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1.
Molecules ; 28(8)2023 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-37110804

RESUMO

Phosphorene, the 2D form of black phosphorus, has recently attracted interest for optoelectronic and tribological applications. However, its promising properties are affected by the strong tendency of the layers to oxidize in ambient conditions. A significant effort has been made to identify the role of oxygen and water in the oxidation process. In this work, we introduce a first-principles study of the phosphorene phase diagram and provide a quantitative estimate of the interaction of pristine and fully oxidized phosphorene layers with oxygen and water molecules. Specifically, we study oxidized layers with oxygen coverages of 25% and 50% that keep the typical anisotropic structure of the layers. We found that hydroxilated and hydrogenated phosphorene layers are both energetically unfavorable, leading to structural distortions. We also studied the water physisorption on both pristine and oxidized layers, finding that the adsorption energy gain doubled on the oxidized layers, whereas dissociative chemisorption was always energetically unfavorable. At the same time, further oxidation (i.e., the dissociative chemisorption of O2) was always favorable, even on oxidized layers. Ab initio molecular dynamics simulations of water intercalated between sliding phosphorene layers showed that even under harsh tribological conditions water dissociation was not activated, thus further strengthening the results obtained from our static calculations. Overall, our results provide a quantitative description of the interaction of phosphorene with chemical species that are commonly found in ambient conditions at different concentrations. The phase diagram that we introduced confirms the tendency of phosphorene layers to fully oxidize due to the presence of O2, resulting in a material with improved hydrophilicity, a piece of information that is relevant for the application of phosphorene, e.g., as a solid lubricant. At the same time, the structural deformations found for the H- and OH- terminated layers undermine their electrical, mechanical, and tribological anisotropic properties and, therefore, the usage of phosphorene.

2.
Langmuir ; 37(16): 4836-4846, 2021 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-33847121

RESUMO

Molybdenum dithiocarbamates (MoDTCs) are a class of lubricant additives widely employed in automotives. Most of the studies concerning MoDTC take into account the dimeric structures because of their industrial relevance, with the mononuclear compounds usually neglected, because isolating and characterizing subgroups of MoDTC molecules are generally difficult. However, the byproducts of the synthesis of MoDTC can impact the friction reduction performance at metallic interfaces, and the effect of mononuclear MoDTC (mMoDTC) compounds in the lubrication has not been considered yet in the literature. In this study, we consider for the first time the impurities of MoDTC consisting of mononuclear compounds and combine experimental and computational techniques to elucidate the interaction of these impurities with binuclear MoDTC in commercial formulations. We present a preliminary strategy to separate a commercial MoDTC product in chemically different fractions. These fractions present different tribological behaviors depending on the relative amount of mononuclear and binuclear complexes. The calculations indicate that the dissociation mechanism of mMoDTC is similar to the one observed for the dimeric structures. However, the different chemical properties of mMoDTC impact the kinetics for the formation of the beneficial molybdenum disulfide (MoS2) layers, as shown by the tribological experiments. These results help to understand the functionality of MoDTC lubricant additives, providing new insights into the complex synergy between the different chemical structures.

3.
Chemphyschem ; 18(11): 1475-1480, 2017 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-28067987

RESUMO

To date, no clear conclusion has been reached on the atomistic mechanisms that govern the observed decrease of lubricating capabilities of MoS2 in humid environments. Based on ab initio molecular dynamic calculations, we show that intercalated water molecules hinder the sliding motion of both regular and defective layers considerably, with the velocities decaying exponentially with time. However, in the presence of an applied load and exposed edge terminations, water is rapidly removed from the interface and is adsorbed on the edges either in undissociated form or as OH/H fragments. These outcomes suggest that the interlayer slipperiness can be reduced by the presence of water even in the absence of any chemical oxidation. Our work could help to set up more dedicated experiments to further tackle a technologically relevant issue for the applications of MoS2 -based lubricants.

