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1.
Microbiol Resour Announc ; 13(4): e0120823, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38501778

RESUMO

We report the draft genome of Bacillus velezensis strain 3TSA-3, isolated from Pacific white shrimp Penaeus vannamei postlarvae collected from a hatchery tank with high survival despite the presence of pathogenic Vibrio. The strain possesses genes encoding bacteriocins and lacks virulence factor genes, characteristics for a potential aquaculture probiotic.

2.
Environ Sci Pollut Res Int ; 31(7): 10911-10919, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38214861

RESUMO

Persistent organic pollutants (POPs) are chemical substances widely distributed in the environment by the runoff from anthropic activities and can be distributed and bioaccumulated or biomagnified in the environment, affecting the health of organisms. The sea turtle, Lepidochelys olivacea, is a long-lived organism, with migratory habits and feeding behaviors that allow exposure to various pollutants. This work aimed to determine long-term exposure to POPs in adult olive ridley turtles (L. olivacea), sampled during the nesting season, in "La Escobilla" Sanctuary. Blood samples were collected and processed to obtain plasma. The quantification of POPs in blood was carried out with an extraction technique with a focused ultrasound probe. Twenty-seven POP analytes were determined. The concentrations of hexachlorocyclohexane, endosulfan isomers, dichlorodiphenyltrichloroethane, total polychlorinated biphenyls, and the total sum of POPs found in plasma are higher than those reported in other studies, which reported effects such as hematological and biochemical changes in blood, changes in immune system cells and enzymatic activity related to oxidative stress. These results are important to demonstrate the chronic exposure to POPs in olive ridley turtles in marine ecosystems and to highlight the importance of assessing the associated health risks, considering that these contaminants could be transferred to the offspring and affect future generations of this reptile. It is important to carry out studies that develop conservation strategies for the olive ridley turtle. Also, it is necessary to control the emissions of pollutants into the atmosphere, as well as reduce urban, agricultural, and industrial waste in the environment and marine ecosystems.


Assuntos
Poluentes Ambientais , Olea , Tartarugas , Animais , Poluentes Orgânicos Persistentes , Ecossistema , México
3.
Biomacromolecules ; 25(1): 282-289, 2024 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-38086070

RESUMO

Hollow tubing and tubular filaments are highly relevant to membrane technologies, vascular tissue engineering, and others. In this context, we introduce hollow filaments (HF) produced through coaxial dry-jet wet spinning of cellulose dissolved in an ionic liquid ([emim][OAc]). The HF, developed upon regeneration in water (23 °C), displays superior mechanical performance (168 MPa stiffness and 60% stretchability) compared to biobased counterparts, such as those based on collagen. The results are rationalized by the effects of crystallinity, polymer orientation, and other factors associated with rheology, thermal stability, and dynamic vapor sorption. The tensile strength and strain of the HF (dry and wet) are enhanced by drying and wetting cycles (water vapor sorption and desorption experiments). Overall, we unveil the role of water molecules in the wet performance of HF produced by cellulose regeneration from [emim][OAc], which offers a basis for selecting suitable applications.


Assuntos
Celulose , Líquidos Iônicos , Resistência à Tração , Colágeno , Reologia
4.
PeerJ ; 11: e15795, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37671363

