scholarly journals PECULIARITIES OF THE WOUND PROCESS DEVELOPMENT IN PATIENTS WITH THERMAL INJURY WHEN USED SILVER PREPARATIONS IN BURN WOUNDS SURGICAL TREATMENT

2021 ◽  
pp. 81-87
Author(s):  
N. V. Tuzyuk
Keyword(s):  
Metabolic Activity ◽  
Functional Activity ◽  
Thermal Injury ◽  
Thermal Damage ◽  
Main Group ◽  
The Body ◽  
Metabolic Reaction ◽  
Neutrophilic Granulocytes ◽  
Burn Wound ◽  
Significant Activation

Fundamental research in the field of burn wound development process highlights new pathogenetic mechanisms that underlie the improvement of medical practice, the main purpose of which is to create optimal conditions for early regeneration of the affected skin, as well as to eliminate the development of local and general complications. Irrational general and local treatment of wounds contribute to the slowing down of regenerative processes, thereby worsening the prognosis and consequences of thermal injury. It was found out that in patients of both study groups in the first period of the study the characteristics of the cellular composition of the wound impressions of the wound bottom of the area of thermal damage correspond to the degenerative type. In patients of the main group in the second term of the study in the area of thermal damage cells with high levels of functional and metabolic activity begin to appear, which increase antimicrobial resistance and reduce the risk of generalization of the infectious process which is the main source of burns. In patients of the main group, an increase in the activity of neutrophilic granulocytes in the induced test was found in the second term of the study, which, in our opinion, indicates the involvement of neutrophilic granulocytes with high functional and metabolic activity. Under conditions of significant activation of resident monocytes in response to injury in patients of the main group in the second and third term, the area of thermal damage migrates functionally effective monocytes. In patients of the main group the preservation of the activity of myeloperoxidase - the main enzyme of the oxygen-dependent phase of phagocytosis at the minimum subcompensated level, which leads to the preservation of the oxygen-dependent metabolic reaction of neutrophilic granulocytes in the subsequent study, Increases in the content of PAS-positive substances in neutrophilic granulocytes indicate the preservation of the functional reserve for activation and completion of the oxygen-independent phase of phagocytosis. The use of the developed treatment promotes the involvement of functionally active phagocytic cells in the burn wound, reduces the toxic load on monocytes and neutrophils, which helps to maintain their functional activity at the subcompensated level. These trends in patients of the main group reduce the risk of both local and general infectious complications of burn disease. It was found that the level of spontaneous functional activity in the HCT test is associated with the activity of resident monocytes. They form the primary barrier that protects the body from infection or harmful macromolecular complexes. Monocytes - "inflammatory", which constantly come from the free pool and their functional activity against microbial antigens is much higher than resident monocytes. An indicator of the activity of monocytes - "inflammatory" is an indicator of functional activity in the induced HCT test. The results of the study indicate that under conditions of significant activation of resident monocytes in response to injury in patients of the main group in the second and third terms of the area of thermal damage migrate functionally effective monocytes.

Representing utility and deploying the body

2020 ◽  
Vol 43 ◽  
Author(s):  
David Spurrett
Keyword(s):  
Functional Activity ◽  
Degrees Of Freedom ◽  
The Body ◽  
Target Article ◽  
Processing Demands ◽  
The Many

Abstract Comprehensive accounts of resource-rational attempts to maximise utility shouldn't ignore the demands of constructing utility representations. This can be onerous when, as in humans, there are many rewarding modalities. Another thing best not ignored is the processing demands of making functional activity out of the many degrees of freedom of a body. The target article is almost silent on both.

647 Development of a Cerium (III) Nitrate-containing Electrospun Dressing for Mitigating Delayed Eschar Removal

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S169-S170
Author(s):  
Angela R Jockheck-Clark ◽  
Cortes Williams ◽  
Christine Kowalczewski ◽  
Jahnabi Roy ◽  
Marc A Thompson ◽  
...  
Keyword(s):  
Room Temperature ◽  
Thermal Injury ◽  
Storage Stability ◽  
Wound Dressings ◽  
High Rate ◽  
Burn Wound ◽  
Burn Treatment ◽  
N Application ◽  
Surgical Interventions ◽  
N Release

