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1.
Front Biosci (Landmark Ed) ; 29(2): 47, 2024 Feb 04.
Artículo en Inglés | MEDLINE | ID: mdl-38420828

RESUMEN

BACKGROUND: The leaves of Origanum majorana (O. majorana) are traditionally renowned for treating diarrhea and gut spasms. This study was therefore planned to evaluate its methanolic extract. METHODS: Gas chromatography-mass spectrometry (GC-MS) was used to identify the phytochemicals, and Swiss albino mice were used for an in vivo antidiarrheal assay. Isolated rat ileum was used as an ex vivo assay model to study the possible antispasmodic effect and its mechanism(s). RESULTS: The GC-MS analysis of O. majorana detected the presence of 21 compounds, of which alpha-terpineol was a major constituent. In the antidiarrheal experiment, O. majorana showed a substantial inhibitory effect on diarrheal episodes in mice at an oral dosage of 200 mg/kg, resulting in 40% protection. Furthermore, an oral dosage of 400 mg/kg provided even greater protection, with 80% effectiveness. Similarly, loperamide showed 100% protection at oral doses of 10 mg/kg. O. majorana caused complete inhibition of carbachol (CCh, 1 µM) and high K+ (80 mM)-evoked spasms in isolated ileal tissues by expressing significantly higher potency (p < 0.05) against high K+ compared to CCh, similar to verapamil, a Ca++ antagonist. The verapamil-like predominant Ca++ ion inhibitory action of O. majorana was further confirmed in the ileal tissues that were made Ca++-free by incubating the tissues in a physiological salt solution having ethylenediaminetetraacetic acid (EDTA) as a chelating agent. The preincubation of O. majorana at increasing concentrations (0.3 and 1 mg/mL) shifted towards the right of the CaCl2-mediated concentration-response curves (CRCs) with suppression of the maximum contraction. Similarly, verapamil also caused non-specific suppression of Ca++ CRCs towards the right, as expected. CONCLUSIONS: Thus, this study conducted an analysis to determine the chemical constituents of the leaf extract of O. majorana and provided a detailed mechanistic basis for the medicinal use of O. majorana in hyperactive gut motility disorders.


Asunto(s)
Antidiarreicos , Origanum , Ratas , Ratones , Animales , Antidiarreicos/farmacología , Antidiarreicos/uso terapéutico , Antidiarreicos/química , Yeyuno , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Extractos Vegetales/química , Aceite de Ricino/farmacología , Aceite de Ricino/uso terapéutico , Diarrea/tratamiento farmacológico , Verapamilo/farmacología , Verapamilo/uso terapéutico , Canales de Calcio , Espasmo/tratamiento farmacológico
2.
J Complement Integr Med ; 21(1): 26-37, 2024 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-38180845

RESUMEN

OBJECTIVES: Nigeria ranks second in the global prevalence of diarrhoea with most cases concentrated in the Northern-region of the country. This research explored the antidiarrhoeal efficacy of the hydroethanolic extract of Piliostigma thonningii leaves (HEPTL), locally used to manage diarrhoeal conditions in Kebbi State, Nigeria. METHODS: P. thonningii leaves were screened for their secondary metabolites and mineral constituents. Using 3 standard-diarrhoea models, female Wistar rats completely-randomised into six-groups of six animals each were utilised for probing the antidiarrhoeal activity of HEPTL. Animals in groups I and II served as the negative and positive controls, whereas the rats in groups III, IV and V respectively received 50, 100, and 200 mg/kg body weight-(bw) of HEPTL. RESULTS: Six secondary metabolites and eight minerals were found in the extract, with flavonoids and calcium being the most abundant while steroids and zinc were the least prevalent, respectively. High performance liquid chromatographic analysis revealed the presence of 19 bioactive substances. Furthermore, there was a significant (p<0.05) and dose-related reduction in diarrhoea onset, water content, and wet faeces count. Similarly, the amount of intestinal fluid and average distance traversed by the charcoal-meal were decreased dose-dependently by the HEPTL with a commensurate rise in the suppression of intestinal fluid accrual and peristalsis. Acetylcholinesterase, Na+/K+-ATPase, reduced glutathione, intestinal-alkaline phosphatase and protein levels increased significantly (p<0.05) whereas superoxide-dismutase, catalase, intestinal-nitric oxide and malondialdehyde levels all fell significantly (p<0.05). However, the level of intestinal glucose was not significantly altered. CONCLUSIONS: Overall, the HEPTL exhibited a profound effect in the alleviation of the severity of diarrhoea, notably at 200 mg/kg bw.


