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Navigating the Challenges of 3D Printing Personalized Medicine in Space Explorations: A Comprehensive Review 在太空探索中驾驭 3D 打印个性化医疗的挑战:全面回顾
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 DOI: 10.1615/critrevtherdrugcarriersyst.2024051126
PRAKASH KATAKAM, Madhavi Lakshmi Ratna Bhavaraju, Tanniru Venkata Narayana, Koushik Bhandari, Nagarajan Sriram, Vidya Sagar Sisinty, Shanta Kumari Adiki
Space exploration has undergone a paradigm shift in recent years, with a growing emphasis on long-duration missions and human habitation on other celestial bodies. Private aerospace businesses are at the forefront of advancing the next iteration of spacecraft, encompassing a wide range of applications such as deep space exploration (e.g., SpaceX) and cost-effective satellite deployments (e.g., Rocketlab). One of the critical challenges associated with prolonged space missions is the provision of personalized medical care. 3D printing technology has emerged as a potential solution, enabling the on-demand production of personalized medical devices and medications. However, the unique conditions of space pose substantial challenges to the successful implementation of 3D printing for personalized medicine. Tremendous scope for research exists in terms of resource utilization and waste management in space ecosystem, robotic and AI enabled tool utilization, remote operability, interplanetary travel, space education and training tools, digital twins, space tourism and in many other aspects of 3D printing for personalized medicine in space explorations.
近年来,太空探索的模式发生了转变,越来越强调长期飞行任务和人类在其他天体上的居住。私营航空航天企业走在推进下一代航天器的最前沿,包括深空探索(如 SpaceX)和具有成本效益的卫星部署(如 Rocketlab)等广泛应用。与长期太空任务相关的关键挑战之一是提供个性化医疗服务。三维打印技术已成为一种潜在的解决方案,可按需生产个性化医疗设备和药物。然而,独特的太空条件对成功实施个性化医疗 3D 打印技术构成了巨大挑战。在太空生态系统的资源利用和废物管理、机器人和人工智能工具的利用、远程可操作性、星际旅行、太空教育和培训工具、数字双胞胎、太空旅游以及 3D 打印用于太空探索中的个性化医疗的许多其他方面,都存在巨大的研究空间。
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引用次数: 0
From Conventional to Novel Drug Delivery Systems for Meloxicam: A Systematic Review 美洛昔康的传统给药系统到新型给药系统:系统综述
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-02-01 DOI: 10.1615/critrevtherdrugcarriersyst.2024048988
Manjusha Annaji, Nur Mita, Jessica Heard, Xuejia Kang, Ishwor Poudel, Sai H.S. Boddu, Amit K. Tiwari, R. Jayachandra Babu
Meloxicam, a selective COX-2 inhibitor, has demonstrated clinical effectiveness in managing inflammation and acute pain. Although available in oral formulations such as capsules, tablets, and suspension, frequent administration is necessary to maintain therapeutic efficacy, which can increase adverse effects and patient non-compliance. To address these issues, several sustained drug delivery strategies such as oral, transdermal, transmucosal, injectable, implantable drug delivery systems have been developed for meloxicam. These sustained drug delivery strategies have the potential to improve the therapeutic efficacy and safety profile of meloxicam by reducing the frequency of dosing and associated gastrointestinal side effects. The choice of drug delivery system will depend on the desired release profile, the target site of inflammation, and the mode of administration. Overall, meloxicam sustained delivery systems offer better patient compliance, and reduce side effects, thereby improving the clinical applications of this drug. Herein, we discuss in detail the different strategies for the sustained delivery of meloxicam.
