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[PMID]:22687618
[Au] Autor:Weigand LA; Ford AP; Undem BJ
[Ad] Dirección:Johns Hopkins University School of Medicine, The Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle 1A62, Baltimore, MD21224, USA.
[Ti] Título:A role for ATP in bronchoconstriction-induced activation of guinea pig vagal intrapulmonary C-fibres.
[So] Fuente:J Physiol;590(Pt 16):4109-20, 2012 Aug 15.
[Is] ISSN:1469-7793
[Cp] País de publicación:England
[La] Idioma:eng
[Ab] Resumen:Activation of vagal afferent sensory C-fibres in the lungs leads to reflex responses that produce many of the symptoms associated with airway allergy. There are two subtypes of respiratory C-fibres whose cell bodies reside within two distinct ganglia, the nodose and jugular, and whose properties allow for differing responses to stimuli. We here used extracellular recording of action potentials in an ex vivo isolated, perfused lung-nerve preparation to study the electrical activity of nodose C-fibres in response to bronchoconstriction. We found that treatment with both histamine and methacholine caused strong increases in tracheal perfusion pressure that were accompanied by action potential discharge in nodose, but not in jugular C-fibres. Both the increase in tracheal perfusion pressure and action potential discharge in response to histamine were significantly reduced by functionally antagonizing the smooth muscle contraction with isoproterenol, or by blocking myosin light chain kinase with ML-7. We further found that pretreatment with AF-353 or 2',3'-O-(2,4,6-Trinitrophenyl)-adenosine-5'-triphosphate (TNP-ATP), structurally distinct P2X3 and P2X2/3 purinoceptor antagonists, blocked the bronchoconstriction-induced nodose C-fibre discharge. Likewise, treatment with the ATPase apyrase, in the presence of the adenosine A1 and A2 receptor antagonists 8-cyclopentyl-1,3-dipropylxanthine (DPCPX) and SCH 58261, blocked the C-fibre response to histamine, without inhibiting the bronchoconstriction. These results suggest that ATP released within the tissues in response to bronchoconstriction plays a pivotal role in the mechanical activation of nodose C-fibres.
[Mh] Términos MeSH primario: Adenosina Trifosfato/metabolismo
Espasmo Bronquial/inducido químicamente
Nervio Vago/fisiología
[Mh] Términos MeSH secundario: Potenciales de Acción
Antagonistas del Receptor de Adenosina A1/farmacología
Antagonistas del Receptor de Adenosina A2/farmacología
Animales
Apirasa
Espasmo Bronquial/metabolismo
Cobayas
Histamina/farmacología
Masculino
Cloruro de Metacolina/farmacología
Ganglio Nudoso/citología
Ganglio Nudoso/fisiología
Antagonistas del Receptor Purinérgico P2X
Receptor de Adenosina A1/metabolismo
Receptores de Adenosina A2/metabolismo
Receptores Purinérgicos P2X/metabolismo
Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
Técnicas de Cultivo de Tejidos
[Pt] Tipo de publicación:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Nm] Nombre de substancia:
0 (Adenosine A1 Receptor Antagonists); 0 (Adenosine A2 Receptor Antagonists); 0 (Purinergic P2X Receptor Antagonists); 0 (Receptor, Adenosine A1); 0 (Receptors, Adenosine A2); 0 (Receptors, Purinergic P2X); 51-45-6 (Histamine); 56-65-5 (Adenosine Triphosphate); 62-51-1 (Methacholine Chloride); EC 3.6.1.5 (Apyrase)
[Em] Mes de ingreso:1301
[Cu] Fecha actualización por clase:130503
[Lr] Fecha última revisión:130503
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:120820
[St] Status:MEDLINE
[do] DOI:10.1113/jphysiol.2012.233460


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[PMID]:23330094
[Au] Autor:Naumov DE; Perelman JM; Maksimov VN; Kolosov VP; Voevoda MI; Xiandong Z; Qi L
[Ad] Dirección:Far East Center of Respiratory Physiology and Pathology, Siberian Division of the Russian Academy of Medical Sciences, Blagoveshchensk, Russia. denn1985@bk.ru
[Ti] Título:Role of ß2 adrenoreceptor gene polymorphism in the formation of cold hyperreactivity of the airways in asthmatics.