Asunto(s)
Antidiarreicos , Fabaceae , Ratas , Femenino , Animales , Ratas Wistar , Antidiarreicos/farmacología , Antidiarreicos/uso terapéutico , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Extractos Vegetales/análisis , Fitoterapia , Acetilcolinesterasa , Aceite de Ricino/análisis , Aceite de Ricino/uso terapéutico , Diarrea/tratamiento farmacológico , Fabaceae/química , Hojas de la Planta/química
3.
J Cosmet Dermatol ; 23(3): 911-917, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37927123

RESUMEN

INTRODUCTION: Infraorbital hyperpigmentation represents one of the most prevalent conditions in cosmetic dermatology. To treat this condition, many patients prefer natural remedies. This study explored the efficacy of topical castor oil cream in treating patients with infraorbital hyperpigmentation. METHODS: We conducted an exploratory single-arm clinical trial at the Shahid Faghihi Dermatology Clinic and Molecular Dermatology Research Center of Shiraz University of Medical Sciences, Shiraz, Iran, during 2021-2022. Using the convenience sampling method, we enrolled 25 patients with infraorbital hyperpigmentation. We instructed the patients to apply topical castor oil cream twice daily for 2 months. The darkness, melanin, and erythema levels were evaluated by VisioFace® 1000 D and SkinColorCatch® devices. We used a visual analog scale to assess skin laxity, wrinkles, and patient satisfaction. Data analysis was done with Stata version 14.2. RESULTS: The data of 22 patients with a mean age of 40.92 ± 7.33 years were analyzed. The VisioFace® scores decreased significantly by the end of the study [right eyes: mean difference (MD): -5.63 (95% CI: -7.12 to -4.15), p < 0.001; left eyes: MD: -5.91 (95% CI: -7.46 to -4.36), p < 0.001]. Moreover, castor oil cream significantly reduced the melanin level, wrinkles, and skin laxity in the infraorbital region (p < 0.05). CONCLUSIONS: Castor oil cream seems to be an effective alternative for treating infraorbital hyperpigmentation. Randomized clinical trials are needed to confirm our findings.


Asunto(s)
Aceite de Ricino , Hiperpigmentación , Adulto , Humanos , Persona de Mediana Edad , Aceite de Ricino/uso terapéutico , Cosméticos/uso terapéutico , Emolientes/uso terapéutico , Hiperpigmentación/tratamiento farmacológico , Melaninas , Crema para la Piel , Resultado del Tratamiento
4.
Rev Bras Parasitol Vet ; 32(3): e004023, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37466625

RESUMEN

In dogs, Rhipicephalus linnaei transmits pathogens such as Ehrlichia canis, Babesia vogeli, and Hepatozoon canis. The veterinary market has synthetic acaricides to ticks control. Esters derived from castor oil are efficient. However, there is little information about their effects on non-target organisms. This work consisted of a clinical (AST, ALT, and ALP) and histological and histochemical analysis (liver and spleen) of female rabbits exposed to these esters and afoxolaner. The rabbits were divided into three groups: control group (CG) received Bandeirante® rabbit feed; the afoxolaner treatment (TG1) received rabbit feed and two doses of afoxolaner; castor oil esters treatment (TG2) received rabbit feed enriched with esters (1.75 g esters/kg). No alterations were observed in the AST, ALT, and ALP enzymes in exposure to esters TG2. Rabbits from TG1 showed changes in AST. The liver of rabbits exposed to afoxolaner underwent histological and histochemical changes, such as steatosis and vacuolation, as well as poor protein labeling. Polysaccharides were intensely observed in the group exposed to esters. The spleen showed no changes in any of the exposure. Esters from castor oil caused fewer liver changes when incorporated into the feed and fed to rabbits than exposure to afoxolaner.


Asunto(s)
Acaricidas , Enfermedades de los Perros , Rhipicephalus sanguineus , Rhipicephalus , Femenino , Conejos , Animales , Perros , Aceite de Ricino/química , Aceite de Ricino/farmacología , Aceite de Ricino/uso terapéutico , Acaricidas/farmacología , Bazo , Ésteres/farmacología , Ésteres/uso terapéutico , Hígado , Enfermedades de los Perros/parasitología
5.
Clin Exp Optom ; 104(3): 315-322, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33037703

RESUMEN

The multifactorial pathogenesis and interrelationship of blepharitis, meibomian gland dysfunction and dry eye disease poses challenges to any therapeutic approach. Current treatments are mostly palliative, with success limited by perceived inefficacy and poor patient compliance. Castor oil, a natural derivative of the Ricinus communis plant, is widely used as an emollient in cosmetics and personal care products, drug delivery systems and wound dressings. Castor oil is deemed safe and tolerable, with strong anti-microbial, anti-inflammatory, anti-nociceptive, analgesic, antioxidant, wound healing and vaso-constrictive properties. Its main constituent, ricinoleic acid, has a bipolar molecular structure that promotes the formation of esters, amides and polymers. These can supplement deficient physiological tear film lipids, enabling enhanced lipid spreading characteristics and reducing aqueous tear evaporation. Studies reveal that castor oil applied topically to the ocular surface has a prolonged residence time, facilitating increased tear film lipid layer thickness, stability, improved ocular surface staining and symptoms. This review summarises the properties, current uses of, and therapeutic potential of castor oil in managing ocular surface disease. The biochemical, medicinal actions of castor oil are explored from the perspective of ocular surface pathology, and include microbial and demodectic over-colonisation, inflammatory and oxidative processes, as well as clinical signs and symptoms of dryness and discomfort.