美洛昔康是一种选择性 COX-2 抑制剂,在治疗炎症和急性疼痛方面具有显著的临床疗效。虽然美洛昔康有胶囊、片剂和混悬剂等口服制剂,但必须频繁给药才能维持疗效,这可能会增加不良反应和患者的不依从性。为解决这些问题,美洛昔康已开发出多种持续给药策略,如口服、透皮、透粘膜、注射和植入式给药系统。这些持续给药策略有可能通过减少给药次数和相关的胃肠道副作用来提高美洛昔康的疗效和安全性。给药系统的选择取决于所需的释放曲线、目标炎症部位和给药方式。总之,美洛昔康持续给药系统能使患者更好地遵从医嘱,减少副作用,从而改善该药物的临床应用。在此,我们将详细讨论美洛昔康持续给药的不同策略。
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引用次数: 0
A Path of Novelty from Nanoparticles to Nanobots: Theragnostic Approach for Targeting Cancer Therapy. 从纳米粒子到纳米机器人的创新之路:癌症靶向治疗的热诊断方法。
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1615/CritRevTherDrugCarrierSyst.2023046674
Gursharanpreet Kaur, Bhawna Khanna, Mohammed Yusuf, Akanksha Sharma, Akhil Khajuria, Hema K Alajangi, Pradeep K Jaiswal, Mandip Sachdeva, Ravi Pratap Barnwal, Gurpal Singh

Pharmaceutical development of cancer therapeutics is a dynamic area of research. Even after decades of intensive work, cancer continues to be a dreadful disease with an ever-increasing global incidence. The progress of nanotechnology in cancer research has overcome inherent limitations in conventional cancer chemotherapy and fulfilled the need for target-specific drug carriers. Nanotechnology uses the altered patho-physiological microenvironment of malignant cells and offers various advantages like improved solubility, reduced toxicity, prolonged drug circulation with controlled release, circumventing multidrug resistance, and enhanced biodistribution. Early cancer detection has a crucial role in selecting the best drug regime, thus, diagnosis and therapeutics go hand in hand. Furthermore, nanobots are an amazing possibility and promising innovation with numerous significant applications, particularly in fighting cancer and cleaning out blood vessels. Nanobots are tiny robots, ranging in size from 1 to 100 nm. Moreover, the nanobots would work similarly to white blood cells, watching the bloodstream and searching for indications of distress. This review articulates the evolution of various organic and inorganic nanoparticles and nanobots used as therapeutics, along with their pros and cons. It also highlights the shift in diagnostics from conventional methods to more advanced techniques. This rapidly growing domain is providing more space for engineering desired nanoparticles that can show miraculous results in therapeutic and diagnostic trials.

癌症治疗药物的研发是一个充满活力的研究领域。即使经过几十年的深入研究,癌症仍然是一种可怕的疾病,全球发病率不断上升。纳米技术在癌症研究中的进步克服了传统癌症化疗的固有局限性,满足了对靶向药物载体的需求。纳米技术利用恶性细胞改变的病理生理微环境,具有多种优势,如提高溶解度、降低毒性、通过控制释放延长药物循环、规避多药耐药性以及增强生物分布。早期癌症检测对选择最佳药物治疗方案至关重要,因此诊断和治疗是相辅相成的。此外,纳米机器人是一种极具潜力和前景的创新技术,在抗癌和清理血管等方面有着众多重要应用。纳米机器人是一种微小的机器人,大小从 1 纳米到 100 纳米不等。此外,纳米机器人的工作原理与白细胞类似,可以观察血液流动情况并寻找危险迹象。本综述阐述了用作治疗的各种有机和无机纳米粒子和纳米机器人的演变及其利弊。它还强调了诊断方法从传统方法向更先进技术的转变。这一快速发展的领域为设计出理想的纳米粒子提供了更大的空间,使其在治疗和诊断试验中显示出神奇的效果。
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引用次数: 0
Nanotechnology-Based Approaches for Cosmeceutical and Skin Care: A Systematic Review. 基于纳米技术的药妆和护肤方法:系统综述。
IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1615/CritRevTherDrugCarrierSyst.v41.i5.20
Shital Rani, Piyush Dey, Kritika Pruthi, Sahajdeep Singh, Shivansh Mahajan, Hema K Alajangi, Sumeet Kapoor, Ankur Pandey, Dikshi Gupta, Ravi Pratap Barnwal, Gurpal Singh

Cosmeceuticals have gained great importance and are among the top-selling products used for skin care. Because of changing lifestyles, climate, and increasing pollution, cosmeceuticals are utilized by every individual, thereby making cosmeceuticals a fruitful field for research and the economy. Cosmeceuticals provide incredibly pleasing aesthetic results by fusing the qualities of both cosmetics and medicinal substances. Cosmeceuticals are primarily utilized to improve the appearance of skin by making it smoother, moisturized, and wrinkle-free, in addition to treating dermatological conditions, including photoaging, burns, dandruff, acne, eczema, and erythema. Nanocosmeceuticals are cosmetic products that combine therapeutic effects utilizing nanotechnology, allowing for more precise and effective target-specific delivery of active ingredients, and improving bioavailability.