Abstract Introduction During periods of delayed burn treatment, cells within the eschar leach toxic and immunomodulatory metabolites that can profoundly impact neighboring tissue. Therefore, to reduce the burn-related morbidities and mortalities that are the result of delayed surgical interventions, electrospinning was utilized to generate a novel cerium (III) nitrate (Ce(III)N) dressing. Previously published work has demonstrated that topical Ce(III)N application changes the eschar morphology, and that tissue beneath the treated eschar was generally healthy and had a high rate of graft acceptance. Methods Ce(III)N was dissolved with polyethylene oxide and spun onto a grounded rotating mandrel. The uni-axially spun mesh was compared to a co-axially electrospun dressing that contained a Ce(III)N core. Dressings were evaluated for topography/morphology, porosity and oxygen permeation using scanning electron microscopy, helium pycnometry, and a gas exchange chamber, respectively. Ce(III)N release rates were evaluated, as well as 60-day storage stability. Results All electrospun dressings contained functional Ce(III)N, with the co-axially spun dressing containing three times the amount of Ce(III)N as the traditionally spun dressing. Uni-axially and co-axially spun nanofibers had diameters of 1487±560 nm and 1071±147 nm, and porosities of 83.9% and 74.1%, respectively. Scaffolds released the majority of Ce(III)N within the first hour of wetting. Conclusions All dressings were capable of a burst of Ce(III)N release and maintained stability when stored at room temperature for 60 days. Applicability of Research to Practice Despite advancement in protective equipment worn by military personnel, the incidence of thermal injury is expected to rise in future conflicts. There are no burn wound dressings that can mitigate the pathophysiological processes associated with delayed burn wound treatment.

Assessment of Possible Thermal Damage of Tissue due to Atherectomy by Means of a Mechanical Debulking Device

2008 ◽  
Author(s):  
Ryang D. Lovik ◽  
John P. Abraham ◽  
Eph M. Sparrow
Keyword(s):  
Numerical Simulations ◽  
Thermal Injury ◽  
Thermal Damage ◽  
Threshold Value ◽  
Posterior Tibial Artery ◽  
Artery Wall ◽  
Flow Rates ◽  
Injury Index ◽  
Orbital Atherectomy

In vitro and cadaver experiments, coupled with numerical simulations, were performed to assess the possibility that orbital atherectomy might cause thermal damage of tissue. The experiments involved debulking operations on a surrogate artery and on the plaque-lined posterior tibial artery of a cadaver. Temperatures and coolant flow rates measured during these experiments enabled a numerical simulation of the debulking of a plaque-lined artery in a living human. The temperature variations from the numerical simulations were used to evaluate a thermal injury index. The resulting values of the index were found to be several orders of magnitude below the threshold value for thermal injury. It is concluded that it is extremely unlikely that the use of an orbital debulking device, the Diamondback 360°™ (Cardiovascular Systems, Inc.), can lead to thermal injury of the artery wall.

scholarly journals Differences in Giving of Mc Kenzie Exercise and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain in GrandMed Hospital Lubuk Pakam

2018 ◽  
Vol 1 (1) ◽  
pp. 47-53
Author(s):  
Tati Murni Karokaro ◽  
Melisa Queen Hutabarat
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Functional Activity ◽  
Sampling Technique ◽  
The United States ◽  
The Body ◽  
Core Stability ◽  
P Value ◽  
Lower Back ◽  
One Year

In fulfillment of these needs sometimes human forget to maintain their health, good attitude so that the position in work is not ergonomic which can lead to problems when carrying out activities. Lower back pain is a clinical symptom that is characterized by pain or a discomfort feeling in lower back area. In the United States, the incidence of lower back pain region in the past one year is 15% -20%. This study aims to see whether there were differences in giving of Mc Kenzie and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain. This study is quasi experiment with a sample of patients with lower back pain, with purposive sampling technique. The results obtained are p-value ? <(0,000 <0,05), it means that there is a difference in giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain, that uses body movements that is directed to extension, to provide strengthening and reflecting on the extensor and flexor muscles of the lumbar joint, while the Core Stability Exercise has the ability to regulate the position and movement in the central region of the body, and it can be concluded that there is differences in Giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain. It is recommended for patients who experience lower back pain so that keep always repeat the exercises that suggested by physiotherapist, for further research so that choose more samples.

scholarly journals THE MAIN EXOGENOUS AND ENDOGENOUS FACTORS THAT CAN AFFECT THE MORPHOFUNCTIONAL CHARACTERISTICS OF THE THYROID GLAND (LITERATURE REVIEW)

2018 ◽  
Vol 22 (4) ◽  
pp. 760-765
Author(s):  
О.І. Tiron
Keyword(s):  
Thyroid Gland ◽  
Thermal Injury ◽  
Environmental Temperature ◽  
Environmental Chemicals ◽  
The Body ◽  
Endogenous Factors ◽  
Temperature Irradiation ◽  
Excessive Consumption ◽  
And Function