[So] Fuente:Bull Exp Biol Med;154(1):73-6, 2012 Nov.
[Is] ISSN:1573-8221
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:The relationship between ß(2)-adrenoreceptor gene Arg16Gly polymorphism and bronchial cold reactivity has been studied. Genotype Arg16Arg and allele Arg16 carriership is associated with the development of cold bronchospasm in asthmatics. In addition, a significant reduction of 3,5'-cyclic adenosine monophosphate (cAMP) level has been recorded in Arg16Arg homozygotes on minute 30 after cold provocation in comparison with Gly16Gly genotype carriers. These data indicate the influence of primary dysfunction of ß(2)-adrenoreceptors for the formation of bronchial cold hyperreactivity in the patients. Reduced cAMP synthesis by cells in Arg16Arg carriers indicates congenital liability of their ß(2)-adrenoreceptors to desensitization during cold air isocapnic hyperventilation test.
[Mh] Términos MeSH primario: Asma/genética
Asma/fisiopatología
Hiperreactividad Bronquial/genética
Espasmo Bronquial/genética
AMP Cíclico/análisis
Receptores Adrenérgicos beta 2/genética
[Mh] Términos MeSH secundario: Adulto
Bronquios/fisiopatología
Pruebas de Provocación Bronquial
Frío
Femenino
Humanos
Masculino
Polimorfismo de Nucleótido Simple
Sistema Respiratorio/inmunología
[Pt] Tipo de publicación:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nombre de substancia:
0 (ADRB2 protein, human); 0 (Receptors, Adrenergic, beta-2); 60-92-4 (Cyclic AMP)
[Em] Mes de ingreso:1305
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:130118
[St] Status:MEDLINE


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[PMID]:22842339
[Au] Autor:Singh D; Corradi M; Bindi E; Baronio R; Petruzzelli S; Paggiaro P
[Ad] Dirección:University of Manchester, Medicines Evaluation Unit, University Hospital of South Manchester Foundation Trust, Manchester Academic Health Science Centre, Langley Building, Southmoor Road, Manchester M23 9QZ, UK. dsingh@meu.org.uk
[Ti] Título:Relief of methacholine-induced bronchospasm with extrafine beclomethasone dipropionate/formoterol in comparison with salbutamol in asthma.
[So] Fuente:Pulm Pharmacol Ther;25(5):392-8, 2012 Oct.
[Is] ISSN:1522-9629
[Cp] País de publicación:England
[La] Idioma:eng
[Ab] Resumen:BACKGROUND: Short-acting beta2-agonists like salbutamol and terbutaline are used as rescue medications for acute bronchoconstriction and relief of symptoms due to their rapid onset of action. The aim of this study was to assess whether inhaled beclomethasone dipropionate (BDP)/formoterol fumarate (FF) combination in extrafine formulation is non-inferior to salbutamol in the speed of reverting methacholine-induced bronchoconstriction and symptoms. METHODS: Fifty-six asthmatic patients were examined in a multicentre, randomised, double blind, double dummy, active treatment and placebo controlled three period cross-over study. On three different days, a single dose of BDP/FF 100/6 µg in pressurised metered-dose inhaler (pMDI) extrafine formulation or salbutamol 200 µg pMDI or placebo was inhaled after FEV(1) had dropped by 30-45% with methacholine challenge. RESULTS: The median time to recovery of FEV(1) to 85% of baseline was similar for BDP/FF and salbutamol (3.66 and 2.15 min, respectively), but significantly longer for placebo (21.1 min). The planned analysis on adjusted mean time to recovery showed that the difference from methacholine-induced bronchoconstriction between BDP/FF and salbutamol was 3.82 min (95% confidence interval: -0.85 to 8.5), therefore greater than 3 min supposed in the study design. The difference between BDP/FF and salbutamol was not clinically significant. The two active treatments were also comparable in terms of the relief of symptoms (as assessed by the Borg dyspnoea scale). CONCLUSIONS: BDP/FF combination has a fast onset of action, similar to that of salbutamol, and may represent a good alternative as rescue medication in asthmatic patients.
