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Re-Print Non-Aspirin Nsaids Use is Associated with Lowering of Liver Fibrosis Scores in Patients with Fatty Liver Disease 非阿司匹林非甾体抗炎药的使用与脂肪肝患者肝纤维化评分降低相关
Pub Date : 2021-09-24 DOI: 10.31579/2640-1045/071
I. Ogbu, H. Akhondi, Napatkamon Ayutyanont, A. Manov
Only a few studies are available with appropriate data on the effects of non-aspirin, non-steroidal anti-inflammatory drugs (NSAID’s) use in patients with fatty liver disease. We performed a retrospective study of 1347 patients with imaging studies that showed fatty liver disease from 2016 through 2019. Then we determined the change in validated indices using Fibrosis-4 (FIB4) and NAFLD fibrosis score (NFS). Patient’s clinical information, including NSAID’s use, was collected at baseline and then yearly. Using generalized linear model, we estimated the association between the non-aspirin NSAID’s use and change in the baseline indices. Non-aspirin NSAID’s use was found to be associated with significant lowering of FIB-4 score (0.596 units lower, p-value <0.0001) and NFS score (0.431 units lower, p-value 0.0027) every year. In this retrospective study of patients with fatty liver disease found on imaging, non-aspirin NSAID’s use was associated with lowering of fibrotic scores, suggesting that non- aspirin containing NSAID’s use might be associated with a lower risk for advanced fibrosis in patients with fatty liver disease. Summary: Non-aspirin NSAID’s use is associated with lowering of hepatic fibrosis scores in patients with fatty liver disease.
只有少数研究提供了非阿司匹林、非甾体抗炎药(NSAID)对脂肪肝患者的影响的适当数据。我们对2016年至2019年期间1347名影像学检查显示患有脂肪肝的患者进行了回顾性研究。然后,我们使用纤维化-4 (FIB4)和NAFLD纤维化评分(NFS)来确定验证指标的变化。患者的临床信息,包括非甾体抗炎药的使用,在基线时收集,然后每年收集。使用广义线性模型,我们估计了非阿司匹林类非甾体抗炎药的使用与基线指数变化之间的关系。非阿司匹林类非甾体抗炎药的使用与FIB-4评分(降低0.596个单位,p值<0.0001)和NFS评分(降低0.431个单位,p值0.0027)每年显著降低相关。在这项对影像学检查发现的脂肪肝患者的回顾性研究中,非阿司匹林类非甾体抗炎药的使用与纤维化评分降低有关,这表明非阿司匹林类非甾体抗炎药的使用可能与脂肪肝患者晚期纤维化风险降低有关。总结:非阿司匹林类非甾体抗炎药的使用与脂肪肝患者肝纤维化评分降低相关。
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引用次数: 0
Diabetic Neuropathic Pain has Endogenous Modulation Depending on the Intensity of Physical Exercise: A Brief Communication 糖尿病神经性疼痛的内源性调节取决于体育锻炼的强度:一个简短的交流
Pub Date : 2021-09-16 DOI: 10.31579/2640-1045/085
William Pereira Valadares, D. L. de Almeida
The opioidergic systems play a key role in endogenous modulation of neuropathic pain, given that Naloxone, a nonselective opioid receptors antagonist at a dose of 100 µg, reverted the antihyperalgesia caused by physical exercise demonstrated in our previous study. Due to the lack of relates regarding the control variables of physical exercise and endogenous modulation in neuropathic diabetic pain, we investigated if such modulation is exercise intensity dependent.
阿片系统在神经性疼痛的内源性调节中发挥着关键作用,因为纳洛酮是一种剂量为100µg的非选择性阿片受体拮抗剂,可逆转我们先前研究中证明的体育锻炼引起的抗高镇痛作用。由于缺乏关于体育锻炼的控制变量和神经性糖尿病疼痛的内源性调节的相关性,我们研究了这种调节是否依赖于运动强度。
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引用次数: 0
Can Type 2 Diabetes Mellitus and its Chronic Complications Influence the Level of Maximal Oxygen Uptake of Exercise Participants? 2型糖尿病及其慢性并发症是否会影响运动参与者的最大摄氧量?
