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Emerging need of molecular profiling in hepatobiliary cancer 肝胆癌分子图谱分析的新需求
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.058
Dr. Abhinav Manish, Amit Badola
: Gallbladder cancer is a rare malignancy but represents almost 50% of all biliary tract cancer. Biliary cancers are highly fatal malignancies with a 5-year survival rate of approximately 20%. The prognosis of gallbladder cancer is poor due to the aggressive tumor biology, late presentation, complicated anatomic position, and advanced stage at diagnosis.  Locally advanced and metastatic disease treatment is with palliative chemotherapy. Alarming sign of gallbladder cancer is overall decreased in incidence in older patients but increased in the younger population. So many mutations have been reported for the gall bladder cancer till date. : A prospective observational study was conducted over a period of 1 year at Asian Institute of Medical Sciences Faridabad which includes hepatobiliary carcinoma patients who are at stage III and stage IV of cancer. After getting the consent formalin fixed paraffin embedded biopsy samples, and 5 ml serum sample was collected in serum separator tube (SST). A whole genome sequencing was performed using Illumina HiSEQ, Illumina (NGS) technology, allows for high-throughput sequencing of DNA and RNA. Illumina's NGS is based on "sequencing by Synthesis" to detect the mutations.: Most common mutation found was in the P53 gene. TP53 (p.Arg175His), TP53 (p.Arg306Ter), TP53 (p.Cys238Tyr), TP53 (p.Leu43Ter), TP53 (p.Glu339Ter), TP53 (p.Pro190Leu). Mutations in the TP53 gene are a common feature of carcinoma of the gallbladder, and are associated with a more aggressive tumor phenotype, resistance to chemotherapy, and poorer overall survival.
:胆囊癌是一种罕见的恶性肿瘤,但几乎占所有胆道癌症的 50%。胆囊癌是高度致命的恶性肿瘤,5 年生存率约为 20%。由于胆囊癌具有侵袭性肿瘤生物学特性、发病较晚、解剖位置复杂以及诊断时已是晚期,因此预后较差。 局部晚期和转移性疾病的治疗以姑息化疗为主。令人担忧的是,胆囊癌在老年患者中的发病率总体下降,但在年轻人群中却有所上升。迄今为止,已有许多关于胆囊癌突变的报道。 : 在法里达巴德亚洲医学科学研究所进行了一项为期一年的前瞻性观察研究,研究对象包括处于癌症 III 期和 IV 期的肝胆癌患者。在征得同意后,在血清分离管(SST)中收集正式固定石蜡包埋活检样本和 5 毫升血清样本。全基因组测序使用的是 Illumina HiSEQ,Illumina(NGS)技术可对 DNA 和 RNA 进行高通量测序。Illumina 的 NGS 基于 "合成测序 "来检测突变:最常见的突变发生在 P53 基因中。TP53(p.Arg175His)、TP53(p.Arg306Ter)、TP53(p.Cys238Tyr)、TP53(p.Leu43Ter)、TP53(p.Glu339Ter)、TP53(p.Pro190Leu)。TP53 基因突变是胆囊癌的常见特征,与更具侵袭性的肿瘤表型、对化疗的耐药性和较差的总生存率有关。
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引用次数: 0
The Vax effect: Role of global vaccination initiatives in pandemic control and impact in Dehradun during COVID-19 疫苗效应:全球疫苗接种行动在大流行病控制中的作用以及 COVID-19 期间在德拉敦产生的影响
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.057
Ankita Singh, Nivedita Chetan Gurada, Nidhi Mahendru, Abhijeet Kashyap, Sourabh Bhanu, Narotam Sharma, Ritu Kaushik
COVID-19 was one of the most contagious diseases spread throughout the world and caused by the Corona virus. Its cellular and molecular profiling was performed on individuals suffering from Covid-19-like sickness in Dehradun. During this investigation, 100 random samples were taken from patients. Real Time PCR amplification of suspected cases of Covid-19 was done where 68% of the cases were positive. The proportions and patterns of positive cases and hospital admissions for covid-19 in the third wave in Dehradun were significantly different when compared to the first and second waves. This disparity was caused by a number of factors, including changes in lifestyle, natural immunological ability to cope with recent waves of natural infections, and the most important factor, which was that more than 83% of people over the age of 18 years had received the first or both doses of the vaccine. The Covid-19 vaccines were so effective due to which there was a very low rate of serious infection, hospitalization, and mortality.