4.
Phys Chem Chem Phys ; 18(41): 28997-29004, 2016 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-27727348

RESUMO

Recent nanofriction experiments of xenon on graphene revealed that the slip onset can be induced by increasing the adsorbate coverage above a critical value, which depends on temperature. Moreover, the xenon slippage on gold is much higher than on graphene in spite of the same physical nature of the interactions. To shed light on these intriguing results we have performed molecular dynamics simulations relying on ab initio derived potentials. By monitoring the interfacial structure factor as a function of coverage and temperature, we show that the key mechanism to interpret the observed frictional phenomena is the size-dependence of the island commensurability. The latter quantity is deeply affected also by the lattice misfit, which explains the different frictional behavior of Xe on graphene and gold.

5.
Adv Colloid Interface Sci ; 328: 103180, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38754213

RESUMO

Since the first mechanical exfoliation of graphene in 2004, the interest in 2D materials has significantly risen due to their outstanding property combination. Multiple 2D materials have been synthesized until today, while black phosphorus (BP) resembles one of their latest additions. The unique properties of BP, especially for electronic and optical devices (i.e., high carrier mobility and electrical conduction, field-effect transistor, layer-dependent bandgap, anisotropic transport), have gained notable attention. However, its layered structure, similar to those of graphene and MoS2, is also advantageous to optimize the friction and wear performance. Moreover, the strong in-plane covalent bonds and weak interlayer van-der-Waals forces favour the formation of low-friction and wear-resistant films. Although BP holds a great tribological potential, the literature to date on this topic is rather scarce. Therefore, it is a timely moment to holistically summarize the synthesis approaches and properties of BP thus guiding interested researchers to use it in mechanical/tribological applications. The existing state-of-the-art regarding tribological research is critically discussed and compared to other 2D materials thus highlighting existing research gaps and paving the way for future research activities.

6.
Proc Natl Acad Sci U S A ; 107(4): 1311-6, 2010 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-20080546

RESUMO

It has been known for centuries that a body in contact with a substrate will start to slide when the lateral force exceeds the static friction force. Yet the microscopic mechanisms ruling the crossover from static to dynamic friction are still the object of active research. Here, we analyze the onset of slip of a xenon (Xe) monolayer sliding on a copper (Cu) substrate. We consider thermal-activated creep under a small external lateral force, and observe that slip proceeds by the nucleation and growth of domains in the commensurate interface between the film and the substrate. We measure the activation energy for the nucleation process considering its dependence on the external force, the substrate corrugation, and particle interactions in the film. To understand the results, we use the classical theory of nucleation and compute analytically the activation energy which turns out to be in excellent agreement with numerical results. We discuss the relevance of our results to understand experiments on the sliding of adsorbed monolayers.

7.
Nano Converg ; 10(1): 16, 2023 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-37005935

RESUMO

The functionality of two-dimensional (2D) transition metal carbides and nitrides (MXenes) in technological applications greatly depends on their wettability. For instance, MXenes' layer stability against degradative oxidation is notably reduced when stored in aqueous solutions, leading to the transformation into oxides. In this work, we study water adsorption on Ti-based MXenes by ab initio calculations. The energy gains for the molecular adsorption on Tin+1XnT2 is evaluated as a function of the termination (T = F, O, OH, mixture), the carbon/nitrogen ratio (X = C, N), the layer thickness (n) and water coverage. MXenes' hydrophilicity tends to increase due to the presence of defects as vacancies and flake edges. We demonstrate that physical adsorption occurs through hydrogen bonding on both defect-free layers and layers containing C/N or Ti atomic vacancies, with -OH terminations providing the strongest interactions (0.40-0.65 eV). In contrast, strong water chemisorption is observed on surfaces with a single termination vacancy (0.60-1.20 eV), edges (0.75-0.85 eV), and clusters of defects (1.00-1.80 eV). We verified that the presence of undercoordinated Ti atoms on the surface is the key factor in promoting H2O chemisorption, i.e., the degradative oxidation.