Pub Date : 2021-09-16 DOI: 10.31579/2640-1045/088
William Valadares Campos Pereira, Valesca Nayara Silva
Patients with type 2 diabetes have reduced aerobic capacity, negatively reflecting on their daily life and prompt independence. Greater damage can be harmed by the presence of chronic complications from diabetes, but this can be mitigated by the effects of physical exercise. The aim of the study was to assess the level of maximum oxygen consumption of people with type 2 diabetes who already have chronic complications and exercise practitioners and also compare with the reference value for women of age group, exercisers and without diagnosis of diabetes. The study was characterized as descriptive, a sample composed of 10 women with type 2 diabetes, mean age of 53 ± 13 years, as who had chronic complications from diabetes such as autonomic and peripheral neuropathy, retinopathy and hypertension and who participated in Doce Vida - Supervised Physical Exercise Program for Diabetics / ESEF / UPE. The group participated in a training protocol combined with 20 minutes of walking and 04 strength exercises (protocol A and B) in each physical exercise session. The weekly frequency of training was three times a week, in the morning period. To assess VO2max, the Rockport 1-Mile Walking Test was performed, the volunteers were instructed to walk as fast as possible. For data analysis, the t-test was applied to a sample, with a significance level of p≤0.05. The results obtained showed an average of 16.8 ml / kg / min of VO2max in the volunteers, values ​​lower than the ideal average for the age (53 ± 13 years) of women without diabetes, which corresponds to 28.2 ml / kg / min (p = 0.02). Therefore, it is concluded that women with type 2 diabetes with the presence of chronic complications, similar levels of VO2max complications are lower than recommended for the same age group of women without diabetes. Therefore, it is suggested that women with the profile of the participants in this study should undergo a cautious progression of physical exercise, better adaptation and adherence to physical exercise.
2型糖尿病患者的有氧能力降低,对日常生活产生负面影响,并迅速独立。糖尿病的慢性并发症可能会造成更大的损害,但体育锻炼可以减轻这种损害。该研究的目的是评估已经有慢性并发症的2型糖尿病患者和锻炼从业者的最大耗氧量水平,并与年龄组、锻炼者和未诊断为糖尿病的女性的参考值进行比较。该研究具有描述性,样本由10名2型糖尿病女性组成,平均年龄53±13岁,患有糖尿病慢性并发症,如自主神经和周围神经病变、视网膜病变和高血压,并参加了Doce Vida-糖尿病患者监督体育锻炼计划/ESEF/UPE。该组参加了一项训练方案,在每次体育锻炼中进行20分钟的步行和04次力量训练(方案a和B)。每周的训练频率是每周三次,在上午进行。为了评估VO2max,进行了Rockport 1英里步行测试,指导志愿者尽可能快地步行。对于数据分析,将t检验应用于样本,显著性水平为p≤0.05。获得的结果显示,志愿者的VO2max平均为16.8 ml/kg/min​​低于无糖尿病女性的理想平均年龄(53±13岁),对应于28.2 ml/kg/min(p=0.02)。因此,可以得出结论,患有2型糖尿病的女性存在慢性并发症,类似水平的VO2max并发症低于推荐的同年龄组无糖尿病女性。因此,建议具有本研究参与者特征的女性应谨慎进行体育锻炼,更好地适应和坚持体育锻炼。
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引用次数: 0
Cardiovascular Autonomic Neuropathy in Patients with Diabetes in Cotonou, Benin: A Cross-Sectional Study 贝宁科托努糖尿病患者心血管自主神经病变的横断面研究
Pub Date : 2021-09-16 DOI: 10.31579/2640-1045/083
Gninkoun Comlan Jules, Fanou Joseph Soglo, Alassani Adebayo Sabi Cossi, Djrolo François
