scholarly journals Maggot Therapy: The Science and Implication for CAM Part II—Maggots Combat Infection

2006 ◽  
Vol 3 (3) ◽  
pp. 303-308 ◽  
Author(s):  
Yamni Nigam ◽  
Alyson Bexfield ◽  
Stephen Thomas ◽  
Norman Arthur Ratcliffe
Keyword(s):  
Wound Healing ◽  
Alternative Treatment ◽  
Clinical Situation ◽  
Review Article ◽  
Antibacterial Action ◽  
Wound Debridement ◽  
Beneficial Effects ◽  
Green Bottle ◽  
The Common ◽  
Maggot Therapy

Maggot therapy employs the use of freshly emerged, sterile larvae of the common green-bottle fly,Phaenicia(Lucilia)sericata, and is a form of artificially induced myiasis in a controlled clinical situation. Maggot therapy has the following three core beneficial effects on a wound: debridement, disinfection and enhanced healing. In part II of this review article, we discuss clinical infections and the evidence supporting the potent antibacterial action of maggot secretions. Enhancement of wound healing by maggots is discussed along with the future of this highly successful, often controversial, alternative treatment.

scholarly journals Maggot Therapy: The Science and Implication for CAM Part I—History and Bacterial Resistance

2006 ◽  
Vol 3 (2) ◽  
pp. 223-227 ◽  
Author(s):  
Yamni Nigam ◽  
Alyson Bexfield ◽  
Stephen Thomas ◽  
Norman Arthur Ratcliffe
Keyword(s):  
Bacterial Resistance ◽  
Clinical Situation ◽  
Review Article ◽  
Wound Debridement ◽  
Beneficial Effects ◽  
Infected Wounds ◽  
Green Bottle ◽  
The Common ◽  
Maggot Therapy

It is now a universally acknowledged fact that maggot therapy can be used successfully to treat chronic, long-standing, infected wounds, which have previously failed to respond to conventional treatment. Such wounds are typically characterized by the presence of necrotic tissue, underlying infection and poor healing. Maggot therapy employs the use of freshly emerged, sterile larvae of the common green-bottle fly,Phaenicia(Lucilia)sericata, and is a form of artificially induced myiasis in a controlled clinical situation. In this review article, we will discuss the role of maggots and their preparation for clinical use. Maggot therapy has the following three core beneficial effects on a wound: debridement, disinfection and enhanced healing. In part I we explore our current understanding of the mechanisms underlying these effects.

Ahara as Pathya and Apathya in Amlapitta - A Review.

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Rakshith . ◽  
Shivakumar . ◽  
Sreeharsha . ◽  
Divyasree .
Keyword(s):  
Physical Health ◽  
Review Article ◽  
The Other ◽  
Social Health ◽  
Present Review ◽  
Common Disease ◽  
The Core ◽  
Common Disorder ◽  
The Common

The core principles in Ayurveda give prime importance to Agni, Prakriti, Ahara (food) and Vihara (lifestyle) in maintaining health. Present era people are scheduled to one or the other works due to which they are following unrightful food and habits which lead the manifestation of one of the common disorder which troubles person a lot - Amlapitta. By excess “Hurry, Worry and Curry” GIT disorders are the most common, not only affecting physical health but also psychological and social health. Amlapitta is one of that and it is a burning problem of the whole World. Amalpitta is composed of word Amla and Pitta. Amlapitta is a very common disease caused by Vidagdha Pitta with features like Amlodgara, Tiktodgara, Hrit, Kantha Daha etc. Pathya recommended in Amlapitta are Yava, Godhuma, Purana Shali, Mudga Yusha, Lajasaktu etc. Apathya recommended in Amlapitta are Navanna, Avidugdha, Masha, Kulattha, Dadhi and etc. So this present review article throws light on Pathya (conducive) and Apathya (non conducive) in Amlapitta.

scholarly journals Surgical Strategies to Promote Cutaneous Healing

2021 ◽  
Vol 9 (2) ◽  
pp. 45
Author(s):  
Ines Maria Niederstätter ◽  
Jennifer Lynn Schiefer ◽  
Paul Christian Fuchs
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Chronic Wounds ◽  
Treatment Algorithm ◽  
Surgical Site Infections ◽  
Repair Process ◽  
Suture Technique ◽  
The Body ◽  
Wound Debridement ◽  
Reconstructive Ladder

