention, TAE, independent of HGF or altered amino acid metabolism. VEGF may play a role as a sensitive marker for tumor ischemia.


Assuntos
Carcinoma Hepatocelular/sangue , Carcinoma Hepatocelular/terapia , Quimioembolização Terapêutica , Fatores de Crescimento Endotelial/sangue , Neoplasias Hepáticas/sangue , Neoplasias Hepáticas/terapia , Linfocinas/sangue , Adulto , Idoso , Antibióticos Antineoplásicos/administração & dosagem , Carcinoma Hepatocelular/enzimologia , Epirubicina/administração & dosagem , Feminino , Hepatite C/sangue , Hepatite C/complicações , Hepatite C/terapia , Humanos , Óleo Iodado/administração & dosagem , Cirrose Hepática/sangue , Cirrose Hepática/terapia , Cirrose Hepática/virologia , Neoplasias Hepáticas/enzimologia , Masculino , Pessoa de Meia-Idade , Fator A de Crescimento do Endotélio Vascular , Fatores de Crescimento do Endotélio Vascular
12.
Free Radic Biol Med ; 26(5-6): 679-84, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10218657

RESUMO

Helicobacter pylori colonized gastric mucosa is manifest in a significant neutrophil infiltration with an extensive level of oxyradical formation. Mongolian gerbil is one of the excellent models for H. pylori-infection. The present study was designed to investigate pro- and antioxidant formation in the stomach of H. pylori-positive gerbils. Fourteen male Mongolian gerbils (MGS/Sea) were orally inoculated with H. pylori (ATCC43504) (Hp group) and 15 gerbils were inoculated with the culture media (Control). H. pylori infection was confirmed by the serum anti-H. pylori IgG test. Each gerbil was evaluated 6 or 12 weeks after the inoculation. Neutrophil infiltration was assessed by the tissue MPO activity. Mucosal oxidative stress was evaluated by thiobarbituric acid-reactive substances (TBARS), total glutathione contents, glutathione peroxidase (GSHPx) activity and Cu-, Zn-superoxide dismutase (SOD) activity. In Hp group, the H. pylori was persistently infected until 12 weeks. The level of MPO activity was significantly higher in Hp group at 6 and 12 weeks. Although the levels of TBARS and total glutathione were within the same range as controls at 6 weeks, they were significantly increased at 12 weeks. However, GSHPx activity was significantly increased at 6 weeks, but became the same range with the controls at 12 weeks. SOD activity showed no significant increase in Hp group at 6 and 12 weeks. In conclusion, H. pylori inoculation induced gastric mucosal neutrophil activation and pro-oxidant formation and also increased total glutathione contents, one of the mucosal antioxidants in gerbils.


Assuntos
Antioxidantes/metabolismo , Mucosa Gástrica/microbiologia , Infecções por Helicobacter/fisiopatologia , Helicobacter pylori/fisiologia , Oxidantes/metabolismo , Animais , Anticorpos Antibacterianos/sangue , Mucosa Gástrica/fisiologia , Mucosa Gástrica/fisiopatologia , Gerbillinae , Glutationa/metabolismo , Dissulfeto de Glutationa/metabolismo , Glutationa Peroxidase/metabolismo , Imunoglobulina G/sangue , Masculino , Neutrófilos/fisiologia , Peroxidase/metabolismo , Superóxido Dismutase/metabolismo , Substâncias Reativas com Ácido Tiobarbitúrico/análise , Fatores de Tempo
13.
J Gastroenterol ; 34 Suppl 11: 43-6, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10616765

RESUMO

We previously reported that NH2Cl induced extensive DNA fragmentation in gastric cells. Polaprezinc, a zinc-carnosine chelate compound, is reported to be a potent antioxidant in gastric mucosa. The present study was designed to examine whether polaprezinc could attenuate the NH3Cl-induced DNA damage. Gastric cell lines, MKN45, were exposed to NH2Cl in Ca(2+)-containing Hanks' balanced salt solution. DNA fragmentation was evaluated by photometric enzyme immunoassay for in vitro determination of cytoplasmic mono- and oligonucleosomes. Polaprezinc, L-carnosine, and zinc sulfate (ZnSO4) were added to the cell incubation medium to evaluate the inhibitory effect on the formation of cytoplasmic mono- and oligonucleosomes. Separately, the bleaching level of beta-carotene with the addition of each test solution was evaluated to confirm the inhibitory effect against hypochlorous acid. Polaprezinc or L-carnosine, but not ZnSO4, at a concentration of 0.001 mM, significantly attenuated the increased levels of cytoplasmic mono- and oligonucleosomes evoked by 0.001 mM NH2Cl. Polaprezinc and L-carnosine, but not ZnSO4, also inhibited NH2Cl-induced beta-carotene bleaching in the cell-free system. In conclusion, polaprezinc, especially its subportion L-carnosine, inhibited NH2Cl-evoked gastric epithelial DNA fragmentation, suggesting a role for this agent in preventing the progression of gastric epithelial injury induced by NH2Cl.