[Mh] Términos MeSH primario: Albuterol/uso terapéutico
Asma/quimioterapia
Beclometasona/administración & dosificación
Espasmo Bronquial/quimioterapia
Etanolaminas/administración & dosificación
Cloruro de Metacolina/farmacología
[Mh] Términos MeSH secundario: Adulto
Asma/fisiopatología
Beclometasona/efectos adversos
Espasmo Bronquial/inducido químicamente
Espasmo Bronquial/fisiopatología
Estudios Cruzados
Método Doble Ciego
Quimioterapia Combinada
Etanolaminas/efectos adversos
Femenino
Volumen Espiratorio Forzado/efectos de drogas
Humanos
Masculino
Mediana Edad
[Pt] Tipo de publicación:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nombre de substancia:
0 (Ethanolamines); 18559-94-9 (Albuterol); 4419-39-0 (Beclomethasone); 62-51-1 (Methacholine Chloride); 73573-87-2 (formoterol)
[Em] Mes de ingreso:1304
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:120911
[St] Status:MEDLINE
[do] DOI:10.1016/j.pupt.2012.07.004


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[PMID]:23369815
[Au] Autor:van den Aardweg JG
[Ad] Dirección:Medisch Centrum Alkmaar, afd. Longziekten, Alkmaar, the Netherlands. j.g.vanden.aardweg@mca.nl
[Ti] Título:[The different types of dyspnoea].
[Ti] Título:4 soorten dyspneu..
[So] Fuente:Ned Tijdschr Geneeskd;157(5):A5415, 2013.
[Is] ISSN:1876-8784
[Cp] País de publicación:Netherlands
[La] Idioma:dut
[Ab] Resumen:Dyspnoea can be classified into four types with each arising by means of a different mechanism. Air hunger originates from chemoreflex activity. It is inhibited by pulmonary inflation, probably through a reflex induced by stretch receptors in the large airways. The feeling of increased work of breathing particularly occurs during volitional breathing and is augmented by every cause of increased work of breathing or muscle weakness. This feeling is probably induced by activity of the cerebral motor cortex. Tightness of the chest can be due to bronchospasm. This feeling possibly arises from stimulation of 'slowly adapting receptors' in the large airways, which are closely connected to smooth muscle cells. There are indications that tachypnoea can result from the stimulation of pulmonary C fibres. Possible stimuli are pulmonary venous congestion and the intravenous administration of adenosine. Recognizing and understanding the different types of dyspnoea is relevant to the interpretation and treatment of this symptom.
[Mh] Términos MeSH primario: Disnea/clasificación
Disnea/diagnóstico
[Mh] Términos MeSH secundario: Espasmo Bronquial/complicaciones
Espasmo Bronquial/diagnóstico
Células Quimiorreceptoras/fisiología
Diagnóstico Diferencial
Disnea/terapia
Humanos
Receptores de Estiramiento Pulmonares/fisiología
Reflejo
[Pt] Tipo de publicación:ENGLISH ABSTRACT; JOURNAL ARTICLE; REVIEW
[Em] Mes de ingreso:1304
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:130201
[St] Status:MEDLINE


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[PMID]:23050752
[Au] Autor:Golden LR; DeSimone HA; Yeroshalmi F; Pranevicius M; Saraghi M
[Ad] Dirección:Chairman, Department of Anesthesiology, Jacobi Medical Center, Bronx, NY, USA.
[Ti] Título:Severe intraoperative bronchospasm treated with a vibrating-mesh nebulizer.