Background Diabetes mellitus is well known as a major risk factor for cardiovascular diseases. Cardiovascular autonomic neuropathy is one of the diabetes complications that has a major impact on cardiovascular morbidity and mortality in patients with diabetes. Aim : To determine the prevalence of cardiovascular autonomic neuropathy in patients with diabetes attending the diabetic center in Cotonou and to identify its risk factors. Materials and Methods : It was a cross-sectional study. Cardiovascular autonomic neuropathy was identified using deep breathing test, standind test and the blood pressure response to standing test (orthostatic hypotension). Chi square test was used for statistical analysis and différence was considered significant when p<0.05. Results : A total of 405 subjects were included in the study. Their mean age was 53.67±11,68 years and the mean diabetes duration was 6.66 years. The prevalence of cardiovascular autonomic neuropathy was 65.9%. Regarding the severity of the complication in neuropathic patients, 51.7% of them had an early neuropathy, 41.2% have presented a moderate neuropathy and 7.1% have presented a severe neuropathy. Factors associated with cardiovascular autonomic neuropathy were age of patients (p = 0.0002), diabetes duration (p = 0.0012), hypertension (p =0.0015), dyslipidemia (p = 0.027) and high pulsed blood pressure (p = 0.032) Conclusion : Cardiovascular autonomic neuropathy is a very frequent complication of diabetes mellitus. Unfortunately this complication of diabetes is not often explored in the patient's follow-up examination. As this complication is recognised to be associated with high cardiovascular morbidity and mortality, systematic screening can be recommanded in patients with long duration of diabetes or presenting an other cardiovascular risk factor.
糖尿病是众所周知的心血管疾病的主要危险因素。心血管自主神经病变是糖尿病并发症之一,对糖尿病患者心血管疾病的发病率和死亡率有重要影响。目的:了解科托努市糖尿病中心糖尿病患者心血管自主神经病变的患病率,并探讨其危险因素。材料与方法:采用横断面研究。通过深呼吸试验、站立试验和站立试验血压反应(直立性低血压)确定心血管自主神经病变。采用卡方检验进行统计学分析,当p<0.05时差异为0。结果:共纳入405名受试者。平均年龄53.67±11.68岁,平均病程6.66年。心血管自主神经病变发生率为65.9%。从神经病变患者并发症的严重程度来看,51.7%的患者有早期神经病变,41.2%的患者有中度神经病变,7.1%的患者有重度神经病变。与心血管自主神经病变相关的因素有:年龄(p = 0.0002)、糖尿病病程(p = 0.0012)、高血压(p =0.0015)、血脂异常(p = 0.027)、高脉搏血压(p = 0.032)。结论:心血管自主神经病变是糖尿病常见的并发症。不幸的是,糖尿病的这种并发症在患者的随访检查中很少被发现。由于这种并发症被认为与心血管疾病的高发病率和死亡率有关,建议对长期患有糖尿病或存在其他心血管危险因素的患者进行系统筛查。
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引用次数: 0
Clinical Presentation of Primary Hyperparathyroidism in Lahore, Pakistan – A Single Center Study 巴基斯坦拉合尔原发性甲状旁腺功能亢进的临床表现-一项单中心研究
Pub Date : 2021-09-16 DOI: 10.31579/2640-1045/084
R. Khalid, M. Hassaan, A. Raza
Aim: To assess different clinical presentations and outcomes of primary hyperparathyroidism in Pakistan. Study Design: Retrospective cross-sectional study. Study Setting: East Surgical Ward, Mayo Hospital, Lahore. Duration: 2011 to 2016 Introduction: PHPT is a common endocrine condition with a wide range of clinical manifestations differing according to geographic. Discussion: The most common clinical presentation in our study was bone pains which were in contrast to the asymptomatic cases being most common manifestation in US and Western countries. 90% (n 36) of the patients had bony involvement while 47.5% (n 19) had renal involvement at the time of presentation. Conclusion: Due to lack of routine biochemical screening tests in developing countries, primary hyperparathyroidism is detected late.