Assuntos
Antiulcerosos/farmacologia , Carnosina/análogos & derivados , Fragmentação do DNA/efeitos dos fármacos , Mucosa Gástrica/efeitos dos fármacos , Compostos Organometálicos/farmacologia , Análise de Variância , Antiulcerosos/uso terapêutico , Carnosina/farmacologia , Carnosina/uso terapêutico , Linhagem Celular , Cloraminas , Dano ao DNA , Infecções por Helicobacter/tratamento farmacológico , Helicobacter pylori , Humanos , Compostos Organometálicos/uso terapêutico , Taurina/farmacologia , Compostos de Zinco , Sulfato de Zinco/farmacologia
15.
Rinsho Shinkeigaku ; 38(5): 440-5, 1998 May.
Artigo em Japonês | MEDLINE | ID: mdl-9805991

RESUMO

A 49-year-old woman developed paraplegia 26 hours after appendectomy under epidural and general anesthesia. Systolic blood pressure fell to 85 mmHg for 25 minutes after epidural anesthesia, which was performed at the level of the L1/2 intravertebral space. Neurological examination revealed paraplegia and superficial sensory impairment below the level of the L 1 spinal cord. The bladder was atonic by cystometry. MRI showed gadolinium enhancement of the cauda equina extending over a long period (3 months) and spinal cord infarction. The infarction was at the level of 10th thoracic spinal vertebra to conus and was limited to the gray matter of the spinal cord. We consider that the reason for spinal cord infarction was prolonged hypotension of the patient, who was diabetic, hypertensive and hypercoagulopathic. The blood supply to the gray matter is mainly from the central artery which is derived from the anterior spinal artery, and the gray matter is particularly vulnerable to hypotension. Our hypotheses concerning gadolinium enhancement of the cauda equina are the following: 1) enhancement of the cauda equina was seen due to collateral formation after spinal cord infarction, and 2) long-term enhancement of the cauda equina was observed due to an ischemic lesion involving a large area.


Assuntos
Anestesia Epidural/efeitos adversos , Cauda Equina/patologia , Infarto/diagnóstico , Imageamento por Ressonância Magnética , Medula Espinal/irrigação sanguínea , Feminino , Gadolínio DTPA , Humanos , Infarto/etiologia , Pessoa de Meia-Idade
16.
Acta Paediatr Jpn ; 36(2): 202-6, 1994 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8203268

RESUMO

Three cases of neonatal renal insufficiency in very low birthweight (VLBW) infants following repeated antenatal administration of indomethacin to prevent premature labor are reported. Three pregnant women received indomethacin (total doses of 150-850 mg) for 3-14 days from admission until delivery. The gestational ages and birthweights of the infants ranged from 24 to 28 weeks and 612 to 1432 g, respectively. Oliguria, early onset of hyperkalemia and prolonged renal dysfunction occurred after birth. Renal failure did not improve in one infant. Despite the efficacy of indomethacin for tocolysis in premature labor, VLBW infants born after repeated maternal administration near the time of delivery may have developed impairment of the premature kidney.


Assuntos
Indometacina/efeitos adversos , Recém-Nascido de Baixo Peso , Insuficiência Renal/induzido quimicamente , Adulto , Feminino , Humanos , Recém-Nascido , Masculino , Troca Materno-Fetal , Trabalho de Parto Prematuro/prevenção & controle , Gravidez
19.
J Int Med Res ; 11(1): 21-7, 1983.
Artigo em Inglês | MEDLINE | ID: mdl-6682063

RESUMO

A self-medication therapy with clotrimazole vaginal tablets, application of two tablets at bedtime on 3 consecutive days, was carried out to find out whether vulvo-vaginal mycoses can be treated more effectively and with fewer drop-outs when treatment is simpler and shorter. Our study included forty-one patients, seventeen of whom were in their second or third trimester of pregnancy. There was no significant difference between the efficacy rates in the pregnant (82.4%) and non-pregnant (83.3%) women. In 36 infections caused by various Candida species the cure rate was 91.7%; in 8 infections due to Torulopsis glabrata it was 75%. For thirty-three women with primary infections the cure rate was 84.8% and for eight women with recurrent infections it was 75%. The cure rate for the entire group of patients was 82.9% (thirty-four out of forty-one cases). Failures were seen in six out of thirty cases, i.e. in 16.7%. In one case burning was experienced after the insertion of the vaginal tablet so that treatment was discontinued.


Assuntos
Candidíase Vulvovaginal/tratamento farmacológico , Clotrimazol/administração & dosagem , Imidazóis/administração & dosagem , Micoses/tratamento farmacológico , Vulvovaginite/tratamento farmacológico , Adulto , Candida , Clotrimazol/efeitos adversos , Clotrimazol/uso terapêutico , Avaliação de Medicamentos , Feminino , Humanos , Gravidez , Recidiva
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