Asunto(s)
Blefaritis , Aceite de Ricino , Síndromes de Ojo Seco , Disfunción de la Glándula de Meibomio , Blefaritis/tratamiento farmacológico , Aceite de Ricino/uso terapéutico , Síndromes de Ojo Seco/tratamiento farmacológico , Humanos , Glándulas Tarsales , Lágrimas
6.
Vet Comp Orthop Traumatol ; 31(6): 405-412, 2018 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-30352475

RESUMEN

OBJECTIVE: The main purpose of this study was to evaluate the characteristics of a vegetal polymeric biomaterial intended for bone substitution in horses and to investigate the responses of the equine third metacarpal bone to biomaterial implantation. MATERIALS AND METHODS: Six horses were submitted to osteotomy on the dorsal aspect of the left and right third metacarpal bones; one bone defect was randomly selected for treatment with biopolymer, while the other was left untreated and served as a control. Bone density was monitored radiographically after surgery and bone biopsy fragments were collected at the end of the 120-day follow-up period. Biopsy fragments were analysed using light and scanning electron microscopy. RESULTS: Mean bone density values (mmAL) were greater in control defects (16.33 ± 1.6) than in polymer-treated defects (14.17 ± 1.7) at 120 days (p = 0.027). Light microscopy revealed greater percentages of new bone formation in control defects (50.15 ± 14.8) than in polymer treated defects (26.94 ± 12.1) at 120 days (p < 0.0001). Scanning electron microscopy analysis suggested a similar quality of pre-existing bone and new bone formed in the presence of biomaterial. CLINICAL SIGNIFICANCE: The absence of adverse reactions supports biomaterial biocompatibility and osteoconducting capacity and suggests the castor oil polymer is a suitable bone substitute for the treatment of bone defects in horses.


Asunto(s)
Sustitutos de Huesos/uso terapéutico , Aceite de Ricino/uso terapéutico , Huesos del Metacarpo/cirugía , Animales , Materiales Biocompatibles/uso terapéutico , Densidad Ósea , Regeneración Ósea/efectos de los fármacos , Caballos/cirugía , Masculino , Huesos del Metacarpo/diagnóstico por imagen , Huesos del Metacarpo/ultraestructura , Microscopía Electrónica de Rastreo/veterinaria , Osteotomía/veterinaria , Polímeros/uso terapéutico , Radiografía
7.
J Matern Fetal Neonatal Med ; 31(16): 2105-2108, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28618920

RESUMEN

PURPOSE: The aim of this study is to investigate the safety and efficacy of castor oil to induce labour. MATERIALS AND METHODS: A retrospective observational case control study was conducted over five years. Castor oil was proposed to women referred to the Birth Centre (Castor Oil group (COG)). They were compared to women who chose to be followed by the traditional doctor-led unit (control group (CG)). Castor oil was administered in a 60 ml single dose in 200 ml of warm water. Inclusion criteria were gestational age between 40 and 41 weeks plus premature rupture of membranes between 12 and 18 hours or amniotic fluid index ≤4 or Bishop Score of ≤4 or absence of spontaneous labour over 41 + 4 weeks. RESULTS: Pharmacological induction of labour was required for 18 women in the COG (45%) and 36 in the CG (90%) (p < .001). The mode of delivery differed significantly between groups: women assuming castor oil showed a higher incidence of vaginal delivery, whereas the incidence of caesarean section was lower in the COG, but no statistical significance was reached. CONCLUSIONS: The use of castor oil is related to a higher probability of labour initiation within 24 hours. Castor oil can be considered a safe non-pharmacological method for labour induction.


Asunto(s)
Aceite de Ricino/uso terapéutico , Trabajo de Parto Inducido/métodos , Oxitócicos/uso terapéutico , Adulto , Estudios de Casos y Controles , Maduración Cervical/efectos de los fármacos , Cesárea/estadística & datos numéricos , Femenino , Humanos , Trabajo de Parto Inducido/efectos adversos , Trabajo de Parto Inducido/estadística & datos numéricos , Misoprostol/uso terapéutico , Embarazo , Resultado del Embarazo/epidemiología , Estudios Retrospectivos , Resultado del Tratamiento , Adulto Joven
8.
Pak J Pharm Sci ; 30(5): 1815-1827, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-29084706