RESUMO

Vibriosis is caused by some pathogenic Vibrio and produces significant mortality in Pacific white shrimp Penaeus (Litopenaeus) vannamei larvae in commercial hatcheries. Acute hepatopancreatic necrosis disease (AHPND) is an emerging vibriosis affecting shrimp-producing countries worldwide. Zoea 2 syndrome is another type of vibriosis that affects the early stages of P. vannamei larvae. Although the pathogenesis of AHPND and zoea 2 syndrome is well known, there is scarce information about microbial composition and biomarkers of P.vannamei larvae affected by AHPND, and there is no study of the microbiome of larvae affected by zoea 2 syndrome. In this work, we characterized the microbiome of P. vannamei larvae collected from 12 commercial hatchery tanks by high-throughput sequencing. Seven tanks were affected by AHPND, and five tanks were affected by zoea 2 syndrome. Subsequently, all samples were selected for sequencing of the V3-V4 region of the16S rRNA gene. Similarity analysis using the beta diversity index revealed significant differences in the larval bacterial communities between disease conditions, particularly when Vibrio was analyzed. Linear discriminant analysis with effect size determined specific microbial signatures for AHPND and zoea 2 syndrome. Sneathiella, Cyclobacterium, Haliea, Lewinella, among other genera, were abundant in AHPND-affected larvae. Meanwhile, Vibrio, Spongiimonas, Meridianimaribacter, Tenacibaculum, among other genera, were significantly abundant in larvae affected by zoea 2 syndrome. The bacterial network at the phylum level for larvae collected from tanks affected by AHPND showed greater complexity and connectivity than in samples collected from tanks affected by zoea 2 syndrome. The bacterial connections inter Vibrio genera were higher in larvae from tanks affected by zoea 2 syndrome, also presenting other connections between the genera Vibrio and Catenococcus. The identification of specific biomarkers found in this study could be useful for understanding the microbial dynamics during different types of vibriosis.


Assuntos
Alphaproteobacteria , Penaeidae , Vibrioses , Vibrionaceae , Animais , Bacteroidetes , Larva , Necrose , Síndrome
5.
Environ Toxicol Pharmacol ; 103: 104280, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37741478

RESUMO

In this study, we captured cane toads (Rhinella marina) in four sites located in different regions affected by anthropogenic activities in Mexico. Subsequently we analyzed liver tissue for the presence of organochlorine pesticides (OCs) and polychlorinated biphenyls (PCBs) The levels of these POPs in the toads' livers ranged from 863.2 to 3109.6 ng/g of lipid weight across all sites. A multivariate statistical analysis highlighted two sites with the highest POPs levels, with the most polluted site displaying a high level of PCBs, suggesting influence of industrial activities. The second most polluted site displayed significant amounts of OCs, linking this location to agricultural activity. Additionally, we found pesticide metabolites and isomers that allowed us to distinguish past and recent exposure events. Our observations indicate that R. marina is suitable bioindicator of sites impacted by anthropogenic activities.

6.
Microorganisms ; 11(9)2023 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-37764158

RESUMO

The bacterial community of the intestinal microbiota influences many host functions, and similar effects have been recently reported for the fungal community (mycobiota). Cobia is a tropical fish that has been studied for its potential in marine aquaculture. However, the study of its bacterial community has been underreported and the mycobiota has not been investigated. We analyzed the gut bacterial and fungal profile present in the intestinal mucosa of reared adult cobias fed two diets (frozen fish pieces (FFPs) and formulated feed (FF)) for 4 months by sequencing the 16S rRNA (V3-V4) and internal transcribed spacer-2 (ITS2) regions using Illumina NovaSeq 6000. No significant differences in the alpha diversity of the bacterial community were observed, which was dominated by the phyla Proteobacteria (~96%) and Firmicutes (~1%). Cobia fed FF showed higher abundance of 10 genera, mainly UCG-002 (Family Oscillospiraceae) and Faecalibacterium, compared to cobia fed FFPs, which showed higher abundance of 7 genera, mainly Methylobacterium-Methylorubrum and Cutibacterium. The inferred bacterial functions were related to metabolism, environmental information processing and cellular processes; and no differences were found between diets. In mycobiota, no differences were observed in the diversity and composition of cobia fed the two diets. The mycobiota was dominated by the phyla Ascomycota (~88%) and Basidiomycota (~11%). This is the first study to describe the gut bacterial and fungal communities in cobia reared under captive conditions and fed on different diets and to identify the genus Ascobulus as a new member of the core fish mycobiota.

