RESUMEN
Since its approval in Europe a decade ago, NexoBrid® enzymatic debridement of deep thermal burns has been gaining acceptance as standard practice around the world. The purpose of this study is to report the first experience with NexoBrid® in the Russian Federation. During 2019-2020, we conducted a post-registration clinical study assessing the safety and treatment results of NexoBrid® enzymatic debridement. The study involved 15 adult patients suffering from deep thermal burns over an area ≤15% of their total body surface area. Patients were treated with NexoBrid® within 3 days of injury, followed by spontaneous or surgical wound closure. Complete eschar removal was achieved in twelve patients, 80% eschar removal in two patients, and 70% in one patient. Complete spontaneous epithelialization of wounds was achieved in 12 patients (80%) within 18 ± 1.9 days after the start of treatment. We did not witness pathological scarring during follow-up, and there were no significant safety issues throughout the study. Early use of NexoBrid® resulted in rapid, effective, and safe eschar removal with good results and sufficient preservation of viable dermis to allow for spontaneous healing in 80% of patients. These results demonstrate the ability to minimize surgical intervention and hopefully lead to better long-term scarring results.
RESUMEN
In this work, we investigated the behavior of cholesteric droplets with homeotropic boundary conditions experimentally and by computer simulations. Small droplets forming twisted radial structures were studied. We obtained two different paths of structural transformations under electric field in such droplets. The choice between these paths has probabilistic nature. The ratio between the two transition types was found to be sensitive to the elastic constants of LC forming the droplet. We suggest the principal approach for in situ estimation of ratios between elastic constants in cholesteric LCs deposited in polymer-dispersed LC material and discuss its strong and weak sides.
RESUMEN
The electro-optical properties of polymer dispersed liquid crystal (PDLC) films are highly dependent on the features of the contained liquid crystal (LC) droplets. Cholesteric LC droplets with homeotropic boundaries can form several topologically different orientational structures, including ones with single and more point defects, layer-like, and axisymmetric twisted toroidal structures. These structures are very sensitive to an applied electric field. In this work, we have demonstrated experimentally and by computer simulations that twisted toroidal droplets reveal strong structural response to the electric field. In turn, this leads to vivid changes in the optical texture in crossed polarizers. The response of droplets of different sizes were found to be equivalent in terms of dimensionless parameters. In addition, the explanation of this phenomenon showed a comparison of theoretical and experimental structural response curves aids to determine the shape of the droplet. Finally, we demonstrated that the addition of a dichroic dye allows such films to be used as optical filters with adjustable color even without polarizers.
RESUMEN
The skin is a combination of two different types of tissue-epithelial and connective (mesenchymal). The outer protective layer of the skin, the epidermis, consists of multiple layers of keratinocytes residing on the basement membrane that separates them from the underlying dermis, which consists of a well-vascularized fibrous extracellular matrix seeded mainly by fibroblasts and mesenchymal stromal cells. These skin features suggest that the development of a fibroblast-friendly porous scaffold covered with a flat dense sheath mimicking the basement membrane, and sufficient to support keratinocyte attachment, would be a reasonable approach in the generation of clinically-relevant skin substitutes useful for reconstructive dermatology and burn treatment. Therefore, we developed a procedure to obtain biocompatible composite bilayer scaffolds comprising a spongy dermis-like body (supporting vascularization and appropriate fibroblast and multipotent stromal cell activity) fused with a film-like cover (supporting keratinocyte attachment, growth and differentiation). The sodium alginate (SA), an algae-derived biopolymer, has been used as a base component for these scaffolds while collagen (CL) and fibrinogen (FG) were used as minor additives in variable concentrations. The slow rates of composite SA-based scaffold biodegradation were achieved by using Ba2+ as cross-linking cations. By manipulating the SA/CL/FG ratio we managed to obtain sponge scaffolds with highly interconnected porous structures, with an average pore size ranging from 60 to 300 µm, and sufficient tensile strength (3.12-5.26 MPa). The scaffolds biocompatibility with the major human skin cell types was confirmed by seeding the scaffold sponge compartment with primary skin fibroblasts and subcutaneous adipose-derived stromal cells while the film side biocompatibility was tested using primary human keratinocytes. The obtained results have shown that bilayer alginate-based scaffolds have biological and mechanical properties comparable with CL scaffolds but surpass them in cost efficiency and vascularization ability in the subcutaneous implantation model in laboratory mice.