8.
ACS Appl Nano Mater ; 6(18): 16674-16683, 2023 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-37767208

RESUMO

Controlling friction and wear at silica-diamond interfaces is crucial for their relevant applications in tribology such as micro-electromechanical systems and atomic force microscopes. However, the tribological performance on diamond surfaces is highly affected by the working environment where atmospheric gases are present. In this work, we investigate the effects of adsorbed oxygen on the friction and wear of diamond surfaces sliding against silica by massive ab initio molecular dynamics simulations. Different surface orientations, O-coverages, and tribological conditions are considered. The results suggest that diamond surfaces with full oxygen passivation are very effective in preventing surface adhesion, and as a result present extremely low friction and wear. At low oxygen coverage, Si-O-C bond formation was observed as well as atomistic wear initiated from C-C bond breaking at extreme pressure. The analysis of electronic structures of the configurations resulting from key tribochemical reactions clarifies the mechanisms of friction reduction and atomistic wear. Overall, our accurate in silico experiments shed light on the influence of adsorbed oxygen on the tribological properties and wear mechanisms of diamond against silica.

9.
J Chem Theory Comput ; 19(15): 5176-5188, 2023 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-37433055

RESUMO

Understanding frictional phenomena is a fascinating fundamental problem with huge potential impact on energy saving. Such an understanding requires monitoring what happens at the sliding buried interface, which is almost inaccessible by experiments. Simulations represent powerful tools in this context, yet a methodological step forward is needed to fully capture the multiscale nature of the frictional phenomena. Here, we present a multiscale approach based on linked ab initio and Green's function molecular dynamics, which is above the state-of-the-art techniques used in computational tribology as it allows for a realistic description of both the interfacial chemistry and energy dissipation due to bulk phonons in nonequilibrium conditions. By considering a technologically relevant system composed of two diamond surfaces with different degrees of passivation, we show that the presented method can be used not only for monitoring in real-time tribolochemical phenomena such as the tribologically induced surface graphitization and passivation effects but also for estimating realistic friction coefficients. This opens the way to in silico experiments of tribology to test materials to reduce friction prior to that in real labs.

10.
Adv Mater ; 35(5): e2207757, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36538726

RESUMO

The large and rapidly growing family of 2D early transition metal carbides, nitrides, and carbonitrides (MXenes) raises significant interest in the materials science and chemistry of materials communities. Discovered a little more than a decade ago, MXenes have already demonstrated outstanding potential in various applications ranging from energy storage to biology and medicine. The past two years have witnessed increased experimental and theoretical efforts toward studying MXenes' mechanical and tribological properties when used as lubricant additives, reinforcement phases in composites, or solid lubricant coatings. Although research on the understanding of the friction and wear performance of MXenes under dry and lubricated conditions is still in its early stages, it has experienced rapid growth due to the excellent mechanical properties and chemical reactivities offered by MXenes that make them adaptable to being combined with other materials, thus boosting their tribological performance. In this perspective, the most promising results in the area of MXene tribology are summarized, future important problems to be pursued further are outlined, and methodological recommendations that could be useful for experts as well as newcomers to MXenes research, in particular, to the emerging area of MXene tribology, are provided.

11.
Adv Mater ; 35(42): e2302076, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37247210

RESUMO

Transition metal dichalcogenide (TMD) coatings have attracted enormous scientific and industrial interest due to their outstanding tribological behavior. The paradigmatic example is MoS2 , even though selenides and tellurides have demonstrated superior tribological properties. Here, an innovative in operando conversion of Se nanopowders into lubricious 2D selenides, by sprinkling them onto sliding metallic surfaces coated with Mo and W thin films, is described. Advanced material characterization confirms the tribochemical formation of a thin tribofilm containing selenides, reducing the coefficient of friction down to below 0.1 in ambient air, levels typically reached using fully formulated oils. Ab initio molecular dynamics simulations under tribological conditions reveal the atomistic mechanisms that result in the shear-induced synthesis of selenide monolayers from nanopowders. The use of Se nanopowder provides thermal stability and prevents outgassing in vacuum environments. Additionally, the high reactivity of the Se nanopowder with the transition metal coating in the conditions prevailing in the contact interface yields highly reproducible results, making it particularly suitable for the replenishment of sliding components with solid lubricants, avoiding the long-lasting problem of TMD-lubricity degradation caused by environmental molecules. The suggested straightforward approach demonstrates an unconventional and smart way to synthesize TMDs in operando and exploit their friction- and wear-reducing impact.