7.
Kidney Int Rep ; 8(8): 1596-1604, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37547537

RESUMO

Introduction: Macroscopic hematuria (MH) bouts, frequently accompanied by acute kidney injury (AKI-MH) are one of the most common presentations of IgA nephropathy (IgAN) in the elderly. Immunosuppressive therapies are used in clinical practice; however, no studies have analyzed their efficacy on kidney outcomes. Methods: This is a retrospective, multicenter study of a cohort of patients aged ≥50 years with biopsy-proven IgAN presenting with AKI-MH. Outcomes were complete, partial, or no recovery of kidney function at 1 year after AKI-MH, and kidney survival at 1, 2, and 5 years. Propensity score matching (PSM) analysis was applied to balance baseline differences between patients treated with immunosuppression and those not treated with immunosuppression. Results: The study group consisted of 91 patients with a mean age of 65 ± 15 years, with a mean follow-up of 59 ± 36 months. Intratubular red blood cell (RBC) casts and acute tubular necrosis were found in all kidney biopsies. The frequency of endocapillary hypercellularity and crescents were low. Immunosuppressive therapies (corticosteroids alone or combined with mycophenolate mofetil or cyclophosphamide) were prescribed in 52 (57%) patients, whereas 39 (43%) received conservative treatment. There were no significant differences in the proportion of patients with complete, partial, or no recovery of kidney function at 1 year between patients treated with immunosuppression and those not treated with immunosuppression (29% vs. 36%, 30.8% vs. 20.5% and 40.4 % vs. 43.6%, respectively). Kidney survival at 1, 3, and 5 years was similar among treated and untreated patients (85% vs. 81%, 77% vs. 76% and 72% vs. 66%, respectively). Despite the PSM analysis, no significant differences were observed in kidney survival between the two groups. Fourteen patients (27%) treated with immunosuppression had serious adverse events. Conclusions: Immunosuppressive treatments do not modify the unfavorable prognosis of patients with IgAN who are aged ≥50 years presenting with AKI-MH, and are frequently associated with severe complications.

8.
Animals (Basel) ; 13(4)2023 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-36830432

RESUMO

Previous research indicates that adequate choline nutrition during late gestation improves fetal development. However, there is a lack of studies describing choline's role during early gestation. Thus, the current study hypothesizes that an herbal mixture as a source of choline (Biocholine) positively affects offspring development from ewes supplemented during early gestation. Therefore, the objectives were to evaluate the impact of biocholine on the programming of the offspring early in life through the evaluation of dams and newborn performance. Twenty-eight four-year-old Rambouillet ewes were assigned randomly to two treatments: non-supplementation and 4 gd-1 of biocholine during the early gestation. Compared with the dams without supplementation, the ewes supplemented using biocholine showed no increase in parameters such as birth and weaning weight (p > 0.05). Additionally, the milk yield and quality of colostrum and milk did not present statistical differences (p > 0.05). However, the placental membrane development was reduced in the ewes that received supplementation with biocholine; interestingly, those dams increased the weight of the newborns during the lambing period (p < 0.05). Finally, the current study proposes necessary elucidation of how placental size is programmed and if less placental development has potential benefits in the fetus's development.

9.
Nat Commun ; 14(1): 808, 2023 02 21.
Artigo em Inglês | MEDLINE | ID: mdl-36810853

RESUMO

Identifying unequivocal signs of life on Mars is one of the most important objectives for sending missions to the red planet. Here we report Red Stone, a 163-100 My alluvial fan-fan delta that formed under arid conditions in the Atacama Desert, rich in hematite and mudstones containing clays such as vermiculite and smectites, and therefore geologically analogous to Mars. We show that Red Stone samples display an important number of microorganisms with an unusual high rate of phylogenetic indeterminacy, what we refer to as "dark microbiome", and a mix of biosignatures from extant and ancient microorganisms that can be barely detected with state-of-the-art laboratory equipment. Our analyses by testbed instruments that are on or will be sent to Mars unveil that although the mineralogy of Red Stone matches that detected by ground-based instruments on the red planet, similarly low levels of organics will be hard, if not impossible to detect in Martian rocks depending on the instrument and technique used. Our results stress the importance in returning samples to Earth for conclusively addressing whether life ever existed on Mars.