目的:评估巴基斯坦原发性甲状旁腺功能亢进症的不同临床表现和结果。研究设计:回顾性横断面研究。研究地点:拉合尔梅奥医院东外科病房。持续时间:2011年至2016年简介:PHPT是一种常见的内分泌疾病,其临床表现因地域而异。讨论:在我们的研究中,最常见的临床表现是骨痛,而无症状病例是美国和西方国家最常见的表现。90%(n36)的患者在表现时有骨质受累,47.5%(n19)的患者有肾脏受累。结论:由于发展中国家缺乏常规生化筛查,原发性甲状旁腺功能亢进的检出较晚。
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引用次数: 0
Maternal 3,3'-Diiodothyronine Sulfate Formation from Guinea Pig Placenta Perfused with 3,3',5-Triodothyronine. 豚鼠胎盘灌注3,3',5-三碘甲状腺原氨酸形成母体3,3'-二碘甲状腺原氨酸硫酸盐。
Pub Date : 2021-09-01 Epub Date: 2021-10-25 DOI: 10.31579/2640-1045/101
Sing-Yung Wu, Charles H Emerson, Edward Tjioe, Dong-Bao Chen

Objective: Serum 3, 3',5-triiodothyronine (T3) remains low in near-term fetus to prevent the growing fetus from undue exposure to its active catabolic effect in mammals. The present study was undertaken to gain insight in the role of placenta in T3 metabolism, fetal to maternal transfer of T3, and its metabolites by in situ placenta perfusion with outer-ring labeled [125I]-T3 in pregnant guinea pig, a species showing increased sulfated 3, 3'-diiodothyronine (T2S) levels in maternal serum in late pregnancy (term = 65 days), similarly to humans in pregnancy.

Materials and methods: One-pass placenta perfusions performed on pregnant guinea pigs were studied between 58 - 65 days of gestation. In two separate experiments, the umbilical artery of the guinea pig placenta was perfused in situ at 37°C with outer-ring labeled [125I]-T3. Maternal sera and umbilical effluents were obtained for analysis at the end of a 60-minute perfusion, when the steady-state levels of radioactivity were reached in the placenta effluent after 30-minute.

Results: Sulfated [125I]-T2S was readily detected in the maternal serum as the major metabolite of T3 following the perfusion of placenta with [125I]-T3, suggesting that placental inner-ring deiodinase and sulfotransferase may play an important role in fetal T3 homeostasis and in the fetal to maternal transfer of sulfated iodothyronine metabolites.

Conclusions: The expression of type 3 deiodinase (D3) and thyroid hormone sulfotransferase activity in placenta may play an important role to protect developing organs against undue exposure to active thyroid hormone in late gestation in the fetus. The combined activities of D3 and sulfotransferase promoted a placental transfer of T2S into maternal circulation. The maternal circulation of T2S is fetal T3 in origin and its role as a fetal thyroid function biomarker deserves further evaluations and studies.

目的:近期胎儿血清3,3’,5-三碘甲状腺原氨酸(T3)保持较低水平,以防止生长中的胎儿过度暴露于其在哺乳动物中的活性分解代谢作用。本研究旨在通过在妊娠豚鼠体内原位灌注标记为[125I]-T3的外环,深入了解胎盘在T3代谢、T3的胎儿向母体转移及其代谢产物中的作用,妊娠晚期(足月=65天),与妊娠期人类相似,母体血清中的硫酸化3,3'-二碘甲状腺原氨酸(T2S)水平增加。材料和方法:对妊娠58~65天的妊娠豚鼠进行一次性胎盘灌注研究。在两个单独的实验中,豚鼠胎盘的脐动脉在37°C下原位灌注,外环标记为[125I]-T3。在60分钟灌注结束时,当胎盘流出物在30分钟后达到稳态放射性水平时,获得母体血清和脐带流出物进行分析。结果:在用[125I]-T3灌注胎盘后,母体血清中很容易检测到硫酸化的[125I]-T2S是T3的主要代谢产物,这表明胎盘内环脱碘酶和磺基转移酶可能在胎儿T3稳态和硫酸化碘甲状腺原氨酸代谢产物的胎儿-母体转移中发挥重要作用。结论:胎盘中3型脱碘酶(D3)的表达和甲状腺激素磺基转移酶活性可能在保护胎儿发育器官免受妊娠晚期甲状腺激素过度暴露的影响中发挥重要作用。D3和磺基转移酶的联合活性促进了T2S的胎盘转移到母体循环中。T2S的母体循环起源于胎儿T3,其作为胎儿甲状腺功能生物标志物的作用值得进一步评估和研究。