RESUMEN

Ricinus cmmunis L. (Castor oil plant) is an important medicinal plant belonging to family Euphorbiaceae. Its phytochemistry, biological and pharmacological activities, and ethnomedicinal uses have been reviewed in the present study. The reported chemical constituents showed the presence of flavonoids, phenolic compounds, fatty acids, amino acids, terpenoids, phytosterol etc. The compounds have been reported to exhibit anticonceptive, antidiabetic, antifertility, anti-inflammatory, antimicrobial, antioxidant, hepatoprotective, insecticidal and wound-healing activities. They also showed free radical scavenging and Hg scavenging activities, and repellent properties. Various parts of R. communis have been widely used in traditional medicine such as abdominal disorders, arthritis, backache, muscle aches, bilharziasis, chronic backache and sciatica, chronic headache, constipation, expulsion of placenta, gallbladder pain, period pain, menstrual cramps, rheumatism, sleeplessness, and insomnia. Castor oil plant has also revealed toxic effects due to the presence of ricin (protein) and ricinine (alkaloid). Comparatively, ricin is more toxic. But still there is need of more research to be conducted with reference to its medicinal importance (particularly exploring of medicinal recipes) and active compounds responsible for various activities.


Asunto(s)
Aceite de Ricino/uso terapéutico , Medicina Tradicional , Extractos Vegetales/uso terapéutico , Ricinus , Alcaloides/efectos adversos , Alcaloides/aislamiento & purificación , Animales , Aceite de Ricino/efectos adversos , Aceite de Ricino/aislamiento & purificación , Humanos , Seguridad del Paciente , Extractos Vegetales/efectos adversos , Extractos Vegetales/aislamiento & purificación , Piridonas/efectos adversos , Piridonas/aislamiento & purificación , Ricina/efectos adversos , Ricina/aislamiento & purificación , Ricinus/efectos adversos , Ricinus/química , Medición de Riesgo
9.
J Prosthet Dent ; 117(6): 729-734, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27927282

RESUMEN

STATEMENT OF PROBLEM: The prevalence of complete edentulism remains high in the elderly, and previous data have shown that poor denture hygiene is common among patients with edentulism. PURPOSE: The purpose of this randomized crossover trial was to evaluate the efficacy of denture cleansers in terms of biofilm removal, antimicrobial action, and the remission of denture stomatitis. MATERIAL AND METHODS: Fifty denture wearers with denture stomatitis were instructed to brush their dentures (brush and soap) and to soak them (20 minutes/14 days) in 4 solutions, as follows: C (control), 0.85% saline; SH1, 0.1% sodium hypochlorite; SH2, 0.2% sodium hypochlorite; and RC, 8% Ricinus communis. The biofilm in the intaglio surface of maxillary dentures was stained, photographed, and quantified by software (Image Tool). It was then collected (brushed with saline solution), and the obtained suspension was diluted (100 to 10-3) and seeded (50 µL) in CHROMagar for Candida spp. After incubation, colony-forming units per milliliter values were calculated. Denture stomatitis remission was classified according to the Newton classification. Data were analyzed by Friedman (α=.05) and Wilcoxon tests and corrected by the Bonferroni test (α=.005). RESULTS: SH1 (mean rank [MR]=1.98) and SH2 (MR=1.64) showed lower biofilm coverage than C (MR=3.73) that was similar to RC (MR=2.92). SH1 (MR=2.43) and SH2 (MR=2.10) showed antimicrobial action for Candida spp, and RC (MR=3.36) showed similar results to C (MR=3.51) and baseline (MR=3.50). Clinical signs of denture stomatitis were reduced by SH1 (MR=2.44), while SH2 (MR=2.56) and RC (MR=2.74) showed intermediate results. CONCLUSIONS: The two sodium hypochlorite solutions were the most effective means of biofilm control. All tested solutions were effective in reducing the signs of denture stomatitis.


Asunto(s)
Biopelículas/efectos de los fármacos , Aceite de Ricino/uso terapéutico , Limpiadores de Dentadura/uso terapéutico , Desinfectantes/uso terapéutico , Ricinus , Hipoclorito de Sodio/uso terapéutico , Anciano , Anciano de 80 o más Años , Estudios Cruzados , Dentaduras/microbiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estomatitis Subprotética/prevención & control , Resultado del Tratamiento
11.
Skin Pharmacol Physiol ; 29(1): 47-54, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26841099

RESUMEN

Alterations of the skin microvasculature are known to play an important role in the development and maintenance of psoriatic skin lesions. In this study, we investigated lesional skin in 11 psoriatic patients during a modified Goeckerman treatment using reflectance confocal microscopy (RCM) to study the relationship between clinical clearance and histological normalization of psoriatic skin and the significance of histological abnormalities on the course of disease. The treatment regimen resulted in a significant reduction of the Psoriasis Area and Severity Index (PASI) as well as capillary and papillary diameters (p < 0.0001). The capillary and papillary diameters were still enlarged when compared to those in normal skin (p < 0.001). Capillary and papillary diameters correlated with each other prior to and after treatment (correlation coefficient = 0.63 and 0.64, p = 0.01 and 0.002, respectively) but not with the PASI. Capillary and papillary diameters after treatment and percentage reduction of the PASI during treatment seemed to be better predictors for the clinical course of relapse than the PASI after treatment. These findings make the subclinical changes of psoriatic skin vessels and dermal papillae a legitimate target for treatment. Further investigations of a large group of patients are needed to evaluate the potential of RCM findings as successor of the PASI in the monitoring of psoriasis.