[So] Fuente:Anesth Prog;59(3):123-6, 2012.
[Is] ISSN:0003-3006
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:Bronchospasm and status asthmaticus are two of the most dreaded complications that a pediatric anesthesiologist may face. With the occurrence of severe bronchospasm and the inability to ventilate, children are particularly vulnerable to apnea and ensuing hypoxia because of their smaller airway size, smaller lung functional residual capacity, and higher oxygen consumption rates than adults. Nebulized medication delivery in intubated children is also more difficult because of smaller endotracheal tube internal diameters. This case demonstrates the potentially lifesaving use of a vibrating-mesh membrane nebulizer connected to the anesthesia circuit for treating bronchospasm.
[Mh] Términos MeSH primario: Albuterol/administración & dosificación
Espasmo Bronquial/quimioterapia
Broncodilatadores/administración & dosificación
Complicaciones Intraoperatorias/terapia
Ipratropio/administración & dosificación
Nebulizadores y Vaporizadores
[Mh] Términos MeSH secundario: Aerosoles
Albuterol/uso terapéutico
Anestesia por Inhalación/instrumentación
Anestésicos por Inhalación/administración & dosificación
Asma/complicaciones
Preescolar
Diseño de Equipo
Femenino
Humanos
Intubación Intratraqueal
Éteres Metílicos/administración & dosificación
Óxido Nitroso/administración & dosificación
Oxígeno/administración & dosificación
Oxígeno/sangre
Ápice del Flujo Espiratorio/efectos de drogas
Medicación Preanestésica
Volumen de Ventilación Pulmonar/efectos de drogas
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (Aerosols); 0 (Anesthetics, Inhalation); 0 (Bronchodilator Agents); 0 (Methyl Ethers); 0 (albuterol-ipratropium); 10024-97-2 (Nitrous Oxide); 18559-94-9 (Albuterol); 28523-86-6 (sevoflurane); 60205-81-4 (Ipratropium); 7782-44-7 (Oxygen)
[Em] Mes de ingreso:1212
[Cu] Fecha actualización por clase:130415
[Lr] Fecha última revisión:130415
[Sb] Subgrupo de revista:D
[Da] Fecha de ingreso para procesamiento:121011
[St] Status:MEDLINE
[do] DOI:10.2344/12-00003.1


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[PMID]:23242751
[Au] Autor:Lauer R; Vadi M; Mason L
[Ad] Dirección:Department of Anesthesiology, Loma Linda University, 11234 Anderson Street, Loma Linda, CA 92354, USA. rlauer@llu.edu
[Ti] Título:Anaesthetic management of the child with co-existing pulmonary disease.
[So] Fuente:Br J Anaesth;109 Suppl 1:i47-i59, 2012 Dec.
[Is] ISSN:1471-6771
[Cp] País de publicación:England
[La] Idioma:eng
[Ab] Resumen:Children with co-existing pulmonary disease have a wide range of clinical manifestations with significant implications for anaesthetists. Although there are a number of pulmonary diseases in children, this review focuses on two of the most common pulmonary disorders, asthma and bronchopulmonary dysplasia (BPD). These diseases share the physiology of bronchoconstriction and variably decreased flow in the airways, but also have unique physiological consequences. The anaesthetist can make a difference in outcomes with proper preoperative evaluation and appropriate preparation for surgery in the context of a team approach to perioperative care with implementation of a stepwise approach to disease management. An understanding of the importance of minimizing the risk for bronchoconstriction and having the tools at hand to treat it when necessary is paramount in the care of these patients. Unique challenges exist in the management of pulmonary hypertension in BPD patients. This review covers medical treatment, intraoperative management, and postoperative care for both patient populations.