12.
ACS Appl Nano Mater ; 5(8): 10516-10527, 2022 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-36062064

RESUMO

Understanding the interlayer interaction at the nanoscale in two-dimensional (2D) transition metal carbides and nitrides (MXenes) is important to improve their exfoliation/delamination process and application in (nano)-tribology. The layer-substrate interaction is also essential in (nano)-tribology as effective solid lubricants should be resistant against peeling-off during rubbing. Previous computational studies considered MXenes' interlayer coupling with oversimplified, homogeneous terminations while neglecting the interaction with underlying substrates. In our study, Ti-based MXenes with both homogeneous and mixed terminations are modeled using density functional theory (DFT). An ad hoc modified dispersion correction scheme is used, capable of reproducing the results obtained from a higher level of theory. The nature of the interlayer interactions, comprising van der Waals, dipole-dipole, and hydrogen bonding, is discussed along with the effects of MXene sheet's thickness and C/N ratio. Our results demonstrate that terminations play a major role in regulating MXenes' interlayer and substrate adhesion to iron and iron oxide and, therefore, lubrication, which is also affected by an external load. Using graphene and MoS2 as established references, we verify that MXenes' tribological performance as solid lubricants can be significantly improved by avoiding -OH and -F terminations, which can be done by controlling terminations via post-synthesis processing.

13.
Nanomaterials (Basel) ; 12(6)2022 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-35335781

RESUMO

The intercalation of graphene is an effective approach to modify the electronic properties of two-dimensional heterostructures for attractive phenomena and applications. In this work, we characterize the growth and surface properties of ionic KBr layers altered by graphene using ultra-high vacuum atomic force microscopy at room temperature. We observed a strong rippling of the KBr islands on Ir(111), which is induced by a specific layer reconstruction but disappears when graphene is introduced in between. The latter causes a consistent change in both the work function and the frictional forces measured by Kelvin probe force microscopy and frictional force microscopy, respectively. Systematic density functional theory calculations of the different systems show that the change in work function is induced by the formation of a surface dipole moment while the friction force is dominated by adhesion forces.

14.
J Matern Fetal Neonatal Med ; 35(22): 4365-4369, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33207986

RESUMO

Aim: Coffee intake is common during pregnancy. However, the influence of coffee and caffeine on pregnancy has not yet been fully determined. Some studies show that high coffee intake could cause miscarriage, preterm birth or reduction of fetal growth, but other studies do not support these findings. The aim of the present study was to analyze data collected from a database focusing on coffee intake during pregnancy, which was specifically created for multicenter studies carried out in the maternity units of Italian general hospitals. Principal outcomes of pregnancy during pregnancy were considered. Methods: Data of 5405 pregnancies were collected by a direct questionnaire supplemented with data from patients'clinical records during the survey named PHYTO.VIG.GEST. Results: We observed that 42.3% of the total sample had consumed at least one coffee a day during pregnancy. Analysis of a dose-response relationship showed that, in pregnant women starting from the consumption of three coffees a day (6% of pregnant women consuming coffee), there is a statistically significant association between number of coffees and reduction of babies birth weight (< 2500 g). Coclusion: Even though high coffee intake is known to influence negatively birth weight, our results indicate that a significant percentage of pregnant women maintain this habit.


Assuntos
Café , Nascimento Prematuro , Peso ao Nascer , Café/efeitos adversos , Estudos Transversais , Feminino , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Gravidez , Resultado da Gravidez/epidemiologia
15.
Beilstein J Nanotechnol ; 12: 432-439, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34104621

RESUMO

A novel reconstruction of a two-dimensional layer of KBr on an Ir(111) surface is observed by high-resolution noncontact atomic force microscopy and verified by density functional theory (DFT). The observed KBr structure is oriented along the main directions of the Ir(111) surface, but forms a characteristic double-line pattern. Comprehensive calculations by DFT, taking into account the observed periodicities, resulted in a new low-energy reconstruction. However, it is fully relaxed into a common cubic structure when a monolayer of graphene is located between substrate and KBr. By using Kelvin probe force microscopy, the work functions of the reconstructed and the cubic configuration of KBr were measured and indicate, in accordance with the DFT calculations, a difference of nearly 900 meV. The difference is due to the strong interaction and local charge displacement of the K+/Br- ions and the Ir(111) surface, which are reduced by the decoupling effect of graphene, thus yielding different electrical and mechanical properties of the top KBr layer.