Asunto(s)
Psoriasis/patología , Psoriasis/terapia , Piel/patología , Antralina/uso terapéutico , Capilares/patología , Capilares/fisiología , Aceite de Ricino/uso terapéutico , Alquitrán/uso terapéutico , Femenino , Humanos , Masculino , Microscopía Confocal , Persona de Mediana Edad , Proyectos Piloto , Psoriasis/fisiopatología , Ácido Salicílico/uso terapéutico , Sales (Química)/uso terapéutico , Índice de Severidad de la Enfermedad , Piel/irrigación sanguínea , Terapia Ultravioleta
12.
Swed Dent J ; 38(2): 87-91, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25102719

RESUMEN

This study evaluates and compares the effects of enamel prophylaxis using either oil-free pumice or oil-containing prophylaxis paste on the incidence of bracket failure in orthodontic patients. Forty-six orthodontic patients participated in this prospective clinical trial. A cross-mouth method was used in each patient, in which two diagonal quadrants (i.e. upper right and lower left or vice versa) were randomly assigned to the pumice group and the contralateral diagonal quadrants to the Prophy Paste group. A total of 836 teeth were bonded using Transbond XT (3M Unitek) and monitored for an average of 23 months for bond failure. Chi-square analysis was used to compare the number of bracket failures between the groups. Overall, 26 bond failures occurred by the end of the trial. Fifteen bracket failures were observed in the Prophy Paste group (3.6%) and 11 in the pumice group (2.6%). The failure rates were fairly evenly distributed between the upper and lower jaws. There were no statistically significant differences between the groups (P = 0.43). This study showed that enamel prophylaxis using either pumice or Prophy Paste before orthodontic bonding works equally well in a clinical setting.


Asunto(s)
Recubrimiento Dental Adhesivo , Esmalte Dental/anatomía & histología , Profilaxis Dental/métodos , Soportes Ortodóncicos , Grabado Ácido Dental/métodos , Adolescente , Aceite de Ricino/uso terapéutico , Falla de Equipo , Femenino , Estudios de Seguimiento , Glicerol/uso terapéutico , Humanos , Curación por Luz de Adhesivos Dentales/métodos , Masculino , Estudios Prospectivos , Cementos de Resina/química , Silicatos/uso terapéutico , Fluoruro de Sodio/uso terapéutico , Pastas de Dientes/uso terapéutico
13.
J Vet Med Sci ; 76(9): 1219-24, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24881653

RESUMEN

The corneal-protective effects of an artificial tear containing sodium hyaluronate (SH) and castor oil (CO) were evaluated on a porcine short-term dry eye model. Fresh porcine eyes with an intact cornea were treated with an artificial tear of saline, SH solution (0.1%, 0.5% or 1%), CO solution (0.5%, 1% or 5%) or a mixture solution containing 0.5% SH and 1% CO and then desiccated for 60, 90 or 180 min. To assess corneal damage, the eyes were stained with methylene blue (MB) or lissamine green (LG). The staining score of MB, absorbance of MB extracted from the cornea and staining density of LG increased significantly with increasing desiccation time in untreated and all artificial tear-treated eyes, although there were no significant differences in staining scores and absorbance of MB between eyes treated continuously with saline and 1% SH-treated ones at 60 and 90 min of desiccation or the mixture-treated eyes at 60 min of desiccation. No significant differences in the staining density of LG were also found between continuous saline-treated eyes and ones desiccated for 60 min and treated with 1% SH and the mixture. Mild cytoplasmic vacuolations were histopathologically observed in the basal and wing cells in eyes desiccated for 60 min and treated with 1% SH and the mixture. The mixture solution containing 0.5% SH and 1% CO has protective effects against corneal desiccation similar to those of 1% SH and would be helpful as an artificial tear.


Asunto(s)
Aceite de Ricino/farmacología , Córnea/efectos de los fármacos , Síndromes de Ojo Seco/tratamiento farmacológico , Ácido Hialurónico/farmacología , Gotas Lubricantes para Ojos/farmacología , Animales , Aceite de Ricino/administración & dosificación , Aceite de Ricino/uso terapéutico , Histocitoquímica/veterinaria , Ácido Hialurónico/administración & dosificación , Ácido Hialurónico/uso terapéutico , Técnicas In Vitro/veterinaria , Gotas Lubricantes para Ojos/administración & dosificación , Gotas Lubricantes para Ojos/uso terapéutico , Estadísticas no Paramétricas , Porcinos
14.
J Cardiothorac Surg ; 8: 182, 2013 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-23919919