药妆产品已占据重要地位,是最畅销的皮肤护理产品之一。由于生活方式的改变、气候的变化和污染的加剧,每个人都在使用药妆,从而使药妆成为一个富有成果的研究和经济领域。药妆品融合了化妆品和药物的特质,具有令人难以置信的美容效果。药妆品主要用于改善皮肤外观,使其更加光滑、滋润、无皱纹,此外还用于治疗皮肤病,包括光老化、烧伤、头皮屑、痤疮、湿疹和红斑。纳米药妆是一种利用纳米技术将治疗效果结合在一起的化妆品,可以更精确、更有效地针对特定靶点输送活性成分,并提高生物利用率。
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引用次数: 0
Advances in Gold nanoparticles: Synthesis, Functionalization Strategies and Theranostic Applications in Cancer 金纳米粒子的研究进展:癌症中的合成、功能化策略和治疗应用
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1615/critrevtherdrugcarriersyst.2024046712
Mansi Damani, Mrunal Jadhav, Rashmi Joshi, Bheeshma Pratap Singh, Munira Momin, Raghumani S Ningthoujam, Tabassum Khan
Cancer is among the leading causes of mortality and morbidity in the world. Metallic nanoparticles, especially gold nanoparticles have emerged to be attractive systems to circumvent the associated adverse effects. By the virtue of their unique properties of tunable size, shape, composition, optical properties, biocompatibility, minimal toxicity, multivalency, fluorescence-luminescence property and surface plasmon resonance; gold nanoparticles have the potential to be used as drug delivery systems. It is vital to ensure that the drug reaches the target site of action for selective kill of cancer cells without harm to healthy cells. These nanoparticles can be easily functionalised with a wide array of ligands- peptides, oligonucleotides, polymers, carbohydrates for active targeting to ensure site specific delivery and reduced systemic effects. Gold nanoparticles have been investigated as carriers for gene delivery, drug delivery with or without photothermal therapy, in diagnosis based on radiation or spectroscopy. They have emerged as attractive theranostic approach in the overall management of cancer with superior benefit to risk features. In this review, we have discussed synthesis of different gold nanoparticles (nanorods, spherical nanoparticles, hollow gold nanoparticles), their functionalization strategies and their applications in biomedical domain. Various research studies and clinical trials on application of gold nanoparticles in diagnosis and therapeutics are highlighted.