[Mh] Términos MeSH primario: Anestesia/métodos
Asma/complicaciones
Asma/terapia
Displasia Broncopulmonar/complicaciones
Displasia Broncopulmonar/terapia
[Mh] Términos MeSH secundario: Asma/fisiopatología
Espasmo Bronquial/terapia
Displasia Broncopulmonar/fisiopatología
Cateterismo Cardíaco
Niño
Humanos
Recién Nacido
Cuidados Intraoperatorios
Cuidados Postoperatorios
Cuidados Preoperatorios
Control de Riesgo
[Pt] Tipo de publicación:JOURNAL ARTICLE; REVIEW
[Em] Mes de ingreso:1303
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:121217
[St] Status:MEDLINE
[do] DOI:10.1093/bja/aes392


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[PMID]:23059522
[Au] Autor:Caso A; Di Luzio P; Galante D; Altieri G
[Ti] Título:Usefulness of COBRA-PLA supraglottic airway in a patient with subglottic stenosis.
[So] Fuente:Minerva Anestesiol;78(10):1167-8, 2012 Oct.
[Is] ISSN:1827-1596
[Cp] País de publicación:Italy
[La] Idioma:eng
[Mh] Términos MeSH primario: Manejo de la Vía Aérea/instrumentación
Obstrucción de las Vías Aéreas/terapia
Máscaras Laríngeas
[Mh] Términos MeSH secundario: Acidosis Respiratoria/terapia
Adulto
Manejo de la Vía Aérea/métodos
Espasmo Bronquial/complicaciones
Espasmo Bronquial/terapia
Constricción Patológica
Humanos
Masculino
Respiración con Presión Positiva
Enfermedad Pulmonar Obstructiva Crónica/complicaciones
Enfermedad Pulmonar Obstructiva Crónica/terapia
Insuficiencia Respiratoria/terapia
[Pt] Tipo de publicación:CASE REPORTS; LETTER
[Em] Mes de ingreso:1303
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:121012
[St] Status:MEDLINE


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[PMID]:22177587
[Au] Autor:Coli S; Mantovani F; Ferro J; Gonzi G; Zardini M; Ardissino D
[Ad] Dirección:Cardiology Unit, Department of Cardiology, Nephrology and Pneumology, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy. stecoli@tin.it
[Ti] Título:Adenosine-induced severe bronchospasm in a patient without pulmonary disease.
[So] Fuente:Am J Emerg Med;30(9):2082.e3-5, 2012 Nov.
[Is] ISSN:1532-8171
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:Adenosine is widely used for the treatment of supraventricular tachycardias for its efficacy and excellent safety, but it has been reported to precipitate severe bronchospasm in patients with pulmonary disease. The drug is therefore contraindicated in asthmatic subjects and should be used with caution in patients with chronic obstructive pulmonary disease. Nevertheless, true bronchospasm is rare and should be distinguished from the much more common occurrence of dyspnea, only as a symptom and without respiratory compromise, which is benign and transient. We describe the occurrence of severe bronchospasm following adenosine administration for a supraventricular tachycardia in a young male without any history of pulmonary disease. To our knowledge, this is the first time such complication is reported in a subject without lung disease. The patient arrived at the emergency department for palpitations with a regular wide QRS tachycardia with a left bundle-branch block morphology. Sinus carotid massage was unsuccessful, and 2 intravenous adenosine boluses were given without effect. A further 12-mg bolus cardioverted the patient, who became increasingly dyspneic and hypoxic, with diffuse bronchospasm. An urgent chest radiograph had normal results. He was treated with oxygen and inhaled and intravenous steroids, but dyspnea and bronchospasm resolved only after intravenous aminophylline. The arrhythmia recurred and was finally terminated by intravenous flecainide. Although dyspnea after adenosine administration is usually a transient, benign phenomenon, physicians should be alert to the presence of objective signs of respiratory distress, which should prompt immediate treatment, even in subjects without previous history of pulmonary disease.