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引用次数: 1
Acylated Ghrelin Increases in Young Adults with Obesity Due to Lack of Sleep 睡眠不足导致肥胖的年轻人体内乙酰化胃饥饿素增加
Pub Date : 2021-08-18 DOI: 10.31579/26401045/079
Vicente Beltrán Campos, Reyna-Echeveste Ei
Interruption or lack of sleep has been linked to chronic degenerative diseases including obesity, which has tripled its figures worldwide in the last 40 years according to data from the world Health organization (WHO). Obesity associated with lack of sleep affects the Circadian rhythm which is responsible for synchronizing the energy balance during the sleep- wake cycle, hormonal secretion, homeostasis of food/energy, among the others. The aim of the study was to determine plasma levels of acylated ghrelin in obese young adults with sleep deprivation to plasma levels of acylated ghrelin in obese Young Adults. Study was carried out a total of 56 young adults with obesity, one of the groups had the condition of lack of sleep, n = 28 per group, to determine the relationship between hours of sleep levels of acylated ghrelin Spearman's correlation test was applied, a negative correlation of Rho = -0.293 and p = 0.028 was found the results obtained suggest that lack of sleep may be a factor that alters hormonal regulation and promotes obesity.
睡眠中断或缺乏与包括肥胖在内的慢性退行性疾病有关,根据世界卫生组织(世界卫生组织)的数据,在过去40年中,肥胖在全球范围内增加了两倍。与睡眠不足相关的肥胖会影响昼夜节律,昼夜节律负责同步睡眠-觉醒周期中的能量平衡、激素分泌、食物/能量的稳态等。本研究的目的是确定睡眠不足的肥胖年轻人的血浆酰化胃饥饿素水平与肥胖年轻人血浆酰化肠饥饿素水平。共对56名肥胖的年轻人进行了研究,其中一组患有睡眠不足,每组n=28,以确定酰化胃饥饿素睡眠时间水平之间的关系,Rho=-0.293和p=0.028呈负相关。所获得的结果表明,睡眠不足可能是改变激素调节并促进肥胖的一个因素。
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引用次数: 0
A Systematic Review: Predict the COVID-19 Severity by HDL and Triglycerides Level 系统综述:通过高密度脂蛋白和甘油三酯水平预测新冠肺炎严重程度
Pub Date : 2021-08-18 DOI: 10.31579/2640-1045/076
Daniel Setiawan Nathan, Hoo Yumilia
Lipids are a major component in the process of SARS-CoV-2 infection. The clinical significance of plasma lipid profiles during COVID-19 has been described in several studies to date. The purpose of this mini-review is to summarize previous research studies regarding the association of plasma lipid profile with the clinical severity of SARS-CoV-2 infection. This edition presents mini-review reports on research studies related to LDL and TG levels that can predict severity in patients with COVID-19. Atherogenic dyslipidemia that occurs during infection is reported to be very strongly correlated with a more severe prognosis in COVID-19 infection. Therefore, lipid profiles should be performed to indicate acute and measurable inflammation in COVID-19 patients, and fish oil and statin therapy should also be considered to improve the condition.