RESUMEN

BACKGROUND: Median sternotomy provides excellent access to all mediastinal structures in patients undergoing conventional cardiovascular surgery. Although this incision technique is associated with relatively lower complication rates, certain complications such as the sternal dehiscence may pose serious health consequences. In this regard, considerable effort has been paid to develop techniques aiming to improve sternal healing and to enhance postoperative recovery after conventional cardiac surgery. Among these, kryptonite bone cement, a biocompatible polymer with improved mechanical properties when combined with a standard wire cerclage, represents a promising novel approach that may help prevent sternal dehiscence. In this study, the effects of this particular type of bone cement on sternal healing, postoperative pain, and quality of life have been evaluated. METHODS: Kryptonite bone cement enhanced sternal closure was employed in a total of 100 patients undergoing conventional cardiac surgery between November 2009 and June 2012. Of these patients, 50 expressed their willingness to participate in this study. Each participant underwent a computerized tomography imaging for the radiological assessment of sternal healing. Pain and life quality of these patients have been evaluated by Wong-Baker faces pain scale and SF-36 health survey questionnaire, respectively. RESULTS: Mean duration of follow-up was 20.14 ± 7.36 months (range: 10-32). Mean age and body mass index were 71.32 ± 7.23 years (range: 55-85) and 28.34 ± 2.62 (21-34) kg/m2, respectively. Elderly patients (≥70), females and those with chronic obstructive pulmonary disease (COPD) comprised 64%, 26% and 40% of the study population, respectively. No patients had findings suggestive of dehiscence on CT images. No patients reported severe pain (i.e. all patients had a Wong-Baker faces pain scale score <4). Elderly (≥ 70 yr) subjects had better quality of life scores as compared to the remaining group of patients (< 70 yr) according to SF-36 Health Survey results. Vitality and emotional role scores were lower (63.5 ± 25.5, p = 0.018 and 41.7 ± 23.3, p = 0.001, respectively) in female patients. Patients with COPD had lower quality of life scores than those without COPD, particularly with respect to general health scores (73.3 ± 18.5; p = 0.012). CONCLUSIONS: Kryptonite bone cement, when combined with a standard wire cerclage, enhances mechanical strength, prevents sternal dehiscence, reduces postoperative pain and improves quality of life after conventional cardiac surgery. Long-term studies are warranted to better define the role of kryptonite bone cement in the prevention of sternal dehiscence.


Asunto(s)
Procedimientos Quirúrgicos Cardíacos , Aceite de Ricino/uso terapéutico , Dolor Postoperatorio/prevención & control , Polímeros/uso terapéutico , Calidad de Vida , Esternotomía/métodos , Esternón/cirugía , Técnicas de Cierre de Heridas , Anciano , Anciano de 80 o más Años , Hilos Ortopédicos , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor , Encuestas y Cuestionarios , Resultado del Tratamiento , Cicatrización de Heridas
15.
Acta Cir Bras ; 28(5): 353-60, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23702937

RESUMEN

PURPOSE: To evaluate in vitro ability the of three different biomaterials - purified hydroxyapatite, demineralized bone matrix and castor oil-based polyurethane - as biocompatible 3D scaffolds for canine bone marrow mesenchymal stem cell (MSC) intending bone tissue engineering. METHODS: MSCs were isolated from canine bone marrow, characterized and cultivated for seven days with the biomaterials. Cell proliferation and adhesion to the biomaterial surface were evaluated by scanning electron microscopy while differentiation into osteogenic lineage was evaluated by Alizarin Red staining and Sp7/Osterix surface antibody marker. RESULTS: The biomaterials allowed cellular growth, attachment and proliferation. Osteogenic differentiation occurred in the presence of hydroxyapatite, and matrix deposition commenced in the presence of the castor oil-based polyurethane. CONCLUSION: All the tested biomaterials may be used as mesenchymal stem cell scaffolds in cell-based orthopedic reconstructive therapy.


Asunto(s)
Matriz Ósea , Sustitutos de Huesos/uso terapéutico , Aceite de Ricino/uso terapéutico , Durapatita/uso terapéutico , Células Madre Mesenquimatosas/efectos de los fármacos , Poliuretanos/uso terapéutico , Andamios del Tejido , Animales , Regeneración Ósea/efectos de los fármacos , Adhesión Celular , Diferenciación Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Perros , Ensayo de Materiales , Células Madre Mesenquimatosas/citología , Microscopía Electrónica de Rastreo , Osteogénesis/efectos de los fármacos , Propiedades de Superficie , Ingeniería de Tejidos
16.
Acta cir. bras ; 28(5): 353-360, May 2013. ilus
Artículo en Inglés | LILACS | ID: lil-674155

RESUMEN

PURPOSE: To evaluate in vitro ability the of three different biomaterials - purified hydroxyapatite, demineralized bone matrix and castor oil-based polyurethane - as biocompatible 3D scaffolds for canine bone marrow mesenchymal stem cell (MSC) intending bone tissue engineering. METHODS: MSCs were isolated from canine bone marrow, characterized and cultivated for seven days with the biomaterials. Cell proliferation and adhesion to the biomaterial surface were evaluated by scanning electron microscopy while differentiation into osteogenic lineage was evaluated by Alizarin Red staining and Sp7/Osterix surface antibody marker. RESULTS: The biomaterials allowed cellular growth, attachment and proliferation. Osteogenic differentiation occurred in the presence of hydroxyapatite, and matrix deposition commenced in the presence of the castor oil-based polyurethane. CONCLUSION: All the tested biomaterials may be used as mesenchymal stem cell scaffolds in cell-based orthopedic reconstructive therapy.