COVID-19 是由科罗娜病毒引起的、在全世界传播最广的传染病之一。对德拉敦的 Covid-19 类疾病患者进行了细胞和分子分析。调查期间,从患者身上随机抽取了 100 份样本。对 Covid-19 疑似病例进行了实时 PCR 扩增,68% 的病例呈阳性。与第一轮和第二轮调查相比,德拉敦第三轮调查中阳性病例的比例和模式以及因Covid-19而入院的人数有显著差异。造成这种差异的因素有很多,包括生活方式的改变、应对最近几波自然感染的天然免疫能力,以及最重要的一个因素,即超过 83% 的 18 岁以上人群已经接种了第一剂或两剂疫苗。由于 Covid-19 疫苗非常有效,因此严重感染、住院和死亡率都非常低。
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引用次数: 0
Vegetarian diet induced new onset acute gouty arthritis in a middle-aged genetically predisposed male: A rare presentation 素食诱发一名有遗传倾向的中年男性新发急性痛风性关节炎:罕见病例
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.060
Poonam Agrawal, Mohit Agrawal, Deepti Chopra
Gout is a metabolic disease characterised by acute or chronic arthritis which is due to deposition of Monosodium urate (MSU) crystals in joints and soft tissues. Classically described as a disease associated with hyperuricemia which may be due to metabolic defect in uric acid production or due to impaired renal excretion.We present a case of 45 year old nondiabetic, non-alcoholic, non-smoker male presented to orthopaedic OPD with complain of pain in right hand and left leg with restriction of joint mobility for past 14 hours.On carefully eliciting the dietary history patient revealed that he was a vegetarian and was on high purine rich diet for past 2 weeks due to family functions and various gatherings. Patient gave the history of consumption of cauliflower, mushrooms, beans along with sweetened carbonated drinks on two consecutive days before the onset of these symptoms.Serum uric acid 4.5 mg/dl, C-reactive protein was 9 mg/dl. To best of our knowledge this is the first case being reported in literatures where purine rich vegetarian diet has induced new case of gout.This kind of gout precipitation after consuming vegetarian diet is rarely reported in literature. This case report emphasizes upon the need of special caution to be taken by persons who are genetically predisposed to gout, while consuming purine rich diet like red meat, seafood, cauliflowers, spinach, rajma, Bengal gram, mushrooms, soft drinks sweetened with fructose.
痛风是一种代谢性疾病,其特征是由于尿酸单钠(MSU)结晶在关节和软组织中沉积而引起的急性或慢性关节炎。我们接诊了一例 45 岁非糖尿病、非酒精中毒、非吸烟的男性患者,主诉右手和左腿疼痛并伴有关节活动受限,且疼痛已持续 14 小时。患者提供的病史显示,在出现这些症状之前,他曾连续两天食用花椰菜、蘑菇、豆类和含糖碳酸饮料。据我们所知,这是文献中报道的首例因食用富含嘌呤的素食而诱发痛风的病例。本病例报告强调,有痛风遗传倾向的人在食用富含嘌呤的饮食(如红肉、海鲜、菜花、菠菜、rabjma、孟加拉草、蘑菇、含果糖的软饮料)时需要特别小心。
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引用次数: 0
MicroRNAs as biomarkers in prostate cancer: A mini review 作为前列腺癌生物标志物的微RNA:微型综述
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.049
Kowsalya R
Among men one of the most common cancers identified globally is prostate cancer. Although the serum prostate specific antigen remains important for prognosis and diagnosis, the PSA assay is not highly accurate. In the search for improved minimally invasive methods as a biomarker, the expression patterns of circulating miRNAs have a potential importance and are emerging as a promising candidate as prognostic markers for prostate cancer.