癌症是全球死亡和发病的主要原因之一。金属纳米粒子,尤其是金纳米粒子,已成为规避相关不良影响的极具吸引力的系统。金纳米粒子具有可调尺寸、形状、成分、光学特性、生物相容性、最小毒性、多价性、荧光-发光特性和表面等离子体共振等独特特性,因此有潜力用作药物输送系统。确保药物到达作用靶点,选择性地杀死癌细胞而不伤害健康细胞至关重要。这些纳米粒子可以很容易地与各种配体(肽、寡核苷酸、聚合物、碳水化合物)进行功能化,以实现主动靶向,确保特定部位给药,减少全身效应。金纳米粒子已被研究用作基因递送、药物递送(带或不带光热疗法)、基于辐射或光谱诊断的载体。在癌症的整体治疗中,金纳米粒子已成为一种极具吸引力的治疗方法,其收益优于风险特征。在这篇综述中,我们讨论了不同金纳米粒子(纳米棒、球形纳米粒子、空心金纳米粒子)的合成、功能化策略及其在生物医学领域的应用。重点介绍了有关金纳米粒子在诊断和治疗中应用的各种研究和临床试验。
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引用次数: 0
Applications of Cannabinoids in Neuropathic Pain: An Updated Review. 大麻酚类药物在神经性疼痛中的应用:最新综述。
IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1615/CritRevTherDrugCarrierSyst.2022038592
Peggy Arthur, Anil Kumar Kalvala, Sunil Kumar Surapaneni, Mandip Sachdeva Singh

Neuropathic pain is experienced due to injury to the nerves, underlying disease conditions or toxicity induced by chemotherapeutics. Multiple factors can contribute to neuropathic pain such as central nervous system (CNS)-related autoimmune and metabolic disorders, nerve injury, multiple sclerosis and diabetes. Hence, development of pharmacological interventions to reduce the drawbacks of existing chemotherapeutics and counter neuropathic pain is an urgent unmet clinical need. Cannabinoid treatment has been reported to be beneficial for several disease conditions including neuropathic pain. Cannabinoids act by inhibiting the release of neurotransmitters from presynaptic nerve endings, modulating the excitation of postsynaptic neurons, activating descending inhibitory pain pathways, reducing neural inflammation and oxidative stress and also correcting autophagy defects. This review provides insights on the various preclinical and clinical therapeutic applications of cannabidiol (CBD), cannabigerol (CBG), and cannabinol (CBN) in various diseases and the ongoing clinical trials for the treatment of chronic and acute pain with cannabinoids. Pharmacological and genetic experimental strategies have well demonstrated the potential neuroprotective effects of cannabinoids and also elaborated their mechanism of action for the therapy of neuropathic pain.

神经性疼痛是由于神经损伤、潜在疾病或化疗药物引起的毒性而引起的。多种因素可导致神经性疼痛,如中枢神经系统相关的自身免疫和代谢紊乱、神经损伤、多发性硬化症和糖尿病。因此,开发药物干预措施以减少现有化疗药物和对抗神经性疼痛的缺点是一个迫切需要满足的临床需求。据报道,大麻素治疗对包括神经性疼痛在内的多种疾病有益。大麻素的作用是抑制突触前神经末梢的神经递质释放,调节突触后神经元的兴奋,激活下行抑制性疼痛通路,减少神经炎症和氧化应激,并纠正自噬缺陷。这篇综述深入了解了大麻二酚(CBD)、大麻酚(CBG)和大麻素(CBN)在各种疾病中的各种临床前和临床治疗应用,以及正在进行的大麻素治疗慢性和急性疼痛的临床试验。药理学和遗传学实验策略已经很好地证明了大麻素的潜在神经保护作用,并阐述了其治疗神经性疼痛的作用机制。
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引用次数: 0
Targeting Amyloids with coated Nanoparticles: A review on lucrative combinations of Nanoparticles and its Bio-compatible coating 包被纳米颗粒靶向淀粉样蛋白:纳米颗粒及其生物相容性包被的研究进展
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1615/critrevtherdrugcarriersyst.2023046209
Oshin D. Warerkar, Niyati H. Mudliar, M. Momin, Prabhat Singh
Amyloidosis is the major cause of many neurodegenerative diseases, such as, Alzheimer's and Parkinson's where the misfolding and deposition of a previously functional protein make it inept for carrying out its function. The genesis of amyloid fibril formation and the strategies to inhibit it have been studied extensively, although some parts of this puzzle still remain unfathomable to date. Many classes of molecules have been explored as potential drugs in vitro, but their inability to work in vivo by crossing the blood-brain-barrier has made them an inadequate treatment option. In this regard, nanoparticles (NPs) have turned out to be an exciting alternative because they could overcome many drawbacks of previously studied molecules and provide advantages, such as, greater bioavailability of molecules and target-specific delivery of drugs. In this paper, we present an overview on several coated NPs which have shown promising efficiency in inhibiting fibril formation. A hundred and thirty papers published in the past two decades have been comprehensively reviewed, which majorly encompass NPs comprising different materials like gold, silver, iron-oxide, poly(lactic-co-glycolic acid), polymeric NP, etc., which are coated with various molecules of predominantly natural origin, such as different types of amino acids, peptides, curcumin, drugs, catechin, etc. We hope that this review will shed light on the advancement of symbiotic amalgamation of NPs with molecules from natural sources and will inspire further research on the tremendous therapeutic potential of these combinations for many amyloid-related diseases.