脂质是SARS-CoV-2感染过程中的一个主要成分。迄今为止,已有几项研究描述了COVID-19期间血浆脂质谱的临床意义。本综述的目的是总结以往关于血浆脂质谱与SARS-CoV-2感染临床严重程度相关性的研究。本版本介绍了与LDL和TG水平相关的研究的迷你综述报告,这些研究可以预测COVID-19患者的严重程度。据报道,感染期间发生的动脉粥样硬化性血脂异常与COVID-19感染中更严重的预后密切相关。因此,应进行脂质分析,以指示COVID-19患者的急性和可测量的炎症,并考虑使用鱼油和他汀类药物治疗来改善病情。
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引用次数: 0
Therapeutic Efficacy of Ficus Glomerata Leaves in Alloxan Monohydrate Induced Type-1 Diabetes in Albino Rats 榕树叶对一水四氧嘧啶诱导的白化大鼠1型糖尿病的治疗作用
Pub Date : 2021-08-18 DOI: 10.31579/2640-1045/077
Sanjeev Kumar, N. K. Prasad, K. Shachi
Present study was aimed to evaluate the anti-diabetic efficacy of Ficus glomerata in Alloxan monohydrate induced albino rats. Oral administration of fresh Ficus glomerataleaves (2 - 4 g/day) for 60 days shows significant blood glucose lowering effect in experimental alloxan induced diabetic rats. These diabetic rats blood glucose level became normal when fed with Ficus glomerata leaves. It is amply revealed that fresh Ficus glomerata indica leaves possessed anti-diabetic properties. The results suggest that statistically significant anti-diabetic potential in alloxan monohydrate induced diabetic rats. The Ficus glomerata leaves to be almost similar effect like insulin treatment in alloxan monohydrate administered animal model. From the present investigation it appeared that Ficus glomerata leaves might have some ingredients to increase the output of insulin by binding to the receptors of the Beta cells of the Langerhans located in the pancreas. Once they bind to the Sulphonyl urea receptors, the K+ -ATP channels are probably closed and therefore the membrane is depolarized and insulin production is stimulated.
本研究旨在评价榕树对一水四氧嘧啶诱导的白化大鼠的抗糖尿病作用。在实验性四氧嘧啶诱导的糖尿病大鼠中,口服新鲜榕树(2-4克/天)60天显示出显著的降血糖作用。这些糖尿病大鼠的血糖水平在喂食榕树叶后变得正常。结果充分表明,杨梅鲜叶具有抗糖尿病的作用。结果表明,四氧嘧啶一水合物诱导的糖尿病大鼠具有统计学意义的抗糖尿病潜力。在四氧嘧啶一水合物给药的动物模型中,榕树叶的效果与胰岛素治疗几乎相似。从目前的研究来看,榕树叶可能含有一些成分,通过与胰腺中郎格汉斯β细胞的受体结合来增加胰岛素的输出。一旦它们与磺酰脲受体结合,K+-ATP通道可能关闭,因此膜去极化,刺激胰岛素产生。
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引用次数: 0
Obesity – Can Allium fistulosum L. be a remedy? 肥胖-葱能成为一种治疗方法吗?
Pub Date : 2021-08-18 DOI: 10.31579/2640-1045/078
M. Rahmatullah, R. Jahan
Obesity is one of the major problems facing human beings at present. Because of the consumption of refined sugar and foods rich in carbohydrates, as well as adoption of a more sedentary lifestyle (often by necessity as is the case with most office workers), people in all countries are increasingly getting obese, which in turn is leading to other disorders like diabetes and cardiovascular complications. Existing conventional drugs have adverse side-effects, which is the major cause for scientists to look towards the plant kingdom for discovery of newer drugs with less or no side-effects. The Allium genera of plants are widely known for their medicinal properties, in particular Allium cepa (onion) and Allium sativum (garlic), whose beneficial actions include anti-obesity effects. In this mini review, we examine a lesser known plant of the Allium genera, namely Allium fistulosum L. and review its anti-obesity potential. The conclusion of the present study is that the plant contains phytochemicals like ferulic acid and quercetin, which possess anti-obesity mechanisms of action thus rendering the plant to be of potential use against obesity.
肥胖是目前人类面临的主要问题之一。由于食用精制糖和富含碳水化合物的食物,以及采用久坐不动的生活方式(通常是大多数上班族的情况),所有国家的人都越来越肥胖,这反过来又导致糖尿病和心血管并发症等其他疾病。现有的传统药物具有不良副作用,这是科学家们向植物王国寻找副作用较少或没有副作用的新药的主要原因。葱属植物因其药用特性而广为人知,尤其是洋葱和大蒜,它们的有益作用包括抗肥胖作用。在这篇小型综述中,我们研究了一种鲜为人知的葱属植物,即瘘管葱,并综述了其抗肥胖的潜力。本研究的结论是,该植物含有阿魏酸和槲皮素等植物化学物质,它们具有抗肥胖的作用机制,因此该植物具有潜在的抗肥胖用途。
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引用次数: 0
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Endocrinology and disorders : open access
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