前列腺癌是全球最常见的男性癌症之一。虽然血清前列腺特异性抗原对预后和诊断仍然很重要,但 PSA 检测的准确性不高。在寻找更好的微创方法作为生物标志物的过程中,循环 miRNAs 的表达模式具有潜在的重要性,并正在成为前列腺癌预后标志物的有希望的候选者。
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引用次数: 0
A mandatory practice in type 2 diabetes mellitus to maintain quality of life 2 型糖尿病患者保持生活质量的必修课
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.053
S. Shrestha, Pradeep Krishna Shrestha, Binod Kumar Yadav
Nepalese owing to modern lifestyle and processed food are racially at an elevated risk of acquiring central obesity-related insulin resistance (IR) and thus Type 2 diabetes mellitus (T2DM) and Diabetic Kidney Disease (DKD). Low birth weight in utero and later becoming obese risks the development of T2DM. In a total of eighty-four newly diagnosed treatment-naive Nepalese T2DMs, incidence of IR, percentage beta-cell function (%BCF) and percentage insulin sensitivity (%IS) were determined using Homeostatic Model Assessment 2 (HOMA2-IR). Association of HOMA2-IR with albuminuria, kidney function, hs-CRP, fatty liver, fatty pancreas, several anthropometric and biochemical parameters were analyzed. Among the eighty-four T2DMs, fifty-four agreeing regular follow-ups were prescribed a low-carbohydrate diet (<130gm/day). At 6 months, their glycemic controls were monitored. From 84 newly diagnosed T2DMs, 56 (66.7%) were insulin resistant and 28(33.3%) insulin-sensitive on HOMA2-IR. There was a significant association of HOMA2-IR with albuminuria and declining kidney function (p=0.006 and 0.034 respectively) and most of them were at reversible stages. Waist circumference (WC), waist-hip ratio (WHR), lipid profile ratios, fatty liver and fatty pancreas were elucidated as potential markers for IR. The IS group (ISG) had significantly inadequate %BCF (p=0.001) but high %IS (p<0.001) has healthier WHR (p=0.001) and lipid profile ratios which are opposite to IR group (IRG). 13 ISG had raised hs-CRP and 15 normal and 21 IRG had normal hs-CRP and 35 raised. At 6 months, the IRG achieved significantly better postprandial glycemic goals (p=0.04) and significant improvement in WC and WHR (p=0.008 and 0.03 respectively) with a low-carbohydrate diet as compared to ISG. Severe insulin resistance and IR-associated DKD, fatty liver and fatty pancreas are highly prevalent from the time of diagnosis of T2DM in the Nepalese population. Thus inspecting for IR and its consequences mandatorily at diagnosis and applying precision therapies like adjustments in the quality and quantity of staple food carbohydrates significantly improves IR-related parameters and glycemia.
由于现代生活方式和加工食品的影响,尼泊尔人患与中心性肥胖相关的胰岛素抵抗(IR),进而患 2 型糖尿病(T2DM)和糖尿病肾病(DKD)的风险较高。胎儿出生时体重过轻以及后来的肥胖都有可能导致 T2DM 的发生。在八十四例新诊断的、未接受治疗的尼泊尔 T2DM 患者中,使用 "稳态模型评估 2"(HOMA2-IR)测定了 IR 发生率、β 细胞功能百分比(%BCF)和胰岛素敏感性百分比(%IS)。分析了HOMA2-IR与白蛋白尿、肾功能、hs-CRP、脂肪肝、脂肪胰腺、多项人体测量和生化指标的关系。在 84 名 T2DM 患者中,54 人同意定期随访,并接受了低碳水化合物饮食(<130 克/天)。6 个月后,对他们的血糖控制情况进行监测。在 84 名新确诊的 T2DM 患者中,有 56 人(66.7%)出现胰岛素抵抗,28 人(33.3%)对 HOMA2-IR 敏感。HOMA2-IR与白蛋白尿和肾功能衰退有明显关联(P分别为0.006和0.034),且大部分处于可逆阶段。腰围(WC)、腰臀比(WHR)、血脂谱比率、脂肪肝和脂肪胰腺被认为是 IR 的潜在标志物。IS组(ISG)的BCF%明显不足(p=0.001),但IS%较高(p<0.001),WHR(p=0.001)和血脂谱比率较健康,这与IR组(IRG)相反。13 例 ISG 组 hs-CRP 升高,15 例正常;21 例 IRG 组 hs-CRP 正常,35 例升高。与ISG相比,在6个月时,IRG通过低碳水化合物饮食达到了明显更好的餐后血糖目标(P=0.04),并且体重减轻和体重增加也有明显改善(P分别为0.008和0.03)。在尼泊尔人群中,严重的胰岛素抵抗和与 IR 相关的 DKD、脂肪肝和脂肪胰腺在 T2DM 诊断时就已非常普遍。因此,在诊断时就必须检查胰岛素抵抗及其后果,并采用精确疗法,如调整主食碳水化合物的质量和数量,可显著改善胰岛素抵抗相关指标和血糖。
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引用次数: 0
Recent advances in tuberculosis: A comprehensive review of emerging trends in pathogenesis, diagnostics, treatment, and prevention 结核病的最新进展:全面回顾发病机制、诊断、治疗和预防方面的新趋势