16.
Nutrients ; 12(5)2020 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-32466161

RESUMO

Varicocele is one of the main causes of infertility in men. Oxidative stress and consequently apoptosis activation contribute to varicocele pathogenesis, worsening its prognosis. Natural products, such as lycopene, showed antioxidant and anti-inflammatory effects in several experimental models, also in testes. In this study we investigated lycopene effects in an experimental model of varicocele. Male rats (n = 14) underwent sham operations and were administered with vehicle (n = 7) or with lycopene (n = 7; 1 mg/kg i.p., daily). Another group of animals (n = 14) underwent surgical varicocele. After 28 days, the sham and 7 varicocele animals were euthanized, and both operated and contralateral testes were weighted and processed. The remaining rats were treated with lycopene (1 mg/kg i.p., daily) for 30 days. Varicocele rats showed reduced testosterone levels, testes weight, Bcl-2 mRNA expression, changes in testes structure and increased malondialdehyde levels and BAX gene expression. TUNEL (Terminal Deoxynucleotidyl Transferase dUTP Nick End Labeling) assay showed an increased number of apoptotic cells. Treatment with lycopene significantly increased testosterone levels, testes weight, and Bcl-2 mRNA expression, improved tubular structure and decreased malondialdehyde levels, BAX mRNA expression and TUNEL-positive cells. The present results show that lycopene exerts beneficial effects in testes, and suggest that supplementation with the tomato-derived carotenoid might be considered a novel nutraceutical strategy for the treatment of varicocele and male infertility.


Assuntos
Suplementos Nutricionais , Infertilidade Masculina/tratamento farmacológico , Licopeno/farmacologia , Varicocele/tratamento farmacológico , Animais , Antioxidantes/farmacologia , Apoptose/efeitos dos fármacos , Carotenoides/farmacologia , Marcação In Situ das Extremidades Cortadas , Masculino , Malondialdeído/sangue , Estresse Oxidativo/efeitos dos fármacos , Proteínas Proto-Oncogênicas c-bcl-2/genética , Proteínas Proto-Oncogênicas c-bcl-2/metabolismo , Ratos , Ratos Sprague-Dawley , Testículo/efeitos dos fármacos , Testosterona/sangue , Proteína X Associada a bcl-2/genética , Proteína X Associada a bcl-2/metabolismo
17.
J Pers Med ; 10(2)2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32492825

RESUMO

Precise tacrolimus treatment in transplanted patients is achieved in the clinical setting by performing therapeutic drug monitoring (TDM) and consequently adjusting therapy. The aim of this study was to retrospectively analyze the variability in tacrolimus blood levels throughout 2 years of observation in 75 transplanted patients and to investigate if tacrolimus blood levels correlate with presence of genetic polymorphisms, thus modifying tacrolimus pharmacokinetics. CYP3A5*1 (G6986A), CYP3A4*1B (A392G), CYP3A4*22, ABCB1 (C3435T; C1236T; G2677A/T), SLCO1B1 (T521C), polymorphisms were analyzed. Based on the effect of their genotypes, patients were stratified into 5 groups: (1) reduced tacrolimus metabolism (RM), (2) increased metabolism (IM), (3) transporters polymorphisms (TM), (4) metabolism and transporter polymorphisms (AM) and (5) no mutations (Wild Type, WT). The percentage of the samples out of therapeutic range was significantly higher in the IM group than in the WT group (p = 0.001), as well as compared to the TM group (p = 0.004). Only IM pattern (p = 0.015) resulted as an independent predictor of number of tacrolimus blood levels out of therapeutic range. RM pattern (p = 0.006) was inversely related to the administered dose. Therefore, genotyping could become a standard practice before tacrolimus prescription thus decreasing side effects, increasing efficacy and reducing the economic burden for the national health system.