Assuntos
Meio Ambiente Extraterreno , Marte , Exobiologia/métodos , Fósseis , Limite de Detecção , Filogenia
10.
Carbohydr Polym ; 302: 120355, 2023 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-36604045

RESUMO

We address the limited solubility and early onset of gelation of aqueous sodium hydroxide to position it as a preferred green solvent for cellulose. For this purpose, we expand the concentration window (up to 12 wt%) by using a CO2-depleted air and adjusting the time the dope remains in the given atmosphere, before further processing (holding time) and regeneration conditions. Cellulose solutions are extruded following characteristic (rheology and extrusion) parameters to yield aligned filaments reaching tenacities up to 2.3 cN·dtex-1, similar to that of viscose. Further material demonstrations are achieved by direct ink writing of auxetic biomedical meshes (Poisson's ratio of -0.2, tensile strength of 115 kPa) and transparent films, which achieved a tensile strength and toughness of 47 MPa and 590 kJ·m-3, respectively. The results suggest an excellent outlook for cellulose transformation into bioproducts. Key to this development is the control of the gelation ensuing solution flow and polymer alignment, which depend on CO2 absorption, cellulose concentration, and holding time.


Assuntos
Dióxido de Carbono , Celulose , Soluções , Hidróxido de Sódio , Materiais Biocompatíveis
11.
J Neuroimmunol ; 375: 578018, 2023 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-36657373

RESUMO

Our objective was to determine whether (-)-Epicatechin administered alone or simultaneously with topical Ketorolac decreased the relative expression of GFAP and modulated the response of Nrf2 in a mouse model with induced hyperglycemia. We found that GFAP and Nrf2 decreased in the groups that received treatments alone or simultaneous during 8 weeks; even when the effect on the Nrf2 was not pronounced, it showed a higher concentration when GFAP decreased. Our results suggest a protective effect of Ketorolac and (-) - Epicatechin, which seem to limit the preclinical retinal damage caused by inflammation in hyperglycemia.


Assuntos
Catequina , Hiperglicemia , Doenças Retinianas , Animais , Camundongos , Catequina/farmacologia , Catequina/uso terapêutico , Catequina/metabolismo , Hiperglicemia/tratamento farmacológico , Hiperglicemia/metabolismo , Cetorolaco/uso terapêutico , Cetorolaco/metabolismo , Cetorolaco/farmacologia , Camundongos Endogâmicos C57BL , Fator 2 Relacionado a NF-E2/metabolismo , Fator 2 Relacionado a NF-E2/farmacologia , Retina/metabolismo
12.
Surg Endosc ; 37(2): 1528-1536, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-35852623

RESUMO

BACKGROUND: Laparoscopic surgery is rapidly expanding in low-and middle-income countries (LMICs), yet many surgeons in LMICs have limited formal training in laparoscopy. In 2017, the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) implemented Global Laparoscopic Advancement Program (GLAP), an in-person simulation-based laparoscopic training curriculum for surgeons in LMICs. In light of COVID-19, SAGES adapted GLAP to a virtual format with telesimulation. This study explores the feasibility and efficacy of virtual laparoscopic simulation training in resource-limited settings. METHODS: Participants from San Jose, Costa Rica, Leon, México, and Guadalajara, México enrolled in the virtual GLAP curriculum, meeting biweekly for 2-h didactic classes and 2-h hands-on live simulation practice. Surgical residents' laparoscopic skills were evaluated using the five Fundamentals of Laparoscopic Surgery (FLS) tasks during the initial and final weeks of the program. Participants also completed pre-and post-program surveys assessing their perception of simulation-based training. RESULTS: The study cohort consisted of 16 surgical attendings and 20 general surgery residents. A minimum 70% response rate was recorded across all surveys in the study. By the end of GLAP, residents completed all five tasks of the FLS exam within less time relative to their performance at the beginning of the training program (p < 0.05). Respondents (100%) reported that the program was a good use of their time and that education via telesimulation was easily reproduced. Participants indicated that the practice sessions, guidance, and feedback offered by mentors were their favorite elements of the training. CONCLUSION: A virtual simulation-based curriculum can be an effective strategy for laparoscopic skills training. Participants demonstrated an improvement in laparoscopic skills, and they appreciated the mentorship and opportunity to practice laparoscopic skills. Future programs can expand on using a virtual platform as a low-cost, effective strategy for providing laparoscopic skills training to surgeons in LMICs.