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.048
Abdullah Salim Al-Karawi, A. Kadhim, Maha M Kadum
It is an in-depth analysis of a globally significant infectious disease, tuberculosis (TB). It covers the epidemiology, pathogenesis, diagnosis, treatment and prevention of TB with attention to its successes and shortcomings. The review examines this complicated relationship between Mycobacterium tuberculosis and the human host. It describes how outcomes move from latent infection to active disease. An Overview It introduces the current diagnostic methods, therapeutic regimens and preventive strategies; repeated emphasis is placed on targeted interventions and public health efforts. Also, the review covers future efforts in TB research and control that will further improve prevention and treatment. These include vaccines; new drugs (including a quest for novel agents); improved diagnostics (such as more rapid tests or smear-free methods); public health interventions such as policies on occupational exposures to respiratory rusts; integrated care models including continuity of services between Through these points the review illuminates how much can still be accomplished in terms of controlling--and even eliminating entirely--TB, with ramifications for global public health.
该书深入分析了全球重大传染病--结核病(TB)。内容涵盖结核病的流行病学、发病机制、诊断、治疗和预防,并关注其成功与不足之处。综述探讨了结核分枝杆菌与人类宿主之间的复杂关系。它描述了从潜伏感染到活动性疾病的过程。概述》介绍了当前的诊断方法、治疗方案和预防策略;反复强调了有针对性的干预措施和公共卫生工作。此外,本综述还介绍了未来在结核病研究和控制方面的努力,这些努力将进一步改善预防和治疗。这些措施包括疫苗、新药(包括寻找新型制剂)、改进的诊断方法(如更快速的检测或免涂片方法)、公共卫生干预措施(如关于呼吸道锈病职业接触的政策)、综合护理模式(包括不同服务之间的连续性)。
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引用次数: 0
Comparison of two parathyroid hormone (pth) assay methods in the monitoring of black african hemodialysis patients in the ivory coast (Maglumi® vs Vidas Biomerieux® Kits) 比较两种甲状旁腺激素(PTH)检测方法(Maglumi® 和 Vidas Biomerieux® 试剂盒)在监测象牙海岸非洲黑人血液透析患者中的应用
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.052
Yao Epse Yapo Carine Mireille, Y. Eric, Kouacou Kadio Morel, Konan Konan Jean-Louis, Kone Dakouri Benedicte
Parathyroid hormone (PTH) testing is recommended once or twice a year to prevent bone complications resulting from chronic kidney disease. However, its interpretation is subject to many factors, including the generation of the PTH test used. For this reason, it is recommended that each laboratory establish its own PTH Upper Limit of Normality (ULN). In order to guarantee optimal management of hemodialysis patients in the public sector in Côte d'Ivoire (West Africa), it proved important to compare the diagnosis of hyperparathyroidism made using two platforms used in the laboratory in charge of monitoring these patients: PTH VIDAS® (3rd Generation) and PTH MAGLUMI® (2nd Generation). This was a cross-sectional study of 65 haemodialysis patients in Abidjan. PTH determinations were performed simultaneously on VIDAS® and MAGLUMI® platforms. The results obtained were interpreted on the basis of PTH threshold values pre-established in the laboratory. 86.15% of patients had concordant diagnoses on both platforms, compared with 13.85% with discordant diagnoses. Statistical analysis of these results showed a non-statistically significant difference.: The limitation posed by differences in PTH concentration given by different platforms can be circumvented by using PTH ULN stablished for each platform for a given population. Conclusion: The diagnoses made by the two platforms are thus superimposable using their respective PTH ULN.