Asunto(s)
Animales , Perros , Matriz Ósea , Sustitutos de Huesos/uso terapéutico , Aceite de Ricino/uso terapéutico , Durapatita/uso terapéutico , Células Madre Mesenquimatosas/efectos de los fármacos , Poliuretanos/uso terapéutico , Andamios del Tejido , Regeneración Ósea/efectos de los fármacos , Adhesión Celular , Células Cultivadas , Diferenciación Celular/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Células Madre Mesenquimatosas/citología , Osteogénesis/efectos de los fármacos , Propiedades de Superficie , Ingeniería de Tejidos
17.
Gen Dent ; 60(6): e393-7, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23220318

RESUMEN

Root perforations may lead to a loss of integrity in the root and periodontium, violations of the biologic periodontal distance, and injuries to periodontal tissue. This study sought to analyze the effect of root canal biomechanical preparation on the microhardness and the marginal sealing ability of different materials used to treat root perforations. Standard root perforations were performed in 96 bovine incisors. The teeth were divided into four groups (n = 24), based on the material used to treat those teeth: Mineral trioxide aggregate (MTA) (Group 1), MTA protected with cyanoacrylate (Group 2), MTA protected with glass ionomer (GI) cement (Group 3), and castor oil bean (COB) cement (Group 4). After root perforations were closed, the root canals were prepared biomechanically and teeth were sectioned longitudinally. Microleakage and microhardness of sealed perforations were assessed; microleakage data were submitted to analysis of variance (ANOVA) testing, while microhardness data were submitted to Dunnet and Tukey tests (p < 0.05). Group 4 reported the lowest amount of microleakage (0.65 mm), followed by Group 3 (1.02 mm), Group 1 (1.14 mm), and Group 2 (1.30 mm); however, no difference was detected among the groups. Groups 1-3 demonstrated significantly higher microhardness values compared to COB. It was concluded that the chemical and mechanical agents used during root canal preparation did not affect the sealing procedures. Administering surface protection to MTA did not improve microhardness or sealing.


Asunto(s)
Recubrimiento Dental Adhesivo , Cavidad Pulpar/lesiones , Materiales de Obturación del Conducto Radicular/química , Compuestos de Aluminio/química , Compuestos de Aluminio/uso terapéutico , Animales , Fenómenos Biomecánicos , Compuestos de Calcio/química , Compuestos de Calcio/uso terapéutico , Aceite de Ricino/química , Aceite de Ricino/uso terapéutico , Bovinos , Cianoacrilatos/química , Cianoacrilatos/uso terapéutico , Cementos Dentales/química , Cementos Dentales/uso terapéutico , Filtración Dental/clasificación , Combinación de Medicamentos , Colorantes Fluorescentes , Cementos de Ionómero Vítreo/química , Cementos de Ionómero Vítreo/uso terapéutico , Dureza , Humedad , Ensayo de Materiales , Óxidos/química , Óxidos/uso terapéutico , Rodaminas , Materiales de Obturación del Conducto Radicular/uso terapéutico , Preparación del Conducto Radicular/métodos , Silicatos/química , Silicatos/uso terapéutico , Propiedades de Superficie , Temperatura , Factores de Tiempo
18.
Rev. bras. cir. cardiovasc ; 27(3): 392-400, jul.-set. 2012. ilus
Artículo en Portugués | LILACS | ID: lil-660810

RESUMEN

OBJETIVO: Determinar se a reação tecidual do implante retroperitoneal do polímero de óleo de mamona (Pm) é significativa ou não por meio de análise histopatológica, tendo como controle o implante de titânio (Ti). MÉTODOS: Estudo experimental, intervencionista e randomizado com 32 cobaias. Os animais foram divididos em quatro grupos iguais e eutanasiados com 7, 20, 30 e 40 dias após o ato cirúrgico. Foram confeccionadas lâminas em hematoxilina-eosina e em tricrômio de Masson. Na comparação dos tipos de material em relação a variáveis quantitativas, foi considerado o teste não-paramétrico de Wilcoxon. Em relação a essas variáveis, os grupos definidos pelo dia do sacrifício foram comparados usando-se o teste não-paramétrico de Kruskal-Wallis. Os resultados obtidos no estudo da fibrose foram expressos por frequências e percentuais. Para a comparação entre os grupos definidos pelo dia do sacrifício, em relação a variáveis qualitativas dicotômicas da fibrose, foi considerado o teste exato de Fisher. Para avaliar a diferença entre os materiais titânio e polímero em cada grupo, ainda em se tratando da fibrose, foi considerado o teste binomial. Valores de P<0,05 indicaram significância estatística. RESULTADOS: A análise das variáveis quantitativas não demonstrou diferença nas reações teciduais entre os materiais (P>0,05). A análise da variável qualitativa também não demonstrou diferença entre as reações teciduais dos materiais (P>0,05). CONCLUSÃO: Não foi encontrada significância estatística entre a reação tecidual do Pm e do Ti.