Usually, cutaneous wound healing does not get impeded and processes uneventfully, reaching wound closure easily. The goal of this repair process is to restore the integrity of the body surface by creating a resilient and stable scar. Surgical practice and strategies have an impact on the course of wound healing and the later appearance of the scar. By considering elementary surgical principles, such as the appropriate suture material, suture technique, and timing, optimal conditions for wound healing can be created. Wounds can be differentiated into clean wounds, clean–contaminated wounds, contaminated, and infected/dirty wounds, based on the degree of colonization or infection. Furthermore, a distinction is made between acute and chronic wounds. The latter are wounds that persist for longer than 4–6 weeks. Care should be taken to avoid surgical site infections in the management of wounds by maintaining sterile working conditions, using antimicrobial working techniques, and implementing the principles of preoperative antibiotics. Successful wound closure is influenced by wound debridement. Wound debridement removes necrotic tissue, senescent and non-migratory cells, bacteria, and foreign bodies that impede wound healing. Additionally, the reconstructive ladder is a viable and partially overlapping treatment algorithm in plastic surgery to achieve successful wound closure.

Punch Grafting for the Management of Hard-to-Heal Diabetic Foot Ulcers: A Prospective Case Series

2021 ◽  
pp. 153473462110310
Author(s):  
Marta García-Madrid ◽  
Irene Sanz-Corbalán ◽  
Aroa Tardáguila-García ◽  
Raúl J. Molines-Barroso ◽  
Mateo López-Moral ◽  
...  
Keyword(s):  
Wound Healing ◽  
Clinical Outcomes ◽  
Diabetic Foot ◽  
Donor Site ◽  
Case Series ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Wound Debridement ◽  
Prospective Case Series

Punch grafting is an alternative treatment to enhance wound healing which has been associated with promising clinical outcomes in various leg and foot wound types. We aimed to evaluate the clinical outcomes of punch grafting as a treatment for hard-to-heal diabetic foot ulcers (DFUs). Six patients with chronic neuropathic or neuroischemic DFUs with more than 6 months of evolution not responding to conventional treatment were included in a prospective case series between May 2017 and December 2020. All patients were previously debrided using an ultrasound-assisted wound debridement and then, grafted with 4 to 6 mm punch from the donor site that was in all cases the anterolateral aspect of the thigh. All patients were followed up weekly until wound healing. Four (66.7%) DFUs were located in the heel, 1 (16.7%) in the dorsal aspect of the foot and 1 (16.7%) in the Achilles tendon. The median evolution time was 172 (interquartile range [IQR], 25th-75th; 44-276) weeks with a median area of 5.9 (IQR; 1.87-37.12) cm2 before grafting. Complete epithelization was achieved in 3 (50%) patients at 12 weeks follow-up period with a mean time of 5.67 ± 2.88 weeks. Two of the remaining patients achieved wound healing at 32 and 24 weeks, respectively, and 1 patient showed punch graft unsuccessful in adhering. The median time of wound healing of all patients included in the study was 9.00 (IQR; 4.00-28.00) weeks. The wound area reduction (WAR) at 4 weeks was 38.66% and WAR at 12 weeks was 88.56%. No adverse effects related to the ulcer were registered through the follow-up period. Autologous punch graft is an easy procedure that promotes healing, achieving wound closure in chronic DFUs representing an alternative of treatment for hard-to-heal DFUs in which conservative treatment has been unsuccessful.

scholarly journals Description of a Herpetomonas parasitic in the alimentary tract of the common green-bottle fly, Lucilia sp

Parasitology ◽  
1911 ◽  
Vol 4 (3) ◽  
pp. 222-236 ◽  
Author(s):  
C. Strickland
Keyword(s):  
Alimentary Tract ◽  
Reserve Material ◽  
Filamentous Form ◽  
Green Bottle ◽  
The Common