建议每年进行一到两次甲状旁腺激素(PTH)检测,以预防慢性肾病导致的骨骼并发症。然而,其解释受许多因素的影响,包括所使用的 PTH 检测方法。因此,建议每个实验室建立自己的 PTH 正常值上限(ULN)。为了保证对科特迪瓦(西非)公共部门的血液透析患者进行最佳管理,对负责监测这些患者的实验室所使用的两种平台进行甲状旁腺功能亢进诊断的比较证明非常重要:PTH VIDAS®(第三代)和 PTH MAGLUMI®(第二代)。这是一项针对阿比让 65 名血液透析患者的横断面研究。PTH测定在VIDAS®和MAGLUMI®平台上同时进行。所得结果根据实验室预先设定的 PTH 临界值进行解释。86.15%的患者在两个平台上的诊断结果一致,而13.85%的患者诊断结果不一致。对这些结果的统计分析显示,两者之间的差异无统计学意义:不同平台给出的 PTH 浓度不同所造成的限制可以通过使用每个平台为特定人群确定的 PTH ULN 来规避。结论因此,两个平台使用各自的 PTH ULN 所做的诊断是可以叠加的。
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引用次数: 0
Artificial intelligence in clinical chemistry – Boon or a bane 临床化学中的人工智能--利还是弊
Pub Date : 2024-02-15 DOI: 10.18231/j.ijcbr.2023.047
Uma Maheshwari K
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引用次数: 0
Diethylcarbamazine modulates the antioxidant enzyme activity in proxy host mice infected with the Setaria microfilariae 二乙基卡马嗪调节微丝狗尾草感染代理宿主小鼠抗氧化酶活性
Pub Date : 2023-10-15 DOI: 10.18231/j.ijcbr.2023.039
Nevin K Govindan, Jayakumar K Kochukunju
The common filarial worm of cattle, , whose larvae are known as , are discovered in the blood and peritoneum and cause a condition known as cerebrospinal nematodiasis. There is an unavoidable need for prompt detection and treatment of these filarial diseases. Infections caused by a variety of filarial species have traditionally been treated with diethylcarbamazine (DEC). The most notable aspect of DEC is that, , it appears to have little effect on filarial parasites. However, DEC may act on the parasite's surface, unmasking antigen. This study was initiated to evaluate the effect of DEC on the antioxidant enzyme activities, Superoxide dismutase (SOD), and Catalase (CAT) of mice infected with (Mf). was collected and the Mf was isolated and injected into Swiss-bred mice for 12 days. The animals were grouped as Control, Control +DEC, Control + Mf, and Control+Mf+DEC. The results showed that CAT activity in the peritoneal fluid of Control+Mf+DEC was found to be elevated at a higher level compared to the control. The activity in the Control+DEC and Control+Mf mice showed similar values. SOD activity in the peritoneal fluid of Control+Mf+DEC mice remained elevated from the 1 day to the 12 day compared to the control. Though DEC alone treated mice did not show any profound increase in the activity of these enzymes. The rise in SOD level during the 3 and 5 day of the DEC-treated infected mice may be due to the production of active oxygen species. Proposed to occur as a result of a tilt in the biochemical balance of the cells towards the oxidative damage, failing which decreased removal of free radicals leading to tissue damage results. The result showed that the DEC treatment may be affecting the survival of the Mf shown by the increased antioxidant enzymes which may be due to the inflammation caused by the excretory products of Mf.