[Mh] Términos MeSH primario: Adenosina/efectos adversos
Antiarrítmicos/efectos adversos
Espasmo Bronquial/inducido químicamente
Taquicardia Supraventricular/quimioterapia
[Mh] Términos MeSH secundario: Adenosina/uso terapéutico
Adulto
Antiarrítmicos/uso terapéutico
Espasmo Bronquial/fisiopatología
Electrocardiografía
Servicio de Urgencia en Hospital
Corazón/fisiopatología
Humanos
Masculino
Taquicardia Supraventricular/fisiopatología
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (Anti-Arrhythmia Agents); 58-61-7 (Adenosine)
[Em] Mes de ingreso:1303
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:121119
[St] Status:MEDLINE


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[PMID]:22885445
[Au] Autor:Jat KR; Azad C; Guglani V
[Ad] Dirección:Department of Pediatrics, Government Medical College and Hospital, Sector 32, Chandigarh, India. drkanaram@gmail.com
[Ti] Título:Use of ketamine for refractory wheezing in an infant.
[So] Fuente:Indian Pediatr;49(7):587-8, 2012 Jul.
[Is] ISSN:0974-7559
[Cp] País de publicación:India
[La] Idioma:eng
[Ab] Resumen:Ketamine has bronchodilator properties and is used for severe bronchospasm in adults and children with asthma. Here, we report successful use of ketamine in a young infant with bronchospasm.
[Mh] Términos MeSH primario: Espasmo Bronquial/quimioterapia
Ketamina/uso terapéutico
[Mh] Términos MeSH secundario: Humanos
Lactante
Masculino
Ruidos Respiratorios
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nombre de substancia:
6740-88-1 (Ketamine)
[Em] Mes de ingreso:1302
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:120813
[St] Status:MEDLINE


  10 / 3938 MEDLINE  
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[PMID]:23356141
[Au] Autor:Ivanova LA
[Ti] Título:[Bronchial hyperresponsiveness and factors of bronchial inflammation under the exercise-induced asthma in schoolchildren].
[So] Fuente:Lik Sprava;(3-4):71-4, 2012 Apr-Jun.
[Is] ISSN:1019-5297
[Cp] País de publicación:Ukraine
[La] Idioma:ukr
[Ab] Resumen:88 schoolchildren with bronchial asthma were observed at the department of pulmonary disease and allergology of the Chernivtsi regional children clinical hospital. The study showed that the content of aldehyde- and ketoderivatives of 2,4-dinitrophenylhydrazones of neutral character in the expired air condensate (AKDNPH) was presumably higher in patients with the exercise-induced bronchial asthma thus indicating the more significant activity of the inflammatory process in bronchi under the studied phenotype of the disease. Non-specific bronchial hyperresponsiveness was presumably higher in children suffering exercise-induced bronchial asthma due to bronchial hyperresponsiveness as well as hyperreactivity when compared with the patients having activity independent asthma attacks. The factor of bronchial spasm was significantly associated with the content of AKDNPH of the basic character and nitric oxide metabolites in the expired air condensate in the patients with the exercise-induced bronchial asthma.
[Mh] Términos MeSH primario: Asma Inducida por Ejercicio/metabolismo
Bronquios/metabolismo
Hiperreactividad Bronquial/metabolismo
Espasmo Bronquial/metabolismo
Inflamación/metabolismo
[Mh] Términos MeSH secundario: Adolescente
Asma Inducida por Ejercicio/fisiopatología
Bronquios/fisiopatología
Hiperreactividad Bronquial/fisiopatología
Espasmo Bronquial/fisiopatología
Catalasa/metabolismo
Niño
Espiración
Femenino
Humanos
Hidrazonas/análisis
Inflamación/fisiopatología
Masculino
Óxido Nítrico/metabolismo
Oxidación-Reducción
Proteínas/metabolismo
Pruebas de Función Respiratoria
Estudiantes
[Pt] Tipo de publicación:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Nm] Nombre de substancia:
0 (2,4-dinitrophenylhydrazone); 0 (Hydrazones); 0 (Proteins); 10102-43-9 (Nitric Oxide); EC 1.11.1.6 (Catalase)
[Em] Mes de ingreso:1302
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:130129
[St] Status:MEDLINE



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