Use of autologous platelet-rich plasma in healing skin graft donor sites.

OBJECTIVE: To demonstrate that the use of platelet-rich plasma (PRP) enhances both the quality of healing and the time required for wound healing at a skin graft donor site. METHODS: Patients who had dermo-epidermal skin grafts taken from the thigh area were included in a prospective, randomised clinical study. PRP was applied to one donor site and then covered with Vaseline-impregnated, open-weave gauze and gauze, while the contralateral donor site on the other thigh served as a control and was covered with the open-weave gauze and gauze without PRP. RESULTS: A total of 24 patients took part in the study, of which three developed infections and were thus removed from the study. Use of PRP reduced the wound healing time of the dermo-epidermal graft donor sites by a mean 17.8% and median 18 days. On average, the treated donor sites healed in 14.9 days compared with 18.4 days for the control group. The median was 14 days compared with 18 days in the control group (p=0.026). In one patient, healing was slower on the side where PRP was applied. In 20 patients, healing of the donor site was accelerated where PRP was applied. CONCLUSION: The study demonstrated a beneficial effect of PRP, as healing time was shortened. Using PRP to heal wounds could be beneficial for patients for whom commonly available wound healing therapies have failed, as well as for high-risk patient groups for whom problematic wound healing may be expected.

Ecotoxicity and hematological effects of a natural insecticide based on tobacco (Nicotiana tabacum) extract on Nile tilapia (Oreochromis niloticus) / Ecotoxicidade e efeitos hematológicos de um inseticida natural de extrato de tabaco (Nicotiana tabacum) em tilápia do Nilo (Oreochromis niloticus)

Natural insecticides from plant extracts represent an alternative to the highly toxic synthetic products in order to reduce environmental contamination; however some might also be toxic for non-target organisms. The present study determined the 50% lethal concentration (48h; LC50) for adults Nile tilapia (Oreochromis niloticus) exposed to the natural insecticide Fumydro®, based on the tobacco plant (Nicotiana tabacum), and evaluated its effect on hematological variables. After preliminary tests, adult specimens of O. niloticus were exposed to four Fumydro® concentrations (200, 300, 400 and 500 µL L-1). The 48h; LC50 of Fumydro® was determined at 370 ± 50 µL L-1. The surviving fish after exposure to Fumydro® showed an increase in the number of red blood cells, hemoglobin concentration, mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration. The number of thrombocytes and leukocytes has not changed, unlike the differential leukocyte count that presented an increased percentage of neutrophils. The results indicated that the insecticide Fumydro® is highly toxic to Nile tilapia and changes in erythrocyte variables suggested the induction to hypoxemia with low effect on the immune system.

Inseticidas naturais produzidos a partir de extratos de plantas pode ser uma alternativa para diminuir a contaminação do ambiente por agrotóxicos sintéticos e altamente tóxicos, embora alguns deles possam também ser tóxicos para organismos não alvos. O presente estudo determinou a concentração letal 50% (CL50; 48h) para tilápia do Nilo (Oreochromis niloticus) expostas ao inseticida natural Fumydro®, produzido a base de planta de tabaco (Nicotiana tabacum) e analisou o seu efeito nas variáveis hematológicas. Após testes preliminares, exemplares adultos de O. niloticus foram expostos a quatro concentrações de Fumydro® (200, 300, 400 e 500 µL L-1). A CL50; 48h foi estimada em 370 ± 50 µL L-1. Os peixes sobreviventes a exposição ao Fumydro® apresentaram aumento no número de eritrócitos, concentração de hemoglobina, hemoglobina corpuscular média e concentração de hemoglobina corpuscular média. O número de trombócitos e de leucócitos não foi alterado, mas ocorreu alteração na contagem diferencial de leucócitos ocorrendo um aumento na porcentagem de neutrófilo nos peixes expostos a 200, 300 µL L-1 de Fumydro®. Estes resultados indicaram que o inseticida Fumydro® é extremamente tóxico para tilápia do Nilo e as alterações nas variáveis eritrocitárias sugerem que causa hipoxemia, mas tem pouca ação sobre o sistema imune.