牛的常见丝虫病,其幼虫被称为,在血液和腹膜中发现,并引起一种称为脑脊髓线虫病的疾病。不可避免地需要及时发现和治疗这些丝虫病。由多种丝虫引起的感染传统上用乙基卡马嗪(DEC)治疗。DEC最值得注意的方面是,它似乎对丝虫病寄生虫几乎没有影响。然而,DEC可能作用于寄生虫的表面,揭开抗原。本研究旨在评价DEC对(Mf)感染小鼠抗氧化酶活性、超氧化物歧化酶(SOD)和过氧化氢酶(CAT)的影响。收集并分离Mf,注射到瑞士种小鼠体内12天。按对照组、对照组+DEC、对照组+Mf、对照组+Mf+DEC分组。结果显示,对照组+Mf+DEC腹膜液中CAT活性明显高于对照组。在Control+DEC和Control+Mf小鼠中,活性值相近。与对照组相比,对照组+Mf+DEC小鼠腹膜液中SOD活性从1天到12天保持升高。虽然DEC单独处理小鼠并没有显示出这些酶活性的任何显著增加。感染小鼠经dec处理后第3天和第5天SOD水平升高可能是由于活性氧的产生。被认为是由于细胞的生化平衡向氧化损伤倾斜而发生的,如果氧化损伤失败,自由基的去除减少导致组织损伤的结果。结果表明,DEC处理可能影响了Mf的生存,表现为抗氧化酶的增加,这可能是由于Mf的排泄产物引起的炎症。
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引用次数: 0
Harvesting the biochemical potential of L-PRF with their growth factors and cytokines 利用L-PRF的生长因子和细胞因子获取其生化潜能
Pub Date : 2023-10-15 DOI: 10.18231/j.ijcbr.2023.044
Carlos Fernando Mourão, Adam Lowenstein, Mona Patel
Leukocyte platelet-rich fibrin (L-PRF) is an autologous biomaterial used in regenerative medicine and tissue healing. This review emphasizes the role of growth factors and cytokines in L-PRF, which contribute significantly to the healing process in various clinical scenarios. The analysis focuses on the controlled release of Platelet-derived growth factors (PDGF), Fibroblast growth factors (FGF), and Vascular endothelial growth factors (VEGF), demonstrating a propensity to promote angiogenesis and stimulate the migration and proliferation of cells necessary for tissue regeneration. The review also examines the roles of anti-inflammatory and pro-inflammatory cytokines, including Interleukins (IL-1, IL-4, IL-10, IL-6) and Tumor necrosis factor-alpha (TNF-α), and Interferon-gamma (IFN-γ), in modulating the inflammatory response during tissue healing. The goal of this comprehensive review is to enhance the understanding of L-PRF and its constituent factors, opening avenues for harnessing its potential in regenerative medicine. The bioactive components within L-PRF stimulate tissue healing and repair, creating an optimal environment for tissue regeneration.
富血小板白细胞纤维蛋白(L-PRF)是一种用于再生医学和组织愈合的自体生物材料。本文综述了生长因子和细胞因子在L-PRF中的作用,它们在各种临床情况下的愈合过程中起着重要作用。分析的重点是血小板衍生生长因子(PDGF)、成纤维细胞生长因子(FGF)和血管内皮生长因子(VEGF)的控制释放,显示出促进血管生成和刺激组织再生所需细胞的迁移和增殖的倾向。该综述还探讨了抗炎和促炎细胞因子的作用,包括白细胞介素(IL-1, IL-4, IL-10, IL-6)和肿瘤坏死因子-α (TNF-α)和干扰素-γ (IFN-γ),在组织愈合过程中调节炎症反应。本文综述的目的是加强对L-PRF及其组成因素的认识,为利用其在再生医学中的潜力开辟途径。L-PRF中的生物活性成分刺激组织愈合和修复,为组织再生创造最佳环境。
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引用次数: 0
期刊
International Journal of Clinical Biochemistry and Research
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