OBJECTIVE: The aim of the present investigation is to determine if the tissue reaction to the Riccinus communis (mamona) polymer has significant statistical difference compared to the tissue reaction provoked by the titanium implant. METHODS: Thirty two Cavia porcellus were divided into four groups containing eight animals each one. We implanted the two types of materials in the retroperitoneal space of all the animals. They were sacrificed at 7, 20, 30 and 40 days after surgery and the samples were submitted to histological study. RESULTS: The quantitative analysis did not show difference between the tissue reaction of the two materials (P>0.05). The analysis of the qualitative variable also did not show difference between the tissue reaction of the materials (P>0.05). CONCLUSION: Macroscopic and microscopic results showed that the castor oil polymer implant has no significant statistical difference compared to the titanium implant tissue reaction.


Asunto(s)
Animales , Cobayas , Masculino , Materiales Biocompatibles/uso terapéutico , Aceite de Ricino/uso terapéutico , Corazón Artificial , Polímeros/uso terapéutico , Ricinus , Titanio/uso terapéutico , Fibrosis/patología , Células Gigantes , Histiocitos , Implantes Experimentales , Linfocitos , Ensayo de Materiales , Modelos Animales , Neutrófilos , Distribución Aleatoria , Reproducibilidad de los Resultados , Resultado del Tratamiento
20.
Acta cir. bras ; 27(1): 56-62, Jan. 2012. ilus, tab
Artículo en Inglés | LILACS | ID: lil-607997

RESUMEN

PURPOSE: To evaluate the biologic behavior of the castor polymer containing silica nanoparticles as a bone substitute in diafisary defect. METHODS: Twenty seven male rattus norvegicus albinus wistar lineage were submitted to bone defect filled with castor oil polymer. Three experimental groups had been formed with nine animals each: (1) castor oil polymer containing only calcium carbonate; (2) castor oil polymer with calcium carbonate and doped with 5 percent of silica nanoparticles; (3) castor polymer with calcium carbonate doped with 10 percent of silica nanoparticles; 3 animals of each group were submitted to euthanasia 15, 30 and 60 days after experimental procedure, and their femurs were removed to histological evaluation. RESULTS: there was bone growth in all the studied groups, with a greater tendency of growth in the group 1. After 30 days all the groups presented similar results. After 60 days a greater amount of fibroblasts, osteoblasts, osteocytes and osteoclasts in group 3 was observed, with integrated activity of 3 kinds of cells involved in the bone activation-reabsorption-formation. CONCLUSIONS: The castor polymer associated to the silica nanoparticles is biocompatible and allows osteoconduction. The presence of osteoprogenitors cells suggests silica osteoinduction capacity.


OBJETIVO: Avaliar o comportamento biológico do polímero de mamona contendo nanopartículas de sílica como substituto ósseo. MÉTODOS: Vinte e sete rattus norvergicus albinus, Wistar foram submetidos a defeito ósseo preenchido com polímero de mamona. Foram formados três grupos experimentais, com nove ratos cada: (1) Polímero com carbonato de cálcio; (2) Polímero com carbonato de cálcio dopado com 5 por cento de nanopartículas de sílica; (3) Polímero com carbonato de cálcio dopado com 10 por cento de nanopartículas de sílica; três animais de cada grupo foram submetidos à eutanásia 15, 30 e 60 dias após o procedimento experimental e os fêmures removidos e submetidos à avaliação histológica. RESULTADOS: Houve crescimento ósseo em todos os grupos estudados, com maior tendência de crescimento no grupo contendo polímero de mamona acrescido apenas por carbonato de cálcio. Aos 30 dias, todos os grupos apresentaram resultados semelhantes. Aos 60 dias, notou-se maior presença de fibroblastos, osteoblastos, osteócitos e osteoclastos no grupo 3, com persistência da atividade integrada dos três tipos de células envolvidas no processo de ativação-reabsorção-formação óssea. CONCLUSÕES: O polímero de mamona associado com nanopartículas de sílica é biocompatível e permite a osteocondução. A presença de células osteoprogenitoras nos implantes contendo 10 por cento de sílica indica sua capacidade osteoindutora.


Asunto(s)
Animales , Masculino , Ratas , Regeneración Ósea/efectos de los fármacos , Sustitutos de Huesos/uso terapéutico , Aceite de Ricino/uso terapéutico , Nanopartículas/química , Poliuretanos/química , Dióxido de Silicio/química , Regeneración Ósea/fisiología , Aceite de Ricino/química , Ensayo de Materiales , Osteoblastos/efectos de los fármacos , Ratas Wistar
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