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引用次数: 0
A Patent Review on the Use of Cyclodextrin Inclusion Complexes to Enhance Physicochemical and Pharmacological Properties in Antidepressant Drugs. 关于使用环糊精包合物增强抗抑郁药物理化和药理特性的专利综述。
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01
José Adão Carvalho Nascimento Júnior, Luiza Abrahão Frank, Alcimary Bispo Santos, Anamaria Mendonça Santos, Tatianny de Araújo Andrade, Paula Dos Passos Menezes, Renata Vidor Contri, Mairim Russo Serafini

Major depressive disorder is considered one of the most common and prevalent diseases worldwide, affecting children, adults, and the elderly. Currently, several antidepressant drugs are available on the market, but the low adherence of patients due to the slow therapeutic response is a problem to be solved. In this way, cyclodextrins become an alternative to circumvent the limitations and improve the physicochemical and pharmacological properties of this class of drugs. Thus, the objective of this work is to carry out a current review of patents associating antidepressant drugs and cyclodextrins. The patent search was performed in two patent databases, the World Intellectual Property Organization and the European Patent Office using terms in the title and abstract fields and the international patent classification code for antidepressant drugs. In the end, 27 patent documents were selected and divided into three classifications, physical-chemical characterization study, pre-clinical in vivo trials, and clinical trials. The scientific evidence found in the patents considers the use of cyclodextrins as an important alternative to improve the therapeutic and physicochemical properties of antidepressant drugs, among the main improved properties are, solubility, stability, masking taste and odor, bioavailability.

重度抑郁症被认为是全球最常见、最普遍的疾病之一,影响着儿童、成人和老年人。目前,市场上有多种抗抑郁药物可供选择,但由于治疗反应缓慢,患者的依从性较低,这是一个亟待解决的问题。因此,环糊精成为了一种替代品,可以规避这类药物的局限性,并改善其理化和药理特性。因此,这项工作的目的是对与抗抑郁药物和环糊精相关的专利进行审查。专利检索是在世界知识产权组织和欧洲专利局两个专利数据库中进行的,检索时使用了标题和摘要字段中的术语以及抗抑郁药物的国际专利分类代码。最终选择了 27 份专利文件,并将其分为三类:物理化学特征研究、临床前体内试验和临床试验。专利中发现的科学证据认为,使用环糊精是改善抗抑郁药物治疗和理化特性的重要替代品,其中主要改善的特性包括:溶解性、稳定性、掩盖味道和气味、生物利用度。
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引用次数: 0
Non-invasive delivery of Insulin for breaching hindrances against Diabetes 以非侵入方式输送胰岛素,打破糖尿病防治障碍
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2023-12-01 DOI: 10.1615/critrevtherdrugcarriersyst.2023048197
Manoj Sarangi, Sasmita Padhi, Goutam Rath
Insulin is recognized as a crucial weapon in managing diabetes. Subcutaneous (s.c.) injections are the traditional approach for insulin administration, which usually have many limitations. Numerous alternative (non-invasive) slants through different routes have been explored by the researchers for making needle-free delivery of insulin for attaining its augmented absorption as well as bioavailability. The current review delineating numerous pros and cons of several novel approaches of non-invasive insulin delivery by overcoming many of their hurdles. Primary information on the topic was gathered by searching scholarly articles from PubMed added with extraction of data from auxiliary manuscripts. Many approaches (discussed in the article) are meant for the delivery of a safe, effective, stable, and patient friendly administration of insulin via buccal, oral, inhalational, transdermal, intranasal, ocular, vaginal and rectal routes. Few of them have proven their clinical efficacy for maintaining the glycemic levels, whereas others are under the investigational pipe line. The developed products are comprising of many advanced micro/nano composite technologies and few of them might be entering into the market in near future, thereby garnishing the hopes of millions of diabetics who are under the network of s.c. insulin injections.