Assuntos
COVID-19 , Internato e Residência , Laparoscopia , Treinamento por Simulação , Humanos , Países em Desenvolvimento , Laparoscopia/educação , Currículo , Competência Clínica
13.
Adv Mater ; 35(11): e2209327, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36516448

RESUMO

Current carbon capture and utilization (CCU) technologies require high energy input and costly catalysts. Here, an effective pathway is offered that addresses climate action by atmospheric CO2 sequestration. Industrially relevant highly reactive alkali cellulose solutions are used as CO2 absorption media. The latter lead to mineralized cellulose materials (MCM) at a tailorable cellulose-to-mineral ratio, forming organic-inorganic viscous systems (viscosity from 102 to 107  mPa s and storage modulus from 10 to 105  Pa). CO2 absorption and conversion into calcium carbonate and associated minerals translate to maximum absorption of 6.5 gCO2 gcellulose -1 , tracking inversely with cellulose loading. Cellulose lean gels are easily converted into dry powders, shown as a functional component of ceramic glazes and cementitious composites. Meanwhile, cellulose-rich gels are moldable and extrudable, yielding stone-like structures tested as artificial substrates for coral reef restoration. Life Cycle Assessment (LCA) suggests new CCU opportunities for building materials, as demonstrated in underwater deployment for coral reef ecosystem restoration.

14.
Rev Esp Cardiol (Engl Ed) ; 76(4): 261-269, 2023 Apr.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-36565750

RESUMO

Despite the efforts made to improve the care of cardiogenic shock (CS) patients, including the development of mechanical circulatory support (MCS), the prognosis of these patients continues to be poor. In this context, CS code initiatives arise, based on providing adequate, rapid, and quality care to these patients. In this multidisciplinary document we try to justify the need to implement the SC code, defining its structure/organization, activation criteria, patient flow according to care level, and quality indicators. Our specific purposes are: a) to present the peculiarities of this condition and the lessons of infarction code and previous experiences in CS; b) to detail the structure of the teams, their logistics and the bases for the management of these patients, the choice of the type of MCS, and the moment of its implantation, and c) to address challenges to SC code implementation, including the uniqueness of the pediatric SC code. There is an urgent need to develop protocolized, multidisciplinary, and centralized care in hospitals with a large volume and experience that will minimize inequity in access to the MCS and improve the survival of these patients. Only institutional and structural support from the different administrations will allow optimizing care for CS.


Assuntos
Oxigenação por Membrana Extracorpórea , Coração Auxiliar , Humanos , Criança , Choque Cardiogênico/terapia , Balão Intra-Aórtico , Resultado do Tratamento
15.
Biota Neotrop. (Online, Ed. ingl.) ; 23(4): e20231501, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1520280

RESUMO

Abstract Beaucarnea inermis is an endemic species from Northeast Mexico, in the states of San Luis Potosí and Tamaulipas. It is appreciated as an ornamental plant, so its populations are subject to the poaching of individuals for illegal trade. Previous studies determined that their populations have been affected due to the disturbance since the incidence of anthropogenic activities affects the viability of the species. Here we determine the current conservation status of B. inermis and identify their main risk factor by performing an extinction risk assessment based on the Annex II "Method for Evaluation of Risk of Extinction of Plants in Mexico". We studied 10 populations of B. inermis from protected and non-protected areas in San Luis Potosí and Tamaulipas. We considered the MER criteria: A) geographical distribution characteristics, B) habitat characteristics, C) intrinsic biological vulnerability, and D) impact of human activity. Using field and analyzed data, the MER assessment gives 1.91 points that confirm B. inermis is correctly classified as an Endangered species. The natural protected areas where the species occurs represent cores for its protection; however, the surface of these areas may not be sufficient without biological corridors that connect them.


Resumen Beaucarnea inermis es una especie endémica del Noroeste de México distribuida en los estados de San Luis Potosí y Tamaulipas. Es apreciada como planta ornamental, por lo que sus poblaciones están sujetas al saqueo de individuos para su comercialización ilegal. En trabajos anteriores se determinó que sus poblaciones han sido afectadas debido al disturbio por la incidencia de actividades antrópicas que afectan su viabilidad. En la presente contribución se determina el nivel de riesgo de B. inermis con base en el Anexo Normativo II "Método de Evaluación de Riesgo de Extinción de Plantas en México". Se estudiaron 10 poblaciones de B. inermis en San Luis Potosí y Tamaulipas, tanto en áreas naturales protegidas como en sitios no protegidos. Los criterios MER considerados fueron: A) características de la distribución geográfica, B) características del hábitat, C) vulnerabilidad biológica intrínseca y D) impacto de la actividad humana. El análisis MER arroja un valor de 1.91 que, confirma a B. inermis dentro de la categoría de Amenazada. Las áreas naturales protegidas donde se distribuye la especie funcionan como núcleos de protección, sin embargo, su superficie puede no ser suficiente sin la presencia de corredores biológicos que las conecten.