1. The parasite described inhabits the alimentary tract of two species of Lucilia. In addition it has a resting stage—the ‘cyst’—which is passed in the voided excrement of the insect.2. When the cyst is ingested by a fly it grows in length and becomes flagellated in the ‘crop’; in the midgut it greatly elongates and multiplies rapidly by division; in the hindgut it first shortens, then becomes spherical, and finally oval and cyst-like, meanwhile losing its flagellum.3. The cysts measure 3 μ, the fully flagellate forms 20 μ, in length.4. The cysts possess a cytostome and cytopharynx, the functions of which are probably nutritive.5. The flagellum consists of two parts (i) a cytoplasmic part, which probably subserves the power of movement and which I therefore propose to call the kinetoplasm, and (ii) a thread of chromatin secreted by the rhizoplast.6. The function of the chromatin in the flagellum is probably to sustain a filamentous form.7. The nucleus divides by a definite process something akin to mitosis.8. The chromidia serve as reserve material for the supply of chromatin in the cell. They are secreted probably by cell-plastids.9. I propose the name of this parasite be Herpetomonas luciliae, and that the genus Herpetomonas should be defined so as to include the forms described as Leptomonas.

scholarly journals Impact of Micronutrients on Hypertension: Evidence from Clinical Trials with a Special Focus on Meta-Analysis

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 588
Author(s):  
Hui-Fang Chiu ◽  
Kamesh Venkatakrishnan ◽  
Oksana Golovinskaia ◽  
Chin-Kun Wang
Keyword(s):  
Clinical Trials ◽  
Meta Analysis ◽  
Review Article ◽  
Special Focus ◽  
Recommended Daily Allowance ◽  
Beneficial Effects ◽  
Daily Allowance ◽  
Regulation Of Blood Pressure ◽  
Morbid Conditions

Hypertension (HT) is one of the pivotal risk factors for various detrimental diseases like cardiovascular diseases (CVDs), cerebrovascular disease, and renal dysfunction. Currently, many researchers are paying immense attention to various diet formula (dietary approach) with a special focus on micro and macronutrients along with modified lifestyle and standard anti-hypertensive drugs. Micronutrients (minerals/vitamins) play a central role in the regulation of blood pressure (BP) as they aid the function of macronutrients and also improve the anti-hypertensive functions of some anti-hypertensive agents. Even though several studies have demonstrated the beneficial effects of micronutrients on controlling BP, still some ambiguity exists among the nutritionists/doctors, which combination or individual mineral (dietary approach) contributes to better BP regulation. Therefore, this critical review article was attempted to delineate the underlying role of micronutrients (minerals and vitamins) for the management and prevention or delaying of HT and their related complications with strong affirmation from clinical trials as well as its mechanism of controlling BP. Moreover, the major source and recommended daily allowance (RDA) of various micronutrients are included in this review for guiding common readers (especially HT subjects) and dieticians to choose/recommend a better micronutrient and their combinations (other nutrients and standard anti-hypertensive drugs) for lowering the risk of HT and its related co-morbid conditions like CVDs.

scholarly journals Renoprotective Effects of DPP-4 Inhibitors

Antioxidants ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 246
Author(s):  
Daiji Kawanami ◽  
Yuichi Takashi ◽  
Hiroyuki Takahashi ◽  
Ryoko Motonaga ◽  
Makito Tanabe
Keyword(s):  
Diabetic Kidney Disease ◽  
Experimental Studies ◽  
Review Article ◽  
Glucose Lowering ◽  
Beneficial Effects ◽  
Glucose Levels ◽  
Membrane Bound ◽  
Stage Renal Disease ◽  
End Stage

Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease (ESRD) worldwide. Dipeptidyl peptidase (DPP)-4 inhibitors are widely used in the treatment of patients with type 2 diabetes (T2D). DPP-4 inhibitors reduce glucose levels by inhibiting degradation of incretins. DPP-4 is a ubiquitous protein with exopeptidase activity that exists in cell membrane-bound and soluble forms. It has been shown that an increased renal DPP-4 activity is associated with the development of DKD. A series of clinical and experimental studies showed that DPP-4 inhibitors have beneficial effects on DKD, independent of their glucose-lowering abilities, which are mediated by anti-fibrotic, anti-inflammatory, and anti-oxidative stress properties. In this review article, we highlight the current understanding of the clinical efficacy and the mechanisms underlying renoprotection by DPP-4 inhibitors under diabetic conditions.