胰岛素是公认的控制糖尿病的重要武器。皮下注射是传统的胰岛素给药方法,通常有许多局限性。研究人员通过不同途径探索了许多替代性(非侵入性)给药方式,以实现胰岛素的无针给药,从而提高胰岛素的吸收率和生物利用率。本综述通过克服许多障碍,描述了几种无创胰岛素给药新方法的众多利弊。有关该主题的主要信息是通过搜索 PubMed 上的学术文章以及从辅助手稿中提取的数据收集的。文章中讨论的许多方法都是为了通过口腔、口服、吸入、透皮、鼻内、眼部、阴道和直肠等途径安全、有效、稳定、方便地给患者注射胰岛素。其中有几种产品已经证明了其在维持血糖水平方面的临床疗效,而其他产品还在研究阶段。已开发的产品采用了许多先进的微/纳米复合技术,其中一些产品可能会在不久的将来进入市场,从而为数以百万计的胰岛素注射网络下的糖尿病患者带来希望。
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引用次数: 0
Theranostic Approach for the Management of Osteoporosis. 骨质疏松症的治疗方法。
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2023-01-01 DOI: 10.1615/CritRevTherDrugCarrierSyst.2022043413
Anjali Pant, Joga Singh, Ravi Pratap Barnwal, Gurpal Singh, Bhupinder Singh

Osteoporosis (OP) is a bone-metabolic disorder, causing micro-architecture degeneration and a decrease in bone density. Nutritional deficiency, i.e., calcium, vitamin D, and hormonal imbalances are the primary cause for the occurrence of OP. Although conventional diagnostic techniques and therapies are available and found to be effective only at a later stage, though still lack prevention strategies. Thus, the patients tend to suffer incidence of fractures and many difficulties to manage their day-to-day activities at an elderly stage. Numerous nanomaterial(s) possessing unique physicochemical, optical, and electrical properties are reported nowadays to be employed for both early-stage detections of disease and its treatment. Amongst these nanomaterials, superparamagnetic iron oxide nanoparticles (SPIONs) possessing strong magnetic susceptibility, less in vivo toxicity, and surface functionalities are extensively employed for MRI contrast imaging agents in the area of disease diagnosis, and drug delivery tools for various therapies. Therefore, this review highlights the pathophysiology of OP, conventional techniques of diagnosis, and the application of SPIONs for diagnostic and treatment purposes of osteoporosis.

骨质疏松症(OP)是一种骨代谢紊乱,引起微结构变性和骨密度下降。营养缺乏,即钙、维生素D和激素失衡是op发生的主要原因。虽然传统的诊断技术和治疗方法是可用的,但发现只在后期有效,尽管仍然缺乏预防策略。因此,患者往往遭受骨折的发生率和许多困难,以管理他们的日常活动在老年阶段。据报道,目前许多纳米材料具有独特的物理化学、光学和电学性质,可用于疾病的早期检测和治疗。在这些纳米材料中,超顺磁性氧化铁纳米颗粒(SPIONs)具有强磁化率、体内毒性小和表面功能,被广泛用于疾病诊断领域的MRI造影剂和各种治疗的药物输送工具。因此,本文将重点介绍OP的病理生理、常规诊断技术以及SPIONs在骨质疏松症诊断和治疗中的应用。
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引用次数: 0
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