18.
Green Chem ; 24(20): 8029-8035, 2022 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-36324640

RESUMO

We investigate the interplay between cellulose crystallization and aggregation with interfibrillar interactions, shear forces, and the local changes in the medium's acidity. The latter is affected by the CO2 chemisorbed from the surrounding atmosphere, which, combined with shear forces, explain cellulose gelation. Herein, rheology, nuclear magnetic resonance (NMR), small and wide-angle X-ray scattering (SAXS/WAXS), and focused ion beam scanning electron microscopy (FIB-SEM) are combined to unveil the fundamental factors that limit cellulose gelation and maximize its dissolution in NaOH(aq). The obtained solutions are then proposed for developing green and environmentally friendly cellulose-based materials.

19.
Nefrologia (Engl Ed) ; 42(3): 301-310, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36210619

RESUMO

BACKGROUND AND OBJECTIVE: To describe the clinical characteristics, the reasons for initiating therapy and the effects of treatment in the initial phase of evolocumab availability in the Nephrology Units of Spain. MATERIAL AND METHODS: Retrospective, observational and multicentric study that included patients initiating treatment with evolocumab (from February 2016 to August 2018), in 15 Nephrology Units in Spain. The demographic and clinical characteristics of the patients, the lipid lowering treatment and the evolution of the lipid profiles between 24 weeks pre-initiation and 12±4 weeks post-initiation of evolocumab were reviewed. RESULTS: 60 patients were enrolled: 53.3% women; mean (SD) age, 56.9 (12.8) years, 45.0% with familial hypercholesterolemia (FH) (5.0% homozygous and 40.0% heterozygous) and 65.0% with atherosclerotic cardiovascular disease. The mean (SD) eGFR was 62.6 (30.0) ml/min/1.73m2 (51.7% of patients had eGFR <60ml/min/1.73m2 [CKD stage>2]), 50.0% had proteinuria (>300mg/g) and 10.0% had nephrotic syndrome. Other CV risk factors were hypertension (75.0%), diabetes (25.0%), and smoking (21.7%). A 40.0% of patients were statin intolerant. At evolocumab initiation, 41.7% of patients were on a high intensity statin, 18.3% on moderate intensity statin and 50.0% were receiving ezetimibe. Mean (SD) LDL-c at evolocumab initiation was 179.7 (62.9) mg/dL (53.4% of patients with LDL-c ≥160mg/dL and 29.3% ≥190mg/dL). After 12 weeks, evolocumab resulted in LDL-c reductions of 60.1%. At week 12, 90.0% of patients reached LDL-c levels <100mg/dL, 70.0% <70mg/dL, and 55.0% <55mg/dL, while mean eGFR levels and statin use remained stable. CONCLUSION: In Nephrology Units of Spain, evolocumab was predominantly prescribed in patients with FH, chronic renal disease (CRD>2) and secondary prevention, with LDL-c levels above those recommended by the guidelines. Evolocumab used in clinical practice significantly reduced the LDL-c levels in all patients included in the study.


Assuntos
Anticolesterolemiantes , Inibidores de Hidroximetilglutaril-CoA Redutases , Hipercolesterolemia , Hiperlipoproteinemia Tipo II , Nefrologia , Anticorpos Monoclonais/uso terapêutico , Anticorpos Monoclonais Humanizados , Anticolesterolemiantes/uso terapêutico , LDL-Colesterol/uso terapêutico , Ezetimiba/uso terapêutico , Feminino , Hospitais , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Hipercolesterolemia/induzido quimicamente , Hipercolesterolemia/tratamento farmacológico , Hiperlipoproteinemia Tipo II/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
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