Despite the important role of the thyroid gland in regulating the functions of the body, the gland is quite sensitive to the adverse effects of various factors on the body. The purpose of the work is to analyze modern sources of scientific literature devoted to the study of the influence of exo- and endogenous factors on the morpho-functional properties of the thyroid gland. Literary data on the influence on the thyroid gland of various environmental chemicals, insufficient or excessive consumption of iodine and selenium, vitamin D deficiency, exposure to pharmaceuticals, smoking, environmental temperature, irradiation, infections, stress, as well as factors of the internal environment, such as atherosclerosis and pregnancy. There are a small number of modern scientific studies concerning the influence on the structure and function of the thyroid gland consequences of thermal injury of the skin.

scholarly journals Comparative Study of Effect of Silver Nitrate Gel and Differentiated Dermal Precursors (BMSCs) on Third Degree Burn in Wistar Rats

2020 ◽  
Vol 11 (1) ◽  
pp. 200-206
Author(s):  
Balaji K ◽  
Perumal Saraswathi ◽  
Prabhu K ◽  
Shila Samuel ◽  
Melani Rajendren ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Silver Nitrate ◽  
Wistar Rats ◽  
Burn Injury ◽  
Wistar Rat ◽  
Metal Plate ◽  
Healing Time ◽  
The Body ◽  
Burn Wound ◽  
Healing Wound

Skin is an ectodermal derivative that maintains internal homeostasis of the body. Any damage to the skin like burn injury internal homeostasis is lost, resulting in delayed healing. The aim is to study the histoarchitecture comparative effect of silver nitrate gel, and BMSCs (DDP) on third-degree burns in Wistar rats. A burn wound of size 2.5 cm (length) x 2.5 cm (breadth) x 6 mm (depth) was created using a preheated metal plate on flanks of Wistar rat. Every burn wound was treated with silver nitrate gel (commercially available as silverex), bone marrow differentiated dermal precursors, and monitored for 1, 7, 14, 21 days until wound healing. Wound surface area was measured and compared among groups with histological and gross observations. The healing time was faster in bone marrow differentiated dermal precursors (DDP) group compared to control. Prolonged silver nitrate gel usage heals burn wound with no infection, but silver toxicity was noted. Wound contraction is slower but steady using bone marrow differentiated dermal precursors (DDP) cell when compared to the group treated with silver nitrate gel. The data from this study help use to use bone marrow differentiated dermal precursors (DDP) cells as an alternate and effective way to treat burn wounds.

Optical-Thermal Response and Dynamic Thermal Damage of Bio-Tissue During Laser Thermotherapy

2003 ◽  
Author(s):  
G. M. Zhu ◽  
W. Liu ◽  
T. F. Zeng ◽  
K. Yang
Keyword(s):  
Thermal Injury ◽  
Thermal Damage ◽  
Tumor Tissue ◽  
Local Heating ◽  
Damage Model ◽  
Thermal Response ◽  
Tumor Treatment ◽  
Thermal Coagulation ◽  
Laser Head ◽  
Temperature Damage

Laser thermotherapy is a technique used for tumor treatment. It generates a local heating, causes thermal coagulation of living tissue and eliminates the tumor. Precise heating of tumor tissue with healthy minimum thermal injury to adjacent tissue is essential to thermotherapy. Understanding of heat transfer and optical-thermal interaction is important for control of temperature and design of thermotherapy. This study applies the Arrhenius damage model to describe the heat-induced change of optical properties. It calculates the distribution temperature, damage and optical-thermal response of bio-tissue during the laser treatment, and shows how these factors affect the effectiveness of laser thermotherapy. Similar research has been performed by Kim and coworkers [1996], Iizuka and coworkers [2000], and Whelan and coworkers [2000]. This study relaxes some conditions in previous investigations. It reveals the importance and the effect of size of the laser head.