SUTURE MATERIALS AND SUTURE TECHNIQUES IN AYURVEDA – A REVIEW ARTICLE

2021 ◽  
Vol 9 (4) ◽  
pp. 843-847
Author(s):  
Singh Balendra ◽  
Singh Shweta ◽  
Prasad Deveshwar ◽  
Kumar Gopesh
Keyword(s):  
Wound Healing ◽  
Surgical Training ◽  
Operative Procedure ◽  
Review Article ◽  
Experimental Surgery ◽  
Suture Materials ◽  
Living Things ◽  
Operative Surgery ◽  
Traumatic Wound ◽  
Preoperative Procedure

Seevan Karma (suturing) is the closing method of surgical or traumatic wound and also last step of every operative procedure. Among these Seevan Karma of prime importance as appropriate suturing with specified thread and nee- dle leads to fast wound healing and minimized scar formation after surgery. Acharya Sushruta described the basic tents of experimental operative surgery for surgical training. The great need of such a training and describes the methods of experimental surgery using artificial objects (Non-living things) for learning the operative procedure like suturing2. In suturing or Seevan Karma using appropriate principals and instrument also describing the indica- tion, contraindication and method (Poorva Karma – preoperative procedure, Pradhan Karma- main procedure, Paschat Karma- post suturing procedure). Keywords: Seevan Karma, Sutra, Needle, Kartari

Comparison of topical honey and povidone iodine-based dressings for wound healing: a systematic review and meta-analysis

2021 ◽  
Vol 30 (Sup4) ◽  
pp. S28-S36
Author(s):  
Fujie Zhang ◽  
Zongnan Chen ◽  
Feng Su ◽  
Taijuan Zhang
Keyword(s):  
Wound Healing ◽  
Hospital Stay ◽  
Analogue Scale ◽  
Povidone Iodine ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Beneficial Effects ◽  
Vas Score ◽  
Wound Recovery ◽  
Hospital Stay Duration

Objectives: In this review and meta-analysis, we analyse the evidence to compare the efficacy of honey and povidone iodine-based dressings on the outcome of wound healing. Method: A systematic literature search was performed using PRISMA guidelines in academic databases including MEDLINE, Scopus, Embase and CENTRAL. A meta-analysis was carried out to assess the effect of honey and povidone iodine-based dressings on mean healing duration, mean hospital stay duration and visual analogue scale (VAS) score of pain. Results: From the search, 12 manuscripts with a total of 1236 participants (mean age: 40.7±11.7 years) were included. The honey-based dressings demonstrated a medium-to-large effect in reduction of mean healing duration (Hedge's g: –0.81), length of hospital stay (–3.1) and VAS score (–1.2) as compared with the povidone iodine-based dressings. We present evidence (level 1b) in favour of using honey for improvement of wound recovery as compared with povidone iodine. Conclusion: This review and meta-analysis demonstrate beneficial effects of honey-based dressings over povidone iodine-based dressings for wound recovery.

scholarly journals AMAZING ANTIMICROBIAL AND WOUND HEALING POTENTIAL OF ACACIA CATECHU BARK EXTRACTS- A REVIEW

2021 ◽  
pp. 1-7
Author(s):  
ARCHANA TIWARI ◽  
AVINASH TIWARI
Keyword(s):  
Wound Healing ◽  
Secondary Metabolites ◽  
Review Article ◽  
Present Review ◽  
Skin Infections ◽  
Bioactive Components ◽  
Medicinal Properties ◽  
Pathogenic Microbes ◽  
Acacia Catechu ◽  
Physiological Reactions

Plants are not only the source of food, oxygen, and shelter, but the same are also a potential foundation of medicines. Many natural and plant-derived antimicrobial and wound healing compounds have been recognized. In the present review, we have studied the main bioactive components of Acacia catechu with their medicinal roles. Most of these bioactive components are secondary metabolites which are produced by plants as side products of certain physiological reactions and are of no use for the plant itself. These components have been reported for their medicinal properties. In this review, we have mentioned some antibacterial, antifungal, and wound healing properties of A. catechu with its known bioactive components. The aim of this review article is, to enlist the possible potent bioactive components of the plant, against pathogenic microbes that can replace the use of chemicals and synthetic antibiotics for the treatment of skin infections and other diseases.

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