18.
Stud Health Technol Inform ; 264: 1799-1800, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438350

RESUMO

Making therapy decisions in oncology is a challenging task in the medical precision era. Oncotherapy is a decision support system that provides oncologists with suitable therapies for the patient within the national guidelines. The system is capable, on the one hand, to help the oncologist to maximize fitting therapy to the patient and, on the other hand, to provide control tools for the country's sanitary authorities.


Assuntos
Oncologia , Neoplasias/terapia , Tomada de Decisões , Sistemas Inteligentes , Humanos , Software
19.
ACS Nano ; 13(5): 5485-5492, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-30983325

RESUMO

The catalytic growth on transition metal surfaces provides a clean and controllable route to obtain defect-free, monocrystalline graphene. However, graphene's optical and electronic properties are diminished by the interaction with the metal substrate. One way to overcome this obstacle is the intercalation of atoms and molecules decoupling the graphene and restoring its electronic structure. We applied noncontact atomic force microscopy to study the structural and electric properties of graphene on clean Cu(111) and after the adsorption of KBr or NaCl. By means of Kelvin probe force microscopy, a change in graphene's work function has been observed after the deposition of KBr, indicating a changed graphene-substrate interaction. Further measurements of single-electron charging events as well as X-ray photoelectron spectroscopy confirmed an electronic decoupling of the graphene islands by KBr intercalation. The results have been compared with density functional theory calculations, supporting our experimental findings.

20.
PLoS One ; 11(2): e0148443, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26872263

RESUMO

End-to-side nerve coaptation brings regenerating axons from the donor to the recipient nerve. Several techniques have been used to perform coaptation: microsurgical sutures with and without opening a window into the epi(peri)neurial connective tissue; among these, window techniques have been proven more effective in inducing axonal regeneration. The authors developed a sutureless model of end-to-side coaptation in the rat upper limb. In 19 adult Wistar rats, the median and the ulnar nerves of the left arm were approached from the axillary region, the median nerve transected and the proximal stump sutured to the pectoral muscle to prevent regeneration. Animals were then randomly divided in two experimental groups (7 animals each, 5 animals acting as control): Group 1: the distal stump of the transected median nerve was fixed to the ulnar nerve by applying cyanoacrylate solution; Group 2: a small epineurial window was opened into the epineurium of the ulnar nerve, caring to avoid damage to the nerve fibres; the distal stump of the transected median nerve was then fixed to the ulnar nerve by applying cyanoacrylate solution. The grasping test for functional evaluation was repeated every 10-11 weeks starting from week-15, up to the sacrifice (week 36). At week 36, the animals were sacrificed and the regenerated nerves harvested and processed for morphological investigations (high-resolution light microscopy as well as stereological and morphometrical analysis). This study shows that a) cyanoacrylate in end-to-side coaptation produces scarless axon regeneration without toxic effects; b) axonal regeneration and myelination occur even without opening an epineurial window, but c) the window is related to a larger number of regenerating fibres, especially myelinated and mature, and better functional outcomes.


Assuntos
Adesivos/farmacologia , Axônios/efeitos dos fármacos , Cianoacrilatos/farmacologia , Nervo Mediano/cirurgia , Procedimentos Neurocirúrgicos/métodos , Nervo Ulnar/cirurgia , Animais , Axônios/fisiologia , Feminino , Nervo Mediano/lesões , Bainha de Mielina/efeitos dos fármacos , Terminações Nervosas/efeitos dos fármacos , Regeneração Nervosa/fisiologia , Procedimentos Neurocirúrgicos/instrumentação , Ratos , Ratos Wistar , Recuperação de Função Fisiológica , Resultado do Tratamento , Nervo Ulnar/lesões , Extremidade Superior/inervação , Extremidade Superior/cirurgia
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