Ultrasound Hyperthermia: Dose Estimation and Device Design for Intraluminal and External Delivery

2012 ◽  
Author(s):  
Danica Gordon ◽  
Chandrasekhar Thamire
Keyword(s):  
Thermal Damage ◽  
Treatment Time ◽  
The Body ◽  
Thermal Therapy ◽  
Surrounding Tissue ◽  
Temperature History ◽  
Published Data ◽  
Device Design ◽  
Treatment Protocols ◽  
Thermal Coagulation

Thermal ablation in the context of this study refers to destroying cancer cells by heating them to supraphysiological temperatures for appropriate times. Once the tumor cells and a small layer of surrounding tissue cells are killed, they are absorbed by the body over time. Compared to open surgery, radiation, and chemotherapy, thermal therapy can be less expensive and pose less risk of harmful post-procedural complications, while possessing the potential to be effective [1]. Currently microwave and radiofrequency ablation are in use for local hyperthermia; however, they lack the ability to focus heat into the target zones effectively or treat larger tumors without affecting the surrounding healthy tissue. In the current study, high frequency ultrasound (US) ablation is examined as a treatment modality because of its ability to focus and control heat effectively. Objectives of this study are to 1) develop thermal-damage correlations for US thermal therapy and 2) design delivery devices and associated treatment planning protocols. To achieve these goals, thermal damage information is first evaluated for a variety of cells and tissues from published data or pilot experiments. Required US dose levels are determined next through numerical experiments, followed by device design and estimation of thermal coagulation contours by comparing the temperature-history data against the thermal-damage data. Based on the analysis of the results for a range of parameters, namely, the applicator power, geometry, frequency, coolant parameters, treatment time, and tissue perfusion, treatment protocols are developed. Intraluminal, external, and interstitial modes of delivery are considered for focal sites in a variety of target areas. In the following sections, methods followed and sample results obtained are presented.

Anemia in Relation to Survival Following Thermal Injury in the Rat

1957 ◽  
Vol 189 (1) ◽  
pp. 6-10
Author(s):  
M. D. McCarthy ◽  
M. B. Amrein ◽  
M. Cobb ◽  
R. Neerhout ◽  
V. Blackburn
Keyword(s):  
Body Surface ◽  
Thermal Injury ◽  
The Body ◽  
Control Group ◽  
Base Line ◽  
Control Groups ◽  
Observation Period

Hematocrits, erythrocyte and reticulocyte counts were determined in rats receiving burns of 20%, 32% and 50% of the body surface and in three unburned control groups. All burned rats showed an immediate precipitous depression of hematocrits and erythrocyte counts. These were considerably lower at 24 hours postburn than the values in the control group which was bled. Erythrocyte depression during the 1st week postburn was directly related to extent of injury in the animals surviving for 24 weeks. No such correlation existed for those rats that died. No correlation was found between the immediate degree of anemia and death or survival. A secondary erythrocyte depression occurred in those animals that survived 24 weeks following burns of 32% and 50% of the body surface but did not develop in the 20% body surface burned animals surviving for 24 weeks. The erythrocyte counts in all control groups were above base line values at the end of the 24-week observation period. Elevated reticulocyte counts which were inversely related to the erythrocyte counts occurred in all burned animals surviving 24 weeks. The reticulocyte counts in all unburned groups were below base line at the end of the 24-week observation period.

scholarly journals Morphological changes in distant muscle fibers following thermal injury in Wistar rats

2010 ◽  
Vol 25 (6) ◽  
pp. 525-528 ◽  
Author(s):  
Flavia de Oliveira ◽  
Luci Rezende Bevilacqua ◽  
Carlos Alberto Anaruma ◽  
Silvia de Campos Boldrini ◽  
Edson Aparecido Liberti
Keyword(s):  
Body Surface ◽  
Wistar Rats ◽  
Thermal Injury ◽  
Morphological Changes ◽  
Muscle Fibers ◽  
The Body ◽  
Medial Gastrocnemius ◽  
Control Group ◽  
Hematoxylin And Eosin ◽  
Gastrocnemius Muscles

PURPOSE: Thermal injury causes catabolic processes as the body attempts to repair the damaged area. This study evaluated the effects of a scald injury on the morphology of muscle fibers belonging to a muscle distant from the lesion. METHODS: Thirty Wistar rats were divided into control (C) and scalded (S) groups. Group S was scalded over 45% of the body surface, standardized by body weight. Rats in both groups were euthanized at four, seven and 14 days following the injury. The middle portions of the medial gastrocnemius muscles were sectioned, stained with hematoxylin and eosin and Picrosirius, and submitted to histological analysis. RESULTS: Control group sections exhibited equidistantly distributed polygonal muscle fibers with peripheral nuclei, characteristic of normal muscle. The injured group sections did not consistently show these characteristics; many fibers in these sections exhibited a rounded contour, variable stain intensities, and greater interfiber distances. A substantially increased amount of connective tissue was also observed on the injured group sections. CONCLUSION: This experimental model found a morphological change in muscle distant from the site of thermal injury covering 45% of the body surface.

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